HealthManagement, Volume 14, Issue 1/2012

Eyesmart EMR

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IT @ Networking Awards 2012 - 3rd Place


The LV Prasad Eye Institute (LVPEI) was established  in 1986-87 at Hyderabad as a not-for-profit, nongovernment,  public-spirited, comprehensive eye  care institution. From its very beginning, it set forth  as its core values the “Three E’s”: Equity, Efficiency  and Excellence. Equity translates as treating all patients  (paying for services or not, rich or poor) with  the same high-quality, no-compromise care. Efficiency  means using the best available tools and  technology, translating results of research into clinical  practice, and evolving or changing policy as  needed. Excellence is an ever-ascending goal that  LVPEI attempts to achieve.  

LVPEI operates out of 106 locations, 86 of  them being primary eye care centres located  in remote rural villages. For the past 24 years,  it has served over 14 million people, over 50  percent of them entirely free of cost, irrespective  of the complexity of care needed.  

The LVPEI care model, called the Eye Health  Pyramid encompasses service delivery at four  different levels ranging from tertiary care to primary  care in the villages. In the Village Vision  Complex (VCC), ten Vision Centres connect to a  Secondary Centre which then refers patients requiring  further evaluation and management to  the Tertiary Centres linked to them. This ensures  a permanent infrastructure to deliver high quality  eyecare services to the needy at all levels.  


How it Works  

eyeSmart is a revolutionary national award winning  ophthalmic Electronic Medical Record (EMR) and  Hospital Management System developed in-house  by L V Prasad Eye Institute, India. We have embarked  on networking the entire eye health pyramid of LVPEI  on digitised medical records.  

The goal is to enable electronic documentation  for faster retrieval and research purposes, and to  transform the entire network into a paperless ecofriendly  environment. We have used an EMR concept  of totally integrating all functions of a hospital  from a common point, namely the patient. All functions,  including clinical and administrative, are interlinked  in a single EMR and HMS system and through  a single patient record. We have made use of different  flash tools, document viewers, etc., to intelligently  assist our doctors in managing patient data  at the convenience of a click anywhere, anytime.  Doctors can access case sheets on mobile phones,  and have appointment details 24/7 365 days a year.  

The application is enabled for various platforms  like iPads, iPhones and tablets. The EMR  has now evolved into an effective educational  tool for our students and fellows who train at the  institute. The standard procedures, classifications,  evidence based medicine protocols integrated  into the system help to deliver more effective  care and also aid in teaching.  

The project started as an in-house exercise with  the task of building an application for a smaller urban  centre at Madhapur, Hyderabad. The centre  started on 16 August 2010 and since then has grown  to be adapted for use in three other branches in  three cities. We then moved on to upgrade the system  and its functions in a tertiary centre that had  sub-specialities in ophthalmology. We started our  first tertiary centre on EMR at KVC Campus, Vijaywada.  We then started our first secondary centre  on EMR at Paloncha, which saw challenges in terms  of connectivity and power but these were resolved.  We then proceeded to connect the primary care  vision centre to the secondary centre through EMR.  Currently, our patients can move anywhere in the  vision centre complex without having to physically  carry their medical records with them.  



Problems related to connectivity and power, as  can be anticipated in rural hinterlands, have been  addressed and alternative backup plans put into  place. Training and monitoring the centres in real  time has been made possible with the formation  of an EMR Support and Installation Team (ESIT).  The ESIT caters to live and remote support for the  staff and users and gathers essential feedback on  the application. It is also responsible for enforcing  protocols of quality data documentation. ESIT  members are currently based across four cities  with 12 full-time employees catering to eight centres  running on EMR. New centre installations, support  and maintenance are also handled by the  ESIT. We have a fully equipped office and simulated  training centre based in Hyderabad, India.  


A Unique Concept with Proven Results  

The concept is unique as we are currently implementing  a revolutionary connectivity solution with  our vision centres located in remote rural villages.  The broad framework of our operations is to seamlessly  connect our care delivery and make our model  digitally inclusive. In keeping with this mission, we  have begun integrating all the 106 eyecare centers  of LVPEI, spread across two states of India, in a  phased manner, and hope to complete the task  over the next two years.  


EMR Statistics (from August 2010)  

Total no. of Patients – 59,815 New Patients  

Total no. of Appointments – 92,147 Appointments  

> 150 unique users  

No. of EMR Centres – 8  

City Centre – Hyderabad  

KVC Campus – Vijayawada  

NBEC Secondary Centre – Paloncha  

City Centre – Vizag  

City Centre – Vijaywada  

KAR Extension - Hyderabad  

Secondary Centre – Cherukupalli

Vision Centre – Manuguru Village  


Cost Savings  
  • Manpower costs for Medical Record Department;  
  • Paper printing/ storage costs;  
  • Man hours saved in preparing elaborate reports;  and  
  • View reports and status of any centre, anywhere,  anytime!  Improving Customer Service  
  • Accurate, comprehensive medical reports in a  single click;  
  • Digitised prescriptions for medicines and  glasses;  
  • Shorter waiting time for patients;  
  • Online booking of appointments;  
  • Personalised SMS alerts; and  
  • Enabling better efficiency in patient flow in  centres.  


Employee Productivity  
  • Les time spent on written records (30 percent less  time);  
  • Faster processing of information of patient statistics  (90 percent less time);  
  • Reports at a click (100 percent time saved)  
  • LIVE patient status displayed dynamically to  administrators (100 percent time saved)  
  • Faster entry of patient medical records;  
  • Faster printing of prescriptions, refraction records  (90 percent time saved); and  
  • Assessment of employee specific functions (80  percent time saved).

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IT @ Networking Awards 2012 - 3rd Place The LV Prasad Eye Institute (LVPEI) was established in 1986-87 at Hyderabad as a not-for-profit, nongovernment,

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