Stories of Transformation

Improving Continuum of care-ITREC

Next Story

Integrated-Tracking, Referral, Electronic decision support, and Care coordination (I-TREC) model of care

The Challenge

India’s health system is facing a significant challenge with rising hypertension and diabetes cases. CCDC supported the improvement of the Government of India’s (GoI) National Program for Non-Communicable Diseases (NP-NCD) initiative to address the growing burden of hypertension and diabetes in India. We integrated Clinical Decision Support Systems (CDSS) technology a task-shifting strategy to boost the program’s impact.

Impact

The CDSS-enabled system provides evidence-based recommendations for hypertension and diabetes. It prompts referrals across health facilities, coordinates care through patient databases, and alerts via dashboards. We adjusted workflows, moving technology use from doctors to nurses for smoother operation.




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