BPR in Healthcare

8/7/2019 BPR in Healthcare

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Project On

Business ProcessRe-engineereing in

Healthcare Service

Submitted By

Vinod Gundeti (09-718)


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Physicians, Nurses, Medical Technicians and Other ScientificOccupations will Become Growth Industries to Rival the IT Sector

within the Next Decade

- India Vision 2020 Report

India Vision 2020 In Health Care Sector


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Population Prediction


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Healthcare Delivery Sector Plays an

Important Role in the Economy TodaySector Direct employment Revenues/GDP

Million, 2009-2010 Per cent, 2009-2010

4.0

5.3

1.0

1.2

1.6

0.8

1.7

0.4

5.2

4.8

3.5

3.0

1.8

1.4

0.9

1.7

Healthcare

Education

Retail banking

Power

Railways

Telecom

Hotels, restaurants

IT

Healthcare is the

largest serviceindustry in terms

of revenues and

the second

largest after

education in

terms of

employment

By 2012, the sector could account for7 to 8 per cent of GDP and provide

direct and indirect employment of9 million


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Comparison of Indian Healthcare

service with world


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Countries

India

Low income

(e.g., sub-Saharan Africa)

Middle income

(e.g., China, Brazil)

High income

(e.g., US, Western Europe)

Beds

Per 000 population

1.5

1.5

4.3

7.4

World average 3.3

1.2

Physicians

Per 000 population

1.8

1.8

1.0

1.5

0.9

1.6

1.9

7.5

NursesPer 000 population

3.3

Distribution is skewed towards

Urban/

etro Areas

Countries

India

Low income


Middle income


High income


Beds

Per 000 population

1.5

1.5

4.3

7.4

World average 3.3

1.2

Physicians

Per 000 population

1.8

1.8

1.0

1.5

0.9

1.6

1.9

7.5


3.3


Urban/

etro Areas

India

Low income


Middle income


High income


Beds

Per 000 population

1.5

1.5

4.3

7.4

World average 3.3

1.2

Physicians

Per 000 population

1.8

1.8

1.0

1.5

0.9

1.6

1.9

7.5


3.3


Urban/

etro Areas

Total expenditure in India as percentage ofGDP : 5.2 (2009)

Global Healthcare Infrastructure


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Patient Visits Clinic & Wait in

the Queue

Examination ofpatient & Diagnosis

Patient

Status is

critical

A B

No yes

Flow Chart ( AS-IS Process)

Drop in Process

Comple Change in Process

Plan Change in Process

No Change in Process


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Prescribe Medicines

Complete dosage

Re examination of

patient & Diagnosis

Further

Reference

needed

A

D C

B

Call

Emergency

service

Emergency

Service

Required

D

Improve

ment

Continue

Treatment

yesno

noyes

yesno

Drop in Process





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Refer toconsultant

Patient takes

appointment

Visits consultant

Examination of

patient &

Diagnosis

C D

Diagnostic

Testing

required

Laboratory

testing

D

E

no yes

Further

Reference

needed

yesno

A

A

Drop in Process





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Complete paperwork

Admits patient

Initial Treatment

Hospitali

zation

needed

E

F

yes no

A

Drop in Process





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Day to day observation

by doctor & nurses

Discharge

patient

Post hospitalization

treatment

Further treatment

after analyzing

reports

Laboratory

examination

F

Continue

Hospitalization

treatment

yes no

Drop in Process





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The Egk Smart card (To-be Process)


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Whats In The Chip?

CPU

RAM

test

logic

ROM

EEPROMserial i/o

interface

security

logic

databus


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Functions of Egk

Proof of Insurance

- Identification / Authentification

Availability of Prescription Data

- on the eGK- on Servers in the Telematics Infrastructure

Availability of Medical Data

- on the eGK

- on Servers in the Telematics Infrastructure

Optional: Qualified Electronic Signature


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HPC: Health Professional CardPDC: Patient Data Card

Physician Pharmacist

Issuing

e-Pres-

cription

Physician

software

Signing

of e-Pres-

ciption

HPC

Encrypt e-

Presciption

with ses-

sion key

Connector

Encrypt

session key

with public

key of

patient

PDC

Writing on

e-Prescrip-

tion server

Connector

Physician

software

Decrypt e-

Prescription

with session

key and

dispense

Connector

Pharmacy

software

Decrypt

session key

with private

key of patient

PDC

Neccessary Modules/Software

Connector

Reading

e-Prescription

from server

Pharmacy

software

PDC

Use Case: Issuing and Dispensing an

e-Prescription


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Pathology Lab

Physicians Practice

PDC

Pharmacy

PDC, HPC

Hospital

PDC, HPC

Security,

Transaction,

and other

Services

Applications, e.g.

e-Prescription

Medication Log

Referral Letters

Electronic

Patient Health

Record

(Planning, Implementation, Operation)

SettingStandards &Guidelines

Operational

Tasks

Secure Medical Network(Telematics-Platform)

Health Insurance

Companies

CAMS

C

C

C

C

CStatus

Inquiry,Directory-

Services

Card-DB

PDC

Medical Doctors

Association

Trust

Center

C

HPC

PDC, HPC

C

Health Professional Card

Patient Data Card(Smart card)

Secure Connector to the

Network with car d reader

HPC

PDC

Overview of system Architectre


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Advantages

No Paper Work

Easy to store data of patient in database.

Accurate patient identity Health smart card can carry digital log with

record of every visit to medical institutions

Reduced medical record maintenance costs

No fraud in Insurance Claim

Efficient Pharmacy operations


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Patient Benefits

Scheduled appointments for convenience

Having their whole record available at point of care for

more accurate and timely clinical decisions

No need for repeated tests Better quality care through clinical decision support at

point of care

Less repeated studies decreasing radiation exposure


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Clinician Benefits

More efficient clinical practice

No need to search for information and forms

Better decision-making with comprehensive information

Avoid errors associated with paper records


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BPR in Healthcare

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