Implementing e–Upchaar
Hospital Management Information System for public health facilities in Haryana
Keywords:
Hospital Management Information System (HMIS), Information System, Health Information System, e-Upchaar, Haryana, IndiaAbstract
Background and objective: There is a paucity of reliable hospital data and available information for planning and management of health services in India. Hence, the Government of Haryana launched e-Upchaar, a Hospital Management Information System (HMIS) in the public health facilities of the state. A study was conducted to give insight into the design, development and implementation of HMIS for public health facilities, capable of meeting futuristic health demands of Haryana state and the introduction of real-time reporting, data analytics for evidence-based rational decision making. Methods: A descriptive study (August-October 2019) was conducted in the state of Haryana, India on implementation of HMIS (2015-2019). Desk reviews and interviews were conducted and the data from back-end of the application was explored. Integration of an external application by the Government of India’s Ministry of Health initiative ‘Mera Aspataal’ with e-Upchaar was also reviewed. The data extracted from the database was saved in Excel 2010 for descriptive analysis. Results: A unique health ID (UHID) was created for every patient registered in e-Upchaar. Patients (80 lakhs) and EMRs (70 lakhs) created untill 2019. Registration time (1 minute), follow up visits (15 sec), billing (2 minutes) and diagnostic reports’ availability on the same day. This resulted in a significant reduction in operational costs; savings due to non-printing of X-ray films in 22 facilities amounted to 13 million INR. Conclusion: e-Upchaar is playing a pivotal role towards achieving the quality standards for effective health care delivery in Haryana. It has improved transparency and integrity in hospital operations through accurate inventory management; and brought improvement in patients’ experience.References
Manyazewal T. Using the World Health Organization health system building blocks through survey of healthcare professionals to determine the performance of public healthcare facilities. Arch Public Health. 2017; 75:50. DOI: 10.1186/s13690-017-0221-9 PMid: 29075485 PMCid: PMC5651704 2)Abdulla Mohammed,Al-Mejibli Intisar SK. An Investigation Study of Hospital Management Information System. Int J Adv Res Comput Commun. 2017 [cited 2019 Sep 25];6(1). DOI: 10.17148/IJARCCE.2017.6184 3)Mukherjee K, Karuppiah P, Babu A. Economic evaluation of hospital management information systems in Tamil Nadu, India. Int J Med Public Heal. 2014;4(3). Available from: https://pdfs.semanticscholar.org/a6dc/44ef8ba71c4e9c8631dd869a57e2f008b5ad.pdf 4)Moghaddasi H, Mohammadpour A, Bouraghi H, Azizi A, Mazaherilaghab H. Hospital Information Systems: The status and approaches in selected countries of the Middle East. Electron physician. 2018 May;10(5):6829–35. DOI: 10.19082/6829 PMid: 29997768 PMCid: PMC6033126 5)CDAC. e-sushrut. Center for Development of Advanced Computing. Available from: https://www.cdac.in/index.aspx?id=hi_his_sushrut 6)Haryana State Health Resource Center. Available from: http://hshrc.gov.in/e-Upchaar.html 7)Kharbanda O, Priya H, Bhadauria U, Khurana C, Das D. mOral health in India: Current scenario and future perspectives. Contemporary Clinical Dentistry. 2019;10:586. doi: 10.4103/ccd.ccd_824_18 8)Haryana Government, India .e-Gazette. Available from: https://haryana.gov.in/e-gazette 9)Lucas H. Information and communications technology for future health systems in developing countries. Soc Sci Med. 2008;66(10):2122–32. DOI: 10.1016/j.socscimed.2008.01.033 PMid: 18343005 10)Moidu K, Singh AK, Boström K, Wigertz O, Trell E, Kjessler B. MCHS: an application software for family welfare programmes. Med Inform (Lond). 1992;17(4):279-91. DOI: 10.3109/14639239209079810 PMid: 1305704 11)Braa J, Macome E, Mavimbe JC, Nhampossa JL, da Costa JL, José B, et al. A Study of the Actual and Potential Usage of Information and Communication Technology at District and Provincial Levels in Mozambique with a Focus on the Health Sector. Electron J Inf Syst Dev Ctries. 2001;5(1):1–29. DOI: 10.1002/j.1681-4835.2001.tb00031.x 12)Saluvan M, Ozonoff A. Functionality of hospital information systems: Results from a survey of quality directors at Turkish hospitals. BMC Med Inform Decis Mak. 2018;18(1). DOI: 10.1186/s12911-018-0581-2 PMid: 29329532 PMCid: PMC5767047 13)Krishnan A, Nongkynrih B, Yadav K, Singh S, Gupta V. Evaluation of computerized health management information system for primary health care in rural India. BMC Health Serv Res. 2010; 10. DOI: 10.1186/1472-6963-10-310 PMid: 21078203 PMCid: PMC2996385 14)Downey L, Rao N, Guinness L, Asaria M, Prinja S, Sinha A, et al. Identification of publicly available data sources to inform the conduct of Health Technology Assessment in India. F1000Research. 2018; 7:245. DOI: 10.12688/f1000research.14041.2 PMid: 29770210 PMCid: PMC5930391 15)Kalankesh L, Pourasghar F, Jafarabadi M, Khanehdan N. Depiction of Trends in Administrative HealthcareData from Hospital Information System. Mater Socio Medica. 2015;27(3):211. DOI: 10.5455/msm.2015.27.211-214 PMid: 26236170 PMCid: PMC4499278 16)Arora D, Mehta Y. Use of picture archiving and communication system for imaging of radiological films in cardiac surgical intensive care unit. J Anaesthesiol Clin Pharmacol. 2014 Jul; 30(3):447–8. DOI: 10.4103/0970-9185.137306 PMid: 25190974 PMCid: PMC4152706
Downloads
Published
Issue
Section
License
Copyright (c) 2020 Knowledge Kingdom Publishing
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.