*3726* (Pages : 7) 3726 Reg. No. :... Name :... IV Semester M.B.A. (Part Time) Degree Examination, July 2009 (2006 Scheme) MANAGEMENT INFORMATION SYSTEM Time : 3 Hours Max. Marks : 60 PART A Write short note on any five questions. Each question carries 3 marks. 1. Classification of Information System. 2. Role of MIS. 3. EDSS. 4. Data structure. 5. DFD. 6. Information. 7. MKIS. 8. MIS in service sector. (5 3=15 Marks) PART B Answer any three questions elaborately. Each question carries 10 marks. 9. Information system requirements basically is with the foundations of organisations - Discuss. 10. Explain the process of developing DSS. 11. What is SAD? Explain system life cycle. P.T.O.
3726-2- *3726* 12. Explain the tools and methodologies of for ensuring quality assurance. 13. What are the impediments to development of MIS? Explain how it can be overcome. (3 10=30 Marks) PART C Read the following case carefully and answer the question at the end of the case. 15 Case study at the Bangalore Hospital, Bangalore The Bangalore Hospital is situated in the southern part of Bangalore city. This hospital is also one of the biggest hospitals, started on 4 th April 91 with a bed strength of around 140 for the benefit of in and around Bangalore citizens. It is single unit hospital with about 60% occupancy and has an average of 120 outpatients/day. The hospital has a fully equipped 14-bed intensive cardiac care unit individually equipped to continuously monitor ECG, BP, CVP, oxygen saturation, twenty four hours a day with patients cared for by resident doctors supervised by highly qualified and experienced specialists. This unit is supported by cardiac laboratory with all facilities like two dimensional and colour doppler, echo cardiography, stress echo, stress ECG etc. This hospital is also committed to providing personalised care of the highest order with the widest scope of advanced medical facilities. This hospital conducts a wide variety/range of activities which includes business specific process like : i) Registration ii) Admission iii) Discharge iv) Medical investigation v) Billing vi) X-ray
*3726* -3-3726 vii) OT Scheduling viii) Bio-medical Engineering ix) Inventory and Stores management x) Generic processes Health care., etc. xi) Laboratory test xii) Diagnosis and treatment xiii) Surgery xiv) Ward management xv) Referral service xvi) Dispensary management xvii) Purchase and Vendor development xviii) Nursing xix) Dietary management xx) Housekeeping xxi) Appointment Scheduling xxii) Blood Bank management xxiii) Waste management. The increasing popular urge for the excellent medical care at Bangalore Hospital has resulted in the increasing demand for instantaneous and reliable information on hospital services to IP/OP categories, which in turn expedited the process for exploiting the potential of modern computers. Accordingly, the computer activity was initiated immediately after the commencement of the hospital and was upgraded from time to time. Commencing with a simpler few PCs and limited computer staff members, today the hospital has a number of PCs connected on line to medical instruments.
3726-4- *3726* Keeping pace with the developments taking place in the hospital, the in-house software for the IP/OP billing operations which was originally developed under MS-DOS environment, is now giving way to Windows NT system. Earlier the hospital was using the Novel ready made package and is now developing a new package on its own to use on Windows NT. The various operations like billing, discharge summaries, laboratory, X-ray, medical records departments, administration and registrations, pharmacy (medicines), stores (hospital inventory) etc. are already covered by computer systems. The IP billing software was brought under LAN. Thus multiprogramming mode of operations is helping to achieve maximum capacity utilisation of the installed computers. The interconnectivity between departments also exists. Though there is no separate department like MIS, the management information reports presently furnished by the computers are guiding the senior officers of the hospital in having their own decision making based on closely observed recent facts. The computer MIS is continuously charged with real time hospital data on inpatient/outpatient service transactions, credit ledger maintenance particulars, staff insurance order, in addition to financial accounting/payroll summary and other hospital information. Computerised registration helps to capture basic and relevant information about a patient which flows to the patient care repository. It generates unique patient identification number when the patient visits the hospital for the first time. The same identification number is used for all the subsequent visits of the patient for check up, updating of existing information and retrieving of patient related information at any point of time. This supports several registrations of medico legal, casuality, and emergency cases. Admission generates a unique admission number for a patient who is required to be admitted for inpatient case, allocates available wards and automatically generates admission card for the patient. For the time being, the hospital is doing this activity partially manually and would like to fully automatise in future. The process of automisations has become a functional strategy to a large extent. Discharge allows to generate discharge slip for an inpatient with the coordination of ward management and billing modules.
*3726* -5-3726 Medical investigation creates medical case records for each visit of patient by entering preliminary investigation results and suggestions for further tests to be conducted. It allows updating case records of each patient after various tests that are conducted according to the instructions of the specialist doctor s opinion, diagnosis, treatment and progress of the patient. The hospital is yet to computerise fully in this direction, though it is manually operating in certain areas. Laboratory tests keep track of various tests that are suggested by the doctor for a patient at laboratories and departments like pathology, radiology, cardiology etc. It should allow entering results of tests that are conducted outside the hospital with the doctor s special approval. An intelligent system, is not at present devised at the hospital to assist the doctors in providing suggestive diagnosis and treatment based on symptoms and test results. This system is in the purview of the hospital at a later date. Surgery captures anaesthesia investigation results, maintains operation care records for both inpatients and outpatients, keeps track of medicine, blood and other services that are provided to the patient. It supports pre-operation and post-operation case. Softwares are being devised for this purpose. Ward management covers all the functions related to patient care, handles functions such as admission to ward, allocation of beds, interward transfers, advice for investigation, maintaining of medical case records, generation of case sheets, recommended diet chart for each patient discharge from wards. Similarly, dietary management generates daily diet chart and for each patient based on the recommended diet and the available menu, maintains nutrition value of each diet. It also allows recording daily food preparation details incurred to prepare the food and catering contract detail. Computerisation of this area in the hospital is not at its fullswing. The hospital hopes to computerise some of these areas in the near future. Nursing captures details of daily nursing facilities that are to be provided to the patient including shift and duty details of the nurses. Similarly, housekeeping helps to record the housekeeping services that are provided to the patient, shifts and duties of housekeeping staff. This also supports laundry management. Partial
3726-6- *3726* computerisation has taken place in the hospital. Rest are manually done. Dispensary management captures information on medicine or other items that are issued to the patients against prescriptions. It maintains the expiry details of each medicine and also disposal details. It allows raising procurement request for the necessary items depending on minimum stock level and expiry date. Similarly, blood bank management captures information on the stock status of blood, issue details and information about the donors. It allows automatic replenishment of blood in case stock reaches the minimum permissible level. Here also, the hospital is to fully computerise in many areas, as at present it is done manually at several areas. Referral service is to capture details of outside investigation facilities and specialists for referring the patient according to doctor s recommendation. Appointment scheduling allows to generate daily appointment schedules for doctors, specialists, nurses and consultants and also supports rescheduling, operation theatre (OT) scheduling maintains multiple operation theatre records and generates daily OT schedules indicating types of operations, duration, facilities required, duty surgeon and other members. The hospital is planning to computerise this area in the next phase. Biomedical engineering maintains information on equipment ot instruments, service contracts and issue details. It supports preventive and corrective maintenance. Computerisation is to take place in this area. Purchase and vendor management helps to create, amend and cancel purchase orders. It allows maintaining of supplier details and monitoring. Vendor delivery schedule, receipt of goods, inspection, return of goods to vendor for replacement or repair is an important strategy. It generates vendor performance report. Inventory and stores management helps to trace inventory items. It is capable of monitoring safety stock, automatic stock replenishment or condemnation of stocks wherever necessary. Similarly, waste management is capable of monitoring the disposal of biomedical and hospital waste. It captures classified details of waste collected from each department and waste treatment and disposal method. Partial computerisation has taken place in the hospital only for purchase and vendor management as well as for inventory and stores management.
*3726* -7-3726 The hospital information base provides the necessary basic data management which includies information such as rules and policies, infrastructure etc. Patient care is a data repository, meant for capturing and maintaining all information related to a patient from personal details like occupation, habits to case history, special facilities offered etc. Case study questions : 1) Classify and analyse the deficiencies you find in the existing information systems used. What management, organisation and technology factors you suggest for the improvement of information system in this hospital, keeping the investment low? 2) Would you judge that the proposed plans of the hospital information system bring successful results? What are the immediate steps to be taken to improve in this area?