Abstract of Dissertation

Keyword : HIMS; Gap Analysis; OPD; OT; Hospital Information System

Objective : 1. To identify the gaps in current system 2. To suggest system requirements specifications for the new system 3. Improve work efficiency and fiscal control, eliminate the chances of any pilferage

Background : HIMS means putting all systems and hospital-wide resources both electronic and manual that deal with handling and storage of information / data of hospital on computers that are linked to each other and accessible from all authorized nodes. The HIS may control organizations, which is Hospital in these case, official documentations, financial situation reports, personal data, utilities and stock amounts, also keeps in secure place patient’s information, patient’s medical history, prescriptions, operations and laboratory test results. A robust HIMS system ensures adherence to the standard operating procedures, it increases efficiency, it helps in analysis which is vital for taking major decisions. The review of literature was carried out, which suggests the usefulness of a HIMS in various departments and how it impacts the hospital and the front-line staff who uses it on daily basis.

Methodology : The techniques used to collect data were focused group discussion (FGD) and informal discussions, done in phases. Initially module wise focused group discussions were conducted in different units (different hospitals of the group). In the second phase, focused group discussions were conducted with the head of department of all the units (module wise). The entire data was collated and the same was discussed with the new vendor to finalize the requirements.

Findings : Gap analysis of all modules was conducted, and the gaps were identified in OPD, IP billing, IP management, radiology and OT management. In OPD module the entry of mobile number should be made mandatory, source of the patient should be made mandatory. In IP management VIP patients, should be marked separately, cover letter for insurance company to be typed in the system. In IP billing co-payment isn’t calculated automatically nor are the emergency charges for surgeries, inter unit transfers cannot be done. In radiology module, the impressions aren’t in bold. In OT module, which scrub nurse washes for which case isn’t mapped, booking vs actual cases done isn’t mapped either.

Recommendations : Upon identifying the gaps the need for an upgrade was realized since there were too many deficiencies in the current system. It was also realised during the study that the system hadn’t evolved with the organization. Since the structure of the organization is complex it was decided to ask the same vendor to redesign the system.