U.K.Ananthapadmanabhan,President (Operations & Projects)Kauvery Hospitals Group, Trichy.

Implementing ICT applications in Tier 2 city hospitals in India –Case study

Transforming Healthcare through IT 2013, Hyderabad.

6 September 2013.

Kauvery Hospitals Group

• Kauvery hospital- Tennur , Trichy.• Kauvery hospital- Cantonment , Trichy.• Kauvery hospital -Chennai.• Kauvery hospital Heartcity, Trichy.

CATHLAB INNOVA 2100

9

ICT Applications in Hospitals

Related to Patient care –EMRRelated to work flow –Lab AutomationRelated health care facility-BMS

List of hospitals with wide range of ICT applications

Abbreviation Hospital name No of bedsTier II city hospitals

KMCH Kovai Medical Center & Hospital, Coimbatore 700KSH Kovai Speciality Hospital, Erode 150MMHRC Meenakshi Mission Hospital, Madurai 600MH Meenakshi Hospital, Thanjavur 200KHCT Kauvery Hospital Cantonment, Trichy 200KHTT Kauvery Hospital Tennur, Trichy 200KHCT Kauvery Hospital Heartcity, Trichy 100Metro city hospitals

KHCC Kauvery Hospital Chennai 250RMH Rangarajan Memorial Hospital, Chennai 200AHC Apollo Hospital, Chennai 500AHH Apollo Hospital, Hyderabad 500

List of ICT applications in HosptialsName of software Software providerPatient careDigital media records InfolifeDragon naturally speaking version 10 Nuance USAHospital information software Aosta, Coimbatore/InfolifeLaboratory information software Aosta, CoimbatorePicture archiving communication system software Raster Images, SalemRadiology information software Wipro GE

Video capturing software Avantec solutions, ChennaiFacilities ManagementBuilding management software Siemens / HoneywellCall center software SKS, SalemEnergy management software SchniderI-touch software DaikenPneumatic pipeline system software Swisslog, GermanyTelecom tracking software Siemens / EricssonVideo conferencing software Peoplelink, ChennaiAdministrationAccounting software TallyHuman resource management software Deep Roots, CoimbatoreSupply chain management software Aosta, Coimbatore

Systems, applications and products software SAP-HR/CRM/Finance

HospitalsType of cities Tier II cities Metro cities

Name of hospitalsKMCH

700KSH 150

MMHRC 700

MH 200

KHCT 200

KHTT 200

KHHCT 100

SMF 350

AH, CHN 500

AH, HYD 500

Patient care softwareHospital information software Radiology information software Dragon naturally speaking version 10 Picture archiving communication system software Digital media records Video capturing software Laboratory information software Facilities management softwareI-touch software Video conferencing software Pneumatic pipeline system software Telecom tracking software Building management software Energy management software Call center software Administrative area softwareAccounting software Human resource management software Supply chain management software

** Electronic medical records is not included in the list

SUMMARY OF ICT IMPLEMENTATION IN SELECTED TIER II AND METRO CITIES IN INDIA

HospitalsType of cities Tier II cities Metro cities

Sl.no Name of hospital/beds

KMCH 700

KSH 150

MMHRC 700

MH 200

KHCT 200

KHTT 200

KHHCT 100

SMF 350

AH, CHN 500

AH, HYD 500

Patient care software

1 Hospital information software (HIS)

2 Radiology information system (RIS)

3 Dragon naturally speaking version 10

4Picture archiving communication system (PACS)

5 Digital media records

6 Video capturing software

7 Laboratory information software (LIS)

SUMMARY OF ICT IMPLEMENTATION IN SELECTED TIER II AND METRO CITIES IN INDIA

Hospitals

Type of cities Tier II cities Metro cities

Sl.no Name of hospital/beds

KMCH 700

KSH 150

MMHRC 700

MH 200

KHCT 200

KHTT 200

KHHCT 100

SMF 350

AH, CHN 500

AH, HYD 500

Facilities management software

1 I-touch software

2 Video conferencing software

3 Pneumatic pipeline system software

4 Telecom tracking software

5 Building management software (BMS)

6 Energy management software (EMS

SUMMARY OF ICT IMPLEMENTATION IN SELECTED TIER II AND METRO CITIES IN INDIA

Hospitals

Type of cities Tier II cities Metro cities

Slno Name of hospital/beds

KMCH 700

KSH 150

MMHRC 700

MH 200

KHCT 200

KHTT 200

KHHCT 100

SMF 350

AH, CHN 500

AH, HYD 500

Administrative area software

1 Accounting software

2Human resource management software

3 Supply chain management software

** Electronic medical records is not included in the list

Reasons successful Implementation

Promoter Doctors ownership/ContributionCost effective solutions -75-100 lakhs for 200 beds-BMS cost ?Easy ImplementationEconomies of scale

9/20/2013

ICT Implementation Initiatives in KH Group 2012-13

Description KH Tennur KH Specality KH Heart city KH Chennai

Computerized plastic patientID cards

7-Nov 5-Nov 29-Oct 11-Oct

Bar coded patient ID cards 7-Nov 5-Nov 29-Oct 15-Oct

Bar coded patient ID tags 16-Nov 14-Nov 31-Oct 29-Oct

Software Integration of laboratoryequipment

29-Oct 31-Oct 23-Nov 31-Oct

Bar coded sample containers in loboratory 7-Nov 7-Nov 8-Nov 8-Nov

Bar Code for capital Assets 7-Nov13 7-Nov13 12-Nov13 12-Nov13

Barcoded ID cards for Employees 27-Dec13 27-Dec13 27-Dec13 27-Dec13

Pneumatic Pipeline System(900transports)

NA 15-Nov 15-Nov 10-Nov

Telephone servies Call TrackingCall center

UI 10-Nov 5- Nov 10-Nov

9/20/2013

ICT Implementation Initiatives KH Group

Description KH Tennur KH Specality KH Heart city KH Chennai

Video Conferencing facility 15-Dec 15-Dec 15-Dec 15-Dec

Implementation Stardard version HIS 1-Nov13 1-Dec13 1-June13 NA

BMS implementation NA- NA 31 4 12 31 4 12

Barcode Technology Patient IDs and Tags

9/20/2013

ICCU

Integrating Laboratory Equipment

31

IT Laboratory managementNo of samples per dayNo pending samples per dayNo requests cancelled per dayNo unbilled requests per dayReporting through computer net workList for sample misreported reported Turn around time (TOT)

Picture Archival communication system-PACs

OPERATION THEATRE

Pneumatic tube systems

Use Pneumatic pipeline systems to reduce delay in sample delivery and sample mix up It is estimated that pre analytical errors account to 68% of the total errors in the laboratory reporting

Building Management systems(BMS)

I-Touch HVAC Software from Daiken

I Touch FeaturesRemotely set temp for 200 VRVMeasure energy using PPD software Switch off and switch on AC inpatient rooms after discharge and admission

Software based Video conferencing facility

Speech Recognition

Biometric technology

Use Barcodes in Tracing patient transport in side the hospital

• Reports

Telephone usage in top 5 Departments

INTER COM NO 13-Jun May-13 Diff

Rs Rs

112/111 CASUALITY 3045 3552 -507

340/722 EDP 894 1383 -489

500 HR 683 1054 -371

107 CFM-Vinoth 543 0 543

460/153 Corporate OFFICE 411 652 -241

723 PARAMA 179 180 -1

TOTAL 5755 6821 -1066

Doctors Wise Unplanned Top 5

0

10

20

30

40

50

60 56

32 30 2825 23

1812 10 10 8 7 5 5

Discharge plan monitoring

DISCHARGE DETAILS NO OF DISCHARGE %

UNPLANNED DISCHARGE - 301 37.39

DISCHARGE- as per PDD 422 52.42

AMA, AT REQUEST ,DEAD, REG,CANCEL 82 10.19

TOTAL DISCHARGE 805

OP Bill Cancel consolidated report- May- 13

S No Refund Area 13-Jun 13-May1 OP-CLAIM 10600 18,9002 Reception - 5003 RTSYS-1 1000 -4 LAB-REP 240 -5 OPREC-1 - 1200

6 OPREC2 - 300Total 11,840 20,900

PHYSICIAN LEAVE DETAILS June -2013

OUT OF STATION NO OP NO OF DOCTORS 5 26NO OF DAYS 8 95

Dr.NAME NO OP/Day OUT OF STATION

1 DR.ANAND C 92 Dr.BALAMBIGAI 83 DR.ELANGO N 14 Dr.GANAPATHY SUNDAR 15 Dr.GURUMOORTHI 16 DR.JOS JASPER G 37 Dr.KRISHNAMOORTHI 5 18 DR.MANGALA DEVI M 4

9 DR.MANICKAVASAGAM.S(M.V) 2

10 Dr.NAGARAJAN 5

11 DR.N.NAJEEB 2

PHYSICIAN LEAVE DETAILS June -2013

OUT OF STATION NO OP NO OF DOCTORS 5 26NO OF DAYS 8 95

Dr.NAME NO OP/Day OUT OF STATION

DR.ANAND C 9Dr.BALAMBIGAI 8DR.ELANGO N 1Dr.GANAPATHY SUNDAR 1Dr.GURUMOORTHI 1DR.JOS JASPER G 3Dr.KRISHNAMOORTHI 5 1DR.MANGALA DEVI M 4DR.MANICKAVASAGAM.S(M.V) 2Dr.NAGARAJAN 5DR.N.NAJEEB 2

CANCELL REQUEST REPORTMONTH OF June

CARDIOLOGY RADIOLOGY LABWARD 13-Jun 12-Jun WARD 13-Jun 12-Jun WARD 13-Jun 12-Jun

HC SCCU 2 3 A VI FLOOR GWM - 1 POW II - 5CASUALITY 2 1 A VI FLOOR GW II - 16 B II Floor - 10B III MGW 2 - B III FGW - 3 307 POW - 7A V FLOOR 1 1 B II FLOOR - 2 A VI GW -

ICU 0 5 HC POW - 4A VI FLOOR GW II - 21

POW 0 HC SCCU 8 3 CASUALITY 26 33IMCU 0 1 ICU 6 10 IMCU 20 18B I FLOOR 0 - CASUALITY 5 14 ICU 16 40B II 0 - A V FLOOR 5 3 HC SCCU 14 10LWARD 0 - IMCU 4 14 A V FLOOR 9 12A II FGW 0 1 KH POW 4 1 KH POW 8A II MGW 0 1 B IV GW 3 - LABOUR WARD 6 5A VI FLOOR GWM 0 - B III MGW 2 4 A II FGW 4 10B III SR 0 - A II FGW 2 5 B III MGW 4 7HC POW 0 2 MICU 1 - B III FGW 2 7MICU 0 - POW II 1 5 A II MGW 2 8A VI FLOOR GW II 3 A II MGW 1 9 B III SR 1 11

TOTAL 7 18 B III SR - 3 MICU 3 2LWARD 1 - B I FLOOR - 2

TOTAL 43 97 HC POW - 6

B IV SR 1

B IV GW 1 10D 1 FLOOR - 1

Complaint segragation

Department Complaint Categories March-13 April-13 May-13 June-13 Total

Light Problem 79 94 64 61 298Telephone (Not Working) 69 92 81 56 298

Electrical Fan Not Working 40 53 43 43 179TV issue 17 17 24 10 68Switch Board Problem 18 23 18 6 65UPS Problem 18 13 24 12 67Wiring Problem 5 7 1 8 21Other ComplaintsE 2 2Total 246 299 257 196 998

General Stores Material required 67 55 68 70 260Machinary service 29 30 10 12 81Cylinder required 12 22 26 13 73

Total 108 107 104 95 414

House Keeping Room Cleaning 67 88 77 73 305Cot Problem 25 37 13 20 95Fan Cleaning 35 16 23 12 86Floor Cleaning 12 18 22 10 62Chair & Stool Repair 15 20 20 6 61Toilet & Bath Room Cleaning 8 17 18 4 47Table,Drawer & Cuboard Repair 15 14 7 6 42Lock Problem 16 10 5 6 37Door & Window cleaning 3 10 12 4 29Mattress Changing 8 5 6 4 23Wheel Problem 2 3 11 4 20

Ambulance Wise all Units Patient Transfer Details Mon of June -13

S.No DATE Vehile NO Patient Name From To

1 01/06/2013TN45AP0266 tempo Baby Suguna KHC Chennai Appolo

2 01/06/2013TN45AP0266 tempo Raja Sekar KHT Madurai Appolo

3 03/06/2013TN45AP0266 tempo Senthil kumar KHT Selam Manipal

4 05/06/2013TN45AP0266 tempo Iyyappan KHT Vellore

5 10/06/2013TN45AP0266 tempo Vardha Rajan ECB Dindugal

6 10/06/2013TN45AP0266 tempo Govindammal KHC Madurai

7 12/06/2013TN45AP0266 tempo Varadha Rajan ECB Chennai

8 17/06/2013TN45AP0266 tempo Mohan Raj KHT Madurai

9 20/06/2013TN45AP0266 tempo Rathna ECB Trissur ( Kerala)

10 28/06/2013TN45AP0266 tempo Manon Mani Thiruvarur ECB

11 04/06/2013 TN45 AE 5917 Rejena Banu KHT Shanmugam12 08/06/2013 TN45 AE 5917 Selvaraj KHT Venkatanur13 09/06/2013 TN45 AE 5917 Saraswathi KHC Madurai14 10/06/2013 TN45 AE 5917 Bama Subramaniyam T.Nagar Chennai15 13/06/2013 TN45 AE 5917 Murugesan KHT Perambalur16 19/06/2013 TN45 AE 5917 Mohammed Siddiq ECB Chennai17 28/06/2013 TN45 AE 5917 Selvam Lalgudi KHC18 28/06/2013 TN45 AE 5917 Karthik Rubesh KHT Chennai