HMIS- Digital Process Flow & FAQs for information on highlights / key aspects of the policy instructions: Railway Board Order

• Admission / Discharge 100% on HMIS.
• Patient’s UMID profile (HRMS synced).
• Patients treatment / medical records are all available in HMIS.
• No papers required to be carried/submitted/authenticated by the patient.

• 100% medicines are prescribed by the Railway Doctor in HMIS w.r.t patient’s UMID.
• All medicines issued on HMIS by the Railway Pharmacist.
• No printout required in the process.

• Patients once a referral is given by the jurisdictional Railway Hospital can select any empanelled HCO on IR.
• All empanelled HCOs have been on-boarded onto HMIS. Using their HMIS login ID, it can verify patient’s UMID and the referral letter and admit her / him through an OTP based protocol.

• All referral are initiated and processed for approval on HMIS. Patient – for whom referral has been initiated in HMIS by the Rly Dr are not required to self-chase it. In HMIS, patients receive a message in their HMIS App the moment their referral is initiated and also an update when referral gets approved.

• All Agreements have to be “for and on behalf of the President of India”. Hence, all MoUs with empanelled HCO must invariably state at the beginning that “this Agreement /MoU is between the President of India acting through the Medical Director /CMS (as the case may be) of the Rly Hospital (to be named) for Indian Railways and the empanelled HCO (to be named)”.
• All MoUs have to be uploaded in HMIS w.r.t. its HFR-ID.

• Renewal / extension to be initiated 3 months in advance and would be w.r.to HMIS’ data on the nos of patients who availed treatment at that empanelled HCO plus the rating feedback given by railway patients through their HMIS App login.

• Foreclosure / suspension of an MoU shall be on the recommendation of MD/CMS, based on which PCMD may recommend for approval of the AGM/GM to foreclose /suspend the MoU.

• Bills on monthly basis, mentioning the Hospital’s HFR-ID and attaching HMIS generated summary position showing digital tokens (viz. HMIS digital referral letters) consumed and patients discharged during the billing period.
• In a prolonged treatment case, the treatment during the billing month and a special report to be attached by the HCO on the continuing / previous months’ treatment since admission and reference of previous on-account bills.

• If an HCO has only one MoU with an RH/ HU, the bills would continue to be submitted to the RH / HU with which it has signed the MoU.
• In case an HCO has been empanelled by more than one RH, the concerned MDs/CMS’ in consultation with their associate finance may formulate a Joint Procedure Order or mutually agreed to arrangement wherein only one bill passing unit is assigned to an empanelled HCO.

Rly Patients visiting RH/HU merely for re-validation/ extension of referral are avoidable footfalls at the RH/HU and over-crowd the OPD.

• Patients can use HMIS App to submit requests for re-validation/extension through HMIS App
• Use Case-1: Dialysis Patients jurisdictional RH would approve the request within 3 days else extension would be auto-generated after 72 hrs -> every 3rd extension would be based on a clinical review by the Rly Doctor
• Use Case-2: Cancer Patients jurisdictional RH would approve within 3 days failing which extension would be auto-generated after 72 hrs
• Use Case-3: Other Than Cancer Patients – jurisdictional RH would either approve the same in 72 hours in HMIS or call the patient for a clinical review. If patient gets a message in HMIS App for having to come for a clinical review by Rly Dr, no OPD registration required.