June 2013

“HIS & HMIS in reducing trial and error”

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VennimalaiVennimalai, CEO, AavanorSystems Pvt Ltd feels cloud basedHIS & HMIS solutions are makinginroads in hospitals

How do you perceivethe market for HIS & HMIS inIndia?
Today HIS is an essential part of anyhospital in India that has more than50 beds. It is widely accepted thatit is not possible to manage largehospitals without an effective HISsystem in place. As regards status ofthe HMIS market in India, we seem tobe at an earlier stage of the adoptioncurve and only the thought leadersand quality focused hospitals havemade a serious attempt at makingthe HMIS the central system aroundwhich the hospital functions. Withmuch of the care documentationbeing paper based, the shift to HMIShas been slow. However there are acouple of recent trends that we haveseen which can help increase HMISadoption in the market.
The first is that competition amonghospitals is increasing as the numberof hospitals increases. Some hospitalshave recognised that the HMIS is aquality differentiator and somethingthat enhances branding and can thereforepull in patients. Surprisingly thistrend is more evident in the rural areaswhere hospitals with an HMIS in placeperceive immediate branding benefits,leading to higher occupancy levels inthe medium term.
The second trend and perhapsa critical factor is that hospitals areslowly becoming aware of the requirementsfor an EMR as mandated in theIndian Governments Clinical Establishmentsact of 2012. The realisationthat this will become inevitable andan HMIS is required to meet this need,will result in a rapid increase in HMISadoption.

What is the size of this market?Who are the top players in thisfield?
The market is divided into large Governmentalprojects, large hospitalchain implementations, mid size hospitalsand finally the smaller hospitals.While a few large institutionaldeals take the total market size intothe hundreds of crores, a majorityof the deals are smaller value dealsstruck between the mid and smallsized hospitals and the smaller Indianhealthcare IT companies.
By their very structure and requirementsin terms of turnover and companysize, most large deals go to the largerIndian IT companies such as TCS andWipro. The mid size deals are sharedby the smaller healthcare IT companiessuch as Aavanor, 21CS, Napier,Akhil, Palash, Srishti, Instahealth, etc.The very small deals seem to go to localplayers active in their areas, who developsimple customised solutions forthe smaller hospitals.

What are the unique HIS/HMISsolutions you have designed forIndian healthcare?
Indian healthcare systems have uniquerequirements in terms of billing andpatient management. There are subtlebut critical differences in the workflowsfollowed by our hospitals in these areasand systems that are to service themneed to address the realities of Indianhospitals. With multiple rate cards,multiple payers, complex packagetreatments, and long collection cycles,the HISs abilities to handle the hospitalsfinances is critical for a successfulimplementation. Our solutions offer avery comprehensive financial modulethat addresses the intricate requirementsof the Indian market.
The other critical success areas foran HIS are its ability to effectively handlethe laboratory, store and pharmacyin the hospital. The various variantsto the purchase and reimbursementpractices that have evolved in the industryrequire tremendous breadthin the functionality required of the ITsystems handling their operations. Wehave over the years refined the systemto the point where operations of Indianhospitals are seamlessly handled bythe system and hospitals are able tohandle the multiple different types oftransactions that take place on a routinebasis.

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