December 2012

Emerging Paradigms in Healthcare

Technology progression in medical sector would be the next big move in India. Country with large population needs low cost medical services, thus costing need to be tamed through technology induction in healthcare. Hospital services market in India is likely to reach USD 18 billion by 2020 and thus technology segment can
play a pivotal role in the healthcare industry, heres a report


Data should be in one format
Sanjeev Gupta
Marketing Head,

The overall healthcare expenditure is around four  percent of GDP including private and public both, but public expenditure is something around 1.3 percent of GDP. The industry is also expecting to see an increase of at least three percent of public healthcare expenditure overall to eight percent. If you see rural and urban India, you will find that the lifestyle diseases are also changing the shape where  the  largest number of patient coming forward are those suffering from diabetes, cardiac arrest and various infectious diseases. The shift in disease pattern all together defines the urban healthcare phenomena totally different and a rural healthcare phenomenon is totally different. The primary healthcare is required at the grass -root level but you will find the lifestyle born diseases are at a different level of prevention and cure methodologies both for urban and rural areas. The 80 percent of expenditure is out of pocket but actually there is only three percent insurance cover. Today the way inflation has entered, the way expansion has taken place and the way we look forward in the industry, three percent seems to be too less to survive. This is the one number which reflects huge amount of potential between both the private sector and public enterprises. We find three important pillars to describe right to health 1) the affordability of healthcare 2) the accessibility of healthcare and 3) the  quality of healthcare. If these three things are collapsed together, some sort of healthcare is ensured to the common man in India but how to achieve it. The healthcare providers are huge in number and we need to bring them into a big network to create a larger pool of providers. This enables them to explore the knowledge, share the knowledge and also sharpen the knowledge. The public private partnership enables right to health. Huge amount of investment is going forward in terms of IT application and systems as you see HL7 standard adoption across the country. To help run HMIS all across the country, the plugged-in data should be in a single format.


Healthcare evolves with technology
Srikant Nagulapalli
Arogyasri Health Care Trust

During the recent times the way healthcare is delivered has undergone a lot of changes. If you compare with the last ten years on date programmes, like mass community health insurance, programmes like Arogyasri RSBY, and many other programmes from other states as well, they have changed the way people have been receiving healthcare. Around ten years ago, the majority of people were getting treated in mostly Government hospitals and with the way the healthcare sector has evolved in India from the last ten years, there is a large private healthcare industry which has developed across most part of the state as well as the  country. The result is that most of the below poverty line people who were unable to access healthcare in the private healthcare facilities. This was the major reason why the Government has come up with largely massbased community health insurance programmes. Based on the experience with Arogyasri, I can surely say that one of the major contributors for the success of this programme is NITbased platform, where we can process the various cases in on evidence–based manner.

System of the doctors, by the doctors, for the doctors
Dr B K Murli
Founder & Director,
Dr Hope Hospital

SaaS (Software as a Service) is the newest and the cheapest approach to healthcare IT. A few decades back, technology in Indian healthcare was a rare phenomenon. Thanks to the advancement that has happened in the space over a period, healthcare IT is now a game changer. Patient safety is defined as the prevention of harm caused by errors of commis- sion and omission.
Errors of commission are the most commonly happened errors. For example, wrong dose of medication given at a wrong time. Errors of omission are less commonly reported or referenced; they are the errors that occur when a necessary therapy is not carried out. Healthcare is expanding in almost all the countries, but by 2015 it will get doubled. We need a system which is cost-effective. In case of public insurance, we need to share the electronic medical records, to share the billing process at the least cost. Now IT has a role of catalyst, it addresses a patient by telemedicine, virtual monitoring tools, and patient education programmes and IT addresses quality.
Two years back, we introduced one patient one identification, which is unique electronic health records system allowing every patient to store their medical information online. A SaaS system is used on the telemedicine platform. The benefit of Saas is that, it works in a small clinic in a remote village and also in a 500-bedded corporate hospital.
According to the future of cloud computing, more number of applications will be inclined towards the SaaS business services. In future, there might even be a mixture of applications which can be accessed when the Internet is connected or even when it is not connected, be it online and offline.
It is a system of the doctors, by the doctors, for the doctors, Medical professionals can easily customise application to changing processes. Cloud computing companies have entirely changed this scenario and have come up with services which do not even make it a requirement for the desktop computer during work. They can work remotely from any other location that saves huge amounts of money and time which can be put as investment for other works. mHope is a product of Hope Hospitals. It is an innovative concept that has already been implemented in our group of hospitals and has led to huge benefits.

Expanding coverage of Mother and Child Tracking System (MCTS)

Veerabhadraiah Narumanchi
CIO, Commissioner of Health and Family Welfare,
Government of Andhra Pradesh

Currently there are various systems running in the Health department of Andhra Pradesh for increasing efficiency of physical and financial management system like 108 emergency response management and 104 health advice and counselling. We are looking forward to integrate the Mother and Child Tracking System (MCTS) and Hospital Management Information System (HMIS) model and expand the coverage of MCTS beyond mothers and children. This will further help in tracking and transaction processes linked with computerisation of hospitals. The entire transactionof the facilities will be covered through the HMIS which can help in monitoring the programmes. The comprehensive Human Resource Management (HRM) covers all aspects of HR and the entire performance monitoring at the state or district level. The government is looking towards developing a GIS-based model, even of sub centre with performance gaps and we can see that the performance gaps are increasing. The IT Secretary of the Government of India has also mentioned that they are going to connect all level of Panchayat Villages in the country and deliver all IT related facilities in the departments. The number of facilities will have the optic fibre connectivity, so that the facility can help and explore the PPP. We can then better use the Mee Seva for improving our system and supporting our monitoring system along with other PPP options which are available.

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