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INF3003W Project Presentation

The formal presentation for the Pulse Health System

Pascale Henke

on 26 October 2012

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Transcript of INF3003W Project Presentation


"To improve health status through the prevention of illnesses and the promotion of healthy lifestyles and to consistently improve the healthcare delivery system by focusing on access, equity, efficiency, quality and sustainability."

Increasing life expectancy
Decreasing maternal and child mortality
Combating HIV and AIDS and decrease the burden of disease from TB
Strengthening health system effectiveness
Pascale Henke
Terrina Govender
Mikhail Janowski
Michael Hubbard Team Pulse: Department of Health commits to: PROJECT BACKGROUND

Establishment of the District Health Management Information System (DHMIS) in 1996/97 - Routine system for tracking health service delivery

During last 15 years, the DHMIS has incrementally generated essential data for health service planning, monitoring and reporting BUSINESS CASE Key Challenges Proposed System Situations of Concern Situations of Concern •Increase efficiency with which available medical data is used to combat issues experienced by the Department of Health by 25%.

•Establish accurate, demographic– and geographic–specific patterns and trends for data mining and detailed studies
•Produce detailed and user-specific reports and graphs.

•Increase overall patient confidence and thus usage of clinics significantly.

•Increase amount of accurate and useful information available for research and development on specific illnesses / conditions by 30%. System Objectives Prepare the Department of Health for seasonal / epidemic illnesses and conditions, in order to reduce the detrimental effects of these diseases in general.

•Increase efficiency in allocating existing resources to and within the Department of Health by 15%-20%.

•Decrease overall negligence, errors, and shortages by 65%.

•Increasing user accountability and motivation regarding the use of the system.

•Improving overall health service delivery, such as reducing child mortality System Objectives Package Diagram Scope Stakeholders UCT IS department Project team (cc) photo by medhead on Flickr Department of Health And External Organizations Health workers HIGH-LEVEL CONTEXT DIAGRAM Scope Scope Subsystems Scope Subsystems
External Functionality
•Medical Supply Forecasting
•Budget Forecast Functionality
•Trend Forecasting
•Disease Tracking
•Data Capture
External Organizations / Databases
•Hospital Historic Disease Data
•Hospital / Clinic Management
•Department of Health
•Department of Health Historic Data GUI
•Web Interface Scope Package Diagram

Time mismanagement leading to scope shortfall or incomplete modules

Conflict within the development team

Difficulties coding the “interactive reporting” interface

Lack of sponsor support

Lack of stakeholder cooperation

Difficulties obtaining valid and useful data Risks Mismatch between system functionality and user requirements

Lack of skilled users

Computer illiteracy

Lack of hardware needed to run the system

Reluctance from employees to use the system Risks Technological Feasibility Issues

•The existing infrastructure is not sufficient to ensure a fully functional system

Schedule Feasibility Issues

•System implementation phases or duration might not correlate with business activities or business cycles Feasibility Assessment Organizational & Cultural Feasibility Issues

•Users are resistant to change
•Users are not sufficiently literate to operate the system
•Employees might fear that the system, in any way, substitutes them i.e. especially administrative staff

Resource Feasibility Issues

•Insufficient equipment to develop system fully
•Time management issues due to personal or health issues of team members Feasibility Assessment Economic Feasibility Issues

•Buying sufficient hardware, i.e. network hardware and servers, and software to accommodate the system
•Employee/User training costs
•Website and mobile application setup costs


•IT Maintenance costs, either for outsourced staff or internal staff
•Any license fees associated with the system or its components
•Hardware and software maintenance costs
•Employee training costs (after software updates for example)
•Additional security software costs
•Consumables expenditure, such as paper for reports Feasibility Assessment Class Diagram ERD Diagram Deployment Diagram Solution Time SPONSOR The most important challenges surrounding the current DHMIS are: Limited alignment between health sector goals and objectives, key indicators of success, and the information system

Inadequate attention paid to the efficiency and effectiveness of data collection tools

Limited or no version control for basic software, resulting in major variations among users

Medical supply and health staff shortages (cc) image by rocketboom on Flickr Weaknesses in training, support, and supervision, as well as lack of managerial capacity, accountability and appropriate leadership Inadequate ICT infrastructure development and management

Limited availability of basic materials like paper-based data collection tools Pulse Health System aims at: Obtain current data sets from ICD-9 and other data contributors Include functionality to capture current data and normalize it
Integrated, well-managed and maintained database of accurate demographic, geographic and medical information
Provide an interactive reporting interface that will display information according to the user’s specifications (cc) photo by theaucitron on Flickr Proposed System Lack of useful medical information in South Africa

Lack of research and development in the medical field Inadequate budget estimates

Lack of useful and historic data for preparing for seasonal conditions and/or epidemics Ineffective data capture procedures Misconceptions regarding user accountability and responsibility of the health information system Lack of data analysis to gain value from the current system Lack of user motivation due to a lack of knowledge of data usefulness

Lack of effective health service delivery due to medical supply and employee shortages Questions Activity Diagram
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