Recommendations for Implementing Information Technology in Community Health Programs
"Explore recommendations for leveraging information technology in the delivery of Community Health Programs. Topics include system design principles, feasibility of providing tablets and smartphones, interoperability with other health IT systems, IT's role in performance-based payments, and transitioning from manual to digital health records."
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Presentation Transcript
Recommendations of Group 3 Role of Information Technology in delivery of CPHC
Design Principles Build the system from service delivery management perspective and not from monitoring perspective Basic demographic data to be fetched once from existing databases like Aadhaar, PDS, NPR, SECC No data to be entered twice; Reduce information / data management work of service providers Build clean registry incrementally with upfront validations preferably ready for DBT Data to be entered at the time of service delivery Authentication of service provider and patient at the time of service delivery by using biometric or OTP based or backend analytics of photograph
1. Feasibility of providing tablets/smart phones for ASHA/ANMs vs IT infrastructure/internet connectivity Tablet with each HWC is a must. Tablets or smart phones with ASHA are preferable. This activity should follow after development and stabilization of the software system. 3G connectivity should suffice.
2. Ensuring interoperability with other health IT systems Existing applications (ANMOL, NCD App, Nikshay, e- Hosp) needs to integrated with HWC enrolment system In the short-term, a limited customization to record Unique Health ID can be considered.
3. Specific role of IT in performance based payments Assured nature of services is possible only with upfront use of IT system for service delivery management Performance matrix for all service providers should get generated from the service transaction level data in the system DBT to beneficiaries should also get triggered from the service transactions
4. Use of printed family folder vs. IT system Manually recorded family folders should be done away with from the beginning itself, instead of being phased out over medium term. A record of follow-up schedule may be given in manual form to beneficiaries.
5. Integration of family folder with available demographic data base/reports. Establish enrolment facility upto HWC / SC level; this should be augmented by house system-based enrolment by ANM / ASHA. Family Health Folder must be maintained in the IT system only with Unique Health ID Parallel systems should not be attempted as that would increase the workload.
6. Inputs needed to integrate IT systems with drugs and vaccine delivery management systems. Medicine dispensation at HWC and higher-level PHI should be through the system only to managed by MLHP or Pharmacist.
7. Overcome Barriers in HWC team in data entry Service provider generating the data should be responsible for the data entry, eg, ASHA / ANM / MLHP / Pharmacist / Lab Technician. Build system for tablets and smart phones, and not for desktop PCs. Must be available in local language. Data entry by medical officers should be kept to the minimal, eg, recording of disease and treatment only.
8. Service providers of using IT as job aide SMS based communication functionality for: Service providers Patients / Beneficiaries Community members The system generated workplan and daily / weekly prompt system can facilitate acceptance by the service providers.
9: Roadmap for implementation Recommendation: Customize existing systems in the short term (6 month) Integrate them with each other and with HWC enrollment system in the medium term (one year) Redevelop the existing systems from service delivery management perspective in the long term (2 years) A joint group of MoHFW, Knowledge Partners and few States can be tasked to prepare the functionality requirement document within next one month.
