himss emram之医院评价流程 - 慈济大学医学资讯学系.ppt

* 歡迎 各醫療機構參與認證 聯絡人姓名 徐建業 : cyhsu@.tw 陳正美 : d610100003@.tw 饒孝先 : rauhh@ 電話 02 #3349 電話 02 #2210, 3921, 3924 0939193212 * 謝謝聆聽 * Chien-Yeh Hsu 徐建業教授 台北護理健康大學 臺北醫學大學 臺灣醫學資訊學會 National Taipei University of Nursing and Health Sciences Taipei Medical University Taiwan Association for Medical Informatics, TAMI .tw/Prof. 0939193212 e-mail:cyhsu@.tw, cyhsu@.tw * * * * * * 醫療機構電子病歷製作及管理辦法 3.第3條第3款於本法第七十條所定病歷保存期間內，電子病歷之存取、增刪、查閱、複製 等事項，及其執行人員、時間及內容保有完整紀錄，可供查核。 5.第3條第5款 規範文件訂有保障電子病歷資料安全之機制及有保持資訊系統時間正確之機 制，並據以執行。 7.第5條 規範文件電子病歷於本法第七十條所定保存期間內，其內容應可完整呈現，並得 隨時列印或取出供查驗。(7.1 訂有電子病歷保存時間之規範。) more completed broader * * EMR Adoption Comparisons Across Regions EMRAM Stage United States Canada Germany Italy Spain Sweden UAE Singapore 7 1.20% 0.00% 0.87% 0.00% 0.00% 0.00% 0.00% 0.00% 6 5.20% 0.50% 0.00% 1.35% 4.59% 2.94% 0.00% 66.67% 5 8.40% 0.20% 11.30% 2.70% 32.11% 26.47% 16.67% 0.00% 4 13.20% 2.30% 6.96% 5.41% 14.68% 2.94% 2.78% 0.00% 3 44.90% 36.50% 7.83% 8.56% 6.42% 11.76% 2.78% 0.00% 2 12.40% 20.4% 12.17% 15.77% 12.84% 35.29% 33.33% 33.33% 1 5.70% 14.50% 1.74% 30.18% 9.17% 0.00% 30.56% 0.00% 0 9.00% 25.60% 59.13% 36.04% 20.18% 20.59% 13.89% 0.00% No. of Hospitals 5337 641 115 222 109 34 36 6 EXPLANATION AND VALUE Description of Each Stage of the HIMSS Analytics Asia EMR Adoption Model * From HIMSS Analytics Asia Stages 0 and 1 Stage 0 – Laboratory, Pharmacy, or Radiology are not installed. The patient record is paper based There may be some departmental systems, but they are not integrated Value: Departmental process improvement Stage 1 – The core ancillary systems are automated – Laboratory, Pharmacy, and Radiology The patient record is still primarily paper based Core clinical departmental systems are installed Systems not yet integrated Data is not yet being stored in a central database Value – Core clinical data related to results and medications are stored electronically * Stages 2 and 3 Stage 2 – A Clinical Data Repository is installed A cen