JMMC- The poor man's hospital

Guide : Asst. Prof.Anju S.S presented By, Asha Yeldose M.Tech-CSE Roll.No: 406003 Presentation on Industrial Visit,Mini Project and Main Project(phase 1)Overview of Work Done:Industrial Visit -Location : JMMC Trichur -Period : 2012 December 22 to 2013 february28Mini Project -Preparation of As Is Document -Preparation of To Be Document -IEEE Technical Paper - Integration of ICU data into Electronic Medical Records- Issues and Solutions -Work on Android Applications ongoingMain Project -Problem identification complete -literature Survey partially complete -Solution Strategy partially complete -Implementation Pending

2Overview of presentation:3About the Industrial training in JMMCMini Project : ICU Automation for JMMC Architectural DesignAbout our IEEE conference paper Integration of ICU data into Electronic Medical Records Issues and Solutions.Main Project : Input Techniques in ICUASJMMC The Poor man's HospitalJMMC The industryNormally known by the name Poor mans hospital.It is a healthcare industrywith intensive form of services for the well being of human beings.The major inputs of this health care industry are:HospitalMedical insuranceMedical SoftwareHealth Equipments.

5A satellite view(just a glimpse)

6The major servicesHospital35 departments running successfully in the 4 blocks.The major blocks include.Golden Jubilee BlockHridayalayaSt. Thomas BlockMedical College Block

78The major servicesRegistrationPharmacy IOPD Surgical ICUMedical ICUNeuro Surgery Recovery ICU Multidisciplinary CCU AuditoriumCouncil hallHead nurse stationcafe

8Golden Jubilee BlockHridayalayaSt. Thomas BlockMedical College BlockCardiology RegistrationEmergencyOPD Cardiac Care UnitComputer ServicesManagement groupDietician centerFitness center RegistrationPharmacy OPD ATMNurses councilcafe Administrative WingPrincipals RoomLecture ComplexBiomedical wingCafeteriaLaboratory.Biochemistry laboratory.Pg blockResearch centreMedical record storage wingLibrary

Health Equipments:9Multipara MonitorPulse oximeterVentilatorNebulizerInfusion PumpUniCelDxI 600UniCelDxC 860iLH 750 analyzerOrtho Vitros 250Roche Hitachi 912 Chemistry Analyzer

CentrifugesClinical analyzer Calipers (Ultrasonic)Caloric ApparatusCardiac pacemakerMammography SystemM-mode ultrasonic scannerGastric Pump etc.,

Medical Software:The entire JMMC runs on a software developed and maintained by MUZIRIS softech.Different modules are controlled by them with in the JMMC network.Some of the modules include: -Administration -lab Proceedings. -PMR tracking etc.,

Further details are given in the IV report.10

ICU Automation for JMMC Architectural Design.

Existing System in Medical Neuro ICU of JMMC12A desktop based system.Nurses has to walk around so as to update the patients medical record.Not possible for doctors to have the latest updations.

Health Equipments:13Multipara MonitorPulse oximeterVentilatorCentrifugesClinical analyzer etc.,

Proposed System14A Tablet based System.Portable.Updations can be performed at the bed sideWifi enabled.Application based system.Better feelThe overall system architecture15

ICUASArchitectural design..16Different modules come under this : The important modules are :Log inLog outLab requestMedicationTemperature, Pressure and Respiration Billing Nurses Record etc., All these modules are treated as separate android apps and are separately developed. Finally these apps will be made interactive with each other.

A Sample running on Emulator.17

18A simple app may contain a series of inner operations.A sample login app will be like this.

A Sample running on Emulator.How two apps communicate19Consider two apps login and medicine.Medicine also contains a series of operations. Lets consider the medicine appIt has the following operations:Viewing a patient by his IDProvide MedicineView medication details20

Operations under medicine app:2021How two apps communicate If there is an effective communication the logged in nurses name will be displayed.To make the communication effective intents are used.Intents are asynchronous messages which allow Android components to request functionality from other components of the Android systemAdvantages of New system.22Easy development of apps.Easy replacement.Better organization.Provides a standard view.IEEE Conferenc Paper:"Integration of ICU data into Electronic Medical Records-Issues and Solutions"About the Conference Paper:24Got a chance to prepare a paper based on the idea said above.The paper titled as Integration of ICU data into Electronic Medical Records- Issues and Solutions got acceptance in 2013 IEEE conference on information and communication technologies.About the Conference Paper.25Paper Submitted on : February 12Paper get accepted on : February 27 To be presented on : April 11 or 12Venue : KanyakumariCategory : Networks e-healthCo-ordinator : Dr.George VarkeyGuide : Anju S.SAuthors : Dhanyaja . N, Josmy T Jose, Asha Yeldose

25Abstract 26 The Intensive Care Unit (ICU) is the arena in which many succeed and many others perish in the intense battle between life and death. The systematic documentation of all events here will be invaluable for research purposes. Traditionally these are written on case sheets and maintained in paper form in the Medical Records Department. The advent of electronic medical records (EMR) has not only changed the format of medical records but also increased accessibility of information contained in the repository, especially for research purposes. Unfortunately, in most implementations of Hospital Information Management System, many major pieces of information from the ICU fail to find a place in the EMR. Even in cases where the EMR has the fields corresponding to important information like exact time of delivery of medicines and food, notes by duty nurse, etc., these information are either not entered or incorrectly entered. Abstract (Cntd.)27ICU is characterized by periods of heavy load of urgent tasks to be finished within precious time and manual entry of information into the medical record will be either postponed or dropped. This creates a statistical skew in the information captured that will affect the analysis based on them. On the other hand, an ICU automation system can alleviate the severity of above problem to a large extent, since it can ubiquitously capture all important information from the ICU and store it in the EMR. We are currently implementing a Tablet PC based system for automation of the workflows in an ICU. This paper presents the working of the system in capturing the pertinent information so that it may be stored in the EMR. The issue of integration of the ICU management system with the rest of the HIMS is also briefly discussed.Input Techniques in ICUASMAIN PROJECTProblem Statement29To develop the complete Android Application Suite for ICU Nursing Station wherein EMR gets captured ubiquitouslyThe proposed work will consider input from nursesExtension of Mini ProjectUses the UI and Use Case Diagrams created as part of Mini ProjectThe system should become operational in JMMC

Input Techniques in ICUAS30Keyboard entryTouch screen k/bExternal k/b Voice inputCamera modeIn our scenario ICUAS:31We have an aakash tablet.Have to connect an external wired keyboard.The mounting and un-mounting of keyboard should be performed based on the click in the front end.A power hub is provided to connect the keyboard as our tablet dont have a USB port.

32Touch Screen Keyboardtouch sensitive inbuilt keys most doctors are more comfortable with pen and paper It takes some time to practice in order to type quickly and accurately.

Voice Input:33Helps in saving the doctors order.A click on record button should start the recorder in the background.It could be possible for long time recording.The recorded file should be saved properly to the database.It should be possible to hear it in a later period.

Camera Mode:34Used to take the photo of the newly admitted patient in the ICU.As said before the camera should be activated with in a single click.The generated picture size should be reduced considerably and should be stored.

Camera mode for taking handwritten notes35Inbuilt camera takes pictures of handwritten notes.Tablet is fixed in a frame that can be tilted as needed,in an angle most suitable for reading. The paper slip whose Image need be taken is kept behind and one click is all that needed.

Development Methodology:36Here we will see how an android application can be developed .

Development Methodology37

Testing Strategy.38

Testing Strategy..39

Testing Strategy40

Testing Strategy..41A sample speech recording system

System Integration:42

Activity Chart :43FEBRUARY MARCH APRIL MAY JUNEWriting a PaperPrepairing ThesisCollecting informationTesting with aakash Implementing + integrating with other modulesImpact Analysis:44Even in a touch environment the user can work with an external keyboard (to which they are used with)Single button clicks will bring exciting applications in the background.No need to worry about the booting of a particular app.Brings different inputting techniques under a single platform.Extension and Future Work45 As far as the inputting techniques are considered, still there are some questions yet to be answered. We are searching for the same with the help of some forums like Android Forums etc., Android and postgres connectivity is a issue that should be sorted out.Once the proper solution of deploying is obtained we have to try it in the aakash model.

46Thank you.