How to implement a Hospital System HIS

This article is based on experience gained in more than one installation of a Hospital System (HIS) and attempts to show what we have experienced.

For purposes of illustrating the complexity of this project, we selected a National Institute receives patients from around the country and has at least 30 service units, several operating rooms, outpatient, emergency, ambulatory medicine, laboratories, among many other services .

The focus will cover the information system for each of the following areas:

  • Social work.
  • Emergency.
  • Outpatient.
  • Hospitalization.
  • Services.
  • Hospital supplies.
  • Resources.
  • Pharmacy.
  • Laboratories.
  • Finance.

Staff training and boot data.

After installing the Hospital Information System (SiHos), it is necessary to conduct a series of stress tests with data and allow users to discover whether there are hidden failures, to achieve this requires first the customization that consists of loading the data called basic catalogs, defining locations, schedules for first and subsequent patient care, medical agendas, query times, load inventory information, orders, laboratory studies, services, and hospital beds countable, type of surgery, etc..

Check that all areas where the system works have the data network, the number of required nodes and computer equipment.

Training schedule agreed with the heads of medical areas, financial and administrative staff will cover the various shifts and weekends.

Where to begin?

According to our experience, we propose to start with Social Work, Emergency and Outpatient, our reasons are:

  • Social work. It has the responsibility to determine the socioeconomic status of each of the people who come to the Institute for the first time and when necessary, renew the subsequent patient level, this level is used to apply the tab recovery fees that have to pay patients.
  • Outpatient. The high demand of patients who go to medical consultation, represents a great opportunity and control in scheduling appointments, request laboratory tests, referral to other services and even hospitalization, so you can start with management indicators and reduce service times.
  • Emergency. The type of control patients arriving, the procedures to be applied and all its derivations, we give the preamble to the startup module hospitalization.

After controlling the operation of the described areas, we intend to continue with hospital supplies, material resources and pharmacy, why?:

  • Hospital supplies. It is responsible for the collection of the Institute needs to have the correct drugs, aids healing, etc., All of whom must be endorsed among other areas of Pharmacy and thereby developing the technical annexes that serve for bids to be celebrate and once given the failures, process orders, modifications, scheduling, etc.. to control partial receipts that should affect stocks of stores.
  • Material Resources. Control of procurement and assembly of orders is essential, control and receptions scheduled and thus the involvement budget, entrances to stores, etc..
  • Pharmacy. As one of the storage of the Institute, the control inputs and outputs is essential and to put into operation this part, we left open the way to address the supply of the various areas of the Institute requiring both healing material as drugs.

The next step involves the commissioning of hospitalization modules involved in checking all services, laboratories, operating rooms, etc.., To finally be reflected in the financial side, where the boxes are automated, statements , charges to patients, dealing with insurance, billing and revenue and expense controls.

We are aware that this is one of the several paths that can be followed, but the important thing is that every step taken, is well controlled so as not to miss the opportunity to deploy the application and thus reach the desired goals.

Finally, as a last point, we provide a virtual tour of the Institute in order that managers can through this tool to meet the indicators generated by the application.

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