Implementation of electronic prescription in pharmacies in India

1. Introduction

1.1 Description and interest area of select project

Technology in the pharmaceutical sector plays an influential role in increasing the efficiency of the industry in delivering safe and quality healthcare services. However, this project’s interest area is going to be associated with electronic prescription applications in health care departments of India. The Indian population size is being grown and health care sectors are required to promote high security at data about the patients. Therefore, technological interferences can be an effective approach to ensure the safety and efficacy of services. The medicines and prescriptions of patients are major documents to follow for further health care services. Thus, the presented project is highly significant in approaching the development of pharmaceutical sectors to promote their performances with high efficiency. The project management with the main objective is to promote electronic prescription in the health care services with patient care development going to be stimulated with technological implementations. Moreover, the selected project is going to be emphasized technological development and the application of electronic prescriptions in health care.  This project plan is based on the implementation of different modern technologies that will ensure the smooth incorporation of electronic prescriptions into the system of the pharmaceutical market in India.

1.2 Justification

The effectiveness of using an electronic prescription for patient care and service development in associated health care sectors is highly effective to promote efficient services. The electronic prescription application is very significant to promote monitoring of prescription development. The data arrangement and orderly distribution and management have been performed easily (Rahimiet al. 2018). Data loss has been restricted with this technological advancement in health care. The presented project is going to be emphasized electronic prescription applications. According to Fagherazzi et al. (2020), patient safety has been developed by using this application in different health care sectors in different countries of the world.  The cost of drugs has been reduced with technological applications. However, the using significance of electronic prescriptions has allowed getting easy access to the reports and prescriptions about the patients. The medical history and background of medicines are highly required cables during further medication development. 

1.3 Background context

The pharmaceutical market in India stands third in the global market by volume and contributes to global exports of about 24.44 billion USD in 2020-21 (TOI, 2022). Implementations of technologies are crucial for the consolidation of the position of the Indian pharmaceutical sector in the market of global healthcare. The strengthening of its position is based on the factor of innovation that provides the scope for technology implementation.

  • Trends in a political environment

The political environment prevalent in the country is significant in determining the success of a project based on the implementation of technology. The political environment of India is supportive of the implementation of this project plan and this is based on the cost-efficient processes and the policy supported by the government. Pharmaceutical exports are encouraged based on the low production costs and application of R&D in Indian pharmaceutical companies. Also, the finance minister of India, in 2021 announced a sum of 197000 crores for its utilization in the pharmaceutical sector PLI scheme that includes drug intermediaries, pharmaceutical ingredients and starting materials (IBEF, 2022).

  • Trends in the economic environment

Implementations of technologically advanced options are also dependent on the economic environment of the country including a higher rate of economic growth in the country that increases the health insurance penetration. Increasing investment in the pharmaceutical sector also results in an increase in the FDI inflows (IBEF, 2022). The importance of this project is based on increasing the technological applications in the pharma industry that facilitates better outcomes for pharmaceutical manufacturing.

2. Necessity of modern technology in Indian pharmacy

The implementation importance of electronic prescription in case of health care sectors and medication of patients has faced significant positive response with adoption by several countries’ health departments. Therefore, the global scenarios of using this technology in health care sectors have positively affected. The patient management to care development is being included within this project plan development. The project management approach for this project is going to be justified by attempting to apply the technologically advanced tools of Electronic prescription into the real implementation procedures. In supporting this statement, a report on the global application rate of electronic prescriptions has been provided. The electronic prescriptionusage rate in the world has developed. The rate was about 7% in 2014 while the rate of using this technology is developed to about 65% in global scenarios by 2020 (Grandviewresearch.com, 2022). Henceforth, the Indian population and diversity have allowed experiencing different health care management issues. Thus, effective health care can be promoted with electronic prescription. 

https://lh5.googleusercontent.com/JGWTFr1BlO3Ha4Fn7XcfovnKG_PI9QJi7Erb6br1r_75wSpyL44BRBehmORfqPmdGXQjtf4wlpJPjOdvR6bpEc8hI5LX2jlrGqsDm5jVm85PlaHTEVM3POqHmea5hLfceQrs5B85s-mDzTz5a5sVrw

Figure 1: Electronic prescription usage rate 

(Source:Grandviewresearch.com, 2022) 

The electronic prescription usage rate has developed by the global prospect, while Indian health care sectors are still lowered with the user rate of Electronic prescriptions (Hassounah et al. 2020). However, the main project suggestion is being defined to use this tool of technology to increase the performance and services related to care. The Indian context about the application of electronic prescription is going to be positive and impactful. As opined by Reberet al. (2019), identification of the smart technology in prescribed chart help to avoid error in pharmacy service. In terms of get, detailed data to the reduction of the nutrition in the patient’s food is significant therefore; the use of fishbone analysis enables to increase the effect of the project plan. The project management process enables to development and effective implementation of the plan. Risk management can be effective reduce by implementing modern technology for the miniaturization in healthcare settings specifically improve pharmacy setting in Indian market.Also, the possibility of mishandling the prescription is completely eliminated. In the context of pharmaceutical companies, the workforce in the pharmaceutical sector is improved significantly (Singh et al., 2020). Moreover, the statistical data has been supporting this project to be accomplished in the coming future with effective project plans and management methods. Therefore, this project is going to experience major aims and objectives associated with implementing Electronic prescriptions implementation procedures in the health care departments.   

3. Aim and objective

3.1. Aim

The aim of the project is to implement efficient service quality and medical device delivery through use of electronic prescription which will improve operations of pharmacies in India.

3.2. Objective

  • To develop electronic prescription service in Indian pharmacies for achieving better efficiencies in patient medicine management
  • To establish proper communication and clear knowledge among healthcare professionals and patient families for improving care services in existing Indian pharmacy
  • To implement electronic prescription to avoid errors in Pharmacy service reduce cost in health care setting

4. Literature review

Technological advancements in the sector of the pharmaceutical industry can be defined as the adoption of improved processes in manufacturing and better-quality assurance. It also includes the digital transformation of this sector that contributes to increased data security, simplifying the operational workflows and maximizing the flexibility and efficiency of the pharmacy sector. It also brings positive changes in the quality of the products and improved healthcare facilities for the patients. This project plan is developed around the implementation of the administration of technological advancements like AI, blockchain technology and industry 4.0 applications. The existing service of innovation and modern technology in the market of Indian pharmacy is discussed in this section along with the strategies to mitigate the challenges in the implementation.

5. Modern technology in the Indian pharmacy industry

Applications of blockchain technology is an effective tool in the supply champion process that facilitates the movement tracking of drugs and other pharmaceutical products among manufacturers, suppliers, hospitals, pharmacy, logistics, regulators and wholesale distributors. As opined by Sylimet al. (2018), the implementation of blockchain technology helps in the detection of substandard and standardized drugs in the supply chain of pharmaceutical products. Implementation of blockchain technology plays a major role in cost reduction and decreasing the involvement of intermediaries. In the context of the Indian pharma market, the incorporation of blockchain technology into the pharmaceutical chains enables the addition of only trusted and reliable parties in the supply chain. It also increases the traceability, visibility and security of the pharmaceutical products supply chain (IJERT, 2021). Industry 4.0 technological applications are another modern advancement and its effective administration in the pharmaceutical industry results in the development of personalized medicine, localized type of 3D printing treatments, additive manufacturing and augmented manufacturing. According to Reinhardt et al. (2021), the integration of the 4.0 industry applications plays a crucial role in the upgradation of the pharmaceutical industry. This encourages a highly agile, flexible and smart type of production and mass customization of the pharmaceutical products to meet the diverse demands of the suppliers and the customers. According to Kraus et al. (2021), the digital transformation of the pharma industry emphasizes patient-centered care and increases the operational efficiencies of the organizations involved in healthcare activities. It is suggested that there is a positive relationship between the satisfaction level of the parents and operational innovations in pharmaceutical products. Quality care is positively impacted by reducing clinicians’ reaction time and better administrative processes in healthcare institutions.

6. Issues in implementing technology

Disruption in the working of the pharmaceutical supply chains, increasing competition, issues in investment, the establishment of an effective relationship between research and production and lack of innovative capabilities are the major challenges encountered in the pharmaceutical industry. Other challenges include workforce optimization, requirements of transparency and agility and analysis of large data of the medicines, patients and supply chain. As referred by  Grangeiaet al. (2020), Quality by design (QbD) is an issue faced by pharmaceutical companies that are based on the management aspect of the market and increasing its operational excellence. The QbD approach is based on ensuring the great quality of the medicines by undertaking analytical, risk-management and analytical processes for designing, developing and manufacturing pharmaceutical products such as medicines and drugs. As stated by Clauson et al. (2018), challenges associated with the supply chain in the pharmaceutical market in the context of public health are based on timely access to medications and mitigation of emergency and disaster situations. It is suggested that the functioning of the supply chain can be enhanced and improved by the applications of blockchain technology. The challenges are addressed by reducing errors and pharmaceutical frauds, reducing paperwork delays, rapid identification of the issues, enhancing inventory management and increasing the partner’s and consumers’ trust. 

7. Technological trends in the pharmaceutical industry

Blockchain technology is the biggest technological trend in the pharmaceutical industry.

According to Boychev (2022), the five major advantages delivered by blockchain technology is early detection of diseases, providing personalized treatment options to the patients, promoting of digital therapies, enhancing the treatment therapies and inclusion of precision intervention. Industry 4.0 technologies have a major role in the technological development of the pharmaceutical industry. The technology interferences in the health care sectors promote the care and services for patients is being identified to have major advanced care development and outcomes are high qualities. The future application direction of the electronic prescription in technological aspect is required major professional systematic interferences (Guoet al. 2020). 

The process of development of drugs is a crucial factor that determines the success of pharmaceutical companies. As opined by Reinhardt et al. (2020), the objective of technological advancements is based on reducing the failure rate of medical equipment, decreasing machine downtime, minimizing the costs of failure and enhancing the quality of the medical products.

The strategic orientation of the pharmaceutical company is based on the political, socio-economic and economic implications of the technological discontinuities, regulatory changes and radical innovation in this industry (Arqawiet al., 2019). In the context of the Indian pharmacy market, strategic orientation is based on the adaptation of the pharmaceutical firms to external environmental factors such as the economic and political environment of the country. Blockchain technology is another major technological advancement in this sector. According to Haq and Esuka (2018), blockchain technology plays a dominant role in increasing the security of the supply chain and mitigating the challenges related to drug counterfeiting. The complexity of the pharma supply chain is predominantly based on the aspect of chain going ownership of the products from the manufacturers to the repackages, distributors and wholesale suppliers.

8.1 Strategies for the implementation of modern technology in the pharmacy sector

The strategy of digitalization of the pharma sector is effective in the implementation of advanced and modern technological applications. With the effective implementation of blockchain technology, it is ensured that the customers throughout the pharma supply chain can better track pharmaceutical products. Along with these, the strategy is based on the implementation of blockchain type of technology, the drug packaging can be tracked and scanned by the provided bar code and this helps in establishing trust. One of the major benefits of blockchain technology is that only the trusted parties have the access to write and engage in the blockchain. Hence, processes related to drugs such as identification, verification, tracing and noticing are facilitated by this technology.  According to Pashkov and Soloviov (2019), the legal implementation of modern blockchain technology in the pharmacy sector is based on the tracking mechanism that ensures simplification of the control and audit processes associated with pharmaceutical products. It is suggested that the employment of blockchain technology results in the streamlining of efficiency of production, improves confidentiality and privacy and enhances the safety of the patients.

In the context of the supply chain, this technology helps in achieving transparency, accuracy and speedy transactions. According to Attaran (2022), digitalization of the control processes plays a role in the packing and batch manufacturing processes. It also ensures that the manufacturing process is done in a flexible way that is based on the employment of single-use types of materials for drug manufacturing. As opined by Hole et al. (2021), digital implementation of the pharma market is based on the aim of achieving progress, product quality and profitability increase. As stated by Ding (2018), the factor of flexible manufacturing enabled by the digitization of the pharma sector is based on the adoption of robotics, one-time use isolators and automation technologies. These aspects directly address the safety of the patients and influence the factor of patient adherence. It also has a role in increasing medication compliance by pharmaceutical companies and makes pharmaceutical products safer and more efficient.

Another strategy based on reducing employee burnout in the pharmaceutical industry is an effective way of implementing modern technologies. According to W.A. and Ray (2022), along with ensuring the safety of the patients, it is also important to ensure the well-being and safety of the employees in the pharma sector. According to Arden et al. (2021), the application of the technologies based on industry 4.0 is based on making the manufacturing processes independent of the involvement of the human. It is suggested that the algorithms and the operational type of decisions that have a role indirectly impacting the production outputs can do the analysis of the performance data effectively. Zhang et al. (2021) suggested that the integration of industry 4.0 into the pharmaceutical industry can be done by connecting external and internal sources.

This means that external elements such as pharmaceutical marketing, suppliers’ inventories, market demand and patient experiences are integrated with the internal elements that include resource management, lab data and simulation and modelling outcomes. According to Clark and Burstall (2018), the strategy for the effective administration of modern technologies for securing the pharma sector is based on the roles of intellectual property (IP) protection and blockchain. The challenges such as authentication, drug counterfeiting and traceability in the supply chain are addressed. In the context of electronic prescriptions, the application of blockchain technology is an effective method that helps in recording the transactions on a ledger.

8.2 Application and importance of Electronic prescription in Pharmacy sector

The application and importance of using this technology in health care sectors have been affected by positive influences. The pharmaceutical industries with higher performance development have been associated with linking with the technology tools applications. Therefore, the health care sectors in India seem to have higher complexity associated with strategic management. The data security of patient care and services is being stated at the risky state. The effectiveness of Electronic prescription has been identified with safety development, records protection, efficacy development, improvement of pharmacy workflows, and increased access to different resources about the patients. Moreover, the higher development of authentic information getting with the alleged technology of electronic prescription is going to be highly important. Thus, the Indian scenarios of health care development have been lacking data protection about individual records, medication, and medical history. However, this technology is important to hold this segment with higher security and safety. 

9. Literature gap

The use of electronic prescriptions is a global trend and is effectively and successfully incorporated into the pharmaceutical markets of other countries such as the UK. However, this project based on the incorporation of electronic prescriptions into the Indian pharmaceutical market based on the implementation of modern technologies is a new concept. Hence, the major gaps in this project plan is based on the fact that the success rate of the project is undetermined and is dependent on the political and economic environment of India.  Another major area that is left unaddressed in this piece of literature review is based on the aspect of users’ perception. This project fails to emphasize the perceptions and views of prescribers, as well as the users, on the authenticity and reliability of electronic prescriptions and this area provides scope for further study.

10. Theoretical Frameworks for Change: Managing change &/or leadership theory in Indian pharmacy

The project planning for implementing the technological interferences into the pharmaceutical industries in India is going to be managed with significant theoretical evaluations. Therefore, the theories of change management and leadership can be effective to execute the whole plan by modification of patient prescription into a real application. According to Kumar et al. (2020), during the covid-19 pandemic social and economic dimensions of pharmaceutical industries have faced significant loss. The SCM (“Supply chain management”) destruction in the pharmaceutical industry has become the most effective issue affecting business and performance. However, the lean supply chain is induced in pharmaceutical industries to manage the situation and destruction with strategic planning and detect certain range of team management task to provide training among team workers about modification of pharmacy service. As stated by Kamble et al. (2020), lean SCM is associated with sustainability development.

Project manager get additional guidance to address risk and input new technological aspect into project working phases by understanding and application of different change management theories and leadership theories in the case of the pharmaceutical industries from India are asserted in the below section. The selected three theories are identified with transactional leadership theory, transformational leadership theory and change management theory for better evaluation. Moreover, the theoretical formwork related to the technological implementation process of this project planning account is quite relevant to testing the overall conditions and situation in Indian pharmaceutical industries with a leadership and change management approach (Kamble et al. 2020). 

10. 1. Change management theory:

The change management theory is being recognized to identify the need for change and implement change to extract the major desires. According to Thakur-Wernzet al. (2019), the bio-pharmaceutical industries in India are highly prone to economic and social barriers effects. The project management development with planning and other phases of the project has been affected by significant interferences from several segments. The effective project managers in the project have been identified to proceed with overall teams. Therefore, the team leaders are responsible for motivating the team in a prime position (Sustet al. 2020). However, transformational leadership theory has allowed this project to experience significant success with team development and team management. The Electronic prescription application sector is related to team and team members’ performances (Senbekovet al. 2020). This project is going to experience high effectiveness from the leadership application. The change management t theory with the need for major change can be facilitated with leadership interferences. Strong communication with team members can promote a project success rate higher. 

11. Transformational leadership theory:

The leadership theory of transformational leadership is stated as the major theory to promote a leader to transform into others’ state according to need. In the case of the technological implementation project planning and completion project, transformational leadership is highly required. According to Kwan (2020), the leadership qualities of a leader are essential to incorporate within small and larger projects. In this presented project planning account, the relevance of using any approach and design is to ensure the outcomes.  As stated by Siangchokyooet al. (2020), transformational leadership has been driven by idealized influence, intellectual pressures, individual consideration and inspirational motivation. Therefore, in facilities this project with successes extraction, it is required to approach with differentiated leadership aspects and ensure about better pharmacy service in Indian market. The manifestation of scope, objectives and strategies in the application has to be ensured and enacted by the PM (project manager). Thus, the highly intensive strategic application to ensure the technological efficacy and services development in Indian health and medical services might face significant growth.

11.1 Transactional Leadership Theory:

Transactional leadership in a corporate firm has been identified with rewards promoting the employees to continue motivation. As suggested by Ma and Jiang (2018), the soft skills of a project manager are recognized as leaders.  Leadership is associated with planning, financial and risk management skills requirements. However, the tech transfer in the Indian pharmaceutical industries with AI, ML, and data analytical interferences are quite cost-effective and planning-based processes to accomplish. Moreover, the application of this leadership theory to accomplish this project planning with modern technology is being developed with the transactional theory of leadership. Hence, the Indian political, social, and economic atmosphere has driven the impact of change in the pharmaceutical industry. Thus, the leadership and change requirements for the present project are linked with the positive deliverables of modern techniques applications like electric prescription. From an external perspective to a professional perspective of the organizational changes question implementation is held major cost-effectiveness and strategic planning process in this project.  

12. Project Plan

The present project planning is aimed to promote technological implementation in the pharmaceutical industries of India.

12.1. Effectiveness of PRINCE 2 methodology of project management in modern technology-based service

The project management approach with PRINCE 2 methodology is appropriate for this project. The PRINCE 2 methodology of project management has been identified as the method to operate the overall   project. The entire project can be demonstrated with major skills development to complete the project. According to Afzal et al. (2018), the project management concept and outcomes are effective to disclose the objectives, goals and aims of the project in the significant platforms of project development. 

Justification for chosen this particular project management

The project planning is going to be associated with the Electronic prescription application process. The PRINCE 2 method of project management is going to be effective for this account to accomplish the maximum extraction of services. According to Wongvibulsinet al. (2019), proper management of the time for the project plan is significant with effective cost management. Therefore, resources will be technology, tele-consultation, staff, and nurses for this project plan. Implementation of the communication and leadership strategy will affirm accomplishing of the project plan. Risk management will be monitored in order to implement effective modern technology with e prescription in improving functional and clinical outcomes among the session of Indian pharmacy.

13. Scope and planning

Time

The presented project is going to be set with a medium duration of about 1 year whole. Near about 08 months of duration is going to most scheduled for this project. The five different phases of project management are initiation, planning, execution, monitoring and controlling. The initiation phase of project management is going to be started in September 2022 and will end in April 2023. Therefore, the initiation phases of the project are required to have major charter development. However, the next planning phase of the project is going to be held with developing goals and aims. Moreover, the risk management plan and communication plan are included in the planning phase of the project management. Thus, the development of the Gantt chart is recognized to be complete in this phase. Further stages of project management are associated with promoting quality, KPIs, forecasting and status tracking. Therefore, the implementation of modern technologies for pharmaceutical performance development in health care and medicine development companies are effective.

13.1 Cost

Areas of Budget spendEstimated Cost (Inr)
Consulting expense50,000 
Hardware5 lakh
Software5 lakh
staff90000
Electronic prescription10000
Planning5 lakh
Impliemnations20 lakh
Operational25 lakh
Transformational5 lakh
IT support15 lakh
Technologies10 lakh
Management900000
Total92,40,0000

Table 1: Cost-planning Table for this modern technology-based project

(Source: Self-created)

The cost of this project will be followed different are to be considered into the account. According to Galli (2018), effective planning for a project can be asserted to have major interest over the stakeholder’s management. Therefore, the presented project has been involved with cost estimation for future project development. This project will require a huge cost for technical implementing the overall strategy into real implementation. Therefore, the scope and significance of this project are identified with delivered services and patient care with technological interferences.However, the proposed budgeting has to be approved by the authority. Mover, the high security for money expenditure and development the main functional aspect of the pharmacysector will be benefitted. 

Quality of project

The main areas of this project will be significant to check with quality assessment. The planning phase of the project is being incorporated performance, designing, and technological interferences for this project. Project quality planning, quality assurance, and quality control are the three common dimensions of project management to introduce standard strategy for offer e prescription. The cost or budgeting, strategies for the project and resources are the three most vital areas of this project to be monitored and observed with quality checkpoints. According to Rosenbaum et al. (2018), change management with new start-up implementation with time and cost estimated within the project-planning phase can be effective. The communication and safety development with this project will be promoted in its completion.

Resources

Type of resourcesResource detailsQuantityLocation
Machine  Monitors Stretches Infusion pumps  50 1015Offline
PeopleStaff NursePatients Doctors Team leaders Policy developers Project managers  100701003074Online and offline
TechnologyArtificial intelligence Machine learning Data analytics443Online
CapitalBudget Investment Share 80,0000010,00000Offline

Table 2: Resource planning

(Source: Self-created)

The resources associated with the project will be divided into several groups according to their type of resources. The presented project will be associated with capital, machine, technology and people. Moreover, the significant project management decision with the communication, stakeholders’ observations and relevant team leaders will be incorporated as the people or human resources. The project aims to promote safety and security with technological interferences for the major target group. The target group of this project is patients.  In the Indian geopolitical environment, this will face significant challenges in the political and social atmosphere. However, the significant level of resources and their quality for this project will be effective for extracting the high-intensity resilience over the planning. 

Communication plan

DescriptionObjective of communicationFrequencyMediumTarget AudienceOwner
Discussion about progressThe discussion with project managers and team members and others observer from the site of the project development will be effective to gain information and progression-related report about the proposing project.3 times per monthsPhone call and face to face meetingTeams and their members and project managersProject developers
Discussion with stakeholdersThe discussion with stakeholders will be valid to gain access over the major dimension of capital. The investment and financial budgeting with time and cost relation evaluation can easily maintained with this discussion dynamics.2 times per monthsZoomcallPrimary and secondary stakeholders. The patients, staff and nurses will be the effective stakeholders of this project.Project manager
Meetings with staffMeeting with staff is going to effective for identifying the potential risk from, the projects. Therefore, the services development and safety development for patients in health care with technological implementation will be benefitted from meetings. The meeting is going to be help full support the goals and achievements.2 times per monthFaced to face meetingStaffProject developer and leaders
Meeting with team leadersThe team leaders are going to be responsible for maintaining the team performance. To extract the significant information about the team performances and goals achievements, it will be effective to discuss with team leaders. The team leaders are identified as the key sources of information about the performances of each team.1 time per monthOffline meetingTeam leaderProject manager

Table 3: Communication plan

(Source: Self-created)

The communication plan for this project is going to follow the traditional approach of identifying the target group to imply the project communication.  The communication online and offline is going to be followed as per the requirement. Therefore, the above-mentioned table has asserted the discussion with stakeholders, team leaders, and staff for the meeting of the objectives. The majority of these groups and targeted bodies are going to be involved in carrying out the essential information (Boyd and Chaffee, 2019). The relevant information and extraction of information can be identified with maximum development of technologic interferences into the development of health care facilities development.  Moreover, the high-tech implementation of electronic prescriptions will facilitate to ensure the effectiveness of high-tech implementation to develop major outcomes of safety and treatment development.

Risk management    

RiskDescriptionLikelihood (1-5)Impact  (1-5)Severity (Likelihood X Impact)Mitigation Plan
CostThe cost for this project is going to be faced with significant risks associated with changes. The cost of the project seems to be changed other factors that impact the main aspect of this project. The implementation of technology for health care services development with electronic prescription will highly effective. Therefore, the majority of interferences of technological tools in case of the growing aspect of this study experiences significant changes. 4519Cost management
TimeThis project will be completed within eight months of duration. Thus, this high risk can be defined as the time extension. The different causative agents such as resources, investment, and others from natural hazards may develop at the time of this project in completion (Rodriguez‐Gonzalezet al. 2019). The major events and their assigned budget will be developed with time development. The time and cost are linked with each other at the project baseline. The budget for this project can be developed in time development. The staffs and employees at the project and team members are major human resources to extend the time of this project.4519Tiem management with Toggle track
TechnologyThe risk of technological failure is a very common type of risk associated with this proposed project. Though, this project is going to be linked with electronic prescription implementation for major services development.3420Strategic planning and monitoring
LeadershipThe lower and poor leadership quality is a basic risk delayed project with lower quality of services. The fewer communications with leaders and gaps in understanding of leaders will be the most significant cause of reduced efficacy and implementation of the project management procedures. 2419Leadership theories application

Table 4: Risks management

(Source: Self-created)

The risk management table has asserted the future risks associated with this project. Henceforth, the application and implementation procedure of electronic prescription for health care services development with patient and efficacy of treatment will be delivered with this project. The major risk is going to emerge with cost, time, leadership and technology. The technology implementation project has been susceptible to technological aspects (Shaliniet al. 2020). Thus, the majority of approaches being delivered to this project are being recognized to have cost-effectiveness. The cost development will be the core problem for this project. This project planning and project management account will be mitigated this issue of cost development with cost management. Therefore, intensive project development and project deliverables are going to be faced significant cost management, time management and communications gaps. Moreover, the mitigation for time management will apply the specific application of the Toggle Track.

Impact of RiskLikelihood of Risk
HighModerateLow
HighCost  TechnologyLeadership
ModerateTimeTimeCost
LowLeadershipLeadershipTime

Table 5: Impact table for risks

(Source: Self-created)

The risks impact table is going to evaluate the major impact of different risks with different rates of impact. The high, low and moderate risks that are going to be facilitated within this project management is associated with outcomes. The high risk of this project will be associated with cost. The cost of this project is the most viable way to conduct this study. Henceforth, leadership and technology can be experienced as the lower or poor risk impactors. Thus, the significant evaluation of the uncertainty at the project baseline with time and cost development can be indeed a complex project failure (Singh et al. 2020). The state of the project can be defined to have most potential growth with the cost and time management m strategy in the application.

Monitoring and evaluation

Monitoring

  • Feedback gathers through conducting a survey

The gathering of information from the staff, nurses, doctors, patients and management team will be an effective strategy to observe the overall project management. The implementation of electronic prescriptions in the health care sector for the betterment of patient care and services will be effective. Thus, the potential development of monitoring for greater advantages extraction in the account of patient care and staff deliverables will be counted.  Therefore, this study will be imposed a main focus on the implementation process with project management. The project planning phase is asserted in this document. However, the high chances are very high to fail with cots and time management gaps (Udayanaet al. 2019). The teams and their members are required to join this process of project completion. The gathering of feedback from staff and patients will be effective for this project to complete.

  • Workplace improvement check by detecting future statistics in Indian pharmacy

The monitoring process for this project will be further facilitated with another monitoring process of improvement checks. The checks over workplace improvement with detecting the future statistical information associated with Indian pharmacy will be identified (Churiet al. 2021). The monitoring of improvement is going important to ensure to assert the high rates of strategic planning and system processes.

Evaluation

  • Bi-weekly evaluation

The evaluation comes from the monitoring approach. After monitoring a significant improvement or survey the evaluation can be drawn with effective interpretation with bi-weekly procedures (Ray and Ray, 2021). This procedure will be effective to extract major information and evaluating performances and objectives achievements. 

  • After every two months evaluation, 

The evaluation within a week is highly effective. Hence some aspects of the project require some more duration to be evaluated. Therefore, the monthly evaluation with twice frequency will be significant (Kale and Wield, 2018). The meetings, monitoring and discussion are going to be essential to submitting the report evaluation about major project deliverables and development. 

Gantt chart

Figure 1: Gantt chart (Time scale of the project)

(Source: self-created)

Conclusion

The overall project planning from the project management aspect has been stated with implementing the electronic prescription for patient care development. Therefore, the technology implementation is going to be effective for services and management of patients in health care. Thus, this project is being designed with PRINCE 2 project method. The leadership and change management in this project will be highly significant. The project planning phases of this project are being identified as risk management and communication plan. The highly effective risks are cost and time for projects in future implementations. Thus, time management with Toggle Track and cost management for the cost limitation of this project can be the most viable way. Therefore, this project will promote high effectiveness towards the care vans services with Electronic prescription.

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