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EHR driven
Hospital Information Systems
Joseph Alexander
CEO, dWise Healthcare IT Solutions Pvt Ltd
www.Lifetrenz.com2
• Network Infrastructure Challenges
• EHR Driven HIS
– Clinical Decision Support
– Evidence based Healthcare Practise
– Drug Information Framework
– Clinical Workflows
– Patient Education
Agenda
www.Lifetrenz.com3
Network Infrastructure Challenges
High Availability of Data & applications –near zero Down time
Data backup & recovery – multiple geographical location
Trained Resources for upkeep
Cost & Data Security
www.Lifetrenz.com4
90% of worlds Healthcare IT spend is in the USA
Cerner Corporation with a $ 2.2 Billion in annual
revenues, is the Market leader
What do they do?
•They host 22,000 Servers
•150 million healthcare transaction daily
•On Private Cloud for their Hospital customers
•On Guaranteed SLA’s to their customers
Simplest solution: Follow international Trends
www.Lifetrenz.com5
Why follow International Trends?
The Process has evolved
out years(decades) of
work in improving
maturity of their
processes
Go right there, rather
than re-inventing the
wheel from scratch
www.Lifetrenz.com6
How to imitate the trend?
Transfer the Infrastructure challenges to
HIS /EHR vendor to a secure Cloud
infrastructure
Tie the vendor on Strong SLAs
Corner the Vendor to a Monthly
Subscription model (pay per use – SAAS
model) Than a Onetime large payment
& yearly AMC.
The Hospital only takes care of good
Internet connectivity within its premises
• Not the Hospitals core-
competence anyway
• High Availability
• Data Security …
• Tie then down to free Version
updates as part of the Monthly
subscription
• Manages this without cabling,
using a Secure WiFi access for its
employees in the premises
www.Lifetrenz.com7
Other Advantages of Private Cloud based
Infrastructure
•Admit Orders
•Lab Orders
•Radiology Orders
•Referral Consults to OP Physicians
ePrescriptions from Neighbourhood Consultants
(Physicians) integrates Seamlessly for:
•Context based Patient Education
•Online Appointments to OP/Lab/Radiology depts.
•Patient Pre-Registrations
•Keeping the Patient Demography & Insurance details Updated by the Patients themselves
•Providing Patient access to their Lab/radiology results including view their DICOM Files On the
Portal.
•Providing Patients Access to their Health records if necessary
Patient Portals again becomes Seamless if the HIS is EHR
driven, engaging the Patients in the following ways:
www.Lifetrenz.com8
Hospital Information
System
Hospital
Administration –
Accounts, Billing,
Payroll…
Clinical Information
System
HIS Systems
www.Lifetrenz.com9
Electronic
Health
records
-Uses
Standard
Codes,
Interoperable,
Continuity of
care across
providers
2010
EHR
Electronic
Medical
records
-Uses
Structured
Codes, but
not
interoperable
2000.
EMR
Patient
Health
records
– Stores
Scanned
Images of
Clinical
documents
1980s
PHR
Evolution of CIS
www.Lifetrenz.com10
•ICD 9 CM, ICD 10, SNOMED
Diagnosis
•ICD 9 CM, ICD 10
Procedures
•RxNORM
Medication
•LOINC
Lab, Radiology & Imaging
•NANDA
Nursing Diagnosis
•NOC
Nursing Observation
•NIC
Nursing Intervention
•HL7
Interoperability b/w systems
•CCR, CCD
Continuity of Care
Standard Codes in EHR
www.Lifetrenz.com11
Drug
Information
Framework
Drug
Hierarchy
Contraindications
Monographs
Patient
Education
Dosage
Adjustments
Allergens
Branded
Drug
Database
Drug Information framework
Key to Clinical decision Support In EHR systems
www.Lifetrenz.com12
Automates Clinician Workflows
• Improving Quality of Care & Clinical efficiency
Extensive clinical Decision support to care team
• Reducing clinical errors
Use of Standards & Structured Codes for Patient Health Records
• Enabling interoperability and exchange of Patient health records between
systems or care providers
• Helps Maintain Patients Continuity of care
Helps in Evidence based healthcare Practise
Facilitates context based Patient education
Above all reduce cost of Healthcare Delivery
Why EHR ?
www.Lifetrenz.com
THANK YOU
Contact Details:
Office : A7, Ganesh Park, Wadgaon Phata,
Sinhagad Road, Pune, Maharashtra 411 051.
Telefax : +91 20 254350754
Mobile : +91 8600022926
Website : www.yugantarcare.com,
E-mail : anilpatil@yugantarcare.com
yugantarcare@gmail.com

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