Hospital Management System

Bahmni introduced as HMS in BangladeshBahmni is referred to as OpenMRS+

havingOpenMRSOpenELISOpenERP

OpenMRS is programmed in JavaThe front end is HTML, Ajax, Angular JSThe back end database is MySQLHibernate is used as an interface layer to

the database

Cont..

OpenMRS

OpenERP + OpenELISOpenERP & OpenELIS are written in

Python, JavaScript, XML and HTMLThe backend is Postgres database

Shared Health Record

Health Information Exchange (HIE)

Health Information Exchange (HIE) facilitates as the main gateway among various systems.

- SHR is one of the systems in HIE storing patient data.- SHR identifies patients through another system called ‘Master

Client Index (MCI)’- Manages patient general data and provides a unique Health ID to

each patient- MCI can identify a patient by other identifiers like NID, BRN, UID etc.

- There are other systems in the HIE- Terminologies Registry – Stores and manages the central repository

for various standard like, ICT10.- Provider Registry - manages all service providers in the country like

doctors.- Facility Registry - manages all facilities registered like government

hospitals.- Location Registry - assigns a geo location code in hierarchical

manner for all regions in Bangladesh

HMS Implementation

Initial investigationIdentifying different departments (IPDs,

OPDs, Registration, EM, Phar, Lab etc.)No. of UsersNo. of ServicesFinding place for server stationCivil construction if neededResponsible persons/contact personDocumentation (narrative and diagrams)

Cont…

Continued …Physical infrastructure – MIS

Servers, switches, cables according to nodes and back-up

Provide # of workstation PCs and # of printers

Local Area Network Setup

Training ProgramBasic Computer TrainingOpenMRS training to the service providers like

doctors, nurses etc.OpenELIS & OpenERP training to relevant service

providers like Store Keepers, LAB Technicians, Pharmacists etc.

On job training during dry run & Go-LiveLocal Administration TrainingRemote SupportRefreshers Training

HMS implantation challengesConsistence Power SupplyPower BackupConsistence Internet connectivity for real time

data synchronizationUser Adaptability to the computer & HMS systemPreparation of Stock list /drug/Master data setup

(doctors/client)Readiness of InfrastructureLocal Administrator and ICT SupportLogistics supportChange ManagementQueue Management

Questions Please