WORKLOAD ANALYSIS OF MEDICAL RECORD PERSONNEL IN ELECTRONIC MEDICAL RECORD-BASED SERVICES
DOI:
https://doi.org/10.47701/eehmx644Keywords:
workload analysis, electronic medical records, medical record personnel, staffing, hospitalAbstract
The transition from hybrid medical records to electronic
medical records changes the distribution of tasks and may
alter staffing needs in medical record services. This study
aimed to analyze the workload and staffing requirements of
medical record personnel in hybrid medical record services
during the transition to electronic medical records. A
descriptive quantitative workload data from the Medical
Record Installation of a hospital using a hybrid medical
record system during the transition to electronic medical
records. Available working time, activity time standards,
annual activity quantities, supporting-task factors, and
staffing availability were analyzed using the Health
Workload Analysis approach while retaining the hospital's
actual available working time. The available working time
was 112,320 minutes/year for five-day medical record
services and 119,280 minutes/year for the 24-hour
registration service. The calculated staffing requirements
were 1.02 personnel for distribution and data transfer, 1.46
for medicolegal services, 1.48 for inpatient coding and filing,
1.47 for assembling and reporting, and 9.03 for registration.
The unrounded total staffing requirement was 14.46
personnel. After rounding the staffing requirement at each
subunit, the operational staffing requirement was 16
personnel compared with 13 personnel currently available,
indicating a shortage of 3 personnel. The findings indicate a
workload–staffing gap, particularly in several medical
record subunits, and support periodic workforce
redistribution and staffing evaluation alongside the
transition toward electronic medical record
implementation.
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