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Technical Cooperation

Project Name: Information and Communication Technology (ICT) Project (St. Kitts and Nevis)
Project Description: Joseph N. France General Hospital (JNFG Hospital) is St. Kitts and Nevis’main medical institution. At present, however, most of the hospital’s operating procedures involve manual processes, which are inefficient and can result in inaccuracies; the only operations done electronically are outpatient registration and the settling of accounts balance. Through this project, authorities in St. Kitts and Nevis hope to introduce Taiwan’s abundant technology and experience of providing ICT-based health care services to all public institutions, thereby promoting the digitization and workflow automation of medical management.
Project appraisal found that the main challenge faced in maintaining or raising service quality at public hospitals is a lack of rigorous operating procedures and of a systematic approach toward management, resulting in the ineffective use of health care resources, and affecting the quality of medical services in turn. The proportion of manual processes being carried out at the hospital is too high, increasing the opportunity for errors to arise, and posing serious medical risks.
In assisting St. Kitts and Nevis to improve the overall quality of health care at public hospitals, the main components of this project will include: (1) assisting in reforming procedures at the hospital, introducing Taiwan’s experience of medical management; (2) building information systems for a range of medical services and introducing standard operating processes; and (3) improving the systems management, maintenance and operational capacity of technicians sufficient to manage medical management information systems independently.

Specific project work components will include: (1) analyzing the current status of hospital operations and conducting business process analysis to provide diagnostic reports and define gaps in processes, assisting in the integration of processes by and between each hospital department; (2) building information systems for a range of medical services, including patient registration, consultations, accounts, pharmacy operations, storeroom operations, medical histories, examinations, X-rays, blood bank operations and the management of pharmaceutical inventories; and (3) training for three system maintenance personnel so as to support the independent operation of the hospital information system and eliminate technical obstacles.

Implementation Start Date: 2013/1/1
Implementation End Date: 2017/12/31
Approval Amount: USD1,500,000
Project Objectives: Assist St. Kitts and Nevis authorities in conducting business process analysis and re-engineering in public hospitals, making overall improvements to operations, introducing a fully functional hospital information system and improving overall efficiency, thus enhancing the standard of hospital services and meeting targets for public satisfaction.
Executing Agency: 1.Joseph Nathaniel Feance General Hospital, JNFG
2.Ministry of Justice, Legal Affairs & Communications
3.Ministry of Health
Current Progress: To the end of September 2017, the following activities have been completed:
In 2014:
1.Held quarterly St. Kitts and Nevis-Taiwan coordination meetings.
2.Completed the installation of the network for hospital information systems at JNFG Hospital and Alexandra Hospital.
3.Completed the installation of network topology and migrated server machines from the ICT Centre to the finance building.
4.Completed the establishment of HIS system.
5.Completed 102 hours of user and administrator training.
6.Completed the system campaign results report.
In 2015:
1.Held quarterly St. Kitts and Nevis-Taiwan coordination meetings.
2.Completed reports on service design, business process analysis and business framework design.
3.Completed system user and administrator manuals.
4.Completed the planning of Internet network infrastructure in the wards at JNFG Hospital.
5.Completed system equipment procurement.
6.Completed Inpatient Management, Central Medical Supply and Accounting functions.
7.Completed 660 hours of capacity building programs for network technicians and software engineers and 390 hours of capacity building training for administrators.
In 2016:
1.Completed the system’s human resources and milestones proposal on hospital laboratory process, system capacity building and system development and implementation.
2.Completed reports on service design and business process analysis system requirement specifications, and system requirement specifications and business framework design.
3.Completed the setup of HIS system equipment for JNFG Hospital and Alexandra Hospital.
4.Completed digitizing physical examination results, medical management, clinic and nursing management, system management, hospital laboratory system and ward related electronic consent forms, and specimen barcode system.
5.Completed 12 hours of capacity building programs for nurse and registration staffs in the Alexandra Hospital.
In 2017:
1.Completed the classification and digitization of JNFG Hospital medical supplies data, the uploading and downloading functions for the Laboratory department, the setup of the digital medical record office.
2.Completed the integration of 2015-2016 financial records with patients’ information.
3.Completed system related training session to two new Hospital Information administrators, and 40 hours of capacity building programs for nurse and registration staffs.
Project Coordinator Name: I-Ying Kuo
Project Coordinator Phone: 886-2-2873-2323 Ext. 222
Project Coordinator E-mail: ingrid.kuo@icdf.org.tw
Projected Benefits: It is expected that the project will:
1.Analyze and reengineer JNFG hospital’s operational modules and processes, including those relating to: registration, examination rooms, grant pricing, pharmacies, warehousing, medical records, inspections, X-rays, blood banks and pharmaceutical management.
2.Yield the construction and introduction of operational information system modules, including: a registered reservation module, an electronic medical records module, a counter cashier/teller staff module, an accounting module, clinic modules, departmental systems modules and a hospital management system module.
3.Provide education and training to personnel operating hospital information systems, including: HIS operation training, registration for referral and payment mechanisms, medical safety, medical processes, information technology operations and so on.
4.Provide education and training to personnel maintaining hospital information systems, including: database management systems, information security management, system instructions, data exchange transfer instructions, and IT infrastructure environment instructions.
Sector: Economic Infrastructure and Services
Sector Item: Communications/ICT
Cooperating Country: Caribbean, St. Kitts and Nevis
Themes: Information and Communications Technology
Project status: Projects under implementation
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  • Date:2014/2/7
  • Date Updated:2017/11/14