Developing a hospital information system in a hospital

1. Developing a hospital information system in a hospital Dr Kithsiri Edirisinghe MBBS, MSc, MD ( Medical Administration)

2. The project • Planning • Implementation • Monitoring • Evaluation and feed back

3. The project plan • Identification of the “needs gap” • Plan a system as per the requirement to improve the quality , reduce cost and other resource constrains

4. Identification of the needs gap • Study the process flow • Identify the bottle necks and red tapes and time , money and resource wasting area . Also the high risk areas needs quality improvement

5. Process flow • Service industry • Services process • Core process – Direct Patient care services • Support process – Administrative /support services • Consider core service initially and then move on to support process ( depending on the cost , time , quality and other resource importance

6. Patient care process • Identify services units – OPD, IPD, CCU, ETU etc. • Select Key result areas – functions • Functions – sub unit level • OPD -reception Registration , Payment • Activities • Tasks

7. OPD • Reception • Registration • Payments • Consultation • Investigation • Treatment • Dispensing

8. The process • Study the process as per the core patient care services • Identify the Key result areas • Identify the functions • Study the information flow • Validate the current methods • Identify gaps • Propose the system support • Also look at integration of each units

9. Activity 01 • Develop a process and the information need for a IPD services

10. Selection of a system • Select / modify or develop system as per the need • Step by step implementation - modular fashion • Unit by unit as per the process flow – OPD to IPD and then to CCU • Closely follow the “ Human Response” • Monitoring and feed back essential • Clinical and administrative modules

11. Clinical modules • Ward management • OPD management • Operation Theater • Ambulance services • Medical records • Special unit management: ICU, ETU, Labor room and PBU • Transfusion services, Ambulance services • Diagnostic services: Laboratory, Radiology, ECG, & EEG

12. Administration modules • Front office • Registration • Appointments • OPD Administration • OPD billing & IPD billing • Stores • Pharmacy • Marketing • Financial accounting • Human resources • Catering • House keeping • Purchasing • Customer care • Security

13. HIS modules Advanced-Clinical-Workflow.ppt

14. Activity 02 • Develop a HIS for a 30 bed hospital • Each Main units – IPD , OPD, Investigations , CCU • Consider Data storage as well • Use of E services

15. Tele Medicine • Telemedicine is the use of telecommunication and information technologies in order to provide clinical health care at a distance. It helps eliminate distance barriers and can improve access to medical services that would often not be consistently available in distant rural communities. It is also used to save lives in critical care and emergency situations. • Diagnosis , treatment and monitoring and rehabilatation

16. Health Information system • Public health system • Description • Modules

17. Activity 03 • Discuss the evaluation of Tele Medicine and its impact to future hospital services.

18. Thank you !