Browsing by Author "Sarathchandra, K."

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Evaluating Digital Health System’s Success of Public sector Hospitals in Sri Lanka
(International Postgraduate Research Conference 2019, Faculty of Graduate Studies, University of Kelaniya, Sri Lanka, 2019) Sarathchandra, K.
The use of Information and Communication Technology (ICT) in the health care sector offers great potential for improving the quality of services provided, the efficiency and effectiveness of health personnel, and organizational cost reduction. Thus, digital health has been a priority for the World Health Organization (WHO). The majority of developed and developing countries report having national digital health initiatives and their digital health budgets continue to rise. Despite large investments made by countries, the magnitude of evidence of success is not proportionate thus, the evaluation of digital health interventions after implementation is critical to ensure perceived benefits, reduce potential negative effects and provide decision-makers with accurate information for improvements and future planning. The purpose of this paper is to focus on digital health success in Sri Lankan public sector hospitals. This study aimed to understand the evidence of success and study different models to select the best model to evaluate digital health success. The qualitative research was carried out and 15 primary users of digital health projects in Sri Lanka are interviewed to understand their perceived benefits and success. The purposive sampling technique was used to select experts in current digital health projects. A systematic literature review was conducted to explore the Information Systems' success models, usage in other countries and applicability to digital health. The empirical study findings show that digital health implementation in public sector hospitals in Sri Lanka has made significant progress in establishing digital health policy, national guidelines, administrative structures, heavy investments. Existing research findings show that user acceptance and system usage has positive results. However, the perceived benefits are not adequately evaluated and this study reveals that primary users have mixed opinions on success. They suggest a scientific evaluation to prove the level of success. The systematic literature survey results show Delone & McLean’s Information Systems success model as the most comprehensive and preferred model out of many other models. This model has been adapted to suit the digital health evaluation in different contexts adding new dimensions apart from seven original dimensions: Information Quality, System Quality, Service Quality, Use, Intention to Use, User satisfaction, and net benefits. Leadership has been recognized as one of the key driving forces to success in Sri Lankan digital health thus, Delone & McLean’s Information Systems success model together with the Leadership dimension could reveal the success level and these results significantly contribute to digital health transformations
Improving downstream logistics performance in Sri Lankan agricultural supply chain through collaborative digital logistics
(Research Symposium on Pure and Applied Sciences, 2018 Faculty of Science, University of Kelaniya, Sri Lanka, 2018) Sarathchandra, K.; Vidanagamachchi, K.
Global agricultural production is barely sufficient to appease the hunger of the world population. Greater part of agricultural production gets spoiled on the way to the consumer. As a consequence, agricultural logistics has gained much consideration in order to ensure that the agricultural products reach the consumer with better quality. Nowadays consumers are demanding more on the food quality and the sustainability, hence the necessity of redesigning agricultural supply chain networks and implementing best practices in place is emphasized. Thus having properly managed storage facilities and vehicles, real time access to information regarding demand, supply, weather conditions and price fluctuations, proper handling of surplus and value addition is crucial. Consequently, reengineering the agricultural processes by deploying information technology has emerged. Although the use of sophisticated new digital technologies in logistics is important to enhance the performance, it is difficult for small farmers, retailers, wholesalers, etc., to invest on these new-fangled technologies. It’s proven that collaboration is a strategic decision which aids in superior supply chain performance and is a key to achieve logistical excellence. Accordingly, this study focuses on the effect of supply chain collaboration in implementing digital logistics in less sophisticated supply chains such as Sri Lankan agricultural supply chain in order to achieve high downstream logistics performance. In relation to the results of this scrutiny, digitized logistics in Sri Lankan agricultural supply chain is in the elementary stage and inadequate knowledge, skills and investments are the major restrictions for technology adoption. The methodology adopted in this research was mixed method approach which involved data collection through questionnaire surveys using stake holders of agricultural supply chain and semi-structured interviews. Quantitative analysis was conducted to discover the relationship between variables and was done through regression analysis using SPSS software and qualitative analysis was done to identify the factors affecting collaborative digital logistics and the downstream logistics performance of agricultural supply chains through thematic analysis. The study suggests to align consumer and stakeholder expectations through collaborative digitization in order to improve agricultural downstream logistics performance. The decision model and the heuristics presented through this paper will help the agricultural supply chain stakeholders in digitizing their logistics to meet consumer expectations and to maximize their profits.
Investigation of Electronic Medical Records System’s Perceived Success in Public Sector Hospitals in Sri Lanka
(Faculty of Commerce and Management Studies University of Kelaniya, Sri Lanka, 2020) Sarathchandra, K.; Razi, M. J. M.; Surangi, H. A. K. N. S
The backbone of any digital health system is the Electronic Medical Record (EMR) system which is a digitized medical record as an alternative to physical (manual) medical records. EMR can provide quick access to patients' accurate, up-to-date and complete information for efficient diagnosis reducing medical errors and providing safer care. Health administrators are able to make better decisions and manage health care facilities based on EMR data. Hence, EMR contributes in providing effective, cost-efficient, safe, and scalable health care delivery systems in a country enabling a healthy nation. Determining the success of an EMR system is an ongoing area of research since its implications are of interest for researchers and health administrators. The investigation of EMR is the process of systematically assessing the impact, value and benefits to decide the success of the implementation. There are diverse perspectives, approaches and measures used in both research and practice in EMR investigations. This concept paper presents the literature on factors that influence the success of EMR. This research uses the mixed method. The first phase is a quantitative study using stratified samples of clinical staff from EMR implemented public sector hospitals. The second phase is a qualitative research to extend and develop the understanding of findings from other users’ perspectives. This research fills an important research gap and contributes to understanding the level of perceived success of the EMR system in public sector hospitals and revealing the most significant success factors. These findings could be used for future EMR investments and maximizing the EMR success.
Model to Measure EMR Success in Public Sector Hospitals in Sri Lanka: A Literature Review
(Faculty of Commerce and Management Studies, University of Kelaniya, 2021) Sarathchandra, K.; Razi, M.J.M.; Surangi, H.A.K.N.S.
Electronic Medical Record (EMR) is an electronic document with patient’s clinical data which provides the capacity to improve clinical outcomes (improved quality of services, reduce medical errors, support diagnosis, predict disease patterns), organizational outcomes (financial and operational efficiency, better management of health services) and societal outcomes (improved population health, reduce cost of health). The EMR implementations have been growing in developed and developing countries in last two decades however, the success of these systems is debated. The adaptation of the new technologies in the public health sector has proven slow or failed due to complexity involved in technology, process, and people factors hence the intended objectives are not often achieved. The empirical research evidence in Sri Lanka is limited to prove the success therefore, the objective of this research is to measure the success level and identify the success factors of the main EMR system implemented in public sector hospitals in Sri Lanka: Hospital Health Information Management System (HHIMS). This paper intends to present literature survey findings in selecting an appropriate conceptual model to measure the EMR success. The adapted DeLone and McLean model is selected as the most suitable model due to the nature and the context of this research. The proposed model includes two new success factors: Change champion and Change Management Process and excludes user satisfaction mediating factor. This research findings contributes to the theory of information systems evaluation.