BPR FINAL PRESENTATION

HOSPITAL SAGA.....

AS-IS

• Doctors carelessness

• Doctors punctuality problems

• Hospital pharmacy and lab problems

• Emergency patients treatment

• Blood bank problems

• Doctors and other employees bad behavior and treatment

IMPROVEMENT

• Bench marking

• Short term changes

• Long term changes

TO-BE

• Installing CCTV system

• Installing RFID for hospital staff and doctors

• Hospital management information system

• Quality control department

Surveillance camera system

Benefits drawn from camera system

• The cameras installed are not only for security but give staff a feeling that their actions are being seen.

• This gives a move towards efficient and speedy work

Cost of computer connected camera system

• Rs 650,000

RFID for hospital staff and doctors

Benefits drawn from RFID

• Doctors punctuality

• Reduction in time between change in duties

• Better and good management of staff

• Currently, the three main areas benefiting from RFID technology in the health care industry are:

• Asset Management – being able to locate a mobile asset at all times results in better asset utilization which reduces procurement and leases and dramatically reduces the amount of time your valuable staff spends searching for equipment.

• Patient Care – being able to correctly identify a patient and know where that patient is at all times results in improved safety and bed placement.

• Inventory Management – being able to identify what you actually have in your current inventory and where that inventory is being consumed reduces out-of-stock situations and the amount of consumables not being billed to a patient.

Cost

• Rs 500,000

HMIS

• Quick registration of employees

• Patients medical history will be available i.e. diseases, medicines given, doctor who has given treatment

• Make doctors more careful in treatment

• Ease for the initial treatment of emergency patients

COST

• Rs 1 million

Quality control department

• Training of hospital staff• Hospital departments i.e. management,

human resource etc.• Pharmacy and laboratory• Food • Furniture• Blood bank • Over all improvement and maintenance

IMPLEMENTATION

• Setting up of quality control department

Quality Control

Management

Human resource

Finance R & D

Doctors Staff manager

Patients

Kitchen chefs

Nurses Ward boys

Helpers

Setting up of surveillance system

– PC based Dvr– cameras

Setting up of RFID system

• RFID consultancy will be taken form consultancy company e.g.

• CatalystCompass™

• Blue Bean

Frequency Band

• Intermediate10-15 MHz

• Short to medium read range, potentially inexpensive, medium reading speed

Typical Applications

• Access controls, Smart cards

• Phase 1: RFID Business CaseExecutive Briefing Recommended approach for RFID deploymentCost and Benefit AnalysisProof of Concept

• Phase 2: RFID Configuration Site Survey and RFID Configuration Process Flow and Integration Plan Revised Cost Estimates and Schedule

• Phase 3: RFID Pilot Install and tune all RFID equipment Install RFID software module Integration to WMS, SAP and other ERP User training and support training System commissioning Operation support and maintenance Detailed roll-out plan

• Phase 4: RFID Rollout Site survey and preparation Training and education Implementation and installation Operational support

BLUE BEAN

• BlueBean’s “Healthcare RFID Rapid Start Solution” will set up an area or department in your facility so that you and your staff can work with the RFID technology hands-on and understand how RFID could benefit your entire organization. Depending on your needs, some of the items included in this package are:  

• Wireless site survey • Voice Over IP (VoIP) • Asset management• Access points • Installation

HMIS

• Distribution of registration forms in the hospital catchment area and getting people registered.

• Registration can be online and on telephone

NORMAL

Enter patient name

start

registered

Info is added to customer database

After check up the patient’s database

is updated

Cash received

Full information displayed

Make an invoice

Print a slip for the doctor

Register new patient

Unregistered

Patients database

Accounts database

end

EMERGENCY

Enter patient name

start

registered

Info is added to customer database

Doc checks the patient

Cash received

Full information displayed

Make an invoice

Print a slip for the doctor

Register new patient

Unregistered

Patients databas

e

Accounts database

end

Serious patients

Send to ICU or ward or private

room is allocated form data base

Discharged with in 5 Hrs

ID Task Name Start Finish Duration2009

Jul

1 90d9/26/20096/15/2009Quality control department

2 10d6/25/20096/15/2009Surveillance system

3 45d8/5/20096/15/2009RFID

4 90d9/26/20096/15/2009HMIS

5 730d10/13/20116/15/2009Long term improvement

Aug Sep Oct Nov Dec

2010

Jan Mar Apr May Jun Jul Aug Sep Oct Nov

2011

Dec Jan Mar Apr May Jun Jul Aug Sep Oct Nov

Barriers

• Resistant to change

• De-moralization of employees (agitated about the surveillance system)

• Core processes not aligning with the goals and objectives of the hospital

• Cost of the tags (0.5 cents per tag)

• Food facilities not up to the mark

Addressing the barriers

• Bring awareness, that there is a need for change• HMIS system that integrates all processes

together, pilot test before usage.• Smart label: One advantage of the thinner smart

labels over conventional smart tags is that they can be manufactured in bulk by special printers. (0.25-0.40 cents)

• Catering

Organizational changes needed to support BPR

• Supportive top level management

• Hiring of skilled technical staff

• Processes to be implemented throughout the organization