Professional Documents
Culture Documents
NETWORK
E-Health Division
Ministry of Health & Family Welfare
1
Current Scenario
NATIONAL TELEMEDICINE NETWORK (NTN)
MoHFW issued Guidelines to States
Support to States/UTs for Telemedicine under NHM – PIP
Various States like Rajasthan, Uttar Pradesh, Maharashtra, Punjab etc.
implemented Telemedicine services
Support provided to 8 States with Rs. 253 Crores in 3 financial years
Tripura 594.72 565.49 707.76 547.76 593.71 103.18 211.14 2107.33 1216.43
Andhra 262.08 91.02 436.8 898.73 10298.73 4985.00 NIL 10997.61 5974.75
Pradesh
Himachal 37.5 220.52 244 207.96 233.67 89.03 236.39 751.56 517.51
Pradesh
Maharashtra 397.85 338.69 411.55 340.38 310.29 113.61 275.9 1395.59 792.68
Punjab 68.42 51.6 68.42 56.32 0.00 24.01 63.12* 136.84 131.93
Rajasthan NIL NIL 1000.00 NIL NIL 125.00 NIL 1000.00 125.00
Bihar NIL NIL NIL NIL 200.00 NIL NIL 200.00 0.00
U.P. NIL NIL NIL NIL NIL NIL 7289 7289 0.00
Jharkhand NIL NIL NIL NIL NIL NIL 1424 1424 0.00
West Bengal NIL NIL NIL NIL NIL NIL 310.80* NIL N/A
Consultation Services
provided by Private No interoperability of
Partners from their EHR
own Call Centre setup
Telemedicine services
Few States covered all
implemented as Pilot
DH but real need is at
projects not covering
CHC/PHC/SC
whole State 6
Pan India Telemedicine concept
• The spokes shall be upgraded with required infrastructure for conducting the Tele-medicine
session with doctors/specialists at HUBs
• There will be 3 layered structure for Telemedicine services :
• Layer : I – HUBs at Medical College/District Hospital (Doctors/Specialist consultation)
• Layer: II – Spoke @DH/CHC/PHC (interlinked with HUBs for specialist consultation)
• Layer: III - Spoke @SC (Connect to PHC or HUB for General/ Specialist consultation)
• e-Sanjeevani” Telemedicine application developed by CDAC –Mohali will be implemented
uniformly in health facilities
Video Consultation
SPOKES/
HEALTH AND WELLNESS
CHC/PHC Sub Centre CENTRES
9
Implementation Timeline
S.No. Activity Timelines (Days)
1 Approval of proposal in PIP T
2 T+10
Video Conference with MD (NHM) –AS&MD as Chair
(to demonstrate Software + finalizing HUB location)
4 Setting up of HUB T + 45
(Site preparation + Desktop + furniture) (from GeM)
8 Go-Live of Project T + 60
10
Infrastructure requirement Matrix
Facility Type IT Infra Network Human Resource
Medical HUB • Desktop (with camera, Mic) 4 mbps per • Nodal Officer
College Desktop • MBBS Doctors
• Specialists
District HUB • Desktop (with camera, Mic) 4 mbps per • Nodal Officer
Hospital Desktop • MBBS Doctors
• Specialists
District Spoke • Desktop (with camera, Mic) 4 mbps per • MBBS Doctor
Hospital • Diagnostic Device (optional) Desktop
• Printer
CHC Spoke • Desktop (with camera, Mic) 2 mbps per • MBBS Doctor
• Diagnostic Device (optional) Desktop
• Printer
PHC Spoke • Desktop (with camera, Mic) 2 mbps per • MBBS Doctor
• Diagnostic Device (optional) Desktop
• Printer
Sub Centre Spoke • Desktop (with camera, Mic) 2 mbps per • Mid Level Health
• Diagnostic Device (optional) Desktop Practitioner (MLHP)
• Printer • Nurse/Paramedic
Details
Monitoring Framework
Team Constitution Roles
• A Review committee of JS-NHM, • To review the performance of the tele-
Review Committee JS-eHealth and JS-Medical consultation through this programme
Education • To provide the necessary instructions to the
Medical Colleges / Technical Teams / States
• Quarterly Review
National Monitoring • Director (NHM) – Head • To monitor the overall functions of the
Team • Director (eHealth)-member programme
• Director (CHI) - member • Coordinate with States
Assisted by Senior Consultant • Review of dashboard with KPIs
–MoHFW
• Mission Director (NHM) – Head • To manage the overall operations of the
State Monitoring • State nominated Nodal officer project in State
Team • Nominated HUB In-charge • Creation of MIS for State, based on the Key
• Project Monitoring Office (PMO) Performance Indicators (KPI)
Operations Manager
MIS expert
• Chief Medical Officer (CMO) – • Implementation and operations of
District Monitoring Head Telemedicine solution
Team • Nominated District Level Nodal • Updating progress in the Dashboard
Officer • Submission of reports to the State / New Delhi
MIS data entry operator
12
Future Expansion
National Medical College Network for Tele-Education
• MoHFW has created e-Classrooms in 50 Medical Colleges of country including
AIIMS-Delhi, PGIMER-Chandigarh, SGPGI-Lucknow, JIPMER etc. for providing
Tele-Education and Continued Medical Education(CMEs) services
• The network Is operational on high bandwidth National Knowledge Network
(NKN)
• The NMCN network is created with the vision to provide collaborative ecosystem
for Students for lecture sharing, e-Content generation , Storage and retrieval of
E-Classroom Setup
e-Content and a portal for students/filed level functionaries
• The NMCN network will vertically integrate with HWCs for Tele-Education
services
• Field Level functionaries (ANM/ASHA) plays a vital role in delivery of services to
this population
• Since these functionaries works in direct contact with major population, the
continues skill upgradation is utmost important
• Continued Medical Education (CME) of Field level functionaries can help in
Live surgery
management of new diseases, quick action to contain any outbreaks and
educate people on preventive actions
Future Expansion
• NMCN network is strengthened as “Content Generation platform” for medical
education system M-eDX platform
• In line with popular eDX platform of Open Learning, a MeDX platform will be • Live Lectures
• Online Medical
developed specifically for Medical Education over ONLINE mode with integration of Education
• Self Paced Learning
National Digital Medical Library(NDML) • Certification courses
• Training Modules
• Institutes like AIIMSs , PGIs will be designated as “Centre of Excellence(CoE)” • Information
dissemination
assigning responsibility of eContent generation and approval for Online Medical platform
• Live surgery
Education courses • Animated Videos
• Customized Online Certification Courses will be made available for
ANMs/ASHAs/Anganwadi workers etc. in local language
• Services like Continued Medical Education (CMEs), Massive Online Open Content
(MooCs) etc. would made open for Field Level health workers on this platform
• Doctors at District Hospitals/CHC/PHCs would be covered for enhancing their skilled
and for Continued Medical Education (CME)
• Special short term courses would be designed for emergency diseases like
ZIKA/NIPAH/EBOLA etc.
Future Expansion
NMCN
Scheme M-eDX
• Live Lectures
50 MEDICAL COLLEGES (to be expanded) • Online Medical Education
• Certification courses
•
Services
Services
Services
Training Modules
• Information dissemination
platform
• Live surgery
Specialty • Animated Videos
Tele-Radiology Tele-CMEs
Tele-Consultation
PAN INDIA COVERAGE
Government Healthcare Institutions
Govt.
Health & State
DH/CHC/ Aspirational Doctors/AN
Wellness Medical AYUSH
PHC Districts Ms/ASHA/
Centres Colleges
Paramedics
EXPECTED OUTCOMES
16
THANK YOU
17
Tentative earmarking of HUBs to be finalized
in consultation with States
Operational Total Nodes to be
Call Centre location HWCs attached States Covered
Andhra Medical College and King George 365 1050 Andhra Pradesh
Hospital, Visakhapatnam
Gandhi Medical College, Secunderabad 138 590 Telangana
BACK
Tentative earmarking of HUBs to be finalized
in consultation with States
Total Nodes to be
Call Centre location Operational HWCs attached States Covered
20 1814 Maharashtra
9 5 Goa
King Edward Memorial (KEM), Mumbai
1 22 Daman n Diu
27 24 Dadra n Nagar haveli
B.J. Medical College,
Asarwa, Ahmedabad 181 1645 Gujarat
BACK
Tentative earmarking of HUBs to be finalized
in consultation with States
Call Centre location Operational HWCs Total Nodes to be States Covered
attached
5 42 Meghalaya
BACK
Tentative earmarking of HUBs to be finalized
in consultation with States
Operational Total Nodes to
Call Centre location States Covered
HWCs be attached
Andaman &
2 34
Nicobar (UT)
JIPMER - Pudducherry
0 3 Lakshadweep (UT)
1 21 Puducherry (UT)
BACK
Minimum requirement @Spoke
4 Miscellaneous 5,000
22
BACK
Minimum requirement @5 seater HUB for 100 Spokes
S. Item Description Qty Estimated unit Remarks
No cost
.
1. Desktop with 6 60,000
headphone , New equipment to be provisioned under
microphone and HD PIP in case equipment are not available
web Camera at HUB
23
BACK
E-Sanjeevani Application & Training
Training Cost
States to include the cost associated with Training of staff in the PIP proposals as per
actuals (NHM guidelines)
24
BACK