People-Centric, ICT-Enabled Process Innovations via Community, Public and Private Sector Partnership, and e-Leadership: The Case of the Dompe eHospital in Sri Lanka

  • Wasana BandaraEmail author
  • Rehan Syed
  • Bandula Ranathunga
  • K. B. Sampath Kulathilaka
Part of the Management for Professionals book series (MANAGPROF)


  1. (a)

    Situation faced: This case study is a unique example of a people-centric ICT-enabled BPM effort that overcame many challenges through steady championship fuelled by a multi-sectorial support network (local community, government agencies, private sector and institutes of higher education). Driven by a desire to make a difference, a weakly reputed regional hospital in Sri Lanka with chaotic, mundane, manual processes became a landmark success in its service efficiency and effectiveness via staged-continuous improvements, collaborative ideation, creative resource utilization, and effective management of its “people” aspects.

  2. (b)

    Action taken: The project took a multi-staged people-centric approach. Major attitudinal change efforts with staff helped to build a unified internal workforce that was empowered to understand the patients’ needs. The hospital’s physical environment was transformed into a peaceful, pleasant atmosphere that was free of chaos. The entire patient-care-process was mapped, analyzed, and transformed with IT enabled process improvements. A new patient records management system and a mobile-channeling system was implemented to eliminate long queues and increase the quality of patient care. Continued reviews and improvements are key in this case, as the vision to make a difference does not end with a single initiative.

  3. (c)

    Results achieved: The case illustrates how an ordinary government regional hospital’s patient-care process was transformed with the collective efforts of multi-stakeholder power. The reforms have enabled the hospital to increase the quality of patient care, enhance staff satisfaction, gain deep support, and get buy-in from higher authorities and the community. These process reform efforts enabled not only a one-off improvement initiative but a sustained success story that has received national and international attention.

  4. (d)

    Lessons learned: A key takeaway is how all of the enabling elements (championship, community, and executive support), lined up, each making its own significant contribution. The absence or misaligned timing of any one of these elements could have caused the effort to stall or fail. The e-champion and his supporters selected and managed the people-centric resources and opportunities in a highly resource-constrained environment while balancing and strengthening the ongoing stakeholder relationships. These efforts served as the foundation for the success and sustainability of this case.




We acknowledge the help of several friends and counselors in our documentation of the Dompe Hospital case.

– Mr. Chandana Rodrigo, former Secretariat of Health, Western Province; Dr. A. L. A. L. Padmasiri, RDHS, Gampaha; and Dr. Hajitha Piyantha Kumara, Medical Officer and Acting Director of the Hospital, who trusted the initiative’s vision and goal and supported the proposed changes from the beginning.

– Ms. Chitrangani Mubarak, Chairperson, ICTA; Mr. Shriyananda Rathnayaka, Program Manager; and Mr. Wasantha Deshapriya, Secretary, Ministry of Digital Infrastructure and IT/Former Director-Reengineering Program of the ICTA, who provided support for the grant obtained through the ICTA e-society initiative.

– The local industry and individual donors who supported the infrastructure changes, particularly Mr. Dhanajaya Rajapakse of Brandix Sri Lanka, who sponsored the outbound training.

– The Dompe resident community, particularly the welfare group “Ape- Raane,” who supported the initiative by volunteering many hours of their time and for supporting the social marketing campaign,

– Dr. Chandana Gamage of the University of Moratuwa and his IT students, who supported the organization-wide IT training efforts.

– Most important, Dompe Hospital’s staff members at all levels, who operationalized the initiative and made it a success.


  1. Anwar, F., Shamim, A., & Khan, S. (2011). Barriers in adoption of health information technology in developing societies. International Journal of Advanced Computer Science and Applications, 2(8), 40–45.CrossRefGoogle Scholar
  2. Brandao de Souza, L. (2009). Trends and approaches in lean healthcare. Leadership in Health Services, 22(2), 121–139.CrossRefGoogle Scholar
  3. Cline, G. B., & Luiz, J. M. (2013). Information technology systems in public sector health facilities in developing countries: The case of South Africa. BMC Medical Informatics and Decision Making, 13(1), 1–12. doi: 10.1186/1472-6947-13-13.CrossRefGoogle Scholar
  4. Daily FT. (2015). ICTA project Dompe e-hospital wins prestigious National Productivity Award. Daily FT. Retrieved from
  5. De Bruin, T. (2009). Theory on progression and maturity. Brisbane: Queensland University of Technology.Google Scholar
  6. Denning, S. (2005). Mastering the discipline of business narrative. In An advance copy of a forthcoming article in strategy and leadership.Google Scholar
  7. Dumas, M., La Rosa, M., Mendling, J., & Rejers, H. (2013). Fundamentals of business process management. New York: Springer.CrossRefGoogle Scholar
  8. Euchner, J., & Henderson, A. (2011). The practice of innovation: Innovation as the management of constraints. Research Technology Management, 54(2), 47–54. doi: 10.5437/08953608X5402009.CrossRefGoogle Scholar
  9. Garriga, H., von Krogh, G., & Spaeth, S. (2013). How constraints and knowledge impact open innovation. Strategic Management Journal, 34, (9), 1134–1144. doi: 10.1002/smj.2049.
  10. Jeston, J., & Nelis, J. (2010, April). Down under: 10 impediments to achieving process excellence. BP Trends.Google Scholar
  11. Johnson, W. (2013). Why innovators love constraints. Harvard Business Review.Google Scholar
  12. Kariyawasam, A. (1995). Buddhist ceremonies and rituals of Sri Lanka. Kandy: Sri Lanka Buddhist Publication Society Kandy.Google Scholar
  13. Khan, S. Z., Shahid, Z., Hedstrom, K., & Andersson, A. (2012). Hopes and fears in implementation of electronic health records in Bangladesh. The Electronic Journal of Information Systems in Developing Countries, 54.Google Scholar
  14. Kimaro, H. C., & Twaakyondo, H. (2005). Analysing the hindrance to the use of information and technology for improving efficiency of health care delivery system in Tanzania. Tanzania Journal of Health Research, 7(3), 189–197.Google Scholar
  15. Kulathilaka, S. (2013). “eHospital-Dompe” project—The story of the transformation of a district hospital in Sri Lanka. Sri Lanka Journal of Bio-Medical Informatics, 4(2).Google Scholar
  16. NIHS. (2008). Health institutions & Bed strength by district. Colombo: National Institute of Health Sciences. Retrieved from
  17. Rosemann, M. (2013). The internet of things: New digital capital in the hands of customers. Business Transformation Journal, 2013(9), 6–15.Google Scholar
  18. Skurkova, K. L., Szander, N., & Bajor, P. (2013). Beergame reference scenarios for balanced scorecard evaluation, highlighting internal perspective. In Paper Presented at the 13th International Scientific Conference Business Logistics in Modern Management, October 17.Google Scholar
  19. Stokes, P. D. (2014). Crossing disciplines: A constraint-based model of the creative/innovative process: Crossing disciplines. Journal of Product Innovation Management, 31(2), 247–258. doi: 10.1111/jpim.12093.CrossRefGoogle Scholar
  20. Taylor, C. (2012). Selling BPM – Three things that make the difference. Retrieved September 18, 2016, from
  21. UNDP. (2015). Human development report 2015: Work for human development. New York: United Nations Development Programme.Google Scholar
  22. Young, F. Y. (2014). The use of 5S in healthcare services: A literature review. International Journal of Business and Social Science, 5(10).Google Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Wasana Bandara
    • 1
    Email author
  • Rehan Syed
    • 1
  • Bandula Ranathunga
    • 2
  • K. B. Sampath Kulathilaka
    • 3
  1. 1.Queensland University of Technology (QUT)BrisbaneAustralia
  2. 2.Information Communication and Technology Agency (ICTA)ColomboSri Lanka
  3. 3.District Hospital DompeMedalandaSri Lanka

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