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Adopting Electronic Medical Records Kuwait

What the problems and needs of the sponsor are?

Evaluate Healthcare Informatics in the governmental hospitals of Kuwait

Develop a unified definition for the Electronic Medical Record (EMR)

Identify some of the EMR implementation benefits and challenges in the governmental hospitals of Kuwait

Develop an informative reference about EMR implementation in the governmental hospitals of Kuwait

What are the project’s aims?

The purpose of this dissertation is to investigate the benefits and challenges associated with the implementation of Electronic Medical Records (EMRs) in the governmental hospitals of Kuwait. In order to accomplish this task, a qualitative analysis approach will be followed – by surveying/interviewing a sample of healthcare and IT professionals from different governmental hospitals and IT companies who are in one way or another participated in the implementation of an EMR. Therefore, the aim of my dissertation is to:

Evaluate Healthcare Informatics in the governmental hospitals of Kuwait

Establish a unified definition for the Electronic Medical Record (EMR)

Identify EMR implementation benefits and challenges in the governmental hospitals of Kuwait

Accommodate resolutions to avoid major obstacles of EMR implementation in the governmental hospitals of Kuwait

Formulate an informative reference about EMR implementation in the governmental hospitals of Kuwait

What is the proposed solution?

A unified definition for the Electronic Medical Record (EMR)

Identification of the EMR implementation benefits and challenges in the governmental hospitals of Kuwait

Some resolutions for the EMR implementation major obstacles in the governmental hospitals of Kuwait.

An informative reference about EMR implementation in Kuwait

What will be produced in the project?

A research paper/document detailing:

Importance of adopting EMRs, and their role in enhancing delivered healthcare services in the governmental hospitals of Kuwait

The benefits and challenges associated with the EMRs implementations in the governmental hospitals of Kuwait

The essential requirements to have a successful EMR implementation within the Kuwaiti governmental hospitals, as well as the resolutions for implementation major obstacles.

The final conclusions, recommendations, as well as any aspects of future work

Literature Survey / Resources list:

A primary literature review – using UoL Online Library, Gartner, HIMSS, and Google Scholar – has been conducted, in order to identify all the researches and papers relevant to the topic under discussion. Some of these resources are of relevance to my work, as they are trying to investigate the benefits and barriers of adopting EMR systems in a specific domain through conducting interviews and surveys, which could provide a comprehensive insight and guidance in conducting my study. On the other hand, some of the interview questions in these studies would be acting as the foundation for developing some of the interview questions in my dissertation. There are other sources attempting to provide a clear definition, description, and global variations of the EMR and EHR terms within the healthcare informatics setting. The three industry research papers (from Gartner and HIMSS) are trying to introduce a unified definition for the EMR, which would help me in my study to clarify the terminology misconception, which consequently would lend a hand in providing a common ground to better understand the issue. Finally, there are some sources (two textbooks) that would provide the technical and practical guidance required to build interviews’ questions and conduct efficient interviews.

Abdulai, Tanko (2009) IMPLEMENTING EHR IN A DEVELOPING COUNTRY: POTENTIAL CHALLENGES AND BENEFITS (A CASE STUDY FROM GHANA). Master’s Thesis, University of Tromsø.

Bhaskaran, V. et al. (2010) Online Surveys For Dummies. Indianapolis: Wiley Publishing, Inc.

Fink, A. (2009) How to Conduct Surveys: A Step-by-Step Guide. 4th ed. California: SAGE Publications, Inc.

Nixon, Debra L. (2009) BARRIERS TO ELECTRONIC MEDICAL RECORDS (EMR) ADOPTION BY SELECTED PRIMARY CARE PHYSICIANS IN ARIZONA: A CASE STUDY. PhD dissertation, Capella University.

Peden, Ann H. (2010) Factors Affecting Adoption of Electronic Health Record (EHR) Systems in United States Hospitals. PhD dissertation, University of Mississippi.

Rishel, Wes; Handler, Thomas J.; D., M.; Edwards, Jonathan (2005) A Clear Definition of the Electronic Health Record. ID Number: G00130927. Stamford: Gartner.

Rishel, Wes; Handler, Thomas J.; D., M. (2008) Global Definitions of EHR, PHR, E-Prescribing and Other Terms for Healthcare Providers. ID Number: G00163780. Stamford: Gartner.

Witter, David M. (2010) Oregon Electronic Health Record Survey Report: Ambulatory Practices and Clinics. Oregon: Office for Oregon Health Policy and Research.

Garets, Dave and Davis, Mike (2006) Electronic Medical Records vs. Electronic Health Records: Yes, There Is a Difference. Chicago: HIMSS Analytics.

The key resources that would contribute to this research are as follow:

UoL Online Library, Gartner, HIMSS, Google Scholar

Mr. Mohamed Ahmed Abdul-Haleem (Sponsor)

Interviews, questionnaire, and observations results and analysis

Conduct of the Project

Background research

The concept of Electronic Medical Record (EMR) has been discussed from several aspects by a lot of researchers; such aspects are bringing to mind the benefits of the EMR in enhancing the healthcare services, as well as the barriers that affect the adoption of EMRs, in addition to the factors required to facilitate the success of EMRs adoption in different contexts.

Data required

Secondary data:

In my dissertation I depend principally on two published researches (a master’s thesis and a PhD) of relevant literature;

IMPLEMENTING EHR IN A DEVELOPING COUNTRY: POTENTIAL CHALLENGES AND BENEFITS (A CASE STUDY FROM GHANA) and

BARRIERS TO ELECTRONIC MEDICAL RECORDS (EMR) ADOPTION BY SELECTED PRIMARY CARE PHYSICIANS IN ARIZONA: A CASE STUDY

These researches follow the case study approach using the qualitative analysis of the data collected by interviews and observations to stand on the physicians’ perception about:

The benefits associated with the implementation of EMR systems,

The barriers that prevent them from adopting EMR systems,

Which of these barriers are unique to some environments, and

Which of these barriers may be conquered through the enactment of special resolutions and policy changes

These dissertations are of relevance to my work, as they try to investigate the benefits and barriers of adopting EMR systems in a specific domain, which could provide comprehensive insight and guidance in conducting my study. On the other hand, some of the benefits, barriers, and interview questions in these studies will be acting as the foundation for developing some work in my dissertation.

On the other hand, there are three industry researches attempting to provide a clear definition, description, and global variations of the EMR and EHR terms within the healthcare informatics setting. The three papers, (two from Gartner):

A Clear Definition of the Electronic Health Record

Global Definitions of EHR, PHR, E-Prescribing and Other Terms for Healthcare Providers

And (one from HIMSS):

Electronic Medical Records vs. Electronic Health Records: Yes, There Is a Difference

are trying to introduce a unified definition for the EMR, which would help me in my study to clarify the terminology misconception, and consequently that would lend a hand in providing a common ground to better understand the issue.

Finally, there are two textbooks (Online Surveys For Dummies, and How to Conduct Surveys: A Step-by-Step Guide) that would provide the technical and practical guidance required to build my questionnaire and analyze collected data.

Primary data:

The data that will be collected from the questionnaire would reveal insights into:

How patient medical data is maintained in the Kuwaiti governmental hospitals

The working background of the respondents with EMR, as well as their role in the decision-making process of implementation

The factors driving the EMR implementation within Kuwaiti governmental hospitals

Initiatives of the Kuwaiti government to promote EMR adoption in the governmental hospitals

Benefits and major barriers of EMR implementation within governmental hospitals of Kuwait

Some suggestions to the Kuwaiti government about how to overcome EMR implementation barriers in governmental hospitals

It is important to mention that the method used to gather the information involved online/printed questionnaire distributed to the stakeholders (who are willing to cooperate) within the Kuwaiti governmental hospitals and other IT professionals who are somehow involved in the EMR implementation within these hospitals. It is important to bear in mind that the method utilized to collect the data is not strictly scientific, and while the respondents to this survey aren’t fully representing the medical community, they still have some knowledge about Healthcare Information Technology (HIT) solutions and government plans of implementing them. On the other hand, the questionnaire results should not be considered as the absolute indictor of the phenomena, however, they should be considered as a valuable qualified indicator of relevant circumstances.

Any new skills that will be required and how these will be acquired

Skill

How it will be acquired

Design proper and efficient survey questions, plus organizing and analyzing collected data

Using technical resources as guidance

The design methods to be used

The research method to be used is the Case Study approach

The software to be used

Google Docs

Microsoft Office 2007

The Design

Case study approach

The aim of this case study is to investigate the benefits of adopting the Electronic Medical Record (EMR) systems in the governmental hospitals of Kuwait, and what are the obstacles that impede the implantation of such systems, as well as some proposals to overcome these difficulties. The case study will try to shed some light on the phenomena through the qualitative analysis and interpretation of the data collected from the stakeholders (i.e. healthcare givers and IT professionals) using printed and online questionnaire, interviews, observation and personal experience in the field.

Method triangulation

As the focus of this research is to investigate the benefits and challenges of adopting Electronic Medical Record (EMR) systems in the governmental hospitals of Kuwait, through the qualitative analysis of the data collected from interviewing healthcare givers from each hospital (Kuwait has seven governmental hospitals) and IT professionals who participated in EMR implantations in some of these hospitals. For that reason, and with the aim of eventually ensure better quality of the dissertation, it is of great significance to verify the validity of the results reached, through comparing interviews’ results of the seven governmental hospitals with each other, so as to look for similarities and differences that will lend a hand in drawing a truthful final conclusion.

Anticipated conclusions

Anticipated conclusions possibly will include:

A misconception and expression overlapping associated with the EMR within the professional community

Stakeholders are aware of the significance and benefits of EMR systems, but unenthusiastic to implement or use

New EMR implementation barriers may possibly pop-up during the data collection phase, and some of these barriers may appear to be unique to the State of Kuwait

Personal interests play a major role in the implementation of EMR systems inside the governmental hospitals of Kuwait

EMR adoption velocity will increase in the near future, as the health information technology is evolving hastily, and some of the suggestions to overcome EMR implementation barriers will be put into practice

Statement of Deliverables

Description of anticipated documentation content

A research paper/document detailing:

The importance of adopting EMRs, and their role in enhancing the delivered healthcare services

The benefits and challenges associated with the EMRs implementations

The essential requirements to have a successful EMR implementation within Kuwaiti governmental hospitals, as well as some resolutions for the implementation major obstacles.

The final conclusions, recommendations, as well as any aspects of future work

Description of anticipated experiments

I am not conducting any experiments.

Description of methods for evaluation of the work

For the most part, continues evaluation of the dissertation will be conducted by the project’s sponsor, the DA, and the professional community (including healthcare givers and IT professionals). Besides, the dissertation final submission will be evaluated by two assessors; the DA will be the first of them. The instruments used in the evaluation of the project’s components and results will be the professional experience, as well as the predefined dissertation’s assessment criteria. The accurateness of the dissertation hypothesis will be verified in light of the following:

The findings of relevant research papers and similar activities

The delivered aims and objectives of the research

The analysis of data collected from interviews

Project plan and timing

The following table illustrates the project’s activates and their estimated start/end dates:

#

Activity

Estimated Start Date

Estimated End Date

01

RMT Module

30/09/2010

28/11/2010

Initial literature review

30/09/2010

20/11/2010

Submitting final proposal

24/11/2010

02

Approval of proposal

28/11/2010

03/12/2010

03

Submitting Project Specification and Design Document

01/12/2010

31/01/2011

04

Comprehensive literature review

04/12/2010

31/12/2010

05

Building interviews’ questions

14/12/2010

18/12/2010

06

Reviewing interviews’ questions with professional advisers

19/12/2010

21/12/2010

07

Conducting pilot interviews

21/12/2010

23/12/2010

08

Reviewing interviews’ questions after the pilot test

24/12/2010

26/12/2010

09

Conducting required interviews

27/12/2010

20/01/2011

10

Submitting Monthly Progress Report 01

28/12/2010

11

Collaborating and Analyzing data from literature and interviews

21/01/2011

31/01/2011

12

Submitting Monthly Progress Report 02

28/01/2011

13

Research and Writing-up

01/02/2011

26/05/2011

Submitting Monthly Progress Report 03

27/02/2011

Submitting Monthly Progress Report 04

28/03/2011

Submitting Monthly Progress Report 05

28/04/2011

14

Submitting dissertation draft

28/05/2011

07/06/2011

15

Reviewing dissertation and incorporating DA comments

07/06/2011

25/06/2011

16

Submitting final dissertation document

28/06/2011

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