To help, at least to do no harm

1
To help, at least to do no harm
2
International Medical Software Co.,Ltd

• Vision
• To help, or at least to do no harm
• Mission
• To create the fully integrate hospital
  informatics software for better health care

3
iMedฎ

• The Application designed is our main focus to
  meet with dynamic expectation.
• iMedฎ complied the best practice of software
  engineering process from design to
  implementation.
• QC and QA of Software development process is our
  usual practice.

4
iMedฎ Development Concept

• Risk reduction software
• Improve quality of care
• Process assistant software
• Improve service and productivity
• Business assistant software
• Improve Hospital management

5
iMedฎ

• Hospital Information System software for
  Enterprise Hospital
• Modular system cover
• Registration
• Screening station
• Doctor room
• Medical support Lab, X-ray,PACS
• Inpatient
• Pharmacy
• Cashier

6
iMedฎ Features

• Registration service The first step begins with
  patient registration. All necessary patient
  information and records are entered into the
  system. The personal record of individual patient
  will be the criteria to identify the correct
  patient on all subsequent visits.
• General Features The minimum dataset of the
  patient to identify the patient in the hospital
  service enter to this module as following
• Hospital Number the unique running number for
  each patient generated by the system will not be
  edited and deleted for security and privacy
  reason
• Name first, last name and also title
• National ID using the double entry technique to
  verify the ID number
• Social Security Number
• Sex
• Date of Birth
• Address
• contact person
• Payment method or payer which link to discount
  and benefit
• Drug allergy input
• Print-out OPD card, Patient Card
• Distinct features
• Patient picture captured as identification.
• Support document scanning such as ID card,
  insurance card attached to the patient record.
• Bar code input support.
• Support all language as MS window 2000 (Uni-code
  system).
• Un-delete policy to keep all patient
  information in the database changeable but not
  delete as a security concerned.

7
iMedฎ Features

• Medical Service station This module covers all
  medical activities for doctors or nurses to serve
  the patients starting with retrieving previously
  visit history and treatment to prescribe the
  tests and medicine online.
• General features
• Electronic medical record allows inputting of
  vital sign, chief complaint, and patient history
  directly or paper scan for later attachment.
• View previous diagnosis, investigation result,
  medical record online
• Prescribe the investigation and view the result
  online.
• Prescription of drug with various useful tools
  such as repeated medication (copy previously
  orders by a single click), nick name of medicine
  which easy to remember, generic name oriented
  display.
• Discharge diagnosis was done by the doctor
• For In-patient service, all out-patient data will
  be instantly converted.
• Distinct Features
• Drug interaction alert , to reduce risk of drug
  interaction from prescription, operated by system
  base on Artificial Intelligence design
• Security, for every input information the system
  will stamp time/date and name of person to the
  database. In some critical items verification by
  PIN is required
• Look and feel in any medical service stations is
  the same. The different is under the user ID set
  up to get any functions (Tab) which improve
  learning curve of end-user.
• The number of medical service locations is
  un-limited depending on the size and complexity
  of the hospital. The system also links the
  ordered location with order-item to get activity
  base accounting data.

8
iMedฎ Features

• Medical support service station In the patient
  service some of investigations, i.e., x-ray or
  laboratory were required. The patient will be
  sent to that location for execution the service
  and report the result back to care provider
  online.
• General features
• List of order serves as the menu order
• Laboratory or x-ray record form can be generated
  as the template
• The reported result can not be changed or deleted
• The care provider or assigned person only can
  view the laboratory or x-ray result
• Print out form as necessary
• Distinct features
• System alert of over limit or range result
• PACS module such as X-ray, ultrasound or any
  image can be kept in digital format by DICOM
  technology attached to patient record can be
  integrated

9
iMedฎ Features

• Pharmacy service Pharmacy or dispensing unit
  accepts all online prescriptions from various
  points of service to collect the medication and
  dispensing to the patients. Unit-dose dispensary
  technique can be used with inpatient, currently a
  pharmacy service trend.
• General features The pharmacy work queue is
  vital to all pharmacy processing. Within the
  single screen, pharmacists and pharmacy
  technicians can
• View incoming orders
• Check/review incoming orders
• Edit incoming orders, with the appropriate
  security
• Fill incoming orders
• Print labels for the order
• Verify the order, given the appropriate security
• Collect and dispense one-by-one with label and
  identification
• Formulary, non-formulary and compound drugs can
  be ordered and in the event of a required drug
  being unavailable, substitutions or generics can
  be used.
• Attributes such as dose, unit, route, frequency,
  prn/non-prn, admin times, MAR instruction, start
  date/time, dispense type, and dispense quantity
  for each order item can be modified from its
  default values which are preliminarily set up for
  each drug.
• In the event that a patient has an identified
  allergy with a selected drug, warning message is
  immediately displayed to notify the user creating
  the order.
• On line stock management, every tablet ordered
  will adjust the number of drug in the stock both
  logical and physically.
• Distinct Features
• Drug-Drug interaction will show to pharmacist for
  re-evaluation or checking with the doctors to
  confirm their prescription. The result of the
  judgment can be reviewed to improve the patient
  care and reduce the risk.
• Adverse drug reaction can be noted to EMR by
  pharmacist

10
iMedฎ Features

• Inpatient services Inpatient module is the most
  complex information for the patient service. This
  is really time-based data management. This module
  cover ward and bed management, Operating theater,
  Special care unit and also equipments or
  resources management.
• General features Inpatient module design to
  service as follow
• View and manage bed ward by ward and check for
  available online
• Order or prescribe online from the nurse station
  direct to destination such as pharmacy unit
• The dispensing can support unit dosage
• Nurse and physician can retrieve all past and
  current update information real-time such as
  Laboratory data
• Electronic Medical Record available for nurse and
  physician to access and input the new information
  
• Care provider can access to care plan or clinical
  practice guideline both intranet and internet
• Patient service such as ,resource booking,
  respirator, booking theater can be done online
• Billing system support partial payment or
  deposit. The multi benefit scheme can be served
  under our billing logic
• Distinct Features
• Mobile or handheld device can be use as patient
  electronic chart. The care provide can access and
  mange the patient with very efficiency and low
  risk
• Patient monitoring equipment such as
  Electrocardiography can be integrate to the
  patient information. Physician can access and
  view the tracing anywhere anytime.

11
iMedฎ Features

• Cashier service Cashier is the final step of
  hospital service both out-patient and inpatient
  unit. The billing system is designed to
  facilitate various payment conditions, including
  itemize listing and patient benefit, previously
  set up as default from patient first
  registration.
• General features The cashier work queue is vital
  to all cashiers processing. Within the single
  screen, cashier
• Change the payment benefit if required
• View incoming orders
• Check/review incoming orders
• Edit incoming orders, with the appropriate
  security such as charge items
• Fill incoming orders
• Verify the order, given the appropriate security
• Collect money or deposit even partial payment
• Print receipt or invoice
• Distinct features
• The payment benefit can be set related to item
  group
• The item can be grouped to billing line as
  default set up

12
iMedฎ Technologies

• We most concern
• Security
• Reliability
• Flexibility
• Patient Safety

13
Technology Security

• 3 A security
• Authentication
• Authorization
• Audit
• High-level principles of security
• Confidentiality Ensure that data in transit
  cannot be read
• Integrity Ensure that undetectable changes can
  not be applied to data
• No repudiation To prove the original send the
  data

14
Technology Reliability

• We use web services technology with J2EE which is
  prove for enterprise solution world wide.
• We separate the architecture of the software
  layer by layer to reduce dependency and improve
  reliability

15
(No Transcript)
16
Technology Flexibility

• The software can implement module by module with
  the legacy system.
• The large hospital can start with some department
  step by step as the limitation of investment.
• Future expansion to handle the load of the
  service can be done seperately

17
(No Transcript)
18
(No Transcript)
19
Hospital Informatics Technology

• Multi-tier technology
• Window and Linux base system
• Security and Domain controller server
• Data mining server
• Application server
• Database server (s)

20
Finally

• All the technologies those implemented to the
  software will serve only on objective
• To help at least to do no harm

21
International Medical Software

• Contact info_at_intermedisoft.com
• Web site www.intermedisoft.com
• Address
• Head office International Medical Software
  Co,.Ltd 75/34 Phuket Garden ville. Phuket
  Thailand 83000 Tel [phone] Fax
  66-76-254979
• Branch office 99/30 5th floors Software park
  building moo4 Changwattana rd. Pak-kred
  Nonthaburi Thailand