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Actionability of Health Management Information Systems Data within Private Hospitals in Kenya

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dc.contributor.author Njoroge, Michael Ng’ang’a
dc.date.accessioned 2018-10-24T09:17:34Z
dc.date.available 2018-10-24T09:17:34Z
dc.date.issued 2018
dc.identifier.uri http://erepo.usiu.ac.ke/11732/4057
dc.description A Research Project Report Submitted to the Chandaria School of Business in Partial Fulfilment of the Requirement for the Degree of Masters in Business Administration (MBA) en_US
dc.description.abstract The purpose of this study was to establish the relationship between utilization of Hospital Management Information System and operational decisions within private hospitals in Nairobi, Kenya. This study had three specific research questions. That is to establish the relationship between HMIS utilization and operational financial decisions. Secondly, to establish the relationship between HMIS utilization and operational procurement decisions and finally to establish the relationship between HMIS utilization and human resources operational decisions in private healthcare organisations in Nairobi, Kenya. The study conducted was a descriptive cross-sectional quantitative study utilising the survey technique. The intended population of this study were healthcare personnel in finance, human resource and procurement departments working within private facilities in Nairobi County. The facilities of interest were level 3 and above health facilities with hospital beds as categorised by the Kenya ministry of health. These facilities total 155 in Nairobi County. Sampling for the study was done via the random stratified sampling technique with stratification from the sampling frame based on bed capacity i.e. more than 50 beds and less than 50 beds. The sampled facilities totalled 31. The sample size targeted from these facilities was 62. A five point likert scaled questionnaire was used as the data collection tool. The data was collected over a two week period using both email and pick and drop research procedure with the help of two assistants. Study findings on the relationship between HMIS utilization and financial decisions revealed a weak but positive correlation between the two. Regression for this relationship was done which revealed a positive but not statistically significant relationship between HMIS utilization and financial decisions. In regards to the relationship between HMIS utilization and staffing decisions, the correlation analysis was the strongest of the three predictor variables at p<0.01 which is statistically significant. Regression analysis of this association was conducted with a resultant coefficient revealing a positive and statistically significant relationship between HMIS utilization and staffing decisions. Findings on the relationship between HMIS utilization and procurement decisions found no correlation between HMIS utilization and procurement. Regression analysis for this relationship confirmed this finding. This study concludes that the staffing decisions of performance appraisal, new recruitment and staff scheduling are strongly associated with HMIS utilization in healthcare organizations in private hospitals in Nairobi Kenya. The study finds no demonstrated association between the operational procurement decisions and HMIS utilization in private healthcare organisations in Nairobi Kenya. This study did not find any correlation between the financial functions of financial reporting, improving patient cash collections and claim adjudication with HMIS utilization. From the study findings and discussions, the authors make the following recommendations. One, that the continued development of HMIS systems that incorporate financial modules will drive HMIS utilization in healthcare organizations. Two, that hospital information system design should incorporate more staffing related functionalities as this will drive HMIS utilization further and impact on human resource organisational decisions. This impact on decisions relates to the quality and promptness of decision making taking into consideration the human resource elements of organizational complement, contingent workforce available and skills available for specific responsibilities to be carried out effectively. Three, a strategic push by healthcare providers and healthcare suppliers towards developing a framework that will guide the process of systems integration will provide both parties with opportunities to reap the benefits of e- procurement. en_US
dc.language.iso en en_US
dc.publisher United States International University - Africa en_US
dc.subject Health Management Information Systems en_US
dc.subject Data en_US
dc.subject Private Hospitals en_US
dc.subject Kenya en_US
dc.title Actionability of Health Management Information Systems Data within Private Hospitals in Kenya en_US
dc.type Thesis en_US


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