m pain mbillionth 2011

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mPAIN mPAIN -Mobile Patient Admission -Mobile Patient Admission Information Network Information Network An m-health initiative by JPN Apex trauma Centre, AIIMS An m-health initiative by JPN Apex trauma Centre, AIIMS Dr Deepak Agrawal Dr Deepak Agrawal Head, department of IT Head, department of IT JPN Apex Trauma centre, JPN Apex Trauma centre, AIIMS, New Delhi AIIMS, New Delhi

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In government hospitals usually have waiting periods for admission to routine surgeries which may extend up to 3 years (AIIMS-Neurosurgery).patients usually have to have to wait addition periods as admission is dependent on vacant beds. This is a very painful period for patients & their families as they have to come daily to check the status of vacant beds in the hope of getting admission. Project ‘mPAIN’ aims at making this process pain-free. In this project custom-made software lists the waiting patients and matches them against available beds, depending on the criticality of the patient’s condition and the waiting period. The software then sends a sms to the selected patient(s) to come for admission. Rest of the patients on the waiting list are sent sms’s regarding the admission status for the day and telling them not to come. Patients can also see the real time status on the web portal especially designed for this purpose. This makes the whole process extremely hassle free for the patients, besides making the system transparent & accountable.

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Page 1: M pain mbillionth 2011

mPAINmPAIN-Mobile Patient Admission -Mobile Patient Admission Information NetworkInformation Network

An m-health initiative by JPN Apex trauma Centre, AIIMSAn m-health initiative by JPN Apex trauma Centre, AIIMS

Dr Deepak AgrawalDr Deepak AgrawalHead, department of ITHead, department of IT

JPN Apex Trauma centre,JPN Apex Trauma centre,AIIMS, New DelhiAIIMS, New Delhi

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BackgroundBackground• There are long waiting lists for

admission in public funded hospitals• For some specialised procedures like

Neurosurgery waiting list currently exceeds 3 years!

• Lack of transparency & accountability in the admission process

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BACKGROUNDBACKGROUND

• In absence of a automated system, there is chaos at the admission counter

• Patients & relatives have to travel daily from long distances till they get admitted

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BACKGROUNDBACKGROUND• Mobile penetration in India exceeds

80%

• Almost every family has access to mobile

• Pilot study at JPNATC shows that all patients could give a mobile number at the time of registration

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INTRODUCTIONINTRODUCTION• Although Call-centres are common in

commercial industries like telecom, the concept has been alien to hospitals.

• Hospitals usually have reception desks which manage general enquiries and appointments.

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INTRODUCTIONINTRODUCTION

• An integrated call-centre on the other hand manages extensive backend administrative chores and services besides providing a host of patient related activities on a common platform.

• JPN Apex Trauma Centre has a mature EMR system making it ideal for case study

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AIMS & OBJECTIVESAIMS & OBJECTIVES

• To streamline the process admission and minimize wait times for patients by using m-health initiatives.

• A secondary objective was to improve transparency and accountability in the admission system

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• Target group:–General public and patients visiting

hospitals

• Geographical reach:–All over India (As patients come from

various states from all over the country to AIIMS)

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M-PAIN- A new module M-PAIN- A new module developed at JPTAC, AIIMSdeveloped at JPTAC, AIIMS

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Features of m-PAINFeatures of m-PAIN• Accessible over

Intranet & Internet

• Fully integrated to dedicated Call-Centre (+91-11- 4040-1010)

• Integrated with SMS gateway

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Home page- mPAINHome page- mPAIN

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Home page- mPAINHome page- mPAIN

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Patient details are automatically Patient details are automatically pulled from the existing databasepulled from the existing database

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Date for admission is automatically given by Date for admission is automatically given by the system based on a especially developed the system based on a especially developed

algorithmalgorithm

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mPAIN- Call Centre mPAIN- Call Centre IntegrationIntegration

• The call-centre phones up the patients within a week to check for completion of formalities & sending sms updates

• The call centre updates the information on the web application

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mPAINmPAIN• The system

automatically displays the patients in queue based on the number of empty beds

• SMS & voice call is made to successful patients

• SMS is sent to unsuccessful patients

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TECHNICAL OVERVIEWTECHNICAL OVERVIEW• Hardware

–HP proliant rack mounted servers

• Software–PHP,AJAX, .net, Javasript, Perl for

connection

• Platform–Linux OS; Windows

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AchievementsAchievements• Patients no longer have to queue up

daily for admission• The system has resulted in markedly

enhanced convenience & comfort for patients & relatives

• Increased transparency & accountability in the system

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USPUSP

• Independent of make of mobile phone!!–SMS & voice call based

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INTERACTIVITYINTERACTIVITY• Fully functional call centre with all

applications integrated and real time availability.

• Even illiterate people can interact, get appointments, discuss their problems and have their questions sent (by email) to concerned doctors without any technological barrier

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Sustainability & ScalabilitySustainability & Scalability• The total expenditure is presently

around Rs 1 lakh/ month (including a nine seater call centre)

• The width and breadth of the initiative is immense. One tele-centre can cover multiple hospitals, or at state level and even at national level

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Vision for mobile technology Vision for mobile technology in Indiain India

• Our vision is to have mobiles as enabling devices for the empowerment of society so that appropriate information is available without end-user technological barriers to the masses.

• For this, a back end call centre which collates all data, integrates with mobile application and acts as an ‘human middleware’ to the masses is essential.

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THANK YOUTHANK YOU