Hospital Information Management System

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TiaTech USA Inc. TiaTech Health Technologies
India Pvt. Ltd. TIANuMR MODULES
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TiaTech Ecosystem

• Virtual health information management system
  (HIMS)
• Our mission Better care at a lower cost.
• Systems are fast, interoperable, store and sort
  large amounts of data on a secure cloud servers
  in an intelligent health information exchange
  environment.
• Simplify patient-provider interactions and
  achieve it in a cost-effective manner.
• Modular systems that create Big Data DB with
  analytical features
• Use Cases in Clinical, Research, Educational
  with excellent ROI
• Next generation EHR ERP solution (TiaNuMR)
• Pioneering Virtual Telehealth, DICOM viewers,
  Block Chain technologies, and work flow enabled
  algorithms has made a New Universal Medical
  Record

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TiaTech Ecosystem
Our integrated Ecosystem is a workflow enabled
management system that incorporates Telehealth,
EMR, Charge Capture, Coding , Personal Health
Portal and Modular Enterprise Resource Planning
(ERP) services to provide a holistic, scalable
health management system (HMS) for care providers
of all sizes.
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TiaNuMR MODULES
17 Indent Management
18 Reports Module
19 Administrative Console with Revenue Dashboard
20 Doctor Pay Out Module
21 Laboratory Information System
22 Radiology Information System
23 Medical Records
24 Infection Control Module
25 Blood Bank
26 Ambulance Management System
27 Operation Theatre Management
28 Automated Discharge summary generation
29 SMS Management
30 TiaImage (PACS)
31 Tally Integration / Accounts Module
32 Human Resource Management (Employee Portal, Employees data with documents, Shift Management, Leave Management, Attendance Management, Payroll, Salary Advance and Loans, Incentives, PF, ESI, TDS, PT, WPS)
1 Appointment System Online Offline
2 Front Office
3 Queue Management
4 General Billing
5 Cash Module
6 Enquiry
7 Casualty Emergency Management
8 Bay Management Module - Vital Station Automation
9 Doctors Module ( EHR )OP IP
10 Insurance Management
11 Pharmacy Billing
12 Purchase Store and Inventory
13 1. Pharmacy Store Management
14 2. General Store Management
15 In-Patient Module with Automated Discharge Billing
16 Nursing Module
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TiaNuMR MODULES
33 CRM for patients (Daily patient communication and feedbacks - Net promoter score)
34 House keeping module 
35 Asset Maintenance
36 QC module for quality department (NABH or JCI indicators)
37 Mortuary system 
38 Lab QC module for Regents and test 
39 Linen Laundry Management
40 Tool for Business development department
41 Address book for communication (Doctors and patients) - linked to business promotions 
42 Media Management
43 Website Management
44 Complaint Management System
45 Digital Signage
46 Bio Medical Waste Management
47 CSSD
48 HR- Recruitment , Performance Appraisal , Training, Exit Interview, Job Portal
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Front Office Automation
Features Industrial Touch Screen Camera Cash
Remitter Laser Printer Barcode Reader ID card
printer Thermal Printer
BP Machine
Pulse Oximeter
Functionality Registration Renewal Billing (Front
Office, Pharmacy, Lab services) Cash
Collection Report Prescription Printing ID card
printing Enquiry
Thermometer
Height Weight
Kiosk
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Benefits
1. 30 to 40 Reduction in Staffing Example 20
number can be reduced to 12 Savings in a year 8
12500 12 INR 12,00,000.00
2. Additional revenue from Vital
station Example Rs.10 from each Patient. 500
patients per day. Additional Revenue every year
10 500 25 12
INR 15,00,000.00
3. Convenient workflow for Patients
ROI in 6 months
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BUSINESS OPPORTUNITIES USING TiaTele

• Doctor Referral Program
• Network of 100 Doctors can bring minimum 2500
  referrals per month bringing a minimum revenue of
  INR 25,00,000.00 to INR 2,50,00,000.00

2. Connectivity to Apartment Housing
complex Example In a 100 Apartment
complex Minimum Pharmacy Sale INR 100,000.00
per month Additional revenue from Labs (onsite
sample collection) Patient Health Application
3. Connectivity with Corporates Institutions
Health Check Ups
TiaMD for GPs
BASIC FEATURES
Front Office
Billing and Cash
EHR for Patient Record Management
CIMS
Tele Connectivity
Monthly Cost
INR 1500
ROI
3 to 4 Patients from a GP
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Connected Ecosystem
APARTMENT
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Tele Opthalmology
EHR
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TIANuMR MODULES IN DETAIL
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REGISTRATION APPOINTMENT SYSTEM
The Registration and Appointment scheduling
module is an efficient patient management system
that eases capturing of pertinent information of
the patients. The scheduling of patient and
Physician appointments can be done from this
module. The details about schedule of a
Physician, slots available in his schedule,
scheduled slots, blocked slots, tracking of
patients and their visits, scheduling
appointments for unregistered patients and
emergency patients can be viewed
effortlessly. OFFLINE MODES FRONT
OFFICE TELEPHONIC BOOKING KIOSK ONLINE MODES
TiaCare HEALTH PORTAL MOBILE APPLICATION (iOS
Android) WEB APPLICATION


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QUEUE MANAGEMENT A COMPLETE SOLUTION FOR
DIGITAL SIGNAGE
Digital signage is a network of customizable
displays that can be controlled electronically
using a computer, allowing content to be changed
remotely for the most targeted messaging
possible. Digital signage is used many places
such as the mall, restaurants, hospitals,
universities, and lobbies. Its a great tool for
marketing a new product, promoting brand
awareness, communicating with staff or students,
and engaging just about any audience in your
space. USAGE IN HOSPITAL

Promotions- Digital signage can be used in
promotions like Health Checkup Other Packages,
Expert Doctors Departments Information,
Hospital Facilities, Medical Tourism Related
Promotions, Dental/Optical/Plastic Surgery
related promotions Informing- Ensuring staff,
medical students and patients are up-to-date with
latest information and answer common health and
surgery questions thereby achieving improved
staff productivity, better patient health and
earlier patient awareness of health problems.
Digital signage plays an important role in
updating the people about all the services such
as, Token list in OP Area, Surgery status in OT
Waiting Area, OT schedule details inside
Operation Theatre, Meeting/Training Schedules
near Conference/Training Rooms, Doctors
availability status
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QUEUE MANAGEMENT A COMPLETE SOLUTION FOR
DIGITAL SIGNAGE
Emergency Alert- The speed with which a digital
signage network can disseminate instant messages
throughout a large hospital can be literally a
lifesaver when a serious emergency arise. Patient
Waiting Experience- In addition to getting
information, patients can have something to watch
that will keep them entertained and less annoyed
frustrated by the long wait times they may be Way
finding- Way finding kiosks help patients and
visitors navigate around a healthcare facility
without having to ask for directions Hospital
Canteen Menu- It can be used to display menu in
canteen

• CONTENT TYPE SUPPORTED
• Images
• Videos
• External website links
• Social media pages such as FB,Twitter and youtube

• RSS Feeds
• Data List such as excel sheet
• Dynamic Data from external sources such as
  API/Excel
• PPT ETC

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BILLING AND CASH
This module facilitates cashier and billing
operations for different Outpatient and Inpatient
categories. It provides automatic posting of
charges related to different services like bed
charges, lab tests conducted, medicines issued,
consultants fee, food, beverage and telephone
charges etc. The system is tuned to capture room
and bed charges along with ancillary charges
based on the sponsorship category. Salient
Features Include Payment modes/details Patie
nt billing details Sponsor conversions Part
bill generation Multi sponsor billing Multi
currency payment User-defined billing
cycles Cash collection dashboards


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INFORMATION DESK / ENQUIRY
This module deals with all types of enquiries
received in regard to the hospital and in regard
to the patients who are admitted or registered.
Salient Features Include Patient
enquiry Appointments enquiry Investigation
appointment enquiry Consultants
enquiry Investigation enquiry In-patient
enquiry Tariff information Packages
information Estimates Visitor pass management


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CASUALTY AND EMERGENCY MANAGEMENT
This module deals in taking care of patients from
the time they arrive in the casualty till the
time they are transferred to a department in the
hospital for further treatment. This module sends
alerts to the corresponding departments, captures
all the relevant data on patients condition at
the time of arrival and the course of action
undertaken, and in turn helps in the planning the
further treatments and procedures. Casualty and
emergency module is integrated with Tele Medicine
functionalities. Salient Features
Include Capturing of whatever basic patient
demographic information is available at the time
of registration of the casualty and updating the
same when fully available Online connectivity
to Doctors using Tele Medicine applications Doct
or scheduling and emergency workflow
management Lab test reports Diagnosis Servic
e orders and bookings Pharmacy/surgical
details Statutory forms and reports etc.


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BAY MANAGEMENT / VITAL STATION AUTOMATION
Capture vitals before patient reaches the Doctors
room using wireless vital measuring equipment's
and Stethoscope.


BP Machine
Pulse Oximeter
Thermometer
Height Weight
Stethoscope
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IP AND OP EHR FOR DOCTORS - TiaMD and TiaCoder


The CPOE (Computerized Physician Order Entry
system) and speech to text is a part of the
workbench where the Physician can record the
patient symptoms, diagnose, and order treatment
plans. The user interface has been designed such
that all the key information about the patient
such as medical observation, lab results,
radiology images with results, and all other
relevant information can be viewed and entered in
a single screen or using minimum number of
clicks. PLATFORMS- MOBILE APPLICATION (iOS AND
ANDROID) WEB APPLICATION
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PHARMACY INFORMATION SYSTEM
This module deals with the retail sale of
medicines to general customers OPD patients,
and issue of medicines to the in-patients in the
hospital. Its functions include online drug
prescription and inventory management and billing
of drugs, surgical and consumables. Salient
Features Include Provides a comprehensive
online list of available drugs for the
doctors Displays alternative drugs for the non
available drugs Supports interfacing with drug
databases like CIMS and DOCTOR FIRST Auto-genera
tion of alerts when minimum stock levels are
reached Online requisition for stock order from
the main store Provision to manage consignment
items Barcode/RFID for the items Can be
interfaced with Pneumatic tube for
dispatch Drug allergy alerts

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RADIOLOGY INFORMATION SYSTEM
This module facilitates management of the
workflow of radiology services and equipment, in
addition to supporting entry of work records and
reports. The ultimate objective is to store all
patient images, scans, and ECG graphs in the
system or as electronic files due to its
integration with PACS, thereby eliminating the
unnecessary retrieval and dissemination of films.
This module also has tele-radiology facility
wherein a radiologist can remotely access DICOM
files using our mobile and web application for
reporting Salient Features Include

• Interfaced with EHR
• Billing using radiology orders from clinical
  module
• Requisition generation from lab order/bill
• Requisition creation based on facility, test, and
  modality
• HL7 message generation for patient creation,
  order creation
• Requisition status change
• Report entry using templates
• Reporting with HL7 message generation and send it
  to PACS
• Prints with NABL standards
• Access previous lab results based on tests
• Dashboard for TAT
• Dashboard for work in progress
• Speech-to-text for radiologist reporting

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LABORATORY INFORMATION SYSTEM

• his module is used by the pathology lab to record
  and disseminate the information regarding the
  tests performed. The laboratory department
  receives online orders from doctors and also
  allows laboratory personnel to generate requests.
  
• Salient Features Include
• Service and test setup
• Diagnostic packages using different tests
• Billing using lab orders from clinical module
• Requisition generation from lab order/bill
• Requisition creation based on facility wise, test
  wise, sample type wise
• Sample collection process
• Interfacing with lab analyzers
• Results fetching from analyzer data
• Results recheck process
• Results authorization
• Redo process from sample collection
• Prints with NABL standards
• Access previous lab results based on tests and
  UHID number
• Lab reagents and kits inventory management
• Dashboard for authorization
• Dashboard for TAT

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INSURANCE

• This module is integrated to the inpatient
  management module. Reports of the patients
  admitted under different insurance companies can
  be taken separately. Various options are provided
  to take detailed bills.
• Salient Features Include
• EDI interface with insurance / billing company
• Biller Portal
• Charge capture solution
• ICD10 coding

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PURCHASE STORE AND INVENTORY
The General and PharmacyStores module has been
designed to cater to all the needs of the
hospital staff in carrying out their duties with
the aid of items being made available from the
General Stores and Pharmacy department. The
procurement cycle of the items from the suppliers
to issuance of the same to the end users has been
covered. Salient Features Include

• Master pages to create Groups, Sub-Groups, Units,
  Suppliers, and Items
• Ability to create templates for different forms
  of item purchase
• Quotation entry and comparison
• Purchase order for cash, non-stock items,
  emergency purchase, service
• Sub-store operations and departmental cycle from
  request, queue, approval, and transfer
• Ability to issue to other hospitals and return
  from other hospitals
• Physical stock adjustments
• Handling of expired items with return to
  suppliers or destroy of expired items
• The Supplier master record creates a sub-ledger
  account in financial accounting
• External hospital stock issues and receipt
• Stock requisitions from sub-stores and
  corresponding management
• Purchase order generation
• Supplier management and supplier payment bucket
  facility available

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INPATIENT MANAGEMENT

• This module commences when the patient is being
  registered and allotted a bed in the ward. It
  deals with the complete treatment and services
  provided to the patient during his/her stay in
  the hospital.
• Salient Features Include
• Conversion from OP to IP
• NABH/JCI standards in registration process
• RFID wrist band for tracking of patient in the
  hospitals
• Bed allotment
• Inter-departmental consultation
• Bed transfers
• Requisition of drugs and consumables from the
  pharmacy
• Raising investigations and report viewing
• Maintenance of billing sheets for patients
• Dashboard for billing activities/audit
• Dashboard for quick links (counts, revenue,
  discount etc)
• Discharge billing and summary

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NURSING MANAGEMENT
This module offers the window to nursing or ward
staff and facilitates them to manage their wards
on a floor. Special units like ICU and OT are
practically and effectively managed and the
module also tracks all services given to a
patient connecting to their wards. Salient
Features Include Access to patient
administration system Ability to link in with
the order communications Notification of
patients pending arrival, current status,
etc Comprehensive charts to monitor the
patients condition Real time test, procedure
and medication ordering to the concerned
departments For surgery, the theatre schedule
is notified, together with any preparation
required Ability to record admissions,
discharge and transfers at the wards to update
the bed census Confirm location of the patient
and to notify ancillary departments such as
dietary Communicating with departments such as
housekeeping, maintenance, security,
etc Procedure notes Nursing notes

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INTERFACE MANAGEMENT

• We provides a provision for interfacing with
  various digital equipment's and external software
  which are used in healthcare operations. These
  include laboratory equipment's such as bio
  analyzers, monitoring equipment's that are used
  to monitor the vitals of a patient, digital
  camera for storing captured patient photographs,
  radiology equipment's using PACS technology and
  interfacing with Tally ERP for Accounts and
  Finance management. These digital equipment's and
  software can be interfaced with our application
  to fetch data from these instruments and save
  them in the system against particular patient.
• Equipment's Software that can be interfaced
  are
• Tally ERP
• X-Ray Machines
• Ultrasound Machines
• Digital Bio Analyzers
• VCT Scanners
• MRI Scanners
• Abbott Point of Care
• Bosch Fundus Camera
• ICU Monitors
• Other Medical Equipment's

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OPERATION THEATRE MANAGEMENT

• This module tracks all surgeries that take place
  in the hospital. Right from scheduling the
  operation, managing the surgery team, recording
  the surgery details to checklists associated with
  a surgery it manages in advance and prepares for
  a surgery or operation by keeping the records of
  all items required during the operation. It
  enables an electronic consent of the patient or
  the relatives. It also maintains the data on
  preoperative and postoperative conditions of the
  patient.
• Salient Features Include
• Accurate scheduling of the operations with
  flexibility in managing bookings
• Pre operative checklist
• Time out document
• Anesthesia record
• Operation record
• Inventory and stock management of the OT
• Sterilization schedules, checks and audits

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HUMAN RESOURCE MANAGEMENT
This module takes care of the complete working of
the human resources management in the hospital
from the time candidates apply for a job till the
time they resign. It includes a variety of
activities like deciding what staffing needs you
have, recruiting, training and conforming to
various regulations, maintaining shift rotation,
and delivering reports on workload on an
individual. Salient Features Include Interfa
ce with biometrics for daily attendance Leave
management Duty roster Overtime
management Salary, PF, TDS, loans
management Pay slip generation through intranet
portal Bonus and incentive management Outsourc
e employee management

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REPORTING MODULE AND STATISTICS
This module provides information to the
management to help them take the right decisions.
It helps in measuring the performance of each
department in the hospital. Data can be mined as
per the analysis required. Salient Features
Include Privilege dashboards for the
department heads to monitor and measure
performance Top management dashboards Clinical
dashboards Facility for exporting the data
into various formats like Excel and
PDF Department-wise revenue details Quality
indicators as per NABH and JCI requirements Easi
ly customizable reports as per the managements
needs Auto-scheduler for generating the reports
and sending the reports by Email SMS alerts
generation Operational business reporting for
work reports

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DIETARY MODULE
This module lets the dietician prescribe the most
suitable diet to any given patient, based on
his/her medical condition, as instructed by the
physician. It also allows the maintenance of meal
scheduling, customizing meals as per patient
meals and recording of individual meal orders.
Salient Features Include Allows the user to
create the food items groups and food items
available in the hospital kitchen Captures the
calorie count as well as the nutritional
information of all food items Facilitates
capturing of recipes that are made up of food
items or other recipes and their proportionate
quantities. Charts for maintaining the
nutritive information of different food
stuffs Creation of a meal plan for the kitchen
by the dietician in the system for breakfast,
lunch and dinner for any given period of time as
per the requirements of patients Generates an
order for the kitchen providing a list of items
to be prepared for each day, based on the
requirements of the patient

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CSSD MODULE

CSSD module enables users to have the inventory
information of items that need to be sterilized,
in the form of packs/sets or individual quantity,
by keeping track of such items received/issued to
departments like OT, Cath Lab, ICU, Emergency and
Ward in the hospital Salient Features Include-

• Master Pages for Items, Trays, Templates, and
  Checklists
• Sterilization Queue screen to perform all the
  daily activities with respect to CSSD
• Scheduled maintenance of sterilization of trays
  and items
• Monitoring of the quality of sterilization
• Capturing of date and timestamps for effective
  monitoring of turn-around-time

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QUALITY AND INFECTION CONTROL

The Quality and Infection control module is used
to track all cases of incidents and infections in
the hospital with a workflow for escalation based
on severity. It is fully integrated with the
other modules of Tiatech and allows seamless
transfer of information Salient Features
Include-

• Incidents can be related to patient, staff,
  visitors or others
• Incident queue with status
• Incidents can be filtered based on incident type,
  date range and reporting department
• Escalation to higher levels for comments, if
  required
• Classify an incident according to category and
  subcategory based on the severity of the incident
• Infection cases reported consists of Doctor marks
  the diagnosis as Infection during Medical
  observation (IP/OP) or at a later stage, Positive
  microbiological cultures (OP and IP), Direct
  reporting by nurse and doctor in case of IP
  (notifiable diseases)

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ASSET AND MAINTENANCE MODULE

The Fixed Assets Module deals with all the
activities that are related to the Fixed Assets
in a hospital. This module handles all the assets
of the hospital and covers functions like
identifying an item as a fixed asset and then
allocating specific depreciation on that asset,
managing the movement of the asset, maintenance
of the asset, revaluation and disposal etc. are
monitored regularly. Asset adjustments, Asset
Transfer, Asset revaluation, Asset Disposal is
possible in this module.
The module lists down all the machineries
maintained by the hospital and the preventative
schedules along with the due dates. Any
breakdowns on part of the machinery and other
functionalities would also be recorded in the
system. Provision to capture details such as
spares used for service and man hours consumed to
arrive at the total cost of the maintenance
activity is also available.
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