Establish Trust Models of Collaborations to Strengthen Healthcare

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Dr Ashok Seth Chairman of Fortis Escorts Heart Institute, New Delhi and Head, Cardiology Council of Fortis Group of Hospitals

Dr Ashok Seth
Chairman of Fortis Escorts Heart Institute, New Delhi and Head,
Cardiology Council of Fortis Group of Hospitals

“The strength of both public and private sectors when combined together can offer quality care to 1.2 billion people”

While we can talk of availability, affordability and quality, for me the major challenge is how to integrate the strength of the two verticals – both private and public healthcare sectors. We have to accept the single fact that the two are major portals of delivery of healthcare in the country. The public sector has the reach and accessibility, but, unfortunately, gets overburdened. As a result, the public sector is not able to maintain the quality, infrastructure, high levels of technology and techniques, and the increasing cost of advanced care. On the other hand, private sector offers efficiency, expertise, high-quality infrastructure, etc. at a cost factor which becomes not very affordable to many common people.

Actually, it’s the strength of the two which when combined together that can offer quality care to 1.2 billion people. And, yet we keep looking at each other’s deficiencies. Therefore, the public and private sectors need to sit together on the same side of the table. The Government should comprehend that we need to create an alliance between the two sectors. The Government should see private healthcare providers as the best allies to deliver healthcare efficiently downstream & the private sector should see a great ally in the Government for enabling reach with some profitability. It’s the lack of appropriate efficiency in care that led to the rise of private healthcare models.

The saddest part is when a private healthcare provider opens a 100-bed hospital next to the public hospital. The patients have to pay a huge amount of money for accessing care at the private hospital, only because the Government is not able to deliver the same quality care. Both the sectors could have been married together with the same infrastructure. This is the biggest challenge in the Indian healthcare system.

Secondly, as we go down the healthcare model, quality has to be maintained even when healthcare services have to be delivered at a highly subsidised rate and in some states for free. Moreover, the entire system has to be transparent. The patients in rural areas need to have the same rights, such as quality care, outcome measures and the best healthcare services. The policymakers have the major task in their hands for 1.2 billion people, but the measures that will transform healthcare and country cannot be populist. The populist measures may seem good, but may not have any relevance. Therefore, we need to transform such populist measures into benefits. The measures that may not look beneficial visually now will prove beneficial in future.

The opportunities in healthcare are paramount because healthcare delivery to 1.2 billion people always ensures innovations. I compliment you for holding such a great meeting today, where brains which have been thinking of the best and the most frugal ways of offering healthcare to the masses through e-technologies and various partnerships between different organisations came together. All these models are a great opportunity in achieving universal healthcare.

Healthcare delivery cannot be a philanthropy mission. It cannot be a no-win situation for some and win-win situation for others. Therefore, we need to define the advantages. The advantages will come out of partnerships between the public and private sectors, amongst the innovators, amongst the young individuals creating small hospitals for healthcare service delivery, amongst entrepreneurs, etc. The Government can also leverage benefits from such collaborations that can emerge as trust models.

In order to strengthen healthcare, all stakeholders need to be involved equally as in the round table. Such a platform is a winwin situation for the industry, Government, corporate healthcare deliverers, doctors and finally to the patients. Patients also need to be presented as a stakeholder in every decision-making process. Let’s not look at each other with suspicion. We need to have a sustainable vision for healthcare, which cannot be achieved without publicprivate partnership models.


Alok Kumar
Mission Director, National Health Mission
Government of Uttar Pradesh


 • With the help of IT-enabled system, supply chain management and inventory management can be taken care of


 Key Takeaways

 • IT is an important tool for private and government sector. It has made deliverance of services transparent and time bound

 • IT acts as an effective monitoring tool for administrators and authorities

 • We are implementing many projects under the PPP model to strengthen healthcare system in the state


Gyanesh Pandey
Chairman & Managing Director, HSCC (India) Ltd


 • Help hospitals to achieve healthcare anytime, anywhere

 • Change people’s minset towards the implementation of innovations & changes. Only when people will be implementing the changes, they will be using them


 Key Takeaways

  • Trying to undertake cost reduction initiatives by minimising the cost of important activities in hospitals

healthcare-3George Kuruvilla
Chairman and Managing Director, BECIL


 • Integration of technologies in government medical facilities to enable benefits to the last person

 • Study various technologies to implement the project through partnership or empanelment


 Key Takeaways

 • A centralised cloud system in the government sector is needed to have data in one place in a secure way

 • Big data can be fruitfully utilised for the benefit of the poorest of the people

healthcare-4Rajesh Gupta
Head – Healthcare Solutions, Medanta The Medicity, Gurgaon


 • Providing mobile platforms to both patients & doctors

 • Developing collaborative care

 • 3 Cs – Communication (giving right information to patients), Collaboration (between care team and patients) & Convenience


 Key Takeaways
 • Strong infrastructure & robust hospital information system (HIS) with all the required modules

• All billing, supply chain, etc. are online

• Trying to bring all the data centres on one platform to enable sharing of information

• Running numerous business intelligence projects & analytical work, at about 90% implementation – both business and clinical analytics

• Conducting a pilot with DocBox to integrate its application with equipment to fetch data directly into the application – Allows maintenance of accuracy & printing of only relevant information

healthcare-5Alok Khare
VP-IT, Jaypee Hospital, Greater Noida


 • Focus on information technology (IT)

 • Adoption of such a technology that can enable migration to a newer technology


 Key Takeaways

 • Hospital information system (HIS) is the main enterprise resource planning (ERP) for the hospital

 • Soon planning to become from 500-bed to 900- bed hospital

 • Cloud is an inescapable medium for storage of data

healthcare-6Ch. Somashekar
Assistant General Manager (IT), Aarogyaahri Healthcare Trust,
Telangana State Government


 • Bridge information gap

 • Simplify our insurance & treatment procedures

 • Planning pharma centres & ICUs with the help of the state government on highways


 Key Takeaways

 • Basic reason behind creating app by Telangana based Aarogyasri Healthcare Trust was to prevent deaths of accident victims & people in emergency in remote areas

 • Collected geographical coordinates of 269 hospitals in the state to provide shortest distance on the map.

 • Also incorporated phone numbers, speciality details, etc.

 • Implemented the facility of downloading Health Card

 • Incorporating nearby ambulance service details

healthcare-7Dr Ravi Gaur
COO, Oncquest Laboratories Ltd, New Delhi


 • Need to have devices more focused on prevention & monitoring

 • Affordable, accessible devices that can be used at the peripheral level are required


 Key Takeaways

 • We are into high-end technology testing where technologies are very expensive; therefore, inhouse systems need to be developed to validate these technologies to bring down cost

 • Need to have a big R&D lab to test medical devices to cut down investment & ultimately cost

healthcare-8Dr Shuchin Bajaj
Founder Director, Cygnus Hospitals, Gurgaon


 • ICT can enable access to super-specialists living in metropolitan cities to most underserved population

 • Need to focus on primary care than tertiary care to enhance preventive care & address policy gap

 • Future lies in real-time monitoring

 • Need to increase big data role in evidencebased care, particularly in public healthcare sector


 Key Takeaways

 • Started in 2011 and we have now 11 hospitals

 • Entire HMS runs on cloud


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