Corona Kawach Abhiyaan
Data portal system to record long-term health complications
caused by COVID-19
Salesforce Design Days'20: 1st Position
UI/UX | Service Design
Duration:
7 days (September'20)
Team (2):
Aditya Bansal, Yamini Gupta
My role:
Research,
Persona Building,
User Journey mapping,
Ideation,
Stakeholder Mapping,
System Mapping,
Future Roadmapping
Problem Overview
COVID-19 is currently on a warpath against humankind. Though its fear has now subsided as people attempt to return back to normalcy, its long term effects on health are still largely unknown due to lack of data and research.
Broadly speaking, COVID-19 affects three main organs: heart, lungs, and brain (mental health.) There is no knowing how badly the three organs are affected, whether their complications are hereditary or not, etc. This can only be researched upon when a sizable amount of data has been gathered, from all over the country, irrespective of any constraints or parameters.
Person gets infected by COVID-19
They recover
A little later, they start facing harmful unknown complications
: Lack of sizable medical data for researchers
How might we build a system that ensures positive health outcomes for COVID-19 infected persons by enabling the three stakeholders (healthcare providers, public health officials, and medical researchers) to track, monitor and diagnose COVID-19 infected persons through the next 50 years?
The problem brief was provided to us by Salesforce itself.
View here: https://sfdesigndays20.herokuapp.com/files/Brief1.pdf
Process
Brief Breakdown
Solution Generation
Deliver
Refine
Deliver Pt. 2
- Need Establishment
- Present System
- Stakeholder Needs
- Constraints of present system
- Challenges + Opportunities
- Ideation based on challenges and opportunities
- Stakeholder Mapping
- System Mapping
- User Journeys
- Wireframing
- Prototyping
- Implementation Technicalities
- Competition Presentation
- Q/A round
- Feedback
- Development on Feedback
- Future Roadmapping
- Competition Presentation Pt. 2
- Winning :)
Validating the Brief:
#1: Why do we need long term tracking?
Several COVID-19 recovered patients returning to doctors with conditions including breathlessness, cardiac, lung and other complications.
According to a newly published study from Italy, many patients with even milder forms of COVID-19 have persistent symptoms of fatigue and difficulty breathing for up to 60 days post-infection. Furthermore, researchers of this Italian study report that almost 43% of recovered patients have worsened quality of life and almost 87% recovered patients have at least one persistent symptom even after two months of their recovery from the disease.
1 in 3 patients recovering from Covid-19
experience neurological/ psychological after-effects
Problems range from headache, dizziness, and
loss of smell or taste to mood disorders.
Depression and anxiety due to a general sense of not being at your best, not being fully recovered.
78% of recovered COVID patients have
structural changes in their hearts
76% had evidence of a biomarker
signaling cardiac injury typically found
after a heart attack
Increased cases of Chronic
Hypertension
COPD, already an estimated 65M have it,
making it 3rd leading cause of death.
Rising prevalence of Asthma, especially
affecting children.
Damaged alveoli, building up of Fluids(ARDS)
could lead to organ failure
Reduced Lung capacity due to permanent
damage from pneumoneia
#2: Indian healthcare system:
Wide scope of improvement
The present healthcare system in India is highly grappled with issues such as:
1) internet connectivity,
2) lack of expenditure, etc.
India’s healthcare has been highly criticized internationally by WHO as well, which is why it leaves a wide scope for improvement for us to work on.
27%
Total deaths fail to have required medical
attention
1.2%
Portion of GDP spent on Public Healthcare
1:10000
Doctor : citizen ratio
in rural India
60%
Population that doesn't have access to good internet
#3: Existing System and constraints:
Electronic Health Records
Hospitals and medical institutions employ EHRs (Electronic Health Records.)
EHR is a digital version of a patient’s paper chart. EHRs are real-time, patient-centered records that make information available instantly and securely to authorized users. While an EHR does contain the medical and treatment histories of patients, an EHR system is built to go beyond standard clinical data collected in a provider’s office and can be inclusive of a broader view of a patient’s care.
Burnout in doctors:
Highest contributor
Fear of
Data Privacy
among
patients
Lack of Integration
between stakeholders
Disadvantages
EHRs
Advantages
Accessible from anywhere
Data storage system is streamlined
Despite its multiple constraints, EHRs have benefits as well.
For example, they streamline data well and record it as such that it can be accessed from anywhere.
Hence, these advantages leave scope for reimagining the portal system rather than completely replacing it.
NEED STATEMENT: To develop a system that can help Patients, Doctors, Medical officials and Researchers track COVID-19 health complications over the years, while catering to the existing gaps in the present system: EHR, Internet connectivity, motivation factor
Personae
Next, it was important to understand the stakeholders that we were designing for.
For this purpose, 4 personae were built: 1 patient, 2 doctors, and 1 researcher.
One more stakeholder, public official was kept in consideration throughout while building the personae. Since they wouldn't have dealt with the solution directly, their persona was not delved on further.
Dr. Prisha Soniwal
Doctor @ Hospital
MOTIVATIONS
• A fulfilling personal and professional life
• Save time on her job hours
FRUSTRATIONS
• Misdiagnosis due to incorrect report evaluation.
SCENARIO
Dr. Prisha Soniwal needs to access the reports of her patients before their appointment with her later on so that she can best understand their worries and resolve it at the soonest.
Dr. Shaan AwasthI
Independent Clinic Doctor
MOTIVATIONS
• To expand his clinic
• To give his patients world class facilities
FRUSTRATIONS
• Not tech savvy: not able to provide good digital support
SCENARIO
Needs to set up his clinic for Government of India's 'Corona Kawach Abhiyaan' so as to streamline all his reports and appointments with patients.
Mr. Ratan Shah
Patient
MOTIVATIONS
• A happy, healthy life
• Stress-free
• Streamlined medical records
FRUSTRATIONS
• Scrambled state of medical records
• Anxiety over COVID’s unknown lifelong health effects
SCENARIO
Needs to go for an annual health check up, 6 months after recovering from COVID-19. He needs to get his sugar tests and then show his report to his doctor, Dr. Prisha Soniwal for a consultation, if required.
Dr. Anamika Singh
Researcher
MOTIVATIONS
• Successful professional life through a breakthrough in medical research
FRUSTRATIONS
• Current stagnant profession
• Fear of getting COVID-19
SCENARIO
Dr. Anamika Singh and her research team have been just informed about the portal and they've been asked to review the functionality of the portal and see whether it suits their needs or not.
Blockchain Encryption
OMR/OCR Sheet System
PSP server like system (just like in UPI)
Visualised reports at the click of a button; better facilities
SSO Login for streamlined onboarding
Challenges + Opportunities
Out of all the information that we gathered and possible scenarios that we could envision, we listed down the challenges that laid ahead of us and we wished to further work on.
We then converted these challenges into opportunities by ideating, through further research on feasibility.
These challenges helped us gain a little more clarity, as we knew the definite direction we had to take the project in.
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Data privacy of patients
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Low Internet penetration
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Data input and storage
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Participation from individual practicing doctors
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Participation from institutional doctors
CORONA
KAWACH
ABHIYAAN
Stakeholders:
And how they're connected
We have listed down the interaction among all the 4 primary stakeholders and mapped out how they’re interconnected: both directly and indirectly.
System Map
How will the data flow?
Given below is the entire concept of how Corona Kawach Abhiyaan directs the users and stakeholders into action, for a seamless experience of data recording and sharing.
For Patients:
The flow of information starts with the health officials, associated with the Ministry of Health and Family Welfare. They provide incentives to ex-COVID-19 patients to get their testing done from places that are linked to CKA, through the medium of print media and electronic media.
If they have an internet connection: The patients then get themselves tested, while their results are uploaded on the portal, accessible to their doctors (as per their consent) and themselves. The portal sign up is through your Aadhar Card No. since that is accessible to a wide number of Indians.
Portal Discovery → Register → Choose Lab → Gets Tested → Access Reports → Share report → Review
LOG IN: Sign up using Aadhar Card and OTP Verification, so as to cover a wide range of user set.
REGISTRATION: Basic health details, insurance policy number. (Government of India aims to provide health coverage to a wide audience of people through their Ayushmaan scheme)
DASHBOARD: Download medical history, take online health test, update and track your records.
Patients can take up a survey as well voluntarily on the portal to aid the government with information collection and it would allow help them in early detection of some possible complications which they may have not known.
ONLINE HEALTH TEST: Questions about patients current health situation.
Data will help officials and researchers, and will be used for research.
It is important to understand that 20 years from now, people would forget the pandemic and would not like to get themselves associated with it, so under CKA we will make modifications in the existing health ecosystem like making changes in the apple health app, adding a separate section.
INTEGRATION WITH EXISTING MOBILE APPLICATION:
To become a part of user's lifestyle without notifying
If they don't have an internet connection: A logbook shall be provided to them for their reports so that they have an offline record of their health.
Portal Discovery → Register → Choose Lab → Gets Tested → Access Reports → Review → Upload
(Offline)
OFFLINE RECORDING SYSTEM:
Booklet for patients where they can document their BP/Pulse/Diabetes etc.
It will help patients who are not internet savvy to track their health.
For Doctors:
If they have internet connection: Practicing individually or part of a Hospital, the government under CKA will provide them with a portal specially curated for their needs. The doctor’s EHR Portal would allow them to carry out multiple tasks with ease, Traditionally doctors face performance constraints when it comes to using EHRs, however it is an important medium, which is why we need to refine it instead of replacing it.
It would start with a simple registration: they can transfer the data from existing her portals, facilitate a connection between them and they can even use their hospital’s SSO login ID.
Register → Connect → Choose Patient → View Report → Message patient → Share report
DOCTOR LOG IN/SIGN UP: Doctors in Hospitals can login using their existing official SSO Login. Convenient onboarding from existing portal to new portal.
DOCTOR DASHBOARD: See all your patients and their most recent health report on the dashboard. One can also book appointments from the same.
As part of the solution we iterated multiple screens of what could be the portal design, as you can see different sections under it fulfilling different purposes.
They can then manage their patients on the dashboard, see their appointments, and reports all at one place for easy bookkeeping. They can also update and upload existing records, and can further download and share the results generated by the system.
This information, now available to the respective doctors as well, can be shared, commented upon, and analyzed from any place at any time. The doctors can, if they want to, share it with doctors within an establishment as well for their expert comments.
MANAGE PATIENT: Trend analysis of patient's health and consolidated reports. Data will help doctors observe change in health over time.
VIEW PATIENT'S REPORT: Patient's Report can be downloaded, printed, or shared. It will help doctors in keeping an electronic copy of all reports.
If they don't have internet connection: For doctors who do not have full-time internet connectivity, an OMR/OCR sheet Logbook is provided so that they can upload the details later on the portal as per their convenience.
By this, we are including the doctors who do not have 24*7 access to the internet. OMR sheets segregated on the basis of Health tests, For example, Blood OMR sheet, Blood OMR should contain spaces where a doctor can fill in the patient's blood reports results, These sheets would also help to keep a better physical record of a patients health.
Portal Discovery → Register → Connect → Fill OMR → Scan and upload → Review report → Share
OMR/OCR RECORD BOOKLET: Patient's test results can be documented on this by filling the correct circle. It will help doctors who do not have 24*7 internet reliability.
For Researchers:
All this information is stored and encoded using Database Management, Blockchain, and data cloud. Only the information that pertains to COVID-19 is shared with researchers in a consolidated manner, it would provide valuable info to researchers such as effects specific to COVID strains, outbreak mapping, vaccination results etc. If required, private in-depth medical history of an individual can be shared with the researchers, but only at the consent of the individual themselves.
Researchers then share this data with health officials in the form of reports and their findings. Health officials then use this information for further policymaking.
Register → Explore → Filter Results → Choose Visualisation method → Review report → Ask Permission
COVID TREND ANALYSIS: Data collected will help researchers in better trend forecasting and analysis
Implementation
Impact
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Global Ramifications: Since COVID-19 has impacted everyone around the world, any research breakthrough in it will have a global impact.
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Inclusiveness: Our solution is not 100% dependent upon the internet. Since, in India, there are various places that do not receive 24*7 internet, we have devised an offline solution as well.
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Save Lives: By tracking the changes early on, we’ll be saving the lives of millions of people.
The Future Roadmap
