CAG Report No. 11 of 2025 — Implementation of Smart City Mission, Government of Karnataka

Implementation of Projects and Monitoring
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KUIDFC did not include SCADA for water distribution, rendering the
expenditure for SCADA integration unproductive.
The State Government replied (April 2025) that the sensors and meters installed
under the Smart Water component would be used in the KUIDFC project, and
SCADA would be integrated once the 24×7 water supply project is complete.
The meter reading devices and DBMS would be used for the entire city as the
24×7 project reaches completion.
The reply confirms the fact that the assets created under the project have not yet
been put to use, awaiting the completion of the new project. This indicates a
lack of synchronization between the involved agencies.
4.7.5.2 Sub-optimal utilisation of Smart Health Care System
HDSCL undertook the project to upgrade the Government Chitaguppi Hospital
as a Smart Hospital with technological, equipment and software solutions
providing digital technology based integrated healthcare facilities to improve
the quality of citizen’s healthcare services and efficient healthcare management.
The work which was awarded (March 2019) to a vendor at the contract price of
₹3.05 crore was completed on 30 October 2019. The scope of the proposed
Smart Healthcare Project included the following modules as detailed in Table
4.7.
Table 4.7: Status of implementation of modules
Module Details Implementation status
Aadhaar-based
Electronic Health
Records
for patient identification, storing
and accessing medical history
Aadhar-based Electronic Health
Record was not implemented.
HDSCL stated that due to data
privacy and confidentiality it was
suggested not to make Aadhar as
mandatory for EMR generation.
Virtual/Remote
Health care
for remote interaction with doctors The number of patients registered
through the Smart Healthcare System
was significantly lower compared to
the number of monthly visits.
Smart Diagnostics for early detecting, predicting,
preventing, and diagnosing
chronic and critical illness in
patients using various latest
techniques like analytics, artificial
intelligence, and machine learning
algorithms-based tools.
There was a low frequency of
consultants carried out by registered
patients with doctors through the
system
Smart Hospital
Management System
for end-to-end management of
workflow-based hospital activities
for efficient management of
patients visiting the hospital
Additionally, the Medicine Vending
Machine was not fulfilling its
purpose as it was used very
infrequently by registered patients
for dispensing medication. Tele-
consultation Module was not
utilised.
Source: Information furnished by Smart Cities
The State Government replied (April 2025) that Electronic Health Record
Module was implemented in which all the data related to patients was captured.
In respect of all other modules, HDSCL had facilitated, trained and catered to