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AT I FA A Q U E E L
G u e s t T e a c h e r
E l e c t r o n i c s E n g i n e e r i n g S e c t i o n
U n i v e r s i t y W o m e n ’ s P o l y t e c h n i c
A l i g a r h M u s l i m U n i v e r s i t y
A l i g a r h
ICT FOR HEALTH AND
MANKIND
INTRODUCTION
Today, the technology is changing the landscape of the world and leading us towards a
sophisticated technical world.
Information and Communication Technology (ICT), refers to the various electronic
tools and services that facilitate communication and the sharing of information and
knowledge.
ICT is similar to Information Technology (IT), but focuses primarily on
communication technologies. This includes the Internet, wireless networks, cell
phones, and other communication mediums.
The unravelling of new technologies has expanded the world of ICT in such a way
that our own world seems much smaller, and much more connected than ever before.
25-12-2020 By: Atifa Aqueel 2
INTRODUCTION
• Today ICT not only means the call you make to relatives on the
other side of the world, or the quick email you send through your
mobile phone.
• ICT is now something much more deeply woven into the fabric of
our lives.
• The emerging role of ICT has created a huge impact on Healthcare.
• It enhances the quality of care, increases the patient security and
data protection and reduces operating & administrative cost.
• Accessibility to information has become simple using ICT and also
people find themselves more relaxed while availing healthcare
service.
25-12-2020 By: Atifa Aqueel 3
CHALLENGES IN HEALTH CARE
SECTORS
• There are various challenges faced by the Healthcare sectors such as
• Storing the medical record of the patient.
• Maintaining Hospital Information System
• Maintenance of medical equipment
• Medication error.
• Large communication gap between rural and urban population.
• Absence of accurate information in villages.
• Transportation difficulties and lot more.
25-12-2020 By: Atifa Aqueel 4
ICT REVAMP THE HEALTHCARE SECTOR
• The advancement of ICT revamp the whole process of the
healthcare sector.
• Through ICT the urban –rural disparities have been broken &
shortened.
• If a doctor has the right communication channel it is easy to deliver
treatment and care for the patient who is located anywhere around
the world.
• ICT enabled systems help the Doctor to continuously monitor the
patient’s history, diagnostic report, and track the current health
condition.
• The Doctor can also interact with patient, recommend to take
medical examination and prescribe medicine.
25-12-2020 By: Atifa Aqueel 5
INDIAN HEALTHCARE PARADIGM
India has taken significant leaps in terms of socio-economic development since
its independence, and has strengthened its position as one of the largest
economies in the world.
A World Bank report published in 2010 estimates that India is annually losing
over 6% of its Gross Domestic Product (GDP) due to the premature deaths and
preventable illnesses.
India, has a current population of 1.25 billion. By 2050, it is expected to
reach 1.6 billion. So, the public health planners of the country have a big
challenge to cater to.
The performance of the health sector is suboptimal because of an increased
burden of factors like political instability, underdevelopment, weak institutions,
scarcity of resources, inadequately developed social sectors and evident social
inequalities.
A World Bank report published in 2010 estimates that India is annually losing
over 6% of its Gross Domestic Product (GDP) due to the premature deaths and
preventable illnesses.
India, has a current population of 1.25 billion. By 2050, it is expected to reach
1.6 billion. So, the public health planners of the country have a big challenge to
cater to.
25-12-2020 By: Atifa Aqueel 6
KEY INDICATORS
1. Healthcare Spending Per Capita:
This low spending is a reflection on India neglecting its healthcare sector
by not spending sufficiently in developing the infrastructure, while the
focus is to transform it into an IT-enabled structure.
25-12-2020 By: Atifa Aqueel 7
KEY INDICATORS
2. Government Expenditure on Health as a Percentage of Total
Expenditure:
• The Indian government spends a trivial 4% of GDP on healthcare, out of
which majority share is of the private sector.
• The government’s contribution in India stands at approximately 33%, while
in the US and China, the same stands at nearly 46% and 56%, respectively
25-12-2020 By: Atifa Aqueel 8
KEY INDICATORS
3. Penetration of Physicians:
The number of doctors per 1000 population stands at 3.31 in the US, and 1.53
in case of China. The ratio for India stands at nearly 0.6 doctors per 1000
population reflecting the plight of patients who have to wait in long queues for
getting medical consultation and treatment.
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KEY INDICATORS
4. Penetration of Hospital Beds:
Another drawback of the Indian healthcare sector is the shortage of beds. The
level is below 1 (0.7) per 1000 population. The figures depict that not enough
funds are allocated by the Indian government for the healthcare infrastructure
development.
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KEY INDICATORS
5. Hospital Network:
• Although the government is making
endeavour to establish better healthcare
facilities in terms of hospitals, PHCs,
CHCs, medical colleges, AYUSH,
blood banks, etc. the respective
infrastructure is still overburdened.
• The year 2012 marked a sudden surge
in the number of rural hospitals.
• The National Health Profile document
elicited the fact that many regions, like
J&K and Uttarakhand have not reported
developments in hospital infrastructure
post 2008.
25-12-2020 By: Atifa Aqueel 11
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INDIAN HEALTHCARE SECTOR:
CURRENT CHALLENGES
Poor Patient Monitoring and Tracking
Low government spending on healthcare
Increasing disease burden
Low doctors and hospital beds per 1000 population ratio
Lack of awareness, accessibility and affordability in Tier 2-3
cities/rural areas
Inadequate sanitation and hygiene conditions
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ROLE OF ICT IN HEALTHCARE
To tackle these challenges, the process of health planning needs to evolve by
the use of ICT in healthcare delivery and distribution and public health
decision making at every level.
This will ensure delivery of right health services to right people at the right
place as well as on right time. ICT has the capacity to influence all aspects of
the health sector.
For instance, in public health, management of information and
communication processes are very crucial and are assisted or limited by the
availability of information.
In India, e-governance has been institutionalised, the use of ICT has become
a norm for several government departments.
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ROLE OF ICT IN HEALTHCARE
ICT helps patients become more involved in their own care. This becomes
more significant in managing chronic conditions such as asthma, diabetes,
heart disease etc.
The concept of telemedicine has become increasingly useful in the healthcare
sector, particularly, to reach out to rural and remote regions through ICT,
where direct healthcare delivery is hard to access.
ICT ushers in an augmented administrative efficiency in a nation where the
public health infrastructure is in absolute mess. ICT in healthcare can assist
remote consultation, diagnosis and treatment through telemedicine.
India has witnessed varying success across states with the application of ICT
in healthcare. This is because of different levels of engagement by way of
latest technologies
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HEALTHCARE INFORMATION &
COMMUNICATION TECHNOLOGY (HICT):
• Health Information and Communication Technology (Health IT) is a broad term
that describes the technology and infrastructure used to record, analyze and share
patient health data. The purpose of health IT is to provide better care for patients
and to achieve equity.
• Health information technology (HIT) means the use of computer in the form of
physician digital assistance, electronic health records, computerized physician
order entry system by doctors, patients, hospitals, laboratories, x-ray facilities
and all other stake holders.
• Health IT improves the quality of healthcare delivery, increases patient safety,
decreases medical errors, and strengthens the interaction between patient and
healthcare providers
• The major challenges hindering Information & Communication Technology
(ICT) implementation include underfunding of public healthcare services,
restricted knowledge about applications of IT, scantily trained manpower
resource, huge initial investments and lack of stringent regulations.
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HEALTHCARE INFORMATION &
COMMUNICATION TECHNOLOGY (HICT):
Source: http://ictinmedicaluse.blogspot.com/25-12-2020 By: Atifa Aqueel 17
ICT & INDIAN HEALTHCARE SYSTEM
• The Healthcare Information Technology (HIT) epitomizes the holistic
management of health information across computerized systems.
• Healthcare Information & Communication Technology (HICT) is termed as
the most efficient and effective tool for augmenting the quality, safety and
efficiency of the health delivery system comprehensively.
• Despite India being an IT-enabled services’ behemoth, the use of HICT is
very restricted in the country.
• The state of Public health service run by Indian government is overburdened.
• Huge geographical size, high population density, lack of transportation,
inaccessibility, poverty, poor nutritional conditions, petty budget for
healthcare infrastructure development, lack of funds and coordination, and
skewed food habits and lifestyle are various challenges that have triggered
down the trend in overall healthcare sector of India.
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ICT & INDIAN HEALTHCARE SYSTEM
• Highly pressurized and caving-in public healthcare system of India is now
zealously pursuing the Information & Communication technology (ICT)
route in different states of the country.
• Bringing a paradigm shift in the healthcare dynamics of the country is the
prime objective now.
• Web services are now the prerequisites for organizing, sharing and
accessing medical services.
• ICT has laid copious alternatives for facilitating the communication of
health messages to the public.
• At present, the healthcare industry facades which have adopted or starting
to adopt the IT include HIMS, Telemedicine, Mobile health (Apps, Phones,
Integrated devices, etc.), and Disease Surveillance Projects.
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ICT & INDIAN HEALTHCARE SYSTEM
• National Health Policy endorsed by the Parliament of India encourages the
introduction of electronic communication media in health sector.
• The government of India also brought in the “National Rural Health
Mission” for delivering the best in healthcare to the rural population.
• The Ministry of Health & Family Welfare and the Ministry of
Communication and Information Technology (ICT) are jointly creating a
national health information infrastructure, for easy capture and
dissemination of health information.
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TECHNOLOGIES IN HEALTHCARE
25-12-2020 By: Atifa Aqueel 21
ICT: APPEASING THE OVERBURDENED
INDIAN HEALTHCARE SYSTEM
1. Patient Monitoring and
Tracking
• By facilitating the ICT in
healthcare system, the patient
health records will be digitized, and
will be accessible anytime
anywhere. E.g EHR, EMR etc.
• Centralization of such records will
certainly expedite the patient
monitoring and tracking process.
• This will improve the execution of
health system by improving the
management of information and
access to that information.
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ICT: APPEASING THE OVERBURDENED
INDIAN HEALTHCARE SYSTEM
2. Reducing the Healthcare Burden on Government
• With easy patient monitoring and tracking, paperless records, and evolution
of facilities, like telemedicine, the cost burden on government is reduced.
• This will also help improving the healthcare delivery through better diagnosis,
better mapping of public health threats, and better training and sharing of
knowledge among health workers.
3. Increased Accessibility and Affordability
• Through ICT in healthcare, the reach of people living in rural areas and other
Tier 3 cities could be expanded
• By deploying the channels of telecommunication, facilities like tele-
consultation, tele-medicine, tele-pathology, etc. could be provided at an
affordable price.
• Rural area people can save over 80% of their medical expenses when the need
to travel to far off cities for getting medical consultation could be negated.
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ICT: APPEASING THE OVERBURDENED
INDIAN HEALTHCARE SYSTEM
4. Managing the Scarcity of Doctors and Beds
• The implementation of information and communication technology which
negates the need of in person visits is subduing the scarcity of doctors and
hospital beds.
• Patients can consult doctors, show reports, book prior appointments, refill
prescription, and send their vital signs by means of ICT without making a
visit to the doctor.
5. Spreading Awareness
• By setting up a base for telecommunication in remote locations, the
knowledge about vaccination, hygiene maintenance, healthy lifestyle,
preventive care, disease management, etc., could be spread easily.
• This will facilitate the process of preventive care management, thus
placating the healthcare burden to some extent
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AREAS COVERED BY HEALTH
INFORMATION TECHNOLOGY
1. EMR/EHR/PHR
2. Telemedicine
3. Digital health knowledge resource e.g. Digital Medical Library
4. Hospital Information management system (HIMS)
5. M-Health
6. e-learning technologies and application in health Science
7. Biomedical informatics for biomedical research applications
8. Artificial Intelligence in clinical medicine and health management
9. Public health informatics
10. Medical Internet
11. Virtual Reality and Simulation for health
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EMR VS EHR VS PHR
EHR- Electronic Health RecordEMR- Electronic Medical Record
PHR- Personal Health Record
Source: Google images
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TELEMEDICINE
Source: Google images
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DIGITAL MEDICAL LIBRARY
Source: Google images
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HOSPITAL INFORMATION
MANAGEMENT SYSTEM (HIMS)
Source: Google images
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ARTIFICIAL INTELLIGENCE IN
HEALTHCARE
Source: Google images
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1. HEALTH INFORMATION MANAGEMENT
SYSTEM (HIMS):
Hospital and healthcare information system is among the vastest areas for IT
applications.
The field of Health Information Management Systems (HIMS) epitomizes
the practice of managing health records by hospitals, health departments,
physician’s office/clinics, health insurance companies, and other institutions
that offer healthcare services
The storage of patient’s medical records in electronic format and their timely
availability can transmute the quality of health delivery.
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PARTIAL LIST OF MAJOR HIMS
SOLUTION PROVIDERS
Many robust and standard HIMS solutions have been developed by the major IT
companies :
• Centre for Development of Advanced Computing (CDAC)
• Wipro
• GE Healthcare
• Tata Consultancy Services (TCS)
• Amrita HIS Solution
• Sobha Renaissance
• Siemens Information Systems Ltd (SISL).
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HIMS: AUTOMATING THE INDIAN
HEALTHCARE SYSTEM
1. Automation and Data Centralization:
• The implementation of HIMS automates all the procedures
ranging from
• Patient registration
• Billing
• Financial management
• Laboratory
• Pharmacy data integration
• Archiving of radiology images in medical setting
• This data is then centralized for utilization across various
departments of the hospital.
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HIMS
2. EMR/EHR Maintenance:
• Since HIMS records all the patient related data from their first visit itself,
the system helps maintaining medical records management (assignment of
a medical record number, chart location and completion monitoring,
laboratory and pharmacy data integration, procedure and diagnosis coding
and transcription processing).
3. Space Saving and Information Retrieval:
• Since the paperless EHRs are stored on the cloud in the digitized format, a
lot of space is saved in physical terms as there is no requirement to keep
files/dockets/dossiers of EMRs.
• Moreover, the information in digital format is relatively easy to retrieve as
compared to any information stored in physical format.
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HIMS
4. Better Patient Care Management:
• Due to the maintenance of EMRs, the patient data/test records are accessible at
any point of time, anywhere.
• Moreover, even if the hard copies of tests are lost, the very reports could be
simply traced by the Unique Identification (UID) given to the patient at the time
of their first visit.
• All these prospects pave way for better healthcare delivery to the patients.
5. Patient Tracking:
• Because of data centralization, the patient’s movements will be tracked.
• For instance, if a patient is visiting different hospitals, the recorded data will help
in understanding and providing the best possible treatment to the patient on the
basis of what treatment and consultation he/she has been receiving in different
hospitals.
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HIMS
6. Insurance Claim Process Facilitation:
• HIMS enables Patient/payer accounting (patient service pricing, patient
billing and insurance or other claims, electronic data interchange, payer
logs) and smoothens the whole process, as the data is recorded in the
electronic format.
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HIMS COMPONENTS
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HIMS COMPONENTS
HIMS
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PENETRATION OF HIMS IN INDIA
• Advanced: States which have
hospitals using HIMS up to e-
Prescription and CDSS level;
• Moderate: States which have
hospitals using HIMS up to LIS and
PACs level;
• Basic: States which have hospitals
using HIMS for general patient
registration and billing process.
• The research outcome suggests that
almost all the states of India have a
basic level penetration of HIMS.
Some states like Delhi, Maharashtra,
and Rajasthan reported high level of
penetration.
Source: RNCOS
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2. TELEMEDICINE: A NEW HORIZON IN
PUBLIC HEALTH
• The World Health Organisation (WHO) defines Telemedicine as:
The delivery of health care services,
where distance is a critical factor, by all
healthcare professionals using
Information and Communication
Technologies for the exchange of valid of
information for diagnosis, treatment and
prevention of disease and injuries,
research and evaluation and for the
continuing education of healthcare
providers, all in the interest of advancing
the health of individuals and their
communities.
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TELEMEDICINE
• Video 2
• Link: https://www.youtube.com/watch?v=zYgU1GSZqig
25-12-2020 By: Atifa Aqueel 41
TELEMEDICINE
Telemedicine is the remote delivery of healthcare services, such as health assessments or
consultations, over the telecommunications infrastructure.
It allows healthcare providers to evaluate, diagnose and treat patients using common
technology, such as video conferencing and smartphones, without the need for an in-
person visit. It helps eliminate distance barriers and can improve access to medical
services that would often not be consistently available in distant rural communities.
Telemedicine includes a wide variety of applications and services deploying two-way
video, email, smart phones, wireless tools and other forms of telecommunication
technology for treating patients in remote areas; also expediting the medical education
and training of doctors and paramedical staff present in remote locations across the
country.
25-12-2020 By: Atifa Aqueel 42
Courtesy: ISRO
25-12-2020 By: Atifa Aqueel 43
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TYPES OF TELEMEDICINE
1. Remote patient monitoring, also known as telemonitoring, allows
patients with chronic diseases to be monitored in their homes with
mobile medical devices that collect data about blood sugar levels,
blood pressure or other vital signs. Remote caregivers can review the
data instantly.
2. Store-and-forward, also known as asynchronous telemedicine, lets
providers share patient information, such as lab results, with a
physician at another location.
3. Interactive telemedicine allows physicians and patients to
communicate in real time. Such sessions can be conducted in the
patient's home or in a nearby medical facility and include telephone
conversations or the use of video conferencing software that complies
with HIPAA regulations
*HIPAA (Health Insurance Portability and Accountability Act of 1996)
25-12-2020 By: Atifa Aqueel 45
TELEMEDICINE: EXTENDING
HEALTHCARE
1. Facilitating Healthcare Accessibility and Affordability:
• With the implementation of telemedicine, the healthcare prospects in
remote locations are meliorated.
• For instance, several multispecialty hospitals located in the heart of a
metropolitan city provide telemedicine, tele-consultaton, tele-
opthalmology, tele-pathology, etc. to rural areas/villages where necessary
healthcare facilities are lacking.
• Moreover, these services save time and cost on travelling as remote
consultation is provided.
2. Negating the Need To Travel To Far Off Cities for Treatment:
• Since telemedicine in itself delivering the healthcare in rural areas, the
patients don’t need to travel to far off cities to get better treatment. Patients
hence, are able to save upon the travelling cost.
25-12-2020 By: Atifa Aqueel 46
CONTD…
3. Treatment at Par with What Is Offered in Metropolitans:
• Telemedicine is usually provided in collaboration with multispecialty
hospitals/medical colleges which already excel in offering the best
treatment and boast of hiring best medical professionals.
• So, when the paramedics of such medical institutions provide tele-
medicine, it is certainly at par with metropolitan standards.
4. Overcoming the Scarcity of Paramedics and Hospital Beds:
• As it is known, in India the penetration of doctors and hospital beds is very
low; telemedicine is subduing its impact.
• “No in person visits” to a hospital is required. Moreover, a specialist sitting
in a multi-specialty hospital in a metro can expedite the healthcare delivery
process by guiding the nurses and general physicians sitting in a rural
setting.
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ADVANTAGES OF TELEMEDICINE
25-12-2020 By: Atifa Aqueel 48
3. MOBILE HEALTH (M-HEALTH)
M-Health basically is the delivery of healthcare services/ information via
mobile phones. The availability of the services across India varies substantially
depending on the level of advancement in the state.
25-12-2020 By: Atifa Aqueel 49
25-12-2020 By: Atifa Aqueel 52
M-HEALTH BENEFITS
• Bridging the Gap: M-Health closes the gap between the existing
and required healthcare services. Facilities such as remote
monitoring of patients, online appointment scheduling, online
prescription renewal, consultation, etc. are bridging the gap between
the consumer expectations and the services available.
• Time Saving: Visiting the doctor’s clinic and waiting in queue is
always exasperating for any patient. M-Health services such as
telephone-based appointment scheduling and, prescription refill save
plenty of time.
• Basic Tests at Home: There are several apps and devices
compatible with a smartphone which are available and can help
performing basic tests, like glucose monitoring, BP/heart beat
monitoring, urine analysis, and so on at home itself. The test
readings could be forwarded to the physician online.
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M-HEALTH BENEFITS
• Online Consultation: The availability of consultations via telephone or 3G
video provides quality care just a button away. All such apps and facilities offer
medical care on the go.
• Better Facilities in Rural Areas: Since there is a lack of basic healthcare
facilities in rural areas and the people travel miles just for medical consultation,
video calling and online consultations comes into play, herein. Thus, M-Health
is improving the healthcare access for the vast underserved rural market and
enhances patient care for urban consumers.
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LATEST TECHNOLOGIES IN
HEALTHCARE SECTOR
Nanotec
hnology
Big Data
Analytics
Cloud
Genome
Sequenci
ng
Artificial
Intelligence
Wearable
and
Sensors
Virtual
Reality
3D
Printing
Technologies
in healthcare
sector
25-12-2020 By: Atifa Aqueel 55
NANOTECHNOLOGY
• Nanotechnology incorporates the manipulation of matter at the atomic and
molecular level in order to create materials with remarkably varied and
novel properties.
• Today, the immense knowledge pool on how the body functions at the
cellular level is paving way for several new and better medical techniques.
• Quantum Dots based Diagnosis:
• Swift Diagnosis: Nanotechnology is facilitating way faster and more
precise diagnosis, as many tests can be built in a single, palm-sized device
requiring trivial sample quantity. Such devices are even termed as a ‘lab-
on-a-chip’.
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NANOTECHNOLOGY
Targeted Drug Delivery: For treating a disease, multiple drugs are
prescribed at a time, in order to target the disease site and many patients
complain about the moderate to severe side effects of those drugs. By
deploying specially-designed drug-carrying nanoparticles, accurate targeting
of the drug can now be achieved. This elicits the fact that much smaller
quantities of a drug will be required for treating a disease, thus reducing
toxicity to the body. The progress of the cure can also be monitored using
advanced imaging techniques.
Nanotechnology can be embedded within the mobile devices for faster and at-
home diagnosis which in turn will sweep the healthcare world with an
unprecedented revolution.
25-12-2020 By: Atifa Aqueel 57
NANOTECHNOLOGY
25-12-2020 By: Atifa Aqueel 58
3D PRINTING
• 3-D printing revolves around the use of
digital 3-D design data utilized for
building up a component layer by layer.
• 3D printing, was first developed in the
1980s. It involves taking a digital model
or blueprint of the subject that is then
printed in successive layers of an
appropriate material to create a new
version of the subject.
• There are four core uses of 3D printing in
the medical field that are associated with
recent innovations: creating tissues and
organoids, surgical tools, patient-specific
surgical models and custom-made
prosthetics.
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BENEFITS OF CLOUD
Supports big data sets for
EHR, radiology images and
genomic data offloading
Facilitates the sharing of
EHRs between hospitals
across geographies
Enables on-demand access to
computing and large storage
facilities
Improves analysis and
information tracking
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SIGNIFICANCE OF BIG DATA IN
HEALTHCARE
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WEARABLE SENSORS FOR REMOTE
HEALTH MONITORING
• Remote health monitoring is based on non-invasive and wearable sensors,
actuators and modern communication and information technologies.
• It helps in monitoring important physiological signs of their patients in real
time, assess health conditions.
• It allows people to continue to stay at home rather than in expensive
healthcare facilities such as hospitals or nursing homes.
• It provides an efficient and cost-effective alternative to on-site clinical
monitoring
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REMOTE HEALTH MONITORING
SYSTEM
Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5298703/25-12-2020 By: Atifa Aqueel 63
LIST OF SOME COMMERCIAL PRODUCTS
• List of some commercial products for monitoring physiological signs and
activities
Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5298703/
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DIGITAL HEALTHCARE IN
INDIA
Digital Healthcare is the ‘healthcare of the future’. Like many other markets,
India too is at the cusp of a ‘digital health’ revolution.
The Indian healthcare sector is growing at a rapid pace and is currently valued at
US$100 billion.
With increased digital adoption, the healthcare sector is expected to grow at a
CAGR of 23% to US$280 billion by 2020.
With Electronic Health Records, Mobile Healthcare, Hospital Information
System, Technology Enabled Care, Telemedicine and other technologies
gaining wide acceptance in the sector, clearly Digital Healthcare is the way
forward.
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DIGITAL HEALTH
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DIGITAL HEALTH INITIATIVES BY
GOVERNMENT OF INDIA
• The government has taken several initiatives in recent years to strengthen
digital healthcare in India.
• Ministry of Health & Family Welfare has undertaken various initiatives using
Information & Communication Technologies (ICT) for improving efficiency
& effectiveness of the public healthcare system.
• Ministry is continuously working on planning and introducing more of ICT
initiatives.
• These ICT initiatives are:
• National Health Portal (NHP)
• E-Hospital
• Digital AIIMS:
• Online Registration System (ORS)
• NIKSHAY
• Mother & Child Tracking System (MCTS)
• Integrated Disease Surveillance Program (IDSP)
• Digital Payments
• National Organ and Tissue Transplant Organization (NOTTO) etc.
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ICT INITIATIVES
1. NATIONAL HEALTH PORTAL (NHP)
• Its objective is to create awareness amongst the citizens about health, Government
programmes & services in Health Sector.
• National Health Portal (NHP) provides information to citizens and stakeholders in
different languages (currently six languages Hindi, English, Tamil, Gujarati, Bengali,
and Punjabi).
• A voice portal, providing information through a toll-free number 1800-180-1104 and
Mobile App are also available. Website: http://www.nhp.gov.in
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2. E-HOSPITAL
• e-Hospital is an open source health information management system,
specifically meant for hospitals in the Government sector.
• Major functional areas covered by the system include patient care,
laboratory services, work flow based document information exchange,
human resources, and medical records management
Website:https://ehospital.nic.in/ehospitalsso/
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3. DIGITAL AIIMS
• The Digital AIIMS project, implemented as part of the Digital India Initiative,
has been widely termed as the First Digital Revolution in Healthcare in India.
• It has two components “ the e-Hospital Project and the AIIMS
Transformation Project.
• The online registration software for AIIMS and three other hospitals of Delhi
was launched on July 4, 2015 as part of Digital India initiatives by the Prime
Minister of India.
• The Digital AIIMS project, with nearly 45 lakh beneficiaries, has had the
highest footfalls of Digital India Projects.
• AIIMS has been felicitated by the Ministry of Electronics & Information
Technology for reaching the milestone of India’s First Fully Digital Public
Hospital.
25-12-2020 By: Atifa Aqueel 70
4. ONLINE REGISTRATION SYSTEM (ORS)
• In order to improve ease of services for
citizens, Online Registration System (ORS) launched in July 2015
provides services to citizens for taking online registration & appointment,
payment of fees, online viewing diagnostic reports, enquiring availability
of blood online etc. in various public hospitals
25-12-2020 By: Atifa Aqueel 71
5. NIKSHAY FOR TB
• Launch Year: 2012.
• Objective: To keep a track of the TB patients across the country
• Working: Whenever a new patient is registered on NIKSHAY, an SMS is sent to the
patient with registration ID and details of Directly Observed Treatment, Short Course
(DOTS) Operator along with advisory note to take the regular medicine. Daily SMS is
sent to all monitoring authorities.
• Benefit: Proper monitoring and tracking of the TB patients and ensuring timely delivery
of the medication. More than 3.5 lakh TB patients have been registered since its launch in
June 2012.
25-12-2020 By: Atifa Aqueel 72
6. MOTHER AND CHILD
TRACKING SYSTEM (MCTS)
• Launch Year: 2009 . Objective: To collate the information of all pregnant women and infants
• Working: The MCTS software sends reminders to the Auxiliary Nursing Midwives (ANMs) or
ASHAs on the various treatments to be availed by the expecting mothers having mobile phones.
Once a mother receives her immunization, ANMs have to send the details to the MCTS service
through an SMS. After the enrolment, every expectant mother receives SMS regarding their next
immunization and check up dates.
• Benefit: Ensures timely delivery of maternal and child health services from conception till 40
days after delivery in the case of pregnant women and up to five years for children. Over 10.5
Crore pregnant women and children have been registered in MCTS by the January 2014.
25-12-2020 By: Atifa Aqueel 73
7. INTEGRATED DISEASE
SURVEILLANCE PROGRAM (IDSP)
• Launch Year: 2004
• Objective: To detect and respond to disease outbreaks
• Working: Weekly disease surveillance data on epidemic prone disease is
collected from reporting units, such as sub-centres, primary health centres,
community health centres, hospitals, and medical colleges. At present, over
90% districts report such weekly data through e-mail/portal. The weekly
data are analysed by State Surveillance Unit/District Surveillance Unit
(SSU/DSU for disease trends.
• Benefit: Whenever there is rising trend of illnesses, it is timely investigated
for diagnosing and controlling the outbreak. On an average, 30-40
outbreaks are reported every week by the States. 1584 outbreaks in 2012,
1964 outbreaks in 2013, and in 2014, 67 outbreaks have been reported till
26th January.
25-12-2020 By: Atifa Aqueel 74
Source: https://idsp.nic.in/
25-12-2020 By: Atifa Aqueel 75
8. NATIONAL ORGAN & TISSUE TRANSPLANT
ORGANISATION (NOTTO):
In order to promote organ
donation amongst citizens at
large, National Organ &
Tissue Transplant
Organisation through its
web-portal offers services for
Online Registration for
Organ/Tissue Transplantation
or Retrieval and Online
pledge registry by citizen for
organ donation.
25-12-2020 By: Atifa Aqueel 76
MOBILE BASED PROGRAMS
(BY GOVERNMENT OF INDIA)
1. Tobacco Cessation Programme:
It is a mobile-based interventional
initiative for counselling and helping
people to quit tobacco, by giving a
missed call to 011-22901701. Currently
over 20 lakhs total missed calls have
been captured and around 15 lakhs users
are registered for this programme.
2. mDiabetes Program: It is a
mobile-based initiative for prevention
and care of diabetes by giving a missed
call to 011-22901701. Currently more
than 1 lakh users are registered for
mDiabetes
25-12-2020 By: Atifa Aqueel 77
MOBILE APPLICATIONS
(BY GOVERNMENT OF INDIA)
To harness the wide penetration of mobile connectivity (~ 1 billion
connections), various mobile apps have been launched so far; namely:
1. Vaccine Tracker (Indradhanush Immunization):support parents in
tracking immunization status of their children and helps them in ensuring
complete and timely vaccination. Launch- April, 2016
25-12-2020 By: Atifa Aqueel 78
MOBILE APPLICATIONS
2. India Fights Dengue (enables a user
to check Dengue Symptoms, get nearest
Hospital / Blood bank information and
also share feedback)
Launch- April, 2016
3. NHP Swasth Bharat: Initiative from
National Health Portal to find detailed
information regarding healthy life styles,
disease conditions, symptoms and their
management and First AID. Launch- April,
2016
25-12-2020 By: Atifa Aqueel 79
MOBILE APPLICATIONS
4.NHP Directory Services Mobile App.
(provides information related to
Hospitals across India)
Launch- June, 2015
5. No More Tension Mobile
App. (information on stress management
related aspects)
Launch- November, 2016
25-12-2020 By: Atifa Aqueel 80
MOBILE APPLICATIONS
6. Pradhan Mantri Surakshit
Matritva Abhiyan Mobile App. (for
reporting pregnancy care related
information from across states)
Launch- November, 2016
7. Mera Aspataal Mobile App: For
recording patient feedback on the services
received from both public and empanelled
private health facilities, thus helping
immensely in improving the quality of
healthcare. Launch- August, 2016
25-12-2020 By: Atifa Aqueel 81
FUTURE OF HEALTHCARE
(INTERNET OF THINGS)
• https://www.youtube.com/watch?v=Ioy5vyxScXU
• Video 3
25-12-2020 By: Atifa Aqueel 82
CONCLUSION
• The use of ICT in health sectors have focused on three broad categories:
1. Improving functioning of health care systems, which includes
management of patients care and records, administrative and ordering
systems .
2. Improving the delivery of health care through better diagnosis, training
among workers, and supporting them in primary health care.
3. Improving communication in health services, including improved
communication between workers and feedback on the impact of health
services and interventions.
• The gaps between health professionals and the communities served by
them can be addressed by implementing ICT in healthcare.
• A smart, careful and contextual integration of ICT in delivery of healthcare
service should be a prioritised strategy to aid complex health needs of a
country.
25-12-2020 By: Atifa Aqueel 83
REFERENCES
[1]. ASSOCHAM India report on “ICT in Healthcare Opportunities and
Challenges”
[2]. http://pmssy-mohfw.nic.in/tech_healthcare.aspx
[3]. https://mohfw.gov.in/
[4]. https://www.ciiblog.in/digital-health-the-way-forward/
[5]. www.google.com
[6]. www.expresshealthcare.in
[7]. https://medium.com/@iihmrdelhi/telemedicine-the-current-scenario-in-
india-bdf668beacea
25-12-2020 By: Atifa Aqueel 84
25-12-2020 By: Atifa Aqueel 85
USE OF ICT IN HEALTHCARE
• The use of ICT in healthcare can be categorized into 4 main streams
such as;
• Health & Education
• Hospital Management System
• Health Research
• Health Data Management
25-12-2020 By: Atifa Aqueel 86
HEALTH & EDUCATION
• In this Digital era, people can easily seek, access, learn &
communicate with others within a quick span of time.
• This makes education accessible, available and open to all.
• Health education creates awareness among the public about
the communicable diseases, health status, prevention measures
and various current diagnostic & therapeutic procedures.
• This gives a freedom to the people to choose the best hospitals
and doctors to approach for treatment and to have their life in a
healthy way.
25-12-2020 By: Atifa Aqueel 87
HOSPITAL MANAGEMENT SYSTEM
• ICT helps the Hospital management to lead the organization in
a successful way.
• This helps the management to overcome the challenges faced
by the Hospital.
• ICT helps the management to improve the patient safety and
satisfaction, get updated to the latest technology, have a
knowledge on population health & statistics and keep a note
on the government mandates on track.
• Primarily, the workplace can be strengthened.
25-12-2020 By: Atifa Aqueel 88
HEALTH RESEARCH
• ICT in healthcare research helps in finding the possible
prevention measures to eradicate and reduce the spread of
diseases.
• We can find new technology in diagnosis which reduces the
time and cost.
• This saves the lives of many individuals by providing
treatment in advance.
• Through ICT, the traditional healthcare systems can be
eliminated and new models can be formed for effective quality
care.
25-12-2020 By: Atifa Aqueel 89
HEALTH DATA MANAGEMENT
• The fundamental use of ICT in Hospital is for electronic
storage of medical data i.e. Electronic Medical Records
(EMR).
• This helps to retrieve the information easily.
• Through ICT the data can be transferred to the patient or to the
Doctors for consultation.
• The patient can have medical records in hand which can be
used anywhere, anytime.
25-12-2020 By: Atifa Aqueel 90

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Technology for Healthcare and Mankind

  • 1. B Y : AT I FA A Q U E E L G u e s t T e a c h e r E l e c t r o n i c s E n g i n e e r i n g S e c t i o n U n i v e r s i t y W o m e n ’ s P o l y t e c h n i c A l i g a r h M u s l i m U n i v e r s i t y A l i g a r h ICT FOR HEALTH AND MANKIND
  • 2. INTRODUCTION Today, the technology is changing the landscape of the world and leading us towards a sophisticated technical world. Information and Communication Technology (ICT), refers to the various electronic tools and services that facilitate communication and the sharing of information and knowledge. ICT is similar to Information Technology (IT), but focuses primarily on communication technologies. This includes the Internet, wireless networks, cell phones, and other communication mediums. The unravelling of new technologies has expanded the world of ICT in such a way that our own world seems much smaller, and much more connected than ever before. 25-12-2020 By: Atifa Aqueel 2
  • 3. INTRODUCTION • Today ICT not only means the call you make to relatives on the other side of the world, or the quick email you send through your mobile phone. • ICT is now something much more deeply woven into the fabric of our lives. • The emerging role of ICT has created a huge impact on Healthcare. • It enhances the quality of care, increases the patient security and data protection and reduces operating & administrative cost. • Accessibility to information has become simple using ICT and also people find themselves more relaxed while availing healthcare service. 25-12-2020 By: Atifa Aqueel 3
  • 4. CHALLENGES IN HEALTH CARE SECTORS • There are various challenges faced by the Healthcare sectors such as • Storing the medical record of the patient. • Maintaining Hospital Information System • Maintenance of medical equipment • Medication error. • Large communication gap between rural and urban population. • Absence of accurate information in villages. • Transportation difficulties and lot more. 25-12-2020 By: Atifa Aqueel 4
  • 5. ICT REVAMP THE HEALTHCARE SECTOR • The advancement of ICT revamp the whole process of the healthcare sector. • Through ICT the urban –rural disparities have been broken & shortened. • If a doctor has the right communication channel it is easy to deliver treatment and care for the patient who is located anywhere around the world. • ICT enabled systems help the Doctor to continuously monitor the patient’s history, diagnostic report, and track the current health condition. • The Doctor can also interact with patient, recommend to take medical examination and prescribe medicine. 25-12-2020 By: Atifa Aqueel 5
  • 6. INDIAN HEALTHCARE PARADIGM India has taken significant leaps in terms of socio-economic development since its independence, and has strengthened its position as one of the largest economies in the world. A World Bank report published in 2010 estimates that India is annually losing over 6% of its Gross Domestic Product (GDP) due to the premature deaths and preventable illnesses. India, has a current population of 1.25 billion. By 2050, it is expected to reach 1.6 billion. So, the public health planners of the country have a big challenge to cater to. The performance of the health sector is suboptimal because of an increased burden of factors like political instability, underdevelopment, weak institutions, scarcity of resources, inadequately developed social sectors and evident social inequalities. A World Bank report published in 2010 estimates that India is annually losing over 6% of its Gross Domestic Product (GDP) due to the premature deaths and preventable illnesses. India, has a current population of 1.25 billion. By 2050, it is expected to reach 1.6 billion. So, the public health planners of the country have a big challenge to cater to. 25-12-2020 By: Atifa Aqueel 6
  • 7. KEY INDICATORS 1. Healthcare Spending Per Capita: This low spending is a reflection on India neglecting its healthcare sector by not spending sufficiently in developing the infrastructure, while the focus is to transform it into an IT-enabled structure. 25-12-2020 By: Atifa Aqueel 7
  • 8. KEY INDICATORS 2. Government Expenditure on Health as a Percentage of Total Expenditure: • The Indian government spends a trivial 4% of GDP on healthcare, out of which majority share is of the private sector. • The government’s contribution in India stands at approximately 33%, while in the US and China, the same stands at nearly 46% and 56%, respectively 25-12-2020 By: Atifa Aqueel 8
  • 9. KEY INDICATORS 3. Penetration of Physicians: The number of doctors per 1000 population stands at 3.31 in the US, and 1.53 in case of China. The ratio for India stands at nearly 0.6 doctors per 1000 population reflecting the plight of patients who have to wait in long queues for getting medical consultation and treatment. 25-12-2020 By: Atifa Aqueel 9
  • 10. KEY INDICATORS 4. Penetration of Hospital Beds: Another drawback of the Indian healthcare sector is the shortage of beds. The level is below 1 (0.7) per 1000 population. The figures depict that not enough funds are allocated by the Indian government for the healthcare infrastructure development. 25-12-2020 By: Atifa Aqueel 10
  • 11. KEY INDICATORS 5. Hospital Network: • Although the government is making endeavour to establish better healthcare facilities in terms of hospitals, PHCs, CHCs, medical colleges, AYUSH, blood banks, etc. the respective infrastructure is still overburdened. • The year 2012 marked a sudden surge in the number of rural hospitals. • The National Health Profile document elicited the fact that many regions, like J&K and Uttarakhand have not reported developments in hospital infrastructure post 2008. 25-12-2020 By: Atifa Aqueel 11
  • 12. 25-12-2020 By: Atifa Aqueel 12
  • 13. INDIAN HEALTHCARE SECTOR: CURRENT CHALLENGES Poor Patient Monitoring and Tracking Low government spending on healthcare Increasing disease burden Low doctors and hospital beds per 1000 population ratio Lack of awareness, accessibility and affordability in Tier 2-3 cities/rural areas Inadequate sanitation and hygiene conditions 25-12-2020 By: Atifa Aqueel 13
  • 14. ROLE OF ICT IN HEALTHCARE To tackle these challenges, the process of health planning needs to evolve by the use of ICT in healthcare delivery and distribution and public health decision making at every level. This will ensure delivery of right health services to right people at the right place as well as on right time. ICT has the capacity to influence all aspects of the health sector. For instance, in public health, management of information and communication processes are very crucial and are assisted or limited by the availability of information. In India, e-governance has been institutionalised, the use of ICT has become a norm for several government departments. 25-12-2020 By: Atifa Aqueel 14
  • 15. ROLE OF ICT IN HEALTHCARE ICT helps patients become more involved in their own care. This becomes more significant in managing chronic conditions such as asthma, diabetes, heart disease etc. The concept of telemedicine has become increasingly useful in the healthcare sector, particularly, to reach out to rural and remote regions through ICT, where direct healthcare delivery is hard to access. ICT ushers in an augmented administrative efficiency in a nation where the public health infrastructure is in absolute mess. ICT in healthcare can assist remote consultation, diagnosis and treatment through telemedicine. India has witnessed varying success across states with the application of ICT in healthcare. This is because of different levels of engagement by way of latest technologies 25-12-2020 By: Atifa Aqueel 15
  • 16. HEALTHCARE INFORMATION & COMMUNICATION TECHNOLOGY (HICT): • Health Information and Communication Technology (Health IT) is a broad term that describes the technology and infrastructure used to record, analyze and share patient health data. The purpose of health IT is to provide better care for patients and to achieve equity. • Health information technology (HIT) means the use of computer in the form of physician digital assistance, electronic health records, computerized physician order entry system by doctors, patients, hospitals, laboratories, x-ray facilities and all other stake holders. • Health IT improves the quality of healthcare delivery, increases patient safety, decreases medical errors, and strengthens the interaction between patient and healthcare providers • The major challenges hindering Information & Communication Technology (ICT) implementation include underfunding of public healthcare services, restricted knowledge about applications of IT, scantily trained manpower resource, huge initial investments and lack of stringent regulations. 25-12-2020 By: Atifa Aqueel 16
  • 17. HEALTHCARE INFORMATION & COMMUNICATION TECHNOLOGY (HICT): Source: http://ictinmedicaluse.blogspot.com/25-12-2020 By: Atifa Aqueel 17
  • 18. ICT & INDIAN HEALTHCARE SYSTEM • The Healthcare Information Technology (HIT) epitomizes the holistic management of health information across computerized systems. • Healthcare Information & Communication Technology (HICT) is termed as the most efficient and effective tool for augmenting the quality, safety and efficiency of the health delivery system comprehensively. • Despite India being an IT-enabled services’ behemoth, the use of HICT is very restricted in the country. • The state of Public health service run by Indian government is overburdened. • Huge geographical size, high population density, lack of transportation, inaccessibility, poverty, poor nutritional conditions, petty budget for healthcare infrastructure development, lack of funds and coordination, and skewed food habits and lifestyle are various challenges that have triggered down the trend in overall healthcare sector of India. 25-12-2020 By: Atifa Aqueel 18
  • 19. ICT & INDIAN HEALTHCARE SYSTEM • Highly pressurized and caving-in public healthcare system of India is now zealously pursuing the Information & Communication technology (ICT) route in different states of the country. • Bringing a paradigm shift in the healthcare dynamics of the country is the prime objective now. • Web services are now the prerequisites for organizing, sharing and accessing medical services. • ICT has laid copious alternatives for facilitating the communication of health messages to the public. • At present, the healthcare industry facades which have adopted or starting to adopt the IT include HIMS, Telemedicine, Mobile health (Apps, Phones, Integrated devices, etc.), and Disease Surveillance Projects. 25-12-2020 By: Atifa Aqueel 19
  • 20. ICT & INDIAN HEALTHCARE SYSTEM • National Health Policy endorsed by the Parliament of India encourages the introduction of electronic communication media in health sector. • The government of India also brought in the “National Rural Health Mission” for delivering the best in healthcare to the rural population. • The Ministry of Health & Family Welfare and the Ministry of Communication and Information Technology (ICT) are jointly creating a national health information infrastructure, for easy capture and dissemination of health information. 25-12-2020 By: Atifa Aqueel 20
  • 22. ICT: APPEASING THE OVERBURDENED INDIAN HEALTHCARE SYSTEM 1. Patient Monitoring and Tracking • By facilitating the ICT in healthcare system, the patient health records will be digitized, and will be accessible anytime anywhere. E.g EHR, EMR etc. • Centralization of such records will certainly expedite the patient monitoring and tracking process. • This will improve the execution of health system by improving the management of information and access to that information. 25-12-2020 By: Atifa Aqueel 22
  • 23. ICT: APPEASING THE OVERBURDENED INDIAN HEALTHCARE SYSTEM 2. Reducing the Healthcare Burden on Government • With easy patient monitoring and tracking, paperless records, and evolution of facilities, like telemedicine, the cost burden on government is reduced. • This will also help improving the healthcare delivery through better diagnosis, better mapping of public health threats, and better training and sharing of knowledge among health workers. 3. Increased Accessibility and Affordability • Through ICT in healthcare, the reach of people living in rural areas and other Tier 3 cities could be expanded • By deploying the channels of telecommunication, facilities like tele- consultation, tele-medicine, tele-pathology, etc. could be provided at an affordable price. • Rural area people can save over 80% of their medical expenses when the need to travel to far off cities for getting medical consultation could be negated. 25-12-2020 By: Atifa Aqueel 23
  • 24. ICT: APPEASING THE OVERBURDENED INDIAN HEALTHCARE SYSTEM 4. Managing the Scarcity of Doctors and Beds • The implementation of information and communication technology which negates the need of in person visits is subduing the scarcity of doctors and hospital beds. • Patients can consult doctors, show reports, book prior appointments, refill prescription, and send their vital signs by means of ICT without making a visit to the doctor. 5. Spreading Awareness • By setting up a base for telecommunication in remote locations, the knowledge about vaccination, hygiene maintenance, healthy lifestyle, preventive care, disease management, etc., could be spread easily. • This will facilitate the process of preventive care management, thus placating the healthcare burden to some extent 25-12-2020 By: Atifa Aqueel 24
  • 25. AREAS COVERED BY HEALTH INFORMATION TECHNOLOGY 1. EMR/EHR/PHR 2. Telemedicine 3. Digital health knowledge resource e.g. Digital Medical Library 4. Hospital Information management system (HIMS) 5. M-Health 6. e-learning technologies and application in health Science 7. Biomedical informatics for biomedical research applications 8. Artificial Intelligence in clinical medicine and health management 9. Public health informatics 10. Medical Internet 11. Virtual Reality and Simulation for health 25-12-2020 By: Atifa Aqueel 25
  • 26. EMR VS EHR VS PHR EHR- Electronic Health RecordEMR- Electronic Medical Record PHR- Personal Health Record Source: Google images 25-12-2020 By: Atifa Aqueel 26
  • 28. DIGITAL MEDICAL LIBRARY Source: Google images 25-12-2020 By: Atifa Aqueel 28
  • 29. HOSPITAL INFORMATION MANAGEMENT SYSTEM (HIMS) Source: Google images 25-12-2020 By: Atifa Aqueel 29
  • 30. ARTIFICIAL INTELLIGENCE IN HEALTHCARE Source: Google images 25-12-2020 By: Atifa Aqueel 30
  • 31. 1. HEALTH INFORMATION MANAGEMENT SYSTEM (HIMS): Hospital and healthcare information system is among the vastest areas for IT applications. The field of Health Information Management Systems (HIMS) epitomizes the practice of managing health records by hospitals, health departments, physician’s office/clinics, health insurance companies, and other institutions that offer healthcare services The storage of patient’s medical records in electronic format and their timely availability can transmute the quality of health delivery. 25-12-2020 By: Atifa Aqueel 31
  • 32. PARTIAL LIST OF MAJOR HIMS SOLUTION PROVIDERS Many robust and standard HIMS solutions have been developed by the major IT companies : • Centre for Development of Advanced Computing (CDAC) • Wipro • GE Healthcare • Tata Consultancy Services (TCS) • Amrita HIS Solution • Sobha Renaissance • Siemens Information Systems Ltd (SISL). 25-12-2020 By: Atifa Aqueel 32
  • 33. HIMS: AUTOMATING THE INDIAN HEALTHCARE SYSTEM 1. Automation and Data Centralization: • The implementation of HIMS automates all the procedures ranging from • Patient registration • Billing • Financial management • Laboratory • Pharmacy data integration • Archiving of radiology images in medical setting • This data is then centralized for utilization across various departments of the hospital. 25-12-2020 By: Atifa Aqueel 33
  • 34. HIMS 2. EMR/EHR Maintenance: • Since HIMS records all the patient related data from their first visit itself, the system helps maintaining medical records management (assignment of a medical record number, chart location and completion monitoring, laboratory and pharmacy data integration, procedure and diagnosis coding and transcription processing). 3. Space Saving and Information Retrieval: • Since the paperless EHRs are stored on the cloud in the digitized format, a lot of space is saved in physical terms as there is no requirement to keep files/dockets/dossiers of EMRs. • Moreover, the information in digital format is relatively easy to retrieve as compared to any information stored in physical format. 25-12-2020 By: Atifa Aqueel 34
  • 35. HIMS 4. Better Patient Care Management: • Due to the maintenance of EMRs, the patient data/test records are accessible at any point of time, anywhere. • Moreover, even if the hard copies of tests are lost, the very reports could be simply traced by the Unique Identification (UID) given to the patient at the time of their first visit. • All these prospects pave way for better healthcare delivery to the patients. 5. Patient Tracking: • Because of data centralization, the patient’s movements will be tracked. • For instance, if a patient is visiting different hospitals, the recorded data will help in understanding and providing the best possible treatment to the patient on the basis of what treatment and consultation he/she has been receiving in different hospitals. 25-12-2020 By: Atifa Aqueel 35
  • 36. HIMS 6. Insurance Claim Process Facilitation: • HIMS enables Patient/payer accounting (patient service pricing, patient billing and insurance or other claims, electronic data interchange, payer logs) and smoothens the whole process, as the data is recorded in the electronic format. 25-12-2020 By: Atifa Aqueel 36
  • 39. PENETRATION OF HIMS IN INDIA • Advanced: States which have hospitals using HIMS up to e- Prescription and CDSS level; • Moderate: States which have hospitals using HIMS up to LIS and PACs level; • Basic: States which have hospitals using HIMS for general patient registration and billing process. • The research outcome suggests that almost all the states of India have a basic level penetration of HIMS. Some states like Delhi, Maharashtra, and Rajasthan reported high level of penetration. Source: RNCOS 25-12-2020 By: Atifa Aqueel 39
  • 40. 2. TELEMEDICINE: A NEW HORIZON IN PUBLIC HEALTH • The World Health Organisation (WHO) defines Telemedicine as: The delivery of health care services, where distance is a critical factor, by all healthcare professionals using Information and Communication Technologies for the exchange of valid of information for diagnosis, treatment and prevention of disease and injuries, research and evaluation and for the continuing education of healthcare providers, all in the interest of advancing the health of individuals and their communities. 25-12-2020 By: Atifa Aqueel 40
  • 41. TELEMEDICINE • Video 2 • Link: https://www.youtube.com/watch?v=zYgU1GSZqig 25-12-2020 By: Atifa Aqueel 41
  • 42. TELEMEDICINE Telemedicine is the remote delivery of healthcare services, such as health assessments or consultations, over the telecommunications infrastructure. It allows healthcare providers to evaluate, diagnose and treat patients using common technology, such as video conferencing and smartphones, without the need for an in- person visit. It helps eliminate distance barriers and can improve access to medical services that would often not be consistently available in distant rural communities. Telemedicine includes a wide variety of applications and services deploying two-way video, email, smart phones, wireless tools and other forms of telecommunication technology for treating patients in remote areas; also expediting the medical education and training of doctors and paramedical staff present in remote locations across the country. 25-12-2020 By: Atifa Aqueel 42
  • 43. Courtesy: ISRO 25-12-2020 By: Atifa Aqueel 43
  • 44. 25-12-2020 By: Atifa Aqueel 44
  • 45. TYPES OF TELEMEDICINE 1. Remote patient monitoring, also known as telemonitoring, allows patients with chronic diseases to be monitored in their homes with mobile medical devices that collect data about blood sugar levels, blood pressure or other vital signs. Remote caregivers can review the data instantly. 2. Store-and-forward, also known as asynchronous telemedicine, lets providers share patient information, such as lab results, with a physician at another location. 3. Interactive telemedicine allows physicians and patients to communicate in real time. Such sessions can be conducted in the patient's home or in a nearby medical facility and include telephone conversations or the use of video conferencing software that complies with HIPAA regulations *HIPAA (Health Insurance Portability and Accountability Act of 1996) 25-12-2020 By: Atifa Aqueel 45
  • 46. TELEMEDICINE: EXTENDING HEALTHCARE 1. Facilitating Healthcare Accessibility and Affordability: • With the implementation of telemedicine, the healthcare prospects in remote locations are meliorated. • For instance, several multispecialty hospitals located in the heart of a metropolitan city provide telemedicine, tele-consultaton, tele- opthalmology, tele-pathology, etc. to rural areas/villages where necessary healthcare facilities are lacking. • Moreover, these services save time and cost on travelling as remote consultation is provided. 2. Negating the Need To Travel To Far Off Cities for Treatment: • Since telemedicine in itself delivering the healthcare in rural areas, the patients don’t need to travel to far off cities to get better treatment. Patients hence, are able to save upon the travelling cost. 25-12-2020 By: Atifa Aqueel 46
  • 47. CONTD… 3. Treatment at Par with What Is Offered in Metropolitans: • Telemedicine is usually provided in collaboration with multispecialty hospitals/medical colleges which already excel in offering the best treatment and boast of hiring best medical professionals. • So, when the paramedics of such medical institutions provide tele- medicine, it is certainly at par with metropolitan standards. 4. Overcoming the Scarcity of Paramedics and Hospital Beds: • As it is known, in India the penetration of doctors and hospital beds is very low; telemedicine is subduing its impact. • “No in person visits” to a hospital is required. Moreover, a specialist sitting in a multi-specialty hospital in a metro can expedite the healthcare delivery process by guiding the nurses and general physicians sitting in a rural setting. 25-12-2020 By: Atifa Aqueel 47
  • 49. 3. MOBILE HEALTH (M-HEALTH) M-Health basically is the delivery of healthcare services/ information via mobile phones. The availability of the services across India varies substantially depending on the level of advancement in the state. 25-12-2020 By: Atifa Aqueel 49
  • 50. 25-12-2020 By: Atifa Aqueel 52
  • 51. M-HEALTH BENEFITS • Bridging the Gap: M-Health closes the gap between the existing and required healthcare services. Facilities such as remote monitoring of patients, online appointment scheduling, online prescription renewal, consultation, etc. are bridging the gap between the consumer expectations and the services available. • Time Saving: Visiting the doctor’s clinic and waiting in queue is always exasperating for any patient. M-Health services such as telephone-based appointment scheduling and, prescription refill save plenty of time. • Basic Tests at Home: There are several apps and devices compatible with a smartphone which are available and can help performing basic tests, like glucose monitoring, BP/heart beat monitoring, urine analysis, and so on at home itself. The test readings could be forwarded to the physician online. 25-12-2020 By: Atifa Aqueel 53
  • 52. M-HEALTH BENEFITS • Online Consultation: The availability of consultations via telephone or 3G video provides quality care just a button away. All such apps and facilities offer medical care on the go. • Better Facilities in Rural Areas: Since there is a lack of basic healthcare facilities in rural areas and the people travel miles just for medical consultation, video calling and online consultations comes into play, herein. Thus, M-Health is improving the healthcare access for the vast underserved rural market and enhances patient care for urban consumers. 25-12-2020 By: Atifa Aqueel 54
  • 53. LATEST TECHNOLOGIES IN HEALTHCARE SECTOR Nanotec hnology Big Data Analytics Cloud Genome Sequenci ng Artificial Intelligence Wearable and Sensors Virtual Reality 3D Printing Technologies in healthcare sector 25-12-2020 By: Atifa Aqueel 55
  • 54. NANOTECHNOLOGY • Nanotechnology incorporates the manipulation of matter at the atomic and molecular level in order to create materials with remarkably varied and novel properties. • Today, the immense knowledge pool on how the body functions at the cellular level is paving way for several new and better medical techniques. • Quantum Dots based Diagnosis: • Swift Diagnosis: Nanotechnology is facilitating way faster and more precise diagnosis, as many tests can be built in a single, palm-sized device requiring trivial sample quantity. Such devices are even termed as a ‘lab- on-a-chip’. 25-12-2020 By: Atifa Aqueel 56
  • 55. NANOTECHNOLOGY Targeted Drug Delivery: For treating a disease, multiple drugs are prescribed at a time, in order to target the disease site and many patients complain about the moderate to severe side effects of those drugs. By deploying specially-designed drug-carrying nanoparticles, accurate targeting of the drug can now be achieved. This elicits the fact that much smaller quantities of a drug will be required for treating a disease, thus reducing toxicity to the body. The progress of the cure can also be monitored using advanced imaging techniques. Nanotechnology can be embedded within the mobile devices for faster and at- home diagnosis which in turn will sweep the healthcare world with an unprecedented revolution. 25-12-2020 By: Atifa Aqueel 57
  • 57. 3D PRINTING • 3-D printing revolves around the use of digital 3-D design data utilized for building up a component layer by layer. • 3D printing, was first developed in the 1980s. It involves taking a digital model or blueprint of the subject that is then printed in successive layers of an appropriate material to create a new version of the subject. • There are four core uses of 3D printing in the medical field that are associated with recent innovations: creating tissues and organoids, surgical tools, patient-specific surgical models and custom-made prosthetics. 25-12-2020 By: Atifa Aqueel 59
  • 58. BENEFITS OF CLOUD Supports big data sets for EHR, radiology images and genomic data offloading Facilitates the sharing of EHRs between hospitals across geographies Enables on-demand access to computing and large storage facilities Improves analysis and information tracking 25-12-2020 By: Atifa Aqueel 60
  • 59. SIGNIFICANCE OF BIG DATA IN HEALTHCARE 25-12-2020 By: Atifa Aqueel 61
  • 60. WEARABLE SENSORS FOR REMOTE HEALTH MONITORING • Remote health monitoring is based on non-invasive and wearable sensors, actuators and modern communication and information technologies. • It helps in monitoring important physiological signs of their patients in real time, assess health conditions. • It allows people to continue to stay at home rather than in expensive healthcare facilities such as hospitals or nursing homes. • It provides an efficient and cost-effective alternative to on-site clinical monitoring 25-12-2020 By: Atifa Aqueel 62
  • 61. REMOTE HEALTH MONITORING SYSTEM Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5298703/25-12-2020 By: Atifa Aqueel 63
  • 62. LIST OF SOME COMMERCIAL PRODUCTS • List of some commercial products for monitoring physiological signs and activities Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5298703/ 25-12-2020 By: Atifa Aqueel 64
  • 63. DIGITAL HEALTHCARE IN INDIA Digital Healthcare is the ‘healthcare of the future’. Like many other markets, India too is at the cusp of a ‘digital health’ revolution. The Indian healthcare sector is growing at a rapid pace and is currently valued at US$100 billion. With increased digital adoption, the healthcare sector is expected to grow at a CAGR of 23% to US$280 billion by 2020. With Electronic Health Records, Mobile Healthcare, Hospital Information System, Technology Enabled Care, Telemedicine and other technologies gaining wide acceptance in the sector, clearly Digital Healthcare is the way forward. 25-12-2020 By: Atifa Aqueel 65
  • 64. DIGITAL HEALTH 25-12-2020 By: Atifa Aqueel 66
  • 65. DIGITAL HEALTH INITIATIVES BY GOVERNMENT OF INDIA • The government has taken several initiatives in recent years to strengthen digital healthcare in India. • Ministry of Health & Family Welfare has undertaken various initiatives using Information & Communication Technologies (ICT) for improving efficiency & effectiveness of the public healthcare system. • Ministry is continuously working on planning and introducing more of ICT initiatives. • These ICT initiatives are: • National Health Portal (NHP) • E-Hospital • Digital AIIMS: • Online Registration System (ORS) • NIKSHAY • Mother & Child Tracking System (MCTS) • Integrated Disease Surveillance Program (IDSP) • Digital Payments • National Organ and Tissue Transplant Organization (NOTTO) etc. 25-12-2020 By: Atifa Aqueel 67
  • 66. ICT INITIATIVES 1. NATIONAL HEALTH PORTAL (NHP) • Its objective is to create awareness amongst the citizens about health, Government programmes & services in Health Sector. • National Health Portal (NHP) provides information to citizens and stakeholders in different languages (currently six languages Hindi, English, Tamil, Gujarati, Bengali, and Punjabi). • A voice portal, providing information through a toll-free number 1800-180-1104 and Mobile App are also available. Website: http://www.nhp.gov.in 25-12-2020 By: Atifa Aqueel 68
  • 67. 2. E-HOSPITAL • e-Hospital is an open source health information management system, specifically meant for hospitals in the Government sector. • Major functional areas covered by the system include patient care, laboratory services, work flow based document information exchange, human resources, and medical records management Website:https://ehospital.nic.in/ehospitalsso/ 25-12-2020 By: Atifa Aqueel 69
  • 68. 3. DIGITAL AIIMS • The Digital AIIMS project, implemented as part of the Digital India Initiative, has been widely termed as the First Digital Revolution in Healthcare in India. • It has two components “ the e-Hospital Project and the AIIMS Transformation Project. • The online registration software for AIIMS and three other hospitals of Delhi was launched on July 4, 2015 as part of Digital India initiatives by the Prime Minister of India. • The Digital AIIMS project, with nearly 45 lakh beneficiaries, has had the highest footfalls of Digital India Projects. • AIIMS has been felicitated by the Ministry of Electronics & Information Technology for reaching the milestone of India’s First Fully Digital Public Hospital. 25-12-2020 By: Atifa Aqueel 70
  • 69. 4. ONLINE REGISTRATION SYSTEM (ORS) • In order to improve ease of services for citizens, Online Registration System (ORS) launched in July 2015 provides services to citizens for taking online registration & appointment, payment of fees, online viewing diagnostic reports, enquiring availability of blood online etc. in various public hospitals 25-12-2020 By: Atifa Aqueel 71
  • 70. 5. NIKSHAY FOR TB • Launch Year: 2012. • Objective: To keep a track of the TB patients across the country • Working: Whenever a new patient is registered on NIKSHAY, an SMS is sent to the patient with registration ID and details of Directly Observed Treatment, Short Course (DOTS) Operator along with advisory note to take the regular medicine. Daily SMS is sent to all monitoring authorities. • Benefit: Proper monitoring and tracking of the TB patients and ensuring timely delivery of the medication. More than 3.5 lakh TB patients have been registered since its launch in June 2012. 25-12-2020 By: Atifa Aqueel 72
  • 71. 6. MOTHER AND CHILD TRACKING SYSTEM (MCTS) • Launch Year: 2009 . Objective: To collate the information of all pregnant women and infants • Working: The MCTS software sends reminders to the Auxiliary Nursing Midwives (ANMs) or ASHAs on the various treatments to be availed by the expecting mothers having mobile phones. Once a mother receives her immunization, ANMs have to send the details to the MCTS service through an SMS. After the enrolment, every expectant mother receives SMS regarding their next immunization and check up dates. • Benefit: Ensures timely delivery of maternal and child health services from conception till 40 days after delivery in the case of pregnant women and up to five years for children. Over 10.5 Crore pregnant women and children have been registered in MCTS by the January 2014. 25-12-2020 By: Atifa Aqueel 73
  • 72. 7. INTEGRATED DISEASE SURVEILLANCE PROGRAM (IDSP) • Launch Year: 2004 • Objective: To detect and respond to disease outbreaks • Working: Weekly disease surveillance data on epidemic prone disease is collected from reporting units, such as sub-centres, primary health centres, community health centres, hospitals, and medical colleges. At present, over 90% districts report such weekly data through e-mail/portal. The weekly data are analysed by State Surveillance Unit/District Surveillance Unit (SSU/DSU for disease trends. • Benefit: Whenever there is rising trend of illnesses, it is timely investigated for diagnosing and controlling the outbreak. On an average, 30-40 outbreaks are reported every week by the States. 1584 outbreaks in 2012, 1964 outbreaks in 2013, and in 2014, 67 outbreaks have been reported till 26th January. 25-12-2020 By: Atifa Aqueel 74
  • 74. 8. NATIONAL ORGAN & TISSUE TRANSPLANT ORGANISATION (NOTTO): In order to promote organ donation amongst citizens at large, National Organ & Tissue Transplant Organisation through its web-portal offers services for Online Registration for Organ/Tissue Transplantation or Retrieval and Online pledge registry by citizen for organ donation. 25-12-2020 By: Atifa Aqueel 76
  • 75. MOBILE BASED PROGRAMS (BY GOVERNMENT OF INDIA) 1. Tobacco Cessation Programme: It is a mobile-based interventional initiative for counselling and helping people to quit tobacco, by giving a missed call to 011-22901701. Currently over 20 lakhs total missed calls have been captured and around 15 lakhs users are registered for this programme. 2. mDiabetes Program: It is a mobile-based initiative for prevention and care of diabetes by giving a missed call to 011-22901701. Currently more than 1 lakh users are registered for mDiabetes 25-12-2020 By: Atifa Aqueel 77
  • 76. MOBILE APPLICATIONS (BY GOVERNMENT OF INDIA) To harness the wide penetration of mobile connectivity (~ 1 billion connections), various mobile apps have been launched so far; namely: 1. Vaccine Tracker (Indradhanush Immunization):support parents in tracking immunization status of their children and helps them in ensuring complete and timely vaccination. Launch- April, 2016 25-12-2020 By: Atifa Aqueel 78
  • 77. MOBILE APPLICATIONS 2. India Fights Dengue (enables a user to check Dengue Symptoms, get nearest Hospital / Blood bank information and also share feedback) Launch- April, 2016 3. NHP Swasth Bharat: Initiative from National Health Portal to find detailed information regarding healthy life styles, disease conditions, symptoms and their management and First AID. Launch- April, 2016 25-12-2020 By: Atifa Aqueel 79
  • 78. MOBILE APPLICATIONS 4.NHP Directory Services Mobile App. (provides information related to Hospitals across India) Launch- June, 2015 5. No More Tension Mobile App. (information on stress management related aspects) Launch- November, 2016 25-12-2020 By: Atifa Aqueel 80
  • 79. MOBILE APPLICATIONS 6. Pradhan Mantri Surakshit Matritva Abhiyan Mobile App. (for reporting pregnancy care related information from across states) Launch- November, 2016 7. Mera Aspataal Mobile App: For recording patient feedback on the services received from both public and empanelled private health facilities, thus helping immensely in improving the quality of healthcare. Launch- August, 2016 25-12-2020 By: Atifa Aqueel 81
  • 80. FUTURE OF HEALTHCARE (INTERNET OF THINGS) • https://www.youtube.com/watch?v=Ioy5vyxScXU • Video 3 25-12-2020 By: Atifa Aqueel 82
  • 81. CONCLUSION • The use of ICT in health sectors have focused on three broad categories: 1. Improving functioning of health care systems, which includes management of patients care and records, administrative and ordering systems . 2. Improving the delivery of health care through better diagnosis, training among workers, and supporting them in primary health care. 3. Improving communication in health services, including improved communication between workers and feedback on the impact of health services and interventions. • The gaps between health professionals and the communities served by them can be addressed by implementing ICT in healthcare. • A smart, careful and contextual integration of ICT in delivery of healthcare service should be a prioritised strategy to aid complex health needs of a country. 25-12-2020 By: Atifa Aqueel 83
  • 82. REFERENCES [1]. ASSOCHAM India report on “ICT in Healthcare Opportunities and Challenges” [2]. http://pmssy-mohfw.nic.in/tech_healthcare.aspx [3]. https://mohfw.gov.in/ [4]. https://www.ciiblog.in/digital-health-the-way-forward/ [5]. www.google.com [6]. www.expresshealthcare.in [7]. https://medium.com/@iihmrdelhi/telemedicine-the-current-scenario-in- india-bdf668beacea 25-12-2020 By: Atifa Aqueel 84
  • 83. 25-12-2020 By: Atifa Aqueel 85
  • 84. USE OF ICT IN HEALTHCARE • The use of ICT in healthcare can be categorized into 4 main streams such as; • Health & Education • Hospital Management System • Health Research • Health Data Management 25-12-2020 By: Atifa Aqueel 86
  • 85. HEALTH & EDUCATION • In this Digital era, people can easily seek, access, learn & communicate with others within a quick span of time. • This makes education accessible, available and open to all. • Health education creates awareness among the public about the communicable diseases, health status, prevention measures and various current diagnostic & therapeutic procedures. • This gives a freedom to the people to choose the best hospitals and doctors to approach for treatment and to have their life in a healthy way. 25-12-2020 By: Atifa Aqueel 87
  • 86. HOSPITAL MANAGEMENT SYSTEM • ICT helps the Hospital management to lead the organization in a successful way. • This helps the management to overcome the challenges faced by the Hospital. • ICT helps the management to improve the patient safety and satisfaction, get updated to the latest technology, have a knowledge on population health & statistics and keep a note on the government mandates on track. • Primarily, the workplace can be strengthened. 25-12-2020 By: Atifa Aqueel 88
  • 87. HEALTH RESEARCH • ICT in healthcare research helps in finding the possible prevention measures to eradicate and reduce the spread of diseases. • We can find new technology in diagnosis which reduces the time and cost. • This saves the lives of many individuals by providing treatment in advance. • Through ICT, the traditional healthcare systems can be eliminated and new models can be formed for effective quality care. 25-12-2020 By: Atifa Aqueel 89
  • 88. HEALTH DATA MANAGEMENT • The fundamental use of ICT in Hospital is for electronic storage of medical data i.e. Electronic Medical Records (EMR). • This helps to retrieve the information easily. • Through ICT the data can be transferred to the patient or to the Doctors for consultation. • The patient can have medical records in hand which can be used anywhere, anytime. 25-12-2020 By: Atifa Aqueel 90