KERALA

HEALTH MANAGEMENT
INFORMATION SYSTEM

1
 HEALTH MANAGEMENT
INFORMATION SYSTEM
Sponsored by European Commission Sector Investment
programme
Project Cost: 178 Lakhs
Scope
Hosting the Administrative applications and Health Services Data Collection
& Reporting Module centrally in one servers for remote access
Computerisation of 14 District Medical Offices (DMOs) of the Directorate of
Health Services (DHS)
Networking of DMO Offices to DHS
Development of Software.
Technology
Web Oriented J2EE Applications with MVC Architecture on Oracle
Application Server
Achievements
Submitted and got approved the master plan
Phase II of the recommendation got approved and implementation is in
progress.
 Main Points
Setup Hardware Infrastructure
Establish Statewide Connectivity
Deploy Browser based Applications
Provide a workable model for Data Entry
Central Server
Linux platform
Client end windows/ Linux.
Open source.
 Project
Central Dedicated Server - Database, Application, Mail and Security
Services
Health Data Entry & Reporting Application for HMIS requirements.
All applications in the Central Server Administrative, HMIS, DDMS,
etc.
Network the Directorate, DMO offices and link to the central server.
Data entry DMO level in the initial phase and PHCs in the next phase.
Optimise Data Entry for reducing workload of Health workers
Include all non-governmental health care institutions also in the
reporting process later stage.
Provide feedback to the reporting institutions, so that they are
motivated.
Provide spatial analysis capability through GIS integration.
Develop/Identify Drug Distribution Management Application (DDMS)
Integration of all existing computerization programmes.
 System Architecture
Highlights

Central Database & Application Servers.

Browser based applications.
High bandwidth connectivity to server.
Leased line connectivity to all DMOs.
Dial Up access from PHCs and other institutions.
5-10 computers at each DMO with LAN connectivity
2-5 computers at District Stores, and similar institutions*
1 computer each at PHCs/CHCs/Other small institutions*

* Not included in this phase of the project- Future Development.

 System Architecture
Drug Distribution
GIS
Health Data
Instn Directory
APPLICATIONS Administrative
Suit
HR, Finance

Leased Line
2 Mbps

Mail Server Application Authentication Firewall

Network
Server Server

Leased Line 64 Kbps or

higher Dial Up
Access
Database
server LAN
CHC

PHC
DMO/DHS
Storage backup Integrated Data
repository
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 Application Software
Enhance & Extend Administrative applications to all
institutions
Health Data Collection & Reporting System
Payroll & Financial Accounting Applications
Develop GIS module and incorporate spatial information
Develop and Deploy Drugs Distribution Management System
 Administrative Applications

Infrastructure Management System

Employee Records Management
Budget Management
File Management
HR Management Personnel & Payroll
 Defining Programmes

Health Data module has the facility to

Create a new programme
Define sub programmes
Define activities under a programme
Define sub activities
Define parameters to be measured under an activity
Set targets for activity/parameter
Defining the Programme Typical User Interface
 Configuring Reports

Health Data module provide facility to

Create a new report from a set of
predefined Report templates
Define the details to be shown
Define aggregates
Define indicators
 A Typical report
NATIONAL FAMILY WELFARE PROGRAMME

INSTITUTION -WISE ACHIEVEMENT OF . DISTRICT

FOR THE MONTH OF ..

Total No. of Institutions functioning .. Reporting .

Total No. of Sub centres .. Not Reporting .

STERILISATION IUD

VAS
Nirodh Oral Pills
No. of poeces cycles
FW Sub NS distrubu distribute
Sl.No Institutions centres V CON PPS ML LAPRO TOTAL LL CUT TOTAL ted(CC) d

A PH Centres

Name of PHCs

TOTAL

B. Govt. Hosp

(Urban Area)

C Private Institution

C1 Vol. Organisation

TOTAL C

Total for the Month (A+B+C)

Total upto previsous month

Progressive total 12
Can be easily visualized in a tree structure

National Family Welfare Programme (Programme)

(Activity) Sterilisation IUD

(Activity)

(Sub Activity)

Vasectomy

NSV Conventional PPS Lapro No of OP LL CUT

cycles
distributed
(parameters)
(parameters)

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 Data Entry

Health Data module provides

Dynamically created Data Entry Forms as
per the programme definition
Proper Validation facilities
Facility for setting targets
Facility for verification & certification
Data Entry Typical User Interface
 Key Features

Avoid duplication of data reducing the data entry job.

Flexibility in defining Health Programmes, activities and parameters

providing dynamic nature to health programmes.

Indicators definable based on activities or parameters providing facility for

statistical analysis.

Automatic consolidation of data, reducing the work load of employees

Proper Feed back to lower level, thus providing facility for comparison
increasing motivation.

Spatial Analysis to reveal many valuable information, which may otherwise

could go unnoticed.

Extensibility providing facility for data entry from any point of service
 GIS Integration

A project was submitted by Center for Earth Science Studies.

Final approval for the project not received.
 Hardware & System Software
Central Server

Features:
High Availability
High Reliability
High Scalability
Server Consolidation
Storage Consolidation
 Hardware & System Software
Server Software

Red Hat Enterprise Linux AS

High-end server product, suitable for large departmental and corporate server
deployments.
Oracle 9i AS
Browser-based environment for building and deploying personalized e-business
portals.
Oracle 9i Enterprise Edition
Supports the high scalability requirements of the most demanding Internet-based and
traditional mission-critical applications, as well as the highest availability
requirements
Anti Virus Software
Firewall
 Hardware & System Software
DMO level Hardware

Workstations (5 10 Nos.)
Pentium IV
256 MB RAM
40 GB Hard Disk
17 Monitor (SVGA Color)
80 column dot matrix printer
Modem
3KVA UPS (2 hour backup)
Laser printer 2 Nos.
Structured cabling (for 24 nodes)
 System Software
PHCs and DMO
Windows XP.
Open Office.
Browser Internet Explorer / Mozilla.
Plug-in software (Java/Acrobat/SVG).
Anti Virus Software.

Other option
Linux Red Hat / SuSE
Open Office
Browser Mozilla
Plug-in software (Java/Acrobat/ SVG)
 Connectivity Options
DHS NETWORK PH CENTRES PH CENTRES

DIAL UP
DIAL UP
ACCESS
ACCESS
Leased Line Leased Line
LEASED LINE RAS
TO DISTRICT HQ

DMO DMO

CENTRAL HSRP ASIANET

RELIANCE
SERVERS
BHARTI

2 MB LINK
2 MB LINK

SII BACK BONE NETWORK

2 MB LINK
HSRP HSRP

LEASED LINE
LEASED LINE
Leased Line TO DISTRICT HQ Leased Line Leased Line Leased Line
RAS TO DISTRICT HQ
RAS
DIAL UP
DIAL UP
ACCESS
ACCESS
DMO DMO DMO
DMO
PH CENTRES PH CENTRES
PH CENTRES PH CENTRES

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 Connectivity Options
State Information Infrastructure
(An E-Governance Initiative for Statewide Connectivity)
NETWORK CENTRES AND eGOVERNANCE CENTRE

Kozhikode

Kochi

eGC Thiruvananthapuram

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 HR PORTAL
Sponsored by MIT & Gov. of Kerala
Project Cost: 351 Lakhs
Scope
Setting up a Health Information Centre to host the Portal Services
Implementation of a wireless network linking all the five
Directorates and the Health Secretariat to the Health Information
Centre.
Development
Development of a Human Resources Portal, which is web based,
easily configurable, and can be parameterized.
Technology
Developed using Oracle Portal and Struts MVC Framework,
designed to J2EE Specifications
Achievements
Developed the HR & Payroll applications as a highly configurable
model, and portlets based on existing applications
 HEALTH DIRECTORATES
Sponsored by Dept. of Health, Gov. of
Kerala
Project Cost: 110 Lakhs
Scope
Computerisation of 5 Health Directorates
- Directorate of Health Services (DHS)
- Directorate of Medical Education (DME)
- Directorate of Indian System of Medicine (DISM)
- Directorate of Homoeopathy (DH)
- Directorate of Ayurveda Medical Education
(DAME)
Achievements
Computerized all the five Health Directorates.
 MEDICAL COLLEGE HOSPITAL
COMPUTERISATION
Kerala Government Sponsored
Project Cost: 177 Lakhs
Scope
Hardware Supply, Networking, Software Development and Training
Software Modules
OP Management, IP Admission, Ward Management, Resource Scheduler,
Lab Management, Staff Scheduling, Enquiry, Pay-ward Reservation
Technology
Web Oriented, Java with MVC Architecture, 100 Clients, 250 Node
Campus wide network with Fiber Optic Back bone
Achievements
Implemented successfully in Wards, IP Admission Counter and Nursing
Superintendent office
 DATA CENTRE
SERVER ROOM

Servers
Remote
Access
DBA Consoles Core Switch Medical College Labs
Telephone Lines
LAN Extender
Optical Fiber Cables
CDAC DHS
DME
Switch Switch

IP Admission & Casualty

OP Counters & Enquiry
Sw. Sw. Sw.

Wards & Departments Wards & Departments

Operation Theaters

System Configuration
 Tele medicine
1. ONCONET Cancer Care for Rural Masses
A comprehensive Telemedicine solution for Cancer Treatment and Follow-up at
Regional Cancer Centre, Trivandrum and its five Perepheral Centres at Early
Cancer Detection Centres at Kannur, Palakkad, Kochi, Kozhenchery and Kollam.
Developed & Implemented by : CDAC Thiruvananthapuram
STATUS: Commissioned , fully functional.
2. Setting up of Telemedicine & TeleEducation Facilities in Kerala
Implementing Tele consultation and Tele Education facility at Taluk Hospitals at
Quilandy, Vythiri, Mavelikkara, Neyyattinkara and Mental Hospital Trivandrum
with Specialty Hospitals at Medical College Hospital, Trivandrum, Sree Chithira
Thirunal Institute, Trivandrum and Regional Cancer Centre, Trivandrum.
Developed & Implemented by : CDAC Thiruvananthapuram
STATUS : Functional at five centres from Dec 2005. Refer Usage statistics
3. Tele Health and Medical Education Project Kerala
Telemedicine project by Govt. of Kerala and ISRO which connects 6 Medical
colleges, RCC, SCTIMST, all district hospitals and one CHC for providing tele
consultation and tele education.
Developed & Implemented by : ISRO & Govt. of Kerala
STATUS : Work completed. It will start functioning soon.
The Telemedicine Architecture
 e Banking
First time in India in any Government Dept.
Online transfer of funds from GoI to State
RCH society.
Online transaction of all funds of RCH
Software supplied by ICICI, free of cost.
Rapid transfer of Money
High security.
Online monitoring of all transactions in
individual heads.
 Akshaya Network at Malappuram
Airtel POP
Bharti Kallarakkunnu CHMHS
Chekkod
6
Block Panchayat Office
VIP
VIP Arikkod
KINFRA VIP
3.04 km 2 Kizzisary
E1 Radios Kakkancherry 8.5 km
3.5 Km
GHSS VIP
12
7.75km
22 DRDA 5
Malappuram
MCT Melmuri
17.5 km 5
VIP Vivekananda
3.48 km 8
VIP 16.8 km
8 FGH
20 5
3 Nilambur
VIP
# 294 # 337 Vettekkod
VIP 25
Trunching Ground 22.3 km
VIP VIP
8
# 084 4
# 237 17
JNV Vangalam VIP
VIP

14.53 km Pullamkode 10
GHSS, VIP
Kalpakanchery
# 463 VIP
PPR 15.68 km 5 MEA
6 22.5 km
PPR 23
3 BPIDC
AGRI,
Pallurkotta PTM
# 485 Tavanoor # 153
7
23
VIP 24
30
PPR PPR 10
6
No of Akshaya VIP
xx #3 PPR
centres connected # 773
# 800
4
24
# 129
Sub POP
POP
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 Progress
Health Management Information System-
Master plan developed.
Administrative application software
developed.
Health Services Data Collection completed
and data entry started.
Computerization Directorate of Health
Services (DHS). First phase completed.
of 14 District Medical Offices (DMOs) will be
completed in one month time.
 Progress (cont..)
Central Server installed.
Computerized all the five Health Directorates.
Medical College Hospital Computerisation-
Implemented successfully in Wards, IP
Admission Counter and Nursing
Superintendent office.
ONCONET - Commissioned , fully functional.
Telemedicine. Functional at five centres
e Banking Functional.
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Thank You