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COST EFFECTIVE COMPUTERISATION IN HOSPITALS Dr Deepak Agrawal, Assistant Prof, Neurosurgery I/C Telemedicine & computeriza...
EXPECTATIONS <ul><li>COMPUTER WITH INTERNET </li></ul><ul><li>PACS </li></ul><ul><li>HIS (Hospital information system) </l...
COMPUTER WITH INTERNET <ul><li>EMAIL </li></ul><ul><li>SEARCH </li></ul><ul><li>PUBMED </li></ul><ul><li>FULL TEXT ARTICLE...
PACS <ul><li>ABILITY TO VIEW IN ALMOST REAL TIME </li></ul><ul><li>X-RAYS </li></ul><ul><li>CT-SCAN </li></ul><ul><li>MRI ...
HIS (Hospital information system) <ul><li>Administrator: </li></ul><ul><ul><li>(ward/bed/diagnosis/doctor) </li></ul></ul>...
HIS (Hospital information system) <ul><li>ME </li></ul><ul><ul><li>All of the above </li></ul></ul><ul><ul><li>Integration...
DIGITALISATION OF ALL RECORDS <ul><li>All previous paper records to be scanned & digitally archived </li></ul>
ANYWHERE & ANYTIME ACCESS <ul><li>Access to patient data/ administrative data (provided adequate privileges are present) <...
CASE STUDY (JPNATC) <ul><li>Two buildings (6 floors + 9 floors) </li></ul><ul><li>8 specialties, 175 beds </li></ul><ul><l...
CASE STUDY (JPNATC) <ul><li>Dual network (wired & wireless) </li></ul><ul><li>Computers with internet in all patient areas...
THIN CLIENTS-TCO
CASE STUDY (JPNATC) <ul><li>NETWORKING </li></ul><ul><li>Wired network (52 nodes) </li></ul><ul><ul><li>6 months </li></ul...
CASE STUDY (JPNATC) <ul><li>125 computers </li></ul><ul><li>Standard Desktops 65 (Cost Rs 40,000/computer; life 3-5 yrs) <...
CASE STUDY (JPNATC) <ul><li>Present status: </li></ul><ul><li>Fully networked with structured cabling & integrated with AI...
CASE STUDY (JPNATC) <ul><li>Fully functional PACS  ( running on wi-fi ) </li></ul><ul><li>CT,MRI & X-ray (Including portab...
CASE STUDY (JPNATC) <ul><li>Cost Savings </li></ul><ul><li>Annual cost of films at JPNATC </li></ul><ul><li>Approx Rs 74 l...
CASE STUDY (JPNATC) <ul><li>HIS (open-source) </li></ul><ul><ul><li>Registration </li></ul></ul><ul><ul><li>ADT In almost ...
Innovations at JPNATC <ul><li>CATS </li></ul><ul><li>Computerization Assistance & Support Team </li></ul>
<ul><li>Single patient ID </li></ul><ul><ul><li>Registration number </li></ul></ul><ul><ul><li>Admission number </li></ul>...
 
PACS at home
Mobile computing
1:2 Patient to computer ratio
 
 
Interfacing of Lab equipment
Infection control measures
Access Control
THANK YOU
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Computerisation in jpnatc

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Computerisation in jpnatc

  1. 1. COST EFFECTIVE COMPUTERISATION IN HOSPITALS Dr Deepak Agrawal, Assistant Prof, Neurosurgery I/C Telemedicine & computerization JPNATC, AIIMS CASE STUDY: JPNATC
  2. 2. EXPECTATIONS <ul><li>COMPUTER WITH INTERNET </li></ul><ul><li>PACS </li></ul><ul><li>HIS (Hospital information system) </li></ul><ul><li>DIGITALISATION OF ALL RECORDS </li></ul><ul><li>ANYWHERE & ANYTIME ACCESS </li></ul>
  3. 3. COMPUTER WITH INTERNET <ul><li>EMAIL </li></ul><ul><li>SEARCH </li></ul><ul><li>PUBMED </li></ul><ul><li>FULL TEXT ARTICLES (JOURNAL ACCESS) </li></ul>
  4. 4. PACS <ul><li>ABILITY TO VIEW IN ALMOST REAL TIME </li></ul><ul><li>X-RAYS </li></ul><ul><li>CT-SCAN </li></ul><ul><li>MRI </li></ul><ul><li>ULTRASOUND </li></ul><ul><li>AT HIS/HER CONVENIENCE (e.g:in their rooms) </li></ul>
  5. 5. HIS (Hospital information system) <ul><li>Administrator: </li></ul><ul><ul><li>(ward/bed/diagnosis/doctor) </li></ul></ul><ul><ul><li>Census/statistics </li></ul></ul><ul><li>Clinician: </li></ul><ul><ul><li>Every clinical detail </li></ul></ul><ul><ul><li>Discharge summary/OPD follow up </li></ul></ul><ul><li>Residents: </li></ul><ul><ul><li>All lab data/ investigations </li></ul></ul><ul><li>Researcher: </li></ul><ul><ul><li>All proformas/databases </li></ul></ul>
  6. 6. HIS (Hospital information system) <ul><li>ME </li></ul><ul><ul><li>All of the above </li></ul></ul><ul><ul><li>Integration of all disciplines </li></ul></ul><ul><ul><li>Quality control </li></ul></ul><ul><ul><li>Inventory control </li></ul></ul><ul><ul><li>Personnel management </li></ul></ul>
  7. 7. DIGITALISATION OF ALL RECORDS <ul><li>All previous paper records to be scanned & digitally archived </li></ul>
  8. 8. ANYWHERE & ANYTIME ACCESS <ul><li>Access to patient data/ administrative data (provided adequate privileges are present) </li></ul>
  9. 9. CASE STUDY (JPNATC) <ul><li>Two buildings (6 floors + 9 floors) </li></ul><ul><li>8 specialties, 175 beds </li></ul><ul><li>Till Sep 2006 </li></ul><ul><li>No networking </li></ul><ul><li>No internet </li></ul><ul><li>No PACS </li></ul><ul><li>No HIS </li></ul>
  10. 10. CASE STUDY (JPNATC) <ul><li>Dual network (wired & wireless) </li></ul><ul><li>Computers with internet in all patient areas </li></ul><ul><li>Server-client architecture with standalone facility </li></ul><ul><li>Thin clients </li></ul><ul><li>PACS </li></ul>
  11. 11. THIN CLIENTS-TCO
  12. 12. CASE STUDY (JPNATC) <ul><li>NETWORKING </li></ul><ul><li>Wired network (52 nodes) </li></ul><ul><ul><li>6 months </li></ul></ul><ul><ul><li>Cost 8 lakhs </li></ul></ul><ul><li>Wireless network (full campus) </li></ul><ul><ul><li>3 weeks </li></ul></ul><ul><ul><li>Cost 1 lakh </li></ul></ul>
  13. 13. CASE STUDY (JPNATC) <ul><li>125 computers </li></ul><ul><li>Standard Desktops 65 (Cost Rs 40,000/computer; life 3-5 yrs) </li></ul><ul><li>Thin clients 60 (cost Rs 25000/computer; life 20-25yrs) </li></ul><ul><li>Server (Rs 1.5 lakhs) </li></ul>
  14. 14. CASE STUDY (JPNATC) <ul><li>Present status: </li></ul><ul><li>Fully networked with structured cabling & integrated with AIIMS </li></ul><ul><li>Completely Wi-fi </li></ul><ul><li>125 internet & PACS enabled computers </li></ul><ul><ul><li>5 computers/ ward & ICU </li></ul></ul><ul><li>Fully functional PACS </li></ul><ul><li>Full internet access with free full text access to journals (ERMED-NML) </li></ul><ul><li>Fully functional HIS </li></ul>
  15. 15. CASE STUDY (JPNATC) <ul><li>Fully functional PACS ( running on wi-fi ) </li></ul><ul><li>CT,MRI & X-ray (Including portable Xray’s) are available in near-real-time </li></ul><ul><li>Any pts imaging can be seen on any computer (ward, ICU, casualty, OT) </li></ul><ul><li>60% FILMLESS!! </li></ul><ul><li>15 licenses (Bundled with CT & MRI) </li></ul>
  16. 16. CASE STUDY (JPNATC) <ul><li>Cost Savings </li></ul><ul><li>Annual cost of films at JPNATC </li></ul><ul><li>Approx Rs 74 lakhs/yr </li></ul><ul><li>Saving with PACS @ 60% filmless </li></ul><ul><li>Approx Rs 44.4 lakhs/yr </li></ul>
  17. 17. CASE STUDY (JPNATC) <ul><li>HIS (open-source) </li></ul><ul><ul><li>Registration </li></ul></ul><ul><ul><li>ADT In almost real time </li></ul></ul><ul><ul><li>CPRS </li></ul></ul><ul><ul><li>Lab interface functional </li></ul></ul><ul><ul><li>Appointment system </li></ul></ul><ul><ul><li>Full digital archival of all patient records </li></ul></ul>
  18. 18. Innovations at JPNATC <ul><li>CATS </li></ul><ul><li>Computerization Assistance & Support Team </li></ul>
  19. 19. <ul><li>Single patient ID </li></ul><ul><ul><li>Registration number </li></ul></ul><ul><ul><li>Admission number </li></ul></ul><ul><ul><li>OPD number </li></ul></ul><ul><ul><li>Radiology numbers </li></ul></ul><ul><ul><li>Departmental number </li></ul></ul><ul><ul><li>Other identification numbers </li></ul></ul>
  20. 21. PACS at home
  21. 22. Mobile computing
  22. 23. 1:2 Patient to computer ratio
  23. 26. Interfacing of Lab equipment
  24. 27. Infection control measures
  25. 28. Access Control
  26. 29. THANK YOU

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