Care

 

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- September 12, 2022

CARE

CARE is a comprehensive capacity and patient management tool, built specifically for disaster management purposes. It has dedicated features for COVID testing, inventory management, teleconsultation, etc. It keeps the digital record of a patient's health and enables treatment across different healthcare facilities.It also allows the state/ district administrators to have a birds-eye view of the health infrastructure at their disposal through smart dashboards and reports. Health being one of the key elements of disaster management, this tool does a good job at delivering healthcare with decentralised control. The asset management modules also helps in keeping track of the requirement from the field and ensuring effective supply of essentials.Care is open-source software with an MIT license

Open-Source Software:

The entire codebase of this application is available to the public. The software that formes CARE is developed on an online portal called GitHub that hosts open-source software so that engineers from all across the world may view the codebase of the software and contribute towards the development of the same.

MIT License:

This is a license that explicitly allows anyone to use the code-base of the software in whatever way they deem fit. Any person could copy the code, modify it, reproduce it or do any such action without any consent from the developers of the codebase.

What does this mean?

This means that it is absolutely free for anyone to utilize the software. Since the software is built through contributions from volunteers it is and shall always remain free for use.It is truly a piece of technology that is built BY THE PEOPLE, FOR THE PEOPLE!!!

Capacity Management: The Corona Pandemic has brought to limelight the shortfalls and limitations within our healthcare systems. One of the major shortfalls in our healthcare systems is that the state administrators or decision-makers are blind. Critical information about bed availability, oxygen availability or stock of drugs, etc. is not available in a user-friendly manner anywhere. There is no central or nodal agency that collects real-time data on usage and demand for healthcare assets and services.CARE system is a platform that makes available real-time data of all subsets within the healthcare system of any identified location. This makes the management of assets within a hospital easier at the same time empowering the administrators and decision-makers to make better-informed decisions.

Patient Management :Our public healthcare system runs on pen and paper. This leads to a multitude of issues like

· Data lose

· Wastage of time

· Reporting becomes tedious

· Analysis of large data becomes impossible

· Communication of information is not efficient

· Large manpower required for data collection and processing

With the digital patient management tool, the treatment given to patients are improved because:

· Patient Data is securely stored

· Patient gets continued care across different facilities because of seamless data sharing

· Close and effective supervision from the administration

· Patient also gets better access to their own medical records

· Fetching data is quicker, easier and more accurate.

Capacity Management : Facility

This section deals with the Capacity Management aspect of CARE at the facility level

STEPS TO LOG-IN

· Go to https://gdc.coronasafe.network on your browser. (The preferred browser is Google Chrome)

· Type in the username and password generated and given to you by the administrator.

· Click on Log-in

STEPS TO CREATE A NEW FACILITY

· After log-in, click on "Create new facility"

· Fill out the form. You will see the following fields

· Facility Type- Choose from the various types of facilities from the drop-down menu

· Facility Name- Name of your facility in full

· State

· District

· Locale Body- Locale body within which the facility is located in

· Address- Full and correct address of the facility

· Emergency Contact Number- phone number of the Nodal person for the facility

· Oxygen Capacity in litres- If your facility has oxygen storage, mention the capacity in litres. If your facility has no capacity for oxygen storage, leave this field blank

· Location- you may pin the exact location of your facility using the "Pin tool" in the centre. The Latitude and Longitude of the facility then automatically appear in the fields.

· Click on "Save Facility"

· You will see a notification on the top right corner of the screen confirming that the new facility has been created.

· To edit your facility details, you can log-in, enter the Facility Dashboard by clicking "View Facility". Here, on the top right corner, you can see the option to "Update Facility Details".

Steps to enter Bed Types/Rooms

· Log-in to https://gdc.coronasafe.network using your username and password. Click on the "view facility" option.

· Click on the third option on the top right corner of the screen that reads "Add More Bed Types"

· You will be redirected to a form. This is the same page you will be redirected to after creating a facility.

· In the field for "Bed Types" there are various options in the dropdown menu. The different options are:-

· Enter "Total Capacity" as well as "Currently Occupied" numbers.

NOTE: Please note that you must only select the bed type that your facility has and leave out the bed types that your facility does not have.

· After selecting each bed type, enter the values and click and "Save and Add More"

· Once you have entered values against all the types of beds you have within your facility, click on "Cancel" to go back to the Facility Dashboard page.

· You can click on "Facility" on the left side of the menu anytime to get to the Facility Dashboard.

· Here you can see, under basic details of the Facility, the "Bed Capacity" of the Facility. Each bed type is marked on a different card, each card showing the total capacity and the currently occupied number.

· You may edit the numbers by clicking on the "Edit" option on the concerned card.

Steps to add the number of doctors working in the Facility

· Log into https://gdc.coronasafe.network

· Log-in using your username and password.

· Click on "View Facility" on the Facility card already created

· On the bottom right side of the page, the option to "Add more Doctor Types" is visible. Click on it.

· You will be redirected to a page. If you have just created a new facility and added the total capacity, this is the page you are automatically routed to.

· In the field for "Area of specialisation," you can find different types of doctor like general medicine, pulmonology etc. For any other specialist that is not mentioned in the drop-down menu, click on "Other specialty".

· Add the number of doctors you have for all of the categories that you have available.

· Click on "Save and add more" after entering for each category.

· Only you have entered data for all available categories, click on "Cancel".

· You will be directed to the Facility Dashboard where you can check the numbers you have just added. The "Doctor List" appears under the "Total Capacity" list.

· To edit the numbers, you may click on "Edit" option on the concerned card.

Steps to update Room Occupancy or edit Total Capacity

· Log into https://gdc.coronasafe.network

· Log-in using your username and password.

· Click on "View Facility" on the Facility card already created.

· You can see the "Total Capacity" dashboard below the basic details of your facility.

· Each card in the dashboard is marked for a particular bed type. Click on "Edit" on the respective card of the bed type that you want to edit.

· You will be directed to a page with fields for "Total Capacity" and "Currently Occupied" fields. Here, you can amend the values as needed.

· Click on "Update Bed Capacity" to save the change.

Steps to add Daily Triage details

· Log into https://gdc.coronasafe.network

· Log-in using your username and password.

· Click on "View Facility" on the Facility card already created.

· You will be directed to the Facility Dashboard.

· Here, on the right side bottom of the page, is "Add Triage". Click on it.

· In the form, add the date, and then fill out the fields below.

· Click on "Save Triage".

· You will be routed to the Facility dashboard. Scroll to the bottom of the page to see the table for "Corona Triage"

· You may edit the numbers by clicking on the "Edit" option on the right side against each date.

Location Management

The Location management module in 'Care' enables the facilities to transfer movable assets in between them.

STEPS TO CREATE NEW LOCATION

· Log into https://gdc.coronasafe.network

· Log-in using your username and password.

· Click the “Facility” tab on the left.

· Click on "View Facility" button under the concerned Facility name

· Click on "Location Management" button on the top right side of the page.

· Click on "Add location" button.

· Fill in the requid 

         name: Facility name

  Description: Fill details related to facility location and other relevant information related to the facility.

· Click on "Add Location" button to update the record.

STEPS TO LOG MOVEMENT OF THE ASSET FROM ONE LOCATION TO THE OTHER

· Log into https://gdc.coronasafe.network

· Log-in using your username and password.

· Click on "Asset" tab.

· Click on "Scan Asset QR" button

· Scan the QR Code pasted on the particular asset.

· Click on "Update Asset" button on the right.

· Under the location, choose the required location and click update.

NOTE: You can view the movement history of asset below asset details within Transaction History.

Asset Management

The asset management module in 'Care' gives the user a list of all available internal and external assets in a specific district/facility. The user can add and update assets depending on the user level.

STEPS TO CREATE A NEW ASSET

· Log into https://gdc.coronasafe.network

· Log-in using your username and password.

· Click the “Facility” tab on the left.

· Under the Facility name, Click on "View facility"

· On the top right corner, click on 'Create Asset' button.

· Fill in the necessary details and click on the 'Update' button to add your asset to the list.

· Click on "Print QR" button on the top right on the asset details page.

· Click on "Print QR Code" button to print the QR Code.

· Affix the QR Code on the asset for identification and monitoring.

STEPS TO CHECK THE STATUS OF AN EXISTING ASSET

· Log into https://gdc.coronasafe.network

· Log-in using your username and password.

· Click the “Asset” tab on the left.

· Search for the asset to view it's details

· You can also choose to filter the assets based on whether it is an external or internal asset

· The status of the asset, name of the facility, location etc. can be viewed after clicking on the 'Details' button corresponding to each asset.

STEPS TO UPDATE AN EXISTING ASSET

· Log into https://gdc.coronasafe.network

· Log-in using your username and password.

· Click the “Asset” tab on the left.

· Search for the asset to view its details

· Click on the 'Detail' button of the particular asset

· Click on the 'Update detail' button on the top right, and update the asset details.

· Click on the 'Update' button to save the changes.

CARE: User Management: CARE was initially deployed in Ernakulam district of Kerala where the officials of the National Health Mission and the Department of Health Services, Kerala depend on it for managing the large number of COVID patients that they have. The tool was later deployed across 5 states and is in the process of deployment in 8 more states.As of 03rd February, 2022, the system has managed over 3.5 Lac patients and shifted over 1.2 Lac patients between different health facilities within the district.There are various levels of Users within CARE:

Volunteer: A volunteer that is linked to a facility has access to view all information saved within the facility but cannot edit it.

Pharmacist: A Pharmacist that is linked to a facility has access to view all patient and facility information saved within the facility but cannot edit it.

Staff: This is the staff (data entry/ administrator) within a facility. The staff has access to all the patient details within the facility and may amend or add more information.

Staff (Read-Only): This is the staff (data entry/ administrator) within a facility. The staff has access to all the patient details within the facility but cannot amend or add more information.

Doctor: The doctor, if linked to a facility has full access to all patient information within the facility. Only individual patients may also be linked to the doctor for teleconsultation or specialist consultation. In that case, the doctor has access to the records of only that particular patient.

Localbody Admin: The Localbody admin can see the list of positive cases in a day within their local body (Panchayat, municipality, or corporation). If they are linked to a facility they have full access to all information of the patient within the facility.

Ward Admin: The ward admin can see the list of positive cases in a day within their ward in the external result module. If they are linked to a facility they have full access to all information of the patient within the facility. They may also add/edit patient information within the facility.

District Admin: The district admin has full access to all facilities registered within the district and all patients within those facilities.

District (Read-Only) Admin: The district admin has full access to view information of all facilities registered within the district and all patients within those facilities. But no edit permission is given.

District Lab Admin: Can view and edit all lab information and all sample details within the district

State Admin: The state admin has full access to all facilities registered within the state and all patients within each facility.

State (Read-Only) Admin: This user can see all facilities and patients registered in the state but cannot edit the information.

State Lab Admin: Can view and edit all lab information and all sample details within the state

The user creation is done in a decentralized manner where every user can generate users with an equal level of access or a lower level of access.For Eg: A district admin that has the maximum user access, can create any user type while a volunteer with the minimum access can only create another volunteer in the system.

Note: District admins and state admins have the right to delete any users falling below their level in hierarchy.

STEPS TO Log-in

· Go to https://gdc.coronasafe.network on your browser. (The preferred browser is Google Chrome)

· Type in the username and password generated and given to you by the administrator.

· Click on Log-in

STEPS FOR CREATING NEW USERS

· Log-in with, District Administration Credential

· Click on the "Users" Tab,

· You will see All User already created within CARE.

· Click on "Add New User" and fill out the form.

· User Type- Choose from the option given in the drop-down menu

· Phone Number-

· Facility Name- If your facility is already registered under Care, type in and choose your facility from the drop-down menu. If it is a new facility then space can be left blank.

· Username- Create a unique username

· Date of Birth- Enter users date of birth

· Password- Set a password

· Confirm password

· First Name

· Last Name

· Email Address

· State

· District

· Local body

· Click on the "Save User" Button. Now you can log in with the new user credentials.

STEPS FOR LINKING A USER TO A FACILITY

· Log-in with, your credential

· Click on the "Users" Tab,

· You will see All User with the following information:

· Username

· Role - Type of the User

· District

· Facility

· Click on the "Click here to show" button below "Facilities" to see the linked facility to the User.

· To link a new Facility to the User. Click on the "Link new facility" button, Search the Facility by typing the name, select the facility from the Droplist and Click on the "ADD" button. (Multiple Facilities can be linked to a single User).

· To remove a linked facility, Click on the "Red" button against the name of the facility.

FAQs-

Sometimes when a user logs in, he/she may see the option "create facility" in the Facilities tab rather than the details of the hospital. This is because the user is not linked to any facility at the moment. The user will be able to see only those facilities that he/she is linked to in the facilities tab.

WHAT IS THE FUNCTION OF A SHIFTING APPROVAL FACILITY? The function of a shifting approving facility is to enable all shifting of patients within its jurisdiction. It is the shifting approving facility that triggers all shifting requests, allots beds, coordinates in ambulance mobilisation and also takes care of the entire data transfer and coordination to ensure a patient is smoothly from home to a hospital or between different hospitals.

STEPS TO CREATE A SHIFTING APPROVAL FACILITY

· Part 1: Register Person Managing (Nodal Officer) of the Shifting Approval Facility

· Log-in with, District Administration Credential

· Click on the "User" tab.

· Click on the "Add New User" Button

· Fill out the form. You will see the following fields

· User Type- Choose the type of User as STAFF.

· Phone Number- Input contact number of the user

· Username- Input a unique user name.

· Date of Birth- Input date of Birth of User

· Password- Input password for the new user

· Confirm Password- Reenter the Inputted password

· First Name- First name of the user

· Last Name- Last name of User

· Gender- Choose the Gender of the user from the Droplist menu

· State

· District

· Local Body

· Click on the "Save User" Button.

· Part 2:

         Create New Shifting Approval Facility

· Log-in with, Shifting Approval Staff Credential

· Click on "Create New Facility"

· Fill out the form. You will see the following fields

· Facility Type- Select the "SHIFTING CENTER" from the drop-list menu.

· Facility Name- Input name of the facility as "XYZ Shifting Center"

· State

· District

· Local body

· Ward

· Address

· Pincode

· Emergency Phone number- This must be the number of the nodal person for that facility.

· Click on the "Save Facility" Button

· Click on the "Facility" tab located in the top-left corner to see the shifting approval center.

· To get all data related to shifting, Click on the "Shifting" tab.

· Part 3: Creating individual log-ins for all members of the shifting team.

· The Nodal Person for the facility (with staff level user id for the shifting facility can create staff ids for all members of the shifting team.

· Log-in with, your credential

· Click on the "User" tab.

· Click on the "Add New User" Button

· Fill out thePart 3: Creating individual log-ins for all members of the shifting team.

· The Nodal Person for the facility (with staff level user id for the shifting facility can create staff ids for all members of the shifting team

· Log-in with, your credential

· Click on the "User" tab.

· Click on the "Add New User" Button

· Fill out the form. You will see the following fields

· User Type- Choose the type of User as STAFF.

· Phone Number- Input contact number of the user

· Facility- Here select the shifting center that you have set up

· Username- Input a unique user name.

· Date of Birth- Input date of Birth of Username

· Password- Input password for the new user

· Confirm Password- Reenter the Inputted password

· First Name- First name of the user

· Last Name- Last name of User

· Gender- Choose the Gender of the user from the Droplist menu

· State

· District

· Local Body

· Click on the "Save User" Button.

WHAT IS A RESOURCE REQUEST APPROVING/FULFILLING FACILITY?The hospitals, especially during dire times like a pandemic will need constant supply of resources. When such request for resources are made from multiple hospitals, there needs to be a central administrative body managing such requests and ensuring that the relevant requests are fulfilled. Such a body is called the Resource Request Approving Facility. The same can be set up at ward, panchayat, district state or national level depending on the requirement. Such bodies where set up at the state and district level during the second wave of COVID to manage the supply of Oxygen.

WHAT IS A RESOURCE APPROVING/FULFILLING AUTHORITY? The resource requests, once approved by the resource approving authority needs to be fulfilled by somebody. This is the resource fulfilling authority. The resource approving authority, once a resource request is seem as relevant, will approve it and forward it to the resource fulfilling facility. It is this team that ensures the resource reaches the required place. In case of pandemic, the resource fulfilling facility for oxygen was the dept. Of industries and various oxygen plants. There may be different resource fulfilling authority for different types of resource requests. While oxygen plans may be fulfilling requests for oxygen, it may be pharmaceutical companies fulfilling requests for life-saving drugs.

STEPS TO CREATE A REQUEST APPROVAL FACILITY

· Part 1: Register Person Managing (Nodal Officer) of the Request Approval Facility

· Log-in with, District Administration Credential

· Click on the "User" tab.

· Click on the "Add New User" Button

· Fill out the form. You will see the following fields 

· User Type- Choose the type of User as STAFF.

· Phone Number- Input contact number of the user

· Username- Input a unique user name.

· Date of Birth- Input date of Birth of User

· Password- Input password for the new user

· Confirm Password- Re-enter the Input password

· First Name- First name of the user

· Last Name- Last name of User

· Gender- Choose the Gender of the user from the droplist menu

· State

· District

· Local Body

· Click on the "Save User" Button.

· Part 2: Create New Request Approval Facility

· Log-in with, the new Request Approval Staff Credential

· Click on "Create New Facility"

· Fill out the form. You will see the following fields

· Facility Type- Select the "REQUEST APPROVAL CENTRE" from the drop-list menu.

· Facility Name- Input name of the facility as "XYZ Request Approval Center"

· State

· District

· Local body

· Ward

· Address

· Pincode

· Emergency Phone number- This must be the number of the nodal person for that facility.

· Click on the "Save Facility" Button

· Click on the "Facility" tab located in the top-left corner to see the request approval centre.

· To see all resource requests that come in, click on the "Resources" tab on the left side of the screen.

· Part 3: Creating individual log-ins for all members of the request approval team.

· The Nodal Person for the facility (with staff level user id for the request approval facility can create staff ids for all members of the request approval team.

· Log-in with, your credential

· Click on the "User" tab.

· Click on the "Add New User" Button

· Fill out the form. You will see the following fields

· User Type- Choose the type of User as STAFF.

· Phone Number- Input contact number of the user

· Facility- Here select the request approval centre that you have set up

· Username- Input a unique user name.

· Date of Birth- Input date of Birth of User

· Password- Input password for the new user

· Confirm Password- Re-enter the Input password

· First Name- First name of the user

· Last Name- Last name of User

· Gender- Choose the Gender of the user from the Droplist Menu

· State

· District

· Local Body

· Click on the "Save User" Button.

NOTE: The same process is followed to set up the REQUEST FULFILLING CENTRE as well.

Adding a patient to your facility

This section deals with adding a new patient to your facility. The patient may be new to CARE or may have been someone who was registered in CARE previously.

Steps to create a Patient in the CARE system

· Log into https://gdc.coronasafe.network

· Log-in using your username and password.

· Click on "View Facility" on the Facility card already created.

· Click on "Add Details of a patient" on the left side of the screen.

· Enter the details of the COVID suspect/ patient into the form.

NOTE: Please enter the Phone number and the date of birth accurately.

· Basic details of the patient/suspect, recent travel history and well as medical history need to be filled in.

· click on "Add COVID Patient/ suspect" to save the details of the patient.

· Now, you will be directed to the consultation form. One of the following chapters will deal with the consultation form.

· To access the details of the patients, you can either Log-in and click on "View Facility". In the Facility dashboard page, on the left half, click on the option "View Patients". Here you can see cards for all the patients generated. Alternatively, you could click on the "Patients" tab on the left side of the screen to view all the patient cards generated.

· To edit details of the patient, click on the patient card, once the patient profile opens, click on "Update Details" on the top right corner of the page.

NOTE: A patient is uniquely identified in the system by linking the name of the patient to his/her phone number and Date of Birth. Hence, please pay special attention while entering the date of birth and phone number of the patient.

Steps to fetch the details of a patient already registered within CARE

These steps are to be followed by the receiving facility to add the patient profile into their facility.

Log into https://gdc.coronasafe.network

· Log-in using your username and password.

· Click on "View Facility" on the Facility card already created.

· Click on "Add Details of COVID Suspects" on the left half of the screen.

· Type in the phone number of the patient into the form.

· The system will recognise that the particular phone number has been used to register a patient within the system previously. A Pop-up window will appear with the Name and the Unique Patient Code of the patient.

· If the name of the transfer patient does not appear in the pop-up window, select "I confirm that the Patient/Suspect is different from the above list". But if you do see the name of the transferee patient on the pop-up window, then select "I want to transfer the suspect/patient to my facility" and click on "Continue".

· Another pop-up window will appear, where you have to select the name of the patient from the drop-down menu and then enter their Date of Birth. The Date of birth is linked with the patient records and confirms the identity of the patient being transferred.

· Click on "Transfer suspect/patient".

· Now you have successfully fetched the details of the patient into your facility. You can view the patient card in the "Patient/Suspect" tab on the left side of the screen.

Steps to Register a Second Patient with Same Phone Number

· Log into https://gdc.coronasafe.network

· Log-in using your username and password

· Click on 'view Facility' to open the facility

· Click on the 'Add Details of a Patient' button

· Add the following details in the form:

· Phone Number - Enter the phone number of the patient

· Since the number is already present in the system, A windows pop-up, check the patient name in the list

· If the name is not present in the pop-up, click on the red button mentioning 'I confirm that the suspect/ patient I want to create is not on the list.

· Click the 'Continue' Button

· Enter the remaining Basic details of the patient/suspect, recent travel history, and medical history that needs to be filled in.

· click on "Add COVID Patient/ suspect" to save the details of the patient.

· To view the patient details, on the left side, click on the 'Patient' Tab.

· A file may be uploaded to a patient card. Please note that this is different from the file uploaded to a consultation.

· The file uploaded on the patient card is meant to capture any important documents relating to the patient's identification (like patients Aadhar card, KASP card etc) or any important documents such as insurance papers. Audio recordings related to patient can also be uploaded to patients record.

STEPS TO UPLOAD FILE TO PATIENT CARD

· Log into https://gdc.coronasafe.network

· Log-in using your username and password.

· Click on the 'Patient' tab, on the left.

· Click on the Patient's name.

· Scroll down the page, on the right side, click on the 'view/upload patient files' button.

· Under New File, Click on the 'Choose file' button and select your file to be uploaded.

· In the File name column, specify the file name.

· Click on the 'Upload' button, to upload the file.

· On the Top right, you will get a notification on successful upload.

· To view the uploaded file, on the left, click on the 'Patient' tab, Scroll down the page, click on the 'view/upload patient files' button. Under the view patient files, you will find the uploaded file.

STEPS TO UPLOAD AUDIO FILE TO PATIENT CARD

· Log into https://gdc.coronasafe.network

· Log-in using your username and password.

· Click on the 'Patient' tab, on the left.

· Click on the Patient's name.

· Scroll down the page, on the right side, click on the 'view/upload patient files' button.

· Click the “record” button, once the recording is over, click the “stop” button.

· Click on the “re-record button” if you want to record, else click on the “save” recording button to save the audio file to the patient card.

· To view the uploaded audio file, on the left, click on the 'Patient' tab, Scroll down the page, click on the 'view/upload patient files' button. Under the view patient files, you will find the uploaded audio file.

WHO IS A VOLUNTEER?A volunteer could be any person, may not necessarily be a qualified caregiver like a doctor or a nurse, but an active member of the community, or even a friend or relative who wants to support the patient by monitoring his data, giving counselling or simply monitoring the health condition.

How to assign volunteer to a patient

 

· Log into https://gdc.coronasafe.network

· Log-in using your username and password

· Click on "Patient" tab.

· Click on Patient Name.

· Scroll down, click on "Assign to a volunteer" button on the right side of screen

· A pop-up screen will appear, click on "Assign a volunteer"

· Type the name of volunteer to be assigned. Select the volunteer from the drop down and click "Submit" button.

· A notification will be designed on the top of patient card that the volunteer is assigned to the patient.

· Once a volunteer is assigned to a patient, the volunteer, upon logging in will be able to see all the details to that patient. He/she will receive regular updates on the status of the patient.

NOTE : If you want to remove the assigned volunteer from a patient card, follow till step 5 and click on "Clear" button and then "Submit" button.

· Steps to add Consultation Details of a Patient

· Log into https://gdc.coronasafe.network

· Log-in using your username and password.

· Click on the "Patient" tab on the left side of the screen.

· Find the patient card for the patient you an to add consultation details for, and click on it.

· Scroll down and click on "Add Consultation" on the right side of the screen.

· Fill out the form with the following fields:-

· Symptoms- More than one symptom can be selected here.

· Details of Examination

· Prescribed Medication

· Category- A patient is categorised as Category A (Mild), Category B (Moderate) or Category C (Severe) based on a few parameters. For the guidelines on the categorization of patients, please refer below.

· Decision after OP Triage

· Admission Details- if admitted

· Click on "Add Consultation" to save.

· The consultation details can be viewed by finding the patient card in the "Patients" tab on the left side of the screen. Click on the patient card. Scroll to the bottom to see the Consultation History. Click on "View Consultation/consultation updates" to see all details.

· Multiple consultation cards can be saved for any patient.

Adding consultation update

 

· Steps to add daily round details of a patient

· Log into https://gdc.coronasafe.network

· Log-in using your username and password.

· Click on the "Patients" tab on the left side of the screen.

· Find the patient card for the patient you want to add daily rounds details for.

· Click on the patient.

· Scroll down to the "Consultation History" section.

· On the right side of the consultation card, you can see the option "Add Consultation Update". Click on the same.

· Fill out the form.

NOTE: If the patient is recommended discharge, this form is where you record the same.

To view the records, go to the "Patients" tab on the left side of the screen. Find and click on the patient card. Scroll down to the "Consultation History" section. On the left side of the consultation card, you can see "View Consultation/Consultation Updates". Click on the same. You will be directed to a page with consultation details and the details of the consultation updates below it. Click on "View Details" under Updates to expand and see all the information.

Updating an existing consultation page

HOW TO UPDATE AN EXISTING CONSULTATION PAGE

· Log into https://gdc.coronasafe.network

· Log in using your username and password.

· Click on the 'Patients' tab, on the left.

· Click on the Patient's name.

· Scroll down, in the consultation history section.

· Click on "View/View Consultation" button.

· On the top right corner, click on "Update Details" button.

· Make required changes to the consultation form and click on "Update Consultation" button to update the record.

· Attach diagnostic reports

· A file may be uploaded to a patient's consultation. Please note that this is different from the file uploaded to a patient card.

· The file uploaded on the patient's consultation is meant to capture any diagnostic reports like scan/X-Ray reports of the patient. The feature support file of any format.

Steps to Upload File on Consultation

· Log into https://gdc.coronasafe.network

· Log in using your username and password.

· Click on the 'Patients' tab, on the left.

· Click on the Patient's name.

· Scroll down, in the consultation history section, on the consultation card, click on the 'view/upload consultation files' button.

· Under New File, Click on the 'Choose file' button and select your file to be uploaded.

· In the File name column, specify the file name.

· Click on the 'Upload' button, to upload the file.

· On the Top right, you will get a notification on successful upload.

To view the uploaded file:

 On the left, click on the 'Patient' tab, Scroll down the page, Under Consultation history, click on the 'view/upload consultation files' button. Under the view consultation files, you will find the uploaded file. -OR-On the left, click on the 'Patient' tab, Scroll down the page, Under Consultation history, click on the 'View Consultation/Consultation Updates' button. Scroll down the page, you will find the uploaded file.

Steps to Upload Audio File on Consultation

· Log into https://gdc.coronasafe.network

· Log in using your username and password.

· Click on the 'Patients' tab, on the left.

· Click on the Patient's name.

· Scroll down, in the consultation history section, on the consultation card, click on the 'view/upload consultation files' button.

· Click on "Record" button to start the recording and click on "Stop" button once recoding is completed.

· Click on "Save Recording" to upload the audio file to consultation.

· Record investigation details

Steps to Record Investigation Details

· Log into https://gdc.coronasafe.network

· Log-in using your username and password.

· Click the “Patients” tab on the left.

· Select the patient from the list or you can search them by name or phone number.

· Click on the patient’s name to view the dashboard.

· Scroll down until the “Consultation History” section.

· Click “View Consultation/Consultation Updates”.

· Click on "Investigations Tab" and click "Create Investigation"

· Select Investigation/Groups. Update the form accordingly.

· Scroll down and click on "Save Investigation" button on the left.

· Viewing the investigation

· To view back the investigation, you can choose the “View" button against the specified date on the "Investigations” tab within the consultation page.

· Comparative View/ Table View

· To compare results over time for the patient, click the “patients” tab.

· Identify the patient and click on it to go to the patient’s dashboard.

· Scroll down and you will see the “Investigation Summary” option on the right side.

· Click on it and select which investigation report summary to get a comparative report on the patient

NOTE : Click on the "Print Report" button to print the particular investigation/table View

View Patient Note

How to view Patient Note.

· Log into https://gdc.coronasafe.network

· Log-in using your username and password.

· Click on "Patient" tab.

· Click on Patient Name.

· Scroll down, click on "View Patient Notes" on the right side.

· Input the note in the field and click on "Post your Note".

· You can view the new note along with past history.

Log- Update a Patient

· Log into https://gdc.coronasafe.network

· Log-in using your username and password

· Click on the "Patient" tab.

· Click on Patient Name.

· Scroll down the page, under Consultation History, Click on the 'View Consultation/consultation Updates' button

· On the top right corner, Click on the 'Log Update' button.

· Measured At : This field will mark the date and time of the log

· Round Type : Select the round type from the droplist, Whether normal or critical care.

· Copy Previous Log : select the yes or no button to copy the previously logged data.

· Save : Click the button to save the data.

How to create a normal round log update ?

· Log into https://gdc.coronasafe.network

· Log-in using your username and password

· Click on the "Patient" tab.

· Click on Patient Name.

· Scroll down the page, under Consultation History, Click on the 'View Consultation/consultation Updates' button.

· On the top right corner, click on the 'Log Update' button

· Under round type, select normal from the Droplist

· Select the yes or no button to copy the previous value.

· Fill the fields in the form.

· Click the 'Save' button on the bottom right corner to save the data.

How to create a critical care update ?

· Log into https://gdc.coronasafe.network

· Log-in using your username and password

· Click on the "Patient" tab.

· Click on Patient Name.

· Scroll down the page, under Consultation History, Click on the 'View Consultation/consultation Updates' button

· On the top right corner, click on the 'Log Update' button

· Under round type, select critical care from the Droplist

· Select the yes or no button to copy the previous value

· Fill in the form and select the 'save' button on the bottom right of the page.

· Select the parameters and fill in the details.

· NB: All parameters are not mandatory.

· Scroll down to the bottom and click the 'complete' button to save it.

Tele-Medicine Module

STEPS TO ENABLE TELEMEDICINE

· Log into https://gdc.coronasafe.network

· Log-in using your username and password.

· Click the “Patients” tab on the left.

· Identify and click on the patient that you want to enable telemedicine doctor.

· You must first file a consultation for the patient by clicking “Create Consultation".

· In the consultation form, once you have scroll down you will see “Telemedicine” with the option Yes and No.

· Choose Yes.

· You may also select the time for the doctors or staff from your own facility to review the patients' status by setting “Review After”. Then, assign a telemedicine doctor within your district by clicking “Assign to” and select the doctor’s name.

· Certain actions can be assigned to the following telemedicine doctor by selecting the “Action”.

· To save click “Add Consultation”.

· Once the update is saved, a notification will appear on the top-right corner of the page.

· Once, telemedicine is enabled for a patient, on the patient dashboard, top, you will see a banner stating the name of the doctor the patient is assigned to.

· When the telemedicine doctor records any consultation for the patient in the "consultation updates", the facility will see a notification panel upon clicking the "Notification" on the left side navigation bar.

Telemedicine Doctor

STEPS FOR TELEMEDICINE DOCTOR

· Log into https://gdc.coronasafe.network

· Log-in using your username and password.

· Click on the “Patients” tab on the left to see all the patients assigned to you through telemedicine.

· Identify and click on the patient that you want to review.

· Scroll down until “Consultation History”.

· Click “View Consultation/Consultation Updates”.

· Under the Consultation Update, you can click on “Update Details” to see the saved details on the patient.

· You can opt "Yes" for telemedicine and assign the patient to any doctor. There is also an option to schedule a review after a certain number of hours.

· If the facility where the patient is actually admitted did an update on your patient, then the doctor will be notified. To view it, click on the “Notification” tab on the left side of the screen to open up the notification panel.

Shifting a Patient:CARE has a shifting module to ensure seamless shifting of patients between facilities.This is achieved by dividing the shifting process into smaller steps and having separate individuals within the shifting team carry it out.

The shifting process may be split into:

Initiating Shifting Request: This is done by the facility from which the patient needs to be moved out. The facility administrator opens the patient card and initiates a shift. Here, the user may specifically mention a destination facility or leave it up to the shifting team to decide that. Emergency shifts may be flagged.

Once the shifting request is initiated, the shifting team gets access to the patient card.

Approving Shift: A doctor in the shifting team accesses the condition of the patient and approves the shift by confirming if the patient does need to be shifted. Once the shift is approved by the doctor, the logistics team gets into action.

Deciding the destination facility: Here the shifting team looks at the health condition of the patient, the place the patient belongs to, and other factors to identify a suitable hospital with a bed availability to shift the patient to. The bed availability is confirmed by the team with the help of the District Level Capacity Dashboard.

Confirming Destination: This step is carried out by the destination facility. The facility sees the request from the shifting team to shift the said patient into their facility and confirms that they have the bed and other resources to treat the patient.

Booking an ambulance: The shifting team members now find an ambulance available to pick the patient up from the initial facility and transport him to the destination facility. To do this the SURAKSHA SUPERHERO AMBULANCE NETWORK is used.

Transfer in progress: Once the patient gets picked up by the ambulance, the destination facility gets a prompt that the patient is on his way to their facility. The destination facility makes arrangements to invite the patient in.

Shift complete: When the patient reaches the destination facility, the user at the destination facility clicks on "Transfer the patient to my facility" to shift the entire medical records of the patient from the previous facility to their facility.With this the shifting process is complete.

Steps to Shift Patient From One facility to Another Facility

· Log into https://gdc.coronasafe.network

· Log-in using your username and password.

· Click on the 'Patient' tab and Identify the patient to be shifted.

· Click on the Patient's name to view the patient dashboard.

· Scroll down the page, on right, click on the 'Shift Patient' button

· Fill out the form with the following details:-

· Contact Person at facility- Enter your name.

· Contact Person phone- phone number of the in charge of the facility

· Name of shifting approving facility- Type the name and select from the droplist.

· what facility would you like to assign the patient to- if you are particular about sending the patient into a specific facility mention it otherwise keep it blank.

· Is this an Emergency?- Flag according to the situation.

· Is this an upshift?- Transferring from smaller facility to higher facility

· Preferred Vehicle- Select the vehicle from the droplist

· Preferred Facility Type

· Reason for shift

· Click the "submit" button and on successful submission, a notification popup in the top right corner.

· To view the shifting progress on a Patient, on the left, click on the "Shift" tab.

STEPS ON PROCESSING A SHIFT

· Log into https://gdc.coronasafe.network

· Log-in using your username and password.

· On the Left, Click on the "Shifting" tab to see all the shifting requests.

· Input the Name on the Top, to process a particular patient.

· Click on the "All detail" button to see the patient card detail

· Click on the "Update Status Detail" button, select the status of the shift and update it.

· Click on the "Submit" and a notification popup in the top right corner when the status is changed successfully.

· As the shifting passes through the different stages of shift as explained previously, open the card again and click on the "Update Status detail" button, to update the status, and click on the 'submit ' button to save the data.

· Repeat this Step till the patient shifting is completed.

Step to Receive Shifted Patient to a Facility

· Log into https://gdc.coronasafe.network

· Log-in using your username and password.

· On the left, click on the 'Shift' tab.

· If you want to filter the card, Click on the filter, input the Facility name under the 'Assigned Facility'.

· Look out for cards under the "Transfer in progress" list in the shifting tab.

· Click on "Transfer to Receiving Facility" to import the patient card to your facility.

· Then the status of the shift automatically transferred to complete status.

How to record discharge of a patient

· Log into https://gdc.coronasafe.network

· Log-in using your username and password.

· On the left, click on the 'Patient' Tab and Identify the patient you want to discharge.

· Click on the name of the patient to get all the details.

· Scroll down, and click on the 'Consultation Update'

· Add all the consultation details and checkmark 'Recommend Discharge'.

· Click on the 'Save Consultation Update' button to save it.

· Scroll down the page, on right, click on the 'Discharge from care' button and a pop-up window will be shown.

· Fill out the question in the pop-up window and click on the "Proceed to Discharge" button.

· You have now successfully discharged the patient.

· To view all discharged patients from your facility, click on the 'Patient' tab on the left, click on the Discharge tab on the right and you will have a list of all discharged patients.

Step to Get Discharge Summary

· Log into https://gdc.coronasafe.network

· Log-in using your username and password.

· On the left, click on the 'Patient' tab, Click on 'Discharged' tab on the right side of the screen, to get the list of all discharged people.

· Identify the patient and click on the name of the patient.

· Scroll down the page, on the right, click on the 'Discharge summary' button.

· On the popup message, input the email id to receive the summary report and click on the 'Submit' button.

· You will receive the discharge summary on the email that you have submitted in the previous step.

How to access the death report of a patient:There are several disease statuses for a patient. Once a patient has passed away after being admitted to a facility, you can generate a digital death report for the deceased.

The steps to generate a death report are as follows:

· Log into https://gdc.coronasafe.network

· Log-in using your username and password.

· Click on "Patient" tab.

· Go the patient card.

· On the top right corner, click on "Death Report"

· Fill in the required details including cause of death. Please refer to the image below for further details.

· Click on "Preview" to view and verify the details that you have entered.

· Click on "Print Death Report" to save the document.

STEPS TO UPDATE PATIENT DISEASED STATUS

· Log into https://gdc.coronasafe.network

· Log-in using your username and password.

· On the left, click on the 'Patient' Tab and Identify the patient you want to update

· Click on the name of the patient to get all the details.

· On the right side click on "Update Details" button.

· Under "COVID Disease Status" option select from the following:

· POSITIVE : Patient is COVID positive

· SUSPECTED : Patient is a COVID suspect

· NEGATIVE : Patient is tested negative

· RECOVERED : Patient recovered from COVID

· EXPIRED : Patient died due to COVID

· Scroll down, on the bottom right click "Save Details" button to update the status.

Managing resources:The inventory and resource management system is a subsystem of CARE that enables any Facility administrator to keep track of the movement of stock within their facility.

Steps to edit stock in inventory into the inventory management system of CARE

· Log into https://gdc.coronasafe.network

· Log-in using your username and password.

· Click on view Facility to see your facility dashboard.

· On the right side of the page, there is an option that reads as "Inventory Management". Click on the same.

· Click on "Add Inventory" on the top left corner.

· Under the Inventory name, choose the Item that you wish to add or subtract from the inventory.

· Under "Status", choose whether you wish to "add stock"(in case of purchase) or "use stock"(in case of usage).

· Mention the quantity of the item and the units.

· Click on "Add inventory to save this information"

· Inventory Summary page shows a list of all the items in your inventory and their quantities. Click on each of these items in the inventory list to see the log of all purchases and usages of that particular item.

· You may also choose to set minimum levels of inventory for each item, by clicking on "Set minimum quantity required". Once the stock of the inventory goes below the set minimum level, a flag of "LOW STOCK" shows up next to the item.

Setting minimum threshold limit for each item within the inventory.

· Log into https://gdc.coronasafe.network

· Log-in using your username and password.

· Click on view Facility to see your facility dashboard.

· On the right side of the page, there is an option that reads as "Inventory Management". Click on the same.

· On top of the page, you will see an option "Minimum Quantity Required". Click on the same.

· Click on the option on top 'Set minimum Quantity"

· In the form that appears, under "Inventory Name" please select the item for which you want to set a minimum quantity. Mention the minimum quantity required and the units for each such item.

· Click on "Set" to save.

· You can see a list of such quantities saved for each item in the "Minimum Quantity Required" page. This information can be edited at any point by clicking on "Update" against each of these items.

· Once you have set these minimum limits, whenever an item goes below the minimum set limit, in the Inventory summary, a "Low Stock" Flag appears against such items. This notifies the administrator to procure the said items at the earliest.

Steps to Raise a resource request

· Log into https://gdc.coronasafe.network

· Log-in using your staff username and password.

· Under your facility name, click view facility

· On the top-right corner, click on "Resource Request" button.

· Fill out the form. You will see the following fields

· Name of Contact Person at Facility-

· Contact Person phone- Number to contact for any clarification during the process

· Name of approving facility- Input the district level approving facility

· Is this an emergency- As per the requirement select yes/no.

· Category- Select the specific category

· Sub-Category- Select the specific sub-category

· Request title- Input requirement as title

· Reason for request- Input the specific quantity and request required.

· On the Bottom right, Click "Submit" bottom.

· On the left tab, click "Resource" and you will see the status of the request raised.

Approving/Fulfilling a Resource Request

STEPS TO APPROVE/FULFIL A RESOURCE REQUEST

· Log into https://gdc.coronasafe.network

· Log-in using resource approving authority username and password.

· On the left tab, Select 'Resource' to see all the resource requests.

· On the request card, Click 'All details' to see all the details of the specific request

· On the top right, click on the 'Update Status Detail' button to update details.

· Fill out the form. You will see the following fields

· Status- Select the status of the request from the Droplist

· Assigned to- Assign the request managing to specific staff

· What facility would you like to assign the request to- Mention any specific facility to fulfill the requirement (optional)

· On the bottom right, Click 'Submit' to update the details.

· Repeat the steps from 3 to 7, and keep on updating the "status" field using the Droplist.

· To comment on the request, select 'Resource' on the left tab, to see all the resource requests. Click 'All details' to see all the details of the specific request. In the comment box below, you can input your comments.

· To view all completed requests, select 'Resource' on the left tab, to see all the resource requests. At the top center, select 'Completed' button to see all completed requests.

HOW TO COMMENT ON A RESOURCE REQUEST

· Log into https://gdc.coronasafe.network

· Log-in using resource approving authority username and password.

· On the left tab, Select 'Resource' to see all the resource requests.

· On the request card, Click 'All details' to see all the details of the specific request

· Scroll down to the bottom of the page.

· Type in your comments under comments column and click on "Post Your Comment" button to update your comment.

Capacity Management : District Level

This section deals with the Capacity Management aspect of CARE at the facility level

Capacity Dashboard:The information collected from each facility on their Capacity, bed availability, bed occupancy etc. is aggregated to form a smart and intuitive dashboard operating at district level.

This dashboard allows the district administrators or the decision-makers with the following:

· make informed decisions with real-time and accurate data.

· backing or supporting their decision at any point by concrete evidence of real scenario of the field

· predicting and preparing for contingencies based on the trend of demand or load on the healthcare system. This helps with preparedness.

This dashboard is also made publically available so that:

the public may act more responsibly since they have evidence to the fact that their health system is under immense load

the public can expect more accountability from the administrators because of increased transparency.

Capacity Management : Notice Board

This section deals with the Capacity Management aspect of CARE at the facility level

How to send notifications to facility

STEPS TO SEND MESSAGES TO FACILITY

· Click on “Facilities” tab

· Identify the facility and click on the “Notify” button.

· Type the message on the pop-up window and click “Send Notification”.

· A confirmation message will be displayed on the right corner of the screen that the facility is notified.

STEPS TO SEND MESSAGES TO FACILITY

· Click on the “Notice Board” tab.

· All the messages from district/state admin will be displayed on the notice board along with the date and time of message.

Facility in charge can access these messages from the “Notifications” tab as well. In the Notification tab, click on “visit link” and you will be automatically redirected to the notice board.

·