2 About Skysoft Consultancy IntroductionAbout Skysoft ConsultancySkysoft Consultancy Services is an end-to-end service provider focused on specific vertical segments on enterprise technology solutions which are customer centric and leading to their business transformation and re-engineering.A team of professionally gleaned consultants with specialized man years of experience in each of the respective verticals.
3 BUSINESS LINES Custom Application Development Application Product Product IntegrationWeb development / PortalDatabase Consulting
4 An Overview of SKY-HMSSKY-HMS is a comprehensive and integrated Hospital Management System designed and developed in state-of-the-start web based technology.SKY-HMS is fully geared up to meet the demands of executing an end-to-end solution for a multi-specialty Hospital or a Clinic.SKY-HMS has been conceived by a team of seasoned professionals with rich and relevant experience in the healthcare & IT industry.The system incorporates the best healthcare practices and is designed to deliver key tangible benefits to clients.
5 Technology Stack State of art – 3 tier Web based Technology Data LayerORACLE DATABASE ver 11GApplication LayerDot Net Frame Work ver 3.5 or aboveInternet Information Server ver 7.0Web ServicesWeb browser ( Internet Explorer, Firefox, Chrome)User Interface
7 SCHEMATIC REPRESENTATION OF HOSPITAL INFORMATION MANAGEMENT SYSTEM AdministrationINTERFACEPatient AdministrationAppointment SchedulingPatient RegistrationOP/IP RegistrationEmergency RegistrationWard ManagementMRDRevenue ManagementFinancial AccountHR & PayrollBillingInsurance / Corporate BillingCollectionClinical SupportDoctor’s Work benchNurseStationDiagnosis CenterPharmacyOperation TheatreCanteen ManagementEMRSMSBusiness SupportPurchaseInventoryAsset ManagementBarcodeBiometricManagement Information SystemPATIENTHISTORYCLINICAL ANALYSISFINANCIAL ANALYSISINVENTORY ANALYSISEMPLOYEE SKILL ANALYSISRFID
8 Modules 1 Front Office 13 Medical Record Document 2 Ward Management 14 Case Sheet3Doctors Station15Financial Accounts4Nurse Station16Asset Management5Diagnosis Centre17HR and Payroll6Billing18Emergency Registration7Operation Theatre19Administration8Purchase20Infra. Maintenance Management9Inventory21Optical Inventory10Pharmacy22Diet & Kitchen11Consumable Inventory for LAB23House Keeping12Insurance
9 Front OfficeAsset ManagementClinical SupportBilling & CollectionFinancial AccountingSKY-HMSHR & PayrollPharmacyInventoryPurchase
10 Software Requirements LayerApplicationO/SUser InterfaceInternet Explorer, Firefox, ChromeWindowsWeb ServicesInternet Information ServerApplication LayerDot Net Frame WorkData layerOracle 10G or 11GWindows/ Linux
11 Hardware Architecture Clients (Windows/Linux)Database ServerApplication ServerO/S : Windows / LinuxO/S : WindowsThe above architecture is a sample one.Actual Hardware sizing and architecture can be done based on the load and other factors involved.Hence the sizing & infra can be scaled up or down based on the actual deployment requirements
12 Service Call Registration & Delivery Model CustomerHelp DeskService call logs throughTicket ID GeneratedBased on Severity & SLA Call will be respondedSupport PortalBased on Service level call will be assigned to respective functional/technical consultants.On resolution the ticket will be closed and intimated to customer
14 Level Wise Service Delivery Help Desk CallsProduction OutagesUser Login Problems are handledCall handling and management (end-to-end administration)Automated password resetSelf-help interfaceDispatchCommon problem resolutionEscalationClosureReportingApplication ManagementDatabase MonitoringApplication MonitoringCorrective MaintenanceApplication administrationProduction Environment ComplianceIntegration supportPerformance TuningBug FixingField Test & User AcceptanceRelease ManagementImplementation ManagementApproved EnhancementsNew DevelopmentsApproved projectsSet of change requests or business processes
15 Severity Level Definition Expected Service Level Proposed Service Levels for Incident Management(Sample)Severity LevelResponse TimeResolution TimeSeverity Level DefinitionExpected Service LevelSupportAvailability1Critical2 hours4 business hoursSevere impact on the business. i.e., a problem which affects large number of users / Critical users in their immediate working95%According to the Agreed Support Window2High4 hours8 business hoursSubstantial impact to the business. i.e., a problem that affects an individual user or few users which does nothave direct impact to the business, but workarounds exists to ensure the department is operational.90%-do-3Medium12 business hours (1.5 days)Error or bug in the system functionality that does not interrupt business processesClient unable to properly execute non-critical business activity and no workaround is available4Low8 hours24 business hours (3 days)Non-critical error or a cosmetic change that disrupts neither the functional nor operational flowClient unable to execute non-critical business activities and a workaround is available85%
17 Emergency Registration Process for legal formalities Front Office – Process FlowPatientThrough AppointmentW/o AppointmentIs new PatientPatient RegistrationYesNoIs Medical Legal CaseOP RegistrationEmergency RegistrationProcess for legal formalitiesYesNoDoctor ConsultationOther OP ProcessAdmission NeededIP Registration &Ward/Room AssignmentNoYesOther IP Process
18 Front Office Module Appointment Schedule Patient Registration Provision to categorize the Patients and hence ease of defining the Hospital’s pricing strategy.Ability to maintain Corporate employees & their dependants details.Maintain the Insurance details.Search option with various criteriaAbility to maintain Complete demography detailsTime based or Token No. based Scheduling is possible on consultant’s wiseAccommodate any permutation of Consultant’s VisitAppointment SchedulePatient RegistrationIP/OP RegistrationWard ManagementAbility to define any type of Room/ward classifications.Keep track of any number of Room TransfersProvision to book rooms in AdvanceOptions to book Rooms for attendersProvision to do OP registration, in order to maintain the History of the patient’s visitIP Registration captures all necessary information.
19 Clinical Support Doctor’s Station Nurse Station Diagnosis Center Operation Theatre Maintenance
20 Doctor’s Station Doctor OP List IP List LAB Request LAB Report View PrescriptionCase SheetReportsPatient Analysis ReportsClinical Analysis ReportsCommercial ReportsIP Case SheetDischarge SummaryE M R
21 Clinical Support - Doctor’s Station Ability to view their Appointment scheduleProvision to view the IP/OP listEnable to Create IP/OP case sheets based on their specialtyAbility to document patient details in Analytical and Descriptive mannerProvision to update Lab result details in to the Case Sheet.Ability to prepare prescription & maintain. Patient Allergy details will be popped-up instantaneously.Options to view the Lab results of the patientsEnable to view Electronic Medical Record of the patients.Ability to analyze patient clinical dataClinical Analysis ReportsDoctor/Consultant Billing details.Provision to maintain Doctor’s Notes.
22 Clinical Support - Nurse Station Duty RoasterLAB RequestLAB Report ViewPrescriptionWard Activity updateNurses deputed in the wardNurse HODAccess to IP Patient Record of the deputed wardCase Sheet updateExternal LAB updateProvision to generate request for In-patients such as:Lab RequestMedicine RequestOT RequestAbility to view the status of the Lab Request & view the Lab results.Option to update Lab reports done in the external labs.Provision to maintain Nurse’s Notes.
23 Diagnosis Center Respective LAB Accepts the Request Doctor’s Request Update Test Result & upload digital imagesO/P or Other LAB BillingI/P LAB RequestUpdate the Date & Time of Sample takenMIS ReportsPrint Result Report & issue
24 Clinical Support - Diagnosis Center SKY-HMS enables to define any number of Diagnosis CenterOption to receive OP Lab request either through OP bills or through special request.Option to receive IP Lab request.Option to update Sample taken date and timeProvision to update Lab result and can be enabled with approval process.Provision to upload the Lab results in the case sheets by the systemProvision to create Profile, where by mapped /grouped with various testsReadily available Test masters list with Normal Reference valuesANTIBIOTICS – Ability to maintain Antibiotic Masters for the Culture Antibiotic Sensitivity Tests. Specially designed form to update Culture Test results.Option for the Results can be printed with identification on abnormal valuesProvision given, while print the LAB results, order can be rearranged also option for print selective results.Provision to upload and maintain digital imagesDescriptive format of reports can be printed for other than Bio-chemistry Tests, based on the standard format defined in the masterLab Inventory can be maintained, if integrated with the inventory module.
25 Operation Theatre Admission in Pre-operation Room Verify Pre-operative Check list based on SurgeryUpdate Drugs & Surgical materials consumed in OT against IP No.IP BILLNormal ConditionIP Nurse RequestTransfer to WardBook if available & ConfirmRecord the patient comes to OTOperation TheatreMove to Post operative wardVerify Post operative Check list based on SurgeryYesNo
26 Clinical Support - Operation Theatre Maintenance Ability to define Multiple TheatreSchedule theatre availabilityProvision to define & maintain Pre-operative & Post-operative check list based on the surgery wise.Ability to maintain Surgery records & would able generate various reportsTheatre inventory can be maintained.
27 Billing & Collection Doctor’s Lab Request Collection against Credit BillOut PatientLab bills against IP LAB RequestIP BillOthersLAB BiIIOther Activity BillPharmacy bills against IP Drug RequestIP Other activity bills from wardOT Activity Bills from OTOP BillingRoom Charges from Ward ManagementIP BillingCash BillCredit BillIP advance CollectionCollection against Cash BillAccountsCanteen Bill against Canteen Request
28 Billing & Collection Billing Collection Reports Price list – Can be defined for various services and multiple price option based on Patient type.IP Advance ReceiptsReceipt against Credit BillsUser defined Tax structure to accommodate any change in the taxes.OP Lab bills- In a single bill multiple Lab test can be billed and the system correspondingly sends the request to the respective labs.ReportsIP Advances vs Cost incurredCollection StatementBill Register (OP/IP/LAB)Counter wise End of Day statementBill outstanding StatementDoctor wise/transaction wise statementIP bill generation includes:- Medicine, Room Charges, Ward Activities, Consulting & Other servicesProvision to generate Temporary bill generation before dischargeIP Part bill generationProvision for Corporate/Insurance billCredit Bill for IP/OP
29 Pharmacy Definitions Transaction Reports Cash Billing (OP/others). Provision to have multiple pharmacy.Cash Billing (OP/others).Provision to categorize the product list.Credit OP Bills option.Sales Return for OP/others & IP sales returnUser defined Tax structure to accommodate any change in the taxes.Receipt against Credit BillsDelivery against IP request & IP billingWould able to define default tax structure at product level.Would able to keep a bill in hold and generate more than one billsOptions to maintain & search products by Manufacturers Name, Generic name of the product, Strength, Type, Schedule, Batch No.Ability to raise indent to main stores.Provision to block expired item get billed.Provision to maintain shelf location detailsStock MaintenanceReportsBill Register – IP/ OP/ OthersSales Return RegisterCollection RegisterStock expiry detailsStock below ROL with ROQOutstanding BillsStock StatementStock RegisterEnd of Day StatementMIS Reports
30 Doctor’s OP Prescription IP Medicine Request from Wards PharmacyOut PatientOthersIN PatientVendorsDoctor’s OP PrescriptionIP Medicine Request from WardsGTN -issueBillingIP DeliveryPurc. ReturnSTORESISSUERECEIPTGRNIP Delivery ReturnGTN -ReceiptVendorsIn Patient
31 PurchaseProvision to raise indents from various departments with approval process to StoresAbility to raise Purchase OrdersOption to account Purchase Bill against P.O and also without P.OsRaise Debit Note if there is any discrepancy in the purchase amountAbility to create Purchase return for any return of goods accountedAll necessary Reports
32 Inventory Reports such as :- Price List Ability to create any number of stores & Sub storesReports such as :-Main store able to serve the indent from the sub stores by either materials in the stock or create back-to-back P.O.Price ListReceipt Register (Returnable / Non-Rtn.)Issue Register (Returnable / Non-Rtn.)Stock RegisterStock Statement (with & w/o value)Stock Summary ReportProduct Expiry StatementAlso main store would able to move the stock based on the ROL to the sub stores.Main store would able to receive materials against Purchase orders raised on various vendors and move the materials to the concerned department.Ability to set ROL to raise P.O. against ROQ.Ability to reconcile stock against Physical stockWould able maintain stock on FIFO/LIFO/Weighted Average method also maintain stock on batch no wise.Emergency purchase can be accounted without Purchase order as local purchaseAbility to maintain Non Returnable Goods Receipt Note, Goods Issue Notes.Ability to maintain Returnable Goods Receipt Note, Goods Issue Notes and the transaction is being tracked till the goods is returned.
33 HR & PayrollA full fledged HR & Payroll application which caters to all the needs of the hospitals such as:Maintaining Employee details for any number of years.Ability to define Duty roasterProvision to interface with T&AM machineAbility to define any number of Allowances & Deduction.User defined Leave Type & Leave RulesLoan ManagementWould able to manage PF, ESI, Professional Tax, Income Tax etcAbility to generate all Standard, Statutory & MIS Reports.
34 Finance M A S T E R S Fixed Asset Documents Repository VOUCHERS Direct InputFixed AssetCASHBANKJOURNELVOUCHERSMIS ReportsStatutory ReportsStandard ReportsBUDGETM A S T E R SSALESPURCHASECREDIT NOTEDEBIT NOTEADVANCESDocuments RepositoryPeriodical BalanceExternal Module
35 FinanceA comprehensive Finance module where data can be maintained for Multiple Branch & for Multiple year.Able to maintain transactions against account wise, Sub-account wise, Cost Center wise, Project wise.Many more features and control optionsSeamless integration with Billing & Collection, Purchase, Payroll, Inventory & Fixed asset ModuleAbility to generate all Standard, Statutory & MIS Reports.
36 Asset MaintenanceAbility to Set Fixed Asset basic parameters and accounting procedures.Enable to define various Fixed Asset Types and map it the corresponding GL Account to integrate with Finance moduleAsset Depreciation (Company Law / Income Tax)User defined Depreciation Percentage as per the Company Law and Income TaxProvision to upload/define existing Asset detailsAbility to raise Asset P.O.Account Asset Purchases with generation of Asset No. for each Items.Ability to maintain Insurance, Hire Purchase details etc.Provision to generate maintenance P.O. for the equipments.Ability to maintain Asset issue and track the location of presence.Sale or Disposal of AssetInter Branch Asset TransferGenerate various useful Reports
37 THANK YOU VERY MUCH We look forward to working with you…… by R.KARTHIEYAN(Mobile )