Tagged: #project_managment
- This topic has 19 replies, 13 voices, and was last updated 1 year, 6 months ago by Tanatorn Tilkanont.
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2022-09-29 at 3:44 pm #38435SaranathKeymaster
Please give an example of a system in your organization (either successful or fail). What are main factors that make the system successful or failure (Data, Cost, Operation, Design, and People)?
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2022-10-03 at 11:30 pm #38508Zarni Lynn KyawParticipant
I would like to give an example of a project that we failed the first time and successful the second time.
In my organization I’ve been pushing to use an electronic signature application using SignWell platform in 2019. During that time it was a failure because
Data –> the executive team believe that we don’t have enough data to advocate the use of electronic signature to donors (for audit purpose, we still need to submit signature in paper-based format)
Cost –> cost of implementing a SignWell platform is higher than paper-based format
Operation –> many people (especially finance department) resist the need to use SignWell platform, citing if there is no internet connection, we can’t sign electronically
Design –> SignWell platform was know as DocuSign at that time and the interface is less intuitive than the current version
People –> From third-party vendors to donor, many resist the use of full electronic signature systemBut in 2020, after the onset of pandemic, for business continuity during work from home period, we have to find a better way to implement projects. So, the use of SignWell is implemented again
Data –> from our first implementation we were able to document pain points and challenges and we implement instead of full electronic signature, if needed (for third party vendors and donors) we submit a print copies
Cost –> we were able to negotiate with SignWell and create 10 accounts initially for each department to test out the features, after that we slowly scale up to executive teams, directors and program managers and coordinators.
Operation –> we create PDF, video in local language and FAQ for troubleshooting
Design –> After the DocuSign is changed to SignWell, the interface is much more intuitive
People –> timing is an important factor, due to COVID-19 we were able to get the necessary buy in from all the stakeholder in a relatively short amount of time. -
2022-10-06 at 8:08 am #38553ABDILLAH FARKHANParticipant
My video presentation about ‘eHealth for aviation passengers’ is an instance of the successful eHealth system which MoH has because it has been strongly carrying the most significant impact on the health workers and the citizens themselves. Many affiliations such as private/public healthcare providers have been engaged in the system that brings simplicity for the users to register for vaccination, consult with the physician, book for a Covid-19 test, and so on.
The success determinations of the system can be implicit from all aspects including data, cost, operation, design, and people. Outbreak-related data had been generated and the system is allowed to be interoperable with the national surveillance system applied for Covid-19 in all healthcare providers. As the system can display real-time data, then it becomes the most recognized data source for outbreak cases. Also, the initial investment for this service is considered high since it needs to recruit a group of data intelligence that is directly responsible to the minister, purchase the PaaS cloud computing method with hybrid deployment and further develop a plan to transform to be a citizen health app that will generate personal health records.
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2022-10-06 at 11:44 am #38555PREUT ASSAWAWORRARITParticipant
I would like to introduce you to the health information system which was failed. This is about the ICU request system that was developed about 5 years ago. In general, physicians contact verbally to each other by telephone or instant messages if their patients have conditions which need invasive monitoring, organ supports, or close observation. However, the available beds in critical care unit are limited resource. We need to know the overall ICU request to decide which patients will have great benefits of transferring to the ICU. Besides, The numbers of request that exceed ICU capacity should be recorded to guide critical care unit expansion in the future.
5 years ago, we developed mobile application that physicians have to input patients information, for example, hospital number, diagnosis, vital signs, laboratory data, what organ failure and organ support needed. After submit the information, it would be shown on cell phone of the physician who had responsibility in such ICU.
Unfortunately, the system was failed after implementation. These are factors leading to failure of our application.
1. Data factors
– In request form, physicians had to input too much data which some of them was not available or not considered important. They had to focus on treating their patients.
2. Design factors
– The access to the system was not easy. Physicians had to use their mobile phone to click on the link and input the data. Some of them could not remember where the link was saved.
– By typing the number instead of choosing the choice that provided valued in range made it was difficult for the usersAs above, people are the factors that contribute in every domain leading to system failure.
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2022-10-11 at 12:33 pm #38619Boonyarat KanjanapongpornParticipant
Thank you for sharing, this system would enhance benefit to the patient and create a better work flow for the health care worker. I agree with you that people wouldn’t be satisfied with new system implementation because of the difficult from data and design. Without users compliance, system couldn’t be involved into routine.
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2022-10-11 at 8:46 pm #38634Tanyawat SaisongcrohParticipant
Thank you for sharing. The intensive care unit itself is the most complicated scenario that could happen in one hospital with overwhelming data, laboratory, imaging, disease progression probably in hours. Data entering is excessive time-consuming for physician whom in charge. Re-design system with more accessibility, user friendly and integrated link to data existing in database will probably enhance usage of the system.
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2022-10-07 at 8:40 pm #38572Kawin WongthamarinParticipant
I would like to mention the online test result notification system for COVID-19 that my hospital has done and it has been very successful.
The factors that make it successful are as follows.
Data – There are examples of successful projects in several hospitals and published in medical journals. This provided reliable references that the project would be successful as well.
Cost – This project was developed by in-house personnel as the IT department has programming and web-dev capabilities, Therefore, it saves the budget from having to hire outsourcing.
Operation – At the start, the executive staff explained the advantages of the system and set a date for the system to be implemented in Town Hall. After that, there is a process of training for operational staff. Then test the system with real patients. Finally, evaluate and feedback on the results for continuous system development.
Design – Due to the system having a slight workflow change in the process of referring patients from the next day’s appointment at the hospital to waiting for the results online at home. Moreover, this system can significantly reduce the workload of staff and patients who must travel to receive the results again the next day.
People – As this system reduced the burden on all stakeholders and significantly increased patient satisfaction. Therefore, everyone was willing to cooperate and accept this change.
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2022-10-09 at 11:32 am #38600Boonyarat KanjanapongpornParticipant
I will use free ATK dispensing by using PaoTung application as an example of new system implementation. This policy was supported by NHSO during the Covid 19 pandemic. After implementation for 62 days, there were 1.6 million users and 4.6 million ATKs dispensed. I would say that this policy was successful and reached a big population. It was a massive demand at the start, I used to spend the whole shift continuously helping users to register via mobile application and dispensing ATKs.
There were many factors which contributed to the success of this policy and application. I will clarify the factors which created positive impact to the project from the perspective of Healthcare unit user.
Design: The application for both general user and healthcare provider is not sophisticated and is easy to use. The time spent with application and response time from the registering to QR code scanning is quick. On a peak day, Only myself could provide service for around 200 people per eight hours. The quality of design created compliance and increased the ability of service.
Data: Data display on the application was enough to identify and evaluate COVID status. Without ambiguous data, the service could run quicker.
Operational: The application ran smoothly almost everyday, it was rare that the system was down and the user couldn’t receive service. Moreover, there was training before launching for Healthcare units, and communicating via media for general users.
Cost: I don’t know about the overall cost for the project implementation. From the healthcare user view, there weren’t extravagant costs involved with the policy, the main costs were for internet and device, which make it easier to expand the number of healthcare units. When there were numerous units, it was convenient for the general user to reach the service without having to spend time and money for travel.
People: Users had demanded to use the system. The media repeatedly raised awareness about self protection, therefore, general people sought health support. Healthcare units involved received incentive from number of ATKs dispensed. The desire from both sides pushed the massive demand of implementing and using ATK dispensing system.-
2022-10-24 at 3:23 pm #38824Tanatorn TilkanontParticipant
Thank you for sharing. I am one of the users who use this application. I found it very easy to use. I could register and request the free ATK via the PaoTung application for not more than 5 minutes and get the free ATK at the healthcare unit. In my opinion, one of main factors that makes this project successful is the design because the users are the general people, not only health care providers. Therefore, the system is designed for a very simple user interface. Another factor is people’s awareness, most people are aware of using ATK for COVID-19 detection that is very important to spend their daily life during that time. Thus, high demand for users with a very simple application, and less time consumption.
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2022-10-11 at 9:28 pm #38637Siriphak PongthaiParticipant
As I mentioned earlier in previous topic forum on computerized provider order entry (CPOE) for chemotherapy/biotherapy regimen.
I think main factors that make the system successful are data, operation, design, and people. Since we have to deal with physicians and nurses, we introduced the system nicely and asked feedback from them to improve the better system. If we didn’t communicate, encourage, and operate well between healthcare providers, this system would not have succeed so far. We must ensure quality of data, default and input, which must be accurate and completed to minimize the error and reduce complication. In addition, the system design should be simple and ease for users.
However, cost is an inevitable factors which should be concerned to determine whether the system will be successful or failure.
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2022-10-11 at 10:14 pm #38638Tanyawat SaisongcrohParticipant
My example is successful EMR implementation in my hospital, called RamaEMR. We currently use it in OPD and also in IPD alongside with CPOE-in patient. All potential aspects including data, design, operation, cost and people are factors that make the system successful.
Data issues; the data in the system is accurate, available and also timeliness. It covers all important information that physician and nurse needed.
Design; This software is user-friendly with authorized access. At initial stage, we, as users were allowed to comment, feedback and request some more practical function in the software with the IT team.
Operation; Fortunately, we have a strong IT team in our organization. We had the software introduction session and also hand-on session with IT support at the initial usage.
Cost; As I know, with cost-effectiveness consideration, we’ve invested in both methods of build and buy in particular item involved in implementation. In long term use, we also can save time, reach optimum workforce and reduce medical error.
People; In fact that users might frustrated using the software at the beginning, but we are all trained and encourage to use it with support team and currently routinely use it in everyday work.-
2022-10-12 at 7:59 pm #38669Kansiri ApinantanakulParticipant
Thanks for sharing!
I agree that the well-planned training program as well as strong support team do contribute to the success of project implementation.
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2022-10-12 at 4:30 am #38642Hazem AbouelfetouhParticipant
In my organization we developed a new Drug Stock Management System integrated with Interactive Web Response System (IWRS) to track Investigational drugs shipments, inventories, track doses taken by patients, collect drug related adverse events and other information on patient health status with a mobile application installed on patients devise and notify and send reports and alarms to all stackholders. The system still working and relatively successful but not this after overcoming many challenges after implementing it. The design of the system needed many improvements to make it easy especially for patients and improve the data entry workflow. Data storage and system architecture was completely changed to be scalable and connect bette considering unreliability of internet connection. The budget allocated to this project was exceeded by around 50% due to the new changes and time.
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2022-10-12 at 6:42 pm #38666SIPPAPAS WANGSRIParticipant
In my hospital, there is one successful system I have known of. It is a PHR system which offer an API call to HIS database called iSuandok. It is developed using LINE LIFF and engages a lot of patients. Patients can view their health record, their labs and appoint via this application. Very convenient!
Data – Data already held by a HIS system provides endless possibility and always available
Cost – This project is developed by in-house IT team alongside with other parties. I have heard as much as millions have been invested in this project.
Operation – There are staffs, online manual instructions and also online video demonstration to guide patients. We do not force patients but we actually encourage them to use the system so there have been consistently growing users since years ago.
Design – The UI/UX is intuitive. Easy to use.
People – This is one of the most successful project and is being loved and continually supported by stakeholders and patients so far.
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2022-10-12 at 7:57 pm #38668Kansiri ApinantanakulParticipant
Thank you for sharing. This is very beneficial project for both HCPs, patient.
It’s great to hear that your project is well-accepted from users.
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2022-10-12 at 7:55 pm #38667Kansiri ApinantanakulParticipant
I would like to share the example of iOS application for monitoring visit report writing for CRA.
This application has been used in my organization for a long time with constantly development and updates to suit user feedback.
The main factors that make system successful/failure are listed below:
Data: The system is widely used not only because it was implemented and mandatory application for all CRA, but also the quality of data generated. The quality of report generating is excellent. This system also interoperable with other system. Each report would be automatically transferred to electronic trial master file at sponsor end which reduced CRA workload.Cost: I believed that cost of implementation is very high not only for application development, maintenance but the organization need to provide CRA the iPad with the keyboard to use this applicable. With is high cost, It would be the main concern of the project implementation. However, considering the quality the company get from organized monitoring visit report which could be easily tracked and 100% inspection readiness for both Thai and foreign health authority. It may considered as cost effective.
Operation: The technical support for this application is 24/7 hour available which considered the good contributing factor for the implementation
Design: The application UX/UI is user-friendly. All CRA who is tech savvy or not could easily learn to use it. This feature supported the implementation of the project.
People: I don’t know much about the first time this project launch. However, in my organization we would assign the subject matter expert (SME) to accommodate the new user training and user question response. The greatly enhance the user acceptance.
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2022-10-14 at 8:39 am #38705SaranathKeymaster
Thank you all for sharing! As I observed, many successful project came with high cost, and well planned. -This lead to three main factors for project management- Scope, budget, time –? quality of the system. As a project manager, you should do your best to balance these three factors to maximize the quality of the project.
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2022-10-24 at 3:04 pm #38823Tanatorn TilkanontParticipant
I apologize for the delay in responding. Please let me share a little project I have heard about from my colleague in the private hospital. She implemented the project in her hospital which I suppose this is one of the successful projects.
This project is mainly focused on the change from paper-based records of medication errors to electronic records of medication errors. The pain point is that they found the process of the written report is not convenient and sometimes did not record, therefore the errors were detected but under-reported. The causes were the paper-based method was slow, time-consuming, and hand-written is inaccurate, incomplete, and illiterately.
The pharmacist team creates an online system record using the hospital’s account to solve this problem. By doing this, the user can access and fill in the questionnaire form easily and quickly, the information will be collected, generated, and analyzed in real time. The data visualization was developed monthly and the visualization supports the users to see the trend of errors. The implication from visualization reported most errors came from pre-dispensing errors and the root causes were identified. This new process supported the decision-making of resources and operations.
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