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Kingdom of Bahrain
Open University of Malaysia (OUM)
Health Information Directorate (HID)Ministry of Health (MoH) Kingdom of Bahrain
Student's name: Ali Abduljalil Abbas Alzaki
Student's ID: 51060221
Section: 3
Course: Fundamentals of ICT ( BMIT5103)
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Table of Contents
Executive Summary................................. ...........................
3
Introduction........................................................................ 4
The organizational chart of HID................................ ........ 5
HID resources in Ministry of Health.................................. 5
Business systems and their analysis.......................... ........ 11
Business critical applications........................................ .... 15
Major challenges and issues facing HID..................... ...... 19
The Business perception of HID in ministry of health.... 22
Conclusion and finding...................................................... 26
References....................................................................... ........28
Appendix....................................... ..................................... 29
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1.Executive Summary:
This report is about the IT department at Ministry of
Health in Kingdom of Bahrain. It is known as HealthInformation Department (HID).
After the Introduction of the report, there is a chart of the
HID. After that there is an explanation of HID resources
(Data, software, hardware, network, and people).
Then, the report will describe the business systems
available in the Ministry of Health and how they are helping
the Ministry.
After that, the report will explain in detail- many
Business critical application being Implemented and
planned or lacking. Then, there is a description of major
challenges and issues facing HID.
Finally, the report shows the result of the survey that
indicates the Business perception of HID in the Ministry of Health.
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2.Introduction:
Health Information Directorate (HID) is responsible for the
planning, development, implementation, management and support of the Ministry of Health Information System. It serves as the primary
expert for Information Technology for approximately 6,800
employees working in the Ministry, as well as the management of
information, including data & statistical exchange and publications
within the Bahrain Ministry of Health.
Vision
To provide the right information to the right people at the right time
in order to provide the best services and health outcomes at reasonablecost.
Objectives
According to the Bahrain Health Strategy for the years 2002 2010
Health Information Directorate should achieve the following objectives:
· To provide an information communication technology infrastructure
that will link and support transactions and information sharing between
government regulators, public healthcare organization and the peopleof Bahrain.
· To provide a National Health Information Center that will provide
real time online analytical decision support tools to assist in the
improvement of daily operations and clinical practice, as well as data
warehouse decision support tools for analyzing retrospective
information that will assist in prospectively planning improvements for
the quality of services provided.
· Develop a program of process reengineering to support theimplementation of information and communication technology.
· To provide an integrated healthcare provider system that will support
referrals and information sharing between private and public clinical
venues of tertiary, secondary, or primary care across the kingdom.
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· To provide an insurance Based Funding System Software that
supports the provider/payer/regulator requirements.
3.Organizational Chart of Health Information
Department (HID)
4.HID resources in the Organization:
4.1: People:Human Resources are the single most important asset in
Bahrain. Therefore the Ministry of Health is committed to investingtraining and development of all its employees.
According to Health statistics 2005 , about 82% of theemployees in HID are Bahraini.(Figure 1 )The Statistics also show that 63% of the employees (bothBahraini & non Bahraini) are Male.1 (Figure 2 )
1 Health Information Directorate, Ministry of health, Health statistics , 2005 .
HID Director
PerformanceAssurance
Customer &Technologymanagement
ApplicationManagement
Knowledge &ProgramManagement
Administration Advisor
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Table ( 1 ) Manpower in Health Information Directorate by Nationality and sex , Healthstatistics , 2005
Non - BahrainiBahraini Female
(Bahraini
& Non
Bahraini)
%
Male
(Bahraini
& Non
Bahraini)
%
Non
Bahraini
%
Bahraini
%
Total
FemaleMaleFemaleMale
3763188238161318
Figure ( 1 ) Manpower in Health
Information Directorate by Nationality -
2005
82%
18%
Bahraini
Non - Bahraini
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Figure ( 2 ) Manpower in Health
Information Directorate by sex - 2005
63%
37%
Male
Female
4.2: Data:
a. Health Statistics:
Health Statistics Report contains statistics and health indicators,
which illustrate the Health Status and the commitment to facilitate the
provision of health care services to all nationals and residents of
Bahrain. The data presented in the reports are collected from all
Ministry of Health peripherals, Bahrain Defense Force, Private
Hospitals and other health institutes in the country by publication
group at Health Information Directorate. These data highlights the
population characteristics, their demographic, epidemics and health
status. The directorate main concern is that the accuracy of the
published data, on time and has a full coverage of the health status.
The report is available now on the MoH Intranet and the Ministry of
Health web site, it is also available on CD.
Without reliable data, it is impossible to assess effectively the
impact of policies, programs or any interventions in the health sector.
Without the right indicators, important problems might not be
detected; without a system-wide scope, solutions with unintended
consequences might be developed. Therefore, World Health
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Organization (WHO) is continuously developing stronger norms and
standards for overall health information systems at national and sub
national levels, with a focus on quality of data, methods for data
collection and estimations to enable managers and decision makers
to:Assess health situation and trends;
Assess needs for health services;
Define and measure goals, objectives and targets of health
programs;
Define the functions of health care services and units;
Set priorities for the allocation of resources and, accordingly, plan
the health services;
Manage the health programs, monitor and evaluate their
performance, and assess efficiency of recourses usage;Supervise and run training activities for the staff;
Coordinate activities within the health sector, and with other
sectors in the health related matters to avoid unnecessary duplication;
Control Communicable Diseases.
b. Clinical Data (Radiology, Pathology, Medical Records, etc)
c. Administrative data (Financial, Personnel, Material Management,
Drug control, Laundry, etc)
4.3: Hardware & Network:
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Figure (3) : shows how HID connect to other department in Ministry of health.
MoH has implemented many Local Area Network (LAN) &
Wide Area Network (WAN)Infrastructure projects. These
implementations contributed to improving the availability and qualityof services by providing access to various systems. All buildings
within Salmaniya Medical Complex(SMC) are interconnected
through a fiber optic network underground. This minimized the
communication cost, and provides fast and reliable access to the
network resources. In addition, all departments are connected to and
managed from one central location through100Mbps Ethernet
network where all resources are maintained and supported by expert
people.1 Other services ( Internet, Email, etc) In Addition, MoH
connected many remote sites such as Health Centers, Head Quarter offices, and External hospitals through Frame Relay and Leased lines
circuits.
Also, MoH is part of the Government Data Network (GDN) that
connects all Bahrain Government Bodies and exchanges data. MoH
1 The official website of Ministry of health, ( www.moh.gov.bh).
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is using Microwave and Infrared technologies to connect to GDN,
which provide faster and cost effective solution.
· Wireless Computing In Healthcare :
In coordination with Salmaniya Administration, HID has beenconducting presentations and hands trials on these technologies.
Presently, a 10MBPS wireless network has been setup at HID and a
Tablet PC and a Palm device are loaded with a sample health
application to illustrate the versatile and efficiency of this new
technology.
The Tablet PC is about the same size as a standard sheet of paper
and much smaller and lighter than a laptop and can be used as a
portable unit with a retractable keyboard or on its own with a digitalstylus (pen).
Key features are:
- Flexible
The Tablet PC provides the full power and functionality of a PC or
a notebook PC, with the additional options to use a digital pen or
even voice recognition to take notes or /and enter data. Digital Ink technology also empowers handwriting- enabled applications,
allowing users to write and draw naturally, or convert their notes to
text and input information on the spot.
- Mobile
Light weight (approximately = 1.5KG) and about the size of an A4 pad, the Tablet PC is both small and lightweight enough to carry
around. Of course, such technologies will be set as requirements of
the MHIS (Ministry of Health Information System) Project. Indeed,
its foreseen by the healthcare industry that the introduction of these
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concepts would significantly improve the way we provide care to the
patient.1
4.4: Software :
The current software packages are mainly covering the basic
functions such as Admission- Transfer and Discharge, Financials,
Radiology, Lab, Appointments, and Logistic services. Most of the
applications are handling data and are connected by point to point
interfaces.2
Oracle :
RDBMS application using Oracle database: (the complete list is in
the Appendix)
- Mother and Child Healthcare (MCH) :
The Mother and Child Health Care System are used to collect
information about mothers and children, such as BIO data,
appointment bookings, results, immunizations, and child screening &
abnormality etc. The main output of this system is statistical reports.
- Catering System (CAT) :
The Catering System is used to keep track of the weekly requisition
and reception of food items at SMC and psychiatric hospital kitchens.
- Daily Revenue Reporting System (DRR) :
The Daily Revenue Reporting System is used to produce daily reports
of all MOH services revenues.- Drug Control System (DCS) :
The Drug Control System is used to register all drug pharmacies and
pharmacists, issue and renew their licenses.
- Licensure Registration System (LRS):
1 Heath Information Directorate , HIDINFO line , July/August 2003, Issue No. 82 Ministry of Health , Health Information Technology Strategy , 2nd Edition 2004, p11.
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The Licensure Registration System is used to register and issue
licenses to all nurses & doctors in Bahrain.
5.Business Systems and their analysis:
5.1: Web-based Systems:
a. Internet & Intranet :
- Internet : Internet website was developed with the aim of publishing
MoH services on the web. The website contains valuable information
about health services, facilities, activities as well as health education,
health conferences and health societies. Public information includes
health centers contact numbers, opening hours, medical checkup
guidelines for students and domestic workers and other information
required by the public sector.
-Intranet : MoH intranet web site has been launched since June 2001.
It serves as a mean of communication and exchanging information
between MoH employees. The site is structured so that each
directorate/department should have their own section. Following are
the available sections: MoH main, A&E, DEM, HID, DMM, DT,MED, Nursing and Ophthalmology.
The features of web sites include: department history, services,
human resources, news, event calendars and photo galleries. Most of
the sites also have business forms that can be downloaded and filled.
Others have on-line forms that can be filled and processed
electronically like that of the DEM as a way to speed business
processes and cut down paper usage. MoH intranet is also an accurate
source for different publication and statistical information.Intranet website has been developed with the objective of
communication and sharing of information. The intranet enables
MoH employees, departments and functions to get easier access to
quality information, improve speed of communication and reduce the
number of papers floating around. Most of the health functions have
web pages on the intranet.
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5.2: Health Messaging Services (HMS):
Short messaging services (SMS) is a web-based tool that
facilitates the communication easily with customers of anyorganization. It offers the ability to send and receive text messages
between mobile telephones over cellular networks. One of the most
recent developments in this area is the emergence of multimedia
messaging service (MMS). Unlike SMS, MMS allows mobile phone
users to enhance their messages by incorporating sound, images and
other rich content.
Ministry of Health (MoH) has initiated Health Messaging
Services Project (HMS) to utilize SMS to send short messages to patients/staff of Ministry of Health. This service will enable MoH to
easily broadcast SMS messages to SMS capable devices of its
patients/staff.
With HMS the patients/staff of MoH will be able to receive
SMS messages on their mobile for certain services such as:
1. Outpatient and Radiology Appointments.
2. Calling doctors/nurses for emergency.3. Informing patients about the readiness of their lab results.
4. Informing patients/staff of new services launched on MoH website.
5. Looking for Blood donation.
6. Informing mothers of their child vaccinations.
7. Informing patients of latest vaccinations available in Health
Centers.
8. and others.
The HMS has many benefits to the patients/staff and theMinistry. It will improve the services of MoH provided to patients,
and will ease the communication between patients/staff and Ministry
of Health.
Groupware email service : Groupware email service was introduced
and Implemented successfully. Most of the departments including
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Head office have been connected through Groupware. This tool is
considered the standard for internal communication within the
ministry.
5.3:Patient Information Management System (PIMS) :
responsible to support the MDIS (McDonnell Douglas Information
System) health applications. The following list are all applications
running at SMC and Health Centres. This system has nine application
,these application are:
a. Patient Master Index (PMI) : The Patient Master Index System
includes patient registration, patient merge, patient deletion,
patient search, medical files location update, CPR enquiry, alertand allergies registration as well as general reports. This
application is integrated to all MDIS health system.
b. Admission, Transfer, Discharge (ATD) : The Admission,
Transfer and Discharge System consists of patients registration,
admission, transfer, discharging, study report, and bed
utilization review modules. All ATD modules are implemented.
The system provides statistical reports.
c. Outpatient Appointment (OPD): The Outpatient Appointments
System is used for patients' appointments registration,
scheduling & rescheduling, as well as generating statistical
reports.
d. Accident & Emergency : The Accident and Emergency System
consists of patients registration, screening, doctor, and
treatment details modules as well as statistical reports.Currently, the registration module is implemented while other
modules are not used.
e. Pathology Modules: The pathology Modules are implemented in
different sections Biochemistry, Hematology, Microbiology,
Histology, and Cytology. The Pathology modules are used for
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request registration, result entry, laboratory results printing and
inquiry as well as statistical reports modules.
f. Waiting List System: The Waiting List System is a standalone
system that maintains pre-admission data of patients who are onthe operations waiting list. It is not integrated with Admission,
Transfer and discharge (ATD) system.
g. Radiology: The Radiology System includes radiology pre-
examination entry, post-exam entry, review entry, reporting
module and Film bag tracking (which is not used).
h. Blood Bank: The Blood Bank System consists of patient
registration, blood donors, cross match main modules andstatistical reports.
5.4 : Online Inventory Management System (OLIMS) and
Relational database management system (RDBMS):
OLIMS & RDBMS group is responsible for the following running
applications:
a. Limited Private Practice (LPP): The Limited Private Practice
application is used to prepare payroll of all doctors and staff
working in the Limited Private Practice.
b. Road Traffic Accident System (RTA): The Road Traffic
Accidents System is used to issue invoices to insurance
companies for treatments of road traffic accidents injuries
serviced by SMC A&E.
c. ORACLE Patient Master Index (OPMI): The ORACLE
Patient Master Index system is used as a database containing basic patient information, to establish a communication link
between H.I.D. ORACLE Systems and C.I.O. demographic
data and to establish a means of transferring Patient Master
Index (P.M.I.) from the current MDIS platform into
ORACLE
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d. Student Immunization Registration System (SIRS).: The
Student Immunization Registration System is used to ensure
that all students in Bahrain receive the correct immunization
from disease, at the right time and to facilitate the
establishment of an Electronic Patient Record.
6.Business critical applications:
6.1 Healthy Governorates Program (HGP) :
Healthy cities is about, by WHO definition, changing the ways
in which cities think about, understand and make decisions abouthealth (in its' broad content - physical, environmental, social and
economical aspects) based on partnership since health is
everybody's business and most statutory and non-statutory sectors
have a role to play in health development.
A healthy city is "one that is continually creating and
improving those physical and social environments
and expanding those community resources which enable people tomutually support each other in performing all the functions of life and
in developing to their maximum potential".
The main Goal:
The main goal of HGP is to improve public health by giving the
priority to improve the level of health, environmental and social
services and conditions in the governorates.
The objectives:- To increase public awareness about health and environmental
problems in the governorates.
- Enhancing community support and participation in conducting
situational analysis in different governorates, preparing plan of action
and implementing priority health and environmental
activities and projects.
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-Supporting and enhancing governorates ability to confront the
health, environmental and social problems by partnership and
cooperation developed between all governmental organizations, Non
Governmental Organization NGO's and community members.
HGP Plan:
Healthy Governorates Programme will be implemented through a
plan comprising six phases, taking into consideration the
WHO/EMRO Healthy Cities strategies, approaches and planning
phases :
1. Preparation phase.
2. Planning and Organization phase.
3. Establishment phase.4. Expansion phase.
5. Consolidation phase.
6. Completed phase.
Geographically small and with a well-organized (though still
centralized health infrastructure
already in place], Bahrain represents a good opportunity to take a
Healthy Cities concept nationwide for the first time in the world. TheKingdom's HGP is a six-phase scheme which will be implemented in
one of the governorates in the initial phases of the programme
(Muharraq Governorate) and eventually encompass all five
governorates working towards one clear objective.1
6.2 Ministry of Health Intranet Project : (lacking)
Lack of common information repositories cause different types of
problems that
1 Heath Information Directorate , HIDINFO line , March 2004 , Issue No. 11 .
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hinder communication between directorates and prevent increased
productivity of each directorate which results in wasted time/efforts
for decision makers in accessing the right information at the right
time, as listed below:
There is no well-defined structure for making information available
to other directorates except by email or by a letter. Imagine how
much communication time, efforts, papers and money are wasted if a
message needs to be transferred to all these directorates to be posted
on their notice boards.
The current email application has its limitation, since it is just an
off-the-shelf office organizer package, and the user cannot use it to
run or access applications.
A lot of time and effort is wasted when asking for information from
other directorates.
Using different user interfaces to access applications requires a lot
of efforts and money to establish these interfaces.
Using different user interfaces will require different types of training
for users dependent on the application user interface.
The volume of paper (letters, faxes, notice board messages, etc.)
used to share information between the directorates is huge.1
6.3 Pharmacy Management System:
Project Objectives:
a. Introduce greater control over the distribution and issue
of drugs.
b. Monitor drug usage by cost, department, doctor, etc.
c. Provide improved patient care by ensuring appropriate
Drugs are prescribed
1 Directorate of Training , Ministry of health, Healthcare Management CQI Projects Vol. 1 2002 , page 253.
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Project Scope :
a. Phase 1 : December 2006 : Select and purchase third-
party PMS
b. Phase 2 : July 2007: Implement at SMC Pharmacy and
all areas supplied by SMC Pharmacy.
c. Future Project : Roll out to all MoH Health Centres and
external Hospitals.
Interfaces Future Requirements :
a. ORACLE Inventory: Stock Movements and
Inventory (Drugs) .
b. Electronic Health Record: Patient Medical History.
c. Drug Control System: Drug and RegistrationDetails.
d. Order Communications: Prescription Ordering.
e. Patient Billing System: Billing Information.
Communications:
· Within SMC (main campus) sites are connected via a
10Mbps fibre-optic LAN.
· SMC is connected to remote MoH offices via a Multi-
Protocol Layer Switching (MPLS) 10 Mbps Cloud.
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· SMC is connected to 18 remote medical facilities via a
MPLS 10 Mbps Cloud.
· SMC is connected to five remote MoH medical facilities
via a 128Kbps Frame Relay (although there are plans to
upgrade these connections to the MPLS Cloud).
· SMC is connected to three remote MoH medical facilities
via a 2MB ISDN dial-up line (although there are plans to
upgrade these connections to the MPLS Cloud).
· SMC is connected to other Government Agencies (eg
Ministry of Finance and the Central Informatics Office
(CIO)) via a MPLS 20 Mbps Cloud.
7 Major challenges and issues facing IT
7.1 Reorganization of PIMS:
The (PIMS) Unit within the Health Information Directorate is
mainly responsible for the development, implementation and
maintenance of Application programs in all Directorates anddepartments within the Ministry of Health. The unit has a long
backlog of systems that need to be delivered; but staff in the unit feel
that they are busy supporting existing Computer Application
Systems, and they cannot handle new assignments and projects due to
increased staff turnover and other administrative issues.
Recently the PIMS unit has faced a problem with increasing
staff turnover. Staff assignment for support and development is not
clear and not documented. Computer Application Systems fall under
two major categories: Health and Administrative systems. Requests
are categorized into four main categories: Changes to existing
systems, reports, parameter changes, and new systems. Requests are
not recorded and information is scattered between staff. Users are
complaining about response time to attend to their requests. PIMS is
unable to meet user demands on enhancement, correction and
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delivery of new systems and lacks a clear picture on the overall
current and future workload.
7.2 Ineffective Communication Services:
The Ministry of Health (MOH) for the State of Bahrain employs
6,632 employees (1999-Health Statistics) and is responsible for the
provision of Health care services and the management of supporting
programs and organizations. In addition to the operation of one
General Hospital (Salmaniya Medical Complex), various hospitals
and Health Care Service units are geographically dispersed. Beside
the Health directorates, the Ministry also consists of different offices.
All these units need to communicate internally with each other andwith other Ministries, Suppliers, overseas, etc. The communication
process could happen using different means of communication
through telephone lines, memos, circulars, mailing systems, messages
and through meetings minutes/agenda, etc.
Various problems were encountered due to the vast expansion of
the Ministry services and increasing demands on quick
communication. There are many complaints regarding thecommunication services such as letters are received late and the
information is already obsolete. More than one person is involved just
to send one letter that is delivered hand-to-hand.
Letters are often lost/misplaced due to either wrong addresses or
names. Some expatriates write the address in their native languages
that the clerks find very difficult to read or understand. There are only
99 outgoing telephone lines (dial 9 facility serving 4,500 SMC staff).
A team was selected (roles identified using Belbin criteria) and
a simple questionnaire was developed to measure customer s
satisfaction and was distributed among 200 users. The outcome
showed that customers were not satisfied with the services provided.
Prior approvals from the superior are required in order to send mail
through a driver for hand delivery. All procedures at the post office
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are done manually, and chances of human errors are very high.
Hence, the teams main objective was to increase customer
satisfaction from 30% to 70% and improve response time at least
20% by January 2001.
7.3 Achieving Adequate Health Records System:
It was defined that the pediatric health records for the inpatient
service at SMC are adequate by 38.6% for a studied criteria (i.e.
History, Physical Examination, Progress Note, Discharge Summary,
Medication Sheet, Computer Sheet, Clinical Impression, Order
Sheet). The pediatric age group that is below 15 years constitutes
30.8% of total population in Bahrain, and they also constitute 15% of
the total in-patient services at Salmaniya Medical Complex (SMC).
The junior residents fill the patients health record, followed by
assessment and plan by a senior resident with overall supervision of a
consultant. So far not much attention is given to ensure the adequacy
of patient health records for each patient admitted, though there is a
policy that insures compiled and well-stored health record.
The improvement in the health record has a strong impact onthe patient health care and might limit unnecessary expenditure. The
team aimed to implement an adequate, accurate, timely and complete
medical record for each patient, which raises the standard of health
record to 85% in regard to completeness and accuracy within 5
months, and to create a mechanism that insures its continuity.
8 The business perception of IT
8.1 : Number of years working in the Unit :
The survey attempted to gauge business perceptions of IT
services in Ministry Of Health. The survey measured
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employees with different Number of years experience in
ministry of health (Figure 1)
0
1
2
3
4
5
6
7
Under 1 1-3 4-6 7-10 over 10
Number of Years
NumberofEmployees
(Figure 4) show the number of years that employees work in ministry
of health.
The following two tables show how the employees rate the services :Strongl
y Agree
765432
Strongly
Disagree
1
The Rate
2755-1-IT performs the required service right the first
time
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18731--IT provides its services at the time it promises
to do so 2674--1Employees in IT give you prompt service
4573-1-The behaviour of employees in IT instils
confidence in you
346511-Employees in IT have the knowledge to
answer your questions 1166231
IT understands our business priorities and
issues Table (2) table shows how the employees rate the services
Excellent
765
Satisfactor
y
432
Very
poor
1
The Rate
3764---How would you rate the overall service
provided by IT?
3553121How would you rate the systems and
applications developed by IT? 453431-
How would you rate the reputation of
IT in the Organization? Table (3) table shows how the employees rate the services
8.2 : The overall service provided by IT:
The survey shows that all employees are satisfied with the overall
services provided by IT. (Figure 2)
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Figure ( 5 ) Business perception of the overall services provided by IT
0
1
2
3
4
5
6
7
8
1 ( v e
r y p o o
r ) 2 3 4 5 6
7 ( E x
c e l l e
n t )
The rate
Nn
umberofEmployees
Figure ( 6 ) The rate of the relationship between IT and the rest of the Organization
30%
41%
1%
6%
9%
7% 6% 1 (Adversarial)
2
3
4
5
6
7 (Harmonious)
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Figure ( 7 ) Business perception ofreputation of IT in the Organization
0
1
2
3
4
5
6
1 ( v e
r y p o o
r ) 2 3 4 5 6
7 ( E x
c e l l e
n t )
The rate
Nnu
mberofEmployees
8.3: How the services provided by IT could be improved?
The opinions of the respondents vary in this question,
some of them said that the way is by implementing the right
technology at the right place. Others said by providing moreservices to the patients and Business units and encourage
every employees to use IT facilities.
In other word To provide the right information to the right
people at the right time that will facilitate improvements to
MoH Staff and Services to produce the best health results.
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8.4 : What are you looking from IT?
Most of the employees said they want the IT to provide an
efficient and effective services.
8.5 : the relationship between IT and the rest of the
Organization:
Most of the Employees are agree that the relationship
between IT and the rest of the Organization is almost
Harmonious. Because most of them have chosed (in the
survey) the numbers 5-7. (figure 6)1
9.Conclusion and finding:
In this Report, we have studied the Health Information
Department (HID) of the ministry of health in Kingdom of Bahrain
comprehensively.
First of all , the report has shown the chart of the ITdepartment. After that , we have explained in detail the resources of
(HID) in the organization and they are people, data , hardware
,software , and network. Then, the report has explained in details-
the business systems and their analysis , such as Web-based
Systems , Health Messaging Services (HMS), Online Inventory
Management System (OLIMS) and Relational database management
system (RDBMS).
Also the report comprehended some of the Business critical
application the HID is implementing and planning like "Healthy
Governorates Program (HGP) " and applications that HID is lacking
such as "Ministry of Health Intranet Project" .Then the report
1There are other figures in the Appendix.
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mentioned to the major challenges and issues facing HID in the
Ministry of Health.
The last part of the project was about Business Perception of IT
(HID) in the organization, and we have dependent on survey results.And we have seen that the employees Generally are satisfied with the
overall services provided by HID.
According to the report we have got an important findings:
1. Most of the employees (82%) of Health Information Department
(HID) are Bahraini and this indicates that Bahrain has a good number
of citizen are professional and technical in healthcare and this is a
good signal.
2. The organization is increasing the systems they use in order to
cover the increasing needs of healthcare.
3. The website of the organization and the Intranet are playing an
important role. It contains valuable information about health services,
facilities, activities as well as health education, health conferences
and health societies.
4. The Organization employees are generally satisfied with the overall
services provided By Health information Department (HID).
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References:
1. Health Information Directorate, Ministry of health, Health
statistics, Arabian Printing Press, 2005.
2. Heath Information Directorate , Ministry of Health,
HIDINFO line , July/August 2003, Issue No. 8
3. Heath Information Directorate, HIDINFO line, March 2004,Issue No. 11.
4. The official website of Ministry of Health
(www.moh.gov.bh).
5. Health Information Technology Strategy, Ministry of
Health, 2nd Edition 2004.
6. Directorate of Training, Ministry of Health, HealthcareManagement CQI Projects Vol. 1 2002.
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1.1 Software:Application Description
Birth Registration System
(MDIS Birth system)
The Birth system support capturing the birth
information related to Child, Mother, Father,
Informer and in charge of delivery and printing
statistical reports.
Finance System (MDIS
Finance)
The Finance System is used by the Directorate of
Finance to maintain financial information related to
all financial transactions conducted in the MOH. The
General Ledger, Accounts Payable, Budgeting andPurchase modules were implemented and used since
1994. Mid of 1998, this system has been partially
stopped and replaced by the FMIS (Financial
Management Information System) which offered and
supported by Ministry of Finance. Currently, the
following modules are used by the finance users:
Purchase order module
The part which is connected with
personnel system to print air ticket order
Posting Issue & Return with payroll
information to the GL
Health Center Statistical
System (HCS)
The health center statistical System is used to capture
information related to the services provided in the
health centers (Clerical, MCH, Nursing, Laboratory,
Pharmacy, Dental, and Radiology) and produce
monthly statistical reports using the Statistical
Analysis System (SAS).
Manpower Management
Information System
(MDIS MMIS)
The Manpower Management Information System is a
human resource management system used to
manipulate manpower-related information in the
areas of recruitment, transfers and promotions, leave
processing, daily and monthly processing operations.
Time Attendance System
(MDIS TAS)
The Time Attendance System is used to capture
employees' attendance, overtime Control, and
produce the relevant payroll files for Civil Service
Bureau.
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Health Equipment
Control System (HECS)
The Health Equipment Control system is an
automated solution for maintenance management of
medical equipment. The system handles Breakdown
maintenance, Preventive maintenance, Maintenance
contracts, Equipment tracking.
1.2People:
Figure ( 2 ) Non- Bahraini
Manpower in Health Information
Directorate by sex - 2005
86%
14%
MaleFemale
Figure ( 1 ) Manpower in Health
Information Directorate by Nationality -
2005
82%
18%
Bahraini
Non - Bahraini
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Figure ( 3 ) Business perception : IT performs the
required service right the first time
0
1
2
3
45
6
7
8
1 ( s t r
o n g l y
D i s a g
r e e ) 2 3 4 5 6
7 ( S t
r o n g l y
a g r e e )
The rate
NnumberofEm
ployees
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Figure ( 5 ) Business perception : IT understands our
business priorities and issues
5%
15%
10%
30%
30%
5%5%
1 (strongly
Disagree)
2
3
4
5
6
7 (Strongly
agree)
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IT Quality of Service Survey
This survey is being administered in order to capture your assessment of
the service provided by IT to different units in the organization.
Please answer as honestly as possible. All responses will be treated in the strictestof confidence and will only be used in aggregate form. Please do not write your
name anywhere on this form.
1. Background information
1.1 Brief description of your role/position
..........................................................................................
1.2 What Unit/functional area/Business unit do you work in?
..........................................................................................
1.5 In which unit do you work?
PC [ ]
BG [ ]
XG [ ]
IG [ ]
FG [ ]
AG [ ]
CG [ ]CL [ ]
Others, please specify ____________
1.6 Number of years with the unit ?
Under 1 year [ ]
1-3 years [ ]
4-6 years [ ]
7-10 years [ ]
Over 10 years [ ]
1.7 What is your grade (GM, SM, MM, GS1 etc.)?
.........................................................