D'HealthCare provides solutions to following key problems of today's healthcare world. “My surgeries are being canceled for want of an inpatient bed” “I sometimes hold my patients in the hospital an extra day just to save a seat for my next patient.” “My housekeeping staff finds out about discharged patients by checking a handwritten log.” “Patients are being sent to other hospitals—we can’t find room” Apart from that it also helps solve - Assignment and Transfer Delays - Limited Capacity Intelligence -- Unmonitored bed turnaround -- Delayed Visibility of Empty Beds -- Unseen Capacity - Delayed Discharge -- Transport Delays -- Equipment/Pharmacy Req. -- Test Results

1. D’HEALTHCARE
INNOVATIONS IN HEALTHCARE
BY DIGICORP

2. Understanding the Key Problems
“My housekeeping staff
finds out about
discharged patients by
checking a handwritten
log.”
“My surgeries are
being canceled for
want of an inpatient
bed”
“I sometimes hold my
patients in the
hospital an extra day—
just to save a seat for my
next patient.”
“Patients are being sent
to other hospitals—we
can’t find room”
Assignment and
Transfer Delays
Limited Capacity
Intelligence
Unmonitored bed
turnaround
Delayed Visibility of
Empty Beds
Unseen Capacity
Delayed Discharge
Transport Delays
Equipment/Pharmacy
Req.
Test Results

3. Key Problems for a Hospital COO

4. How do hospitals manage their
beds today?
The current options are all inadequate
• Manual option
– Time consuming- slow relay of information leaves beds open or un-cleaned while
patients pile up in the ED or admitting
– Nurses do not actively seek to fill beds
• Visual system
– Maintenance issues
– Limited to one area
– Does not contact anyone directly
• Telephone Tracking System
– Low compliance due to complexity of system
– The fact that it is being considered is an indication of the great need for a solution
in this area.

5. How D’HealthCare can help?
“Lower Cost of Care”
Reduce Costs per Revenue
“Better Patient Billing”
Revenue Recovery
“Lower Cost of Operation”
Reduced Variable Costs
“Better Physician/Patients”
Improved Revenue Portfolio
“Great Patient Experience”
Quality and Safety
• Reduced denials and re-bills
• Maximize reimbursements
• Improve financial counseling
• Improved employee performance
management
• Attract more paying patients
• Attract more top physicians
• Negotiate more favorable contracts
• Launch new services more quickly
• Reduce repeated orders
• Eliminate wasted effort
• Improve assignment of indirect
costs for better profit mgmt
• Improved usage of GPO contracts
• Allow real-time intervention
during the episode-of-care
• Improve the time nurses spend
with patients
• Reduce occurrence of “never
events” and errors
• Improved CMS and P4P reporting
and proactive management
• Improved forecasts
• Reduce shrinkage on high-value,
highly-portable items
• Improved availability of rentals’;
lower inventories
• Reduce excess on-hand inventory
• Improved assignment and
balancing of staff

6. Benefits of D’HealthCare Technology
• Unique Framework for Enterprise Performance Management
• ‘Systems Thinking’ concepts applied on enterprise for holistic performance improvement
• Performance Semantics captured simplistically in D'HealthCare Semantic Network
• D'HealthCare platform auto-generates 70% of code i.e. Shorter development cycle and rapid
implementation

7. Integrating Information Across Silos
in Real time
Predictive Early WarningDrill Down Visibility
Root Cause Analysis
Clinical &
Quality
Operational
& Financial
IT & Security
Health
Metrics
PAT ADT Radiology
(PACS)
Order
Entry
Bed
Management
Pharmacy

8. What makes D’HealthCare special
• Significantly reduces the complexity of
modeling enterprise behavior
• Use a small set of Semantic Types
• Model very rich associative relationships
• Completely model the real world dynamism
• Events of the enterprise and their impact
• Powerful statistical models
• Powerful integration model to integrate
with almost any source
• Leverage existing monitoring investments
• Integrate with other reporting and analytic
solutions
Reduce Effort
Value to Service Provider
Organizations
Reduce Cost
Superior Technology
Single Foundation
Improved Margin
Value Added
Services

9. How D’HealthCare makes an impact
Aggregating Bed
Knowledge
Integrating Occupancy
Intelligence
Improving
Dx Infrastructure
Elevating ED Performance
Leveraging
OR Capacity
Achieving Bed Transparency Eliminating Discharge Variability Enhancing Admissions Capabilities
Prioritized LOS
Management
Automated Ancillary
Prioritization
Discharge process monitoring
Discharge Contingency
Display
Discharge automation and
tracking
Discharge Performance
InputProcessOutput
At-a-Glance Clinical Data
Streamlined ED admissions
Ambulatory tracking
Discharge Contingency
Display
Discharge automation and
tracking
Clinical quality
performance indicators
Census Predictions
Electronic Nurse Reports
Unscheduled Surgery
Analysis
Automatic rescheduling
suggestions
Schedule conflicts due to
delays
On-Time Start Tracking
Data-Driven Block
Scheduling
Throughput & yield
analysis
Prioritized LOS
Management
Automated Ancillary
Prioritization
Complete process tracking
Real time status of beds
Census Predictions
Turnaround alerts
Occupancy Alerts
Improved usage of
transactional systems
Total ED Admissions
Number of Admissions/
day
Number of scheduled
surgeries/day
Managing Bed Demand
across service lines
Pre-Admissions Tracking
and alerts
Patient Diversions Alerts
Bed Turnaround Reports
Empty Bed Trigger

10. D’Healthcare Solutions – Positioning
Eclipsys
D’HealthCare
Crystal Reports
Cognos
Value*oftheSolution
Need for the Solution
Business
Objects
Microsoft
Amalga
HIS ToolsReporting Tools BI Tools
* Value of the solution as a function of Low Total Cost of Ownership, Quick ROI & Benefits
Meditech
Cerner Bed
Management
Convergence
CT
dbMotion
Aggregation Tools
“Must have” for
operational
automation
“Emerging Need”
For information
Aggregation,
decision
support
Key to
Reduce Cost,
Improve Performance,
Quality & Compliance

11. D’HealthCare Features & Functionality
• Rich Enterprise Models & Topologies
• Dependency driven models, to accurately capture behavioral relationships
• Accurately model incidents, events & impact in real time
• Real time Monitoring
• Open connectivity into disparate applications and infrastructure devices
• Extensible adaptor architecture, allowing connectivity to almost all types of systems
• Real time Measurements
• Measuring of defined metrics continuously with achievement targets
• Continuous statistical analysis, forecasts & predictions
• Real time Management
• Predictive proactive actions – act before it is too late
• Automatic corrective actions of any nature (not just notifications)
• Real time Web Based Dashboards
• Role based interface for external and internal SLAs, KPIs, Dashboards
• Single portal for reporting, drilldown and event tracking
• Multiple view query and analysis for graphical presentation & export

12. Proactive Discharge Management
• Sample Metrics (presented using appropriate graphical views)
– Upcoming Discharges in next 24 hrs, next 48 hrs, next 72 hrs
– Forecast of discharges over next 30 days (projected from current census & statistical forecasts)
– No of patients waiting for transport, and other bookings
• Proactive Notifications View
– Management agent to issue notifications via email/pager directly
– Dashboard view for real time notifications issued by the system
• Patient
• Expected Discharge Time
• Specific Notifications
– Analysis of notifications issued in last 72 hours
• Patient Discharge Checklist
– Checklist view of patients with upcoming discharge
– Progress indicators of notifications
– Specific notifications checklist (with appropriate indicators for notifications, actions taken etc)

13. Sample Discharge Process Summary
(Real time)

14. Real time Bed Visibility at
Admissions
Achieving Bed TransparencyLacking Transparency, Losing Admissions
• 97%
occupancy
• Patients
boarding in
the ED
• No
knowledge
of
scheduled
discharges
A Full House A Decision to
Divert
A Decision to
Divert
• Direct
admissions
denied
• Surgeries
cancelled
• Hidden
beds
• Unforesee
n
discharges
• Beds held
unnecessar
ily
• Lack of bed
transparen
cy leads to
“Unplanne
d Capacity”
• 15 lost
admissions
daily
Unanticipated
Empty Beds
• Hidden Beds: Patients
left several hours
earlier; empty beds not
reported
• Unforeseen
Discharges: Beds with
pending and scheduled
discharges are not
reported to Bed Control
• Unnecessary Holds:
Surgery cancellations not
communicated to Bed
Control; inpatient beds
held unnecessarily
• Excess Idle Time: Direct
admission delayed; bed
held waiting for patient to
arrive

15. Operational Visibility
Dirty In Progress Clean
Notification of empty Bed
Triggers automatic page to
Housekeeping
Housekeeper keys in start of
cleaning
Housekeeper enters clean
bed status
1 2 3
Name
Response
(minutes)
Bed Turns/
shift
Vinson 14 7.1
John 18 8.3
Romer 13 8.8
Reports measure
performance by
individual
housekeeperHospital set target
response time at
15 minutes

16. Events & Notifications

17. Patient Pathway Analysis
• Pathway Compliance
– Patient movement along predetermined pathways
– Top level measurements at a the “Semantic Level” pathway
– Allow users to look at highest level of pathway compliance across all patients
– Drill down from top level to various specialties (specific pathways)
– Further drill-down into individual patient pathways
• Compliance Violation
– Because of delays in activity
– Because of latency (wait time) & scheduling issues
– Because of failure/complications
– Because of repeat procedures or abnormal pathways etc
• Highlight Various KPIs and Measures
– Compliance violation due to delays, scheduling issues etc
– Pathways ahead of time (better than expected)
– Current status, trends this week, this month and over a period of time

18. Sample Pathway Compliance
Dashboard

19. Few Quantitative Benefits
ACTUAL PERFORMANCE
25% Improvement in Bed
Requested vs. Bed Assigned
ACTUAL PERFORMANCE
10% Improvement in Inpatient
Conversions
Bed Turnaround Time
20% reduction in Bed Assignment Time (request to assignment)
15-30% reduction in Bed Occupancy Time (request to occupied)
30-40% reduction in Bed Occupancy Time for evening and night
Bed Occupancy & Capacity Improvement
8-10% improvement in bed occupancy (inpatient conversions)
10-13% improvement in ED Admissions (improved bed utilization)
8-10% improvement in ED utilization (better resource management)
Nursing & Clinical
25-40% reduction in outpatient conversions
30% reduction in outpatient conversions for interventional radiology
20% reduction in overall outpatient conversions
3% improvement in early discharges (before 2:00 PM as) % of total

20. CONTACT
Abhishek
Digicorp House,
Ambawadi,
Ahmedabad 380015
India
+91 98790 33534
abhishek.desai@digi-corp.com
Sanket
1411 Zinnia Rd,
Missouri City
Texas 77489
USA
+1 (832) 947-3143
sanket.patel@digi-corp.com
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www.digi-corp.com