Use Of Electronic Record Research Articles

Challenges facing local government authorities in the use of electronic record keeping for human resource management

This study determines the challenges faced by Local Government Authorities in the use of e-record keeping for Human Resource Management (HRM). The study was conducted at Morogoro Municipal Council (MMC) as among the Local Government Authorities (LGAs) which continue to use paper-based record keeping in Tanzania. A case study design was employed to ensure an in-depth understanding of the phenomenon. A questionnaire and interviews were used in collecting data from 107 respondents. Data from the questionnaire were analysed descriptively through the Statistical Package for Social Sciences (SPSS) whereby means and standard deviatons were calculated. On the other hand, data from interviews were analysed through content analysis. The study was guided by two models, which are Kurt Lewin’s Change Management Model, as the guiding model, and ADKAR Change Management Model, as the supporting model. The study revealed lack of reliable internet service, lack of top management support, inadequate IT experts, staff resistance, and inadequate funds as the main challenges facing MMC in the use of electronic record (e-record) keeping for HRM. This implies that, in some cases, the government formulates good policies without ensuring a conducive environment for their implementation. In the light of the revealed challenges, the study recommends that LGAs especially MMC should take initiatives to develop and implement a comprehensive e-governance programme that, among other things, will address the revealed challenges. In addition, the government should creation environments that support implementation of its policies particularly those related to ICT and e-governance.

Using electronic record of sales to support fair budgetary allocations across Czech municipalities

Abstract The paper focuses on electronic record of sales, a tool enabling continuous monitoring and control of declared sales of business entities. Such systems have been recently gaining popularity in European countries. The objective of the paper is to analyse the possible use of electronic record of sales for a fairer redistribution of shared taxes according to the place where the taxable income was earned. We do not consider the current situation to be entirely fair, as sales may be realized in the whole territory of the country. However municipalities that help businesses achieve their income are not fairly rewarded for doing so. This usually gives larger municipalities an advantage at the expense of smaller ones. Currently, the tax administration has sufficient technical equipment to be able to identify the place where the revenue was received.

Going electronic: an Epic move.

Medicine and dentistry have historically existed as separate entities, resulting in the creation of separate patient health records, which may limit patient care and safety. The General Dental Council emphasise the need to 'make and keep contemporaneous, complete and accurate patient records' as part of the expected standards of the dental team, with no suggested preference on paper or electronic notes. Despite offering clear advantages in primary care dental practice for efficiency, patient accessibility and financial benefit, the comparatively limited uptake of electronic records in dentistry in the secondary care setting has created barriers for patients and clinicians in delivery of evidence-based oral care. In this paper, we report on the challenges and benefits presented by the national drive to integrate technology into the NHS, including the enhancement this can provide to patient care. In primary care dentistry, electronic record keeping is well established in the UK. There is sparse literature or reported outcomes on the use of electronic record keeping in dental departments in secondary care. The Royal National Ear, Nose and Throat and Eastman Dental Hospitals is now a fully digitised hospital through the introduction of Epic, a fully integrated electronic health record. We explore the role of electronic record keeping in primary and secondary care dental practice, the benefits to patient care and the challenges presented when implementing an electronic health record. We consider the benefits and challenges in digitising a centrally-based specialist teaching dental hospital, including specific features of Epic, which provide enhanced user accessibility and applications for general use and specialised services, including research and public health surveillance.

Pediatric Resident Training in Tobacco Control and the Electronic Health Record

Given the dangers posed by tobacco use and tobacco smoke exposure, pediatricians should address tobacco use and exposure with patients and parents at every opportunity, but this is not consistently done in practice. One reason may be that many medical residents do not receive education on how to address tobacco use and tobacco smoke exposure with patients and their parents. In a 2012 survey of U.S. pediatric program directors, 65% of programs reported covering tobacco control in their curricula, but most training programs focused on tobacco's health effects and not intervention strategies for clinical practice. Since that survey, electronic health records have been implemented broadly nationwide and utilized to address tobacco smoke exposure. Investigators surveyed U.S. program directors in 2018 and residents in 2019 to explore the ways in which the residents learn about tobacco use and tobacco smoke exposure, components and use of the electronic record specific to tobacco use and tobacco smoke exposure, and perceived resident effectiveness in this area. All the program directors and 85% of the residents valued training, but 21% of the residents reported receiving none. Moreover, a minority of the residents assessed themselves as effective at counseling parents (19%) or adolescents (23%), and their perceived effectiveness was related to small group learning and active learning workshops, modalities that were infrequently implemented in training. Respondents also reported infrequent use of electronic health record prompts regarding tobacco and the absence of prompts about critical issues (e.g., addressing tobacco smoke exposure in vehicles or other settings or offering treatment or referrals to parents who smoke). This paper provides recommendations about augmenting pediatric resident training in simple ways.

STRATEGI TATA KELOLA ADMINISTRASI PADA PERGURUAN TINGGI BERBASIS ELECTRONIC RECORDS

Governance administration referred to in this research is how institutions organize, manage, and store data/records relating to the implementation of the administrative activities of Higher Education institutions, starting from the leadership down to the student level. The corporate governance is an activity that needs to be done effectively and efficiently in order to support productivity college. So far, the administration at the College still done conventionally. This is evident from the number of files and archives college piled up in the room and a filing cabinet. Thus, to find back the document that has been stored in cabinets require considerable time, besides that it must dismantle all the documents that have been previously arranged. The research method uses a qualitative approach, Draft Action Research utilizes quantitative data with qualitative data such as method mix focused on applied technology. Based on the research results obtained by the collected records in IKIP Mataram records are divided into several groups. By performing data reduction, grouping the records contained in the IKIP Mataram look that good governance based administration of electronic records has been applied properly. There are nine groups of records obtained in this study in which each group of records managed by each institution and the IKIP Mataram. Use of Electronic Records in the administration and other administrative activities at the IKIP Mataram very effective. All data on their activities and archives stored neatly in the respective chambers, structured data classification, and search data is quite efficient.Use of Electronic Records that can be controlled systematically to records from the time of creation or receipt, processing, distribution, organization, storage, retrieval up to destruction. Application of Electronic Records in higher education is relevant to the development and advancement of Science and Technology today, the program is a major concern so as to form a permanent administrative governance, especially at the IKIP Mataram.Keywords: Strategy, Governance, Electronic Records

Extent of Use of Electronic Records in Children's Primary Care and Public Health in Europe.

EHRs are widely seen as a key resource in modern health care. For children not only is primary care vital, but also case-based public health systems can help ensure that all children receive immunisation and other preventive programmes. A European study showed that in 2016 in the 30 EU and EEA countries, 19 countries had widespread use of EHRs in children's primary care, while 20 countries had case-based child public health systems. However, the results show a bias of disadvantage for poorer or smaller countries. More study is needed in this area.

Use of electronic visual recording to aid assessment of dietary intake of Australian Aboriginal children living in remote communities

Objective:To assess the feasibility of using electronic visual recording in combination with food records to evaluate dietary intake in Aboriginal infants and children. Methods:All foods and drinks consumed by the child over four consecutive days were recorded in daily food records and pictures or videos. Feasibility was assessed by determining i) proportion of meals reported to be consumed; ii) cost of data collection; iii) day‐to‐day variation in energy intake and; iv) acceptability of the method. Results:Dietary intake data was collected from three girls and five boys aged 11 months to eight years, five over four days and three during one day, at a cost of $3,300 per child. One‐third of the 89 meals reported to be consumed through the food records were electronically recorded. Most photographs were taken in the first two days with the number of meals electronically recorded decreasing each day over the four‐day period. There was a large day‐to‐day variation in energy intake. Conclusions:Use of electronic recording to aid individual usual dietary intake data collection was feasible. Collection periods spread over 1–2 weeks may be more appropriate due to the large variance in day‐to‐day dietary intake.

How social workers spend their time in frontline children's social care in England

PurposeIn England in recent years, concerns have been raised about the proportion of time social workers and other frontline children's social care practitioners spend carrying out desk‐based, administrative activities. This article aims to report time use activity data from front line workers on the amount of time spent on different activities to support children in need (as defined by the 1989 Children Act).Design/methodology/approachThe data were collected from a range of sources including focus groups, event records (diaries completed by practitioners) and online surveys.FindingsThe proportion of time spent on direct and indirect activities varies according to the types of process. Those associated with ongoing support have the highest proportion of direct activity, whereas those associated with decision making, especially if a one‐off activity, have the highest proportion of administrative activities. The greater the needs of the child, the more direct and indirect support was given, but there was some variation across social work teams. But the activities of social workers are interconnected, making it difficult to provide conclusive evidence, but the concern about the imbalance between direct work and administrative tasks seems justified.Research implications/limitationsThe findings highlight the complexity of exploring how social workers spend their time and how the proportion of time spent on direct and indirect activities is determined by the needs and circumstances of children and their families.Practical implicationsWider contextual practice issues are also explored including the recent increases in referrals to children's social care and the use of electronic recording systems.Originality/valueThe breakdown of the activities using the approach outlined in the article increases transparency in understanding how social workers spend their time.

Maximizing Sampling Efficiency

Background and Goals: Although health care quality improvement has traditionally involved extensive work with paper records, the adoption of health information technology has increased the use of electronic record and administrative systems. Despite these advances, quality improvement practitioners now and for the foreseeable future need guidance in defining populations of individuals for study and in selecting and analyzing sample data from such populations. Statistical data analysis in health care research often involves using samples to make inferences about populations. The investigator needs to consider the goals of the study, whether sampling is to be used, and the type of population being studied. While there are numerous sampling strategies designed to conserve resources and yield accurate results, one of these techniques—use of the finite population correction (FPC)—has received relatively little attention in health care sampling contexts. It is important for health care quality practitioners to be aware of sampling options that may increase accuracy and conserve resources. This article describes common sampling situations in which the issue of the finite population correction decision often arises. Methods: This article describes 3 relevant sampling situations that influence the design and analysis phases of a study and offers guidance for choosing the most effective and efficient design. Situation 1: The study or activity involves taking a sample from a large finite target population for which enumerative inferences are needed. Situation 2: The population is finite and the study is enumerative. A complete enumerative count of “defects” in the process is needed so that remediation can occur. Here, statistical inference is unnecessary. Situation 3: The target population is viewed as infinite; such populations are “conceptual populations” [1] or “processes”. Results: The article shows how savings in resources can be achieved by choosing the correct analytic framework at the conceptualization phase of study design. Choosing the right sampling approach can produce accurate results at lower costs. Several examples are presented and the implications for health services research are discussed. Conclusion: By clearly specifying the objectives of a study and considering explicitly whether the data are a sample or a population, the practitioner may be able to design a more efficient study and thereby conserve resources. This article provides a conceptual framework in the form of three situations, several examples, and an algorithm (Figure 1) to help the intervention planner determine how to classify the study and when to apply the FPC.

The Use of Electronic Records as Collateral in the Rotterdam Rules : Future Solutions for Present Needs

The Use of Electronic Records as Collateral in the Rotterdam Rules : Future Solutions for Present Needs Get access Manuel Alba Manuel Alba Search for other works by this author on: Oxford Academic Google Scholar Uniform Law Review, Volume 14, Issue 4, December 2009, Pages 801–829, https://doi.org/10.1093/ulr/14.4.801 Published: 01 December 2009

HANDWRITTEN SHORTHAND AND ITS FUTURE POTENTIAL FOR FAST MOBILE TEXT ENTRY

Handwritten shorthand systems were devised to enable writers to record information on paper at fast speeds, ideally at the speed of speech. While they have been in existence for many years it is only since the 17th Century that widespread usage appeared. Several shorthand systems flourished in the first half of the 20th century until the introduction and widespread use of electronic recording and dictation machines in the 1970's. Since then, shorthand usage has been in rapid decline, but has not yet become a lost skill. Pitman shorthand has been shown to possess unique advantages as a means of fast text entry which is particularly applicable to hand-held devices in mobile environments. This paper presents progress and critical research issues for a Pitman/Renqun Shorthand Online Recognition System. Recognition and transcription experiments are reported which indicate that a correct recognition and transcription rate of around 90% is currently possible.

Pay for Performance: Rationale and Potential Implications for Urology

Pay for performance represents a new paradigm for physician reimbursement based on the value based purchasing of health care services. Government and private payers have expressed an interest in moving toward this system with several pay for performance programs already in place. The rationale behind this initiative and what it means for the practicing urologist are discussed. MEDLINE and Internet based research focusing on the topics of health care quality, measures used to implement pay for performance, and private and public sector experience with pay for performance to date were reviewed. Health care quality can be assessed through 3 types of measures, including structure, process and outcome. Structure measures involve the environment where services are provided, whereas process measures capture how a particular provider delivers health care. Outcome assessment involves the results of the services provided. These measures are best used when they are used in coordination with each other, and when they are risk adjusted. Most pay for performance systems in use today are based on these measures. However, there are little data that show whether this reimbursement paradigm actually improves the quality of heath care provided. Many questions remain regarding the implementation of a pay for performance system in the field of urology. Government and private payers are motivated to implement pay for performance. However, specific evidence based metrics for urology that fairly and accurately define quality are currently lacking. Given that implementation of a nationwide pay for performance system appears to be inevitable, urology involvement in the development and implementation of these health care quality metrics is essential.

M.D. Coalition Champions Use of Electronic Records

Back to table of contents Previous article Next article Government NewsFull AccessM.D. Coalition Champions Use of Electronic RecordsChristine LehmannChristine LehmannSearch for more papers by this authorPublished Online:17 Sep 2004https://doi.org/10.1176/pn.39.18.0390009aA new physician coalition representing 14 medical societies including APA will promote and facilitate the use of electronic medical records (EMRs) in physician practices, especially small- to medium-sized ones.The Physicians Electronic Health Record Coalition (PEHRC) is committed to educating physicians about the benefits and best use of EMRs as well as helping them select high-quality and affordable products, according to a coalition press release.“While physicians are adopting information technology in growing numbers, there remain substantial economic and technical barriers to full-scale implementation of EMRs. The PEHRC will allow physicians to address these barriers with a unified voice,” said PEHRC Co-chair David Kibbe, M.D., director of the Center for Health Information Technology at the American Academy of Family Physicians (AAFP).The PEHRC was announced on July 22, one day after the Department of Health and Human Services laid out a road map for creating a national health care information infrastructure (Psychiatric News, August 20).Kibbe anticipates that it will take six months to a year to flesh out the coalition's agenda, the press release noted.In addition to APA and AAFP, the coalition's founders are the American College of Physicians, American Academy of Neurology, American Academy of Ophthalmology, American Academy of Pediatrics, American College of Cardiology, American College of Emergency Physicians, American College of Obstetricians and Gynecologists, American College of Osteopathic Family Physicians, American College of Rheumatology, American Osteopathic Association, and American Urological Association. ▪ ISSUES NewArchived