부산대학교 도서관

Tzu Chi Hospital has been actively operating in coordination with a campaign of Department of Health to promote electronic medical record (EMR) system by trying to facilitate in every possible ways the EMR exchanges between our patients and the hospital as well as among hospitals. However, it's rather difficult for our own hospital staff to sense the direct benefits of the system. In this era of EMR, this hospital has taken time and steps to build up each and every needed regulation and management detail for the system, and during which one foremost concerned and nonnegotiable item is to assure the quality of medical records. As a result of that, we've seen that EMR quality assessment becomes more and more important, and its overwhelming cost a heavy burden to the hospital. In order to cut it down, we designed a plan to computerize the assessment tasks. Our purpose is not only to link it to the future overall EMR promotion, but also to let our staff actually feel the virtue of the EMR environment, to shorten physicians' assessment process, and lower the procedure costs by our medical record personnel, beside, of course, the assurance of the quality of the records. The hospital seeks to analyze the currently still in use quality assessment process for the paper-based medical record system and evaluate the feasibility of computerizing the assessment procedures, with references of their present situations and results of similar analyses done by other Taiwanese medical facilities for comparison. Questionnaire surveys are also conducted to identify users' requests of the interface. This paper compares the survey results from doctors and users at Tzu Chi Hospital. After the survey process, interviews and feedback with program developers and companies are documented. Suggestions on EMR quality assessment from various departments are compiled to serve as a reference for future program developers. In the establishment of Tzu Chi Hospital’s EMR quality assessment system, the process of the outpatient medical record assessment saves 1,136 hours a year, which equals to a saving ratio of 85.8%. The doctors' expectations of the system are also surveyed and its overall users’ satisfaction reaches 96.7%. The execution of computerizing the EMR quality assessment system can effectively enhance the time effect of medical record quality assessment. The future hospital inpatient medical record assessment will also be computerized entirely in the hope that better quality and efficiency will be realized in the EMR assessment process, and also accomplished will be the complete paperless operation, plus maximum savings in human resources and costs.