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Implementation of Hospital Management information Systems on service delivery at Moi Teaching and Referral Hospital

Cheruiyot, B; Muiruri, L; Njuguna, R. S (Cheruiyot, B., Muiruri, L. & Njuguna, R. S. (2019). Implementation of Hospital Management information Systems on service delivery at Moi Teaching and Referral Hospital.World Journal of Medical Education and Research: Volume 20, Issue 1, 2019)

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Abstract:

Hospital Management Information Systems (HMIS) has the potential to improve the quality of services delivered, as well as the efficiency and effectiveness of healthcare providers through the integration of various hospital functional units. However, the benefits of this implementation in service delivery have not been adequately addressed. This study sought to appraise the impact of the implementation of HMIS, on service delivery in Moi Teaching and Referral Hospital, (MTRH). The objectives of the study were: to examine the level of implementation of HMIS in MTRH; to establish the strategies motivating implementation and utilisation of HMIS, to assess the benefits that have been realized in utilizing Hospital Management Information Systems, and to assess the effect of HMIS on service delivery in MTRH. Cross sectional descriptive research design was utilised in the study; the sample size formula proposed by Cooper and Schildler formula was used to obtain 240 respondents from a target population of 587 users of HMIS. A structured closed-ended questionnaire and interviews were administered. Quantitative data was obtained, coded using SPSS v.21. Data was analysed using descriptive statistics, i.e. mean and standard deviations and inferential statistics i.e. Pearson Correlation Analysis and Multiple Regression Analysis. Of the 240 questionnaires distributed, 192 were filled and returned, with most respondents familiar with HMIS. The respondents moderately agreed that the implementation of HMIS was done well and as per expectations. The Hospital Records module had the highest implementation level, while Consulting Doctor module scored the lowest. On the level of utilisation of HMIS, the result indicate that the mean values were above average on a five point Likert scale. The Further Records module had the highest implementation level, with the majority agreeing that the module had been adequately utilised. Conversely, the Consulting Doctor module posted the lowest utilisation level. On the strategies motivating the utilisation of HMIS results indicate that the strategy of allaying perceptions and fears among staff on the use of HMIS is the one mostly deployed by the hospital in order to improve the level of Utilisation of HMIS. Results indicated that the anticipated benefits of HMIS were all above average. The results of the regression analysis suggested that HMIS implementation (β=.215, p˂0.05), HMIS Utilisation (β= ..697, p˂0.05), motivation strategy (β= .193, p˂0.05), and HMIS benefits (β= .045, p˂0.05) had a positive significant effect on service delivery. Therefore, the null hypothesis is rejected. The value of the F-statistic is (F=172.917, p˂0.05) is robust. The coefficient of determination value of R2= .787 means that 78.7% of the variation in service delivery at the hospital can be explained by HMIS. The study recommends that a policy be drafted to entrench HMIS implementation and utilisation in the country.

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http://repository.daystar.ac.ke/xmlui/handle/123456789/3762

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Abstract:	Kenya’s central bank has been mulling the official use of a digital currency. More than 60 central banks have already entered the digital currency race since 2014. No details have been released in Kenya, but the central bank governor, Patrick Njoroge, commented that the bank was working with other global regulators and financial institutions to explore the use ofdigital currencies. The shift towards digital currencies has been used by some central banks to formulate and implementregulations to manage the use of cryptocurrencies. For example, Nigeria has launched its officialdigital currency, the eNaira . The World Economic Forum estimates that a third of Nigerians use or own cryptocurrencies. Kenya isone of the top three markets for Bitcoin , one of the more popular cryptocurrencies.
Description:	https://theconversation.com/kenya-needs-to-grasp-the-cryptocurrency-nettle-how-a-digital-currency-could-help-172092
URI:	https://theconversation.com/kenya-needs-to-grasp-the-cryptocurrency-nettle-how-a-digital-currency-could-help-172092

Abstract:	initiated across all health facilities to guide the implementation of quality standards. The use of guidelines in health management system describes the measure that can improve performance in health service delivery. Despite having guidelines there are disparities in the quality of services delivered in health facilities. The study focused on implementation of quality guidelines for improved health services. The objectives of the study were to establish the management practices used in the implementation process of the Kenya Quality Model for health and to explore the Human resources factors that influenced the implementation process of the Kenya quality model of health.A cross-sectional study involving 110 clinical managers in six public health facilities in Kakamega County, Kenya was carried out.Public health facilitieswere selected using random sampling, Clinical Managers were sampled using stratified and proportionate sampling. Quantitative data analysis yielded descriptive statistics and Chi-square (χ2) tests.The management practices used to implement guidelines was methods of quality improvement with mean 3.8, planning 3.3, continuous quality improvement 3 P-value was 0.04 indicating a significant relationship with improved quality of health services. The human resource for health factors that affected implementation of guidelines were awareness of guideline contents with a mean score 3.7 and motivation 3 and a p-value of 0.03 which indicated a relationship between human resource for health and improved quality of health services. The study recommends formation of quality improvement teams that can be responsible for the implementation process and development of quality monitoring tools. It further recommends Strategies to be put in place to increase the number of health human resources and train all health managers on the quality guidelines to prepare them for the implementation process.
Description:	Journal Article
URI:	http://repository.daystar.ac.ke/xmlui/handle/123456789/3772

Abstract:	Existing literature shows that even though governments in developing countries have continued in their efforts with reforms and other actions to expand financial access and inclusion among citizens, a segment of the population remains excluded. This comprises of low income and middle-class people who end up relying on informal saving groups for their financial needs. Despite their prevalence and importance, the informal saving groups such as Rotating Saving and Credit Associations (ROSCAs) and Accumulating Savings and Credit Association (ASCAs) continue to face a myriad of challenges with many of them collapsing. The aim of this study is to explore the usage of mobile apps to overcome the challenges faced by the ROSCAs and ASCAs. Agile software methodology was used to develop a robust mobile application for use by informal saving groups. Adoption of mobile apps technologies is important to the informal financial sector and the formal financial sector that is linked to these informal saving groups such as banks and microfinance institutions. The study reveals that the use of mobile apps was a plausible solution to the challenges experienced by the members of the informal savings groups while handling monetary transactions.
Description:	Conferencing Proceedings
URI:	http://repository.daystar.ac.ke/xmlui/handle/123456789/3761

Abstract:	The purpose of this research study was to assess target costing as a profit driver and cost management tool for steel firms operating in Nairobi. Guided by three objectives, the study aimed to establish organizational challenges in the target costing implementation, to assess the effect of Target costing as a cost management tool and also to assess the contribution of target costing in profit growth. Key finding of this research study which had a completion rate of (87.5%) indicated that (73.8%) of the respondents use target costing technique as a cost management tool and all adopters have implemented it for more than 5 years. Team and cross functional barriers emerged as the most outstanding organization challenge to implementation caused by mandatory cost cutting which results to finger pointing in various departments. Lack of appropriate skills and training necessary to tackle emerging costing techniques were rated as the overall departmental challenges. As a cost planning tool, the research findings noted that Target costing identifies costs associated with a product with an aim of making very informed choices on options available. Providing firms with a rapid response mechanism to a product cost without compromising on the quality and having an all-inclusive cost management approach was identified as a way of effective cost management. Respondents across the steel industry reported significant increase in profit levels a trend they attributed to successful implementation. From the research findings, the researcher recommends that the Topic of target costing be made broader with inclusion of the same in text books and other publications from high school level and relevant training and skills be afforded to top level managers. The researcher further recommends that the Government should urgently invest in Steel industry in order to subsidize the cost steel products.
Description:	Master of Business Administration in Finance
URI:	http://repository.daystar.ac.ke/xmlui/handle/123456789/3760

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