The Changing Face of Healthcare System

The following article from The Print , lists 4 PILLARS upon which our National Health Authority { NHA } , is in the process of constructing :

Pradhan Mantri Jan Arogya Yojana

I am happy that this “ Construct “ incorporates my past ( e-mailed ) suggestions on this subject

To provide context, I reproduce below, my past suggestions

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News Report :

Unique ID for all, identifier for doctors soon as Modi govt works on digital health mission 

{  ABANTIKA GHOSH    /   23 July, 2020    /   6:27 pm IST /  The Print  }

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Pillar 1: Health ID

Every individual will be assigned a unique health ID with the option of linking it with Aadhaar if they so desire. It will be similar to the registration number that many big hospital chains assign to a patient when they come for their first consultation. This ID will be applicable across states, hospitals, pathological laboratories, pharmacies, etc.

“It is completely voluntary; only an individual who wants to have the ID can do so, but when such an ID is created, all health data generated will automatically be stored in the government community cloud to ensure its safety.

“It will be a little bit like the digilocker where all your documents can be stored in electronic format, only in this case it is health records. We could not use Aadhaar because the regulations clearly say that it cannot be used as an identifier for government programmes,” the official explained.

The only situation where linking of Aadhaar will be mandatory is when the person wants to avail benefits under any cash transfer schemes.

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Pillar 2: Digidoctor

The platform will assign a unique identifier to every doctor. This will be different from the registration number that has been assigned by the state medical council where one practices. A digital signature will be assigned to them for writing prescriptions.

In India, digital signatures usually come for a fee. However, neither the user nor the doctor will need to pay a fee for this service. There are also plans to integrate the registration process of doctors, which are different in different states, into this same ecosystem to make the process simpler and also to avoid unnecessary duplication of procedures.

At a later date, when the first phase of the mission has been rolled out, the NDHM will also have components of telemedicine and e-pharmacy.

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Pillar 3: Health Facility Identifier

Like doctors and patients, every health facility, down to a primary health centre, will be assigned a unique electronic identifier. This would have a two-fold function — it will ensure that all health facilities are unerringly mapped, and will also be the identifier that the facility can use for all its clearances and audits.

“Right now, opening a hospital in India is a complicated process with clearances and registrations required from several different agencies with very diverse requirements. We are looking at bringing all of that under one umbrella eventually,” the official explained.

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Pillar 4: Personal Health Records

These health records will essentially come to hold a person’s entire medical history, from birth to immunisation details, surgeries, laboratory tests etc. This will be linked to the individual’s health ID.

“There is a reason we are calling it personal health records and not electronic health records. Because the most important feature is that the ownership of the data is with the individual,” the official said.

“There is something called a consent manager.

Even if a doctor wants to see some reports, the person will get a message asking if access can be given to the doctor and for what length of time.

That is the big difference. Without the consent of the holder, even the government cannot access his/her data.”

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MY PAST SUGGESTIONS :

Health Data Vault                                                                        [ 16 June 2019 ]

Extract :

“ All the Health Data of all 50 crore beneficiaries to be stored on a Central Server for BIG DATA analysis , in order to “ Predict “ WHO might become susceptible to WHICH ailment and WHEN  “

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Modicare : A Game Changer                                                        [ 01 Feb 2018 ]

Extract :

Medicalchain, on the other hand, uses blockchain technology to store and share health records securely, allowing for easy and safe transfer of information between providers and patients.

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Digital Delivery of Drugs                                                                 [ 11 Oct 2015 ]

Extract :

WHO ( which doctor ) , prescribed  WHAT drug ( drug name ) made by WHO (

name of drug manufacturer ) , to WHOM  (patient name ) , and WHY ( disease

diagnosis ) , and WHEN ( date ) and sold by WHICH ( drug store )

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Healthcare : The Unfolding Story                                                       [ 19  June  2018 ]

Extract :

 

Using such massive data base, can BIG DATA / Artificial Intelligence / Machine Learning ,

figure out what " Customized healthcare / Medical treatment / Supplementary diet "

should be " prescribed " for each human on this earth ?

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Will “ Ayushman Bharat “ listen ?                                                          [ 14  Nov  2018 ]

Extract :

 

When that happens , expect the AI to do the following :

      #    Offer Customized healthcare / Medical treatment / Supplementary diet

      #    Guide your family doctor to prescribe the best-suited medicine for each member of

            Your family

#    Recommend some “ preventive “ medicines before a disease manifests itself !

 

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Tele-Medicine / Tele-Health : a COVID gift ?  …………………………………………..[ 20 May 2020 ]

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Corona Patient Case Histories : a Fragmented Database  ………………………..[ 30 March 2020 ]

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No need to be secretive !  ……………………………………………………………………………..[ 14 Nov 2019 ]

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Ayushman Bharat : Think Big  ………………………………………………………………………[ 23 Sept 2018 ]

Extract :

Consider this :

·         Doctor takes the readings of the patient using these internet connected devices

·         Devices transmit these data to the smart phones of both , the doctor and the patient

·         These phones transmit these data to the Central Health Care Server of Ayushman

          Bharat and update the LIFE TIME MEDICAL HISTORY of that person

          

·         This history can be accessed only by the “ Authorised “ health centres / hospitals /

          nursing homes , which are official partners of the Ayushman Bharat scheme

     Imagine all the Medical Devices ( including ECG / EEG / PET Scan ,  located in private

     clinics / health centers / hospitals / nursing homes / Path labs / Diagnostic centers  etc

      ), transmitting to a Central Server ,

·         medical diagnosis

·         treatment

·         administered drugs

·         surgical procedures  

    for all 50 crore citizens covered by this scheme

   And imagine such petabytes of health data being subjected to BIG DATA analysis using

   AI  !

  Ayushman Bharat has the potential to usher this Health-care Revolution

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AI  for  Healthcare   ……………………………………………………………………………………….[ 17 June 2018 ]

Extract :

QUESTION :

How to go about collecting / compiling into a CENTRAL DATABASE , health records of

millions of sick Indians , using Electronic Health Record Standards  ?

ANSWER :

Here is what I blogged in Jan 2018. I urge the Task Force on Healthcare  to consider :

 2024 ! – V 2.0 of Orwellian 1984 ?

 https://myblogepage.blogspot.com/2017/07/2024-v-20-of-orwellian-1984.html

 

There are 7,000 million people on the earth

It is possible that , at any given time , some 7 million of these are lying in ICU , connected with :

*   Electroencephalogram ( Brain Monitor )

*   Electrocardiogram      ( Heart Monitor )

*   Pulse Rate Meter

*   Oxygen Level Meter

*   Glucose Level Meter........etc

As soon as these instruments get embedded with Internet of Things ( IoT ), a central server could collect all of these " measurements / readings " on 24*7 basis , for all 7 million persons

Then it will combine these readings with following data about each of those 7 million persons :

*   Country / Region / City  /  Language 

*   Race /  Religion  /  Gender /  Age

*   Height /  Weight  /  Colour  /  Biometrics 

*   Blood Group / DNA  / Past Medical History.....etc


It will also record , who died / when  !

Using such massive data base, can BIG DATA / Artificial Intelligence / Machine Learning , figure out what " Customized healthcare / Medical treatment / Supplementary diet " should be " prescribed " for each human on this earth ?

Shall we support such " Invasion of Individual Privacy " , in the larger interest / benefit of entire mankind ?

I think , we should 

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Priorities for AI [ Artificial Intelligence ] portal ……………………………………………. [ 31 May 2020 ]

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Congratulations, Dr HarshVardhanji,

For working tirelessly to change the face of our Healthcare System

With regards,

Hemen Parekh  /  hcp@recruitGuru.com  /  02 Aug 2020