Why MGUMST: Tele Services

Telemedicine as per the current scenario is one of the vital pillars of healthcare.

This is not only helpful in distributing hospital loads to care for the needy but also helps the doctor patient interaction in remote in-accessible areas. MGUMST prides itself in being one of the premier-most institutions to be associated with government and non-government agencies in telemedicine projects.

In 2014 the Mahatma Gandhi hospital was designated, as the nodal centre for Telemedicine consultations by the government of Rajasthan and the program was inaugurated by Former Chief Minister of Rajasthan, VasundharaRaje.

At the initial about 100+ Tele Caller nodes were activated which increased to 300 in the COVID times. In 2017 Glocal Healthcare Pvt Ltd created the Mahatma Gandhi Hospital as a centre site for Telemedicine consultations of Rajasthan Telemedicine project.

Functionality

Health worker from the remote site does a lineup to the patient to consult with the respective doctors. Then fills the patient's primary form in which the patient's data along with the patient's data, such as x-ray file, old medicine prescription, report to check, etc. reaches to the doctors through the software. Doctors present on the central site send a prescription of medicines online through counseling with patients through a queue system.

Mission and Scope of Telemedicine

National Health Mission, Rajasthan has decided to implement the Telemedicine Services at different type of health institutions (District Hospital/ Sub Division Hospital/ Community Health Centre).

The initiative was envisioned mainly to improve a patient's clinical health status where the availability of specialist doctors is limited via electronic communication and technology.

The proposed intervention seeks to utilize specialist services of different medical specialties like General Physician/ General Medicine/ Orthopadician/ Obstetrician & Gynaecologist/Gastrologist/ Endocrinologist/ Pediatrician/ Cardiologist/ Nephrologist/ Neurologist / Oncologist etc.

The project includes video-conferencing between specialist at the centralized call centre (Central Site) and doctor at the health institution (Remote Site), transmission of still diagnostic images, remote monitoring of vital signs, continuing medical education/ capacity building ete using telemedicine and other pre-requisite software. computer hardware, printer, networking, network communication, medical equipments.

Designing, development, supply, installation, implementation, operationalization, commissioning, management and maintenance of end-to-end telemedicine services along with centralized call centre using telemedicine software, computer hardware, medical equipments & infrastructure consisting of cloud based technology, wired or/and wireless broadband, wide area network on DBOT (Design, Build, Operate and Transfer) basis.

Development of technology platform for gathering, compiling, storing of information pertaining to health related issues for better monitoring, management, planning and decision-making by the stake holders. Consolidation of information for generation of dashboard and various analytical reports through online web-portal.

The proposed solution envisage the functionality and ensures state of art tools to be used for telemedicine consultations among one centralized call center (6 seats hub) and all nodes, to provide best medical aid to patients at remote care centers. The response to be designed considering the ease of operation, usability and scalability to meet future demand; without compromising on high performance and reliability required for superior diagnosis and medical assistance.

During the Covid pandemic innovative outreach Tele-home care (Suraksha@ home) started with monitoring of patients from a central station with the help of a Computer Telephone Integrated (CTI) system.Large number of patients from rural area benefitted through telemedicine.

Consultation related to Covid RT- PCR,precautions, home isolations and counseling services were some of the path-breaking tasks undertaken with help of Tele-medicine. Telemedicine centre became essentiality to conduct combined clinical rounds (CCRs), Quiz at college and zonal level. The support also extended in uniform conduction of research board meeting, academic council meeting during the COVID times.

Departments	Number of Patients
Cardiology	1386
Dental	94
Skin	103422
Endo	778
Medicine	20609
Medical officer	1095
Nephrology	297
Neurology	2036
Nuclear Medicine Physician & PET and Thyroidologist	63
Obstetrician/Gynaecologist	5223
Oncology	137
Orthopedics	4911
Ask	6606
Urologist	926
Total Consultation	147583