Srishti Software Applications Pvt. Ltd., Bangalore - 560102, India PARAS- An Innovative HMIS...

Srishti Software Applications Pvt. Ltd., Bangalore - 560102, India

PARAS- An Innovative HMIS solution from Srishti

Software

Company Profile• Began operations in 1997 & reconstituted in 2005

– Current Employee strength 150

• Product focused Company with global reach.

• Finalist of Red Herring 100 Asia, 2010.

• Awarded Top 10 Emerging companies from NASSCOM EMERGE Forum

• Honoree in the Technology Fast 500 Asia Pacific 2009 Program conducted by

Deloitte.

• Honoree in the NASSCOM EMERGE 50 Software category for the year 2009.

• Honoree in the Technology Fast 50 India 2009 Program conducted by

Deloitte.

• "Consistently among the top 100 IT innovators in India" - NASSCOM Survey,

2007.

• Rated SE 1A by ONICRA Performance and Credit rating.

• Management profile at: http://www.srishtisoft.com/management-profile

© 2010 Srishti Software Applications Pvt. Ltd

PARAS: Evolution

Key areas of concern Business/ Clinical Impact

Non availability of an affordable single

Product Suite, covering all healthcare

provider ‘Business’ & ‘Clinical’ processes,

in an optimally comprehensive way.

• Forced to look at multiple products / vendors

and manage inherent risks related to

deployment, integration & maintenance

emerging out of this scenario.

• Escalated Total Cost Of Ownership.

Available products lacking bi-directional

integration and balance between ‘Business’

& ‘Clinical’ processes.

Not possible to Implement modern management

techniques related to Healthcare Enterprise

Management. Ex. Ineffective cash flow

management.

Inability to document payment claims as

per the ever changing requirements of

Corporate / Insurance / TPA payers.

High Rejection Ratio of Payment Claims by

institutional payers leading to considerable

revenue loss.

No Clinical and Administrative Tracking

possible of Healthcare Recipients.

Poor Customer Relationship Management.

Global survey, involving more than 130 hospitals, including 73 in India. Following key areas of concern were discovered:


PARAS: Evolution

Key areas of concern Business/ Clinical Impact

Reccuring episodes of solution non-

availability, lack of data security and

virus threats.

• Endangering patient care and safety.

• Risking privacy and confidentiality of

patient.

Product performance degradation as

business improved [requiring higher

number of transactions at faster

speed].

• Low productivity.

• Bad customer experience.

• Forced to look for a new solution.

Difficult or impossible to get changes

made to the solution. High vendor

dependency. Longer waiting period.

• Forced to use existing functionality.

• Denying on-time enablement of

management vision.

Implementation failures/delays. Resulting in cost escalations and business

disruptions.


PARAS: Vision

“Enable health care providers deliver superior care to

their customers by implementing best in class

administrative, clinical and management practices”



PARAS - The Intent

• When you are running a hospital, last thing on your mind

should be running the hospital.

• PARAS helps you achieve this by being optimally relevant

to your needs.

• It also allows you to focus on your primary business -

better patient care.


PARAS Overview

Various offerings of PARAS & It’s Characteristics

PARAS Range of Suites Characteristics

PARAS Lite 1. For basic business requirement

2. For Starters

PARAS 1. Single Super-specialty

2. Secondary Care Hospitals

3. Basic patient data portability across multi locations

PARAS Premium 1. Multi Super- specialty

2. Secondary/ Tertiary Care Hospitals

3. Patient data portability across multi-location

PARAS Enterprise 1. Multi-location management including workflow

process integration, Patient portability and ERP

Portability

2. Disaster Recovery setup



Differentiated Advantages - SolutionDifferentiated Advantage Benefit to customer

Comprehensive solution covering all

needs of a modern healthcare provider.

Reduces need for multiple vendor / solutions

thereby lowering costs, risk & effort.

Bidirectional Integration of Administrative

& Clinical workflow.

Ability to plan & manage resources (Human,

financial, material) based on real time data.

Functionality and Compliance-to-

Standards measures head-to-head with

global big brand products.

Global class functionality at affordable price.

Multi Locational n Tier Hierarchical design. Ability to manage / administer hospitals at

multiple locations from enterprise headquarters.

User defined Abstract Role creation

functionality to exactly map the institutional

process flow and create entitlement.

Ease of administration by defining organization

wide policy and mapping of users to user

defined functionality grouping, rather than

Modules or Sub-Modules.

High Configurability, using concepts of

‘Service’ & ‘Station’.

Successful implementation -> simpler

administration -> Quicker RoI.


Differentiated Advantages - SolutionDifferentiated Advantage Benefit to customer

Product is a web application engineered

to Web 2.0 + standards.

Ease of deployment and maintenance.

Conforms to Standards of ‘High

Availability’ and ‘Fault Tolerance’. Third

party standard lab certification.

No risk of service disruption and non availability

of patient record during clinical care.

Product conforms to international Privacy

& Security standards.

Hospital can participate in globalized healthcare

delivery.

Solution is fully scalable. Increase in load

does not require any change in software,

only hardware needs to be added.

No solution obsolescence as business grows.

No large upfront investment at initial stage.

Based on Open standards, using off the

shelf hardware and software (OS /

Database).

No lock-in to single vendor / technology for

software / hardware.

Significant cost saving on database license.

Adherence to global standards w.r.t.

design, data and interface.

Future proofing w.r.t. Business intelligence /

Data Warehousing needs.


Functional Differentiators - PAS

Differentiated Advantage Benefit to customer

Highly configurable ‘Tariff Plan’ creation

module and their mapping to Healthcare

Recipients.

Reduced chances of financial fraud and better

financial administration.

Functionality of direct integration with

institutional payers.

Ease of administration w.r.t. receivables

reconciliation from institutional payers leading to

better tracking and collection of receivables.

Ready & accurate documentation for

claim settlement including medical coding.

Reduction in reject ratio for institutional payer

claims, leading to better revenue realization.

Robust module to handle Admission,

Discharge, Transfer, Referral & Follow up

along with seamless integration with

Patient Accounting System.

•Better tracking of patients across institutions,

locations & stations; resulting in prevention of

revenue leakage.

•Real-time patient bill settlement.

Ability to capture Administrative & Clinical

Demographics in a structured way.

Increased patient safety and better clinical care.

Comprehensive Appointment Scheduling

Functionality.

Better Customer Relationship Management.


Functional Differentiators - ERP


Financial, Material & Workflow impact of a

business process transaction can be viewed

on real-time [online] basis.

Improved material and financial

management.

Default design of the System is that all GL

entries come directly from business processes.

Alternate route through Journal entry is also

available, but not recommended.

Better transparency, accountability and

control.

Comprehensive Material Management System

with configurable hierarchy creation and Per

Asset Account creation functionality.

Conforms to institutional process flow

leading to faster implementation.

Optimized inventory management leading

to better working capital utilization.

Comprehensive Human resource Management

System seamlessly integrated with Finance

System.

•Better management of Human resources

•Improved accountability.

Per Patient & Per Payer account

creation functionality.

Patient accounting not affected by ‘Visit’,

‘Episode’ & ‘OPD to IPD status change’.


Functional Differentiators - ClinicalDifferentiated Advantage Benefit to customer

Structured EHR centric clinical Modules -

Nursing, Clinical Assistant, Consultant & OT -

conforming to global standards

•Enhanced Patient Portability.

•Ease of integration with any standard

clinical system

Standard based, structured Clinical Information

Exchange mechanism, in place.

Conforms to Global standards related to

EHR & Tele Medicare.

‘Clinical Library’ to handle Specialty specific

form sets; Patient Education Materials and

Templates [consent forms, OT notes etc].

Vendor support is not required for adding

new specialty, procedures etc to EMR

leading to faster launch of new services.

Seamless integration with LIS & RIS modules

showing Lab results and Image thumbnails.

Availability of clinical information at ‘Point

of Care’, on a real time basis, improving

patient care.

Medical Drawings Annotation module

integrated with EMR.

Brings clarity to clinical communication and

reducing diagnostic errors.

Ability to aggregate clinical data e.g. ‘Disease

Registry’, Maternity Register etc

Quantifiable improvement in ‘Quality of

Outcome’ using ‘Pro-Active Care’

Provision of integrating ISABEL CDSS. Better diagnosis


Functional Differentiators - eMARDifferentiated Advantage Benefit to customer

Electronic Medication Administration Record

[eMAR] seamlessly integrated with Pharmacy,

EMR, CPOE, Nursing, OT and other Clinical

Modules.

Better Clinical outcomes.

Reduced clinical errors, enhanced patient

safety.

Enhanced patient satisfaction.

Comprehensive and seamlessly integrated

Pharmacy Management System.

Pharmacy planning and related cash flow

planning.

Brand substitution and related problems

reduced.

Configurable for Internal / External Pharmacy. Provides flexibility during implementation.

Drug Interaction management module with five

level alerts.

Ensures patient safety.

Functionality to integrate with external

Medication Data Base.

Up-to-date availability of corrected

information based on latest alerts.


Differentiated Advantages - RIS/PACS



RIS/PACS/Image Post Processing

functionality.

Faster implementation, lower TCO, Total

responsibility with one vendor and ease of

use.

Configurable for Internal / External

RIS/PACS.

Enables integration with best in class

standards based devices

RIS functionality, independently or as a part

of PARAS HMIS manages the work list and

task scheduling for all Medical Imaging

requests.

Optimal resource utilization using real time

data.

‘Enter Once Use Everywhere’ functionality

available w.r.t. Patient Demographics.

Availability of all advanced post processing

functionality including 3D, 4D and 5D image

manipulation

Helps in better diagnosis by making

advanced post processing techniques

available to the Radiology department.


Differentiated Advantages - Labs, Ancillary


Comprehensive and seamlessly integrated Lab

Information System [LIS]. Configurable for

Internal / External Labs.

Achieves completeness to the offering.

Also provides flexibility during

implementation.


Blood Bank Management System.

Provides administrative control and

enhances patient safety w.r.t. Blood &

Blood Product transfusion services.

Cord Blood Banking System Completeness of offering

Eye Bank Management System Completeness of offering

CSSD module Complements OT module’s functionality

Diet & Kitchen Management integrated with

EMR.

Achieves completeness to the clinial &

administrative offering.

Camp Management System Helps a hospital to manage outreach

events.


Differentiated Advantages - Srishti


An ISO 9000:2001, focused product company,

competing & delivering globally.

THE CUSTOMER will benefit from Srishti’s

best practices regarding product

development and implementation

Has a product road map for over a decade. THE CUSTOMER will be assured of

receiving newer versions of the product

conforming to standard developments in

the field

100% successful product implementation

record across geographies

Gains of successful and timely (early)

implementation are in terms of cost savings

and enablement of Management vision

ONICRA rating of SE AA+ THE CUSTOMER knows the Financial

Health of the company from which is

buying a product

Value PropositionValue Proposition Benefit

Predictability of Implementation and pro-active

management of Roll Out risks

[Srishti has 100% implementation record]

On-time implementation reduces costs and

enables Management vision on time

Bi-directional integration between ‘Business’ &

‘Clinical’ processes

•Leads to stoppage of revenue leakages

and material/financial mismanagement.

•Brings in huge operational cost reduction

and real-time management of resources

High configurability Leading to very low vendor dependency in

effecting business changes

Implementation of best practices tailored to

local needs

Ability to deliver improved patient care

conforming to local clinical, administrative,

accreditation & legislative requirements.


Value Proposition

Value Proposition Benefit

Dynamic Role Creation that shifts from

classical module wise access approach to

functionality group based approach.

•Increases efficiency and productivity

•Simplifies administration since

administrator has to only map ‘Users’ to

‘Roles’, which is easy to create using job

description/designation

•Reduced errors due to assigning wrong

permissions

•Prevents ordinary users from accessing

un-authorized data employing ‘URL

Replay’

Providing real-time view of key organizational

data

Enabling business owners in taking

informed business decisions

Engineered for future Reducing frequent re-investments in

technology


Srishti’s Track Record and Price Premium

• The reason why Srishti gets premium in price in the

marketplace is because the cost of failed or delayed

implementation is far more costlier and disruptive to

the customers.

• On the up side, the gains of successful and timely

(early) implementation far out weighs the price

premium in terms of cost savings and enablement of

Management vision”



Sample Clientele - PARAS HMIS• AAR Holding Limited, Nairobi, Kenya

• Yashomati Hospitals Pvt Ltd, Bangalore

• Dharamshila Hospital & Research Centre, Delhi

• Cloudnine Hospitals, Bangalore- Multilocation

• Zydus Hospitals Pvt. Ltd., Ahmedabad

• Centre for Sight, New Delhi

• Rajiv Gandhi Cancer Institute & Research Centre, Delhi

• SUT Hospital, Thiruvananthapuram - Multilocation

• K G Hospital, Coimbatore

• TATA Chemicals Hospital - Multilocation

• Sri Jayadeva Institute of Cardiovascular Sciences & Research - Multilication

• Narayana Nethralaya, Bangalore - Multilocation

• Mahavir Cancer Sansthan, Patna

• Prashanth Memorial Charitable Hospital, Muzaffarpur

Thank you Srishti Software Applications Pvt. Ltd.

L-174,6th Sector,HSR Layout,

Bangalore-560 102,India.

Telephone: +91-80-66143800 / 01Fax: +91-80-41109064

Email at: [email protected] : [email protected]

mailto:[email protected]

mailto:[email protected]

Back up Slides

CAS•Radiology Information System

•Laboratory Information System

•Operation Theater Management

•Blood Bank

•Electronic Medical Record (EMR)

•Order Communication

•Prescription Management System

•Disease Coding

•Image Management

•Drawings

PAS•Registration

•Appointment Scheduling

•Inpatient Management

•Ward and Nursing Management

•Patient Billing

PACS & Interface

•Laboratory Instruments

•PACS and RIS

•Biometric Devices

•eCRM

•Attendance Recording System

•Smart Cards & RFID

•Other Health System

MIS

PARAS HMIS

•Diet Management

•Kitchen Management

•House Keeping and Laundry Management

•Manifold

•CSSD

Others

PARAS - HIS Product OverviewERP

•Finance Management

•Inventory Management

•Pharmacy Management

•Equipment Management

•Asset Management

•Vendor Management

•Human Resource Mgmt


PARAS Technical Architecture


PARAS: Modules• Management of ‘Master List’

– ‘Station’ Master– ‘Service’ Master– ‘Discipline’ Master– ‘Specialty’ Master, etc

• User/Roles Administration– User creation– User rights management– Roles assignment– Disabling users

• Registration– New patient registration– Review Old record– Next-of-kin details– Risks & Alerts - Allergy, CoMorbidity– Associations - Persons, HCProf, HCInst.– Past History of Illness (HPI)– Personal, Family & Social History (PFSH)– Bar code / ID Card generation

• Appointment & Scheduling– Clinician appointments– Lab Scheduling– Radiology scheduling– Procedure scheduling

• Billing– Outpatient billing– Inpatient billing– Package billing– Corporate based pricing– Corporate billing– Insurance billing– CGHS format billing – Corporate / Insurance specific billing formats– Package Extra billing– Discounts– Write-offs– Philanthropic accounts– Advances– Refunds

• Doctor’s Workbench– Encounter’ View– Clinical Notes– Protocol Management– DRG– Prescription Management– Case sheet Management– Specialty Templates– Image Management– Drawings

Continued …


PARAS: Modules• Computerized Physician Order Entry

– Radiology investigation request– Laboratory investigation request– ADT request– Procedure request– OT request– Pharmacy request– Nursing request– Protocol request

• Wards & In-patient Management– Admission– Transfer– Discharge

• Nursing Workbench– Vital parameters– Treatment management– Nursing chart– Procedure preparation– Post-op management

• Pharmacy

• Laboratory Information System

• Radiology Information System

• PACS

• Radiology Workstations

• Operation Theater Management

• Integrated EHR– Patient’s demographic– Medication history– Previous episodes history– Past surgical history– Family history– Social history– Allergies– Past and current medication– Provisional & final diagnosis– Treatment plan– Clinician notes– Nursing notes– Laboratory test requests– Laboratory reports– PACS integration– Radiology reports– Disease Coding

Continued …


PARAS Suite of products

• PARAS HMIS

• PARAS Clinical Care System including EHR

• PARAS RIS/PACS

• PARAS Cord Blood Bank

• PARAS Diseases Registry

• PARAS e-Health Governance Framework


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