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An Affordable HIV-1 Drug Resistance Monitoring Method for Resource Limited Settings
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EHR implementation in South Africa: how do we get it right?

Parimalaranie Yogeswaran1, Graham Wright

  • 1Department of Family Medicine, Faculty of Health Sciences, Walter Sisulu University, Mthatha, South Africa. pyogeswaran@wsu.ac.za

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Summary

South Africa is implementing Electronic Health Records (EHR) in its public health sector. A validated toolkit using Balanced Score Card principles assesses institutional readiness for successful EHR adoption.

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Area of Science:

  • Health Informatics
  • Health Services Management
  • Information Communication Technology in Healthcare

Background:

  • Increasing demand for equitable, accessible, and safe healthcare necessitates technological solutions.
  • Electronic Health Records (EHR) are crucial for improving healthcare delivery but face high global implementation failure rates.
  • South Africa has strategically decided to implement EHR systems within its public health sector.

Purpose of the Study:

  • To develop and validate an evaluation toolkit for assessing the readiness of South African health institutions for EHR implementation.
  • To provide a strategic framework for guiding EHR adoption in the public health sector.

Main Methods:

  • Development of a Critical Success Factor (CSF) scorecard to evaluate institutional readiness.
  • Creation of a Balanced Score Card (BSC) matrix as a strategic implementation framework, adapted from Kaplan and Norton's model and Protti's variant.
  • Validation of the developed toolkit through expert critiques.

Main Results:

  • A comprehensive evaluation toolkit was successfully developed and validated by experts.
  • The toolkit includes a CSF scorecard for readiness assessment and a BSC matrix for strategic guidance.
  • The developed tools are deemed effective for assessing and guiding EHR implementation.

Conclusions:

  • The validated toolkit offers a structured approach to measure health institution readiness for EHR implementation in South Africa.
  • This evaluation toolkit has the potential to significantly improve the path towards successful EHR adoption.
  • The strategic framework provided by the toolkit can mitigate common EHR implementation challenges.