kurera overview document

8/13/2019 Kurera Overview Document

1/20

2011

KTwo Technology Solutions

December 2011

White Paper - Kurera

Enterprise Healthcare Information System


2/20

Kur

Contents

ABOUT KTWO

1.ABOUT KURERA

History

Convergence of business & he

Challenges Faced by hospitals

Adopting Latest Technology &

2.FUNCTIONAL DESCRIPTION

Front Office

Clinical module

Services module Hospital Administration

Order Entry & Billing

Collection & Refund

Accounts

Stores

Approvals

Reports

Admin Tools

3.MODULE WISE COMPARISON

4.TECHNICAL DETAILS & REQU

Technology

Hardware

Software

5.DEPLOYMENT PLAN

Application Installation

Application training to end us

6.WEB AND MOBILE INTERFAC

6.1 WEB INTERFACE:

1.1 TECHNOLOGY DETAILS:1.2 INFRASTRUCTURE REQUIREMEN

7.WHY KURERA?

ra Unfied Healthcare Management

althcare

Business Processes

F KURERA

WITH STANDARD HIMS

IREMENTS

ers

FOR THE EXISTING HIMS - KURERA/ ERP AP

TS:

LICATION


3/20

Kur

AboutKTwo

KTwo Technology Solutions

Consulting Company, deliveri

Incorporated in the year 200

continuum of care, for Healtproximity centers in Europe,

a full suite of solutions that c

KTwo's Last Metre Connecti

performance, quality inform

seamlessly connect in to mob

KTwo Technology Solutions i

leader and a serial entrepren

Technologies in the past. K

possesses extensive experienand solutions in healthcare s

agenda KTwo harnesses the p

and deliver world-class prod

market.

The key objective of the com

solutions that align high utili

suite of products offers a poi

point solution in an enterpris

to serve as a basis for vertica


is a global Healthcare IT Products, Solutio

ng end-to-end solutions to distinguished cl

, KTwo provides integrated solutions, acr

care Informatics & allied industries. WithUS, APAC and offshore facilities in India,

an maximize the client's return on invest

itysolutions provide secure, reliable, hi

tion transfer to enable end-user applicati

ile and cloud services.

headed by Anant Koppar a visionary tech

eur that transformed BFL, eMphasis and K

wo is driven by a winning team of profess

e in rolling out innovative and cutting edace across the globe. Operating on a well

otential of both Indian and global talent p

cts customized to varied requirements in

pany is to build and consolidate products

y with value for the total cost of ownershi

nt solution in itself or a combined bundle

e scenario. We focus on building industry

l solutions in niche industry segments as

s &

ientele.

ss

customerTwo offers

ents.

gh

ns to

ology

hema

onals that

e productsdefined

ool to build

global

o -design

p. KTwos

s a larger

rameworks

ell.


4/20

Kur

Fact Sheet

ISO 9001:2008 Ce

Company's annua Technology Partn

Implemented HI

Partnered with InMicrosoft.

Healthcare ReseaEngineering Univ

Registered Office Experienced Lea Company started


rtified.

l turnover is $2 millions

er for ColumbiaAsia Healthcare Management

S.

tel, Freescale, Motorola, Avaya Global Conne

rch Centers in partnership with esteemed Med

rsities in Karnataka.

in Bangalore, Karnataka.

ership Team and 100+ professionals.

on Feb -2007.

ompany and

t and

ical and


5/20


6/20

Kur

1. About KureraHistoryKurera is a Unified Healthcare

with Healthcare Decision Syste

has been developed over the

Management Company having p

Kurera, with an installed base

been performing and deliveri

administrative fraternity of this

Front Office and Back Office f

and reduction in costs.

The medical fraternity docto

increase their efficiency to pro

Convergence of business &Healthcare professionals across

to increase along with growing

their healthcare decisions, th

formidable. This leads to slow

to errors in treatment.

Challenges Faced by hospitaEmergency Department State of E

Chronic overcrowding in EmWait times are increasing to

Reaching Critical Mass in Nursing

Chronic shortages of healthProviders will seek innovati

the right staffing levels

Baby Boomers and Senior Citizen

On the Cusp of an ExplosionBudgets for oncology, cardi

Performance Improvement Initi

Maximizing equipment andhospital administrators.

Impact of Defensive Medicine Str

All Hospital Resources Studdefensive medicine, with 59


Management solution that unifies the busi

s to provide a better client (patient) experi

last few years in association with a larg

resence in most parts of the South East Asia.

of around 40+ healthcare facilities across Asi

g value added services to healthcare co

hospital chain is using the application extensi

unctions with the desired results of increase

s, nurses and paramedics - utilize the Clinic

ide a healthy client experience.

ealthcarethe board are facing challenging times. As c

regulations and consumer demands of more

e barriers to access information can very

and expensive processes and procedures and

ls

mergency

ergency Departments have reached a feverishunsupportable levels.

are professionals in nursing

ve ways to schedule their existing personne

- In 2009, many health systems will invest in n

logy and orthopedic departments will grow

tives Hit the Mainstream

minimizing waste will become the univers

ins

ies have shown that over 90% of all physicia

% often ordering unnecessary procedures and

ess solutions

ence. Kurera

e Healthcare

a pacific has

munity. The

vely for their

in efficiency

l modules to

osts continue

control over

soon become

can also lead

pitch

l to maintain

ew facilities

al mantra of

ns engage in

ests.


7/20

Kur

Greater Calls for Transparency

From pricing to performanprivate insurance companie

Weak Links in Supply Chains

Bloated inventories, hoardimpact quality of care and s

Technologies that facilitate brithe need of the hour. This willproviding continuous care. Kuran enterprise by providing:

Healthcare All hospital funNew Technology Support

Tele-consultation, RFIDBusiness Healthcare Finan

Adopting Latest TechnologyBusiness Processes in healthcar

and variability of processes a

involves

Healthcare Acquisition: EntPatient Record: Create andTest and Examination: Per

and technical diagnostic evDiagnosis: Issue a diagnosis,Treatment: Provide trea

substances and proceduresMonitor, Evaluate and Revis

meet short term and long

resources.

Kurera helps to incorporate the

Capture / Control of the floWorkflow systems that gui

pointsBusiness Rules in the form oAlerts and Messaging SystemRobust Reporting System

Business Process Benefits throu

Decrease costs through earclinical process time

Elimination of errors in prand process control

Eliminate waste by reducinBetter control expenditure

a single view of provider toProvide better service


e, all types of hospital data will be scrutin

, employer organizations and patients themse

ing, and outdate/ manual ordering systems

ervice levels.dging the gap between the IT and businessenable healthcare providers to manage businera offers an unified solution running across t

ctionalitiesPatient & Asset Tracking, Tele-Radiology, Te

e and Administration

& Business Processese plays an important part due to complexity,

long with a large pool of users and intero

y and exit of a patient in the systemmaintain a record of the visitsorm an examination, assessment, professionluationidentify treatmentment, prevention and administration of

e: Monitor and evaluate patient outcomes andterm Healthcare needs and facilitate the

se Business processes by

of patient and process information across d e / direct the users through a series of tas

f validations

h Kurera:

lier invoicing where relevant, reduced admi

cess and paperwork, and improved plannin

unnecessary transport and bed occupancy ti hrough automating procurement transactions

reduce erroneous payments

ized by CMS,

lves.

continue to

rocesses aress along withe hospital as

le-Pathology,

interactivity

perability. It

al evaluation

therapeutic

care, plan tocquisition of

partmentsks / decision

istrative and

, scheduling,

esand enabling


8/20

Kur

2. Web and mobile intapplication

2.1 Web Interface:Overview of the Web Interface

As shown in the Figure-01 the

hosted on the application servefeatures required or the doctoron travel.

Manage the doctor cred Send the lab results to t Prescription Progress notes

The web application server wil

fetch the results, patient elgenerate an alert to be sent to

The doctor can access the appl

mobile which is GPRS enabled.

The windows service componen

is sent. By viewing the SMS co


erface for the existing HIMS - Ku

olutions:

Figure-01

existing HIS solution can have web applicatio

r (web server). This component will host bel/physician who are on the rounds, outside ho

ntials

e doctor, pathologist or physician for their ap

l also host for an windows service compone

ctronic health records, electronic medicaldoctor/physician.

ication hosted on the web server via any bro

t will generate an alert message to the doct

tent which will have a hyperlink to redirect

rera/ ERP

n component

w said set ofpital and are

proval

nt written to

records and

wser of their

r and an SMS

the doctor to


9/20

Kur

the web browser. In the web b

results and can provide prescrip

The doctor can also login to

Firefox, Google chrome) on

prescription, remarks and view

3. Functional Descripti

Front OfficeAppointment Scheduling

Schedues the booking of variouany future date & time. Patiendoctor availability and other sc

Registration

A new patient can be registere

key Patient ID. Personal deta

for each patient. During regist

OTC Over The Counter servi

attendance to patient. Patients


rowser the doctor will login to the applicatio

tion, add remarks.

this web application via the browser (Inter

their laptop, desktop and perform the

the progress notes.

n of Kurera

s services for Patients with selected Doctor ats can be either existing (registered) or Neweduled appointments roster is maintained.

d and every registered patient will be alloca

ils and details of kin are captured along with

ation patient can avail OP Out Patient, IP

es with tagof A&Ethat denotes the prior

availing appointment through Appointment S

n to view the

et explorer,

perations of

d service forpatient. The

ted a unique

Photo image

In Patient,

itized service

cheduler will


10/20

Kur

be directly converted as registe

categorized as self-paid or cor

tagged to patient if he/she bel

prices. Already registered pati

producing Patient-ID.

While registering patient canPhysiotherapy. Supports additi

printing, thumb print capturing

the operations team. In case

based on availability and choice

Upon successful registration,

references. Cancellation, Editin

covered in this process.

Point Of Sale

This module allows order entry,having to go through regist

automatically. Upon bill gene

particular department are redu

Call Accounting

This module enables the syste

extension for the patient. Cal

telephone extensions are captu

calls.

Patient and Bed Enquiry:Provifront office user to locate the

avoid delays in admitting the p

Clinical moduleAssessments

Clinical Assessment module has

Emergency Details, Code Blue

OBG, Pediatrics, Surgery &

Assessments.

Charts

The Charts Module helps the

admission. This module suppo

Chart, Blood Sugar Monitoring,

Glasgow Coma chart, Health Sc

Observation Chart, Partogram

and Medication Adminsitration


red patients when patient arrives at the coun

porate to avail benefits of services. Privileg

ongs to any such privileges for further benef

ents can avail the facilties of the registratio

avail many other services for Laboratory,onal features like smart or normal ID card

and patient label generation using bar code

f IP Admission, different category beds c

of patients.

nique Visit ID is generated for each Patie

g and converting OP to IP / IP to OP are stan

billing and payment for a selected pharmacyation formalities. Cash bill is generated

ation the respective pharmacy items from

ed.

to capture the telephonic calls made fro

l Accounting System ensures the calls mad

red and billed to appropriate patients who h

des the details of status on Ward / Room / B free / available beds before registration o

tient.

many clinical features that capture details li

data, Initial Assessment for Medical & Alli

llied, Nutrition Assessment screening and

nursing staff to collect clinical statistics d

rts collecion of clinical statistics using Blad

Diet Orders, Drain Chart, Feed Chart, Fluid B

reen Entry, ICU Charts, Nephrotic Chart, Nursi

hart, Peak Flow Meter Chart, peripheral Circ

harts.

er. Patient is

also can be

its on service

n module by

Radiology orgeneration &

hich will aid

n be chosen

t for future

dard features

item withoutand printed

stock of the

a particular

from these

ve made the

d. This helpsinpatient to

e Accident &

d, Neonatal,

Nurse Initial

uring patient

er Irrigation

alance Chart,

ng care Plan,

ulation Chart


11/20


12/20


13/20

Kur

Services moduleLaboratory

This module comprises of pati

ordered through services and o

ordered for a pateint and can

result reports. Also tests canresult processing. This modul

Management System (LIMS) w

approval is carried out.

Radiology

This module allows medical sta

the orders. The results can be

could be of free text formats.

for all queue list entries and fre

Physiotherapy

This module allows medical staof all the orders. The results

tests could be of free text for

the results for all queue list ent


nt wise listing of test orders that are updat

rder entry. The lab technician can act on eac

enter the results. Laboratory result viewer

e ordered in free text format which will bintegrates seamlessly with the Laborator

erein the sample collection, test processin

f to order radiology tests and a queue list is p

entered / viewed thorugh the queue lists.

adiology Technicians perform tests and upda

e text entries.

ff to order physiotherapy tests and a queue lian be entered / viewed thorugh the queue

ats. Physiotherapy consultants perform test

ries and free text entries.

d from tests

of the tests

provides the

treated forInformation

g and result

repared of all

Certain tests

te the results

t is preparedlists. Certain

s and update


14/20

Kur

Hospital Administration

Blank TemplateEnquire Medical Record StatEPF TemplateLawyer LetterMedical Record Receive / IReply LetterScan DocumentsSosco Template

Order Entry & Billing

Billing

Where final bill is generated fo

Cashier Queue

Cashier can receive payments

this.

Issue Return

Enables patients to return th

required for some of the servic

Notes:Deals with credit & debi

Order Entry

This is ONE single pool wherpatients (OP / IP) are gathered

to be billed or remove service

same feature also provides pati

the current bill amount.

Daily Auto Charges

This features updates the patie

to admitted patient. This setti

items.

Billing History

This feature provides the histor


us

ssue / Update / Merge

all kinds of patients

based on patient wise (OP & IP) bill details

e remaining medicines (if any) including

s considered but not rendered.

t notes and provides for billing adjustments

all the billable services / items / drugs. In order entry user can enter directly the se

s /items if charged without rendering the

ents with the Interim Bill in the form of dr

nt data for billing for regularly chargeable se

ng will be triggered on daily basis to post th

of billing for the selected patients.

generated by

ervice items

pertaining tovices / items

services. The

ft bill to get

vices / items

e chargeable


15/20


16/20


17/20

Kur

Stock Take Cycle

For checking stock levels stoc

Take, Stock Take Adjustment.

Approvals

This module facilitates the proccontract maintenance, stockdecline to those who had gHierarchy of approvers and req

Reports

This module gives the informatdepartments like Tax, FinanciFee, Expense Allocation, FixeReport, Accounts Payable, AppFront Office, Laboratory, Medicand Billing, Radiology and Stock

Admin Tools

This module is used only by Aprivileges to the users if requirmodule. Secure user creationmodule. The master data lists a


taking audit is done. It consists of Stock

essing of approvals for purchase orders, paymriteoff and fixed asset writeoff. Updates tnerated the requests and who had alreaesters can be created using this module.

ion about all the reports which are generatel Report, Cash Management, Accounts Recei

d Asset, Journal Voucher, Credit Card Reproval, Consignment, Discharge Summary, Doal Records, Nurse Reports, Operation Theatre.

ministrator who can access all the modulesed. All security related activities can be perfand role based access to users can be dore created in this module.

reeze, Stock

ent vouchers,he status ony approved.

by differentable, Doctorort, Packagetor Reports,

, Order Entry

and can giveormed in thise using this


18/20

Kur

4. Module wise comparModules

Appointment Scheduling

RegistrationBed Enquiry

Assessments

Charts

Discharge & Discharge Summary

Doctor Queue Listing

Doctor Time Management

Doctor favorite maintenance

Operating Theatre

Progress Notes

ViewersNurse Queue Listing

Mims

Drug Favorite maintenance

Drug Admin Setup

Accounts Payable

Accounts Processing

Cash

Cashier Queue

Order Entry

Billing

Issue Return

Daily Auto Charges

Billing History

Cr Dr Notes

Cash Register

Payment

Refund Advice

Approval / Status

Temporary Authorization

Form DesignerReport Designer

Kurera module Comparison V/s st

NK 2

Y 15

N 49

66

*Y-Yes, N-No, NK-Not Known


son with Standard HIMS

Kurera Std HIS Modules

Y N Debtors

Y Y Doctor FeeY Y Expense Allocation

Y N Expense Allocation

Y N Fixed Assets

Y Y Withholding Tax

Y N Credit Card Processing

Y N Journal Voucher

Y NJournal VoucherApproval

Y Y Medical Records

Y N Laboratory

Y N PharmacyY N Physiotherapy

Y N Radiology

Y N Consignment

Y N Purchase

Y N Stock

Y N Stock Take Cycle

Y N

Y N Security

Y N Messenger

Y Y

Global Configuration

Setting

Y YModule ConfigurationSetting

Y N Local Configuration

Y N Card Designer

Y N Template Designer

Y N Barcode Label Printing

Y Y User Configuration

Y Y Barcode Designer

Y N Audit Trail

Y N Blood Bank

Y N CSSDY N Dietary Management

ndard HIS

3%

23%

74%

Kurera Std HIS

Y N

Y NY N

Y N

Y N

Y N

Y NK

Y N

Y N

Y N

Y Y

Y NY N

Y NK

Y Y

Y Y

Y Y

Y N

Y N

Y N

Y N

Y N

Y N

Y N

Y N

Y N

Y N

Y N

Y N

Y Y

N YN Y


19/20

Kur

5. Technical Details &TechnologyVB.net (Framework 2.0)

SQL Server-2005

HardwareClient: Pentium Dual Core withServer: Cluster SQL Server with

SoftwareClient: Windows XP/2003Server: Windows 2003 Version R

6. Deployment PlanApplication InstallationKurera Client / Server / SerDatabase Creation and mastConfiguration Setup

Application training to endPlanned trainingAd-hoc training

1.1 Technology Details: Windows Services Applic Web Application : Micros Database : MS SQL Serve

1.2 Infrastructure Require Server for hosting Windo Software license for Win Software license for MS SMS Gateway / SIM from


equirements

2GB RAM, 20-40GB Hard Disk8GB RAM, 80-120GB Hard Disk

2

ices Installation

er data compilation

sers

ation : Microsoft .net (C#)

oft ASP.net , IIS

r 2005 ( Or can access the existing database)

ents:

ws Services & Web Application

dow Server for IIS

QL Server (optional) or MS SQL Server expressany service provider with running cost of the

SMS message


20/20

Kur

7. Why Kurera?SIX Primary Solution Areas

Integration between the five cri

Hospital Information SystemLab Information ManagemenClinical Information SystemFinance and Accounts ManaPatient Flow and Asset TracAdministration

Kurera Value Proposition

Interface to Web EnablemeConvergence of IT and cliniAdvanced medical preparedWorkflow improvements &Reduced patient turnaroundTransparent processes criticReal time cash flow analysis

KTwos team has excellent hproduct faster at the healthleveraging an offshore team.vast experience of deploying an

Success

While the road to choosing an Hexamine the differences amongselection, then the best solutiothe process with the right HIS pof your journey.

For questions regarding Identify

Please contact:

KTwo Technology Solutions,K-Plex, Jagajyoti Layout,Bangalore - 560 053,+ (91) (80) 28488325 0r saleswww.ktwo.co.in |


tical areas:

t

ementking

tal processesness & business processesnhanced staff efficiency levelstime

al to meeting medico-legal requirements/ Inventory control / Resources control

althcare domain expertise that will helpare facility and also cost savings can beurther maintenance support can be done ead maintaining of this product at various locati

IS can be challenging at times, take a momenyour choices. If you consider the essential crin should be evident through its distinctions.rovider, you can achieve the goals you set at

ing criteria for successful HIS implementation

@ktwo.co.in

eploying theachieved bysily with thens.

to clearlyeria for HISBy navigatinghe beginning