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Showing posts with the label technology

A transformative moment for Health sector in Bihar started from the roll out of HIMS Training in Muzaffarpur

BHAVYA (Hospital Information Management System) comprehensive training on all modules for all types of user’s kick started from 20 th   January from Sadar Hospital Muzaffarpur and Referral Hospital Sakra, Muzaffarpur. The training includes classroom teaching sessions, hands-on training sessions on computers and assessment. The entire training will be conducted in 264 batches at 17 locations over 45 days with more than 1000 sessions across Muzaffarpur district at Sadar Hospital and 16 blocks HQ at RH/CHCs. It will impart training to 1500 + health officials of Muzaffarpur from Sadar Hospital, RH, PHC/CHC, APHC and HSC in 45 days. It is being led by a team of 31 trainers, 14 local trainers supported by training coordinators and a team of observers/monitors to ensure quality of training meeting as per the schedule and timeline. The attendance sheet will capture the presence of trainees in each session and their feedback and assessment matrix. The training team is working closely with ...

Effective change management is the lifeblood for the success of digitally enabled Health programs

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Change Management for Hospital Information Management System (HIMS) The world hates change, yet it is the only thing that has brought progress. Charles Kettering Health transformation through digital means is not about technology but about people, changing the mindset and embracing the change. In this context it is most important for any digitally enabled health transformation project to ensure that the change through HIMS implementation is sustainable across all user groups. Core users, such as doctors and nurses, need to understand why the change is happening, how it can benefit them individually, and how it will impact their day-to-day activities. Additionally, it is important to communicate how integrated HIMS will make their work easier. Clear communication and training can help ensure a successful implementation and adoption of the new system. The ADKAR model for change management is a widely used framework for managing change and can be effective in digital transform...

Enhancing Access to Quality Healthcare for All through Digitization

BHAVYA: Bihar Health Application Visionary Yojana for All The adoption of digital services has increased significantly since the roll-out of 4G in India, particularly in the banking and finance sector, which has used digital technologies to improve efficiency and provide better quality services to its customers. The Unified Payments Interface (UPI) has facilitated a smooth digital transformation of the banking and financial sectors, resulting in a decrease in in-person banking and an increase in digital transactions outside of banks premises. The travel industry has also embraced digital innovation, with most flight and train ticket bookings being done online. Other sectors have also experienced success with digital adoption, but the healthcare sector has been slower to adopt digital technologies due to various challenges and contradictions. While there have been some instances of vertical automation in the healthcare sector since 2010, it lacks a comprehensive digital ecosystem. How...

How to gain and build Digital Trust is particularly important for the success of any Health IT solutions?

How to gain and build Digital Trust is particularly important for the success of any Health IT solutions? For the success of any digitally enabled health service improvement program the most significant aspect is to gain trust of all stakeholders. The success of the program will be in question if there is lack of commitment of involved stakeholders, it will reduce its outcome and defeat the very purpose of its implementation. There is ample evidence which suggests that digitization in any field or domain has improved quality of living and saved time in completing day to day tasks of common citizens across the country. It has become part of life. However, it has also instilled fear among citizens due to lack of security, safety and reducing trust in digital applications. One can see increasing trust gap in all domains of life but lack of trust in digital application will decrease its fast adoption and in delivering intended benefits to improve system and governance. Large scale data bre...

Digitally enabled health care is a win-win situation for everyone

  Digitally enabled health care is a win-win situation for everyone Patients: Registration, appointment, availability of services on a finger click Diagnosis, laboratory, radiology report/data and its tracking, monitoring, storage, use and sharing SMS/Email alerts, reminders on status, information, and related activity. Online payment, expenditure tracking and payment of incentives /subsidies Specific disease related communication /information and follow up. Support group (patients to patients) Service feedback by patients/public Information sharing and seeking specific information Time saving   Healthcare givers: Easy identification/registration of patients through ABHA No. Availability of patient’s health records Easy management of prescription Laboratory and radiology information management and sharing of results Telemedicine diagnosis, monitoring Referral management Assisted diagnosis support system, treatment protocols, case studies etc. Better communication on roster, ro...

Tanzania: Random Educational Observation

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Some of my random observations/thoughts while traveling Tanzania in July 2022. I travelled far and wide mostly by public transportation, meeting people, talking to them, observing them and seeing the vast possibilities of Tanzania. I have not followed any order intentionally to keep it as it is since it was part of my communication with a Tanzanian friend who wanted to hear my experience. I may be wrong in certain observation but it is completely educational without any wrong motive. Given an opportunity I will return to Tanzania again to complete my tour of Mbeya in South and Mwanza on Lake Victoria which I was not able to do this time. I entered Tanzania from Rwanda through Rusumo border and travelled up to Dar es salaam then Zanzibar and back to Dar. And in return to Moshi, Arusha, Engaruka, Karatu, Ngorongoro conservation area and entered Kenya through Namanga border. I found Tanzania friendly and receptive. There was openness in talk. My entry to Rusumo, Tanzania was smooth. The ...

Where is the fund for climate change solutions ?

Since last few years Grant Funding for climate and broader environment areas is decreasing and in all probability post COVID it will be further decreased.  In 2020 US Grant for this area was in % terms as below, 1.Air, land and water conservation :19  2. Environment education,justice and resource rights :19  3. Sustainable Fishing and agriculture : 16 4.Energy resources and access :18 5.Forestry :1 6. CLIMATE CHANGE: 23 7. Waste management :4  To Restrict warming to 1.5 degree c requires major GHG reductions by 2030 and net zero emissions by 2050. This requires trillions of dollar of capital spending and more funding to improve resilience against physical hazards. Apart from this lot of funding is required for developing scalable low carbon technologies such as  -Renewables Solar/Wind  -Green Hydrogen -Carbon capture , utilization and storage -Natural Climate solutions (NCS) such as reforestation to achieve 1/3rd reductions  -Battery-electric vehicles ...

DoT, GoI soft stand on Rcom AGR dues

            Year 2020 is a silver jubilee year for mobile phones in India. It was started in 1995 by a call between Sri Jyoti Basu, CM, WB with telecom minister Sri Sukhram. Since then this sector has not looked back and immensely contributed for the transformation of India in several sectors after 1991 liberalization. It is growing leaps and bounds and currently having more than billion users. But the last 25 years was full of a coaster ride in mobile telephony in India.  Large numbers of companies were involved in providing mobile telecom services because the sector presents a new opportunity but haphazard planning and monitoring, too many players, small and big alike, spectrum allotment and absence of clear enforceable guidelines and lack of capacity of DOT and TRAI in managing the growth has fare share of controversy as well. The sector was marred by lot of controversy and the most notable one was 2G scam and which become one of the reason...

Bulls are in control in spite of the Stock Market Worldwide seems to be disconnected from reality

       Stock market is the one market where fear, grid, fickleness,panic response,anxiety  rules and most of the time with all above human fear related attributes  it tries to reflect real and logical with  the futuristic trend based on the health of real economy. But it is no where near to it. This market always discounts / credits the future happening in the sector/industry or specific stock and pare down or adjusts the prices much before the bad news or results reaches investors. Most of the time big operators, FPIs, Mutual funds and big broking houses takes a call much in advance giving no time for small retail investors. Small retail investors then take a call either too high or too low. So, this market is also full of cartelisation, insiders passing information and now a days AI to keep doing analysis of millions of daily trades to find out precise exit and entry for big fund houses. They in fact rule the market with ease, cutting technology at t...

National Digital Health Mission (NDHM): A mission within National Health Mission (NHM) 2017

       I remember adoption of National Health Mission (NHM) 2017 after merger of National Rural Health Mission (NRHM) 2005 and National Urban Health Mission (NUHM) 2014, which presents a holistic approach to improve health care services in the country. It envisage the "Continuum of Care " and seek to end the fragmentation of health care services across the country by increasing access to health services, improving quality of health service from Primary Health Centre (PHC) to Tertiary level and significant lowering of the cost of health care delivery by leveraging digital technology. NHM 2017 vision is to build comprehensive health ecosystem on the latest digital architecture and technologies.      It visualizes use of digital technology at all level, component and stakeholders. Care providers to care takers, testing to diagnostics, education to training, medicines to vaccines and above all building a system where mobility of data, record and diagnosi...

Building Long Term Response for Corona like Pandemics

    I start with Jim Kim, former world bank president remarks that, The World has seen repeated instances of cycle of panic,neglect ,panic,neglect, whereby the tremor created by an adverse outbreak recedes , attention shifts , and we let out vital outbreak fighting mechanism atrophy.       This is so true and relevant to this day. The world has faced enough pandemics and epidemics since 3000 BC but every time our response is such that this is the first pandemic. It shows our mentality that we only think to overcome it in shortest time and then forget about it. We have not bothered to include huge experiences learned in fighting all previous pandemics and incorporating these to our future responses . Each time a new war with no memory, reinventing the wheel afresh.      There were several large epidemics and  pandemics which changed the course of history starting from the first recorded epidemic in North East China in 3000 BC. It wiped ou...