CARE September 11, 2022
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.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.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 facilityOxygen 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 FacilityLog 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 required details:
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 stateThe 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 bodyClick 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" ButtonFill 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 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.
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 userLast 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 usermembers 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' buttonAdd 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.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 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.”.
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