Healthc Inform Res.  2012 Sep;18(3):208-214. 10.4258/hir.2012.18.3.208.

Performance Analysis of Hospital Information System of the National Health Insurance Corporation Ilsan Hospital

• Han JM
• Chae YM
• Boo EH
• Kim JA
• Yoon SJ
• Kim SW

• KMID: 2229472
• DOI: http://doi.org/10.4258/hir.2012.18.3.208

Abstract

OBJECTIVES
This study evaluated the qualitative and quantitative performances of the newly developed information system which was implemented on November 4, 2011 at the National Health Insurance Corporation Ilsan Hospital.
METHODS
Registration waiting time and changes in the satisfaction scores for the key performance indicators (KPI) before and after the introduction of the system were compared; and the economic effects of the system were analyzed by using the information economics approach.
RESULTS
After the introduction of the system, the waiting time for registration was reduced by 20%, and the waiting time at the internal medicine department was reduced by 15%. The benefit-to-cost ratio was increased to 1.34 when all intangible benefits were included in the economic analysis.
CONCLUSIONS
The economic impact and target satisfaction rates increased due to the introduction of the new system. The results were proven by the quantitative and qualitative analyses carried out in this study. This study was conducted only seven months after the introduction of the system. As such, a follow-up study should be carried out in the future when the system stabilizes.

Keyword

Hospital Information System; Evaluation; Personal Satisfaction; Computer Systems Evaluation; Cost-benefit Analysis

MeSH Terms

Computer Systems
Cost-Benefit Analysis
Hospital Information Systems
Information Systems
Internal Medicine
National Health Programs
Personal Satisfaction

Reference

1. Federal Enterprise Architecture. FEA consolidated reference model document version 2.3. 2007. Washington, DC: The Office of Management and Budget.

2. Chung KH, Moon JW, Moon MJ, Kim HS. Methodology for performance evaluation of public information systems. 2008. Gwacheon: Korea Information Society Development Institute.

3. Kaushal R, Jha AK, Franz C, Glaser J, Shetty KD, Jaggi T, et al. Return on investment for a computerized physician order entry system. J Am Med Inform Assoc. 2006. 13(3):261–266.

4. Wu RC, Laporte A, Ungar WJ. Cost-effectiveness of an electronic medication ordering and administration system in reducing adverse drug events. J Eval Clin Pract. 2007. 13(3):440–448.

5. Parker MM, Trainor HE, Benson RJ. Information strategy and economics: linking information systems strategy to business performance. 1989. Englewood Cliffs (NJ): Prentice Hall.

6. Chae YM, Lee HJ, Park CR. Economic analysis of order communication system for hospitals. Korean J Prev Med. 1991. 24(4):473–484.

7. Chae YM, Kim S, Cho KW, Kim HS, Kang SH, Kim HH, et al. Economic analysis of hospital information system by information economic approach. J Korean Soc Health Inf Health Stat. 2010. 35(2):195–205.

8. Kang SH, Chung YI, Chae YM. Economic analysis of electronic patient record. J Korean Soc Med Inform. 1997. 3(1):37–47.

9. Chae YM, Cho KW, Kim HS, Park CB. Evaluation of hospital information system based on the performance reference model. J Korean Soc Health Serv Manag. 2011. 5(1):1–13.

10. Kim JI, Choi JY. Effectiveness for hospitals management of electronic medical record. Health Welf. 2009. 11(1):87–93.

11. Bates DW, Leape LL, Cullen DJ, Laird N, Petersen LA, Teich JM, et al. Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. JAMA. 1998. 280(15):1311–1316.

12. Girosi F, Meili RC, Scoville R. Extrapolating evidence of health information technology savings and costs. 2005. Santa Monica: RAND Corporation;Report no.: MG-410-HLTH.