Project Proposal for Installing EMR in ISS Hospital

This project proposal outlines the plan for implementing an EMR system in ISS Hospital in Mbarara, Uganda. It discusses the background, rationale, goals, objectives, methods, and estimated timeframe for the project.

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PHE5ALS Action Learning Studies
Assessment Task 2
Project Proposal
Project for installing EMR in ISS Hospital
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Executive Summary
Uganda is a country that is played by various elements like HIV AIDS and various others that has
resulted in the increasing amounts of death rates in the country. it is a developing country
therefore the technical advancements that the healthcare organisations have been following
throughout the world is not followed well enough in these countries. However, the ISS hospital in
Mbarara, Uganda has been working with the people suffering from HIV AIDS since 1998, as
initiated by American doctor Larry Pepper. The technical advancements that healthcare
organisations have been using have made collecting of patient data and managing organisational
data as easy as it can be. This is resulted in this particular healthcare organisation in thinking about
having a project and initiated by collecting data throughout the country to find out the feasibility
of implementing technical advancements to the hospital. It has been thought about that an open
EMR system should be implemented within the healthcare organisation to manage patient and
organisational information in the most feasible way possible. The below project and research
proposal follows the implementation plan through all the aspects of devising the project plan and
making it successful by presenting it to the project stakeholders and getting approved by them.
This project plan is initiated only about thinking for the elements and the death rate in the
developing countries like Uganda.
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Table of Contents
Executive Summary..............................................................................................................................2
Introduction..........................................................................................................................................5
Background and Rationale...................................................................................................................6
Organisational Context.........................................................................................................................7
Project Goals and Objectives................................................................................................................8
Methods...............................................................................................................................................9
Estimated Timeframe.......................................................................................................................9
Data Collection and Analysis............................................................................................................9
Study Design...................................................................................................................................10
Data sources...................................................................................................................................10
Data collection Instruments...........................................................................................................10
Project Activities.............................................................................................................................10
Ethical Issues..................................................................................................................................11
Deliverables and Evaluation...............................................................................................................12
Key Stakeholders and Impact.............................................................................................................15
Budget and Resources........................................................................................................................16
Appendices.........................................................................................................................................17
1 Literature Review........................................................................................................................17
Introduction....................................................................................................................................17
Search terms...................................................................................................................................17
Key Findings....................................................................................................................................17
Gap in the Literature......................................................................................................................19
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2 Project Logic Model.....................................................................................................................20
3 Task List or Gantt chart................................................................................................................22
4 Stakeholder Management Plan...................................................................................................23
References..........................................................................................................................................24
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Introduction
The way that the world is transforming today, it can owe its transformation to the changing world
of technology and the advancements that the world of technology has been making with every
passing day. This has not only changed the way by which the business organizations perform but
also changes the ways by which the healthcare organizations operate as well. The healthcare
organizations are also adopting the technological advancements in their operations and have been
incorporating them to the operations of the organizations as well (Hassan, Sabiu, Ndom, Amina &
Ezekiel, 2018). Healthcare Institutions all over the world has been adapting the system, this is why,
it is important that the healthcare institute that still do not understand the requirement to
incorporate the technologically advanced systems in the organization. Uganda is a country that
serves as the epitome of the Bottom of the Pyramid or the BOP market. The health of the
population in Uganda is regarded as one of the primary deteriorating factor of the country. The
health rate in Uganda is gradually declining with the life expectancy rate in the country. This has
been found as much lower that any East African Country. On the other hand, the rate of child
death before they reach age five has also been at a rate of 5.5%, which are about 55 children dying
before the age of five amongst 100 others; however, the rate of birth has been ever rising (Ojo,
2017). This is why, ISS clinic understands the need to implement advanced technology such as the
EMR systems so that the infiltrating patient information could be managed in a much more
reliable and retrievable way. The below project proposal would form the foundation of the project
that would incorporate the introduction of the EMR systems in the ISS clinic in Mbarara, Uganda
that would clear the idea about the rationale of the project and the way by which the project
should be continued to understand the need of implementing the system within the healthcare
institute.
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Background and Rationale
Uganda is a country in East Africa that is plagued with several health issues with the population. It
is always a debatable issue about the health hazards in the country, as it is regarded as the Bottom
of the Pyramid or BOP market. The population in Uganda remains about 3.2 million but the huge
rates of deaths caused in the country affects the population in a huge way (Adedeji, Irinoye, Ikono
& Komolafe, 2018). The country is plagued with HIV/AIDS ailments and it was found that more
than 25% of the death rates are caused by the disease. This has resulted in finding out the cause to
the problems and fund reliefs against the ailments that cause the high death rates in Uganda.
There have been various funds raised by the government, such as the PERFAR or the President’s
Emergency Plan for AIDS Relief and the Global Fund to Fight AIDS, Tuberculosis, and Malaria. One
of the ideas of making the funds in Uganda be raised due to the increasing death rate has also
resulted into the funding of cost effective EMRs in the ISS hospital in Mbarara, Uganda (Funmilola
& Ozichi, 2015). For this particular reason, it is required that the approval from the stakeholders is
taken regarding this case so that they can understand the success probable behind the task.
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Organisational Context
The ISS clinic in Mbarara regional hospital has been developed in 1998 by American doctor Larry
Pepper ford focus in compassionate care to the HIV positive patients. The organization of ISS
hospitals was first found by an American Doctor called Larry Pepper in the month on November in
1998. He was a physician who used to work for the Baptist mission in Uganda and used to teach at
the Mbarara University Teaching Hospital. The hospital was considered as a teaching hospital for
the Faculty of Medicine in the Mbarara University of Science and Technology or MUST. The
hospital founded the Immune Suppression Syndrome or ISS Clinic that used to have a
compassionate atmosphere prepared for intensive care for the patients suffering from the ailment
of HIV/AIDS. Mbarara, the place where the hospital was established had the hospital set up in a
small complex within the hospital grounds. Dr. David Bangsberg was another American researcher
who had an invitation received for helping MUST for developing the pilot study for investigating
the treatment and the outcomes of them of the AIDS patient who were suffering from extreme
poverty. In response to that, Bangsberg received a huge emotional setback to find the plight of the
HIV AIDS patients there. There were ARVs available for the patients but they could not find it
affordable to implement in their treatment. This is why, he established FTF or Family Treatment
Fund in the year 2002, that would provide ARV free of cost to the patients in ISS clinic for the
patients who could not afford the treatment and are most likely to die in the next 12 months.
Another requirement was found to implement the open EMR systems to house all the patient data
that would infiltrate as a result of the facilities applied to them. This is why it was thought that the
open EMR systems would be installed within the systems to make sure that the implementation
plan makes the gathering of humongous amounts of patient data as easy as possible, given the
rise in patient number drastically over a few years (Anoje et al., 2017).
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Project Goals and Objectives
 To find out all the phases that the project would be implemented in the most appropriate
way possible.
 To formulate a proper financial project plan such that the stakeholders would not be
repelled by and easily provide financial help to the project system (Obotu & Ogezi, 2018)
 To set up a technical plan implementation that would pass the entire test conducted over
the small group of people and the test results would be passing feasibility of the project
and the result would be presented to the hospital management.
 To go through completing the project in the most effective and cost efficient way as
possible and to see that the implementation plan of the entire project is completed
feasibly.
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Methods
Estimated Timeframe
The estimated time frame for the project completion is thought to be comprising of 144 days
starting from the starting of the project to the requirements gathering phase, determination of
project plan, preparing and hiring of the resources, development of technical plan and
implementation, and the project closure phase (Owolabi, Evans & Ocholla, 2018).
Data Collection and Analysis
The data collection and analysis part would be dependent upon the application of the appropriate
methods for the utilisation of the research process that would help with the project to be
implemented. This should be followed through a particular state of methodologies impacting on
the finding of the detailed information regarding the study conducted before implementing the
project of EMR systems in the healthcare organisation called ISS in Mbarara, Uganda (Chaplin et
al., 2015). This should be followed through an appropriate method applied for the research
methodology that to determine tree help in gaining the information for the details about any
undertaking study ejected from the underlying facts. It is also necessary to make sure that all the
content of the entire process to conduct the research would be defined and described as for the
content of the methodology including the process. This needs to be done so that every person
who is going to the entire project implementation plan would not find any difficulty in following
the systematic approach. The chance of any formidable human error is also reduced to this
process. For the data collection part, there is a primary and secondary quantitative data collection
approach implemented in this particular research. The secondary quantitative data collection
process includes the literature review process. This is the way by which the previous researches
regarding implementation of EMR system in developing countries and their healthcare
organisation has been formulated by other researchers and analysts. This process would help in
finding out all the probable areas where the implementation plan should be focusing on as per the
research is already done by the previous analysis and authors (Ayanlade, 2018). For the primary
data collection process or primary quantitative data collection, it is required that a thorough
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survey is done to make sure that the people in Uganda are questioned to find out the problems in
the healthcare organisations in housing the increased rate of health problems in the country. The
hospital staff can be asked about the problems that they have been facing in acquiring all the
patient and organisational data since the number of ailments in Uganda has increased at an
alarming rate.
Study Design
The study design is to be formulated with and effective outcome of all the planning done for the
analysis of the data including the managed risks associated with the entire project plan and the
study design (Musa, 2016).
Data sources
The data sources in this case would be considered as the literature that has been reviewed
depending on the topic of implementation of EMR in the healthcare organisation in developing
countries and the people in Uganda who have been suffering from the elements including the
hospital staff (Anderson et al., 2019).
Data collection Instruments
The data collection instruments in this regard would be e the internet through which the data is to
be searched, Microsoft Excel through which the data collection regression analysis would be
completed and the instruments by which the data would be collected from the primary
quantitative process (Oreagba et al., 2019).
Project Activities
Requirement gathering
Determination of project plan and considering financial factors
Development of technical plan implementation
Project closure phase
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Ethical Issues
The following ethical aspects are being focused on for the probable outcome of the project:
 Merit and integrity: Merit and integrity is required for this project since the primary
solution to the problem would be through the accurate data collection process. Therefore
the entire process should make sure that the merit and integrity of data collection process
is evaluated throughout and maintained within the entire project (Abimbola, 2015). This
would make sure that the data collected through the EMR systems in the healthcare
organisation is accurate and can be used for further progress.
 Benefice: The benefits of the reward that is received in exchange for the services rendered
in this particular project is the recovery of the people in Uganda from ill health or HIV /
AIDS from which the organisation needs to be enabling helps to the people in Uganda can
reduce the death rates caused by HIV / AIDS (Saka, Oosthuizen & Nlooto, 2019).
 Justice: The ethical aspect of providing justice to the people for which the project is being
continued with is only for the people in Uganda who have been suffering from HIV / AIDS
and for which the death rate in Uganda has raised at an alarming rate. This is the reason
why the project has been made to be started in the first place (Ojo & Popoola, 2015).
 Respect: HIV AIDS is considered as an element that disrespects the dignity of the patients.
Therefore it is to be considered that the project is completed through the most discrete
way possible so that the people suffering from HIV AIDS would not be revealed about the
patient information to any of the people without permission even within the project team
(Gusen et al., 2016).
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Deliverables and Evaluation
S- Specific, significant, stretching
M- Measurable, meaningful, motivational
A- Agreed upon, attainable, achievable, acceptable, action-oriented
R- Realistic, relevant, reasonable, rewarding, results-oriented
T- time-based, time-bound, timely, tangible, trackable.
Deliverable Desired outcome Measurement Goal/Target
Requirement gathering This phase is conducted by the
completion of several factors like the
performance of the server, collection
of results, performing the situation
analysis, performing SWOT analysis
and completion of the planning.
This would be measured through the performing of
the SWOT analysis by which the action of
implementation of the project would be
determined.
The target is to find out all the
phases that the project would be
implemented in the most
appropriate way possible.
Determination of project plan and
considering financial factors
The determination of the project
plan and considering of the financial
factors is dependent upon the
consideration of the financial factors,
The determination of the project plan and
consideration of the financial factors would be
evaluated through the proper outcome of the
project plan and it would be passed by the
The target is to formulate a proper
financial project plan such that the
stakeholders would not be repelled
by and easily provide financial help
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understanding the gaps in health
facilities, the planning and the
alternative solutions, the designing
of the project plan, the presenting of
the project plan to the stakeholders,
approval of the project plan approval
of the financial plan and granting the
licence for the project (Chinecherem
et al., 2017).
stakeholders as well. to the project system
Development of technical plan
implementation
The development of the technical
plan implementation phase depends
upon the hardware and network
setup, the implementation of the
word stations, procuring the open
EMR technical setup, the designing
of the open EMR system, the testing
of the system within several
conditions, conducting test over a
small group of people, deriving the
test results, passing the result to the
hospital management, waiting for
the approval from the hospital
management, implementation of the
open EMR systems in the healthcare
organisation, and the training
program for the use of open EMR
system.
The development of the technical plan
implementation would be characterized by the
conduction of the test over a small group of people
that would become successful.
The target is to set up a technical
plan implementation that would
pass the entire test conducted over
the small group of people and the
test results would be passing
feasibility of the project and the
result would be presented to the
hospital management.
Project closure phase The project closure phase depends
upon the completion of the payment
procedures, designing of the
documentation and the project sign
off.
The measurement of the project closure face
would be dependent upon the outcome of the
project.
The project closure face would
have the target of completing the
project in the most effective and
cost efficient way as possible and
to see that the implementation
plan of the entire project is
completed feasibly.
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Key Stakeholders and Impact
Hospital Staff: The hospital staffs are among the key stakeholders that it would be impacted upon
by the outcomes of the project heavily. The implementation of the EMR systems in this
organisation would help the hospital staff in huge way they would be able to handle and manage
the patient data and organisational information all at a time in the most accurate to a possible.
People in Uganda/ Patients: The people in Uganda on the patients in Uganda are the ones that
would be the most impacted upon after the outcomes of the project. This could be due to the fact
that the outcomes of the project are mostly to make sure that the patients are the ones receiving
the best and of the project implementation plan (Gusen et al., 2016). It is for them that the project
is being implemented within the healthcare organisation to make sure that their lives are
considered as the priority in this project implementation plan.
Hospital Executives: The hospital executives are the internal stakeholders that would be necessary
to be considered as a primary stakeholder in this case. These are the people that would finance
the entire project plan and it is with their communication and project understanding that the
implementation plan would become successful. The impact on the people of Uganda is priority in
this case and this would be successful only if the hospital executive understand the outcome of
the project and provide necessary financial support to the project.
Project team: The project team are the ones who should be e implementing the entire plant
project starting from the strategic planning of the program to the closure of the implementation
plan. This is the idea behind the entire implementation plan that would be conducted by the
project team (Idoga, 2016). Any risks associated with the project would be handled by these
stakeholders and outcome of the project would also be analysed by the project team as well.
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Budget and Resources
Requirements Gathering Phase 19040
Determination of Project Plan and Budget 14880
Procuring and Hiring of Resources 27600
Development of Technical Plan and Implementation 96680
Project Closure Phase 14000
Total Cost for the project 172200
Total Cost for the project
(Figure 2: The Budget for the Project)
(Source: Created by author)
Year of Project
year 0 year1 year 2 year 3 year 4 year 5 TOTALS
Net economic benefit $0.00 $14,550.00 $14,550.00 $14,550.00 $14,550.00 $14,550.00
Discount Rate 8% 1 0.9259 0.8573 0.7938 0.7350 0.6806
PV Of Benefits $0.00 $13,472.22 $12,474.28 $11,550.26 $10,694.68 $9,902.49
NPV of all BENEFITS $0.00 $13,472.22 $25,946.50 $37,496.76 $48,191.45 $58,093.93 $1,83,200.86
One Time Costs $33,920.00
Recurring Costs $0.00 $200.00 $200.00 $200.00 $200.00 $200.00
Discount Rate 8% 1.0000 0.9259 0.8573 0.7938 0.7350 0.6806
PV Of Recurring Costs $0.00 $185.19 $171.47 $158.77 $147.01 $136.12
NPV Of All Costs $33,920.00 $34,105.19 $34,276.65 $34,435.42 $34,582.43 $34,718.54 $2,06,038.22
Overall NPV ($22,837.36)
Overall ROI = (Overall NPV / NPV Of All Costs -0.11
Break-Even Analysis
Yearly NPV Cash Flow $0.00 $13,287.04 $12,302.81 $11,391.49 $10,547.68 $9,766.37
Overall NPV Cash Flow $33,920.00 ($20,632.96) ($8,330.15) $3,061.34 $13,609.02 $23,375.39
Project break-even occurs between years 2 and 3
Use 1st year of positive cash flow to calculate break-even fraction 2.7313 years
(Figure 3: The Payback Period for the Project)
(Source: Created by author)
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The payback period, that is the time from which the hospital would be able to gain the Return of
Investment is 2.73 years.
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Appendices
1 Literature Review
Introduction
Literature review is identified as the analysis or the review of the articles that had been presented
before in the topic of implementing EMR systems in the healthcare industries. The researches that
have been presented for this topic by various authors and researchers would be presented in this
regard after review. This is done to acknowledge the various ways by which the constraints of the
report are acknowledged in the previous researches. The adoption of the technical advancements
in healthcare sectors and the ways by which different healthcare organizations understand the
need to utilize them to handle the organizational information is explained in the articles reviewed.
Following would be the key findings described in the report below, that would have the scenario
of the health of the population in Uganda described along with the healthcare industries and their
latest adoption of the healthcare systems to better formulate the two aspects in understanding
the implementation process and its utility.
Search terms
HIV therapy, Electronic medical records, Continuity of patient care User–computer interface,
Nigeria, Africa
Key Findings
According to author (), there is a huge transformation in the healthcare industry for which it has
been found that the healthcare industry has shifted itself to a data-driven organization. Nowadays,
it is considered as the primary driving factor of any organization, even for the healthcare
industries. The potential benefits are described in various papers with the utilization of the EMR
systems in the healthcare industry. This clearly specifies how the healthcare industry clarifies the
utility of the EMR technology implementation and how the utility of the system has made it much
easier for the industry to gain from every aspect from where a business expects its benefits. There
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has been a widespread adoption of the EMR systems amongst various healthcare organizations
and this clarifies that the organizations who are not adopting the systems in any other way have
suffered major problems regarding the implementation are handling of business information or
patient information. Electronic medical systems in the hospital of Uganda and its adoption within
the healthcare organisations I am not this challenging for the developed countries but also
essentially challenging for the developing countries. It has been reported that only 9% hospitals in
USA had installed the EMR systems. Therefore it is easier to understand that just not the
developing countries that faced challenges in acquiring the EMR systems within the healthcare
organisations where already a traditional system for managing patient data had existed, but there
are also problems in developed countries to do the same.
On the other hand the Republic of Uganda was declared as a landlocked country for East Africa
near the equator. The country shares its Northern border with that of Sudan and invests in shares
its border with democratic Republic of Congo. The east border of the country is shared with senior
where the southern border is shared with Rwanda, Tanzania. Therefore it is easily understandable
that the country is bordered with all developing countries that still need technological assistance
in various places. The health system in Uganda had been declared as a colonial health system that
mostly centred on hospitals after independence. Government ministry of health and government
public health system and declared that it was responsible for setting of the private and Public
health standards as well as the mobilizing resources. All the help district that have been
coordinated for the research is regarding the health of the population has been monitored for its
performance by both the public and private health care providers. Healthcare delivery in Uganda
mostly depends upon the private sector and it includes the non profit organisations, the non-profit
practices, the for-profit practices and the traditional healers. it is also been found that the facility
based on profit institutions, which are mostly faith based organisations account 40% of the
hospitals of Uganda.
On the other hand wonder has been found to be extremely challenging for the health situations
since the government of Uganda depend around antiretroviral through Drug Access initiative
Android joined United Nations program for HIV / AIDS. In 2010, Uganda had a generalized HIV
epidemic with an adult prevalence of 6.4%. The most common modes of transmission were sexual
(76% of new HIV infections) and mother-to-child (22% of new HIV infections). Women, urban
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residents, and people living in post-conflict northern Uganda were disproportionately affected by
HIV/AIDS.
They have been various instances of adopting the EMR system within an organisation focusing on
healthcare facilities. The clinic has been found to be tracking the inventory forecast for the
requirements needed for preventing stock outs. In various institutes for healthcare in Kenya has
been found to be partnering with registered organisations for installing EMR systems in the
developing settings within the healthcare organisations. The ISS clinic in Mbarara regional hospital
has been developed in 1998 by American doctor Larry Pepper ford focus in compassionate care to
the HIV positive patients. However within a span of a few years, the number of HIV positive
patients had gradually increased at an exponentially huge level. Within a few years, the hospital
went from having 1,000 patients to 10000 patients receiving comprehensive HIV care overnight.
This is why it is quite understandable why these hospitals in the developing countries with such
dire necessity require being installed with EMR systems as soon as it can be implemented.
Gap in the Literature
The gap in the literature is the way by which the researchers have failed to address few factors
behind the causes and effects of the topic during their researches. in all the probable researchers
that have been gone through in this particular literature review portion speaks a lot about the
problems that the developing countries have been facing due to the higher amount of death rates
and low technological facilities available. how many of the research papers only talks about the
problems and does not present the solution to the problem that can be solve with the
implementation of the technological advancements that healthcare organisations have made in
other developed countries. The research paper legs the Thora details in finding out the problems
in the countries that the researchers have been based on and what solutions they would need in
order to curb all the problems that the healthcare institutions face.
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2 Project Logic Model
Optional Vertical Project Logic template
Project Elements Assumptions Risks Mitigation
Strategies
Stakeholders Resourc
Outcome
(describe briefly) 
The desired
outcome
addresses the
problem
If the outcome doesn’t match the problem then the strategy or method needs to be revise

Appropriate
EMR systems
are to be
installed within
the ISS hospital
in Mbarara,
Uganda

The technology
and the
probability of
them being
synchronizing to
the Uganda
atmosphere is less
  
Deliverable(s)
(describe briefly)
 
Technological
synchronization
needs to be
checked
  
 Regression
Method to find
out the analysis
for the
collected data
   
Analysis method
(describe briefly)
    
 Primary or
secondary data
collection
process
   
Collection method
(describe briefly)
    
 Researchers    
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and AnalystsParticipants
(describe briefly)
    
 Problem faced
due to the
scarcity of
technological
supports is
analysing the
acquired data
   
What is the
problem?
(describe briefly)
    
   
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3 Task List or Gantt chart
(Figure 1: The Gantt chart for the Project)
(Source: Created by author)
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ID Outline
Number
Task
Mode
Task Name Duration Start Finish
0 0 Implementation of OpenEMR System144 days Fri 12-04-19Wed 30-10-19
1 1 Start Project 1 day Fri 12-04-19 Fri 12-04-19
2 2 Requirements
Gathering Phase
10 days Mon
15-04-19
Fri 26-04-19
3 2.1 Performing of survey4 days Mon 15-04-19Thu 18-04-19
4 2.2 Collection of results 2 days Fri 19-04-19 Mon 22-04-19
5 2.3 Performing
situation analysis
6 days Fri 19-04-19 Fri 26-04-19
6 2.4 Performing SWOT
analysis
5 days Fri 19-04-19 Thu 25-04-19
7 2.5 Completion of the
phase
0 days Thu 25-04-19Thu 25-04-19
8 3 Determination of
Project Plan and
Budget
16 days Fri 26-04-19 Fri 17-05-19
9 3.1 Considering the
financial factors
4 days Mon
29-04-19
Thu 02-05-19
10 3.2 Understanding gaps
in health facilities
2 days Fri 26-04-19 Mon 29-04-19
11 3.3 Planning of
alternatives and
solutions
2 days Fri 03-05-19 Mon 06-05-19
12 3.4 Designing a project
plan
6 days Tue 07-05-19Tue 14-05-19
13 3.5 Presenting the
project plan to the
stakeholders
1 day Wed
15-05-19
Wed 15-05-19
14 3.6 Approval of the
Project Plan
0 days Wed
15-05-19
Wed 15-05-19
15 3.7 Approval of the
Financial Plan
0 days Wed
15-05-19
Wed 15-05-19
16 3.8 Grant of License for
the project
2 days Thu 16-05-19Fri 17-05-19
17 3.9 Completion of the
phase
0 days Fri 17-05-19 Fri 17-05-19
18 4 Procuring and Hiring of
Resources
18 days Mon
20-05-19
Wed 12-06-19
19 4.1 Hiring a Technical Team6 days Mon 20-05-19Mon 27-05-19
20 4.2 Designing a
resource
procurement plan
5 days Tue 28-05-19Mon 03-06-19
21 4.3 Procuring of
resources for the
project
7 days Tue 04-06-19Wed 12-06-19
22 4.4 Completion of the
phase
0 days Wed
12-06-19
Wed 12-06-19
23 5 Development of
Technical Plan and
Implementation
83 days Thu 13-06-19Mon 07-10-19
24 5.1 Hardware and
Network Setup
12 days Thu 13-06-19Fri 28-06-19
25 5.2 Implementation of
Workstations
7 days Mon
01-07-19
Tue 09-07-19
26 5.3 Procuring the
OpenEMR Technical
Setup
5 days Mon
01-07-19
Fri 05-07-19
27 5.4 Designing the
OpenEMR System
23 days Wed
10-07-19
Fri 09-08-19
28 5.5 Testing the system
within several
conditions
13 days Mon
12-08-19
Wed 28-08-19
29 5.6 Conducting tests
over a small group
of people
8 days Mon
12-08-19
Wed 21-08-19
30 5.7 Deriving the test results4 days Thu 29-08-19Tue 03-09-19
31 5.8 Passing the results
to the hospital
management
system
2 days Wed
04-09-19
Thu 05-09-19
32 5.9 Waiting for approval
from the Hospital
Management
System
0 days Thu 05-09-19Thu 05-09-19
33 5.10 Implementation of
OpenEMR systems
at ISS CLINIC
7 days Fri 06-09-19 Mon 16-09-19
34 5.11 Training Program for
the use of OpenEMR
system
15 days Tue 17-09-19Mon 07-10-19
35 5.12 Completion of the
phase
0 days Mon
07-10-19
Mon 07-10-19
36 6 Project Closure Phase 17 days Tue 08-10-19Wed 30-10-19
37 6.1 Completion of
payment
procedures to the
technical team
2 days Tue 08-10-19Wed 09-10-19
38 6.2 Desiging of the
entire
documentation
13 days Thu 10-10-19Mon 28-10-19
39 6.3 Project Sign-off phase2 days Tue 29-10-19Wed 30-10-19
40 6.4 Completion of the
phase
0 days Wed
30-10-19
Wed 30-10-19
41 7 End Project 0 days Wed 30-10-19Wed 30-10-19
Hospital Administration,Project Manager
Project Manager
Project Manager
Project Manager
25-04
Project Sponsor
Project Manager
Project Manager
Subject Matter Expert
15-05
15-05
17-05
Project Manager,Technical Team
Project Manager,Project Sponsor
12-06
Technical Team,Hardware and Network Setup[1]
Workstations[1]
Technical Team
Technical Team
Technical Team
Technical Team
05-09
Customization[1],Software License[1],Technical Team
Training
07-10
Project Sponsor
Subject Matter Expert
30-10
30-10
W S T F M T S W S T F M T S W S T F M T S W S T F M T S W S T F M T S W S T F M T S W S T F M T S W S T F M T S W S T F M T S W S T F M T S
08 Apr '19 15 Apr '19 22 Apr '19 29 Apr '19 06 May '19 13 May '19 20 May '19 27 May '19 03 Jun '19 10 Jun '19 17 Jun '19 24 Jun '19 01 Jul '19 08 Jul '19 15 Jul '19 22 Jul '19 29 Jul '19 05 Aug '19 12 Aug '19 19 Aug '19 26 Aug '19 02 Sep '19 09 Sep '19 16 Sep '19 23 Sep '19 30 Sep '19 07 Oct '19 14 Oct '19 21 Oct '19 28 Oct '19 04 Nov '19

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4 Stakeholder Management Plan
STAKEHO
LDER
INTERNAL
/
EXTERNAL
INTEREST EFFECT POWER LIKELIHOOD CAPACIT
Y FOR
CHANG
E?
NEEDS FREQUENCY COMMUNICATION
STRATEGY
HOSPITAL
STAFF
External Medium Medium Low Medium Yes Better
systems
Medium Through periodical
meeting over face to
face
PEOPLE IN
UGANDA/
PATIENTS
External High High High High No Better
facilities
High Face to face meetings
for collection of data
HOSPITAL
EXECUTIVE
S
Internal High Low Medium High Yes Cost
efficient
impleme
ntation
Low Periodical face to face
meetings and regular
updates through
emails and verbal
communications
PROJECT
TEAM
Internal High High High High Yes Cost
effective
plan with
appropria
te
outcome
of the
impleme
ntation
of the
EMR
system.
High Periodical face to face
meetings and regular
updates through
emails and verbal
communications
Page 24 of 28

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Page 28 of 28