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U.K.Ananthapadmanabhan,President (Operations & Projects)Kauvery Hospitals Group, Trichy.
Implementing ICT applications in Tier 2 city hospitals in India –Case study
Transforming Healthcare through IT 2013, Hyderabad.
6 September 2013.
Kauvery Hospitals Group
• Kauvery hospital- Tennur , Trichy.• Kauvery hospital- Cantonment , Trichy.• Kauvery hospital -Chennai.• Kauvery hospital Heartcity, Trichy.
CATHLAB INNOVA 2100
9
ICT Applications in Hospitals
Related to Patient care –EMRRelated to work flow –Lab AutomationRelated health care facility-BMS
List of hospitals with wide range of ICT applications
Abbreviation Hospital name No of bedsTier II city hospitals
KMCH Kovai Medical Center & Hospital, Coimbatore 700KSH Kovai Speciality Hospital, Erode 150MMHRC Meenakshi Mission Hospital, Madurai 600MH Meenakshi Hospital, Thanjavur 200KHCT Kauvery Hospital Cantonment, Trichy 200KHTT Kauvery Hospital Tennur, Trichy 200KHCT Kauvery Hospital Heartcity, Trichy 100Metro city hospitals
KHCC Kauvery Hospital Chennai 250RMH Rangarajan Memorial Hospital, Chennai 200AHC Apollo Hospital, Chennai 500AHH Apollo Hospital, Hyderabad 500
List of ICT applications in HosptialsName of software Software providerPatient careDigital media records InfolifeDragon naturally speaking version 10 Nuance USAHospital information software Aosta, Coimbatore/InfolifeLaboratory information software Aosta, CoimbatorePicture archiving communication system software Raster Images, SalemRadiology information software Wipro GE
Video capturing software Avantec solutions, ChennaiFacilities ManagementBuilding management software Siemens / HoneywellCall center software SKS, SalemEnergy management software SchniderI-touch software DaikenPneumatic pipeline system software Swisslog, GermanyTelecom tracking software Siemens / EricssonVideo conferencing software Peoplelink, ChennaiAdministrationAccounting software TallyHuman resource management software Deep Roots, CoimbatoreSupply chain management software Aosta, Coimbatore
Systems, applications and products software SAP-HR/CRM/Finance
HospitalsType of cities Tier II cities Metro cities
Name of hospitalsKMCH
700KSH 150
MMHRC 700
MH 200
KHCT 200
KHTT 200
KHHCT 100
SMF 350
AH, CHN 500
AH, HYD 500
Patient care softwareHospital information software Radiology information software Dragon naturally speaking version 10 Picture archiving communication system software Digital media records Video capturing software Laboratory information software Facilities management softwareI-touch software Video conferencing software Pneumatic pipeline system software Telecom tracking software Building management software Energy management software Call center software Administrative area softwareAccounting software Human resource management software Supply chain management software
** Electronic medical records is not included in the list
SUMMARY OF ICT IMPLEMENTATION IN SELECTED TIER II AND METRO CITIES IN INDIA
HospitalsType of cities Tier II cities Metro cities
Sl.no Name of hospital/beds
KMCH 700
KSH 150
MMHRC 700
MH 200
KHCT 200
KHTT 200
KHHCT 100
SMF 350
AH, CHN 500
AH, HYD 500
Patient care software
1 Hospital information software (HIS)
2 Radiology information system (RIS)
3 Dragon naturally speaking version 10
4Picture archiving communication system (PACS)
5 Digital media records
6 Video capturing software
7 Laboratory information software (LIS)
SUMMARY OF ICT IMPLEMENTATION IN SELECTED TIER II AND METRO CITIES IN INDIA
Hospitals
Type of cities Tier II cities Metro cities
Sl.no Name of hospital/beds
KMCH 700
KSH 150
MMHRC 700
MH 200
KHCT 200
KHTT 200
KHHCT 100
SMF 350
AH, CHN 500
AH, HYD 500
Facilities management software
1 I-touch software
2 Video conferencing software
3 Pneumatic pipeline system software
4 Telecom tracking software
5 Building management software (BMS)
6 Energy management software (EMS
SUMMARY OF ICT IMPLEMENTATION IN SELECTED TIER II AND METRO CITIES IN INDIA
Hospitals
Type of cities Tier II cities Metro cities
Slno Name of hospital/beds
KMCH 700
KSH 150
MMHRC 700
MH 200
KHCT 200
KHTT 200
KHHCT 100
SMF 350
AH, CHN 500
AH, HYD 500
Administrative area software
1 Accounting software
2Human resource management software
3 Supply chain management software
** Electronic medical records is not included in the list
Reasons successful Implementation
Promoter Doctors ownership/ContributionCost effective solutions -75-100 lakhs for 200 beds-BMS cost ?Easy ImplementationEconomies of scale
9/20/2013
ICT Implementation Initiatives in KH Group 2012-13
Description KH Tennur KH Specality KH Heart city KH Chennai
Computerized plastic patientID cards
7-Nov 5-Nov 29-Oct 11-Oct
Bar coded patient ID cards 7-Nov 5-Nov 29-Oct 15-Oct
Bar coded patient ID tags 16-Nov 14-Nov 31-Oct 29-Oct
Software Integration of laboratoryequipment
29-Oct 31-Oct 23-Nov 31-Oct
Bar coded sample containers in loboratory 7-Nov 7-Nov 8-Nov 8-Nov
Bar Code for capital Assets 7-Nov13 7-Nov13 12-Nov13 12-Nov13
Barcoded ID cards for Employees 27-Dec13 27-Dec13 27-Dec13 27-Dec13
Pneumatic Pipeline System(900transports)
NA 15-Nov 15-Nov 10-Nov
Telephone servies Call TrackingCall center
UI 10-Nov 5- Nov 10-Nov
9/20/2013
ICT Implementation Initiatives KH Group
Description KH Tennur KH Specality KH Heart city KH Chennai
Video Conferencing facility 15-Dec 15-Dec 15-Dec 15-Dec
Implementation Stardard version HIS 1-Nov13 1-Dec13 1-June13 NA
BMS implementation NA- NA 31 4 12 31 4 12
Barcode Technology Patient IDs and Tags
9/20/2013
ICCU
Integrating Laboratory Equipment
31
IT Laboratory managementNo of samples per dayNo pending samples per dayNo requests cancelled per dayNo unbilled requests per dayReporting through computer net workList for sample misreported reported Turn around time (TOT)
Picture Archival communication system-PACs
OPERATION THEATRE
Pneumatic tube systems
Use Pneumatic pipeline systems to reduce delay in sample delivery and sample mix up It is estimated that pre analytical errors account to 68% of the total errors in the laboratory reporting
Building Management systems(BMS)
I-Touch HVAC Software from Daiken
I Touch FeaturesRemotely set temp for 200 VRVMeasure energy using PPD software Switch off and switch on AC inpatient rooms after discharge and admission
Software based Video conferencing facility
Speech Recognition
Biometric technology
Use Barcodes in Tracing patient transport in side the hospital
• Reports
Telephone usage in top 5 Departments
INTER COM NO 13-Jun May-13 Diff
Rs Rs
112/111 CASUALITY 3045 3552 -507
340/722 EDP 894 1383 -489
500 HR 683 1054 -371
107 CFM-Vinoth 543 0 543
460/153 Corporate OFFICE 411 652 -241
723 PARAMA 179 180 -1
TOTAL 5755 6821 -1066
Doctors Wise Unplanned Top 5
0
10
20
30
40
50
60 56
32 30 2825 23
1812 10 10 8 7 5 5
Discharge plan monitoring
DISCHARGE DETAILS NO OF DISCHARGE %
UNPLANNED DISCHARGE - 301 37.39
DISCHARGE- as per PDD 422 52.42
AMA, AT REQUEST ,DEAD, REG,CANCEL 82 10.19
TOTAL DISCHARGE 805
OP Bill Cancel consolidated report- May- 13
S No Refund Area 13-Jun 13-May1 OP-CLAIM 10600 18,9002 Reception - 5003 RTSYS-1 1000 -4 LAB-REP 240 -5 OPREC-1 - 1200
6 OPREC2 - 300Total 11,840 20,900
PHYSICIAN LEAVE DETAILS June -2013
OUT OF STATION NO OP NO OF DOCTORS 5 26NO OF DAYS 8 95
Dr.NAME NO OP/Day OUT OF STATION
1 DR.ANAND C 92 Dr.BALAMBIGAI 83 DR.ELANGO N 14 Dr.GANAPATHY SUNDAR 15 Dr.GURUMOORTHI 16 DR.JOS JASPER G 37 Dr.KRISHNAMOORTHI 5 18 DR.MANGALA DEVI M 4
9 DR.MANICKAVASAGAM.S(M.V) 2
10 Dr.NAGARAJAN 5
11 DR.N.NAJEEB 2
PHYSICIAN LEAVE DETAILS June -2013
OUT OF STATION NO OP NO OF DOCTORS 5 26NO OF DAYS 8 95
Dr.NAME NO OP/Day OUT OF STATION
DR.ANAND C 9Dr.BALAMBIGAI 8DR.ELANGO N 1Dr.GANAPATHY SUNDAR 1Dr.GURUMOORTHI 1DR.JOS JASPER G 3Dr.KRISHNAMOORTHI 5 1DR.MANGALA DEVI M 4DR.MANICKAVASAGAM.S(M.V) 2Dr.NAGARAJAN 5DR.N.NAJEEB 2
CANCELL REQUEST REPORTMONTH OF June
CARDIOLOGY RADIOLOGY LABWARD 13-Jun 12-Jun WARD 13-Jun 12-Jun WARD 13-Jun 12-Jun
HC SCCU 2 3 A VI FLOOR GWM - 1 POW II - 5CASUALITY 2 1 A VI FLOOR GW II - 16 B II Floor - 10B III MGW 2 - B III FGW - 3 307 POW - 7A V FLOOR 1 1 B II FLOOR - 2 A VI GW -
ICU 0 5 HC POW - 4A VI FLOOR GW II - 21
POW 0 HC SCCU 8 3 CASUALITY 26 33IMCU 0 1 ICU 6 10 IMCU 20 18B I FLOOR 0 - CASUALITY 5 14 ICU 16 40B II 0 - A V FLOOR 5 3 HC SCCU 14 10LWARD 0 - IMCU 4 14 A V FLOOR 9 12A II FGW 0 1 KH POW 4 1 KH POW 8A II MGW 0 1 B IV GW 3 - LABOUR WARD 6 5A VI FLOOR GWM 0 - B III MGW 2 4 A II FGW 4 10B III SR 0 - A II FGW 2 5 B III MGW 4 7HC POW 0 2 MICU 1 - B III FGW 2 7MICU 0 - POW II 1 5 A II MGW 2 8A VI FLOOR GW II 3 A II MGW 1 9 B III SR 1 11
TOTAL 7 18 B III SR - 3 MICU 3 2LWARD 1 - B I FLOOR - 2
TOTAL 43 97 HC POW - 6
B IV SR 1
B IV GW 1 10D 1 FLOOR - 1
Complaint segragation
Department Complaint Categories March-13 April-13 May-13 June-13 Total
Light Problem 79 94 64 61 298Telephone (Not Working) 69 92 81 56 298
Electrical Fan Not Working 40 53 43 43 179TV issue 17 17 24 10 68Switch Board Problem 18 23 18 6 65UPS Problem 18 13 24 12 67Wiring Problem 5 7 1 8 21Other ComplaintsE 2 2Total 246 299 257 196 998
General Stores Material required 67 55 68 70 260Machinary service 29 30 10 12 81Cylinder required 12 22 26 13 73
Total 108 107 104 95 414
House Keeping Room Cleaning 67 88 77 73 305Cot Problem 25 37 13 20 95Fan Cleaning 35 16 23 12 86Floor Cleaning 12 18 22 10 62Chair & Stool Repair 15 20 20 6 61Toilet & Bath Room Cleaning 8 17 18 4 47Table,Drawer & Cuboard Repair 15 14 7 6 42Lock Problem 16 10 5 6 37Door & Window cleaning 3 10 12 4 29Mattress Changing 8 5 6 4 23Wheel Problem 2 3 11 4 20
Ambulance Wise all Units Patient Transfer Details Mon of June -13
S.No DATE Vehile NO Patient Name From To
1 01/06/2013TN45AP0266 tempo Baby Suguna KHC Chennai Appolo
2 01/06/2013TN45AP0266 tempo Raja Sekar KHT Madurai Appolo
3 03/06/2013TN45AP0266 tempo Senthil kumar KHT Selam Manipal
4 05/06/2013TN45AP0266 tempo Iyyappan KHT Vellore
5 10/06/2013TN45AP0266 tempo Vardha Rajan ECB Dindugal
6 10/06/2013TN45AP0266 tempo Govindammal KHC Madurai
7 12/06/2013TN45AP0266 tempo Varadha Rajan ECB Chennai
8 17/06/2013TN45AP0266 tempo Mohan Raj KHT Madurai
9 20/06/2013TN45AP0266 tempo Rathna ECB Trissur ( Kerala)
10 28/06/2013TN45AP0266 tempo Manon Mani Thiruvarur ECB
11 04/06/2013 TN45 AE 5917 Rejena Banu KHT Shanmugam12 08/06/2013 TN45 AE 5917 Selvaraj KHT Venkatanur13 09/06/2013 TN45 AE 5917 Saraswathi KHC Madurai14 10/06/2013 TN45 AE 5917 Bama Subramaniyam T.Nagar Chennai15 13/06/2013 TN45 AE 5917 Murugesan KHT Perambalur16 19/06/2013 TN45 AE 5917 Mohammed Siddiq ECB Chennai17 28/06/2013 TN45 AE 5917 Selvam Lalgudi KHC18 28/06/2013 TN45 AE 5917 Karthik Rubesh KHT Chennai