Training of Medical officers in Primary Health Centers of Tamilnadu to reduce perinatal mortality

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Training of Medical officers in Primary Health
Centers of Tamilnadu to reduce perinatal mortality
Innovative use of Technology in Healthcare
Project Presentation ScanSHS
_at_Transforming Healthcare with Technology Summit
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• 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

Project Presentation ScanSHS
_at_Transforming Healthcare with Technology Summit
3
Scan-SHS Project
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
Project Presentation ScanSHS
_at_Transforming Healthcare with Technology Summit
4
Goals of Scan-SHS Project

Offer a viable healthcare training program for
healthcare practitioners in rural Tamilnadu, to
improve skills in fetal imaging for 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
Project Presentation ScanSHS
_at_Transforming Healthcare with Technology Summit
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Challenges
Ultrasound availability in all PHCs /
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
Project Presentation ScanSHS
_at_Transforming Healthcare with Technology Summit
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ScanSHS Project Approach

Project Presentation ScanSHS
_at_Transforming Healthcare with Technology Summit
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The Scan-SHS Approach
Step 1 Identification of the PHCs, 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 5 Online audit of Images and
reports by specialists Periodic Evaluation and
Feedback

The project shall result in reduction in
perinatal mortality
Project Presentation ScanSHS
_at_Transforming Healthcare with Technology Summit
8
Scan-SHS Approach


The project shall result in reduction in
perinatal mortality
Project Presentation ScanSHS
_at_Transforming Healthcare with Technology Summit
9
ScanSHS A Technical Overview

Project Presentation ScanSHS
_at_Transforming Healthcare with Technology Summit
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ScanSHS Workflow
Project Presentation ScanSHS
_at_Transforming Healthcare with Technology Summit
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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
Project Presentation ScanSHS
_at_Transforming Healthcare with Technology Summit
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Sonocare ICT in fetal medicine practice
Comprehensive fetal medicine solution devised
with the clinician in mind Helps the medical
practitioner to focus on the patient, not the
process Diagnostic Reporting Research
Tracking Auditing tool, all put together

• Sonocare in diagnosis
• Are the dates right?
• Is the baby small?
• Is it growth restricted?

Project Presentation ScanSHS

_at_Transforming Healthcare with Technology Summit
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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.
Project Presentation ScanSHS
_at_Transforming Healthcare with Technology Summit
14
Expert Feedback
Specialist audits the performance of the medical
officers on certain standardised parameters, and
provides feedback
Project Presentation ScanSHS
_at_Transforming Healthcare with Technology Summit
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Anomaly Workflow and Management
SMS Alarm sent to the specialists when anomalies
are reported for immediate intervention and
management
Project Presentation ScanSHS
_at_Transforming Healthcare with Technology Summit
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Performance Report
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_at_Transforming Healthcare with Technology Summit
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ScanSHS Statistics and Concluding Remarks

Project Presentation ScanSHS
_at_Transforming Healthcare with Technology Summit
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ScanSHS Work in Progress
Project Presentation ScanSHS
_at_Transforming Healthcare with Technology Summit
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ScanSHS Work in Progress
SL.No District Anomalies Detected
1 Coimbatore 9
2 Cuddalore 47
3 Erode 81
4 Krishnagiri 12
5 Madurai 40
6 Nilgiris 70
7 Ramanathapuram 3
8 Salem 91
9 Sivaganga 0
10 Theni 43
11 Thiruvallur 17
12 Thiruvarur 1
13 Tiruppur 89
14 Vellore 75
15 Villupuram 42
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Project Presentation ScanSHS
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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
Project Presentation ScanSHS
_at_Transforming Healthcare with Technology Summit