Success Factors for Realizing Regional Comprehensive Care by EHR with Administrative Data

Abstract

We examine key factors for the successful introduction of a medical and healthcare information sharing infrastructure for regional inclusive care, which has not been successful in many countries and regions. We analyze the case of Tamba City, in which an immunization implementation determination system has been implemented by linking medical and government data. Starting with a small, limited scope can allow all stakeholders to experience the system’s merits. This case adopted a gradual and evolutionary approach that did not share any medical information, including diagnoses, which doctors were resistant to sharing. The information available was limited to prescription and immunization records that originally were reported and shared between organizations. Additionally, it is a good approach from which to start in an area in which no specifications are in place, because ensuring consistency with existing standards is not a factor. We analyzed the plan and strategy used to extend the system to a regional comprehensive care system with AIDAF, then we derived the target architecture and extracted the problems associated with realization. A comprehensive data architecture for medical information owned by medical institutes and other privacy data managed by governments must be developed.