1. Training of Medical officers in Primary Health Centers of Tamilnadu to reduce perinatal mortality Innovative use of Technology in Healthcare @Transforming Healthcare with Technology Summit Project Presentation ScanSHS

2. 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 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 @Transforming Healthcare with Technology Summit Project Presentation ScanSHS

3. Scan-SHS Project Project Presentation ScanSHS @Transforming Healthcare with Technology Summit 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

4. 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 performance and suggesting areas of improvement. The project shall result in reduction of perinatal mortality Project Presentation ScanSHS @Transforming Healthcare with Technology Summit

5. Challenges Ultrasound availability in all PHC’s / 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 Project Presentation ScanSHS @Transforming Healthcare with Technology Summit

6. Project Presentation ScanSHS @Transforming Healthcare with Technology Summit ScanSHS Project Approach

7. The Scan-SHS Approach The project shall result in reduction in perinatal mortality Step 1 Identification of the PHC’s, 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 and Feedback Project Presentation ScanSHS @Transforming Healthcare with Technology Summit

8. Scan-SHS Approach The project shall result in reduction in perinatal mortality Sensitization program PRE-TEST ONLINE THEORY COURSE www.sonoedu.com PRACTICAL TRAINING AT DISTRICTS Patient examination Standardized image documentation / reporting Project Presentation ScanSHS @Transforming Healthcare with Technology Summit

9. Project Presentation ScanSHS @Transforming Healthcare with Technology Summit ScanSHS – A Technical Overview

10. ScanSHS Workflow Project Presentation ScanSHS @Transforming Healthcare with Technology Summit

11. 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 Project Presentation ScanSHS @Transforming Healthcare with Technology Summit

12. 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? Project Presentation ScanSHS @Transforming Healthcare with Technology Summit

13. 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. Project Presentation ScanSHS @Transforming Healthcare with Technology Summit

14. Expert Feedback Specialist audits the performance of the medical officers on certain standardised parameters, and provides feedback Project Presentation ScanSHS @Transforming Healthcare with Technology Summit

15. Anomaly Workflow and Management SMS Alarm sent to the specialists when anomalies are reported for immediate intervention and management Project Presentation ScanSHS @Transforming Healthcare with Technology Summit

16. Performance Report Project Presentation ScanSHS @Transforming Healthcare with Technology Summit

17. Project Presentation ScanSHS @Transforming Healthcare with Technology Summit ScanSHS Statistics and Concluding Remarks

18. 15 Districts 252 Doctors 64000 Cases 126PHCs 620 Anomalies ScanSHS – Work in Progress Project Presentation ScanSHS @Transforming Healthcare with Technology Summit

19. SL.NoDistrict Anomalies Detected 1Coimbatore9 2Cuddalore47 3Erode81 4Krishnagiri12 5Madurai40 6Nilgiris70 7Ramanathapuram3 8Salem91 9Sivaganga0 10Theni43 11Thiruvallur17 12Thiruvarur1 13Tiruppur89 14Vellore75 15Villupuram42 ScanSHS – Work in Progress @Transforming Healthcare with Technology Summit Project Presentation ScanSHS

20. 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 Project Presentation ScanSHS @Transforming Healthcare with Technology Summit