APPENDIX A

ENDORSEMENT LETTER
 APPENDIX B

TRANSCRIPT OF INTERVIEW
APPENDIX C

GANTT CHART
 APPENDIX D

COMPANY SURVEY BLANK FORM

 APPENDIX E

SYSTEM TESTING TOOLS

 APPENDIX F

SOFTWARE EVALUATION TOOLS

 SOFTWARE EVALUATION
(Included in Chapter 4 Result)

Evaluator: 2 from outside + 2 from IT faculty + Doc Nicky

In a scale of 1 to 3 kindly evaluate the system accordingly to the following criteria on software quality. Place a check (√) in the box
that corresponds to your score.
3 - NO Revision - Satisfactory
2 - MINOR Revision - Poor
1 - MAJOR Revision - Needs Improvement

= 3 2 1
I. FUNCTIONALITY
Remark(s)
 Laboratory Module
 Settings Module
 Patient Information
 Patient Information Report
 Patient Department
 Laboratory Report
 Security
3 2 1
II. GRAPHICAL USER INTERFACE
Remark(s)
 Laboratory Module
 Settings Module
 Patient Information
 Patient Information Report
 Patient Department
 Laboratory Report
 Security
3 2 1
III. RELIABLITY
Remark(s)
 Laboratory Module
 Settings Module
 Patient Information
 Patient Information Report
 Patient Department
 Laboratory Report
 Security
3 2 1
IV. DATA SECURITY
Remark(s)
 Laboratory Module
 Settings Module
 Patient Information
 Patient Information Report
 Patient Department
 Laboratory Report
 Security
3 2 1
V. NETWORK ARCHITECTURE
Remark(s)
3 2 1
VI. PORTABILITY
Remark(s)

Evaluated by:

_______________________
Signature over Printed Name
Date: __________________
 APPENDIX G

USER ACCEPTANCE TOOLS

 SYSTEM USER ACCEPTANCE
(Included in Chapter 4)

System User: 3 from the Company + 2 from the IDSC faculty

Name of Project: Josefina Belmonte Duran Memorial District Hospital Management Information System
Project Duration: 8 Months__________________
Date Started: _________________________
Date Completion: _________________________

Kindly evaluate the system according to its functionality and performance with the following categories:
Where:

5-E - Excellent
4-VG - Very Good
3-S - Satisfactory
2-A - Average
1-NI - Needs Improvement

Please mark circle where applicable.

E VG S A NI
1. Ease of Use/Customer Fit

 Ease of Use in the designed display screen 5 4 3 2 1

 Customer fit to the use of User Interface 5 4 3 2 1
 Is help menus available 5 4 3 2 1
 Does it perform all required tasks in the Interface 5 4 3 2 1

2. Performance Efficiency

 Does it has an efficient and fast response time 5 4 3 2 1

 Does it has an Efficient Input 5 4 3 2 1
 Does it has an Efficient Transactional Process 5 4 3 2 1
 Does it has a Report Output 5 4 3 2 1
 Does it has an Efficient Storage of data 5 4 3 2 1
3. Performance Effectiveness

 It is easy to implement 5 4 3 2 1
 Log control and User Privileges (Add, Edit, Delete,
View/Brows – Buttons behavior) accurately applied 5 4 3 2 1
 Working Network environment for Client/Server 5 4 3 2 1
 Database Controlled by the System Administrator 5 4 3 2
1

Remarks: Please Check for the Acceptance

Excellent

Very Good

Satisfactory

Average

Needs Improvement
_____________________
Signature over Printed Name
Company Name/Dept.: ________________________________________________________________
Position: _____________________
Date: _____________________

APPENDIX H

PERCEPTIVE SURVEY BLANK FORM

 SURVEY QUESTIONNAIRE

HOSPITAL MANAGEMENT INFORMATION SYSTEM

PART I

Please answer by filling the blanks with the needed information.

Name: _________________________ (Optional)

Age: __________

Sex: [ ] Male [ ] Female

PART II

Please put a check and indicate your rating on each item using the following scale:

Legend: 5 – Outstanding 4 – Very Satisfactory 3 – Satisfactory 4 – Unsatisfactory 5 – Poor

INDICATORS 5 4 3 2 1
1. Current services of the hospital.
2. Do you want to improve the current
services of the hospital?
3. Ease of admission.
4. Current process when taking laboratory test.
5. Do you want to improve the current process
when taking laboratory test?
6. Current process when making payments.
7. Do you want to improve the current process
when paying?
8. Need of a website to check doctor schedules
and patient information.
9. Can access patient diagnosis online.
10. Can an automated system make processes in
the hospital faster and give patients ease?

_____________________
Signature
 APPENDIX I

BUDGET REQUIREMENT
 BUDGET REQUIREMENTS

Cost of Operational Expenditures for 8 Months Development

Recurring Monthly Expenses

A. Developers Fee

Position No. of Status (Part-time/ Monthly 8 Months

Students Fulltime) Salary Salaries

Programmer 1 F 5,000.00 40,000.00

System Analyst 1 F 4,000.00 32,000.00
Total: 72,000.00
Breakdown of Development Cost per Module & Sub-Modules (Metric) based on the Php 72,000.00
Developers Fee:

Module Name Sub-Module (Functional Verify/Validated) Charges

Patient Information Add patient information 14,000.00

View patient information
Patient information Report Print patient information 3,000.00
Patient Department Add patient Department 2,000.00
View patient Department
Add X-ray result
Laboratory Add Urinalysis result 15,000.00
Add Fecalysis result
Add Clinical Chemistry Result
Image conversion Convert X-ray Result 3,000.00
Laboratory Report Print patient laboratory result 3,000.00
Security Login 5,000.00
View Accounts
Add doctors account
Settings Add nurse account 15,500.00
Add doctors schedule
Edit accounts data
Total: 60,500.00
B. Supplies

Supplies Price Unit of Measure Quantity Total

Short Bond Paper Rm 2
Long Bond Paper Rm 1
Ball pen Pc 1
Pencil Pc 3
Sharpener Pc 1
Eraser Pc 2
Ink (Black) Bottle 5
Ink (Colored) Bottle 6
Total 5,794.25
C. Utilities Expense

Electricity Kilowatts/Hour Monthly 8 Months

Consume
APEC 60 600 4,800.00
Includes:
Type Unit Quantity Wattage
Laptop Pcs 2 45
Printer Pcs 1 50
WIFI () Pcs 1 20
Switch Pcs 1 24

Type Monthly 8 Months

Internet Connection 1,299.00 10,392.00
(Provider)
Total 10,392.00
Infrastructure Investment

A. Hardware

Type Price/Unit Unit of Quantity Total

Measure
Wi-Fi Device (Modem) 1,500.00 Pc 1 1,500.00
Switch 1,500.00 Pc 1 1,500.00
PC unit 16,000.00 Pc 2 32,000.00
Total 35,000.00
B. Network

Type Price/Unit Unit of Quantity Total

Measure
Network Bandwidth 9,000.00 Set-up 1 9,000.00
(Installation)
Total: 9,000.00
C. Software

Software Price/Unit Unit of Measure Quantity Total

VB.NET 2008 edition 4,000.00 User 1 4,000.00
Operating System (Windows 3,000.00 User 1 3,000.00
7)
Software Application (MS 1,590.00 User 1 1,590.00
Office 2016)
Total: 8,590.00

Total Developer’s Fee 72,000.00

Total Supplies Cost 5,794.25
Total Utilities (Electricity & 15,192.00
Internet Connection) Cost
8 MONTHS PROJECT
DEVELOPMENT Total Infrastructure Cost 52,590.00
(Hardware, Network
Bandwidth & Software)
 Total Cost: 145,576.00
OPERATIONAL COST OF EXISTING SYSTEM (1st YEAR)

A. Salaries and Wages

Employee Monthly Quantity Working Salaries in 1st

Salaries months Year
Nurse 20,000.00 3 12 720,000.00
Doctor 50,000.00 1 12 600,000.00
Total 1,320,000.00
B. Utilities

Monthly (approx.) Working months 1st Year

electricity 3,000.00 12 36,000.00
Total 36,000.00
C. Supplies

Supplies Description Price/Unit Unit of Quantity 1st Year

measure
Tape dispenser 170 Pc 2 340.00
Correction tape 650 Pc 3 1,950.00
Short bond paper Substance 20 259 Rm 2 518.00
Long bond paper Substance 20 374 Rm 3 1,122.00
Tape 50 Pc 4 200.00
Staple wire No. 10 65 Box 3 195.00
Stapler 357.5 Pc 5 1,787.50
Staple wire No. 35 70 Box 10 700.00
Folder Long 5 Pc 50 250.00
Folder Short 4 Pc 100 400.00
fastener 100 Box 5 500.00
Scissors 55.5 Pc 5 277.50
Puncher 216 Pc 3 648.00
Paperclip Small 30.5 Box 6 183.00
Paperclip Big 34 Box 3 102.00
Ball pen 230 Box 4 920.00
Pencil 110.75 Box 5 553.75
Ink (black) 450.25 Bottle 7 3,151.75
Ink (colored) 1 set 475 Bottle 4 1,900.00
Total: 15,689.50
D. Hardware/Software (1st Year)

Description Previous value Depreciated value Present Value

Software MS Office 8,590.00 8,590.00
Hardware Computer, 2 sets, 32,000.00 3,000.00 27,000.00
Php 16,000.00
each
Total 40,590.00 3,000.00 37,390.00
Total Budget Requirement of Existing System in a Year
Price Unit
Salaries and Wages 1,320,000.00
Hardware (Depreciated – existing) / Software 37,390.00
Electricity (Utilities) 36,000.00
Supplies 15,689.50
Total 1,409,079.50

COST BENEFIT ANALYSIS

Cost of Operation Expenditures for 3 Years Plan

Annual Operational Cost of Existing System

Type 1st year 2nd year 3rd Year
Salaries and Wages 1,320,000.00 1,225,000.00 1,225,000.00
Utilities (Electricity) 36,000.00 12,792.00 12,792.00
(Electricity w/ internet (Electricity w/ internet
Subscription) Subscription)
Supplies 15,689.50 5,794.25 5,794.25
Hardware/Software 37,390.00 0.00 0.00
Total Annual Operating 1,409,079.50 1,243,586.25 1,243,586.25
Cost

Annual Operational Cost of Proposed System

(8 Months Development)

Type 8 months
Total Developer’s Fee 72,000.00
Total Supplies Cost 5,794.25
Total Utilities Cost (Electricity & Internet Connection) 15,192.00
Total Infrastructure Cost (Hardware, Network 52,590.00
Bandwidth & Software)
Total Cost: 145,576.00
 APPENDIX J

COMPUTATIONAL BREAKDOWN (CBA, ROI AND PP)

 COMPUTATIONAL BREAKDOWN

(Cost Benefit Analysis (CBA), Return of Investment (ROI), and Payback)

Annual Benefit = Total Annual Operating Cost (Existing) – Total Annual Operating Cost (Proposed)

Annual Benefit 1st Year 2nd Year 3rd Year

1,257,503.50 1,092,010.25 1,092,010.25

Investment Cost
Utilities Cost (Electricity, Internet Connection) 15,192.00
Supplies Cost 5,794.25
Total Infrastructure Cost (Hardware, Network Bandwidth & 42,590.00
Software)
System Development Cost (Developer’s Fee) 72,000.00
Total Cost: 135,576.25

Net Benefit = Annual Benefit – Total Investment Cost

Net Benefit 1st Year 2nd Year 3rd Year

853,536.00 956,434.00 956,434.00

Return of Investment = (Total Annual Cost – Total Development Cost)/Total System Development
Cost
X 100
Return of Investment 1st Year 2nd Year 3rd Year

1,959.51 1,461.87 1,461.87

SUMMARY
st
Project Development 1 Year 2nd Year 3rd Year
Existing Cost 1,409,079.50 1,243,586.25 1,243,586.25
Proposed System Cost 145,576.00
ROI 1,959.51%
Payback Period 1.0 year
 APPENDIX K

PICTURES DURING SURVEY AND INTERVIEW

 PICTURE DURING INTERVIEW WITH ADMIN CHIEF CAROLINA V. OPIDA

 PICTURE DURING DISTRIBUTION OF SURVEY QUESTIONNAIRE

 FRONT PICTURE OF THE COMPANY (JBDMDH)
 APPENDIX L

PICTURES DURING PERCEPTIVE SURVEY

 PICTURES DURING DISTRIBUTION OF PERCEPTIVE SURVEY FORMS
 APPENDIX M

GRAMMARIAN CERTIFICATE
 APPENDIX N

STATISTICIAN CERTIFICATE
APPENDIX O

FLOOR PLAN