1. Dr Vijay Raaghavan
Engagement Manager
HEALTH
INFORMATIC
S
How to increase it’s
utilization from data
display to decision
making

2. 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.

3. Health
Information
matics
to automate

4. Health
Information
matics
? to
automate

5. ?
Automate
The annual revenues of a leading single specialty hospital at Bangalore
Actual Projection Actual
Revenue Head 2012-2013 2013-2014 2013-2014
Bed Charges 23.5 28.2 12.5
Consultation Fees 1.5 1.8 4.2
Home 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

6. Leveraging
IT
Helps us
Automate
Lets
Understand
This
In A Little More Detail

7. 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 HARDWARE
This comprises of the Desktop that
comprises of Monitors , CPUs, the
Laptop, Keyboard
THE PERIPHERAL DEVICE
This comprises of the printing
accessories , the pointers , the Bar
Code Readers , The Scanners
FUNCTIONAL DEVICES
These 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
WIRED
This comprises of a
set of wires that link
all the local systems
located inside an
enterprise with the
help of solid metal
wires
WIRELESS
This comprises of a
set of waves that link
systems .
Implementing such a
technology minimizes
the need “ hardwire”
the enterprise
A B C

8. Patient Care Services Support Services
Other
Services
Patient Registration
Hospital Facilities
Insurance & TPA
Doctor
Management
OPD Billing & Collections
Lab Management
Radiology ManagementAdmission, Discharge, Tran
sfer (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

9. 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
Successful
IT
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/TH
OUGHT FLOW
How closely does the
flow of the screens and
data match the way
physicians can envision
working?
KEYS TO SUCCESS

10. As Chief Medical Officers
This is just the bare minimal to
expect

11. Lets get to Level 2.0

12. 11-04-2014
12-04-2014
13-04-2014
500 1000 1500 2000 2500
No. of Daily Consultations
800*
2200
1800
Consultation Dashboard
9-10am
10-11
am
11-12
noon
12-1pm
1—2pm
2—3pm
3—4pm
4—5pm
5—6pm
6—7pm
7—8pm
8—9pm
Lowest Highest

13. 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
External
Service 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

14. Patient Satisfaction Scores
3
4
5
6
7
8
Neurology
Nephrology
Pediatrics
Orthopedics
Internal
Med
Dentistry
Cosmetology
Gastroentero
Opthalmology
OBGYN
IVF
21 April 2014
N : 416 Cases
Dept Score Avge

15. Lets get to Level 3.0
Not Enough

16. ?
Automate
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
http://visualization.geblogs.com/visualization/
hospital_quality/

17. ?
Automate
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
http://visualization.geblogs.com/visualization/hospital_quality/

18. We need data for
MAKING DECISIONS
Just Remember This

19. Better Decisions
Help us Understand
Data Better
Just Remember This

20. Thank You
Dr Vijay Raaghavan drvijay.raaghavan@med-ium.com