ABSTRACT
This study investigated online
hospital management system as a tool to revolutionize medical profession. With
many writers decrying how patients queue up for hours in order to receive medical
treatment, and some end-up being attended to as „spillover‟, the analyst
investigated the manual system in detail with a view to finding out the need to
automate the system. Subsequently, a computer-aided program was designed to
bring about improvement in the care of individual patients, taking the
advantage of computer speed, storage and retrieved facilities. The software designed
will take care of patient’s registration, billing, treatment and payments.
The programming language employed in
this work was Microsoft C#.
CHAPTER
ONE:
INTRODUCTION
1.1
Background of the Study
The goal of any system development is
to develop and implement the system cost effectively; user-friendly and most
suited to the user‟s analysis is the heart of the process. Analysis is the
study of the various operations performed by the system and their relationship
within and outside of the system. During analysis, data collected on the files,
decision points and transactions handled by the present system. Krishna medical
center, luck now (K. M. C.) is a prestigious hospital situated in the heart of
Hazrat Genj with a very large patient capacity. This number is increasing at a
rapid pace with each passing day. The management of the hospital is concerned
with the increasing effort in keeping records of the patient and recording
their activities.
Health is generally said to be wealth.
It takes healthy people to generate the wealth the nation requires for the
general well-being of its people. There is therefore the need for adequate
Medicare especially in the area of diagnosis and treatment of diseases. Since
there is a good relationship between the job output and health of the workers,
a good Medicare is vital.
Unfortunately, in most developing
nation (including Nigeria), this adequate Medicare is lacking due to how
standard of technological know-how and manual handling of most medical
problems. As observed by Lyiama H.C. and D.C. Chukwu, “very often, people in
developing countries who are critically ill are rushed abroad for special
treatment because it is felt that Medicare facilities at home are inadequate.
This is partly because computer –
aided Medicare has become a reality in many developed countries”. It is also a
known fact that the production of qualified medical doctors and other medical
personnel and consultants in on the increase, but his is not enough to meet the
health needs of the increasing population. The ratio of patients to a doctor is
still high.
This situation creates problems,
because proper and adequate medical attention of patients is far-fetched.
Nowadays, the low-income class is mostly affected. Doctors hurry over their
duties in order to attend to all the patients. At the end of the day, they are
tired and over worked.
Considering the rate of population growth
the medical care and facilities available, and the health needs of the people,
computer-aided Medicare is in evitable for more accurate. Furthermore with the
present shift to an information society, it is necessary to anticipate the
future use of a sophisticated electronic machine the computer.
This is necessary because the computer
is rapidly finding its way into every field of human endeavor, including
medicine. Its application includes patient care and protection, clinical
administration, intensive monitoring during emergencies, surgical operations,
diagnosis and automation of medical records.
For instance, during a complex
surgical operation as exemplified by Lyiama and Chukwu, “the computer monitors
person being operated on, revealing all vital signs (pulse, blood pressure,
breathing rate, etc) of interest to the doctors in the theatre, thus helping
them to be more accurate and effective in what they are doing. Such a patient
monitoring system can be with a video Display Unit (VDU), a keyboard for
interactive inputs and an alarm”. The wide range of the use of computer is due
to its versatility as a data processing machine and its ability to do things
including complicated tasks faster, better and more accurately than human
beings would.
1.2 STATEMENT OF THE PROBLEM
It has been observed that to receive
medical treatment in most of our hospitals, the patients queue up for several
hours from one unit of the hospital to another starting from obtaining a new
hospital folder, or retrieving an old one before consulting a doctor, to the
laboratory unit for lab test then to the pharmacy to get the prescribed drugs
and so on. With the manual processes involved in handling the patient most of
them waste the whole day in the hospital. Very often, patients leave their
homes very early in the morning in order to be among the first group to see the
doctor. Otherwise, they may end up wasting the whole day without due attention.
This situation is discouraging to most
patients and sometimes forces them to turn to non-professionals or even resort
to self-medication for quick recovery.
Moreover, the volume of work for the
hospital personnel is much. Patients outnumber the doctors, nurses and other
medical personnel that too much are required from them. In this regard, to
examine all his patients for the day the doctor hurries over his work without
adequate attention and expertise to his clients. Still, at the end of the day
he is exhausted.
In addition to this, the diagnosis and
prescription depend on the doctor‟s memory and drug of choice. Their brains are
often loaded with different diseases, signs and symptoms, complications and
various drugs for their treatment and so on. Some of which are very similar. To
remember and process these huge information in his clinical work is very
tasking. For this reason accurate diagnosis and prescription may not always be
obtained.
The keeping and retrieval of accurate
records on patients are poorly carried out in most of our hospitals. Files may
be misplaced; the record in them may be wrongly filled. Hence, it is not easy
to obtain accurate and timely information or data.
This is also the case with obtaining
other medical information and data especially when new folders and numbers are
obtained each year.
Finally, the keeping of folder for
each patient manually takes a lot of time and money and some of the information
are redundant. All these have net effect of loss of lives and inefficiency on
the part of management.
1.3 OBJECTIVES OF THE STUDY
This study is centered on the following
objectives.
1. To examine the current procedures
employed in our hospitals with regards to patients admission, diagnosis and
treatment.
2. To examine the associated
problem(s) or flaws in the current system
3. To improve on the already existing
system by designing an efficient practical patient billing software, this is
aimed at an accurate, faster and reliable patient‟s information system.
1.4 SCOPE OF THE STUDY
This research work is limited to
patient‟s admission information system including treatments, bills and
payments. The software developed will be carried out using Microsoft C# to
manage the database.
1.5 LIMITATIONS
This project covers all aspect of
Medical system with regards to patient‟s information. Due to time and financial
constraint, the software developed excluded laboratory units.
1.6 SIGNIFICANCE OF THE STUDY
Several possible advantages to
practical patient billing software System over paper records have been proposed
which includes:
Reduction of cost: A vast amount of
funds are allocated towards the health care industry. The computerized system
is implemented, it will reduce the personnel cost.
Improve quality of care: The
implementation of electronic health records (EHR) can help lessen patient
sufferance due to medical errors and the inability of analysts to assess
quality.
Promote evidence-based medicine:
Computerized medical record provides access to unprecedented amounts of
clinical data for research that can accelerate the level of knowledge of
effective medical practices.
Realistically, these benefits may only
be realized if the systems are interoperable and wide spread (for example,
national or regional level) so that various systems can easily share
information.
Record keeping and mobility: EHR
systems have the advantages of being able to connect to many electronic medical
record systems. In the current global medical environment, patients are
shopping for their procedures.
1.7 DEFINITION OF TERMS
Electronic Health Record– An
electronic health record (EHR) (also electronic patient record (EPR) or
computerized patient record) is an evolving concept defined as a systematic
collection of electronic health information about individual patients or
populations
INFORMATION – Information is data, or
raw facts, shaped into useful form for human use.
SYSTEM – A system is a combination or
arrangement of parts to form an integrated whole, working together to achieve
specific tasks. A system includes an orderly arrangement according to some
common principles or rules.
Subsystem – A complex system is
difficult to comprehend when considered as a whole. Therefore, the system is
decomposed or factored into subsystems. Subsystems constitute the entire
system. They are complete systems on their own but exit in another system
called the complex system. Subsystems can be further decomposed into smaller
subsystems until the smallest subsystems are of manageable size. The subsystems
resulting from this process generally form hierarchical structures. In the
hierarchy, a subsystem is one of a supra-system (the system above it).
Expert system: is software that uses a
knowledge base of human expertise for problem solving, or clarify uncertainties
where normally one or more human experts would need to be consulted.
Hospital information system (HIS):
variously also called clinical information system (CIS) is a comprehensive,
integrated information system designed to manage the administrative, financial
and clinical aspects of a hospital. This encompasses paper-based information
processing as well as data processing machines.
MIS- Management Information System is
the system that stores and retrieves information and data, process them, and
present them to the management as information to be used in making decision. It
can also be defined as an integrated machine system that provides information
to support the planning and control functions of managers in all organizations.
By these definitions, MIS must serve the basic functions of management, which
include planning, organizing, staffing, directing and controlling. Information
systems that only support operations and do not have managerial decision making
significance is not part of MIS.
TOPIC: DESIGN AND IMPLEMENTATION OF PATIENT'S MANAGEMENT SYSTEM
Format: MS Word
Chapters: 1 - 5
Delivery: Email
Delivery: Email
Number of Pages: 65
Price: 3000 NGN
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