tag:blogger.com,1999:blog-81097755427292836862024-03-15T13:44:26.364+05:30Open Body of Digital Health Insights and Knowledge OpenBodhik: Open Body of Digital Health Insights and Knowledge, is an Opensource digital health community run by ACCESS Health Digital [AHD], a Division of ACCESS Health International [AHI]. We are a Not-For-Profit think-tank working in public health and digital health. All Code and Documents released on MPL 2.0 License.Unknownnoreply@blogger.comBlogger21125tag:blogger.com,1999:blog-8109775542729283686.post-63677023152260996362021-07-11T21:48:00.008+05:302021-08-07T18:42:34.985+05:30Stamp of Confidence<p style="text-align: justify;"><span style="font-family: arial;"><br /></span></p><p style="text-align: justify;"></p><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-sGbPZo0lEMI/YQwzbnoV0oI/AAAAAAAAAg8/cRd41HjOObsQMxiAJoccrIUo0TfNEXnqQCLcBGAsYHQ/s639/11-980x306.jpeg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="306" data-original-width="639" height="191" src="https://1.bp.blogspot.com/-sGbPZo0lEMI/YQwzbnoV0oI/AAAAAAAAAg8/cRd41HjOObsQMxiAJoccrIUo0TfNEXnqQCLcBGAsYHQ/w400-h191/11-980x306.jpeg" width="400" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-nk0f9Wc8GCU/YOwCTyRUhBI/AAAAAAAAAe4/2Fz4u5g1kXIq1dAv3tymesXChDT3tsOkwCLcBGAsYHQ/s341/eobjects.png" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="215" data-original-width="341" src="https://1.bp.blogspot.com/-nk0f9Wc8GCU/YOwCTyRUhBI/AAAAAAAAAe4/2Fz4u5g1kXIq1dAv3tymesXChDT3tsOkwCLcBGAsYHQ/s320/eobjects.png" width="320" /></a></div><br /><p style="text-align: justify;"><span style="background-color: #f3f3f3; font-family: arial;">The ACCESS Health Digital (AHD) Stamp of Confidence (SoC) for Digital Health Systems is a voluntary program. It is established by AHD to provide for a Stamp of Confidence for Digital Health Systems. Criteria for SoC are established as per as per NDHB Standards and related building blocks notified by Govt of India. The SoC Program supports the availability of quality Digital Health systems for its encouraged and required use across the National Digital Health Ecosystem. The SoC Program is run as a third-party product conformity assessment scheme for Digital Health systems based on the principles of the NDHB, EHR and MDDS for Health and Meity Open Standards and Opensource policy.</span></p><p><span style="background-color: #f3f3f3;"><span style="font-family: arial;">Download: </span><a href="https://drive.google.com/file/d/1YcrADA7NVYcXv4Lg-nsgZwjACf8oJq3J/view?usp=sharing" style="font-family: arial;" target="_blank">Stamp of Confidence Stages and Criteria</a></span></p><p style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px 0px 1em; text-align: justify; text-size-adjust: 100%; vertical-align: baseline;"><span style="background-color: #f3f3f3; font-family: arial;">As a part of its Social Entrepreneurship Accelerator (SEA) program designed to guide the healthcare industry in adopting open and uniform digital health standards, ACCESS Health Digital recently launched the Stamp of Confidence initiative that will recognize health startups based on the extent of their adoption of globally applicable digital health standards. </span></p><p style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px 0px 1em; text-align: justify; text-size-adjust: 100%; vertical-align: baseline;"><span style="background-color: #f3f3f3; font-family: arial;">The Stamp of Confidence (SoC) is an endorsement issued to each of the SEA members based on the extent and depth of their compliance, placing them in different stages of compliance maturity. It is a mark of accomplishing technical and functional compliance to the recommended standards laid out in the National Digital Health Blueprint. </span></p><p style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px 0px 1em; text-align: justify; text-size-adjust: 100%; vertical-align: baseline;"><span style="background-color: #f3f3f3; font-family: arial;">The SoC is structured in a way that helps startups transition gradually and smoothly from nonstandard healthcare industry to a standardized, open yet secure industry. The idea is to accelerate the adoption of the National Digital Health Blueprint standards and other Government of India notified digital health standards (including Metadata and Data Standards, SNOMED, Electronic Health Records, and Fast Healthcare Interoperability Resources) in a systematic and progressive way to make National Digital Health Ecosystem a reality.</span></p><p style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px 0px 1em; text-align: justify; text-size-adjust: 100%; vertical-align: baseline;"><span style="background-color: #f3f3f3; font-family: arial;">The SoC has been adopted by the National Health Authority’s- Market Access Program (MAP) to bring in a structured approach to compliance and adoption under the Pradhan Mantri Jan Aarogya Yojana (PMJAY). ACCESS Health Digital is among the leading partners of the NHA under the MAP. </span></p><p style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px 0px 1em; text-align: justify; text-size-adjust: 100%; vertical-align: baseline;"><span style="background-color: #f3f3f3; font-family: arial;">The SEA program run by ACCESS Health Digital is aimed to help Indian HealthTech startups and vendors implement Open Digital Health Standards that are applicable globally. With the introduction of the Minimum Viable Product [MVP], ACCESS Health Digital seeks to address the absence of interoperability between members of this vast ecosystem, which has been impeding the scale and speed of data and knowledge flow that are vital to achieve universal health coverage. The dedicated effort in this direction includes: </span></p><p style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px 0px 1em; text-align: justify; text-size-adjust: 100%; vertical-align: baseline;"><span style="background-color: #f3f3f3;"><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 0px; box-sizing: border-box; font-family: arial; font-weight: 700; margin: 0px; outline: 0px; padding: 0px; text-size-adjust: 100%; vertical-align: baseline;">Minimal Viable Product Definitions (MVP)</span><span style="font-family: arial;">: For various care delivery settings across primary, secondary, tertiary and health insurance segments. </span></span></p><p style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px 0px 1em; text-align: justify; text-size-adjust: 100%; vertical-align: baseline;"><span style="background-color: #f3f3f3;"><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 0px; box-sizing: border-box; font-family: arial; font-weight: 700; margin: 0px; outline: 0px; padding: 0px; text-size-adjust: 100%; vertical-align: baseline;">Techno-functional evaluation and mentorship:</span><span style="font-family: arial;"> </span><span style="font-family: arial;">To provide technical and functional mentorship for the implementation of the Minimal Viable Products (MVPs) into the partner products and to help build the micro services and Application Programming Interface (APIs) together with the product teams of the SEA community.</span></span></p><p style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px 0px 1em; text-align: justify; text-size-adjust: 100%; vertical-align: baseline;"><span style="background-color: #f3f3f3;"><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 0px; box-sizing: border-box; font-family: arial; font-weight: 700; margin: 0px; outline: 0px; padding: 0px; text-size-adjust: 100%; vertical-align: baseline;">AHD Stamp of Confidence:</span><span style="font-family: arial;"> </span><span style="font-family: arial;">At the end of the mentorship, the startups are assessed objectively against the custom recommendations provided for them during their initial techno-functional evaluation. The SoC milestone is recognized with the issuance of the Stamp of Confidence which certifies the area and stage of compliance. </span></span></p><p style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px 0px 1em; text-align: justify; text-size-adjust: 100%; vertical-align: baseline;"><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 0px; box-sizing: border-box; font-weight: 700; margin: 0px; outline: 0px; padding: 0px; text-size-adjust: 100%; vertical-align: baseline;"><span style="background-color: #f3f3f3; font-family: arial;">Tiered Compliance Stages</span></span></p><figure class="wp-block-image size-large" style="box-sizing: border-box; margin: 0px 0px 1em; text-align: justify;"><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-tN_JRxC9Kfs/YQwyMntUvPI/AAAAAAAAAgs/sALHSlmRZ-4XxWlxyZ5KUXfYQYGe9T0ZQCLcBGAsYHQ/s789/image-001.jpg" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><span style="background-color: #f3f3f3; color: black;"><img border="0" data-original-height="311" data-original-width="789" height="158" src="https://1.bp.blogspot.com/-tN_JRxC9Kfs/YQwyMntUvPI/AAAAAAAAAgs/sALHSlmRZ-4XxWlxyZ5KUXfYQYGe9T0ZQCLcBGAsYHQ/w400-h158/image-001.jpg" width="400" /></span></a></div><span style="background-color: #f3f3f3;"><br /><span style="font-family: arial;"><br /></span></span></figure><p style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px 0px 1em; text-align: justify; text-size-adjust: 100%; vertical-align: baseline;"><span style="background-color: #f3f3f3; font-family: arial;"><br /></span></p><p style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px 0px 1em; text-align: justify; text-size-adjust: 100%; vertical-align: baseline;"><span style="background-color: #f3f3f3; font-family: arial;"><br /></span></p><p style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px 0px 1em; text-align: justify; text-size-adjust: 100%; vertical-align: baseline;"><span style="background-color: #f3f3f3; font-family: arial;"><br /></span></p><p style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px 0px 1em; text-align: justify; text-size-adjust: 100%; vertical-align: baseline;"><span style="background-color: #f3f3f3; font-family: arial;"><br /></span></p><p style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px 0px 1em; text-align: justify; text-size-adjust: 100%; vertical-align: baseline;"><span style="background-color: #f3f3f3; font-family: arial;">The tiered approach of the Stamp of Confidence enables startups to join the network even when they are successful in implementing only the early “terminology standards”; thus giving them an opportunity to participate in the digital ecosystem. Early adopters in the stage 1 category are expected to implement other standards such as audit trails, Health Data Dictionary and pay attention to scalability along with the implementation of terminology standards. Also, every stage in the tiered system has room to accommodate anomalies or exceptions as the healthcare technology market is characterized with high degree of diversity in digital maturity, thus highlighting ‘inclusiveness’ in its design.</span></p><p style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px 0px 1em; text-align: justify; text-size-adjust: 100%; vertical-align: baseline;"><span style="background-color: #f3f3f3; font-family: arial;">Stage 2 expects the startups to come forward to implement the eObjects and microservices which requires significant amount of commitment to interoperability and scalability in design. Stage 3 is conferred on those advanced players who can demonstrate the implementation of Data privacy and security principles in their design owing to the fact that they have the required data standards and terminologies implemented to enable them to achieve this stage.</span></p><p style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px 0px 1em; text-align: justify; text-size-adjust: 100%; vertical-align: baseline;"><span style="background-color: #f3f3f3; font-family: arial;">Once the startups have completed their mentorship phase and are ready to be considered for the SoC, they are evaluated objectively using a techno-functional checklist which allows them to be scored against a stepwise implementation of every component within the specific stage.</span></p><p style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px 0px 1em; text-align: justify; text-size-adjust: 100%; vertical-align: baseline;"><span style="background-color: #f3f3f3; font-family: arial;">Achieving a score ‘4/5’ in this objective assessment qualifies the startup to be considered ‘compliant’. Implementation of these standards in real world is the demonstration of excellence and provides them with a score ‘5/5’.</span></p><p style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px 0px 1em; text-align: justify; text-size-adjust: 100%; vertical-align: baseline;"><span style="background-color: #f3f3f3; font-family: arial;">The Social Entrepreneurship Accelerator Program (SEA) strongly positions the early adopters of standards in its network as National Digital Health Blueprint (NDHB) Standards compliant products and the SoC is a major milestone that is required for the members to graduate to the coveted Early adopters club. Some of the early adopters in the SEA community like Plus91, Srishti Soft, UNIMEDNET, MarSha, Raxa, Invoker Tech, DocEngage have been identified and recognized to be the champions, leading the way in this journey. Saathealth, an MAP member has been one of the first few to receive the Stamp of Confidence. With greater and faster adoption of standards, other MAP members are expected to follow suit.</span></p><p style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px 0px 1em; text-align: justify; text-size-adjust: 100%; vertical-align: baseline;"><span style="background-color: #f3f3f3; font-family: arial;"><a href="http://www.openbodhik.in/2020/07/social-entrepreneurship-accelerator.html">http://www.openbodhik.in/2020/07/social-entrepreneurship-accelerator.html</a></span></p>Unknownnoreply@blogger.com7tag:blogger.com,1999:blog-8109775542729283686.post-77725658746510483182021-06-30T09:35:00.003+05:302021-06-30T10:25:07.065+05:30Lab SIG - Interoperability<p><span style="font-family: arial;">Lab SIG - Interoperability</span></p><p style="text-align: justify;"><span style="font-family: arial;">Charter: ACCESS Health Digital together with development sector partners and provider industry associations had convened the pan-India Provider Working Group [PWG] and published the PWG report in Q1 of 2021 (<a href="http://www.openbodhik.in/2021/04/provider-working-group-final-report.html">http://www.openbodhik.in/2021/04/provider-working-group-final-report.html</a>). The Diagnostic Working Group was one of the 3 main Working Groups under PWG. The Diagnostic Working Group consultations clearly revealed that approaches to Laboratory Data Interoperability can be the first step in creating an open-source standards-based digital health assets for seeding India’s National Digital Health Ecosystem (NDHE). As a follow through on the Diagnostic Working Group proceedings referred above, Laboratory Special Interest Group (SIG) was constituted as a subset of the PWG’s Diagnostic Working Group, to continue work on the Laboratory Data Interoperability. </span></p><p style="text-align: justify;"><span style="font-family: arial;">Interim Report: This is an interim report on the significant progress made by the Lab SIG. The report explores Standardizing the LOINC at Lab Information Management Systems [LIMS] level versus Standardizing the LOINC at the Lab Analyser output level. The interim report clearly proves the Hypothesis that Standardizing the LOINC at the Lab Analyser output level is more amenable to adoption and change management. However more research continues to map the LOINC and the output of most used Lab Analysers in the market.</span></p><p><span style="font-family: arial;">Download: </span><a href="https://drive.google.com/file/d/1wa7rNM5oFBtXT5yrnAyyQOKkX02bYn1G/view?usp=sharing" style="font-family: arial;" target="_blank">Lab SIG Interim Report on Interoperability</a></p><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-Lzlrleauu6I/YNv3gySTTrI/AAAAAAAAAeU/w4od0D9BRhwhVIiiMtG_UVEsC8gYdhIrQCLcBGAsYHQ/s1024/1024px-LabMachines.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="768" data-original-width="1024" height="300" src="https://1.bp.blogspot.com/-Lzlrleauu6I/YNv3gySTTrI/AAAAAAAAAeU/w4od0D9BRhwhVIiiMtG_UVEsC8gYdhIrQCLcBGAsYHQ/w400-h300/1024px-LabMachines.jpg" width="400" /></a></div><br /><p><br /></p><p><br /></p>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-8109775542729283686.post-16377880135714136952021-06-01T23:42:00.040+05:302021-06-19T00:02:36.927+05:30Telemedicine Hut: Solutions for Rural India<p><b></b></p><div class="separator" style="clear: both; text-align: center;"><b><a href="https://1.bp.blogspot.com/-Sd723DMXKoQ/YMzkIOzgt5I/AAAAAAAAAds/H-WiijqHEs0c4I8BQipZJEr59WY1c5LjgCLcBGAsYHQ/s449/telemedicine.png" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="449" data-original-width="375" height="320" src="https://1.bp.blogspot.com/-Sd723DMXKoQ/YMzkIOzgt5I/AAAAAAAAAds/H-WiijqHEs0c4I8BQipZJEr59WY1c5LjgCLcBGAsYHQ/s320/telemedicine.png" /></a></b></div><b><br /><div style="text-align: justify;"><b><span style="font-family: arial;">Lesson from the Covid19 Pandemic – Leveraging Telemedicine and Digital Health to offer 'Appropriate Care' in Rural India</span></b></div></b><p></p><p style="text-align: justify;"><span style="font-family: arial;"><a href="https://drive.google.com/file/d/1I1Zt3LYCYO4t9ci6ZcKBsAaoml_BO8OY/view?usp=sharing" target="_blank">Download Here!</a></span><span style="font-family: arial;"> </span></p><p style="text-align: justify;"><span style="font-family: arial;">The Second Wave of Covid19, in a manner of speaking, was a ‘Baptism by fire’ for Public Health Governance in India.</span></p><p style="text-align: justify;"><span style="font-family: arial;">Besides streamlining of provisioning of material resources, one of the key lessons learnt in managing the crisis was clearly, that ‘Appropriate Care’ i.e. Triage was able to take care of about 80% of patients reporting Covid-like symptoms and allowing them to be treated with simple and minimal protocols, at home without overburdening Hospitals in the secondary and Tertiary care segment and thus ensuring better outcomes and better patient experience. Resources could remain available for suitable cases.</span></p><p style="text-align: justify;"><span style="font-family: arial;">Less could Indeed be more!</span></p><p style="text-align: justify;"><span style="font-family: arial;">Now that we see the disease making inroads into Rural India which is relatively poorly served in terms of first line of care, and anticipate larger numbers that need to be provided ‘Appropriate Care’ we need to develop methods to do so.</span></p><p style="text-align: justify;"><span style="font-family: arial;">Access Health Digital has developed a simple concept for Leveraging Telemedicine and Digital Health Technologies to offer Triage in Rural India with minimal infrastructural requirements and easily available solutions. Please see attached slides on how Telemedicine can be leveraged to do so.</span></p><p style="text-align: justify;"><span style="font-family: arial;">A more detailed vision Document is being developed in partnership with a leading Academic Institution and will follow soon. Watch this space!</span></p><p style="text-align: justify;"><span style="font-family: arial;"><a href="https://drive.google.com/file/d/1I1Zt3LYCYO4t9ci6ZcKBsAaoml_BO8OY/view?usp=sharing" target="_blank">Download Here!</a></span></p>Unknownnoreply@blogger.com5Delhi, India28.7040592 77.1024901999999910.39382536382115418 41.946240199999991 57.014293036178842 112.25874019999999tag:blogger.com,1999:blog-8109775542729283686.post-30373665968467988302021-05-12T13:15:00.012+05:302021-07-09T09:07:47.374+05:30NABH to NDHB Mapping<p></p><div class="separator" style="clear: both; text-align: center;"> <div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-XTmamBRzqck/YJuQLdakZ-I/AAAAAAAAAc8/IlfFCMeji0MapFcO6rf0yx1YLMBR1Wi3wCLcBGAsYHQ/s500/nabh-full-accredited-certification-500x500.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="500" data-original-width="500" height="150" src="https://1.bp.blogspot.com/-XTmamBRzqck/YJuQLdakZ-I/AAAAAAAAAc8/IlfFCMeji0MapFcO6rf0yx1YLMBR1Wi3wCLcBGAsYHQ/w150-h150/nabh-full-accredited-certification-500x500.jpg" width="150" /></a><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-OwgsdQGt9_s/YJuQ2a951DI/AAAAAAAAAdM/kP6PQETI9BkqwJOkZdDyxn6rAHJyi_-CACLcBGAsYHQ/s640/National-digital-health-blueprint.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="395" data-original-width="640" height="136" src="https://1.bp.blogspot.com/-OwgsdQGt9_s/YJuQ2a951DI/AAAAAAAAAdM/kP6PQETI9BkqwJOkZdDyxn6rAHJyi_-CACLcBGAsYHQ/w220-h136/National-digital-health-blueprint.jpg" width="220" /></a></div><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;"><div class="separator" style="clear: both; text-align: left;"><span style="font-family: arial;">National Accreditation Board for Hospitals and Healthcare Organizations #NABH, Chapter 10, Information Management Systems [IMS] should now been seen in the light of the National Digital Health Blueprint #NDHB Standards Notified by Govt of India in Nov 2019.</span></div><div class="separator" style="clear: both; text-align: left;"><span style="font-family: arial;"> </span></div><div class="separator" style="clear: both; text-align: left;"><span style="font-family: arial;">ACCESS Health Digital [AHD] has done the mapping of the #NABH Chapter 10 IMS to #NDHB and the NDHB based Building blocks designed by AHD.</span></div><div class="separator" style="clear: both; text-align: left;"><span style="font-family: arial;"><br /></span></div><div class="separator" style="clear: both; text-align: left;"><span style="font-family: arial;">Going forward this NABH-NDHB mapping will become a guiding light for NABH Auditors/Assessors evaluating the Hospitals and Healthcare Facilities from a IMS perspective. The same mapping can be extended to Joint Commission International [JCI] management of information [MOI].</span></div><div class="separator" style="clear: both; text-align: left;"><span style="font-family: arial;"><br /></span></div><div class="separator" style="clear: both; text-align: left;"><span style="font-family: arial;"><a href="https://drive.google.com/file/d/1zB2g9EhTJtjFxtXOs5BNJJqeidf16N0i/view?usp=sharing" target="_blank">NABH Chapter 10 to NDHB Mapping</a></span></div><div class="separator" style="clear: both; text-align: left;"><br /></div><div class="separator" style="clear: both; text-align: left;"><span style="font-family: arial;"><a href="https://drive.google.com/file/d/14bu2J6-whCnc72qhSy3dB0-ohYjAj9Af/view?usp=sharing" target="_blank">NABH Chapter 10 - Information Management Systems Requirements</a></span></div><div class="separator" style="clear: both; text-align: left;"><br /></div><div class="separator" style="clear: both; text-align: left;"><br /></div></div></div></div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-8109775542729283686.post-72027025441228988932021-04-13T23:26:00.014+05:302021-05-14T16:45:38.231+05:30Provider Working Group - Final Report<p style="text-align: center;"><u style="color: #222222; font-family: arial;">Prologue</u></p><p style="text-align: center;"><span style="color: #222222; font-family: arial;"><u></u></span></p><p class="MsoNormal" style="text-align: center;"><iframe allowfullscreen="" class="BLOG_video_class" height="266" src="https://www.youtube.com/embed/VdxEgYppSF0" width="320" youtube-src-id="VdxEgYppSF0"></iframe></p><span style="color: #222222; font-family: arial;"><span style="color: black; font-family: arial;">DIGITAL HEALTH ECOSYSTEM - </span><a href="https://youtu.be/VdxEgYppSF0" target="_blank">ACCESS HEALTH DIGITAL VISION</a></span><div><span style="color: #222222; font-family: arial;"><br /><div style="text-align: left; text-decoration-line: underline;"><span style="color: black; font-family: arial;"><a href="https://drive.google.com/file/d/1CBJzat7_6HOF_ZPUhvAaHtUbHdi8SP2-/view?usp=sharing" target="_blank">Read the Provider Working Group - Final Report - Circulation Copy</a></span><span style="color: black;"><span style="font-family: Times New Roman;"> </span><br /><div style="font-family: "Times New Roman"; text-align: justify;"><span style="font-family: arial;"><span style="text-align: left;"><a href="https://drive.google.com/file/d/1uSZfkQVAzkstJrXLv-XgRk0E5tuO3Z6-/view?usp=sharing" target="_blank">Download Sample ePrescription in JSON Format</a></span></span></div><div style="font-family: "Times New Roman"; text-align: justify;"><span style="font-family: arial;"><a href="https://drive.google.com/file/d/1eneUxj-BqQpZ7BJ7iuQow4NdPoaaPAqP/view?usp=sharing" target="_blank">Download Sample eEncounter in JSON Format</a></span></div><div style="font-family: "Times New Roman"; text-align: justify;"><span style="font-family: arial;"><a href="https://drive.google.com/file/d/1Pqp6cAKT0xa_q99sck4LrSgU02ExTkID/view?usp=sharing" target="_blank">Download Sample Diagnostic Template in JSON Format</a></span></div><div style="font-family: "Times New Roman"; text-align: justify;"><a href="https://drive.google.com/file/d/1zwCc4YMJH9c6Dh7XVQga7DXNNemZ5odT/view?usp=sharing" style="font-family: arial; text-align: left;" target="_blank">Provider Working Groups Concept Note</a></div><div style="text-align: justify;"><a href="http://www.openbodhik.in/2020/04/provider-eobjects-published.html" target="_blank">Refer to Published Provider eObjects</a></div></span></div></span><p></p><p style="text-align: justify;"><span style="color: #222222; font-family: arial;">Over the years economists and leaderships around the world have learnt that economic growth that is gained through the hard work of a creative, healthy and productive working population; is easily lost through healthcare costs arising from disease burdens that come with ageing or other public health challenges; which could be endemic communicable, lifestyle related or pandemics as in the recent experience.</span></p><p style="text-align: justify;"><span style="color: #222222; font-family: arial;">This challenge becomes even more acute in the case of developing economies and economies with very young populations which will see longer life expectancies and higher healthcare burdens in the future.</span></p><p style="text-align: justify;"><span style="color: #222222; font-family: arial;">The Sustainable Development Goals (SDG) framework elicited by the world community is an attempt to ensure that economic growth translates into real change in the lives of large populations around the world, lifting up their quality and experience of life.</span></p><p style="text-align: justify;"><span style="color: #222222; font-family: arial;">Universal Healthcare is adopted as the third SDG in this framework but on closer examination has profound interconnections with all the other goals in the framework, and therefore is perhaps the most important one. In fact, it is so important that it is no longer possible to leave people to fend for themselves and pay-out-of-pocket for their healthcare costs. This report describes India’s policy initiatives for Universal Healthcare, along with a detailed discussion of, and solutions for, the hurdles that India faces in it’s drive towards implementation of Universal Healthcare.</span></p><p style="text-align: justify;"><span style="color: #222222; font-family: arial;">Providing Universal healthcare in a way that is sustainable for economies requires a preventive, predictive and proactive approach to healthcare that is wellness centric and is both equitable and accessible to citizens. There are a number of paradigms that need to be understood to effectively deliver on these approaches.</span></p><p style="text-align: justify;"><span style="color: #222222; font-family: arial;">Firstly, it requires Healthcare to be seen as an ‘Eco-System’ or a collective environment, rather than disjointed entities / industries making overlapping or selective efforts that fail to address the issues holistically. Healthcare is not a single industry or a set of unconnected industries. Some of the issues arising from isolated efforts are discussed as ‘Fuzzy boundaries’ in the report.</span></p><p style="text-align: justify;"><span style="color: #222222; font-family: arial;">Secondly, having realized that healthcare is an inter-dependent ecosystem, even more so when an entity other than the beneficiary or patient is paying for the services rendered; it becomes critical that all members (stakeholders) of the ecosystem work together in close cohesion with minimum administrative glitches and ensure economy of effort and resources used. The Size, Scale and Speed that is required to make this work, makes it essential for information to flow amongst the stakeholders in a seamless and meaningful way that is universal and helps decision making easy, rapid, transparent and non-discriminatory to the extent possible. For this to happen, Interoperability becomes critical and lack of Interoperability - fatal</span></p><p style="text-align: justify;"><span style="color: #222222; font-family: arial;">The centrality and criticality of effective Interoperability calls for universally accepted structures, rules, processes and data standards. This is the core of the work that Access Health Digital has been doing over the recent years. Access Health Digital (AHD) has expertise across Medicine, Technology, Public Heath, Governance and Policy, Healthcare Systems, Adoption, Capacity Building and Implementation; with at least 3 if not more cross functional disciplines available within each individual team member’s multi-decadal span of experience and qualifications. AHD has Conceptualized, Designed the Building Blocks, Minimum Viable Product Designs and other Digital Health Assets for healthcare delivery information systems. The central purpose of this document, and the efforts behind the working group initiative, is to serve the nation by releasing this body of work into opensource for Public Good and secure majority agreement with stakeholders on these. This helps create an inclusive approach to the ecosystems instead of one that threatens or challenges the smaller stakeholders with financial ruin. The exclusiveness that is possible in other sectors of business is not viable in healthcare, as it would trigger a systemic collapse. Healthcare services are greatly personalized in nature since medicine is an extremely nuanced and evolved discipline, where a clinician often needs to factor in a lot of subjective information to make the best decision for the patient.</span></p><p style="text-align: justify;"><span style="color: #222222; font-family: arial;">Essentially the Healthcare Space has three broad principal stakeholder groups namely:</span></p><ul style="text-align: left;"><li style="text-align: justify;"><span style="color: #222222; font-family: arial;"><span lang="EN-US">Payers – These are
entities that pay for healthcare services given to a patient. These could
include the patient and his family, governments schemes, insurance providers –
private and public. As discussed above, Universal Healthcare is striving to
ensure that this burden is minimized for the patient.</span></span></li><li style="text-align: justify;"><span style="color: #222222; font-family: arial;"><span lang="EN-US">Providers – These are
entities, public or private, that provide care – ranging from the individual
medical practitioner in a remote area, to the sophisticated urban hospitals;
ancillary services eg. Labs and Diagnostics, telemedicine, medicines and so on.
This is a vast area running into millions of entities.</span></span></li><li style="text-align: justify;"><span style="color: #222222; font-family: arial;"><span lang="EN-US">Patients or Beneficiaries
are those receiving healthcare services.</span></span></li></ul><div style="text-align: justify;"><span style="font-family: arial;">As is obvious by now, Healthcare is a domain that is vastly different to the more orderly areas like Banking, Payments, Finance, Retail, Telecom and so on, which have a very limited type and number of stakeholders and transactions that can easily be objectified.</span></div><div style="text-align: justify;"><span style="font-family: arial;"><br /></span></div><div style="text-align: justify;"><span style="font-family: arial;">Thirdly, given the fundamentally unique nature of healthcare and its diversity, and its need for a truly inclusive, country appropriate approach - it is clear that integrating this ecosystem cannot be achieved by un-boxing and applying a playbook approach to India’s Healthcare Ecosystem, either from another country or even from another sector within India.</span></div><div style="text-align: justify;"><span style="font-family: arial;"><br /></span></div><div style="text-align: justify;"><span style="font-family: arial;">It can also not be achieved by just ‘replicating’ paper based processes by doing them electronically ie. merely Digitizing an existing process and carrying on the same way but with computers.</span></div><div style="text-align: justify;"><span style="font-family: arial;"><br /></span></div><div style="text-align: justify;"><span style="font-family: arial;">It would need a fundamental change to the way data is collected, organized, shared and acted upon in a way that decision making could be accurate and fast, while scale and safety went up exponentially with accessibility and equity. It also meant leveraging publicly available infrastructure and moving away from dependence on proprietary technologies that would create dependencies that no public system can survive, especially when it is a nation of 1.3 Billion people. Moreover healthcare is continuously evolving as our knowledge of the human body, genetics, technology changes at speeds that have never been experienced in human history ! What we can do with a simple Mobile phone today, was never imaginable just 15 years ago! Lives and economies have truly been transformed by this ‘Digitalization’.</span></div><div style="text-align: justify;"><span style="font-family: arial;"><br /></span></div><div style="text-align: justify;"><span style="font-family: arial;">Healthcare needs Digitalization and not just mere Digitization since nuances and speed are not just important - they are critical, and could sometimes be the difference between life and death, in terms of outcomes.</span></div><div style="text-align: justify;"><span style="font-family: arial;"><br /></span></div><div style="text-align: justify;"><span style="font-family: arial;">Fortunately, since Universal Healthcare has been a high priority with the current government there has been a cascade of far-reaching measures following the National Health Policy of 2017 viz. PMJAY, The National Digital Health Blueprint, The National Digital Health Mission, the NEP-2020, and so on, initiated to remove hurdles towards achieving this goal.</span></div><div style="text-align: justify;"><span style="font-family: arial;"><br /></span></div><div style="text-align: justify;"><span style="font-family: arial;">Fourthly, Digital Health - as the Digitalization of Healthcare has come to be known, is a transformative discipline and is a complex specialization born through the convergence of multiple disciplines, just as most cutting edge innovation in the world is, today.</span></div><div style="text-align: justify;"><span style="font-family: arial;"><br /></span></div><div style="text-align: justify;"><span style="font-family: arial;">It is a matrix of Medicine, Technology, Public Heath, Governance and Policy, Management, Healthcare Systems, Adoption, Capacity Building and Implementation. At the primary level it required medical professionals to develop a familiarity with technology issues and for technologists to develop an appreciation for the nuances of healthcare and medical science, as the workplaces begin to adapt and change.</span></div><div style="text-align: justify;"><span style="font-family: arial;"><br /></span></div><div style="text-align: justify;"><span style="font-family: arial;">The recommendations in this report reflect the work of 200+ professionals, who have made that journey despite the extreme discomfort that this change represents, to reach a state of familiarity with the intricacies and nuances of this cutting edge area. The future requires a similar effort from all of us in Healthcare and Information Technologyu, with an urgency that has never been experienced in history.</span></div><div style="text-align: justify;"><span style="font-family: arial;"><br /></span></div><div style="text-align: justify;"><span style="font-family: arial;">Coming back to the three groups of stakeholders mentioned earlier in this discussion:</span></div><div style="text-align: justify;"><span style="font-family: arial;"><br /></span></div><div style="text-align: justify;"><span style="font-family: arial;">AHD’s Payer side recommendations were already discussed with the Payer industry and submitted to the National Health Authority.</span></div><div style="text-align: justify;"><span style="font-family: arial;"><br /></span></div><div style="text-align: justify;"><span style="font-family: arial;">This Provider Working Group Initiative seeks to serve the nation by evolving a set of tools that will allow for integrating the Provider Community and it’s diversity into a National Digital Health Ecosystem. Give all of the above, It’s importance to Universal Healthcare can hardly be overstated.</span></div><div style="text-align: justify;"><span style="font-family: arial;"><br /></span></div><div style="text-align: justify;"><span style="font-family: arial;">Nations must rise to protect themselves, professionals must step across the divides of habit, if we are to meet the challenges of the future. Covid19 makes it essential to build healthcare eco-systems that are adequate to spot and address threats predictively across geographies, besides keeping large populations healthy by preventing disease.</span></div><div style="text-align: justify;"><span style="font-family: arial;"><br /></span></div><div style="text-align: justify;"><span style="font-family: arial;">India stands at an inflection point today quite similar to the one that she witnessed when mobile telephony arrived in the 1990s’. The bottlenecks of the old, infrastructure heavy, fixed line telephony were gone in one fell swoop; and as they say, the rest is history. It led to a transformation of the country in exponential terms, in every sphere of life.</span></div><div style="text-align: justify;"><span style="font-family: arial;"><br /></span></div><div style="text-align: justify;"><span style="font-family: arial;">The work done by AHD will go a long way in helping the realization of this critical national priority as the proverbial ‘stitch-in-time’. Access Health Digital as a Not for Profit, Technology Knowledge Leader has been making catalytic, India specific, design, innovation and adoption initiatives to remove bottlenecks in the healthcare domain to make it possible to adopt and implement the recommendations of the National Digital Health Blueprint.</span></div><div style="text-align: justify;"><span style="font-family: arial;"><br /></span></div><div style="text-align: justify;"><span style="font-family: arial;">We have sought to address the lack of Interoperability between members of this vast ecosystem, which has so far been impeding the scale and speed of data and knowledge flow, which is vital to make universal healthcare achievable. The National Digital Health Blueprint has been the set of guiding principles to our initiatives.</span></div><div style="text-align: justify;"><span style="font-family: arial;"><br /></span></div><div style="text-align: justify;"><span style="font-family: arial;">We have gone further and convened extensive working group discussions in each of these areas across academic, industry and policy makers; to secure majority agreement and make sure that adoption of digital health was not obstructed, and interoperability became inherent to the Building Blocks, Minimum Viable Products and Architectures that AHD proposed and shared as open-source, digital health assets for the public good. Our intent is to help India leapfrog the current state into a bold new future in digital health and also lead the global healthcare community by example.</span></div><div style="text-align: justify;"><span style="font-family: arial;"><br /></span></div><div style="text-align: justify;"><span style="font-family: arial;">As a Medical, Technological Governance and Policy Maker, Management or Public Health Professional, or even as a student or educator in these diverse domains, we believe this report will help you navigate the future and be a worthy investment of your time to read.</span></div><div style="text-align: justify;"><span style="font-family: arial;"><br /></span></div><div style="text-align: justify;"><span style="font-family: arial;">We earnestly submit to the Government, that this rarely seen agreement / consensus and set of recommendations across a very wide spectrum of stakeholders in healthcare, be seized upon as a ‘once in a generation’ opportunity for the country to benefit it’s citizens immediately. It would also enable India to leapfrog and lead the global healthcare community for the benefit of all patients everywhere.</span></div><div style="text-align: justify;"><span style="font-family: arial;"><br /></span></div><div class="separator" style="clear: both; text-align: center;"><a href="https://lh3.googleusercontent.com/-qPTpXs4qEzI/YHaK-U1VhQI/AAAAAAAAAb8/ekoVZeANXN88hufjREaiYAcnJQ8w8MpHgCLcBGAsYHQ/image.png" style="margin-left: 1em; margin-right: 1em;"><img alt="" data-original-height="373" data-original-width="662" height="225" src="https://lh3.googleusercontent.com/-qPTpXs4qEzI/YHaK-U1VhQI/AAAAAAAAAb8/ekoVZeANXN88hufjREaiYAcnJQ8w8MpHgCLcBGAsYHQ/w400-h225/image.png" width="400" /></a></div><div style="text-align: justify;"><span style="font-family: arial;"><u style="color: #222222; text-align: center;"></u></span></div><div style="text-align: justify;"><span style="font-family: arial;"><br /></span></div><div style="text-align: justify;"><span style="font-family: arial;"><div class="separator" style="clear: both; text-align: center;"><a href="https://lh3.googleusercontent.com/-1b7YznXQIuo/YHaKqNZAgHI/AAAAAAAAAb0/djT7JX_4VkAbwXUzCYLaqO8PB2a9TzSXwCLcBGAsYHQ/image.png" style="margin-left: 1em; margin-right: 1em;"><img alt="" data-original-height="330" data-original-width="548" height="241" src="https://lh3.googleusercontent.com/-1b7YznXQIuo/YHaKqNZAgHI/AAAAAAAAAb0/djT7JX_4VkAbwXUzCYLaqO8PB2a9TzSXwCLcBGAsYHQ/w400-h241/image.png" width="400" /></a></div><br /><span style="font-family: arial; text-align: left;"><a href="https://drive.google.com/file/d/1CBJzat7_6HOF_ZPUhvAaHtUbHdi8SP2-/view?usp=sharing" target="_blank">Read the Provider Working Group - Final Report - Circulation Copy</a></span></span></div><div style="text-align: justify;"><span style="font-family: arial;"><span style="text-align: left;"><a href="https://drive.google.com/file/d/1uSZfkQVAzkstJrXLv-XgRk0E5tuO3Z6-/view?usp=sharing" target="_blank">Download Sample ePrescription in JSON Format</a></span></span></div><div style="text-align: justify;"><span style="font-family: arial;"><a href="https://drive.google.com/file/d/1eneUxj-BqQpZ7BJ7iuQow4NdPoaaPAqP/view?usp=sharing" target="_blank">Download Sample eEncounter in JSON Format</a></span></div><div style="text-align: justify;"><span style="font-family: arial;"><a href="https://drive.google.com/file/d/1Pqp6cAKT0xa_q99sck4LrSgU02ExTkID/view?usp=sharing" target="_blank">Download Sample Diagnostic Template in JSON Format</a></span></div><div style="text-align: justify;"><a href="https://drive.google.com/file/d/1zwCc4YMJH9c6Dh7XVQga7DXNNemZ5odT/view?usp=sharing" style="font-family: arial; text-align: left;" target="_blank">Provider Working Groups Concept Note</a></div><div style="text-align: justify;"><a href="http://www.openbodhik.in/2020/04/provider-eobjects-published.html" style="font-family: arial;" target="_blank">Refer to Published Provider eObjects</a></div><div style="text-align: justify;"><span style="font-family: arial;"><span style="text-align: left;"> </span></span></div></div>Unknownnoreply@blogger.com3tag:blogger.com,1999:blog-8109775542729283686.post-56450857107468248262020-08-22T16:05:00.020+05:302021-01-01T15:19:58.089+05:30eClaims - Payer eObjects<p></p><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-Qz9ZJeq7B44/X0D3ph5TpFI/AAAAAAAAAVM/ActHhgHuhREbKDfxRCVKB6ekOv5QvKabQCLcBGAsYHQ/s1200/health%2Binsurance.png" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="900" data-original-width="1200" height="240" src="https://1.bp.blogspot.com/-Qz9ZJeq7B44/X0D3ph5TpFI/AAAAAAAAAVM/ActHhgHuhREbKDfxRCVKB6ekOv5QvKabQCLcBGAsYHQ/w320-h240/health%2Binsurance.png" width="320" /></a></div><span style="font-family: arial;"><br /></span><p></p><p><span style="font-family: arial;"><br /></span></p><p><span style="font-family: arial;"><br /></span></p><p><span style="font-family: arial;"><br /></span></p><p><span style="font-family: arial;"><br /></span></p><p><span style="font-family: arial;"><br /></span></p><p><span style="font-family: arial;"><br /></span></p><p><span style="font-family: arial;"><br /></span></p><p><span style="font-family: arial;">This document presents the design specifications for electronic claim </span><span style="font-family: arial;">objects and associated standard processes for their exchange between </span><span style="font-family: arial;">Payers and Providers, through a Health Claim Platform that was </span><span style="font-family: arial;">recommended in the report “Common IT Infrastructure </span><span style="font-family: arial;">for Health Insurance Claims management” by IRDA-NHA joint </span><span style="font-family: arial;">working group. </span></p><p><span style="font-family: arial;">The health claim platform is intended to improve current </span><span style="font-family: arial;">claim processes, enforce transparency and facilitate on time provider </span><span style="font-family: arial;">payments for Health insurance Claims in India. Usage of Standard </span><span style="font-family: arial;">Electronic Claim related objects will facilitate auto adjudication of </span><span style="font-family: arial;">claims by both Public and Private Health Insurance Payers with reduced </span><span style="font-family: arial;">operational costs.</span></p><div><span style="font-family: arial;"><a href="https://drive.google.com/file/d/1jqH59JYtUztgvUow62QhOH78DkmBHZeA/view?usp=sharing" target="_blank">eClaims Objects - Health Claims Platform</a></span></div><div><br /></div><div><span style="font-family: arial;"><a href="https://drive.google.com/file/d/1OjVbDucVnblbu-Khjs6CZ91YT5EWYiDw/view?usp=sharing" target="_blank">Payer eObjects Specifications: eClaims Object, Claims Response etc.</a></span></div><div><br /></div><div><span style="font-family: arial;"><a href="https://drive.google.com/file/d/1a57duT6AKgZLP5bqhTYy6xb9e-Wo1Eib/view?usp=sharing" target="_blank">eDischarge Summary Object</a>: <span style="font-size: xx-small;">Pick the eDischarge Object from Provider eObjects v2</span></span></div><p><a href="https://drive.google.com/file/d/1nIQjLeHWIulEndU3NVdEDyRAGbxhrF8A/view?usp=sharing" style="font-family: arial;" target="_blank">Standard Value Sets for eClaims Objects</a></p><p><span style="font-family: arial;"><a href="https://drive.google.com/file/d/1coYw_BILduPYvaLo5_WVq04Fwbw2vxKd/view?usp=sharing" target="_blank">Standard Value Sets for eDischarge Objects</a></span></p><p><span style="font-family: arial;"><a href="https://drive.google.com/file/d/1D0heDNvZ85UinHXHjD74rXZsskn4RnHR/view?usp=sharing" target="_blank">Summary of Insurance eObjects</a></span></p><p><span style="font-family: arial;">The eObjects concept was introduced by ACCESS Health in Theme papers in Nov 2018, that became the Chapter 5 of the book ‘Health Systems for New India’, published by Niti Aayog in Nov 2019. Prof Dennis Streveler and Dr Pankaj Gupta are the Authors of the Chapter 5 in the Health System for New India book. The eObjects concept was again recommended in the ‘NHA-IRDA joint working group report’ to facilitate electronic, codified data exchange between providers and payers. The eObjects concept was then detailed out into Provider and Payer eObjects including the data standards recommended in the National Digital Health Blueprint. ACCESS Health has now released the eObjects design and code in opensource under MPL 2.0 license.</span></p><div><font face="arial">eObjects are evolving, c</font><span style="font-family: arial;">heck with us for the latest versions</span><span style="font-family: arial;">. Reach out to us for any help to understand or implement the eObjects. We can set up a group call with all of you to explain these eObjects in detail or even can set up one to one calls.</span></div><div><font face="arial"><br /></font></div><div><font face="arial">Thank You for your continuous association with us.</font></div><div><font face="arial"><br /></font></div><div><font face="arial">-- ACCESS Health Digital --</font></div><div><font face="arial"><br /></font></div><div><font face="arial">Contact for Clarifications:</font></div><div><font face="arial">Access Health Digital<br /></font><span style="font-family: arial;">digital.health@accessh.org</span></div>Unknownnoreply@blogger.com3tag:blogger.com,1999:blog-8109775542729283686.post-38330607776695081442020-07-26T23:05:00.074+05:302021-07-30T16:34:15.860+05:30AHD ACADEMY: DIGITAL HEALTH 101 <p></p><div class="separator" style="clear: both; text-align: left;"><a href="https://1.bp.blogspot.com/-rnqc34V2cTk/X5ApziDXBEI/AAAAAAAAAXU/22I4Yb47vbcHQeW80avfda__qRtDjNk_QCLcBGAsYHQ/s974/med%2Bnurs%2Binform.png" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="720" data-original-width="974" height="296" src="https://1.bp.blogspot.com/-rnqc34V2cTk/X5ApziDXBEI/AAAAAAAAAXU/22I4Yb47vbcHQeW80avfda__qRtDjNk_QCLcBGAsYHQ/w400-h296/med%2Bnurs%2Binform.png" width="400" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><br /></div><p class="MsoNormal"><span style="font-family: arial;">Digital Health 101 is a basic set of webinar recordings from AHD Academy. </span><span style="font-family: arial;">Suitable for Doctors/Nurses/Clinicians, Public Health and Healthcare Managers, Government Administrators and Technologists interested in Digital Health. The Courses are spread across Basic, Specialist and Expert Levels.</span><span style="font-family: arial;"> </span><span style="font-family: arial;">It is a video based learning model and </span><span style="font-family: arial;">It is free.</span><span style="font-family: arial;"> </span></p><p class="MsoNormal"><font face="arial"><i>Disclaimer:</i> <i>AHD Academy is a Library of Live Webinar Recordings from AHD on various Digital Health topics. It is opensource material meant for learning from experts at your own pace. This is Not an Academic Course material. Please do not confuse these webinar recordings with regular recognized courses run by universities/colleges. </i></font><i><span style="font-family: arial;">You may contact your College, University, Organization for </span><span style="font-family: arial;">properly </span><span style="font-family: arial;">moderated </span><span style="font-family: arial;">Lectures, Trainings, Courses</span><span style="font-family: arial;"> on Digital Health.</span></i></p>
<p class="MsoNormal"><font face="arial"><b>Basic Course for Digital Health Enthusiasts: </b>Suitable for Clinicians, Healthcare Managers, Govt Administrators and Technologists interested in Digital Health. </font><span style="font-family: arial;">Will take approximately 40 Hours to read up the material and listen-in to these 101 webinars.</span></p><p class="MsoNormal"><font face="arial">LESSON 1: <a href="https://youtu.be/12SSqCmkxWs" target="_blank">HEALTHCARE IT IS DIFFERENT</a></font></p><div class="separator" style="clear: both; text-align: left;"><iframe allowfullscreen="" class="BLOG_video_class" height="266" src="https://www.youtube.com/embed/12SSqCmkxWs" width="320" youtube-src-id="12SSqCmkxWs"></iframe></div><p class="MsoNormal"><a href="https://drive.google.com/file/d/1f1qDSM_Vi3EM96XQdkNXitynBRLTkdTf/view?usp=sharing" style="font-family: arial;" target="_blank">Reading Material Lesson 1.</a><span style="font-family: arial;"> Note: This is a preparatory Lesson that will open your mind
and help you understand the higher lessons. Reading material for this Lesson is
based on white paper written by Dr Pankaj Gupta on the same topic.</span></p><p class="MsoNormal"><font face="arial">Reading Material for Lesson 1: <a href="https://www.slideshare.net/ACCESSHealthDigital/hcit-is-different-237253516" target="_blank">HEALTHCARE IT IS DIFFERENT</a><br /><br /></font></p><p class="MsoNormal"><font face="arial"><o:p></o:p></font></p>
<p class="MsoNormal"><font face="arial">LESSON 2: <a href="https://youtu.be/_H6sy7VHLEA" target="_blank">GOVERNANCE AND FINANCIAL LEVER</a><o:p></o:p></font></p><div class="separator" style="clear: both; text-align: left;"><iframe allowfullscreen="" class="BLOG_video_class" height="266" src="https://www.youtube.com/embed/_H6sy7VHLEA" width="320" youtube-src-id="_H6sy7VHLEA"></iframe></div><p class="MsoNormal"><a href="https://drive.google.com/file/d/1QKPE8QAA7ot-Jg3vSMLTi-OYzoDDKo3g/view?usp=sharing" style="font-family: arial;" target="_blank">Reading Material for Lesson 2.</a><span style="font-family: arial;"> Note: This is a preparatory Lesson that will open your mind
and help you understand the higher lessons. Reading material for this Lesson is
based on white paper written by Dr Pankaj Gupta on the same topic.</span></p><p class="MsoNormal"><font face="arial">Reading Material for Lesson 2: <a href="https://www.slideshare.net/ACCESSHealthDigital/governance-healthcare-financial-lever" target="_blank">GOVERNANCE AND FINANCIAL LEVER</a><br /><br /><o:p></o:p></font></p>
<p class="MsoNormal"><font face="arial">LESSON 3: <a href="https://youtu.be/LP6I2bNr1FE" target="_blank">FUZZY BOUNDARIES FOR GOVERNANCE<o:p></o:p></a></font></p><div class="separator" style="clear: both; text-align: left;"><iframe allowfullscreen="" class="BLOG_video_class" height="266" src="https://www.youtube.com/embed/LP6I2bNr1FE" width="320" youtube-src-id="LP6I2bNr1FE"></iframe></div><p class="MsoNormal"><span style="font-family: arial;">Note: This is a preparatory Lesson that will open your mind
and help you understand the higher lessons. Reading material for this Lesson is
based on white paper written by Dr Pankaj Gupta on the same topic.</span></p><p class="MsoNormal"><font face="arial">Reading Material for Lesson 3: <a href="https://www.linkedin.com/pulse/indias-healthcare-system-fragmented-consider-before-investing-gupta/" target="_blank">FUZZY BOUNDARIES FOR GOVERNANCE</a><br /><br /><o:p></o:p></font></p>
<p class="MsoNormal"><font face="arial">LESSON 4: <a href="https://youtu.be/LP6I2bNr1FE" target="_blank">LINES ARE BEGINNING TO BLURR!</a><o:p></o:p></font></p><div class="separator" style="clear: both; text-align: left;"><iframe allowfullscreen="" class="BLOG_video_class" height="266" src="https://www.youtube.com/embed/LP6I2bNr1FE" width="320" youtube-src-id="LP6I2bNr1FE"></iframe></div><p class="MsoNormal"><span style="font-family: arial;">Note: This is a preparatory Lesson that will open your mind
and help you understand the higher lessons. Reading material for this Lesson is
based on white paper written by Dr Pankaj Gupta on the same topic.</span></p><p class="MsoNormal"><font face="arial">Reading Material for Lesson 4: <a href="https://www.linkedin.com/pulse/lines-beginning-blurr-dr-pankaj-gupta/" target="_blank">LINES ARE BEGINNING TO BLURR!</a><br /><br /><o:p></o:p></font></p>
<p class="MsoNormal"><font face="arial">LESSON 5: HEALTH DELIVERY INFORMATION SYSTEM [HDIS] MVP<o:p></o:p></font></p><div class="separator" style="clear: both; text-align: left;"><iframe allowfullscreen="" class="BLOG_video_class" height="266" src="https://www.youtube.com/embed/JG531z7uW2w" width="320" youtube-src-id="JG531z7uW2w"></iframe></div><div class="separator" style="clear: both; text-align: left;"><br /></div><div class="separator" style="clear: both; text-align: left;"><iframe allowfullscreen="" class="BLOG_video_class" height="266" src="https://www.youtube.com/embed/gA0WJVjE3c4" width="320" youtube-src-id="gA0WJVjE3c4"></iframe></div><div class="separator" style="clear: both; text-align: left;"><br /></div><iframe allowfullscreen="" class="BLOG_video_class" height="266" src="https://www.youtube.com/embed/RVao4DF8Rg8" width="320" youtube-src-id="RVao4DF8Rg8"></iframe><div><p class="MsoNormal"><a href="https://drive.google.com/file/d/1ILncPAak-1TxRDLlXcd4nGni7fkHsss4/view?usp=sharing" style="font-family: arial;" target="_blank">Reading Material for Lesson 5</a></p><div><font face="arial"><br /></font><p></p>
<p class="MsoNormal"><font face="arial">LESSON 6: <a href="https://youtu.be/JIi8n2Wyrlc" target="_blank">CLOSED LOOP MEDICATION ADMINISTRATION</a><o:p></o:p></font></p><div class="separator" style="clear: both; text-align: left;"><iframe allowfullscreen="" class="BLOG_video_class" height="266" src="https://www.youtube.com/embed/JIi8n2Wyrlc" width="320" youtube-src-id="JIi8n2Wyrlc"></iframe></div><div class="separator" style="clear: both; text-align: left;"><a href="https://drive.google.com/file/d/1S6ckEOGy_7vRXXLT4iWbT1Zpu2EjobmW/view?usp=sharing" style="font-family: arial;" target="_blank">Reading Material for Lesson 6</a></div><p class="MsoNormal"><span style="font-family: arial;"><br /></span></p><p class="MsoNormal"><span style="font-family: arial;">LESSON 7: </span><a href="https://youtu.be/3xh0dVFUQEg" style="font-family: arial;" target="_blank">HEALTH INSURANCE INFORMATION PLATFORM [HIIP] MVP</a></p><div class="separator" style="clear: both; text-align: left;"><iframe allowfullscreen="" class="BLOG_video_class" height="266" src="https://www.youtube.com/embed/3xh0dVFUQEg" width="320" youtube-src-id="3xh0dVFUQEg"></iframe></div><div class="separator" style="clear: both; text-align: left;"><iframe allowfullscreen="" class="BLOG_video_class" height="266" src="https://www.youtube.com/embed/c3bKX7lvUng" width="320" youtube-src-id="c3bKX7lvUng"></iframe></div><br /><div class="separator" style="clear: both; text-align: left;"><a href="https://drive.google.com/file/d/19ZAEIj1AHe7rvImBPJAmcP8WmVKxMcQq/view?usp=sharing" style="font-family: arial;" target="_blank">Reading Material for Lesson 7</a></div>
<p class="MsoNormal"><font face="arial"><br /></font></p><p class="MsoNormal"><font face="arial">LESSON 8: <a href="https://youtu.be/5EIjexLzXbI" target="_blank">HEALTH INFORMATION EXCHANGE [HIE]</a><o:p></o:p></font></p><div class="separator" style="clear: both; text-align: left;"><iframe allowfullscreen="" class="BLOG_video_class" height="266" src="https://www.youtube.com/embed/5EIjexLzXbI" width="320" youtube-src-id="5EIjexLzXbI"></iframe></div><p class="MsoNormal"><iframe allowfullscreen="" class="BLOG_video_class" height="266" src="https://www.youtube.com/embed/-vTin5nt9Ys" width="320" youtube-src-id="-vTin5nt9Ys"></iframe></p><p class="MsoNormal"><font face="arial"><a href="https://drive.google.com/file/d/1khwBShojhAwquhyAPyGi1CmsRAJXQewp/view?usp=sharing" target="_blank">Reading Material for Lesson 8</a></font></p><p class="MsoNormal"><font face="arial"><br /></font></p><p class="MsoNormal"><font face="arial">LESSON 9: </font><span style="font-family: arial;">META DATA AND DATA STANDARDS AND NDHB</span></p><div class="separator" style="clear: both; text-align: left;"><iframe allowfullscreen="" class="BLOG_video_class" height="266" src="https://www.youtube.com/embed/4vYmqMJ5Ul0" width="320" youtube-src-id="4vYmqMJ5Ul0"></iframe></div><div class="separator" style="clear: both; text-align: left;"><iframe allowfullscreen="" class="BLOG_video_class" height="266" src="https://www.youtube.com/embed/TwRg_GWWBGk" width="320" youtube-src-id="TwRg_GWWBGk"></iframe></div><div class="separator" style="clear: both; text-align: left;"><br /></div><div class="separator" style="clear: both; text-align: left;"><a href="https://drive.google.com/file/d/1AFnmXEozJ2ZZ54RZyxe3R54uJuaY6DCA/view?usp=sharing" style="font-family: arial;" target="_blank">Reading Material for Lesson 9</a></div><p class="MsoNormal"><font face="arial">Additional Reading material: <br /></font><a href="http://www.openbodhik.in/2020/04/india-leads-way-in-digital-health.html" style="font-family: arial;" target="_blank">http://www.openbodhik.in/2020/04/india-leads-way-in-digital-health.html</a><br /><a href="http://www.openbodhik.in/2020/04/access-health-india-perspectives.html" style="font-family: arial;" target="_blank">http://www.openbodhik.in/2020/04/access-health-india-perspectives.html</a><br /><a href="http://www.openbodhik.in/2020/06/mdds-for-health-standards-published-in.html" style="font-family: arial;" target="_blank">http://www.openbodhik.in/2020/06/mdds-for-health-standards-published-in.html</a><br /><a href="http://www.openbodhik.in/2020/04/health-systems-for-new-india-eobjects.html" style="font-family: arial;" target="_blank">http://www.openbodhik.in/2020/04/health-systems-for-new-india-eobjects.html</a><br /><span style="font-family: arial;"><a href="http://www.openbodhik.in/2020/05/blog-post.html" target="_blank">http://www.openbodhik.in/2020/05/blog-post.html</a></span></p><p class="MsoNormal"><span style="font-family: arial;">------------------------</span></p><p class="MsoNormal"><font face="arial"><b>Specialist Course:</b> </font><span style="font-family: arial;">Suitable for </span><span style="font-family: arial;">Healthcare Managers wanting to Specialize in Digital Health. </span><span style="font-family: arial;">Will take approximately 50 Hours to listen-in to these 101 webinars. </span><font face="arial">Pre-requisite is </font><b style="font-family: arial;">Basic Course for Digital Health Enthusiasts. </b><span style="font-family: arial;">Technologists can jump to the Expert level Course.</span></p><p class="MsoNormal"><span style="font-family: arial;">LESSON 1: </span><a href="https://youtu.be/uIE-NOgP_6o" style="font-family: arial;" target="_blank">HL7 AND FHIR</a><br /><span style="font-family: arial;"><a href="https://drive.google.com/file/d/1lPlSOhF9g51fGt6AirTvjRFza-iplLSR/view?usp=sharing" target="_blank">Reading Material for Lesson 1</a></span></p><div class="separator" style="clear: both; text-align: left;"><span style="font-family: arial;">LESSON 2: </span><a href="https://youtu.be/jxH-RBQW0UM" style="font-family: arial;" target="_blank">eObjects IMPLEMENTATION</a></div><div class="separator" style="clear: both; text-align: left;"><span style="font-family: arial;"><a href="https://drive.google.com/file/d/1oNo-_sjyrLePAa86T8qdXbGCSqKBe136/view?usp=sharing" target="_blank">Reading Material for Lesson 2</a></span></div><div class="separator" style="clear: both; text-align: left;"><span style="font-family: arial;"><br /></span></div><div class="separator" style="clear: both; text-align: left;"><span style="font-family: arial;">LESSON 3: </span><a href="https://youtu.be/tD1_oh-XkeM" style="font-family: arial;" target="_blank">MICROSERVICES</a></div><div class="separator" style="clear: both; text-align: left;"><span style="font-family: arial;"><a href="https://drive.google.com/file/d/1Nb1Yzrmac4_EDfN37OAzM-GumILn7Rsz/view?usp=sharing" target="_blank">Reading Material for Lesson 3</a></span></div><div class="separator" style="clear: both; text-align: left;"><span style="font-family: arial;"><br /></span></div><div class="separator" style="clear: both; text-align: left;"><span style="font-family: arial;">LESSON 4: </span><a href="https://youtu.be/b16sZyQ3G9w" style="font-family: arial;" target="_blank">CLOUD COMPUTING</a></div><div class="separator" style="clear: both; text-align: left;"><span style="font-family: arial;"><a href="https://drive.google.com/file/d/1KGQ7q7H6icUSuLBMZ7VvBoz1KcY7VLwc/view?usp=sharing" target="_blank">Reading Material for Lesson 4</a></span></div><div class="separator" style="clear: both; text-align: left;"><span style="font-family: arial;"><br /></span></div><div class="separator" style="clear: both; text-align: left;"><span style="font-family: arial;">LESSON 5: </span><a href="https://youtu.be/N268bENdvpM" style="font-family: arial;" target="_blank">FEDERATED ARCHITECTURE</a></div><div class="separator" style="clear: both; text-align: left;"><span style="font-family: arial;"><a href="https://drive.google.com/file/d/1u8s1omJAKgj3h17V1srEqpsdWn3gNGFT/view?usp=sharing" target="_blank">Reading Material for Lesson 5</a></span></div><div class="separator" style="clear: both; text-align: left;"><span style="font-family: arial;"><br /></span></div><div class="separator" style="clear: both; text-align: left;"><span style="font-family: arial;">LESSON 6: </span><a href="https://youtu.be/j8jmtxfNu-8" style="font-family: arial;" target="_blank">COMPUTER NETWORK</a></div><div class="separator" style="clear: both; text-align: left;"><span style="font-family: arial;"><a href="https://drive.google.com/file/d/1DK9l9fqgH7yiNCo9QLknKwT3_pCWTl4D/view?usp=sharing" target="_blank">Reading Material for Lesson 6</a></span></div><p class="MsoNormal"><font face="arial"><o:p></o:p></font></p><div class="separator" style="clear: both; text-align: left;"><span style="font-family: arial;">LESSON 7: </span><a href="https://youtu.be/iuFcMhebw2s" style="font-family: arial;" target="_blank">JAVA PART 1</a></div><div class="separator" style="clear: both; text-align: left;"><span style="font-family: arial;"><a href="https://drive.google.com/file/d/1KEmKYv_as9P6ZSt-yK5AI-MbJ-WwJ-ky/view?usp=sharing" target="_blank">Reading Material for Lesson 7</a></span></div><div class="separator" style="clear: both; text-align: left;"><span style="font-family: arial;"><br /></span></div><div class="separator" style="clear: both; text-align: left;"><span style="font-family: arial;">LESSON 8: </span><a href="https://youtu.be/AfWKd2x9gFw" style="font-family: arial;" target="_blank">JAVA PART 2</a><br /><span style="font-family: arial;"><a href="https://drive.google.com/file/d/1yoRGhrUT9i-5xyS2EtfrPZ-E1Q0rE_mQ/view?usp=sharing" target="_blank">Reading Material for Lesson 8</a></span></div><div class="separator" style="clear: both; text-align: left;"><span style="font-family: arial;"><br /></span></div><div class="separator" style="clear: both; text-align: left;"><span style="font-family: arial;">LESSON 9: </span><a href="https://youtu.be/14lEJlluUZo" style="font-family: arial;" target="_blank">JAVA PART 3</a><br /><span style="font-family: arial;"><a href="https://drive.google.com/file/d/1c6La7XpyJpBm90Yn3S47c46j9EIq6JrC/view?usp=sharing" target="_blank">Reading Material for Lesson 9</a></span></div><div class="separator" style="clear: both; text-align: left;"><span style="font-family: arial;"><br /></span></div><div class="separator" style="clear: both; text-align: left;"><span style="font-family: arial;">LESSON 10: </span><a href="https://youtu.be/W_sCk_erKIo" style="font-family: arial;" target="_blank">DESIGN PATTERNS</a></div><div class="separator" style="clear: both; text-align: left;"><a href="https://drive.google.com/file/d/1MyLn_aNwx7Lz6j3RRoAFXDuIxtQTW-yE/view?usp=sharing" target="_blank"><span style="font-family: arial;">Reading Material for Lesson 1</span><span style="font-family: arial;">0</span></a></div><div class="separator" style="clear: both; text-align: left;"><span style="font-family: arial;"><br /></span></div><div class="separator" style="clear: both; text-align: left;"><span style="font-family: arial;">LESSON 11: </span><a href="https://youtu.be/o7BnbOeNI9w" style="font-family: arial;" target="_blank">DATABASE CONCEPTS</a></div><div class="separator" style="clear: both; text-align: left;"><span style="font-family: arial;"><a href="https://drive.google.com/file/d/1ixN_A7Y-vS40wd06YOM-qG29kbC7bKcA/view?usp=sharing" target="_blank">Reading Material for Lesson 11</a></span></div><div class="separator" style="clear: both; text-align: left;"><span style="font-family: arial;"><br /></span></div><div class="separator" style="clear: both; text-align: left;"><span style="font-family: arial;">LESSON 12: </span><a href="https://youtu.be/h3v8HYvExMQ" style="font-family: arial;" target="_blank">OOPS CONCEPTS</a></div><div class="separator" style="clear: both; text-align: left;"><span style="font-family: arial;"><a href="https://drive.google.com/file/d/1zNK-ubV2lNHcrEFf8Orjmgj_00B4qsE7/view?usp=sharing" target="_blank">Reading Material for Lesson 12</a></span></div><p class="MsoNormal"><font face="arial">Additional Reading material:<br /><a href="http://www.openbodhik.in/2020/07/beneficiary-registry-recommendations.html" target="_blank">http://www.openbodhik.in/2020/07/beneficiary-registry-recommendations.html</a><br /><a href="http://www.openbodhik.in/2020/06/doctors-registry-of-india-concept-note.html" target="_blank">http://www.openbodhik.in/2020/06/doctors-registry-of-india-concept-note.html</a><br /><a href="http://www.openbodhik.in/2020/06/national-health-facility-registry.html" target="_blank">http://www.openbodhik.in/2020/06/national-health-facility-registry.html<br /></a><br />-----------------------</font></p><p class="MsoNormal"><font face="arial"><b>Expert level Course:</b> Suitable for Technologists aspiring for Expertise in Digital Health. </font><span style="font-family: arial;">Will take approximately 60 Hours to listen-in to these 101 webinars. </span><font face="arial">Pre-requisite is </font><b style="font-family: arial;">Basic Course for Digital Health Enthusiasts. </b><span style="font-family: arial;">Specialist Course is not required for Technologists. </span></p><p class="MsoNormal"><font face="arial"><span style="font-family: arial;">LESSON 1: </span><a href="https://youtu.be/uIE-NOgP_6o" target="_blank">HL7 AND FHIR</a></font></p><p class="MsoNormal"><font face="arial">LESSON 2: <a href="https://youtu.be/jxH-RBQW0UM" target="_blank">eObjects IMPLEMENTATION</a></font></p><p class="MsoNormal"><font face="arial">LESSON 3: <a href="https://youtu.be/tD1_oh-XkeM" target="_blank">MICROSERVICES</a></font></p><p class="MsoNormal"><font face="arial">LESSON 4: <a href="https://youtu.be/b16sZyQ3G9w" target="_blank">CLOUD COMPUTING</a></font></p><p class="MsoNormal"><font face="arial">LESSON 5: <a href="https://youtu.be/IoaT-Lhbkr8" target="_blank">Bootcamp 2 </a></font><span style="font-family: arial;"><a href="https://youtu.be/IoaT-Lhbkr8" target="_blank">PART 1</a><br />Discussions on NDHB, Federated Architecture, HDD, Registries,</span></p><p class="MsoNormal"><span style="font-family: arial;">LESSON 6: <a href="https://youtu.be/b1HiZDRpGjo" target="_blank">Bootcamp 2 PART 2</a><br />Discussions on SNOMED,</span></p><p class="MsoNormal"><span style="font-family: arial;">LESSON 7: <a href="https://youtu.be/kyZLc8D5glo" target="_blank">Bootcamp 2 PART 3</a><br />Discussions on eObjects, FHIR,</span></p><p class="MsoNormal"><span style="font-family: arial;">LESSON 8: <a href="https://youtu.be/gW8oxJBEMvw" target="_blank">Bootcamp 2 PART 4</a><br />Discussions on Microservices,</span></p><p class="MsoNormal"><span style="font-family: arial;">LESSON 9: <a href="https://youtu.be/ADvy2GwF73Y" target="_blank">Bootcamp 3 PART 1</a><br />Discussions on eObjects Implementation,</span></p><p class="MsoNormal"><span style="font-family: arial;">LESSON 10: <a href="https://youtu.be/RbJkXjMedN8" target="_blank">Bootcamp 3 PART 2</a><br />Discussions on SEA Members eObjects Experience,</span></p><p class="MsoNormal"><span style="font-family: arial;">LESSON 11: <a href="https://youtu.be/wuGXA2jYfXo" target="_blank">Bootcamp 3 PART 3</a><br />Discussions on Microservices Implementation,</span></p><p class="MsoNormal"><span style="font-family: arial;">LESSON 12: <a href="https://youtu.be/nxIc5mG5dI0" target="_blank">Bootcamp 3 PART 4</a><br />Discussions on HIEAF,</span></p><p class="MsoNormal"><span style="font-family: arial;">Additional Reading material:<br /><a href="http://www.openbodhik.in/2020/07/beneficiary-registry-recommendations.html" target="_blank">http://www.openbodhik.in/2020/07/beneficiary-registry-recommendations.html</a><br /><a href="http://www.openbodhik.in/2020/06/doctors-registry-of-india-concept-note.html" target="_blank">http://www.openbodhik.in/2020/06/doctors-registry-of-india-concept-note.html</a><br /><a href="http://www.openbodhik.in/2020/06/national-health-facility-registry.html" target="_blank">http://www.openbodhik.in/2020/06/national-health-facility-registry.html</a><br /><a href="http://www.openbodhik.in/2020/04/provider-eobjects-published.html" target="_blank">http://www.openbodhik.in/2020/04/provider-eobjects-published.html</a><br /><a href="http://www.openbodhik.in/2020/08/eclaims-payer-eobjects.html" target="_blank">http://www.openbodhik.in/2020/08/eclaims-payer-eobjects.html</a><br /><a href="http://www.openbodhik.in/2020/06/hdis-mvp-microservices-published.html" target="_blank">http://www.openbodhik.in/2020/06/hdis-mvp-microservices-published.html</a></span></p><p class="MsoNormal"><font face="arial">-----------------------</font></p><p class="MsoNormal"><span style="font-family: arial;"></span></p><p class="MsoNormal"><font face="arial"><b>Masters level Course:</b> Suitable for Academic Excellence in Digital Health. Content similar to Basic, Specialist and Expert level course is used in Last semester </font><span style="font-family: arial;">of the Masters course,</span><span style="font-family: arial;"> but obviously with more in-person teacher-led classroom sessions.</span></p><p class="MsoNormal"><span style="font-family: arial;">-----------------------</span></p><p class="MsoNormal"><span style="font-family: arial;">DIGITAL HEALTH ECOSYSTEM - </span><a href="https://youtu.be/VdxEgYppSF0" style="font-family: arial;" target="_blank">ACCESS HEALTH DIGITAL VISION</a></p><p class="MsoNormal"></p><div class="separator" style="clear: both; text-align: left;"><iframe allowfullscreen="" class="BLOG_video_class" height="266" src="https://www.youtube.com/embed/VdxEgYppSF0" width="320" youtube-src-id="VdxEgYppSF0"></iframe></div><font face="arial"><br /></font><p></p>
<p class="MsoNormal"><font face="arial">Congratulations! This completes the AHD Academy's Digital
Health 101 Webinars. Best of Luck for implementing the concepts on the field.<o:p></o:p></font></p>
<p class="MsoNormal"><font face="arial">Your feedback is welcome, Write to
digital.health@accessh.org<o:p></o:p></font></p>
<p class="MsoNormal"><font face="arial"><i>Note: All Content is released under MPL 2.0 License. It is free
to use with proper attributions.<o:p></o:p></i></font></p><p class="MsoNormal"><font face="arial"><i>AHD Academy </i></font><i style="font-family: arial;">Partners and Collaborators for Digital Health </i><i style="font-family: arial;">capacity building, research, </i><i style="font-family: arial;">content and pedagogy: </i></p><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-Rn7Pd9aVYE8/YEcdKblBiII/AAAAAAAAAbQ/rvQrjZgerx8ntAyawR553pU6BB0leM7EACLcBGAsYHQ/s713/tavlab%2Biiitd.png" style="clear: left; display: inline; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="565" data-original-width="713" height="100" src="https://1.bp.blogspot.com/-Rn7Pd9aVYE8/YEcdKblBiII/AAAAAAAAAbQ/rvQrjZgerx8ntAyawR553pU6BB0leM7EACLcBGAsYHQ/w136-h100/tavlab%2Biiitd.png" width="136" /></a><a href="https://1.bp.blogspot.com/-munYFAHuYgE/YJzxuT52DXI/AAAAAAAAAdU/PKMKA-9ff-AxvNru2M5QyaMazeiyusieQCLcBGAsYHQ/s720/iitk.png" style="clear: left; display: inline; font-family: arial; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="349" data-original-width="720" height="96" src="https://1.bp.blogspot.com/-munYFAHuYgE/YJzxuT52DXI/AAAAAAAAAdU/PKMKA-9ff-AxvNru2M5QyaMazeiyusieQCLcBGAsYHQ/w198-h96/iitk.png" width="198" /></a></div><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-GsqtO-J-uDQ/YEOfD7T3o-I/AAAAAAAAAaw/dKcpc4PC6iM2bOQqe-fvr509svrJ5NHtACLcBGAsYHQ/s1193/chitkara%2Buniv.jpg" style="clear: left; display: inline; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="493" data-original-width="1193" height="76" src="https://1.bp.blogspot.com/-GsqtO-J-uDQ/YEOfD7T3o-I/AAAAAAAAAaw/dKcpc4PC6iM2bOQqe-fvr509svrJ5NHtACLcBGAsYHQ/w182-h76/chitkara%2Buniv.jpg" width="182" /></a><a href="https://1.bp.blogspot.com/-Q_F7B0OOWzQ/YF7rP6H0HhI/AAAAAAAAAbk/2prQOkrW0H84dxxokEiXIJBCI1wjk86DACLcBGAsYHQ/s256/iihmr%2Bdelhi%2Blogo.png" style="clear: left; display: inline; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="130" data-original-width="256" height="63" src="https://1.bp.blogspot.com/-Q_F7B0OOWzQ/YF7rP6H0HhI/AAAAAAAAAbk/2prQOkrW0H84dxxokEiXIJBCI1wjk86DACLcBGAsYHQ/w145-h63/iihmr%2Bdelhi%2Blogo.png" width="145" /></a><a href="https://1.bp.blogspot.com/-1s7gJo_Tx6U/YEccpe4MnbI/AAAAAAAAAbI/Ghj6gwUQsKwn109WUV5T-0ECpyr6gSN1QCLcBGAsYHQ/s377/iihmr%2Buniv.jpg" style="clear: left; display: inline; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="257" data-original-width="377" height="86" src="https://1.bp.blogspot.com/-1s7gJo_Tx6U/YEccpe4MnbI/AAAAAAAAAbI/Ghj6gwUQsKwn109WUV5T-0ECpyr6gSN1QCLcBGAsYHQ/w173-h86/iihmr%2Buniv.jpg" width="173" /></a></div><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-gTFXdORCcQM/YEYhMb-fnAI/AAAAAAAAAbA/3q8DoleBHkYAnQZi04bTNiGjKp-CWiUywCLcBGAsYHQ/s600/santosh.jpg" style="clear: left; display: inline; font-family: arial; font-style: italic; margin-bottom: 1em; margin-right: 1em; text-align: left;"><img border="0" data-original-height="234" data-original-width="600" height="84" src="https://1.bp.blogspot.com/-gTFXdORCcQM/YEYhMb-fnAI/AAAAAAAAAbA/3q8DoleBHkYAnQZi04bTNiGjKp-CWiUywCLcBGAsYHQ/w216-h84/santosh.jpg" width="216" /></a><a href="https://1.bp.blogspot.com/-KTMNE95rNrw/YPMyCqdUH3I/AAAAAAAAAgA/Qby8DVYqRrcbDkJuMCEHV25Dq7xBUEFxwCLcBGAsYHQ/s200/1537614046853.jpg" style="clear: left; display: inline; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="200" data-original-width="200" height="102" src="https://1.bp.blogspot.com/-KTMNE95rNrw/YPMyCqdUH3I/AAAAAAAAAgA/Qby8DVYqRrcbDkJuMCEHV25Dq7xBUEFxwCLcBGAsYHQ/w102-h102/1537614046853.jpg" width="102" /></a><a href="https://1.bp.blogspot.com/-gl7MS3RHUpA/YPMxxhat5AI/AAAAAAAAAf4/ZRGLEB_SgxoqWnotq_7NbDxds1V1xL_JgCLcBGAsYHQ/s401/696950387052.png" style="clear: left; display: inline; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="401" data-original-width="400" height="108" src="https://1.bp.blogspot.com/-gl7MS3RHUpA/YPMxxhat5AI/AAAAAAAAAf4/ZRGLEB_SgxoqWnotq_7NbDxds1V1xL_JgCLcBGAsYHQ/w107-h108/696950387052.png" width="107" /></a><a href="https://1.bp.blogspot.com/-pp3kFNJlUBE/YPMyUhnWPMI/AAAAAAAAAgI/IF08lVWaRAgVwhKPac1OhSbXpkrovTV7gCLcBGAsYHQ/s200/1576253480407.jpg" style="clear: left; display: inline; font-family: arial; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="200" data-original-width="200" height="111" src="https://1.bp.blogspot.com/-pp3kFNJlUBE/YPMyUhnWPMI/AAAAAAAAAgI/IF08lVWaRAgVwhKPac1OhSbXpkrovTV7gCLcBGAsYHQ/w111-h111/1576253480407.jpg" width="111" /></a></div></div><div><br /></div><div><font face="arial"><i><br /></i></font></div><div><font face="arial"><i>More MoU in pipeline...</i></font></div><div><br /><p></p></div></div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-8109775542729283686.post-16641822164423938022020-07-20T16:40:00.046+05:302021-09-24T01:11:58.231+05:30Social Entrepreneurship Accelerator<div class="separator" style="clear: both; text-align: justify;"><h1 class="reader-article-header__title t-40 t-black t-normal pv4" style="color: black; text-align: justify;"><font face="arial" size="5">Social Entrepreneurship Accelerator [SEA]</font></h1><div><font face="arial">ACCESS Health Digital [AHD] is a a not for profit think tank working on NDHB Digital Health Standards for India. We run a Social Entrepreneurship Accelerator [SEA] for helping Indian HealthTech startups and vendors to implement Open Digital Health Standards that are applicable globally. #AtmaNirbharBharat #VocalForLocal</font></div><div><br /></div><div><span class="break-words"><span dir="ltr"><span style="font-family: arial;"><h1 class="reader-article-header__title t-40 t-black t-normal pv4"><span style="font-family: arial; font-size: large;">SEA Silver Club</span></h1><div><span style="font-family: arial;"><span>Silver Club has implemented the Standards and achieved our <a href="http://www.openbodhik.in/2021/07/stamp-of-confidence.html" target="_blank">Stamp of Confidence</a>.</span></span></div><div><span style="font-family: arial;"><span><a href="http://www.openbodhik.in/2021/07/stamp-of-confidence.html" target="_blank">http://www.openbodhik.in/2021/07/stamp-of-confidence.html</a></span></span></div><div><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-deshVIG87X8/X9EiykUU9PI/AAAAAAAAAY4/bXfR--GIG0085to0m1ypSzCK2EVZL5xEACLcBGAsYHQ/s1920/sea%2B6.png" style="clear: left; font-family: "Times New Roman"; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="1080" data-original-width="1920" height="360" src="https://1.bp.blogspot.com/-deshVIG87X8/X9EiykUU9PI/AAAAAAAAAY4/bXfR--GIG0085to0m1ypSzCK2EVZL5xEACLcBGAsYHQ/w640-h360/sea%2B6.png" width="640" /></a></div></div></span></span></span></div><div><br /></div><div><span style="font-family: arial; text-align: left;">SEA implements the eObjects Interoperability framework. eObjects were first written by Prof Dennis Streveler and Dr Pankaj Gupta in a white paper in Nov 2018 that was published by Niti Aayog in the book </span><a href="http://www.openbodhik.in/2020/04/health-systems-for-new-india-eobjects.html" style="font-family: arial; text-align: left;" target="_blank">Health Systems for New India, Chapter 5 - Reimagining India's Digital Health Landscape Wiring the Indian Health Sector in Nov 2019.</a></div><div><br /></div><div><a href="https://1.bp.blogspot.com/-O_ZAGhw5Bdw/XtNQrLIeQaI/AAAAAAAAAPQ/aQZ36W4QlIEC2VExjppcggx9Xa6xiwWYgCK4BGAsYHg/i2019111802.jfif" style="clear: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="1270" data-original-width="2200" height="370" src="https://1.bp.blogspot.com/-O_ZAGhw5Bdw/XtNQrLIeQaI/AAAAAAAAAPQ/aQZ36W4QlIEC2VExjppcggx9Xa6xiwWYgCK4BGAsYHg/w640-h370/i2019111802.jfif" width="640" /></a></div><a href="https://1.bp.blogspot.com/-gTPrNditlMc/XxV6ID4VDLI/AAAAAAAAAUM/32l6k2nryxE_onInNJ4p3dwMMJt5NZmRACLcBGAsYHQ/s1920/SEA%2B4.png" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em; text-align: left;"><img border="0" data-original-height="1080" data-original-width="1920" height="359" src="https://1.bp.blogspot.com/-gTPrNditlMc/XxV6ID4VDLI/AAAAAAAAAUM/32l6k2nryxE_onInNJ4p3dwMMJt5NZmRACLcBGAsYHQ/w640-h359/SEA%2B4.png" width="640" /></a><a href="https://1.bp.blogspot.com/-gTPrNditlMc/XxV6ID4VDLI/AAAAAAAAAUM/32l6k2nryxE_onInNJ4p3dwMMJt5NZmRACLcBGAsYHQ/s1920/SEA%2B4.png" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em; text-align: left;"><br /></a></div><h1 class="reader-article-header__title t-40 t-black t-normal pv4" style="text-align: justify;"><font face="arial" size="5"><br /></font></h1><h1 class="reader-article-header__title t-40 t-black t-normal pv4" style="text-align: justify;"><font face="arial" size="5"><br /></font></h1><h1 class="reader-article-header__title t-40 t-black t-normal pv4" style="text-align: justify;"><font face="arial" size="5"><br /></font></h1><h1 class="reader-article-header__title t-40 t-black t-normal pv4" style="text-align: justify;"><font face="arial" size="5"><br /></font></h1><h1 class="reader-article-header__title t-40 t-black t-normal pv4" style="text-align: justify;"><font face="arial" size="5"><br /></font></h1><h1 class="reader-article-header__title t-40 t-black t-normal pv4" style="text-align: justify;"><font face="arial" size="5"><br /></font></h1><h1 class="reader-article-header__title t-40 t-black t-normal pv4" style="text-align: justify;"><br /></h1><div><br /></div><h1 style="text-align: left;"><span style="font-family: arial; text-align: justify;"><span style="font-size: large;">SEA Objectives</span></span></h1><div><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-Vvcpa_qKxzE/XxV6v6MzUhI/AAAAAAAAAUU/ftfo8H_62oETWC4IGhutXNOLuDXLbg_igCLcBGAsYHQ/s1920/SEA%2B1.png" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em; text-align: left;"><img border="0" data-original-height="1080" data-original-width="1920" height="359" src="https://1.bp.blogspot.com/-Vvcpa_qKxzE/XxV6v6MzUhI/AAAAAAAAAUU/ftfo8H_62oETWC4IGhutXNOLuDXLbg_igCLcBGAsYHQ/w640-h359/SEA%2B1.png" width="640" /></a></div><font face="arial" size="5"><br /></font></div><div><font face="arial" size="5"><br /></font></div><div><font face="arial" size="5"><br /></font></div><div><font face="arial" size="5"><br /></font></div><div><font face="arial" size="5"><br /></font></div><div><font face="arial" size="5"><br /></font></div><div><font face="arial" size="5"><br /></font></div><div><div class="separator" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em; text-align: center;"><h1 class="reader-article-header__title t-40 t-black t-normal pv4" style="text-align: justify;"><span style="font-family: arial; font-size: large;">SEA Cohort 1</span></h1></div><div class="separator" style="clear: both; text-align: left;"><h1 class="reader-article-header__title t-40 t-black t-normal pv4" style="text-align: justify;"><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-UxHKddJOkVI/X9Ia_zqMm4I/AAAAAAAAAZE/WtZs2ntCwvAOE7SRERm7eLaceaJea3zNgCLcBGAsYHQ/s1920/SEA%2B2.png" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="1080" data-original-width="1920" height="360" src="https://1.bp.blogspot.com/-UxHKddJOkVI/X9Ia_zqMm4I/AAAAAAAAAZE/WtZs2ntCwvAOE7SRERm7eLaceaJea3zNgCLcBGAsYHQ/w640-h360/SEA%2B2.png" width="640" /></a></div><br /><div class="separator" style="clear: both; text-align: left;"></div></h1><h1 class="reader-article-header__title t-40 t-black t-normal pv4" style="text-align: justify;"><span style="font-family: arial; font-size: large;">SEA Cohort 2</span></h1></div></div><div style="text-align: justify;"><span style="font-family: arial;">In late October 2020, India's National Health Authority' Market ACCESS Program [MAP] put 12 startups under mentorship of ACCESS Health Digital's Social Entrepreneurship Accelerator [SEA] -- the second of three cohorts to join the SEA family, now home to almost 40 startups that range in sector and specialty from primary care delivery and telemedicine to electronic health records and disease management. Like the previous cohort, SEA aims to provide its newest members with mentorship, market access, and a stamp of confidence, among other basic building blocks that will situate them in the digital health landscape. Together, they're working toward a single transformative purpose: building a vibrant national digital health ecosystem.</span></div><div><span style="font-family: arial;"><br /></span></div><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-gUZhx1ObOc0/X9Eh0_bY50I/AAAAAAAAAYo/abfkf6IY2fEPgW6IVCrfM0Mo_Shl1mBPQCLcBGAsYHQ/s1920/SEA%2B3.png" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="1080" data-original-width="1920" height="360" src="https://1.bp.blogspot.com/-gUZhx1ObOc0/X9Eh0_bY50I/AAAAAAAAAYo/abfkf6IY2fEPgW6IVCrfM0Mo_Shl1mBPQCLcBGAsYHQ/w640-h360/SEA%2B3.png" width="640" /></a></div><br /><div class="separator" style="clear: both; text-align: left;"><br /></div><h1 class="reader-article-header__title t-40 t-black t-normal pv4" style="text-align: justify;"><span style="font-family: arial; font-size: large;">SEA Cohort 3</span></h1><div style="text-align: justify;"><span style="font-family: arial;">Parallelly Cohort 3 has also started to take shape, mostly on reference from Cohort 1 and requests from Partner organizations.</span></div><div style="text-align: justify;"><span style="font-family: arial;"><br /></span></div><div><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-q2Fw77rNRXM/X9EiH2FBLDI/AAAAAAAAAYs/FPBe3JJr6koGjSbGKRJmbhFb8AptDmLEwCLcBGAsYHQ/s1920/sea%2B5.png" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="1080" data-original-width="1920" height="360" src="https://1.bp.blogspot.com/-q2Fw77rNRXM/X9EiH2FBLDI/AAAAAAAAAYs/FPBe3JJr6koGjSbGKRJmbhFb8AptDmLEwCLcBGAsYHQ/w640-h360/sea%2B5.png" width="640" /></a></div><br /><span style="font-family: arial;"><br /></span></div><div class="separator" style="clear: both; text-align: left;"><div><div class="separator" style="clear: both; text-align: center;"><br /></div></div><div><span style="font-family: arial; text-align: justify;">The Social Entrepreneurship Accelerator launched by ACCESS Health Digital has become an official Amazon AWS Activate Provider. AWS Activate works with accelerators, angel investors, and venture capital firms to provide startups with free AWS credits, technical support, training, resources, and more. These exclusive benefits are designed to help startups quickly get started on AWS and grow their business. Startups associated with an AWS Activate Provider are able to apply for AWS Activate Portfolio.</span><br style="font-family: arial; text-align: justify;" /><br style="font-family: arial; text-align: justify;" /><span style="font-family: arial; text-align: justify;">The new partnership with Amazon Web Services will help the Social Entrepreneurship Accelerator create new opportunities for its startups, providing them with access to Infrastructure as a service [IaaS], Platform as a Service [PaaS] and Software as a Service [SaaS]. This gives the startups entry into a Plug-and-Play integrated software development environment. Just adopt the PaaS and all startups in the accelerator can turn into SaaS companies.</span></div><div><span style="font-family: arial; text-align: justify;"><br /></span></div><div><span style="font-family: arial; text-align: justify;">SEA is an Exponential Organization (ExO) whose impact will be disproportionally large as compared to its peers because it leverages exponential technologies.</span></div></div><div class="separator" style="clear: both; text-align: left;"><span style="font-family: arial; text-align: justify;"><br /></span></div><div class="separator" style="clear: both; text-align: left;"><a href="https://1.bp.blogspot.com/-bVd9ABAr8T4/X_RHSUB7yWI/AAAAAAAAAZw/r-g_lRMEOM4_hqnOFpmM6XeF9po1qoJQgCLcBGAsYHQ/s1920/AHD%2BSEA%2BExO.png" style="clear: left; margin-bottom: 1em; margin-right: 1em; text-align: center;"><img border="0" data-original-height="1080" data-original-width="1920" height="360" src="https://1.bp.blogspot.com/-bVd9ABAr8T4/X_RHSUB7yWI/AAAAAAAAAZw/r-g_lRMEOM4_hqnOFpmM6XeF9po1qoJQgCLcBGAsYHQ/w640-h360/AHD%2BSEA%2BExO.png" width="640" /></a></div><div class="separator" style="clear: both; text-align: left;"><br /></div><div class="separator" style="clear: both; text-align: left;"><a href="https://drive.google.com/file/d/1fdDh5NSln2e__yptNt1_uArxDfXsscR0/view?usp=sharing" style="font-family: arial;" target="_blank">Read details of ACCESS Health Digital SEA Program taking India's NDHB Digital Health blueprint from Paper to Practice</a></div><div><font face="arial"><br /></font></div><div><span style="font-family: arial;">Additional Reading material:</span></div><div><span style="font-family: arial;"><div><a href="http://www.openbodhik.in/2020/04/india-leads-way-in-digital-health.html" target="_blank">http://www.openbodhik.in/2020/04/india-leads-way-in-digital-health.html</a></div><div><a href="http://www.openbodhik.in/2020/04/access-health-india-perspectives.html" target="_blank">http://www.openbodhik.in/2020/04/access-health-india-perspectives.html</a></div><div><a href="http://www.openbodhik.in/2020/06/mdds-for-health-standards-published-in.html" target="_blank">http://www.openbodhik.in/2020/06/mdds-for-health-standards-published-in.html</a></div><div><a href="http://www.openbodhik.in/2020/04/health-systems-for-new-india-eobjects.html" target="_blank">http://www.openbodhik.in/2020/04/health-systems-for-new-india-eobjects.html</a></div><div><a href="http://www.openbodhik.in/2020/04/provider-eobjects-published.html" target="_blank">http://www.openbodhik.in/2020/04/provider-eobjects-published.html</a></div><div><a href="http://www.openbodhik.in/2020/08/eclaims-payer-eobjects.html" target="_blank">http://www.openbodhik.in/2020/08/eclaims-payer-eobjects.html</a></div><div><a href="http://www.openbodhik.in/2020/06/hdis-mvp-microservices-published.html" target="_blank">http://www.openbodhik.in/2020/06/hdis-mvp-microservices-published.html</a></div></span></div><div><span style="font-family: arial;"><br /></span></div><div><span style="font-family: arial;">Will update soon...keep checking this space..</span></div><div><font face="arial"><br /></font></div><div><font face="arial">-- ACCESS Health Digital --</font></div><div><div><font face="arial"><br /></font></div><div><font face="arial">Contact for Clarifications:</font></div><div><font face="arial">Access Health Digital</font></div><div><font face="arial">digital.health@accessh.org </font></div></div><div><font face="arial" size="5"><br /></font></div><div><font face="arial" size="5"><br /></font></div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-8109775542729283686.post-53236898377838414132020-07-09T00:32:00.000+05:302020-09-30T01:38:16.561+05:30Beneficiary Registry Recommendations for India<p><span style="font-family: arial;">Since the start of the Millennium, India has been trying to overcome the problem of interoperability and fragmented healthcare delivery ecosystem across states, health policies and vertical health programs to deliver seamless or uninterrupted continuum of care. With the launch of the Pradhan Mantri Jan Arogya Yojna (PMJAY), that covers & provides free healthcare to approximately 40 % of the Indian population, it has become critical to identify each patient uniquely. The criticality for unique identification of individuals got highlighted when India was hit by the COVID 19 pandemic – when patient tracking and relevant health information on comorbidities was not available for effectively and efficiently executing surveillance. States and government could only collect aggregated data in non-standard and an unstructured format via door to door screening, which was extremely inefficient and poorly suited for response planning and to effectively combat a pandemic of this size and scale.</span></p><p><span style="font-family: arial;">UHID is a critical building block from a Universal Health Coverage perspective and is also the missing link in enabling a true longitudinal health record for the patient. This is critical in providing all individuals, equal access to quality healthcare at all times. The first step towards enabling UHC for a country is to identify uniquely all individuals who seek healthcare as patients. </span></p><p><span style="font-family: arial;">Many developed countries as well as some developing countries have already implemented the concept of UHID. These can provide valuable inputs to India, in finalizing our UHID implementation policy. It was found that different countries have followed varied methodologies and approaches for UHID implementation at the National Level. In the more advanced countries with robust civil or social protection laws, UHID is generated and assigned at the time of birth and is utilized for every healthcare transaction throughout a person’s life.</span></p><p><span style="font-family: arial;">India is a democratic country where health is a state subject with flexible regulations, which gives States and citizens freedom of choice to adhere to the health policies they want to adopt. In such an environment, to enable access to quality healthcare for all, it is critical to define a well thought out UHID strategy that can seamlessly encompass various use cases and scenarios specific to India. </span></p><p><span style="font-family: arial;">The recommended UHID approach is - </span><span style="font-family: arial;">Create a National Unique Health Identifier for every person in the country and link it with Aadhaar or with any Government verifiable ID for authentication and validation of the persons information.</span></p><p><a href="https://drive.google.com/file/d/1FeqmVkGMLTSeWexjGx1XluA4j8lATdne/view?usp=sharing" style="font-family: arial;" target="_blank">The categories and recommended approaches are provided here for ready reference.</a><span style="font-family: arial;"> </span></p><p><span style="font-family: arial;">https://drive.google.com/file/d/1FeqmVkGMLTSeWexjGx1XluA4j8lATdne/view?usp=sharing</span></p><p><span style="font-family: arial;">Various use cases were identified and studied to arrive at the recommendation. The population can be divided into 5 major categories with an associated approach to assign a UHID to the identified population group. </span><span style="font-family: arial;">The minimum data elements recommended for the Beneficiary Registry are also provided. </span></p><div><span style="font-family: arial;">We are also publishing the recommended minimum data elements for the <a href="https://drive.google.com/file/d/1HU7cf6D4MmNx9YzNO1DpX2TInRgue1N5/view?usp=sharing" target="_blank">Health Delivery Information Systems minimum viable product for Personal Health Records [PHR]</a>.</span></div><div><span style="font-family: arial;"><br /></span></div><div><span style="font-family: arial;">https://drive.google.com/file/d/1HU7cf6D4MmNx9YzNO1DpX2TInRgue1N5/view?usp=sharing</span></div><div><span style="font-family: arial;"><br /></span></div><div><span style="font-family: arial;"><div>NDHB has also recommended a Health Locker to Maintain the Personal Health Records of the Individuals in the Health System. The Health Locker is a standards‐based interoperability specification that can be implemented by multiple players to enable the creation of a Personal Health Record. A personal health record, or PHR, is an electronic application through which patients can maintain and manage their health information (and that of others for whom they are authorized) in a private, secure, and confidential environment. The healthlocker either stores patient’s record in digital format pushed by various providers or can store eObject pointers to the patient record or summary stored in a source system against the Unique Health ID of the patient.</div><div><br /></div><div>The health lockers enable creation of a longitudinal health record from the various eObject links/pointers available and enables retrieval and storage of the EHR for continued clinical decision making. All the related eObject pointers and ID documents can be loaded to the Healthlocker for the PHR, giving the individuals the right to their information and control the information which they may like to share with other stakeholders.</div></span></div><div><span style="font-family: arial;"><br /></span></div><div><span style="font-family: arial;"><div>-- ACCESS Health Digital --</div><div><br /></div><div>Contact for Clarifications:</div><div>Access Health Digital</div><div>digital.health@accessh.org </div></span></div><p><span style="font-family: arial;"><br /></span></p>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-8109775542729283686.post-71428096028798751432020-06-08T00:17:00.013+05:302021-10-25T23:49:02.353+05:30Health Data Dictionary Published in XSD Formats<div style="text-align: justify;"><a href="https://1.bp.blogspot.com/-mYP03Of-1Ko/Xt08dvK4NsI/AAAAAAAAAR4/MOF6P4qzHIE71L_xq2dKL6cJ2gmHW8j2wCK4BGAsYHg/s225/mdds%2Bblocks.jpg" style="margin-left: 1em; margin-right: 1em; text-align: center;"><img border="0" data-original-height="224" data-original-width="225" src="https://1.bp.blogspot.com/-mYP03Of-1Ko/Xt08dvK4NsI/AAAAAAAAAR4/MOF6P4qzHIE71L_xq2dKL6cJ2gmHW8j2wCK4BGAsYHg/mdds%2Bblocks.jpg" /></a></div><div style="text-align: justify;"><br /></div><div><font face="arial" size="2"><br /></font></div><div><font face="arial" size="2">The Public and Private Health System in India is struggling with multiplicity of information systems being used at central as well as at state level. Each of these systems is unable to exchange data and information with each other. To overcome similar challenges across ministries, the Ministry of Communication and Technologies initiated semantic standardization across various domains under Metadata and Data Standards (MDDS) project. The intent was to promote the growth of e-Governance within the country by establishing interoperability across e-Governance applications for seamless sharing of data and services. MDDS for health domain was created by adopting global standards in such a way that existing applications could be easily upgraded to the MDDS standards. </font></div><div><font face="arial" size="2"><br /></font></div><div><font face="arial" size="2">The exercise yielded approximately 1000 data elements. These data elements were expected to serve as the common minimum data elements for development of IT applications for various sub domains of health care. The need for the CDE arose because most of the primary and public health IT applications are being developed without any standards by different agencies and vendors in public and private sector in India. Each application is developed for standalone use without much attention to semantic interoperability. Later when the thought of interoperability emerges – it becomes difficult to connect the primary and public health systems and make them talk to each other because they were never designed for that purpose. </font></div><div><font face="arial" size="2"><br /></font></div><div><font face="arial" size="2">Even if technical and organizational interoperability is done the semantic interoperability may remain a challenge. For example – all primary and public health applications must have the same Facility Master. When application A sends the ANC data for facility 123, the receiving application B should understand ANC and uniquely identify facility 123. Another example is if a hospital application sends the insurance reimbursement bill to insurance company/government, the recipient application should be able to understand and represent the same meaning of bill information. Ministry of Health & Family Welfare has initiated development of the national health facility registry. The registry was intended to standardize facility masters used across public health information systems. </font></div><div><font face="arial" size="2"><br /></font></div><div><font face="arial" size="2">Standardization of facility masters is required for two purposes, first when exchanging data the sending and receiving applications should be able to identify health facility similarly. For example – when application A sends the maternal health data for facility 123, the receiving application B should understand maternal health data and uniquely identify facility 123. Second, in public health, performance of each of the facility is assessed using aggregate indicators and facility master serve as the secondary data source on which primary program specific data is aggregated. For example- data from number of doctors from system A and total outpatient attendance data from system B could be analyzed to get per doctor patient load across health facilities only when both applications use common facility masters.</font></div><div><font face="arial" size="2"><br /></font></div><div><div><font face="arial" size="2"><a href="https://drive.google.com/file/d/1YdmPbXnt2Hi0LDXbKy9DZ6Mod8Vd8wyx/view?usp=sharing" target="_blank">MDDS for Health Final Part I Report in PDF:</a> https://drive.google.com/file/d/1YdmPbXnt2Hi0LDXbKy9DZ6Mod8Vd8wyx/view?usp=sharing</font></div><div><font face="arial" size="2"><br /></font></div><div><font face="arial" size="2"><a href="http://egovstandards.gov.in/notified-standards-0" target="_blank">Final MDDS for Health Full Report in PDF:</a> </font></div><div><font face="arial" size="2">http://egovstandards.gov.in/notified-standards-0</font></div><div><font face="arial" size="2"><br /></font></div><div><font face="arial" size="2"><a href="https://github.com/accesshdigital/Health-Data-Dictionary-HDD-for-India" target="_blank">Here is the link to MDDS for Health in XSD Format in GITHUB folder</a>. This includes about 1000 Data Elements and about 140 Code Directories in technically usable formats such as - CSV, JSON, XML, XSD: </font></div><div><font face="arial" size="2">https://github.com/accesshdigital/mdds </font></div><div><font face="arial" size="2"><br /></font></div><div><font face="arial" size="2">It also has a readme file for your reference.</font></div><div><font face="arial" size="2"><br /></font></div><div><font face="arial" size="2">Thank You for your continuous association with us.</font></div></div><div><br /></div><div><font face="arial" size="2">-- ACCESS Health Digital --</font></div><div><font face="arial" size="2"><br /></font></div><div><font face="arial" size="2">Contact for Clarifications:</font></div><div><font face="arial" size="2">Access Health Digital</font></div><div><font face="arial" size="2">digital.health@accessh.org </font></div><div><font face="arial" size="2"><br /></font></div><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;"><br /></div>Unknownnoreply@blogger.com2tag:blogger.com,1999:blog-8109775542729283686.post-31152023424161100492020-06-06T14:35:00.001+05:302020-06-06T14:35:07.440+05:30National Health Facility Registry - Concept Note<div class="separator" style="clear: both; text-align: justify;"><a href="https://1.bp.blogspot.com/-veqebdJsA9U/XttbnoQxE4I/AAAAAAAAARM/yc_W1Luy1oMuH57U4Ukv_mkLmmvMh669wCK4BGAsYHg/s956/facility%2Bregistry.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="655" data-original-width="956" src="https://1.bp.blogspot.com/-veqebdJsA9U/XttbnoQxE4I/AAAAAAAAARM/yc_W1Luy1oMuH57U4Ukv_mkLmmvMh669wCK4BGAsYHg/s320/facility%2Bregistry.png" width="320" /></a></div><h2 style="text-align: justify;"><br /></h2><div><span style="font-family: arial; font-size: small;"><b>What is a Registry?</b></span></div><p><font face="arial" size="2">A
registry is an organized system or database that collects, stores
uniformed data or information about an entity like patient, person , or
facility etc and is kept updated at all times to act as “Single Source
of Truth” for the entity in question. The data facilitated by the
registry can be accessed as service by information technology
applications or by the government for planning initiatives and
governance.</font></p><h2><font face="arial" size="2">How a Registry is different from a Directory?</font></h2><p><font face="arial" size="2">A
registry is an official record keeping database which not only
identifies an entity uniquely but also proves its existence in the
ecosystem in question. E.g.: ADHAAR- A person must be listed in AADHAAR
registry to be able to verify his/her identification as an Indian
Citizen with authentic demographic details.</font></p><p><font face="arial" size="2">Directory on the other
hand does not required to be an official or comprehensive, but mere a
collection of data without uniquely identifying entities listed in it
and do not serve as “single source of truth”. Example- A telephone
directory.</font></p><h2><font face="arial" size="2">What is a National Health Facility Registry?</font></h2><p><font face="arial" size="2">A
National Health Facility Registry is a centrally maintained registry
that stores and facilitates uniform minimum required data or information
about both public and private health facilities in the country. It is a
building block that is essential to enable nationwide health
information exchange. It will do so by identifying each health facility
uniquely and creating a unique Identifier for every registered facility.
This unique identifier then becomes available to be utilized by states
and IT systems as a pointer or primary key to store more facility
related data in directories maintained at state/district level,
providing comprehensive data on all private and public health
establishments</font></p><h2><font face="arial" size="2">Problem Statement</font></h2><p><font face="arial" size="2">Indian healthcare has
been trying to overcome the problem of interoperability and siloed
systems to enable continuum of care. This requires a standard driven
health information exchange (HIE), and to enable a HIE, it is essential
to uniquely identify each stakeholder and resource (Patient, Provider,
facility, health worker) involved in an episode of care.</font></p><p><font face="arial" size="2">Also,
from a quality of care and governance perspective a facility registry
becomes very critical for resource planning to create a reliable,
unified registry of country’s healthcare infrastructure & associated
resources through associated state or national level repositories like
NHRR to show their distribution pattern of health facilities and
services areas across the country. This assumes even greater
significance in emergencies like Pandemics and disasters.</font></p><p><font face="arial" size="2">Several
initiatives have been made by the Indian Government in the past to
enable a centrally maintained facility registry for India.</font></p><p><font face="arial" size="2">Key initiatives undertaken in India for facility registry includes:</font></p><ul><li><font face="arial" size="2"><strong>National Identification Number (NIN) project</strong> that was undertaken by <strong>National Health System Resource Centre (NHSRC)</strong> in 2016 where data pertaining to approximately <strong>1,11,990</strong>
health facilities was cleaned and validated by 25 states including
longitude-Latitude details. A 10-digit unique National Identification
Number (NIN) was allocated to the identified public health facilities. A
NIN portal was also developed for missing facilities or new facility
registrations and states were provided trainings on the same to keep the
NIN facility data updated.</font></li><li><font face="arial" size="2"><strong>National Health Resource Repository (NHRR) project</strong> by <strong>Ministry of Health and Family Welfare (MoHFW)- </strong>In
NHRRa Healthcare establishment Census was conducted which included on
ground physical survey to enlist all the health facilities as well as
resources. NHRR database has listed approximately 8.5 lakhs+ facilities
and provides around 7000+ attributes withspatialinformation maintained
by the technology partner<strong> ISRO</strong>.</font></li><li><font face="arial" size="2"><strong>ROHINI </strong>(Registry of Hospitals in Network of Insurance)<strong>– Dubbed as the </strong>AADHAAR of Hospitals by<strong> Insurance Information Bureau of India (IIB)- </strong>ROHINI
is a PAN India registry of hospitals/day care centers that are
empanelled with health insurance payers/Third Party Administrators(TPAs)
for service delivery to the beneficiaries. It has approximately 35,000
facilities listed so far. Each registered facility is allotted a
13-digit Global unique GS1 identifier, along with geo coding of facility
address. ROHINI also has self service portal for
registration/inactivation /deletion or amendment of registered
facilities. All network hospitals and hospitals involved in cashless
reimbursement claims or those that wish to provide this facility, are
registered on ROHINI.</font></li></ul><p><font face="arial" size="2">All the initiatives as mentioned above had common goals, one to act as <strong><em>single source of truth</em></strong> and second to become <strong><em>single point of reference</em></strong> for facility information as per their identified scope.</font></p><p><font face="arial" size="2">Since a lot of effort has gone into each of these initiatives, they should be <strong><em>brought together and harmonized</em></strong> to enable a <strong>National Facility Registry</strong>
that can identify both public and private health facilities uniquely.
The data collected under each mentioned initiative can be consumed or
exposed as service to get/retrieve additional data about a facility
using the same National Unique Facility Identifier that can be allotted
by the National facility registry and act as a primary key to stitch the
different databases together.</font></p><h2><strong><font face="arial" size="2">Recommended Approach</font></strong></h2><p><strong><font face="arial" size="2">1. Identify Minimum required data elements for Centrally maintained Registry</font></strong></p><p><font face="arial" size="2">A
central or nationally maintained registry that can be self-sustainable
and easy to maintain should not have a long list of data elements or
attributes. It should consist of only a set of minimum required data
elements that helps to identify the facility uniquely and can be kept
updated at all times. The recommended data elements should follow <strong>Metadata and Data standards for India (MDDS)</strong>
which is a standard notified by Ministry of Electronics and Information
Technology (MeITY). It is essential to use data standards to collect
and store information in a registry, so that if states want to maintain
their own facility directories/state registry/database they can use the
same standard MDDS elements to define the local registry structure and
will be able to push data seamlessly to the National facility registry.</font></p><p><font face="arial" size="2">The recommended minimum viable data elements are listed in the <strong>Annexure.</strong></font></p><p><strong><font face="arial" size="2">2. Map NHRR-NIN-ROHINI Facilities& State verification and updation</font></strong></p><p><font face="arial" size="2">Facilities
listed in all the three mentioned databases can be mapped using Machine
Logic/AI and manual interventions by making use of the key attributes
like name, address and longitude-latitude details.</font></p><p><font face="arial" size="2">Following steps are recommended to harmonize and enable a National Health Facility Registry</font></p><ul><li><font face="arial" size="2"><strong>Map ROHINI, NIN and NHRR facilities. </strong>The facility data from NHRR, NIN and ROHINI data sources will be harmonized by employing <strong>Fuzzy logic-based matching</strong>
of facility data from each of these different sources. Facility data
(NHRR, NIN and ROHINI) shall be matched by deploying fuzzy algorithms
like Soundex or levenshtein distance matching etc. The unique minimum
required attributes as described in appendix 1 shall be loaded in the
facility registry database.</font></li><li><font face="arial" size="2"><strong>Develop standard definitions</strong> for attributes using MDDS elements as provided in the <strong>Annexure</strong> I.</font></li><li><font face="arial" size="2"><strong>Identify & publish mismatches and duplicates </strong>in the standard definition template and suggests <strong><em>standard process</em></strong> of verification with district and health state departments.</font></li><li><font face="arial" size="2">State can filter facilities district wise and get the data verified through the respective district health department.</font></li><li><font face="arial" size="2">Districts can update information in excel format and request corrections if any to the state.</font></li><li><font face="arial" size="2">State after verification and validation can push the cleaned facility data to the centre.</font></li></ul><p><font face="arial" size="2"> <strong>3. Convert the clean, verified data using a technology partner like NIC into a registry. </strong></font></p><p><font face="arial" size="2">The
first step towards digitalizing the National Facility Registry after
receiving clean and validated data is to load the cleaned facility data
into the National Facility Registry. The facility registry shall store
the source ID of each system (NHRR ID, NIN ID and ROHINI ID) against the
set of data attributes loaded from each of these three data sources to
facilitate the facility data set retrieval from registry based on
different identifiers (e.g. based on ROHINI ID or NHRR ID) and thus it
shall not disrupt the design of existing systems which are using this
data.</font></p><p><font face="arial" size="2">The loading process of facility data into facility registry
shall ensure the uniqueness and deduplication of facility data by using
validation/data deduplication engine. A National unique facility
Identifier shall be generated for each facility populated in the
facility registry (the algorithm to generate the unique facility
identifier should be decided by the authority implementing the design of
facility registry), The facility unique Identifier will be a 10 digit
unique Integer value and should not contain any data attribute based
logic in the design of identifier code due to volatile nature of the
facility data attributes as that may change in future e.g. if facility
identifier contains the logic built based on the location of facility
e.g. state and district code, the same may change due to administrative
change of the location of facility due to addition or deletion of state
or district by the respective state government in future. It is
recommended that facility identifier should be a running serial number
generated based on a selected algorithm like generation of AADHAR NUMBER
which generate a unique number which is unique across the lifetime.</font></p><p><font face="arial" size="2"><b>4. </b> <strong>Develop a central portal</strong> with <strong>standard operating procedures</strong> on <strong>deletion, updation or addition </strong>of facilities.</font></p><ul><li><font face="arial" size="2">Portal for enrolling new public and private facilities into National Facility Registry.</font></li><li><font face="arial" size="2">Public Portal for access to National Facility Registry data as part of e-governance. </font></li></ul><p><font face="arial" size="2"> <strong>5. Develop a roadmap for training & updation of National Facility database by state users.</strong></font></p><p><strong><font face="arial" size="2"> 6. Maintenance of National Health Facility Registry</font></strong></p><p><font face="arial" size="2">For
maintenance of Facility data in Facility Registry. openAPI/web service
standards can be used to add/update or delete facility data. After
Initial load of facility in facility registry any new facility shall be
added in the Registry by use of openAPIs/webservices. The updation of
facility registry shall follow the design principles for registries as
laid out in National Health Stack document and will ensure the single
source of truth and non repudiablity of facility data in registry.</font></p><h2><strong><font face="arial" size="2">Advantages of a harmonized facility registry using NHRR, NIN and ROHINI</font></strong></h2><ul><li><font face="arial" size="2">The
National Facility Registry will be a single source of truth for all the
clinical establishments or healthcare facilities in India and can be a
single point of reference for health infrastructure planning.</font></li><li><font face="arial" size="2">The
Facility registry will always also help the Government to plan
emergency responses and predict healthcare expenditure by making
operational status of facilities available.</font></li><li><font face="arial" size="2">Harmonizing the
different initiatives like NHRR, NIN and ROHINI will help in collating
authentic data for facilities which are already recorded under
respective initiatives while the initiatives coexist in harmony and
expose the data as a service.</font></li><li><font face="arial" size="2">A repository like NHRR and state
repositories if linked with the National Facility Registry can provide
more information about a facility’s resources like Doctors, Nurses,
equipment etc which will help a state to plan optimized utilization of
available resources.</font></li></ul><p><font face="arial" size="2"> A harmonized National facility
registry can be one shot solution, which can support the Government to
manage and optimize healthcare infrastructure & resources
effectively and predict the unmet needs to design an effective risk
mitigation plans in advance to combat a future pandemic. It can identify
key areas of improvement by upgrading existing health facilities or
establishing new health facilities keeping in view the population
density, geographic nature, health condition, distance.</font></p><p><font face="arial" size="2">For Annexures please read the full <a href="https://www.slideshare.net/ACCESSHealthDigital/health-facility-registry" target="_blank">Health Facility Registry document on slideshare</a>.</font></p><p><font face="arial" size="2">Reach out to us for clarifications:</font></p><p><font face="arial" size="2">digital.health@accessh.org</font></p><p><font face="arial" size="2">Department of Digital Health, ACCESS Health</font></p>Unknownnoreply@blogger.com2tag:blogger.com,1999:blog-8109775542729283686.post-60738964433651609282020-06-06T14:26:00.001+05:302020-06-06T14:26:45.989+05:30DOCTORS REGISTRY OF INDIA – CONCEPT NOTE<font face="arial" size="2"><br /></font><div><div class="separator" style="clear: both; text-align: justify;"><a href="https://1.bp.blogspot.com/-mgeoCsd_Ib4/XttZ_ce4lCI/AAAAAAAAAQw/A9K7YyxXGesF3dhYHj6GgKOMwKt1-lnmwCK4BGAsYHg/s621/doc-kny--621x414%2540LiveMint.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="414" data-original-width="621" src="https://1.bp.blogspot.com/-mgeoCsd_Ib4/XttZ_ce4lCI/AAAAAAAAAQw/A9K7YyxXGesF3dhYHj6GgKOMwKt1-lnmwCK4BGAsYHg/s320/doc-kny--621x414%2540LiveMint.jpg" width="320" /></a></div><font face="arial" size="2"><div style="text-align: justify;"><br /></div></font></div><div><h2><font face="arial" size="2">Overview</font></h2><p><font face="arial" size="2"> With a proactive concern for patient safety and
quality of care, The Indian Medical Council Act 1956 prohibits a person
other than a medical practitioner enrolled on a State Medical Register
or the Indian Medical Register (IMR) to practice in India. Every New
Medical Graduate must Register with the respective State Medical Council
Register and is then allocated a registration number. With that
Registration Number, the Doctor can Practice anywhere in India.</font></p><p><font face="arial" size="2"> As
it works Currently, apart from MCI’s National level Indian Medical
Register (IMR), different state councils have their own medical
Registers. The MCI then compiles data received from state medical
councils.</font></p><h2><font face="arial" size="2">Problem Statement</font></h2><p><font face="arial" size="2"> Healthcare being a State
Subject, a degree of latency creeps into the system. However, when a
Doctor migrates to any other part of India, he/she often overlook to
update the State Register and also similarly about recent
Qualifications, Degrees, Certifications, etc.</font></p><p><font face="arial" size="2">This makes for high
chances of duplication of data of Registered Doctors between the various
registers. This makes the compilation and de-duplication exceedingly
difficult because of the administrative dependencies which are beyond
the MCI’s control.</font></p><p><font face="arial" size="2">There are also then, several unqualified or
fake Doctors working in the country without proper qualifications and/or
registration with IMR or State Registers. MCI has no way of tracing,
tracking, and weeding out such practitioners from a wide variety of
genuine Doctors working in the Country.</font></p><p><font face="arial" size="2">On the other hand, the patient also has no way of differentiating between genuine and fake doctors.</font></p><p><font face="arial" size="2">With
the adoption of Universal Healthcare as a Policy in 2017, increasingly
healthcare services are going to be paid for by Insurance or state
programs. From a Health Insurance perspective, it becomes exceedingly
difficult to establish the veracity of the Claim. The liability lies on
the payer whereas there is no authentic single source of truth.</font></p><p><font face="arial" size="2">Similarly,
in the event of medico-legal cases, it is hard to trace back from the
prescription to build a legal case. A wide variety of degrees appear on
Doctors’ Prescription pads. MCI lacks a master list of accepted
Qualifications including Indian and International
Degrees/Diplomas/Certificates. Hence there is no way of finding out if
these Degrees are genuine, equivalent international qualifications,
derecognized, or even completely fake!</font></p><h2><font face="arial" size="2">Current Issues</font></h2><p><font face="arial" size="2">There
are many use cases where the sanctity and harmonization of the
Registers come into question. These are some of the practical detractors
to the authenticity of data on the Medical registers.</font></p><p><strong><font face="arial" size="2">Doctor has Migrated/Died or left the practice:</font></strong></p><ul><li><font face="arial" size="2">Migrated
Doctor may Re-Register in the other State Register at the time of
Renewal. Though a procedure exists about taking a
No-Objection-Certificate from the previous State Register; but it is not
very strictly followed. There is a possibility of Doctor getting
counted in both Registers.</font></li><li><font face="arial" size="2">When a Doctor dies, the Register is usually not updated with a Death Certificate.</font></li><li><font face="arial" size="2">When
a Doctor has Left the country, the Register is usually not updated
because usually it is not known if the migration is temporary or
long-term or permanent.</font></li><li><font face="arial" size="2">When the Doctor has left Practice due to any reason e.g. Administrative job, Higher Education, Change of Sector, etc.</font></li></ul><p><strong><font face="arial" size="2">Name Change or Mismatch:</font></strong></p><ul><li><font face="arial" size="2">The
Register is usually not updated when Doctor Changes Name E.g. Marriage,
Religious reasons, etc. This results in a Name mismatch between IMR
Register and the changed Government IDs.</font></li><li><font face="arial" size="2">The Register is usually
not updated when Doctor Name Spellings is changed e.g. Family, Social
or Numerology reasons, etc. This results in a Name mismatch between IMR
Register and the changed Government IDs.</font></li><li><font face="arial" size="2">Name Mismatch between
Degree, Internship Certificate, and Registration. Only possible to check
at the time of first Registration, later it is very difficult to
harmonize.</font></li><li><font face="arial" size="2">Demographics Mismatch between Degree, Internship
Certificate and Registration. Only possible to check at the time of
first Registration, later it is very difficult to harmonize.</font></li></ul><p><strong><font face="arial" size="2">Degrees and Specialisations</font></strong></p><ul><li><font face="arial" size="2">When
a Doctor attains a Specialized/ Super Specialized Degree or
Certificate, it is usually not updated in the Register because there is
no real mandate to do so.</font></li><li><font face="arial" size="2">Equation of Foreign Degrees with
Indian Medical Degrees e.g. MD from US equivalent to MBBS or MD or DM?
DNB equated to MD or DM? Exceedingly difficult for MCI to decide if the
Registration should be granted or not.</font></li><li><font face="arial" size="2">Equation of Degrees in
India e.g. Ph.D. Clinical Pathology without MBBS, or MD Pathology? MCI
usually does not grant Registration for such cases. Though they may be
equated Internationally. Will the documents signed by such professionals
be recognized e.g. Genetic Testing Reports.</font></li></ul><p><strong><font face="arial" size="2">Government/Administrative Issues:</font></strong></p><ul><li><font face="arial" size="2">University
Mismatch – e.g. Individual Universities in Maharashtra no longer gives
Medical Degrees. Nasik University has taken over that function and gives
Degrees across all Medical Colleges in Maharashtra. Only possible to
check at the time of first Registration, later it is exceedingly
difficult to harmonize.</font></li><li><font face="arial" size="2">If the Doctor has lost the Graduate
Medical Degree. It is hard to justify the details mentioned in the IMR
Register. The only way is to ask for a Duplicate Degree from the
University, which is also a very long process and is usually not
pursued.</font></li><li><font face="arial" size="2">Medical Graduates of States having special status were
given Provisional Registration to Practice pending the legal decision on
the State – e.g. J&K, Arunachal, Sikkim, Pondicherry, Goa. Later
there is no way of revalidating the data before regularizing the
Registration. So the old Registrations continue to languish.</font></li><li><font face="arial" size="2">How
do you split the Medical Graduates between States that were split or
newly carved out – e.g. Goa, Uttarakhand, Chhattisgarh, Jharkhand,
Telangana. Later there is no way of revalidating the data before
regularizing the Registration for the New State. So the old
Registrations continue to languish.</font></li><li><font face="arial" size="2">Medical College recognized
by the State but not by MCI Govt of India. State Register gives the
Registration, but MCI does not recognize it.</font></li><li><font face="arial" size="2">Medical College derecognized by MCI Govt of India. State Register gives the Registration, but MCI does not recognize it.</font></li><li><font face="arial" size="2">Provisional
Registration is granted in cases of Emergency e.g. Disasters and
Epidemics. This should be withdrawn after the Emergency. However, no
clear process has been defined for this purpose.</font></li></ul><p><strong><font face="arial" size="2">Foreign Degrees and Passports:</font></strong></p><ul><li><font face="arial" size="2">Foreign
Passport but studied from Medical College in India. State Register
gives the Registration though the foreign national will not practice in
India e.g. Nepal, Bhutan, Sri Lanka, ASEAN, Africa, West Asian
countries.</font></li><li><font face="arial" size="2">Indian Citizen but studied from Foreign Medical
College e.g. Russia, China. MCI Register gives the Registration after an
examination. Though many of these Indian nationals migrate out and do
not practice in India.</font></li></ul><h2><font face="arial" size="2">Recommended Solution</font></h2><p><font face="arial" size="2">As per newspaper reports<a href="http:/#_ftn1" rel="nofollow noopener" target="_blank">[1]</a>,
In 2017 the Medical Council of India had directed all states to provide
a unique permanent registration number (UPRN) to every Doctor
Registered in their jurisdiction.</font></p><p><font face="arial" size="2">MCI had envisaged a digital
platform. The MCI initiated the process of implementing e-governance
through digital mission mode project (DMMP); one of the ambitious
modules under DMMP project is the implementation of new IMR through
unique permanent registration number generation for each Registered
Doctor in India, the MCI said in a letter sent to the Indian Medical
Association (IMA).</font></p><p><font face="arial" size="2">On implementation of the system, the existing
registration numbers of the Doctors shall be migrated to a standard
system of UPRN. Doctors shall also apply online for additional
qualification registration in IMR like Postgraduate, super-specialty
etc. After commissioning, Doctors can use the system to make online
applications for services like issue of certificates etc.</font></p><p><font face="arial" size="2"> The
initiative will put an end to the duplication of Doctors Registered by
various state medical councils as well as the Indian Medical Register
under the MCI and provide a clear picture of how many Doctors are
practicing in India. A UPRN number is to be generated for the over one
million Doctors recorded in the IMR.</font></p><p><font face="arial" size="2">We will get to know about the
actual number of Doctors and the list of medical specialists practicing
in the country. We will have all the details about a Doctor, ranging
from addresses to personal details, and Specializations. Currently, we
seek information about Doctors from the state medical council. Once all
the Doctors are given a separate code or UPRN, it will become amazingly
easy to trace them in a case of medical emergency, epidemics, disasters,
negligence, or second opinions for their expertise.</font></p><p><font face="arial" size="2">However, from
2019 the MCI role has now been taken over by the National Medical
Commission [NMC]. The handover of charge by MCI BoG to the NMC is
awaited.</font></p><p><font face="arial" size="2">Para 31 of The NMC act of 2019, mandates it to ensure
electronic synchronization of National and State register in such a
manner that any change in one register is automatically reflected in the
other register <a href="http:/#_ftn2" rel="nofollow noopener" target="_blank">[2]</a></font></p><p><font face="arial" size="2">Fortunately,
this can easily be accomplished by leveraging the MDDS recognized in
the National Digital Health Blueprint, 2019. This would make it possible
for the IMR to evolve into a single-source-of-truth and be looked up
appropriate stakeholders.</font></p><p><font face="arial" size="2">Recent events like the COVID 19 Pandemic
have brought the vital role that Telemedicine and similar technologies
can play sharply into focus. Para 32 of the NMC act also conceives a
role for a limited number of Community Health Providers to work under
the supervision of a medical practitioner.</font></p><p><font face="arial" size="2">These emerging trends
make the authenticity of the medical register critical to healthcare
delivery in a safe, accessible and equitable way.</font></p><h2><font face="arial" size="2">Architectural Approach for Doctor’s Registry</font></h2><p><strong><font face="arial" size="2">1. Federated Architecture for Doctor’s Registry </font></strong></p><p><font face="arial" size="2">As
per NMC Act, the Ethics and Medical Registration Board shall maintain a
central National Medical Register (aka National Doctor’s Registry)
containing the set of minimum data elements for identification and
credentialing of a licensed medical practitioner (aka provider)
practicing anywhere across the country. To enable this a federated
architecture design is recommended for the National Doctors Registry
that it can be kept updated at all times and will not have a single
point of failure.</font></p><p><font face="arial" size="2">The National Medical Register will be
responsible for allocating a Unique National Provider Identifier (NPI)
to every new provider that gets registered through a state medical
council or directly through the central medical register by performing
de-duplication and validation of a new provider record. This unique
identifier will remain unique for the lifetime of a provider.</font></p><p><font face="arial" size="2">Every
state medical council will then use this Unique Provider Identifier to
maintain and regularly update the state register (aka as Provider
Directory at the state level) for the providers registered within that
state with not only the registration details but also with additional
information about their credentials, employment, training,
qualifications, CMEs attended and active status etc. There will be an
electronic mechanism to update the central register with the data from
the state level provider directories for new provider registration as
well as for any information update through the state register. Lookup
the details in ANNEXURE – 2.</font></p><p><a href="https://www.slideshare.net/ACCESSHealthDigital/doctors-registry-of-india" target="_blank"><font face="arial" size="2">Read the Full Article on Slideshare.</font></a></p><p><font face="arial" size="2">References:</font></p><p><font face="arial" size="2"><a href="http:/#_ftnref1" rel="nofollow noopener" target="_blank">[1]</a> A<a href="https://www.livemint.com/Politics/K4OshelLn9FjLLt7m9eMoI/Now-all-practicing-doctors-to-have-unique-digital-identific.html" rel="nofollow noopener" target="_blank">ll practicing Doctors to have unique digital identification, 02 Oct 2017, Livemint</a></font></p><p><font face="arial" size="2"><a href="http:/#_ftnref2" rel="nofollow noopener" target="_blank">[2]</a> <a href="http://egazette.nic.in/WriteReadData/2019/210357.pdf" rel="nofollow noopener" target="_blank">NMC Notified: http://egazette.nic.in/WriteReadData/2019/210357.pdf</a></font></p></div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-8109775542729283686.post-84838335879158976102020-06-02T16:00:00.047+05:302021-06-27T20:06:18.460+05:30Epidemiology Surveillance<p style="text-align: justify;"><span style="font-family: arial;">Epidemiology Surveillance is a Lever of Change - for implementation of National Digital Health Blueprint and adoption of National Digital Health Ecosystem.</span></p><p style="text-align: justify;"><span style="font-family: arial;">Given the vast and variable nature and quality of legacy and operational data being generated in </span><span style="font-family: arial;">real time which requires to be captured, any solution adopted requires to essentially ingest these </span><span style="font-family: arial;">disparate forms, allowing meaningful options in its use. This becomes a tall order for traditional </span><span style="font-family: arial;">architectures like Data Warehouses, that constrain the types of data that can be stored in them, </span><span style="font-family: arial;">both in terms of type and quality.</span></p><p style="text-align: justify;"><span style="font-family: arial;">Data lakes are the leading edge and evolving architecture that can help store, share and use </span><span style="font-family: arial;">electronic health records and other patient data in its ever-expanding variety. Data Lakes open the </span><span style="font-family: arial;">possibility of taking Healthcare Analytics to its Next Level by keeping pace with the rapid growth in </span><span style="font-family: arial;">types and magnitude of data that needs to be harnessed and made use of. It is important here, to </span><span style="font-family: arial;">understand the differences between Data Lakes vs. Data Warehouses. Data Lakes store raw data on </span><span style="font-family: arial;">the one hand, while Warehouses store current and historical data in an organized fashion. Data </span><span style="font-family: arial;">warehouses are best for analyzing structured data quickly with great accuracy and transparency for </span><span style="font-family: arial;">managerial and regulatory purposes.</span></p><p style="text-align: justify;"><span style="font-family: arial;">A federated data lake is essentially an architecture to store high-volume, high-velocity, high-variety, </span><span style="font-family: arial;">as-is, data, as it gets rolled up from State-level Health Information Exchanges. State-level Health </span><span style="font-family: arial;">Information Exchanges will pull in vast amounts of data — structured, semi-structured, or </span><span style="font-family: arial;">unstructured — in real-time, from local healthcare facilities.</span></p><p style="text-align: justify;"><span style="font-family: arial;">Data Lakes can additionally, also ingest data from Internet-of-Things sensors, clickstream activity </span><span style="font-family: arial;">on public health websites, log files, social media feeds, videos and online transaction processing </span><span style="font-family: arial;">(OLTP) systems. Data Lakes are used for Big Data and real-time analytics. To ensure that a lake </span><span style="font-family: arial;">doesn’t become a mere swamp, it is very helpful to provide for a catalog that makes data visible </span><span style="font-family: arial;">and accessible to the business teams, as well as to IT and data-management professionals.</span></p><p style="text-align: justify;"><span style="font-family: arial;">A healthy Data Lake requires maintenance. There are no constraints on where the data originates </span><span style="font-family: arial;">from, but it is a good practice to use metadata tagging, to add some level of organization to the </span><span style="font-family: arial;">data ingested. This will allow for relevant data to surface for queries and analysis. The value of a </span><span style="font-family: arial;">well-maintained data lake dealing with large volumes of disparate data, pivots on the links to </span><span style="font-family: arial;">metadata and ontologies. It requires consistent management of metadata, terminology </span><span style="font-family: arial;">management, ontology management, linked open data and modeling, and the kinds of automated </span><span style="font-family: arial;">algorithms that can be deployed to use these resources efficiently, to crack difficult problems such </span><span style="font-family: arial;">as epidemic surveillance.</span></p><p style="text-align: justify;"><span style="font-family: arial;">The Provider eObjects can gather statistics for the appropriate authorities to allow calculation of </span><span style="font-family: arial;">burden of disease, epidemiological Studies for epidemic surveillance, monitor for incipient </span><span style="font-family: arial;">epidemics and compare outcomes across facilities. They will also play a vital role in providing </span><span style="font-family: arial;">epidemiological, utilization and quality data for analysis and action. </span><span style="font-family: arial;">Additionally, these eObjects can serve as a powerful means of recording and observing the natural </span><span style="font-family: arial;">history of a disease, determining the effectiveness of various clinical treatment protocols and </span><span style="font-family: arial;">assessing the quality of care being dispersed at different levels of care, facilitating biomedical </span><span style="font-family: arial;">research, while conducting analysis on disease trends.</span></p><p style="text-align: justify;"><span style="font-family: arial; text-align: left;">Read the Reports:</span><br style="text-align: left;" /></p><p></p><p></p><ol><li><span style="font-family: arial;"><a href="https://drive.google.com/file/d/1bB34TpiW5YqIQcuiUI6k4S836L6Uk2gv/view?usp=sharing" target="_blank">Data Insights Hub Report - ACCESS Health Digital</a></span></li><li><span style="font-family: arial;"><a href="https://drive.google.com/file/d/1BuMN4Phhb4rwAeV6lvjcGJ61lDevp1ZM/view?usp=sharing" target="_blank">Health Information Exchange Analytics Framework HIEAF Report - ACCESS Health Digital</a></span></li></ol><div><span style="font-family: arial;">For more information write to us: digital.health@accessh.org</span></div><p></p><div class="separator" style="clear: both; text-align: left;"><a href="https://1.bp.blogspot.com/-acOVCSnGpp4/YNhcHQ_2aTI/AAAAAAAAAeM/7sxLERkJQ6ck562X_oyJ8-pkjJJfiP6-QCLcBGAsYHQ/s1266/Epidemiology.png" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em; text-align: justify;"><img border="0" data-original-height="608" data-original-width="1266" height="309" src="https://1.bp.blogspot.com/-acOVCSnGpp4/YNhcHQ_2aTI/AAAAAAAAAeM/7sxLERkJQ6ck562X_oyJ8-pkjJJfiP6-QCLcBGAsYHQ/w607-h309/Epidemiology.png" width="607" /></a></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><p></p>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-8109775542729283686.post-48182576797062369752020-06-02T00:22:00.007+05:302021-01-05T14:20:17.808+05:30HDIS MVP Microservices Published<div><font face="arial" size="2"><br /></font></div><div><div class="separator" style="clear: both; text-align: justify;"><a href="https://1.bp.blogspot.com/-Fkm-rRfLgkY/XtVNzW8PVDI/AAAAAAAAAQI/Z5_cobapzLEE_3w8XqeQSSHwQYr3lLlGwCK4BGAsYHg/MVP.png" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="457" data-original-width="898" height="204" src="https://1.bp.blogspot.com/-Fkm-rRfLgkY/XtVNzW8PVDI/AAAAAAAAAQI/Z5_cobapzLEE_3w8XqeQSSHwQYr3lLlGwCK4BGAsYHg/w400-h204/MVP.png" width="400" /></a> <div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-ErCDTi-1Ehc/X_QnNNhkakI/AAAAAAAAAZc/kCoOfSReqAck0B_9hTuOYca6qQO82GbRQCLcBGAsYHQ/s1920/Telemedicine%2Bmicroservices.png" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="1080" data-original-width="1920" height="225" src="https://1.bp.blogspot.com/-ErCDTi-1Ehc/X_QnNNhkakI/AAAAAAAAAZc/kCoOfSReqAck0B_9hTuOYca6qQO82GbRQCLcBGAsYHQ/w400-h225/Telemedicine%2Bmicroservices.png" width="400" /></a></div><br /></div><font face="arial" size="2"><div style="text-align: justify;"><br /></div></font></div><div><font face="arial" size="2"><br /></font></div><div><font face="arial" size="2"><br /></font></div><div><font face="arial" size="2"><br /></font></div><div><font face="arial" size="2"><br /></font></div><div><font face="arial" size="2"><br /></font></div><div><font face="arial" size="2"><br /></font></div><div><font face="arial" size="2"><br /></font></div><div><font face="arial" size="2"><br /></font></div><div><font face="arial" size="2"><br /></font></div><div><font face="arial" size="2"><br /></font></div><div><font face="arial" size="2"><br /></font></div><div><font face="arial" size="2"><br /></font></div><div><font face="arial" size="2"><br /></font></div><div><font face="arial" size="2"><br /></font></div><div><span style="font-family: arial;">Minimum viable product (MVP) is a strategy that has gained rapid and widespread acceptance among the startup community. Used effectively, it can be a compelling strategy to evaluate product-market fit, which often is the largest risk facing a new medical software company. The idea of MVP is to focus a product or service on the key value that it provides to a customer. </span></div><div><font face="arial" size="2"><br /></font></div><div><font face="arial" size="2">MVP is about the minimal functionality that will do the job. The MVP will fail if you go any lower or remove any functionality from the MVP. So the trick is that if the product can work without any Functionality - please remove it from the MVP. Figuring out whether organizations or individuals will adopt the product often is the largest challenge facing new companies. The goal of MVP is to test the adoption and payment assumptions as early as possible. MVP is that product which has just those basic functionality that allows you to ship the product out. </font></div><div><font face="arial" size="2"><br /></font></div><div><font face="arial" size="2">A Healthcare delivery organization typically only needs a few core Modules to run the organization e.g. Registration, Appointment, ADT etc. We call these core modules are MVP. Rest of the functionality is fluff or Add-On that is not really essential but good to have. </font></div><div><font face="arial" size="2"><br /></font></div><div><font face="arial" size="2">The core blocks are representation of minimum functionality sets (also known as Minimum Viable Product Modules) within HDIS universe. All these core modules are required functions that any healthcare ecosystem will need. There can be add-on modules but the core are the minimum that must exist in a healthcare system. These modules caters not only the hospitals but also smaller health delivery centres like Clinics, Nursing Homes, PHCs, SCs, HWCs etc. But a PHC might not need full set of core functionality rather a subset of these MVP modules. </font></div><div><font face="arial" size="2"><br /></font></div><div><font face="arial" size="2">A Module has many Functionalities inside it. There could be 1 or multiple Microservices for each Functionality. Each Microservice has multiple data elements inside it. A Module has multiple Microservices. MDDS provides a library of 1000 Data Elements and 140 Code Directories. It is like a set of Lego blocks that you can use to build your own Apps.</font></div><div><font face="arial" size="2"><br /></font></div><div><font face="arial" size="2">We run a Social Entrepreneurship Accelerator [SEA] program. There are 25+ digital start-ups and HIS/EMR vendors working with us to implement the Digital Health standards and MVPs.</font></div><div><font face="arial" size="2"><br /></font></div><div><font face="arial" size="2">One of the technical approaches to comply with NDHB & EHR standards of India is implementation of microservices architecture with MDDS (Metadata Data Standards) as base.</font></div><div><font face="arial" size="2"><br /></font></div><div><font face="arial" size="2">Some of the SEA members had picked up microservices as a technical approach and have volunteered to contribute the same to our GITHUB repository that other SEA members and Government partners can benefit from. We would like to extend our gratitude and thanks to all the SEA members who have volunteered to build this open source community for India. </font></div><div><font face="arial" size="2"><br /></font></div><div><font face="arial" size="2"><a href="https://github.com/accesshdigital/sea-mvp-microservice" target="_blank">Here is the link to access the Microservices Code with MPL 2.0 license:</a></font></div><div><font face="arial" size="2">https://github.com/accesshdigital/sea-mvp-microservice .</font></div><div><font face="arial" size="2"><a href="https://drive.google.com/file/d/1HU7cf6D4MmNx9YzNO1DpX2TInRgue1N5/view?usp=sharing" target="_blank">Here is the link to access the HDIS MVP PHR</a> Data Elements</font></div><div><font face="arial" size="2">https://drive.google.com/file/d/1HU7cf6D4MmNx9YzNO1DpX2TInRgue1N5/view?usp=sharing</font></div><div><br /></div><div><font face="arial" size="2">The first set of microservices that we are releasing includes infrastructure microservices which serve as a base for setting up a microservice development environment. The description and implementation of these microservices is provided in the "readme " file. Please refer the same to get more detail about the uploaded microservices.</font></div><div><font face="arial" size="2"><br /></font></div><div><font face="arial" size="2">Please note we will be releasing more microservices in open source in an incremental way, whenever our volunteer SEA partners contribute the code to the GITHUB repository and is reviewed and approved by Access Health Digital.</font></div><div><font face="arial" size="2"><br /></font></div><div><font face="arial" size="2">How can the digital health opensource community benefit from these microservices codes?</font></div><div><font face="arial" size="2"><br /></font></div><div><font face="arial" size="2">1. New product development - If you are planning to build a new product , it is recommended to build the solution on microservices architecture using the shared microservices.</font></div><div><font face="arial" size="2">2. Legacy application - If you have a Legacy system and you dont want to disrupt your ongoing business model. then you have an option of building a Bolt-On translator layer on top of the Legacy system such that it populates the eObjects.</font></div><div><font face="arial" size="2"><br /></font></div><div><font face="arial" size="2">Note:- Soon we will also be releasing other MVPs like eObject schema, Open API specifications and other open source components in the GitHub.</font></div><div><font face="arial" size="2"><br /></font></div><div><font face="arial" size="2">Our collective endeavor is to convert our siloed health system to an interoperable digital health ecosystem. Let's get together and make it a success story!</font></div><div><font face="arial" size="2"><br /></font></div><div><font face="arial" size="2"><div>Thank You for your continuous association with us.</div><div><br /></div><div>-- ACCESS Health Digital --</div><div><br /></div><div>Contact for Clarifications:</div><div>Access Health Digital</div><div>digital.health@accessh.org</div></font></div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-8109775542729283686.post-4462062077781518242020-05-30T11:11:00.008+05:302020-06-06T14:41:26.102+05:30National Formulary of India (NFI)<div dir="ltr" style="text-align: left;" trbidi="on">
<div style="line-height: 150%; text-align: justify;"><div class="separator" style="clear: both; text-align: justify;"><a href="https://1.bp.blogspot.com/-LWZazED4HiQ/XtNN76SwRsI/AAAAAAAAAO0/UrGP3uuf2iAYktqLchOC8qE-em6BRi5lQCK4BGAsYHg/5b19052eb9113.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="562" data-original-width="1000" src="https://1.bp.blogspot.com/-LWZazED4HiQ/XtNN76SwRsI/AAAAAAAAAO0/UrGP3uuf2iAYktqLchOC8qE-em6BRi5lQCK4BGAsYHg/s320/5b19052eb9113.jpg" width="320" /></a></div><font face="arial" size="2"><div style="text-align: justify;"><br /></div></font></div><div style="line-height: 150%; text-align: justify;"><font face="arial" size="2"><br /></font></div><div style="line-height: 150%; text-align: justify;"><font face="arial" size="2">
The need of a national level drug database has been recognized as a priority by the government in recent times. Even though it has gained government's attention it will take some time for a national level Drug Index to be available. Hence, we recommend the use of National Formulary of India (NFI) as a standard drug database. NFI has been adopted from World Health Organization (WHO) Model Formulary. For the promotion of rational use of drugs, the Indian Pharmacopiea Commision publishes National Formulary of India (NFI) at regular time intervals. The Formulary enlists the generic drugs, their classification, dosage, availability, indications, contradictions,precautions. To facilitate the use of NFI, the branded drugs can be mapped against the specific generic drugs or generic drug combinations and use relevant MDDS data elements and Code directories to prescribe their usage in a standardized format. </font></div><div style="line-height: 150%; text-align: justify;"><ul><li style="text-align: left;"><font face="arial" size="2"><a href="https://drive.google.com/file/d/1vJUIWg971MIVreMrbBhZ3cQ--IpL_bG0/view?usp=sharing">CSV Format NFI:</a> <br /></font><span style="text-align: left;"><font face="arial" size="2">https://drive.google.com/file/d/1vJUIWg971MIVreMrbBhZ3cQ--IpL_bG0/view?usp=sharing</font></span></li><li style="text-align: left;"><font face="arial" size="2"><a href="https://drive.google.com/file/d/1xJK9X1rHnbdloHTvpQUH92w4reMOGZFd/view?usp=sharing">PDF Format NFI:</a> <br /></font><span style="text-align: left;"><font face="arial" size="2">https://drive.google.com/file/d/1xJK9X1rHnbdloHTvpQUH92w4reMOGZFd/view?usp=sharing</font></span></li><li><span style="text-align: left;"><font face="arial" size="2"><a href="https://drive.google.com/file/d/11V8XjQRLfqjN2PoiRzorCtrdrcOdIlsH/view?usp=sharing">PDF Format NFI Update:</a> <br /></font></span><span style="text-align: left;"><font face="arial" size="2">https://drive.google.com/file/d/11V8XjQRLfqjN2PoiRzorCtrdrcOdIlsH/view?usp=sharing</font></span></li></ul></div><div style="line-height: 150%; text-align: justify;"><span style="font-family: arial; font-size: small; text-align: left;">The document also consists of a proposed Drug Index template beyond the NFI. Since, the availability of a standardized</span><span style="font-family: arial; font-size: small; text-align: left;"> drug database is of utmost priority in the present scenario. The structure of the template is largely based on MDDS with some added custom fields. The template consists of the following fields. </span></div><div style="line-height: 150%; text-align: justify;"><span style="text-align: left;"><font face="arial" size="2"><br /></font></span></div><div style="line-height: 150%; text-align: justify;"><table border="0" cellpadding="0" cellspacing="0" style="border-collapse: collapse; width: 212px;">
<colgroup><col span="2" style="width: 80pt;" width="106"></col>
</colgroup><tbody><tr height="19" style="height: 14pt;">
<td class="xl64" colspan="2" height="19" style="height: 14pt; width: 160pt;" width="212"><font face="arial" size="2">Drug
Classification</font></td>
</tr>
<tr height="19" style="height: 14pt;">
<td class="xl64" colspan="2" height="19" style="height: 14pt;"><font face="arial" size="2">Drug Unique Code</font></td>
</tr>
<tr height="19" style="height: 14pt;">
<td class="xl63" colspan="2" height="19" style="height: 14pt;"><font face="arial" size="2">Generic Drug
Code </font></td>
</tr>
<tr height="19" style="height: 14pt;">
<td class="xl63" colspan="2" height="19" style="height: 14pt;"><font face="arial" size="2">Generic Drug Name</font></td>
</tr>
<tr height="19" style="height: 14pt;">
<td class="xl64" colspan="2" height="19" style="height: 14pt;"><font face="arial" size="2">Brand Drug Code</font></td>
</tr>
<tr height="19" style="height: 14pt;">
<td class="xl63" colspan="2" height="19" style="height: 14pt;"><font face="arial" size="2">Brand Drug Name</font></td>
</tr>
<tr height="19" style="height: 14pt;">
<td class="xl63" colspan="2" height="19" style="height: 14pt;"><font face="arial" size="2">Manufacturer </font></td>
</tr>
<tr height="19" style="height: 14pt;">
<td class="xl64" colspan="2" height="19" style="height: 14pt;"><font face="arial" size="2">Drug Form</font></td>
</tr>
<tr height="19" style="height: 14pt;">
<td class="xl64" colspan="2" height="19" style="height: 14pt;"><font face="arial" size="2">Strength Value</font></td>
</tr>
<tr height="19" style="height: 14pt;">
<td class="xl64" colspan="2" height="19" style="height: 14pt;"><font face="arial" size="2">Drug Frequency</font></td>
</tr>
<tr height="19" style="height: 14pt;">
<td class="xl63" colspan="2" height="19" style="height: 14pt;"><font face="arial" size="2">Route of
administration</font></td>
</tr>
<tr height="19" style="height: 14pt;">
<td class="xl63" colspan="2" height="19" style="height: 14pt;"><font face="arial" size="2">Drug Restriction
(Max Dosage)</font></td>
</tr>
<tr height="19" style="height: 14pt;">
<td class="xl63" colspan="2" height="19" style="height: 14pt;"><font face="arial" size="2">Drug Drug
Interaction</font></td>
</tr>
<tr height="19" style="height: 14pt;">
<td class="xl63" colspan="2" height="19" style="height: 14pt;"><font face="arial" size="2">Alternate Drug
(generic drug)</font></td>
</tr>
<tr height="19" style="height: 14pt;">
<td class="xl63" height="19" style="height: 14pt;"><font face="arial" size="2">Medication package type </font></td>
<td class="xl64"></td>
</tr></tbody></table></div><div style="line-height: 150%; text-align: justify;"><font face="arial" size="2"><br /></font></div><div style="line-height: 150%; text-align: justify;"><div style="line-height: 150%; text-align: justify;"><font face="arial" size="2">Note: NFI is a list of Drug Generic Names only. It is left to the users, vendors and the industry to get together and populate the Drug Brands etc. at the time of implementation and/or based on the Physician preferences.</font></div><div style="line-height: 150%; text-align: justify;"><font face="arial" size="2"><br /></font></div><div style="line-height: 150%; text-align: justify;"><font face="arial" size="2">Thank You for your continuous association with us.</font></div><div style="line-height: 150%; text-align: justify;"><font face="arial" size="2"><br /></font></div><div style="line-height: 150%; text-align: justify;"><font face="arial" size="2">-- ACCESS Health Digital --</font></div><div style="line-height: 150%; text-align: justify;"><font face="arial" size="2"><br /></font></div><div style="line-height: 150%; text-align: justify;"><font face="arial" size="2">Contact for Clarifications:</font></div><div style="line-height: 150%; text-align: justify;"><font face="arial" size="2">Access Health Digital</font></div><div style="line-height: 150%; text-align: justify;"><font face="arial" size="2">digital.health@accessh.org</font></div></div>
</div>
Unknownnoreply@blogger.com0New Delhi, Delhi, India28.6139391 77.20902120.30370526382115415 42.052771199999995 56.924172936178849 112.3652712tag:blogger.com,1999:blog-8109775542729283686.post-13362508730497972992020-05-22T23:10:00.048+05:302021-06-22T23:29:55.140+05:30ASHA: Health Worker Registry<p> </p><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-xwcJetgXPm4/YNIiO8JqTFI/AAAAAAAAAd8/ltalB-GHDBQQ86SX2M2HVGY1wMkDmfqUgCLcBGAsYHQ/s159/ASHA.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="156" data-original-width="159" height="196" src="https://1.bp.blogspot.com/-xwcJetgXPm4/YNIiO8JqTFI/AAAAAAAAAd8/ltalB-GHDBQQ86SX2M2HVGY1wMkDmfqUgCLcBGAsYHQ/w200-h196/ASHA.jpg" width="200" /></a></div><br /><p></p><p><span style="font-family: arial;"><a href="https://drive.google.com/file/d/13YNMoCIpTnc7HWo8IVXjwH8eTrJZGFcX/view?usp=sharing" target="_blank">Download the Full Report Here.</a><br /><br /></span></p><p style="text-align: justify;"><span style="font-family: arial;">A federated health worker registry is proposed that will be maintained by the Central </span><span style="font-family: arial;">Government and will store “identified minimum required informative fields” and will assign </span><span style="font-family: arial;">a “unique identification number” for every ASHA worker. The ASHA registry will have </span><span style="font-family: arial;">pointers to the state ASHA enrollment repositories or databases (DBT, HR etc) that will </span><span style="font-family: arial;">push relevant data to the central registry for every new ASHA enrollment, any information </span><span style="font-family: arial;">updation or change in employment status or location.</span></p><p style="text-align: justify;"><span style="font-family: arial;">Whenever a new ASHA health worker gets selected for final recruitment, gets enrolled </span><span style="font-family: arial;">through an online common cloud-based portal or application by a trained staff appointed </span><span style="font-family: arial;">by the district health dept or a private enrollment agency at the PHC or assigned anganwadi </span><span style="font-family: arial;">center maintained at village or district level. </span></p><p style="text-align: justify;"><span style="font-family: arial;">The enrollment process mandates ADHAAR card number authentication with the UIDAI </span><span style="font-family: arial;">and assigns a unique health worker identification number in the centralized registry. </span><span style="font-family: arial;">This Unique ID is unique across the country and ensures the portability of health workers </span><span style="font-family: arial;">from one district or state to another and provides a global mapping of the health worker ID </span><span style="font-family: arial;">with services delivered at the health and in various vertical health and nutrition IT programs.</span></p><p style="text-align: justify;"><span style="font-family: arial;">This enrollment process may include an enroller-approver flow to get a final approval from </span><span style="font-family: arial;">the nodal/district health officer to foolproof the recruitment process and only after the </span><span style="font-family: arial;">approval a new ASHA can be assigned the Unique ID.</span></p><p style="text-align: justify;"><span style="font-family: arial;">The DBT database at state level is required to be linked to the centrally maintained registry </span><span style="font-family: arial;">for every new enrollment as a prerequisite for activating the DBT service. Since an </span><span style="font-family: arial;">ADHAAR number is already a mandatory requirement for authenticating the DBT account, </span><span style="font-family: arial;">the same ADHAAR number should be used to authenticate every new ASHA enrollment </span><span style="font-family: arial;">and will facilitate single source for non-repudiable data.</span></p><p style="text-align: justify;"><span style="font-family: arial;">It is suggested that a DBT account of the newly recruited ASHA will only be created after </span><span style="font-family: arial;">the unique ID is assigned to her. Unique ID becomes a pre-requisite for DBT payments. </span><span style="font-family: arial;">Any national or state program that requires assistance from ASHA on various health or </span><span style="font-family: arial;">nutrition activities, will have to use a look up service to the central registry to enroll the </span><span style="font-family: arial;">ASHA in their respective application and program that task tracking and workload </span><span style="font-family: arial;">assessment for payments can be made easier and automated. </span></p><p style="text-align: justify;"><span style="font-family: arial;">For all the existing ASHAs for whom information is maintained currently by states either in </span><span style="font-family: arial;">the DBT database or ASHA soft etc would be required to push data to the central </span><span style="font-family: arial;">registry for the identified minimum required fields.</span></p><p style="text-align: justify;"><span style="font-family: arial;">The enrollment agency or district department whoever is responsible for the end to end </span><span style="font-family: arial;">enrollment or data migration work, will be required to setup a maker-checker workflow </span><span style="font-family: arial;">so that, only verified or correctly mapped information gets uploaded in the central ASHA </span><span style="font-family: arial;">registry.</span></p><p style="text-align: justify;"><span style="font-family: arial;">A registry update process/mechanism on regular intervals precisely annually will be </span><span style="font-family: arial;">required to be implemented. Central registry may trigger annual reminder like that in vase </span><span style="font-family: arial;">of Voter update system for updation or confirmation of the updated information to ensure </span><span style="font-family: arial;">reliability of information. These reminders will be part of the workflow that can be sent to </span><span style="font-family: arial;">the assigned enrollment agency or the district health department that will be responsible </span><span style="font-family: arial;">for enrollment and updation.</span></p><p style="text-align: justify;"><span style="font-family: arial;">Services for self-updation will also be required similar to in the address etc update process </span><span style="font-family: arial;">in ADHAAR at the anganwadi or PHC centers with OTP service or on approval by the </span><span style="font-family: arial;">district health.</span></p><p style="text-align: justify;"><span style="font-family: arial;">For every critical process (like Mobile no. updation, last name change, village/district </span><span style="font-family: arial;">change etc in case of transfers or inactive ASHA update) in the entire the lifecycle of an </span><span style="font-family: arial;">ASHA that affects the information in the central registry directly or indirectly will have </span><span style="font-family: arial;">associated manual and electronic form and processes that will have to be completed </span><span style="font-family: arial;">through the same common portal or application with role based access.</span></p><p><span style="font-family: arial;"></span></p><div style="text-align: justify;"><span style="font-family: arial;"><a href="https://drive.google.com/file/d/13YNMoCIpTnc7HWo8IVXjwH8eTrJZGFcX/view?usp=sharing" style="text-align: left;" target="_blank">Download the Full Report Here.</a></span></div><p></p>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-8109775542729283686.post-76438794616728302512020-04-16T10:26:00.003+05:302021-01-20T16:14:48.688+05:30Health Systems for a New India: eObjects Building Blocks<div><div class="separator" style="clear: both; text-align: justify;"><a href="https://1.bp.blogspot.com/-O_ZAGhw5Bdw/XtNQrLIeQaI/AAAAAAAAAPQ/aQZ36W4QlIEC2VExjppcggx9Xa6xiwWYgCK4BGAsYHg/i2019111802.jfif" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1270" data-original-width="2200" height="370" src="https://1.bp.blogspot.com/-O_ZAGhw5Bdw/XtNQrLIeQaI/AAAAAAAAAPQ/aQZ36W4QlIEC2VExjppcggx9Xa6xiwWYgCK4BGAsYHg/w640-h370/i2019111802.jfif" width="640" /></a></div><font face="arial" size="2"><div style="text-align: justify;"><br /></div></font></div><div><font face="arial" size="2"><br /></font></div><div><font face="arial" size="2">eObjects were first written by Prof Dennis Streveler and Dr Pankaj Gupta in a white paper in Nov 2018 that was published by Niti Aayog in the book <a href="https://www.slideshare.net/PankajGupta9/reimagining-indias-digital-health-landscape-wiring-the-indian-health-sector" target="_blank">Health Systems for New India, Chapter 5 - Reimagining India's Digital Health Landscape Wiring the Indian Health Sector in Nov 2019.</a></font></div><div><font face="arial" size="2"><br /></font></div><div><font face="arial" size="2">ACCESS Health Digital Strategy Council defined the details of the <a href="https://www.slideshare.net/PankajGupta9/final-ndhb-report" target="_blank">National Digital Health Blueprint</a> building blocks - Minimum viable products including the eObjects and microservices architecture to comply with the NDHB Standards. ACCESS Health Digital runs a Social Entrepreneurship Accelerator to accelerate the implementation of the NDHB Standards through these building blocks. </font></div><div><font face="arial" size="2"><br /></font></div><div><font face="arial" size="2">The eObjects have now been adopted by <a href="https://www.slideshare.net/PankajGupta9/irdai-nha-joint-working-group-sub-group-on-it" target="_blank">Joint working Group of National Health Authority NHA and Insurance Regulatory Development Authority IRDAI Sub group on common IT infrastructure, in its report</a> published on 11 Sep 2019 and will be built into the India’s national Health Claims platform.</font></div><div><font face="arial" size="2"><br /></font></div><div><font face="arial" size="2">The eObjects were designed for interoperability across the healthcare ecosystem on a federated architecture. eEncounter, eDischarge Summary Objects are for Provider-to-Provider interoperability; such that the data can flow across healthcare facilities, State HIE and National Data Lake. Whereas the eClaims Object creates a Financial Lever for the market. If the providers submit the claims in standard eClaims Object format then the turnaround time for their payments can be expected to be faster. Clearly eObjects are an innovative breakthrough.</font></div><div><font face="arial" size="2"><br /></font></div><div><font face="arial" size="2">This is very similar to what happened in the FinTech revolution in India where Government of India created the Unified Payment Interface UPI platform and then created the BHIM App and released the related Application Programming Interface APIs to the market. Later the Market used the API’s and built the hugely successful Paytm, Googlepay, Phonepe wallets. In 3 years the UPI transactions went from negligible to 1 Billion transactions per month.</font></div><div><font face="arial" size="2"><br /></font></div><div><font face="arial" size="2">Financial lever and strong governance for digital health transformation, plays a vital role in ensuring successful outcomes of such undertakings. India would do well to heed this truth. </font></div><div><font face="arial" size="2"><br /></font></div><div><font face="arial" size="2"><a href="https://www.linkedin.com/feed/update/urn:li:activity:6610178813177491456/" target="_blank">ACCESS Health Digital team got an eGovernance Award for the work.</a></font></div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-8109775542729283686.post-29479521692426845932020-04-16T09:49:00.024+05:302021-05-14T16:41:24.759+05:30Provider eObjects Published<div class="separator" style="clear: both; text-align: justify;"><a href="https://1.bp.blogspot.com/-EKg1W2G29zQ/XtVCsAqNxEI/AAAAAAAAAPs/6QLNtFzKn0E0VQACOgnMU-XoomcOJ4JuACK4BGAsYHg/pasted%2Bimage%2B0.png" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="292" data-original-width="602" src="https://1.bp.blogspot.com/-EKg1W2G29zQ/XtVCsAqNxEI/AAAAAAAAAPs/6QLNtFzKn0E0VQACOgnMU-XoomcOJ4JuACK4BGAsYHg/s320/pasted%2Bimage%2B0.png" width="320" /></a></div><div style="text-align: justify;"><br /></div><div><br /></div><div><div><font face="arial">Immediate usecases: </font></div><div><ul style="text-align: left;"><li><font face="arial">ePrescription and eEncounter FHIR based Objects for Telemedicine interoperability. </font></li><li><font face="arial">The same eObjects can also be used for Referral across Primary, Secondary and Tertiary care.</font></li><li><font face="arial">Epidemiological Surveillance is the next big thing. We will need eEncounter, ePrescription and eDischarge Objects to fetch the data from disparate OPD/IPD HIS/EMR systems.</font></li><li><font face="arial">eObjects act as a Standard Output Format in these use cases.</font></li></ul></div><div><font face="arial"><br /></font></div><div><font face="arial">The need for the eObjects arose because most of the Healthcare-IT applications are being developed without any standards by different agencies and vendors in the public and private sector in India. Each application is developed for standalone use without much attention to semantic interoperability. Later when the thought of interoperability emerges – it becomes difficult to connect the systems and make them talk to each other because they were never designed for that purpose.</font></div><div><font face="arial"> </font></div><div><font face="arial">Even if technical and organizational interoperability is done the semantic interoperability may remain a challenge. For example – all applications must have the same Facility master. When Application A sends the ANC data for Facility 123, the receiving Application B should understand ANC and uniquely identify Facility 123. Another example is if a hospital application sends the insurance reimbursement bill to the insurance company/government, the recipient application should be able to understand and re-present the same meaning of bill information.</font></div><div><font face="arial"><br /></font></div><div><font face="arial">Interoperability among e-Governance applications for the health sector requires exchange of information across applications. There is a need for commonly accepted data definitions for the various data elements used in e-Governance systems in Healthcare. Hence, standardization of data elements is the prerequisite for systematic development of e-Governance applications in the health sector.</font></div><div><font face="arial"><br /></font></div><div><font face="arial">The old HIS and EMR systems or even the new breed Digital Health Apps lack credible Global Digital Health Standards. Hence, they exist in silos and don’t interact with each other or the larger Healthcare ecosystem. The data cannot be referred for any meaningful analysis. For example, we still don’t know clearly the size, scale and depth of the Dengue, Chikungunya and H1N1, Flu epidemics that strike us every year. Hence, we are always left gasping for breath when the seasonal spike starts. </font></div><div><font face="arial"><br /></font></div><div><font face="arial">India is already the Diabetes capital of the world with 70 million cases and counting. We still don’t have standard protocols based on the Digital Disease Management Platform.</font></div><div><font face="arial"><br /></font></div><div><font face="arial">The HMIS/HIS/EMR market in India requires Digital Health Standards based FHIR/JSON eObjects that can help the existing systems to communicate with the external world in a Standardized format. </font></div><div><font face="arial"><br /></font></div><div><font face="arial">These Provider eObjects were first published in Health Systems for New India book by Niti Aayog and comply with NDHB, EHR and Meta Data standards, guidelines provided by Medical Council of India, Clinic Establishment Act and as per the latest Telemedicine guidelines released by the Government of India.</font></div><div><font face="arial"><br /></font></div><div><font face="arial">We have published the details of the eObjects on the openbodhik.in. To facilitate standard value sets for the entire ecosystem, we have also provided all the required value sets/code directories/master in an excel format.</font></div><div><ul style="text-align: left;"><li><font face="arial">eEncounter Note</font></li><li><font face="arial">ePrescription and</font></li><li><font face="arial">eDischarge Summary</font></li></ul></div><div><font face="arial"><br /></font></div><div><font face="arial">Please follow the link provided here to access the e-provider objects and related documents:</font></div><div><ul style="text-align: left;"><li><a href="https://drive.google.com/open?id=1i48bAib4lAdbeZqsRm2IsytdbFrYaCXk" style="font-family: arial;" target="_blank">Presentation on what are eObjects and How to use it</a><span style="font-family: arial;"> </span></li><li><font face="arial"><a href="https://drive.google.com/open?id=1p622-1yaeTdu3dkHKYbHckU29XsX2R-c" target="_blank">eObjects v1 Details:</a> Version Deprecated but kept for Historical reference. </font></li><li><div style="text-align: justify;"><a href="https://drive.google.com/file/d/1a57duT6AKgZLP5bqhTYy6xb9e-Wo1Eib/view?usp=sharing" style="font-family: arial; text-align: left;" target="_blank">eObjects v2 Details:</a><span style="font-family: arial; text-align: left;"> Current version in use.</span></div></li><li><div style="text-align: justify;"><a href="https://drive.google.com/file/d/1scX1xXzOl9BgZls6GuK01Wjj_gwwnQwD/view?usp=sharing" style="font-family: arial; text-align: left;" target="_blank">eDischarge Summary v3</a><span style="font-family: arial; text-align: left;"> Including the recommendations from NRCeS</span></div></li><li><a href="https://drive.google.com/file/d/1MKOkOIsjdIJHyTSS-FcKCGy0jXeyHZEh/view?usp=sharing" style="font-family: arial;" target="_blank">Download Sample eEncounter in JSON Format</a></li><li><a href="https://drive.google.com/file/d/1uSZfkQVAzkstJrXLv-XgRk0E5tuO3Z6-/view?usp=sharing" style="font-family: arial;" target="_blank">Download Sample ePrescription in JSON Format</a></li><li><div style="font-family: "Times New Roman"; text-align: justify;"><a href="https://drive.google.com/file/d/1Pqp6cAKT0xa_q99sck4LrSgU02ExTkID/view?usp=sharing" style="font-family: arial;" target="_blank">Download Sample Diagnostic Template in JSON Format</a></div></li><li><div style="font-family: "Times New Roman"; text-align: justify;"><a href="https://drive.google.com/file/d/1lzn_0a6fb6Z9qhbcgHHH2o8kjzZmk67D/view?usp=sharing" style="font-family: arial; text-align: left;" target="_blank">Code Directory Details</a></div></li><li><div style="font-family: "Times New Roman"; text-align: justify;"><a href="https://drive.google.com/file/d/1zwCc4YMJH9c6Dh7XVQga7DXNNemZ5odT/view?usp=sharing" style="font-family: arial; text-align: left;" target="_blank">Provider Working Groups Concept Note</a><br style="font-family: arial; text-align: left;" /></div></li></ul></div><div><font face="arial"><br /></font></div><div><font face="arial">Your respective Healthcare Delivery Systems should be able to generate the Provider eObjects formats. You can use the eObjects as input forms i.e. if you are building a new system. Legacy systems will use eObjects as Standard Output format.</font></div><div><font face="arial"><br /></font></div><div><font face="arial">The provider e-object can also facilitate capturing of signs, symptoms, vitals and procedures data during an active surveillance, which would in turn be useful in studying and analysing a disease outbreak.</font></div><div><font face="arial"><br /></font></div><div><font face="arial">We request you to kindly use these eObjects to collect data in your respective health delivery systems, that we can together facilitate Government with valuable clinical data for analysis and planning.</font></div><div><font face="arial"><br /></font></div><div><font face="arial">eObjects are evolving, c</font><span style="font-family: arial; font-size: small;">heck with us for the latest versions</span><span style="font-family: arial; font-size: small;">. Reach out to us for any help to understand or implement the e-objects. We can set up a group call with all of you to explain these eObjects in detail or even can set up one to one calls.</span></div><div><font face="arial"><br /></font></div><div><font face="arial">Thank You for your continuous association with us.</font></div><div><font face="arial"><br /></font></div><div><font face="arial">-- ACCESS Health Digital --</font></div><div><font face="arial"><br /></font></div><div><font face="arial">Contact for Clarifications:</font></div><div><font face="arial">Access Health Digital</font></div><div><font face="arial">digital.health@accessh.org</font></div></div>Unknownnoreply@blogger.com2tag:blogger.com,1999:blog-8109775542729283686.post-52840489447787290822020-04-15T13:02:00.001+05:302021-01-20T16:08:04.463+05:30ACCESS Health India Perspectives: Digital Will Drive Access to Healthcare<div dir="ltr" style="text-align: left;" trbidi="on">
<div style="background-color: white; box-sizing: inherit; color: #4c4c4c; font-family: "open sans", helvetica, arial, sans-serif; margin-bottom: 1.5em;"><div style="box-sizing: inherit; margin-bottom: 1.5em;">India’s Healthcare system is fragmented, the country is too diverse and large for a single unified system. Each state has its own healthcare programs. The central government provides the majority of the funds but the implementation largely rests with the states. States that are better off are independent in their decision making and show better outcomes. However, India can still aim for standardized protocols and interoperability across states. Interestingly, digital technology is proving to be a binding force between the three important stakeholders of healthcare namely, payer, provider and people. The new Ayushman Bharat national health insurance program is becoming the melting pot for public and private healthcare and emerging as the biggest driver for digital health.</div><div style="box-sizing: inherit; margin-bottom: 1.5em;">Healthcare in India has lagged in adoption of technologies, but digital technologies are now pushing the country in the right direction. Technology driven transformation has happened in many sectors like Mobile and Telecom, Aadhaar based eGovernance, Fintech and Banking. Healthcare is likely to go through a digital transformation now.</div><div style="box-sizing: inherit; margin-bottom: 1.5em;">Technology has already taken its toll on the Hospital Information Systems [HIS] market. Large HIS vendors have exited the market. Either they have lost interest and exited or have been acquired. On the other hand, many tier-II incumbent players are not able to shift out to cloud because of their long term negotiated contracts in client-server model. The newer cloud-based players are comparatively smaller in size and yet to reach size and scale. The HIS market is ready for complete disruption by Digital Health!</div><div style="box-sizing: inherit; margin-bottom: 1.5em;">Now is the Era of Mobile-First Apps. Small Data ^ = Big Data. The time has come when you don’t need big monolithic HIS software to run hospitals. Now you can do a lot with small mobile based Apps for every function. Clinical evidence-based medicine has got a new meaning with Digital devices run on Artificial Intelligence being introduced. These devices can automate Laboratory Reports, read Radiology reports better, do accurate differential Diagnosis, pin point relevant Order sets, send Referrals, drug refill alerts and follow-up reminders. Disease management has gone Digital and the devices are learning fast and outcomes getting better with every new patient.</div><div style="box-sizing: inherit; margin-bottom: 1.5em;">However, the old HIS and EMR systems or even the new breed Digital Health Apps lack credible Global Digital Health Standards. Hence, they exist in silos and don’t interact with each other or the larger Healthcare ecosystem. The data cannot be referred for any meaningful analysis. For example, we still don’t know clearly the size, scale and depth of the Dengue, Chikungunya and H1N1, Flu epidemics that strike us every year. Hence, we are always left gasping for breath when the seasonal spike starts. India is already the Diabetes capital of the world with 70 million cases and counting. We still don’t have standard protocols based Digital Disease Management Platform.</div><div style="box-sizing: inherit; margin-bottom: 1.5em;">The HIS/EMR market in India requires EHR and Meta Data Standards based XML/JSON wrapper/objects that can help the existing systems to communicate with the external world in a Standardized format.</div><div style="box-sizing: inherit; margin-bottom: 1.5em;">We need centralized Registries for uniquely identifying the Patient, Provider and the Facility where the treatment was carried out. We need Reference data dictionaries for standardizing the Diagnosis, Prognosis, Procedures, Laboratory tests, Radiological examinations, Drug prescriptions. This should be the common lookup so that everyone can be interoperable. The need for such Central Registries and Lookup Dictionaries is of paramount importance. Though the vital question remains, as to who will build and manage it. Should it be privately owned and controlled or publicly funded and managed.</div><div style="box-sizing: inherit; margin-bottom: 1.5em;">Health Insurance sector has similar challenges. Private Health Insurance covers about 3% of India Population. There are 17+ Private Insurance companies that also do business in Health Insurance. 4 Public Sector Companies also cover Health Insurance. Four Private Insurance companies whose core business is only Health Insurance.</div><div style="box-sizing: inherit; margin-bottom: 1.5em;">Public Health insurance covers about 10-17% of India Population. 80+% is Out of Pocket expenses. About 2% of India’s population falls below the poverty line every year due to unaffordable hospitalization expenses. Now the Central Government Pradhan Mantri Jan Arogya Yojana (PMJAY) has come to the rescue of most of the uninsured population. PMJAY is set to cover 40-50% of India’s Population. In absolute numbers the market is set to expand from the current 150 million people and go up to 500 million people.</div><div style="box-sizing: inherit; margin-bottom: 1.5em;">Obviously, the TPA business which has been servicing only the private health insurance i.e. 3% of India’s population, must gear up to support PMJAY covering over 40% of India’s population. Hence TPA business is ready for disruption. The number of daily claims is set to go up by multiple times.</div><div style="box-sizing: inherit; margin-bottom: 1.5em;">All these claims pipelines cannot be processed manually. We need to use high end technology to process the claims. We need a Standardized Claims format. The TPA market in India requires XML/JSON based standard Claims wrapper/object that can help the existing systems to communicate with the Hospital HIS/EMR world and the Health Insurance world in a Standardized format.</div><div style="box-sizing: inherit; margin-bottom: 1.5em;">Globally, winds of change are evident. Digital is totally changing the way Health Insurance business has been run in the past. CVS has been building retail Primary Care centers and Diagnostics in its Pharmacies. Now with CVS Purchasing Aetna! John Hancock is shifting from traditional Life Insurance model to incentivize longer, healthier lives. In brief, they will move away from Life insurance model to Disease management and Precision medicine. Blockchain based Unique Identifiers are emerging. AI based start-ups are working on meta data driven Discharge Summary, Hospital Billing and Claims, Intelligent Claims Adjudication and Fraud detections. The Digital Tech Giants are becoming Healthcare companies. The lines are beginning to blur.</div><div style="box-sizing: inherit; margin-bottom: 1.5em;">Is India far behind? Not really, India has a habit of leapfrogging stages, specifically with regard to Telecom and FinTech sectors. It will now happen to Healthcare. A Digital Healthcare Ecosystem is already taking shape.</div><div style="box-sizing: inherit; margin-bottom: 1.5em;">https://accessh.org/access-health-india-perspectives-digital-will-drive-access-to-healthcare/</div></div>
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Unknownnoreply@blogger.com2tag:blogger.com,1999:blog-8109775542729283686.post-61268998478363376832020-04-15T12:52:00.003+05:302021-01-20T16:05:47.745+05:30India Leads the Way in Digital Health<div dir="ltr" style="text-align: left;" trbidi="on">
<div style="background-color: white; box-sizing: inherit; color: #4c4c4c; font-family: "Open Sans", Helvetica, Arial, sans-serif; margin-bottom: 1.5em;"><div style="box-sizing: inherit; margin-bottom: 1.5em;">India is in the midst of what some have dubbed the “world’s biggest healthcare overhaul.” In addition to recently launching one of the world’s largest publicly funded health insurance programs, set to cover some 500 million people living in poverty, the government has also been working diligently to develop a new digital health strategy for the nation.</div><div style="box-sizing: inherit; margin-bottom: 1.5em;">The work on the strategy began more than five years ago, when the Ministry of Health and Family Welfare and the Ministry of Communication and Technologies developed a new set a metadata and data standards for health – essentially a common set of standards for the collection, creation, and coding of all health data that can be easily transferred across computers and information systems anywhere in the country. The standards were based on global best practices but adapted to better serve the local context. Previous to its work on data standards, the government also developed a system to allow it to issue a National Identification Number to all healthcare facilities in India.</div><div style="box-sizing: inherit; margin-bottom: 1.5em;">These efforts have now put the government of India in a position to launch a new National Digital Health Blueprint. The blueprint, which is now open for public comments and consultations, validates the six pillar strategy that ACCESS Health has advocated for, namely:</div><div style="box-sizing: inherit; margin-bottom: 1.5em;">A governance methodology and framework to help the digital health blueprint bring balance between patient privacy and scale.</div><div style="box-sizing: inherit; margin-bottom: 1.5em;">Highlight the value and role of standards-based system design, including meta data and data standards for health, the health data dictionary, and registries.</div><div style="box-sizing: inherit; margin-bottom: 1.5em;">A Health Delivery Information System to better manage healthcare provider operations, including software for patients medical records.</div><div style="box-sizing: inherit; margin-bottom: 1.5em;">A Health Insurance Information Platform to provide better underwriting support for government schemes and to manage fraud and risks.</div><div style="box-sizing: inherit; margin-bottom: 1.5em;">Electronic Health Records and a Health Information Exchange to provide citizens access to their health records and allow policy experts to understand disease burdens patterns.</div><div style="box-sizing: inherit; margin-bottom: 1.5em;">Information and communications technology for infrastructure and capacity building to support digital health transformation.</div><div style="box-sizing: inherit; margin-bottom: 1.5em;">A number of key members now on the ACCESS Health Digital Health team previously worked on the metadata and data standards initiative and on developing the national identification numbers. Their work was carried forward in the national blueprint.</div><div style="box-sizing: inherit; margin-bottom: 1.5em;">In addition to its impact in India, the work the government has undertaken is likely to become a model for other emerging nations. The blueprint highlights some of the key points that ACCESS Health believes should be a part of any national digital health strategy. These include:</div><div style="box-sizing: inherit; margin-bottom: 1.5em;">The need for federated governance and technology models to reflect the healthcare system, given that healthcare in India is a state-related subject;</div><div style="box-sizing: inherit; margin-bottom: 1.5em;">The need to shift focus to more preventive medicine via a focus on strengthening the primary healthcare system and promoting alternative schools of medicine;</div><div style="box-sizing: inherit; margin-bottom: 1.5em;">The importance of issuing of a personal health identification number that allows consent-based identification and portability of medical records across the continuum of care;</div><div style="box-sizing: inherit; margin-bottom: 1.5em;">The importance of a mobile-first design approach that recognizes the growing penetration of telecommunication links on the back of low data tariffs;</div><div style="box-sizing: inherit; margin-bottom: 1.5em;">The need for a data-driven approach to health policy making that recognizes the role of disease registries for accurate capturing of health burden; and</div><div style="box-sizing: inherit; margin-bottom: 1.5em;">Recognition that there’s a need for keeping citizens healthy and productive to achieve economic growth as sick citizens become a burden on the system.</div><div style="box-sizing: inherit; margin-bottom: 1.5em;">Our Digital Health team looks forward to supporting the Government of India in its ongoing efforts to develop and implement this critical new strategy to improve health in the country.</div><div style="box-sizing: inherit; margin-bottom: 1.5em;">https://accessh.org/india-leads-the-way-in-digital-health/</div></div>
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Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-8109775542729283686.post-61984594710607890072020-04-15T01:04:00.018+05:302021-04-19T19:07:39.120+05:30Strategy Council 1000 days Recommendations<div><span style="font-family: arial;"><br /></span></div><p></p><div style="font-family: arial;"><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-LILRdvmo93I/YH1dTN_iJCI/AAAAAAAAAcQ/BTjxcxDWanE-2esIr4a16oCqQJrWPPmmwCLcBGAsYHQ/s2048/IMG_20190415_170255.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="2048" data-original-width="1536" height="400" src="https://1.bp.blogspot.com/-LILRdvmo93I/YH1dTN_iJCI/AAAAAAAAAcQ/BTjxcxDWanE-2esIr4a16oCqQJrWPPmmwCLcBGAsYHQ/w300-h400/IMG_20190415_170255.jpg" width="300" /></a></div><br /><span style="font-family: arial;"><br /></span></div><span style="font-family: arial;">Digital Health Strategy Council was commissioned by the Department of Digital Health, ACCESS Health International. The Theme was Digital for Universal Health Coverage for India. It brought together an Eclectic group of Healthcare and Digital Health Experts to come up with far reaching and game changing recommendations to achieve the objective over 1000 days. </span><div><span style="font-family: arial;"><br /></span></div><div><span style="font-family: arial;">Recommendations were prepared by Digital Health Strategy Council during April 2019 to June 2019. The recommendations were released on 27th June 2019.</span><br /><ol style="text-align: left;"><li><span style="font-family: arial;">Healthcare in Concurrent list.</span></li><li><span style="font-family: arial;">GST Council model - Healthcare Council.</span></li><li><span style="font-family: arial;">Declare Healthcare as Fundamental Right.</span></li><li><span style="font-family: arial;">Roadmap 60%, 80% and then 100% UHC.</span></li><li><span style="font-family: arial;">Portability of Healthcare like telecom. </span></li><li><span style="font-family: arial;">Declare Hospital as Infrastructure Sector.</span></li><li><span style="font-family: arial;">AI based Health Delivery information Systems (HDIS) for Medical Colleges. Catch them young. Publish Standards based HDIS (like Android model). Let the vendors put their own skin on top.</span></li><li><span style="font-family: arial;">Social Media type Knowledge Management (KM) built on National Knowledge Network (NKN) across public sector and private sector hospitals for knowledge sharing across secondary, tertiary.</span></li><li><span style="font-family: arial;">Setup 150k Jan Aushadhi stores with Telemedicine kiosk for primary care. </span></li><li><span style="font-family: arial;">Health insurance Claims in Standard electronic format.</span></li><li><span style="font-family: arial;">Aadhaar allowed for Beneficiary Registry.</span></li><li><span style="font-family: arial;">Aadhaar allowed for Provider Registry.</span></li><li><span style="font-family: arial;">Facility Registry for Hospital Empanelment.</span></li><li><span style="font-family: arial;">Disease Registries for NCD.</span></li><li><span style="font-family: arial;">Organ Donation by default while issuing driving license, voter ID. Uncheck if person doesn't want to donate.</span></li><li><span style="font-family: arial;">Institutionalized Mission Mode National Digital Health Authority (NDHA).
</span></li></ol><p></p><p><span style="font-family: arial;"><br /><br /></span></p><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-tIsESQoAReo/YH1dldMl53I/AAAAAAAAAcY/lkzRCrnO1YQovbfER4QNrbtdcPMPdbZ4ACLcBGAsYHQ/s2048/IMG_20190415_123109.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1536" data-original-width="2048" height="300" src="https://1.bp.blogspot.com/-tIsESQoAReo/YH1dldMl53I/AAAAAAAAAcY/lkzRCrnO1YQovbfER4QNrbtdcPMPdbZ4ACLcBGAsYHQ/w400-h300/IMG_20190415_123109.jpg" width="400" /></a></div><br /><p></p><p></p><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-zu7lwrBjZ28/YH1dviR2B-I/AAAAAAAAAcc/w_8jjXGbBqcv1Feqe4AuUP4UDTFtOJBDgCLcBGAsYHQ/s2048/IMG_20190415_145323.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1536" data-original-width="2048" height="300" src="https://1.bp.blogspot.com/-zu7lwrBjZ28/YH1dviR2B-I/AAAAAAAAAcc/w_8jjXGbBqcv1Feqe4AuUP4UDTFtOJBDgCLcBGAsYHQ/w400-h300/IMG_20190415_145323.jpg" width="400" /></a></div><br /><span style="font-family: arial;"><br /></span><p></p><p></p><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-4rMOmPxyKM8/YH1d3f3hY1I/AAAAAAAAAck/LUdzhL61wvU1CCF5Dp2qgZm9NYD7G0wVwCLcBGAsYHQ/s2048/IMG_20190417_172234.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1536" data-original-width="2048" height="300" src="https://1.bp.blogspot.com/-4rMOmPxyKM8/YH1d3f3hY1I/AAAAAAAAAck/LUdzhL61wvU1CCF5Dp2qgZm9NYD7G0wVwCLcBGAsYHQ/w400-h300/IMG_20190417_172234.jpg" width="400" /></a></div><br /><span style="font-family: arial;"><br /></span><p></p><p><span style="font-family: arial;">Chaired by:<br /></span><span style="font-family: arial;">Dr. Ramachandran Balaji - Chair<br />Digital Health Industry Leader <br /></span><span style="font-family: arial;">Prof. Dennis Streveler - Co-Chair<br />International Digital Health Evangelist<br /></span><span style="font-family: arial;">Mr. Bhavish Sood - Co-Chair<br /></span><span style="font-family: arial;">Ex-Gartner Digital Transformation Leader</span></p><p><span style="font-family: arial;">Guided by:<br /></span><span style="font-family: arial;">Dr. Krishna Reddy<br /></span><span style="font-family: arial;">Country Director - India<br /></span><span style="font-family: arial;">ACCESS Health International</span></p><p><span style="font-family: arial;">Sponsored by: <br />
Dr. Pankaj Gupta <br />
Head of Department - Digital Health <br />
Access Health International </span><br /></p></div>Unknownnoreply@blogger.com0