Table 6 Summary of qualitative data general themes, sub-themes and response categories
Themes | Sub-themes | Response categories |
|---|---|---|
EMR implementation | Deployment objective | Improve service quality, efficiency, decrease hospital cost |
Current system status | Functioning at Ayder and failed at SPHMMC | |
Dependency on the system at Ayder | ||
Using the manual system at SPHMMC | ||
ICT infrastructure | IT facilities and equipment | Network infrastructure |
Availability of equipment and facilities | ||
IT support theme | IT personnel | System administrators |
IT experts | ||
Organization | Management commitment | Priority in the plan |
Insure readiness of the hospitals | ||
Participation of care providers | ||
Availability of champions | ||
Top level management commitment | ||
Training and follow up | ||
Barriers/impediments | Human | Low staff awareness |
Resistance from the health workers | ||
Lack of skill | ||
Lack of training | ||
Work load on physicians | ||
Finance | Non availability of fund | |
Organizational | Low level of management commitment | |
Poor project management | ||
Change management | ||
Technical | Lack of equipment | |
Lack of standard/certified EMR system | ||
Poor ICT infrastructure, slow network connection | ||
Lack of technical expertise/IT | ||
Lack of system Interoperability and integration | ||
Lack of ease of use | ||
Data security/vulnerability | ||
Success factors/facilitators | Human | Management commitment |
Skilled manpower | ||
Change management | ||
Good project management, long term perspective | ||
Team sprit | ||
Training and follow up, motivation | ||
IT experts/system developers | ||
Availability of Champion | ||
Finance | Availability of fund | |
Incentives mechanism | ||
Technical | Infrastructure, equipment | |
Network speed | ||
Hardware and standard software availability |