india ehealth status

8/2/2019 India eHealth Status

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India Country Report on Tele-health Initiatives

Prof. S K Mishra, MS, FACSHead, Dept. of Endocrine Surgery &

Faculty I/C, SGPGI Telemedicine Programme Sanjay Gandhi Postgraduate Institute of Medical

Sciences (SGPGIMS) Lucknow,[email protected]

www.sgpgi-telemedicine.org

United Nations/India/ Regional Workshop on Using SpaceTechnology for Tele-Epidemiology to Benefit Asia and the

Pacific RegionOctober 20th 23rd , 2008

School of Telemedicine & Biomedical Informatics,SGPGIMS, Lucknow, India


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Content

Introduction: India Demography & Health DeliverySystem

Electronic Medical Record and Hospital Automation Brief review of Telemedicine projects around the

country Standardization & Policy initiatives (National Task

Force) E health Capacity building, Scientific Societies,

Education, Research & Development Major national & international Projects in near future Critical issues for integration of e health in Medical

Tourism


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India Demography & Health DeliverySystem


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India

Total Area :3 million sq. km

No. of Provinces : 29Union Territories : 6

Coastal line : 6,700 km


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Health Scenario in India Total population: 1,151,751,000

Gross national income per capita (PPP international $):3,800

Life expectancy at birth m/f (years): 62/64

Healthy life expectancy at birth m/f (years, 2003): 53/54 Probability of dying under five (per 1 000 live births): 76

Probability of dying between 15 and 60 years m/f (per -1000 population): 276/203

Total expenditure on health per capita (Intl $, 2005): 100

Total expenditure on health as % of GDP (2005): 5.0Figures are for 2006 unless indicated

World Health Statistics 2008 Source: http://www.who.int/countries/ind/en/


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Health care in India

Private clinics

Nursing homesCorporate hospitals

Teaching hospitalsTertiary

Private clinicsSmall nursing homes

District hospitalsSecondary

Traditionalpractitioners

PHCs and its subcenters

Primary

PrivatePublicLevel


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Potential of ICT to improve Healthcare

65% of 1100 million are literate

60% of rural India has access to TV coverage

650,000 existing PCOs internet kiosks

400,000 villages already have telephone connections

Mobile user in India 156.3 million

Internet users in India 2m Dec 2001, 8.5m 2003

Hardware, software and brain ware all available


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Current Status of e-health in India

Mostly limited to medical transcription and

Health awareness through portals

Telemedicine

Hospital management system

Customer service using internet


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Electronic Medical Record and

Hospital Automation


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EMR & Hospital Information &Management System (HIMS)

Application

Large corporate hospitals

Academic Medical

Institutions

(SGPGIMS, Lucknow; Institute

of Medical Sciences,

Sevagram; SRMC, Chennai;

AIMS, Kochi; CMC, Vellore)

Solution Providers

Center for Development of

Advanced Computing

Wipro GE Healthcare Tata Consultancy Services

Siemens Information Systems

Ltd (SISL)

Vepro (PACS)

Sobha Renaissance

Information Technology


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Brief review of Telemedicine projectsaround the country


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Telemedicine InfrastructureTelemedicine

(more than 500 platforms)

Major Implementing Agencies Indian Space Research Organisation

Department of Information Technology , Ministryof Communication & IT

Ministry of Health and Family Welfare

State Governments

Medical Institutions


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DIT - Initiatives

Telemedicine module forTropical Medicine in WestBengal - Webel (Kolkata), IIT,Kharagpur and School ofTropical Medicine, Kolkata

Telemedicine and TelehealthEducation facilities in Kerala 3 specialty hospitals with 4District/ Rural Hospitals

Telemedicine network (CMEprogramme) for Naga HospitalKohima with Apollo Hospital,Delhi

Onconet Network - Kerala and

Tamilnadu States

State wide Telemedicine networkbased on terrestrial communicationin the state of Himachal Pradesh,Tamilnadu, Punjab

Telemedicine network for Tripura

2 referral hospitals with 4 nodes Networking of District Hospitals of

Mizoram & Sikkim with ApolloHospital, Delhi

Setup Community InformationCenters in 30 blocks of the NorthEastern states and Sikkim incollaboration with National

Informatics Center using NICNET


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Telemedicine at SGPGIMS,Lucknow

Application project

Constancy, project

planning and

implementation of network

in states

Tele-health care & Distant

Education in Medicine

Tele-mentoring

Research and Productdevelopment

Organizational Activities

Telemedicine Awareness

National & International

collaboration in policy

initiatives, technical

knowledge exchange &

HRD


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All India Institute of Medical

Sciences, New Delhi

J & K network, Haryana ( RohtakMedical College, BallabhgarhCommunity Centre)

SCB Medical College Cuttack,

Guwahati

SRMC, Chennai

AIMS, Kochi

Post Graduate Institute ofMedical Education and

Research (PGIMER),Chandigarh

Mata Kaushalya Hospital atPatiala

Sub-divisional GovernmentHospitals at Dasuya andAjnala in Hoshiarpur andAmritsar in Punjab state

A ll T l di i N t k


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Amrita Institute of MedicalSciences, Kochi

36 Telemedicine Centers allover India Emergency Medical Center at

Pampa

Apollo Telemedicine NetworkFoundation

Corporate Group of Hospitalshaving branches in India andAbroad

Networked all its hospitals anduse in-house software

Telemedicine consultancy andsoftware providers

Active participants in theStandardization and ITIH activity

Installed a number of peripheraltelemedicine nodes throughfranchise under Apollo HealthStreet Company

Fortis Hospitals

HIS & PACS

13 nodes


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National e-Governance Action Plan (NeGP)(DIT Initiatives)

100,000, Common Services Centers (80 services) by 2007 Health

Vaccination Schedule Maternity Care Family Planning

Medicines Ambulance Services and Transportation Hospital / Primary Health Centers information Blood Bank

Life Saving Drugs Doctors Database Appointment with Doctors E-Diagnostics

Materials Management System (Medicines)


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Govt of India InitiativeVillage Resource Centers (VRCs)

600,000 villages

Communication and remote sensing satellite providedby ISRO

Information on agriculture, health, education, naturalresources

Initially in the Andaman and Nicobar Islands &Wayanad and Palakkad areas of Kerala and in someparts of the northeast

http://www.apnic.net/mailing-lists/s-asia-it/archive/2004/10/msg00018.html


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Tele-health Industry(Hardware & Software)

Center for Development of Advanced Computing Apollo Telemedicine Network Foundation

Online Telemedicine Research Institute

Televital India Vepro India

Prognosys Medical Systems Pvt. Ltd.

Medisoft Telemedicine Pvt. Ltd I-diagnosis Technologies

Karishma Software Ltd


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Standardization & Policy initiatives(National Task Force)


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Policy Initiative National Health Information Infrastructure

& Standardization (www.mit.gov.in ) Undertook initiative, in a project mode, for defining Theframework for Information Technology Infrastructure for Health(ITIH) to efficiently address information needs of differentstakeholders in the healthcare sector

Prepared documents Recommended Guidelines & Standards for Practice of Telemedicine in India to standardize services ofdifferent Telemedicine centers

National Broadband Policy (Telecom RegulatoryAuthority of India)

Dedicated Satellite for Education (EDUSAT) & health(HEALTHSAT) Revision of Medical Curriculum in process National Telemedicine Task Force, Ministry of Health &

FW, Govt. of India


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National Task Force on Telemedicine Terms of References

To work on inter-operability,standards for data transmission,software, hardware, training etc.

To define a national telemedicinegrid and consider its standards andoperational aspects

To identify all players and projectscurrently involved in telemedicine inIndia and evaluate theirperformance, capacity andreplicability.

To prepare pilot projects forconnection of super specialtyhospitals/ medical colleges withdistrict hospitals and/or CommunityHealth Centers / Primary HealthCenters especially keeping in mindto provide access to remote areas

To prepare national cancertelemedicine network

To examine possibilities ofutilization of stand alonecenters of department ofcommunication in rural areas

To define standards andstructures of electronic medicalrecords and patient data basewhich could be accessed on anational telemedicine grid

To enable telemedicinecenters in teaching institutionsto impart training to allgovernment medical/ dental/nursing colleges inthree years time

To prepare curriculum andprojects for CMEs through

telemedicine


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Standardization Initiative (DIT) Recommended Guidelines & Standards for Practice of

Telemedicine in India


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Major national & internationalProjects in near future


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National/ International e-Health Projectsunder planning/ implementation

Ministry of Health & FW Project, Govt. of India Integrated Disease Surveillance Project

Tele-ophthalmology project

National Telemedicine Grid National Onconet Project

National Medical College Network

National Digital Medical Library Consortium Ministry of External Affairs Project, Govt. of India

SAARC telemedicine network

Pan-African e network project


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E health Capacity building, Scientific

Societies, Education, Research &Development


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e-Learning in Health Sciences

Online Open Access Bibliography

NIC-ICMR (MEDLARS) Digital Hub Consortium

Collaborative Knowledge sharing throughtelemedicine network


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Education & Training in e-Healthtowards Capacity building

Apollo - Anna University, Chennai (certificate course)

School of Telemedicine and Biomedical InformaticsTelemedicine, SGPGIMS (structured courses)

Hospital Information System, Biomedical Informatics, MedicalMultimedia and Image management, Medical KnowledgeManagement, Artificial Intelligence, Virtual Reality andRobotics

National Institute of Health & Family Welfare (Tele TrainingCenter) MoH&FW - Proposed

Rad Gurukul, Bangalore - Teleradiology Solutions, provider ofteleradiology services - Teleradiology training center


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Research & DevelopmentDIT Initiatives

Center for Development of Advance Computing

HIS, SGPGIMS

Telemedicine Software (Mercury & Sanjeevani)

Media Lab Asia Initiative

In collaboration with many premier medical and technical

institutions


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Research Publications

More than 100 publications in various national &international peer reviewed Journals

List available at

http://www.telemedindia.org/original_articles.pdf


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National Scientific Activities

Medical Computer Society of India

Telemedicine Society of India

Indian Medical Informatics Association


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Challenges ahead


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Challenges Ahead

Development of National Plan for e-Health Identification of Best Practices for ClinicalTelemedicine and Public health Applications

E-health adoption by stake holders

Development of e-Health Program sustainabilityModels Promotion of inter-operability using the universal

standard Integration into prevailing Health System Development of National e-Health Observatory Capacity Building in e-health technology & System Research & Development in e-health technology and

system appropriate for local situation with global

impact


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www.sgpgi-telemedicine.org

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india ehealth status

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