A

PROJECT DESIGN REPORT

ON
CITYWIDE HOSPITAL MANAGEMENT
For the subject Project Phase I
Submitted in partial fulfillment of the requirement for the award of
Bachelor of Technology
In
Computer Science and Engineering
WALCHAND INSTITUTE OF TECHNOLOG
(An Autonomous Institute)
Affiliated to
Punyashlok Ahilyadevi Holkar Solapur University
By

Name Roll. No. Exam Seat No.

Tanmay Jain 4 2102111452
Disha Runwal 9 2102111486
Adish Jain 10 2102111435
Aryan Jain 11 2102111434
Jhalak Jain 12 2102111451

Under Guidance of
Guide Name

DEPARTMENT OF COMPUTER SCIENCE AND ENGINEERING

WALCHAND INSTITUE OF TECHNOLOGY
SOLAPUR - 413006
(2024-25)
 CERTIFICATE
This is to certify that the project entitled

Title of Project
is
Submitted by

Name Roll. No. Exam Seat No.

Tanmay Jain 4 2102111452
Disha Runwal 9 2102111486
Adish Jain 10 2102111435
Aryan Jain 11 2102111434
Jhalak Jain 12 2102111451

as a part of Project Design Report.

Studying in B.Tech CSE for the subject Project Phase I

Dr.Mrs.A.M.Pujar
Dr. Mrs. P. C. Kaladeep Head
Project Guide Dept. of Computer Science and Engineering

(Dr.V.A.Athavale)
Principal

DEPARTMENT OF COMPUTER SCIENCE AND ENGINEERING

WALCHAND INSTITUE OF TECHNOLOGY
SOLAPUR
(2024-25)
 INDEX
Sr No. Topic Page No.

1. Abstract 1

2. Introduction 2

3. Background Study 3

4. Technologies Required 4

5. Objectives 5

6. Proposed Work 6

7. UML Diagrams 8

8. Work Planning For Next Semester 10

9. Conclusion 12

10. References 13
 Abstract
A hospital management system for the Government of NCT of Delhi aims to optimize patient
care through queuing models in OPDs, real-time bed availability monitoring, and efficient
patient admission protocols. Using predictive algorithms and inventory management, this
system addresses common bottlenecks in patient flow and resource allocation. Results aim to
demonstrate reduced wait times, enhanced inventory accuracy, and streamlined admissions.
Ultimately, this project proposes a scalable framework that could integrate with city-wide
health modules, improving healthcare service delivery across Delhi. A primary focus is the
development of a robust queuing model for Outpatient Departments (OPDs), aimed at
minimizing patient wait times and managing patient flow more effectively. By implementing
real-time bed availability monitoring and predictive algorithms, the system ensures that critical
resources, such as beds and essential equipment, are always ready to meet demand. Efficient
patient admission protocols further streamline the hospital’s operations, enhancing the quality
of care and patient experience. Ultimately, the HMS aims to provide a scalable framework that
can be seamlessly integrated into a city-wide healthcare module, thereby strengthening
healthcare service.
 Introduction

• Subject: This project focuses on developing a hospital-based solution to address queuing

issues in outpatient departments (OPDs), bed availability, patient admission processes.

• Problem Definition: Delhi's hospitals face challenges in patient queue management,

bed shortages, and inventory inefficiencies. This project seeks to streamline patient flow
and resource distribution, essential for effective healthcare service delivery.

• Purpose: The goal is to create a system that can be integrated city-wide, improving
patient care and resource efficiency.

• Scope: The project covers OPD queuing models, bed tracking, patient admission
protocols, and inventory management for medicines and consumables.

• Background: This solution is intended for potential implementation by the IT

Department, GNCTD, in line with modules developed by NIC.
 Background Study

The project addresses critical healthcare management challenges faced by hospitals, particularly
in Delhi, with a focus on optimizing outpatient department (OPD) queuing, bed availability, patient
admissions, and inventory control for medicines and consumables.

1. Existing Hospital Management Systems:-

• National Informatics Centre (NIC) Modules:- NIC has developed
foundational healthcare modules used in various states; however, their
implementation in Delhi is pending. These modules typically cover patient records,
bed management, and basic inventory functions but lack real-time updates and
predictive analytics, which are essential for addressing the fast-paced demands of
Delhi’s hospitals.
• Commercial Hospital Management Systems (HMS):- Systems like
MediTech and Cerner support OPD, admission, and discharge processes but may
not provide dynamic, data-driven insights into patient wait times, bed utilization,
or inventory status. They are often designed for standalone hospital use rather than
integration with city-wide health systems.

2. Challenges in Existing Systems:-

• Queuing in OPDs:- Traditional systems generally operate on a first-come, first-
served basis, which can lead to inefficient patient flow and extended waiting times,
especially during peak hours.
• Bed Management:- Hospitals frequently lack an automated, real-time
mechanism to monitor bed availability across departments, causing delays in
patient admissions and transfers.

3. Gap Analysis:-
• While existing solutions address individual modules of hospital management, they
lack a holistic, integrated system that uses real-time data and predictive analytics.
Such a system would significantly enhance the ability to manage patient queues,
bed availability and it would align well with the government’s vision for a city-
wide healthcare integration in Delhi.

By developing a hospital-based solution that integrates predictive modeling, real-time tracking,

and data-sharing capabilities, this project aims to bridge these gaps, offering a scalable framework
that could serve as a model for city-wide healthcare systems.
 Technologies Required

➢ FRONTEND:-

• React:- A JavaScript library for building dynamic and reusable user interfaces. React
facilitates efficient component-based development, allowing for the creation of interactive
and responsive applications with minimal re-rendering, resulting in a seamless user
experience.
• Tailwind CSS:- A utility-first CSS framework that enables rapid styling with predefined
classes, making it easier to apply responsive design principles and custom styling.
Tailwind’s utility classes allow for a consistent and scalable approach to styling without
writing extensive custom CSS.
• Next.js:- A React-based framework that provides server-side rendering, static site
generation, and enhanced performance optimizations. Next.js simplifies routing, supports
incremental static regeneration, and improves SEO, making it ideal for building fast and
scalable web applications.
• Shadcn/ui:- A set of accessible and customizable components built on top of Tailwind
CSS and Radix UI, offering pre-designed and accessible UI elements. Shadcn/ui helps in
speeding up development by providing common UI components that align with modern
design standards.

➢ BACKEND:-

• Next.js (API routes):- The backend functionality of Next.js provides API routes, enabling
serverless functions and backend logic within the same framework. This setup simplifies
full-stack development, allowing both frontend and backend logic to coexist within the
same project structure, making data fetching and API interactions seamless.

➢ DATABASE:-

• Appwrite:- A backend-as-a-service (BaaS) platform that provides a collection of APIs for

handling authentication, databases, storage, and more. Appwrite enables developers to
quickly build and manage the backend infrastructure, offering secure and efficient database
management for applications, including user data storage and real-time capabilities.
 Objectives

• Optimize OPD Patient Flow:- Develop a queuing system that minimizes patient
wait times by predicting and managing patient influx, ensuring timely consultations in
outpatient departments (OPDs).

• Real-Time Bed Availability Tracking:- Implement a bed management module that

provides real-time information on bed availability, enhancing patient admission efficiency
and reducing overcrowding.

• Efficient Patient Admission:- Streamline the patient admission process by

automating bed assignments and prioritizing patients based on medical urgency and bed
availability.

• Scalable City-Wide Integration:- Design the system with scalability in mind,

allowing integration with broader city-wide health modules for improved coordination
across hospitals in Delhi.
 Proposed Work

Structure Creation:-

Think of the system as a network of specialized areas, each handling a specific part of hospital
operations—like managing OPD queues, tracking bed availability, or keeping tabs on the
pharmacy. By building these areas as independent, yet connected, pieces, the system can grow and
adapt without major overhauls. This modular approach also keeps the system flexible enough to
integrate with other hospitals or city health services in the future.

Multi-User Dashboard:-

Hospitals involve a lot of different roles, and each user has unique needs. A multi-user dashboard
means every user—whether a doctor, nurse, pharmacist, or administrator—gets a view tailored to
their tasks.

• Doctors and Nurses can quickly check patient records, see the OPD queue, and know if a
bed is available—all without leaving their dashboard.
• Pharmacy Staff get real-time inventory data, can monitor medicine usage, and get alerts
if stock is running low.
• Administrators can configure system settings and monitor overall hospital metrics, like
bed occupancy rates and patient flow.

This role-based approach helps people focus on their jobs without being distracted by irrelevant
information, improving both efficiency and experience.

Inventory & Pharmacy Management:-

This part of the system makes sure the hospital has what it needs when it needs it. Inventory &
Pharmacy Management not only tracks supplies and medicines but also sends alerts when stocks
run low. It helps prevent shortages and keeps critical resources available for patient care.

• Low Stock Alerts: If stock levels dip below a set threshold, staff will get an alert, helping
them reorder before there’s a shortage.
• Expiry Tracking: Medicines and supplies near their expiration date will be flagged,
making it easy to manage them efficiently and safely.
• Automated Reordering: For high-priority items, the system can trigger a reorder request
automatically, ensuring supplies are always at the right level.
City-Wide Integration:-

City-wide integration allows this hospital management system to connect with other hospitals and
government health departments, sharing vital data in real-time. Here’s how it would work:

• Unified Patient Records: Imagine if a patient’s history was accessible at any city hospital.
This setup enables a more continuous, coordinated care experience, especially useful for
referrals or emergencies.
• Resource Sharing: Hospitals can pool their resources by sharing data on available beds,
medical staff, and equipment. In times of high demand, hospitals can work together to
make the best use of available resources.
• City Health Command Center: For the Government of NCT of Delhi, a centralized
command dashboard could provide a live overview of patient flow, bed occupancy, and
inventory levels across all city hospitals. This helps officials make informed decisions,
whether they’re addressing a health crisis or planning improvements to city healthcare.
UML diagrams
• Activity Diagram:-

• Use Case Diagram:-

 Work Planned for Next Semester

• Phase 1: Structure Creation:- ( Completed )

Design and build the core architecture of the Hospital Management System, setting up
the foundation for various modules like OPD management, bed tracking, and inventory.
This phase establishes the system's modular structure, making it adaptable for future
additions and integration with external systems.
• Phase 2: Multi-User Dashboard:-
Develop a role-based, multi-user dashboard that provides tailored access to different
users—doctors, nurses, pharmacists, and administrators. This dashboard should present
relevant data for each role, such as patient flow, bed availability, and inventory levels,
streamlining workflows and improving decision-making.

• Phase 3: Inventory & Pharmacy Management:-

Implement the inventory and pharmacy management system to monitor stock levels of
medicines and consumables, with automated low-stock alerts to prevent shortages. This
module ensures efficient supply management, keeping critical resources available to
support patient care.

• Phase 4: City-Wide Integration:-

Finalize and refine the system to allow seamless integration with a centralized healthcare
network. This phase enables data sharing with other hospitals and government health
departments, supporting coordinated care, resource pooling, and city-wide data-driven
health initiatives.
 Conclusion

The proposed hospital management system for the Government of NCT of Delhi aims to address
key challenges in patient care and resource management within healthcare facilities. By
implementing queuing models for OPDs, real-time bed availability tracking, and streamlined
patient admission processes, this system can significantly reduce patient wait times, optimize bed
occupancy, and ensure more efficient healthcare service delivery. This solution is designed to be
scalable and adaptable, making it suitable for future integration into a city-wide health module. By
improving operational efficiency and patient experience, the system can enhance the overall
quality of healthcare services across Delhi, contributing to the goal of delivering better healthcare
outcomes for citizens. The proposed hospital management system for Delhi aims to tackle major
challenges in patient care and resource management. With smart queuing for OPDs, real-time bed
tracking, and efficient admissions, the system helps reduce patient wait times and makes better use
of hospital beds. Designed to scale, it can easily expand to support city-wide healthcare
coordination. This system not only boosts hospital efficiency but also improves patient experience,
moving Delhi closer to delivering higher-quality healthcare for its citizens.
 References

eHospital – Module List

Type: Government Website
Description: This provides a comprehensive list of modules available in the eHospital
system, detailing the various functionalities developed to enhance hospital management, including
patient care, bed management and OPD queuing systems.
URL: eHospital

Healthcare Management
Type: Professional Resource
Description: This directs to healthcare management practices. It includes valuable
information on various aspects of healthcare systems, including management strategies, best
practices, and technological advancements.
URL: Healthcare Management

Hospital Management System Research

Type: Research Database link
Description: Cover various aspects of hospital management systems.
URL: E –Hospital Management & Hospital Information Systems – Changing Trends
Research By: Premkumar Balaraman, Kalpana Kosalram(SRM University)