The Ministry of Health of Malaysia privatized support services in all its hospitals constituting over 35,000 beds to a consortium of 3 private firms. 15-year concessions were given for the following key services:
Clinical waste management
Linen and laundry
Facility and engineering maintenance
Bio-medical engineering maintenance
These services are regulated by a set of Technical Requirements and Performance Indicators (TRPI) that guide the process of implementation. Information technology provides key advantages both to the agencies involved in providing these services as well as the Ministry of Health that monitors compliance with TRPI.
All three parties to whom the services have been contracted are to provide a standardized Computerized Management Information Systems giving online information to the Ministry of Health office at Putrajaya, State Health Director's offices, and Hospital Directors’ offices.
It is an Executive Information System (EIS) enabling the Ministry of Health to stay in control and to monitor standardized quality of service delivery across all hospitals. The Ministry of Health decided to implement an enterprise-wise data warehouse platform with the intention of enabling all parties involved in this privatization project to be positioned centrally with information accessible across functions in a graphical, user-friendly, self serviced way.
The Central Management Information Systems (CMIS) is now called e-urushospital to better establish the CMIS as a key tool in managing and monitoring the five privatized services.
Development of the e-urushospital required an enormous step forward that is the implementation of the data warehouse. While accessing information was formerly a very slow and sequential process (days to weeks) in which information users were obliged to follow the hierarchical route via the IT department, the data warehouse environment provides a connection delivering parallel access and fast delivery (instantly online).
2000 PC's across more than 150 locations now have access to the e-urushospital where 5 Gigabytes of data are refreshed daily and made available to all parties involved. Information is received from the 3 servers of the consortia prior to data transformation and presentation to the Ministry of Health. This is delivered through a mix of dedicated and dial-up communication links, mostly high-speed 64 Kbps digital leased lines. The environment is predominantly Microsoft Windows server and Microsoft SQL Server for Relational Database Management System.
E-urushospital is a suite of integrated management information applications that collects data from every part of hospital support systems, transforms it into meaningful and measurable information. It is an easy to use, integrated, comprehensive, timely, single source management information solution.
Designed with embedded analytics, e-urushospital empowers all parties to monitor, measure and act. As a result it turns IT into a tool that creates a competitive advantage. By automating, measuring and tracking processes, e-urushospital facilitates improved compliance, predictable outcomes, better planning and documentation
Assemble fragments of data……..
Uncover meaningful patterns……..
Transform the myriad of information into insight
Reduced administrative costs by enabling end users to create ad hoc reports from their desktops. Self-serve unique reports can be generated on the fly by the end users. The dependence on IT staff is totally eliminated thus releasing IT staff to perform other critical functions.
Time and cost to create reports has been reduced from several weeks to instantly online. The complexity of information retrieval and printouts has been greatly reduced.
Built for the web, e-urushospital provides a consistent, universally available, browser-based interface that can be accessed on a variety of devices. The user-friendly interface delivers the information users need, when they need it.
With e-urushospital, Ministry of Health accesses information over the Internet without having to buy license, and install expensive software programs.
Productivity increase, more information circulates more freely and at higher speeds, giving the Ministry of Health faster and accurate answers and assisting in improving decision-making process.
Better control on the quality of service in spite of distribution across hundred of locations. Every activity on Hospital Support can be monitored in real-time. Everyone speaks a shared information language, in which concepts such as equipment uptime have exactly the same meaning.
The solution provides with a map of maintenance that simply didn't exist before. Ministry of Health is now able to see compliance data from a high level, identify possible problem areas and then drill down to find the supplier or products needed to focus on to make improvements.
Subcontracting of services has become more scientific with performance metrics easily understood.
Accurate information on accounts receivables and payables enables the management to perform profitability analysis hospital-wise and service-wise.
Enables faster billing, which in turn leads to faster money collection and improved short-term capital management. Capturing of many of the cost elements online helps in better planning. This tool has turned Hospital Support Systems IT to a competitive advantage.
Obtain timely financial and utilization data to determine whether the costs of the services provided are in sync with the revenue received. By analyzing this information, the organizations can obtain information on cost trends, patterns and abnormalities
E-urushospital facilitates improved compliance, predictable outcomes, better planning and documentation. The result: fewer service failures, greater facilities productivity and improved resource performance
Maintenance modules help in planning the utilization of over 300,000 assets. It meets the maintenance needs of sophisticated high-tech medical equipment.
Speedy response to Ministry of Health work order requests through co-ordination across multiple locations.
Optimally centralize/decentralize many of the services in a flexible manner taking into account the economies of scale.
E-urushospital was developed to run on existing hardware as the consortium wanted to initially utilize available resources and migrate to powerful hardware later permitting staggered resource commitment.
Control costs, improve contracting decisions, and eliminate waste by closely managing inventory and provider performances.
Automation of routine functions thus improving and streamlining delivery of consistent output.
Process oriented user interface is designed to help administrative staff accomplish their work in an easier and more efficient manner. Its embedded workflow management technology orchestrates services by all systems. This ensures coordinated maintenance and optimal use of resources.
Enables users to monitor outcomes, identify trends, and make recommendations.
Pinpoints problem areas to enable instant remedial action.