About Health Management Research Institute


Satyam Foundation has started a very interesting initiative along with the AP Government. My ex-boss Dr. U Balaji is the CEO and this plug is my way of saying thanks for all the things I learnt from him 🙂

HMRI

Vision

To provide Health Care services to 40 million Virtual Contacts and 40 million Physical Contacts per annum in the State of Andhra Pradesh (which has a population of about 80 million) through an Integrated Digital Health Platform

Approach

To address the last mile problems involved in delivery of Health Care Services by supplementing/supporting/complementing the existing Public Health Delivery Systems.

Context

• India has higher demand for healthcare than available supply and even the existing supply is not distributed optimally

• Traditional solutions to overcome the supply demand gap in health care are expensive and long term

• Technology can enable new solutions such as tele-medicine, toll-free-doctor on call that can address these problems at a fraction of the cost and in a short time frame

• There are two major problems facing India in today’s health care

• Overall demand is higher than available supply (e.g., total number of physicians at less than 0.7 per 1,000 vs. the required 2.0 per 1,000)

• Existing supply is not distributed optimally (e.g., lack of physicians in rural areas)

• Traditional solutions to solve these problems involved expensive undertakings with long time lines (a decade or longer) e.g.,

• Build additional infrastructure (more medical colleges) to increase the supply of physicians

• Encourage physicians to move to rural areas by improving facilities (in rural areas) and providing incentives

Proposed Solution

• Technology can enable new solutions that can address these problems at a fraction of the cost (e.g., 10% of the traditional costs) and in a short time frame (1 – 2 years)

• Tele-learning programs to not only train new physicians but also provide continuing education to practitioners

• Help line consisting of a centralized group of doctors (located in a major city) supported by a front line of mobile medical units (with health workers) periodically visiting the patients

• HMRI will help 40 million lives annually through 24×7 integrated virtual delivery platform

• HMRI will develop world’s first fully integrated technology platform across the health value chain to achieve its objective

• HMRI services will include Toll-free doctor on call, fixed day health services to rural areas, tele-cardiology, disease surveillance and hospital and blood bank management systems

Brief Description of Services

1. Health Contact Center -104

2. Tele-referral/Appointment Services

3. Fixed Day Health Service

4. Bloodline

1. Health Contact Center – 104

The people of Andhra Pradesh can dial 104 to access the Health Helpline. Currently 104 provides the following services.

Health Advice

Doctors and paramedics are available round the clock 365 days of the year to provide advice on health related matters. The doctors and paramedics are supported by a standard, uniform, validated computer assisted Algorithms to answer queries about illnesses.

The doctors and paramedics help the caller clinically assess their health condition and if they assess that the caller’s condition requires immediate medical attention are accessed to the emergency number 108 or advice the caller to take appropriate action and seek medical help.

Information

The callers can access 104 for obtaining information pertaining to various health providers such as doctors, nursing homes, tertiary care hospitals, blood banks, diagnostic services providers etc.

Counseling

104 offers services of trained counselors to provide psychological counseling to cope with anxieties, stress etc. It also provides services of trained HIV/AIDS counselors. In exceptional cases it can provide a link to professional psychiatrists’ services both on line and off-line.

Services Improvement

Callers can register any complaints or issues with the public health delivery system. 104 Service Improvement Loggers (SIL) forward the callers’ complaints/grievances to the appropriate authorities for resolution.

In many cases the SILs proactively contact the appropriate authorities for redressing the grievance of the callers.

The quick response and remedial action of the concerned public authorities has delighted many of the aggrieved callers in numerous cases. Quite a few of the callers do call back to register their satisfaction and happiness at the redressal of the issues

2.Tele-referral/Appointment Services

104 is planning to provide a tele-appointment service in the near future.

It is a well known fact that the poor do not have access to an appointment system at the referral hospitals. 104 plans to mitigate the situation by providing a tele-referral and appointment system to enable the rural patients to access the Referral Hospitals so that they can avoid losing wages waiting for an appointment or disappointment in not able to access the Referral Hospital’s service when they reach them.

The service will help the poor from losing wage-earning days and waiting time for services from the Referral Hospitals.

3.Fixed Day Health Service

HMRI has been conducting pilots in two Mandals, one each in Mahbubnagar and Khammam districts covering a total of 48 villages. The pilots are focused on fine-tuning the model for providing Fixed Day Health Services to the villagers which are located beyond 3-5 kilometers from any public health service provider.

The current focus of the FDHS is to support the public health systems in reducing the Mother Mortality rates (MMR), Infant Mortality Rates (IMR) and managing various National Health Programs better.

Additionally the pilots are focusing on managing the health burden on the poor emanating from Chronic Illnesses such as hypertension, diabetes and epilepsy.

A modern, state of the art vehicle is being designed which would carry ultrasound equipment, cold chain to carry vaccines, facility to store blood/urine samples for testing, medicines, a television for public health education.

A modern, state of the art vehicle is being designed which would carry ultrasound equipment, cold chain to carry vaccines, facility to store blood/urine samples for testing, medicines, a television for public health education.

Model vehicle

The vehicle would visit every village targeted, once a month and would stay for 4 hours to serve a population size of 1500. wherever the habitation is larger, it would spend extra time.

The schedule of the visit is communicated in advance to the villagers through the ASHA (women health volunteers) workers.

Each vehicle would have trained ANMs/Paramedics to provide services through a minimum of 5 counters. View Model Van pictures…

The counters provide the following services

· Services for Pregnant women

· Registration

· Collection of blood/urine samples

· Ultra sound scans to identify risky pregnancies

The U/S images/videos are stored and transferred to a central Hub where obstetricians/radiologists would assess and provide appropriate referral/feedback for action through the ASHA workers (women health volunteers in the village).

Ante-natal check ups to be registered and uploaded through a mobile/SMS to a central server at 104.

Services for Children

· Registration

· Recording of various parameters, such as height, weight etc.

· Immunization

· Supplemental nutrition

Services for Chronic Diseases

· Registration

· Dispensation of drugs for a month

· Recording of parameters

Benefits

The FDHS would provide access to the vulnerable sections of population through tele-appointments/referrals to appropriate Referral Hospitals, provide services such as ultra-sound scanning, lab tests, at their door step and thus reduce the cost of access which is estimated any where between Rs. 1000 to 1500 which is a huge saving to the family, given their income levels.

It is believed that about 4 percent of population, even in rural areas suffer from hyper tension and an additional 4 percent from diabetes. In majority of cases these are not detected early and the people have to pay a heavy price when the diseases are undetected and therefore not treated for.

In addition to convenience and cost savings, and more importantly, the FDHS provides equity by creating access to those who so far could not access modern medical facilities.

4.Bloodline

Bloodline would provide access to Blood banks which never guarantee a continuous availability of all blood groups at all times. The patient is forced to move from one blood bank to another till he finds the required blood units. This an expensive and a time consuming process.

HMRI has planned a simpler and cost effective method by which the required information about blood availability can be accessed by a single phone call. In this system, all blood banks are networked. Information about blood collection, testing and issue is transmitted online to a monitoring centre. Any patient can access this centre by calling toll free number -104. The information available to the patient includes the blood bank location which has specified blood group and specified age of the bag of whole blood or components.

Apart from assisting the patient to find the required blood unit easily, HMRI will also develop a database of blood donors in future. If the fresh blood or a component is unavailable, this database is useful for donor identification.

HMRI also devised a strategy by which the voluntary blood donation will be enhanced sufficiently so that replacement donation will be rendered unnecessary. Further preparation of component will be increased significantly to ensure better availability of blood in the blood banks.

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About Gautam

Gautam is a HR professional interested in how emerging technologies are impacting work, careers and organizations.

Posted on June 9, 2008, in india, innovation. Bookmark the permalink. Comments Off on About Health Management Research Institute.

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