Aravind Kejriwal recently directed the health officials in Delhi to develop a hospital management system of global standards. While hospital management systems have been in use for a while, there are currently no rules or regulations that lay down the standards for them in India. In the US electronic health records are regulated by the Health Information Technology for Economic and Clinical Health Act (HITECH Act) and the Health Insurance Portability and Accountability Act (HIPAA Act).

In India, even though only the IT Act of 2000 applies for electronic health records, the Ministry of Health and Family Welfare have recognized the need for electronic health records and periodically issues standards for them, for the purpose of promoting interoperability, technical innovation, participation by vendors and other stakeholders, and to support the evolution and timely maintenance of adopted standards.

Besides these guidelines, some other key features also play a key role in making a hospital management system best suited for the Indian healthcare sector. Let’s see what the specific requirements for a hospital management system in India are.

Aadhar as an identifying document.

According to the recommendations by the Ministry of Health and Family Welfare, the electronic health record of a patient must have the provision to include the UIDAI Aadhar number as the preferred identifier. In case Aadhar information is unavailable, the ministry recommends the use of a local identifier (as per the scheme of the healthcare service provider) and a photo ID issued by the Central or State government. The system should have a provision to accept a minimum of two IDs when an Aadhar ID is not available. In the case of unidentified patients, a local identifier may be used and confirmed identifiers inserted later when available. The government recently opened doors for integrating Aadhar with any software, but the software needs to meet certain criteria. While the recommendations are not implemented on a mandatory basis, it may become so in the future and therefore it is better to get software that follows them.

Support for GST

The Government of India recently passed the Goods and Services Act(GST) and many healthcare services come under its ambit. One of the important and commonly used aspects of hospital management software is billing. There is software that carries out the sole purpose of billing, while most hospital database management systems come integrated with it. With the implementation of GST, along with other service providers, healthcare providers such as hospitals and clinics are required to comply with the norms of GST. So it is important that hospital management software is able to handle the billing according to GST norms, and integrated with GST filing software.

NABH accreditation

Formed in 2005, the National Board for Hospitals and Healthcare Providers is part of the Quality Council of India and is the principal accreditation for hospitals in India. NABH accreditation is becoming more and more important with the rise in medical tourism and patient awareness about their rights. Unlike ISO certification, NABH accreditation is specific to the healthcare industry and focuses on competency in terms of staff, equipment, premises, etc. For NABH accreditation of a hospital, the information management system of the hospital should meet the necessary criteria. This includes that the records of every patient are complete and accurate. It is necessary that the policy measures are in place to ensure data integrity, confidentiality and security. A hospital management system plays a crucial role in this. An HMS that can safely manage the patient data in a safe and secure manner, and keep it updated in a timely manner can make this process much easier. The HMS must assure data redundancy and integrity and should be secure against data loss or theft, for the hospital to easily achieve NABH accreditation. The HMS system must be capable of generating the data points that must be submitted for NABH accreditation.

Sending info to local government

Hospitals have to send certain information, such as birth rates and death rates, to the government periodically. This is required for keeping track of the population and related statistics. Sometimes during a disease outbreak, government health officials will need accurate data regarding the affected individuals to tackle the issue effectively. One of the primary functions of a hospital management system is the effective management of data. It should be capable of storing, retrieving and updating the information easily. With a system that can easily sort through the relevant data, the required data can be collected and sent to health officials easily and in a timely manner. Without an effective system, the hospital staff will have to manually go through a mountain of data, wasting time and resources.

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Billing software is one of the essential software used in the healthcare industry. It is also called the medical practitioner's lifeline. Therefore, you must choose the right hospital billing software that offers a fantastic reporting system to manage the cash flow as well as the payment time speed.

The new hospital billing software helps to manage both insurance needs as well as patient payment reliably which is not included in other software.

Uses of Hospital Billing Software in HMS:

Each part of the Hospital Management System is integrated and automated effortlessly, and it also provides the opportunity to move forth and back from different data and reports.

There is no loss of bills and data.
Secure and safe reporting system.
There is a financial dashboard that tracks the practice's health efficiently.

The web-based practice management is used for managing and collecting the bill from any place efficiently, you can use and maintain this software in every area where it suits you best.

Automated Data backup is enabled.
You can view your daily schedule from anywhere.

You can easily understand the financial practice health of the practitioners, and the report makes it easy and efficient. The user features are used for deciding the right information to share.

The software offers Enabled visualizations in the form of figures and graphs.
You can track revenue, payer performance, and related ones.
You can easily customize and display them in the Excel format.
The software can deliver a report on a daily or monthly basis as per the requirements.

What are the Types of Billing in HMS?

Various departments use billing in the Hospital Management system to improve the billing facilities in the hospitals. Some of them include

Registration and Consulting Billing
Pharmacy Billing
Laboratory Billing
In-Patient Billing

Registration and consulting Billing:

Hospital billing software prebooks appointments for the patients they provided in advance for both follow-up patients as well as new patients.
Hospital billing software generates bills for the certified lab and radiology services.

Pharmacy Billing:

Our pharmacy billing software deals with providing the retail sales of medical supervision to OPD patients, and customers and also helps with the issue of medicines to the hospital inpatients. Our pharmacy billing software has the following features.

Able to offer an extensive collection of available drugs for clinicians.
Able to sort out the alternative drugs for the drugs that are not available.
The software aids in interfacing with a database of drugs.
Our software pops up the drug allergy alerts easily.
The billing software interfaced for dispatch along with the pneumatic tube.

Laboratory Billing Software:

The laboratory billing software helps to disseminate and record the information of the different performed tests. Here are some of the salient features of our laboratory billing software.

Test setup and do the services.
Excels different tests and diagnostic packages.
Offers the resulting process from the sample collection process, recheck process, and fetch from analyzer data.
The software does the recheck with the Sample Collections.
Our billing software offers the status update of the labs after a clear analysis.
The software works as per the NABL standards.
The software comes with a dashboard for TAT, authorization, progress works, tests, and parameters.

In-patient Billing Software:

The software takes care of the patients who are allocated in the ward bed after registration, and this deals with complete services and treatment offered to the patients while they stay in the hospital.

The features of our in-patient billing software include:

The software is capable of taking place the conversion from OP to IP.
The software takes care of the patients by allocating the beds, offers consultation for intern departments, tracks patients in the hospitals, and deals with bed transfers.
The software maintains the patient billing sheets.
The software comes with a dashboard for discharge summaries, patient access, billing audits, activities, and much more.

Track Profit and Loss Statements Easily:

The Hospital Management system products come with tally integrations, and therefore you can easily track and manage the expenses. The billing software in the Hospital Management system also monitors both the profit and loss statements so that you can quickly identify what lags in your Hospital information management.

Things to know about Hospital ...

Billing software is one of the essential software .....

Hospitals are rarely a single department entity. They usually span multiple specialties focusing on different treatment areas, such as pediatrics, neurosciences, gynecology, etc.

There are also various departments taking care of the day-to-day running of the hospital, such as maintenance, accounting, billing, operation theatre, and management. Each of these departments consists of many people carrying out various tasks, ranging in complexity from brain surgeries to fixing overhead lamps.

A single organization may have hospitals across multiple locations, making it difficult to manage them all. A hospital management system helps you manage the enormous complexities of efficiently managing the hospital sustainably.

Even though hospitals span several different areas, in the beginning, it usually involves only a few departments and just the primary number of people required to manage them all.

In such a case, a simple management system with the capacity to deal with relatively less data would work. But as a hospital starts growing, incorporating more specialties and treatment facilities, this system may not be able to deal with the massive flow of data.

A hospital management system could make this process much faster and easier.

As the number of departments and employees grows, the management system would also extend to accommodate the conditions created by the growth, thus aiding the development of the hospital instead of being a hindrance.

Scale up - The role of a cloud-based system

A cloud-based online system has many advantages compared to an offline system regarding scaling up. Instead of making changes in all systems in a hospital network, the differences would have to be made only by the software providers. They could easily be updated to add more departments and employees without reinstalling the updated version in all the systems in a hospital. And since the software and its interface remain the same, there is no need to allocate extra resources to train the users.

A cloud-based system would also be much more efficient in the case of hospitals in multiple locations. The data generated from all the hospitals run by the same organization could be integrated and analyzed to improve overall performance. As new sites come up, the software is updated, and the existing management network can seamlessly integrate without additional training.

This option would allow for better purchase decisions, as requirements for the entire chain of hospitals could be understood and remedied in bulk, thus helping make much better business transactions and improving efficiency for the whole network.

Resource management and reduction of wastage :

A sound hospital management system would also help prevent unwanted waste of resources. Efficient management of the various equipment and disposables inventory would cut short the resources otherwise wasted. In scaling up, there is usually an increased wastage of resources due to purchasing excess materials to prevent a shortage. With an efficient system, such wastages could easily be detected and avoided. This option could provide a smooth scale-up from a small hospital to an extensive network without excessive spending.

Scaling up - Understanding the data generated :

A common problem associated with the scaling up of any system is the overwhelming amount of data generated from the various subsystems. Every bit of data has to be analyzed and compiled in a manner that is easy to understand to make correct decisions at every corner. A scale-up could be a headache for a hospital with a large amount of data generated without an adequate system to manage the data.

An efficient hospital management system would make this entire process a cakewalk by managing the data generated in real time smoothly and quickly. In a sound hospital management system, all the data from the various departments regarding all the matters from procurement of materials, human resources, and energy requirements to billing, accounting, and inventory management is compiled and represented in a meaningful manner.

This leads to a quicker and easier decision-making process and, therefore, a more accessible, smoother, and efficient scale-up.

Management of the extra human resources required for scale-up :

The efficient running of a hospital requires that all the stakeholders play their roles, and to enable this; they should be able to manage their work quickly and intuitively. A sound hospital management system allows smooth work delegation and easy access to the information required for the task.

For example, it should allow a doctor to enter information regarding a patient and their treatment regime and enable the pharmacist to track the inventory quickly. With an efficient system, it would also be able to evaluate the work done by them. Such easy management of the entire workforce, without causing any hindrance to them, but help them with this, would enable the hospital to grow.

In short, a sound hospital management system would make it easier to scale up the hospital network by efficiently managing the resources, avoiding waste, creating an efficient workforce, and better data management. Such a system could provide hassle-free patient care, making everyone’s work much more manageable.

Scalable Hospital Management S...

Hospitals are rarely a single department ent.....

When compared to other industries, the healthcare sector is improving, with the help of advanced technologies like the Hospital Management System (HMS). The current medical care computerization is being hampered due to a lack of a perfect interface between computers and medical care providers.

The two main issues that are commonly faced during implementation of an HMS are as follows

1. HMS implementation begins but the users start facing issues by the end

This is generally due to the inflexibility of the HMS software, a weak administrative will, and an inexperienced team for implementation.

2. HMS implementation gets completed, but only a single part of the functionality gets implemented

This is due to non-user-friendly software or unplanned and unconfigured executions.

Pre-Implementation Assessment:

All hospital administrators who implement the HMS software in their hospitals will be apprehensive that the process may end in a partial or complete failure and measures should be taken early in order to prevent such an event from happening. The software should be well assessed before being purchased by the hospital.

Software Assessment:

Choosing the right kind of software is one of the crucial and primary steps for getting the best results.

Earlier, all HMS Software had a single development cycle starting with a single hospital being computerized by a local developer for a single hospital. However, this type of HMS development is outdated. In such cases, there is a risk of the vendor providing software that was customized for a different hospital. Implementing them may cause various issues, and it may cost more in the long run. It's better to purchase the software from a firm, that specializes in hospital management software than getting any software company to design software for your hospital.

It's better to choose software that is easy to upgrade, scalable, and not hardware intensive. Cloud-based online software is better than offline software in these aspects. The providers could also easily fix any errors or bugs in the case of online software.

Another aspect to be considered is to check if the customization of the software is done primarily through programming code or by using master tables during implementation. Hospitals may require some form of alteration to the purchased software, so as to better suit their needs, and in the case of master tables, such changes may easily be made by the hospital itself. In the case of online software, this may not matter much, as maintenance and support are provided by the software provider.

Vendor Assessment:

Only a few vendors of international or national repute can be trusted easily. A drawback with a large vendor is that they don’t always accommodate the requirements of small hospitals. In the case of small vendors, the hospital administrators may have to do thorough research to see if they are trustworthy.

An important aspect to be known is whether the current implementation team will be available during the entire implementation cycle. Checking the attrition rate of the software company, and discussions with other hospital administrators may give you an idea about this.

Visits to Hospitals with Hospital Management Systems:

A well-planned visit to hospitals where the software has been implemented will give you insights on the performance of the software, the support provided by the vendor, and if the vendor has achieved all the goals that were initially planned. To get a good picture, it's better to visit hospitals like your own, in terms of capacity, number of specialties, and number of departments, as well as hospitals that have implemented the software that you are considering. This will give you an idea, not only about the trustworthiness of the vendor but also about how well the software will be suited to your hospital.

Discussions with hospital administrators who have previously implemented the software in their hospitals will also give you good insights on the possible difficulties you may face during the implementation process, and on how to overcome them.

Getting your Hospital ready:

Problems may arise in HMS implementation, due to issues within the hospital. The lack of a systematic and uniform workflow within all the departments in the hospital may make the implementation process difficult. Information regarding the various equipment used, tests performed, schedules of doctors in different departments, etc must be readily available so that it can easily be imported into the system.

An important aspect is the cooperation of the various end-users, that is, the hospital employees. They have to provide enough awareness of the usefulness and importance of implementing the HMS software. The implementation may put additional stress on the employees until they get used to the system, and this may hamper the efforts of the hospital administration.

HMS implementation begins with a pre-implementation phase, in which software is chosen and the hospital prepares for the change, followed by the implementation phase and the post-implementation phase, in which the final kinks are ironed out. The whole process could be made smooth with a thorough pre-implementation phase.

Choosing software that is well suited to your hospital, having clearly defined workflows, and complete information about the working of the hospital will help you to easily implement the HMS in your hospital. Having a good team, and ensuring the cooperation of the hospital employees would help the hospital achieve its goals with the HMS.

How to Implement HMS Successfu...

When compared to other industries, the healthcare .....

HMS covers three aspects of managing the hospital; they are Operational, Financial, and Clinical Aspects. If you look at the Doctor Management System, most of the software covers only operational and financial aspects like billing, inventory management, patient registration, scheduling, and workflow management. When evaluating HMS software, hospitals give much importance to operational and financial aspects and less importance to clinical records.

This blog discusses the importance of focusing on clinical records, otherwise known as Electronic Medical Records (EMR) in HMS.

What is EMR?

EMR is called Electronic Medical Records (EMR), which include information regarding the patient's medical history and treatment as discrete medical practices possess them.

When considering individual patients, the EMR will include information like patient contact information (emergency contact), physician orders, allergies, insurance, and other billing information, surgical notes on various medical progress, prescriptions, vitals like weight, height, body temperature, BMI (Body Mass Index), etc., release information forms, medical facility appointments on past and future, treatment plans and Discharge summaries, etc.

EMR constitutes different characteristics considering the medical practices, which include their functioning system to all other medical care procedures.

Apart from the benefits of the software platform, the Electronic Medical Record Systems also provides much other prominent information for care.

Coordination procedures connecting reception information and transfer departments, the software, personal use rules of the organizations, training, and education established plans are some of the well-established components of the Electronic Medical Record System.

Benefits of EMR for the Medical Practice

Below are some of the advantages of Electronic Medical Records to Medical Practices.

Capable of quickly transferring patient information from one department to the other.
The digital record environment helps to save much space.
Through EMR, you can quickly enhance the number of patients for improved productivity and workflow of the patients daily.
Medical practice with reduced errors leads to a vast improvement in patient care and result management.
The operational cost is much reduced with EMR, especially for expenses made for overtime labor and transcription services.
With EMR, electronic medical records can be customized and are scalable.
The capability of providing advanced clinical documentation and e-prescribing.
The efficient and accurate process of billing with their advanced healthcare practices.

What Benefits does EMR provide for the Patients?

Improvement in Patient Treatment and other Diagnoses of diseases.

Rapid decision-making responses and patient care from different medical professionals assigned to individual patients. No chances for significant errors in a patient health record.

What are the Essential Core Capabilities of the EHR?

The Electronic Medical System indulges seven different core capabilities, namely.

Health Information and Data:

With EHR, you can quickly access essential information about the patients, their allergies, diagnosis of their diseases, medications, lab test results, etc., which provides a clear idea for the custodian or minder to decide on the treatments promptly.

Result Management:

People who take care of the patients are provided with multiple settings regarding patient care. This will undoubtedly improve the effectiveness of the care and safety of the patients reliably through quick access to past and new test results.

Decision Support:

The computerized EMR system makes use of Prompts, reminders, and alerts for various benefits like providing complementary clinical practices with improved compliances, possibilities of regular screenings, and capability of taking other vital methods, natural treatment, and diagnosis and also helps to identify the possible interaction of the drugs, etc. precisely.

Electronic Connectivity and Communication:

Improved care continuity, enhanced timeliness of the treatment and diagnosis of diseases, reduced events frequency, etc., are some of the critical benefits of the Electronic Medical System for secure, efficient, and accessible communication between patients and providers.

Patient Support:

The various tools provided for the patients, like easy access to their health records anytime, interactive health table and patient education, self-testing and home monitor methods, etc., help to keep their diabetes and other chronic diseases under control.

Reporting:

Electronic Medical System has plenty of advantages indulged in the HMS. One of the critical reasons 90% of clinicians choose EHR is their reduced human errors.

As a whole, EHR security needs a fine tune in case of the substance abuse records and terms of the behavioral actions. By doing so, they can calculate the patient's body conditions efficiently. E.g., if nurses and physicians have every minute detail regarding their patient's history at their fingertips, there might be no massive chances for critical care and emergency treatment.

The detailed history of the patients will help in finding a new healthcare provider through the patient's current health state and the medical record. They also support exchanging patient information with healthcare facilities if the patients have not requested them.

Integration

Electronic medical record (EMR) is not a standalone system. Instead, it is a complete ecosystem with several integrations, making it a holistic solution for the prevention, diagnosis, treatment, care, and management of medical conditions.

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