Mobile based medical decision-support

Department of Community Medicine, Stanley Medical College

Highlights

• Mobile phone based decision-support technology in vernacular language
• Referrals generated could be tracked in real-time and appropriate steps may be advised to health-workers in case of no-show

A novel mobile phone based clinical decision-support technology for village health providers for improvement of antenatal and postnatal care of mothers and child health.

We are 8-10 years behind UN Millennium Development Goals and to bridge the gap we need 600, 000 more doctors, roughly equal to the number we have today. With this premise a team of doctors from Stanley Medical College (SMC) and a group of engineers from National Institute of Technology, Karnataka started working on a decision-support technology for health-workers. With the ever increasing proliferation of mobile phones, the project has a platform which could be used to take away all the memorising and analysis out of the protocols and use the Information and Communication technology.

The primary objective of the programme was to develop a decision support technology that can be used by the village health workers (VHW) to take appropriate decisions while rendering health services to mothers in antenatal Period.

Website: www.stanmed.net

Rhythms 24×7

Maestros Mediline Systems Ltd

Highlights

• More than 4000 rural people screened in 4 months
• Experts from city diagnosed ECGs for patients in rural areas with diagnosis reaching the patient within 15 minutes

eUNOR10, an ECG machine with built in SIM card along with Rhythms24x7, forms a secure online platform for enabling medical diagnosis for emergency situations. This solution enables moving medical information from the patient to the physicians’ hand phone within near to real time.

The physician can arrive at an informed decision and convey the same back to the relaying operator patient using his phone. The system automates the process reducing human errors. Presently the system is enabled for 12 lead ECG and remote heart rhythm monitoring; it is flexible to meet the needs of other medical modalities. Using technology to enable early and quick detection of heart attack allows the physician to view the ECG and give opinion from where ever he/she is present. Thus, it enables the caregiver with the patient to commence treatment within the golden hour.

This would not only help save patient life but also prevent massive damage to heart. Technology will enable minimum human intervention and maintain records of the episode from medico legal aspect also. The system being online is accessible across the globe where telecom network and internet has its presence. The primary objective was to enable early detection of heart attack enabling quick decision.

Website: : www.medi-line.com

AAROGYAM

by AAROGYAM “ Country’s First End to End Digital

Highlights

• Reduced child deaths recorded in the district covered
• 100 percent immunisation of the pregnant women in the area covered

The main aim of the project was to provide healthcare service to the public at their doorsteps. It was started to provide the safe motherhood and safe child survival components. It is a unique initiative which is community based end to end digital health mapping and pregnancy tracking system.

It enables tracking of each pregnancy with the help of technology based monitoring system. The database so generated forms the backbone through which software system suo-moto generates automated calls on all aspects of child immunization, ANC, PNC, safe delivery etc on telephone ensuring healthcare for the entire family at their door steps. Also it provides complete PNC/ANC care including early registration of pregnancy, ANC etc. Development of 2 way demand based interactive eco system for health care delivery substituting the exiting supply chain model can be done.

The project generates awareness in the community for the health care services and information, at no cost to citizens, applicable to 7 districts of Uttar Pradesh. The grass root level reach of the project as tracking is most important feature in this Project.

Website: www.aarogyam.co.in

FINO – ICT Implementation of Rashtriya Swasthya Bima Yojna (RSBY)

Financial Inclusion Network & Operations Limited

Highlights

• Last year Enrolments Apr-Mar 2011: 3907983 (3.91 mn)
• Maximum parallel running districts: 40 (Jan 2010)
• Maximum enrolments in a day: 73762 (18th Jan 2010)
• Maximum Deployment of kits in a day: 889 (18th Jan 2010)

Rashtriya Swasthya Bima Yojana (RSBY) was launched by the Government of India in 2008 to provide health insurance to the BPL population of India – a safety net in the face of financial difficulties arising out of major health setbacks.

Through this scheme, a family of five is entitled to hospital coverage of `30, 000 for which the Government pays the premium while the beneficiary contributes `30 for administrative expenses. Financial Inclusion Network & Operations Ltd. (FINO) was involved in this scheme since its inception, first as the World Bank consultant to the Ministry of Labour and Employment, Government of India, and later, as a technology provider and implementing agency for RSBY.

The goal was to use FINO’s technology architecture to make the entire process from hospitalisation to claim settlement, easy and expeditious, reducing administrative hassles, eliminating inordinate delays in delivery of benefits, enabling cashless and paperless transactions and claim settlement.

Website: www.fino.co.in

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