2nd IIMA International Conference on Advances in ... IIMA International Conference on Advances in Healthcare Management Services iii The 2nd International conference hosted by the

2nd IIMA International Conference on

Advances in Healthcare Management Services

December 10-11, 2016

Abstract Booklet

Centre for Management of Health ServicesIndian Institute of Management Ahmedabad

2nd IIMA International Conference on

Advances in Healthcare Management Services

December 10-11, 2016

Centre for Management of Health ServicesIndian Institute of Management Ahmedabad

2nd IIMA International Conference on Advances in Healthcare Management Services

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The 2nd International conference hosted by the Centre for Management of Health Services (CMHS) in the Indian Institute of Management Ahmedabad is dedicated to advances in healthcare management services. This conference aims to bring together leading academic scientists, researchers, practitioners, healthcare administrators, care providers and policy makers from around the world to share cutting-edge research experiences, bring new ideas, debate issues and address latest developments in the domain of healthcare management.

The conference’s focus is on -

• Developing insights into the techniques, opportunities, novel strategies and analytical methods for dealing with different challenges in the healthcare system.

• Sharing of research based knowledge related to healthcare management, healthcare services, healthcare quality, healthcare analytics and informatics.

• Case studies and innovative applications on the related fields.

It has encouraged quite a large number of paper submissions from various eminent institutes across India. The papers have been selected for regular presentation or short presentation based on the recommendation of the reviewers following a double blind peer-review process. The entire ICAHMS-2015 conference will be digitally documented and designed into an interactive DVD.

Conference Team of ICAHMS-2016:

Prof. Arnab Kumar Laha (Conference Convener) Indian Institute of Management, Ahmedabad

Uma Baskaran (In-Charge, CMHS) Indian Institute of Management, Ahmedabad

Kritika Manshani Indian Institute of Management, Ahmedabad

VidhyaLakshmi Baskaran Indian Institute of Management, Ahmedabad

Harshad Zala Indian Institute of Management, Ahmedabad


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MEMBERS OF INTERNATIONAL PROGRAMME COMMITTEE OF ICAHMS 20161. A.K Mukherjee- Indian Spinal Injuries Centre, Delhi

2. Anil Gupta- IIM Ahmedabad

3. Ashok Kakkar- Varian Medical Systems International India Pvt Ltd, Mumbai, India

4. Biranchi Narayan Jena- Institute of Health Management Research, Bangalore

5. Hanmant Barkate- Wockhardt Ltd, Mumbai.

6. Harsh Manahan- Mahajan Imaging Centre, New Delhi

7. Jashwant Prajapati- GVK - EMRI, Ahmedabad

8. Jatinder Bhatia- 360 Diagnostic and Health Services Pvt Ltd, India

9. K.V. Ramani- IIM Ahmedabad

10. Nagendra Swamy- Manipal Health Enterprises

11. Nandkumar Jairam- Columbia Asia Hospitals India, Bengaluru, India

12. Narottam Puri- Fortis Healthcare Ltd, New Delhi, India

13. Nimita Limaye- DTE, GDN, Quintiles, Mumbai, India

14. Rajesh Pednekar- Pfizer, Mumbai, India

15. Rajiv Desai- Alembic Pharmaceuticals Limited, Vadodara, India

16. Ravi Gaur- Oncquest Labs Ltd., New Delhi, India

17. Ravisekhar Kasibhatta- Lupin pharma Limited, Pune, India

18. Sanjeev Chaudhry- SRL Religare Limited, Gurgaon, Haryana, India

19. Sidhartha Satpathy- Professor & Head of the Department of Hospital Administration AIIMS

20. Shyama Nagarajan- Public Health Advisory Services, Ernst & Young LLP (Special Invitee)

Indian Institute of Management Ahmedabad

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21. Sucheta Banerjee Kurundkar- Clinical Development Services Agency, Faridabad, India

22. Suresh Sankar- Davita Renal Care, Chennai, India

23. Tabrez Ahmad- Organisation of Pharmaceutical Producers of India, Jasola, ND-25

24. Tarlimarif Saiyed- Centre for Cellular and Molecular Platforms(C-CAMP), a Dept. of Biotechnology, Govt. of India initiative, Bangalore, India

25. Thanga Prabhu- Reliance Foundation, IAMI - Indian Association for Medical Informatics

26. Thankam Gomez- Berkeley Health Edu Pvt Ltd, Delhi, India

27. Vijay Agarwal- Pushpanjali Crosslay Hospital, Ghaziabad

28. Vishal Bali- TPG Growth

29. Yash Paul Bhatia- ASTRON


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REFEREES OF ICAHMS – 2016Prof. Anurag K. Agarwal Prof. Neharika Vohra

Prof. Arnab Kumar Laha Prof. Pradyumana Khokle

Prof. Ashis Jalote Dr. Prasun Chatterjee

Ms. Bharti Sharma Prof. Premilla D'Cruz

Dr. Biranchi Jena Prof. Rajesh Chandwani

Prof. Debjit Roy Prof. Sanjay Verma

Prof. Dhiman Bhadra Prof. Sanjeev Tripathi

Prof. Ernesto Noronho Prof. Sidharth Satpathy

Prof. Goutam Dutta Prof. Sunil Maheshwari

Prof. Karthik Sriram Prof. Tathagata Bandopadhyay

Prof. Kirti Sharda Prof. Thankam Gomez

Prof. Manjari Singh Prof. Vishwanath Pingali

Prof. Naman Desai

CMHS FACULTY MEMBERSProf. Anurag K. Agarwal Prof. Karthik Sriram

Prof. Apratim Guha Prof. Naman Desai

Prof. Arnab Kumar Laha, (Chairperson-CMHS) Prof. Piyushkumar Sinha

Prof. Arvind Sahay Prof. Rajesh Chandwani

Prof. Asha Kaul Prof. Sanjay Verma

Prof. Ashis Jalote Parmar Prof. Satish Deodhar

Prof. Debjit Roy Prof. Shailesh Gandhi

Prof. Dheeraj Sharma Prof. Sobhesh Kumar Agarwalla

Prof. Dhiman Bhadra Prof. Sunil Maheshwari

Prof. Goutam Dutta Prof. Tathagata Bandyopadhyay

Prof. K.V.Ramani Prof. Vishwanath Pingali


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ContentsMEMBERS OF INTERNATIONAL PROGRAMME COMMITTEE OF ICAHMS 2016

REFEREES OF ICAHMS – 2016

CMHS FACULTY MEMBERS

CMHS/IC-16/KN-01 ...........................................................................................................................1Quality & Accreditation Narottam Puri

CMHS/IC-16/KN-02 ..........................................................................................................................1Some High Impact Collaborative Case Studies in Health And Medical Science Kanti Mardia

CMHS/IC-16/KN-03 .........................................................................................................................2Challenges and Opportunities for 21st Century India’s Healthcare: Better ROI in Health Outcome Gautam Sen

CMHS/IC-16/KN-04 .........................................................................................................................3Healthcare Innovation and Entrepreneurship in India: Opportunity and Challenges Pradeep Jaisingh

CMHS/IC-16/KN-05 .........................................................................................................................4The Ethical Imperative of Transparency in Clinical Research: Obligations of Research Regulators, Scientists and Journals\ Amar Jesani

CMHS/IC-16/KN-07 .........................................................................................................................4A Class of Covariate-Adjusted Response-Adaptive Allocation Designs for Multi-treatment Binary Response Trials Atanu Biswas

CMHS/IC-16/KN-08 .........................................................................................................................5Quality Paradigm in Health care: Time for the right focus Suresh Sankar

CMHS/IC-16/IT-01 ............................................................................................................................6Inter-generational Solidarity: as an Innovative Model of Long Term- Family Care which will de-stress the Existing Hospital Based Model of Health Care Prashun Chatterjee


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CMHS/IC-16/003 ..............................................................................................................................8Adoption of E- Health Services in India: A Decomposed TPB Approach Anubhuti Dwivedi

CMHS/IC-16/006 ..............................................................................................................................9The Learning from Literature Analysis for Health Care Assessment and Health Care Waste Management using Multi Attribute Decision Making Techniques Nital P Nirmal, Mangal G. Bhatt

CMHS/IC-16/012 .............................................................................................................................10Improving Patient Discharge Process in Hospitals by Using Lean Approach Bharadwaj Malepati, Neha Chalasani

CMHS/IC-16/014 .............................................................................................................................10A practitioner’s view of Market Research for Medical Devices – Methods, Applications and how to Increase Effectiveness Nishant Mehta

CMHS/IC-16/015 ............................................................................................................................. 11Risk and Return Analysis of Pharmaceutical Industry Prameela S. Shetty, Ramya Shetty, Devaraj K, Director

CMHS/IC-16/016 ............................................................................................................................. 12Appraisal of Attitude, Acquaintance, and Awareness of Diabetes Mellitus in Rural Vicinity of Central India: A Cross-sectional Study Rahul Khandelwal

CMHS/IC-16/020 ............................................................................................................................ 13Emotions in Health Care Organizations: A Human Resource Managerial Perspective\ Deeba Hasan, R. Raghunathan

CMHS/IC-16/025 ............................................................................................................................ 14Assessing Managerial Competencies among Hospital Managers of Nepal Sharad H Gajuryal, Nilambar Jha, Sidhartha Satpathy, Paras K Pokharel

CMHS/IC-16/026 ............................................................................................................................ 15Friendly Reporting System in Pharmacovigilance: iCURE Adverse Event Sravan Kumar Gunda

CMHS/IC-16/031 ............................................................................................................................. 16Cost Analysis and Utilization Study of Mechanical Ventilators’ in Adult ICUs’ at a Tertiary Care Teaching Hospital. Usha Rani


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CMHS/IC-16/032 ............................................................................................................................ 17Regulation of Medical Devices In India: An Ontological Analysis Anyesha Mitra, Arkalgud Ramaprasad

CMHS/IC-16/033 ........................................................................................................................... 18Elderly Healthcare in India: An Ontological Meta-Analysis Sohom Dasgupta, Mantasha Husain, Sakshi Mehra, Neeraj Panicker Arkalgud Ramaprasad, Snehil Singh

CMHS/IC-16/034 ............................................................................................................................ 19Surgical Procedures For Optimizing Resources In Low Resource Setting: An Ontological Analysis Sreekar Agumbe Pai, Nanda Kumar Bidare Sastry, Monisha Madhumita Arkalgud Ramaprasad, Thant Syn

CMHS/IC-16/035 ........................................................................................................................... 20Determinants of Non-use of Contraceptives: An Ontological Analysis Hamsa T. Swamy, Nanda Kumar Bidare Sastry, Arkalgud Ramaprasad Shivaraj N S, Thant Syn

CMHS/IC-16/038 ............................................................................................................................ 21Identification of Epileptic Seizure from EEG Signals using a Signal Processing and Machine Learning based Hybrid Method Rama Krishna Singh

CMHS/IC-16/039 ............................................................................................................................ 21Telemedicine as a Tool to Cure Indian Health: Present Scenario and Future Prospects Gurpreet Randhawa, Sabia Singh

CMHS/IC-16/040 ............................................................................................................................22Management of Intellectual Property Vis-à-Vis Healthcare Mayuree Sengupta

CMHS/IC-16/041 ........................................................................................................................... 23Health Care: Patient Oriented Perspective and Measure Development Ekta Duggal, Harsh V. Verma

CMHS/IC-16/047 ........................................................................................................................... 24Elair Model for Better Work Life Balance and Empowerment of Women Faculty in Medical Colleges of Kerala Dhanya J.S, D. Kinslin


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CMHS/IC-16/049 .......................................................................................................................... 25Lights on Beyond Pay Cheque to encourage employee retention–A study at Meenakshi Mission Hospital and Research Centre – Madurai – Tamilnadu M.Bharath, A.Velanganni Joseph

CMHS/IC-16/050 ......................................................................................................................................26

Evaluation of Effect of Electronic Gadgets on Children’s Health: An Empirical Study Akondi Srikanth, Sk. Rubeena, D.Aswani

CMHS/IC-16/055 ............................................................................................................................27Simplifying new product development in medical devices and perfecting the launch process Nishant Mehta

CMHS/IC-16/059 ........................................................................................................................... 28Santhwanam Programme of Kudumbashree - a Women Initiative in Health Care in the State of Kerala. A Comparative Study on Quality of Life Among Patients Receiving and not Receiving the Service. Preetha Zazjnay, Dr. Santhosh V.A. Professor

CMHS/IC-16/061 ............................................................................................................................ 29Conspiracy Fraud Detection: Case of Health Insurance Sunita Mall, Jaya Mirchandani, Bhairavi Jha

CMHS/IC-16/066 ........................................................................................................................... 30Towards A Healthcare Reform in India: The 6 A’s of Success In Search of a New Market, Optimizing the Delivery Channel and Redefining the Role of Stakeholders Venkataramanaiah Saddikuti, Rahul Gope, Abhishek Ekka Yujata Pasricha, Sania Shankar Sawant

CMHS/-16/067 ............................................................................................................................... 31Towards a Robust & Sustainable Healthcare System: Learning’s from Success Stories Developing Innovations that Transform the Healthcare Landscape Venkataramanaiah Saddikuti, Rahul Gope, Abhishek Ekka Yujata Pasricha, Sania Shankar Sawant

CMHS/IC-16/069 ........................................................................................................................... 32Exploring Patterns of Healthcare Venture Scale-up: Learning’s from IITB related Ventures Rahul Gope, Kirankumar Momaya

CMHS/IC-16/070 ........................................................................................................................... 33Antecedents and Constituents of Dysfunctional Physician Behavior towards Pharmaceutical Sales Representatives and its consequences on Pharmaceutical Sales Representatives and the Pharmaceutical Companies Ratan Kumar, Ritu Srivastva


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CMHS/IC-16/073 .......................................................................................................................... 34Yoga: A Traditional Practice for Managing Illness Archana N, Manjunath V

CMHS/IC-16/077 ........................................................................................................................... 35Medical Practitioners and the emotionality: Emotional Intelligence, Emotional Labor and Burnout. Ekta Sharma, Ruchi Tewari

CMHS/IC-16/078 .......................................................................................................................... 36Modelling Patient Medical Condition-based Demand for Managing Hospital Inventory Esha Saha, Pradip Kumar Ray

CMHS/IC-16/093 ............................................................................................................................37Green Tea: A Buzzing Health Drink – Understanding the Consumption Pattern and Customers Profile Richa Chaudhary, Pooja Kamthe , Abhinay Jain

CMHS/IC-16/094 .......................................................................................................................... 38Cell Phone-based Interventions for Violence Prevention Among Women and Girls in India Sunny Sinha , Aviral Shrivastava

CMHS/IC-16/096 ........................................................................................................................... 39Role of Health Management Information System (HMIS) in Monitoring of Maternal Health in a Vulnerable Area of Odisha, India Ranjit Kumar Dehury

CMHS/IC-16/097 ........................................................................................................................... 39A Markovian Feedback Queuing Model for Healthcare Management With Heterogeneous Service Bhupender Kumar Som

CMHS/IC-16/098 ............................................................................................................................ 41The Dynamics of Public-Private Partnerships in Healthcare in India: Yeshaswini as an Experiment Sonam Mansukhani

CMHS/IC-16/103 ............................................................................................................................ 42Delivering Health Information to the Population through Call Centers – 104 Health Information Helpline Vishal Phanse, Shailendra Kumar B. Hegde, Sriranga Prasad Saride Sridhar Upadhya


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CMHS/IC-16/104 ............................................................................................................................ 43Evaluation of Health Information System (HIS) Based on HOT fit framework: A qualitative study on Human, Organization and Technology (HOT) factors and their fit influencing the design and implementation of HIS in an Indian Super Specialty Hospital Janani N, S. Kannan, N. Jayaprada

CMHS/IC-16/108 ...........................................................................................................................44The statistics behind major epidemics Anand Yati

CMHS/IC-16/111 ............................................................................................................................. 45Performance Evaluation of Tree Based Classifiers With CFS Subset Evaluator for Intelligent Heart Disease Prediction Lakshmi Devasena C

CMHS/IC-16/114 ............................................................................................................................. 46Does Capital structure affect the profitability of healthcare sector in India? An Empirical Study Gurmeet Singh, Kritika Manshani

CMHS/IC-16/120 ............................................................................................................................ 47Sentiment Analysis of Corporate Hospitals Rythm Tyagi, Tarandeep Kaur

CMHS/IC-16/121 ............................................................................................................................. 47Effect of Preventive Risk Factors on Heart Disease Garimella Hari Pawan Kishore, Sanjyot Bhosale


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ABSTRACTS

CMHS/IC-16/KN-01

Quality & AccreditationNarottam PuriMedical Advisor, Fortis Healthcare

Quality has been best defined as “the degree of excellence at an acceptable price & the control of variability at an acceptable cost” Industrial & manufacturing Quality got a huge focus from stalwarts like Shewhart, Deming & Juran of USA. Japan embraced Deming and became a Quality champion in its products and Korea followed suit. Quality systems got embedded all over the world but Healthcare was a slow adopter. Outcome based Quality was proposed by Codman and it was the American College of Surgeons who, in 1918, laid the first outlines of what later became the guidelines for JCHO (JCI) in the nineteen fifties.

Accreditation became a vibrant Quality tool and the Healthcare World soon adopted it voluntarily. In India, the National Accreditation Board (NABH) was set up under the Quality Council of India (QCI) in 2005 and is today, the premier agency responsible for Healthcare Accreditation of hospitals, clinics, blood banks, AYUSH centers, Radiology, Eye & Dental Centers as wellness centers. Over 500 hospitals have become NABH certified & many more are in the queue. Benefits of NABH certification have percolated to patients, staff, payers & providers. The adage “High Quality Costs Less” is true.

CMHS/IC-16/KN-02

Some High Impact Collaborative Case Studies in Health And Medical ScienceKanti MardiaSenior Research Professor, University of Leeds and University of Oxford

This talk provides two collaborative case studies demonstrating the effective use of statistics of shape analysis in health and medical science which have come through my international, industrial and interdisciplinary collaborations.

The first case study is concerned with saving lives by analysing the shape of the brain. Specifically, our methods have been used on brain images to assess the extent of brain damage in people suffering from fetal alcohol spectrum disorders (FASD) and are used in court cases


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related to the death penalty for murderers, and to eligibility for state social benefits for babies. Secondly, I am working currently with medical doctors on analysing 4-D images related to cleft lip reconstructive surgery and I will describe its potential also to be of societal impact. One of the aims of these case studies is to stress that there are several ingredients for successful collaborative projects including ethical permission.

CMHS/IC-16/KN-03

Challenges and Opportunities for 21st Century India’s Healthcare: Better ROI in Health Outcome Gautam SenChairman, Healthspring Community Medical Centres

Key Messages

Though a significant improvement in our health parameter indexes have taken place since our independence now 69 years ago, we have lagged behind in our health outcomes as compared to other developed and developing world and even as compared to our neighbours like Sri Lanka, Thailand, and Malaysia. Bangladesh Maternal Mortality and U5MR are lesser than ours.

Our challenges are:

Poor Health Outcomes Large population both urban and rural are not even having access to robust routine care, which is modern, dependable and ethical, leading to exploitation and disastrous health outcomes.

Less and less funding is available for health from the Government and whatever little it is focused on Tertiary Care and funding for tertiary care treatment for BPL exposing for poor ROI and abuse of funds for unscrupulous elements.

Society, medical profession and government equally share the responsibility for these challenges. It is a joint responsibility therefore for each sector to bring in changes if we seriously consider better ROI in our meagre health budget for both at individual and government level.

The Society has to embrace tenets of P4 Medicine (Preventive, Predictive, Participative and Personalized health care) and invest heavily in its own health at individual and community level. The medical profession must reform its medical education by setting up need based curriculum which fulfils the need of the society and produce enough number of doctors at Primary Care level to serve the community and not just produce super specialist who serve minute section of public and that too at last stages of illness with huge burden of catastrophic


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financial crisis to the family and with poor outcomes. The Government must shift its focus from developing citadels of Tertiary Care Hospitals (6 AIMS like institutions) and devote its entire budget on developing a robust and comprehensive Primary Care System.

There is ample evidence available to show that a robust Primary Care system and care, not only brings down the cost of care in long run but also better health outcomes. Countries which have adopted this policy have shown that this strategy is the best way to improve national health outcomes at shortest time irrespective of its economic status.

All the three stake holders in healthcare- the recipient, the provider (Doctors and healthcare organization/institutions) and provider of finance to run the healthcare system should follow the principles of Accountable Care which ensures each stake holder is responsible for its own part and accountable for better ROI to be measured in clinical effectiveness and in its cost effectiveness.

CMHS/IC-16/KN-04

Healthcare Innovation and Entrepreneurship in India: Opportunity and ChallengesPradeep JaisinghFounder & Chairman, HealthStart, India

Healthcare industry in India is one of the fastest growing one and presents tremendous opportunity for entrepreneurship across the entire spectrum. The industry is projected to grow to $ 280 billion by 2020 from the current level of $ 100 B. That is an outstanding growth opportunity by any measure and therefore entrepreneurs could potentially choose any segment within the industry and there will be a definite need there.

From, chronic disease management to single specialty chains, from tech platform for health services to EMR/ EHR start-ups along with a range of innovative medical devices, we are seeing the entire spectrum covered with start-ups.

So, while the opportunity is unprecedented and very large, the challenges in India are formidable.

Anyone who thought that creating an “App” will enable them to create a healthcare company has realized how wide off the mark that thinking was. “


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CMHS/IC-16/KN-05

The Ethical Imperative of Transparency in Clinical Research: Obligations of Research Regulators, Scientists and JournalsAmar JesaniEditor, Indian Journal of Medical Ethics

Clinical experimental research all over the world and in India in particular, with new drugs, has come under the public scanner often due to its potential to harm participants and for massive commercial interests involved. There is a strong resistance to regulation of clinical research from sponsors, institutions and researchers due to fear of corruption and delays. There is nothing to regulate regulator except a good system of check and balance, operated in a transparent manner with inbuilt mechanism for accountability of each actor involved.

In addition to the mechanism for good protection of participants, the transparency expressed in terms of data sharing or opening up the clinical trial data for public scrutiny by other scientists, is also absolutely essential for good science, for the prevention of data manipulation and fudging.

The presentation would use examples of specific clinical research studies to explain the obligations of two major actors in upholding science and ethics - the regulators and the journal.”

CMHS/IC-16/KN-07

A Class of Covariate-Adjusted Response-Adaptive Allocation Designs for Multi-treatment Binary Response TrialsAtanu BiswasIndian Statistical Institute, Kolkata

A class of covariate-adjusted response-adaptive randomisation procedures is developed for binary treatment outcomes in a phase III clinical trial set up involving multiple treatments. The target allocation is developed by combining the ethical aspects with statistical precision under the existence of treatment covariate interaction. Relevant measures of the performance for the proposed allocation designs are studied and compared.

Keywords: Ethics; Covariate-adjusted allocation; Response-adaptive design.


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CMHS/IC-16/KN-08

Quality Paradigm in Healthcare: Time for the right focusSuresh SankarChief Medical Officer, Davita

The Indian Health care system is evolving amidst innumerable challenges. The phase, hurdles solutions vary based on the context of delivery. The Public health system presence is prominent in rural regions, preventive services like vaccination, maternal and child health. In select parts of the country they are providing secondary level care too. On the other hand, organised private health care services are dominantly in urban areas, in curative service and remains hospital centric and at secondary and tertiary level. In addition individual private practitioners provide primary care services in clinics

In recent years, as we transcend the barriers in health care, the quality narrative is gradually unfolding. But is the focus right? It is strongly debatable as to what should be defined as quality, but it is fair to say that we may not applying the most appropriate, relevant yardstick – outcome of care.

Paradoxically, the often criticised public health system uses outcome metrics in select situations. E.g., maternal and child survival is an excellent example. Clinical outcome is the most meaningful quality parameter for users of health care services, or patients or public, however we define them

In contrast in Private sector, quality of care is often extrapolated by projection of input, including infrastructure, technology, non-medical inputs including ambience and services. In recent years, voluntary accreditation by NABH is significant change in the right direction. The shift of emphasis towards evidence of processes against set pre-set standards, norming of the industry and encompassing all dimensions of hospital base care. But yet there is very little cross comparison, sharing of data in public domain or benchmarking. Hence data on quality is staying in silos within individual hospitals. Though there is an external review by the accrediting body, there is very little effort in terms verification of data quality, authenticity, methodology of data collection and elementary statistical analysis. Hence, as much that there could be claim for improvement in health care quality it is not in alignment with good global standards

Are there opportunities, tactics and capability and lessons to learn in improving quality metrics in health care? The answer is resounding yes. Hospital services may be a good place to start.


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The first and most evident fact is that most private hospitals are well enabled with IT and work with HMS, EMR and PACS. This provides access to large sets of data. The burgeoning private insurance is a meeting point of claims data which is a goldmine to explore variations in LOS, pricing, practice, services for a gamut of inpatient services. It needs an open mind set to collaborate and share data without compromising patient confidentiality and data security.

There have been some nascent efforts on outcome data in terms of Cancer registry, small network of registry of Mycocardial Infarctions. There are also some efforts to understand outcome of organ transplant. At Davita kidney care, we are committed to clinical quality as the key differentiator in care provision. We have chosen metrics that are routinely used in global best practices by payers. In addition we have set targets achievable in Indian context and measure our care against those targets. The key is build the culture of population health management coupled with individualized care, set report structures, diligence follow up to submission deadlines, reviews and CQI to drive quality.

Ultimately health care in India will need to move in this direction as “best outcome” is what we will expect for our loved ones and hence the patients we care for should receive nothing less. Measuring to know how we are doing and innovating ways to improve is a responsibility we all owe to the people we care for .

CMHS/IC-16/IT-01

Inter-generational Solidarity: as an Innovative Model of Long Term- Family Care which will de-stress the Existing Hospital Based Model of Health Care Prashun Chatterjee,Assistant Professor, Department of Geriatric Medicine, All India Institute of Medical Science New Delhi, India

Older persons, particularly the very old (80+), are the fastest growing population segment. While the Indian population was projected to increase by 40 per cent between 2000 and 2050, the number of persons aged 60+ will increase by 354 per cent. These proportions and numbers have important implications for societal institutions, namely the family, the community, the health system, the social welfare system, and pension and financial services.

Very old population suffers from multi-morbidities (multiple non communicable disease) and geriatric syndromes like fall, frailty, depression and dementia.


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Older adults spend 40%-50% of total hospital budget due to prolong hospital stay, complexity of their problems, complication and recurrent hospitalization.

With changing demographics caring for this frail cluster is a matter of great concern, with limited skilled manpower and immature health policies.

Home care, long-term care, economics of care, quality assessment and quality assurance in institutions of care are some of the issues that need to be examined with for evidence for intervention.

Active ageing, if proactively practiced as a lifestyle, will reduce the burden of NCDs and geriatric syndrome.

It will also have a multiplier effect on the cultural, social, and economic well being of our society. Within the existing social fabric in India, the grand children/youngster can play the role of health educator as traditionally and culturally these two-generation are connected to each other.

The Department of Geriatric Medicine of AIIMS in association with Healthy Aging India, a New Delhi based nonprofit organization, have conducted a study in nine schools of the capital of India “Reaching elderly through school children-a pilot initiative.” The study suggests a positive response both from youngster and their grand parents. Approximately 70% of school students between 14 to 18 years of age who had participated in this workshop connected with their grant parents, collected their health related data effectively, and were also sensitive to their grandparents in lifestyle modification. Creating awareness among multiple stakeholders through youngster will help to reduce unnecessary hospital visits and also make use of national health budget more judiciously.

These methodology is not only innovative, it has technology component, involving the young generation and with minimal usage of skilled manpower.

This may also help to bridge the gap between hospital, community, and long-term care.

Key words: Active Aging, Inter-generational Solidarity

Stream: Social and Cultural Perspectives on Aging


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CMHS/IC-16/003

Adoption of E- Health Services in India: A Decomposed TPB ApproachAnubhuti DwivediProfessor and Director, JP School of Business, Meerut (U.P.).

Technological innovations have significant impact in human life. Whilst healthcare is globally the biggest service industry, it has yet to realise the full potential of the e-business revolution.

Each country is positioned differently and has varying potential and preparedness regarding embracing e-commerce technologies generally and e-commerce in healthcare in particular.

Introducing information technology into health care services may lead to improvement in productivity, reduction in cost and has the potential to increase user satisfaction. However, obtaining these benefits is to a large extent dependent on consumers’ readiness to adopt technology. The present research is concerned with consumers’ readiness and attitudes towards accepting and adopting e-commerce in the area of healthcare.

The research framework in this study is adapted from Taylor and Todd (1995) and is based on the theory of planned behaviour (Ajzen 1985) and diffusion of innovations theory (Rogers 1983) is used to derive the factors.

Multiple linear regression analysis was used to test the hypotheses formed for the study. The independent variables (attitude, subjective norms, and behavioural controls) were regressed on “intention to adopt” as the dependent variable. Factor analysis was used to analyse for convergent and discriminant validity of the constructs.

The findings show that intention to adopt e-health services can be predicted by attitudinal and perceived behavioural control factors, but not by subjective norms. The attitudinal factors that are significant include relative advantage; compatibility with respondent’s lifestyle, experience, and needs; trialability; perceived complexity and risk. Subjective norms, in the form of the influence of the Internet user’s consumer-relevant groups, are found to have no significant relationship with intention to adopt e-health services. Both the variables of self-efficacy and technology support are found to be important with regard to perceived behavioural control.

Key words: E-health, Health Services, Theory of Planned Behaviour, Innovations


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CMHS/IC-16/006

The Learning from Literature Analysis for Health Care Assessment and Health Care Waste Management using Multi Attribute Decision Making TechniquesNital P NirmalAssistant Professor, Department of Production Engineering, Shantilal Shah Engineering College, Gujarat

Mangal G. BhattPrincipal, Shantilal Shah Engineering College, Gujarat

In the real world, health care organization carried out the various health caring activities such as chemotherapy, dialysis, surgery, delivery, resection of gangrenous organs, autopsy, biopsy, etc. Recently due to rise in the environmental problem causes health care wastes which makes essential to learn Multi Attribute Decision Making (MADM) techniques.

The current research paper focus to broader emphasized area for decision making (i) Health care assessment such as various methods of disease identification technique; among them selection of right curing technique, selection of medical machinery and (ii) Health care waste management practices like segregation, minimization, collection, storage, transport, disposal and treatment; The disposal of Health Care Waste (HCW) is considered as an important environmental problem.

MADM techniques are appropriate to deal with this kind of decision making environment; where the numbers of alternatives and attributes (criteria) considered for ranking and selection. Attributes are beneficial or non-beneficial qualitative and quantitative considerations of the Health Care Waste Management (HCWM) and Health Care Assessment (HCA). The current research papers focus on the literature analysis for HCA and HCWM carried out using MADM techniques.

Another contribution is to transfer the complied information from research to their peer to support in designing the robustness for modeling of selection process under medical health care organization. Further research carried out for ranking and selection of various diagnosis machine selections, diagnosis test for cancer or other detection and different ways of medical waste disposal with MADM techniques making carried out.

Key words: Health Care Assessment (HCA), Heath Care Waste Management (HCWM), Multi Attribute Decision Making (MADM), Medical Health Care (MHC).


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CMHS/IC-16/012

Improving Patient Discharge Process in Hospitals by Using Lean Approach Bharadwaj MalepatiGeneral Manager, Ortho-One Orthopedic Specialty Centre, Tamil Nadu

Neha ChalasaniAssistant Professor, Dept. of Hospital Administration, Dr.N.G.P Arts & Science College, Tamil Nadu

The need to increase the efficiency of health care systems is becoming an obligation, and one of the areas of improvement is the discharge process. The objective of this study is to minimize the patients discharge time by using lean approach, this improvement will also lead to an increase in patient satisfaction, increase the number of admissions and turnover on the rooms, and hence increase the hospital profitability. It is a Descriptive research study and random sampling method was used. The overall TAT for the patient discharge process was compressed from 4 hours 42 minutes to 2 hours 29 minutes, discharge satisfaction level went up from 86.7% to 90.47% and overall satisfaction level went up from 89.10% to 94.8%. This enhanced the capacity of the hospital for admitting additional patients by 84 per year

Key words: Lean, Rapid improvement event, Current state process mapping, Rapid experiments.

CMHS/IC-16/014

A practitioner’s view of Market Research for Medical Devices – Methods, Applications and how to Increase EffectivenessNishant MehtaGlobal Senior Product Marketing Manager, Medtronic, Shanghai, China

The med-tech ecosystem is currently seeing the emergence of players in addition to the existing stakeholders - Patients, Physicians, Providers, Payers and Policy Makers. The paper provides the empirical perspective of a player that has utilized market research to make business decisions and drive better outcomes. Once the organizational goal is defined, six key business decisions impact the ability to perform. These pertain to the customer/market, unmet needs, jobs-to-be-done, customer value proposition, and technology/vehicle and solution delivery. Market research can guide the decision maker in selecting the right option(s) among alternatives. The recommended process can be applied to any enterprise across industry verticals.


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Since the healthcare context poses additional constraints on the selection of options, suggestions are provided to ensure efficiency. A filtering framework – TRAC (Temporal, Relevant, Actionable, Cost–effective) ensures that due diligence is conducted before research proposals are executed. The paper subsequently describes various research methods utilized to determine business decisions. Common pitfalls are pointed out and a structured heuristic is proposed to enhance the effectiveness of market research. The key is to communicate creatively and crisply.

The author uses surrogate measures to indicate a positive correlation between the market research spending and success in the marketplace. Interesting future areas for investigation would be to determine metrics for assessing benefits of market research and to propose an ROI model.

Key words: Market research, Medical devices, Research methods, Research effectiveness

CMHS/IC-16/015

Risk and Return Analysis of Pharmaceutical IndustryPrameela S. ShettyProfessor, SDM PG Centre for Management Studies and Research, Mangalore

Ramya ShettyProfessor, SDM PG Centre for Management Studies and Research, Mangalore

Devaraj K, DirectorSDM PG Centre for Management Studies and Research, Mangalore

Stock exchange is an organized market for purchase and sale of listed securities. Any rational investor, before investing his or her investible wealth in the stock, analyses the risk associated with the particular stock.

The Indian pharmaceuticals market is the third largest in terms of volume and thirteenth largest in terms of value, as per a report by Equity Master. India enjoys an important position in the global pharmaceuticals sector.

A company which has a higher intrinsic worth, is not necessarily the best stock to buy. It may have no growth prospects or it may be overpriced. Hence an analysis of risk and return guides an investor in proper profitable investment.

The objective of the study is to analyse risk and return of investment in pharmaceutical industry, to measure the actual returns and guide the investors. This is done by selecting a group stock of


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the pharmaceutical sector listed in BSE and found out the risk and returns involved in the stock. Beta is calculated for every stock. Return is calculated for 5 years by taking the yearly opening price and closing price of all the selected stocks.

Based on the calculations the investor can come to a conclusion that investors should analyse the market on a continuous basis which will help them to pick the right companies to invest their funds. The return and Beta value will help the investors in arriving at the right decision.

Key words: Pharmaceutical industry, Rational Investor, Beta value, Ratio Analysis

CMHS/IC-16/016

Appraisal of Attitude, Acquaintance, and Awareness of Diabetes Mellitus in rural vicinity of central India: A cross-sectional studyRahul KhandelwalInstitute of Management Studies, Carrier Development and Research, Maharashtra

Understanding the needs of rural diabetic patients is managing diabetes mellitus is now of foremost importance to control DM equitability in India. Very limited studies have been conducted before, which assessed the awareness of diabetes mellitus especially in rural vicinity of India. The aim and objective of the study was to evaluate the Attitude, Acquaintance, and Awareness of Diabetes Mellitus in rural area of central India: A cross sectional study was conducted at rural area in Ahmednagar, Maharashtra, India. A well-structured questionnaire was distributed to 80 respondents. Non probability convenience sampling method was used to collect the data and statistics were drawn by using SPSS 19. Major result in the present study revealed that, 34% chewing tobacco and 27.33% have alcohol every day. Hypertensive was 21%. Major of the respondent knew the reason of diabetes but did not know any symbols & symptoms of diabetes. Overall, the present study showed that the awareness, attitude and acquaintance were low in rural area of central India. Lower literacy rates and old age encumber the occurrence of knowledge regarding the diabetes. In categorize to auxiliary prevent new cases and complications of diabetes, new schemes, seminars, counselling sessions, workshop and policies of health awareness should be implemented at the grass root level.

Key words: Diabetes Awareness, Attitude, Acquaintance, Risk Factors.


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CMHS/IC-16/020

Emotions in Health Care Organizations: A Human Resource Managerial PerspectiveDeeba HasanDental Officer, Moti Lal Nehru Divisional Hospital, Allahabad (U.P.)

R. RaghunathanAssistant Professor, Department of Management, BITS Pilani, Pilani

The concept of Emotional Intelligence (EI) has been a subject of much curiosity ever since its inception in the not-so-recent-past. Healthcare is an area where EI has largely been ignored, specifically in the domain of human resource management, despite human resources being the most emotionally-fraught and stress-riddled resources in healthcare. Some of the impediments have been the fleeting nature of emotions and lack of an integrated model. Furthermore, emotions are dynamic and manipulable from day to day. EI offers a tantalizing glimpse into a world of possibilities from a managerial perspective. The concept of integrating emotional influences in human resource management within healthcare is a gap that needs fulfilment. Extant research on emotional influences within the health care sector is in its nascent stages and this study advances our understanding of the impact of emotions and stress levels within a hospital set-up.

This study delves into the emotional landscape viz. the emotional intelligence and perceived stress of employees at MLN Divisional Hospital, Allahabad. The study investigates the differences between the administrative and non-administrative employee groups in terms of their ‘emotional make-up’ and attempts to probe the reasons therein. It also explores factors that might influence emotional intelligence and perceived stress (PS).

A cross sectional, uni-centric study was conducted in MLN Hospital and the primary data was collected from 108 respondents by using a pre-validated, structured inventories of Schutte’s Self-Report on ‘Emotional Intelligence Test’ and Cohen’s ‘Perceived Stress Scale’.

Descriptive and inferential statistics were used to analyse the days. Data analysis also comprised of cross tabulations, Chi-square test and comparative mean values of EI and PS across variables, Student’s t-test, Anova test, Correlation and multiple regression.

Overall mean of ‘Emotional Intelligence’ score was 109.29 +_12.95 (unusually low). Overall mean of ‘Perceived Stress’ score was 16.07 +_5.23 (above average). Non-Administrative group scored more than Administrative group for Emotional Intelligence. However, no significant difference was observed for ‘Perceived Stress’.


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The findings illustrate the ramifications of emotional intelligence in health care sector and underline how it is an entity distinct from Intelligent Quotient. The association between emotional intelligence and perceived stress and the effects of demographic, academic and social factors on both is discussed. Strong areas and weak areas that need reform are identified. Recommendations and suggestions for improving the same are given. It is suggested that the hospital would benefit from comprehending and incorporating emotional intelligence and decreasing perceived stress levels that arise as an inexorable part of a complex hospital set-up.

Key Words: Emotional Intelligence, Perceived Stress

CMHS/IC-16/025

Assessing Managerial Competencies among Hospital Managers of NepalSharad H GajuryalSchool of Public Health & Community Medicine (SPH&CM)

Nilambar JhaB. P.Koirala Institute of Health Sciences, Dharan, Nepal

Sidhartha SatpathyDepartment of Hospital Administration, AIIMS, New Delhi

Paras K Pokharel Prof. & Chief, School of Public Health & Community medicine, B. P. Koirala Institute of Health Sciences, Dharan, Nepal

Background & Objective:

There is MD in Hospital Administration course in SPH&CM and its objective is to produce competent and efficient hospital managers suitable for the country. Managerial Competency comprises the knowledge, skills and behaviours or psycho-social characteristics needed to perform a role effectively in an organization to enable the organization to achieve its strategic goals. To make more improvement in the course this study aims to assess the level of managerial competency, important competency statement & gap of current actual and ideal required competency level of hospital managers.

Materials & Methods:

This cross-sectional survey used self-administered questionnaire based on Senior Management Service (SMS) competency framework of Department of Public Service and Administration (DPSA) for health care manager consists of eleven generic competencies conducted in sixty


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two hospital managers working within different regions of Nepal. Data for individual variables were summarized using Mean, standard deviation, Frequency and percentage. The data were subjected to paired t test for evaluation & to measure the significance of difference between the mean of self-assessed proficiency level and perceived important level of competency among overall managers and between physician and non-physician managers separately. Both Physician & non-physician managers lack most of the competencies.

Results:

The study Reveals that there is a definite gap between the perceived level of self-competency and perceived level of ideal required competency among the hospital managers of Nepal The least developed competencies were strategic capacity & leadership (p=0.001), program and project management (p=0.005), service delivery innovation (p=0.001), financial management (p=0.001) human resource management (p=0.019) & knowledge management (p=0.008). Most important competencies regarded as strategic capability and leadership; and human resources management & service delivery innovation.

Conclusion:

The areas of competency gap were identified among hospital managers of Nepal. Out of 11 different competencies, Nepalese hospital managers lack few major competencies related to achieve organizational goal. Any management program or training to be planned should be more concentrated on these competencies so that it can improve the competency level of Nepalese health care managers.

Key words: competency gap, hospital manager, managerial competencies

CMHS/IC-16/026

Friendly reporting system in Pharmacovigilance: iCURE adverse eventSravan Kumar GundaJeevan Scientific Technology Pvt. Ltd, Hyderabad

Pharmacovigilance plays a major impact on public health, reducing patients, increasing quality of life and decreasing risk factors of the drugs. Under current conditions the Adverse Drug Reactions (ADR) are reported less than 5 %, when compared to the occurrence of the ADR’s. According to many surveys conducted by NGOs, it was reported that about 95% of the health care professionals (HCP) are not interested to report any ADR’s due to lack of time & facilities, poor reporting systems, lack of proper laws, lack of knowledge on pharmacovigilance and its importance in public health and etc.


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In order to make reporting for more user friendly, quick and translucent, iCURE adverse event mobile application was developed and this application was live in android play store from 25 Nov 2015. This mobile application would really help the HCP’s for reporting ADR’s.

In order to make reporting for more user friendly, quick and translucent, iCURE adverse event mobile application was developed. This mobile application would really help the HCP’s for reporting ADR’s.

Page 1: New complaint, verification of your compliant and suggestions to the company

Page2:ReporterIdentification

Page3:Patientdetails

Page4:Druginformation

Page 5: Event description and document attachment

When a user raises a complaint, it first reaches to the common mail box which is controlled by the application (iCURE) holder and from there it will be distributed to the individual company folders (like GSK, Pfizer, Ranbaxy and etc, based on the product manufacture). This complaint will be then distributed to the concerned MAH or manufacturing company of the country where the drug was manufactured, along with a duplicate copy to the concerned health authority

Currently we had around 50 plus downloads and around 25 users who had registered in our application database. In future, this mobile interface will be contacted to eCRF (electronic case report form), by this usage of paper form will be reduced and timelines for reporting and be met more efficiently.

CMHS/IC-16/031

Cost Analysis and Utilization Study of Mechanical Ventilators’ in Adult ICUs’ at a Tertiary Care Teaching Hospital. Usha RaniAssistant Professor, Dept. of .Public Health, Manipal University, Manipal

Introduction:

In order to optimize resource consumption and uniformity in resource distribution especially costly and vital equipment, it is necessary to calculate and compare cost and revenue centre areas in ICUs.


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Objectives:

To study fixed and variable costing, contribution margin and the actual profitability of ventilators’ in ICU.

Methodology:

The study was conducted in 6 Adult ICUs of a tertiary care teaching hospital in Southern India during 3-month study period. Actual revenue and utilization data of mechanical ventilators’ in ICUs’ were collected. The cost calculation was categorized as fixed costs and variable costs. Then the contribution margin followed by cost volume profit calculation was performed.

Results and Discussion:

A total of 666 patients requiring mechanical ventilation got admitted in 6 Adult ICUs over a period of 3 months. Surgical ICU has the highest number of beds. Male admissions were found to be more as compared to female admissions except in Burns ICU. Most of the payers were predominantly self-paying or out of pocket expenses. Medical ICU had maximum number of patient days as compared with other ICUs. Contribution Margin of Medical ICU was highest and Burns ICU was found least.

Conclusion:

The ventilators are lifesaving critical equipment for the hospital’s ICUs, its proper allocation and utilization will add up further to the profit margin of the hospital.

Key words: Intensive care unit, ICU, ventilators, fixed cost, variable cost

CMHS/IC-16/032

Regulation of Medical Devices In India: An Ontological AnalysisAnyesha MitraNational Law School of India University, Bengaluru, Karnataka

Arkalgud RamaprasadUniversity of Illinois at Chicago, Chicago, Illinois, USA

The regulatory regime for medical devices in India is complex and evolving at a great speed. It will have a significant impact on healthcare delivery in the country. However, the development of a sound regime has been a constant challenge for the policymakers.

It is imperative that the policymakers have a clear picture of every aspect of the medical devices industry. Without a clear picture, one risks replaying the proverbial story of the five blind men each of whom imagined an elephant differently after touching its different parts. A sighted wise man helps them map these “parts” and visualize the whole elephant. Similarly, without a clear


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visualization of medical devices regulation domain, the policy makers may continue to fumble in the dark and leave the whole less than the sum of the parts. (Ramaprasad & Syn, 2015)

This paper presents an ontological framework which aims at viewing the domain of regulation of medical devices in its entirety. It is a systemic framework which has been systematically developed based on prevailing international practices on the topic. This paper presents (a) the ontological framework, (b) the results of mapping two key documents on the regulation of medical devices onto the framework, and (c) the implications of the relative emphases on various elements highlighted by the mapping (d) future scope of the framework.

Key words: medical devices, ontology, regulation

CMHS/IC-16/033

Elderly Healthcare in India: An Ontological Meta-Analysis Sohom DasguptaNational Law School of India University, Bengaluru, Karnataka, India

Mantasha HusainNational Law School of India University, Bengaluru, Karnataka, India

Sakshi MehraNational Law School of India University, Bengaluru, Karnataka, India

Neeraj PanickerNational Law School of India University, Bengaluru, Karnataka, India


Snehil SinghNational Law School of India University, Bengaluru, Karnataka, India

India, the world’s second most populous country, has experienced a dramatic demographic transition in the past 50 years, entailing almost a tripling of the population over the age of 60 years. Though there is a demographic dividend to be expected in the next few decades, the process of ageing has begun and will soon begin to impact fiscal policy decisions. This analysis is focused on the elderly as a group, which has long been neglected. India is likely to pay a heavy price in terms of social and economic distress in the decades to come, if the neglect of its senior citizens continues. Using a logically constructed ontology based on a detailed literature review of the elderly healthcare domain, we map the operational guidelines of the National Programme for Health Care of the elderly, 2015 to reveal the ‘bright’, ‘light’, and ‘blind/blank’ spots in them. The analysis of the results will further help to develop a roadmap for future policy documentation on elderly healthcare in India. It would also enable comparison between elderly healthcare policies across countries.

Key words: elderly, healthcare, ontology, India


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CMHS/IC-16/034

Surgical Procedures For Optimizing Resources In Low Resource Setting: An Ontological Analysis Sreekar Agumbe PaiM S Ramaiah College and Hospitals, Bengaluru, Karnataka

Nanda Kumar Bidare SastryM S Ramaiah College and Hospitals, Bengaluru, Karnataka

Monisha MadhumitaM S Ramaiah College and Hospitals, Bengaluru, Karnataka


Thant SynTexas A&M University, Laredo, Texas, USA

The global surgical burden is very huge and a substantial amount of money has to be spent by people to get operated. Many people in the low socio-economic strata may not be able to bear the cost of their surgeries.

Objectives: The study was conducted to stratify and critically analyze the most commonly performed surgeries and to ascertain the resources essential for the same using a structured ontology.

Methodology:The total number of patients included in the study was 1374, of which 862 were males and 512 females. The three most frequent surgeries, with the frequencies in parentheses, are: Laparotomy (200), Inguinal Mesh Repair (180), and Major Debridement (170); the three least frequent are Liver Hydatid Cyst Drainage (8), Pilonidal/Gluteal Abscess I&D (8), and Ray Amputation (8). The total number of surgeries in the sample is 1917. The data were coded onto an ontological framework.

Results & Discussions: It was seen that nearly 76% of the procedures are within INR 25,000/- and 56% of the cases are Level 1 and Level 2 as per the standard surgical classification. These suggest that a large group of surgeries can be packaged and made available at low resource centers at an affordable cost to the community. It is possible to develop Level 1 and Level 2 surgeries in peripheral centers. The administrative authorities can concentrate on them.

Key words: surgery, ontology, resources, optimization


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CMHS/IC-16/035

Determinants of Non-use of Contraceptives: An Ontological Analysis Hamsa T. SwamyM S Ramaiah College and Hospitals, Bengaluru, Karnataka,

Nanda Kumar Bidare SastryM S Ramaiah College and Hospitals, Bengaluru, Karnataka,


Shivaraj N SAssistant Professor, M S Ramaiah Medical College, Bengaluru, Karnataka

Thant SynTexas A&M University, Laredo, Texas, USA

Introduction

Family planning is a fundamental right of every human being. According to National Family Health Survey-4 Karnataka survey (1) the rate of female sterilization is 48.6%, as compared to 57.4% in the NFHS-3 survey. Further per NFHS-4 the rate of male sterilization is 0.1%, IUD/PPIUCD is 0.8%, pill use is 0.4%, and condom use is 1.3%. This study aims to determine factors influencing contraceptive non-use among women aged 15 - 49 years in a rural area in Karnataka.

Methodology:

An ontological framework explicates several potential reasons for use and non-use of contraception.(2) It deconstructs the issue of use (non-use) into four dimensions. Three focus group discussions were conducted in Ardesahalli Primary Health Center area to assess the knowledge and attitude of the women with regards to use and determinants for choices of contraceptives.

Results and Discussion:

The dominant factors (numbers mentioned in parenthesis) in deciding whether to use or not use among Group 1 (Mothers-in-law) &Group 2 (Married women) are: social – lack of knowledge [19, 22], fear of side effects [11, 19], cultural – preference for male child [5, 1], need for more children [8, 5], and biological- inability to conceive [4, 0]. It is evident from the above that non-health determinants viz. social and cultural influencers have a greater role in non-acceptance of contraceptives. The same needs to be incorporated in the national family welfare program to achieve greater effectiveness.

Key words: Contraception, Ontology, Non-Health determinants, Rural


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CMHS/IC-16/038

Identification of Epileptic Seizure from EEG Signals using a Signal Processing and Machine Learning based Hybrid MethodRama Krishna SinghAssociate Director, United Health Group, Noida

Epilepsy is a neurological disorder which involves recurrent seizures as a result of abnormal electrical discharges in the brain. Of the 70 million persons with epilepsy (PWE) worldwide, nearly 12 million PWE are expected to reside in India; which contributes to nearly one-sixth of the global burden. In Europe, nearly 6 million people have epilepsy while 3 million cases are found in USA. Pharmacotherapy is a standard treatment offered to epileptic patients however, it doesn’t provide seizure control for more than 25% of patients. Past research efforts focused on using various techniques on electroencephalogram (EEG) for detecting seizures but complementary effect of these techniques has not been studied extensively. In current research an effort has been made to utilize a hybrid method based on signal processing and machine learning to detect seizures using EEG signals. Signal processing techniques such as Fast Fourier Transform and Wavelet decomposition are used to decompose the signal and get the power components. Various other methods are used to extract the signal disorder/complexity such as Fractal dimensions, Entropy measures and Phase locking. Several cutting-edge machine learning algorithms such as Random Forest, Boosting and Extra tree are applied to the measures created above to predict the epileptic seizure. Final result is an outcome of ensembling using stacking algorithm which gives additional boost to the seizure prediction accuracy.

Key words: Epilepsy, Signal Processing, Fourier Transform, Machine Learning

CMHS/IC-16/039

Telemedicine as a Tool to Cure Indian Health: Present Scenario and Future ProspectsGurpreet RandhawaAssistant Professor, University Business School, Amritsar.

Sabia SinghResearch Fellow, University Business School, Amritsar.

Telemedicine is a type of an electronic health that allows the patients to receive medical services from a long distance with the help of various electronic communication tools like smart phones, email, two-way video and other wireless tools. The main aim of the present study is to examine the use of telemedicine as a feasible tool to prevent as well as cure the various health related


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problems in India. The present paper is based on the secondary sources of data which have been collected from the various reports of World Health Organization, Ministry of Health & Family Welfare, and Brazilian Ministry of Health, Ministry of Science, Technology and Innovation etc. The paper is divided into four sections. In Section I, the concept of telemedicine is discussed along with its various types and clinical applications. Section II discussed the present status of telemedicine in India. In this section the paper cited efforts of Apollo group of hospitals which is considered as a pioneer in introducing telemedicine in India along with the ISRO’s achievement in the field of telemedicine. Section III highlighted the successful application of telemedicine projects in Brazil, which is considered to be one of the most advanced countries in the field of telemedicine in Latin America and the Caribbean. Section IV mentioned the key challenges and barriers for the implementation of telemedicine applications in India and also suggests some measures to ensure successful implementation of telemedicine practices in the country.

Key Word: Telemedicine, Healthcare, Telehealth, Brazil.

CMHS/IC-16/040

Management of Intellectual Property Vis-à-Vis HealthcareMayuree SenguptaFellow, School of Tropical Medicine; Alumnus, Indian Institute of Technology, Kharagpur

Healthcare is characterized as “Services provided to individuals or communities by health service providers for the purpose of promoting, maintaining, monitoring or restoring health.” by WHO Centre for Health and Development. The healthcare industry like other similar service based industries relies profoundly on innovation to provide better healthcare solutions. Since innovation is R&D driven and IP centric, it is essential to protect and manage IP. IP being a valuable corporate asset and a strategic business tool, three case studies have been selected to examine the pros and cons of IP management in healthcare domain. An IP driven company, a vaccine and gene based patent comprise the instruments which have been highlighted in the course of the analysis. The proposed paper will be of interest to stakeholders in understanding the pros and cons of IP management in healthcare sector and appreciate that mere generation and/or protection of IP will not suffice in regulation intensive healthcare industry.

Key words: Intellectual Property, Healthcare, IP Management, Case-study.


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CMHS/IC-16/041

Health Care: Patient Oriented Perspective and Measure DevelopmentEkta DuggalAssistant Professor, Motilal Nehru College, University of Delhi

Harsh V. VermaProfessor, Faculty of Management Studies, University of Delhi

Improving the health care services is one of the most important goals of any nation. Healthcare comprises of various complexes and highly specialized services and occupies a significant place in the services sector of an economy. The progress of health care sector determines socio-demographic indicators in a society and is essential for almost everyone at some point. Unlike earlier times the relation between a health care practitioner and recipient of the services has changed. Healthcare organizations need to embrace marketing orientation in order to be able to take a pie of growing market of health care services. The market growth is coupled with globalization, intensification of competition and rise of demanding customer. This transition from operations orientation to marketing oriented mindset requires a change in the way health care services are defined and the way they are delivered. Several areas assume importance in this context including marketing segmentation, product development, service delivery process reengineering, service communication, health care quality and post treatment care management. In the present times, the sustenance and success of health care sector depends on the satisfaction it provides to its clients. Research in health care patient experience in India needs to be strengthened. Scale assessing health service experience specific to Indian context need to be developed and validated. In this regard, the present study strives to fill this gap and contribute to the literature by developing health care patient experience scale in Indian context which would enable health care providers to assess their services and thereby improvise on significant patient experience aspects.

Key words: Healthcare patient experience, healthcare quality, patient-centric health care, patient satisfaction.


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CMHS/IC-16/047

Elair Model for Better Work Life Balance and Empowerment of Women Faculty in Medical Colleges of Kerala Dhanya J.SAssistant Professor, CET School of Management, Trivandrum

D. KinslinProfessor & Head, Noorul Islam University

Work–life balance is a concept including proper prioritizing between career and ambition and personal life. The expression “work–life balance” was first used in the United Kingdom in the late 1970s to describe the balance between an individual’s work and personal life. The shift in working patterns, the necessity to learn and relearn and be tech savvy, longer working hours, more erratic work schedules, need to develop and impart soft skills and life skills, the increasing prevalence of two career families, the demands of constant accessibility and global collaboration; has made long lasting impact on the work life balance of teachers in the medical profession. A healthy work environment is very essential for a teacher in medical college to be productive and successful. Work life imbalance leads to poor performance, poor concentration, reduced efficacy levels and work family conflict; which could be detrimental to the health of the individual in the long run. Prior research points out that a women teacher struggles hard to strike the balance between being a caring homemaker and a responsible teacher. Hence there is a pertinent need to analyze and study the issues and factors associated with work life balance of women faculty in Medical colleges offering various courses. It is an inevitable requirement to compare and contrast the work life balance across educational institutions and bring to light any inadequacy of the initiatives taken by the authorities and colleges to achieve a healthy work life balance for medical college teachers in the chosen disciplines. The dependent variables in the study are Satisfaction, Job Engagement and Work Life Balance. The independent variables include personal variables, family variables and work related variables. The analysis was conducted using chi-square test, ANOVA test, Regression analysis and Correlation analysis. The women faculty were found to have moderate satisfaction and moderate work life balance, which was relatively high in nursing and pharmacy domain and least in medical domain. ELAIR Model was constructed as a result of the study findings.

Key words: Job Engagement, Satisfaction, Dual Role Conflict, Work to Family Conflict, Family to Work Conflict


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CMHS/IC-16/049

Lights on Beyond Pay Cheque to Encourage Employee Retention–A Study at Meenakshi Mission Hospital and Research Centre – Madurai – TamilnaduM.BharathDoctoral Student in Management, Madurai Kamaraj University, Madurai, Tamilnadu.

A.Velanganni JosephChairperson, School of Youth Empowerment, Madurai Kamaraj University – Madurai - Tamilnadu.

A Big challenge in the competitive labor market to the managers particularly to HR professionals in the organization is that finding out the potential employees, attracting and retaining them for long period. It is getting importance the healthcare industry in its employee retention practices since it is rapidly growing and expanding its services locally and globally. It is identified through many research findings that employee migration and turnover in the healthcare industry is increasing. It becomes a big challenge to the healthcare organizations. There is an expectation among employees beyond pay cheque as treatment, respect, recognition from superiors and peer members, work supportive programs and system. Though they are highly paid, if they are poorly treated, if they are not recognized, they will quit their job. The research study was conducted at Meenakshi Mission Hospital and Research Centre (MMHRC) – Madurai, Tamilnadu. The study aimed to study retention measures beyond pay cheque, the satisfaction level and the significance of beyond pay cheque practices as managerial implication to retain MMHRC employees. By conducting employee survey among 200 respondents and interviewing 36 respondents of both medical and non medical employees, the study results the satisfaction level of respondents on beyond pay cheque and financial benefits is high whereas the satisfaction level of respondents on pay cheque and financial benefits is medium in the aspect of employee retention in MMHRC. There is no significant impact of retention measures pay cheque and financial benefits. But there is some other variables nature of job, motivated work environment, treatment, respect, recognition, feedback system, work supportive programs which has significant impact on retaining employees.

Key words: Beyond Pay Cheque, MMHRC, Retention Measures, Satisfaction.


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CMHS/IC-16/050

Evaluation of Effect of Electronic Gadgets on Children’s Health: An Empirical StudyAkondi SrikanthAssociate Professor, PACE Institute of technology & Sciences, A.P

Sk. RubeenaDepartment of Business Administration, PACE Institute of technology & Sciences, A.P

D.AswaniDepartment of Business Administration, PACE Institute of technology & Sciences, A.P

The reports from World Health Organization (WHO) and National Centre for Health Research (NCHR) reveals that the world nations including India have warned children for not using Electronic Gadgets as they lead to Brain Cancer and other abnormalities. The overall objective of present study is to know the respondents’ agreement towards the consequences faced by children due to their exposure to Electronic gadgets. A Cross-Sectional Study of Descriptive Research Design is conducted in Ongole on a Sample of 153 households chosen using proportionate stratified random sampling technique. The Collected data through schedule is analysed using SPSS 22 version. It is observed that there is a significant effect of Usage of Electronic gadgets (especially Television and Cell phone) by children on their health and behaviour. Gender and age of the children (up to 14 years), parents’ educational background and income levels are not effecting on the consequences faced by children with gadgets. Around 76 (49.67%) out of 153 parents agrees that their children are facing consequences like headache, lagging interest in outdoor games, loss of eye site, obesity, aggressive behaviour, won’t mingle with relatives, sleeping problems and even falling interest towards school by the usage of these gadgets. To overcome these consequences, the study suggests the parents to spend more time with their children, put them on physical exercises and yoga. The survey can further be extended to other age groups to extract their consequences on them and belongings.

Key words: Electronic Gadgets, Descriptive Research, Consequences


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CMHS/IC-16/055

Simplifying New Product Development in Medical Devices and Perfecting the Launch ProcessNishant MehtaGlobal Senior Product Marketing Manager, Minimally Invasive Therapies Group (MITG), Medtronic, Shanghai, China

New Product Development (NPD) and Launch Effectiveness are critical to the sustainability of a medical devices firm. The paper establishes key characteristics of the industry today and provides examples of how synergies are harnessed by constituents for product innovation. The clustering seen in the information technology space is also observed here. Its causes and implications are discussed.

Before performing a detailed review of the stage-gate NPD process adopted at the author’s firm, established models from various industries such as software development and aviation are analysed. Applicability to medical devices is assessed.

The NPD model currently practiced has 6 stages – Pre-Concept, Concept, Feasibility, Development, Qualification and Launch. Stage-wise objectives, deliverables and team constitution are discussed. Outcomes of the process along with what is needed to make it work are illustrated. Recommendations for improvement are proposed.

Subsequently, the paper elaborates on the three phases of launch execution – Product Readiness, Market Readiness and Organizational Readiness. To launch effectively, these phases must be synchronized with the different stages of the NPD process. A clearly defined division of responsibilities between Upstream and Downstream Marketing can further strengthen launch execution through the Product Life Cycle. Lead and lag indicators to measure launch effectiveness are provided.

In summary, there is opportunity for NPD and launch execution to be standardized so that the medical device industry can mature and deliver innovation at clock speed at par with allied sectors.

Key words: Medical devices, New product development, Product launch, Launch effectiveness


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CMHS/IC-16/059

Santhwanam Programme of Kudumbashree - a Women Initiative in Health Care in the State of Kerala. A Comparative Study on Quality of Life among Patients Receiving and not Receiving the Service. Preetha ZazjnayLecturer in Management, University Institute of Technology, University of Kerala.

Dr. Santhosh V.A. ProfessorTKM Institute of Management, Karuvelil, Ezhukone (P.O), Kollam, Kerala

Common methods of treatments, inexpensive diagnostic practices and family medications have been replaced and they have been priced out of the reach of most common man both in the urban and rural areas. Health has been an indispensable basis of defining a person’s sense of well-being. In our mature society, the health of the population is a key public policy disclosure often deploying the huge society. Health care has been widely recognised as a public good where none of the invisible hands could regulate its demand and supply. The health care services cover not only merely providing medical care to the needy but also all aspects including the pro-preventive care. Interestingly women played an inevitable role in steering the health care choices in her family. Since a larger section of the population have been found affected by the lifestyle diseases, the health care practices needs prominence mainly among the ordinary low income segments both in rural and urban India. Several programmes have been initiated by Non-Governmental Organisations (NGO’s) or Self Help Groups (SHG) all over India, those aims at creating awareness regarding preventive health care and also indulge in improved access to health services across the underscored communities by empowering the rural and urban women as community health leaders and entrepreneurs.

“Santhwanam” –a public health care programme, a collaborative effort of Kudumbashree and HAP (Health Action of Public, an NGO of doctors) has emerged as the public service initiative aimed at blending health care, women empowerment and social services. Here women have been trained and certified by eminent doctors and provided with sophisticated equipment’s to check blood pressure, blood sugar level and body mass index and thus let them to serve the immediate community. A descriptive study was conducted among the persons who have availed the service of Santhwanam and was compared with that of those who have not availed it to determine the improvement in the quality of life.

Key words: Health Care System, Quality of Life, Santhwanam, Social Service.


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CMHS/IC-16/061

Conspiracy fraud detection: Case of Health insuranceSunita MallAssistant Professor (Statistics), MICA, Ahmedabad,

Jaya MirchandaniSenior Analyst (Digital Analytics), Blueocean Market Intelligence Services Pvt.Ltd,Mumbai,

Bhairavi JhaSenior Analyst (Digital Analytics), Blueocean Market Intelligence Services Pvt. Ltd, Mumbai,

Insurance fraud is an act committed with the intent to obtain a fraudulent outcome from an insurance process. This may occur when a claimant attempts to obtain some benefit or advantage to which they are not otherwise entitled or an insurer knowingly denies some benefits that is due. However such frauds may occur with the involvement of more than one parties which is called conspiracy fraud. The data collected from a Mumbai based insurance company which is the customer’s database. The main purpose of this study is to identify the fraud triggers and building an algorithm to detect fraud cases. Logistics regression and Random forest technique is used for this purpose. Detection of fraud using co-clustering is a new approach used in this research paper. For co-clustering EM algorithm is used. Age of policy holder, ICD codes, claim types etc. are the significant fraud triggers. This research work will help the health insurance company to identify the fraud cases effectively and also to track the suspected hospitals for fraud.

Key words: Conspiracy fraud, Co-Clustering, EM algorithm, ICD codes, Start close proximity, End Close proximity


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CMHS/IC-16/066

Towards A Healthcare Reform in India: The 6 A’s of Success In Search of a New Market, Optimizing the delivery channel and redefining the role of stakeholdersVenkataramanaiah SaddikutiIndian Institute of Management, Lucknow

Rahul GopeIndian Institute of Technology ,Bomaby

Abhishek EkkaIndian Institute of Technology ,Bombay

Yujata PasrichaNational Institute of Technology, Jalandhar

Sania Shankar SawantIndian Institute of Technology ,Bombay

Due to its large population, India is bound to face problems regarding the equitable distribution and coverage of the healthcare services. According to India Retail Report (2013), the segment with the lowest income, the “strugglers”, accounts for about 50% of the population, the biggest potential market in terms of C. K. Prahalad’s Fortune at the Bottom of the Pyramid. Despite having a huge potential, impediments like inefficiency, inaccessibility and unaffordability are preventing an effective healthcare service delivery to the underprivileged.

We started with the analysis of eye care in India, quantitatively estimated the economic disease burden associated with blindness. We hypothesize that focusing at BoP requires thinking differently for urban and rural poor. Hence we made a comparative analysis between the initiatives of Aditya Jyot Eye Hospital and Arvind Eye Hospital in terms of interactional resources to see if there was any correlation of success factors with geographical demography across different stages of service innovation.

We conclude that three interactional resources, namely Knowledge, Technology and Institutions, are essential for the launch and expansion of any initiative with Knowledge being more fundamental in the initial stage. In case of urban Poverty, Technology and Institutional resources are more critical in comparison to Knowledge and Technological resources in case of rural poverty for later stages of scale-ups. Based on our analysis, we propose the 6 A’s (awareness, accessibility, affordability, adoptability, acceptability and appropriateness) for service delivery at Bottom of Pyramid taking into account the differences in rural and urban poverty.

Key words: Bottom of Pyramid, 6A framework, Disease burden, Urban and rural poverty


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CMHS/-16/067

Towards a Robust & Sustainable Healthcare System: Learning’s from Success Stories Developing Innovations that transform the Healthcare LandscapeVenkataramanaiah SaddikutiIndian Institute of Management, Lucknow

Rahul GopeIndian Institute of Technology, Bomaby

Abhishek EkkaIndian Institute of Technology, Bombay

Yujata PasrichaNational Institute of Technology, Jalandhar

Sania Shankar SawantIndian Institute of Technology, Bombay

India is moving towards a healthcare system transformation. Growth in the coming years would have a strong correlation on nature and extent of service Innovation. Many services are based on customer needs, preferences, and trade-offs, whereas health care is a fundamental need. Many people don’t have access to healthcare facilities.

In most developing country private health sector have not fully engaged in harnessing innovation or mitigating market failures. Many government initiatives, NGOs, social entrepreneurs, for profit and not for profit private organizations have been working to improve healthcare sector but most of these initiatives do not survive the “valley of death” hence are not sustainable. Better innovations and strategies of private organizations could lead to tremendous improvement in healthcare sector. Therefore a key motivation for this study was to identify innovative, healthcare delivery and financing programs in the developing countries of the world that are led by or involve the private health sector in the context of mixed health systems and to extract key elements and leanings from these innovations which may be transferrable to other healthcare enterprise. The paper describes about 50 innovations from across the world.

Findings indicate that almost all the initiatives could be classified under the seven dimensions (namely automation, attribute, reach, affordability, infrastructure, community participation and product) which can further be classified into demand side and supply side drivers. Based on these analyses we propose a framework outlining the short, mid and long term outcomes of these demand and supply side driver based initiatives.

Key words: Attribute, regulation, affordability, Innovation-Approach-Outcome framework


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CMHS/IC-16/069

Exploring Patterns of Healthcare Venture Scale-up: Learning’s from IITB related VenturesRahul GopeIndian Institute of Technology ,Bombay

Kirankumar MomayaSJMSOM, Indian Institute of Technology, Bombay

Healthcare is in crisis in developed countries as well as India. Despite being a young country, India today is faced with a dual burden of communicable and non-communicable diseases, giving rise to a new pool of patients who could demand varied and specialized types of healthcare. Ventures may play a key role in addressing some of the problems, but most of ventures themselves suffer from “Child Mortality” problem, as they can’t cross the valleys of death. There is not much research about their journey, patterns and gaps.

Key objective of the paper is to explore patterns and gaps of healthcare venture scale-up and by taking cases of carefully selected university-related health care ventures of IIT Bombay and leading health care venture of the world. The papers tries to address this issue by trying to explore Critical Success Factors of Healthcare Venture Scale-up and developing their correlations with different stages of growth.

For the purpose, analysis of secondary data and case studies of IIT Bombay related ventures and comparisons with leading university healthcare ventures are being used. The exploration found quite different patterns in case of successful ventures and many gaps. Several exciting areas of research on venture growth and role of technology business incubator are identified.

Key words: Role of ventures to address healthcare problems, Venture growth, Critical Success Factors, Healthcare venture competitiveness.


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CMHS/IC-16/070

Antecedents and Constituents of Dysfunctional Physician Behavior towards Pharmaceutical Sales Representatives and its consequences on Pharmaceutical Sales Representatives and the Pharmaceutical CompaniesRatan KumarFPM Scholar, Management Development Institute (MDI) – Gurgaon

Ritu SrivastvaAssistant Professor, Management Development Institute (MDI) – Gurgaon

Dysfunctional Customer behavior has been a topic of research since the last two decades, however it has not been studied in healthcare context, especially the service encounters of physician-pharmaceutical sales representatives (PSRs) where physicians are customers of pharmaceutical companies. There is a need to research this phenomenon and the aim of the study was to understand this phenomenon and to find constituents, antecedents and consequences of DPB. The study is exploratory and qualitative in nature, where 12 interviews were conducted. The study revealed that constituents of dysfunctional physician behaviour DPB are: Deceiving; Humiliation: Violence; Passive Behaviour; Dominance; and Biased Patient Treatment. Antecedents of DPB are related to Individual; Physician-specific; Company related; Business Environment; Relationship and Contextual factors. Study found that DPB has impact on Individual; Physician; Company; Relationship; Patient; and Business Environment. This study finds ‘biased patient treatment’ as a new form of dysfunctional customer behaviour. Some new antecedents like perceived value of PSRs (employees); business environment and relationship were found. Study also found few new consequences on Physicians (customers); on business environment; on the physician-PSR (Customer-Service provider) relationship; and on the patient, which are new to dysfunctional customer behavior literature. The study will help PSRs and pharmaceutical companies to make their detailing more effective and productive after understanding the reasons and possible solutions for this dysfunctional behaviour of physicians. Also, it will sensitize the physicians towards PSRs and pharmaceutical organizations.

Key words: Dysfunctional behaviour, Sales management, Pharmaceuticals, Dysfunctional Physician Behaviour, B2B.


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CMHS/IC-16/073

Yoga: A traditional practice for managing illnessArchana NAssistant Professor, Department of Business Administration, SBRR Mahajana First Grade College, Mysuru

Manjunath VAssistant Professor, Department of Business Administration, SBRR Mahajana First Grade College, Mysuru

“Health is wealth”, it is as true as our life. Good health keeps us always happy and gives us feeling of complete physical, mental, social and intellectual well-being. A good health keeps us away from the diseases and health disorders. Yoga is a one of the traditional form of health management which is being practiced by many people from ancient times. All age group people can practice yoga under an expert guidance. Yoga is all about recognizing the body, understanding the mind and convincing the soul. Today there are various forms, techniques, medicines etc. to keep oneself healthy physically but yoga is one form which balances the health physically and mentally, as a wellness treatment. Hence, it becomes important to understand the necessity of practicing yoga and live a long life.

A small effort is being put forth to understand the people as to what they fell yoga is all about. Is it helping them to manage their health in this unhealthy lifestyle and is acting as an alternative health practices. To make a note of this research, a well-structured questionnaire is prepared and it will be circulated to almost 200 yoga learners which will provide information on the importance of yoga in their lives and whether it acts as an alternate health practice. For the above said questionnaire, factor analysis is applied to achieve a better conclusion.

This paper goes on to elaborate the advantages of yoga as an alternative health practice, to not only focus on specific health issues but also to improve the overall wellbeing of person both at psychological as well as therapeutic level. Through this paper we are trying to create awareness about yoga and its implications so as to help people in managing their illness

Key words: yoga, alternative health practices, wellness.


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CMHS/IC-16/077

Medical Practitioners and the emotionality: Emotional Intelligence, Emotional Labor and Burnout.Ekta SharmaAssistant Professor, Ahmedabad University, Ahmedabad

Ruchi TewariAssistant Professor, Ahmedabad University, Ahmedabad

Introduction

Emotional Intelligence is “the ability to monitor one’s own and others’ feelings and emotions, to discriminate among them and to use this information to guide one’s thinking and actions” (Salovey and Mayer, 1990; p. 189). Mayer and Salovey (1997) describes four aspects of Emotional Intelligence: appraisal of emotion in self, recognition of emotion in others, regulation of emotion, and use of emotion to promote performance. Psilopanagioti, et al. (2012) posits, “In the health care setting, physicians who are more competent in recognizing emotions, concerns and needs of patients are more successful in treating them. Therefore, the interpersonal communication between the patient and the physician plays a major role in patient outcomes, and emotionally intelligent physicians consist of a valuable resource for hospitals”.

Medical practitioners work closely with the human and hence are prone to get into the rut of feelings and emotions. But the excessive feelings and emotions by the doctors towards their patient can interfere with the quality of service to be delivered to the patient. Doctors are expected to exhibit moderate emotions or in other words should be emotionally-neutral (Emerson 1970; Goffman 1974, p. 35). This neutrality facilitates the doctors to confront the death of the patient (Sudnow 1967) and to withstand pressure which could lead to blunders (Bosk 1979). This implies that the manner in which one displays feelings has a strong impact on the quality of service transactions, the attractiveness of the interpersonal climate, and the experience of emotion itself. Hochschild(1983), calls this act of expressing socially desired emotions during service transactions as ‘emotional Labor’. The Jobs requiring emotional labor are characterized by the voice or facial contact with the client producing the desired emotional state in the client and hence the emotions need to be managed (Hochschild ,1983).

Purpose of the Research

The purpose of the research is to analyse the emotional Intelligence (EI) level and the emotional labor (EL) of the Medical practitioners (MP). Also to analyse the impact of EI and EL on the Burnout amongst the Medical Practitioners.


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Methodology

The sample would be 100 MPs which would include both male and female doctors. The self-administered instruments would be used to gather data from the sample. The scales for emotional Intelligence, emotional labor and Burnout would be administered.

Major Results

The results would show the emotional intelligence level, emotional labor and burnout levels of MPs and also the relationship between these three variables would be analysed. The relationship of these variables with the demographic variables would also be analysed.

Implications

The role of emotional intelligence to reduce impact of emotional labor and hence reduction in the burnout levels of MP, would affect the efficiency and effectiveness of the MP. Hence, this research would be able to identify the variables leading to burnout among MP.

CMHS/IC-16/078

Modelling Patient Medical Condition-based Demand for Managing Hospital InventoryEsha SahaDepartment of Industrial and Systems Engineering, Indian Institute of Technology Kharagpur

Pradip Kumar RayDepartment of Industrial and Systems Engineering, Indian Institute of Technology Kharagpur,

A hospital inventory comprises of large number and great variety of items for the proper treatment and care of patients, such as pharmaceuticals, medical equipments, surgical items, etc. Improper management of these items, i.e. stockouts, may lead to delay in treatment or other fatal consequences, even death of the patient. So, generally the hospitals tend to overstock items to avoid the risk of stockout which leads to unnecessary investment of money, difficulty in storing, more expiration, etc. Thus, in such challenging environment, it is necessary for hospitals to follow an inventory policy considering the stochasticity of demand in a hospital. Statistical analysis captures the correlation of patient condition based on bed occupancy with the patient demand which changes stochastically. Due to the dependency on bed occupancy, the markov model is developed to map the changes in demand of hospital inventory based on the changes in patient condition represented by the movements of bed occupancy states (acute care state, rehabilitative state and long-care state) during the length-of-stay of patient in a hospital. A case-study is illustrated in this paper for the development of hospital inventory model based on patient demand for inpatient pharmaceutical items.

Key words: Hospital inventory, markov model, patient condition, bed occupancy


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CMHS/IC-16/093

Green Tea: A Buzzing Health Drink – Understanding the Consumption Pattern and Customers ProfileRicha ChaudharyAssociate Professor, IES Management College and Research Centre, Mumbai

Pooja KamthePGDM IInd Year Student IES Management College and Research Centre, Mumbai

Abhinay JainPGDM IInd Year Student IES Management College and Research Centre, Mumbai

A sip of tea relaxes the human mind like no other beverage does. With the increasing consciousness for healthy lifestyle, Indian consumers are now shifting towards healthier options in terms of what they eat and drink. Tea being the very important part of their life is also the part of this shift, leading to gradual addition of new healthy variants to its basket.

Looking at the growing demand and market potential of green tea, this study aims to understand the consumption pattern of the drinkers, followed by the key motivators for the consumption. Also the study aims at exploring the demographics and psychographics of the green tea drinkers.

The study was undertaken in two phases, first phase of the study was exploratory in nature wherein three focus group discussions were held to understand pattern of consumption and the motivation behind consuming green tea, brand image of top players in the market. For the second phase of the research, a self-structure questionnaire was designed and piloted.

Stratified Random sampling was used, and questionnaire was rolled over a sample of 270 customers through online and offline mode in Mumbai region.

The findings of the study provide opportunity to marketers to better understand this emerging market and manage the image of their brand to maintain the right connects with their customers.

Key words: Green Tea, consumer Psychographics, Healthy Lifestyle


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CMHS/IC-16/094

Cell phone-based interventions for violence prevention among women and girls in IndiaSunny SinhaAssistant Professor, Marywood University, PA

Aviral ShrivastavaAssociate Professor Arizona State University Phoenix, AZ

Information and communication technology has become a necessity today, particularly cell-phone based technology. Cell-phones are not only being used to increase propinquity between individuals by enhancing their ability to frequently communicate with one another through different mediums (SMS text, audio, and video); it is also being used to solve the problems pertaining to the field of public health and violence prevention. Cell-phone based interventions have been applied to solve several health-related problems: adherence to diabetes treatment (Kwon et al., 2004), smoking cessation (Rodgers & Corbett, 2005, Obermayer et al., 2005, Vidrine, Arduino, Lazev, and Gritz, 2006), and adherence to HIV treatment (Puccio et al., 2006, Shet et al., 2014, Mbuagbaw et al., 2012, Dean, Makin, Kydd, Biriotti, Forsyth, 2012, Rodriguez et al., 2012, Ingersoll et al, 2014). However, while there is anecdotal evidence that cell-phone apps based interventions, such as, Circle of 6, Fight Back, Panic Button, and Aspire News among many others, have been successful in preventing violence among young girls and women in public as well as private spaces; there is very little awareness among helping professionals/health professionals about these violence prevention apps. Drawing several examples from the literature pertaining to the emerging field integrating Information, Communication, Technology (ICT) and violence prevention; this paper aims to inform and educate the audience on how cell-phone technology based interventions can be used to prevent violence against women- a major health issue for women in India as well as globally.

Key words: Violence against women, Cell-phone technology, Smart phone apps, violence


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CMHS/IC-16/096

Role of Health Management Information System (HMIS) in Monitoring of Maternal Health in a Vulnerable Area of Odisha, IndiaRanjit Kumar DehuryDepartment of Health Care Management, Panaji, Goa

Objective:

This paper evaluates two objectives: First, to identify the challenges at ground level in generating information for the Health Information System in terms of capacity building, and application for improvement of program. Second, the study evaluates the nature and orientation of data so collected for effective policy making.

Methods:

Health Information System data sources were analyzed from the secondary data collected by NRHM for the year 2013-14 pertaining to a tribal Block of Jaleswar and Balasore District of Odisha. The data is critically analyzed in the light of field work done at the Block level during the period 2012 to 2014.

Results:

There are challenges in generation of quality data, capacity building of workforce and monitoring of vulnerable tribal population. The discrepancies between HMIS data and field reality display the gap in formulation of policy and its implementation. There are also evidence of lack of segregation, under-reporting, inaccurate reporting of data for informed decision- making to improve maternal health.

Conclusions:

The study unearth the existing politics of knowledge generation which shows highly standardised and only uses dominant bio-medical concepts of maternal health with limited inclusion of local birthing conceptions and needs of vulnerable pregnant women.

Key words: HMIS, MCTS, Maternal Health Program, National Rural Health Mission, Tribal Health, National Health Program


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CMHS/IC-16/097

A Markovian Feedback Queuing Model for Healthcare Management With Heterogeneous ServiceBhupender Kumar SomAssociate Professor, Jagan Institute of Management Studies, New Delhi

One of the prime requisites for any health care facilitator is to provide service without delay to its patients/ customers. In health care facilities long waiting time for customers is a delicate matter. A patient/customer looks forward to be taken in to the service as quickly as possible. Longer waiting time in queue or in service can have a negative effect on goodwill of the particular organization. Condition of patient may also get worse with each passing minute. Hence the importance for any health cares facility to adopt a mechanism that can manage customers’ traffic effectively. Stochasticity of variables introduces complications in managing patients’ traffic. Customer arrival and service are stochastic in nature, therefore queue management becomes a tedious task. It is also compulsory to run any health care facility with economic viability. As the revenue earned by health care organization provides scope for better facilities to the customers in future. The issues related of better service and economic viability can only be dealt effectively, if the existing performance of the system/organization can be measured.

If the organization has an indication about the performance of the system, it can identify the areas of improvement. In this paper a stochastic feedback Markovian mathematical queuing model with reverse balking, reneging, retention of impatient customers with heterogeneous service for measuring overall performance of the system is developed. Once the performance of the system is measured numerically, organization can have a bird’s eye view and clear insight of the areas of improvement. The model is solved in steady-state iteratively. Numerical illustration of the model is presented. Later economic analysis of the model is performed by introducing cost-model.

Key words: Reverse balking, queuing theory, stochastic model, healthcare management


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CMHS/IC-16/098

The dynamics of Public-Private Partnerships in healthcare in India: Yeshaswini as an experimentSonam MansukhaniAssociate Professor, Foundation for Liberal and Management Education (FLAME) University

Health sector reforms have been initiated by the government to surmount the inadequacies in health care. The latter in turn have been attributed to the poor performance of public health institutions. Public Private Partnerships (PPPs) as a collaborative effort were a part of these reforms. This paper is a preliminary attempt to assess the efficacy of partnerships with the private sector in health care more specifically with reference to health insurance. By looking at secondary sources of data, it aims towards:

a) Understanding the evolution of Public-Private Partnerships in health care globally and in India against a theoretical backdrop of globalization, managerial decision making, bureaucracy, power and resource dependency

b) Different models of PPPs with a focus on the community health insurance model

c) Outlining the significance of Yeshasvini scheme (based on the community health insurance model) in Karnataka and its bearing on health policy in India.

The methodology entails building up conceptual linkages that arise from theoretical frameworks and exploring the dynamics of the Yeshasvini project in relation to that. A background of the target groups, the motivational factor/s for private players entering the picture, the aspect of service delivery, reimbursements and most importantly how does the insurance help the target groups in availing the treatment. It can shed insights into developing other sustainable models in other states in the future.


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CMHS/IC-16/103

Delivering Health Information to the Population through Call Centers – 104 Health Information HelplineVishal PhansePiramal Swasthya Management & Research Institute, Hyderabad

Shailendra Kumar B. HegdePiramal Swasthya Management & Research Institute, Hyderabad

Sriranga Prasad SaridePiramal Swasthya Management & Research Institute, Hyderabad

Sridhar Upadhya Piramal Swasthya Management & Research Institute, Hyderabad

Introduction:

Improving people’s access to validated health information is very critical to the improvement of health status of an individual, the community and the country. We set up a health information helpline (104) with an aim of ensuring that any individual with a phone or access to phone has access to validated health information.

Objective:

This paper describes the functioning of the 104 health information helpline and the profile of calls and the callers and the nature of queries handled by that service.

Methods:

A descriptive analysis of data from five health information helplines is presented here. Data recorded on a specifically designed computer application were transferred to a Microsoft excel spread sheet and descriptive statistics were used for the purpose of analyses. The set up comprises of a call centre that delivers four kinds of services namely medical advice and prescription, counseling, directory, and complaint registration.

Results:

Of the 64.44 lakh serviced calls, 96.18% (61.98 lakh) callers sought medical advice and prescription, 2.09% (1.34 lakhs) callers sought counseling, 0.75% (48,479) callers sought directory services and 0.36% (23,711) callers registered a complaint against a particular public health service or facility. Conclusions Health information helpline is an important tool of health communication and should be made available at the national level. It can be used to raise the health literacy levels of the population and thus can be an example of using technology in the field of health care to realize the dream of universal health care.

Key words: Health Literacy, Call Centre, Health Information


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CMHS/IC-16/104

Evaluation of Health Information System (HIS) Based on HOT fit framework: A Qualitative Study on Human, Organization and Technology (HOT) Factors and Their Fit Influencing the Design and Implementation of HIS in an Indian Super Specialty Hospital Janani N, Management (Student) Intern, Sri Sathya Sai Institute of Higher Medical Sciences, Whitefield, Anantapur

S. KannanHead of Department, HMIS-Department, Sri Sathya Sai Institute of Higher Medical Sciences, Prasanthigram, Anantapur

N. JayapradaAssistant Professor, Department of Management and Commerce, Sri Sathya Sai Institute of Higher Learning, Anantapur

Background & Purpose:

The deciding factors of a successful HIS (Health Information System) include human and organization factors in-addition to technology. A Qualitative evaluation of HIS with multi-disciplinary base in Indian scenario of Tertiary Healthcare delivery is the key gap that this paper aims to fill. Upon examining various evaluation frameworks, HOT fit framework is identified to be comprehensive and is pilot tested in this study. The study unearths the interpretation of the universal factors with respect to Indian scenario. The improved HOT fit framework is proposed which shows that SDLC methodology and transdisciplinary knowledge of IT professionals cannot be eliminated while evaluating HIS.

Methods:

Literature review on HIS evaluation, pilot testing of identified framework and validation of the framework are the significant phases. Interview and Observation are used to collect data. The subjective approach drives the study.

Key Results:

Physician’s acceptance towards HIS, integration of HIS with clinical processes and fit between human, organization and technology factors are identified to play important role is the successful implementation of HIS.


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Conclusion:

The environment (organizational, technological) around HIS changes rapidly while HIS implemented many years ago do not change on par with them. Therefore, it is essential for Indian Healthcare providers to understand the need to evaluate HIS under Indian scenario. And feedback the results to improve HIS thereby accelerating the existing system to next level and achieve Inclusive Healthcare.

Key words: Information System, Health Information System, Evaluation, Framework

CMHS/IC-16/108

The Statistics Behind Major EpidemicsAnand YatiAnalyst, Fidelity Investments, Bangalore

The increasing digitization of healthcare services is adding terabytes worth of patient & disease related records to datacenters annually. Earlier our data sources were limited to doctor’s notes, diagnostics/lab-reports etc., however, now we also have data sources like web searches, tweets, Facebook posts/statuses, data from wearables & genomic trends. This ever increasing variety & volume of available data presents a very unique opportunity to leverage analytics in healthcare for better outcomes & insights. Analytics in healthcare can benefit a plethora of stakeholders like governments, scientists, professionals & most importantly patients. It can improve decision making capabilities of doctors, speed up response to any epidemic outbreak, predict & prevent diseases, help with effective planning of resources & increase detection capabilities.

The research work presented in this paper explores application of predictive analytics in the field of healthcare, focusing especially on disease surveillance & prediction. Through this research we will explore an array of analytical techniques like forecasting, text mining/clustering , web analytics & advanced data visualization to understand (and predict) the spread of major epidemics around the world. In order to predict epidemic outbreak we will be discussing & leveraging a wide range of non-conventional techniques like text mining of news (along with symptom recognition & matching), trend analysis of Google searches, analysis of human movement in epidemic affected areas(data visualization), analysis of tweets (along with geo-tagging) & forecasting of infection rate. Epidemics like Ebola, Zika & SARS are analyzed in this study to demonstrate application of analytics holistically.


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CMHS/IC-16/111

Performance Evaluation of Tree Based Classifiers With CFS Subset Evaluator for Intelligent Heart Disease Prediction Lakshmi Devasena CDepartment of Operations and IT, IBS Hyderabad, Hyderabad

Healthcare analytics is an emerging research area, which analyses existing clinical data and provide better support for clinical practices and decision making. In healthcare analytics, medical data mining is an important research field which provide support for healthcare practitioners and working as a third umpire for senior specialist, who get confused in complex medical cases. Medical data mining used to predict numerous diseases which Heart disease is the chief cause of increasing mortality rate worldwide and is estimated to be the crucial cause of death globally by 2030 [1]. Predicting the heart disease in early stage with some demographic and clinical data before going for Angiography and direct high level treatment will reduce the expense of the patient. However, the diagnosis of heart disease and its severity might be difficult for practicing medical doctors, who are not specialized in cardiovascular diseases. There are many papers in literature which can compare the existing algorithms in heart disease prediction [2-39], but none of the papers discussed tree based classifiers with correlation based feature subset selection evaluator, which may improve the accuracy of the prediction rate. Therefore this research work would be helpful to establish the improvement in accuracy, which might be appreciated by the medical practitioners. In this research work, different tree based classifiers like ADTree Classifier, BFTree classifier, Decision Tree Classifier, Functional Tree Classifier, LADTree Classifier, LMT Clasiifier and Random Forest Classifier were examined and compared with each other with and without applying CFS subset evaluation. For this research work, the heart disease data set from UCI Machine Learning Data Repository [40] is taken and the analysis is done. This data set consists of 270 instances and has data for both healthy and affected patients. Sine no more test data is available, to validate and confirm the accuracy, percentage split and cross validation methods are used. Various measures like classification accuracy, total time taken to build the model, Root mean square error and other metrics are used for the comparison purpose. After comparison, it is revealed that Tree based classifiers with CFS attribute selection evaluator has better or equal accuracy as compared without CFS attribute selection evaluator.

Key words: Heart Disease Prediction, Medical Data Mining, Performance Analysis, Tree-based classifiers


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CMHS/IC-16/114

Does Capital structure affect the profitability of healthcare sector in India? An Empirical StudyGurmeet SinghGLS University, Ahmedabad

Kritika ManshaniIndian Institute of Management, Ahmedabad

Introduction:

Healthcare sector is considered as one of the fastest growing sectors in India and it plays a pivotal role in growth of Indian economy. The changes happening in the health care sector have had a significant impact on Indian Economy. Capital structure decision is considered as one of the most complicated areas of financial decision which directly affects the changes in profitability of healthcare sector in India.

Objectives:

The main objective of the study is to investigate interrelation between capital structure and profitability of Healthcare Sector over time. Apart from that, the study also identifies the major factors which affect the changes in profitability of Healthcare sector and the changes in capital structure of Healthcare sector.

Material and Method:

For the study, secondary data has been used from the various sources like Reports of Centre for Monitoring Indian Economy (CMIE), Capital Line, annual reports of the companies etc. At the time of selection, there were total 277 Healthcare companies listed on BSE. So from this population, 10 years of data was considered of 55 Healthcare companies (20% sample) were considered on the basis of convenience sampling.

Result:

The result showed that D/E and LTDE were significantly and negatively related to ROCE, RONW, PBIT, PAT and EPS which meant that if either the profitability or capital structure ratios increase, the other will decrease. The result showed that I/C was significantly and positively related to ROCE, RONW, PBIT, PAT and EPS which meant that if either the profitability or capital structure ratios increase, the other will also increase.

Conclusion and Managerial Implication:

It was concluded that there was a negative relation between capital structure variables and profitability variables which meant that in Healthcare sector, companies preferred more equity


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over debt. Apart from that, it was found that there was a strong impact of capital structure on profitability in Healthcare sector.

Key words: Capital structure, Profitability, Healthcare sector, India

CMHS/IC-16/120

Sentiment Analysis of Corporate HospitalsRythm Tyagi B.Tech, Delhi Technological University

Tarandeep KaurB.Tech, Jamia Millia Islamia, New Delhi

Patient sentiment is an indicator for measuring the quality of healthcare and the success of hospital. To capture public sentiment for Corporate Hospitals, data mining was done from opinion rich resources like Twitter and distributing structured questionnaires online to patients and their relatives. The data was unstructured and needed to be organised to derive some valuable information out of it and data analysis and statistical tests were done using R. The accuracy of R in predicting positive tweets came out

CMHS/IC-16/121

Effect of Preventive Risk Factors on Heart DiseaseGarimella Hari Pawan KishoreMechanical Engineering, Indian Institute of Technology, Madras

Sanjyot BhosaleB.E., BITS Pilani, Goa

Chetan SoniB.B.A., Ahmedabad University

One of the crucial reasons for mortality and morbidity in the world is Coronary Artery Disease also known as Ischemia Heart Disease. The burden of coronary heart disease is rapidly increasing in India. Prevalence is high in both the sexes in urban and rural population. Epidemiologic


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studies have shown presence of CHD between 7% to 13% in urban population and between 2% to 7% in rural population. The working population is exposed to a lot of risk factors such as smoking, stress, alcohol, etc. which puts them at a higher risk of contracting heart diseases thereby requiring proper management of the risk factors. In lieu of this preventive care as opposed to curative care should be preferred and promoted as it helps to recognize and lessen the risk of disease. This lowers the patient’s suffering in addition to lowering the financial burden associated with the treatment of the disease. It is a promising choice for a low income country such as India with benefits such as increased productivity.

In this paper a model is presented which analyses the effect of risk factors on heart disease. A sensitivity analyses on each risk factor is carried out to estimate the number of cases of heart disease and the cost that is associated with it. There are two stages of preventive measures in this model namely primary and secondary prevention. The primary prevention is used to determine the susceptible population whereas the secondary prevention uses control measures to reduce the onset of heart disease.


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2nd IIMA International Conference on Advances in ... IIMA International Conference on Advances in Healthcare Management Services iii The 2nd International conference hosted by the

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