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MOMENTUM IN PENETRATION OF ELECTRONIC MEDICAL RECORD (EMR) IN INDIAN HEALTHCARE

Devesh Dubey, Student of Post Graduate Diploma in Health Information Technology, Institute of Health Management research, Bangalore

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Introduction• Indian healthcare industry expected to become a

US$280 billion industry by 2020.• Health-IT market in India is expected to reach $1.45

billion in 2018 from the present $381.3 million.

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• 1980 TCS won tender to computerize whole AIIMS, worth several crore, installed "state of art hardware & software" but implementation got failed.

• “Patient Care System” software was developed by TCS & installed in AIIMS in1990.

• AIIMS realized in 1996 that Patient Care System had not been used successfully due to bottlenecks. It was decided that there should be no extension of the annual maintenance contract.

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EMR in India• In India it all started somewhere around 2008 when a handful of

technology savvy entrepreneurs invested in patient portal/EMR software to enhance connectivity & communication between patients & doctor.

• There are 35 domestic EMR vendors in India with multiple product portfolios.

• In the committee constituted by an order of “mohfw.gov” by august 2013, various recommendation regarding EMR standards were presented & I have tabulated some of the key recommendation.

Name ClassUHID Unique Health Identifier

XML For Data Capture

HL7 Clinical Data for inter Department Documents

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EMR in IndiaSome of the major EMR providers in India include

• IBA Health • VEPRO • Siemens • Karishma Software • Sobha Renaissance IT

Pvt. Ltd.• 21st Century Healthcare

solutions. • Softlink International. • Prognosys. • Srishti Software.• CDAC.• GE Healthcare.

Some of the hospitals in India using EMR

• Amrita Institute of Medical Sciences, Coimbatore

• Apollo Hospital, Chennai • Artemis Healthsciences, Gurgaon • Christian Medical College, Vellore • Fortis Hospital, Mohali & Delhi • Manipal Hospital, Bangalore • Max Devki Devi Hospital, Delhi • P D Hinduja Hospital, Mumbai• Ruby Hall Clinic, Pune• Sahyadari Hospital, Pune• Sri Sathya Institute Of Higher Medical

Sciences, Bangalore• PGIMER, Chandigarh

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Key Driver of EMR in Indian market

• Increased healthcare awareness.• Changing lifestyle.• Demand of quality.• Competition between hospitals.• Cheap & quality will encourage to international patient.

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Current Status of EMR

EMR has highest penetration in India. It is growing by 13.5% in the last five year & it is expected to have same rate of increase due to improving uptake & upcoming hospital projects.

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Challenges in EMR adoption in India

• Individual Challenges • Psychological Challenges• Organizational Challenges• Financial Challenges • Legal Challenges• Technical Challenges

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Conclusion• Among the challenges responsible for slow penetration of

EMR in India are related to all technical challenges (most commonly faced challenges); organizational challenges; psychological challenges; financial challenges; legal challenges; individual challenges.

• There is very low penetration of HIT in India as compared to developed countries like the US.

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Recommendation• Instead of mandating the use of EMR, the physician

perception about EMR should be understood first. This will allow for the development of target education to demonstrate the advantage of EMRs & to further improve their perception.

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References

• http://archivehealthcare.financialexpress.com• http://www.hhs.gov

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