FORMAT FOR REQUIREMENT GATHERING AND PROCESS COMPREHENSION
Note: to be filled by the hospital authorities
Define the following in as much detail as possible (this is to understand the patient workflow and information flow within the hospital, so that the same can be mapped in the software)
Patient Registration
New Patient – Walk-in & Online
Process to check whether patient is already registered
Mandatory patient and relative details that are captured
Patient category and insurance type
Various patient and attendant related IDs that may be generated
OPD Billing
Process of Deposits and Refunds
Bill format
Modes of payment
Acceptance of partial payment
Report-on-Hold flag
Credit and Refund Memos, Free Service Memos
Discount process and categories
Discount request with Authorization
Amendments allowed in bill and authorization process
Bill Settlement
Cash transfer between shifts
Cancellation of unfulfilled services
Cancellation of bills
Multiple rate lists management
ADT
Bed allotment process
Emergency / Triage admission process
Re-admission
Patient Transfers within the same facility – Upgrade / Downgrade (Bed Type / Class of Service)
Patient discharge process
Admission sheet format
Electronic medical records format
Authorization and consent forms
Nursing charts
Medico-legal documentation
Discharge Summary Format and preparation
IPD Billing
Process of Deposits and Refunds
Charges for mid-day transfers + Manual
Billing process of services from bill desk
Billing process of services from within the ward / bedside
Charging of consumables
Pending bill amount write-off
Amendments allowed in bill and authorization process
Corporate billing process
Insurance approval process and payer limit
Interim bill generation and formats
Bill format
Modes of payment
Acceptance of partial payment
Credit and Refund Memos, Free Service Memos
Discount process and categories
Discount request with Authorization
Bill Settlement
No dues process from labs, pharmacy, and other departments
Cash transfer between shifts
Cancellation of unfulfilled services
Cancellation of bills
Multiple rate lists management
Medicine ordering from ward
Package billing of services
Package billing of procedures
Labs
Sample Collection functionality – barcoding, etc.
Sample reprocessing requests for Redo/Repeats
Result entry
Result authorization and proceed for printing
Abnormal Value Alteration
Report formats
Report sharing with treating doctor
Interfacing of equipment with software
Radiology
Report formats
Result authorization and proceed for printing
Report sharing with treating doctor
Interfacing of equipment with software
Physicians
Doctors performance and compensation
Follow-up policies
Prescription – Manual and e-prescription formats
Viewing of patient medical records
Scheduling availability and appointment calendar maintenance
Transfer of patients from one doctor to another
Operation Theatre
Capturing Pre- and Post-operative Notes
OT Scheduling
Interfacing with equipment
Inventory and Material Management
Number and structure of stores
Indenting process
Dispensing / distribution process
Consumption record keeping
Purchasing process, vendor management and ordering
GRN Process
Update GRN process and authority
Expiry management
Pharmacy
Number and structure of stores
Indenting process
Drug issue process
In-patient medication issue and billing processes
Distribution to wards and nursing departments
Purchasing process, vendor management and ordering
Expiry management
Receiving orders from OPD and Ward
Generic / brand dispensing
Substitute drug issue
Billing format
Discounting – item-wise or bill-wise or either
Discount authorization
Bill cancellation
Refund / credit memo
Modes of payment
Cash transfer between shifts
Purchase return policy
Sale return policy
GRN Process
Update GRN process and authority
OT package billing
Stock write-off and adjustment process
Reports and MIS
Report formats in excel so as to replicate them in software
Hospital Software Visit www.atsindore.com