Evaluating EHR and Health Care in Jordan According to the International Health Metrics Network (HMN) Framework and Standards: A Case Study of Hakeem

Hakeem is one of the e-health systems that were implemented in Jordan to support the health care and services of medical sectors by connecting public health hospitals all around Jordan. This paper was carried out as a unique and first study to investigate the effectiveness of Hakeem health system according to the international health information systems standards. The health metrics network (HMN) framework and standards for country health information systems are used to measure the Hakeem system from different perspectives to ensure that it meets its objectives to maintain the required level of medical services in Jordan compared to international systems. The study was conducted on 522 respondents of Hakeem system users from four hospitals and ten health centers in Jordan. Data were collected by a valid and reliable questionnaire and interviews and analyzed by SPSS software. The study results indicated that the conformity extent of Hakeem system's components with HMN framework and standards are in different agreements percentages. Some components are with acceptable percentages such as the integration polices and data processing while other components are with moderate, low, and very lower percentages that needed improvements. In light of the results, the study introduces some recommendations to improve Hakeem systems such as improving the technical support of the entire system and the services used in the pharmacy unit.