Ms.Metilda Robin,Deepak Agarwal
Nurse Informatics
JPNATC,AIIMS
BACKGROUND
 Computerisation of clinics
in public funded
(Government) hospitals has
been cursory at best.
Background
 Typically a doctor spends less than 2 minutes
on a patient, during which time he has to
listen to patients co...
CLINICIANS WISHLIST FOR CLINICS
 See Scheduled Appointments
 Look up previous visits, labs, PACS images
 Avoid typing
...
 We tried to enter in EMR system in OPD for
nearly two years(2011,2012)
 But we got 0% compliance.
Solution
Provider:
Automated Tablet based
Clinic(OPD) with
messaging system and
web portal
http://aiims.mcura.com
anywhere...
1. Patient calls call centre for
appointment
2. Call centre checks Dr.
schedule and allocates a slot to
patient
Appoi
ntme...
•Appointment schedule and sms based
token number messaging
•OPD Notes that includes Patient’s wound
pictures
•Integrated P...
 Started in Jan 2013
 Test trial given for 2 month with continuous
training
 Feed back was taken and added the
requirem...
 A change in the existing system of manual
notes to the tablet usage was very tough.
 Continuous training and motivation...
 No OPD records were available to the Hospital
previously.
 Now we have a computerized record in which the
we can see th...
THANKYOU
Use of Automated Tablet based clinic  appointment system
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Use of Automated Tablet based clinic appointment system

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Transcript of "Use of Automated Tablet based clinic appointment system"

  1. 1. Ms.Metilda Robin,Deepak Agarwal Nurse Informatics JPNATC,AIIMS
  2. 2. BACKGROUND  Computerisation of clinics in public funded (Government) hospitals has been cursory at best.
  3. 3. Background  Typically a doctor spends less than 2 minutes on a patient, during which time he has to listen to patients complaints, formulate a diagnosis & treatment plan and write down the notes in the patients clinic card as well as in the hospital record (EMR etc).
  4. 4. CLINICIANS WISHLIST FOR CLINICS  See Scheduled Appointments  Look up previous visits, labs, PACS images  Avoid typing  Take Clinical photographs, store with patients record & retrieve at leisure  Do all this in less than 60 seconds!
  5. 5.  We tried to enter in EMR system in OPD for nearly two years(2011,2012)  But we got 0% compliance.
  6. 6. Solution Provider: Automated Tablet based Clinic(OPD) with messaging system and web portal http://aiims.mcura.com anywhere anytime access for doctors
  7. 7. 1. Patient calls call centre for appointment 2. Call centre checks Dr. schedule and allocates a slot to patient Appoi ntmen t details 3. mCURA platform shows appointment list to doctor when doctor logs in the tablet app 4. Doctor retrieves patient record and adds advice/take pics/ reviews radiology images and assign next visit time 5. Reminder sent to patient mobile 72 hrs – 48 hrs to fix appointment for review
  8. 8. •Appointment schedule and sms based token number messaging •OPD Notes that includes Patient’s wound pictures •Integrated PACS where Dr. can mark their comments on a specific image slice •Drug index access so to select drugs and review other attributes of drugs formula •OPD notes on their own handwriting using stylus •Next visit entry and sms reminder to patient’s mobile
  9. 9.  Started in Jan 2013  Test trial given for 2 month with continuous training  Feed back was taken and added the requirements.  Implemented live from march 2013  Compliance rate has increased in last three months.  In august we had 50% usage of tablets in OPD.  Patients are also satisfied with this as a copy remains in the hospital also
  10. 10.  A change in the existing system of manual notes to the tablet usage was very tough.  Continuous training and motivation was done by NIS.  More over in a busy OPD any time lag was not acceptable to the physician.  Network should be uninterrupted to get good workflow.
  11. 11.  No OPD records were available to the Hospital previously.  Now we have a computerized record in which the we can see the records by web interface from anywhere in hospital.  In one pt file we can attach the notes ,x-ray images,wound images which can be revived again in next visit.  It is helpful to get a statistical data of the outpatients which helps in research purpose.  It is now web interfaced so any doctor can access the record of his/her opd visit in their room itself
  12. 12. THANKYOU

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