© RomanyTM

Overview

Romany Enterprise is a Clinical process driven Hospital Management Information System with

well structured electronic health records. It is Extremely scalable solution, easy to deploy in parts and gradually scale up to a large Hub and Spoke setup.

It is conceived and designed by, clinicians, administrators, auditors and hospital management consultants and created and supported by a software solutions company having a track record of more than 2 decades in the Indian and International Market.

It is created with the latest state of art Oracle and Microsoft technology in multi-tier software architecture and can be easily deployed on Flash-Rom driven thin clients, Hand held Wi-fi devices or PCs having any operating system

Clinical-staff friendly interface, single point data inputs and automated data integrity checks eliminates the need for any technical trained staff for using the software.

It conforms to the latest International Healthcare Standards like HL7, ICD Coding etc.

Features

Web-enabled state-of-art HIS Application

Clinical Process driven HIS with 100% process logging

Completely integrated HIS modules with single point inputs

Comprehensive Administrative and Financial solution

Integrated Electronic Health Records

Access to patients clinical history

Multi-level Application Security with 100% Audit Trails

User-friendly Navigation and User Interfaces

User-defined application screens

Automated Discharge Summary and Treatment Plan

On-line Bed Availability Status – ICCU, Wards

OPD Appointment Lists

Direct SMS alerts to Doctors, Administrators, Patients

Admissions, Discharges, Transfers, Referrals

Monitoring of Outsourced Treatment

Automatic generation of Health Statistics

OPD Appointment Lists

On-line Billing and Payments

Corporate Packages, Insurance, Central Government Health Schemes

Multi-location Pharmacy Inventory Management

Multi-location Diagnostics with Process Flow Management

Template Based Investigation Reports

Equipment Scheduling

Treatment by Multi-disciplinary teams

Expense and cost analysis

Pilferage monitoring by indicators

© RomanyTM

Patient Demographics

Demographics of Registered Patients - Complete details with multiple addresses, kin details, referring doctors

Family Health Cards

Patient ID Cards - ID Cards can have barcodes or RFID chips

Demographics from Medical Camps - These can be tracked for number of conversions to hospital admissions

Foreign Patient Documentation

Corporate Patients & Dependents - Option to record, scan and store company authorization letters - Creation of Corporate packages with variables - Creation of detailed inclusion and exclusion lists for activities, pharmacy & diagnostics - Operation based packages - All inclusive packages like CGHS, ECHS, BPL - Partial payment by corporate - Corporate Discounts and differential rates

Out Patients Management

Clinic Scheduling - Setting up of different clinics at different rates at different frequency (daily, weekly, no of times in a week, 1

st day every month etc..)

Prior Appointments - SMS reminders to patients and doctors

OPD Activity and consumables

OPD Billing - Discounts - Payments - Refunds

Past Record Retrieval

Investigation Ordering

Pharmacy Ordering

Further Appointments

OPD Prescriptions

MIS Reports - OPD Schedule - OPD Archive by Doctor - OPD Archive by Department - OPD Patient Count - OPD Referral - OPD Cash Collection by User - OPD Cash Collection by Doctor - OPD Cash Collection by Company - OPD Cash Collection by Activity

© RomanyTM

- OPD Cancellations by Date - OPD Cancellations by User - OPD Outstanding - OPD Activity

In-Patients Management

Bed Grid with color-coded on-line status

Admission Record - Diagnosis - Presenting Symptoms & Duration - Associated Problems & Duration - Past Operations - Family, Social & Occupational History - Past Medication - Allergies & Interactions - Vitals - Past Investigations - Clinical Examination - Treatment Plan

Bed Reservations

Patient Transfers

Referrals

Daily Procedure Records - Daily Activity - Doctor Visits - Consumables Issue - Prescription Manager - Vitals

Daily Summary - Medical - Nursing - Physiotherapy - Nutrition - Others

Pharmacy Ordering

Diagnostics Ordering

OT Scheduling

IPD Billing - Corporate Bills with clubbing of Episodes - Package Bills - TPA Bills - General Bills - Supplementary Bills - Financial Accounting postings - Options for Discounts, Charge Alterations with authorization - Supplementary Bills

Payments & Refunds

Discharge Summaries - Templatised Normal Discharge - DAMA - Expiry Note

© RomanyTM

- Fetal Death Note - Absconding Note - Neonatal Discharge

Bed Release

File Closure

MIS Reports - Bed Occupancy - Patients Ledger - IPD Activity - Admission Register - Birth Notification Register - Discount Register - Refund Register - Referral Register - Periodic Cash Collection - Cash Collection by User - Cash Collection by Doctor

Operation Theatre Manager

Waiting List Management

Provisional OT Booking

OT Scheduler - Indicating Status of each operation: - Schedule Finalization - OT Activities - Consumables used - Pharmacy issues - OT Note - Anaesthetic Note - Swab Count

OT Activities - Billable activities - Consumables - Pharmacy Request - Diagnostics Request - Transfusion Request - Instrument Request

Operation records - Main and Additional Operations - OT Notes - Implants - Drains - Tourniquet / Ischaemia Time - Post Operative Advice

Surgical Photo Storage

Anesthesia Records

OT Billing - With options to structure charges for doctors and other components

MIS Reports - Daily Operation List - Operation List by Corporates

© RomanyTM

- OT Utilization - Return to OT (repeat operations) - OT Report by Episode Type (OPD, IPD, Daycare, Telephone booking) - OT report by Doctor - OT Report by Packages - OT Report by Medical Department - OT Package Statistics - Mortality Rate by Medical Department - Mortality rate by Doctor - OT Register by Activity - OT Register by Operation

Dialysis Management

Dialysis Booking

Provisional Booking

Waiting List

Slot Transfer

Booking Confirmation

Cancellations

Machine Scheduler Dialysis Record

Pre-Dialysis - Findings - Allergies - Access Assessment - Regular Medicine - Compulsory Tests - Investigations

Dialysis - Dialysis Medication - Dialyser - Machine Readings

Post Dialysis - Post Dialysis Findings - Regular Medicine - Investigation - General Medicine

Reports

Dialysis Status

Patient Ledger’

Discount Register

Refund Register

Dialysis Activity Register

Patient Medication Register Dialysis Activity

Activity & Consumables

Pharmacy Request

Diagnosis Request Dialysis Billing

Bills

Payments

Refunds

© RomanyTM

List of Patients Discharge EHR

Pharmacy Management

Multiple Store Management - Concept of multiple stores main pharmacy and hospital store with each store having sub-

stores like OT stores, ICu Stores etc.

Store Indents - Manual Indents - Automatic Indents based on Re-order level in each sub-store and day’s consumption

Purchase Orders - Manual Orders - Orders for system generated Indents with options to select multiple vendors for each Item

and distribute the required quantity among them

Challans or Provisional Receipts (Optional) - Challans followed by Inspection

Store Receipts - Free sample management

Return to Suppliers - Rejections - About to expire drugs

Departmental Issues

Issue to IPD Patients - Issues based on pending IPD Requests - Option to issue separate items having the same generic - Options for discounts on MRP

Direct Sales - Options for discounts on MRP

Pharmacy Bills

Returns From Customers

Inter-store Stock Transfers - For transferring items between main store and its subsidiary stores

Direct Consumptions - Store Receipts and Issues from the same screen

Stock Adjustments

Drug Expiry Management

Stock Valuation - Weighted Average, FIFO, LIFO as per choice

Vendor Management - Choosing Vendors for supplying specific categories of items - Comparative analysis

Daybooks - Indent Register by Department - Order Register by Suppier - Challan Register by Suppleir - Purchase Register by Supplier - Direct Consumption - Sales Register by Category like Cash, Credit - Return after sale Register - Return to Supplier Register

© RomanyTM

- Stock Adjustment Register - Stock Transfer register

Stock Reports - Stock Position with breakup by Stores - Stock Position with breakup by Item - Detailed Stores Ledger for any Period - Stock Summary for any period

MIS Reports - Drug Expiry Report - Profit on Sale Report - Cash Collection Report - Stock Verification Report - External Stock Report

Consumption Analysis - ABC Analysis – (Value based consumption analysis) - VED Analysis – (Vital, essential, desirable items) - FSN Analysis – (fast, Slow, non-moving items) - HML Analysis - XYZ Analysis

Diagnostics Management

Investigation Structuring - Each Test having several Sample types - Each Group having Several Tests

Advance Booking - Transfers - Cancellations - Advance Payments - Refunds

Requisitions - Medical Department-wise requisitions

Diagnostics Billing - OPD Diagnostics Bills - IPD Diagnostics Bills with options to club with IPD Bills - Corporate Bills

Payments - Discounts with Approvals - Payments - Refunds

Machine Scheduling - Variable slot size for different machines - Waiting Lists - Excess Booking with authorization - Prime Slots

Workflow Management - Sample Collection - Re-sample - Test Done - Re-test - Provisional Reports - Final Reports

© RomanyTM

Stock & Inventory Management - Re-agent management - Contrast Management - Films Management - Other Consumables Management

On-line Reportage - Template based reporting with Change Tracking for Imaging - Bio-chemistry reports - Pathology Reports

Digital Imaging Integration - 2 way integration options - PACS Integration

Investigations Outsourcing Management

Reports - Diagnostics Bill Register - Periodic Diagnostics Report by Investigation - Periodic Diagnostics Report by Department - Refund Register - Cash Collection Report - Disgnostics OPD Outstanding Report

Billing

Corporate Contracts

Insurance/TPA Contracts

CGHS Contracts

ECHS Contracts

BPL Contracts

User defined Packages

Handling Contract Exclusions

Online Billing

General Stores

Departmental Store Indents

Enquiry to Suppliers

Quotations from Vendors

Rate Tabulation

Purchase Orders

Challans

Store Receipts

Rejection Notes

Supplier Returns

Departmental Consumptions

Returns from Departments

Stock Valuation - FIFO/LIFO/Weighted Average

Stock Adjustments

Daybooks - Indent Register by Department

© RomanyTM

- Order Register by Suppier - Challan Register by Suppleir - Purchase Register by Supplier - Issue Register - Return from Departments Register - Return to Supplier Register - Stock Adjustment Register - Stock Transfer register

Stock Reports - Stock Position with breakup by Stores - Stock Position with breakup by Item - Detailed Stores Ledger for any Period - Stock Summary for any period

Consumption Analysis - ABC Analysis – (Value based consumption analysis) - VED Analysis – (Vital, essential, desirable items) - FSN Analysis – (fast, Slow, non-moving items) - HML Analysis - XYZ Analysis

Blood & Tissue Bank

Donor Registration and Records

Stock and Inventory Management

Online Component Stock Display

Infection Procedures Record

Component Expiry Management

Adverse Situations Record

Electronic Medical Records

Complete Past Medical History - Presenting Symptoms & Duration - Associated Problems & Duration - Past Operations - Family, Social & Occupational History - Past Medication - Allergies & Interactions - Vitals - Past Investigations - Diagnosis based Treatment Planning

Diagnosis - Clinical Examination - Treatment Plan

Automated Discharge Summary

Clinical Analysis by Scores

Health Record Viewer - Viewing options for all episodes of a patient

Patient Scheduler

Multi-disciplinary Team Meeting

© RomanyTM

Hospital Services Management

Asset and Equipment Records - Asset locations

o Building/ Floor/ Room - Asset Procurement - Fault Log - Preventive Maintenance Scheduler - Inspection Maintenance Scheduler - Calibration Maintenance Scheduler - Scheduled Maintenance - Reminders - Corrective Maintenance - Maintenance Cost Analysis

o Material Cost/ Labour Cost/Other Cost - Direct Link with Stores for Materials Used during Maintenance

Equipment Contracts Management - Contracts with Frequency - Contract terms - Service Logs - Contract Expiry Reminders - Financial Accounting linkage for payments

Hospital Licenses Management - License Terms - License Expiry Reminders - Financial Accounting linkage for payments

Linen Stock and Inventory Management - New Purchases - Laundry Receipts - Workflow

o Washing o Mending o Ironing

- Issues to departments - Inter-department Transfers - Creation of Sets - Complete Location-wise Inventory

Transport Management - Vehicle Fuel Consumption - Vehicle Maintenance Costs - Driver Allotments - Contracted Vehicles - Contractual Drivers - Ambulance Hire Register - Ambulance Rent Collection

Kitchen Management - Diet Classification - Patient Diet Requisition and Issue - Staff & Guest Issues - Raw Material Procurement - Manpower Cost

Clinical Waste Management Schedule

© RomanyTM

Human Resources

Employee Records and Appraisals

Appointments

Leave and Rota Scheduling

Attendance Records

Biometric Integration

Salary - Salary Register - Payslip - TDS Computation - TDS Returns

Increments and Adhoc Payments

Salary Advances

Loans Sanction and Recovery

Fund Management o Provident Fund o ESI o Gratuity

Superannuation

Bonus & Exgracia

Occupational Health

Financial Accounting - Optional

Hospital General Accounts

Cash

Petty Cash

Bank - Bank Vouchers - Bank Book - Bank Closing Balance Summary - Bank Reconcilliation

Journals - Vouchers - Journal Book

TDS - TDS Deduction - TDS Deposit - TDS Adjustments - TDS Annual Returns - TDS Returns to Parties

General Ledger

Trial Balance

Debtors Accounting

Corporate Accounting

Insurance Accounting

Other Debtors Accounting

Creditors Accounting

Supplier Accounting

© RomanyTM

Doctors & Clinicians Accounting - Doctors Due Report - Doctors Payment

Expense Accounting

Other Subledgers and Subledger Trials

Loan Management - Loan Sanction - Loan Disbursement - Loan Recovery - Interest Calculation

Final Accounts - Schedules - Profit & Loss - Balance Sheet

Innvovations

Use of Digital Pen for Doctor Prescriptions

Automatic sms alerts to doctors and patients

PACS integration for all Radiology modalities

Integration Endoscopy modules to capture images and generate Reports

Use of barcodes in Patient registration identification

User Workgroup Dashboards

© RomanyTM

Data Base Server

Contains Oracle 11g, the most popular and efficient relational databse. Oracle is used for its speed, scalability, backward compatibility, efficient disater recovery options, performance acceleration using low-cost partitions and high levels of data security. Oracle is Operating System independent, so the database can reside on any server (Linux, Unix, Microsoft Windows..)

Application Server

It has the following distinct Layers: a) Business Layer containing Util, Business, Validation and Data Access Classes coded with C# b) Data Layer containing Oracle Data Provider for DOT Net to communicate between Business Layer and Database

© RomanyTM

Web Server

This contains the Microsoft IIS based Presentation Layer with: a) ASP.NET based Web Forms b) C# based Code behind Classes

Client Browser

Any browser (Mozilla, Safari, Internet Explorer,Chrome..) on any Operating System (Microsoft Windows, Linux, Apple Macintosh..)