Dr Vijay RaaghavanEngagement Manager
HEALTH INFORMATICS
How to increase it’s utilization from data display to decision making
This session won’t address the benefits of using an electronic medical record system.
It instead, assumes that, it is bare minimal necessity for a healthcare provider to function with.
Health
Information
matics
to automate
Health
Information
matics
? to automate
?Automate
The annual revenues of a leading single specialty hospital at Bangalore
Actual Projection Actual
Revenue Head 2012-2013 2013-2014 2013-2014Bed Charges 23.5 28.2 12.5Consultation Fees 1.5 1.8 4.2Home Nursing Care Services 0.45 0.54 0.1
25.45 30.54 16.8 in Crore INR
The CMO was convinced that , the hospital will do a 20% increase in revenue
The actual revenue was just 50% of the projection
We no more need to project future value based on “just” the past performance
We need to have a good grasp
on the CHANGING PATTERN on a day on day basis
Leveraging
ITHelps usAutomate
LetsUnderstandThis In A Little More Detail
IT: Requirements
SOFTWARE HARDWARE NETWORKING+ +
The Information Technology (IT) requirements of the facility can be broadly grouped under the three heads
THE BASIC SOFTWARE Like the Microsoft office and the Windows software that is essentially required for running the systems
THE MEDICAL SOFTWARE-Predominantly comprises of the Hospital Information Systems (HIS) which helps in the electronic management of the facility data
THE APPLICATION SOFTWARE like Tally, Attendance Roaster, Payroll etc. that take care of the Enterprise requirements.
THE BASIC HARDWAREThis comprises of the Desktop that comprises of Monitors , CPUs, the Laptop, Keyboard
THE PERIPHERAL DEVICEThis comprises of the printing accessories , the pointers , the Bar Code Readers , The Scanners
FUNCTIONAL DEVICESThese include devices like the Electronic Pens, Take Note Device, Audiometry support kits etc which augment the basic hardware
Helps in linking all the computers used across the facility to the main server computer, besides facilitating transfer of information across facility users
WIREDThis comprises of a set of wires that link all the local systems located inside an enterprise with the help of solid metal wires
WIRELESSThis comprises of a set of waves that link systems . Implementing such a technology minimizes the need “ hardwire” the enterprise
A B C
Patient Care Services Support ServicesOther
Services
Patient Registration
Hospital Facilities
Insurance & TPA
DoctorManagement
OPD Billing & Collections
Lab Management
Radiology ManagementAdmission, Discharge, Transfer (ADT)
Ward Management
IP Billing & Collections
OT Management
Purchase Management
Inventory Management
Pharmacy Management
Management Information System
HOSPITAL INFORMATION SYSTEMS : CORE MODULES
OUTPATIENT SPECIFIC MODULES
IT Implementation: Critical Success Factors
Usability and convenience across levels of users
Ease of navigation
Ability to customize at the end user
The overall scope addresses all functional requirements
Takes into account some of the future requirements
Proven
Scalable
Upgradable
Intuitive
In essence, it is the user orientation, which defines success, not the technology
User
Functional
Technology
SuccessfulIT
Implementation
CONTENT Is the clinical content of the system complete and useful?
FUNCTIONALITY Is the functionality of the application adequate?
NAVIGATION How easy is it to navigate through the various screens?
TRANSACTION EFFICIENCY How many ‘clicks’ does it take to get to the required function/information?
INDIVIDUAL CUSTOMIZATION Does the application support individual customization easily?
INTUITIVENESS/THOUGHT FLOW How closely does the flow of the screens and data match the way physicians can envision working?
KEYS TO SUCCESS
As Chief Medical Officers
This is just the bare minimal to expect
Lets get to Level 2.0
11-04-2014
12-04-2014
13-04-2014
500 1000 1500 2000 2500
No. of Daily Consultations
800*
2200
1800
Consultation Dashboard
9-1
0
am
10
-11
am
11
-12
n
oon
12
-1p
m
1—
2
pm
2—
3
pm
3—
4p
m
4—
5p
m
5—
6p
m6
—7
pm
7—
8p
m
8—
9p
m
Lowest Highest
127
40 80 120 140 180 220 240 280 320 340 380 420 460 500
Service line 1 (592)
Surgical
Non-Surgical
15,000 30,000 45,000 60,000 75,000 90,000 105,000 130,000
INR 57,372
INR 30,992
INR 37,663
Category No. of Cases ( for the month of March 2014 ) ARPP { Average Revenue Per Patient }
Service Line 2 (219)
Internal
ExternalService Line 3 (178)
LSCS
Normal
Gynec Procedure
465
172
47
45
71
62
INR 104,633
INR 67,809
INR 54,223
INR 38,105
Revenue Per Patient Realization Dashboard
Patient Satisfaction Scores
3
4
5
6
7
8
Neuro
logy
Nephro
log
y Pedia
tric
s
Ort
hop
edi
cs Inte
rnal
Med
Denti
stry
Cosm
eto
log
y Gast
roente
ro O
pth
alm
olo
gy
OB
GYN
IVF
21 April 2014
N : 416 Cases
Dept Score Avge
Lets get to Level 3.0
Not Enough
?AutomateWe no more need to project future value based on “just” the past performance
We need to have a good grasp
on the CHANGING PATTERN on a day on day basis
http://visualization.geblogs.com/visualization/hospital_quality/
?AutomateWe no more need to project future value based on “just” the past performance
We need to have a good grasp
on the CHANGING PATTERN on a day on day basis
http://visualization.geblogs.com/visualization/hospital_quality/
We need data for
MAKING DECISIONS
Just Remember This
Better DecisionsHelp us UnderstandData Better
Just Remember This