Early Benefits Include Increased Outpatient Throughput, Better Inventory Control, Rapid Access to Lab Results, and Reduced Allergy and Drug Interaction Incidents
NEW DELHI, India & SYDNEY, Aust. – April 23, 2009 – InterSystems Corporation today announced that Sir Ganga Ram Hospital, a 650-bed multi-specialty state-of-the-art hospital in New Delhi, has deployed the InterSystems TrakCare™ advanced Web-based healthcare information system (HIS).
Early benefits from the TrakCare HIS include increased outpatient throughput, savings through better inventory and medical package control and support for pharmaceutical substitution, more rapid access to laboratory results, reduced adverse allergy and drug interaction incidents, and improved continuity of medical records.
TrakCare’s ability to automate patient billing in a very complex environment is a major contributor to Sir Ganga Ram’s efficiency improvements. With over 400,000 outpatient visits per year, the hospital has reduced its outpatient processing time by 40% to increase patient throughput. The automated allocation of collected billing items saves 1.7 hours in a 4-hour registration shift.
A rapid solution for Sir Ganga Ram’s complex billing was possible because TrakCare is Web-based and easy to configure with little or no customisation. “This is what contributes to the flexibility of the software and the reason for its success in a complex hospital like ours,” said Dr. Karanvir Singh, the surgeon responsible for the HIS implementation.
Sir Ganga Ram chose TrakCare to replace its previous 20-year-old HIS over competing solutions because of InterSystems’ track record of successful HIS implementations at hundreds of sites around the world and its technology advantages. These advantages include that TrakCare is Web-based, that all its modules operate within a unified information environment, and that it is built on the InterSystems Caché® database. “We now realise that our high transaction rate – with a peak rate of 2,500 per hour – is only possible because we are using Caché,” said Dr. Singh.
Because TrakCare is Web-based, it is easy to use and supports flexible screen designs, including the ability to present the same information differently within different workflows, something Sir Ganga Ram required.
According to Dr. Singh, TrakCare’s flexibility allowed it to overcome a number of factors which initially indicated that Sir Ganga Ram would be a difficult implementation. These included the hospital’s 35 specialties, many with different workflows which have “hardened” over the hospital’s 50 year history, making them difficult to change.
“Basic rules for each department are framed by the departmental head,” said Dr. Singh. “Although this helps each department provide the best possible care, it leads to a complex implementation environment. This is where TrakCare’s extreme flexibility was useful – almost all configuration was done via master tables alone.”
TrakCare’s ability to present a unified set of healthcare information across all modules, combined with powerful security, has allowed Sir Ganga Ram to achieve savings in inventory control, medical package control and pharmaceutical substitution. “TrakCare supports multiple security clearances with control at a high granularity level,” said Dr. Singh. “All activities, including the act of simply viewing a record, can be audited.”
This has allowed Sir Ganga Ram to prevent inventory “leakage”. With inventory levels linked to patient billing, inventory levels now change only when actually billed to the patient. Combined with security rights restrictions and audit trails, the hospital knows exactly who is responsible for every activity related to inventory.
Sir Ganga Ram was also able to understand where it had been losing money on medical packages. Previously cost control was imprecise. “TrakCare gives us many ways to control expenditure within packages,” said Dr. Singh. “This includes defining what is allowed in each package at the group, subgroup or item level and setting limits on the number or value of items.”
The new HIS has also led to substantial cost savings through pharmaceutical substitution. Doctors often prescribe a medicine which Sir Ganga Ram does not stock but for which a substitute is available. Previously the pharmacist would arrange for the prescribed medicine to be purchased externally at premium rates for delivery to the patient. Now the system automatically checks for substitutes in stock and replaces them.
At a recent breakfast event coinciding with HIMSS AsiaPac09, Dr. Singh advised other hospitals looking for a new HIS solution to properly evaluate their scalability, speed, flexibility and interoperability. “Visit a hospital with high volume transactions at peak hours and assess the software response time,” he said.
When it comes to flexibility, hospitals need to understand exactly how their individual IT requirements would be met said Dr. Singh. “Do you have to approach the developer whenever your hospital wants changes? Or can it be done by simply changing the master tables? The better software products will allow more control via master tables than others. TrakCare, for example, allows virtually all customisations via master tables alone.”
InterSystems Corporation is the worldwide leader in software for connected healthcare. With headquarters in Cambridge, Massachusetts, and offices in 22 countries, InterSystems provides innovative products that enable fast development, deployment, and integration of enterprise-class applications. InterSystems TrakCare™ is an advanced Web-based healthcare information system that rapidly delivers the benefits of an Electronic Patient Record. InterSystems CACHÉ® is a high performance object database that makes applications faster and more scalable. InterSystems Ensemble® is a rapid integration and SOA platform that enriches applications with new functionality, and makes them connectable. InterSystems HealthShare™ is a platform that enables the fastest creation of an Electronic Health Record for regional or national health information exchange. InterSystems DeepSee™ is software that makes it possible to embed real-time business intelligence in transactional systems, enabling better operational decisions.
InterSystems is the world’s #1 vendor of database and integration technologies for healthcare solutions. InterSystems products are used by thousands of hospitals and labs, including all 19 hospitals on the Honor Roll of America’s Best Hospitals as rated by U.S. News and World Report. For more information, visit InterSystems.com.
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