1. U.K.Ananthapadmanabhan,
President (Operations & Projects)
Kauvery Hospitals Group, Trichy.
Implementing ICT applications in Tier 2 city
hospitals in India –Case study
Transforming Healthcare through IT 2013,
Hyderabad.
6 September 2013.

3. Kauvery Hospitals Group
• Kauvery hospital- Tennur , Trichy.
• Kauvery hospital- Cantonment , Trichy.
• Kauvery hospital -Chennai.
• Kauvery hospital Heartcity, Trichy.

7. CATHLAB
INNOVA 2100

9. 9

12. ICT Applications in Hospitals
Related to Patient care –EMR
Related to work flow –Lab Automation
Related health care facility-BMS

13. List of hospitals with wide range of ICT applications
Abbreviation Hospital name No of beds
Tier II city hospitals
KMCH Kovai Medical Center & Hospital, Coimbatore 700
KSH Kovai Speciality Hospital, Erode 150
MMHRC Meenakshi Mission Hospital, Madurai 600
MH Meenakshi Hospital, Thanjavur 200
KHCT Kauvery Hospital Cantonment, Trichy 200
KHTT Kauvery Hospital Tennur, Trichy 200
KHCT Kauvery Hospital Heartcity, Trichy 100
Metro city hospitals
KHCC Kauvery Hospital Chennai 250
RMH Rangarajan Memorial Hospital, Chennai 200
AHC Apollo Hospital, Chennai 500
AHH Apollo Hospital, Hyderabad 500

14. List of ICT applications in Hosptials
Name of software Software provider
Patient care
Digital media records Infolife
Dragon naturally speaking version 10 Nuance USA
Hospital information software Aosta, Coimbatore/Infolife
Laboratory information software Aosta, Coimbatore
Picture archiving communication system software Raster Images, Salem
Radiology information software Wipro GE
Video capturing software Avantec solutions, Chennai
Facilities Management
Building management software Siemens / Honeywell
Call center software SKS, Salem
Energy management software Schnider
I-touch software Daiken
Pneumatic pipeline system software Swisslog, Germany
Telecom tracking software Siemens / Ericsson
Video conferencing software Peoplelink, Chennai
Administration
Accounting software Tally
Human resource management software Deep Roots, Coimbatore
Supply chain management software Aosta, Coimbatore
Systems, applications and products software SAP-HR/CRM/Finance

15. Hospitals
Type of cities Tier II cities Metro cities
Name of hospitals
KMCH
700
KSH
150
MMHRC
700
MH
200
KHCT
200
KHTT
200
KHHCT
100
SMF
350
AH, CHN
500
AH, HYD
500
Patient care software
Hospital information software          
Radiology information software          
Dragon naturally speaking version 10          
Picture archiving communication
system software          
Digital media records          
Video capturing software          
Laboratory information software          
Facilities management software
I-touch software          
Video conferencing software          
Pneumatic pipeline system software          
Telecom tracking software          
Building management software          
Energy management software          
Call center software          
Administrative area software
Accounting software          
Human resource management software          
Supply chain management software          
** Electronic medical records is not included in the list

16. SUMMARY OF ICT IMPLEMENTATION IN SELECTED TIER II AND METRO CITIES IN INDIA
Hospitals
Type of cities Tier II cities Metro cities
Sl.
no Name of hospital/beds
KMCH
700
KSH
150
MMHR
C 700
MH
200
KHCT
200
KHTT
200
KHHC
T 100
SMF
350
AH,
CHN
500
AH,
HYD
500
Patient care software
1 Hospital information software (HIS)          
2 Radiology information system (RIS)          
3 Dragon naturally speaking version 10          
4
Picture archiving communication system
(PACS)          
5 Digital media records          
6 Video capturing software          
7 Laboratory information software (LIS)          

17. SUMMARY OF ICT IMPLEMENTATION IN SELECTED TIER II AND METRO CITIES IN INDIA
Hospitals
Type of cities Tier II cities Metro cities
Sl.
no Name of hospital/beds
KMCH
700
KSH
150
MMHR
C 700
MH
200
KHCT
200
KHTT
200
KHHC
T 100
SMF
350
AH,
CHN
500
AH,
HYD
500
Facilities management software
1 I-touch software          
2 Video conferencing software          
3 Pneumatic pipeline system software          
4 Telecom tracking software          
5 Building management software (BMS)          
6 Energy management software (EMS          

18. SUMMARY OF ICT IMPLEMENTATION IN SELECTED TIER II AND METRO CITIES IN INDIA
Hospitals
Type of cities Tier II cities Metro cities
Sl
no Name of hospital/beds
KMCH
700
KSH
150
MMHRC
700
MH
200
KHCT
200
KHTT
200
KHHC
T 100
SMF
350
AH,
CHN
500
AH,
HYD
500
Administrative area software
1 Accounting software          
2
Human resource management
software          
3 Supply chain management software          
** Electronic medical records is not included in the list

19. Reasons successful Implementation
Promoter Doctors ownership/Contribution
Cost effective solutions -75-100 lakhs for 200
beds-BMS cost ?
Easy Implementation
Economies of scale

20. 9/20/2013
ICT Implementation Initiatives in KH Group 2012-13
Description KH Tennur KH Specality KH Heart city KH Chennai
Computerized plastic patient
ID cards
7-Nov 5-Nov 29-Oct 11-Oct
Bar coded patient ID cards
7-Nov 5-Nov 29-Oct 15-Oct
Bar coded patient ID tags
16-Nov 14-Nov 31-Oct 29-Oct
Software Integration of laboratory
equipment
29-Oct 31-Oct 23-Nov 31-Oct
Bar coded sample containers in loboratory
7-Nov 7-Nov 8-Nov 8-Nov
Bar Code for capital Assets
7-Nov13 7-Nov13 12-Nov13 12-Nov13
Barcoded ID cards for Employees
27-Dec13 27-Dec13 27-Dec13 27-Dec13
Pneumatic Pipeline System(900
transports)
NA
15-Nov
15-Nov 10-Nov
Telephone servies Call Tracking
Call center
UI
10-Nov 5- Nov 10-Nov

21. 9/20/2013
ICT Implementation Initiatives KH Group
Description KH Tennur KH Specality KH Heart city KH Chennai
Video Conferencing facility 15-Dec 15-Dec 15-Dec 15-Dec
Implementation Stardard version HIS 1-Nov13 1-Dec13 1-June13 NA
BMS implementation NA- NA 31 4 12 31 4 12

22. Barcode Technology
Patient IDs and Tags
9/20/2013

25. ICCU

28. Integrating Laboratory Equipment

31. 31

32. IT Laboratory management
No of samples per day
No pending samples per day
No requests cancelled per day
No unbilled requests per day
Reporting through computer net work
List for sample misreported reported
Turn around time (TOT)

33. Picture Archival communication system-PACs

34. OPERATION THEATRE

35. Pneumatic tube systems
Use Pneumatic pipeline systems to reduce delay
in sample delivery and sample mix up
It is estimated that pre analytical errors account
to 68% of the total errors in the laboratory
reporting

39. Building Management systems(BMS)

42. I-Touch HVAC Software from Daiken

47. I Touch Features
Remotely set temp for 200 VRV
Measure energy using PPD software
Switch off and switch on AC inpatient rooms
after discharge and admission

49. Software based Video conferencing facility

52. Speech Recognition

56. Biometric technology

58. Use Barcodes in Tracing patient transport
in side the hospital

62. • Reports

63. Telephone usage in top 5 Departments
INTER COM NO 13-Jun May-13 Diff
Rs Rs
112/111 CASUALITY 3045 3552 -507
340/722 EDP 894 1383 -489
500 HR 683 1054 -371
107 CFM-Vinoth 543 0 543
460/153 Corporate OFFICE 411 652 -241
723 PARAMA 179 180 -1
TOTAL 5755 6821 -1066

64. Doctors Wise Unplanned Top 5
0
10
20
30
40
50
60 56
32 30 28
25 23
18
12 10 10 8 7 5 5

65. Discharge plan monitoring
DISCHARGE DETAILS NO OF DISCHARGE %
UNPLANNED DISCHARGE - 301 37.39
DISCHARGE- as per PDD 422 52.42
AMA, AT REQUEST ,DEAD, REG,CANCEL 82 10.19
TOTAL DISCHARGE 805

66. OP Bill Cancel consolidated report- May- 13
S No Refund Area 13-Jun 13-May
1 OP-CLAIM 10600 18,900
2 Reception - 500
3 RTSYS-1 1000 -
4 LAB-REP 240 -
5 OPREC-1 - 1200
6 OPREC2 - 300
Total 11,840 20,900

67. PHYSICIAN LEAVE DETAILS June -2013
OUT OF STATION NO OP
NO OF DOCTORS 5 26
NO OF DAYS 8 95
Dr.NAME NO OP/Day OUT OF STATION
1 DR.ANAND C 9
2 Dr.BALAMBIGAI 8
3 DR.ELANGO N 1
4 Dr.GANAPATHY SUNDAR 1
5 Dr.GURUMOORTHI 1
6 DR.JOS JASPER G 3
7 Dr.KRISHNAMOORTHI 5 1
8 DR.MANGALA DEVI M 4
9 DR.MANICKAVASAGAM.S(M.V) 2
10 Dr.NAGARAJAN 5
11 DR.N.NAJEEB 2

68. PHYSICIAN LEAVE DETAILS June -2013
OUT OF STATION NO OP
NO OF DOCTORS 5 26
NO OF DAYS 8 95
Dr.NAME NO OP/Day OUT OF STATION
DR.ANAND C 9
Dr.BALAMBIGAI 8
DR.ELANGO N 1
Dr.GANAPATHY SUNDAR 1
Dr.GURUMOORTHI 1
DR.JOS JASPER G 3
Dr.KRISHNAMOORTHI 5 1
DR.MANGALA DEVI M 4
DR.MANICKAVASAGAM.S(M.
V) 2
Dr.NAGARAJAN 5
DR.N.NAJEEB 2

69. CANCELL REQUEST REPORT
MONTH OF June
CARDIOLOGY RADIOLOGY LAB
WARD 13-Jun 12-Jun WARD 13-Jun 12-Jun WARD 13-Jun 12-Jun
HC SCCU 2 3 A VI FLOOR GWM - 1 POW II - 5
CASUALITY 2 1 A VI FLOOR GW II - 16 B II Floor - 10
B III MGW 2 - B III FGW - 3 307 POW - 7
A V FLOOR 1 1 B II FLOOR - 2 A VI GW -
ICU 0 5 HC POW - 4
A VI FLOOR GW
II - 21
POW 0 HC SCCU 8 3 CASUALITY 26 33
IMCU 0 1 ICU 6 10 IMCU 20 18
B I FLOOR 0 - CASUALITY 5 14 ICU 16 40
B II 0 - A V FLOOR 5 3 HC SCCU 14 10
LWARD 0 - IMCU 4 14 A V FLOOR 9 12
A II FGW 0 1 KH POW 4 1 KH POW 8
A II MGW 0 1 B IV GW 3 - LABOUR WARD 6 5
A VI FLOOR
GWM 0 - B III MGW 2 4 A II FGW 4 10
B III SR 0 - A II FGW 2 5 B III MGW 4 7
HC POW 0 2 MICU 1 - B III FGW 2 7
MICU 0 - POW II 1 5 A II MGW 2 8
A VI FLOOR
GW II 3 A II MGW 1 9 B III SR 1 11
TOTAL 7 18 B III SR - 3 MICU 3 2
LWARD 1 - B I FLOOR - 2
TOTAL 43 97 HC POW - 6
B IV SR 1
B IV GW 1 10
D 1 FLOOR - 1

70. Complaint segragation
Department Complaint Categories March-13 April-13 May-13 June-13 Total
Light Problem 79 94 64 61 298
Telephone (Not Working) 69 92 81 56 298
Electrical Fan Not Working 40 53 43 43 179
TV issue 17 17 24 10 68
Switch Board Problem 18 23 18 6 65
UPS Problem 18 13 24 12 67
Wiring Problem 5 7 1 8 21
Other ComplaintsE 2 2
Total 246 299 257 196 998
General Stores Material required 67 55 68 70 260
Machinary service 29 30 10 12 81
Cylinder required 12 22 26 13 73
Total 108 107 104 95 414
House Keeping Room Cleaning 67 88 77 73 305
Cot Problem 25 37 13 20 95
Fan Cleaning 35 16 23 12 86
Floor Cleaning 12 18 22 10 62
Chair & Stool Repair 15 20 20 6 61
Toilet & Bath Room Cleaning 8 17 18 4 47
Table,Drawer & Cuboard Repair 15 14 7 6 42
Lock Problem 16 10 5 6 37
Door & Window cleaning 3 10 12 4 29
Mattress Changing 8 5 6 4 23

71. Ambulance Wise all Units Patient Transfer Details Mon of June -13
S.No DATE Vehile NO Patient Name From To
1 01/06/2013
TN45AP0266
tempo Baby Suguna KHC Chennai Appolo
2 01/06/2013
TN45AP0266
tempo Raja Sekar KHT Madurai Appolo
3 03/06/2013
TN45AP0266
tempo Senthil kumar KHT Selam Manipal
4 05/06/2013
TN45AP0266
tempo Iyyappan KHT Vellore
5 10/06/2013
TN45AP0266
tempo Vardha Rajan ECB Dindugal
6 10/06/2013
TN45AP0266
tempo Govindammal KHC Madurai
7 12/06/2013
TN45AP0266
tempo Varadha Rajan ECB Chennai
8 17/06/2013
TN45AP0266
tempo Mohan Raj KHT Madurai
9 20/06/2013
TN45AP0266
tempo Rathna ECB Trissur ( Kerala)
10 28/06/2013
TN45AP0266
tempo Manon Mani Thiruvarur ECB
11 04/06/2013 TN45 AE 5917 Rejena Banu KHT Shanmugam
12 08/06/2013 TN45 AE 5917 Selvaraj KHT Venkatanur
13 09/06/2013 TN45 AE 5917 Saraswathi KHC Madurai
14 10/06/2013 TN45 AE 5917 Bama Subramaniyam T.Nagar Chennai
15 13/06/2013 TN45 AE 5917 Murugesan KHT Perambalur
16 19/06/2013 TN45 AE 5917 Mohammed Siddiq ECB Chennai
17 28/06/2013 TN45 AE 5917 Selvam Lalgudi KHC
18 28/06/2013 TN45 AE 5917 Karthik Rubesh KHT Chennai