KERALA • 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 • 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 • 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.
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.
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
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
Administrative Applications • Infrastructure Management System • Employee Records Management • Budget Management • File Management • HR Management – Personnel & Payroll
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
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
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)
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
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
GIS Integration A project was submitted by Center for Earth Science Studies. Final approval for the project not received.
Hardware & System Software Central Server Features: • High Availability • High Reliability • High Scalability • Server Consolidation • Storage Consolidation
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
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 • 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)
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
NETWORK CENTRES AND eGOVERNANCECENTRE Kozhikode Kochi eGC Thiruvananthapuram Connectivity Options State Information Infrastructure(An E-GovernanceInitiative for Statewide Connectivity)
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 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 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
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 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 • 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.
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 • 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..) • 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.