Speaker:Ananda Sen Gupta, Founder & CEO, Trackmybeat Healthcare Algiers, June 2018

1. Being Smart about
Population Health delivery
Ananda Sen Gupta
Founder & CEO, Trackmybeat Healthcare

2. Smart cities
• Govt of India has announced 100 smart cities, under India’s urban
development scheme
• However, the gaps in Indian towns are large
• Broadband is available only in patches
• Manpower has limited training
• Tracking of work is hard
• Tracking of people’s health is very hard
In line with WHO’s Global action plan for the prevention and control of NCDs 2013-2020, India is the first
country to develop specific national targets and indicators aimed at reducing the number of global
premature deaths from NCDs by 25% by 2025.

3. India – a 1.2 Billion people challenge
Overworked staff
who are not able to
spend sufficient time
with the patients
Large number
of patients
Inadequate follow up
once the patient leaves
the healthcare institution
• The mix of diseases poses unique
problems for India.
1. The age standardized prevalence of raised
blood glucose is 9.0 % for both sexes.
2. 1 in 4 individuals in India aged above 18
years has raised blood pressure
• Health services and health centres are
conversant in dealing with infectious
diseases and deliver acute care
• Due to the presence of a large number
of chronic disease patients, India
requires much more effort in primary
care.

4. The Health Delivery structure
State
Hospitals
District Hospitals
Community Health Centres
Primary Health Centres
Sub Centre / Health & Wellness Centres [Pop: 3,000 to 10,000]
Govt has announced new
National Health Protection
Scheme (universal insurance
policy for families), covering
a population of 300m
people. All screenings to be
held at HWC.
Key Problems to focus on:

5. Trackmybeat Healthcare
• Trackmybeat provides a cloud based health and wellness
management system to monitor and manage users’ health.
• Trackmybeat has successfully deployed solution in India and
Bangladesh, in both urban and rural scenarios
• Has driven the concept of monitoring through local health workers
and remote clinical management team

6. Fitting with India’s Healthcare system
• India’s overburdened public health scenario requires managing
people using a structured care platform
• Trackmybeat’s Care Management Platform presents an integrated
patient treatment model that can be used for e-prescriptions and
remote patient monitoring,
• Works on the principle of structured disease management plans, and
is designed for open and secure integration with existing health
management interfaces.

7. A hybrid model
• Trackmybeat has followed a hybrid model
• Local primary care
• Offline and Online availability of application
• Health workers with limited knowledge and training can be local users
• Smart diagnostic devices and local labs for tests
• Local medicine dispensing
• Expert clinicians remotely creating health management & monitoring protocols
• Central health management plan, customised by Clinician
• Remote team counselling patient and following up
• Telehealth consult with Doctor if needed

8. Implementation - Local
• Baseline survey: Local health workers collect data
from patient’s home
• Continuing period: Checks on patients, conducts point
of care diagnostics, guides them to visit the HWC as
appropriate
• Primary Care: Doctor meets patient at Health &
Wellness Centre and conducts screening
• All data is captured for online electronic medical
record

9. Implementation - Central
• Standardized health management plans are created by
Doctors according to the country’s clinical protocols
• These are assigned to the patients by their doctors
after a health risk assessment and then administered
by local health workers and health care centres
Automated
early alert
and reminder
system
Scheduling for
doctor
interactions and
investigation visits
Patient outreach
through
messaging
and portal
One platform for
e-prescriptions,
dispensary,
reports

10. HWC Services offered
A. Care in Pregnancy and Child Birth
B. Neonatal and infant health care services
C. Childhood and adolescent health care services including immunization
D. Family planning, contraceptive services and other reproductive health services
E. Management of common diseases and general out-patient care for acute/simple/minor
ailments
F. Management of communicable diseases: National Health Programs
G. Prevention, Screening and management of Non-communicable diseases
H. Screening and Basic management of Mental Health ailments
I. Care for common ophthalmic and ENT problems
J. Basic oral health care
K. Geriatric and Palliative Health care services
L. Trauma care (that can be managed at this level) and Emergency medical services

11. Implementation..
• Mobile Application on Tablet / Phone for Health workers: Data
capture, receiving reminders and alerts
• Reminders to Patients about health actions
• Mobile Application on Tablet for Nurse Staff at Health & Wellness
Centres: Delivering Primary Care
• Provides Primary Care
• Refers Patients to Primary Health Centre
• Web Portal for Doctors at Primary Health Centres when checking
referred Patients