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HCit Consultant is headed by Dr D Lavanian a veteran with more than 29 years of experience. A clinician and  Domain Expert in Healthcare Informatics, he is in addition, a Certified HL7 Specialist (One of the few doctors in the world to be so certified).

Given Below is his Curriculum Vitae

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 Dr Dorairaj Lavanian

MBBS, MD (AM)

Certified HL7 Specialist

Senior Domain Expert: Healthcare Informatics and Telehealth

Core competencies

* Healthcare Informatics and TelTelehealth  : Consultancy, Project Management,

  risk assessment, research, development and Business Development.

* Healthcare Content development, review and localization

* Multi-national business development for HIS, EMR, EHR, clinical care Pathway and Telehealth  Products

* Techno-Commercial Marketing of Healthcare Informatics Products

* Developing win-win strategies in Healthcare Informatics for HCIT vendors and Healthcare entities.

* Hospital Processes and IT enablement, ( incl HIPAA, HL7,ICD-9-CM, DICOM, Read code, etc)

* Experienced in Prince2 Project Management

* Standardization of processes and workflows

* Assessment of EMRs, EHRs, PHRs

* Leading development efforts in Healthcare Informatics

* Implementation of HCIT solutions and operational management

* Managing cross-functional projects with proven track record of on time project delivery

* Leading Content development teams

* Training of Teams in Healthcare and Healthcare IT (incl HL7 and DICOM )

* Medicare processes in the Armed Forces and IT enablement

* Aerospace Medicine, Aircrew health care processes and IT enablement

* Hospital/medical waste management processes and IT enablement

Professional Memberships

* Member UK Council for Health Informatics Professions

* Member American Medical Informatics Association

* Member HL7 Australia

* Member Telemedicine Society of India

* Member Task Force for Telehealth  , Government of India

* Co-convener Standards Sub-Committee Govt TM Taskforce

* Life Member Indian Association of Medical Informatics

* Life Member Indian Society of Aerospace Medicine

* Life Member Indian Society of Hospital Waste Management

Designations held

* CEO - HCit Consultant (Active)

* Vice President – Healthcare Products, Bilcare Research Ltd

* Vice President - Software division AxSys Health Tech

* Vice President – Technical- ATNF, Apollo Hospitals Group

* Deputy Director Medical Services (IT)

* Hospital Administrator

* Senior Medical Officer

* Squadron Medical Officer

Education and courses

·          MBBS 1979 AFMC, Pune, India

·          MD(Alt Med) 1994 IBAM, Calcutta, India

·          Certificate Course in Hospital Administration 2002 NIHFW, New Delhi , India

·          Advanced DICOM and HL7 (Certified by Otech, USA) 2004 , Bangalore, India

·          HL7 V2.3 (Certification by HL7 organisation) 2004 , Bangalore, India

Others

·          Primary Aviation Medicine 1983 IAM, Bangalore, India

·          Dip (Acu) 1994 I Alt M, Bombay

·          Dip(Mag) 1994 I Alt M, Bombay

·          Courses in Windows, HL7, DICOM 3, MS Office, networking (Win 2000 Server),Visual Basic, Oracle, Delphi, HTML, ASP, Java, JavaScript, Flash, etc. (Self taught and formal done between 1986 and 2003).

Presentations and Seminars

*Speaker – ‘The Economics of Telemedicine’ Telemedicon 2009, Pune, India, 06 Nov 2009

*Speaker - `Global CSR Conclave' - NF Track at NASSCOM India Leadership Forum `07 Grand Hyatt Mumbai, 9 Feb-2007

* Speaker - “Healthcare Informatics” Marcus Evans, Royal Orchid Sheraton, Bangkok, Thailand, 18-19 Sep 06

* Speaker -Annual meet of the American Telemedicine Association San Diego, USA, 10^th of May 06 (could not attend due to visa unavailability)

* Speaker - “Healthcare Revenue Cycle Management” Marcus Evans, Intercontinental, Dubai, UAE 8-9 May 06

* Speaker - `ICT for National Development' CSI, Hyderabad India Nov 2005

* Speaker - The First Gulf Forum on "Healthcare, Quality Improvement and Accreditation”, Bahrain, UAE Jun 2005

* Speaker - Medi-IT Asia Kuala Lumpur, Malaysia May 2005

* Speaker and Demo - IntelemedIndia 2005, ISRO, Bangalore

* Speaker - ICMIT 2005, IIT Kharagpur, India

* Speaker - CIT 2005, Ahmedabad, India (Hosted by the govt of Gujarat and CII)

* Speaker - and Demo `Intel Centrino Launch', 2005, Bangalore, India

* Speaker - Meditel 2004, Bangalore, India

* Speaker -and Demo 'Intel Asia Pacific Healthcare Leadership Forum'. Bangkok, Thailand 17 Nov 04

* Speaker - 4th VSAT India 2004 international conference & exhibition, Delhi, India

* Speaker - U P Development Sub committee on Healthcare Meeting, Lucknow, India

* Speaker - Meeting of the Media Lab Asia Core Group on ICT for Healthcare, Kochi, India

* Key note Speaker - “Telehealth  - How it impacts your health positively” ISPAT, Karaganda, Kazakhstan

Visas:

Multiple Entry 3 year Work Visa (Tier 1 – General Migrant) for the UK wef 09 Jan 09

Multiple Entry 10 year Business Visa for the USA

Languages Fluent in: English, Hindi

Languages understood: English, Hindi, Tamil, Punjabi, Marathi, Bengali, Urdu.

Part II

Professional experience – Details

CEO and MD – HCit Consultant: Sep 2008 –Present:

I provide consultancy in HCIT to clients ranging from NGOs to Multinationals to Hospitals. Amongst them are a well known IT companies in India, UK and Singapore (details not revealed due to privacy clauses). As CEO of HCit Consultant, the past 2 years have been spent in projects involving various HC IT companies from across the globe. I have worked on a Singapore Government Healthcare Project Tender where I had put together a very complex healthcare project using a ‘best of breeds’ solution drawing on the individual skillsets of multiple HC IT companies. This project is all about a world class solution created by an interoperable, transparent working together of components drawn from across the globe. Strong interpersonal, negotiating, influencing and communication  skills, the ability to manage complex relationships and the ability to negotiate successful outcomes with key stakeholders is what I excel in. These and other skills were instrumental in helping me put together this complex solution. Worth mentioning, is a recently completed Healthcare IT Localization project for a top Healthcare IT multinational headquartered in the UK. The project had extremely tight time lines and quality requirements and  required putting together a crack team of Specialists, Doctors, nurses, administrators and IT support resources. Working 7 days a week (even  through Christmas and new year) we managed on-time product delivery using Prince 2 project management techniques. The project concluded successfully, on-time, with no over-runs of time, costs or resources.  In fact we picked up a bonus payment for on-time completion. This multinational has now earmarked HCit Consultant (www.hcitconsultant.com) for further projects.

Training:  I have been very active in training as it is my belief that proper training is the key to sustained and stable operational management. I train PG students in subjects on Healthcare and Healthcare Informatics including HL7 and DICOM. I am a guest lecturer for the Training wing of the CDAC (Centre for Development of Advanced Computing http://www.cdac.in)  - India's top governmental organisation for IT and the home to India's super computer - PARAM.

Vice President – Healthcare Products, Bilcare Research Ltd: Sep 2007

I was part of the core team that was entrusted with starting and ramping up a new business line, a ‘Healthcare Product’ in the healthcare IT vertical - beginning right from the vision statement and the strategic goals to the delivery of a world class product with a USP that did not exist any where in the world today.

I steered and supported the assessment of EMRs (incl top EMRs from companies like Epic, Eclipsys, Cerner, EClinical Works, HP, IBAHealth(Lorenzo, Monet),etc), Disease Management Apps and Healthcare portals for our company.  I assessed EMRs to select the appropriate one that would efficiently manage Clinical data and defined and wrote the processes, data maps and requirements for data security and integrity. In addition I wrote Risk strategies and scenarios with reference to man, methods and processes.  The complex challenge of multiple third party HCIT components interoperating and working transparently as one was one that I architected successfully. I helped steer documentation processes, quality assurance activities, and guidelines for development of interoperable widgets with 3rd party Apps while ensuring  compliance to regulations and standards. I also headed the dept that oversaw Clinical Content collection from the internet, data evaluation, clean-up, re write-and QA before upload to our web portal. I set the  policies and procedures for content collection, evaluated the output and reported the same at weekly intervals. This was accomplished by selecting KOLs (Key opinion Leaders) in Cardiology, Gen Medicine, Endocrinology and Diabetology  and put together a medical board that would write, publish and upgrade current clinical and treatment protocols to suit the local populance. For this I had to analyse cultural issues  in a range of different settings and regions to ensure a click-fit for the local populance.

I worked with 3rd party vendors to integrate clinical decision support, PHR and analytics to our EHR application. Other than that I had the responsibility of selecting, developing, utilizing and retaining high quality talent to effectively operationalize multiple functional areas. This being a project with complex Global ramifications, my skill-sets of  strong interpersonal communication, multi-cultural sensibilities and focused analytics were called into  play every day, in my dealings and negotiations with multiple companies, partners and vendors, in India, Australia and the US.

Vice President - Software division AxSys Health Tech- till Aug 2007: AxSys Health Tech is a UK based Health IT EMR company whose  unique multidisciplinary care record has been adopted by the NHS Scotland as the National Generic Clinical System (based on .Net and other Microsoft technology). I headed their software division at Hyderabad, India which then, had a staff strength of more than 120 . During my tenure there I put together best practices and processes to ensure smooth and result oriented output. In addition, I worked closely with the Business Development team to streamline the product in line with emerging requirements and was therefore also actively involved in Techno-Commercial Marketing.  Happy with my initiatives, in just 3 months, , the top management, gave me the additional responsibility of recovering a Prestigious 18 month old Hospital HIS-EMR implementation that had gone wrong to the extent that they were proposing returning payments and withdrawing from the project. I stepped in, met with the top management of that hospital, studied the issues, negotiated successfully,  put together a rescue plan and in just about 3 months succeeded in a making the project operational. Needless to say my company received a lot of positive publicity from that success story.

Vice President – Technical- ATNF, Apollo Hospitals Group - Feb 2003 to Apr 2006: Starting out as the Delivery Head, I've worked myself up to the post of VP- Technical at Apollo Health Street (a large IT services organization) then ATNF(both of the Apollo Hospitals Group).

During my tenure there, I headed Telehealth  project implementations, operational management and marketing (incl discussions, presentations and lectures regarding Telehealth  technology). This included product integration with internal and external HIS, RIS, PACS and other Healthcare applications. I grew Apollo telemedicine centers from 26 to 200 during my tenure.

 My focus was to study  the existing processes, work flows and pain points of the client healthcare entity or hospital; view it from the Business processes needs and put together a cost effective solution that would Telehealth  enable the entity while providing interoperability with the existing HIS (my experience as a senior Medical Administrator came in very useful out here). Where required, I would also sit through multiple rounds of discussions with the client to modify and polish the solution so as to make it a finer fit. My quadruple credentials (medical doctor, Informatics Expert, communications specialist and senior administrator) were instrumental in helping me understand the complex issues and requirements of disparate groups to put together an amicable and acceptable solution. On closing the deal I would then over see implementation of the solution and follow it up with an operational management cycle. I was thus, the single point of contact for the client, through out the complete life cycle of the solution. This ensured a high level of satisfaction from a client viewpoint and translated to a high success rate from my company.

During my tenure there I also got formally Certified a HL7 Specialist (One of the few doctors in the world to be so certified), after being trained by Mike Henderson(one of the authors of Chap 2 of the HL7 V2.3 specifications). It was during that period that I also trained and certified myself, under Herman Oosterwijk the top international expert on DICOM.

Early Years: The early years at Apollo, saw me rebuild and hire appropriate software development and test individuals to align with the new road map that I had planned. Attrition was an issue with most companies then but, my work ethos ensured that this was kept to a minimum and also got me the trust and freedom I required, from my team. This helped me to actively carry out market intelligence, investigation and R&D to development new software modules, products, methodologies and technologies in the field of Telehealth  - a must to keep ahead in this highly competitive domain.

Some of the applications that were designed from ground up by my team are as follows:

Medintegra Web: An enterprise wide web based Telehealth  application that permitted true world wide availability of Electronic Medical Records (EMRs) and patient investigations like ECGs, X-rays, MRIs, etc. The application was DICOM and HL7 compliant and could exchange EMRs with external HL7 compliant entities. Security was HIPAA compliant. Designed to work on a Microsoft platform using ASP technology, the later versions were successfully tested on Linux and Mac OS. We were last working on improving functionality and lowering the application costs further by moving to .NET and porting the server database from MS SQL to MySQL.

MiniPax: A Picture Archiving and Communications Solution (PACS) it was an addon to Medintegra Web. Being browser and web based it was capable of facilitating Telecardiology, Teleradiology and Telepathology.

MedIntegra GoLive!: A multi user desktop audio-video conferencing solution. Based on Flash 7 and Flash Communications Server. This web based solution could allow as many as 6 person video conferencing or 1-to-many (1 to 1000 users), two-way interactive medical training using audio and live video streaming. This was a powerful tool that supported us in training of users across great distances.

Another important function I carried out was working across teams (HIS, PACS) to suggest techniques of data transfer and data compatibility using HIPAA, DICOM and HL7 protocols. With foreign implementations under my belt I was responsible for dealing with top officials in the govt and depts like ISRO, C-DAC, NEC, etc to propagate Telehealth . We had carried out many Telehealth  road shows, demonstrations (INTEL, Thailand, Saudi Arabia, Nigeria, Nebraska University, USA, etc) and had even implemented solutions  in Kazakhstan, Pakistan and Nepal.

Training: I have been very active in training as it is my belief that proper training is the key to sustained and stable operational management. A guest lecturer for Telehealth  at the Anna University, Chennai, India and Medvarsity, Apollo Group, I have trained many clinicians, para-medics and MBAs including the Misys - Apollo Health Street team on HL7. Further, I authored a chapter on the technical aspects of Telehealth  in the ‘Telehealth  Manual', the first authoritative textbook on Telehealth  in India, released by the Indian Space Research Organisation, India.

My expertise and skills were further recognized by the Indian government, when they made me the co-convener for the Sub committee on Standards , Governmental Task force for Telemedicine. The Taskforce was a joint venture of the Min of Health (MOH) and the Min of Communications and IT (MCIT), government of India. I helped the govt to write the document "Recommended Guidelines & Standards for . Practice of Telemedicine in India" (Legislation, accreditation, licensure, and certification standards pertaining to health care information services. The document can be downloaded from http://mit.gov.in/telemedicine/Report%20of%20TWG%20on%20Telemed%20Standardisation.pdf)

 Deputy Director Medical Services (IT) (2000 - 2002)

My in-depth knowledge of Informatics, networking, programming and system analysis help me to plan, steer and implement an IT strategy for the medical services of the Indian Air Force (IAF). I spearheaded the process of evaluations to create an enterprise wide AF MedNet that would seamlessly connect Hospital Information Systems, PACS, Telehealth  applications, CPOEs and existing applications. The aim was to ensure secure availability of a patient's records at any AF medical entity in almost realtime.

Hospital Administrator, Senior Medical Officer, Squadron MO , MO and maverick programmer (1980 - 2000)

I was appointed at various IAF flying stations earlier as medical officer or squadron medical officer and later as Senior Medical Officer (SMO). In my role as SMO (11+ years) I was responsible, over and above my clinical practice, for medical administration and Physician Practice Management. My responsibilities included heading a group of between 3 to 9 General and family Practice Physicians to provide comprehensive clinical cover to isolated townships with populations of between 1000 to 10,000 men and families. During this period (1986 onwards) I got drawn to Computers and learned to program; first in GWBasic and then in Delphi, Visual Basic, Dbase, FoxPRO, Relational Databases ( Access, Oracle, MS SQL, etc), Internet languages (HTML, JavaScript, JAVA, ASP, etc) and accessories (MS Office, Photo shop, Flash, etc). The resulting knowledge was utilized in producing Healthcare applications. My first App was a Hospital Drugstore Inventory management system done in GW Basic in 1992. This application was hailed as `Most Revolutionary' at that time and was very successfully utilized at my hospital where I was in charge of hospital administration (a 75 bedded air force hospital in the state of Bengal). There, my administrative acumen helped me successfully deal with not only routine hospital problems but also civil union unrest, which is very common in West Bengal.

WHY DO YOU NEED A CONSULTANT
Healthcare Informatics (HCIT)  is a vertical where costs are high, timelines critical and good resources expensive. The need to ensure improved profitability through fiscal discipline is therefore, a top-of-the-mind focus for this vertical. This is where we  step in, to provide tailored solutions that are focused, cost effective, time sensitive and doable.