Bum Run Grad Hopital is 2000

8/7/2019 Bum Run Grad Hopital is 2000

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A Case Study onBumrungrad’s

Hospital 2000 Information

System



y





You are Curt Schroeder, CEO. How didthe HIS 2000 help You?

Robin KatariaWe are a service business and people

come to private healthcare in Thailand

because they expect efficiency and topquality. Information technology hasalways been a way to provide that.Hospital 2000 helps us get patientsregistered quickly , helps get their

pharmacy done, helps put informationat peoples' fingertips when and wherethey need it; helps us get the bill outaccurately and quickly and that helps

us to be very competitive in the verycompetitive healthcare market here in



Bumrungradhospital was originallyestablished as a 200 bed hospitalfacility in 1980. Can you trace its

growth upto 1997.?Aanchal Jointly owned by Bangkok Bank and

Sophonpanichfamily one of

Thailand's leading business family.Cost 90 million Thai Baht.Went Public in 1989Shifted to the new facility located at

the cnetre of Bangkok. Constructedat an estimated cost of $110 mn,the 12-ffloot building had 554 bedsand 21 operation theaters.

It had 600 physicians and anInternational Management Team to



What is the kind of situation that thehospital faced in 1997?

KamalThailand hit by economic

recession and South-East AsiaCurrency Crisis. Thai Bahatdipped sharply

Hit Middle Class Thai population

very badly from whom thehospital derived most of itsrevenue. They started shifting to

the Govt. hospitals.



At this stage what were thealterantives available to CurtSchroeder, CEO?

KrishnaShut down and lay off employer

Use it aggressively as anopportunity to build marketshare.



At this point Curt Schroeder remarked –We went with General Electricapproach- the Jack Welch Approach.

What is that approach?Tanu Jack Welch says, “ Where you

make you biggest market shareis during the down market.



What was the strategy that it adopt?

ZainTarget more Foreign Patients.Aggressive marketing to project

Global Hospital through InternetMarketing

Designed a Comprehensive

Website with informationavailable on the range of treatments and medical facilitiesavailable. Main Feature- Find a

Doctor . Appointments confirmed



On Dec 17, 199, the hospitalsuccessfully switched over from its oldIS to new customized IS 2000 . What

were the tasks involved during SystemImplementation?

GagandeepData Conversion from Old Unix

SystemTraining to 1200 strong Staff and

DoctorsInstallation of Required software

and Hardware



You are Curt Schroeder, CEO. How didthe HIS 2000 help You?

Robin KatariaWe are a service business and people

come to private healthcare in Thailandbecause they expect efficiency and topquality. Information technology hasalways been a way to provide that.Hospital 2000 helps us get patientsregistered quickly , helps get their

pharmacy done, helps put informationat peoples' fingertips when and wherethey need it; helps us get the bill outaccurately and quickly and that helps

us to be very competitive in the verycompetitive healthcare market here in



What were the needs that hospitalwanted to be addressed by HIS ?

NoshinSimplifying its internal operations primarily

billing by connecting all applications fromthe pharmacy to eating outlets to the

patients’ medical treatment so thatconsolidated medical bills could begenerated instantly.

Enable foreign patients to receive necessaryinformation in a language of their choice

and be able to book appointments andaccommodation online.Facilitate quicker treatment for its patients

at clinics within the premises and in theprocess save hospital's time and money

Connect with Suppliers and InsurersBoost online initiative.



Which of the Global Standards did HIS2000 adher to?

Ankit GuptaANSI- American National Standards Institute

Standards governing the exchange of clinical data and management , delivery

and evaluation of healthcare services.ISO 9002 Quality Certifications for all its

departments and systems.Certified as a Comprehensive Tertiary Acute

Medical Centre. World’s first healthcare

company to get such certification“It is not a magic cure, but whether you’re

selling cement, steel or healthcare,without third party validation, it is difficultto get international recognition.



Which is the company that installed theSoftware?

MadhuriGlobal Care Solutions- A

Luxemburg based Company.

Y P t i k D i CEO GCS



You are Patrick Downing, CEO, GCS.How did you visualize the requirementsfor a complete Electronic Medical

Records of a Patient?Ashok KumarMedical history.

Diagnostic Tests Results- X-ray,MRI, Ultrasound, Lab TestsMedical Treatment

Video Conferencing



Which were the main operations whereIT systems were deployed?

SaneelOut Patient Sys

Accounting SysIn-house Patient SystemDocument Management system.



Each system was run on differentdatabase engines. What were those?

SumitOracle

IngressInformixSybase



What all did the database conversioninvolve? What were the challenges?

SiddharthDocument Management System

developed by FileNetCorporation.

They had their ownCommunication Protocol

Most of Data in Thai Language.Mapping Difficult

5 Million documents had to be

scanned as patient records



How did GCS meet that Challenge?

ParminderGCS wrot a program called

“FileNetConverter” whichconverted each document into aTIFF file and saved it in MS NTFSfile system

The program administeredwithout interruption for sixmonths.



How many of Desk tops, scanners,printers were required?

Ravi450 Desktops with 400MHz

Celeron processor with 64-128MB RAM

4 Xeon based ServersPower Vault Storage System.100 Printers120 Scanners



Which of the System and ApplicationSoftware installed?

AyushMS Windows 2000 Professional

MS VB 6MS SQL Server 2000Microsoft Exchange 2000

Microsoft Windows 2000Advanced Server.



What was the System Architecture?

SahilBuilt in Three Tier Architecture.

PC based Clients, TransactionServers, Database Servers(Clustered Servers).

Database servers supported OLAP

( On line analytical Processing)



How was the Network laid out-?

AnshaInternet was connected with LAN

over a Router.

Departments connected throughHUBS and Switches.

Fiber Optics Cable used

TCP/IP Protocol usedThe number of Clients increased

from 450 in 1999 to 900 in 2004



How was the software installed?

Varun -270It was installed from a remote

location using proprietarysoftware. The installation of upgrades also became easier.

One of the critical operation of



One of the critical operation of installing the new system was theformal switch from old to new system.

What kind of switching did it opt for?NirbhayOne Time Switch over.

This type of switch over is risky as



This type of switch over is risky, asthere is always a danger of failure of switch over. How did they ensure

smooth switch over?VikasThrough proper planning,

preparation and Coordination.

Within 48 hours of operations allmajor issues were addressed.GCS team was available for the

next 15 days to ensure thatsystem and network wereproperly attuned.



How was the Training organised?

Prateek GCS trained the trainers in

coordination with the hospital's

Education and Trainingdepartment.

Simulated Training set up

comprising 40 PCs. EachDepartment was simulated.



What were the new features introducedsubsequently?

AmitFeb 2002- PACS- Amalga Picture

Archive Communication System –Cost 28 mn Baht.

Runh on Microsodr Windows2003/SQL Server platform.

It comprised all X-Ray images storedin digital format

The system comprised diagnosticsoftware with a complete packageof image manipulation andreporting tools for radiologists

Documents

Bum Run Grad Hopital is 2000