The Objectives Of Clinical Management Systems Information Technology Essay

The Objectives Of clinical worry arrangements nurture Technology EssayCMS stands for Clinical Management System, including the tuition integration, enumeration harbour, information processing and tools for aesculapian entropy ex veer. somely the major enjoyment of goods and servicesr for CMS are physicians, and consist of laboratory information organisation (LIS), radiology information arranging (RIS), picture archiving and communication dodging of rules (PACS).1In checkup fields, the application of new CMS mainly develops in the quest stages.Automated aesculapian go in (AMR) is mainly practice sessiond for the automation in wellness check information processing from tangible composition into e-format.electronic aesculapian record (EMR) ensures a upright communication for paperless and image exchange and sets up orderation of health check checkup terminology.Electronic forbearing record (EPR) ensures the interoperability networking for the informati on exchange between CMS or separate bumpies by development a single and standard format.Electronic health record (eHR) sustains the aesculapian examination decision birth system. In the checkup checkup exam wear system, it conducts entropy mining skills from concentrateting eightfold selective information from aggregate databases to vouch the correct checkup decision.Recap supra stages, the applications of CMS are useful in health check examination filed.ObjectivesDue to the following objectives, our team suggests T profess Health co Ltd to implement Clinic Management System (CMS).Increasing vocation opportunityConnecting medical record with Hong Kong political sympathies regulation standardExchanging medical data with Hong Kong Government alter database.Company Background township Health Co Ltd. (The sort) found in 1985, the classify has adopt the managed health disquiet model to pull up stakes spicy quality and affordable medical go to our corporate c lients. THMN has a beat range of medical services, including General and Specialists function, Dental Services, Physi differentapy Services, Laboratories Imaging Services and opposite auxiliary medical services.The Group has well developed and became angiotensin converting enzyme of the largest health rush services providers, with about 30 medical clinics and specialist outpatient clinics, in Hong Kong.Company networkFigure 1.1 http//www.thmn.com.hk/our_locations.aspCompany WorkflowThe Group was in operation(p) a standal wholeness medical concern system over 10 course of instructions. galore(postnominal) problems evanesce throughout their quotidian operation. The basic operation workflow is shown as infra figures 1.1.Diagnosis for struggled- cyphering PatientRegistrationConsultation health check RecordTransfer to Hospital/Other filmsTreatmentFigures 1.1For our daily operation, a new patient is ask to fill in a modification form for his / her personal information in pap er format. Then the barter doctor consults and examines the patient based on the footing and situation at that moment.The paper medical record and real clipping observation by the duty doctor exit be used as tools to aid the diagnosis of the patient. Fin onlyy, the rung or nurses will input the finalize interference formulated and medical record into the existing medical system.Five squeeze compend For The GroupSuppliersIndustryCompetitionsBuyerPotentialEntrantsSubstitutes scourge of New EntrantsThere are legion(predicate) another(prenominal) new entrants in Hong Kong healthcare services industry. It is because of the rapid changing of economical scale, much(prenominal) as new investments from PRC.Threat substitutesSince the grocery demand is changing recently, many different professionals are ordain to labor union together and run their business to provide a 24*7 (24 hours with 7days) services. Besides, they combine their services into a single business firm, such a s Chinese medical services, Dental and out patient services. then they mickle share resources to prune the operating cost and enlarge the tax. bargain power of Suppliers virtually of suppliers ally their product price due to the change magnitude price of most original materials. For a healthcare radical, they are required for pilings of store, like drugs and medicate equipment. This is a main reason for their steep operating cost.Bargaining power of BuyersThe Government regulation was release as benefit to all Hong Kong elders such as health care voucher, eHealth medical record sharing system, and etc.Industry CompetitorsThere are many strong competitors with change magnitude and steady revenue. Moreover, most professionals quit their job in public sector (Government Hospital) and join the joint venture of healthcare ag grouping to start their own business.SWOT Analysis for The GroupStrengthThe group is established for over 25 course of instructions, it is a well-k flatn health care services provider with confidence in providing quality services. A childlike spread of clinic coverage is convenience to all patients in Hong Kong. The medical focusing system assists on confineing patients records that ensures the susceptibility on daily data processing.WeaknessPerformance of existing medical trouble system becomes pokey due to the change magnitude size of data. Increasing numbers of patient records get the performance of accuracy. Thus, many errors were found in daily operation which influences the cleverness. The system will become a bottleneck of the Group for the business expansion.luckModernize on computer system provided a better focal point on patients data and prevent error to increase efficiency on operation. Also, connectivity to Hospital Authority (HA) and indemnity companies database toilet get advantages on increasing revenue and convenience of data exchange for the Group.TreatsThe medical industry arguing had a huge impact to the Group due to the decreasing market share and revenue dapple the running cost for equipment and drugs is increasing.Research methodological analysisResearch methodInterview for analyzing the current problemsThe aim of the discourse is collection information about the understanding for the current system and its process. Our team conducted the question to narrow worst the problems one by one.Web survey for dumbfound the industry dodgingDue to the rapid change for the market, this survey is aimed to get the most common strategy for our team.Data GatheringThis process is mainly used for identify the existing operation problems through the interview with the friendship partners, managements and customers.Peoples interviewedPartnerstrade union movement mangersCustomersThe questions for PartnersWhat is your corporate vision and mission?What is your corporate development orchestrate in dour term / victimize-term?What is your development strategy in long terms / concise te rms?Do you agree the change of Hong Kong market decreasing revenue of your caller?How many resources had been exhausted on your strategy development projects?What is / are the existing problem(s) that your association is facing at a clipping? And how does your attach to make it?The questions for sick ManagersHow do you curb out the CMS?How long do you planned for your project scroll?How the CMS fulfill the development of your smart set that you had mentioned before?How many resources had been spent on your strategy development projects?The questions for CustomersWhat service(s) do you mainly used in Town Health Corp?Do you comfortable with the current system of Town Health Corp?3 Do you puzzle any suggestion(s) for Town Health Corp? by rigorouss of the interviews, our team recognizes the mission of health care group is providing a countrywide healthcare service. The short term planning is to develop an effective clinical management system, while the long term objectiv e is to build up an exhaustive service for customers, such as medical decision support analysis.To achieve the short term and long term objectives mentioned above, we suck in to cleanseThe duties memorial of physicianCommunication channels with other indemnification companiesThe inventory control and allocationStandardization of e-health medical recordSurvey conclusion all in all interviewee thought that the eHealth is useful as it answered them many questions and as a platform to communicate with others.Whats more, over 80% clients having discussion with professional by and by a year, which is dangerous if they didnt come to annual body check.Almost 80% clients thought the Clinical management system should be connected into Hong Kong centralize database. Due to the date-honored dont know how to use the high technology (e.g. computers), olibanum the respondents refuse to use it.There are only 20% of interviewees moot that the Clinical management system bathroomt be effec tively the diagnosis processing.Almost 80% of respondents has been used the clinical management system, especially most of them used the Google one.The respondents all are educated above the old train and most of them are in the age group of 30-39.Values place from InterviewObjectiveScheduleManagement insurance port wine inventory controle-medical RecordThe duties schedule of physicianCommunication channels with other insurance companiesThe inventory control and allocationStandardization of e-health medical recordProblem DefinitionsThe Group was operating a standalone medical management system over than 10 years. However, there are let off many problems occur during daily operation.Data formatting out of dateThe existing medical system was developed in 1989. All clinic offices were allocated a standalone workstation for operating medical system. The medical system database was developed by FoxPro which could not conduct data mapping with other new technology like Microsoft SQL master of ceremonies, MySQL server. Hence each(prenominal) medical system was all recorded year by year until present.Suffering in medical claim to insurance company any quantify when different insurance companies transmit some patients data for doubtfulness, the staff take ups to input the patient data one by one manually in roam to get the corresponding data from the database. afterwards all required data gravel been extracted from the database, the staff needs to infix the corresponding data to different systems that provided by insurance companies. Sometime if the data from insurance companies could not match with the database, the staff needs to notify the insurance company for amendment. After receiving the update data, the staff needs to do the inquiry all over again.Cannot manage resources on inventoryExisting medical management system deal only handle patients records. Inventory of the Group is recorded by using a logbook. Using of pen and paper cannot fulfill th e services standard nowadays. That is not a flexible and efficiency way to keep track and monitor inventory, especially for a medical group which owned over thirty clinics. Manpower that used on inventory is also become a challenge on management and costs.Cannot manage customers appointment effectivelyMany clinics handle their patient appointments by using telephone bookings and mark on the notebook. However, it always has the contrived mistake, for example, marked down the wrong name or contact number. Sometimes the patients need to wait for a long time to check the appointment time or the medicine stuffs.Furthermore, the doctor may not stay in one single clinic it is inconvenience for the customers who essential to consult the selfsame(prenominal) doctor.establish on problems above, managements decide to carry out a new Clinical Management System (CMS) to replace the existing one. Our canvassing area electrical Medical Record, Interfaces with Insurance Company, Inventory Cont rol and Book appointment with weather vane interfaces.Successful Stories2The Hospital Authority (HA) of Hong Kong3The Hospital Authority (HA) is one of the no-hit case of implement CMS in Hong Kong. HA set up 15 Chinese medicine outpatient clinics (CM Centres). These 15 CM Centres are served with a fully computerized Chinese euphony information System (CMIS). CMIS is developed by HA for managing a large core of clinical information. The CMIS is aimed to the support for patient system (example, appointment, registration and payment), clinical modules (example, diagnosis, consultation notes and prescription) and pharmacy management. It can also goody as a platform for data analysis, planning and researches.The Integrative Medicine Information and Research Manager of HA, Tat Tse said, the system can reduce errors and invoke risk management, for example, the emergence of drug incidents, we can trace the patient and arrange examination as soon as possible.4 concretion Hospital in Hong KongAnother successful case for CMS implement is Union Hospital and Union Hospital Polyclinic. Union Hospital was established in the year 1994 while Union Hospital Polyclinic (Tsuen Wan) went into service in January 2007.Hospital and polyclinic have an travel Customer Management System to provide comprehensive patient data and flexible registration service. It is convenience for the clinic and the hospital to access the patient information and medicine history. It is also expediency for the patient to choose the venue for having the revaluation care thought out the network of Union Hospital.Proposed declarationsWith the reference to the above successful cases in Hong Kong, the main purpose for the CMS is easy to deliver medical data. It is a centralized system to control and share the resources, like medical information, to think departments, like Pharmacy, Laboratory and front-end clinics department. Besides, CMS can be synchronized all the medical data to both public and private hospitals and other CMS.A defect new CMS become an important milestone in the IS strategy development.Inventory controlTo improve the inventory control, the implement of inventory control system is required. It can increase the flexibility and efficiency. The new system will include inventory monitoring, stock transfer, out of stock alert and reporting, and other function like expiry date reminder and search. These functions are the daily tasks which are operating manually every day. The implement of new system can help to reallocate manpower to other tasks.Schedule managementThe system will renew the data periodically. Old records of patients will be found easily. Clinic staff can handle the patients records and the appointments by using an easier way.Insurance interfacesThe system can get requests from different insurance companies and reply those insurance companies automatically.A summary report will generate for checking every day. This can save the manpower of proces sing insurance companies request and prevent wanting(p) or wrong information exchange.E-medical standardSince all the new medical data should be matched with international standard, developers change all the new medical data into5HL7 format. HL7, an international standard medical system, can exchange data with other systems, which will be the main trend for afterlife development. This run may cost lots of resources in transferring to the new CMS, it is still for certain required for the long term strategy of health care industry. natural ArchitectureThis section describes the physical architecture of the System.The below diagram shows the physical architecture of the System.The CMS is constructed in 3-tiers network based architecture, which includes web server, application server and database server.Web master of ceremoniesThe Web Server will be the primary entry point for all users to access the system. All user bodily function will be limited within the Web Server.Applicati on ServerThe Application Server will serve the validation process and the using of the stored data in the Database Server. drug users will access these functions through the user interface located at the Web Server.Database ServerThe Database Server will be the central repository of all data. These data will be using for validation purpose.Software requirementsInternet Explorer 5.5 aboveJava web starter 6.0 aboveMySQL 10.0.1 aboveTomcat web server 6.0 aboveHardware requirementsIBM X3250 M2, Xeon E3110 3.0GHz/ 1333MHz (DC 65w 6MB L2 cache), 8GB 667MHz SDRAM, 160GB Hot-Swap SATA HDDTape Drive Prod ServersIBM Tape Backup Drive juniper Netscreen-5GTCableCat5 and Cat6KVM 1U 15 LCD Monitor w/ 8-port PS/sSolution BudgetThe solution estimated project costs are shown as belowItemsEstimated Costs (HK$)1. Project team staff/development costs500,0002. Project office set up and running costs including rent, telecom costs, send out/courier, etc. snow,0003. IT costs including PC, software, pri nter, fax, LAN set up, etc.100,000Grand full(a)700,000Workflow of new CMSE-Medical record standard formats (Health level 7) apply in CMSFirst of all the medical record (HL7) run across sevenfold module of CMS, the example shown the workflow of e-medical Record useful in multiple modules of CMS. HL7 is mainly use for data exchange in different multiple module. Such as a single medical record it can be data exchange to doctors in clinical departments then transfer information to other lab departments then the lab result can be generate the medical decision support lab test. in conclusion the doctor can be made the medical decision and lively the consultation result. The medical can be claim to insurance company directly for patients.Workflow of appointment in CMSThe client calls to book the time with the right doctor.The clinical nurses mark down the information of the client and honour out the clinic data from the database.The nurse call to remind the client and sanction the bo oking.When the client comes, then the appointment is through.Phone in to clinicMark down the client informationCall back and remind the clientsAppointment doneWorkflow of inventory system1. Medicine, equipment or office supplies delivered to warehouse, information and number of each product will be updated into the inventory system2. staff in clinics will place order for different items in the inventory system, delivery will be arranged. For some critical items like life-saving medicines, order will be automatically placed once the amount dropped to predetermined minimum quantity3. Items delivered to each clinic from warehouseWorkflow of Medical rent Enquiry From Insurance CompanyInsurance company send medical claim request to CMS, CMS will retrieve data automatically from database and counterpunch diagnosis result back to that insurance company.Implementation ScheduleThe following is the paramilitary schedule of the proposed planDateMajor Milestone month 1Launch of the CMS Pro jectProposal evaluationMonth 2-4Project InitiationUser Requirement CollectionMouth 5-6System convention and AnalysisProcurement and Installation of Hardware and SoftwareInterface with outside systemsMouth 7-8Program DevelopmentMouth 9-11User Acceptance canvassDocumentationTrainingMouth 9-11User Feedback CollectionUser Feedback AnalysisSystem Design RevisionMouth 9-12Program ModificationUser Acceptance TestDocumentationTrainingPhase 2 stop RunConclusionDurng the study topcis,all of us exploer our eye on Hong Kong Helthcare business operations.Due to the market change from previous, Hong Kong became stanadardation with international.The government of HKSAR become the leader role on electric health care stanard and regulations. Hence the team regonzine the implementation of cinical management system just the begin electric health care stages.All the industry stakeh seniors become more international standardization in futureProject Self-evaluationThe study of CMS and its functions t eam completed the manoeuver because we can learn Healthcare knowledge during the project.The project management works are delightful and the team conducts many discussion points during preparation. Finally I inspirit our teamwork travel until project closure.Tommy Wong Middlesex University 2011During this project, I got the chance to explore and learn about the medical industry, and the relationship between information technology and medical and how they benefit each other. In my own findings using information technology in medical industry especially the outpatient services, is still in a preliminary stage, which mean more I.T. elements can be used to enhance the perform, more efficiency and profit can be archived.Simon Wong Middlesex University 2011During this project, our division of labor is very balance. Everyone tested the outstrip and put many efforts on it.I in aerated the parts of findings, included the survey result, interview result and others. However,some difficul tiesencountered ininvestigations, for example,many respondents werenot surewhatis eHealth, orsend the mail to batch have not reply.I estimate our team spirit is good. unless I should do the project more actively.Whats more, after my self-evaluation, I think my work is fair effective and efficient, due to the fair English grammar, I might need the others group mates help to proofread.At the same time, I think my time management can be better, because of my delay, the schedule of work might postpone. I hope I will do it better next time.Eric Pang Middlesex University 2011Medical point is a totally new takings to me, but to deal with different industries and departments is one of feature for Information Technology. Though this project, my skill for handling an unfamiliar topic is improved, which is furnish me to be an Information Technology professional.In this group project, I prudent for research on medical field business model. I found that even in a field of professionali sm, the competition between companies still very great. Therefor price war is not a best way for them to increase the revenue. Before this project, I truly believed that price war is always a way to help companies to develop their business, but now I understand that with the information system support and re-engine the process flow, the company still can increase their productivity and achieve the target of increasing revenue.After this project, doing the analysis on the company background and market background become more and more import to me when designing solutions. This is the first time for me to handle an unfamiliar topic, medical health care industry. I had spent a lot of time to search information and catch up the schedule of my teammates. By having thIs experience, I am sure that I can do better for next time.Ben Wong Middlesex University 2011Appendix 1 Interview Questions with firmness of purposeDr Joseph Lee, Partner of bodied DevelopmentTown health Co Ltd1 Feb 2011 Dear Dr Lee,We are a group of year 3 undergraduate students of Middlesex University, School of Engineering and Information Sciences.As part of our final year studies, we have been asked to contact and interview a strategical conductor on a topic related to the use of Information Technology and Information Systems within the organization.The focus of our cash advance is to look at the strategic reasons why a particular soma of IT/IS functionality was adopted assuming that competitive advantage was the prime focus of the implementers.The topic we have selected is Clinical Management System implementation for the chain health care group. We approach you because we believe that our topic represents an important strategic use of IT/IS within your organization.We are requesting a short interview with an appropriate strategic manager within your organization. We should only take a short amount of time at your convenience. However, we do have a deadline of early celestial latitude for th is part of our work. If you are available to help, gratify reply me by netmail to emailprotectedthank you for your consideration of our request.Yours truly,Tommy WongAttn Dr Joseph Lee, Partner of Corporate development, Town Health Co.Interview Questions1. What is your corporate vision and mission?Our group mission is grouping up all the clinic services to provide a comprehensive healthcare place to the public.2. What is your corporate development target in long term / short-term?Long -termOur corporate development target will be emphasized on the elderly mansion. We can provide the periodically body check as elderly easy to have the elderly ill. We would like cooperating with them by contractual in the future 5 years. Whats more, they will enjoy the discount by joining our group elderly program. We hoped that we can have over 30 elderly mansion join us.Short -termAnother our consideration is the doctors who wanted save the rent. They can use the place that share with other doctor s, thus they still have their own clinic room but share the rent and human resources. It is because we want to keep increasing our shops (about 10 /year) in different area in HK to enhance our brand image.3. What is your development strategy in long terms/ short terms?Increase the shops of Town Health is the one of the promotion plan. It increases the brand warranty and customer trusting. When the demand increases, the supply should be increased too.In long term, Town Health has to use personal selling to explicate the services to the elderly mansion. Therefore we will recruit more gross sales to demonstrate our job to the elderly to increase our professional image and increase the corporate opportunities.4. Do you agree the change of Hong Kong market decreasing revenue of your company?No. It was totally opposite with your question. As the citizens in HK becomes older and older, their requirement of the elderly instruments and healthcare in growth rapidly. In point the target mar ket in our industry is growing, the revenue of our company is in an enhancement.5. How many resources had been spent on your strategy development projects?A lot Human resources and Material resources which includes the instruments, medicines, equipments. I think it will over 100 millions.6. What is / are your existing problem(s) that your company is facing now? And how does your company fix it?We have to find the Corp target carefully as many of them are not the legal one, whatever the mansion or doctor. We want to enlarge our clinic healthcare by a good quality. We would like intercommunicate the existing customers opinions and their past experience. Sometimes we need to find the good doctors by the positive word-of mouth.Thanks for your time and attention.Mr Jackson Tam, Project ManagerTown health Co Ltd1 Feb 2011Dear Jackson,We are a group of year 3 undergraduate students of Middlesex University, School of Engineering and Information Sciences.As part of our final year studies, w e have been asked to contact and interview a strategic manager on a topic related to the use of Information Technology and Information Systems within the organization.The focus of our approach is to look at the strategic reasons why a particular configuration of IT/IS functionality was adopted assuming that competitive advantage was the prime focus of the implementers.The topic we have selected is Clinical Management System implementation for the chain health care group. We approach you because we believe that our topic represents an important strategic use of IT/IS within your organization.We are requesting a short interview with an appropriate strategic manager within your organization. We should only take a short amount of time at your convenience. However, we do have a deadline of early December for this part of our work. If you are available to help, please reply me by email to emailprotectedThank you for your consideration of our request.Yours truly,Tommy WongAttn Jackson Tam, Project Manager, town health Corp.1. How do you carry out the CMS?I would set up a project team. Most of the members come from functional team. I also recruit external consultant to be the project adviser.2. How long do you planned for your project schedule?2 years3. How the CMS fulfill the development of your company that you had mentioned before?The functions of CMS commit, electronic medical format as connecting with international standard, the platform connecting with insurance company modules and also control inventory and physicians schedule management.4.How many resources had been spent on your strategy development projects?Over 2 Millions. All are spent on in-house team development works.Thanks for your time and attention.Ms Eva Ma, legate Business Development officer.AIA HK Co Ltd1 Feb 2011Dear Eva,We are a group of year 3 undergraduate students of Middlesex University, School of Engineering and Information Sciences.As part of our final year studies, we have been asked t o contact and interview a strategic manager on a topic related to the use of Information Technology and Information Systems within the organization.The focus of our approach is to look at the strategic reasons why a particular configuration of IT/IS functionality was adopted assuming that competitive advantage was the prime focus of the implementers.The topic we have selected is Clinical Management System implementation for the chain health care group. We approach you because we believe that our topic represents an important strategic use of IT/IS within your organization.We are requesting a short interview with an appropriate strategic manager within your organization. We should only take a short amount of time at your convenience. However, we do have a deadline of early December for this part of our work. If you are available to help, please reply me by email to emailprotectedThank you for your