Project : Modernizing the UPHC Network
165 e-UPHCs, PPP mode, NUHM, Govt of AP Start Date: Sep 2016
Kria is implementing a project of telemedicine enabled e-UPHCs in the state of Andhra Pradesh in two zones covering 165 e-UHPCs in consortium model with Apollo. Scope of the project as below:
- MBBS doctor along with necessary para-medical and IT technical staff are provisioned at each site.
- Specialist consultations are provided via Tele-medicine.
- Electronic patient health records.
- Dashboard for real time monitoring of key parameters.
- Hardware, software for transmission of relevant patient information.
- Feedback of tele-consultation and other services recorded electronically.
Kria proposes to revamp and manage the UPHC services as per the best practices in the industry and standard operating procedures.
After the revamp, the eUPHCs would function as effective first point of care for primary healthcare needs of citizens in the coverage
area providing all rounded integrated services. The proposed modernization of the UPHCs are expected to yield the following benefits:
- Enhanced clinical and support services to urban poor.
- Integrated telemedicine based specialist consultations.
- Digitization of patient records to be aligned to the proposed EHR standards of Govt of India.
- Freeing up the time spent by specialists on basic cases by qualifying referrals and EHRs from UPHCs.
- Reduced exploitation of urban poor at the private health providers.
- Comprehensive pathology and biochemistry tests done at the UPHCs to avoid patients running to private centres and being fleeced there.
- Enhanced utilization of existing Govt. health infrastructure through integration.
- Reduce the number of suicidal cases, stress related diseases through effective counselling.
- Diseases surveillance and monitoring.
New services that can be provided at eUPHCs:
- Digitization and automation of UPHC workflow (including required IT and Communication infrastructure) to enable efficiencies
- Deliver specialist consultations via Tele-medicine. The specialists would be located at a Hub location (preferably from a Govt tertiary centres wherever possible) and would be from various specialties with MCI/NEB certified MD/MS/DNB degrees. We propose to start with 4-5 specialities viz. Internal Medicine, Gynaecology, Paediatrics, Orthopaedics and Cardiology initially and add more later based on the need and response.
- Second Opinion for procedures like surgeries and higher treatments as poor have little access to advice or information to make an informed choice.
- Electronic Health Records.
- NCD tracking and management .
- Tracking of mother and child health.
- Immunization tracking.
- Grievance Registration and Feedback of Government Schemes.
- Contact centre for patient reminders for follow up visits and NCD management.
- Standardized clinical nutritional counselling and advice with SMS integration.
- Telemedicine based counselling for Psychological problems, Depression and related problems, Sexual health queries and Stress related problems - Tracking and mapping of emerging diseases/disease warning system.
- Use of advanced analytics for dashboard and reporting at multiple levels.
- Upgradation of medical equipment as required.
- Training and continuing medical education for doctors and paramedical staff.