Unique Identification Number and its utility in Healthcare
Dr Rajeev Joshi, MBBS, MD(Pediatrics)
Shree J Hospital, Pune, Maharashtra, INDIA 411037 Member, Indian Association for Medical Informatics
Acknowledgement Some of the contents of my talk are part of the deliberations of the UID group of Indian Association for Medical Informatics and I thank them for allowing me to use the same.
One man who is the identity of INDIA
An identity so powerful that . . . .
even this picture is enough..!!
but others are not so Unique
and need some sort of identification
Voters card PAN card Driving License Bank Passbook Passport Fishing permits Border area id cards
Documents for identification
Basis of Identity
Photograph Birth Certificate Reference Affidavit
Proof of residence
Electricity Bill Telephone Bill Insurance Policy Police Verification Ration card Domicile Certificate Affidavit
Multipurpose National Identity Card
NDA : Vajpayee Government 2002 Continued by UPA : Manmohan Government President Abdul Kalam 2006 speech Pranab Mukherjee approved decision 2008 26 November 2008 events in Mumbai Allocation in 2009 interim budget UPA Government re-elected in 2009 Approval of Chairman position for UIDAI
Identification card will contain
NUMBER Name Sex Address Marital Status Photo Identification mark and Finger biometrics
Unique Identification Authority of India
Established in February 2009 Have the responsibilities to lay down plans and policies to implement the Unique Identification Scheme (UID) Shall own and operate the Unique Identification Number database Will be responsible for its updation and maintenance on an ongoing basis A provision of Rs. 120 crore has been proposed for this project. IAS officer Ram Sevak Sharma has been handpicked as the director of the Unique Identification Authority of India (UIDAI) to assist its first chairman..
Nandan Nilekani Appointed as Chairman, UIDAI
Nandan Nilekani
Co-founder, Infosys Bids adieu to Infosys Cabinet Minister Rank Wants Best talent For finger print scan during 2011 census
Nilekani to give numbers, Ministries to issue cards Provide enrolment and verification services across the country. Will identify the targeted groups for various flagship programes
Will help address
The rigged state elections, Widespread embezzlement that affects subsidies and poverty alleviation programs Illegal immigration into India Terrorist threats
Would it be compulsory?
Citizens will not be obliged to get a number. But those that dont will find it very inconvenient: They will not have access to facilities that require you to cite your ID number.
Connecting around the world.!
Honble Prime Minister, Manmohan Singh in a meeting with Dr. Zerhouni, Director National Institute of Health ..Medline Plus
For a Global Health System..
..Medline Plus
Early Detection of Large Outbreaks
Symptom Onset
Number of Cases
Severe Illness
Relea se
0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
Days
..Rita Kukafka
Syndromic Surveillance Data Sources
Day 1- feels fine Absenteeism Day 2- malaise, abstains from school/work Day 3- headaches, fever- buys Paracetamol Pharmaceutical Sales Day 4- develops cough- visits family doctor General Practitioner Day 5- Referred to consultant: flu Consultants records Day 6- Worsens- calls ambulance seen in ED Ambulance Dispatch (EMS) Day 7- Admitted- pneumonia ED Logs Day 8- Critically ill- ICU Day 9- Expires- respiratory failure Traditional Epidemic declared when many such deaths reported Surveillance
Manmohan Singh Forms UID Council The council is expected to advice the UIDAI on the programe, methodology and implementation to ensure coordination between ministries, departments, stakeholders and partners
Members of the newly appointed council
Finance Minister Pranab Mukherjee Agriculture, Food and Civil Supplies Minister Sharad Pawar Home Minister P. Chidambaram External Affairs Minister S.M. Krishna Law and Justice Minister M. Veerappa Moily Human Resource Development Minister Kapil Sibal Rural Development & Panchayati Raj Minister C.P. Joshi Labour and Employment Minister Mallikarjun Kharge Communications and Information Technology Minister A. Raja Planning Commission Deputy Chairman Montek Singh Ahluwalia and UIDAI chairman Nandan Nilekani.
Ministry of Health & Family Welfare is missing from UID council ? ?
Family Planning Antenatal Care Anemia control Perinatal problems Birth intimation Immunization Tuberculosis control Leprosy control Malaria Control Death intimation
UID Should be issued at birth
Healthcare provider This is to certify that registers birth under Mrs xxx yyy zzz confinement number Wife of yyy aaa zzz Birth related Delivered a Male/Female Child in this hospital information essential for national statistics At hh.mm AM/PM On mm/dd/yyyy Health related issues And is registered under start from birth of a Confinement no ******* individual Submitted on mm/dd/yyyy
Will Death Certificate have UID?
Death certificate issued by healthcare provider. Death certificate will have to be issued for still birth. Death certificate will have to be issued for abortion after 20 wks.
Recording of patients sex
Male / Female Unknown
for unborn child if treated in-utero Cannot be determined
Change of sex medically possible, to be recorded by healthcare provider?
Healthcare Provider should be able to
Generate UID
Unborn child Abortus > 20 wks Still birth New Born Child Any Patient Death Certification
Access information
In case of Medical Emergency
Attending physicians will be able to access medical record of any patient so as to save his / her life Treatment of unidentified victims of accidents Natural calamity
Partners
Immunization is given to child even if born at home Patients will take treatment from healthcare provider at least once in two/three years Patients not having UID can be issued one Reduce burden off government agencies
Healthcare Provider must Record UID
Patient registration OPD treatment IPD treatment Laboratory tests Radiological tests Pharmacy Electronic or paper based
Need for Lifetime EHR
Personal health record
Google health Microsoft health vault Other organizations
More than one healthcare provider
Family Physician Consultant Pathology Laboratory Radiology Clinic Hospital Home Care
Transfer of medical information
One doctor to another doctor One hospital to another hospital One city to another city One State to another state One software to another software
Health Information Network
PHC District Hospitals Medical Colleges Directorate of Health DMER Medical Colleges ICMR Ministry of Health
Utility of UID in Healthcare
Epidemiological Database Disease Prevalence Data mining Preventive measures Improvement in immunization Health of the Nation
Government may decide policies for
Encryption Security Sharing Standards Storing UID as secondary key Access control
Medical Tourism
Revenue Nationals of other countries Mechanism of registration needed Modification of software required
Change Management
Software developers
Upgrading software Installation
End user / provider
Implementation Training
Stakeholders
Healthcare providers Insurance companies Government healthcare organizations NGOs Research Institutes Drug Distribution
Let us pay our tribute ..
Healthcare IT in search of identity !!
