How to assess the acceptance of an electronic health record system?

Being able to access a patient’s clinical data in due time is critical to any medical setting. Clinical data is very diverse both in content and in terms of which system produces it. The Electronic Health Record (EHR) aggregates a patient’s clinical data and makes it available across different systems. Considering that user’s resistance is a critical factor in system implementation failure, the understanding of user behavior remains a relevant object of investigation. The purpose of this paper is to outline how we can assess the technology acceptance of an EHR using the Technology Acceptance Model 3 (TAM3) and the Delphi methodology. An assessment model is proposed in which findings are based on the results of a questionnaire answered by health professionals whose activities are supported by the EHR technology. In the case study simulated in this paper, the results obtained showed an average of 3 points and modes of 4 and 5, which translates to a good level of acceptance.The work has been supported by FCT – Fundação para a Ciência e Tecnologia within the Project Scope: UID/CEC/00319/2019.The work has been supported by FCT – Fundação para a Ciência e Tecnologia within the Project Scope DSAIPA/DS/0084/2018

Introduction to BPM approach in Healthcare and Case Study of End User Interaction with EHR Interface

Nowadays, process management is a key factor in the success of organizations. The market in which the organizations operate is increasingly competitive. This increase makes the improvement of business processes a constant and essential need in organizations. In recent years, organizations increasingly choose to adopt Business Process Management (BPM) and try to use the Business Process Model and Notation (BPMN) to model their processes and, as a result, to make their systems and applications more interoperable with others. The Electronic Health Record (EHR) is another system for the exploitation of clinical and administrative information. Much of the information is generated in the EHR itself, the rest of the information results from external systems and are loaded into the EHR support database. This technology is a system with encrypted clinical information used in hospitals. This article looks at what BPMN is, and how BPMN can be a solution for an EHR. As a result, BPMN workflow diagrams of the system processes of the study case organization were created. The platform used in the case study is the Agency for Integration, Archive and Diffusion of Medical Information (AIDA) platform. Four main modules of the EHR were modeled; one of the modules was the ambulatory module.This work has been supported by COMPETE: POCI-01-0145-FEDER-007043 and FCT - Fundacao para a Ciencia e Tecnologia within the Project Scope: UID/CEC/00319/2013

Information systems assessment in pathologic anatomy service

Information technologies changed the way of how the health organizations work, contributing to their effectiveness, efficiency and sustainability. Hospital Information Systems (HIS) are emerging on all of health institutions, helping health professionals and patients. However, HIS are not always implemented and used in the best way, leading to low levels of benefits and acceptance by users of these systems. In order to mitigate this problem, it is essential to take measures able to ensure if the HIS and their interfaces are designed in a simple and interactive way. With this in mind, a study to measure the user satisfaction and their opinion was made. It was applied the Technology Acceptance Model (TAM) on a HIS implemented on various hospital centers (AIDA), being used the Pathologic Anatomy Service. The study identified weakness and strengths features of AIDA and it pointed some solutions to improve the medical record.This work has been supported by FCT - Fundação para a Ciência e Tecnologia within the Project Scope UID/CEC/00319/2013. The authors would like to thank FCT for the financial support through the contract PTDC/EEI-SII/1302/2012 (INTCare II)