THE EFFECTIVENESS OF INFORMATION SYSTEM IN DIVINE MERCY

HOSPITALSAN PEDRO LAGUNA

A Thesis Presented to:

Mr. MhonBrazas

In Partial Fulfillment of the Requirements

For Senior High School

By:

Diolanda, Karl Michael T.

Empig, Martin Angelo S.

Platino, Jireh P.
 CHAPTER I

The Problem and It’s Background

Introduction

The Hospital Information is not easy as it seem to be, it has many procedures and

functions for each modules, it is a notable advancement for the technology – as the

former manual data-basing done in papers is now set in a computer network devices.

Efficiency has now come to most of the healthcare facility as they progressed their

Information System, this saves majority of work time from most of the modules in the

hospital, the security also has greatly improved by its intangible method of saving the

data, connection from each units of the facility has fasten by the networking of the

building, and server-manipulated information system meaning that all of the data

registered/entry all goes to one spot, the server room, where the head of ICTD

(Information and Communication Technology Department) can be found managing the

whole network server.

The Major Networking-Server-Modules process as follows:Registration-Purpose

(Inpatient & Outpatient) where all the transaction of the patient begins in the sub-

module called“Admission”, where both the inpatients and outpatients register and the

Admission Office will assign the patient once they are classified upon what “patient”

they are. The outpatients will be transferred or placed in the OPD (Out Patient

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Department) or Emergency room – which the outpatients can be an inpatient once the

result of the doctor’s order is formally to admit the patient to the hospital, the

inpatients are admitted patient to go further medical assistance/attention, they are

prompted to choose whether what is their room for admission from Ward, Semi-Private,

Private, Suite-room, Presidential Suite (prices varies in order).The second module is the

Nurse station (exclusive for inpatient) after the inpatient is admitted to the chosen room

the inpatient is assisted by the nurse. Also in the same module is the Revenue Center

which both inpatient and outpatient are admitted to Radiology, Laboratory, Station,

Pulmonary, and Dialysis; the nurse will register the data then. The third module is

theInventory where the nurse request medical supplies from the system which triggers

the system for the Pharmacy and CSR (Central Supply Room) supplying the requested

supplies. The fourth module is “Billing” which generates the SOA (Statement of Account)

after the expenses of the patient’s data have all sums up, the discounts are also

accounted to the patient (e.g. PhilHealth, HMO, and Other insurances) as seen on SOA.

The fifth module is Medical Records which involves the stored data for Medical

Certificates, Birth Certificates, Death Certificates, and Medico-legal. The sixth module is

forAccounting involving data for General Journal, Financial Statement, Payables, and

Revenues. The seventh last-module is Cashier Modules which Personnel Modules or the

HR (Human Resources) takes care for the employees’ data, the Payroll of the

accumulated work days, and the Inventory System.

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The estimated modules in the Divine Mercy is about 200 modules but only the major

modules are notable to the facility, the major modules emphases the patient /employee

transaction to the hospital.

Statement of the Problem

In this research, the researchers want to find out the following:

1. Does the data and information in the program are secured in the chosen

company?

2. What is the Essence of having Information System-program in the chosen

company?

3. Are the data and information can be imported or available in the other branches

of the chosen company?

Objectives

The research is aimed: to identify the performance of the company with the use of

Information System, to assess a company that uses the Information System, and to

know their alternatives to the Information System-Program (Bugs and glitches of the

program, Power Shortage in their company, etc.).

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Operational Framework

Major Modules of Department

- Interview
- The questionnaire will be administered
and the result will be tallied, analyzed,
evaluated and interpreted by the
researchers.

The Effectiveness of
Information System in
Divine Mercy Hospital

Figure 1.1

The researchers indicated Divine Mercy Hospital as the area of their study because it is

one of the hospitals having Information System (Data Registry). To know the

effectiveness of Information System, the researchers prepared questionnaires and set

an interview with nurse, administrations, medicine doctors and/or the one who handles

their computer system.

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Scope and Limitation

This project focuses on analyzing how Hospital Information System (HIS) is more likely

useful. Our study will test our choice of company “Divine Mercy Hospital” how surely

secured their programs.This research will be only conducted at San Pedro College

Business Administration.

Significance of the Study

The findings of this study could affect the other healthcare facility that is using the old

method or low-class/old computer, it will give them insights of the said usefulness of

how the Information System in a computer. This study intends to give: the patient for

the importance of their medical records, the employees of the healthcare facility for

their job to keep the patient’s medical record accurate, current, complete, relevant, and

economical.

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Definition of Terms

HIS - Hospital Information System; the System that revolves

around the hospital’s network system.

Modules - The units of a hospital that operates and/or transacts (e.g.

Nurse Station, Billing, Cashier Module).

Outpatient - Diagnostic-patients; Check-up patients; Does not need

Serious Medical Attention

Inpatient - Patients that need Medical Attention; Patient that has

severe sickness/disease.

Healthcare Facility - General term for hospital

Medical Records - The information of the patient diagnostics, finances, and

Etc. regards with the hospital

SOA - Statement of Account; Over-all Payment with discount;

HMO - Hospital Maintenance Organization; Insurance Company

ICTD - Information Communication Technology Department; the

management for the server and networks.

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Information System - The system-program that collects data and provides

Information Technology; Professionals in terms of

computers

Data - Raw material for the production of information

Information - The processed data; the defined data

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 CHAPTER II

Review of Related Literature and Studies

The insights from the exploration wherein the researchers that healthcare facilities

undergo several challenges to their Information Systems – these varies among the

branches from Clinical Information System up to Administration and Registration

Information System. As time passes by, the healthcare facilities catch up to the fast

growing technology as such that the system faces new/modern bugs, viruses and

privacy issues, and errors in its software and hardware, such that as the healthcare gets

aged more patient’s data are kept in the memory – how it is managed to expand and to

accommodate such data bytes. This Chapter cites to present the review of literature and

studies of the local and foreign related to this study.

Foreign Literature

The progression of time consciously improved the hospital management and the days

had provided an expansion of solutions in improving the management of a healthcare

facility. As a healthcare facility management the facility should constantly update their

managing system as the technology advances – as this helps through further

convenience. It is vital for the hospital to improve their quality of medical care as being

accurate to the data is as being productive to the whole facility.

(https://hospitalinformationsystemsoftware.wordpress.com)

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The healthcare facility faces so many challenges through its technology that used for the

data collection mainly the patient’s medical record, transactions and etc., which before

was recollected manually until the Information Technologist introduced Information

System in 1960’s, and now most of the healthcare facilities are now relying to the

Hospital Information System. Hospital Information System had become advanced these

days, it continues to innovate, be acknowledged, and be more user-friendly

(http://www.emrconsultant.com).

The Importance of medical records is as constituted to give the health documentation of

the patient, evaluate by medical professionals with temporal perspective, and the

information of the improvement or declination of the patient’s health and it is up to the

healthcare facility to provide the availability of the information for the medical record,

and the smooth flow of transactions (www.scielo.br); also as the advancement of the

healthcare facilities they’re data and information became dependent to the internet.

(Maslin Masrom and AilarRahimly 2015)

Hospital Information System become essential to the Healthcare facilities, as much as

more and more patients recorded resulted to expectedly high difficulty of management.

The technology from the Hospital Information System comes from a computer which

contains software, hardware, network and other subsystems, which in the case of the

computer providing data backup, user-management, and network security and

maintenance is a must (Xianmin Wei 2011)

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Foreign Studies

According to Dan Sheldon, the essence of the creation for Hospital Information System

(HIS) is to ease jobs for the employees and professionals of a hospital/healthcare facility

making their job effectively and efficiently. Huge amount of money is spent in dealing

with the information management for the hospital starting from its Core System (patient

scheduling, admission, discharge, and admission-discharge-transfer), Business and

Financial Systems (payroll, account receivable), Communication and Networking

Systems (integration of all parts of the HIS, order entry and results reporting),

Department-Management Systems (the needs of individual departments can be met,

those subsystems can be useful in macro-system, Medical-Documentation Systems

(collecting, organizing, storing, and presenting, quality-assurance), and lastly Medical

Support Systems (assistance in interpreting data, issue alerts, provide advice) –

functional model for HIS by Friedman and Martin. HIS is also a “rich database for

decision making” as it can be assimilate both clinical and administrative information into

the same information system of a (healthcare) facility. The Information System for

Hospital is a vast and fast-paced advancing technology that most of the works and

process in the healthcare facility is using the HIS for improving their services for the

people.(http://groups.csail.mit.edu)

As researched by NihanNamoglu and YektaUlgen (29 January, 2015) that the healthcare

industry has generally relied on the Information Technology and the Internet.

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Transcending from paper to electronic medical records the industry has grown

significantly, errors are lessen from the records but the quality is not totally achieved

with its usage of the internet, internet is also the weakness for its risk for the hackings

and viruses that can manipulate all the confidential records from the patient and the

facility itself. (http://ieeexplore.ieee.org)

Local Literature

The Hospital Information System is comprehensive for making an integrated system for

all of the aspect of a healthcare facility processes. This serves as a man point of data

entry, main database and storage facility, and main source of census and reports. The

Advantages of having HIS in a healthcare facility: the data entry is at the computer –

intangible as it is in the computer’s software application. The Medical records are quick

to access and retrieve. The stocks and inventories are being monitored uptime of its

quantity (and quality). The facility improves it backdates transactions; and has a better

controls and policy compliance especially in audit of the facility. (Dr. Mike Muin 2014)

Local Studies

A case study was done by Indra Company in the Philippines specifically in Makati

Medical Center (MMC); it was to provide a Hospital Information System as they

proposed that the system is designed to improved and ease the services by the MMC to

the patients and employees. A real-time availability of information, for their clinical

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optimization and their administrative process of hospital resources, the system will also

stricken the safety of the medical practices and provide an accessibility of patient’s from

their services. Today Indra is benefiting 32 million people both patient and employee for

the solution they developed for the healthcare sector. (www.indracompany.com)

A new innovation created by ChrostopherLlyodMaquinto, Jasmine Hazel Ng, Juan Paolo

Sarmiento, Lawrence JelloShio and Ms. Lissa Andrea K. Magpantay, they made the

Hospital Information System more accessible as they develop it with the mobile

technology as by the modern society vast majority of people are using mobiles which is

a great advancement once more by Information Technology. The said mobile technology

system will become accessible through wireless networks which is faster and simpler,

the ease of mobile technology is said to be effective to any business in regards of

information. (http://www.dlsu.edu.ph)

Synthesis of the Study

The sources from the local studies were still lacking whereas the foreign has already a

vast number of studies from different healthcare facilities. The review of related

literature and studies points out that there are still needs of improvement from the

technology-system and also from the healthcare facilities but it cannot be more than

significant of the progress and efficiency of the Hospital Information System Brought us.

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According to the foreign literatures above, the progress is continuing and still needed to

be improved as the goal is to lessen the errors and easing the access of the information,

to the local literatures, the hospitals in the local today is in need to evolve their Hospital

Information System as stated by the Indra Company that having HIS can be said as

effective to the healthcare facilities.

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 CHAPTER III

Research Methodology

This chapter discussed the design and procedures undertaken during the conduct of the

study. It presented thepopulation and sample, description of the respondents,

procedures, and instrument used.

Population and Sample

In this research, the respondents are from the different departments such as

(Registration Purpose, Nurse Station, Inventory, Billing, Medical Records, Accounting

and Cashier Module) of Divine Mercy Hospital. Only the persons who have the authority

on the patient’s information are included in the survey conducted by the researchers.

There are a total of twenty (20) nurses/doctors who are qualified to be the respondents

of the research and all of them agreed to be the sample.

Description of Respondents

The respondents of the study are the selected Major Module Department from Divine

Mercy Hospital. The total respondents are twenty (20) because under those

departments, there is a specific sub-module on every department. The researchers

started reproducing the questionnaires to accommodate all of their respondents. After

the respondents finished answering the questionnaires, the researchers collected it.

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After all the answered questionnaires were gathered by the researchers, it was tallied

and computed by the researchers. The data collected from the survey were organized in

order to easily observe the results of the activity.

Research Instrument

In this study, the instrument that will be used is survey questionnaire. It consists of

three (3) items in which a respondent rate how long have they used a computer, how

often they use the system and average amount of time they spend each time they use

the system and the twenty (20) items focuses on the effectiveness of Information

System in their hospital. Each question can be answered by checking the corresponding

box if (completely agree, agree, completely disagree and disagree).

Data Gathering Procedures

This research is a quantitative research. The data that the researchers will gatherwill be

expressed in their numerical forms. The data collected by the researchers were

subjected to statistical treatments and analysis in order to specifically present the

results of the research. This research is also a descriptive research. To be exact, this

paper was done using survey methodology. The researchers formulated questions

guided by the articles used in Chapter II and made into a survey questionnaire. Then, the

researchers selected the respondents through purposive sampling. Purposive sampling

is a type of sampling that the researchers use if they want to pick the person as a

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respondent by judging its experience and capability to provide specific data needed for

solving the problem. Purposive sampling is a bias sampling because only the researchers

can pick the respondents of the research. The researchers collected the data through

survey questionnaires given to the nurses and doctors. The data collected was tallied,

treated and interpreted by the researchers in order to know if the Information System is

effective in hospitals.

Statistical Treatment of Data

The percentage and frequency distributions have been used to organize, summarize,

and present the results of our survey questionnaire. The frequency has been presented

the actual response of the respondents to a specific question or item in the

questionnaires. Frequency distribution table have been used as a tally sheet for the

response to simple questions gathered in a summary form. On the other hand, the

percentage of the item has been computed by dividing it with the total sample number

of respondents who participated in the survey.

The formula used in the application of this technique is:

f
P= ∗100
n
Where: P = percentage

f = frequency

n = number of respondents

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 CHAPTER IV

RESULTS AND DISCUSSION

PRESENTATION OF FINDINGS

The researchers used tables and pie charts for the presentation of the

findings. The answers of the respondents on questions one (1) to ten (10) are presented

using the blue tables. The total numbers of the answers of the participants are grouped

according to their strands. There are six (6) participating strands: Humanities and Social

Sciences (HUMSS), General Academic Strand (GAS), Science, Technology, Engineering

and Mathematics (STEM), Accountancy, Business and Management (ABM), Technology

and Home Economics (THE) and Information Communications Technology (ICT). The

strands are located at the leftmost column and the findings are at their row. The

researchers converted the raw numbers into percentage for easy comparison. At the last

part, total number of the ‘yes’ and ‘no’ answers on the positive effects and the yes’ and

‘no’ answers on the negative effects were converted into percentage and presented in a

pie chart.

The following tables are the presentation of the answers of the participants to the

questions one (1) to twenty (20) on the survey questionnaire. Please take note that the

blue tables represent the positive effect-questions while the red tables represent the

negative effect-questions.

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How Long Regis B N M I A C P u r c
i S R n c a
l v c s
Less than ayear – 1 year
More than 1 year – 2 years

3 years and above

T o t a l

H o w o ft e n Regis B N M I A C P u r c
i S R n c a
l v c s
1 – 2 years
2 – 3 years

3 – 4 years

5 years and above

T o t a l

Average amount Regis B N M I A C P u r c

Between 2 and 3 hours

T o t a l

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19
 Collected data were presented in tables. All these data were based on the feedback

from the questionnaires, percentage and weighted mean.

Gant Chart

Stages of Week Week Week Week Week Week Week Week Week
Research 1 2 3 4 5 6 7 8 9
Activities
Decision
making for
thesis title
Overview of
thesis Project
Title Defense
Finalizing of
Chapter 1
Submission of
chapter 1
together with
Questionnaire
Online research
for Name and
Profile of
Company
Submission of
Company’s
Profile and
Chapter 2
Submission of
Chapter 3
Defense of
Chapter 1-3
Expected of
Submission of
Chapter 4
Expected
Submission of
Chapter 5 and
Defense
 Research Survey
Department
[ ] Registration Purpose [ ] Nurse Station [ ] Inventory [ ] Cashier
[ ] Billing [ ] Medical Records [ ] Accounting
Please write your station/unit _________

How long have you used a computer? How often do you use the system?
[ ] 1 year [ ] less than once a month
[ ] 2 years [ ] once a month
[ ] between 2 and 3 years [ ] a few times a week
[ ] between 4 and 5 years [ ] a few times a day
[ ] more than 6 years [ ] many times a day

Average amount of time you spend each time you use the system:
[ ] less than 30 minutes [ ] between 30mins.& 1hr.[ ] between 2 & 3 hours
COMPLETELY AGREE DISAGREE COMPLETELY
QUESTIONS
AGREE DISAGREE
1.The records are easily configured
2. The records are useful
3. The records have updated information
4. It is easy to insert information to the system
5. Easy to use
6. The speed of the system is good
7. The system facilitates patient care
8. It facilitates the prescribing of patient
medications
9. The system works well
10. The system provides clear information
11. The system has a few interruptions
12. Data in the program are secured
13. Information can be exported/imported
14. The records of the system are well-organized
15. The screens of the system facilitate research of
the information
LEVEL OF SATISFACTION (Check inside columns)