We created an integrated care model for patient care to standardize and improve patient experience and outcomes in 25 cancer care centres across India, in the absence of adequately trained staff.
This care model was delivered digitally and resulted in improved patient experience, reduced admin time for staff and cost reduction while ensuring security compliance with international protocols.
The client, the philanthropic arm of a multi-billion-dollar group, had decided to set up a network of over 25 cancer centres across 5 states in India. These centres were to be set up in partnership with state governments and other non-profit entities.
The client wanted to operate an integrated care model where most of the diagnosis and treatment planning was centralized at a command centre in metropolitan areas and the care delivery was localized. This was due to the lack of trained clinical personnel.
The integrated model needed a completely robust IT system with multiple failsafe measures as it was the primary channel for treatment communication. Each of these facilities was unique. They had different sizes, offered different levels of care and would require a separate multiphasic approach in implementation
Most of these cancer centres were located in tier 3 cities and remote places where internet penetration was low. The client was focused on developing standardized treatment plans and care protocols applying modern data analytics techniques to the wealth of data that would be gathered from the patients.
An effective and scalable IT infrastructure, data warehousing practices, security protocols and governance needed to be established
Camomile was brought in to define ICT infrastructure requirements, design the IT architecture, produce an implementation plan, put in proper security and governance protocols, develop BoQs, on-board vendors and manage implementation.
The project also involved multiple entities and posed structural and contractual challenges in obtaining common infrastructure.
A patient centric mobile first system was created with robust technology infrastructure compliant with international standards. The system was completely integrated and enabled 95% paperless operations.
Phased implementation reduced initial capital requirements and the risk of technology obsolescence. Camomile suggested reliable systems adapted from other industries like hospitality & retail, reducing costs by 50%
Every node in the network was telemedicine enabled and could be leveraged to connect with experts across the network. the underlying architecture enabled the client to deploy advanced machine learning algorithms on clinical and operational data for research and development
Systematically classifying cases using the ICD O3 coding system in the cancer registry allowed seamless documentation of data that could be leveraged for clinical research. The system was compliant with FHIR 4 record keeping and data exchange architecture to enable seamless sharing of data for National Digital Health Mission and other public health schemes. The entire system was compliant with security standards like HIPAA, GDPR and the upcoming DISHA.