Specialty
Interventional Cardiology
A coronary stent sold in India is under a national price ceiling, and the brand, the batch and the capped price have to appear on the patient's bill. That obligation is met today by a person copying a sticker off a box onto a form, in a laboratory where the next case is already on the table.
Impact and action
The device, and the ceiling over it.
- Brand, batch and capped price are transcribed from a box onto a form, and the form is the only proof that the ceiling was respected.The catalogue holds what may be issued, staff pick rather than type, and the order locks what was chosen so a later change to the price list leaves it alone.ForgeVault
- A consumable opened and used mid case reaches the bill only if somebody remembers it at the end of the list.Issue is the billing event. A chargeable order places its charge on the account at the moment it is placed.Vault
The schedule.
- The laboratory list lives in a separate book, so an emergency case and an elective one are reconciled by whoever holds the book.The visit and the procedure share one lifecycle, and the laboratory is a resource in the digital twin of the hospital, with its own schedule and its own state.Gate
The study.
- Images and pressure traces stay on the laboratory workstation, and the report is typed from memory into a different system.The study returns to the order that requested it and opens in the record, so the report and the images are read in one place.ForgeAtlas
The scheme desk.
- A package rate claim is rejected or cut for a document that existed on the day and was unfindable in the week.Insurance, government scheme and payer specific pricing are handled where the charges already are, against the same record the clinical work produced.Vault
What one procedure produces.
| Artifact | Where it lives today | Where it lives here |
|---|---|---|
| Device and consumable list | A theatre sheet, priced later | Issued against the case, charged at issue |
| Images and traces | The laboratory workstation | Attached to the order that requested them |
| The procedure note | Dictated, typed, filed | A locked form, versioned, on the record |
| The claim pack | Assembled at discharge from four places | Assembled by the work that produced it |