Embed Size (px)
Citation preview
e-Hospital Management System with Supply Chain Management for
Medicines (e-HMS with SCM Project)
Balasubramaniam Gauthaman Program Manager-IT
HM & FW Dept., GoAP. 25-09-2015
Brief Introduction
e-HMS is a comprehensive solution that allows collection, storage, compilation, transmission, analysis and usage of health data that assist decision makers and stakeholders to manage and plan resources at every level of healthcare service.
SCM / e-Aushadhi is a supply chain management application which
deals with Purchase, Inventory Management & Distribution of
medicines, surgical and disposables to all the District Medicine
Warehouses (DMW) in the State and further to all the Health
Facilities, to dispense medicines to patients, the final consumer in
the supply chain.
Objectives of e-HMS To create an unique Electronic Medical Record (EMR) for each
resident of state at the time of stepping into hospital for first time Enable to track medical history of patient during a visits to hospital
in the state life time Within a hospital it will enable easy navigation between referred
departments Eliminate duplication of data entry and maintenance of duplicate
registers for a single case at various locations and free up manpower
To generate MIS reports for planning o Manpower o Procurement o Tracking OP / IP cases, o Drug /consumable inventories both at hospital and State level
Translate EMR to referral hospitals Enable conduct of medical audit of patient care quality from other
locations.
e-HMS – Modules Covered
e-HMS – Outcomes - 1
Patient Benefits: Decreased wait time for treatment Increased access/control over health information Increased use of best practices/decision support Increased ability to ask informed questions Quicker turnaround time for ordered treatments Greater clarity to discharge instruction Increased responsibility for own care Alerts and reminders for appointments and scheduled tests Increased satisfaction and understanding of choices
Issue: When a patient could access his/her own health
information like in other online services ? (Pros, Cons)
e-HMS – Outcomes - 2 Nursing Benefits: Decreased redundant data collection Allowed data comparison from prior visits Ongoing access, update record at bedside Improved documentation and quality of care Supported timely decision
Healthcare Provider Benefits: Better/faster/simultaneous data access Improved documentation, reporting Prompted to ensure administration of treatments and medications Supported automation of critical pathways / workflows Improved efficiency: eligibility, early warning of status changes Healthcare Enterprise Benefits:
Better record security Fewer lost records Instant notice of eligibility/procedure authorization Decreased need and cost for record storage, x-ray film, filing … Decreased length of stay due to waiting Faster turnaround for accounts Increased compliance with regulatory requirements
EMR & EHR – Electronic Medical / Health Record
EMR – An electronic record of health related information of an individual that can be created, gathered, managed and shared/consulted by authorized clinicians/staff within one health care organization.
EHR – An electronic record of health related information of an individual that conforms to nationally recognized interoperability standards created, managed and shared/consulted by authorized clinicians/staff across more than one health care organization.
Benefits: Improved data integrity:
readable, better organized, accurate, complete Improved productivity:
access data whenever, wherever for timely decision Increased quality of care:
tailored views, “dash-board” Increased satisfaction for caregivers:
easy access to client data and related services
Objectives of SCM Top down Approach helps Head Quarter in Better Monitoring &
Control down the line. Help in better Planning & Execution at all administrative level. Efficient control on supply & Inventory. Complete Package for Centralized Supply Chain Management
System supporting with best functionality. Best Performance with high number of users. Able to extend the functionality as per Department’s choice and
available Infrastructure. Quality Control on Drugs and monitoring & control on Quality of
Drugs Online Drug Distribution to Patient at Medicine Distribution
Counters. Intra Depot Excess/Short drug transfer integrated with HQ. Supplier Payment linked with Supplier Performance. Help & Solution Desk for Users.
SCM – Key Functionalities Dash Board Facility for the Senior Management Define the items into Groups, Sub groups, Categories, Codification
of Medicines. Automatic Indent generation as planned Maintain expiry Date / Shelf life for an item Transfer of Medicines amongst Warehouses Medicines distribution to Patients with all statistical data about
Medicines, Doctors etc. Define and maintain various levels of Stores & link all drug
warehouse hierarchically Maintain control (such as quantity tracking) on stocks and their
replenishment. Reserve items within District WH / CHC / PHC. Record transactions while moving items from one location to
another. Alerts for ‘Expiry’ Medicines, SMS facility at all levels Integration with GS1 compliance Bar Coding
SCM – Outcomes
• Assured availability of medicines at all the health facilities • Prescribe only those medicines available in the shelf,
thereby cutting down ‘Out of Pocket Expenditure’ (OPE) of the citizens
• Effective Tracking of expiry medicines • Minimizing wastage of medicines and arresting leakages • Savings in Procurement value • Classification of Disease Burden Area wise • Accountability among the staff and thorough Audit • Status of medicines & disposables in each hospital in real
time
Status of Implementation in Andhra Pradesh
Pilot Project launched with NeGD, GoI/World Bank funding – Aug 2014
Covers Four (4) health facilities across State of Andhra Pradesh – 1 Tertiary Care, 1 District Hospital and 2 Area Hospitals
Gap Analysis Study and System Study – Completed
Commissioning of infrastructure – In progress
Supply Chain Management (Medicines) – Live since June 09, 2015 across the State (All Medicine Distribution Centers)
Customization of e-HMS Software – Completed
UAT & end-user trainings – To be planned
Tentative Go Live Date – November 01, 2015
