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KERALA. HEALTH MANAGEMENT INFORMATION SYSTEM. HEALTH MANAGEMENT INFORMATION SYSTEM. Sponsored by European Commission Sector Investment programme Project Cost: 178 Lakhs Scope

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kerala
KERALA
  • HEALTH MANAGEMENT INFORMATION SYSTEM
health management information system
HEALTH MANAGEMENT INFORMATION SYSTEM

Sponsored by European Commission Sector Investment programme

Project Cost: 178 Lakhs

Scope

  • Hosting the Administrative applications and Health Services Data Collection & Reporting Module centrally in one servers for remote access
  • Computerisation of 14 District Medical Offices (DMOs) of the Directorate of Health Services (DHS)
  • Networking of DMO Offices to DHS
  • Development of Software.

Technology

Web Oriented J2EE Applications with MVC Architecture on Oracle Application Server

Achievements

Submitted and got approved the master plan

Phase II of the recommendation got approved and implementation is in progress.

main points
Main Points
  • Setup Hardware Infrastructure
  • Establish Statewide Connectivity
  • Deploy Browser based Applications
  • Provide a workable model for Data Entry
  • Central Server
  • Linux platform
  • Client end windows/ Linux.
  • Open source.
project
Project
  • Central Dedicated Server - Database, Application, Mail and Security Services
  • Health Data Entry & Reporting Application for HMIS requirements.
  • All applications in the Central Server – Administrative, HMIS, DDMS, etc.
  • Network the Directorate, DMO offices and link to the central server.
  • Data entry DMO level in the initial phase and PHCs in the next phase.
  • Optimise Data Entry for reducing workload of Health workers
  • Include all non-governmental health care institutions also in the reporting process later stage.
  • Provide feedback to the reporting institutions, so that they are motivated.
  • Provide spatial analysis capability through GIS integration.
  • Develop/Identify Drug Distribution Management Application (DDMS)
  • Integration of all existing computerization programmes.
slide5

System Architecture

Highlights

  • Central Database & Application Servers.
  • Browser based applications.
  • High bandwidth connectivity to server.
  • Leased line connectivity to all DMO’s.
  • Dial Up access from PHC’s and other institutions.
  • 5-10 computers at each DMO with LAN connectivity
  • 2-5 computers at District Stores, and similar institutions*
  • 1 computer each at PHC’s/CHC’s/Other small institutions*

* Not included in this phase of the project- Future Development.

slide6

Instn Directory

Mail Server

Application Server

Database server

System Architecture

Drug Distribution

GIS

Health Data

APPLICATIONS

Administrative Suit

HR, Finance

Leased Line

2 Mbps

Authentication Server

Firewall

Network

Leased Line 64 Kbps or higher

Dial Up Access

LAN

CHC

PHC

DMO/DHS

Storage backup

Integrated Data repository

slide7

Application Software

  • Enhance & Extend Administrative applications to all institutions
  • Health Data Collection & Reporting System
  • Payroll & Financial Accounting Applications
  • Develop GIS module and incorporate spatial information
  • Develop and Deploy Drugs Distribution Management System
slide8

Administrative Applications

  • Infrastructure Management System
  • Employee Records Management
  • Budget Management
  • File Management
  • HR Management – Personnel & Payroll
slide9

Defining Programmes

Health Data module has the facility to

Create a new programme

Define sub programmes

Define activities under a programme

Define sub activities

Define parameters to be measured under an activity

Set targets for activity/parameter

slide11

Configuring Reports

Health Data module provide facility to

Create a new report from a set of predefined Report templates

Define the details to be shown

Define aggregates

Define indicators

slide13

Can be easily visualized in a tree structure

National Family Welfare Programme

(Programme)

(Activity)

Sterilisation

IUD

(Activity)

(Sub Activity)

Vasectomy

NSV

Conventional

PPS

Lapro

No of OP cycles distributed

LL

CUT

(parameters)

(parameters)

slide14

Data Entry

Health Data module provides

Dynamically created Data Entry Forms as per the programme definition

Proper Validation facilities

Facility for setting targets

Facility for verification & certification

slide16

Key Features

  • Avoid duplication of data reducing the data entry job.
  • Flexibility in defining Health Programmes, activities and parameters providing dynamic nature to health programmes.
  • Indicators definable based on activities or parameters providing facility for statistical analysis.
  • Automatic consolidationof data, reducing the work load of employees
  • Proper Feed back to lower level, thus providing facility for comparison increasing motivation.
  • Spatial Analysis to reveal many valuable information, which may otherwise could go unnoticed.
  • Extensibility providing facility for data entry from any point of service
slide17

GIS Integration

A project was submitted by Center for Earth Science Studies.

Final approval for the project not received.

hardware system software
Hardware & System Software

Central Server

Features:

  • High Availability
  • High Reliability
  • High Scalability
  • Server Consolidation
  • Storage Consolidation
server software

Hardware & System Software

Server Software
  • Red Hat Enterprise Linux AS

High-end server product, suitable for large departmental and corporate server deployments.

  • Oracle 9i AS

Browser-based environment for building and deploying personalized e-business portals.

  • Oracle 9i Enterprise Edition

Supports the high scalability requirements of the most demanding Internet-based and traditional mission-critical applications, as well as the highest availability requirements

  • Anti Virus Software
  • Firewall
slide20

Hardware & System Software

DMO level Hardware

Workstations (5 – 10 Nos.)

Pentium IV

256 MB RAM

40 GB Hard Disk

17” Monitor (SVGA Color)

80 column dot matrix printer

Modem

3KVA UPS (2 hour backup)

Laser printer – 2 Nos.

Structured cabling (for 24 nodes)

system software phcs and dmo
System Software PHCs and DMO
  • Windows XP.
  • Open Office.
  • Browser – Internet Explorer / Mozilla.
  • Plug-in software (Java/Acrobat/SVG).
  • Anti Virus Software.
  • Other option
  • Linux – Red Hat / SuSE
  • Open Office
  • Browser –Mozilla
  • Plug-in software (Java/Acrobat/ SVG)
slide22

PH CENTRES

Connectivity Options

DHS NETWORK

PH CENTRES

PH CENTRES

DIAL UP ACCESS

DIAL UP ACCESS

Leased Line

Leased Line

LEASED LINE

TO DISTRICT HQ

RAS

DMO

DMO

CENTRAL SERVERS

HSRP

ASIANET

RELIANCE

BHARTI

2 MB LINK

2 MB LINK

SII BACK BONE NETWORK

2 MB LINK

HSRP

HSRP

LEASED LINE

TO DISTRICT HQ

LEASED LINE

TO DISTRICT HQ

Leased Line

Leased Line

Leased Line

Leased Line

RAS

RAS

DIAL UP ACCESS

DIAL UP ACCESS

DMO

DMO

DMO

DMO

PH CENTRES

PH CENTRES

PH CENTRES

state information infrastructure an e governance initiative for statewide connectivity

NETWORK CENTRES AND eGOVERNANCECENTRE

Kozhikode

Kochi

eGC

Thiruvananthapuram

Connectivity Options

State Information Infrastructure(An E-GovernanceInitiative for Statewide Connectivity)
hr portal
HR PORTAL

Sponsored by MIT & Gov. of Kerala

Project Cost: 351 Lakhs

Scope

  • Setting up a Health Information Centre to host the Portal Services
  • Implementation of a wireless network linking all the five Directorates and the Health Secretariat to the Health Information Centre.

Development

Development of a Human Resources Portal, which is web based, easily configurable, and can be parameterized.

Technology

Developed using Oracle Portal and Struts MVC Framework, designed to J2EE Specifications

Achievements

Developed the HR & Payroll applications as a highly configurable model, and portlets based on existing applications

health directorates
HEALTH DIRECTORATES

Sponsored by Dept. of Health, Gov. of Kerala

Project Cost: 110 Lakhs

Scope

Computerisation of 5 Health Directorates

- Directorate of Health Services (DHS)

- Directorate of Medical Education (DME)

- Directorate of Indian System of Medicine (DISM)

- Directorate of Homoeopathy (DH)

- Directorate of Ayurveda Medical Education (DAME)

Achievements

Computerized all the five Health Directorates.

medical college hospital computerisation
MEDICAL COLLEGE HOSPITAL COMPUTERISATION

Kerala Government Sponsored

Project Cost: 177 Lakhs

Scope

Hardware Supply, Networking, Software Development and Training

Software Modules

OP Management, IP Admission, Ward Management, Resource Scheduler, Lab Management, Staff Scheduling, Enquiry, Pay-ward Reservation

Technology

Web Oriented, Java with MVC Architecture, 100 Clients, 250 Node Campus wide network with Fiber Optic Back bone

Achievements

Implemented successfully in Wards, IP Admission Counter and Nursing Superintendent office

slide27

Wards & Departments

Wards & Departments

OP Counters & Enquiry

DATA CENTRE

SERVER ROOM

Remote Access

Servers

Medical College Labs

Core Switch

DBA Consoles

Telephone Lines

LAN Extender

CDAC

Optical Fiber Cables

DHS

DME

Switch

Switch

IP Admission & Casualty

Sw.

Sw.

Sw.

OperationTheaters

System Configuration

tele medicine
Tele medicine

1. ONCONET – Cancer Care for Rural Masses

A comprehensive Telemedicine solution for Cancer Treatment and Follow-up at Regional Cancer Centre, Trivandrum and its five Perepheral Centres at Early Cancer Detection Centres at Kannur, Palakkad, Kochi, Kozhenchery and Kollam.

Developed & Implemented by : CDAC Thiruvananthapuram

STATUS: Commissioned , fully functional.

2. Setting up of Telemedicine & TeleEducation Facilities in Kerala

Implementing Tele consultation and Tele Education facility at Taluk Hospitals at Quilandy, Vythiri, Mavelikkara, Neyyattinkara and Mental Hospital Trivandrum with Specialty Hospitals at Medical College Hospital, Trivandrum, Sree Chithira Thirunal Institute, Trivandrum and Regional Cancer Centre, Trivandrum.

Developed & Implemented by : CDAC Thiruvananthapuram

STATUS : Functional at five centres from Dec 2005. Refer Usage statistics

3. Tele Health and Medical Education Project Kerala

Telemedicine project by Govt. of Kerala and ISRO which connects 6 Medical colleges, RCC, SCTIMST, all district hospitals and one CHC for providing tele consultation and tele education.

Developed & Implemented by : ISRO & Govt. of Kerala

STATUS: Work completed. It will start functioning soon.

e banking
e Banking
  • First time in India in any Government Dept.
  • Online transfer of funds from GoI to State RCH society.
  • Online transaction of all funds of RCH
  • Software supplied by ICICI, free of cost.
  • Rapid transfer of Money
  • High security.
  • Online monitoring of all transactions in individual heads.
slide31

Akshaya Network at Malappuram

DRDA

Malappuram

8

Bharti

Airtel POP

Kallarakkunnu

CHMHS

Chekkod

Block Panchayat Office

Arikkod

6

VIP

VIP

KINFRA

Kakkancherry

VIP

3.04 km

2

Kizzisary GHSS

E1 Radios

8.5 km

VIP

3.5 Km

12

7.75km

22

5

MCT Melmuri

17.5 km

5

VIP

Vivekananda

3.48 km

4.5 km

VIP

16.8 km

8

FGH

Nilambur

20

5

3

VIP

# 294

# 337

Vettekkod

Trunching Ground

VIP

25

22.3 km

VIP

VIP

8

# 084

4

# 237

17

JNV Vangalam

VIP

VIP

Pullamkode

10

14.53 km

GHSS,

Kalpakanchery

VIP

# 463

VIP

PPR

5

MEA

15.68 km

6

22.5 km

PPR

23

3

BPIDC

Pallurkotta

AGRI,

Tavanoor

PTM

# 485

# 153

7

23

VIP

24

30

PPR

PPR

10

6

No of Akshaya centres connected

VIP

xx

# 3

PPR

# 773

# 800

4

24

# 129

Sub POP

POP

progress
Progress
  • Health Management Information System- Master plan developed.
  • Administrative application software developed.
  • Health Services Data Collection completed and data entry started.
  • Computerization Directorate of Health Services (DHS). First phase completed.
  • of 14 District Medical Offices (DMOs) will be completed in one month time.
progress cont
Progress (cont..)
  • Central Server installed.
  • Computerized all the five Health Directorates.
  • Medical College Hospital Computerisation- Implemented successfully in Wards, IP Admission Counter and Nursing Superintendent office.
  • ONCONET - Commissioned , fully functional.
  • Telemedicine. Functional at five centres
  • e Banking – Functional.
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