Gellie S. De Belen Group I Joshua A Zapata Hospital System Hospital Information System Hospital information system is a comprehensive, integrated information system designed to manage all the aspects of a hospital operation, such as medical, administrative, financial, and legal and the corresponding service processing. Traditional approaches encompass paper-based information processing as well as resident work position and mobile data acquisition and presentation. Hospital Information Systems can be defined as massive, integrated systems that support the comprehensive information requirements of hospitals, including patient, clinical, ancillary and financial management. Hospitals are extremely complex institutions with large departments and units coordinate care for patients. Hospitals are becoming more reliant on the ability of hospital information system (HIS) to assist in the diagnosis, management and education for better and improved services and practices. In health organization such as hospitals, implementation of HIS inevitable due to many mediating and dominating factors such as organization, people and technology. 1. Significance of Database System related to Hospital System These times, the particular hospital solutions are expanding step-by-step so that as a result the hospital management answer system is required to end up being simply scalable in order to provide brand new qualities towards the support. The hospital management information system is normally necessary to improve the high quality of the scientific and also medical care one of the sufferers from the private hospitals. This kind of hospital management software system aids the hospital management groups to boost the particular effectiveness and quality of their organizations in addition to develop their own hospital organizations. Accurate hospital management information system is very necessary to maintain productive private hospitals and centers. The tools offered by this particular system just like evaluation, modeling and stimulation enable the management regulators from the nursing homes as well as clinics in order to manage their own methods in successful ways. Consequently, it may be asserted with the help from the hospital management information system, managing the files regarding any hospital becomes easier. The complete system will be parted into close to 24 segments to obtain fresh functionalities to pass about the mental peacefulness along with several advantages which has aided to produce the usefulness inside the nursing homes. Another significant aspect which must be talked about will be the satisfaction of all sufferers. In addition to, the particular hospital management answer offers desired value to any or all these kinds of advantages. 2. Data’s being stored to Hospital system Oasis Hospital Management Information System In OASIS we provide the complete package of healthcare management through our oracle based Hospital Management Information System solution that offers a wide range of facilities such as Clinical, Specialty, Financial and Administrative systems. At the same time, OASIS is modular in design, with modules addressing specific functional requirements. Balsam can implement individual modules of OASIS on stand-alone basis and integrate with other modules as and when they come on-line all Oasis modules are integrated into a cohesive and robust healthcare management information system. Oasis Hospital Management Information System has many features which makes Balsam unique and distinctive in the market of health care. Some features of Oasis Hospital Management Information System are: Application Adaptability Oasis Hospital Management Information System has the ability of its applications to run in a modular manner to suit the requirement of varying sizes of hospitals, this features and functionality required would vary from hospital to hospital depending on the size and specialty of the hospital. Oasis applications are fully modular and highly flexible so that only relevant modules can be implemented in each hospital. This also permits implementation in a phased manner within a hospital. The Oasis System is comprehensive, offering a wide range of Clinical, Financial and Administrative sub-system facilities. At the same time, the System is modular in design, with modules addressing specific functional requirements. Balsam can implement individual modules on stand-alone basis and integrate with other modules as and when they come online. All the Oasis modules integrate into a cohesive and robust system. Application Portability Balsam's HMIS OASIS has the ability of its applications to run across a variety of different hardware platforms, it is possible to port the Software across various computers regardless of power, capacity and type of operating systems used - from large system through minicomputers to microcomputer networks. Application Connectivity Data Management Ability to communicate across hospitals at the application level so that information can be accessed from anywhere within the network, online access to patient past medical history not only improves the quality of treatment but also reduces the cost of patient care by minimizing repetitive treatment. This can be achieved if there is efficient application level connectivity across computer systems. Oasis provides application level connectivity. Such a level of connectivity eliminates delays and inaccuracies normally associated with telephone or paper based communication. The improved turnaround time associated with functions such as referral appointments and laboratory reports will result in better health care. Ability to physically hold the data wherever it is most appropriate from the data management point of view. User Interface Balsam team focus in the development of OASIS on the ease-of-use of the Software with automated and flexible user interface, the approach to computerization and use of computer systems is changing very rapidly. In a nutshell, it is bringing end users closer and closer to computers by providing direct interfaces to the organizational databases. Once the database is conceived and set up end users could manipulate them to suit their needs. With Oasis , a wide range of tools are available that provide automated and flexible data entry interfaces, ad-hoc query facilities, report writer facility and interfaces to graphical and statistical packages for data analysis and presentation. The following facilities are available to the user to aid in data input: There is 'Help' line at the TOP of the screen, which displays information about each ICON in the screen when the user navigates to that ICON. While the user is navigating through the fields, which have a lot of possible values as option, a 'List of Values' allows for selection from the list. The user can activate a Background Menu from any of the functions to shortcut the navigation process through the Menu Tree. This allows the use of frequently used screens while using a particular function. An alert message box is provided which pops up when options are available. This ensures that selected option are known and defined eg., ok, yes, no, etc. are doubly confirmed to avoid loss of data. The Reports can run in the background using scheduler that allows the user to produce reports on predefined time and date in future, without interrupting his regular duties. Arabic Language An integrated Hospital Information System has an impact on the entire hospital, as clerical, administrative, paramedical and medical staff will use it. The envisaged software should have bilingual capabilities to store patient demographic data and other administrative details in English and Arabic. Oasis having been developed in the Middle East is capable of providing bilingual facilities. It is envisaged that the medical information will be in English whereas the demographic and administrative information should have bilingual capabilities. The system must permit query and printing of certain information in both languages as chosen by the user. The minimum Arabic requirement would be: Allow entry of demographic data in Arabic and English Allow maintenance of code descriptions in both English and Arabic Allow name entries in both English and Arabic Display Names and code descriptions in English and Arabic Printing of Patient ID Cards, Visit Sheets, Pharmacy labels in both English and Arabic On reports containing items stored in both English and Arabic, the user will have the choice of choosing either English or Arabic. Oasis has the facility even to translate medical terminology and names of medications etc. Technical Advantages Ad-hoc queries Any hospital is a very dynamic environment and the information needs of Clinicians vary considerably. Hence users need extensive facilities to manipulate data in easy and quick manner. By using SQL and related Query tools, facilities are available to interrogate the database by means of user definable queries. User definable codes Each module contains user-controlled tables [code and description], which define the various types of basic data. The size and structure of these codes is user definable. Change or deletion of these codes is controlled to prevent inconsistent data. Code look up facility During data entry the user has the option to display the list of codes and descriptions and then select the appropriate code from the list. Automation of data capture Within the system, emphasis is given to minimal keyboard data entry and rapid responses. Automated data capture is such as bar code readers, inter-faces to on-line analyzers and image scanners. Spreadsheet and statistical analysis capability A spreadsheet and statistical analysis capability with interfaces to files maintained by application systems is available. It is possible to download the required data from the central database to the relevant packages for further analysis. Menu driven approach The system is menu based with a flexible and easy to use menu generator to meet the system implementation requirements. Access to the application A password is required to gain entry into the Application System and authorization levels required to perform any action. Authorization codes are set up and modified only by the System Administrator. Passwords are not displayed on the screen when they are entered. Authorization can be at various levels including: The ability to enter, change, inquire and delete The ability to only enter data The ability to only inquire The ability to print data. Order and dispense medication of various categories Financial - authorization of functions Other function as defined by users Users jobs Fields and icons display Documentation The software is accompanied by comprehensive documentation. The documentation available for each module is simple and easy to use. Each module has the following documentation: User Manual The User Manual presents the functionality of the module. An overview of the module is given along with the Menu tree structure. Each function is explained in detail in terms of the screen operations and the data to be input on each screen. Wherever appropriate, the manual presents examples to further clarify situations. Training Manual The Training Manual describes the step by step approach to process functions.., It describes the sequence of executing the initial set up functions, the master codes set up functions, the transactions, period end and purging functions. The installation instructions are also specified in this manual. The complete set of error messages, their cause and recommended actions are detailed. Future releases of Oasis will have on-line documentation. Integrity and consistency of database Oasis modules provide simultaneous record retrieval access to any number of users. However, the record is locked to prevent concurrent updating, when accessed for any type of modification. The system has routines to ensure the integrity of logical transaction units, across distributed database available in same or different locations. Mirroring Any hospital needs 24 hours a day, 7 days a week uninterrupted computer service. This necessitates maintenance of two live copies of critical applications AND data on different disk drives, preferably on two separate computer systems. During normal run, the system update both the copies but have the capability to continue to run, should any one of them fail. The system also has recovery routines to bring the failed data files to the current status, without affecting the user service. Transaction logging and recovery The system has the facility to log all transactions. Recovery routines to restore the database to the original status by using the previous backup and applying the records from the transaction log files in a logical manner are available. Note that this option will be used as a last resort, only when both the live and the duplicate data files become unusable. Continuous Development Continuous updating & improvements in functionality Oasis functionality and features are being continuously improved on an on-going basis to provide the best value to the Hospital. It is also proposed to add on additional modules in the future to widen the scope of the Hospital Information System. Balsam maintains a separate dedicated team of Consultants to look specifically into the Medical and Financial areas. Upgrades to newer versions of database software and GUI: Currently Oasis is based on Oracle Version 9i. The new version has improved performance and takes full advantage of the advances in communications technology, local area networks and cooperative server technology. Oasis applications will already upgraded to use the power and features of Oracle Version 9i and associated development tools available under the new version. Graphical User Interfaces available to give the user the added benefit of easy system operations. Use of Imaging Technology Imaging can be used effectively in the Hospital environment to streamline the workflow within the Hospital. There are a number of areas where the key input of data is timeconsuming and can affect the productivity of Doctors, Nurses and other staff 3. Software Related to the System Big Sun Healthcare Big Sun Hospital Management software is a state-of-art information system that presents comprehensive solutions to health care industry. The application is capable of handling clinical and patients care aspects in any health care set up. The hospital information system has different modules; each module addressing specific activity and facilitating in improving quality of patient care. Hospital ERP software works to improve human resource management which leads to maximized value realization of the investment done. The system reduces human requirement and intervention for different hospital activities. The hospital management system integrates different systems used in hospitals such as financial management, inventory management and other important systems. Why Hospital Management Software is important? How to choose right Clinic Management Software? Clinical software has become a necessity in healthcare industry to efficiently manage all activities related to running a health care facility. Healthcare management system also referred as clinical data management software is used to automate/computerize all manual operations done ina healthcare facility. The primary purpose of using clinical data management software is to digitize all patient records and make the data access and retrieval easy and convenient. There are several vendors offering hospital software. Every clinic software has some unique features which makes it difficult to select right clinic software for your hospital. Let’s take a look at some tips which will help you select right clinical software for your healthcare facility. Benefits of Having a Hospital Information System: Rising inflation has forced every industry to look for ways to reduce operational costs and same applies to health care industry. The rising hospitalization costs have been a cause of concern for patients as well as health care providers. Increasing competition has forced health care providers to look for solutions that will help them to reduce operational costs without affecting the quality of health care provided to their patients. The only solution to this problem is – hospital management software. Healthcare is an integral part of our society. It is necessary our health care providers use advanced hospital software to offer efficient patient care services. A hospital information system refers to a computer system that manages all information generated in a health care facility and helps the health care providers to do their job efficiently. Benefits of Using Clinic Data Management Software: Doctors play an important role in well-being of the society. However, a doctor’s life is quite hectic due to the demands of the job. Clinical Software is specifically designed to make the Doctor’s life comfortable. Using this software doctor’s can manage their Clinic staff and also maintain patient records easily. The Clinical software is designed in such way that it fulfills all requirements of a doctor. It caters to different fundamental agony areas of Clinical practice such as loss of prescriptions by patients, appointment control and managing Clinic staff. 4. New Technology that uses Database ANETIC AID the Theatre Equipment Specialist With a host of enhanced features, the new generation QA3 V3.0 Variable Height Patient Trolley is here: see it at Arab Health on the Anetic Aid stand number B39 in Hall 7. Keeping all of the features that customers value in the current model – light weight, robust with superb maneuverability – we have taken the QA3 Version 3.0 to the next level of ease of use, practicality and patient comfort. Extensive consultations with customers helped our designers to plan and refine a number of key enhancements – including the adjustable height range. The QA3’s design with one central column has always been unique, but this new version is now able to descend 100mm lower than the previous model, making it easier for frail or elderly patients to get on and off the trolley independently which is better and safer for them and, from a lifting and handling point of view, for staff. Generally, people - and therefore patients - are getting larger, so there is an increased 250kg weight capacity, and new ergonomically positioned handles are designed to make it even easier for staff to push the trolley with the patient sitting up or lying down. The mattress width has also been increased by 100mm, even though the overall width of the trolley has only increased by 30mm. The cot sides too, have been completely reworked, and now fold away under the footprint of the mattress, leaving virtually no transfer gap – again more comfortable for patients when they are being moved – and easier for staff doing the moving. Infection control has been another important consideration, so we have created smooth molded surfaces and acrylic capped vac forming which enclose the trolley mechanics to minimize dirt traps. Where possible, we have used materials with anti-bacterial and anti-micro bacterial properties – both for the trolley and for the K8 pressure care mattress which is fitted as standard with every model.