The document provides an overview of PARAS, a patient-centric healthcare delivery platform developed by Srishti Software Applications Pvt. Ltd. PARAS covers the entire spectrum of patient care including outpatient, inpatient, emergency, ICU, and home care. It provides benefits such as integrated clinical and administrative processes, multi-location use, mobile access, and adherence to global standards. Case studies demonstrate how PARAS has helped healthcare groups optimize resources and standardize processes across multiple locations.

1. PARAS HMIS: A Patient Centric
Comprehensive & Integrated
Healthcare Delivery Platform
Srishti Software Applications Pvt. Ltd.
L-174, 6th Sector, HSR Layout
Bangalore - 560102

2. © 2015 Srishti Software Applications Pvt. Ltd.
PARAS Overview

3. © 2015 Srishti Software Applications Pvt. Ltd.
PARAS Overview

4. © 2015 Srishti Software Applications Pvt. Ltd.
PARAS: Evolution
Before writing the first line of code, we did a global survey involving more than
130 hospitals, including 73 in India.
This exercise was undertaken to know the key areas of concern of Healthcare
Providers globally which included a broad spectrum ranging from hospitals that
were using world class solutions to the hospitals that barely had anything
automated.
Addressing these key concerns became the cornerstone of our functional and
technical roadmap since we wanted to deliver products that are relevant in the
current scenario of running hospitals or healthcare institutions effectively.

5. © 2015 Srishti Software Applications Pvt. Ltd.
• Covers Entire Spectrum of Patient Care with conformance
to Global Standards of Care
 OP / IP / OT Care
 ER / ICU Care
 Referral Care :Opinion, Advice, Treatment, Panel Care, Complete
Patient Transfer
 Tele - Medicare / Home Care
 Chronic Disease Care / Disease Registry
• Based on Criticality and VIP status of the patient prioritized
queuing across whole application be it OP, IP, Nursing,
Lab, Radiology etc. scheduling
• Automatic Risk Alerts and Notifications sent
Differentiators

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• Complete bi-directional integration between ‘Business’ &
‘Clinical’ processes - Stops revenue leakages and
optimizes resource utilization.
• Native multilingual support: Chinese, Vietnamese, Arabic,
English versions already available.
• Multi location product that enables centralized monitoring,
intelligent decision making and improved audit controls.
• Cloud & Mobile ready.
Differentiators

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• EHR Centric Clinical Information Management System
• Patient Safety fully taken care of Using ‘Alert n Risk’ Flags
• Access and Continuity of Care of Record [A n CCR] module
conforming to Global Standards ensures no break in care
• Specialty form Sets, Clinical Pathways, QOF, Care Plan
Framework & CDSS
• Provider Registry Module to manage the care delivery eco –
system
• Day Care & Emergency Care module ensures patient care as per
global standards in non routine settings
• Uniform Clinical Dashboards / Super Specialty form sets / Clinical
Pathways enable standardized delivery of care across locations
and to look at Doctor / Location specific clinical outcomes
Clinical Care Differentiators

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• Comprehensive Bidirectional Integrated Administrative and
Clinical Nursing system
• Structured EHR centric clinical Modules - Nursing, Clinical
Assistant, Consultant & OT - conforming to IOM Gold
standards
• Access and Continuity of Care of Record [A n CCR]
module conforming to Global Standards ensures no break
in care
• Nursing instruction & Nursing compliance reading and
writing to EHR
IP Care Differentiators

9. © 2015 Srishti Software Applications Pvt. Ltd.
• Enterprise wide Admission, Discharge, Transfer [ADT]
along with Referral & Follow Up functionality
• Clinical Library’ to handle Specialty specific form sets;
Patient Education Materials and Templates [consent
forms, OT notes etc].
• Order-Set functionality
• Integrated diet module
• Standard discharge template
IP Care Differentiators Continues…

10. © 2015 Srishti Software Applications Pvt. Ltd.
• Enterprise wide provisional and confirmed OT Scheduling
with functionality to add Primary Surgeon(s), additional
surgeon(s), Primary Anesthetist(s) , Secondary
anesthetist(s) , Equipment and CSSD / Pack
• Integrated with CSSD module
• Pre-Operative, Per-Operative and Post-Operative clinical
documentation in “Surgery Record” of EHR
• Standardized OP note template
OT Care Differentiators

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• Optimized Casualty Admission and initial Triage
functionality
• Triage based on Emergency Severity Index [ESI]
Algorithm.
• Color coded listing on ER Physician’s page, based on
Triage
• Integrated with Ambulance Management System
• Integrated with invasive and non-invasive devices
• Standard Trauma Scoring Forms – eg Glasgow Coma
Scale
Emergency Care Differentiators

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• EHR centric Critical Care Module
• Centralized High Dependency Unit [HDU] Monitoring
Dashboards for ICU Stations
• Definition of Abnormal & Critical values – linked with visual
& sound alarms
• Four Group of Critical Care Order Sets:
 Peripheral Infusion Line with Non-Invasive monitoring
 Central Infusion line with Invasive monitoring
 On Ventilator Support
 On Ventilator + IABP Support
ICU and HDU Care Differentiators

13. © 2015 Srishti Software Applications Pvt. Ltd.
• Use of both Communication & Information Technology
• Being used for real-time direct collaborative patient care
 Goal: Continuous Management
 Data: Multi-disciplinary Care Record
 Focus: Patient-centric, collaborative
• Technology: Multi-Point IP VPN [Synchronous]
 Multi-Point IVRS [Synchronous]
 Multi-Point Video-conferencing [Synchronous]
 Multi-Point Call Centre [Asynchronous]
 Multi-Point Store & Forward [Asynchronous]
Tele-Medicare Differentiators

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Benefits of Implementing PARAS
Benefits of
implementing
PARAS
Covers
complete
spectrum of
care
Accountable
patient care
EHR Centric
Approach
Benefits to
doctors
Technology
Organizational
benefits

15. © 2015 Srishti Software Applications Pvt. Ltd.
Accountable Patient Care
Patient Identification /
Correct site of
procedure
Infections Control
High risk Medication
alert
Ensure effective
communication
Order
Access
to Care Patient Right
• Consent Mgmt
• Legal Choice
• Status Disclosure
• Patient Record Mgmt
Priority Scheduling &
‘Q’ Mgmt (VIP status,
criticality of patient)
Health need &
Emergency
Messaging,
Notification & Alert
Mgmt
Emergency &
Triaging
Access
to Care
Continuum of Care
Plan of Care /
Surgical Care
Referral Mgmt
Laboratory
Information System
Radiology
Information System
Care EHR Centric
Modules (EMR,
Nursing, Consultant,
Therapy, Diet)
eMAR
Clinical Pathways /
Specialty Formsets
BB / CBB / EB
CPOE
Care
EHR: Electronic Health Record
CPOE: Computerized Physician Order Entry
eMAR: Electronic Medicine Administration Record
BB: Blood Bank
CBB: Cord Blood Bank
EB: Eye Bank
EMR: Electronic Medical Record

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EHR Centric approach

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PARAS Covers Complete Spectrum of Care

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• Templates / data sheet available
• Order set functionality
• Alerts and notifications of patient’s orders & status
• Accurate and sophisticated doctor accounting
• Facility to upload data and drawings
• Access to patient record from any where
Benefits to doctors

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Organizational Benefits
End to End
patient billing
cycle
management
Highly
configurable
tariff plan
Direct integration
with payer
Ready &
accurate
documentation
for claim
settlement
RCM
Recruitment
/Attendance /
Payroll Mgmt /
Duty Roaster
Seamlessly
integrated with
Finance System
Integration with
biometric
devices
Multi Location:
Resource
optimization
HR
Bidirectional
Integration b/w
clinical and non-
clinical
processes
Real-time
transaction view
All GL entries
come directly
from business
processes
Lowers revenue
leakages
Finance
GL: General Ledger, HR: Human Resource
RCM: Revenue Cycle Management

20. © 2015 Srishti Software Applications Pvt. Ltd.
Organizational Benefits
Availability of
documentation on
real time basis
Ability to view
compliance
Ability to provide
data – government &
regulators
Multi-location
PARAS framework
implementation
Governance
, Leadership
and
Direction , Better audits &
controls. Better
financial
management
Can implement
standard processes
in clinical and non-
clinical areas across
the organization
Patient portability
Better view of patient
and department
revenues
Quality
Improvement
& patient
Safety
Configurable
hierarchy creation
Per Asset Account
creation functionality
Multi Location:
Resource
optimization
Conforms to
institutional process
flow
SCM
SCM: Supply Chain Management

21. © 2015 Srishti Software Applications Pvt. Ltd.
• Bidirectional Integration between clinical and non-clinical
processes
• Web based, cloud & mobile device ready
• On-demand scalability
• Multi Lingual support
Technology

22. © 2015 Srishti Software Applications Pvt. Ltd.
Standards
JCI/NABH standards
Privacy [Access control, Authentication & Non-repudiation] & Security standards:
HIPAA
Workflow Standards: CCR, CCOW
Accounting Standards: GAAP
Messaging: HL7 (clinical), X12 (business), DICOM (imaging) etc.
Functionality standards: CCHIT
Clinical Standards [Controlled Medical Vocabularies (CMVs) for Diseases

23. © 2015 Srishti Software Applications Pvt. Ltd.
Standards
Procedures, Medications, Observations, etc.] - ICD, SNOMED,
LOINC, CPT, etc.
Minimum Data Set [MDS] compliance
SOAP format for standardized recording of Clinical care
Clinical Process Guidelines [CPGs] for Standardized delivery
of Clinical care
Formats/Templates for Patient demographics, Billing,
Transactions etc.
Identifiers for Patients, Providers, Payers etc.

24. © 2015 Srishti Software Applications Pvt. Ltd.
AAR Group, East Africa
30 existing locations
and plans to reach
100 locations spread
across 19 countries
in Africa
Contract awarded to Srishti with very challenging implementation schedule.
The contract included all modules – Clinical & Non-Clinical across all locations
Integrated with Insurance management including online claim processing
Optimization of resources resulting in reduced manpower costs and utilization of
clinical personnel
Optimization of Inventory Management across locations. Stoppage of revenue
leakages
Accessibility of Patient & Payer Record at point of care across locations
Case Study- AAR

25. © 2015 Srishti Software Applications Pvt. Ltd.
CFS Group of Hospitals, INDIA
50 locations live and
aiming to reach 120
locations spread
across India in next
24 months
Contract awarded to Srishti with very challenging implementation schedule.
Centralized Procurement and optimization of Inventory Management across
locations
Centralized Monitoring with Audit, Controls & Approvals. Stoppage of revenue
leakages
Accessibility of Patient & Payer Record at point of care across locations
Patient Payments and Advance Adjustment across locations
Case Study- CFS

26. © 2015 Srishti Software Applications Pvt. Ltd.
Zydus Group of Hospitals, INDIA
Business plan for setting up a chain of multispecialty hospitals by big Pharmacy company Zydus Cadila
Contract awarded to Srishti after Global evaluation
Operationally live with all clinical modules in five months at centralized location
Being a green field project, the biggest challenge faced was non availability of senior business persons
We helped them in building the SOPs and Best Practices in both clinical and administrative areas
required to operate a tertiary care multispecialty hospital in India
Case Study-Zydus Cadila

27. © 2015 Srishti Software Applications Pvt. Ltd.
RGCI, INDIA
Global tender for procuring best in class solution to take care of next 15 years of hospital needs
One year of evaluation with 31 vendors participation. Evaluation involved 21 HODs, 2 Ext Consultants
& Board. Contracts awarded to Srishti for a Comprehensive HMIS
Worked in partnership with other vendors - Vista (Clinical Oncology), Fuji (PACS) & eGestalt (Project
Mgmt) - to deliver seamlessly integrated solution using HL7 Standards
Being a green field project, the biggest challenge faced was non availability of senior business persons
Customer has gone live, Implementation on time
Case Study- RGCI

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• 100% successful implementation
• 24x7 Support
• De-risking solution obsolescence
• We are a healthcare focused product company
Benefits of engaging with Srishti

29. © 2015 Srishti Software Applications Pvt. Ltd.
PARAS in NASSCOM “Exemplars Quadrant” for
Enterprise Solution Category

30. © 2015 Srishti Software Applications Pvt. Ltd.
Recent Achievements
eIndia Award for best ICT Implementation in
Private Healthcare
Infoweek EDGE Award to CFS (Our Customer)
for innovative Healthcare Solution (PARAS)
implementation
Eminent Healthcare Expert Dr Sandeep Chatrath receives the prestigious
India's Most Promising Healthcare Chain 2014 for Dharamshila Hospital
& Research Centre (Our client).
Dr. Sandeep Chatrath also declared by the Jury as the CEO of the Year
Healthcare 2014 at Asia's Biggest Leadership Event, the 5th Annual India
Leadership Conclave 2014

31. © 2015 Srishti Software Applications Pvt. Ltd.
Recent Achievements
Summary of citation for these awards: Enabled client in Building an efficient organization
with
 No Revenue/Inventory Leakages and resource optimization
 Enforcement of Audits & Controls
 Multi – Locational deployment
 Complete two way integration including workflow and approvals
 Accessibility of Patient & Payer Record at point of care across locations
 Availability of Patient Records across locations

32. © 2015 Srishti Software Applications Pvt. Ltd.
• Began operations in May 2005
 Current Employee strength 150, including partner’s team strength will be
around 375
• Product focused Company with global reach.
• Honoree in the NASSCOM EMERGE 10 Software category for the
year 2010.
• Honoree in the Technology Fast 500 Asia Pacific 2009 Program
conducted by Deloitte.
• Honoree in the NASSCOM EMERGE 50 Software category for the
year 2009.
• Honoree in the Technology Fast 50 India 2009 Program conducted by
Deloitte.
• "Consistently among the top 100 IT innovators in India" - NASSCOM
Survey, 2007.
• Rated SE 1A by ONICRA Performance and Credit rating.
About Srishti

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Srishti Software Applications Pvt. Ltd.
www.srishtisoft.com