PARAS HMIS

A Patient Centric Comprehensive Integrated

Healthcare Delivery Platform

Srishti Software Applications Pvt. Ltd.

# 1245, Sector 2, 27th Main Road, HSR
Layout, Somasundarapalya
Bangalore - 560102
Srishti Software – Overview

ISO 9001:2015 & ISO 27001

Accredited

15+ years in the Healthcare

Doman

HIMSS Analytics Stage 6

Compliance Product

Implemented across 10+

Countries, 50+ Cities and
150+ Locations Globally

Over 9 Million Patients

Registered on the Platform

15000+ Active users

 PARAS Customer Footprint – Global

HIMSS Analytics
15000 Active 9mn Patients
Stage 6 10 Countries 50+ Cities 150+ Locations
Users Registered
compliant
 PARAS HMIS – Patient Centric Comprehensive
Integrated Healthcare Delivery Platform
 PARAS HMIS has been designed and built based on our finding from the global survey that included over 130
hospital (73 in India).

Problem Discovery Business Impact Our Approach & Solution

Non availability of an affordable single
Product Suite, covering all healthcare
provider ‘Business’ & ‘Clinical’
processes, in an optimally
comprehensive way.
Available products lack bi-directional
integration between ‘Business’ &
‘Clinical’ processes.
Inability to document payment claims as High Rejection Ratio of Payment Claims by 
per the ever-changing requirements of
Corporate / Insurance / TPA payers.
Forced to look at multiple products /
vendors and manage inherent risks related
to deployment, integration & maintenance
emerging out of this scenario.
Escalated Total Cost Of Ownership
Not possible to Implement modern
management techniques related to
Healthcare Enterprise Management. Ex.
Ineffective cash flow management.
institutional payers leading to cconsiderable
revenue loss.
 PARAS Is a fully integrated Single
Healthcare delivery platform that
covers the complete spectrum of
Patient Care.
 Hence there is no need to look for any
other product to meet the Hospital’s
Automation needs
 Bi-directionally integrated solution that
eliminated revenue leakages and
material/financial mismanagement.
 Brings in huge operational cost
reduction and real-time management
of resources
PARAS is fully codified to support
ICD, SNOMED CT, etc., to ensure
accurate generation of claims.
 Codifications results in eliminating any
ambiguity in diagnosis, treatment
given and bills / claims submitted
 Implementing PARAS at a prestigious
Cancer Institute has enabled the
Hospital to achieve almost 0%
repudiation of claims from 33%
 60% improvement in time and effort
taken to generate bills & invoices
 40–50% faster reimbursement
processes
 PARAS HMIS – Patient Centric Comprehensive
Integrated Healthcare Delivery Platform
 PARAS HMIS has been designed and built based on our finding from the global survey that included over 130 hospital (73
in India).
Problem Discovery
No Clinical and Administrative Tracking
possible of Healthcare Recipients.
Recurring episodes of solution non-
availability, lack of data security and virus
threats.
Implementation failures/delays.
Support and scale as business grows
Proprietary Software
Highly Expensive and Quicker Obsolesce
Business Impact
Poor Customer Relationship Management.
Endangering patient care and safety.
Risking privacy and confidentiality of patient.
Resulting in cost escalations and business
disruptions.
Decentralized / isolated deployment of software
Platform dependent with risk of obsolesce
Resulting in less adaption of automation,
incomplete implementation and No ROI
Our Approach & Solution
 PARAS is a single platform that ensure
end-to-end tracking of patient life cycle in
the hospital.
 80-90% improvement in accuracy and
effort for medication administration
 PARAS is fully compliant with all Patient
privacy standards such as HIPPAA and
GDPR as all data in PARAS is encrypted
using best in class encryption standards.
 PARAS HMIS has a 100% successful
implementation rate as it incorporates best
in class industry practices and a fully ready
product.
 Modular based: Fit the needs of different
Providers (small to large network hospitals)
 PARAS is a true multi-location product that
ensure seamless and real-time data
portability across multiple location –
whether it is Patient data, Material Data,
Financial Data, Administrative data, etc.,
 PARAS is a platform agnostic product that
supports all any OS, Database, Browser
and devices.
 PARAS is a platform agnostic solution that
supports all standard OS and DB and IT
Hardware
 Better Resource, Material optimization,
Better Operations Management, Reduced
Revenue Leakages – Contribute to faster
ROI
PARAS HMIS – Patient Centric Comprehensive
Integrated Healthcare Delivery Platform
 PARAS HMIS – Patient Centric Comprehensive
Integrated Healthcare Delivery Platform
Design and construct of PARAS HMIS is based on these building blocks
PARAS HMIS – Patient Centric Comprehensive
Integrated Healthcare Delivery Platform
 PARAS HMIS – Patient Centric Comprehensive
Integrated Healthcare Delivery Platform

HIMSS Analytics has devised an 8-stage process to track

EMR adoption in Hospitals as show below

Stage 7
Stage 6 •Complete
EMR
Stage 5 •Physician •CCD
Documenta
•Closed •Data
Stage 4 tion
Loop Warehousi
(Structured
•CPOE Medication ng
Stage 3 Templates)
•CDSS – •Data
•Nursing / •Full CDSS
Stage 2 Clinical Continuity
Clinical (variance &
Protocols with ED
•CDR, Documenta compliance
Stage 1 ) •Ambulatory
•Controlled tion OP
Stage 0 •All three Medical •Full R-
•CDSS
ancillaries Vocabulary PACS
•All three (error
– Lab, ,
ancillaries checking)
Radiology
not •CDS •PACS
&
installed Pharmacy •Document outside
are Imaging Radiology
installed •HIE
capable

PARAS competes with global leaders in providing a robust solution

to large hospital chains with the most complex workflows
PARAS Healthcare Delivery Platform
 PARAS Healthcare Delivery Platform

PARAS HMIS Roadmap to attain HIMSS Analytics Stage 7

Highest level of HIMSS
Clinical Outcome
Management at Analytics
Incrementation Clinica l
Pathwa ys
Stage 6 & 7
cost from Stage
4/5 Specialty Dis ease Chroni
Formsets Registry c Care

Incremental cost HIMSS

for having minimal
Clinical Outcome Out Patient / Casualty
HDU / ICU /
In-Patient
Analytics
Surgical
management
Ambulator Care
Care
Care
Stage 4 & 5
eMAR EMR / EHR /
CPOE CDSS Nursing Clinical
Dashboard Records

Low Cost Doctor Upto HIMSS

Blood Bank Nursing
Required for Consultation
all Providers
Multiple OP /
IP Billing
Analytics
Pharmacy Lab Multiple
Management Information
Radiology
Payer / Co-
Cash /
Credit /
Stage 3
Payer / TPA
OP Clinic Ward & Bed Package /
ADTRF Pay-Plan
Management Management Corporate /
Management
Insurance
“Q” Appointment payer Portal
Registration
Management & Scheduling
HIS Layer Definition
 PARAS HMIS – Value Based HMIS

PARAS HMIS provides a platform to improve patient satisfaction through tracking of health
services to ensure quality services delivery.

Analytics and Dashboards

Discharge information.

Closed Loop Medication and Two Factor

authentication for accurate, on-time, every time
medication administration

On-Demand availability of Patient’s Clinical Data for

Doctors & Nurses

Transparent Billing and Payer management

Accurate Patient assessment

 PARAS HMIS – Value Based HMIS

Patient Engagement

•PARAS is a fully integrated solution that ensure that patients are able to get seamless information throughout his
engagement with the provider.
•Whether information about the treatment process, his request to meet the choice of Clinician, to error free and
unambiguous billing, ease of payment through different payment options, to a hassle-free discharge – the entire
process is completely automated.
•The patient has the flexibility to have this information whilst he is in the hospital or thru his mobile as well

Clinical Outcome Management

•PARAS, apart from the strong Patient management system, has built in a comprehensive Clinical information
system that emphasizes on Outcomes Management
•PARAS ensures high level of doctor adaption of the application to automated Prescription Management,
integration with drug formulary database for alerts on Drugs / Allergy / Condition interactions personalized /
templatized Order Sets, dynamically configurable Active Care Plan, fully codified Disease Management /
Treatment Management / Nursing – all recorded in a comprehensive Electronic Medical Record / Electronic Health
Record.
•Easily accessible Patient EMR through Clinician Mobile App

Hospital Administration

•PARAS has an integrated Back Office ERPS functionality that streamlines the entire Procurement, Inventory,
Human Resource, Payroll and Financial Account System of a Hospital.
•This seamless integration ensures accurate, error-free, automatic and real-time posting of Financial Data,
Inventory Data, Resource data without any manual intervention.

Patient Satisfaction

•Accessibility of Information through Patient Portal & App

•Circumvention of Medical Errors
•Time saving
•Transparency in service delivery
 PARAS HMIS – Patient Centric Comprehensive
Integrated Healthcare Delivery Platform

PARAS HMIS is built on an Open Standard and Micro Services Architecture that supports all latest and
emerging technologies

PARAS HMIS has adapted a Mobile First - Cloud First development approach

PARAS is a tri-directionally integrated Patient Centric Healthcare Delivery Platform that provides
seamless and real-time data for administrative, clinical and financial metrics

PARAS provides template driven masters, rapid advice/order sets creation, Easy patient
scheduling, Intelligent patient workflows, Expedite patient encounters, pre-built templates and order
sets

PARAS provide best in class Tele Consultation and Tele Medicine enabling collaboration between
Clinician and Patients

PARAS facilitates effective Management of Revenue Cycle Management, Supply Chain Management,
Financial management System, Human Resource Management
 PARAS HMIS – Patient Centric Comprehensive
Integrated Healthcare Delivery Platform

PARAS HMIS has a built Analytical engine that is configurable to provide:

• Predictive Analytics
• Clinical Analytics
• Revenue based Analytics
• Patient centric Analytics

PARAS has built in capabilities to integrate with multiple Wearable Technology devices of both Android and iOS
Platforms.

PARAS HMIS is AI ready to provide multiple insights that are Patient Centric, Disease centric. Has the capability to
generate trend analysis for administrative and statutory purposes

PARAS has the ability to incorporate Augmented Technology to provide a interactive and a responsive experience to
clinician by integrating with supported medical devices.

PARAS HMIS has been designed and built to collaborate with multiple third party devices such as Lab Equipment, Radiology
Equipment, Barcode & RFID technology, PACS Repository, etc.,
 PARAS HMIS – Patient Centric Comprehensive
Integrated Healthcare Delivery Platform

 Future Proofing

 Technology – Designed and built to support On-Premise Deployment,

Offer as a Service in SaaS environment, Provide Tele-Medicine and Tele

Consultation

 Functionality – Provide functional directions to customer with insights on

best practices.

 Clinical Guidelines – offers multi-specialty workflow and dynamic care

plans and treatment protocols

 Facilitate adaption of Next Practices for sustainable Healthcare

Ecosystem
 Critical Success Factors

 100% Successful Implementation Track record

 Implementation and delivery methodology adapted by Srishti is

 Predictable – due to incorporating global delivery standards & methodology

 Build a strong partnership with the client throughout the implementation process

and beyond

 High customer retention – 10+ years of relationship with all our customers

 Single product that can scale from few modules to complete platform

 Product roll out approach – Phased and distributed rollout model

 Transparent and easily trackable by customer on real-time delivery status

 Through successfully and timely implementation, enable customer to achieve

significant cost saving and enable Management fulfill their vision for HMIS rollout
 Benefits of PARAS HMIS

Enables a complete digital hospital that is paper less – Cost saving on unnecessary paper
and film printing

Reduce revenue leakages thru claims disallowance – integrated and codified solution

Reduce discharge time from 4 hours to less than 1 hour – better bed utilization and
allocation

Increase profitability by eliminating pilferages (cash, inventory) and Billing

mismatch and errors

Enable hospital achieve highest level of HIMSS Analytics – Start small and scale
up

Better utilization of resources and reduce resource cost by 10% to 15%

Prevent technology obsolesce – better utilization of IT infrastructure and investment

Role based Operations & Strategy
Dashboards
 PARAS HMIS – Roles based Analytics

PARAS HMIS provides a comprehensive set of Analytics and Dashboard

that are highly configurable based on the roles.
• Hospital Admin • Procurement
• Patient Trends • Resource
• Revenue Planning
• Location / Center • Patient
Wise relationship

Strategic Operational

Tactical Analytical

• O&M • Clinical
• Facility • Disease Registry
Management • Specialty Wise
 PARAS HMIS – Roles based Analytics

• PARAS Role Based Analytics engine supports:

o Administration
o Doctors & Clinicians
o Finance & Accounts
o Inventory & Procurement
o Human Resources
• PARAS Analytics Engine provides Operational Dashboards that
facilitates Hospitals in taking strategic decisions
PARAS HMIS – Operations Analytics
PARAS HMIS – Operational Analytics
PARAS HMIS – Clinical Analytics
 PARAS HMIS – Financial Analytics

Verticals wise Revenue Analysis

PARAS HMIS – Strategic Analytics
Clinical Differentiators
Clinical Differentiators

Order Set
Care Plans
Management

Standard Treatment
Specialty Form Sets
Protocols

Clinical Data
Clinical Analytics
Availability

Clinical Charting Codification

Complete Disease
Management
Technical Differentiators
 Technical Value Addition

Platform Agnostic 99.99% uptime of Multi-Tier and Multi

Solution (supports the application (no Tenet Solution
all OS, DB and instances of system
Browsers) crash)
Linearly scalable at
Accessibility &
Usability

Availability

Scalability
each tier
Web Engineered No Single Point of
application that Failure
supports all form
factors (desktop,
Laptops, Tables,
Smart Phones
(Android & iOS)

Dynamic Role
Based access
 Technical Value Addition

Complies to all Remote Support /

24x7x365 support
Management
Patient and (remote as well as
Information Privacy onsite
standards Supports BCP

Manageability

Responsiveness &
Support
Privacy & Security

Highly Configurable thru Diligently

Roles Based built in configuration
complying to
Authentication manager
Supports SLA’s
methodology agreed with
Supports multiple
deployment models customer
Audit Trail / Log • On-Premises
• Cloud
• Private
99.99% Customer
Sessions • Public retention
Management for • Software as a Service
(SaaS)
enhanced security
and control Supports Online-Offline
Mode
Case Studies
 Case Study- RGCI
Rajiv Gandhi Cancer Institute (RGCI), India: Associated Since 2009
Leading Cancer Care Institute
and Research Center in India
Deployed across 2 locations in
New Delhi. Rollout to the 3rd
location is in progress
500 + Beds, 2 locations
26000+ New Patients in a year
100000 Patient Visit in a year
20+ Sub Specialties in Cancer
100+ Consultants
150+ Resident Doctors
150+ Paramedical Technicians
500+ Nursing Staff
Challenges
• To implement a specialized Onco EMR at the Hospital
• Implement a system that can provide Financial Control and monitoring
• Reduce their revenue leakages due to claims disallowance
• Integrate with existing system
Business Impact
• PARAS has been chosen as the preferred solution to ensure proper
Financial Control and Monitoring
• From just Financial control and Monitoring, RGCI decided to evaluate
the other set of modules including the Clinical and Patient Centric
modules as well.
• Implementing PARAS over a period of time has ensured in
implementing complete codification to ensure accuracy in Claims
Submission and management – reduce the claims disallowance from
33% to almost Negligible
• Implemented PARAS EMR as it is tightly integrated with the Core HIS
and Back Office modules
• Successfully Integrated with third party systems including PACS,
Project Management Tools, Lab Equipment's and Radiology
Equipment's
• As a fully integrated, single platform, PARAS has ensured that RGCI is
able to generate their complete Cancer Disease Registry and Analytics
 Case Study- CFS
Centre for Sight (CFS) Group of Hospitals, India: Associated Since 2010
A leading Eye Care Chain in
India.
Center for Excellence for Eye
Care in India.
More than 70 locations live
and intended to reach 120
locations spread across Pan-
India in the next 24 Months
650000+ Patients a Year
150+ Doctors
Challenges
• As a Green Field Hospital, it was important for CFS to have a best in class HIS solution
• A fully integrated solution to ensure seamless flow of data between Clinical and Non-Clinical
process.
• Multi-tenant and Multi Location solution that can provide 360 degree information Group Wise and
individual location wise
• To have a complete paper-less HIS that can provide the desired dashboards as well.
• System that can support High Availability of the system
• A solution that can reduce / eliminate Pilferages (Cash, Material)
• Eliminate Billing Errors / Mismatch
Business Impact
• PARAS was identified by the preferred HIS since it is a fully integrated comprehensive patient
centric healthcare Delivery platform that covers all processes – Patient Centric, Clinical,
Administrative and ERP Services
• Web Based solution that supports Multi-Tenant and Multi-Location
• Highly adaptable and usable by Doctors and Nurses
• Complete Prescriptions, Orders and Surgical records are managed in PARAS
• Centralized monitoring with Audit Controls & Approvals to ensure Stoppage of Revenue Leakages
• PARAS has optimized the resources resulting in reduced manpower costs and better utilization of
clinical personnel
• Optimized Inventory Management both at Group level as well as individual location wise
• Enabled True Patient Portability across all locations to ensure easier accessibility of Patient &
Payer record at the Point of Care
• Reduced / eliminated pilferages (Cash, Material) as it is bi-directionally integrated between Clinical
and Administrative Functions
• Eliminated all billing errors / mismatch by incorporating codification
 Case Study- AAR
AAR Group, East Africa : Associated Since 2012
Challenges
Leading Out Patient Service • A solution that can manage their operations across multiple countries

Provider in East Africa • Single product that automates Patient Services, Clinical Services, ERP Services
• Integrate with their Insurance solution for online Claim’s settlement and avoid insurance
disallowance

More than 35 existing • Support Multi-Currency and Multi-Country Statutory compliances

locations and plans to reach • Support Online-Offline deployment

100 locations spread across • Control / eliminate revenue leakages, material leakages and resource leakages

19 countries in Africa
Business Impact
• PARAS is a fully integrated comprehensive patient centric healthcare Delivery platform that covers
50000+ Patients per year
all processes – Patient Centric, Clinical, Administrative and ERP Services
500+ Trained Health
• Web Based solution that supports Multi-Tenant and Multi-Location
Professionals
• Highly adaptable and usable by Doctors and Nurses
• PARAS has optimized the resources resulting in reduced manpower costs and better utilization of
clinical personnel
• Optimized Inventory Management both at Group level as well as individual location wise
• Enabled True Patient Portability across all locations to ensure easier accessibility of Patient & Payer
record at the Point of Care
• Deployed in a Centralized Environment connecting all the centers across 3 different countries in East
Africa providing both Offline & Online Access
• Near Zero leakages in Cash, Material, Inventory, Drugs & Medicines, etc.,
Thank You