IT Governance design for Hospital Management Information System case study: X hospital

Author(s):  
Wervyan Shalannanda ◽  
Rifqy Hakimi
2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Lakshya Arora ◽  
Feroz Ikbal

Purpose Mumbai needs to be transformed into a world-class city as stated in the 2005–2025 development plan of Municipal Corporation. For this initiative, hospital management information system (HMIS) has to be implemented across 400+ health facilities in the city. Design/methodology/approach A case study methodology was adopted to study HMIS implementation. Wave 1 of Phase 1 implementation of HMIS is carried out as a pilot project at Film City’s Hospital, Mumbai, which “go-live” on 21st June 2018. The work for hardware and software implementation was awarded to HardSystems and Solutions Limited and SoftSolutions India Private Limited, respectively, through e-tender. Findings Provision of inadequate quantity of hardware, slowness of network or system, non-satisfactory training after observation confirmation and sign-off process, lack of data entry operators, mismatch in numbering systems in blood bank and many other challenges concerned with the specific departments had become a major impediment in the efforts to maximize number of patients registered into HMIS. Practical implications Even after providing many clinical and managerial benefits, being the first cloud-based centrally located HMIS in any of the hospitals in the city, it imposes a major challenge for the management in terms of resistance of employees toward technology and need for the adoption of theoretical models for implementing change for the overall organizational development. Originality/value To the best of the authors’ knowledge, no other teaching case study is conducted to study the HMIS implementation in large-scale public health-care services. This is a dummy case study for teaching exercises. The identity of the stakeholders, organizations and events has been masked to maintain confidentiality.


Author(s):  
Philippe Lorino

Pragmatist inquiry involves a group of inquirers who face a break in their experience and pursue existential motives. They must continuously build reciprocal intelligibility. The felicitous outcome requires reciprocal trust, transforming the group of inquirers into a temporary community. The community dimension of inquiry is illustrated through a case study: the implementation of an integrated management information system in an electricity company. It identifies the roles of two types of communities: communities of practice, characterized by common practice, and communities of inquiry, characterized by the diversity of practices but an agreed general concern. The concept of community of inquiry was initially sketched by classic pragmatist authors and later developed by organization scholars, particularly in the field of public management. It is related to Follett’s view of “group organization” as the basis of democratic life and Latour’s concept of “matter of concern.”


Repositor ◽  
2020 ◽  
Vol 2 (12) ◽  
pp. 1585
Author(s):  
Brima Helpiono ◽  
Wildan Suharso ◽  
Evi Dwi Wahyuni

AbstrakTeknologi Informasi (TI) telah berkembang sangat pesat sehingga kebutuhan yang sangat penting saat ini, tidak terkecuali bagi perusahaan, instansi maupun lembaga. Rumah sakit menerapkan TI dalam bentuk sistem informasi manajemen tumah sakit atau juga disebut SIMRS. Dalam menyelenggarakan SIMRS, COBIT (Control Objectives for Information and Related Technology) merupakan kerangka kerja yang sangat direkomendasikan untuk melakukan tata kelola TI, hal itu disebutkan dalam bab empat mengenai tata kelola pada lampiran peraturan menteri kesehatan nomor 82 tahun 2013 tentang penyelenggaraan SIMRS. Saat ini, RS UMM belum menggunakan COBIT untuk tata kelola TI, terutama dalam menganilisis tingkat kematangan dari SIMRS yang sudah diterapkan. Pada penelitian ini, penulis mengukur nilai tingkat kematangan SIMRS yang ada di RS UMM menggunakan proses TI pada COBIT 4.1 diantaranya PO8, AI2, AI3, AI5, DS3 dan DS5. Hasil tingkat kematangan SIMRS UMM saat ini berada pada tingkat tiga (defined) dengan nilai rata-rata 3,02 yang artinya secara umum prosedur SIMRS UMM sudah distandarisasi dan didokumentasikan. Berdasarkan hasil tersebut, penulis memberikan rekomendasi yang mengacu pada framework  COBIT khususnya untuk mencapai tingkat empat (managed and measurable) yaitu pihak pengelola perlu mengawasi dan mengukur kepatutan SIMRS UMM serta mengambil tindakan jika terdapat proses TI yang tidak berjalan secara efektif.AbstractInformation Technology (IT) has grown so rapidly that the need that is very important at this time, not least for companies, agencies and institutions. Hospitals apply IT in the form of management information system of hospital or also called SIMRS. In organizing SIMRS, COBIT (Control Objectives for Information and Related Technology) is a highly recommended framework for IT governance, it is mentioned in chapter four on governance in the attachment of Minister of Health Regulation No. 82 of 2013 on the implementation of SIMRS. Currently, UMM Hospital has not used COBIT for IT governance, especially in analyzing the maturity level of SIMRS that has been applied. In this study, the authors measure the maturity level of SIMRS in UMM Hospital using IT process in COBIT 4.1 such as PO8, AI2, AI3, AI5, DS3 and DS5. The maturity level of SIMRS UMM is currently at the level of three (defined) with an average value of 3.02 which means that UMM's SIMRS procedure is generally standardized and documented. Based on these results, the authors provide recommendations referring to the COBIT framework in particular to achieve level four (managed and measurable) that the manager must monitor and measure the merits of SIMRS UMM and take action if there is an IT process that is not running effectively.


Hospital Management Information System (HMIS) was a proficient tool to improve the quality of care by increasing the services effectiveness and efficiency in hospital. Unfortunately, the utilization of HMIS in developing countries was yet to be maximized when compared to that in developed countries. This study aimed to identify the critical success factor in implementing HMIS through SWOT (Strength, Weakness, Opportunity, and Threat) analysis. SWOT analysis is a powerful approach for evaluating the strengths and weaknesses of an entity from internal perspective, as well as the opportunities and threats from external perspective. The analysis showed that HMIS have the ability to provide more accurate data, timely available, faster documentation retrieval compared to paper-based system, and those considered as the HMIS implementation strengths. Competition in the hospital industry and government policies open the opportunity for immediate implementation of HMIS. Despite the benefits from implementing HMIS, the transition from the old to the new system has been rather slow. The hospital readiness from extra funding need, lack of skilled personnel, inadequate infrastructure to support system were a form of HMIS implementation weaknesses. External factors such as existing culture, technologies providers which underestimated healthcare complexity, also lack of communication and collaboration across organization became an obstacle that threatens HMIS implementation.


2019 ◽  
Vol 4 (2) ◽  
pp. 420
Author(s):  
Rumiari Rumiari ◽  
Wahyudi Wahyudi ◽  
Muhammad Chiar

<strong>Abstract<em>.</em> </strong>The management weakness of facilities and infrastructure in implementing the application of the State Property Management Information System (SIMAK BMN) is the cause of lack of optimal management of facilities or infrastructure or the application of SIMAK BMN by the school principal in empowering education staff and stakeholders within the madrasa. The purpose of this study was to describe the management of application-based infrastructure and State-Owned Management Information System (SIMAK BMN). The approach used in this study was qualitative research with a type of case study research. The stages in this study consisted of field, field and data processing. Data analysis takes place together with the process of collecting data, reducing data, presenting data, and drawing conclusions/verification. The results obtained in this study were (1) Planning of facilities and infrastructure made by madrasas provides an overview of the planning of needs achieved in the purpose of education; (2) Organizing application-based facilities and infrastructure SIMAK BMN in  MTsN 1 Singkawang shoed a positive tendency to implement mechanisms, tasks and organizing functions that are conveyed to all teachers; (3) The implementation of SIMAK BMN application-based facilities and infrastructure at MTsN 1 Singkawang showed a tendency to be less than optimal; (4) Monitoring of application-based facilities and infrastructure SIMAK BMN at MTsN 1 Singkawang showed the tendency to carry out internal reconciliation, external reconciliation and pertangungjawban through semester reports. Therefore, it can be concluded, the management of facilities and infrastructure based on the application of the State Owned Management Information System (SIMAK BMN) at MTsN 1 Singkawang was an attempt to curb the recording of application-based infrastructure through the management of Property Management Information System functions. Country (SIMAK BMN).


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