E-GOVERNANCE IS NEWER INITIATIVE IN THE PUBLIC HEALTH TECHNOLOGY. THIS PRESENTATION COVERS ALMOST ALL ASPECTS ON THE BASIS OF HEALTH.

1. SWETHA ANN VARGHESE
2nd YR MPH SCHOLAR
K.S HEGDE MEDICAL ACADEMY
1

2.  Introduction
 Definition
 Pillars and models of e governance
 Evolution of e governance in world and India
 Functions and components
 Current scenario of e-governance
 Application
 E-health and telemedicine
 Phases of e-governance
 Health related issues and apps
 Strategy
 Areas of application
 Projects and programmes
 Implementation of e-governance
 Scope
 Challenges
 Emerging technologies
 Critique of e-governance in health care
 Advantages and disadvantages
 Conclusion
2

3. E governance in health sector on broader sense, the
term not only deals with the technical
development but also a new way of
implementing an attitude and assurance for
networked global thinking in order to improve
the health care locally regionally worldwide by
using information and communication
technology.
3

4. E- governance is an emerging field of health
informatics. It refers to the organization and
delivery of health services and information
using the internet and related technologies.
 According to EU ICTs for Health:” e-Health
describes the application of information and
communications technologies across the
whole range of functions that affect the
health sector, from the doctor to the hospital
manager, via nurses, data processing
specialists, social security administrators
and - of course – the patients.”
4

5. 5
E
governance
People
Technology
Process
Resources

6. Government
to
government
Government
to citizen
Government
to
employees
6

7. The European Public Administration Network
(EPAN):
1. Improved quality of information and information
supply
2. Reduction of process time
3. Reduction of administrative burdens
4. Cost reduction
5. Improved service level
6. Increased efficiency
7. Increased citizen customer satisfaction
The United States of America was especially
determined by the 1998 Government Paperwork
Elimination Act introduced by former President Mr.
Bill Clinton on December 17, 1999.
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8. 8
1
2
3
4
5
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Sweden
Denmark
Norway
United states
Netherlands
India

9.  Mission 2007 : connected villages
through wireless services.
 E- Suvidha : It provide services like birth
certificate, Marriage Certificate & Information
relating to Agriculture.
 2010- NMCNP, SGPGIMS,MCTS
9

10.  Ministry of Health & Family Welfare (MoHFW)
has undertaken various e-Health initiatives for
improving the efficiency and effectiveness of
healthcare system.
 MoHFW undertook various activities or tasks
during 2015 and its aim for implementing e-
Health in an integrated manner across central and
state levels in the health care service.
10

11. National Health Portal: it is launched on14th
November, 2014 single point access for authenticated
health information for citizens, students, healthcare
professionals and researchers
(http://www.nhp.gov.in)
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12. 12
NHP Voice Portal: Provides information related to
various issues of Health, Diseases, Lifestyle, First
aid, Directory services, Health programme.

13. 13
 Mobile Apps for NHP:
Mobile Applications have been introduced to access
the National Health Portal through mobile
phones it provides:
National Health Portal Directory Services,National
AIDS Control Organisation (NACO) supported
Blood Banks, Hospital Locator

14. 14
Online Registration System:
It was launched under Digital India programme.
The ORS system provides an outline for linking
various hospitals for Online Registration, Payment of
fees and appointment, Online diagnostic reports,
Enquiring availability of blood online.

15. National Identification Number (NIN) to Health
Facilities:
This aims to assign an unique National
Identification Number (NIN) to each of the health
facilities (both public & private) in order to
facilitate inter-operability and information
exchange.
15
National e-Health Authority (NeHA)
Electronic Health Data Privacy & Security
Electronic Health Record (HER)
Integrated Health Information Platform
(IHIP)
OTHERS:

16.  Simplifies the process
 Gather information
 Citizen participation
 Automation of services
 Revolutionizes government function
 Proper implementation
 Successful implementation
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17. Infrastructure
TransformationIntegration
17

18.  Current e-Governance scenario in the healthcare
sector in India is unsatisfactory.
 Public health service run by Government is
overburdened and collapsing.
 It is due to large geographical size, increase
population density, lack of transport,
inaccessibility, illiteracy, poverty, poor nutritional
status, diversity in food habit and life style are
various impediments.
 Medical science is a fast developing field which
requires information resource .and urgent need
for dissemination knowledge by interlinking
primary, secondary and tertiary level health
centres by ICT application.
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19. 19
ICT IN HEALTH
CARE
TELEMEDICINE HIMS
MEDICAL
TRANSCRIPTION

20.  Through the initiation of e-governance in health
care; it started using automated information
management tools like Electronic Medical Record
(EMR), Electronic Health records, Computerized
prescriptions.
 Computerization of hospitals Quality Assurance
(QA) by Total Quality Management (TQM),
Medical and Nursing audits.
 Computer is utilized for clinical decision making
for selecting suitable tests, proper interpretation,
and accuracy in diagnosis and update
management for each treatment.
20

21. Hospital Information System (HIS):
Majority of hospitals in country are following
manual process, which are difficult to access.
 The insurance sector demands more efficient
information storage and retrieval.
 Automation alone can help hospitals to meet
these challenges.
21

22. Tele-health Care Services:
 Telemedicine is an emerging Information and
Communication enabled health technology.
 It has the potential to facilitate access to
healthcare in underprivileged population if
adopted into existing healthcare delivery
system.
 ISRO, DIT, MOCT
22

23.  Hospital Management System called e-
Hospital@NIC is solution specifically meant for
the hospitals in Government Sector.
 It helps the small to large size hospitals for
streamline Patient care, Hospital administration,
Ancillary services and Clinical support activities.
 e-Hospital@NIC provides the benefits of
Streamlined operations, Enhanced administration
control, Improved response to patient care, Cost
control and Improved productivity.
 It reduces the patient waiting time for seeking
health services.
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24.  “Health apps” are those that are intended for use
in health and wellness of an individual but also in
the field of medicine.
 It can be used to prevent or mitigate diseases and
their consequences (Prevention).
 It enables for providing medical, care and other
health related services.
 It aims to provide support measures that aim at
strengthening health (Health promotion).
Applications that that mainly focusing on the
detection, cure or alleviation of disease suffering
and bodily harm are attributable to “medicine.”
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25.  Health-related reference books, patient diaries or
fitness and wellness apps informational purposes-
references teaching and learning materials and
news apps.
 Apps that provide support in health issues play a
major role in particular in the context of chronic
diseases.
 Health apps are used for genuine diagnostic or
therapeutic purposes, possibly touching on the
area of medical devices are rare.
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26.  Fair supply of health apps is the creation of an
adequate infrastructure for the assurance of a
good public digital and health literacy.
 Financial incentive systems should not only be
limited to certain technological approaches; the
stronger focus should be placed on cross-
application regulations.
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27. SL.NO AREAS BENEFITS RISK
1. Prevention Change in lifestyle
Increase physical activity
Weight control
Changing diet
Malfunctions
2. Diagnosis
and
treatment
Support diagnosis and
treatment
Rehabilitation
Communication
Improves provision of
care
Misguided
usage
3. Research oLarge sample size
oConvenient data
oEasy for evaluate
oIncluding more
participants
Misinformation
and Low
network
connectivity
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28. 28

29. STRATEGIC RESOURCES SERVICES
ACCURATE AND RELEVANT BETTER DECISION MAKING
STORAGE EFFICIENT ALLOCATION OF RESOURCES
DURABLE TARGET HEALTH INTERVENTIONS
RETRIEVAL IDENTIFICATION PATIENT AND
COMMUNITY NEEDS
DISTRIBUTED PREVENTIVE VHEALTH EDUCATION
AND CHANGE IN HEALTH ORIENTED
BEHAVIOUR
ANALYTICS EFFFECTIVE DISEASE MANAGEMENT
BETTER QUALITY CARE
29

30. 30
IDSP
MALARIA CONTROL
PROGRAMME
AIDS
STATE HEALTH SYSTEM
PROJECTS
POLLUTION CONTROL
BOARDS
ENVIRONMENT
MANAGEMENT CAPACITY
MANAGEMENT

31. 31
Uttar Pradesh- WSRP
Rajasthan -WSRP
Madhya Pradesh - WSRP
Maharashtra- WSRP

32.  Integrated Disease Surveillance Project (IDSP) is a
decentralized, State based Surveillance Program
 To detect early warning signals of impending
outbreaks.
 To initiate an effective response.
 The project seeks to enhance analysis and
Disaster Preparedness, Mitigation and Response.
 The National Institute of Communicable Diseases
(NICD) serves as a hub of all the surveillance data
activities and monitors all reports related to any
disease outbreak.
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33.  To monitor individual TB patient, NIKSHAY,
case-based, web-based application software has
been developed an website.
(http://nikshay.gov.in)
 Monitoring and Management of users at national,
state and district level.
 Tuberculosis units register the TB patients and a
unique number is generated for future reference.
 Profiles of State TB Officers (STOs), District TB
Officers (DTOs) and Tuberculosis Unit Officers
and Officials.
 Push & Pull based SMS technology.
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34. 34

35.  It is flagship program me
 It follows principle of low to no subsidy
 Nominal subsidy in the form of incentive is given to
rural poor households for construction of toilets.
 Individual household latrines
 School Sanitation and Hygiene Education (SSHE),
Community
 Sanitary Complex
 Anganwadi toilets supported by Rural
 Sanitary Marts (RSM) and Production Centres (PCs).
 607 projects have been sanctioned in 607 districts with
total layout of 22672 crore.
35

36. www.nvbdcp.gov.in
Through the e-governance in this program me it
includes 3 main activities:
 Interruption of transmission by reducing
population
 Early diagnosis and treatment
 Health education for community awareness
36

37.  Through the thematic media campaigns on TV
and radio to cover issues of condom promotion
ICTC/PPTCT, STI treatment and services.
 Availability of ART services and blood safety
 Tracking the patients according to treatment by
the recorded data.
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38. 38
Enhancing citizen awareness
Upgrading Skills
Common Standards
Technology evaluation
Experience sharing
Security
Reliable infrastructures

39. 39
• Employment Services
• Vehicle Registration
• Driver’s License
• Passport/Visa
• Agriculture
• Land Record
• Property Registration
• Marriage Certificates
• Taxes
• Utility Services
• Municipality Services
• Pensions
• Insurance
• Health Care
• Death Certificate
• Birth Certificate
• Health Care
• School Admission
• Scholarships
• e-Learning
• Examination Results

40. Technical Challenges Organizational
Challenges
Economic Challenges
Interoperability Lack of interactive
services
Cost
Privacy Lack of key
persons
Maintainability
Security Population Reusability
Multiservice
interaction
Different
languages
Portability
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41. 41
Funding
Political instability
Inefficient and Ineffective
government process

42.  Budget.
 Poor IT literacy.
 Lack of electricity in rural areas.
 Corruption.
 Privacy problems.
42

43. Current Status of E-Governance in Hospitals:
 The need for the study was in the context of massive
investment made in ICT and healthcare.
 168 respondents (including 63 healthcare professionals and
105 patients) were surveyed.
 Questionnaire formed on the basis of the benchmarking of
ICT index by the European Union (2004) was administered
to the patients and the HCPs (Health Care Professionals).
Major finding:
 Lack of ICT awareness in the general public (most of the
people pay a personal visit to the hospitals for collection of
reports).
 It also indicates lack of training and awareness among the
doctors about use of ICT.
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44. Wipro for Delhi Municipal Corporation (DMC):
 It provides services for 6 hospitals
 Patient registration, Demographic details,
outpatient visits, doctors' appointment
scheduling, Admission/ Discharge/ Transfer,
Order Entry, Laboratory/ Radiology/ Cardiology
Result Reporting, Operation Theatre Management
and Pharmacy etc.
 Handling large numbers of patients and helps
them in providing better patient care.
 An Electronic Patient Folder
44

45. TCS for Tamil Nadu:
 Tamil Nadu Government has allotted Rs 5
crore to Tata Consultancy Services (TCS) to
develop a suitable solution to maintain
Electronic Medical Records (EMR).
 The system start functioning in all the 26
district headquarters hospitals, 162 Taluk
hospitals and 77 Non-Taluka hospitals and
some of the Primary Health Centres (PHCs)
managed by the Government.
45

46.  Intel's World Ahead :
 The World Ahead Programme is an initiative
launched by Intel to provide education and
healthcare service in India.
 In the healthcare sector, Intel has carried out Tele-
Health Projects in the places like Baramati,
Maharashtra and Trivandrum, Tamil Nadu, and
Child Health Monitoring in Chandni Chowk,
Delhi.
 Intel also provided a School Health Monitoring
system, developed by Tata Consultancy
Services.
46

47.  Karnataka mobile one- it was a mobile
governance platform for giving access to people
for public services.
 It was providing service access to over
4000citizen
 Main aim was to address Issues in Rural areas,
Health Education, Water Sanitation Maternal
and Child problems
 For registering and tracking the mother and child
 Decision support with stakeholders
 Revolutionizing traditional service delivery for
rural areas.
47

48. Sl.no Technology Services Health and Education
care
1 GIS oResource use
o Environmental
management
oallocation of
resources
oPeriodic
assessment
oMonitor funds
oSocial audits
Mother and infant
registration
Periodic care tracking
Spatial predictive
modeling of any spread of
epidemics
Biometric authentication
of captured data
Choice of doctors
2 GPS Satellite
imagery
Mapping of
areas for
development
Online tracking
system
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49. It should made more effective in terms of outcome
orientation and the advantage of the new and
latest technology
 Redefining the Strategy: Outcome Orientation
 Process: Focus on Aadhaar Integration
 New and Innovative Technologies: Cloud
Computing, Mobile, and Localization
 Institutional Structure and Management
 People and Information: Capacity Bu i ld in g a n
d Empowering Stakeholders
49

50. E-GOVERNANCE TO M-GOVERNANCE:
Health, mobile health, is a term used for the practice of
medical and public health, supported by mobile
devices.
e-Health can mean creating electronic versions of
patient records across a national system while m-
Health can serve as access points to provide remote
information to healthcare providers.
 Applications in the field of m-Health:
 Education and awareness:
 Information about various subjects
 Testing and Treatment methods,
 Availability of health services
 Disease management.
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51. Sl.no Area Benefits
1 Information management Write notes
Dictate notes
Record audio
Take photographs
Use e-book reader
2 Time management Schedule
appointments
Schedule meetings
Record case
schedule
3 Health record maintenance and
access
Access EHRs
Images and scans
4 Communications Voice calling
Video calliing
Texting E-mail
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52. Area Benefits
5. Clinical decision making Decision support systems
Treatment guidelines
Diagnostic aids
Laboratory test ordering
Medical exams
6. Patient monitoring Patient health
Location
Rehabilitation
Collect data
7. Medical education and
Training
Continuing medical
education
Case studies
Skill assessment tests
52

53.  Improved efficiency, cost reduction and
savings.
 Time saving
 Better communication facilitation between
governments and citizens
 Online access of services
 Less bureaucracy and e-participation.
53

54.  Lack of equality in public access to the
internet
 Lack of trust and cyber-crime
 Hyper- surveillance
 False sense of transparency
 Accountability
54

55.  Internet Technology has evolved rapidly in the
last few years there is a need to think strategically
about where we want to be in the future. As time
goes on, new technologies will continue to
develop at a rapid pace and we must be flexible
enough by showing quick response to the
technology explosion.
55

56.  https://www.researchgate.net/file.PostFileL
oader.html?id....assetkey
 Siteresources.worldbank.org?EXTIC4D/Reso
urces/…./IC4D_2009_Chapters6.pdf
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ndle/10072/…/67525_1.pdf
 www.egovernment.uz/en/about_egov
 Arc.gov.in/11threp/arc_11threport_ch7.pdf
 https://en.india.gov.in
56

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57

58.  E-health in India: Opportunities and
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58

59. Thank you
all
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