Quality Requirements for Electronic Health Record Systems

Alfred Winter; Katsuhiko Takabayashi; Franziska Jahn; Eizen Kimura; Rolf Engelbrecht; Reinhold Haux; Masayuki Honda; Ursula H. Hübner; Sozo Inoue; Christian D. Kohl; Takehiro Matsumoto; Yasushi Matsumura; Kengo Miyo; Naoki Nakashima; Hans-Ulrich Prokosch; Martin Staemmler

doi:10.3414/ME17-05-0002

Methods of Information in Medicine, Inhaltsverzeichnis

CC BY-NC-ND 4.0 · Methods Inf Med 2017; 56(S 01): e92-e104
DOI: 10.3414/ME17-05-0002

Original Articles

Schattauer GmbH

Quality Requirements for Electronic Health Record Systems^[*]

A Japanese-German Information Management Perspective

Alfred Winter

¹Institute for Medical Informatics, Statistics and Epidemiology, University of Leipzig, Leipzig, Germany

,

Katsuhiko Takabayashi

²Department of Medical Information and Management, Chiba University Hospital, Chiba, Japan

,

Franziska Jahn

¹Institute for Medical Informatics, Statistics and Epidemiology, University of Leipzig, Leipzig, Germany

,

Eizen Kimura

³Department of Medical Informatics, Ehime Daigaku Daigakuin Igakukei Kenkyuka Igakubu, Toon, Ehime, Japan

,

Rolf Engelbrecht

⁴National ProRec Centre, Ismaning, Germany

,

Reinhold Haux

⁵Peter L. Reichertz Institute for Medical Informatics, University of Braunschweig and Hannover Medical School, Braunschweig, Germany

,

Masayuki Honda

⁶Division of Medical Informatics, Nagasaki Daigaku Byoin, Nagasaki, Japan

,

Ursula H. Hübner

⁷Health Informatics Research Group, Hochschule Osnabrück, Department of Business Management and Social Sciences, Osnabrück, Germany

,

Sozo Inoue

⁸Kyushu Kogyo Daigaku, Kitakyushu, Fukuoka, Japan

,

Christian D. Kohl

⁹Medical Informatics, Institue of Medical Biometry and Informatics, Heidelberg, Germany

,

Takehiro Matsumoto

¹⁰Nagasaki Daigaku, Nagasaki, Japan

,

Yasushi Matsumura

¹¹Medical Informatics, Osaka University Graduate School of Medicine, Osaka, Japan

,

Kengo Miyo

¹²Kokuritsu Kokusai Iryo Center Kenkyujo, Shinjuku-ku, Tokyo, Japan

,

Naoki Nakashima

¹³Medical Information Center, Kyushu University Hospital, Higashi-ku, Fukuoka, Japan

,

Hans-Ulrich Prokosch

¹⁴Department of Medical Informatics, Biometry and Epidemiology, Friedrich-Alexander University Erlangen-Nürnberg, Erlangen, Germany

,

Martin Staemmler

¹⁵Fachhochschule Stralsund, Stralsund, Germany

› Institutsangaben

Abstract

Summary

Background: For more than 30 years, there has been close cooperation between Japanese and German scientists with regard to information systems in health care. Collaboration has been formalized by an agreement between the respective scientific associations. Following this agreement, two joint workshops took place to explore the similarities and differences of electronic health record systems (EHRS) against the background of the two national healthcare systems that share many commonalities.

Objectives: To establish a framework and requirements for the quality of EHRS that may also serve as a basis for comparing different EHRS.

Methods: Donabedian’s three dimensions of quality of medical care were adapted to the outcome, process, and structural quality of EHRS and their management. These quality dimensions were proposed before the first workshop of EHRS experts and enriched during the discussions.

Results: The Quality Requirements Framework of EHRS (QRF-EHRS) was defined and complemented by requirements for high quality EHRS. The framework integrates three quality dimensions (outcome, process, and structural quality), three layers of information systems (processes and data, applications, and physical tools) and three dimensions of information management (strategic, tactical, and operational information management).

Conclusions: Describing and comparing the quality of EHRS is in fact a multidimensional problem as given by the QRF-EHRS framework. This framework will be utilized to compare Japanese and German EHRS, notably those that were presented at the second workshop.

Keywords

Electronic health records - quality - information systems in healthcare - information management

Volltext

Referenzen

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Zusatzmaterial

Zusatzmaterial

Quality Requirements for Electronic Health Record Systems[*]

Quality Requirements for Electronic Health Record Systems^[*]