Thursday, 27 July 2017

#IoHT is already delivering tangible cost savings, but continuous investment is essential - Accenture

Image Source: https://www.accenture.com/us-en/insight-accenture-2017-internet-health-things-survey
The Internet of Health Things (IoHT) is already delivering tangible cost savings, but continuous investment is essential

In a recently published report by Accenture [2], based on a survey of 77 Healthcare payers and 77 Healthcare providers in the US, the reports findings indicate that healthcare leaders are at risk of missing out on substantial cost savings, if they don't take the full advantage of Internet of Health Things (IoHT).

The report indicated that by introducing more connectivity, remote monitoring, and information gathering IoHT can encourage more informed decisions, better use of resources and empowering healthcare users.


According to estimates, the value of IoHT will top US$163 billion by 2020, with a Compound Annual Growth Rate (CAGR) of 38.1 percent between 2015 and 2020.[1] Within the next five years the healthcare sector is projected to be #1 in the top 10 industries for Internet of Things app development.[2]

What is Internet of Health Things?


Internet of Health Things (IoHT) is the integration of the physical and digital worlds through objects with network connectivity in the healthcare industry. IoHT transforms raw data in simple, actionable information and communicates with other objects, machines or people. IoHT can be leveraged to improve access to health, quality of care, consumer experience and operational efficiency 


Source: Accenture Report
Source: Accenture Report









The report lists four major takeaways for the payors and providers

The Time is Now

Despite challenges with security and privacy, inaction is not an option. There are players outside of traditional healthcare organizations looking at these same industry challenges and considering ways to capture the opportunity. If providers and payers do not invest in demonstrating IoHT value now, they risk losing out to non-traditional players. Going forward, providers and payers must identify parts of the business where IoHT solutions may be applied to do things differently—and do different things to grow in the long-term.

Measure and Build on Successes

Providers and payers have already demonstrated value through IoHT—but they need to continue investments to better understand where programs are successful to prepare for future scaling. They need to measure effectiveness beyond the technology and then build on those areas of effectiveness quickly to offer value across the business. By demonstrating the benefits and best practices, providers and payers can strengthen business cases, encourage adoption and drive interoperability.

Put consumers First

Providers and payers must continue to incorporate IoHT solutions that drive better experiences and healthier patient outcomes, along with key medical and administrative cost savings initiatives. IoHT solutions offer the seamless collection of patient-generated health data, enabling providers and payers to provide more convenient, personalized and effective care. They must train their workforces to make IoHT a part of the “new normal.”

Form Nimble Partnerships

Technology and innovation partners can help payers and providers quickly test and learn how IoHT can drive business value to inform future scaling requirements. Strategy and change management partners can help to integrate these new technologies into their workflow, culture and training. 

Key Findings of the Survey

  • 73% consider IoHT to be a major change, and consider IoHT to be a major disruptor in three years. 
  • however, 49% say the leadership at these organisations are yet to understand the potential of IoHT. 
  • As IT investments are going up so are the IoHT investments seeing to become a major budget line item.
  • Healthcare providers and payors are investing in IoHT in three areas of their businesses - RPM, wellness and operations. And these organisations are reporting real benefits from the initial programs.
  • While 57 percent of healthcare organizations surveyed say that their IT departments lead the IoHT charge, 26 percent say their research and development (R&D) divisions are leading their IoHT efforts and one in ten organizations even have dedicated IoHT subsidiaries or business units.
  • RPM Based IoHT: 33% of PROVIDERS report extensive operational cost savings from their RPM IoHT programs. 42% of PAYERS report extensive medical cost savings from their RPM IoHT programs. 
  • The majority of both providers’ (76%) and payers’(75%) RPM IoHT investments are focused on cardiac conditions. Interestingly, in the past, behavioral health has not received investment at similar levels to traditional high-cost areas such as cardiac, but the spotlight appears to now be shining on this area. Mental health, including behavioral health, is a relatively high priority for both providers (48 percent) and payers (55 percent)
Source: Accenture Report, [2]


References

[1] “The Internet Of Medical Things–What Healthcare Marketers Need to Know Now,” January 2016, Victoria Petrock: Contributors: Annalise Clayton, Maria Minsker, Jennifer Pearson, eMarketer.

[2] Accenture 2017 Internet of Health Things Survey 
https://www.accenture.com/us-en/insight-accenture-2017-internet-health-things-survey


And there you go, its fairly simple and we look forward to you sharing your experiences with our community of readers. We appreciate you considering sharing your knowledge via The HCITExpert Blog
Team @HCITExperts
Author
Team HCITExperts
Your partner in Digital Health Transformation using innovative and insightful ideas

Wednesday, 26 July 2017

What is #ConnectedCare? Is the Healthcare Industry ready to embrace it in India?



During the recently held #PhilipsChat the from Philips Healthcare set the agenda to discuss various aspects of what is Connected Care? 
(http://blog.hcitexpert.com/p/connected-medical-devices.html
Whenever a TweetChat is held, the moderator puts out an agenda for the discussion. Once its time, the participants share their point of view by Tweeting out their responses to the questions, tweeted by the moderator. 

The Connected Care #PhilipsChat questions follow and I Look forward to You sharing your thoughts and point of view on the role of Connected Care in Healthcare: 

1. How would you explain connected care in one line? 
2. Is the healthcare industry ready to embrace connected care?
3. How are your organization using connected care? Since when?
4. Based on your experience, what are the elements to enable connected care further?
5. How are you involving policy makers to embrace connected care?

If we take these questions with an india context, how connected care can enable the affordability and accessibility to healthcare in India. These are the most often mentioned aspects of Healthcare, that needs to be addressed by not only the government, but also the Startup community willing to disrupt the Health Tech / Digital Health industry. 

I have attempted to share my thoughts on Connected Care questions put forward during the tweetchat and I hope you will consider sharing your insights by filling in the form below

1. How would you explain connected care in one tweet?

An always connected channel of communication of care between the patient and provider, from “touch time” to “face time”  

2. Is the healthcare industry ready to embrace connected care?

In India, with the major push for digital services by the govt and private healthcare facilities, and with 350+MN internet users connected care is the only way to solve the accessibility to healthcare problem (1:3200 doctor to patient ratio)

4. Based on your experience, what are the elements to enable connected care further?

The connected care needs to bring about change in thought of how to use a connected care framework for the patient as well as the doctor. 

For the patient, connected care is about 
- experience that enables an ease of access to care
- Ability to build their own healthcare record’s completeness 
- Have a better set of processes and #workflows to manage their health and care 
- Have the ability to find "patients like me" and be part of the community 

For the Doctor, I believe it will be about 
- how to glean new insights from the data stream
- How to collaborate with a patient via an always connected model? What signifies the end of a consultation? 
- To build constantly evolving care plans for their patients, based on realtime, near-realtime, time-delay, or frequency per day/week month updates
- To evolve more treatment plans based on the insights that can be drawn from the raw patient data feed (an e.g.)
- How to build a community and be part of a community of specialists to keep themselves up-to-date on the current research and practices.


I am including the Questions as a Google Form, do consider sharing your insights into what is Connected Care? And how do you see it being enabled for the benefit of the patients and clinicians.




Author
[tab]
[content title="About Manish Sharma" icon="fa-heart"]
Manish Sharma
Founder HCITExpert.com, Digital Health Entrepreneur

Connect with me via any of my Social Media Channels


[/content]
[content title="Latest Articles"]
[/content] [/tab]

Thursday, 20 July 2017

8 things Indian Doctors must do in order to invent-develop a successful medical device in India by @DrJagdishChatur

In India, we have 1 doctor for every 1,700 patients (WHO recommends 1:1000). We produce about 30,000 doctors and 18, 000 specialists every year. It is estimated that we will need four lakh doctors by 2020 to meet the minimum WHO requirement of 1:1000 doctor-patient ratio. 

Doctors, therefore, need to do more than what they are already doing in order to address the burden of clinical problems in India. One effective way could be by contributing to the development of affordable medical devices that reduce skill and are specifically designed for wider usage within our healthcare system so as to help reach a larger subset of a patient population. This can be through providing novel technologies to healthcare workers or through the most effective involvement of general practitioners in order to reach a larger patient population especially in underserved regions.

Inventing medical devices: A perspective of India is the first published book that focuses purely on medical device innovations in India and describes ways for clinicians and engineers to work together as a team. I hope that entrepreneurs who wish to develop new medical devices that will help patients in our country can refer to this book to access some information about inventing medical devices in India in our otherwise infantile yet rapidly emerging med tech ecosystem.

Based on my experiences as a clinician and as a serial MedTech innovator, I recommend that every clinician should keep in mind the following before they venture out to invent something new.


1. Form a team

Find an engineer and a product designer who are willing to take the idea from conceptualization to commercialization on a full-time basis as a start-up company and include them in your team. Most doctors, who understand the clinical problem well, seldom understand the technical challenges. Also being burdened with work it is practically impossible to drive the 24-36 month effort of development all by themselves. By forming a team that starts a company, a formal entity is created to take the idea to its logical conclusion.

2. Work with professionals

Many doctors have tried to co-develop new technologies with engineering students by partnering with engineering colleges. However due to the academic setting and limited clarity on how the technology licenses can be transferred to a private entity for funding and commercialization, these efforts end up as student projects that never leave college boundaries. Therefore, it is recommended Doctors find working professionals with 2-5 years experience at healthcare hackathon’s (jugaadathon’s), engineering conferences and social medical groups.

3. Have realistic expectations from your contributions

Ideas that come in a few minutes or hours of brainstorming alone don't always solve a need. It is ideas that are developed meticulously over 2 to 3 years by following all the recommended processes and guidelines to create something which can be used safely, effectively and reliably on patients are the ones that eventually can solve the need. It can take INR 2-4 crores and a multidisciplinary team of 6-8 individuals and 2-3 years to make even a moderately complex device like a hearing aid. Therefore, it's probably realistic and fair for the doctor who is only providing intellectual input and time to expect a low single digit royalty or company share for their efforts.

4. Have necessary know-how on the entire process

Not just idea generation but there are many other things that are involved to take the product to the Market successfully. It helps to know that a prototype that works once is not the final product. In fact to get to the stage of a product, the prototypes must be repeatedly tested, improvised and validated before it becomes a clinically tested and reliable product that can improve patients’ lives. The sustainability through an effective business model is probably the most important factor that will keep the product accessible to the patients in a consistent manner. This can surely help in the reduction of the overall clinical burden of the problem.

5. Do not discontinue your clinical engagements entirely

While it is great to invent devices it is equally important to continue clinical work as it keeps clinicians grounded to the need. This is important to have the depth of understanding in both clinical usage and technical development. As a clinical innovator, I have found a way to balance my time doing both. And if one has a good team, a few hours in a week which is probably the time spent writing research article’s (Which doctors do anyway) is all that one needs to spend in order to develop a new technology.

6. Raise smart money and don't dilute equity early

Start with Government funding opportunities till you develop a proof of concept and have hired a team. Today, with the Make in India efforts, there are numerous grants available to take an Idea to proof of concept. These grants even allow funding of company incorporation and salary expenditures. These can, therefore, allow a clinician to form a team, incorporate a company and file intellectual property in addition to developing a proof of concept. Further private/public investment can be raised thereafter which will be welcomed investors as they prefer to invest when the team and concepts are developed to some extent rather than investing in a very early stage ideation phase. This also helps startups save their company shareholding/equities until a later dilution.

7. Be more than just a feedback provider

Clinicians understand the clinical space and the problems very well. It is, therefore, vital to share that information with the engineering, design and business team members so that the technology is suited to be used in a realistic clinical setting. Educating the team, leading the clinical testing/validation and improving product adoption should be provided in addition to critical feedback on the developing technology.

8. Don't be afraid to fail

As a clinician trained in India, I can confidently state that we are trained to have a very narrow window of error. As important as this is in the clinical setting because we deal with living patients, this resistance to failure is probably counter-productive in the field of inventions. For a product to be failure proof, it should have failed in all possible ways during the development and bench top testing and all these causes for failures systematically rectified.

Author
Dr. Jagdish Chaturvedi
Dr. Jagdish Chaturvedi is currently Director, Clinical Innovations and Partnerships at Innaccel Acceleration Services Private Limited and ENT practitioner. He has authored the book'Inventing medical devices - A perspective from India'. His core expertise lies in the process of identifying and analyzing unmet clinical needs for quick development of low-cost and high quality medical devices. Since 2010, he has co-invented, developed and commercialized multiple affordable medical devices.

Monday, 17 July 2017

Continuous Glucose Monitoring Made Affordable and Accessible by Piyush Gupta @Ambrosia_Sys

Living with diabetes comes with many challenges. At the top of the list is monitoring glucose levels to avoid a health crisis. Monitoring can be inconvenient and expensive, but thanks to advances in technology, these issues are being addressed like never before.

Dealing With Diabetes
Diabetes relates to the body’s ability to produce and process the hormone insulin. Without it, cells cannot absorb sugar, or glucose, which we need for energy.

Diabetics are typically diagnosed with one of two types of the disease: Type 1 or Type 2. Type 1 is when the body produces no insulin. The immune system destroys the cells that release it. Type 2 diabetes occurs when the body is not producing enough insulin, or the levels produced are not sufficient to help the body generate energy.

In either case, the person diagnosed must make lifestyle changes to ensure glucose levels are kept in check. According to the American Diabetes Association, individuals with type 1 and type 2 diabetes should work out at least 2 hours/wk spread over 3 days/wk with no more than 2 consecutive days without exercise. The ADA also recommends nutritional counselling to address eating patterns, including lowering carbohydrates, fat intake and adding fruits, vegetables and low-fat dairy to your diet. Of course, there is no one-size-fits-all program, and it's important to consult your doctor to determine the dietary, exercise and behavioural changes that are best for you.

By The Numbers


According to the Centers for Disease Control, 29.1 million people or 9.3% of the US population has diabetes. Type 2 diabetes accounts for the largest group of people who have diabetes.

Another 86 million have been diagnosed as being pre-diabetic.

Globally, according to a 2016 report by the World Health Association, an estimated 422 million adults were living with diabetes in 2014, compared to 108 million in 1980. In fact, the global prevalence of diabetes has nearly doubled since 1980, rising from 4.7% to 8.5% in the adult population. Diabetes is on the rise not only in the United States but also around the world, and the complications from diabetes are impacting individuals and their families.

Behind these numbers are people coming to terms with the emotional and physical realities of managing their disease. We mentioned the importance of activity and exercise as well as healthy eating habits. Stress is also an important considering when managing diabetes. Learning to live with diabetes can weigh down the strongest amongst us and that stress can raise your blood sugar. Learning ways to lower stress, from yoga and deep breathing to gardening and listening to your favourite music, can keep your mind in a healthy state. 

The National Institute of Diabetes and Digestive and Kidney Diseases recommends acquainting yourself with the ABCs: your A1C, Blood Pressure, and Cholesterol. Considering your ABCs can help lower your chances of having a heart attack, stroke, or other diabetes problems. When it comes to your blood pressure, monitoring it is a necessary addition to your daily routine. The key to the lifestyle changes diabetics undergo is having options to monitor glucose levels that are both effective, and affordable.

Technology Makes Monitoring Easier

Active management and monitoring of glucose is neither convenient nor cost effective for many. Some medical professionals recommend up to 10 tests per day. Assuming you have the schedule and discipline to stick with it, most diabetics have had to resort to testing their glucose levels through frequent, invasive needle pricks on their fingers.

There are saliva-testing devices under review by the US Food and Drug Administration, and Google was rumoured to be testing smart contact lenses that could monitor glucose levels as well. But a finger sticks remains the most common test despite the pain of a prick, the need to record readings and do so multiple times per day.

More convenient and accurate methods of testing glucose levels are becoming more readily available. For example, Abbott Laboratories invented the FreeStyle Libre system.

The device has been hailed for its convenience. Placed just under the skin, the sensor continuously measures glucose levels in the interstitial fluid that bathes the cells. Those wearing the device can use their smartphones to get immediate readings. According to Bloomberg, FreeStyle Libre users scanned their sensors an average 16 times a day; some exceeded 45.

While the repeated checks help diabetics lower their glucose levels, Continuous Glucose Monitoring (CGM) systems are costly. Prices can range between $3,000 and $4,000/year, limiting the accessibility of life-saving monitoring. However, companies like Ambrosia Systems are reinventing the wheel, bringing cost savings and convenience to glucose monitoring.

Introducing BluCon
We invented BluCon to build an affordable next generation continuous glucose monitoring like system for diabetic and pre-diabetic patients. Our iOS and Android apps work with Abbot’s FreeStyle Libre sensor, sending glucose readings to any Bluetooth enabled connected device.

Today, two factors prohibit active monitoring and management of diabetes: cost and inconvenience. BluCon quickly reads data from Abbott's FreeStyle Libre sensor and sends that data to the LinkBluCon mobile app on your phone for less than half the annual cost of available solutions. Our battery life is also twice as long, adding to the convenience and cost savings brought by BluCon.

Living with diabetes entails constant glucose monitoring, which, as we noted, can mean significant lifestyle changes. Checking glucose levels, and keeping an accurate record, can be complicated. BluCon is meant to simplify glucose monitoring and ongoing management of your type 1 or type 2 diabetes.

Author
Piyush Gupta
Several years experience in product management worked at Abbott Diabetes Care, Kaiser Permanente, Capital One Bank and a couple of healthcare startups as senior product management executive. Helped companies in building next generation platform, iOS and android mobile products

Monday, 3 July 2017

India aims to be a Global Leader in #DigitalHealth by Rajendra Pratap Gupta @rajendragupta

The Article was first published in Mr. Rajendra Pratap Gupta's LinkedIn Pulse, the Article is republished here with the authors permission

In May this year, India had tabled a resolution at WHO for mHealth, which was supported by over 30 nations. This clearly signals India intent to be a global leader in Digital Health.

Digital Health has the potential to revolutionize how populations interact with national health services and also strengthen health systems and will play an important role in preventive , promotive and curative health. India is now embarking on a futuristic journey to bridge the healthcare divide between have’s and have-nots using digital health tools. We have a number of projects that will extensively deploy technology .

The Ministry of Health & Family Welfare has been taking several impactful initiatives in the field of Digital Health. Our Hon’ble Prime Minister has envisioned for Digital Platform & Electronic Health to be optimally leveraged, so as to meet the key challenges posed to us in health sector e.g. shortage of health human resource, accessibility of healthcare infrastructure, affordability of healthcare services etc. Electronic Health Records (EHRs) of citizens are envisaged to be created for ensuring continuity of care and other associated benefits. Delivery of services to citizens through “online mode” is at core of the overall electronic health ecosystem being talked about.

Major I.T. initiatives by Ministry include various mHealth initiatives for improving efficiency and efficacy of public healthcare across the country under the Digital  India Programme. Some of the initiatives are:


Mobile applications

Various mobile apps have been launched

Vaccine Tracker mobile application support parents in tracking immunization status of their children and helps them in ensuring complete and timely vaccination.

The India Fights Dengue mobile application provides interactive information on identification of symptoms of Dengue and links users to nearest hospitals and blood banks

The swasth Bharat ( Health India ) mobile application provides detailed information on healthy lifestyle, disease conditions and their symptoms, treatment options, first aid and public health alerts.

Ministry recently launched the Stress management app – ‘NO MORE TENSION’ on google / IOS.

Mobile Academy

Mobile Academy is a free audio training course designed to expand and refresh the knowledge base of ASHAs and improve their communication skills. Approximately 170,000 ASHAs of Jharkhand, Madhya Pradesh, Rajasthan and Uttarakhand are expected to benefit from Mobile Academy. As of 31 Aug 2016 more than 45,000 ASHAs have started the course and out of which more than 40,000 have completed it successfully.

Kilkari

Kilkari delivers free, weekly, time-appropriate 72 audio messages about pregnancy, child birth and child care delivery to families’ mobile phones. Approximately 1.9 Million pregnant women and children in Jharkhand, Odisha, Uttar Pradesh, Uttarakhand and High Priority Districts (HPDs) of Madhya Pradesh and Rajasthan have been reached by the service in Phase 1 as of 31 Aug, 2016.

Tobacco Cessation Programme

Programme launched on 15th January 2016. Ministry of Health & Family Welfare, in partnership with World Health Organisation and the International Telecommunications Union, started an initiative for utilising mobile technology for tobacco cessation. Currently, more than 1900,000 users registered for mCessation on Tobacco.

mDiabetes Program

An initiative for prevention and care of diabetes, launched on 22nd , June 2016 on ‘World Diabetes Day’. It is based on proven algorithms for diabetes prevention and care, and builds on previous international experiences in using mobile technologies to deliver these interventions. Using constant text messaging on mobile phones. Currently more than 100,000 users registered for mDiabetes

Nikshay for Tuberculosis Control Programme

To monitor and track services and status relating to screening, diagnosis, treatment and follow-up of Tuberculosis cases. NIKSHAY was launched in 2012 and has been implemented across all States, and has 6 million registered users

Online registration System (ORS)

Launched in July 2015, ORS is a system to link various hospitals across the country for online registration, appointment and for providing patient centric services like viewing Lab reports, blood availability status etc. As on date, 48 hospitals covering over around 500 departments across 18 States/UTs are offering services through ORS and over 4,00,000 appointments have been transacted online till date.

These initiatives are ensuing remarkable improvement in healthcare delivery and management.

MyGov

A discussion group viz. ‘Healthy India’ has been created by MoHFW under the “MyGov” portal and seven discussion areas covering various issues have already been hosted so far. https://www.mygov.in/

National Health Portal (NHP)

Launched on 14.11.2014, serves as a single point access for authenticated health information for citizens. (http://www.nhp.gov.in).

NHP Voice Portal

Toll free national number 1800-180-1104 for providing information related to health, diseases, lifestyle, first aid, directory services, health programs etc.

National Healthcare Innovations Portal

(www.nhinp.org)- An online portal for documenting innovations taken up by states, NGOs and other private sector organizations.

National Identification Number (NIN) Portal

put in place for allocation of NIN to all health Facilities in India. As of 10th October 2016, 2,14,340 facilities were allocated NIN. Out of these 1,88,841 public health facilities (88%) facilities were verified by the states.

HMIS-MCTS Facility master mapping has been completed for all states and states are currently verifying the mapping to match health facilities in both systems. Incorporation of other hospitals of MoHFW and other ministries in NIN Portal is in progress

National Health Resource Repository (NHRR)

NHRR envisages creating a single gateway of authentic, standardized, updated public and private healthcare resource intelligence and develop user friendly system with utility to serve as a decision making tool for varied categories of health system stakeholders. The pilot of the survey was completed and the soon the pan-India survey will be initiated to collect health resources data. This data will be placed online for easy access to all stakeholders.

eHospital@NIC

6 modules available on eHospital Cloud version; other modules to be made available by Dec’16 by NIC. Over 30 large hospitals are using eHospital and 7 hospitals are using cloud version of eHospital

EHR Standards

were first notified in 2013. The EHR standards are meant to facilitate semantic interoperability between different EMR /EHR systems. EHR Standards include SNOMED CT standards for providing consistent terminology across all health care domains. India became member of International Health Terminology Standards Development Organization (IHTSDO), effective from 1st April, 2014.

Notification of revised EHR Standards (2016) is under process and will be released shortly. CDAC, Pune has been nominated as interim National Release Center (NRC) for SNOMED CT. As of now 140 SNOMED CT affiliate licenses are issued by iNRC.

Mother and Child Tracking System/ RCH System

Implemented across all the States & UTs, approximately 3.00 crore pregnant women and 2.72 crore children are expected to be covered annually under MCTS and RCH application combined. 1,16 million pregnant women and 994,000 children were registered in MCTS and RCH portal combined as on 20th September, 2016.

Missed Call Centre for reaching unreached TB patients

A dedicated toll free number with a call centre that is currently available in the States of Punjab, Haryana, Chandigarh and Delhi. Around 30,899 calls have been made till date.

National AIDS Control Organization (NACO)- Strategic Information Management Information System (SIMS)

has over 20,000 reporting units across the country. Centralized Project Financial Management System (CPFMS)- details of allocation, expenditure of budget disbursed at Central and state level are monitored.

Inventory Management System (IMS)

for tracking inventory at every point of supply chain to establish a robust supply chain Management,

India HIV/AIDS Resource Centre (IHRC)

A Digital Resource Centre (www.indiahivinfo.naco.gov.in ) which is one stop shop for resources available on HIV and related issues, and get an average of 2000 calls per month and covers 60 districts in 10 States (Bihar, Haryana, Punjab, Rajasthan, Karnataka, Maharashtra, Uttarakhand, Uttar Pradesh, Chhattisgarh, Jharkhand)

Rashtriya Swasthya Bima Yojana

RSBY uses IT platform for enrolment of beneficiaries, smart card for beneficiary authentication, cashless transactions, grievance management, has over 41 million (41,331,073 ) smart Cards : and has handled over 11 million (11,841,283 ) hospitalisation Cases : as on date: 31/03/16 .This scheme is likely to be the template for the National Health Protection Scheme

‘Mera Aspataal’ (Patient Feedback System)

To empower the patient to give his / her views on quality of services rendered by a healthcare facility, MoHFW has designed an ICT-based Patient Satisfaction System (PSS) for implementation in public and empanelled private hospitals. During the pilot phase 117 State / Central government hospitals are being considered where feedback will be collected from more than 1,00,000 patients per day. 37 hospitals were sharing data with My Hospital as on 19th September, 2016.

eRakt Kosh

Launched on 7th April 2016, eRakt Kosh application is a centralized blood bank management system. eRakt Kosh is being rolled out for all the licensed blood banks in public and private health facilities in States / UTs. Presently eRakt Kosh is running in 4 blood banks of Madhya Pradesh, 5 blood banks of West Bengal and blood bank of national HQ of Indian Red Cross Society in Delhi. The application is going to be initiated in some blood banks of Gujarat, Jharkhand, Telangana and Uttar Pradesh shortly.

National Organ & Tissue Transplant Orgnaization (NOTTO)

(http://notto.nic.in)- (Launched in 2015). There are two registries in place under this program-

1. Online Registration for Organ/Tissue Transplantation or Retrieval- Total registration- 1721

2. Online pledge registry by citizen for organ donation: Total registration-23695

National Cancer Registry Program

(http://www.ncrpindia.org/)- National Cancer Registry Program being run by ICMR collects data on cancer patients across country. The registry data is used to compile cancer atlas which provide details about cancer incidences, types underlying causative agents and risk factor details

Central Drugs Standard Control Organization (CDSCO)

“SUGAM” for processing of applications for import and registration of drugs and permits for import of small quantities of drugs for personal use. System Launched in November 2015.  Total Firms registered for import of drug (2089), medical devices (1076) and cosmetics (116). 

FSSAI

The system facilitates online License to the Food Business Operators falling under central license-; online clearance mechanism for imported food items; online system for product approval of food items which are not standardised under the Food Safety and Standards Act & Regulations made there under.

Total Bill Of Entries filed: 26997 for 34235 food items.

32597 food Items granted No Objection (NOC) whereas 292 items were rejected

NOC generation for 1346 items is under process

Food Licensing and Registration system:

Total application received online till date for central license : 28461

License issued till date : 28027

Total renewal application received : 13705

Total renewal done : 13649

ERMED (Electronic Resource in Medicine) Consortium

National Medical Library’s ERMED Consortium is an initiative taken by the MOHFW to develop nationwide electronic information resources in the field of medicine . The consortium is coordinated through its headquarter set up at the NML since 2008.

At present, 70 state and centrally funded Government Institutions (including all AIIMS) from 24 states are selected as its members

One of the advantages of ERMED consortium is that it not only provides current issue of Journals from leading publishers , but also facilitates its users with the archival issues (print as well as electronic) for example, British Medical Journal, an International peer reviewed Medical journal is fully searchable, with an archival backup since 1840. National Medical Library have a distinction of having BMJ since 1840 in print format. Print archive available since Oct 1840 to Dec 1993, and online archive available Jan 1994 to till date, and The BJU International is available since 1929 with full-text archive. One of the biggest strength of NML is its vast collection of 7.5 lakh volumes of books, reports, bound volume of journals and other literature, and adds latest books and journals every year. It also subscribes to 1500 current periodicals. The library has good collection of 19th century medical literature.

National Medical College network

Under National Medical College Network (NMCN), scheme , 50 Govt. Medical Colleges  are being inter-linked with the purpose of Tele-education, e-Learning and Online Medical Consultation by utilising the connectivity provided by National Knowledge Network (NKN). Under this imitative, a virtual layer of Specialty/ Super Specialty doctors from these Medical colleges would also be created  for providing “Online Medical Consultation” facility to citizens which will be similar to OPD facility but in a virtual way through a web-portal. This will help patients from rural, remote and urban areas to access doctors and specialists easily even from their home location through their Smart Phones, through Government healthcare institutions (PHC/CHC) and through Common Service Centers (CSCs). 

National Telemedicine Network (NTN)

In the first phase of National Telemedicine Network project, it is proposed to connect 500 PHC/CHC/SDH at remote/rural locations with 50 District Hospitals. These District hospitals will be networked with 50 Medical Colleges.

Telemedicine by using Space Technology

Establishment of SATCOM based telemedicine centres at Chardhams and other important places of pilgrimage in collaboration with DoS (ISRO).

Integrated Health Information Platform (IHIP)

In order to augment the overall Electronic Health ecosystem further, the Ministry has envisaged setting up IHIP. This is a major step in the direction of addressing the existing situation of ‘electronic silos’ in health system. Interoperability and data exchange amongst Health IT Systems is almost lacking.

IHIP is expected to address various key issues and challenges such as fragmented information systems, accessibility & quality of data, duplicate information systems and most important lack of common EHR System. Today, most of the patient records get trapped in multiple silos. IHIP would work in the direction to enable the EHRs of citizens to be made available nationwide with the help of Health Information Exchange.

IHIP would in due course facilitate better health services to citizens and improve efficiency of healthcare services and programmes through optimal utilization of resources, availability of information for better decision and reduction in medical errors etc. With help of EHRs, cost reduction in medical cost is expected as requirement of redundant medical tests would be checked.

Citizens would be empowered through online access to IHIP to view their health records and also to upload other medical records in order to create and maintain personal health record.

In line with Startup India initiative, IHIP would also provide an opportunity to Health IT start-ups to host their innovative solutions for use by different stakeholders. 

States and Union Territories (UTs) are being supported for implementation of hospital information system at hospitals and health centres for facilitating creation of EHRs.

Ministry has already started the process for setting up IHIP and it is expected to be ready for pilot in select States/UTs early next financial year. The platform will by then be ready for progressive roll-out all over the country. 

National Digital Health Authority

Setting up of the National Digital Health Authority (NDHA) is another milestone for Indian Healthcare IT. The various regulatory aspects of digital health deployent like privacy, security, access, disclosure, exchange. would be taken care of by National Digital Health Authority (NDHA) proposed to be set up by MoHFW. The work on the same is already on , and this will institutionalize the support for digital health.

National Health Helpline

The Ministry is working on setting up of the health helplines . We want to ensure that people have the information they need, and on time 24 x7 in the remotest and inaccessible areas . This project should roll out by early next year . National Health Helpline  is envisioned to be offering its services in 16 regional language including reliable medical information with a doctor/an expert by harnessing the high number of mobile connections in India (in almost every household). This health helpline facility will help rural population save money and time on visits to doctor in a large number of cases

India Health Information Network (IHIN)

The Ministry of Health & Family Welfare , Government of India has initiated IHIN – A think tank of private and public sector to advice the Government on Digital Health.

Ministry is committed to financially support all the digital initiatives, and looks forward to multi-stakeholder engagement, and private public partnerships to scale up these initiatives

Rajendra Pratap Gupta is the Advisor to the Union Minister of Health & Family Welfare , Government of India . Views are personal. 
Author
Rajendra Pratap Gupta
Rajendra Pratap Gupta (Rajendra) is an original thinker and an innovator and one of the most influential and sought after public policy expert in the country. He has worked with some of the largest organizations across the world and was nominated to the Global Agenda Council of the World Economic Forum for 2012-2014 in recognition of his work.

He was conferred; 'Global Healthcare Leader of the Year' award in 2012 by the sheriff of Los Angeles; named the 'Thought Leader of the Year' three years in a row by ICT Post; Featured amongst the ’25 living Legends of Healthcare in India’ and is listed amongst the “100 Most Impactful Healthcare Leaders”.