This document discusses the computerization of hospital management information systems through information technology developments. It covers major areas of IT development like hardware, software, and information systems design. The focus is on using current technologies to improve the effectiveness and efficiency of managing healthcare institutions. Specific areas that can be computerized are discussed, like patient services and management systems. Critical components of developing an integrated patient-based health information system and the organization's management information system are outlined, including conceptual frameworks, recommended approaches, and considerations around database design.

1. Computerization of the Hospital
Management Information System
- Noel D. Lawas M.D. -

2. Current Developments of
Information Technology
• Major Areas of Development
– Computer Hardware
– Gadgets
– Knowledge
– Information Systems Development
• Software Development
• Networking and the Internet
• Information Systems Design and Management

3. Current Developments of
Information Technology
• Major Areas of Development Focus of this
– Computer Hardware Presentation
– Gadgets
– Knowledge
– Information Systems Development
• Software Development
• Networking and the Internet
• Information Systems Design and Management
►►

4. Objective of this Session
• To present the current developments in
the field of Information Systems
Development
• To discuss how the current technologies
can be utilized to improve the
effectiveness and efficiency of managing
health care institutions

5. Conceptual Framework
Major Functions of Health Care
Institutions
Implement Quality Health Service ProgramsManagement of Orga
Management of Health Service Programs
IMPROVEMENTS THROUGH IT INTERVENTIONS

6. Using IT to Improve Quality Health
Service Programs
• Expanding the availability of health library resources
through:
– Available access to the internet (??)
– Full text electronic forms of articles in journals, books and written
educational materials
• Using IT as interventions to improve the quality of health
services
– Telemedicine, teleradiology, telepathology, etc.
– Computerized autoanalyzer for laboratory examination, CT scan…
• Improving communications and health service interactions
between health providers and health service recipients
– SMS, emails, e-groups, electronic discussion groups, etc

7. Scope of Management of Health
Service Programs
• Personal health services
– Hospital-based services
• Patient-based health information system
– Clinic-based services
• Patient consultation information system
• Health programs and services
– Hospital programs
• Pharmacy management information system, etc.
– Public health programs
• Philippine F1 Local Health Information System

8. Management of Organizational
Concerns
• Management systems common to all
organizations
– Billing system, cash management system
– Accounting system, purchasing,
– Budgeting, etc.
• Human resource management information
System
• Strategic performance monitoring system

9. Fundamental Principle #1
• The use of information technology in
management should be viewed as a means of
supporting the improvement of programs and
services of an organization
– Because of this, the objective of using IT in
management should focus on the improvement of
effectiveness and efficiency of services of both
personal health and health programs
– In using IT to improve effectiveness and efficiency,
one should start with the current practices of providing
health services as references for improvement
◄ ►

10. e
Som Areas of Computerization of Patient
Services in a Hospital
• At the OPD
– Patient registration
– Clinic consultation
– Pharmacy services
– Laboratory / X-ray Services
• At the Inpatient Unit
– Admission
– Nursing Care
– Operations and Special Procedures
– Laboratory / X-ray Services
– Pharmacy services
► ►►

11. Common Problem Encountered
• Computerizing separately each hospital
services may result in faster processing
and reporting of each service outputs …,
• BUT, without integration, benefits derived
are limited.
◄ ►►

12. Recommended Approach For
Developing Patient-based Health
Information System
• In computerizing the patient-based health
information system, design the entire info
system by identifying all records/forms
used in providing all available services to
the patient and schematically show how
one record is linked (or related) to the
other records.
• After identifying these records, plan for
developing them in phases

13. Recommended Approach For
Developing the Organization’s
Management Information System
• Develop a conceptual framework that will depict
how the different management processes are
inter-related.
• Select work processes that have been
standardized (i.e. SOP’s are developed and
being implemented) and present heavy work
load to the organization.
• Identify the organization’s performance
indicators and prioritize standardized work
processes that have to be computerized first

14. Schematic Diagram of Linking of
Patient Health Record

15. Example of a Conceptual Framework

16. Sets of Work Processes Under the
Hospital Financial Management System

17. Critical Components of an
Information System in Management
• Hardware – Server(s) and Client Computers
• Network Infrastructure – wired/wireless network
and the internet
• Software
– Server-side: operating system, network services
software (web server, db server, etc.)
– Client-side: operating system, client software and
internet browser
• System Information Model
– Database data model
– Client application model (technical design features)
– Reporting system model

18. Critical Components of the
Database Data Model
• Data Tables – each contain a set of a
specific information record
– Transaction records
• Eg. admission record, lab results report, OR record
– Library records for look-up of specific
information
• Eg. price list of lab examinations, list of doctors
• Developer-defined relationships between
data tables

19. Critical Components of a Client
Application Model
• Functional features
• Data entry/edit,
• Data processing, and
• Reporting
• Mode of communication
• Security features
• Authentication process
• Encrypted network
transmission

20. Thank you !