Information Technology Supplier Management in Hospitals

In this study, we developed a document for managing Information Technology suppliers in hospitals. This document is used to ensure the proper management of IT suppliers in the hospital. Products and services in Information Technology have characteristics and specifications that are always up to date, making it difficult for non-IT people to understand. Hospitals whose main business in the health sector is often lack of human resources who understand IT. Observations and interviews were conducted in Indonesian hospital, to identify the characteristics and problems in supplier management. Control Objectives for Information and Related Technologies (COBIT), Information Technology Infrastructure Library (ITIL) and government regulations on supplier management were reviewed and combined as a benchmark and guidance on how supplier management activities are carried out. The result of the process is a Standard Operating Procedure (SOP) document.    The parties involved in the supplier management process have evaluated the SOP document. From the results of the study, it is known that currently, the hospital is still focused on procedures procurement of goods and services that are government regulated. This study proposes some new activities that are not currently done by the hospital

Examining the PoC System Implementation and Adoption: A FVM Perspective

HIS implementation is complex and involves people issues as well as technological issues. The effect of sociotechnical issues such as macro level or external factors including political, social, economic, environmental infrastructure and technology, laws and regulations; meso level or organizational factors such as leadership, management style, policies, structure; and micro level or tactical factors such as information sharing, training and learning, technical staff or user behaviour, have been less widely studied. Yet, it is precisely these issues that separately or in combination derail numerous HIS implementations. To examine this dilemma, we proffer a unique application of the fit viability model (FVM) to facilitate a better understanding of key issues pertaining the implementation and adoption of a Point of Care (PoC) System at one of the not for profit private hospitals in Australia. This will help the decision makers in hospital to understand how the new system fits within the different departments and also is it a viable option to install such a new system. This study focuses on just two departments of the hospital; namely, food services and environment services. An exploratory single case qualitative study methodology is adopted. From such an analysis, it is possible to identify optimal aspects with the PoC solution and opportunities to add value

Development of implementation models for hospital information system (HIS) in Malaysian public hospitals

Studies have shown that Hospital Information System (HIS) implementation improve hospital’s management and activities in terms of cost and time reductions. However, there are only 15.2% out of 138 Malaysian Public Hospitals implemented HIS. Literatures have further highlighted various issues and challenges with regards to its implementation. Therefore, this study aimed to explore the implementation of THIS, IHIS and BHIS’s hospitals as well as factors affecting them. This study employed a mixed methods approach to answer the research objectives. In the first phase of this study, semi-structured interviews were conducted with nine participants consisted of the hospital directors, Information Technology officers and HIS users. It is found that THIS’s hospital implementation phases differed from IHIS and BHIS’s hospitals, while IHIS and BHIS’s hospitals have similar phases based on Business Interaction Phases of Business Action Theory. Human context was discovered to play important roles in the HIS implementation. A survey was conducted in the second phase of this study among HIS users at different categories of HIS’s hospitals. Two hundred and twenty-nine questionnaires were returned to yield a response rate of 45.8%. Based on ANOVA findings, factors affecting THIS implementation were significantly different from those in IHIS and BHIS’s hospitals. There was no significance different between IHIS and BHIS’s hospitals. There are three major contributions of this study: 1) Distinctive implementation phases for THIS hospital and IHIS-BHIS hospital were discovered for HIS implementation. 2) New models of HIS implementation which highlight the Human context were proposed, and 3) Different factors were found to affect HIS implementation at different types of HIS’s hospitals

A milestone in the health governance of France - the construction of a health information system

Internship Report presented as the partial requirement for obtaining a Master's degree in Data Science and Advanced AnalyticsAlthough France is recognized as one of the countries with the best care support, it is also a country far behind on the integration of health data and the constitution of an HIS. Yet, in some aspects, France is not an entirely autonomous country in its government. Indeed, since the integration in the European Union, certain subjects - of which health - are subjects of common agreement, for a common application that can - at this scale - be qualified as a quasi-continental application. And in its goal of global HIS, the European Union is pressuring France to build its own HIS, which will then be absorbed by the HIS of the 27 countries. It is in this scheme that France's gave full authority since ten years to the Regional Health Agencies (and through them, to Keyrus, one of the leaders in business intelligence in France) to build this information system. This is not easy because the French administration is complex and has been solidly and strictly structured for several decades. Building this decisional model is long and will take many more years. But with projects as DIAMANT and GCS, the country is in the process of building a complete HIS taking into account the innovations of the practice of medicine today

The adoption of ICT in Malaysian public hospitals: the interoperability of electronic health records and health information systems

There have been a number of researches that investigated ICT adoption in Malaysian healthcare. With the small number of hospitals that adopt ICT in their daily clinical and administrative operations, the possibility to enable data exchange across 131 public hospitals in Malaysia is still a long journey. In addition to those studies, this research was framed under six objectives, which aim to critically review existing literature on the subject matter, identify barriers of ICT adoption in Malaysia, understand the administrative context during the pre and post-ICT adoption, and recommend possible solutions to the Ministry of Health of Malaysia (MoHM) in its efforts to implement interoperable electronic health records (EHR) and health information systems (HTIS). Specifically, this research aimed to identify the factors that had significant impacts to the processes of implementing interoperable EHR and HTIS by the MoHM. Furthermore, it also aimed to propose relevant actors who should involve in the implementation phases. These factors and actors were used to develop a model for implementing interoperable EHR and HTIS in Malaysia. To gather the needed data, series of interviews were conducted with three groups of participants. They were ICT administrators of MoHM, ICT and medical record administrators of three hospitals, and physicians of three hospitals. To ensure the interview feedback was representing the context of EHR and HTIS implementation in Malaysia, two hospital categories were selected, which included the hospitals with HTIS and non-HTIS hospitals. The government documents were then used to triangulate the feedback to ensure dependability, credibility, transferability and conformity of the findings. Two techniques were used to analyse the data, which were thematic analysis and theme matching. These two techniques were modified from its original method, known as pattern matching. The originality of this research was presented in the findings and methods to transform them into solutions and provide recommendation to the MoHM. In general, the results showed that the technological factors contributed less to the success of the implementation of interoperable EHR and HTIS compared to the managerial and administrative factors. Four main practical and social contributions were identified from this research, which included synchronisation of managerial elements, political determination and change management transformation, optimisation of use of existing legacy system (Patient Management System) and finally the roles of actors. Nevertheless, the findings of this research would be more dependable and transferable if more participants had been willing to participate especially among the physicians and those who managed the ICT adoptions under the MoHM