The Tamil Nadu state Government’s Heart Attack Management Programme is well operationalised in a hub-and-spoke model networking 18 government medical college hospitals and 188 district/taluk government hospitals.
The five-year experience (2019-2023) of the programme has found that it has demonstrated that WhatsApp groups are a cost-effective way of networking larger and smaller hospitals in a hub-and-spoke model to provide the telemedicine guidance for early diagnosis and treatment of major heart attacks.
Through this, cardiologists in larger hub hospitals offered telemedicine guidance to smaller spoke units. Additionally, these groups were used to coordinate patient transfers between hospitals and to monitor the entire process.
18 WhatsApp groups - one for each cluster - were created to facilitate the case-specific management of persons with suspected heart attacks.
These groups enabled the seamless communication between cardiologists at hub hospitals and teams at spoke hospitals.
In total, around 71,907 individuals with STEMI (ST-segment elevation myocardial infarction) were treated over the five years.
There was a 67% annual increase in the total number of individuals treated for STEMI.