Martes, Mayo 24, 2011

IMPLEMENTING and UPGRADING CLINICAL INFORMATION SYSTEMS

Composition of the CIS management team:
   ¡CIS Steering Committee
   ¡Project Team
   ¡Departmental Team
CIS Steering Committee:
           MAIN MANAGERS OF CIS
 ¡composted of representatives from the different areas (hospital administration, nursing administration, medical staff, information systems, major ancillary departments, health information management, legal affairs, consultants, and appointed members)
 ¡in charge of providing oversight GUIDANCE to the selection and integration of a new CIS into the organization

Project Team:
DESIGN AND UPGRADING MANAGERS OF CIS
¡composed by the project manager and team leaders from each of the major departments;
¡Objectives: 
       ▪To understand the technology, including restrictions of a proposed system 
       ▪To understand the impact of intradepartmental decisions 
       ▪To make decisions at the interdepartmental level for the overall good of the CIS within the organization 
       ▪To become key resource for application
*Project Manager -  has significant implementation experience, is responsible for managing the software application development, hardware and networks and all aspects of the healthcare project implementation.

Departmental Team:
KEY IMPLEMENTORS OF CIS
  ¡has the task of understanding the department’s information needs and the software features and functions, merging system’s capabilities with department’s operations, participating in developing and conducting end user education, and providing high level of support in utilization of the system.


Documentation and Negotiation of Project Scope Agreement

          ¡A project scope agreement is drafted by the project team and submitted to the project’s steering committee for acceptance.

Allocation of Resources
          ¡Considerations:
- staffing workload
- human resources- present cost of operation
- relationship of implementation events with nonproject events
- training costs- space availability
- current and anticipated   equipment requirements 

SYSTEMS ANALYSIS:
 ¡Data collection
 ¡Data analysis
 ¡Data review
 ¡Benefits identification
 ¡System proposal development

DEVELOPMENT:
 ¡development of the software
 ¡iterative process of programming sections of the design
 ¡determination of product packaging and marketing materials, establishment of product pricing, development of system/application documentation, and establishment of a marketing plan.

TESTING:
alpha test vs. beta test
 ¡verifies that computer programs are written correctly and ensures that when implemented, the system will function as planned
 ¡**Document system – Refer to Book (p.305)

TRAINING:
 ¡includes the databases, processing logic, and outputs of the system’s features and functions
           Levels:1. project team and selected members of the departmental team receive training from the developers or vendor
                       2. end-user training
 ¡-done no more than 6 weeks prior to activation of the new system

Important Notes:
Training should take place before and during activation of a new system
▪Training is most effective when it is interactive and hands-on. 

IMPLEMENTATION:
     IMPLEMENTATION + COLLABORATION 
 ¡materialization of the implementation plan
 ¡4 Approaches:
          ▪Parallel
          ▪Pilot
          ▪Phased-in
          ▪Big Bang

EVALUATION:
“Were the identified objectives met? Were the plans identified are carried out as expected?”
¡describes and assesses in detail the new system’s performance
¡Includes cost-benefit analysis – IS THE SYSTEM WORTH ITS PRICE?; relates system cost and benefits to system design, level of use, timeframe, and equipment costs 

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