There are different important stakeholders which can play very significant role in the online systems maintained for the health reports. The stakeholder mapping will considers four different quadrants which include internal operations, external operations, internal executive and external executive. These quadrants include stakeholders like users or patients, staff, working groups and mental health services.
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Stakeholder Map |
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Internal |
External |
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Operation |
Consumer Participants or users · Regular participation at online health care systems · Effective decisions on using health reports (NSW health, 2012) · Complete registrations process from home based systems without any assistance |
Health services · This establishes formal contact points in effective manner in order to complete process of implementation or develops communication programs or educational programs for the users · Engaging members of health report to support implementation process which includes medical representatives, health executives and consumers · Developing communication with consumers, staff or other stakeholders in effective manner (Nguyendh, 2015) · Educational or training strategies for consumers, staff or other stakeholders · Establishing feedback systems for identifying issues or drawbacks in implementation process of online system |
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Executive |
Service Staff · Participate in training or educational sessions for online system · Issuing health reports of eligible or interested users or patients · Assisting users or patients for maintaining or updating their online heath report status (Pearce and Bainbridge, 2014) · Evaluating or monitoring all heath records in order to enhance user experience |
Working groups · Other stakeholders which are attending implementation process of online system · Participating or attending training or educational initiatives to handle online system (Kerai et al, 2014) · Distributing all promotional materials which is developed to reach most of the users or patients · Assisting users or patients for maintaining or updating their online health reports like printing medical history in order to determine current health status of users. |
Further, it has also been analysed that computer programmers or IT companies can also play significant role to develop effective online system of health reports for different users or patients (Quinlivan et al, 2014). IT companies will help in developing effective system that can store medical database for different users or patients. Programmers can also play vital role by updating or maintaining medical records of different users or patients.
The patients or users are considered as the important stakeholders to whom questionnaire can be sent in order to develop efficient online system of health records. This is mainly designed to acknowledge stakeholder expectations for the online system of health records before or after the implementation of the system (Shaikh et al, 2015). This also helps to determine benefits of online system to the users or patients.
1. Which age group do you belong?
a. Below 18
b. 18 to 30
c. 30 to 45
d. 45 to 65
e. Above 65
2. What is your gender or sex?
a. Male
b. Female
3. Select your working profession?
a. Nurse
b. Social reformer
c. Administrator
d. Medical representative
e. Other
4. Any prior experience to handle online system of health records?
a. Yes
b. No
5. Is online system compatible enough for maintaining health records?
a. Highly agree
b. Agree
c. Highly not agrees
d. Not sure
6. Are you sure to be confident enough on using online system of health records effectively?
a. Highly agree
b. Agree
c. Highly not agrees
d. Not sure (Dobson et al, 2015)
7. Is quality of online system has been designed effectively for the users?
a. Highly agree
b. Agree
c. Highly not agrees
d. Not sure
8. Is documentation or paper work has been reduced due to online system?
a. Highly agree
b. Agree
c. Highly not agrees
d. Not sure
9. Is online system supporting medical representatives effectively to update or record medical data of the users?
a. Highly agree
b. Agree
c. Highly not agrees
d. Not sure
10. Is privacy or security concerns have risen among the users for their personal information?
a. Highly agree
b. Agree
c. Highly not agrees
d. Not sure
11. According to your opinion, what can be the major advantages for online systems of health records?
a. Low cost
b. Privacy or security level has risen
c. Quality for data recording has been improved
d. Holistic approaches to medical care
e. Tracking user performance on health services
12. Is relation with users has been enhanced due to online system?
a. Not make any difference
b. Enhanced relationship
c. Worsen the relations
d. Not Sure
13. Are liabilities issues have been increased due to online system?
a. Highly agree
b. Agree
c. Highly not agrees
d. Not sure
14. Is Online system is providing efficient user friendly interface?
a. Highly compatible
b. Moderately compatible
c. Slightly compatible
d. Not compatible
15. Is this system efficient enough for supporting the users?
a. Highly efficient
b. Moderately efficient
c. Slightly efficient
d. Not efficient
16. How can you help to improve online system of health records? Please suggest some measures.
The user information should be on the central server for online system. There should be new account creation link available on the system and also allergic or other deficiency related information needs to be recorded on the portal (McInnes et al, 2013). The encrypted information needs to be used for avoiding security issues. There should be real time accessibility application needs to be installed on online system so that can be accessed from any location or browsers.
The information of users needs to be maintained online system in order to enhance suitable medical facilities to the users (Perera et al, 2016). These can include contact information, insurance information, emergency information, medical records, billing information, encryption keys, and unique identifier key for the users or medical history’s access records.
For Hospital/Doctor/Management:
For Patients:
For Hospital/Doctor/Management:
For Patients:
(Source: My health record, 2017)
The above case diagram includes different cases which are associated with the online system of medical health records.
Case 1: User or Patient Registration
Description: The registration process of users or patients is described in this case.
Case 2: User or Patient Login
Description: The login link from where users or patients can register themselves on online medical system is described in this case.
Case 3: User or Patient Home Page
Description: The functions which are inserted on home page of online system are described in this case.
Case 4: E-Prescription Link
Description: The management of e-prescriptions is described in this case.
Case 5: Lab Report
Description: The lab report link on online portal is described in this case (McInnes et al, 2013).
Case 6: Medical History Link
Description: The medical history of users or patients is described under this case.
Case 7: Outbreak Diseases or Allergies Tab
Description: The outbreak diseases or allergies related to users or patients with appropriate solution or cure for treating the disease with vaccination is described in this case.
Case 8: Message Delivering Tab
Description: The process of sending messages to doctors by users or patients is described under this case.
Case 9: Home Page of Admin
Description: The functionalities of administrators on online portal’s home page is described in this case.
(Source: My health record, 2017)
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Use case |
E-Prescription link |
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Stakeholders |
Administrators and users or patients |
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Brief description |
The management of e-prescriptions is described in this case. |
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Event flow |
Stakeholder action |
System action |
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1. Click to e-prescription link |
2. Provide page as per requested by user |
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3. Edit or update medical record |
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4. Store all data of users or patients |
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Pre-conditions |
Users or patients needs to register on online portal of health records |
References:
Dobson, A., Hockey, R., Brown, W., Byles, J., Loxton, D., McLaughlin, D. & Mishra, G. (2015). Cohort profile update: Australian longitudinal study on women’s health. International journal of epidemiology, dyv110.
Kerai, P., Wood, P., and Martin, M. (2014). A pilot study on the views of elderly regional Australians of personally controlled electronic health records. International journal of medical informatics, 83(3), 201-209.
McInnes, D., Solomon, J., Shimada, S., Petrakis, B., Bokhour, B., Asch, S. & Gifford, A. (2013). Development and evaluation of an internet and personal health record training program for low-income patients with HIV or hepatitis C. Medical care, 51, S62-S66.
Moja, L., Kwag, K., Lytras, T., Bertizzolo, L., Brandt, L., Pecoraro, V. & Iorio, A. (2014). Effectiveness of computerized decision support systems linked to electronic health records: a systematic review and meta-analysis. American journal of public health, 104(12), e12-e22.
Nguyendh, D. (2015). Way to health. Retrieved from:
ftp://ftp.ecs.csus.edu/nguyendh/CSC%20230%20Projects/Way%20To%20Health.pdf
NSW health (2012). My Health Record Mental Health Pilot Project. Retrieved from:
https://www.health.nsw.gov.au/mentalhealth/programs/mh/Publications/mhr-summary-report.pdf
Pearce, C. and Bainbridge, M. (2014). A personally controlled electronic health record for Australia. Journal of the American Medical Informatics Association, 21(4), pp.707-713.
Perera, G., Broadbent, M., Callard, F., Chang, C., Downs, J., Dutta, R. & Jewell, A. (2016). Cohort profile of the South London and Maudsley NHS Foundation Trust Biomedical Research Centre (SLaM BRC) case register: current status and recent enhancement of an electronic mental health record-derived data resource. BMJ open, 6(3), e008721.
Quinlivan, J., Lyons, S., & Petersen, R. (2014). Attitudes of pregnant women towards personally controlled electronic, hospital-held, and patient-held medical record systems: a survey study. Telemedicine and e-Health, 20(9), 810-815.
Shaikh, U., Berrong, J., Nettiksimmons, J., & Byrd, R. (2015). Impact of electronic health record clinical decision support on the management of pediatric obesity. American Journal of Medical Quality, 30(1), 72-80.
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