Page 101 - U4SSC Collection Methodology for Key Performance Indicators for Smart Sustainable Cities
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Collection Methodology for Key Performance Indicators for Smart Sustainable Cities



             Dimension           Society And Culture
             Sub-Dimension       Education, Health and Culture
             Category            Health
             KPI Name            Electronic Health Records
             KPI No.             SC: EH: ED: 5A   Type:          Advanced       Type:          Smart

             Definition /        Percentage of city inhabitants with electronic health records
             Description

             Rationale /         Electronic health records (also known as e-health records) refers to a system of
             Interpretation /    collecting patient health records, which are stored digitally so that they can be
             Benchmarking        accessed and shared amongst all relevant health providers.
                                 Generally, an e-health record is a single file, which contains the most up to date
                                 information on the patient.
                                 E-health records may also contain other information such as visits to health-care
                                 providers, immunizations, imaging results, billing information etc.
                                 Since e-health records are stored centrally and are more likely up to date, they can
                                 be an invaluable source in emergency situations when a patient is unable to
                                 communicate.
                                 However, some patients may not be in favour of “sharing” records between health
                                 providers. In such situations, the healthcare provider should explicitly ask whether
                                 the patient would like to share their data with other providers (in life threatening
                                 situations). The relevant data privacy laws also come into play for this indicator. It is
                                 also important to note that health records have a minimum retention period
                                 (depending on the hospital/clinic) and many patients may not be keen for these
                                                                               1
                                 records to be kept/shared beyond this specific date.
                                 An improving trend and higher values are considered positive.

             Methodology         Calculate as:
                                 Numerator: Number of city inhabitants with electronic health records.
                                 Denominator: Total number of city inhabitants.
                                 Multiply by 100%

             Unit                Percentage
             Data Sources /      Data can be obtained through municipal / regional / national health departments.
             Relevant
             Databases

             SDG Reference(s)    SDG Target 3.D: Strengthen the capacity of all countries, in particular developing
                                 countries, for early warning, risk reduction and management of national and global
                                 health risks.









            1  Retention period begins from the date of last entry of information into the medical record at a specific medical
            facility. In many countries, keeping medical records beyond the retention period is considered a violation of patient
            privacy. Hence, medical facilities in most countries are encouraged to destroy the medical records after the retention
            period is over or hand over the files to the patients themselves. If hospitals/clinics want to continue using these data
            for research purposes after the retention period, it is essential that all the information is anonymized.  Certain records
            associated with births, cancer treatments and organ transplants are kept indefinitely.


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