Hospital information system prototype

You will never be criticized by someone do better than you, so when you found such category of people just smile and be silent. During healthcare prototypes a lot of people are going to criticise you not because they are smarter than you. Ever; the truth is that their minds are much bigger than their own bodies with noticed tough of emptiness made them forget own achievements and spend their time looking at other people work setbacks. Most of people used to spend a lot of life time to judge and mock others at the same time it is hard for them to join to produce and create something useful. But in medical systems prototypes people do the opposite; we do the work and necessary tasks that make them fit to produce and build collaborative state of mind toward the eventual goals. As I promised you to start symbolic medical system prototypes to build visionary imagination about how the process of medical system was designed and repeated as the same in future. No one was born master and every master was once beginner, this is main life rule and everyone should know by heart.  Hospital information system is the first step to plan and design main service integrators and value unites to be ready later to join them together. Exactly; prepare the bricks before integrate all together to build our house (healthcare system), but the question is how hospital would be designed according to modern standards of ICT ( information and communication technology)?!.

HIS (Hospital information system) is a design tool to manage and organize Clinical, administrative and financial aspects of aimed hospital to work with. Meanwhile; available data could useful in academic researches and epidemiological measures and state statistics. Blog post is much short to describe all in details by words, there is one picture here enclosed and summarized most of talk.....

E-health system project management

As known; management as science academically is different than management in practice. On the same measure each field own little difference in management and applied procedure. Some fields need more technical skills than personal or communication skills while other fields in to more personal and communication skills more than technical or academic knowledge. Though; try to digest that concept which says that management is not a constant hypothesis for every field. Decades many of people thought that management that someone authorized give orders to do or give orders not to do. But actually the opposite is the true where everyone knows how to work and how to perform then the involved manager later checks over subordinates occasionally to find any work errors or mis-conception. For instance; in some careers management restricted in that forms just to check group of charts then the managers take the proper decision according to rather than put their hands in every details they are not aware of them all technically.  Second example; in some careers the manager entitled to manage and organize the physical effort and work pathways like in factories and industrial firms. That leading us to know and be sure from one fact here, there are sorts of management such as operation management, logistics management, project management and so on.

Project management is unique kind of management and how it done and implement is much interesting than even could imagine.  It is science of project building and management to set up which without, project preparation and implementation going to be different but the question seen now in many minds that why is not famous and known. Simply, because that is branched and specific kind of management dealing with projects preparation and building stages assessments from scratch, yes it needs big numbers of papers and long time to prepare them but eventually, It would be as a indicator to find decision or adjustment to next move or step. Healthcare and related projects not far from the same meaning and purpose, we always in need to finish and complete the care project according to planned schedule. Every execution step need to be planned well and managed in comply with entire whole project with start and end times.

Medical healthcare system base as formerly discussed started with good and proper infrastructure, through we put our implementation plans for execution and during each steps the project management teams stop for assessments and do their best in order to avoid any deformities whether within the constructed small steps or even during stage of big unite articulations. Project management make the whole project look like exactly big screen to see and watch what is coming and what is going to full such ability to adjust and redirect or modify certain procedures to reach end desired results. Last point here would like to talk about that there are four main part of healthcare system project management; planning stage, execution stage, assessment stage to each step and eventually the project entirely assessment to evaluate every step that was built the procedures had been applied in related to the total end results. Now you got almost the main points and components regarding healthcare system project management. Full health J

E-health systems project implementation

In order to implement healthcare system as a whole project which needs long time of planning and design each part of that system separately. Afterward; when details of each unite and other indirect associated infrastructure issues be completed perfectly then you have main bricks of healthcare system building. As a symbolic meaning; bricks need cement or holding substance which facilitate binding them together and protect what inside that building. The same thing going to carry out here, healthcare needs holding substance in form of information systems, you think I mean by so one system, absolutely not, there are many of them indulged in each operating medical unite. For instance; lab unite and analysis (LIS) platform own three system gates; one to organize work with patients and their data. Second; to work with physician and specialists whereas the last one connect stat lab centres together that permit to join country healthcare system wholly in one platform easily. Moreover; to be entered by medical workers in order to get whatever data needed from any lab centre over the same country. Although those systems constructed as three working system but they appear as one working system with multiple and different working gates!.

Then, we can generalize that example above with any operating unite of healthcare system; information system organizes the work within while two other systems mange matter of linkage with different other unites and last one manage the communication among other unites but from the same level of work tasks.  After this simplified notes about system construction and constituent parts, it is imaginary now how the draw of healthcare system of most countries highly convoluted and hard to be fully understandable without explanation. In next post we are going to draw and design symbolic prospect of healthcare and associated informative systems but in small scale just to reveal how medical care prototypes could be.

Some of readers may ask that most of healthcare system similar to each other particularly in Europe, what does it means?!. It means simply that the implementation firms are actually the same or group of cooperative firms make the medical system projects in many countries through. Just remember design and implementation of healthcare systems in one country is not easy work; it needs teams and national big budget and moreover long time schedules to implement that for sure after ready infrastructure and trials and then operate. I would like to be much clear here about it; nothing is fixed and ever would be in process and procedures of design. System prototypes have drawn according to national purposes and demands of each country toward their citizens with complete freedom to modify and adjust its bricks to serve society nation and patients hopes.

Good news that we would narrative some prototypes but on small scale that enable the reader to imagine and get better understanding of system design and how it does work. If you are really excited to know more and get better about something new, It is a surprise to find out after next few posts be able to know much about healthcare system not only as a user but also deep thinker and analytical participant. We are going to discuss hospital information system, electronic health records, electronic management of medical orders in electronic health, clinical laboratory information system,….etc. all of them are big unite names form building bricks mentioned under main category types of previous post. Follow the next posts to enjoy more, full health J

Operational linkage among e-health unites

Operating unites linkage is the main part of integration whilst most unites of medical system work together; many theories determined the role and significance of nature of confrontation between two working unites. Put in mind that not all of medical system integrated unites that work on the same line or on the same hierarchical pathway. Moreover; there are endless possibilities to modify and adapt certain group of unites to match and suits to particular service or value. Undoubtedly; there are many books talked and drew proper imagination and how linkage should and would be. But eventually you will find that in every healthcare system owns different work nature and more roles adaptable to serve different planned purposes by state that could fulfil health and care welfare to the citizens. So, taking certain model of integration and linkage among unites is not completely right decision and would not be fit enough to give proper and desirable end results. In coming rows you are going to figure out several forms of unite linkage and briefly described to be simple and understandable:

Linear Linkage: one sort of unites linkage defined simple readable communication between two operating unites and what is really significant here that this form serve linear and series of medical care unites. It means hard to use it with multiple layer integration or multiple services unite functions.

Central unit Linkage:  is the more common form of unite linkage of healthcare systems, why so?. Because it serves many other unites at the same time through the same unite. Moreover, it could control and distribute needs and demands of patients according to their numbers. Central unite is wide existed among almost all modern healthcare systems because their ability to perform multiple tasks among and in between similar group of unites. Therefore; Healthcare system designers use this unite and frontal platform to open next pathways to patients and also use it as a booster unite to exaggerate and magnify other tasks to and from other unites.

Corner unite linkage: from its name it is not in the central of integration so, the work significanceof this unite is represented to make corner coherence or reflect serves to go into opposite direction. Literally it is aside unite to serve and do aside tasks and it always hidden among system unites folds far from light of direct tasks.

Parallel unite linkage: this kind of unites linkage are always located on the pathways of whole healthcare system and rarely to find them take more than two direct conjunctions. That means one before and another after to deliver service tasks to reach next medical unite.  None of that kind of unite suitable and fit to do multiple tasks or receive many tasks from many unites. They serve and perform over their path nothing more could be done by them. Subsequently, they have less employees because there is not much to do even in case of work burdens and big patients numbers.

There are many other sorts of integration linkage among healthcare operating unites but these which have mentioned formerly most common and easiest ones would be describe only by words. It is clear that every system should own working unites shapes according to state plans and system fulfilment purposes to reach country future objectives of medical care to their patients. Full health J

  

E-health unites systems integrations

People will never understand something until it happens to them; some people watching someone silent most of his time. They think this is coldness or calmness within personality while open talkative ones judged as a weak emotional person. It hard to understand someone else at present time many of people failed actually to understand even themselves. Most of societies individuals brought up to be apparently judge and evaluate life matters only on appearance. But in order to be fully understand and precisely judgmental, individuals need to learn how to be analytical, deeply analytical even if all of apparently signs said something else. So, that needed to be aware with all of life book pages related to someone then if you did it and still have time, you are be able to put proper judgment suits previous experiences and past backgrounds before, it absolutely waste of time to judge someone you know nothing about his/her history. Analytical mindset; It means see behind the wall or in other word through the wall itself in some critical situations. This example has mentioned here to just explain how many existed systems, it is completely hard be evaluated apparently as we do evaluate people in parties and festivals depending on their dresses. Patients who dealing with healthcare systems they see the end platforms of delivery channels of the same system. But the whole processes of integration among different medical unites are completely hidden not because lack of interest from patients but because also security and safety of them. From all above we got simple result that if we are willing to put judgment over one of a medical system, it should be studied all in all from different faces of working unites and constructed articulation borders in-between. May be some of readers think that integration is simple as the word but unfortunately the most and tough work of any medical system lies in that articulation of many operating unites together while the biggest errors produced and correction always done from the convergence point of system articulation. Because inside the operation unites everything is under control from working nurses and medical staffs. There are many of successful articulation models carried out in many countries with good to excellent end results.

But it is not meaningful here to indulge readers in useless details regarding model and articulation methodologies and procedures but as a hint and overview to imagine the process would be as follow.

-Electronic health records

-Computerized physician order entry (CPOE) module

-Picture archiving and communication system (PACS) and also RIS (Radiology information system)

-Anatomic pathology information system (APIS)

These core components of system articulation and most of medical modern systems own them. Each one could be stretched to be sub-unites branched and prevailed to serve work purposes depending on received planned end values by patients. Therefore; there are sub-articulation procedures aggregate and grasp the whole integration of such components. For instance; there are many sorts of electronic records, the articulation process would happen to reach a point of unite integration and after many successful productive sub-integration then upgrade the integration itself to include the main components of medical system on different pathways of state system. Pathways of integration among main and sub- operating unites depending mainly on two factor; first size of state medical system according country population and secondly how far and branched this system going to be inside country organization and to draw them all over the meant umbrella of society care. Full health J