信息化系統(tǒng)培訓(xùn)版-21.慈林醫(yī)院his項(xiàng)目

慈林醫(yī)院項(xiàng)目

信息系統(tǒng)軟件進(jìn)展中期匯報(bào)報(bào)告

CilinHospitalHISInterimReport1目錄

Outline項(xiàng)目前期的進(jìn)展匯報(bào)

Summaryofthepastperformanceandprogress項(xiàng)目后期計(jì)劃安排Workscheduleforthecomingmonths影響項(xiàng)目質(zhì)量與進(jìn)度因素Factorsthatinfluenceprojectqualityandprogress23項(xiàng)目的前期進(jìn)展PastPerformanceandProgress

1.組織結(jié)構(gòu)OrganizationalStructure醫(yī)院項(xiàng)目團(tuán)隊(duì)ProjectTeam醫(yī)院IT團(tuán)隊(duì)HospitalITTeam醫(yī)院項(xiàng)目負(fù)責(zé)人HospitalProjectLeader東華工程總監(jiān)DHCProjectDirector

東華項(xiàng)目經(jīng)理DHCPM信息化小組InformationTeam東華實(shí)施團(tuán)隊(duì)ImplementationTeam東華研發(fā)團(tuán)隊(duì)DevelopmentTeam醫(yī)院項(xiàng)目經(jīng)理HospitalPM門診藥房檢驗(yàn)庫存管理住院處檢查門診醫(yī)生門診收費(fèi)門診掛號(hào)住院醫(yī)生住院護(hù)士住院藥房綜合統(tǒng)計(jì)LabInpatientCareAmbulatoryCareGeneralManagement34項(xiàng)目的前期進(jìn)展PastPerformanceandProgress

2.項(xiàng)目實(shí)施過程ImplementationProcess1.項(xiàng)目啟動(dòng)階段（2012年11月）

ProjectKick-off(2012.11)1.1.甲乙雙方項(xiàng)目實(shí)施團(tuán)隊(duì)建立 Buildupimplementationteams1.2.確定項(xiàng)目實(shí)施范圍 Defineprojectimplementationscope1.3.制定項(xiàng)目實(shí)施計(jì)劃 Designprojectworkplan1.4.項(xiàng)目入場前基礎(chǔ)辦公設(shè)施準(zhǔn)備 Prepareworkingfacilitiesforprojectteams452.2.項(xiàng)目高級(jí)用戶演示培訓(xùn) Initialsystemtrainingtoadvancedusers2.項(xiàng)目實(shí)施階段（2012年12-2013年6月）ProjectExecutionPhase(2012.12-2013.6) 2.1.項(xiàng)目基礎(chǔ)數(shù)據(jù)準(zhǔn)備Collectfoundationaldata2.3.項(xiàng)目產(chǎn)品演示交流、需求調(diào)研、流程改造Systemdemo,requirementanalysis,reviseworkflows

2.4.項(xiàng)目需求研發(fā)Requirementsdevelopment2.5設(shè)備調(diào)試安裝聯(lián)調(diào)Equipmentinstallationandjointtesting5項(xiàng)目的前期進(jìn)展PastPerformanceandProgress

2.項(xiàng)目實(shí)施過程ImplementationProcessCompleted3.項(xiàng)目測試階段（2013年7月）TestingPhase(2013.7)3.1.項(xiàng)目聯(lián)調(diào)測試Systemjointtesting3.2.項(xiàng)目實(shí)地模擬測試Onsitesimulationtesting4.項(xiàng)目培訓(xùn)（2013年7月）HIStraining(2013.7)6.項(xiàng)目驗(yàn)收（2013年11月）Projectacceptance(2013.11)5.項(xiàng)目上線運(yùn)行（2013年8月）HISGo-live(2013.8)3.3完成項(xiàng)目產(chǎn)品操作說明書Deliversystemoperatinginstructions6項(xiàng)目的前期進(jìn)展PastPerformanceandProgress

2.項(xiàng)目實(shí)施過程ImplementationProgress東華各產(chǎn)品組工程師在慈林醫(yī)院IT項(xiàng)目團(tuán)隊(duì)的配合和協(xié)調(diào)下完成了如下工作：DHCproductengineersjointlycommittothefollowingtaskswithCilinITTeam:1)前期數(shù)據(jù)準(zhǔn)備Preparefoundationaldata收集和整理了系統(tǒng)所需的基礎(chǔ)數(shù)據(jù)資料，并導(dǎo)入系統(tǒng)，形成慈林醫(yī)院的DEMO基本庫；Alreadycollectedandprocessedrequireddataandinformation,thenimportedthemintosystem,creatingafundamentalCilinDemodatabase.2)需求調(diào)研Analyzerequirements合同內(nèi)一期的43個(gè)子系統(tǒng)全部完成了交流演示與調(diào)研工作，需要差異分析報(bào)告已經(jīng)初步整理完畢；Completed43PhaseOnesubsystems’demoandonsiteresearchasrequiredbythecontract.Basicallyorganizecorrespondingvarianceanalysisreports.目前報(bào)告在審核簽字過程；Intheprocessofgettingapprovalforallrequirementsanalysisreports.對(duì)已經(jīng)確定的需要流程再造、功能完善、新功能開發(fā)的差異化需求，已遞交公司進(jìn)行開發(fā)，5月份完成需求修改開發(fā)工作；FortherequirementsalreadydeliveredtoCilin:revisedworklfows,improvedfunctionalities,identifiedgapanalysisfornewfunctionstocreate.AlreadysubmittedtoDHCprogrammingteamfordevelopment;afterMayrequirementslock-downDHCwillrevisecodesaccordingtoapprovedrequirements.項(xiàng)目的前期進(jìn)展PastPerformanceandProgress3.進(jìn)展概要匯總Progresssummary

參見《項(xiàng)目文檔管理》See<ProjectDocManagement>783)電子病歷模板制作BuildingEMRtemplates通科模板（包括大內(nèi)科、大外科）的制作完成；?？颇０宓闹谱髡谶M(jìn)行中;Currentlywehavecreatedall“hospital-widesharedEMRtemplates”(includingmajorinternalmedicineandsurgicaldepts)andthencontinuetodesigndept-specificEMRTemplatesinaccordancewithprofessionalneeds.4)護(hù)理病歷模板制作Designnursingforms護(hù)理病歷正在收集整理素材進(jìn)行模板制作，在5月份完成初步制作；NursingEMRtemplate–currentlycollectingcorerequirements,towardtemplatecreation.InMay,weplantopreliminarilyworkoutallnursingformsincompliancewithclinicalneedsandJCIrequirements.項(xiàng)目的前期進(jìn)展PastPerformanceandProgress3.進(jìn)展概要匯總Progresssummary

參見《項(xiàng)目文檔管理》See<ProjectDocManagement>895)實(shí)施運(yùn)行產(chǎn)品Deployproductsystems初步完成OA、設(shè)備管理系統(tǒng)的實(shí)施工作，目前已經(jīng)運(yùn)行；HavedeployedOAandEquipmentManagementSysteminhospital.6)醫(yī)保接口DevelopYiBaoInterfaces目前通過開發(fā)工程師和醫(yī)保局進(jìn)行多次會(huì)議溝通后，現(xiàn)進(jìn)入開發(fā)狀態(tài)；計(jì)劃在六月份中旬做初步聯(lián)調(diào)測試。CurrentlyholdingmultipleroundsofdiscussionandcollaborationbetweenDHCengineersandNingBoInsurancebureau,leadingtointerfacedevelopmentphase.PlantotestinthemiddleofJune.項(xiàng)目的前期進(jìn)展PastPerformanceandProgress3.進(jìn)展概要匯總Progresssummary

參見《項(xiàng)目文檔管理》See<ProjectDocManagement>9107)配合美國IT專家對(duì)技術(shù)方案的論證

CollaborativelyidentifytechnicalsolutionswithAmericanITexperts考察了Laserfiche、寧波天威誠信、上海CA、杭州CA的電子簽名系統(tǒng)；確定了電子簽名在EMR中的可行性；E-signaturevendorsresearch：Laserfiche,NingboiTrustChina,ShanghaiCA,HangzhouCA;VerifyE-signfeasibilityinEMR.確定了病人ID命名規(guī)則；

ConfirmnamingrulesofpatientID.論證了Caradigm、Imprivata、捷順的一卡通解決方案；確定我們近期全院一卡通的實(shí)施思路；

VerifyOne-cardsolutionwithvariousvenders,includingCaradigm,ImprivataandJieshun.對(duì)SAGE軟件與HIS接口、使用安全性進(jìn)行了論證討論

DiscussSageinterfacetoHISandrelatedsecurityissue.項(xiàng)目的前期進(jìn)展PastPerformanceandProgress3.進(jìn)展概要匯總Progresssummary

參見《項(xiàng)目文檔管理》See<ProjectDocManagement>1011

需求報(bào)告提交文檔AllRequirementsReportareuploadto：\\192.168.14.26\D$\慈林項(xiàng)目文檔\需求文檔\11

項(xiàng)目文檔管理Accesstoprojectdocumentmanagement：\\192.168.14.26\D$\慈林項(xiàng)目文檔\1213

項(xiàng)目文檔管理Accesstoprojectdocumentmanagement,projectworkplan：\\192.168.14.26\D$\慈林項(xiàng)目文檔\項(xiàng)目計(jì)劃\13項(xiàng)目的前期進(jìn)展PastPerformanceandProgress

4.工作中存在的困難

Impedimentstoprojectprogress數(shù)據(jù)核對(duì)Dataverification需要相關(guān)科室的人員對(duì)前期數(shù)據(jù)進(jìn)行核實(shí)確認(rèn)，等待跟江院長進(jìn)一步確認(rèn)（重點(diǎn)為：診療數(shù)據(jù)、藥品、材料的分類對(duì)應(yīng)，和醫(yī)囑信息）;

Needappropriatestafftoensurethevalidity,integrity,completenessandaccuracyofcollecteddata,specificallyfocusingontreatments,medications,categoriesofmaterialsandcorrelatedphysician’sorders.AwaitingfurtherconfirmationwithDr.Jiang.1415高級(jí)用戶因工作繁忙沒有時(shí)間和精力對(duì)系統(tǒng)操作、配置進(jìn)行熟悉Advancedclinicalusersdon’thaveenoughtimeandenergytoethoroughlyfamiliarwiththeHISsystem’soperations,configuration,duetotheirnormalworkload.二院的高級(jí)用戶對(duì)大型醫(yī)院信息系統(tǒng)認(rèn)識(shí)不足，對(duì)新醫(yī)院的流程也不熟悉，導(dǎo)致需求采集過程無法現(xiàn)場決策，很多決策都集中到江院長這里。SecondPeopleHospitaladvancedusersaren’tfamiliarwithlargehospital’sHIStypicalsetup,andnotawareoflackofclinicalleadersempoweredwithdecision-makingcapability領(lǐng)導(dǎo)對(duì)信息系統(tǒng)初期的心理預(yù)期與范圍控制Leaders’anticipationandscopecontrolofinitialinformatizationlevel信息系統(tǒng)建設(shè)一期實(shí)現(xiàn)的目標(biāo)范圍一定要有主次，有先后；haveaimplementationpriorityforthescopeofallsub-systemsscheduledinthe1stphase.15項(xiàng)目的前期進(jìn)展PastPerformanceandProgress

4.工作中存在的困難

Impedimentstoprojectprogress16▲10.29▲01.01▲05.09

▲06.11▲06.12項(xiàng)目組成立ProjectTeamInitiation

需求調(diào)研

RequirementsAnalysis需求確認(rèn)Requirementsconfirmation研發(fā)完成Developmentcompletion系統(tǒng)測試SystemTesting▲06.12▲07.02▲07.02▲08.07▲11.07設(shè)備安裝、連接EquipmentInstallation實(shí)地測試OnsiteTesting用戶培訓(xùn)Usertraining系統(tǒng)上線Go-live系統(tǒng)驗(yàn)收

Systemacceptance項(xiàng)目的前期進(jìn)展PastPerformanceandProgress

5.項(xiàng)目計(jì)劃的時(shí)間節(jié)點(diǎn)Projectmilestones1630%60%90%100%17針對(duì)時(shí)間節(jié)點(diǎn)提出要求：

Vendorrequestsaboutsomemilestones:6月12日J(rèn)une12設(shè)備連接調(diào)試：要求設(shè)備到場并且設(shè)備廠家對(duì)設(shè)備的安裝于加電，質(zhì)控等工作已經(jīng)完成，達(dá)到系統(tǒng)軟件連接調(diào)試設(shè)備的要求，中心機(jī)房的設(shè)備安裝調(diào)試都已經(jīng)具備為科室設(shè)備安裝提供應(yīng)有的服務(wù)要；EquipmentJointTesting:prerequisiteistheinstallationiscompleted(vendorsmusthavecompletedinstallation,receivedelectricity,qualitycontroldone,systemsoftwareintegration,centralserver/equipmentroomconfigured,departments’specialtyequipmentproperlysetup)系統(tǒng)測試:客戶端設(shè)備至少要有一整套可供測試調(diào)試使用。SystemTesting:

Musthaveanend-to-endfullsystemfortestingandtweakingsystemperformance.07月02日J(rèn)uly2實(shí)地測試：項(xiàng)目組能夠進(jìn)駐新院現(xiàn)場進(jìn)行實(shí)地測試，現(xiàn)場相關(guān)科室的機(jī)器能夠發(fā)放到位，系統(tǒng)運(yùn)行測試的基礎(chǔ)設(shè)施達(dá)到測試要求。OnsiteTesting:Projectteammustgainaccesstonewbuildingtoconducttest.RelatedclinicalequipmentisdeployedandITinfrastructuremeetstestingrequirements.17186.1項(xiàng)目整體進(jìn)度評(píng)估Overallprogressassessment6.2改進(jìn)措施Improvementactions項(xiàng)目目前的整體進(jìn)度與項(xiàng)目合同制訂的計(jì)劃日期相比出現(xiàn)偏差，偏差時(shí)間周期估計(jì)滯后2個(gè)月左右。Project’scurrentcomprehensiveprogressislaterthanoriginallyplannedtimeframe(specifiedbycontract)byabouta2monthdelay.后期在CHC、慈林醫(yī)院、DHC三方的共同努力下，增加的實(shí)施推動(dòng)力度，人員協(xié)調(diào)力度。人員投入力度；目前項(xiàng)目已經(jīng)進(jìn)入快速推進(jìn)的狀態(tài)。IntheeffortsofCHC,CilinHospitalandDHC,plantostrengtheninitiativeandconsolidatestaffcoordination.Extendlaborinvestment.Currentlytheproject’spaceisina“rapiddeployment,quickplishments”status.18197.風(fēng)險(xiǎn)管理Riskmanagement

風(fēng)險(xiǎn)系數(shù)在項(xiàng)目階段中的變化趨勢Changingtrendofriskfactorsoverstages項(xiàng)目階段風(fēng)險(xiǎn)說明RiskDescription交流CommunicationScope需求分析RequirementsAnalysis研發(fā)Development測試Testing需求風(fēng)險(xiǎn)RequirementRisk深度、廣度、JCIDepth,extentandJCI深度、廣度、JCIDepth,extentandJCI設(shè)備調(diào)試EquipmentTesting入場日期Onsitedate現(xiàn)場測試OnsiteTesting入場日期Onsitedate19降低風(fēng)險(xiǎn)的策略

Strategiesofreducingrisks20風(fēng)險(xiǎn)Risk說明

Description需求風(fēng)險(xiǎn)RequirementRisk加大人員的參與深入程度；宣講新院的規(guī)劃；加強(qiáng)對(duì)產(chǎn)品的認(rèn)識(shí)程度；后期測試力度加大。Getmoreanddeeperstaffinvolvement;promotenewhospital’svisionandconcreteplans;strengthenDHCproductfamiliarity;focusontestingscopeandcapability.設(shè)備調(diào)試EquipmentTestingandCommissioning

1.加大人力投入Increaselabor.2.增加相應(yīng)的時(shí)間Extendtestingtime.現(xiàn)場測試Onsitetesting增加相應(yīng)的時(shí)間、全院加強(qiáng)之前的測試和聯(lián)系Extendtestingtime;entirehospitaltofocusonpre-go-livetestingandinteractionsamongcomponents.7.風(fēng)險(xiǎn)管理Riskmanagement8.估計(jì)偏差率Estimatedvarianceanalysis

代碼規(guī)模估計(jì)偏差率%thevariancepercentageofscopechange實(shí)際代碼規(guī)模

Actualcodescope初期估計(jì)規(guī)模Initialestimation需求、計(jì)劃時(shí)估計(jì)規(guī)模Requiredscope初期估計(jì)偏差率%Initialestimatedvariance%改進(jìn)措施Improvement醫(yī)保YiBao農(nóng)保、慈溪市醫(yī)保Nongbao,CixiYiBao多出寧波一卡通AdditionallyrequireNingboOne-cardsystem20%會(huì)影響到原來醫(yī)保的計(jì)劃，工作量加大，時(shí)間有可能會(huì)延后一點(diǎn)時(shí)間，或增加人力、成本提高PossiblyaffectoriginalYiBaoimplementationplan.Increasedworkload.Mayneedmoreprogramdevelopmenttimeormorelabororcostisrequired.門診靜脈配液AmbulatoryPIVAS門診靜脈配液NeedtofurtherdevelopambulatoryPIVAS30%會(huì)影響到原來藥房產(chǎn)品組的計(jì)劃，工作量加大，時(shí)間有可能會(huì)延后一點(diǎn)時(shí)間，或增加人力、成本提高.InfluenceoriginalPharmacyproductteam’splan.Increasedworkload.Mayneedmoreprogramdevelopmenttimeormorelabororcostisrequired.21項(xiàng)目的后期計(jì)劃Workscheduleforthecomingmonths6.加強(qiáng)項(xiàng)目高級(jí)用戶培訓(xùn)（5、6月）StrengthenadvancedusertraininginMayandJune4.項(xiàng)目基礎(chǔ)數(shù)據(jù)校對(duì)工作（5月）DataverificationinMay

1.項(xiàng)目需求報(bào)告的確認(rèn)簽字與提交（5月）ConfirmrequirementsreportsandgetapprovalinMay2.項(xiàng)目需求研發(fā)（5月）RequirementdevelopmentinMay 3.接口方案的交流與確認(rèn)（5月）ConfirmInterfacesolutionsinMay5.護(hù)理病歷模板制作（5月）MakenursingformsinMay2223項(xiàng)目的后期計(jì)劃Workscheduleforthecomingmonths7.項(xiàng)目軟件改造后測試（6月） Application/SystemtestinginJune8.項(xiàng)目醫(yī)療設(shè)備的連接于調(diào)試（6月） ClinicalequipmentinstallationanddebuginJune9.項(xiàng)目培訓(xùn)，現(xiàn)場模擬運(yùn)行（7月）ProjecttrainingandstimulationruninJuly11.項(xiàng)目一期驗(yàn)收（11月）The1stphasesystemacceptanceinNovember10.項(xiàng)目上線運(yùn)行（8月）Go-live