iKure Hub and Spoke clinic model
Introduction: iKure healthcare system is enabled with an innovative Hub and spoke model. It delivers its services through the hub-and-spoke model, where it sets up Rural Health Centres (spokes) at village level, resourced with qualified MBBS doctor, nurses and para-medical staff. It links each of the RHCs with network hub clinic through patent applied for software platform called Wireless Health Incident Monitoring System (WHIMS). The core medical team utilizing modern procedures and equipment stationed at hub clinic visit peripheral clinics (spokes) on a regular basis. 45 spokes with three hubs have already been put in place. The comprehensive model is sustainable both in terms of shared costs and providing full range of healthcare services.
This model strategically fits into the resource constraints rural settings where the distance between patients and healthcare providers are far and wide and is extended up to the last mile working in coordination at a local level and with ground partners such as local NGOs.
How we operate?
iKure healthcare system is enabled with an innovative Hub and spoke model. The operating system becomes effective in the context of multiple location sourcing where the central consolidator called Hub offers services and facilities to the wider communities as well as patients visiting the hub clinic. Thus a range of services can be provided from a central point over a defined geographic area to people within the surrounding community. iKure hub and spoke clinic are powered by Wireless Health Incident Monitoring Systems(WHIMS) which helps them to link remotely situated spokes with Hub for remote monitoring, consultation and escalation.
Based on the area of operation, we define 1 hub with 10 spokes as 1 unit. A unit also comprises of a team of 20 community health workers, capable of catering up to I lakh population. The teams stationed at the hub clinic and the one at RHCs operate on a ROTA basis.
The iKure’s core medical team utilizing modern procedures and equipment stationed at hub clinic visit peripheral clinics (spokes) on a regular basis. The hub receive readings of the patient that are sent for diagnosis by the rurally situated spokes. Spokes powered by WHIMS are able to send medical records of the critical cases which require immediate doctor’s intervention. Through WHIMS, iKure medical team collects and transmits health information of patients, including treatment prescriptions.45 spokes with three hubs have already been put in place.
Services at Hub
iKure has set up a fully integrated Hub clinic in Tabageria a village in the district of west Midnapore, West Bengal. The hub offers wide range of services with a core medical team working 7 days in the week providing eye care services, basic diagnostic services, and Telemedicine services to the immediate and adjacent villages. This hub also network with community hub through WHIMS to provide continuity of care and support especially for specialized treatment and escalation to other hub hospitals.
iKure hub clinic is also supported with network of community health workers. Equipped with point-of-care (POC) devices, these CHWs provide door-step monitoring, diagnostic support and organize health camps for community members. iKure has partnered with multiple hubs to ensure quality individual care to its patients and these hubs also act as our training partners for community health workers training programs.
Outcomes achieved through Hub and spoke model
- The network makes it possible to treat patients closer to their homes, reducing travel time and cost of care. At the same time people needing specialized care are escalated to hospitals at less time reducing complexity of diseases. Thus, it allows more-orderly progression of care and rational allocation of scarce –resources of rural settings1.
- The redundancy associated with patient’s data is dramatically reduced as patient’s data transfer that takes place between hubs and spokes takes negligible time as each patient’s report is sent individually; therefore, the chance of a report error becomes practically zero.
- The model is highly effective in disseminating information for health awareness, immunizations and outspread of any epidemics.
- Through this model, iKure effectively helps in creating and sustaining rural jobs, both directly and indirectly.
- Through the network of trained CHWs, iKure medical team provide diagnose and routine treatments in the outreach centers, thus alleviate the pressure from hub hospitals and allow focusing more on critical patients.
- The network vast reach and large number of patients allow doctor’s in training to gain broad experience and specialize in rare disease. CHWs and staff also benefit from regular training programe.
Read More: Hub and Spoke healthcare intervention in Torpa, Jharkhand
Link: Read articles published in GoBarefoot Blog
Link: Read articles published in International Electronic Journal of Rural and Remote Health research