Organizational Effect on the Implementation of “SIMRS” (Hospital Management Information Systems) in Hospital: A Systematic Review

Background: Utilization of information and communication technology has penetrated the field of health services. The form of health service innovation by utilizing information technology is the Hospital Management Information System (SIMRS). SIMRS is needed by Hospitals to ensure fast, accurate and reliable information needs in decision making, as well as the need for systematic data processing for strategic decision making. This study aimed to systematically review the influence of the organization on the implementation of “SIMRS”.Subjects and Method: A systematic review were conducted by searching articles from three databases, namely Google Scholar, Pubmed, and Science Direct. Keywords to search for articles are “Organization” OR “group” AND “Hospital Management Information Systems” OR “SIMRS” or “Management” AND “Hospital” or “Healthcare”. Articles included are full-text English from 2014 to 2019. Articles were selected using a PRISMA flow diagram method.Results: Organizational factors which include organizational structure and organizational environment are the main determining factors in the implementation of information systems. The successful implementation of SIMRS from the aspect of organizational structure, namely the role of leaders in providing support, motivation to users, a supportive work culture and work environment, a clear division of tasks and authority, regular monitoring and evaluation activities, fulfillment of infrastructure needs that support the implementation of SIMRS, availability of budget allocations for training and competency development for system users. While the organizational environment aspect, namely the role of Hospital management, has established policies as guidelines for the implementation of SIMRS.Conclusion: Organizational factors from the aspect of organizational structure and organi-zational environment can increase the success of the implementation of "SIMRS" in Hospitals.Keywords: SIMRS, organizational structure, organizational environment.Correspondence: Adhani Windari. Doctoral Program in Public Administration Science, Universitas Diponegoro. Jl. Pleburan, South Semarang, 50241 Central Java. Email: [email protected]. Mobile: +62 8170582584.Journal of Health Policy and Management (2023), 08(01): 13-22https://doi.org/10.26911/thejhpm.2023.08.01.0

Managing Wireless Networks in the Healthcare Sector: Emerging Experiences of Cultural Impacts

The existing body of knowledge has generally supported that organizational culture plays a significant role in shaping group identity, work pattern, communication schemes, and interpersonal relations; all of these cultural elements are important organizational factors that shape workplaces and operational routines. In the context of emerging information technology, it has also been suggested that organizational culture could affect IT implementation and management. However, little is known about how emerging information technology shapes organizational culture, which in turn helps reshape the organization as a whole. The purpose of this paper is thus to build empirical understanding of how IT in general and emerging wireless networks in particular reshapes organizational culture. Case studies conducted in two hospitals situated in southwest U.S.A. illustrated that the implementation of wireless networks indeed helped shape and/or reshape organizational culture in the healthcare sector and in turn enhance healthcare organizations’ competitiveness in the marketplace. For IT managers and practitioners in healthcare institutions, effective strategy to plan and manage emerging ITs such as wireless networks will thus have long-term implications on cultivating organizational culture that could eventually reshape workplace and competitiveness

Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science

Abstract Background Many interventions found to be effective in health services research studies fail to translate into meaningful patient care outcomes across multiple contexts. Health services researchers recognize the need to evaluate not only summative outcomes but also formative outcomes to assess the extent to which implementation is effective in a specific setting, prolongs sustainability, and promotes dissemination into other settings. Many implementation theories have been published to help promote effective implementation. However, they overlap considerably in the constructs included in individual theories, and a comparison of theories reveals that each is missing important constructs included in other theories. In addition, terminology and definitions are not consistent across theories. We describe the Consolidated Framework For Implementation Research (CFIR) that offers an overarching typology to promote implementation theory development and verification about what works where and why across multiple contexts. Methods We used a snowball sampling approach to identify published theories that were evaluated to identify constructs based on strength of conceptual or empirical support for influence on implementation, consistency in definitions, alignment with our own findings, and potential for measurement. We combined constructs across published theories that had different labels but were redundant or overlapping in definition, and we parsed apart constructs that conflated underlying concepts. Results The CFIR is composed of five major domains: intervention characteristics, outer setting, inner setting, characteristics of the individuals involved, and the process of implementation. Eight constructs were identified related to the intervention (e.g., evidence strength and quality), four constructs were identified related to outer setting (e.g., patient needs and resources), 12 constructs were identified related to inner setting (e.g., culture, leadership engagement), five constructs were identified related to individual characteristics, and eight constructs were identified related to process (e.g., plan, evaluate, and reflect). We present explicit definitions for each construct. Conclusion The CFIR provides a pragmatic structure for approaching complex, interacting, multi-level, and transient states of constructs in the real world by embracing, consolidating, and unifying key constructs from published implementation theories. It can be used to guide formative evaluations and build the implementation knowledge base across multiple studies and settings.http://deepblue.lib.umich.edu/bitstream/2027.42/78272/1/1748-5908-4-50.xmlhttp://deepblue.lib.umich.edu/bitstream/2027.42/78272/2/1748-5908-4-50-S1.PDFhttp://deepblue.lib.umich.edu/bitstream/2027.42/78272/3/1748-5908-4-50-S3.PDFhttp://deepblue.lib.umich.edu/bitstream/2027.42/78272/4/1748-5908-4-50-S4.PDFhttp://deepblue.lib.umich.edu/bitstream/2027.42/78272/5/1748-5908-4-50.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/78272/6/1748-5908-4-50-S2.PDFPeer Reviewe

Cultural Transformation in Health Care

Describes the role of organizational culture in healthcare organizations. Recommends strategies for innovative approaches to improve the overall performance of the U.S. healthcare system

Committed to Safety: Ten Case Studies on Reducing Harm to Patients

Presents case studies of healthcare organizations, clinical teams, and learning collaborations to illustrate successful innovations for improving patient safety nationwide. Includes actions taken, results achieved, lessons learned, and recommendations

The organizational implications of medical imaging in the context of Malaysian hospitals

This research investigated the implementation and use of medical imaging in the context of Malaysian hospitals. In this report medical imaging refers to PACS, RIS/HIS and imaging modalities which are linked through a computer network. The study examined how the internal context of a hospital and its external context together influenced the implementation of medical imaging, and how this in turn shaped organizational roles and relationships within the hospital itself. It further investigated how the implementation of the technology in one hospital affected its implementation in another hospital. The research used systems theory as the theoretical framework for the study. Methodologically, the study used a case-based approach and multiple methods to obtain data. The case studies included two hospital-based radiology departments in Malaysia. The outcomes of the research suggest that the implementation of medical imaging in community hospitals is shaped by the external context particularly the role played by the Ministry of Health. Furthermore, influences from both the internal and external contexts have a substantial impact on the process of implementing medical imaging and the extent of the benefits that the organization can gain. In the context of roles and social relationships, the findings revealed that the routine use of medical imaging has substantially affected radiographers’ roles, and the social relationships between non clinical personnel and clinicians. This study found no change in the relationship between radiographers and radiologists. Finally, the approaches to implementation taken in the hospitals studied were found to influence those taken by other hospitals. Overall, this study makes three important contributions. Firstly, it extends Barley’s (1986, 1990) research by explicitly demonstrating that the organization’s internal and external contexts together shape the implementation and use of technology, that the processes of implementing and using technology impact upon roles, relationships and networks and that a role-based approach alone is inadequate to examine the outcomes of deploying an advanced technology. Secondly, this study contends that scalability of technology in the context of developing countries is not necessarily linear. Finally, this study offers practical contributions that can benefit healthcare organizations in Malaysia

The influence of organizational culture on the outcome of an IS implementation

A number of information system (IS) studies have adopted organizational culture (OC) theory to investigate IS implementations. The studies highlight that members will reach consensus or agreement in the use of an IS but also experience inevitable tensions and ambiguities in the use of the IS. However, literature related to IS implementation/OC has rarely examined the influence that the saliency of specific cultural practices may have on the success or failure of IS implementations. Using a case study approach, we adopted the “soft positivism” research philosophy to collect data, underpinned by Martin’s (1992) integration and differentiation perspectives of OC to study organizational implementation of an IS. These perspectives served as interpretive lenses through which to explain how members’ salient behaviors towards an IS evolved during the implementation process. Our study augments the IS implementation/OC literature by demonstrating how salient cultural practices influence the outcome of IS implementatio

Addressing the Quality and Safety Gap Part II: How Nurses Are Shaping, and Being Shaped by, Health Information Technologies

Explores the role of health information technologies (HIT) in improving patient safety and the role of nurses in designing, implementing, and educating clinicians to use HIT, including electronic health records and bar code medication administration

Hospital information systems implementation framework: critical success factors for Malaysian public hospitals

The delivery of high quality health services is among the most important government policies in healthcare; it is demonstrated via the significant investment committed to expand the sector. In order to provide quality health services, Hospital Information Systems (HIS) development and adoption has to be initiated; though evidence has shown that implementing HIS is not easy. To ensure continuous successful implementation, the understanding and determination of HIS implementation factors has become a crucial consideration for health providers. This study, instigated to alleviate this problem, identified critical factors that influence HIS implementation and examined structured indicators to measure HIS implementation.Based on the critical success factors (CSFs) and DeLone and McLean’s Information Systems success model, the research study developed an implementation framework comprised of essential elements to guide HIS implementation. In the framework, the DeLone and McLean IS success measures were adapted and presented as a reflective second order factor to capture the multifaceted nature of success. A total of 500 questionnaires were distributed to six public hospitals in Malaysia and 213 were used for analysis. This reflects a high response rate of 42.6 percent. To evaluate the extent of success, the partial least squares (PLS) based structural equation modeling (SEM) approach was employed. The findings of the study revealed that the CSFs in Malaysia differ from studies in developed countries. Three out of seven success factors namely system selection, enterprise-wide communication and team composition proved to be significant. Key implementation factors such as top management support, business planning, project management and change management were found to be insignificant.The study is among the few that have tested empirically an implementation framework in the Malaysian settings; as such, it contributes significantly to theoretical, methodological and practical aspects of research. Theoretically, it established a new classification of CSFs that could influence HIS implementation. This new categorization is a significant effort to provide a practical list of CSFs that allows practitioners to focus on key areas during system implementation.Additionally, the study presents a new model that suggests links or correlations between the CSFs and how these factors should be implemented.With regard to research methodology, the study collected data from Malaysian public hospitals having a Total Hospital Information System (THIS) implementation; the type of data is rare considering the complex procedures involved. Also, the quantitative approach employed is suitable to attest the effectiveness of the implementation model. This study also utilized the SEM component-based or PLS analysis for assessing the implementation model. At present, it is still uncommon to find HIS implementation studies that utilize PLS analysis in Malaysia.In terms of a practical contribution, the study provides guidelines for managers in decision-making and planning future HIS implementation. The risks of failures for HIS implementation could be reduced as the study also proposed the approach on how the CSFs should be implemented. Most importantly, this study has established a model that could assists practitioners and researchers in understanding the implementation process of HIS, specifically for Malaysian public hospitals. Additionally, its contribution can be used in analogous domains such as information systems (IS), enterprise resource planning (ERP) and enterprise systems (ES)