Management of Electronic Medical Records. Decision-Making Tool. MINSA Hospital Case – Peru

Abstract

In the last decade, Peru has made significant progress in the development and implementation of digital technology policies that allow strengthening health information systems in hospitals, turning them into modern institutions that provide health services throughout the world. Country. The general objective of this article is to manage the implementation of the electronic medical records registry in an integrated information system, in order to improve the efficiency of care processes. Specific objective Design a methodological proposal for the management of the EHR in the public hospitals of the minsa of Peru. The design was non-experimental, descriptive level and qualitative approach. The population was made up of health professionals in the area of clinical record management. The sample was made up of the entire population. The following techniques and instruments were used to collect the information: Documentary analysis Instrument: Interview and educational analytical summary (RAE) which were validated through the expert judgment technique, who evidenced the relationship between the objectives set, the categories, the indicators, the items and the response options considering their coherence, relevance and wording. The results obtained show that in order to strengthen the health system, the registration of electronic medical records should be implemented from the first level of care, with powerful, efficient and timely information technology, it has to do with governance, management, infrastructure, financing and most importantly trained human resources willing to face challenges and achieve changes in management, following guidelines in an orderly manner approved by the Ministry of Health (Planning, organization, direction and control). It is concluded that the electronic medical record is a tool that will allow strengthening medical assistance in a timely manner and that, through the interconnection with the different health institutions of the minsa, will help in decision-making in the care provided to the patient. © 2022 Elsevier B.V., All rights reserved.