Challenges in the Implementation of Hospital Information Systems in Malaysian Public Hospitals (original) (raw)
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Implementation Differences of Hospital Information System (HIS) in Malaysian Public Hospitals
Hospital Information System (HIS) is important to healthcare sector especially in public hospitals as they need to serve the public with high-quality healthcare treatments. HIS helps to improve patients care services. Thus, the Malaysian Government has introduced three (3) categories of HIS namely Total Hospital Information System (THIS), Intermediate Hospital Information System (IHIS), and Basic Hospital Information System (BHIS) among Malaysian public hospitals. However, only 15.2% of the Malaysian public hospitals are implementing the system. Moreover, there is limited number of empirical studies on HIS implementation in Malaysia. Thus, this paper aims to investigate issues and challenges in HIS implementation for each category of HIS by using in-depth interviews. Nine participants were involved in the interviews. The interview data were transcribed verbatim and analysed based on Content and Thematic Analysis using NVivo software. The results showed that different category of HIS faced different issues and challenges.
AN OVERVIEW OF HOSPITAL INFORMATION SYSTEM (HIS) IMPLEMENTATION IN MALAYSIA
Information system plays an important role in various sectors, including healthcare sector such as hospitals. Hence, the implementation of Hospital Information System (HIS) in Malaysian Public Hospitals is aimed to improve the quality of public healthcare services especially in terms of enhancing patients’ satisfactions and patient record management. However, not all public hospitals in Malaysia have embraced the use of the system. Thus, this paper discusses an overview of HIS implementation at Malaysian hospitals based on previous studies done in this area. Prior to the discussion, several components and types of HIS are explained in general. Furthermore, benefits on HIS implementation are also being described to emphasise the importance of HIS implementation in Malaysian Public Hospitals which is recognising the reasons to implement the system in Malaysian Hospitals.
2015
Total Hospital Information System (THIS) is a project by the Ministry of Health (MOH) of Malaysia that provide a complete and comprehensive Hospital Information System (HIS) by establishing integrated electronic information handling and processing in a hospital by means of Information and Communications Technology (ICT). Implementation of such rigorous system in a complex organization such as health services involves many challenges, and if they are not tackled appropriately, the system may fail and reject by the user. This paper analyzed and discussed on a few major challenges faced by the MOH on their implementation of THIS at 13 government hospitals nationwide. The challenges include digital gap, knowledge and skills, system quality, redundancy and data abundance. Initiatives taken to address the challenges were explained and some suggestions were also introduced. Furthermore, the article look into the future prospective of the system, on how the system could benefit further whic...
Journal of Pharmaceutical Sciences and Community, 2021
The Indonesian government has mandated using the Hospital Information System (HIS) since 2013. Until now, not all hospitals in Indonesia have implemented HIS, however. Some barriers have prevented them from applying HIS. This study explores the opportunities and barriers regarding implementing the Hospital Information System (HIS) in Indonesia through a public hospital case study. This study applied a qualitative approach. The approach used interviews to gather data using a pre-tested interview guideline. The guideline used several constructs to structure the questions, i.e., predisposing, enabling, reinforcing, barrier, and projected behavior. Participants were different types of HIS users in the studied hospital, i.e., physician, nurse, pharmacist, administrators, laboratory personnel, and Information Technology (IT) personnel. Data were transcribed verbatim and analyzed thematically. The interviews involved twenty-one participants. Nine themes describe HIS implementation challeng...
Adoption of Hospital Information System (HIS) in Malaysian Public Hospitals
Procedia - Social and Behavioral Sciences, 2015
Hospital Information System (HIS) is important to be adopted by the hospitals to improve their operations and services. Despite their importance, only 15.2% of Malaysian Public Hospitals implemented the system through THIS, IHIS and BHIS categories which shows low adoption level of HIS in Malaysia. This study aims to identify factors affecting the HIS adoption across different categories of HIS's hospitals. The finding showed that there are significant differences between factors affecting HIS adoption in the THIS compared to IHIS's hospitals, and THIS and BHIS's hospitals. However there is no significant difference among factors between IHIS with BHIS's hospitals.
Journal of Evaluation in Clinical Practice, 2019
Objectives: The objective of this study was to identify the factors influencing workarounds to the Hospital Information System (HIS) in Malaysian government hospitals. Methods: Semi-structured interviews were conducted among 31 medical doctors in three Malaysian government hospitals on the implementation of the Total Hospital Information System (THIS) between March and May 2015. A thematic qualitative analysis was performed on the resultant data to deduce the relevant themes. Results: Five themes emerged as the factors influencing workarounds to the HIS: (a) typing skills, (b) system usability, (c) computer resources, (d) workload, and (e) time. Conclusions: This study provided the key factors as to why doctors were involved in workarounds during the implementation of the HIS. It is important to understand these factors in order to help mitigate work practices that can pose a threat to patient safety.
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.
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...
Implementation of Hospital Information System in Indonesia: A Review
Systematic Reviews in Pharmacy, 2021
Objective: The government of Indonesia has mandated the use of the Hospital Information System (HIS) since 2013. Previous research has revealed the various factors of success and failure of HIS implementation in Indonesia. This variation is due to the uniqueness and characteristics of each hospital. Therefore, this review aims to provide a clearer picture of Indonesia's HIS implementation's main factors. Methods: This review included literature in the area of interest. i.e., the HIS implementation in Indonesia, which was published from 2009 to 2019. The literature was searched within the Indonesian and international databases through their websites. The article selection was conducted by two researchers independently, using these two inclusion criteria, i.e.,1) original and peer-reviewed research, 2) research investigating HIS's implementation involving a case study at a hospital in Indonesia, 3) articles are in the national language (Bahasa Indonesia) and English, 4) fu...