Architectural design of the management information system of the disease care system of Hormozgan University of Medical Sciences

Master's Thesis: Executive Management

Strategy: Strategic Management

Abstract

Information technology, which until several years ago was considered a competitive advantage and a strategic weapon by organizations, is now considered as a competitive need. The use of information and communication technology and research devices that have up-to-date information (compared to an organization that has old information) can make such strategic decisions more informed.

Health information is a complementary part of the health system of any country. This information is an essential and key tool of every society.   This system collects health information in various fields. In the meantime, comprehensive and up-to-date information about these diseases is needed for the proper management of disease control, and the means of providing this information is the disease care system. In this research, the management information system of the disease care system of Hormozgan University of Medical Sciences was identified and analyzed with the help of the BSP method, and in the next step, according to Zackman's framework, the optimal organizational architecture of the disease care system of Hormozgan University of Medical Sciences from The point of view of the planners of the organization and its owners has been examined and then according to the information obtained through observation, interview and review of existing documents in the form of Zackman's framework, it has been analyzed from the point of view of the designer of the management information system, and finally the desired architecture of the management information system of the disease care system has been presented.

Key words: management information system, disease care system, system architecture, Hormozgan University of Medical Sciences, Zackman framework

Chapter 1

General Research

-1 Statement of the research problem

Although data and information are used interchangeably, each has a specific meaning. Data are facts that explain and describe a phenomenon and convey characteristics or features of the phenomenon. Information is data that has meaning and meaning in a specific context and conveys a concept that is valuable for a person in certain circumstances. Any organization that has correct, accurate, timely and comprehensive data at its disposal and can access the data it needs in the shortest time is more successful. The role of data and information in management Organizations play a vital and fundamental role. The more precise, transparent, coherent and systematic the information space of an organization is, the better the organization can achieve its goals. The existence of an inaccurate, cloudy, confused, contradictory, and unstructured information space is one of the most important factors in the lack of progress in the management of organizations. In the past few decades, this belief has changed, as the center of power in countries has changed from economic centers. With the emergence of computer hardware and the creation of the virtual world of software, and then the establishment and launch of the global Internet network and the possibility of transferring a huge amount of information in a short period of time from one part of the world to another, a new shift in the concept of power was achieved and the center of power of the countries was formed in the efficient, analytical and timely information system of the countries.

Managing information resources is an activity that should be done by managers at all levels with the aim of acquiring and managing the required information resources and in order to provide timely information needed by the organization. (Sarafizadeh, 1389) (1)

Information technology, apart from its hardware requirements, such as infrastructure and necessary tools, also needs software, which presents its software in the form of information systems in an organization, the systems can be open systems or closed loop control systems.

Among this, the role of management information systems is very important. Considering that information systems, the possibility of information management They provide everyday for everyday decisions, they have a special place and role in today's changing world. These systems focus on the operational efficiency of organizations (Banaian, 2007) (3)

Health information is a complementary part of the health system of every country. This information is an essential and key tool of every society.The health information system[2] is defined as the method of collecting, processing, analyzing, and transmitting the necessary information for the organization and performance of health services and educational and research activities.

This system collects health information in various fields. Meanwhile, comprehensive and up-to-date information about these diseases is needed for the correct management of disease control, and the means of providing this information is the disease surveillance system.

Care [3] means regular collection and Continuous data analysis and then publishing the results for managers and policy makers of the medical community, health system workers, etc. It is obvious that the more complete the primary data that is provided from disease reporting sources, the more complete and practical their analysis and review of the resulting information will be. This information is used to design, implement and evaluate public health interventions and related programs. The society follows the timely discovery and control of epidemics, the identification of groups at risk of disease, the effectiveness of preventive and control activities, and the determination of priorities among disease control activities. And the existence of integrity in its components is more transparent, the image that shows the organization, units and the way of providing services for managers and politicians will be more transparent and accurate. (2) Approaches such as the use of information technology due to the reduction of manual operations for data collection, increasing the accuracy of data and their timeliness, have quickly become a natural thing. The effective use of minimum data for the management of patients, health units and community health is necessary. (Leipoldo et al., 2014) (2)

In the introduction of the evaluation of the information system of Romania, the report of the World Health Organization states that the changes in the health care system policy and quality assurance in the 90s and the key role of information in the new system have prompted health information managers to adapt to this system in order to be able to meet the information needs of this new system using different tools and methods. Therefore, in this country, with the coexistence between traditional information systems and numerous health information systems that have been created recently, they are trying to create new health care reforms. Information managers in this system are faced with collecting a large amount of data, which does not meet the information needs of the new system, and as a result, only a small fraction of this data is actually used in decision-making and evaluating the efficiency of care systems. In this system, the flow of information is low, for example, information producers (hospitals, doctors, and other health professionals) never receive feedback from their work. Especially, in this system, information is sent to parallel organizations that each organization has different definitions, formats, and software for reporting information, and this causes the information producer to send data to different organizations two or more times in different formats and software, which are usually not complete. The use of outdated methods of data collection also leads to the loss of motivation and interest in work among employees (Khormi, 2019) (5). Statistical information in low-income countries is either unreliable or does not exist at all (Mousavi Shahroudi, 1385) (6).

Unfortunately, in most countries, health information systems are incompetent in providing information needed by management. Often, health service providers in developing countries use information systems with registration forms that include the names and addresses of patients and the completion of information related to diseases (such as the age and gender of patients), which must be completed and sent every week or month without In addition, the data received is often not useful to help decision making in management. Because this data is incomplete, inaccurate, untimely, useless and unrelated to the priorities of the duties and functions of the local health personnel. In other words, the information systems in these countries are based on data instead of being based on performance.