Impacting corruption in Healthcare
Project Street Address
Project City
Project Province/State
Project Postal/Zip Code
Project Country
Focus of activity
Institutional Development
Year the initative began (yyyy)
2001
Which of these barriers is the primary focus of your work?
Lack of Accountability & Transparency
Which of the principles is the primary focus of your work?
Foment Transparency
If you believe some other barrier or principle should be included in the mosaic, please describe it and how it would affect the positioning of your initiative in the mosaic:
Understaing one's rights, clarity about them, embracing a value that corruption is counter-productive for society at large and therefore each of us, lack of education about what is corruption (its corruption when I suffer from it, its quite Kosher when I am the beneficiary approach!), strike at it at each step, systems are the best anti-dote to it and a vigilant society with adequate institions allows it to strengthen its roots. But the fight against corruption has to be waged at each step, in each sector, separately and variously.
Name Your Project
Describe Your Idea
Description of initiative
eHealth-Care Foundation started its patient care and hospital management system that is web based and offered each patient a personal health record data protection to help alleviate corruption and extortion in healthcare. An institution building, transparency inducing, reaching the poorest of the poor through the public hospital system, connecting physicians, hospitals, tracking movement of information, ensuring medication was recorded and therefore not siphoned off to the "black market", making everyone along the health care delivery chain accontable and in the process building a healthcare system that could aid a public health system as well.
Innovation
Using technology to create patient records for cents instead of hundreds of dollars. Making use of a web based model for the first time, ahead of develoed nations that were still struggling with their mindset and rules and regulations. Making data capture cheap enough for a poor economy and managing annual data for less tha $1 (one dollar) annual. Connecting physicians sans frontier as far as we could reach.
Delivery Model
1) A local entrepreneur with computer based data capture training connects with rural physicians and manages - captures, inputs, maintains patient care data as advised by the physician and authorised by the patient using an application that works on an ASP model, centrally stored and delivered viw web. 2) Hospitals can have their own establishment that uses the central database and application delivery system using the business model above by agreeing to pay the fees per visit of 20 cents per patient.
Key Operational Partnerships
District administration Hospital management Physicians Patients Pharmacies
Financial Model
At the rate of 20 cents per visit for a hospital or one dollar per year for the record, a patient, physician or hospital have access to the patient care data that records at the autority of the patient of teh healthcard holder. At 100,000 patients, it creates over $100,000 annual revenue that allows a district level entrepreneur to meet the expenses at the existing market rates for physicians and comparable professionals and deliver a 20% of revenue to the central application providing foundation, that is ehealth-care foundation. At the Kiosk level, typically, a kiosk or ehealth-center operator has a revenue of Rs 100,000 per annum that gives tham an expected Rs 40,000 in annual wages and allows them to meet the expenses and offer 20% fees to the foundation.
What percentage, if any, of the total operating costs does earned income (from products, services, or other fees) represent?
125%
How is the initiative financed? Is it financially self-sustainable or profitable? How much do beneficiaries contribute?
It was started by voluntary contribution, supported by Digital Partners with grants, operated with fees and now functions as a small business.
Effectiveness
It has considerably changed the way rural physicians and small district level public hospitals see what information technologies can do for them.
Which element of the program proved itself most effective?
Creating patient data, personal health record, recording dispensing of medicines, their dates, management of information etc
Number of clients in the last year?
100,000 patients 6 districts 700 physicians
What is the potential demand?
Nationwide, or internationally. Poor countries can have teh cheapest ways to manage patoient care records Reduce corruption in dispensing of medicines, ensuring expired medication is not given out, not sold by unscrupulous elemets for their personal benefit at the loss of public good, allows physicians to manage their patients records better as well manage their small practices at an affordable cost with siginificantly improved quality of health care data.
Scaling up Strategy
Scaling up is a function of teaming up with other significant players or raising venture funds to move forward.
Stage of the initiative
1
Expansion plan
We have been expeanding at the rate of a district a year. It can be improved, scaled up, scoped out depending on a number of business factors, the most critical being financial resources.
Origin of the Initiative
It began with our emerging understanding of what information technologies and web could do to bring out ransparency, reduce corruption in rural areas in healthcare delivery and in teh process create a robust instition as well. Support of Digital Partners gave it a boost. Many other awards supported it. But we have not been able to move forward at teh pace we potentially can for lack of fresh investments.
Issue Selector
Main Obstacles to Scaling Up
Financial organizational
Main Financial Challenges
While it can operate as a small business and survive, to scale up nation wide or internationally requires a different scale of financing.
Main Partnership Challenges
Locally we can do fine but to create a larger business base a different scale of fiances will be required and so will be the organzation and management skils.
How did you hear about this contest and what is your main incentive to participate?
Through word of mouth
 | Richard Gottbreht said: Hello, My name is Rich Gottbreht from Global Insights and I am one of the entrants in the competition. Our work centers on helping ... about this idea. - 900 days ago read more > |
| E Healthcare said: Satish Jha has supported dozens of ICT for Development initiative. However, few other than SKS and Drishtee achieved a critical mass. ... about this idea. - 908 days ago read more > |
| E Healthcare said: Athar Haque has been managing eHealthCare with limited resources. He can be a very productive Ashoka Fellow as well. about this idea. - 908 days ago read more > |