Solutions

Solutions and Installation Sites

◉ Hosopital Information Systems (HIS)

■ Purpose: To support clinical and administrative activities for large hospitals (over 150 beds)

■ Modules: HIS is comprised of three subsystems: medical, medical support, and management.

● Medical subsystems:

○ Electronic Medical Record (EMR) module is a digital version of medical record. It is developed based on the SOAP (subjective, objective, assessment, and plan) framework which is widely used in the United States. Since SOAP is a structured tool, it captures key clinical issues and is easier to communicate with others by using the standardized clinical terminologies and contents. Subjective section was developed to meet a different clinical requirement of various departments on chief complaints and symptoms for patients. Objective section captures patient’s physical exam and test results. Based on this information, doctor enters the final diagnosis into the assessment section, and therapeutic plan to the plan section.

○ Doctor enters 14 types of medical orders to the Computerized Provide Order Entry (CPOE) module. CPOE also allows for the repeat order function to reuse the previous orders to speed up the order entering process. CPOE helps improve information flow between clinical departments and the supporting departments (e.g., laboratory, radiology, etc.). This results in reducing waiting time and length of hospital stay.

○ Electronic Nursing Record (ENR) is comprised of 20 submodules covering most of nursing activities to reduce paper-works for nurses and improve quality of nursing documentation at nursing station and ICU.

○ Surgery module is comprised of four submodules (surgery order registration, surgery scheduling, surgery note, and anesthesia note) to support the surgery activities for surgeons and surgery nurses. It also provides the key legal documents for legal suit in case of medical accidents.

○ Emergency module provides patient list, progress notes, and electronic nursing records at emergency room.

○ Document management provides and stores key medical documents such as consent form, EMR, Kardex from ENR, lab test results, radiology test results, and emergency progress notes for easy access to these documents.

○ All medical modules use international standard terminologies such as ICD10 and ICD11 for diagnosis, LOINC for lab test code, ICD10 PCS for radiology test code, NANDA for nursing diagnosis, and FDA drug code to improve an interoperability with other hospitals.

● Medical support systems:

○ Laboratory test module supports test registration, barcode and instrument management, entering test results (chemistry, microbiology, pathology), and quality control to reduce lab test data entering and communication time. Accordingly, it helps improve quality of tests and improve productivity of lab technicians.

○ Radiology test module supports test registration, exam room reservation, and test results to reduce radiology test processing and communication time.

○ Pharmacy module supports dispensing drugs according to the doctor’s prescription order. This module includes DUR (drug utilization review) function to review drug orders by using the DUR criteria developed by HIRA (Health Insurance Review Agency) in Korea to prevent medication errors.

○ Nutrition module provides a menu selection by patient types (diabetes, children, pregnant, surgery, etc.) according to the diet orders to improve effectiveness in menu selection and meal preparation.

○ Blood management module provides information on incoming blood, outgoing blood, and discard blood to maintain a safe supply of blood. In addition, it provides the result of crossmatch test before transfusion. This module helps improving effectiveness in blood transfusion, crossmatch test, and inventory management of blood.

○ Hospital infection management module collects infection information from the high-risk areas such as ICU, surgery room, and quarantine area to improve effectiveness in infection management and quality of infectious disease statistics.

● Management systems:

○ Patient management module supports registration, reservation, and cashier for outpatients, and admission, discharge, and bed management for inpatients.

○ Customer Relations Management (CRM) module sends the reminder notice for outpatient and inpatient appointments, test appointments, surgery appointments by SMS and email to prevent no-show and improve patient service.

○ Supply Chain Management (SCM) module provides inventory information such as incoming and outgoing medical supplies to maintain the safety-stock and provide inventory expenses to the accounting module.

○ Accounting module supports the accounting data entry and provides accounting reports such as general ledger, daily table, monthly table, trial balance, and financial statements (balance sheet, income statement, and cash flow statement).

○ Executive Information System (EIS) provides the key performance indicators (KPI) on patient statistics, test statistics, and revenue statistics using the dashboard to help managers monitor hospital performance. In addition, EIS provides monthly statistics on notifiable infectious disease (NID) to managers and government.

■ Installation sites:

○ Mongolia Japan Teaching Hospital (2019)

○ Agape Hospital in Mongolia (2020)

○ Kyrgyzstan State Medical Academy Hospital in Bishkek (2021)

■ Language: English, Russian, Kyrgyz

■ Patent and Software Registration:

○ Kyrgyzstan Republic Registration number: 18748, Date: 2023. 01. 31)

◉ Hospital Information Systems for Small Hospitals (SHIS)

■ Purpose: To support clinical and administrative activities for small hospitals (less than 150 beds)

■ Modules: HIS for the National Maternal and Child Health Center in Cambodia is comprised of four modules: PMS (patient management system), Medical, Medical supporting, and EIS (executive information system). It is a downsize version of the HIS for large hospital.

○ PMS module processes registration of patients, invoices, and accounting reports. This module helps improves effectiveness of patient registration and billing, reducing waiting time, and improving accuracy of accounting reports.

○ Medical module processes patient’s symptoms, diagnosis, and doctor’s orders to reduce waiting time and improve quality of medical records.

○ Medical support module processes doctor’s test orders and provides test results to improve turn-around time for tests and improve accuracy of tests.

○ EIS module provides monthly patient statistics and revenue statistics to meet government reporting requirements (e.g., HO2 reports) and monitoring hospital performance.

■ Installation sites:

○ National Maternal and Child Health Center in Cambodia (2023)

■ Language: English, Khmer(Cambodia)

◉ Clinic Information Systems (CIS)

■ Purpose: To support patient registration and cashier, and to enter clinical information to the electronic medical record (EMR) and medical orders to CPOE at clinics. Since most of clinics in Cambodia have pharmacy, pharmacy module was also developed to support dispensing medicine.

■ Modules:

● Patient management systems (PMS)

○ Registration module captures patient’s demographic information, address, and insurance information.

○ Cashier handles payment of treatment fee and prints receipts.

○ Accounting reports provides daily and monthly income statistics.

● Medical module

○ Electronic medical record (EMR) maintains clinical information such as chief complaint, symptoms, and diagnosis that are entered by doctor at clinics.

○ Computerized provider order entry (CPOE) handles prescription order, lab test and radiology test orders that are entered by doctor. Since most clinics do not own laboratory or radiology room, doctor enters test orders to this module and prints out them for patients.

○ Pharmacy module processes dispensing drug according to prescription order and manages drug inventory. For those clinics with pharmacy, doctor’s prescription orders are directly sent to the pharmacy module for dispensing drugs.

■ Language: English, Khmer(Cambodia)

◉ Laboratory Information Management Systems (LIMS)

■ Purpose: To support laboratory operation such as sample tracking, test results reporting to improve workflow at Forensic Science laboratory.

■ Modules: LIMS is comprised of three modules: Sample Management, Analysis, and Management. Each module has three to five submodules.

● Sample management

○ Registration submodule supports registration of new samples and prepare them for analysis.

○ Plate submodule creates aliquots and allocates them to the plate map for testing.

○ Barcodes submodule prints barcode for sample to allow for effective sample tracking.

○ Instrument submodule allocates samples to instrument to automate analysis.

○ Storage submodule creates boxes for storing samples and manages freeze and thaw samples.

● Analysis

○ Worksheet submodule supports test order entering and provides a summary information on analysis.

○ Results submodule supports test results entering and sends them to worksheet, templates, and document management for reporting.

○ Templates submodule creates templates and enters the test results to templates.

● Management

○ Dashboard submodule provides monthly statistics on samples received, analysis performed, and turn-around time (TAT) by tables and graphics to monitor a performance of each laboratory.

○ Reports submodule provides daily and monthly reports for five test statistics (biochemistry, microbiology, DNA, pathology, and toxicology) to help monitor a performance of each laboratory.

○ Supply management submodule provides a list of medical supplies and inventory statistics on the supply items (expiring this week, items to order, and purchased items) for effective inventory management.

○ Quality control submodule supports quality control activities for testing and instruments to improve quality of analysis and reporting.

○ Document management submodule supports communication (e.g., receiving orders and sending the test results) between LIMS and document requesting departments (laboratories, policy, court, media, etc.) and storing them to the database for archiving and record-keeping.

■ Language: English, Mongolian

◉ Mobile Visiting Home Service (m-VHS) System

■ Purpose: To support visiting home services for the residents living in the remote areas by entering health screening information to mobile phone or tablet PC at patient’s home. Screening information are uploaded to the health center system for patient referral to the secondary hospital when patients were found to be serious.

■ Modules: m-VHS system is comprised of five modules: registration and data management, physical devices, non-communicable disease (NCD) management, communicable disease management, and doctor’s assessment and continuous care record (CCR).

○ Registration and data management module supports registering patients and uploading screening information to health center system.

○ Physical exam and devices module supports entering physical exam data and managing the mobile devices such as blood measurement, ultrasound, and ECG.

○ Non-communicable disease management module supports entering NCD data (hypertension, diabetes, hyperlipidemia) and cancer screening data (cervical cancer and breast cancer).

○ Communicable disease management module supports entering communicable disease data (tuberculosis, hepatitis B and C, HIV, STI, and H. Pylori).

○ Doctor’s assessment and CCR module supports entering doctor’s assessment based on screening information and entering referral order to the secondary hospitals for severe patients. According to the WHO report, m-VHS system detected many cancer patients at early stage and referred them to the National Cancer Institute in Ulaanbaatar.