People of Delhi to soon get freedom from long hospital queues:CM Arvind Kejriwal

• Project awarded, budget sanctioned, HIMS to soon be a reality in Delhi: CM Arvind Kejriwal
• All the hospitals of Delhi will be brought under one platform; all information will be available at the tap of a button: CM Arvind Kejriwal

India

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Delhi Government is all set to bring about a revolution in the healthcare infrastructure of Delhi and make health management seamless in the state, at par with a select few countries across the globe. Rapid preparations are taking place to implement the Health Information Management System. The Chief Minister on Saturday informed that the project had been awarded to a company after cabinet approval and the budget was also sanctioned for the same. He added that all the hospitals of Delhi will be brought under one platform; all information will be available at the tap of a button and that there will be no need to stand in queues after HIMS is implemented; doctors will give appointments on the phone, patients will be able to select time as per convenience.

Chief Minister Arvind Kejriwal said, “All the hospitals of Delhi are being connected to the Health Information Management System. All the medical services will be brought under one platform, through the HIMS portal. It will help us how many beds are vacant in a hospital, the status of medicine stocks and staffers, number of ventilators and any other information about the medical infrastructure will be available on the HIMS platform. One wouldn’t need to stand in queues in hospitals anymore, you will be able to get appointments on the phone itself and go as per your convenience.”

“The contract for the system has been awarded to M/s NEC Corporation India Private Limited, a Multinational Corporation who will be looking after the whole platform. The funds required for the project have also been sanctioned by the Delhi Cabinet,” he added.

Delhi Government working on war footing to implement the project; project awarded & budget sanctioned

Delhi Government is working on war footing to implement the ambitious project. The tender for the HIMS platform has been awarded & budget has also been sanctioned for the same.
The tender was awarded to M/s NEC Corporation India Private Limited and a budget of Rupees One Hundred Thirty Nine Crore Eighty Lacs Twenty Four Thousands Four Hundred and Thirty Six has been sanctioned by the Delhi Cabinet for the project.

This ambitious healthcare transformation initiative aims to encompass all facilities under the ambit of the Government of Delhi i.e. approx. 350+, with following key objectives:

1. Streamlined processes at each healthcare facility

2. Enhanced quality of healthcare service delivery in an efficient manner

3. Judicious utilization of available resources and increase efficiency of deployed manpower

4. Assistance in policy making decisions / overall governance

5. Enabling advancements in care through knowledge sharing research initiatives

6. Improved patient experience by promoting personalized care

People of Delhi will get freedom from long hospital queues:

After the implementation of the Health Information Management System, people will get freedom from the long queues of hospitals. They will be able to get an appointment with the doctor they wish to see by accessing an online portal from the comfort of their homes. They will be designated a time frame to meet the doctor and will be able to get consultation as per that.

Surveys will be conducted to make eHealth Cards

The Delhi Government is making sure that people don’t have to make rounds of hospitals and offices to get their eHealth Cards made. The Delhi Government will conduct surveys across the entire state to make sure every citizen can get their eHealth Card made. The cards will also be made at hospitals and other dedicated centres. The cards will be distributed through a door-to-door campaign. The eHealth Card will contain the entire medical history of the cardholder and they will be able to get treated at any hospital on the HIMS system. One will not be required to carry medical reports and documents if they have the card.

The entire system will be digital and cloud based

The Delhi Government is trying to implement HIMS in all government hospitals of Delhi as soon as possible. Private hospitals will also be connected to it in a phased manner. All patient care related services like hospital administration, budgeting and planning, supply chain management, back end service and processes will be brought under this system. Health Cards will be issued through this system and will be available online for access. This will help the people of Delhi get all the information under one roof and immediate help in emergency cases. After its implementation, Delhi will become the only state in the country to have a cloud based health management system. At present, such a system is available in some developed countries like Sweden, Uganda and Germany.

Many provisions have been proposed for the health card project

Under the Health Card Project, QR code based eHealth Cards will be issued to the residents of Delhi on the basis of Voter ID and Population Registry from which demographic and basic clinical information of each patient can be obtained. Family mapping will be done through e-health cards for health schemes and programmes. It will be integrated with HIMS for seamless information exchange. Cards with QR codes will be distributed to each person after physical verification. Provisions will be made to issue modified or duplicate cards on the request of the people.

Call Centres will be made for a centralised health helpline:

To implement the HIMS project, a centralised call center will be set up at two levels. In the first level, call center operators will receive calls and messages from people. After logging in to the CRM, they will assess the case and get it resolved and inform the available health care staff concerned. The operator will give the relevant information to the caller and a report will be generated at the end. On the other hand, at the second level, doctors and experts of the Delhi Government will receive calls and messages and give appointments to the patient. If the case is an emergency, the helpline will accept their call immediately and talk to them to solve the problem. If need be, they will contact a specialist doctor of the concerned disease.

Distinct Features of HIMS:

REGISTRATION:

• Online Registration / Pre – Registration / Appointment Scheduling through Web  Portal, Mobile App, Kiosks or Toll-Free Health Helpline
• Facial Recognition along with Biometric authentication of Patients
• Screening for General Health and Well-being each family through Household surveys by ASHASs and ANMS at the community level

  OPD:

• Queue Management integrated with Barcode
• E-prescription with automated templates according to doctor’s specialty / department as well as personal style  -Innovative techniques of speedy recording of diagnosis, prescribed treatment, drugs and investigations through voice to text / Digital Pads/ Digital Pens
• Clinical Decision Support System with specialty / department with tools and techniques along with drug interaction alerts.

  EMERGENCY & AMBULANCE:

  Real Time integration with Centralized Ambulance Trauma Services (CATS) – Delhi & Trauma Registry

  IPD:

• Computer on Wheels’ for Nursing Staff
• Templatized clinical  notes and automated discharge summary
• Mandatory compliance to clinical checklists e.g. surgical safety checklist prior to OT shifting Inter facility / Intra facility Referrals (in bed/ in OPD) authenticated by biometric IDs and Barcodes
• Real time Bed availability status for public
• Digital signatures and Biometric based authentication and app vals for all healthcare staff

  LAB:
  –

• Standardized templates for Clinical testing Digital tagging of samples for further medical research

  RADIOLOGY

• Real time / Web based images and scans sharing

  PHARMACY

• Drug Dispensing and Receipt authentication by Pharmacists and Patients biometric ID respectively
• Display boards with estimated wait time and Queue Management
• EDL List Management
• Door step delivery of medicines

  SURGERY

• Mandatory automated OT Checklist
• Automated Emergency and Elective surgery scheduling

  COMMUNITY OUTREACH

• General screening and wellness with mapping of family members
• Geo-tagging of the frontline workers and catchment areas
• Household surveys through Handheld devices by frontline workers
• Identification and registration of beneficiaries with Aadhar and biometric identification to avail the state sponsored and national schemes

  MEDICAL RECORDS

• Barcode system for tracking and maintaining physical records
• Consent Framework as part of Health Information Exchange, and data anonymization for security of electronic health records

  MEDICAL / DISABILITY CERTIFICATES

• Biometric authenticated Facial recognition for providing beneficiary certificates
  -Digitally templatized certificates authenticated with Digital SIgnatures

  QUALITY ASSURANCE AND AUDIT

• Centralised quality assurance with auto scheduling of planned and adhoc audits of healthcare facilities
• Autoregenerated alerts along with MIS and Analytical Reports
• Auto Sampling based on performance of healthcare facility

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