1. Implications of Computerizing the Hospital Health Information System
- Noel D Lawas MD -

2. Session Objectives
At the end of the session, the participants should be able to:
Discuss the nature and scope of hospital health information management system
Describe the changing demands in managing hospitals and the emerging role of better information management.
Describe how computerization can improve the efficiency of hospital operations
Discuss the implications of the changes computerization will bring

3. Conceptual Framework Major Functions of Health Care Institutions
Implement Quality Health Service Programs
Management of Organizational Concerns
Management of Health Service Programs
IMPROVEMENTS THROUGH IT INTERVENTIONS

4. Historical Perspective – Then and Now
Implementing Quality Health Service Programs
Then
Grand Rounds
Clinico-pathologic conferences
Case conferences
Pre-operative conferences
-> Greater reliance on experts’ advises
Now
Clinical Pathways/ Clinical Practice Guidelines
Nursing Practice Guidelines
PhilHealth Quality Standards of Health Care
Continuing Quality Improvement
-> Greater use of information

5. Historical Perspective – Then and Now
Management of Health Service Programs
Then
Hospital Directors are dominated by doctors
Decisions mostly based on advises and/or past experience of managers
Collaborations between operational units are minimal
-> Hospital service programs operate independently
Now
Hospital Directors are required to have MHA
Chief Nurse are required MA Nursing
Competitions between hospitals have forced hosp to go into strategic planning
Increase number of computerized hospital equipment
-> Need for greater synergy between hospital service programs

6. Historical Perspective – Then and Now
Management of Organizational Concerns
Then
Manual system of providing service and transacting business
Mechanical performance of work
Waste of resources is high
Delays in completion of tasks
-> Workers have become used to delays, inefficiencies and performing tasks automatically
Now
Computerization is acceptable if it will immediately lighten their work load
Use of computers is mostly for wordprocessing, discreetly playing games, play music while working and if with internet connection, connect to Friendster, , facebook, etc.
-> Wrong way to implement computerization

7. Lessons and Implications From History
In general, employees are resistant to change.
Resistance are in the form of:
Unceasing complaints
Minimal compliance to changes introduced
Management change creates insecurities to the employees
When management anticipates the nature of resistance and does preventive actions, there is a higher chance of success.
Knowing what changes will result to can help in making the proper preventive actions

8. What Computerization of the Hospital Information System Can Result To
Easier ways of providing service and transacting business through automating parts of a work process
Example of how a work process is automated
Assumption: must know how to use a computer
Ensures complete recording of vital service information
Example of how complete records are ensured.
Assumption: must know how to use the specific software program
Next

9. Example: Providing Ancillary Services Using the Manual System
Next
Example: Providing Ancillary Services Using the Manual System

10. Example: Computerizing the Provision of Ancillary Services
Return
Example: Computerizing the Provision of Ancillary Services

11. Example: Ensuring Complete Recording of Vital Information
Return

12. What Computerization of the Hospital Information System Can Result To
Relieves the workers from performing confusing computations
Example: Issuing charge slip for drug sales
Assumption: The sales clerk has mastered the names of the drugs and supplies in the formulary
Completes work processes faster
Example: Stock Inventory Monitoring
Assumption: All involved application modules should be fully implemented
Next

13. Example: Issuance of Charge Slip
Back

14. Example: Drug Inventory Mgt
Back
Example: Drug Inventory Mgt

15. What Computerization of the Hospital Information System Can Result To
Enhances management’s ability to monitor operations.
Example: Executive Information System of a 25-bed hospital in the Philippines
Example: Executive Information System of a 150-bed maternity hospital in Vientiane, Lao PDR
Basic features of an executive information system
Assumption: Executive directors and department managers are competent to use information for management decision-making

16. Conclusion
Implications of Computerizing the Hospital Health Information System
Implications varies depending on the individual affected by the changes resulting from computerization
Some will welcome it
Others will hate it
But many will fear it…, why?
How about you?