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Real Time Tracking of Aarogyasri Patients

-- Improved Clinical Care Quality -- Increased Efficiency and Patient Throughput -- Improved Billing Consistency for care Provided

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Introduction
Aarogyasri is a unique health insurance scheme being implemented by Government of Andhra Pradesh (GoAP) to assist the BPL families to meet the catastrophic health needs. This is a public private partnership promoted between the Insurance Company, the private sector hospitals and the State agencies.

In 2009 - 2010, around 3,50,000 patients got benefited out of this scheme.

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Process Flow of the Beneficiary Treatment in the Network Hospital

Step 1 Beneficiaries approach nearby PHC/Area Hospitals/District Hospital/Network Hospital. Aarogyamithras placed in the above hospitals facilitate the beneficiary. If beneficiary visits any other PHC/Government hospital other than the Network Hospital, he/she will be given a referral card to the Network Hospital after preliminary diagnosis by the doctors. The Beneficiary may also attend the Health Camps being conducted by the Network Hospital in the Villages and can get the referral card based on the diagnosis. Step 2 The Aarogyamithras at the Network Hospital examines the referral card and health card/BPL ration card and facilitates the beneficiary to undergo preliminary diagnosis and basic tests. Step 3 The Network Hospital, based on the diagnosis, admits the patient and sends preauthorization request to the Insurance company and the Aarogyasri Health Care Trust.
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Process Flow of the Beneficiary Treatment in the Network Hospital (continued)

Step 4 Specialists of the Insurance Company and the Trust examine the preauthorization request and approve preauthorization if all the conditions are satisfied within 12 working hours. Step 5 The Network Hospital extends cashless treatment and surgery/therapy to the beneficiary. Step 6 Network Hospital after performing the surgery/therapy forwards the original bills, diagnostic reports, case sheet, and satisfactory letter from patient, discharge summary duly signed by the patient and other relevant documents to Insurance Company for settlement of the claim. Step 7 Insurance Company scrutinizes the bills and gives approval for the sanction of the bill and shall make the payment within agreed period
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Drawbacks of the Existing System and solution to improvise the same

Lack of Patient Tracking from the time of Enrolment till the Discharge Possibilities for Duplication of Patients and there is lot of scope for such other malpractices Completely Manual System with no proper Real time auditing and many more of this kind

Consequences
Increased Burden on the Government Decrease in the number of Beneficiaries

Proposed Solution
Introduction of Automation for Real Time Patient Tracking in the Designated Hospitals through the Central Monitoring Facility.
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What is Real Time Patient Tracking ?

Real Time Patient Tracking is a subset of Context-Aware Healthcare Solution where the Patient movement is tracked and Recorded for the entire treatment cycle for improved Customer Satisfaction and Enhanced Resource utilization in a typical hospital environment
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Real Time Patient Tracking - Overview

Active RFID TAG

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Real Time Patient Tracking - Components involved

Active RFID TAG

Wireless RTLS Infrastructure

Standalone Application Software

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Active RFID TAG (Wrist Band Type) Features

This active wristband RFID tag operates at the frequency of 2.45GHz ISM. Its output power is 0dBm, the read ranges from 0 to 100m. It alerts the authorities when the strap is tampered. Encapsulated within a soft, durable and waterproof housing, the tag is very comfortable to wear. In addition, this wristband RFID tag features low power consumption and long battery life more than 4 years.
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Real Time Patient Tracking Infrastructure in Hospital

Localization/ Patient Location detection

Real Time Tracking

Wireless Receiver

Tagged Patient

Tagged Patient RTLS Engine along with Standalone Application software

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Real Time Patient Tracking Application software

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Real Time Patient Tracking Proposed Layout for Aarogyasri Project (overview)
Hospital 1 This server is Located at a Central location where the entire patient Tracking can be done in Real Time.

Hospital 2

WAN / LAN/GSM/ GPRS

Server For Real Time Patient Tracking for all the hospitals.

Hospital 3

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Real Time Patient Tracking Benefits

Increased Efficiency and Patient Throughput. Improved billing consistency for care provided. Monitoring the Staff Allocation for individual patients is possible in Real Time. Enhanced Billing and Record Keeping. Customer Satisfaction Responsiveness, Lower Wait times.

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Implementation Financials
Very Affordable Requires very less additional Infrastructure Does not harm the operation of any Equipment in the Hospital environment. Patient Friendly system Can operate even under power failure through battery backup.

Blaze Automation is willing to take up this project for a period of 5 years on BOOT (Built, Own, Operate and Transfer) basis by charging 2% of the amount spent on Each patient as service fee.

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Thank you Sridhar Ponugupati ceo@blazeautomation.com Tel: +91 40 6457 2220

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