Get subscribed to our newsletter
Get interesting updates to your email inbox.
By Dr. J.K. Bhutani
The Technology is becoming a big charm, attraction and a fancy for the populist governments. The recent ‘Digital India Initiative’ is enamouring people, youth and the governance as much as Telecommunication and Computer revolution of Rajiv Gandhi did India in the 1980’s. The fact remains that technology is an empowering, enabling tool and an equaliser of masses to enjoy the real benefits of democracy.
Haryana government launched ‘e-उपचार’ today, a HSHRC (Haryana State Health Resource Centre) initiative to computerise the hospitals of Haryana. The proposed key benefits include registration of the patients with a unique health identification number (UHID), maintaining electronic medical record of the patients including the disease data, lab reports, investigation plan, hospital stay and discharge with a hope to provide queue less services with a tracking facility for the patient and the officials.
The Electronic Medical Record, EMR as practised in USA, is a unique robust health delivery, research, resource planning and database tool. It empowers patients and service providers alike and avoids the redundancy and duplicity of data. Currently in the United States, 78.4 per cent (2013) of office based physicians use an electronic medical record system for managing their patients, as per CDC data. There are numerous features of EMR systems in US which make it robust, widely acceptable, and beneficial to both patient and the care provider.
As the patient comes into the hospital, a new record in the database is created and the demographic details are entered. As he moves on, raw anthropometric data is entered by the nurse practitioners. The physician is then notified of the updated records, and is given due time to review this data. During the actual patient encounter the doctor can use this record to re-assess any important vitals or diagnostic studies. Further, after the patient encounter is complete, the doctor makes a note of his history and relevant findings, and orders relevant investigations and drugs.
The investigations are sent directly to concerned departments, where they can be accessed and completed by another care provider. The drug orders are sent directly to pharmacy outlets, which are pre-programmed in the system. The patient can ask the physician to send his drug orders to a pharmacy store which is easily accessible to him. Whenever there is a new lab report/order that comes in for this specific patient, the attending physician is notified on his home screen and is asked for any review of orders. A follow up visit if scheduled by the attending physician is automatically managed by the EMR system, and the patient gets notified of it a week prior by SMS/E-Mail.
Other features to add to the power of EMR include graphic representation of data, which help doctors to review reports easily, and further use it for presentations. Also, disease surveillance, daily census of diseases, regular audit of quality of healthcare offered by the hospital are made extremely simple with EMR use.
Due to wide acceptance of EMR and mandatory implementation in any hospital based setup, healthcare data transfer has become seamless in US. There is no factor limiting inter-hospital, inter-provider data access. However, this does have a privacy check, where in the patient’s physician has to authorize the access of data by another, thus maintaining patient confidentiality successfully. Lastly some EMR systems support patient himself accessing his results at home, using simple mobile applications.
The most popular EMR software in US are eClinicalWorks, McKesson, Cerner etc. though their implementation is limited by high cost of installation and maintenance.
Now once we have the will, funds, tools and the DIGITAL acceptance, Haryana should take the lead. The things should be placed in the right perspective and hands. All the doctors should be trained in the EMR to have the best of the best database which can benefit the patients for equitable services, governments for resource planning, database of the diseases and treatment outcomes for research use and teaching.
It shall go a long way if it is linked to Aadhaar card number, so that wherever the patient goes/travels/migrates the database and the health record of the patient goes along with him for reference and use of the health care providers. Gradually but mandatorily all the private practitioners, clinics and hospitals should be partnered to use same government linked EMR to maintain universal access and reach of the EMR..
A strong framework, training of the manpower is a crucial component to NOT let it regress to mere computer operator generated name, father’s name, OPD slip or discharge slip data records.
Dr J.K. Bhutani MD is a protagonist of preventive and promotive health care based on austere biology and facilitating self healing powers of human organism.
You can follow him at https://twitter.com/drjkbhutani
The UK government on Thursday announced that it will move India from the red to the amber list on Sunday, in the country's latest update to the 'Red-Amber-Green' traffic light ratings for arrivals into England amid the Covid-19 pandemic.
This means the visit visas for the UK from India are open, in addition to other long-term visas that have remained open. But travellers from India arriving in England can complete a 10-day quarantine at home or in the place they are staying (not mandatorily quarantine in a managed hotel).
The UK government also announced that arrivals from France to England will no longer need to quarantine if they are fully vaccinated. The step aligns France with the rest of the amber list now that the proportion of beta variant cases has fallen, where those who are fully vaccinated with a vaccine authorised and administered in the UK, the US or Europe do not need to quarantine when arriving in England.
This move also simplifies the system to three categories, as well as the green watch list to give travellers notice where green status is at risk.
To continue cautiously reopening international travel, Austria, Germany, Slovenia, Slovakia, Latvia, Romania and Norway will be added to the government's green list, having demonstrated they posed a low risk to UK public health.
Besides India, Bahrain, Qatar and the UAE will also be moved from the red to the amber list, as the situation in these countries has improved.
The data for all countries will be kept under review and the government will not hesitate to take action where a country's epidemiological picture changes, a statement by the UK government said.
Following an assessment of the latest data, Georgia, La Reunion, Mayotte and Mexico will be added to the red list as they present a high public health risk to the UK from known variants of concern, known high-risk variants under investigation or as a result of very high in-country or territory prevalence of Covid-19.
Arrivals from Spain and all its islands are advised to use a PCR test as their pre-departure test wherever possible, as a precaution against the increased prevalence of the virus and variants in the country.
Transport Secretary Grant Shapps said: "We are committed to opening up international travel safely, taking advantage of the gains we've made through our successful vaccination programme, helping connect families, friends and businesses around the world.
"While we must continue to be cautious, today's changes reopen a range of different holiday destinations across the globe, which is good news for both the sector and travelling public."
Since February, anyone who arrives in the UK from a red list country has been required by law to book a stay in a managed quarantine facility for 10 days.
In order to ensure taxpayers are not subsidising the costs of staying in these facilities, which have gone up, the cost will increase from August 12. Alternative payment arrangements remain available to those who genuinely cannot afford to pay and rates remain the same for children up to 12.(IANS/HP)
A Hindu temple in Pakistan's Punjab province was reportedly vandalized by hundreds of people after a nine-year-old Hindu boy, who allegedly urinated at a local seminary, received bail, a media report said on Thursday.
According to the Dawn news report, the incident took place on Wednesday in Bhong town, about 60 km from Rahim Yar Khan city.
Besides the vandalization, the mob also blocked the Sukkur-Multan Motorway (M-5), the report added.
Citing sources, Dawn news said that a case was registered against the minor on July 24 based on a complaint filed by a cleric, Hafiz Muhammad Ibrahim, of the Darul Uloom Arabia Taleemul Quran.
The sources said that "some Hindu elders did tender an apology to the seminary administration saying the accused was a minor and mentally challenged".
But, when a lower court granted him bail a few days ago, some people incited the public in the town on Wednesday and got all shops there closed in protest, the report quoted the sources as further saying.
A video clip showing people wielding clubs and rods storming the temple and smashing its glass doors, windows, lights, and damaging the ceiling fans went viral on social media.
In response, one Twitter user said: "Ganesh Temple, village Bhong in Rahim Yar Khan, Punjab has been ravaged. Another day, another attack on Hindus in Pakistan."
Another said: "Yesterday, the mob ran amok at Temple over minor boy issue who allegedly urinated, the boy said to be mentally handicapped. Hindu community made an apology for the boy — a case registered against the nine-year-old boy. Those vandalized temples, no FIR registered against them."
District police spokesman Ahmed Nawaz Cheema said Rangers had been deployed in the troubled area and the situation was under control.
A small town close to the River Indus and Sindh-Punjab border, Bhong houses a number of gold traders who originally hail from Ghotki and Dehrki (Sindh), according to the Dawn news report.
A ruling PTI member representing the minority said he had been in touch with the local Hindu community and influential Rais family of Bhong since the issue surfaced.
OṀ KALMASHARAHITABHŨMYAI NAMAH:
OṀ (AUM) -KAL-MA-SHA-RA-HI-TA-BHOO-MYAI— NA-MA-HA
ॐ कल्मषरहितभूम्यै नमः
(Kalmasham: Tainted, blemish, dirty, sinful, wicked, foul, dosha, opprobrium, stigma; Rahita: Absent, devoid of)
Kalmasham is the opposite of purity; it means impure, contaminated and defective. The word is used in several senses such as: defective, fault, sin, dosham, tainted, vice, crime, disrespect, abuse, evil and contamination. However, it is also used in a technical sense in certain fields of knowledge. In Vedic literature we see words like pavitram, and pavitrata in the opposite sense of kalmasham. We, as Hindus, see everything as pure and equitable with God in an implied meaning that every atom at the microscopic level is part of the Supreme Power (Bhagavān). Having this knowledge and understanding, Hindus see the presence of God in living as well as non-living objects and have a pavitra meaning- kalmasharahita bandham.
Follow NewsGram on Facebook to stay updated
In Vedas and Purāṇās, Lord Shri Ramachandra Murty is portrayed without any defects and His marriage with Sīta was described as kalmasharahitam. He was glorified as the one who strictly observed the 'ekapatnī vratam' meaning-'one wife as a life partner'. Even when Sīta was abducted by the demon- Rāvaṇa and he kept her in his palace for a year, Rama did not look at another woman. The same credit goes to His consort and wife Sīta, who came out of Agni (pyre of fire) as a shining diamond proving her chastity and kalmasharahitam to the world. Our sacred literature is full of these incidents. Our dharmaśhāstrās explain that what is kalmasham is that which brings defection to one's purity. They advise purity in our thought, speech and actions.
God Ram and Goddess SitaGetty Pictures
There are many relationships we have as an individual. Some are pure and kalmasharahitam, as opposed to other relationships, like extramarital affairs. The relationship between husband and wife; brother and sister; father and daughter; parents and children; between siblings; teacher and student; among friends; and last but not least, between a devotee and his desired, beloved and personal god are considered kalmasharahitam.
ALSO READ: Celebrate Holi In The Land Of Krishna
As a country, we have never waged war against another country with the intention of occupancy and robbing their wealth, or to convert them to our religion. We do not have that kalmasham on our hands or in our hearts.
Our land is 'Kalmasharahita Bhūmi'.