ISM

RESERCH PAPER

Submitted By:
Prachi

Submitted To:
Prof.Pawan Kumar

Neha Srivastav

A Research on Effectiveness of Management

Information System in Hospital (Computerized
Patient Records)

Miss Prachi Singh (MBA-Marketing)

Miss Neha Srivastav (MBA-Finance)
Abstract:
Purpose- the purpose of this research paper is to know that how much hospitals are affected and
satisfied with the use of management information system. The management information system (MIS)
is defined as the information system that provides management with information about financial and
operational aspects of hospital management.
Keywords: Hospital, Information Technology, Computers, MIS
Introduction
Hospitals are very complex institutions with large departments and units intended to coordinate care
of the patients. It consists of different groups performing highly specified functions that lead to the
generation of large amount of data. An endless flow of data begins with the outpatient and admitting
departments and emanates from every department throughout the hospital. Some data is vital for the
care and well-being of patients, while other data enhance the overall efficiency of hospital itself.
Healthcare problems have haunted human society since the time immemorial. Social and economic
gains of society have direct bearing on the status of the people. Cultural progress depends upon the
recognition and elimination of health problems. Health, therefore, is a major ingredient of public
welfare. Health is wealth: Good health in any community is possible only when sufficient
infrastructure, healthcare facilities and patient care services are ensured.
Information Systems are a perennially contentious subject of discussion in health care organizations
but the numbers of studies focusing on management information systems is
Relatively small. Since last few decades, Information and communication technology has played a
vital role in managing healthcare data that are getting generated from the various sources in the
hospital.
Computerized Patient Records(CPR):
The CPR can also be defined as "electronically maintained repository about an individual's lifetime
health (from birth to death) information that includes status and treatment received. The CPR replaces
the paper medical record as the primary source of information for healthcare delivery. It is seen as a
virtual compilation of health data about a person across a lifetime, including facts, observations,
interpretations, plans, actions and outcomes. The CPR is supported by a system that captures, stores,
processes, communicates, secures and presents information from multiple incongruent locations as
required". Some of major advantages are :convenient, facilitates remote access, health information is
more organized and easier to read compared to paper patient record, allows simultaneous access,
improve the efficiency of processes such as data collection, data management and data retrieval
besides storing of enormous data, analysis and production of outcome with a press of button.
Process of Implementing CPR :
The process of implementing CPR is an art for which a master plan has to be drawn, includes
formation of committee, process of decision-making and implementation. The CPR implementation
committee has to be formed with the Director of Institution or selected personal as the Chairman
and Medical Record Administrator as the Project Coordinator with the
followingmembers.1. Physicians from Medicine, Surgical, Paediatrics Obstetrics and
Gynecology.2. Heads of Departments of Radiology, Laboratory, Nursing, and any other depending
onthe institutions.3. Hardware Engineers4. System Analyst5. System Programmers A viable CPR to
be developed that would meet the needs of health institutions, moreover, it should secure information
and protect confidentiality. In order to succeed in that direction the following Systems Analysis and
Design Processes have to be adopted which include the Following:
SYSTEM ANALYSIS AND DESIGN:

System Analysis and Design is the process of examining the business situation with an aim to improve
it to better procedures and methods which includes the following: This is particularly very much
relevant in the healthcare field where the developed system is used for patient care with life and death
issues.1. System Analysis2. System Designing3. System Programming4. System Testing5. System Im
plementation6. System Evaluation
Systems Analysis :
is the process of collecting organizing and evaluating facts about information system requirements
and the environment in which the system will operate.
System Designing :
is the creative, technical process of converting information system requirements into a detailed set of
specifications for the new systems. System Designing includes; Forms, Data, and Data flow
designing. Hipo Charts are hierarchical Input Process ,Output chart. HIPO charts are also graphic
diagrams, which are very effective for documenting of system. System security designing is one of the
important elements to avoid unauthorized user access as the patient records and information is
confidential.
System Programming:
is to select appropriate software and hardware in the first step. The software dictate the requirement
of the hardware.
System Testing :
is the critical process for the program development. The objective of the system testing is to prove
that there are no errors in the program. The following are to be included as part of System Testing
such as System Objectives, Input forms and procedures, Output Reports
System Implementation :
There are three types of implementation such as: Phase by phase implementation, total
implementation and parallel implementation.
System Evaluation :
is one of the important tasks to be performed after the implementation phase. There are three types of
evaluation, they are: Top-down begins with high level, Middle-out- begins somewhere in the middle
of the system and Bottom-up evaluation begins with the detailed modules of the system an proceeds
to look at higher level modules of greater aggregation.
System Training :
Success of any system is on hands of the end users. As part of CPR implementation, the training to the
end users should be given.

Features
1. Good User Interface.
2. OLE Features.
3. Windows API Features.
4. 32 bit Programming Languages.
5. Data Management
6. Online Help
7. Data Access.

SUGGESTIONS :
Despite all efforts, certain issues required to be evaluated and addressed to avoid: later problems such
as :

Many senior staff are accustomed with the written data, would hesitate to deal with the mouse
cursor facing the screen and they may fee uncomfortable to document as most of the patient
information are to selected from the available list instead of writing as free text.
The software consultant should not depend on one particular physician exclusively
for developing the software.
There is a need to for concurrent checking as it forbids retrospective evaluation.
Sound to be incorporated in MPI to offset various spelling mistakes.
Training to all the staff to be proficient with the operational system.
Besides one-computer maintenance person, one MRD staff with computer programming
background required to work as standby.
Hand held computers have to be properly planned, convenient to the users such as
physician ,surgeons, nurses, paramedics, so that is strain free and end users able to work
properly.

Training, educating and validating are on ongoing process. Computer literacy varies in most
departments, so plan to train and retrain. Attitude is a major factor in this process. If your staff is
excited about the conversion, their attitude will spread to other users, thus enhancing the acceptance
of the system. Implementing an information system is a challenge, however, the benefits far outweigh
the difficulty of installing it and the great benefactor is the patient

CONCLUSION
The HOSPITAL MANAGEMENT SYSTEM is a great improvement over the manual system using case fields and
paper. The computerization of the system has sped up the process. Inthe current system, the front office managing is very
slow. The hospital managing system was thoroughly checked and tested with dummy data and thus is found to be very
reliable.
ADVANTAGES

It is fast, efficient and reliable

Avoids data redundancy and inconsistency

Easy accessibility of data

Number of personnel required is considerably less

Provides more security and integrity to data

BIBLIOGRAPHY
Books

A Complete Guide to Programming in Visual Basic .Net-Michael McMillian

A Complete Visual Basic 6 Training Course: How to Programme: Package-Harvey M deitel,Paul j deitel,Tem R
Neito
Advanced Programming Using Visual Basic: Version 6.0-Julia Case Bradley
Access 2003 Power Programming with VBA-Allen G Taylor
Advanced MS Visual Basic-Peter Morris

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