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DESIGN AND IMPLEMENTATION OF AN ELECTRONIC PATIENT MANAGEMENT SYSTEM (A CASE STUDY OF SHONAHAN HOSPITAL, NSUKKA ENUGU)

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DESIGN AND IMPLEMENTATION OF AN ELECTRONIC PATIENT MANAGEMENT SYSTEM (A CASE STUDY OF SHONAHAN HOSPITAL, NSUKKA ENUGU)

 

ABSTRACT

 

This project title is written to help hospitals especially SHONAHAN HOSPITAL, NSUKKA, Enugu in the areas they encounter problems in keeping their attendance scheme for patient and the solution given to tackle problem such as transforming the existing manual attendance scheme for patients system in which the existing problems involved at the time was laziness of the Doctors to work, misplacement of files, excessive loitering around of patient for their files and loitering of paper in the office.

This software reports on our pilot evaluation of AN ELECTRONIC PATIENT MANAGEMENT SYSTEM and their Doctors. The aim is to improve the quality of care to patient and the information about them, as indicated by an improvement in the effectiveness and efficiency of care and in an increase in patient’s satisfaction.

This study makes clear that a thorough exploration of users needs before building the system, using qualitative research methods may be crucial because it can prevent data mismatch and maximize the chance that the eventual management system meets its most important aim: to enhance patient’s empowerment and improve the quality of care services.

In order to handle this, I decided to introduce a new an electronic patient management system for patients. The project dwells more on Computer duty schedule. This is implemented with Visual Basic programming 6.0 language and Microsoft Access for effective information keeping.

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TABLE OF CONTENT

Title page……….…………………………………………………i

Certification……………………………………………………….ii

Approval…….……………………………………………………iii

Dedication………………………………………………………..iv

Acknowledgment………..……………………………………….. v

Abstract……….………………………………………………….vi

Table of content……….………………………………………….vii

CHAPTER ONE INTRODUCTION

1.1 Introduction……….…………………………………………………1

1.2 Statement of Problem……….……………………………………….6

1.3 Objectives of the study………………………………….……………7

1.4 Significance of the Study…………………………………………….8

1.5 Scope of Study………………………………………………………9

1.6 Definition of Terms…………………………………………………9

1.7 Project work Organisation…………………………………………..11

CHAPTER TWO: LITERATURE REVIEW

2.0 Literature review……….………………………………………………12

2.1 Patient Management System……….………………………………….14

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2.2 Types of an Electronic patient Management system…………………16

2.2.1 Nursing Information System ………………………………………16

2.2.2 Physical Information System……………………………………….16

2.2.3 Radiology Information System……..………………………………17

2.2.4 Pharmacy Information System……………………………………….17

2.3 Benefits of Hospital Information System………………………………18

2.4 Development and Future of Electronic Patient Management System…….20

2.5 Features of Electronic Patient Management System…………………21

CHAPTER THREE: SYSTEM DESIGN AND METHODOLOGY

3.1 Methodology…………………………………………………….22

3.2 Method of Data Collection……..………………………………..22

3.2.1 Primary Source…………………..……………………………..22

3.2.2 Secondary Source……………………………………………….23

3.3 Analysis of the Existing System ………………………………….23

3.3.1 Input Analysis…………………………………………………..25

3.3.2 Process Analysis………………………………………………..25

3.3.3 Output Analysis…………………………………………………..25

3.4 Limitation of the Existing System….………………………………26

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3.4.1 Justification For the New System…………………………………26

3.5 System Design………………………………………………………..27

3.5.1 Input design and Specification………………………………………28

3.5.2 Information Flow Diagram…………………………………………34

3.6 Database Design…………………………………………….………..35

3.7 System Flow Chart……………………………………………………..39

3.8 Program Flow Chart…………………………………………………….41

3.9 Top Down Design of the System………………………………………..45

3.9.1 Registration Subsystem………………………………………………..46

3.9.2 Department Form Subsystem…………………………………………..47

3.9.3 DBMS Subsystem……………………………………………………..48

3.9.4 Report Subsystem……………………………………………………..49

CHAPTER FOUR: SYSTEM IMPLEMENTATION, TESTING AND INTEGRATION

4.1 Choice of Development tools…………………………………………50

4.1.1 Operating System………………………………………………….50

4.1.2 Visual Basic 6.0…………………………………………………….50

4.1.3 Microsoft Access…………………………………………………….51

4.2 Hardware and Software Requirement………………………………….52

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4.2.1 Hardware Requirement………………………………………………..52

4.2.2 Software Requirement……………………………………………….52

4.3 System Implementation…………………………………………….…53

4.4 System Testing………………………………………………………62

4.4.1 Unit Test……………………………………………………………63

4.4.2 System Test………………………………………………………….63

CHAPTER FIVE: SUMMARY, RECOMMENDATION AND CONCLUSION

5.1 Summary…………………………………………………………………..64

5.2 Limitations…………………………………………………………………65

5.3 Recommendation….………………………………………………………65

5.4 Conclusion……………………………………………………………….66

5.5 BEME……………………………………………………………………..67

Bibliography………………………………………………………………………………………68

Appendix A: Program Codes………………………………………………69

Appendix B: Sample Output………………………………………………………………..76

Appendix C: User Guide……………………………………………………81

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List of Figures

Figure 3.1 Organisation Chart………………………………………24

Figure 3.2 Patient Form………………………………………………29

Figure 3.3 Add Doctors Form………………………………………..30

Figure 3.4 Add Employee Form………………………………………31

Figure 3.5 Hospital Service Form…………………………………….32

Figure 3.6 Add Bed Form……………………………………………33

Figure 3.7 Information Flow Diagram………………………………..34

Figure 3.8 System Flow Chart…………………………………………39

Figure 3.9 Program Flow Chart…………………………………………40-43

Figure 3.10 Top Down Design…………………………………………44

Figure 3.11 Electronic Patient Management Registration Subsystem…….45

Figure 3.12 Department Form Subsystem…………………………………46

Figure 3.13 Electronic Patient Management DBMS Subsystem……………47

Figure 3.14 Electronic Patient Management Report Subsystem…………….48

Figure 4.1 Main Menu Electronic Hospital management system………………53

Figure 4.2 Doctors Detail and Personal Data Form……………………………54

Figure 4.3 Doctors Appointment Form…………………………………………55

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Figure 4.4 Room Detail form……………………………………………………56

Figure 4.5 Ward Detail form…………………………………………………….57

Figure 4.6 In patient Detail Form………………………………………………..58

Figure 4.7 Guardian Detail form………………………………………………..59

Figure 4.8 Discharge Detail form………………………………………………60

Figure 4.9 In Patient Billing Form……………………………………………..61

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List of Tables

Table 3.1 Database design for Patient Form……………………………35

Table 3.2 Employee Form………………………………………………37

Fig 5.1 BEME…………………………………………………………..66

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CHAPTER ONE

INTRODUCTION

1.1 Background of the Study

An Electronic Patient Management System is any tool used to assist in the delivery of clinical care from point of care initiation to completion. Tools include computer based attendance scheme for patient, payment processing software and information

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technology systems, blood group and genotype to avoid test result mismatch of data.Electronic based attendance scheme for Patients is used by hospital to create process and record their attendance scheme for patient’s information. This system is used to calculate the nurse punctuate to work. It’s an effective tool in the hands of the hospital management.

Duty is a term that conveys a sense of moral commitment to someone or something. The moral commitment is the sort that results in action, and it is not a matter of passive feelings or mere recognition. When someone recognizes a duty, that person commits himself/herself to the cause involved without considering the self-interesting courses of actions that may have been relevant previously. This is not to suggest that living a life of duty precludes one from the best sort of life, but duty does involve some sacrifice of immediate self-interest.Cicero is an early philosopher who acknowledged this possibility. He discusses duty in his work “On Duty”. He suggests that duties can come from four different sources:

  1. It is a result of being human
  2. It is a result of one’s personality place in life (your family, country, and job)
  3. One’s own moral expectations for you can generate duties

From the root idea of obligation to serve or give something in return, involved in the conception of duty, have sprung various derivative uses of the word; thus it is

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used of the services performed by a minister of a church, by a soldier, or by any employee or servant.Nurses today have a broad scope of responsibility as health care providers that require them, under some circumstance, to exercise independent professional judgment. When nurses exercise their judgment negligently, they may be held liable because courts hold them to a correspondingly higher level of accountability.Nurses have been held liable for their failure to monitor and/or promptly respond to patients by informing physicians of significant changes in patient’s condition. Under these types of circumstance, nurses have an affirmative duty to exercise their professional judgment to ensure that all adequate steps are taken to treat patients appropriately.

Usage of Information Technology (IT) remained comparatively very less in Health sectors that other sector despite having more potential. Health Institution, which is an important sector, should encourage IT usage resulting better productivity, effectiveness, efficiency and economics leading to better health care of all. This paper tells a success of implementation of ICT (Information Communication Technology) in monitoring of medicine in health institution. System work on low-end resources and E-mail (Electronic mail) based data transfer from District Head Quarter to State Head Quarter.Implementation of Med-Centre in all the district of Enugu result in checking on pilferage (the act of stealing amounts or small articles) for medicine, increase in availability of medicine at Government institution,

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increase in attendance of patients/doctor in health institution, optimal utilization of medicine and data capturing at source, resulting in availability of error-free data at Head Quarter.

Electronic Patient Management System is a certified automated payment processing software. It is used by hospitals to input, process and display their patient information. This system is used to manage and maintain electronic medical records, patient information, prescriptions, lab reports etc. It is an effective tool in the hand of the hospital management. Shonahan Hospital,Nsukka, Enugu which is the case study, has patients whose fees are to be collected after treatment.

Shonahan Hospital, Nsukka, Enugu is one of the biggest and well equipped hospitals in Nigeria. It has nine (9) training schools/programmers in the hospital.From the studies carried out by the researcher, the hospital’s initial means of recording was manual from automated system to computerized system which lacked some features such as patients and nurses records.

The Hospital is a very important part of our society and it is imperative for healthcare providers to do their jobs in an efficient and effective manner. Each day hundreds of thousands of patients enter healthcare facilities challenging the administration to run the show smoothly. The employees have to manage and integrate clinical, financial and operational information that grows with the

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practice.Information technology has made a significant impact on the healthcare sector. The past decade has witnessed the foray of numerous information systems and their resultant products into the hospital scenario. The number of investments in computers and types of hospital systems has increased. This is because paper medical records are cumbersome, bulky to use and difficult to manage. On the other hand digital records are much easier to handle and improve the workflow efficiency by integrating various tasks. The ultimate objective therefore, is to build a network of interdependent centers such as the clinical laboratory, radiology department, pharmacy, and so on in order to effectively meet the needs arising within the hospital. Despite the fact that these individual centers are autonomous, they are interdependent in terms of delivering services and to ensure effectiveness of providing care. All this can be achieved through hospital information systems that have formed the cornerstone of today’s modern hospital.

A patient is any person who receives medical attention, care or treatment. The person is most often ill or injured and in need of treatment by a physician or any other medical professional whereas an outpatient is a patient who is not hospitalized for 24 hours or more but who visits a hospital, clinic, or associated facility for diagnosis or treatment. Treatment provided in this fashion is called ambulatory care.

 

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