CARE SYSTEM 101

Welcome to Care System 101!

This course tells us about 'CARE', an open-source tool used for pandemic management. There is a task on the last level of the course which will be used to assess your performance.

Try Care

The staging site (dummy site) for CARE is hosted at https://gdc.coronasafe.network

Credentials to login to CARE Platform can be accessed from application dashboard (https://application.gdc.network/) once you complete your application process and gets onboarded.

 What is CARE

 

 CARE is a comprehensive capacity and patient management tool, built specifically for disaster management purposes. It is a web-based application hosted at https://gdc.coronasafe.network

 How much does it cost?

Care is open-source software with an MIT license.

 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!!!

 

  One of the CoronaSafe Volunteer (developer) setting up the CoronaSafe Dashboards in the District Control Room in Ernakulam.

 

 

 

 

Why is CARE required?

 

Capacity Management

The Corona Pandemic has brought to limelight the shortfalls and limitations within our healthcare systems.

 Patient Management

Our public healthcare system runs on pen and paper. This leads to a multitude of issues like

How to Register a facility

STEPS TO LOG-IN

1.     Go to https://gdc.coronasafe.network on your browser. (The preferred browser is Google Chrome)

2.     Type in the username and password generated and given to you by the administrator.

3.     Click on Log-in

STEPS TO CREATE A NEW FACILITY

 

 Fill out the form. You will see the following fields

1.     User Type- Choose from the option given in the drop-down menu

2.     Phone Number-

3.     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.

4.     Username- Create a unique username

5.     Date of Birth- Enter users date of birth

6.     Password- Set a password

7.     Confirm password

8.     First Name

9.     Last Name

10.Email Address

11.State

12.District

13.Local body

14.Linking a user to a facility

 

How to add Rooms/ Bed Types

 

               

 

Steps to enter Bed Types/Rooms:

1.     Login with username and password.

2.     Click on “Add more bed types”.

3.     Redirected to form, same as when as after creating facility.

4.     “Bed types” options with more options are displayed.

5.     Enter “total capacity” and “current occupied” numbers.

6.     After selecting each bed type, enter values and click “save and next”.

7.     Click on cancel to go back to facility Dashboard.

8.     You may edit the same way by clicking on Facility anytime.

 How to update Room occupancy?

 Steps to update Room Occupancy or edit Total Capacity

1.     Log in with username and password.

2.     Click on “view facility” on Facility card already created.

3.     “Total capacity” appears on dashboard.

4.     Click on “Edit” on respective card of bed type.

5.     Directed to “Total capacity” page.

6.     Click on “Update bed capacity” to save changes.

 How to update daily triage?

 

 Steps to add Daily Triage details:

1.     Log in with username and password.

2.     Click on “View facility” on Facility Dashboard.

3.     Click on “Add Triage”.

4.     In the form, add date, and fill the asked fields.

5.     Click on “Save”.

6.     Will be directed to Facility Dashboard, scroll to bottom to see table for “Corona Triage”.

7.     Can edit number of times by clicking on “Edit”.

Check Status of an Existing Asset

STEPS TO CHECK THE STATUS OF AN EXISTING ASSET

 Update Existing Asset

    

 User Levels in CARE

 

 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.

There are various levels of Users within CARE:

§  Volunteer

§  Pharmacist

§  Staff

§  Staff (Read-Only): 

§  Doctor

§  Local body Admin: 

§  Ward Admin:

§  District Admin:

§  District (Read-Only) Admin

§  District Lab Admin

§  State Admin

§  State (Read-Only) Admin

§  State Lab Admin

 Creating and managing users

STEPS FOR CREATING NEW USERS

1.     Click on "Add New User" and fill out the form.

2.     User Type- Choose from the option given in the drop-down menu

3.     Phone Number-

4.     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.

5.     Username- Create a unique username

6.     Date of Birth- Enter users date of birth

7.     Password- Set a password

8.     Confirm password

9.     First Name

10.Last Name

11.Email Address

12.State

13.District

14.Local body

15.Linking a user to a facility

 STEPS TO LOG-IN

STEPS FOR LINKING A USER TO A FACILITY

 

 You will see All User with the following information:

1.     Username

2.     Role - Type of the User

3.     District

4.     Facility

5.     Setting up a Shifting Approving Facility

 

STEPS TO CREATE A SHIFTING APPROVAL FACILITY

Fill out the form. You will see the following fields

1.     User Type- Choose the type of User as STAFF.

2.     Phone Number- Input contact number of the user

3.     Username- Input a unique user name.

4.     Date of Birth- Input date of Birth of User

5.     Password- Input password for the new user

6.     Confirm Password- Reenter the Inputted password

7.     First Name- First

8.     Last Name- Last name of User

9.     Gender- Choose the Gender of the user from the Droplist menu

 Part 2: Create New Shifting Approval Facility

  

 Fill out the form. You will see the following fields

1.     Facility Type- Select the "SHIFTING CENTER" from the drop-list menu.

2.     Facility Name- Input name of the facility as "XYZ Shifting Center"

3.     Address

4.     Pincode

5.     Emergency Phone number

 Part 3: Creating individual log-ins for all members of the shifting team.

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 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 Drop list menu

How to register a new patient?

Steps to create a Patient in the CARE system

§  Log into https://gdc.coronasafe.network

§  How to fetch data of a patient previously registered on CARE

§  Steps to fetch the details of a patient already registered within CARE

§  Registering another person with an existing phone number

§  Steps to Register a Second Patient with Same Phone Number

§  Upload a file to the patient card

STEPS TO UPLOAD AUDIO FILE TO PATIENT CARD


 Assigning Volunteer to a patient

 WHO IS A VOLUNTEER?

A volunteer could be any person, may not necessarily ne 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 assign volunteer to a patient.

 

 Steps to assign a volunteer:

1.     Log in with username and password.

2.     Click on “Patient” tab.

3.     Click on patient name.

4.     Scroll down, click on “Assign a volunteer”.

5.     A pop-up screen will appear, click on “assign a volunteer”.

6.     Type the name of volunteer, click on “submit”.

7.     Notification will be designed on top of patient card, volunteer assigned.

Adding a Consultation

  

 Steps to add Consultation Details of a Patient

§  Log in

§  Fill out the form with the following fields

§  Symptoms- More than one symptom can be selected here.

§  Details of Examination

§  Prescribed Medication

§  Category- A patient is categorized as Category A (Mild), Category B (Moderate) or Category C (Severe) based on a few parameters. For the guidelines on the categorization of patients, please refer below.

§  Decision after OP Triage

§  Admission Details

§  Adding consultation update

Updating an existing consultation page

 HOW TO UPDATE AN EXISTING CONSULTATION PAGE

§  Attach diagnostic reports

§  Steps to Upload File on Consultation

§  Steps to Upload Audio File on Consultation

§  Record investigation details

§  Steps to Record Investigation Details

§  Viewing the investigation

§  Comparative View/ Table View

§  View Patient Note

§  How to view Patient Note.

§  Overview of Log-Update

§  Overview Of Patient Log-update

Enabling Telemedicine

STEPS TO ENABLE TELEMEDICINE

 Telemedicine Doctor

 

 STEPS FOR TELEMEDICINE DOCTOR

§  Overview of Shifting Process

§  The shifting process may be split into:

1.     Initiating Shifting Request

2.     Approving Shift: 

§  Deciding the destination facility

§  Confirming Destination:

§  Booking an ambulance: 

§  Transfer in progress

§  Shift complete

§  Facility

 How to shift out a patient?

 Steps to Shift Patient from One facility to Another Facility

Fill out the form with the following details:

§  Contact Person at facility- Enter your name.

§  Contact Person phone- phone number of the in charge of the facility

§  Name of shifting approving facility- Type the name and select from the droplist.

§  what facility would you like to assign the patient to- if you are particular about sending the patient into a specific facility mention it otherwise keep it blank.

§  Is this an Emergency? Flag according to the situation.

§  Is this an upshift? Transferring from smaller

§  Is this an Emergency? Flag according to the situation.

§  Is this an upshift? Transferring from smaller facility to higher facility

§  Preferred Vehicle- Select the vehicle from the droplist

§  Preferred Facility Type

§  Reason for shift

§  Shifting team: Processing a shift

 How to record discharge of a patient?

 

 Step to Discharge a Patient

1.    Log in with username and password.

2.    Click on “Patient” Tab.

3.    Click on name of the patient.

4.    Scroll down and click on “Consultation Update”.

5.    Add all consultation details, checkmark “Recommend Discharge”.

6.    Click on “Save Consultation”.

7.    Scroll down the page, click on “Discharge from Care”.

8.    Click on “Proceed to discharge”.

9.    Patient successfully discharged.

 How to access the death report of a patient?

 The steps to generate a death report are as follows:

Log into https://gdc.coronasafe.network

§  Log-in using your username and password.

§  Click on "Patient" tab.

§  Go the patient card.

§  On the top right corner, click on "Death Report" - Fill in the required details including cause of death. Please refer to the image below for further details.

§  Click on "Preview" to view and verify the details that you have entered.

§  Click on "Print Death Report" to save the document.

Inventory management

Steps to edit stock in inventory into the inventory management system of CARE

§  Raising a Resource Request

§  Steps to Raise a resource request

§  Fill out the form. You will see the following fields

§  Name of Contact Person at Facility-

§  Contact Person phone- Number to contact for any clarification during the process

§  Name of approving facility- Input the district level approving facility

§  Is this an emergency- As per the requirement select yes/no.

§  Category- Select the specific category

§  Sub-Category- Select the specific sub-category

§  Request title- Input requirement as title

Approving/Fulfilling a Resource Request

 STEPS TO APPROVE/FULFIL A RESOURCE REQUEST 

§  Log into https://gdc.coronasafe.network

§  Fill out the form. You will see the following fields

§  Status- Select the status of the request from the Droplist

§  Assigned to- Assign the request managing to specific staff

§  What facility would you like to assign the request to

§  Comment on a Resource Request 

HOW TO COMMENT ON A RESOURCE REQUEST

Capacity Dashboard

This dashboard allows the district administrators or the decision-makers with the following: make informed decisions with real-time and accurate data. Backing or supporting their decision at any point by concrete evidence of real scenario of the field. Predicting and preparing for contingencies based on the trend of demand or load on the healthcare system. This helps with preparedness.

 

 

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