Health Information System
Date of submission
Table of Contents
The Executive Summary PAGEREF _Toc491330151 h 4
Introduction to the Problem PAGEREF _Toc491330152 h 5
Proposal Overview PAGEREF _Toc491330153 h 6
The scope of the project PAGEREF _Toc491330154 h 7
Use Case diagram PAGEREF _Toc491330155 h 8
The Objectives PAGEREF _Toc491330157 h 8
The Strategic Alignment PAGEREF _Toc491330158 h 9
Environmental Analysis PAGEREF _Toc491330159 h 9
Market Readiness PAGEREF _Toc491330160 h 10
Alternatives (Business, Technical, and Procedural) PAGEREF _Toc491330161 h 10
Business and Operational Impacts PAGEREF _Toc491330162 h 11
Risk Assessment and Analysis PAGEREF _Toc491330163 h 11
Feasibility Assessment and Analysis PAGEREF _Toc491330164 h 12
Project Review and Approval Process PAGEREF _Toc491330165 h 12
Recommendations PAGEREF _Toc491330166 h 12
Appendix 2 Elicitation 2 Observation PAGEREF _Toc491330167 h 14
Appendix 3 Health Information System the Schedule PAGEREF _Toc491330168 h 14
References PAGEREF _Toc491330169 h 15
List of Tables and Figures
Figure 1: Health Information System Use Case Diagram PAGEREF _Toc491330156 h 8
The Executive Summary
Health Information System document gives the explanation of the dedicated software in the health services. The document presents the Health Information System as the application software that intends to solve the health problems by automating the services delivered in the health sector. The article discusses the problems encountered in the health sector that can get solved using the Health Information System. The paper defines the current situation in the health sector. The article gives the overview of the current problems within the health sector, the needs and the requirement as specified in data collection process. The article outlines the purpose of the Health Information System project, the objective, the aims, and the scope of Health Information System. The document specifies the actual requirements of the system regarding the resources required. The article explains the relationship between the health objectives as well as the health long term and short term plans (Seyedin, & Jamali, 2011). The article also gives the overview of the progress by other health sectors. The sectors outlined include the public and the government hospitals. The paper gives the overview of the entire system through the provision of the definite time of delivering the final project. The article provides the health advantage, the technical advantage and the procurement advantage in the development and the implementation of the system. The paper gives the impact of implementing the Health Information System in health and the operating individuals. The various actors are considered and the effects on their daily operations. The document presents a session that discusses the risk assessment process to determine the viability of the proposed project in the health sector. The article gives the results of the feasibility study as well as the analyzing the cost of implementing the proposed system. The document analyzes the implementation strategy, the development procedures, and the milestones during the proposed project life cycle. The article explains the contract management processes through explaining the tools applies during the development process. The article outlines the special needs within the development process. The document outlines the qualities that should contribute towards the project approval through reviewing the project status. The article gives the personal views on the proposed project through the use of the recommendations. Finally, the document provides the entire events concerned with the case signing off.
Introduction to the Problem
The current situation in the health sector uses the partial computer-based operations. From the data and information collected through observation, the health sector has personal computers which are not shared among the organization departments. The data and information relating to a patient are recorded in different areas and location by different individuals. The interview data collection methodology revealed that that the data and information collected is recorded on personal computers using the Microsoft Excel application software (Kuosmanen, et al…, 2010). The method of recording of patient’s data and information apply the multiple patient points of services making the health sector keep related information in a different location and obtain similar data and information. The research revealed that the data and information stored in personal computers is redundant with the registration process being repeated at each patient point of service. The observation data and information analysis revealed that the personal computers in each level of customer service are not shared among the health departments. The multiple points of services do not share data and information of single patient thus making the patient service point have different data and information that is not accessible by other employees. The interview data collection technique revealed that the entire organization has no means of obtaining data and information through search techniques. The mode of patient data and information entry is limited to few attributes of the patient profile. The observation revealed that the patient point of service attendants has no means of capturing consistent and progressive records of the patients due to lack of proper parameters of addressing patients. The interview methodology approach revealed that the data entry procedures are not centralized to individual patient accounts rather it is by first come first serve without referencing or updating from the previous records of the clients. Thus, the registering process and point of patient services cannot provide detailed records of patient visits to the hospital.
The proposed health information system shall have the capability of automating the health sector through implementing different modules to support different functions in the health sector. The various system applications that shall support the health sector include the development of the patient registration module, the decision support module, the home patient mobile application and the distribution system for database support. The system registration system shall have the potential for handling data and information of individual patients by storing the data profile in an array of accounts as specified by the nurses. The data shall get updated every time the patient visits the hospital for health facilities. The decision support module shall have the capability of analyzing the patient symptoms and performing database mining to determine the specific diseases characterized by the symptoms as added in the data warehousing. The decision support module shall apply the intelligent systems to provide appropriate decision-making processes as specified by the doctors. The Health Information System shall apply the use of major and minor Unstructured Supplementary Service Data (USSD) to support the patients at home (Vest, at al…, 2012). The mobile module application shall be embedded in the smartphone and the old non-smart mobile phone to facilitate patient guide and reminder notes. The Unstructured Supplementary Service Data shall inform the patients about the prescribed medicine schedule the time and the dosage to take. The mobile application shall also remind patients about the clinical dates on the reporting to the hospital. The Unstructured Supplementary Service Data shall be very useful in updating the patient. The mobile application shall also provide the user with the ability to initiate a direct chat for inquiries. The nature of the new application shall provide direct involvement by delivering health care services to the patient’s premises during the time of emergency and on critical conditions. The proposed Health Information System shall improve the medical services as well as monitoring of the patients conditions in the most convenient manner according to patients needs. The entire system shall improve the processes involving the sharing of data and information through the implementation of the distributed system. The network shall get improved as viewed in the systems analysis process.
The scope of the project
The proposed project, the Health Information System intends to support both the public and the private health sectors. The system shall be limited to the health sectors of a limited number of actors. The actors within the Health Information System shall include the Administrator, the doctors, the nurses, the support staff and the patients. The various functions duties and responsibilities shall be defined within the operating accounts and the levels of system administration. The accessibility of the Health Information System services, privileges and applications shall depend on the classification of the users in the scope (Konstantinidis, et al…, 2012). The Health Information System is neither limited to the specific operating system nor restrained to specific parameters of usage. However, the scope of use shall be limited to the technology within a span of fifty years. With future upgrading and review of documentation code for maintenance, the Health Information System can be upgraded to cope with future technologies as well.
Use Case diagram
Figure 1: Health Information System Use Case Diagram
The Health Information System has two types of objectives namely the functional objectives and the nonfunctional objectives. The functional objectives include
1. Provide registration module that implements personal profile information for consistent records
2. System with patient home supports USSD mobile platform for easier accessibility
3. System capable of analyzing customer symptoms to provide treatment decision support
4. System with ability to share data across all platforms irrespective of the structure to support communication within the health sector
The Health Information System non-functional objectives include
1. Ability of the system to support data mining and the data warehousing
2. Ability of the system to support online up-gradating of software devices
3. Ability of the system to support networked architecture for the client-server model
4. Ability to promote availability at remote and local environments
The Strategic Alignment
The Health Information System supports the goals and objectives of the organization through the integrating the health operations within the system. The project development process involved the team of employees and major stakeholders in the implementation of the required goals and objectives. The development of the Health Information System shall strictly follow the procedures and directives of the project manager to implement the user requirements and the user goals. The Health Information System developers shall incorporate the key stakeholders in the development process to participate in the panel during the testing process. The key stakeholders shall have the responsibility of verifying and validating the functions of the developed system.
The Health Information System is a dedicated system aiming at providing unique services to the final user with an intention of making the better system the guarantee total satisfaction of the user requirements and specifications. The Health Information System has been implemented in the private health sector but with limited features and functionalities. The existing system embraced by most of the private sectors constitutes a registration module, and basic operations within the health facilities like the pharmacy inventory systems, databases, inpatient and outpatient management systems as well as the user the analysis application systems. The proposed Health Information System is unique by implementing the addition modules like the USSD mobile application interface, the decision support interface, the big data support and data mining techniques. The quality of the system is best with significant low implementation, development, and maintenance cost.
Health Information System is highly favored in the market due to its unique and user support services. The current health sectors require unique facilities to facilitate the accommodation of their customer and deliver satisfactory dservices to the patient. The targeted sector is fast growing with the demand to offer fast and reliable services within a short duration of time. The implementation of the USSD mobile system facilitates the fast communication procedures with the patients at any time locally and remotely. Thus facilitating easy accessibility, mobility and simplicity attribute required by the health investors.
Alternatives (Business, Technical, and Procedural)
The Health Information System business operations through the implementation of the centralized database systems, and centralized patients’ point of services. The centralized approach guarantees data and information consistency and eliminates redundancy. The distributed systems are implemented through the network approach that enhances the sharing of data and information among the departments in the health sector. The Health Information System promotes the procedural models by automating main operations outlined in the line with the nature of the health services and appliances. The proposed system guarantees total compliance with the health sector processes and operations and requirements thus providing the strong support to the business operations and appliances
Business and Operational Impacts
The main areas involving the operational and strategic framework of the health sector affected by the implementation of the Health Information System includes the operational impacts and the health sector impacts. The health sector impacts affected by the new system include the modification of the excel mode of data entry, change in the diagnosing procedures and parameters, change in the patients access and communication with the health attendants.
The operation impacts affected by the application of Health Information System include the need for training the health support team on how to conduct registration of customers. Other users to be trained include the doctors on how to use the intelligent decision support system and patients on how to operate the USSDD mobile application.
Risk Assessment and Analysis
Health Information System guarantees high-level fault tolerance characteristics. The Health Information System takes care of any occurrences related to the human error. The entire operations have a high level of modularity thus guaranteeing that the systems shall achieve dynamic and continuous service provision. The modules shall be developed in such a way that they are i0ndependenkt of one another regarding opera rational and functionality rationale. Failure of a specific module shall not affect another module within the system. The Health Information System shall be designed such that when the system fails the entire transactions that were running during the crash time shall roll back to initial state.
Feasibility Assessment and Analysis
The feasibility study indicated that the proposed Health Information System is economically feasible, operationally feasible and the technically feasible. The calculation for determining the payback period proved that the project is viable for the health sector to invest. The reports generated from the calculations on the Return on investments (ROI) proved that the figures were above the standards set by the healthy sector. Health Information System had a Net Present value (NPV) acceptable by the health sectors thus making the assimilation and adoption of the project viable. The Constructive Cost Model (COCOMO) methodology of project cost determination proved that the budget estimated was appropriate for the health sector to consider the project viable.
Project Review and Approval Process
The Health Information System shall have various project implementation testing and milestone that shall be followed and evaluated by the committee for project portfolio management. The team of management team shall access the development progress of the entire system thus proving the project development process constraints to the actual development platforms as required (Rahimi, et al…, 2009). The proposed Health Information System shall be proved by the board of directors in the health sector to give the mandate of initializing the development of the proposed system. The initialization of the development process shall rely on the approval of the project.
I strongly recommend the entire health sector to invest in the proposed project for it is viable within all scopes of operation. The project is most recent with the application of most recent application methodologies and the implementation of the current trends in the economy. The functionality of the Health Information System guarantees a high level of scalability, availability, fault tolerance and user-friendly interfaces. The cost for the implementation is considerable low with effective coverage of all requirement specifications and needs as stated in data collection session.
Appendix 2 Elicitation 2 Observation
The number of respondents in the study
Appendix 3 Health Information System the Schedule
|Designing of the distributed database program|
|The designing and implementation of the registration module|
|The designing and implementation of the decision support system|
|The designing and implementation of the USSD mobile application|
Gurupur, V. P., Suh, S. C., Selvaggi, R. R., Karla, P. R., Nair, J. S., & Ajit, S. (2012). An
approach for building a personal health information system using conceptual domain
knowledge. Journal of Medical Systems, 36, 6, 3685-93
Konstantinidis, G., Anastassopoulos, G. C., Karakos, A. S., Anagnostou, E., & Danielides, V. (
2012). A User-Centered, Object-Oriented Methodology for Developing Health
Information Systems: A Clinical Information System (CIS) Example.Journal of Medical
Systems, 36, 2, 437-450.
Kuosmanen, L., Jakobsson, T., Hyttinen, J., Koivunen, M., & Välimäki, M. (2010). Usability
evaluation of a web-based patient information system for individuals with severe mental
health problems. Journal of Advanced Nursing, 66, 12, 2701-10.
Patel, V. N., Dhopeshwarkar, R. V., Edwards, A., Barrón, Y., Sparenborg, J., & Kaushal, R. (
2012). Consumer support for health information exchange and personal health records: a
regional health information organization survey. Journal of Medical Systems, 36, 3,
Rahimi, B., Vimarlund, V., & Timpka, T. (2009). Health Information System Implementation: A
Qualitative Meta-analysis. Journal of Medical Systems, 33, 5, 359-368
Sahin, Y. G., & Celikkan, U. (2012). MEDWISE: An Innovative Public Health Information
System Infrastructure. Journal of Medical Systems, 36, 3, 1719-1729.
Seyedin, S. H., & Jamali, H. R. (2011). Health Information and Communication System for
Emergency Management in a Developing Country, Iran.Journal of Medical
Systems, 35, 4, 591-597.
Vest, J. R., Gamm, L. D., Ohsfeldt, R. L., Zhao, H., & Jasperson, S. (2012). Factors associated
with health information exchange system usage in a safety-net ambulatory care clinic
setting. Journal of Medical Systems, 36, 4, 2455-61.