Standards and Guidelines for Electronic Medical Record Systems in ...

Hardware requirements
Other infrastructure
Human Resource Requirements
(recommended personnel required
and roles).
Operational requirements
1. Computers for every service point complete with monitor,
mouse and keyboard.
2. A computer server to store patient information.
3. Networked printer able to serve multiple service points
4. Standalone printers for the reception, pharmacy, and
laboratory.
5. UPS’s for every computer.
1. Reliable power supply.
2. A functional network to allow for sharing of patient
information between the service points.
1. Receptionist to register and schedule clients
2. Clinicians trained on data entry into EMR
3. Data Manager to do DQA
4. Resident IT administrator to solve arising problems to
reduce downtime
1. Secured environment of IT infrastructure
2. A mirror backup server to ensure continuity of operations in
case of server failure or, alternatively, daily backup on high
volume tapes automated to run at the end of each day on the
server.
3. Resident IT support
4. Fail over procedures to paper based system.
Case Scenario 5: Centralized hosted EMR
A partner supporting a region develops an EMR to support decentralized data capture and entry from several
facilities with a centralized hosted EMR database. All facilities are connected via a Virtual Private Network
(VPN) or via the internet.
Workflow Processes
Data is collected on predefined forms. All data forms are collected
and transcribed by data entry personnel into the EMR via a web
interface. Each facility is able to generate its own facility-specific
reports.
Hardware requirements
1. Computer for the data entry personnel, complete with
monitor, mouse and keyboard
4. Printer
2. UPS
Other infrastructure
1. Reliable power supply
2. Internet connectivity
Human resource requirements
Operational requirements
1. Data entry clerk at the facility level (number will vary with
work load)
2. IT support at the database site. One IT personnel
maintaining the centralized database is sufficient to ensure
operations across all linked facilities.
1. Secured physical environment of IT infrastructure
2. Daily backup (such as on high volume tapes) automated to
run at the centralized server.
3. Resident IT support to minimize database downtimes.
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