This document discusses perspectives on health information systems in Indian hospitals. It begins by outlining why HIS (health information systems) are important for monitoring clinical, operational, and financial performance indicators. It then discusses what is currently missing in Indian HIS including clinical information systems, electronic medical records, chronic disease management systems, good financial modules, ERP systems, and business intelligence/health analytics software. The document compares Indian HIS vendors to international vendors and identifies weaknesses in both Indian HIS vendors and hospital users. It outlines an ideal roadmap for implementing HIS as a strategic tool for improving enterprise performance.
A glimpse of the basic fundamentals of organization behavior for Hospital Management Students of BK School of Business Management (taken on 24th Sep 2011)
Synthesis Report of Health Information Systems in IndiaHFG Project
Resource Type: Report
Authors: Michael P. Rodriguez, Gajinder Pal Singh and Jim Setzer
Published: May 31, 2014
Resource Description:
A highly functioning national health information system (HIS) facilitates transparent and evidence-based decision making that ultimately leads to improvements in the health status of a country’s population.1 Rather than reflecting a single structure through which routine health statistics in a country are reported, most country health information systems are made up of multiple sub-systems that may or may not be well-coordinated, potentially collect some of the same information, and typically place the largest burden for reporting on those at the lowest levels of the health system, the primary health care facility staff. All of these characteristics present risks to the ability of the health system to function efficiently and effectively. The Health Metrics Network (HMN) Framework, published in 2008, provides a useful lens for viewing the efforts of the Republic of India to improve the production and availability of health information at all levels of its health system, from health facility to district, state, national and international levels, and to use that information to improve health outcomes.
The objectives of this report are to use the HMN Framework to examine, organize and summarize some of the publicly available written information on the Indian HIS and to serve as a resource tool for stakeholders throughout the Indian health system pursuing efforts to strengthen the HIS. This report is intended to highlight the progress that has been made to date and to discuss some of the gaps in the Indian HIS using the HMN Framework, which can then form the basis of discussions on HIS strengthening priorities.
A glimpse of the basic fundamentals of organization behavior for Hospital Management Students of BK School of Business Management (taken on 24th Sep 2011)
Synthesis Report of Health Information Systems in IndiaHFG Project
Resource Type: Report
Authors: Michael P. Rodriguez, Gajinder Pal Singh and Jim Setzer
Published: May 31, 2014
Resource Description:
A highly functioning national health information system (HIS) facilitates transparent and evidence-based decision making that ultimately leads to improvements in the health status of a country’s population.1 Rather than reflecting a single structure through which routine health statistics in a country are reported, most country health information systems are made up of multiple sub-systems that may or may not be well-coordinated, potentially collect some of the same information, and typically place the largest burden for reporting on those at the lowest levels of the health system, the primary health care facility staff. All of these characteristics present risks to the ability of the health system to function efficiently and effectively. The Health Metrics Network (HMN) Framework, published in 2008, provides a useful lens for viewing the efforts of the Republic of India to improve the production and availability of health information at all levels of its health system, from health facility to district, state, national and international levels, and to use that information to improve health outcomes.
The objectives of this report are to use the HMN Framework to examine, organize and summarize some of the publicly available written information on the Indian HIS and to serve as a resource tool for stakeholders throughout the Indian health system pursuing efforts to strengthen the HIS. This report is intended to highlight the progress that has been made to date and to discuss some of the gaps in the Indian HIS using the HMN Framework, which can then form the basis of discussions on HIS strengthening priorities.
Sibyl HIMS: Hospital Information & Management SystemAmarnath Gupta
SibylHIMS - The Hospital Information Management System (ERP) offered by us collectively brings the most up-to-date technologies and fine administrative processes to effectively streamline various key processes inside a hospital.
SibylHIMS is the only solution available in global market which caters to both the business need – Hospital Management and Medical/Clinical Practice.
SibylHIMS - the Hospital Information Management System (ERP) offered by us collectively brings the most up-to-date technologies and fine administrative processes to effectively streamline various key processes inside a hospital.
SibylHIMS is supported by a strong team of medical professionals and a large team of management and developers, all with the common goal of making SibylHIMS a superior clinical and hospital management solution.
Introduction to Routine Health Information System SlidesSaide OER Africa
Introduction to Routine Health Information System was created for undergraduate and postgraduate health science students to introduce them to the concepts and methods of routine health information systems.
The learning objectives are to help users explain the roles of routine health information systems (RHIS) in health service management; examine strategies used to improve routine health information systems; acquaint with skills to carry out the process of improving RHIS performance; discuss three categories of determinants that influence RHIS.
Sibyl HIMS: Hospital Information & Management SystemAmarnath Gupta
SibylHIMS - The Hospital Information Management System (ERP) offered by us collectively brings the most up-to-date technologies and fine administrative processes to effectively streamline various key processes inside a hospital.
SibylHIMS is the only solution available in global market which caters to both the business need – Hospital Management and Medical/Clinical Practice.
SibylHIMS - the Hospital Information Management System (ERP) offered by us collectively brings the most up-to-date technologies and fine administrative processes to effectively streamline various key processes inside a hospital.
SibylHIMS is supported by a strong team of medical professionals and a large team of management and developers, all with the common goal of making SibylHIMS a superior clinical and hospital management solution.
Introduction to Routine Health Information System SlidesSaide OER Africa
Introduction to Routine Health Information System was created for undergraduate and postgraduate health science students to introduce them to the concepts and methods of routine health information systems.
The learning objectives are to help users explain the roles of routine health information systems (RHIS) in health service management; examine strategies used to improve routine health information systems; acquaint with skills to carry out the process of improving RHIS performance; discuss three categories of determinants that influence RHIS.
Paperless Hospitals Dr Dev Taneja 3rd June2012DrDevTaneja
The Indian Hospital industry is growing at 15% per annum.Due to Low industry maturity, the Health IT applications are still at basal level. Though there is lot of hype around Paperless hospitals, the presentation attempts to understand challenges of implenting a True Paperless Hospital
Health IT Summit Houston 2014 - Case Study "EHR Optimization for Organizational Value in a Changing Healthcare Environment"
Luis Saldana, MD, MBA, FACEP
CMIO
Texas Health Resources
iHT2 case studies and presentations illustrate challenges, successes and various factors in the outcomes of numerous types of health IT implementations. They are interactive and dynamic sessions providing opportunity for dialogue, debate and exchanging ideas and best practices. This session will be presented by a thought leader in the provider, payer or government space.
Presentation by Rich Pollack, VP and Chief Information Officer, VCU Health, at the marcus evans National Healthcare CIO Summit held in Pasadena, CA March 13-14 2017
Going Beyond the EMR for Data-driven Insights in HealthcarePerficient, Inc.
Join Dr. Marcie Stoshak-Chavez, MD, FACEP, Director of Healthcare Strategic Advisory Services at Perficient and Mr. J.D. Whitlock, Director of Clinical & Business Intelligence at Catholic Health Partners to learn how analytics is being used to measure and monitor performance and provide service-line directors and financial administrators with reporting and analysis that enhances clinical care processes and business operations.
Learn how clinicians and administrators armed with the data-driven insights from the EMR and beyond can:
Derive meaningful insights for care delivery by analyzing clinical, financial and operational data
Collaborate more effectively and improve quality of care by securely sharing insights among providers
Meaningfully measure and understand performance across key Federally mandated measures and take prescribed action
Stay on top of shifts in regulatory policy that impact reimbursements and quality requirements
Creating Interoperable Medical Devices that fit into Hospital Enterprise IT E...Shahid Shah
Creating connected medical devices is challenging but doing so in an interoperable manner that can easily and flexibly fit into modern hospital IT environments is even more difficult. This presentation provides sage advice on how to design connected life-critical medical devices so that they work well within modern hospital environments.
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
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CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
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Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
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We understand the unique challenges pickleball players face and are committed to helping you stay healthy and active. In this presentation, we’ll explore the three most common pickleball injuries and provide strategies for prevention and treatment.
Perspectives on health information systems in indian hospitals dr devtaneja_may2017
1. Perspectives on Health Information
Systems in Indian Hospitals
Dr Dev Taneja
M.S. (Gen. Surgery)
MBA - Healthcare Mgt., NUS Business School, Singapore
Director CarePoint Hospital. Uran. Navi Mumbai.
May 2017
2. Why HIS ?
Feel over pulse of the institution
Clinical & Business Oriented Performance
Every Top Management is interested in knowing
How are we doing?
Dr Dev Taneja 2
4. Clinical
• Clinical Programs
• Physician Performance
• Clinical Quality
• ALOS
• Mortality & Morbidity
• Medical Technology
• Medical & Paramedical
Manpower
• Clinical Program Marketing
• Corporate & Insurance
Empanelment
Operational
• Hospital Occupancy
• Utilization Rates by
departments
• Days in Inventory
• Facility Maintenance
• Employee Attrition
• Service Excellence
• Profit & Cost Center
Analysis
• MIS / HIS
Financial
• EBITDA
• Earning per bed per day
• Current Ratio
• DER
• % Salary to Total Expenses
• % of Consultant Fee to
Total Income
• % Cash & Credit Business
• Revenue Cycle Mgt.
Healthcare Organisation – Performance Indictors
Dr Dev Taneja 4
5. What is Changing in the Indian
Healthcare System ?
Dr Dev Taneja 5
6. Evolution of Health Financing in India
• Financial Risk with Patients
• Seller (Health Provider - Hospital) Power High
• Low Buyer (Patient) Power. Forced to buy services
per Seller’s inflated Tariffs
Out of Pocket
• Financial Risk with Health Insurance Cos
• Seller(Provider) Power remained High
• Hospitals used Cost Plus Models leading to high
payouts by Insurance Cos; threatening HI industries
viability
Introduction
of Health
Insurance
• Health insurance Buyer (Payer) Power has increased
• Fixed Tariff to qualify as Preferred Provider Network
Hospital
• Majority of Hospitals after initial resistance signed
Fixed Tariff Rate List of Insurance Industry (GIPSA)
• Financial Risk shifted to Providers (Hospitals)
Pro Active
Health Ins. Cos
1986
2010
Dr Dev Taneja 6
7. Existing Healthcare - Cost Plus Model
• Being Effective was enough
• No Costing Challenges for business viability
• Hidden inefficiencies in hospitals
• HIS - Mostly Transaction oriented
• Performance Improvement - Patchy. Limited Enterprise Focus
Emerging Healthcare - At Cost Model
• Not only Effective but Efficient as well
• Service line Costing - Financial Discipline for business viability
• Empowered & Engaged Employees
• Clinical Quality & Service Excellence
• Strategic Application of IT for Performance Improvement
Dr Dev Taneja 7
8. What Constitutes Healthcare IT?
Strategic Information Systems
Administrative Information Systems
Clinical Information Systems
Electronic Networking Systems - RFID, Mobile, Telemedicine,
Telemetry, Insurance etc.
Dr Dev Taneja 8
9. HMIS Applications can be broadly classified as
By Solutions
• Service Delivery Solutions
• Support Services Solutions
By Functions
• Patient Management
• Clinical Services
• Clinical Mgt.
• Administrative Mgt.
• Support Departments - Administrative & Workflow Mgt.
Dr Dev Taneja 9
10. Management Applications
• Manage and Control
Clinical Performance
Operational Performance
Financial Performance
• Improve workflow, productivity & efficiency
Decision Support Systems
• Managerial
• Functional Heads
• Senior Management
• Clinical Management
Networking / Interphasing with other IT Systems / Applications
Dr Dev Taneja 10
11. How to Create an Enterprise Level HIS?
Dr Dev Taneja 11
12. SAP ECC 6.0
SAP Financials and Controlling
SAP Human Resources & Payroll
Reporting and Business Intelligence
SAP Quality Mgmt
A Suggestive Full Fledged SAP Enterprise Management & Support
Procure
raw materials,
machinery,
consumables,
outsourced
services
Manage material
at
stores and
sub-stores
Sales &
Marketing
Despatch
Service
SAP
Purchasing
SAP
Sales &
Distribution
SAP
Materials
Management
Project Costing,
Management,
Monitoring
SAP
Project
Systems
Interfaces – Clinical systems, other point software, Barcoding, RFID
Dr Dev Taneja 12
13. HIS - What is mostly offered in India?
• Front office/Registration
Desk Management
• OPD Management
• Reporting tool for Patient
Case Sheet / Treatment /
Other reports
• Wards Management
• Lab Management
• Pharmacy Management
• Central Stores
Management
• Blood Bank Management
• Billing Management
• CSSD Management
• Purchase & Stores Mgt.
• House Keeping Mgt.
• Dietetics Management
• Medical Records
Department Mgt.
• MIS Reporting
• Interphasing - PACS, LIS
etc.
Dr Dev Taneja 13
14. What is missing in India - 1
• Clinical Information Systems
• Clinical Decision Support Systems
• Chronic Disease Management Systems
Reason - In India there is a huge physician practice
variation in the absence of defined national level
clinical protocols
Dr Dev Taneja 14
16. Coordination of Clinical Care
IOM Report, 1999 – To Err is Human: Building a safer healthcare system
Medication Errors
1. Ordering by physicians - 56%
2. Admin. of medication by
nursing staff - 34 %
3. Transcription of medication
orders by secretarial staff - 6%
4. Dispensation of medication by
the pharmacy dept. - 4%
5. Practice variations - Cost of
care in the last 6 mths. of life
were found to vary
tremendously
Clinical Process Improvement
1. Science of Error Reduction -
CQI
2. EMR - virtual data warehouse
3. Design around patients
Dis. mgt. programs - patient
centered
4. Reduction in Medication Errors
5. Research Organisation - RIID
(Research, Investigate,
Innovate & Disseminate)
6. Chronic illness Focus - CDM
7. Link to Financial Performance -
- Report cards
Dr Dev Taneja 16
18. What is missing in India - 2
In Absence of CIS - A Proper EMR / EHR
It is a database & decision support system
It addresses one of the greatest inefficiencies of
healthcare - the immobility of healthcare records
It is built around Clinical Protocols
CPOE - Clinical Physician Office Entry
Clinical Information Systems & Clinical Decision
Support Systems
Dr Dev Taneja 18
19. What is missing in India - 3
A Good
IT enabled Chronic Disease Management
System
Dr Dev Taneja 19
20. IT in Care Process
Health Care Team Patients/Consumers
Case Manager
Patient
Centered
Information
(EHR)
Health plans that seek to better coordinate patient
care – particularly for chronic care patients – should
make sure all health care stakeholders have the same
information when devising treatment strategies.
Placing high-quality, patient-centered data at the
center of the “circle of care” is where IT systems
(EHR) can be of strong value.
Dr Dev Taneja 20
21. IT Vision
Electronic Health Record
Central Data Repository
First Clinic/HQ
Patients/
Consumers
Community Health
WorkerCare
Consultant
Medical
Officer Paramedics
Case
Manager
InternetInternet
Additional Centers
in Future
Quality Metric
Reports
Dr Dev Taneja 21
22. IT Plan - Web Based Solutions
◊ Electronic Health Record(EHR)
• Can be accessed anywhere by Health Care Team
• Role specific screens that allows to see/collect information
about patient specific to the care provider’s discipline
◊ Patient Health Record(PHR) portal to facilitate
• Self management
• Open communication with health care team
• Delivery of patient specific education materials in different
formats (videos/web pages, etc)
Dr Dev Taneja 22
23. What is missing in India - 4
Good Financial Modules from HIS Vendors
What we typically witness in India
Mere inter - phasing with Financial Tally Software
Dr Dev Taneja 23
24. What is missing in India - 5
¤ A good ERP System in Hospitals
¤ Near Total Absence of Strategic Business
Intelligence or Health Analytics Software
Dr Dev Taneja 24
25. Business Intelligence / Health Analytics
Readymade Role based Actionable information available
No need to spend time for analysing data
Interactive visualisation of data to support decision making.
Transformation of Data to Information to Knowledge
ERP
Modules cover transactions + support depts.
But +/- Clinical Information Systems
Static MIS Dash boards.
Limited Analytical capability
HIS
Modules mostly capture Transactional Data Limited applications for all support Depts.
HIS, ERP & BI: Advantages & Limitations
Dr Dev Taneja 25
26. Comparison of HIS Vendors in USA & India
Where are we now?
Dr Dev Taneja 26
27. Modules NA Basic Intermediate Advanced
Electronic Medical History Records
Financial Mgt & Economic Acc MS
Costing Software
Client Relationship MS (CRM)
Hospital Resource Planning System (ERP)
HR Mgt Sub System
Logistic Mgt Sub Sys
Office Automation (OA)
Comprehensive Search & Analysis Sys
Clinical Decision Making support Sys
Medical Mgt & Quality Control Sys
Clinical Data Warehouse
Remote Medical Service Sys
Patients Enquiry Terminal
Knowledge Mgt Platform / BI
Patient online Service Platform
Medical Ins & Community HC interphase
Patient Card (Intra Hospital)
Patient Card (Inter Hospital)
Medical History Records & Statistics
Indian HIS Vendors - Most Common Module Offerings
Dr Dev Taneja 27
28. Clinical Information Systems Comparison - Indian Vs MNC Vendors
Modules Basic Intermediate Advanced Not Available
1 Abstracting
2 Chart Deficiency
3 Chart Tracking Locator
4 Clinical Data Repository
5 Clinical Decision Support
6 Enterprise EMR
7 Enterprise Master Patient Index
8 Laboratory Information Systems
9 Pharmacy Management Information Systems
10 Point of Care
11 Radiology Information Systems
12 Surgery
Dr Dev Taneja 28
29. Financial Information Systems Comparision - Indian Vs MNC Vendors
Financial Information Systems Basic Intermediate Advanced Not Available
1 Accounts Payable
2 Benefit Administration
3 Case Mix Management
4 Cost Accounting
5 Electronic Claims
6 Executive Information Systems
7 General Ledger
8 Materials Management
9 Patient Billing
10 Pay Roll
11 Registration / ADT
Dr Dev Taneja 29
30. Indian HIS Vendor - Pain Points
Local HMIS industry capabilities are low on value chain.
No defined clinical protocols in India; Proven products
of Clinical Information systems do not exist
Lack of Health IT skills
Hospital leaders have no experience to manage change
after implementing major IT systems & hence hesitant
to increase IT investments
No defined National Health IT standards
Limited Health - IT Application Consultancy skills
Dr Dev Taneja 30
32. Weakness in Indian HIS Market - User Factors
Inadequate fund and irrational investment structures - Hospital IT
spend
Inadequate planning and misunderstanding of computerisation
Unclear and changeable requirements
Inferior organisation structure and lack of talent
Lack of reliable methods to evaluate products
Poor execution and lack of experience in project management
Defective tendering procedures - Hardware Vs Application Software
evaluation methods
Dr Dev Taneja 32
33. Indian Hospital Industry Maturity is beween Level 1 to 2
Comparatively Indian Pharma Industry Maturity is higher
33
34. Implementation
Phase
Activities Challenges Role of External Consultant
HIS • Repetitive transaction based data gets
captured at unit / corporate level
• Standard / Generic module
implementation by vendor with
limited customisation
• No Process Mapping
• Limited Operations Depts’.
ownership of implementation
• Frequent Change Requests
• Sub-optimal customisation
• Organisation still works
simultaneously with both
electronic & manual data
• Coordination between
operations depts., in-house IT
team & Software vendor
• Assists in smooth HIS project
implementation
ERP • Enterprise level Integration of data
• Role based static dash boards
available
• Limited Analytical capability
• Limited in-house capabilities of
Enterprise level Systems & Process
thinking per business needs
• It entails BPR & Change Mgt.
• Various depts. need hand holding in
this phase.
• Continues validation and support
from Top Mgt.
• Coordinates with Top Mgt., IT
& ERP Implementation Team
and ERP vendor
• Assists in BPR / Change Mgt.
• Assist in project
implementation & timely
project closure
BI / Health
Analytics
• Data is converted into meaningful
information
• Availability of Role based Actionable
information at every level
• Visualisation and interaction with the
dash boards for insights and decision
making
• +/ - Enterprise Score Card
Implementation
• Limited in house capability of
enterprise level systems, processes
and information flows thinking per
business requirements
• Continuous involvement, validation
and support of Top Mgt.
• Coordinates with Top Mgt., IT
& BI Project Team to map
enterprise wide role based
information requirements
• Assists in drawing metrics /
dashboards
• Assists in developing Org.
Balanced Score Card
• Once information framework
is ready than coordinate with
BI vendor for roll out of BI
solutions
HIS / ERP / BI Implementation Challenges
Dr Dev Taneja 34
35. What is missing in India - 6
• Application of Strategy Performance Management
Tool - a semi-standard structured report, supported
by design methods and automation
e.g.: Balanced Score Card
• IT Framework designed for the Implementation of
Balanced Score Card in Healthcare Systems
Dr Dev Taneja 35
39. Are you leveraging your data to improve outcomes,
increase access to care and reduce costs?
Strategic Application of IT for
“Performance Improvement”
“Business Intelligence”
Using a proven IT Solution
Dr Dev Taneja 39
40. Ideal Road Ahead
IT in Health – A Reliable Productivity Tool
Move Beyond Transaction Reporting
Strategic Enterprise Resource Planning
ø Hardware & Softwares
ø Integration Issues
ø ERP, BAM & BI for Monitoring & Control
Performance Improvement, Clinical Outcomes
Informed Decision Making
Administrative IS
Clinical Information Systems
Electronic Networking Systems – RFID, Mobile, Telemedicine,
Telemetry, Insurance
Dr Dev Taneja 40
41. Healthcare Measures For Optimal Performance
Performance Measures
• Good business decision allows good outcomes today, tomorrow and in the
future. But to make a good business decision require solid performance
measures that:
• Monitor what has already happened
• Help up make the right decisions today
• Guide transformation the organization
• Healthcare providers measure a wide range of activities and results from
various perspectives to monitor, guide or transform
• Clinical quality and results
• Operational activities, costs and results
• Access and outreach efforts and results
• Marketing efforts and results
• Recruiting, staffing and development efforts and results
• Research efforts and results, just to name a few.
Dr Dev Taneja 41
46. Direct Impact - Customer
Online Appointments
Reminders & Alerts
Automated Dispensing Machines
Digital Signage’s – Token Display, Patient Education materials
Patient Portals
Wireless Internet Access
Video Calling Devices in ICU
Telemedicine Health Communities
Mobile Health Patient Health Records
Online Payment Gateways
Smart Cards
Patient Entertainment Systems - Movies-on-Demand, Television, Music,
Games
47. Indirect Impact - Customer
Electronic Health Record
Clinical Decision Support Interoperability
Wrist bands – Barcode / RFID
Feedback collection
Robotic Devices
Surveillance
Real Time Location Tracking
50. Wi-Fi in Healthcare
• IP Phones
• Laptops / Tablet PC
• PDA / IPAD
• Computer-on-Wheels (COWS)
• Real-Time location services
• Wireless Data Transfer
– Wristband and pharmaceutical scanners
– Wireless glucose meters
• Bedside video conferencing
– Remote telemedicine
• Video surveillance
• Medical telemetry/monitoring
• Visitor and patient Wi-Fi access
Dr Dev Taneja 50
54. Coordination of Clinical Care Improved Customer Care
Cost Containment,
Productivity Improvement,
Monitoring & Control
Technological Advancements
Push from Govt. & Payers
Profit, Growth
&
Competitive Advantage
Drivers of Paperless Hospital
Dr Dev Taneja 54
55. Current Status of Paperless Hospitals
There are perhaps few industries that have to gain
more from the internet revolution than
medicine…..(but doctors and) hospitals are real
laggards when it comes to the internet. What e-
health has to be used for is to transform the whole
process of delivering care.
Russell Ricci, M.D, (Steinhauer, 2000)
Dr Dev Taneja 55
56. E - Organisation Culture
Ø The ultimate barrier and enabler of the digital
transformation are not technical - they are cultural.
Ø A digital divide still exists between the e-users and
e-sceptics and healthcare is traditionally slow to
adopt new technology.
Dr Dev Taneja 56
59. Healthcare Executives Straddle the
“Digital Divide”
The healthcare system of tomorrow may never be
‘paperless’ but progress is being made despite the
legendary reluctance of physicians to accept
changes in the way they practice medicine.
The transformation process of building
electronically integrated systems that manage
patients with “seamless” care has already gained
traction across the globe.
Dr Dev Taneja 59
60. How to Improve Public Health System in India?
Implement
National Health Information Systems (NHIN)
State Health Information Systems (SHIN)
Dr Dev Taneja 60
61. Enterprise Hospital
Mgt. System
• Hospital IS – OPD,
IPD, Lab,
Radiology,
Pharmacy etc.
• Purchase & Stores
• HR
• Asset Mgt.
• Finance
• District, Taluka,
Sub -Taluka, PHC,
Sub - PHC
Public Health
Management
• NRHM programs
• Disease
Surveillance &
Control
• Preventive Public
Health Programs
Mgt.
• Monitoring Vital
PH Statistics
• Public Health
interventions -
Outputs &
Outcomes
reporting
Administrative
Authority & Control
• Health Ministry
• DHS
• DDHS
• Directors - Health
Programs
• Civil Surgeon
• DHO
• MS / MO In-Charge
• Administrative
Staff
• Field Staff – ASHA,
MHW, PH
programs Staff
Objectives of State Health Information Network
Dr Dev Taneja 61
62. Enterprise Hospital
Management System
• Improved Healthcare
Delivery
• Improved Utilization of
resources – capital
assets and manpower
• Efficiencies of Scale -
Purchase items
Standardisation,
Inventory Control &
Mgt, Economy in Group
Purchases, Supply
Chain Mgt. etc.
• Performance
Improvements -
Clinical, Operational &
Financial
Public Health
Management
• Real Time Data
• Improved Disease
Surveillance
• Improved Monitoring
of Preventive Public
Health interventions
e.g. Maternal & Child
Health, School Health
etc.
• Better Mgt. of
epidemics & PH
emergencies
• Improved PH statistics
for Research &
Planning
• Superior PH Outcomes
Administrative Authority
& Control
• IT enabled
Performance &
Efficiency Improvement
• Cost Effective
• At every level,
Improved Monitoring &
Control - Finance,
Manpower, Assets &
Resources
• Real Time MIS at every
level
• Superior Real Time
Data Quality for
Planning & Resource
Allocations
Benefits of State Health Information Network Implementation
Dr Dev Taneja 62
63. SHIN
Standardisation
• Project Scope
• Data &
Processes
• Hardware
• Software
• Security
• Storage
• Network
Applications
Phase 1
• District Hospitals
• District Level
NRHM, Disease
Control
&Preventive PH
programs
• Vital Public
Health Statistics
• Administrative –
District, Division,
DHS, Health
Ministry
• SHIN – District
Level
Phase 2
• Extend
Computerisation
to Primary
Health Network
at PHC & Village
levels –
Healthcare
Delivery, Disease
Control &
Preventive PH
programs
• SHIN – Primary
Health
Institutions
Level
Start with a District Level Pilot
State Health Information Network – Proposed Roll Out Plan
Dr Dev Taneja
63
64. Thank You
Contact Info:
Dr Dev Taneja
Director
CarePoint Hospital,
Plot No 45, Sector 29,
Dronagiri Node. Uran
Navi Mumbai. India. 400702
Mobile: 09987708685
E-mail: drdevtaneja@gmail.com
