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Medical Education & Drugs Department Government of Maharashtra

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Medical Education & Drugs Department Government of Maharashtra. 1. Implementation of Healthcare & Academics Management & Information System in Government Medical Colleges & its Attached hospitals in Maharashtra. HMIS Project. Objective.

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Medical Education & Drugs Department

Government of Maharashtra

1

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Implementation of Healthcare & Academics Management & Information System inGovernment Medical Colleges & its Attached hospitals in Maharashtra

HMIS Project

objective
Objective
  • Implementation of e-Governance policy decision of the State Government in Government Medical College & its attached Hospitals in Maharashtra
  • Improvement in Delivery of Health Care and Medical Education by using powerful HMIS Software of International standard and Quality Hardware
project scope
Project Scope

Central Server-NASIK

Hospital + Medical College

Hospital

benefits
Benefits
  • Unique Health ID
  • EMR Electronic Medical Record
  • Time Saving
  • International Standards
  • Better Utilization of Available Resources
  • Avoidance of Pilferages
  • Business Intelligence Reports
  • Instant Availability of Administrative Data

Savings

Clinical Trials & Research

benefits institute government
Benefits Institute & Government
  • All Institutes Interconnectivity, Centralized Data ,Uniformity
  • Inventory Management - Prevention of Pilferages
  • Availability & analysis of Administrative Data
  • Generation of income through Clinical

Trials and Research

innovative model
Innovative Model

Build Own Operate & Refresh (BOOR) Model

Service Contract

No Upfront Payment to the Service Provider

Monthly Payments linked to the Service Provided as per Service Level Agreements (SLAs)

Zero Risk to the Government

architecture
Architecture
  • Distributed
    • LAN – At Each Institute
    • WAN – Connecting To Central Data Repository (CSRC)
initial project cost
Initial Project Cost
  • Rs. 180 crore
  • Rs. 150 crores - Fixed Charges - From Plan Budget
  • Rs. 30 crores (approx.) - Transaction Charges - From Hospital PLA - @ Rs.

6.60/Transaction

transactions
Transactions

OPD Registration

IPD Registration

Students Registration

expected changes opd doctors consultation
Present Scenario

No Computerization

Doctors unaware of the Waiting Patients

No availability of Past Record

No statistical analysis possible for OPD Clinical Data

Laboratory Investigations and Prescription of Medicines - on Paper.

Separate Forms needs to be filled

Such facility is not available

Scenario After HMIS Implementation

Computerization in all OPDs

Waiting Patients List available on Computer screen

Instant availability of Past Record

All types of statistical analysis possible on OPD Data

Investigation & Prescription of Medicines- e-Prescription

With click of the Mouse - on Computer

Each Department can customize the their OPD screens as per their favorite list of Symptoms, Probable Diagnosis, Investigations, Medicines etc.

Expected Changes OPD -Doctors Consultation
possible income generation advertisement
Possible Income GenerationAdvertisement
  • Charging for using the HMIS Data for any analytical purpose (to authorized persons only) as per the prevailing policy for the use of the Data
  • Advertisement:
    • On the back side of the OPD Number Card
    • On the computer screen - scrolling/pop up advertisement
    • In the Waiting Area
    • On Medicine Packets
    • At any other possible area
possible generation of income clinical trials contract research
Possible Generation of IncomeClinical Trials/Contract Research
  • India - Preferred destination for outsourcing due to:
    • Largest pool of variety of patients.
    • Specialty Hospital Beds - 7 Lakh
    • 269 Medical Colleges.
    • Low cost - 50-60% cheaper than in US
    • English speaking personnel
present status
Present Status

Pilot Phase – at Grant Medical College & Sir JJ Hospital Complete

Pune, Nagpur & Aurangabad - Ready for Trial

St. George, G.T. & Cama – Implementation started

project governance
Project Governance

Steering Committee

Project Coordinator

State Level Project Implementation Committee

Project Implementation Committee (PIC) at Each Location

challenges
Challenges

Customization

Mindset of the Users

Old Equipments

Top Down Governance

Old Infrastructure

Lack of Flexibility & Freedom in Implementation

challenges1
Challenges
  • Use of the HMIS Data for Analysis and Policy Making
  • Legal Issues in relation to EMR confidentiality
  • RTI Act
  • OLD Equipments - like X-Ray, Biochemistry Machines not compatible to HMIS
  • Data Entry into the system
challenges2
Challenges

Complexity of the Processes

Multiple GR – Sometimes Conflicting

increase in project cost
Increase in Project Cost

Learning from the Pilot Phase

Less No of Nodes/Terminal (Computer)

Cabinet Approved Additional Rs. 93 crore for receiving the services for the Nodes & Printers for 19 Institutes for 7 years (Feb 09)

timelines
Timelines
  • 27th Feb 09 - Cabinet Approved for Additional 93 crores for Nodes
  • Nov 2010 - Implementation of Roll-Out Locations
ray of hope
Ray of Hope

No State Government in India has done what GOM has done

Its Matter of Time and Benefits are assured

international scenariousa
International ScenarioUSA
  • US President Obama\'s big idea: Digital health records: Computerize all Health Records Within Five Years.
  • Only about 8% of the US 5,000 hospitals and 17% of its 8 Lakh Physicians currently use the kind of Common Computerized Record-keeping Systems that Obama envisions for the Whole Nation.
  • Expected Cost at least $75 Billion to $100 Billion (Rs.1.5 - 2 Lakh crores) over the Ten Years they think the Hospitals would need to Implement.
  • On February 17, 2009 President Obama Signed the Stimulus Bill into Law.  In the Bill, Obama allocated
  • $19 Billion Dollars (Rs. 38,000 Thousand

Crore) to Electronic Health Records program.

stakeholder
Stakeholder

State Government

Larsen & Toubro Limited - Technical

Advisor

Hewlett Packard - HP - Prime Contractor

Amrita Technologies - HMIS Software

Provider

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For the details contactDr. Sanjay Bijwe M.D.Officer on Special DutyMedical Education & Drugs Mantralaya Mumbai -400032 Tel.91-22-22828715Mobile:91-9821138798

Thank You

Nivedita Golatkar

Special Project Officer

Department of Information technology

Mantralaya Mumbai-400032

Mobile:9323293206

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