health centres, 14 urban medical clinics, 9 diagnostics centres, 1800 pharmacies, with over 25 general physicians and paramedics hosted at a call-centre like facility in Delhi and Patna. Experiments to enable village level providers to connect patients from their homes with doctors in cities using cell phones have been successful. Future adoption of such paradigms is expected to integrate this data also into the current EMRs. Type of transactions Infrastructure components employed Type of node 127 Village Patient registration, referral to call Bio-medical devices: ECG, NIBP, Health Centres centre/specialist, primary Rate, SPO2, thermometer; Desktop PCs and 14 diagnostic measurements and with Windows and proprietary clinics upload to patient EMR, primary client application; conferencing care intervention with G.723.1 and H.264, Telecom: 256 Kbps DSL with 64 Kbps VSAT fall back, UPS with power generator 1200 Health Home visits for medicine supply, Mobile phones with GPRS/SMS/MMS workers care follow up and data gathering into EMR Central Medical Patient history, symptoms capture; Desktop PCs with proprietary client Facility primary consultation and diagnosis; application, CRM software, 2-tier (2 locations) prescription for treatment, second server system with Windows client and level diagnostics; referral to Linux server and MYSQL database, specialist; Tele- support for patient connectivity: DSL 2Mbps link logistics; Billing, auditing, MIS, collection, supply chain management, etc. 1800 Pharmacies Medication supply based on Desktop PCs with internet browser, electronic prescription pstn/isdn/dsl links 9 Diagnostic labs Upload diagnostic reports and data Desktop PCs with Tele-Health client app onto EMR and internet browser, DSL connectivity Hospitals Upload admission, discharge and Desktop PCs with Tele-Health client app transfer documents billing and and internet browser with DSL links insurance related information into EMR Case Study 3: Remote Continued Medical Education (CME) Network Sanjay – Gandhi Post Graduate Institute of Medical Sciences (SGPGIMS), Lucknow, India SGPGIMS is a leading government medical education institute attached to several super speciality tertiary hospitals [21] to [32]. In one initiative, SGPGIMS is spear-heading several pioneering initiatives of tele-health in form of continued education, disease surveillance and other allied area in
health centres, 14 urban medical clinics, 9 diagnostics centres, 1800 pharmacies, with over 25 general physicians and paramedics hosted at a call-centre like facility in Delhi and Patna. Experiments to enable village level providers to connect patients from their homes with doctors in cities using cell phones have been successful. Future adoption of such paradigms is expected to integrate this data also into the current EMRs. Type of node Type of transactions Infrastructure components employed 127 Village Health Centres and 14 clinics Patient registration, referral to call centre/specialist, primary diagnostic measurements and upload to patient EMR, primary care intervention Bio-medical devices: ECG, NIBP, Rate, SPO2, thermometer; Desktop PCs with Windows and proprietary client application; conferencing with G.723.1 and H.264, Telecom: 256 Kbps DSL with 64 Kbps VSAT fall back, UPS with power generator 1200 Health workers Home visits for medicine supply, care follow up and data gathering into EMR Mobile phones with GPRS/SMS/MMS Central Medical Facility (2 locations) Patient history, symptoms capture; primary consultation and diagnosis; prescription for treatment, second level diagnostics; referral to specialist; Tele- support for patient logistics; Billing, auditing, MIS, collection, supply chain management, etc. Desktop PCs with proprietary client application, CRM software, 2-tier system with Windows client and Linux server and MYSQL database, connectivity: DSL 2Mbps link 1800 Pharmacies Medication supply based on electronic prescription Desktop PCs with internet browser, pstn/isdn/dsl links 9 Diagnostic labs Upload diagnostic reports and data onto EMR Desktop PCs with Tele-Health client app and internet browser, DSL connectivity Hospitals Upload admission, discharge and transfer documents billing and insurance related information into EMR Desktop PCs with Tele-Health client app and internet browser with DSL links Case Study 3: Remote Continued Medical Education (CME) Network – Sanjay Gandhi Post Graduate Institute of Medical Sciences (SGPGIMS), Lucknow, India SGPGIMS is a leading government medical education institute attached to several super speciality tertiary hospitals [21] to [32]. In one initiative, SGPGIMS is spear-heading several pioneering initiatives of tele-health in form of continued education, disease surveillance and other allied area in server
D-STR-E_HEALTH.03-2010-09-MSW-E.docx