Design of an Enterprise Architecture for Electronic Patient Care Record (ePCR) Information Exchange in EMS
نویسندگان
چکیده
EMS is an organized and collaborative effort between several organizations providing different levels or tiers of care designed to transport sick or injured patients to the hospital. Significant challenges to efficient, accurate, and integrated interorganizational information exchange exist for communicating pre-hospital EMS patient information to hospital emergency departments. The goal of this research was to investigate the requirements and design of a business process-oriented interorganizational enterprise architecture for EMS from a multi-stakeholder perspective. This paper describes an action-design research effort aimed at improving information exchange across pre-hospital and hospital organizations in the Santa Clara County, CA Health and Hospital System. In this paper, we discuss challenges with integrated EMS information exchange, the research approach and process, resulting architecture, and implications for multi-organizational emergency health systems.
منابع مشابه
Generation of Context-Specific Electronic Patient Care Reports (ePCR) using Domain-Specific Modeling
The creation of an electronic version of the Patient Care Report (ePCR) during the ambulance run remains a challenge for the pre-hospital environment. Current ePCR systems follow a “one-size-fits-all” approach. In this context, system components such as user interfaces and business models are developed without taking into account the specifics for different categories of patients or information...
متن کاملEmergency medical services: the frontier in health information exchange.
Emergency medical service (EMS) providers routinely lack even basic access to pre-existing patient information when delivering patient care in the field. Improving access to pre-existing patient information could improve the quality, safety and efficiency of care that they can deliver. EMS providers in Indianapolis use an electronic record to document their care. In order to provide access to p...
متن کاملApplication of Speech Recognition Data Entry Enhancements in an Electronic Patient Care Report (ePCR)
Based on the Alabama Patient Care Report we developed a basic Electronic Patient Care Report (ePCR) to collect data in an EMS environment. The ePCR GUI is now enhanced using speech recognition to provide speech-based command and control mechanisms to input structured data and initiate processes. This voice-enabled ePCR (vePCR) is used to evaluate the feasibility of handling EMS test cases and t...
متن کاملThe Content and Structure of Electronic Personal Health Records: A Systematic Review
Introduction: The electronic Personal Health Record (ePHR) improves people’s awareness and care management and leads to health promotion. One of the most important factors that contributes to the development of ePHR is identifying and understanding its content and structure. No comprehensive studies have so far been performed on the content and structure of ePHRs. Therefore, the purpose of this...
متن کاملThe Content and Structure of Electronic Personal Health Records: A Systematic Review
Introduction: The electronic Personal Health Record (ePHR) improves people’s awareness and care management and leads to health promotion. One of the most important factors that contributes to the development of ePHR is identifying and understanding its content and structure. No comprehensive studies have so far been performed on the content and structure of ePHRs. Therefore, the purpose of this...
متن کامل