Training challenges in national ehealth initiatives - Insights from a case study on the implementation of an electronic hospital separation record system in Sri Lanka

摘要

2014 and nation-wide implementation is expected to complete by 2017. Analysis of training challenges is based on data from both the first 7 hospitals and the second 8 hospitals. It is anticipated insights presented will support an improved national roll-out of the system Results: Training approaches and user training requirements varied considerably between users involved in the initial development and the users to whom the developed system was subsequently introduced. Significantly, the system changed medical workflow such that the project had to extend training beyond system usage and into the medical processes of diagnostic records management. Engagement of system users through the Agile methodology imparts system knowledge and training not readily available to subsequent users exposed during roll-out. This posed a number of training challenges that had not been foreseen during project planning. The paper highlights the need for comprehensive consideration of all aspects of workflow including non-technical dimensions to support a smooth national roll-out. Conclusions: eHealth system training should not be limited to system use without a d