\documentclass[11pt,twoside]{article}\makeatletter

\IfFileExists{xcolor.sty}%
  {\RequirePackage{xcolor}}%
  {\RequirePackage{color}}
\usepackage{colortbl}
\usepackage{wrapfig}
\usepackage{ifxetex}
\ifxetex
  \usepackage{fontspec}
  \usepackage{xunicode}
  \catcode`⃥=\active \def⃥{\textbackslash}
  \catcode`❴=\active \def❴{\{}
  \catcode`❵=\active \def❵{\}}
  \def\textJapanese{\fontspec{Noto Sans CJK JP}}
  \def\textChinese{\fontspec{Noto Sans CJK SC}}
  \def\textKorean{\fontspec{Noto Sans CJK KR}}
  \setmonofont{DejaVu Sans Mono}
  
\else
  \IfFileExists{utf8x.def}%
   {\usepackage[utf8x]{inputenc}
      \PrerenderUnicode{–}
    }%
   {\usepackage[utf8]{inputenc}}
  \usepackage[english]{babel}
  \usepackage[T1]{fontenc}
  \usepackage{float}
  \usepackage[]{ucs}
  \uc@dclc{8421}{default}{\textbackslash }
  \uc@dclc{10100}{default}{\{}
  \uc@dclc{10101}{default}{\}}
  \uc@dclc{8491}{default}{\AA{}}
  \uc@dclc{8239}{default}{\,}
  \uc@dclc{20154}{default}{ }
  \uc@dclc{10148}{default}{>}
  \def\textschwa{\rotatebox{-90}{e}}
  \def\textJapanese{}
  \def\textChinese{}
  \IfFileExists{tipa.sty}{\usepackage{tipa}}{}
\fi
\def\exampleFont{\ttfamily\small}
\DeclareTextSymbol{\textpi}{OML}{25}
\usepackage{relsize}
\RequirePackage{array}
\def\@testpach{\@chclass
 \ifnum \@lastchclass=6 \@ne \@chnum \@ne \else
  \ifnum \@lastchclass=7 5 \else
   \ifnum \@lastchclass=8 \tw@ \else
    \ifnum \@lastchclass=9 \thr@@
   \else \z@
   \ifnum \@lastchclass = 10 \else
   \edef\@nextchar{\expandafter\string\@nextchar}%
   \@chnum
   \if \@nextchar c\z@ \else
    \if \@nextchar l\@ne \else
     \if \@nextchar r\tw@ \else
   \z@ \@chclass
   \if\@nextchar |\@ne \else
    \if \@nextchar !6 \else
     \if \@nextchar @7 \else
      \if \@nextchar (8 \else
       \if \@nextchar )9 \else
  10
  \@chnum
  \if \@nextchar m\thr@@\else
   \if \@nextchar p4 \else
    \if \@nextchar b5 \else
   \z@ \@chclass \z@ \@preamerr \z@ \fi \fi \fi \fi
   \fi \fi  \fi  \fi  \fi  \fi  \fi \fi \fi \fi \fi \fi}
\gdef\arraybackslash{\let\\=\@arraycr}
\def\@textsubscript#1{{\m@th\ensuremath{_{\mbox{\fontsize\sf@size\z@#1}}}}}
\def\Panel#1#2#3#4{\multicolumn{#3}{){\columncolor{#2}}#4}{#1}}
\def\abbr{}
\def\corr{}
\def\expan{}
\def\gap{}
\def\orig{}
\def\reg{}
\def\ref{}
\def\sic{}
\def\persName{}\def\name{}
\def\placeName{}
\def\orgName{}
\def\textcal#1{{\fontspec{Lucida Calligraphy}#1}}
\def\textgothic#1{{\fontspec{Lucida Blackletter}#1}}
\def\textlarge#1{{\large #1}}
\def\textoverbar#1{\ensuremath{\overline{#1}}}
\def\textquoted#1{‘#1’}
\def\textsmall#1{{\small #1}}
\def\textsubscript#1{\@textsubscript{\selectfont#1}}
\def\textxi{\ensuremath{\xi}}
\def\titlem{\itshape}
\newenvironment{biblfree}{}{\ifvmode\par\fi }
\newenvironment{bibl}{}{}
\newenvironment{byline}{\vskip6pt\itshape\fontsize{16pt}{18pt}\selectfont}{\par }
\newenvironment{citbibl}{}{\ifvmode\par\fi }
\newenvironment{docAuthor}{\ifvmode\vskip4pt\fontsize{16pt}{18pt}\selectfont\fi\itshape}{\ifvmode\par\fi }
\newenvironment{docDate}{}{\ifvmode\par\fi }
\newenvironment{docImprint}{\vskip 6pt}{\ifvmode\par\fi }
\newenvironment{docTitle}{\vskip6pt\bfseries\fontsize{22pt}{25pt}\selectfont}{\par }
\newenvironment{msHead}{\vskip 6pt}{\par}
\newenvironment{msItem}{\vskip 6pt}{\par}
\newenvironment{rubric}{}{}
\newenvironment{titlePart}{}{\par }

\newcolumntype{L}[1]{){\raggedright\arraybackslash}p{#1}}
\newcolumntype{C}[1]{){\centering\arraybackslash}p{#1}}
\newcolumntype{R}[1]{){\raggedleft\arraybackslash}p{#1}}
\newcolumntype{P}[1]{){\arraybackslash}p{#1}}
\newcolumntype{B}[1]{){\arraybackslash}b{#1}}
\newcolumntype{M}[1]{){\arraybackslash}m{#1}}
\definecolor{label}{gray}{0.75}
\def\unusedattribute#1{\sout{\textcolor{label}{#1}}}
\DeclareRobustCommand*{\xref}{\hyper@normalise\xref@}
\def\xref@#1#2{\hyper@linkurl{#2}{#1}}
\begingroup
\catcode`\_=\active
\gdef_#1{\ensuremath{\sb{\mathrm{#1}}}}
\endgroup
\mathcode`\_=\string"8000
\catcode`\_=12\relax

\usepackage[a4paper,twoside,lmargin=1in,rmargin=1in,tmargin=1in,bmargin=1in,marginparwidth=0.75in]{geometry}
\usepackage{framed}

\definecolor{shadecolor}{gray}{0.95}
\usepackage{longtable}
\usepackage[normalem]{ulem}
\usepackage{fancyvrb}
\usepackage{fancyhdr}
\usepackage{graphicx}
\usepackage{marginnote}

\renewcommand{\@cite}[1]{#1}


\renewcommand*{\marginfont}{\itshape\footnotesize}

\def\Gin@extensions{.pdf,.png,.jpg,.mps,.tif}

  \pagestyle{fancy}

\usepackage[pdftitle={A Study on Hospital Information System at a Tertiary Teaching Hospital},
 pdfauthor={}]{hyperref}
\hyperbaseurl{}

	 \paperwidth210mm
	 \paperheight297mm
              
\def\@pnumwidth{1.55em}
\def\@tocrmarg {2.55em}
\def\@dotsep{4.5}
\setcounter{tocdepth}{3}
\clubpenalty=8000
\emergencystretch 3em
\hbadness=4000
\hyphenpenalty=400
\pretolerance=750
\tolerance=2000
\vbadness=4000
\widowpenalty=10000

\renewcommand\section{\@startsection {section}{1}{\z@}%
     {-1.75ex \@plus -0.5ex \@minus -.2ex}%
     {0.5ex \@plus .2ex}%
     {\reset@font\Large\bfseries}}
\renewcommand\subsection{\@startsection{subsection}{2}{\z@}%
     {-1.75ex\@plus -0.5ex \@minus- .2ex}%
     {0.5ex \@plus .2ex}%
     {\reset@font\Large}}
\renewcommand\subsubsection{\@startsection{subsubsection}{3}{\z@}%
     {-1.5ex\@plus -0.35ex \@minus -.2ex}%
     {0.5ex \@plus .2ex}%
     {\reset@font\large}}
\renewcommand\paragraph{\@startsection{paragraph}{4}{\z@}%
     {-1ex \@plus-0.35ex \@minus -0.2ex}%
     {0.5ex \@plus .2ex}%
     {\reset@font\normalsize}}
\renewcommand\subparagraph{\@startsection{subparagraph}{5}{\parindent}%
     {1.5ex \@plus1ex \@minus .2ex}%
     {-1em}%
     {\reset@font\normalsize\bfseries}}


\def\l@section#1#2{\addpenalty{\@secpenalty} \addvspace{1.0em plus 1pt}
 \@tempdima 1.5em \begingroup
 \parindent \z@ \rightskip \@pnumwidth 
 \parfillskip -\@pnumwidth 
 \bfseries \leavevmode #1\hfil \hbox to\@pnumwidth{\hss #2}\par
 \endgroup}
\def\l@subsection{\@dottedtocline{2}{1.5em}{2.3em}}
\def\l@subsubsection{\@dottedtocline{3}{3.8em}{3.2em}}
\def\l@paragraph{\@dottedtocline{4}{7.0em}{4.1em}}
\def\l@subparagraph{\@dottedtocline{5}{10em}{5em}}
\@ifundefined{c@section}{\newcounter{section}}{}
\@ifundefined{c@chapter}{\newcounter{chapter}}{}
\newif\if@mainmatter 
\@mainmattertrue
\def\chaptername{Chapter}
\def\frontmatter{%
  \pagenumbering{roman}
  \def\thechapter{\@roman\c@chapter}
  \def\theHchapter{\roman{chapter}}
  \def\thesection{\@roman\c@section}
  \def\theHsection{\roman{section}}
  \def\@chapapp{}%
}
\def\mainmatter{%
  \cleardoublepage
  \def\thechapter{\@arabic\c@chapter}
  \setcounter{chapter}{0}
  \setcounter{section}{0}
  \pagenumbering{arabic}
  \setcounter{secnumdepth}{6}
  \def\@chapapp{\chaptername}%
  \def\theHchapter{\arabic{chapter}}
  \def\thesection{\@arabic\c@section}
  \def\theHsection{\arabic{section}}
}
\def\backmatter{%
  \cleardoublepage
  \setcounter{chapter}{0}
  \setcounter{section}{0}
  \setcounter{secnumdepth}{2}
  \def\@chapapp{\appendixname}%
  \def\thechapter{\@Alph\c@chapter}
  \def\theHchapter{\Alph{chapter}}
  \appendix
}
\newenvironment{bibitemlist}[1]{%
   \list{\@biblabel{\@arabic\c@enumiv}}%
       {\settowidth\labelwidth{\@biblabel{#1}}%
        \leftmargin\labelwidth
        \advance\leftmargin\labelsep
        \@openbib@code
        \usecounter{enumiv}%
        \let\p@enumiv\@empty
        \renewcommand\theenumiv{\@arabic\c@enumiv}%
	}%
  \sloppy
  \clubpenalty4000
  \@clubpenalty \clubpenalty
  \widowpenalty4000%
  \sfcode`\.\@m}%
  {\def\@noitemerr
    {\@latex@warning{Empty `bibitemlist' environment}}%
    \endlist}

\def\tableofcontents{\section*{\contentsname}\@starttoc{toc}}
\parskip0pt
\parindent1em
\def\Panel#1#2#3#4{\multicolumn{#3}{){\columncolor{#2}}#4}{#1}}
\newenvironment{reflist}{%
  \begin{raggedright}\begin{list}{}
  {%
   \setlength{\topsep}{0pt}%
   \setlength{\rightmargin}{0.25in}%
   \setlength{\itemsep}{0pt}%
   \setlength{\itemindent}{0pt}%
   \setlength{\parskip}{0pt}%
   \setlength{\parsep}{2pt}%
   \def\makelabel##1{\itshape ##1}}%
  }
  {\end{list}\end{raggedright}}
\newenvironment{sansreflist}{%
  \begin{raggedright}\begin{list}{}
  {%
   \setlength{\topsep}{0pt}%
   \setlength{\rightmargin}{0.25in}%
   \setlength{\itemindent}{0pt}%
   \setlength{\parskip}{0pt}%
   \setlength{\itemsep}{0pt}%
   \setlength{\parsep}{2pt}%
   \def\makelabel##1{\upshape ##1}}%
  }
  {\end{list}\end{raggedright}}
\newenvironment{specHead}[2]%
 {\vspace{20pt}\hrule\vspace{10pt}%
  \phantomsection\label{#1}\markright{#2}%

  \pdfbookmark[2]{#2}{#1}%
  \hspace{-0.75in}{\bfseries\fontsize{16pt}{18pt}\selectfont#2}%
  }{}
      \def\TheFullDate{2012-01-15 (revised: 15 January 2012)}
\def\TheID{\makeatother }
\def\TheDate{2012-01-15}
\title{A Study on Hospital Information System at a Tertiary Teaching Hospital}
\author{}\makeatletter 
\makeatletter
\newcommand*{\cleartoleftpage}{%
  \clearpage
    \if@twoside
    \ifodd\c@page
      \hbox{}\newpage
      \if@twocolumn
        \hbox{}\newpage
      \fi
    \fi
  \fi
}
\makeatother
\makeatletter
\thispagestyle{empty}
\markright{\@title}\markboth{\@title}{\@author}
\renewcommand\small{\@setfontsize\small{9pt}{11pt}\abovedisplayskip 8.5\p@ plus3\p@ minus4\p@
\belowdisplayskip \abovedisplayskip
\abovedisplayshortskip \z@ plus2\p@
\belowdisplayshortskip 4\p@ plus2\p@ minus2\p@
\def\@listi{\leftmargin\leftmargini
               \topsep 2\p@ plus1\p@ minus1\p@
               \parsep 2\p@ plus\p@ minus\p@
               \itemsep 1pt}
}
\makeatother
\fvset{frame=single,numberblanklines=false,xleftmargin=5mm,xrightmargin=5mm}
\fancyhf{} 
\setlength{\headheight}{14pt}
\fancyhead[LE]{\bfseries\leftmark} 
\fancyhead[RO]{\bfseries\rightmark} 
\fancyfoot[RO]{}
\fancyfoot[CO]{\thepage}
\fancyfoot[LO]{\TheID}
\fancyfoot[LE]{}
\fancyfoot[CE]{\thepage}
\fancyfoot[RE]{\TheID}
\hypersetup{citebordercolor=0.75 0.75 0.75,linkbordercolor=0.75 0.75 0.75,urlbordercolor=0.75 0.75 0.75,bookmarksnumbered=true}
\fancypagestyle{plain}{\fancyhead{}\renewcommand{\headrulewidth}{0pt}}

\date{}
\usepackage{authblk}

\providecommand{\keywords}[1]
{
\footnotesize
  \textbf{\textit{Index terms---}} #1
}

\usepackage{graphicx,xcolor}
\definecolor{GJBlue}{HTML}{273B81}
\definecolor{GJLightBlue}{HTML}{0A9DD9}
\definecolor{GJMediumGrey}{HTML}{6D6E70}
\definecolor{GJLightGrey}{HTML}{929497} 

\renewenvironment{abstract}{%
   \setlength{\parindent}{0pt}\raggedright
   \textcolor{GJMediumGrey}{\rule{\textwidth}{2pt}}
   \vskip16pt
   \textcolor{GJBlue}{\large\bfseries\abstractname\space}
}{%   
   \vskip8pt
   \textcolor{GJMediumGrey}{\rule{\textwidth}{2pt}}
   \vskip16pt
}

\usepackage[absolute,overlay]{textpos}

\makeatother 
      \usepackage{lineno}
      \linenumbers
      
\begin{document}

             \author[1]{Dr. Syed Murtuza Hussain  Bakshi}

             \author[2]{Dr. Syed Murtuza Hussain  Bakshi}

             \affil[1]{  Owaisi Hospital and Research Center,  Hyderabad.}

\renewcommand\Authands{ and }

\date{\small \em Received: 7 December 2011 Accepted: 4 January 2012 Published: 15 January 2012}

\maketitle


\begin{abstract}
        


The Global Hospital Information Systems market is forecast to grow at a Compound Annual Growth Rate of 10% from 2010-2017. Healthcare organizations globally recognize the importance of investing in information technologies. The HIS systems are large computerized data bases intended primarily for communication, store health and administrative information. It is evident that the use of HIS offers tremendous opportunities to reduce clinical errors, support health care professionals decision making, increases the efficiency & quality of patient care. The development, testing, and adoption of HIS remain limited and numerous barriers exist. There is an urgent need to take a fresh look at HIS. The advancement of information system & technologies made various new applications possible. The purpose of this study is to understand infrastructure, system practices, hindering and motivating forces behind HIS at a tertiary teaching hospital which is explorative in nature. The study also focuses on details about hardware, operational procedure and other important facts pertaining to forces resulting in acceptance of HIS.

\end{abstract}


\keywords{Healthcare, Hospital Information Systems, Computers, Information Technology.}

\begin{textblock*}{18cm}(1cm,1cm) % {block width} (coords) 
\textcolor{GJBlue}{\LARGE Global Journals \LaTeX\ JournalKaleidoscope\texttrademark}
\end{textblock*}

\begin{textblock*}{18cm}(1.4cm,1.5cm) % {block width} (coords) 
\textcolor{GJBlue}{\footnotesize \\ Artificial Intelligence formulated this projection for compatibility purposes from the original article published at Global Journals. However, this technology is currently in beta. \emph{Therefore, kindly ignore odd layouts, missed formulae, text, tables, or figures.}}
\end{textblock*}


\let\tabcellsep& 	 	 		 
\section[{Introduction}]{Introduction}\par
he report published by Fierce Healthcare 2011 highlights the Global Hospital Information Systems Market is forecast to grow at a Compound Annual Growth Rate of 10\% from 2010-2017 i.e. It was valued at US\$7.4 billion in 2010, and is forecast to grow at a Compound Annual Growth Rate of 10\% to reach about US\$14.7 billion by 2017. The high growth forecast for the period 2010-2017 is significantly influenced by accelerated efforts from the public and private sectors around the world to contain rising healthcare costs and enhance quality of care (Fierce healthcare, 2011). The global data 2010 research report talks about global Hospital Information Systems Company market Shares where GE Healthcare and Siemens Healthcare are the two leading companies in the HIS market and together account for 24\% of the total market share. GE Healthcare is the market leader with 12.9\% of the market share, followed by Siemens Healthcare and Cerner Corporation with 11.7\% and 8.9\% respectively (Global Author ? : Vice Principal and Associate Professor Department of hospital management, Owaisi Hospital and Research Center, Hyderabad, 500058. E-mail : murtuza\textunderscore in21@yahoo.com, murtuzain21@gmail.com Author ? : Department of hospital management, Owaisi Hospital and Research Center, Hyderabad, 500058. E-mail : in\textunderscore searchofdestiny@hotmail.co.uk data, 2010).Healthcare organizations globally recognize the importance of investing in information technologies  {\ref (Seyed et al, 2011)}.HIS is one of the most common computer systems designed to support health care services. These systems have large computerized data bases which are intended primarily for communication, store health and administrative information. HIS has a different components and includes broad scope and level of systems from departmental (a system limited a specific clinical or financial domain) to knowledge based systems that provide diagnostic support and intervention for patient care activities (Al-Nashmi and Maha \hyperref[b1]{Eissa, 2003)}.\par
It is evident that the use of HIS offers tremendous opportunities to reduce clinical errors (e.g. medication errors, diagnostic errors), to support health care professionals (e.g. availability of timely, up-to-date patient information), to increase the efficiency of care (e.g. less waiting times for patients), even to improve the quality of patient care (D.W.  {\ref Bates et al, 2001)} . Despite the substantial opportunities for improvement in patient safety, the development, testing, and adoption of information technology remain limited and numerous barriers exist (David W. \hyperref[b3]{Bates et al, 2003)}.There is an urgent need to take a fresh look at HIS from the perspective of the organizational structure of hospitals, the funding of such systems, and the role that physicians should play in their operation. Failing this, it is believed that HIS and its medically related components will continue to suffer serious developmental lags \hyperref[b2]{(Bruce A .et al, 1987)} .\par
The latest information system technologies tools such as Clinical Data Warehouses (CDW), Clinical Decision-Support(CDS) systems, data-mining techniques, Online Analytical Processing (OLAP) and Online Transactional Processing (OLTP)), are used to maintain and utilize patient data intelligently, based on the users' requirements (Ashish \hyperref[b0]{Mangalampalli et al, 2007)} II. 
\section[{Methods}]{Methods}\par
The study was conducted at a 1050 bedded tertiary care teaching hospital which is operational from 1996. Total of 8 departments of the hospital were studied for assessing the Hospital Information System. The present research is an Exploratory and qualitative in nature. The study is undertaken to know the current HIS and to take an overview of enhancements done. Extensive interviews for the sample of 100 fulltime employees which included Clinical, Non-Clinical and Administrative Staff of the hospital have been taken followed by a questionnaire to get a handle on the situation and understand the phenomena. The sampling method followed is convenient sampling.\par
The data is collected through questionnaire, observation \& interviews. The questionnaire was constructed with emphasis on the content, clarity and simple language. The scoring done for was on a fivepoint scale. The scoring has been given according to the nature of the questions. Forced field analysis technique is used for data analysis to show how to plan and implement a solution or make necessary changes in HIS.\par
III.  The key findings from the questionnaire were as follows From Table-1 It is found that only 30\% of the respondents agreed that present HIS is good and 41\% agreed the present HIS is moderate and 29\% had indicated the HIS to be poor. Table-2 shows that 32\% of the sample disagreed that HIS is not User Friendly to that of 53\% of sample agreed that the present HIS is User Friendly, it was also found out that 30\% of sample said that HIS is not helpful in Inter-departmental communication and 50\% agreed that HIS helps in better communication., it was found out that 66\% of staff agreed that HIS helps in Decision Making whereas 20\% disagreed, it was found out that 76\% of sample agreed that HIS helps in better work efficiency and 22\% of the sample disagreed, more over 66\% of sample agreed that the Utilization of Resources is effective but 20\% disagreed that the utilization of resources is not effective, other findings were 40\% of sample agreed that the present HIS helps in better process flow but where as36\% of the sample disagreed to it, 42\% of sample agreed that HIS contributes in planning and 36\% disagreed to this, 42\% of sample agreed that HIS plays a vital role in cost containment and 34\% of sample disagreed that the present HIS is not effective in cost containment,57\% of the sample agreed that HIS plays a key role in Quality Assurance, whereas 22\% disagreed to it,78\% of sample agreed that Training is needed for better use of HIS, but 12\% of sample disagreed that training is not essential,92\% of sample agreed that there is a need of fully integrated system whereas, 6\% of sample disagreed that a fully integrated system is not needed, Volume XII Issue X Version I department but 18\% of sample disagreed that they don't need to seek help from IT department for HIS, 76\% of sample says that non-existence of computers as wards effects the performance of HIS and 10\% of sample disagreed to it, 76\% of the sample agreed that there is a need of a new and better system but 10\% of sample disagreed. Motivating Forces are those forces affecting a situation that are pushing in a particular direction; they are positive forces. In terms of improving the effectiveness in working of HIS the forces that are categorized based on User Friendliness, Enhanced Communication, Decision Making, Work Efficiency, Resources Utilization, Better Process Flow and Quality Assurance. 
\section[{Discussions}]{Discussions}\par
Hindering Forces are negative forces that decrease the driving forces which lacks in the effectiveness in the operations of HIS. The restraining forces include Training for Employees, Fully Integrated System, Seeking Help, Cost Containment and Non-Existence of Computers.  
\section[{Conclusions}]{Conclusions}\par
The Global Hospital Information Systems Market is forecast to grow at a Compound Annual Growth Rate of 10\% the high growth forecast for the period is significantly influenced by accelerated efforts from the public and private sectors around the world.\par
Hospital Information system is one of the most common computer systems primarily used for communication, store health and administrative information with tremendous growth opportunities towards patient care reducing clinical errors, support health care professionals, increase the efficiency of care improve Volume XII Issue X Version I \begin{figure}[htbp]
\noindent\textbf{12}\includegraphics[]{image-2.png}
\caption{\label{fig_0}?Figure 1 Figure 2 :}\end{figure}
 \begin{figure}[htbp]
\noindent\textbf{}\includegraphics[]{image-3.png}
\caption{\label{fig_1}}\end{figure}
 \begin{figure}[htbp]
\noindent\textbf{}\includegraphics[]{image-4.png}
\caption{\label{figure4}}\end{figure}
 \begin{figure}[htbp]
\noindent\textbf{1} \par 
\begin{longtable}{P{0.46305970149253733\textwidth}P{0.06343283582089551\textwidth}P{0.16492537313432837\textwidth}P{0.06977611940298507\textwidth}P{0.08880597014925373\textwidth}}
Category (n=100)\tabcellsep Good\tabcellsep Responses Moderate\tabcellsep Poor\tabcellsep Total\\
Administrative Staff\tabcellsep 13\tabcellsep 12\tabcellsep 5\tabcellsep 30\\
Clinical Staff\tabcellsep 8\tabcellsep 12\tabcellsep 10\tabcellsep 30\\
Non Clinical Staff\tabcellsep 9\tabcellsep 17\tabcellsep 14\tabcellsep 40\\
Total\tabcellsep 30\tabcellsep 41\tabcellsep 29\tabcellsep 100\end{longtable} \par
 
\caption{\label{tab_0}Table 1 :}\end{figure}
 \begin{figure}[htbp]
\noindent\textbf{2} \par 
\begin{longtable}{P{0.5940570522979398\textwidth}P{0.04445324881141046\textwidth}P{0.043106180665610144\textwidth}P{0.06870047543581617\textwidth}P{0.04445324881141046\textwidth}P{0.05522979397781299\textwidth}}
Questions\tabcellsep Strongly Disagree\tabcellsep Disagree\tabcellsep Neither Agree Nor Disagree\tabcellsep Agree\tabcellsep Strongly Agree\\
HIS User Friendliness\tabcellsep 10\tabcellsep 22\tabcellsep 14\tabcellsep 26\tabcellsep 28\\
HIS In Enhancing Communication\tabcellsep 8\tabcellsep 22\tabcellsep 20\tabcellsep 26\tabcellsep 24\\
HIS In Decision Making\tabcellsep 4\tabcellsep 16\tabcellsep 14\tabcellsep 38\tabcellsep 28\\
HIS In Work Efficiency\tabcellsep 4\tabcellsep 18\tabcellsep 2\tabcellsep 36\tabcellsep 40\\
HIS Helps In Utilization Of Resources\tabcellsep 6\tabcellsep 14\tabcellsep 14\tabcellsep 32\tabcellsep 34\\
HIS Helps In Better Process Flow\tabcellsep 6\tabcellsep 30\tabcellsep 24\tabcellsep 32\tabcellsep 8\\
HIS Contribution In Planning\tabcellsep 8\tabcellsep 28\tabcellsep 22\tabcellsep 22\tabcellsep 20\\
HIS Role In Cost Containment\tabcellsep 8\tabcellsep 26\tabcellsep 24\tabcellsep 20\tabcellsep 22\\
HIS Role In Quality Assurance\tabcellsep 10\tabcellsep 12\tabcellsep 21\tabcellsep 28\tabcellsep 29\\
Training For Better Use Of HIS\tabcellsep 8\tabcellsep 4\tabcellsep 10\tabcellsep 34\tabcellsep 44\\
A Fully Integrated System\tabcellsep 2\tabcellsep 4\tabcellsep 2\tabcellsep 20\tabcellsep 72\\
Seeking Help from IT Department\tabcellsep 4\tabcellsep 14\tabcellsep 8\tabcellsep 56\tabcellsep 18\\
Non-Existence Of Computers At\tabcellsep \tabcellsep \tabcellsep \tabcellsep \tabcellsep \\
All The Wards Effects HIS\tabcellsep 6\tabcellsep 4\tabcellsep 14\tabcellsep 28\tabcellsep 48\\
Performance\tabcellsep \tabcellsep \tabcellsep \tabcellsep \tabcellsep \\
Need For A New And Better System\tabcellsep 4\tabcellsep 6\tabcellsep 14\tabcellsep 38\tabcellsep 38\end{longtable} \par
 
\caption{\label{tab_1}Table 2 :}\end{figure}
 \begin{figure}[htbp]
\noindent\textbf{3} \par 
\begin{longtable}{P{0.5492307692307693\textwidth}P{0.3007692307692308\textwidth}}
\tabcellsep Field Analysis\\
Motivating Forces\tabcellsep Hindering Forces\\
User Friendliness\tabcellsep Training\\
\multicolumn{2}{l}{Enhancing Communication Fully Integrated System}\\
Decision Making\tabcellsep Seeking Help\\
Work Efficiency\tabcellsep Cost Containment\\
Resources Utilization\tabcellsep Non-Existence Of Computers\\
Better Process Flow\tabcellsep \\
Quality Assurance\tabcellsep \end{longtable} \par
 
\caption{\label{tab_2}Table 3 :}\end{figure}
 \begin{figure}[htbp]
\noindent\textbf{-} \par 
\begin{longtable}{}
\end{longtable} \par
 
\caption{\label{tab_3}Table - 3}\end{figure}
 \begin{figure}[htbp]
\noindent\textbf{4} \par 
\begin{longtable}{}
\end{longtable} \par
 
\caption{\label{tab_4}Table 4 :}\end{figure}
 			\footnote{© 2012 Global Journals Inc. (US)} 			\footnote{© 2012 Global Journals Inc. (US)Global Journal of Computer Science and Technology} 		 		\backmatter  			 
\subsection[{V. Acknowledgments}]{V. Acknowledgments}\par
We wish to acknowledge the entire personage who has helped us out in the study specially the ones, who have helped in collecting and contribution in data collection.			 			  				\begin{bibitemlist}{1}
\bibitem[Seyed Jamaledin Tabibi, Amir Ashkan Nasiripour, Reza Baradaran Kazemzadeh,Ali Akbar Farhangi and Parvin Ebrahimi ()]{b7}\label{b7} 	 		‘Effective Factors on Hospital Information System Acceptance: A Confirmatory Study in Iranian Hospitals’.  	 	 		\textit{Middle-East Journal of Scientific Research}  		Seyed Jamaledin Tabibi, Amir Ashkan Nasiripour, Reza Baradaran Kazemzadeh,Ali Akbar Farhangi and Parvin Ebrahimi (ed.)  		2011. 9  (1)  p. .  	 
\bibitem[Global Hospital Information Systems (HIS) Opportunity Assessment, Competitive Landscape and Market Forecasts to Global data ()]{b6}\label{b6} 	 		‘Global Hospital Information Systems (HIS) Opportunity Assessment, Competitive Landscape and Market Forecasts to’.  		 \url{http://www.marketreports}  	 	 		\textit{Global data},  				2010. 2016.  	 
\bibitem[Mangalampalli et al. ()]{b0}\label{b0} 	 		‘High end clinical domain information system for effective healthcare delivery’.  		 			Ashish Mangalampalli 		,  		 			Chakravarthy Rama 		,  		 			Raja Muthiyalian 		,  		 			Ajeet K Jain 		.  	 	 		\textit{International Journal Of Electronic Healthcare}  		2007. 3  (2)  p. .  	 	 (Aparna Mudganti Parinam.) 
\bibitem[Bates and Gawande ()]{b3}\label{b3} 	 		‘Improving Safety with Information Technology’.  		 			David W Bates 		,  		 			Atul A Gawande 		.  	 	 		\textit{New England Journal of Medicine}  		2003. 348 p. .  	 
\bibitem[Bruce et al. ()]{b2}\label{b2} 	 		‘In Developed Countries, the Golden Age of Medicine Is at Hand for the Patients’.  		 			A Bruce 		,  		 			James B Friedman 		,  		 			Martin 		.  	 	 		\textit{Journal of American Medical Association}  		1987. 258  (17)  p. .  	 
\bibitem[David et al. ()]{b4}\label{b4} 	 		‘Reducing the frequency of errors in medicine using information technology’.  		 			. W David 		,  		 			M Bates 		,  		 			L L Cohen 		,  		 			J M Leape 		,  		 			M M Overhage 		,  		 			T Shabot 		,  		 			Sheridan 		.  	 	 		\textit{Journal of American Medical Informatics Association}  		2001. 8  (4)  p. .  	 
\bibitem[Fierce Healthcare ()]{b5}\label{b5} 	 		\textit{Research and Markets: Hospital Information Systems (HIS) -Global Opportunity Assessment, Competitive Landscape and Market},  		 			Fierce Healthcare 		.  		 24/01/12.  		 \url{http://www.Fiercehealthcare.com/}  		2011.  	 	 (press -releases/research-and-marketshospital-information-systems-his-global-opportunityas-0) 
\bibitem[Eissa ()]{b1}\label{b1} 	 		\textit{The role of vendors in health information systems implementation: Assessing the perception of healthcare executives and vendors},  		 			Al-Nashmi \& Maha Eissa 		.  		 \url{http://proquest.umi.com}  		2003.  		 			University of Pittsburgh 		 	 	 (Available at) 
\end{bibitemlist}
 			 		 	 
\end{document}
