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Australia for operational effectiveness and good customer care Implementing State of the art Information Systems in a New Hospital. Imagine a new hospital is about to be built, for example the new Royal Adelaide hospital. The directors of SA Health would like the new hospital to be world class with the most innovative information systems including robotics, patient record and case notes, pharmacy, general administration (including patient & staff rosters), payroll and finance systems.


Many of the Royal Adelaide Hospital’s Information systems are outdated. For example, the current Patient database, OASIS has been in use for a number of years, and does not create case notes electronically. Patient case notes are still stored in paper form. Linen is stored in various places and transported around the hospital by staff with trolleys. Cleaning is done manually also. Imagine that you have been contracted to investigate possible innovative information systems, including robotics to replace the outdated systems. Your task is to produce a professional report based on the scenarios as stated above. 

Overview of the Available Information System

The main aim of the report is creating a new state of art information technology in a hospital management system. The scenario which is mainly included in the report is that a new hospital for example Royal Adelaide hospital is going to be build. The director of the concerned hospital wants the hospital to be a world class hospital which would include most innovate technology related to the information technology which may include patient record, robotics and case notes, pharmacy, general administration, payroll and financial system. (McCullough, Parente & Town, 2016) Most of the system which is related to the system is outdated one of such example is the patient database. Previously OASIS had been in use for a number of years and it could not create case notes automatically, patient case notes where stored in paper form, linen where stored in different places and mainly transported with the help of trolley by the staff concerned with it.

The main aim of the report is implementing a brand new information system that would be required by the hospital management and the staff. The new system would be would be including Robotics to replace the outdated system.

The information system that could be implemented in the above case study is the Hospital OS. The hospital OS can be considered as an Open source hospital informatics system which is under the GPL in Thailand since 2001. The main aim of this information system is to provide an improved hospital management and clinical quality. The implementation can be done with a limited resource condition. The main characteristics of the Hospital OS are as follows:

  • It meets all the demands of the users relating to the hospital
  • Going live and implementation is very much easy
  • Stable and robust in the resource limited hospital
  • The social networking relating to the developers and the user makes the hospital OS software and with it the users grow year after year.

The hospital OS is in many versions and in many languages, currently it is in processing of creating an English version in order to meet the international market as well as international language. The software has been contacted from many organisations that need the support of the system in order to collect information regarding many chronic diseases for example tuberculosis and AIDS. The hospital OS can expand its market making a direct beneficial software which are very much needed in the proper working orientation of the hospital. The main issue that can be related to the software is that it can be implemented with a limited resource involved in its working (Shahdadi, Yazdanpenah & Ghavam, 2017).

The hospital OS it is very easy to assess the patient’s information, it directly reduces the service time per patient and the information redundancy. The software creates a better communication between the different departments since each of the departments in the hospitals uses the same software, database and system. The result of this process directly reduces the error related to human intervention. It can also enable smooth workflow in the hospital. The software being a freeware, it is very much accessible to everyone (Williams et al., 2016). The advanced technology advantages can be properly taken benefit of with the implementation. The whole service of the hospital for example outpatient department (OPD) as well as inpatient department (IPD) can be supported software. The software does not only incorporate features of treating the sick patient, hospital OS also provide health prevention and promotions related to the health aspect such as postpartum care, antenatal care, vaccination school promotion health care service and more than 15 modules. The health level 7 standard which is for electronic interchange of clinic, financial and the administrative information among the health care oriented computer system. The hospital OS interface with the laboratory information system and the PACS (DICOM) seamlessly.

Advantage and Disadvantage of the Proposed System (Hospital OS)

Advantage

Disadvantage

Advanced and high technology involvement

Cost of implementation is on the higher side

Operational is more affective and easy

It is a bit confusing in order to understand the overall working at the beginning (Doran, Maurer & Ryan, 2017)

Level of satisfactory is reached in accordance to patient customer

Availability of the back up plans are available

The error which the earlier system had was corrected and it eventually added some new functionality with many aspects of improvements (Joiner & Van der Kogel, 2016).

Feasibility can be stated as the determination of whether or not the project is worth doing the process followed making this determination is called the feasibility study. This can determine whether the project should or can be taken in practical implementation. Ones the project is determined to be feasible, the analyst can take the necessary steps and prepare the project specification which finalizes the overall requirement of the project. Feasibility study is generally done with a time constraint and is normally stated in an oral feasibility report or written format. The recommendations and the content of the report will be basically used for deciding whether to postpone, proceed or cancel the overall project. It can be stated that since the study involve large resources, it becomes very much important to conduct the analysis competently and that there is no fundamental error related to the judgement is done (MacMillan, Slessarev & Etchells, 2016).

In the development of a project one of the most important issue which is can be directly with the implementation is the front end and the back end. In accordance with the study the main aspect is the extensive study in order to determine the most suitable platform and that the basic and the advanced need of the organisation with the implementation of the project (Devaraj & Kohli, 2016).

The basic feasibility study that should be done before purchasing the information system are:

  • Technological

This can be related to some kind of practical measurement. Technological criteria provide the appropriate technical solution in the described problem with relate to the case study. According to the hospital management system ones the analysis of the problem is done then the problem is highlighted many times by the staff members and also from the point of view of the management (Menachemi et al., 2016)  

  • Operational

This will directly check how the design system performs with regards to the real operational environment. When the implementation is done some important questions that should be taken into account that are:

  • Is the staff satisfied with the overall system?
  • Dob the system contributes to the proposed system
  • The proposed solution of the system does it perform good in the real working environment
  • Is the problem related to the earlier system is solved or not?
  • Economic

Economic can be related to the overall cost of the system. After mainly analysing the requirement the requirement related to the cost can be considered (Menachemi et al., 2016). While developing the management cost cannot be an exact amount, this is due to the factor that the processing can sometimes cannot finish on time and some error may be detected in the overall process. fluctuate of the cost factor can occur due to this factor. There can be some important factors which can be related to the economic criteria which are:

  • The estimated cost of the system can fulfil the overall patients requirement.
  • In order to finish the processes, the estimated cost is enough.
  • The processes can be added without and additional charges (McCullough, Parente & Town, 2016).
  • Schedule

The schedule model goes hand in hand with the schedule time. The ability to finish the task on the indicated time can be mainly measured by this criterion. The main point that should be emphasised is that after how many period of time can the client get the ready product. The factor of customer satisfaction plays a very vital role in the sphere (Bates, D. W & Gawande, 2016).

  • Social

People would provide their own interest when the system is working in the real environment. The operational aspect of the system interests the common people it would be directly beneficial from the point of view of the hospital. The management information system should take into consideration about the direct needs of the customer and what advantages the customers want to achieve from the implementation (Grosskopf & Valdmanis, 2017).

  • Legal

Feasibility Study

This criteria model is always dependent on the rules of the government. Ones the product implementation is finished it would be checked under the government. It would directly check the functionality aspect that are directly available in the system, is there any functionality which are not suitable and the product is according to the regulation and the rules which are predefined by the government. After all the criteria are meet than the hospital management system would be registered under the government (Watcharasriroj & Tang, 2017).

Recommendation 1: The system should which is implemented should be familiar with the hospital staff so necessary training should be given in order to get the most out of the system.

Recommendation 2: Different departments of the hospital should be linked together in a way to maximum the overall working of the hospital.

Recommendation 3: Prior to proper installation the basic requirement should be analysed so that after the installation no problem is faced.

The critical success story related to the implementation of the new technology can be revelled with the basic requirement which is estimated to be achieved from the process is achieved. The main focus with the implementation is to improve the working standard in operation in the hospital. If the standard of operation is increased this would directly implement a success story.

Conclusion 

The hospital OS can be used for computerizing the overall working of the hospital. The software takes care of all the basic requirement of the hospital and is capable of providing an east and affective storage of information related to the patient that comes to the hospital.  It generates test; provide prescription details including various diet advices, various test and medicines which are prescribed to the patient by the doctors. It can also provide injection details and facility which are related to the billing of the entire hospital. The billing process is mainly conducted on the basis of patient status whether the patient is an indoor patient or an outdoor patient. On the other hand, it also provides the facility of backups which was required as per the given hospital criteria.

References

Bates, D. W., & Gawande, A. A. (2016). Improving safety with information technology. New England journal of medicine, 348(25), 2526-2534.

Devaraj, S., & Kohli, R. (2016). Performance impacts of information technology: Is actual usage the missing link?. Management science, 49(3), 273-289.

Doran, T., Maurer, K. A., & Ryan, A. M. (2017). Impact of Provider Incentives on Quality and Value of Health Care. Annual review of public health, 38, 449-465.

Grosskopf, S., & Valdmanis, V. (2017). Measuring hospital performance: A non-parametric approach. Journal of health Economics, 6(2), 89-107.

Joiner, M. C., & Van der Kogel, A. (Eds.). (2016). Basic clinical radiobiology. CRC press.

MacMillan, T. E., Slessarev, M., & Etchells, E. (2016). eWasted time: Redundant work during hospital admission and discharge. Health informatics journal, 22(1), 60-66.

McCullough, J. S., Parente, S. T., & Town, R. (2016). Health information technology and patient outcomes: the role of information and labor coordination. The RAND Journal of Economics, 47(1), 207-236.

McCullough, J. S., Parente, S. T., & Town, R. (2016). Health information technology and patient outcomes: the role of information and labor coordination. The RAND Journal of Economics, 47(1), 207-236.

Menachemi, N., Burkhardt, J., Shewchuk, R., Burke, D., & Brooks, R. G. (2016). Hospital information technology and positive financial performance: a different approach to finding an ROI. Journal of healthcare management, 51(1), 40.

Menachemi, N., Chukmaitov, A., Saunders, C., & Brooks, R. G. (2016). Hospital quality of care: does information technology matter? The relationship between information technology adoption and quality of care. Health care management review, 33(1), 51-59.

Shahdadi, H., Yazdanpenah, A., & Ghavam, A. (2017). Investigate the Relationship between Information Technology and Employees’ Productivity with Mediating Role of Knowledge Management (Case study: Imam Reza Hospital of Sirjan). Middle East Journal of Family Medicine, 7(10), 55.

Watcharasriroj, B., & Tang, J. C. (2017). The effects of size and information technology on hospital efficiency. The Journal of High Technology Management Research, 15(1), 1-16.

Williams, C., Asi, Y., Raffenaud, A., Bagwell, M., & Zeini, I. (2016). The effect of information technology on hospital performance. Health care management science, 19(4), 338-346.

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[Accessed 25 February 2024].

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