EMR system leading to CDSS for a 3rd world country .pptx

A presentation of EMR ( Electronic Medical Record ) System which is very essential for Bangladesh and other 3rd world countries.

1. Team members: Md Samiullah, Gerardo Luis Dimaguila, Jim Buttery, Engr. Faruque A. Khan, Rahat Noman, Rezaul Karim Collaborative Development of a Cloud-Based EMR and Clinical Decision Support System for Bangladesh

2. An Australia-Bangladesh Research Collaboration July 2025 3 Background and Rationale Population of Bangladesh: ~170 million Doctor-patient ratio in Bangladesh: 0.67 doctor per 1,000 patients (WHO recommended ratio: 4.5:1,000) [1] Current Status: Predominantly paper-based patient records Illegible Hand-written prescriptions (unclear and difficult to interpret) No backup of disease history, not even paper based Need for digitization and clinical decision support system

3. An Australia-Bangladesh Research Collaboration July 2025 4 More statistics Average consultation time per patient [2] Outpatient (~2-3 mins), Emergency (<2 mins) Primary Care (<1 mins) 88.46% of physicians struggle with traditional methods, only about 4.81% use any digital system [3] Smartphone penetration in Bangladesh (~70%) [4] Digital health record adoption improves outcomes up to 30% [5]

4. An Australia-Bangladesh Research Collaboration July 2025 5 Project Objectives Cloud-based EMR accessible nationwide for free Integrated Clinical Decision Support ( CDS) Voice-to-text for faster prescriptions Disease and Drug surveillance capabilities International collaboration (Australia-Bangladesh)

5. An Australia-Bangladesh Research Collaboration July 2025 6 Anticipated Impact Enable digitized health services to over 1 million patients in 3 years. Build the foundation of the nationwide Health Archive with ethical AI-driven EMR & CDS. Reduced medication errors, mitigating poor doctor-patient ratio. Improved diagnostic accuracy and treatment efficiency. Provide longitudinal data for disease trend analysis and surveillance. Lay the foundation for Bangladesh-Australia digital health diplomacy. Promotes green healthcare through a fully paperless system, reducing environmental impact.

6. An Australia-Bangladesh Research Collaboration July 2025 7 Key Features of the Proposed EMR/CDS System Free and cloud-based EMR Integrated CDS (AI-driven automated drug/investigation/ advice suggestions) NLP-based Audio-to-text conversion to reduce physician workload Unique identifier (National ID) integration Real-time analytics and surveillance

7. An Australia-Bangladesh Research Collaboration July 2025 8 How EMR/CDS Tackles Poor Doctor-Patient Ratio AI-assisted prescription tools allow doctors to spend less time on routine tasks and more on personalized patient care Integrated CDS reduces diagnostic errors and ensures rapid, accurate decision-making EMR reduces administrative workload, enabling more patient coverage with efficiency AI-driven prescription generator significantly reduces documentation time

8. An Australia-Bangladesh Research Collaboration July 2025 9 Comparative Analysis (Proposed System vs. Zilsoft/others) Feature Proposed EMR Others ( Zilsoft ) Accessibility Nationwide, Free Fee-based, limited Decision Support Advanced, integrated Basic Voice-to-Text Built-in Limited/Manual Disease Surveillance Real-time analytics Limited capabilities Patient Identification National ID-based Fragmented International Collaboration Australia-Bangladesh Primarily Domestic EMR Penetration Free, unified cloud-based for all <5% of clinics, mostly private, siloed National Database Integration Yes (via secure APIs) No standard linkage with NID (Active) Users Planning 10k Doctors Onboarded 3,000 MBBS and BDS doctors. [6] Ai Powered Yes NO

9. An Australia-Bangladesh Research Collaboration July 2025 10 Challenges and Mitigation Challenge Strategy Data privacy & security End-to-end encryption, local cloud servers Doctor adoption Training, incentives ( recognition, sponsoring setup, i.e : printer), mobile-first design. Low infrastructure in rural areas Offline mode, sync-on-connect model (rural areas also have now good internet accessibility) Government policy involvement Early MoU with DGHS and a2i Cross-border data use concerns Ethical data governance & local control Sustainable long-term funding Data Vendor** (with ethics cleared)

10. An Australia-Bangladesh Research Collaboration July 2025 11 Funding Opportunities (Australia & Globally) Australian Research Council (ARC) NHMRC Partnerships Projects DFAT Indo-Pacific Health Initiative Bill & Melinda Gates Foundation

11. An Australia-Bangladesh Research Collaboration July 2025 12 Project Team Formation Role Expertise Count Country Proposed Chief Investigator Health informatics expert 1 Australia J Buttery Public Health Expert Public health expert 1 Australia GLD Ikee Project Lead AI specialists & statistician 1 Australia M Sami IT Developers Software developers 2 Bangladesh Reza and X1 Clinical Advisors Doctors/Clinicians 1 Bangladesh Y1 Data Security Advisor Cybersecurity expert 1 Australia Z1 Tech Advisor CTO, Project Manager 1 Bangladesh Engr. Faruque A. Khan Public Relation Manager Marketing and Tech expert 1 Bangladesh Rahat Noman

12. An Australia-Bangladesh Research Collaboration July 2025 13 Progress so far Funded by Ministry of ICT and Ministry of Science, Bangladesh https://sobar-daktar.somadha.com Prescription Generation Doctor and Patient portal Appointment creation and management Telemedicine AI Driven diagnosis and treatment assistance (30%) A conference paper is published Work appreciated and accepted by Ministry of ICT and Ministry of Science, Bangladesh Yet to add: Speech to text integration NLP ICD-10 coding Yet to be done: Set it free to use and make it publicly available Manage the system and organise the maintenance cost of the site 

13. An Australia-Bangladesh Research Collaboration July 2025 14 Implementation Phases, Timelines and Targets Phase Duration Key Deliverables 1 1 – 2 mo Proposal Finalization and Partner Agreements, Needs assessment, stakeholder engagement, MVP 2 3 – 5 mo Development of EMR Prototype and Finalizing Design (changes to existing) 3 6 – 12 mo Pilot Implementation in Selected Hospitals, train doctors 4 13 – 15 mo Scale to 100+ clinics, data integration, CDS engine 5 16 – 18 mo Scale to 1000+ clinics 6 19 – 24 mo Nationwide Scale-Up 7 24 – 36 mo Real-time surveillance dashboards, export features

14. An Australia-Bangladesh Research Collaboration July 2025 15 Conclusions This collaborative EMR/CDS project represents a transformative step towards digitalizing healthcare in Bangladesh, enhancing clinical quality, improving public health surveillance, and fostering international collaboration between Bangladesh and Australia.

15. An Australia-Bangladesh Research Collaboration July 2025 16 References [1] worlddata.info. (August 2025). Health in Bangladesh. Worlddata.info. https://www.worlddata.info/asia/bangladesh/health.php [2] Das, M. C., Zakaria, M., Cheng, F., & Xu, J. (2021, September). Appointment length with patients in medical consultations in Bangladesh: A hospital-based cross-sectional study. In  Healthcare  (Vol. 9, No. 9, p. 1164). MDPI. [3] Hossain, F., Bouh , M. M., Rahman, M. M., Shah, F., Mine, T., Islam, R., ... & Ahmed, A. (2024). Status and challenges of medical history taking in Bangladesh and an affordable digital solution to tackle them.  Applied System Innovation ,  7 (4), 69. [4] SAMENA Telecommunications Council. (2021, March 22). Smartphone penetration in Bangladesh (~70%) . SAMENA Daily News. https://www.samenacouncil.org/samena_daily_news?news=103792 [5] World Health Organization. (2022). Digital health systems: Impact and transformation . World Health Organization. (Use actual report title if different) [6] Newshour Media. (2020, May 30). Zilsoft offers free prescription software to doctors in Bangladesh. https://newshour.media/2020/05/30/zilsoft-offers-free-prescription-software-to-doctors-in-Bangladesh