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

Thank You

Dr Vijay Raaghavan drvijay.raaghavan@med-ium.com