HOSPITAL INFORMATION SYSYTEM

SUBMITTED BY:- AMAR DEEP (TEAM-3) ASHOK DR.DEBANJANA GHOSH DR.SANDEEP DR.SAURABH SHIVAKIRTY

WHAT IS HIS ?
 Comprehensive integrated systems designed to manage medical, administrative, financial and legal aspects of a hospital and its service processing.  HIS is designed to integrate different information systems into one single efficient system  HIS helps to achieve best possible support of patient care

Contd..
 HIS can integrate any type of services , systems, departments, clinic processes, data, communication in a hospital.  HIS also used for non- medical services like security and maintenance of hospitals  HIS uses a standard database format for storing and retrieving data.

TYPES OF HIS
 LABORATORY INFORMATION SYSTEMS

It is a class of software that receives, processes and stores information generated by medical laboratory processes customized to facilitate laboratory workflow models.
 RADIOLOGY INFORMATION SYSTEMS

Computerized database used to store manipulate and distribute patient radiological data and imaging. PACS is used in radiology for timely and efficient access to images

Contd
 NURSING INFORMATION SYSTEMS It manages clinical data from a variety of healthcare environment. Patient charting, clinical data integration and staff scheduling of nurses done here.  CLINICAL INFORMATION SYSTEMS It stores patient health history, nursing and interaction with other healthcare providers.

Contd..
 PHARMACY INFORMATION SYSTEMS

Assists patient care by monitoring of drug interactions, drug allergies and other possible medication related complication.PIS aid inventory management by maintaining an internal inventory of pharmaceutical products
 FINANCIAL INFORMATION SYSTEMS

It handles staff payroll, patient accounting, purchases and all the financial transactions of hospital

AREAS ADDRESSED BY HIS

FILE MNGT PHARMACY EQUIP/MAINT O.P.D MIS MODULE ACCOUNTS I.P.D DEPARTMENTS MATERIAL.MNGT

Modules are independent of each other and can also be inter linked to make it Totally Integrated Solution

MANAGEMENT

DAILY OPER.

HIS

DOCTORS

ADMINISTRATION

PATIENT

FUNCTIONS OF HIS
1. DAILY OPERATIONS : Reduction in paper work. Reduction in duplication of work. Helps in reducing data redundancy. Helps in streamlining the overall operations of the hospital. HIS monitors the status of patients, examinations, and examination reports. Helps in scheduling appointments and examinations. HIS helps in tracking of patients already registered with the hospital.

2. DOCTORS AND PATIENT: HIS makes the records easily available for reference . Helps in sharing of data between different departments. Makes patient care more effective & fast due to easy availability of previous data. Helps in faster decision making due to availability of data on tip of key. Access to the right information and the automation of complex tasks & workflow is the key focus of the HIS, thus freeing the staff to spend more time on caring for patients and extending the reach of services.

3. MANAGEMENT AND ADMINISTRATION : Availability of timely, accurate and up to date information, advances and recoveries Control and check on billing for various services rendered All possible information on stock Improved and optimization of services with easy availability of data. HIS supports Clinical and Medical Patient Care Activities in the Hospital. Helps in administration of the Hospital s Daily Business transactions (financial, personnel, payroll, bed census etc.). Helps in evaluation of Hospital Performance and Cost , and projection of the long-term forecast.

4. CLINICAL MANAGEMENT :  DIAGNOSTICS / LABORATORY : Lab scheduling. Order acceptance. Sharing of diagnostic images (PACS). Reports delivering. Inventory management.  OPERATION THEATRE : Theatre scheduling. Procedure details. Theatre maintenance. Theatre usage. Drugs/Disposables consumption.

 MEDICAL RECORDS : Preliminary information. Visit details (both out patient & in patient). Codification of diseases (ICD).  TELEMEDICINE : Teleradiology. Telepathology. Telecardiology. Medical consultation. Continuous medical education.

 BLOOD BANK : Donor registration list. Donor master list. Cross matching list. Requisitions. Component separation information. Blood stock.  PERSONNEL MANAGEMENT : Employee detail. Appointments. Resignation. Daily/ monthly attendance. Leave management.

5. RESOURCE MANAGEMENT :  PHARMACY : In- patient pharmacy. Out-patient pharmacy. Central pharmacy.

 GENERAL STORE : Indent receipt. Calling for tenders. Purchase orders. Material receipts. Issue of materials to different departments. Inventory control.

 AMBULATORY : Ambulance scheduling. Personnel scheduling.

 CANTEEN/ CAFETERIA : Inventory control. Point of sale.

 MEDICAL EQUIPMENT MANAGEMENT : Equipments detail. Maintenance schedule. Stock management. Maintenance of log sheet.

Companies Manufacturing HIS and their software

     

Wipro HISHIRePS-HIS GE HISGE health care Siemens HISI.s.h.med Microsoft amalga Microsoft Amalga RIS AOSTA-HISBACKBONE HIS Mckesson HISParagon hospital information system TCS HISIntegrated Hospital Management System (IHMS)

 HCL HISHospital Management Information Software (HMIS)  Software Associates HISThe Hospital Information System (SA-H.I.S)

BACKBONE AOSTA-HIS

Introduction
 Aosta has developed 'BackBone' - a Complete Healthcare    

Management Software Suite scalable from primary care to tertiary care multi specialty hospitals. BackBone is a patient-centric application integrated with the management information that modern hospitals require. With over 20 modules, hospital administrators can opt for the modules that would optimize the performance of their hospital. BackBone is tightly integrated with security features making it HIPAA and HL7 Compliant. BackBone is equipped with an advanced Electronic Medical Record and Physician Notes with pre-built templates.

 Computerized physician order entry (CPOE) tagged with ICD    

Codes reduces the time and increases the accuracy needed to process Insurance Claims. BackBone is packed with an Drug Database including pharmacology and drug-drug interactions updated on a quarterly basis. The Investigation areas module (Microbiology, Pathology, Biochemistry, Radiology, and Cardiology) consists of pre-built templates that are readily useable. BackBone comes with alerts on patient safety reducing medical errors while ordering. BACKBONE Hospital Information System has been voted as one of the best projects in Jury choice category of eIndia Awards 2010 for eHealth Best ICT Enabled Hospital of the Year

FEATURES
 BackBone blends the right mix of Clinical &       

Commercial aspects. Customizable ICD & CPT Codes Equipped with Insurance Modules. Extensive Drug Information including Pharmacokinetics, Pharmaco-dynamics, Adverse Drug Reactions, Drug Interactions. Flexible Scheduling. Department Tracking System. Click & Go - Revolutionized Data Capture. Electronic Medical Records .

Technology Incorporated
 BackBone is developed in ASP. Net with MS SQL as      

Backend. Access your Patient Records from anywhere. Compliant with HIPAA Security Standards. HL7 Compliant. Compatible with Barcodes Compatible with Biometrics Compatible with PACS. Integrated with SMS Gateway to report Alarming Values to Physicians. Compatible with Handwriting Recognition Software.

 Voice Recognition.  Graphical Representation.  Scalable Automation Systems:

Backbone's modular, scalable components can be configured to meet your specific needs -- today and tomorrow. As your Hospital need changes with your increasing volume of patients, you simply update your original system with our integrated module bundles.  Efficiency Work Path System: Third Party Software integrates with our Hospital Information System and manages the fulfillment of functionalities. HL7 compliant

ADVANTAGES
 Patient-centric application integrated with the       

management information A Right Blend of Clinical & Commercial aspects. Computerized physician order entry (CPOE) Customizable ICD, CPT Codes Reduces time and increases accuracy Tightly integrated with security features making it HIPAA and HL7 Compliant Packed with Drug Database including pharmacology and drug-drug interactions Internal Messaging System

 Pre-built templates for Investigation areas      

module Alerts on patient safety reducing medical errors while ordering Saves Patient's and Hospital's turn around time Statistical information on Patient Traffic, Diagnosis, Length of Stay, Revenue etc Comprehensive Performance Reports Ready-to-use Electronic Medical Records and Notes with pre-built templates Create a paperless office to better manage information

 Track birth and death statistics  Generates the reports of outpatients and inpatients, length of stay and surgeries.  Generates reports to analyze the disease classification in the hospital.  First Rate Security  Reduced Redundancy

MODULES

 The module of backbone AOSTA is divided into two types 1. Functional solutions 2. Administrative solutions

Functional solutions
           

BackBone Front Office BackBone Bed Management BackBone Ward Management BackBone Laboratory BackBone Radiology BackBone Cardiology BackBone Dietary BackBone Pharmacy BackBone Physician BackBone Medical Records BackBone Master Health Checkup BackBone Operation Theater

Administrative solutions

 BackBone Inventory Management  BackBone CSSD  BackBone Patient Accounting & Billing  BackBone Human Resource & Payroll  BackBone Asset Management  BackBone Finance Management  BackBone Medical Statistics & Reports

BackBone Front Office

All Aspects of the patient's registration are searchable Accurately capture Insurance / Corporate / Credit Payment information Allows for Appointment Scheduling Rapid Registration to speed up the registration process Allows for Creation of Department and Individual Doctor's Schedules Generates Reports related to the Demographic Statistics of your Patients

BackBone Bed Management

Improve key performance factors that affect patient and staff satisfaction Eliminate phone calls to determine patient status and bed availability Improve Revenue by maximizing throughput and bed utilization Automatically updates the availability of Patient Beds and Extra Beds Creates a Dashboard on Hospital Bed Allocation & Bed Status Generates Reports on Bed Downtime and Usage

BackBone Ward Management

Rapidly reconfigure bed types and patient types for any given ward Highlights patient with special needs such as Isolation, Corporate, VIP, etc. Centralizes the ordering system to all departments based on individual needs Results from lab, radiology, cardiology can be viewed immediately Documents Discharge Summaries, Birth Registers, and Death Registers Raises Internal Transport and Discharge Requests Raise Maintenance Orders, including medical equipment on the wards Generated and maintain individual Ward Inventories if needed

BackBone Laboratory

Generate Graphical and Tabular Presentations of patient's results Integration of Medical Equipment is available Automatic Alerts on abnormal results Online ordering and lab results available for physicians and patients Lab Results from any where on a Backbone network Generates Bar Code Stickers with Patient Details Generate Reports on Department Performance / Employee performance

BackBone Radiology

BackBone Cardiology

BackBoneDietary

BackBone Pharmacy

BackBone Physician

BackBone Medical Records

BackBone Master Health Checkup

BackBone Operation Theater

BackBone Inventory Management

BackBone CSSD

BackBone Patient Accounting & Billing

BackBone Human Resource & Payroll

BackBone Asset Management

BackBone Finance Management

BackBone Medical Statistics & Reports

Advantages/Benefits of HIS
 Easy Access to Patient Data to generate varied

records, including classification based on demographic, gender, age, and so on.  It is especially beneficial at ambulatory (outpatient) point, hence enhancing continuity of care. As well as, Internet-based access improves the ability to remotely access such data. It helps as a decision support system for the hospital authorities for developing comprehensive health care policies.

Cont .
Efficient and accurate administration of finance, diet of patient, engineering, and distribution of medical aid. Improved monitoring of drug usage, and study of effectiveness. This leads to the reduction of adverse drug interactions while promoting more appropriate pharmaceutical utilization. Enhances information integrity, reduces transcription errors, and reduces duplication of information entries.

Cont..
 Evaluation of Hospital Performance and Cost , and 

  

projection of the long-term forecast Administration of the Hospital s Daily Business transactions (financial, personnel, payroll, bed census etc.) Intuitive - User friendly interface to increase staff efficiency Reduce paperwork / paper loss Quality can be measured

Cont .
 HIS controls and optimizes the patient-flow in the

hospital.  HIS has a modular structure, open for modifications & new applications.  HIS has an integrated security system, access control and transaction logging.  HIS is designed for direct utilization by all hospital staff (management body, doctors, nurses, medical secretaries etc.). Everyone may use the system directly, having a controlled access to the particular HIS functions and data.

Conclusion
Flexibility of hospital information systems to be redesigned to constantly changing realities in the Public Health environment and understanding of the human resource dynamics in the organisation/s that the system is intended for, is among others, very important factors to take in consideration when hospital information systems are implemented.