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KERALA
• HEALTH MANAGEMENT
INFORMATION SYSTEM
1
HEALTH MANAGEMENT
INFORMATION 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.
Technology
Web Oriented J2EE Applications with MVC Architecture on Oracle
Application Server
Achievements
Submitted and got approved the master plan
Phase II of the recommendation got approved and implementation is in
progress.
Main 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.
Project











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.
System Architecture
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 Architecture
Drug Distribution
GIS
Health Data
Instn Directory
Administrative
APPLICATIONS
Suit
HR, Finance
Leased Line
2 Mbps
Application Authentication
Server
Server
Mail Server
Firewall
Leased Line 64 Kbps or
higher
Database
server
Network
Dial Up
Access
LAN
CHC
Storage backup Integrated Data
repository
DMO/DHS
PHC
6
Application Software

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
Administrative Applications

Infrastructure Management System

Employee Records Management

Budget Management

File Management

HR Management – Personnel & Payroll
Defining Programmes
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 the Programme – Typical User Interface
Configuring Reports
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
A Typical report
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 ……………….
STERILISATION
IUD
VAS
Sl.No
A
Institutions
No. of
FW Sub
centres
NS
V
CON
PPS
ML
LAPRO
TOTAL
LL
CUT
TOTAL
Nirodh
poeces
distrubu
ted(CC)
Oral Pills
cycles
distribute
d
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
12
Can be easily visualized in a tree structure
National Family Welfare Programme
(Activity)
Sterilisation
(Programme)
IUD
(Activity)
(Sub Activity)
Vasectomy
NSV
Conventional
PPS
Lapro
No of OP
cycles
distributed
LL
CUT
(parameters)
(parameters)
13
Data Entry
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 – Typical User Interface
Key Features

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
GIS Integration
A project was submitted by Center for Earth Science Studies.
Final approval for the project not received.
Hardware & System Software
Central Server
Features:

High Availability
 High Reliability
 High Scalability
 Server Consolidation
 Storage Consolidation
Hardware & System Software
Server 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 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)
System Software
PHCs 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)

Connectivity Options
DHS NETWORK
PH CENTRES
PH CENTRES
DIAL UP
ACCESS
DIAL UP
ACCESS
Leased Line
LEASED LINE
Leased Line
RAS
TO DISTRICT HQ
DMO
DMO
CENTRAL
SERVERS
ASIANET
HSRP
RELIANCE
BHARTI
2 MB LINK
2 MB LINK
SII BACK BONE NETWORK
2 MB LINK
HSRP
HSRP
LEASED LINE
Leased Line
TO DISTRICT HQ
LEASED LINE
Leased Line
Leased Line
RAS
DIAL UP
ACCESS
Leased Line
RAS
DIAL UP
ACCESS
DMO
DMO
PH CENTRES
TO DISTRICT HQ
PH CENTRES
DMO
DMO
PH CENTRES
PH CENTRES
22
Connectivity Options
State Information Infrastructure
(An E-Governance Initiative for Statewide Connectivity)
NETWORK CENTRES AND eGOVERNANCE CENTRE
Kozhikode
Kochi
eGC
Thiruvananthapuram
23
HR PORTAL
Sponsored 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 DIRECTORATES
Sponsored by Dept. of Health, Gov. of
Kerala
Project Cost: 110 Lakhs
Scope
Computerisation 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)
Achievements
Computerized all the five Health Directorates.
MEDICAL COLLEGE HOSPITAL
COMPUTERISATION
Kerala Government Sponsored
Project Cost: 177 Lakhs
Scope
Hardware Supply, Networking, Software Development and Training
Software Modules
OP Management, IP Admission, Ward Management, Resource Scheduler,
Lab Management, Staff Scheduling, Enquiry, Pay-ward Reservation
Technology
Web Oriented, Java with MVC Architecture, 100 Clients, 250 Node
Campus wide network with Fiber Optic Back bone
Achievements
Implemented successfully in Wards, IP Admission Counter and Nursing
Superintendent office
DATA CENTRE
SERVER ROOM
Servers
Remote
Access
DBA Consoles
Medical College Labs
Core Switch
Telephone Lines
CDAC
Optical Fiber Cables
DME
LAN Extender
DHS
Switch
Switch
OP Counters & Enquiry
Wards & Departments
IP Admission & Casualty
Sw.
Sw.
Sw.
Operation Theaters
Wards & Departments
System Configuration
Tele medicine
1. ONCONET – Cancer Care for Rural Masses
A comprehensive Telemedicine solution for Cancer Treatment and Follow-up at
Regional Cancer Centre, Trivandrum and its five Perepheral Centres at Early
Cancer Detection Centres at Kannur, Palakkad, Kochi, Kozhenchery and Kollam.
Developed & Implemented by : CDAC Thiruvananthapuram
STATUS: 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 Thiruvananthapuram
STATUS : 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 Kerala
STATUS : Work completed. It will start functioning soon.
The Telemedicine Architecture
e 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 RCH
 Software supplied by ICICI, free of cost.
 Rapid transfer of Money
 High security.
 Online monitoring of all transactions in
individual heads.
Akshaya Network at Malappuram
Airtel POP
Kallarakkunnu
Bharti
KINFRA
Kakkancherry
E1 Radios
6
VIP
VIP
Kizzisary
GHSS VIP
3.5 Km
5
MCT Melmuri
5
Vivekananda
VIP
8
16.8 km
8
3
# 294
12
7.75km
17.5 km
20
VIP
2
8.5 km
DRDA
Malappuram
3.48 km
Block Panchayat Office
Arikkod
VIP
3.04 km
22
CHMHS
Chekkod
VIP
# 337
VIP 25
VIP
VIP
FGH
Nilambur
5
Vettekkod
Trunching Ground 22.3 km
8
4
# 084
# 237
17
JNV Vangalam
VIP
14.53 km
GHSS,
Kalpakanchery
# 463
6
PPR
23
AGRI,
Tavanoor
# 485
23
6
POP
No of Akshaya
centres connected
Sub POP
5
15.68 km
10
MEA
22.5 km
3
xx
Pullamkode
VIP
VIP
PPR
VIP
#3
# 153
PPR
PPR
7
30
10
VIP
# 800
4
# 129
PTM
24
VIP
PPR
BPIDC
Pallurkotta
# 773
24
33
Progress

Health Management Information SystemMaster 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..)

Central Server installed.
 Computerized all the five Health Directorates.
 Medical College Hospital ComputerisationImplemented successfully in Wards, IP
Admission Counter and Nursing
Superintendent office.
 ONCONET - Commissioned , fully functional.
 Telemedicine. Functional at five centres
 e Banking – Functional.
Thank You
36