Smart e-Health System for Real-time Tracking and Monitoring of Patients, Staff and Assets for Healthcare Decision Support in Saudi Arabia

Healthcare in Saudi Arabia has been lagging behind the developed countries of the world, due to the insufficient number of healthcare practitioners and the lack of applications of tracking and monitoring technology. These shortages have contributed to problems such as patient misidentification, long patient waiting times, and the inability to locate medical equipment efficiently. The country’s Vision 2030 plan outlines ways to solve the deficient workforce problem by promoting more local health-related educational outlets, and by funding this expanding sector. Consequently, Saudi Arabia needs to adapt to the demanding nature of modern healthcare, which presents major problems that this research aims to help solve. The literature has shown that Information Technology systems have begun to be implemented in some hospitals across Saudi Arabia, but even in those hospitals these technologies are being under-utilised.
The intention of this thesis is to provide an appropriate choice for a real-time tracking and monitoring technology in healthcare, in the form of an integrated RFID/ZigBee system. This thesis develops a holistic framework for healthcare institutions, to be followed for customised solutions in improving staff efficiency and productivity, and for better patient care, while minimising long-term costs. This holistic framework incorporates contextual elements from both the Information System Strategy Triangle (ISST) and the Human, Organisation and Technology-fit factors (HOT-fit) frameworks, in a way that ensures the new framework addresses technology, organisational, human and business factors. The holistic model is refined through Communities of Practice (CoPs), one of which was developed and utilised for the research purposes of this thesis, and assisted in the creation of a questionnaire for assessing the requirements and challenges of the KSA healthcare system. This questionnaire was based on 220 usable responses. It also helped to refine the framework for its final version, which included all identified factors relevant to the decision a healthcare institution faces in choosing a health information technology system.
Various cases were analysed to improve the hospitals workflow, using the proposed technology and including processes such as relocating staff and medical assets. This led to the need for visualisation and knowledge management, to support real-time data analysis for business intelligence decision making. The end goal of this analysis is to provide interactive platforms to healthcare staff for use in improving efficiency and productivity. The outcomes of these improvements will be to ensure better patient care, lower patient waiting time, reduced healthcare costs, and to allow more time for staff to provide improved patient-centric care in the Saudi healthcare sector.
Keywords: e-Health, Health Information Technology, Tracking and Monitoring System, Kingdom of Saudi Arabia, Holistic Framework, Communities of Practice, Knowledge Management, Visualisation, KFMC