Manuscript Number : SHISRRJ1818935

A Model for Health Information Manager-Led Compliance Monitoring in Hybrid EHR Environments

Authors(3) :-Damilola Oluyemi Merotiwon, Opeyemi Olamide Akintimehin, Opeoluwa Oluwanifemi Akomolafe

The increasing complexity of Electronic Health Record (EHR) systems, especially in hybrid digital-paper environments, presents new challenges for regulatory compliance in healthcare institutions. Health Information Managers (HIMs), equipped with both clinical and data governance expertise, are uniquely positioned to lead compliance monitoring initiatives. This paper develops and validates a structured model for HIM-led compliance monitoring within hybrid EHR ecosystems. Using a multi-phase methodology combining qualitative interviews, process mapping, and system audits, we designed a compliance monitoring framework tailored to address operational realities and regulatory constraints across hybrid infrastructures. Our findings indicate that HIM leadership significantly improves the accuracy, timeliness, and auditability of compliance documentation. Institutions using the HIM-led model demonstrated 27% fewer compliance violations, a 38% improvement in audit readiness, and a 21% increase in staff adherence to data handling protocols. The study also reveals that embedding HIMs in cross-functional compliance teams fosters a culture of accountability and enhances risk mitigation strategies. The model accounts for interoperability limitations, legacy system challenges, and regional data protection mandates such as HIPAA and GDPR. This paper contributes a replicable framework that aligns HIM competencies with institutional governance priorities in hybrid EHR settings. By operationalizing HIM involvement in compliance oversight, the model advances both theoretical understanding and practical application of health information governance. Future work should explore automation pathways, integration with AI-driven anomaly detection, and HIM training curricula to scale this approach across healthcare networks.

Authors and Affiliations

Damilola Oluyemi Merotiwon
Independent Researcher, Texas. USA
Opeyemi Olamide Akintimehin
Department of Human Nutrition and Dietetics, University of Ibadan, Nigeria;
Opeoluwa Oluwanifemi Akomolafe
Micmakin Nigeria Limited, Akure, Ondo, Nigeria

Compliance monitoring, health information managers, hybrid EHR systems, data governance, regulatory frameworks, audit readiness

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Publication Details

Published in : Volume 5 | Issue 4 | July-August 2022
Date of Publication : 2022-07-30
License:  This work is licensed under a Creative Commons Attribution 4.0 International License.
Page(s) : 146-168
Manuscript Number : SHISRRJ1818935
Publisher : Shauryam Research Institute

ISSN : 2581-6306

Cite This Article :

Damilola Oluyemi Merotiwon, Opeyemi Olamide Akintimehin, Opeoluwa Oluwanifemi Akomolafe, "A Model for Health Information Manager-Led Compliance Monitoring in Hybrid EHR Environments", Shodhshauryam, International Scientific Refereed Research Journal (SHISRRJ), ISSN : 2581-6306, Volume 5, Issue 4, pp.146-168, July-August.2022
URL : https://shisrrj.com/SHISRRJ1818935

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