It in hospitals his
This presentation is the property of its rightful owner.
Sponsored Links
1 / 31

IT in Hospitals & HIS PowerPoint PPT Presentation


  • 105 Views
  • Uploaded on
  • Presentation posted in: General

IT in Hospitals & HIS. An overview. Changing role of IT professionals in Hospitals. IT use to be a secondary dept. since need of It was not realized. The main work use to be troubleshooting and maintenance of network infrastructure. Present Scenario.

Download Presentation

IT in Hospitals & HIS

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


It in hospitals his

IT in Hospitals & HIS

An overview


Changing role of it professionals in hospitals

Changing role of IT professionals in Hospitals

  • IT use to be a secondary dept. since need of It was not realized.

  • The main work use to be troubleshooting and maintenance of network infrastructure.


Present scenario

Present Scenario

Today IT professionals in health care or hospitals deals with analyzing the requirements of the hospitals to make their work more efficient & less time consuming and developing applications they need and implementation and maintenance of the same.

IT in Hospitals has been used in following Applications:

  • HIS

  • EMR

  • E-prescriptions

  • E-health

  • Telecommunication

  • CDSS


Hospital information system

Hospital Information System

Hospital Information System (HIS) can be defined as a comprehensive, integrated information system designed to manage the administrative, financial and clinical aspects of a hospital  that enable better quality of patient care, reduce the time spent for  clerical works, reduce  the overall  cost, increase the productivity and more important providing the more  reliable , correct  and regular  data.

  • The computer hardware and software that processes a hospital's data, including financial, Pt-related, and 'strategic' management data, Pt accounts, Pt tracking, payroll, reimbursements, taxes, statistics


History

History

  • Hospital information systems were first developed in the 1960s and have been an essential part in hospital information management and administration.

  • The systems were used to manage patient finance and hospital inventory.


His is generally used for

HIS is generally Used for-

  • Operational management

  • Functional Management

  • Strategic Management


It in hospitals his

  • Operational Management

  • Creating Demographic details of the patient

  • Creating medical history

  • Creating Standardized process & documents


Functional management

Functional MANAGEMENT

  • Registration

  • Admission

  • OPD/IPD

  • Pharmacy

  • Laboratory

  • Billing

  • Blood Bank

  • Medical Equipment Management

  • Personnel Management

  • MIS reporting & more

  • Pharmacy

  • Nursing

  • HR


Strategic management

Strategic Management

  • MIS

  • Budget & Target Setting

  • Educational & Social Awareness


Objectives

Objectives

  • Capture & disseminate Information

  • Analyze & validate Information

  • Prioritize & Escalate Issues

  • Provide Management overview


Actors stakeholders

Actors/Stakeholders

  • Doctors

  • Administrators

  • Patients

  • Partners & providers

  • Management & regulators


General characteristics which one should look for in a good his

General Characteristics which One should look for in a good HIS

  • Modular

  • User Friendly

  • Integrated Functionality

  • Easy to customize

  • High level of security

  • Low Hardware Requirements

  • Low Cost of ownership

  • High ROI

  • Shortcut keyboard Function


System characteristics

System Characteristics

  • Support For maximum hospital procedure

  • GUI

  • Integration with the Third party accounting software

  • Auto Test result Generation

  • DICOM picture viewing

  • Integration with PACs

  • User defined Statistical Reports

  • Integration with TPAs


Organisation or companies in manufacture of his

Organisation or companies in manufacture of HIS

  • Napier

  • Shrishti

  • Wipro G(lot of small installations0

  • Charak(Birlas)

  • Medtrack(Fortis,Pushpanjali)

  • Isoft(Medicity & Artemis)

  • Accurate

  • Akhil (Paras & BL Kapoor)


Additional applications required which are generally integrated with his

Additional applications required which are generally integrated with HIS

It is required to facilitate the exchange of Information or patient records as none of them is stand alone application.

  • PACS

  • Back Office Applications(Asset & Inventory Mgmt,Billing,financial & administrative modules)

  • EMR


It in hospitals his

Key Points you should look for to differentiate other HIS from the best one for your Hospital a good HIS

  • Billing Module

  • Inventory Module

  • Consignment Module

  • Discharge Summery


Billing module

Billing Module

  • All the operational processes applied to the patient and all the medicine and material used are listed in the billing screen.

  • Last controls are performed in this module and if the processes are entered completely, the bill is saved. (Bookkeeping, diagnosis, provision, doctor etc)  

  • Records about the patients are examined in the outpatient and inpatient billing departments depending on the health service the patient received, accruement procedures are completed and the bill is created.


It in hospitals his

Excellent billing module which can automate the steps of billing because after all its for revenue that a hospital is spending on IT

  • The most important aspect in a billing module is Payer & plan

    It should definitely have two categories to differentiate the patients at the time of entry in the HIS that will not cause problem at the back end- Cash patient & Credit Patient.

  • Should have three option in billing i.eservices with base tarrifs. For corporates,credit & cash. patients

  • It should have proper system to show the applicable tariffs correlated with tie-ups and insurance that automatically system can calculate the discounted rate on the base tariffs which are beforehand set for different categories of patients.

  • A user friendly option for cancellation & refund.


It in hospitals his

  • Capping/CoInsurance-The insurance company will likely not pay more than the coverage limits of the policy. It's the limit that is provided by the TPAs and insurance companies for the patients that they will bear only a fixed amount of patient’s cost and rest will be in the form of Copayment.

  • emergency cases –Bed charges

  • popup –services were charged or not, facility availed or not.

  • How exclusions are treated in the billing system that is very important

  • Integration with the ward management module for IPD pharmacy billing

  • Interim Billing-it calculates and reflects per day billing of services


Discharge summery

Discharge summery

  • After the discharge of patient discharge summary can be automatically generated with just few press of keys(i.e its preparation started fr0m the moment patient entered the IPD). Laboratory data can automatically be imported. Specialty wise standard format can be set.


Contents

Contents

I.Basic Elements

  • Date of admission.

  • Date of discharge.

  • Disposition location (eg, home, ecf, short-term rehab).

  • Principal diagnosis for hospitalization.

  • Secondary diagnoses addressed during hospitalization.

  • Procedures performed during hospitalization.

  • Consultants


It in hospitals his

II. History

A succinct summary of the key events leading to hospitalization.

The past medical history.

Pertinent elements of the social history.

Pertinent elements of the family history

III. Physical Exam

Findings (positive or negative) pertinent to history elements.

IV. Data

Pertinent (normal and abnormal) laboratory data.

Pertinent results of diagnostic studies (e.G., Cxr, ekg).


It in hospitals his

V. Hospital Course

Summary statement pertaining to the principal diagnosis.

Problem list that parallels the diagnoses listed

Separate paragraph dedicated to each problem listed.

Brief discussion of the evaluation of each problem.

Brief discussion of the treatment of each problem.

Brief discussion of the outcome of each problem.

Specific follow-up plan for each relevant problem


It in hospitals his

VI. Discharge Plan

  • Future physician’s visits scheduled (or to be scheduled).

  • Specific studies that require follow-up

  • a list of discharge medications (names, doses, & frequency).

  • mention of how information was/will be communicated to PMD.

  • “cc” to treating physicians.

    VII. Additional comments or suggestions


Inventory management system

Inventory Management system

Hospitals need to actively manage what is bought, when it is bought, how much, as well as for what price, including discounts and rebates

Inventory Management Module offers a time saving inventory solution that is precise and scalable, allowing you to monitor inventory usage more accurately and capture charges more efficiently by eliminating redundant data entry. Designed to support multiple facilities and multiple labs, the Inventory Management Module can be tailored to a hospital’s workflow.


Workflow of inventory basic workflow

Workflow of Inventory(Basic workflow)

Purchase Department

Purchase department

Main store

Central Medical store

Central Pharmacy Store

Sub holding store

Consumed

Chargeable

Non chargeable


It in hospitals his

An Inventory Module Should facilitate the sequence wise Processes as follows

Purchase Dept(Rate contract)

Purchase Requisition from different dept

Approved & authorized

Order is placed

Goods delivered

Goods Checking

Goods Receiving Note

Stocked

Central store

Items Issued

Departmental sub Store


Features

Features

  • FIFO format of System issue

  • Stock Expiry Records

  • Batch wise distribution List(Same expiry Date)

  • Medicines should not be enlisted with the generic name but the Brand name as cost differs for both.

  • Integration of Consignment Module .

  • Item Mapping

    1) item number (most unique)2) inventory number (unique)3) catalog (unique to a group of inventory items)4) description (free flow text description of item)


It in hospitals his

  • ORDER MANAGEMENT(order entry, order review and/or validation, interdepartmental communication, order inquiry, and reporting requirements)

  • Alerts system until confirmation of the receipt/delivery handles new drug orders

  • Manages Material Resource Planning (MRP) Management

  • Regulates Material forecast, Reservation management 

  • Substitute Goods Management system


Conclusion

Conclusion

  • We can conclude that a good HIS should be able to

    Increase-

  • No. of transactions

  • Inventory management

  • Sales

  • Productivity

  • Customer satisfaction

  • Market Share & penetration

    Decrease-

  • Administrative cost

  • Variable cost

  • Personnel expenses

  • Inventory losses


  • Login