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4. QUESTIONNAIRE FOR INTERVIEW
Aim: To determine preparations made before the implementation of Electronic health Record and the impact of the system to the hospital.
Interviewee: Systems Administrator I Interview date…07/08/2014
DEMOGRAPHIC INFORMATION
Q1. Briefly describe the existing healthcare delivery network of your healthcare setting (a). What is the Staff complement of the hospital
No. of general Physicians………..
No. of specialist Physicians………...
No. of nurses………
No. of paramedics………..
No. of IT technical officers………
Others………
(b). How many departments/wards are there in the hospital? ...
(c). What are the healthcare services provided by the hospital? ...
Q2: (a) Which of the Departments/Wards provides any form of ICT application? E.g Tele-Dermatology, E-referrals, E-learning, E-record taking. ………..
(b) Which ICT application does the department stated above use ? ………
Q3: Briefly describe the network/hardware components in the hospital
(a). No. of laptop(s)………..
(b). No. of desktop(s)………...
139 (c). No of printer(s)………
(d). No. of document scanner(s)………
(e). No of photocopier(s)………...
(f). No. of phone (ISDN/Normal)(s)……….
(g). TV based Video conferencing System (Yes/No)……….
(h). PC. Based Video Conferencing System (e.g. webcam connected to PC) Yes/ No (i). Do you have Internet access at the hospital? Yes/NO
If yes,
(j). How many Departments/Wards have access to the Internet facility? ...
(k). How many Departments/Wards do not have access to the Internet facility? ...
(l) Do you have inter-connected communication system that connects the various department/wards? (Yes/No)
If Yes
(m) How many department/wards are connected? ………..
(n) Does the hospital have constant electricity supply in all department? ...
Initial Preparations made before the implementation of Electronic Health Record Q4. Briefly describe the implemented electronic health record system in the facility.
a) What does the system entail?
b) How does the system works?
Q5. What are the reasons for purchasing the system?
a) What were the projected benefits of the system?
b) Do you have any special reasons for choosing that particular vendor?
140 Q6. Briefly describe the measures taken before the acquisition of the system
(a) How was the decision arrived at for the purchase of the system?
i) Where the users involved in the decision making process. Yes/No If yes,
ii) How were they involved in the decision making process?
iii) What were some of their concerns and how were they handled If No,
ii) Are there any special reasons for their non-involvement in the decision making process.
(b) Was the hospital ready for the system?
i. What was the computer knowledge of the users?
ii. Were the users taking through any computer training? Yes/No
(c) What was the preparations made for the funding of the project in terms of its;
i. Acquisition ii. Maintenance iii. Upgrading
(d) Does the hospital have an IT department? Yes/No
i. What are the roles or job description of the department?
ii. What were their roles in the introduction of the system?
iii. What is their current role in the implementation of the system?
Q7. How the system was introduced in the hospital?
*What informed the choice of that particular Department?
141 Usability and Satisfaction with the system
Q8. Is the system currently in use (at the department of implementation)? Yes/No If No,
i. Why is the system not in use?
Q9. From their response, would you say ‘the users’ are satisfied with the system? Yes/No If yes,
i. How satisfied are the users with the system?
If No,
i. Why are the users not satisfied with the system?
Impact of the system
Q10. Has the introduction of the system impacted healthcare delivery? Yes/ No
*If No, why has the system failed to have an impact on healthcare delivery?
Q11. How has it impacted healthcare delivery?
Q12. What are some of the challenges to the implementation of the system?
Q13. How are these challenges addressed or what steps are being taken to addressing them?
Q14. What is the desired future of the system?
Q15. What measures are designed to attain the desired future of the system?
142
5. QUESTIONNAIRE FOR INTERVIEW
Aim: To evaluate the implementation of the system Interviewees: Systems Administrator II
Interview date…20/07/14 and 21/07/14 Q1. What is the role of the IT department?
Q2. What is the role of the department in the introduction of the system?
Q3. What preparations were made by the department before the introduction of the system?
Q4. Was the hospital prepared (infrastructural base) before the introduction of system?
Q5. Briefly describe how the EHR works?
Q6. How was the configuration of the EHR done?
Usability and Satisfaction
Q7. Does the EHR meet the specific needs of its users?
Q8. Is the system easy to use? Yes/No If Yes,
Q9. How easy is it to use the EHR? What makes the EHR easier to use than the old system?
Q10. Is the EHR in use at the user department? Yes/No If yes,
Q11. Are the users satisfied with its usage compared to the old system?
If No,
Q12. Why are the users not using the system?
Q13. How stable is the system? How often is it down?
143 Q14. How many people were trained to use the system?
Q15. How many days were allocated for training?
Q16. Was the training adequately provided?
Impact of the system on healthcare delivery
Q17. What are the benefits so far of the EHR to healthcare delivery?
Q18. How has it improved healthcare delivery compared to the old system?
Q19. What do you think are some of the challenges to the implementation of the EHR?
Q20. What are being done to address these challenges?
Q21. What is the way forward in future implementation of the system?
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6. QUESTIONNAIRE FOR USERS OF THE EHR
I am a second year student of The Arctic University of Norway, UIT undertaking a research project in partial fulfilment of the requirement for the award of a Master degree in Telemedicine and E-Health. The purpose of this study is to evaluate the implemented Electronic Health Records in Effia Nkwanta Regional Hospital. I would be appreciative if you can take some time off your busy schedule to complete this questionnaire. Please read each questionnaire item carefully and respond according to your true and candid opinion and where you are unable to give an answer to any question, please leave that question unanswered. Be assured that this study is solely for academic purposes. The information provided will be treated as confidential and the identity of respondents will be kept anonymous.
Section A: Information about Respondent
1. What is your role in the hospital (eg. Nurse, doctor, Midwife, etc)? ...
2. How long have you worked in your current position? ...
3. What do you know about Electronic health records? ………
...
...
...
...
4. How would you rate your computer knowledge? Novice [ ] Average [ ] Experienced [ ] 5. How did you acquire the computer knowledge? Self-Training [ ] Trained by the facility [ ]
Trained in School [ ] Other (please specify)……….
6. Which windows were you trained on? (Tick as many as trained on) Word [ ] Excel [ ] Assess [ ] PowerPoint [ ]
7. Do you have prior experience with the use of any ICT programme in the performance of your role? Yes [ ] No [ ]
145 If Yes,
8. Which programme (e.g Videoconferencing, electronic health record (EHR), etc)?
...
Section B: Initial Assessment made (This section is to identify the initial assessment made by the hospital before the implementation of the EHR)
9. Were you involved in the decision to introduce the electronic health records? Yes[ ] No[ ] If Yes
10. How were you involved in the decision making (e.g staff durber to communicate intentions to purchase an electronic system, ask for your preference and views, etc)?
...
...
...
...
11. Did you have any influence on how the system should work before it introduction?
Yes [ ] No [ ] If yes,
12. Were your suggestions followed in the design and implementation of the system? Yes [ ] No [ ]
13. Did you receive any training on the EHR before it implementation? Yes [ ] No [ ] 14. Was the training adequate for you to use the EHR? Yes [ ] No [ ]
15. Do you think the implementation of the EHR was well planned? Yes [ ] No [ ] Section C: Usability and User Satisfaction
16. Do you use the implemented EHR? Yes [ ] No [ ] If yes answer question 17 and 18 (then Skip question 20)
146 17. How often do you use the EHR? Very often [ ] Often [ ] Not Often [ ] Never [ ]
18. When do you use the system? ……….
...
If No
19. What are your reasons for not using the EHR?...
………...
20. Was it easy to learn how to use the EHR? Yes [ ] No [ ]
a. If Yes, What contributed to the ease in the use of the EHR (e.g. your background with
similar application, adequate training on use, etc)?
………
……….
b. If No, what were some of the difficulties identified? ...
………
………
21. How easy is it to document information in the EHR? Very easy [ ] Easy [ ] Not easy [ ] 22. Generally, does the EHR support your work procedure? Yes [ ] No [ ]
23. How would you rate your satisfaction with the EHR? Very Satisfied [ ] Moderately Satisfied [ ] Satisfied [ ] Less Satisfied [ ]
Section D: The impact of the EHR on healthcare delivery
24. How has the implementation of the EHR made you work any easier?………
………
………
………..
25. Could it be said that the implementation of the EHR has reduced the time spent on each patient (answer Yes or No and give reasons)?...
147
………
………
………
26. What do you think are some of the benefit of the EHR to the patients? ...
………
………
………
27. Has the EHR improved healthcare delivery in the facility?
If Yes, How? ………
………
………
If No, Why? ………..
………
………
28. Do you think EHR has benefits over the paper based record? YES [ ] NO[ ]
29. If Yes, what do you think are some of the benefits of the EHR over the Paper based records?
………
………
………
30. If No, what do you think are the benefits of paper based record over EHR?………
………
………
31. What do you think are some of the challenges to the overall introduction and implementation of the EHR? ………
………
………
148
………
………
………
………
………
32. What do you think should be done in future implementation to improve the system?
………
………
………
………
………
………
………
THANK YOU!