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The Premier monthly magazine on the enterprise of healthcare in asia & the middle East volume 14 / issue 01 / January 2019 / ` 100 / US $10 / ISSN 0973-8959

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Editorial exploring the healthcare visionaries’ roadmap for 2019 With the 2018 laying the foundation of a better healthcare ecosystem in 2019, the health sector is an arena which has evoked huge optimism for a far better accessible and affordable healthcare delivery model in the country. The 2018 has been remarkable especially due to the healthcare sector embracing latest technologies such as Artificial Intelligence, Machine Learning, Augmented Reality and Virtual Reality, like never before. The year also witnessed PPP models in healthcare gaining popularity across the country, with several State governments working on developing policies which can ensure an intensive involvement of the private sector in healthcare. The year gone by was also an eventful year in terms of policy initiatives, most prominent among them being the Ayushman Bharat scheme, a favourite programme of the Narendra Modi Government. It is meant to create a sustainable healthcare delivery model benefitting people of all strata of life. Strengthening of healthcare system looks a good news for all, especially when the country is set to witness parliamentary elections. The year 2019 will also be very important from the point of view of national elections. The election results will decide how the government health programmes are run in states over the next five years. In this light, this New Year of 2019 appears to hold big promise and it is to be a year of real transformation in healthcare delivery, especially on the last-mile. Our first edition of 2019, thus justifiably highlights the vision of healthcare experts and industry leaders. We have tried to explore what kind of hope they have in the mind while looking back at the lessons drawn and contribution made in the healthcare sector. The theme is ‘Latest Technologies and Trends’. Our cover story “Technology & Trends to Drive Healthcare Industry’s Vision 2019”, explores what kind of technologies industry players are working upon and how they are planning to leverage them to boost deliverables at various levels. Offering industry perspective through interviews in this edition are -- Selva Kumar Devannam, Director, Trimed Solutions Pvt Ltd; K Lakshmi Kumari, Director (Administration and IT), eVaidya Pvt Ltd; Sreedhar Veeramony, COO, Aosta Software Technologies India Limited; Ravinder Pal Singh, Director : Business Development (Cybersecurity, IOT, Digital Cities) Dell EMC; and Dr B R Das, Advisor and Mentor, SRL Diagnostics. Since eHEALTH magazine has always documented the Indian healthcare sector’s transformation, this issue offers a bird’s view of eHealth conferences of 2018. These have been instrumental in shaping up a dynamic and robust healthcare sector for 2019 by confluencing policymakers, industry leaders and experts on common platforms. With such a variety of interviews, articles, and features involving key industry leaders and decision makers, we hope the issue would evoke an invaluable feedback of our esteemed readers. Wishing You All A Great New Year Ahead!

Dr Ravi Gupta Founder Publisher and Ceo, elets Technomedia Pvt ltd & editor-in-Chief eHealTH magazine ravi.gupta@elets.in

january 2019 | Volume 14 | Issue 01

cover story

Technology & Trends to Drive Healthcare Industry’s Vision 2019 technology PersPective

industry PersPective 18 Dr B R Das

24 K Lakshmi Kumari

Selva Kumar Devannam

Managing Director, Trimed Solutions Pvt Ltd Director – Digital Innovation & Transformation Services, ALTEN Calsoft Labs

Brand Head, Director Sales & Support, NetRack Enclosures Pvt Ltd

26 Shikha Suman

Founder & CEO, Medimojo

28 Ripunjoy Gogoi

article

20 Healthcare Education: The SIMSR Way

Director Sales - India & SAARC, Asustor Inc

29 K C Raghu

Founder and MD, Pristine Organics

32 Balaji Krishnammagaru

cancer care PersPective

30 Dr Anshuman Kumar

Director (Administration and IT), eVaidya Pvt Ltd

25 Ravi Raj

22 Somenath Nag

Advisor and Mentor, SRL Diagnostics

Director, Surgical Oncology, Dharamshila Narayana Superspeciality Hospital, New Delhi

Co-founder & MD, MedOnGo

33 Murugesan R

Senior Director, Sales – Private Networks, R&M India

elets healthcare conferences 2018

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eHealth Conferences Laying Roadmap of Transformation in Indian Healthcare

2018 Lays Foundation of Robust Indian Healthcare System

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Send your feedback about our interviews, features, articles, and news. We also invite your articles and blogs on latest developments linked to healthcare sector. You can comment on the webpage of the stories, or mail at editorial@elets.in

cover story

Technology & Trends to Drive Healthcare Industry’s Vision 2019

As a wide array of diseases is on the rise, the healthcare industry seems to be gearing up for more innovation and solutions inspired by government support and initiatives to build a robust healthcare sector. Industry players envisage bringing a paradigm shift in the healthcare delivery empowered by new-age digital technologies and modern diagnostic tools, writes Mukul Kumar Mishra for Elets News Network (ENN).

018 was a year to reckon with in terms of plethora of healthcare initiatives by the Government, prominent among them being the Ayushman Bharat. These initiatives coupled with technological advancements by private players appear set to be key instruments in augmenting healthcare delivery system in the coming days.

Vision 2019 With the aim to foster patient care, industry players are working on modern-day technology trends to benefit people of all strata of life. Industry players who have years of experience overseeing delivery of services in healthcare sector, gave eHEALTH an insight about the market, offering huge opportunity and challenges for stakeholders to meet up to the increasing demand of

january 2019

personalised healthcare. These market players also unveiled plans about their latest products and any collaboration strategy for 2019. eHealth magazine aimed to explore how some of these players look at ‘Vision 2019’ and what they wish from the government or how they are planning to leverage technology in almost every area of care including cancer care, heart related issues, telemedicine and mobile apps to provide last-mile healthcare delivery. According to Selva Kumar Devannam, Managing Director, Trimed Solutions Pvt Ltd., “The Government is making lots of concerted efforts to provide affordable healthcare facilities to poor population through programmes like free dialysis and diagnostics services, ePHC, teleradiology services,

telemedicine and biomedical equipment maintenance services.” ALTEN Calsoft Labs’s (ACL) Somenath Nag says that his organisation will focus on providing digital health solutions to improve the access to care and quality of care. In addition, ACL will also focus on bridging the gap in the area skilled workforce by automating key business processes using artificial intelligence and robotics. “To provide Universal Health Coverage and get into real predictive care, our plan is to leverage technologies like health IoT, big data, patient generated data, clinical decision support systems, artificial intelligence, and machine learning,” Balaji Krishnammagaru, Co-founder & MD, MedOnGo said when asked about the organisation’s plan in 2019. Asked to reveal mission and vision

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cumulative efforts by both private and Government are helping sustainable healthcare delivery model to become a reality.

Indian Healthcare and An Experience with Transformation With many more technology trends in the offing, the Indian healthcare sector is continuously undergoing a transformation and likely to move towards value-based care in 2019. The future of healthcare delivery is progressively moving from reactive care to preventive healthcare. “With innovative mobile applications, vaccination reminders, digital healthcare records and report sharing, the concept of ‘care anywhere’ is coming into the real healthcare delivery picture. In every way, technology is optimising care in clinics through e-clinics and virtual hospitals,” said Mudit Vijayvergiya, Co-Founder, Curofy. Cutting-edge diagnostic equipment, innovative solutions, and mobile applications are helping healthcare service providers to address traditional challenges enabling people to avail better patient care in terms of accessibility,

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Modern-day technologies have shown exciting signs of potential, ranging from their ability to help patients suffering from anxiety all the way to allowing trainee doctors to practice critical procedures

cover story

of R&M India, Murugesan R, Senior Director, Sales, said, “Our vision is to make sure that the healthcare industry uses the anti-microbial products in their operational theatres and laboratories which will help the patients to avoid infections. We will be organising the industry-based educational programmes for the IT teams in the healthcare industry.” “Our product line at Medimojo is built around these major variables – quality, affordability and personalisation. We make available easy to install and affordable SaaS (Software as a Service) based platform to providers. They don’t need to spend huge money on buying the software and clouds,” Shikha Suman, Founder & CEO, Medimojo said unveiling the plan 2019. It looks industry players are all set to cater people with advance level of patient care. As non-communicable diseases, lifestyle ailments are increasing in unprecedented manner, these players are bound to come up with evolved innovative solutions to cater huge Indian population. Though infrastructure is proving to be a big stumbling block in a way to healthcare delivery, nevertheless,

affordability and quality.

Huge demand for quality healthcare Due to unprecedented rise in noncommunicable diseases and increase in income level of neo-middle class, today, people are becoming more aware and cautious of their wellbeing with information and tools available at their disposal. Stress and mental health concerns have further encouraged consumers to be more connected with their overall health. Sumit Puri, Chief Information

eHEALTH Magazine

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january 2019

cover story 10

Officer, Max Healthcare, said: “With rapid advancements in the rise of vector borne and lifestyle related diseases, the cost of healthcare is increasing with insurance organisations and healthcare institutions all striving to leverage data effectively and invest in prevention and holistic care rather than highly expensive curative care.” Over the past few years, there has been a dramatic rise in digital adoption by hospitals and doctors giving a new meaning to patient care. From day routines to complex workflows, digital has left its imprint at every juncture of healthcare delivery. Adoption of modern digital tools by healthcare practitioners is helping the Indian healthcare sector to move towards a better future. “Migrating non-sensitive patient data to the patient portal and the private cloud is a revolutionary step that increases accessibility of clinical information to medical professionals and decreases waiting time for patients to get admission,” Puri further said. Dr B R Das, Advisor and Mentor, SRL Diagnostics, says, “The roles of digital technologies, big data, and

january 2019

precision medicine in healthcare are rapidly shifting from drivers of marginal efficiency to enablers of fundamental innovation.” “Microfluidics, Liquid biopsies, Next Generation Sequencing, and Digital Technologies will continue to be our major focus in coming years,” Das reveals.

Technologies and innovations catapulted healthcare delivery in 2018 As is commonly said, the India’s healthcare industry, one of the fastest growing sectors, is expected to reach $280 billion by 2020. It offers a huge opportunity to industry players to cater people with better patient care. “2018 has also seen the concept of managed home care becoming reality. With the number of nuclear families increasing and with the increase of affordability, we see increasing demand in the areas of Managed Home care, Transitional care, and End of life/ Palliative care,” according to Somenath Nag, Director – Digital Innovation & Transformation Services, ALTEN Calsoft Labs.

A section of experts believes that data is the crucial thing in healthcare sector and, managing and converting that into valuable insight continues to be a major focus for providers. Turning data into action is proving to be a new source of innovation and service-oriented future revenue streams for healthcare players. “Technology has enabled people to optimise their health and lifestyle through wearable devices such as smart watches, activity trackers, fit bits, etc. Such devices which can monitor body vitals are helping people set goals, track and accomplish them,” says Devannam of Trimed Solutions Pvt Ltd. Das of SRL Diagnostics believes 2018 remarkably focused on precision medicine, non-invasive technologies and harnessing the power of digital technologies and data analytics. The advent of precision medicine is a result of countless innovations in an array of fields, including genomic sequencing, big data and analytics, bioinformatics, bio-engineering etc. “Precision medicine and immunotherapy are changing the landscape of cancer treatment.

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Trends Setting the pitch for Better Care in 2019 Corporate hospital chains, tech giants and startups are working on developing Artificial Intelligence, Blockchain and Machine Learning based diagnostic solutions for removing the distance and cost barriers. Keeping in mind the healthcare requirements of people in the wake of rising lifestyle diseases, they are coming up with solutions which provide quick diagnosis and real time treatment of fatal diseases like cancer and heart ailments. “There has been a spike in the sales of body ideal measurement devices in recent times. Tools that allow people to measure their blood-pressure, oxygen level, diabetes or blood sugar levels at home are becoming more common,” Devannam of Trimed Solutions Pvt Ltd. says.

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From predicting health outcome to diagnosing disorders like multiple sclerosis, eye defects, tumours, post-traumatic stress disorder, Alzheimer’s, respiratory infections and other critical illness, AI has proved to be a best tool

As we enter into the era of innovations in precision medicine, tailored therapeutics, wearables, and artificial intelligence, the importance of diagnostics’ role in medicine will continue to emerge, says Das of SRL Diagnostics.

Artificial Intelligence to change paradigm of healthcare delivery

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Augmented Reality (AR) & Virtual Reality (VR) to transform patient care These modern-day technologies have shown exciting signs of potential, ranging from their ability to help patients suffering from anxiety all the way to allowing trainee doctors to practice critical procedures. As per estimation, healthcare based AR and VR industry is poised to become a $ 5.1 billion market by 2025. While on one hand, the technology helps doctors to do more precise surgeries, the patients on the other hand benefit from the virtual reality scenes that help them overcome trauma with greater ease while being in a safe environment. “The role of Augmented Reality will keep increasing in coming years. It is becoming one of the strongest applications in medical training,” says Shikha Suman, Founder & CEO, Medimoj.

IoT -- A Game Changer

Artificial Intelligence represents a set of several technologies that enable machines to comprehend, sense, learn, and act like humans to an extent that are prepared to perform a number of clinical and administrative healthcare functions. It is one of nascent and novel healthcare technology trends which can improve the speed and accuracy of the diagnosis process. The need for analysis of a huge amount of data and quick decision-making has put artificial intelligence (AI)-enabled solutions at the forefront of the current wave of healthcare revolution. From predicting health outcome to diagnosing disorders like multiple sclerosis, eye defects, tumours,

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post-traumatic stress disorder, Alzheimer’s, respiratory infections and other critical illness, AI has proved to be a best tool.

cover story

Liquid biopsy provides attractive investment opportunities for diagnostic companies. The focus on blood biomarkers, such as ctDNA and CTCs, has unleashed the potential to now track and monitor tumours in a non-invasive manner,” he said. K Lakshmi Kumari, Director (Administration and IT), eVaidya Pvt Ltd believes innovative practices will rule the roost. “Few innovations which will change the healthcare delivery systems in India include medical supply distribution by drone, remote patient monitoring, advances in diabetes care: Artificial pancreas, teleradiology, and advances in cancer care.” “Our focus in 2019 will be to provide better healthcare facilities to the unserved. As far as latest technology is concerned, we will explore the fields of teleradiology and remote patient monitoring technologies this year,” Kumari adds.

With the global IoT healthcare market to reach over $160 billion by 2020, industrial IoT seems like a gamechanger for the healthcare industry. There are a number of reasons why mHealth technologies needs IoT advancement in the industry. Reasons that range from Turning Data into Action, Improvement of Patient Health, Promotion of Preventive Care, Enhancement of Patient Engagement and Satisfaction, and Advancement of Care Management. “From personal fitness and wellness sensors to surgical robots, IoT is bringing in innovative new tools, paving the way for more integrated healthcare. With IoT, companies can recast and revolutionise patient healthcare,” Suman adds.

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january 2019

Technology Perspective

‘Technology Enabling People to Optimise Patient Care’

Technology has been instrumental in shaping the Indian healthcare industry. Modern-day advancements and digital initiatives have transformed the healthcare sector, enabling people to avail better patient care, says Selva Kumar Devannam, Managing Director, Trimed Solutions Pvt Ltd, in an interview with Elets News Network (ENN).

How will you summarise Indian healthcare in terms of opportunity and challenges? Healthcare is becoming one of the largest sectors in India in terms of revenue, budget and employment. The Indian healthcare sector is expected to touch $280 billion by 2020. Rising income-level, greater health awareness, increased precedence of lifestyle diseases and improved access to insurance, are key contributors to growth. The sector is expected to generate 40 million jobs in India by 2030. One lakh jobs are expected to be created from Ayushman Bharat, the National Health Protection Scheme.

Shed some light on healthcare Initiatives in 2018 Technology has been instrumental in shaping the Indian healthcare industry. Technological advancements and digital initiatives have transformed the healthcare sector enabling people to avail a better patient care. In the present times, people are becoming more aware and cautious of their well-being with information and tools available at their disposal. One of the challenges is how to provide quality, accessible and affordable healthcare services to people at large. The answer

january 2019

is to improve, regulate and systemise the service delivery through adoption of technology and IT infrastructure. The Government is making lots of concerted efforts to provide affordable healthcare facilities to poor population through programmes like free dialysis and diagnostics services, ePHC, teleradiology services, telemedicine and biomedical equipment maintenance services. These programmes are implemented through PPP mode. Various telemedicine projects have been launched under NHM enabling people in remote areas to get connected with expert doctor sitting in any tertiary hospitals in metro cities. Telemedicine has compensated the infrastructural gaps in healthcare delivery.

Share with us your company’s business plan for 2019 The Government is aiming to develop India as a global healthcare hub. In a bid to encourage medical infrastructure in India, it has approved a budget support of Rs 85,271 crore for three years under the National Health Mission. In order to develop a sustainable model, NHM is supporting States for Biomedical Equipment Maintenance Programme (BMMP).

Selva Kumar Devannam

Managing Director, Trimed Solutions Pvt Ltd

BMMP, one of the biggest medical equipment maintenance programmes globally, takes care of 7,56,750 equipment in 29,115 health facilities across the country, of which 30 percent were found dysfunctional across. Trimed Solutions is part of this giant programme and involved in the BMMP services for over 1,00,000 equipment in six States of the country with business value of about Rs 50 crores a year. It has added an additional business value of about Rs 100 crores for coming years. We take every challenge as an opportunity and develop a business

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Tell us about implementation challenges in medical technology and remedial actions in this area. India has a huge number of unemployed engineering graduates, even though it is hard to find skilled Biomedical Engineers (BME). As per an estimate, there will be a requirement of about 6,000 skilled BMEs in five years. To fill the gap, it is necessary to focus upon skill development of these engineers and make them employable. Being a private player, we are investing huge money to develop the skill for the engineers. We have designed a training course, in association with Osmania and IICBCSIR, which is certified by Health Sector Skill Council. Our aim is to identify critical gaps in medical technology and support the healthcare providing authorities to standardise the system. We have formulated national SPOs for providing biomedical equipment maintenance services in the country with the help of NHSRC (National Health System and Resource Center). In addition, we have also designed a specific training programme for the

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We take every challenge as an opportunity and develop a business model which supports the healthcare providers to deliver the services at par with global standards. Our business is estimated to grow at 100 percent in coming years

fresh biomedical engineers which enable them to understand the roles and responsibilities in the healthcare system. Our training programmes bridge the gap between manufacturing, maintenance and service delivery.

Brief us about healthcare technologies and trends which will play a key role in augmenting healthcare delivery system in coming years. There is no limit for technological innovations as they play a pivotal role to meet rising demands of humans. In the next decades, one can expect that research will be in focus in the area of medical devices for restoring the functions of tissue through sophisticated implantable electronic devices. In future, there maybe patients with more than one implantable electronic device and these devices will learn to communicate and adjust their performance to meet the requirement

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of the tissue functions. Technology has enabled people to optimise their health and lifestyle through wearable devices such as smartwatches, activity trackers, fit bits, etc. Such devices which can monitor body vitals are helping people set goals, track and accomplish them. Today, people have become increasingly health conscious due to unprecedented increase in lifestylediseases. Stress and mental health concerns have furthered encouraged consumers to be more connected with their overall health. There has been a spike in the sales of body ideal measurement devices in recent times. Tools that allow people to measure their blood-pressure, oxygen level, diabetes or blood sugar levels at home are becoming more common. One-touch tests and other home-based health-monitoring devices have given people the choice to keep a track of these body ideals on a daily or weekly basis. It further enables people to share these body vitals with doctors and receive real-time feedback through online platforms. Technology is replacing the human effort of keeping track of health. The next area may be functional tissue engineering where tissue will be grown from biological material (stem cells). It will be placed into the body into the right position to restore the function of the newly implanted tissue. Of course, there is still a lot to be learned on how to produce biological materials which have properties close to, or the same as human living tissue and can withstand the same forces and strain. There are two major fields of intensive research which will improve the current results, neural interfaces and neuroscience. The need for neural interfaces fosters development of new biocompatible materials for neural prosthesis, especially among the nanomaterials and nanotechnology.

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january 2019

Technology Perspective

model which supports the healthcare providers to deliver services at par with global standards. Our business is estimated to grow at 100 percent in coming years. Our technical team is having 200 years of combined experience. They are now involved in transforming the knowledge and experience to the young engineers through various training programmes in collaboration with universities like Osmania and CSIR- IICB. We are also maintaining a 24 X 7 call centre in all the States with real time dash board to give critical data information. All in our technical team are enabled with a self-designed mobile application to support the work flow and process.

Industry Perspective

Aosta – Leveraging IT Solutions to Boost Healthcare Delivery There is a huge shortage of doctors in India compared to the prevailing trends in mature markets like the US or Europe. The quality of medical care is tend to grow and will make it expensive. That will call for the demand for high-end IT solutions to back up, says Sreedhar Veeramony, COO, Aosta Software Technologies India Limited, in a conversation with Elets News Network (ENN).

How has been the last year in terms of new initiatives (technology and innovations) in healthcare space? Share your observation of it. As far as Aosta is concerned, we have made our product Browser compatible in the client machines, by which we are moving towards open environment. Apart from that, we have rolled new functionalities which are Mobile Compatible such as Management Dashboard, Patient Portal, eMAR and a doctor-friendly EMR.

Kindly share with us how your organisation contributed in 2018 for the Indian healthcare system. It was a very big achievement year for us, both in terms of Business and Product Innovation. As far as business is concerned, we have shown 100% growth against industry average of 10%. We have made customers pan-India and we have also made our footprints in markets like Malaysia, Iraq, Muscat, Nepal, and Kenya.

With the increasing role of technological advancements and innovations in healthcare delivery, change is natural. What are you plans for 2019? More AI and IoT related innovations will be initiated.

january 2019

How do you foresee the Indian healthcare market’s growth in 2019? What plans do you have for expansion and collaboration for this year? Healthcare Industry is to grow at the rate of 16%. The Government has also declared world’s largest Government funded healthcare scheme – “AYUSHMAN BHARAT”. We expect more Public and Private partnerships to happen in the years to come. All these will call for more IT enabled solutions with IoT, Machine Learning and AI to support the Growth. As mentioned earlier, we are taking initiatives in Product Innovations on the lines mentioned and we also seek business collaborations in new markets.

Shed some light on your major focus areas in context of rising demand of quality, affordable and personalised healthcare from people at large.

Sreedhar Veeramony

COO Aosta Software Technologies India Limited

There is a huge gap between demand and supply… still the doctors to patients ratio remains at 1: 100… which is a huge shortage of doctors in India compared to the prevailing trends in mature markets like the US/Europe. The quality of medical care is tend to grow and will make it expensive and that will call for the demand for high-end IT solutions to back up.

Technologies have enhanced patient care in an unprecedented manner. What are the technologies that will pave the way to transform healthcare sector in 2019? As mentioned earlier AI, Machine Learning, IoT will play a major role.

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Industry Perspective

Dell EMC Revolutionising Healthcare in India

In India, our ecosystem partnership with Sanskritech, a new-age healthcare technology provider, brought to market a new revolution, SWAYAM (self-operated), Anytime Health Monitoring Kiosk based solution. SWAYAM being Made in India and using AI-based Data analytics helps users to have their health checkup done at any place, any time and very affordably, says Ravinder Pal Singh, Director: Business Development (Cybersecurity, IOT, Digital Cities) Dell EMC, in conversation with Elets News Network (ENN).

The 2018 has been an eventful year in many dimensions for various sectors. How do you look at the year gone by in terms of technology and innovations related initiatives in healthcare space? There are three major areas driving the next wave of Digital Transformation in every industry: Automation, Analysis and AI. Healthcare industry is one of the early adopters and user of emerging technologies as it directly impacts human life. 2018 saw some breakthrough innovations: Health AHM (Anytime Health Monitoring), AI bases Fatigue Management system,

Nano sized Sensors for Predictive analytics and AI-based critical care management for critical patients. Globally, we have seen very innovative startups emerging and creating life-saving solutions for healthcare providers and operators.

Kindly give an overview of your organisation’s contribution to healthcare sector in 2018. As a leading provider of healthcare and life sciences IT solutions worldwide, Dell EMC helps organisations advance in the digital era, transforming the way they work

Ravinder Pal Singh

Director: Business Development (Cybersecurity, IOT, Digital Cities) Dell EMC

so that they can transform lives of the people they serve. Today, Dell EMC is helping healthcare and life science organisations simplify their administration; coordinate and manage patient care; manage and secure patient data; make the transition from episodic care to coordinated, advance personalised care with a focus on prevention and wellness; and ultimately improve population health and individual

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Industry Perspective

patient outcomes. In India, our ecosystem partnership with Sanskritech, a new-age healthcare technology provider, brought to market a new revolution, SWAYAM (self-operated), Anytime Health Monitoring Kiosk based solution. SWAYAM being Made in India and using AI-based Data analytics helps users to have their health check done at any place, any time and very affordable. Apart from this, Dell EMC partnered with Ministry of Family Welfare and Health, Government of India to help enable Digital Transformation of its flagship programme Ayushman Bharat by providing a Data Lake architecture platform for Data management, Dashboarding and Analytics.

a better predictive analysis to reducing complexity in health products. Dell EMC is focused on Digital transformation of Healthcare by offering products and solutions in these areas : Health IT Transformation, Precision Medicine Transformation, Connected Health Transformation and Data Security.

2019 will see further emergence and adoption of key technologies around 3 As which will further make Healthcare management and operations more affordable, easy and flexible by enabling Digital Transformation 2.0.

In the light of increasing role of technological advancements and innovations in healthcare delivery, please unveil your plans for 2019. As I see it, 2019 will see further emergence and adoption of key technologies around 3 As which will further make Healthcare management and operations more affordable, easy and flexible by enabling Digital Transformation 2.0. Technologies like AI, Blockchain and

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Remote monitoring automation will enhance our healthcare capabilities. I see two major areas of focus and growth in India: Mass healthcare outreach and affordability. Some of our ecosystem partners are creating value in this space. From enabling real time analytics for

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Technologies have enhanced patient care in an unprecedented manner. Can you list out some technologies which will pave the way to transform healthcare sector in 2019? Some areas which will see more innovative products and solutions entering healthcare market are: 1. Human-machine partnerships will reshape how we share medical information, treat disease, and discover new therapies more precisely. 2. Data Security transformation – India is already on the verge of its own Data Security law which will change the dynamics 3. Wearable based analytics and predictive management 4. Anytime, Anywhere Health checks will be a widespread concept 5. Remote health diagnostics and real time response will be a key driver for innovation.

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Industry Perspective 18

‘AI Bringing Sea Change in Healthcare Research and Services’ Artificial Intelligence (AI) has transformative promise across the healthcare landscape, from empowering personalised medicine to improving operational efficiency and predictive cost management. It assists clinicians in making better decisions or even replace human judgement in certain functional areas, says Dr B R Das, Advisor and Mentor, SRL Diagnostics in an interview with Elets News Network (ENN).

How do you look at 2018 – the year gone by – in terms of new technology or innovative initiatives in healthcare space? Despite a range of challenges, it is encouraging to note that innovations are happening in healthcare. It will be difficult to provide a comprehensive recap of all new technological innovations in healthcare space. 2018 remarkably focused on precision medicine, non-invasive technologies and harnessing the power of digital technologies and data analytics. The advent of precision medicine is a result of countless innovations in an array of fields, including genomic sequencing, big data and analytics, bioinformatics, bioengineering etc. Precision medicine and immunotherapy are changing the landscape of cancer treatment. Liquid biopsy provides attractive investment opportunities for diagnostic companies. The focus on blood biomarkers, such as ctDNA and CTCs, has unleashed the potential to now track and monitor tumours in a non-invasive manner. In around two years, most likely, liquid biopsy will become adjunct to tissue biopsy. In healthcare, today data

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is the “new gold” and managing and converting that into valuable insight continues to be a major focus. Turning data into action is proving to be a new source of innovation and service-oriented future revenue streams for healthcare players. Integrating these innovations seamlessly into clinical workflows and care pathways still remains distant future. However, the roles of digital technologies, big data, and precision medicine in healthcare are rapidly shifting from drivers of marginal efficiency to enablers of fundamental innovation.

How do you perceive growth of Indian healthcare market in 2019? The Indian healthcare industry is one of the fastest growing sectors and expected to reach $280 billion by 2020. India has also become one of the leading destinations for high-end diagnostic services with tremendous capital investment for advanced diagnostic facilities, thus catering to a greater proportion of population. With the digital revolution, telemedicine has also evolved enhancing patient care in remote areas. The Central Government

Dr B R Das

Advisor and Mentor, SRL Diagnostics

has shown a great interest in the development of telemedicine and started investing in this segment to provide better healthcare facilities. Single speciality hospital and clinics are trending in India. I can clearly envisage genomics revolution in the next few years. India and China will take a leading role in Asia’s genomics space.

Shed some light on your major focus areas on adoption of recent innovations and technologies.

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Technologies have enhanced patient care in unprecedented manner. Can you list out some technologies which will transform healthcare industry in 2019? As we enter into the era of innovations in precision medicine, tailored therapeutics, wearables, and artificial intelligence, the importance of diagnostics’ role in medicine will continue to emerge and the definition of what constitutes a diagnostic test will continue to evolve. New technologies power some of these innovations. Lab automation tools, for example, are bringing efficiencies to countries wherein workforce shortages and skills gaps are chronic issues. Pointof-care diagnostics is increasing access to testing in remote/rural areas. Artificial intelligence (AI) is expected to play a major role in the future of medical imaging by automating processes, improving workflow productivity, and increasing diagnostic accuracy. It is difficult to predict the timeline when some of these technologies will be mature enough for routine healthcare applications.

Artificial Intelligence has become a big-league in the healthcare industry with the change in technologies and healthcare delivery methods. How does the future of AI look like? The need for analysis of a huge amount of data and quick decisionmaking has put artificial intelligence

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(AI)-enabled solutions at the forefront of the current wave of healthcare revolution. It is bringing a sea change in healthcare research and services. The goal of AI is to emulate human cognitive functions, reducing human efforts in repetitive and analytical tasks. Already, there is evidence of substantial progress being made by AI techniques in radiology. It assists clinicians in making better decisions or even replace human judgement in certain functional areas. Guided by relevant clinical questions, AI techniques can unlock clinically relevant information hidden in the massive database, which in turn can assist in clinical decision-making. By 2020, 40 percent of the Internet of Things (IoT)-related technology is expected to be health-related, more than any other category, making up a $117 billion market. The convergence of medicine and information technologies such as medical informatics will transform healthcare, curbing costs, reducing inefficiencies, and saving lives.

AI’s role in healthcare is well-established. At the same time, diagnostics is probably the first and a major element in the medical landscape. Is the shift that AI is creating in the diagnostic industry promising enough? AI has transformative promise across the healthcare landscape, from empowering personalised medicine to improving operational efficiency and predictive cost management. It is currently supporting clinical diagnostics industry in the following arenas: • By using carefully crafted algorithms, AI can learn patterns from a large volume of healthcare data, and then use the obtained insights to aid clinical decision making. It can also be equipped with learning and self-correcting

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Microfluidics, Liquid biopsies, Next Generation Sequencing, and Digital Technologies will continue to be our major focus

•

Industry Perspective

Adopting right innovations at right time is necessary for an organisation’s success and survival. Microfluidics, Liquid biopsies, Next Generation Sequencing, and Digital Technologies will continue to be our major focus. Considering India’s health priorities and affordability, infectious diseases and oncology, remain our centre of focus for adopting the technological advancements.

abilities to improve its accuracy based on human feedback. AI systems can help clinicians by providing up-to-date medical information from journals, textbooks, and that available from ongoing or past clinical trials for appropriate patient care. By automating the pre analytical process for laboratory diagnostics, an AI system can help to reduce diagnostic and therapeutic errors that are quite common in human clinical practice. An AI system extracts useful information from a large human population to assist in making health risk and health outcome predictions possible. An AI system can interpret an individual’s health status based on clinical history, vital statistics and diagnostic test results. AI has been instrumental in diagnosing disorders viz. multiple sclerosis, developmental delays, eye defects, tumors, post-traumatic stress disorder, Alzheimer’s, respiratory infections and other critical illness etc. AI algorithms assist to suggest diet, physical activity and lifestyle modifications recommended as per the risk status of an individual.

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Article

Healthcare Education:

The SIMSR Way

he year 2018 has been pleasingly promising for the healthcare sector in India. The country witnessed an overall 15 percent growth in the healthcare sector and within the sector, the sectors such as medical tourism witnessed 22 to 25 percent growth. This momentum got a boost by additional positive steps such as India – Cuba signing MoU for better collaboration, more than 20 major international deals, bringing more investment in the sector and the major announcement by the Government of India’s signature programme ‘Ayushman Bharat’ in September 2018. Healthcare ecosystem around the world, especially in India, is highly

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complex and has multiple layers along with different dimensions. It comprises healthcare service providers, healthcare product companies, government/public healthcare sector, regulators, insurers, healthcare information technology providers, professional associations as well as academic institutions providing quality healthcare education. The entire system is expected to work in sync with each other to bring out better health for the patient/ consumer who is at the centre in this ecosystem. Academia has a very unique role to play in this. It is one of the major stakeholders which leverages

effective interactions among all other segments. Understanding the need, K J Somaiya Institute of Management Studies & Research (SIMSR) has launched a two-year full time, AICTE approved PGDM Healthcare Management programme in 2018. As a leading private Management Institute in India, we decided to focus on four parameters to nurture the talents of students and create value in the healthcare sector: 1. Nurturing the talent by providing necessary knowledge along with grooming the skills required for future managers and decisionmakers. 2. Creating effective interaction

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We have over 50 percent of the faculty from the healthcare industry who bring their practical experience to the classroom. Our academic partners K J Somaiya Hospital and Research Centre offer concurrent projects to our students. We anticipate 2019 to be much more challenging as well as enthralling. We expect Ayushman Bharat to take a jump-start which possibly would change the entire healthcare scenario. Internationally, India’s image in view of public healthcare is tarnished and it is often stated that despite a booming economy, India fails in providing access to basic healthcare to its underprivileged section. We believe it is the time to change the view. Ayushman Bharat comes along with lot of dreams as well as challenges. The dream to provide health insurance worth INR 5 lakhs to more than 50 crore households is a utopian as well as humongous task. It will be an arduous task for all the stakeholders to bring that on ground. New technologies such as artificial intelligence, digitisation, and

machine learning are likely to come in the forefront to make these dreams a reality. The new ecosystem will ask for a change in existing business models and need new sources of finance. It will also be interesting to see how existing classical healthcare services such as alternative medicines, counselling, yoga and meditation will make use of these modern technologies to find their groove in the new millennium. Growth will also largely depend on development of manpower that would have a holistic understanding of science, technology, regulatory framework and will possess managerial and entrepreneurial abilities. We, at SIMSR, are aware of these challenges and are gearing up to face these head-on. As a start, we are planning to create a platform called ‘Samavesh’ - an industry-academia connect on the theme ‘Healthcare 4.0: Myths and Reality’ in February 2019. The event will be empanelled by experts from the healthcare sector and academia. This will help throw some light on the challenges of making healthcare ‘inclusive which is one of the important mottos of Ayushman Bharat. We are also planning to organise an international immersion programme for the students in a country which has a better healthcare system than us. Our intent is to make our students firmly grounded in reality on one end and on the other, help them ascend the ever-expanding frontiers of the healthcare sector. A small step to build a healthier India!

Article

between students and the healthcare industry by promoting experiential learning through various means such as guest lectures, concurrent projects, industry visits etc. 3. Providing a global exposure to the students through organising international immersion programmes. 4. Building research and critical thinking abilities by promoting research amongst students and the faculty members. We, at SIMSR, have made an effort to do significant contribution to all these four parameters. Our collaboration with Imperial College Health Partners (ranked 8th in the World University Ranking), UK, and K J Somaiya Hospital, Mumbai, has helped us in building strong academic content with a focus on emerging technologies and global trends. We have a good mix of industry and academic professionals on our Board of Studies which helps us in designing the course structure, getting experts from the field and providing opportunities for experiential learning for our students.

(Disclaimer: The writers are Dr Prema Basargekar, Programme Coordinator, PGDM Healthcare Management, KJ Somaiya Institute of Management Studies & Research, Dr Poonam Chauhan, Programme Co-coordinator, PGDM Healthcare Management, KJ Somaiya Institute of Management Studies & Research. Views expressed are a personal opinion.)

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Technology Perspective 22

‘Technology Key to Better, Holistic Healthcare Delivery’

Technology is the best way to improve efficiency and productivity of the healthcare delivery and reduce cost of care. Digital technologies help to collect, store and share critical patient data in a safe and secure way, says Somenath Nag, Director – Digital Innovation & Transformation Services, ALTEN Calsoft Labs, in a conversation with Elets News Network (ENN).

How do you look back at 2018 in terms of new initiatives (technology and innovations) in healthcare space? How significant was your organisation’s contribution in 2018? In spite of the healthy growth, Indian healthcare still suffers from three critical weaknesses – access to care, cost of care and quality of care. A vast population of our country still neither has access to quality care nor can it afford quality care. 2018 witnessed a lot of trends evolving in the healthcare industry regarding how technology can contribute in uplifting the healthcare sector with improved care delivery. The Indian healthcare technology

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providers have brought innovation while refurbishing the sector by combining digital technologies like AI (Artificial Intelligence) and Machine Learning with traditional practices in the healthcare. 2018 has also seen the concept of managed home care becoming reality. With the number of nuclear families increasing and with the increase of affordability, we see increasing demand in the areas of Managed Home care, Transitional care, and End of life/ Palliative care. Some of the care providers have started focusing in this area. ALTEN Calsoft Labs (ACL) is in the forefront of providing digital health solutions to global health

Somenath Nag

Director – Digital Innovation & Transformation Services, ALTEN Calsoft Labs

providers and payers. During this year ACL, along with its customers, participated in following digital health initiatives: • AI & ML based solutions for automating prognosis from radiology images • Robotic Process Automation solutions for optimising insurance claim processing • mHealth solutions for providing home care • mHealth solutions to improve efficiency and productivity of the provider systems • Cloud based solutions for

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digitising health records

In the light of increasing role of technological advancements and innovations in healthcare delivery, what are your plans for 2019? ACL will continue to focus on providing digital heal solutions to improve the access to care and quality of care. Apart from this, ACL will also focus on bridging the gap in the area skilled workforce by automating key business processes using artificial intelligence and robotics. Most of our new solutions will use mobile apps for end point delivery of care.

How do you perceive growth of Indian healthcare market in 2019? Tell us about your expansion and collaboration plan this year. The Indian healthcare industry will continue to grow in a healthy speed in 2019. In Union Budget 2018, the government gave a push to enhancing the healthcare system of the nation by launching the Ayushman Bharat, which will provide insurance cover to 10 crore families in India. This creates an opportunity for the private providers to build facilities and provide wider access to the people covered under this scheme.

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During this year – 2019 -we will see higher adoption of emerging technologies like artificial intelligence (AI), the Internet of things (IOT), blockchain and 3D printing, which are necessary for building a modern technology landscape in healthcare delivery.

Technologies have enhanced patient care in an unprecedented manner. Can you list out some technologies which will pave the way to transform healthcare sector in 2019? Technology is the best way to improve the efficiency and productivity of the healthcare delivery and reduce cost of care. Digital technologies help to collect, store and share critical patient data in a safe and secure way. Analysing this data using Artificial Intelligence and Machine Learning can help doctors and caregivers to provide a much better analysis of the condition and recommendations to the patient by early detection of diseases based on certain triggers in vitals. Wearables and smart sensors can help track patients’ vitals outside the hospital and help in prevent serious situations, especially to those who are at a higher risk, such as those with diabetes or a history of heart attacks. Digitisation of patient health records and EMRs have been one of

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Technology Perspective

Ayushman Bharat creates an opportunity for the private providers to build facilities and provide wider access to the people covered under this scheme.

the crucial steps which made such a transformation possible. Emerging technologies can be utilised to solve some of the specific challenges faced in India: • AI, ML, and RPA based solutions to provide real-time patient information and assist with symptom-based prognosis/ diagnosis. • Cloud, Mobility based remote consultation solution can improve access to care by bringing healthcare to remote areas with no access to basic healthcare facilities. • Wearables and smart sensors can enable patient and healthcare providers to take proactive measures based on an analysis of vitals captured while being away from hospitals. • Provide critical home care with the same level of care and cleanliness through managed services with the aid of mHealth and digital health solutions. • Decentralise patient health records using blockchain technology to maintain a single source of truth and providing easy access by patients and approved providers.

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industry perspective 24

eVaidya – Embracing Modern-Day Technologies to Enhance Patient Care The Indian healthcare delivery system is making big strides, with innovations and technologies playing a key role. Trying to be a part of the bandwagon, eVaidya explores role of modern-day technologies to enhance patient care, says K Lakshmi Kumari, Director (Administration and IT), eVaidya Pvt Ltd, in an interview with Elets News Network (ENN).

How has been 2018 in terms of new initiatives on healthcare technology and innovations front? Talking of the importance of technology, Microsoft founder Bill Gates once said, “The two areas that are changing ... information technology and medical technology. Those are the things that the world will be very different 20 years from now than it is today.” Healthcare service industry has definitely become focus area for development. 2018 has been a remarkable year in both public as well as private healthcare space. With declaration of Ayushman Bharat programme, two new initiatives have been introduced in public healthcare domain, the National Health Protection (NHP) Scheme and creation of health and wellness centres across primary levels of healthcare. The Government took a step forward to achieve the NHP’s aim of doubling government spending from the existing 1.15 percent of the GDP to 2.5 percent by 2025. On private fronts, few innovations which will change the healthcare delivery systems in India include medical supply distribution by drone, remote patient

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monitoring, advances in diabetes care: Artificial pancreas, tele radiology, and advances in cancer care.

In the light of increasing role of technological advancements and innovations in healthcare delivery, kindly unveil your plans for 2019. We believe strengthening primary healthcare systems work in long way in creating healthy communities. Our focus in 2019 will be to provide better healthcare facilities to the unserved. As far as latest technology is concerned, we will explore the fields of teleradiology and remote patient monitoring technologies this year.

Evolving Indian healthcare sector offers huge opportunity; tell us about your expansion and collaboration possibilities in 2019. The Indian healthcare market is growing exponentially with approximate growth of around 16-17 percent Year-Over-Year (YOY). With 130 crore population, increasing awareness, digital revolution and the establishment embracing technology to mitigate the inequalities in healthcare distribution, provide huge opportunities for healthcare IT.

K Lakshmi Kumari

Director (Administration and IT) eVaidya Pvt Ltd

Technologies are set to play a crucial role in enhancing patient care in coming years. Can you list out some of these technologies? Firstly, medical supply by drones is going to change the face of supply and demand gap, a major problem with healthcare delivery. Secondly, Artificial Intelligence will change the way we handle emergencies in remote places and disability-adjusted life years (DALYs) lost per year. In addition, remote patient monitoring will make patient compliance more viable as well.

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There has been an overwhelming response from the industry to the products and solutions offered by NetRack. In fact, the organisation’s products have helped clients in increasing the performance of their data centers, says Ravi Raj, Brand Head, Director Sales & Support, NetRack Enclosures Pvt Ltd., in conversation with Elets News Network (ENN).

The year 2018 witnessed a lot of developments in the country. How did your organisation contribute to healthcare domain and pharma sector in this year? NetRack Enclosures foresees itself as a single window solutions provider for all data, network and server related concerns. We cater a range of innovative data center cabinets to various IT industries including Healthcare domain. The rapid change in the healthcare industry over the past few years has occurred completely due to dynamic and powerful impact of IT in respective business strategies and their execution. Healthcare organisations work closely to choose, procure and implement the systems required by leveraging emerging technologies such as Big Data, Cloud, IoT, AI etc. To enable these technologies, healthcare organisations use data centers to easily access and manage the data. These are strained more and more with regulations and big data concerns. Thus they require innovative and enhanced data center solutions which offer highly efficient Airflow management in the data center, Thermal Management, Intelligent Rack and Cooling solutions, Open Rack solutions etc., to monitor and manage the heat in data center and server rooms. In 2018, NetRack has offered its customer-centric solutions across few healthcare organisations to address the pain points in managing the thermal levels in their data centers, which was

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gradually decreasing the performance levels of data center. NetRack’s Ultra rigid Enhanced Racks with intelligent cooling modules contributed a lot to healthcare domain.

industry perspective

NetRack – A Mega Solution for Data, Network Concerns

What were your main products/ solutions that catered to healthcare industry in 2018? Having studied and understood the challenges faced by healthcare and pharma industries, NetRack offered an array of services that serve to Store, Secure, Integrate and Systemise passive and active network components like: • Data Center Racks • Acoustic Racks • iRack & iRack Blocks • Server & Networking Racks • High Density Open & Closed Racks • Data Center Technology Products • Customized Racks • Lab Racks & Furniture

How has been the response from your clients? We witnessed an overwhelming response from the industry to our products and solutions offered by NetRack. In fact, our products have helped our clients in increasing the performance of their data centers by reducing the heat levels and also reduced the overall DCIM (Data center infrastructure management) expenses. NetRack’s mission is to deliver time-bound quality products that are superiorly designed and precision engineered to perfection, to help the customers overcome their constraints

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Ravi Raj

Brand Head, Director Sales & Support, NetRack Enclosures Pvt Ltd

while enabling scalability and increased performance at a reduced cost. NetRack guarantees to offer its clients good customer support services for problem solving and better relations.

Share your vision of IT in 2019 for Healthcare and Pharma verticals. India is a land full of opportunities for players in the medical devices industry. India’s healthcare industry is one of the fastest growing sectors and it is expected to reach $280 billion by 2020. Every growing step requires technology setup to operate, as we said earlier healthcare organisations use data centers to manage the data.Netrack with its Integrated data center solutions and services will leverage digital technology advances to make medicine and research more precise and focused on the individual.

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Industry Perspective

‘Medimojo Leveraging Modern Tech for Quality Healthcare’

Technologies and innovative practices have been enhancing patient care like never before. To cater people quality healthcare facilities, Medimojo adopts modern-day technologies including Big Data Analytics and Artificial Intelligence (AI), says Shikha Suman, Founder & CEO, Medimojo, in an interview with Elets News Network (ENN).

How do you analyse 2018 in terms of new initiatives (technology and innovations) in healthcare space? 2018 has been a great year in terms of adoption of new technologies by healthcare providers. We have seen growth of many digital companies this year in telemedicine, point of care technologies and big data analytics. Genomics is another area which has witnessed tremendous growth this year.

How do you view Medimojo’s contribution in healthcare sector in 2018? Medimojo is into hyper personalised patient engagement solution, which leverages big data analytics and AI in healthcare. As a startup, we observed initial success in 2018. We have few hospitals and diagnostics chains using our product to plug their revenue leakage and increase their retention and footfall. Our product has helped providers to increase the revenue up to 18 percent.

In the light of increasing role of technological advancements and innovations in healthcare delivery, what are you plans for 2019? We are looking forward to 2019 in

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Shikha Suman

Founder & CEO, Medimojo

terms of technology advancements in healthcare. We are constantly innovating and adding to our product line to bring in more and more AI components to better understand the patient pathways and patient characteristics. Personalisation will be used in both treatment and medicine. All patients are not same and their healthcare requirement also varies. We are using AI to understand and predict this for the advancement of healthcare delivery.

How do you perceive growth of Indian healthcare market in 2019? Tell us about your expansion plan this year.

India’s healthcare industry is one of the fastest growing sectors and is expected to reach $280 billion by 2020. The country has also become one of the leading destinations for high-end diagnostic services with tremendous capital investment for advanced diagnostic facilities, thus catering to a greater proportion of population. Besides, the Indian medical service consumers have become more conscious towards their healthcare upkeep. Under our expansion plan in 2019-20, we aim to add 100 providers in next two years providing personal healthcare to 10 million patients.

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Shed some light on your major focus areas in context of rising demand of quality, affordable and personalised healthcare from people at large. Our product line at Medimojo is built around these major variables â&#x20AC;&#x201C; quality, affordability and personalisation. We make available easy to install and affordable SaaS (Software as a Service) based platform to providers. They donâ&#x20AC;&#x2122;t need to spend huge money on buying the software and clouds. The platform uses cutting edge tools in collaboration with IBM for making healthcare extremely personalised for the patients.

Technologies have enhanced patient care in unprecedented manner. Can you list out some technologies which will pave the way to transform healthcare sector in 2019? The healthcare landscape is witnessing exponential growth globally. India is also not lagging behind in the adoption of these technologies. The following five technologies are expected to have far-reaching implications in terms of diagnostics, treatments and delivery of care in the future. Personalised Patient Engagement The personalised patient engagement market for healthcare applications is expected to be adopted globally in rapid manner, with a CAGR of 21 percent until 2021. Excellent patient outcomes, patient stickiness and satisfaction, patient-centric treatment plans, increase revenue are the prime reasons for the wide adoption and successive growth of the personalised

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countries have started using selfadjusting smart beds that adjust itself to the correct pressure and support for each patientâ&#x20AC;&#x2122;s preferences and condition. Smart devices and applications will continue to play a key role to strengthen healthcare delivery system.

We are collaborating with various large and mid-size players in Laboratory Information Management System (LIMS) and Hospital Information Management System (HIMS) space for an integrated delivery

Augmented Reality (AR) & Virtual Reality (VR) Both technologies have shown exciting signs of potential, ranging from their ability to help patients suffering from anxiety all the way to allowing trainee doctors to practice critical procedures. Augmented Reality specifically is really beginning to make its mark. Early adopters within healthcare are reaping the rewards of implementing AR across their products and collateral. The role of Augmented Reality will keep increasing in coming years. It is becoming one of the strongest applications in medical training.

patient engagement market in the healthcare industry. Personalised Medicine The practice of medicine has always been based on evidence. Health centres are at an advantage in the present times. There is a host of diagnostic techniques available that allows them to make faster and more accurate diagnosis. This will further spur personalisation for patients in 2019. Smart Hospitals According to a recent survey, approximately 94 percent of healthcare executives state that they plan to implement smart technology in their organisations to enhance patient care. Health clinics are widely using robots that can monitor a patient without a human provider being present in the room. Technology has alleviated some of the pressure on healthcare providers. Smart technology comes in varied forms to increase comfort, efficiency and decrease risks. Hospitals in few

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We are collaborating with various large and mid-size players in Laboratory Information Management System (LIMS) and Hospital Information Management System (HIMS) space for an integrated delivery.

IOT & Connected Care Devices With the global IoT healthcare market to reach over $160 billion by 2020, industrial IoT seems like a game-changer for the healthcare industry. Healthcare industry has become more profound than ever due to increased competition among healthcare service providers capable of leaving a global footprint and price pressure in regulated markets. With a cost reducing mentality of payers fabricated by the recent recession, companies need to innovate to survive in the market. From personal fitness and wellness sensors to surgical robots, IoT is bringing in innovative new tools paving way for more integrated healthcare. With IoT, companies can recast and revolutionise patient healthcare. With our growing dependency on technology, IoT provides convenience and pennypinching solutions for the patient, payer, and healthcare professional.

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Industry Perspective 28

‘NAS Enabling Asustor to Provide Secured Data’ The latest technology Network Attached Storage (NAS) is proving to be a useful tool providing secured data and backup solution to healthcare service providers. It helps doctors in creating their private cloud to keep all records and also plays a role in instantly accessing the data, says Ripunjoy Gogoi, Director Sales - India & SAARC, Asustor Inc, in an interview with Elets News Network (ENN).

A lot of things occurred in the health sector in 2018. How was the year from your organisation’s perspective? We are backup storage manufacturers. Started last year, our organisation enables users to share data more effectively. Backup or storage to healthcare industry is as important and crucial as for any of the other industries. We have provided solution to the healthcare segment like clinics, small and medium-size hospitals, diagnostics centers, pathological labs, R&D labs, and pharma companies, where data keeping and security of the health record is crucial. For doctors, it helps in referring to the archived prescriptions of the patient who had consulted the doctor five or 10 years ago, without having to go through a lot of junk files and directly understanding the previous diagnosis of the patient and through better analysis, treatment helps to offer better health service. Also, it helps doctors to create a private storage server and surveillance system where the management staff is very limited. Network Attached Storage (NAS), a very simple and intuitive user interface which is easy to use. It holds the ability to add additional functions. Recently, one of our solution providers executed a backup solution project with one

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of the very renowned orthopedic hospitals in Pune, where the entire patients’ data including radiological films which were archived for last 20 years were secured and stored. Now, all the panel doctors of the hospital can access these data to provide better service.

How do you look at IT’s role in 2019 for healthcare vertical? Upgrading the hospital’s Management Information system (MIS) to manage digital data from each doctor, NAS is proving to be a new backup solution for them. They need to connect to the government’s insurance system and storage to secure data. Medical Record Department (MRD) plays a crucial role in healthcare delivery system. The records are stored electronically and the data needs to be retrieved and reproduced in various context i.e RTI, Judiciary bodies, Government census keeping, issuing health certificate etc. where NAS can be rewarding in accessing the data instantly. The recent announcement of ‘Ayushman Bharat Yojana’, the largest public sector health scheme of the world, where all the impaneled hospitals who offer health services need to keep the record of patients’ benefits will attract the business of IT storage system.

Ripunjoy Gogoi

Director Sales - India & SAARC Asustor Inc

Tell us about latest technology products ASUSTOR is planning to launch in 2019. NAS itself is a new technology product for healthcare industry against the high-cost server machines and infrastructure. It is very accessible and within the budget of the maximum population. NAS is equipped with all the features catering to the smallest clinic, to the pharma to the large hospitals. With NAS, doctors can create their own private cloud to keep all records. It also adds surveillance system for examination findings, lab reports, data taken from radiological imaging like x-ray, ultrasound, CT scan, MRI, documents, emails, etc.

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Organic food holds huge importance in the light of rising lifestyle diseases due to a range of factors including unregulated dietary pattern of people in India. Pristine focusses on providing minimally processed food with low-added sugar and salt, says K C Raghu, Founder and MD, Pristine Organics, in an interview with Elets News Network (ENN).

Pristine is a pioneer company in the area of organic food and critical medical diets. Tell us about the mission and vision of the company. Pristine is deeply embedded in nutrition research and designer diet formulations. The vision is blending tradition and innovation, connecting the dots, keeping ecology and environment, and above all helping people to live a healthy and happy life.

In light of rising lifestyle diseases, organic food holds huge importance. As an expert, how do you perceive the statement? Organic food has seen tremendous growth in past decade. More and more people are looking into organic foods for its true form and content. Unfortunately, there have been some organic foods like Maida (white flour) and devitalised white rice etc. So, people are asking for minimally processed diverse varieties in this segment rather than same white rice and routine run-of-the-mill foods coming under organic label. Organic value added products will continue to grow along with staples. It should be organic in real sense not just being free from pesticides and pesticide residues. It has to be free from added junk like sugar and salt. Ecological sensitivity, increased disease burden and abundant health information are helping

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Pristine Embedded in Nutrition Research, Designer Diet people to make a better choice.

With decades of experience in critical nutritional solutions, formulations and safe organic food productions, how do you analyse food habits of Indians? People have the notion that good health is all about absence of any type of disease within human body. But it goes far beyond that. Renowned poet and activist Wendell Berry defines health as unconscious wholesomeness, while to the World Health Organization (WHO) health is a state of complete physical, mental and social well-being. If we analyse the Indian diet, as per the National Sample Survey India, 68th round, cereals contribute around 50 percent of the calories in the diet. They are highly refined and processed cereal which can also be termed as junk, devoid of dietary fiber and essential micronutrient. It is very interesting to know that the consumption of sugar and honey in India is more as compared to fruits and vegetables i.e. 11% versus 7% respectively. Though, the average intake of protein is 60 gm per day, the contribution of protein is majorly from cereal which is close to 50%. This clearly indicates that good quality protein like milk and milk products, pulses and non-vegetarian

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K C Raghu

Founder and MD, Pristine Organics

foods take a back seat in the daily diet.

Tell us some significant features of your products and how do they contribute to create a healthy India? Pristine focusses on providing minimally processed food with low added sugar and salt. The dietary fiber content of our food products is high making it healthier with high satiety value

Shed some light on market size of organic food. Do you agree that food technology market needs to be regulated? The current market size of organic food is INR 40,000 million. Any regulation, administration and bureaucratic maze prove to be cumbersome and deterrent.

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january 2019

Cancer Care Perspective

‘Healthy Lifestyle, Diet Keys to Prevent Cancer’ Cancer is one of the fatal diseases engulfing a large number of Indians every year. The disease is more prevalent among women than men. Healthy lifestyle, diet, and proper exercise can minimise the risk of cancer, says Dr Anshuman Kumar, Director, Surgical Oncology, Dharamshila Narayana Superspeciality Hospital, New Delhi, in an interview with Mukul Kumar Mishra of Elets News Network (ENN).

Cancer in India is the second biggest killer after heart disease and responsible for thousands of deaths annually. As an expert, how do you analyse such a state of affairs? Since many years, cancer has been absorbing millions of Indians every year wherein more than 50 percent cases are diagnosed in women. At such a rate, India will become ‘Global Cancer Capital’ by 2020 if adequate measures are not applied. Breast and cervical cancers are most common among Indian women while oral and prostate cancers are mainly found in Indian men. Tobacco alone is responsible for more than 10 types of cancers along with drugs and alcohol. Other most alarming factors are poor lifestyle, lack of physical activity, use of synthetic products,

and adulterated food consumption.

Dharamshila Narayana, north India’s first Cancer Hospital, has been serving patients with state-of-the-art technology. What latest technologies and innovations are being used by the hospital to diagnose and prevent cancer? Dharamshila Cancer Foundation and Research Centre is first cancer hospital in North India. It has been serving patients for 25 years with an objective to provide affordable cancer care. No technology can prevent cancer except a healthy lifestyle. However, to diagnose cancer, awareness and diagnostic camps are hosted to detect few of the most common types of cancer i.e breast, cervix, mouth and prostate. Few conventional tests include

Dr Anshuman Kumar

Director Surgical Oncology, Dharamshila Narayana Superspeciality Hospital, New Delhi

Tumour marker, Serum PSA for prostate cancer, Sono-Mammography for breast, Pap-smear for cervical and Clinical examination and biopsies for Oral cancers.

A section of experts believes that detection of cancer at late stage is a major problem. Tell us about some symptoms which indicate the onset of the disease. Yes, lack of detection of cancer at an early stage is an issue and it is due to insufficient awareness about cancer in India. However, any unusual symptoms can be a manifestation of early stages of cancer like nonhealing ulcers, chronic coughs, lumps or atypical swelling anywhere

january 2019

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Cancer Care Perspective

in the body especially in breasts, abnormal bleeding, unusual bowel symptoms, indigestion, persistent acidity, and mole or pigmentation that itches or bleeds.

In advanced cancer stages, chemotherapy is suggested. What tests are being recommended at the initial stage to discover if some abnormal growth is occurring due to cancerous cell? Chemotherapy is a mode of treatment with the use of drugs. It is recommended depending on the type of cancer, the stage of cancer, the patientâ&#x20AC;&#x2122;s age, previous cancer treatment history and other health issues such as cardiac, liver or nephrological diseases. More often, it is combined as Neoadjuvant or Adjuvant Therapy i.e. pre and post surgery or radiation therapy, respectively.

How do you view the role of regular health checkups, exercise and awareness to keep the fatal disease at bay? Most people believe that cancer is

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Awareness, regular health checkups and regular selfscreening can help in early detection and, in turn, cure of such life threatening diseases at the right stage

largely a genetic disease while fact of the matter is only about nine percent of all the cancer patients, inherit mutated cancerous genes. This implies that for the remaining 91 percent, lifestyle choices are majorly responsible. A healthy, nutritious, balanced, and organic diet, are the most

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essential factors in cancer prevention along with avoiding packed and processed food. Plant sources and green vegetables have been found with components that protect the bodyâ&#x20AC;&#x2122;s cells from mutating whereas heating processed meat products at high temperatures have been found to trigger the formation of carcinogenic compounds known as heterocyclic amines. Chemical pesticides, water and soil pollutants like lead and arsenic, consumption of plastic packed food items, practicing unsafe sex and use of hormonal pills can stimulate growth of cancer cells. However, modification of daily habits and lifestyle choices such as exercising, staying physically active, and maintaining healthy weight can strengthen bodyâ&#x20AC;&#x2122;s immunity against fatal diseases. In addition, avoiding cigarettes and other tobacco products play a very important role in cancer prevention. Moreover, awareness, regular health checkups and regular self-screening can help in early detection and in turn cure of such life threatening diseases at the right stage.

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industry perspective

MedOnGo – Enabling People to Avail Quality Care

With Smart Health Platform and Health Kiosks, MedOnGo is catering to people of all strata. Its objective is to improve quality, and make available healthcare facilities in those places where reach of healthcare providers is minimal, says Balaji Krishnammagaru, Cofounder & MD, MedOnGo, in an interview with Elets News Network (ENN).

How do you analyse 2018 in terms of new initiatives (technology and innovations) in healthcare? Healthcare returned to forefront in 2018. Technology is the only way to change the health seeking habits of people around the world. Many countries including India and western world are aggressively pursuing new legislations, adopting technologies and regulating markets by standards for interoperability. For the first time, standards like SNOMED CT, Fast Healthcare Interoperability Resources (FHIR) are getting worldwide adoption. Standards in Information Technology, Biotech, Pharma Genomics and other sectors are being normalised worldwide. The combination of technology advances in terms of connectivity, devices, big data and artificial intelligence make the dream of predictive care and Universal Health Coverage looks real. The health seeking fundamental habit of human beings is getting changed first time in the history of mankind.

How do you look at 2018 in terms of your organisation’s contribution? MedOnGo’s core objective is to improve quality, and make available medical facilities to those places where reach of healthcare providers is minimal. MedOnGo with its Smart Health Platform and Health Kiosks\ Health ATMs touched eight million consultations. In coming month or two, we will touch 10 million landmarks.

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MedOnGo has spread from Assam to Tamil Nadu in India while it has plans to expand to markets like Sri Lanka, Nigeria, Canada, and the United States.

In the light of increasing role of technological advancements and innovations in healthcare delivery, tell us about your plans for 2019? Our vision is to provide care where there are no resources and improve quality of care where there are limited resources. Smart Health Platform of MedOnGo helps doctors who are stressed with high workload of patient care. The technology enables to increase the bench mark for quality. The same platform is used in providing remote care using Health Kiosks and ATMs. Getting into space of home care for senior citizens and differently abled, MedOnGo is planning to establish Integrated R&D, prototyping and manufacturing unit, and exploring in state like Andhra Pradesh’s AMTZ. To provide Universal Health Coverage and get into real predictive care, our plan is to leverage technologies like health IoT, big data, patient generated data, clinical decision support systems, artificial intelligence, and machine learning.

How do you perceive growth of Indian healthcare market in 2019? Tell us about your expansion and collaboration plan this year.

Balaji Krishnammagaru

Co-founder & MD MedOnGo

2018 has been the most exciting year till date for healthcare in India. Ayushman Bharat will bring in tectonic shift in healthcare sector. Technology will play a key role not only in the area of Ayushman Bharath’s Health and Wellness centres and Insurance schemes, but on every fronts of healthcare delivery.

Technologies have enhanced patient care in an unprecedented manner. Can you list out some technologies which will pave the way to transform healthcare sector in 2019? Our focus is to make technology simple and affordable to the end user. Standards, Connectivity, AI, telemedicine, home health IoT, and patient generated data combined with schemes like AB-NHPS will change the fundamental aspect of health-seeking behaviour of average citizens.

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The organisation’s vision is to make sure that the healthcare industry uses the antimicrobial products in their operational theatres and laboratories which will help the patients to avoid infections, says Murugesan R, Senior Director, Sales – Private Networks, R&M India, in conversation with Elets News Network (ENN).

How did your organisation contribute to healthcare domain in 2018? R&M (Reichle & De-Massari AG) is a pioneer in producing high-end communication networking cables and products for various verticals. Healthcare cabling is one of the prominent businesses for R&M as it caters to a wide range of cabling products and solutions to this industry. With high level of product quality and innovative design, we have offered our services to many hospitals and laboratories in 2018. We believe the network infrastructure in a healthcare organisation needs more than just data lines. Also, the cables used for medical facilities have to withstand exceptional stress levels, as it needs to incorporate numerous functions and applications. Cabling solutions from R&M offer clinics, hospitals and care homes a sound basis for their IT infrastructure. In 2018, R&M had undertaken numerous projects and delivered its expertise to fulfil the unique needs and requirements of the healthcare market in both convincing and comprehensive manner. • The tried-and-tested basic R&Mfreenet range provides a complete system for generic, structured cabling, according to IS 11801. The R&Mfreenet cabling system is ideally suited for use in hospitals and homes, thanks to its modular design, proven quality

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and reliability, and its functional diversity. • R&M has offered special solutions catering for the specific requirements of patient rooms and treatment rooms.

Industry Perspective

R&M India Paving Way for Innovative Approach in Healthcare

What were your products/ solutions catered to healthcare industry in 2018? Keeping the hygiene parameter on higher priority, we cater antimicrobial products to hospitals and laboratories. Below are the key products designed and catered across healthcare segment. • R&MhealthLine: anti-bacterial cabling range • R&MsafeLine: galvanic separation of data lines

Murugesan R

Senior Director Sales – Private Networks, R&M India

• R&Mfreenet: unique product with colour coding and looking possibilities to meet the demand of security and risk management.

Q Keeping the hygiene parameter on higher priority, we cater antimicrobial products to hospitals and laboratories

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Share your vision on IT in 2019 for healthcare vertical. The healthcare industry in India is growing rapidly. This is one of the key focused verticals for R&M. We have got the complete range of data transmission cabling systems as per the healthcare standards. Our vision is to make sure that the healthcare industry uses the anti-microbial products in their operational theatres and laboratories which will help the patients to avoid infections. We will be organising the industry-based educational programmes for the IT teams in the healthcare Industry. This will help R&M to add more clients from healthcare domain.

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january 2019

elets healthcare Conferences 2018

eHealth Conferences

Laying Roadmap of Transformation in Indian Healthcare The eventful year of 2018 held a big significance due to a lot of factors getting influenced with transformation-oriented technologies and government decisions as well. eHEALTH played its own distinct role in the health sector. To bring a tangible difference in the healthcare delivery system through congregation of policymakers, international luminaries, industry leaders and decision makers of hospitals, eHealth, organised a series of conferences in different parts of the country. These conferences emerged as vital instruments to disseminate information about various policy initiatives, trends and technologies, and modern-day innovative solutions by the healthcare service providers. They served as an ideal platform where healthcare experts discussed upon how to develop a better healthcare delivery model to provide accessible, affordable and quality healthcare services to people at large. While ensuring deliberations upon various facets of healthcare including innovative practices, and how to enhance patient care adopting these modern-day technologies, eHealth, an initiative of Elets Technomedia, organised a number of conferences in different parts of the country. Here is a glimpse of these conferences:

january 2019

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J Goburdhun, GOSK, High Commissioner, Mauritius; Moe Kyaw Aung, Ambassador, Myanmar; Sheena Chhabra from World Bank; and Shekhar Agrawal, Senior Vice President - Vodafone India at Elets Healthcare Innovation Summit Delhi

elets Healthcare conferences 2018

Highlights of Elets Healthcare Innovation Summit (December 2018)

Moe Kyaw Aung, Ambassador, Republic of the Union of Myanmar, New Delhi

Erik af Hallstrom, Deputy Head of Mission, Embassy of Finland, New Delhi

J Goburdhun GOSK, High Commissioner Republic Sheena Chhabra, Senior Health Specialist, Global Practice on Health, Nutrition and Population, of Mauritius, New Delhi World Bank

Dr Madhu Raikwar, Director, Central Bureau of Health Intelligence, Ministry of Health and Family Welfare Government of India

Dr Amitabh Rajan, Chairman, RBI Services Board of India

Eminent dignitaries launching eHealth magazine at Healthcare Innovation Summit, Delhi

Dr Ashok Seth, Chairman, Fortis Escorts Heart Institute

Healthcare excellence awardees with RBIâ&#x20AC;&#x2122;s Dr Amitabh Rajan and Dr Ravi Gupta, Founder Publisher, CEO & Editor-in-Chief, Elets Technomedia

Delegates paying a visit at innovation gallery Connect with us on

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january 2019

elets Healthcare conferences 2018

Highlights of 4th Annual Elets Healthcare Summit Rajasthan (October 2018)

Kali Charan Saraf (L), the then Minister for Medical, Health and Family Welfare, Government of Rajasthan and Banshidhar Khandela (R), the then MoS Health, Government of Rajasthan inaugurating Healthcare Summit Rajasthan

Banshidhar Khandela, the then MoS Health, Government of Rajasthan

Kali Charan Saraf, the then Minister for Medical, Health and Family Welfare, Government of Rajasthan

Naveen Jain, the then Secretary & MD, National Swati Lakhra, Inspector General, Law & Order Health Mission, Medical, Health & Family Welfare, and Women Safety, Telangana, receiving Precious Government of Rajasthan Daughter of India Award

Awardees receiving Precious Daughters of India Awards from Dr Ravi Gupta, Founder Publisher, CEO & Editor-in-Chief, Elets Technomedia

Minister Kali Charan Saraf and other eminent dignitaries launching eHealth magazine at Healthcare Summit Rajasthan

Awardees of Precious Daughter of India Award

Minister Kali Charan Saraf along with MoS Health Banshidhar Khandela visiting the innovation gallery

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Andhra Pradesh Chief Minister Nara Chandrababu Naidu along with other eminent personalities inaugurating the Andhra Pradesh Health Festival

Andhra Pradesh Chief Minister Nara Chandrababu Naidu addressing a Health Festival

Arun Singhal, Additional Secretary, Ministry of Health & Family Welfare, Government of India

Ms Payden, Acting Representative and Deputy Head , WHO

Dr Indu Bhushan, CEO, Ayushman Bharat

Dr Poonam Malakondaiah Special Chief Secretary, Health Medical and Family Welfare Department, Government of Andhra Pradesh delivering speech in the presence of other eminent personalities

Key dignitaries including Andhra CM Nara Chandrababu Niadu releasing eHealth Magazine

elets Healthcare conferences 2018

Highlights of Elets Andhra Pradesh Health Festival (June 2018)

Dr Manish Pant, National Programme Manager, UNDP

Health Hackathon and Health Datathon Award being presented to winners

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january 2019

elets Healthcare conferences 2018 38

Highlights of 8th Elets Healthcare Leaders Forum Chandigarh (April 2018)

Amneet P Kumar, Secretary & Mission Director, National Health Mission (NHM), Government of Haryana along with other eminent personalities inaugurating Elets 8th Healthcare Leaders Forum Chandigarh

Amneet P Kumar, Secretary & Mission Director, NHM, Government of Haryana

Dr G Dewan, Mission Director National Health Mission, Chandigarh UT

Eminent personalities during discussions deliberating on various facets of healthcare

Amneet P Kumar of NHM of Haryana; Dr G Dewan of NHM Chandigarh and other eminent personalities releasing eHealth magazine

Eminent dignitaries with their momentos at the summit

Dr G Dewan sharing stage with other eminent dignitaries

january 2019

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Jayati Singh, Assistant Collector, Barwani, Government of Madhya Pradesh, Ankit Bahl, Advisor-Trade & Investment, Embassy of Estonia, and other eminent dignitaries inaugurating Healthcare and Wellness Summit, Delhi

elets Healthcare conferences 2018

Highlights of Elets Healthcare and Wellness Summit, New Delhi (March 2018)

Eminent dignitaries releasing eHealth magazine during the Summit

Jayati Singh, Assistant Collector, Barwani, Government of Madhya Pradesh

Dr Sandeep Chatrath, regional CEO, Metro Group of Hospitals

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Ankit Bahl, Advisor-Trade & Investment, Embassy of Estonia

Ankit Bahl and Jayati Singh participating in a panel discussion at the Summit

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january 2019

flashback

2018

Lays Foundation of Robust Indian Healthcare System

With Narendra Modi Government taking some major policy decisions in 2018, it turned out to be a landmark year for the strengthening and improvisation of Indian healthcare delivery system, writes Mukul Kumar Mishra of Elets News Network (ENN). From implementation of Ayushman Bharat Scheme to revamp of MBBS curriculum and restructuring of MCI, the year witnessed many developments in Indian healthcare infrastructure that are aimed to play a significant role in enhancing patient care. On one hand, the Government was applauded for many good initiatives this year, on the other, it also had to face flak over handling of J&J hip implant fiasco and outbreak of Nipah, and Zika virus cases. The year also saw acquisitions news including Fortis-IHH deal, landmark discoveries by scientists and introduction of many innovative health-tech solutions by private healthcare service providers.

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Making a big stride in the direction of Universal Health Coverage, the Government announced one of the biggest Government-funded healthcare schemes of the world, Ayushman Bharat- Pradhan Mantri Jan Arogya Yojana (PMJAY) while presenting Union Budget 2018-19 in Parliament in February.

1.5 lakh health and wellness centres by 2022 to provide comprehensive and quality primary healthcare. The scheme was launched by Prime Minister Modi.

â&#x20AC;&#x2DC;Modicareâ&#x20AC;&#x2122; as the PMJAY is described in common parlance, aims to cover over 10 crore poor and vulnerable families, and the formation of nearly

In another development the Union Minister for Health and Family Welfare J P Nadda launched a viral load test to diagnose acute HIV infection benefitting 12 lakh HIV/ AIDS patients who are on treatment. The month also saw Uttar Pradesh Government collaborating with National Health Mission (NHM) to set up CT scan units across 28 district hospitals of the State.

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The Health Ministry took decision to reduce the cut-off percentile for National Eligibility cum Entrance Test PG and NEET Super Speciality exams benefitting around 18,000 medical aspirants in April. In a significant decision the Government in May took decision stating that Caesarean deliveries in private hospitals under the National Health Protection Scheme (NHPM) will only be allowed after the patient is referred from a government hospital specifying reasons. In another development, the World Health Organization (WHO) adopted the resolution initiated by India on digital health. The Delhi Government making a proposal to cap prices for all drugs and consumables,

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Nipah virus outbreak in Kerala and acquisition of Fitness First by Cure.fit were top highlights of the month. In June, an MoU was signed between the Ministry of Health and Family Welfare and Indira Gandhi National Open University (IGNOU) to scale up the short term healthcare courses, benefitting 14 lakh professionals. In another development, the Odisha Government announced to set up 20 hospitals through the Public-Private Partnership (PPP). HealthPlix raising $3 million in Series A round funding, Cure. fit receiving 120 million funding in Series C round and TPG Capital acquiring a minority stake in Hyderabad-based Sai Life Sciences, were top highlights in the month of July. In August, the Union Health Ministry issuing an advisory asking all States and Union Territories to ban e-cigarettes was top news. Other highlights of the month were

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flashback

In March, acquisition of Fortis healthcare by Manipal was the biggest highlight. Another development which made the headlines was the US scientists discovering a new organ in human beings named ‘Interstitium’.

Delhi-based startup myUpchar raising $5 mn funding, scientists identifying universal influenza vaccine and Uttar Pradesh getting the largest quaternary care hospital in ApolloMedics Super Speciality Hospital. The Government constituting a board of governors to run the Medical Council of India (MCI), launching of Ayushman Bharat scheme from Jharkhand, and doubling of incentives of ASHA, Anganwadi workers were among prominent news in September. The month also saw the Health ministry notifying enforcement of the HIV and AIDS (Prevention and Control) Act, 2017 that aims to end

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january 2019

flashback the epidemic by 2030 and safeguard the rights of people living with or affected by HIV by addressing HIV-related discrimination through legal accountability and establishing mechanisms for complaint enquiry and grievance redressal. In October, it was reported that traces of Polio Virus Type 2 were found in some batches of oral polio vaccine. The Union Health Ministry ordered immediate withdrawal of the particular manufacturer’s vaccine and also initiated measures to control the situation. Other development was the Government’s announcement about establishing electronic healthcare database system across all districts of the country. The Medical Council of India (MCI) finalising the new MBBS curriculum after a gap of 21 years was biggest news in November. New curriculum includes modules on ethics and communication and will be followed from the 2019-20 academic session. Other highlights were outbreak of Zika virus across States like

january 2019

‘Modicare’ aims to cover over 10 crore poor and vulnerable families, and the formation of nearly 1.5 lakh health and wellness centres by 2022 to provide comprehensive and quality primary healthcare

Rajasthan and Madhya Pradesh, and faulty J&J hip implant which put the Health Ministry on the dock. December saw the Union Cabinet approving Allied and Healthcare Professions Bill, 2018 in order to regulate and standardise the education and services provided by professionals in the healthcare sector. Another major development was clearance of the Surrogacy Bill by Lok Sabha. It regulates surrogacy in India by prohibiting its commercialisation and allows only close relatives to act as surrogates to needy infertile couples for “altruistic” reasons.

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