CHAPTER ONE

1.0 INTRODUCTION

Hospital Management system includes registration of patients, storing their details

into the system, and also computerized billing in the pharmacy, and labs. The software has

the facility to give a unique id for every patient and stores the details of every patient and the

staff automatically. It includes a search facility to know the current status of each room. User

can search availability of a doctor and the details of a patient using the id.

The Hospital Management System can be entered using a username and password. It

is accessible either by an administrator or receptionist. Only they can add data into the

database. The data can be retrieved easily. The interface is very user-friendly. The data are

well protected for personal use and makes the data processing very fast.

Hospital Management System is powerful, flexible, and easy to use and is designed and

developed to deliver real conceivable benefits to hospitals.

Hospital Management System is designed for multi-specialty hospitals, to cover a

wide range of hospital administration and management processes. It is an integrated end-to-

end Hospital Management System that provides relevant information across the hospital to

support effective decision making for patient care, hospital administration and critical

financial accounting, in a seamless flow.

Hospital Management System is a software product suite designed to improve the

quality and management of hospital management in the areas of clinical process analysis and

activity-based costing. Hospital Management System enables you to develop your

organization and improve its effectiveness and quality of work. Managing the key processes

efficiently is critical to the success of the hospital helps you manage your processes

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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 users 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

2
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 Problem Statement

Lack of immediate retrievals: The information is very difficult to retrieve and to find

particular information like- E.g. - To find out about the patients history, the user has to go

through various registers. This results in inconvenience and wastage of time.

Lack of immediate information storage: The information generated by various transactions

takes time and efforts to be stored at right place.

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Lack of prompt updating: Various changes to information like patient details or

immunization details of child are difficult to make as paper work is involved.

Error prone manual calculation: Manual calculations are error prone and take a lot of time

this may result in incorrect information. For example, calculation of patients bill based on

various treatments.

Preparation of accurate and prompt reports: This becomes a difficult task as information

is difficult to collect from various register.

1.3 Aim and Objectives of the Study

The main aim of the project is to develop a hospital management system that will be capable

of managing hospital bills and perform all sort of transactions. The objectives include:

i. Recording information about the Patients that come.

ii. Generating bills.
iii. Recording information related to diagnosis given to Patients.
iv. Keeping record of the Immunization provided to children/patients.
v. Keeping information about various diseases and medicines available to cure them.

These are the various jobs that need to be done in a Hospital by the operational staff and
Doctors. All these works are done on papers.

1.4 Scope of the Study

This research work is limited to patients admission and hospital information system

including treatments, bills and payments. The software developed will be carried out using

Microsoft C#.NET to manage the database.

1.5 Limitations of the Study

This project covers all aspect of Medical system with regards to patients information. Due to

time and financial constraint, the software developed excluded laboratory units.

1.6 Significance of the Study

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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 is 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

5
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.

MCS- Management Control system is a form of Information System used by the

management of an organization to analyze each application of information system in terms of

input, storage, processing and output. The MCS has functional subsystems such as the

hardware system, the operating system, the communication system and the database system.

Management control systems are human artifacts.

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This means that MCS exits only because human beings design and build them.

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 CHAPTER TWO

LITERATURE REVIEW

2.1 INTRODUCTION

2.1.1 The Patient Record

Medical/health records form an essential part of a patients present and future

health care. As a written collection of information about a patients health and treatment,

they are used essentially for the present and continuing care of the patient. In addition,

medical records are used in the management and planning of health care facilities and

services, for medical research and the production of health care statistics. (World Health

Organization, 2006).

Medical record is a chronologically written account of a patient's examination and

treatment that includes the patient's medical history and complaints, the physician's physical

findings, the results of diagnostic tests and procedures, and medications and therapeutic

procedures.

Doctors, nurses and other health care professionals write up medical/health

records so that previous medical information is available when the patient returns to the

health care facility. The medical/health record must therefore be available. This is the job of

the medical record worker. If a medical record cannot be located, the patient may suffer

because information, which could be vital for their continuing care, is not available. If the

medical/health record cannot be produced when needed for patient care, the medical record

system is not working properly and confidence in the overall work of the

medical/health record service is affected. (World Health Organization, 2006)

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2.1.2 Record Management

Records Management is the practice of identifying, classifying, archiving, preserving,

and sometimes destroying records according (ISO, 2001), (ISO, 2001) Defines records as

Information created, received, and maintained as evidence and information by an

organization or person, in pursuance of legal obligations or in the transaction of business.

The International Committee on Archives (CIA) and Electronic Records defines a

record as, a specific piece of recorded information generated, collected or received in the

initiation, conduct or completion of an activity and which comprises sufficient content,

context and structure to provide proof or evidence of that activity.

While the definition of a record is often identified strongly with a document, a record

can be either a tangible object or digital information which has value to an organization. For

example, birth certificates, medical x-rays, office documents, patient folder, databases and

application data, and e-mail are all examples of records.

2.1.3 Information System

(Obrien, 2002), defines Information System as any organized combination of

people, hardware, software, communication networks and data resources, that control,

transform and disseminate information in an organization. (Obrien, 2002) Further reveals

that the data resources of information systems are typically organized, stored and accessed by

a variety of data resource management technologies into:

Databases that hold processed and organized data knowledge bases that hold

knowledge in a variety of forms such as facts, rules, and Case examples about successful

business practices.

According to World Health Organization, (WHO, 2004) the following terms are

Defined as:

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 i. Health information System: A system that integrates data collection, processing,

reporting and use of information necessary for improving health service

effectiveness and efficiency through better management at all levels of health

service.

ii. Health management information system: This is an Information system specially

designed to assist in the management and planning of the health programs as opposed

to delivery of care.

2.2 Steps in developing a Health Management Information System

World Health Organization regional office for western pacific, (WHO, 2004) recommends the

following steps while developing health management information system:

Review the existing system

i. Define the data needs for relevant units within the health system

ii. Determine the most appropriate and effective data flow

iii. Design the data collection and reporting tools

iv. Develop the procedures and mechanisms for data processing

v. Develop and implement a training program for data providers and data users

vi. Pre-test, and if necessary re-design the system for data collection, data flow, data

processing and data utilization

vii. Monitor and evaluate the system

viii. develop effective data dissemination and feedback mechanisms

ix. Evaluate the system

According to (Chrisanthi and Cornford, 1998) [4], the process of development of an

information System can be seen as a list of tasks, starting with identification and launching of

an information systems project and ending with maintenance of its optional components for

a period before the system is phased out or replaced. However, they say that this varies from

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one organization description to another. On their part they suggest the following steps to be

typical for most organizations:

i. Identification of a problem, pressure, or opportunity

ii. Determination of general requirements for change

iii. Feasibility study to explore possible approaches

iv. Systems analysis to model detailed requirements for technical components or

organizational reform

v. Systems design to work out how requirements are to be met

vi. Development or acquisition of software and hardware and their configuration

vii. Systems implementation with the organizational settings Operation and maintenance

viii. Phase out when the system is no longer needed or used.

2.3 Keys to successfully Adopting Electronic Health Records (EHR)

(Scott and Rundall, 2005), in a fund-supported study find that the keys to successful

adoption and implementation of EHR include a participatory selection process, flexibility

regarding staff roles and responsibilities, and decisive leadership at critical stages.

EHR systems have great potential to improve health care quality. So far, however, real

and perceived barriers from high costs and decreased productivity to staff frustration-have

prevented most providers from implementing them.

2.4 Push for Medical Record Computerization

(Meghan, 2006) [9] reports that advocates say that electronic medical records could

save140 billion dollars a year in health care expenses on things like file clerks and space

for file cabinets, while also saving tens of thousands of lives each year by reducing medical

errors.

When Medical Records management is computerized, there are no rooms full of

shelves lined with manila folders stuffed with charts. Instead, patients insurance,

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medication, examination, and treatment records are maintained on eight Dell servers stacked

in a large closet, (Meghan, 2006).

The technology dramatically reduces the time between a patients initial consultation

with a physician and his receiving treatment, allowing physicians to see from 30 to 35

patients a day. (Meghan, 2006) Quotes Dr. Doroshik as saying that doctors think outside

the box, increasing the likelihood that a patient will get an accurate diagnosis sooner.

Analysts say that the use of EHR significantly reduces redundant and improper treatments,

and cuts back on potentially fatal medical errors resulting from incomplete or erroneous

information in a patients medical file.

According to (Lucey, 2002), all organizations operations are ever changing.

Management and information systems that support them have to deal with that change and

adapt to their operations, systems and organizations themselves in order to survive and

prosper. (Lucey, 2002) reveals the following as factors that lead to these changes:

More competition: All types of organizations greater competitive pressures for example

hospitals competing for business.

Faster pace: The knowledge and development that people have rapidly become obsolete

because of changing requirements. Existing work patterns and practices need to be updated

more or less continuously to keep pace. Current information rapidly becomes out of date as

technology seems to change month by month increased globalization (Ndagire, 2003)

Reveals the following as some of the problems of manual information systems:

i. Paper based systems are generally very bulky both to handle and to store, and office

space is expensive

ii. Information manual techniques of processing information are more tedious,

laborious, slow and inefficient

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 iii. Labor productivity is low and the process is slower where large volumes of data need

to be dealt with.

2.5 The Role of IT in Improving Health care Delivery

There is an opportunity to transform health care and improve patient safety by better

leveraging information technology to improve the efficiency, accuracy, and effectiveness of

the health care system. However, adoption has been slow and the results have been mixed

up. If deployed incorrectly, without well-conceived process improvements, IT systems can

do just the reverse, leading to critical delays or mistakes. (Klein, 2006)

2.6 Data Overload

According to (Hendee et al., 2006), the 20th Century had a challenge of a deficit of

patient information, but the 21st Century is faced with a surplus. Compounding matters is

the fact that the human brain, even a physicians, cannot keep up with the exponential

growth in medical knowledge that will occur in forthcoming years.

The ability of most humans to memorize things has remained flat, but the medical

knowledge that needs to be assimilated is increasing at a very high rate. Sub-optimal medical

care often is provided to patients because of the failure to access all the data necessary to

make the right decision, (Chaiken et al., 2006).

(Bush, 2004) Argues that m a n y Americans die each year from medical errors. Many more

die or have permanent disability because of inappropriate treatments, mistreatment, or missed

treatments in ambulatory settings.

All these problems of high costs, uncertain value, medical errors, variable quality,

administrative inefficiencies, and poor coordination are closely connected to the failure to use

health information technology as an integral part of medical care.

(Bush, 2004) further reveals that in the outdated, paper-based system, patients vital

medical information is scattered across medical records kept by many different care givers

13
in many different locations - and all of the patients medical information is often unavailable

at the time of care. He believes that innovations in electronic health records and the secure

exchange of medical information help transform health care in America by improving health

care quality, preventing medical errors, reducing health care costs, improving administrative

efficiencies, reducing paperwork, and increasing access to affordable health care.

2.7 Conclusion

Although many scholars have written about computerization of health records as an

urgent requirement and a lot of research has been carried out, implementation is still

insufficient. However, according to the literature available, there are numerous benefits that

accrue from EHR and computerized patient folder management systems when compared with

manual systems. For example there will be no duplication of records, sharing of information

is made possible, the problem of missing and / or misplaced records is reduced and the

information is available at the point of care.

In order to continually improve the quality of healthcare, the Ghana Health Service

has put in place a routine reporting system backed up with electronic Online databases

replacing all pre-existing totally paper-based reporting instructions in districts all over the

country.

This system, called the District Health Information Management System (DHMS2),

is designed to produce relevant and functional information on the health services on a

routine basis. It is kicked off at the grass-roots health units and the information

gathered is transferred to health sub-districts, then on to the districts and finally to the

national level for planning, managing and evaluating healthcare delivery. In other words,

from the health unit it goes through the districts and straight to the National Health Databank.

(Ghana Health Service Annual report, 2011).

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Despite the efforts by the Ghana Health Service, hospitals remain completely manual

with traditional pen and paper records management. It is also seen from the above example

that the efforts are only on reporting systems not minding on how these reports are produced

and other processes managed.

Healthcare IT is a sleeping giant. Although healthcare budgets contribute to the

bulk of government spending, healthcare information technology lags far behind other IT

businesses including banking, telecommunications and the media. Local and countrywide

efforts to implement electronic health record (EHR) and patient folder management systems

have been intermittently reported. The common threads, however, that link these efforts and

how they contribute to the success, barriers or failure of implementation have not been

identified. (Steve, A. et al.2006).

The researcher decided to build on the literature and efforts available to implement a

practical solution for the problems of the manual system as a way forward. This exploits the

benefits of the new technology as they are widely talked about.

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 CHAPTER THREE

RESEARCH METHODOLOGY

3.1 SOURCE DATA

During the research work, data collection was carried out in many places. In gathering

and collecting necessary data and information needed for system analysis, two major fact-

finding techniques were used in this work and they are:

i. Primary source

ii. Secondary source

Primary Source

Primary source refers to the sources of collecting original data in which the researcher made

use of empirical approach such as personal interview and questionnaires.

Secondary Source

The need for the secondary sources of data for this kind of project cannot be over

emphasized. The secondary data were obtained by the researcher from magazines, Journal,

Newspapers, Library source

3.2 METHODS OF DATA COLLECTION

3.2.1 ORAL INTERVIEW

This was done between the researcher and the doctors in the hospital used for the

studies, and the lab attendance was interviewed. Reliable facts were got based on the

questions posed to the staff by the researcher.

3.2.2 Study of Manuals

Manuals and report based used by lab attendance were studied and a lot of information

concerning the system in question was obtained.

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3.2.3 Evaluation of Forms

Some forms that are necessary and available were assed. These include admission

card, lab form, test result, bill card Etc. These forms help in the design of the new system.

3.3 THE EXISTING SYSTEM

System analysis is a structure process of collecting and analyzing facts in respect of

existing operations procedures and system in order to obtain a full appreciation of the

situation prevailing so that an effective computerized system may be designed and

implemented when proved feasible. According to E.C and chapman R.J. system analysis is

defined as the method of determining how best to use computer with other resources to

perform tasks which meet the information needs of an establishment. Before moving into the

major system design building blocks of this new system we need to analyze the existing

system and identify their weaknesses.

The existing system of medical system and drug prescription in Krishna medical

center involves manual activities. It has been observed that to receive medical treatment in

most of our hospitals the Patients queue according for several hours in the sequence of first

come first serve (FCFS) though, a new patient usually register into the hospital by filling

patients form which signifies that the person is an official patient of that hospital. Also, this

gives the person access to own a hospital folder. This is used to store the basic information

about the diagnosis and drug prescribed to the patient.

In other hand, if it is an old patient, the staff retrieved his hospital folder using the

patients form which the doctor have a look at first, before examining the patient and carry out

the appropriate therapy which is either he referred the patient to laboratory unit for lab test (if

the need be) or to the pharmacy unit to obtain the prescribed drugs (if the matter is not too

complex). But, any treatment offered to the patient by the doctor must be recorded on the

17
patients folder to avoid inappropriate therapy. Though, it sounds so easy but it has some

stumbling blocks.

3.4 INPUT ANALYSIS

The input to the new system is derived from the patients card. When a patient visits

the hospital, he/she fills the patients form from where a card is issued to the patient. This

forms the input to the new system designed. The information required for entry into the

system includes:

i. Patients Name

ii. Sex

iii. Address

iv. Age

v. Disease Symptoms

vi. Date visited

3.5 PROCESS ANALYSIS

Based on the information collected from the patient, an analysis is carried out. The

symptoms are processed to obtain the accurate diagnosis of the sickness. Also the diagnosis

will help in the processing of the system to obtain the best emergency health care system to

be administered to the patient.

3.6 OUTPUT ANALYSIS

The output is derived from the processing carried out on the input data. The output is

presented in form of reports on a patients diagnosis and possible treatment to the ailment.

The reports are displayed on the screen and can also be printed out as a hard copy.

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3.7 WEAKNESS OF THE EXISTING SYSTEM

The weaknesses of the existing system are highlighted below.

Lack of Accuracy: This situation crates problem in the sense that proper and adequate

medical attention is far-fetched. Due to doctors usually hurries over their duties in order to

attend to all the patient present in the hospital and along the line they may became exhausted,

and the cases of traits and errors may be practiced.

In addition, the diagnosis, and prescription depends on the doctors memory so their

brain are often loaded with different diseases, symptoms and various drugs for treatment,

hence, to remember and process the hug information is his clinical work is very tasking. For

this reason accurate diagnosis and prescription may not always be obtained.

Lack of speed of operations and effectiveness: It has been observed that to receive medical

treatment in most of our hospitals, The patients queue up for several hours from one units of

the hospital to another, Normally, the medical records system is based on the traditional file

keeping system. Although, many patients are attended to with the method of information

recording or retrieving an old file but above all, t wastes time. And at times many patients are

as spillover. Moreover, the problem of redundancy may occur due to human brain is too

complex and may not perform and may not perform effectively especially when new folders

and card save obtain each year.

3.8 JUSTIFICATION FOR THE NEW SYSTEM

The new system among other things will have the following characteristics which will

improvement the current system in use the new system designed will help the management to

use computer system to find patients information with regards to billing, treatments, etc.

Accuracy is maintained, as the computer information will yield an accurate result.

There will not be much congestion in hospitals, as the medical system developed will assist

patients to be treated and the information stored.

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The speed of operation of the medical system is high when compared to manual method.

20
 CHAPTER FOUR

SYSTEM DESIGN

4.1 OUTPUT SPECIFICATION AND DESIGN

The output form is designed to generate printable reports from the database. The output is

placed on a database grid and contains information on patients records. The output produced

can be printed on a hard copy or viewed on the screen. The output generated includes:

1 Patients File

2 Bill Record

3 Treatment Record.

4.2 INPUT SPECIFICATION AND DESIGN

The input to the new system is the patients admission form, which is entered through the

keyboard. The input form design takes the format bellow.

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 4.3 FILE DESIGN

In any good database design, effort should be made to remove completely or at worst reduce

redundancy. The database design in the software is achieved using Microsoft access

database. Below is the structure of the file designed in the database.

PATIENTS TABLE

FIELD FIELD TYPE FIELD SIZE

Card No Text 15

Patients Name Text 20

Address Text 30

Age Integer 2

Sex Text 8

Ward Text 20

Bill Single 4

Date admitted Date/time 8

Treatment Text 100

Figure 4.3 patient table

System Flowchart

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 Input Data
-
patient File

Input From
the
Result To Screen
Keyboard

Proce
2 Control
Unit

Disk
Output
Storage ( Report
)

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4.5 Procedure Chart

Main Menu

Patients Query Report Help Exit

Admission
Patients
Record List of Admitted
Patients
Bill

Patients Bill
Payment Information

Treatment

Figure 4.5 procedure chart

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4.6 Program Flowchart

Start

Main Menu

1. Patients
2. Query
3. Report
4. Exit

Yes
Option 1 ? Call patients form

No

Yes
Option 2 ? Call query program

No

Yes
Option 3 ? Call Report Module

No

No
Option 4 ?

Yes

Stop

Figure 4.6: program flow chart

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4.7 Choice of Programming Language

The new system is implemented using Microsoft C#. This is because the programming

language has the advantage of easy development. Flexibility and it has the ability of

providing the developer/programmer with possible hints and it produces a graphical user

interface.

4.8 HARDWARE AND OPERATING SYSTEM REQUIREMENT

Computer system is made up of units that are put together to the work as one to achieve a

common goal. There are two parts of the computer system, namely.

The Hardware

The Software

Hardware Requirement

The program for this project is written in Visual Basic Programming Language. 2013. It is

designed to run on an IBM personal computer. The following minimum hardware

specification is needed

Intel Pentium 1. MMX technology

14 VGA or SVGA Monitor

16 MB RAM

3.5 Floppy Drive

24 x CD ROM Drive

2.1 GB Hard Drive

Keyboard

Printer

26
Software Requirement

The following minimum software specification is needed:

Microsoft windows 98 or later versions

Microsoft Access 97

Microsoft C#

CHAPTER FIVE

SUMMARIES, RECOMMENDATION AND CONCLUSION

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5.1 SUMMARY

Without the use of computerized system for medical system, I wonder what will be

the stand of our economy today. Since, the implementation of this system does more good

than harm in our country especially health sector. Hence not only does it provide good

health with the help of the following factors, accuracy, flexibility, and speedy treatment. But,

also it will be a big relief for medical doctors and nurses when attending to patients.

This project is well designed with reliability and efficiency as our mainstay, have come

just in time to correct those weaknesses and anomalies, which exist in the existing manual

method. The achievements made up this design can be summarized

a Result of high processing speed of the computerize system

b Patients records can now be retrieved easily.

c Billing system in the hospital will be more effective.

d Similarly there is also an easy accesses to clinical reports for research purpose

and decision making

5.2 PROBLEMS ENCOUNTERED AND RECOMMENDATIONS

During the processing of the project, I was faced with a lot of physical problems.

These problems includes

I was seriously faced with the problem of data collection, which helps in building the

manuscript. Because information they said is the tool of business so without solid data

collection or material one finds it difficult to present a meaningful reports. So, inability to get

materials on time really set my project back. Actually, it took me more than five months to

gather enough information needed for this project.

Also for collection of data from my case study a lot of money is spent on transportation.

Hence for one to be effective in this project, money must be involved.

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 Finally, the major limitations of this study were time, financial constraints and poor

response by some medical doctors fearing that computers may take over the practice of

medicine which in advance, they may lose their jobs. For this reason the researcher is

recommending compulsory information technology training for all the medical practitioners

to enable them cope with the current trend in information technology.

5.3 CONCLUSION

Based on the findings, the following conclusions were reached. The implementation

of a patient billing software for a hospital will be a big relief for medical doctors and nurses

when operational. The system can be a tremendous help to hospital management. It will also

serve as a tool for quick operational decision making of the patient, thus enabling them to

reach the solutions of their problem more quickly and more accurately than human being.

Thus the overall effect of the use of computer in medical system is that patients acquire

competence, accuracy, and effectiveness within the shortest time in their operations and can

break into new ground with certainty.

REFRENCES

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Arizona, R., (2011): Electronic Health Records, about $500 Million at stake in digital move.
England: Smith and Sons.

Habib, J.L,. (2010). EHRs, meaningful use, and a model EMR. Drug Benefit Trends. May
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