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In government hospitals usually have waiting periods for admission to routine surgeries which may extend up to 3 years (AIIMS-Neurosurgery).patients usually have to have to wait addition periods as admission is dependent on vacant beds. This is a very painful period for patients & their families as they have to come daily to check the status of vacant beds in the hope of getting admission. Project ‘mPAIN’ aims at making this process pain-free. In this project custom-made software lists the waiting patients and matches them against available beds, depending on the criticality of the patient’s condition and the waiting period. The software then sends a sms to the selected patient(s) to come for admission. Rest of the patients on the waiting list are sent sms’s regarding the admission status for the day and telling them not to come. Patients can also see the real time status on the web portal especially designed for this purpose. This makes the whole process extremely hassle free for the patients, besides making the system transparent & accountable.

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  1. 1. mPAIN -Mobile Patient Admission Information Network An m-health initiative by JPN Apex trauma Centre, AIIMS Dr Deepak Agrawal Head, department of IT JPN Apex Trauma centre, AIIMS, New Delhi
  2. 2. Background <ul><li>There are long waiting lists for admission in public funded hospitals </li></ul><ul><li>For some specialised procedures like Neurosurgery waiting list currently exceeds 3 years! </li></ul><ul><li>Lack of transparency & accountability in the admission process </li></ul>
  3. 3. BACKGROUND <ul><li>In absence of a automated system, there is chaos at the admission counter </li></ul><ul><li>Patients & relatives have to travel daily from long distances till they get admitted </li></ul>
  4. 4. BACKGROUND <ul><li>Mobile penetration in India exceeds 80% </li></ul><ul><li>Almost every family has access to mobile </li></ul><ul><li>Pilot study at JPNATC shows that all patients could give a mobile number at the time of registration </li></ul>
  5. 5. INTRODUCTION <ul><li>Although Call-centres are common in commercial industries like telecom, the concept has been alien to hospitals. </li></ul><ul><li>Hospitals usually have reception desks which manage general enquiries and appointments. </li></ul>
  6. 6. INTRODUCTION <ul><li>An integrated call-centre on the other hand manages extensive backend administrative chores and services besides providing a host of patient related activities on a common platform. </li></ul><ul><li>JPN Apex Trauma Centre has a mature EMR system making it ideal for case study </li></ul>
  7. 7. AIMS & OBJECTIVES <ul><li>To streamline the process admission and minimize wait times for patients by using m-health initiatives. </li></ul><ul><li>A secondary objective was to improve transparency and accountability in the admission system </li></ul>
  8. 8. <ul><li>Target group: </li></ul><ul><ul><li>General public and patients visiting hospitals </li></ul></ul><ul><li>Geographical reach: </li></ul><ul><ul><li>All over India (As patients come from various states from all over the country to AIIMS) </li></ul></ul>
  9. 9. M-PAIN- A new module developed at JPTAC, AIIMS
  10. 10. Features of m-PAIN <ul><li>Accessible over Intranet & Internet </li></ul><ul><li>Fully integrated to dedicated Call-Centre (+91-11- 4040-1010 ) </li></ul><ul><li>Integrated with SMS gateway </li></ul>
  11. 11. Home page- mPAIN
  12. 12. Home page- mPAIN
  13. 13. Patient details are automatically pulled from the existing database
  14. 14. Date for admission is automatically given by the system based on a especially developed algorithm
  15. 15. mPAIN- Call Centre Integration <ul><li>The call-centre phones up the patients within a week to check for completion of formalities & sending sms updates </li></ul><ul><li>The call centre updates the information on the web application </li></ul>
  16. 16. mPAIN <ul><li>The system automatically displays the patients in queue based on the number of empty beds </li></ul><ul><li>SMS & voice call is made to successful patients </li></ul><ul><li>SMS is sent to unsuccessful patients </li></ul>
  17. 17. TECHNICAL OVERVIEW <ul><li>Hardware </li></ul><ul><ul><li>HP proliant rack mounted servers </li></ul></ul><ul><li>Software </li></ul><ul><ul><li>PHP,AJAX, .net, Javasript, Perl for connection </li></ul></ul><ul><li>Platform </li></ul><ul><ul><li>Linux OS; Windows </li></ul></ul>
  18. 18. Achievements <ul><li>Patients no longer have to queue up daily for admission </li></ul><ul><li>The system has resulted in markedly enhanced convenience & comfort for patients & relatives </li></ul><ul><li>Increased transparency & accountability in the system </li></ul>
  19. 19. USP <ul><li>Independent of make of mobile phone!! </li></ul><ul><ul><li>SMS & voice call based </li></ul></ul>
  20. 20. INTERACTIVITY <ul><li>Fully functional call centre with all applications integrated and real time availability. </li></ul><ul><li>Even illiterate people can interact, get appointments, discuss their problems and have their questions sent (by email) to concerned doctors without any technological barrier </li></ul>
  21. 21. Sustainability & Scalability <ul><li>The total expenditure is presently around Rs 1 lakh/ month (including a nine seater call centre) </li></ul><ul><li>The width and breadth of the initiative is immense. One tele-centre can cover multiple hospitals, or at state level and even at national level </li></ul>
  22. 22. Vision for mobile technology in India <ul><li>Our vision is to have mobiles as enabling devices for the empowerment of society so that appropriate information is available without end-user technological barriers to the masses. </li></ul><ul><li>For this, a back end call centre which collates all data, integrates with mobile application and acts as an ‘ human middleware ’ to the masses is essential. </li></ul>
  23. 23. THANK YOU