Académique Documents
Professionnel Documents
Culture Documents
2016
PROJECT MANAGEMENT OF IMPLEMENTATION OF HOSPITAL
INFORMATION SYSTEM FOR RADIOLOGY INSTALLATION IN SILOAM
HOSPITALS BALIKPAPAN
INFORMATION SYSTEMS
Process data collection, whereas in this process there are eight processes,
namely:
a. Patient Data Collection Process
In this process the patient identity data recorded and stored in the file of
patient data.
b. Documenting Process technologist
In this process the data is recorded and the attendant radiographer stored
in a data file clerk radiographer.
c. Documenting Process Type Actions
In this process the data types of actions are recorded and stored in the
data file type of action.
d. Documenting Process of Payment Method
In this process the data is recorded and how payment stored in a data file
mode of payment.
e. Documenting Process of Rontgen Film Size
In this process the film size data recorded and stored in the data file size
of the movie.
f. Documenting Process Treatment Method
In this process the data is recorded and how treated patients stored in a
data file how to seek treatment.
g. Documenting Process of Doctor
In this process the data recorded the patient's referring physician and
stored in a data file doctor.
h. Documenting Process of District/Cities
In this process the original data districts / cities patient was recorded and
stored in a data file districts / cities
In the reporting process described in the DFD Reporting level 1 there are four
processes, namely:
a. Process Statement of Earnings
The activities undertaken in this process is the making installation earns
reports from daily census, monthly and yearly.
b. Process of Statistics Report Patients
Activities undertaken in this process is the making statistical reports from
the Census patients daily, monthly and yearly.
c. Process of Services Performance Report
Activities undertaken in this process is the making installation service
performance reports in a daily format and monthly
d. Using of Film-Making Process Reports
Activities undertaken in this process is the making report the use of the
film in a monthly format.
1. Output Design
The design of the output is the product of an information system that can
be seen. based on observation and interviews with users of the obtained
needs
2. Input Design
It Aims to provide design of input forms input on the document and on the
screen to the information system. Input is an initial step the
commencement of the information process. The raw material of
information is data that happens to transactions carried out by the
organization. The data results of the transaction is an input to the
information system. Entering the data into the information system of a
new computerized, required input tools. In general of the device is a
keyboard and mouse. Design of input adapted to process the input directly
consists of two (2) main stages, namely: data capture using basic
documents so that in this process requires the design of the form and the
data entry into computer so that this process requires design.
3. Interface Design
Input on the design of information systems installation outpatient
radiology include input design in counter installation of radiology. The
following table of input design for information system of outpatient
radiology installations.
4. Draft Interface
The design of the dialog interface is designed wake-up dialog between
users of the system with computers. The false one way of making a
computer screen dialogue is with using of menu. The menu contains
several alternative programs or options presented to the user. One menu
is used for the design dialog interface of this research is a pull-down
menu, which consists of a menu bar that are preferred and can be
selected by moving the cursor left, right, top and bottom. The interface is
shown in the form of master data, transaction and reports.
5. Database Draft
Database design is intended to facilitate or efficiency in storage, alteration
and reading data. A database that is built should be reliable with data
storage that have high integration for increase the confidence of the user
data. Designing of databases, analysts need to define in advance the files
required by sistem.The stages are carried out in further research is the
design of the database for the system outpatient radiology installation
information.
The steps in the process of database design radiology information system
for outpatient installation as follows :
1. Approach E-R Data Model (Entity-Relationship)
E-R data model is generally described as diagram of E-R (Entity-
Relationship Diagram = ERD). The stages in the manufacture ERD
consists of:
a. Identify and define the entire set of entities who will be involved and
determine the key attributes of the each set of entities. With DAD
and analyzing user view that involved in the system, it can be found
entities database in-patient radiology information system
installation way to support the evaluation of services in SHBP
Balikpapan. These entities is new early identification and should be
analyzed further to the implementation of table
b. Determination of the key attributes of each entity set whether these
attributes can actually be used as a key or not required test phase,
using dependence functional
c. Completeness set of entities and a set of relations with descriptive
attributes (non-key). Entities that are made between entities ERD
described in the above is not equipped with a detailed description of
a picture of an entity. For describing in detail the entity set, then
equipped with a descriptive attribute. these attributes shows its
function as the characteristics (properties) attached to an entity.
Entities obtained from the modeling process by using the ERD must be
transformed into a base of physical data in tabular form (data files) which is the
main components forming the database. then atribute attached to each set of
entities and a setting of relations will be declared as the fields of tables
accordingly.
From the results obtained from the relationship diagram E-R then needs to be
analyzed whether the relationships formed will generate a new table or just an
addition / inclusion relationship attributes to the table representing one of a set
of entities. It can be seen from the cardinality relationships are formed. A set of
relations formed above can be analyzed, as follows :
a. UCC patients - the clerk is many to many
b. Entities patient - personnel radiographers are many to many
Because the cardinality of each relationship is many to many then the relation
should be implemented into a new table. Whereas for ;
a. UCC type of action - the size of the movie is one to one
b. Entities patients - how payment is many to one
Because the cardinality of the relationship is one to one and many-to-one then
implemented into
new tables.
Design Normalization
Tables were obtained in implementing the above is the first step in designing a
database. The next stage is the design of normalization which is the final draft. In
this process will analyze table preconceived in an effort to obtain a a database
table with a good structure in a way applying a number of rules and standard
criteria for each tables that are members of the database.
A table can be categorized as good (efficient or normal) if it meets three criteria:
if there
decomposition (decomposition), the table should decomposition secured
(Lossless-Join Decomposition), the maintenance functional dependence upon
data changes (Dependency Presertation), does not violate the Boyce-Code
Normal Form (BCNF). The technique used in this normalization is functional
dependence (KF). The principle of this technique is each table is used only the
functional dependency. A table that has more of the KF, certainly not a good
table. This normalization process can be done by checking / testing of each table
that has been obtained, whether it Normal forms meet all three (3-NF) or not. If it
does not meet the form of 3-NF it should be decomposed. The 3-NF requirements
are: The table must fulfill the 2-NF and each of key attribute is not does not
depend functionally of the other key attributes not in the table.
Results from the table in the form of data files on the design of the next
normalization designed the structure of the database files. The structure of the
database file describes the fields in your data file with a data type
The purpose of this phase is to build and testing a system according to the needs
and specifications design, implement interfaces between systems proposed by
the existing system. The description of each of destination described as follows:
a. Programming
This stage aims to convert the resulting of design logic into the operations of
coding using a programming language so that logic concept that has been
designed can be translated into the program functions that can be used by the
user of easily and ensure that all functions or program modules can be created
and run correct. In this study, considering the limited time program, the
installation of information systems for radiology outpatient support service
evaluation undertaken investigators assisted by a programmer. The program is
made based design including:
1. Creation of Database
In the design of the database starting from the designing models use a
context diagram and DAD, then modeled by ERD to obtain tables. The
result is then normalized to obtain tables are free of redundancies. Table
database created with My SQL database tools with component row and
columns.
2. Preparation of Input Form
Input Form is made in accordance with the design of input and made
directly with the programming language PHP.
3. Reporting
Reports are generated with each of the tables relatef contained in the
database and the end result of charts and tables.
4. Making the main menu interface
The main menu interface is made in accordance with
a. Process has been designed on the DAD.
b. Validity System By programer
The validity of the system starting from the installation process of the program is
done by connecting the language PHP programming with My SQL database,
hereinafter in the process of testing the system / program. The testing phase
that aims to test or testing for all program modules are made, so that when
implemented later ascertained goes well. In testing program
will use the following order:
1. The testing grounds, namely testing at the module is the smallest, so that
certain parts the running properly and efficiently
2. Testing group, which is a test for groups so that interactions between the
basic module modules can be run well.
3. Testing the function of conducting tests for testing the functions of the
group so that interactions between the group can goes well.
4. Testing of the system, namely the testing system as a whole, so that the
system can work as with expectations and the actual function.
Implementation Phase
CONCLUSION
Based on the research that has been undertaken, obtained the following
conclusions:
1. The information system of outpatient radiology installation to support
evaluation of services that run on SHBP Balikpapan before the
development of a new information system is still issues such as: in the
input data (data written by the patient the clerk at the registration booth
no radiological installations complete), process (data management is still
done manually and not using DBMS) and output (reports / information
revenue is generated only reports based installation a roster spot, method
of payment the patient and the type of action only) so that the activities of
service evaluation conducted by the managerial hospitals to determine
the level of productivity installation services in outpatient radiology
become obstructed.
2. Reports / information to support evaluation of services in installation
outpatient radiology SHBP Balikpapan required by the managerial
hospitals are included:
a. The report is based on a list of income and how to pay patient
b. Statistical reports of patients by way of visits, types actions and how to
pay patients
c. Service performance reports
1. Average of patient visits per day
2. Average new patient visits per day
3. The ratio of new patient visits per total visits
4. The ratio of patient visits with radiographers
5. Percentage of specialist services
6. Report the use of a film based on the film stock, the number of
movies used and the number of films
3. The database in the radiology information system installation outpatient
developed in SHBP Balikpapan include: patient, officer of radiographer,
type of action, method of payment, the size of the film, the officer of
administration, deal registration and examination of transactions. The
Process that occurs in this information system is the processing of data
from Data source and type of data into information in the form of reports
(daily, monthly and yearly). The output of : Earnings reports, statistical
reports of patients, the performance report of service and report the use of
x-ray film.
4. The results of trials of the proposed information system, can be overcome
issues relating to the quality of the system information, namely: the ease
of information access, accuracy information, the timeliness, completeness
and appropriateness of information. One example is the applied on the
indicator ratio of the number of visits by the radiologist. If every day ratio
always increases or tends to increase workload means officers of
Radiographers heavier so that it can take a decision to propose increasing
the number of officers on the working period which will come.
5. Quality information of the proposed system is better than the system of
the old information. It can be seen from the responder. the ease of access
to information, the accuracy of the information, timeliness, completeness
and appropriateness of information. The response can be seen through the
average of recapitulation overall weighted data show an increase results
from 1.95 to 3.40 with a weighted average margin 1.45 overall. The
Quality information also have differences significant is evident from the
results of statistical tests Sign Test with a probability value of 0.0001 (p
<0.05), which means there are differences the quality of information
between the old system with the system proposed.
B. RECOMMENDATION
REFERENCES