training of medical officers in primary health centers of tamilnadu to reduce perinatal mortality

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


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


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



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


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



ScanSHS – A Technical Overview

ScanSHS Workflow


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


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?


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.


Expert Feedback

Specialist audits the performance of the medical officers on certain standardised parameters, and provides feedback


Anomaly Workflow and Management

SMS Alarm sent to the specialists when anomalies are reported for immediate intervention and management


Performance Report



ScanSHS Statistics and

Concluding Remarks

15 Districts

252 Doctors

64000 Cases

126PHCs

620 Anomalies

ScanSHS – Work in Progress


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


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


training of medical officers in primary health centers of tamilnadu to reduce perinatal mortality

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