Health Systems Strengthening Innovations in Policy, Processes and Technology- shiban ganju, atrimed

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Health Systems Strengthening Innovations in Policy, Processes and Technology- shiban ganju, atrimed

  1. 1. Indian Health Information Network Development I-HIND SHIBAN GANJU 15 DEC 2011 eindia.eletsonline.com
  2. 2. ProposalCreate a national interoperable healthinformation network to enable variousstakeholders to have access to healthcare information. eindia.eletsonline.com
  3. 3. National Knowledge CommissionI-HIND Working Group: 2007-08 • Prof. N.K Ganguly, Chairman • Mr. B.S Bedi • Mr. Partha Chattopadhya • Dr A K Shiva Kumar • Dr. Ramakrishnan • Prof. K Srinath Reddy • Mr. Rajdeep Sahrawat • Dr. YK Sharma • Dr Shiban Ganju , Convener, I- HIND eindia.eletsonline.com
  4. 4. Ministry of Health Expert Working Group 2009-10 (I-HIND) Advisors1. Mr. B S Bedi, Adviser, CDAC & Media Lab Asia2. Dr S K Mishra, Professor, SGPGI, Lucknow:3. Dr. Khalid Moidu, M.D., Ph.D. Prof. Health Informatics:4. Dr. Y K Sharma, NIC, Delhi Members1. Vishwanath Anantraman2. Dr. S. B. Bhattacharyya3. Miratha Hussain4. Manoj K Menon5. Dr Thanga Prabhu6. Salai M C A7. Mr Ashwani Shrivastava8. Dr Kinjal Vora9. Dr. Supten Sarbadhikari10. Dr Ajit N Babu11. Mr Chayan Dhar, National Informatics Center Convener / Facilitator Dr. Shiban Ganju eindia.eletsonline.com
  5. 5. Objectives Improve Healthcare Quality Drug Healthcare Surveillance Finance & Technology iHIND Public SecureHealth & access toPlanning data “on- demand” Fraud & Reduce Abuse duplication Prevention and errors eindia.eletsonline.com
  6. 6. StakeholdersHealthcareproviders & IT Vendors Education &payers Research InstiutionsPharma & TelemedicineDevicemakers Institutions CitizensPublic Health Governmentand NGOs Organizations eindia.eletsonline.com
  7. 7. Value Chain ConsumeEnablers Develope Provider rs Policy rs s HealthRegulation Industry Hospitals Literacy s Paying Academia Ancillary Health ability Finance R&D Labs Personnel Civil ICT organizati ons eindia.eletsonline.com
  8. 8. InteroperabilityVocabulary Content Exchange• LOINC • Health Level 7 (CDA)• ICD10 •HL 2.5.1• SNOMED CT • DICOM• CPT4• RxNORM iHINDCommunication Protocol Security• Web Services • Encryption• XML • TLS, IPv6, IPv4 with IPsec• SOAP • Audit log, audit trail eindia.eletsonline.com
  9. 9. Hub and spoke model center district district state district district District info exchanges eindia.eletsonline.com
  10. 10. Architecture eindia.eletsonline.com
  11. 11. Data Collection Workflow • Patient Encounter • District Hospital • Essential Data Elements • Paper and Electronic options eindia.eletsonline.com
  12. 12. Essential Data ElementsDemographics Clinical Identifiers First Name Encounter Date Unique Identifier (UHID) Middle Name Chief Complaint Local Medical Record # Last Name Temperature Unique Provider ID Birth Date Pulse Unique Treating MD ID Death Date Blood Pressure Unique Referring MD IDCause of Death Weight Insurance ProviderFather’s Name Height Insurance TypeMother’s Name Diagnosis Address ICD code City Treating MD State Referring MD Zipcode Radiology Tests Gender Lab TestsPhone Number Marital Status Blood Group eindia.eletsonline.com
  13. 13. EHR SOLUTION(Ref: Canada Health Infoway)ANCILLARY HEALTH INFO REGISTERY EHR DATA DATA DATA DATA SERVICESERVICES WAREHOUSE SERVICE EHR LONGITUIDINAL RECORD SERVICES LOCATOR HEALTH INFO ACCESS LAYER (HIAL) PoS APP PoS APP EHR VIEWER eindia.eletsonline.com
  14. 14. Policy Framework• Formal agreement between iHIND and participating entities: a) Submission of data to iHIND b) Use and Disclosure of data• Promote cooperation and trust in the network• Participatory management structure• Compliance with applicable lawsStorage/Admin Use of Data Confidentiality Access Essential Data Clinical Care Owner=Citizen Authorization Standards Research Report breaches Verification Data Mapping Public Health De-identify Patient Care Education Disclosure Logs Legislation eindia.eletsonline.com
  15. 15. Governance National Health Information AuthorityNational autonomous (neutral) governing council• Overall Accountability• Ensure appropriate participation• Ensure policy and legal consistency• Ensure transparency eindia.eletsonline.com
  16. 16. Timeline Pilot Phase National Roll-Out Pre-Pilot • 2 districts • 624 districts• Proposal Review • Implementation • District RHIO set up• Awareness • Evaluation • Phase I-VI• Legislation • 18 months • 102 months• Budget• 9 months eindia.eletsonline.com
  17. 17. Timeline: National Implementation eindia.eletsonline.com
  18. 18. Timeline: Pilot Phase eindia.eletsonline.com
  19. 19. Implementation Comparison with USA USA Health IT Strategic plan update process May 2010 – Oct December 2009 – May 2010 2010 Strategic Plan HIT Policy National Workgroup Committee Coordinator Drafts Framework Drafts, Clears, and Guiding Principles Publishes Strategic for Policy & Recommends Plan – Technology Strategic Plan Strategic Plan Framework to Framework Serves as Themes, Objective National Coordinator Foundation s, and Strategies eindia.eletsonline.com
  20. 20. Challenges• Leadership• Stakeholder “buy-in”• Funding• Adaptation – Local Practices/Processes – Technology : connectivity, standards eindia.eletsonline.com
  21. 21. National Change Management Framework Ref: Canada Info-way eindia.eletsonline.com
  22. 22. Indian Health Information Network Development (I-HIND)Pilot for rural health ITConnect 16 Rajiv ArogyaYojna clinics, Amethi, UP Collaborators IAMI CDAC SAI Tech Asia Heart FoundationSave A Mother Foundation eindia.eletsonline.com
  23. 23. Expanding to a Village aDay… 600,000 villages in 1643 years eindia.eletsonline.com
  24. 24. From Sickness to Health India Needs Scale with SpeedIndian Health Information Network Development eindia.eletsonline.com
  25. 25. skganju@aol.com eindia.eletsonline.com

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