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PARAS HMIS: A Patient Centric
Comprehensive & Integrated
Healthcare Delivery Platform
Srishti Software Applications Pvt. Ltd.
L-174, 6th Sector, HSR Layout
Bangalore - 560102
© 2015 Srishti Software Applications Pvt. Ltd.
PARAS Overview
© 2015 Srishti Software Applications Pvt. Ltd.
PARAS Overview
© 2015 Srishti Software Applications Pvt. Ltd.
PARAS: Evolution
Before writing the first line of code, we did a global survey involving more than130 hospitals, including 73 in India.
This exercise was undertaken to know the key areas of concern of HealthcareProviders globally which included a broad spectrum ranging from hospitals thatwere using world class solutions to the hospitals that barely had anythingautomated.
Addressing these key concerns became the cornerstone of our functional andtechnical roadmap since we wanted to deliver products that are relevant in thecurrent scenario of running hospitals or healthcare institutions effectively.
© 2015 Srishti Software Applications Pvt. Ltd.
• Covers Entire Spectrum of Patient Care with conformance
to Global Standards of Care
OP / IP / OT Care
ER / ICU Care
Referral Care :Opinion, Advice, Treatment, Panel Care, Complete
Patient Transfer
Tele - Medicare / Home Care
Chronic Disease Care / Disease Registry
• Based on Criticality and VIP status of the patient prioritized
queuing across whole application be it OP, IP, Nursing,
Lab, Radiology etc. scheduling
• Automatic Risk Alerts and Notifications sent
Differentiators
© 2015 Srishti Software Applications Pvt. Ltd.
• Complete bi-directional integration between ‘Business’ &
‘Clinical’ processes - Stops revenue leakages and
optimizes resource utilization.
• Native multilingual support: Chinese, Vietnamese, Arabic,
English versions already available.
• Multi location product that enables centralized monitoring,
intelligent decision making and improved audit controls.
• Cloud & Mobile ready.
Differentiators
© 2015 Srishti Software Applications Pvt. Ltd.
• EHR Centric Clinical Information Management System
• Patient Safety fully taken care of Using ‘Alert n Risk’ Flags
• Access and Continuity of Care of Record [A n CCR] module
conforming to Global Standards ensures no break in care
• Specialty form Sets, Clinical Pathways, QOF, Care Plan
Framework & CDSS
• Provider Registry Module to manage the care delivery eco –
system
• Day Care & Emergency Care module ensures patient care as per
global standards in non routine settings
• Uniform Clinical Dashboards / Super Specialty form sets / Clinical
Pathways enable standardized delivery of care across locations
and to look at Doctor / Location specific clinical outcomes
Clinical Care Differentiators
© 2015 Srishti Software Applications Pvt. Ltd.
• Comprehensive Bidirectional Integrated Administrative and
Clinical Nursing system
• Structured EHR centric clinical Modules - Nursing, Clinical
Assistant, Consultant & OT - conforming to IOM Gold
standards
• Access and Continuity of Care of Record [A n CCR]
module conforming to Global Standards ensures no break
in care
• Nursing instruction & Nursing compliance reading and
writing to EHR
IP Care Differentiators
© 2015 Srishti Software Applications Pvt. Ltd.
• Enterprise wide Admission, Discharge, Transfer [ADT]
along with Referral & Follow Up functionality
• Clinical Library’ to handle Specialty specific form sets;
Patient Education Materials and Templates [consent
forms, OT notes etc].
• Order-Set functionality
• Integrated diet module
• Standard discharge template
IP Care Differentiators Continues…
© 2015 Srishti Software Applications Pvt. Ltd.
• Enterprise wide provisional and confirmed OT Scheduling
with functionality to add Primary Surgeon(s), additional
surgeon(s), Primary Anesthetist(s) , Secondary
anesthetist(s) , Equipment and CSSD / Pack
• Integrated with CSSD module
• Pre-Operative, Per-Operative and Post-Operative clinical
documentation in “Surgery Record” of EHR
• Standardized OP note template
OT Care Differentiators
© 2015 Srishti Software Applications Pvt. Ltd.
• Optimized Casualty Admission and initial Triage
functionality
• Triage based on Emergency Severity Index [ESI]
Algorithm.
• Color coded listing on ER Physician’s page, based on
Triage
• Integrated with Ambulance Management System
• Integrated with invasive and non-invasive devices
• Standard Trauma Scoring Forms – eg Glasgow Coma
Scale
Emergency Care Differentiators
© 2015 Srishti Software Applications Pvt. Ltd.
• EHR centric Critical Care Module
• Centralized High Dependency Unit [HDU] Monitoring
Dashboards for ICU Stations
• Definition of Abnormal & Critical values – linked with visual
& sound alarms
• Four Group of Critical Care Order Sets:
Peripheral Infusion Line with Non-Invasive monitoring
Central Infusion line with Invasive monitoring
On Ventilator Support
On Ventilator + IABP Support
ICU and HDU Care Differentiators
© 2015 Srishti Software Applications Pvt. Ltd.
• Use of both Communication & Information Technology
• Being used for real-time direct collaborative patient care
Goal: Continuous Management
Data: Multi-disciplinary Care Record
Focus: Patient-centric, collaborative
• Technology: Multi-Point IP VPN [Synchronous]
Multi-Point IVRS [Synchronous]
Multi-Point Video-conferencing [Synchronous]
Multi-Point Call Centre [Asynchronous]
Multi-Point Store & Forward [Asynchronous]
Tele-Medicare Differentiators
© 2015 Srishti Software Applications Pvt. Ltd.
Benefits of Implementing PARAS
Benefits of implementing
PARAS
Covers complete
spectrum of care
Accountable patient care
EHR Centric Approach
Benefits to doctors
Technology
Organizational benefits
© 2015 Srishti Software Applications Pvt. Ltd.
Accountable Patient Care
Patient Identification / Correct site of procedure
Infections Control
High risk Medication alert
Ensure effective communication
Order
Access to Care
Patient Right
• Consent Mgmt
• Legal Choice
• Status Disclosure
• Patient Record Mgmt
Priority Scheduling & ‘Q’ Mgmt (VIP status, criticality of patient)
Health need & Emergency
Messaging, Notification & Alert Mgmt
Emergency & Triaging
Access to Care
Continuum of Care
Plan of Care / Surgical Care
Referral Mgmt
Laboratory Information System
Radiology Information System
CareEHR Centric Modules (EMR, Nursing, Consultant, Therapy, Diet)
eMAR
Clinical Pathways / Specialty Formsets
BB / CBB / EB
CPOE
Care
EHR: Electronic Health Record
CPOE: Computerized Physician Order Entry
eMAR: Electronic Medicine Administration Record
BB: Blood Bank
CBB: Cord Blood Bank
EB: Eye Bank
EMR: Electronic Medical Record
© 2015 Srishti Software Applications Pvt. Ltd.
EHR Centric approach
© 2015 Srishti Software Applications Pvt. Ltd.
PARAS Covers Complete Spectrum of Care
© 2015 Srishti Software Applications Pvt. Ltd.
• Templates / data sheet available
• Order set functionality
• Alerts and notifications of patient’s orders & status
• Accurate and sophisticated doctor accounting
• Facility to upload data and drawings
• Access to patient record from any where
Benefits to doctors
© 2015 Srishti Software Applications Pvt. Ltd.
Organizational Benefits
End to End patient billing cycle management
Highly configurable tariff plan
Direct integration with payer
Ready & accurate documentation for claim settlement
RCM
Recruitment /Attendance / Payroll Mgmt / Duty Roaster
Seamlessly integrated with Finance System
Integration with biometric devices
Multi Location: Resource optimization
HRBidirectional Integration b/w clinical and non-clinical processes
Real-time transaction view
All GL entries come directly from business processes
Lowers revenue leakages
Finance
GL: General Ledger, HR: Human Resource
RCM: Revenue Cycle Management
© 2015 Srishti Software Applications Pvt. Ltd.
Organizational Benefits
Availability of documentation on real time basis
Ability to view compliance
Ability to provide data – government & regulators
Multi-location PARAS framework implementation
Governance, Leadership
and Direction , Better audits &
controls. Better financial management
Can implement standard processes in clinical and non-clinical areas across the organization
Patient portability
Better view of patient and department revenues
Quality Improvement
& patient Safety
Configurable hierarchy creation
Per Asset Account creation functionality
Multi Location: Resource optimization
Conforms to institutional process flow
SCM
SCM: Supply Chain Management
© 2015 Srishti Software Applications Pvt. Ltd.
• Bidirectional Integration between clinical and non-clinical
processes
• Web based, cloud & mobile device ready
• On-demand scalability
• Multi Lingual support
Technology
© 2015 Srishti Software Applications Pvt. Ltd.
Standards
JCI/NABH standards
Privacy [Access control, Authentication & Non-repudiation] & Security standards: HIPAA
Workflow Standards: CCR, CCOW
Accounting Standards: GAAP
Messaging: HL7 (clinical), X12 (business), DICOM (imaging) etc.
Functionality standards: CCHIT
Clinical Standards [Controlled Medical Vocabularies (CMVs) for Diseases
© 2015 Srishti Software Applications Pvt. Ltd.
Standards
Procedures, Medications, Observations, etc.] - ICD, SNOMED, LOINC, CPT, etc.
Minimum Data Set [MDS] compliance
SOAP format for standardized recording of Clinical care
Clinical Process Guidelines [CPGs] for Standardized delivery of Clinical care
Formats/Templates for Patient demographics, Billing, Transactions etc.
Identifiers for Patients, Providers, Payers etc.
© 2015 Srishti Software Applications Pvt. Ltd.
AAR Group, East Africa
30 existing locations
and plans to reach
100 locations spread
across 19 countries
in Africa
Contract awarded to Srishti with very challenging implementation schedule.
The contract included all modules – Clinical & Non-Clinical across all locations
Integrated with Insurance management including online claim processing
Optimization of resources resulting in reduced manpower costs and utilization of
clinical personnel
Optimization of Inventory Management across locations. Stoppage of revenue
leakages
Accessibility of Patient & Payer Record at point of care across locations
Case Study- AAR
© 2015 Srishti Software Applications Pvt. Ltd.
CFS Group of Hospitals, INDIA
50 locations live and
aiming to reach 120
locations spread
across India in next
24 months
Contract awarded to Srishti with very challenging implementation schedule.
Centralized Procurement and optimization of Inventory Management across
locations
Centralized Monitoring with Audit, Controls & Approvals. Stoppage of revenue
leakages
Accessibility of Patient & Payer Record at point of care across locations
Patient Payments and Advance Adjustment across locations
Case Study- CFS
© 2015 Srishti Software Applications Pvt. Ltd.
Zydus Group of Hospitals, INDIA
Business plan for setting up a chain of multispecialty hospitals by big Pharmacy company Zydus Cadila
Contract awarded to Srishti after Global evaluation
Operationally live with all clinical modules in five months at centralized location
Being a green field project, the biggest challenge faced was non availability of senior business persons
We helped them in building the SOPs and Best Practices in both clinical and administrative areas
required to operate a tertiary care multispecialty hospital in India
Case Study-Zydus Cadila
© 2015 Srishti Software Applications Pvt. Ltd.
RGCI, INDIA
Global tender for procuring best in class solution to take care of next 15 years of hospital needs
One year of evaluation with 31 vendors participation. Evaluation involved 21 HODs, 2 Ext Consultants
& Board. Contracts awarded to Srishti for a Comprehensive HMIS
Worked in partnership with other vendors - Vista (Clinical Oncology), Fuji (PACS) & eGestalt (Project
Mgmt) - to deliver seamlessly integrated solution using HL7 Standards
Being a green field project, the biggest challenge faced was non availability of senior business persons
Customer has gone live, Implementation on time
Case Study- RGCI
© 2015 Srishti Software Applications Pvt. Ltd.
• 100% successful implementation
• 24x7 Support
• De-risking solution obsolescence
• We are a healthcare focused product company
Benefits of engaging with Srishti
© 2015 Srishti Software Applications Pvt. Ltd.
PARAS in NASSCOM “Exemplars Quadrant” for Enterprise Solution Category
© 2015 Srishti Software Applications Pvt. Ltd.
Recent Achievements
eIndia Award for best ICT Implementation in Private Healthcare
Infoweek EDGE Award to CFS (Our Customer) for innovative Healthcare Solution (PARAS) implementation
Eminent Healthcare Expert Dr Sandeep Chatrath receives the prestigiousIndia's Most Promising Healthcare Chain 2014 for Dharamshila Hospital& Research Centre (Our client).
Dr. Sandeep Chatrath also declared by the Jury as the CEO of the YearHealthcare 2014 at Asia's Biggest Leadership Event, the 5th Annual IndiaLeadership Conclave 2014
© 2015 Srishti Software Applications Pvt. Ltd.
Recent Achievements
Summary of citation for these awards: Enabled client in Building an efficient organization
with
No Revenue/Inventory Leakages and resource optimization
Enforcement of Audits & Controls
Multi – Locational deployment
Complete two way integration including workflow and approvals
Accessibility of Patient & Payer Record at point of care across locations
Availability of Patient Records across locations
© 2015 Srishti Software Applications Pvt. Ltd.
• Began operations in May 2005
Current Employee strength 150, including partner’s team strength will be
around 375
• Product focused Company with global reach.
• Honoree in the NASSCOM EMERGE 10 Software category for the
year 2010.
• 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.
About Srishti
Feedback / Next Action Plan
Thank You
Srishti Software Applications Pvt. Ltd.
www.srishtisoft.com