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Implementing ICT applications in Tier 2 city hospitals in India –Case study

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  • 1. U.K.Ananthapadmanabhan, President (Operations & Projects) Kauvery Hospitals Group, Trichy. Implementing ICT applications in Tier 2 city hospitals in India –Case study Transforming Healthcare through IT 2013, Hyderabad. 6 September 2013.
  • 2. Kauvery Hospitals Group • Kauvery hospital- Tennur , Trichy. • Kauvery hospital- Cantonment , Trichy. • Kauvery hospital -Chennai. • Kauvery hospital Heartcity, Trichy.
  • 3. CATHLAB INNOVA 2100
  • 4. 9
  • 5. ICT Applications in Hospitals Related to Patient care –EMR Related to work flow –Lab Automation Related health care facility-BMS
  • 6. List of hospitals with wide range of ICT applications Abbreviation Hospital name No of beds Tier II city hospitals KMCH Kovai Medical Center & Hospital, Coimbatore 700 KSH Kovai Speciality Hospital, Erode 150 MMHRC Meenakshi Mission Hospital, Madurai 600 MH Meenakshi Hospital, Thanjavur 200 KHCT Kauvery Hospital Cantonment, Trichy 200 KHTT Kauvery Hospital Tennur, Trichy 200 KHCT Kauvery Hospital Heartcity, Trichy 100 Metro city hospitals KHCC Kauvery Hospital Chennai 250 RMH Rangarajan Memorial Hospital, Chennai 200 AHC Apollo Hospital, Chennai 500 AHH Apollo Hospital, Hyderabad 500
  • 7. List of ICT applications in Hosptials Name of software Software provider Patient care Digital media records Infolife Dragon naturally speaking version 10 Nuance USA Hospital information software Aosta, Coimbatore/Infolife Laboratory information software Aosta, Coimbatore Picture archiving communication system software Raster Images, Salem Radiology information software Wipro GE Video capturing software Avantec solutions, Chennai Facilities Management Building management software Siemens / Honeywell Call center software SKS, Salem Energy management software Schnider I-touch software Daiken Pneumatic pipeline system software Swisslog, Germany Telecom tracking software Siemens / Ericsson Video conferencing software Peoplelink, Chennai Administration Accounting software Tally Human resource management software Deep Roots, Coimbatore Supply chain management software Aosta, Coimbatore Systems, applications and products software SAP-HR/CRM/Finance
  • 8. Hospitals Type of cities Tier II cities Metro cities Name of hospitals KMCH 700 KSH 150 MMHRC 700 MH 200 KHCT 200 KHTT 200 KHHCT 100 SMF 350 AH, CHN 500 AH, HYD 500 Patient care software Hospital information software           Radiology information software           Dragon naturally speaking version 10           Picture archiving communication system software           Digital media records           Video capturing software           Laboratory information software           Facilities management software I-touch software           Video conferencing software           Pneumatic pipeline system software           Telecom tracking software           Building management software           Energy management software           Call center software           Administrative area software Accounting software           Human resource management software           Supply chain management software           ** Electronic medical records is not included in the list
  • 9. SUMMARY OF ICT IMPLEMENTATION IN SELECTED TIER II AND METRO CITIES IN INDIA Hospitals Type of cities Tier II cities Metro cities Sl. no Name of hospital/beds KMCH 700 KSH 150 MMHR C 700 MH 200 KHCT 200 KHTT 200 KHHC T 100 SMF 350 AH, CHN 500 AH, HYD 500 Patient care software 1 Hospital information software (HIS)           2 Radiology information system (RIS)           3 Dragon naturally speaking version 10           4 Picture archiving communication system (PACS)           5 Digital media records           6 Video capturing software           7 Laboratory information software (LIS)          
  • 10. SUMMARY OF ICT IMPLEMENTATION IN SELECTED TIER II AND METRO CITIES IN INDIA Hospitals Type of cities Tier II cities Metro cities Sl. no Name of hospital/beds KMCH 700 KSH 150 MMHR C 700 MH 200 KHCT 200 KHTT 200 KHHC T 100 SMF 350 AH, CHN 500 AH, HYD 500 Facilities management software 1 I-touch software           2 Video conferencing software           3 Pneumatic pipeline system software           4 Telecom tracking software           5 Building management software (BMS)           6 Energy management software (EMS          
  • 11. SUMMARY OF ICT IMPLEMENTATION IN SELECTED TIER II AND METRO CITIES IN INDIA Hospitals Type of cities Tier II cities Metro cities Sl no Name of hospital/beds KMCH 700 KSH 150 MMHRC 700 MH 200 KHCT 200 KHTT 200 KHHC T 100 SMF 350 AH, CHN 500 AH, HYD 500 Administrative area software 1 Accounting software           2 Human resource management software           3 Supply chain management software           ** Electronic medical records is not included in the list
  • 12. Reasons successful Implementation Promoter Doctors ownership/Contribution Cost effective solutions -75-100 lakhs for 200 beds-BMS cost ? Easy Implementation Economies of scale
  • 13. 9/20/2013 ICT Implementation Initiatives in KH Group 2012-13 Description KH Tennur KH Specality KH Heart city KH Chennai Computerized plastic patient ID cards 7-Nov 5-Nov 29-Oct 11-Oct Bar coded patient ID cards 7-Nov 5-Nov 29-Oct 15-Oct Bar coded patient ID tags 16-Nov 14-Nov 31-Oct 29-Oct Software Integration of laboratory equipment 29-Oct 31-Oct 23-Nov 31-Oct Bar coded sample containers in loboratory 7-Nov 7-Nov 8-Nov 8-Nov Bar Code for capital Assets 7-Nov13 7-Nov13 12-Nov13 12-Nov13 Barcoded ID cards for Employees 27-Dec13 27-Dec13 27-Dec13 27-Dec13 Pneumatic Pipeline System(900 transports) NA 15-Nov 15-Nov 10-Nov Telephone servies Call Tracking Call center UI 10-Nov 5- Nov 10-Nov
  • 14. 9/20/2013 ICT Implementation Initiatives KH Group Description KH Tennur KH Specality KH Heart city KH Chennai Video Conferencing facility 15-Dec 15-Dec 15-Dec 15-Dec Implementation Stardard version HIS 1-Nov13 1-Dec13 1-June13 NA BMS implementation NA- NA 31 4 12 31 4 12
  • 15. Barcode Technology Patient IDs and Tags 9/20/2013
  • 16. ICCU
  • 17. Integrating Laboratory Equipment
  • 18. 31
  • 19. IT Laboratory management No of samples per day No pending samples per day No requests cancelled per day No unbilled requests per day Reporting through computer net work List for sample misreported reported Turn around time (TOT)
  • 20. Picture Archival communication system-PACs
  • 21. OPERATION THEATRE
  • 22. Pneumatic tube systems Use Pneumatic pipeline systems to reduce delay in sample delivery and sample mix up It is estimated that pre analytical errors account to 68% of the total errors in the laboratory reporting
  • 23. Building Management systems(BMS)
  • 24. I-Touch HVAC Software from Daiken
  • 25. I Touch Features Remotely set temp for 200 VRV Measure energy using PPD software Switch off and switch on AC inpatient rooms after discharge and admission
  • 26. Software based Video conferencing facility
  • 27. Speech Recognition
  • 28. Biometric technology
  • 29. Use Barcodes in Tracing patient transport in side the hospital
  • 30. • Reports
  • 31. Telephone usage in top 5 Departments INTER COM NO 13-Jun May-13 Diff Rs Rs 112/111 CASUALITY 3045 3552 -507 340/722 EDP 894 1383 -489 500 HR 683 1054 -371 107 CFM-Vinoth 543 0 543 460/153 Corporate OFFICE 411 652 -241 723 PARAMA 179 180 -1 TOTAL 5755 6821 -1066
  • 32. Doctors Wise Unplanned Top 5 0 10 20 30 40 50 60 56 32 30 28 25 23 18 12 10 10 8 7 5 5
  • 33. Discharge plan monitoring DISCHARGE DETAILS NO OF DISCHARGE % UNPLANNED DISCHARGE - 301 37.39 DISCHARGE- as per PDD 422 52.42 AMA, AT REQUEST ,DEAD, REG,CANCEL 82 10.19 TOTAL DISCHARGE 805
  • 34. OP Bill Cancel consolidated report- May- 13 S No Refund Area 13-Jun 13-May 1 OP-CLAIM 10600 18,900 2 Reception - 500 3 RTSYS-1 1000 - 4 LAB-REP 240 - 5 OPREC-1 - 1200 6 OPREC2 - 300 Total 11,840 20,900
  • 35. PHYSICIAN LEAVE DETAILS June -2013 OUT OF STATION NO OP NO OF DOCTORS 5 26 NO OF DAYS 8 95 Dr.NAME NO OP/Day OUT OF STATION 1 DR.ANAND C 9 2 Dr.BALAMBIGAI 8 3 DR.ELANGO N 1 4 Dr.GANAPATHY SUNDAR 1 5 Dr.GURUMOORTHI 1 6 DR.JOS JASPER G 3 7 Dr.KRISHNAMOORTHI 5 1 8 DR.MANGALA DEVI M 4 9 DR.MANICKAVASAGAM.S(M.V) 2 10 Dr.NAGARAJAN 5 11 DR.N.NAJEEB 2
  • 36. PHYSICIAN LEAVE DETAILS June -2013 OUT OF STATION NO OP NO OF DOCTORS 5 26 NO OF DAYS 8 95 Dr.NAME NO OP/Day OUT OF STATION DR.ANAND C 9 Dr.BALAMBIGAI 8 DR.ELANGO N 1 Dr.GANAPATHY SUNDAR 1 Dr.GURUMOORTHI 1 DR.JOS JASPER G 3 Dr.KRISHNAMOORTHI 5 1 DR.MANGALA DEVI M 4 DR.MANICKAVASAGAM.S(M. V) 2 Dr.NAGARAJAN 5 DR.N.NAJEEB 2
  • 37. CANCELL REQUEST REPORT MONTH OF June CARDIOLOGY RADIOLOGY LAB WARD 13-Jun 12-Jun WARD 13-Jun 12-Jun WARD 13-Jun 12-Jun HC SCCU 2 3 A VI FLOOR GWM - 1 POW II - 5 CASUALITY 2 1 A VI FLOOR GW II - 16 B II Floor - 10 B III MGW 2 - B III FGW - 3 307 POW - 7 A V FLOOR 1 1 B II FLOOR - 2 A VI GW - ICU 0 5 HC POW - 4 A VI FLOOR GW II - 21 POW 0 HC SCCU 8 3 CASUALITY 26 33 IMCU 0 1 ICU 6 10 IMCU 20 18 B I FLOOR 0 - CASUALITY 5 14 ICU 16 40 B II 0 - A V FLOOR 5 3 HC SCCU 14 10 LWARD 0 - IMCU 4 14 A V FLOOR 9 12 A II FGW 0 1 KH POW 4 1 KH POW 8 A II MGW 0 1 B IV GW 3 - LABOUR WARD 6 5 A VI FLOOR GWM 0 - B III MGW 2 4 A II FGW 4 10 B III SR 0 - A II FGW 2 5 B III MGW 4 7 HC POW 0 2 MICU 1 - B III FGW 2 7 MICU 0 - POW II 1 5 A II MGW 2 8 A VI FLOOR GW II 3 A II MGW 1 9 B III SR 1 11 TOTAL 7 18 B III SR - 3 MICU 3 2 LWARD 1 - B I FLOOR - 2 TOTAL 43 97 HC POW - 6 B IV SR 1 B IV GW 1 10 D 1 FLOOR - 1
  • 38. Complaint segragation Department Complaint Categories March-13 April-13 May-13 June-13 Total Light Problem 79 94 64 61 298 Telephone (Not Working) 69 92 81 56 298 Electrical Fan Not Working 40 53 43 43 179 TV issue 17 17 24 10 68 Switch Board Problem 18 23 18 6 65 UPS Problem 18 13 24 12 67 Wiring Problem 5 7 1 8 21 Other ComplaintsE 2 2 Total 246 299 257 196 998 General Stores Material required 67 55 68 70 260 Machinary service 29 30 10 12 81 Cylinder required 12 22 26 13 73 Total 108 107 104 95 414 House Keeping Room Cleaning 67 88 77 73 305 Cot Problem 25 37 13 20 95 Fan Cleaning 35 16 23 12 86 Floor Cleaning 12 18 22 10 62 Chair & Stool Repair 15 20 20 6 61 Toilet & Bath Room Cleaning 8 17 18 4 47 Table,Drawer & Cuboard Repair 15 14 7 6 42 Lock Problem 16 10 5 6 37 Door & Window cleaning 3 10 12 4 29 Mattress Changing 8 5 6 4 23
  • 39. Ambulance Wise all Units Patient Transfer Details Mon of June -13 S.No DATE Vehile NO Patient Name From To 1 01/06/2013 TN45AP0266 tempo Baby Suguna KHC Chennai Appolo 2 01/06/2013 TN45AP0266 tempo Raja Sekar KHT Madurai Appolo 3 03/06/2013 TN45AP0266 tempo Senthil kumar KHT Selam Manipal 4 05/06/2013 TN45AP0266 tempo Iyyappan KHT Vellore 5 10/06/2013 TN45AP0266 tempo Vardha Rajan ECB Dindugal 6 10/06/2013 TN45AP0266 tempo Govindammal KHC Madurai 7 12/06/2013 TN45AP0266 tempo Varadha Rajan ECB Chennai 8 17/06/2013 TN45AP0266 tempo Mohan Raj KHT Madurai 9 20/06/2013 TN45AP0266 tempo Rathna ECB Trissur ( Kerala) 10 28/06/2013 TN45AP0266 tempo Manon Mani Thiruvarur ECB 11 04/06/2013 TN45 AE 5917 Rejena Banu KHT Shanmugam 12 08/06/2013 TN45 AE 5917 Selvaraj KHT Venkatanur 13 09/06/2013 TN45 AE 5917 Saraswathi KHC Madurai 14 10/06/2013 TN45 AE 5917 Bama Subramaniyam T.Nagar Chennai 15 13/06/2013 TN45 AE 5917 Murugesan KHT Perambalur 16 19/06/2013 TN45 AE 5917 Mohammed Siddiq ECB Chennai 17 28/06/2013 TN45 AE 5917 Selvam Lalgudi KHC 18 28/06/2013 TN45 AE 5917 Karthik Rubesh KHT Chennai