MIS at Care Hospitals

Presented by:-
Manish Gupta
Manoj Kujur
Manoranjan Sahu
Neeti Singh
05/23/09 XIMB 1
 Agenda
• CARE’S journey (by Neeti singh)

• MIS Automation in CARE Hospital(Manoj)

• ROI (Manish)

• Recommendation (Manoranjan)

• Questions and answers

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INTRODUCTION….
• CARE is one of the fastest growing hospital chains in
India, engaged in providing primary as well as tertiary
healthcare services
• It is a hospital chains that is founded and managed by
professionals with a mission and a passion for providing
healthcare for the needy
• CARE’s reputation for its humanitarian and selfless
service has ranked this esteemed institution as the fourth
largest healthcare provider in India
• CARE endeavors to match global benchmarks and
conquer healthcare market in the second decade of its
establishment.

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 MISSION
• To provide quality medical care at an affordable
price, delivered with compassion, concern and
care.
• To develop a comprehensive health care
delivery model that suits the common man
• To develop “CENTRES OF EXCELLENCE” in
various medical specialties
• To evolve a holistic approach to health care by
incorporating the best from various forms of
medicines
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 VALUES

• To put the professional care givers at the

centre of healthcare delivery and give life to
the ideal of ‘physician heal thyself’.
• To give respect for privacy, to give treatment
with dignity, to treat a patient as an individual.
• To provide high quality appropriate and ethical
treatment irrespective of the ability of the
patient to pay.
• To value all efforts and achievements-
providing courage to face new challenges.
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CARE’S integrated healthcare delivery
model

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 Corporate strategy (SWOT)
Strength Weakness
Services Geographical Operations
Education/Program Non Centralized Server
Operating Performance

Opportunity Threat
Technology Competition
Population Trends Healthcare and IT Cost

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 Present MIS being used

• Streamline process
• Integrate information
• Easily available
• To understand the strengths and
weaknesses and make strategy
accordingly
• Smooth and steady information flow from
every department
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Hardware used in Care Hospital
• Care Hospitals are fully computerized with P4 Desktop
Computers
• Operating System used – Windows XP
• Network to Common Server – IBM X3200
• Database used Oracle 10g
• Backup Server
• Broadband Services-Bharti and BSNL
• Biometric Device
• Video Conferencing
• Unique Patient ID

05/23/09 XIMB 9
 BSNL/Bharti

2 MBPS

Firewall

Client Server
Hardware IBM
Desktop-65 System X3200 Disaster
Pentium P4 Software Recovery
Windows 2003
Windows Server
Site,
XP Database Hyderabad
05/23/09 Oracle 10 g XIMB 10
Software
• Jeeva Online Healthcare Information System
• User Friendly, Reliable,Efficient
• It gives information about
-Patient Management
-Hospital Management
-Clinical Management
-Resources Management
-Automated Alerts
-Reminders
-Online Services
05/23/09 XIMB 11
Return on Investment (ROI)
• A performance measure used to evaluate the efficiency
of an investment or to compare the efficiency of a
number of different investments.

• Formula
ROI= Gain from Investment *100
Cost of Investment

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ROI Calculation
• Cost of website designing (20 Pages) = Rs. 40000
• Cost of website Hosting 2 GB = Rs. 30000
• Cost of online payment facility = Rs. 60000
• Bridging Software = Rs.100000
• Training Cost =Rs. 40000
• Wages of Employee =Rs. 50000
• Biometric Device =Rs.100000
• AMC =Rs.30000
• Total Expenditure = Rs.4,50000

Before the Proposed Service

• Avg no. of outpatients/day=25*14 branches= 350
• Avg no. of Inpatients/day= 15*14 branches= 210
• Revenue from Outpatients=350*100 = Rs. 35000
• Revenue from Inpatients=210*500 = Rs.1,05000
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Total Revenue =Rs.1,50000/day
After the Implementation of Recommendations

Revenue increase from by is 1 % that equals = 1*1,50000/100

=Rs.1500/day
Revenue from greeting card and flower service
=Rs.500/day
Revenue Increase due to customers retention(2 patients/day)
=Rs.1000/day
Total Revenue Increase =Rs.3000/day

Revenue Increase for entire year=30*12*3000=Rs.10,80000

Total Return on Investment = (10,80000*100)/4,50000 = 240%

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Issues and Problems???
• Care hospitals doesn’t have a centralized database
• Difficult to retrieve data if card loss
• No service or request enable links in the website
• Duplication of forms
• Lack of technical expertise of staff to properly analyze
the data collected
• Inadequate training of health worker on how to fill out the
form
• High degree of inaccuracies in data collected
• Lack of utilization of data collected

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Solutions Proposed
• Integration of all databases of group hospitals
• Use of Centralized Server
• Use of Biometric Devices
• Upgrading the Website
• Creating more loyal customers
• Availability of personnel with the proper background/level
of technical expertise to run a computerized system; in
particular the software skills of the staff at the lowest
level where computers can be provided should be looked
into

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Solution Propose continued……..
• Pre-test the software, paying attention to:
 Identification of bugs
 Ability of software to generate the
expected data
 Ability of staff to use it

• Design a training programme to train

relevant staff on the use of the software

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Recommendations
• There should be a centralized database directly linked
with Jeeva.
• Implementation of a bridging software

05/23/09 XIMB 18
Summary
• Meet the needs of our patients, families and staff
• Meet national quality standards
• Reduce hospital cost and ICU LOS
• Help solidify our community reputation as a
hospital of excellence

05/23/09 XIMB 19
 Thanks

05/23/09 XIMB 20
 Any Queries ????

05/23/09 XIMB 21