Overview

The cardiovascular problem is currently tthinking as to be the one of the major threats of the present world. The hospitals of worldwide are trying their best to serve against these problems. Heart Diseases are regarded as the most common cause of death whole over the world. In our country this disease is also acute. Every kind of heart disease is seen in our country. Before 1980s the treatment of this cardiovascular disease was rare in our country. Operation and intervention treatment was not at all available. So that a significant number of patients tend to went outside the country in search for better cardiovascular treatment. So the country gains loss of enormous foreign currencies. So that need of a fully specialized hospital was needed in the national sector of our country. So that in 1978, Bangladesh government established National Institute of Cardiovascular Diseases (N.I.C.V.D). The Hospital is currently possesing 7.32 Acre of land, 3 buildings. A total floor space of 3 lac 40 thousand 511 square feet is available in the hospital. A total number of 1250 employees are now working at this hospital including Doctors, employees, Nurse, Technichianes and workers. This government approved hospital consists of 414 beds and serveing at least 500+ patients per day. By the help of the outer ward every day more 500 poatients are taking cardiovascular traetment.

Mission and Vision

Mission: Provide Modern Treatment of cardiovascular to the pateints. Attract the low earning group by cutting off the additional expenses of treatment. Making a skilled working group in the treatment of cardiovascular system. To be one of the top Hospital in cardiovascular treatment not only in the country but also among the whole South Asia. Earn fame on behalf of the government by providing at best service to its patients. Lower down the unemployment rate by providing job to almost 1500 people.

Vision: To be One Of the toppest cardiovascular service provider in the country.

Flow Chart Of The Company

Director Deputi Director Professor Doctor Word Incharge Stuff Nurse

System Analysis Of The Problem

The key Problem we are discussing about this hospital is the Patient registry problem. Here, when a pateint comes in the hospital first his entry recording and the recording of his all treatments are done manually. Even his food and medicines reocrds are also taken manuallly. Here is the main problem. If any pateints want to take his report after discharging from the hospital he/ she has to face a lot of formalities and difficulties also. Even there is a risk of data loss of any patients. Even when any doctors wants any whole report of a particular patiet, it is not that much easy to find the whole copy in his hand at the first glance. So the treatment process is delaying and so does the treatment quality.

Current System Structure

Emergency Department

Incharge

Nursing Supervisor

Diet Section

Resident Physician

Director

Proposed New System

In the new system plan all of them will share their information through a network. All of them will be connected through the computer network. Whenever a patient enters into the hospital his basic information will be stored into the computer by the meregency department and the other departments will have a access to that database through a password. They will view and edit those information as per the need of the patient.

Emergency Department

Director

Incharge

Resident Physicians

Nursing Supervisor

Diet Section

Information requirements :
In the system we see that almost every department needs information about the patient. The Emergency Department registers information about the patient. The Nursing Incharge require information about the patients name, patients other identical datas & the primary problemidentification of the patient. The nursing supervisor needs information about the patient like : if the patient is registered to the perfect department or if the patient is being served well in that particular department. The diet section require information about the patient like : how much food and what kind of food the patient need. The resident physicians need information about the patient like : what kind of physical treatment does the patient need. The director needs information about the patient always through his/her treatment in the hospital. He overviews the progress of the patient and before the patient is being discharged from the hospital he / she will need a copy of discharge signed by the director.

Feasibility Study
From our point of view the solution is feasible from the financial, technical & organizational standpoint. Financial : The hospitals per year budget is 40 crore taka. It means that it gets 40 crore taka from the health department of our country. As a government hospital the money is quite enough. SO if we want to implement this project in one sector of the hospital ( C.C.U). then it will not bring any financial crisis. Technical : The key employees who will use this solution is quite educated. All of them have completed the graduation level. So our hope is that they can use this solution effectively. But for cover up any problem we will manage a training for all of them. Organizational : The organization is totally a backdated organization. This kind of solution was never been introduced in this hospital once again. So at the first level we will have some problems, but the employees are ecstatic by the plan of this solution. So our hope is that the employees will work for this system simultaneously and this will be a successful project.

System Development

(1)System development:
For our system development, we have taken some interviews to collect necessary information. We have used critical success factors approve to gather our information.

Director finance & accounting

Director nursing

Director managemen t

Aggregate + analyze individual CSFS.

Develop Agreement on hospital CSFS.

Define hospital CSFS

Define DSS and Database.

Use CSFS to desktop information system properties.

At first we have taken interviews of director of many departments. We asked about their problems. They told us that they are facing the problems of data management system which is more time consuming, more costly, more paper works and with having errors. We have collected all the information about their problems. Then we have analyzed their individual opinions and find the cause of that problem. The cause is manual registry system. Then we define the DSS and database to solve the problem.

Information System Plan

The whole system will be interconnected with network. The every user of that network can access the database by entering his/her particular password. The Brief plan is discussed Below :

The Emergency Word Entering Data about the patient and send a brief description about the patient's problem.

The Information Of the patient can be easily accessed by the incharge, supervisor, R.P , diet and also the director.

After the patients will enter into the ward and start treatment, then the daily records of that patient will enter into the database by the incharge of that ward.

By checking the database regularly the diet section will provide that amount of food and the resident physician will provide that amount of medicines and the director of the hospital can also monitor the performance of the patient.

Requirements of the whole Information System:

The whole information system may require many things to perform properly. Some of them are listed below : A Total Number of 45 Computers ( Approximation ). A Local Area Network( LAN ) system among the computers. Appropriate software( discussed In The programming Part ) to perform this system. A basic overview of the software and user manual for the help of the users of the information system.

 A control center to manage all the data flows from one department to another department. An system analyst who will plan the whole system and maintain the system. A trainer who will train the employees within a short limit of time. Anti- virus softwares for preventing any threats to the information system.

Budget Requirement Of The Information System Plan

As we know that this hospital is a government controlled and authorized hospital, we have tried our best to lessen the cost of implementing this information system plan. The overall budget of this hospital is currently 40 crore taka per year. To increase the efficiency of this hospital we need to take a major portion of the budget of this hospital to implement this information system plan. The primary cost is estimated as 2.5 crore taka.( Including the computer labs, Computers, System analyst hiring cost etc. ) This cost is quite high for the hospital, and also for only one department ( C. C. U). But considering its acceptance and usefulness the director of the hospital will held a proposal to the health department for financing this additional amount of money.

The overall information system plan will look like this :

Patient

Verify Problems

Verify Availability

Enroll Patient

Discharge Copy

Recording Admit/release date, medicines requirements etc.

Incharge

Supervisor

Diet

Resident Physicians

Director

D.F.D ( Data Flow Diagram )

Request For

Requesting

Accept/Reject

Patient
Treatment

Verify Problems

Ward

Verify Availability

Sending Copy Sending To The patient

Discharge Copy

Recording Admit/release date, medicines requirements etc.

Recording

Enroll Patient

Programming:
A Professional software developer is recruited to design the system. To create a program for this system we have used the programming language java and program C. By the help of this programming language we will be able to complete our information system plan.

Testing
In testing part, we need to have three part. These three parts is given brifly. () Unit testing : At first we will implement this computerized system on a ward of CCU(Coronary Care unit). If we find any difficulties, we must overcome it.

(II) System testing : When we successfully run this system on that ward of CCU, then we will implement this system on the whole hospital.

(III) Acceptance testing : When this system will works perfectly & we will find the green signal from the management department of the Hospital. After their evaluation, then the system will be implementing on the all units in the Hospital.

Conversion
We have a plan to omplement this sytem plan only in the one part of the hospital, and thats is C. C.U ( Coronary Care Unit). As we know that it is a government hospital and the fundings of the hospital is not that much high, it is almost impossible for us to implement this cost effective project in the whole hospital. So we are currently emphasing only to this sector of the hospital. If this project run successfully in this sector and if the authority feels happy on this project than we have a plan to spread this project on the other sectors of the hospital. So that, definitely we are introducing pilot study for our project.

Production & Maintenance

After the new system is installed and conversion is complete, then production stage is start. During this stage, the system will be reviewed by both users and technical specialists to determine how well the system is running. After the system has been fine-tuned , it must be maintained while the system is in production to correct errors, meet requirement or improve processing efficiency. We also hire some expert technicians and system analysts to solve instant problem. They also make changes in hardware, software, documentations to correct errors, meet new requirements or improve processing efficiency.

End User Training

Thogh the hospitals high level workers are well educated but though they have got a liitle knowledge on computer operating, especially operating this kind of software we are using in implementing our plan ( Java/ C++). For implementing our plan successfully there is no way out but train them properly. For carrying on this training we need to hire a trainner from outside who will teach our user how to use this softwares exactly and carry on their duties effectively. This is of course time consuming but at the end it will definitely yield a good result. We may use the weekly vacancies to do this training classes. To ensure the attendance of the user in this training programmes we may clear the benefits of this training to the users and if needed we can use some incentives to inspire attending the training programme.

Security & Control Of The System

(1)Threats detection:
We may face some threats that are given below: (a) Unauthorized access, use, modification of data. (b) Unauthorized destruction of data. (c) Unauthorized release of information. It may be done by outside people of the program. They may do this kind of activities for their own purposes. Sometime natural and other destruction (system failure, vandalism) may

happen. It can also happen by an attack of virus and worms. It may comes through using a virus infected software or pond.

(2)Preventive Actions:
If we want to avoid these threats mentioned above, we need to take some preventive actions. For example.

( a) Passwords:
Only specific persons can enter access this system by his/her passwords. .

(b) Anti-virus software:

A latest & strong anti-virus has to be installing in the computer system. So that no virus or worm can affect the system.

(c) Back up:

There will be some back up files. So that if any destruction happen we can recollect all important data from the back up files.