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HMIS Work Flow

This document outlines workflows for various departments in a hospital including: 1) Appointment scheduling, patient updates, and online/offline appointment availability checking. 2) Patient workflows from reception to discharge for outpatient and inpatient services. 3) Billing workflows for inpatient, laboratory, pharmacy, pathology, and other services. 4) Additional workflows for consultation, laboratory testing, pharmacy dispensing, dietary management, security, ambulance services and other hospital departments.

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Fizza Ansari
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© © All Rights Reserved
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0% found this document useful (0 votes)
130 views30 pages

HMIS Work Flow

This document outlines workflows for various departments in a hospital including: 1) Appointment scheduling, patient updates, and online/offline appointment availability checking. 2) Patient workflows from reception to discharge for outpatient and inpatient services. 3) Billing workflows for inpatient, laboratory, pharmacy, pathology, and other services. 4) Additional workflows for consultation, laboratory testing, pharmacy dispensing, dietary management, security, ambulance services and other hospital departments.

Uploaded by

Fizza Ansari
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Appointment & Scheduling Workflow

Appointment and scheduling of patient

for doctors,
laboratory&radiology
services.

Update and Alerts are sent to the


patients

Via SMS or Email

Staff & Patients can check


Online&Offline Appointment appointments status
Availability

Effective&Quick
Patient Scheduling.
Out-Patient Workflow

Reception/Token
Counter Triage

Cash Counter Registration Financial Screening

OPD/Nursing OPD Clinics

Referral Consultation
All Diagnostic Pharmacy
Nurt/Psy/Rehb

cardiology radiology lab ultrasound

Checkout/Discharge
In-Patient Billing Workflow

patient info & services


provided

Such as (Consultation, Laboratory tests,


Medicines, Ultrasound, X-ray, oxygen & Ensures efficient by sending alerts for
other gases, nursing charges, operation, revenue payment overdue.
room rent, etc.)

Provides Vital Data

for MIS reports

Electronic Claim billing


services to insurance
firms

Paper-based
Discharge Summary Workflow

Reason for
Significant findings Primary diagnoses
hospitalization

(as appropriate, discharge


medica ons, ac vity Procedures
orders, therapy orders, dietary
instruc ons, plans for medical follow-up) and treatment provided

Instruc ons
Pa ent and family Patient's

instruc ons discharge condition

Attending physician's
Discharge
signature
Laboratory Management Workflow

OPD IPD

Lab Request Lab Request

Barcode
Payment/Billing
Generation

Barcode Sample
Generation Collection

Sample
Result Entry
Collection

Result Entry Approve Lab Consultant

Report
Lab Consultant Approve
Generate/Printing

Report
Discharge/Billing
Generate/Printing
Pharmacy Workflow

Pharmacy
Management

Prescription Stock
Management management

Drug Request Expiry Logistic


Management Management

Pharmacist

Report

IPD OPD
SMS&Alerts

Select Patient For Re_order


name Purpose

Fetching the residence


information and medication Re_order
history of the patient

No Availability Yes

Outpatient Inpatient

Request
Sending Alert Approve
Req Reject
message

Medicine not
available Labeling

Outpatient Inpatient

Sending
Dispensing Medicine to
ward/bedno.

Discharge/
Voucher Billing
Billing
Consultation Management Workflow

Nephrology

Patient Visit Request Consultation

Notes

Medical
Information

Visit Urology
Send

Check

Consultation
Notes

Add

Information

Billing
Security Workflow

Service Account
Management Management

Pyroll & HRD


MIS Reports
Management

MRD
Balance Sheet
Management
Dietary Management Workflow

Dietary Management
Workflow

OPD IPD

Registration
Doctor/Nurses
(FNSD)

Diet Request

Dietician Evaluation FNSD

Food Prepare

Charging/Billing

Admins&Discharge

Discharge
Pathology Lab Management Workflow

OPD IPD

Lab Request Lab Request

Barcode
Payment/Billing
Generation

Barcode Sample
Generation Collection

Sample
Result Entry
Collection

Result Entry Approve Lab Consultant

Report
Lab Consultant Approve
Generate/Printing

Report
Discharge/Billing
Generate/Printing
Ambulance Services Management Workflow

Normal care Scheduling for Driver duty


ambulance ambulance/ roster
service Vehicles

Daily running
Traffic
statistics for
management
ambulance

Managing Provision for


emergency provided in the needed
communication within ambulance
facilities ambulance equipment
facilities
Nursing and Ward Management Workflow

Pharmacy/Dispensary

Medication Admission
Doctor Request
Record

Vital/Med/Diet

Assessment
Pre-Discharge

OT
Bed Availability
Request

Check Transfer at ward


Bed Census Management Workflow

Bed allocation status


overview.

Generated
revenue calculation from Monitor and reduces
different types of the bed turnover time
beds

Housekeeping scheduling
and maintenance Staff organization
activities

which is involved in
turnover process of bed
Statistical analysis
of ward utilization,
consultant and
specialty
Physiotherapy and Rehabilitation
Management Workflow
for the purpose
of post- operative
rehabilitation.

Referrals
Maintenance of
management by for the management of
schedule
surgeon physiotherapy sessions
of the patient

Automatic
according to the reminders to
schedule patients

Patterns tracking
improvement for the
patients

Complete schedule
of exercises

Collection of
detailed des
of physiotherapy
sessions
which are
recommended at
home
Electronic Medical Records Workflow

Patient relevant
Past medical
demographic Drug
history
data and file prescriptions
of patients
management

Information
Vaccinations
about allergies

Data from wearable


Surgeries
Information from and other devices that
and procedures
lab reports collect physiological
information
parameters

GAAP’s
Billing Data Compatibility
Operation Theatre Scheduling and
Management Workflow

Operations with complete


scheduling flexibility in bookings
management
Interface for
monitoring devices

Abnormal
readings alerts

Complete patients
monitoring checklists
Sterilization schedules,
audits and checks

OT Notes

Comprehensive
preoperative Stock and inventory
assessment management of OT
Charging of OT
services

Consent forms
with multilingual
support CARM, gases, OT bed
charges etc
Biomedical Waste Management Workflow

Waste types Waste Scheduling


categorization generation tracking and identification of
waste collection

Waste disposal Tracking


acknowledgement and recording of waste
transportation

Radioactive
management of waste
disposal
Housekeeping and Laundry Management
Workflow

Scheduling the cleaning of


various areas of a hospital

Appointing staff for specific


housekeeping activities

Integrated with the stores


department to maintain the required
stock

Scheduling the changing of


linen used by the In-patient
department

Maintaining the count of


incoming and outgoing
laundry items

Scheduling maintenance
activities of cleaning
equipment’s

Real time updates of


cleaning orders from various
departments
Causality and Emergency
Management Workflow

Capturing of basic Observation


Patient ATD on Rooms
patient demographic
temporary basis.
information

which is available at time of


registration for casualty and updating Consulting
the same when completely available comprehensive
details

Pharmacy and
Lab test reports surgical details

Diagnosis Service bookings


and orders

Statutory forms and


reports etc

Discharge/
Hospitalization
Stock and Purchase Management Workflow

Warehouse Stock Item


Enter Tender Result
Define Define

Purchases Order Purchase order


Approval Creation
Request

Procurement department will According to requirement


approve purchase order order generate

GRN
Creation

Purchasing
Inspection

Accept Reject

Warehouse
Finish/End
Entery

GRN posted in
Accounts module

Approval

Payments notes

Payments to vendor

Approval

Tax Management

Tax management
transaction should
post in accounting
module

Approve

Finish/End
Accounting Module General Workflow

Accounting chart of
accounts/defining
accounts code

Integration of
accounts code with
other module

Modules name

Stock and
Fixed asset Pyroll other modules
Purchase

Transaction should be
perform and complete

Transaction should be
post in accounting
module

Transaction should be
approve

Finish/End
Departmental Stock Request Management Workflow

Start

create a request from sub-warehouse

Request Receipt

HOD Approval

Request Approval Transfer between


Select Transaction
Control warehouse tab

Accept at main warehouse

Movement Click on
type should Product Consumption recording/posting
be as transfer select integration tab
form
between
warehouse

Issue request and


Accounting module Accounting Transaction
Save

Approval at sub-warehouse

Approval
Warehouse item
acceptance

Finish/End
Document Management System Workflow

Document
Input

Customization Document
Indexing

User
Document
Document
Dashboard Management Search

Document
Security Document
Processing

Workflow
Automation
Human Resource Management Workflow
Education
Promotion Management Performance
Calculation

Health and Safety

HRD Recruitment Selection


Compliance and
Labour Laws

Leave Training and Probation,


Duty Roaster Employe Reg
Management development Salaries

Attendance Payroll Sheet Salary Calculation

Base on Working Overtime


hours
Platelet
Apheresis

PLT Apheresis
Request

Request will be 36520 CPT/PLT


send to BB Apheresis

Acceptance

Yes No

Req will be
charge to
patient

Req type

OPD IPD

Will show up
Services Charge
patient
will patient after
transaction
invoice clearness
automatically

Donour will be called for


physically for screening
test

BB donour acception

Donour mapping with


patient

Donour Physical
Examination

Accept
Donour

No Yes

Elisa test will be send


Donour Reject to Phelebotomy and
billing section

Another Donour
candidate will be
called

Donour
Type

OPD IPD

Final billing

Donation will
Payment not
continue after
required
payment

After billing Barcode can be


printed and barcode will be
be labeling accordingly
Barcode will be send to lab
for screening test

Result

Decision

+ve -ve

Blood
Phelebotomy
plasma will be
carried out

Blood Product
with barcode
Reference no.

Product will be
reserved for
patient

Without
Crossmatch

Blood Transfuse
to patient
accept unscreen match blood,
Blood request accept +ve shockbag,
non specific blood
group/blood product

OPD IPD

red bag

normal urgent Priority green bag

yellow
bag(State)

Required
product

CPT 86922(Crossmatch Blood


Whole
with screening will be auto status=Requested
blood/RBC
order)

Single Unit PLT

After product addition


Fresh Frozen record will be locked
Plasma and save

CPT LEB015
Irradiadion of blood
product/unit

36520 CPT/PLT
PLT Apheresis
Apheresis

Stem Cells

Peripheral blood stem And same time also add


Peripheral blood stem
collection req will be order the required product from blood req
from diagnostic test request product screen
screen(Preparation)

on the behalf or
request(s) blood bank
Request will land to Blood Bank Screen
will replanish the
stock

Blood Bank will calls the donor

Donor
Registration

Donor
(Product Type)

Blood stem
Whole blood Platelet
cell
Donation Apheresis
collection

Donation Location

Out of Hospital Hospital


(On Camp) (On premises)

Donor Class

Phelebotomy Vlounteer
Stem cells
Stem cell can
Can be transfuse
Allogenic Autologous only be transfuse
other patients
to this patient only

Donor mapping
with patient

Decision

No yes

can be reserve donour map with


for any patient patient

Donor
OPD IPD
type

Services Charge will amount Will be show


patient after invoice up patient transaction
clearness automatically

Donour Physical
Examination

Donour Consent
Vitals
Form Filling

Decision
T

Accept
Type Reject

sample will be
Permanent Temporary whole blood PLT drawn and
Decision
reject Reject donation Apheresis send to lab

rejection time
permanent
forever Physically unfit
Rejection
time
PR Reason TR sample?
Already donated
Screening +ve blood eligible to
Day/Month donating blood if Platelete Apheresis
if Stem Cell Donation

Another Donor Send donor for Send Patient for


will Call invoice clearance invoice clearance
Blood
Phelebotomy

Donor
Type
Reaction Final billing
occour?

OPD IPD

Yes No

Donation will Payment will be


continue after charge to patient
payment automatically
Types

Milt

moderate

sever
After billing Barcode can be
printed and barcode will be
phelebotomy? be labeling accordingly
Blood Culture
CD34

drwan blood
Continuos
Destroy
For stem
cells HBsAg
Anti HCV
Blood sample will be send to
Phelebotomy for other Anti HIV
lab for screening test
completed donations CBC
performance
Blood Group
MP (ICT)
major
labeling
Blood Bag

for other
donations
Sample
drawn from

For stem
cells
Sample send
to lab
Patient

Sample
acceptance

SMD
acc

Final
acc

Test perform
on lab
devices

Result
Transcription

LIS Manually
result will send automaticallly

Result
approval

Final
Technical
Consultant

For other result status for Stem


donations Cell

Negative Result? Positive Result?

start Blood Donour reject


preparation Division

Parent Product (Peripheral Blood


Blood Stem Coollection) status will be
Separation Extracted-Divided)

Whole bloood status Child Product


Seperated will be separated with
quty zero Whole Blood Peripheral Blood
Stem Product and
status will be In-
In storge Single Unit Plasma storage

Separated Fresh Frozen Plasma Fresh frozen plasma

Product Issuance on
In storage demand

Cryorecipitat Cryocupernatant
fot other product types stem cell

RBC Qty For other


products For stem Cells

Division if request
Yes Irradiation Pack cells
No

Allogenic type Autologous


Product divided
with equal RBC Irradiation RBC
quantity
Cross non cross
matchable matchable

CM Test
performing

Result

non
Competible
competible

Save

Send to
Department on
Demand

Blood Control before


transfusion transfusion

recording the transfusion


operational symptoms

Blood Product
Physical
Verification

By staff Nurse By Doctor

Reaction occur

Yes Decision No
Types record

Milt

moderate Completed

sever

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