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The unprecedented diseases spreading all over the world have brought considerable change in all sectors of society. The major sector which received tremendous change is obviously the medical field. The treatment protocol medical procedures consultation procedures everything has been changed. The major problem regarding the covid era was to treat the non covid patients at the hospitals who are having not much serious medical requirements. The people who don’t even require that much serious medical care were forced to turn up at the hospitals for consultation which make them exposed to covid infections. In this scenario the central government introduced the concept of telemedicine called e-sanjeevini for eradicating the above said problem. Let us look into the peculiarities and particulars of the telemedicine facility called e-sanjeevani.
Background of e-Sanjeevani TeleMedicine
Under the scheme of Ayushman Bharath the central government was committed in transforming around 1.5 lakhs of state health care centres(SHC) and public health care centres(PHC) into Health and welfare centre (HWCs) to lay down the foundation for the national health policy 2017. The proposed target date is December 2022. The ministry of health and family welfare decided to leverage information and communication technology(ICT) advancement into these projects as part of the Ayushman Bharath which gives away the constitution of telemedicine which is an online medical consultation. Thus the ministry of health and family welfare has decided to rollout telemedicine services as part of national health mission in all health wellness centres (HWCs) on a Hub and Spoke model in phased manner. For overcoming the interconnectivity and interoperability issues in the project the ministry has adopted the CDAC’s sanjeevani telemedicine application to roll out in Health and Wellness centres (HWCs).
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The Technical Architecture
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The technical architecture of the telemedicine for HWC includes a 3 tier architecture called level 1 level 2 and level 3
Level 1: HUB would be created at State Medical College for providing Specialist/Super-specialist Consultation to Doctors at PHC and Specialist/Doctor consultation to MLHPs / CHOs at Health Sub-Centre (HSC). The States are at liberty to have Hubs at Zonal level, wherever the need arises. The required infrastructure required for the Hubs will be supported under NHM or other programmes of the Ministry, as the case may be.
Level 2: PHCs will be upgraded as Tele-Medicine center with required infrastructure for providing Tele-Medicine services to Health Sub Centres and for seeking Specialist/Super Specialist Consultation from HUB.
Level 3: Health Sub Centres with Telemedicine Infrastructure can connect to Medical Officers at PHC or directly seek Tele-Medicine services from MBBS/Specialist Doctors stationed at HUB. The specialists available at District Hospitals may also be utilized by establishing the teleconsultation facility there.
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Features of the Telemedicine
The features and peculiarities of the e sanjeevani telemedicine solution developed by CDAC is as follows:
- Centrally hosted
- Web Based application compatible with mobile also
- Enables doctor to doctor consultation
- Supports in-built video conferencing & text chatting
- Uses SNOMED CT terminology
- Supports DICOM viewer for X-RAY/CT-Scan/MRI
- Provides option to MLHPs at Health Sub Centres to have Telemedicine consultation with PHCs or with HUBs as the case may be
- Integrated e-Prescription feature
- Provision to have the list of drugs available at various levels of public health facilities such as HSCs / PHCs as Inbuilt list visible to the Doctors using at the HUBs or PHCs so that prescription by them to the MLHPs becomes very easy
- Seamlessly (wireless) captures over 12 readings (test results and physiological parameters) from an integrated diagnostic device
- Hosts a comprehensive dashboard (with useful information / indicators) for users
- Enables patient-end physician/paramedic to set order of preferences w.r.t. medical specialists at far end and maximum turn-around time
- In case of no-reply from a specialist, automatically transfers the case to the next preferred specialist
- Integrated with MoHFW’s MyHealthRecord (Personal Health Record Management System – PHRMS) to enable lifetime archival of health records in patient’s PHR profile
- Updates users through SMS notifications and alert
- Will be seamlessly integrated in the CPHC – IT Application.
Monitoring Framework
The monitoring framework of the above project is a 4 level decentralised monitoring architecture as follows:
National Monitoring Team: centre for Health informatics (CHI), Ministry of health and family welfare headed by Director(CHI) would monitor the overall functions of the programme from the centre level.
State Monitoring Team: Mission Director (NHM) shall take up all administrative function monitoring at the state level on key performance indicators (KPI). For the above function A project monitoring office (PMO) will be created at the state level
District Monitoring Team: There will be a chief medical officer (CMO) at district level for monitoring the implementation of telemedicine service at district level.
Hub Monitoring: There will be a nodal officer – tele medicine appointed by the respective state medical college to monitor the overall human resources at telemedicine hub.
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Conclusion
The e-sanjeevani telemedicine is the innovative step that has been taken by the ministry to deploy the human physical appearance for medical consultation. The basic information and architecture of the project is as above said. Hope the new technology and advancement can eradicate the struggles of this unprecedented situation. A competitive exam aspirant should know the sum and substance along with the deep structural existence of the project to have a comprehensive idea regarding the project for scoring high marks in the competitive examination as well as being a well informed person. Keep studying Keep winning.
