Wednesday, March 30, 2011

Challenges in implementing a hospital Information system

Pre-implementation assessment

A hospital administrator who is dell studio 1745 battery, dell studio 1747 battery planning to implement a HIS software in his hospital may thus be apprehensive that the implementation may end in a complete or part ial failure. Prevention of this eventuality starts even prior to purchase of the software. The software the vendor as well as the hospital need to be well assessed.

Software assessment

Many popular HIS software, have a common development cycle. Very often a software begins life as computerization of a single hospital, either by an in-house team or by a local develop per. Successful implementation leads to a vision of exporting this software to other hospitals. For this some de-customization is done to allow the software to adapt to work flows that may be different in other hospitals. However in spite of this the, second implementation site does experience problems. In order to get over this problem, developers tweak the software and apply multiple patches, which though it solves some of the problems but only at the cost of disrupting the software structure. While the second site still struggles a third and a fourth hospital get roped in. at some stage usually years down the line the developer if he is still financially sound decides to rewrite gateway nv-56 keyboard, gateway nv-59 keyboard the entire software from scratch so as to increase its flexibility and customizability.

VENDOR ASSESSMENT

Assessing the vendor is also not easy. Only a few vendor of national or international repute may easily be trusted but with the drawback that a large vendor may not go out of the way to accommodate all the requirements of a small hospital. In case of smaller vendors the hospital administrator may need to assess the vendor by indirect means since vendors may not be direct about revealing their shortcomings. A good way to assess the long term stability of the vendor is to try and discover their staff attrition rate. This can indicate whether the current implementation team will last the entire implementation cycle. Often vendors have other business interests; HIS implementation being only one of the side businesses .

Visits to other implementation sites need to be properly planned to gain a real insight.

HOSPITAL ASSESSMENT

Even the software and the vendor appear to be satisfactory issues in one's own hospital could lead implementation failures. Hospital related factors that could point to a difficult implementation are multi speciality hospital an ‘old' hospital, a hospital with multiple power centers, a work overloaded hospital, a hospital with a physical space crunch and a fund starved hospital sony vaio vgn-fz240e battery, sony vaio vgn-fz460e battery . Multi-speciality hospitals in comparison to single speciality hospitals, tend to have more varied work-flows, requiring very flexible software. An ‘old' hospital i.e. one that has been in existence for a very long time tends to develop complex and varied workflows over time and hence is more difficult to computerize. Multiple power centers, with each departmental head running the department the way he wants to, introduces complexities for the same reason. Once HIS is implemented certain processes may become slower, especially one where more data has to be entered than in the manual process.

WHAT TO EXPECT FROM HOSPITAL COMPUTERISATION

It is important for hospital administrators to have their priorities right when they go in for HIS implementation. Very often administrators, care providers stakeholders, etc. have very different, and often incorrect expectations from the software. A common myth is that Computerization reduces workload and makes processes faster. In a well implemented system this is true to a certain extent. Even though the overall workload may become less, there are areas where the workload may be more than before, especially where extensive data entry is performed. Typing is always slower than writing and it takes time to get used to new user interfaces. Stakeholders may be under the impression that computerization will reduce running costs. The reality is, unfortunately dell inspiron mini 10 battery, dell inspiron mini 1011 battery, very different. Very few hospitals have been able to show a realistic return of investment on the money they have spent on the entire computerization process

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