January 2012

“Streamline Key Processes through Business Process Re-engineering”

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Bhudeb Chakrabarti, Senior General Manager and Region Head of National Institute for Smart Government, envisions to integrate and rationalise the information processing work so that there can be an optimisation of the dispersed resources.

www.nisg.org

As defined by Hammer and Champy, business process reengineering is the fundamental rethinking and redesign of businesses for achievement of dramatic improvements in vital parameters like cost, quality, service and speed. The core issue is the value of healthcare delivered. In our country the extent of medical errors is largely unknown. There  are unnecessary deaths attributed to medication related errors, and to unneeded or ineptly performed surgeries. The issues are aggravated due to heavy reliance on paper based patient records in medical institutions and untimely or mistaken diagnoses. There are problems related to duplicate data and management errors.

National Knowledge Commission (NKC) recommends initiating development of Indian health information network and establishing national standards for clinical terminology and health informatics.


The poor healthcare processes are due to reasons such as long queues at OPD and air of mystification about patient’s status. There is no system to conduct a need-based assessment of requirement of “Admission to Hospital” or “Days of Stay.” At times patients are forced to make multiple visits to  hospitals for the same treatment. There is poor quality of service. Patient information is often, neither evidence based nor easily accessible, as there is no way of accessing critical care data. 60 percent of clinician’s time is spent searching or waiting for patient information.

We need to streamline key processes through business process re-engineering (BPR), capture information at source, identify key performance indicators and evaluate the performance accordingly. The reporting formats need to be simplified. Clinical Decision Support systems (CDS) must be carefully designed so that they are reliable and accurate. An integrated collection of data is needed to track and monitor each process on regular basis. Identification of all the  processes in an organisation and prioritising them in order of urgency is the need of the industry. We also look forward to link parallel activities in the workflow instead of just integrating their results.

National Knowledge Commission (NKC) recommends initiating development of Indian health information network and establishing national standards for clinical terminology and health informatics. We need to create a common electronic health record (EHR), frame policies to promote use of IT in healthcare and create appropriate policy framework to protect health data of citizens. Medical informatics should become a part of medical and paramedical curriculum. The industry needs to widen the area health network, reconfigure laboratories so that they can perform the most frequently requested tests faster

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