B K Kulkarni

General Manager

Siemens Information Systems Ltd

B K Kulkarni

General Manager

Siemens Information Systems Ltd

Information Technology in Hospitals

Agenda

• Healthcare in India - Paradigm Shifts

• Hospital Information System

• A Paperless & Filmless System - Reality?

• The Future Role of IT in Hospitals

• Industry Buzzwords - Decoded

• Towards Paperless & Filmless Systems - Approach

EP

R

HIS : Hospital Information System- Fully automatic- Fully integrating all IT-systems- Interactive functions- Full data synergy AI <=> CI

EPR : Electronic Patient Record

HCS : Hospital Communication System- Not fully automatic- Partly integrated IT-systems- Some autonomous systems- Partial data synergy

DIS : Departmental Information Systems - No automatic features

- Not integrated- Autonomous IT-sectors - No data synergy

Definitions

More Paper

Less Paper

PrematureDeath

Disability Symptoms SignsHigh-levelWellness

Awareness Education Growth

NeutralNo discernible

illness ordisease

Disease Management

Treatment model

Health Management

Wellness model

The Future: A Shift of Paradigm

Hospital Information System

Registration Consulting ADT Nursing

Pharmacy

Stores & Purchase

RadiologyLaboratoryOT Blood Bank

Diet & Kitchen

And more...

Data Integration

Medical Modalities

Laboratory instruments

Picture Archival & Communication System

Device Interfaces

Third Party Softwares

The Future - An Insurance Scenario

On line Eligibility Verification

Co Payment information

ICD10 / CPT code driven charges and caps

Duplicate Lab exams and limit on Pharmacy filling

Secondary Insurance deductible information

Electronic Authorization for procedure

Insurance Claims forms

Electronic data transfer

The Buzz Words

Paper-less Hospital

Film-less Hospital

Electronic Patient Record (EPR)

Digital Convergence

Data Mining & Data Marts

Web Based Applications

Voice to text

Telehealth Applications

Web Based Applications

Artificial Intelligence - Statistical disease analysis & clinical expert

systems

Elements Priority

Hardware

Networking

Infrastructure

Application Software

Elements of a Total IT Solution

Hardware depreciates at 30% - 50% every year

Typical Implementation Period: One year

Have a BIG VISION; START SMALL; BE REALISTIC

Stages Involved

System Requirement Study Gap Analysis Customization Implementation & Training Final Integration & Testing Support

Implementing a HIS Solution