Dig­i­tal Trans­for­ma­tion And Health­care

How are the CIOs in health­care space em­brac­ing Dig­i­tal? We spoke to three lead­ing CIOs

Dataquest - - CON­TENTS -

The CIO Hand­book 2018 we did re­cently throw some in­ter­est­ing in­sights on how CIOs are dig­i­tally en­abling their en­ter­prises across ver­ti­cals. Let’s look at the Health­care ver­ti­cal per se and how it’s fac­ing the dig­i­tal dis­rup­tion. USE CASE 1: IN­DRAPRASHTHA APOLLO HOS­PI­TALS In­draprastha Apollo Hos­pi­tals, New Delhi is a mul­ti­spe­cialty ter­tiary acute care hos­pi­tal with 710 beds. A state-of-the-art mod­ern fa­cil­ity in the heart of the cap­i­tal, it is spread over 15 acres and has a built-up area of over 600,000 square feet. In­draprastha Apollo Hos­pi­tals of­fers 52 spe­cial­ties un­der one roof.

“Our Dig­i­tal Trans­for­ma­tion play is spread across four pil­lars. The busi­ness fo­cus for dig­i­tal has been on process ef­fi­ciency and im­proved pa­tient care by stream­lin­ing the IT man­age­ment func­tion, au­tomat­ing rou­tine pro­cesses, adding new func­tion­al­i­ties, and build­ing in­no­va­tive

ser­vices,” says Vishal Gupta, Head-IT, In­draprastha Apollo Hos­pi­tals.

Gupta fur­ther elab­o­rates the ini­tia­tives un­der the four pil­lars:

TASK MAN­AGE­MENT AP­PLI­CA­TION

In the hos­pi­tal, there are sev­eral rou­tine tasks and pre­de­fined check-lists main­tained by var­i­ous de­part­ments as per dis­tinct roles & re­spon­si­bil­i­ties. More than 1200 check­lists were dig­i­tized un­der this ini­tia­tive, which can now be ac­com­plished us­ing mo­bile de­vices. The re­sult of process and work­flow au­to­ma­tion is higher speed and bet­ter con­trol & ef­fi­ciency.

REG­IS­TERS DIG­I­TI­ZA­TION

The hos­pi­tal op­er­a­tions gen­er­ally re­quire var­i­ous pa­per­based files & reg­is­ters to be main­tained in or­der to record crit­i­cal data. It is a time tak­ing process to not only record but also to re­trieve and mean­ing­fully use the in­for­ma­tion. These reg­is­ters which were used for var­i­ous heads such as pa­tient re­lated records, staff and in­ven­tory records were dig­i­tized with in­for­ma­tion now be­ing fed and used dig­i­tally.

E- SIG­NA­TURES

A fre­quent prob­lem across hos­pi­tals that it takes 6-8 hours for com­plet­ing the for­mal­i­ties be­fore is­su­ing the dis­charge sum­mary. It’s a lengthy process that in­volves mul­ti­ple ap­provals. To make the process faster and con­ve­nient for the pa­tients, e-sig­na­tures of con­sul­tant doc­tors were en­abled on the dis­charge sum­mary work­flow, which em­pow­ers them to review, edit and sign the dis­charge sum­maries of the pa­tient from any­where, any­time on their mo­bile de­vices. It has tremen­dously helped in re­duc­ing de­lays; the en­tire process can now be done in just 10 min­utes. This ini­tia­tive has also helped in re­duc­ing the print­ing and man­power costs.

TELE STROKE ICU

Tele Stroke ICU is a unique ini­tia­tive by In­draprastha Apollo Hos­pi­tals. The big­gest en­abler, of course, is tech­nol­ogy, which en­ables neuro stroke-re­lated cases to be ad­dressed by an ex­pert con­sul­tant within the golden pe­riod of the first 20 min­utes. Many smaller hos­pi­tals/ nurs­ing homes are con­nected with the cen­tral sys­tem at In­draprastha Apollo Hos­pi­tals, New Delhi. When a pa­tient ar­rives at any of these lo­ca­tions, the CT scan and other re­ports can be up­loaded through a high-speed link for re­viewal by an ex­pert con­sul­tant in the cen­tral of­fice to see and pre­scribe the ini­tial med­i­ca­tion. And that can be very cru­cial to saving a pre­cious life. As of now, there are 50 such lo­ca­tions con­nected in the pe­riph­ery of 300 Kms. in and around Delhi NCR, which is ex­pected to grow and spread with time.

BUSI­NESS IM­PACT

The dig­i­ti­za­tion drive at In­draprastha Apollo Hos­pi­tals has brought ben­e­fits in terms of speed, ef­fi­ciency, and bet­ter pa­tient care. The dig­i­ti­za­tion of pa­per-based reg­is­ters and files has helped in elim­i­nat­ing 1800+ of them which has re­sulted in sub­stan­tial reduction in op­er­a­tional costs as well as in cre­at­ing dig­i­tal com­pe­ten­cies by mak­ing the in­for­ma­tion avail­able at the touch of a but­ton. The E-sig­na­ture drive has helped in re­duc­ing the time taken for dis­charge sum­mary from 6-8 hours to flat 10 min­utes.

DUE TO THE AB­SENCE OF HIPPA OR EQUIV­A­LENT LAWS IN IN­DIA, GO­ING DIG­I­TAL IS NOT SIM­PLE LIKE BANK­ING WHICH HAS REG­U­LA­TION FROM RBI AND OTHER FI­NAN­CIAL IN­STI­TU­TIONS - Ra­jesh Batra VP – IT, Kok­i­l­aben Dhirub­hai Am­bani Hos­pi­tal

EMERG­ING TECH

We are ex­plor­ing to implement ad­vanced busi­ness in­tel­li­gence tech­niques to get more fil­tered data, which would even­tu­ally help, in fur­ther im­prov­ing the qual­ity pa­tient care.

USE CASE 2: WOCK­HARDT HOS­PI­TALS

Wock­hardt Hos­pi­tal’s ex­is­tence is the re­sult of a 50year tra­di­tion of car­ing and in­no­va­tion nur­tured by Wock­hardt Ltd, In­dia’s 5th largest Phar­ma­ceu­ti­cal and Health­care com­pany with a pres­ence in 20 coun­tries across the globe.

Within a short pe­riod since its in­cep­tion, Wock­hardt Hos­pi­tals has be­come a lead­ing health ser­vice provider with its strong pres­ence in the western parts of the coun­try i.e. Mum­bai, Nagpur, Ra­jkot, Nasik, and Su­rat. This group of 9 hos­pi­tals ful­fills the need of the com­mu­nity in its cho­sen field of su­per spe­cial­ties like Car­di­ol­ogy, Or­tho­pe­dics, Neu­rol­ogy, Gas­troen­terol­ogy, Urol­ogy, Aes­thet­ics and Min­i­mal Ac­cess Surgery.

“The dig­i­tal plat­form opens up var­i­ous seg­ments for health­care to use such as Big Data An­a­lyt­ics in­clud­ing Pre­dic­tive An­a­lyt­ics, Ar­ti­fi­cial In­tel­li­gence, NLP, Cog­ni­tive Com­put­ing, Deep and Ma­chine Learn­ing to name a few.

THE DIG­I­TAL PLAT­FORM OPENS UP VAR­I­OUS SEG­MENTS FOR HEALTH­CARE TO USE SUCH AS BIG DATA AN­A­LYT­ICS IN­CLUD­ING PRE­DIC­TIVE AN­A­LYT­ICS, AR­TI­FI­CIAL IN­TEL­LI­GENCE, NLP, COG­NI­TIVE COM­PUT­ING, DEEP AND MA­CHINE LEARN­ING TO NAME A FEW - Su­mit Singh, CIO, Wock­hardt Hos­pi­tals

Fur­ther, along with IoT, Hy­per Au­to­ma­tion Minia­tur­iza­tion, Robotics and the ad­vent of 5G and beyond, a vast new toolset is at the dis­posal of or­ga­ni­za­tions to lever­age and de­liver bet­ter out­comes as men­tioned ear­lier along with open­ing up even new rev­enue streams that were not in reach ear­lier,” says Su­mit Singh, CIO, Wock­hardt Hos­pi­tals

DIG­I­TAL @ WOCK­HARDT

Wock­hardt Hos­pi­tals is al­ready us­ing Big Data An­a­lyt­ics us­ing a so­phis­ti­cated BI tool hy­per-au­to­ma­tion for re­port­ing, pre­dic­tive an­a­lyt­ics, new in­sights and de­ci­sion mak­ing for a cost of var­i­ous ser­vices ren­dered at all our hos­pi­tals. Quips Su­mit Singh, “Next project we are get­ting into is in the space of clin­i­cal data anal­y­sis such that we can not only have a very crisp un­der­stand­ing of each of our pa­tients dig­i­tally but also to be able to pro­vide cus­tom­ized com­mu­ni­ca­tion, ser­vices and thus re­sult­ing in rev­enue growth. Plans are also be­ing drawn to look at the Sup­ply chain process through ad­vanced com­put­ing.”

USE CASE 3: KOK­I­L­ABEN DHIRUB­HAI AM­BANI HOS­PI­TAL & MED­I­CAL RE­SEARCH IN­STI­TUTE

Kok­i­l­aben Dhirub­hai Am­bani Hos­pi­tal & Med­i­cal Re­search In­sti­tute is In­dia’s one of the most ad­vanced ter­tiary care fa­cil­i­ties. As the flag­ship so­cial ini­tia­tive of the Reliance Group headed by Anil Dhirub­hai Am­bani, the hos­pi­tal is de­signed to raise In­dia’s global stand­ing as a health­care hub, with em­pha­sis on ex­cel­lence in clin­i­cal ser­vices, di­ag­nos­tic fa­cil­i­ties, and re­search.

UNIQUE CHAL­LENGES

Ac­cord­ing to Ra­jesh Batra, VP – IT, Kok­i­l­aben Dhirub­hai Am­bani Hos­pi­tal, “Due to the ab­sence of HIPPA or equiv­a­lent laws in In­dia, go­ing dig­i­tal is not sim­ple like Bank­ing which has reg­u­la­tion from RBI and other fi­nan­cial in­sti­tu­tions. How­ever, that does not mean that Health­care in­sti­tu­tions will not do dig­i­tal. Most of the mod­ern hos­pi­tals have an ac­tive EMR in­side and physi­cians/sur­geons en­ter com­plete pa­tient his­tory. And as a strategic move Phar­macy and Path Lab and Ra­di­ol­ogy can­not work with­out EMR send­ing an or­der to them. This con­trols the biz flow but also re­ports An­tibi­otic stew­ard­ship which is a gov­ern­ment reg­u­la­tion. Be­sides this, we have on­line ap­point­ments and path re­ports etc. through the web­site.”

A PHASED AP­PROACH TO DIG­I­TAL

Quips Batra, “The board of gov­er­nors wanted a phased plan to go dig­i­tal as there is no clear le­gal man­date what can be done or not done. Hence, it has been a slow jour­ney. The sec­ond phase is now be­ing done, wherein if the pa­tient has done his on­line ap­point­ment and paid, and they have the hos­pi­tal app, us­ing bea­cons di­rectly to the OPD clus­ter.

“Once at the clus­ter with the app, the pa­tient will be dis­played in the queue us­ing FIFO method. This phase elim­i­nates the need for stand­ing in the queue for pay­ment, thereby al­low­ing on­line pay­ments and reg­is­ter­ing your­self at the clus­ter. All phones af­ter 2009, have in­built bea­cons and the hos­pi­tal app will use the WiFI bea­con and the phone bea­con to re­duce the wait time. Also, Bea­cons will be used to guide the pa­tients to the clus­ter us­ing the phone (Google map style...) and thereby re­duc­ing the time to get to the clus­ter. The last phase will be mak­ing pa­tient records avail­able to them on­line. The thought process has been ini­ti­ated but the load of work needs to be done be­fore get­ting into it, “adds Batra.

THE DIG­I­TI­ZA­TION DRIVE AT IN­DRAPRASTHA APOLLO HOS­PI­TALS HAS BROUGHT BEN­E­FITS IN TERMS OF SPEED, EF­FI­CIENCY AND BET­TER PA­TIENT CARE - Vishal Gupta Head-IT, In­draprastha Apollo Hos­pi­tals

Newspapers in English

Newspapers from India

© PressReader. All rights reserved.