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Manipur Smart OPD at Scale

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Manipur: Smart OPD at Scale

Bringing specialist care to PHC/CHC doorsteps with a hub–spoke tele-OPD and EMR

In districts across Manipur, HMN working with Parivar Seva Sanstha and SBI-Foundation deployed Smart OPD to connect PHCs/CHCs/HWCs (spokes) with district-hospital specialists (hubs). Nurses capture vitals and history, escalate to specialists over secure video, and issue e-prescriptions/referrals into a longitudinal EMR. In steady state, the network delivers ≈200 tele-consults/day and has crossed ~70,000 consultations, cutting travel and time-to-care for remote communities.

Objectives

Provide same-day specialist access from local PHC/CHC without travel.

Reduce avoidable referrals and duplicate investigations.

Build longitudinal EMRs to improve adherence and follow-up.

Standardize clinic workflows & SLAs for measurable quality.

Solution Deployed

Smart OPD (Virtual OPD + EMR)

Digital registration & consent, queue/tokening, nurse triage, secure video with specialists.

Point-of-care devices (BP, SpO₂, thermometer, glucometer; optional ECG/fetal doppler) stream results into EMR.

Multilingual e-prescriptions, structured e-referrals and investigations; alerts for follow-ups.

Patient & Provider Apps

Citizen notifications (SMS/WhatsApp) for appointments, medication refills, and lab results.

Operational console for rosters, workload balancing, and daily KPIs at facility/district level.

Field Enablement & Support in partnership with Parivar Seva Sanstha

On-site implementation managers, job-aids (English + local language), and refresher trainings.

Integrated helpdesk/ticketing for devices, network, and workflow issues.

Implementation & Workflow

Hub–Spoke model:

PHC/CHC/HWC (spoke) registers patient → vitals & symptoms → nurse triage → video connect to hub specialist → e-Rx/e-referral → scheduled follow-up.

Rollout cadence:

Weeks 0–2 (readiness & SOPs), Weeks 3–6 (pilot spokes), Weeks 7–12 (scale-out), followed by stabilization sprints with daily huddles and issue closure.

Data discipline:

EMR completeness checks, exception lists (no-shows, overdue follow-ups), and action dashboards.

What Impact Did It Create?

Access:

Same-day specialist consults in remote blocks; median tele-connect typically <10 minutes during staffed hours.

Efficiency:

Nurse-led resolution of routine cases; right-case escalation eases district OPD crowding.

Continuity:

EMRs and digital prescriptions reduce lost papers and repeat tests; better follow-through on care plans.

Experience:

Shorter queues, clearer instructions, automated reminders → higher adherence.
At-a-Glance Results

~70,000 tele-consults delivered; steady-state ≈200/day across spokes.

25–35% (indicative) reduction in avoidable physical referrals in stabilized facilities.

<5 minutes median token issue time from registration; <10 minutes median queue-to-video during staffed windows.

High nurse adoption reflected in consistent device capture and EMR completeness.

Voices & Moments from the Field

“Earlier, patients waited weeks to see a specialist; now they’re seen the same day from our PHC.” — PHC Medical Officer

“The SMS reminders help patients return on time; we’re seeing fewer drop-offs.” — Staff Nurse

“I saved a day’s travel and wages; the medicine list came to my phone.” — Patient (Rural Block)

Why HMN

A field-tested tele-OPD stack that works in low-resource settings, pairs nurse-led triage with specialist video, and writes everything to a governance-grade EMR. HMN brings on-ground enablement, measurable ELOs/SLAs, and rapid iteration—so Manipur can deliver hospital-grade capability without forcing patients to travel.
Call to Action

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