“Purchasing ‘HIS/HMIS integrated with EHR’ can revolutionize your healthcare facility, Improve revenue across Facility, and drive real results in revenue, build brand and customer loyalty. But how do you know where to start?” Choosing a HIS/HMS solution is an important decision: not only is it a significant investment in time and resources, the system you choose will have an enormous impact on the daily activities of both your clinical and non-clinical teams. So it’s important to conduct the proper research and go into the process with the right questions in hand. The following three chapters will help you build a framework for evaluating vendors, figure out questions to ask each, and find your perfect solution — in three steps: 1. Self-Assessment 2. Goals & Planning 3. Vendor / Product Evaluation

1. Purchasing ‘HIS/HMS integrated with EHR’ can revolutionize your healthcare facility, Improve
revenue across the facility and drive real results in revenue, brand building and customer
loyalty. But how do you find where to start?
Hospital Information System
Evaluation Checklist
w w w . l i f e t r e n z . c o m

2. Table of Contents
Introduction 2
Chapter 1 - Self-Assessment 2
Chapter 2 - Goals & Planning 4
Chapter 4 - Vendor Evaluation 5
Chapter 5 - Product Evaluation 6
Who we are & What we do 10
His Evaluation Checklist1

3. Self assessment
His Evaluation Checklist2
Chapter 1
“Purchasing ‘HIS/HMIS integrated with EHR’ can
revolutionize your healthcare facility, Improve
revenue across Facility, and drive real results in
revenue, build brand and customer loyalty. But
how do you know where to start?”
Choosing a HIS/HMS solution is an important decision: not only
is it a significant investment in time and resources, the system
you choose will have an enormous impact on the daily activities
of both your clinical and non-clinical teams. So it’s important to
conduct the proper research and go into the process with the
right questions in hand.
The following three chapters will help you build a framework for
evaluating vendors, figure out questions to ask each, and find
your perfect solution — in three steps:
Self-Assessment
Goals & Planning
Vendor / Product Evaluation
You’llstartbyevaluatingyourownbusinessstrategytodetermine
your particular needs and priorities, then take a closer look at the
many features of HIS/HMS and EHR, and what specific attributes
to look for in each.
The questions provided can help you to identify the factors that
truly differentiate one vendor from another, and determine how
to choose the product that most closely aligns with your needs
“Analysing the processes you currently have in place will help
you pinpoint areas that can be improved with an EHR solution.”
84% of top performers are “using” or
“planning to use” EHR Solutions from 2012 to
2015. (HIMSS, September 2012)
Introduction

4. His Evaluation Checklist3
Answer the following questions about your current processes and strategy to help you identify areas that can be optimized:
What are your current strategy to build your brand and create customer Loyalty? (Your Patient portal, Patient Mobile app,
Interoperable Patient EHR records, Patient Lifecycle management and tracking, Patient engagement with Lifecycle communication)
What are your current strategy, for Avoiding Clinical Errors and managing Medico Legal Cases? (Clinical decision support
Systems, Clinical Pathways with Defined Clinical Protocols &Order sets, Electronic Clinical records & Notes accessible & available anytime
anywhere)
What are your strategy to ensure Quality of Healthcare delivery, high turnaround of clinical support staff lowering cost of
clinical staff? (Clinical decision support Systems, Clinical Pathways with Defined Clinical Protocols & Order sets)
What are you strategy to comply with the Government of India regulation on the EHR Standards to be Used? (Procure a HIS
with Integrated EHR, Upgrade my Current HIS)
How do you intend to improve your Efficiency and Revenues? (Automated Patient Centric Cross department workflow, Use smart
EHR to Measure& monitor Clinical, Financial & Operational Efficiency)

5. His Evaluation Checklist4
In order to properly prepare for the search phase,it’s important to discuss EHR initiative with all departments that will be affected and
define the specific requirements of each. Use the following questions to plan how both Clinical & Non Clinical departments will use EHR
Solutions and reap the benefits:
Who are the people in your company that can be part of a core team, to take respective department ownership for the EHR
implementation and adoption?
Who in your organization can be champion for Clinical and non-Clinical processes? The Operation Head for non- clinical and the
senior-most Physician for Clinical would be the right choice from experience.
Who in your organization can be responsible to define Order Sets /Clinical protocols? Normally these is a team of Physicians
managing Quality.
Goals & Planning
Chapter 2 “Once you’ve outlined your current processes, it’s time to
define what you hope to achieve with implementation and
plan out your strategy.”

6. His Evaluation Checklist5
Who can define the List of ‘Patient life Cycle’ for conditions your facility specialize in, and further define the Milestones,
Patient activities &communication to the patient?
What are your current KPIs, and how can you show each department’s value?
What are the Short term goals that can be achieved with an EHR integrated HIS?
What are the long term goals that can be achieved with an EHR integrated HIS?
Vendor Evaluation
Chapter 3
“After you’ve done a little preliminary research, it’s time to
sign up for some product demos to learn about the features
and capabilities of each EHR platform.”
Comparing features across various solutions can help you understand
what you’ll be able to achieve with each platform, and how these
capabilities align with your goals. Here are a few questions to keep in
mind as a sales rep demonstrates his or her product:
Is the demo live?
Alivedemocantellyouaboutmorethanjusttheproduct’scapabilities—
it can show you the pace at which the product will function. If a sales rep
shows you screenshots of what can be done instead of demonstrating
the capabilities him or herself, it could be a sign that they’re concerned
the product will freeze up or not perform accurately in the demo.

7. His Evaluation Checklist6
Does it cover the basics?
You’ll begin to notice differences between platforms as you continue to
explore your options, but all EHR platforms should include some basic
capabilities.
What are the Delivery Mechanism available with the Vendor?
While ‘On Premise’ installed solutions were the most popular till
sometime back, most new age solutions also offer more modern
delivery options such as Public Cloud and Private Cloud environments,
which can give you considerable saving on capital Investment and
ongoing cost in managing servers. Look for a vendor who provide all
the above 3 option to ensure you can make the choice suitable to you.
While traditionally payments for such solutions have been a one-time
License Fee with an annual AMC, new age solutions can also offer you
monthly subscription model or even a transactions (# of OP / IP /
Pharmacy Bills) based billing model. This can bring down you CAPEX
to zero and a variable OPEX linked to your operations and revenue,
which will reduce your investment risk. Again look for vendors who
offer all 3 models, so that you can choose between what is best for you.
Download : ROI of EHR Integrated HIS
Product Evaluation
Chapter 4
Does the EHR incorporate all the Essential Features?
In each demo, look for these essential features of a complete EHR
Platform:
• Integrated HIS with EHR
• Patient centric Workflows
• Clinical Decision Support System
• Integrated Drug Information Framework & Drug database
• e-Prescription Capability
• Immunisation Management
• Clinical Care Pathways
• Clinical Documentation
• Patient Lifecycle management
• Patient Portal
• Interoperable & EHR standards compliant Patient Health
Records
• Dashboards for Financial, Operational & Clinical Efficiency
Use the questions on the following pages as you walk through these
features to help you start conversations and find out what you need to
know about each.
Remember: based on your needs, a sales rep may not show every
feature — if you aren’t sure, just ask!

8. His Evaluation Checklist7
Questions to Judge the Capability of each Feature
Integrated HIS with EHR
1. What is the vendor offering – is it an EHR or an EMR? (Remember
what you are looking for is an EHR - Download the paper on
differences between an EHR & EMR here)
2. Is the EHR integrated seamlessly with the HIS? Demonstrate that a
Lab order made by a physician in the EHR going through to billing,
samplecollection,reportingatlabandtheresultbeingmadeavailable
to the ordering physician online.
3. Incase of an existing HIS, can the EHR integrate with it? Briefly
describe how this integration can be achieved. (Support for
messaging standards like HL7 can make this possible. Read more
about integration of healthcare systems using HL7 here)
Patient Centric Workflows
1. Does the EHR system follow the patient, as the patient goes through
an OP or IP visit? Demonstrate by registering a patient for OP visit,
appointment fixing, billing for consultation, physician consult,
physician orders – minimum of Med and Lab orders, payment
& execution of orders, order results to physician, follow up visit
appointment fixing and patient check out.
2. Can the system auto generate the IP bill items fully based on various
clinical actions such as administration of a medication dose or based
on collection of samples for a lab test or a consultant’s visit to the
patient?
3. Can the system completely eliminate the need for maintaining a
paper based activity chart for each IP patient?
Clinical Decision Support System
1. Does the system provide alerts for the following, as the orders
happen? Please demonstrate:
• drug-drug contra indication
• drug-allergy contra indication
• drug-disease contra indication
• drug-food contra indication
• pregnancy contra indication
• lactation contra indication
• duplicate therapy alert
2. Does the system auto calculate paediatric dose-range of
medications? Please demonstrate.
3. Does the system support renal and hepatic precautions while
med ordering? Please demonstrate.
4. Does the system capture and maintain, as discrete data, the
reason for variation from rule based clinical messages, for
clinical audit? (Whenever a physician is overriding a CDSS
alert, the system should ask for a mandatory reason and date/
time stamp and user details should be captured).
Integrated Drug Information Framework & Drug Database
1. Does the system have an integrated Drug Information
Framework that organises drug hierarchy information from
ingredients to generics to routed generics to dose form
generics to dispensable generics and link it to packaged/
branded drugs?
2. Is the CDSS(Clinical Decision Support System) deriving the
alerts automatically from data built into the integrated Drug
Information Framework?
3.DothedatabasecoverallgenericsasperIndianPharmacopeia?
Does it allow the addition of new generics and combinations?
4.WhatisthecoverageofbuiltinIndianbrandeddrugsdatabase?
(As there are more than 150,000 packaged drugs sold in
India, a minimum coverage of at least 75,000 is essential for
a smooth operation of the EHR). How is this being maintained
and updated?

9. His Evaluation Checklist8
5. Does the drug database allow searches based on the following
from the physician consulting window? - Generics, Branded
Drugs, Systems & Therapeutic Groups, Indications
6. Does the drug database allow finding replacement drugs based
on Generics and Therapeutic Groups?
7. Does the system allow ordering meds from the drug database
even if they are not available in the hospital pharmcy?
e-Prescription Capability
1. Does the system provide the ability for clinicians to write all
patient care orders electronically? nursing care, medications/
IV/immunizations, diagnostic testing, procedures, diet orders,
physical therapy orders, referral orders, admit orders etc?
2. Does the system auto build a physician level favourite list based
on system usage? Can all orders be made this list? Can this
list be pre-built at physician level to improve adoption during
implementation?
3. Can physicians use order sets while ordering and e-prescribing
using minimal clicks?
Immunisation Management
1. Does the system have built in immunization auto-planner as
per IAP Immunization Schedule?
2. Does the system auto generate immunisation schedule
based on DOB and make necessary adjustments in follow up
schedule based on actual date a particular immunisation was
administered?
3. Does your system send alerts/reminders to people when
immunisations fall due?
Clinical Care Pathways
1.Doesthesystemsupportcreationofevidencebasedclinicalcare
pathways and protocols both at Hospital level and individual
physician level?
2. Does the system have the ability to create ailment specific
protocols/ order sets and map them to diagnosis out of ICD 10
standard?
3. Does the System allow the user to edit the Order Set at the
patient level before prescribing/ordering?
Clinical Documentation
1. Check how easy is it to input clinical data in the user interface,
especially in OP Physician consult module, as the physicians
are expected to see large number of patients every day in OP?
2. Does the system support work flow of a nurse or junior
physician capturing patient history and other details prior to
consultation by a senior physician in OP and present data to the
senior physician? (Improves productivity of senior consulting
physicians)
3. Does your system auto generate after visit summary for an OP
visit based on clinical actions?
4. Does your system auto generate discharge summary based
on clinical actions?
5. Does it follow the standard format? Is it ready to be printed out
with minimal manual data entry?
6. Is the format of OP visit summary and IP Discharge summary
configurable? Can the hospital have more than one templates
with the freedom to use any based on need?
7. Does the system support making clinical notes non-editable
through signing and finalisation by physicians? Does it allow
addition of addendums to finalized notes?

10. His Evaluation Checklist9
8. Does the system display summary of all past encounters (OP/
ER/ IP) visit wise?
9. Does the system automatically maintain an updated patient
level clinical summary derived out of his/her life time clinical
records?
10. Does your system support exporting or importing patient
clinical records in CCR/ CCD/ CDA format?
Patient Lifecycle Management
1. Does the system enable Patient Lifecylce Management to
improve patient engagement and revenues?
2. Can the system manage multiple lifecycles and link them to a
diagnosis/condition?
3.Canactionssuchasreminders/alertsandEHRtasksbeinitiated
automatically based on lifecycle triggers?
4. Does the system provide tools to design lifecycles, their
milestones and set triggers as required?
Patient Portal
1. Is a patient portal available? Is it integrated with the EHR? Can
the portal be customised to the hospital’s branding?
2. Can people update their demographic details on the portal?
Does that reflect in the EHR automatically?
3. Can patients seek & manage appointments on the portal?
4. Can Patients view their EHR, OP visit summaries, Lab/
Radiology reports, Discharge Summaries and bills online?
5. Does the portal support patient education and have relevant
content for patient education?
Dashboards for Financial, Operational & Clinical Efficiency
1. Does the application have dynamic management dashboards
on Financial, Operations and Clinical performances? Are they
visually presented using graphics and charts?
2. Can these dashboards consolidate data from multiple
hospitals? Can these reports be drilled down from group to
individual hospital level?
3. Can you compare performance and view trends using multiple
parameters?
Interoperable & EHR standards compliant Patient Health
Records
1. Does your HIS comply with the Healthcare IT standards
approved by Government of India?
2. Does your EHR comply with the Government of India
approved EHR standards? Most importantly Download our
EHR Compliance Checklist to verify if it meets the Government
of India regulation on EHR standards. Also Download the GOI
EHR Standards Document.

11. His Evaluation Checklist10
Who we are What we do
We are an organization of Healthcare IT Domain Experts with a
collective experience of more than 100 man years in the areas of
Hospital Software Development with expertise in Cloud Engineering,
Analytics and Big Data,Mobility solutions. We operate with dedicated
focus on EHR Technology Framework with experience in developing
anddeployingproductsinhighlycompetitiveInternationalMarketsand
we strive to support our customers with best practices in Healthcare
Management through our domain expertise and End-to-End mature
Hospital Software Solutions.
The world is in the threshold of an impending paradigm shift in the
way healthcare is delivered and individual health records managed.
With the accelerating adoption of EHR standards, we, at Lifetrenz, are
positioned appropriately to ride ahead and become torchbearers of IT
enabling this revolution.
We builds innovative IT Solutions to power global healthcare providers.
Ourproductsarebuiltonmoderntechnology,complywithInternational
EHR (Electronic Health Records) standards and are intuitive to use. Our
Solutions combine the power of Cloud with the rich user experience of
a desktop application in its Smart Client Web Application delivered as
a service from a cloud infrastructure or onsite. We are an innovative
company finding success and satisfaction in being able to work closely
with our clients in areas that are critical to their success. Our solutions
focus patient and customer satisfaction. We are nimble footed when
it comes to speed of implementation and we take great pride in being
a thinking organization. We see each engagement as an opportunity
to collaborate with our clients and ensure maximum return on their
investment.
We build IT solutions that enable healthcare providers deliver safer
healthcare, economically, so as to make quality healthcare more
affordable for people across all socio-economic strata. The service
delivered as pay-per-use SAAS (Software As A Service) from our public
cloud enables healthcare providers of all sizes and segments to consume
these services as they need. Our service sits on top of an extensive and
evolving knowledge base of information and tools that enable the users
of the service to improve the safety, quality and speed of their work. Any
professional person or organization in Healthcare wishing to streamline
their practice and align their work to International standards and best
practices will find that Lifetrenz makes this a smooth journey. Though
there are many local and regional players in this segment, it is largely
fragmented and looked at more from an operations perspective and not
so much from clinical information side. Lifetrenz turns the table around
to look at the whole solution from a patient centric perspective with the
capture and storage of patient clinical data using EHR standards.
The EHR Technology Framework of Lifetrenz is built on Open Source
Technologiesincorporatingfeatureslikescalability,allroundsecurityand
minimal set-up and go-live requirements, blending best of functionality
with user-friendliness. The EHR Product is completely engineered in
house by Lifetrenz, taking into account the Domain Expertise to provide
an up-to-date Technology to Hospital software customers.
All our Hospital Management Software products like Lifetrenz Hospital,
LifetrenzEHRandLifetrenzPolyclinicareengineeredtobeinteroperable,
based on International and Indian EHR Standards. The products are
highly reliable, scalable and patient-centric for Healthcare Workflows
across product verticals/providers for a comprehensive, holistic
Healthcare ecosystem founded on knowledge framework with features
to provide modular up gradation and enable Continuity of Care.

12. HIS Products
Evaluation Checklist