Tuesday, 28 September 2021

Ayushman Bharat Digital Mission : As Envisaged

 


Dear PM Shri Modiji,


Over the past 7 years, you have initiated / inspired / conceived and implemented many reforms to alleviate poverty and make lives of our citizen – especially the poor citizen – livable in dignity


Among those reforms, your yesterday’s launch of Ayushman Bharat Digital Mission is the most revolutionary !


After Roti – Kapda – Makan , thank you for making “ Sehat ( Health ) “ the fourth “ Basic Need “ of life


With regards,

Hemen Parekh / hcp@RecruitGuru.com /  28 Sept 2021

 

Context :

Ayushman Bharat Digital Mission will help bring revolutionary changes ..   /  TOI   /  27 Sept 2021

 

  

 

My Take :

 

Following tabulation shows how I had ENVISAGED this mission way back in Feb 2018 and how it stands today

 

 

 

 

 

Parameter

As envisaged in my blog / e-mail :

Modicare:A Game Changer

 ( 01 Feb 2016 )

 

 

Shri Modiji’s speech as reported in :

 

Ayushman Bharat Digital Mission will help bring revolutionary changes 

  

TOI   /  27 Sept 2021

 

 

 

 

 

 

 

 

 

 

COVERAGE OF :

 

-       HEALTH SERVICES

 

-        DEVICES


   The scheme must cover

 

 #    Supply of Medicines /

       Medical Devices ,

      ( both , preventive and

        curative )

 

 #    Delivery of Services (

       Diagnostic  /  Nursing  / 

        Hospitalization )

 

 #    Pregnancy / Delivery

        related medicines /

        investigations /

        hospitalization

 

 #  Prices for each / all of these

     must be fixed and published

      not only on the website

      of the Health Ministry,

      but at

      ALL places where medicines

      or services are getting

      delivered

 

      

 

      

      

 

      

 

 

 

 

 

a


 
Each eligible family member to

     be issued a “ Ayushman Card

     ( linked to Aadhar ID )

 

Ayushman card will have inbuilt

 memory capacity to store that

 person’s health data from “

Cradle to Grave “ ( Privacy

 advocate need not worry ! )

 

  

 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 "

 

 

 

As an alternative , a GPS

 enabled / NFC capable Smart

 Phone pre-loaded with

 AYUSHMAN MOBILE APP ,

 could be considered to replace

 the card

 

    The key components of the Ayushman Bharat Digital Mission include, a Health ID for every citizen that will also work as their Health Account , to which personal health records can be linked and viewed with the help of a mobile application

    It will enable access and exchange of longitudinal health records of citizens with their consent

    The new program will help create interoperability within the digital health eco-system , similar to the role played by the Unified Payments Interface , in revolutionizing payments

    It will also help ensure security , confidentiality and privacy of health-related personal information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AYUSHMAN

 

ECO SYSTEM

   

 

    Ayushman Eco System shall consist of :

 

 

#    50   crore poor

       beneficiaries

 

#    All Medical Practitioners of

       India  (

       ( Allopathic - Ayurvedic –

         Homeopathic )

 

 #     All Medical Shops of

        India  

        including  E– Pharmacies  

 

 

 #     All  Nursing Homes /

          Hospitals /

        Diagnostic Centres /

         Health Centres

 

  #    All Pharma Companies

 

   #     Health Ministry

  

  #     All India Medical

         Association

  

  #      All India Organization of

          Chemists and Druggists 

          ( AIOCD ) 

 

     #      Drug Controller

             General of India

 

  #       All  Medical  Colleges / 

            Medical

           Research Centres

 

  #       Any other entity which I

           might have missed out

          

 

 

    Healthcare Professionals Registry ( HPR ) and Healthcare Facilities Registry ( HFR ), will act as a repository of all healthcare providers across both modern and traditional systems of medicine

Ø  It will ensure ease of doing business for doctors and hospitals and healthcare service providers

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TECHNOLOGY

 

AND

 

PROCESS

 

Technology :

 

The Ayushman Eco System

shall be built around

 the BLOCK-CHAIN technology ,

 which will be the main

 operating system for

 implementation of the

 AYUSHMAN PROCESSES ,

 described in my following

 earlier blogs ( sent as emails to

 Cabinet Ministers / Niti Aayog )

 

PROCESS  :

 ·   Beneficiary getting

      AYUSHMAN Card

       after authentication from

       nearest Health Centre

 

       

·     Beneficiary approaching

      any Registered

       Medical Practitioner ( RMP

        ) for ailment

 

·     RMP entering Diagnosis /

      Prescription in Mobile App

       ( or in Card using Card

       Reader )

 

·    Beneficiary presenting card

     at the premises of delivery

       of Medicines / Devices         

        / Services as prescribed

       by RMP

        

·     Person delivering medicines

      / service,

       entering the details in Card

       and delivering service 

       ( including no of

       items/unit price/ GST etc )

 

·    Beneficiary “ sign off “ ( in

     Card ) for having received

      medicine / service

      

 

·  Person delivering service ( or

    medicine ) , uploading data

      on Central Server of

       Health Ministry

       

 

·   Health Ministry updating

    PATIENT  HISTORY

    in the database and effecting

     DIGITAL PAYMENT to person

     delivering medicine 

      / service [ DBT ]

 

·      There will be NO CASH

       TRANSFER to a

        beneficiary ( to avoid

       fraud / fake cases )

        

 

 

 

Furthermore, the Ayushman Bharat Digital Mission Sandbox , created as a part of the mission, will act as a framework for technology and product testing that will help organizations, including private players, to be a part of the National Digital Health Ecosystem , to become a health information provider  

 

 

 

 

 

 

 

 

 

 

 

 

 

GAME CHANGER

HOW  WILL THIS  BE  A  GAME  CHANGER  ?

 

#  If meticulously

 designed and

 aggressively / speedily

 implemented as outlined

 above , AYUSHMAN has the

 potential to,

 

#   Save millions of

     premature deaths

       annually

 

 #   Save billions of man-

      hours lost

        due to preventable

        illnesses

         

#   Bring down the cost of

      Healthcare / Medicines

      / Services

          

 #   Vastly improve the

       quality of life

       for 50 crore persons

 

 #   Invigorate many

       industries and

       generate huge

       employment

 

   

 

 

 

 

 

    It will enable access and exchange of longitudinal health records of citizens with their consent

 

 

 

 

 

     

Related Readings :

 

        2015 ( 1 )

Ø           Digital Delivery of Drugs                                   [ 11 Oct 2015 ]


        2017  ( 1 )

Ø  2024 ! – V 2.0 of Orwellian 1984 ?                    [ 07  July 2017 ]

 

  2018  ( 5 )

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

Ø  Healthcare : The Unfolding Story                      [ 19  June  2018 ]

Ø  Personal Health History : NHS ……………………………[ 11 Aug 2018 ]

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

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

 

         2019  ( 2 )

Ø  Health Data Vault ………………………………………………….[ 16 July 2019 ]

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

 

         2020  (  5 )

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

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

Ø  The Changing Face of Healthcare System ……………[ 01 Aug 2020 ]

Ø  Preventing ( illness ) is better than Curing…………. [ 17 Aug 2020 ]

Ø  Shri Indu Bhushan has a dream …………………………..[ 29 Nov 2020 ]

 

        2021  (  2  )

Ø  Individual Health Records for Disease Prevention  [ 06 Feb 2021 ]

Ø  One Earth ; One Health ………………………………..[ 13 June 2021 ]

 

 

 

 

 

 

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