eHEALTH Worldforum2011 evolving ideas to transform Heathcare : AUGUST 2011

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The Enterprise of Healthcare

august 2011 / ` 75 / US $10 / ISSN 0973-8959

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Dr Ajay K Singla Spl Secretary, H & FW, Govt of NCT of Delhi

Dr Adan Hagi Ibrahim Minister of Health and Human Services Somalia

Honouring

Innovative

Initiatives in Healthcare

Dr Harsh Mahajan Honorary Radiologist to the President of India

Dr Pervez Ahmed CEO & MD Max Healthcare

Anil Swarup Director General â&#x20AC;&#x201C; Labour Welfare Ministry of Labour & Employment

Prof. Maurice Mars Nelson R Mandela School of Medicine, South Africa

FORUM 2011

Anju Sharma Mission Director - National Rural Health Mission, Gujarat

evolving ideas

Rohit Kumar Managing Director Elsevier

Dr MK Bhan Secretary, Dept of Biotechnology Govt of India

to transform healthcare

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issue

SSN 0973-8959

contents

policy perspective

in focus

“Discovering and learning by innovation for the next GEneration is today’s motto”

“we are driving innovation by delivering authoritative content with cutting-edge technology”

Dr MK Bhan, Secretary, Dept of Biotechnology Govt of India

Rohit Kumar, Managing Director, Elsevier

Best mHealth Project

Best Online Healthcare Provider 16

Best Care Delivery through Innovative Technology

Best ICT Enabled Diagnostic Service Provider

Best PPP initiative

Best ICT Enabled Hospital

august / 2011 www.ehealthonline.org

48 expert corner “Medical training in Gulf Countries is at par with the US and European countries” Thumbay Moideen, Founder President, Gulf Medical University

Best Government’s ICT Enabled Initiative

36 24

Most Affordable Healthcare Provider

Most Innovative Initiatives in Healthcare

Most Innovative Technology for Healthcare Inclusion MDG- Improving Maternal Health

MDG- Reducing Child Mortality

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The Enterprise of Healthcare

President Dr. M P Narayanan

Editor-in-Chief Dr. Ravi Gupta

gm Finance Ajit Kumar

dgm strategy Raghav Mittal

programme specialist Dr. Rajeshree Dutta Kumar partnerships & Rachita Jha, Sheena Joseph Alliances Shuchi Smita, Juanita Kakoty, Ankita Verma Editorial Divya Chawla, Dhirendra Pratap Singh, Sonam Gulati, Pragya Gupta, Shally Makin (editorial@elets.in) Sales & Jyoti Lekhi, Fahimul Marketing Haque, Shankar Adaviyar, Rakesh Ranjan Mobile: +91-8860651635 (sales@elets.in) Subscription & Gunjan Singh Circulation Mobile: +91-8860635832 subscription@elets.in Graphic Design Bishwajeet Kumar Singh, Om Prakash Thakur, Shyam Kishore eb Development Zia Salahuddin, W Amit Pal, Anil Kumar IT infrastructure Mukesh Sharma, Zuber Ahmed

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legal R P Verma

Accounts Anubhav Rana, Subhash Chandra Dimri Editorial Correspondence eHEALTH, G-4 Sector 39, NOIDA 201301, India, Tel: +91-120-2502180-85, fax: +91-120-2500060, email: info@ehealthonline.org ehealth does not neccesarily subscribe to the views expressed in this publication. All views expressed in the magazine are those of the contributors. The magazine is not responsible or accountable for any loss incurred, directly or indirectly as a result of the information provided. ehealth is published by Elets Technomedia Pvt. Ltd in technical collaboration with Centre for Science, Development and Media Studies (CSDMS) Owner, Publisher, Printer - Ravi Gupta, Printed at Vinayak Print Media, D-320, Sector-10, Noida, UP, INDIA and published from 710 Vasto Mahagun Manor, F-30, Sector - 50, Noida, UP, Editor: Dr. Ravi Gupta © All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic and mechanical, including photocopy, or any information storage or retrieval system, without publisher’s permission.

august / 2011 www.ehealthonline.org

inbox “The idea to have compulsory rural postings for doctors is good but it should be done under the guidance of senior doctors. The fresh graduates do not have the skills to practice. It should also be well implemented. These days fresh graduates are busy studying for passing the PG exams hence do not pay much attention during internship. Even if there are rural postings the doctors will be mainly studying for their PG entrance exams. It will have to be seen how the rural postings are managed.” - Dr Kumkum Srivastava on - Panel backs mandatory rural posting for doctors

- On - EHR and EMR in India fantasy or reality?

“I really appreciate your article and you explain each and every point very well. Thanks for sharing this information. And I’ll love to read your next article too.” -NABH on - ICT Facilitated NABH Accreditation

“Our politicians and health care planners still talk of “forcing” doctors to go to the villages. They do not even have remote thoughts of improving access to villages by good roads, providing water, electricity, telecommunication in villages or even having decent schools and improve the living condition in villages which would reverse the migration of people from villages including doctors. Providing access can be two ways - doctor going to villages and villagers being provided roads and transport to come to nearby hospital.” -On “we need justice for the patient”

“Very good platform for all concerned with health matters as well as for doctors for knowledge in medical sciences.” - Dr. Tapan Debnath on Doctors at ‘ToubibIn’

“I became aware of the opportunities and challenges regarding remote patient monitoring. The article gave comprehensive information about market size, growth, and technology. Thank you.” -Vijayshankar R Andani on - Patient Monitoring Systems

“Nice to read. Corporates need to wake up to the reality and do something tangible and it requires investment in wellness programs that focus on prevention rather just a doctor on line kind of program.” -On - Assocham summit on corporate health takes up vital issues.

“Thanks for sharing this great piece of information. It has actually turned out to be a real help for me. Do keep us updated with some more great articles.”

CATCH UP WITH latest news, articles, interviews and case studies at

@ www.ehealthonline.org Corrigendum This is with reference to the first para of the interview published in eHealth July issue under the heading “GOI recognises importance of distance learning in Medical Education”. In the first para “The 1990 Flexner report” may be read as “The 1910 Flexner report”. Other contents of the interview will remain same.

Innovations

editorial

for Change Healthcare has emerged as one of the most progressive and largest service sectors in India with an expected GDP spend of 8 percent by 2012. The Indian healthcare sector is expected to become a US $280 billion industry by 2020 with spending on health estimated to grow 14 percent annually. Despite Indiaâ&#x20AC;&#x2122;s recent ascendancy as the hub of the IT and IT enabled services industry powered by a vast pool of skilled manpower, it has lagged tremendously behind other countries in health IT adoption. A recent report says that large corporate hospitals in India spend under only one percent of their operating budget on IT, while in the western countries it is closer to 3 percent. It is imperative to tackle the twin objectives of facilitating satisfying delivery of services to the beneficiaries and streamlining policy and issues that will facilitate better healthcare delivery in the country. With this vision and mission, eHEALTH magazine is organising the eHealth World Forum 2011, a global conference on enterprise of healthcare. Health being one of the most significant parameters of human development, requires utmost emphasis in terms of systems strengthening, enablement and efficiency gains through innovative solutions available through healthcare technologies and hence forms a key track under eWorld Forum 2011. eHealth World 2011 Awards, a key component of the eHealth World Forum, have been instituted with the primary aim of felicitating and acknowledging unique and innovative initiatives in healthcare. In this edition, eHealth has captured the leading award nominations in the public and jury choice categories. These are innovative programmes and projects in India and worldwide that are changing healthcare scenario around us. It is, most tellingly, a reflection which is remembering. It can be a rainbow collection of projects that track the life of India growing fast.

Dr. Ravi Gupta ravi.gupta@elets.in

august / 2011 www.ehealthonline.org

interview

policy perspective

“Discovering and learning by innovation for the next GEneration is today’s motto” Dr MK Bhan is one of the most eminent clinical scientists who has brought dynamism in the plan of proteomics. Biotechnology has seen an immense escalation in the industry over the years with a definite framework. In conversation with Divya Chawla and Shally Makin, being the secretary to DBT, he discusses the role of nascent biotechnology sector in the country

august / 2011 www.ehealthonline.org

policy perspective

What is the role of DBT? Department of Biotechnology (DBT) was first established as a Biotechnology development board. The idea behind its formation was to condition the technology development. Lately, the biological science in India did not develop as compared to engineering. Looking at this scenario, an agency was established to promote life sciences and biotechnology. The agency focused on two issues, firstly to build infrastructure for biological sciences and secondly, developing human resource. Now we have reached the situation where scientific base and quality base in India has grown to a lot of extent. Since 2004, we have seen a growth rate of 10 percent per year. At this moment, most of the programs are managed by the agency of Department of Biotechnology (DBT), the Biotechnology Industry Research Assistance Programme (BIRAP). It is an initiative to promote, nurture and incubate innovation and excellence in the biotechnology industry. The R & D is competent enough in the industry. BIRAP was formed for innovation, production, manufacturing and marketing. There was a need for a department which can nurture small companies financially such as SBRI. There are other schemes which offer funds for early stage research and develop R & D for clinical trials. The agency provides scientific support and young entrepreneurs. To manage the innovation in the field of biotechnology an agency was created called BIRAC which operates our industry R&D schemes with link service, technology transfer, IT support, service support and advisors for new companies with regulatory advice, clinical trial support and field trials. How far do you think PPP can contribute in this industry? The PPP models in Biotech innovation are used differently in the infrastructure. The first requirement is to create a knowledge resource. Such models are like contact sport and the actual and intellectual connectivity is very important for development. Secondly, we need a nail to map the scientific output and create a seamless force at which it can access so that the whole technology transfer process is taken crucially. Thirdly, our traditional investor are either finding difficult to handle coz of its complexity or are just callous. Government in all countries has done well in the field of biotechnology in providing early stages of capital for R & D. The regulatory sector is quiet cost intensive in the development stage. If we work for a global market, we need a FDA clearance from the regulatory bodies. A close relationship between public sector, institutes, government and industries is inescapable for any country to become a strong nation. PPP helps create an infrastructure for solving problem, research and equipment to be in governed

interview

â&#x20AC;&#x153;BIRAP manages Public Private Partnership Schemes and participates in activities like capacity building programmes. The basic idea is to support private industries which have high societal relevanceâ&#x20AC;?

manner. It is the challenge of connectivity between the private and the public based industries. BIRAP manages Public Private Partnership Schemes and participates in activities like capacity building programmes to build human resources, infrastructure, etc. The agency basically funds small and medium companies that take up high-risk pre-proofof concept research and late stage development. The basic idea is to support private industries and to get them involved in development of such products and processes which have high societal relevance. DBT has undertaken various projects in collaboration with pharma firms and other PPP projects to fund develop and support in multiple ways. Two countries tie up for an international PPP and develop infrastructure through training and use their technology in industries and institutes to work together. In the last 7-8 years there is a remarkable change in partnerships. We support our companies and connect them other companies for sharing their knowledge. DBT is proud to be one of the friendliest departments which run programs over 80 countries in the world with the mind boggling expansion. What percent or budgetary allocation you have in country? DBT spends `1400 cores a year with an additional `700-800 crore, and 65-70 percent of total funding reaches altogether to a whopping `2500 crore. We fund universities and medical schools through the money allocated by HRD, ICMR government of India. There has been a great increase in allocation of funds from just `180 crore ten years back and now. We need to attract people with different strategies and target those who have deep scientific base. How do you help in retaining talent and encourage students to pursue research? So far, DBT has funded 80 masters programs majorly august / 2011 www.ehealthonline.org

interview

policy perspective

offering PhD and Post doctoral programs. We also offer opportunities to students to pursue studies overseas as well as other fellowship programs. We try and connect our young talent to other countries through global meetings headed by directors and vice chancellors. The primary reason for such meetings and conferences is to share knowledge. Seventy percent of the students pursuing such courses have got faculty position. We give them twice the salary offered to an average faculty member for five years along with other basic amenities such as a car and a house. Bioinformatics is now offered in nearly every college through the initiatives of DBT. There are other courses on medical biotechnology, veterinary, environment, forestry and many other which have recently become popular with students. Traditionally, India started doing well in vaccines due to its demand and intense

“There has been a great increase in allocation of funds from just `180 crore ten years back to a whopping `2500 crore today. We fund universities and medical schools through the money allocated by HRD, ICMR, goI”

PPP. The Stanford alliance was done way back in 1960s for encouraging innovation oriented courses. The idea behind this concept is to bring together five people from different fields in collaboration with IIT Delhi in 1960’s. One person each from design, biology, engineering, commerce and a lay man are put in a group for few days to produce 300 ideas. The learning should be innovation based. We have grown up studying in different format, but this concept helps you learn to be an innovator. We have started in most of the colleges all over the country. The latest is in Faridabad with a health cluster developing soon. IIT Delhi and AIIMs partners with eye hospitals in Chennai to initiate and develop one IIT school and one medical school by the theme discussed. The companies are soon starting with intense PPP. There are not enough users and the fact that India’s health expenditure is very low. There is a need for every sector to grow. The Bio-design concept for implantable and diagnostics is very important. So we tried to teach people how to do mental innovation and learn decision making. The gentle idea is to begin and learn to become an innova-

august / 2011 www.ehealthonline.org

tor and hope to spread it all over India. DBT’s strategy is to fund people rather than projects and this way we encompass talent. Vaccine market is flourishing both in the public sector and private sector along with the increasing demand of the world. The government work around the strategy and changed the team from DBT to BIRAP for innovation support. Discovering and learning by innovation for the next generation is today’s motto, leading to meaningful diagnostics, vaccine, equipment, private hospitals bringing engineering back to the healthcare but all is not enough. It is preparing country for innovation in multiple ways to redesign DBT and part of it is innovating with structure. We have done brilliantly as we have a large number of product innovation rather predesigned strategy. When we sign the contract we fix the money with them and do a costing study so that we can prepare an accomplishment study. We fund more companies against the BIRAP with lots of scheme. Innovation is where the industry thrives and the social innovation comes into picture. We have some great projects on vaccine, rice, malaria, TB, dengue, rotavirus, pneumococcal, HPV. We are creating governance interested partner and contracts to be sold. By this process we try to manage information through experience understand technology, science, economics, social science and we need people to have split personality who think science and business at the society level. How do you think biotechnology can help in the overall development of science projects in the country? There are lots of simple biotech project which can make business. Such as mushrooms, medicinal plant industries which are funded by agriculture universities. Biotech extracts in a way is designed is mass based rather than elite based. The ones that are cheaper products there selection of focus and individual dream is considered. The social contribution is mass based which is at a low cost and provides employment. Green energy is the largest program which comes from environment to make fuel. This question always arises – Are u designing the product that is market based or technology based? We encourage public health as much as we can. It is to build the right holder as we need to produce services that will have the largest health impact. To use those things that benefit more people we need to target peripheral small hospitals and match with your own philosophy, food technology for food fortification for severely malnourished group of mass. We directly fund NGOs and lot of technology programs and medical systems in the rural towns with all the priority we don’t make blue roses.

Objectives and Outcome eHealth World Forum is a global thought leadership conference being organised by the eHEALTH magazine to bring together leaders from the global healthcare industry on a common platform. eHealth World Awards are an integral part of this global event instituted with the primary aim of felicitating innovative and unique initiatives in healthcare in India and across the globe. The awards welcomed global leaders to present their innovative projects and share their ideas to educate others of the developments being undertaken by various organisations holding healthcare technologies as their base. eHealth World Awards was open to all national and international government and private organisations. The awards were spread under three major processes—nominations, public voting and jury selection.

Categories and Nominations Nominations were invited from innovative projects and programmes from across the globe in the following categories: • Government Policy Empowering ICT Enabled Healthcare Initiatives • Best ICT Enabled Hospital • Best ICT Enabled Diagnostic Service Provider • Best Public Private Partnership Initiative • Most Affordable Healthcare Provider • Best mHealth project • Best Online Healthcare Provider • Excellence in Care Delivery through Innovative Use of Technology • Most Innovative Technology for Healthcare Inclusion • Most Innovative Initiative in Healthcare

august / 2011 www.ehealthonline.org

More than 50 nominations were received from around the globe under various categories. All these projects are innovative and unique and present an overview of some of the key initiatives being undertaken to transform the healthcare industry, worldwide. Public Voting After the nomination process was completed, the projects were made open for voting on the eHealth World Forum’s website—www.eworldforum.net. The public voting process received a whopping response with over 2,22,000 votes received from around the world. The evaluation of the best project in the public voting category has hence been made on the basis of the number of votes received by each nomination.

Jury Rating The nominations were screened by an eminent panel of jury members, who chose the best project from each category. The projects were selected on the basis of the following criteria: • Economic cost and sustainability, stakeholder support • Gender parity, and other inclusiveness indicators • Impact on livelihoods and society in general • Demonstrable effects on the project target groups • Community initiatives and ownership • The measure and potential of replication • Extent of collaboration The nominations were vetted by certain procedures and rules governing the evaluation of the entries. In the following pages, we bring to you a compilation of the top projects in the public choice as well as jury choice categories.

Best mHealth Project

IC UHBOLICE PC #2

highlights * 98.5 percent institutional deliveries registered since implementation of project * MMR reduced from 90 to 51 percent in 2 years

IC UHBOLICE PC #1

Project Jeevandainee Zilla Parishad Wardha The project was started in order to provide timely and effective antenatal care and post natal care to be delivered to both the mother and child. The idea was to use technology to increase the productivity of the health service providers. In order to improve the service delivery, the Chief Executive Officer, Zilla Parishad of Wardha, Gunjan Krishna devised SMS based ANC and PNC tracking system. Under the system the health information collection and updating happens real time by way of SMS. Based on the information, the software generates the maternity card/ immunisation card and due dates of health checkups. Expected date of delivery, immunisation dates are created and alerts for the ANC, PNC and immunisation services are sent before the due date to the health workers in order to ensure timely delivery of services. The goal of the project is to improve the health of the mother and child as reflected in the MMR, IMR, institutional delivery and percentage of low birth rate babies. The objective is to ensure 100 percent registration of ANC cases at a stipulated time, to ensure the timely payment of JSY benefits and to ensure timely and complete immunisation of child born between 0-6 years. Website: www.zpwardha.gov.in

highlights * An integrated mobile phone based public health information system, firstof-its-kind in India * ICT based health information flow from root level to higher level achieved

mCARE - Mobile phone based Public His C-DAC Thiruvananthapuram Centre for Development of Advanced Computing, Thiruvananthapuram and Media Lab Asia (promoted by MCIT, Govt. of India) collaborated in developing an ICT (Information and Communication Technology) based Software solution “mCARE” for strengthening health care services at grass root level and synthesising relevant information for health care management. The mobile based application “mCARE” developed by C-DAC enables health workers to use handheld devices such as Smartphone for capturing data from field and thus to analyse public health data from grass root level. The application can be deployed on any smart phones which runs on Windows Mobile Operating System. The “mCARE’’ has two major components working in tandem- “health@ palm” – an mHealth application which runs on smart phones and empowers health workers for health data capture and retrieval and centrally hosted web based application for health related data analysis and report generation. Website: www.cdactvm.in

august / 2011 www.ehealthonline.org

Best mHealth Project

JURY Award

highlights * The decision support achieved very high specificity and sensitivity (more than 95 percent in various cases)

IC UHBOLICE PC #3

Mobile based medical decisionsupport technology Department of Community Medicine, Stanley Medical College A novel mobile phone based clinical decision-support technology for village health providers to improve antenatal care for mothers and child health. With this premise a team of doctors from Stanley Medical College (SMC) and a group of engineers from National Institute of Technology, Karnataka started working on a decision-support technology for health-workers. With the ever increasing proliferation of mobile phones, the project has a platform which could be used to take away all the memorising and analysis out of the protocols by use of Information and communication technology. The objectives of starting the program were to develop a decision support technology for village health workers (VHW), provide immediate management of illness through diagnosis, treatment and advice of referral to secondary/ tertiary care and use the generated data for reminder and alerts enabling effective patient follow-up, tracking andmonitoring of illness over time. Website: www.stanmed.net

highlights * A high response rate. The DED-TTC survey reached over 7000 people in the Lira district for health education by SMS * An uptake in HIV testing of 200 percent!

Text to Change Text to Change Text to Change (TTC) is a Dutch and Ugandan based organisation founded in 2007. It is dedicated to support and improve health education via mobile phones in Africa. TTC works on developing innovative mobile telephony based concepts in developing countries and is specialized in incentive based text message programs addressing health issues. TTC aims at creating awareness, collecting data and generating an uptake in health services by using mobile telephones. With a four year successful track record, Text to Change brings both passion and senior-level Tech and innovative SMS service delivery experience. It does so through a wide variety of approaches varying from workplace based SMS programs aimed at changing sexual behavior, to data collection in conflict areas, to campaigning for improved school quality and reduced teacher absenteeism. The objective of the study was to improve HIV/ AIDS awareness and to increase the number of people going for testing services in Lira in order to increase the awareness of one’s HIV status and to encourage people to seek early treatment and care in order to decrease further HIV transmission. Website: www.texttochange.com

august / 2011 www.ehealthonline.org

Best Online healthcare provider

IC UHBOLICE PC #2

highlights * Empanelled a record breaking 45000+ medical entities in less than a year

IC UHBOLICE PC #1

IndiaHeartBeat.com DreamWeavers InfoCom Pvt. Ltd. Choice and accessibility being the need of the hour in the health realm encouraged Dreamweavers Infocom to take the first step forward towards building the country’s first digitalmedical network. They always tried promoting IndiaHeartBeat.Com as a digital socio-economic initiative. Placed at the intersection of two ever-growing verticals namely Healthcare and IT, IndiaHeartBeat. Com is deemed to be the world’s first medical networking and resource portal architecture on Web 2.0. The platform primarily acts as a robust digital- bridge and ensures seamless connectivity between the patients and the diverse medical world which comprises doctors, hospitals, diagnostic centers, pharmacies and auxiliary medical services. Some of the areas of immediate interest are medical search, medical networking and patient information records. Some of the other features of the portal include international medical tourism, free consultation forums, health insurance application, service discounts, access to drug references / molecular pharmacology etc. The primary objective is to build the largest community of medical professionals and countrymen and improve the accessibility and enhance efficiency and efficacy in the domain. Website: www.indiaheartbeat.com

highlights * The Government is able to provide insurance coverage of up to `2 lakhs per year on a family floater basis for 1.98 crore families at a cost of only `400 per family per year

Rajiv Aarogyasri Health Insurance Scheme Aarogyasri Health Care Trust Government of Andhra Pradesh had initially formulated this scheme for implementation on a pilot basis in three most backward districts of the state viz., Anantapur, Mahaboobnagar and Srikakulam. “Aarogyasri Health Care Trust” was set up in February 2007 to act as “State level nodal agency” for the implementation of the Scheme. In the state, people living below poverty line require financial protection for the treatment of serious ailments. To improve access of BPL families to quality medical care for treatment of identified diseases involving hospitalisation, surgeries and therapies through identified network of health care providers through a hybrid model consisting of tailor-made policy (serviced by insurer) and self funded reimbursement mechanism (serviced by trust) to assist BPL families. However the scheme is designed in such a way that the benefit in the primary care is addressed through free screening and outpatient consultation both in the health camps and in the network hospitals as part of scheme implementation and areas of catastrophic health expenditure is met by the insurance scheme. Website: www.aarogyasri.org

august / 2011 www.ehealthonline.org

Best Online healthcare provider

IC UHBOLICE PC #1

highlights * Live (realtime) statistics on the total number of patients at JPNATC available on the website * It is for the first time in the world that such a project has been conceptualised and implemented

IC UHBOLICE PC #3

Integrated Online Portal for AIIMS Trauma Centre JPN Apex Trauma centre, AIIMS The project was conceptualised to set a benchmark for accountability and transparency in public funded healthcare in India. As a small initial step, statistics on the number of patients coming to a hospital, as well as number of patients being admitted and discharged be available online publicly in a real time manner or as close to real-time as possible were required. No other healthcare facility anywhere has allowed itself open to scrutiny in such a global manner where real-time statistics on patient flow as well performance audits of each department are available for all to analyse, compare and criticise. The objective was to internally audit the clinical performance of each department and also has this audit available online publicly so that it could be compared with other hospitals in India and abroad. The centre wanted to have live statistics on the number of patients coming to a hospital, as well as number of patients being admitted/discharged be available online publicly. This would make the overall working of a hospital transparent to the public. Website: www.jpnatc.org

Care Delivery through Innovative Technology

highlights * On-line

realtime availability of the patient records acorss the hospital * Elimination of wastage of medicines and hospital consumables, with increased accountability * Automatic reporting for disease surveillance

JURY Award

e-Hospital Govt Fever Hospital Fever Hospital and NIC APSC, Hyderabad Patient care is provided on round the clock basis by the hospital, with the innovative use of information and communication technology. Patient services used to be affected as there used to be more documentation work. Nurses used to spend more time in writing manually in the registers rather than patient care. The project was started to improve patient care and reduce patient waiting time. It was initiated to eliminate time consuming documentation procedures and provide low cost and open source technologies. Medicines and their prescriptions are made online. Online indenting and supply of medicines, diet, etc., to patients and timely administration. It has made use of technology easier for hospital staff without any prior computer knowledge are now able to operate themselves. It provides innovative user interfaces requiring minimum entries. No typing work for nurses, labtechnicians, doctors is needed as only with a few clicks they could perform their job. No physical paper movement and associated delays in getting supplies and information to serve the patients from wards to labs, pharmacy, etc, is required. Website: www.health.ap.nic.in

august / 2011 www.ehealthonline.org

Care Delivery through Innovative Technology

IC UHBOLICE PC #3

highlights * ANC registered in first trimester increased from 56 to 64 percent * Increase in institutional deliveries from 76 to 85 percent * Improved reporting of maternal deaths from 589 to 702 over previous year * Improved reporting of infant deaths from 4732 to 7263 over previous year

IC UHBOLICE PC #2

e-Mamta: Name based Mother and Child tracking application State Rural Health Mission, Commissionerate of Health e-Mamta mother and child tracking web based application is uniquely designed management tool being executed in Govt. health facilities across Gujarat to accommodate for gaps in ensuring comprehensive maternal and child health services in rural as well urban areas. e-Mamta is accessed through user id and password for in-department employees. It is credible tracking system that would enable health workers to reach above mentioned goals in accelerated fashion, as the issues of migration, low service demand, duplication of reporting afflicted MCH service delivery are removed. The system aims at life cycle approach, registering every individual pregnant mother, individual children in the age group 0-6 and adolescents (10-19 yrs) along with their full service uptake details to ensure complete service delivery of ante natal care(ANC), child birth, post natal care(PNC), Immunization, nutrition and adolescent services and to track the left outs of these services. Website: www.e-mamta.guj.nic.in

highlights * Reduction

in the IMR from 63/1000 live births to 59/1000 live births * Antenatal coverage increased from 27.5 to 55.2 percent * Immunization coverage increased from 48.8 to 53.8 percent * Institutional Deliveries increased from 45 to 70 percent

Pregnancy, Child Tracking and Health Services Management System Department of Medical Health and Family Welfare, Rajasthan Pregnancy, Child Tracking and Health Services Management System is an online software which was launched on 15th Sept. 2009. It is a unique e-Governance project ever implemented in the health sector. Monitoring of individual pregnant woman for health care as well as every child was not possible earlier through manual systems. The system is extremely useful in minimising maternal mortality, infant mortality through providing real-time information and data to the service providers at the different levels of care and thereby ensuring the utilisation of the reproductive health services by the community. Feedback is given to the service providers at the village block and district level through this software system. The objective of the PCTS is to improve the health of the pregnant women and Infant and thereby reducing the maternal and infant mortality and also achieving population stabilisation. Website:www.rajmedical.raj.nic.in

august / 2011 www.ehealthonline.org

ICT Enabled Diagnostic Service Provider

IC UHBOLICE PC #2

highlights * Commercial use in medical universities and medical college * Increased deployment and individual users

IC UHBOLICE PC #1

NOVEL DISEASE DETECTION APPARATUS FOR HUMAN SAFETY DCCMS Sarr clinic soft Total knowledge acquisitions, deployment and interactivity is humanly impossible to achieve but with ICT support - overcoming human limitations of memory capacity / retentivity has become possible. An internet application for global use is provided. World diseases and global concerns are covered about gaps and clinical killer errors causing limitless loss of lives and human resources transforming healthcare through ICT. It is the use of comprehensive knowledge deployment with helpful bridging know-do gaps. Comprehensive medical knowledge management and deployment tools with the use of interactive use of medical knowledge. Digital knowledge is used for problem solving in a better / cheaper natural / easier / efficient / faster way. eHealth communicability globally through internet applications is leveraging healthcare in countries. It is achieving accuracy in diagnosing / averting delays and minimising all round costs of treatments. Intelligent agent software is used for diagnosing / regular self appraisals. The healthcare knowledge deployment / standards are uniform in line with perceptional diagnosing as flawful – needs spot substantiations, bed side transportability of vital knowledge – through internet and hand held devices.

highlights * Expansion

into African continent with currently reporting for centres in Tanzania and Mozambique * Joining learning programme offers unique advantage to radiology residents to learn

Teleradiology ProvidersImaging Remotely Prime Telerad Providers (P) Ltd Teleradiology Providers (a unit of Prime Tele Rad Providers Pvt Ltd) is a web based consultancy service which aims at providing an accurate radiological diagnosis instantly and at very economical costs. In addition to online radiology reads, it also offers its own unique radiology learning programme for the radiologists and advanced 3D reconstruction services. Teleradiology Providers (a Unit of Prime Tele Rad Providers Pvt Ltd.) is a group of established senior consultant radiologists with extensive experience in radiology, all modalities including CT, MRI, Ultrasound and Doppler, with subspecialty exposure in Neuroradiology, Musculoskeletal radiology, Cardiac and Breast imaging. Due to indigenous and focused effort on Teleradiology, Teleradiology Providers is able to provide low cost innovative online radiology reporting solutions. Using latest available technology, we can make system as per your requirements and connect any centre to our web based server architecture and provide quick turnaround time. Website: www.teleradproviders.com

Website: www.medisoft.in/DCCMS.aspx

august / 2011 www.ehealthonline.org

ICT Enabled Diagnostic Service Provider

JURY Award

highlights * Reduction in turn around time by 25 percent * Improved accuracy of data entry by 5 percent approx

IC UHBOLICE PC #3

Project Health Connect Cimcon Software (India) Pvt Ltd In past times test requisition form(TRF) were travelling from the point of origin to the other whereas now the point of origin would scan and upload the TRFs and the operators at destination would enter the data. This will reduce TAT and in advance prepare the departments about upcoming samples. The lab documents related to accreditation e.g. ISO, NABL, CAP would be stored and maintained in a common repository. There would be a secured electronic storage available now for storing all our lab agreements and contracts for all future reference. Using eInfotree workflow based applications for various departments e.g. for HR, the entire process from recruitments to appraisal can be maintained. Also other applications related to employee leaves; ODs can be maintained electronically. Expenses like travel, communication; etc can be tracked and monitored using DMS. The project was started to reduce the turnaround time to deliver the test report to the patient. To achieve more accuracy, quality and faster service was the primary objective. Website: www.cimconsolutions.com

highlights in quantity of calls attended from 900 to 1200 * 33 percent increment in handling customer feedback * Increase

IT Integration of Customer Service Management Metropolis Healthcare Ltd Pioneers in the field of hospital lab management, they have been managing the laboratories of leading multi-specialty hospitals in India and abroad. Professional laboratory management by their highly qualified team of pathologists and medical technologists ensures increased profits, higher returns and better efficiency. The primary objective to start the system was to reduce unproductive customer calls and services. The center provides facilities such as call recording, monitoring calls quality, tracking missed calls, capturing requests for call backs, call segregation based on objective, call type and order bookings, number of call effectiveness by team leaders. HLM enables hospitals to offer patients the best diagnostic care available without diverting their focus from core healthcare services. By sparing them the effort to manage yet another department, it turns out to be a cost-effective solution as well. The referral lab works like their full-fledged department and carries out a wide range of clinical lab tests. It also features a proper complaint management system. It is altogether open source technology with minimum cost of operation. Website: www.metropolisindia.com

august / 2011 www.ehealthonline.org

Best PPP initiative

IC UHBOLICE PC #2

highlights * The Government is able to provide insurance coverage of up to `2 lakhs per year on a family floater basis for 1.98 crore families at a cost of only `400 per family per year

IC UHBOLICE PC #1

Rajiv Aarogyasri Health Insurance Scheme Aarogyasri Health Care Trust Government of Andhra Pradesh has accordingly formulated this scheme for implementation on a pilot basis in three most backward districts of the state. In the state, people living below poverty line require financial protection for the treatment of serious ailments. To improve access of BPL families to quality medical care for treatment of identified diseases involving hospitalization, surgeries and therapies through identified network of health care providers through a hybrid model consisting of tailor-made policy (serviced by Insurer) and self funded reimbursement mechanism (serviced by Trust) to assist BPL families for their catastrophic health needs without compromising the importance of existing Health Care Delivery system of the Government. However the scheme is designed in such a way that the benefit in the primary care is addressed through free screening and outpatient consultation both in the health camps and in the network hospitals as part of scheme implementation and areas of catastrophic health expenditure is met by the insurance scheme. Website: www.aarogyasri.org

highlights * 14238

patients have been consulted till now * Completely cured a patient with breathing difficulty from the lower economic strata

JURY Award

Tele Homeopathy Project Govt of Tripura and National Institute of Homeopathy, Kolkata The World Health Organisation (WHO) has recognised Homeopathy as an accepted and the second largest system of medicine in the world. Homeopathy provides a new avenue of opportunity for integrating the benefits of Information and Communication Technologies (ICT) for delivering the Homeopathic treatment across boundaries, distances and time in an effective and accountable manner. The project has screened about 15,000 patients and nearly 60 percent of them are women and children. With this vision an initiative was undertaken by IL&FS with National Institute of Homeopathy Kolkata in the state of Tripura to overcome all geographical, economic, social barriers faced by the rural citizens and help them in obtaining quality preventive and curative services from Tele- Homeopathy Centers located at their doorsteps. The objective is to provide quality health care in the villages using Homoeopathic stream of medicine and to enable primary and preventive health care in the region. Website: www.drjshah.com/ HomeopathyIntroduction.aspx

august / 2011 www.ehealthonline.org

Best PPP initiative

IC UHBOLICE PC #1

highlights * More than 2 lakh people from the 27 districts of Assam have utilized the services * Free lab diagnosis and medication for 30 percent of the population with multiple vulnerabilities

IC UHBOLICE PC #3

HMRISANJEEVANI VILLAGE HEALTH OUTREACH PROGRAM (VHOP) Health Management and Research Institute The HMRI ‘Sanjeevani’ - Village Health Outreach Program (VHOP) has been launched in Assam partnering with the Department of Health and Family Welfare, Government of Assam as a PPP model. The Mobile Health Units (MHUs) operate in collaboration with the local health functionaries like ASHA, Anganwadi Worker, sub center ANM and the village health and sanitation committee. The sole objective of the program is to create a technology-enabled health service that provides comprehensive health services for the identification, treatment and monitoring of select communicable and non-communicable diseases and minor illnesses, thus managing the morbidity and mortality. Each MHU is equipped with a laptop loaded with the VHOP application software, biometric scanner, webcam, mobile phone, basic diagnostic equipment, consumable to spot test random blood sugar, etc. and medicines. Website: www.hmri.in/sanjeevani.aspx

highlights * Reduced waiting time of patients at the counters for registration, cash payment, laboratory and radiology investigations, consultation etc

ICT enabled Hospital

e-Hospital@NIC Dr B.R Ambedkar Memorial Teaching hospital & Tripura Medical College e-Hospital@NIC, a Hospital Management System is a workflow based ICT solution for hospitals specifically meant for the hospitals in government sector. This is generic software which covers major functional areas like patient care, laboratory services, work flow based document/information exchange, human resource and medical records management of a hospital. It is a patient-centric system rather than a series of add-ons to a financial system. One of the top most areas of concern to the common man is health care service. Mainly down trodden masses are being served by government hospitals in rural and urban areas. e-Hospital is designed to help small size to large size government hospital to deploy ICT solution at affordable cost. Hospital-wide management and seamless integration of information across various departments of the hospital is set up along with comprehensive information about patients. This generic software for a government hospital covers all major functional areas of medical college at remotest corner of India. Unicode based Indian multilingual support comprehensive reporting on various customizable parameters with a comprehensive role based access control and security enables data sharing across various departments. Website: www.tmc.nic.in

august / 2011 www.ehealthonline.org

ICT enabled Hospital

JURY Award

highlights * On-line realtime availability of the patient records acorss the hospital * Elimination of wastage of medicines and hospital consumables, with increased accountability * Automatic reporting for disease surveillance

IC UHBOLICE PC #2

e-Hospital Govt Fever Hospital Fever Hospital & NIC APSC Hyderabad Patient care is provided on round the clock basis by the hospital, with the innovative use of information and communication technology. Patient services used to be affected as there used to be more documentation work. Nurses used to spend more time in writing manually in the registers rather than patient care. The project was started to improve patient care and reduce patient waiting time. It was initiated to eliminate time consuming documentation procedures and provide low cost and open source technologies. Medicines and their prescriptions are made online. Online indenting and supply of medicines, diet, etc., to patients and timely administration. It has made use of technology easier for hospital staff without any prior computer knowledge are able operate themselves. We provide innovative user interfaces requiring minimum entries. No typing work for nurses, labtechnicians, doctors, only with a few clicks they could perform their job. No physical paper movement and associated delays in getting supplies and information to serve the patients from wards to Labs, Pharmacy, etc, is required. Website: www.health.ap.nic.in

highlights * Average handling increased to nearly 900 patients per 4 hours OPD session in the front office, OPD clinics

IC UHBOLICE PC #3

MCD Hospitals Wipro Ltd Wipro Healthcare IT provided integrated Hospital Information System to MCD Hospitals implementing 28 modules which cater to outpatient and inpatient functionality, inventory & MIS within every hospital. This includes patient registration with demographic details, outpatient visitors, doctor appointment scheduling, admission, discharge, transfer, order entry, laboratory/radiology/cardiology result reporting, operation theatre management, pharmacy etc. Wipro has helped MCD to consolidate data from all their 6 sites and setup their data center. Wipro implemented web portal to access patient’s clinical data from any with the help of internet. Wipro implemented end to end automation of the entire life cycle management of the healthcare solution. commencing from registration, electronic patient folder have been automated. The list of process automated are as follows- Registration, ADT, OP Billing, IP billing, ward, ICU, emergency, operation theatre, physiotherapy, phlebotomy, laboratory, cardiology, radiology, diet and nutrition, house keeping, laundry, biomedical equipment management, CSSD, maintenance, administration, security and identify management, pharmacy, medical records, discharge summary, MIS, lab equipment Interface, web enabling features. The primary objective was to provide healthcare facilities to patients. Website: www.wipro.com/industries/ healthcare august / 2011 www.ehealthonline.org

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Government’s ICT enabled initiatives

IC UHBOLICE PC #2

highlights * Complete removal of paperwork cutting down repetitive tasks leaving ample time for field work * Digitisation of the health records of all the children of Hoshangabad between the ages of 0-5 years achieved

IC UHBOLICE PC #1

Vatsalya Hoshangabad Collectorate, hoshangabad District administration conceptualised an IT based solution- Vatsalya Hoshangabad to identify and monitor malnutrition sensitive zones / areas and individuals through complete automation of the reporting of nutrition, keeping a close tab on timely reporting, admissions in nutrition rehabilitation centers (NRC), health checkup follow-ups and maintaining a temporal age to weight database of every child. The system also incorporates special feature of sending alerts through SMS to all the key stakeholders from concerned staff to parents and to district administration. Vatsalya Hoshangabad thus is an initiative of district administration, Hoshangabad, imbibing elements of G2C, G2G, mGovernance and e-Governance. The traditional system of reporting is slow, non-targeted and relies more on summary reporting from one level to another. Vatsalya Hoshangabad aims to achieve this by improving the monitoring procedure of child health parameters with the use of technology and a re-engineered workflow model that is user friendly and operates in real time. Easy quantification of work being done at the aganwadi, sector and block level to improve decision making and to make timely and effective interventions. Integrate the entire scheme with the maternal and child health care activities being taken up by the health department through convergence. Website: www.vatsalyahoshangabad.org

august / 2011 www.ehealthonline.org

highlights * About 35 percent of the state’s population is benefitted with this system * System is operational for about 500 health institutes * Currently data is reported from 395 locations and records of more than 12 lakh patients are available online

Hospital Management for Chief Minister’s Jeevan Raksha Kosh National Informatics Centre Rajasthan Mukhya Mantri’s Jeevan Raksha Kosh (MM-JRK) is one such scheme initiated in Rajasthan for the poor population. It is a web based on-line application, intended to facilitate free medical treatment to poor patients in any government health facility at state, district or sub district level. The system is developed by National Informatics Centre (NIC), Rajasthan and is part of HEALING which is a comprehensive e-Gov tool of the department. The system is intended to cater to a target population of more than one crore. Software provides appropriate interfaces for online verification of patient category from their respective data bases. It maintains stock for the drugs and surgical accessories at every institute on real time basis. Software provides for online disbursement of medicines. The system is used for providing medical & health services to patients belonging to categories like, BPL, pensioners of social welfare schemes, handicapped and 7 other special categories. Website: www.rajmedical.raj.nic.in

Government’s ICT enabled initiatives

JURY Award

highlights * Has more than 7000 Users * Around 11,705,736 registrations done accross Gujarat

IC UHBOLICE PC #3

Hospital Management Information System (HMIS) TCS The Hospital Management and Information System (HMIS) developed by Tata Consultancy Services (TCS) has been envisaged to not only help the administrators to have better monitoring and control of the functioning of hospitals across the state using decision support indicators but also assist the doctors and medical staff to improve health services with readily reference patient data, work flow enabled less-paper process and parameterized alarms and triggers during patient treatment cycle. The HMIS enables monitoring predefined health indicators and the embedded exception reporting facilitates decision making by the hospital management and state level administrators for policy and strategic decisions. HMIS is state-of the-art healthcare solution to provide better care to patients by addressing all the major functional areas of the hospital and the entire gamut of hospital activities. The project streamlined the operations and increased efficiency in government hospitals and improved patient care. The effective administration and control with proactive monitoring of quality health service indicators and integrated state-level holistic view of the resource utilisation. Website: www.tcs.com/SiteCollectionDocuments/Brochures/LSH

highlights * PACS for viewing X-ray, USG and CT scan within 5 seconds * Paperless OPD * Centralized Medical Store with transparency

Integrated Hospital Management System Shri Vinoba Bhave Civil Hospital Integrated Hospital Management System (IHMS) covers all requirements of a modern healthcare institution. It is a fully integrated solution that caters to the clinical, administrative and financial needs of the hospital. A generic application which streamlines operations enhances administrative control, improves response to patient care, cost control and most importantly the transparency of the system. It generates various MIS which gives statistical information on prevalent diseases in certain areas, catchments areas of the hospital and also works as cost centre to improve the judicious use of the funds. It also provides comprehensive data security to prevent unauthorized user access. The project was started in aim to cater the patients with reduced waiting time and to organize the patient data optimally as well as to maintain the transparency of the system. To address the health needs of the local population by providing timely specialized healthcare services that is holistic, easy to access offer quality and timely healthcare services for the entire tribal population of Dadra and Nagar Haveli. Website: www.silvbch.org

august / 2011 www.ehealthonline.org

Most Affordable Healthcare Provider

UHBLIC PC OICE #2

highlights * Nearly 500,000 or close to 25 percent of the 2.6 million outpatient visits handled annually

UHBLIC PC OICE #1

Primary Eye Care Centres in Rural areas Aravind Eye Care System One of the challenges in healthcare is that of ensuring “Universal Coverage”. It is usually the rural poor who don’t get access to health care. To address this, Aravind Eye Care established a series of vision centres (primary eye care centres) aimed at providing comprehensive primary eye care services to the rural and remote population and thus creating access to quality eye care. Each vision centre covers a population of 50,000 to 60,000. These centres are equipped with ophthalmic equipments and a computer with a webcam and high bandwidth (4 mbps) point to point wireless (802.11b - license free spectrum) or BSNL broadband connectivity. These centres are run by a well-trained ophthalmic technician who performs a comprehensive eye examination with slit lamp, does refraction and treats minor ailments while a counsellor, counsel the patients and manages the vision centre operations. Aravind pioneered the concept of screening eye camps to reach the unreached community through various approaches. The specific objective is to provide quality primary eye care services in local neighbourhoods of the rural population on a permanent basis and significantly reduce the necessity to go to a centre of higher care by offering the services of a specialist locally by integrating telemedicine technology. Website: www.aravind.org

august / 2011 www.ehealthonline.org

e-Hospital Govt Fever Hospital Fever Hospital & NIC APSC, Hyderabad Patient care is provided on round the clock basis by the hospital, with the innovative use of information and communication technology. Patient services used to be affected as there used to be more documentation work. Nurses used to spend more time in writing manually in the registers rather than patient care. The project was started to improve patient care and reduce patient waiting time. It was initiated to eliminate time consuming documentation procedures and provide low cost and open source technologies. Medicines and their prescriptions are made online. Online indenting and supply of medicines, diet, etc., to patients and timely administration. It has made use of technology easier for hospital staff without any prior computer knowledge as they are now able to operate themselves. We provide innovative user interfaces requiring minimum entries. No typing work for nurses, lab-technicians, doctors is needed as, only with a few clicks they could perform their job. No physical paper movement and associated delays in getting supplies and information to serve the patients from wards to labs, pharmacy, etc, is required. Website: www.health.ap.nic.in/

Most Affordable Healthcare Provider

JURY Award

highlights * The Government is able to provide insurance coverage of up to `2 lakhs per year on a family floater basis for 1.98 crore families at a cost of only `400 per family per year

UHBLIC PC OICE #3

Rajiv Aarogyasri Health Insurance Scheme Aarogyasri Health Care Trust Government of Andhra Pradesh has accordingly formulated this scheme for implementation on a pilot basis in three most backward districts of the state viz., Anantapur, Mahaboobnagar and Srikakulam. “Aarogyasri Health Care Trust” was set up in February 2007 to act as “State level nodal agency” for the implementation of the scheme. In the state, people living below poverty line require financial protection for the treatment of serious ailments. To improve access of BPL families to quality medical care for treatment of identified diseases involving hospitalization, surgeries and therapies through identified network of health care providers through a hybrid model consisting of tailor-made policy (serviced by Insurer) and self funded reimbursement mechanism (serviced by Trust) to assist BPL families for their catastrophic health needs without compromising the importance of existing Health Care Delivery system of the Government. However the scheme is designed in such a way that the benefit in the primary care is addressed through free screening and outpatient consultation both in the health camps and in the network hospitals as part of scheme implementation and areas of catastrophic health expenditure is met by the insurance scheme. Website: www.aarogyasri.org

highlights * The project has ensured that the residents of Palwal and adjoining villages and Tier2 & 3 cities areas can now access quality and reliable healthcare in their vicinity

Soalni Healthcare Pvt Ltd Soalni Healthcare Pvt Ltd The project has been set up with an aim to provide standardized, quality, affordable, comprehensive, timely healthcare through hubs of 120-150 bedded hospitals in Tier II and Tier III cities linked to spokes of primary clinics with pharmacies, in larger villages and urban slums. A complete ecosystem is intended to be developed with links to diagnostic centers, blood banks, ambulance service and mobile clinics, telemedicine, insurance coverage and arrangements with tertiary care facilities. It is aimed to set up a chain of such hospitals, clinics and pharmacies all over the country. The Palwal hospital, OM SPERO HOSPITAL has been set up as the first pilot project of this model. The hospital is set up in the rural outskirts of Palwal city with a coverage area of over 300 villages and 10 Tier 2 & 3 cities surrounding the hospital. The hospital provides state of art facilities in all major disciplines at the door step of patients. More than 600 million individuals in the middle and low income groups living in urban slums, Tier II & III cities and in rural areas do not have access to proper healthcare. The project was started to transform India’s healthcare by creating the next generation secondary and primary healthcare delivery system. Website: www.sperohospitals.com

august / 2011 www.ehealthonline.org

Innovative Initiatives in Healthcare

IC UHBOLICE PC #2

highlights * Several CSR funds have been invoked through this initiative * The project also ensures sustainability, income generation, and employment generation

IC UHBOLICE PC #1

Delight, The Electronic Public Toilet Eram Scientific Solutions Pvt Ltd Delight is positioned as the ultimate solution for providing state-of-the art public sanitation infrastructure. Delight is the need of the hour to ensure public toilets across the country are maintained hygienically, with the minimum of manual intervention, and substantial energy and water savings as well. The e-toilet works on total auto mode. The insertion of a coin opens the door for the user, switches on the light - thus saving energy - and even directs the user with audio commands. The e-toilet is the result of a convergence of electronics, web and mobile technologies, featuring automated door opening, power flushing, automatic closet washing and sterilisation, and automatic platform cleaning mechanism, all backed by SMS alerts to inform the control room about the status of water tank and bio gas plant in the event of any errors or failures through which the downtime can be minimised. The solid and liquid wastes are treated scientifically. A bio-membrane reactor is used to treat solid wastes and the water used is purified for reuse. The objective behind undertaking this project is to bring about a paradigm shift in the deplorable sanitation situation in the urban public sanitation front. Website: www.eramscientific.net

august / 2011 www.ehealthonline.org

highlights * Comprehensive and integrated ERP with 40 modules in built for Hospital Management Solution * Remote Electronic Medical Record with live video conferencing, works on portable devices too

LIFELINE SUITEa revolution in Healthcare Management ERP Manorama Info solutions Pvt Ltd Lifeline Suite – is an integrated new generation hospital management ERP solution especially designed for the health care industry, which converges latest technology with hospital administration to efficiently manage medium to large multi specialty hospitals and covers a wide range of hospital administration and management processes. It comes preloaded with all health care industry disease and procedure classification systems namely HL7 for India, ICD 10 Cs, EMR, HIPPA for India, CPT, PMS, PACS etc. It was also developed keeping in mind the environmental challenges we face today and has the capacity to turn the entire hospital management and functions paperless. The project was started to converge latest technology with hospital administration to efficiently manage medium to large multi specialty hospitals and cover a wide range of hospital administration and management processes. Website: www.manoramahealthcare.com

Innovative Initiatives in Healthcare

JURY Award

highlights * More than 10,000 content view hits * More than 25,000 activities in 6 months * 20 specialty groups formed * 46 publications recieved and 25 recognised with cash awards ranging from ` 10,000 to `40,000

IC UHBOLICE PC #3

Apollo Clinical Excellence Forum: ACE Forum Apollo Hospitals Group, India In order to further Apollo Hospitals Group commitment to Clinical Excellence, a need was felt that the entire group of consultants should be networked on a single platform. ACE Forum is an interactive forum and a major initiative for 4000 consultants across the group to share new ideas on medical innovations, clinical best practices, research ideas, second opinion, and information on upcoming events, accolades and achievements. The forum is accessible through a user name and password. Provision was created of an SMS /email being automatically sent to all the consultants whenever a subject matter entry is made into the site. In order to network all the consultant across Apollo group of Hospitals. Create a common platform for consultants to share and enhance their clinical knowledge. The forum sends bulk email to specialty groups as consultants play a vital role in improving clinical governance. Forum provides a platform to all consultants to provide inputs on medical innovation to improve governance. Crucial and important information has been disseminated to all the consultants with the click.

highlights * Positive Feedbacks from employees to Aircel Management * Reduced Health Cost to company * Decreased Absenteeism

GO YOUNG Aircel Aircel Go young is an initiative to create an ecosystem around workplace which focuses on health, fitness and socio-psycho well being of the work force. The initiative intends to inculcate a sense of responsibility toward physical, mental and social health to be better professionals and human beings. This increases productivity and positivity within the organization and hence forth in the society. India is a country with the maximum share of young population in the world. Majority of these are in productive age and are contributing to the growth of the nation. The stress and pressure on the work force is more in the current age than in the past and sedentary and abusive lifestyle will make the entire productive generation rustic in times to come. It is important and imperative to inculcate a culture of health, fitness and wellbeing among workplaces to make a positive difference in the society in future. The primary objective was to create a culture of well being in the organization creating a positive engagement within the employees towards their work and life in unison. Website: www.aircel.co.in

Website: www.apollohospitals.com

august / 2011 www.ehealthonline.org

Innovative Technology for Health Inclusion

IC UBLICE PCHO #2

highlights * Mobile phone based decisionsupport technology in vernacular language * Referrals generated could be tracked in real-time and appropriate steps may be advised to healthworkers in case of no-show

IC UBLICE PCHO #1

mobile based medical decisionsupport Department of Community Medicine, Stanley Medical College A novel mobile phone based clinical decision-support technology for village health providers for improvement of antenatal and postnatal care of mothers and child health. We are 8-10 years behind UN Millennium Development Goals and to bridge the gap we need 600, 000 more doctors, roughly equal to the number we have today. With this premise a team of doctors from Stanley Medical College (SMC) and a group of engineers from National Institute of Technology, Karnataka started working on a decisionsupport technology for health-workers. With the ever increasing proliferation of mobile phones, the project has a platform which could be used to take away all the memorising and analysis out of the protocols and use the Information and Communication technology. The primary objective of the programme was to develop a decision support technology that can be used by the village health workers (VHW) to take appropriate decisions while rendering health services to mothers in antenatal Period. Website: www.stanmed.net

highlights than 4000 rural people screened in 4 months * Experts from city diagnosed ECGs for patients in rural areas with diagnosis reaching the patient within 15 minutes * More

Rhythms 24x7 Maestros Mediline Systems Ltd eUNOR10, an ECG machine with built in SIM card along with Rhythms24x7, forms a secure online platform for enabling medical diagnosis for emergency situations. This solution enables moving medical information from the patient to the physicians’ hand phone within near to real time. The physician can arrive at an informed decision and convey the same back to the relaying operator patient using his phone. The system automates the process reducing human errors. Presently the system is enabled for 12 lead ECG and remote heart rhythm monitoring; it is flexible to meet the needs of other medical modalities. Using technology to enable early and quick detection of heart attack allows the physician to view the ECG and give opinion from where ever he/she is present. Thus, it enables the caregiver with the patient to commence treatment within the golden hour. This would not only help save patient life but also prevent massive damage to heart. Technology will enable minimum human intervention and maintain records of the episode from medico legal aspect also. The system being online is accessible across the globe where telecom network and internet has its presence. The primary objective was to enable early detection of heart attack enabling quick decision. Website: : www.medi-line.com

august / 2011 www.ehealthonline.org

Innovative Technology for Health Inclusion

JURY Award

highlights * Reduced child deaths recorded in the district covered * 100 percent immunisation of the pregnant women in the area covered

IC UBLICE PCHO #3

AAROGYAM by AAROGYAM – Country’s First End to End Digital The main aim of the project was to provide healthcare service to the public at their doorsteps. It was started to provide the safe motherhood and safe child survival components. It is a unique initiative which is community based end to end digital health mapping and pregnancy tracking system. It enables tracking of each pregnancy with the help of technology based monitoring system. The database so generated forms the backbone through which software system suo-moto generates automated calls on all aspects of child immunization, ANC, PNC, safe delivery etc on telephone ensuring healthcare for the entire family at their door steps. Also it provides complete PNC/ANC care including early registration of pregnancy, ANC etc. Development of 2 way demand based interactive eco system for health care delivery substituting the exiting supply chain model can be done. The project generates awareness in the community for the health care services and information, at no cost to citizens, applicable to 7 districts of Uttar Pradesh. The grass root level reach of the project as tracking is most important feature in this Project. Website: www.aarogyam.co.in

highlights * Last year Enrolments Apr-Mar 2011: 3907983 (3.91 mn) * Maximum parallel running districts: 40 (Jan 2010) * Maximum enrolments in a day: 73762 (18th Jan 2010) * Maximum Deployment of kits in a day: 889 (18th Jan 2010)

FINO - ICT Implementation of Rashtriya Swasthya Bima Yojna (RSBY) Financial Inclusion Network & Operations Limited Rashtriya Swasthya Bima Yojana (RSBY) was launched by the Government of India in 2008 to provide health insurance to the BPL population of India - a safety net in the face of financial difficulties arising out of major health setbacks. Through this scheme, a family of five is entitled to hospital coverage of `30, 000 for which the Government pays the premium while the beneficiary contributes `30 for administrative expenses. Financial Inclusion Network & Operations Ltd. (FINO) was involved in this scheme since its inception, first as the World Bank consultant to the Ministry of Labour and Employment, Government of India, and later, as a technology provider and implementing agency for RSBY. The goal was to use FINO’s technology architecture to make the entire process from hospitalisation to claim settlement, easy and expeditious, reducing administrative hassles, eliminating inordinate delays in delivery of benefits, enabling cashless and paperless transactions and claim settlement. Website: www.fino.co.in

august / 2011 www.ehealthonline.org

MDG: Improving Maternal Health

IC UHBOLICE PC #2

IC UHBOLICE PC #1

e-Mamta: Name based Mother and Child tracking application State Rural Health Mission, Commissionerate of Health e-Mamta mother and child tracking web based application is uniquely designed management tool being executed in Govt. health facilities across Gujarat to accommodate for gaps in ensuring comprehensive maternal and child health services in rural as well urban areas. e-Mamta is accessed through user id and password for in-department employees. It is credible tracking system that would enable health workers to reach above mentioned goals in accelerated fashion, as the issues of migration, low service demand, duplication of reporting afflicted MCH service delivery are removed. The system aims at life cycle approach, registering every individual pregnant mother, individual children in the age group 0-6 and adolescents (10-19 yrs) along with their full service uptake details to ensure complete service delivery of ante natal care(ANC), child birth, post natal care(PNC), immunization, nutrition and adolescent services and to track the left outs of these services. Website: www.e-mamta.guj.nic.in

highlights * 1038

beneficiaries received various MCH services and 98 per cent of the expected ANCs were registered and 100 percent registration of current pregnancies is ensured

Remote medicine technologies for maternal care HMRI The HMRI- Mac Arthur telemedicine project is aimed at reducing the maternal mortality and morbidity in tribal populations in Andhra Pradesh. The Telemedicine solution was designed to overcome obstacles like bad roads, forested areas and an illiterate base riddled with superstitions and tribal customs. The pilot project in Araku, Vishakhapatnam district succeeded amidst these challenges. The remote medicine technologies developed by HMRI include ‘Dox-in-Box’ used in the field and a tele health centre with facilities for lab, video conferencing and medical consultation. The primary objective was to provide access to a point of care that could provide specialist advice / care at affordable cost, helps them in cutting down on unnecessary expenditure, losing time and wages. Secondary objective of HMRI’s Telemedicine service is to design a point of care, user friendly, cost effective, integrated multifunctional device for rural telemedicine applications with emphasis on mother and child functionality. This project is tackling the causes of maternal mortality at the habitation level, such as sepsis, hypertensive disorders, tuberculosis, malaria, etc. Website:www.hmri.in

august / 2011 www.ehealthonline.org

MDG: Reducing Child Mortality

IC UHBOLICE PC #2

highlights * Elimination of delays in supplies * Total transparency * Timely and automatic billing and accounting

IC UHBOLICE PC #1

mFoods AP Foods Ltd A mobile technology and web technology based food supply chain management implemented to supply nutritional supplementary food to the pregnant women, lactating mothers, nursing mothers and children. The main activity of AP Foods is manufacturing and supplying fortified nutritious food to 229 ICDS projects benefiting 30.46 lakhs of children and women beneficiaries throughout the state. The project helps facilitate and avoid delays in food supplies, ensures transparency, efficiency and effectiveness to the state nutrition supplement program. To serve poor undernourished among underprivileged group of women and children. The implementation of ICDS projects and other government schemes is effective by capturing indents through mobiles. The project monitors the supplies through mobiles and reconciles with multiple agencies. It also tracks the supply status geographically with proper spatial analysis with Google maps. The primary objective is to manufacture and supply nutritious food to school and pre-school children, expectant & lactating mothers for improving the nutritional status. Website: www.apfoods.ap.nic.in

highlights decision support achieved very high specificity and sensitivity (more than 95 percent in various cases)

* The

Mobile based medical decisionsupport technology Department of Community Medicine, Stanley Medical College A novel mobile phone based clinical decision-support technology for village health providers to improve antenatal care for mothers and child health. With this premise a team of doctors from Stanley Medical College (SMC) and a group of engineers from National Institute of Technology, Karnataka started working on a decision-support technology for health-workers. With the ever increasing proliferation of mobile phones, the project has a platform which could be used to take away all the memorising and analysis out of the protocols by use of Information and Communication Technology. The objectives of starting the program were to develop a decision support technology for village health workers (VHW), provide immediate management of illness through diagnosis, treatment and advice of referral to secondary/ tertiary care and use the generated data for reminder and alerts enabling effective patient follow-up, tracking andmonitoring of illness over time. Website: www.stanmed.net

august / 2011 www.ehealthonline.org

Participants eHealth World Forum awards were instituted with the primary aim of felicitating and acknowledging unique and innovative initiatives in healthcare. The awards saw active participation from the government agencies, private sector, academia, and other key stakeholders in healthcare. Here are some of the key participants at eHealth World awards.

august / 2011 www.ehealthonline.org

interview

In Focus

Rohit Kumar Managing Director, Elsevier Health Sciences

august / 2011 www.ehealthonline.org

In Focus

interview

“we are driving innovation by delivering authoritative content with cutting-edge technology” By changing the way healthcare professionals access information, Elsevier is at the forefront of the drive to improve outcomes for patients and reduce healthcare costs. Rohit Kumar-Managing Director, Elsevier Health Sciences, South Asia, in an interaction with Dhirendra Pratap Singh, shared Elsevier’s initiatives in this space and threw light upon the role of ICT in streamlining medical information products and services. Excerpts:

Please throw light on Elsevier’s role as medical information provider? Elsevier is the world-leading provider of scientific, technical and medical information products and services. Our products and services include electronic and print versions of journals, monographs, textbooks and reference works and cover health, life, physical and social sciences subject areas. As a global leader in science and health information and tools, Elsevier serves more than 30 million scientists, students, and health and information professionals around the world with over 1,800 journals, 2,200 new books each year, software and databases, pharma communications. Our overarching objective is to make genuine contributions to the science and health communities we serve. Today we are driving innovation by delivering authoritative content with cutting-edge technology, allowing our customers to find the answers they need quickly. We develop online information solutions that help professionals achieve better outcomes. We publish around 2,000 journals and close to 20,000 books and major reference works. Elsevier has always been associated with Nobel laureates of worldwide acclaim. For the second year in a row, esteemed panel of editors and authors of Elsevier, 9 this time, are to be awarded with Nobel prizes in the month of December last year. We wel-

come the global nature of our business and encourage people to work collaboratively across business units, hierarchy and functions. We constantly strive to break down barriers between organisations. What are Elsevier’s initiatives in changing the face of education pattern in healthcare and medical field? Elsevier develops electronic tools that demonstrably improve the productivity of those we serve – we are dedicated to helping them make a difference. Elsevier’s journals and reference works are the most referred through its iconic Science Direct platform and other printed materials. For the health community, Elsevier’s clinical reference works and healthcare text books are the most widely respected and trusted by students, faculty and practitioners. Elsevier under its fold has flagship titles like Gray’s Anatomy, Netter’s Atlas, Davidson’s Principles and Practices of Medicine and Clinics of North America. Recently, we have launched Elsevier Biofuel, an online search and discovery tool that provides biofuel managers and research development professionals instant access to the highest level of scientific, industrial, and commercial information to solve their continued innovation requirements. Through a wealth of content and information, Elsevier Biofuel will assist august / 2011 www.ehealthonline.org

interview

In Focus

“For medical professionals and students, learning anatomy is a challenge. There are hundreds of terms and structures to learn as well as functions of the body and how they relate”

companies in making key decisions surrounding the Biofuel and the Bio-energy markets, making developments in the industry quicker and more efficient. The Elsevier Biofuel tool allows users to drill down to keywords that pinpoint the exact information needed. Moreover, with the Elsevier Biofuel Tree Thesaurus, research professionals can easily and accurately navigate through more than 900 journals and 800 books, 5.8 million patent documents, enriched with 500,000 domain specific keywords in the thesaurus and growing. How do you think that providing information online has changed the education pattern for the readers? For medical professionals and students, learning anatomy is a challenge. There are hundreds of terms and structures to learn as well as functions of the body and how they relate. Add to that the lack of time, lack of staff to teach anatomy and the lack of donated human bodies for dissection, and the picture becomes even more complicated. Today’s medical students have grown up with advanced computer games, and they are used to games as educational tools. That’s why Elsevier has partnered with Cyber-Anatomy Inc., an Iowa-based company that creates interactive learning systems for medical students, to develop state-of-the-art software using advanced gaming technology for learning, reviewing, and teaching anatomy. CyberAnatomy approached Elsevier because the Netter brand, of which Netter’s Atlas of Human Anatomy is the leading product, was considered dominant in anatomy, and Elsevier saw the potential. Elsevier and Cyber-Anatomy worked for two years to fine-tune the tool, usage and functions of the gaming environment. The collaboration involved bioengineers, anatomists and graphic artists. The result is a

august / 2011 www.ehealthonline.org

new line of interactive anatomy products, InteractElsevier, which give students and faculty more time and flexibility to master and teach anatomy. How do you see Indian market in medical information provider segment? Elsevier plays a leading role in establishing standards and policies that improve scientific communications, promote business ethics, and encourage continued, sustainable growth in the field of scholarly publishing. India is providing largest numbers of health professionals. In effective health care delivery, India will be the best. What are your future plans and upcoming projects? Our future plan is to do much more in ICT related medical education. We will be introducing in the next one or two years more of our contents for the Indian market built for these types of products. The paradigm of buying and selling of scientific information has changed significantly with the advent of the digital library. Issues once so familiar, like archiving, interlibrary loan, delivery and pricing have become sources of uncertainty, while new issues have come into play requiring new expertise. We have taken a leadership role in advancing the technologies necessary to create a seamless electronic information delivery environment. We look forward to working with people who are interested in bringing about change. We are looking for partners who can change this. We have contracted with Providence Health and Services, a not-for-profit health system committed to providing services to provide evidence-based clinical content software. Providence Health and Services selected CPM as the vendor of choice for evidencebased interdisciplinary professional practice workflow support, including clinical documentation, care planning and clinical practice guidelines for nurses and interdisciplinary clinicians in order to improve overall patient care and patient experience. CPM’s evidence-based content seamlessly interfaces with health information technology platforms. Who is your role model? Mahatma Gandhi has been my role model. With his ideas, without the internet and good transport, he got 300 million people to come behind one movement which was for a better and free India. I think whatever we do; we should look at how we can positively change the lives of the people by creating something which we all believe. If we are able to help people for better tomorrow, then it will be very nice feeling.

interview

expert corner

â&#x20AC;&#x153;Medical training in Gulf Countries is at par with the US and European countriesâ&#x20AC;?

The focus of the Gulf Medical University is in the three core areas of Medical Education, Healthcare and Research. The University is promoted by the Thumbay Group U.A.E. Thumbay Moideen, Founder President, Gulf Medical University in an interaction with eHealth shares insights about the medical education in Gulf Countries Thumbay Moideen Founder President, Gulf Medical University

august / 2011 www.ehealthonline.org

expert corner

What is the present medical education scenario in Gulf Countries? There is a strong relationship between the number of medical schools and physician density; hence, more medical schools in low density areas will certainly increase the physician density. The local population travel to foreign lands for quality medical care and the health care needs of the local population can be adequately catered for. More medical schools, whether private or public, can meet the need of an ever expanding population and have the potential of enhancing access to health care for all sections of society. The Gulf States have started on the right note. They have invested wisely in infrastructure and allowed the private sector the required incentives in the form of land, adequate autonomy and freedom to set up centers of excellence. The results of these progressive approaches will be seen in a few years when a good number of doctors and other health professionals qualify from these institutions. However, access and affordability of healthcare to their citizens has already been assured with the emergence of doctors of native origin. The system is sure to grow from strength to strength in the future. What are the loopholes faced by the medical education system in Gulf Countries? How can they be removed? Medical Education in the Gulf Cooperation Council (GCC) is well monitored by competent and efficient governmental bodies under the Ministry of Higher Education. In fact, in recognition of the quality higher education in the UAE, the Ministry of Higher Education and Scientific Research has received an international accolade from the International Network for Quality Assurance Agencies in Higher Education (INQAAHE), an agency that is comprehensively in compliance with the Guidelines for Good Practices (GGP), set by INQAAHE. The U.A.E MOHE is the fifth accrediting authority in the whole world to receive the same. What is your opinion about medical training in Gulf Countries? Medical training in the Gulf Countries is at par with most of the US and European countries and medical training in Gulf Countries is well accepted worldwide. What needs to be done with medical education in Gulf Countries to bridge the rural-urban healthcare divide? Value based medical education is one way to do it. I once heard an eminent Indian doctor answering on a TV channel when asked “Why should doctors alone suffer from the burden of nobility?” This says it all; noble service is beginning to be seen as a burden.

interview

Secondly there is a genuine issue; doctors who want to work in the rural areas worry about their children’s education as the schools in rural areas are of a poorer standard compared to those in cities. No one wants to compromise the future of their children. Therefore, the Government must address this issue. Another genuine problem faced by rural doctors is the problem of continuing medical education. Their peers in cities have many opportunities for upgrading their knowledge and skills and even to pursue further and higher education. This is where governments can play a big role by establishing technology enabled learning hubs.

“Public Private Partnership will not only create jobs locally but will also provide an alternative source of revenue generation through the export of such education via technology mediation globally” Health system can also be such a huge generator of jobs. What are the initiatives in medical education in Gulf Countries? At present the focus seems to be largely on providing formal medical and allied health professional education at the undergraduate and postgraduate levels. Healthcare sector linked job opportunities do exist particularly in pharmaceutical industry, health insurance, medical tourism, optical accessories retailing, retailing of home based health care monitoring devices, and sports and exercise therapy. A few universities such as the Gulf Medical University are offering short term courses aimed at preparing candidates for employment in these areas. This is important in the context of not only filling up existing vacancies but also generating new employment opportunities and promoting entrepreneurial endeavors in the sector. Further, these short courses will also help promote correct health awareness through workforces trained by qualified and experienced academics and practicing professionals. Public Private Partnership helps in developing vocational training and education for the health sector. Allied industries will not only create jobs locally but will also provide an alternative source of revenue generation through the export of such education via technology mediation globally. august / 2011 www.ehealthonline.org

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                                

   • 

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•    • 

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    •      •      •     •  •               •           •    • 

  • • • • •

          

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



 

 

  



 



•      •     •    •    

 

  



  

 

•  • 

      

 

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