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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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