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Gunjan Kumar, Head IT and Automation, Sahara Hospital believes that synchronised integrated healthcare delivery systems are evolving and leading to better clinical data management


Healthcare IT is an enabler. Most organisations around the world have envisaged ‘Business Visibility’ through adoption of Information Technology and have gone to the extent of restructuring and re-aligning their operations around new age technologies. The healthcare sector may be lagging behind in IT adoption initially, but in recent past there has been a  phenomenal spurt in IT spending by healthcare organisations.

Synchronised integrated healthcare delivery systems are evolving and resulting in better clinical data management and consistent clinical information across the healthcare enterprise. There is an analytical tool with capability to record complete vital-parameters data of all the patients in the critical  care area on a central database server for online analytics of each patient. Through the same web login the doctor can view all past critical and non-critical events and have further insight into the vital-parameters trend of his patient. This database server has an inbuilt tool, which analyzes each and every second of the patient’s vital parameters. Almost 150 bed side patients can be covered at the same time; the system keeps the data ready to be used by the technicians or doctors in any part of the world.

Advanced Fire Detection System
It comprises of a network of Fire Detectors (both above and below false ceiling), all linked to microprocessor based fire panels and these are further networked to Centralised Management Server Console (CMSC). Management console is equipped with maps and location plan of all the areas of the entire hospital campus. Each detector in the campus is demarcated with a unique address with details of location where it is installed.

The art is to strike a balance between optimum data throughput by use of appropriate transmission medium and switching technology while ensuring the network security by deploying firewalls, content filters, intrusion detection/protection system and network admission controls.

“Vista Flavour on the World”

Dr Dinesh Jain, Max Healthcare, shares his experience that Vista has enriched the system with its clinical features, which many other proprietary products lack


Max healthcare operates eleven hospitals in North India and it is the second hospital chain in the country to adopt VA Vista. The Max hospitals have recently gone live with the implementation of VA Vista, which is the product of VA organisation based in USA. VA develops the VA Vista system  and releases it under Release of Information Act because it is the tax payer who had paid for its development. Subsequently VA Vista was taken over by an open source  community called World Vista, which made it available to the world.

Since the product positioned itself in the market, we integrated the product with our own Hospital Information System (HIS) to make it compatible with the way we are working in this country.

The challenges while using such system led to the development of a hybrid model. We encourage our physicians to use the system at the point of care; we enable them by providing computers on wheels, at the OPD’s, IPD’s, every area where there can be an interaction between a patient and a physician. Dictaphones are used for transcription services. Helpers or assistants help them in feeding data. When we look at the data generated in last four months, it comes out as being quite substantial.

When a patient comes back for new round of checkups and a new physician starts the system, he is pleasantly surprised to  find that the system already has some data available from earlier checkups. The journey so far I believe has been challenging and very interesting in using the system, which we choose to go with. Being an open source system, it provides lot of flexibility. We want to carry forward with our Hospital Information system (HIS), which took care of patient management requirements of typical Indian hospitals. We were able to adapt to the system, which were not designed for Indian healthcare industry and we used them effectively in Indian context.

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