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CC BY-NC-ND 4.0 · Methods Inf Med 2017; 56(S 01): e92-e104
DOI: 10.3414/ME17-05-0002
Original Articles
Schattauer GmbH

Quality Requirements for Electronic Health Record Systems[*]

A Japanese-German Information Management Perspective
Alfred Winter
1   Institute for Medical Informatics, Statistics and Epidemiology, University of Leipzig, Leipzig, Germany
,
Katsuhiko Takabayashi
2   Department of Medical Information and Management, Chiba University Hospital, Chiba, Japan
,
Franziska Jahn
1   Institute for Medical Informatics, Statistics and Epidemiology, University of Leipzig, Leipzig, Germany
,
Eizen Kimura
3   Department of Medical Informatics, Ehime Daigaku Daigakuin Igakukei Kenkyuka Igakubu, Toon, Ehime, Japan
,
Rolf Engelbrecht
4   National ProRec Centre, Ismaning, Germany
,
Reinhold Haux
5   Peter L. Reichertz Institute for Medical Informatics, University of Braunschweig and Hannover Medical School, Braunschweig, Germany
,
Masayuki Honda
6   Division of Medical Informatics, Nagasaki Daigaku Byoin, Nagasaki, Japan
,
Ursula H. Hübner
7   Health Informatics Research Group, Hochschule Osnabrück, Department of Business Management and Social Sciences, Osnabrück, Germany
,
Sozo Inoue
8   Kyushu Kogyo Daigaku, Kitakyushu, Fukuoka, Japan
,
Christian D. Kohl
9   Medical Informatics, Institue of Medical Biometry and Informatics, Heidelberg, Germany
,
Takehiro Matsumoto
10   Nagasaki Daigaku, Nagasaki, Japan
,
Yasushi Matsumura
11   Medical Informatics, Osaka University Graduate School of Medicine, Osaka, Japan
,
Kengo Miyo
12   Kokuritsu Kokusai Iryo Center Kenkyujo, Shinjuku-ku, Tokyo, Japan
,
Naoki Nakashima
13   Medical Information Center, Kyushu University Hospital, Higashi-ku, Fukuoka, Japan
,
Hans-Ulrich Prokosch
14   Department of Medical Informatics, Biometry and Epidemiology, Friedrich-Alexander University Erlangen-Nürnberg, Erlangen, Germany
,
Martin Staemmler
15   Fachhochschule Stralsund, Stralsund, Germany
› Author Affiliations Funding: This work has been supported by Deutsche Forschungsgemeinschaft (DFG) grant no. WI 1605 08-1 and by Leipzig University within the DFG funded program of Open Access Publishing.
Further Information

Publication History

received: 23 January 2017

accepted: 13 June 2017

Publication Date:
31 January 2018 (online)

   Permissions and Reprints

Summary

Background: For more than 30 years, there has been close cooperation between Japanese and German scientists with regard to information systems in health care. Collaboration has been formalized by an agreement between the respective scientific associations. Following this agreement, two joint workshops took place to explore the similarities and differences of electronic health record systems (EHRS) against the background of the two national healthcare systems that share many commonalities.

Objectives: To establish a framework and requirements for the quality of EHRS that may also serve as a basis for comparing different EHRS.

Methods: Donabedian’s three dimensions of quality of medical care were adapted to the outcome, process, and structural quality of EHRS and their management. These quality dimensions were proposed before the first workshop of EHRS experts and enriched during the discussions.

Results: The Quality Requirements Framework of EHRS (QRF-EHRS) was defined and complemented by requirements for high quality EHRS. The framework integrates three quality dimensions (outcome, process, and structural quality), three layers of information systems (processes and data, applications, and physical tools) and three dimensions of information management (strategic, tactical, and operational information management).

Conclusions: Describing and comparing the quality of EHRS is in fact a multidimensional problem as given by the QRF-EHRS framework. This framework will be utilized to compare Japanese and German EHRS, notably those that were presented at the second workshop.

Keywords

Electronic health records - quality - information systems in healthcare - information management

* Supplementary material published on our website https://doi.org/10.3414/ME17-05-0002


 

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