Technology for Public Health Transform ation

Size: px

Start display at page:

Download "Technology for Public Health Transform ation"

Barbara Evans
8 years ago
Views:

1 Technology for Public Health Transform ation Challenges, Success Stories & Solutions Dr. Vijay Rai, MD Chief Medical Officer & Nodal Officer (I.T.) for Health & FW Dept. GNCTD

2 21 st Century is the age of informatics. Major tool of informatics is Internet. Therefore to behave as a conscious medical professional, a Physician of today has to know the basics of information technology as well as physiology and pharmacology.

3 Challenges for the Governments Fulfill the expectations of the citizen through E-Governance Equity Education Employment Entrepreneurship Economy

4 Challenges for I.T. in Health improving the Quality of Health-care service to the need and satisfaction of users of service improving Health-systems for better service delivery creating department-citizen interface good working referral system across the sate better health-planning, disease control and medical -research

satisfaction of users of service improving Health-systems for better service

5 S trategy of Implementation All to win Internal process re-engineering across health institutions & service providers Com puterization of Health Institutions & their linkage through State Data Center: M odular State of the art Hospital Inform ation M anagem ent System (HIM S) on com m on architecture. Aim s to interconnect all departm ents of hospital seam lessly, m inim ize operations on paper Facilitators & C oordinators: N odal O fficers for each D ept. C apacity B uilding: T raining of health personnel Interactive and inform ative W eb-site S trengthening S tate H ealth Intelligence B ureau

6 Cons tituent Departments under Directorates: Health & FW Directorates: Health, Family Welfare, ISM Hospitals (besides 15 under DHS): Lok Nayak, G.B. Pant, G.T.B., G.N. Eye Center, D.D.U., Sanjay Gandhi Memorial, Aruna Asaf Ali, B.S.A. Hospital (Rohini) Others: M.A.M.College, Drugs Control Dept. & P.F.A Autonomous Bodies & Societies: I.H.B.A.S., Delhi State Aids Control Society, C.A.T.S., S.B.T.C. & State Councils (Medical, Nursing, Pharmacy)

, Sanjay Gandhi Memorial, Aruna Asaf Ali, B.S.A. Hospital (Rohini) Others: M.A.M.College, Drugs Control Dept.

7 Role of H&FW Department Spelling out guidelines for the Depts. under Health Facilitator and m onitor: Issuing directives, S etting targets E ncouraging H ealth Institutions to com puterize S etting bench-m arks and holding periodic review s Co-ordinate with other Depts. (I.T., Planning, Finance etc.) Collaborate with IT Departm ent: Policy Decisions: Pr. Secretary level m eetings Technical Inputs for projects, V endor S election Training & W eb-site developm ent

puterize S etting bench-m arks and holding periodic review s Co-ordinate with other Depts. (I.T.

8 His tory of Computerization in H&FW Dept : Beginning m ade in LNH. S.R.S. accepted by H&FW Dept. but project did not get support of Finance as com puterization was costly & health was not a priority : G.B. Pant Hospital envisaged its com puterization with linking of various services/depts. N.I.C. conducted S.R.S : First LAN system with nodes installed in DHS (HQ ). NIC awarded work for GBPH : Introduction of PC s in Hospitals & e-m ail use began 1 999: W eb-site launched

Pant Hospital envisaged its com puterization with linking of various services/depts. N.I.C. conducted S.

9 Computerization in Health A few s ucces s s tories Govt. of Delhi declares its IT Policy 2000 Com puterization of O PD registration begins in a few hospitals 2002: Nodal O fficers nom inated at level of H&FW Dept. Institutions Encouraged to install LAN system s and train health P ersonnel in IT use 2003: Three regional blood banks in D elhi com puterized and linked 2005: OPD Registration com puterized and outsourced. M orbidity data captured in hospital OPD's 2005: GTB Hospital, G B Pant Hospital and GGSG Hospitals begin com puterization in som e areas of the hospitals

10 Computerization in Health Contd.. C : Seven m em ber joint com m ittee of Health and IT evolves standards for a com m on architecture for H.I.M.S. Conform ing to standards like (HL7, DICO M, ICD-1 0 etc) Report paves the way for com puterization of hospitals and inter-linking 2005: Directorate of Health Services com puterizes itself an application softw are for its subordinate district offices and branches 2006: M O U signed with Center for Developm ent of Advanced Com puting (CDAC) for developing H.I.M.S. 2007: SRS for phase-i (ten m odules) accepted 2008: SRS for phase-ii accepted by Dept. Developm ent of HIM S software begins; tenders floated for hardware N/W etc.

Conform ing to standards like (HL7, DICO M, ICD-1 0 etc) Report paves the way for com puterization of hospitals and inter-linking 2005: Directorate of Health Services com

11 Experiences of G.B. Pant Hos pital Super-specialty teaching hospital. Hospital felt the need to com puterize in m id nineties : Project awarded to Rs. 60 lakhs. IT Dept. did not exist and Planning Dept. of G NCTD took decisions on com puterization. Little Progress thereafter. Feb. 2000: NIC sublets hardware supply to HCL and soft-ware developm ent to RCC (now DO EACC) Hospital signed M.O.U. with RCC RCC handed over the system in July with 2 servers, 45 nodes & network with fibre-optic backbone. Client-server architecture with O racle at the back-end. System worked but the solution was not com plete. The hospital started with lim ited vision. Vendor did not have adequate dom ain knowledge. System however still working in O PD, drug-store & pharm acy. Staff is friendly to com puter use.

2000: NIC sublets hardware supply to HCL and soft-ware developm ent to RCC (now DO EACC) Hospital signed M.O.U. with RCC RCC handed over the system in July 2002.

12 Computerization of GBPH Contd. H ospital had to deal w ith, Non-availability of Industry Standards, O bsolescence of technology since SRS (done 5 y. back), frequent system break-dow ns, bugs/viruses, poor m aintenance, cost over- runs, dissatisfied users and resistance to change. Late realization of the need for com puterizing Indoor, lab. and R adiology conform ity of H.I.M.S. to international standards P.A.C.S. for Radiology & other departm ents Telem edicine

back), frequent system break-dow ns, bugs/viruses, poor m aintenance, cost over- runs, dissatisfied users and

13 Computerization of B lood B anks Three Regional Blood Banks have been com puterized with an M IS. After qualification, the departm ent selected vendor based on the adequacy of the solution offered by them rather than w orking out specifications of solution itself. Availability of blood products shows on the web-site w w w.bloodbanksdelhi.com for inform ation of general public The initial resistance of staff for change was overcom e gradually w ith hand-holding, training & benefits

out specifications of solution itself. Availability of blood products shows on the web-site www.bloodbanksdelhi.com w w w.

14 Difficulties faced Industry Standards not available at that tim e Lack of in-house IT expertise Reluctance of staff to change to BPR Resistance of M edical, nursing and other staff to use key- board Fear of technology failing (paper system s appeared m ore reliable) Poor support from the vendors Reluctance of vendor to m ake frequent changes in software as and when dem anded by the clients. Leadership & m anagerial issues

technology failing (paper system s appeared m ore reliable) Poor support from the vendors Reluctance of

15 What made a difference? Leadership and strong message from the top in the Govt.: Ownership by the departments and long term vision Health Administration acting as facilitator and recognizing I.T. as felt need in health Recognizing Champions IT Consultant to the Health & FW Dept. I.T. Solution to be tailor-made to the needs of the users Identifying Champions among the health personnel Confidence building: Good co-ordination & Communication between vendor and the users

as felt need in health Recognizing Champions IT

16 Key to Success Ownership of project by organization, involvem ent & support of the Chief, thrust on im proving system s Role of Nodal O fficer: Activism, vision, team -building, evolving form ats and a good Requirem ent Definition Docum ent (RDD) Role of I.T. Consultant to the departm ent Good S.R.S. through vendor with good dom ain knowledge Thorough evaluation by the Dept. before final acceptance of SRS. Futuristic need assessm ent. In-house I.T. expertise & availability of trained staff Prim ing, education & m otivation of staff; proper handling of organized groups/unions.

Consultant to the departm ent Good S.R.S. through vendor with good dom ain knowledge Thorough evaluation by the Dept.

17 Future Projects in the Public Health System of GNCTD Paperless, smart & information sharing hospitals Emergency Medical Services and Pre-hospital care Telemedicine Portal for Health for Delhi Smart health card for each citizen with access to his/her EMR Centralized health data for the state, Registry for diseases like Cancer, Diabetes, Cardiac, Renal National Rural Health Mission: its MIS Strategy, IDSP and linkage of block level health outlets Medical Tourism

with access to his/her EMR Centralized health data for the state, Registry for diseases like Cancer, Diabetes,

18 Thank you

Consideration for Change of Approval Status from Initial to Full Approval RGV Careers in Pharr, Texas Vocational Nursing Education Program

Prepared by: V. Ayars Board Meeting: April 2012 Consideration for Change of Approval Status from Initial to Full Approval RGV Careers in Pharr, Texas Vocational Nursing Education Program Summary of Request: