THE PROBLEM: Lack of quality and timely care to patients as doctors spend more and more time on routine paper work and non-medical tasks.
THE SOLUTION: ANAIRA – WHP’s powerful and easy-to-use digital support tool for medical decisions
The ANAIRA system assists doctors in many ways: to learn about standardised care, creation of electronic medical records, checklists for use during consultations, quick on-screen access to morbidity and treatment support overviews, to links for further details whenever necessary. ANAIRA also includes integrated service and billing screens for private facilities, pharmacy and lab.
ANAIRA offers a one-month risk free trial following which the doctor can enter into a monthly or yearly subscription. Since ANAIRA is extremely simple, an assistant from the doctor’s facility can be deputed to attend a one-day training which includes use of the system and maintenance.
DIFFERENTIAL DIAGNOSIS: DDx FROM ENTIRE ICD-10 LISTING
ANAIRA provides a highly sophisticated check list of differential diagnosis to doctors generated from the symptoms, vital parameters and case history. Data entered by a frontend nurse or health assistant is used by the system to generate the DDx which the doctor can accept or reject. In case of acceptance, ANAIRA will indicate the most common investigations and medications. Even if the doctor does not use a suggestion generated by the system, he can quickly access WHO’s list of 7,000 medical conditions under ICD-10 for which too relevant investigations and medications are generated.
ICD 10 DIAGNOSIS: ‘POINT & CLICK’ DIAGNOSIS FROM WHO’s ICD-10 LISTING OF OVER 7,000 DISEASES
ANAIRA has been built using the World Health Organisation’s latest ICD-10 (International Classification of Diseases, 10th edition) list that ensures that a subscribing doctor will always be up to date on medical information. ANAIRA has been designed to generate the most relevant investigations and medications for all the 7,000 items listed on ICD-10. ANAIRA also provides, besides generic names of medicines, the most common brand names of the same formulation and dose. The medicine lists are further classified as ‘cheap’, ‘medium’ and ‘expensive’ to assist doctors prescribe brands depending on the economic status of the patient.
EMR: STORES ELECTRONIC MEDICAL RECORDS
ANAIRA automatically generates cloud-based EMRs under a unique id for each patient. It pulls relevant information from the past records that may influence current medical decisions (such as diabetes or allergies). The EMRs are also being linked to epidemiological data to alert the doctor about the endemicity of any infection in the patient’s area of residence. Each patient is given access to her own records to facilitate continuum of care which enables use of records at different levels. EMR is placed on a secured cloud server with access to doctors (on patient’s consent) and patients via their respective logins.
REMOTE CONSULTATIONS: BE IN TOUCH WITH PATIENTS ANYWHERE
An important characteristic of ANAIRA is that it is browser-based – which means subscribing doctors can use it from any place that can provide them with access to the internet. If the doctor is visiting another city or wants to provide consultations from home, it is now possible.
Additional features of ANAIRA include ability to deal with patients remotely. This is particularly useful for geriatric patients or those immobilized due to an accident or serious illness. The remote feature is also useful for routine follow-ups. Besides providing the system, World Health Partners offers the facility of field personnel support – either doctor’s own staff can be trained to utilise the system or WHP’s trained field personnel can be deputed to the patient’s homes to facilitate a consultation ‘on a payment per case’ basis. The system’s devices include digital blood pressure machine, electronic thermometer, electronic cardiogram, haemoglobin meter, glucometer, pulse, electronic stethoscope and, for pregnant women, foetal doppler. The system’s open-ended design will enable integration of more devices when they become available or their use becomes feasible.
ANALYTICS: AUTO ANALYSIS OF PATIENT INFO
Each subscribing doctor will have patient information automatically analysed and presented in easy to understand tables and graphics. This information will assist the doctor to sharpen the focus of service provision and understand the cost and time related investments in each consultation and the returns available.
ONLINE ASSISTANCE: FOR EASY MAINTENANCE
ANAIRA has been designed for easy maintenance. All the applications are server-based which means the organisation pays 24×7 attention to the smooth running of ANAIRA. Quick remedial action is initiated whenever a problem is confronted. ANAIRA is also set up to enable remote maintenance – World Health Partners’ engineers can take over the system remotely to fix any glitches that are specific to a subscriber’s application.
There are two options available for billing / invoicing. By default, ANAIRA allows to generate a memo invoice for rendered services as per defined rates. ANAIRA provides a feature of managing rate card of services and allows to generate a memo invoice. In standard subscription, the invoice record is not stored or saved. Additional subscription to ‘Billing Module’ allows the user to store invoicing record for future reference. The invoicing record is stored on the local machine only.