Details of Author:
Name: Dr. Gunjan Sharma; Age: 29 years; Qualification: B.D.S (RGUHS) , PGDHM (ASCI)
Name: Dr. Gunjan Sharma; Age: 29 years; Qualification: B.D.S (RGUHS) , PGDHM (ASCI)
Experience: 3 years; Presently
working at: Fernandez Hospital, Hyderabad; Department:
Quality
Designation:
Quality Coordinator; Areas of
Interest: Quality aspects in Indian
healthcare industry, Training needs of Indian healthcare
workforce, Auditing, Data Management
In
today's healthcare industry everyone is talking about high end information systems and technology
solutions like HIS, EMR
etc. but the ground reality is far more different than these jargons.
Budding generation of Managers and mandatory rules
or standards laid down by various governmental and non governmental bodies in
India have sparked the process of data collection in hospitals. Lot of data is
available in raw and manual form but most of it is of no use as it cannot be
processed for obtaining any inferences.
Major concerns in this area are:
Major concerns in this area are:
Manual Data
In this
computer driven era still lot of data is entered manually. Huge piles of manual data
are difficult to handle as it first needs to be digitized. Moreover problems
like overwriting,
corrections and incomplete data sets are spoiling the quality of
collected data.
Lack of Staff
I fail to understand the repulsive attitude of
Indian hospitals towards the data
entry personnel. It might be due to their cost cutting strategies that
they find them to be of no use. Hospitals are more keen in utilizing their
existing staff in entering data for their concerned department. I think it’s
time for them to realize that data entry is an art and the entire life cycle of
data depends on its inception. Bad quality data is the horror of any data
research scientist.
Transcription Errors
Transcription Errors
Even if
some of the hospitals recruit data entry operators many transcription errors
occur while digitizing the data. One of the major reasons for this can be; untrained data entry operators.
Majority of data entry operators are recruited from other industries as there
is a lack of staff which is specialized in hospital data and understands
healthcare terminologies.
Poor HIS
Most of the hospitals are either buying or developing their own
HIS. But there is lack of planning in customizing or developing HIS
products as the end users are ignorant about their present and future needs.
Lack of training and sensitization of hospital staff towards the statistics
driven processes has led to this condition. Hence hospitals end up with HIS
which is incomplete and is not able to satisfy the requirements of the departments.
Lack of Analysts
Huge sets of data needs the magic touch of an
analyst to transform into sense making graphs and trends. Hospital management
courses need to focus more stringently in the area of data analysis by introducing subjects like
Business Intelligence.
But it’s not just the educational institutes, hospitals also need to motivate
and provide opportunity to young managers into the less explored Indian woods of healthcare data.
I hope that this miniscule effort of mine will
encourage all upcoming managers and administrators in the area of healthcare
data management and analysis.
I agree with all points here. Thanks for sharing the issues. I did not understand the Poor HIS reason quite well. Is it the HIS features or lack of use of HIS which is driving missing data? Usually I have seen complex HIS with all worldly possible features in it and it is being hardly used for its potential. Issue could be that since they are so complex, users dont end up using it effectively. Can you please elaborate a little bit?
ReplyDeleteCould Dr.Gunjan elaborate on this question please?
ReplyDeleteI totally agree with the issue of complex HIS.
DeleteTalking about Poor HIS I think there can be two aspects to it. Either hospitals buy complete product from well known HIS brands , these products are comprehensive and complex or hospitals go for their own HIS development from some middle level development firms to save money.
In first case the product is good but our users are not properly trained hence the real potential of product is not utilized while in second case product is customized as per user needs but our users are not well verse with their own needs hence outcome is a not so stable product.
In either case until and unless hospital staff starts paying attention to requirement of data ; HIS can not be used/developed to its full potential.
Enough data are available but proper evaluation is the problem.many of the end user or the data operator doesn't understand the purpose and also many available Indian EMR/EHR are not fully capable of the statistical analysis.
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