Screening Of Population
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Building on our 140+ year strong roots in publishing, Elsevier has a clear mission to use our evidence-based content and technology platforms to deliver better health outcomes globally. Across a complex care continuum and a diverse spectrum of care providers and patients, Elsevier offers solutions and services that empower frontline health workers, support providers, reduce care variability, engage patients and promote a culture of quality, safety and satisfaction optimizing care delivery, the patient experience and financial outcomes.
Elsevier is part of RELX, a global provider of information-based analytics and decision tools for professional and business customers. Our unique and powerful attributes include actionable content and data, applied technology and domain expertise.This improves health outcomes across the care continuum and empower end users in primary health (ASHAs, ANMs) and tertiary health (doctors, nurses). We do this by providing evidence-based solutions for proactive health screenings across multiple specialties, localized point of care decision making, along with reference based medical education solutions that have helped our users make breakthroughs and drive societal progress.
Role In DIISHA
Elsevier is the screening partner of DIISHA and is playing the pivotal role of identification, and care management in the DIISHA project. At Elsevier, we have embedded our high quality, peer-rviewed and evidence-based content, aligned with ICMR’s Standard Treatment Guidelines (STGs) in ClinicalPath Primary Care – a Declarative Artificial Intelligence based Clinical Decision Support System used to upskill ASHAs and conduct proactive health screenings, thereby benefitting the beneficiaries and reducing the cost of care burden.
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Top 100 Heath System
Successful Pilot in Uttar Pradesh
Elsevier has successfully piloted ClinicalPath Primary Care – a technology-based clinical decision support solution – in Uttar Pradesh under the guidance of NITI Aayog in 2020. The HAIC study conducted by Lady Hardinge Medical college, which also represents a massive collective effort of several teams who persevered through several obstacles and completed the report despite several unforeseen challenges, COVID-19 being the foremost. The technical pilot contributed to the government’s focus on improving the Indian Public Health System by empowering ASHAs and building a robust digital healthcare system in India.
ClinicalPath Primary Care solution is a web-based Clinical Decision Support (CDS) solution that provides evidence-based information on disease screening, care management, and prevention. It is intended to be used by health workers with limited clinical training, such as ASHAs. The solution assists the health worker with the assessment of diseases or conditions, supports clinicalmanagement, and facilitates follow-up for patients over longitudinal care visits in patient homes, camps, or other primary care settings. The content is based on India’s Standard Treatment Guidelines and covers the following conditions for the Phase 1 pilot: anemia, developmental delays in children, community-acquired respiratory and diarrhea infections in children, immunizations, and vaccinations, antenatal and postnatal visits, and neonatal care.The solution is accessed through a mobile device.
To ensure ASHAs will become familiar with clinical decision support solution, Elsevier will provide solution training to upskill ASHAs so they can easily login, manage patients and screen for clinical risk. The training designed by the Elsevier medical education team includes animated video content in 8 languages plus a full storybook, including exercises and discussion guidance that can be used by the training implementation partners.
The web-based Elsevier ClinicalPath Primary Care solution will be serving ASHA workers. The application contains multiple modules for User Management, Patient Management, and Patient Screening. Eight languages (English, Hindi, Gujarati, Marathi, Kannada, Telugu, Assamese, Oriya) will be supported in Phase 1. ASHAs will also be able to capture key data such as haemoglobin and blood sugar.
ClinicalPath Primary Care supports collection and exchange of health data in open standard formats. The global HL7(Health Level 7) and FHIR (Fast Healthcare Interoperability Resource) standard supports interoperability. Data sharing facilitates patient health outcomes and reduces cost by using a common language of healthcare (FHIR/HL7). Only medical devices and medicines that are approved by Central Drugs and Standard Control Organization (CDSCO) will be integrated and accepted as part of DIISHA.
