HCIT

HCIT Program for
Hospitals in Africa

The fabric that ensures realization of the three (3) Universal Health Coverage (UHC) pillars; Access, Quality and Affordability.

eHealth & Healthcare Information Technology for (Governments and Private HealthCare providers)

Digitising Healthcare in Africa

It has been globally accepted that Improved Health care delivery, is anchored on patient centricity and quality healthcare data being used systematically to improve healthcare outcome.

Most governments have placed great emphasis on eliminating catastrophic risks associated with care related financial burdens by up scaling government led hospital insurance schemes. The use of Information technology is aimed at revolutionizing and improving Healthcare Delivery Systems.

Information Technology is the fabric that ensures realization of the three (3) Universal Health Coverage (UHC) pillars; Access, Quality and Affordability as defined in the UN Sustainable Development Goals (SDG -2030) Agenda 3 goals.

Health Information Systems Interoperability and Secure Healthcare Data Exchange is critical to facilitating care and referral mechanisms across multiple facilities.

Digitising Healthcare in Africa

  1. Strengthen Health Data Ownership by Government/State/County
  2. Empowering physicians in the most remote areas with the best medical expertise using health care IT platforms
  3. Connecting medical experts online across the Country to provide diagnostic services nationally
  4. Enabling the National and the Regional facilities to have full visibility on the Country Healthcare Informatics
  5. Enabling a view into the history of the patient’s medical records (EMR) regardless of the location
  6. Envisioned Impact and Benefits
  7. Defragment Siloed Healthcare Systems and Health Data Repositories
  8. Strengthen Evidence based decision making, enhancing the quality of care nationally
  9. Enable Citizens in remote and far flung areas easily access specialized medical expertise
  10. Support equitable access to healthcare for all Citizens
  11. Provide quicker diagnosis and a more timely treatment
  12. Improve efficiency and cost effectiveness in delivering healthcare services through reduction of wastage
  13. Optimize use of all medical resources through understanding patterns and distributions of diseases
  14. Support revenue protection and growth through accurate tracking and timely reporting of all government and or citizen funded medical services
  15. Supporting equitable access to healthcare for all Kenyans regardless of their socioeconomic status or geography by availing quality and affordable healthcare in all parts of the country through the use of ICT
  16. Enabling hospitals to provide quicker diagnosis and a more timely treatment of a number of both communicable and non-communicable diseases through the use of technology to access required expertise remotely
  17. Improving hospital efficiencies and cost effectiveness, through reduction of wastage of drugs, and other consumables vide proper tracking order to consumption patterns
  18. Optimizing use of all medical resources through understanding patterns and distributions of diseases across the country and or counties
  19. Avoiding loss of drugs and or wastage through expiry, and misallocations.
  20. Guaranteeing revenue loss protection and growth through accurate tracking and timely reporting of revenue collections and utilization including NHIF claims
  21. Creating a National Referral System from Primary Healthcare Systems through the Secondary Healthcare to the Tertiary Healthcare Ecosystem ( The National Hospitals)
  22. Supporting efficient and optimal invest in drug procurement and distribution across the country.
  23. Generating a Unique Medical ID and personalized secure Electronic Medical and Health Record (EMR/’EHR) owned by each Citizen.
  24. Enhancing the efforts being undertaken on medical research by providing leading local research institutions with valuable data for healthcare improvements .

We help architect healthcare information technology solutions for clients from both public and private healthcare service providers and offer turnkey solutions together with;

  • Comprehensive healthcare software,
  • Enterprise cloud,compute and storage hardware,
  • Enterprise network and enterprise security,
  • Central operations management center,
  • Integration to hospital digital equipment across Laboratory ,Radiology and imaging equipment
Public E-Health High level Architecture

Health Information System (HIS) Service Application Areas

To ensure that each hospital facility meets minimum functional quality, control and efficiency requirements, the following high-level functionalities is what SST delivers in its  HIS as a minimum (as relevant in context of services provided by the facility of care – Each of the modules are seamlessly integrated to each of the other modules):

Seven Seas Technologies - HIS Service Application Areas

SST- HIS Solution Offering

1. Patient Management Module

Should incorporate the following:

  1. General patient record management.
  2. Outpatient (OP) and Inpatient (IP) scheduling
  3. Outpatient (OP) Triaging workflows
  4. Casualty(Accident and Emergency)
  5. Admission, transfers and discharges
  6. Bed Management in standardized naming convention for the entire country as follows wherever relevant:
  7. Male/Female/General/Pediatric Medical ward
  8. Male/Female/General/Pediatric Orthopedic ward
  9. Male/Female/General/Pediatric Surgical Ward
  10. Male/Female/General/Pediatric Burn Unit
  11. Maternity Ward
  12. Labor Ward
  13. Neonatal Ward
  14. Postnatal Ward
  15. HDU ward
  16. Pediatric HDU unit
  17. Critical Care Clinic (ICU, HDU)
  18. Male/Female Psychiatric ward
  19. Obstetrics and Gynecology Ward
  20. Neural Ward
  21. Renal Ward
  22. Pediatric ICU
  23. Neonatal ICU – The System creates a unique National Patient Index (NPI) number which should Interface to the national population registry. The NPI incorporates the facility and county/state codes of the registration
  24. Link to a the Country National health Insurance portal for efficient financial verification and claims management

 

2. Referral Module:

Referral functionality that seamlessly links the various facilities across the different levels to insure end-to-end referral workflow across facilities, referral of data, ambulance services, specimen referral and specialist referral.

3. Doctor Portal Module:

For Computerized Order Entry, results and history review and assessment completion for outpatient clinic, Consultation, Investigation, Treatment, Diagnosis, Telemedicine, referral and in doing ward rounds.

4. Nursing Module:
For results and history review, and assessment/ notes/ cardex/ Admission & Discharge/ Referral/ Nursing Reporting/ Nursing Care Plan/ Vital Signs/ Ordering/ Dispensing/ Patient Safety/ Inventory/ completion for both IP and OP pathways as relevant, triaging, counselling, health promotion and infection prevention. Nursing Process (Diagnosis/ Planning/ Implementation/ Evaluation and Documentation)

5. Lab Information System (LIS) Module:

Lab Information System (LIS) Module; Patient and Sample workflow management, reporting for all pathology, immunology, parasitology, Bacteriology/microbiology, histology, biochemistry, blood transfusion services/ Blood Group/ Cross Matching/ Blood Transfusion reaction and hematology areas including interfacing to lab analyzers in biochemistry and hematology as required.

6. Radiology Information System (RIS) Module:

Patient workflow management, reporting for all modalities in CT scan, Ultrasound, HSG, X-Ray and MRI including interfacing to Central Digital Imaging system

7. Oncology Management Module:

Clinical pathway management for Oncology patients including completions of all consent, assessments and treatment plans in radiotherapy, chemotherapy, Blood Transfusion, Referrals and nuclear medicine.

8. Specialized Clinic Module:

Clinical pathway management for special programs in standardized naming convention where relevant (but not limited to):

  • Medical Outpatient clinic (all other specialization of medicine e.g. diabetes, renal, dermatology, may be included too as relevant)
  • Surgical Outpatient clinic (all other specialization of surgery e.g. orthopedic, general, neuro; may be included too as relevant)
  • Obs/Gynecology Outpatient clinic
  • Psychiatric Outpatient clinic.
  • Ophthalmology clinic
  • ENT clinic
  • Pediatric Outpatient clinic (all other super specialization of Pediatrics may be included too as relevant)
  • Palliative care clinic
  • Dental/ Maxillofacial clinic
  • VCT
  • MCH (ANC, PNC, CWC)
  • Youth friendly center
  • HCT
  • Cardiology clinic including ECG
  • Neurology clinic included EEG
  • HIV clinic(CCC)
  • Diabetic clinic
  • Radiology
  • Chest clinic
  • Isolation (Casualty)

 

9. Maternity Management System:

Clinical pathway management for Obstetrics (including Mother and Child clinic and wards), ANC, PNC, Labor ward, New born management, nursery, Maternity Theatre, APgar Score, Daily Examination, Post-delivery, Patography, Labor Management, Episiotomy Repair, Attachment Baby, Removal placenta Observation of the Mother.

10. Pharmacy Management System Module:

For IP/OP patient workflow and drug clinical and inventory management including non-pharmaceuticals (issuing, dispensing, receiving, stores, ordering, commodities)

11. Management Information System Module:

Dashboard and alerts at facility level that may be tailored as required for admin and clinical management teams, head of departments, hospital management. Surveillance Team, County Management Team, National Dashboard.

12. Performance and Availability Analytics Module:

Definition of overall county and national KPIs for submission onwards, including emergency disease alerts and control, Server room, CCTV, security, Back-up (Power back-up, information/data back-up)

13. Central Sterile Supply Department (CSSD) Module:

For management of the entire sterilization process for all reusable surgical and medical equipment. Linen/Inventory

14. Theatre Management Module (Including Cath lab and Endoscopy):

For theater scheduling (including team management and pre/intra/post workflow management and assessment of minor and major surgeries. Equipment Inventory/Infection Prevention Control/Receiving and Discharging

14. Theatre Management Module (Including Cath lab and Endoscopy):

For theater scheduling (including team management and pre/intra/post workflow management and assessment of minor and major surgeries. Equipment Inventory/Infection Prevention Control/Receiving and Discharging

15. Infection Control Module:

For management of key inflectional control workflows and reporting in key hospital areas/ Universal Control Model

16. Renal Management Module:

For management of dialysis workflow, assessments and reporting

17. ICU/CCU Management Module:

For management of the ICU ward workflow, assessments and reporting, biomed and lab workflows relevant to ICU/CCU

18. Standard Product Configuration Modules:

For administration of system master data, user access rights and general configurations

19. Purchasing and Inventory Management Module:

For purchasing and management of stock within the facility. Should be inter-linked to the purchasing partners to manage entire supply chain e.g. to the Country National Medicine Procurement organistion portal for purchase for added efficiency and control, also for stores, receiving, issuing, inventory/stock

20. Finance Module:

Includes:

  • Accounts receivable and claims management feature
  • Accounts payable feature
  • Fixed Asset Register feature
  • General ledger feature

21. Billing Module:

Includes:

  • IP and OP billing features that facilitate decentralized billing counters as required with automated reconciliations to cashbooks for cash collections
  • Management of various schemes, discounts
  • Financial institutions/ payment functions e.g. banks,Credit Cards & mobile money
  • Corporate/Insurance Schemes
  • Credit control

22. Human Resource Module:

Facilitates the tracking of all human resources at a facility including time and attendance and productivity reports, Payroll, registry, Integrated Payroll and Personnel Database/Training.

23. Ambulance Services Module:

For management of ambulance workflow, assessments and reporting.

24. Physical Medicine Care Module:

For management of workflow, assessments and reporting in Physiotherapy, Occupational Therapy, Speech Therapy, Hydrotherapy, Orthopedic technology therapy, Rehabilitative etc. Further should include management of PMC appliances and stock items

25. Medical Records Department System:

For management of MRD workflow (registration, births, deaths, coding & indexing, archiving, administration, reports), assessments and reporting. This should especially factor in both electronic and manual file management in the case of a hybrid model of record. Should further incorporate ICD-10 coding (and transition of ICD-11 as may require) for procedures and diseases and SNOMED coding at point of service.

26. Laundry and Linen Module:

For management of the entire sterilization process for all reusable Laundry and Linen and management of workflows and stock of as relevant. Including issuing, stores and receiving of consumables

27. Dietary Module:

For management of Kitchen services and stock in-line with of dietary requirements of patients in wards and nutrition management.

28. Major Disaster System:

For management of workflow of national and local disasters including emergency evacuations and reporting/notifications/early warning systems

29. Morgue Module:

Management of mortuary workflows including reception, post mortem services and cash point.

HOSPITAL INFORMATION SYSTEM STANDARDS

Digitization of the health facilities through the roll-out of hospital information systems (HIS) is key to creating efficiencies and control within the processes to ensure quality of care at all levels.

These standards below ensure that HIS systems adhere to a common industry standard of functionality and interoperability by all public and private health facilities across all levels. Our Health Information Systems follows international data exchange standards, which include:

  1. Clinical Terminology Standards: Systematized Nomenclature of Medicine (SNOMED) for point of care clinical work, International Classification of Diseases-10 (ICD-10) for administrative aggregate data, Logical Observation Identifiers Names and Codes (LOINC) for laboratories, RxNorm for pharmacies; and the current specified implementation guidelines for each of these. (RXNorm is a normalized naming system for generic and branded drugs, and a tool for supporting semantic interoperation between drug terminologies and pharmacy knowledge base systems.)
  2. Clinical Messaging Standards: Health Level 7 (HL7) V 2.0 and above standards– e.g. Fast Healthcare Interoperability Resources (FHIR), and Digital Imaging and Communications in Medicine (DICOM)/Picture Archiving and Communication System (PACS) for imaging; and their respective current implementation guidelines.
  3. Administrative and Document Standards: The standards will indicate the type of information included in the document and the location of the information. Examples of document standards include the paper-based Subject Objective Assessment Protocol (SOAP) standard, and the HL7 derived standards –e.g., Clinical Document Architecture (Health Level 7 Clinical Document Architecture, abbreviated HL7 CDA) for electronic sharing of documents, the Continuation of Care Document (Health Level 7 Continuation of Care Document, abbreviated HL7 CCD), and the Discharge Summary (Health Level 7 Discharge Summary, abbreviated HL7 DS) – along with the current implementation guides for these standards.

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