TOGAF Business Architecture Plan for AIIMS
Enhancing Patient Care through IT
Key Problem and Proposed Solution
AIIMS faces challenges due to outdated IT infrastructure, manual workflows, data silos,
and security vulnerabilities, exacerbated by a ransomware attack in 2022. The
proposed solution involves implementing an integrated Electronic Health Record (EHR)
system, automated workflows, and enhanced cybersecurity within an internal server-
based architecture, aligning with AIIMS’s preference to avoid cloud dependencies.
Summary of Key Findings
• Current State: Manual processes, disconnected systems, and security gaps hinder
operational efficiency and patient experience.
• Future State: Integrated digital workflows, enhanced security, and streamlined
data management will improve patient care and hospital operations.
• Business Impact: Reduction in delays, improved patient satisfaction, and
operational cost savings through automation.
Business Impact
The transformation will enhance AIIMS’s leadership in healthcare delivery, improving
patient outcomes, staff productivity, and resilience against cyber threats while
supporting AIIMS’s long-term strategic goals.
Introduction
Background
AIIMS, India’s leading healthcare institution, has undertaken digital transformation
projects, such as e-Hospital and OPD transformation. However, its IT infrastructure
(30–40 years old) is outdated, leading to inefficiencies and security risks. AIIMS relies
on internal servers and an intranet, avoiding cloud adoption due to security and data
volume concerns.
Project Objectives and Goals
• Enhance IT Infrastructure: Strengthen security and reliability of internal systems.
• Improve Patient Care: Digital workflows to ensure faster, error-free services.
• Increase Efficiency: Automate processes to reduce manual workload and errors.
• Ensure Data Security: Strengthen cybersecurity measures to protect patient data.
Scope of the Project
The plan covers patient registration, clinical workflows, administrative processes, and
emergency services, in alignment with AIIMS’s internal server-based IT strategy.
Research Methodology
• Data Collection: Interviews with AIIMS staff, review of e-Hospital reports.
• Framework: TOGAF ADM Phase B for business architecture development.
• Tools: ArchiMate for modeling, Microsoft Teams for collaboration.
Gap Analysis
Current vs. Future State
Categor
Current State Future State Gap Identified
y
IT Legacy systems, Lack of
Integrated digital systems,
Infrastru manual interoperability and
automated workflows
cture processes automation
Security
Vulnerable to Robust security framework, Insufficient security
&
cyber threats, compliance with national measures, lack of
Complia
data breaches standards governance
nce
Patient Long waiting
Faster service, real-time Inefficient service
Experien times, manual
digital records delivery
ce records
Data Disconnected
Unified EHR system, Siloed data affecting
Manage systems,
seamless data integration decision-making
ment redundant data
Tender Activity and Strategic Partnerships
Current Tendering Approach at AIIMS
AIIMS outsources key IT functions to different specialized vendors to ensure system
robustness, security, and operational efficiency. The hospital collaborates with
multiple service providers through a structured tendering process to maintain best-in-
class services.
Key Partnerships
Service Area Vendor Scope of Work
Software & NIC (National Manages software security and firewall
Security Informatics Centre) implementation
Database & Provides infrastructure for data storage
Private IT Firms
Servers and retrieval
IT Ensures uptime and troubleshooting for
System Integrators
Maintenance IT systems
Strategic Improvements in Tendering Process
1. Performance-Based Contracts: AIIMS will focus on outcome-driven engagements
where vendors are evaluated based on KPIs such as uptime, security compliance,
and system performance.
2. Integrated Vendor Management: Establish a centralized contract management
system to track vendor performance and streamline procurement.
3. Enhanced Cybersecurity Standards: Ensure all vendors comply with updated
national cybersecurity guidelines and AIIMS’s internal IT policies.
By refining the tendering strategy, AIIMS can maintain a high-performing IT
infrastructure that aligns with its long-term digital transformation goals.
Solution/Approach
Proposed EA Framework
Using TOGAF ADM, AIIMS will implement:
• Unified EHR System: Centralized, real-time data management.
• Automation Tools: Streamlined workflows and process automation.
• Enhanced Cybersecurity: Protection within internal network constraints.
Future State Architecture Design
Patient Registration Workflow (Future State)
1. Online Pre-Registration → 2. QR Code Check-In → 3. Automated Queue
Management → 4. Immediate Service
Business Capability Map (Future State)
Capability Description Target Maturity
Patient Registration Online, automated High
Appointment Booking Real-time scheduling High
Medical Records Fully integrated EHR High
Billing & Payments Automated, linked to EHR High
AI-driven triage, real-time
Emergency Services High
alerts
Implementation Plan
Steps to Implement
1. Phase A: Vision approval by stakeholders.
2. Phase B: Develop business architecture and capability maps.
3. Phase C/D: Design EHR and cybersecurity systems.
4. Phase E/F: Create migration roadmap and prioritize automation.
5. Phase G: Governance and compliance monitoring.
Timeline and Key Milestones
Milestone Date Deliverable
Vision Approval Jan 2025 Statement of Work
Business Models
Mar 2025 Process & Capability Maps
Finalized
System Design Jun 2025 EHR & Cybersecurity Specs
Implementation Start Aug 2025 Initial Deployment
Full Rollout Dec 2025 Fully Operational System
Outcome and Conclusion
Anticipated Outcomes
• Faster access to patient records and reduced wait times.
• 30% reduction in manual tasks, improving staff efficiency.
• Stronger security, reducing cyber risk exposure.
• Scalability to support a 20% increase in patient volume.
