Expansion of IT Infrastructure and IT enabled Services at SKIMS during 2013

Over the years SKIMS has been at forefront of utilizing what IT has to offer particularly in health care
and research work. As in any other modern Hospital, in SKIMS too, Information Technology (IT) and
modern methods of information management are being used in the workflows of hospital care,
medical information and inventory management, giving IT an important role in improving management
efficiency in hospitals. SKIMS has 3 important aspects of IT activities:

1. Providing Service, Support and Maintenance to existing Hardware & Networking Resources.

2. Providing Service Support and Maintenance to existing Software Applications and Data
Repositories

3. Developing New Applications, Optimizing/Customizing the existing Information Systems and

Capacity Building for overall IT growth at SKIMS.

Like previous year, 2013 too has seen quite a decent growth in IT and IT enabled services at SKIMS. The
growth has been fortified by procurement of state of art IT infrastructure like the Blade Servers,
Networking Equipment and expansion of Computer Network to previously inaccessible areas under
Voice & Data Projects adding more than 500 nodes to the existing LAN.

We have also implemented E-Tendering & E-procurement for Material Management & Engineering
Department and the said system has been used for all purchases costing above 5 Lakhs since then. This
year alone almost 100 Tenders costing a Total of approx. Rs 16 Crore have been processed under E-
Tendering scheme.

Computer Associates have taken the applications (developed in-house) a step ahead by putting them
into operation successfully and by providing training to the respective user community. Computerized
Pharmacy, Store Management and Blood Bank Management Systems have been commissioned to the
respective departments, where the computerized systems are working smoothly. Online Student
Registration has been done for all the Entrance Examinations conducted by SKIMS as part of Academic
Automation. Soon we will enable online payment for such registrations making the process totally
paperless vis-à-vis offering online patient services like appointment system and online patient’s reports
over the internet by accessing our website.

This year File Tracking System (FTS) team started its 3rd phase of implementation and training in which
following 10 departments has been identified:

 Clinical Pharmacology,  Blood Bank,

 Medical Oncology,  Cardiology,
 Neurology,  Gastroenterology,
 Neurosurgery,  Immunology and
 Nephrology,  General Medicine.
During the next couple of months the FTS would be operational in 40 more departments for which
the PCs have already been procured and the same are under transit.

Another breakthrough in respect of in-house software development has been designing and
development of the complete customized Hospital Information System for SKIMS Medical College
Bemina by the team of computer associates which is ready with OPD registration module. IPD along
with Nursing and Lab modules are under active development and all the three modules shall be
operational from December 2013.

Also, 34 Nodes have been installed at the SKIMS MCH, Bemina under the project “Computerization
of MRD, LAB and Nursing” during the year 2013. To build capacity before the computerized system
is commissioned and put to use, an I.T. Training Center, equipped with latest PC and Server, has
been created at the Hospital premises which is able to accommodate 15 trainees. In fact training of
1 batch of Human Resource of MRD, Nursing and Central Lab has already been completed on new
HIS developed in-house.

Network Cabling has been done for MRD and Central Lab. Networking for Nursing, Blood Bank and
Store is also planned during this year.

Telephone cabling has been completed for boy’s hostel, girl’s hostels and new services block.
Proposal along with Physical Survey report for Voice& Data for Skims Medical College as well as
Hospital have already been submitted.

Apart from the above, progress has been made in identifying areas of improvement and designing
solutions for other operations at SKIMS such as e-record maintenance of Administrative & Academic
Section and Digitization of Medical Records for which the necessary initiation have already been
taken and the proposed system would be in place very soon.

Establishment of State Resource Center (SRC) for Telemedicine & e-Health in J&K
at SKIMS- Capacity building center for e-Governance in Health
The Governing Body of SKIMS in its 40th meeting held on August 16, 2013 while deliberating the
issue regarding the subject advised that the matter of Establishment of State Resource Center (SRC)
for Telemedicine & e-Health in J&K at SKIMS should be discussed jointly with the Department of
Finance, Planning & Development Department, Health & Medical Education Department and
Information Technology Department, based on the discussions a detailed proposal be put up to
Governing Body in its next meeting. The proposed function of the center would be:

 To organize Telemedicine Training Courses and workshops for concerned Staff of the
Telemedicine Nodes in the State, user Doctors, Medical Students and others.
 To organize National and International Conferences/ events.
 To take up responsibilities for maintenance of equipment (related to Telemedicine) set up at
various locations in the State.
 Subject to approval, the SRC would also provide facilities for maintenance of electronic/ IT
related Bio –Medical equipment at various Health Centers/Hospital/ Institutes in the State.
 To conduct Tele-classes for Medical College Staff and Students / District Hospital Doctors
and other as deemed fit from time to time
In fact, after establishment of SRC for Telemedicine & e-Health, SKIMS Telemedicine center is
planned to be upgraded as Regional Resource Center for Capacity building in Tele-Medicine under
the National Medical College Network by the Ministry of Health & family Welfare Government of
India.

SKIMS has recruited 48 number of Computer Associates during the year 2011 against the available
vacancies for successful and smooth operations of the IT infrastructure installed in its premises
which includes networking backbone, workstations for running internet, HIS and other applications
etc.

Throughout this time, the Computer Associates (CAs) have been attending to IT related activities
and divided into three groups catering to three aspects of the IT activities at SKIMS viz.

 Hardware/Network Service, Support & Maintenance

 Operations & Services of HIS

 Development & Training.

So far the teams have been successful in supporting, operating and maintaining the new and
existing information and network systems vis-à-vis activation of the following additional services:

Service, Support and Maintenance:

1/4th of the Computer Associates constitute the dedicated team of professionals assigned the task
of providing, supporting and optimizing the computer hardware, network resources and internet
services to different areas of the institute through appropriate channels of communication. The
team also provides on-spot services to computers, printers and networking infrastructure 24*7.

Internet
Presently internet in SKIMS is provided via:

 NKN (100 Mbps Leased Line) which interconnects all institutions of higher learning and research
with a high speed data communication network to facilitate knowledge sharing and
collaborative research.

 Broadband (2 Mbps Phone Line) [44 in number]

 WI-FI (54Mbps) has been implemented where existing wired network was not available or
feasibility of the same was not there. To extend the reach of Wi-Fi, 40 Access Points/Wireless
Routers are installed in the interiors and hard to reach areas of SKIMS like Radiology,
Anesthesia and administrative block etc. Currently around 2000 users are using the service in
SKIMS for internet purpose.

 To provide internet facility to Trust Hospital which is not connected with SKIMS intranet and
where wired connectivity is not available at present, Radio Link has been established under
Point to Multi Point Project to connect the 2 Hospitals. The same is used to extend Hospital
Information System (HIS) and share applications like Immunization (Child Health Clinic) to the
said hospital.

Computer Network
Constant up gradation of the existing system created under the project “Computerization &
Campus vide LAN at SKIMS” and integration of NKN to the existing system, has created a fully
functional integrated system consisting of more than 550 nodes, out of which 150 are on HIS
network (intranet) and 350 are on NKN (LAN + internet). Apart from that 50 more are in place for
File Tracking System and Office Use.

This year we have expanded the reach of SKIMS LAN to paying Ward Block of the institute and
extended internet facility to the Hostels under Voice & Data Project. Through this project we would
be able to add 500 more nodes for both HIS and NKN networks.

Under Point to Multi Point Project 8 sites have been identified and 2 access points have already
been put in place, one at SKIMS and other at Trust Hospital to provide connectivity between these
points and the same are performing satisfactorily. In coming months 10 Towers would be erected
across the area to provide connectivity via Radio Link.

In 2013 Genetic Center at SKIMS got inaugurated and there too IT section has commissioned 50
nodes across the 3 floors providing LAN connectivity as well as internet facility to the respective
sections of genetic center block.

Computer network has been established in the Nursing College as well where the network cables
have been laid. Network equipment have been procured and would soon be installed. Further
connectivity is planned for the future under up gradation plan

In trust hospital 24 network nodes have been connected to provide internet and to extend HIS
services to the hospital. Further, 50 nodes have been added over WiFi for providing internet
services

Operation and maintenance of HIS.

Highlights of the progress made during the year:
Following changes have been incorporated into the Existing HIS:

HIS Module Nature of Problem

OPD Full patient name to appear in report.
IP ADT Inclusion of Referred From into the face
sheet.
OPD OPD Staff Card date error
IP Billing New Report with Bill No.
OPD Updating User Investigations
IP Billing New Report with MRD No.
IP ADT Change in admission charges
BackOffice Rate Copy Screen

Following discrepancies have been identified and rectified under CMC this year:

HIS Module Nature of Problem

IP ADT Admissions reflected in back date
IP ADT Patient Category as Private in routine Admis-
sions
IP Billing IP Investigation Issue
IP Billing Daily Collection Report Error
IP Billing IP Investigation Report Inconsistency
OPD Inconsistency in staff card report
IP ADT Married / Unmarried
IP ADT Marital Status issue
IP Billing Daily Collection Report Error
IP Billing Sequence Number issue
IP Billing Report Inconsistency
IP Billing Error in generating Report
IP Billing

Module wise chart for issues handled in this year

Details of MRD Module:

Nature of Problem by HIS Module
4.5
Nature of Problem by HIS Module
4
12
3.5
3 10

2.5
8
2
1.5 6

1
4
0.5
0 2
BackOffice IP ADT IP Billing MRD Nursing OPD

0
IP ADT IP Billing OPD

Issue List details HIS Details of issues in MRD:

Nature of Problem by Status Nature of Problem by Status

9 14
8
12
7
6 10

5 8
4
6
3
2 4

1 2
0
Closed On Hold Pending 0
Closed Pending
Software Development & Employee Training.
Software development & employee training wing of IT section came into being by identifying a
group of 4-5 people well versed with process of software development, 5-6 for implementation
and 5-6 for training among the Computer Associates, so that the existing operational HIS modules
are carried forward as such and other modules (ready for operationalization but not implemented
due lack of required hardware and/or network support) are developed in house and commissioned
to the user community after proper training at their end accordingly once the necessary hardware
requirements in terms of Computers, Printers, Network are fulfilled.

In pursuance to this a team of 4 Computer Associates along with respective

implementation/training team was constituted who have been developing software for SKIMS and
have been able to complete the following:

In house software development work done at SKIMS

Central Store Computerization

The Store Management System (SMS) has been designed and developed in-house to address the
requirements of SKIMS Central stores. The SMS software caters to the needs of officials working in
the Central stores and the indenting departments. It also keeps the record of all the activities which
are carried out in the Central stores e.g. new supplies Goods Receipt Note (GRN) received in the
Central store, raising of indents, recommending the indents, issuing of indents/supply etc. The SMS
software keeps detailed information of materials available in the store, their type
(Asset/Consumable/ reusable), material form, unit, purchase type(PO/Donation/Cash),balance
quantity/stock-in-hand, Receipts etc. In addition to this it also keeps record of all the details of
Suppliers/Manufacturers who supply goods to the hospital.

Further, we can apply different data mining techniques to the centralized database of stores in
order to identify the indenting behavior, discover indenting patterns and trends, improve quality of
service, enhance material distribution policies and reduce the retention of materials/supplies for
quiet long time and hence reduce the expiry of supplies in Central stores. Important reports are:

 Consumption Report (Material wise, Date wise, Store wise)

 GRN Report(Material wise, Date wise, Store wise)
 Stock ledger( Subgroup wise)
 Department Consumption Report
 Department Material Return Report
Handover Process
The SMS team started the handover process on Jan 2013 for two sub-stores namely Linen &
Bedding and Common & Sanitation which has been finally handed over in June 2013.Consequently
the sub-store Machinery and Equipment, Common and Sanitation, Linen and bedding has been
handed over in month of April, May and June respectively.

Also in June 2013 the handover of SMS software to Surgical and Disposable sub-store was started.
It is pertinent to mention that out of six sub-stores only three has been handed over and the
transactions of rest of three sub-stores are still being carried out by the SMS team.
 Moreover, during this period transactions of rest of the sub-stores has been carried out by the SMS
Team and simultaneously training was imparted to indenting departments and User Rights has
been provided to all the concerned officials of the Central store-I.

Central store-I( Main Store)

S.No Store Name No. of No. of No. of No. of No. of Indents No. of No. of
Master Subgro GRN Indents Indents Recommend Indents Indents
Entries ups Verified Raised Verified ed Issued Received
Linen and
1 83 1 52 245 245 245 245 86
Bedding
Common &
2 76 1 46 559 544 548 543 74
Sanitation
Machinery &
3 661 95 111 370 361 362 360 118
Equipment
Kits and
4 850 3 292 424 405 399 382 173
Chemicals
Surgical and
5 389 3 81 873 803 855 795 114
Disposable
6 Stationary 200 3 104 940 915 923 914 205
Total 0 2259 106 686 3411 3273 3332 3239

Central store-II(Engineering Store )

S.No Store No. of No. of No. of No. of No. of No. of No. of No. of
Name Maste Subgrou GRN Indent Indent Indents Indent Indents
r ps Verifie s s Recommend s Receive
Entrie d Raised Verifie ed Issued d
s d
1 Electrical 143 3 1 18 17 13 13 -
2 Civil 192 1 - 5 5 5 5 -
3 Transport 967 13 5 46 38 36 36 -
Mechanica
4 621 8 2 5 5 5 5 -
l
Total 0 1923 25 7 74 65 59
Statistical Data Of Trained Officials/User Rights Of Store Management System

S.No Department Section Official Network User Id Status

s status
Trained
1 Material Management 9 Working Assigned
( Central store I )
2 Sanitation and Housekeeping 1 Working Assigned
3 CSSD 6 Working Assigned
4 Laundry & Linen 3 Working Assigned
5 D&T 3 Working Assigned
5 Hospital Engineering Mechanical II 10 Working Assigned
Mechanical
6 Blood Bank 1 Working Assigned
7 Clinical Hematology 1 Working Assigned
8 Pathology 1 Working Assigned
9 Pharmacology 1 Working Assigned
10 Clinical Biochemistry 2 Working Assigned
11 Microbiology 1 Working Assigned
12 Immunology 1 Working Assigned
13 Emergency Medicine Observation 1 Working Assigned
14 I and D 1 Working Assigned
15 Cardiology Ward1 and CCU 1 Working Assigned
16 CVTS Ward 1A 1 Working Assigned
17 Neurosurgery Ward2 1 Working Assigned
18 Emergency Medicine Ward 2 A 1 Working Locked
19 Anaesthiology and Critical SICCU 1 Working Assigned
care
20 General Surgery Ward3 1 Working Assigned
21 Gastroenterology Ward3A 1 Working Assigned
22 Urology Ward 4 1 Working Assigned
23 Nephrology Ward4A 1 Working Assigned
24 Medical Oncology Ward 4P 1 Working Assigned
25 General Medicine Ward 5 1 Working Assigned
26 Endocrinology Ward 5A 1 Working Assigned
27 Plastic Surgery Ward 6 1 Working Assigned
28 Pediatrics Surgery Ward 7 1 Working Assigned
30 Neonatology Ward 7A 1 Working Assigned
31 Clinical Photography & 1 working Assigned
Medical Illustration
32 Radiological Physics & Bio 1 working Assigned
Engineering
33 Estates 4 working Assigned
34 MRD 2 working Assigned
Total No. of officials called for training 128
Total No. of officials completed training 81
Total No’s of officials provided User Id’s 65
Analyzers integrated with existing HIS.
Following lab analyzers have been integrated into HIS

S.No Department Analyzer Make No of tests

Performed/Day
1 Biochemistry AU 640 500
2 Biochemistry Hitachi 912 300
3 Haematology XT 2000i (2 Nos) 500
4 Central Lab Biochemistry Gem 3000 (3 Nos) 500
5 Coagulation Section Haematology CA 500 150
6 Immunology Bectel To be done

Coagulation Section Haematology

8%
Biochemistry
26%

Central Lab Biochemistry No of Tests Performed

26%

Biochemistry
15%
Haematology
26%

Biochemistry Biochemistry Haematology

Central Lab Biochemistry Coagulation Section Haematology

As a result of the integration of these analyzers with HIS, now results of patient investigations are
available at OPD reporting counter as well as for in-patients at nursing stations in ward areas.

Online availability of Patient Investigation Reports has been successfully tested and the link has
been put on official website for beta use.

Pharmacy Counter
Emergency 41911
Total 184968
Pharmacy Counter Facts And Figures till
19/10/2013
Counter Invoices Generated
Sales counter 140625
Cathlab 2432
 200000 Emergency 1500000
180000
160000
140000 6000000
120000
100000 5000000
80000
60000 4000000
40000
20000 3000000
0
sales cathlab Emergency total 2000000
counter
1000000

Average Sales per Month 0

Sales Counter 5500000 sales counter cathlab Emergency

Cathlab 3500000

Drug stores
Pharmacy is one of the main service areas of the hospital. The pharmacy management is closely associated
with the drug store which is the main backbone of the pharmacy management system.

Current Work-flow:

The drug store is the central repository of drugs where all types of drugs are stored for further distribution
within the hospital at different counters/wards. In addition, a proper stock ledger is maintained. The main
Drug store is divided into four system sub stores namely:

 Sales Store
 Free Drug Store
 IV fluids
 Dressings and Surgicals.
 3 Policy Section 2 149 993
6
6 Purchase-II57920 2 1 1
7 Personnel
4 Section 4 1170 1510
8 Legal Section 1 NILDrugs Sold upto 2013
Total 3
11 JD’s Office 1 12 1797
12 Directors Office 1 3 291
16 Clinical Haematology 1168839 1 NIL

NO. OF OFFICIALS TRAINED

179332 Academic Section
Deans Office
1 1 3 Policy Section
1 Purchase-I
1 1
Planning & Dev.
1
2 Purchase-II
2 144253 Personnel Section
Legal Section
282
1 5282 3 Accounts
Imports
Antibiotics Anti 2 Cancer Cath Lab Diagnostic Gastro Others Surgical JD’s Office
Drugs
Surgical X-ray & Chemicals Directors Office
2
1 Mechanical Engineering
1 Clinical Pharma-cology
File Tracking System. 1
2 Pathology
1
The main aim of File Tracking System is to provide flexibility to various departments ofClinical
SKIMSHaematology
to keep
1 4
track of every file electronically and provide better search facilities in this domain. Microbiology
Endocrinology
During the process of implementation, number of changes and additional features has beenNeurology
requested by
Immunology
the users from time to time which has been subsequently incorporated in the software this year. The major
additional features are mentioned as under:

Blood Bank Management System

Computerization of Blood Bank culminated this year and the system viz. Blood Bank Management System
BBMS was handed over to the respective department. By virtue of this system workflow of the department
has been made electronic and all the record keeping is done by the system.

BBMS stores and manages data generated at each steps of blood donation and transfusion system namely
collecting, processing ,storing and providing human blood intended for transfusion, performing pre-
transfusion testing ,cross matching and finally infusing into a patient. This stays achieved through following
interfaces of the software:

1)

2) Donor registration 8) Requisition form

3) Blood collection 9) Patient blood grouping
4) Blood processing lab 10) Available component bag list
5) Donor antibody screening 11) Cross match
6) Screening for tti 12) Issues
7) Component separation 13) Returns
Advantages of BBMS
 BBMS system entails the rigorous controlling, monitoring and the complete documentation of the
whole procedure from blood collection to blood infusion.
 The system will obviously ease and secure most procedures of donor screening, blood collection,
laboratory testing and cross matching etc.
 The system will provide complete documentation for possible back ward inspection.
 The system will efficiently relieve work load of blood bank and reduce the incidence of errors.
 The system keeps tight control on data redundancy.
 The system enforces data access authorization.
 The system has an interactive interface.

Units Collected Units Issued

286 204

27 1945
50 211 1560
9

20
8
161

623 500

83 54
23 185
8
2638 2094

A +VE A -VE AB +VE AB -VE A +VE A -VE AB +VE AB -VE

B +VE B -VE O +VE O -VE B +VE B -VE O +VE O -VE

E-Tendering/E-Procurement
It serves as a single window for the procurement needs of departments of institute. Procurement of
service and goods is carried out through this e-tendering system.

It can be used for contracts to achieve benefits such as increased efficiency and cost savings (faster
and cheaper) in government procurement and improved transparency (to reduce corruption) in
procurement services

Using E-tendering SKIMS can:

 Create & Publish Tenders
 Receive Bids
 Evaluate Tenders
 Award Contract / PO
Using E-Tendering, the suppliers can
 Receive notification of the relevant tenders
 Submit Tender Fee and EMD wherever applicable
  Submit Bids Online
 Track the status of their bids
 Check Comparative online after tender opening

Product Category Value Of Tender (Rs in Lakhs)

CIVIL WORKS 700.11
Consumables 20
E and M WORKS 376.93
Equipment 100.9
Mechanical Works 370.07
Others 22.7

22.7
Value Of Tender
(Rs in Lakhs)
370.07
700.11
CIVIL WORKS
100.9 Consumables
E and M WORKS
Equipments
376.93
Mechnical Works
Others
20
Training and Human Capacity Development:
Since the beginning thrust has been given to the implementation of the existing HIS to full extent
and capacity building for the same. Capacity building is the first and foremost step in automation
leading to e-Governance of services. It is especially vital so that the users are well aware of the
automation process and take full advantage of the system so that maximum throughput is achieved
and computers installed are not used as merely electronic type writers.
Keeping in view of the fact that capacity building should be carried out in parallel with the
automation process to prevent the user from technical shock, concurrent training was provided to
all the stake holders involved in the process of computerization.
For continuing improvement a training cell at SKIMS is in place carrying out capacity building.
Training has already been given to 75% of the user community including nursing staff which in itself
is a milestone in the process of capacity building.

Consolidated Summary of Training Phase I & Phase II

S.N Module Name Offi- Phas Phas Phas Phas To-
o cials eI e II e III e IV tal
called
for
 Train-
ing
1 Nursing 103 45 29 29 103
2 Laboratory 32 32 32
3 Medical Record (MRD) 32 17 17
4 Store Management System (SMS) 128 81 81
5 Pharmacy Management System (PMS) 36 21 9 6 36
6 File Tracking System (FTS) 55 18 5 7 6 36
7 Blood Bank (BBMS) 38 16 4 2 7 29
Child Health Centre & Trust Hospital
8 (CHC) 10 10 10

Grand Total 434 230 57 44 13 344

No of officials called for Training

10
38
103
55

36 32

32

128
1 Nursing 2 Laboratory
3 Medical Record (MRD) 4 Store Management System (SMS)
5 Pharmacy Management System (PMS) 6 File Tracking System (FTS)
7 Blood Bank (BBMS) 8 Child Health Centre & Trust Hospital (CHC)
 Chart Title

Child Health Centre & Trust Hospital (CHC) 10

Blood Bank (BBMS) 16 4

File Tracking System (FTS) 18 5

Pharmacy Management System (PMS) 21 9

Store Management System (SMS) 81

Medical Record (MRD) 17

Laboratory 32

Nursing 45 29

0 20 40 60 80 100 120

Phase I Phase II Phase III Phase IV

Skims MC
IT Development at SKIMS Medical College and Hospital Bemina at a glance
 This Year under the project “Computerization of MRD, LAB and Nursing” at SKIMS MCH

 34 Nodes has been installed at the SKIMS MCH, Bemina.

 To build capacity before the computerized system is put in place and put to use an I.T. Train-
ing Center has been created at the Hospital Premises. The Training Room equipped with lat-
est PC and Server is able to accommodate 15 trainees for Capacity Building.

 Training of 1 batch of Human Resource of MRD, Nursing and Central Lab has already been
completed on new HIS developed In-house.

 Network Cabling has been done for MRD and Central Lab consisting of 30 Nodes.

 Networking for 12 Nodes for Nursing is planned for future.

 Networking for Blood Bank and Store is to be done in future also.

 Proposal along with Physical Survey report for Voice& Data for Skims Medical College as well
as Hospital submitted.

 Telephone cabling has been completed for Boys& girls Hostels, New Services Block.

 Intercom operational in New Services Block

  Broad Band to 7 new lines in addition to the 4 existing lines already active.

 Internet facility provided to college Library, Engineering block for e-tendering.

 Wifi over Broad band lines to extend reach of existing internet to various sections.

 Expansion via Wifi under process to provide internet facilities to administration and ac-
counts departments.

Procurement of Blade server

On similar grounds of SKIMS, SKIMS MCH too has procured Blade Servers same in configuration of
SKIMS Blade servers. Apart from that SKIMS MCH procured 50 Pcs 4Online UPS and 20 Printers for
Computerization of MRD and Central Lab and for other office purposes.
Conclusion

Need for full utilizations of the project with the cooperation of user departments clinical as well as
non-clinical.

Since now the project has been completed in respect of computer networking of all Clinical and
Non-Clinical department vis-à-vis operationalization of HIS and activating of Internet services etc.
Therefore the main goal of optimal utilization of the infrastructure created including manpower and
machinery equipment put in place, it is required that all the user departments shall put forward
their full cooperation for making use of the computer systems and thereby automation of patient
records and other data handling process at SKIMS. Though the high level of inertia faced by the IT
department in the beginning has been minimize a lot but still more needs to be done on this
context to deploy technology fully for the services of the patients and the staff at SKIMS.