The United Information System

Software House

HOSPITAL MANAGEMENT SYSTEM

HOSPITAL MANAGEMENT SYSTEM is an integrated system offers a wide range of software systems in the following four major area.

 

A -  Patient Management Systems

 

            1. Operating Room Reservation

            2. In Patent Admissions, Discharge, Transfers

            3. Patient billing

            4. Out Patient billing

            5. Medical Record tracking

 

B -       Clinical Application System

 

            1. Pharmacy

            2. Pathology

            3. Radiology

            4. Emergency

            5. Food Services (Dietary)

           

C -       Human Resources

 

            1. Payroll

            2. Personnel System

 

D -       Financial & Administrative Systems

 

            1. General Ledger

            2. Accounts Payable

            3. Debtors

            4. Stores

            5. Budget

            6. Plant and equipment maintenance


 

A -  Patient Management Systems

 

The patient management system provides medical recording for in-patient and out-patient from admission to discharge. The data is captured through terminals connected to the host system located in operating room, admission office, medical record; with a specified number of printers to maintain on-line system. The work cycle and stages of inpatient and outpatient does not allow duplication of the Patient data captured.

 

 

                                    1. Operating Room Reservation

                                    2. Patient Admissions, Discharge, Transfers

                                    3. Outpatients

                                    4. Patient billing

                                    5. Medical Record tracking


 

1. Operating Room Reservation

 

A terminal in the operation room control patient reservation for an operation, the operating rooms in the hospital. The pre-admission can be made vi a letter from a doctor, telephone, or in person, followed at a later stage with more detail and then the actual admission. The display unit shows the schedule for any selected day/month/year.

 

Data Captured :         - Name of Patient.

                                    - Operation date.

                                    - Operation time.

                                    - Operating room.

                                    - Duration of operation.

                                    - Sex.

                                    - Birth date.

                                    - Doctors code.

                                    - Anesthesia code

                                    - Diagnosis (operation description)

                                    - Anesthesia switch

                                                a) Local anesthesia

                                                b) General anesthesia

                                    - Bed no.

                                    - Class.

 

Reports :         - Operating room schedule / day / month /year

                        - Doctor's operation schedule / day / month / year


2. Inpatient Admissions, Discharge, Transfers

 

The actual admission is where the patient is checked into the hospital through the admitting office. Patient who have had a previous contact with the hospital, will have a record on the system with the same case number and additional visit number. Information captured from operation reservation will be transferred to the actual admission.

The system allows three different guarantors at the same time with different classes in any currency. Upon discharge the system calculate the guarantor share, the payment required.

                       

Data Captured :         - Case no. (sequence from Computer)

                                                It is the medical record number.

                                    - Patient name

                                                 (Last-First-Middle-father-mother)   

                                    - Admission date

                                    - Admission time

                                    - Bed number

                                    - Birth date

                                    - Sex

                                    - Marital status

                                    - Previous admission & year

                                    - Guarantor code (3 different code)

                                    - Class ( 3 different class )

                                    - Currency ( 3 different currency )

                                    - Service ( 5 different code )

                                                   medicine, surgery , .... etc.

                                    - Attending Doctors code

                                    - Attending peiadratic code

                                    - Discharge date

                                     - Discharge status ( dead or alive )

                                    - Patient Address

                                    - I.D no.

                                    - Nationality

                                    - Estimated stay

                                    - Admitted by

 

 

Upon final admission, the officer will print the following ;

 

                        - Print patient admission form {fig 1}

                        - Print patient labels ( coupons ) {fig 2}

                                    Each coupons are numbered in sequence, start from number one

                        - Print control cards {fig 3}                    


Patient is transferred from admission office into the floor with the admission form, labels, control card. As the patient proceeds through the hospital, charges are added to the patient record. Upon request from the physician, a labels is attached to the request form and transferred into the specified department pathology, pharmacy, dietary or nursing....etc. Automatic pricing related to the guarantor, class, currency, and are entered directly in the screen user.

 

Data Captured :         - Case no ( patient number )

                                    - Date

                                    - Type of transaction ( Sales or refund)

                                    - Item number or medical service number

                                    - Quantity

                                    - Number of unit

                                    - Prices ( for three guarantors )

                                    - Cost of the item used

 

Doctors, Anesthesia fees are subject to the operation, diagnosis done to the patient in the operating room. Automatic pricing related to the diagnosis code and the number of K unit.

 

Data Captured :         - Case no ( patient number )

                                    - Date

                                    - Doctors code

                                    - Diagnosis code ( international code )

                                    - Number of surgery  

                                    - K unit

                                    - Prices ( for three guarantors )

 

While the patient in the hospital, the following action could be taken ;

 

                        - Could transfer patient from one bed into another

                        - Add another guarantor to the primary guarantor

                        - Transfer patient guarantor into another guarantor

                        - Cancel patient guarantor

 

 

On discharge the patient record may be updated with the state of health at the time, a referral guarantor, complications in treatment and final diagnosis and operation.


 

Report :          - Print Patients Admission

                       

                        - Print Patients Discharge

 

                        - Print Patient statistics

 

                                    a) Monthly/yearly Number of Patient/Class

                                    b) Monthly/yearly Number of Patient/Guarantor

                                    c) Monthly/yearly Number of Patient/Doctor

                                    d) Monthly/yearly Number of Patient/Service

                                    e) Monthly/yearly Average length of stay/Class

                                    f) Monthly/yearly Average length of stay/Guarantor

                                    g) Monthly/yearly Average length of stay/Diagnosis

                                    h) Monthly/yearly Average length of stay/Service

 

                        - Print desk list (occupancy rate %)

 

                                    a) Desk-list /patient name /doctor/bed no.

                                    b) Desk-list /Bed no/Occupancy rate

                                    c) Desk-list /total no. of patient on each floor & each class.

 


3. Patient billing

 

After registration through the admission office charging can be applied automatically as the patient data is processed by each department by posting of appropriate charges to the patient account.

 

A room type is allocated to each  patient, associated with the charges. Miscellaneous charges and any other adjustment can also be posted manually.

 

After collection of data from various department for each patient, an invoice is produced and details posted through to a debtors system. The invoice includes detail  of the medical item, medical services used, a summary for each department.

 

For each item used we have costing system. This produce a profit margin for each operation or bill.

 

4. Out Patient billing

 

Out patient will have direct admission, direct invoice, and direct reciept on daily basis. All items used, procedures will be registered directly to the computer, and an automatic accounting vouchers are produced.


5. Medical Record tracking

 

After patient discharge, the final diagnosis, treatments could be recorded in the patient file. The patient name is registered to a card index, The system enables to record of all medical results, final diagnosis, part of the result could be entered from other departments upon available of screen in the department as;

 

                        - Laboratory tests

                        - X-ray, Scanner

                        - Pathology

                        - Other department

 

The patient file holds information of patient history, where the case no will be used later upon another entry.


B - Clinical Application System

 

The clinical application system provided for in-patient and out-out-patient. The services provide patient medical record tracking from admission to discharge, Cost available for each service, the different sale price level related to the guarantor and class.

 

1. Pharmacy

 

            -Patient data me be registered within pharmacy, search for  code alphabetically.

            -Automatic quantity calculation, and updating of inventory stock levels.

            -Automatic sale price in relation to the guarantor, currency, and class.

            -Show the nearest expire date for the drug to be used.

            -Show drug restriction according to ministry of health.

            -All purchase order receipts link back to the appropriated purchase order for verification. Where quantity delivered  is lower than the quantity ordered, a back order is made.

            -Purchase orders are generated automatically by vendor, when quantity on hand is lower than a medicines minimum level.

            -The minimum levels can be controlled through automatic analysis of quantities used.

            -Control expired drug.


2. Pathology

 

            -Calculate the number of procedures done.

            -Calculate the cost of each medical services.

            -Control item used by the procedure.

            -Control instrument maintenance.

 

 

3. Radiology

 

            -Automatic search and retrieval of patient previous radiology file number.

            -Film tracking for daily use.

            -Stock control of item used.

            -Result record tracking.

            -Register stock-level and reordering details.

            -Control instruments maintenance.

 

 

4. Emergency

 

The system logs emergency arrivals and creates a file of emergency transactions by patient.

 

            -Control delivery and the handling materials.

            -Inventory control.

            -Patient medical tracking.


5. Food Services (Dietary)

 

Dietitians are easily able to access information on the nutrient content of products to recommend suitable patient diet plans.

 

The inventory system is designed as a complete stand alone system. It allows for the entry of stock received by the kitchen and the deletion of stock issued by the kitchen.

 

            -Stock received.

            -Stock Issued.

            -Stock transfer from main store to kitchen

            -Stock take sheet.

            -Control purchase orders.


C - Human Resources

 

1. Payroll

 

            -Maintain Employee monthly / daily information.

            -Absence, presentation, hours worked.

            -Annual leave.

            -Hospital Allowances.

            -Part time and casual employee requirement.

            -Tax table.

            -Monthly paid.

            -Pay form ( earning , deductions, net pay ).

            -Other benefits ( loan ), Other deduction ( hospital allowances ).

 

 

2. Personnel System

 

            -Personnel file for each employee.

            -Job description and department.

            -Salary statistical report.

            -End of services provision.

            -Man power budget / department.

 


D - Financial & Administrative Systems

 

1. General Ledger

 

            -Flexible account code structure.

            -Cost center / department.

            -Automatic voucher after billing of inpatient/outpatient.

            -Inquiry on account balance and current period transactions.

            -Close end year accounts.

 

Reports :         - Chart of account

            -           Account Balances

                        - Daily Journal

                        - Official Journal

                        - Trial Balance

                        - General ledger (monthly/yearly)

                        - Statement of account

                        - Difference of exchange

                        - Profit or loss statement

                        - Balance sheet

                        - Cashier daily reports

 


 

2. Accounts Payable

 

When purchase order is raised the details are immediately keyed into the computer to form a record of amounts owed by the creditors.

 

            -Automatic Voucher is produced to general ledger.

            -Record the amount to the creditors.

            -Produce cash or cheque to the creditors related to the purchase orders ( Full or part payment ).

            -Entry of credit notes ( purchase return ) and adjustments.

            -Cost center for each department.

 

Another Debtors are the doctors; Upon producing bill for discharge patients, the computer record  doctors amount. At the end of the month a cheque is produced with details of amount collected or any adjustment for each patient.

 

 

3. Accounts Receivable

 

After patient discharge a bill is performed, the computer record the amount that must be paid from the self patient or any guarantors.

 

            -Automatic Voucher is produced to the general ledger.

            -Record the amount to the debtors.

            -Produce receipts, credit notes and journal adjustment.


4. Stores

 

            -Stock control by location.

            -Handling of stock movements vi Issues, receipts, transfers and adjustments.

            -Immediate updating of stock levels.

            -Immediate inquiry to stock levels, locations, purchase orders.

            -Status reports highlighting re-order requirements.

            -For drug stock control FIFO formula is used according to the expire date.

            -Stock prices

 

It handles all stock prices;

 

            Data captured : - Currency code

                                    - Guarantor code

                                    - Department code

                                    - Stock item code (medical supplies or procedure )

                                    - class

                                    - unit price

                                    - unit character

                                    - unit amount

                                    - Alternative code for different guarantor.

 

Reports:          - Stock card

                        - Total cost/ item/ department

                        - Quantity to be ordered

                        - Quantity balance

                        - Stock prices

                        - Expire date/ item

 


5. Budget

 

            - Produce budget code related to the general ledger.

            - Produce budget for each department ( earning and expenses ).

            - Automatic update to the budget record after each voucher.

            - Highlight over estimated budget.

 

 

Reports:          - Budget code balances

                        - Department code balances

                        - Variance budget balances

 

 

6. Plant and equipment maintenance

 

            - Register all equipment's, instruments.

            - A serial number for all assets and equipment.

            - The department using the equipment.

            - Cost detail for each purchased equipment's.

            - A detail record of equipment maintenance.

            - An overdraft cost allocation for each department.

 

Reports:          - Yearly Depreciation

                      - Yearly Depreciation/ department.

                      - Estimation of depreciation in future.