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Bumrungrad’s Hospital 2000 Information System

(Bumrungrad means caring for people in Thai.)

A case from ICMR-Vol. V Discussion notes: Prof. Sudarshan

• CEO Curtis Schroder. . 600 doctors of international repute mainly as consultants. 100 0 1975 1980 1985 1990 1995 2000 • Initial investment Thai 90 mn from Bangkok Bank and Sophonpanich famly. a business family from Thailand. • 1999 – First hospital facility in World to have got ISO-9002 certification. • Investment of $110 mn ($60 mn offshore loans). • Good growth and in 1997 another 12 floor facility added with capacity of 554 beds and 21 OTs.Bumrungrad . joined with huge domain and international experience and California.Introduction 600 500 400 300 200 • 200 Bed hospital facility established in 1980.

. • Bumrungrad’s middle class customer were effected and they shifted to Govt. • It was a situation to cut costs. layoffs and shut down the facility. facilities which were not good but free.1997 • Thai Baht dipped to lowest.Economic Recession .

• Be an international healthcare facility and don’t depend on local customers but Europe and US.Futuristic strategy beyond 1997 for Bumrungrad • Leadership effect. . • Reporting tool : Amalga PACS – Picture Archive Communication System for X-ray images costing Baht 28 mn which was taken with great enthusiasm by doctors – 99% images on PACS. • World first ISO 9002 accreditation in healthcare for quality service. • Information System as strategy partner and huge emphasis on internet marketing and to reach customers.

• IS with complete EMR to help operations. • IS to retain best resource – doctors and help them in their practice by providing clinical reports at their finger tips.Need & changes in IS as strategy partner? • To survive and compete in international platform. patients. nurses. pharmacy and outside to insurance. • Issues of efficiency and effectiveness of legacy system. . suppliers. • 4 Unix systems and applications in not very integrated architecture. accounts. • An approach for the information within the organization to doctors. • Responsiveness as a measure of good healthcare service. appointments.

Accounting System . 17. conversion and integration from 4-Legacy systems into Hospital 2000: – – – – – – – – Out Patient System .Planning • Dec. . 1999 – Day for complete switch to Hospital 2000.Ingres. In-house In-patient System – Informix Document Management System-Sybase of Filenet Corporation. • Data map.IS Implementation .Oracle. • Training to 1200 personnel and physician on Hospital 2000. Program for file conversions Network of 450 computers and 100 network printers Installation of Hospital 2000 on each PCs from a remote computer One time switch though risky but well taken care off by GCS.

– Scalability has been one feature to add more clients . 64-128 MB RAM – Mid Tier of clustered transaction servers on windows 2000 clustered service: Dell Power Pentium III Power Edge 6300 – Dell Power Vault 650 Storage System with SQL Server Database. – MS Windows and SQL 2000 Operating System to support data ware housing and OLAP. – Internet access through leased line and satellite.System Architecture for Hospital 2000 • 3 Tier Architecture – Clients: 450 Dell PCs 400MHz.

7 bn transactions every year. – 2 mn patients treated in 20 years. • Savings from Hospital 2000: Baht 17 mn every year.Features/ Benefits • Size: Database increases by 1. .9999 %.Integrating front office. – Hassle free appointment and min. • Competitiveness – 554 Bed Hospital in US – 100000 Patients per year where554 Bed Hospital Bumrungrad – 800000 Patients per year. nursing. medical. • Performance/Efficiency: System uptime: 99. 2500 out patients every day. – Fast retrieval of heavy images on PACS.2 Sec. waiting for patients. – Multi lingual system. – True Hospital ERP.5 TB every year with1. ancillary and accounts.

Recognition and Awards Month/ Year Organization Awards September 2002 Hospital Management Asia Award for Information technology October 2002 Microsoft Fusion 2000 Business Solution of the year award. Intelligent 20 Award 2002-03 Intelligent Enterprise Asia 2002-03 CIO Asia CIO 100 .

Personalities: Referred in the case • Jeck Welch: Ex. GE-CEO: Winning strategy approach is to do good and capture the share when market is down. . • Curtis Schroeder: Visionary CIO of Bumrungrad has been instrumental for changes. • Ruben Toral: Manager at Bumrungrad’s International Program confirmed the performance parameter.

• GCS – Global Care Solutions: A Luxembourg based IT company for healthcare and to implement new Hospital 2000 at Bumrungrad. • MTS: • GE: • Accenture: • Gartner: • IDC: . • Bumrungrad: Bangkok based hospital.Companies. mentioned in the case.

NTFS: SCSI: Visual Basic 6: SQL: Microsoft Exchange 2000: Microsoft BizTalk: E-Business suite Barcode DLL: Sheridan active toolbar: .Technical Terms • • • • • • • • • • • TCP/IP: HTTP: TIFF: Tagged Image File Format.