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E-Health.Net
e.Health.Net : Improving Patients Care at government Health Institutions
The e-Governance in Health sector remained comparatively very low as compared to other sectors, despite having a very high potential. There has been a need for extensive usage of Information & Communication Technologies (ICT) in Health Institutions, resulting in better productivity, effectiveness, efficiency and economics leading to better health care to all. In Haryana, keeping above in mind, the NIC-Haryana State Centre and Directorate of Health Service Haryana jointly initiated a mission mode project of e.Health.Net during the beginning of the year 2003. The project mission was “To set up an efficient, effective, transparent and IT-enabled integrated system to provide the Health care services to the people of Haryana so that their present position of Health could be upgraded and uplifted”.

Over the past two years, the NIC-HRSC has developed & implemented e-Governance solutions for important key areas of Health Administration. The implementation of Medicine Inventory Monitoring & Control System and Doctors’ attendance Monitoring System has reduced the absenteeism resulting in increase in availability of doctors. The implementation of the system has helped in monitoring distribution, availability and consumption details of medicines supplied for public in all Health Institution of Haryana. Software captures the medicine data for 316 medicines under 23 various categories from 618 health institutions (54 General hospital, 74 CHC, 401 PHC and 89 others health institutions). The implementation has resulted in immediate completion of 316 medicines statistics for all 316 medicines. The System helps in efficiently managing inventory function, distribution of medicine from Central Store, using parameters likes minimum buffer stock (Reorder level), OPD inflow, population covered and consumption pattern. The medicine consumption data helps in monitoring the efficiency of the functions of OPD. Exception figures in reports are used to check the malfunction like pilferage or non-functioning of OPD in particular Institution. Implementation of the system in all the districts of Haryana has resulted in checking the pilferage of medicines, increase in availability of medicine at Government health Institutions, increase in attendance of patients/doctors in health institutions, optimal utilization of medicine.

The implementation of Disability Certificate Issuance system has brought transparency in the medical examination and handicap certificate generation. Clinical Laboratory Information System has helped in generating MIS reports, for status of various tests conducted, which are generated at the end of day, monthly & yearly basis. These are helpful for Doctors and Civil Surgeons for inference purpose. Various charge rates of different tests have been made available on the Health website. The implementation of Burden of Death based International Code for Disease (ICD-10) system has reduced the burden of manual compilation of this statistics, which use to take months, resulting in delay in publication of “Cause of Death” booklet. The e.Health.Net system works on low-end ICT resources and e-mail based data transfer from District HQ to State HQ. The implementation of e.Health.Net has also resulted in capturing of error free data at source and its availability at State Head quarter for Planning better health care system for masses.

Situation Before the Initiative

The e-Governance in Health sector remained comparatively very low as compared to other sectors, despite having a very high potential. Distribution of medicines in Government Health Institutions is a complex procedure, involving lot of functionaries at various levels. Monitoring and controlling the flow of medicines in such an environment is a challenging job. The Domain View of Medicine Inventory Monitoring & Control System (Med-Centre) is shown in Annexure-I. It is observed that due to improper monitoring of medicine flow, there remains a big chance of pilferage and under-utilization of medicines. Monitoring of medicine flow is of prime importance for the authorities concerned. The habitual absenteeism of doctors in rural area was prevalent in the State. No computing facilities were available with Civil Surgeons and there was no electronic data transmission system between districts and State Health Department. There were significant delays in data availability, data analysis and planning process.

There was a continuing decrease in patient/OPD ratio. There were complaints of non-availability of medicines in Health institutions. There was am urgent need for the process re-engineering and induction of ICT to help streamline the processes at Health institutions.

Strategy Adopted

To improve the Health care system at government health institutions, it was decided to introduce e-Governance in Health Institutions with the mission of setting up an efficient, effective, transparent and IT-enabled integrated e.Health.Net system to provide the improved Health care services to the people of Haryana so that their present position of Health could be upgraded and uplifted. An overview of e.Health.Net is shown in the picture below.

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