A WORKFLOW SOLUTION FOR ELECTRONIC HEALTH RECORDS
IN RURAL INDIA
HEALTHCARE DELIVERY SYSTEMS ARE KEY TO A PROSPEROUS INDIA OF THE FUTURE
Innovations in Healthcare – Reaching the Unreached
Feb 23, 2013
World of Disparities…
Innovations in Healthcare - Reaching the Unreached
India – A diverse country rich in culture, people, knowledge…
India – A Perspective
Innovations in Healthcare - Reaching the Unreached
Median Age of Indians at 25.1
Birth Rate at 22.69/1000 (2007 Est)
Death Rate at 6.58 / 1000 (2006 Est)
Projected Population growth in 2020 to 1.331 Billion
Second Most Populated Country in the World
1.15 Billion people
Approx 72.2% Rural and 27.8% Urban Population as per 2001 Census
Life Expectancy – 69.25 Years
Diseases & Mortality
Non-communicable and chronic diseases are the leading causes of death in most parts of the rural India
Based on current trends, it is expected that non communicable diseases (NCD) will account for 73% of deaths and 60% of the global disease burden by 2020
They will also account for a major proportion of disease and deaths in India
These deaths are mostly due to heart disease, strokes, diabetes mellitus, cancers and lung diseases.
Innovations in Healthcare - Reaching the Unreached
Healthcare Costs & it’s Impact
India is a 100% self-pay market 98% of our patients are spending from their own pocket/savings no medical insurance, no other source of financial support Many patients also take loans to pay
40%–70% of Healthcare expenditures are financed by borrowing
The devastating impact of TB, asthma, chronic obstructive pulmonary disease (COPD), heart diseases, etc. on individual household is similar, with children having to discontinue schooling and/or take up employment to provide an additional source of income.
People are forced to sell away their properties and farms
Innovations in Healthcare - Reaching the Unreached
India - Current Challenges
Lack of Hospitals and Doctors
Inadequate Infrastructure and Communication Networks
Patient data is not collected, stored and shared
Lack of Doctors willing to work in Rural Areas
Lack of Mass Disease Surveillance Methods
Innovations in Healthcare - Reaching the Unreached
USA - Health Care Reform and Primary Care — The Growing Importance of the Community Health Center Eli Y. Adashi, M.D., H. Jack Geiger, M.D., and Michael D. Fine, M.D
CHCs are running well, but many challenges
•Cost of sustenance•Increasing number of Uninsured•Scarcity of Care Providers •Difficulty in getting specialists
Similar problems faced by Emerging
Countries as well
US – Healthcare Reforms & CHCs
Innovations in Healthcare - Reaching the Unreached
Innovations in Healthcare Delivery
Innovations in Healthcare - Reaching the Unreached
Healthcare Processes / Delivery Application of Information Technology? Specific Interventions?
Healthcare Financing Insurance Schemes – BPL, Neo Middle Class?
Healthcare Awareness Proper Data Collection & Analysis?
Reduce Healthcare Costs Generic Medicines?
Increase Access to Healthcare
Application of IT for Improving Healthcare
Poor or no Records of Patients History
Unorganized Patient Referral
High Turnaround Times for Disease Identification and non-availability of point-of-
care diagnostics
Non-availability of Doctors / Experts at
point-of-care
Infrastructure – Power &
Connectivity Electronic solutions to
improve
Innovations in Healthcare - Reaching the Unreached
Kshema – Rural Healthcare Solution
Paramedic can assist the patient
Automation of Vital Signs Measurement including ECG
Features for Disease Identification
Works in Harsh rural / remote environments
Innovations in Healthcare - Reaching the Unreached
Kshema – BBMP Network
18 PHCs connected to 6 Maternity & Family Welfare Hospitals
Medical Tests done at affordable prices
Consultation by Doctors-on-line
Provided Services to over 6000 patients in last 6 months
Innovations in Healthcare - Reaching the Unreached
Malaria is still a big problem.
Point-of-Care Diagnostics and
Data Collection are Vital requirements
Malaria – Detection &Treatment
• High Turnaround times for Detection
• High Cost of Tests
Innovations in Healthcare - Reaching the Unreached
• Automates Malaria Parasite Detection in a Blood Smear
• Identifies parasites at different stages – Ring or Club Stages
• Reduces Turnaround Time for Disease Identification from days to minutes
• Interoperable with other systems
Malaria Parasite Detection System
Innovations in Healthcare - Reaching the Unreached
• Automates Tuberculosis Bacilli Detection in a Sputum Smear
• Uses Color Image Microscopy for Bacilli Detection • Reduces Turnaround Time for Disease Identification• Interoperable with other systems
Tuberculosis Bacilli Detection System
Innovations in Healthcare - Reaching the Unreached
K-Prathamik : Solution for ANMs in Villages
Innovations in Healthcare - Reaching the Unreached
Kuick-Detect : Mass Screening of Diseases Malaria, TB, Dengue, Chikungunya, Kala Azar
Innovations in Healthcare - Reaching the Unreached
• Mobile phone captures the images from Microscope
• Transfers images to a server though Wi-Fi
• Server Application analyses the images and detects the disease condition
• Sends the results back to Mobile
• Turnaround Time less than 30 Minutes
K-PHMS : Solution for Geriatric Patients• Measurement of vital parameters – BP, ECG etc
• Transfers measured vital signs to paired Mobile Phone• Stores measured vital parameters locally• Vital Signs are made available to cloud-based server
running e-Refereral software suite.
Innovations in Healthcare - Reaching the Unreached
Every 50km, telemedicine kiosks will be set up to call doctors for free treatment, with medicines available at
attached counters.
Innovations in India : Public /Private Partnership
Innovations in Healthcare - Reaching the Unreached
State Health Society, Bihar has embarked on a state-wide Telemedicine Network - first of its kind in India covering
212 PHCs, 38 DHs and a State Command Center
A WORKFLOW SOLUTION FOR ELECTRONIC HEALTH RECORDS
IN RURAL INDIA
HEALTHCARE DELIVERY SYSTEMS ARE KEY TO A PROSPEROUS INDIA OF THE FUTURE
Thank You
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