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Uid In Healthcare

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This presentation gives details of how healthcare sector can utilize unique identification number.

This presentation gives details of how healthcare sector can utilize unique identification number.

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  • Disease outbreaks can occur in several different ways. In looking at this scenario, by dimensions of cases and days, release of an infectious agent, whether it be terrorism or a natural outbreak occurs at day 0. Symptom onset is detected at day 3 ½ with the outbreak of disease occurring at day 7. Syndromic surveillance will enable the threat to be detected 3 1/3 days prior to an the actual detection of severe illness.
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    • 1. Unique Identification Number and its utility in Healthcare Dr Rajeev Joshi, MBBS, MD(Pediatrics) Shree J Hospital, Pune, Maharashtra, INDIA 411037 Member, Indian Association for Medical Informatics
    • 2. Acknowledgement
      • Some of the contents of my talk are part of the deliberations of the UID group of Indian Association for Medical Informatics and I thank them for allowing me to use the same.
    • 3. One man who is the identity of INDIA
    • 4. An identity so powerful that . . . .
    • 5. even this picture is enough..!!
    • 6. but others are not so Unique…
    • 7. and need some sort of identification
      • Voters card
      • PAN card
      • Driving License
      • Bank Passbook
      • Passport
      • Fishing permits
      • Border area id cards
    • 8. Documents for identification
      • Basis of Identity
        • Photograph
        • Birth Certificate
        • Reference
        • Affidavit
      • Proof of residence
        • Electricity Bill
        • Telephone Bill
        • Insurance Policy
        • Police Verification
        • Ration card
        • Domicile Certificate
        • Affidavit
    • 9. Multipurpose National Identity Card
      • NDA : Vajpayee Government 2002
      • Continued by UPA : Manmohan Government
      • President Abdul Kalam 2006 speech
      • Pranab Mukherjee approved decision 2008
      • 26 November 2008 events in Mumbai
      • Allocation in 2009 interim budget
      • UPA Government re-elected in 2009
      • Approval of Chairman position for UIDAI
    • 10. Identification card will contain
      • NUMBER
      • Name
      • Sex
      • Address
      • Marital Status
      • Photo
      • Identification mark and
      • Finger biometrics
    • 11. Unique Identification Authority of India
      • Established in February 2009
      • Have the responsibilities to lay down plans and policies to implement the Unique Identification Scheme (UID)
      • Shall own and operate the Unique Identification Number database
      • Will be responsible for its updation and maintenance on an ongoing basis
      • A provision of Rs. 120 crore has been proposed for this project.
      • IAS officer Ram Sevak Sharma has been handpicked as the director of the Unique Identification Authority of India (UIDAI) to assist its first chairman…..
    • 12. Nandan Nilekani Appointed as Chairman, UIDAI
    • 13. Nandan Nilekani
      • Co-founder, Infosys
      • Bids adieu to Infosys
      • Cabinet Minister Rank
      • Wants ‘Best talent‘
      • For finger print scan during 2011 census
    • 14. Nilekani to give numbers, Ministries to issue cards
      • Provide enrolment and verification services across the country.
      • Will identify the targeted groups for various flagship programes
    • 15. Will help address
      • The rigged state elections,
      • Widespread embezzlement that affects subsidies and poverty alleviation programs
      • Illegal immigration into India
      • Terrorist threats
    • 16. Would it be compulsory?
      • Citizens will not be obliged to get a number.
      • But those that don’t will find it very inconvenient:
      • They will not have access to facilities that require you to cite your ID number.
    • 17. Connecting around the world.! Hon’ble Prime Minister, Manmohan Singh in a meeting with Dr. Zerhouni, Director National Institute of Health ..Medline Plus
    • 18. For a Global Health System.. ..Medline Plus
    • 19. Early Detection of Large Outbreaks Release Number of Cases Symptom Onset Severe Illness Days ..Rita Kukafka
    • 20.
      • Day 1- feels fine
      • Day 2- malaise, abstains from school/work
      • Day 3- headaches, fever- buys Paracetamol
      • Day 4- develops cough- visits family doctor
      • Day 5- Referred to consultant: “flu”
      • Day 6- Worsens- calls ambulance
      • seen in ED
      • Day 7- Admitted- “pneumonia”
      • Day 8- Critically ill- ICU
      • Day 9- Expires- “respiratory failure”
      • Epidemic declared when many such deaths reported
      Syndromic Surveillance Data Sources ED Logs Pharmaceutical Sales General Practitioner Absenteeism Ambulance Dispatch (EMS) Consultant’s records Traditional Surveillance
    • 21. Manmohan Singh Forms UID Council
      • The council is expected to advice the UIDAI on the programe, methodology and implementation to ensure coordination between ministries, departments, stakeholders and partners
    • 22. Members of the newly appointed council
      • Finance Minister Pranab Mukherjee
      • Agriculture, Food and Civil Supplies Minister Sharad Pawar
      • Home Minister P. Chidambaram
      • External Affairs Minister S.M. Krishna
      • Law and Justice Minister M. Veerappa Moily
      • Human Resource Development Minister Kapil Sibal
      • Rural Development & Panchayati Raj Minister C.P. Joshi
      • Labour and Employment Minister Mallikarjun Kharge
      • Communications and Information Technology Minister A. Raja
      • Planning Commission Deputy Chairman Montek Singh Ahluwalia and
      • UIDAI chairman Nandan Nilekani.
    • 23. Ministry of Health & Family Welfare is missing from UID council ? ?
      • Family Planning
      • Antenatal Care
      • Anemia control
      • Perinatal problems
      • Birth intimation
      • Immunization
      • Tuberculosis control
      • Leprosy control
      • Malaria Control
      • Death intimation
    • 24. UID Should be issued at birth
      • Healthcare provider registers birth under confinement number
      • Birth related information essential for national statistics
      • Health related issues start from birth of a individual
      This is to certify that Mrs xxx yyy zzz Wife of yyy aaa zzz Delivered a Male/Female Child in this hospital At hh.mm AM/PM On mm/dd/yyyy And is registered under Confinement no ******* Submitted on mm/dd/yyyy
    • 25. Will Death Certificate have UID?
      • Death certificate issued by healthcare provider.
      • Death certificate will have to be issued for still birth.
      • Death certificate will have to be issued for abortion after 20 wks.
    • 26. Recording of patients sex
      • Male / Female
      • Unknown
        • for unborn child if treated in-utero
        • Cannot be determined
      • Change of sex medically possible, to be recorded by healthcare provider?
    • 27. Healthcare Provider should be able to
      • Generate UID
        • Unborn child
        • Abortus > 20 wks
        • Still birth
        • New Born Child
        • Any Patient
        • Death Certification
      • Access information
    • 28. In case of Medical Emergency
      • Attending physicians will be able to access medical record of any patient so as to save his / her life
      • Treatment of unidentified victims of accidents
      • Natural calamity
    • 29. Partners
      • Immunization is given to child even if born at home
      • Patients will take treatment from healthcare provider at least once in two/three years
      • Patients not having UID can be issued one
      • Reduce burden off government agencies
    • 30. Healthcare Provider must Record UID
      • Patient registration
      • OPD treatment
      • IPD treatment
      • Laboratory tests
      • Radiological tests
      • Pharmacy
      • Electronic or paper based
    • 31. Need for Lifetime EHR
      • Personal health record
        • Google health
        • Microsoft health vault
        • Other organizations
    • 32. More than one healthcare provider
      • Family Physician
      • Consultant
      • Pathology Laboratory
      • Radiology Clinic
      • Hospital
      • Home Care
    • 33. Transfer of medical information
      • One doctor to another doctor
      • One hospital to another hospital
      • One city to another city
      • One State to another state
      • One software to another software
    • 34. Health Information Network
      • PHC
      • District Hospitals
      • Medical Colleges
      • Directorate of Health
      • DMER
      • Medical Colleges
      • ICMR
      • Ministry of Health
    • 35. Utility of UID in Healthcare
      • Epidemiological Database
      • Disease Prevalence
      • Data mining
      • Preventive measures
      • Improvement in immunization
      • Health of the Nation
    • 36. Government may decide policies for
      • Encryption
      • Security
      • Sharing
      • Standards
      • Storing UID as secondary key
      • Access control
    • 37. Medical Tourism
      • Revenue
      • Nationals of other countries
      • Mechanism of registration needed
      • Modification of software required
    • 38.
      • Change Management
        • Software developers
          • Upgrading software
          • Installation
        • End user / provider
          • Implementation
          • Training
    • 39. Stakeholders
      • Healthcare providers
      • Insurance companies
      • Government healthcare organizations
      • NGOs
      • Research Institutes
      • Drug Distribution
    • 40. Let us pay our tribute .. Healthcare IT in “search” of identity !!