Health Informatics in India : Vision and Activities

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1 Health Informatics in India : Vision and Activities September 5, 2008 S. Ramakrishnan 1

2 Health Informatics : Multidisciplinary in Nature Medicine Biology Computer Science Health Informatics Statistical Analysis Information Science Psychology It deals with the integrated usage of Information Communication, and Electronics technologies for offering better health services. 2

3 Telemedicine As complex as Interactive Robotic Surgery As simple as a Phone Call Deals with delivery of health care, through exchange of information across distances, using ICT It includes Tele-Consultation and Tele-Diagnosis 3

4 Tele-Education It uses e-learning framework for Continuing Medical Education (CME) Its applications may range from Public Education on health care issues to Real-time video broadcasting of an operation being carried out in an OT to multiple groups of medical students 4

5 Standards for Medical Systems Standards are necessary for interoperability of Medical equipment Computing equipment and Software from different vendors Standards for medical systems deal with areas such as: Health concept representation Electronic messages and communication Security, confidentiality, and privacy Electronic health records Information modeling Health cards or smart cards 5

6 Standards for Medical Systems (contd ) Few international standards for medical systems include: DICOM (DIgital Imaging & COmmunications in Medicine) HL7 (Health Level Seven) UMLS (Unified Medical Language System) SNOMED (Systemitized NOmenclature of MEDicine) HIPAA (Health Instruments Portability and Accountability Act) In India, DIT, MCIT is leading the initiative of laying standards for Health informatics from Indian context 6

7 Other Health Informatics Projects H. R. Portal for Health Department, GoK Medical College Hospital Computerization Computerization of Health Directorates Health Management Information System Picture Archival and Communication System Digital Programmable Hearing Aid 7

8 Bioinformatics Bioinformatics deals with the analysis of Genome databases to provide structural and functional information on unknown genes or proteins and reconstructing metabolic pathways Technologies involved in Bioinformatics include: Molecular modeling Gene Finding Biomolecular Docking Comparative Genomics Genome Sequence Analysis Microarray Data Analysis All these activities are useful for new drug design for better health care Bio-informatics Resources & Applications Facility (BRAF) on C-DAC s PARAM System 8

9 Recommendations by National Knowledge Commission (NKC) Initiate Indian Health Information Network Development (I-HIND) (web-based) network, connecting all health care establishments in both private and public sector Establish national standards for clinical terminology and health informatics Create a common electronic health record (EHR) 9

10 Recommendations by National Knowledge Commission (NKC) Create appropriate policy Framework to protect health data of citizens (technical & legal framework, encryption, anonymity, confidentiality, security) Medical Informatics to be part of Medical and Pharma curriculum Create an institutional framework for implementation (An Autonomous body) 10

11 C-DAC Activities: Consolidating the agenda End to End Solutions Science & Engineering Industry e-governance Health Education & Training HPC Grid Computing Language Computing Professional Electronics Software Technologies Cyber Security Enabling Technologies 11

12 Kaleidoscope of C-DAC Products 12

13 Motivation Good and economical health services is a priority area for the Government ICTE can prove to be very helpful in this regard C-DAC is a premier R&D organization of the GOI in the ICTE sector Hence, Health Informatics is naturally a focus area of C-DAC s R&D agenda. 13

14 C-DAC s Current Focus Areas Hospital Information System (HIS) Tele-Medicine Tele-Education Decision Support Systems (including traditional medicine) Medical Informatics Standards Bioinformatics Health Grids Others 14

15 Products developed in Health Informatics Mercury Telemedicine Solution Sanjeevani Telemedicine Solution E-Sushrut Hospital Information Management System (HMIS) Tejas Software suite for Oncology Ayusoft Decision Support System for Ayurveda E-Chavi Picture Archival Communication System (PACS) Medical Standards Libraries Digital Programmable Hearing Aid 15

16 C-DAC centre s involved and their expertise areas Pune Mohali v Telemedicine v Telemedicine v Medical Standards v Biomedical v Decision Support System for instrumentation Ayurveda v Health Grid Thiruvananthapuram v v Oncology Biomedical Instrumentation Noida v v HIMS PACS v v Information System for Health Directorates Tele-education 16

17 Hospital Information System (HIS) Helps in efficient and effective management of a hospital s activities Deals with aspects such as Out-Patient Management Investigations Billing Appointments Operation Theatre Blood Bank In-Patient Management Registration Enquiry Diet Kitchen Management Central Stores Management Pharmacy Management Patient Medical Records. 17

18 Sushrut 18

19 Modules of TEJHAS TEJHAS Telemedicine Enabled JAVA based Hospital Automation System TEJHAS Core Services OP& IP Management Consultation Surgical Oncology Resource Scheduling Investigation Nuclear Medicine Radiation Oncology Chemotherapy Support Services Cash & Billing Central Stores Purchase Blood Bank Radiology Engineering C.S.S.D. Back Office Enquiry MIS Master Data Users Pharmacy 19

20 HIS Deployments Representative List Sanjay Gandhi Post Graduate Institute, Lucknow Guru Teg Bahadur Hospital, Delhi Mahatma Gandhi Institute of Medical Sciences, Sevagram, Maharashtra Regional Cancer Centre, Thiruvananthapuram. 20

21 Telemedicine Deployments-Representative List Extreme North India (Punjab, Chandigarh, Himachal Pradesh) North India (Delhi, Lucknow, Chandigarh, Cuttack, Shimla, Rohtak) North East India (New Delhi, Sikkim, Mizoram) Kerala (Thiruvananthapuram, Wayand, Mavelikkara, Neyyatinkara, Quilandy, Malappuram, Kollam, Kochi, Kannur, Palakkad, Kozhenchery) Tamil Nadu Africa (Addis-Ababa, Ethiopia) Hyderabad 21

22 Tele-Education C-DAC s Offerings E-Sikshak Learning Resource Centre for Oncology Our Telemedicine Solutions Indian Institute for Information Technology and Management (IIITM), Trivandrum is C-DAC s partner in one of the projects dealing with Tele-Education. 22

23 Medical Decision Support Systems Deal with Creation of a repository of electronic medical records gathered through various medical informatics applications Analysis of this huge data volume for medical research and other decisions The two key components of this process are : Data Warehousing Data Mining Oncology DSS Ayurveda for DSS 23

24 AyuSoft A Comprehensive, Interactive and Intelligent Software System to Assist Medical Practitioners and Researchers in Application of Basic Principles of Ayurveda Research -Nadipariksha 24

25 Summary India is endowed with IT Leadership Large population Best of doctors Growing number of reputed hospitals, public and private Wide expectations Tertiary hospitals to outreach thro primary health centres & beyond IT can provide Infusion of cutting edge technology and systems Reduce the health delivery costs Telecom, Internet & Mobile reach enables force multiplier of scare resources (doctors & referral facilities) to all at affordable rate 25

26 Summary Let us Leap-frog with generation IT Infrastructure without islands of legacy systems Standards are the key Follow-up implementation is vital Public, private participation, institutions creation, resource allotment are vital This seminar is great occasion in that direction 26

27 Thank you 27

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