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overview
1
Asclepius has a healthcare IT product FOR India- Charak
Augmented with consulting, software service and implementation offering
Asclepius’ Offerings
Management
Consulting
Offered as diagnostic studies/ strategy
• New business planning workshop to build team credibility
• Business process re-design
• De-bottlenecking Gives insights into customer requirements
• Clinical workflow improvement Vital Charak sales strategy to build partnership
• Investment banking
2
Asclepius Consulting has worked with some of the leading Indian
healthcare providers over multiple engagements
Select client list
A 1700 bed multi-specialty hospital at Belgaum, Karnataka, KLES hospital has engaged
Asclepius over multiple engagements like material management, investment banking
and cardiology EMR software
HCG group is a chain of 15 hospitals focused only in Cancer care, supported with state of art
oncology equipments. Asclepius is supporting the group in implementing several growth strategies,
streamlining multiple IT solutions and setting up a multi-site HIS/ CIS solution
MVA is a leading 100 bed pediatrics and maternity care hospital in Patna.
Mahavir The hospital has engaged Asclepius over a multi-generation software
Vaatsalya,Patna
solution to meet the growing HIS/ CIS/ RIS/ LIS needs of the hospital
Our business model thrives on acquiring multiple engagements from our existing clients by
consistently exceeding expectations and building long term relationships
3
Hospitals in India are adopting IT in a massive way– driven by
changing business conditions
Billing Insurance
Discharge Inventory
Administrative
management
Admission
Registration
Time
After successful automation of administrative processes, Indian hospitals are
increasingly adopting clinical processes
5
While the benefits of automating administrative activities have been
established, IT enabling the clinical processes yields higher benefits
ILLUSTRATIVE
6
A strong IT system is increasingly demanded by the hospitals to
build robust processes and achieve efficiencies
7
The product – Charak - is an end-to-end IT solution for the entire hospital
with sufficient depth to meet the needs of an involved user
ILLUSTRATIVE Covers end-to-end treatment cycle
Clinical
• From pre-admission to diagnosis, orders,
treatment, monitoring and discharge
Integrates with multiple hardware
• Mobile phones, digital pens, voice recorders,
Ancillary systems
Infrastructure
bed side devices
modules
Is accessible remotely
Administration
Existing IT system
Charak modules
ADMINISTRATIVE INFRASTRUCTURE
CLINICAL MODULES ANCILLARY MODULES
MODULES MODULES
Admission, Discharge Orders and Medication Clinical Decision
Interoperability
Transfer (ADT) Record Support
Scheduling Documentation & Notes Clinical Protocols Hardware Options
Charting and Management
Material Management Privacy and Security
Flowsheets Information Systems
Event-based Billing Alerts/ Reminders Device Integration System Monitoring
9
The administrative IT solution (HIS) covers the entire administrative
needs of the hospitals
Go to Patient
OPD Billing
Register IPD Billing Event log book
patient
Pharmacy stock
Discharge patient Package Hospital Services review
Estimation
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Event based patient care system
ILLUSTRATIVE
Emergency
OPD
Day care
IPD
• Deluxe room admit time – 28/9/07 9:00 • ICU entry time – 29/9/07 4:00 pm • X-ray – 28/9/07 9:00 am
am • Payment –Rs. 1400 (due) • Payment – Rs. 110
• History – Cardiac patient, asthmatic • ICU exit time – In ICU • Report – Awaited
• Physical - BP-130/85 28/9/07 9:10 am • Oxygen start time – 29/9/07 4:10 pm • Alert sent to radiologist – 9:45 am
• Provisional diagnosis – Stone in Gall • Oxygen end time – 29/9/07 4:50 pm • Ultra-sound - 29/9/07 7:00 pm
bladder • Dr. S. Kumar entry– 29/9/07 4:20 pm • Payment – Rs. 350
• Dr. S. Kumar exit– 29/9/07 4:25 pm • Report – Received 30/9/07 8:00 am
Such an event based patient care system can integrate the clinical and administrative
events throughout the patient care process
The elements of electronic medical record (EMR) comprise all
relevant information from the clinical processes
Medications
Discharge summary
12
All the relevant activities – for the doctor, the patient, the admin staff-
can be accessed through a central switchboard
Go to Patient
13
All notes from doctors, nurses, labs etc. can continued to be
captured on paper – and seamless integrated with Charak
The digital pens allow minimal change in clinical practices – at OPD, during wards rounds,
discharge, follow ups etc.
14
The critical data available remotely on mobile phones and hand-held
The critical data is available remotely on mobile phones and hand-held
devices
devices
15
Charak can extract data from any digital medical device - bed side
devices, digital X- rays, CT scans -and integrate it with patient record
16
Asclepius adopts robust business process re-engineering frameworks
to improve upon existing processes while minimizing changes
17
Together with the consulting services, the software can meet several
documentation needs required for NABH accreditation
Accreditation needs from NABH Support from Support from Process
Charak Consulting
Access, Assessment & Continuity of care (AAC)
◑ ●
Patient Rights & Education (PRE)
● ●
Care of Patient
◕ ◑
Management of Medication (MOM)
● ◑
Hospital Infection Control (HIC)
◔ ◑
Continuous Quality Improvement (CQI)
◑ ◕
Responsibility of Management (ROM)
◑ ◔
Facility of Management and Safety
◑ ◕
Human Resource Management (HRM)
◑ ●
Information Management System (IMS)
● ●
● High support
○Low support
18
The software generates relevant MIS for the hospital to check
aggregate hospital performance
19
The proposed aims to minimizes the total cost of ownership by
taking care of all the relevant costs accruing to the hospital
I ME Sub-optimal
wideresource
Well Long
defined appointments
waiting time Extensive paper work
E T Hospital resource
RE
(At OPD,and
Computer
(OT notes, generated reports
discharge summary, utilization
scheduling
surgery, wards, discharge) optimization
E Forders) (OR, wards, doctor’s time, labs)
R
MO E
Delayed emergency Repetitiveactivities
activitieswith
Quick response at the Automated Limited
V E N U
resources
response
Golden Hour
(Patient instructions, pharmacy, billing
status report only
H E R RE
High resource utilization
(Doctor’s time, beds, OPD hours)
BETT
(Missing data, triage, ambulance) estimations)
HIG . F T.
QUA ER
Multiple investigations Multiple coordination
Centralized planning and Poor
Peasy S Q
ERmetrics to measure hospital
hospital
Extensive evaluation
computer
oldL
Standardized care plan
(Similar
ITY O
tests conducted due to
records)
missing (OR planning, duty allocation,
scheduling
appointments)
(No
generated MIS
performance)
C A F
Consolidated Rclinical
Multiple
Elabs, reports,
visits
(Visits for consultations,
data Multiple
Alerts follow ups
and Exception based
(Check patient conditions, order
Transaction
Wastages based material
and pilferage
available
follow remotely
ups) status,Reporting
room occupancy)
(OR material, tracking
stores items, pharmacy)
22
No. 8, 1st Floor, 15th Cross,
100 Ft Ring Road, J.P. Nagar, 6th Phase,
Bangalore – 560078
Tel: +91 80 4165 0200
+91 99720 22250
www.asclepiusconsulting.com
All rights reserved. These pages are to be used for selected audience only. Distribution, quotations and duplications — even in
the form of extracts — for third parties is only permitted upon prior written consent of Asclepius Consulting.
23
• Additional slide on competition
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While the HIS market has highest competitive intensity, the CIS market has
fewer players owing to high investment in building market knowledge
Competitive landscape
• E.g. 21st Century, Karishma, Shobha • E.g. Santosh Services, Patna
• Largely stable HIS solution developed over • Primarily billing solution built at Rs. 50-75,000
multiple installations in India and Middle East per hospital
• Install-base primarily in 500 bed plus • Consistently poor on quality and scalability –
Sm
s ed
hospitals together with Middle East markets despite built in close collaboration with the
al
er siz
l
• Investments in EMR products largely through hospital
un v
ay d-
pl mi
or en
service route leading to limited functional • Easy replacement market, provided hospital’s
ga d
an d
expertise readiness
di se
ni ors
ze ’
In cu
• Compete on product relevance and quality, • Compete on Features Quality and Scalability
d
fo
scalability in clinical space, internet based
‘n
IS
ex
H
delivery
td
oo
r
D
ee inte
n
es a
p rn
ic di
r v ’ In
cl a
in tio
se al
• E.g. IBA, Perot, Siemens
ic n
e tr
al al
ar eu
• Strong proven clinical product from
pr pl
built as ‘strip-down’ version of US market • Not a priority sector for these players. Most
product solutions build on the product from US markets
• Price points unviable for mid-sized hospitals
only
• Compete on close feature match, lower • Compete on better market understanding and
costs and better reach industry relevant features
25