eHEALTH-Aug-2011-[14-25]-Best mHealth Project
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Transcript of eHEALTH-Aug-2011-[14-25]-Best mHealth Project
august / 2011www.ehealthonline.org
august / 2011www.ehealthonline.org 1514
Best mHealtH Project
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The project was started in order to provide timely and effective ante-natal care and post natal care to be delivered to both the mother and child. The idea was to use technol-ogy to increase the productivity of the health service providers. In order to improve the service delivery, the Chief Executive Officer, Zilla Parishad of Wardha, Gunjan Krishna devised SMS based ANC and PNC tracking system.
Under the system the health information collection and updating happens real time by way of SMS. Based on the information, the soft-ware generates the maternity card/
immunisation card and due dates of health checkups. Ex-pected date of delivery, immu-nisation dates are created and alerts for the ANC, PNC and immunisation services are sent before the due
date to the health workers in order to ensure timely delivery of services.
The goal of the project is to improve the health of the mother and child as reflected in the MMR, IMR, institutional delivery and percentage of low birth rate babies. The objec-tive is to ensure 100 percent registra-tion of ANC cases at a stipulated time, to ensure the timely payment of JSY benefits and to ensure timely and complete immunisation of child born between 0-6 years.
Website: www.zpwardha.gov.in
Zilla Parishad Wardha
highlights* 98.5 percent institutional deliveries registered since implementa-tion of project * MMR reduced from 90 to 51 percent in 2 years
highlights* An integrated mobile phone based public health information system, first-of-its-kind in india* iCt based health information flow from root level to higher level achieved
Project jeevandaInee
C-daC thiruvananthaPuram
mcare - MoBIle PHone Based PUBlIc HIs
Centre for Development of Advanced Computing, Thiruvananthapuram and Media Lab Asia (promoted by MCIT, Govt. of India) collaborated in developing an ICT (Information and Communication Technology) based Software solution “mCARE” for strengthening health care services at grass root level and synthesising relevant information for health care management.
The mobile based application “mCARE” developed by C-DAC ena-bles health workers to use handheld devices such as Smartphone for capturing data from field and thus to analyse public health data from grass root level.
The application can be deployed on any smart phones which runs on Windows Mobile Operat-ing System. The “mCARE’’ has two major components working in tan-dem- “health@palm” – an mHealth applica-tion which runs on smart phones
and empowers health workers for health data capture and retrieval and centrally hosted web based applica-tion for health related data analysis and report generation.
Website: www.cdactvm.in
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A novel mobile phone based clinical decision-support technology for village health providers to improve antenatal care for mothers and child health. With this premise a team of doctors from Stanley Medical Col-lege (SMC) and a group of engineers from National Institute of Technol-ogy, Karnataka started working on a
decision-support technology for health-workers.
With the ever increasing proliferation of mobile phones, the project has a platform which could be used to take away all the memorising and analysis out
of the protocols by use of Informa-tion and communication technology.
The objectives of starting the program were to develop a decision support technology for village health workers (VHW), provide immediate management of illness through diag-nosis, treatment and advice of refer-ral to secondary/ tertiary care and use the generated data for reminder and alerts enabling effective patient follow-up, tracking andmonitoring of illness over time.
Website: www.stanmed.net
dePartment of Community mediCine, stanley mediCal College
highlights* the decision support achieved very high specificity and sensitivity (more than 95 percent in various cases)
MoBIle Based MedIcal decIsIon-sUPPort tecHnology
text to Change
text to cHange
Text to Change (TTC) is a Dutch and Ugandan based organisation founded in 2007. It is dedicated to support and improve health education via mobile phones in Africa. TTC works on de-veloping innovative mobile telephony based concepts in developing coun-tries and is specialized in incentive based text message programs addressing health issues. TTC aims at creating awareness, collecting data and generating an uptake in health services by using mobile telephones.
With a four year successful track record, Text to Change brings both passion and senior-level Tech and innovative SMS service delivery experience. It does so through a wide variety of approaches varying from workplace based SMS programs aimed at changing sexual behavior, to data collection in conflict areas, to campaigning for improved
school quality and reduced teacher absenteeism.
The objective of the study was to improve HIV/AIDS awareness and to increase the number of people going for testing services in Lira in order to increase the awareness of one’s HIV status and to
encourage people to seek early treat-ment and care in order to decrease further HIV transmission.
Website: www.texttochange.com
highlights* A high response rate. the DED-ttC survey reached over 7000 people in the lira district for health educa-tion by sMs* An uptake in hiV testing of 200 percent!
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Choice and accessibility being the need of the hour in the health realm encouraged Dreamweavers Infocom to take the first step forward towards building the country’s first digital-medical network. They always tried promoting IndiaHeartBeat.Com as a digital socio-economic initiative.
Placed at the intersection of two ever-growing verticals namely Healthcare and IT, IndiaHeartBeat.Com is deemed to be the world’s first medical networking and re-source portal architecture on Web 2.0. The platform primarily acts as a robust digital- bridge and ensures seamless connectivity between the
patients and the diverse medical world which comprises doc-tors, hospitals, diagnostic cent-ers, pharmacies and auxiliary medical ser-vices. Some of the areas of immediate inter-est are medical
search, medical networking and patient information records.
Some of the other features of the portal include international medical tourism, free consultation forums, health insurance application, service discounts, access to drug references / molecular pharmacology etc. The primary objective is to build the larg-est community of medical profes-sionals and countrymen and improve the accessibility and enhance ef-ficiency and efficacy in the domain.
Website: www.indiaheartbeat.com
dreamWeavers infoCom Pvt. ltd.
highlights* Empanelled a record breaking 45000+ medical entities in less than a year
highlights* the govern-ment is able to provide insurance coverage of up to `2 lakhs per year on a family floater basis for 1.98 crore families at a cost of only `400 per family per year
IndIaHeart-Beat.coM
aarogyasri health Care trust
rajIv aarogyasrI HealtH InsUrance scHeMe
Government of Andhra Pradesh had initially formulated this scheme for im-plementation on a pilot basis in three most backward districts of the state viz., Anantapur, Mahaboobnagar and Srikakulam. “Aarogyasri Health Care Trust” was set up in February 2007 to act as “State level nodal agency” for the implementation of the Scheme.
In the state, people living below poverty line require financial pro-tection for the treatment of serious ailments. To improve access of BPL families to quality medical care for treatment of identified diseases involv-ing hospitalisation, surgeries and therapies through identified network of health care providers through a hybrid model consisting of tailor-made
policy (serviced by insurer) and self funded reimbursement mechanism (ser-viced by trust) to assist BPL families.
However the scheme is designed in such a way that the benefit
in the primary care is addressed through free screening and outpatient consultation both in the health camps and in the network hospitals as part of scheme implementation and areas of catastrophic health expenditure is met by the insurance scheme.
Website: www.aarogyasri.org
Best onlIne HealtHcare ProvIder
august / 2011www.ehealthonline.org
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The project was conceptualised to set a benchmark for accountability and transparency in public funded healthcare in India. As a small initial step, statistics on the number of patients coming to a hospital, as well as number of patients being admit-ted and discharged be available online publicly in a real time manner or as close to real-time as possible were required. No other healthcare
facility anywhere has allowed itself open to scrutiny in such a global manner where real-time statistics on pa-tient flow as well performance audits of each department are available for all to analyse,
compare and criticise. The objective was to internally
audit the clinical performance of each department and also has this audit available online publicly so that it could be compared with other hospitals in India and abroad. The centre wanted to have live statistics on the number of patients coming to a hospital, as well as number of patients being admitted/discharged be available online publicly. This would make the overall working of a hospital transparent to the public.
Website: www.jpnatc.org
JPn aPex trauma Centre, aiims
highlights* live (real-time) statis-tics on the total number of patients at JPNAtC available on the website* it is for the first time in the world that such a project has been concep-tualised and implemented
highlights* On-line realtime availability of the patient records acorss the hospital* Elimination of wastage of medicines and hospital consum-ables, with increased accountability* Automatic reporting for disease surveillance
Integrated onlIne Portal for aIIMs traUMa centre
fever hosPital and niC aPsC, hyderabad
e-HosPItal govt fever HosPItal
Patient care is provided on round the clock basis by the hospital, with the innovative use of information and communication technology. Patient services used to be affected as there used to be more documentation work. Nurses used to spend more time in writing manually in the registers rather than patient care. The project was started to improve patient care and reduce patient waiting time. It was initiated to eliminate time consum-ing documentation procedures and provide low cost and open source technologies.
Medicines and their prescriptions are made online. Online indenting and supply of medicines, diet, etc., to patients and timely administration. It has made use of technology easier for hospital staff without any prior computer knowledge are now able to
operate themselves. It provides innova-tive user interfaces requiring minimum entries.
No typing work for nurses, lab-technicians, doctors is needed as only with a few clicks they could perform their job. No physical pa-per movement and
associated delays in getting supplies and information to serve the patients from wards to labs, pharmacy, etc, is required.
Website: www.health.ap.nic.in
Best onlIne HealtHcare ProvIder
care delIvery tHroUgH InnovatIve tecHnology
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IgnoU ad
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IgnoU ad
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e-Mamta mother and child tracking web based application is uniquely designed management tool being executed in Govt. health facilities across Gujarat to accommodate for gaps in ensuring comprehensive maternal and child health services in rural as well urban areas.
e-Mamta is accessed through user id and password for in-department employees. It is credible tracking system that would enable health workers to reach above mentioned goals in accelerated fashion, as the issues of migra-tion, low service
demand, duplication of reporting afflicted MCH service delivery are removed.
The system aims at life cycle ap-proach, registering every individual pregnant mother, individual children in the age group 0-6 and adoles-cents (10-19 yrs) along with their full service uptake details to ensure complete service delivery of ante na-tal care(ANC), child birth, post natal care(PNC), Immunization, nutrition and adolescent services and to track the left outs of these services.
Website: www.e-mamta.guj.nic.in
state rural health mission, Commissionerate of health
highlights* ANC registered in first trimester increased from 56 to 64 percent* increase in institutional deliveries from 76 to 85 percent* improved reporting of maternal deaths from 589 to 702 over previous year* improved reporting of infant deaths from 4732 to 7263 over previous year
highlights* Reduction in the iMR from 63/1000 live births to 59/1000 live births* Antenatal coverage increased from 27.5 to 55.2 percent* immuniza-tion coverage increased from 48.8 to 53.8 percent * institutional Deliveries increased from 45 to 70 percent
e-MaMta: naMe Based MotHer and cHIld trackIng aPPlIcatIon
dePartment of mediCal health and family Welfare, raJasthan
Pregnancy, cHIld trackIng and HealtH servIces ManageMent systeM
Pregnancy, Child Tracking and Health Services Management System is an online software which was launched on 15th Sept. 2009. It is a unique e-Govern-ance project ever implemented in the health sector. Monitoring of individual pregnant woman for health care as well as every child was not possible earlier through manual systems.
The system is extremely useful in minimising maternal mortality, infant mortality through providing real-time information and data to the service pro-viders at the different levels of care and
thereby ensuring the utilisation of the reproductive health services by the commu-nity. Feedback is given to the service provid-ers at the village block and district level through this software system.
The objective of the PCTS is to improve the health of the pregnant women and Infant and thereby reducing the maternal and infant mortality and also achieving population stabilisation.
Website:www.rajmedical.raj.nic.in
care delIvery tHroUgH InnovatIve tecHnology
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Total knowledge acquisitions, de-ployment and interactivity is humanly impossible to achieve but with ICT support - overcoming human limita-tions of memory capacity / retentivity has become possible.
An internet application for global use is provided. World diseases and global concerns are covered about gaps and clinical killer errors causing limitless loss of lives and human resources transforming healthcare through ICT. It is the use
of comprehen-sive knowledge deployment with helpful bridging know-do gaps. Comprehen-sive medical knowledge management and deployment tools with the use of interac-tive use of medi-
cal knowledge. Digital knowledge is used for problem solving in a better / cheaper natural / easier / efficient / faster way. eHealth communicability globally through internet applications is leveraging healthcare in countries.
It is achieving accuracy in diagnosing / averting delays and minimising all round costs of treat-ments. Intelligent agent software is used for diagnosing / regular self ap-praisals. The healthcare knowledge deployment / standards are uniform in line with perceptional diagnosing as flawful – needs spot substantia-tions, bed side transportability of vital knowledge – through internet and hand held devices.
Website: www.medisoft.in/DCCMS.aspx
sarr CliniC soft
highlights* Commercial use in medical universities and medi-cal college * increased deployment and individual users
highlights* Expansion into African continent with currently reporting for centres in tanzania and Mozambique* Joining learning programme offers unique advantage to radiology residents to learn
novel dIsease detectIon aPParatUs for HUMan safety dccMs
Prime telerad Providers (P) ltd
teleradIology ProvIders- IMagIng reMotely
Teleradiology Providers (a unit of Prime Tele Rad Providers Pvt Ltd) is a web based consultancy service which aims at providing an accurate radiological diagnosis instantly and at very economical costs.
In addition to online radiology reads, it also offers its own unique radiology learning programme for the radiologists and advanced 3D reconstruction services. Teleradiol-ogy Providers (a Unit of Prime Tele Rad Providers Pvt Ltd.) is a group of established senior consultant radiologists with extensive experience in radiology, all modalities including CT, MRI, Ultrasound and Doppler, with subspecialty exposure in Neurora-diology, Musculoskeletal radiology, Cardiac and Breast imaging.
Due to indigenous and focused ef-fort on Teleradiol-ogy, Teleradiol-ogy Providers is able to provide low cost innova-tive online radiol-ogy reporting solutions. Using latest available technology, we can make sys-tem as per your requirements and connect
any centre to our web based server architecture and provide quick turna-round time.
Website: www.teleradproviders.com
Ict enaBled dIagnostIc servIce ProvIder
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In past times test requisition form(TRF) were travelling from the point of origin to the other whereas now the point of origin would scan and upload the TRFs and the opera-tors at destination would enter the data. This will reduce TAT and in advance prepare the departments about upcoming samples. The lab documents related to accredita-tion e.g. ISO, NABL, CAP would be stored and maintained in a common repository.
There would be a secured elec-tronic storage available now for stor-
ing all our lab agreements and contracts for all future reference. Using eInfotree workflow based applications for various depart-ments e.g. for HR, the entire process from recruitments to appraisal can
be maintained. Also other applica-tions related to employee leaves; ODs can be maintained electroni-cally. Expenses like travel, com-munication; etc can be tracked and monitored using DMS.
The project was started to reduce the turnaround time to deliver the test report to the patient. To achieve more accuracy, quality and faster service was the primary objective.
Website: www.cimconsolutions.com
CimCon softWare (india) Pvt ltd
highlights* Reduction in turn around time by 25 percent* improved accuracy of data entry - by 5 percent approx
highlights* increase in quantity of calls attended from 900 to 1200* 33 percent increment in handling customer feedback
Project HealtH connect
metroPolis healthCare ltd
It IntegratIon of cUstoMer servIce ManageMent
Pioneers in the field of hospital lab management, they have been managing the laboratories of leading multi-specialty hospitals in India and abroad. Professional laboratory man-agement by their highly qualified team of pathologists and medical technolo-gists ensures increased profits, higher returns and better efficiency.
The primary objective to start the system was to reduce unproductive customer calls and services. The center provides facilities such as call recording, monitoring calls quality, tracking missed calls, capturing re-quests for call backs, call segregation based on objective, call type and order bookings, number of call effectiveness by team leaders.
HLM enables hospitals to offer patients the best diagnostic care available without diverting their focus from core healthcare services. By
sparing them the effort to man-age yet another department, it turns out to be a cost-effective solution as well. The referral lab works like their full-fledged department and carries out a wide range of clinical lab tests.
It also features a proper complaint management system. It is altogether open source technology with minimum cost of operation.
Website: www.metropolisindia.com
jUryaward
Ict enaBled dIagnostIc servIce ProvIder
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Government of Andhra Pradesh has accordingly formulated this scheme for implementation on a pilot basis in three most backward districts of the state. In the state, people living below poverty line require financial protection for the treatment of seri-ous ailments.
To improve access of BPL families to quality medical care for treat-ment of identified diseases involving
hospitaliza-tion, surgeries and therapies through identi-fied network of health care pro-viders through a hybrid model consisting of tailor-made policy (serviced by Insurer) and self funded reim-
bursement mechanism (serviced by Trust) to assist BPL families for their catastrophic health needs without compromising the importance of existing Health Care Delivery system of the Government.
However the scheme is designed in such a way that the benefit in the primary care is addressed through free screening and outpatient con-sultation both in the health camps and in the network hospitals as part of scheme implementation and areas of catastrophic health expenditure is met by the insurance scheme.
Website: www.aarogyasri.org
aarogyasri health Care trust
highlights* the govern-ment is able to provide insurance coverage of up to `2 lakhs per year on a family floater basis for 1.98 crore families at a cost of only `400 per family per year
highlights* 14238 patients have been consulted till now* Completely cured a patient with breathing difficulty from the lower economic strata
rajIv aarogyasrI HealtH InsUrance scHeMe
govt of triPura and national institute of homeoPathy, KolKata
tele HoMeoPatHy Project
The World Health Organisation (WHO) has recognised Homeopathy as an accepted and the second largest system of medicine in the world. Ho-meopathy provides a new avenue of opportunity for integrating the benefits of Information and Communication Technologies (ICT) for delivering the Homeopathic treatment across boundaries, distances and time in an effective and accountable manner.
The project has screened about 15,000 patients and nearly 60 percent of them are women and children. With this vision an initiative was undertaken by IL&FS with National Institute of Homeopathy Kolkata in the state of Tripura to overcome all geographical, economic, social barriers faced by the rural citizens and help them in obtain-ing quality preventive and curative ser-vices from Tele- Homeopathy Centers
located at their doorsteps.
The objective is to provide quality health care in the villages us-ing Homoeo-pathic stream of medicine and to enable primary and preventive health care in the region.
Website: www.drjshah.com/HomeopathyIntroduction.aspx
jUryaward
Best PPP InItIatIve
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The HMRI ‘Sanjeevani’ - Village Health Outreach Program (VHOP) has been launched in Assam part-nering with the Department of Health and Family Welfare, Government of Assam as a PPP model.
The Mobile Health Units (MHUs) operate in collaboration with the local health function-aries like ASHA, Anganwadi Worker, sub center ANM and the village health and sanitation committee. The
sole objective of the program is to create a technology-enabled health service that provides comprehensive health services for the identification, treatment and monitoring of select communicable and non-communi-cable diseases and minor illnesses, thus managing the morbidity and mortality.
Each MHU is equipped with a laptop loaded with the VHOP ap-plication software, biometric scanner, webcam, mobile phone, basic diagnostic equipment, consumable to spot test random blood sugar, etc. and medicines.
Website: www.hmri.in/sanjeevani.aspx
health management and researCh institute
highlights* More than 2 lakh people from the 27 districts of Assam have utilized the services * Free lab diagnosis and medica-tion for 30 percent of the population with multiple vulnerabilities
HMrI-sanjeevanI vIllage HealtH oUtreacH PrograM (vHoP)
Best PPP InItIatIve
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highlights* Reduced waiting time of patients at the counters for registration, cash payment, laboratory and radiology investigations, consultation etc
dr b.r ambedKar memorial teaChing hosPital & triPura mediCal College
e-HosPItal@nIc
e-Hospital@NIC, a Hospital Manage-ment System is a workflow based ICT solution for hospitals specifically meant for the hospitals in government sector. This is generic software which covers major functional areas like patient care, laboratory services, work flow based document/information ex-change, human resource and medical records management of a hospital.
It is a patient-centric system rather than a series of add-ons to a financial system. One of the top most areas of concern to the common man is health care service. Mainly down trodden masses are being served by govern-ment hospitals in rural and urban areas. e-Hospital is designed to help small size to large size government hospital to deploy ICT solution at af-fordable cost. Hospital-wide man-agement and seamless integration
of information across various departments of the hospital is set up along with comprehensive information about patients.
This generic software for a government hos-pital covers all major functional areas of medical
college at remotest corner of India. Unicode based Indian multilingual support comprehensive reporting on various customizable parameters with a comprehensive role based access control and security enables data sharing across various departments.
Website: www.tmc.nic.in
Ict enaBled HosPItal
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Patient care is provided on round the clock basis by the hospital, with the innovative use of information and communication technology. Patient services used to be affected as there used to be more documenta-tion work.
Nurses used to spend more time in writing manually in the registers rather than patient care. The project was started to improve patient care and reduce patient waiting time. It was initiated to eliminate time con-suming documentation procedures
and provide low cost and open source technologies. Medicines and their prescrip-tions are made online. Online indenting and supply of medicines, diet, etc., to patients and timely administration.
It has made use of technology easier for hospital staff without any prior computer knowledge are able oper-ate themselves.
We provide innovative user inter-faces requiring minimum entries. No typing work for nurses, lab-technicians, doctors, only with a few clicks they could perform their job. No physical paper movement and associated delays in getting supplies and information to serve the patients from wards to Labs, Pharmacy, etc, is required.
Website: www.health.ap.nic.in
fever hosPital & niC aPsC hyderabad
highlights* On-line realtime availability of the patient records acorss the hospital* Elimination of wastage of medicines and hospital consum-ables, with increased accountability* Automatic reporting for disease surveillance
e-HosPItal govt fever HosPItal
WiPro ltdMcd HosPItals
Wipro Healthcare IT provided inte-grated Hospital Information System to MCD Hospitals implementing 28 modules which cater to outpatient and inpatient functionality, inventory & MIS within every hospital. This includes patient registration with demographic details, outpatient visi-tors, doctor appointment scheduling, admission, discharge, transfer, order entry, laboratory/radiology/cardiology result reporting, operation theatre management, pharmacy etc. Wipro has helped MCD to consolidate data from all their 6 sites and setup their data center.
Wipro implemented web portal to access patient’s clinical data from any with the help of internet. Wipro implemented end to end automa-
tion of the entire life cycle management of the healthcare solution. com-mencing from registration, electronic patient folder have been automated.
The list of process automated are as follows- Reg-
istration, ADT, OP Billing, IP billing, ward, ICU, emergency, operation theatre, physiotherapy, phlebotomy, laboratory, cardiology, radiology, diet and nutrition, house keeping, laundry, biomedical equipment management, CSSD, maintenance, administration, security and identify management, pharmacy, medical records, dis-charge summary, MIS, lab equipment Interface, web enabling features. The primary objective was to provide healthcare facilities to patients.
Website: www.wipro.com/industries/healthcare
highlights* Average handling increased to nearly 900 patients per 4 hours OPD session in the front office, OPD clinics
jUryaward
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