When compared to other industries, the healthcare sector is improving, with the help of advanced technologies like the Hospital Management System (HMS). The current medical care computerization is being hampered due to a lack of a perfect interface between computers and medical care providers.

The two main issues that are commonly faced during implementation of an HMS are as follows

1. HMS implementation begins but the users start facing issues by the end

This is generally due to the inflexibility of the HMS software, a weak administrative will, and an inexperienced team for implementation.

2. HMS implementation gets completed, but only a single part of the functionality gets implemented

This is due to non-user-friendly software or unplanned and unconfigured executions.

Pre-Implementation Assessment:

All hospital administrators who implement the HMS software in their hospitals will be apprehensive that the process may end in a partial or complete failure and measures should be taken early in order to prevent such an event from happening. The software should be well assessed before being purchased by the hospital.

Software Assessment:

Choosing the right kind of software is one of the crucial and primary steps for getting the best results.

Earlier, all HMS Software had a single development cycle starting with a single hospital being computerized by a local developer for a single hospital. However, this type of HMS development is outdated. In such cases, there is a risk of the vendor providing software that was customized for a different hospital. Implementing them may cause various issues, and it may cost more in the long run. It's better to purchase the software from a firm, that specializes in hospital management software than getting any software company to design software for your hospital.

It's better to choose software that is easy to upgrade, scalable, and not hardware intensive. Cloud-based online software is better than offline software in these aspects. The providers could also easily fix any errors or bugs in the case of online software.

Another aspect to be considered is to check if the customization of the software is done primarily through programming code or by using master tables during implementation. Hospitals may require some form of alteration to the purchased software, so as to better suit their needs, and in the case of master tables, such changes may easily be made by the hospital itself. In the case of online software, this may not matter much, as maintenance and support are provided by the software provider.

Vendor Assessment:

Only a few vendors of international or national repute can be trusted easily. A drawback with a large vendor is that they don’t always accommodate the requirements of small hospitals. In the case of small vendors, the hospital administrators may have to do thorough research to see if they are trustworthy.

An important aspect to be known is whether the current implementation team will be available during the entire implementation cycle. Checking the attrition rate of the software company, and discussions with other hospital administrators may give you an idea about this.

Visits to Hospitals with Hospital Management Systems:

A well-planned visit to hospitals where the software has been implemented will give you insights on the performance of the software, the support provided by the vendor, and if the vendor has achieved all the goals that were initially planned. To get a good picture, it's better to visit hospitals like your own, in terms of capacity, number of specialties, and number of departments, as well as hospitals that have implemented the software that you are considering. This will give you an idea, not only about the trustworthiness of the vendor but also about how well the software will be suited to your hospital.

Discussions with hospital administrators who have previously implemented the software in their hospitals will also give you good insights on the possible difficulties you may face during the implementation process, and on how to overcome them.

Getting your Hospital ready:

Problems may arise in HMS implementation, due to issues within the hospital. The lack of a systematic and uniform workflow within all the departments in the hospital may make the implementation process difficult. Information regarding the various equipment used, tests performed, schedules of doctors in different departments, etc must be readily available so that it can easily be imported into the system.

An important aspect is the cooperation of the various end-users, that is, the hospital employees. They have to provide enough awareness of the usefulness and importance of implementing the HMS software. The implementation may put additional stress on the employees until they get used to the system, and this may hamper the efforts of the hospital administration.

HMS implementation begins with a pre-implementation phase, in which software is chosen and the hospital prepares for the change, followed by the implementation phase and the post-implementation phase, in which the final kinks are ironed out. The whole process could be made smooth with a thorough pre-implementation phase.

Choosing software that is well suited to your hospital, having clearly defined workflows, and complete information about the working of the hospital will help you to easily implement the HMS in your hospital. Having a good team, and ensuring the cooperation of the hospital employees would help the hospital achieve its goals with the HMS.

Request for HMS/LIMS free demo

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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Hospital Management System is used to take the data from the patients and then store it for later use. The main goal of the Hospital Management System is to accurately treat as well as decrease overtime pay.

There are various features included in the HMS. Some of the system functions include Registration, Patient checks, Report generation, and more. In this blog, let's check out the functional and non-functional requirements of the Hospital Management System in depth.

Functional Requirements:

There are a lot of software requirements specifications included in the functional requirements of the Hospital Management System, which contains various processes, namely Registration, Check, Report Generation, and Database.

Registration Process of SRS (Software Requirements Specification)

● Adding Patients: The Hospital Management enables the staff at the front desk to include new patients in the system.

● Assigning an ID to the patients: The HMS enables the staff at the front desk to provide a unique ID for each patient and then add them to the record sheet of the patient. The patients can utilize the ID throughout their hospital stay.

Check Out of SRS:

● Deleting Patient ID: The staff in the administration section of the ward can delete the patient ID from the system when the patient checks out from the hospital.

● Adding to the beds available list: The Staff in the administration section of the ward can put the bed empty in the list of beds available.

Report Generation of SRS:

● Information of the Patient: The Hospital Management System generates a report on every patient regarding various information like the patient's name, Phone number, bed number, the doctor's name whom it assigns, ward name, and more.

● Availability of the Bed: The Hospital Management system also helps in generating reports on the availability of beds regarding information like bed numbers unoccupied or occupied, ward name, and more.

Database of SRS:

● Mandatory Patient Information: Every patient has some necessary data like phone number, first and last name, personal health number, postal code, country, address, city, 'patient's ID number, etc.

● Updating information of the Patient: The hospital management system enables users to update the information of the patient as described in the mandatory information included.

Non Functional Requirements

There are a lot of software requirements specifications included in the non-functional requirements of the Hospital Management System, which contains various processes, namely Security, Performance, Maintainability, and Reliability.

Security:

● Patient Identification: The system needs the patient to recognize herself or himself using the phone.

● Logon ID: Any users who make use of the system need to hold a Logon ID and password.

● Modifications: Any modifications like insert, delete, update, etc. for the database can be synchronized quickly and executed only by the ward administrator.

● Front Desk Staff Rights: The staff at the front desk can view any data in the Hospital Management system, and add new patient records to the HMS but they don't have any rights to alter any data in it.

● Administrator rights: The administrator can view as well as alter any information in the Hospital Management Software.

Performance:

● Response Time: The system provides acknowledgment in just one second once the 'patient's information is checked.

● Capacity: The system needs to support at least 1000 people at once.

● User-Interface: The user interface acknowledges within five seconds.

● Conformity: The system needs to ensure that the guidelines of the Microsoft accessibilities are followed.

Maintainability:

● Back-Up: The system offers efficiency for data backup.

● Errors: The system will track every mistake as well as keep a log of it.

Reliability:

● Availability: The system is available all the time.

Hope you got a clear idea of the functional and non-functional requirements and the features required by the hospital. Any other queries on the topic are welcome.

The Functional and Nonfunction...

Hospital Management System is used to take the dat.....

Aravind Kejriwal recently directed the health officials in Delhi to develop a hospital management system of global standards. While hospital management systems have been in use for a while, there are currently no rules or regulations that lay down the standards for them in India. In the US electronic health records are regulated by the Health Information Technology for Economic and Clinical Health Act (HITECH Act) and the Health Insurance Portability and Accountability Act (HIPAA Act).

In India, even though only the IT Act of 2000 applies for electronic health records, the Ministry of Health and Family Welfare have recognized the need for electronic health records and periodically issues standards for them, for the purpose of promoting interoperability, technical innovation, participation by vendors and other stakeholders, and to support the evolution and timely maintenance of adopted standards.

Besides these guidelines, some other key features also play a key role in making a hospital management system best suited for the Indian healthcare sector. Let’s see what the specific requirements for a hospital management system in India are.

Aadhar as an identifying document.

According to the recommendations by the Ministry of Health and Family Welfare, the electronic health record of a patient must have the provision to include the UIDAI Aadhar number as the preferred identifier. In case Aadhar information is unavailable, the ministry recommends the use of a local identifier (as per the scheme of the healthcare service provider) and a photo ID issued by the Central or State government. The system should have a provision to accept a minimum of two IDs when an Aadhar ID is not available. In the case of unidentified patients, a local identifier may be used and confirmed identifiers inserted later when available. The government recently opened doors for integrating Aadhar with any software, but the software needs to meet certain criteria. While the recommendations are not implemented on a mandatory basis, it may become so in the future and therefore it is better to get software that follows them.

Support for GST

The Government of India recently passed the Goods and Services Act(GST) and many healthcare services come under its ambit. One of the important and commonly used aspects of hospital management software is billing. There is software that carries out the sole purpose of billing, while most hospital database management systems come integrated with it. With the implementation of GST, along with other service providers, healthcare providers such as hospitals and clinics are required to comply with the norms of GST. So it is important that hospital management software is able to handle the billing according to GST norms, and integrated with GST filing software.

NABH accreditation

Formed in 2005, the National Board for Hospitals and Healthcare Providers is part of the Quality Council of India and is the principal accreditation for hospitals in India. NABH accreditation is becoming more and more important with the rise in medical tourism and patient awareness about their rights. Unlike ISO certification, NABH accreditation is specific to the healthcare industry and focuses on competency in terms of staff, equipment, premises, etc. For NABH accreditation of a hospital, the information management system of the hospital should meet the necessary criteria. This includes that the records of every patient are complete and accurate. It is necessary that the policy measures are in place to ensure data integrity, confidentiality and security. A hospital management system plays a crucial role in this. An HMS that can safely manage the patient data in a safe and secure manner, and keep it updated in a timely manner can make this process much easier. The HMS must assure data redundancy and integrity and should be secure against data loss or theft, for the hospital to easily achieve NABH accreditation. The HMS system must be capable of generating the data points that must be submitted for NABH accreditation.

Sending info to local government

Hospitals have to send certain information, such as birth rates and death rates, to the government periodically. This is required for keeping track of the population and related statistics. Sometimes during a disease outbreak, government health officials will need accurate data regarding the affected individuals to tackle the issue effectively. One of the primary functions of a hospital management system is the effective management of data. It should be capable of storing, retrieving and updating the information easily. With a system that can easily sort through the relevant data, the required data can be collected and sent to health officials easily and in a timely manner. Without an effective system, the hospital staff will have to manually go through a mountain of data, wasting time and resources.

For more info, visit MocDoc Healthcare Solution.

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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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