1

Integrating Databases & Registry

Past, Present and Future

Venkatesh Balasubramanian, PhD

Professor, RBG Lab, Dept of Engineering Design, IIT Madras

Advisor, National Health Mission - Tamil Nadu

VB, Integrated Registry, Indo-Australian Workshop, Nov 9, 2017
 2

Summary of Activities
Funding

Application Apply Disruptive

in Industry Concepts &
SMS

Develop New
New Product Products/
Developed
and Process Processes
Suzhal Medical Devices
Management & Implants
System (SMS)
Innovation and Enhance
Lean Operations Quality and
Assist in Productivity
Societal Commercialisation
and Policy Framing of
Demands
People,
Process and
Products
Objectively Determine Human Factors in Improve Occupant and
Driver Performance,
Transportation Pedestrian Safety
Behaviour and Health

Develop New
Products and
Improve Design

VB, Integrated Registry, Indo-Australian Workshop, Nov 9, 2017

 3

The Big
Picture
VB, Integrated Registry, Indo-Australian Workshop, Nov 9, 2017
 4

Sustainable Development Goals

Other concerned
Goal No 3 Targets
Ministries/Departments
By 2020, halve the
Ensure healthy lives and
number of global deaths Road Transport &
promote wellbeing for all
and injuries from road Highways
at all ages
traffic accidents
SDG, NITI Aayog, (2016)

10 leading causes of the global burden of disease by WHO 2004

1990 2020
Rank Disease or injury Rank Disease or injury
9 Road traffic injuries 3 Road Traffic injuries
WHO, (2014)

VB, Integrated Registry, Indo-Australian Workshop, Nov 9, 2017

 5

Road Accidents National

(NCRB,2016)

500 478 482

469 470 470 465
443 451
440 440
No of people (In Thousands)

375

250

142 149
137 139 137
125

0
2011 2012 2013 2014 2015

Road Accidents Persons injured Persons killed

32% Death Ratio 103% Injury Ratio 135% D+I

VB, Integrated Registry, Indo-Australian Workshop, Nov 9, 2017

 6

Survivability Story

National Tamil Nadu

71,431
Reported Accidents 4,80,652
(14.86% of National)

17,218
Deaths 1,50,785
(11.4% of National)

Death Ratio 31.3% 24.1%

MoRTH, 2016

VB, Integrated Registry, Indo-Australian Workshop, Nov 9, 2017

 7

RTA Deaths in Tamil Nadu

18000 17218
16175
15409 15422 15563 15636
15176

13746
13500 12784
12036
11009
9939 9760
9571 9507
9300 9275
9000 8452

4500

0
2000 2002 2004 2006 2008 2010 2012 2014 2016

SCRB, TN
1740 more RTA deaths happened in 2016 as compared to 2015 (11.13% higher)
460 more RTA deaths happened in 2015 as compared to 2014 (3.03% higher)

VB, Integrated Registry, Indo-Australian Workshop, Nov 9, 2017

 8

Traffic Accidents in Top 10 States

Gujarat
4.5 Tamil Nadu
14.9
Telangana
4.7
Rajasthan Madhya Pradesh
4.8 11.2

Andhra Pradesh
5.2
Karnataka
Uttar Pradesh 9.2
7.4
Maharashtra MoRTH, 2016
Kerala 8.3
8.2

Tamil Nadu Madhya Pradesh Karnataka

Maharashtra Kerala Uttar Pradesh
Andhra Pradesh Rajasthan Telangana
Gujarat
VB, Integrated Registry, Indo-Australian Workshop, Nov 9, 2017
 9

RTA Death - Age wise distribution

2009-2015

0.6%
4.8%

13.8% 26.1% 18 - 27
28 - 37
38 - 47
48 - 57
58 - 67
68 - 70

24.0%

30.6%

VB, Integrated Registry, Indo-Australian Workshop, Nov 9, 2017

 10

Causes of Road Accidents

1%
1%
1%
1% Driver's Fault - Motorized vehicle
1% Other causes
2% Unknown Causes
Pedestrian Fault
3% Road Defects
Mechanical Defect in motor vehicle
4% Driver's Fault - Non-motorized vehicle
Passenger Fault
Poor light condition
Stray Animal
Road Engineering Fault

84%

MoRTH, 2016

VB, Integrated Registry, Indo-Australian Workshop, Nov 9, 2017

 11

Economic Cost
to Society
VB, Integrated Registry, Indo-Australian Workshop, Nov 9, 2017
 12

Socio-Economic Impact
Road Traffic Crashes a growing Public Health Epidemic
Socio Economic loss:
3% of global GDP (iRAP) (upto 5% in case of low and
middle income countries) (Nearly Rs.22,200 Cr annually
in Tamil Nadu INR 61 Cr/ day)
Losses: cost to the victims and families (medical cost,
loss of work, productivity, income besides physiological
and psychological suffering), cost to government, cost in
terms of damage to the property
Statistical value of human life: (from iRAP report)
Value of fatality : ~70 x GDP/capita
Value of serious injury : ~17 x GDP/capita
(25% of value of statistical life)

VB, Integrated Registry, Indo-Australian Workshop, Nov 9, 2017

 13

GDP Loss due to Fatal Accidents

India
-
GDP Loss due to Fatality (Crores)

'-7,500

-24428
'-15,000 -28552 -29880

'-22,500

'-30,000
2014 2015 2016
Year

VB, Integrated Registry, Indo-Australian Workshop, Nov 9, 2017

 14

GDP Loss due to Fatal Accidents

Tamil Nadu
-
GDP loss due to Fatality

'-1,150
(in Crores)

-3346 -3563
'-2,300 -4413

'-3,450

'-4,600
2014 2015 2016
Year
VB, Integrated Registry, Indo-Australian Workshop, Nov 9, 2017
 15

GDP Loss due to Fatal Accidents

Kancheepuram
Fatality (in Crores) -
GDP Loss due to

'-63
-183
-221
'-125 -244

'-188

'-250
2014 2015 2016
Year
VB, Integrated Registry, Indo-Australian Workshop, Nov 9, 2017
 16

Comprehensive
Perspective

VB, Integrated Registry, Indo-Australian Workshop, Nov 9, 2017

 17

Understanding Accident
Pre Peri Post

TAEI

Highways Health
Police Police
Education Education

Health

Police
Education

Decrease Occurrence Rate Help Increase Survival Rate

VB, Integrated Registry, Indo-Australian Workshop, Nov 9, 2017

 18

5eE Model for Road Safety

Ergonomics

Education Enforcement

Empathy

Emergency
Engineering
Care

VB, Integrated Registry, Indo-Australian Workshop, Nov 9, 2017

 19

RBG Transportation Safety Framework

Collecting Data
Monitoring Ubiquitously
Driver & Vehicle
Performance/ Behaviour
Performing Need
Developing Analysis & Training of
High Vehicle Comprehensive Stake Holders Outcome
Human Factor Penetration Database Goals
Engineering TN Accident 1. Mindset and
Motivating Factor
Registry (TAR)
Behavioral 1. Achieve 50%
Regulation & Stake reduction in
Change
Holder Training Mapping Current
1. In 2016, out of RTA death
Transportation Stakeholder Expertise 2. Strategy
1,50,785 Development by 2020
Enforcement & Safety (SDG 3, Niti
accidental Data Registry Framework 3. Technology
deaths in India Aayog)
Development
17,218 (11.4%)
Trauma Care 2. Achieve TN
occurred in TN Road Structure 4. Regulations
Assessment Data
Registry
& ZERO - Zero
2. TN ranks 1st in Registry Enforcement RTA Death
number of Infrastructure by 2030
Trauma Care Stake Holder 5. Education &
accidents and Engineering Accident (TAEI) Training
Training 3. Develop
2nd highest in Reporting
Stake Holder 6. Occupant & Comprehens
accidental
Traffic Management
Training
Pedestrian ive Registry
death in India
& Engineering safety for
Emergency
Response Transportati
7. Policy
Assistance on System

Suzhal Management System (SMS) RBG Innovation Paradigm (RIP) Domain

Lean Framework Problem Solving Tool Experts

VB, Integrated Registry, Indo-Australian Workshop, Nov 9, 2017

 20

Data Driven Policy

-TAEI App

VB, Integrated Registry, Indo-Australian Workshop, Nov 9, 2017

 21

TAEI in Brief

Unique & Comprehensive

A&E Program

Significant Impact and

Organisational Structure &
Visibility in about 5
Interface with Establishment
months of operations

VB, Integrated Registry, Indo-Australian Workshop, Nov 9, 2017

 22

Need of TAEI Reporting App

Helps to formulating policy
and regulatory framework to
prevent accidents and for
emergency care

Helps to building strategy for

Provides real time database to
providing medical attention to
analyze, get insights & addressing
accident cases thereby reducing
the issues technologically
causalities

VB, Integrated Registry, Indo-Australian Workshop, Nov 9, 2017

 23

TAEI Trauma Data Capture

RTA

Mode of Patient
Fall Injuries
Transfer

Head Injuries Assault Cases

Surgeries
VB, Integrated Registry, Indo-Australian Workshop, Nov 9, 2017
 24

TAEI Reporting App

App developed at RBG

Lab, IIT Madras to collect
A&E data in Tamil Nadu
on a daily basis
App captures real time
data on A&E care
delivered in DME and
DMS hospitals

VB, Integrated Registry, Indo-Australian Workshop, Nov 9, 2017

 25

Scope of TAEI App

Arrival Reporting Rehab Protocols

(Suchana?)

VB, Integrated Registry, Indo-Australian Workshop, Nov 9, 2017

 26

TAEI App Data Structure

General Details
Date Hospital Type District Hospital name
1) RTA
Admitted Major Minor Dead
2) Fall Injury
Admitted Major Minor
3) Assault Cases
Admitted Major Minor
4) Surgeries
Major Minor Blood Transfusion
5) Head Injuries
Major Minor CT-Scan
6) Mode of Transportation
108 108 IFT Brought Dead Mortuary Van
7) Referred Out
Institution Name Reason AB/ Car

VB, Integrated Registry, Indo-Australian Workshop, Nov 9, 2017

 27

TAEI Team in a Day

TAEI Centers update A Comprehensive report A complete summary of the

24 hours Hospital data is created by the officer Hospital data across districts is
by 12 p.m. in TAEI Office by 4 p.m. published in TAEI Office by 6 p.m.

VB, Integrated Registry, Indo-Australian Workshop, Nov 9, 2017

 28

Reporting Compliance
1400

1050
Total Number of Entries

873 946

700
474
424

350
337
368 442 420
337
116
0
June July August September October

DME DMS

VB, Integrated Registry, Indo-Australian Workshop, Nov 9, 2017

 29

Mode of Transport
Chennai Kancheepuram

1%
8% 7%
11%

82%
91%

108 108 IFT Private

VB, Integrated Registry, Indo-Australian Workshop, Nov 9, 2017

 30

Going
Forward
VB, Integrated Registry, Indo-Australian Workshop, Nov 9, 2017
 31

TAEI CoE @ IIT Madras

Road Safety and Trauma Care
CoE @ IITM

Transportation Registry,
Safety and Research and
Trauma Care Advisory
2 3

VB, Integrated Registry, Indo-Australian Workshop, Nov 9, 2017

 32

Proposed TAEI CoE @ IIT Madras

Review & Suggestion

for Closure
Data Analysis &
Research

Expert Field Visit

Implementation for Audit
Gap
Research & of Best Practices
Identification
Training Audit & Continuous Goals
Improvements Outcome
Motivating Factor Research 1. Develop
Publications Check List for 1. Data Driven Comprehensive
1. In 2016, out of Internal Audit Strategy Registry for
1,50,785 TAEI Center @ Development
Policy
IIT Madras Trauma Care
accidental Assistance
deaths in India 2. Technology
Development 2. Achieve 50%
17,218 (11.4%)
occurred in TN Requirement Trauma Care 3. Policy reduction in
Registry
Analysis Technology Assistance RTA death by
2. TN ranks 1st in Roll Out 2020 (SDG 3,
4. Audit &
number of Technology Trauma Care Stake Holder Niti Aayog)
Continuous
accidents and Development Accident (TAEI) Training Improvement
2nd highest in Technology Reporting 3. Achieve TN
accidental Development & 5. Research & ZERO - Zero
Identifying Testing Training RTA Death by
death in India
Technology Platform 2030
Emergency
Response

Suzhal Management System (SMS) RBG Innovation Paradigm (RIP) Domain

Lean Framework Problem Solving Tool Expertise

VB, Integrated Registry, Indo-Australian Workshop, Nov 9, 2017

 33

Organisation Structure for TAEI CoE

Governance Advisory
Chair
Board Board
TN Gov IITM

TAEI CoE at IIT Madras

Highways Health Home Lead

Knowledge Transfer Centre Director Domain Experts
Department Department Department Researchers

Transport
Department Researchers Staff Exchange Post Docs PhD Students

VB, Integrated Registry, Indo-Australian Workshop, Nov 9, 2017

 34

Proposed Accident Registry

Human Factor
Tamil Nadu
Engineering
comprehensive
Enforcement Data
Accident Registry
Registry

Accident
Registry
Server TAEI Data
Highways Registry
Infrastructure Data
Registry

VB, Integrated Registry, Indo-Australian Workshop, Nov 9, 2017

 35

Acknowledgement

VB, Integrated Registry, Indo-Australian Workshop, Nov 9, 2017

 36

Thank You !!!

VB, Integrated Registry, Indo-Australian Workshop, Nov 9, 2017

 37

Welcome @
http://www.ed.iitm.ac.in/~vb
chanakya@iitm.ac.in
vb.iitm@gmail.com

VB, Integrated Registry, Indo-Australian Workshop, Nov 9, 2017