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Agile Sof t ware Development of Clinical Healthcare Management Information

System for Public Health

Article  in  International Journal of Engineering and Advanced Technology · February 2022

DOI: 10.35940/ijeat.E2640.0211322

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Ronel J. Bilog Marc Lester Fandialan Quintana

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 International Journal of Engineering and Advanced Technology (IJEAT)
ISSN: 2249-8958 (Online), Volume-11 Issue-3, February 2022

Agile Software Development of Clinical

Healthcare Management Information System
for Public Health
Ronel J. Bilog, Marc Lester F. Quintana

Abstract: Organization should manage information just as like prenatal checkup, expanded program on immunization,
as it manages its other resources correctly to fully maximize the deworming, reproductive health concerns, tuberculosis
usefulness of information especially in the field of healthcare. The prevention and control, dental services, rabies control even
use of software model to create information systems made it up to providing laboratory services to its citizens. There are
possible. To support the healthcare of the community, the manually recorded patients’ medical records in papers and
appearance of Rural Health Unit is much needed. This study will kept in folders and filing cabinets. RHU with its mandate to
discuss the problems encountered by the health professionals and
health workers of Rural Health Unit in the Province of Alaminos,
provide basic health care access for the public needs to
Laguna on the existing manual processes of storing and retrieving perform other activities such a retrieval of information from
of patients’ data that are mainly used in assessing the public clients and patients, accuracy in data gathering and data
health of the community. With this situation, the researchers processing in order for maximize the allocated resources that
developed a Clinical Healthcare Management Information System are done by hand that are mainly used in assessing the public
for public health. This paper will also focus on the development of health of the community and budget allotment in medicines
the system using Agile model and evaluation adapted from ISO supported by the municipal government. Healthcare
25010 to test its effectiveness. Professionals and Barangay Health Workers (BHW) are
Keywords: Agile Software Model, ISO Evaluation, Management involved in handling information from patients/clients.
Information System, Public Health, Rural Health Unit. Information management, data accuracy, allocation of
resources and timely execution of processes normally done
I. INTRODUCTION manually, keeping records in papers and filing cabinets are
facing these difficulties. To give assistance to the public
Technology is considered to be the driving force behind healthcare of the Municipality of Alaminos, the Clinical
Healthcare Information Management System (CHIMS) was
improvements in healthcare. Technology plays an integral
role in the community healthcare setting for a better health developed. It has a main feature to centralize all barangay
sustenance of the community. Quality of care delivered to health units’ databases in the Municipality of Alaminos
patients from healthcare professionals is highly dependent on administered by the Rural Health Unit. Medical professionals
technological advancement and innovations [1]. At present and the staff can store and retrieve all their patients’ records
Alaminos, Laguna has 16 Barangays. On the 2015 census, it in a centralized database including their checkups,
has a population of 47,859. The municipality is situated 78 prescriptions, and even follow up checkups. The system
kilometers east of Manila with a land area of 57.46 sq. km provides an easier generation of information which is
[2]. With the large and still growing numbers of population in accurate, complete with a standard clinical data
the municipality, it is essential for Alaminos, Laguna to documentation; provides automatic sorting and summary of
support their community healthcare by the appearance not data efficiently; provides graphical reports that can help
only of the private medical clinics of different medical analyze data easily that can be helpful in decision-making
professionals but also of Rural Health Unit that located in the based; provides search tools where they can search a specific
Town Proper of Alaminos and Health Centers in every patient record in the database; generating medical records;
Barangays. The Primary Health Care Delivery System of can access efficiently and reliably in retrieval and update of
the Municipality of Alaminos, Laguna is its Rural Health patient records , significantly reduce errors in data entry; data
Unit (RHU). The services offered carry out to implement is more organized for an increase decision support, legibility
different Department of Health Programs such as general basis for data mining of structured medical data for health
consultation for all cases, the issuance of medical certificates, research and preventive measures in clinical care; continuous
improvement in clinical judgment relying on accessible
medical reports and a faster monitoring of care from the
primary health care setting such as the Rural Health Unit; and
Manuscript received on January 10, 2021. map report formats for easy interpretation of medical reports
Revised Manuscript received on January 20, 2021. per barangay.
Manuscript published on January 30, 2021.
* Correspondence Author
Ronel J. Bilog*, Junior Lecturer, Department of Computing and II. AIM OF THE PAPER
Informatics, City College of Calamba, Calamba City, Philippines. Email:
[email protected] This paper aims (1) to develop the Clinical Healthcare
Marc Lester F. Quintana, Department of Arts and Sciences, City Management Information System for Public Health using
College of Calamba, Calamba City, Philippines. Email: Agile Software.
[email protected]

© The Authors. Published by Blue Eyes Intelligence Engineering and

Sciences Publication (BEIESP). This is an open access article under the CC
BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)

Published By:
Retrieval Number: 100.1/ijeat.E26400610521 Blue Eyes Intelligence Engineering
DOI: 10.35940/ijeat.E2640.0211322 and Sciences Publication (BEIESP)
Journal Website: www.ijeat.org © Copyright: All rights reserved.
80
 Agile Software Development of Clinical Healthcare Management Information System for Public Health

Model; (2) to evaluate the CHIMS using the evaluation meet the criteria of internal consistency and effectiveness [9].
adapted from ISO 25010 in terms of:
a. Functionality;
b. Usability;
c. Reliability;
d. Performance; and
e. Security.

III. RELATED STUDIES

The researches of Freda show that having electronic record
plays an important role in supporting efficiency, accuracy
and accessibility of information. These features are
considered and are included in the developed Online Clinical
Healthcare Information Management System for Public
Health Assistance [3]. Figure 1. Agile Development Life Cycle [10]
Computers served a mostly administrative function for B. System Evaluation
health which are being in the Rural Health Unit to assist the
After the CHIMS has been developed, it was then
public healthcare of Alaminos, Laguna in the automation of
submitted for evaluation. An evaluation questionnaire
records [4].
checklist was used by the researcher adapted from ISO 25010
Patterson said that electronic devices such as computers
to assess the newly designed and developed Clinical
will be paperless due to an electronic system in place which
Healthcare Management Information System for Public
will be implemented in Rural Health Unit by the use of the
Health at Rural Health Unit and Health Centers of Alaminos,
developed system [5].
Laguna.
Big data have become increasingly important in the aspect
The population of the respondents for this research
of inter-organizational sharing and collaborative use in
according to its frequency with a total size of five (5) health
healthcare according to Fabian [6]. The idea of an online
practitioners (direct end-users), ten (10) barangay health
system was adopted by the researcher for the Online Clinical
workers (direct end-users), and three (3) IT practitioners.
Healthcare Information Management System.
Using the general responses obtained from the evaluation
According to Minniti, Blue, Freed and Ballen, technology
questionnaire checklist, whether they agree to a given
flourishes for consumers to join in reporting and healthcare as
statement or not using the parameters 5 - Strongly Agree; 4 –
a model for improving care that was adopted by the
Agree; 3 – Neutral; 2 – Disagree; and 1 - Strongly Disagree.
researcher as one of the features of the developed system [7].
Means of the scores are calculated using weighted mean.
The Clinical Healthcare Information Management System
that will be developed mainly focuses on how to provide an
efficient and effective system that would help the Health Unit
and Health Centers. It keeps records on the database for easy
retrieval and storing of medical records.

IV. METHODOLOGY

A. System Development
The researcher used the descriptive research method
utilizing the developmental research design for Clinical In analyzing and interpreting the responses given by the
Healthcare Management Information System for Public respondents, the researchers facilitated the use of a five (5)
Health. Descriptive research is “aimed at casting light on Point Likert Scale:
current issues or problems through a process of data
Table 1. Five Point Rating Scale
collection that enables them to describe the situation more
completely than was possible without employing this
method.”
The study utilized the descriptive design, a type of
non-experimental design that basically explains and
describes the nature of the situation. Descriptive design is to
gather information about the present existing condition [8].
The researchers facilitated the use of a project
development method to aid the researchers develop a system
following the concept of Agile Development Life Cycle
model as a guide through step-by-step process during the
system analysis and design. Developmental research is the
methodical study of emerging, designing, and assessing
instructional programs, processes and products that must

Published By:
Retrieval Number: 100.1/ijeat.E26400610521 Blue Eyes Intelligence Engineering
DOI: 10.35940/ijeat.E2640.0211322 and Sciences Publication (BEIESP)
Journal Website: www.ijeat.org © Copyright: All rights reserved.
81
 International Journal of Engineering and Advanced Technology (IJEAT)
ISSN: 2249-8958 (Online), Volume-11 Issue-3, February 2022

V. RESULTS AND DISCUSSIONS form in order for you to successfully save the additional
personal information.
A. Developed CHIMS using Agile Software Model
Contact the web administrator about the username and
password of the user as well as the other user-level for
accessing the system.

Figure 5. Add Patient Info

B. System Evaluation using ISO 25010
The Barangay Health Workers (BHW), Health
Practitioners and IT practitioners were asked to evaluate the
Clinical Healthcare Management Information System for
Public Health based on the criteria on (ISO 25010:2011)
Standards in Software Design and Development [11].
Figure 2. Login Page Table 2 and table 3 show the weighted mean obtained by
the respondents in their technical evaluation in terms of the
The main screen of the web serves as the dashboard. There functionality of Clinical Healthcare Management
are menus on the left side namely: Home, Patient Info, User Information System for Public Health. Legend: WM –
Level, Forms, Records, Reports, Healthcare Map & Help. Weighted Mean, VI – Verbal Interpretation
Each button has its own function. Table 2. Evaluation by the IT Respondents of the
Functionality

Figure 3. Navigating the Dashboard Data reveal that the IT respondents highly accepted the
functionality of the developed Clinical Healthcare
In this part of the system, you can see all the personal Management Information System for Public Health with an
information being added to the system. Furthermore, you can average weighted mean of 4.89.
see five tabs: Copy, CSV, Excel, PDF and Print. You can also
search records by typing at the search bar. Table 3. Evaluation by the BHW and HP Respondents

Figure 4. View Patient Info

In this page, you can add and edit personal information of

patients. You need to complete all the requirements in the
Published By:
Retrieval Number: 100.1/ijeat.E26400610521 Blue Eyes Intelligence Engineering
DOI: 10.35940/ijeat.E2640.0211322 and Sciences Publication (BEIESP)
Journal Website: www.ijeat.org © Copyright: All rights reserved.
82
 Agile Software Development of Clinical Healthcare Management Information System for Public Health

Data reveal that the respondents highly accepted the Table 7. Evaluation by the BHW and HP Respondents
functionality of the developed Clinical Healthcare
Management Information System for Public Health with an
average weighted mean of 4.62.
Table 4 and Table 5 show the weighted mean obtained by
the respondents in their technical evaluation in terms of the
usability of Clinical Healthcare Management Information
System for Public Health.
Table 4. Evaluation by the IT Respondents

Data reveal that the respondents highly accepted the

reliability of the system with an average weighted mean of
4.56. Table 8 and Table 9 show the weighted mean obtained
Data reveal that the IT respondents highly accepted the by the respondents in their technical evaluation in terms of
usability of the developed Clinical Healthcare Management the performance.
Information System for Public Health with an average
weighted mean of 4.78. Table 8. Evaluation by the IT Respondents

Table 5. Evaluation by the BHW and HP Respondents

Data reveal that the IT respondents highly accepted the

performance of the developed Clinical Healthcare
Management Information System for Public Health with an
Data reveal that the respondents highly accepted the average weighted mean of 4.67.
usability of the developed Clinical Healthcare Management
Information System for Public Health with an average Table 9. Evaluation by the Barangay Health Worker
weighted mean of 4.58. Table 6 and Table 7 show the and Health Practitioner Respondents
weighted mean obtained by the respondents in their technical
evaluation in terms of the reliability.
Table 6. Evaluation by the IT Respondents

Data reveal that the IT respondents highly accepted the

reliability of the developed Clinical Healthcare Management
Information System with an average weighted mean of 4.56.

Published By:
Retrieval Number: 100.1/ijeat.E26400610521 Blue Eyes Intelligence Engineering
DOI: 10.35940/ijeat.E2640.0211322 and Sciences Publication (BEIESP)
Journal Website: www.ijeat.org © Copyright: All rights reserved.
83
 International Journal of Engineering and Advanced Technology (IJEAT)
ISSN: 2249-8958 (Online), Volume-11 Issue-3, February 2022

Data reveal that the respondents highly accepted the Table 12 shows the overall assessment of the respondents
performance of the developed Clinical Healthcare of the Clinical Healthcare Management Information System
Management Information System for Public Health with an for Public Health. Based from the software evaluation, the
average weighted mean of 4.63. Table 10 and Table 11 show system can provide fast, accurate, reliable and secured data.
the weighted mean obtained by the respondents in their The process of medical records can be performed in faster
technical evaluation in terms of the security of Clinical and easier manner through online.
Healthcare Management Information System for Public
Health. VI. CONCLUSION
Table 10. Evaluation by the IT Respondents of the Based on the findings and data of the study, the researchers
Security drawn the following conclusions:
1. The respondents evaluated Clinical Healthcare
Management Information System for Public Health with
respect to ISO 25010:2011 - Standards in Software Design
and Development and they accepted it as “very effective” on
the performance as to functionality, usability, reliability,
performance and security.
2. Based on the overall weighted mean of 4.68, it was very
effective to use Agile software model when developing
Healthcare Management Information System.
3. Based on the overall weighted mean of 4.68, the
researcher concludes that Clinical Management Information
Management System can be implemented in Alaminos,
Laguna to support its public health for thorough testing and
Data reveal that the IT respondents exhibited weighted
implementation.
mean scores that described the system to be secured in terms
confidentiality (5.00), integrity (4.67) and accountability
REFERENCES
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Table 11. Evaluation by the Barangay Health Worker 3. Freda, Adu, 2014, “Paper Based Records” Retrieved From:
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4. McCoy, Joseph, 2017, 5 Common Uses for Computers in Healthcare.
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5. Patterson, Josh, 2015, “Benefits of Computer Use in Health Care
Systems” Retrieved from:
http://www.unc.edu/~kmonsalv/comp101/project1/
6. Fabian, John, 2015, “Collaborative and secure sharing of healthcare data
in multi-clouds” Retrieved from:
(https://www.sciencedirect.com/science/article/pii/S030643791400088
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7. Minniti M.J., Blue T.R., Freed D., Ballen S., 2016, “Patient-Interactive
Healthcare Management, a Model for Achieving Patient Experience
Excellence”, National Academy Press, Washington, DC.
8. Creswell, John W. (2017), “A Concise Introduction to Mixed Methods
Research”, Sage Publications, Oxford, USA.
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Methods: Creating Knowledge from Instructional Design and
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Information System for Public Health with an average way we manage software projects? Agile from a PMBOK® Guide
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errors of the Clinical Healthcare Management Information
System for Public Health.
Table 12. General Evaluation of the System

Published By:
Retrieval Number: 100.1/ijeat.E26400610521 Blue Eyes Intelligence Engineering
DOI: 10.35940/ijeat.E2640.0211322 and Sciences Publication (BEIESP)
Journal Website: www.ijeat.org © Copyright: All rights reserved.
84
 Agile Software Development of Clinical Healthcare Management Information System for Public Health

AUTHORS’PROFILE

Marc Lester F. Quintana, earned his Bachelor's

Degree in Nursing at STI-Colleges of Luzon, Inc.
(STICLI), his Master's Degree in Nursing
Administration where he finished CUMLAUDE at
Golden Gate Colleges (GGC) in Batangas City and his
Executive Doctorate in Educational Leadership at
University of Makati (UMAK) in Makati City,
Philippines. He is a former College Instructor at Dalubhasaan ng Lunsod ng
San Pablo (DLSP) in San Pablo City, Laguna and a former Assistant Director
for Research at Laguna University (LU) in Sta. Cruz, Laguna. He currently
an Assistant Professor at City College of Calamba (CCC), Calamba City. He
is a Registered Nurse in the Philippines and in the United States of America
in the state of California. He is also a member of the technical panel of the
Association of Local Colleges and Universities -Commission on
Accreditation (ALCUCOA). He received numerous accolades and
recognition in the region including being a National Awardee at the 2nd
Ripple Awards for his work in HIV/AIDS in the country. His research
interest focuses on health and well-being, nursing, environmental and
sociological research and collaborative studies highlighting innovations and
technology. He is a public servant and a proud Filipino.

Published By:
Retrieval Number: 100.1/ijeat.E26400610521 Blue Eyes Intelligence Engineering
DOI: 10.35940/ijeat.E2640.0211322 and Sciences Publication (BEIESP)
Journal Website: www.ijeat.org © Copyright: All rights reserved.
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