1. 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.
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eHealth-Care Foundation

2. 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) ,63,00,603
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eHealth-Care Foundation

3. eHealth-Care Foundation
Health Card
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eHealth-Care Foundation

4. 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

5. 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

6. 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

7. 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

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

9. 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

10. 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

11. 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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eHealth-Care Foundation

12. 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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eHealth-Care Foundation

13. 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

14. eHealth-Care Foundation
Achievements
Initial record of 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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eHealth-Care Foundation

15. 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
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Dispensary
eHealth-Care Foundation

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

17. 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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eHealth-Care Foundation

18. Hardware Requirement per PHC
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eHealth-Care Foundation

19. eHealth-Care Foundation
Recognition
Project ( ) 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
16 November 2018
eHealth-Care Foundation