eHealth-Care

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eHealth-Care

• Use of ICT in Health Care Delivery System
• emphasis on building national health history
  database for each citizen

Silver Icon National Award for Year 2004
Exemplary Implementation for eGovernance
Initiatives under Innovative Operations and Best
Practices Professional Category.
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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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Health Card
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EHM Modules

• OPD Registration
• IPD Registration
• Admission
• Prescription Writing 
• Patient Billing

• Stores Pharmacy
•  Payroll
•  Laboratory
• Blood Bank
•  Nurse Station

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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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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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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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Modus-Operandi
eHealth-Care
NGOs, Government, Other Health Initiatives, Donor
s, Corporates
Server
WEB
PHC
Hospital
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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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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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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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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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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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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
• 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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Project Model
Role
Network
Penetration

• Demonstrable business model.
• Methodology
• Interface with state government, funding agencies
  corporate clients
• Create Infrastructure
• Network- creation
• Deploy computer hardware- PC, Server, Webcam,
  Printers, UPS, Scanner, Lamination equipment
• Training Doctors and assistants
• Manage and upgrade software
• Manage Hardware at Health Centre

Network management organisation (eHealth-Care
Foundation)
Head office (New Delhi)
10 implementation (per district) / number
depending on population, size of District /
Number of existing Dispensaries
Deliver computerized prescription. Online Medical
data / advice. Issue Health cards. Administrative
work.
Hospital
Dispensary
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Financials TOTAL RECURRING COST per month for
PHC
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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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Hardware Requirement per PHC
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Recognition

• Project ( www.ehealth-care.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.