IPM-Diagnostics

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Registration Name : eINDIA2011/AN/191
Project Category : eHealth::Best Govt Policy Initiative of the year
Project Name : IPM-Diagnostics

Details of Applicant
Name : Phani Kumar K
Address : Narayanguda
City : Hyderabad
State : Andhra Pradesh
Country : INDIA
Zip Code : 500029

Details of Project/Implementing Agency
Name of Organisation : INSTITUTE OF PREVENTIVE MEDICINE, PUBLIC HEALTH LABS. & FOOD (HEALTH) ADMINISTRATION, A.P., HYDERABAD and NIC,APSC
Address : Narayanguda,,
City : Hyderabad
State : Andhra Pradesh
Country : INDIA
Zip Code : 500029
Name of the head of Organisation : Dr. Mrs.P.SUCHARITHA MURTHY, MD – DIRECTOR and K. Rajasekhar
Website : http://ipm.ap.nic.in

Brief description of the programme/project/Initiative :
The Institute of Preventive Medicine, Public Health Laboratories and Food (Health) Administration is a multi-faceted Department with multifarious activities and functions in the process of achieving preventive health care. It plays a vital role in the socio- medical and health care, catering to the health needs of the population of the State of Andhra Pradesh. The Various wings of the Institute : A. Vaccine Manufacturing Units B. Public Health Laboratory Diagnostic Wing C. Laboratory Animal House D. Blood Bank Wing E. Prevention of Food Adulteration Enforcement Wing F. Biological Standardisation & Quality Control Wing G. Virology Unit H. Anti Rabies Vaccine Clinic I. Immunisation Clinic J. International Vaccination Centre K. Central Reception L. Regional Public Health Laboratories M. District Public Health Laboratories N. Analytical Wing Services Provided 1. Diagnostic Services
2. Water Analysis (Regional Labs 4)( Public Health Laboratories (4) )(Water Quality Monitoring Units (8))
3. Blood Bank Services
4. HIV Screening Center
5. International Vaccination Center
6. Immunization Service
7. Enforcement of Prevention of Food Adulteration Act
8. State Food Laboratory
9. Training Services / IPM College of Medical Laboratory Technology.
10. Epidemic cell The diagnostics Services are provided for cases from 7 Hospitals: IPM, Govt Hospitals of Nampally, ENT, KK, Malakpet, Vanasthalipuram and Sultanbazar

Why was the project started :
To solve the problems by harnessing the state-of-the-art ICT the project was started
1. The quality of the investigations and the reports used to be poor and complaints problems used to occur everyday from the citizens visiting the public health lab and analysis was tedious.
2. There used to be huge queuing time to get the vaccination done for the international travellers. International travellers used to wait for several days some times to get their turn. Huge queuing time has associated problems of corruption also. There used to be complaints and problems every day.
3. People died by just drinking the water supplied through the public supply system in Bolukpur, Hyderabad Andhra Pradesh, India during 2009. To monitor the quality of water in-situ and avoid recurrence of such incidents.
4. Timely reporting of the investigation reports especially in the case of diseases such as Human Influenza A-H1N1 is vital to save the hospital resources. Only less than 10% of the total cases admitted used to be positive for A- H1N1, rest of the suspected patients can be discharged to save resources and time. To solve the problem of delays in reporting, the investigation reports were messaged (harnessing Mobile technology) to treating doctors irrespective of their location in the state.
5. Blood availability status if known before hand, then needy can take timely decisions especially during the golden hours.

Objective
The Organisation aims to provide laboratory services in diagnosis of diseases through pathology, microbiology and biochemistry. It seeks to provide facilities in diagnostic units in all medical laboratory tests for common public, government employees and patients of various Government Hospitals and also Private Hospitals. The services are free for State Govt Employees and other citizens are charged nominally, much less than the private service providers.The objective of the Project is to make use of IT for delivering services to the citizens with greater reliability, availability and serviceability with minimal resources in terms of cost and human resources. NIC has developed the softwares required and NIC Data Centre is being used as the key-supporting element. Designed to optimise the existing manual processes with interfaces to various stakeholders, minimising the daily routine tasks of the dept. officials.

Target group for the various services:
Internal: Govt Officials of the Department, Govt Officials of Water works Department External: • Citizens requiring diagnostic services • State Govt Employees (and family members) • International Travellers • Citizens who have drinking water connection in twin cities • Students • Health Officials of Universities & International Airports • Citizens requiring blood in case of surgery etc
Geographical reach :
•Diagnostic Services: Citizens of Andhra Pradesh, especially State Govt Employees. Registration and report generation are rendered under this project. • VAIT (Vaccination Appointment for International Travelers)- Citizens of India, especially entire Andhra Pradesh, and from all over India are utilizing the service. At present the registration of international travelers for vaccination, scheduling of the service and issue of appointment are the three key services being rendered to the citizens. Earlier, the citizen has to physically visit the IPM to get this service. So only from a single location the registration service used to be available. Service used to be delivered on working days during normal hours only. With VAIT Internet is the delivery channel for rendering this service. These services are available round the clock over internet. • Water Quality Monitoring System: Citizens of Hyderabad diseases. • Blood Bank : Citizens of Hyderabad.
Date from which the project became operational : 8 June 2007
Is the Project still operational : YES

10 points that make the programme/project innovative?

  1. Diagnostics: Error free, timely, reliable reports. Able to cater to more number of patients / customers. It ensures better medical record keeping, solves the problems of misfiling, space requirements to store the records, legibility in the reports etc. Data is available for analysis, Department wise, test wise, hospital wise, type of patient wise, ie, if a State Govt employee etc.
  2. Water quality: Insitu testing and reporting thru mobile phone using the user friendly software loaded on the mobile phones of the samplers. The lab reference number is generated automatically, and if the report happens to be below the standards, an sms alert is sent to the authorities concerned, which will enable them to take immediate corrective action. Action taken is again recorded and published online.
  3. Vaccination: Never in the history of Governance in India, getting an appointment for delivery of any Government service through online service (24 x 7), from the comfort of home, for a public service was possible at the time of introduction of VAIT. ( Impressed by the success of this model, the transport department has taken this model for replication for fixing the driving test appointments for issue of the driving licences in Andhra Pradesh). • Earlier on around 70 vaccinations used to be administered per day with more staff for longer duration. Now from 100 to 150 vaccinations are being administered with lesser staff and lesser working / normal working hours.
  4. The VAIT system has also facilitated management of emergency category travellers, which hitherto used to be very difficult. More than 90% of the users are taking the services through VAIT. The remaining 10% of users fall under emergency categories that are leaving for other countries the same day or the very next day as they are not able to get the appointment due to non availability of slot for appointment on short notice. The emergency category travellers are given vaccination on production valid travelling ticket scheduled for the same day or next day.
  5. Blood Bank : availability of blood in the Blood Bank is published online daily through the website. This enables public to know the availability of blood, packed cells and fresh frozen plasma and other components in number of units in the Central Blood Bank, IPM, blood group wise and plan accordingly.
  6. Human Influenza A-H1N1 (Swine Flu): The organisation had risen to the situation and sent the results for H1N1 test through SMS to the doctors concerned using mobile technology.
  7. Blood Bank : It has been appreciated by people and Government Officials that availability of blood and blood components is published dynamically on the web site.
  8. The software is accessible round the clock
  9. Designed to optimise the existing manual processes with the existing human resources
  10. With interfaces to various stakeholders, minimising the daily routine tasks of the dept. officials.

List the 5 achievements of the programme/project?

  1. Reduction of waiting time of the patients.
  2. Enhancement of transparency
  3. Enhancement of Accountability
  4. Maintenance of medical records as per MCI norms electronically.
  5. The system is operational 24x7x365 basis since its installation as hospitals run 24 hours without any holidays throughout the year.

List the 5 key challenges faced while implementing the programme/project/iniative

  1. Handling scalability issue to serve a large number of concurrent users. It was overcome by implementing latest IT solutions like use of connection pooling for database connectivity etc.
  2. Handling concurrency issue for online services. Transparency , accuracy, scalability, availability, reliability, concurrency are built into the system. Latest mobile technology and internet technologies were harnessed successfully for the benefit of student community.
  3. System is user friendly and is being used successfully by citizens and department officials. Initial Training has been given to the Department Officials.
  4. The problem of budget allocation for computerization was overcome by using the existing Storage Area Network Infrastructure of NIC. Being a Government organization, the software analysis, design, development services were rendered freely by NIC using open source technologies.
  5. IPM has made use of the existing systems and internet facilities for implementing the project. So no capital expenditure was incurred. In the case of Working capital, the project has resulted in saving manpower. So as the project proved to be economically also beneficial to both the department the Public, the project is well sustained.

List the 5 points how can the prgramme serve as a model that can be replicated or adapted by others?

  1. The system has been designed to make use of available ITC infrastructure to a great extent.
  2. NIC Data Centre is being used as the key- supporting element for delivering services to the citizens with greater reliability, availability and serviceability. The NIC Data Centre has been providing better operations & management control and drastically reduced and eliminated lot of overheads thus greatly minimizing overall cost of Data Management, IT Management, Deployment and other costs.
  3. Entire application has been developed using open source technologies. The promise of open source is better quality, higher reliability, more flexibility, lower cost, and an end to predatory vendor lock-in. So the tax payer’s money has been conserved greatly with this approach. Designed to optimise the existing manual processes with interfaces to various stakeholders, minimising the daily routine tasks of the dept. officials.
  4. Financial: The Capital and the working capital should be less than or equal to the pre-project implementation expenditure for the project to be sustainable. In this case, the existing Storage Area Network Infrastructure of NIC has been used, being a Government organization in Health Sector, the software analysis, design, development services were rendered freely by NIC. IPM has made use of the existing systems and internet facilities for implementing the project.
  5. The project has resulted in saving manpower. So as the project proved to be economically also beneficial to both the department and the Public. The project is well sustained.

List 5 points to elaborate on the scalability of the programme/project/iniative

  1. Entire application has been developed using open source technologies.
  2. NIC Data Centre is being used as the key-supporting element for delivering services to the citizens with greater reliability, availability and serviceability.
  3. The scalability of the project is maintained by providing high configured hardware , and multiple server replications when needed.
  4. The system is highly scalable from all angles storage, processing and messaging etc., service.
  5. The promise of open source is better quality, higher reliability, more flexibility, lower cost, and an end to predatory vendor lock-in. So the tax payer’s money has been conserved greatly with this approach.

Documents publishing URL :

  1. http://ipm.ap.nic.in
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2 Responses to IPM-Diagnostics

  1. P.Bharathi says:

    I vote for IPM because it’s health services are highly appreciable especially for Diagnostic Services, vaccination services, blood bank services etc

  2. subbireddyk says:

    Good project