Strategies in the implementation of standards for the identification of patients on legacy software in the Health System of Buenos Aires City
Abstract
In December 2015, began the implementation of an Electronic Health Record in the public healthcare facilities of Buenos Aires city. This implementation has the potential to be scalable to the rest of the city's health system and be aligned with the national strategy on digital health. The first fundamental step consisted in the standardization of key processes such as the patient identification and the creation of a Master Patient Index. The design and implementation of a model based on identification standards is a challenge since the city has a legacy software with an architecture to adapt. The aim of this paper is to describe the design, development and implementation strategies of a patient identification system based on international standards on legacy software in Buenos Aires City. Considering the rates of legacy software adoption and the complexity of the processes that are carried out in each of the Health Care Centers, 3 different scenarios that required different strategies were identified. This work could guide other institutions that are planning to adopt Health Information Systems based on international standards for patient identification.
Downloads
Published
Issue
Section
License
Copyright (c) 2019 Candela Burgo González, María V. Giussi Bordoni, Adriana Stieben, Analía J. Baum
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Those authors who have publications with this journal, agree with the following terms:
a. Authors will retain its copyright and will ensure the rights of first publication of its work to the journal, which will be at the same time subject to the Creative Commons Atribución-NoComercial-CompartirIgual 4.0 Internacional (CC BY-NC-SA 4.0) allowing third parties to share the work as long as the author and the first publication on this journal is indicated.
b. Authors may elect other non-exclusive license agreements of the distribution of the published work (for example: locate it on an institutional telematics file or publish it on an monographic volume) as long as the first publication on this journal is indicated,
c. Authors are allowed and suggested to disseminate its work through the internet (for example: in institutional telematics files or in their website) before and during the submission process, which could produce interesting exchanges and increase the references of the published work. (see The effect of open Access)
