agraNiiTechnologies

Healthsol

Healthcare Information Management System

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B R E W I N G I . T. W I T H H E A LT H C A R E

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Status : ProprietaryEstablished : Dec 2010Employees : 5

Healthcare Information Management SoftwareHardware & Networking, CC TV & Nurse Calling SystemConsultancy on ISO, NABH, NABL & NABB

Clients: City Central Hospital – Cardiac Hospital with 100 BedRavi Nursing Home – General Surgery & O & G With

100 BedSukshema Hospital – Onco Specialty With 60 BedDeccan Hospital– General Surgery & O & G With 100

Bed

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• State of the art most advanced HIMS solution

• Centralized management software

• Controlling financial activities and monitoring all activities including

administrative and clinical part

• Advanced web enabled solution

• To improve the existing system and give better and patient friendly result

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• Registration Management

• Patient Management

• Financial Management

• Employees Management

• Pharmacy Management

• Store Management

• Integration of HIMS with Financial, HR, Stores and Pharmacy

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Patient Registration

Payment Collection for Registration

Fees &/or Consultance Fees

Token Generation

Consultation & Prescription

Service Order

Service Payment Collection

Service Executation

Reconsultation after Service Executation

Out Patient Module

Pharmacy & EXIT

Pharmacy & EXIT

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• Patient Registration – Every Patient walks into the hospital will be registered and stored for easy

retrieval of Data during Revisit / Re-consultation

• Appointment Scheduling – Patients can Know the availability of Doctors and helps in fixing

appointment

• TMS – Generation of Token Number along with Approximate Time for Meeting Doctor in a specific Room

• Bed Occupancy Statistics – Will Display the bed status like Occupied / Reserved / Maintenance /

Emergency / Vacant, according to the floor / ward and allow the patient to choose there preferential bed

• Personal Scheduler – Allows the Doctors to Plan the Day ahead, If time is blocked Tokens will not be

generated

• ID card generation – A Photo Identity Card with Bar Code is Generated for easy access of Patient Data

Front Desk Management

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• Registration – By scanning the Photo ID Card of the patient registration is done to the particular

doctor and the patient name is displayed on the QMS System

• Billing – Related to registration, revisit and service charges for all financial application and collection of

MRD Data.

• Consultation – Doctor writes prescription on a regular paper with a pen which is captured as an

image and stored for future reference. These prescription can be referred to other Doctors and can be viewed

from IP also.

• Service Request – The lab reports is directly accessed by the Primary Consultant, There is

complete financial check on the service order

OP Management

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In Patient Module

Patient Registration

Advance Payment / Insurance Approval

Ward Allotment

Doctors Note

Nurse Note

Operation Theatre

Scheduleing

Anesthesia Records

Ward Management

Discharge Summary

Final Settlement / Debit Note

from Insurance

Physical Discharge

Data Archived

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IP Management

• Admission / Billing – Depending on the type of patient the bill is designed, for Insurance, Corporate

Credit facility is provided.

• Case Sheet Management – Doctors Note, Nurse Note, Service Order, Treatment Chart, Discharge

Request, Discharge Summary, Physical Discharge

• Ward Management – (Admission, Discharge and Transfer)As the patient moves from each ward the

billing patron is also changed

• OT Management – Registration, OT Records, Anesthesia Records

• Labour Management – Master, Registration , Baby Birth Chart

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Doctors & Nurse Note

Doctors Note - Basic health record

• Past medical history

• Current medication; Computerized Provider Order Entry

• Details of ailment including allergy, disability, chronic diseases, addiction, etc.,

Nurse Note - Easy access to patient basic health records

• Viewing of patient medication history & laboratory test results

• Appointment for tests

• Recording sample collection details

• Generation of Service Orders by Service Points like Clinics, Wards, OT, etc.

• Electronic processing

• Service Order Tracking, including Service Point account for material consumption against Service Order, detection

of material wastage, detection of loss of revenue at service point, etc.,

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OT Management

• Maintenance of OT & staff calendar;

• OT Scheduling including scheduling of providers & resources;

• Material requisition;

• Recording operation details like list of staff present, date of operation, start

& end time of operation, details of procedure notes & nurse instructions, pre

& Post operation care procedures, etc.

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Blood Bank Management (WIP)

Blood Bank - • Blood collection, storage & supply from voluntary donors;

• Maintenance of Blood Stock Register;

• Maintenance of Donor Database;

• Confirm availability for anticipated use (for operation, accident patients, etc.);

• Capturing detailed information about blood samples;

• Replacement of blood against borrowings;

• Processing of service requests;

• Maintenance of inventory / interface to existing inventory system, billing, etc.

• Condemnation of blood, etc.

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Electronic Medical Records

Collated & formatted information on patients, as required;

Search on patient records by patient name, patient ID, etc.;

Complete clinical data repository, capturing basic patient demographic details, medical history, consultations,

diagnosis, laboratory reports, medical images, medical treatment records, etc.

Built-in reports and user-oriented report-writing capabilities, etc.

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Inventory Management (WIP)

Supplier Database

Purchase Order Tracking

Goods Receipt Note

Purchase Return

Indent Supply

Indent Return

Stock Statement

Billing Integration

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HR Module (WIP)

Employees Database

Contract & Temporary Staff Database

Consultants Database

Referral Doctors Database

Doctor & Hospital Share Information

Pay Roll Management

Leave Management

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Finance Module

Patient Ledger

Consultants Share Ledger

Journal Entries

Accounts Payable

Accounts Receivable

Bank Reconciliation Statement

Insurance Reconciliation Statement

Trial Balance

Profit & Loss Account

Balance Sheet

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Reports

MIS Reports

Registration Fees Statement

Consultation Statement

Service Collection Statement

User Wise Statement

Department Wise Statement

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Essential Standards

International Statistical Classification of Diseases & Related Health Problems

10th Revision (ICD-10) • Controls for ICD coding of discharge diagnosis details

Current Procedural Terminology (CPT) • Support for coding of services

Clinical Physician Order Entry (CPOE) • Support for ease in data entry for physician, which helps in user adoption as well as ergonomics of the

solution.

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Application Architecture

Application Architecture - Proposed implementation of HMIS is aimed at deriving benefits for the patient, doctor as well as administrator in more ways than one. To site a few benefits -

Patient

• Computerized medical record

• Preventive healthcare

• Appointment booking on web, phone and mobile

Physician

• Online access to patient health records

• Computerized prescription

• Online referrals

• Paperless virtual office

Administrator

• Optimum resource utilization

• Computerized scheduling of staff and services

• Online reports

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Application Architecture

The application architecture should be such that it has capability to deliver the expectations of the University. Following are some of the salient points that are desired from the architecture design:

Scalability

• New servers can be added dynamically to increase capacity , Load balancing can be used to ensure that the

servers are proportionately utilized

Performance

• Application framework designed to ensure good performance Use of caching techniques

Network Security

• Data encryption , Firewall and DMZ provides security from outside attacks , Application level security in

terms of user roles & responsibilities

• Security must be addressed through OS security and application Security. Please give details of the security

architecture for the following Log in security Network security , Operating System security , Application

related security , Antivirus measures , Intrusion Detection measures , Intrusion prevention measures

Availability

• 24 x 7 availability

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Third Party Integration

ERP – Integration with ERP like SAP, Oracle, GP, Navision, AX

Bar Code – For easy and error free access of Patient data at various location

Take Note Pad – Converting Prescription into picture and store for future reference

DICOM – Towards integration of Medical Equipment's for easy access and portability

PACS – Towards better imaging solution.

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Project Scope

Phases Project Particulars Coverage Time Line

Phase –1

Solution Demo Customer Feedback Analysis Customization Customer Approval

Product Demo Customization Training Trial Run Prepare and Setup “Go-Live”

environment “Go-Live” “Go-Live” Support 

1 Month

Phase – 2

Admission and Billing Module Case Sheet Management Ward Management OT Management Laboratory Management Training

Prepare and Setup “Go-Live” environment

Training “Go-Live” “Go-Live” Support

 

1 Month

Phase – 3

Blood Bank Management EMR Inventory Management HR Module Finance Module Training

Prepare and Setup “Go-Live” environment Training “Go-Live” Support

1 Month

Phase – 4

Integration with existing ERP Report Preparation

 

Prepare and Setup “Go-Live” environment Training “Go-Live” Support

1 Month

Onsite / Off-shore Support

Hand holding the users Support

Train the Internal IT TeamProduct related problem supportPerformance fine turning

Continuous

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Project Organization

Steering Committee

Team agraNiiSPOC

Functional Support

Technical Support

Team Client SPOC

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Deliverables

• Client should provide all the inputs which are need to be in the Solution

• Client should provide all the images & logo to agraNii for putting into the Solution

• All the documents need to provide by soft copy format to agraNii team• Client should provide space for agraNii team during the time of

implementation & training for the Solution• agraNii will provide the Solution related details in the soft copy format

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Terms & Conditions

Warranty Terms 

• Warranty for the delivered product will be for a period of 6 months from the date of go live

• We warrant that the software delivered by us will meet the requirements as specified in the proposal

• This warranty will not include any further enhancement or customization requests from SSIMS.

 Maintenance Services 

• For a long term relationship with Client, agraNii will take the maintenance support for the Solution along with the future enhancement on TIME & MATERIAL basis based on the mutual discussion between both the parties.

 IPR  

• All the product or solution related IPR owned by agraNii & not transferable

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Terms & Conditions

Exclusion  

• All hardware and Networking require for this project• All System software includes OS, Database, special tools

Language of Communication 

• The official language for communication on this assignment will be English.

 Letter of Acceptance 

• As the first step for the assignment, Client will issue agraNii Technologies a letter of Acceptance along with the initial payment. This letter will refer to the proposal and confirm its acceptance.

 Project Co-Ordination 

• Client will provide timely clarifications and feedback sought by agraNii Technologies project team during the period of this assignment. Client’s Director will fix appointments with various Client personnel and provide local assistance to agraNii Technologies project personnel.

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Terms & Conditions

Change Management Procedure 

• Any changes required for the deliverable must go through a formal change Management procedure. They should also be logged as Change Management Requests (CMRs) for which evaluation in terms of time, cost and effort will be conducted by agraNii Solutions and Client. Extra effort for such changes will be based on Time and Material basis.

 Status Reporting 

• The agraNii Technologies project leader will interact with the Client project co-coordinator on the progress of work and seek timely resolution in case agraNii Technologies team feels any lack of participation from Client.

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Terms & Conditions

Force Majeure 

• If the performance as specified in this proposal is prevented, restricted, delayed or interfered by reason of:

• Fire, explosion, cyclone, floods;• War, revolution, acts of public enemies, blockage or embargo;• Any law, order, proclamation, ordinance, demand or requirements of

any Government or authority or representative of any such government including restrictive trade practices or regulations;

• Strikes, shutdowns or labor disputes which are not instigated for the purpose of avoiding obligations herein, or;

• Any other circumstances beyond the control of the parties affected

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Terms & Conditions

Termination 

• agraNii Technologies and Client will have the right to terminate the agreement resulting from this proposal by giving a one-month notice to the other upon situations arising due to non-compliance of the stipulations of this proposal. The termination notice will be held valid only if it is preceded by a corresponding non-compliance notice issued at least 30 days prior to the date of the termination notice and if the non-compliance has continued up to the date of the termination notice.

• If agraNii Technologies issues the termination notice, then Client will pay agraNii Technologies all payments due to the on-going phase as of the termination date stated in the notice, including those for the proportion of work completed in the above phase, until termination.

• If Client issues the termination notice, then they will pay agraNii Technologies all amounts due to the on-going phase as of the termination date stated in the notice as well as the payment that would have become due upon completion of the for the above phase encompassing the termination date.

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Terms & Conditions

Acceptance of Services 

• The steering committee consisting of top management from Client and agraNii Technologies consultants will review the progress on a regular basis. Fortnightly progress reports prepared by the agraNii Technologies team and Client coordinator will form the basis of these discussions.

 Additional Service Request 

• Any services not defined in the scope of this assignment, if required to be provided, would be communicated to the agraNii Technologies management and separate service agreement to be agreed upon.

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Contact Us

Ananda Theertha

Chief Executive Officer

agraNii Technologies

310-B, 10th Cross, I.H.Township, Rajarajeshwari Nagar, Bangalore 560 098 INDIA

Phone: +91 99 01 999 424 / +91 98 45 324 012

E-Mail: ananda@agraniitechnologies.com

Website: http://www.agraniitechnologies.com