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Ayushman Bharat Digital Mission
The Ayushman Bharat Digital Mission (ABDM) aims to create a national digital health ecosystem that supports universal health coverage, ensuring security, privacy, and accessibility of health data. Key objectives include establishing registries, promoting interoperability, enhancing governance, and involving private healthcare institutions in the initiative. The mission will leverage modern technology and facilitate the sharing of health records, eventually aiming for smooth operational rollout across various states and union territories.
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Ayushman Bharat Digital Mission
- 1. Ayushman Bharat DigitalMission Dr.J.VINOTHINI Junior Resident Community Medicine Banaras Hindu University 1
- 2. National health stack (NITIAayog) 2017 2018 2019 2020 National Health Policy National Digital Health Blueprint National Digital Health Mission Evolution of ABDM 2021 ABDM 2
- 3. Nation-wide Roll-out Expansion- States andServices Roll-out in Union Territories PHASE 03 PHASE 02 PHASE 01 ABDM-Phased Implementation 3
- 4. VISION To createa national digital health ecosystem that supports universal health coverage in an efficient, accessible, inclusive, affordable, timely and safe manner, that provides a wide-range of data, information and infrastructure services, duly leveraging open, interoperable, standards based digital systems, and ensures the security, confidentiality and privacy of health-related personal information
- 5. 5 4 3 2 1 To establishstate-of-the-art digital health systems, to manage the core digital health data, & infrastructure required for its seamless exchange To establish registries to create single source of truth in respect of clinical establishments, healthcare professionals, health workers, drugs & pharmacies To enforce adoption of open standards by all national digital health stakeholders To create a system of personal health records, based on international standards, easily accessible to individuals and healthcare professionals and services providers, based on individual’s informed consent To promote development of enterprise-class health application systems with a focus on achieving the Sustainable Development Goals for health OBJECTIVES OF NDHM
- 6. 10 9 8 7 6 To adoptthe best principles of cooperative federalism while working with the States and Union Territories for the realization of the vision To ensure that the healthcare institutions and professionals in the private sector participate actively with public health authorities in the building of the NDHM, through a combination of prescription and promotion To ensure national portability in the provision of health services To promote the use of clinical decision support (CDS) systems by health professionals and practitioners To promote a better management of the health sector leveraging health data analytics and medical research
- 7. 13 12 11 To providefor enhancing the efficiency and effectiveness of governance at all levels To support effective steps being taken for ensuring quality of healthcare To strengthen existing health information systems, by ensuring their conformity with the defined standards and integration with the proposed NDHM
- 8. Think big, startsmall, scale fast Enable seamless portability Performance and accountability Wellness-centric and wellness-driven Educate & empower individuals NDHM systems to be inclusive Ensure security and privacy NDHM 1 2 3 4 5 6 7 Health Domain Principles
- 9. 1 2 3 4 5 6 7 Universal Health Coverage Citizen-centricServices Quality of Care Accountability for Performance Efficiency and Effectiveness in delivery of services Creation of holistic and comprehensive health eco-system Health and Well-being for all S C O P E O F A B D M 9
- 10. PROVIDERS ALLIED PRIVATE ENTITIES HEALTHCARE PROFESSIONALS NON-PROFIT ORGANISATIONS ADMINISTRATORS POLICY MAKERS Hospitals, Clinics Labs, Pharmacies,Wellness centres Insurers Health-tech companies Doctors (Modern medicine, AYUSH) Other practitioners Development partners/NGOs Associations Regulators Program managers State Governments Central Governments ABDM ECOSYSTEM 10
- 11. Technology Applications Applications Applications Data Infrastructure Technology Data Infrastructure Technology Data Infrastructure Federated Architecture ofNDHB Ecosystem at LOCAL LEVEL Ecosystem at STATE LEVEL Ecosystem at NATIONAL LEVEL CITIZEN ACCESS Health Locker Health Portal My Health App 11
- 12. My health App Access& Delivery Health locker India Health Portal Value-added services Application Building Blocks National programs Medical Education Apps Health & Wellness Apps Emergency care Apps Technology Building Blocks GIS tools Anonymizer Consent Manager Health Analytics Health Info. Exchange Data Hubs Electronic Health Records Health Professional Directories Infrastructure Secure Health Networks Health Clouds Security & Privacy operations center National Health Standards Health lockers Call centers Electronic Medical Records Metadata/data dictionaries NCD registries Facilities Directory Telemedicine HIS Insurance RCH Health research 12
- 13. ABDM Sandbox ABDM Sandboxis a framework that will allow technologies or products to be tested in the contained environment in compliance with NDHM standards and judge the consumer and market reactions to the same This will provide an opportunity to identify, understand, adapt, and respond to these disruptive new products and services in a timely and appropriate fashion Users of an NS can test the product’s viability without the need for a larger and more expensive roll-out. If any concerns arise, during the sandbox period, appropriate modifications can be made before the product is launched in the broader market 13
- 14. Personal Health Records Electronic Medical Records Healthcare Professionals Registry Health Facility Registry Health ID ABDMCOMPONENTS Identification e-Card format Unique case ID QR code Data linked with consent manager Master data Digi Doctor Platform Single repository (public & private) Detailed information on services provided and facilities available e-Health record Longitudinal Health Record Anytime access through mobile Apps Authenticating with consent Ability to control access Digital view of patients’ medical & treatment history from a single health facility 14
- 15. Provide a platformfor interoperability of health care data through a unique identifier for the provider and patient across the health system Providing the technology platform for collection of core health data from the providers and patients Improving the quality of health data collection, storage and dissemination for purposes of research and policy decisions Publish national indicators for health, to measure quality of care and progress against policy initiatives and SDG Goals Capacity building on health informatics, safety and security
- 16. Single, Secure HealthID to all Personal Health Records App Store Specialized services for remote areas/ disadvantaged groups NDHM Call Centre Digital Child Health e-Prescription service Online Appointments Digital referrals & consultations Digital Services provided by NDHM National ‘Opt-out’ (for privacy) CITIZEN / PATIENT SERVICES
- 17. Summary care record Openplatform to access emergency services Technology for practitioner Digital referrals, case transfers Hospital Digitalisation Digital Pharmacy and supply chain Clinical decision support Digital Services provided by NDHM Digital Diagnostics SERVICES BY/FOR HEALTHCARE WORKERS
- 18. Expected Outcome Privacy of data& consent- based access of EHRs Support national portability Diagnostic test only ONCE Integrated Health Services at a single point Easy access to e-Health Records Unified Communication Centre Continuum of Care across primary, secondary and tertiary care Enable evidence-based interventions Support data-driven decision-making and policy analysis 18
- 19. Benefits to allStakeholders Access to Healthcare Choice of providers Online Appointments Control over data Transparency and Trust Technology for practitioner National Discoverability Fast ramp up of practice Increased collaboration Access to longitudinal patient data Digital Pharmacy Easy Discoverability Increased footfalls Faster inventory turnover Digital Diagnostics Easy Discoverability Increased footfalls Ease of reporting results Can target niche, hard to reach customers Easier access to data 19
- 20. Stakeholders’ Suggestions NDHM should takeinto consideration requirements where patients are not allowed to access their medical records, some records which a doctor keeps with themselves such as related to Mental Illness since it is mentioned in the Mental Health Act as well Applications should be developed keeping ease of usage by healthcare professionals in mind, as they are not well versed with the use of application or electronic devices There should be a provision of cloud storage and applications for facilities not having access to these and wanting to adopt NDHM systems Prerequisites (software, hardware, any other requirements) should be provided, as it would require everyone to be prepared for roll out of NDHM in a smooth way Security and privacy of the data residing on the cloud platform should be taken care of, as privacy of a patient is a major concern and there can be legal issues associated with it As patient follow up is necessary, records that are captured at Health and Wellness Center or in a District Hospital, should be synced and made available when the patient is referred to any tertiary care hospital or vice versa
- 21. NDHM- A Gamechanger Complete Digital Health Eco-system with Health-ID, DigiDoctor, Health Facility Registry, Personal Health Records, e-Pharmacies and Telemedicine Ability to securely Store and Access medical records (prescriptions, diagnostic reports, discharge summaries) Pilots rolled in Six Union Territories (Andaman & Nicobar, Chandigarh, Dadra & Nagar, Daman & Diu, Lakshadweep, Ladakh, Puducherry) Enrolling in the NDHM is voluntary; data can only be shared after approval from individuals DigiDoctor will allow doctors from across the country to register on the platform; this helps in providing telemedicine services
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