MICRO HEALTH FRANCHISE SYSTEM PROJECT NAME: UMEEDSEY

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1 MICRO HEALTH FRANCHISE SYSTEM PROJECT NAME: UMEEDSEY Micro Health Franchise System provides high quality care to mother and child of reproductive age. Website:

2 Our Team Principal Investigator Shahid M Yusaf Project Manager Mujtaba Hussain HL7 Consultant M. Afzal Clinic/ Franchise SOP Consultant Dr. Shahzad MNCH Consultant Dr. Rubina Moin CDSS Consultant Maqbool Hussain Sr. Developer Arash Korrani Sr. Developer Saim Parvez QA Sundus Khurshid Developer M. Arsalan Developer Imran Nadeem Technical Report Writer Hamad Riaz

3 Problems and Proposed Solution: Problems Solutions (Tools) Stipend is too low Entrepreneurial support for CMWs No institutional framework available Franchise Model Limited medical Stock There is no performance monitoring mechanism for them No expert guidance or medical advice available Demand Based Supply Chain Management System Complete Monitoring Performance of CMW Referral System No further on going trainings On going capacity building of CMWs

4 1. Training and Capacity Building 2. Supply Chain/ Inventory Management 3. Manage Local offices 4. Branding and Marketing 5. Reports/ Statistics and Future Services 6. Micro Credit and Micro Health Insurance Franchisor Office 1. View Patient Record 2. View CMW Activity 3. Register New Patients 4. Provide EmOC Services Referral Doctor Patient Mobile App Software CMW (Skilled Birth Attendant) 1. Monitoring/ Evaluation 2. Emergency Services 3. Local Community Awareness 4. Ensuring Availability of Medicines Local Office 1. Pre, Post and Natal Health Care Provider Monitors Emergency Signs Anemia Gestational diabetes Pre-eclampsia (Toxemia) High blood pressure Eclampsia Hyperemesis gravidarum Placenta previa Placental abruption Preterm labor Miscarriage Multiple pregnancies Fetal problems

5 MNCH Triage (UmeedSey) Pre Pregnancy: (Lady Health Worker) Registers women of reproductive age and children below age 5. Monitors for signs of anemia, diarrhea diseases, intestinal parasites, acute respiratory infections, tuberculosis, malaria, primary eye care, scabies, AIDs and hepatitis. Insuring accurate growth monitoring and services like oral rehydration techniques, breast feeding, immunization, Family planning (birth spacing), Female education and Food supplementation are adopted. Share patient profile with referral doctor and community midwife. At large with health decision makers and non-profit organizations working in that area. Prenatal and Post Natal: (Community Midwife) Monitors and help diagnose 12 major risk factors of pre-post natal (Anemia, Gestational diabetes, Pre-eclampsia (Toxemia), High blood pressure, Eclampsia, Hyperemesis gravidarum, Placenta previa, Placental abruption, Preterm labor, Miscarriage, Multiple pregnancies, Fetal problems). Monitors baby right after birth and calculating risk factors using (Heart rate, breathing, muscle tone, Grimacing/ Response to Simulation, color of baby)

6 LHW App CMW App LHW (Promotive healthcare - FP) CMW (Skilled Birth Attendant) Doctor (Referral Center) Anemia Diarrhea diseases Intestinal parasites Acute respiratory infections tuberculosis Malaria Primary eye care Scabies AIDs and hepatitis Monitoring/Vaccinations of Babies Under 5 Anemia Gestational diabetes Pre-eclampsia (Toxemia) High blood pressure Eclampsia Hyperemesis gravidarum Placenta previa Placental abruption Preterm labor Miscarriage Multiple pregnancies Fetal problems

7 Mobile App Mobile app is specifically designed to replicate the procedures of CMW on a mobile interface. Presently she fills out a patient antenatal card. This card can be viewed in next slide.

8 CMW Current Workflow: If any of the fields with pink background is selected. CMW refers the patient to nearest Basic Health Unit or District Hospital. Current card is only limited to physical examination and is not covering any screening or diagnostic tests. Mobile app covers this basic procedure. In addition app takes the value of different screening and diagnostic test as well and provides the doctor (viewing patient record through an EMR) with precise information. CDSS looks for pattern in patient profile and match then with built in rules to identify to doctor and CMW regarding status of patient. It also acts as a driving engine behind the alerts and reminders (to doctors, CMW and Patient)

9 Mobile Application

10 Interfaces Based on Gestational Week

11 Patient Status on Mobile App:

12 Clinical Decision Support System CDSS Ensures: CMW follow every necessary step of ANC and do not miss any important information. Through early diagnosis; chances of saving the lives of mothers and child increases. Maintain patient profile and alert Doctor of all possible anomalies. Generate real time alerts for Doctors and CMW (Reminders, Alerts and Procedures)

13 Electronic Medical Record (EMR) EMR Will Help In At Large It Will Assist In Identifying the women in reproductive age Common vital signs that lead to identify the reasons/causes Progress on mother/babies in various intervals of pregnancy Analyzing various danger signs of pregnancy and new borne Major causes of diseases Track vaccinations Assessing the performance of CMWs Report of demand generated by the local dispensaries will help the donors and industry in further aligning themselves towards improving healthcare needs and demands in rural areas. Develop the emergency plan Develop the preventive care system Providing feedback to donor agencies in taking further steps to eradicate the cause of such diseases.

14

15

16 Demand Based Supply Chain Management System CMW Request tool kit through her mobile app Program Officer Receives this request and wait for Operational Manager approval Once Program Officer and Operational Manager approves this CMW request. Store Keeper dispatches the consignment to franchisee.

17 MHFS Modules: CMW/ Hiring and Capacity Building Doctors Referral Network/ Consultants Franchise Employees Recruitment HR Franchise Payroll Billing/Insura nce Mobile App HL7 Compliant EMR CDSS (Clinical Decision Support System) Accounting System Supply Chain Management Monitoring Evaluation MIS Workflow/ Enterprise Management Module Online Analytical Process (Reporting)

18 CMW Trainings (KhanPur)

19 CMW Trainings (Chakwal)

20 QUESTIONS? THE END

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