sap hms integration v4.pdf
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Hospital Management System Scope
OP Management
IP Management
Drug & Pharmacy
Laboratory
Nursing Station
Medical Records
Operation Theatre
Blood bank
Regn & Reception
Billing & Collections
Duty Roster
PATIENT CARE & ADMIN ( HMS ) Operational Functionalities (
SAP )
Electronic Medical Record
Generally Hospitals need the following modules to manage their operations.
Most of the activities are covered in Hospital Management System and
fewer activities can be handled in SAP as given below.
CSSD
Radiology
Laundry & Linen
Diet and Kitchen
Financial Accounting
Equipment Maintenance
Inventory
Payroll Management
Asset Management
Appointments
Hospital Managemnet
Modules - Overview
Out-Patient Management
This module allows the user to administer outpatients with clinical and
administrative functions. Generation of outpatient health card can be done. OP
details like OP No., Name, Address, Sex, Consulting Doctor and Referral Doctor
is captured in OP Management. Reports like Outpatient Register, Consultant
Wise patient listing and features like Clinic Management, Scheduling of Doctor
Appointment, Pre-Consultation and Consultation are available
Inputs / Features: OP Review Entry
OP Consultation Entry
MLC Entry
Lab Orders
Medication
Outputs / Reports: OP Register
Doctor wise OP Consultation List
Appointment Status
Patient Last Consultation View
OP Count Register
In-Patient Management
The inpatient module is designed to take care of all the activities and functions
pertaining to Inpatient Management. This module automates the day-to-day
administrative activities and provides instant access to other modules, which leads to
a better patient care. It provides comprehensive data pertaining to Admission of
Patients, Availability of beds, Estimation, Planned admission, Emergency admission,
MLC and so on. The Inpatient module also deals with bed transfers. Reports like
inpatient Register, Expected Discharge List, Discharge Summary are available
Inputs / Features: IP Consultations (Episode Tracking)
Doctor Notes
Doctor Orders
Order Execution
Medication
Bed Transfer
Operation Posting
Discharge Entry
Birth Entry
Death Entry
MLC Entry
Indent Processing
Outputs / Reports: IP Register
Doctor Wise IP List
Room Wise IP List
Bed Transfer Report
Occupancy Ratio
Admission & Discharge List
IP Status Report
Operation Posting Book Register
Patient Wise Consumption List
Appointments
The Appointments module covers the appointment fixing procedures for patients. It
covers all the details like allocating appointment slots as per doctor’s visit, making
appointments for the given slot. Blocking the appointments when the doctor is not
available.
Inputs / Features: Doctor Availability Block
Doctor Timing Slot
Appointment Fixing
Outputs / Reports: Appointment Status
Special Features/Functions of the Module: Application allows fixing the appointment only on the available
timings and that is handled by the application.
Multi Slot facility for appointment fixing.
Blocking / Cancellation of appointments.
Facility to view the appointment status from the Doctor’s Desk.
Facility to fix representative / personal appointments
OP Clinical Consultation
General Consultation module allows tracking of clinical consultation of
patients for each specialty. It captures the following important patient
records information,
Complaints and History
Allergies & Disabilities
Past Illness
Lab results
Vital Signs
Medication
Lab Test Prescription
Order Execution
Final diagnosis
Chief Observations
Medial Record
Laboratory
This module enables the maintenance of investigation requests by the patient and
generation of test results for the various available services, such as clinical
pathology and X-ray. Requests can be made from various points, including wards,
billing, sample collection and the laboratory receiving point. The laboratory
module is integrated with the in-patient/ out-patient registration, wards and billing
modules
Investigation Report Outputs: Result & Requisition Printing
Group-wise result printing
Test Summary
Result Register
Balance Test List
Department Wise Result Printing
Inventory Report Outputs Purchase Order Printing
Purchase Voucher Printing
Purchase Register
Supplier Payment list
Supplier Balance Payment
Issue Voucher
Issue Register.
MIS Report Outputs
Cash Register
Payment Due List
Expenses Summary
Bank Book
Stock Register
Reorder Level List
Referral Fee Register
Additional Features/Functions of the Module:
Group and Subgroup Definition of Lab tests
Package definition
Alerts on pending and completed requisition
SMS Messaging
Laboratory...Contd
Drug & Pharmacy
This module is most primary and important function that captures the entire
details of drugs. As most of the investment will be on drugs monitoring the drugs
purchase and sales details are most important. This module captures the
purchase inwards with related to its taxable rates, MRP, etc., Drugs Re-Order-
Level can be maintained based upon the sales movement.
Inputs / Features: Opening Stock Entry
Purchase Order Entry
Purchase Inward Entry
Purchase Payment Entry
Sales Bill
Sales Return Bill
Purchase Reports Daily Purchase Summary
Purchase Register
Purchase Analysis
Supplier wise Purchase Report
Best Supplier
Purchase Order Printing
Purchase Inward Printing
Purchase Returns Printing
Purchase Payment Pending
Purchase Payment Report
Short Expiry List
Quotation Analysis Report
Drug & Pharmacy...contd
Sales Reports
Sales Report
Sales Summary
Sales Analysis
Sales Returns Report
Sales Returns Listing
Debtors List
VAT Sales/Purchase Register
MIS Reports Stock Statement
Non Billed Items
Nil Stock Statement
Reorder Level Reached List
Prescription Register
Schedule Register
Slow Moving Items
Product Flow Analysis
Margin Statement – (Item wise)
Supplier wise Item Report
Supplier wise Manufacturer Report
Credit Note Status
Nursing Station
The wards module takes care of in-patient consultation, discharge, transfer and
housekeeping. It deals with the maintenance of the wards, inter- and intra-ward
transfers and preparation of the discharge summary. It also covers Patient’s
Order executed details, Nursing notes IP Consultation Entry, Medication details,
Scheduling Oxygen charges (hourly charges, half day charges & Daily charges)
and Lab Requisitions.
Inputs: Order Entry
Nurse Notes
Bed Transfer
Lab Requisitions
Charge Scheduling
Discharge Entry
IP Consultations (Episode Tracking)
Doctor Notes
Doctor Orders
Medication
Outputs / Reports: Patient Complaint / Diagnosis Report
Patient wise Order Completed /
Pending Report
IP- Patient wise Doctors Visit List
Discharge Report
Room wise IP Listing
Medical Records
Outputs / Reports: List of Issue & Return of Medical
Record documents
ICD Code wise Report
Disease Index
Dr. wise Registration
Dr. wise Case Count
Surgery Details Report
Age wise Diagnosis Report
Case wise Registration Status
This module enables complete storage of patients' medical records. The
complete hard copy of the history of a patient, along with diagnosis and
prescription can be maintained. Patient data can be viewed to identify and as per
the need of the doctor viz. disease, procedure, age, sex, and duration of stay.
Inputs / Features: Physical Medical Report Document
Issue
MRD Document Returns
Surgery Details
Master Index (ICD Code Entry)
Operation Theatre
This module deals with operation theatre activities such as pre-anaesthetic
check-ups, pre-anaesthetic notes generation, recording anaesthesia details,
maintaining the list of procedures for various operations, recording operation
details, and maintaining operation theatre schedules. This module covers the
Patient’s Operation executed details, Doctor notes, Surgeon Notes, Nursing
notes, Medication details, Lab Requisitions and Bed Transfer to ward.
Inputs / Features:
Surgery Details Entry
Surgery Equipment Usage Entry
Pre Operative Notes
Operation Episode Recording
Bed Transfer
Lab Requisitions
Outputs / Reports: OT Register
Operation Notes
Bed transfer Details
Surgery Schedule Register
Surgery Booking Register
Case wise Surgery Performed Report
Doctor wise Surgery Performed
Report
Equipment Usage Report
Blood Bank
Outputs / Reports: Stock Register
Donor Register
Blood Destroy
Issue Register (External/Internal)
Rejection Register
AIDS Project Report
Screening Report
Compatibility Certificate /Blood
Matching reports
The blood bank module provides information on the collection and storage of
blood, results of blood tests, cross-matching identifications, and transfusion
reactions. It also enables the maintenance of donor mailing lists and donation
ledgers.
Inputs / Features: Donor Registration
Test Details
Screening Information
Blood Issue
Blood destroy
Electronic Medical Records
EMR is the web based Module, which exposes the data available in
HMS software to the web.
Features:
Allows Doctors , Management to log into the portal.
Patients demographic information, vital signs, allergies are available
online
Allows access to clinical information, diagnostics, consultation
medication history of patients
Doctors can view the entire patient visit summary
Registration & Reception
Registration is the primary function that creates and maintains the patient master
record. The reception module handles in-patient and outpatient registration and
admission.
It can handle enquiries about the patient's admission and discharge details, bed
census, and the patient's movements within the hospital. The Registration module
is an integrated patient management system, which captures complete and
relevant patient demographic details.
Inputs / Features: OP / IP Registration
MLC Entry
Outputs / Reports: Visitor Enquiry
IP/OP Registration Register
Corporate Wise IP/OP Registration Register
Doctor Wise Registration List
Admission Discharge List
Ward & Bed wise In Patient status
Discharge Summary
MLC Register
Birth Register
Death Register
Billing & Cash Collection
This is the most important function that takes place in every hospital. The billing
module facilitates cashier and billing operations for different categories of patients,
and automatic posting of charges for different services such as lab tests, medicines
supplied, consulting fees, food and beverage charges, etc. This module captures
the Advance Receipts, Interim Bill Collection details, Credit Collections etc. User
can define new account heads and sub heads.
Inputs / Features: Account Head, Sub Heads and
Charge Class Definition
Daily Collection Entry - OP Patients
Lab Bill Entry
IP – Advance Entry
IP – Interim Bill Entry
IP – Final Bill Entry
Doctor Settlement
Payment & Receipt Entry
Outputs / Reports: OP Receipt
OP Collection Report (Date wise)
OP Collection Report (Number wise)
OP Collection Report Summary
Lab Receipt
Lab Bill
Lab Collection Report (Date Wise)
Lab Collection Report (Number Wise)
Lab Collection Report Summary
Advance Receipt
Billing & Cash Collection...contd
Additional Features/Functions of
the Module:
Corporate Wise Tariff Definition
Approximate Billing
Alerts on Advances and lab billing
Data Export Option
Advance Collection Report (Date Wise)
Advance Collection Report (Number Wise)
Advance Collection Report Summary
Approximate Final Bill Receipt
Final Bill Receipt
Final Bill Collection Report (Date wise)
Final Bill Collection Report (Number wise)
Final Bill Collection Report Summary
IP Bill Status Report
Interim Bill Split up Report
Pending Payment Collection Report
Corporate wise Collection Report
Charge Class wise Report
Revenue Sub Head Wise Report
Debtor List – Pending Collections
Room Rent Charges
Cancelled Daily Collection Bills
Consolidated Daily Collections
Doctor Settlement Receipt
Doctor Wise Settlement Report
This module allows the user to schedule the shifts and work schedules
of the DOCTOR, NURSE, PARAMEDICAL, TECHNICIAN
PHARMACIST, OFFICE STAFF etc.
Leave particulars
Daily duty monitoring
Statistics-attendance , leave, absent, working days, permission
Time in / out entry
Duty Roster
CSSD
Outputs / Reports: Stock Register
Tray issue Register
Tray Return Register
Tray Consumable Usage Register
Item Missing/Damaged Register
This module facilitates maintaining the entire activities of the Central Sterile
Supplies Department including details of instruments going for sterilization,
instruments sterilized, instruments supplied, and instruments received from
operation theatres/ wards. The autoclave register is maintained to record the
details of sterilization.
Inputs / Features: Tray Master
Tray BOM
Tray Sterilization tracking
Tray Issue & Return
Dietary & Kitchen
Outputs / Reports: Diet Advice
Diet issue Register
Purchase Register
Stock Statement
Item issue to Kitchen Register
This module maintains the information regarding various diet routines of patients
and identifies the resources required to satisfy diet orders. Depending on the diet
orders and other requests from canteen, the kitchen order plan can be prepared
to decide the menu for the day.
Inputs / Features: Menu with calories
Diet habits recording
Diet Calculation and Advice
Diet Order
Diet Issue
Item Inventory Purchase
Item Issues to Kitchen
Laundry & Linen
Outputs / Reports: Item List
Wash In / Wash Out Register
Stitch In / Stitch Out Register
Purchase Register
Stock Register
Damaged Register
Issue Register
Laundry activities, maintenance of linen and their status, requests for fresh
linen from wards and procurement of fresh linen can be done.
Inputs / Features: Materials Master
Cloths master
Opening stock entry
Purchase inward entry.
Wash In Entry /Wash Out Entry
Stitch In entry / Stitch Out Entry
Item Damaged Entry
SAP & HMS
Integration Scope
SAP Hospital Management Solution Scope
Finance and Controlling (FI / CO) Finance and Admin Asset Management Product Costing & Profitability Analysis
Materials &Quality Management (MM & QM) Inventory Tracking – Receipts / Issues Valuation Quality tracking for Assets / Materials /
Equipment Plant Maintenance (PM)
Preventive Maintenance Job Orders for Service Tracking
Human Capital Management (HCM) Payroll Processing and Statutory
obligations
FI/ CO
• Financial Accounting
• Fixed Assets
MM / QM • Inventory
PM
• Fixed Assets
• Equipment Maintenance
HCM • Payroll Management
SAP ERP integrated with Hospital Management Solution covers the following functionalities:
SAP & HMS – Data flow
• Out Patients
• In Patients
• Drug & Pharamacy
• Laboratory & Radiology
• Dietary & Kitchen
• Laundry & Linen
Billing Finance /
Controlling
Billing Details
• Drug & Pharmacy
• Labarotary
• CSSD
• Nursing Wards
Central Stores MM & QM Indents
Purchase
Requisition
Goods Issues /
Returns
Payroll (Attendence) HCM Staff / Doctors
Attendence details
Hospital Management System SAP
Cost Center wise
Daily Journal
Entries
Data Flow – HMS to SAP
Description Data Flow
AP, AR and Journal Postings Without logistics integration can be processed direct in SAP
Budgeting & Fixed Assets Direct in SAP
OP / IP Bills Department-wise tracking possible through G/L Accounts, Cost Centers, and Profit Centers
Cash or Credit Collections Direct entries and / or migration from HMS software upload is also possible
Integration of Collections & Billings Document tracking possible in SAP with reference field
Doctors’ Accounting Passed as journal entries in SAP through the interface
Payroll processing HCM Module of SAP can be implemented for a tight integration
Supplier / Vendor bills Can be booked direct in SAP or uploaded through HMS software and SAP ERP interfaces
SAP and HMS Interface
Interface between SAP and HMS can happen in the following ways:
Intermediate files / xml files / interfaces can be created for all data migration from the HMS-CIS (Clinical Information Systems) to the SAP ERP system.
BAPI and IDoc-EDI/ALE exchange methods will be used to upload the transactional data.
• Real-time information
HMS
• Flat files / xml files from HMS uploaded through BDC, BAPI
• IDoc-EDI/ALE
Interface • Real-time
processing
• Batch processing
SAP
Thank You
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