Abstract
Purpose Mumbai needs to be transformed into a world-class city as stated in the 2005–2025 development plan of Municipal Corporation. For this initiative, hospital management information system (HMIS) has to be implemented across 400+ health facilities in the city. Design/methodology/approach A case study methodology was adopted to study HMIS implementation. Wave 1 of Phase 1 implementation of HMIS is carried out as a pilot project at Film City’s Hospital, Mumbai, which “go-live” on 21st June 2018. The work for hardware and software implementation was awarded to HardSystems and Solutions Limited and SoftSolutions India Private Limited, respectively, through e-tender. Findings Provision of inadequate quantity of hardware, slowness of network or system, non-satisfactory training after observation confirmation and sign-off process, lack of data entry operators, mismatch in numbering systems in blood bank and many other challenges concerned with the specific departments had become a major impediment in the efforts to maximize number of patients registered into HMIS. Practical implications Even after providing many clinical and managerial benefits, being the first cloud-based centrally located HMIS in any of the hospitals in the city, it imposes a major challenge for the management in terms of resistance of employees toward technology and need for the adoption of theoretical models for implementing change for the overall organizational development. Originality/value To the best of the authors’ knowledge, no other teaching case study is conducted to study the HMIS implementation in large-scale public health-care services. This is a dummy case study for teaching exercises. The identity of the stakeholders, organizations and events has been masked to maintain confidentiality.
Highlights
It was a dewy evening of Mumbai in July 2018 and a biscuit falls into the hot coffee which Medical Superintendent of Film City’s Hospital, Mumbai was dunking into his huge vintage cup.Deputy Medical Superintendent and hospital management information system (HMIS) Nodal Officer at Film City’s Hospital bought a letter sent by one of the Heads of a Clinical Department to his office
A query was raised on what if the defined number series gets exhausted? Blood bank authorities suggested to begin the series with 1 lakh onwards which was communicated to them that technically not feasible
Need from blood bank authority how many types of labels are required and their content If a bag is cross-matched, the bag should be available on stock for cross-match again until it is issued to some patient
Summary
It was a dewy evening of Mumbai in July 2018 and a biscuit falls into the hot coffee which Medical Superintendent of Film City’s Hospital, Mumbai was dunking into his huge vintage cup. Bid document for hospital management information system The HMIS software pilot project at Film City’s Hospital was awarded to SoftSolutions Private Limited through evaluation of technical and commercial bids by e-tender process, initiated in July 2016. The Assistant Medical Officer (AMO) of the hospital was appointed as the HMIS implementation nodal person from Film City’s Hospital for coordinating with the internet service provider and hardware supplier appointed by HardSystems and Solutions Limited, implementation of software by SoftSolutions and coordinating with various departments for providing solutions to any challenges faced. After the complete day consultation with various departments, when HMIS Nodal Officer reached the laboratory services at the end of the day, the following recommendations were provided: For appointment generation counter: token generation facility for the same-day blood collection of patients has to be incorporated in the system.
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