1

KERALA

• HEALTH MANAGEMENT INFORMATION SYSTEM

HEALTH MANAGEMENT HEALTH MANAGEMENT INFORMATION SYSTEMINFORMATION SYSTEM

Sponsored by European Commission Sector Investment programme

Project Cost: 178 Lakhs

Scope Hosting the Administrative applications and Health Services Data Collection

& Reporting Module centrally in one servers for remote access Computerisation of 14 District Medical Offices (DMOs) of the Directorate

of Health Services (DHS) Networking of DMO Offices to DHS Development of Software.

TechnologyWeb Oriented J2EE Applications with MVC Architecture on Oracle Application Server

AchievementsSubmitted and got approved the master plan

Phase II of the recommendation got approved and implementation is in progress.

Main PointsMain Points

Setup Hardware Infrastructure

Establish Statewide Connectivity

Deploy Browser based Applications

Provide a workable model for Data Entry

Central Server

Linux platform

Client end windows/ Linux.

Open source.

ProjectProject Central Dedicated Server - Database, Application, Mail and Security

Services Health Data Entry & Reporting Application for HMIS requirements. All applications in the Central Server – Administrative, HMIS, DDMS,

etc. Network the Directorate, DMO offices and link to the central server. Data entry DMO level in the initial phase and PHCs in the next phase. Optimise Data Entry for reducing workload of Health workers Include all non-governmental health care institutions also in the

reporting process later stage. Provide feedback to the reporting institutions, so that they are

motivated. Provide spatial analysis capability through GIS integration. Develop/Identify Drug Distribution Management Application (DDMS) Integration of all existing computerization programmes.

Highlights

Central Database & Application Servers. Browser based applications. High bandwidth connectivity to server. Leased line connectivity to all DMO’s. Dial Up access from PHC’s and other institutions. 5-10 computers at each DMO with LAN connectivity 2-5 computers at District Stores, and similar institutions* 1 computer each at PHC’s/CHC’s/Other small institutions*

* Not included in this phase of the project- Future Development.

System ArchitectureSystem Architecture

6

Drug DistributionGIS

Health DataInstn Directory

Administrative Suit

HR, Finance

Integrated Data repository

Mail Server FirewallApplication Server

Database server

Storage backup

Authentication Server Network

DMO/DHS

Leased Line 64 Kbps or higher

PHC

CHC

Dial Up Access

LAN

APPLICATIONS

Leased Line

2 Mbps

System Architecture

Enhance & Extend Administrative applications to all

institutions

Health Data Collection & Reporting System

Payroll & Financial Accounting Applications

Develop GIS module and incorporate spatial information

Develop and Deploy Drugs Distribution Management System

Application SoftwareApplication Software

Infrastructure Management System

Employee Records Management

Budget Management

File Management

HR Management – Personnel & Payroll

Administrative ApplicationsAdministrative Applications

Health Data module has the facility to

Create a new programme

Define sub programmes

Define activities under a programme

Define sub activities

Define parameters to be measured under an activity

Set targets for activity/parameter

Defining Programmes

Defining the Programme – Typical User Interface

Health Data module provide facility to

Create a new report from a set of

predefined Report templates

Define the details to be shown

Define aggregates

Define indicators

Configuring Reports

12

NATIONAL FAMILY WELFARE PROGRAMME

INSTITUTION -WISE ACHIEVEMENT OF …………………………………………. DISTRICT

FOR THE MONTH OF …………………………………………………..

Total No. of Institutions functioning ………………………………….. Reporting …….

Total No. of Sub centres ………………………………………….. Not Reporting ……………….

Sl.No Institutions

No. of FW Sub centres

STERILISATION IUD

Nirodh poeces distrubuted(CC)

Oral Pills cycles

distributed

VAS

PPS ML LAPRO TOTAL LL CUT TOTALNSV CON

A PH Centres

Name of PHCs

TOTAL

B. Govt. Hosp

(Urban Area)

C Private Institution

C1 Vol. Organisation

TOTAL C

Total for the Month (A+B+C)

Total upto previsous month

Progressive total

A Typical report

13

National Family Welfare Programme

Sterilisation

Vasectomy

PPS

Lapro No of OP cycles

distributed(parameters)

(parameters)

(Programme)

NSV Conventional

(Activity)

(Sub Activity)

IUD(Activity)

LL CUT

Can be easily visualized in a tree structure

Health Data module provides

Dynamically created Data Entry Forms as

per the programme definition

Proper Validation facilities

Facility for setting targets

Facility for verification & certification

Data Entry

Data Entry – Typical User Interface

Avoid duplication of data reducing the data entry job.

Flexibility in defining Health Programmes, activities and parameters

providing dynamic nature to health programmes.

Indicators definable based on activities or parameters providing facility for

statistical analysis.

Automatic consolidation of data, reducing the work load of employees

Proper Feed back to lower level, thus providing facility for comparison

increasing motivation.

Spatial Analysis to reveal many valuable information, which may otherwise

could go unnoticed.

Extensibility providing facility for data entry from any point of service

Key Features

A project was submitted by Center for Earth Science Studies.

Final approval for the project not received.

GIS IntegrationGIS Integration

Hardware & System SoftwareHardware & System Software

Features:

High AvailabilityHigh ReliabilityHigh ScalabilityServer ConsolidationStorage Consolidation

Central ServerCentral Server

Server SoftwareServer Software

Red Hat Enterprise Linux AS

High-end server product, suitable for large departmental and corporate server

deployments.

Oracle 9i AS

Browser-based environment for building and deploying personalized e-business

portals.

Oracle 9i Enterprise Edition

Supports the high scalability requirements of the most demanding Internet-based and

traditional mission-critical applications, as well as the highest availability

requirements

Anti Virus Software

Firewall

Hardware & System SoftwareHardware & System Software

DMO level Hardware

Workstations (5 – 10 Nos.)

Pentium IV

256 MB RAM

40 GB Hard Disk

17” Monitor (SVGA Color)

80 column dot matrix printer

Modem

3KVA UPS (2 hour backup)

Laser printer – 2 Nos.

Structured cabling (for 24 nodes)

Hardware & System SoftwareHardware & System Software

System Software System Software PHCs and DMOPHCs and DMO

Windows XP. Open Office. Browser – Internet Explorer / Mozilla. Plug-in software (Java/Acrobat/SVG). Anti Virus Software.

Other option Linux – Red Hat / SuSE Open Office Browser –Mozilla Plug-in software (Java/Acrobat/ SVG)

22

ASIANET

RELIANCE

BHARTI

PH CENTRESPH CENTRES

LEASED LINE

TO DISTRICT HQ

2 MB LINK

2 MB LINK

2 MB LINK

LEASED LINE

TO DISTRICT HQ

LEASED LINE

TO DISTRICT HQ

HSRPHSRP

HSRP

DIAL UP ACCESS

PH CENTRES PH CENTRES

DIAL UP ACCESS

PH CENTRES PH CENTRES

DIAL UP ACCESS

DIAL UP ACCESS

SII BACK BONE NETWORK

CENTRAL SERVERS

RAS RAS

RAS

DHS NETWORK

DMO DMO DMODMO

Leased Line Leased Line Leased LineLeased Line

DMO DMO

Leased Line Leased Line

Connectivity Options

23

State Information Infrastructure(An E-Governance Initiative for Statewide Connectivity)

Kozhikode

Kochi

Thiruvananthapuram

NETWORK CENTRES AND eGOVERNANCE CENTRE

eGC

Connectivity Options

HR PORTALHR PORTALSponsored by MIT & Gov. of Kerala Project Cost: 351 Lakhs

Scope Setting up a Health Information Centre to host the Portal Services Implementation of a wireless network linking all the five

Directorates and the Health Secretariat to the Health Information Centre.

Development Development of a Human Resources Portal, which is web based,

easily configurable, and can be parameterized.

Technology Developed using Oracle Portal and Struts MVC Framework,

designed to J2EE Specifications

Achievements Developed the HR & Payroll applications as a highly configurable

model, and portlets based on existing applications

HEALTH DIRECTORATESHEALTH DIRECTORATESSponsored by Dept. of Health, Gov. of

Kerala Project Cost: 110 LakhsScopeComputerisation of 5 Health Directorates - Directorate of Health Services (DHS) - Directorate of Medical Education (DME) - Directorate of Indian System of Medicine (DISM) - Directorate of Homoeopathy (DH) - Directorate of Ayurveda Medical Education

(DAME) AchievementsComputerized all the five Health Directorates.

MEDICAL COLLEGE HOSPITAL MEDICAL COLLEGE HOSPITAL COMPUTERISATIONCOMPUTERISATION

Kerala Government Sponsored Project Cost: 177 Lakhs

ScopeHardware Supply, Networking, Software Development and Training

Software Modules

OP Management, IP Admission, Ward Management, Resource Scheduler, Lab Management, Staff Scheduling, Enquiry, Pay-ward Reservation

TechnologyWeb Oriented, Java with MVC Architecture, 100 Clients, 250 Node

Campus wide network with Fiber Optic Back bone

AchievementsImplemented successfully in Wards, IP Admission Counter and Nursing

Superintendent office

SERVER ROOM

DBA Consoles

Remote Access

CDAC DHSDME

Medical College Labs

Wards & DepartmentsWards & Departments

OP Counters & EnquiryIP Admission & Casualty

LAN ExtenderTelephone Lines

Switch Switch

Sw.

Optical Fiber Cables

Operation Theaters

System Configuration

Core Switch

Sw.Sw.

Servers

DATA CENTRE

Tele medicineTele medicine 1. ONCONET – Cancer Care for Rural Masses

A comprehensive Telemedicine solution for Cancer Treatment and Follow-up at A comprehensive Telemedicine solution for Cancer Treatment and Follow-up at Regional Cancer Centre, Trivandrum and its five Perepheral Centres at Early Regional Cancer Centre, Trivandrum and its five Perepheral Centres at Early Cancer Detection Centres at Kannur, Palakkad, Kochi, Kozhenchery and Kollam.Cancer Detection Centres at Kannur, Palakkad, Kochi, Kozhenchery and Kollam.

Developed & Implemented by : CDAC ThiruvananthapuramSTATUS: Commissioned , fully functional.

2. Setting up of Telemedicine & TeleEducation Facilities in Kerala Implementing Tele consultation and Tele Education facility at Taluk Hospitals at Quilandy, Vythiri, Mavelikkara, Neyyattinkara and Mental Hospital Trivandrum with Specialty Hospitals at Medical College Hospital, Trivandrum, Sree Chithira Thirunal Institute, Trivandrum and Regional Cancer Centre, Trivandrum.

Developed & Implemented by : CDAC ThiruvananthapuramSTATUS : Functional at five centres from Dec 2005. Refer Usage statistics

3. Tele Health and Medical Education Project Kerala Telemedicine project by Govt. of Kerala and ISRO which connects 6 Medical colleges, RCC, SCTIMST, all district hospitals and one CHC for providing tele consultation and tele education.

Developed & Implemented by : ISRO & Govt. of KeralaSTATUS : Work completed. It will start functioning soon.

The Telemedicine Architecture

e Bankinge Banking

First time in India in any Government Dept.Online transfer of funds from GoI to State

RCH society.Online transaction of all funds of RCHSoftware supplied by ICICI, free of cost.Rapid transfer of Money High security.Online monitoring of all transactions in

individual heads.

33

Bharti

Akshaya Network at Malappuram

Kizzisary GHSS

CHMHSChekkod

BPIDC Pallurkotta

AGRI,Tavanoor

Airtel POP Kallarakkunnu

JNV Vangalam

Vettekkod Trunching Ground

Block Panchayat Office Arikkod

FGH Nilambur

GHSS,Kalpakanchery

KINFRAKakkancherry

3.04 km

7.75km

16.8 km4.5 km3.48 km

17.5 km

8.5 km

22.3 km

15.68 km22.5 km

3.5 Km

# 463

# 485

# 3

# 129

# 800# 773

# 153

# 294

14.53 km Pullamkode

VIP

VIP

VIP

VIPVIP

VIP

VIP

VIP

VIP

VIP

VIP

VIP

VIP

VIP

PPR

PPR

PPR

PPRVIP

VIP

E1 Radios

PPR

22

6

2

5

12

MCT Melmuri5

25

236

DRDAMalappuram

8

17

30

3

2324

6

424

10

POP Sub POP

xx No of Akshaya centres connected

20

# 237

# 337

# 084

Vivekananda

MEA

PTM

8

3

5

7

8

10

5

4

Progress Progress Health Management Information System-

Master plan developed.Administrative application software

developed. Health Services Data Collection completed

and data entry started. Computerization Directorate of Health

Services (DHS). First phase completed. of 14 District Medical Offices (DMOs) will be

completed in one month time.

Progress (cont..)Progress (cont..)Central Server installed. Computerized all the five Health Directorates.Medical College Hospital Computerisation-

Implemented successfully in Wards, IP Admission Counter and Nursing Superintendent office.

ONCONET - Commissioned , fully functional. Telemedicine. Functional at five centres e Banking – Functional.

36Thank You