Tagged: #22369
- This topic has 20 replies, 14 voices, and was last updated 3 years, 11 months ago by Ornpicha Thiampol.
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2020-09-02 at 12:03 pm #22161SaranathKeymaster
In general, different hospitals may have different system to manage their own health information. Medical information may not be shared or transferred across hospitals. Some patients may seek treatment from several hospitals during their course of illness. In addition, for public health purposes, each hospital is required to send reports on number of patients with certain diseases who visited the hospital.
Are there any problems in healthcare or public health process in this situation where there is no enterprise architecture plan for the overall health information system in the province? Please discuss
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2020-09-10 at 2:53 am #22328Wachirawit SupasaParticipant
If there’s no Enterprise Architecture implement at the provincial or national level, it will create a lot of incompatible information. For example, let’s start at the smallest scale: each hospital needs to send data containing the number of patients per disease to the provincial public health authority. While there’s no standard framework for reporting data, the hospital can use any reporting system that they used to, it can be either Excel, Word, Text, or even Powerpoint, etc. This will cause provincial authority extra work to extract information from those files and compile them together in a new file and this process will continue further on each upper government level until it concludes in the annual report. If we look at the whole process, we will find a lot of redundancy and wasteful productivity that can be fixed by using Enterprise Architecture.
To implement Enterprise Architecture, we will need all stakeholders from each organization such as reporters (clecks, nurses, doctors from the hospital), analyzers (provincial and national public health officer), regulators, etc. planning Enterprise Architecture together. With EA standards implemented, health personnel should find their work is easier and more effective than without EA. In this case, we can create a standard web portal for reporting each disease in a real-time manner, and officers at each level can access this website without waiting for information from the hospital. -
2020-09-10 at 9:14 pm #22365Rawinan SomaParticipant
In this case, the absence of the enterprise architecture (EA) cause the major point, lacking interoperability. Every hospital has their own UI, database but no sharing for each other. In the smallest unit, it could affect the continuity of patient care if the patient shopping doctors around. In larger scale, officers in each hospital need to work redundantly for sharing the data to the national data center for monitoring disease situation and surveillance. It could cause intolerance if we change or remodeling the architecture of data center, surveillance program or the policy. EA comes to relive this problem by creating the unified blueprint that stable enough for working but flexible for changing. This blueprint will be the goal or final shape of the system which all hospital and organization will be develop into together.
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2020-09-10 at 10:28 pm #22367Pongsakorn SadakornParticipant
Lack of interoperability would be the issue in this case so if the provincial level is no EA, they would face many problems such as data redundancy, data sharing, and maintenance difficulties. To solve this issue, the provincial-level should develop or create their own EA to enhance system interoperability and reduce redundancy or workload of public health staff in the hospital. However, developing EA required stakeholder involvement and IT support for improvement in technology.
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2020-09-11 at 2:35 am #22369Ornpicha ThiampolParticipant
If there is no enterprise architecture plan for the overall health information system, there will be many problems. First of all, they will lack interoperability. It is not easy to share the data or maintain it. Furthermore, the staff will have much workload due to redundant data entry because the previous hospital data does not send to other hospitals. The disadvantages can affect the patient because they lack the correct data. The doctor will provide a medical history of treatment, lab result, or the chart that show their previous symptoms or drugs. In case they lack this. That can lead to the wrong diagnostic. So the enterprise architecture plan is crucial to solving the sensitive issue, especially when this is related to human life.
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2020-09-14 at 1:07 am #22464Kaung Khant TinParticipant
Dear Ornpicha Thiampol, that’s really a good discussion. I like the way you link the lack of interoperability and clinical mismanagement to the patient. This is the main point as it directly involves the life of human beings.
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2020-09-11 at 3:17 pm #22396Sila KlanklaeoParticipant
Cause problems about Data redundancy,Increases officer workload in all level.
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2020-09-12 at 3:32 pm #22421Kridsada SirichaisitParticipant
The absence of EA causes incomplete patient information was transfer via channels such as CD or document, which require the destination hospital to investigate matters that may have been previously examined. Causing a waste of time to examine the patient and causing additional costs for investigation and treatment.
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2020-09-12 at 4:03 pm #22430NaphatParticipant
In this case, if there no Enterprise architecture (EA) plan it will make many problems for all processes in Health care information system. No interoperability ,over workload and increase duplication of any processes, waste of money and waste time for all level.
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2020-09-12 at 4:44 pm #22440SaranathKeymaster
Thanks everyone. Health information system requires a well planned architecture since the beginning. It might takes time and cost, but I think it’s worth to carefully plan.
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2020-09-14 at 1:17 am #22465Khaing Zin Zin HtweParticipant
It might take time and cost, and this could be the reason why most stakeholders are reluctant to plan. It is sad to see only short-term solutions are applied in my country.
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2020-09-13 at 12:45 am #22446Saravalee SuphakarnParticipant
Yes, of course. Because absent the enterprise architecture, the system decrease interoperability, which is the important key for health informatics exchange, increase involvement to workforce on the system. This cause also decline value of data and information from the system and decrease system’s efficiency. Not only the effects to the personnel who work or use data or information on the system, but including make the inconvenience to patient or people who receive services.
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2020-09-13 at 11:27 pm #22458Khaing Zin Zin HtweParticipant
The lack of EA in health informatics at provincial level can bring problems to all levels of the system involved. Duplicates in examinations and investigations can lead to unnecessary increase in healthcare cost and human resources, and data inconsistency finally causing difficulties in analysis and decision making stages of the reported data.
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2020-09-14 at 12:11 am #22460Kaung Khant TinParticipant
Of course, having no enterprise architecture plan for the overall health information system will surely bring negative impacts on the health information system. Regarding private hospital reporting, as the private hospitals run their own health information system, they will definitely see problems at the time of reporting to the central level – which shows “inefficiency and complexity”. And even if the reports are formatted by the central level, the contents in the report format may differ- which is highlighting “the lack of interoperability”. Even though those problems raise times to times, the central level stakeholders will just sit and see as they “cannot control at the executive level”. In a nutshell, the lack of an enterprise architecture plan brings about many problems not only at the operational level but also at the strategic level in healthcare or public health process.
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2020-09-15 at 1:59 am #22495Ornpicha ThiampolParticipant
Dear Kaung, This is so true. I agree with you about private hospitals. It’s complicated. If we can fix this, I think it will more easier for all users.
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2020-09-14 at 12:57 am #22462Kaung Khant TinParticipant
Dear Ornpicha Thiampol, that’s really a good discussion. I like the way you link the lack of interoperability and clinical mismanagement to the patient.
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2020-09-14 at 9:55 am #22472Phone Suu KhaingParticipant
Without EA, different hospitals might use different reporting system with inconsistent indicator. It means that the same patient with specific diagnosis could be reported as different. Compiling those wrong data and reports can lead to wrong decisions by health authorities. It can finally cause negative impact to patients and community. Moreover, “No EA” means “No interoperability” which will burden health staff at all level as there is no standardized clear cut guideline. Furthermore, there is no integration among staff, service and beneficiaries which can lead to waste of time and energy with no positive effect.
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2020-09-14 at 12:00 pm #22477Navinee KruahongParticipant
The lack of EA plan for the overall health information system in the province can bring problems and hinder further development. First of all, this system will lack interoperability which means they are unable to share, pool, and use the data in this system efficiently. Second, The workers will face redundancy. when they need some data from other hospitals or facilities for a special need (e.g. policy/strategy planning), they have to do unnecessary and time-consuming works such as asking for data in every hospitals, collecting data from every hospitals, cleaning unstructured data, and analysis data. Last, It is hard to change or improve for future development because the dependency of each hospital systems.
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2020-09-14 at 3:44 pm #22487Sittidech SurasriParticipant
Dear Navinee, I agree with your comments It is hard to change or improve for future development. One problem may occur is that the error of data transferring. So, they should have a standard.
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2020-09-14 at 3:30 pm #22484Sittidech SurasriParticipant
In my opinion, If there is no EA Plan in the provincial level for sending the reports on the number of patients who visited the hospital, it will have many problem for who response to work on the data that collect from different hospital, and data may send in different format; .DOC, .XLSX/XLS. dbs etc.
So, the following problems may occur:
– Time consuming: if reports are in different format and standard, it needs time for data entry and validation.
– Laborsive: increasing the labor cost
– Error of data transferring -
2020-09-14 at 3:41 pm #22486Sittidech SurasriParticipant
I agree with your comments It is hard to change or improve for future development. One problem may occur is that the error of data transferring. So, they should have a standard.
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