Report on Methodology for Mobile Health Care Management System

Contents

Methodology 4

Work breakdown structure 6

Changes in the clinical practice: 6

Admission/ OPD visit/ Clinic visit module: 7

Quick patient search module: 8

Visit to the doctors counter module: 8

Laboratory tests result information module: 9

Notification for the disease module: 10

Gantt chart 11

Network analysis diagram 11

Action plan 12

Risk assessment plan 12

References: 12

Methodology of Mobile Health Care Management System

Medical services or the services that are being given by the mobile phones are the overall combination of to make a user friendly relationship among the patients and the doctors. There are many barriers that are being faced by the patients. Here I am presenting a literature review for the summary and classification for the health services applications for the smart mobile phones. (Free C. P., 2013)

There are number of different advantages that have been know till now by using this app on the mobile phones and those are, 

According to one paper, it has been found out that almost 93 % of the doctors are using this mobile phone application for improving a knowledge related to the health conditions of their patients. It easily helps the doctors to take a quick review of the report in emergency cases without letting them wait for hours. (Singh, 2016) 

For the development of software, there is use of waterfall and spiral method. This is because these methods are playing a major role for developing medical software for the hospital. The spiral method is used because in medical software there is no need to fix phases.

These medical services applications are much beneficial for the patients as well according to the latest research. They get to have a quick appointment with a doctor and can find best specialist easily in no time. They can even review their reports online without visiting the hospitals over and over. 

It has been found from one study that in the previous times, patients often used to get diagnosed wrongly due to the burden on the doctors but now because of this mobile phone application risk has been reduced largely. This application has helped the patients to prescribe the most accurate medicine with the exact amount of dosage without any problem or confusion. 

Now patients even don’t have to stand in lines and wait for hours and hours to clear their dues from the hospitals, bills can be easily paid now by the use of this mobile phone application, Things have become really quick and easy. (Hung, 2012)

This mobile health care system gets installed in the admission center along with some of the wards as well and then it can further be introduced step by step to OPD, Pharmacy, other wards, laboratory along with the other radiology departments as well. This system should not get installed all of a sudden everywhere in the hospital because at first it is pretty much expensive and above all to use it properly one needs to get proper training. So when all the staff of the hospital gets trained properly than this system should be installed or introduced in every ward with the passage of time along with awareness of patients and people so that they can also get to know how they can use it. Because patients are the ones for whom this system gets installed so when they don’t get to know how to use it or they don’t use it due to improper information then obviously it would be of no use at all. 

Work breakdown structure of Mobile Health Care Management System

Figure 1: Work breakdown Structure for Healthcare

Changes in the clinical practice of Mobile Health Care Management System:

This is the system that needs to be password protected. Each and every member should be given the password for this system so that they can use it, by entering the password they would have the limited and the controlled access to the whole system. 

Attendants would only be allowed at the OPD to enter all of the data on the screen as shown in the image. This is completely a paperless system and one can save time by entering all the data here on the system and data can also be maintained for long time duration. (Free, 2013)

             Figure showing the registration of new patient by the help of online system.

Admission/ OPD visit/ Clinic visit module of Mobile Health Care Management System: 

At the OPD or any other ward where the entry of new patient is being done, the patient then receives a small card having a number on it which gives them an idea of their turn that how long it would take to see the doctor. The attendant then further enters the number that is written on the card to the computer system then further the identification number of the patient gets generated in an automatic way. Socio demographic data of the patient gets entered that includes the name or the initial, last name of the person, date of birth, age, NIC number, gender, religion, civil status, residential address along with the birth place as well. The patient can then get his or her PID number after the whole process and here one things need to be noted and that is every patient only gets 1 PID number in their entire life. 

Quick patient search module of Mobile Health Care Management System:

After completing the whole data entry process, patient then gets a turn to visit a doctor along with the ID number of patient. All of the medical officers are the ones that have the full access to this system and they can view anything at any time whenever they want to. As the doctor enters the PID number of the patient that has been given to the patient after filling the form, all of the previous data or history of the patient ultimately comes on the screen without taking long time period. If by any chance or by any mishap, patient lose their ID number that has been given to them then the doctor also have the option to go to the quick patient search option by entering the name of a patient or even the birth date or the NIC number or even the village name or the birth place where he or she was born. At the same moment, doctor can also trace all of the previous OPD visits of the patient, any of the clinical visit, or any of the previous admission record as well of the patient on the search option. So the doctor has all of the capability to view the record of patient because this is very essential for the doctor to view all of the medical history to treat in the future because until or unless previous history of the patient is unknown it gets really difficult for the doctor to treat the patient. So this is really a helpful technique or the procedure. (Chan, 2000)

Visit to the doctors counter module:

Next step is that doctor enters all of the OPD entry module. Onset date of the disease gets entered by the doctor. After entering the date, time of the visit ultimately appears on the screen. Then further is the MO (medical officer) who checks the patient enters his or her name in the system. Main complaint of the patient gets selected from the complaint list of the database that gets prepared by the study of two weeks of all the main complaints among the different patients who visits the OPD. All the detailed and elaborated story of the other complaints along with the history and the findings of positive examinations are also being entered by the doctor. After the doctor prescribes the medication to the patient from the drug list of database not just by the dose but with the complete duration as well, calculated amount of the drugs that needs to be issued to the patients and then it gets added to the prescription list. The MDS system is the one that can generate the medicine database by using the SNOWMED software database. As soon as the doctor enters the name of a drug   then he or she can also verify that whether the particular drug is available at the dispensary or it is out of stock. After knowing this, if in case the drug is not available at the dispensary then the doctor can prescribe any other medicine in the alternate of that out of stocked medicine. The doctor can further save or get the print or even update the whole record as the OPD entry or the doctor can also refer to the relevant clinic and can admit the patient as well if needed. On the same screen, there is a complete facility for the different doctors to order for the reports of laboratory if needed. All of these OPD computers are directly connected to the main laboratory. Medical officer can also add up the tests of an individual or the tests of groups if needed. Patients can now even book their appointments by sitting a home and can just go to the hospital accordingly. They can have a look and check for their turn by using this mobile phone application. (Steinhubl, 2013)

Laboratory tests result information module:

As soon as the results of the laboratory are being conducted and the results are being obtained, there is no need for the patients to visit the laboratories or hospitals for the collection of the reports. Patients now don’t have to take out extra time from their busy schedule to collect the reports of the tests that has been done by the doctor. Patient can install an application in their mobile because when all the data of the patients gets entered on the computers and everything remains in the system. Patient can use their PID number and can have a complete access of their profile in their mobile phones even by staying at the home. They can have the results of their tests on their mobile phones by the use of this application. Every hospital don’t offer this facility but the ones that are using and doing everything online and updates it on computer, they definitely have the facility of using this mobile application. Now patients don’t have to wait in the lines just to get the reports but they can stay at home and can view their results easily. (Mohammadzadeh, 2013)

Notification for the disease module:

By using the mobile health management system, patient can also know about the disease by sitting at home. This is also another facility and for its methodology the patients only have to enter their required data into the application of the particular hospital that has been generated by them or the one the patient is in contact with. Another thing that has made the life easy is one can also book their appointment by sitting at the home instead of waiting hours and hours at clinics or the hospitals just for the checkup. Patient can easily consult the doctor by staying at home as well and can ask for their queries related to the different aspects through this mobile health management application. All the data can also be seen on the mobile and patient can easily access to his or her profile where all of the drugs entry, prescription, tests and different things can be seen easily that has been conducted or done. Well this is one of the easiest thing that has been introduced not just for the patients but for the doctors and the whole medical staff as well because things can now remain in record. No one would have to worry about keeping their files data safe and secure. Doctors now don’t have to study the abundant of the files but they can just have a look through single click and all the data remains stored in the application that are always present in the mobile phones. (Weinstein, 2014)

Gantt chart of Mobile Health Care Management System 

Network Analysis diagram of Mobile Health Care Management System

References of Mobile Health Care Management System:

Chan, A. T. (2000). WWW+ smart card: towards a mobile health care management system. International Journal of Medical Informatics,, 57(2-3), 127-137.

Free, C. P. (2013). The effectiveness of mobile-health technologies to improve health care service delivery processes: a systematic review and meta-analysis. PLoS medicine,. 10(1).

Free, C. P. (2013). The effectiveness of mobile-health technology-based health behaviour change or disease management interventions for health care consumers: a systematic review.

Hung, M. C. (2012). The adoption of mobile health management services: an empirical study. Journal of Medical Systems, 36(3), 1381-1388.

Mohammadzadeh, N. S. (2013). Cancer care management through a mobile phone health approach: key considerations. Asian Pacific Journal of Cancer Prevention, 4961-4964.

Singh, K. D. (2016). Developing a framework for evaluating the patient engagement, quality, and safety of mobile health applications. 5(1), 11.

Steinhubl, S. R. (2013). Can mobile health technologies transform health care?. Jama. 2395-2396.

Weinstein, R. S. (2014). Telemedicine, telehealth, and mobile health applications that work: opportunities and barriers. The American journal of medicine,, 127(3), 183-187.