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Training of Medical officers in Primary

Health Centers of Tamilnadu to reduce


perinatal mortality

Innovative use of
Technology in Healthcare

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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
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Project Presentation ScanSHS

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

@Transforming Healthcare with Technology Summit

Project Presentation ScanSHS

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
The project
shall result
in reduction
of perinatal mortality
performance
and suggesting
areas
of improvement.
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Project Presentation ScanSHS

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


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Project Presentation ScanSHS

ScanSHS Project
Approach

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Project Presentation ScanSHS

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
Feedback
The
projectand
shall
result in reduction in perinatal mortality
@Transforming Healthcare with Technology Summit

Project Presentation ScanSHS

Scan-SHS Approach
Sensitization
program

PRE-TEST

www.sonoedu.com

ONLINE THEORY
COURSE

PRACTICAL
TRAINING AT
DISTRICTS

Standardized image
documentation /
reporting

The project shall result in reduction in perinatal mortality

Patient examination

@Transforming Healthcare with Technology Summit

Project Presentation ScanSHS

ScanSHS
A Technical Overview

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Project Presentation ScanSHS

ScanSHS Workflow

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Project Presentation ScanSHS

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
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Project Presentation ScanSHS

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?
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Project Presentation ScanSHS

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.
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Project Presentation ScanSHS

Expert Feedback

Specialist audits the performance of the medical officers on


certain standardised parameters, and provides feedback
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Project Presentation ScanSHS

Anomaly Workflow and Management

SMS Alarm sent to the specialists when anomalies are reported


for immediate intervention and management

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Project Presentation ScanSHS

Performance Report

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Project Presentation ScanSHS

ScanSHS
Statistics and
Concluding Remarks

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Project Presentation ScanSHS

ScanSHS Work in Progress

15 Districts
252
Doctors

126PHCs

64000
Cases

620
Anomalies

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Project Presentation ScanSHS

ScanSHS Work in Progress

SL.N
o
1
2
3
4
5
6
7
8
9
10
11
12
13

District

Anomali
es
Detecte
d
9
47
81
12
40
70

Coimbatore
Cuddalore
Erode
Krishnagiri
Madurai
Nilgiris
Ramanathapura
3
m
Salem
91
Sivaganga
0
Theni
43
Thiruvallur
17
Thiruvarur
1
Tiruppur
89
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Healthcare with Technology Summit

Project Presentation ScanSHS

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


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Project Presentation ScanSHS