Health informatics : How to increase it’s utilization from data display to decision making

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  • Boutique Monthly : Cloudnine : 520 [ Old Airport - 275,Jayanagar-165 Malleshwaram - 80 ] , Motherhood [ 120 ] , Cradle: 145 [Jayanagar - 65 , Koramangala -80 ]Birthing Revenues Monthly [ 9 Crore INR ]Cloudnine : 6.6 Crore [ Old Airport – 3.8 Crore ,Jayanagar- 1.8 Crore, Malleshwaram – 96 Lakh ] , Motherhood 1 Crore [ 1 Crore] , Cradle: 1.5 Crore [Jayanagar – 80 Lakh , Koramangala -70 Lakh ]
  • http://visualization.geblogs.com/visualization/health_visualizer/
  • http://visualization.geblogs.com/visualization/health_visualizer/
  • Health informatics : How to increase it’s utilization from data display to decision making

    1. 1. Dr Vijay Raaghavan Engagement Manager HEALTH INFORMATIC S How to increase it’s utilization from data display to decision making
    2. 2. This session won’t address the benefits of using an electronic medical record system. It instead, assumes that, it is bare minimal necessity for a healthcare provider to function with.
    3. 3. Health Information matics to automate
    4. 4. Health Information matics ? to automate
    5. 5. ? Automate The annual revenues of a leading single specialty hospital at Bangalore Actual Projection Actual Revenue Head 2012-2013 2013-2014 2013-2014 Bed Charges 23.5 28.2 12.5 Consultation Fees 1.5 1.8 4.2 Home Nursing Care Services 0.45 0.54 0.1 25.45 30.54 16.8 in Crore INR The CMO was convinced that , the hospital will do a 20% increase in revenue The actual revenue was just 50% of the projection We no more need to project future value based on “just” the past performance We need to have a good grasp on the CHANGING PATTERN on a day on day basis
    6. 6. Leveraging IT Helps us Automate Lets Understand This In A Little More Detail
    7. 7. IT: Requirements SOFTWARE HARDWARE NETWORKING + + The Information Technology (IT) requirements of the facility can be broadly grouped under the three heads THE BASIC SOFTWARE Like the Microsoft office and the Windows software that is essentially required for running the systems THE MEDICAL SOFTWARE- Predominantly comprises of the Hospital Information Systems (HIS) which helps in the electronic management of the facility data THE APPLICATION SOFTWARE like Tally, Attendance Roaster, Payroll etc. that take care of the Enterprise requirements. THE BASIC HARDWARE This comprises of the Desktop that comprises of Monitors , CPUs, the Laptop, Keyboard THE PERIPHERAL DEVICE This comprises of the printing accessories , the pointers , the Bar Code Readers , The Scanners FUNCTIONAL DEVICES These include devices like the Electronic Pens, Take Note Device, Audiometry support kits etc which augment the basic hardware Helps in linking all the computers used across the facility to the main server computer, besides facilitating transfer of information across facility users WIRED This comprises of a set of wires that link all the local systems located inside an enterprise with the help of solid metal wires WIRELESS This comprises of a set of waves that link systems . Implementing such a technology minimizes the need “ hardwire” the enterprise A B C
    8. 8. Patient Care Services Support Services Other Services Patient Registration Hospital Facilities Insurance & TPA Doctor Management OPD Billing & Collections Lab Management Radiology ManagementAdmission, Discharge, Tran sfer (ADT) Ward Management IP Billing & Collections OT Management Purchase Management Inventory Management Pharmacy Management Management Information System HOSPITAL INFORMATION SYSTEMS : CORE MODULES OUTPATIENT SPECIFIC MODULES
    9. 9. IT Implementation: Critical Success Factors  Usability and convenience across levels of users Ease of navigation Ability to customize at the end user  The overall scope addresses all functional requirements Takes into account some of the future requirements  Proven Scalable Upgradable Intuitive In essence, it is the user orientation, which defines success, not the technology User Functional Technology Successful IT Implementation CONTENT Is the clinical content of the system complete and useful? FUNCTIONALITY Is the functionality of the application adequate? NAVIGATION How easy is it to navigate through the various screens? TRANSACTION EFFICIENCY How many „clicks‟ does it take to get to the required function/information? INDIVIDUAL CUSTOMIZATION Does the application support individual customization easily? INTUITIVENESS/TH OUGHT FLOW How closely does the flow of the screens and data match the way physicians can envision working? KEYS TO SUCCESS
    10. 10. As Chief Medical Officers This is just the bare minimal to expect
    11. 11. Lets get to Level 2.0
    12. 12. 11-04-2014 12-04-2014 13-04-2014 500 1000 1500 2000 2500 No. of Daily Consultations 800* 2200 1800 Consultation Dashboard 9-10am 10-11 am 11-12 noon 12-1pm 1—2pm 2—3pm 3—4pm 4—5pm 5—6pm 6—7pm 7—8pm 8—9pm Lowest Highest
    13. 13. 127 40 80 120 140 180 220 240 280 320 340 380 420 460 500 Service line 1 (592) Surgical Non-Surgical 15,000 30,000 45,000 60,000 75,000 90,000 105,000 130,000 INR 57,372 INR 30,992 INR 37,663 Category No. of Cases ( for the month of March 2014 ) ARPP { Average Revenue Per Patient } Service Line 2 (219) Internal External Service Line 3 (178) LSCS Normal Gynec Procedure 465 172 47 45 71 62 INR 104,633 INR 67,809 INR 54,223 INR 38,105 Revenue Per Patient Realization Dashboard
    14. 14. Patient Satisfaction Scores 3 4 5 6 7 8 Neurology Nephrology Pediatrics Orthopedics Internal Med Dentistry Cosmetology Gastroentero Opthalmology OBGYN IVF 21 April 2014 N : 416 Cases Dept Score Avge
    15. 15. Lets get to Level 3.0 Not Enough
    16. 16. ? Automate We no more need to project future value based on “just” the past performance We need to have a good grasp on the CHANGING PATTERN on a day on day basis http://visualization.geblogs.com/visualization/ hospital_quality/
    17. 17. ? Automate We no more need to project future value based on “just” the past performance We need to have a good grasp on the CHANGING PATTERN on a day on day basis http://visualization.geblogs.com/visualization/hospital_quality/
    18. 18. We need data for MAKING DECISIONS Just Remember This
    19. 19. Better Decisions Help us Understand Data Better Just Remember This
    20. 20. Thank You Dr Vijay Raaghavan drvijay.raaghavan@med-ium.com

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