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  5. A Study On The Adoption of Cloud Services To Enhan
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You are invited to participate in my survey on the adoption of cloud services to enhance the Malaysian healthcare sector. It will take approximately 15 minutes to complete the questionnaire.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact KALAI ANAND RATNAM by email at the email address specified below.

KALAI ANAND RATNAM
Postgraduate Student (Phd)
Universiti Teknologi PETRONAS
Bandar Seri Iskandar, 31750 Tronoh
Perak, MALAYSIA.
E-Mail: [email protected]

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.

 
 
 
PART A: DEMOGRAPHICS PROFILE
 
 
* Age (Please select ONE only)
 
Under 20 Years
 
21 - 30 Years
 
31 - 40 Years
 
41 - 50 Years
 
51 - 60 Years
 
61 - Years & Above
 
 
* Working Experience (Please select ONE only)
 
Under 5 Years
 
6 - 10 Years
 
11 - 15 Years
 
16 - 20 Years
 
More than 20 Years
 
 
* Education Background (Please select the highest qualification only)
 
High School (SPM/STPM/GCSE O’Level)
 
Certificate
 
Diploma
 
Bachelors’ Degree
 
Masters’ Degree
 
Doctorate Degree
 
Professional Qualifications
 
Not specified
 
 
* Area of specialization
 
IT
 
Medical
 
Management
 
Engineering
 
Others
 
 
 
* Number of years or experience in current employment
 
Under 5 Years
 
6 – 10 Years
 
11 – 15 Years
 
16 – 20 Years
 
21 – 25 Years
 
 
 
* Please specific your role within the healthcare sector (Please select ONE only)
 
Doctor
 
Nurse
 
IT Systems Engineer
 
Accountant
 
Lab Technician
 
Administrative Staff
 
 
 
* In which department of the healthcare sector do you belong too? (Please select ONE only)
 
Information Technology
 
Medical Records
 
Finance
 
Medical Services
 
Laboratory
 
Human Resources
 
General Administration
 
Others
 
 
 
PART B: MEDICAL ORGANIZATION INFORMATION
 
 
* Please specify the organization type you are employed with. (Please select ONE only)
 
Public Hospital
 
Private Hospital
 
Public Clinic
 
Private Clinic
 
 
* Your healthcare center is presently located at (Please select ONE only)
 
Urban
 
Semi Urban
 
Rural
 
Semi Rural
 
 
* The number of employees employed within the organization are: (Please select ONE only)
 
Less than 5 staffs
 
Between 6 – 15 staffs
 
Between 16 - 25 staffs
 
Between 26 – 35 staffs
 
More than 36 staffs
 
 
* How many branches does the medical organization operate? (Please select ONE only)
 
Between 1 – 3 branches
 
Between 4 – 6 branches
 
Between 7 – 9 branches
 
Between 10 – 12 branches
 
Between 13 – 15 branches
 
More than 15 branches
 
 
PART C: INFORMATION TECHNOLOGY LITERACY
 
 
* How long have you been using a computer to carryout work related tasks?
 
Less than 2 years
 
Between 3 – 5 years
 
More than 6 years
 
Never had any experience using a computing device (Go to Question 5)
 
 
* What sort of computing devices you primarily use for your work related tasks? (More than ONE selections are applicable)
 
Smartphone
 
Notebook
 
Tablets
 
Personal Computer / Desktop Computer

 
 
* Based on the computing device(s) identified in question 2 above, which of the following tasks do you use it for? (More than ONE selections are applicable)
 
Internet Browsing
 
Hospital Information & Management System
 
Office Productivity Suites
 
Email &Unified Messaging
 
Collaboration& Sharing

 
 
* How do you rate your IT literacy?
 
Beginner – Posses basic knowledge of productivity suites.
 
Intermediate – Knowledgeable limited experience on hospital management systems.
 
Advance – Attended formal training on productivity suites and medical informatics related applications.
 
Expert – Vast experience in medical informatics, hospital information systems and troubleshooting skills.
 
 
* If your job requires the need to have experience in using a computer, what would you do?
 
Attend short courses on basic IT literacy at my own cost and obtain a certificate of attendance.
 
Attend short courses on basic IT literacy at my own cost and obtain both IT skill competency certificate and certificate of attendance.
 
Seek assistance from working colleagues and peers.
 
Purchase a self learning training kit and go through the training at my own pace.
 
 
PART D: UTILIZATION OF HOSPITAL MANAGEMENT INFORMATION SYSTEM
 
 
* Does your medical organization use any sort of Hospital Information Management System for day to day operations ?
 
Yes
 
No
 
 
* Is the Hospital Information Management System (HIMS) linked with other branches? (Only applicable if hospitals which owns more than 1 branch.)
 
Yes
 
No
 
 
* The following statement best describes the use of Hospital Information Management System. (Please select ONE only)
 
I depend on and use the Hospital Information Management System frequently.
 
I seldom use the Hospital Information Management System.
 
My job role does not require me use the Hospital Information Management System.
 
Which of the following activities are important with the use of Hospital Information Management System?
Not Important Least Important Neutral Important Extremely Important
* Patient Appointment
* Patient Registration & Admission
* Diagnosis & Treatment Records
* Drugs Dispensary
* Drugs Inventory
* Billing & Payment Records
* General Administration
* To acquire and analyze statistical information concerning the hospital and specific departments.
* To view medical practice guidelines.
* To carry out clinical research based on patient medical data.
* Medical decision and knowledge support system on diagnosis and patient treatment.
 
To what extent do you agree with following claims?
Strongly Disagree Disagree Neutral Agree Strongly Agree
* I need the HIMS to complete my work
* The HIMS is a very useful tool for ease of use
* With HIMS, I am able to carry out better decisions
* The HIMS must be aligned to organization requirements
* The HIMS should be standard enterprise work tool across all medical organizations.
 
Does the existing Hospital Information Management System fulfill the following?
Strongly Disagree Disagree Neutral Agree Strongly Agree
* Decision making
* Enhances Communications
* Enhances Workflow
* Aids in strategic planning
* Quality assurance
* Reduces waiting time
* Medical audit
* Continuity of patient care
* Effective referral system
* Helps in education and research for the medical field.
 
 
In addition to utilizing the Hospital Information Management System, are any aspects of the patient information still kept using manual system? If Yes, Why?
 
No
 
Yes, Why ?
 
 
PART E: ACTIVITY COORDINATION & COMMUNICATION
 
The coordination and communication among various activities of the business process is crucial for a health care system, apart from managing the flow of work. To what extent having the right workflow influences the overall effectiveness of the Hospital Information Management System?
Strongly Disagree Disagree Neutral Agree Strongly Agree
* The workflow on the HIMS must be comprehensive.
* Inconsistency among different departments due to workflow related issues.
* Workflow had no constructive effect on the overall hospital information management system.
* HIMS should be aligned with the organization workflow.
* Valuable information can be lost when poor workflows impede communication and coordination.
* A good workflow will help accomplish those goals in a timely manner; leading to care that is delivered more consistently, reliably, safely, and in compliance with standards of practice.
* An excellent workflow process can accommodate variations that inevitably arise in health care through interaction with other workflow processes, as well as environmental factors such as workload, staff schedules, and patient load.
* Information transfer is complicated because caring for one patient can involve many providers and information sources. Thus, many errors occur at handoff or transition points.
* If methods of transfer are informal and not documented, patient information may not be passed on when staff members leave a unit.
* Health care providers spend a great deal of time reconciling information from various sources.
* Integrating health IT with the workflow of various departments can help to reduce this redundancy.
 
 
PART F: MANAGEMENT ACTIONS
 
The management actions to improve quality & cost effectiveness of medical care services includes
Strongly Disagree Disagree Neutral Agree Strongly Agree
* Implement IT to support administrative task.
* Implement IT to support patient care activities.
* Redesign patient care procedures.
* Redesign administrative procedures.
* Integration with management support systems.
* Communication between hospital departments.
* Computerized medical records.
* Library information directly available to doctors.
* Electronically store radiology images.
* Computerized medical and nursing plans.
 
 
PART G: INTEGRATION
 
Hospital Information Management Systems in Malaysia are primarily catering for a single hospital and it is not integrated with the related care providers such as insurance companies and others. To what extent having the right integration influences the overall effectiveness of the Hospital Information Management System?
Strongly Disagree Disagree Neutral Agree Strongly Agree
* The move towards greater hospital information management system, integration will always be partially driven by cost and efficiency measures that aim to increase the effectiveness of inter-organizational processes.
* A full integrated system reduces time of work.
* Process medical referrals with fully integrated Hospital Information Management System.
* Integrating various hospitals information management systems is a time consuming process due to non-standardization of systems.
* With un-integrated data there was a lot of difficulty. No one could look across the information of the corporation and see information from the corporate perspective.
* Due to technical problems, is not always possible to exchange data among different systems.
 
 
PART H: SECURITY
 
How satisfied are you with the following:
Strongly Disagree Disagree Neutral Agree Strongly Agree
* Remote Access to certain aspect of the hospital information management system should be allowed for unit staffs directly related to patient care.
* Privacy and security of medical information be a major concern when remote access is granted even though multiple authentications are provided.
* Any attempt to introduce computerized health-care information systems should, therefore, guarantee adequate protection of the confidentiality and integrity of patient information.
* Patient information also needs to be readily available to all authorized health-care providers, in order to ensure the proper treatment of the patient.
 
 
PART I: INSURANCE AUTHORIZATION
 
At present hospitals are required to contact the respective insurance providers and provide the patients details in order to obtain the necessary approvals. To what extent having a centralized insurance authorization service will speed up services for patients opting to pay by insurance?
Strongly Disagree Disagree Neutral Agree Strongly Agree
* Claims that deny due to no prior authorization happen primarily in a hospital setting.
* Insurance medical authorization request should made electronically and not with the conventional practice of fax.
* Having a centralized efficient and cost effective online insurance authorization mechanism.
* Healthcare is straddled with insurance authorization requirements which are cumbersome to follow.
* Self paying patients clear the administration process much faster as compared to patients who opt for insurance.
* Having a centralized on demand insurance authentication system will reduce your time on the phone with insurance companies and maintain your authorization records electronically.
* Faxed documents stored & retrievable through website.
 
 
PART J: INSURANCE CLAIMS
 
Improving claims processing could save patients money and improve medical care by reducing hassles hospitals have to deal with. To what extent having an automated and enhanced paper intensive claims management process will reduce bottlenecks ?
Strongly Disagree Disagree Neutral Agree Strongly Agree
* Everyone in healthcare suffers from delayed payments by primary insurance carriers due to inaccurate information.
* Medical hospitals take a long time to receive their claims from the insurance providers as opposed to customers who pay by cash.
* Claims processing and claims administration is very paper intensive and has a large number of supporting documents that may be associated with a claim all coming from a variety of sources.
* Paper must be handled by different resources and may require comparison of records generated via paper, fax, email and/or electronic files. This type of manual paper solution is difficult to audit and challenging for reporting purposes.
 
 
PART K: EDUCATION TO PROVIDERS
 
It is important that patient medical cases are made available for medical education to ensure improved care and diagnostic. What’s your view on using telehealth improving the overall patient care process?
Strongly Disagree Disagree Neutral Agree Strongly Agree
* Health professional’s educators should introduce telehealth into their professional curricula and make use of it to offer their programs.
* Telehealth can inform and educate rural providers about changes in medicine and evidence-based practices, both of which may help them provide quality care.
* Rural healthcare providers face numerous barriers to obtaining continuing education, including geographic isolation and distance from tertiary care and teaching hospitals where much information originates.
* Telehealth is an effective approach for delivering professional education to rural healthcare providers.
 
 
PART L: TELEHEALTH EFFICIENCY
 
Telehealth is a cost-effective and efficient way to follow-up with patients, To what extend does it provide significant convenience and financial benefits for the patient and the healthcare system?
Strongly Disagree Disagree Neutral Agree Strongly Agree
* Improve costs and processes through improved communications.
* IT Infrastructure influences efficiency, performance and reliability of telehealth services ?
* Telehealth is a cost-effective and efficient way to follow-up with patients.
* Telehealth can reduce the waiting time to receiving specialist care.
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