Highlights
Task:
Despite the potential benefits of electronic information management, including increased patient safety and more cost-effective health care delivery, few countries report the adoption of electronic systems for managing hospital information. On January 1, 2011, the Valle del Lili Foundation (VLF), a university hospital in Cali, Colombia, switched from paper to electronic documents to manage medical records (MR) and all related clinical and administrative procedures. The VLF, which reported revenues of US$200 million in 2014, is ranked the third best hospital in Latin America and the best in Colombia.
The Valle del Lili Foundation
The Valle del Lili Foundation is a private non-profit organization founded in 1982 to deliver tertiary medical care. The VLF was the brainchild of two cardiologists from Cali who identified the need for a regional healthcare institution to deliver specialized care to medically complex cases and critically ill patients. They were later joined by Vicente Borrero, a public health physician, who has been CEO since 1986. Bringing together regional civic and political leaders and donors, they collected the necessary funds to launch the project. Initially focused on cardiology cases, they gradually expanded their service offer. Today, VLF offers clinical care in more than sixty medical specialties (See Exhibits 1 and 2 for statistical highlights and staffing information) and serves as a teaching hospital, where ICESI University medical students receive training.
Medical Records and Medical Orders
MR are clinical documents containing information about patients and their clinical course; they are created by healthcare staff while patients are under their care. MR thus contain information essential to both patient care and administrative procedures and must be managed and stored in
such a way as to ensure the confidentiality of information and the physical integrity of the records. In Colombia, medical records are legal documents.
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