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HOSPITAL MANAGEMENT SYSTEM FOR ST. MATTHEUS MEDICAL HOSPITAL, INC.

INTRODUCTION

Introduction

Nowadays, information technology plays as one of the key role in

the development of different field of studies in our society. As it

develops and advances rapidly, it gives more chances for the people to

live in a much efficient and hassle free life. Information technology

truly is considered as one of our needs in our generation. In medicine,

education, engineering, agriculture, geography, communication, etc.,

information technology has already been a part of all the field mention

for the past years.

Health care is one of the most prioritized fields in government.

Acquiring the most high-quality medical care had been a challenge in

the country. Only hospitals from around the urban community offers

complete and extensive health care, while on rural areas medical care

is depleting. The problem is not just because of lack of budget of the

government, but also because of the difficulty in managing and

administering a hospital with the entire complex operation taking

place. With the help of information technology, the country can attain

the quality of health care that the other countries have. There are a lot

of studies that contributed a lot in the field of medicine. Studies

concerning about the breakthroughs in disease treatment, medicine

are being invented as well as laboratory equipments. Yet, managing


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and administering the process and day to day transaction in a hospital

still concerns a lot of work to be done.

The Hospital Management System for St. Mattheus Medical

Hospital, Inc. is a study that will guide the administration of the said

hospital. This study provides aid managing, administering and tracking

information and processes needed by the hospital. This study will be a

big help in the development of health care as well as patient care in

the field of medicine.

Project Context

Information System is an integrated set of components for

collecting, storing, processing, and communicating information.

Business firms, other organizations, and individuals in contemporary

society rely on information systems to manage their operations,

compete in the marketplace, supply services, and augment personal

lives. As the meaning implies, information system plays a very viral

role in connecting people’s life by means of information. Information

system continuously grows and already extended its reach to the

different fields aside from business. The medicine field in example is

one of the fields that really are contributed in the advancement of

information system. The application Hospital Management System falls

under the category of Information System because the application


HOSPITAL MANAGEMENT SYSTEM FOR ST. MATTHEUS MEDICAL HOSPITAL, INC. 3

interacts directly to the user and gives information especially about the

user’s needs.

Information technology is one of the factors in the development of

fields such as the Academe, Medicine, Engineering, Business, and

others. In this study, Information technology is under the field of

Medicine. The study gives aid to the administration of the St. Mattheus

Medical Hospital, Inc. to efficiently administer and manage all their

processes and daily transaction.

St. Mattheus Medical Hospital,Inc. located at #60 Gen. Luna St.

Banaba, San Mateo, Rizal was established year 2006 .It offers all

medical services except dental services and other laboratory services

like kidney dialysis, CT scan, and Echocardiogram(2D echo). They

have approximately 105 employees from their director down to their

maintenance staff. Manual work is done in some of the departments.

Hospital Management System addresses all the major functional

area of modern multi-specialty hospital. It provides a more efficient

way in managing all the processes involved from the registration of the

patient, room assignment, doctor scheduling, test and surgery,

laboratories and down to the clearance of the patient. It will help St.

Mattheus Medical hospital deal with all the day to day operations

taking place.

Purpose and Description


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The study was conceived to help the doctors, nurses and

administration staff of the hospital to be fully guided in having the best

and most efficient way in providing their hospital’s services to their

patient. It was designed to aid the hospital staff to efficiently manage

and administer their hospital’s daily transactions as well as the

services they provide.

For the Patient: The patients will be the main beneficiary of the

proposed system. The application can ensure the patient that their

records will be properly kept and tracked by the hospital.

For the Doctors and Nurses: The medical personnel can be at

ease regarding their scheduling and monitoring work. The application

will determine the possible schedules of the medical personnel and set

them in a more orderly way.

For the Administration Staff: The management can now provide

the most extensive and out most care when it comes to patient care

and hospital administration by using the proposed system. They’re

workload will be lessen and process will be more efficiently and timely

manage.

Objectives

The study aims to help St. Mattheus Medical Hospital, Inc. in

administering and managing their entire hospital’s processes for them

to have the outmost service when it comes to patient care.


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Specifically, this study aims:

• Help St. Mattheus Medical Hospital in keeping up with their day to day

transaction.

• Aid the hospital in admitting, gathering, updating, managing and

tracking the entire necessary patient’s information.

• Help the hospital in scheduling, tracking and updating the doctor and

ward information.

• Give aide in administering the main departments that the hospital has.

Scope and Limitations

The study will provide data exclusively from the St. Mattheus

Medical Hospital, Inc. This includes the way or process on how they

manage and administer their hospital and the services they offer.

The study’s scopes are the following:

• Reception & Inquiry

• Patient Registration (In Patient)

• Out Patient Department (OPD)

• Doctor Section

• Nurses Station

• Operation Theatre Management


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• Pharmacy Management

• Services Management

• Laboratory Management

• Department Management

• Payroll

• Medical Records of the Patients

The study’s delimitations are the following:

• The study is not an online hospital management system

• Hospital Maintenance Services (i.e Housekeeping/Laundry)

• HRMS of the hospital is not included.

• Sanitation Management of the hospital


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REVIEW OF RELATED LITERATURE AND SYSTEMS

This section presents the review of articles of other researchers that

have significant relation to this study. This discusses articles that are

similar and conveys same concept of principles with that of the

developed software.

Review of Related Literature

Local Related Literature

Hospitals in the Philippines

Hospitals in and around Manila often offer high-quality

medical care. However, even the best hospitals may not

meet the standards of medical care, sanitation, and

comfort provided by hospitals in the United States. Many

hospitals outside major urban areas may offer only basic

medical care in rudimentary conditions. It is wise to

evaluate the standards of medical care at a hospital before


HOSPITAL MANAGEMENT SYSTEM FOR ST. MATTHEUS MEDICAL HOSPITAL, INC. 8

contemplating medical procedure.Most hospitals will

require a down payment at the time of admission. Local

hospitals do not usually accept U.S. Health insurance

policies, but many U.S. insurers will reimburse patients for

hospital charges. Patients are often required to pay their

bills before being discharged from the hospital. (Smith,

L.,2005).

The article states that only hospital in the urban places

such as Manila has the capability to offer high-quality

medical care compared to the hospitals located in the rural

places. And yet still as mentioned in the article that

hospitals here in the Philippines may not meet the

standards of medical care, sanitation, and comfort

provided by hospitals in the United States.

The proposed study will definitely fit in the depleting

status of the hospitals here in the Philippines. It will help

hospitals in managing and administering their record as

well as their day to day process in a more efficient way for

them to decrease their workload.

Student Perspective

The first day that I entered the hospital I found it much

different than hospitals I was accustomed to in the United


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States. Dirty floors, insects roaming freely and broken

windows were commonplace. Hospital workers informed

me that aside from all these conditions this hospital in

Lucena was one of the best in the Philippines. Coming from

a society that has numerous medical and technological

advantages I expected many of the same conditions in the

Philippines. Unfortunately I did not realize how things

would truly be until I arrived at the hospital. I think the

conditions that were unhealthy by my standards were

more alarming to me because of what I was accustomed

to. The Filipinos, however, did not associate the hospital

environment with being dirty and unhealthy. They had

experienced nothing better, and therefore, the current

state was as advanced as it got. (Basenese, L.,1996).

The article tells that there is a devastating condition of

hospitals in rural areas in accordance to the observation of

a foreign student volunteer. In relevance, the researchers

really suggest the implementation of a hospital

management system in order to give aide to the hospitals

in managing their transactions and administering their

hospital in order to comply with what is a hospital should

really look like.


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Philippines: Arroyo launches VAT-funded hospital

upgrading project

President Gloria Macapagal Arroyo launched on

Tuesday a P500-million project to upgrade primary level

government hospitals to secondary level. Arroyo launched

the project called the "Katas ng VAT: Para sa Maliliit na

Ospital" while on a visit to Datu Odin Sinsuat in

Maguindanao. The project funds would be used to buy

equipment like x-ray machines and laboratory diagnostic

equipment to improve the operating rooms.

(Anonymous,2008).

This article entitled Philippines: Arroyo launches VAT-

funded hospital upgrading project, is about the funding of a

project to upgrade primary level government hospitals to

secondary level. In relevance to the researcher’s study, the

funding of medical equipment would be much better if the

hospital will have a system that will manage transactions

that are under these equipments.

Health care beyond reach of poor

For any Filipino family, especially among the poor, an

illness striking any of its members is viewed as a

catastrophe. Six of 10 Filipinos who succumb to sickness


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die without ever seeing a doctor, according to the

University of the Philippines’ National Health Institute.

Health care is one of the most important items that should

be on the agenda of whoever gets elected president in the

May election, according to a group of former senior

government officials who have drawn up a list of urgent

concerns for the next administration to address in its first

year. (Bernabe, K, 2010).

The article was about the lack of proper health care

service in the Philippines. The issue of a better hospital

administration was then recalled this previous election. The

government has a huge responsibility for making

healthcare reach the poor.

In relevance to the researchers study, having a well

manage and administer hospital could really help in giving

and providing the best health care through the patients

with the help of a system that will aid in the proper

administration of a hospital.

Whistleblower dares hospital management to bare

plan

BRYAN Baylon, the controversial "whistleblower" on the

hospital fund brouhaha at the Corazon Locsin Montelibano


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Memorial Regional Hospital (CLMMRH) in Bacolod,

challenged the present hospital administration to disclose

to the public the financial rehabilitation plan.

Baylon's challenge came after Dr. Jaime Bernadas,

acting as chief of the CLMMRH, disclosed Monday that the

management and personnel of the hospital. Severino, G.A.,

(2007).

The article tackles about the need for the improvement

of the Hospital management in Corazon Locsin Montelibano

Memorial Regional Hospital (CLMMRH) in Bacolod. There

are some inconsistencies especially on their financial

rehabilitation plan.

In connection to the researchers study, a hospital

management system can avoid these inconsistencies or

controversies to happen. Having a full secured and biased

free system can avoid anomalies taking place in a hospital

like the one mentioned in the article.

Foreign Related Literature

Hospital management in Canada

When a legal resident of Canada needs medical care,

he or she presents a provincial health card, usually a

plastic identification card similar to a credit card, to a


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physician or hospital. Patients choose their physicians,

although a general practitioner may refer them to a

specialist. If patients require immediate care without an

appointment, they can seek admittance to any hospital

emergency room or community health clinic. There, the

severity of their medical need determines how long they

will wait to see a nurse or doctor. Health-care provision in

Canada is based on medical need rather than the ability to

pay; consequently, there are often waiting lists for some

elective procedures, such as cataract surgery;

nonemergency surgery, such as hip replacement; and

diagnostic services, such as the use of magnetic resonance

imaging (MRI). In addition, medical specialists are often

less available in rural and remote areas. (Anonymous,

2007).

This article talks about the process on how a patient in

Canada can acquire medical assistance with the use of a

health card that will be presented in the hospital for

admission. This article somehow inspired the researcher’s

study by means of electronically managing the patients

information of the researcher’s chosen hospital in order to

easily gather and track the information regarding the

patient.
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Hospital management in U.K .Abstract

The hospital system in United Kingdom established in

1995 has been criticized. Patients of doctors who were not

fund holders complained they were not receiving hospital

treatment as quickly as patients whose doctors managed

their funds. The new hospital trusts are criticized for their

admissions policies, including sending patients to other

hospitals, and for not being sufficiently accountable for

spending. While National Health Service hospitals have

long waiting lists, private hospitals have empty beds

because fewer people can afford them. The Labour

government increased funding for the NHS and instituted

reforms of the payment system and administrative

structure. Despite the reforms and increased funding, the

NHS was running huge deficits in the early 2000s and

services had not improved. (Anonymous,2004).

This article talks about the hospital management

system in United Kingdom, which is being complained and

criticized by its injustice management. They are criticized

for their admissions policies, including sending patients to

other hospitals, and for not being sufficiently accountable

for spending.
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In connection with the study, the chosen hospital still

conforms to their standard operation procedure which

involved the presenting of waiver to their patient before

officially admitted as well as referring them to other

hospital. They also detain patients who still haven’t settled

their bills, but still the patient’s needs are still their priority

not like in the above article. The study will definitely help

the hospital in administering fair and complete to their

patients need.

How Other Countries Do It

In Europe during the nineteenth century, the labor

movement and the political parties of the Left pressed

governments to strengthen the mutual aid system. Starting

with Germany, entire classes of workers were covered,

they and their employers paid taxes, the payroll taxes

went into funds, the mutual aid groups (or special new

agencies) administered the money, and payments were

made to beneficiaries, hospitals, and doctors. Every

country from time to time expanded its coverage,

increased its funding, and improved its organization.

“Universal” protection and redistributive financing are now

widespread policies. Most or all people are covered, must


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pay payroll taxes, and receive standard benefits. While the

rich – usually the healthier – pay standard percentage-of-

wages rates, their higher incomes cause them to

contribute more money. The less healthy—usually the

lower earners – consume more benefits from health

insurance and the disability accounts, often while paying in

taxes less than their actuarial costs. (Glaser, W. A.,2006)

This was a glimpse of history of health care systems.

The less fortunate usually are the less healthy as the

article says. Until now the issue of money is a big deal to

have quick admissions in hospitals. In relation with the

study, a good hospital management system can lessen the

expenses of a patient by inserting their privileges when it

comes to health care by means of discount and insurance.

Hospital and Healthcare Management

Hospital & Healthcare Management have been

specifically designed to allow our clients to reach both

ends of the healthcare facility procurement chain By

targeting practitioners and administrative staff, this unique

approach allows advertisers direct access to everyone

involved in purchasing decision-making – from end users to

those who make the departmental recommendations to


HOSPITAL MANAGEMENT SYSTEM FOR ST. MATTHEUS MEDICAL HOSPITAL, INC. 17

the management staff directly involved in licensing

procurement. We have built Hospital & Healthcare

Management to provide an ideal and accurate approach for

effective online advertising ensuring to contemplate your

companies visibility. (Anonymous,2005).

The article discusses some of the points of how a

hospital management really aids in organization of

operations. In connection to the study, having this kind of

system really aids a hospital managing and organizing

their daily operation from patient care down to billing, all

are well administered.

Hospital Management System

A Hospital Management System (HMS) is the new

dimension the information technology has taken. The HMS

is an integrated end-to-end software application meant to

make the administrative and management work at a

hospital streamlined. Flexibility, ease to use and helping

hospitals and clinics generate maximum benefit are some

of the main requirements that are met by HMS. The

software application covers every aspect of hospital

administration and management processes. The HMS is

prepared keeping in mind the need to provide all relevant


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information in a hospital at the disposal of the hospital

administrator to take effective decision with regard to

patient care, hospital administration and finances.

(Anonymous,2009).

These articles have some facts about hospital

management system which will serve an excellent guide in

doing the researcher’s study.

Review of Related Studies

Local Related Studies

Local Governance Performance Management

The Local Governance Performance Management

System( LGPMS) is a self-assessment, management and

development tool that enables provincial, city and

municipal governments to determine their capabilities and

limitations in the delivery of essential public services.

(Anonymous,2010).

This study focuses on the monitoring of the capabilities

and limitations in the delivery of essential public services

of provincial, city and municipal government in the

Philippines. The said study aims to administer, manage as

well as monitor the status of public services being

delivered by the local government. In relevance with the

researchers study, hospital management system has the


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same purpose in a different view mainly in the health care

services.

The BD FACStation™ system

The BD FACStation™ system is the most powerful data

management system for cell analysis when coupled with

BD FACS™ flow cytometers, application software, and

reagents. The power, expandability, and connectivity of the

BD FACStation™ system make it an ideal choice for all

research and clinical needs.Integrated networking allows

the BD FACStation™ system to be connected easily with

departmental/institutional servers or laboratory

information systems (LIS). Equipped with a large hard

drive, modem, and SuperDrive, the BD FACStation™

system is a complete data management workstation. The

BD FACStation™ system provides access to the extensive

array of flow cytometry software available from BD.

(Anonymous, 2010).

The study talks about the most powerful data

management system for cell analysis when coupled with

BD FACS™ flow cytometers, application software, and

reagents. This software is mainly use in a laboratory where

cell analysis is being held. This cell analysis is a very


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helpful tool in recording, managing and storing cell or

laboratory findings. This study is also relevant to the

researchers study for it focuses on the development of

medical technologies and health care just like the

researchers aiming to do.

The BD™ Medimachine system

The BD™ Medimachine system is a sample preparation

system for the automated, mechanical disaggregation of

human tissues for flow cytometric analysis, cell culture, or

DNA amplification. The BD™ Medimachine system consists

of three components: the Medimachine, Medicons, and

Filcons. Various pore sizes of disposable, sterile, and non-

sterile Medicons and Filcons allow the operator to optimize

experimental conditions to suit the tissue under study,

ensuring clean, viable preparations of single cells, cell

clusters, or cell nuclei. (Anonymous,2010).

The study is a cell organization system that is a

breakthrough in hospital laboratory management. The said

system, organizes cells and tissues data for efficient use. In

relation to the researcher’s study, a fully functional

management system can really help in organizing day to

day operation taking place in a hospital.


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Saint Lukes Medical Center

The Admission Department is the patient's first stop

when they enter the medical center. Patients will be

requested to present their doctor's admission order sheet.

In the absence of the doctor's admission order sheet or a

doctor known to them, a walk-in patient may be admitted

through the Emergency Room. Fill out a Patient

Information Sheet. Information requested will be needed

by the attending physician and the medical center. Indicate

the accommodation of choice (suite, private room, semi-

private - 2 patients per room, or ward - 4 to 6 patients per

room). Sign consent forms for hospital care, exclusive

supply of medicines, limitation on outside diagnostic

reports, release of information to insurance companies

and/or patient's employer, and waiver of responsibility on

loss of valuables. (Anonymous, 2010).

Saint Lukes Medical Center is one of the Philippines’

finest hospital with exceptional organize way of admission

procedures. This will really be an excellent guide for the

study of the Hospital Management System.

MEDICard
HOSPITAL MANAGEMENT SYSTEM FOR ST. MATTHEUS MEDICAL HOSPITAL, INC. 22

MEDICard is a Health Maintenance Organization (HMO)

that provides Comprehensive Health Care Coverage for its

members with the use of accredited hospitals and

accredited doctors. Preventive Health Care Service, Out-

Patient Services, Dental Services, Emergency Care

Services, Hospital confinement Benefits, Member's

Financial Assistance. (Montoya,N.2009)

With the use of MediCard patients will not have any

problem in being admitted in a hospital. In relation to the

researchers study, having a system that will enable a

hassle free and easy way of admitting a patient through a

hospital can lessen the workload of the hospital.

Foreign Related Studies

Hospital management in Denmark

Denmark’s social welfare system dates from the 1890s,

and today it is one of the world’s most comprehensive.

Health insurance, covering all of the Danish population,

provides free medical care and hospitalization, payment for

some essential medicines, and some dental care. Most

hospitals are municipal. All persons are entitled to a

retirement pension. Other benefits include employment

injuries insurance; unemployment insurance; social


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assistance for the aged, blind, and disabled; and provisions

for the care of children, including daytime care for children.

Denmark also has a Hospital Robot they called Helpmate, a

robot that independently navigates through hospital

corridors, delivering meal trays, paperwork, and supplies.

The robot employs multiple sensors to safely navigate and

work in close proximity to people.

Denmark’s approach to medical care is one of the most

world’s most comprehensive when it comes to social

welfare system. With the aid of its hospital robot called

Helpmate the hospitals in Denmark are well manage and

administer. In relevance with the researcher’s study, the

said study will guide us through by setting the status of

Denmark’s health care as an example for the researcher’s

study.(Anonymous, 2004).

EDS DIOHIS Mobile Article

Sanitas needed to move fast to improve its data

collection capabilities so it could more accurately record

charges, avoid inaccurate recording of patient and

treatment data, and meet a new government mandate to

track more medical procedures than ever.

Gesundheitszentrum Sanitas, in Zurich, Switzerland, trusts


HOSPITAL MANAGEMENT SYSTEM FOR ST. MATTHEUS MEDICAL HOSPITAL, INC. 24

EDS: After carefully considering three other options from

other providers, the hospital chose EDS DIOHIS Mobile. This

wireless, online hospital management system solution

enables faster, more accurate collection of patient

inquiries, records and treatment data.

This related study, is a great way in delivering real-time

data to all clinical staff and a best-in-class wireless

management system that strengthens hospital's

operational and financial performance. In relevance in the

researcher’s study, this foreign study aims to provide the

Sanitas the most comprehensive and real-time

management of their hospital records. And the researcher

also aims the same thing for their study.

New 4-D software program for lung cancer

A new 4-dimensional software program promises to

improve the treatment of lung cancer by allowing doctors

to take the movement of breathing into account when

administering radiotherapy, researchers announced today

at the 2nd European Lung Cancer Conference in Geneva,

Switzerland. The technique involves two steps: first, for

each patient, a 4-dimensional computed tomography (4D

CT) scan is performed, recording a set of CT slices for each


HOSPITAL MANAGEMENT SYSTEM FOR ST. MATTHEUS MEDICAL HOSPITAL, INC. 25

of 10 respiratory phases. This technique is already well

known in the medical world, particularly in the field of

cardiology. Second, the new software helps the radiation

oncologist to determine if there is a respiratory phase that

is most convenient for radiotherapy, based on criteria that

have been established by a panel of oncologists.

(Anonymous, 2010)

In this article entitled New 4-D software program for

lung cancer, introduce a new approach in detecting lung

cancer using a 4-D software program. The article’s

approach in developing new innovative software in

healthcare is just like what the researches wanted to

develop software that will lessen the burden of hospitals in

managing and administering their hospital.

Hospital Management System (HMS)(An Electronic

Management)

An electronic management in a Hospital or a Nursing

Home would require to very precise and must result into

cost cutting and efficient management. We have

developed this revolutionary product” Electra” is very

accurate in its approach and suit all environments

including large, medium or small sites. The crucial points


HOSPITAL MANAGEMENT SYSTEM FOR ST. MATTHEUS MEDICAL HOSPITAL, INC. 26

that “Electra” emphasis on are listed in the following

paragraphs which in turn justify your purchase. Hospital

administrators would be able to significantly improve the

operational control and thus streamline operations. This

would enable to improve the response time to the

demands of patient care because it automates the process

of collecting, collating and retrieving patient information..

(Anonymous,2008).

Electra enables hospitals and doctors to better serve

their patients. It improves quality of patient care, and

increased also nursing productivity. Moreover it reduced

the time spent by staff filling out forms, freeing resources

for more critical tasks. Better quality of care, procedures

and service to Patients. Its relevance in the study is the

proper organization of processes and an excellent guide to

follow.

Robots help medical surgeries

The word "robot" comes pre-loaded with its own set of

unique connotations. To most, robots are a science fiction

concept; a flight of fancy conjured by the vivid

imaginations of Isaac Asimov, Arthur C Clarke and the like.

In fact, robotics is a vibrant emerging field that is steadily


HOSPITAL MANAGEMENT SYSTEM FOR ST. MATTHEUS MEDICAL HOSPITAL, INC. 27

building credibility as a method of making our lives safer

and more convenient. From living rooms and factories to

battlefields and operating theatres, robots are increasingly

wheeling their way out of our imaginations and into our

daily lives. With busy medical professionals increasingly

under pressure to make the best-possible use of their time,

hospitals often play host to the latest innovations in

advanced robotics. From remotely operated surgical

devices to simple drug dispensers, here we present some

of the most significant developments in medical robotics

and their potential for improving patient care and

simplifying the daily tasks of hospital staff. (Fitzgerald, J.,

2006)

Robots are really an aid in hospital management. It is

very functional and a helper for the doctors especially on

surgeries. It is efficient and effective to use. Robots are

real help in Hospital Management. In relation to the

researcher’s study, with the absence of robots, having a

well manage and established system can help a hospital in

delivering and providing the outmost care to their patient.

TECHNICAL BACKGROUND
HOSPITAL MANAGEMENT SYSTEM FOR ST. MATTHEUS MEDICAL HOSPITAL, INC. 28

This section presents the technical aspect of the system as a whole.

All the essential tools used to develop the system are elaborately

discussed in this part of the documents.

Hospital Management System for St. Mattheus Medical Hospital,

Incorporated is a way of providing help to the hospital personnel and

administration staff to be guided in having the best and most efficient

way in providing their hospital’s services to their patient. The system

lessens the burden of keeping up with the fast paced day to day

transaction of the hospital as well as keeping and organizing all the

essential files that each transaction process and produce.

The effect of the system will vary on how it was made and

organized by the proponents.The figure below shows the conceptual

framework of the researchers developed system for the St. Mattheus

Medical Hospital, Inc. where in it shows the required information

needed as well as the inputs, processes involved and the output of the

proposed system.
HOSPITAL MANAGEMENT SYSTEM FOR ST. MATTHEUS MEDICAL HOSPITAL, INC. 29

Figure 1: Conceptual Framework of Hospital Management

System

The framework of the system includes all the possible requirements

provided by the hospital. When it comes to the development tools the


HOSPITAL MANAGEMENT SYSTEM FOR ST. MATTHEUS MEDICAL HOSPITAL, INC. 30

researchers come up with most efficient and broadly tools used in

developing the system.

Visual Studio 2008 was used by the researchers in developing the

Hospital Management System, it is an integrated development

environment (IDE) from Microsoft. It can be used to develop console

and graphical user interface applications along with Windows Forms

applications, web sites, web applications, and web services in both

native code together with managed code for all platforms supported by

Microsoft Windows, Windows Mobile, Windows CE, .NET Framework,

.NET Compact Framework and Microsoft Silverlight. The development

tool supports many programming language, built-in languages include

C/C++ (via Visual C++), VB.NET (via Visual Basic .NET), C# (via Visual

C#), and F# (as of Visual Studio 2010).It is one of the most versatile

development tools especially that almost all users uses Microsoft as

their Operating System. The researchers used the VB.Net as the front

end provider of the system, for it is an object-oriented computer

programming language that can be viewed as an evolution of

Microsoft's Visual Basic (VB) which is generally implemented on the

Microsoft .NET Framework.

The system as a whole will not function with just the presence of

the development tools, for it cannot contain or store the information

needed by the hospital. With the aid of Microsoft Sql Server 005 the
HOSPITAL MANAGEMENT SYSTEM FOR ST. MATTHEUS MEDICAL HOSPITAL, INC. 31

storing and organizing of information was made possible. Microsoft Sql

Server is an object-oriented computer programming language that can

be viewed as an evolution of Microsoft's Visual Basic (VB) which is

generally implemented on the Microsoft .NET Framework.

The system will not be totally complete graphically without the use

of any designing tools. The researcher uses Macromedia flash 8 and

Photoshop cs3 to enhance the graphical user interface of the system.

Macromedia flash 8 or currently known as Adobe Flash is a multimedia

platform used to add animation, video, and interactivity to Web pages

as well as Applications. Flash manipulates vector and raster graphics to

provide animation of text, drawings, and still images. Photoshop cs3 on

the other hand was used to create and edit pictures and logos that are

used in the system. Adobe Photoshop CS3 is a graphics editing

program developed and published by Adobe Systems.

Other tools used in the development of the system are the Microsoft

office 2007 which is used or he editing of documents. And another

thing that was considered in the development was the compatibility

and interoperability of the application. Windows XP or Windows 7 will

best fit the said category. It is for the fact that the two operating

system are the most commonly used by consumers in the digital world.
HOSPITAL MANAGEMENT SYSTEM FOR ST. MATTHEUS MEDICAL HOSPITAL, INC. 32

Software would not be functioning unless it is integrated together

with hardware. Computer sets, printers, scanners and network cables

will be needed for the deployment of the system.

System Architecture

Hospital Management System is Local Area Network (LAN) based

wherein any computer systems should be introduced as part of the

workflow (online) to run efficiently and to gain the potential benefits of

computer system. In this case, it will setup more than one computer.

Networking is fundamental requirement for on-line system, which is to

connect all the computers in the hospital with the server, which

maintains data generated and updated by various computers in the

network.

Advantages:

Networking has a lot of advantages and we list the following as key

benefits.

Avoid duplication of entry: Since data entered from various

departments are stored in a single computer (file server), others in the

networking can share the data that is already entered instead of

entering again.

Multi-User: More than one user can access the data or program

simultaneously without affecting each other work.


HOSPITAL MANAGEMENT SYSTEM FOR ST. MATTHEUS MEDICAL HOSPITAL, INC. 33

Expansion: Expanding computer application in new areas with

minimum efforts.

Disadvantage:

Expensive for low turnover organizations: It requires investment

on hardware as well as networking software. It may not be feasible or

applicable who handle very low patient’s volume.

Local technical support: Maintaining LAN requires a person with

technical know-how to some extend which might be an obstacle to set

up LAN in some areas. This has been planned to resolve by providing

adequate training or identifying a person who can support more than

one particular hospital from a central place.


HOSPITAL MANAGEMENT SYSTEM FOR ST. MATTHEUS MEDICAL HOSPITAL, INC. 34

METHODOLOGY

Requirement Specification

Hospital Management System for St. Mattheus Medical Hospital,

Incorporated was conceptualized to help the doctors, nurses and

administration staff of the hospital to be fully guided in having the best

and most efficient way in providing their hospital’s services to their

patient. It was designed to aid the hospital staff to efficiently manage

and administer their hospital’s daily transactions as well as the

services they provided. The scope of the system is strictly within the

hospital’s network only, it is implemented in a LAN (Local Area

Network) based basis.

Analysis

The researchers used the Iterative and Incremental development

life cycle approach for the study.


HOSPITAL MANAGEMENT SYSTEM FOR ST. MATTHEUS MEDICAL HOSPITAL, INC. 35

Figure 2: Iterative and Incremental development life cycle

The figure above shows the flow of process in an Iterative and

Incremental development. It is a cyclic software development process

developed in response to the weaknesses of the waterfall model. The

basic idea behind iterative development is to develop a software

system incrementally, because it is a cyclic development process it is

easier for us to review/backtrack the phases that we might want to

review.

Initial Planning Phase

In this phase of our study the researchers discuss briefly about the

main problem and needs that is needed to consider first before we

advance to the next phase. This is a pre-planning phase wherein a

rough draft of the all needs and requirements are prepared.

Planning Phase
HOSPITAL MANAGEMENT SYSTEM FOR ST. MATTHEUS MEDICAL HOSPITAL, INC. 36

This phase covered and defines the solution in details on what to

build, how to build it, who will build it, and when it will be built. During

this phase the team writes the functional specification, and prepares

work plans, cost estimates, and schedules for the various deliverables.

This phase is where you look through deeply and consider every

requirement that the user specified.

Analysis and Design Phase

This is the most crucial and difficult phase in our study. Examining

of raw materials or information lies within the analysis area. But it

should be examined thoroughly before advancing to the design phase.

Time in design phase is very essential for the fact that designing a

software in not just an overnight job. It takes a lot of time in ensuring

the efficiency, reliability and maintainability of the software.

Implementation Phase

In this phase, the production system is installed, initial user training

is completed, user documentation is delivered, and the post

implementation review meeting is held. When this phase is completed,

the application is in steady-state production. Once the system is in

steady-state production, it is reviewed to ensure that we met all of the

goals in the project plan for a satisfactory result. If there are goals that

are not met during the analysis and design phase the team can make

any revision by backtracking, until the goals are met.

Testing Phase
HOSPITAL MANAGEMENT SYSTEM FOR ST. MATTHEUS MEDICAL HOSPITAL, INC. 37

After the implementation is completed, testing comes next. Testing

ensures that the solution meets the business requirements. Another

role of testing is the catching and correcting of errors that were

introduced earlier in the development lifecycle. Tracking the errors to

understand their causes and any patterns that might exist also falls

under testing phase. Revalidate the stability of the solution, including

ensuring that the correction of one error does not lead to the

introduction of another error somewhere else is the key core of this

phase.

Evaluation Phase

Evaluation phase evaluate the software if it can be implemented. Its

primary purpose is to ensure that the stated goals of the development

process will actually meet a required business need.

Deployment Phase

In the deployment phase, an acceptance walk-through completes

the full implementation of the software at the client site. All user

training is completed and the software is then fully implemented.


HOSPITAL MANAGEMENT SYSTEM FOR ST. MATTHEUS MEDICAL HOSPITAL, INC. 38

Design

Figure 3: Context Diagram of the Developed Software

The above figure shows all the entities involved in the developed

software of the study. There are seven external entities connected to

the software. These are the Patient which is the most important entity

in the software, for they are the ones who will be mainly benefited. The

Admission is the where patient undergoes before being fully admitted

in the hospital. The Doctor on the other hand is the one who diagnose

and treats the patient. The Nurse is responsible for taking care and

updating the patient’s condition status. The Pharmacy is the one

responsible for supplying the patient’s medicine. Laboratory is where


HOSPITAL MANAGEMENT SYSTEM FOR ST. MATTHEUS MEDICAL HOSPITAL, INC. 39

the patient is being test to help the physician in diagnosis the patient’s

diseases. Lastly, Billing entity is responsible for providing the patient’s

hospitalization bill.

Figure 4: Diagram 0 of the Developed System

The above figures shows all the involved high-level process that the

software application contains and how they are interrelated to each

other. The diagram is made up of fourteen major processes and the

seven external entities interacting with the system. The process

represents the whole functionality of the system. Data flows are now

shown in this diagram, which represents the flow of data on the


HOSPITAL MANAGEMENT SYSTEM FOR ST. MATTHEUS MEDICAL HOSPITAL, INC. 40

system. Data store are also present in the diagram 0 of our system and

this serve as the repository of the data gathered by our system.

Figure 5: Diagram 1 of the Developed System

The above figure shows how the software application operates in

greater details. This details the first diagram shown into a much more

detailed one. In this figure the whole registration and admission

process is shown in a greater detail.


HOSPITAL MANAGEMENT SYSTEM FOR ST. MATTHEUS MEDICAL HOSPITAL, INC. 41

Figure 6: Diagram 2 of the Developed System

The above figure shows how succeeding part of the software

application operates in greater details. This shows the process

undergoing between the three entities which are the Nurse, Doctor and

the Laboratory.

Figure 7: Diagram 3 of the Developed System

The figure shows the part of the software wherein the entity Patient

needed medicine prescription. The Doctor forwards the prescription


HOSPITAL MANAGEMENT SYSTEM FOR ST. MATTHEUS MEDICAL HOSPITAL, INC. 42

directly to the, Pharmacy wherein the medicine breakdown are being

prepared for the Billing to prepare the final receipt of the prescription.

Figure 8: Diagram 4 of the Developed System

The above figure shows how the other part of the software

application operates in greater details. This shows the process

undergoing in the final stage of the patient’s admission which being

discharge in the hospital.


HOSPITAL MANAGEMENT SYSTEM FOR ST. MATTHEUS MEDICAL HOSPITAL, INC. 43

Entity Relationship Diagram

Figure 9: Entity Relationship Diagram of the Developed

Software

The above figure shows the abstract and conceptual representation

of data in the software application. The researchers use the crow’s foot

approach in creating our E.R.D in such way that each entity is

explained well as well as the processes going on in the application.


HOSPITAL MANAGEMENT SYSTEM FOR ST. MATTHEUS MEDICAL HOSPITAL, INC. 44

Figure 10: Hierarchical Input Process Output

The above figure shows the abstract Hierarchical Input Process

Output of the software application. All the necessary and essential

information about the system is described in a hierarchical form.

Development and testing

Software testing involves the operation of a system or application

under controlled conditions and evaluating the results. It is oriented to

detection. It aims to identify and reveal as many errors as possible and

perform the required tests efficiently and effectively.


HOSPITAL MANAGEMENT SYSTEM FOR ST. MATTHEUS MEDICAL HOSPITAL, INC. 45

Black box testing and System testing are the two types of testing

used in Hospital Management System .Black box testing is testing the

software without knowledge of the internal workings of the item being

tested. Tests are usually functional. System testing is a type of black

box testing that is based on overall requirements specifications and

covers all combined parts of the system.

Hospital Management System for St. Mattheus Medical Hospital,

Incorporated is a way of providing help to the hospital personnel and

administration staff to be guided in having the best and most efficient

way in providing their hospital’s services to their patient. The system

lessens the burden of keeping up with the fast paced day to day

transaction of the hospital as well as keeping and organizing all the

essential files that each transaction process and produce. Black box

and system testing are the appropriate testing to be conducted since it

centralizes the idea of functionality of the system and in specifying if

the requirements needed are met.


HOSPITAL MANAGEMENT SYSTEM FOR ST. MATTHEUS MEDICAL HOSPITAL, INC. 46

RECOMMENDATIONS

The recommended computer system minimum requirements are the

following:

• Microsoft Windows XP Operating System or Latest Version

• 1024x768 screen resolution with 256 colors

• Intel Pentium 4 or Latest Product Version

• 256 MB RAM or Latest Product Version

• Atleast 2GB Free Hard Disk Space

• Printer

• Scanners

The following are the recommended software requirements:

• VB.Net

• Visual Studio 2008

• Microsoft Sql Server 2005


HOSPITAL MANAGEMENT SYSTEM FOR ST. MATTHEUS MEDICAL HOSPITAL, INC. 47

• MS Office 2007

• Macromedia Flash 8

• Photoshop Cs3

• Windows XP

Personnel Requirements and Staffing

Particular staff members/personnel proposed for the

implementation are the following:

• Ms.Leila Laudencio (administrative officer)

• Mr.Alexander Candelaria(operations officer)

• Doctors

• nurses

•administration staffs

The following staff must be computer literate and must have the

knowledge on what the system is capable of doing.

Training of Implementation Staff

The following are the topic for the training:

• System hardware/software installation

• System support

• System maintenance and modification


HOSPITAL MANAGEMENT SYSTEM FOR ST. MATTHEUS MEDICAL HOSPITAL, INC. 48

Implementation Plan

Demonstration of the software

The hospital should form a team who can decide the adoptability of

the HMS for their situation. They should then make the decision about

the desirability of the software in their setting. Hence the team making

the visit should be fairly senior staff. A Demonstration kit would be

sent if required by the user.

Work out details for adapting the software and customization

Once the decision to go ahead has been made, the next step is to

understand how their existing work processes need to be aligned or

modified/added to be in line with the software (the software has

limitations on the extent of customization). Core staff of the Hospital

management and staff should sit together to arrive the requirements

and compare availability of the feature in the HMS. If any changes or

customization is required, it should be documented.

Plan for hardware procurement

This will be a first step once a hospital decides to adopt this

software.

Depending upon the size and volume of work, a hospital can decide

on the number of computers and printers.


HOSPITAL MANAGEMENT SYSTEM FOR ST. MATTHEUS MEDICAL HOSPITAL, INC. 49

Routing of cables and placing network accessories should be

planned. If it is possible to bring a blue print of the hospital building or

rough layout with distance and location, we can have discussion to

decide the networking accessories requirements

Training

The hospital should send two or three of their staff along with

computer literate person (who can help in installation and maintenance

of the software). The team members should have full knowledge about

existing system of the hospital. Since it may not be appropriate to

recruit a computer literate person for higher salary, the management

can identify and train one of their existing staff in the computer or they

can hire local computer professionals to support you.

Training will be for the duration of 2 weeks and following will be

covered.

• Using computers

• Operating HMS (Hands-on training)

• Generating reports

• Trouble shooting and maintaining HMS

• Backup plan

Installation and Customization


HOSPITAL MANAGEMENT SYSTEM FOR ST. MATTHEUS MEDICAL HOSPITAL, INC. 50

Based on the details worked out during process III, the hospital can

place the order for the hardware and software, which normally takes

one month from the date of order to installation.

Hardware installations

Hardware supplying company will be helping you in setting up the

computer, laying network cables and accessories.

Software installations

Hardware supplying company will install, Operating System

(Windows’7) and PC software (Office-10) and other tools as part of the

installation process. The server machine should be loaded with

Windows 7 and SQL Server. Usually, the software supplier or hardware

supplier handles it.

HMS installation

It has two major tasks.

1. To create the database in the SQL server

2. To install the software in the entire client (users) machines.

User (Operator) Training

Once the visiting team returns to their hospital, they have to train

the actual users of the system or demonstrate the features and


HOSPITAL MANAGEMENT SYSTEM FOR ST. MATTHEUS MEDICAL HOSPITAL, INC. 51

redefined workflow/patient flow, data capturing, reports generation

etc.

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