Overview of the Patient Management Workflow

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Overview of the Patient Management Workflow

Learning Objectives

Overview of the Patient Management Workflow in Nikshay

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Nikshay is an integrated Information, Communication and Technology (ICT) platform adopted by the National Tuberculosis (TB) Elimination Programme (NTEP) for TB patient management and care.

The patient management workflow in Nikshay streamlines a series of activities required for TB patients from identification of presumptive TB cases to recording treatment outcomes. Nikshay uses in-built modules in the platform to perform these tasks. There are also different user logins that allow certain functions (see figure below).

Figure: Overview of the TB Patient Management Workflow in Nikshay; Source: Module 1: Introduction to Nikshay

Overview of the Patient Management Workflow-Editable.pptx (42.29 KB)

Summary of the Patient Management Workflow in Nikshay

STEPS	ACTIVITY AND NIKSHAY MODULE DETAILS
1	Identify a presumptive or confirmed TB case and notify that case using the New Enrolment Module. A Nikshay ID will be generated for the patient upon enrolment, which will be unique and used for the entire TB care life cycle of that patient.
2	Request for diagnostic tests using the Test Module. On receiving test results, update it using the patient’s Nikshay ID, irrespective of whether they are positive or negative. Once diagnosed positive for TB, notify the patient as a confirmed TB case.
3	Initiate treatment by entering treatment information in Treatment Prescription, Contact Tracing, Comorbidity, Health Facilities, and Engagement Staff Modules.
4	Enter adherence monitoring details in the Adherence Module.
5	Request for follow-up tests using the Test Module. Update test results using same processes in Step 2.
6	Update patient details as required using Modules like Delete Patient, Treatment, Prescription, Health Facilities, Engagement, Staff, Notes.
7	Declare outcome upon receiving treatment outcome details of patient in the Close Case Module.