Healthc Inform Res.  2016 Jan;22(1):3-10. 10.4258/hir.2016.22.1.3.

Patient Accounting Systems: Are They Fit with the Users' Requirements?

• Ayatollahi H
• Nazemi Z
• Haghani H

• KMID: 2166911
• DOI: http://doi.org/10.4258/hir.2016.22.1.3

Abstract

OBJECTIVES
A patient accounting system is a subsystem of a hospital information system. This system like other information systems should be carefully designed to be able to meet users' requirements. The main aim of this research was to investigate users' requirements and to determine whether current patient accounting systems meet users' needs or not.
METHODS
This was a survey study, and the participants were the users of six patient accounting systems used in 24 teaching hospitals. A stratified sampling method was used to select the participants (n = 216). The research instruments were a questionnaire and a checklist. The mean value of > or =3 showed the importance of each data element and the capability of the system.
RESULTS
Generally, the findings showed that the current patient accounting systems had some weaknesses and were able to meet between 70% and 80% of users' requirements.
CONCLUSIONS
The current patient accounting systems need to be improved to be able to meet users' requirements. This approach can also help to provide hospitals with more usable and reliable financial information.

Keyword

Hospital Information Systems; Accounting; Evaluation Study; Needs Assessment

MeSH Terms

Checklist
Hospital Information Systems
Hospitals, Teaching
Humans
Information Systems
Needs Assessment

Figure

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  Figure 1 Patient accounting system architecture.

Reference

1. Word Heath Organization. Heath information systems: toolkit on monitoring health systems strengthening [Internet]. Geneva, Switzerland: Word Heath Organization;2008. cited at 2015 Dec 20. Available from: http://www.who.int/healthinfo/statistics/toolkit_hss/EN_PDF_Toolkit_HSS_InformationSystems.pdf.

2. Maguire M, Bevan N. User requirements analysis: a review of supporting methods. In : Hammond J, Gross T, Wesson J, editors. Usability. New York (NY): Springer;2002. p. 133–148.

3. Dwivedi YK, Wastell D, Laumer S, Henriksen HZ, Myers MD, Bunker D, et al. Research on information systems failures and successes: status update and future directions. Inform Syst Front. 2015; 17(1):143–157.

4. Metfessel BA. Financial and clinical features of hospital information systems. In : Marcinko DE, Hertico HR, editors. Financial management strategies for hospitals and healthcare organizations: tools, techniques, checklists, and case studies. Boca Raton (FL): Taylor & Francis;2014.

5. Meyer R, Degoulet P, Omnes L. Impact of health care information technology on hospital productivity growth: a survey in 17 acute university hospitals. Stud Health Technol Inform. 2007; 129(Pt 1):203–207.

6. Hasri M, Zulkarnain MS, Ayoib CA, Norlida M. A study of user information satisfaction on financial management information system. Int Res J Finance Econ. 2010; (36):121–132.

7. Bhattacherjee A, Hikmet N, Menachemi N, Kayhan VO, Brooks RG. The differential performance effects of healthcare information technology adoption. Inform Syst Manag. 2006; 24(1):5–14.

8. Hammad SA, Jusoh R, Oon E. Management accounting system for hospitals: a research framework. Ind Manag Data Syst. 2010; 110(5):762–784.

9. Cohen JF, Coleman E, Abrahams L. Use and impacts of e-health within community health facilities in developing countries: a systematic literature review. In : Proceedings of the 23rd European Conference on Information Systems (ECIS); 2015 May 26-29; Munster, Germany.

10. Ayatollahi H, Mirani N, Haghani H. Electronic health records: what are the most important barriers? Perspect Health Inf Manag. 2014; 11:1c.

11. Riazi H. History of electronic medical records in Iran. Tehran: Ministry of Health and Medical Education, Statistical and Information Technology Office;2010.

12. BE Software Solution. Hospital information systems [Internet]. Hounslow, UK: BE Software Solution;2006. cited at 2015 Dec 20. Available from: http://www.besoftware.co.uk/products-services/hospital-informations.html.

13. Hadianfard A. The survey of hospital information system structure in Shiraz hospitals [dissertation]. Tehran: Shahid Beheshti University of Medical Sciences;2002.

14. Al-Qudah G. The impact of accounting information systems on effectiveness of internal control in Jordanian commercial banks "Field Study". Interdiscip J Contemp Res Bus. 2011; 2(9):365–372.

15. Sajady H, Dastgir M, Nejad HH. Evaluation of the effectiveness of accounting information systems. Int J Inform Sci Manag. 2008; 6(2):49–59.

16. Riazi H, Fathi B, Bitaraf A. Hospital information system. Tehran: Ministry of Health and Medical Education, Statistical and Information Technology Office;2006.

17. Statistical and Information Technology Office. Evaluation framework for hospital information systems. Tehran: Ministry of Health and Medical Education, Statistical and Information Technology Office;2011.

18. Avelino JN, Hebron CT, Laranang AL, Paje PN, Flodalyn Bautista MM, Caro JD. Requirements gathering as an essential process in customizing Health Information Systems for small scale health care facilities. In : Proceedings of the 5th International Conference on Information, Intelligence, Systems and Applications (IISA); 2014 Jul 7-9; Chania, Greece. p. 184–189.

19. Riazi H, Bitaraf A, Fathi B. Electronic Health Record: concepts, standards and development methods. Tehran: Ministry of Health and Medical Education, Statistical and Information Technology Office;2011.

20. Borzekowski R. Measuring the cost impact of hospital information systems: 1987-1994. J Health Econ. 2009; 28(5):938–949.

21. Hosseini A. Designing a conceptual model of hospital information systems for hospitals affiliated with universities of medical sciences in Tehran [dissertation]. Tehran: Iran University of Medical Sciences;2006.

22. Babaie R. A study on the electronic health records of dialysis patients [dissertation]. Tehran: Tehran University of Medical Sciences;2011.

23. Levy S, Heyes B. Information systems that support effective clinical decision making. Nurs Manag (Harrow). 2012; 19(7):20–22.

24. Kahouie M. Designing of emergency information system (EIS) logical schema for Iran [dissertation]. Tehran: Iran University of Medical Sciences;2010.

25. Vawdrey DK, Walsh C, Stetson PD. An integrated billing application to streamline clinician workflow. AMIA Annu Symp Proc. 2014; 2014:1141–1149.

26. Farzandipour M, Sadoughi F, Meidani Z. Hospital information systems user needs analysis: a vendor survey. J Health Inform Dev Ctries. 2011; 5(1):147–154.