Information systems assist Patton-Fuller Community Hospital in setting and accomplishing it goals of improving and collaborating interdepartmentally with management, employees, staff, and customers (Apollo Group, Inc, 2013). Proficient information systems objectives are to provide effective and efficient services; add profit and cost-avoidance; and social responsibility (Blue Avenue Associates, 2010).
Patton-Fuller objectives are to improve the efficiency of the hospital operations, relationship with current and future patients, and support finance management (Apollo Group, Inc, 2013). Information Systems
Patton-Fuller utilizes four information systems in the organization, Accounting and Finance Information System (AFIS); Human Resources Information System (HRIS), Customer Relationship Management (CRM) Information System; and Knowledge Management (KM) Information System. Accounting and Finance System
Senior executives use the accounting and finance information system to manage the hospital’s finances such as cash flows and liabilities but also to create financial statements required by federal regulations. The AFIS help improve the cash flow management for the organization in providing real-time visibility of revenue and revenue forecasting.
Some of the key functionalities expected from an accounting and finance system are the ability to manage billing, accounts payable, payroll, budget planning, other overhead costs (e.g. facility costs, taxes, etc.), and in many cases the supply chain.
Patton-Fuller must keep a vast array of consumable goods on hand in order to support daily operations. If a surgeon does not have disposable scalpels or forceps he or she cannot provide life-saving emergency care to patients. Sage 300 Enterprise Resource Planning software is a comprehensive Enterprise F&A solution. Sage 300 ERP supports the following F&A operations:
Budgeting and Planning (B&P), General Ledger, Accounts Payable, Accounts Receivable, checks and forms printing, sales tax operations, intercompany transactions, General Ledger Consolidations, etc. Sage 300 ERP also support multicurrency transactions (Sage Software, Inc., 2013). SAP SCM solutions can be used to optimize sales and operations planning (S&OP), supply planning, demand management through analysis and forecasting tools, collaborative response management of vendors and distributors, warehouse management, and transportation management operations and analysis (SAP, n.d.).
Financial value chain management is a key component in business operations today and can be realized through integration of both of these tools together. Both of these tools can be deployed agnostic to the current IT infrastructure via use of Amazon Web Services (AWS) via cloud solution. Customizable compute nodes can be activated and deactivated as analytical processing requires and is incredibly scalable to meet demand. Human Resources Information System (HRIS)
The Human Resources system in the hospital HR department to manage many functions from policies and procedures to allowing employees access via the intranet employee self service to update and view personal information. This information system will oversee the administration of the human resource department; training and development; leave management; and time and attendance.
EnterpriseAxis Office Network provides a complete Human Resource Information System (HRIS) package that covers HR admin, to marketing and analytics. EntepriseAxis, LLC delivers this Software as a Service (SaaS) via their own proprietary cloud datacenters. However, this ERP stack can be connected to Amazon Web Services stacks for total enterprise accessibility. (EnterpriseAxis, LLC., 2013) Customer Relationship Management (CRM) System
The Customer Relationship Management system creates “a trust between the hospital and the customers” (Khoshraftar, Yazdi, Ibrahim, 2011, p. 28). Patton-Fuller uses the CRM system is a crossing point for patients and the hospital. The system tracks and provides reports based on the patients’ comments, critiques, and recommendations (Apollo Group Inc, 2013).
Factors in a multivariate system such as, principal component and factor analysis improve the business by increasing customer satisfaction and loyalty (Khoshraftar et al., 2011). Patton-Fuller goal is to move beyond treating the patients but to build long-term relationships. Knowledge Management (KM) System
“The Medical KM is used by doctors and nurses to access online medical databases to assist in patient diagnosis and drug administration.” (Apollo Group Inc., 2013) As stated this information system is web deployed and links not only to internal databases for patient medical records, charts, etc., but connects to external databases that contain the same types of information. Enterprise Resource Planning (ERP) System
Currently Patton-Fuller Community Hospital does not employ an ERP System. “[ERP] software integrates the planning, management, and use of all of the resources in the entire enterprise. It is comprised of sets of applications that automate routine back-end operations (such as financial, inventory management, and scheduling).” (Iniewski et al, 2008)
System Recommendations Most IT departments agree that less is more in the grand scheme of systems to maintain, manage and administer. This recommendation follows that same path. Assuming the systems are currently not meeting our needs and requirements, here is a recommendation to improve. Replace the majority of the systems with an all-in-one solution, such as the integrated hospital management system from Napier Health Care. This system integrates all major hospital information systems into an easy to manage and customize solution.
The Napier HMS includes modules available areas (Napier Health Care, 2013) inclusive with the hospital’s areas of administration, finance, clinical support, patient management, ancillaries, interfaces and decision support.
The HMS includes the ability to integrate with already existing systems allowing Patton-Fuller to incorporate the changes they wish to see, while keeping the existing systems they love. This modularity and scalability allows the addition of extra modules as the hospital IT budget expands and new systems are sought.
Another all-in-one solution is the number one KLAS rated system for the past 7 years in a row Paragon HIS from McKesson Corporation. Their solution is also modular and customizable. Paragon is a Microsoft SQL based system, which reduces the possible costliness of dealing with a proprietary platform that may be changed or eliminated at a company’s whim. This system includes (McKesson Corporation, 2013) physician documentation, which is an integrated solution that supports care communication and charge capture via the physician’s natural workflow.
Additionally, Paragon HIS includes web stations for physicians, Computerized Physician Order Entry (CPOE), clinical assessment, patient access, Health Information Management and basic management of every section within the hospital. This is key for operating room management because it provides resource scheduling, real-time preoperative charting at the point of care. It also manages the surgical supply inventory, captures charges and provides robust reporting. Wireless Systems
Lastly, the wireless systems in place provide maximum mobility and information service at its most critical locations – the operating rooms, intensive care units, and recovery wards. An expansion of the wireless system throughout the hospital would provide greater flexibility, and reduce costs of workstations and wiring. However bandwidth can become an issue.
In networking, bandwidth represents the overall capacity of the connection. The greater the capacity, the more likely that better performance will result. Bandwidth is the amount of data that goes through a network connection over time and is measured in bits per second (bps).Numerous devices attempting the same access point may cause latency – and a lot of frustration. With wireless devices proliferating at a very high rate, bandwidth from access points has become a concern for many IT managers.
The WLAN provides access to records, data, reference, and consultation and collaboration methods, many of which consume large amounts of bandwidth. Redundancy becomes a viable solution to bandwidth issues; numerous access points capable of high speed data transfer. In hospital such as Patton Fuller, instant information can assist in critical decisions, providing assistance to real time medical emergencies. Expanding the wireless capability, with more access points and greater data handling speeds would provide staff fewer delays in making assessments and treatment decisions.
For data storage and instant retrieval, the cloud should be given consideration. Cloud computing would offer instant data share amongst Doctor’s that are separated by miles. The Doctor’s in the off-site location would not have to bother the Patton-Fuller servers to access data. This type of application also reduces hardware, infrastructure is less complicated, and data is available from any location.
Cloud computing is a relatively straightforward process where individuals and companies store information and data on the internet. Works is stored remotely and can be accessed by authorized individuals from anywhere. Clouds give data management a substantial overhaul due to their ease-of-use, low cost, and low maintenance. Conclusion
These recommendations are made with the understanding that existing systems are becoming outdated, difficult to manage or are not matching the growth of Patton-Fuller. The all-in-one solutions above will provide a full service telecommunications and data network service, which addresses the business infrastructure needs of the hospital and will improve relationships outside the organization.
References Apollo Group, Inc. (2013). Patton-Fuller Community Hospital. Information Systems Overview. Retrieved from CMGT/554 – IT Infrastructure Blue Avenue Associates. (2010). The importance of a good information management system. Retrieved from http://www.blueavenueassociates.com/insight-resources/online-resource-center/insights/importance-good-information-management-system Sage Software, Inc. (2013). Sage 300 ERP. Retrieved from http://na.sage.com/sage-300-erp/solutions/accounting-and-finance SAP. (n.d.). Develop a responsive supply network – with our supply chain