Implementing a Health Information System at the Greater Accra Regional Hospital in Ghana. End User Perspective.

Health can be improved by information and communication technologies (ICT) in developing countries. Electronic health systems coordinate patient care processes in different departments within the same facility to enhance efficient delivery of care. However, health sectors in developing countries are unable to implement modern health care technologies due to challenges which negatively impact their adoption of ICT. The refurbishment of the Greater Accra Regional Hospital (GARH) in Ghana has resulted in the first phase of an ultra-modern building and the procurement of a comprehensive health information system (HIS) known as Health Pro. The shakedown phase of the implementation of the Health Pro is crucial to its overall success. Thus, the acceptance of the Health Pro by the end users in this phase will play a vital role in its adoption into routine practices at the health facility. Challenges to the use of the Health Pro could negatively impact its acceptance and adoption which will then affect its successful implementation. The study aims to assess the challenges to the implementation of the Heath Pro in several departments as perceived by the health professionals. Interpretive research, specifically a case study was the research method used in this study. Health professionals at GARH were interviewed to provide the data for the study in addition to observations, photography and informal discussions. The top-down approach was used by the management of the health facility to implement the Health Pro. The involvement of the health professionals, the targeted users of the health information system was minimal at best. The health professionals at the frontline of the delivery of health care felt alienated in the design and development of the Health Pro. User perceptions prior to the use of a technology influence experiences and later, these experiences gained from using the technology influence the perception of it. Challenges to the implementation of the Health Pro include; unplanned and inadequate training of the health professionals, lack of communication regarding the Health Pro, delay in work processes and an incomplete implementation process. Addressing the challenges to the implementation process could enhance successful implementation of Health Pro. Nonetheless, the effect of Health Pro on work processes at the health facility cannot be fully assessed until it is fully implemented. Proper maintenance of the Health Pro after it is fully implemented will ensure its sustained implementation

Preparing sparse solvers for exascale computing.

Sparse solvers provide essential functionality for a wide variety of scientific applications. Highly parallel sparse solvers are essential for continuing advances in high-fidelity, multi-physics and multi-scale simulations, especially as we target exascale platforms. This paper describes the challenges, strategies and progress of the US Department of Energy Exascale Computing project towards providing sparse solvers for exascale computing platforms. We address the demands of systems with thousands of high-performance node devices where exposing concurrency, hiding latency and creating alternative algorithms become essential. The efforts described here are works in progress, highlighting current success and upcoming challenges. This article is part of a discussion meeting issue 'Numerical algorithms for high-performance computational science'

UML-F: A Modeling Language for Object-Oriented Frameworks

The paper presents the essential features of a new member of the UML language family that supports working with object-oriented frameworks. This UML extension, called UML-F, allows the explicit representation of framework variation points. The paper discusses some of the relevant aspects of UML-F, which is based on standard UML extension mechanisms. A case study shows how it can be used to assist framework development. A discussion of additional tools for automating framework implementation and instantiation rounds out the paper.Comment: 22 pages, 10 figure

On Evidence-based Risk Management in Requirements Engineering

Background: The sensitivity of Requirements Engineering (RE) to the context makes it difficult to efficiently control problems therein, thus, hampering an effective risk management devoted to allow for early corrective or even preventive measures. Problem: There is still little empirical knowledge about context-specific RE phenomena which would be necessary for an effective context- sensitive risk management in RE. Goal: We propose and validate an evidence-based approach to assess risks in RE using cross-company data about problems, causes and effects. Research Method: We use survey data from 228 companies and build a probabilistic network that supports the forecast of context-specific RE phenomena. We implement this approach using spreadsheets to support a light-weight risk assessment. Results: Our results from an initial validation in 6 companies strengthen our confidence that the approach increases the awareness for individual risk factors in RE, and the feedback further allows for disseminating our approach into practice.Comment: 20 pages, submitted to 10th Software Quality Days conference, 201

Engineering simulations for cancer systems biology

Computer simulation can be used to inform in vivo and in vitro experimentation, enabling rapid, low-cost hypothesis generation and directing experimental design in order to test those hypotheses. In this way, in silico models become a scientific instrument for investigation, and so should be developed to high standards, be carefully calibrated and their findings presented in such that they may be reproduced. Here, we outline a framework that supports developing simulations as scientific instruments, and we select cancer systems biology as an exemplar domain, with a particular focus on cellular signalling models. We consider the challenges of lack of data, incomplete knowledge and modelling in the context of a rapidly changing knowledge base. Our framework comprises a process to clearly separate scientific and engineering concerns in model and simulation development, and an argumentation approach to documenting models for rigorous way of recording assumptions and knowledge gaps. We propose interactive, dynamic visualisation tools to enable the biological community to interact with cellular signalling models directly for experimental design. There is a mismatch in scale between these cellular models and tissue structures that are affected by tumours, and bridging this gap requires substantial computational resource. We present concurrent programming as a technology to link scales without losing important details through model simplification. We discuss the value of combining this technology, interactive visualisation, argumentation and model separation to support development of multi-scale models that represent biologically plausible cells arranged in biologically plausible structures that model cell behaviour, interactions and response to therapeutic interventions

Specifying Reusable Components

Reusable software components need expressive specifications. This paper outlines a rigorous foundation to model-based contracts, a method to equip classes with strong contracts that support accurate design, implementation, and formal verification of reusable components. Model-based contracts conservatively extend the classic Design by Contract with a notion of model, which underpins the precise definitions of such concepts as abstract equivalence and specification completeness. Experiments applying model-based contracts to libraries of data structures suggest that the method enables accurate specification of practical software

Why stagnant? Behind the scenes in Indonesia's reformed state asset management policies

This study seeks to answer the question of “why is policy innovation in Indonesia, in particular reformed state asset management laws and regulations, stagnant?” through an empirical and qualitative approach, identifying and exploring potential impeding influences to the full and equal implementation of said laws and regulations. The policies and regulations governing the practice of state asset management has emerged as an urgent question among many countries worldwide (Conway, 2006; Dow, Gillies, Nichols, & Polen, 2006; Kaganova, McKellar, & Peterson, 2006; McKellar, 2006b) for there is heightened awareness of the complex and crucial role that state assets play in public service provision. Indonesia is an example of such country, introducing a ‘big-bang’ reform in state asset management laws, policies, regulations, and technical guidelines. Two main reasons propelled said policy innovation: a) world-wide common challenges in state asset management practices - such as incomplete information system, accountability, and governance adherence/conceptualisation (Kaganova, McKellar and Peterson 2006); and b) unfavourable state assets audit results in all regional governments across Indonesia. The latter reasoning is emphasised, as the Indonesian government admits to past neglect in ensuring efficiency and best practice in its state asset management practices. Prior to reform there was euphoria of building and developing state assets and public infrastructure to support government programs of the day. Although this euphoria resulted in high growth within Indonesia, there seems to be little attention paid to how state assets bought/built is managed. Up until 2003-2004 state asset management is considered to be minimal; inventory of assets is done manually, there is incomplete public sector accounting standards, and incomplete financial reporting standards (Hadiyanto 2009). During that time transparency, accountability, and maintenance state assets was not the main focus, be it by the government or the society itself (Hadiyanto 2009). Indonesia exemplified its enthusiasm in reforming state asset management policies and practices through the establishment of the Directorate General of State Assets in 2006. The Directorate General of State Assets have stressed the new direction that it is taking state asset management laws and policies through the introduction of Republic of Indonesia Law Number 38 Year 2008, which is an amended regulation overruling Republic of Indonesia Law Number 6 Year 2006 on Central/Regional Government State Asset Management (Hadiyanto, 2009c). Law number 38/2008 aims to further exemplify good governance principles and puts forward a ‘the highest and best use of assets’ principle in state asset management (Hadiyanto, 2009a). The methodology of this study is that of qualitative case study approach, with a triangulated data collection method of document analysis (all relevant state asset management laws, regulations, policies, technical guidelines, and external audit reports), semi-structured interviews, and on-site observation. Empirical data of this study involved a sample of four Indonesian regional governments and 70 interviews, performed during January-July 2010. The analytical approach of this study is that of thematic analysis, in an effort to identify common influences and/or challenges to policy innovation within Indonesia. Based on the empirical data of this study specific impeding influences to state asset management reform is explored, answering the question why innovative policy implementation is stagnant. An in-depth analysis of each influencing factors to state asset management reform, and the attached interviewee’s opinions for each factor, suggests the potential of an ‘excuse rhetoric’; whereby the influencing factors identified are a smoke-screen, or are myths that public policy makers and implementers believe in; as a means to explain innovative policy stagnancy. This study offers insights to Indonesian policy makers interested in ensuring the conceptualisation and full implementation of innovative policies, particularly, although not limited to, within the context of state asset management practices

A novel qualitative prospective methodology to assess human error during accident sequences

Numerous theoretical models and techniques to assess human error were developed since the 60's. Most of these models were developed for the nuclear, military, and aviation sectors. These methods have the following weaknesses that limit their use in industry: the lack of analysis of underlying causal cognitive mechanisms, need of retrospective data for implementation, strong dependence on expert judgment, focus on a particular type of error, and/or analysis of operator behaviour and decision-making without considering the role of the system in such decisions. The purpose of the present research is to develop a qualitative prospective methodology that does not depend exclusively on retrospective information, that does not require expert judgment for implementation and that allows predicting potential sequences of accidents before they occur. It has been proposed for new (or existent) small and medium- scale facilities, whose processes are simple. To the best of our knowledge, a methodology that meets these requirements has not been reported in literature thus far. The methodology proposed in this study was applied to the methanol storage area of a biodiesel facility. It could predict potential sequences of accidents, through the analysis of information provided by different system devices and the study of the possible deviations of operators in decision-making. It also enabled the identification of the shortcomings in the human-machine interface and proposed an optimization of the current configuration.Fil: Calvo Olivares, Romina Daniela. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad Nacional de Cuyo. Facultad de Ingenieria. Instituto de Capacitación Especial y Desarrollo de Ingeniería Asistida por Computadora; ArgentinaFil: Rivera, Selva Soledad. Universidad Nacional de Cuyo. Facultad de Ingenieria. Instituto de Capacitación Especial y Desarrollo de Ingeniería Asistida por Computadora; ArgentinaFil: Núñez Mc Leod, Jorge Eduardo. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad Nacional de Cuyo. Facultad de Ingenieria. Instituto de Capacitación Especial y Desarrollo de Ingeniería Asistida por Computadora; Argentin

A requirements engineering framework for integrated systems development for the construction industry

Computer Integrated Construction (CIC) systems are computer environments through which collaborative working can be undertaken. Although many CIC systems have been developed to demonstrate the communication and collaboration within the construction projects, the uptake of CICs by the industry is still inadequate. This is mainly due to the fact that research methodologies of the CIC development projects are incomplete to bridge the technology transfer gap. Therefore, defining comprehensive methodologies for the development of these systems and their effective implementation on real construction projects is vital. Requirements Engineering (RE) can contribute to the effective uptake of these systems because it drives the systems development for the targeted audience. This paper proposes a requirements engineering approach for industry driven CIC systems development. While some CIC systems are investigated to build a broad and deep contextual knowledge in the area, the EU funded research project, DIVERCITY (Distributed Virtual Workspace for Enhancing Communication within the Construction Industry), is analysed as the main case study project because its requirements engineering approach has the potential to determine a framework for the adaptation of requirements engineering in order to contribute towards the uptake of CIC systems