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Case Study:

Ayushman Bharat Health Account (ABHA)

Revolutionizing Healthcare in India

Introduction

In the pursuit of redefining healthcare experiences, a Singapore-based Health Tech Company initiated a transformative project to integrate Ayushman Bharat Digital Mission (ABDM)-powered services into their innovative platform, SG Based Healthcare Client. Ayushman Bharat Health Account (ABHA) stands as a healthcare innovation, introducing a 14-digit unique identifier, the ABHA Number, playing a pivotal role in the ecosystem by serving as a comprehensive key identifier for individuals. The ABHA profile, a repository of essential details, introduces the user-friendly ABHA Address, linked to longitudinal health records, enabling seamless and secure sharing and access to health records in digital format.

Client Overview:

Client Name:  Singapore-based Health Tech Company

Product: Confidential Android/iOS Mobile Application

Objective:Focus on connected health, also known as technology-enabled care (TEC).

Project Overview:

SG Based Healthcare Client integrates ABDM-powered services to enhance its healthcare platform further. The platform, known for its smart AI features, aims to leverage ABDM’s innovative solutions to streamline patient registration, facilitate health information sharing, and empower healthcare workers with easy access to comprehensive patient medical histories. Users can efficiently access nearby healthcare facilities, check waiting times, and book medical appointments. The platform offers online video consultations, medical transport services, and connections with caregivers, nurses, and physicians for in-home care. With a focus on accessibility, SG Based Healthcare Client supports users in managing healthcare needs through high-end home medical equipment and supplies.

Challenges and Solutions in ABDM Integration:

C.1 ABHA Number Creation and Capture & Verification:

Challenge 1: Registration and Collaboration with HIP
  • Challenge: The need to register partnering facilities (HIP) in the ABDM Sandbox Health Facility Registry and collaborate with HIP staff for patient information.
  • Solution: Establish a streamlined process for facility registration and efficient collaboration channels with HIP staff.
Challenge 2: ABHA Number Creation for Patients without Smartphones
  • Challenge: Patients without smartphones need assistance at facility registration desks to create an ID using Aadhaar biometric.
  • Solution: Implement the existing ABDM Assisted ABHA Number creation portal and distribute registration cards with ABHA Number QR codes for future capture.
Challenge 3: Capturing and Verifying ABHA Number
  • Challenge: Developing workflows to capture and verify ABHA Number during registration, especially when shared verbally by patients.
  • Solution: Implement OTP authentication for verbally shared ABHA Numbers and streamline verification workflows for other modes.
Challenge 4: Linking ABHA Number with Patient Information
  • Challenge: Incorporating flows to link ABHA Number with patient information for new and existing patients.
  • Solution: Freeze specific fields for edits, provide both Mobile & Aadhaar OTP modes for authentication, and utilize fuzzy match ABDM demographic verification APIs for mapping.

C.2 Share Consented Digital Health Record via ABHA Mobile Application:

  • Challenge: Ensuring the integration supports discovery requests from Consent Manager against the ABHA Number.
  • Solution: Integrate HIP services to effectively respond to discovery requests, acknowledging and saving consent artifacts.
Challenge 2: Facilitating Flow of Medical Data
  • Challenge: Facilitating the flow of medical data against consent artifacts as per specified formats (FHIR, encrypted).
  • Solution: Implement mechanisms to parse and organize medical data, ensuring secure and standardized sharing with consulting doctors or technicians.
Challenge 3: Patient Notification through SMS
  • Challenge: Sending SMS notifications to patients, including a deep link with patient ABHA Number and HIP ID.
  • Solution: Utilize ABHA Mobile Application triggers, providing a deep link with necessary identifiers and clear instructions.

C.3 Share Patient’s Longitudinal History with Healthcare Workers with Consent:

  • Challenge: Creating a consent request as an HIU and posting it to the patient’s ABHA Mobile Application.
  • Solution: Develop a seamless process for HIUs to generate and honor consent artifacts for specified durations.
Challenge 2: Receiving and Organizing Medical Data
  • Challenge: Integrating services to receive medical data from facilities and organizing it for consulting doctors or technicians.
  • Solution: Implement a robust system for receiving, parsing, and organizing medical data, ensuring compatibility with diverse healthcare systems.

C.4. Sandbox Exit Process:

Challenge 1: Functional & Non-functional Testing
  • Challenge: Conducting comprehensive functional and non-functional testing of the application.
  • Solution: Provide draft test cases for internal testing and collaborate with NHA empaneled agencies for certification if necessary.
Challenge 2: Security Testing
  • Challenge: Engaging with STQC or CERT-IN empaneled agencies for security testing and obtaining the “Safe-to-Host” certificate.
  • Solution: Follow suggestive pointers for infrastructural requirements, engage with relevant agencies, and submit necessary certificates for clearance.
Challenge 3: Final Approval for Application Go-live
  • Challenge: Seeking a final round of approval from the internal team at NHA.
  • Solution: Present a comprehensive functional testing report, the “Safe-to-Host” certificate, and summary details of the application for the approval committee.
Challenge 4: Production Environment Integration
  • Challenge: Ensuring seamless integration in the production environment.
  • Solution: Update production access bridge ID, register partnering HIP on the Health Facility Registry, and ensure facility staff is well-versed with ABDM building blocks.

Result:

The successful integration of ABDM-powered services into SG Based Healthcare Client has enhanced the platform’s capabilities. Streamlined patient registration, improved health information sharing, and empowered healthcare workers contribute to a more comprehensive and efficient healthcare experience for users.

Conclusion:

This case study highlights the successful integration of ABDM-powered services into SG Based Healthcare Client, a pioneering healthcare platform. Through strategic solutions addressing challenges in alignment, adaptation to changes, and user education, the integration not only streamlined processes but also enhanced the overall healthcare experience for users. As SG Based Healthcare Client continues to evolve, it stands as a testament to the potential positive outcomes when cutting-edge technology converges with innovative healthcare solutionsThis case study highlights the successful integration of ABDM-powered services into SG Based Healthcare Client, a pioneering healthcare platform. Through strategic solutions addressing challenges in alignment, adaptation to changes, and user education, the integration not only streamlined processes but also enhanced the overall healthcare experience for users. As SG Based Healthcare Client continues to evolve, it stands as a testament to the potential positive outcomes when cutting-edge technology converges with innovative healthcare solutions.

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