7 th  eIndia –  India’s largest ICT event   Role of ICT in Enhancing Quality and Assuring Accessibility of Healthcare Serv...
Millennium Development Goals, especially target 18:  “In cooperation with the private sector, make available the benefits ...
Affordability  How  conveniently  can all avail quality  healthcare?  How can all get an assurance on quality of  Healthca...
JCAHO <ul><li>It defines quality of patient care as the degree to which patient care services increase the probability of ...
All Institutions are Falling Behind the Pace of  Technology Changes Time Change Technology Social Business Medicine Unleas...
ICT as an enabler <ul><ul><li>Technology has revolutionized worldwide the delivery of healthcare </li></ul></ul><ul><ul><l...
Role of Mobile Phones  in Increasing Accessibility & Efficiency in Healthcare <ul><li>Voice & Text Applications </li></ul>...
Advantage of Telemedicine <ul><li>Eliminates barriers of time, distance & space </li></ul><ul><li>Can directly reach the p...
NRHM – Gets the IT Edge <ul><li>Health Statistics Information Portal – a web based MIS – facilitates speedy & efficient fl...
<ul><li>Launched in Gujrat state to combat high MMR </li></ul><ul><li>A comprehensive IT application for mother & child tr...
 
Hospital Information System
Computerized Physician Order Entry  (CPOE) <ul><li>A Computerized System that aims to reduce prescription & dosage errors,...
Diagnosis Decision Support System (DDS System) <ul><li>A Software that presents comprehensive list of possible conditions ...
Networking <ul><li>Connected Approach </li></ul><ul><li>Align technology & operational needs to support & streamline infor...
108-Hope Gets a Number <ul><li>Toll free 108 - Free ambulance service accessible fm all phones,  24 * 7 </li></ul><ul><li>...
<ul><li>Early Warning & Response System -Remote Sat Imagery +GIS+Met data </li></ul><ul><li>Outbreaks of infectious dis, v...
CLOUD COMPUTING  (SaaS)   Set of virtual servers working in tandem    over the internet   Shared hardware, servers & Softw...
Evolution of Computer Hardware Hardware Genera-tions Feature 1st 2nd 3rd  4th (early)  4th (1988)  4th (2001) Circuitry Va...
The Future Vision
CONCLUSION <ul><li>ICT has made the delivery of healthcare more efficient, effective,accessible and safer across the care ...
Go as far as you can see, and then see what lies beyond
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Role of ICT in Enhancing Quality and Assuring Accessibility of Healthcare Services, Gp Capt (Dr) Sanjeev Sood, Air force Hospital, Chandigarh

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Role of ICT in Enhancing Quality and Assuring Accessibility of Healthcare Services, Gp Capt (Dr) Sanjeev Sood, Air force Hospital, Chandigarh

  1. 1. 7 th eIndia – India’s largest ICT event Role of ICT in Enhancing Quality and Assuring Accessibility of Healthcare Services <ul><li>Gp Capt (Dr) Sanjeev Sood </li></ul><ul><ul><ul><ul><ul><li>MD, PGDHHM, M.Phil (HHSM), FCGP, AFe ISAM </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>NABH Empanelled Assessor </li></ul></ul></ul></ul></ul>
  2. 2. Millennium Development Goals, especially target 18: “In cooperation with the private sector, make available the benefits of new technologies, especially information and communications”.
  3. 3. Affordability How conveniently can all avail quality healthcare? How can all get an assurance on quality of Healthcare being provided? The Healthcare Triangle
  4. 4. JCAHO <ul><li>It defines quality of patient care as the degree to which patient care services increase the probability of desired patient outcomes and reduce the probability of undesired outcomes, given the current state of knowledge </li></ul><ul><li>Definition is incomplete as it </li></ul><ul><ul><li>Fails to address patient’s view point </li></ul></ul><ul><ul><li>Result oriented instead of being process oriented </li></ul></ul>
  5. 5. All Institutions are Falling Behind the Pace of Technology Changes Time Change Technology Social Business Medicine Unleashing the Killer App : Digital Strategies for Market Dominance - Larry Downes, Chunka Mui http://www.killer-apps.com/
  6. 6. ICT as an enabler <ul><ul><li>Technology has revolutionized worldwide the delivery of healthcare </li></ul></ul><ul><ul><li>Delivering of quality healthcare & positive clinical outcome </li></ul></ul><ul><ul><li>Cost containment, reductn in T A T of workflows </li></ul></ul><ul><ul><li>Reduced workload, Medication errors & Space reqt ; Faster access to patients MR </li></ul></ul><ul><ul><li>BI-Data Analytics for research and smart decisions </li></ul></ul><ul><ul><li>Audit Trail and Compliance to Clinical Pathways </li></ul></ul>
  7. 7. Role of Mobile Phones in Increasing Accessibility & Efficiency in Healthcare <ul><li>Voice & Text Applications </li></ul><ul><ul><li>Tackling inefficiency in service provision by improving communication & interface eg., missed appointments, compliance,due dates for vaccinatn </li></ul></ul><ul><ul><li>Contacting Blood Donors </li></ul></ul><ul><ul><li>Improved self management & monitoring of patients </li></ul></ul><ul><ul><li>Providing psychological support & helpline </li></ul></ul><ul><ul><li>Increasing the ability of some inaccessible groups teenagers, mobile & working pop to access health service by reducing the barriers </li></ul></ul><ul><li>3G Networking application </li></ul><ul><ul><li>Transmitting data – image, ECG </li></ul></ul><ul><ul><li>Patient educatn through web based services </li></ul></ul><ul><ul><li>Amputation service performed </li></ul></ul>
  8. 8. Advantage of Telemedicine <ul><li>Eliminates barriers of time, distance & space </li></ul><ul><li>Can directly reach the patient – educational, preventive & admin </li></ul><ul><li>1/7 th the cost of conventional OPD visit </li></ul><ul><li>Can avoid white coat hypertension </li></ul><ul><li>Can reduce ER visits-’Pre hosp Thrombolysis’ in MI & Stroke </li></ul><ul><li>Universal access, no inequity in healthcare delivery </li></ul><ul><li>Allows home-based care, patient empowerment </li></ul><ul><li>Effective screening – 12 lead ECG, USS, X-ray, Bld Sugar, PFT, Oxymeter, </li></ul>
  9. 9. NRHM – Gets the IT Edge <ul><li>Health Statistics Information Portal – a web based MIS – facilitates speedy & efficient flow of information from periphery to centre </li></ul><ul><li>Tools for advanced data analysis, reporting, monitoring, evaluation & programme management </li></ul><ul><li>More efficient public health planning & forecasting for service provisioning, emergency preparedness ,resources mobilization </li></ul><ul><li>Objective – data for Action </li></ul>
  10. 10. <ul><li>Launched in Gujrat state to combat high MMR </li></ul><ul><li>A comprehensive IT application for mother & child tracking system from pregnancy till complete LC for better public health services delivery .Covers the entire rural, urban slum pop. </li></ul><ul><li>Application generates unique health ID for every mother & child ; ensures complete continuum of ANC delivery to reduce IMR/MMR. </li></ul>
  11. 12. Hospital Information System
  12. 13. Computerized Physician Order Entry (CPOE) <ul><li>A Computerized System that aims to reduce prescription & dosage errors, drug allergies & interaction alerts </li></ul><ul><li>Keeps physician updated on treatment guidelines </li></ul><ul><li>Prevents superfluous inv & drugs that are not part of standard formulary </li></ul><ul><li>Prevents medication errors due to human factors – poor handwriting, fatigue </li></ul><ul><li>CPOE must support sophisticated decision such as drug choice, dosage and patient monitoring strategies </li></ul><ul><li>CPOE could be integrated with pharmacy, lab workflows & inventory mgt </li></ul>
  13. 14. Diagnosis Decision Support System (DDS System) <ul><li>A Software that presents comprehensive list of possible conditions (Isabella) </li></ul><ul><li>Prevents failure to consider reasonable alternative diag ( Premature closure/Cognitive failure ) </li></ul><ul><li>Directs physician to helpful medical reference,interfaced with CPOE and HIS </li></ul>
  14. 15. Networking <ul><li>Connected Approach </li></ul><ul><li>Align technology & operational needs to support & streamline information flows </li></ul><ul><li>Critical Health Information available anytime from anywhere </li></ul><ul><li>Interconnected applications like MIS, PACS & EMR </li></ul><ul><li>Connecting entire chain of Hospitals, thereby creating an integrated network of care among physicians, health systems & ancillary services </li></ul><ul><li>Diverse entities can collaborate & communicate effectively working seamlessly </li></ul>
  15. 16. 108-Hope Gets a Number <ul><li>Toll free 108 - Free ambulance service accessible fm all phones, 24 * 7 </li></ul><ul><li>EMRI-PPP - Around 10 000 amb,25 ctrl centres,1 lac trained pers </li></ul><ul><li>Goal - Respond to 1million calls/day &save a mill lives/yr by 2010 </li></ul>
  16. 17. <ul><li>Early Warning & Response System -Remote Sat Imagery +GIS+Met data </li></ul><ul><li>Outbreaks of infectious dis, vector borne diseases-Cholera , SARS can be quickly analyzed using GIS tools. </li></ul><ul><li>. </li></ul>
  17. 18. CLOUD COMPUTING (SaaS) Set of virtual servers working in tandem over the internet Shared hardware, servers & Software High Speed Network More powerful & Dynamic than Grid Computing Inexpensive, efficient ubiquitous & secure
  18. 19. Evolution of Computer Hardware Hardware Genera-tions Feature 1st 2nd 3rd 4th (early) 4th (1988) 4th (2001) Circuitry Vacuum tubes Transistors Integrated Circuits LSI and VLSI ULSI GSI Primary storage 2 KB 64 KB 4 MB 16 MB 64 MB 128 MB Cycle times 100 millisecs 10 microsecs 500 nanosecs 800 picosecs 2,000 picosecs 333 MHz Average cost $2.5 million $250 thousand $25 thousand $2.5 thousand $2.0 thousand $1.5 thousand
  19. 20. The Future Vision
  20. 21. CONCLUSION <ul><li>ICT has made the delivery of healthcare more efficient, effective,accessible and safer across the care continuum for both, patients and providers </li></ul><ul><li>Holds immense promise of changing medical practice for the better </li></ul>
  21. 22. Go as far as you can see, and then see what lies beyond

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