Smart MD

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Introduction


Smart MD is a minimalistic hospital management system for public sector hospitals of Punjab.

We have automated patient registration, pharmacy and laboratories of more than 30 500+ beds hospitals of Punjab via Smart MD.

Historically, public sector hospitals was managed through old manual process and our solution digital transform health care help decision maker to analyze data and develop policy.

To surface real-time statistics about patient load and all available and required facilities, complete automation was required.

Noteable Challanges

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Complex Business Domain

As not a single standard manual process was being used in all hospitals, instead many hospitals had customized standard processes to solve administrative issues. Understanding all variants of processes and automating them in a generic solution was a real challenge.

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Setting a digital legacy

No digital legacy existed before deployment of this software as all system was completely manual. We had to start with basic data entry with a completely untrained staff. Workflow of Smart MD needed to be as simple as possible.

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Limited resources

We had to prove usefulness of Smart MD in a short period with a small budget. Completing project in short time when understanding business domain needed lot of time was a tricky job.

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Scalability

As more hospitals joined the network, need of a highly scalable infrastructure emerged as need of hour, because Smart MD was getting dozens of requests per second.

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24/7 Availability

Smart MD was automating emergencies of busy hospitals, so we had to ensure its zero downtime. It could not be unavailable even while deploying code.

Solutions of Challanges

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Complex Business Domain

We did several on-site visits, conducted interviews of staff from different hospitals, departments and roles to understand existing process and problems faced by end users.

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Setting a digital legacy

Training a completely naïve staff was a tedious job. Not everyone adopts change so easily so many of them were just angry because they were not used to with system. We prepared training material and deployed training staff on-site to get end users at ease with system. Devised L1, L2 and L3 support infrastructure. On-site support staff helped end users to use system after each release, provided 24/7 support on call and released patches and updates to entertain hospital specific enhancements.

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Limited resources

Our solid project management processes made this challenging endeavor possible in a short time with limited budget. We focused on simplicity and acceptance by end users instead of trying to build a wholesome of features that nobody wants to use.

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Scalability

As scalable infrastructure design is our core expertise, we designed robust infrastructure that splits write and read operations, divided load in multiple nodes through load balancer to ensure system’s 24 x 7 availability.

Result

More than 60,000 patients are being entertained by Smart MD. Till now it has recorded more than 5.5 million patient records.

On average it gets 90 requests/minute.

On average 50,000 medicines get dispensed via this system.

On average 5,000 laboratory tests are conducted.

Technology Stack

Ruby On Rails

Angularjs

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