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e-Health Care By Gyanesh Pandey Chairman & Managing Director

e-Health Care - Gyanesh Pandey, Chairman & Managing Director, HSCC(India) Limited

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e-Health Care ByGyanesh PandeyChairman & Managing Director

The essential tenet of the presentation is that lives can be saved, patient care outcomes improved, and time &costs reduced through the effective use of information and communication technology (ICT), also known as e-Health.

Quality Improvement.

Safety of documents and files.

Improvement in Efficiency and performance.

Timely treatment .

Objective

Reduce paper work in Hospitals- Doctors Reports, prescription, Images etc.Maintenance of patient record through organised data.Increase patient care services like Online AppointmentReduce waiting time.SMS services.Faster diagnosis & TreatmentIntegration of hospital functionalities; viz. Registration, Admission, Discharge & Transfer (ADT), Laboratory services, Radiology, Blood Bank, OT & ICU management, pharmacy, CSSD, laundry, Accounts & Billing etc.Access to medical records anywhere through Unique Health Identification number.Contd....

NEEDH S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )

Investigation reports accessibility from anywhere

Hospital specific management reports for MIS.

Maintain Location wise stock levels of medicines.

Alerts for expired or near to expire items etc.

Creating filmless environment through Picture Archival & Communication System (PACS) & its integration with HMIS.

Managing crowd through Advanced Queue Management System.

H S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )

NEED

Barriers likecost and expenditure on the required equipment as well as their maintenance and the complexity involved in IT implementation. Lack of Basic Hospital Infrastructure.Lack of awareness of new technology and development.Incompatibility of old medical equipment with new technology such as HMIS & PACS.Lack of application of suitable HMIS Solution.Lack of Budget constraints/availability Less initiative for development of IT Infrastructure.Difficult to adopt new IT solutions by old staff. Implementation IssuesH S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )

Planning for ICT at concept stageNecessary arrangements for developing Network Infrastructure (LAN & Wi-Fi):Server room/Data Centre - UPS, HVAC, flooring etc.High bandwidth network for future requirement .Smart/E-class- Managing Academics & Teachings.Education Management System (EMS) - For Managing Institute/college.Library automation (RFID based)-> e-library.Tele-medicine to connect other institute & hospitals & to provide healthcare services at remote locations.Budgeting.

Implementation StepsH S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )

Development of IT Infrastructure for e- Healthcare

H S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )

PACSNetwork InfrastructureInteractive ClassroomQMSCall CentreLibrary Management SystemICT Components

H S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )

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Patient ServicesAppointmentsOut Patient ManagementDrug Stock ManagementHospital InformationPatientsCase WriterPharmacistAppointment SchedulingRegistrationPharmacyPatient EducationInformation KioskPatient EMRLab ReportsIn Patient ManagementBlood Bank ManagementClinical Services

Doctors Lab TechniciansNursesConsultation

ICU Laboratory Blood Bank OT DietaryHospital AdminEmployee ManagementResource SchedulingInventory ManagementPatient BillingMedical IndicatorsDashboards & ReportsBack Office StaffStore KeeperClerks / Head ClerkHospitalAdministratorsHospital AdminHuman ResourceResource SchedulingPayrollStores / InventoryFinancial AccountingPurchaseBillingEIS ReportsMIS ReportsAncillary ServicesPrograms & Camps DetailLinen ManagementWaste ManagementEquipment MaintenanceVehicle ManagementNABH IndicatorsBack Office StaffNursesDriversClerks / Head ClerkNationalProgramsBio Medical WasteSpecial CampsLinen ManagementEquipment Maintenance ComplaintsTransportationRKSApplication SecurityNABH

Hospital management & information system(HMIS)

H S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )

Efficient & Smart e-HealthcareHospital Management Information System (HMIS) Picture Archival Communication System (PACS)Advanced Queue Management System (QMS)Network Infrastructure (LAN, WAN & Wi-Fi)TelemedicineCall CentreLibrary Management SystemEducation Management SystemRFIDCloud computing

Hospital Management Information System (HMIS): Reducing paper work and effectively use the Hospital Resources with the help of Information Technology to International standards like HL-7, ICD-10, DCOM compliant.

H S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )

ClinicalEMRNursing Management SystemOrder ManagementOT managementAnesthesia Management SystemDietary Module

Diagnostic InvestigationsPathology ( LMS)MicrobiologyBiochemistry, Hematology and SerologyRadiology Information System (RIS)Blood Bank Management System

Functional Areas For HMIS ImplementationH S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )

Inventory controlPharmacy Management SystemCSSDLaundry DepartmentEquipment Management SystemInventory ManagementAdministrative Registration Out patient and InpatientAdmission, Discharge and TransferMaster Patient IndexAppointment SchedulingAccounts and BillingPatient Billing Miscellaneous servicesHuman Resource Management

Functional Areas For HMIS ImplementationH S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )

Store all images from different modalities e.g. CT, MRI, X-Ray to a central server for years. Use specialized PACS workstation for CT, MRI, X-Ray, Mammography etc.3D view of Radiology Images.

H S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )

Picture Archival And Communication System (PACS)

Self helped Kiosk Ticketing Machine.

Salient Features of this Queue Management System

Web enabled.

Tablet/Mobile inter-phasing.

Managing the queue flow through live-web queue view and smart sms interactive solution, etc.

The QMS system will cover all the services including Pharmacy, Laboratory & Radiology services such as blood test, X-ray, ECG, CT, MRI testing etc. with same token number assigned during entry/appointment of the patient.

Managing the queues so that queues in different departments are automatically prioritized depending on load on other departments.

Advanced Queue Management System (QMS)H S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )

PICTURE ARCHIVING AND COMMUNICATION SYSTEM (PACS)

Computer Network Infrastructure (LAN & WI-FI)

State-of-the-art, high performance, fault-tolerance and secure IT Networking Infrastructure setup including: Structured network [Fibre Optics (FO) Cable, U/FTP Cat 6A cables, switches, patch panels, connectors, racks, etc] for communication.

Network Management Solution (NMS) and Wireless network. Switches - Core/Distribution/Access.

Wireless Access Point (Indoor/Outdoor).

Wireless Access Controller.

6. Firewall.

Wi-Fi Access Point SwitchesFiber Optics Cable LAN Connectivity

H S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )

TELEMEDICINEUse Telemedicine to connect Medical college or large institutions to village/smaller towns and other places.

Providing healthcare services at remote locations through Telemedicine.

TelemedicineH S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )

CALL CENTRE FOR APPOINTMENT AND SCHEDULING 24x7 call centre and web portal for online appointments and helpdesk for OPD and IPD.

To provide a mobile application for public to instantly book appointments and view the waiting time.

Patient can seek appointment over phone through call centre and online web-portal.

Call Centre For Appointment And Scheduling

H S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )

LIBRARY MANAGEMENT SYSTEM (RFID BASED)Salient Features:

Application Login through smart cards.

RFID enabled smart library for Cataloguing and circulation of materials.

Electronically issuing of books through Self Check In/Out and receiving through Book Drop.

Centralized Database.

User identification through their smart cards.

Theft detection.

Statistics and reporting.

Web based module.

E-LIBRARYH S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )

EDUCATION MANGEMENT SYSTEM

Education Management System (EMS)General Administration, File management, Tender & Procurement

Admission Management

Academics Management

Examination Management System

Student Portal

Fee Management

Facilities Management

Placement Cell

ResearchH S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )

Modern age tool for the instructor/ teacher to monitor, control and deliver lectures to the students. Teachers provide a learning environment that exercises students critical thinking, problem identification, and formulation and solution skills.

Facilitate engagement & activee participation of students.

Elimination of note taking.

INTERACTIVE CLASROOM

E-CLASSH S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )

RFID has made its way into almost all the day to day operations of a Hospital.

Patient tracking

Asset Management

Inventory Management

Document and File Tracking

Laundry Management

Waste Management

Parking

Surgery Asset Management

Access Control (Security System)

Facilities Management

RFID (Radio Frequency Identification) Solutions

H S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )

Diagram depicting Cloud Computing concept in Healthcare sector

H S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )

ABOUT HSCC HSCC is a Mini Ratna-I, ISO: 9001 : 2008 PSU, under the Ministry of Health & Family Welfare, Govt. Of India.

Renders consultancy for World Class Hospitals from Concept to Commissioning.

Over 33 years of rich experience in healthcare infrastructure.

Multi-disciplinary organization with experienced professionals i.e. Facility Planners, Economists, Engineers - Civil, Architecture, Structure, Mechanical & Electrical, Biomedical, Public Health, IT Professionals under one roof.

Delivered and functioning more than 100 hospitals in India and abroad.H S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )

Service Spectrum

Computerization of Bhopal Memorial Hospital and Research Centre (BMHRC), Bhopal

Wi-Fi Campus for Medical College Port Blair, Andaman and Nicobar Islands (Part of DPR)

Computerization and Networking at Sports Injury Centre, Safdarjung Hospital, New Delhi

Computerization and Networking for RAK OPD at AIIMS, New Delhi Completed IT Projects by HSCCH S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )

Project Implemented by HSCC RAKOPD AIIMS, New Delhi

Before Renovation WorkAfter Renovation Work

Before Implementation of QMSAfter Implementation of QMSH S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )

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Outreach OPD at AIIMS Jhajjar, HaryanaNetwork Infrastructure and CCTV System for CSIR-IICB (Indian Institute Of Chemical Biology), Salt Lake Campus, Kolkata

Contd..H S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )

05 Nos.Projects Under Execution No. (2014-15)Projects In-Hand (2015-16)25 Nos10 Nos Completed Projects. (2000 14)IT PROJECTS by HSCCH S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )

ICT cost component Average cost of Hospital (Super Specialty) Rs.80 Lacs-Rs.1 Cr. per bed. ICT Cost is around 2% to 5% of the Hospital infrastructure cost.

H S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )

H S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )