e-hospital Management System with Supply Chain Management for Medicines (e-hms with SCM Project)

Transcription

1 e-hospital Management System with Supply Chain Management for Medicines (e-hms with SCM Project) Balasubramaniam Gauthaman Program Manager-IT HM & FW Dept., GoAP

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3 Brief Introduction e-hms is a comprehensive solution that allows collection, storage, compilation, transmission, analysis and usage of health data that assist decision makers and stakeholders to manage and plan resources at every level of healthcare service. SCM / e-aushadhi is a supply chain management application which deals with Purchase, Inventory Management & Distribution of medicines, surgical and disposables to all the District Medicine Warehouses (DMW) in the State and further to all the Health Facilities, to dispense medicines to patients, the final consumer in the supply chain.

4 Objectives of e-hms To create an unique Electronic Medical Record (EMR) for each resident of state at the time of stepping into hospital for first time Enable to track medical history of patient during a visits to hospital in the state life time Within a hospital it will enable easy navigation between referred departments Eliminate duplication of data entry and maintenance of duplicate registers for a single case at various locations and free up manpower To generate MIS reports for planning o Manpower o Procurement o Tracking OP / IP cases, o Drug /consumable inventories both at hospital and State level Translate EMR to referral hospitals Enable conduct of medical audit of patient care quality from other locations.

5 e-hms Modules Covered

6 Patient Benefits: e-hms Outcomes - 1 Decreased wait time for treatment Increased access/control over health information Increased use of best practices/decision support Increased ability to ask informed questions Quicker turnaround time for ordered treatments Greater clarity to discharge instruction Increased responsibility for own care Alerts and reminders for appointments and scheduled tests Increased satisfaction and understanding of choices Issue: When a patient could access his/her own health information like in other online services? (Pros, Cons)

7 e-hms Outcomes - 2 Nursing Benefits: Decreased redundant data collection Allowed data comparison from prior visits Ongoing access, update record at bedside Improved documentation and quality of care Supported timely decision Healthcare Provider Benefits: Better/faster/simultaneous data access Improved documentation, reporting Prompted to ensure administration of treatments and medications Supported automation of critical pathways / workflows Improved efficiency: eligibility, early warning of status changes Healthcare Enterprise Benefits: Better record security Fewer lost records Instant notice of eligibility/procedure authorization Decreased need and cost for record storage, x-ray film, filing Decreased length of stay due to waiting Faster turnaround for accounts Increased compliance with regulatory requirements

8 EMR & EHR Electronic Medical / Health Record EMR An electronic record of health related information of an individual that can be created, gathered, managed and shared/consulted by authorized clinicians/staff within one health care organization. EHR An electronic record of health related information of an individual that conforms to nationally recognized interoperability standards created, managed and shared/consulted by authorized clinicians/staff across more than one health care organization. Benefits: Improved data integrity: readable, better organized, accurate, complete Improved productivity: access data whenever, wherever for timely decision Increased quality of care: tailored views, dash-board Increased satisfaction for caregivers: easy access to client data and related services

9 Objectives of SCM Top down Approach helps Head Quarter in Better Monitoring & Control down the line. Help in better Planning & Execution at all administrative level. Efficient control on supply & Inventory. Complete Package for Centralized Supply Chain Management System supporting with best functionality. Best Performance with high number of users. Able to extend the functionality as per Department s choice and available Infrastructure. Quality Control on Drugs and monitoring & control on Quality of Drugs Online Drug Distribution to Patient at Medicine Distribution Counters. Intra Depot Excess/Short drug transfer integrated with HQ. Supplier Payment linked with Supplier Performance. Help & Solution Desk for Users.

10 SCM Key Functionalities Dash Board Facility for the Senior Management Define the items into Groups, Sub groups, Categories, Codification of Medicines. Automatic Indent generation as planned Maintain expiry Date / Shelf life for an item Transfer of Medicines amongst Warehouses Medicines distribution to Patients with all statistical data about Medicines, Doctors etc. Define and maintain various levels of Stores & link all drug warehouse hierarchically Maintain control (such as quantity tracking) on stocks and their replenishment. Reserve items within District WH / CHC / PHC. Record transactions while moving items from one location to another. Alerts for Expiry Medicines, SMS facility at all levels Integration with GS1 compliance Bar Coding

11 SCM Outcomes Assured availability of medicines at all the health facilities Prescribe only those medicines available in the shelf, thereby cutting down Out of Pocket Expenditure (OPE) of the citizens Effective Tracking of expiry medicines Minimizing wastage of medicines and arresting leakages Savings in Procurement value Classification of Disease Burden Area wise Accountability among the staff and thorough Audit Status of medicines & disposables in each hospital in real time

12 Status of Implementation in Andhra Pradesh Pilot Project launched with NeGD, GoI/World Bank funding Aug 2014 Covers Four (4) health facilities across State of Andhra Pradesh 1 Tertiary Care, 1 District Hospital and 2 Area Hospitals Gap Analysis Study and System Study Completed Commissioning of infrastructure In progress Supply Chain Management (Medicines) Live since June 09, 2015 across the State (All Medicine Distribution Centers) Customization of e-hms Software Completed UAT & end-user trainings To be planned Tentative Go Live Date November 01, 2015

13 Thank You. Mobile: