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Challenges while implementing the Hospital Management System 

Published By Sanjana
 2018121010:21:11
Category HMS
 

Hospital Management System has been used for decades. Most of the hospitals in India use HMS, but they face particular challenges in implementing it. Among them, technical and human challenges are the complicated factors while implementing HMS.

How can you face the challenges while implementing HMS?

The HMS system helps to manage every piece of information about the patients, like their personal data, comprehensive medical data, and previous medical histories, along with their diagnoses, treatments, investigations, and other medical decisions. Apart from that, HMS helps improve safety and quality and is one of the most affordable options available in the healthcare industry.

Despite their benefits, the healthcare industry faces many challenges. Implementation of HMS still fails in some hospitals due to barriers.

A few Challenging problems that you face while implementing HMS

Human Challenges

While considering human factors include

  • Awareness of HMS's advantages & importance.
  • In general, Experience and knowledge of using computer applications.
  • Impressions and Beliefs regarding HMS and making use of them efficiently.

The researchers in a study have identified three main human challenges that are a barrier to adopting the HMS in healthcare industries.

  • There is a shortage of professional healthcare faculty with in-depth knowledge of HMS and other similar technologies.
  • Poor acceptance of HMS Software.
  • Lack of health informatics professionals capable of establishing and implementing the techniques.

Another few significant problems for unsuccessful HMS implementation include.

  • Healthcare specialists nature,
  • the lack of time allowed for training and learning on making use of the HMS,
  • the lack of healthcare professional support, motivation, and more.

Many studies illustrate that HMS requires more effort, time, and work. There are high chance of HMS slowing down and causing a decrease in productivity.

Technical Challenges:

Other technical challenges that fail the implementation of HMS in the healthcare industry include:
  • Networks and computers have different maintenance problems.
  • Lack of standards for Data entry and retrieval.
  • Difficulties in training users technically to use HMS.

A few tips to overcome Human Challenges

Proceed below to check out a few things you can follow to overcome the human challenges that make HMS implementation tough.

All Medical education programs should include the significance of Hospital management system, its applications, and its advantages. One can improve the awareness of the advantages and benefits of using the HMS with a focused multi-phase approach on any topic. The system can be used from the starting level of healthcare industry schools, and colleges, then with the undergraduate degree, and through various aspects of postgraduate medical education.

Formal training while taking various levels of medical practice and education can improve the knowledge in using a Hospital management system correctly. Many types of research suggest HMS training and teaching needs to be developed and implemented as a subject or course of the postgraduate and undergraduate medical education programs.

Every health information management should include subjects of HMS short courses for medical education programs and healthcare professionals. These programs should be initiated by the health ministry and its formal channels for every healthcare specialist at any healthcare organization and hospital. Apart from that, developing and enhancing self-taught computer science courses in nursing education, medical schools, and postgraduate training is also essential.

It's a good idea to develop both postgraduate and undergraduate specialized programs in Health Information Management, Health Informatics, and Health Information Technology, which increases the number of health informatics specialists and technicians.

Overcoming the negative impressions of HMS's new and experienced staff can be neglected by developing HMS training programs and in-house hospital orientation programs.

You can make the healthcare professional participate and be involved in various stages of system implementation, development, and deployment to improve the healthcare specialists' support.

You can offer the healthcare professional overtime payment, direct and indirect incentives, rewards, bonuses, and more for the hospital departments and sections that implement HMS successfully in a healthcare organization.

Offering healthcare professionals enough time is convenient and suitable for them to learn and train on HMS.

Another good idea is to conduct different exciting training programs for healthcare professionals so that they know about HMS implementation in depth and gain a better understanding.

Here are a few tips to overcome the Technical Challenges

You need to ensure that the HMS commercial providers and vendors are offering the proper user manuals, documentation, troubleshooting, and guidelines for using HMS to the hospitals properly.

Ensuring the working conditions of computers and networks is critical for the software to work better and have fewer maintenance problems. Technical support and hardware maintenance are also significant.

You are upgrading your old communication networks and computers to new ones for enhanced performance.

Make sure you perform every analysis required in depth before the start of the design phase and the implementation phase.

Implementing newer innovations in both hardware and software is required to overcome data entry difficulties.

While considering the software innovations, the system needs to be designed to support structured data entry instead of unstructured one. In the case of hardware innovations, implementing hand-held devices, touch screens, and tablet PCs helps minimize the gap between the recording and data acquisition process and leads to easier accessibility.

Eliminating health information technology and management staff overload can be done by outsourcing a few electronic processing tasks, namely medical transcription of dictating the voice files.

Make sure about the system interface design, and check whether they are understandable and user-friendly.

Data standards usage is one of the crucial steps for source accuracy, quality, reliability, and validation of system data.

Make sure you increase the computer terminal numbers at the point of care.

The above tips will help you eliminate all challenges while implementing your Hospital information management system. Any queries or other information regarding the topics are welcome in the comments section.




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HMS (MocDoc HMS) otherwise known as HMIS (Hospital Management Information System) is a medical informatics solution element that mainly focuses on hospital administration requirements. The HMS is a web-based or computer application that takes care of the complete hospital functionalities. The integrated system can be customized and are developed to control all hospital operations like patient details, appointment booking, billing, drug management, Electronic Medical Record, administration, Patient medical history, inventory management, bed management, revenue management, and so on. 

A Hospital Management System is essential and mandatory for healthcare establishments like nursing homes, rehabilitation centers, clinics, hospitals, health clinics, dispensaries, and more. Some of the top benefits of implementing an HMS are role-based access control, data accuracy, revenue management, appointment booking, overall cost reduction, and data security. 


Benefits of Hospital Management System:

Revenue management: 

A medical center or hospital serves humanity. Apart from that, profit is more important as it is also considered to be a business.  Revenue management is one of the significant elements as it needs the fortune to manage a hospital. Also, it's not possible to track the identical thing with the help of the old-age manual system. An Automated HMS that caters to the needs of the business can help in solving the purpose efficiently. 

It provides accurate and rapid management and transactional reports, which offer a clear view of how your business is performing. What are the debts and interests, pending invoices, and outstanding amounts?

Apart from that, there is also a decrease in the operating cost because of actual operational effectiveness. When processes and systems are automated, there is no need for higher resources to manage the operations. It means the faster break-even point and improved ROI can be achieved easily.


Enhanced decision-making in clinics:

An accurate Hospital Management System ensures that decision-making in clinics is made precise, fast, and useful. With a single view and easy availability of data points, medical support staff and doctors are facilitated.


Obtain the best quality ratings: 

When your clinics or hospital needs to be the top-rated and top-preferred ones by insurance companies, then you must implement a Hospital Management system in your hospital. Insurance companies and medicare companies depend on digital data only when there is an automated system in the hospital.

If your clinic is capable of sending and receiving the information of the patients, and their medical records digitally, then it means your hospital is going to be the highest preference among the patients. An accurate and rapid Hospital Management System stands out at the top among other nursing homes, medical centers, and other hospital competitors. It adds significant value to your hospital and also provides a reputation in the market. 


Nullify every error and track complete details: 

Managing a hospital is not easy, and there are chances for some mistakes to occur. A manual system can ensure 100% accurate processing and foolproof. There are higher chances for mistakes and errors in this case. To eradicate this, the best decision is to install an automated hospital management system that highly nullifies every mistake, and also you can avoid lawsuits and compliance issues, which are considered to be the two most significant drawbacks of hospitals and medical centers. 

Apart from this, tracking the accurate details of staff availability, operational information, and room occupancy can also be readily available at your fingerprint by using the automated Hospital Information System. 


Enhanced data security:

The experts have reinforced and highlighted the fact that hospitals, medical centers, and clinics depend on manual systems. It can lead to higher data leakage and theft when compared to automated ones. Installing a complete and automated HMS indicates that your pieces of information stay safe and protected from any unauthorized sources and accesses. 

Significantly, you make use of the state-of-the-art system with centralized controls. Make sure you are not implementing a standalone home-grown one. There are no chances for errors when an access-controlled system manages everything as the information availability relies on user rights. It's also one crucial reason why hospitals, rehabilitation centers, clinics, trauma centers, and nursing homes make use of the high-quality and automated Hospital Management System. 


Bottom Line: 

The Information Technology advancements in the last few years are high, and there is a revolutionary change, especially in the management and automation system of hospitals. They provide intelligent and accurate management information systems apart from handling the mundane operational staff that is developed by hospital information systems. 

Hospital Management System offers a better-concerted atmosphere between doctors, patients, hospital staff, groups, and managing workflows. The portal solutions are capable of unifying the legal objects, and applications from other portals and also manage multitudes of user requests, which results in reckless information flow between patients, doctors, and staff. 

Eager to know more benefits of implementing a Hospital Management System for your hospitals, clinics, nursing homes, or medical centers? Contact us today!

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Hospitals are rarely a single department entity. They usually span multiple specialties focusing on different treatment areas, such as pediatrics, neurosciences, gynecology, etc.

There are also various departments taking care of the day-to-day running of the hospital, such as maintenance, accounting, billing, operation theatre, and management. Each of these departments consists of many people carrying out various tasks, ranging in complexity from brain surgeries to fixing overhead lamps.

A single organization may have hospitals across multiple locations, making it difficult to manage them all. A hospital management system helps you manage the enormous complexities of efficiently managing the hospital sustainably.
Even though hospitals span several different areas, in the beginning, it usually involves only a few departments and just the primary number of people required to manage them all.

In such a case, a simple management system with the capacity to deal with relatively less data would work. But as a hospital starts growing, incorporating more specialties and treatment facilities, this system may not be able to deal with the massive flow of data.
A hospital management system could make this process much faster and easier.
As the number of departments and employees grows, the management system would also extend to accommodate the conditions created by the growth, thus aiding the development of the hospital instead of being a hindrance.

Scale up - The role of a cloud-based system
A cloud-based online system has many advantages compared to an offline system regarding scaling up. Instead of making changes in all systems in a hospital network, the differences would have to be made only by the software providers. They could easily be updated to add more departments and employees without reinstalling the updated version in all the systems in a hospital. And since the software and its interface remain the same, there is no need to allocate extra resources to train the users.
A cloud-based system would also be much more efficient in the case of hospitals in multiple locations. The data generated from all the hospitals run by the same organization could be integrated and analyzed to improve overall performance. As new sites come up, the software is updated, and the existing management network can seamlessly integrate without additional training.
This option would allow for better purchase decisions, as requirements for the entire chain of hospitals could be understood and remedied in bulk, thus helping make much better business transactions and improving efficiency for the whole network.

Resource management and reduction of wastage :
A sound hospital management system would also help prevent unwanted waste of resources. Efficient management of the various equipment and disposables inventory would cut short the resources otherwise wasted. In scaling up, there is usually an increased wastage of resources due to purchasing excess materials to prevent a shortage. With an efficient system, such wastages could easily be detected and avoided. This option could provide a smooth scale-up from a small hospital to an extensive network without excessive spending.

Scaling up - Understanding the data generated :
A common problem associated with the scaling up of any system is the overwhelming amount of data generated from the various subsystems. Every bit of data has to be analyzed and compiled in a manner that is easy to understand to make correct decisions at every corner. A scale-up could be a headache for a hospital with a large amount of data generated without an adequate system to manage the data.

An efficient hospital management system would make this entire process a cakewalk by managing the data generated in real time smoothly and quickly. In a sound hospital management system, all the data from the various departments regarding all the matters from procurement of materials, human resources, and energy requirements to billing, accounting, and inventory management is compiled and represented in a meaningful manner. 

This leads to a quicker and easier decision-making process and, therefore, a more accessible, smoother, and efficient scale-up.

Management of the extra human resources required for scale-up :
The efficient running of a hospital requires that all the stakeholders play their roles, and to enable this; they should be able to manage their work quickly and intuitively. A sound hospital management system allows smooth work delegation and easy access to the information required for the task.

For example, it should allow a doctor to enter information regarding a patient and their treatment regime and enable the pharmacist to track the inventory quickly. With an efficient system, it would also be able to evaluate the work done by them. Such easy management of the entire workforce, without causing any hindrance to them, but help them with this, would enable the hospital to grow.

In short, a sound hospital management system would make it easier to scale up the hospital network by efficiently managing the resources, avoiding waste, creating an efficient workforce, and better data management. Such a system could provide hassle-free patient care, making everyone’s work much more manageable.

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When searching for software, almost everyone looks for free ones. If you simply type in the name of any random software, you’ll probably see a google autocomplete suggestion “free download”. In some cases, it does make a lot of sense in using free software. Why pay for something when you can get it for free? 

Searches for downloading free EMR software have increased with government legislation mandating their use in hospitals. Let us look into why this is a bad idea.

If you’re not paying for it, you’re the product

As a general rule, nobody ever gives you something for free. As economists would say, “If you’re not paying for the product, you are the product”. In the case of most free software, this is the case. Recently it was found that most of the free antivirus apps in the Google Play store actually did nothing. Their purpose? Probably to collect data from your device. This may not affect an average person very much, but if you’re concerned about privacy, you should probably stay away from these software. And when you’re dealing with a hospital management software, this is a key aspect. Data security is a very important aspect especially when you handle patient data. A data leak, however small has the potential to damage the reputation of your hospital. 

Lack of accountability

A hospital management system has to have certain qualifications that assure you that a particular software can fit your needs. When you purchase a software, it is possible for you to verify if these software fit the criteria. But when you download a software for free, there is no way for you to be sure if these software fit the criteria. And since there is no monetary transaction between you and the software provider, it will be difficult to hold them accountable. 

The lack of accountability will be an issue if the software faces any glitches. If the software crashes, customer support is not provided for the system, and you will be on your own. A software glitch in a free android app may be annoying, and will not cause any huge problems even if is not resolved. In case of a hospital, the software handles sensitive patient information and a software glitch can compromise this data, and with no tech support from the providers, it can cause a lot of problems. 

Upgrades? Nope

As government regulations change, and as the technology improves, you may face the need for a better software. If you’re relying on a free software for very important tasks, such as managing your hospital, you may find yourself stuck with an old software. Free software rarely provide any upgrades for long durations. And when you want an upgrade, you may find yourself searching for a new software, and you’ll have to import the existing data into the new software which will require additional resources. 

The story of the open source software

A commonly trusted free software are the open source software. Ubuntu is an example of an open source software. They are usually made by developers across the world, and their source code is available for free, and you’re free to change or modify the code as you wish. Since the source code is available for everyone, it is unlikely that the software can have malicious intents. And as long as the developers continue to improve the software, it will remain up to date with the required features. Open source software appears to offer a very good deal, and they do, in the case of most of the software. But in the case of a hospital management system, it is never a good idea to use an open source software. This is because of a combination of reasons discussed above. First of all, there are no hospital management software with the kind of community that a software like Ubuntu has. If you face any issues, you’re on your own. In the case of popular softwares, there may be forums in which users can discuss issues, and they may get resolved. But for a hospital management software, there are no such forums, and when you’re managing a hospital, you cannot afford to wait for a solution that may never come. And as we discussed, updates will be available for open source software only as long as the developers are working on the project.

What about the free trials?

If you have been looking for free HMS downloads, you may have come across many SaaS healthcare software companies offering lite or trial versions of their software for free, or maybe the complete version of their software, but for a limited time period. These software are generally secure and will be much more robust than software from other software providers. They may even offer regular updates. But remember that these trial versions are just for that. They will be severely limited in their capabilities, and you will definitely have to upgrade at some point. And the providers may not provide tech support if you’re using the free version. But they do provide an easy way to evaluate a software and if available, they serve as a demo for the complete version. 

Lack of customization

Generally across hospitals, or even across departments, there is no uniform workflow. Each department head has their own workflows, and this is the reason why hospital management systems are highly customized. However such customization is not at all possible in a hospital management system, and if implemented, could affect the functioning of the hospital and may prove to be counterproductive. 


To know more about hospital management software, visit MocDoc Hospital Information System.

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One of the first things that come into our mind before we decide to purchase something, is the cost. Whether it be a Netflix subscription or a new bike, or a business-related purchase, the price plays an important role. While acquiring Hospital Management Software also, pricing is an important factor to be considered. Hospital management software being much more complex than a movie ticket or an automobile, the costs that are involved in it are also a bit more complicated. We have previously discussed the various advantages of using hospital management software. Here let’s break down the costs involved in implementing it.


How the price is determined - The Number of Beds


Cost of a hospital management system mainly depends on the number of beds in the hospital. As a rule of thumb, we can say that the price goes up as the number of beds increase.


So generally as a hospital grows and develops, a need for a system with higher capacity comes up. This in gives you two options; either get high capacity, a non-upgradable system or get a system with the capacity you require, but which can be upgraded for better features. The latter is preferable, as in the former you end up paying for features you may not require currently.


Online or Offline System

Whether the system is online or offline brings up different kinds of expenditures.

Generally for an offline software, the firm that provides the system will simply install the software for a one time fee. The hospital will have to acquire servers by itself and manage its own data, install the cables, network its systems, and generally, have to deal much more into the hardware aspect than online software.  In such cases, extra costs other than the cost of the software itself will come up. Also, a dedicated team for managing the system will be required for general maintenance.

Online systems generally simplify these functions, as the firm providing the system will be dealing with software aspect, as well as most of the hardware aspects(such as servers, etc. Computer systems and other hardware will have to be purchased by the hospital as required). In this case, the system exists like a subscription service, where for an annual or monthly fee, the firm providing the system will maintain and manage the servers and the system. There’s much less hardware to be acquired from other sources. A simple PC connected to the internet can easily access the system. The human resources required from the hospital for maintaining the system is much less.


So in general Online Systems are more cost-effective, especially in the long run.


Implementation Cost


Implementation cost is another aspect to be considered while implementing a hospital management system. If an existing software has to be replaced by new software, the data from the old system will have to be imported into the new system. The cost involved in this, as mentioned above, will depend on the amount of data, calculated as number of beds. If the hospital has been storing all the information in paper format, resources may be needed to enter this data to the system. Implementation costs also involve setting up access for various doctors and departments.


The implementation also requires providing training for various employees, which will be different for different departments. It is important to ensure that the training is included in the implementation cost while choosing the system.


Other Factors


A good hospital management system would offer all the features that are generally required. The software can differ in their level of sophistication, from simple accounting software to software that provides updates patients using an app or SMS. The price can vary according to the level of sophistication. Most software firms offering hospital management software are willing to provide additional features, but this usually comes at an additional price, depending on the resources required


Simple software is easily available for a lower cost, but as the functionalities required increases, the price also naturally increases. 

Another factor that may bring up extra cost is the technical support provided by the companies. All though most online systems get support throughout the subscription period, in the case of offline systems, enquiries have to be made to know if the additional cost may be incurred for support.


As mentioned in previous blogs, the possibility of upgrades has to be considered. Online systems cost less for upgrades, as the hospital expands, and for better features. Considering this, online systems may turn out to be cost-effective in the long run.

Overall, the costs involved could be divided into implementation costs and maintenance cost, both of which are dependant on the number of beds. For an offline software, an annual or monthly software subscription fee have to be considered, which may or may not cover the implementation and maintenance cost.


The economic benefits of getting an offline software and investing on servers and hardware and that of getting an online software and paying an annual subscription fee have to be compared, which could differ for different hospitals. The Hospital Management Software being a long term investment, saving up by getting a software with fewer features, may cost you a lot more with frequent expensive upgrades required as the hospital grows. Additional costs that may arise in the form of support, server maintenance, extra features, possible upgrades have to be looked into while making a decision.


The Hospital Management Software being a long term investment, saving up by getting the software with fewer features may cost you a lot more with frequent expensive upgrades required as the hospital grows.

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