Connecting India

Gunjan Kumar, Head IT and Automation, Sahara Hospital believes thatsynchronised integrated healthcare delivery systems are evolving and leading tobetter clinical data management



Healthcare IT is an enabler. Most organisations around theworld have envisaged Business Visibility through adoptionof Information Technology and have gone to the extentof restructuring and re-aligning their operations around newage technologies. The healthcare sector may be lagging behindin IT adoption initially, but in recent past there has been a phenomenalspurt in IT spending by healthcare organisations.

Synchronised integrated healthcare delivery systems areevolving and resulting in better clinical data managementand consistent clinical information across the healthcare enterprise.There is an analytical tool with capability to recordcomplete vital-parameters data of all the patients in the critical care area on a central database server for online analyticsof each patient. Through the same web login the doctor canview all past critical and non-critical events and have furtherinsight into the vital-parameters trend of his patient. This databaseserver has an inbuilt tool, which analyzes each and everysecond of the patients vital parameters. Almost 150 bed sidepatients can be covered at the same time; the system keepsthe 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 andbelow false ceiling), all linked to microprocessor based firepanels and these are further networked to Centralised ManagementServer Console (CMSC). Management console isequipped with maps and location plan of all the areas of theentire hospital campus. Each detector in the campus is demarcatedwith a unique address with details of location whereit is installed.

The art is to strike a balance between optimum datathroughput by use of appropriate transmission medium andswitching technology while ensuring the network security bydeploying firewalls, content filters, intrusion detection/protectionsystem and network admission controls.

Vista Flavour on the World

Dr Dinesh Jain, Max Healthcare, shares his experience that Vista hasenriched the system with its clinical features, which many other proprietaryproducts lack


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

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

The challenges while using such system led to the developmentof a hybrid model. We encourage our physicians to usethe system at the point of care; we enable them by providingcomputers on wheels, at the OPDs, IPDs, every area wherethere can be an interactionbetween a patient anda physician. Dictaphones are used for transcription services.Helpers or assistants help them in feeding data. When we lookat the data generated in last four months, it comes out as beingquite substantial.

When a patient comes back for new round of checkups anda new physician starts the system, he is pleasantly surprisedto find that the system already has some data available fromearlier checkups. The journey so far I believe has been challengingand very interesting in using the system, which wechoose to go with. Being an open source system, it provideslot of flexibility. We want to carry forward with our Hospital Informationsystem (HIS), which took care of patient managementrequirements of typical Indian hospitals. We were able to adaptto the system, which were not designed for Indian healthcareindustry and we used them effectively in Indian context.

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