Executive Blueprint

The Maharashtra state cabinet has approved PRAGATI, an estimated INR 4,250 crore initiative to add 1,600 hospital beds across five districts over 2026 to 2031. It prioritises prevention, screening, diagnosis and treatment of non-communicable diseases (NCDs) and strengthens breast, cervical and oral cancer screening.

Note:Figures are drawn from the cabinet-approved context in the concept note. The 70/30 split and amounts are indicative pending appraisal.

Physical capacity alone will not improve outcomes. Patients are screened late, reports reach clinicians late, records are fragmented across facilities, and specialist capacity is concentrated in a few centres. This component makes digital records, diagnostics and telemedicine the connective tissue of the PRAGATI network.

• Unified electronic health record (EHR) linked to the Maharashtra Health Technology Mission and the national health stack.
• Digitised diagnostic workflows (laboratory, radiology, imaging, screening) with results routed to the treating clinician in near real time.
• Telemedicine and tele-diagnostics spanning the Kolhapur, Nanded, Latur, Nagpur and Pune hospitals and their spoke facilities.
• Population-level NCD and cancer screening registries driving call-recall, follow-up and outcome tracking.
• Real-time governance dashboards for state, district and facility levels supporting ADB reporting and results-based monitoring.

A Project Management Unit (PMU) would own day-to-day delivery across the five districts, coordinating vendors, standards and reporting against ADB requirements.

Indicative:Governance structure is indicative and not part of the approved scope; it should be confirmed with the Health Department.

The supporting pages detail the Maharashtra digital stack, production schemas and API payloads, the AI decision-support engines, interactive mockups, and the security and compliance position, each grounded in the real national and state landscape and referenced in the Sources page.