1. Information Technology in Hospitals Siemens Information Systems Ltd
B K Kulkarni
General Manager
Siemens Information Systems Ltd

2. Agenda Healthcare in India - Paradigm Shifts
Hospital Information System
A Paperless & Filmless System - Reality?
The Future Role of IT in Hospitals
Industry Buzzwords - Decoded
Towards Paperless & Filmless Systems - Approach

3. Definitions Less Paper More Paper EPR
HIS : Hospital Information System
- Fully automatic
- Fully integrating all IT-systems
- Interactive functions
- Full data synergy AI <=> CI
EPR : Electronic Patient Record HCS : Hospital Communication System
- Not fully automatic
- Partly integrated IT-systems
- Some autonomous systems
- Partial data synergy
DIS : Departmental Information Systems
- No automatic features
- Not integrated
- Autonomous IT-sectors
- No data synergy
Less Paper
EPR
More Paper

4. The Future: A Shift of Paradigm
Disease Management
Treatment model
Premature
Death
Disability Symptoms Signs
High-level
Wellness
Awareness Education Growth
Neutral
No discernible
illness or
disease
Health Management
Wellness model

5. Hospital Information System
Registration
Consulting
ADT
Nursing
Pharmacy
Stores & Purchase
Radiology
Laboratory OT
Blood Bank
Diet & Kitchen
And more...

6. Data Integration Medical Modalities Laboratory instruments
Picture Archival & Communication System
Device Interfaces
Third Party Softwares

7. The Future - An Insurance Scenario
On line Eligibility Verification
Co Payment information
ICD10 / CPT code driven charges and caps
Duplicate Lab exams and limit on Pharmacy filling
Secondary Insurance deductible information
Electronic Authorization for procedure
Insurance Claims forms
Electronic data transfer

8. The Buzz Words Paper-less Hospital Film-less Hospital
Electronic Patient Record (EPR)
Digital Convergence
Data Mining & Data Marts
Web Based Applications
Voice to text
Telehealth Applications
Artificial Intelligence - Statistical disease analysis & clinical expert systems

9. Hardware depreciates at 30% - 50% every year
Elements of a Total IT Solution
Elements Priority
Hardware
Networking
Infrastructure
Application Software
Hardware depreciates at 30% - 50% every year

10. Implementing a HIS Solution
Typical Implementation Period: One year
Have a BIG VISION; START SMALL; BE REALISTIC
Stages Involved
System Requirement Study
Gap Analysis
Customization
Implementation & Training
Final Integration & Testing
Support