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Planning in a heartbeat: improving the planning system of the Heart Catheterisation Rooms at the Catharina hospital Eindhoven

Dijk, S.R. van (2012) Planning in a heartbeat: improving the planning system of the Heart Catheterisation Rooms at the Catharina hospital Eindhoven.

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Abstract:The cardiology department of the Catharina Hospital Eindhoven is the largest intervention- and electrophysiological centre of the Netherlands and primarily serves as a tertiary centre. Five Heart Catheterization Rooms (HCR) are at their disposal for intervention procedures, for instance angioplasties, or electrophysiological procedures as pacemaker implementations. The planning of the HCRs is currently done using two different systems: an Excel spread sheet and the hospitals’ information system EZIS. The hospital suspects that the planning system is not making optimal use of the HCRs. Therefore the aim of this research is to improve the planning system of the HCR through a better alignment of the information systems to the needs and requirements of all planning stakeholders and the primary care process. In This research the current planning system was evaluated using the Delone and McLean [2] model for information system success. The main findings from this research show the planning system is underperforming in the root dimensions of the model, system quality and information quality. The first dimension underperformed due to a lack of integration between the two systems, where the second dimension underperformed due to incomplete and inaccurate information entry in the planning system. The low information quality also prevents management from effectively steering the HCRs. A small task group was formed to investigate possible improvement alternatives for the planning system. Creating the planning completely in EZIS was selected out of four as the best alternative. This decision was based on four criteria set by the task group. The criteria are integration in information and work processes, complete and accurate information, ease of use and costs of the planning system. For the implementation of the selected alternative a sense of urgency must be created among the users. This is an essential step as interests can greatly differ in a hospital setting. After the sense of urgency is created three steps have to be executed for the implementation. First EZIS has to be tailored to the needs of the HCR. The information needs of all the phases in the planning process must be mapped. Subsequently the input and output screens of EZIS can be tailored to comply to these information needs. In the second step the work processes concerning the planning must be rearranged. This includes both the primary (care) as the secondary (administrative) processes. The first and second step should be done simultaneously to ensure that the EZIS fits the processes and vice versa. Using pilot runs and feedback of all users these two steps must be repeated until it satisfies the needs of all stakeholders. The last step is then using the system in which constant feedback must be given to and by the users so that the system can remain optimal
Item Type:Essay (Master)
Clients:
Catharina Ziekenhuis Eindhoven. Cardiology department
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:85 business administration, organizational science
Programme:Business Administration MSc (60644)
Link to this item:http://purl.utwente.nl/essays/61449
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