eHealth Program - Advanced Concepts
3 likes893 views
This document discusses healthcare challenges in Ghana and India and potential eHealth solutions. In Ghana, there is a focus on increasing healthcare access but physical infrastructure, medical personnel, and unequal rural/urban access remain problems. In India, high private spending, low insurance coverage, and unequal rural/urban access are issues. Potential eHealth solutions discussed include mobile health programs for communication, disease surveillance, and mother/child tracking in Ghana as well as a tele-radiology program and sickle cell screening in India. The document advocates for integrated, patient-centric care delivered across institutional and telehealth solutions to help bridge global healthcare access divides.
eHealth Program - Advanced Concepts
- 1. www.healthfore.com HealthFore Advanced Concepts in eHealth & eHealth Solutions Partners: 30th April 2013 1 mHealth Program
- 2. Ghana • Population 24.4 mn • Enhanced focus on healthcare since 1997 with the goal to increase the % of population utilizing qualified health personnel from 30% to 50% • Physical Infrastructure – Healthcare Expenditure is 8.3 % of GDP – Spending by private sector is 48% and public sector is 52% – 0.9 beds/1,000 population against a world average of 2.61 and WHO norm of 3.9 beds/ 1,000 population – One third of the population lives 5 kms away from the nearest health facility • Health Insurance – A high 80% of patients visiting private hospital have coverage – Claims processing is very lengthy • Medical Personnel – 0.1 Physicians per 1,000 against a world average of 1.5 – 1.0 Nurses per 1,000 against world average of 3.3 • Unequal Distribution – the urban versus rural divide – In rural Ghana, consulting a doctor takes an average of 4 hrs. and costs 8 times more then elf-medication India • Population 1,241 mn • Physical Infrastructure – Healthcare expenditure 5.1% of GDP – Spend by private sector is 80% and public sector is 20% – 0.86 beds/1,000 population – 1 mn deaths/ yr due to inadequate healthcare facilities • Health Insurance – 80% expenditure borne by the patients – Private Health insurance a mere 3%; State bears 12% • Medical Personnel – 1.2 Physician per 1,000 population – 0.9 Nurses per 1,000 population • Unequal Distribution – the urban versus rural divide – Over 700 mn people have no access to specialists care – 80% of the specialists live and work in urban areas Healthcare Sector: Challenges 2
- 3. Common Problems & Growing 3 Population Growth Ageing Population RisingHealthcareSpend Patient Centric Integrated Care Connected Healthcare Standards & Interoperability 265 40 23 10 848 194 68 30 0 200 400 600 800 1000 2005 2011 NCD (# in ‘000s)
- 4. Challenges: Priorities are Changing Improve Patient Care/Safety/Satisfaction 4 Gain Operational Efficiencies Meet Regulatory Obligations
- 5. Challenge: IT is more Complex 5 More Integrated Operations More Networks More Devices More Virtualization on Demand
- 8. eGov Phase II Healthcare Drivers • Mobile Phone penetration in Ghana is > 100% (number of mobile phones is more than the population because multi-SIM’ing is common) • 62% of the disease burden in Ghana is still communicable diseases, maternal and prenatal conditions and nutrition deficiencies; 31% is NCD and 7% injuries related Sub-Sharan Africa accounts for 11% of the world’s population yet bears 24% of the global disease burden and commands < 1% of global health expenditure Opportunities that can be addressed by ICT 1. Enhance CHPS (Community-based Health Planning & Services) initiative through mobile health (mHealth) services 2. Strengthen healthcare Communication system through ICT to enable faster flow of information, better governance and effective decision making 3. Reduce load on institution care through effective disease prevention and control at community level 4. Improve access to quality maternal, neonatal and child care to reduce IMR/ MMR Examples & Case Studies Mother & Child Tracking System (MCTS) Outreach Disease Surveillance Program (ODSP) MediPhone Healthline24x7 Tele-Radiology 8
- 9. Mediphone is a 24X7 “Doctor on Phone” service for 186 mn Airtel subscribers, backed by internationally renowned clinical decision support system from Medibank, Australia MediPhone empowers people to get medical advice over the phone, at the time of their choice irrespective of location. Running since Nov 2011, the service offers: • Medical advice including self-care, doctor’s consultation and/or medication • Accredited medical professionals & doctors to ensure right diagnosis • Prescription by SMS/ email • Psychological and Diet Counseling 9
- 10. 10 Doctor On Phone Provider Comparison and Evaluation Health Alerts Medicine Information Disease Information Specialist selection system Appoint Scheduling Health Update First of its kind round the clock, technology enabled, independent healthcare information services platform, positioned to transform healthcare by addressing the basic issues of: • 60,000+ registered home users • 24x7 Operations across 13 cities • 150,000 registered healthcare providers 0% 4% 8% 73% 15% Emergency Information on diseases Information on Medicine Search Select Symptom to Specialist
- 11. MCTS Agents, Paramedics and Doctors calling the beneficiaries High Risk Pregnancies Low Risk Pregnancies Monthly call for high risk cases. Total 9 calls. Mother & Child Beneficiaries receive calls and reminders as per predefined schedule Proposed MCTS Call Center- Approach 9 AM – 6 PM Operations Advanced reminder for due MCH services Improved Compliance Reduced Maternal & Infant Mortality Saves Lives!! MCTS Database of phone number & other mandatory details for work plan Information extract of Pregnant women and children MCTS Portal HealthFore CRM Children Call at every ANC visit, before & after delivery. Total of 5 calls. 2 calls for OPV/DPT and 1 call for Measles. Total of 3 calls Healthcare professionals/ Hospitals/ CHC etc. 11
- 12. Screening conducted at PHCs Patient Details capture – EMR ID generation Samples processed at Gujarat Laboratories (Partner) Cards and Reports Issued to PHC Reporting Dashboards Spot Test Issue of Appropriate Card Outreach Disease Surveillance Sickle Cell Screening 12
- 13. INTERNET Billing Diagnostic Test Performed by Technician SRL Radiologist 1 SRL Radiologist … SRL Radiologist 2 Guwahati Central Data Center TechnicianTeleradiology Image server Patient Tele-Radiology 13 Objective: Use ICT to overcome lack of staff and expertise in providing Radiology services Scope: Tele-radiology services in 11 district hospitals, with centralized reporting Across 11 Regional Diagnostic Centers covering 14.9 mn citizens in State of Assam
- 14. Healthfore Positioning Extending the Point of Care © Religare Technologies Ltd. Tele-Health Institutional Care •Patient Care & Advice •Wellness MediPhone •Health Information Healthline 24x 7 •MCTS •Tele-Radiology •Disease Surveillance Other Solutions •HIS •RIS •PACS •ERP •Kiosk Magnum infinity EMR EHR HIE PHR Integrated, Patient Centric Continuum Healthcare Solutions 14
- 15. • Healthcare segment is complex business and an important part of every country’s economy • Medical industry has seen path breaking innovations both in the area of medical procedures as well as medical equipment • Common Problems and Challenges loom in healthcare across the world primarily to do with lack of accessibility, affordability and awareness • ICT and mHealth integrated with traditional care methods are the only way to bridge the growing healthcare divide • Standardization and Inter-operability, security and privacy are going to play a critical role in adoption of patient-centric integrated healthcare 15 To Summarize
- 16. Thank You Pankaj Vaish (m) +91 965 443 5656 pankaj.vaish@healthfore.com 16