Академический Документы
Профессиональный Документы
Культура Документы
Hospital Statistics
740 patient beds 35 wards 43 clinics 10 labs supported by ISU About 1,500 outpatients daily with total of more than 2 Million About RM 80 millions spent on medicine annually
Applications Statistics
Lifeline (Patient Demographic) manage more than 800,000 patient data. Daily patient encounter about 1,400 - 1,600. Out Patient encounter recorded up to 3,143,618 tuples. In Patient encounter recorded up to 311,605 tuples. Patient appointment list out 2,066,462 tuples. These numbers are increasing as we speak.
Health Care
1. Complex
Multidisciplinary, Multi-resources Lots of medical equipment and new technology New research and findings Types of facilities Variations of policies and standard practice guidelines/operating procedure Millions of data / terms used Variations of forms (in data entry)
2.
Large Scale
The United States alone spends 16% of its GDP (gross domestic product) 2009. In comparison, the Malaysian Governments healthcare spending is RM35 Billion (RM 35,148,955,576.02)(2008) Health Facts 2009, Kementerian Kesihatan Malaysia .
History
Hospital Information System
Development Chronology
2000 Information System Unit HUSM 2 developers, 2 supports 2001 - Patient Registrations 2003 - Laboratories 2006 - Pharmacy (Store) 2007 - Paperless Progress Notes (initialized) 2008 - AMS, CSSD, Radiology 2009 - Online Prescription 2010 - Blood Bank, System Attendance 2011 Awarded RM 400K by Treasury 22 developers + 15 temporary developers
Challenges
Obstacles and Constraints
Limited Budget
Low-end user PC Not enough PC for user Obsolete PC still being used by user Using normal PC as server Limited high-end devices / peripherals Limited number of PC and server acquired each year
Management Understanding
Unconventional procedure Insecure with Open Source Doubt IT staff ability, judgement and decisions Inability to comprehend the nature of IT workers
The Effort
From voluntary to mandatory
The Tools
The magical Open Source The Linux The Free The Community The Support The Openness
Changing the scenario Something that once feared became something to proud of User learned to be part of the development team.
Accomplishment
Applications List
Lifeline Patient demographic, Appointments, physical folder management, Diagnosis management Prescription Online System Drug Inventory Management System
Tools Inventory Management System
POLS
SPIFU SPIFA
AMS LIS
Assets Management System Laboratory Information System Diet Management System Document Management System Computer Technical Complaint Management
Central Sterile Supply Department Vehicle registration sticker Film Information Reject Analisyst used by Radiology department International Classification of Diseases v10
Staff attendance record and management Blood Donation Management for Blood Bank Department
Technologies
OS: Linux Slackware, Ubuntu, Windows and Mac OS X Programming Languages: Java, C++, PHP, Ruby, Perl, XML, Bash, ZPL II, XHTML, PHP and CSS Database: MySQL, Sybase (Integration) Web Server: Apache Revision Control: Subversion and Git Frameworks/Library: jQuery, JasperReport, Rails, Smarty Monitoring Tools: Nagios, Cacti Project Management: Redmine Hardware Involved: Mifare 1K Card, MyKad, Biometrics, Lab Machines
Cost Implications
60% - Developers salary 40% - Desktops, Servers and Maintenances 0% - Softwares and Licences, Upgrades, Add-on, etc ~ RM 5Mil (2000-2008) Ownership - 100% (OURS)
Experience
from what we are
Our Pathways
Future Plan
The Plan
Embrace new technologies Fundings Certifications Education Standard Collaboration Sharing Expertise / Experience
Thank You