Evaluación de las Capacidades del Hospital Universitario de Guayaquil Según las Exigencias de la Norma 45 Parte 170 Subparte C del HIT para la Aplicación de la Historia Clínica Electrónica (EHR)
Fecha
2015
Autores
Título de la revista
ISSN de la revista
Título del volumen
Editor
Universidad de Guayaquil Facultad de Ciencias Matemáticas y Física Carrera de Ingeniería en Sistemas Computacionales
Resumen
La historia clínica electrónica es muy importante para el ser humano porque en ella consiste todo un expediente o historia clínica sobre el paciente. Gracias a los avances tecnológicos informáticos y sin duda alguna en la área médica hoy en día en algunas instituciones médicas los registros ya no se realizan manualmente en papeles, en la actualidad cuentan con sistemas que realizan registros de un paciente de forma digitalizada con el fin de intercambiar información y tener interoperabilidad en diferentes instituciones sanitarias.
La tecnología de la información y la comunicación (TIC) juega un papel importante para el sistema historial clínico electrónico.
El presente trabajo de graduación, realiza el análisis de las capacidades del hospital universitario en base a los criterios de certificación de tecnología de la información de la salud para la aplicación de la historia clínica electrónica (EHR), es decir según las exigencias de la norma 45 CFR parte 170 sub parte C.
Para el análisis fue necesario el entendimiento de la norma 45 CFR parte 170 sub parte C, la misma que se detalla en el marco teórico. Una vez entendida la norma se establece la aplicabilidad, lo cual define que si es posible realizar el análisis comparativo de las capacidades del hospital universitario. Con éste propósito se realiza un gráfico explicativo en el cual se destaca se debe trabajar como un EHR módulos, por cuanto se considera que el hospital universitario cumple con al menos una de las exigencias de la norma.
XII
Así mismo se destaca que las capacidades del sistema de salud público del ecuador las establece el ministerio de salud a través de sus organismos pertinentes, en éste caso en la implementación de la historia clínica única, la misma que consta de dieciocho formularios y dos anexos.
Una vez realizada esta introducción se define la importancia de partir de la evaluación de las capacidades que tiene el Hospital Universitario, frente a las que establece el ministerio para todas las instituciones del sistema de salud público, con la aplicación de la historia clínica única.
El resultado de éste análisis demuestra que: los dieciocho formularios y dos anexos definidos por el ministerio de salud pública MSP, corresponden a 168 títulos, de los cuales el hospital universitario ha implementado 118 títulos, lo que corresponde a una capacidad de 70% (setenta por ciento), faltando por desarrollar un 30% (treinta por ciento) a fin de cumplir con lo establecido por el MSP.
Seguidamente se detallan los recursos (software, hardware, personal, etc) con que cuenta el hospital universitario para haber alcanzado el 70% de la implementación de la historia clínica única, lo cual se traduce en las capacidades que han sido desarrolladas en los diferentes proyectos tecnológicos.
A continuación se detallan los criterios generales de certificación historia clínica electrónica (EHR) y luego se realiza un estudio comparativo para establecer las
XIII
capacidades del hospital universitario en este componente, el mismo que da como resultado una capacidad del 88%.
Seguidamente se detallan los criterios de certificación específicos diseñados para la forma ambulatoria y luego se realiza un estudio comparativo para establecer las capacidades para cumplir con los criterios de certificación específicos diseñados para la forma ambulatoria, el mismo que da como resultado una capacidad del 64%.
Luego se detallan los criterios de certificación específicos para los EHR diseñados para un contexto hospitalario y se realiza un estudio comparativo para establecer las capacidades para cumplir con los criterios de certificación específicos para los EHR diseñados para un contexto hospitalario, dando como resultado una capacidad de un 79%.
Finalmente se consolidad todos los resultados parciales a fin de establecer las capacidades del hospital universitario en base a los criterios de certificación de tecnología de la información de la salud para la aplicación de la historia clínica electrónica (EHR), es decir según las exigencias de la norma 45 CFR parte 170 sub parte C, que da como resultado una capacidad de 77%.
The electronic medical record is very important for humans because it is a whole record or history on the patient. Thanks to computer technology advances and certainly in the medical area today in some medical institutions records no longer done manually on paper, now have systems that make patient records in a digital form in order to exchange information and have interoperability in different health institutions. The information technology and communication (ICT) plays an important role in the electronic medical record system. This graduate work, performed the analysis of the capabilities of the university hospital on the basis of the criteria for certification of information technology in XV health for the implementation of the electronic health record (EHR), according to the requirements of the standard 45 CFR part 170 subpart C. For the analysis was necessary understanding of standard 45 CFR part 170 subpart C, which is detailed in the theoretical framework. Once understood the rule is set the applicability, which defines that if possible to do the comparative analysis of the capabilities of the university hospital. For this purpose an explanatory chart which stands must work as an EHR modules, because it is considered that the university hospital fulfill at least one of the requirements of the standard . It also stresses that the capabilities of the public health system of Ecuador are set by the Health Ministry through its relevant bodies, in this case on the implementation of the unique history, it consists of eighteen forms and two annexes. Once made the introduction the importance is defined from evaluating the capabilities that have the University Hospital, facing the ministry established for all institutions in the public health system, with the application of the unique history it is defined. The result of this analysis shows that: eighteen forms and two annexes defined by the Ministry of Health MSP, corresponding to 168 titles, of which the university hospital has implemented 118 titles, corresponding to a capacity of 70% (seventy percent), failing to develop a 30% (thirty percent) to comply with the provisions of the MSP. XVI Then the resources (software, hardware, staff, etc.) available to the university hospital to have reached 70% of the implementation of the unique history, which is reflected in the capabilities that have been developed in different technology projects. The following general criteria for certification clinic electronic record (EHR) and then a detailed comparative study was performed to establish the capabilities of the university hospital in this component, the same resulting in a capacity of 61% (sixty-one percent ). Then specific certification criteria designed for ambulatory and then a detailed comparative study was performed to establish the capabilities to meet specific certification criteria designed for ambulatory way, the same results in capacity of 24% (Twenty four percent). Then specific criteria of certification for EHR designed for a hospital setting are detailed and comparative study was performed to establish the capabilities to meet specific criteria for EHR certification designed for hospital setting resulting in a capacity of a 29% (twenty-nine percent). Finally consolidate all partial to establish the capabilities of the university hospital based on the criteria for certification of information technology in health for the implementation of the electronic health record (EHR) results, according to the requirements of the 45 CFR part 170 subpart C, resulting in a capacity of 38% (thirty eight percent).
The electronic medical record is very important for humans because it is a whole record or history on the patient. Thanks to computer technology advances and certainly in the medical area today in some medical institutions records no longer done manually on paper, now have systems that make patient records in a digital form in order to exchange information and have interoperability in different health institutions. The information technology and communication (ICT) plays an important role in the electronic medical record system. This graduate work, performed the analysis of the capabilities of the university hospital on the basis of the criteria for certification of information technology in XV health for the implementation of the electronic health record (EHR), according to the requirements of the standard 45 CFR part 170 subpart C. For the analysis was necessary understanding of standard 45 CFR part 170 subpart C, which is detailed in the theoretical framework. Once understood the rule is set the applicability, which defines that if possible to do the comparative analysis of the capabilities of the university hospital. For this purpose an explanatory chart which stands must work as an EHR modules, because it is considered that the university hospital fulfill at least one of the requirements of the standard . It also stresses that the capabilities of the public health system of Ecuador are set by the Health Ministry through its relevant bodies, in this case on the implementation of the unique history, it consists of eighteen forms and two annexes. Once made the introduction the importance is defined from evaluating the capabilities that have the University Hospital, facing the ministry established for all institutions in the public health system, with the application of the unique history it is defined. The result of this analysis shows that: eighteen forms and two annexes defined by the Ministry of Health MSP, corresponding to 168 titles, of which the university hospital has implemented 118 titles, corresponding to a capacity of 70% (seventy percent), failing to develop a 30% (thirty percent) to comply with the provisions of the MSP. XVI Then the resources (software, hardware, staff, etc.) available to the university hospital to have reached 70% of the implementation of the unique history, which is reflected in the capabilities that have been developed in different technology projects. The following general criteria for certification clinic electronic record (EHR) and then a detailed comparative study was performed to establish the capabilities of the university hospital in this component, the same resulting in a capacity of 61% (sixty-one percent ). Then specific certification criteria designed for ambulatory and then a detailed comparative study was performed to establish the capabilities to meet specific certification criteria designed for ambulatory way, the same results in capacity of 24% (Twenty four percent). Then specific criteria of certification for EHR designed for a hospital setting are detailed and comparative study was performed to establish the capabilities to meet specific criteria for EHR certification designed for hospital setting resulting in a capacity of a 29% (twenty-nine percent). Finally consolidate all partial to establish the capabilities of the university hospital based on the criteria for certification of information technology in health for the implementation of the electronic health record (EHR) results, according to the requirements of the 45 CFR part 170 subpart C, resulting in a capacity of 38% (thirty eight percent).
Descripción
Adobe
Palabras clave
Ficha médica electrónica