Hospital Management Systems for Indian Hospitals

Hi, I am researching on IT systems for small hospitals ( < 100 bed) in India. I had a few questions and would appreciate any help on this. Even leads to folks who may have answers or who are in the business of deploying HMS systems would also be greatly appreciated.
1> Do most hospitals of about 100 beds have a HMS (Hospital Management System) in place?
2> Who are the main software companies who make HMS systems for Indian hospitals?
3> What is lacking in the HMS systems that are available today? In other words, what is the scope for improvement? 4> Are HMS systems also connected to the Health Insurance Providers' system? If so, what features does the Health Insurance Provider look for in a HMS system?
5> Can the patients access the HMS system to look up their health records?
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☠ MASQ ☠Connect With a Mentor Commented:
Can only offer some generic advice for Indian systems
1) <100 beds - do you require HMS?

Probably - it is less to do with the number of beds and more the number of patient contacts and users - if you also support out-patient care you may see more benefit from an integrated system than one purely based on patients who are admitted. The principle benefits are administrative, billing, activity reports, bed management trend measurement etc. Clinically they can be used for remote access to special tests and audit.

2) Short of Googling can't really help - why not talk to other providers about what they use & would they recommend it?

3) Most systems are simply databases connected to a "book of rules" a pricing system, basic office utilities such as word processing and spreadsheet production, some security, comms and hopefully a user friendly front end. By definition they are in a continual state of evolution - beware a supplier who says they have a finished product!

4) They can be it depends on local regulation of data controls do you need patient consent to share information, are the patients your customers or the insurer's etc.
You also need to restrict remote access so that insurers can only collect relevant information. If insurers have access to medical details of uninsured patients it would give them information about potential risk that patients may prefer not to disclose.

5) Again in depends on local protocols - most systems restrict access to users so for patients to access the system they will usually have to go through a registered system user to request printouts of the data held on them. I'm not aware of any system that allows the user to have unsupervised access to their own records mainly because of the risks associated with proof of identity and unauthorised access to other records.
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