The Indian Healthcare Sector Erp Systems Information Technology Essay

The Indian Healthcare Sector Erp Systems Information Technology Essay The Indian Healthcare sector is rapidly expanding in terms of revenue and employment with its total value estimated about $34 billion. Some of the reasons for the same are: Growing population and economy The biggest driver of the expansion of the healthcare sector in India is its booming population, which is currently estimated about 1.1 billion. (Appendix-Figure1) Rising middle class Due to the rise in the average income, as of now, around 50 million Indians can afford to use advanced healthcare services and medicines. Increase in the spread of disease One of the significant driving factors for the growth of Indias healthcare sector is the rise and spread of various diseases, infectious and chronic degenerative in nature. 1.2 ERP need in Heath Care Industry ERP has got a huge scope of implementation in the healthcare industry since more and more hospitals are coming up and the customers are now looking for better professionalism and improved and efficient healthcare services. Key healthcare organization objectives: The specific healthcare industry objectives include: Improved productivity and efficient workflow with proper information at various care points. Integrating various systems across individual departments in a hospital and also across hospitals under the same management. Performing core hospital activities and increasing customer service to enhance Hospital Image. Implementation of SAP ERP in Wockhardt About Wockhardt Wockhardt is one of the major players in the Indian sector for Healthcare services. Besides providing the healthcare services via its chain of hospitals, Wockhardt also manufactures and markets various formulations, nutrition products, biopharmaceuticals, active pharmaceutical ingredients (APIs) and vaccines. 2.2 Summary Name of the Organization : Wockhardt Limited Head Office Location : Mumbai, India Services : Healthcare No. of Employees : 9,000 Revenue of the Firm : Rs 26 Billion Implementation partner : IBM India 2.3 Pre-ERP Environment in Wockhardt Wockhardt had a non-integrated, non-SAP IT system The IT hardware used were of IBM P-Series IBM AIX was the IT Operating System in use prior to ERP implementation Oracle 10g database at Wockhardt Some of the challenges faced by Wockhardt prior to ERP implementation are as follows: Inability to handle the business growth due to poor existing technology Integration and formal communication among the existing systems were low. High cost dependency on independent product vendors adding to maintenance costs. Difficulty in managing and controlling disparate data. Dependency on multiple small packages and SMEs for day to day operations. Overall service levels and patient satisfaction levels were low. 2.4 Choosing an ERP vendor Some of the issues that were considered while choosing a vendor were: Data accuracy Hospitals have to supply all the essential information to the vendor at the time of making the proposals. This will help him to easily configure the required software. The mistake of not disclosing information Many hospitals do the mistake of not disclosing crucial information at this juncture. They are reluctant to disclose confidential information. Demonstrations The hospital will be able to rate the vendors suitability more so during practical demonstrations. His level of competencies and technicalities will be revealed to the company. The reason why SAP solution was chosen as the ERP vendor was: Its a robust, integrated solution with multiple customized functions and features Its positioned for future growth with global credibility Its a well defined reliable partner with assured support It strategically aligns itself with the Wockhardts business requirements 2.5 Objectives of SAP implementation The companys vision to integrate and standardize global processes was a major reason for introducing SAP solutions. Wockhardt was looking for an ERP solution that would: Establish a single, integrated ERP solution. Improve visibility and standardize the current business processes across the organization. Provide a platform for free flow of information and a central data repository. Introduce best practices of Life Science Industry for all locations. Provide a common technology platform with capabilities of analyzing business data. Meet the global business requirements, with simultaneously adhering to the country specific necessities. 2.6 SAP ® Solutions Services used in Wockhardt SAP ® ERP SAP ® Business Information Ware house SAP NetWeaver, ® SAP NetWeaver ® Portal, SAP ® Solution Manager, a tool found in the SAP NetWeaver ® platform 2.7 SAP Implementation Highlights Time-frame of implementation : 8 months (From May 2005) Top Managements support with highly dedicated team Highly successful implementation with a big bang approach in India Subsequent rollouts to subsidiaries in Europe US by the Wockhardt In-house team The average 3 year cost of a SAP deployment is shown in Appendix -Figure2. The various stages for the same were: Project Planning Business Process Study Installation Training Business Requirement mapping Configuration Modifications Data Conversion Documentation Testing Go-Live Post production support 2.8 SAP R/3 Architecture in Wockhardt SAP R/3 works on Three Tier Architecture comprising of the database, application and presentation layer. (Appendix Figure3) The Database server is solely responsible for Wockhardts data storage. The Application server interacts with the other two servers to manage user requests. The User terminal is responsible for data creation, modification and retrieval. 2.9 Benefits of SAP to Wockhardt The benefits that Wockhardt got on implementing SAP ERP were: Real-time access to higher quality information More structured data forming a basis for informed strategic and operational decisions A consolidated, single view of the business with efficient working practices due to standardized and integrated business processes Improved inventory management with better coordination of work across multiple locations Faster decision-making and improved Planning and customer service, efficiency, enhanced Visibility 2.10 Wockhardts future plans with SAP Wockhardts future plans with SAP include: SAP ® Customer Relationship Management (SAP CRM) SAP ® Supplier Chain Management (SAP SCM) SAP ® Advanced Planning Optimization component (APO) SAP NetWeaver ® component for integration. With the SAP CRM module, Wockhardt can: Implement one, multichannel contact center to control and coordinate the interactions between patients and Wockhardt. Link the contact center directly to the appointment system so a patient can make, change, cancel, or inquire about appointments. Improve communication with patients by using demand management software to remind patients of appointments, manage waiting lists, and fill late cancellations The Vendors Perspective About SAP and IBM IBM was finalized as the implementation partner for starting the SAP ERP implementation in May of 2005. The implementation team took around eight months to complete the project. With vendors like SAP and implementation partners like IBM, it has definitely resulted in lowering the pressure on healthcare organizations like Wockhardt. 3.1.1 SAP SAP is the market leader in ERP solutions. Since its foundation in 1972, SAP (Systems, Applications and Products in Data processing) have helped companies of all sizes and industries run better. Currently SAP departments are located in greater than 50 nations and serving 110,000  customers worldwide. SAP for Healthcare industry helps the firms like Wockhardt in integrating their healthcare processes by providing an end-to-end portfolio of solutions. IBM IBM has world class reliable, scalable and responsive business solutions and on collaboration with SAP, both will help the firms in various industries like healthcare by providing quality, simple and customised solutions with high returns. IBM and SAP are committed to delivering affordable end-to-end solutions scaled to meet the needs of SMBs. The combined solutions of IBM and SAP enable the organizations to speed up their business operations in order to comply with the dynamic changes in the marketplace. Challenges faced by IBM, SAP for ERP implementation The major challenges faced by SAP and IBM during Wockhardts ERP implementations are as follows: To cope up with the dynamic and ever-changing business processes and consumer needs To be in-line with the regulatory guidelines To assist the hospital service with regular up gradation . Integration with Legacy Systems Integration of ERP Modules of different vendors or versions and E-Business Applications like SCM, CRM, KM. 4. ERP modules used at Wockhardt Some of the important SAP ERP modules used by Wockhardt are mentioned below: Materials Management (MM) Customer Service (CS) Quality Management (QM) Sales Distribution (SD) Human Resources (HR) Production Planning (PP) Financial Management (FM) Product Life Cycle Management (PLM) The material management module (Appendix- Figure4) comprises of the features mentioned below: Stock Reconciliation- At warehouse / item(s) level Alerts and notifications on Shelf Life Storage Differentiations for Quarantine / Approved / Rejected items. Item tracking based on Expiry dates and Serial No. / Lot numbers Bar code interface integration Patient Administration: This module handles the front office, back office and nursing station of Wockhardt. Some of the modules of front office are handling the appointments, reservations, admission and discharge of patient along with the deposits, refunds of cashier department. The back office includes the maintenance, in-patient billing and scheduling of the Wockhardts back office. Besides this, SAP ERP integrates the administrative and clinical processes of the nursing station. (Appendix Figure5) Clinical Management The clinical management of the SAP package in Wockhardt includes: Laboratory- Lab scheduling, records, kit management, etc. Operation theatre- Theatre scheduling, maintenance, medical equipments usage, etc. Medical records Visit details of Outpatient and In-Patients, etc. Blood bank Donor registration list, Blood stock, etc. (Appendix Figure6) Resource Management The resource management of the Wockhardt SAP module includes: Pharmacy In and out-patient pharmacy, central pharmacy, etc. General stores Purchase orders, material receipts, inventory control, etc. Ambulatory Ambulance and personnel scheduling. Medical equipment management Equipment and AMC details, stock management, etc. (Appendix Figure7) Financial Management The financial management module includes functionalities like maintaining the: Accounts payable Accounts receivable General ledger Doctors accounting Payroll Care contracts Federations grants, etc. (Appendix Figure8) 5. Conclusion and Findings The Indian healthcare sector can be considered to be as a glass half empty or as a glass half full. This is so because, even though the healthcare sector has improved significantly over the years but still the challenges it is facing are significant. Improvisation needs to be done by developing the existing physical and IT infrastructure in order to provide quality healthcare services. The need of the hour is to perform core hospital activities and increase the quality of customer service by integrating its various components and avoid data redundancy. Industries look for ERP solution that can provide a common technology platform with capabilities of analyzing business data. They expect to meet the global business requirements, with simultaneously adhering to the country specific necessities. Because of the availability of a single unified platform for data sharing and standardization of the various healthcare business processes, the redundancy of data entry has minimized significantly and has resulted in saving valuable administrative time. The SAP ERP implementation has assisted the Wockhardt staff in successfully updating, recovering and managing the data in real-time. Also, reports can now be produced quickly, thus minimizing the logistical headaches. The most striking benefit of implementing SAP ERP in Wockhardt has been the significant visibility in its service operations which has lead to improved planning and coordination across Wockhardt. Hence sooner or later, most of the companies need to change their traditional practices and have an advanced technology supported with state of the art IT infrastructure to support its core business activities and integrate them efficiently across the organization. Appendix Figure 1 Indian economy growth rate Figure 2 3 year cost of a SAP deployment Figure 3 Figure 4 Figure 5 Patient Administration Figure 6 Clinical Management Figure 7 Resource Management Figure 8 Financial Management

We Are Living Wild and Free

Tangeniqua Traxler Running head: WE ARE LIVING WILD AND FREE â€Å"We Are Living Wild and Free† Teen drug and alcohol abuse is very common in today’s life. Teenagers and young adults become involved with alcohol for a lot of reasons. Some reasons might be for pleasure, or influence from family such as parents drinking and smoking in front of or with the teenager, friends, curiosity, acceptance, and pure pressure are just a few of the reasons teenager’s might began to drink or smoke at a young age.Some teens think that if their parents smoke or drink, then it is alright to do the same on special occasions, which sometimes turn into smoking or drinking more frequently. Underage drinking can cause dangerous sexual behavior, such as unprotected sex, and sex with multiple partners. These actions can lead to unplanned pregnancy and for contracting sexually transmitted diseases (STD’s, also infections with HIV, the virus that cause AIDS. Excessive drinking create s secondhand effects that can put other people in harm.According to Steele (2012) alcohol can cause many physiological effects such as Sedation, muscle relaxation, drowsiness, and disinhibiting of impulses and emotion. Over a long period of use it can cause mood swings, make one have less patience, give one a false sense of confidence, make one more aggressive, delay the capability to make liable decisions, interfere with one’s alertness. WE ARE LIVING WILD AND FREE 2 Even though the NY state law is you have to be 21 years of age or older to purchase liquor, or be caught with it in public teens are still using.I’ve noticed nothing stops them from using, many turn to an older sibling to use their I. D to buy liquor or to go clubbing. Binge drinking (drinking of four or more drinks on a single occasion within two weeks) is a big problem on college campuses. It is binge drinking, different from drinking in general that causes most of the alcohol-connected harm thatâ€℠¢s happening on campuses and in the students' lives. A lot of teens don't think that they will become addicted, and simply use drugs or alcohol to have a good time and to feel ike they fit in with their friends. When teens become addicted they start to lose friends, start to have health problems, and start to fail in school, they experience memory loss, and they lack motivation. Addicts tend to distance themselves from their family and friends with their negative acts, attitudes and unpredictable emotional swings. I personally know this from experience because my dad is an alcoholic. When I visit my dad we never seem to have father and daughter time, I always find him passed out or he’s just somewhere getting high.I’ve seen him fall and pass out from being drunk, and I have seen him loose character from getting high. When he's drunk he often get into serious arguments and fights with people surrounding him. If you say the slightest wrong thing to him while he is intoxi cated he reacts to it. I myself have had alcohol before, but because I witness so much abuse to liquor I know how to limit myself while drinking. While drinking there’s stages you will go through of alcohol intoxication. Stage one you nearly sober, just getting started.Stage two your tipsy, usually signs of this is a blush face, stupid grin, loud voice and an aware love for mankind. The sufferer is incredibly deep, WE ARE LIVING WILD AND FREE 3 intelligent and insightful, but prone to giggles. Stage three you’re plastered†¦. really generous, loud, and self-confident. Starts suffering from long talkativeness and a belief that he or she can drink anyone under the table. Then you start to feel drunken usually suffering vision, hearing ; speech weakening, with a greedy appetite for pizza.Then one’s to get obsessed with anyone and everyone, having a specious faith that he or she is attractive regardless of drooling and slobbing. Stage five you’re wastedà ¢â‚¬ ¦ suffering from dangerous loss of balance, co-ordination and sex appeal. Liable to sleep anywhere, chatting confusedly with loss of most body functions. Your final stage is a hang-over†¦. suffering from near death, always with a pounding headache, unbalanced with no sense of humor. Needs complete silence and another drink! All these harmful stages can be avoided by monitoring the amount you drink.When you are in stage one you can give yourself some time to feel the drink, it may not affect you as soon as your finish but give it time. Most people get to stage three and don’t realize how much they are drinking, in this stage you usually don’t taste how strong a drink is so you continue to drink repeatedly to stage 5. The use of alcohol for a long length of time can cause many health problems. It can harm the liver, bones, endocrine system, and brain, and at the same time stunt ones growth. When a person drinks constantly, it has been known to deeply affect the ir liver.Over a period of time this out of control drinking can lead to cirrhosis of the liver or even suicidal behavior. Using alcohol for a long period of time can cause damage to the brain, which can alter one’s mood. Developing a mood disorder from alcohol consumption can one to develop suicidal ideation. WE ARE LIVING WILD AND FREE 4 I personally feel that a person of any age, race, and background can become an alcoholic, or addicted to drugs. It all starts by socially drinking and smoking with friends who seem to be handling it all.Eventually if there is a weakness in a person, they will breakdown and slowly began to show the signs of heavy drinking, falling out, disrupting other people, and using physical abuse. Since I have watched drinking destroy my father, I have learned the signs and symptoms of alcoholism and the effects it has on the family members. As a child I just thought he was a crazy person, who acted this way after drinking, I thought this is what he was supposed to do after drinking. This article gave information on many different psychological and physiological effects of alcohol.The author explained how alcohol, classified as a depressant drug could have bad long-term effects as well as health benefits. This is all depending on the person, the consumed amount, and the length of time the person has spent drinking alcohol. The author included the risks that are associated with drinking that allows one to enjoy. It can turn out to be an embarrassing time, as drinking decreases one’s ability to make proper judgments, or alter one’s mood. The author wrapped everything up after explaining that although can be a deadly drug; there are also good things that alcohol does to benefit one’s health. â€Å"LIVE ABOVE THE INFLUENCE! †

What Does Samples of Argumentative Essay on Three Little Pigs and Big Bad Wolf Mean?

What Does Samples of Argumentative Essay on Three Little Pigs and Big Bad Wolf Mean? Samples of Argumentative Essay on Three Little Pigs and Big Bad Wolf Features I really like the illustration of the 3 pigs, above. A telltale photo indicates the wolf working with an inhaler. If there is sufficient time, they might also make illustrations to accompany their text. Thus, we set up a strategy to capture the pigs. Unfortunately, because of unexpected litigation, the wolves were made to stay in these cages for over 24 hours. For example, the pigs are the ones chosen to be a symbol of the leaders. Those 3 pigs completely corrupted the full story. Notice how the last little pig worked long hours and place in a great deal of time to construct his property. Moreover, the four major pigs within this cartoon are also caricaturised. Pig, I would like to meet together with you about your residence! I am the fantastic shepherd. Up in Arms About Samples of Argumentative Essay on Three Little Pigs and Big Bad Wolf? At length, ranchers know they have very little recourse in the event the wolves prey on their livestock. That is wherever your faith kicks in! Biologists believe this in order to form viable packs, they have to capture wolves of distinct ages. These biologists also need to study wolves until they settle in naturally. You might have to walk through the supermarket in order to accomplish the waiting area. Apparently, statistics can be expressed in a number of ways based on what point one is attempting to prove. These issues were ones that I hadn't ever thought about before. That's the conventional edition. This means that the answer won't be found in no more than one portion of the text. When you have a look at plenty of today's systems, they aren't designed to run without flaws, they are made to be patched constantly. We place the plan into action. Gonna be sure to try them out next moment! We need to be confident in God. Garner indicates this in major and minor but effective adjustments, The easy reversal of spelling woman with a YN rather than the standard spelling with the word finishing with man illustrates this. Hate the simple fact I can only fit 1 dish into my stomach. Many people were killed in this time and the entire thing became a whole failure. Nevertheless, in trying to deal with a situation generated by the human compulsion to control nature, it is critical to discern how much human interference is needed. As soon as I woke up I was in some type of cage. Now comes the incredible part. I'd really like to hear from teachers on this subject. Overall, the blend of symbolism, caricature and tone successfully depicts the way the government does not have any authority over these banks. Orwell utilizes the animals as a metaphor for those qualities of the people involved with the Russian Revolution. Reading example essays works precisely the same way! To start with is the apprehension of ranchers concerning the potential loss of livestock. Stories help children together with adults to adhere to a better path in life.

Childhood Trauma And Its Impact On Memory - 2617 Words

Memory provides individuals with an understanding of who they are; allows one to remember or reflect on the past; consider ideas and execute skills in the present; and learn, strategize, and resolve issues based on prior knowledge and experiences. More importantly, memory is an essential cognitive ability which enables one to carry out executive functions. Skills such as planning, problem solving, reasoning, decision making, organization, and multi-tasking all rely on intact memory abilities. With regards to this dissertation, the effects of childhood trauma will also be assessed in reference to its impact on verbal memory. Therefore, it is important to understand each of the components of memory in order to gain a clear sense of how it may be influenced by childhood trauma. The following sections will discuss each of the components of memory and briefly outline the formulation of memories. Stress, and its impact on memory, will also be discussed in the concluding segments of this se ction. Attention The first component to address when discussing memory is attention. Without the ability to attend to information, an individual cannot effectively transform the information into memories. Attention is identified as the cognitive process of focusing on particular stimuli while filtering out or ignoring other aspects of the environment (Johnson, 2004). Attention is one of the preliminary steps in the processing and storing of information and is an essential component for allShow MoreRelatedAfter The First Two Weeks Of Class, A First Year Teacher1262 Words   |  6 Pagescommunication, spirituality, and began the healing process for children who have experienced trauma. Aftermath of Childhood Trauma Children who have experienced trauma demonstrated various symptoms and reactions, and found it difficult to express themselves or verbalize events. 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