Summer Training

Summer Training Edgeware Technologies -Cutting Edge in Healthcare Information Technology Solutions :

Summer Training Edgeware Technologies -Cutting Edge in Healthcare Information Technology Solutions Cashiering Module implementation At jpnatc , aiims Presented by: Anindam basu Pg/10/005

Topics to be covered in the presentation:

Topics to be covered in the presentation Organization Profile (ETIPL & JPNATC) Introduction Literature Review Methodology Observations SWOT analysis (Cashiering Module & JPNATC) Recommendations Case Studies

ETIPL profile:

ETIPL profile Established in 1994. Named: Panther Exports Private Ltd. Managing Director: Mr. Joseph Puthooran (2003) Panther renamed to ETIPL in the year 2005 Specializes in development of custom software solution for Desktop, LAN & Internet. VistA specialization Present Clients: JPNATC & RGCI (New Delhi) Clinica Adelante & CHOSN Network (Arizona) and many more……

Jpnatc, aiims:

Jpnatc , aiims Conceived in 1984, open to public on 27 th November, 2007 20,600 sq meters, 7 storey with 5 OT’s. 152 Inpatient, 30 casualty and 26 ICU beds. First hospital in India to implement VistA EHR. Departments: Anesthesia, Emergency Medicine, Forensic Medicine, Laboratory Medicine, Orthopedics, Neurosurgery, Trauma Surgery, Radiology & Computer Facility. CF Head: Dr. Deepak Agarwal

Introduction: IT at JPNATC:

Introduction: IT at JPNATC VistA CPRS Patient Registration System Appointment System & Queue Management system Lab Module Post Mortem GUI MLC report OT module PACS (GE) Store Indent Software

Why cashiering?:

Why cashiering? HIS: Computerized system designed to meet all the information needs within a hospital. Being a government hospital and an interim part of AIIMS, JPNATC charges minimal of the charges to the patient. Casualty totally free. Charges only for the OPD and IPD patients Charges for admissions, certificates and Radiology procedures

Workflow and it:

Workflow and it CRC MLC/Non MLC Discharge Admission/ Facesheet

Objectives:

Objectives To implement cashiering module at JPNATC To test the module before the go – live stage To train the staff using the cashiering module To monitor the changes in workflow To check all payments of patients done through HIS

Literature review:

Literature review Mali implemented billing module using open HIS. The charge screen and receipt screen were in their own language. One of the Washington hospital implemented EDIS, integrated with the billing which increased the revenue by 20 % in a year.

methodology:

methodology Cashiering Module Divided into 3 stages: Pilot Stage: Workflow analysis & Requirement gathering stage (28 th – 30 th April) Implementation Stage: Training to the staff & comparison b/w manual and electronic data (2 nd – 7 th May) Go live stage: (9 th May) Departments under cashiering module Radiology IPD Cash Counter

Back end of cashiering module:

Back end of cashiering module Front End / User End Charge Slip or Refund Screen JAVA Charge Slip Record (Database) Refund Record (Database) Charge Slip ( Master Database) Refund (Master Database) Receipt (Master Database) Receipt Screen (JAVA) ID HRN

Observations:

Observations Before Implementation workflow All charges were given directly to the cash counter. Radiology Procedures lead to confusion. 2 receipt books were maintained: 1 for IPD and 2 for radiology After Implementation workflow All charges are now made electronically by the department. Radiology procedures first confirmed from the department and then payment 2 receipt books converted into 1 receipt book.

Swot analysis Cashiering Module:

Swot analysis Cashiering Module Strengths Weakness Opportunity Threats Centralized Database. Charge slips made by the Departments as they know how much to charge. Manual work converted into electronic work. Receipt with full description. Only for the trauma patients, can’t be used for the other payments like Tender fees etc. 1) Opening doors for other modules which could be added in the HIS like RIS. Some nurses don’t know how much to charge. Government hospital staff are resistant to change Lack of interest as they have to do CPRS, Patient Care.

Swot analysis jpnatc: it initiative:

Swot analysis jpnatc : it initiative Strengths Weaknesses Opportunities Threats NIS and CATS involvement. Dynamic Leadership of Dr. Deepak Agarwal 24*7 Computer Facility Dept. 24*7 call center 4 GBps net speed with both wired and wireless facility Approx 40 percent needs training /retraining. Lack of software awareness. Lack of computer knowledge among some medical staff basically hardware. Different modules still to come Government funded organization & the name of AIIMS. Staff been resistant to change Lack of interest as still the manual work is continued.

recommendations:

recommendations Every department nurses should be trained and retrained with regular assessment. NIS staff to be increased from 7 to at least 10. Use of desktops in place of thin clients. Instead of 3 thin clients use 1 desktop and 2 thin clients in wards. Regular updating of the templates in the CPRS. Interested nursing staff should be given responsibility for internal training and assessment. The interested nursing staff should be provided with the access of both HIS and CPRS rather than everyone.