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Understanding IT Infrastructure at Sharp Sight Centre

By:Prabhat Kumar

Roll No-03PGDM-Exe

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Introduction

• Established in 1998 Sharp Sight Centre is providing quality eye care.

• Their ophthalmic patients get all their unique requirements here at its centre.

• In their team of experts, they have country’s best specialists who have sharpen their skills in the premier institutions of India & abroad and have specialized in all kind of vision correction surgeries.

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About The Company

• Sharp Sight Centers Company formed and registered by Dr. Samir Sud & Dr. Kamal B Kapur in 1997.

• One of the First Few to start Topical Phaco (Injection less Painless Cataract Surgery with Phaco) in the Country in 1997.

• First Media Coverage Youngest eye Phaco surgeons covered By Media in 1998. live surgery shown on national TV

• Started Multifocal IOL Implants (One the first Few in the Country) in 1999.

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• New Eye Hospital Inaugurated By Honorable Health Minister of India (Sh. Shatrughan Sinha) in 2002.

• Dr. Kamal Kapur Nominated as Prestigious Member Of APEX (Asia pacific Experts On cataract) only Indian to represent on this board and YOUNGEST in the group

2004

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• Awarded the Certificate For CENTER FOR EXCELLENCE in CATARACT SURGERY By Bausch & Lomb University. 2007

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Facilities

Sharp Sight Centres facilitates the following:

• OPD Unit• Surgical Unit• Optical Outlets• Laboratories• Pharmacy• Contact Lens• Emergency• Cafeteria

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Eye Care Services

• Sharp Sight Centres have successfully carved a niche for themselves in the big world of ophthalmology in our country.

• Rising footfall of international patients at various centres.• Recognition in the foreign circles as well.• Specialization In:• Laser vision correction • Cataract treatments • Glaucoma and cornea treatment• Squint, lazy eye correction, • Occuplasty • Vetororetina surgery etc.

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Cataract

• At Sharp Sight Centres we provide a slew of cataract laser surgeries that take care of various stages of this eye disease and effectively restore your vision to near perfect with minimum of hassle, time and cost.

• At present we provide aberration free IOL, S-MICS, TORIC IOL, Multifocal IOL and Crystalens IOL surgeries under the guidance of our highly experienced surgeons.

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Refractive/Spectacle Removal

• They excel in LASIK, one the most advanced technologies for spectacle removal in the world that involves immediate recovery with no pain at all.

• At Sharp Sight Centres special emphasis on the needs of patients and have successfully performed many refractive correction surgeries over the 13 years using Blade free Femto LASIK, LASIK, ICL and CLE techniques.

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Retina

• Made many advances in the field of treating retinal disorders with an excellent understanding of diabetic retinopathy, retinal detachment and its treatment.

• Glaucoma• Sharp Sight Centres take the disease of Glaucoma both open

angle and close angle very seriously as it can lead to permanent loss of vision. We have laser trabeculoplasty, Glaucoma implant surgery, non penetrating Glaucoma surgery and conventional surgery for treating glaucoma patients even in late stages.

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Cornea• To save you from the pathos of Keratoconus that leads to distorted or

loss of eye vision, we perform Cross link C3R surgery with the aid of advanced machinery and expert doctors.

• Pediatric Ophthalmology• Save your child the pain of suffering from a lazy eye and prevent his habit

of squinting at things. Occuplasty• Structure your eyes the way you want. Get rid of unwanted eye tissues.• Flashes and Floaters• Remove those pesky floating things troubling your line of vision [most

probably a flash or a floater] with the aid of our well renowned flashes and floaters treatment.

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• GOVT. EMPANELMENTS:• MEDICLAIM TPA's ON PANEL FOR CASHLESS• :AIR INDIA / INDIAN AIRLINES• BHEL• BSES • RAJDHANI POWER LIMITED• BSES YAMUNA POWER LIMITED• BHARAT SANCHAR NIGAM LTD.• CENTRAL ELECTRICITY REGULATORY COMMISSION• CENTRAL POLUTION CONTROL BOARD• CENTRE FOR CULTURAL RESOURCES AND TRAINING• CENTRAL GOVERNMENT HEALTH SCHEME• CENTRAL INDUSTRIAL SECURITY FORCE• DELHI DEVELOPMENT AUTHORITY• DELHI ELECTRICITY REGULATARY COMMISION• UNIVERSIT GRANT COMMISION• UNIVERSITY OF DELHI• UTI

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• VISION• Sharp Sight Centre of excellence is committed to enhance the quality of

life by revivingthe joy of vision.

• • MISSION• To continuous manage change & upgrade patient’s experience through

Quality Process, Technology, Centre Facility, Highly Motivated and Talented People.

• • QUALITY POLICY• Sharp Sight Centre believes in providing ‘Quality Ophthalmology Care’ to

patients with Latest Technology, Diagnosis and Treatment.

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• COMPASSION• We at Sharp Sight Group are committed to deliver the best of eye care

with compassion, warmth and professional expertise. Our teams will tailor all out treatments to suit your visual requirements and budgets. Our surgical teams constantly strive to provide you a satisfying experience and make a difference to you. We at Sharp Sight empower you with complete details of your treatment and help you take the right decisions.

All treatments are individually tailored to suit the patients based on their age, visual requirements & financial ability to spend, etc. As a part of social responsibility we conduct regular eye camps, public lectures on eye care awareness conduct free/subsidized surgeries for under privileged of the society.

• At Sharp Sight Centres "We look after you".

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• Our Commitment• SAFETY• As one of our core values, we place this issue of safety at the top of the list. We follow all the international

protocols of safety. We do not compromise in this regard at all; your safety is of paramount importance for us. We are also well versed with dealing with patients who have had a less than ideal outcome from other centres.

• SKILL/EXPERTISE• The Sharp Sight Group of Hospitals take pride putting together one of the best teams in India to provide ultra

modern eye surgeries, our surgeons are thoroughly trained Cataract and Refractive surgeons and have performed thousands of successful such procedures.

Some surgeons in our team are consultants to top leader in technology in India and abroad, and are members of Apex bodies and trainers to fellow ophthalmologists all over India and abroad. The whole team of surgeons at sharp sight from all the sub specialities are interested in satisfying your visual needs. We perform a thorough (and sometimes lengthy) evaluation to ensure accuracy of all the treatments that we offer.

•As a testament to our expertise we regularly look after patients who need complicated surgical procedures and have been referred to us from our fellow colleagues. As an academic and training centre we present and exchange our work nationally and internationally. Owing to the high degree of professionalism and expertise, we have had patients from other parts of the world as well.

• We strive to give consistently good outcomes.

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• TECHNOLOGY• True to our motto we have some of the worlds latest and advanced

technology in eye care especially in the fields of Cataract and Lasik Surgery. We were also at the forefront of Injection less and stitch less Cataract Surgery in India. We also have many firsts in the area of getting new technology and equipments in India to our credit.

Since some of our medical directors are consultants to Bausch and Lomb and many other technology houses, thus we have access to the latest available technology and equipments, including some of the latest machines and IOL’s etc. We ensure that at Sharp Sight we have the best and the latest technology available for our esteemed patients.

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The Different Centres

• 81, Defence Enclave,(Opp. Preet Vihar) Vikas Marg,New Delhi-110092. IndiaPhone:+91-11-43073902/903+91-11-22461134/35/46+91-9999405599

• A28, Westend Colony, Near Shanti Niketan,New Delhi-110092. IndiaPhone:+91-11-24112301+91-9811034007

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• 7B Rajendra Park, Opposite Rajendra place, Metro pillar 153,Main Pusa road, New Delhi, India.Phone:+91-11-47565505+91-11-47565506+91-11-25728944+91-9999055514Toll free :1800 419 0518

• Aditya Gold Crest,101, 102, 103, 1st Floor, Plot C/GH3, Above Nathu SweetsVaibhav Khand, Indirapuram, India.Phone:+91-120-4571006+91-120-4571009+91-9899534441

• In Collaboration WithDr. Manzoor Eye Clinic28 Wazir Bagh,Opp. L.D Hospital,Srinagar, Kashmir.Phone:+0194-2310324+91- 9906704596

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Objectives

• To understand the IT Infrastructure requirement for group of Eye Hospitals.

• To understand the ERP system for Hospital-Different Modules.

• Challenges for an IT .

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ERP Package-LEKHISOFT• The number 1 ranked EMR solution in Indian hospital industry.• Highest overall value proposition score in the health care industry.• Lekhisoft is the pioneer in software development in healthcare

domain, specialized in Hospital Management System with a well Knit team of qualified and experienced software professionals

• Under the guidance a penal of senior medical professionals and functional specialist. The product is developed on detailed study (i.e. System requirements, System design, software development and system integration), thereby taking the opportunity to introduce a well rounded software for medical Practitioners & Hospitals

• Take care of the entire functionality of the business.• Integrates functions and sub functions, on real time basis

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The Salient Features of The Product

• Paper less working• No need of files & registers• Minimum Typing• User friendly• Maximum security• Maintain complete medical record (EMR ->

electronic medical record)

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Key Modules of Electronic Health Record Software.

• 1. Patient Registration Module• A user can insert/ edit the personal details of a patient with ease. The

date of birth, name, age, • social security number, address, insurance details, pharmacy details

and guarantor details can easily • be entered. This module makes it easier to access details to be used in

billing and clinical modules. • 2. Appointment Scheduling Module• The user can handle patient appointments with ease and also

effectively manage provider • schedules. Views (daily, weekly and monthly), visit profiles and

scheduling templates are some of • the other attractive features of this EMR software package.

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• 3. Medical Billing Module: Users of our software can effectively perform medical billing options as this module has the

• features of medical billing software. Users can manage and print super bills. Charge entry, payments,

• using this module can perform complete collections and claims processing.• 4. Administration/Security Module• The user can setup the practice along with the required master data. Different

user accounts can be created. Configurations of the software can be customized for the working of the application at a user level or at a practice level.

• 5. Reports Module• In this module, you can view the system reports display default reports. Users

can configure and customize reports based on the access level. Physicians manage their time well and allow them to devote better time to their main concern - their patients.

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• ABOUT PLATFORM OF PACKAGE• The Package is unique in its design having

extensive Linkage & auto-posting facility for daily updating of Computerized Accounting Ledgers covering Administrative, Finance and Clinical aspects.

• Medical Package is developed VB6 as a front-end and MS-SQL/ as back-end.

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• DESIGN FEATURES OF THE MEDICAL SOFTWARE- Ease Of Use [User Friendly]• Integrated On-line Modules easily customizable to specific requirements with

minimum time.• Software Options fully Menu-driven with POP-UP Windows for ease of

Operations by Users. Single Window service on mouse clicks• Software is future ready & capable of adapting to future technologies.• To provide open-ended adaptability & scalability of Software for future hospital

expansion facilities, additional Computer Terminals and increase in load on Volume of Transactions in any Module.

• No restriction on increasing of any Hospital Facilities and high volume of Transactions. .

• Software can be updated from time to time through website• Multi- user & Multitasking in Client/Server• Remote and online administration of software at client’s end from our

developmental office through Internet.

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• HOSPITAL MANAGEMENT SYSTEM (HMS)• Package has been designed modularly for ease of implementation, integration and Linkage for

providing On-line Information System to the different levels of Management in• Hospitals. Following are the multi-user Version of On-line integrated LMS Modules, which can be

selected and implemented in Phases:• A comprehensive, integrated, window based Hospital Information System covering clinical,

administrative and financial area of a healthcare set-up!• Specifically designed to cater to the needs of hospitals and teaching hospitals (Government and

Private)• Easy to use software with 500+ satisfied user• Overall System Features: • • Modular design: Other than the basic modules, user will have choice to include • optional modules. Depends upon the manpower and finance availability, one could • decide on the options. • • Relational Database: Microsoft SQL Server is used at the backend for data • management. It has powerful features of data management to access the data • efficiently. • • It’s Flexible – User Specified rule: Wherever it is possible, user will have the choice • to select the right combination of rules, which is suitable to their organization. • • Client/Server technology: Enhance the performance of the application. • • Windows environment

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OPD System Diagram

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Billing CenterSystem Diagram

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MAIN MOUDLES IN HMS

• Patient Registration• Surgical Mgmt • Ophthalmology • Psychiatric Mgmt• IPD Module Pharmacy • Mgmt Neurology• ENT Mgmt• Ward Management• Inventory Mgmt • Endocrinology Nephrology Mgmt• Diagnostic Module• Payroll Mgmt• Laser Therapy• Urology Mgmt• Pathology mgmt • Financial A/c

• Pediatric Mgmt • Dental Mgmt• Radiology Mgmt,• Medical Record • Orthopedic Mgmt • Acupuncture Mgt• Cardiology Mgmt • Medical OPD • Gynecology Mgmt • Radiotherapy Mgt• Blood Bank Module• IPD Record• Oncology Mgmt • Diabetic Mgmt

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• PATIENT REGISTRATION• Capturing Personal Information and Allotting A Unique

Identification Number• Registered Patient List With Florescent Visual Display with Search

Engine.• All Records of Patient Registration Can Retrieve By Name Or Reg No.• Sticker of Patient Information Can Be Print for his File & Card (Big

/Small)• Registration Slip Printing / Registered Pt. List-Date , Category , City

wise• Reports-All Daily Registered Patient List / Category wise & Doctor

wise pt. list

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• OPD MODULE• OPD Management Module maintains Outpatients information and Provides interfaces with• Appointments, Investigation Centers, Day Care Surgery, Pharmacy, etc. Fixing of

Appointment for• Consultants, Enable Cash Collection from Outpatients for Consultations, Investigations,

Procedures• & Day Care Surgery. It generates a Cash Receipt. Generate "Cash Collection" and Revenue• Summary reports for daily reconciliation. Facilitate auto-posting in Accounting Records• OPD Registration & Management of Out-patient Record• Generate OPD Pt. Register / Bill / OPD card / Duplicate card• Maintain Record of All Patient Compliant, Diagnosis, Prescription, Reports• Special Online Reports Daily Patients, Doctor-wise Category-wise, Branch-wise, Next/Re-• Visit Report• OPD Cash Collection (Daily Collection, Doctor-wise, Category-wise)• Information Screen Department wise Doctor on Duty• Dynamic Prescription Printing (Hindi & English)• Reports-Daily Registered Patients /Advance Receipt Slip / Category wise Patients

Report• Next Re-Visit Patient Appointment Report

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• IPD MODULE• At the time of Admission of a Patient, all relevant details are accepted along with Booking• advance and deposit. Admission Form or Slip required in the Patient Case Sheet File in the• Ward is also printed. System maintains status of Occupied & Vacant Beds in the hospital.• Every Patient is automatically assigned a unique In-Patient Admission No. (I.P.D. No.),• which is used for identifying Case Sheets and all services utilized by the Patients. It updates• Bed status for Transfer or Discharge of a Patient. Generate Transfer and Discharge slip• Automatic Display of Registration Date & Time / Registration Slip Printing• Medico Legal Information /Doctor Ref To/ Ref By / Doctor In charge Assigning• Ward/Room/Bed Allotment Facility• Admission, Discharge & Transfer Information Of Patients• Advance Details- Advance Receipt Printing• At A Glance All Ward –Room-Bed Occupancy Details• Admission Register- Day/Duration /Category Wise• Collection /Advance Report- Day/Duration Category Wise• This module covers extensively the complete billing functions involved from the date and time of

admission of a patient till discharge from the hospital.• Enable generation of in-patient register and billing register.• You can search patient detail based on any criteria like time periods diagnosis, age sex, blood

group, date of birth, referral doctors, city, etc• Reports-Discharge Ticket / Medical Certificates / Dr. Sheet / Nursing Sheet / Slips Nursing

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• IN-PATIENTS BILLING & CASH COLLECTION• This Module covers extensively the complete billing functions involved from the date• and time of admission of a Patient till discharge• Investigation Advice Entry• Medicine Requisition Entry• Hospital Canteen Diet Supplies• Special Services offered• Visiting Consultants Record• Transfer and Discharge Advice• Calculate bed charges automatically.• Generate Receipt for deposits/advances for amount collected from Patients and Bill

(Interim) or Bill (Final) for settlement.• Generate Deposits Exhaust List for collection of amount due from each Patient on

medical expenses incurred by the hospital.• Enable generation of In-Patient Register, Billing Register, Collections Record, etc.

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• Security Setup• One of the salient features of our Software is its in-built Security which is

provided in two stages.• In the primary level, a privileged access is given to a user in the Hospital,

identified as the• Super User with SUPERUSER PASSWORD.• The SUPERUSER can access with privilege any Modules of HMS, there by

having the entire control over the Software• All the above USER-ID's and PASSWORD'S are protected from being

changed by any User or other persons by keeping them in an encrypted format

• Also, when the Users in the Software enter the USER-ID and Password’s, they are not echoed on to the Screen (Monitor), providing an additional Security.

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• System Maintenance• LMS provides special System Maintenance

functions to maintain the Software files &• maximum disk space availability in an efficient

way to the Users.

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• What are the characteristic features of EMR software?• The electronic medical record software usually has the following characteristic features.• -The EMR software can competently address issues regarding security, confidentiality• and privacy• -The EMR software can store data according to the related regulation acts• -The presentation of information in the EMR software can be altered to suit the user’s• preference and requirements• -Users can retrieve selected information• -A computerized version of a patient’s record, along with progress notes and treatment• plans can be created with ease• -The EMR software has automatic security measures All patient files can be password• protected in the EMR software• -A signature of the last user is stored in the software to easily track the users of the• EMR software

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• -The EMR software has restricted access features• -The information in the EMR software can be presented in a clear, concise and precise• manner. The information can be stored in a form, which can be easily used in other• applications• -The EMR software is cost-effective and easy to use. You can also save on time and effort• by using EMR software. The EMR software can be easily merged into your existing• processes without any hassles• -The EMR software can provide an ASP solution for managing practices and maintaining• health records• -The EMR software can efficiently store, transfer and retrieve medical information• within a practice. The electronic medical record software is also healthcare logistics• software as it has features that enable interfacing with other data providers who are• outside the practice

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• Will an EMR software be able to enhance the functionality of a practice? How can the EMR software benefit my healthcare organization?

• Yes. The EMR software can increase and improve your efficiency as it has an electronic patient check-in. The EMR software can also be effectively used to access any records on a 24x7 basis.

• In the EMR software, patient summary information can be easily customized to view specific details

• Organization can experience accurate and error-free coding with the help of the coding functions and templates in the EMR software

• Patients can easily access the results of their tests.• Experience the quality Paperless records• All these features of the EMR software can enhance the functionality of

healthcare practice.

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• What makes the EMR software different?• The EMR software can effectively handle and manage

large practices and healthcare centers.• It can proficiently addresses the main needs of a hospital

information system, since it is a knowledge based system.• It can incorporate all the departments of a practice• It can provide 24x7access to comprehensive information

across the enterprise• It can competently perform medical billing functions• It can help reduce error

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• Advantages of using EMR software?• Electronic medical record software• -Effectively maintain your medical records.• -Help you effectively overcome the disadvantages of the conventional paper-based

method.• -Accessed by many at the same time.• -Eliminates errors, fragmentation and wrong indexing.• -The emr software is complex software and contains a collection of documents.• -It is user friendly. Users of the emr software can examine medical records with ease.• -The emr software enables the input, storage, transfer and the retrieval of medical• information.• -Using the emr software can result in financial benefits such as, savings on

transcription,• recording, proof reading, papers, bill books, registers & stationary.

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• -The electronic medical records software enables healthcare physicians to spend their time

• with patients without wasting time on transcription, files & papers.• - Billing & medical record information for a patient is not lost.• -Enables the doctor to track appointments while on the move.• -Effectively use the charts database to optimize claim

documentations, thereby ensuring• higher returns for each claim.• -The emir software solution can be integrated with different insurance

providers.• -The electronic medical record software has built-in integration points

with other financial• and erp/products.

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Hardware

• SERVER: (BRAND-DELL)• Intel Xeon dual • 16 GB RAM• 3 x 300 GB SATA hard drives with mirroring OR RAID 5• Gigabyte ethernet• Windows 2008 / 2012 server OR Linux (Ubuntu 64

bit)• Firebird SQL relational database version 2.x (64 bit)• Anti virus subscription

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• WORKSTATIONS:• Intel Atom / Core i3• 2 GB RAM• Fast Ethernet• LCD monitor• Space saving foot print• Windows 7 license• 180 GB SATA II hard disk drive

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• PERIPHERALS AND ACCESSORIES:• Cat 6 or e-Cat structured cabling• 24 port managed switch for connectivity and network monitoring• DVD writer / External hard disk for data backup• A4 Laser printer (laboratory results and patient discharge summary)• Static broadband connection for remote support (Mandatory)• 24 Wire dot matrix printer (department billing)• Epson point of sale (POS) printer• HP Scan jet N8420 desktop scanner with barcode detector (for EMR)• RFID scanner and passive tags (for patient wait time monitoring)•

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Networking

• Networking solutions integrate various operations in an organization. Networking done by integrating their processes by the power of technology.

• It takes care of designing, developing, installing and managing the networks in an organization.

By creating and maintaining a scalable network, the company facilitates a smooth operation in the medical environment. Streamlined communications by networking the constituents of organization.

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Other Equipments

• Routers: 02 in each centres. Netgear• Network: MTNL/Airtel

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Challenges In IT • Data Security Over Network• Maintaining network security is now more challenging than ever Protecting all of

your systems all of the time is challenging in today’s ever-changing threat environment. New threats emerge every day.

• Spam, phishing, viruses, and hackers can steal valuable data and disrupt network. Keeping data safe requires total protection against all types of known and unknown threats.

• Firewall• Antivirus.• LAN Management: Speed of the flow of communication.• Data Theft• Maintaining UPS• How to connect IT with the strategic priorities of the organization• Communicating and marketing IT more effectively• Compliance, governance, metrics and risk management

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• How to connect IT with the strategic priorities of the organization• One of the biggest frustrations the IT managers feel is the difficulty of aligning IT with the key

priorities of their organization - which must be one of the oldest chestnuts in technology management.

• Many a time outsourcing done to save money and focus on our core business. • But outsourcing has removed the IT manager's ability to adequately support the business. The

outsourcing deal is driven by SLAs [service-level agreements], but they don't take into consideration all the little things that IT used to do to help out before the people were outsourced.

• Another issue came from demands to minimize capital expenditure (capex) and fund IT through operating expenses (opex) instead.

• A number of major corporate projects mean there is little capex budget left for anyone. But management are loath to spend out of revenue, so IT is just expected to adapt.“

• And too often, budget for new initiatives goes to "whoever shouts the loudest" because of a lack of strategic direction for IT to be able to make a business case."It is about getting the right balance between tactical and strategic, and between being reactive and responsive,"

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• Communicating and marketing IT more effectively to the rest of the organization

• lack of alignment between strategy and IT is the need for the IT department to communicate better with the rest of the organization and the boardroom.

• "IT people are not naturally good at marketing themselves,“ "We have to articulate things in a language the business understands.“

• Compliance, governance, metrics and risk management• "Compliance can drive the rest of the business to consider IT more."• A risk management approach is as an effective way to make sure the

board understands the impact of an IT business case. For example, if a business risk that could cost the company, say, one per cent of its revenue could be eliminated by better IT, that makes a compelling argument to proceed.

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Thank You.