Situational analysis – Implementation of Hospital Information System (HIS) in university hospital – KDU (UHKDU)

Fernando, Lalan, Wikramanayake, Gihan, Sahama, Tony, & Edirisingha, Kithsiri (2016) Situational analysis – Implementation of Hospital Information System (HIS) in university hospital – KDU (UHKDU). In 9th International Research Conference: Professional Integration for a Secure Nation, 8-9 September 2016, Colombo, Sri Lanka. (In Press)

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Abstract

A computerised Health Information Management System (HIMS) provides timely availability of health information, thereby improving quality of healthcare decision-making and patient’s safety whilst optimising healthcare expenditure. Though implementation of HIMS in developed countries has commenced several decades back, HIMS in the Sri Lankan healthcare industry is still in its early stages. The role of the institutional environment, which includes cultural beliefs, normative frameworks and regulatory systems in implementing information systems, has been documented. Implementation of the Health Information System (HIS) in an isomorphic manner within an institution influenced by three main forces namely: mimetic, coercive and normative forces. On the other hand, the 10 Golden Rules of implementing HIS (GRHIS) namely: Leadership (political, organisational and technical); Active clinicians involvement; Reliable, rapid and flexible infrastructure; Competent health informaticians and professionals; Robust project management; Commitment to standards and certifications; Performance measurement and transparency; Comparative culture and feedback; Commitment to privacy and confidentiality; Acknowledgment on Patient involvement can be considered as a set of measurable indicators which can predict the successfulness of implementing HIS. This paper attempts to discuss how the organisational structure and administrative framework of KDU can influence the implementation of HIMS in University Hospital Kotelawala Defence University (UHKDU) using the 10 GRHIS and institutional theory. Availability of funding for the initial 3 years of the project is a key advantage. Comparatively rapid decision making processes, ability to have direct communication with the key administrative personnel involved in decision making, ability to adopt UHKDU specific policies and Standard Operational Protocols (SOPs), availability of reliable IT infrastructure and highly motivated young staff with very positive attitudes towards HIS and minimum influences from the trade unions are some of the other identified factors which can positively influence the implementation of HIS in UHKDU.

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ID Code: 99608
Item Type: Conference Item (Presentation)
Refereed: Yes
Additional URLs:
Keywords: HIS, institutional theory, KDU, implementation
Divisions: Current > Schools > School of Electrical Engineering & Computer Science
Current > Institutes > Institute of Health and Biomedical Innovation
Current > QUT Faculties and Divisions > Science & Engineering Faculty
Copyright Owner: Copyright 2016 [please consult the author]
Deposited On: 28 Sep 2016 22:42
Last Modified: 02 Oct 2016 19:21

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