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Hospital OS is Different

• Hospital OS is only the open source Hospital Informatics
  System under GPL in Thailand since 2001.

• We developed Hospital OS under the need of information to
  improve hospital management and clinical quality.

• We innovated Hospital OS as the most compatible hospital
  informatics system for any Hospitals and Health Promotion
  Service centers under the resource-limited conditions.
Making the Difference that Works
We innovated I/IV:
• Self Sustainable Infrastructures: By Using Open source
  software such as Linux as the server and client and
  PostgreSQL for database.
• Application: Client-server application for whole process
  of the hospital and friendly enough for every doctors and
  nurses being a part of the software.
Screen Shot: e-prescription




                   17
D c ard
        ut OP
 rin t-o
P



                37
                7
We innovated II/IV:

•Process of training: We trained resource limited hospital in
Timbuktu to be linux admin and SQL report generator who had
ZERO IT background
We innovated III/IV:

Community of user: For
communication between
developers and alliance users.

Among users, they share their
experience and helping each other
under the social networking tool.

We get requirements from the web
site and yearly meeting
We innovated IV/IV:

Developing and Implementation
process,
we started from 5 staffs in 2001
to 25 by now.

Main job functions:
• System analyst
• Developers
• Implementers
• Supports (Marketing)
• Management
• Domain Expert
• With the Innovation of implementation process ;
         150 Clinics in 3 months in Bangkok
         68 Health centers in 1 month in Bangkok
         30 Primary Care Units in 2 weeks in a province
         2 Consultants for Go-Live @ hospital in 5 days
• Hospital OS: the creative application and process

  – Meet demands of all users in the hospital(s)
  – Easy to implementation and Go live.
  – Robust and Stable in the resource-limited hospital
  – Social networking between Developers and Users
    makes Hospital OS software and users grow up year
    by year.


                                                  12
Market Share in 2009
Business & Financial Model
Professional Consulting Service Business Model

                           “The revenue model for Hospital
                                OS is that of software
                                  consulting service.

                            Consulting might not pay as
                           well as a software product, but it
                            can still make for a profitable
                                       business”
Business & Financial Model



                                     Founded : 2001
                                     Headquarters   Bangkok, Thailand
                                     Product        Hospital OS
                                     Revenue        14 million baht (2009)
                                     Employees      25 (2009)
                                     Website        www.hospital-os.com
                                     Re-launch      2 Years




Eco-System: Hospitals prefer to support our company as dependent
  model such as pay for support as MA, pay for in-house training.
User benefit to Open source Model




Hospital OS model          Commercial OS model
Financial Performance
International Potential




Hospital OS has an English version as well as is currently in the
  process to extend to other international languages. We have been
  contacted from many international organizations that need an IT
  system to collect data on chronic diseases such as tuberculosis
  and AIDS.
                                                           16
International Potential

The extents organizations need are for:
  1. Use and implementation
  2. Learning
  3. Trying software, Testing or demonstration
  4. Source code development
International Potential




Hospital OS can expand globally, the software can be of great benefits to
  healthcare organizations in many countries especially those who also have
  limited resources. So far the foreign countries that contacted us through the
  internet.
                                                                       18
22
23
24
User
Testimonial
User
Testimonial
• Hospital OS Internationalization
  – Hospital OS was selected to be the fellow of Ashoka
    foundation (www.ashoka.org)
  – Ashoka Foundation promote social entrepreneur with
    their network, global need and funds.



  – We plan to earn from Implementation and Training both
    local and international

                                                   13
Functionalities/Features

Registration

Screening

Diagnosis
                 Hospital OS comes with modules to support
Dispensing
                    whole service of hospital such as the
Billing
                    outpatient department (OPD) and the
LAB
                         inpatient department (IPD).
X-Ray

Emergency

IPD

Primary Care

Drug Fund

Inventory

Administration
• Hospital OS
• Not only the numbers of achievement, we also prove that
  our software solve hospital management issue such as:
           • Improve chronic disease care




                                                   13
Improve Efficiency



Diabetic/Hypertension Clinic Day

• The same disease,The same appointment day
• Prepare files and treatments the day before
  take blood sample in the morning.
• Education class for uncontrolled patient
• Dispense the medicine
• Handle Diabetics/Hypertension: 200 cases/day
Association Discovery




Average Expense on I10 Hypertension is more expensive than the rest since patients get lipid medicine as data shown
Association Discovery
                                                                    Result from Association Algorithm
                                E11


                 I10Essential (primary) hypertension

                                                          Z01
                                  I10

    E78

E78, Disorders of lipoprotein metabolism and other lipidaemias


            Acute upper respiratory infections
    J00

                                                          A09
                                                                 In hospital management situations we are
                                J06
                                                                    dealing with objectives such as:
                    J06.0Acute laryngopharyngitis                • To optimize Medicare expenditures : We found
                                                                    association very strong between Hypertension
                                                                    (I 10) and Hyper cholesterol (E78) and double
                 J02                                                expense for lipid medicine. Lom Sak hospital
                                                                    implement the educational program and
                                                                    successful reduce the lipid medicine expense.
Functionalities/Features

• Not only features of treating sick patients, Hospital OS
  also provide health prevention and health promotion
  such as Antenatal Care, Postpartum care, Vaccination,
  School health promotion and more than 15 modules.




                                                      28
Design for Pandemic disease : Flu2009




          H1N1 2009 Clinical Practice Guideline
                    with Hospital OS
35
36
Design for Pandemic disease : Flu2009
Design for Pandemic disease : Flu2009




                              31
Design for Pandemic disease : Flu2009




                              32
Design for Pandemic disease : Flu2009




                              33
37
38
Clinical Care Improvement
                                           We develop on-line health dashboard
                                           to let them set KPI and monitor public
                                            health status in their community with
                                                         no-cost by using several
                                                               open source tools.




They can send the data to our service to link with GIS and map then they can track
pandemics disease alarm system to see where, when the communicable disease
occurred.
                                                                       34
Functionalities/Features




Not only cover the whole process of hospital service but also link from
transaction of services to data warehouse.

These can create information for the wisdom of improvement to health
care management.
Hospital OS Team




                                     The Great Team !!!!


»Domain Expert: Medical Doctor and Epidemiologist Nurse.
»All Java certified software developer.
»Hardware and Network Specialist.
                                               41
Standard Compliance


• Health Level 7 Standards for electronic interchange of clinical,
  financial, and administrative information among health care oriented
  computer systems.
• Hospital OS interface with Laboratory Informatics system (LIS) and
  PACS (DICOM) seamlessly.
• Using ICD9, ICD10, ICD10TM and Standard Drug Code
  as standard data set
Award & Recognition




# IT Princess 2007 Award
            by the Foundation Research in information technology
# Best Thai Software Development of the Year 2008
by Thailand Management Association (TMA)
Award & Recognition




Thailand ICT Award 2009 : E-Health Category
       Software for Society 2008 by Software Park (Thailand)
              Hall of Frame 2008 by Software Park (Thailand)
Hospital OS


• The uniqueness of the development team and our business
  management ,using open source concept, We reached the top 5 of
  HIS in Thailand in 7 years and got the most award and recognition
  among HIS product.
• Aggressive growth in local market from variety of features with
  match to the demand of users and potential to at global level.
• Continuously R&D by integrated advance ICT technology along
  with the dynamic public health problems.
Future of Hospital OS


• We plan for Personal Health Record in 2012.
• Since we cover data from the prevention and health promotion
  through the sick patients.
• We cover more than 10 million population. In 4 months of
  implementation in Bangkok, we collected 4 million transaction
  records.
• All the information will benefit to the patients to understand own
  health status and also self care for their quality of life .

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Hospital OS: Open Source Hospital Management Innovation

  • 1.
  • 2. Hospital OS is Different • Hospital OS is only the open source Hospital Informatics System under GPL in Thailand since 2001. • We developed Hospital OS under the need of information to improve hospital management and clinical quality. • We innovated Hospital OS as the most compatible hospital informatics system for any Hospitals and Health Promotion Service centers under the resource-limited conditions.
  • 4. We innovated I/IV: • Self Sustainable Infrastructures: By Using Open source software such as Linux as the server and client and PostgreSQL for database. • Application: Client-server application for whole process of the hospital and friendly enough for every doctors and nurses being a part of the software.
  • 5.
  • 7. D c ard ut OP rin t-o P 37 7
  • 8. We innovated II/IV: •Process of training: We trained resource limited hospital in Timbuktu to be linux admin and SQL report generator who had ZERO IT background
  • 9. We innovated III/IV: Community of user: For communication between developers and alliance users. Among users, they share their experience and helping each other under the social networking tool. We get requirements from the web site and yearly meeting
  • 10. We innovated IV/IV: Developing and Implementation process, we started from 5 staffs in 2001 to 25 by now. Main job functions: • System analyst • Developers • Implementers • Supports (Marketing) • Management • Domain Expert
  • 11. • With the Innovation of implementation process ; 150 Clinics in 3 months in Bangkok 68 Health centers in 1 month in Bangkok 30 Primary Care Units in 2 weeks in a province 2 Consultants for Go-Live @ hospital in 5 days
  • 12. • Hospital OS: the creative application and process – Meet demands of all users in the hospital(s) – Easy to implementation and Go live. – Robust and Stable in the resource-limited hospital – Social networking between Developers and Users makes Hospital OS software and users grow up year by year. 12
  • 14. Business & Financial Model Professional Consulting Service Business Model “The revenue model for Hospital OS is that of software consulting service. Consulting might not pay as well as a software product, but it can still make for a profitable business”
  • 15. Business & Financial Model Founded : 2001 Headquarters Bangkok, Thailand Product Hospital OS Revenue 14 million baht (2009) Employees 25 (2009) Website www.hospital-os.com Re-launch 2 Years Eco-System: Hospitals prefer to support our company as dependent model such as pay for support as MA, pay for in-house training.
  • 16. User benefit to Open source Model Hospital OS model Commercial OS model
  • 18. International Potential Hospital OS has an English version as well as is currently in the process to extend to other international languages. We have been contacted from many international organizations that need an IT system to collect data on chronic diseases such as tuberculosis and AIDS. 16
  • 19. International Potential The extents organizations need are for: 1. Use and implementation 2. Learning 3. Trying software, Testing or demonstration 4. Source code development
  • 20. International Potential Hospital OS can expand globally, the software can be of great benefits to healthcare organizations in many countries especially those who also have limited resources. So far the foreign countries that contacted us through the internet. 18
  • 21. 22
  • 22. 23
  • 23. 24
  • 26. • Hospital OS Internationalization – Hospital OS was selected to be the fellow of Ashoka foundation (www.ashoka.org) – Ashoka Foundation promote social entrepreneur with their network, global need and funds. – We plan to earn from Implementation and Training both local and international 13
  • 27. Functionalities/Features Registration Screening Diagnosis Hospital OS comes with modules to support Dispensing whole service of hospital such as the Billing outpatient department (OPD) and the LAB inpatient department (IPD). X-Ray Emergency IPD Primary Care Drug Fund Inventory Administration
  • 28. • Hospital OS • Not only the numbers of achievement, we also prove that our software solve hospital management issue such as: • Improve chronic disease care 13
  • 29. Improve Efficiency Diabetic/Hypertension Clinic Day • The same disease,The same appointment day • Prepare files and treatments the day before take blood sample in the morning. • Education class for uncontrolled patient • Dispense the medicine • Handle Diabetics/Hypertension: 200 cases/day
  • 30. Association Discovery Average Expense on I10 Hypertension is more expensive than the rest since patients get lipid medicine as data shown
  • 31. Association Discovery Result from Association Algorithm E11 I10Essential (primary) hypertension Z01 I10 E78 E78, Disorders of lipoprotein metabolism and other lipidaemias Acute upper respiratory infections J00 A09 In hospital management situations we are J06 dealing with objectives such as: J06.0Acute laryngopharyngitis • To optimize Medicare expenditures : We found association very strong between Hypertension (I 10) and Hyper cholesterol (E78) and double J02 expense for lipid medicine. Lom Sak hospital implement the educational program and successful reduce the lipid medicine expense.
  • 32. Functionalities/Features • Not only features of treating sick patients, Hospital OS also provide health prevention and health promotion such as Antenatal Care, Postpartum care, Vaccination, School health promotion and more than 15 modules. 28
  • 33. Design for Pandemic disease : Flu2009 H1N1 2009 Clinical Practice Guideline with Hospital OS
  • 34. 35
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  • 36.
  • 37. Design for Pandemic disease : Flu2009
  • 38. Design for Pandemic disease : Flu2009 31
  • 39. Design for Pandemic disease : Flu2009 32
  • 40. Design for Pandemic disease : Flu2009 33
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  • 44. Clinical Care Improvement We develop on-line health dashboard to let them set KPI and monitor public health status in their community with no-cost by using several open source tools. They can send the data to our service to link with GIS and map then they can track pandemics disease alarm system to see where, when the communicable disease occurred. 34
  • 45. Functionalities/Features Not only cover the whole process of hospital service but also link from transaction of services to data warehouse. These can create information for the wisdom of improvement to health care management.
  • 46. Hospital OS Team The Great Team !!!! »Domain Expert: Medical Doctor and Epidemiologist Nurse. »All Java certified software developer. »Hardware and Network Specialist. 41
  • 47. Standard Compliance • Health Level 7 Standards for electronic interchange of clinical, financial, and administrative information among health care oriented computer systems. • Hospital OS interface with Laboratory Informatics system (LIS) and PACS (DICOM) seamlessly. • Using ICD9, ICD10, ICD10TM and Standard Drug Code as standard data set
  • 48. Award & Recognition # IT Princess 2007 Award by the Foundation Research in information technology # Best Thai Software Development of the Year 2008 by Thailand Management Association (TMA)
  • 49. Award & Recognition Thailand ICT Award 2009 : E-Health Category Software for Society 2008 by Software Park (Thailand) Hall of Frame 2008 by Software Park (Thailand)
  • 50. Hospital OS • The uniqueness of the development team and our business management ,using open source concept, We reached the top 5 of HIS in Thailand in 7 years and got the most award and recognition among HIS product. • Aggressive growth in local market from variety of features with match to the demand of users and potential to at global level. • Continuously R&D by integrated advance ICT technology along with the dynamic public health problems.
  • 51. Future of Hospital OS • We plan for Personal Health Record in 2012. • Since we cover data from the prevention and health promotion through the sick patients. • We cover more than 10 million population. In 4 months of implementation in Bangkok, we collected 4 million transaction records. • All the information will benefit to the patients to understand own health status and also self care for their quality of life .