eHealth-Care Foundation 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. 16 November 2018 eHealth-Care Foundation

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 16 November 2018 eHealth-Care Foundation

eHealth-Care Foundation Health Card 16 November 2018 eHealth-Care Foundation

eHealth-Care Foundation EHM: Modules OPD Registration: IPD Registration: Admission: Prescription Writing:  Patient Billing: Stores & Pharmacy:  Payroll:  Laboratory: Blood Bank:  Nurse Station: 16 November 2018 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 16 November 2018 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 …. 16 November 2018 eHealth-Care Foundation

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 16 November 2018 eHealth-Care Foundation

eHealth-Care Foundation Modus-Operandi eHealth-Care NGOs, Government, Other Health Initiatives, Donors, Corporates Server WEB PHC Hospital 16 November 2018 eHealth-Care Foundation

eHealth-Care Foundation 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. 16 November 2018 eHealth-Care Foundation

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. 16 November 2018 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 16 November 2018 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 16 November 2018 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 16 November 2018 eHealth-Care Foundation

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 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 16 November 2018 eHealth-Care Foundation

Deliver computerized prescription. Online Medical data / advice. Project Model Network Penetration Role Network management organisation (eHealth-Care Foundation) Head office (New Delhi) 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 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 16 November 2018 Dispensary eHealth-Care Foundation

Financials: TOTAL RECURRING COST per month for PHC 16 November 2018 eHealth-Care Foundation

Software Technicalities PROGRAMING LANGUAGE: JAVA BACK END RDBMS DATABASE : SQL OPERATING SYSTEM : WINDOWS CLIENT SECURITY: SECURE SOCKET LAYER (SSL) DATABASE SECURITY : User ID & Password 16 November 2018 eHealth-Care Foundation

Hardware Requirement per PHC 16 November 2018 eHealth-Care Foundation

eHealth-Care Foundation 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. 16 November 2018 eHealth-Care Foundation