Hospital Management SoftwareMain Modules:

Helpdesk Patient Registration and Appointment Scheduling Module Outpatient Management Module Doctor’s workbench/ CPOE Inpatient and Ward Management Patient Billing & Insurance Module Pharmacy Module General Stores/ Inventory Laboratory Information System Radiology Management Module Electronic Medical Record (EMR) Dietary Module House Keeping Module Nursing Module Emergency Management Machine Maintenance CSSD Blood Bank Financial Accounting Module Fixed Asset Module Payroll Module MIS Dashboard Services Module User Manager Module (security workflow)

Description of Main Modules :

1. Helpdesk

The Help Desk Module automates the day-to-day functions of the Front office managementof a hospital. This module helps in assisting patient with accurate information and supports inhandling patient related enquiries efficiently. This module having excellent features andadvanced search facilities improves the quality of services rendered to the user. It providesfor queries relating to the following:

Patient related enquiries

Bed Allotment Admission Details Demographic Details Payment Details Discharge Details

Doctor related enquiries

Bed Allotment OP Clinic Details Appointment Schedules Operation Schedules Charge Details

2. Patient Registration and Appointment Scheduling Module

The Registration module is an integrated patient management system, which capturescomplete and relevant patient information. The system automates the patient administrationfunctions to have better and efficient patient care process. Appointment scheduling deals withscheduling of physician appointments for the patients. The user can view the schedule for aparticular doctor; the appointments scheduled for the doctor, the free slots available, blockedslots. Based on the slot availability, the appointment can be fixed. The appointment can berescheduled and Cancelled based on the scenario. The hospital can track and manageScheduled Visits, Emergency Visits, and Visit cancellations. The user can view all patients’previous visitations to the hospital and also No- show patients list. Telephonic appointmentsfor unregistered patients can also be scheduled.

Patient Registration Details Inpatient and Outpatient Registration Medical Alerts Details Appointment Scheduling (Patient / Doctor wise) Doctor's Schedule Summary Doctors Daily Schedule List Patient Visit History Medical Record Movements Appointments for Radiology tests and Operation Patient Visit Slip Sponsorship Details

It provides for enquiries about the patient, the patient's location, admission, and appointmentscheduling and discharge details. Furthermore, this system even takes care of package dealsfor a patient for a fixed cost. Medical Record keeps an abstract of clinical data about patients.It allows easy retrieval of medical records on patients.

3. Outpatient Management Module

The Outpatient module serves as an entry point to schedule an appointment with the HospitalResident Doctor or Consultant Doctor for Medical Consultations and diagnosis. This modulesupports doctors to take better and timely consultation decisions by providing instant accessto comprehensive patient information. Patient visits are divided into New, Follow-up andReview. This module also handles requests and results of laboratory tests and otherexaminations. External Doctors visit to in patients can be defined as "Call on". Some patientsmay avail only the hospital facilities like Lab, Radiology, Nuclear Medicine, andPhysiotherapy and so on.

Medical Alerts Details Consultation Duty Roster Diagnosis Details Triage Parameters Patient’s Appointments Daily / Weekly Schedule Summary Appointment Scheduling / Rescheduling Facility Outpatient Medical Observation Details Investigation / Treatment History Clinical Service Details Group / Package Registration Facility Common Billing Clinical Services Doctor’s Diagnosis Statistics

Furthermore, Confidentiality of Doctors Observation, Previous History of Patients Visit,Online Prescription and Online Request for Investigations and so on, are the special featuresin Doctors Observation screen. This system calculates the cost for the services rendered to thepatient and reflects in the billing module appropriately resulting in smooth billing process.

4. Doctor’s workbench/ CPOE

The doctor’s workbench is the gateway for doctors to the hospital management systemsoftware. It provides for a single point access to current and future appointments, past history,reminders, latest laboratory/radiology test results for both outpatients and inpatients. TheCPOE (Computerized Physician Order Entry system) is also part of the workbench where thephysician can record the patient symptoms, diagnose and suggest treatment plans.

Salient Features (for the logged-in physician):

List of appointments booked for the current day or any future day List of outpatients most recently seen by the physician List of inpatients admitted in the hospital under the care of the physician List of pending surgeries scheduled for the physician Patient history as a drill down from each of the above list Drill down to reports/charts for each episode Alerts/reminders to the doctor Results of ordered laboratory/radiology tests Physician recordings under the four broad heads - SOAP (Subjective, Objective, Assessment

and Plan) as followed by most physicians all over the world

5. Inpatient and Ward Management

Inpatient Management Modules handles the Admission Discharge and Transfer Functions,Ward management Functions and Operation Theatre Management Functions. This moduleautomates the day-to-day administrative actives and provides instant access to other modules,which leads to a better patient care. It provides comprehensive data pertaining to Admissionof Patients & Ward Management: Availability of beds, Estimation, Agreement preparation,Collection of advance, Planned admission, Emergency admission and so on. The Inpatient

module also deals with Ward Management: Shifting from one ward to the other, Bedavailability, Surgery, Administration of drugs, nursing notes, charge slip and so on.

Admission Cost Estimation Admission Approval Admission Request Doctor Transfer Details Nursing Notes IP Medical Observation Pending Drug Request Operation Theatre scheduling Pre and postoperative Doctor notes and CSSD can be optionally made available. Operation theatre resource scheduling (Optional) Operation theatre Equipment scheduling List Operation and anesthesia details Theatre charge slip creation – listing of supplies consumed- online stock availability

displayed Capture all Delivery related details with facility to register and admit the new born Create new medical file for the new born Discharge Notification Summary Expected Date and Time of Discharge

6. Patient Billing and Insurance Module

The Patient Billing module handles all types of billing for long-term care. This modulefacilitates cashier and billing operations for different categories of patients like Outpatient,Inpatient and Referral. It provides automatic posting of charges related to different serviceslike bed charges, lab tests conducted, medicines issued, consultant's fee, food, beverage andtelephone charges etc. This module provides for credit partly billing and can be seamlesslyintegrated with the Financial Accounting Module. The billing module is extensively flexibleby which each of your billing plans can be configured to automatically accept or deny. Thesystem is tuned to capture room and bed charges along with ancillary charges based on thesponsorship category. The Billing Screens is used for In-patient and Outpatient Billing andInvoicing. Further more the charges for various services rendered can be recorded throughservice module and this can be used for billing purposes.

Payment Modes / Details Sponsorship Conditions Details Patient Billing Details Package Installment Approval from Sponsor Company Sponsorship Details Package Registration Sponsor Verification Retroactive Processing User-defined Billing cycles Automatic Room and Board charges Recurring Ancillary charge capability Auto-generated Codes and Billing Criteria Provision for Pre-billing

Extensive third-party Billing Invoice management

o Adjustments before closing the invoiceo Automatic prompting of cancellation of services if not availedo Automatic prompts for receipts or refunds for any Balance due to / from the patiento Confirm the invoice and ready for dispatch and post to accounts.

Sponsorship conditions creation and managemento Multiple plans / Categories can be created for one/many customerso Validity period for each plan/categoryo Applicable for both Outpatients and Inpatientso Co-payment and deductible definitionso Total or part Percentage discounts for each service or services under a single cost

centreo User defined price list creation and management

Possibility to apply Sponsorship conditions to pharmacy drugs and any other departmentand services as required

7. Pharmacy Module

Pharmacy module deals with the automation of general workflow and administrationmanagement process of a pharmacy. The pharmacy module is equipped with bar codingfacility, which makes the delivery of medical items to the patient more efficient. This moduledeals with the activities such as:

Enquiry Quotation Purchase order Online approval Pharmacy drug configuration Pharmacy stores configuration Drug issue to patients and billing Unit dosage facility Supplier information Maintenance of drug inventory Automatic reorder level setting Purchase Requisitions Purchase Order Online request for stock from various sub-stores Online stock transfer Maintenance of stock at different sub-stores Return of items nearing expiry Destruction of expired items Physical stock verification and adjustment Goods receipt Stock Transfer (inter store stock transfer) Stock Adjustment Stock in Hand reports

8. General Stores/ Inventory

General Stores and Inventory module deals with Purchase of Items, Issue of Items,Maintenance of Stock, Automatic Reorder level Setting, Online request for stock fromvarious sub-stores, Online stock transfer, maintenance of stock at different sub-stores,Physical stock verification and adjustment, Return of items to supplier etc.

Stock management Multi UOM and Multi currency system Stock control Stock Purchase through Enquiry generation Sub stores issues and receipt of stocks External hospital stock issues and receipt Option to include and track gift or donation of stock Stock requisitions from sub-stores and corresponding management Quotations and Purchase Requisitions Purchase order generation and processing- LPO, Emergency Purchase order, Principal and

Blanket PO Advance payment requisitions to Finance Goods Receipt Note and Purchase returns Automatic stock updates on receipt of goods Stock returns and destruction tracking Invoice verification Supplier management and supplier payment bucket facility available Supplier invoice management

9. Laboratory Information System

The Laboratory module automates the investigation request and the process involved indelivering the results to the concerned department/doctor of the hospital. Laboratory modulestarts with receiving the online request from doctors and also allows laboratory personnel togenerate requests. The Laboratory module supports to perform various tests under thefollowing disciplines: Biochemistry, Cytology, Hematology, Microbiology, Serology,Neurology and Radiology. Tests are grouped under various sections and sample type(specimen). Based on the request the user can input the sample and generate the samplenumber. Results can be entered based on the sample type either to one test or multiple tests. Ifthe test result requires approval, the supervisor has to approve the result and it is madeavailable to concerned doctors.

Sample Result Entry Test Report Entry Specimen Association Details Antibiotic Details Result Range for Test Investigation Request Bulk Sample Request Sample Details Samples Received from External Laboratory Samples Dispatch to External Reference Laboratory

Investigation and Treatment History

10. Radiology Management Module

Radiology module caters to services such as X-ray, Scanning, Ultra sound etc. Scheduling ofRadiology resources is possible. The system stores all the result details of various tests andmakes a Report based on the Test Results.

These Tests are carried out both for Inpatient and Outpatient. The system stores all the details(like patient number, Test Report like X-Ray, Scanning details) and for each scan the systemgenerates a unique number for the image.

11. Electronic Medical Record (EMR)

The EMR Module is a fully integrated knowledge repository that caters to Medical andclinical records of patients in the hospital. The system supports medical professionals ofvarious departments of the hospital with relevant information like medical examinations,diagnoses, treatment histories, test results and so on. The module provides access to criticaland complete patient data that leads to high quality cost effective and efficient patient care.The EMR has the following features

Patient Search with Various Search Strings Patient Demographic Viewing Previous Visit Details Medical History of the Patient Billing Details of Patient

12. Dietary Module

The dietary module in the hospital management system software is designed to assist thehospital kitchen in providing meals to inpatients as per the instructions of the dietician. Themodule facilitates the dietician to prescribe a diet as instructed by the physician to any givenpatient. The module also allows the maintenance of meal scheduling, customizing meals asper patient meals and recording of individual meal orders.

Salient Features:

Allows the user to create the food items groups and food items available in the hospitalkitchen.

Captures the calorie count as well as the nutritional information of all food items. Facilitates capturing of recipes that are made up of food items or other recipes and their

proportionate quantities. The steps for preparation can also be mentioned. Maintains the nutrition information of recipe items.

Facilitates creation of a day wise meal plan for the kitchen by the dietician in the system forbreakfast, lunch and dinner for any given period of time as per the different requirements ofpatients.

Generates the kitchen order ticket consisting of a list of items to be prepared for each day,based on the bed occupancy and the type of meal scheduled.

13. House Keeping Module

Housekeeping in any hospital is defined as the provision for a clean, comfortable and safeenvironment in the hospital for patients and general public. Housekeeping in the hospitalmanagement system software involves the maintenance of beds in wards, rooms, cubicles.The various housekeeping tasks can be planned, assigned and tracked in the module.

Beds are released for Housekeeping after the discharge of the patient If a bed is posted forhousekeeping, then that bed is not allocated to the next patients till the HousekeepingDepartment releases it after making the bed saleable/available.

Some of the features of this module

Facilitates scheduling of various housekeeping tasks in all areas of the hospital includingwards, outpatient department, operation theatre etc.

Generation of housekeeping checklist Allocation of housekeeping tasks to individuals Recording of the completion of the housekeeping tasks Reporting of activities pending

14. Nursing Module

Nursing module is a tool provided in the hospital management system software to the nursesto manage their routine tasks with the objective of improving patient care. It is tightlyintegrated with the Inpatient module and other clinical modules for smooth flow ofinformation.

Some of the features of this module are

Patient Charting: A patient’s vital signs, admission and nursing assessments and nursingnotes can be entered into the system. These are the stored in a central repository andretrieved when needed.

Staff Schedules: Nurse can self schedule their shifts using scheduling rules provided in shiftmodules. The shifts can later be confirmed or changed by a scheduling coordinator ormanager.

Clinical Data Integration: Here clinical information from all the disciplines can be retrieved,viewed and analyzed by nursing staff.

Improved workload functionality: Staffing levels and appropriate skill mix per shift can bemore easily determined by the shift modules.

Better care planning: Time spent on care planning is reduced, while the quality of what isrecorded is improved. This makes for more complete care plans and more completeassessments and evaluations.

Better drug administration: Electronically prescribed drugs are more legible, thus making itless likely that drugs would be wrongly administered to patients.

The Nursing module comprises of the following features, viz:

Nurse duty roster Change in duty roster Medical observations Patient activity charting Task Allocation (general) Recording vitals, nursing notes Recording dispensing of medicine Admission, Discharge and Room Transfer

15. Emergency Management

Emergency module in the hospital management system software allows fast registration ofpatients by the capture of key and very specific registration details such as demographicinformation, keeping in mind the critically of this function. This module also collectsinformation related to Medico Legal Cases (MLC) which is subsequently used for reportingto local authorities.

Emergency Module will encompass the following features:

Enable emergency registration of patients by capturing key registration details. Schedule Emergency Appointments for critical patients and facilitate their admission on a

priority basis Record and view the various incident reports

16. Machine Maintenance

The machine or equipment maintenance module in the hospital management system softwarefacilitates breakdown processing and preventive maintenance scheduling and recording.

The business functions of Machine/Equipment Maintenance module are broadly classified as:

Preventive maintenance scheduling Checklist for tasks to be done during preventive maintenance Breakdown status as on any date Breakdown analysis by reason Analysis of machine down time Tracking of machines under warranty Machine Breakdown slip List of machines under breakdown Preventive Schedule Summary Predefinition of Maintenance Check List

17. CSSD

CSSD, or Central Sterile Supply Department is an important and crucial function of most ofthe mid-size and large hospitals. In certain countries, CSSD is even mandatory to meet withthe government stipulations for hospital licence etc. Items to be sterilized are received andstored by CSSD before they are sterilized and distributed to related departments such aswards, OPD, OT etc. Surgical tools and instruments, tools used for operation, syringes,catheters/tubes/other rubber goods, treatment sets etc are sterilized by CSSD before and afteruse, wherever applicable.

Features

CSSD module in our software helps users to have the inventory information of items thatneed to be sterilized, in the form of packs/sets or individual quantity, by keeping track ofsuch items received/issued to departments like OT, Cath Lab, ICU, Emergency and Ward in ahospital.

By tracking the in-out details of items, user gets ready info on items that need to besterilized, items that are sterilized and items that are yet to be returned after sterilizationetc.

The records of cleaning, disinfection and sterilization are maintained by CSSD module of thesoftware. This helps in finding and analyzing the effectiveness of these processes andpractices.

Hospital can easily implement Infection Control Policy using CSSD module in our hospitalmanagement software, which improves patient safety by enforcing and checking thecontrols necessary from time to time, to prevent cross infection.

Certain items – packs, linen etc – are exchanged between CSSD, ward and laundry of ahospital. This module in the software records these details and can be used for checking theused/returned quantity etc.

18. Blood Bank

This module in the MediNous hospital Management Software is quite comprehensive in itsnature, maintaining all information regarding the blood donation. The details about thedonors and receipients are maintained. The module is linked to other modules in the softwarefor wards and OT in the hospital, whereby, any and all blood requirement during surgeries etcthat happens in the hospital are known to the bank. Important information and parameterssuch as availability of blood, cross-matching between donor’s and receipient’s blood groupsand blood transfusion reactions are recorded. Also, the interactions with other blood bankswithin a hospital or outside and delivery/receipts of blood bags between these banks orhospitals are recorded and maintained.

Main functions of Blood Bank module of MediNous Hospital Management Software:

Registration of Donors Blood Donation Need based request processing ( Fresh Blood and Stored Blood )/cancellation Returning of issued blood bags Transfusion Details Sterility Investigations and Discard Details

Inter Bank Transactions

19. Financial Accounting Module

The Financial Accounting Module deals with Cash/Bank, Receipt/Payments, JournalVoucher and General Ledger etc. Books like Cashbook, Bankbook and Ledger book can begenerated. This module generates reports like Trail Balance, Balance Sheet and Profit andLoss statement. The Financial Accounting Screens describe about the Account Payable,Account Receivable and General Ledger. Also describe the activities related to IP, OP, Bankrelated activities and provision to clearing the Supplier Invoice and keep track of the AccountReceivable and Revenue related activities. The services that are covered by the sponsorcompanies, Insurance Agencies, Family Accounts, Individual Accounts, sponsorship detailsof the patient, Health Card Insurance are recorded in the system

20. Fixed Asset module

The Fixed Assets Module deals with all the activities that are related to the Fixed Asset Partof Financial Accounting of any hospital management system software. This module handlesall the assets of the company, the activities that are related to identifying an item as a fixedasset and then allocating specific depreciation on that asset, managing the movement of theasset, Maintenance of the asset, Revaluation and Disposal etc.,

Depreciation based on any of the popular depreciation methods. Straight-line method orreducing balance method are the two important Asset Depreciation methods followed.

Asset adjustments, Asset Transfer, Asset revaluation, Asset Disposal is possible in thismodule

21. Payroll Module

The Payroll & Personnel module deals with Pay (and deduction) calculation, printing ofsalary slip, salary certificates, and PF statements, Gratuity Statement and provides a monthlyanalysis.

It deals with the maintenance of employee bio-data, Attendance / Overtime details.

It also reports on absenteeism, leave encasements etc. The Personnel & Payroll department isresponsible Employee Related Activities like appointing the staff, maintaining the employeedatabase, Fixing allowances and deductions, Leave entitlements, Leave sanctions, Loan,Termination Process, Maintenance of Hospital documents, Insurance details, TenancyContracts and Vehicle Registration.

22. MIS Dashboard

The dashboard presented in the hospital management system software is a summary of keyparameters values covering all areas of the hospital that are generally monitored by the topmanagement on a regular basis. Some of the parameters could be current bed occupancy,revenue for a period, collections etc.

Graphical presentation of key parameters for easy navigation to the management likeo Total No of Registrationo Bed Status Ward wise/Hospital wiseo Revenue details

Customizable key parameters as per user User definable presentation views/graphs Auto Refresh facilitating latest information at all times

23. Services Module

The service module provides for effectively managing all the services available in the hospitaland the charges for each of these services are securely entered and handled.

Revenue types can be defined and associated with accounts for posting expenses. The Consultation charges charged at the hospital for each of the physician/doctor/specialist

are handled and maintained. - There are separate charges for New, Review, follow up and oncall visits of a physician.

Charges for all the services under revenue generating cost centers can be defined. Packages can be created and services can be grouped to form a package. Individual and total

discounts can be listed. Groups can be created. Number of services related to one treatment process can be

grouped to form a single entity. The system automatically indicates the services that areavailable.

24. User Manager Module (security workflow)

The User Manager module basically deals with security through controlling the access to theinformation available in the application. Any user associated with a user group can accessonly those screens for which the user group has rights. It also deals with the System RelatedActivity like User Monitor, Creating User Group Master, User Master and view the UserGroup Lookup of employee database, Maintenance of company documents, User definederror message, Generating Daily Statistical Summary.