DISSERTATION
IN
APOLLO HOSPITALS
A STUDY ON DOCTORS USER SATISFACTION WITH AN ELECTRONIC MEDICAL
RECORDS SYSTEM “DNA MED-MANTRA” IN OUTPATIENT DEPARTMENT
PRESENTED BY: DR POOJA SINGH
PG/16/34
HEALTH I.T
TABLE OF CONTENTS
• INTRODUCTION OF ORGANIZATION
• ROLE AND RESPONSIBILITIES
• OVERVIEW OF MED-MANTRA
• OBJECTIVES
• METHODOLOGY
• RESULTS AND DATA INTERPRETATION
• GAP-ANALYSIS
• RECOMMENDATIONS
INTRODUCTION OF ORGANIZATION
• THE APOLLO HOSPITALS GROUP WAS STARTED BY DR. PRATHAP C. REDDY IN 1979.
• INDIA'S LARGEST HEALTHCARE CHAIN, AND IS THE SECOND LARGEST HOSPITAL IN DELHI
• APOLLO HOSPITAL HAS BEEN ACCREDITED IN 2005, JULY BY JOINT COMMISSION
INTERNATIONAL (JCI) USA AS THE FIRST INTERNATIONALLY ACCREDITED HOSPITAL
IN INDIA AND SOUTH ASIA
• THE GROUP STARTED ITS FIRST HOSPITAL AT CHENNAI IN 1983 WITH THE INITIAL BED
STRENGTH OF 150
• THE BED STRENGTH TODAY STANDS AT OVER 9000 AND IN APOLLO INDRAPRASTHA IT IS
OVER 750
• THIRD SUPER SPECIALTY TERTIARY CARE HOSPITAL SET BY THE APOLLO HOSPITALS GROUP,
JOINTLY WITH THE GOVERNMENT OF DELHI, INDIA'S CAPITAL.
• 24 DEPARTMENTS IN APOLLO JASOLA
• THE FIRST SUCCESSFUL PEDIATRIC AND ADULT LIVER TRANSPLANTS IN INDIA WERE
PERFORMED AT APOLLO HOSPITALS IN NOVEMBER 1998
ROLE AND REPONSIBILTIES
DESIGNATION-
• WORKING AS A HIMS PROJECT COORDINATOR
RESPONSIBILITIES-
• PROVIDING TRAINING TO ALL THE DOCTORS AND THEIR SECRETARIES
• FOLLOWING UP OF DOCTORS AFTER TRAINING
• SOLVING DOCTOR’S QUERIES REGARDING SOFTWARE FUNCTIONALITY
• PROVIDING RECOMMENDATIONS OF DOCTORS IN SOFTWARE TO SOFTWARE DEVELOPMENT
TEAM
OVERVIEW OF MED-MANTRA
• IN 2014,NOV TATA CONSULTANCY SERVICES (TSC) DEVELOPED ONLINE EMR APPLICATION
AND NAMED AS “MED-MENTRA”
• ENABLE THE TRACKING OF PATIENT’S RECORDS AT THE DIGITAL PLATFORM.
• MED-MANTRA INCLUDES O.P AND I.P CONSULTATION MODULE.
LOGGING INTO
MED-MANTRA
DOCTOR’S
OP DASHBOARD
Doctor can search or consult
patient by UHID, NAME,
MOBILE NUMBER ETC
CREDENTIALS FOR THE E-PRESCRIPTION WRITING
E-PRESCRIPTION
OBJECTIVE & METHODOLOGY
OBJECTIVE
• TO DETERMINE THE SATISFACTION LEVEL OF THE DOCTORS WITH THE ELECTRONIC MEDICAL
RECORDS SYSTEM NAMED MED-MANTRA AND TO SUBMIT RECOMMENDATIONS TO ADDRESS
THE LIMITATIONS.
METHODOLOGY
• STUDY LOCATION: OUT PATIENT DEPARTMENT (OPD) OF INDRAPRASTHA APOLLO HOSPITALS.
• STUDY POPULATION: DOCTOR IN OUT PATIENT DEPARTMENT (OPD) OF INDRAPRASTHA
APOLLO HOSPITALS.
• STUDY DESIGN: CROSS-SECTIONAL (DESCRIPTIVE STUDY).
• STUDY DURATION: 3 MONTHS.
• SAMPLING TECHNIQUE: PURPOSIVE SAMPLING
• SAMPLE SIZE: 100 DOCTORS
• DATA COLLECTION TOOL:
➢ CHECKLIST – ON THE BASIS OF OBSERVATION AND INTERVIEW WITH OPD CONSULTANTS AND
STAFF
• DATA COLLECTION METHOD:
➢ REVIEWING OF MED-MANTRA MANUAL, POLICES, DIGITAL NETWORK APOLLO (DNA).
➢ INTERACTIONS WITH HOSPITAL’S STAFF AND CONSULTANTS.
• SELECTION CRITERIA –
➢ INCLUSION CRITERIA: -
OPD PHYSICIANS AND CONSULTANTS
➢ EXCLUSION CRITERIA: -
IPD DOCTORS
VISITING CONSULTANTS
NURSES
RESULTS AND DATA INTERPRETATION
1. ACCEPTABILITY OF EMR SYSTEM LAYOUTS BY THE OPD DOCTORS ?
EMR SYSTEM SCREEN LAYOUTS ARE
ACCEPTABLE
16% 8%
strongly disagree
21%
disagree
agree
EMR SYSTEM IS EASY TO USE OR USER
strongly agree
55%
FRIENDLY
8% 16%
strongly disagree
disagree
agree
2. EMR SYSTEM IS EASY TO USE OR USER FRIENDLY? 46% 30%
strongly agree
3. EMR SYSTEM PROVIDES UPDATED INFORMATION ?
EMR SYSTEM PROVIDES UPDATED
INFORMATION
4%
18%
24% strongly disagree
disagree
agree
strongly agree
54%
HIS improves the quality of patient
care process
4. HIS IMPROVES THE QUALITY OF PATIENT CARE 9% 13%
strongly disagree
PROCESS ? disagree
agree
33%
45%
strongly agree
5. EMR SYSTEM PERFORMANCE SPEED IS ACCEPTABLE ?
EMR SYSTEM PERFORMANCE SPEED IS
ACCEPTABLE
3%
19% 25%
strongly disagree
disagree
agree
strongly agree
EMR SYSTEM DECREASES THE PATIENTS
53% TIME
1%
14%
6. EMR SYSTEM DECREASES THE TIME SPENT ON 33% strongly disagree
disagree
PATIENT ? agree
strongly agree
52%
7. EMR SYSTEM IMPROVES THE QUALITY OF PATIENT DATA AND RETRIEVAL ?
EMR SYSTEM IMPROVES THE QUALITY OF
PATIENTS DATA AND RETRIEVEL
1%
18%
30% strongly disagree
disagree
Figur agree
strongly agree
HIS FONTS AND CHARACTERS ARE EASY
51%
TO READ
5%
14%
8. HIS FONTS AND CHARACTERS ARE EASY TO READ ? 34% strongly disagree
disagree
agree
strongly agree
47%
9. SATISFACTION WITH THE LAYOUTS OF PRINTED PRESCRIPTION ?
SATISFACTION WITH THE LAYOUTS OF
PRINTED PRESCRIPTION
7%
15%
36% strongly disagree
disagree
agree
strongly agree
OVERALL SATISFACTION WITH THE EMR
42%
SYSTEM
3%
15%
strongly disagree
10. 0VERALL SATISFACTION WITH THE EMR SYSTEM disagree
44%
agree
38% strongly agree
• DATA IS COLLECTED FROM 10TH FEBRUARY TO 10TH MAY. TOTAL NUMBER OF DOCTORS ON
BOARDED TILL THE GIVEN TIME PERIOD ARE 91
Total no. of doctors Total no. of
[Link] Month Total no. of days onboarded prescriptions
1 February 17 19 31 Total no. of prescriptions
3000
2 March 27 34 1696
2500
3 April 25 35 2399 2000
1500
4 May 9 3 870
1000
500
0
February March April May
• NUMBER OF AVERAGE PRESCRIPTIONS PRINTED BY DOCTORS PER DAY IN EACH MONTH
[Link] Month Average prescription/day
1 February 2
2 March 63
3 April 95
Average prescription/day
4 May 96
120
100
80
60
40
20
0
February March April May
GAP ANALYSIS
➢ MAJOR CHALLENGES IN MED-MANTRA
• ONLY CREDIT PATIENTS WERE REFLECTING ON DASHBOARD.
• NETWORK CONNECTIVITY ISSUE
• IN ‘ATTACHMENT’ PARAMETER OF PRESCRIPTION, ONLY FILE FORMAT SUCH AS ‘JPEG’ WAS
GIVEN.
• THE OVERALL PROCESS OF TYPING E-PRESCRIPTION WAS VERY LENGTHY AND TIME
CONSUMING.
➢ CHALLENGES FACED BY DOCTORS
• DOCTORS COULDN’T USE EMR WHENEVER THERE WAS HEAVY PATIENT FLOW.
• NOT FEELING COMFORTABLE IN TYPING LENGTHY PRESCRIPTION
• IT WAS HAMPERING THE LEVEL OF THEIR PATIENT SATISFACTION.
RECOMMENDATIONS
• THE STATUS OF CASH PATIENTS SHOULD REFLECT ON OP DASHBOARD.
• THE PROCESS OF TYPING USERNAME SHOULD BE AUTOMATICALLY SET AS A DEFAULT RATHER
BY ENTERING WHOLE SET
• FILE FORMAT SUCH AS “.PDF” SHOULD BE ENABLED AT ATTACHMENT OPTION TOWARDS
UPLOADING OF FILE IN E-PRESCRIPTION
• CONNECTIVITY ISSUES NEED TO BE IMPROVED
• UNNECESSARY STEPS IN MED-MANTRA SHOULD BE REMOVED FROM PATIENT LANDING
SCREEN.