Under PROJECT NEHA , nursing homes, private hospitals, clinics etc be motivated to do camp for socio economic class like labours, do camp in remote areas, slums etc . One program monthly be made compulsory to hospitals whom take land from governments at low cost. They must be rewarded/ honoured for organising camp by relaxing in tax or in some other way. AIM should be healthcare reach to more n more peoples. Accidental cases payments made to hospitals under NEHA as ignores of the same cost life.

Training programme for paramedics/ Bengali doctors/ RMP/ compounders to make them more skilled to serve society be organise under NEHA. Shortage is huge of doctors to take care of 125 crore populations. Above category of doctors although lots of bad said about them but truth is they serving suffering at very low cost without them situation become more challenging . These are the doctors who serve real INDIA like labours, ricksha wala, peoples of deep interiors , remote areas.

This brings us a tremendous opportunity to improve our healthcare infrastructure. Please find the attached file for my comments on NeHA. Thanks!

The middle class Non Pensioner Senior Citizens ( so called above poverty line) are finding it difficult to meet their day to day needs with meager return on their investment. They can not afford high cost of health care and hospitalization. The Govt may issue Smart Card to them and provide group health insurance on payment of nominal premium.

Awareness to prevent diseases should be increased. In other words, health living should also be promoted. Yoga can play a major role in promoting healthy living. This does not mean we do not need hospitals. I want to emphasize the fact that health living or well being of mind body and soul will enable everyone to live fuller life and also in the long run save tax payers money which can be used somewhere else

There should be only one medicine list for a patient. If that patient visits any doctor, the doc should be able to change with his/her name attached to the change. The names of meds should be displayed in trade and generic names. So, doctors who change meds just to please patient would be discouraged as patient would have access to their list also. After meds list, attention should also be given to laboratory and other test data to avoid duplicacy

Sir, the Aadhar should form the basis for such records. A digital health smart card can be given to all along with Aadhar which can be used for insurance purposes and for storing medical data. A mobile phone app can be developed dedicated to this purpose, if a bio-reader is installed in the phone so as not to fudge records. All medical institutions should be facilitated to digitise their records. Such servers / DICOM's should be fool proof with sufficient firewalls to prevent access by hackers.

Sir, #NeHA should not only deal with government hospitals & aided institutions, but also include records of private treatment. With various forms of medical therapy we need a co-ordinated approach to record such data, including those of Ayurveda / Siddha / Physiotherapy / Yoga. An online ombudsman can be appointed for grievance redressal regarding record keeping & availability, not malpractice. Such a body should conduct regular updates with medical students, practitioners and para-medical staff

Sir,#NeHA is a good concept, but requires tremendous effort at change in health care / delivery practices across the board, from small clinics to corporate hospitals, hospital billing staff & typists to senior specialists. The endeavour will be worth it, as it will make medical practice more accountable & affordable. It will require translation facilities in all Indian languages so that the health data card can be read any where in India, even by PHC nurses who may not be conversant in English.

Sir, most nations with state health cover have laid down protocols in diagnosis & treatment, which are instilled from the time in medical college / internship. The protocol hierarchy with nursing staff, senior nurse, physician's aide, physician and then specialist is well laid. Diagnostic tests are well regulated & need to be endorsed by the clinician. Regular auditing of cases, treatment protocols & deaths is mandatory leading to improvements in the system, which is completely digitised.