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I came to this agency OTTET with a sheer frustration of not being able to implement
                                                              some of the rural telemedicine projects, because there was no taker, acquainted with
                                                              telemedicine practices, to help Government, to take this telemedicine project to grass
                                                              root level or village level. Those who are acquainted with telemedicine practice in the
                                                              country known that it has not gone beyond the district level. This is the enterprise who
                                                              came and approached us to help them design the network and help them with all
                                                              possible steps of implementing the telemedicine project in Orissa at the grass root level.
                                                              We suggested OTTET, as a knowledge partner, to help them to develop this kind of skill
                                                              for developing rural entrepreneurship.
                 Prof. S. K Mishra
           Nodal Officer, School of Telemedicine
( National Resource Center for Telemedicine under Ministry
of Communication & IT & Ministry of H & FW, Govt of India),
                    SGPGIMS, Lucknow
To make them capable, semi-skilled personnel, from out of unemployed pool of mass. So now, based on Public Private Partnership
model, OTTET is the main implementing agency, School of Telemedicine is the knowledge partner and few industries are also willing to
support this initiative, and the State Government become the main anchorage. The National Rural Health Mission does not go even below
the District level. Government is very much concerned that it is really very difficult to take this network to the PHC or CHC and at village
level. Now with this model we suggest that with our support to develop this scheme, OTTET can manage this telemedicine network from
village level. It will be fruitful for common man of the village. It helps to avoid unnecessary travel. We want to develop different delivery
schemes not only in health sector but other type of services and e-health applications. OTTET is capable for extending other kind of
services at the village level. It will be operated by semi-skilled people, health workers and even by ANMs. OTTET is soliciting our
suggestion to create and develop a network of health personnel. To prevent misuse of this system; it is being monitored by the
Government as well as SGPGIMS and will provide quality health care services which has to be scalable, in order to cover the entire
State, covering more than 51000 villages.
•    Unique Telehealth enterprise on PPP model first of its kind in the country in such dimension.
•    Involvement of Govt. Partners from design, Planning architecture of network and service model through out implementation process
     with strict monitoring guidelines.
•    Committed, experienced & enthusiastic implementing agency.
•    First project of its kind exploring potential of employment generation among unemployed rural youth, school drop outs, women
     segment of the society.
•    Potential for creating a mass of semi-skilled productive workers from among unskilled young unproductive population reducing burden
                                                                                                                                    3
     on the society.
Sri Prasanna Acharya
                                         Hon‟ble Minister, Health & Family Welfare and PGPA
                                                            Govt of Odisha




“As all of us know Sri Bhagat is a devotee of Sri Sathya Sai Baba. I think this devotion is prompting him
to indulge himself and his benevolent Trust OTTET to do such beneficial work in health sector in the
State. In a State like Orissa with varied geography, problems of inaccessibility, of communication, we
have the excellent telecommunication network. OTTET's telemedicine network will have the advantage
not only helping Government of Orissa in healthcare but also creating employment for entrepreneurs
after imparting training to them, for providing healthcare service to poor patients in remote locations on a
nominal service charge and connecting them to Doctors, through a virtual OPD. I had the opportunity to
inaugurate OTTET's first project on telemedicine at Rairakhol. All of you know Rairakhol is a forest area
full of mountains, no communication, no road and no water to drink in such a backward area of the
State. He started his first project in telemedicine in Rairakhol. He used to tell me that he has a plan of
telemedicine project extending to every nook and corner of Orissa. Very often I used to wonder OTTET
has taken over such a job, which I think, even the State Government would hesitate to take up !
Accordingly, I feel Mr. Bhagat is the fittest person in the State to take over such a beneficial project
which he is very slowly but steadily implementing. “

                                                                                                          4
OTTET Facility Center
      Resource Convergence model
       for B2B, B2C & G2C Services
     An extraordinary configuration of
         Information Technology for
        Transformation Technology
      to revitalize the villages of India

Educare          Medicare             Sociocare
OTTET is the 1st organization of the country to roll out the India‟s 1st Telemedicine Project
i.e ICT Enabled Model Healthcare Delivery Services in Allopathy & Alternative Medicine at
the door step of Villagers on 5th March, 2010. Over the past decade or so, there have been
islands of e-Governance initiatives in the country at the National, State, Districts and even
Block level. Some of them have been highly successful and are ready for replication across
other States. Experiences from successes as well as the failures of the various initiatives
plays an important role in shaping the e-governance strategy of the country. The Scheme is
being implemented through a Public Private Partnership. The Common Service Centres
(CSCs) model of Department of Information Technology, Govt. of India are the primary
physical front-end for delivery of Government and private services to citizens. They are one
of the three pillars of the core and support infrastructure of the National e-Governance Plan
for enabling, anytime anywhere delivery of government services. Till date, specific to health
service delivery at grass root level, no such model has been tried out.

Based on the Public Private Partnership (PPP) model, OTTET in association with
Government of Odisha rolled out such a platform in technical collaboration with School of
Telemedicine & Biomedical Informatics, SGPGI, Lucknow, National Resource Centre for
Telemedicine under the Ministry of Communication & IT and Ministry of Health &
Family Welfare, Government of India with the support & co-operation of Government of
Odisha, with the following objectives.

                                                                                           7
Objectives of Telemedicine :-

•   Creation of e-Infrastructure at Village level to facilitate delivery of healthcare
    advice and knowledge towards Preventive and Promotive Health, to the
    citizens at their door step.

•   Imparting training and skill to local unemployed youth in Tele-health
    technology and hand holding them to develop self-employment through
    entrepreneurship, to act as ancillary unit of OTTET.

•   Creating a technical pool of skilled healthcare ICT human resource for the
    state government to handle the health ICT infrastructure of the State, there
    by generating employment opportunity from which economic connectivity
    are going to emanate.



                                                                                     8
Installation of e-Health & Telemedicine Programme in
                            PPP mode
•    Opportunity for consultation with Doctors online in a virtual environment
     will facilitate people in rural as well as in urban areas to interact with
     Doctors in Hospitals, Nursing Homes & Clinics including Specialist
     consultation.
•    All Government Doctors in the districts are allowed to extend their
     professional services to OTTET on realization of fees for such
     consultation.
•    CDMOs have been directed by Govt. of Orissa to provide space in the
     premises of Districts and Sub-divisional Hospitals and Primary and
     Secondary Health Centers to setup telemedicine facilities.
•    OTTET will be associated in all NRHM programme including School
     Health programme.
•    OTTET to provide the Telemedicine Network Services in all Common
     Service Centre (CSC) of the state as per the suggestion of Department of
     IT.
                                                                              9
OTTET’s Strength
 • Readily available Infrastructure for instant deployment.

 • Data Centre with Telemedicine Software.

 • Integrated Diagnostic Telemedicine Devices with Video
   Conferencing Facilities.

 • Availability of Pool of Doctors & Specialists on the
   Telemedicine Network.

                                                              10
11
12
Benefits of OTTET Telemedicine
•   The only solution to meet all the requirements of NRHM.

•   Creating Database of health record for every individual.

•   PHR – Personal Health Record
    Provide Personal Health Access to Patients, Doctors and
    Hospitals

    – Medical History Repository
    – Medical Image Archive
    – Scheduler for Medication and Appointment reminders

                                                               13
Benefits of OTTET Telemedicine
•   Creating Employment, deploying unemployed youth,
    producing Trained Telemedicine Technician to meet the
    requirement of Healthcare Services.

•   Revitalization of Villages.

•   Reduction of rural – urban migration minimizing urban
    pollution.




                                                            14
OTTET IS CREATING AN INTEGRATED DISTRIBUTION PLATFORM ACROSS PHYSICAL AND
                    VIRTUAL TOUCH POINTS TO DELIVER HEALTHCARE

                                                                 Cardia
  Customer centric services that                                    c
                                                             ENT / Skin / Eye
     provide interventions to
 beneficiaries suffering from acute                     Pregnancy      Mental Health
       and chronic ailments
                                              Asthma    Diabetes     Hypertension        Acute

   Customer touch-points that               Phones              IEC channels              MHUs
 provide services to beneficiaries
                                            Kiosks                  Web                NGO Partners

 Health workers that supplement
                                          ASHAs/ANMs               RMPs                 Paramedic
       services from OTTET


Core platform services that provide
  a distribution platform for out        OTTET          OTTET              OTTET            OTTET
   patient access to bridge the          Advice         Mobile              Mobile          Facility
        demand-supply gap                               Hospital          Technician        Center



                                           Common Registration            Electronic Health Records


Shared services that are utilized by          Preventive care                   Tele-referral
all platforms to provide an integrate                                     Chronic Disease Mgmt &
            set of services             Follow-ups & Continuity care
                                                                            Post Operative care

                                           Health Contact Center           Mission Control Center      17
OTTET Telemedicine Network
      to Support & Strengthen NRHM Action Plan
(a)   Support to ASHA

(b)   Strengthening Sub-centers

(c)   Strengthening Primary Health Centers

(d)   Strengthening CHCs for First Referral Care

(e)   Support to District Health Plan

(f)   Converging Sanitation & Hygiene under NRHM

(g)   Strengthening Disease Control Programmes

(h)   Support for Reorienting Health/Medical Education to Support Rural Health
      Issues

(i)   Support to New Health Financing Mechanisms

(j)   Through Public-Private Partnership for Health Goals as per the norms and
      guidelines of NRHM
                                                                                 18
Goal of NRHM                  Goal of OTTET Telemedicine

  The Goal of the mission        • To get proper medical relief should be
is to improve the availability     the very birth right of any diseased
                                   person.
   of and access to quality
    health care by people,       • Receiving medical relief should not be
      especially for those         beyond the means of any human being.

    residing in rural areas,     • Doctors & para-medical staff should
           the poor,               have a „human‟ approach in thought,
     women and children.           word and deed.

                                 • Attempt should be made not only to
                                   provide physical & psychological well
                                   being, but also to strengthen the Spirit of
                                   Man.
                                                                           19
OTTET Telemedicine Proposal for OPD                       &   IPD
Registration System at all Govt. Hospitals

• Initially we can implement this system at Dist. HQ Hospital (DHH)
  & Sub-Divisional Hospital (SDH) & Area Hospital, where all
  specialist services are available

• Also we can implement it at CHC level but it is feasible to
  implement at the CHC where more than 2 specialist services are
  available & OPD patient load more than 100 per day

• Also at Medical Colleges, capital Hospital & Other big urban &
  rural hospitals



                                                                      20
21
OTTET TELEMEDICINE WOULD LEVERAGE A SET OF GUIDING PRINCIPLES TO
              ADDRESS THE OUTPATIENT VISITS GAP IN INDIA

1. Reduce the burden on doctor workforce by optimizing the usage of non-doctor healthcare
   „professionals‟ (ASHAs, Telemedicine Technicians)

2. Break the last mile reach barriers by using remote and virtual solutions, with the help of
   latest technology

3. Promote prevention, as prevention is better than cure (e.g., immunization, nutrition
   checkups, integrated disease surveillance)

4. Put the health knowledge back into the community, encouraging self-help

5. Complement, supplement and augment the existing healthcare infrastructure

6. Deliver a low cost and fast solution which can address most of the gap

7. Leverage private sector talent to its fullest

8. Better accessibility through Telemedicine
                                                                                          22
23
Out Patient Department – Patient Registration




                                                24
OTTET’s Telemedicine targets :
Telemedicine applications offered by OTTET - Telemedicine
Programme satisfy a wide range of needs. Going from the most
efficient management of medical care being extended to all, to
the possibility of guaranteeing to all individuals the highest levels
of safety, protection and comfort at Village, Home, Corporate
office, Mines, Industries, during a trip or in leisure time. That is
why the interest on telemedicine goes over the fields that are
tightly connected to medical care (Doctors, Specialist, Nursing
Homes, Facility Centers, Medical Colleges, Hospitals
(PHC,CHC), Diagnostic centers, Research institutes, etc.) being
also extended to operators that aim to offer an added value for
their clients namely :-

                                                                    25
OTTET’s Telemedicine targets :
Public :
1.Home care
2.Students of School & Colleges
3.Tele-monitoring
4.Disease Management
5.Health Corporations

Private :
1.Banks, Financial Companies, Companies issuing credit cards
2.Insurance companies, Brokers
3.Telecommunication companies, Utilities
4.Big Industrial Enterprises
5.Fitness Centers, Well Being Centers
6.Sport Societies, Associations
7.Companies working in the travel and leisure time sector
                                                               26
OTTET’s Telemedicine targets :
Direct impact on Preventive and Curative Healthcare :

1.Cardio-Vascular Diseases
2.Hypertension, Anemia
3.Diabetes (Type-II)
4.Skin Diseases (many)
5.Respiratory Diseases
6.Eye Care NPCB (National Programme for Control of Blindness)
7.Common Ailments
8.Follow-ups and referrals




                                                                27
OTTET’s Telemedicine targets :
Handling of Typical Targeted Programme
1.  National Iodine Deficiency Disorder Control Programme (NIDDCP)
2.  National Vector Borne Disease Control Programme (NVBDCP)
3.  Integrated Disease Surveillance Project ( IDSP)
4.  National Leprosy Control Programme (NILCP)
5.  Reproductive and Child Health
6.  Revised National Tuberculosis Control Programme (RNTCP)
7.  Health awareness, social health (through videoconferencing,
    multimedia)
8. Health records, immunization
9. Health insurance
10. Medicine inventory planning and tracking, reaching genuine
    medicines

                                                                 28
OTTET’s Telemedicine targets :
Testing at Door Step :
1.    Urine                          Malaria                     Gastrointestinal Infection
2.    Blood Test                     1. Malaria Ag P.f/Pan       1. H.Pyloria Ab
3.    Blood Pressure                 2. Malaria Ag P.f           2. Cholera Ag 01
4.    Respiratory Test               3. Malaria P.f/P.v Ab       3. Rota/Adeno Ag
5.    Oxygen Saturation(O2)
6.    Skin Test                      Dengue Fever                Other Diseases
7.    Spiro Metric Test              1. Dengue NS1 Ag+ lgG/lgM   1. Chagas AB
8.    ECG                            2. Dengue NS1 Ag
9.    HIV                            3. Dengue lgG/lgM           Cardiac Marker
10.   TB                                                         1. Troponin I
                                     Tuberculosis
Blood Borne Diseases                 1. TB Ab                    Fertility Hormone
1. HBsAg                             2. TB Ag MPT64              1. hCG(urine)
2. HCV Ab
3. HIV ½ Ab                          Other Febrile Diseases
                                     1. Leptospira Ab
STD (Sexually Transmitted Diseases   2. Chikungunya lgM
1. Syphills Ab                       3. JEV lgM
2. Chlamydia Ag

                                                                                              29
Functionalities of
    OTTET’s Mobile Hospitals (Proposed)
•   OTTET is providing medicare at the door step, especially in village
•   OTTET Mobile Hospital, have all sophisticated diagnostic services namely
    ECG, X-Ray machine, Ultrasound imaging system, Auto analyzer, etc.
•   OTTET Mobile Hospital to treat all kinds of diseases- fever, gastroenteritis,
    diabetes, hypertension, etc.
•   This system is pro-active, as it prevents the occurrence of the disease rather
    than curing it after its onset.
•   OTTET Mobile Hospital try to promote good conduct, habits and hygenic
    practices among the villagers.
•   The programme provides a chance to the village youth to work as
    entrepreneurs for the rural health care programme.


                                                                                     30
Mobile Hospital & Emergency Care Unit
                                                  (A Moving Marvel of Holistic Medicare)
It is said, 'India truly lives in her villages'. It is for this reason, perhaps, Orissa Trust of Technical Education and Training (OTTET) has laid great
emphasis on rural health care by Telemedicine network in village settings. OTTET's stress is on providing medicare right at the door step,
especially in villages where the poor and needy cannot have access to quality health care.

In keeping with this ideal, OTTET has designed Telemedicine alongwith a moving marvel of holistic medicare through OTTET Mobile Hospital.
It will have all the sophisticated diagnostic services like ECG, X-ray machine with automatic film processor, an ultrasound imaging system for
Radiology, an auto analysis, a centrifuge, a microscope and a VDRL shaker. In fact, in the words of an expert and experienced doctor, “it is
inconceivable that a medical service activity in a remote setting can have such an excellent clinical support.” The OTTETs Mobile Hospital will
treat all kinds of diseases common ailments like fever, gastroenteritis etc., emergency situations and chronic ailments like epilepsy, diabetes,
hypertension, etc., besides gynaec cases which can be taken care of through telemedice mode. Everyone men, women and children are
treated without any distinction of caste, creed or status.

The modus operandi of the Mobile Hospital project is, a team of twelve doctors belonging to five specialities, namely, general medicine,
orthopedics, general surgery, radiology and gynaecology make regular visits every month on specified dates to cover all the villages of the
state. In addition, specialists form the branches of ENT, Dentistry and Ophthalmology also visit these villages once in every three months. The
doctors' repeated visits every month to the villages concerned on pre-determined dates ensure follow-up care for the patients receiving
treatment from the Mobile Hospital, providing complete satisfaction to the doctor as well as the patient. The system is pro-active in that it
preempts the occurrence of the disease rather than curing it after its onset. Thus, it is a preventive health care programme, in a way.

The relationship between the doctor and the patient will be beyond the ordinary; it is much more intimate. The doctor will be their friend,
philosopher and guide, for each patient knows for sure that the doctor is their genuine well-wisher. He is verily 'God' come for them. It is
perhaps for this reason that, apart from effective treatment for various diseases, cures have also been effected in these villages almost
miraculously.

The OTTET's Mobile Hospital endeavours to provide not merely treatment and medicines for patients visiting it, but strives to promote good
conduct, habits and hygienic practices among the villagers. The villagers are taught and encouraged to keep their houses and the surroundings
clean, ensure pure air and water, nutritious and clean food, and above all, abstain from unhealthy habits like smoking and drinking. Thus, the
programme encompasses a wider area of healthy and harmonious community living free from diseases. The health care programme is a
continuous and sustained programme as the local youth are also encouraged and involved in it. They work as village youth entrepreneurs for
this rural health care programme.

                                                                                                                                                     31
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Objective of OPD & IPD Registration System:
OPD (Out-patient Department) SYSTEM:
•   Not to keep the patients information but to know that how many specialist services
    utilized per day in OPD services
•   Optimum utilization of Doctors Services by centralizing the registration system
•   Reduced the paper work at department wise (Currently Doctor are recording the patient
    information like name, sex, age, address in register)
•   End of the day this generates the OPD reports :
    •   Department wise
    •   Age wise
    •   Category wise (Male / Female / Child)
    •   Also generate a report about New case OPD registration & Old Case
        OPD registration. It implies that a patients how many times turn to a
        particular department for treatment or next time to which he/she has
        referred for treatment
    •   How many cases referred to ward for taking admission in to bed
    •   Also this generates the user fee collection report day wise
    •   Attendance & available of Doctors list in OPD can be generated
                                                                                      44
Keep indoor patients information

•   Patients details & brief history about his/her disease
•   Date of Admitted in to the Bed
•   Date of Discharge for Hospital

End of the day this generates IPD reports :

•   Patients admitted in bed category wise (Male / Female / Child)
•   New patients admitted & old patients continue department wise
•   No of patients admitted department wise
•   No of patients discharged department wise
•   Bed Occupancy Rate as a whole
•   Bed Occupancy Rate Department wise
•   Last day, the staffs were present in the duty department wise
•   How many Indoor patients referred to higher level hospitals for
    treatment department wise
                                                                      45
In which way this small OPD & IPD registration system will help the
health administration in decision making?

With help of this small registration system, we can analyze lot of
activities:

•   The average OPD patient load department wise.
•   The trend of Bed Occupancy Rate department wise.
•   Departments in which more beds, more staff (Doctors, Paramedics, Cl-IV
    etc) or more civil infrastructure required.
•   Report on Patients treated in OPD by a individual Doctor calculated period
    wise.
•   24-Hrs staying of Preg. Mother after delivery can be tracked. By which we
    not only avoid the Post partum complication but also ensure the reduction
    of MMR.
•   JSY payment can be tracked & false registration of deliveries in delivery
    register (Conversion of Home Delivery to institutional Delivery, No delivery
    to Instructional delivery) can be stopped.

                                                                               46
Our Proposed Services        ( Any Where, Any Time)


   Monitoring Centre                   Online Doctor



                                       Expert Opinion
   Web based medical File


                                       Check Up &
    Personal Clinical File             Prevention


                                       Online Prescription
    Life Saving Card


                                        Nutrition & Care
    Visual Medicare
                                                           47
Wireless Medical Monitoring Devices & HMIS
                  Web-Based Medical File Viewer
                  • Web-Viewer enables secure Internet access to the patient's medical data and
                    vital signs measurements record through the medical monitoring center.


                  • This unique feature allows remote third party observation (ready-only format)
                    by the patient's personal physician or family for greater confidence and
                    success during the patient's convalescence.


                  • A complete medical record is available on demand through the web for
                    consultation by a physician or medical staff whom the patient has authorized.




                  Monitoring Centre Features
                  •   Automatically receives all measurements in one system
                  •   Obtains medical data via IP and PSTN lines
                  •   Automatically stores the patient measurements in the personal file
                  •   Analyzes medical parameters
                  •   Includes voice and video conferencing capabilities
                  •   Logs and maintains event history
                  •   Stores current administrative user information and user medical history
                  •   Remotely controls home monitoring devices and gateways
                  •   Operates under WindowsTM OS
                  •   Enables personal alarm value setting for each patient (Alert function)
                  •   Handles medical reports
                  •   Enables remote physician access
                  •   Enables reports generation and transfer via Internet (e-mail)
                  •   Incorporates secure web-viewer
                  •   Provides easy connection to external systems
                                                                                                    48
Medical Records Archive




                          49
OTTET Telemedicine for :
    OTTET innovative programs have certain clear messages to convey
    to the medical community :

•   Globalisation of Medicare, To get proper medical relief should be
    the very birth right of any diseased person.
•   De-commercialisation of Medicare, Receiving medical relief
    should not be beyond the means of any human being.
•   Humanisation of Medical Aid, Doctors and para-medical staff
    should have a 'human' approach in thought, word and deed. They
    should practice 'Human Values'.
•   Spiritualisation of Medical Profession, Attempt should be made
    not only to provide physical and psychological well being, But also
    to strengthen the Spirit of Man.
                                                                     50
OTTET Telemedicine School Health
Program
Services To Students

1. Yearly Medical Checkup
2. Recording data on the website to create PHR
3. A demographic profile of the student
4. A special card with details about disease, name of treating doctor
   and contact number for students suffering from chronic diseases
5. Referral of students who require attention of a specialist, to referral
   centers and subsequent follow up of these cases.
6. Access to school health portal
7. Privilege Card to every students carrying School name & OTTET
   Telemedicine Logo
School Health Card

FRONT SIDE:                                             BACK SIDE:
                                                      HEALTH DETAILS OF STUDENT
School Name:_____________________
ID card no:_______________________                    Specific Medical History:
Issue date :______________________                    ________________________________________
                                                      ____________________________________________
                                                      ____________________________________________
Name:___________________________
                                                      Allergy if any: ________________________________
                                            Student
____________________________________                  ____________________________________________
Std: _________________ Div: _______
                                             Photo
                                                      Emergency medicines & treatments:_______________
DOB: ________ Blood Group: _________                  ____________________________________________
Address:______________________________                Doctor Name: ________________________________
                                                      Doctor’s Contact No: __________________________
_____________________________________
                                                      Emergency Contact No:_________________________
Tel no:_____________
                                                      ____________________________________________
Password for web record:______________
Student Health Record
     Personal Details                                                                        Personal History Assessment
1    Name
                                                                                        31   Asthma                        YES    NO
2    Address
                                                                                        32   Diabetes                      YES    NO
3    Postcode
4    City
5    State
                                                                                        33   Anaphylactic Reaction         YES    NO
6    Phone ( R )
7    Date of Birth                                                                      34   Seizure Disorder              YES    NO
8    Gender
                                                                                        35   Allergy                       YES    NO
9    Name of Family Physician
     Contact number of Family                                                           36   Any Other Specify
10   Physician
                                                                                             Eye Examination
     Screening / Test Results
11   Height                                             Immunization Record             37   Squint                        YES    NO
12   Weight                                              Dose 1       Dose 2   Dose 3
13   Pulse                                 DTP
14   Blood Group                           DTB/Hib
15   Hb                                    DT/Td
     Circulatory System                    OPV
                                                                                        38   Do you wear glasses. If yes, since when?
16   Murmur                     YES   NO   MMR
                                                                                        39   What is the number
                                           Measels
17   Any other Findings                    Mumps                                             Distant
     Respiratory System                    Rubella
18   Crepts                     YES   NO   HIB                                               Near
19   Wheeze                     YES   NO   Hep B
                                           Varicella
                                                                                             Oral & Dental hygiene
20   Any other Findings                    PCV
                                                                                        40   Dental carries                YES    NO
     CNS
21   Orientation
22   Any other Findings
     P/A                                                                                41   Oral Examination
23   Soft                       YES   NO
24   Liver Palpable             YES   NO
                                                                                             Family History
     Skin
                                                                                        42   Diabetes                      YES    NO
25   Any Palpable gland         YES   NO
26   Any Patch                  YES   NO                                                43   Cancer                        YES    NO
27   Texture
     Ear examination                                                                    44   Heart Disease                 YES    NO
28   Wax                        YES   NO
29   Perforation                YES   NO                                                45   Blood pressure                YES    NO
30   DNS                        YES   NO
Initiative by OTTET in collaboration with Govt. of Odisha
                           in PPP mode for B2C Services
Creation of Wage and Self
       Employment
Financial Services
Banking
Insurance
Agriculture                          Retail
Agri Information
Agri Input Services                  Service Aggregators
Agri Extension services              Research and Data Collection
Agri Procurement                     Media and Advertising
Health                               Astrology & Matrimony
Health Camps
Telemedicine                         Travel
Education                            E-commerce
IT Training                          Allied Government Departments
English Speaking                     Rural Jobs
E-Learning
Adult Literacy                       Livelihood Services
Natural Language Interface           Manpower
Based on industry’s
need
Few opportunities in Rural Odisha and Beyond
AGRICULTURE
            Cleaning, Grading Units,
              Combine harvesters,
        Paddy Primary processing plant,
       Seed cleaning centres, packaging,
           Labeling and coding units,
      Automatic produce handling plants,
         Quality Control Labs at Block,
        District/Division and State Level,
      Drying yards/Automatic Bulk Dryers,
          Electronic Weighing Centres,
      Information Kiosks, E-trading Units,
          Commodity specific market,
      Hermetic Storage Mobile Cocoons,
Modernization of Agriculture Produce Market,
Color Stores, Establishment of Farmer Markets,
             Reaper and Harvester,
   ICT infrastructure Agriculture Extension,
      Infrastructure for Contract farming.
HORTICULTURE

           Cleaning, Grading,
     Waxing and Packaging Lines,
  Collection Center for Betel Leaves,
 Primary processing of Betel Leaves,
  Cold Storages, CA, MAP Storages,
    Pre-cooling Units, Reefer Vans,
Ripening Chambers, Curing Chambers,
      Drying Yards, PACK Station
          (Collection Center),
     Quality Station, Pack Houses,
          Modernization and
   establishment of F & V Markets.
LIVESTOCK



Establishment of Livestock Market,
Modernization of existing market,
          Fodder Banks,
       Mobile Fodder banks,
           Baling Press,
     Egg Storage Center, etc.
DAIRY


       Milk Collection Center,
      Milk Quality Testing Lab,
  Automatic Mulching Machine,
 Chilling Center, Bulk Chilling Unit,
        Pasteurization Plant,
        Milk Packaging Unit,
Refrigerated Van for Collection and
            Distribution.
APICULTURE


     Honey Extraction Unit,
       Collection Center,
       Bulk Storage Units,
     Honey Processing Units,
Wax Separator and Collection Unit.
FISHERIES



 Chilling Plant, IQF Plant,
Fish Storage and Markets.
MINOR FOREST PRODUCE


   Tendu Leaf Collection Center,
  Leaf Primary Processing Center,
          Mahua Flower/
      Seed Collection Center,
      Produce(Leaf & Seed),
         Collection Center,
  Tamarind Seed Extraction Unit.
OTTET acts as mentor in providing various services through
  resource convergence as per the resources available in
          particular District / Sub Division / GP

The collaboration is going to provide access to first-rate education and skill
development opportunities by creating clustered villages with excellent
internal connectivity through communication which are also linked to
nearby urban centers.

These rural clusters will be having quality centers of education and health
support facilities. People can easily commute between the villages and
acquire the best skill and education and health care services accessing
through the well equipped health care centers.

These centers will have the knowledge base to advice on preventing health
care methods. The teachers and medical personnel's in these quality
centers will also be having access to other experts in their respective fields
through communication connectivity of the OTTET.
Upgradation of Facility Centre
  The centre will act as a clustered village (GP
  Head Quarters) with excellent internet
  connectivity through communication which are
  also linked to nearby urban centre.
  These rural clusters (GPs) will have quality
  centre of education and health support facilities
  Each centre will have more than 5 computers
  with others computer accessories.
                                                                  OTTET Facility Centre
  One PC will be dedicated for Health care
  The    centre   will   have    1000-2000     sqft   area    depending     upon       location

  Each centre will have a Telemedicine Technician to provide Promotive Preventive and
  Curative health care and diseases management services at the door step,

  Each centre will have a Service facilitator to provide services to the inhabitants
Financial services,
             Marketing communication services.
  (i.e. advertising, media, consultancy and infotainment).
         Marketing logistics, trading and distribution.
 Trade promotion services. Human resources development.
           Technical and management consultancy.
        Testing, certification and calibration services .
Government administration Security services. Export services.
Repair and maintenance.
     Tourism and hotels.
  Leisure and sports resorts.
      Cultural activities.
    Old age care services.
Preventive healthcare services.
OTTET is dedicated to create enlightened
citizens and Re-vitalization of villages through :
                 Education for All
                Healthcare for All
                  Service for All
   Moral & Spiritual Re-generation of Mankind
            A convergence between
      Government, Corporate & Civil Society
“There are no under developed Countries
              in the world,
  There are only under managed ones”

                   ”
   “Let the young minds blossom –
           full of thoughts,
     the thoughts of prosperity”
“The Government cannot by itself provide all these
 conveniences. Without the co-operation of the people ,
    the Government alone cannot do everything. The
 Government is not a free entity. It is based on people’s
  support. It can work only when the people co-operate
                        actively.”


“While individual effort is crucial, another golden triangle
   of cooperation & convergence of efforts Industry,
 Government and R&D institutions really forms the base
               of country's development.”
Ripplesoft - Our Associate
OTTET Telemedicine
OTTET Telemedicine

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OTTET Telemedicine

  • 1.
  • 2.
  • 3. I came to this agency OTTET with a sheer frustration of not being able to implement some of the rural telemedicine projects, because there was no taker, acquainted with telemedicine practices, to help Government, to take this telemedicine project to grass root level or village level. Those who are acquainted with telemedicine practice in the country known that it has not gone beyond the district level. This is the enterprise who came and approached us to help them design the network and help them with all possible steps of implementing the telemedicine project in Orissa at the grass root level. We suggested OTTET, as a knowledge partner, to help them to develop this kind of skill for developing rural entrepreneurship. Prof. S. K Mishra Nodal Officer, School of Telemedicine ( National Resource Center for Telemedicine under Ministry of Communication & IT & Ministry of H & FW, Govt of India), SGPGIMS, Lucknow To make them capable, semi-skilled personnel, from out of unemployed pool of mass. So now, based on Public Private Partnership model, OTTET is the main implementing agency, School of Telemedicine is the knowledge partner and few industries are also willing to support this initiative, and the State Government become the main anchorage. The National Rural Health Mission does not go even below the District level. Government is very much concerned that it is really very difficult to take this network to the PHC or CHC and at village level. Now with this model we suggest that with our support to develop this scheme, OTTET can manage this telemedicine network from village level. It will be fruitful for common man of the village. It helps to avoid unnecessary travel. We want to develop different delivery schemes not only in health sector but other type of services and e-health applications. OTTET is capable for extending other kind of services at the village level. It will be operated by semi-skilled people, health workers and even by ANMs. OTTET is soliciting our suggestion to create and develop a network of health personnel. To prevent misuse of this system; it is being monitored by the Government as well as SGPGIMS and will provide quality health care services which has to be scalable, in order to cover the entire State, covering more than 51000 villages. • Unique Telehealth enterprise on PPP model first of its kind in the country in such dimension. • Involvement of Govt. Partners from design, Planning architecture of network and service model through out implementation process with strict monitoring guidelines. • Committed, experienced & enthusiastic implementing agency. • First project of its kind exploring potential of employment generation among unemployed rural youth, school drop outs, women segment of the society. • Potential for creating a mass of semi-skilled productive workers from among unskilled young unproductive population reducing burden 3 on the society.
  • 4. Sri Prasanna Acharya Hon‟ble Minister, Health & Family Welfare and PGPA Govt of Odisha “As all of us know Sri Bhagat is a devotee of Sri Sathya Sai Baba. I think this devotion is prompting him to indulge himself and his benevolent Trust OTTET to do such beneficial work in health sector in the State. In a State like Orissa with varied geography, problems of inaccessibility, of communication, we have the excellent telecommunication network. OTTET's telemedicine network will have the advantage not only helping Government of Orissa in healthcare but also creating employment for entrepreneurs after imparting training to them, for providing healthcare service to poor patients in remote locations on a nominal service charge and connecting them to Doctors, through a virtual OPD. I had the opportunity to inaugurate OTTET's first project on telemedicine at Rairakhol. All of you know Rairakhol is a forest area full of mountains, no communication, no road and no water to drink in such a backward area of the State. He started his first project in telemedicine in Rairakhol. He used to tell me that he has a plan of telemedicine project extending to every nook and corner of Orissa. Very often I used to wonder OTTET has taken over such a job, which I think, even the State Government would hesitate to take up ! Accordingly, I feel Mr. Bhagat is the fittest person in the State to take over such a beneficial project which he is very slowly but steadily implementing. “ 4
  • 5. OTTET Facility Center Resource Convergence model for B2B, B2C & G2C Services An extraordinary configuration of Information Technology for Transformation Technology to revitalize the villages of India Educare Medicare Sociocare
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  • 7. OTTET is the 1st organization of the country to roll out the India‟s 1st Telemedicine Project i.e ICT Enabled Model Healthcare Delivery Services in Allopathy & Alternative Medicine at the door step of Villagers on 5th March, 2010. Over the past decade or so, there have been islands of e-Governance initiatives in the country at the National, State, Districts and even Block level. Some of them have been highly successful and are ready for replication across other States. Experiences from successes as well as the failures of the various initiatives plays an important role in shaping the e-governance strategy of the country. The Scheme is being implemented through a Public Private Partnership. The Common Service Centres (CSCs) model of Department of Information Technology, Govt. of India are the primary physical front-end for delivery of Government and private services to citizens. They are one of the three pillars of the core and support infrastructure of the National e-Governance Plan for enabling, anytime anywhere delivery of government services. Till date, specific to health service delivery at grass root level, no such model has been tried out. Based on the Public Private Partnership (PPP) model, OTTET in association with Government of Odisha rolled out such a platform in technical collaboration with School of Telemedicine & Biomedical Informatics, SGPGI, Lucknow, National Resource Centre for Telemedicine under the Ministry of Communication & IT and Ministry of Health & Family Welfare, Government of India with the support & co-operation of Government of Odisha, with the following objectives. 7
  • 8. Objectives of Telemedicine :- • Creation of e-Infrastructure at Village level to facilitate delivery of healthcare advice and knowledge towards Preventive and Promotive Health, to the citizens at their door step. • Imparting training and skill to local unemployed youth in Tele-health technology and hand holding them to develop self-employment through entrepreneurship, to act as ancillary unit of OTTET. • Creating a technical pool of skilled healthcare ICT human resource for the state government to handle the health ICT infrastructure of the State, there by generating employment opportunity from which economic connectivity are going to emanate. 8
  • 9. Installation of e-Health & Telemedicine Programme in PPP mode • Opportunity for consultation with Doctors online in a virtual environment will facilitate people in rural as well as in urban areas to interact with Doctors in Hospitals, Nursing Homes & Clinics including Specialist consultation. • All Government Doctors in the districts are allowed to extend their professional services to OTTET on realization of fees for such consultation. • CDMOs have been directed by Govt. of Orissa to provide space in the premises of Districts and Sub-divisional Hospitals and Primary and Secondary Health Centers to setup telemedicine facilities. • OTTET will be associated in all NRHM programme including School Health programme. • OTTET to provide the Telemedicine Network Services in all Common Service Centre (CSC) of the state as per the suggestion of Department of IT. 9
  • 10. OTTET’s Strength • Readily available Infrastructure for instant deployment. • Data Centre with Telemedicine Software. • Integrated Diagnostic Telemedicine Devices with Video Conferencing Facilities. • Availability of Pool of Doctors & Specialists on the Telemedicine Network. 10
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  • 13. Benefits of OTTET Telemedicine • The only solution to meet all the requirements of NRHM. • Creating Database of health record for every individual. • PHR – Personal Health Record Provide Personal Health Access to Patients, Doctors and Hospitals – Medical History Repository – Medical Image Archive – Scheduler for Medication and Appointment reminders 13
  • 14. Benefits of OTTET Telemedicine • Creating Employment, deploying unemployed youth, producing Trained Telemedicine Technician to meet the requirement of Healthcare Services. • Revitalization of Villages. • Reduction of rural – urban migration minimizing urban pollution. 14
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  • 17. OTTET IS CREATING AN INTEGRATED DISTRIBUTION PLATFORM ACROSS PHYSICAL AND VIRTUAL TOUCH POINTS TO DELIVER HEALTHCARE Cardia Customer centric services that c ENT / Skin / Eye provide interventions to beneficiaries suffering from acute Pregnancy Mental Health and chronic ailments Asthma Diabetes Hypertension Acute Customer touch-points that Phones IEC channels MHUs provide services to beneficiaries Kiosks Web NGO Partners Health workers that supplement ASHAs/ANMs RMPs Paramedic services from OTTET Core platform services that provide a distribution platform for out OTTET OTTET OTTET OTTET patient access to bridge the Advice Mobile Mobile Facility demand-supply gap Hospital Technician Center Common Registration Electronic Health Records Shared services that are utilized by Preventive care Tele-referral all platforms to provide an integrate Chronic Disease Mgmt & set of services Follow-ups & Continuity care Post Operative care Health Contact Center Mission Control Center 17
  • 18. OTTET Telemedicine Network to Support & Strengthen NRHM Action Plan (a) Support to ASHA (b) Strengthening Sub-centers (c) Strengthening Primary Health Centers (d) Strengthening CHCs for First Referral Care (e) Support to District Health Plan (f) Converging Sanitation & Hygiene under NRHM (g) Strengthening Disease Control Programmes (h) Support for Reorienting Health/Medical Education to Support Rural Health Issues (i) Support to New Health Financing Mechanisms (j) Through Public-Private Partnership for Health Goals as per the norms and guidelines of NRHM 18
  • 19. Goal of NRHM Goal of OTTET Telemedicine The Goal of the mission • To get proper medical relief should be is to improve the availability the very birth right of any diseased person. of and access to quality health care by people, • Receiving medical relief should not be especially for those beyond the means of any human being. residing in rural areas, • Doctors & para-medical staff should the poor, have a „human‟ approach in thought, women and children. word and deed. • Attempt should be made not only to provide physical & psychological well being, but also to strengthen the Spirit of Man. 19
  • 20. OTTET Telemedicine Proposal for OPD & IPD Registration System at all Govt. Hospitals • Initially we can implement this system at Dist. HQ Hospital (DHH) & Sub-Divisional Hospital (SDH) & Area Hospital, where all specialist services are available • Also we can implement it at CHC level but it is feasible to implement at the CHC where more than 2 specialist services are available & OPD patient load more than 100 per day • Also at Medical Colleges, capital Hospital & Other big urban & rural hospitals 20
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  • 22. OTTET TELEMEDICINE WOULD LEVERAGE A SET OF GUIDING PRINCIPLES TO ADDRESS THE OUTPATIENT VISITS GAP IN INDIA 1. Reduce the burden on doctor workforce by optimizing the usage of non-doctor healthcare „professionals‟ (ASHAs, Telemedicine Technicians) 2. Break the last mile reach barriers by using remote and virtual solutions, with the help of latest technology 3. Promote prevention, as prevention is better than cure (e.g., immunization, nutrition checkups, integrated disease surveillance) 4. Put the health knowledge back into the community, encouraging self-help 5. Complement, supplement and augment the existing healthcare infrastructure 6. Deliver a low cost and fast solution which can address most of the gap 7. Leverage private sector talent to its fullest 8. Better accessibility through Telemedicine 22
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  • 24. Out Patient Department – Patient Registration 24
  • 25. OTTET’s Telemedicine targets : Telemedicine applications offered by OTTET - Telemedicine Programme satisfy a wide range of needs. Going from the most efficient management of medical care being extended to all, to the possibility of guaranteeing to all individuals the highest levels of safety, protection and comfort at Village, Home, Corporate office, Mines, Industries, during a trip or in leisure time. That is why the interest on telemedicine goes over the fields that are tightly connected to medical care (Doctors, Specialist, Nursing Homes, Facility Centers, Medical Colleges, Hospitals (PHC,CHC), Diagnostic centers, Research institutes, etc.) being also extended to operators that aim to offer an added value for their clients namely :- 25
  • 26. OTTET’s Telemedicine targets : Public : 1.Home care 2.Students of School & Colleges 3.Tele-monitoring 4.Disease Management 5.Health Corporations Private : 1.Banks, Financial Companies, Companies issuing credit cards 2.Insurance companies, Brokers 3.Telecommunication companies, Utilities 4.Big Industrial Enterprises 5.Fitness Centers, Well Being Centers 6.Sport Societies, Associations 7.Companies working in the travel and leisure time sector 26
  • 27. OTTET’s Telemedicine targets : Direct impact on Preventive and Curative Healthcare : 1.Cardio-Vascular Diseases 2.Hypertension, Anemia 3.Diabetes (Type-II) 4.Skin Diseases (many) 5.Respiratory Diseases 6.Eye Care NPCB (National Programme for Control of Blindness) 7.Common Ailments 8.Follow-ups and referrals 27
  • 28. OTTET’s Telemedicine targets : Handling of Typical Targeted Programme 1. National Iodine Deficiency Disorder Control Programme (NIDDCP) 2. National Vector Borne Disease Control Programme (NVBDCP) 3. Integrated Disease Surveillance Project ( IDSP) 4. National Leprosy Control Programme (NILCP) 5. Reproductive and Child Health 6. Revised National Tuberculosis Control Programme (RNTCP) 7. Health awareness, social health (through videoconferencing, multimedia) 8. Health records, immunization 9. Health insurance 10. Medicine inventory planning and tracking, reaching genuine medicines 28
  • 29. OTTET’s Telemedicine targets : Testing at Door Step : 1. Urine Malaria Gastrointestinal Infection 2. Blood Test 1. Malaria Ag P.f/Pan 1. H.Pyloria Ab 3. Blood Pressure 2. Malaria Ag P.f 2. Cholera Ag 01 4. Respiratory Test 3. Malaria P.f/P.v Ab 3. Rota/Adeno Ag 5. Oxygen Saturation(O2) 6. Skin Test Dengue Fever Other Diseases 7. Spiro Metric Test 1. Dengue NS1 Ag+ lgG/lgM 1. Chagas AB 8. ECG 2. Dengue NS1 Ag 9. HIV 3. Dengue lgG/lgM Cardiac Marker 10. TB 1. Troponin I Tuberculosis Blood Borne Diseases 1. TB Ab Fertility Hormone 1. HBsAg 2. TB Ag MPT64 1. hCG(urine) 2. HCV Ab 3. HIV ½ Ab Other Febrile Diseases 1. Leptospira Ab STD (Sexually Transmitted Diseases 2. Chikungunya lgM 1. Syphills Ab 3. JEV lgM 2. Chlamydia Ag 29
  • 30. Functionalities of OTTET’s Mobile Hospitals (Proposed) • OTTET is providing medicare at the door step, especially in village • OTTET Mobile Hospital, have all sophisticated diagnostic services namely ECG, X-Ray machine, Ultrasound imaging system, Auto analyzer, etc. • OTTET Mobile Hospital to treat all kinds of diseases- fever, gastroenteritis, diabetes, hypertension, etc. • This system is pro-active, as it prevents the occurrence of the disease rather than curing it after its onset. • OTTET Mobile Hospital try to promote good conduct, habits and hygenic practices among the villagers. • The programme provides a chance to the village youth to work as entrepreneurs for the rural health care programme. 30
  • 31. Mobile Hospital & Emergency Care Unit (A Moving Marvel of Holistic Medicare) It is said, 'India truly lives in her villages'. It is for this reason, perhaps, Orissa Trust of Technical Education and Training (OTTET) has laid great emphasis on rural health care by Telemedicine network in village settings. OTTET's stress is on providing medicare right at the door step, especially in villages where the poor and needy cannot have access to quality health care. In keeping with this ideal, OTTET has designed Telemedicine alongwith a moving marvel of holistic medicare through OTTET Mobile Hospital. It will have all the sophisticated diagnostic services like ECG, X-ray machine with automatic film processor, an ultrasound imaging system for Radiology, an auto analysis, a centrifuge, a microscope and a VDRL shaker. In fact, in the words of an expert and experienced doctor, “it is inconceivable that a medical service activity in a remote setting can have such an excellent clinical support.” The OTTETs Mobile Hospital will treat all kinds of diseases common ailments like fever, gastroenteritis etc., emergency situations and chronic ailments like epilepsy, diabetes, hypertension, etc., besides gynaec cases which can be taken care of through telemedice mode. Everyone men, women and children are treated without any distinction of caste, creed or status. The modus operandi of the Mobile Hospital project is, a team of twelve doctors belonging to five specialities, namely, general medicine, orthopedics, general surgery, radiology and gynaecology make regular visits every month on specified dates to cover all the villages of the state. In addition, specialists form the branches of ENT, Dentistry and Ophthalmology also visit these villages once in every three months. The doctors' repeated visits every month to the villages concerned on pre-determined dates ensure follow-up care for the patients receiving treatment from the Mobile Hospital, providing complete satisfaction to the doctor as well as the patient. The system is pro-active in that it preempts the occurrence of the disease rather than curing it after its onset. Thus, it is a preventive health care programme, in a way. The relationship between the doctor and the patient will be beyond the ordinary; it is much more intimate. The doctor will be their friend, philosopher and guide, for each patient knows for sure that the doctor is their genuine well-wisher. He is verily 'God' come for them. It is perhaps for this reason that, apart from effective treatment for various diseases, cures have also been effected in these villages almost miraculously. The OTTET's Mobile Hospital endeavours to provide not merely treatment and medicines for patients visiting it, but strives to promote good conduct, habits and hygienic practices among the villagers. The villagers are taught and encouraged to keep their houses and the surroundings clean, ensure pure air and water, nutritious and clean food, and above all, abstain from unhealthy habits like smoking and drinking. Thus, the programme encompasses a wider area of healthy and harmonious community living free from diseases. The health care programme is a continuous and sustained programme as the local youth are also encouraged and involved in it. They work as village youth entrepreneurs for this rural health care programme. 31
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  • 44. Objective of OPD & IPD Registration System: OPD (Out-patient Department) SYSTEM: • Not to keep the patients information but to know that how many specialist services utilized per day in OPD services • Optimum utilization of Doctors Services by centralizing the registration system • Reduced the paper work at department wise (Currently Doctor are recording the patient information like name, sex, age, address in register) • End of the day this generates the OPD reports : • Department wise • Age wise • Category wise (Male / Female / Child) • Also generate a report about New case OPD registration & Old Case OPD registration. It implies that a patients how many times turn to a particular department for treatment or next time to which he/she has referred for treatment • How many cases referred to ward for taking admission in to bed • Also this generates the user fee collection report day wise • Attendance & available of Doctors list in OPD can be generated 44
  • 45. Keep indoor patients information • Patients details & brief history about his/her disease • Date of Admitted in to the Bed • Date of Discharge for Hospital End of the day this generates IPD reports : • Patients admitted in bed category wise (Male / Female / Child) • New patients admitted & old patients continue department wise • No of patients admitted department wise • No of patients discharged department wise • Bed Occupancy Rate as a whole • Bed Occupancy Rate Department wise • Last day, the staffs were present in the duty department wise • How many Indoor patients referred to higher level hospitals for treatment department wise 45
  • 46. In which way this small OPD & IPD registration system will help the health administration in decision making? With help of this small registration system, we can analyze lot of activities: • The average OPD patient load department wise. • The trend of Bed Occupancy Rate department wise. • Departments in which more beds, more staff (Doctors, Paramedics, Cl-IV etc) or more civil infrastructure required. • Report on Patients treated in OPD by a individual Doctor calculated period wise. • 24-Hrs staying of Preg. Mother after delivery can be tracked. By which we not only avoid the Post partum complication but also ensure the reduction of MMR. • JSY payment can be tracked & false registration of deliveries in delivery register (Conversion of Home Delivery to institutional Delivery, No delivery to Instructional delivery) can be stopped. 46
  • 47. Our Proposed Services ( Any Where, Any Time) Monitoring Centre Online Doctor Expert Opinion Web based medical File Check Up & Personal Clinical File Prevention Online Prescription Life Saving Card Nutrition & Care Visual Medicare 47
  • 48. Wireless Medical Monitoring Devices & HMIS Web-Based Medical File Viewer • Web-Viewer enables secure Internet access to the patient's medical data and vital signs measurements record through the medical monitoring center. • This unique feature allows remote third party observation (ready-only format) by the patient's personal physician or family for greater confidence and success during the patient's convalescence. • A complete medical record is available on demand through the web for consultation by a physician or medical staff whom the patient has authorized. Monitoring Centre Features • Automatically receives all measurements in one system • Obtains medical data via IP and PSTN lines • Automatically stores the patient measurements in the personal file • Analyzes medical parameters • Includes voice and video conferencing capabilities • Logs and maintains event history • Stores current administrative user information and user medical history • Remotely controls home monitoring devices and gateways • Operates under WindowsTM OS • Enables personal alarm value setting for each patient (Alert function) • Handles medical reports • Enables remote physician access • Enables reports generation and transfer via Internet (e-mail) • Incorporates secure web-viewer • Provides easy connection to external systems 48
  • 50. OTTET Telemedicine for : OTTET innovative programs have certain clear messages to convey to the medical community : • Globalisation of Medicare, To get proper medical relief should be the very birth right of any diseased person. • De-commercialisation of Medicare, Receiving medical relief should not be beyond the means of any human being. • Humanisation of Medical Aid, Doctors and para-medical staff should have a 'human' approach in thought, word and deed. They should practice 'Human Values'. • Spiritualisation of Medical Profession, Attempt should be made not only to provide physical and psychological well being, But also to strengthen the Spirit of Man. 50
  • 51. OTTET Telemedicine School Health Program
  • 52. Services To Students 1. Yearly Medical Checkup 2. Recording data on the website to create PHR 3. A demographic profile of the student 4. A special card with details about disease, name of treating doctor and contact number for students suffering from chronic diseases 5. Referral of students who require attention of a specialist, to referral centers and subsequent follow up of these cases. 6. Access to school health portal 7. Privilege Card to every students carrying School name & OTTET Telemedicine Logo
  • 53. School Health Card FRONT SIDE: BACK SIDE: HEALTH DETAILS OF STUDENT School Name:_____________________ ID card no:_______________________ Specific Medical History: Issue date :______________________ ________________________________________ ____________________________________________ ____________________________________________ Name:___________________________ Allergy if any: ________________________________ Student ____________________________________ ____________________________________________ Std: _________________ Div: _______ Photo Emergency medicines & treatments:_______________ DOB: ________ Blood Group: _________ ____________________________________________ Address:______________________________ Doctor Name: ________________________________ Doctor’s Contact No: __________________________ _____________________________________ Emergency Contact No:_________________________ Tel no:_____________ ____________________________________________ Password for web record:______________
  • 54. Student Health Record Personal Details Personal History Assessment 1 Name 31 Asthma YES NO 2 Address 32 Diabetes YES NO 3 Postcode 4 City 5 State 33 Anaphylactic Reaction YES NO 6 Phone ( R ) 7 Date of Birth 34 Seizure Disorder YES NO 8 Gender 35 Allergy YES NO 9 Name of Family Physician Contact number of Family 36 Any Other Specify 10 Physician Eye Examination Screening / Test Results 11 Height Immunization Record 37 Squint YES NO 12 Weight Dose 1 Dose 2 Dose 3 13 Pulse DTP 14 Blood Group DTB/Hib 15 Hb DT/Td Circulatory System OPV 38 Do you wear glasses. If yes, since when? 16 Murmur YES NO MMR 39 What is the number Measels 17 Any other Findings Mumps Distant Respiratory System Rubella 18 Crepts YES NO HIB Near 19 Wheeze YES NO Hep B Varicella Oral & Dental hygiene 20 Any other Findings PCV 40 Dental carries YES NO CNS 21 Orientation 22 Any other Findings P/A 41 Oral Examination 23 Soft YES NO 24 Liver Palpable YES NO Family History Skin 42 Diabetes YES NO 25 Any Palpable gland YES NO 26 Any Patch YES NO 43 Cancer YES NO 27 Texture Ear examination 44 Heart Disease YES NO 28 Wax YES NO 29 Perforation YES NO 45 Blood pressure YES NO 30 DNS YES NO
  • 55. Initiative by OTTET in collaboration with Govt. of Odisha in PPP mode for B2C Services Creation of Wage and Self Employment Financial Services Banking Insurance Agriculture Retail Agri Information Agri Input Services Service Aggregators Agri Extension services Research and Data Collection Agri Procurement Media and Advertising Health Astrology & Matrimony Health Camps Telemedicine Travel Education E-commerce IT Training Allied Government Departments English Speaking Rural Jobs E-Learning Adult Literacy Livelihood Services Natural Language Interface Manpower
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  • 58. Few opportunities in Rural Odisha and Beyond
  • 59. AGRICULTURE Cleaning, Grading Units, Combine harvesters, Paddy Primary processing plant, Seed cleaning centres, packaging, Labeling and coding units, Automatic produce handling plants, Quality Control Labs at Block, District/Division and State Level, Drying yards/Automatic Bulk Dryers, Electronic Weighing Centres, Information Kiosks, E-trading Units, Commodity specific market, Hermetic Storage Mobile Cocoons, Modernization of Agriculture Produce Market, Color Stores, Establishment of Farmer Markets, Reaper and Harvester, ICT infrastructure Agriculture Extension, Infrastructure for Contract farming.
  • 60. HORTICULTURE Cleaning, Grading, Waxing and Packaging Lines, Collection Center for Betel Leaves, Primary processing of Betel Leaves, Cold Storages, CA, MAP Storages, Pre-cooling Units, Reefer Vans, Ripening Chambers, Curing Chambers, Drying Yards, PACK Station (Collection Center), Quality Station, Pack Houses, Modernization and establishment of F & V Markets.
  • 61. LIVESTOCK Establishment of Livestock Market, Modernization of existing market, Fodder Banks, Mobile Fodder banks, Baling Press, Egg Storage Center, etc.
  • 62. DAIRY Milk Collection Center, Milk Quality Testing Lab, Automatic Mulching Machine, Chilling Center, Bulk Chilling Unit, Pasteurization Plant, Milk Packaging Unit, Refrigerated Van for Collection and Distribution.
  • 63. APICULTURE Honey Extraction Unit, Collection Center, Bulk Storage Units, Honey Processing Units, Wax Separator and Collection Unit.
  • 64. FISHERIES Chilling Plant, IQF Plant, Fish Storage and Markets.
  • 65. MINOR FOREST PRODUCE Tendu Leaf Collection Center, Leaf Primary Processing Center, Mahua Flower/ Seed Collection Center, Produce(Leaf & Seed), Collection Center, Tamarind Seed Extraction Unit.
  • 66. OTTET acts as mentor in providing various services through resource convergence as per the resources available in particular District / Sub Division / GP The collaboration is going to provide access to first-rate education and skill development opportunities by creating clustered villages with excellent internal connectivity through communication which are also linked to nearby urban centers. These rural clusters will be having quality centers of education and health support facilities. People can easily commute between the villages and acquire the best skill and education and health care services accessing through the well equipped health care centers. These centers will have the knowledge base to advice on preventing health care methods. The teachers and medical personnel's in these quality centers will also be having access to other experts in their respective fields through communication connectivity of the OTTET.
  • 67. Upgradation of Facility Centre The centre will act as a clustered village (GP Head Quarters) with excellent internet connectivity through communication which are also linked to nearby urban centre. These rural clusters (GPs) will have quality centre of education and health support facilities Each centre will have more than 5 computers with others computer accessories. OTTET Facility Centre One PC will be dedicated for Health care The centre will have 1000-2000 sqft area depending upon location Each centre will have a Telemedicine Technician to provide Promotive Preventive and Curative health care and diseases management services at the door step, Each centre will have a Service facilitator to provide services to the inhabitants
  • 68. Financial services, Marketing communication services. (i.e. advertising, media, consultancy and infotainment). Marketing logistics, trading and distribution. Trade promotion services. Human resources development. Technical and management consultancy. Testing, certification and calibration services . Government administration Security services. Export services.
  • 69. Repair and maintenance. Tourism and hotels. Leisure and sports resorts. Cultural activities. Old age care services. Preventive healthcare services.
  • 70. OTTET is dedicated to create enlightened citizens and Re-vitalization of villages through : Education for All Healthcare for All Service for All Moral & Spiritual Re-generation of Mankind A convergence between Government, Corporate & Civil Society
  • 71. “There are no under developed Countries in the world, There are only under managed ones” ” “Let the young minds blossom – full of thoughts, the thoughts of prosperity”
  • 72. “The Government cannot by itself provide all these conveniences. Without the co-operation of the people , the Government alone cannot do everything. The Government is not a free entity. It is based on people’s support. It can work only when the people co-operate actively.” “While individual effort is crucial, another golden triangle of cooperation & convergence of efforts Industry, Government and R&D institutions really forms the base of country's development.”
  • 73. Ripplesoft - Our Associate