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Complete Guide For Care Tool

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 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 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.

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