MOUNTAINS OF THE MOON UNIVERSITY

FACULTY OF SCIENCE, INNOVATION AND TECHNOLOGY

NAME: NSIIMIRE CLAIRE

REG: 2022/U/MMU/BCS/001

COURSEUNIT: BIT 2202 SYSTEM ANALYSIS AND DESIGN

LECTURER’S NAME: MR. ALINAITWE STEPHEN

QUESTION:

1.Using area of your choice, identify client / entity of your choice to prepare a business case for a
system that you think can add positive resilient and sustainable change values to that business
enterprises.

Hint: Download sample business cases for reference.

AREA: HEALTH.

CASE STUDY: DESIGNING AND DEVELOPING A HOSPITAL INFORMATION

MANAGENT SYSTEM AT KYARUSOZI HEALTH CENTER III IN KYENJOJO
DISTRICT

A BUSINESS CASE FOR A HEALTH FACILITY:

QUESTIONS:

1.Using area of your choice, identify client / entity of your choice to prepare a business case for a
system that you think can add positive resilient and sustainable change values to that business
enterprises.

Hint: Download sample business cases for reference.

1.0 Executive Summary:
Kyarusozi Health Center III, located in Kyarusozi Town Council Kyenjojo district, serves as a
primary healthcare facility catering to the healthcare needs of the local community. The
implementation of a Hospital information management system (HIMS) is proposed to enhance
patient data management, improve operational efficiency, and ensure the delivery of high-quality
healthcare services. This business case outlines the rationale, benefits, and implementation plan
for deploying a hospital information management system at Kyarusozi Health Center III.

1.1 Introduction:
Kyarusozi Health Center III plays a crucial role in providing essential healthcare services to the
community, including primary care, maternal and child health. According to Farias et al. (2020),
the lack of a comprehensive hospital information management system hinders the center's ability
to effectively manage the patient’s data which results into challenges like data redundancy,
limited accessibility to patient’s data, risk to data loss and damage. The proposed hospital
information management system aims to address these challenges and enhance the overall
quality of care provided by Kyarusozi Health Center III.

1.2 Problem Statement:

Among many other operating challenges, like other health centers in Uganda, Kyarusozi Health
Center III is facing significant challenges in effectively monitoring and managing patient’s data
and information due to outdated manual processes and limited access to real-time patient data.
The absence of a comprehensive hospital information management system intensifies the risk of
data loss and damage, data redundancy, limited accessibility to patient data, inefficiency in data
sharing, compromised patient outcomes, and increased healthcare costs. A hospital information
management system at Kyarusozi Health Center III is important to addressing the shortcomings
of current practices and ensure efficient patient data Management as well as improving patient
care. The implementation of such a system is essential to enhance clinical decision-making,
improve patient outcomes, and optimize resource utilization within the healthcare facility.
Without a robust hospital information management system in place, Kyarusozi Health Center III
will continue to face challenges in meeting the evolving healthcare needs of its patient
population and achieving sustainable healthcare outcomes. Kabahuma & Nabukenya (2019)
identify that the government and the facility administrators, have attempted to address the

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challenges associated with patient information management through various interventions, such
as manual documentation systems, periodic health screenings, and ad-hoc follow-up procedures.
However, these interventions have proven to be insufficient in meeting the complex and dynamic
healthcare needs of the patient population served by Kyarusozi Health Center III. Existing efforts
have been hindered by fragmented data collection processes, limited access to patient
information, and lack of managing patient health. Proposed initiative to implement a hospital
information management system at Kyarusozi Health Center III will help in introducing a
comprehensive, technology-enabled solution for managing patient’s information and data. This
initiative will also bridge the divide between current practices and best-in-class healthcare
standards by leveraging advanced digital health technologies to capture real-time patient data,
facilitate informed decision-making, and promote proactive interventions. By addressing the
gaps in patient information management and care coordination, this initiative seeks to enhance
the quality of care provided at Kyarusozi Health Center III and improve the overall health
outcomes of the local community.

1.3 Objectives:
i. Implement a comprehensive hospital information management system to manage
patient’s data and information.
ii. Improve clinical decision-making through timely access to patient data.
iii. Enhance patient engagement and empowerment through access to personal health
information and self-management tools.
iv. Improve patient safety by reducing errors in medication administration, treatment plans
and diagnostic procedures.

1.3 Scope:
1.3.1 Content scope
The proposed Hospital information management system will cover all aspects of patient care at
Kyarusozi Health Center III, including: Patient Records Management, clinical decision support,
workflow automation, reporting and analytics, Patient education and security compliance.

1.3.2 Geographical scope

Kyarusozi Health Centre III is located in Kyarusozi Town Council supplying its services to 7
villages.

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1.4 Stakeholder Analysis:
The Stakeholder Analysis for the implementation of a hospital information management system
at Kyarusozi Health Center III reveals diverse interests and roles among key stakeholders.
Healthcare providers, comprising doctors, nurses, and allied health professionals, are pivotal
stakeholders who stand to benefit significantly from the proposed system. According to the
above stakeholders, access to real-time patient data would empower them to make informed
clinical decisions, leading to improved diagnosis, treatment, and care coordination. By having
immediate access to medical history, and treatment plans, healthcare providers can tailor
interventions according to individual patient needs, thereby enhancing the quality of care
delivered at the health center.

Patients represent another crucial stakeholder group whose involvement in the implementation of
the hospital information management system is paramount. The system offers patients access to
their personal health information and tools for self-management, fostering a sense of
empowerment and autonomy in managing their health. Through features such as patient portals
and mobile health applications, monitor medication adherence, and communicate with healthcare
providers remotely. This not only enhances patient engagement but also encourages proactive
involvement in their own healthcare journey, ultimately leading to better health outcomes and
improved satisfaction with the services provided by Kyarusozi Health Center III.

Administrators, including facility managers/ in charge and healthcare administrators, are tasked
with overseeing the efficient operation of the health center. For them, the hospital information
management system holds the promise of enhanced operational efficiency, resource optimization,
and quality improvement initiatives. By streamlining workflows, automating documentation
processes, and facilitating data-driven decision-making, the system can help administrators
allocate resources more effectively, reduce administrative burden, and identify areas for process
improvement. Furthermore, access to real-time performance metrics and patient outcomes data
enables administrators to implement targeted quality improvement initiatives, thereby ensuring
the delivery of high-quality healthcare services while maximizing the utilization of available
resources.

1.5 Solution Overview:

The Hospital information management system will comprise:

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Electronic Health Records (EHR) system for digital documentation and storage of patient data.

Mobile health applications for patient engagement, education, and self-monitoring.

Clinical decision support tools for alerts, reminders, and risk stratification.

1.6 Benefits:
Improved Patient Outcomes such as early detection of health issues, timely interventions, and
personalized care plans lead to better health outcomes and reduced hospitalizations.

Enhanced Operational Efficiency such as streamlined workflows, reduced paperwork, and

automated reminders improve productivity and resource utilization.

Patient Empowerment such as Access to personal health information, self-management tools, and
remote monitoring capabilities empower patients to take an active role in their healthcare.

Sustainability: Long-term benefits include reduced healthcare costs, improved population health,
and increased community trust and satisfaction.

1.7 Costs and Investment:

Initial Investment: Costs will be associated with software implementation, hardware acquisition,
staff training, and infrastructure upgrades.

Ongoing Costs will be Maintenance, support, and software updates, as well as periodic upgrades
and expansions.

Return on Investment: Anticipated cost savings from reduced hospitalizations, improved

resource utilization, and increased patient satisfaction.

-1.7 Implementation Plan:

The implementation plan for the hospital information management system at Kyarusozi Health
Center III will proceed through several key steps to ensure a smooth and effective deployment.
Initially, we will conduct a comprehensive assessment of current workflows, infrastructure, and
technology readiness within the health center. This assessment will provide valuable insights into
existing processes, identify potential areas for improvement, and inform subsequent
implementation decisions.

Following the assessment, we will proceed to select an appropriate patient information

management software and medical devices that align with the specific needs and requirements of

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Kyarusozi Health Center III. This selection process will involve thorough evaluation of available
options, considering factors such as functionality, interoperability, scalability, and cost-
effectiveness.

Once the software and devices have been selected, we will proceed to customize the system
configuration to tailor it to the unique workflows and preferences of Kyarusozi Health Center III.
This customization process will ensure seamless integration with existing systems and optimize
the system's usability and effectiveness.

To ensure successful adoption and utilization of the hospital information management system,
we will conduct comprehensive staff training and education sessions on system usage and best
practices. These sessions will empower healthcare providers and administrative staff with the
knowledge and skills needed to effectively leverage the system in their daily workflows.

To validate the effectiveness and feasibility of the hospital information management system, we
will pilot its implementation in select departments or patient populations within Kyarusozi
Health Center III.

This pilot phase will allow for real-world testing, feedback collection, and fine-tuning of the
system before full-scale deployment.

Finally, once the pilot phase is successfully completed, we will proceed to roll out the hospital
information management system across all departments of Kyarusozi Health Center III.
Throughout the implementation process, we will closely monitor performance and outcomes,
collecting data on system usage, patient outcomes, and staff satisfaction to inform ongoing
optimization efforts and ensure the system's continued success in enhancing patient care and
operational efficiency.

1.8 Conclusion and Recommendations:

The implementation of a Hospital information management system at Kyarusozi Health Center
III offers significant opportunities to enhance patient care, improve operational efficiency, and

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achieve sustainable healthcare outcomes. By investing in technology-enabled solutions and
empowering both patients and healthcare providers, Kyarusozi Health Center III can position
itself as a leader in delivering high-quality, patient-centered care to the local community.