Post on 30-Jan-2015
description
Training of Medical officers in Primary Health Centers of Tamilnadu to reduce
perinatal mortality
Innovative use of Technology in Healthcare
@Transforming Healthcare with Technology Summit Project Presentation ScanSHS
Directors : Dr S Suresh / Dr Indrani Suresh
Started in 1982, 31 years of highly specialized foetal care
Accredited by Fetal Medicine Foundation, UK
Tertiary referral centre for Ultrasound and Fetal Medicine in south asia
Passionate Teachers, 26 years of training, Over 5000 students
Caters to all strata of Society
@Transforming Healthcare with Technology Summit Project Presentation ScanSHS
Scan-SHS Project
Project Presentation ScanSHS@Transforming Healthcare with Technology Summit
The aim of ScanSHS project is to improve the skill levels of medical officers in primary health centers of Tamilnadu in the usage of ultrasound for antenatal screening for early
detection of fetal abnormalities through innovative and effective use of technology
Goals of Scan-SHS Project
•Offer a viable healthcare training program for healthcare practitioners in rural Tamilnadu, to improve skills in fetal imagingfor early detection of fetal abnormalities like NTDs, Abdominal wall defects, IUGR etc.
Offer a blended training mechanism that would allow the medical officers at the primary health center to interact with experts and gain skills over a period of time.
System of Audit for continuous evaluation of skill levels. Specialists remotely assess the performance of the medical officer and provide feedback.
Sms Alerts when anomalies are detected for specialist intervention and management
Demonstrate and validate the skills acquired. Sophisticated software analysing performance and suggesting areas of improvement.
•
The project shall result in reduction of perinatal mortality
Project Presentation ScanSHS@Transforming Healthcare with Technology Summit
Challenges
Ultrasound availability in all PHC’s / Government Hospitals
Lack of training – under utilization
No accreditation for those performing ultrasound hence lack of confidence in reporting
Doctors working at primary level to be trained in a specialty in a short time
Imparting theoretical skills and training in a standardized fashion
Geographically dispersed locations
Periodic audit and a verifiable training program
Low Skill Levels, Geographically spread, Standardisation
Project Presentation ScanSHS@Transforming Healthcare with Technology Summit
Project Presentation ScanSHS@Transforming Healthcare with Technology Summit
ScanSHS Project Approach
The Scan-SHS Approach
The project shall result in reduction in perinatal mortality
Step 1 Identification of the PHC’s, List of doctors and Pre-test
Step 2 Orientation session for all doctors/trainers for 2 days
Step 3 Doctors take online theoretical course (http://www.sonoedu.com)
Step 4 “Hands on training” by accredited trainers in each district Installation of specialized software for ultrasound reporting and training on use of software
Step 5Online audit of Images and reports by specialists Periodic Evaluation and Feedback
Project Presentation ScanSHS@Transforming Healthcare with Technology Summit
Scan-SHS Approach
The project shall result in reduction in perinatal mortality
Sensitization program
PRE-TEST ONLINE THEORY
COURSE
www.sonoedu.com
PRACTICAL TRAINING AT
DISTRICTS
Patient examination
Standardized image documentation / reporting
Project Presentation ScanSHS@Transforming Healthcare with Technology Summit
Project Presentation ScanSHS@Transforming Healthcare with Technology Summit
ScanSHS – A Technical Overview
ScanSHS Workflow
Project Presentation ScanSHS@Transforming Healthcare with Technology Summit
Foetal Management Software and Reporting
Specialised Software for management of fetus
- Demographics- Pregnancy Dating - Plotting Fetal Growth - Past pregnancy history- Risk for anomalies- Standardized Image set- Upload for audit - Expert Alerts - Statistics, audits, management reports
Sonocare was successfully integrated into Primary Health Center workflow with support for expert opinion
Project Presentation ScanSHS@Transforming Healthcare with Technology Summit
Sonocare – ICT in fetal medicine practice
Comprehensive fetal medicine solution devised with the clinician in mindHelps the medical practitioner to focus on the patient, not the processDiagnostic +Reporting + Research + Tracking +Auditing tool, all put together
Sonocare in diagnosis Are the dates right?Is the baby small?Is it growth restricted?
Project Presentation ScanSHS@Transforming Healthcare with Technology Summit
Primary Health Center Workflow
Anomaly Status
Study Uploading
Medical officers in primary health centers upload images and reports to centralized server. Report suspected anomalies for further management.
Project Presentation ScanSHS@Transforming Healthcare with Technology Summit
Expert Feedback
Specialist audits the performance of the medical officers on certain standardised parameters, and provides feedback
Project Presentation ScanSHS@Transforming Healthcare with Technology Summit
Anomaly Workflow and Management
SMS Alarm sent to the specialists when anomalies are reported for immediate intervention and management
Project Presentation ScanSHS@Transforming Healthcare with Technology Summit
Performance Report
Project Presentation ScanSHS@Transforming Healthcare with Technology Summit
Project Presentation ScanSHS@Transforming Healthcare with Technology Summit
ScanSHS Statistics and
Concluding Remarks
15 Districts
252 Doctors
64000 Cases
126PHCs
620 Anomalies
ScanSHS – Work in Progress
Project Presentation ScanSHS@Transforming Healthcare with Technology Summit
SL.No District Anomalies Detected
1 Coimbatore 92 Cuddalore 473 Erode 814 Krishnagiri 125 Madurai 406 Nilgiris 707 Ramanathapuram 38 Salem 919 Sivaganga 0
10 Theni 4311 Thiruvallur 1712 Thiruvarur 113 Tiruppur 8914 Vellore 7515 Villupuram 42
ScanSHS – Work in Progress
@Transforming Healthcare with Technology Summit Project Presentation ScanSHS
Scan SHS : Audit Enabled Education
•First of its kind education program for healthcare practitioners to improve their skills in fetal imaging and early detection of fetal anomalies
Continuous assessment, periodic feedback and mentoring by experts has helped develop a talent pool in the primary health centers, which in turn can be leveraged for further capacity building
Capacity building and skill development through appropriate use of technology can significantly improve the quality of healthcare delivery especially in rural India where there is a huge scarcity of specialised practitioners
•
Effective use of Technology for capacity building in Rural India
Project Presentation ScanSHS@Transforming Healthcare with Technology Summit