1. BACK GROUND
Neema HOSPITAL is situated along Thika road with a very large patient capacity. This number is increasing at a rapidly with each passing day. The Management of the hospital is concerned with the increasing effort in keeping the records of the patients and recording their activities (done manually).
The Hospital has been dealing with outpatient and later advanced to inpatient. IT maintains full information of both the indoor and out patients for the purpose of future retrieval. Doctors who handle patients are regular employees of the hospital and sometimes external doctors can be hired to handle complicated issues. For this reason the hospital needs to maintain its records of Doctors separately along with records of other
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5. LITERATURE REVIEW
Introduction
The purpose of writing this literature review is to find out how hospital management systems in various hospitals work and compare it with Neema hospital management system. CASE STUDY – TANAKA HOSPITAL
BACKGROUND INFORMATION
Tanaka hospital is situated in Busia in Western Kenya. On average, around 500 patients per day tend to visit the hospital, resulting in large queues. With such a diverse range of services offered.
Tanaka hospital needed to implement a Patient Management solution.
The Challenge
The challenge was the fact that many patients, particularly those who travel long distances to visit the department, tend to arrive hours before their scheduled appointment, further adding to the existing queues.
Patient visibility was a further challenge; with staff time wasted searching for patients through manual records.
Functionality of the new
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Under the development of a system, a methodology refers to the process will be taken to ensure that a system is effectively and efficiently developed. In designing Neema management system, the following system development methodology will be used.
Interviews
A planned meeting during which the interview obtains information from the interviewee.
Questionnaires
This is a data collection technique that will used in areas with dense population as it will save time and money while collecting a huge amount of Money. It will comprise of very easy questions answers being yes or no, and other small issues. This will help us get the general overview of activities that transpire in Neema hospital.
Research:
A research will be carried out all over including the web on existing systems that are already there in the market and we will be able to know where exactly to start from and improve on what they miss .The information gathered will be highly appreciated.
System Development Lifecycle
PROTOTYPING MODEL
It refers to the activity of creating prototypes of software applications, for example, incomplete versions of the software program being developed. In my case we will use Evolutionary
Improving Coordination of Patient Services and Access Supports a lean efficient operation ideal for staff collaboration and enhanced patient satisfaction We would assess patient demographics and compare As more and more patients demand seamless access to care and value-based care, we will work closely with you in designing and implementing innovative patient access strategies. These strategies will assist in retaining patients within the network of clinics, expanding market reach, and increasing patient engagements. c. Physician, Staff, and Administrator Alignment
Based on the information provided determine the priority order in which the clients should be seen and the reasoning behind the nurse’s
The bedside nurse manages writing and updating the whiteboard each day using a templated board, the displayed information includes day and date, the names of the patient, bedside nurse, and primary and attending physician, family member 's phone number, diet, pain management and mobile numbers for Nurse, Charge Nurse and Nurse Assistant. This simple strategies is driving our thresholds to our benchmarks at an accelerated
Saving the staff and the patient the time the history takes in office so when the patient shows up for the
This will help reduce the waiting time, and improve the quality of the hospital’s service. In 2008, Euro Health Consumer Index (EHCI), Switzerland scored 187 points out of 200 in hospital waiting time. This score tied with Albania, Belgium and
However, the metric indicate that aspects such as consumer convenience and efficient handling of the patients have been noted. On the other hand, most of the employees are developing resistance towards the new system due to the high level of accountability required. The report therefore looks into the suitable decision that the hospital management should consider. What are the key decisions that have to be made at GGH?
% of patient with staff visit hourly 88% Remarkable accomplishment in exceeding the hospital and national average matrix, and will continue to build on current system processes. Nurse explain in a way you understand 69.7% A difficult task to accomplish due to the competency level of our customers. However, achievable by speaking in layman terms, understanding and accepting the culture of individuals. Nurse Listen Carefully 74.9%
This detailed design should be easily converted to programming logic. It is at this stage the technology specifications for implementing the solution, logical structure of the application, design of WebPages, database designs etc are finalized. Test plans and test cases for the application are devised at this stage. Implementation phase – 5 weeks This stage involves implementing the design documentation using the technologies and platforms decided .For
Activity 1 highlights the types of staff access available within the hospital, including security access, technology restrictions and the different roles access can alter and how it can affect health information data, which is used for hospital funding, employment, resource budgeting, purchase of information systems and the differing types of treatment provided by the hospital. Hospital data attained from hospital health information systems can often present accuracy problems as errors with admission paperwork, coding information, medication and procedure documentation are often written inaccurately, staff are encouraged to actively minimise and reduce errors with appropriate maintenance, automatic error reporting and access restrictions to
It is given to patients randomly throughout the year, collected by those who receive training in giving the survey. Some questions that are asked are in the category of composite topics which include; nurse communication, doctor communication, responsiveness of hospital staff, pain management, questions about medications, discharge information, and cleanliness of the hospital. This is all done to show the patient the true quality of the hospital, and the general effect on the
In the film, One Flew Over the Cuckoo’s Nest, there are four characteristics of a controlled environment. These include; status hierarchy, depersonalization, adjustment, and institution. Viewers can see these ideas through different scenes and situations in the movie. The overall movie stems from institutionalization, because it is set in a psychiatric hospital, which keeps the patients there confined to a strict environment and schedule. Doctors and nurses look at small traits or changes as something significant, whereas in the real world that small trait would appear as a norm and be overlooked.
The office was quite busy due to the ongoing flu epidemic. Upon arrival, there was one person in the waiting room, five that arrived later, and at least 5 in the exam rooms. Being a doctor’s office, they utilize a combination of prioritization based on the level of illness or injury followed by appointments, then walk-ins. The waiting time to get into a room was 38 minutes or 33 minutes past the appointment time, and several patients that arrived later had already been taken back.
This includes what services are produced and the ways services are produced in the healthcare system. The healthcare system is considered efficient if there is a high number of satisfied patients. This is possible due to shorter waiting times and faster diagnosis and treatment. Therefore an efficiency advantage for the healthcare system due to gatekeeping is the reduction of both cost and unnecessary patients that are seeing specialist, resulting in longer waiting times are therefore later diagnosis and treatment. This reduction in patients will also ensure specialists are able to see more complex cases with more available time.
Julian is able to recognize which patients, and which of the three divisions: gastroenterology, cardiology, and oncology is using more of a variety of resources, since some patients do require more medication, lab work, and therapeutic treatment, based on the patient’s diagnoses. The information from the third system will provide Dr. Julian the ability to recognize and distinguish that not all patients require the same amount of care, some patients due to their diagnosis require different level of nursing care, some more than others. With this third approach Dr. Julian will be able to have a more precise cost of care service given to the different patients based on their necessities. The information provided by both second and third system will provide Dr. Julian with a more efficient way to control costs. She will now able to see the differences in costs among the divisions using the second and third approach.
Healthcare management operates in an environment of aggressive pricing, tough competition, demanding patients, and changing guidelines. To meet this challenges, healthcare management must respond quickly to identify critical system process, recognize relevant resources, access real time information, and analyze the “what if’ cases. There are two applications of computer simulation to healthcare management and operations (1) Applications to healthcare systems at various levels of communities, regions, or other nations which is intended to study the provisions of mental health, public health, health reform, or healthcare reforms with policy implications (2) Applications to specific operations, processes or service in healthcare institutions which includes applications intended to improve facility design, staffing, and scheduling to reduce patient wait times and operating costs. The common objective of these simulations models is to reduce patient waiting times in the emergency department or other settings