BPR FINAL PRESENTATION
HOSPITAL SAGA.....
AS-IS • • • • • •
Doctors carelessness Doctors punctuality problems Hospital pharmacy and lab problems Emergency patients treatment Blood bank problems Doctors and other employees bad behavior and treatment
IMPROVEMENT • Bench marking • Short term changes • Long term changes
TO-BE • Installing CCTV system • Installing RFID for hospital staff and doctors • Hospital management information system • Quality control department
Surveillance camera system
Benefits drawn from camera system • The cameras installed are not only for security but give staff a feeling that their actions are being seen. • This gives a move towards efficient and speedy work
Cost of computer connected camera system • Rs 650,000
RFID for hospital staff and doctors
Benefits drawn from RFID • Doctors punctuality • Reduction in time between change in duties • Better and good management of staff
•
Currently, the three main areas benefiting from RFID technology in the health care industry are:
•
Asset Management – being able to locate a mobile asset at all times results in better asset utilization which reduces procurement and leases and dramatically reduces the amount of time your valuable staff spends searching for equipment.
•
Patient Care – being able to correctly identify a patient and know where that patient is at all times results in improved safety and bed placement.
•
Inventory Management – being able to identify what you actually have in your current inventory and where that inventory is being consumed reduces out-of-stock situations and the amount of consumables not being billed to a patient.
Cost • Rs 500,000
HMIS • Quick registration of employees • Patients medical history will be available i.e. diseases, medicines given, doctor who has given treatment • Make doctors more careful in treatment • Ease for the initial treatment of emergency patients
COST • Rs 1 million
Quality control department • Training of hospital staff • Hospital departments i.e. management, human resource etc. • Pharmacy and laboratory • Food • Furniture • Blood bank • Over all improvement and maintenance
IMPLEMENTATION • Setting up of quality control department Quality Control
Human resource
Doctors
Finance
Patients
R&D
Staff manager
Kitchen chefs
Nurses
Ward boys
Helpers
Manageme nt
Setting up of surveillance system – PC based Dvr – cameras
Setting up of RFID system • RFID consultancy will be taken form consultancy company e.g. • CatalystCompass™ • Blue Bean
Frequency Band • Intermediate 10-15 MHz • Short to medium read range, potentially inexpensive, medium reading speed Typical Applications • Access controls, Smart cards
• Phase 1: RFID Business Case Executive Briefing Recommended approach for RFID deployment Cost and Benefit Analysis Proof of Concept • Phase 2: RFID Configuration Site Survey and RFID Configuration Process Flow and Integration Plan Revised Cost Estimates and Schedule
• Phase 3: RFID Pilot Install and tune all RFID equipment Install RFID software module Integration to WMS, SAP and other ERP User training and support training System commissioning Operation support and maintenance Detailed roll-out plan • Phase 4: RFID Rollout Site survey and preparation Training and education Implementation and installation Operational support
BLUE BEAN • BlueBean’s “Healthcare RFID Rapid Start Solution” will set up an area or department in your facility so that you and your staff can work with the RFID technology handson and understand how RFID could benefit your entire organization. Depending on your needs, some of the items included in this package are: • Wireless site survey • Voice Over IP (VoIP) • Asset management • Access points • Installation
HMIS • Distribution of registration forms in the hospital catchment area and getting people registered. • Registration can be online and on telephone
NORMAL start
Enter patient name
registered
Unregistered
Full information displayed
Print a slip for the doctor
Register new patient
After check up the patient’s database is updated
Info is added to customer database
Patients database
Make an invoice
Cash received
Accounts database
end
EMERGENCY start
Enter patient name
registered
Unregistered
Full information displayed
Print a slip for the doctor
Register new patient
Doc checks the patient
Discharged with in 5 Hrs
Send to ICU or ward or private room is allocated form data base
Serious patients
Make an invoice
Cash received
Info is added to customer database
Accounts database
Patients databas e
end
2009
ID
Task Name
Start
Finish
2010
2011
Duration Jul Aug Sep Oct Nov Dec Jan
1
Quality control department
6/15/2009
9/26/2009
90d
2
Surveillance system
6/15/2009
6/25/2009
10d
3
RFID
6/15/2009
8/5/2009
45d
4
HMIS
6/15/2009
9/26/2009
90d
5
Long term improvement
6/15/2009
10/13/2011
730d
Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan
Mar Apr May Jun Jul Aug Sep Oct Nov
Barriers • Resistant to change • De-moralization of employees (agitated about the surveillance system) • Core processes not aligning with the goals and objectives of the hospital • Cost of the tags (0.5 cents per tag) • Food facilities not up to the mark
Addressing the barriers • Bring awareness, that there is a need for change • HMIS system that integrates all processes together, pilot test before usage. • Smart label: One advantage of the thinner smart labels over conventional smart tags is that they can be manufactured in bulk by special printers. (0.25-0.40 cents) • Catering
Organizational changes needed to support BPR • Supportive top level management • Hiring of skilled technical staff • Processes to be implemented throughout the organization