Document Type : Original Article

Authors

1 PhD Student, Health Information Management, Student Research Committee, School of Management and Medical Information AND Scientific and Educational Center for Health Management of Iran, Tabriz University of Medical Sciences, Tabriz, Iran

2 Lecturer, Information Technology Management, Development of Medical Education Center, School of Medicine, Zabol University of Medical Sciences, Zabol, Iran

3 BSc, Medical Records, Kerman University of Medical Sciences, Kerman, Iran

4 MSc, Management, Izadi Hospital, Qom University of Medical Sciences, Qom, Iran

Abstract

Introduction: Due to the importance of information in health care organizations, the problems of health information management departments can play an important role in managing these organizations. Therefore, we attempted to investigate health information management problems and their causes In Iran.Methods: This practical study was conducted in 2016, using qualitative approach and Delphi technique. First, the problems of health information management departments and their causes were identified via qualitative study using Corbin-Strauss methodology. Then, two rounds of Delphi technique was used to validate the findings.Results: From the perspective of participants, organizational justice problems (89%), building and work environment (86%), and laws and processes (85%) were the main challenges of the health information management departments in hospitals. Lack of a guild system (95%), and finance problems (92%) were the main reasons behind these problems.Conclusion: Health information management departments in hospital are faced with a number of challenges. The main reason for these challenges are macro policies, lack of laws and regulations, and attitudes of hospital managers toward these departments.

Keywords

  1. Abdekhoda M, Ahmadi M, Dehnad A, Hosseini AF. Information technology acceptance in health information management. Methods Inf Med 2014; 53(1): 14-20.
  2. Khemani S, Patel P, Singh A, Kalan A, Cumberworth V. Clinical dashboards in otolaryngology. Clin Otolaryngol 2010; 35(3): 251-3.
  3. Goedert J. Health information management: What a ride it has been. Health Data Manag 2013; 21(10): 22-7.
  4. Watson PJ. Health information management in Australia: A brief history of the profession and the association. Health Inf Manag 2008; 37(2): 40-6.
  5. Viola A. Solutions to the HIM work force shortage. As federal legislation stalls, a community seeks local solutions. J AHIMA 2008; 79(9): 18, 20.
  6. Bennett V. Health information management workforce - when opportunities abound. Health Inf Manag 2010; 39(3): 4-6.
  7. Haux R, Knaup P, Leiner F. On educating about medical data management - the other side of the electronic health record. Methods Inf Med 2007; 46(1): 74-9.
  8. Abdelhak M, Grostick S, Hanken MA. Health information - e-book: Management of a strategic resource. Philadelphia, PA: Elsevier Health Sciences; 2014.
  9. Jacob JA. HIM's evolving workforce. Preparing for the electronic age's HIM profession shake-up. J AHIMA 2013; 84(8): 18-22.
  10. Edens T, Fiorito M. Health information management (HIM) white paper 2016 [Online]. [cited 2016 Jul]; Available from: URL: http://marionfinancial.com/news_articles/white-papers/Health_Information_Management_Abridged_White_Paper.pdf
  11. Welch SJ, Allen TL. Data-driven quality improvement in the Emergency Department at a level one trauma and tertiary care hospital. J Emerg Med 2006; 30(3): 269-76.
  12. Al Kiyumi R, Walker S, Tariq A, Fitz Gerald G. Health information management professionals [Present circumstances and future expectations]. Proceedings of the 18th Congress of the International Federation of Health Information Management Associations (IFHIMA); 2016 Oct 12-14; Tokyo, Japan.
  13. Rampatige R, Mikkelsen L, Gamage S, Peiris S. Promoting the periodic assessment of the quality of medical records and cause-of-death data: Lessons learned from a medical records study in Sri Lanka (Working Paper Series, Number 14). Brisbane, QLD, Australia: School of Population Health, University of Queensland; 2009.
  14. Dunn R. Benchmarking imaging. Making every image count in scanning programs. J AHIMA 2007; 78(6): 42-6.
  15. Adeleke IT, Lawal AH, Adio RA, Adebisi AA. Information technology skills and training needs of health information management professionals in Nigeria: A nationwide study. HIM J 2015; 44(1): 30-8.
  16. Rhodes H, Dougherty M. Practice brief. Document imaging as a bridge to the EHR. J AHIMA 2003; 74(6): 56A-G.
  17. Grzybowski D. Storage solution: A plan for paper in the transition to electronic document management. J AHIMA 2008 79(5): 44-7.
  18. Nagira M, Tsumoto S. An Approach to electronization of hand-written patient records - scanned hand-written chart. Studies in Health Technology and Informatics 2001; 84: 788.
  19. Tsiknakis M, Kouroubali A. Organizational factors affecting successful adoption of innovative eHealth services: a case study employing the FITT framework. Int J Med Inform 2009; 78(1): 39-52.