Implementation challenges of hospital information system in super specialty hospital “A case study of PGIMER, Chandigarh”

Author(s):  
B. K. Murthy ◽  
P. K. Srivastava ◽  
A. S. Cheema
2021 ◽  
Vol 18 (1) ◽  
pp. 56-64
Author(s):  
Fabianus Herman Kurnia Agung Widiyanto ◽  
Aris Widayati

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 challenges in this case study, i.e., familiarity, flexibility, empowerment, discipline, facilities, data sharing, quality assurance, pragmatism, and capacity building. Pragmatism could be a barrier, while the other values would be opportunities. These challenges are promising in guiding HIS implementation success. The values found in this study convince that HIS implementation in Indonesia is promising. Those challenges are required to be taken into account to implement HIS successfully.


2014 ◽  
Vol 7 (7) ◽  
pp. 1318-1324
Author(s):  
Negin Karimi Hosseini ◽  
Jan Nordin ◽  
Mitra Mahdiani ◽  
Samira Sadrzadeh Rafiei

Author(s):  
Khuram Shahzad ◽  
Zeng Jianqiu ◽  
Muhammad Azam Zia ◽  
Aliya Shaheen ◽  
Taiba Sardar

2020 ◽  
Author(s):  
Annelies van der Ham ◽  
Frits Van Merode ◽  
Dirk Ruwaard ◽  
Arno Van Raak

Abstract Background Integration, the coordination and alignment of tasks, is widely promoted in order to improve the performance of hospitals. Both organization theory and social network analysis offer perspectives on integration, but studies using a system-wide perspective are rare. This exploratory study describes the tasks that are performed in arranging the logistics for surgery patients in a hospital and in what way the agents involved in these tasks interact. In addition, the extent to which tasks are segmented into subsystems, which is referred to as differentiation, and whether these tasks are coordinated and aligned, thus achieving integration, is analyzed. Methods The study is based on case study research carried out in a hospital in the Netherlands. All logistical tasks that are executed for surgery patients were studied. Using a mixed method, data were collected from the Hospital Information System, documentation, observations and interviews. These data were used to perform a social network analysis and calculate network metrics of the hospital network. Results This paper shows that 23 tasks are executed by 635 different agents who interact through 31,499 interaction links. The social network of the hospital demonstrates both integration and differentiation. The network appears to function differently from what is assumed in literature with regard to hospitals, as the network does not reflect the formal organizational structure of the hospital and tasks are mainly executed across functional silos. Nurses and physicians perform integrative tasks and there are two agents who mainly coordinate the tasks in the network, without having a hierarchical position towards other agents. The Hospital Information System (HIS) does not seem to fulfill the interactional needs of agents. Conclusions This exploratory study reveals the network structure of a hospital. The cross-functional collaboration, the integration found and position of managers, coordinators, nurses and doctors suggests a possible gap between organizational perspectives on hospitals and reality. This research sets a basis for further research that should focus on the relation between network structure and performance, on how integration is achieved and in what way organization theory concepts and social network analysis could be used in conjunction with one another.


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