Published Paper Details:

The rapid digitalization of healthcare has increased the adoption of Hospital Information Systems (HIS) to enhance efficiency, data management, and patient care. However, many healthcare facilities, particularly small and medium-sized hospitals, struggle with effective implementation and sustained use of these systems due to operational, financial, and organizational challenges. This study examines the role of Quality Management Systems (QMS) in supporting successful HIS adoption and bridging the gap between technology and practice in Indian healthcare settings. A mixed-methods research design was used, combining primary data collected from 25 healthcare facilities with secondary literature on technology adoption and healthcare quality standards. Statistical analysis, including Chi-square and ANOVA tests, was conducted to assess relationships between facility characteristics, IT budgets, and system integration levels. The findings reveal a significant digital divide, with tertiary hospitals demonstrating higher levels of HIS integration compared to primary and secondary facilities. Financial constraints, lack of training, poor system integration, and workflow misalignment were identified as key barriers to adoption. The study highlights that aligning QMS practices--such as standard operating procedures, training, audits, and risk management--with the HIS lifecycle significantly improves adoption outcomes and operational stability. Based on these insights, a structured framework is proposed to guide healthcare organizations in implementing HIS more effectively. The study contributes to both theory and practice by integrating quality management principles with technology adoption models and offers actionable recommendations for policymakers, healthcare administrators, and solution providers to enable scalable, affordable, and sustainable digital transformation.