CR 03 Consolidated Requirement Lot-1 - Final

Change Request- CR 03_Consolidated requirements Lot-1
Business Proposal:
CR 03_Consolidated requirements Lot-1
To
The Nations Hospital
Submitted by
NAPIER HEALTHCARE SOLUTIONS (INDIA) PRIVATE LIMITED
Nov 08, 2021

Validity- 10 days
Strictly Confidential & Proprietary. Only for Internal Use of Project

Copyright © 1996-2021 Napier Healthcare Solutions Pte. Ltd. All Rights Reserved.
1
Contents
1.0 Executive Summary......................................................................................................... 3
2.0 Scope of Work ................................................................................................................. 3
3.0 Milestone & Deliverables ................................................................................................. 3
4.0 Delivery Timeline ............................................................................................................. 3
5.0 Commercials ................................................................................................................... 4
6.0 Payment Remittance Instructions .................................................................................... 4
7.0 Contact Details ................................................................................................................ 5
Annexure A - High Level Solution ....................................................................................... 6

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1.0 Executive Summary
Napier’s Healthcare Solution HIS 19.3.1 is currently deployed at The Nations Hospital (TNH). The
Nations Hospital management wants Napier to enhance the functionality of the HIS as mentioned
in the scope and High level solution of Annexure-A
In this process TNH team has approached Napier for the solution. With reference to discussion
held and mail received from The Nations Hospital on 30th October 2021, Napier is hereby
submitting the proposal for the enhancement requested.
2.0 Scope of Work
It is mutually agreed that the “Scope of Work” of this change request as below:
 Requirement analysis and documentation by interviewing IT Team.

 System enhancement
 Functional and integration testing
 Implementation and remote training to IT staff
 Production support and final signoff
Please refer to “Annexure A” for high level solution for each of the following enhancements:
1. Require Interim summary Bill
2. IP bill modification for Cash Patients
3. IP bill modification for TPA/Insurance
4. OPD medicine wise breakup with GST bifurcation report
5. Bed charge schedule timing change
6. Discount information in op bill print against item wise
7. Need to have move to package option
3.0 Milestone & Deliverables

1) Requirement analysis - Understanding document/excel format
2) Application Enhancement - Executable file
3) Implementation & go-live - UAT Scenarios
4.0 Delivery Timeline

The delivery Timeline will be communicated to The Nations Hospital IT team upon the work order
and payment received by Napier

3
5.0 Commercials
Description of Service Price (INR)

Application Enhancement for The Requested Change 6,90,000
CGST@9% 62,100
SGST@9% 62,100
Grand Total 8,14,200
Total Price (In Words): INR Eight Lakh Fourteen Thousand Two Hundred Only
Note: This proposal is valid for 10 calendar days from the date of submission.
Terms and Conditions
 Price quoted is in Indian Rupees.

 Payment is subject to 100% advance after proposal acceptance.
 The above project requires 2 weeks of resource mobilization.
 All payments are to be made in favor of “Napier Healthcare Solutions (India) Private
Limited” by wire transfer to Hyderabad, mentioned in the contact section of this proposal.
 Any additional Professional Services which are not stated in and required The Nations
Hospital shall be classified as VO (Variance of Order) and chargeable from Napier to The
Nations Hospital, such as Training, Data Migration (if applicable), Onsite UAT and Go-Live
support, Documentation (Test Plan or scenario, User Manual) and etc.
 Out of Pocket Expenses (OPE) will apply in the event Napier resource is required to be onsite
for this CR related activity. The Nations Hospital shall provide formal request to Napier.
 UAT scenarios must signed-off by the customer prior to go-live.
 Acceptance sign-off must be provided within 3 business days after the delivery, otherwise it
will be considered as a deemed signoff.
 Taxes and other statutory levies shall be borne by Customer.
6.0 Payment Remittance Instructions
Beneficiary Details
Napier Healthcare Solutions (India) Limited.

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A/c. No. 762609458 with Indian Bank, Himayat Nagar

IFSC CODE: IDIB000H008
7.0 Contact Details
Company
Napier Healthcare Solutions (India) Private Limited

1st Floor, Western Aqua, Hi-Tech City,
Whitefields, Kondapur,
Hyderabad – 500 081
avinash.keshri@napierhealthcare.com
www.napierhealthcare.com

5
Annexure A - High Level Solution
Requirement Description
Require  Require IP Interim/Provisional summary Bill print for Cash bill
Interim  Require IP Interim summary Bill print for insurance/payer bill
summary Bill  Summary bill shall be like final bill summary bill like primary
service group wise.
To achieve the above solution, need to do the following changes in the

existing application
 To be developed a new Provisional bill Summary bill print a separate

button
 Role task permission to be provided based on the permission shall
be displayed to print...
 It should be equal to IP final bill summary bill
 Posted services Primary service group wise summary total amounts
to be displayed
 Shall be provided a PDF print
IP bill  Any Summary Bill is not possible to generate at the time of

modification provisional basis & same problems should be arise
for Cash  "Batch No.", "Expiry Date", "Manufacturing Date" etc. are not
Patients mentioned in any Pharmacy & Consumables head (item basis). As
per IRDA guideline that should be mandatory to mention in the final
bill for each & every patient's final bill.
 As per our bill structure there have completely merged with
PHARMACY & CONSUMABLES head, but as per guidelines by
IRDA dept. such consumables items should not be payable
according to depend upon on case to case basis, For this reason
request to separate the "PHARMACY" & "CONSUMABLES" heads
shown in the final bill by our HIS
 Till IMPLANT charge were shown in our final bill under the head of
"PHARMACY & CONSUMABLES", but it will be shown in a
separate head at our final bill (like: - IMPLANT/DEVICE/LENS
etc...)
 At the time of billing card updating for individual patient based ,
does not too easy access for "MINIMIZE" or "MAXIMIZE" for any

6
Medicines & Consumables items (quantity, share, date, hour etc.)

in our HIS as per doctor advice.
 If possible to activate the access for "PDF" scanner in the

Billing work bench, as a discount letter (with signed & stamped by
authorized signatory/ mail copy/ WhatsApp etc.) should be attached
to individual account closing at the time of discharge.
existing 1
 A separate supplementary bill print can be provided with the details

"Batch No.", "Expiry Date", "Manufacturing Date"
 Separate the "PHARMACY" & "CONSUMABLES" heads shown in
the final bill print
 Will provide remarks column in the discount section

OPD medicine  Tax related all the information will be provided in the existing
wise breakup (PHARMACY GST BIFURCATION-Sales And Returns.csv )
with GST report including HSN
bifurcation  Nation team will use the pivot option and generate the reports.
report
 Will provide the HSN code information in the existing PHARMACY

GST BIFURCATION-Sales and Returns. Reports.
Bed charge  Bed Charges to be posted day based , Cut off base
schedule  No Half day Charges
timing change  If the patient admitted today on 4th October at 11:30 p.m. and
discharged at 5th Early morning 6:00 p.m. bed charges should be
calculated for 2 days
 It should work based on the Configuration Cut off.
 Cut off time shall be configured 11.55 PM.
 If the patient is admitted on the same day any time and discharging
on the 11:55 Pm before shall charge 1 day. And if the patient
discharging next day before 11:59 Pm shall charge additional full
day. Total 2 days charges.
To achieve the above solution, Needs to configure the Cut off bed charge
configuration.
 Cut off functionality needs to set up as 11:55 Pm as cut of time.

 System will calculate day based bed charges.

7
IP bill  Any Summary Bill is not possible to generate at the time of

modification provisional basis & same problems should be arise
for  "Batch No.", "Expiry Date", "Manufacturing Date" etc. are not
TPA/Insurance mentioned in any Pharmacy & Consumables head (item basis). As
per IRDA guideline that should be mandatory to mention in the final
bill for each & every patient's final bill.
 As per our bill structure there have completely merged with
PHARMACY & CONSUMABLES head, but as per guidelines by
IRDA dept. such consumables items should not be payable
according to depend upon on case to case basis, For this reason
request to separate the "PHARMACY" & "CONSUMABLES" heads
shown in the final bill by our HIS
 Till IMPLANT charge were shown in our final bill under the head of
"PHARMACY & CONSUMABLES", but it will be shown in a
separate head at our final bill (like: - IMPLANT/DEVICE/LENS
etc...)
 At the time of billing card updating for individual patient based ,
does not too easy access for "MINIMIZE" or "MAXIMIZE" for any
Medicines & Consumables items (quantity, share, date, hour etc.)
in our HIS as per doctor advice
 If possible to activate the access for "PDF" scanner in the

Billing work bench, as a discount letter (with signed & stamped by
authorized signatory/ mail copy/ WhatsApp etc.) should be attached
to individual account closing at the time of discharge.
 A separate supplementary bill print can be provided with the details
"Batch No.", "Expiry Date", "Manufacturing Date"
 Separate the "PHARMACY" & "CONSUMABLES" heads shown in
the final bill print
 Will provide remarks column in the discount section.
Discount in OP  In Pharmacy OTC bill print , Discount is showing summary level ,

Bill Print needs to display the discount applied in material wise in bill print
 Rate X Qty = Amount + tax – Discount=Net amount .Net amount is
always MRP for Nation but the reversal (amount+tax-Discount)
shall calculate properly.
 Material level discount shall match with summary bill.
Formulas
Tran rate (RATE) (AMOUNT/(CGST + SGST +100)) * PV
TAX=RATE-MRP

8

 Need to add discount % and Discount amount columns in the bill

print against each material wise.
 Total discount shall match with individual item discount amount.
 Against individual item when discount is applied, Amount column
display the less discount amount.
Need to have  While package amendment need an option to change the start
move to date and allow less than current
package  During the customized package Shall allow exclusions to
option inclusions and shall consider the package date from package
assignment
 In Customized package needs to display all the services with the
information package inclusion and exclusion , - a separate screen
should be developed
 System shall allow to modify include and exclude within the
package days and shall consider to the bill as per the custom
package -

 Package assignment screen (Regular package) shall have an option

to select the package start date. The selected date shall become
package assignment date.
 Package start date shall allow previous date equal or greater than
admission date shall allow till current date
 In custom package user will change the number of previous date
based on that package inclusion and exclusion will calculate.
 New Custom package screen shall be created (like same the same
custom package screen) in this screen will display all the services
details with these columns (Service code, Service name, Service
date , service rate , qty amount combo with PC,PE,RG information
(RG =Other than package included services , PE =Included but limit
exceeded by date rage or amount range ,PC=Package Considered
services).
 User will change the PC to PE and PE to PC, when we change PE to
PC, shall not charge separately it should include in the package cost.

9
Assumptions
 Napier will develop the application from offshore.
 Napier will support the implementation activities from offshore
The Acceptance to the above Proposal is indicated by the Parties by signing the below
portion:
For Napier Healthcare Solutions (India) For The Nations Hospital

Private Limited
Name: Name:
Designation: Designation:
Date: Date:
Place: Place:
Seal: Seal:

10

CR 03 Consolidated Requirement Lot-1 - Final

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Change Request- CR 03_Consolidated requirements Lot-1

Nov 08, 2021

Strictly Confidential & Proprietary. Only for Internal Use of Project

Strictly Confidential & Proprietary. Only for Internal Use of Project

1.0 Executive Summary

2.0 Scope of Work

 Requirement analysis and documentation by interviewing IT Team.

3.0 Milestone & Deliverables

4.0 Delivery Timeline

Strictly Confidential & Proprietary. Only for Internal Use of Project

Description of Service Price (INR)

Terms and Conditions

 Price quoted is in Indian Rupees.

6.0 Payment Remittance Instructions

Strictly Confidential & Proprietary. Only for Internal Use of Project

A/c. No. 762609458 with Indian Bank, Himayat Nagar

7.0 Contact Details

Napier Healthcare Solutions (India) Private Limited

Strictly Confidential & Proprietary. Only for Internal Use of Project

Annexure A - High Level Solution

To achieve the above solution, need to do the following changes in the

 To be developed a new Provisional bill Summary bill print a separate

IP bill  Any Summary Bill is not possible to generate at the time of

Strictly Confidential & Proprietary. Only for Internal Use of Project

Medicines & Consumables items (quantity, share, date, hour etc.)

 If possible to activate the access for "PDF" scanner in the

 A separate supplementary bill print can be provided with the details

 Will provide remarks column in the discount section

 Will provide the HSN code information in the existing PHARMACY

 Cut off functionality needs to set up as 11:55 Pm as cut of time.

Strictly Confidential & Proprietary. Only for Internal Use of Project

IP bill  Any Summary Bill is not possible to generate at the time of

 If possible to activate the access for "PDF" scanner in the

 Will provide remarks column in the discount section.

Discount in OP  In Pharmacy OTC bill print , Discount is showing summary level ,

Tran rate (RATE) (AMOUNT/(CGST + SGST +100)) * PV

Strictly Confidential & Proprietary. Only for Internal Use of Project

To achieve the above solution, need to do the following changes in the

 Need to add discount % and Discount amount columns in the bill

To achieve the above solution, need to do the following changes in the

 Package assignment screen (Regular package) shall have an option

Strictly Confidential & Proprietary. Only for Internal Use of Project

For Napier Healthcare Solutions (India) For The Nations Hospital

Strictly Confidential & Proprietary. Only for Internal Use of Project

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