A Hospital Management Information System (HMIS) is an element of health informatics that focuses mainly on the administrational needs of hospitals. In many implementations, a HIS is a comprehensive, integrated information system designed to manage all the aspects of a hospital’s operation, such as medical, administrative, financial, and legal issues and the corresponding processing of services.
One of the most important issues is health services. Hospitals provide a medical assistance to people.
Hospital Management Information Systems (HMIS) provide a common source of information about a patient’s health history. The system has to keep data in secure place and controls who can reach the data in certain circumstances. These systems enhance the ability of health care professionals to coordinate care by providing a patient’s health information and visit history at the place and time that it is needed. Patient’s laboratory test information also visual results such as X-ray may reachable from professionals. HMIS provide internal and external communication among health care providers.
The HMIS may control organizations, which is Hospital in these case, official documentations, financial situation reports, personal data, utilities and stock amounts, also keeps in secure place patients information, patients medical history, prescriptions, operations and laboratory test results.
The HMIS may protect organizations, handwriting error, overstock problems, conflict of scheduling personnel, and official documentation errors like tax preparations errors.
Provides access to all patient registration procedures – normal, Revisits and Emergency Patient Identification Number (UID(AADHAR)/CR No./ Organization specific No.) Patient Photo Capturing Patient ID Card with Barcode / RFID Card / Tags Patient Demographic Details Assigning Consulting Doctor to Patient OPD Visit and Appointment Scheduling Appointment reminder sent via SMS/Email to patient Doctors can view Patient Appointment Calendar Admission Scheduling Dynamic Display for Bed Status (Vacant/Vacant but not released/released but not cleaned etc.) Room / Ward Booking for Patient Dependant Bed Facility Newborn Admissions will be carried out based on Mother baby linkage Booking facility on Doctor wise / Specialty wise Includes scheduled and Emergency Admissions and Patient Inquires Enter and Update Admissions and Demographic Data into the system Patient Belt – Barcode /RFID interface with Handheld Scanner / PDA Service Ordering Viewing of Stay Information for a Patient Discharge of Patients and Discharge Summary edition. Ability to transfer patients between Beds and Wards Move Patient between Beds and Wards (Both Beds Occupied) IPD Package creation Health Check-up plan Health Card Automatic billing with manual overrides Discounting and subsidy Discounting managed in 3 ways 1) Bill wise 2) Service wise 3) Authority wise Patient receipt managed in 3 ways 1) Cash 2) Credit and 3) Settle against Deposit Corporate and Insurance billing as per negotiated rates Co-pay facility Refund to patient, facility available against validation and verification of patients clinical transactions For cashless patients cash bill can be generated if "Noncash less" flag is selected For Cashless Patients , in case of “Not Applicable Services” Cash bill is generated and for “Applicable Services” Credit bill is generated separately Service Tax and Rounding functionality are added in billing In-patient bill monitoring Accepting patient’s payment as Deposit with transaction locking facility Online Posting in Finance Viewing of receipts Bill printing and reprinting Cash collection reports Cashless flow for: (1) Insurance (2) Government Schemes (3) Corporate Clients (4) Charity/NGO/Trust/School (5) Ready format of insurance companies Viewing Scheduled Patient for the Day Recording Medical Observation and Records of Patient Consultation Capturing Patient’s data, document scanning and storage facility Order Communication (1) Laboratory and Radiology Investigation Request (2) Procedure and Clinical Service Request Drug Prescription Regional Language Support for Prescription/Treatment Advise Special Alerts to Consultant Browsing Medical History and Investigation Results Interfacing of Patient Calling System for Consultation Viewing Inpatient with Locations Viewing Patient Out standing Recording Medical Observation and Records of Patient Consultation Order Communication (1) Laboratory and Radiology Investigation Request (2) Procedure and Clinical Service Request (3) Instructions to Nurses (4) Preparing / Revise Treatment order sheet Drug Prescription Regional Language Support for Prescription/Treatment Advise Browsing Medical History and Investigation Results Preparing Discharge Summaries Issuing various types of Certificates such as Fitness, Leave, Birth, Death etc Patient health information including demographics. Patient Photo Capturing. Progress Notes. Problems. Medications. Vital Signs. Past Medical History. Immunizations. Administrative System Data. Laboratory System Data. Radiology System Reports. Pharmacy System Data. Computerized Physician Order Entry. Clinical Documentation. Ability to generate a complete record of clinical patient encounter, as well as supporting other care related activities directly or in-directly via interface. EHR enable the administrator to obtain data for billing, Physician to see trends in the effectiveness of treatments, a nurse to report an adverse reaction and Researcher to analyze. Doctor wise dynamic Medical Record generation facility. Administrative and Clinic Management Reports Configurable Test (1) Test Name. (2) Faculty to which it belongs to. (3) Test wise container defined. (4) Re-agent used . (5) Reference deviation ranges for panic high/ low etc. (6) Formula base test. (7) Multicolumn base test. Test request can be raised from OPD and Wards. Sample Collection with Barcode Generation. Configuration based on Sample Collection, Dispatch & Acknowledgement. Complete Specimen tracking. Test Results captured with machine interface and authorization facility. Cumulative result check and parallel multiple approval/verification. Report indication using deviation data. Test Repeat facility (Incase of container breakage, sample haemolysed, missing, re –run). Sample Dispatched to Patient Report delivered, tracking by Barcode. Patient test Trends and Co-relation graphs. Templates stored in Microsoft Word / Open Office Format Other than Radiologist, Reports can be only viewed in .pdf format. Integration with PACS Radiology Order Processing Result Verification & Reporting Film Consumption Scheduling of Appointment Donor’s Registration. Donor’s Availabilities. Other Donor Detail. Blood Samples. Cross Match. Blood Inventory Management. Report On Stock. Procedure and Transfer. Doctors / Nurse can suggest Diet Category like Liquid Food, Solid Food, Semi-Solid Food, Diet Food etc. Diet Package / Menu plan available. Maintained under 8 heads (Bed Tea, Break Fast, Healthy Drinks, Lunch, Snacks, Juice, Dinner, Milk). Special Screen for Dietitian. Patient Likes and Dislikes Recorded`. Dietitian can view Patients Key Health Indicators, Drugs, Lab Results, Input/Output Investigations etc. and prescribes Diet for Patient Online. Dietician reviews diet prescribed by the consultants – approve or amends. Diet details and calories. Diet KOT (Kitchen Order Ticket) for all Patients. Generation of Sticker Sheet for Patient Diet including Patient Name, Ordered Food and Bed /Ward as per Diet KOT. Nurse Entry Screen for recording Food Issued Timings to Patient. Option for Multiple Surgery for same patient in same OT. Standardization of each surgical procedure. OT charges calculated on Surgery wise/ Anesthesia type wise hourly rates. Surgery mapped with Surgery grade as per TPA-PPN standards. OT Scheduler for Scheduling, Cancellation, Re-scheduling of surgical procedure. Surgery Record for capturing & archiving Operations details, personnel involved during surgery. Captures and keep tracks of medical equipments associated with operation. Recording of all materials and pharmacy issues to the patient during procedure. Captures Diagnosis, pre / post operative and surgery notes. Built-in templates to capture information and allows to design user, need specific templates. Anesthesia note parameterized including Surgeon’s Pre-Operative Notes, Operative Consent, Surgeon’s Post-Operative Note. Anesthesia progress note available with OT vital detail represented in progress graphs. Alerts for allocated dates / time of specific resource previously scheduled. Generation of pre-surgery list, consent forms etc. Captures the Pre-Intra-Post operative notes. Generates activity / efficiency reports related to OT. Image/Video Capturing capability. Image Centre - Central Storage of Image/Video. Patient Records / OT Module should be able to capture certain info required to do an CQI audit and analysis as per NABH. % of Medication Error. % of Transfusion Reactions. Urinary Tract Infection Rate. Respiratory Infection Rate. Intra-vascular device infection rate. Surgical site infection rate. Bed Occupancy Rate and Average Length of Stay – (combined & specialty wise). Incidence of Needle stick injuries. Incidence of bed sores after admission. Incidence of falls, etc. Online Request for CSSD packs. Line packs / Instrument sets linked to surgery. Surgery wise pre alert/report for preparing sets for next day’s surgery. Defining Sets and it’s instrument – Inventory control. Maintains information related to production cycle, supply to clients and return of used products for Re-Cycling and Inventory of CSSD. Accessing all the Patients at a Particular Nursing Station. Patient Progress Recording & Monitoring. Drug Administration and Recording. Viewing and processing Doctors Orders. Treatment Sheet. Nursing Notes. Vital Chart. Intake and Output Recording (Fluid Chart). Viewing Archived Records and Investigation Reports. Bed Transfer. Nursing Sub Store Management. Discharge Intimation. OT Schedule Request. Diet Order. Duty Schedule for Doctors. Duty Schedule for Nursing Staff. Duty Schedule for Clinical and Non-clinical Staff. Schedule Printing. Shift Change Request. Supports Main Store & Multiple Sub Stores. ABC Analysis categorized by Lead Time, Consumption, Criticality. Various type of parameter can pass for item master such as product type, purchase & Sales unit, High Risk Item, Content & Instruction can be stored. Tax Configuration (CST / VAT). Stock Calculation on Period basis (Daily/Monthly/Quarterly/Yearly). Stock Verification. Items can be mapped for each store. Purchase Requisition , Indent, Purchase Order Requisition, Approval, Audit. Rate Contract. Consignee Management. Gate Pass. Goods Receipt Note. Goods QC. Online Bill Approval by concern HODs. Purchase Bill Passing with Credit Period Terms. Purchase Return. Item Issue against Requisition. Item Issue to Employee. Item Issued to Patient (for Bed Side). Item Return From Patient. Item Return From Employee. Inventory Control tool Like MUSIC 3D. Reorder Level report based on item consumption, Lead Time & MUSIC -3D Approach. VAT Report Such as 201, 201A, 201B, 201C, VAT Summary etc. Various Decision Support & Analytical Report. Defining Stock Levels for Various Items. Sales Invoicing Cash, Credit & Cashless. Online Stock Status (Batch-wise) during Sales. View last 10 bills and last 10 times sales. Control Over Expiry/ Breakage. Drug Expiry and Expiry Aging Report. Non-moving, Slow-moving and Fast-moving Drugs Reports. Prescription wise Sales. Substitute wise Sales. Sales Return. Verification of purchase rates by Admin user. Supports all Tax Structures including VAT. Various Analytical Reports on Sales & Return. Maintenance Of Debtors. Generation Of Receipts. Generation Of Various Receivable Reports. Reminder Letters For Cheque Returns. Maintenance Of Bills Payable. Generation of Payment Vouchers. Generation of Refund Vouchers. Merge Payment for Cheque. Cheque Printing. Generation Of Various Payable Reports. Voucher Entry. Generation Of Various General Ledger Related Reports. Bank Reconciliation. Multiple Adjustments. Write – Off Vouchers. Debit / Credit Note. Costing & Budgeting. Voucher Type Wise Security. Day Books Reports (Cash / Bank Books With Summary, Debit / Credit Note Registers With Summary). Cash & Bank Positions Reports (With Summary). Division Wise And Consolidated Sub Ledgers. Division Wise And Consolidated General Ledgers. Division Wise And Consolidated Trial Balance. Cost/Profit Center Details. Bank Reconciliation Statement. Adjustment Reports. Aging Reports. Profit & Loss for Given Period. Balance Sheet. Employee Records. Recruitment Process. Document Management (Scanning and Storage) for Employee related documents, Photo, Certificates etc. Parameterized Allowances, Deductions & Salary Process. Training and Need Identification. Performance Rating / Appraisal. Service Book. Attendance Administration. Online Leave, Tour, Permission, Shift Change Permission and Approval. Over Time Management. Special Reports for Government Departments. Loan and LIC Administration linked to Payslip. Income Tax Form 16. PF Reports such as Form 3A, 6A, 12A, Form 5, Form 10 and more. Social Benefit Administration. Separation Process. Biometrics Device Interfacing for Auto Punch of Attendance. Recording of all Patient Inquiries, Services provided by Hospital. Easy Follow-up Database for all Inquiries. Follow-up Screen for Telecallers, Status update, Next Schedule Date, Confirmed or Lost. If Inquiry Status is confirmed and set for Patient Arrived, Patient CR No. is mapped. MIS data on Patient Inquiry available, Conversion Ratio (No. of Inquires Vs Actual Admission). Patient Complaint Register – Customer Care Officer registers patient/relative complaints. Service / Department / Staff Name is captured in the complaint. Complaint Email/SMS to respective Dept. Head. Patient Feedback Register – Feedback form received from patient can be entered into CCM module. Customer Feed / Complaint Analysis – Customer Satisfaction. Complaint Solution or Response Register. Address Directory for Marketing. Exhaustive Asset Details, Copy Facility Of Asset Details. User Entered Or Auto Asset Code Generation. Capitalization Of Assets. Lease, Hire-Purchase, Insurance, Allotment, AMC Details, Shift Details. Multiple Levels Of Location For Asset. Depreciation Calculation According To Co. Act, IT Act. Depreciation Methods – SLM, WDV. Sale / Discard Of Asset (Full / Partial). Transfer Of Asset. Attachment / Detachment Of Asset. Change Of State. Design Maintenance Plan for Equipments. Preventive Maintenance Schedule for Equipment. Break-down Maintenance Registration. Allocation of Maintenance Job to Employee/Contractor. Maintenance Log and Status Report. Maintenance of Linen and their status. Request for fresh Linen from Wards. Condemnation of Torn or Solid Linen. Procurement of fresh Linen Hygiene Module (Cleanliness Complaints and Response). Raising Maintenance and Other Service Request from various Departments. Responding to the Maintenance Request Raised. Uploads Scanned Records (Referral letters, Treatment notes, Medical reports etc.). Generic Medical Records. Tracking of Case File. Reports and Reminder for Submission of Notifiable Diseases. Patient Analytics. Recording of all Hospital Licenses with License Name, Type, Issuing Authority, Department, Effective Date, Expiry Date etc. For Renewal, email facility to concern person for renewal and attachment of license copy-scanned image. Reports and Reminder for Renewal of License before time Various levels of security built in at each level Module Unit Configuration Module Report Configuration User Category Generation with mapping Units and Reports. User Master User base Module rights Blocking the user Allowing the user to change password Hospital Master Creation. Hospital Configuration. Hospital Module Map. Dashboard for users. Patient Task. General Notice. Employee Task. Audit Trail. User’s Log in Details. Billing unit with Swap Card for Credit Card Transactions. Time and Attendance Recording Systems with Bio-metrics, Scanners, Swap Cards etc. Lab Equipments / Analyzers for Direct Transfer of Results to Reports. Bar Code, Smart Card, RFID, Biometric etc. PDA, Mobile Devices and Tablet PC. Digital Display Boards for Patient Calling System. Nurse Calling System of Nursing Station. PACS (Picture Archival and Communication System). SMS/Email.