Urban- Rural Divide Lack of Last Mile Access Lack of Organized Delivery Quality of Care Silos Awareness Patient Safety Lack of Skilled Workforce High Cost/ Affordability Standards Efficiency The Indian Healthcare Jigsaw “An Equitable, Sustainable, Quality Healthcare for One Billion People” Technology-driven Healthcare Transformation How Can We Achieve… K. GANAPATHY, APOLLO TELEMEDIICNE NETWORKING FOUNDATION
Cisco India recently organized a healthcare seminar in Delhi on 04th March 2011. The event looked at the current issues facing the healthcare industry in India and how ICT can help alleviate some of the challenges. Keynote speakers and panelists from across the public and private sector, shared their views as practitioners in Healthcare, Policy Makers, and Technologists, on the New Innovations in Healthcare and the Ecosystems needed to drive these innovations in India
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Urban-
Rural
Divide
Lack of
Last Mile
Access
Lack of
Organized
Delivery
Quality
of Care
Silos
Awareness Patient
Safety
Lack of
Skilled
Workforce
High
Cost/
Affordability
Standards
Efficiency
The Indian Healthcare Jigsaw
“An Equitable,
Sustainable, Quality
Healthcare for One
Billion People”
Technology-driven Healthcare Transformation
How Can We Achieve…
K. GANAPATHY, APOLLO TELEMEDIICNE NETWORKING FOUNDATION
Traditional Healthcare Delivery Model
The Patient Community - Bottom of the pile!!
3°
HealthCare
2°
HealthCare
1°
HealthCare
Teaching Hospitals
Regional Hospitals
District General Hospitals
General Practitioners
Unchanged for 6000 years - circa 3000 BC!
The wellness paradigm
PRIMARY TELERADIOLOGYPRIMARY TELERADIOLOGY
AND TELEPATHOLOGYAND TELEPATHOLOGY
eHealth &eHealth &
TelemedicineTelemedicine
Clusters of SpecialistsClusters of Specialists
global spread &global spread &
universal accessuniversal access
Allied HealthCare Professionals
Primary HealthCarePrimary HealthCare
The ‘Super’ Primary Care PhysicianThe ‘Super’ Primary Care Physician
CommunityHospitals
(Acute)
CommunityHospitals(Non-acute)
Freestanding Diagnostic
Centres
HomeCare
HealthKiosks
DayCareSurgery
MaternityAcute
Trauma
??
Direct Access to specialistsDirect Access to specialistsWWWWWW IDTVIDTV IDTVIDTV WWWWWW
The Informed Wired upInformed Wired up Citizen Community
CC--HealthHealth
Future Health System TransformationFuture Health System Transformation
eHealth: another Buzzword?
Access to
Affordable
Quality Care
• ↑ Costs• ↑ Burden• ↑ Quality
Healthcare Trends
Leverage the patient
Society will want patients to
take responsibility for their care
Patient demands more involvement
in decision making process
Move health out of hospital
& doctor’s office to home, car, office, grocery
HealthCare Industry by tradition extremely CONSERVATIVE
• Toward Patients• Increased patient responsibility and power
• Toward Prediction• From post-symptomatic diagnosis to pre-
symptomatic screening • Genomic revolution and molecular imaging
• Clinical Convergence• Diagnostic tests (in-vivo and in-vitro) • Diagnosis linked to therapy • Convergence of pharma and diagnostic industries
• Productivity Driven• Payors demand rigorous cost/benefit analysis and
health technology assessments
• Information Driven• Integrated, accessible, personalized and actionable
patient information
Technology Trends
Winning in the Flat World Wellness Management ↓ Health care Costs
Medication, Diet, Nutrition Compliance & Life Style Improvement
1. Doctor prescribes a medicine,2. Insurance approves it.3. Pharmacy keeps it ready for..4. Delivery or pick-up.5. Patient gets Drug Schedule Alert on Phone.
1. Patient takes her own Blood pressure using BP equipment with USB drive.
2. BP Device – USB- Cell phone.3. Doctor looks at the 15 day data on her Cell-phone.
Changes Dose.4. Patient gets Drug Change Alert at next schedule.
Virtual Reality as a Training Tool
Digital Healthcare Eco SystemmPHR, Wellness, Triage,
TeleConsulting,
TeleMedicine
mPrescription
Doc on Call
Remote Monitoring
Drug Enclclopedia
Drug Interaction
mDashboard
mASHA
mPandemic
Healthcare Education
Emergency Response
mPharma
mInsurance
mDiagnostic
mHIS
Emergency Response
mVLT
Patient
Doctor
Nurse
HospitalDiagnostic Lab
Insurance
Pharma
Government
Pregnancy
Infancy
Childhood
Adulthood
Old Age
Next Gen
Telemedicine
MMU
National ERCMobile Healthcare
Platform
HealthNet
Database
and Analytics
Next Gen
Drug
Database
Triage, WellnessCommand and
Control Center
Value Propositions• Solution
– Real time Alerts
– Management Dashboards
– Trends & Predictive Analysis
– Analytics
• Benefits– Connect all Hospitals to one centralized system
– Monitor Key business parameters online
– Anytime anywhere access for decision makers
– Improves Operational efficiency by up to 30%
…Information at your fingertips…
From Intervention to Early Detection
P4 medicinePredictiveScience is making it possible for doctors to make accurate predictions about anindividual's future health through an in-depth analysis of his current health data.
PersonalizedThese predictions, which pertain uniquely to the individual, can allow him to get acurrent update on the his/her health.
PreventiveThe possible risks can then be addressed medically, in advance, as the role ofmedicine changes from treating disease to maintaining wellness.
ParticipatoryAll this allows an individual to participate in his own health, modify his behaviourand lifestyle, and acquire control over his future health.
Molecular Analysis• Assay development• DNA Enzymology• Molecular biology
Information Technology• Biology, disease, clinical models• Biostatistics – genomic, proteomic• Decision support tools