More than you think!
Now Healthcare that is convenient and affordable
E-PHCs are tailored to meet the demands of certain areas in India, where healthcare and doctors are not easily available and population of those areas are medically under-served. The target areas for putting up E-PHCs are mainly rural/semi-urban areas with a population of 20,000 or more and within a 20 Km radius from the hospitals. So, idea is to provide immediate and affordable healthcare to villagers in need and to stabilize the patient to certain extent in case the person needs further medical treatment, surgery or critical care.
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E-PHC
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Average Annual Consultation
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Average Annual Life Saved
E-Primary Health Center (HelloLyf PX)
e-PHCs are like creating bridge between the patient and the ultimate healthcare in hospitals for critical care and / or surgery cases, in case needed. E-PHCs aim to provide complete primary healthcare solution (including OPD consultation, diagnostic tests and medicines) from a single point. The e-PHCs will also have 12 in-patient beds for basic hospitalization and day care procedures and a labor room for safe deliveries. Each PHC is manned by one Ayush doctor, qualified nurses (GNM or ANM), Ward care person and Pharmacist, who operate the equipment and connect to the doctor digitally. The admission and treatment of “in patients (IPD)” will also be under the supervision of qualified MBBS doctor(s). The e-PHCs are a 1000 Sq. Ft pre-fabricated modular compact steel structure with a patients’ reception and registration area, doctors’ consultation area, Pharmacy and 12 beds for in patients, all under one roof. The units have adjacent toilet block. The units are solar powered, keeping in mind the issues of electricity in rural Indian states. The units wouldn’t have any “operation theatre’ for surgical procedures and any “Critical care unit”. Such patients are referred to the nearby Glocal Healthcare hospital or nearby other hospitals, in case Glocal Hospital is not around.
Main Components
Video Consultation
Video Consultation through a virtual OPD platform allows patients to do a video-consultation with doctors or even multiple doctros at the same time.
Clinical Decision support
Clinical Descision Support that helps doctor to make better decisions,diagnosis, interpretation of results using protocols and finalizing a prescription reducing medical errors.
Instant Investigations
Instant Investigation using instantdry biochemistry and chromatographic immunology tests are perfarmed rapidly through kits and a point of Care Analyser
Automated Dispensis of Medicine
Automated Dispensing of medicines a comprehensivesoluation for inventory management & dispensing medicines
Layout of Hellolyf-Px (e-Phc)
The project envisages setting-up of Pre-fabricated e-Phc's to ensure delivery of healthcare. The prefabricated model has 500 square feet of MS Steel structure with high grade PUF Panels.
This will include the installation of solar powered prefabricated modular structure and the use of a host of technologies from Telemedicine, Internet of Things, Artificial Intelligence, Automation and Point of Care technologies to ensure universal healthcare in a challenging environment.
This will enable creation of Electronic health record for every patient and create a Real Time Geo Spatial Dashboard to visualize all data including Service Delivery on Real time basis.
Services to be Delivered
- General Physician Consultation
- Specialist Consultation
- Remote Examination: by Doctors including Laryngoscopy, Otoscopy,Rhinoscopy, Dermascopy
- Normal Delivery
- Investigations: including Hb%, Lipid Profile, Malaria, Dengue, Yellow Fever, HIV, HCV. HbsAg, Typhoid, Pregnancy Test, Blood Glucose, Urine Tests with Protein pH, Leukocytes, Nitrites, Ketones, Bilirubin, Blood, Urobilinogen & Specific Gravity, Biochemistry including total protein, total cholesterol, total bilirubin, albumin, amylase, alkaline phosphatase, triglyceride, gamma glutamyl transferase, glucose, urate, urea, aspartate transaminase, alanine transaminase) and the electrolyte panel (bicarbonate, calcium, phosphate, magnesium, potassium, sodium and chloride
- Vital Recording & Measurement: including Ht Wt Temperature, Chest Circumference, Arm circumference, Head Circumference, BP, SpO2, etc…
- Ante Natal Check-ups: including Fetal Doppler.
- Vaccination: for the Universal Immunization Program.
- Medication including the Essential Drug List for DRC as necessary and as titrated for the Digital Dispensary.
- Supervised at risk Normal Delivery through a Gynecologist at a higher center
- Baby Growth Chart & Nutritional support to fight the problem of malnutrition.
- Hospitalization & Treatment: of Diarrhoea, Dengue, Malaria, Dehydration, LRTI, Asthma etc which could be managed at health center level.
- Radiology
- TRIAGE & Referral: for cases that cannot be treated at the health center
System Design and Software Plateform
A. Litmus DX
Clinical Decision Support System with customizable Protocol Building Modules. ePrescription, Diagnostic System, Pharmacopeia, Drug Safety & Investigation Engine. For use of the doctor only. J2EE based application with Oracle database back-end to assist the physician consultation process which includes the language semantic-based patient symptom capture, investigations results and interpretations, procedure lists, differential diagnostics, drug contraindications, drug-drug interactions, drug-food interactions, drug alcohol interactions, diet charts, prescription generation, patient history and document management. It has support for online and offline patient consultation process.
B. Hellolyf
Glocal's Hellolyf is a Telemedicine platform for web & android, backed by a Clinical Decision Support System-LitmusDX for Differential Diagnosis, Investigation Engine, Treatment Protocols, Inventory Management, Pharmacopeia & Drug to enable primary healthcare consultations. It’s a Virtual on-Demand Clinic based on Telemedicine with Facial Recognition ( Image Analysis for identifying patients, doctors & staff and Automated Tele CRM). Virtual Clinic with automated calling, multiple chatrooms, with remote control for Litmus DX for swapping of medical examination scopes and automatic capture of diagnostic investigations. Built in Clinic Management Module & Electronic Health Records
Components in Setting-up of Digital Prefabricated e-Phc
The indicative items comprising the project components
- LitmusRx: An automatic medicine dispenser integrated with the LitmusDx.
- Misc Medical instruments - Nebulizer, weight-machine, Height scale, Needle cutter, Mini sterilizer, centrifuge machine, forceps, scissors, trays, scalpel, consumables, etc.
- Medical Furniture: 3 Hospital Beds, Labor Tables, Side-Board Cabinet, Three-Fold Partitions, Reception Table, Backdrop, Triple seater Chrome Benches, Examination Table, Counter for Pharmacy with Litmus RX / Shelves, Chairs, Stools, Table.
- Connectivity: Mast+ radio / Telecom Connectivity Module with Wi-Fi Transmitters and Booster.
- Civil work: Interior Vinyl on Walls, PVC Flooring, Two Sets of Toilet Fixtures, Stainless Steel Sinks, Reverse Osmosis Plant,Water plumbing, PVC Overhead Tank, Submersible Pump.
- Power soluation: Power back-up solution with Solar power system
- Equipment insurance: Insurance of equipment (1st Year)
- 1st Year’s AMC
- Training of Manpower
LitmusMx suite- Integration of CPU, Monitor, Laser Printer, Webcam, headphone & microphone, mouse, USB hub, router/signal enhancer, UPS 1KVA etc. Also includes:
- Medical equipment- Biochemistry analyser (Together with initial reagents), X-Ray Scanner, ECG 12-channel with BLE Dongle, Fetal Doppler, Stethoscope (Digital) with SPO2, USB Digital Endoscop (Otoscope), Dermatoscope, Digital Thermometer, BP Apparatus Dial Type, Stethoscopes Manual, etc
- Test Kits: Initial POC kits for confirmatory test.
- Software- LitmusDx (the updated one node subscription of the CDSS software with unlimited upd-ates during contract period), webRTC and other standard software.