How cost-effective EMR is possible in India
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This document discusses the experience of implementing an electronic medical records (EMR) system at the Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER) Trauma Centre in India. It describes the failed attempt in the 1980s, challenges with handwritten records, benefits of going digital like reproducibility and tamper-proof records. It provides details of the current EMR system setup in 2006 including online appointment booking and follow ups, open source software, estimated costs and significant cost savings from going paperless. The conclusion is that EMR implementation pays for itself many times over through direct and indirect benefits.
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- CT scans increased slightly from 17445 in 2014 to 19364 in 2016, with most done in casualty on adults focusing on the head.
- MRI scans slightly increased from 10
Neurosurgery audit 2016
This document provides an audit summary of the Neurosurgery Department from 2013-2016. Key points include:
- Clinical workload including OPD visits, admissions, surgeries and beds remained steady from 2013-2016. Staffing included junior residents, senior residents and consultants.
- Mortality rates from head and spinal injuries generally decreased from 2013-2016, especially for severe head injuries.
- Average hospital stay durations for head and spinal injury patients varied depending on injury severity but were typically longest for severe injuries.
- Common surgeries included craniotomies, ventriculoperitoneal/ventriculoatrial shunts, cranioplasties and tracheostomies.
Community emergency initiative
The document outlines the Community Emergency Care Initiative run by the All India Institute of Medical Sciences in New Delhi, which aims to train one billion people in emergency medical care. It provides details on programs held in various Indian states and countries to train groups like doctors, nurses, teachers, students, and members of defense and paramilitary forces in emergency preparedness and response. The program is directed by Dr. Sanjeev Bhoi and coordinated by Ms. Nirmal Thakur.
JPNATC Newsletter may 2016
The newsletter highlights achievements of the past year at Jai Prakash Narayan Apex Trauma Centre (JPNATC) in New Delhi, India. Key accomplishments include implementing several new IT systems like online indenting, file tracking, inventory management, and blood bank and emergency department modules. The trauma centre continues to serve as a model for other facilities and has received several awards. Upcoming events include the World Trauma Congress in August and a conference on cost-effective healthcare technology in September.
Medical Record Section audit 2014pptx
The audit report summarizes medical record information and statistics for JPNATC from 2015 to 2013. In 2015, there were 67,044 casualty cases, 36,383 follow-up OPD cases, and 5,192 admissions. The gross death rate was 11% and net death rate was 6%. The bed occupancy rate was 83% and average length of stay was 11 days. With dedicated teamwork, the medical record section provides better treatment, decisions, and trauma care. The section requests conducting more research, education, and training to further promote health record science.
scientific paper on Role of MRD in Hospital Functioning
The document discusses the role of the Medical Record Department (MRD) in hospital functioning. The MRD collects patient information from different departments to compile vital statistics about admissions, discharges, procedures, deaths, and more. This information is provided to hospital administration, government agencies, courts, and other organizations. In 2014, the MRD of a specific hospital collected data on over 62,000 patient visits, 9.3% requiring admission. Surgery and orthopedics saw the most procedures. The MRD also issues medical records to researchers and courts. In summary, the MRD plays a key role in patient care, administration, and legal/research functions through comprehensive collection and reporting of medical record data.
scientific paper on emr
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Aiims appointment system- Our Journey
The appointment system was the vision of Dr Deepak Agrawal and supported by Prof MC Misra, director AIIMS.
NIC helped in developing the software and implementation was done by AIIMS Team (Tripta Sharma) and NIS (Nusring informatics specialists) led by Ms Metilda Robin
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https://www.oeconsulting.com.sg/training-presentations]
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How cost-effective EMR is possible in India
- 1. Deepak Agrawal I/C Computerization & Assoc Prof Neurosurgery, JPNA Trauma Centre, All India Institute of Medical Sciences, New Delhi How cost-effective EMR is possible in India JPNATC Experience
- 2. Those who cannot remember the past are condemned to repeat it.
- 4. • 1980’s • TCS WON TENDER TO COMPUTERIZE WHOLE AIIMS • WORTH SEVERAL CRORES • INSTALLED ‘STATE OF ART HARDWARE & SOFTWARE’ • ‘IMPLEMENTATION’ FAILED MISERABLY
- 5. • Conceived in 1980’s by AIIMS • Handed to Delhi Government • Returned to AIIMS in 1992 • Dry run began on 27 November 2006 • Became fully functional on 26 November, 2007 (ED was opened to general public)
- 6. • No precedent • Expectations were very low
- 7. "The greatest danger for most is not that our aim is too high and we miss it, but that our aim is too low and we reach it."
- 10. • Handwriting issues • Non-Reproducibility • Signature • Address, designation and registration number of Doctor • Not tamper proof • Storage issue
- 11. • Hand writing not a problem • Reproducible • Tamper-proof • Electronic signature • Identity of issuing doctor • Space
- 17. • Network printers • Duplex printing • Heavy duty • Full maintenance contract with per page price (<40 paisa/page) • Capable of scanning patient files
- 18. 1. Mobile number is captured in the EMR and verified by the Call-centre during the first visit/ admission 2. Call-centre give appointment using voice &SMS 3. On day -1, sends list of all appointments that files can be taken out 5. Pt waits with token number which is displayed outside each room 4. On Day ‘0’, final list is prepared and put on each doctors table 6. Call centre phones in evening and gives next appointment based on doctors orders
- 19. • New tender (Rs 1.3 crores over 5 years) • All software developed by vendor should be open source & released compulsorily in source forge for testing by community • Web-based front-end • EWD • Registration & lab front end should be complete within a month
- 20. • Hardware • Servers 50 lakhs • Storage 25 lakhs • Desktops & thinclinets: 25 lakhs • Printers: 10 lakhs • Networking • Switches etc: Rs 25 lakhs • Wireless & wire: Rs 10 lakhs • Total: 1.45 crores
- 22. • Cats etc-20 @9000 Rs 1.8 lakhs • Vista support Rs 2.5 lakhs • Stationary/printing Rs 0.2 lakh • Call Centre Rs 1.0 lakh • Miscl Rs 0.5 lakh • Total Rs 6.0 lakhs/month
- 23. • Radiology (CT/MRI) • Cost of films/year Rs 60 lakhs • PACS • Now 90% filmless • Saving/year Rs 54 lakhs
- 24. • Incalculable • Implementation pays for itself in direct & indirect benefits may times over
- 26. • "If I have seen farther than others, it is because I was standing on the shoulder of giants."