Transcript eHealth-Care

eHealth-Care
Use of ICT in Health
Care Delivery
System…
… emphasis on
building national
health history
database for each
citizen
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Silver Icon National Award for Year 2004 Exemplary
Implementation for eGovernance Initiatives under
‘Innovative Operations and Best Practices’ –
Professional Category.
eHealth-Care Foundation
Statistic in India
Number of Hospitals -- 15,501
Primary Health Centres -- 22,975
Sub Health Centres -- 1,37,271
Community Health Centres -- 2,935
Private Hospitals / Nursing Homes/ Clinics -Unlimited
 Population of India (as on 29th April 2003) -- 106,63,00,603
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eHealth-Care Foundation
Health Card
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eHealth-Care Foundation
EHM: Modules
 OPD Registration:
 IPD Registration:
 Admission:
 Prescription Writing:
 Patient Billing:
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Stores & Pharmacy:
 Payroll:
 Laboratory:
 Blood Bank:
 Nurse Station:
eHealth-Care Foundation
Electronic HealthCare
Management
 A Case for EHM
Currently paper based diagnosis/ prescription/ follow-up
systems
Hard to manage, retrieve data, support doctors or emerging
medical insurance regime
Used only sparingly, mostly in critical cases but not as a routine
for managing healthcare
Paper based systems have their limitations in using data
Have higher management costs
Do not aid physicians and other stakeholders
Do not help a better MIS or decision making
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eHealth-Care Foundation
Electronic HealthCare
Management - II
 Healthcare Management requires:
Patient data from cradle to grave
Data on attending physicians
Data on medicines administered
Data on medicinal supplies
Data on medical tests
Data on skills and resources available
Data for planning for a national, regional or local healthcare
system
Data for healthcare insurance
Data on Epidemiology of the target population ….
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eHealth-Care Foundation
EHM: What is on Ground
 A scattered, disconnected system from the national health ministry
to the health sub centres / clinics
 Hospitals with lack of doctors, support staff, equipment, hygienic
conditions, medicines…
 Data with Patients and NOT with Hospitals/ Doctors
Not organized to link the citizen/patient to the doctors,
dispensaries, hospitals, civil hospital and other layers
 Manual system requires patients to report to the hospital for any
changes – from seeing another doctor to seeking appointments
 There is no easy way of tracking down the prescriptions and
medicine disbursed
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eHealth-Care Foundation
Modus-Operandi
eHealth-Care
Server
WEB
PHC
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Hospital
eHealth-Care Foundation
NGOs,
Government,
Other Health
Initiatives,
Donors,
Corporates
Benefits to Patients
 A complete medical history of patients
 Medical History updated online- accessed from any where
on the web
 Patient freed from keeping prescriptions for hospitals for
further treatment.
 Online Medical Advice will be arranged to the patients so
that they need not travel to far off places.
 Saving of the unnecessary travel and expenses for the
patient and the family.
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eHealth-Care Foundation
Benefits to Doctors
 To improve the efficiency and effectiveness of antiquated
healthcare system.
 Doctors should be able to access complete patient records
though they did not create them.
 Computerized systems for writing prescriptions.
 The system will save doctors time.
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eHealth-Care Foundation
Benefits to Government
 The technology can help monitor all mandatory
requirements of the government
 Ready information about the number of patients examined
daily or in any time frame
 Data about Doctors who saw the patient, when, diagnosis,
prescriptions and medicine issued
 Epidemiology of the region and various other queries that
are required based on the data captured
 Intelligent archival and retrieval
 Can provide full MIS capability
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eHealth-Care Foundation
Benefits to Government - II
 Can link with the PHC/ CHC Management Systems or can be
scoped out to become a PHC/CHC system
 Can link with or be scoped out to Staff Management System
 Can be scoped out to inventory and pharmacy management
system
 Can link with a Laboratory and blood bank management
system
 Can become a Tele-Medicine support system
 Emergency services coordination
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eHealth-Care Foundation
Additional / Future
Services
Health cards can lay the foundation for

identifying the citizens,

immunization certificates

other government certificates

social security,

health education

driving license

eCommerce, etc…
whenever the governance process is ready to accept it
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eHealth-Care Foundation
Achievements
Initial record of 45000 people of Sirsa.
15000 cards --- Below Poverty Line (BPL)
30000 cards made for general population
Records need updation as people visit hospitals/ dispensaries/
doctors
 Potential to become the electronic healthcare management system
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 Proof of concept to Generate revenues as people see its value and
it can be delivered provided we organise the healthcare system to
create value for the patients. So far Rs.150,000 generated by
creating the first electronic medical records
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eHealth-Care Foundation
Project Model
Network
Penetration
Network management
organisation (eHealthCare Foundation)
Role
Head office
Demonstrable business model.
(New Delhi)
•Methodology
•Interface with state government,
funding agencies & corporate clients
•Create Infrastructure
•Network- creation
•Deploy computer hardwarePC, Server, Webcam, Printers,
UPS, Scanner, Lamination
equipment
•Training Doctors and assistants
•Manage and upgrade software
•Manage Hardware at Health Centre
Hospital
Dispensary
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10 implementation
(per district) / number
depending on
population, size of
District / Number of
existing Dispensaries
eHealth-Care Foundation
Deliver computerized prescription.
Online Medical data / advice.
Issue Health cards.
Administrative work.
Financials:
TOTAL RECURRING COST per month for PHC
Data operators @ Rs. 3000 * 1
Telephone
ISP
Stationery
TOTAL COST
3,000
2,000
1,500
5,000
(INR)
11,500
REVENUE per month
Issuance of Health cards @ Rs.10 * 200 * 25
50,000
TOTAL REVENUE
50,000
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(INR)
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Software Technicalities
 PROGRAMING LANGUAGE: JAVA
 BACK END RDBMS DATABASE : SQL
 OPERATING SYSTEM : WINDOWS
 CLIENT SECURITY: SECURE SOCKET LAYER (SSL)
 DATABASE SECURITY : User ID & Password
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eHealth-Care Foundation
Hardware Requirement per
PHC
PIV Computer
Telephone Connection
Printer Dot Matrix 24 Pin /
80 Column
Printer DeskJet
Scanner
Lamination Machine
Windows 98 (2nd Edition)
Licensed
Multi-User Internet (ISP)
charges
Web Camera
UPS
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eHealth-Care Foundation
Recognition
 Project ( www.ehealthcare.net ) is a finalists of
the Stockholm Challenge
Award for 2003 – 04.
 Awarded by Digital
Partners Global, for the
‘Best Innovation in I.T .
for upliftment of poor’
for 2002 - 03.
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eHealth-Care Foundation