Indias EHealth Revolution (Kurukshetra December 2020) (Download PDF)

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India՚s EHealth Revolution

National Digital Health Mission

  • Union Ministry of Health and Family Welfare.
  • To explore and widen the mediums of delivery of efficient, accessible, and cost-effective and affordable health interventions.
  • NDHM is holistic, voluntary healthcare programme which will integrate doctors, hospitals, pharmacies, insurance companies making a digital health infrastructure.

NDHM includes:

  • Health ID
  • Digi Doctor
  • Telemedicine
  • ePharmacy
  • Healthcare registry
  • Personal health records digitally stored.

The National Digital Health Blueprint

  • Prepared after a holistic survey of global best practices in adoption of digital technologies.
  • Health ID will be given to every Indian.

Details contained in the health account:

  • Every test
  • Every disease
  • The doctors visited
  • The medicines taken
  • Diagnosis
Objectives
  • To establish state-of-the-art digital health systems.
  • To establish National and Regional Registries.
  • To open adoption of open standards.
  • To create a system of Personal Health Records.
  • To promote development of enterprise-class health application systems.
  • To ensure National Portability.
  • To promote the use of Clinical Decision Support (CDS) Systems.

Other EHealth Initiatives

National Health Portal-NHP

  • A useful platform of the Health Ministry is the National Health Portal-NHP National Health Portal of India Gateway to Authentic Health
  • NHP provides information to citizens and stakeholders in different languages such as Hindi, English, Tamil, Gujarati, Bengali, and Punjabi.
  • A voice portal providing information through a toll-free number 1800 - 180 - 1104 and Mobile App are also available.

The E-Hospital

  • A Hospital Management System is a workflow-based ICT solution for hospitals in the govt. sector.
  • This is a generic software that covers major functional areas like patient care, laboratory services, work flow-based document information exchange, human resource, and medical records management of a hospital.

Online Registration System (ORs)

  • To improve ease of services for citizens.
  • Launched in July 2015.
  • It provides services to citizens for taking online registration and appointment, payment of fees, online viewing diagnostic reports, enquiring availability of blood online etc. in various public hospitals.

Mera Aspatal (My Hospital)

  • A Health Ministry initiative to capture patient feedback for the services received at the hospital.
  • User friendly multiple channels such as Short Message service (SMS) , Outbound Dialing (OBD) mobile application and web portal.
  • Feedback can be submitted in 7 different languages on mobile app and web portal; for the hospitals visited in last 7 days.
  • The collected feedback will be compiled, analyzed, and visualized in the form of dashboard being accessible to the different stakeholders at facility, district, state, and national level.
  • This platform aims to help the govt. to take appropriate decisions for enhancing the quality of healthcare delivery across public facilities.

SUGAM

  • A single window for multiple stakeholders (Pharma Industry, Regulators, Citizens involved in the processes of Central Drugs Standards Control Organization.)
  • It enables online submission of applications, their tracking, processing and grant of approvals online mainly for drugs, clinical trials, ethics committee, medical devices, vaccines, and cosmetics.

Mobile Applications

  • Vaccine Tracker for Indradhanush/Immunization services.
  • India Fights Dengue.
  • NHP Swasth Bharat.
  • NHP Directory Services Mobile App that provides information related to hospitals across India.
  • No More Tension Mobile App that provides information on stress management related aspect.
  • Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) Mobile App for reporting pregnancy care related information from across the states.

Health Management Information System (HMIs)

  • It is a web-based portal for monitoring the programmes under NHM.
  • This includes monthly service delivery data reporting from public health facilities to improve program monitoring and management.
  • Approx. 2 lakhs Health facilities are regularly reporting on HMIS Portal.
  • It is integrated with GIS and available in public domain.

Mother and Child Tracking System (MCTs) /Reproductive Child Health (RCH) Application

  • An individual-based tracking system.
  • Implemented across all the States and UTs.
  • To facilitate timely delivery of antenatal and postnatal care services.
  • Immunization to children with an objective of improving IMR, MMR & morbidity.
  • Providing alerts to health service providers about the services due list and service delivery gaps.
  • Appropriate health promotion messages to the beneficiaries.
  • At present over 12 crore pregnant women and around 11 crore children have been registered on MCTS/RCH portal since inception.

Kilkari

  • It delivers free, weekly, time-appropriate 72 audio messages about pregnancy, child birth, and child care delivery to families՚ mobile phones.
  • Approx. 6 crore successful calls have been made so far under Kilkari in Bihar, Chhattisgarh, Haryana, Himachal Pradesh, Jharkhand, Madhya Pradesh, Odisha, Rajasthan, Uttar Pradesh, and Uttarakhand.
  • Toll free number 1800 - 3010 - 1703.

TB Patient Monitoring System “Nikshay”

  • This tracks individuals for treatment adherence.
  • It has been implemented across all the states for monitoring TB patients.
  • A Missed Call Centre with Toll Free No: 1800 - 11 - 6666 for reaching to unreached TB patients is available for counselling and treatment support.

Tobacco Cessation Programme

  • A mobile based interventional initiative for counselling and helping people to quit tobacco, by giving a missed call to 011 - 229011701.
  • At present around 15 lakhs users are registered for this programme with 20 lakhs total missed calls captured.

MDiabetes Programme

  • A mobile based initiative for prevention and care of diabetes by giving a missed call to 011 - 22901701.
  • At present more than 1 lakh users are registered for mDiabetes.

Hospital Information System

  • Being implemented in hospitals for automation of hospital processes.
  • To achieve better efficiency and service delivery in Public Health Facilities up to CHC level.
  • Targeted impact includes facilitation in hospital workflow management leading to better delivery of services to patients and improvement in efficiency of processes at hospitals.

Implementation millstones include:

  • e-Hospital developed by NIC has been implemented on cloud platform in over 100 hospitals as on date.
  • More than 50 hospitals are on standalone platform.
  • E-Shusrut application of C-DAC Noida has been functional in Rajasthan (State-wide: 80 facilities) & 15 hospitals in other states.

Drugs and Vaccines Distribution Management System (DVDMs) ( ‘eAusidhi’ )

  • It deals with purchase, inventory management and distribution of various drugs, sutures and surgical items to various District Drug Warehouses of State/UT, District Hospitals (DH) , their sub-stores at CHC, PHC, etc.
  • Automating the workflow of procurement, supply chain, quality control and finance department in State/UT level.

DVDMS has been implemented so far in 9 States/UTs:

  • Andhra Pradesh, Gujarat, Jammu & Kashmir, Madhya Pradesh, Maharashtra, Odisha, Punjab, Rajasthan, and Telangana.
  • In process in 8 States/UTs-UP, Uttarakhand, Bihar, Himachal Pradesh, Manipur, Jharkhand, Meghalaya & Chhattisgarh.

E-Rakt Kosh

  • A comprehensive, efficient, and total quality management approach.
  • With the help of online systems and is being rolled out for all the licensed blood banks in public and private health facilities in States/UTs.
  • eRakt Kosh is online in 7 blood banks in the States/UTs of Delhi, Madhya Pradesh, Uttarakhand, and Uttar Pradesh.
  • Around 124 Blood Banks are registered on e-RaktKosh Portal for Blood Stock Updation.
  • 2 blood banks in Uttarakhand, 1 in UP and 1 in WB are in the process of using the application.

E-Rakt Kosh: Centralized Blood Bank Management System

E-Sanjeevani: Transforming the Medical Landscape

  • A digital platform for provisioning of health services.
  • It is functional at around 4,000 Health and Wellness Centers.
  • Solved three obstacles:
    • Non-availability of qualified and efficient Doctors/Specialists in rural areas.
    • High burden on healthcare facilities due to non-availability of sufficient services at primary level.
    • Lack of Health Record creation at Primary and Secondary level and lack of interoperability of records.
  • Real time video-audio based tele consultations.
  • Followed by generation of ePrescription for each teleconsultation.

Two varied facility:

  • e-Sanjeevani which is meant for Doctor-to-Doctor teleconsultations.
    • Launched by Ministry of Health and Family Welfare in Nov 2019.
    • To be implemented at 1,55, 000 Health and Wellness Centers (HWCs) .
    • Government of India՚s Ayushman Bharat Scheme by December 2022.
  • e-Sanjeevani OPD which is meant for patient-to-doctor teleconsultations.
  • As on November 2020, eSanjeevani completed 8 lakh consultations.

Esanjeevani Architecture

  • Supports a double deck ‘Hub and Spoke Model.’
  • HWCs set up at State Level as Spokes, aligned to the Hub of Doctors (MBBS/Speciality/Super-Speciality Doctors) at Zonal level.
  • The patient-to doctor e-Sanjeevani OPD was rolled out on 13th of April 2020 during the first lockdown.
  • AIIMS Bathinda has set up super-speciality OPDs like radiation oncology, surgical oncology, paediatric surgery.
  • The super-speciality OPDs provide online OPD services to patients in all neighboring states including Punjab, Haryana, Chandigarh, and Himachal Pradesh.
  • Tamil Nadu govt. provides AYUSH, Yoga and Naturopathy OPD services through eSanjeevani OPD.
Esanjeevani Architecture- An Integrated Telemedicine Solution
Esanjeevani Architecture

EVIN (Electronic Vaccine Intelligence Network)

  • Aimed at strengthening immunization supply chain systems in India.
  • Under National Health Mission.
  • To provide real time information on vaccine stocks and flows.
  • Storage temperatures all cold chain points in the country.
  • At present, 28,122 cold chain points across 717 districts in the country routinely use the eVIN technology for efficient vaccine logistics management.

- Published/Last Modified on: April 16, 2021

Science/Technology, Health, Kurukshetra

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