Chandigarh,20.12.18-Five day National Workshop cum CME on Health Systems Strengthening is going on at Department of Community Medicine and School of Public Health, PGIMER Chandigarh under the leadership of Professor Dr Arun K Aggarwal. Dr T Selvavinayagam, Director, Institute of Community Medicine, Madras Medical College. Chennai shared Tamil Nadu experience on IT enabled Comprehensive Medical and Health Insurance.Tamil Nadu IT framework captures all the details of hospital infrastructure, accreditation, banking, taxation and specialists etc. Once they enter the URN number and click search, system will display the details available for the entered URN. e card can be displayed for printing and there is provision of e payments. There is also provision of SMS getaway interface that enables real time process alerts on pre authorization approval, complaint registration etc. The current scheme is covering around 70% of the state of Tamil Nadu. Beneficiary registration system is very simple and patient friendly. Tamil Nadu state package has been supplemented with PMJAY package. Unique aspect is that part of the fund generated through PMJAY in public sector, is used to strengthen the health systems in terms of consumables and providing incentive to treating team. Part of this can also be used to provide additional staff if hospital decides to create extra 30 beds for this scheme.

Dr Pankaj Arora, APHA, Hospital Administration, PGIMER Chandigarh moderated panel discussion on PMJAY. Dr. Monika, Executive officer, Beneficiary Identification System Haryana informed that scheme has been implemented in Haryana. She clarified that if a patient is admitted in a hospital without knowing that he was PMJAY beneficiary and after 3-4 days during admission he comes to know about his status, then previous amount spent by him can be reimbursed. She said that if patient from UP gets admitted in Haryana, he will still be treated here and reimbursement will happen from UP. Dr. Shweta Mohindru, Assistant CEO, State health agency Punjab informed about various health insurance schemes of Punjab and told that state is in process of integrating these with PMJAY. Dr Navneet from PGIMER, Chandigarh informed about challenges in implementation. It was concluded that PMJAY has highest political will and is getting implemented at a very fast pace. Ultimately it is going to help the beneficiaries and also strengthen the health systems. In short term it may look like giving benefit to private sector, but eventually when it gets stabilized it will help the poorest of the poor.

Dr. Hemant D Shewade, Senior OR Fellow and The Honorary Advisor, Karuna Trust, Bangalore told about the LOGISTIMO app. In collaboration with Logistimo, Karuna Trust has been using a software application that maintains stock inventory of medicines, surgical items, laboratory items, vaccines and hospital equipment in PHCs via a GPRS enabled mobile phone. This system provides live visibility of these medicines to Karuna Trust who can take necessary steps for the replenishment of these essential items within seven days in the PHCs once the stock of any essential item is finished or exhausted. In the past year, the usage of the application has increased at the PHC level to nearly 80% across Karnataka state.

Piramal Swasthaya team from Hyderabad also shared their IT experience. Dr Shailendra Kumar Hegde, Head Clinical Domain and Innovations shared his experience with the use of ICT to strengthen Primary Health care in India. He spoke about the use of IT in the NITI aspirational districts transformation programme, telemedicine services through public private partnerships, community health outreach programme, remote health advisory and health intervention services.Dr. Vishal Dogra, Chief Manager spoke about the ChandranaSancharaChikitsa – Community Outreach Model (MMUs) which is a doctor led model. Core services include once a month regular primary care services, screening and lab tests, referrals and patient education. It’s a Doctor led model. Dr. Devesh Varma, Chief Technology Officer spoke about the IT challenges while setting up the system and decision support systems to be taken with the stakeholders. He spoke about AMRIT which is an integrated electronic medical record; a mobility solution which includes call helpline, mother and child care and remote outreach. AMRIT seems t be ultimate solution that govt. of India can also adopt.

Dr Ravindra from Save the Children emphasized that IT solutions should be contextualized. Team from NIMHANS Bangalore, Dr Shafeeq and Dr Ayushman introduced the Acute Encephalitis Surveillance system that use IT platform, uses algorithms and standards and is being implemented. It helps to pinpoint which pathogen is responsible for Acute Encephalitis: whether it is Scrub Typhus, Japanese Encephalitis, Enterovirus etc. In addition to IT platforms, they have step up infectious sample transportation mechanisms. Many of such interventions can be used by states to improve their surveillance systems.