Quanta WebHIMS
(Web Based Hospital Information Management Software)
Brief Information Gathering Form
Sr. No. / Particular / Details
1 / Name, Address, Tel no, details of Hospital
2 / Number of beds in the Hospital
3 / No of New Patient registration per day
4 / Provide the approximate number of users who will be using the application
5 / Provide the total number of computer Nodes where the application needs to be installed.
6 / Number of Doctors working in the hospital
7 / What are the total numbers of employees in the hospital?
8 / Name & Phone no of the deciding Authority for HMS/HIS software purchase in the hospital
9 / Any indicative time frame for the decisions to be taken on purchase of software?
10 / Does your hospital have an IT Dept? How many people are working in this department?
11 / Is your Organization using any software currently? If so which and since how long they are using the software?
12 / Will there be any data migration involved? (i.e. do you need to take the data from older software to be transferred to newer software?)
13 / Number of days, trainingto your staff would be required on the new software. (Specify No of days)?
14 / Is your hospital newly constructed, in planning phase or already functioning?
14 / Do you have internet connection available?
15 / Do you have special requirements of HIS available in other languages like French, Arabic, Spanish, Hindi, Marathi, language, kindly specify your native language in which you are looking for ?
16 / Are you planning to interface laboratory instruments like Hematology Analyzer, Biochem Analyzer with HIS System?
17 / Are you planning to interface Imaging machines like CTScan, MRI, Xray with HIS System?
18 / Select the Modules required at your hospital:
1.Appointment Scheduling
2.Patient Registration
3.Admission Discharge Transfer (ADT)
4.OPD EMR / EHR
5.IPD EMR / EHR
6.Wards & Bed Management Module
7.Nursing Workbench
8.Operation Theater Management Module
9.Clinic Specialties modules, like Gynecology, Pediatrics, Ophthalmology, dental etc. Specify which modules are required.
10.Laboratory Information System (LIS)
11.Radiology Information System (RIS)
12.Microbiology Dept
13.Histopathology & Cytology Dept
14.Pharmacy Management
15.Inventory & fixed asset Management
16.Procurement DEPT
17.Housekeeping/Laundry
18.Equipment Maintenance System (EMS)
19.Healthcare Packages
20.Patient Billing
21.Management Information System (MIS)
22.Hospital Administration (Master Setup and Maintenance)
23.Roster Management (Duty Rosters)
24.Help Desk
25.Patient Module
26.Facility Management
27.Emergency/ Casualty
28.Communication module
29.User management & Authority System
Add On Modules
- Patient Relations (Complains and feedback module)
- Central Sterilized Supply Department (CSSD)
- Blood Bank Management
- Dietary (F&B)
- HRMS (Human Resource)
- Insurance and Contracts Management
- Payroll
- Financial Accounting (A/C Receivable and Payable, Budget, Cost centre)
- PACS & Tele Radiology
- Ambulatory Services
- Medical College Management
- Oncology Management
19 / Any other modules required. If so list them
20 / Are you looking for Intranet Based (Local LAN) or Internet Based (Online/Web based) HIS system, or both in a single software.
21 / Do you have multiple branches of the hospital, If yes, How many
(Multiple branches means more than 1 hospital)
22 / Are you looking for main hospital computerization or do you want to computerize main as well as other branches with centralized connectivity?
23 / Would you be interested to get any other services from Birlamedisoft? We provide some of the following solutions to hospitals
- Infrastructure development
- Hardware and Networking
- NABH / ISO / JCI Consulting
- Nurse call system
- CCTV / IP Surveillance
- Queue Management
- Access Control System
- Fire Alarm Systems
- Manpower Recruitments
24 / Any other information do you want to share with us, Kindly Specify
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