Abstract
Electronic Medical Records is the use of information and communication technology (ICT) for health care systems. Although Electronic Health Records has been discoverable for decades, hospitals, doctors and other caregivers have been slow to adopt them. Inadequate use of technology leads to a decrease of provision of service quality. Embracing modern technology is one among very many ways of improving efficiency and reducing costs within healthcare organizations. EMR helps to get rid of missing records, duplication of records, minimize the cost of services, saves time and enhances co-ordination between healthcare providers.
 Objective: The broad objectives of the study was to practises towards implementation of Electronic Medical Record systems at Moi Level 5Hospital Taita Taveta County.
 Methods: This study used descriptive study design. The study population that was used are all health workers that are privy to information that was influencing implementation of EMR. The researcher applied census sampling method where the entire health workers were questioned. A questionnaire was used to collect data. The researcher pre-tested the data collection tool to check on the validity and reliability of the results. The pre-tested data was arranged systematically according to the codes of the questionnaires to facilitate analysis. The researcher used a number of software packages to facilitate data analysis. The software packages include Microsoft word and Microsoft Excels for calculation practices. Also researcher made use of calculator in the study.
 Results and Discussion:Results show that at Moi hospital 85.25% of the respondents had not received any form of training and only 14.71% had received training, out of the 68 respondents, 86.76% had not received further follow up after the training, and 13.24% received follow up after the training. It was concluded that practices towards EMR implementation were found to influence and correlated to the adoption of EMR. Most healthcare workers reported that they had neither received any form of training nor any further follow-up. The findings indicated a significant positive relationship thus attributing to the low implementation of EMR. It was recommended that including ICT in the curriculum of medical courses as this will give them ownership and confidence to use the technology once they join the practicing field and this will assist in the adoption of EMR by the physicians. After the first formal training of the healthcare practitioners a very good follow-up mentorship should follow to provide the necessary technical support and this will help the healthcare providers to get sufficient experience to be comfortable in the use the EMR system.
 Conclusions: Organizational factors were an important contributor to implementation of EMR system. The results indicated a significant relationship between the factors and adoption of EMR and this meant that adoption of EMR was affected by organizational factors, practices towards EMR implementation were found to influence and correlated to the adoption of EMR. Most healthcare workers reported that they had neither received any form of training nor any further follow-up. The findings indicated a significant positive relationship thus attributing to the low implementation of EMR. Also, the findings indicated a moderate positive significant relationship between technical factors and adoption of EMR and this meant that adoption of EMR was affected by technical factors.
 Recommendation: Including ICT in the curriculum of medical courses as this will give them ownership and confidence to use the technology once they join the practicing field and this will assist in the adoption of EMR by the physicians. After the first formal training of the healthcare practitioners a very good follow-up mentorship should follow to provide the necessary technical support and this will help the healthcare providers to get sufficient experience to be comfortable in the use the EMR system. The ministries of health to consider having sufficient health care providers to meet the need of the ever increasing number
Highlights
Electronic medical records is a digital version of patients charts used in a clinicians office or the health care facilities (Muchangi and Nzuki, 2014) Though the adoption of EMR is increasing, there is a range in the level of implementation .Electronic medical records adoption model show that by 2017, the number of hospitals achieving stage 5&6 that is Full R-PACS & Full CDSS respectively in United States increased by more than 80%(Ludwick, 2018)
Health workers at health centres in these countries indicate that Health Information Systems (HISs) such as EMRs are used purely as upward reporting tools and not to support clinician decision making in patient monitoring and disease management (Muchangi and Nzuki, 2014) .Hindrance to the adoption of hospital information systems in Nigeria included; the high cost of full implementation of a hospital information system, inadequate human capital, corruption, and problems associated with poor infrastructure in Nigeria (Akiyama, 2015) .According to the Kenya National information and communication technology (ICT) Master Plan (2013/2014-2017/2018) Kenya has experienced significant growth in the ICT sector as demonstrated by the number of telephone lines, Internet Services Providers (ISPS) the number of internet users, broadcasting stations, mobile
Mean=34,SD=1.41, ) 58.82% of the staffs suggested the staff adequacy to be very low while 26.47% said the staffs adequacy was low. (57.35%) reported that they have computers in their departments, (42.65 %) are currently not having computers in the departments. 57.37% of the respondents suggested that the institution had inadequate institutional facilities, 19.12% said the institution had moderately enough institutional facilities and 23.53% suggested the institutional facilities were slightly inadequate
Summary
Electronic medical records is a digital version of patients charts used in a clinicians office or the health care facilities (Muchangi and Nzuki, 2014) Though the adoption of EMR is increasing, there is a range in the level of implementation .Electronic medical records adoption model show that by 2017, the number of hospitals achieving stage 5&6 that is Full R-PACS & Full CDSS respectively in United States increased by more than 80%(Ludwick, 2018). Health workers at health centres in these countries indicate that Health Information Systems (HISs) such as EMRs are used purely as upward reporting tools and not to support clinician decision making (by physicians and nurses) in patient monitoring and disease management (Muchangi and Nzuki, 2014) .Hindrance to the adoption of hospital information systems in Nigeria included; the high cost of full implementation of a hospital information system, inadequate human capital, corruption, and problems associated with poor infrastructure in Nigeria (Akiyama , 2015) .According to the Kenya National ICT Master Plan (2013/2014-2017/2018) Kenya has experienced significant growth in the ICT sector as demonstrated by the number of telephone lines, Internet Services Providers (ISPS) the number of internet users, broadcasting stations, mobile. A research carried out at KNH recommended that KNH and MOH need to have interactive process before implementing any health information system ( Omambia et al, 2016)
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
