Challenges of Setting Up Hmis

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Challenges of setting up hospital management

information system (HMIS) in Pakistan:Pakistan Institute of Medical Sciences

Dr. Haroon KhanChief HMIS


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s s a s an


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Short history of

(PIMS) computerization

Process of computerization started in 1993 in Dept

of Patholo .

Dept. own initiative and finances

Software develo ed and maintained b rivate

software house.Extended to other parts of the hospital later but as

each dept own initiative.

In 2005 Ministry of Information Technology (MoIT)and Ministry of Health (MOH) approved funds for thisproject for purchase of Hardware, networking and

.

Contd..


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Short history of Pakistan Institute of MedicalSciences

Hospital Management Information Systemept. esta s e 12 sta mem ers

Hospital staff trainedPresently 450 active nodes, 14 integratedmodules

eg s ra on e-cen ra ze . pa en sregistered per day in Out Patient Department (OPD)

Stores and wards admission/discharge is

Problem

,


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Financial problems of

Hospital computerization

Process of acquiring funding from the Government of

.

Ministries, Ministry of Health (MOH) andMinistry of Information Technology (MoIT) is a

daunting task

Ownership and commitment by the end user is acrucial factor for the acquisition of finances


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Finance document Government of

Pakistan


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Technical problems

Reasons com uterization ro ects fail:

Poorly developed, implemented or maintained

software, lack of commitment, ownershi or lackof resources

GOP does not want to be involved in the

development and maintenance of softwaresresource constraints, and commitment issues

Private vendor has the source code. End user is

always under pressure of the vendor

eve opmen o so ware s an on go ng process asthe end user familiarity increases his demands for


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Hardware

Hardware maintenance and service contract are.

long slow process, this leads to frequent

breakdowns and end user frustrations

Hardware back u s are not rovided in time b the

vendor causing problems in providing uptime.

Technical support by the vendor is also weak due to

non availability of highly trained technical people

Unreliable electricity.


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Staff Training


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Hospital Management Information

ystem eam


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Management issues

Complex interaction between PIMS, MOH and MoIT

End user MOH. Funds and services rovider MoIT

Both de ts. have to be satisfied

These roblem dealt at PIMS b the PIMScoordinator


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Federal Govt. Hospitals

End users want to develop their own software

Multiple soft wares:

,

soft wares, source code custodian

racy ssues

eg s a on no e ec ve


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equipment and between hospitals in the city,

, ,

web based software, HL7 compliant/ compatible

standardization


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Current computerization efforts

Some successful computerization models in private

sec or, mos y sma sca e.

Reasons for successPrivate company, own rules and regulation, authority

for hirin and firin of staff

Output based incentives for staff

,

management transparency and patient care

Computerization in public sector is slow

Reasons for slow progress: Commitment and

ownership issue. Bureaucratic hurdles and noincentive for bringing change


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Telemedicine & HMIS

Concept paper for establishing Tele Medicine Centerat PIMS developed

Collaboration for Telemedicine between Ministry ofScience and Technology (S&T) and PIMS

Novel idea as expertise from two different Govt.Ministries is being utilized to provide tertiary careea t ac ty to rura areas

S & T will provide technical support andmaintenance of telemedicine equipment,

.

Contd..


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doctors from various specialties. Doctors will be

erformin this dut as art of their routine dailwork

Issues

Availability of reliable electricity at rural centers

center

Cost benefit analysis


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GOP through MOH is very keen to develop National

Hospital standards leading to accreditation

One of the perquisites of such accreditation is the

documentation and availability of reliable andretrievable data

HMIS is the answer to this problem especially ins r c an e era osp a s


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Documents

Challenges of Setting Up Hmis