Topics Introduction IntroductionIntroduction Features FeaturesFeatures User UserUser Specification for Server Specification for ServerSpecification for

TopicsTopics

• IntroductionIntroduction

• FeaturesFeatures

• UserUser

• Specification for ServerSpecification for Server

• Guidelines MaintainedGuidelines Maintained

IntroductionIntroduction

There has been a significant change which has occurred in the past year or so. The healthcare industry, and particularly acute care facilities, in the midst of a flurry of merger and acquisition activity, has discovered as a whole they lack the ability to move quickly internally to assimilate new systems and to adapt to the changing environment. Quite inefficient and labor-intensive business processes are still being used.

We have seen a rapid advancement in application of information technology to almost every sector of industries. The explosion of Internet growth fuelled by the so-called killer application - the World Wide Web, further accelerates this advancement.

The Hospital Management System ultimately combine electronic copies of all documents created from admission to discharge with electronic reports, usually clinical testing or billing information, into a single electronic folder. They reduce labor, eliminate lost files and ‘loose sheets,’ improve access to authorized users, increase security and provide documentation for claims more quickly.

This scenario has rendered the almost impossible task of integrating and seamlessly managing patient’s record across hospitals, clinics and between countries or states.

Hospital Management System is a Medical office on-line. It is a custom web site for each physician’s office. Hospital Management System offers a web application that handles every task for a physician’s office. These tasks include billing, appointment scheduling, writing prescriptions, maintaining charts and notes, keeping lab results & X-rays, etc.

In addition to providing access to the office staff and the physician, Hospital Management System also offers controlled access to others. Patients, pharmacists, drug company representatives, and other people could access Hospital Management System to perform various tasks that would otherwise have to be performed by the physician’s office. MD Offices that subscribe to Hospital Management System would benefit from increased productivity.

Office staff can perform various functions like appointment scheduling, billing, entering prescriptions, lab results, patient charts, etc. through the Web.

Doctors can look up their schedules,enter schedule changes, review patient charts, look at lab results and enter prescriptions.

Patients can look up appointments, cancel them, request new appointments, look up statements, enter credit card payments, look up their medications, receive notifications of their lab results and change their addresses. New patients may look up physicians by their specialty, request appointments, register themselves on line. Direct Electronic Billing avoids paper.

Patients can review statements & make payments over the internet. Pharmacists can receive notifications regarding prescriptions, request re-fills or re-work on a prescription.

FeaturesFeaturesFeaturesFeatures

UsersUsers

The Hospital Management System is mainly designed by keeping in mind all the possible users, which are:

• Doctors

• Staffs

• Patients

Everyone has their unique ID and passwords to access their patients and patient’s to see their reports and medication.

DoctorsDoctorsDoctor has to login with unique login id and password for particular practice and if s/he is signed up in more than one practice then s/he has to first go to that practice home page i.e. s/he can not login to more than one practice at a time. (Since there will be different database for different practices) After successful login s/he will be redirected to schedule for that day to see his/her appointments, (default page). S/he doctor can make new appointment, mark event, recall and give prescriptions.

The Doctor’s section contains the following features:

• PatientPatient

• AppointmentsAppointments

• PrescriptionsPrescriptions

• Billing

• ReportsReports

• Patient chartsPatient charts

• Lab results

User’s

Doctor’s - Patient menuDoctor’s - Patient menuThe Doctor’s Patient Menu has sub menus which is very useful to keep track of Patient’s information. The sub-menu consist of Lists, Alerts, Grouping and Search.

Lists:Lists: Patient’s list keeps track and details of all the patient registered with a particular doctor. Along with

that doctor can view the face sheet, progress note and charge slip of the patient. The doctor can add new patient or delete exiting one. The doctor can also sort the patient list alphabetically.

Doctor’s page || User’s

Doctor’s - Patient menuDoctor’s - Patient menuAlerts:Alerts: Doctors can post alerts for any particular patient and can put their notes for the same.


Doctor’s - Patient menuDoctor’s - Patient menuGrouping:Grouping: Doctors can group all the family members account under one list, under one account, with a group name, this helps in quick retrieval of information. Doctor can add new group, modify group and can delete groups. And also can sort the list alphabetically.


Doctor’s - Patient menuDoctor’s - Patient menuSearch:Search: Doctors has the facility to search a patient by patient’s account number, or his first name…etc. There is advance search is also available where the patient can be searched with the social security number or by his/her telephone number.


Doctor’s - Appointment menuDoctor’s - Appointment menuDoctors appointment menu consists of doctor’s appointment book, patient appointments and events.

Appointment Book:Appointment Book: Doctor can maintain his personal appointments. In the doctor’s appointment book the doctor has features to keep track of alters and events. The doctor can have different kind of views to keep maintain his appointments like multicolumn, day wise or week wise. The doctor can also click on the date and go to a particular day to see the appointments.


Doctor’s - Appointment menuDoctor’s - Appointment menuAppointment Book:Appointment Book:

The doctor can view the details of appointment by just clicking on the patient name. The doctor can get information regarding the appointment and also information like the face sheet, charge slip, progress notes and can also print. The doctor can reschedule the appointment.


Doctor’s – Patient AppointmentDoctor’s – Patient AppointmentThe doctor can view patient appointments by just typing the patient name. The doctor can make a select appointments and last visit or can view all the appointments. Can also print the charge slip and the doctor can give a new appointment.


Doctor’s – EventsDoctor’s – EventsEvents:Events: The doctor can view all the events either daily wise, weekly wise or monthly wise. The doctor can also print these events.


Doctor’s – PrescriptionDoctor’s – PrescriptionThe doctor prescription is the place where the doctor can search patients for new medication. Just by selecting the name of the patient the complete details can be generated like his/her account number, address…etc. By clicking on the submit the complete medication is available. The doctor has features where he/she can add new medication, edit medication, refresh the medication form, can have print preview, save or cancel medication. By clicking on the next patient button can get the next patient records. There are two sub links to the prescription menu – New medication and Medication history.


Doctor’s – PrescriptionDoctor’s – PrescriptionThe doctor can generate complete medication history of a patient by just selecting patient name from the list and the medication period. Doctor’s can also view the old and current medication.


Doctor’s – BillingDoctor’s – BillingThe doctor has access to the billing section where he/she can enter charges, billing accounts ledger, statements, insurance bills, electronic claims, payment & adjustments & post insurance payment.

Chargers

Billing Account Ledger


Doctor’s – BillingDoctor’s – Billing

Insurance bills

Insurance Payment

Payments and Adjustments entry


Doctor’s – ReportDoctor’s – ReportThe doctor can generate reports for the following:

• Aging and open itemsAging and open items

• Daily reportsDaily reports

• Period reportsPeriod reports

• Accounting ReportsAccounting Reports

• Patient ReportsPatient Reports

• Insurance Insurance

• ReferralReferral

• AnalysisAnalysis

• GraphicsGraphics


Doctor’s – Patient ChartDoctor’s – Patient ChartThe doctor’s patient charts section is where the doctor can:

• Enter chartsEnter charts

• View ChartsView Charts

• HistoryHistory

For the patient he had under his list.


Doctor’s – Lab ResultsDoctor’s – Lab Results


The Lab results are available to the doctor in electronic form and which is added to the patient’s record. The doctor can also browse the patient case history also from the patient list.:

StaffsStaffsStaff has to login with unique login id and password for particular practice after successful login s/he will be redirected to staff’s default page. S/he can perform all functions in the practice management as dictated by the permissions set up by the Practice administrator.

Among the staff there will be one practice administrator who will set permissions for doctors, staff & patient

The staff’s section contains the following features:

• Patient

• Appointments

• Prescriptions

• Billing

• ReportsReports

• Patient chartsPatient charts

• Lab resultsLab results

User’s

Staff’s - Patient menuStaff’s - Patient menuThe staff’s Patient Menu has sub menus which is very useful to keep track of Patient’s information. The sub-menu consist of Lists, Alerts, Grouping and Search.

Lists:Lists: Patient’s list keeps track and details of all the patient registered with a particular doctor. Along with

that doctor can view the face sheet, progress note and charge slip of the patient. The doctor can add new patient or delete exiting one. The doctor can also sort the patient list alphabetically.

Staff’s page || User’s

Staff’s - Patient menuStaff’s - Patient menuAlerts:Alerts: Staff can post alerts for any particular patient and can put their notes for the same.

Grouping:Grouping: Doctors can group all the family members account under one list, under one account, with a group name, this helps in quick retrieval of information. Doctor can add new group, modify group and can delete groups. And also can sort the list alphabetically.


Staff’s - Patient menuStaff’s - Patient menuSearch:Search: Staff can search a patient by account number, first name…etc. There is advance search is also available where the patient can be searched with the social security number or by his/her telephone number.


Staff’s - Appointment menuStaff’s - Appointment menuStaff appointment menu consists of appointment book, patient appointments and events.

Appointment Book:Appointment Book: Staff can maintain his personal appointments. In the appointment book there are features to keep track of alters and events. The staff can have different kind of views to keep maintain his appointments like multicolumn, day wise or week wise. The doctor can also click on the date and go to a particular day to see the appointments.

Staff can view the details of appointment by just clicking on the patient name. Staff can get information regarding the appointment and also information like the face sheet, charge slip, progress notes, can also print and can also reschedule the appointments.


Staff’s – Patient Appointment & EventsStaff’s – Patient Appointment & Events


Patient Appointments:Patient Appointments: Staff can view patient appointments by just typing the patient name. The doctor can make a select appointments and last visit or can view all the appointments. Can also print the charge slip and the doctor can give a new appointment.

Events:Events: The doctor can view all the events either daily wise, weekly wise or monthly wise. The doctor can also print these events.

Patient AppointmentEvents

Staff’s – PrescriptionStaff’s – PrescriptionStaff prescription is the place where the staff can search patients for new medication. Just by selecting the name of the patient the complete details can be generated like his/her account number, address…etc. By clicking on the submit the complete medication is available. Staff also have features where he/she can add new medication, edit medication, refresh the medication form, can have print preview, save or cancel medication. By clicking on the next patient button can get the next patient records. There are two sub links to the prescription menu – New medication and Medication history.


The doctor can generate complete medication history of a patient by just selecting patient name from the list and the medication period. Doctor’s can also view the old and current medication.

Staff’s – BillingStaff’s – BillingStaff can access to the billing section where he/she can enter charges, billing accounts ledger, statements, insurance bills, electronic claims, payment & adjustments & post insurance payment.

Chargers Billing Account Ledger

Insurance bills Insurance Payment

Payments and Adjustments entry


Staff’s – ReportStaff’s – ReportStaff can generate reports for the following:











Staff’s – Patient ChartStaff’s – Patient ChartStaff’s patient charts section is where Staff can:

• Enter chartsEnter charts

• View ChartsView Charts

• HistoryHistory

For the patient he had under his list.

Staff’s – Lab ResultsStaff’s – Lab ResultsThe Lab results are available to the staff in electronic form and which is added to the patient’s record. Staff can also browse the patient case history also from the patient list.:


PatientPatientPatient has to login with unique login id and password for particular practice and if s/he is signed up in more than one practice then s/he has to first go to that practice home page i.e. s/he can not login to more than one practice at a time. (Since there will be different database for different practices) After successful login s/he will be redirected schedule for that day to see his/her appointments where Patient can view his appointment, cancel appointment or view prescriptions and request new appointment via email or phone call. Patient can sign up/register for particular practice by entering his information, which will be validated by staff & will respond accordingly. Any alert posted through e-mail if not responded within a stipulated time then the patient is contacted on his/her contact no/Fax.

The patient’s section contains the following features:

• Appointments

• Prescriptions

• Reports

• Lab results

User’s

Patient’s - Appointment menuPatient’s - Appointment menuPatient can directly take appointments from his/her doctor, by just filling up the fields. By submitting the appointment, it will be added to the doctor’s appointment list.

Patient’s page || User’s

Patient can view the appointments by just selecting the date from the calendar. And they will be provided with the reasons and the doctor’s name they had the appointment.

Patient’s - Appointment menuPatient’s - Appointment menuPatient can also cancel appointments that they have already taken. By selecting the date the user gets the list of appointments made with various doctors for that date, and just by ticking the check box the patient can cancel the appointment.


Patient’s – PrescriptionPatient’s – PrescriptionThe patient gets the medication prescribed in his/her account. Any change in medication is also been updated. The patient can view they old medication also. The patient gets full information for the dosage, quantity, etc.


Patient’s – ReportPatient’s – ReportSitting at home patient can view their reports by just clicking to the report section.the reports can be available on the following:










Patient’s – Lab ResultsPatient’s – Lab ResultsThe Lab results are available to the patient in electronic form and which can also been viewed by the doctor and is added to his/her records.


Specification for the ServerSpecification for the Server

Topics

• Pentium III - 566/ 700 MHz processor

• 256 Mb SD Ram

• 20 GB Hard Disk Capacity ( Primary )

• 8.4 GB Hard Disk Capacity ( Backup )

• 48X / 52X CD ROM

• 10/100 M Bps LAN Card

• 10/100 M Bps Ethernet Hub if more than 2 machines are to be connected.

• CAT -5 Cable

• SVGA

• Keyboard

• Mouse

• 3.5" Floppy Drive

• Printer ( Dot Matrix/ DeskJet/ LaserJet )

• UPS

Additionally Windows NT Server 4.0 Or Higher will have to be installed with Internet Explorer 4.0

Guidelines Maintained Guidelines Maintained

Topics

Following guidelines are kept in thought during the design of the system:

• Data to be entered with the least amount of keystrokes.

• Most fields in a screen should be populated with default values thus reducing the amount of time for the user to fill various screens.

• User should be allowed to do as much work on one screen as possible without asking him/her to switch to another screen. However, care has been taken not to inundate the user with lot of fields on one screen.

• All the page request and data handling is very efficient.

• Efficiency, Scalability and Security are of prime consideration.

• Wherever possible, Data (Results, History, etc) displayed to the user is allowed to be sorted (by date, Name, as applicable). The default sorting should be considered for each such displayed screen (For example, when showing transaction history, whether to show them in chronological or reverse chronological).

• Classified and filtered.

• Data can be added/modified/deleted to the tables (for e.g. patient, medicine table etc.) on the fly. Used records will not be deleted they will be marked as hidden and will not be used for future transaction. But old transaction can always refer to such records. Common client-server specifications are applied.

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Topics Introduction IntroductionIntroduction Features FeaturesFeatures User UserUser Specification for Server Specification for ServerSpecification for