Barriers and Success Stories During the Implementation of Hospital Information Systems in Greek Hospitals (original) (raw)
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Developments in Hospital Management and Information Systems
Hospital management and business processes in hospitals have changed considerably over the past twenty years, as did the use of hospital information systems. In this paper a 'stages of growth' framework is developed and used to describe the relations between types of hospital management and the use of hospital information systems over time. In this paper the framework is applied in a case study of a large general hospital in the Netherlands. It was found that the use of IS in this hospital did not develop according to the needs and developments in the hospital organisation over the past decade.
Assessment of hospital information systems implementation: a case study
Studies in Health Technology and Informatics, 2011
The use of integrated Hospital Information Systems is related with many benefits for the healthcare system, increasing the effectiveness of the provided services and assuring quality of care. Aim of this study is to investigate the types of Information Systems, the level of integration and the problems identified during the implementation phase, in three public hospitals. The above are expected to contribute to the understanding of the organizational, human resource and technical factors related with the successful implementation of a hospital IS. In order to investigate those elements, an assessment questionnaire was developed and completed by nine hospitals IT employees of the three hospitals. In addition, open interviews were organized with the same employees to further formulate an overall aspect, while in one hospital case, observation and discussion with four different categories of involved staff was undertaken. It was found that the implementation problems are mainly related with the underfunding, inadequate use of standards, lack of skilled IT experts, insufficiently trained personnel and users' reserve. The problems may be tackled with a supportive hospital administration committed to the successful implementation. The external contracting company working on its own, without any participation of the hospital IT department seems to be a failure recipe. It is evident that an active management support and skillful hospital IT employees, are expected to result to success stories during the implementation of integrated hospital information systems.
Introduction to hospital information systems
International Journal of Clinical Monitoring and Computing, 1987
The phrase, 'hospital information system', is frequently used in discussions about the flow of information throughout a hospital with the assumption that everybody has the same concept in mind. Closer examination shows that this is not necessarily the case. The author draws on his experience as the Chief Information Officer at University Hospital at Stony Brook to define a hospital information system in terms of the implementation at Stony Brook. The University Hospital Information System at University Hospital (UHIS), has received international acclaim and was recently selected by the IBM Quarterly of Australia as the world leader in hospital information systems. This paper answers four questions: 1. What is a hospital information system? 2. How does a hospital information system work? 3. How do you implement a hospital information system? 4. After the system is operational, where do you go, e.g., critical care data management, physician's office management? University Hospital at Stony Brook is located on eastern Long Island and is the tertiary care referral hospital for approximately 1.4 million people. Nothing in the hospital happens without computers. Doctors, nurses, administrators and staff at all levels rely on the system daily. The system operates 24 hours per day, seven days per week. Access to the system is through 300 terminals and 128 printers throughout the hospital. In addition to the UHIS terminals, the critical care management system which is called Patient Data Management System, (PDMS), is available at over 90 ICU beds and in the operating rooms.
Proceedings of the 11th CONTECSI International Conference on Information Systems and Technology Management, 2014
Region in Bulgaria with a focus on IT implementation. Our intention was to assess the penetration level and the key management issues during the process of information systems and technologies (IST) implementation in hospitals. To meet these goals we conducted a study using prospective questionnaire provided by GESITI project. The results helped us to summarise the challenges in IST management as well as to identify the critical points during the IST implementation in Bulgarian hospitals. Several recommendations and implications for future research were defined at the end of the study. RELATÓRIO TÉCNICO DE PESQUISAS DO PROJETO GESITI HOSPITALAR PROJETO GESITI/HOSPITALAR. RELATÓRIO TÉCNICO DE PESQUISAS DO PROJETO GESITI HOSPITALAR. PROJETO GESITI/HOSPITALAR: VOLUME I, ANO 2014. Periodicidade da Publicação: Irregular. 2 RELATÓRIO TÉCNICO DE PESQUISAS DO PROJETO GESITI HOSPITALAR PROJETO GESITI/HOSPITALAR.
Hospital information systems: perspectives on problems and prospects, 1979 and 2002
International journal of medical informatics, 2003
Purpose: To assess progress made in hospital information systems (HIS) since 1979, when the forerunner of the International Medical Informatics Association Working Group on HIS first met. Methods: A review of the recommendations made in 1979 identified core concerns, which were analyzed in light of the state of the art in 2002. Results: Despite significant changes over the years, the underlying concerns identified in 1979 are still valid today. In 2002 as in 1979, HIS must be integrated into the hospital's organizational structure; financial and economic benefits depend upon using technology as an enabler of improved clinical outcomes; and education and training remain critical to the successful use of technology solutions. The tools available for addressing these concerns have changed enormously. Where there were dumb terminals, there are the World Wide Web and handheld devices. As a result, we are raising our expectations and changing the terms of our discussions. Today the focus is shifting to patient safety, decision support, and evidence-based practice; the concerns voiced in 1979 have become medical informatics cornerstones. New tools and new approaches now available can improve the quality of care. Using them appropriately requires careful planning and education for patients as well as healthcare professionals.
A classification framework for clinical information system implementation in hospitals
International Journal of Organisational Design and Engineering, 2012
In the last decade, many information system (IS) implementations took place in the healthcare organisations. Mainstream reasons for this evolvement are the increase of quality and safety of care, and reducing costs. As in many other sectors IS implementations in healthcare are complex, and confronted with many types of difficulties that significantly hinder achieving the objected benefits. So far, a number of systematic overviews and classifications of critical success factors (CSFs) have been available for IS implementation in healthcare, but a CSF framework specifically for clinical information systems (CISs) in hospitals does not exist. This paper provides such a framework, validates it, and translates it into a practical contribution for IT project managers in hospitals.
International Journal of Research Foundation of Hospital and Health Care Administration, 2016
Introduction Hospital information system (HIS) is a key managerial tool for any hospital administrator. It gives him all requisite information online, wherever he is and whatever he is doing, so that he can apply timely interventions and set the things right and thereby take care of patient safety, quality improvement, and also minimize litigation problems in the hospitals. After the initial introduction of HIS into the organization, the key findings were that the entire hospital operations are HIS driven. From the registration and admission of the patient, to the discharge summary generation of an inpatient, the entire process is guided by the HIS. It was found that the HIS is billing-centric, i.e., the HIS use pathway begins only when the registration fee is billed and the unique health identification number (UHID) of a patient is generated. The main HIS modules under study are the Ward module and the Physician module. After conducting a utilization study using a structured questi...
JISTEM Journal of Information Systems and Technology Management, 2011
The goal of this work is to present an overview of the use and development of health information systems (HIS) reporting the experience of the information management department of a public hospital. Recently, the implementation of HIS has received great prominence. The patient's improvement process can be enriched with the introduction of the patient's history by electronic means, among other technologies. A descriptive study with interviews conducted between the years 2004 and 2007 provided the experience obtained by the Center for Information and Analysis of HC-FMRP-USP. It can be concluded that the success of the HIS implementation can lead to cost reduction and improve the work quality of health care professionals as well as patient care services.
Challenges in the Implementation of Hospital Information Systems in Malaysian Public Hospitals
2017
Hospital Information System plays a significant role in supporting healthcare organization to improve their clinical processes, control cost and respond to the demand for quality care. Despite its importance, the level of implementation of such system in Malaysian public hospitals is still very low due to various issues. This papers reveals the findings from a study at four hospitals in the Northern Region of Malaysia. Data were collected from series of in-depth interviews involving eleven key personnel of the selected hospitals, and were analyzed using interpretive analysis approach. The analysis revealed four categories of challenges which are associated to human, technology and infrastructure, software limitation and support.