CARE system 101

                                                               Care System 101

This course deals in detail with all the different functions and uses of the Care System, built by the Corona Safe Network.

CARE is a comprehensive capacity and patient management tool, built specifically for disaster management purposes. It is a web-based application hosted.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.

Why is it required?

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.

STEPS TO CREATE A NEW FACILITY

1. After log-in, click on "Create new facility"
2. Fill out the form. You will see the following fields
1. Facility Type- Choose from the various types of facilities from the drop-down menu
2. Facility Name- Name of your facility in full
3. State
4. District
5. Locale Body- Locale body within which the facility is located in
6. Address- Full and correct address of the facility
7. Emergency Contact Number- phone number of the Nodal person for the facility
8. 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.
9. 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.

How to add Rooms/ Bed Types:

Steps to enter Bed Types/Rooms

1. Log-in to https://gdc.coronasafe.network using your username and password. Click on the "view facility" option.
2. Click on the third option on the top right corner of the screen that reads "Add More Bed Types"
3. You will be redirected to a form. This is the same page you will be redirected to after creating a facility.
4. In the field for "Bed Types" there are various options in the dropdown menu. The different options are

Location Management

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

STEPS TO CREATE NEW LOCATION

1. Log into https://gdc.coronasafe.network
2. Log-in using your username and password.
3. Click the “Facility” tab on the left.
4. Click on "View Facility" button under the concerned Facility name
5. Click on "Location Management" button on the top right side of the page.
6. Click on "Add location" button.
7. Fill in the required details:
   1. Name: Facility name
   2. Description: Fill details related to facility location and other relevant information related to the facility.
8. Click on "Add Location" button to update the record.

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

1. Log into https://gdc.coronasafe.network
2. Log-in using your username and password.
3. Click on "Asset" tab.
4. Click on "Scan Asset QR" button
5. Scan the QR Code pasted on the particular asset.
6. Click on "Update Asset" button on the right.
7. Under the location, choose the required location and click update.

STEPS TO CREATE A NEW ASSET

1. Log into https://gdc.coronasafe.network
2. Log-in using your username and password.
3. Click the “Facility” tab on the left.
4. Under the Facility name, Click on "View facility"
5. On the top right corner, click on 'Create Asset' button.
6. Fill in the necessary details and click on the 'Update' button to add your asset to the list.
7. Click on "Print QR" button on the top right on the asset details page.
8. Click on "Print QR Code" button to print the QR Code.
9. Affix the QR Code on the asset for identification and monitoring.

STEPS TO CHECK THE STATUS OF AN EXISTING ASSET

1. Log into https://gdc.coronasafe.network
2. Log-in using your username and password.
3. Click the “Asset” tab on the left.
4. Search for the asset to view it's details
5. You can also choose to filter the assets based on whether it is an external or internal asset
6. 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

1. Log into https://gdc.coronasafe.network
2. Log-in using your username and password.
3. Click the “Asset” tab on the left.
4. Search for the asset to view its details
5. Click on the 'Detail' button of the particular asset
6. Click on the 'Update detail' button on the top right, and update the asset details.
7. Click on the 'Update' button to save the changes.

User Levels in CARE:

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.

Creating and managing users:

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.

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

1. Log-in with, District Administration Credential
2. Click on the "User" tab.
3. Click on the "Add New User" Button
4. Fill out the form. You will see the following fields
   1. User Type- Choose the type of User as STAFF.
   2. Phone Number- Input contact number of the user
   3. Username- Input a unique user name.
   4. Date of Birth- Input date of Birth of User
   5. Password- Input password for the new user
   6. Confirm Password- Reenter the Inputted password
   7. First Name- First name of the user
   8. Last Name- Last name of User
   9. Gender- Choose the Gender of the user from the Droplist menu
   10. State
   11. District
   12. Local Body
5. Click on the "Save User" Button.

Part 2: Create New Shifting Approval Facility

1. Log-in with, Shifting Approval Staff Credential
2. Click on "Create New Facility"
3. Fill out the form. You will see the following fields
   1. Facility Type- Select the "SHIFTING CENTER" from the drop-list menu.
   2. Facility Name- Input name of the facility as "XYZ Shifting Center"
   3. State
   4. District
   5. Local body
   6. Ward
   7. Address
   8. Pincode
   9. Emergency Phone number- This must be the number of the nodal person for that facility.
4. Click on the "Save Facility" Button
5. Click on the "Facility" tab located in the top-left corner to see the shifting approval center.
6. 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.

1. Log-in with, your credential
2. Click on the "User" tab.
3. Click on the "Add New User" Button
4. Fill out the form. You will see the following fields
   1. User Type- Choose the type of User as STAFF.
   2. Phone Number- Input contact number of the user
   3. Facility- Here select the shifting center that you have set up
   4. Username- Input a unique user name.
   5. Date of Birth- Input date of Birth of User
   6. Password- Input password for the new user
   7. Confirm Password- Reenter the Inputted password
   8. First Name- First name of the user
   9. Last Name- Last name of User
   10. Gender- Choose the Gender of the user from the Droplist menu
   11. State
   12. District
   13. Local Body
5. Click on the "Save User" Button.

6. 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

   1. Log-in with, District Administration Credential
   2. Click on the "User" tab.
   3. Click on the "Add New User" Button
   4. Fill out the form. You will see the following fields
      1. User Type- Choose the type of User as STAFF.
      2. Phone Number- Input contact number of the user
      3. Username- Input a unique user name.
      4. Date of Birth- Input date of Birth of User
      5. Password- Input password for the new user
      6. Confirm Password- Re-enter the Input password
      7. First Name- First name of the user
      8. Last Name- Last name of User
      9. Gender- Choose the Gender of the user from the droplist menu
      10. State
      11. District
      12. Local Body
   5. Click on the "Save User" Button.

   Part 2: Create New Request Approval Facility

   1. Log-in with, the new Request Approval Staff Credential
   2. Click on "Create New Facility"
   3. Fill out the form. You will see the following fields
      1. Facility Type- Select the "REQUEST APPROVAL CENTRE" from the drop-list menu.
      2. Facility Name- Input name of the facility as "XYZ Request Approval Center"
      3. State
      4. District
      5. Local body
      6. Ward
      7. Address
      8. Pincode
      9. Emergency Phone number- This must be the number of the nodal person for that facility.
   4. Click on the "Save Facility" Button
   5. Click on the "Facility" tab located in the top-left corner to see the request approval centre.
   6. 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.

1. Log-in with, your credential
2. Click on the "User" tab.
3. Click on the "Add New User" Button
4. Fill out the form. You will see the following fields
   1. User Type- Choose the type of User as STAFF.
   2. Phone Number- Input contact number of the user
   3. Facility- Here select the request approval centre that you have set up
   4. Username- Input a unique user name.
   5. Date of Birth- Input date of Birth of User
   6. Password- Input password for the new user
   7. Confirm Password- Re-enter the Input password
   8. First Name- First name of the user
   9. Last Name- Last name of User
   10. Gender- Choose the Gender of the user from the Droplist Menu
   11. State
   12. District
   13. Local Body
5. Click on the "Save User" Button.

Upload a file to the patient card:

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.

Assigning Volunteer to a patient:

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.

Capacity Management : Notice Board

This section deals with the Capacity Management aspect of CARE at 

STEPS TO LOG-IN

1. Go to https://gdc.coronasafe.network on your browser. (The preferred browser is Google Chrome)
2. Type in the username and password.(only district/state admin have access to initiate messages to facilities)
3. Click on Log-in

STEPS TO SEND MESSAGES TO FACILITY

1. Click on “Facilities” tab
2. Identify the facility and click on the “Notify” button.
3. Type the message on the pop-up window and click “Send Notification”.
4. A confirmation message will be displayed on the right corner of the screen that the facility is notified.

the facility level

STEPS TO LOG-IN

1. Go to https://gdc.coronasafe.network on your browser. (The preferred browser is Google Chrome)
2. Type in the username and password.
3. Click on Log-in
4. STEPS TO SEND MESSAGES TO FACILITY

1. Click on the “Notice Board” tab.
2. All the messages from district/state admin will be displayed on the notice board along with the date and time of message.
3. 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.

                        At the end of both the courses there is a quiz to test what we have understood b             by care. This course also provides us a completion certificate which may helps us in o            our technical word.