Successful implementation of an integrated Hospital Information System in hospitals, is a complex task calling for high level of coordination between, the software supplier and the hospital's management, administrative and specialist staff. As part of the implementation process various procedural, operational and policy matters should be reviewed and finalized so that the hospital can derive maximum benefit from the use of a flexible and integrated Hospital Information System.

The way Hospitals select HMIS, varies, and the approach may also leads to major complication during the implementation phases.

1- The hospital may produce a document that list all the specifications needed for the every department. These specifications usually represent what the department needs from the software to do. Work flow, procedures and how staff perform their operational steps are not usually clear. In such case BHC will examine the document and replay to the customer, to confirm, what could and what could not be offered by OASIS to cover the hospital needs. Unfortunately this method of selecting the software may also leads to future dispute about the interpretations of the hospital requirements. BHC is quiet confidant that, Oasis is considerable flexible and easily adaptable to match in the required operation within the hospital department. Minor modifications may be needed if there is a very special step needed to be automated.

2- The hospital may have a very limited document that generally outline the need for the hospital and do not specify the detailed requirements. Again this may lead a future dispute between the hospital and vendor. Consequently implementation delay, and possibly failure.

3- As soon as implementation of software start in a hospital, users tends to start asking for modifications that may or may not be useful to their operations.

4- Hospital top management has always a view - How they want to run the business. End users have specific requirements that of more detailed and more concerned about their daily operations and needs. This deference in the point of views may create problems during implementation. Successful implementation of integrated HMIS needs full understanding of the end users of how integrated software work as one peace, and no need to repeat data entry or to duplicate the work of one department in another.

5- HMIS implementations always end up by asking the hospitals to look at the exciting operation cycles in every department of the hospital. HMIS do not translate the paper manual work into a computer operation. In short, Implementation of integrated MIS may lead to re-engineering of certain hospital functions and possibly the changing of jobs of certain staff.

6- It is equally important that hospital should have a steering committee from the hospital staff that is responsible about automation of the hospital and implementation of HMIS. This team should have full knowledge of the top management requirements and vision. Details of certain operations and function may need the approval of top management. This task team should have the authority and continues support of the top management. Steering committee has to work very close with members of the implementation team (Hospital Technical Staff).

7- Every hospital department should select a number of key staff, who will be responsible about the implementation of the HMIS in their department. Continuous coordination with the implementation team is vital for the success of implementation.

8- BHC has devised a methodology for implementation of OASIS in a hospital: Whether BHC accepts the term of reference document or if the hospital did not submit any specification documents, BHC will to perform the following tasks:

1- BHC will introduce OASIS to the hospital committee, and demonstrate its functionality.

2- BHC is prepared to discuss any modifications that may arise during these demonstrations.

3- BHC is prepared to do a full functional analysis for the hospital before any implementation startup.

4- BHC recommends that no customization should be don during the implementation. Requirements that are needed as a must, to go life should be don before implementation startup. Customization and modifications may need the addition of new tables and new forms, has to be decided upon and agreed about by the steering committee.

5- If Oasis is chosen to be implemented in the hospital, BHC will demonstrate the system functionality into two levels

A- At the project management level to confirm Oasis functionality and to decide on major issues that may need modifications, which has to be a must to go life, and has to be approved by the steering committee and top hospital management.

B- Detailed demonstration and detailed functionality with the relevant department key staff. Any further modifications, to go life have to be approved by the steering committee.

9- BHC is confident that most go life needs are available in Oasis, any detailed modification that the hospital wished to have could be discussed at later stage, and should not delay implementation. Steering committee and Top management approval is must for any modifications.

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