Tapan Kumar,
ACP (Dy Director),
Dept of IT & Communication,
Govt of Rajasthan

The Government of Rajasthan has taken initiatives to automate the hospitals in the state to improve patient care

Arogya Online is the electronic management of health information to deliver safer, more efficient, better quality healthcare to the citizens of the state. This landmark initiative is facilitating the transition of paper-based clinical record keeping to electronic means for better information exchange.

Hospitals covered under the project
The customisation and implementation of the system at Sawai Man Singh Hospital (SMSH), Jaipur, was assigned to C-DAC, Noida. They have developed the software for the system and customised for SMSH, Jaipur over the past two years. Hardware, software and LAN nodes have been set up across five buildings of the hospital for operationalising the first phase of the Health Information Management Systems (HIMS) which consisted of 13 core clinical modules.
The integrated solution manages Hospitals Central Lab, OPD, IPD, OTs, Drug Store and Blood Bank as well as the treatment modalities offered by more than 44 clinical and non-clinical departments, 70+ wards with 2500+ beds. The system also manages an average of 5,500-6,000 OPD patients on daily basis and approximately 15,000 daily investigations with errorless reporting mechanism.

Activity completed so far
As of now all the core clinical modules and other modules have been made operational at the SMSH, Jaipur. The website (www.medicaleducation.rajasthan. gov.in) has received wide appreciation and acceptance.

The key benefits of Arogya Online system include
Streamlines workflow operations to improve hospital administration
Enhances the quality of patient care
It creates a platform for information exchange
Streamlines resource utilisation and management across hospital departments
Single point solution for optimising productivity and reducing manpower costs
End to end supply chain management within the system
Unique modular design structure of application to enhance operational flexibility
Arogya Online is designed to provide the highest level of flexibility and operational efficiency for a hospital. The system performs complex tasks like investigation billing, bed management, admission discharge and transferprocedures, pharmacy management and various other related activities.

Computerisation of 28 blood banks
Blood Bank is one of the important departments of the hospital. Its activities include blood donations, blood grouping, antibody screening, antibody identification, cross matching, blood infectious tests, component preparation, issuing compatible blood and blood components, etc. Blood Bank Module provides up-to-date information about total daily blood or component stock, total daily blood requisitions and information regarding donor.
Blood bank module constitutes of, registering the donor at the hospital premises or at the camps arranged by the blood bank itself. Every donor undergoes a physical examination test and the donor examination results are entered into the system. Depending on the examination result the donors blood can be accepted or rejected. If a donor is accepted his/her blood is collected and is put in a bag and that bag is given a unique number by the system itself. This bag number is the same unique number given to identify that donor also.
After the blood is collected, it undergoes certain tests. Initially the blood has to undergo serology tests the results of which are entered into the system through the result entry screen. After the result entry process an authorised person validates the result on the system. After serology test, blood grouping is done on the blood and results of the same are entered into the system. A senior person again validates this blood group detail on the system. After all the tests are performed on the blood, the various blood components are separated.
The components are added to the existing stock and are now ready for cross match. The requisition of blood component will come from hospitals. For every requisition, blood is issued depending on the availability of blood at the bank.

Achievements at SMSH (Benefits to Citizens)
Waiting time for patients has been considerably reduced
Facility of OPD, admission, investigation billing, sample collection, free medicine distribution to BPL at Dhanwantri OPD block
Bed management and display of admitted patients investigation report on wards computer
Display of investigation reports of all the patients on internet (www.medicaleducation. rajasthan.gov.in). Report can be viewed on mobile also
Consolidated information to citizens through single portal of medical education department wherein information related to all medical colleges across Rajasthan is available medicaleducation.rajasthan.gov.in
Reduction in processing time due to Common Stationary Concept i.e. operators not need to change the stationary for different works/ printouts
Control over professional blood donors with use of Biometric Donor Registration along with bar coding for identification of blood bags

Achievements at SMSH (Benefits to Hospital/ Staff)
Better ward management through computerised admission (IPD) process
Hospital central lab and blood bank completely computerised
e-Library facility for medical journals/ books of SMS library
Issuance of free medicines to the patients, with effect from, 2nd October 2011 with stock management of drugs/ medicines. System integrated with drug warehouse module (e-Aushadhi) used by Rajasthan Medical Services Corporation under Arogya Online
Actual statistics provided to hospital to plan budget/ costs/ resources accordingly
Nursing staff engaged in OPD registration activity were freed from their work and given patient care activity
Hospital is able to demand reimbursement on the investigation related groups so as to provide better medicare to patients

eClassroom
As per the budget announcement by the honble Chief Minister of Rajasthan, an e-classroom is to be established at all the medical colleges in Rajasthan. In compliance to this Department of Medical Education, Government of Rajasthan has planned to set up a state of art eclassroom at each of the six medical colleges and Rajasthan Health University. This e-classroom will use latest information and communication technologies and facilitate and enhance, share teaching contents and lectures.
Objective of the project is to enhance and facilitate the learning process of future doctors and medical professionals through the use of ICT. e-Classroom will provide a platform for doctors to learn from the best in class faculties, share their experiences and hence improve the quality of the education. This technology will also ensure standardisation in the learning process and will help in improving the quality of doctors in Rajasthan.
This e-classroom will use latest ICT and facilitate and enhance, share teaching contents and lectures. Reduced cost of computers and Internet has lead to concept of e-learning and e-classrooms. e-classroom is a new concept where student will be present with his professor and fellow learners in a classroom however they will not be present physically in the classroom but connected to the classroom via Internet.
The PPR has been approved by State eGovernance Mission Team (SeMT) with an estimated budgetary cost for `433.31 lakhs. Currently funding and transfer of funds to RajCOMP Info Services Ltd (RISL) by respective Medical Colleges is in progress.

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