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Mohali




Healthcare Management
using ICT


Presented To:
Bharat Heavy Electricals Limited (BHEL)


Date: 22 September 2010
Mohali
Quick Facts


              • India ranks 112 as per WHO
               rankings on global healthcare
               systems

              • India is short of 6,00,000
               doctors and 10,00,000 nurses

              • According to UNDP,
               Government of India spends 1%
               of the GDP (Rs 200 per person)
               on healthcare every year.
Mohali
Bridging the Gap



                      Healthcare Services
                            using
                       Information and
                   Communication technologies
Telemedicine: For Patients




                       Connecting the patient
                       with a centrally located
                            Hospital using
                                 ICT


Patient at rural and
 remote location
Mohali
Telemedicine: For Hospitals
Mohali
 Advantage: Telemedicine



Healthcare at the doorstep of the Patient

Saves time and Costs

Provides tertiary care at the rural and isolated level

Provides tele-consultation between doctors
Overcomes the challenges of inadequate infrastructure
Mohali
C-DAC’s Implementations



                   Nationwide Telemedicine Network
                   Specialty Sites:   PGIMER, Chandigarh
                                      AIIMS, New Delhi
                                      SGPGI Lucknow
                                      PGI Rohtak
                                      SCB Cuttuck
                                      IGMC Shimla
                   Connectivity:      Virtual Private
                                      Network (VPN)
Mohali
C-DAC’s Implementations




                      State:            Punjab
                      Specialty Site:   PGIMER,
                                        Chandigarh
                      Nodes:            22 nodes
                      Connectivity:     VPN
Mohali
C-DAC’s Implementations




                      State:    Himachal Pradesh
                      Specialty Site:   IGMC Shimla
                      Nodes:            18 nodes
                      Connectivity:     ISDN
Mohali
C-DAC’s Implementations




                          Country:        Myanmar
                          Continent:      Asia
                          Nodes:          11 nodes
                          Connectivity:   VSAT
Mohali
C-DAC’s Implementations




                          Country:          Tanzania
                          Continent:        Africa
                          Specialty Site:   Dar-es-Salam
                          Nodes:            11 nodes
                          Connectivity:     VSAT
Mohali
eHealth Solutions



     eSanjeevani

     Sanjeevani Hospital Management Information System

     Sanjeevani Blood Bank Management System
Mohali
eSanjeevani




      Technology:     Dot Net using C#
      Framework:      3.5
      Database:       SQL Server 2005
      Architecture:   Client-Server, 3-tier
      MS Tool:        Visual Studio 2008
      Type:           Browser based
Technologies used
                                                       Mohali




          AJAX technology is used extensively in
          eSanjeevani. Helps in saving the server
AJAX
          overheads thereby reducing response
          time.



          eSanjeevani uses LINQ for the
          composition of many standard query
LINQ      operators that allow the flow of data in a
          more intuitive way
Mohali
Roles Defined


                           CDAC
                           Administrator




           Hospital
           Administrator



                  Dependent                       Independent
                  Doctors                         Doctors




                                           Patients
Mohali
    Modular Approach


               O
               P           D   G
           C
      P        H       R   E   Y   V
           A
      A        T       A   R   N   E
           R
      T        H       D   M   A   R
           D
E     H        A       I   A   E   T
           I
M     O        L       O   T   C   I
           O
R     L        M       L   O   O   C
           L
      O        O       O   L   L   A
           O
      G        L       G   O   O   L
           G
      Y        O       Y   G   G   S
           Y
               G           Y   Y
               Y
Mohali
Modular Approach


            CONSULTATION


           MANAGE PROFILES


            PRESCRIPTION


            APPOINTMENTS


             HORIZONTALS
Mohali
User Based Login




          C-DAC
          Admin                      Hospital
                                      Admin




             Common LOGIN Window          Patient
 Doctor
                www.esanjeevani.in
Invites
                                                                                Mohali




                   Email Invite


                                            Doctor
     Hospital
      Admin                                          Doctor            Doctor
                                                              Doctor

• Hospital Admin sends the approved Invite to the doctors of that
  Hospital.
• The verticals and horizontals are selected by the Hospital
  Admin during his registration, which would be displayed to the
  Dependent Doctor.
• Email Notifications after registration.
Dashboard: Admin
                                   Mohali




                   REGISTRATION


                     MANAGE


                   NOTIFICATIONS
 Admin

               ANALYTIC REPORT
Dashboard: Admin
                                           Mohali




                              HOSPITAL
            REGISTRATION
                             INDEPENDENT
                                DOCTOR
              MANAGE
                                 VLE

            NOTIFICATIONS
 Admin

           ANALYTIC REPORT
Dashboard: Admin
                                             Mohali




            REGISTRATION


              MANAGE         BLOCK/UNBLOCK


                             USER PROFILE
            NOTIFICATIONS
 Admin

           ANALYTIC REPORT
Dashboard: Admin
                                        Mohali




            REGISTRATION


              MANAGE


            NOTIFICATIONS    INCOMING

 Admin
                             OUTGOING
           ANALYTIC REPORT
Dashboard: Admin
                                                Mohali




 REGISTRATION

                              INVITES FOR APPROVAL
   MANAGE
                              MORE DOCTOR INVITES
                   INCOMING
 NOTIFICATIONS
                              SPECIALITY REQUEST
                   OUTGOING

ANALYTIC REPORT               FUNCTIONAL REQUEST

                                 HOSPITAL FOR
                                 CONSULTATION
Dashboard: Admin
                                              Mohali




            REGISTRATION

                               INVITES SEND
              MANAGE
                             REGISTERED USERS

            NOTIFICATIONS
                               SPECIALITIES
 Admin

           ANALYTIC REPORT    LINKED HOSPITAL
Dashboard: Doctor
                             Mohali




             REGISTRATION


               MANAGE


              REFERRALS

Doctor
            APPOINTMENTS


           ANALYTIC REPORT
Dashboard: Doctor
                                          Mohali




             REGISTRATION


               MANAGE


             REFERRALS       REFERRED BY ME

Doctor                       REFERRED TO ME
            APPOINTMENTS


           ANALYTIC REPORT
Dashboard: Doctor
                                                   Mohali




 REGISTRATION


   MANAGE


  REFERRALS        REFERRED BY ME   OPINION RECIEVED



APPOINTMENTS                        OPINION PENDING



ANALYTIC REPORT
Dashboard: Doctor
                                                     Mohali




 REGISTRATION


   MANAGE


  REFERRALS        REFERRED TO ME    NEW REQUESTS



APPOINTMENTS                        PENDING REQUESTS


                                     SENT REQUESTS
ANALYTIC REPORT
Dashboard: Doctor
                                            Mohali




             REGISTRATION


               MANAGE


              REFERRALS

Doctor
                              SCHEDULER
            APPOINTMENTS

                                BOOKED
           ANALYTIC REPORT   APPOINTMENTS
Patient
                                                          Mohali




          Patients’ USERID for eSanjeevani is same as
          his/her unique 16-digit PATIENT ID and the
              password is generated by the system
           randomly. Both the details are sent to the
          patient on his email. The details can also be
            sent to the patient on his mobile phone.


Patient   Patient has the option to change his password
                            upon login
Mohali
Electronic Medical Record




                      Comprehensive Health record of an
                      individual patient

                      Keep record of various clinical and
                      laboratory tests conducted date wise

                      Stores radiographs such as MRI, CT-
                      Scan etc. and other images.
Mohali
Medical Equipment Interfacing



      ECG Machine




                    Interfaced



      Slit lamp
Mohali
Sanjeevani HMIS




     Technology:     Dot Net using C#
     Framework:      3.5
     Database:       SQL Server 2005
     Architecture:   Client-Server, 3-tier
     MS Tool:        Visual Studio 2008
     Type:           Browser based
Mohali
Sanjeevani HMIS: Features


            Registration


         OPD Management


          IPD Management


       Emergency Management


       Laboratory Information
              System
Mohali
Sanjeevani HMIS: Features



Inventory management



                       Procurement


               Distribution Management


                    Stock Reports
Mohali
Sanjeevani BBMS




     Technology:     Dot Net using C#
     Framework:      2.0
     Database:       SQL Server 2005
     Architecture:   Client-Server, 3-tier
     MS Tool:        Visual Studio 2005
     Type:           Browser based
Mohali
Sanjeevani BBMS


   1    Blood Donation



   2    Blood Requisition



   3    Cross Matching


   4    Stock Maintenance


    5   Reporting
Mohali
Blood Donation

                                                        Blood
                                                         Unit

 Donor
                          Gives Blood unit

   Front End Staff
                     Donor details & Blood unit

         Paramedic
                             Screening Tests result

           Doctor
                                       Blood unit accepted

              Inventory
Mohali
          Blood Requisition

         Delivers the
                                    Patient
                                                      Gives Blood Sample
         Blood units




            Front End                                 Front-End
              Staff                                      staff

Allocates Cross
matched Blood
Units                                                         Requisition Form




                        Paramedic                 Doctor

                               Approves the Request
Mohali




     Thank You
saurav@cdacmohali.in

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Health informatics @ CDAC Mohali

  • 1. Mohali Healthcare Management using ICT Presented To: Bharat Heavy Electricals Limited (BHEL) Date: 22 September 2010
  • 2. Mohali Quick Facts • India ranks 112 as per WHO rankings on global healthcare systems • India is short of 6,00,000 doctors and 10,00,000 nurses • According to UNDP, Government of India spends 1% of the GDP (Rs 200 per person) on healthcare every year.
  • 3. Mohali Bridging the Gap Healthcare Services using Information and Communication technologies
  • 4. Telemedicine: For Patients Connecting the patient with a centrally located Hospital using ICT Patient at rural and remote location
  • 6. Mohali Advantage: Telemedicine Healthcare at the doorstep of the Patient Saves time and Costs Provides tertiary care at the rural and isolated level Provides tele-consultation between doctors Overcomes the challenges of inadequate infrastructure
  • 7. Mohali C-DAC’s Implementations Nationwide Telemedicine Network Specialty Sites: PGIMER, Chandigarh AIIMS, New Delhi SGPGI Lucknow PGI Rohtak SCB Cuttuck IGMC Shimla Connectivity: Virtual Private Network (VPN)
  • 8. Mohali C-DAC’s Implementations State: Punjab Specialty Site: PGIMER, Chandigarh Nodes: 22 nodes Connectivity: VPN
  • 9. Mohali C-DAC’s Implementations State: Himachal Pradesh Specialty Site: IGMC Shimla Nodes: 18 nodes Connectivity: ISDN
  • 10. Mohali C-DAC’s Implementations Country: Myanmar Continent: Asia Nodes: 11 nodes Connectivity: VSAT
  • 11. Mohali C-DAC’s Implementations Country: Tanzania Continent: Africa Specialty Site: Dar-es-Salam Nodes: 11 nodes Connectivity: VSAT
  • 12. Mohali eHealth Solutions eSanjeevani Sanjeevani Hospital Management Information System Sanjeevani Blood Bank Management System
  • 13. Mohali eSanjeevani Technology: Dot Net using C# Framework: 3.5 Database: SQL Server 2005 Architecture: Client-Server, 3-tier MS Tool: Visual Studio 2008 Type: Browser based
  • 14. Technologies used Mohali AJAX technology is used extensively in eSanjeevani. Helps in saving the server AJAX overheads thereby reducing response time. eSanjeevani uses LINQ for the composition of many standard query LINQ operators that allow the flow of data in a more intuitive way
  • 15. Mohali Roles Defined CDAC Administrator Hospital Administrator Dependent Independent Doctors Doctors Patients
  • 16. Mohali Modular Approach O P D G C P H R E Y V A A T A R N E R T H D M A R D E H A I A E T I M O L O T C I O R L M L O O C L O O O L L A O G L G O O L G Y O Y G G S Y G Y Y Y
  • 17. Mohali Modular Approach CONSULTATION MANAGE PROFILES PRESCRIPTION APPOINTMENTS HORIZONTALS
  • 18. Mohali User Based Login C-DAC Admin Hospital Admin Common LOGIN Window Patient Doctor www.esanjeevani.in
  • 19. Invites Mohali Email Invite Doctor Hospital Admin Doctor Doctor Doctor • Hospital Admin sends the approved Invite to the doctors of that Hospital. • The verticals and horizontals are selected by the Hospital Admin during his registration, which would be displayed to the Dependent Doctor. • Email Notifications after registration.
  • 20. Dashboard: Admin Mohali REGISTRATION MANAGE NOTIFICATIONS Admin ANALYTIC REPORT
  • 21. Dashboard: Admin Mohali HOSPITAL REGISTRATION INDEPENDENT DOCTOR MANAGE VLE NOTIFICATIONS Admin ANALYTIC REPORT
  • 22. Dashboard: Admin Mohali REGISTRATION MANAGE BLOCK/UNBLOCK USER PROFILE NOTIFICATIONS Admin ANALYTIC REPORT
  • 23. Dashboard: Admin Mohali REGISTRATION MANAGE NOTIFICATIONS INCOMING Admin OUTGOING ANALYTIC REPORT
  • 24. Dashboard: Admin Mohali REGISTRATION INVITES FOR APPROVAL MANAGE MORE DOCTOR INVITES INCOMING NOTIFICATIONS SPECIALITY REQUEST OUTGOING ANALYTIC REPORT FUNCTIONAL REQUEST HOSPITAL FOR CONSULTATION
  • 25. Dashboard: Admin Mohali REGISTRATION INVITES SEND MANAGE REGISTERED USERS NOTIFICATIONS SPECIALITIES Admin ANALYTIC REPORT LINKED HOSPITAL
  • 26. Dashboard: Doctor Mohali REGISTRATION MANAGE REFERRALS Doctor APPOINTMENTS ANALYTIC REPORT
  • 27. Dashboard: Doctor Mohali REGISTRATION MANAGE REFERRALS REFERRED BY ME Doctor REFERRED TO ME APPOINTMENTS ANALYTIC REPORT
  • 28. Dashboard: Doctor Mohali REGISTRATION MANAGE REFERRALS REFERRED BY ME OPINION RECIEVED APPOINTMENTS OPINION PENDING ANALYTIC REPORT
  • 29. Dashboard: Doctor Mohali REGISTRATION MANAGE REFERRALS REFERRED TO ME NEW REQUESTS APPOINTMENTS PENDING REQUESTS SENT REQUESTS ANALYTIC REPORT
  • 30. Dashboard: Doctor Mohali REGISTRATION MANAGE REFERRALS Doctor SCHEDULER APPOINTMENTS BOOKED ANALYTIC REPORT APPOINTMENTS
  • 31. Patient Mohali Patients’ USERID for eSanjeevani is same as his/her unique 16-digit PATIENT ID and the password is generated by the system randomly. Both the details are sent to the patient on his email. The details can also be sent to the patient on his mobile phone. Patient Patient has the option to change his password upon login
  • 32. Mohali Electronic Medical Record Comprehensive Health record of an individual patient Keep record of various clinical and laboratory tests conducted date wise Stores radiographs such as MRI, CT- Scan etc. and other images.
  • 33. Mohali Medical Equipment Interfacing ECG Machine Interfaced Slit lamp
  • 34. Mohali Sanjeevani HMIS Technology: Dot Net using C# Framework: 3.5 Database: SQL Server 2005 Architecture: Client-Server, 3-tier MS Tool: Visual Studio 2008 Type: Browser based
  • 35. Mohali Sanjeevani HMIS: Features Registration OPD Management IPD Management Emergency Management Laboratory Information System
  • 36. Mohali Sanjeevani HMIS: Features Inventory management Procurement Distribution Management Stock Reports
  • 37. Mohali Sanjeevani BBMS Technology: Dot Net using C# Framework: 2.0 Database: SQL Server 2005 Architecture: Client-Server, 3-tier MS Tool: Visual Studio 2005 Type: Browser based
  • 38. Mohali Sanjeevani BBMS 1 Blood Donation 2 Blood Requisition 3 Cross Matching 4 Stock Maintenance 5 Reporting
  • 39. Mohali Blood Donation Blood Unit Donor Gives Blood unit Front End Staff Donor details & Blood unit Paramedic Screening Tests result Doctor Blood unit accepted Inventory
  • 40. Mohali Blood Requisition Delivers the Patient Gives Blood Sample Blood units Front End Front-End Staff staff Allocates Cross matched Blood Units Requisition Form Paramedic Doctor Approves the Request
  • 41. Mohali Thank You saurav@cdacmohali.in