IT initiatives in Health Sector - U.P.

Alok Kumar, I.A.S.

Mission Director, NHM-UP/Executive Director, SIFPSA

August 12, 2016

Outline

• Why ICT initiatives?

• Major IT initiatives– Patient Diagnostics Information System

– mSehat

– Bio Medical Waste MIS

– Quality Assurance MIS

– Drug Procurement and Inventory Control System

– Cleaning & Gardening Outsourcing Monitoring

– Construction Monitoring Work

– Online Emergency Tracking System (102/108)

Objectives

• Delivery of services in a transparent and time bound manner

• Effective monitoring tool for decision makers

• Facilitate contract management for PPP projects

• Improving efficiency in implementation

• Supply chain management

Patient Diagnostics Information System

Objective: To manage contracts of high-end diagnostics services under PPP model indistrict hospitals

• Developed in-house, integrated with LIS of PSPs, live update• Patient Registration regn1• For citizen

– List of Investigations – rates (Only for info) tests– List of Hospitals – contact details hospitals– Download report and Diagnostics Report report formt

• For Hospital Superintendent– Doctors’ performance perf– Tests’ conducted in hospital tests con

• For authority- TAT and EQAS compliance, payment monitoring and other need based analysisFor Service providers- Invoice generation

• Dashboard dash pd1

Benefits: Reduced Out-of-Pocket expenses for patients, quality services, increasedtransparency and speed of service delivery

mSehat – A unique Mobile Healthcare Initiative of SIFPSA to empower FLWs for better Healthcare Information

mSehat• The goal of mSehat is to accelerate the reduction of maternal, neonatal,

child mortality and total fertility rate in UP by empowering frontline healthworkers (ASHA and ANMs) and providing smart-phones with customizedapps that capture the complete RMNCH+A continuum of care services toimprove performance through effective planning, management andexecution of their day-to-day work.

• System Integrator(SI) is entrusted with responsibility of operations andimplementation of 3 year pilot project in 5 HPDs of UP. Apps developed inphased manner and FLWs trained on apps. Smartphones and Tablets given to12000 FLWs

• Services given by ASHAs are monitored by ANMs, services given in the fieldare updated on devices Need for mSehat

• Powerful dashboard feature helps ANMs, MOICs and district/State officialsto monitor performance of FLWs and in decision making. dashm

Bio-Medical Waste MISObjective: Real-time monitoring of Bio-Medical Waste Management in hospitals on web

• System captures and reports following– waste lifting (frequency as well as weight) lift

– consumables provided consum

– Committee Meeting details with uploading Minutes of Meeting meet

– Bio-medical waste Training conducted trgb

• Dashboard– Overall summary dashb

– Hospital profile status profb

– Waste Collection status collst

• System generates invoice based on contract terms• Automation of vehicle tracking and waste collection in Kanpur THE HARDWARE

– Vehicle Tracking and data capturing of waste using Point of Sale device

Benefits: Improved contract management, monitoring of service delivery by CBWTF, monitoring performance and infection control in the hospital

Quality Assurance MIS

Objective: To monitor progress of NABH accreditation in 50 District Hospitals

• Monitored through Hospital Managers hosp mgr

• Resource Gap Analysis and deployment– Human Resource gap hr

– Training programmes (Hospital staff) trg1

– Quality Committee meetings in hospital Comm

– Status of statutory licenses – Information on bio-medical equipment– Infrastructure

• Grievance Redressal Griev

• Entry-level assessment for NABH accreditation• Performance indicators

Benefit: Improved Service Delivery Quality of hospitals, monitoring of resources and their deployment and better patient satisfaction

Drug Procurement & Inventory Control

Objective: To bring transparency, efficiency and improve availabilityof drugs & medicines in hospitals

• State Rate Contract by the Headquarter rc1

• Procurement on State Rate Contract, Other Rate Contracts andLocal Purchase in districts

• Suppliers and Districts Medical Stores are users• On-line transactions are

– Purchase Order/Cancellation - Bill Verification– Dispatch intimation - Payment– Receipt and Issue - Expiry

• Monitors supplier performance, Stock-out, Budget utilisation• Software developed in-houseBenefits: Improved availability of drugs & medicines, public view ofstocks & Rate Contracts and better monitoring stock

Other Applications• Cleaning & Gardening Outsourcing Monitoring

Introduced in district hospitals with provision formechanized cleaning through outsourcing. The paymentis based on performance report submitted by staff of thehospital and feedback given by patients. Link ishttps://cgs.uphssp.org/ .

• Construction Work Monitoring

Executing Agencies update physical and financialprogress of the Work every month. Photograph of the siteis also uploaded. Public view facilitates reporting onvarious parameters. Link is https://cms.uphssp.org/ .

Online Ambulance Tracking System

• Web based application for tracking of ambulance on real time basis

• Beneficiary cell number is displayed for live verification

• Age-wise analytical reports are available

– Division-wise

– District-wise

• Consolidated MIS reports are generated

Data available on real time basis for beneficiaris in 108 and 102

Thanks

Report

THE HARDWARE

Vehicle Tracking System VTS

Point-of-Sale POS/Electronic Ticketing Machine ETM

Mobile Phones

THE PROCESS

THE OUTCOMES: SMS ALERTS & RECEIPT

Facility in-charge

Nodal Officer

CBWTF

Senior officials

THE OUTCOMES: VEHICLE TRACKING

Historical data available a click awayhttp://180.92.171.145/iFleet_MySQL/vehiclemonitoring/vehiclestatushistory.action

►Timely and appropriate care for Pregnant and Lactating

mothers

►Immunization of pregnant women and infants

►Nutrition for children below 6 years and adolescent girls

►Streamlining the process of data collection

Page 48

Need for mSehatGovernment of Uttar Pradesh intends to achieve 100% coverage for

EquipEquip Field Level Workers(FLWs) with tools

to do their job with more efficiency and

effectiveness1

MonitorEstablish monitoring mechanism across the

State structure to make operations more

transparent and personnel more

accountable

2…mobility for health workers would help increase their efficiency and in

monitoring program performance…

Mobility for ASHAs and ANM

Web application for block, district and state

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