Earl's+Bottom+Up+Approach

Earl's Bottom Up Approach
Earl's Bottom Up approach includes investigation of current systems that are used overall in KPJ Healthcare and their credibility to the stated business needs. The analyst team had no access to real systems that are currently being operated by the KPJ Healthcare and the list is based on the assumptions.


 * RENEW

- Customer Relationship Management - E-prescription System - Inventory System -E-Patient Record System - Hospital Information System || MAINTAIN

- Patient's Record Database - Having own clinic -Drug(medication) order and supply system - Knowledge management system ||
 * DIVEST

- Website || REASSESS

- Monitoring Process System -Medication System -Transformation of server ||

**Renew** //1. Customer Relationship Management (CRM)// Currently, the CRM only works within local patient care interest however if its improve and meet the requirement of the foreign patients, it will be the key to attract more international patient throughout the globe. This can be done by delivery critical information and value via e-CRM that able to store all patient's information in one place and accessible throughout the globe if the hospital gain authority.

//2. E-Prescription System// Current, assuming the hospital have e-prescription on transmiting information about medical prescription from network such as doctors, pharmacist and physiciants from supplier and distributor. The business value of system is high due to fact that medicine and medication is one of the key revenue incomes to the hospital. Technically it resolved poor as assumable it has no integration directly with supplier and prescriptions are done only based on the current stock.

3. Inventory System Currently, the used of inventory system in KPJ Healthcare is for recording the stock which included all necessary stuff in the hospital (eg: Drugs, Wheel Chair, Surgery Equipments, and etc). An inventory system can tracked the in and out stuff so that the insufficient stuff can be refill immediately after it is finish. The cost can be control by using inventory system as the record of this system will be reviewed in order to make sure no over budgeting in term of cost.

4 E-Patient Record E-Patient records system is a system similar to online portal where the outpatient can have view of their hospital record through online in a way where patients unable to modify the record other than the doctors can be implemented.this system is an extensive system from what is been having now where only the particular hospital doctors can view the patients record. despite that there are many patients whom like to take 2 Nd opinion from other hospitals and these record could ease their job.

5. Hospital Information System

**Divest** **Maintain** 1. Patient Record Database The patient record database in KPJ Healthcare is basically for storing in-patient or outpatient's medical history report so that when those reports are require in future, the records can be retrieved back. Normally, all these medical history reports will be keeping for 10 years for each patient after the particular patient discharge from the hospital in order to make sure the database of the medical history report will not be overloaded. The patient record database is one of the most important database in every hospital as it has several functions such as Doctor needs to refer back to the history to understand the history of the patient. Besides that, nowadays the insurance companies in Malaysia require to view the patient's histology report when the particular patient wanted to purchase a new insurance policy after he/she has been discharged from the hospital. 2. Having Own Clinic By having own clinic around, the patient doesn't have to rush and waste time in the main hospital which is KPJ Hospital but able to go to the nearest provided clinic( klinik waqaf n-nur).This clinic is being supported by KPJ Hospital and the patient record can be updated easily since the clinic and hospital is being updated. 3.Drug(medication) order and supply system Currently KPJ have many drug (medications) dealer even KPJ has one big share of medication from a particular company. however the medication which is been deliver either to the hospital or pharmacy must be approver by the Malaysian Government before the distribution is being done. despite that, the medications will be tested before deliver to the patients by the hospital it self to be in safe side. 4)Knowledge Management System Currently, KPJ hospital is under utilizing their Knowledge Management System (KMS). However, while maintain and re-introduce back the KMS in other way of approach may help to utilize the KMS in a better way and help increase medical staff knowledge.

**Reasses** //1. Monitoring Process System// Currently, KPJ Healthcare has more than 20 community based hospital around Malaysia. To be able to keep track on the hospital performance on financial, logistic, IT, customer services, patient admission etc require a lot of effort to continue monitoring each hospital. Therefore, is been consider to reassess the current motioning process system to see the worth of value towards the organization. 2..Medication System The current Medication system is pretty slow n maybe they can make the current system more faster so that the medicine distribution can be done more quicker. the current medication system can make quicker with a reserving some common medicine in package in advance so that the distribution can be done more faster. 3.Transformation of server current hospital including hospital may use physical server to keep the patients data record. conversation of physical server to virtual server will enhance a better accessing which is fast and since the virtual server is running on the physical server, the files can be ave and clone as aa backup for a better accessing purpose.