Healthcare Innovations in Chandigarh
Explore the successful healthcare practices and innovations in Chandigarh, including high utilization of services, TB control success, and malaria reduction. Discover major issues, key recommendations, and actions taken by the state to improve healthcare facilities. Chandigarh's health infrastructure, key recommendations for electronic patient records, and collaborations with Punjab are also highlighted.
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Presentation Transcript
Good practices & Innovations 1. Well maintained health care facilities leading to high utilization of services by patients 2. Line listing of severe anemic women and follow up mechanism in place 3. Effective implementation of RNTCP with high Success Rate (89%), Nikshay (99%,) and HIV-TB cross referral (100%) 4. Reduce prevalence of Malaria with no case of P. falciparum 5. Active involvement of PGIMER and Govt. Medical College, Chandigarh 6. Innovative Alternative Medical Units (at sub-centres) with Medical Officers
MAJOR ISSUES Patient satisfaction survey, prescription, clinical audit not initiated Grievance redressal mechanism is not in place Low coverage of school eye screening ; convergence with RKSK Sub-optimal utilization of ASHAs; leading to poor retention Low utilization of funds under some programs Delay in release of funds from Treasury to NHM
Key Recommendations Set up system of electronic patient records Link up with Punjab for e-aushdhi system of procurement & logistics Increase visibility of NUHM: rename Civil Hospital, Sect 45 as U-CHC All health care facilities may be transferred under UT Administration Funds collected by RKS through user charges should be used for healthcare facility as per guidelines Organize orientation of finance and accounts staff in various facilities.
National Health Mission UT Chandigarh Dated 02.06.2017 A Healthy Citizen shall be a Smiling Citizen A Healthy Citizen shall be a Smiling Citizen
Chandigarh Map and Health Infrastructure Health Facilities/No. of Beds PGIMER (1948 Bedded) Medical College (728 Bedded) District Hospital (500 Bedded) ESI Hospital (50 Bedded) Sub-District Hospital (MM) (100 Bedded) No. Level of Services Tertiary care 2 2 Secondary Level 1 CHC/UCHC CH-22 (50 Bedded) CH-45 (50 Bedded) Urban -PHC (MJ, Dhanas, DM) 2 3 Primary Level Urban Dispensaries 26 Rural Dispensaries 9 Alternative Medical Units (AMUs) Sub-Centres(including AMUs) 7 17
Good Practices & Innovations 1. Well maintained health care facilities leading to high utilization of services by patients Line listing of severe anemic women and follow up mechanism in place Effective implementation of RNTCP with high Success Rate (89%), Nikshay (99%,) and HIV-TB cross referral (100%) Reduce prevalence of Malaria with no case of P. falciparum Active involvement of PGIMER and Govt. Medical College, Chandigarh Innovative Alternative Medical Units (at sub-centres) with Medical Officers 2. 3. 4. 5. 6.
Action Taken of CRM Observation Sr. No Major issues Reply 1 Patient satisfaction survey, prescription, clinical audit not initial Grievance redressal mechanism is not in place The Patient Satisfaction Survey has been initiated for OPD of GMSH, Sector-16 and for IPD patient, satisfaction is in the process Grievance redressal committees formed. Portal based Grievance Redressal System implemented. Grievance redressal mechanism is being implemented in a phased manner whereby the establishment of Helpline is under the process as the funds have been released in the supplementary PIP. The complaint Redressal boxes are in place and the complaints received via email are being addressed on regular basis by a designated personnel. Signages regarding the rights of the patients and Citizen Charter have also been displayed at various placed. Grievances received through CP GRAM are also being addressed on regular basis at the earliest. 2
Action Taken of CRM Observation Major issues Sr. No Reply 3 Low school screening; convergence RKSK converge of Fresh training for school eye screening has been organized for RBSK teams on 4th March 2017. Dr.Rana P.O NPCB as a major resource person oriented the doctors of mobile health teams for upgrading the quality of eye screening of children and also maintain data in this regard so that correction of refractory errors and management of other eye problems can be achieved. Refresher training of Mobile health teams was organised on 4th March,2017 at RBSK centre, CD-19 by P.O NPCB. Snellen charts were provided by P.O NPCB to all the mobile health teams to improve the screening of children in schools and out of schools for eye problems. RBSK centre CD-19 has a running refraction center ( part of DEIC) where Refractionist is posted for refraction of referred school children upgradation is under process. Spectacles are provided free of cost by NPCB as per requirement. eye with
Action Taken of CRM Observation Sr. No Major issues Reply 4 Sub-optimal utilization of ASHA; leading to poor retention Low utilization of funds under some programs The training for ASHAs was conducted on 16.03.2017 and 17.03.2017 and instructions were given to them regarding their work. 79.34% funds have been utilized as per the availability of funds as on 31.03.2017 . Release of funds from Treasury to NHM has been streamlined and is being received in NHM account within one month approx. U.T. Chandigarh has initiated the implementation of Cloud based NIC system i.e. E-Hospital in four city hospital. The three modules of e-Hospital is made functional at two city hospital i.e. GMSH, Sector-16 and UCHC-45 which will help in establishing the system. The contract for digitalization of patient records has been awarded to Wright Brothers and has been started. 5 6 Delay in release of funds from Treasury to NHM 7 Set up system of electronic patient records
Action Taken of CRM Observation Sr. No Major issues Reply 8 Link up with Punjab for e-aushdhi system of procurement & logistics Procurement system is in place at GMSH- 16. For purchase of 46 drugs as per EDL is underway (39 drugs are being procured through CPS, 2 drugs from ESI rate contract and 5 drugs are being procured through tender process. 9 Increase visibility of NUHM: rename Civil Hospital, Sector:-45 as U-CHC Display boards of UCHC have already been displayed 10 All health care facilities may be transferred under U.T. Administration The matter has been taken up by the Chandigarh Administration 11 Funds collected by RKS through user charges should be used for healthcare facility as per guidelines The procedure of the same is underway and a letter has been written to Ministry of Home Affairs, GOI for approval the same. Has been undertaken 12 Organize orientation of finance and accounts staff in various facilities.
Future Plan Sr.No Major issues Future Plan The Patient Satisfaction survey is undertaken for all OPD & IPD services on monthly basis. Facility scores are generated in Quality Assurance. My hospital is under implementation w.r.t. IVRS based patients satisfaction implemented in one Hospital CH- sector 45, and under implementation for 3 other city hospitals. 1 Patient satisfaction survey, prescription, clinical audit not initial system. It is 104 call center based GRS system to be implemented in 2017-18 2 Grievance Redressal mechanism is not in place
Future Plan Sr. No Major issues Future Plan 4 Sub-optimal utilization of ASHA; leading to poor retention The incentives for ASHAs has been proposed under various health programmes so that their carry home lump sum amount can be increased. This will help in retaining them efficiently. U.T. Chandigarh has implemented online Birth & Death Registration through RGI portal, e-hospital system of NIC, MCTS all will be integrated with Aadhar/UID to have complete EHR in near future. 5 Set up system of electronic patient records
