1. Ramanan Tiruvannamalai
Project Title DS890K – ERP
Ramanan Tiruvannamalai

2. Agenda Introduction to HIS & ERP ERP adoption
Methodology
Rationales
Critical factors
Survey - User needs evaluation
Case study – Via Christi
Recommendations
Conclusions

3. Hospital Information System (HIS)
“A complete integration of the information available at a hospital, access to which is provided through an environment that facilitates all categories of healthcare workers as analyzers of their own activities.”
Broadly classified into
Administrative IT
Clinical IT
Strategic IT
HIS vendors – Centricity & Medinuous

4. Hospital Information System (HIS)
Administrative IT
(Billing &
Human resource systems)
Clinical IT
(Radiology &
Pharmacy systems)
Strategic IT
(Executive information system &
Cost accounting systems)

5. Enterprise Resource Planning
“Software applications designed to facilitate the system-wide integration of complex processes and functions across a large enterprise consisting of many internal and external constituents.”
Targeted to manufacturing environment
ERP application in healthcare
ERP vendors - SAP & Lawson

6. ERP - Integration of Functions
ADT
PLANNING
DOCTORS
BILLING OT
ICU
F&B
A-IT
XCHANGE
WARDS
C-IT
S-IT
HOUSE_K
LABS
PHARMA
PURCH
STORES

7. Having said all this, lets see from a doctors prospective… what does he gets by using a computer for prescrption…
Sitting in his clincal… or a point of care … he can actually open the MR and can see all the episodes.. He can go throught the complete MR just by clicking ..
The point really is that he does not have to ask the MR department send him the file… or the pt does not have to wait for … to get his MR before the actual consltation happends

8. Why ERP/HIS? Complaints / Clinical Symptoms Provisional Diagnoses
Investigations
Medication
Lets first see what is really on the prescription

9. Why ERP/HIS? (Cont.) Results on Pagers Drug-Lab interaction
Pharmacy can issue / issues register
/ Purchase Req / PO
Lab instruments interfaced & results directly reach the system
Medications
Pt. sent back to Doctor for alternative or the Pharmacist dispenses the alternative.
In a public hospital, where pharmacy is dispensed within the system, the bacis change –
in case it is out of stock the doctor alerted / Can prescribe the alternate drug / Pham alternative / Sends back to Dr
Taking this forward … pham dispense the medicen
Amount come auto / Stocks go down. / Paper goes down
Investigations
Pt. Gives blood
Info goes to Lab I/O
writing different color slips
Out of Stock

10. Why ERP/HIS? (Cont.) Reference Teaching Clinical Trials
Auto indenting to main stores
Better Controlled Pharmacy &
Consumable Stocks
Handing over of duty …easy
To Do list for nurses…

11. Adoption methodology Adoption Initiation
(Rationale, Expected benefits, Motivating factors)
Business case development
(Justification for rationale, Identification of risks, Mitigation of risks)
ERP product, project manager, and implementation partners selection criteria
(RFP, Consultants, Project management skills)
Initial project plans and communication to the organization
(Implementation strategies, Project structure, People issues, Buy-in in the organization)

12. Rationales for adoption
Technology
Poor existing systems
Incompatibility of the existing information systems
Integration of special purpose information systems
Poor visibility of information
Business process
Cost efficiency
Adaptability and flexibility of software
Improvement in data quality
Productivity

13. Rationales for adoption (Cont.)
Strategic
Empower customer
Networking hospitals
Competitive
Potential cost savings
Improved clinical and financial decision-support systems

14. Critical factors for adoption
Organization factors
Hospital size
Ownership
Partnership with other hospitals
Market factors
Population size
Location
Competition
Price uncertainty

15. Survey – User needs evaluation
Goal-
Capture user needs
Analyze usability issues
Introduce ERP in healthcare
Web-based
Questions categorized into
Demographic
HIS
ERP

16. Case study Via Christi Existing modules Requirements analysis
Proposed modules
Current status

17. Recommendations Choice between HIS/ERP
Hospital needs
Size
Budget
Top ten issues to watch for when selecting IT system
Evaluate requirements carefully
Willing to make changes in business practices

18. Conclusion HIPAA will govern the need for IT investments
Gap between HIS/ERP merging
Focus of future research areas

19. Information Technology It is embedded in our day to day life
Not A Buzz Word
Even in Healthcare
It is embedded in our day to day life

20. Questions