Indian healthcare jigsaw k ganapathy
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Urban-
Rural
Divide
Lack of
Last Mile
Access
Lack of
Organized
Delivery
Quality
of Care
Silos
Awareness Patient
Safety
Lack of
Skilled
Workforce
High
Cost/
Affordability
Standards
Efficiency
The Indian Healthcare Jigsaw
“An Equitable,
Sustainable, Quality
Healthcare for One
Billion People”
Technology-driven Healthcare Transformation
How Can We Achieve…
K. GANAPATHY, APOLLO TELEMEDIICNE NETWORKING FOUNDATION
Traditional Healthcare Delivery Model
The Patient Community - Bottom of the pile!!
3°
HealthCare
2°
HealthCare
1°
HealthCare
Teaching Hospitals
Regional Hospitals
District General Hospitals
General Practitioners
Unchanged for 6000 years - circa 3000 BC!
The wellness paradigm
PRIMARY TELERADIOLOGYPRIMARY TELERADIOLOGY
AND TELEPATHOLOGYAND TELEPATHOLOGY
eHealth &eHealth &
TelemedicineTelemedicine
Clusters of SpecialistsClusters of Specialists
global spread &global spread &
universal accessuniversal access
Allied HealthCare Professionals
Primary HealthCarePrimary HealthCare
The ‘Super’ Primary Care PhysicianThe ‘Super’ Primary Care Physician
CommunityHospitals
(Acute)
CommunityHospitals(Non-acute)
Freestanding Diagnostic
Centres
HomeCare
HealthKiosks
DayCareSurgery
MaternityAcute
Trauma
??
Direct Access to specialistsDirect Access to specialistsWWWWWW IDTVIDTV IDTVIDTV WWWWWW
The Informed Wired upInformed Wired up Citizen Community
CC--HealthHealth
Future Health System TransformationFuture Health System Transformation
eHealth: another Buzzword?
Access to
Affordable
Quality Care
• ↑ Costs• ↑ Burden• ↑ Quality
Healthcare Trends
Leverage the patient
Society will want patients to
take responsibility for their care
Patient demands more involvement
in decision making process
Move health out of hospital
& doctor’s office to home, car, office, grocery
HealthCare Industry by tradition extremely CONSERVATIVE
• Toward Patients• Increased patient responsibility and power
• Toward Prediction• From post-symptomatic diagnosis to pre-
symptomatic screening • Genomic revolution and molecular imaging
• Clinical Convergence• Diagnostic tests (in-vivo and in-vitro) • Diagnosis linked to therapy • Convergence of pharma and diagnostic industries
• Productivity Driven• Payors demand rigorous cost/benefit analysis and
health technology assessments
• Information Driven• Integrated, accessible, personalized and actionable
patient information
Technology Trends
Winning in the Flat World Wellness Management ↓ Health care Costs
Medication, Diet, Nutrition Compliance & Life Style Improvement
Patient Safety, Education, Enablement, Counseling, Healthcare Forums
Streamlining & Standardizing Processes
Developing a Road Map in Change Management in Healthcare
Isolation of Information – a major issue
2010 IT in Medicine:Cloud Computing
Integrated, Multi-directional, web-accessible portal
Insurance
Drug Manufacture
Pharmacy
Patient
Doctor
Hospital
1. Doctor prescribes a medicine,2. Insurance approves it.3. Pharmacy keeps it ready for..4. Delivery or pick-up.5. Patient gets Drug Schedule Alert on Phone.
1. Patient takes her own Blood pressure using BP equipment with USB drive.
2. BP Device – USB- Cell phone.3. Doctor looks at the 15 day data on her Cell-phone.
Changes Dose.4. Patient gets Drug Change Alert at next schedule.
Virtual Reality as a Training Tool
Digital Healthcare Eco SystemmPHR, Wellness, Triage,
TeleConsulting,
TeleMedicine
mPrescription
Doc on Call
Remote Monitoring
Drug Enclclopedia
Drug Interaction
mDashboard
mASHA
mPandemic
Healthcare Education
Emergency Response
mPharma
mInsurance
mDiagnostic
mHIS
Emergency Response
mVLT
Patient
Doctor
Nurse
HospitalDiagnostic Lab
Insurance
Pharma
Government
Pregnancy
Infancy
Childhood
Adulthood
Old Age
Next Gen
Telemedicine
MMU
National ERCMobile Healthcare
Platform
HealthNet
Database
and Analytics
Next Gen
Drug
Database
Triage, WellnessCommand and
Control Center
Value Propositions• Solution
– Real time Alerts
– Management Dashboards
– Trends & Predictive Analysis
– Analytics
• Benefits– Connect all Hospitals to one centralized system
– Monitor Key business parameters online
– Anytime anywhere access for decision makers
– Improves Operational efficiency by up to 30%
…Information at your fingertips…
From Intervention to Early Detection
P4 medicinePredictiveScience is making it possible for doctors to make accurate predictions about anindividual's future health through an in-depth analysis of his current health data.
PersonalizedThese predictions, which pertain uniquely to the individual, can allow him to get acurrent update on the his/her health.
PreventiveThe possible risks can then be addressed medically, in advance, as the role ofmedicine changes from treating disease to maintaining wellness.
ParticipatoryAll this allows an individual to participate in his own health, modify his behaviourand lifestyle, and acquire control over his future health.
Molecular Analysis• Assay development• DNA Enzymology• Molecular biology
Information Technology• Biology, disease, clinical models• Biostatistics – genomic, proteomic• Decision support tools
Pharmaceutical Solutions• Antibodies, proteins, nucleotides• Synthetic organic chemistry• Diagnostics biomarkers•Pharmacogenetics
Imaging and Intervention• Imaging agent discovery• Agent efficacy• Biodistribution•Stem Cells
Alternate systems of medicine
And finally……….
Hyderabad DataCenterCommunication modalities
TSC : Telemedicine Specialist Center
TCC : Telemedicine Consulting Center
TSC and TCC Consultation Workflow: ISDN / Broadband
Telemedicine DB server
CUCM cluster
CUP cluster
Internet/ VPN Router
ArchiveServers
Application Server
EMR
Apollo Hospital - Chennai
Port BlairGuwahati
Burdwan
Siliguri
Durgapur
Network
Data Centre
Apollo Chennai Apollo, Delhi
Apollo Bangalore
Apollo KolkattaApollo Hyderabad
Remote peripheral ICU 1
Remote peripheral ICU 15
Remote
peripheral ICU 25
Remote peripheral
ICU 35
mHealth Key DriversmHealthDrivers
Pressure to innovate new approaches to tackle acute & emerging epidemiological & other healthcare challenges
Near ubiquitous presence of mobile connected device technology
The Consumer Appeal of mHealth – Personal, 24x7, Always Handy
Increased IT Adoption by Healthcare Providers
Broader Health Care Industry Reforms
The Rural-Urban Healthcare Divide
Government push for technology-enabled supplementary care delivery for reaching grassroots and masses
Education & Awareness
Mobile devices for care givers
Remote monitoring
Mobile access to HIS & clinical systems
Wellness & prevention
Personal emergency system
Tracking
Tele assessment
Services for Health Professional
Health management
Prevention and wellness
Data collection
The Mobile Phone in Health Care
The Future of Health Care
A Big Thank You
From the Unborn
Today we should not be talking of achieving World class
The world should talk of reaching India class
We have the doyens of medical care & the czars of ICT
but still there is no real Technology in Health Care
Using e Technology we can bridge the Urban Rural Health
Divide & make ( e ) Health a reality in India