Innovations in Healthcare Reaching the Unreached Oct 23 2013

8/13/2019 Innovations in Healthcare Reaching the Unreached Oct 23 2013

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A WORKFLOW SOLUTION FORELECTRONIC HEALTH RECORDS

IN RURAL INDIA

HEALTHCARE DELIVERY SYSTEMS ARE KEY TO A PROSPEROUS INDIA OF THE FUTURE

Innovations in Healthcare

Reaching the UnreachedOctober 23, 2013


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World of Disparities

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Healthcare -Reaching the Unreached


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India A diverse country rich in culture, people,

knowledge

India A Perspective

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Median Age of Indians at 26.5

Birth Rate at 20.97/1000 (2011)

Death Rate at 7.48/ 1000 (2011)

Projected Population growth in

2020 to 1.331 Billion

Second Most Populated Country

1.15 Billion people

68.84% Rural and 31.16% UrbanPopulation as per 2011 Census

Life Expectancy at Birth

67.3 Years


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Diseases & Mortality

Non-communicable and chronic diseases are the leadingcauses of death in most of the parts of rural India

Based on current trends, it is expected that noncommunicable diseases (NCD) will account for 73% ofdeaths and 60% of the global disease burden by 2020

They will also account for a major proportion of disease and

deaths in India

These deaths are mostly due to heart disease, strokes,diabetes mellitus, cancers and lung diseases.

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Healthcare Costs & its Impact

India is a 100% self-pay market 98% of our patients are spending from their own pocket/savings no medical insurance, no other source of financial support Many patients also take loans to pay

40%70% of Healthcare expenditures arefinanced by borrowing

The devastating impact of TB, asthma, chronic obstructivepulmonary disease (COPD), heart diseases, etc. on individual

household is similar, with children having to discontinueschooling and/or take up employment to provide an additionalsource of income.

People are forced to sell away theirproperties and farms

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India - Current Challenges

Lack of Hospitals and Doctors

Inadequate Infrastructure andCommunication Networks

Patient data is not collected, stored andshared

Lack of Doctors willing to work in RuralAreas

Lack of Mass Disease Surveillance

Methods

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USA - Health Care Reform and Primary Care

The Growing Importance of the

Community Health CenterEli Y. Adashi, M.D., H. Jack Geiger, M.D., and Michael D. Fine, M.D

CHCs are running well, but many

challenges

Cost of sustenance

Increasing number of Uninsured

Scarcity of Care Providers Difficulty in getting specialists

Similar problems

faced byEmerging

Countries as well

US Healthcare Reforms & CHCs

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Innovations in Healthcare Delivery

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Healthcare Processes / Delivery Application of Information Technology? Specific Interventions?

Healthcare Financing Insurance Schemes BPL, Neo Middle Class?

Healthcare Awareness Proper Data Collection & Analysis?

Reduce Healthcare Costs Generic Medicines?

Increase Access to Healthcare


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Application of IT for Improving Healthcare

Poor or no Recordsof Patients History

UnorganizedPatient Referral

High Turnaround Times forDisease Identification andnon-availability of point-of-

care diagnostics

Non-availability ofDoctors / Experts at

point-of-care

Infrastructure Power &

ConnectivityElectronic

solutions toimprove

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Kshema Rural Healthcare Solution

Paramedic can assistthe patient

Automation of VitalSigns Measurementincluding ECG

Features for DiseaseIdentification

Works in Harsh rural /remote environments

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Kshema Successes

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e-Kshema, Bangalore

Kshema Kiosks setup in Urban Poor

areas in Bangalore BBMP Primary

Health Centers (24)

More than 9,000 patients have

benefitted from Kiosks

Ayushman, Bihar

Setting up a large Telemedicine

Network , NARTAN in Bihar

covering 250 Villages

More than 42,000 patients have

benefitted from Kiosks

eIndia Award Telemedicine Initiative

of the Year 2013

India Country Winner

2011

Global InnovationPartner Program

of Logica


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Malaria is still a big

problem.

Point-of-Care

Diagnostics and

Data Collection areVital requirements

Malaria Detection &Treatment

High Turnaround

times for Detection

High Cost of Tests

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Automates Malaria Parasite Detection in a Blood Smear

Identifies parasites at different stagesRing or Club Stages

Reduces Turnaround Time for Disease Identification from

days to minutes

Interoperable with other systems

Malaria Parasite Detection System

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Tuberculosis in India

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According to the World Health Organization (WHO) Every 3 minutes 2 people die of TB in India.

Every day about 2000 people are dying of TB

Every year 200,000 Indians die of TB,

TB is an air borne disease. TB bacilli is ever present in theatmosphere. In India more than 70% of the population is

infected by this TB bacilli, which means that more than 700

Million people are infected.

If persistent coughing, fever in the night, loss of appetite &loss of weight continue for more than two weeks, get

tested for TB.

TB is curable and treatment is freely available in all

government hospitals.


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Automates Tuberculosis Bacilli Detection in a Sputum Smear

Uses Color Image Microscopy for Bacilli Detection

Reduces Turnaround Time for Disease Identification

Interoperable with other systems

Tuberculosis Bacilli Detection System

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K-Janani is an Integrated Management solution

for Pregnancy and Childbirth - Prenatal and

Postnatal Care

K-Janani automates all the processes from the

time of conception till delivery

K-Janani aids Doctor / Staff to manage and

monitor the progress related to Pregnancy and

Childbirth, Prenatal and Postnatal Care

The entire procedure of maternal and neonatalcare is brought together in K-Janani to make

the best use of the Primary Healthcare Centers

and provide the mothers and to-be-mothers the

necessary care at the nearest and at affordable

cost.

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K-Janani Mother & Child Care System


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K-Prathamik Mobile Healthcare Kit

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Solution for ANMs in Villages for

registering the people with illnesses

that can then be uploaded to Taluk /

District hospitals

Solution for Doctors on the move /

Chronic Patients at Home / Geriatric

Use

Vital Signs are made available tocloud-based server running e-Referral

software suite.

Can Maintain complete EHR

(Electronic Health Record)

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Innovations in


Vital Signs Kit in association with

either a laptop or a desktop or a

tablet

provides a simple solution to the

home users or care coordinator

register the names of thepatients who are suffering with

different ailments.

Can send the vital signs like Blood

Pressure, Pulse Rate, Respiration

Rate, Temperature, ECG, Heart Beatsand Lung sounds to the clinics /

hospitals instantaneously through

mobile internet

Can Maintain complete EHR

(Electronic Health Record)

K-Vitals Home Multi Parameter Kit

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Kuick-Detect : Mass Screening of Diseases

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Malaria, TB, Chikungunya,Dengue, Kala Azar

Mobile phone captures the images fromMicroscope

Transfers images to a server though Wi-Fi

Server Application analyses the images

and detects the disease condition

Sends the results back to Mobile

Turnaround Time less than 30 Minutes

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Every 50km,

telemedicine kiosks will

be set up to call doctors

for free treatment, with

medicines available at

attached counters.

Innovations in India : Public /Private Partnership

Innovations in


State Health Society, Bihar

has embarked on a state-wideTelemedicine Network - first

of its kind in India covering

212 PHCs, 38 DHs and a State

Command Center

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eHealth Internet / Cloud based medical applications that can be

used at homes/offices/healthcare facilities

mHealth Internet / Cloud based Medical applications that can be

used on Handhelds / Tablets / Mobile Phones

ICT Jargon

L C t T l h lth


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An integrated healthcare provider with technology enabled inter-connected platform, providing single interface tothe customers and run on a branded asset light model to deliver high quality care at affordable prices

Prescriptions/

guidance from the

service backend

Patient healthcare

information stored

in the cloud

Low Cost Telehealth

Services Innovations

in Healthcare

Monitoring of

various signs

Healthcare service providers

(Hospitals , Pharmacy,

Physician, labs, others)

Prescriptions

Cure

Users

Monitoring through

healthcare appsDevice connected to

network (e.g. mobile,

computer, healthcare

hub)

Web

applications

Central cloud server

Suggestions

and guidancethrough

mobile deviceRemote medical

devices

Web

applications

Analytics

engine

Share detailed

analyses to

support decision

making

Information passed to

analytics engine for deep

analysis

Analysis results passed to be

stored in the cloud

Integrated Healthcare Services Model

Innovations in
http://www.andonline.com/medical/products/details.php?catname=ANT_Solutions&product_num=XL-25ANT


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Innovations in


How accurate are your systems / applications?

Are they Medical Grade?

How useful are these Applications / Devices?

Will they replace Doctors / Experts?

FAQs

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If ICT has to be used for the General Good what is needed?

Fear of Displacement should go!

Collaboration between Medical Experts and ICTProfessionals should evolve!

Together we can build robust systemsthat will help us provide affordable and

accessible Healthcare to all

Conclusion


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A WORKFLOW SOLUTION FORELECTRONIC HEALTH RECORDS

IN RURAL INDIA

HEALTHCARE DELIVERY SYSTEMS ARE KEY TO A PROSPEROUS INDIA OF THE FUTURE

Thank You

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Innovations in Healthcare Reaching the Unreached Oct 23 2013