Information technology is playing with codes, strings, arrays and formulae todigitise operations on a single platform for the Hospital Information Systems(HIS) —- make it eminently easy for medical estaablishments to addressoperational challengesBy Shally Makin, ENN
Innovations have only been theladder to the new age world andintegrating with healthcare upgradesthe quality of care delivered.Rising demand from the growingmiddle class in Indias large cities isfueling growth in private sector healthcare.We expect to see providers benefitby offering cost-effective businessmodels which show quick returns oncapital by improving patient coverageand improving quality of care.

Healthcareproviders in India will spend 57billion rupees on IT products andservices in 2013, an increase of sevenpercent over 2012 revenue of 53 billionrupees, according to Gartner, Inc. Thisforecast includes spending by healthcareproviders (includes hospitals andhospital systems, as well as ambulatoryservice and physicians practices)on internal IT (including personnel),hardware, software, external IT servicesand telecommunications.New Delhi will set up 50 new deliverypoints to help pregnant womenunder National Health Mission (NHM).

Several schemes like Health ManagementInformation System (HMIS) andMother and Child Tracking System(MCTS), under which information regardingtreatment is being sent to thepatients through SMSs. It will also beexpanded for the entire population ofthe district, which was earlier confinedto rural areas only.

Gaurav Mundra
CEO, TruworthTechnologies

Like anyother situation,transparencywill call for moreaccountability andresponsibility on thepart of the providersand hospitals

The All IndiaInstitute of Medical Sciences (AIIMS)Trauma Centre has made successfulshift from preparing manual Medico-Legal Cases (MLCs) to electronicMLCs. It has become the first hospitalto go digital. Since the hospital mostlygets accident cases, it registers about30,000 MLCs in a year and doctorsend up filling around 80 forms a day.

The success of the module hasmade the Union Health Ministryformed a special committee to ensurethe method is eventually replicated inother government hospitals as well.The current scenario demands hospitalsto keep clinical workstationoperating systems and web browsersup-to-date, while creating a formalprocess for updating clinical applicationsand operating systems software.This should help avoid the unintendedconsequences experiencedin this case.

Companies like Vizag steel haveVizag Steel Health Management System(VIZHMS), a software product designed,developed, tested and implementedtotally in-house to take careof the holistic health related functionsof not only of all the employees of VizagSteel and their dependents, butalso those of Central Industrial SecurityForce, schools, contract labor,etc. These services are also extendedeven to the people living in peripheralsmall towns/villages around VizagSteel on nominal fee basis as a contributiontowards VSPs Corporate SocialResponsibility (CSR). The systemtakes care of computerisation of thefollowing functions out-patient treatment,ward (In-patient) management,pathological and other investigationservices, radiology services, mobilemessaging services and much more.

Dr (Prof) D P Saraswat, CEO,Action Group of Hospitals proudlymentions, We, at Action Group ofHospitals, use this system in orderto provide better quality healthcareto our patients. We insist on evidencebased medicine so that the right treatmentis prescribed to the patient. Allour lab reports are on HIS and sothere is no question of human errorand the reports are accessible to others.
He adds, We have developedour own Objection Software withthe help of professional programmersfor our hospitals wherein customizedstandards of treatment are maintained.
The material management, inventoryoptimization and issue to thepatients are speedy and accurate.Gaurav Mundra, CEO, TruworthTechnologies says, The latest buzzin the hospital management industryis the paperless and filmless consolidationof information and efficiencyimprovement in overall care deliveryprocess. He adds, Cloud-basedHospital Information ManagementSystems (HIMS) is rapidly catchingup to allow for continuous upgrade ofsoftware from the vendor, low upfrontinvestment on software and hardwareand anytime, anywhere access.

Calculated potential annual healthcaresoftware spend for hospitals in FY13

30 bed : Rs 70,000
30 100 bed : Rs 450,000
100- 300 bed : Rs 100,000
300 bed : Rs2800,000

Currently, Indian hospital spend less than 0.4 percent of its revenue on software.Globally the norm is 5 – 6 percent, in Malaysia and Thailand, it is already 3- 4 percent.
Mid-sized hospitals are expected to comprise over 65 percen of the healthcaresoftware by 2014
Moderate annual spend together with high volume growth
Maximum number of new capacity addition implies higher propensity to buy
Increased sophistication in needs over and above the existing HIS solutions
Large hospitals (>300 beds) have highest ticket size, but lower volumes which however is relevant to international product price points

Vishal Rajan, Co-founder & Director,Asclepius Consulting says,While static reports and interactivegraphs have been delivered for seniormanagements MIS needs, Health IThas grown to offer analytic servicesaround forecasting, trend analysis,consolidation and around the vital aspectsof Why it happened instead ofWhat has happened.
He adds, Thegraduation of Health IT towards sophisticatedanalytic tools is expectedto significantly strengthen decisionmaking and drive business optimisationacross the health ecosystem.e-Svaasthya is a web-based HISdeveloped by Centre for Developmentof Advanced Computing (CDAC),which aims at catering to hospitals ofany size. It will help in computerisationof all the activities of the hospitalright from patient registration toadding and accessing patient data securely,online consultation and treatmentby doctors, blood bank management,ward and operation theatre management, etc. Being a web-basedsystem, it enables data sharingacross different regions. Hospitalsnow need to be aware of such solutionswhich are being offered in themarket. Every time a doctor gets awrong turn while using software,he needs to be learnt about the userfriendly gadgets being provided bythe web developers. The codes andthe digital world may feel complicatedto a health professional but thisis where the web developers haveworked on creating an enterprise solutionfor hospitals. The integratedpathway is again networked seamlesslywith all HL7/ R232 compliantmedical equipment and third partyapplications. Such innovative modelsprovides click based sentenceconstruction reduces the report generationtime by more than 75 percentand user friendly statistical analysistool, which allows doctors to generate reports for research.

Dr (Prof) D P Saraswat,
CEO,Action Group of Hospitals

Clinical decisionis arrived at theevidences madeavailable in theform of diagnosis incorrelation to theclinical findings.The software shouldsupport in makingthe right decision atthe right time

The number of information inhospital information system is huge,some of them are sensitive, confidentialand real-time information,the database server is running for24 hours a day, if the whole networksystem is in the failure of man-madeor accidental, this will cause hugelosses and social impact. Hospitalsshould support the development ofnew IT-security experts specialisingin healthcare systems. Thesespecialists could monitor risks to HIS and IT infrastructure. Changeis always resisted by humans anddeploying or upgrading an may alsoinvite employee criticism.

Customised HIS is the NeedSanjay Jain Managing Director, Akhil Systems The benefit of web based HIS is that itallows the application to run on singleserver and at various locations suitablefor chains of hospitals, clinics, diagnosticcenters and pharmacy. It is designedbased on service-oriented architecture(SOA) allowing applications to bind toservices that evolve and improve overtime without requiring modification tothe applications that consume them.HIS providers hold more than 60percent market share in healthcare ITindustry. Hospital administrative solutionsfor finance, billing, HR and materialsmanagement have a huge marketin Asia pacific. In India, around 65 percent of the HIS market is made up ofin-house implementations and legacysystems. These solutions benefits in severalways to the patient vis a vis the hospital.IT automates hospital operations,improves work-flow and easy access to information, reduces medical andbilling errors, provides more satisfactionand a better hospital visit experienceto patients, and all the processesare streamlined. Through this, patientcan be able to see online test results,schedule appointment, access onlinepatient clinical records etc. Providers should be always activein research and development of thesoftware to get updated with the latesttechnology and current market demand.Akhil Systems since last 17 years developedits product from DOS basedsystem to cloud based systems as permarket demand. New releases strengthen the marketas per demand. To increase marketshare providers must cater as permarket demand. Through new releaseproviders can easily strengthen themarket by providing what customersneed in current scenario.

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