Sir Ganga Ram Hospital - InterSystems Case Study

2
Sir Ganga Ram Hospital, a 650-bed multi-spe- cialty state-of-the-art hospital in New Delhi, India needed to replace its 20-year-old healthcare information system (HIS). But first it had to overcome a number of factors which might hinder implementation. These included the hospital’s 35 specialties, many with different workflows which have “hardened” over the hospital’s 50 year history, making them difficult to change. “Basic rules for each department are framed by the departmental head,” said Dr. Karanvir Singh, the surgeon responsible for the HIS imple- mentation. “Although this helps each department provide the best possible care, it leads to a com- plex implementation environment.” Sir Ganga Ram chose InterSystems TrakCare as its new HIS because of InterSystems’ track record of successful implementations at hun- dreds of sites around the world and the prod- uct’s technology advantages. These advantages include: A Web-based user interface for ease of learning, use, and configuration A single, unified information environment for all its modules enabling simplified informa- tion sharing, faster implementation, easier maintenance, and lower costs A highly reliable technology foundation built on the InterSystems Caché ® high- performance database “We now realize that our high transaction rate – with a peak rate of 2,500 per hour – is only possible because we are using Caché,” noted Dr. Singh. Early benefits from the TrakCare HIS include savings through better inventory and medical package control and support for pharmaceutical substitution, more rapid access to laboratory results, reduced adverse allergy and drug inter- action incidents, and improved continuity of medical records. Sir Ganga Ram Hospital in India Reduces Billing Time by 40% and Improves Patient Service with InterSystems TrakCare “TrakCare’s extreme flexibility was useful – almost all configuration was done via master tables alone.” Dr. Karanvir Singh, Surgeon responsible for HIS implementation, Sir Ganga Ram Hospital Increased outpatient throughput Better inventory control Rapid access to lab results Reduced allergy and drug interactions Sir Ganga Ram Hospital INTERSYSTEMS TRAKCARE CASE STUDY

Transcript of Sir Ganga Ram Hospital - InterSystems Case Study

Page 1: Sir Ganga Ram Hospital - InterSystems Case Study

Sir Ganga Ram Hospital, a 650-bed multi-spe-cialty state-of-the-art hospital in New Delhi, Indianeeded to replace its 20-year-old healthcareinformation system (HIS).But first it had to overcome a number offactors which might hinder implementation.These included the hospital’s 35 specialties,many with different workflows which have“hardened” over the hospital’s 50 year history,making them difficult to change.“Basic rules for each department are framedby the departmental head,” said Dr. KaranvirSingh, the surgeon responsible for the HIS imple-mentation. “Although this helps each departmentprovide the best possible care, it leads to a com-plex implementation environment.”Sir Ganga Ram chose InterSystems TrakCare™as its new HIS because of InterSystems’ trackrecord of successful implementations at hun-dreds of sites around the world and the prod-uct’s technology advantages. These advantagesinclude:

� A Web-based user interface for ease oflearning, use, and configuration� A single, unified information environment forall its modules enabling simplified informa-tion sharing, faster implementation, easiermaintenance, and lower costs� A highly reliable technologyfoundation built on theInterSystems Caché® high-performance database“We now realize that ourhigh transaction rate – with apeak rate of 2,500 per hour –is only possible because we areusing Caché,” noted Dr. Singh.Early benefits from the TrakCare HIS includesavings through better inventory and medicalpackage control and support for pharmaceuticalsubstitution, more rapid access to laboratoryresults, reduced adverse allergy and drug inter-action incidents, and improved continuity ofmedical records.

Sir Ganga RamHospital in India Reduces Billing Time by 40%and Improves Patient Servicewith InterSystems TrakCare“TrakCare’s extremeflexibility was useful –almost all configurationwas done via mastertables alone.”Dr. Karanvir Singh,Surgeon responsible forHIS implementation,Sir Ganga Ram Hospital

� Increased outpatientthroughput

� Better inventory control� Rapid access to lab

results� Reduced allergy and

drug interactions

Sir Ganga Ram Hospital

INTERSYSTEMS TRAKCARE CASE STUDY

Page 2: Sir Ganga Ram Hospital - InterSystems Case Study

InterSystems CorporationWorld HeadquartersOne Memorial DriveCambridge, MA 02142-1356Tel: +1.617.621.0600Fax: +1.617.494.1631InterSystems.com

InterSystems TrakCare is a trademark of InterSystems Corporation. InterSystems Caché is a registered trademark of InterSystems Corporation.Other product names are trademarks of their respective vendors. © copyright 2009 InterSystems Corporation. All rights reserved. 8-09

Efficiencies Through Automated BillingTrakCare’s ability to automate patientbilling in a very complex environment is amajor contributor to Sir Ganga Ram achievingefficiency improvements. With over 400,000outpatient visits per year, the hospital hasreduced its outpatient processing time by 40%to increase patient throughput. The automatedallocation of collected billing items saves 1.7hours in a 4-hour registration shift.Savings Through Better Inventory andMedical Package ControlTrakCare’s ability to present a unified setof healthcare information across all modules,combined with powerful security, has allowedSir Ganga Ram to achieve savings in inventorycontrol and medical package control. “TrakCaresupports multiple security clearances with con-trol at a high granularity level,” said Dr. Singh.“All activities, including the act of simply view-ing a record, can be audited.”This has allowed Sir Ganga Ram to preventinventory “leakage.” With inventory levelslinked to patient billing, inventory levels nowchange only when actually billed to the patient.Combined with security rights restrictions andaudit trails, the hospital knows exactly whois responsible for every activity related toinventory.Sir Ganga Ram was also able to understandwhere it had been losing money on medicalpackages. Previously, cost control was impre-cise. “TrakCare gives us many ways to controlexpenditure within packages,” said Dr. Singh.“This includes defining what is allowed in eachpackage at the group, subgroup or item leveland setting limits on the number or value ofitems.”Substantial Cost Savings ThroughPharmaceutical SubstitutionThe new HIS has also led to substantial costsavings through pharmaceutical substitution.Doctors often prescribe a medicine which SirGanga Ram does not stock but for which a sub-stitute is available. Previously the pharmacistwould arrange for the prescribed medicine tobe purchased externally at premium rates fordelivery to the patient. Now the system auto-matically checks for substitutes in stock.

Flexibility Key to Implementation SuccessDr. Singh advises other hospitals looking fora new HIS solution to properly evaluate scala-bility, speed, flexibility and interoperability.“Visit a hospital with high volume transactionsat peak hours and assess the software responsetime,” he said.A rapid solution for Sir Ganga Ram’s com-plex billing challenges was possible becauseTrakCare is Web-based and easy to configurewith little or no customization. “This is whatcontributes to the flexibility of the software andthe reason for its success in a complex hospitallike ours,” said Dr. Singh.Because TrakCare is Web-based, it is easyto use and supports flexible screen designs,including the ability to present the same infor-mation differently within different workflows,something Sir Ganga Ram required. “This iswhere TrakCare’s extreme flexibility was useful– almost all configuration was done via mastertables alone,” he said.When it comes to flexibility, hospitals needto understand exactly how their individual ITrequirements would be met, says Dr. Singh.“Do you have to approach the developer when-ever your hospital wants changes? Or can it bedone by simply changing the master tables?The better software products will allow morecontrol via master tables than others. TrakCare,for example, allows virtually all customizationsvia master tables alone.”