e-Health Care - Gyanesh Pandey, Chairman & Managing Director, HSCC(India) Limited

1. e-Health Care
By
Gyanesh Pandey
Chairman & Managing Director

2. The essential tenet of the
presentation is that lives can be
saved, patient care outcomes
improved, and time &costs reduced
through the effective use of
information and communication
technology (ICT), also known as
e-Health.

3.  Quality Improvement.
 Safety of documents and files.
 Improvement in Efficiency and performance.
 Timely treatment .
Objective

4.  Reduce paper work in Hospitals- Doctor’s Reports, prescription, Images
etc.
 Maintenance of patient record through organised data.
 Increase patient care services like
 Online Appointment
 Reduce waiting time.
 SMS services.
 Faster diagnosis & Treatment
 Integration of hospital functionalities; viz. Registration, Admission,
Discharge & Transfer (ADT), Laboratory services, Radiology, Blood Bank,
OT & ICU management, pharmacy, CSSD, laundry, Accounts & Billing
etc.
 Access to medical records anywhere through Unique Health
Identification number.
Contd....
NEED
H S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )

5.  Investigation reports accessibility from anywhere
 Hospital specific management reports for MIS.
 Maintain Location wise stock levels of medicines.
 Alerts for expired or near to expire items etc.
 Creating filmless environment through Picture Archival &
Communication System (PACS) & its integration with HMIS.
 Managing crowd through Advanced Queue Management System.
H S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )
NEED

6.  Barriers like cost and expenditure on the required
equipment as well as their maintenance and the
complexity involved in IT implementation.
 Lack of Basic Hospital Infrastructure.
 Lack of awareness of new technology and development.
 Incompatibility of old medical equipment with new
technology such as HMIS & PACS.
 Lack of application of suitable HMIS Solution.
 Lack of Budget constraints/availability
 Less initiative for development of IT Infrastructure.
 Difficult to adopt new IT solutions by old staff.
Implementation Issues
H S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )

7.  Planning for ICT at concept stage
 Necessary arrangements for developing Network
Infrastructure (LAN & Wi-Fi):
 Server room/Data Centre - UPS, HVAC, flooring etc.
 High bandwidth network for future requirement .
 Smart/E-class- Managing Academics & Teachings.
 Education Management System (EMS) - For Managing
Institute/college.
 Library automation (RFID based)-> e-library.
 Tele-medicine to connect other institute & hospitals & to
provide healthcare services at remote locations.
 Budgeting.
Implementation Steps
H S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )

8. Development
of
IT Infrastructure
for
e- Healthcare
H S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )

9. PACSNetwork Infrastructure Interactive Classroom
QMS Call Centre Library Management System
ICT Components
H S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )

10. Patient Services




Appointments
Out Patient Management
Drug Stock Management
Hospital Information



Patients
Case Writer
Pharmacist
Appointment Scheduling Registration
Pharmacy Patient Education Information Kiosk




Patient EMR
Lab Reports
In Patient Management
Blood Bank Management
Clinical Services



Doctors
Lab Technicians
Nurses
Consultation
ICU Laboratory Blood Bank OT Dietary
Hospital Admin 





Employee Management
Resource Scheduling
Inventory Management
Patient Billing
Medical Indicators
Dashboards & Reports




Back Office Staff
Store Keeper
Clerks / Head Clerk
Hospital
Administrators
Hospital Admin Human Resource Resource Scheduling
Payroll Stores / Inventory Financial Accounting
Purchase Billing EIS Reports MIS Reports
Ancillary Services 





Programs & Camps Detail
Linen Management
Waste Management
Equipment Maintenance
Vehicle Management
NABH Indicators




Back Office Staff
Nurses
Drivers
Clerks / Head Clerk
National
Programs
Bio Medical Waste
Special Camps Linen Management
Equipment Maintenance Complaints
Transportation RKS Application Security NABH
Hospital management & information system(HMIS)
H S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )

11. Efficient & Smart e-Healthcare
 Hospital Management Information System (HMIS)
 Picture Archival Communication System (PACS)
 Advanced Queue Management System (QMS)
 Network Infrastructure (LAN, WAN & Wi-Fi)
 Telemedicine
 Call Centre
 Library Management System
 Education Management System
 RFID
 Cloud computing
Hospital Management Information System (HMIS): Reducing paper work and
effectively use the Hospital Resources with the help of Information Technology to
International standards like HL-7, ICD-10, DCOM compliant.
H S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )

12. Clinical
• EMR
• Nursing Management System
• Order Management
• OT management
• Anesthesia Management System
• Dietary Module
Diagnostic Investigations
• Pathology ( LMS)
• Microbiology
• Biochemistry, Hematology and Serology
• Radiology Information System (RIS)
• Blood Bank Management System
Functional Areas For HMIS Implementation
H S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )

13. Inventory control
• Pharmacy Management System
• CSSD
• Laundry Department
• Equipment Management System
• Inventory Management
Administrative
• Registration – Out patient and Inpatient
• Admission, Discharge and Transfer
• Master Patient Index
• Appointment Scheduling
Accounts and Billing
• Patient Billing
Miscellaneous services
• Human Resource Management
Functional Areas For HMIS Implementation
H S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )

14.  Store all images from different modalities e.g. CT, MRI, X-Ray to a central
server for years. Use specialized PACS workstation for CT, MRI, X-Ray,
Mammography etc.
 3D view of Radiology Images.
H S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )
Picture Archival And Communication System (PACS)

15. Self helped Kiosk Ticketing
Machine.
Salient Features of this Queue Management System
 Web enabled.
 Tablet/Mobile inter-phasing.
 Managing the queue flow through live-web queue view
and smart sms interactive solution, etc.
 The QMS system will cover all the services including
Pharmacy, Laboratory & Radiology services such as
blood test, X-ray, ECG, CT, MRI testing etc. with same
token number assigned during entry/appointment of the
patient.
 Managing the queues so that queues in different
departments are automatically prioritized depending on
load on other departments.
Advanced Queue Management System (QMS)
H S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )

16. PICTURE ARCHIVING AND COMMUNICATION SYSTEM
(PACS)
Computer Network Infrastructure (LAN & WI-FI)
State-of-the-art, high performance, fault-tolerance and
secure IT Networking Infrastructure setup including:
1. Structured network [Fibre Optics (FO) Cable, U/FTP
Cat 6A cables, switches, patch panels, connectors,
racks, etc] for communication.
2. Network Management Solution (NMS) and
Wireless network.
3. Switches - Core/Distribution/Access.
4. Wireless Access Point (Indoor/Outdoor).
5. Wireless Access Controller.
6. Firewall.
Wi-Fi Access
Point
Switches
Fiber Optics
Cable
LAN
Connectivity
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17. TELEMEDICINE
 Use Telemedicine to connect Medical college or
large institutions to village/smaller towns and other
places.
 Providing healthcare services at remote locations
through Telemedicine.
Telemedicine
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18. CALL CENTRE FOR
APPOINTMENT AND SCHEDULING
• 24x7 call centre and web portal for online
appointments and helpdesk for OPD and
IPD.
• To provide a mobile application for public
to instantly book appointments and view
the waiting time.
• Patient can seek appointment over phone
through call centre and online web-portal.
Call Centre For Appointment And Scheduling
H S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )

19. LIBRARY MANAGEMENT SYSTEM
(RFID BASED)
Salient Features:
• Application Login through smart cards.
• RFID enabled smart library for Cataloguing
and circulation of materials.
• Electronically issuing of books through Self
Check In/Out and receiving through Book
Drop.
• Centralized Database.
• User identification through their smart cards.
• Theft detection.
• Statistics and reporting.
• Web based module.
E-LIBRARY
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20. EDUCATION MANGEMENT SYSTEMEducation Management System (EMS)
• General Administration, File management, Tender & Procurement
• Admission Management
• Academics Management
• Examination Management System
• Student Portal
• Fee Management
• Facilities Management
• Placement Cell
• Research
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21. • Modern age tool for the instructor/
teacher to monitor, control and deliver
lectures to the students.
• Teachers provide a learning environment
that exercises students’ critical thinking,
problem identification, and formulation
and solution skills.
• Facilitate engagement & activee
participation of students.
• Elimination of note taking.
INTERACTIVE CLASROOME-CLASS
H S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )

22. RFID has made its way into almost all the day to day operations of a
Hospital.
 Patient tracking
 Asset Management
 Inventory Management
 Document and File Tracking
 Laundry Management
 Waste Management
 Parking
 Surgery Asset Management
 Access Control (Security System)
 Facilities Management
RFID (Radio Frequency Identification) Solutions
H S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )

23. Diagram depicting Cloud Computing concept in Healthcare sector
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24. ABOUT HSCC
 HSCC is a Mini Ratna-I, ISO: 9001 : 2008 PSU, under the Ministry
of Health & Family Welfare, Govt. Of India.
 Renders consultancy for World Class Hospitals from Concept to
Commissioning.
 Over 33 years of rich experience in healthcare infrastructure.
 Multi-disciplinary organization with experienced professionals
i.e. Facility Planners, Economists, Engineers - Civil,
Architecture, Structure, Mechanical & Electrical, Biomedical,
Public Health, IT Professionals under one roof.
 Delivered and functioning more than 100 hospitals in India and
abroad.
H S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )

25. Service Spectrum
HSCC
Studies
Architecture
Planning
&
Design
Design
&
Engineering
Project
Management
Procurement
Special
Services
Management
Consultancy
Information
Technology

26. Computerization of Bhopal Memorial Hospital and Research Centre
(BMHRC), Bhopal
Wi-Fi Campus for Medical College Port Blair, Andaman and Nicobar Islands (Part of DPR)
Computerization and Networking at
Sports Injury Centre, Safdarjung
Hospital, New Delhi
Computerization and Networking for RAK OPD at AIIMS, New Delhi
Completed IT Projects by HSCC
H S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )

27. Project Implemented by HSCC
RAKOPD AIIMS, New Delhi
Before Renovation Work After Renovation Work
Before Implementation of QMS After Implementation of QMS
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28. Outreach OPD at AIIMS Jhajjar, Haryana
Network Infrastructure and CCTV System for CSIR-IICB (Indian
Institute Of Chemical Biology), Salt Lake Campus, Kolkata
Contd..
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29. 05
Nos.
Projects Under Execution No.
(2014-15)
Projects In-Hand (2015-16)25
Nos
10 Nos
Completed Projects.
(2000 – 14)
IT PROJECTS by HSCC
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30. ICT cost component
 Average cost of Hospital (Super Specialty) – Rs.80 Lacs-Rs.1
Cr. per bed.
 ICT Cost is around 2% to 5% of the Hospital infrastructure
cost.
Building
Infrastructure Cost
including Equipment
IT Cost
H S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )

31. H S C C ( I N D I A ) L I M I T E D, N O I D A ( U.P )