Healthcare Management System - HMS

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1 care Management System - HMS 3 rd Floor, Mount View Building, Opp. ITC Grand Chola, 64,Anna Salai, Guindy, Chennai www. oscorptech.com

2 Contents Introduction:... 4 GrapeERP Health Management Solution World's most intuitive medical system Record complete details of your patients Manage Physicians Schedule Appointments Patient & Physicians Login Laboratory Management Inpatient Administration Invoicing & Accounting Integration Intuitive Extra Addons World's Most Intuitive Medical System Patient Walkins Management Medical Certificate Pediatrics Management Surgical Management Ophthalmology Management Nursing & Ambulatory Management Imaging Management Neglected Tropical Diseases Management

3 10. Generate complete historical report based on patient's evaluation Health Maintenance Healthcare Financial Systems Multi-Site Business Management Support Overview

4 Introduction: Technology meets Creativity!! To emulate real-time Healthcare Management Process. HMS help you to extract the maximum out of healthcare management and administration. With this solution, patients get timely and better quality treatment and doctors get anywhere, anytime any device access to centralized patient medical records. The Result is an astounding real time medical record access that is most effective, life saving and cost saving. Healthcare Management Made Productive Medical Record Solution The Healthcare Management solution has been crafted to meet the unique requirements of healthcare industry. Accuracy and availability of information is key to this domain s success. Our solution ensures this with the 3 key modules Electronic Medical Record (EMR) Hospital Information System (HIS) Health Information System The centralized module will allow faster, precise access to patient records that will help doctor s to move in quickly in case of emergency situation. The automated systems also help the hospital/ clinic to be more productive at lower costs. 4

5 Clinical, diagnostic and patient management information is all important for effective patient care. The information that Grape Health Management makes accessible helps health care providers to improve the efficiency and quality of patient care, reduce the margin of error in clinical diagnosis, and advocate for policies related to public health in rural areas Thank you for your interest in installing Grape health management. Grape health management designed for low resource settings. Please choose one of the below mentioned options for installing Grape health management. If you run into problems, you can take help from our Community on our Q&A Talk Forum, or on the IRC chat channel. On CentOS Grape health management runs on CentOS v6. CentOS is a Linux distribution that attempts to provide a free and open source, stable, enterprise-class, community-supported computing platform. To install Grape health management on CentOS, please follow the instructions documented on our wiki here: Installing Grape health management on CentOS. On Windows/Apple/other Linux platforms To run Grape health management on a non-centos machine, like a Windows or Apple machine, or on Ubuntu, one needs to run Grape health management inside a CentOS Virtual Machine (VM) on the machine. We have created a packaged VM based on Vagrant for ease of installation. Instructions for setting up Grape health management using a vagrant VM are documented here: Install Grape health management using Virtual Box. In the cloud To evaluate Grape health management on a cloud installation, please follow the instructions documented on our wiki here: Install Grape health management on Digital Ocean cloud platform. Features of Grape health management Patient Registration Registration module can be used for managing patient's demographic details, identities (including their photograph), address, contact information and other socio-economic details (or other nonclinical information about the patient). Your registration clerk can search for patients and can also manage their visits. 5

6 Patient Documents Your hospital may have to receive and capture patient's information in form of documents. This could include patient's paper record scans, X-Ray images and other documents received from external entities. Grape health management allows you to upload these documents by tagging them and associating it to specific visits of a patient. These documents can be captured directly (by using the camera) using a mobile interface of Grape health management too. All these documents get attached to patient's record viewable from other parts in Grape health management. On these documents the clinicians can also write their comments/notes. Clinical Services Clinical Observations and Notes Grape health management has a mini-platform on which you can define your own forms and also configure a way to visualise the filled forms. These clinical notes for - general patients, emergency, surgery, vitals, intake-output, delivery, gynaecology, every disease or condition, "your own forms", can be defined using this. Your implementer can breakup a particular disease or a condition into multiple forms and group them so that they can be viewed together on patient and visit dashboards. In each of these forms you can make multiple numeric, textual, coded options, truefalse/yes-no, date, date time, duration type of observations. The users can recall the data filled previously in these forms, choose their favourite forms or decide to pull up one from the list of the forms in the system. These forms can be created by importing CSV files or through the administration user interface. Grape health management has been deployed in hospitals that do not mind sharing their forms (as open source) for other hospitals. We intend to setup a website that could facilitate collaboration around such content. Diagnosis The clinicians can capture diagnosis of patients and manage their old diagnosis. In the backend these diagnoses can be mapped to ICD-10 codes for reporting purposes. Drug Order Using this feature the users can make new drug orders, stop or refill the active ones. It allows them to choose route, frequency, dosage and instructions. This feature has been designed to make your users highly time efficient, by providing them sensible defaults wherever possible. 6

7 Grape health management provides a mini-platform on which your implementer can configure template for drug order regimens - so that certain commonly ordered drugs don't have to be entered again and again. The user can invoke these templates that automatically populate the drug orders on user interface which they can review and save. Patient Dashboards Patient dashboard is another mini-platform on which different types of canned display widgets can be placed by your Grape health management implementer. Grape health management provides a wide array of canned widgets which the implementer can choose from - diagnosis, observations, tabular view, graphical view, drug orders, patient profile, lab results, visits, radiology results, disposition and in-patient summary. Your implementer can just configure them (by choosing number of visits, terminologies, age groups, etc.) to create your hospital specific dashboard. Grape health management supports multiple dashboards for configuring additional disease or condition specific summarized views. Visit Dashboards Visit dashboards are similar patient dashboards but they display data for a single visit. Multiple visit dashboards can be created too. Each visit dashboard will also have a printable view, optimized for paper. All the canned widgets are extremely configurable and you can create your own discharge summary printout without writing any code. Laboratory Management The lab sub-system (OpenELIS) is different from EMR (based on OpenMRS), Grape health management automatically creates the patients and their lab orders in Lab system when created in EMR. It also sends the test results and referral information back to the EMR. Patient Samples and Lab Tests The lab system allows the user to capture the patient's sample information and generate the label numbers for them. The user can select a panel of tests or individual lab tests for the taken sample. Results and Referrals When the results for tests become available they can be entered into the system. Once all the results are available the lab in-charge can validate the test results by accepting or rejecting them and take a printout of the tests. 7

8 If your lab doesn't have the facility to perform the tests on the sample, then you can record the test and refer the sample to an outside lab. When the results comes back, you can upload the document received and/or update the results of the test. The lab system allows you manage the list of outside lab facilities where you refer tests. Lab Dashboard Grape health management has a lab dashboard that gives a bird's eye view of the workload in the lab. It also provides simple patient search utilities and quick-links for performing frequently used actions from the dashboard. Operational Reports Referrals Tests performed Inpatient Management Inpatient Dashboard Grape health management allows you to create a dashboard for in patients. Like patient dashboard this can also be configured based on the needs of the hospital. Ward management You can create your own in-patient wards and each ward with multiple physical spaces. Each physical space in-turn can have multiple beds created in them. These beds can be defined in a way that it spatially matches the actual layout of your ward, allowing for empty and other non-bed occupied spaces. Admission, Discharge and Transfer The nurses can admit, discharge and transfer a patient using this feature. During admission and transfer a bed can be assigned to the patient. Stock Management Stock management feature is provided via the GrapeERP sub-system, adapted slightly for health facilities, in Grape health management. Stock management allows you to do the following: Hierarchical modelling of your warehouses and stocking points Management of products (medicines, other supplies) that are present in the stock 8

9 Management of your SUPPLIERS from whom you purchase the products Procurement of the products from a supplier, broken up by batches with their expiry dates Stock movement between different stocking points and warehouses Ability to view the current stock levels by products Automatic reduction in stock of product batch quantities when patient pays for the invoice consisting of products (via the billing function) Reports Sales, Discounts, Credits Purchases Stock Movement Inventory Status Organizational Accounts Billing and Accounting Billing and accounting features are provided via the Grape ERP, adapted slightly for health setup, in Grape health management. For your health facility this allows you to do the following: Setup discount, credit and tax related accounting heads. Define financial years. Create draft bill QUOTATION) consisting products (drugs, injections, etc) for a patient. When a clinician creates a drug order in Clinical Services module, it automatically creates a draft bill with each product and its quantity. The billing system automatically chooses first to expire batch for each product to dispense from. Take payment for the bill after giving credit, discount and applying taxes. Maintain patient's financial record. Standard accounting reports. EMR Reports Grape health management provides couple of options for EMR reporting. Configurable Canned Reports The challenge of creating canned reports on patients medical record is that the requirements vary widely by hospitals and is also dependent on how terminologies, forms, patient attributes are setup for them. Grape health management offers a solution to this problem by providing easily configurable canned reports. Grape health management provides a library of these 9

10 reports using which each implementation can easily create their own reports without understanding the underlying data model of data base. You can also combine multiple of these as sub-reports to create your own reports. These reports are available in PDF, CSV and HTML format. Custom Jasper Reports Grape health management comes packaged with reports. Reports is a mature reporting platform, on which your Grape health management implementation team can create custom reports on our database. Patient Data Migration and Import It is quite likely that your hospital already uses some system or maintains the data in excel files or access database. It doesn't make sense to loose all the data when switching to a new system. Grape health management provides a simple migration path using which you can IMPORT the old data into Grape health management using CSV files, without writing complex data migration scripts. It follows a convention based approach, so you can just name the headers of the CSV files to correspond to the new data model. You can also use the same approach on an ongoing basis to bring in data from sites that do not have Internet connectivity. 10

11 GrapeERP Health Management Solution 1. World's most intuitive medical system HMS is a web based comprehensive suite of Electronic Medical Record (EMR) and Hospital Information Solutions (HIS) developed with world class features & robust ERP business applications framework, GrapeERP. The module will not only seamlessly encompasses different departments of your hospitals, but also maintains patient information including doctors and their appointments, treatment received and prescribed medication. 2. Record complete details of your patients Manage your patients with their important details including family info, prescriptions, appointments, diseases, insurances, lifestyle,mental & social status, lab test details, invoices and surgical histories 3. Manage Physicians Administer all your doctors with their complete details, weekly consultancy schedule, prescriptions, inpatient admissions and many more. 4. Schedule Appointments Doctors and patients can manage their appointments as HMS is tightly integrated with GrapeERP calendar control so you will be always updated for your upcoming schedules. Doctors and patients can manage their appointments as HMS is tightly integrated with GrapeERP calendar control so you will be always updated for your upcoming schedules. 5. Patient & Physicians Login Allow your doctors or patients to login inside their individual accounts and manage their stuffs. All patients can only view own details, manage their profiles and track histories. 6. Laboratory Management Configure all your lab test parameters once with their ranges to quickly generate your test result. Get 9 most widely used laboratory tests already preconfigured within the package. 11

12 7. Inpatient Administration Manage inpatient hospitalisation, wards and beds reservations, add therapeutic diets beliefs, nursing plans and discharge plans. Automatically raise payment notification at the time of discharge. 8. Invoicing & Accounting Integration HMS is tightly integrated with GrapeERP official Accounting module. You can easily raise invoices for services like Doctor's consultations, Prescriptions, Lab test & Inpatient admissions directly from the package and manage different accounting tasks of your care center. Intuitive Extra Addons 1. World's Most Intuitive Medical System 2. Patient Walkins Management Record complete details of walkin appointments for your patients with related evaluations, lab tests, inpatient admissions and prescriptions info 12

13 3. Medical Certificate Register and print details of medical certificates with date of leaves and reason for related patient. 4. Pediatrics Management Newborn Baby & APGAR Management Pediatrics Symptom Checklist WHO Pediatrics Growth Chart 5. Surgical Management Manage complete details of the Surgery Revised Cardiac Risk Index Supplies related to the surgery Record details of team of physicians involved in the surgery 6. Ophthalmology Management Separately record findings of Left & Right eye with most required parameters during each visit Print evaluation report for every visit 7. Nursing & Ambulatory Management Manage daily rounding and record details of patients during each rounding Patient Ambulatory care management Print report for each rounding 8. Imaging Management Management of different imaging tests like X-Ray, Ultrasound, MRI, CT Scan and PET Scan Choose from existing test types or add custom one Print the report and generate invoice for the completed tests 13

14 9. Neglected Tropical Diseases Management Domiciliary Unit Management Chagas DU Entomological Survey Management Surveillance and management of Dengue fever 10. Generate complete historical report based on patient's evaluation Health Maintenance 1. Equipment maintenance contracts, inspection requests and task management system. 2. Add equipment s with complete specification parameters and inspection checklist points 3. Manage maintenance contracts with all inspection or service requests and related tasks. 4. Raise an inspection or service request and assign it your inspectors to perform that task. 14

15 5. Perform assigned tasks and record results for different checklist points. Inspector can also log number of hours invested to perform different operations. 6. Graphical representation of your important details 7. Inspector portal to view and manage assigned tasks. Healthcare Financial Systems As a care provider, naturally you are focused on the quality of care that you deliver. But general ledger, accounts payable, payroll, and materials and facilities management are important aspects of your business, too. GRAPE ERP delivers comprehensive support for essential business management functions with the GRAPE ERP Interacting. Financial module: a healthcare financial system that is integrated with Interacting s Revenue Cycle, EMR, Mobile, and Insight Reporting and Analytics modules to deliver a seamless technology solution for your entire organization. 1. Multi-Site Business Management Support Designed for multi-site organizations, Interacting s healthcare financial module delivers a variety of capabilities that automate business functions and streamline your departmental workflow and multi - facility consolidation: Enterprise-wide financial reporting Departmental budgeting Seamlessly integrated with the Interacting EMR module s clinical components Automated payroll processing Materials and facilities management Fully integrated census/adt functionality A single database supports all modules, which allows authorized users access to real-time data, and promotes proactive decision-making and trend analysis. Overview Dedicated healthcare financial modules support vital business-management functions across departments: General Ledger 15

16 Provides a flexible definition of accounts with postings from all modules in real time. Both monetary and statistical information create a foundation for analysis and budgeting. Accounts Payable Supports vendor information, invoicing, payment, and purchasing. Powerful tool is integrated with materials management and the purchase order process to deliver outstanding efficiency in supply management, payments, and invoices. Human Resources/Payroll Delivers an integrated approach to managing staff and payroll.the human resources module supports staff demographics including licensing, history, and incident information. The payroll module supports complex pay rules, deductions, float schedules, and the generation and submittal Materials Management Automates inventory control, par levels, and stock requisitions for accuracy and control of organization-wide purchases. Supplies can be charged using barcode technology which automates the reordering process as necessary. Facilities Management Enables you to track equipment maintenance requests and equipment information such as type, location, acquisition date, expected life, frequency of maintenance, and the person responsible for performing the maintenance 16