Professional Documents
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Healthcare IT Solutions
SRISHTI Software
progress through creation...
Current Challenges
A. Alternative delivery model to multiply reach Low reach/inaccessibility as well as insufficiency (where available) of quality care Presence of specialist doctors is restricted to the metro and major cities Low focus/risk of under-utilization of capacity (beds, doctors, nurses)
2.00
India
Egypt
Monofeya
1.00 UP
Kalyubya
Fragmentation of patient data and medical know-how across entities in the ecosystem Lack of one-point complete patient record High Cost/Low Productivity due to bottom-up recreation of
Patient Data
Healthcare Entities
2. Chronic Care
Business models are currently focused on Acute Care across the healthcare ecosystem. Models catering to Chronic, and more advanced providers Preventive Care need to be explored by insurance companies and healthcare service alike.
1. Acute Care 3. Preventive Care
4. Predictive Care
But, at the base, are technologies ready to convert these challenges into opportunities - and make the revolution actually happen?
Bedside Monitors
Specialty Formsets
Clinical Protocols
Isabel CDSS
KPIs / QOFs
DICOM Devices
EHR - CPOE
EHR - eMAR
Disease Surveillance
Lab Equipments
eMAR Pharmacy
Clinical Analysis
RFID Tags
ADTRF Mgmt
IP - Billing Mgmt
Business Analysis
Smart Card
Registration Mgmt
OP - Clinic Mgmt
OP - Billing Mgmt
Actuarial Analysis
Ambulances
Finance Mgmt
Program Effectiveness
PACS Repository
Application DB
ICD 10 / SNOMED-CT
Knowledge Repository
PACS: Picture Archival and Communication System RIS: Radiology Information System SCM: Supply Chain Management Ref / FU: Referral / Follow up ADT: Admission, Discharge, Transfer
BB, CBB: Blood Bank, Cord Blood Bank LIS: Lab Information System IP Mgmt: In-Patient Management CPOE - Computerized Physician Order Entry EHR: Electronic Heath Record
RCM: Revenue Cycle Management CDSS: Clinical Decision Support System OT: Operation Theatre CRM: Customer Relationship Management EB: Eye Bank
eGov: Electronic Governance QOFs: Quality Outcome Frameworks KPIs: Key Performance Indicators eMAR: Electronic Medication Admin Record CSSD: Central Sterilization & Supply Dept.
Best in class image recording & communication platform Clinical Pathways conforming to global standards Integrated with ISABEL CDSS, worlds best clinical decision support system
Capable of integrating with standard CMVs like ICD 9, ICD 10, CPT 4, SNOMED CT etc. Internationalization support Fully functional EHR integrated with relevant modules & localization with multilingual
Modular approach to deployment & implementation Capable of generating clinical performance indicators
RIS Module
Radiology Workstations Image Storage Management Image Manipulation Analysis & Reporting
LIS Module
Lab Admin Lab Store Haematology Biochemistry Microbiology Cytology Histopathology Immunology
Pharmacy Module
Pharmacy Store Management Pharmacy Request Management Pharmacy Cash Management
ERP Module
Human Resource Management Employee Database Leave Management Payroll Management Duty Roster & Personnel Performance Management Material Management Stores Management Equipment Management Inventory Management Asset Management Vendor Management Purchase Management Finance Management Accounts Payable /Receivable Statements of Accounts General Ledger Cash Flow Analysis Profit & Loss Statement Trial Balance / Balance Sheet
PARAS Lite
PARAS Lite, an out-of-box product has been created by retaining the essential PARAS modules & is targeted at Small & Medium hospitals, and IT starters among big hospitals.
PARAS
PARAS is an end to end customizable solution for a hospital providing Complete Clinical & Administrative Integration across the enterprise including highly sophisticated integrated EHR.
PARAS Premium
The PARAS Premium is a framework based solution and is targeted at hospital-chains with number of beds numbering in thousands. This high-end solution handles, at a centralized location, the heavy-duty data management and complex information access needs of all branch hospitals. Moreover provides Complete Clinical Informatics Framework conforming to International Standards.
Summary EHR
Home
EPR
Social Workers
EPR
EHR
GP Nursing
EPR
EPR
Large Hospital
Teleradiology Workstation
PACS Server
DICOM Modality
eMAR
Over & above a standard eMAR module (diagram 1). Paras has a robust drug interaction alert generation (diagram 2).
Interaction Level
Pharmacist:
Dispenses medication
Alert Type
Level 5
Staff Nurse:
Is notified that ordered medication is available for administration
Physician:
Writes order for medication. The application in the background checks for possible interaction using the Drug Interaction Alert functionality
Fatal
Level 4
Level 3
Staff Nurse:
Verifies and cross checks against medication order(s)
Level 2
Mild
Staff Nurse:
Completes medication administration and electronic documentation
Level 1
eMAR diagram 1 eMAR diagram 2
Isabel addresses the causative factors that have a significant impact on the level and quality of patient care.
Diagnosis error a compelling patient-safety issue Medical diagnoses that are wrong, missed, or delayed make up a large fraction of all medical errors and cause substantial suffering and injury. A 3-year project by the Cook Country Rush Developmental Center for Research in Patient Safety, funded by the Agency for Healthcare Research and Quality (AHRQ) and published in 2005, found that 10 30% of errors are errors in diagnosis and the diagnosis errors far outnumber medication errors as a cause of claims lodged. A review of 53 autopsy studies found an average rate of 24% missed diagnoses.
A 2006 Medical Liability Insurance study found that errors in diagnosis were the leading allegations of closed claims. In Family Medicine, Internal Medicine, Pediatrics and Radiology more than 50% of lawsuits alleged a failure to diagnose.
Source : ProMutual Group study reported in the American Medical Association Newsletter, March 2006.
Failure to consider reasonable alternatives single most common cause of misdiagnosis A 2005 Veterans Administration study funded by the National Patient Safety Foundation analyzed cases of diagnostic error involving internists and found that cognitive factors contributed to diagnostic error in 74% of cases. Premature closure, i.e., the failure to continue considering reasonable alternatives after an initial diagnosis was reached; was the single most common cause. Isabel addresses the very issue of premature closure and has been proven in clinical studies to minimize diagnosis error by reminding physicians to consider important diagnoses. Constructing a complete differential diagnosis reinforcing basic medical training Professor Arthur Elstein, PhD at the Department of Medical Education and the School of Public Health at the University of illinois at Chicago, and expert on diagnostic reasoning in clinical medicine, spent a lifetime's work on answering questions such as: How do physicians make decisions? How can we help them make better ones? Elstein has suggested the value of compiling a complete differential diagnosis to combat the tendency to premature closure, the most common cognitive factor identified to contribute to diagnosis error. Medical students and residents are trained to construct a complete differential diagnosis for each patient.
Testimonials...
"Isabel suggested the correct diagnosis in 98% cases. Decision-support systems can help doctors avoid falling victim to "premature closure" - the tendency to focus on one diagnosis that seems to explain all of the symptoms, then stop considering other possibilities."
Mark Graber MD, Chief of Medical Service at the VA, Northport, NY, quoted in the Wall Street Journal. Nov 2006
There had been software products over the years ... but Isabel was the most sophisticated product I had ever seen,"
Leslie G. Selbovitz, MD, Senior VP for Medical Affairs & CMO, Partners Newton-Wellesley Hospital, interviewed Oct 2007
"I am impressed with the concept and its execution. This is an innovative product that I think may soon be proved to have significant clinical utility, particularly if integrated into EMRs so that the system can operate in the background and be selected when needed, with minimal effort from the clinician. In a world of exploding biomedical knowledge, and limited human cognition, the arguments in favor of Isabel and other decision support systems are compelling. I will watch for the peer-reviewed results of further study with great interest. Institutional and individual buyers should definitely give it a look."
Gary Kantor, MD. Case Western Reserve University February 2006
"Several features I feel are innovative and useful for my practice as a pediatric infectious diseases consultant. The Diagnosis Reminder System is useful to check my differential diagnosis list against. The regional preferences search option is one I like a lot, because of the importance of travel history and geographic exposure patterns to many of my consults. For teaching and communicating with trainees and families, the Lessons Learnt and What's New options give me ready access to potentially interesting PubMed articles. I find Isabel unique and uniquely helpful"
Jeff Mckinney, M.D. Ph.D. Assistant Professor In Pediatrics andMolecular Microbiology, Washington University School of Medicine, St. Louis, Missouri Dec 2005
"Implementing PARAS has immensely enhanced the customer experience that we offer to our patients. Using PARAS, the relevant details of the patients of Narayana Nethralaya are recorded and preserved in computer systems and one can retrieve the same by just entering their name or registration numbers into the computer systems during their future visits to the hospital. Thus resulting in effective utilization of the time and immediate treatment to the patients by having their Electronic Medical Record available at finger tips to our doctors and other concerned staffs."
Dr Bhujang Shetty, Director, Narayana Nethralaya, Bangalore.
Srishti Software has worked with us to improve every area of our hospital, from helping us to improve our production flow and order entry processes, to reporting functions. All of this has helped us to provide excellent patient care."
Dr. Manjunath, Medical Director, Sri Jayadeva Institute of Cardiology, Bangalore.
Srishti's Healthcare Suite 'Paras' has helped us achieve full automation and better patient care. All administrative & support processes like Registration, Billing, Store, Pharmacy, Labs; are now online. Optimal utilization of resources have reduced costs. Availability of pertinent information at point of care has improved clinical outcomes. Logical scheduling has reduced waiting times - leading to greater patient satisfaction.
Dr. Jeetendra Kumar, Director, Mahavir Cancer Sansthan
Isabel Clientele
A few accolades...
For demonstrating excellence and growth in the IT channel business. Channel World, Fast Track 100 Awards, Honouree 2008 "Consistently among the top 100 IT innovators in India "Among the FIVE most promising Indian IT companies to look out for One of the most innovative IT companies in India
R
SRISHTI Software
progress through creation...
INDIA
Srishti Software
L-174, 6th Sector, HSR Layout Bangalore - 560 102 Karnataka, India Ph: +91 80 4110 9060/ 61/ 62/ 63 Fax: +91 80 4110 9064 E-mail: kumud@srishtisoft.com
UK
IntelliApp Solutions
Suite 5-6, 46 Dorset Street London W1U 7NB United Kingdom Ph: +44 750 246 0465 Fax: +44 207 224 3838 E-mail: kdeepak@srishtisoft.com
www.srishtisoft.com
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