Representation of the Transgender Population in Electronic Health Records: Implementation Strategy in the Public Health Care System of Buenos Aires City.

Electronic Health Records (EHR) face the challenge of collecting data about patient's gender identity in order to provide standardized and quality data to manage public policies in order to improve health disparities of the Trans population. Innovation in Health Information Technologies (HIT) develops in the midst of a cultural change process related to social representations of gender in favor of a diversity perspective. Understanding the health field as a complex adaptive system, the changes in the systems must consider multiple factors in every stage of the process. It is relevant to consider the people involved in it and the culture in which they are embedded. This article describes the implementation strategies of functionality that represents the transgender population in the EHR of the Public Health Care System of the Buenos Aires City.

Age and Nationality: Two Variables That Challenge the Univocal Identification of People in the Health System of the Autonomous City of Buenos Aires.

The univocal identification of people is fundamental for the longitudinal monitoring of health status. The impossibility of all people to credit their identity via their identity document generates temporary records that make it difficult to record the continuity of care. This paper analyzes the Patient Index of the Ministry of Health of the Buenos Aires City and describes how the age and nationality variables influence the creation of temporary records.

Change Management Strategies: Transforming a Difficult Implementation into a Successful One.

The implementation of health Information Technologies (IT) contributes to improve quality of care and management processes. In spite, evidence shows that the rates of IT adoption are not the expected ones. Since 2004, Public Healthcare System of Buenos Aires city has been implementing a Healthcare Information System with a difficult adoption in clinical setting. In December 2015, the Government made some changes that allowed the implementation of an Electronic Health Record in 20 Primary Care Centers. This paper describes the change management strategies that were designed in order to transform a difficult implementation into a successful one. The combination of timely approach to change management, good governance and specialized human resources were keys to achieve this goal.