
Health System Improvement in e-Health setting.
Currently, our ministry is using separate systems(software) for each health care setting. National program of TB, HIV, Hepatitis uses OpenMRS (Medical Record System) separately. We have to re-design the architecture for all the programs and consider upgrading a centralized server for Health Information Exchange.
Barriers to EMR system improvement processes
• Financial challenges (upfront and ongoing costs)
• Lack of technology support
• Lack of technical infrastructure
• Resistance to Changing Work Habits
• Lack of capital resources to invest in HER
• Insufficient time
• Inability to easily input historic medical record data
• Physician attitude
• Physician autonomy
• Physician cooperation Complexity of meeting meaningful use challenges
• Lack of clear state and federal/policies standards
• Technical concerns Privacy concerns
• Resources for training in basic computer literacy
• Complexity of system
• Staff shortages
• Agility to make changes
• Missing data
• Interoperability