- This topic has 23 replies, 14 voices, and was last updated 3 years, 8 months ago by Saranath.
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2020-09-02 at 12:04 pm #22163SaranathKeymaster
Enterprise architecture provide a single plan that guide the interoperability of different systems or health IT project across organization (enterprise). If you would like to design an enterprise architecture of health information system among different hospitals within your province, who should involve in the designing process? What would be the role of each person?
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2020-09-11 at 1:47 am #22368Wachirawit SupasaParticipant
Basically, Enterprise Architecture involved everyone who came across it. We are all stakeholders in the system and we need people with their opinion. If I have an opportunity to create EA, I will form a group consisting of these people.
1. Health Informatician: designing, planning, and be a leader in overall EA.
2. Medical Practitioner or personnel who will use the EA system. The system will be developed to fit their need.
3. Programmer and Software Engineer: develop and implement the EA system.
4. IT support: respond to the problems that occurred in the EA system and find solutions to resolve them.
5. Quality Assurance: checking the EA system and develop quality management protocol so our EA can meet goals and expected outcomes.
6. Regulator: Checking if our EA accordant to local law.
7. Finance: Keeping track of our expense and predict long term costs.
8. Sponsor or Government representative: We need to explain our purpose of EA and how it can improve the overall health system in the province.-
2020-09-11 at 2:53 am #22371Ornpicha ThiampolParticipant
This is a good idea that you describe a lot of details. I agree that we should have quality assurance, regulator, and finance in a team also. This will improve the quality of the process.
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2020-09-11 at 2:41 am #22370Ornpicha ThiampolParticipant
The system blueprint developed should involve all stakeholders and the builder. The stakeholders should be the hospital chair, public health officer (clinical staff), and Hospital admin ( for regulating the project, support various activities including financial) from each hospital within the province.
The builder (IT) includes an informatician, programmer, database administrator, network administrator, security specialist, and web designer.
They should also have the sponsor, such as the government, to cooperate, help, and fund until its success.The stakeholders will have people from different departments, such as laboratory, pharmacy, doctors. They will be responsible for considering the healthcare system, processes, and functions they would like to use.
The builder will then be responsible for designing the semantic health information interoperability used among the hospitals within the province.
So they will have interoperability among the hospitals for communicating, exchange data in a valid, effective, and secure environment.
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2020-09-13 at 11:01 pm #22457Wachirawit SupasaParticipant
I agree. We should keep data interoperability in mind.
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2020-09-11 at 8:37 am #22373Pongsakorn SadakornParticipant
Stakeholders and vision are crucial for developing EA. Furthermore, design thinking should be based on stakeholders need and want. The Executive of an organization should have an appropriate vision and finance management to point the goal for developing EA. The informatician should design and plan the overall EA project according to vision, goal, and interoperability in the organization. Moreover, the builder or IT guys should analyze and select appropriate IT to implement EA in the organization. Finally, everyone should involve in EA to drive the organization.
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2020-09-11 at 8:40 am #22374Pongsakorn SadakornParticipant
Strongly agree, the sponsor is very important for developing EA.
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2020-09-11 at 4:16 pm #22397Sila KlanklaeoParticipant
Stakeholders should involve in the designing process,
CIO,Solution Architect, IT Program Management and Developers. -
2020-09-11 at 10:19 pm #22398Rawinan SomaParticipant
Enterprise architecture (EA) could be divided into 4 parts. First, business architecture should involve all stakeholder of the project to defined goals and problem which the project needs to solve, planning steps, design workflow and organization of the enterprise. Then, information architecture which involve database specialist, data engineer, data analyst or data scientist. These guys should define what is the data and information need to collect, how to storage, process, and utilize the information. Third part is application architecture might be consisting of developer, programmer in order to create the software or application to support the information team and create for solving the problem. Lastly, infrastructure architecture, which refer to tech-leader, IT specialist, infrastructure specialist to establish and request for the hardware, software, network in this enterprise. All of four parts should be on the same way to develop solution which solved the existing problems.
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2020-09-12 at 4:07 pm #22432Kridsada SirichaisitParticipant
1. Policy maker such as public health organization director, Hospital director for strategic direction and other supports.
2. Coordiator such as planning and strategy division of public health organization :
Coordination between the hospitals.
3. CIO, Informatician, programmer of each hospital : Analyze, design, planning for interoperability of different hospital.
4. User of all levels : Explore the requirement of users of all levels. -
2020-09-12 at 4:53 pm #22441SaranathKeymaster
Thanks everyone for good comments. One stakeholder that most of you did not mention is users like patients. Should we include patients as one of the stakeholders?
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2020-09-12 at 11:36 pm #22445Ornpicha ThiampolParticipant
Yes! Of course, patients are the people who are related to this process. Anyway, in my opinion, people in each part still be the patients in the system already. It means they can talk both in the consumer part and service provider part.
Or they can add the patients’ comments in the meeting so it will be a great idea.
( I’m not sure that is it difficult if we invite the patients to the meeting, so here is my another idea) -
2020-09-13 at 2:19 am #22448Saravalee SuphakarnParticipant
Yes, I agree with you. The opinions from patients are also important to development of EA. But it may difficult to ask everyone to share ideas on the stage or select who be representativeness of population. I think we should use some tools to collect patients’s opinions such as questionnaire.
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2020-09-13 at 2:03 am #22447Saravalee SuphakarnParticipant
According to basic of good system architecture, the system have to communicate with 2 groups which are all stakeholder in the organization, as this situation is the personals from each hospital in my province, and the builder team. The builder team consist of programmer, data base administrator, network administrator, security specialist and web designer. Main responsibilities of this team are plan, build, develop, manage, supervise and fix some mistake that happen on the system. Because EA should be developed base on stakeholder’s wants and needs, the stakeholder of each hospital should be effective delegate who can represent and understand work flow in the hospital, needs and wants, especially information system of the hospital. In addition, we should involve government official to provide suggestion in relational legal part.
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2020-09-13 at 10:47 pm #22454Khaing Zin Zin HtweParticipant
The point you emphasized here: the need to understand the workflow, needs and wants of the hospital by the representative of each hospital, is very important yet overlooked. I would like to thank you for pointing it out.
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2020-09-14 at 1:05 am #22463Kaung Khant TinParticipant
Dear Saravalee Suphakam , categorizing the people to involve into two groups is a very good start. And including government official in the process is also bright. And I think government official are much more than giving suggestion in relational legal part. They can also take a vital role in designing and conceptualization of the enterprise architecture framework.
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2020-09-13 at 10:41 pm #22453Khaing Zin Zin HtweParticipant
All types of stakeholders will include in the designing process of the enterprise architecture I would like to design;
1. Users: healthcare providers, medical technologists, finance, admin department and also patients themselves
2. Governance: management boards of the hospitals in the province, other related local authorities
3. Providers: health informatician, programmers and developers, etc.
Inputs from users are the most critical points to be considered for the design to be user-friendly and appropriate.
Management boards and authorities will have a large influence regarding budget and other needs.
Providers especially informaticians are the leader of the EA in general. -
2020-09-13 at 11:44 pm #22459NaphatParticipant
All staff in this organization are Stakeholders will have interoperability for create Enterprise architechture (EA)
If I want to crate EA for this organization I should to know all process from every departments in this organization. we should meeting,planning a model to solve the problem and set targetting of this model together.Refer to Prof.Saranath, The patients are stalkholders too because they are get us learn and see the truly problems during any processes.
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2020-09-14 at 12:49 am #22461Kaung Khant TinParticipant
Designing an enterprise architecture of the health information system among different hospitals would be challenging. And the design will differ according to the type of the hospital in the province whether it is a private or government hospital or a mixture of these two types. Anyway, the persons who should involve in the designing process are the following.
-Health Informaticians to create a conceptual framework, design and structure the enterprise architecture receiving inputs from the following professionals, and monitor and evaluate the implementation process
-Public health practitioners to give inputs from the public health aspect
-IT professionals / Data scientists to give inputs from IT and data aspects thereby creating a database, network, and application, and ongoing maintenance
-Hospital administrative staffs (including directors, HR, Finance) to give inputs from the administrative aspect
-Medical professionals (both clinical persons and technicians) to give inputs from medical-related aspects
-Business professionals to give inputs from the business aspect-
2020-09-14 at 4:11 pm #22489Sittidech SurasriParticipant
Yes, I agree with your comments. The level of hospitals is very important. Additionally, they may have limited budget cost and also the human resources.
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2020-09-14 at 12:30 pm #22478Navinee KruahongParticipant
to design an enterprise architecture of health information system among different hospitals within a province, need to involve stakeholders from different domains of health care, from hospital or healthcare leaders, planners, informaticians, IT teams, practitioners, users (which means patients in this situation).
– hospital or healthcare leaders: who can provide the overall and policy views.
– Planners or strategicians: who can make plans for achieving a shared goal of the province.
– informaticians: who can analyze data to help facilitate decisions and actions, develop data-driven solutions to improve patient health, and collaborate with other departments in the healthcare system to reduce expenses through strategic data analysis.
– IT teams: who can install and maintain of computer network systems within the system.
– practitioners such as doctors, nurses, pharmacists, radiologists, receptors: who are a person work in the system and entry input into the system.
– Users/Patients: who can provide a perspective and expectation for a system that aims to improve their quality of life. -
2020-09-14 at 3:15 pm #22483Phone Suu KhaingParticipant
I would say man, money and materials will be needed for developing EA.
Money
Firstly, some amount of budget will be needed.Man
Then various stakeholders are needed for the following role.
1. Representative of Patients – As patient’s data will be used for their benefit, they should also be a part of the team as they have the right to know advantages and disadvantages of the system
2. Users/Staff – health staff and data entry operators are needed in the operational level
3. Health authorities from hospitals – decision making for interoperability of health information exchange and HIM
4. IT technician – To develop framework for EA and to fix any IT problems
5. Health informatician – To facilitate communication channel among all stakeholders, to enhance using data driven decision making for correct action
6. Administrative authorities – To get ideas and suggestion for political point of view
7. Lawyers – To get ideas and suggestion for laws and ethics as EA for health management is integrated with human dataMaterials
Training – training will be needed for all users
EA design – it should be made interoperable as well as flexible and robust.
IT equipment – Computers and Network
Laws and policies -
2020-09-14 at 4:05 pm #22488Sittidech SurasriParticipant
If I want to develop and EA of health information system among different hospitals within your province, Person who should involve in the designing process would be all stakeholders and will take a different roles as follows:
1. Provincial Public Health Officer/ representatives: to acknowledge in term of project plan development that should follow by the MOH’s policy.
2. Hospital Directors/ representatives from each Hospital: Acknowledge in term of project plan and budget
3. Department (Lab, Pharmacy, Nurse, Admin) representatives from each hospital/ or could be one of them that represent for all dept.: provide the in depth necessary information/data
4. Hospital IT officer from each hospital: To represent and share the experiences of hospital information system in each hospitals.
5. Hospital Layer/ Ethic committee: To control the security/ ethic of data confidentiality
6. Informatician/ Data Manager and team: to coordinate the overall of project plan, set the schedule plan, gathering all information for project. -
2020-09-16 at 11:26 am #22501SaranathKeymaster
Wow! I’m glad to see this kind of active and informative discussion among all of you! 🙂
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