Suchergebnisse

Various versions of Hospital Information system (HIS) have been developed and implemented in Malaysian government hospitals as an enabler in providing a better service to public. However, some of the applications are suffering and facing many challenges during implementation phase and failed to be implemented successfully. Preliminary study revealed that there is no guideline in implementing IS in government hospitals in Northern Region of Malaysia. This article proposes a guideline to prevent the mentioned problems in ensuring a success implementation of IS in Malaysian government hospitals. Extensive literature review and in-depth interview have been conducted to identify the Critical Failure Factors (CFFs) of IS projects implementation. Key persons representing top management, IT practitioners and medical practitioners from four selected government hospitals in the Northern Region of Malaysia were involved in data collection. The model has been constructed to tackle the identified CFFs by incorporating the elements of CM adopted from the three CM models (Lewin's, Kotter's, and Prosci's ADKAR models). The model is believed to be beneficial for top management, IT practitioners and medical practitioners in preventing IS implementation failure among government hospitals towards ensuring the success implementation.

Successful implementation of Information System (IS) in government hospitals is indeed a challenging task. Fail to prevent or control challenges of Information System (IS) implementation have led to the failure of its implementation. Government has invested a big amount of money on information system (IS) projects to improve service delivery in healthcare. However, several of them failed to be implemented successfully due to several factors. This article proposes how Change Management (CM) helps in preventing the failure of IS implementation, hence ensuring the success of it. This study starts by discovering challenges of IS implementation in government hospitals. Combination of extensive literature review and deep interview approaches were employed to discover these challenges. CM has been employed in designing a prevention model to cater the challenges. The model caters three main phases of implementation; pre-implementation, during implementation, and post-implementation by adopting CM practices of Lewin's, Kotter's and Prosci's CM model. Six elements of CM comprising thirteen sub-elements adopted from the three CM models have been used to handle CFFs of Human and Support issues; guiding team, resistance avoidance, IS adoption, enforcement, monitoring, and IS sustainability. Successful practice of the proposed mapping is expected to prevent CFFs to occur, hence ensuring a successful implementation of IS in the hospitals. The proposed model has been presented and successfully evaluated by the domain experts from the selected hospitals. The proposed model is believed to be beneficial for top management, IT practitioners and medical practitioners in preventing IS implementation failure among government hospitals towards ensuring the success implementation.