IT Enabled Healthcare Systems in Kerala

8/2/2019 IT Enabled Healthcare Systems in Kerala

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IT enabled Healthcare Systems in Kerala TeCDAC07

I T ENABLED HEALTH CARE

SYSTEMS I N KERALA

Presented by:

Alexander G.Medical I nformat ics

CDAC Thiruvananthapuram


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Agenda of Presentation

1. Preamble2. IT Road-map in Health Sector in Kerala

3. Medical College Hospital Computerisation4. HR Portal for Dept of H&FW, GoK

5. Computerisation of Cosmopolitan Hospital6. Future Plans


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Preamble


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Preamble - IT Implementation Areas

Hospital Management Systems

Telemedicine Applications

Health Management Information Systems

Computerisation of Neethi Medical Scheme

Picture Archiving and CommunicationSystems(PACS)

Learning Resource Centre for Medical Colleges

Expert Systems


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Preamble - Technology Areas

Client/Server Systems

Multi-tier web applications

Multi platform support

RDBMS ORACLE

Open Source Reporting tools

Java and J2EE technologies


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IT Road map in Health Sector in Kerala

T CDAC07


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Department of Health & Family WelfareComputerisation Background

Kerala State Department of Health and FamilyWelfare takes steps to implement computerisationon large scale in the year 2002.

GoK Identifies C-DAC Tvm for the preparation ofmaster plan & implementation of the same.

C-DAC Thiruvananthapuram prepared master planfor this and started implementation in 2003.

T CDAC07


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Department of Health & Family WelfareComputerisation Master plan Year 2003

1. Computerisation of all five health directorates under DoH

2. Computerisation of Medical College Hospital, Trivandrum3. Digital library for Medical Colleges

4. Telemedicine MCH to other Hospitals

5. Development of HR Portal

6. Networking of all five Directorates with Health Departments7. Development of Health Management Information System

8. Computerise DMO offices and Network to the directorates

9. Computerise other Medical College Hospitals

10.Networking of Medical College Hospitals with DME and DHS11.Computerise all other Hospitals

12.Networking of all other hospitals to DMO offices

13.Digital archival of Medical Records in Hospitals

14.Computerisation and networking of Drug Stores

T CDAC07


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Computerisation of Medical College Hospital(MCH),

Thiruvananthapuram

TeCDAC07


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Medical College Hospital, Thiruvananthapuram

OP Patients (Monthly) 54,000

IP Admissions (Monthly) 6,300

In Patient Beds 1,650

Wards 32

ICUs 10

Labs 10

Clinical Departments 21

OP Counters 10

IT bl d H l h S i K l TeCDAC07


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MCH Application - Features

Fully computerised patient management system Optimised management of staff and facilities

Automated workflow between wards, labs andother hospital facilities

Queue management using Token Display

Enquiry facilities

Multi-tier web application software with differentmodules sharing the central database.

IT bl d H lth S t i K l TeCDAC07


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MCH Application - Modules

OP Management

IP Admission

Ward Management

Lab Management

Resource Scheduling

Staff Scheduling

Pay ward Reservation

Enquiry

IT bl d H lth S t i K l TeCDAC07


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MCH Application - Benefits

Up-to-date information on patients, doctors, hospital

services etc. Automatic Register and Report maintenance

Statistical inputs for planning

Efficient allocation of resources Easy management of duty scheduling of staff

Quick access to lab test results from wards

Better Quality of Service



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IT enabled Healthcare Systems in Kerala TeCDAC

SERVER ROOM

DBA Consoles

Remote

Access

CDAC DHSDME

Medical College Labs

Wards & DepartmentsWards & Departments

OP Counters & EnquiryIP Admission & Casualty

LAN Extender

Telephone Lines

Switch Switch

Sw.

Optical Fiber Cables

Operation Theaters

MCH Application - System Configuration

Core Switch

Sw.Sw.

Servers

DATA CENTRE



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Application Servlets

Controller Servlet

JSP Page2

3

Data Structure

Java Components

Java Bean Components

Database

1Controller

Model

View

Text mode

Graphical mode

PDF Applet

Request

Access

Forward

Access

4

5

Client

BrowserGUI

Response6

Data Structure

Java Components

Printer

Application server tier

Database tier

MCH - Application Architecture



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MCH Application - Screens



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IT enabled Healthcare Systems in Kerala




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y



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y

HR Portalfor Dept. of Health and Family Welfare



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y

HR Portal - Background

Around 3000 institutions under Dept. of Health

Total staff strength in H&FW is about 75,000

Difficulty in maintaining up-to-date information ofemployees, HR and service details

Difficult to consolidate the information forplanning purposes

Huge amount of manual processing (paper work)



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HR Portal - Services For Institutions

HR and Payroll management functionalities

For Gazetted officers Self service functions for Pay Bill, TA Bill, Tax

calculation, Reports, Statements etc.

For Citizens Disease information

Resource locators (hospitals, doctors, health centres)

Health information in different systems of medicine

Information about First Aid in regional language In Patient enquiry from hospital applications

Latest alerts and news



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HR Portal - Features

Web enabled

Scalable

User configurable

J2EE compliant

Centralised data management

Oracle RDBMS



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ApplicationServer 2

Portal

HR&Payroll

DatabaseServer 1

APPLICATIONS

DatabaseServer 2

DATA CENTRE

ApplicationServer 1

HR Portal - System Configuration

Servers

MAN StateInformation

Infrastructure

DH DISMDAMEDHS DME DMOS

PHC,CHC

Internet

PHC, CHC Citizen



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Web

Browser

User

Personalization

Presentationframework (Struts)

Authentication &

Authorization

Manager

Applicationbusiness

components

EIS

Connectors

Portal Database

Application

Database

XML & Other

documents

HTML

XML

Servlet, JSP,

J2EE

EJB, RMI, IIOP,

J2EE

JDBC

JNDI

J2EE Server

Servlet/JSP

Engine

Transaction Manager

Connection Management

Messaging Services

Identity Server

LDAP Server

DBMS/File System

Communications middleware

Operating Systems

Portal Client Tier Presentation Tier Business Logic Tier Integration Tier EIS Tier

Application Layer

Virtual Platform Layer

Upper Platform Layer

Lower Platform Layer

HR Portal - Architecture



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HR Portal - Screens



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HR Portal - Screens



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HR Portal - Screens



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HR Portal - Screens



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HR Portal - Screens



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HR Portal - Screens



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Hospital Management System

Cosmopolitan Hospital,Thiruvananthapuram.



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Cosmopolitan Hospital

Hospital Management System - Features

Hospital management system covering all the

hospital services Client - Server application software with different

modules sharing the central database.

User friendly GUI Based on Windows platform

Oracle RDBMS

Dual Xeon Servers and 80 node client network 300 bedded hospital

Functional for the last 10 years



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Cosmopolitan Hospital

Hospital Management System - Modules

Front Office Pharmacy

Lab

IP Billing Bills Receivable

Ward

Stores

Canteen Operation Theatre

Financial Accounting

MIS Personnel

Payroll

DBA



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Future plans



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Road map for Dept. of Health (Yr. 2007-2008)

Kozhikode Medical College Hospital Computerisation.

2nd Phase computerisation of Medical College Hospital,

Trivandrum.

SAT Hospital Computerisation.

ONCONET INDIA Telemedicine Network connecting 25

regional cancer centers in India. Development of Portal for DME.

Extending HR Portal to Medical & Dental Colleges

Media Lab Asia project for Malappuram District.

Networking of Major Hospitals with DME and DHS.



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Trichur Medical College Hospital Computerisation.

Extending HR Portal to DMO Offices.

Computerise CHCs and implement Health Management System

up to CHC level.

Pilot Implementation of Telemedicine System in TH/CHCs/PHCs

in a Taluk.

Pilot Implementation of Health Management System in a Taluk.

Implementation of Telemedicine System in all rural PHCs/CHCs

Integrate GIS support to Health Management Information System.

Digital Archival of Medical Records in Hospitals.



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Kottayam & Alapuzha Medical College Hospitals Computerisation.

Computerise PHCs and implement Health Management System

up to PHC level.

Networking of Hospitals to DMO Offices.

Handheld device support for data collection in Health

Management Information System.

Extend Health Management Information System to sub centre

level through handheld devices.

Computerisation and Networking of Drug Stores

Mobile Telemedicine Unit.



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Queries if any, may be mailed to

[email protected]

[email protected]

mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]


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Thank You
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IT Enabled Healthcare Systems in Kerala

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