KERALA

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KERALA

• HEALTH MANAGEMENT INFORMATION SYSTEM

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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.

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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.

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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.

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System Architecture
Highlights

• Central Database Application Servers.
• Browser based applications.
• High bandwidth connectivity to server.
• Leased line connectivity to all DMOs.
• Dial Up access from PHCs 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 PHCs/CHCs/Other small
  institutions
• Not included in this phase of the project-
  Future Development.

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System Architecture
Drug Distribution
GIS
Health Data
Administrative Suit
APPLICATIONS
HR, Finance
Leased Line 2 Mbps
Authentication Server
Firewall
Network
Leased Line 64 Kbps or higher
Dial Up Access
LAN
CHC
PHC
DMO/DHS
Integrated Data repository
Storage backup
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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

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Administrative Applications

• Infrastructure Management System
• Employee Records Management
• Budget Management
• File Management
• HR Management Personnel Payroll

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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
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Defining the Programme Typical User Interface
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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
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A Typical report
NATIONAL FAMILY WELFARE PROGRAMME NATIONAL FAMILY WELFARE PROGRAMME NATIONAL FAMILY WELFARE PROGRAMME NATIONAL FAMILY WELFARE PROGRAMME NATIONAL FAMILY WELFARE PROGRAMME NATIONAL FAMILY WELFARE PROGRAMME NATIONAL FAMILY WELFARE PROGRAMME NATIONAL FAMILY WELFARE PROGRAMME NATIONAL FAMILY WELFARE PROGRAMME NATIONAL FAMILY WELFARE PROGRAMME NATIONAL FAMILY WELFARE PROGRAMME NATIONAL FAMILY WELFARE PROGRAMME NATIONAL FAMILY WELFARE PROGRAMME NATIONAL FAMILY WELFARE PROGRAMME
INSTITUTION -WISE ACHIEVEMENT OF . DISTRICT INSTITUTION -WISE ACHIEVEMENT OF . DISTRICT INSTITUTION -WISE ACHIEVEMENT OF . DISTRICT INSTITUTION -WISE ACHIEVEMENT OF . DISTRICT INSTITUTION -WISE ACHIEVEMENT OF . DISTRICT INSTITUTION -WISE ACHIEVEMENT OF . DISTRICT INSTITUTION -WISE ACHIEVEMENT OF . DISTRICT INSTITUTION -WISE ACHIEVEMENT OF . DISTRICT INSTITUTION -WISE ACHIEVEMENT OF . DISTRICT INSTITUTION -WISE ACHIEVEMENT OF . DISTRICT INSTITUTION -WISE ACHIEVEMENT OF . DISTRICT INSTITUTION -WISE ACHIEVEMENT OF . DISTRICT INSTITUTION -WISE ACHIEVEMENT OF . DISTRICT INSTITUTION -WISE ACHIEVEMENT OF . DISTRICT
FOR THE MONTH OF .. FOR THE MONTH OF .. FOR THE MONTH OF .. FOR THE MONTH OF .. FOR THE MONTH OF .. FOR THE MONTH OF .. FOR THE MONTH OF .. FOR THE MONTH OF .. FOR THE MONTH OF .. FOR THE MONTH OF .. FOR THE MONTH OF .. FOR THE MONTH OF .. FOR THE MONTH OF .. FOR THE MONTH OF ..
Total No. of Institutions functioning .. Total No. of Institutions functioning .. Total No. of Institutions functioning .. Total No. of Institutions functioning .. Total No. of Institutions functioning .. Total No. of Institutions functioning .. Total No. of Institutions functioning .. Total No. of Institutions functioning .. Total No. of Institutions functioning .. Reporting . Reporting . Reporting . Reporting . Reporting .
Total No. of Sub centres .. Total No. of Sub centres .. Total No. of Sub centres .. Total No. of Sub centres .. Total No. of Sub centres .. Total No. of Sub centres .. Total No. of Sub centres .. Total No. of Sub centres .. Total No. of Sub centres .. Not Reporting . Not Reporting . Not Reporting . Not Reporting . Not Reporting .
Sl.No Institutions No. of FW Sub centres STERILISATION STERILISATION STERILISATION STERILISATION STERILISATION STERILISATION IUD IUD IUD Nirodh poeces distrubuted(CC) Oral Pills cycles distributed
Sl.No Institutions No. of FW Sub centres VAS VAS PPS ML LAPRO TOTAL LL CUT TOTAL Nirodh poeces distrubuted(CC) Oral Pills cycles distributed
Sl.No Institutions No. of FW Sub centres NSV CON PPS ML LAPRO TOTAL LL CUT TOTAL Nirodh poeces distrubuted(CC) Oral Pills cycles distributed
A PH Centres                        
  Name of PHCs                        
  TOTAL                        
B. Govt. Hosp                        
  (Urban Area)                        
C Private Institution                        
C1 Vol. Organisation                        
  TOTAL C                        
  Total for the Month (ABC)                        
  Total upto previsous month                        
  Progressive total                        
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Can be easily visualized in a tree structure
National Family Welfare Programme
(Programme)
Sterilisation
(Activity)
IUD
(Activity)
(Sub Activity)
Vasectomy
PPS
Lapro
No of OP cycles distributed
NSV
Conventional
LL
CUT
(parameters)
(parameters)
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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
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Data Entry Typical User Interface
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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 consolidation of 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

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GIS Integration
A project was submitted by Center for Earth
Science Studies. Final approval for the project
not received.
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Hardware System Software
Central Server

• Features
• High Availability
• High Reliability
• High Scalability
• Server Consolidation
• Storage Consolidation

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Server Software
Hardware System 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

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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)

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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)

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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
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State Information Infrastructure(An E-Governance
Initiative for Statewide Connectivity)
Connectivity Options
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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

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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.

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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

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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.
Operation Theaters
System Configuration
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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.

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The Telemedicine Architecture
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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.

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Akshaya Network at Malappuram
Airtel POP Kallarakkunnu
CHMHS Chekkod
Block Panchayat Office Arikkod
VIP
6
VIP
KINFRA Kakkancherry
VIP
Kizzisary GHSS
3.04 km
2
8.5 km
E1 Radios
VIP
3.5 Km
12
7.75km
22
5
MCT Melmuri
17.5 km
5
VIP
Vivekananda
4.5 km
3.48 km
16.8 km
VIP
FGH Nilambur
8
20
5
3
VIP
Vettekkod Trunching Ground
294
337
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
MEA
5
15.68 km
22.5 km
6
PPR
23
BPIDC Pallurkotta
3
AGRI, Tavanoor
PTM
485
153
7
23
VIP
24
30
PPR
PPR
10
6
VIP
No of Akshaya centres connected
3
PPR
xx
773
800
4
24
129
Sub POP
POP
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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.

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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.

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Thank You