PowerPoint Presentation

Training of Medical officers in Primary Health Centers of Tamilnadu to reduce perinatal mortalityInnovative use of Technology in Healthcare

@Transforming Healthcare with Technology Summit Project Presentation ScanSHS1

Directors : Dr S Suresh / Dr Indrani SureshStarted in 1982, 31 years of highly specialized foetal careAccredited by Fetal Medicine Foundation, UKTertiary referral centre for Ultrasound and Fetal Medicine in south asiaPassionate Teachers, 26 years of training, Over 5000 students Caters to all strata of Society@Transforming Healthcare with Technology Summit Project Presentation ScanSHS

2Scan-SHS Project Project Presentation ScanSHS@Transforming Healthcare with Technology Summit The aim of ScanSHS project is to improve the skill levels of medical officers in primary health centers of Tamilnadu in the usage of ultrasound for antenatal screening for early detection of fetal abnormalities through innovative and effective use of technology

3Goals of Scan-SHS ProjectOffer a viable healthcare training program for healthcare practitioners in rural Tamilnadu, to improve skills in fetal imagingfor early detection of fetal abnormalities like NTDs, Abdominal wall defects, IUGR etc.

Offer a blended training mechanism that would allow the medical officers at the primary health center to interact with experts and gain skills over a period of time.

System of Audit for continuous evaluation of skill levels. Specialists remotely assess the performance of the medical officer and provide feedback.

Sms Alerts when anomalies are detected for specialist intervention and management

Demonstrate and validate the skills acquired. Sophisticated software analysing performance and suggesting areas of improvement.

The project shall result in reduction of perinatal mortalityProject Presentation ScanSHS@Transforming Healthcare with Technology Summit

ChallengesUltrasound availability in all PHCs / Government Hospitals

Lack of training under utilization

No accreditation for those performing ultrasound hence lack of confidence in reporting

Doctors working at primary level to be trained in a specialty in a short time

Imparting theoretical skills and training in a standardized fashion

Geographically dispersed locations

Periodic audit and a verifiable training program

Low Skill Levels, Geographically spread, Standardisation Project Presentation ScanSHS@Transforming Healthcare with Technology Summit

Project Presentation ScanSHS@Transforming Healthcare with Technology Summit

ScanSHS Project ApproachThe Scan-SHS ApproachThe project shall result in reduction in perinatal mortalityStep 1 Identification of the PHCs, List of doctors and Pre-test

Step 2 Orientation session for all doctors/trainers for 2 days

Step 3 Doctors take online theoretical course (http://www.sonoedu.com)

Step 4 Hands on training by accredited trainers in each district Installation of specialized software for ultrasound reporting and training on use of software

Step 5Online audit of Images and reports by specialists Periodic Evaluation and Feedback

Project Presentation ScanSHS@Transforming Healthcare with Technology Summit

Scan-SHS ApproachThe project shall result in reduction in perinatal mortality

Sensitization program

PRE-TEST

ONLINE THEORY COURSEwww.sonoedu.comPRACTICAL TRAINING AT DISTRICTS

Patient examination

Standardized image documentation / reportingProject Presentation ScanSHS@Transforming Healthcare with Technology Summit

Project Presentation ScanSHS@Transforming Healthcare with Technology Summit

ScanSHS A Technical OverviewScanSHS Workflow

Project Presentation ScanSHS@Transforming Healthcare with Technology Summit

Foetal Management Software and ReportingSpecialised Software for management of fetus- Demographics- Pregnancy Dating - Plotting Fetal Growth - Past pregnancy history- Risk for anomalies- Standardized Image set- Upload for audit - Expert Alerts - Statistics, audits, management reports

Sonocare was successfully integrated into Primary Health Center workflow with support for expert opinionProject Presentation ScanSHS@Transforming Healthcare with Technology Summit

Sonocare ICT in fetal medicine practiceComprehensive fetal medicine solution devised with the clinician in mindHelps the medical practitioner to focus on the patient, not the processDiagnostic +Reporting + Research + Tracking +Auditing tool, all put together

Sonocare in diagnosis Are the dates right?Is the baby small?Is it growth restricted?Project Presentation ScanSHS@Transforming Healthcare with Technology Summit

Primary Health Center Workflow

Anomaly StatusStudy UploadingMedical officers in primary health centers upload images and reports to centralized server. Report suspected anomalies for further management. Project Presentation ScanSHS@Transforming Healthcare with Technology Summit

Expert FeedbackSpecialist audits the performance of the medical officers on certain standardised parameters, and provides feedback

Project Presentation ScanSHS@Transforming Healthcare with Technology Summit

Anomaly Workflow and Management

SMS Alarm sent to the specialists when anomalies are reported for immediate intervention and management Project Presentation ScanSHS@Transforming Healthcare with Technology Summit

Performance ReportProject Presentation ScanSHS@Transforming Healthcare with Technology Summit Project Presentation ScanSHS@Transforming Healthcare with Technology Summit

ScanSHS Statistics and Concluding RemarksScanSHS Work in Progress Project Presentation ScanSHS@Transforming Healthcare with Technology Summit

SL.NoDistrict Anomalies Detected1Coimbatore92Cuddalore473Erode814Krishnagiri125Madurai406Nilgiris707Ramanathapuram38Salem919Sivaganga010Theni4311Thiruvallur1712Thiruvarur113Tiruppur8914Vellore7515Villupuram42ScanSHS Work in Progress

@Transforming Healthcare with Technology Summit Project Presentation ScanSHSScan SHS : Audit Enabled EducationFirst of its kind education program for healthcare practitioners to improve their skills in fetal imaging and early detection of fetal anomalies

Continuous assessment, periodic feedback and mentoring by experts has helped develop a talent pool in the primary health centers, which in turn can be leveraged for further capacity building

Capacity building and skill development through appropriate use of technology can significantly improve the quality of healthcare delivery especially in rural India where there is a huge scarcity of specialised practitionersEffective use of Technology for capacity building in Rural India Project Presentation ScanSHS@Transforming Healthcare with Technology Summit