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

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their health records upon request or whenever it is considered to be of benefit to the<br />

patient.<br />

4. Health workers who have privileged access to patient’s records shall be accountable to<br />

ma<strong>in</strong>ta<strong>in</strong> the highest level of confidentiality <strong>and</strong> ensure that shared confidentiality is only<br />

practiced <strong>in</strong> the <strong>in</strong>terest of the patient.<br />

5. Notwithst<strong>and</strong><strong>in</strong>g the provision of item 3.6.6(d) <strong>and</strong> 3.6.7(b) on matters of litigation, health<br />

workers can divulge <strong>in</strong><strong>for</strong>mation obta<strong>in</strong>ed <strong>in</strong> confidence on the <strong>in</strong>struction of legal authority<br />

<strong>and</strong> <strong>in</strong> l<strong>in</strong>e with the exist<strong>in</strong>g laws.<br />

6. The MOH shall ensure that data <strong>and</strong> <strong>in</strong><strong>for</strong>mation required <strong>for</strong> def<strong>in</strong>ed global surveillance<br />

systems is collected <strong>in</strong> compatible <strong>for</strong>mats <strong>and</strong> submitted to relevant authorities <strong>in</strong> time /<br />

on schedule.<br />

Regulatory Environment <strong>for</strong> EMR <strong>Systems</strong><br />

Regulation of development <strong>and</strong> deployment of <strong>Electronic</strong> <strong>Medical</strong> <strong>Record</strong> <strong>Systems</strong> <strong>in</strong> Kenya is the<br />

m<strong>and</strong>ate of the Kenya M<strong>in</strong>istries of Health through the Division of Health In<strong>for</strong>mation systems<br />

(HIS). The HIS may appo<strong>in</strong>t a disease program (e.g., NASCOP, DLTLD or Malaria programs) to<br />

regulate the implementation of EMR systems that are specific to that disease condition.<br />

EMR developers <strong>and</strong> implementers as well as health facilities <strong>in</strong>tend<strong>in</strong>g to implement electronic<br />

medical systems shall seek the guidance of the HIS or the relevant disease programs <strong>in</strong> ascerta<strong>in</strong><strong>in</strong>g<br />

the suitability of the system they <strong>in</strong>tend to use. The HIS shall review, <strong>for</strong> approval, all the EMR<br />

systems to ascerta<strong>in</strong> that they meet the def<strong>in</strong>ed functional requirements.<br />

The HIS shall en<strong>for</strong>ce that all EMR implementations are <strong>in</strong> adherence to the st<strong>and</strong>ards <strong>and</strong><br />

guidel<strong>in</strong>es set <strong>for</strong>th <strong>in</strong> this document..<br />

<strong>St<strong>and</strong>ards</strong> <strong>and</strong> <strong>Guidel<strong>in</strong>es</strong> <strong>for</strong> <strong>Electronic</strong> <strong>Medical</strong> <strong>Record</strong>s <strong>Systems</strong> <strong>in</strong> Kenya 85

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