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volume 12 / issue 12 / decEMBER 2017 / ` 75 / US $10 / ISSN 0973-8959
INTERVIEWS
Dr Pallavi Darade
Commissioner, Food and Drug Administration and Food Safety, Government of Maharashtra
Dr Sumant Gupta
Senior Consultant Sarvodaya Hospital and Research Centre, Faridabad
Conference Report
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DECember 2017 | Volume 12 | Issue 12
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COVER STORY
industry perspective 20 Sunil Khurana CEO & MD BPL Medical Technologies
2017 A Trailblazing Year for Healthcare
22 Dr Sumant Gupta Senior Consultant Sarvodaya Hospital 28 K Krishnam Raju Director GVK EMRI
state perspective 14 Madhya Pradesh Leading the Way in Infertility Treatment S Viswanathan MD NHM, Madhya Pradesh
34 Amarinder Singh CEO Clove Dental
Policymaker’s perspective 16 Dr Pallavi Darade Commissioner, Food and Drug Administration and Food Safety, Government of Maharashtra
Conference report
Company Profiles 18 Ohum Healthcare Solutions Pvt Ltd 25 Sarvodaya Hospital & Research Centre
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Editorial 2017 And the Road Ahead for Indian Healthcare As we usher in 2018, it is significant to revisit at the milestones the Indian healthcare industry achieved in the bygone year 2017 to consolidate our gains and move ahead with renewed confidence on solid grounds, prepared and nurtured through years of constant efforts by the industry and the government. Our cover story, ‘2017: A Trailblazing Year for Healthcare’, is an attempt by the eHEALTH team to analyse the important events of 2017 that helped the healthcare industry to continue the process of transformation unabated with stress of affordability, accessibility and quality. With ICT being a great enabler to help us achieve these goals, the industry looks forward to more innovations to gain new heights and take healthcare to the last mile. This issue of eHEALTH magazine also carries interviews of Dr Pallavi Darade, Commissioner, Food and Drug Administration and Food Safety, Government of Maharashtra; Dr Sumant Gupta, Head, Oncology, Sarvodaya Hospital and Research Centre; and Rahul Darda, Chairman and Managing Director, Brinton Pharmaceuticals to help our readers gain better insight into the advancements and vision driving the change in the healthcare domain. Our special story on Madhya Pradesh’s perspective on healthcare explores an innovative model the State National Health Mission has implemented to make difference in the lives of thousands of childless couples through Mahila Swasthya Shivirs, or women health camps. The model is unique as it helps women, including those from the Below Poverty Line category, to receive quality treatment sponsored by National Health Mission, Madhya Pradesh, through the State Illness Assistant Fund to fight infertility which is still considered a taboo subject in the rural areas of the State. The magazine carries a comprehensive conference report on the 3rd edition of Healthcare Summit Rajasthan 2017, which successfully highlighted the State National Health Mission’s campaign against female foeticide, aptly called ‘Daughters are Precious’. Besides gathering some of the brightest minds of the healthcare industry and other stakeholders under one roof to deliberate on the issues pertaining to the industry, the conference forcefully delivered the message of MD NHM, Rajasthan, which has taken upon itself to take the campaign against female foeticide to every corner of the country. I wish our readers a Merry Christmas and a Happy New Year while looking forward to their invaluable feedback.
Dr Ravi Gupta Editor-in-Chief, eHEALTH magazine & CEO, Elets Technomedia Pvt Ltd ravi.gupta@elets.in
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cover story
2017 A Trailblazing Year for Healthcare
Setting new milestones for the Indian healthcare, the year 2017 will be marked in the annals to have set the tone for growth and providing a new direction to the industry, writes Elets News Netowrk (ENN).
I
t was the National Health Policy, 2017, approved by the government in March this year that sought to reach everyone in a comprehensive integrated way to move towards wellness. Coming 15 years after the last health policy was formulated in 2002, the new policy looks at problems and solutions holistically with private sector as strategic partners. It seeks to promote quality of care, focus is on emerging diseases and investment in promotive and preventive healthcare.
december 2017 | ehealth.eletsonline.com
eHEALTH Magazine
The policy is patient centric and quality driven. It addresses health security and make in India for drugs and devices. “The Cabinet has approved the National Health Policy 2017. It is a huge milestone in the history of health sector in the country. The Health Ministry has formulated the National Health Policy 2017, under the guidance of Prime Minister Narendra Modi. The last National Health Policy was framed in 2002. So, this policy has come after a gap of 15 years to address
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the current and emerging challenges necessitated by the changing socio-economic, technological and epidemiological landscape,” said Jagat Prakash Nadda, Minister of Health and Family Welfare, while addressing Parliament on March 16 – a day after the new policy was announced. The main objective of the National Health Policy 2017 is to achieve the highest possible level of good health and well-being, through a preventive and promotive health care orientation
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2017 from Industry Perspective “The year 2017 has been an optimistic year for us at Metropolis Healthcare, with a constant focus of providing customers with quality diagnostic services. We have continued to expand our presence in global markets in which we operate, besides expanding into other markets in India. The diagnostic industry has emerged as a prominent game changer in the healthcare sector. India has also become one of the leading destinations for medical tourism and high-end diagnostic services, with tremendous capital investment for advanced diagnostic facilities, thus catering to a greater proportion of population,” said Ameera Shah, Promoter and Managing Director, Metropolis
eHEALTH Magazine
The main objective of the National Health Policy 2017 is to achieve the highest possible level of good health and well-being, through a preventive and promotive health care orientation in all developmental policies, and to achieve universal access to good quality health care services without anyone having to face financial hardship as a consequence.
Healthcare Ltd. Speaking about Metropolis Healthcare’s plan in 2018, she says that the company aims at bringing international tests and technology to India and providing them to the customers at cheaper prices. “We want to grow in the direction that allows us to be present at every nook and corner that brings us closer to the customers. We look forward to stringent regulations in the diagnostic market that will resist the entry of dubious players. Implementation of these standardised protocols will ensure consistent and world-class services to all the consumers,” she adds. According to Shah, healthcare IT and evolving technology has benefitted the pathology industry. Health tracking mobile applications
ehealth.eletsonline.com | december 2017
cover story
in all developmental policies, and to achieve universal access to good quality health care services without anyone having to face financial hardship as a consequence. In order to provide access and financial protection at secondary and tertiary care levels, the policy proposes free drugs, free diagnostics and free emergency care services in all public hospitals. The policy envisages strategic purchase of secondary and tertiary care services as a short term measure to supplement and fill critical gaps in the health system. The primary aim of the National Health Policy, 2017, is to inform, clarify, strengthen and prioritise the role of the Government in shaping health systems in all its dimensions – investment in health, organisation and financing of healthcare services, prevention of diseases and promotion of good health through cross sectoral action, access to technologies, developing human resources, encouraging medical pluralism, building the knowledge base required for better health, financial protection strategies and regulation and progressive assurance for health.
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cover story and online services such as booking appointments online for preventive healthcare check-ups, booking a path/ lab test, obtaining reports online are further shaping this segment. “For any organisation aiming to become a success in this rapidly growing diagnostic laboratories market, the best move at the moment is to plan to invest in tier II and tier III cities of India. The companies should expand their network by collaborating with more health institutes and increase their collection centres in India resulting in widespread reach and more access for the masses,” says Shah. Amongst the revolutionising steps taken by the government this year was the implementation of Goods and Services Tax. “GST has ushered in a new era of tax reforms, not only for pharma industry but for all segments of the country. Looking at the short as well as long-term gains, GST would help the industry by streamlining the taxation structure as 8 different types of taxes are imposed on the Pharmaceutical Industry today. The implementation of one uniform tax will ease the way of doing business in the country, as well as minimise the cascading effects of manifold taxes that is applied to one single product, impacting the overall cost of operating. Moreover, GST
december 2017 | ehealth.eletsonline.com
would also improve the operational efficiency by rationalising the supply chain. Pharmaceutical companies need to review their strategy and distribution networks,” said Rahul Darda, Chairman & Managing Director, Brinton Pharmaceuticals. “The implementation of GST would further enable a flow of seamless tax credit and improvement in the overall compliance to create an equal level playing field for the Pharmaceutical companies in the country. The biggest advantage for the companies would be the reduction in the overall transaction costs with the withdrawal of CST (Central Sales Tax). GST is also expected to lower the manufacturing cost,” he added. However, Dr Dharmendra Nagar, Managing Director, Paras Healthcare, takes a divergent view in this regard. “Considering the massive healthcare requirements and the need for healthcare infrastructure in India, the Narendra Modi government has rightly kept the healthcare sector outside of the otherwise overarching Goods and Services Tax (GST) regime. However, the fine print of the roll out of the GST in the country and the taxes on many of the inputs that the healthcare industry requires obviates the very reasons why healthcare has been kept out of the GST net. The GST
eHEALTH Magazine
regime has served to increase the cost of several medical equipment used in everyday treatment,” said Dr Nagar highlighting the views expressed by private hospitals in the country. “The final increase in the prices of a lot of medical equipment is currently being absorbed by the healthcare providers. But in the process, the ability of the healthcare providers to expand to newer geographies and make a difference to the lives of people is being compromised. While initially healthcare providers are bearing the increased costs, there will be a time when they will find it unviable. This is when they will start looking at ways to pass on the increase to the patients, making the cost of treatment more expensive for them,” added Dr Nagar. Capping of Essential Drug Prices National Pharmaceutical Pricing Authority (NPPA) in February this year notified the ceiling price of Coronary Stents at Rs. 7,260 for Bare Metal Stent (BMS) and Rs. 29,600 for Drug Eluting Stents (DES) including metallic DES and Bioresorbable Vascular Scaffold (BVS)/ Biodegradable Stents. Price regulation brought down the prices of stents of BMS by 74% and of DES by 85%. The move had wide impactions for the healthcare industry. The move clearly
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The New Health Policy has assigned specific quantitative targets aimed at reduction of disease prevalence/incidence under 3 broad components -- (a) health status and programme impact, (b) health system performance and (c) health systems strengthening, aligned to the policy objectives. Some key targets that the policy seeks to achieve include: Life Expectancy and Healthy Life • Increase Life Expectancy at birth from 67.5 to 70 by 2025. • Establish regular tracking of Disability Adjusted Life Years (DALY) Index as a measure of burden of disease and its trends by major categories by 2022. • Reduction of TFR to 2.1 at national and sub-national level by 2025. Mortality by Age and/ or cause • Reduce under five mortality to 23 by 2025 and MMR from current levels to 100 by 2020. • Reduce infant mortality rate to 28 by 2019. • Reduce neo-natal mortality to 16 and still birth rate to “single digit” by 2025. Reduction of disease prevalence/ incidence • Achieve global target of 2020 which is also termed as target of 90:90:90, for HIV/AIDS i.e, 90% of all people living with HIV know their HIV status, 90% of all people diagnosed with HIV infection receive sustained antiretroviral therapy and 90% of all people receiving antiretroviral therapy will have viral suppression. • Achieve and maintain elimination status of Leprosy by 2018, Kala-Azar by 2017 and Lymphatic Filariasis in endemic pockets by 2017. • To achieve and maintain a cure rate of >85% in new sputum positive patients for TB and reduce incidence of new cases, to reach elimination status by 2025. • To reduce the prevalence of blindness to 0.25/ 1000 by 2025 and disease burden by one third from current levels. • To reduce premature mortality from cardiovascular diseases, cancer, diabetes or chronic respiratory diseases by 25% by 2025.
ensure transparency and tracking and the site where there is a value addition of over 40% and there’s a change of sub-heading of classification indicating transformation of an output from more than one input so at least it’s an assembly of components,” he said. The Way Ahead Healthcare in our country has certain issues in terms of lack of easy access, lack of consumer knowledge, high costs and too many middlemen. All these have lead to a scenario
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where there is a reduction in the effectiveness of the healthcare system. India will see an evolution in the e-health space more in terms of technology thereby providing consumers with better access to quality knowledge and healthcare solutions. Through ease of access to information and health services such as e-diagnostics and e-pharmacy, people from remote locations can also have access to quality healthcare without excessive costs.
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cover story
showed the government resolve to make healthcare more affordable by capping prices of essential drugs. “Our contention is that affordability and competition is getting skewed not lower ex-factory price but higher retail price wins and consumers are suffering from artificial inflation and domestic manufacturers suffer from loss of market share unless they match ever increasing MRP and trade margin,” said Rajiv Nath, Founder and Forum Coordinator, Association of Indian Medical Device Industry (AiMeD). According to Nath, the Indian medical device industry is facing the challenge of having to compete with imports with deep pocketed MNC importers and pseudo manufacturers in a very adverse eco system that is encouraging imports-based trading instead of manufacturing so that even existing Indian manufacturers are shifting to imports as that is more convenient and more profitable than to produce in India. “From being a manufacturing-led economy, India is becoming a trading and services-led economy in the past decade. Manufacturing was brought back into focus by the honourable Prime Minister with his slogan and vision of Make in India and starting point is to make illegal pseudo manufacturers by clearly defining it as falsely and purportedly claiming to being an Indian manufacturers without actual manufacturing it in India. Manufacturing site and country of origin needs to be clearly labelled to
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State Perspective
Within first year of organising Mahila Swasthya Shivirs, or women health camps, as many as 133 women including those from the Below Poverty Line category, have successfully delivered babies and 264 more couples are getting medical treatment sponsored by National Health Mission, Madhya Pradesh, through the State Illness Assistant Fund. Men & Women from tribal districts of the State are being provided medical attention in the State capital Bhopal and other major cities, writes Divakar Mukherjee of Elets News Network (ENN).
Madhya Pradesh Leading the Way in Infertility Treatment R
upa Bai and her husband had to wait 15 years to hear the first cry of their baby. Hailing from the border district of Neemuch, Rupa was married to Dinesh in her late teens. But unable to have a child, the young couple was facing a threat of social boycott. Doctors at ‘Mahila Swasthya Shivir’, or women health camp, which was organised in her village, referred Rupa’s case to Roshini clinic – an extended OPD in district hospitals for women. After undergoing treatment for three months at an authorised private hospital with all expenses borne by National Health Mission Madhya Pradesh (NHM MP), the couple got blessed with a baby girl. It is not a standalone case. More than 130 couples were blessed with babies through Mahila Swasthya Shivirs organised across the State. Within the first year of organising these camps, 133 women from the Below Poverty Line (BPL) category successfully delivered babies and
december 2017 | ehealth.eletsonline.com
S Viswanathan MD NHM, Madhya Pradesh
264 more couples from remote tribal districts are receiving treatment at private hospitals sponsored by the NHM MP through the State Illness Assistance Fund. Citing a World Health Organisation (WHO) report, S Viswanathan, Mission Director, National Health Mission, says that infertility is a worldwide problem affecting 8-12 per cent couple (50-80 million) during their reproductive lives. He further adds that a study by WHO places the rate of infertility in India at 10-15 per cent of the population. On the initiatives taken by the
eHEALTH Magazine
Madhya Pradesh Government to address this issue, Viswanathan has a long list of steps taken to fight infertility – considered a taboo subject in the rural areas of the State. The Department of Health and Family Welfare has initiated the management of infertility through State Illness Assistance Fund in identified private Artificial Reproductive Technique (ART) centres for reducing out of pocket expenses. According to Viswanathan, obstetricians and gynaecologists of District Hospitals are also trained in the Federation of Obstetric and Gynaecological Societies of India (FOGSI)-recognised training institutes for diagnosis and basic treatment of infertility. The district hospitals have been developed as units where preliminary investigations such as thyroid profile, VDRL, Semen Analysis, HIV, CBNAAT, USG, HSG, etc, are being carried out to elucidate the type and cause of infertility.
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State Perspective
To ensure the availability of free medicines, rate contract for required medicines has been done. “Also, as far as cost of treatment is concerned, the department is reimbursing total cost of management for BPL families for Intrauterine Insemination (IUI), In Vitro Fertilisation (IVF),” adds Viswanathan. “As the problem of infertility affects social, physical and mental well being of a couple, the department is ensuring support to families, especially couples belonging to BPL category to reduce their out of pocket expenditure.” Giving further details about the camps, he says that non-pregnant women from the villages with high risk of diabetes, hypertension, infertility and cancer were identified through these camps. In 2016, a total of 117,523 women and in 2017, a total of 82,921 women were referred to higher centre for treatment, out of which nearly 15 per cent of couples visited with infertility problem. Significantly, majority of these couples were belonging to BPL families, he said, adding also it was observed that many couples were not aware about the cause and factor for infertility. Citing the example of 43-year-old, Rekha Soni, a resident of Bhalumada village of Naxal-affected Anuppur district, the MD NHM says she was childless for 25 years of her married life. Due to infertility she had to face mental stigma and social boycott from close kin in her conservative village. But this initiative of the State government gave a ray of hope to the couple who couldn’t afford costly infertility treatment at private hospitals or IVF, he adds. Recounting the success this programme has achieved in this short duration, he says that management of 5,497 couples has been initiated in district hospitals across the State. To execute the initiative in an effective manner, 31 obstetricians and gynaecologists have been trained on
basic management of infertility in FOGSI affiliated centres. Also, he says the Government of Madhya Pradesh has established Level 1 infertility management centres in 31 district hospitals as well as accredited seven private ART centres for advanced treatment.
As the problem of infertility affects social, physical and mental well being of a couple, the department is ensuring support to families, especially couples belonging to BPL category to reduce their out of pocket expenditure
eHEALTH Magazine
Dr Archana Mishra, Deputy Director - Maternal Health, NHM MP, says since the laparoscopic procedure, IUI and IVF facilities have not been available in District Hospitals and Govt Medical Colleges, the department had accredited the six private ART centres for providing IUI and IVF treatment. While cases of secondary infertility and APL couples with primary infertility are being managed at District Hospitals, BPL couples with primary infertility requiring diagnostic and operative laparoscopy , hysteroscopy, IUI, IVF are being referred to ART centres, the Deputy Director - Maternal Health says. The true impact of the progamme is better described by the fact that in a year, 133 women have conceived after receiving treatment initial treatment in Mahila Swasthya Shivirs and Roshini, she adds. Also, 264 infertile couples are undergoing treatment in private ART centres and out of which 38 women have reported to be pregnant, according to Dr Mishra. As many as 21 couples are blessed with a child including in ART centres and in district hospitals, she says.
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policymaker’s perspective
FDA Maharashtra: Ensuring Quality at Every Step The Food and Drug Administration, Maharashtra, completely understands that eating out is a common phenomenon. A plan is underway to implement quality check for all street vendors, restaurants, big restaurants chains and hotels. Training schedules have been planned for the entire Maharashtra, and in the next two months 50,000 people will be receiving training under it, says Dr Pallavi Darade, Commissioner, Food and Drug Administration and Food Safety, Government of Maharashtra, in conversation with Harshal Desai of Elets News Network (ENN).
Dr Pallavi Darade Q
What kind of initiatives FDA, Maharashtra has undertaken? How will you take these initiatives further? Over the years, Food and Drug Administration (FDA), Maharashtra has established itself as an influencing governing body. The practices followed by the institution are emulated across the country. All the initiatives undertaken by the organisation have been proved to very positive and comprehensive. Be it related to drug development or food safety, the organisation has been at the forefront of bringing best practices on the table. In the last four to five months, after I assumed the role of commissioner, we have carried out few more initiatives. One of such projects is related to the quality of ‘Prasad’ that is distributed to the people at various religious places. We have recently undertaken a project
december 2017 | ehealth.eletsonline.com
under which we have trained about 300 ‘Mandir Trustees’ on preparing ‘Prasad’ and ‘Mahaprasad.’ We had undertaken a project at the famous Siddhi Vinayak Temple in Mumbai to ensure the ‘Prasad’ is prepared in more blissful and hygienic manner. We also ensured the use of scientific processes and better labelling of the ‘Prasad’ offered to devotees. We provided guidance to authorities for three to four months, and as a result, the ‘Prasad’ is now accepted by US FDA. The success of the project encouraged us to extend the campaign across the state. The campaign was properly framed. We appointed nodal officers and trainers to ensure the success of the campaign in a timely manner. We trained about 3,000 people during our campaign. The campaign also included ‘Gurudwaras.’ This first-of-its-kind initiative was highly appreciated by the Chief Executive Officer of FSSAI and authorities in the Central Government.
eHEALTH Magazine
In total, we have so far organised about 150 different workshops and training programmes to train more than 26,000 people in both food and drug businesses.
Q
What about the street food vendors and restaurants?
We completely understand that eating out is a common phenomenon. We are planning to implement the similar process for all street vendors, restaurants, big restaurants chains and hotels. We have already planned training schedules for the entire Maharashtra, and in the next two months we will be training about 50,000 people. We will be doing a full-day presentation as to what our actions are all about. We will hand them over checklists and ensure they follow it diligently. We also run campaigns during festival seasons to check the quality of sweets being sold in the market.
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17 Would you brief us on the recent directive related to Schedule M drugs?
We had realised that some manufacturers were not meeting the compliances for Schedule M drugs. There are about 40-50 compliances which need to be followed, but some units were not following and adhering to these standards. We have now made it compulsory to file the schedules to us after complying with all the conditions. This step will allow the manufacturers to adhere to manufacturing standards and ensure complete quality control. Here, we tried to bring the focus on the compliances within factories. Secondly, we have made similar checklists for druggist, chemists and pharmacies to ensure implementation of the best practices.
Q
How FDA is making the most of IT and Digital Transformation?
We are the only FDA in the world to issue WHO GMP certification online. We have recently received recognition for this at the Food and Pharma Summit organised by Elets Technomedia and Gujarat’s Food and Drug Administration. We are further extending the software provided by Food Safety and Standards Authority of India (FSSAI). We also have received approval from the Department of Information
Technology. All the activities related to prosecution, inspection – anything and everything done by FDA Maharashtra – will be available online. We are launching the pilot in Mumbai and Thane. Again, this extension of the software has been appreciated by the officers in Delhi. A great digital revolution has happened in FDA. Digital transformation not only helped us streamline the operations but also increased transparency.
Q
What is the significance of the Pink Book released by FSSAI?
‘The Pink Book: Your Guide for Safe and Nutritious Food at Home’ is guidelines for home use. It educates you on how to store raw food at home, how to cook food, healthy eating habits, packaging techniques used for food, the various hygienic practices. This is prepared by FSSAI. We are trying to distribute it to maximum people.
Q
We are the only FDA in the world to issue WHO GMP certification online. We have recently received recognition for this at the Food and Pharma Summit organised by Elets Technomedia and Gujarat’s Food and Drug Administration. We are further extending the software provided by Food Safety and Standards Authority of India.
How do you rate the current Lab infrastructure?
Lab infrastructure is improving. We are extending the Mumbai Lab on the fourth floor at our Headquarter. We are also in the process of building a microbiology lab here at the cost of about 4.5 crores. We are building a new campus in Aurangabad which will be completed by March 2018. We have received the approval to build
a 17-crore project in Nagpur. We wish to have robust laboratories in all our seven divisions. We will also be receiving new lab instruments by the Government of India. Besides, we have also got approval to add 17 vehicles in our fleet under the upgradation process.
Q
Do we face manpower issues in FDA, Maharashtra?
It has been an issue. We, however, have started appointing Food Safety Officers. We have promoted officers and also reviewed the suspensions of several others. About 100 people have been appointed in the last four months. We have already asked for 400 drug inspectors to oversee the compliance to the Drugs Act in their respective jurisdictions. Thus, we are determined to strengthen the workforce.
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ehealth.eletsonline.com | december 2017
policymaker’s perspective
Q
Company Profile
Ohum Healthcare Solutions Pvt Ltd About
Udai Kumar
Chairman & CEO
Company Details Year of Inception: 2009 Management Team: Dr Suren Shukla, Director - Corporate Strategy Dr Uma Nambiar, Head - Clinical Transformation Sanchu Shanmugam, SVP - Technologies Milind Pol, SVP - Analytics Market Share: <20% (Less than 20%) Number of Employees: 170 Head Office: #190, 2056 Westings Avenue, Naperville IL 60563, USA Website: www.ohumhealthcare.com Tel. No.: +91 20 41357500 E-mail: info@ohumhealthcare.com Sales & After-Sales Support: Dedicated ESS team available 24x7. Technical Support mail ID: team_Ess@ohumhealthcare.com Contact Person for Clarification: Milind Pol Email: milindp@ohumhealthcare.com Technical Support Nos.: - 020-41357517 / 02041357562 Target Verticals: Clinics, Nursing Homes, Primary/Secondary/ Tertiary care Hospitals, Large Network Hospitals, Public Healthcare facilities, Health Ministries, State & Central Governments for Population Health Management
Business Highlights & Achievements: 1) Commonwealth Digital Health Award 2017 at Sri Lanka in the category “Nursing Informatics” at the 2nd Commonwealth Digital Health Conference & Awards held at Colombo, Sri Lanka, in October 2017 2) Udai Kumar named among “Top 50 Successful Indian Entrepreneurs in the US” by The Technology Headlines, a premium US-business and technology magazine, published from Texas, USA, in September 2017 3) CMO Asia Healthcare Excellence Award at Le Meridien, Singapore, Sentosa in the category “Best Healthcare IT Solution for Clinical Transformation” in August 2017
december 2017 | ehealth.eletsonline.com
OHUM is the leading Clinical Transformation Company, with world class products and processes to improve patient safety, clinical outcomes and lower costs while enabling research and engaging with the healthcare community. Our Mission is to enable quality healthcare for all through appropriate adoption of world class clinical information systems in an affordable and sustainable manner. We implement and support Information Systems in clinics, nursing homes, corporate hospitals and public healthcare facilities including State and Central government Hospitals. Our flagship platform, ohumSkyTM, is the ONLY end-to-end Clinical and Business Transformation Solution delivered on a cloud that can help hospitals achieve world class Clinical Excellence and improve their Hospital SCORE (Safety, Cost, Outcomes, Research & Experience) to global standards. ohumC6 is a single integrated community health digital platform that delivers cost effective, community centric, care continuum for the entire population. It drives preventive, prescriptive, progressive and palliative care management at a personal level and provides actionable insights to transform systemic care to world class standards.
Products & Services • ohumSKY offers the world ‘s best cloud based integrated hospital management system. • ohumDOC It is the world’s first sophisticated Native iPAD application that enables clinicians to View , Order and Document Care in one flow. • ohumG It is the world’s first district level community health system that integrates preventive, primary, secondary and tertiary care work flows and delivers one lifelong medical record per patient accessible to any authorised clinician anywhere, anytime. • CareBI is a sophisticated clinical and business analytics application that transforms all hospitals and care management programs to deliver world class performance.
Top Clients
Business Collaboration
International: • VGH Hospitals, Malta • King Hussein Cancer Centre, Jordan
• VGH, Malta
India: • RISL, Government of Rajasthan • Care Foundation, Hyderabad • Max Healthcare Group, New Delhi • Shree Hospitals, Pune • BIG Hospital, Bangalore • Jas-Lok Chanrai, Mumbai • D-Care Clinics, New Delhi • Rajiv Gandhi Cancer Institute (RGCI), New Delhi
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• IBM • Gartner • eConnect
USP • Controlled world class clinical pathways • Zero typing, point of care documentation • One patient one record for life • 100% data processed for real time and predictive analytics
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20
Industry Perspective
BPL Medical Technologies:
Empowering Patients with Novel Medical Technologies As routine monitoring of health is a must for cardio-diabetic patients, barriers to effective health management encompass healthcare provider and patient-related issues like time constraints, distance and lack of proper systems to streamline patient data, writes Sunil Khurana, CEO & MD, BPL Medical Technologies.
Sunil Khurana CEO & MD BPL Medical Technologies
T
he current scenario in the healthcare landscape depicts a rapidly aging population coupled with multiple chronic conditions that put forth numerous challenges. Ergo, researches indicate that our nation has earned the dubious title of the world’s capital of coronary heart disease and diabetes as well. As routine monitoring of health is a must for cardio-diabetic patients, barriers to effective health management encompass healthcare provider and patient-related issues like time constraints, distance and lack of proper systems to streamline patient data. mHealth technology poses as a gleam of hope to manage crippling health conditions. However, such health systems have not entirely matured. A user-centered approach that improves acceptability, feasibility, and usability of mHealth innovations is pertinent. Stated to be the world’s first hand-held cardio-diabetic wellness monitor, Bengaluru based BPL Medical Technologies facilitates patients and caregivers with 12 lead ECG and blood glucose measurements within the sanctity of their home.
december 2017 | ehealth.eletsonline.com
The results can instantaneously be shared with a doctor for consultation via a smartphone app. The doctor can then view the report on his phone, revert to the patient and closely monitor the patient, proving to be beneficial to the medical practitioners as well. The app comes with an inbuilt payment gateway option that credits the consultation fee into the doctors/ hospitals account. With the ability to be used with an Android smartphone and weighing just 70gms, the technology also offers an option of a backup doctor in the event of the unavailability of the primary doctor, all the while maintaining an economical cost. Gaining immense popularity for its efficiencies, the technology has been bestowed with a host of prestigious awards; ‘IoT Next 2015 ‘ award, ‘Healthcare Leadership award 2015’, ‘Most innovative medical product award 2015’ and the FICCI Healthcare Innovation award 2017 to name a few. Additionally, it was recently recognised by ICMR (Indian Council of Medical Research) and Centre of Excellence for Innovations, Government of India as one of the
eHEALTH Magazine
best healthcare innovations of 2015 at a conference held at Rashtrapati Bhavan in 2016. With 50 years of experience in catering to customers’ unique requirements, BPL Medical Technologies made significant progress in the cardiology domain and launched India’s first ECG machine. Continually striving towards development, the technology assures access to cardiac health remotely. Bluetooth enabled, the new generation ECG technologies feature cloud connectivity that has the potential to acquire ECG and instantly transmit the ECG to the nearest doctor to seek immediate consultation, a feature the company believes can be life-saving in acute emergency conditions. Keeping up with trending technologies, BPL Medical Technologies envisions expanding their reach into the remote areas within the country with the assistance of their distributors. Taking massive strides in the healthcare realm, the company endeavours to strategically position itself as an end-to-end solutions provider in the Diagnostic Cardiology, Anaesthesia & Critical Care and Imaging verticals.
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22
Industry Perspective
‘Better Awareness Programme on Cancer Treatment Needed’ Cancer scenario in India is relevantly low in comparison to Western countries. This can be probably due to two reasons—firstly, the cancer reporting in India is very low in India in the district to district level and, secondly, there must be some messing of data, which shows that the cancer cases reported in India is just 40 per cent of the Western culture, says Dr Sumant Gupta, Senior Consultant, Sarvodaya Hospital and Research Centre, in conversation with Poulami Chakraborty from Elets News Network (ENN).
Q
How do you see incidence of cancer taking shape in India? India is facing an epidemic of cancer. The numbers of cancer patients we see in India seem to be very high and is estimated around 10 lakh patients in India are diagnosed with cancer every year. Unfortunately most of them get diagnosed at a very late stage. Estimated number of people living with the cancer in the country is around 2.5 million and over 7 lakh new cancer patients are diagnosed every year. The number of cancer related deaths in the country every year counts to 556,400. Over the past 10 years, the numbers has literally doubled. Unfortunately Indian Govt is hardly paying any attention to the seriousness of this future epidemic.
december 2017 | ehealth.eletsonline.com
The number of cancer hospitals in the country is significantly low, with extremely low bandwidth for cancer treatment. On the other hand, it is observed that due to more and more awareness campaigns through print and electronic media, the awareness about cancer has increased significantly and diagnosis of the disease has also increased remarkably. But, this does not ensure change in the overall landscape of the disease. However, awareness programme has ensured a big shift in paradigm for cancer awareness in the country.
Q
How is the cancer scenario in India different from other countries? Cancer scenario in India is relevantly low in comparison to
eHEALTH Magazine
Western countries. This can be probably due to two reasons—firstly, the cancer reporting in India is very low in India in the district level and, secondly, there must be some data missing, which shows that the cancer cases reported in India is just 40 per cent of the Western culture. This probes into the matter that there is an immense need to ensure change in policies from the Government side to ensure more and better treatment procedures in the Government hospitals as well as private health institutions. We understand that the cancer burden within the country itself varies in different parts of the country. This is probably related to the food, ethnicity and the lifestyle. Within the country there is a very heterogeneous distribution of the
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24
Industry Perspective
cancer burden. The per capita expenditure on individual patients seems to be higher if only you can diagnose it at an early stage and also simplify the treatment options. On the other hand, cancer treatment in India is much cheaper in comparison to the other parts of the world, as we have multiple drugs and the maximum retail price of the drugs are closely monitored by Government authorities, hence the cost of treatment is cheaper in comparison to other countries.
Q
What measures would you suggest to bring down the cancer ratio? We fully understand that the volume is very high. We have already talked about the rising incidence of cancer in our country. The most direct recommendation could only be increase in the awareness level from different parts of the society like the print media, the telly media or the other educational portals including schools colleges and universities. If the entire population is screened at an early stage we can convert these incurable situations into 80% cure rate which will make a big impact in our country. Similarly you can talk to our people and educate them about some of the important lifestyle modification. At Sarvodaya, we have been conducting awareness program/sessions in all schools, colleges, university, RWAs villages for proactive screening in Faridabad, Palwal and Ballabhgarh areas. Tobacco causes a huge burden, one of them being cancer and it also affects cardiac and pulmonary status that leads to a lot of cardiac and pulmonary morbidity. If only chewing tobacco be eliminated there will be a huge positive impact on the incidence of cancer. Similarly, all drugs manufactured in India have come under DPCO (Drug Price Control Orders), resulting in significant decrease in medicine prices in India.
december 2017 | ehealth.eletsonline.com
The basic treatment for cancer is prevention and early detection. 65 per cent of all cancers are related to diet and lifestyle, thus if we can regulate the consumption of liquor and tobacco, the ratio of cancer detection will come down drastically.
Q
What are the technological advancements that have taken place in the field of cancer? As the disease burden is going up, a lot of these technological advances are beginning to be available in our country. I would say that most of the major centres across the country are already well equipped, have well trained personal with very good infrastructure compared to any good centre in the west. The basic treatment for cancer is prevention and early detection. 65 per cent of all cancers are related to diet and life-style, thus if we can regulate the consumption of liquor and tobacco, the ratio of cancer detection will come down drastically. The important advancements that has happened in the field of cancer can be then talked
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about in the various interventions that we have to offer. The country has made exciting developments in the field of the surgical oncology, minimalist surgeries, robotic surgery etc. In radiation oncology, high precision radiation oncology is the new development that has come into vogue. It is probably the first in the Asian country and will also be a big advancement in the field of radiation oncology. Similarly in the field of radiation oncology a lot newer drugs have come in and there is an explosion of targeted therapy. In the field of diagnostics most centres now have PET-CT scans, imaging services, scopes etc.
Q
How well are we tackling the skill gap issue in healthcare? Skill gap is really a worrisome aspect of the healthcare scenario in India. Unfortunately the trained demand power namely the physician, the oncologist and the nurses are not matching the demand. The ratio is very poor when you compare to the western world. Just to give you an idea there is just 1 oncologist to look after 250 cancer patients and this deficit is only going to increase in the next decade as the training and the number of centres to train the physicians and the nurses are not going to match the number of patients that are going to come.
Q
How important is medical tourism today? Ideally, it must be taken care of, that people travelling through Medical tourism is playing an important role for our countryâ&#x20AC;&#x2122;s the healthcare industry. We at Sarvodaya Hospital & Research Centre, have the state of the art technologies and have the most advanced Centre for Cancer Care and Bone Marrow Transplant. We take care of patients not only from this country but also from Middle East, African countries and also the entire SAARC region.
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Company Company profile profile
Sarvodaya Hospital & Sarvodaya Hospital & Research Centre Research Centre about about
Dr Rakesh Gupta Chairman and Medical Dr Rakesh GuptaDirector Chairman and Medical Director
Company Details Year of Inception: 1991 Company Details Year of Inception: 1991 Management Team: Ms MsAnshu AnshuGupta Gupta Management Team: MrAmit AmitAggarwal Aggarwal Mr Ms Anshu Gupta
MrAshish Ashish Aggarwal Mr Aggarwal Mr Amit Aggarwal Mr Divyanu Gupta Mr Ashish Aggarwal 1350 Number of Employees: Number of Employees: 1350 Head Office Site Address: YMCA Road, Sector 8, Faridabad, Haryana Head Office Site Address: YMCA Road, Sector 8, Website: www.sarvodayahospital.com Faridabad, Haryana Tel. No.: 0129 - 4184444 Website: www.sarvodayahospital.com E-mail: Tel. No.:info@sarvodayahospital.com 0129 - 4184444 E-mail: Sales & info@sarvodayahospital.com After-Sales Support: Contact Person for Clarification: Amit Aggarwal Sales & After-Sales Support: Email: Contactamit.aggarwal@sarvodayahospital.com Person for Clarification: Amit Aggarwal Customer Support Healpline: 0129 – 418444 Email: amit.aggarwal@sarvodayahospital.com
“Sarve primarily drives ‘Sarve Santu Nirmaya”: Niramaya’:Healing Healingfor forall. all.This Thisphilosophy philosophy primarily drives Sarvodaya healing words, they have dedicated Sarvodaya Hospital Hospitaland andwith withthese these healing words Sarvodaya Hospital ‘Sarve Santu Niramaya’: Healing for all. This philosophy primarily drives last years for thegolden people of Faridabad healthcare affordable has 26 dedicated its 25 years for making the people of Faridabad and Sarvodaya Hospital and with these healing words Sarvodaya Hospital and available forhealthcare all. beyond making affordable and available for all. has dedicated its golden 25 years for the people of Faridabad and The group has many milestones since its its inception in 1991, group hasachieved achieved milestones since inception in 1991, beyond making healthcaremany affordable and available for all. which includes setting up a 100-bedded medical setup in Sector-19 to to includes setting up a 100-bedded medical setup in Sector-19 The group has achieved many milestones recognized since its inception in 1991, 350-bedded among the toptop 350-bedded facility facilityininSec-8, Sec-8,Faridabad Faridabadand and recognized among the which includes setting up a 100-bedded medical setup in Sector-19 to hospitals hospitals in in Faridabad Faridabad&&Delhi, Delhi,NCR. NCR. 350-bedded facility in Sec-8, Faridabad and recognized among the top Sarvodaya has benchmarks ininsuper-specialty SarvodayainHospital Hospital has&set set benchmarks super-specialtywith withitsitspath path hospitals Faridabad Delhi, NCR. breaking breaking work work over over the the past past many manyyears yearsin inthe thearea areaof ofCardiac CardiacSciences, Sciences, Sarvodaya Hospital has set benchmarks in super-specialty with its path Neurosciences, Bone Marrow Transplant, Minimally Neurosciences, Cancer CancerCare Careand and Bone Marrow Transplant, Minimally breakingSurgery, work over the past many years in the area of Cardiac&Sciences, Invasive Gastroenterology & GI Surgery, Orthopedics Invasive Surgery, Gastroenterology & GI Surgery, OrthopedicsJoint & Joint Neurosciences, Cancer Care and Bone Marrow Transplant, Minimally Replacement, Replacement, Institute Institute of of LASER LASER Urological Urological surgeries, surgeries,ENT ENTand andCochlear Cochlear Invasive Nephrology Surgery, Gastroenterology & GI Surgery, Orthopedics & Joint Implant, hospiImplant, Nephrology and and Kidney Kidney Transplant Transplant and and many many more. more. The The hospital Replacement, Institute ofadvanced LASER Urological surgeries, ENT andCentre Cochlear tal houses region’s most Centre for Brain and Spine, houses region’s most advanced Centre for Brain and Spine, Centre Implant, Nephrologyhas andlatest Kidney Transplantlike andEBUS many(Endobronchial more. The hospital for technology for Asthma Asthma&&Lungs, Lungs, has latest technology like EBUS (Endobronchial houses region’s most advanced Centre for Brain and Spine, Centre Ultrasound), Centre for Bone and Joint and Sports Medicine, Ultrasound), Centre for Bone and Joint and Sports Medicine,Centre Centrefor for for Asthma & Lungs, has latest technology like EBUS (Endobronchial Liver and Stomach with Fibroscan. Liver and Stomach with Fibroscan. Ultrasound), Centre for Bone and Joint and Sports Medicine, Centre for Liver and Stomach with Fibroscan.
Products & Services • EBUS, CRRT, 100 Watt Holmium , Hemodiafiltration, Products & Services • • • • • • • •
Highly equipped EBUS, CRRT, 100Cath WattLab Holmium , Hemodiafiltration, Neonatal ICU Highly equipped Cath Lab MRI Machine Neonatal ICU 24X7 OPD Pharmacy MRI Machine
• 24X7 OPD Pharmacy
Customer Support Healpline: 0129 – 418444
Business Highlights & Achievements: Highlights &year Achievements: • Total TotalPatient Patient Treatedper per year– –1,48,980 24,830 •Business Treated Total Walk –per 21,600 •• Total Treated per–year – 1,48,980 TotalPatient Walkinin year 3,600 Heart – –1,080 •• Open Total Walk inSurgery – 21,600 Open Heart Surgery 180 Cath Procedure – 11,520 • Open Heart Surgery – 1,080 • Cath Procedure – 2150 TotalProcedure Joint Replacement • Cath – 11,520– 1,440 • Total Joint Replacement – 360 Minimal Invasive Surgery––1,440 5,760 • Total Joint Replacement • Bone Minimal Invasive Surgery – 960 Marrow Transplant • Minimal Invasive Surgery––216 5,760 BoneMarrow MarrowTransplant Transplant –216 30 Laser Urological Surgery –– 5,040 •• Bone Renal Transplant –Surgery 144 – –5,040 LaserUrological UrologicalSurgery 840 •• Laser • Renal Transplant – 144 ehealthmagazine
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28
Industry Perspective
GVK EMRI: Using ICT to Give Back to Society As part of its “Giving Back to Society” initiative, GVK EMRI has identified many avenues to work for holistic growth and improvement of the people and the society, leading towards overall societal and economical growth, and thus building nation, writes K Krishnam Raju, Director, GVK EMRI.
K Krishnam Raju
Director, GVK EMRI
E
mergency management services are undergoing a paramount change and more technology driven concepts are coming into existing system to increase the efficiency and reduce the “Muda” in turn, which is very soon going to change the face of EMS in India. We believe in continually improving, hence partnered with technology driven organisations to bring in mobile app development for real time data collection, automation, appropriate hospitalisation, dynamic repositioning of ambulances and other concepts for better monitoring to reduce the time in responding to incident location in our Emergency Ambulance Services (108). To strengthen our existing Janani Shishu Suraksha Karyakram
december 2017 | ehealth.eletsonline.com
project we are planning to bring in “ImTeCHO” (Innovative mobilephone Technology for Community Health Operations) application all across our operational States so that JSSK Service can harness the platform for better performance and increased service delivery. ImTeCHO is an
Benefits of New Initiative • Saving in travel time of ambulance (increase in UP TIME) • Quality of work • Accountability of work carried • Cost effectiveness • Flexibility to synchronize the shift timing to the demand • Reduce non-operational kms
eHEALTH Magazine
innovative mobile phone application which connects ASHA’s to PHC staff including medical officers and command center which records the information on all pregnancies including the immuniSation schedule. This will help in reduction of “2 and 3 Delays in pregnancy” there by having huge impact in both MMR & IMR. ImTeCHO provides support to ASHAs throughout continuum of care starting from beginning of pregnancy up to child completes critical first two years of age. As part of our “Giving back to Society” initiative, we have identified many other avenues where we can work for holistic growth and improvement of our people and society, leading towards overall societal and economical growth thus building nation.
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Industry Perspective
We all know that about 20.5 million people depend upon livestock for their livelihood and livestock sector contributes 4.11% to GDP and 25.6% of total Agriculture GDP. We have a huge scope to rebuild and assist our rural economy to develop many a fold in coming years. Considering the same fact in mind, we have already started 1962 Animal ambulance in two States Tamil Nadu and Telangana and hope that this project shall soon be rolled out in all our states. Study says that one serious road accident in the country occurs every
december 2017 | ehealth.eletsonline.com
minute and 16 die on Indian roads every hour. An estimated 1,214 road crashes occur every day in India. Two wheelers account for 25% of total road crash deaths. Twenty children under the age of 14 die every day due to road crashes in the country. To counter this, we are working on awareness programmes like â&#x20AC;&#x153;Road Safety Projectsâ&#x20AC;? in Gujarat to curtail the road accidents/mishaps and hope that soon it will be rolled out nationwide. As said earlier also, we are growing gradually and now operating more than 10,900 ambulances nationwide.
eHEALTH Magazine
Study says that one serious road accident in the country occurs every minute and 16 die on Indian roads every hour. an estimated 1,214 road crashes occur every day in India. Two wheelers account for 25% of total road crash deaths. twenty children under the age of 14 die every day due to road crashes in the country.
For effective service delivery, the health of the vehicle has to be always taken care of. Considering the fact in mind, we always look for change and innovate our processes. Currently, we have three-tier maintenance systems i.e. to maintain the ambulance at location by Pilot, to maintain at local vendor workshop either OEM authorised or private vendor or to maintain at GVK EMRI workshops and Mobile Service Vans (MSVs) but still there were some gaps which were unanswered. In order to bridge these gaps and ensure reliability, uninterrupted, prompt, timely and cost-effective maintenance, we GVK EMRI have coined a new concept of Satellite work stations in each district with minimum capital investment and manpower to meet the basic vehicle preventive and BD maintenance.
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Industry Perspective
Clove Dental: Ensuring Well-being through Oral Health Oral health is essential to general health and well-being at every stage of life. A healthy mouth enables not only nutrition of the physical body, but also enhances social interaction and promotes self-esteem and feelings of well-being, says Amarinder Singh, CEO, Clove Dental, in conversation with Vivek Ratnakar of Elets News Network (ENN).
Amarinder Singh
CEO, Clove Dental
Q
Tell us about the next generation of technologies that are helping improve dental health. With over 5,000 dental laboratories, 297 dental institutes, the Indian dental market is vast and it is predicted that India will be the single largest country for dental products and materials. The dental market is expected to have a growth rate of 20 to 30 per cent, with investment groups building multispecialty hospitals offering general dentistry and specialist treatments. The current dentist to population ratio in urban area is 1:9000 and in
december 2017 | ehealth.eletsonline.com
rural areas it is 1:200000. In the last decade, the dental services scenario in India has vastly improved due to growing healthcare awareness, better economic growth, increased healthcare expenditure, investor friendly government policies and reduction on customs duty. Talking about technological advancements, a large portion of dental products are imported into the country. About 85 per cent of Indiaâ&#x20AC;&#x2122;s annual requirement is supplied by Germany, USA, Italy, Japan and China. Most of the imports are in the implants segment. Foreign companies are investing in the Indian dental equipment market
eHEALTH Magazine
by establishing their production units in India. India is rapidly becoming a manufacturing hub for supplying dental equipment and material to less developed countries such as Pakistan, Africa, Sri Lanka and parts of the Middle East. We here at Clove Dental use the best and latest technology and methods to treat our patientsâ&#x20AC;&#x2122; like computer guided anaesthesia technology, Advanced dental chairs, Rotary tools, Advanced X-Ray machines, Water filtration system with water from ROs, Sterilization Autoclaves, Dental Consumables like the tools and equipment of best quality.
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35 How dental health determines the overall health of an individual? Oral health is essential to general health and well-being at every stage of life. A healthy mouth enables not only nutrition of the physical body, but also enhances social interaction and promotes self-esteem and feelings of well-being. The mouth serves as a “window” to the rest of the body, providing signals of general health disorders. For example, mouth lesions may be the first signs of HIV infection, aphthous ulcers are occasionally a manifestation of Coeliac disease or Crohn’s disease, pale and bleeding gums can be a marker for blood disorders, bone loss in the lower jaw can be an early indicator of skeletal osteoporosis, and changes in tooth appearance can indicate bulimia or anorexia. The presence of many compounds (e.g., alcohol, nicotine, opiates, drugs, hormones, environmental toxins, antibodies) in the body can also be detected in the saliva. Oral conditions have an impact on overall health and disease. Bacteria from the mouth can cause infection in other parts of the body when the immune system has been compromised by disease or medical treatments (e.g., infective endocarditis). Systemic conditions and their treatment is also known to impact on oral health (e.g., reduced saliva flow, altered balance of oral microorganisms).
Q
Dental health is often ignored in India. What efforts are afoot to raise awareness about dental tests and diseases? Even though, India is progressing as never in oral health, a keen understanding of societal aspects can be helpful for both oral health planners and implementers especially in rural areas. A change in
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society outlook and attitude is slow, which requires persistent efforts and continuous education and active participation of society. In brief a careful planning based on education of oral health that not only involves oral health educator but society in its noble cause removing misconceptions and providing effective and cost-effective treatment near is a need of an hour in Indian society. Being in every locality will help them build credibility in their community and become respected members of the community. As an effort to spread awareness about oral healthcare, we organise dental programmes under “Community Dental Outreach Programs” in RWA, Schools and Corporates. In these programs we organize talk shows and seminars in which our dental surgeons educate people on how oral health care is important at every stage of life. We possess two fully loaded Mobile Dental Vans for taking the treatment to the patient’s doorstep, if needed. These are also utilised towards holding health campaigns in the under privileged colonies thus taking care of our Corporate Social Responsibility. Clove Dental is working to be in every locality and has an expert team of dentists who bring skills and experience from all dental specialties as well as general dentistry. There’s no oral healthcare issue we cannot address. Collectively, our dental team brings over 2,000 years of experience to our clinics. Our dental team includes a talented pool of specialists such as periodontists, endodontists, prosthodontists, orthodontists, paediatric dentists etc. When general dentists refer patients to one of our specialists, patients are, in effect, getting two opinions and the attention of two highly qualified dental professionals without having to go outside our network.
eHEALTH Magazine
Industry Perspective
Q
Talking about technological advancements, a large portion of dental products are imported into the country. About 85 per cent of India’s annual requirement is supplied by Germany, USA, Italy, Japan and China.
ehealth.eletsonline.com | december 2017
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Conference Report 3rd Healthcare Summit Rajasthan Achieves Another Milestone in Healthcare Transformation
T
he Department of Medical, Health and Family Welfare, Government of Rajasthan, the State National Health Mission along with Elets Technomedia organised the 3rd Annual Healthcare Summit Rajasthan - Exhibition & Awards in Jaipur on November 10. The Summit witnessed the participation of state governments, top hospitals, industry players, policy makers, stakeholders, academia and insurance companies. It provided an unparalleled platform for all leaders to share the latest technology, emerging global healthcare trends, best practices for quality and cost-effective healthcare services that are propelling growth of healthcare ecosystem in the Country. The major topics of the agenda included emerging global innovations and technology interventions in healthcare; PPP in healthcare- challenges & opportunities; Best healthcare practices across India; Take Healthcare to the last mile-initiatives, opportunities & challenges; Role of hospitals in developing healthcare ecosystem of Rajasthan and Role of hospitals in providing quality & cost-effective healthcare. Delegations from Malaysia and British High Commission joined officials at panel discussion on emerging partnerships between the countries to promote a healthcare ecosystem and leveraging innovations and technology to transform healthcare delivery in the Country. The Summit saw good number of attendees across the industry. The attendees shared as well as gained intense knowledge on the latest trends and innovations, the new implemented laws and regulations and latest emerging trends. Moreover, the sponsors and the exhibitors got a wide platform through which they showcased their best solutions unlike their competitors. One of the key themes of the Rajasthan Summit was ‘Save Girl Child’, which was promoted under the campaign “Daughters are Precious.” To strengthen the campaign, an exclusive ceremony was organised to celebrate “Precious Daughters of India” wherein 20 inspiring women across the country were felicitated for being an inspiration to the entire country. Smt. Anita Bhadel, Hon’ble Minister of Women and Child Development, Government of Rajasthan felicitated successful women representing different walks of life and encouraged them for their efforts and being an inspiration to all. She also appreciated the initiative - “Daughters are Precious” of National Health Mission, Department of Medical, Health and Family, Rajasthan for taking up aggressive actions against the culprits and safeguarding the rights of girl child. The ceremony helped in spreading awareness against female foeticide, promoting girl education, and transform societal mind-set for the cause of girl child.
december 2017 | ehealth.eletsonline.com
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I have seen many IAS officers from the year 2000 to 2017, who write on files but Naveen Jain is one IAS officer who expresses his thoughts on any platform without hesitation. When we run social campaigns against female foeticide, or gender equality, we generally target the middle class. But in those sections of the society where these campaign really matter – in educated and rich families – the message is not delivered. It is a painful fact that those families who have all the basic luxuries of life have accustomed themselves in such a way that they don’t feel that they are involved in female foeticide.
Naveen Jain Secretary, Department of Medical, Health and Family Welfare, and Mission Director of National Health Mission, Government of Rajathan When we started Daughters are Precious campaign, the question we faced was that is it possible to stop female foeticide? It is the general thinking that it is a societal problem and the law, or a judge, or an IAS officer cannot do much to stop it as people do it within the confines of their homes. We may accept it in a social gathering that female foeticide should be stopped, but we hardly take any action to stop it. We need to ask ourselves two simple questions -- have we taken any concrete step to stop it? Or were we ever associated with female foeticide?
Gouri Singh Principal Secretary Public Health and Family Welfare, Bhopal Gas Tragedy-Relief & Rehabilitation & Medical Education, Government of Madhya Pradesh The fairly high infant mortality rate in Madhya Pradesh had been troubling us for a long time. As members of the health sector, we understand that curative aspect of the health is always more glamorous. But it’s the preventive health that the public health authorities have to dwell on, which is not so glamorous. A disease has been prevented because of early screening or early diagnosis is not going to make the headlines. The healthcare is a segment that requires a complete change in the attitude of the service providers because screening becomes extremely important.
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ehealth.eletsonline.com | december 2017
Conference Report
Anita Bhadel Hon’ble State Minister (Independent Charge), Women and Child Development
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Dr Monika Priyadarshini Special Secretary & Mission Director Nation Health Mission, Department of Health & Family Welfare, Government of Andaman & Nicobar Administration We are looking at options of V-SAT and underwater cable. We have problems of outdated infrastructure and reporting methods in Andaman and Nicobar Islands, leading to a very bad database. We have started schemes like Air Subsidy. It is for the stretcher patients who need air evacuation and super specialised treatment from mainland India. We send patients to Hyderabad, Chennai and Kolkata. We celebrate the birth of the girl child through ‘Dulari’ scheme with a cash benefit of Rs 8,000. Once they pass 8th standard, we give Rs 5,000 and so on. Today we have more than 7,000 beneficiaries of this scheme.
Dato’ Hidayat Abdul Hamid High Commissioner of Malaysia to India Malaysia and India have been sharing very good relations since our Independence. In fact, 2017 is a very special year for India and Malaysia as we celebrate the 60th anniversary of our diplomatic relations. A strong relationship between countries is vital for healthcare cooperation to flourish. In case of Malaysia and India, we have signed numerous agreements in healthcare. We have cooperation agreement in traditional Indian medicine. About 10 per cent of our population is of Indian origin and they are free to practice their own culture. In Malaysia, we also practice traditional healthcare system. Vishal Chauhan Commissioner cum Secretary, Health The Government of India under NHM is stressing that NCD screening and NCD checkups are important and have to take place in every State. I would like to tell that this exercise was started in Sikkim many years back and we named this programme CATCH – Chief Minister’s Comprehensive Annual and Total Check-up for Healthy Sikkim. The outcome of the programme includes a child sex ratio of 957. Most of the health indicators in Sikkim are much better than the national average. The percentage of institutional deliveries is 98.4 in the state and the percentage of full immunisation is 95 per cent as per the latest survey.
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The UK is committed to help the Indian Government and State Governments for achieving universal healthcare goals including training and education of staff to deal with common challenges,” the British Deputy High Commissioner said. We have a formal Memorandum of Understandings between India’s Ministry of Health and UK’s Department of Health. A good example of this partnership is the India-UK Institutes for Health, where NHS and private companies are collaborating in this massive collaborative programme to establish 11 medicities and thousands of clinics across India. Gaurav Dahiya Mission Director, National Health Mission, Government of Gujarat Non-communicable disease is the biggest future challenge for healthcare. Presently, the entire public health strategy is focused on communicable diseases or infectious diseases. But in the coming era, according to the Indian Council for Medical Research, New Delhi, NCD is emerging as the biggest killer these days. So, there is a need for new ideas, strategies and interventions. Gujarat is the capital of non communicable diseases. Therefore, we are open to pick ideas on newer measures that we can take to contain NCDs in the State. We are going for a screening programme in a big way in Gujarat. It includes diabetes screening, hypertension screening, as well as cervical cancer screening. Dr G Dewan Mission Director, Nation Health Mission, Chandigarh UT We being a small Union Territory with a population of about 11 lakh, we have some peculiar type of issues. Since we have all the three hospitals in Chandigarh, we provide health services of primary, secondary and tertiary level. Our tertiary level hospitals are flooded with patients for which we are facing problems. Critical patients are sometimes left unattended keeping in view the occupancy of the patients who can be treated at secondary and primary level hospitals. The Healthcare Summit Rajasthan will give us various methodologies and innovative ideas, although the UT is performing very well. We have achieved 99.1 per cent of institutional deliveries in line with the Government of India which in itself is a credible achievement.
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Geoff Wain British Deputy High Commissioner, Ahmedabad
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G. Vasudeva Rao State Programme Manager, NHM, Andhra Pradesh In a big state like Andhra, the last mile approach is to bring patients to public health facilities to provide them services. In this direction, the Government of Andhra Pradesh in coordination with many departments has evolved a policy and a cabinet decision has been taken to outsource some of the services. But the outsourcing is very-very systematically planned approach that we have followed. We have followed a complimentary approach rather than a supplimentary approach. We have some 30 odd services that we have outsourced. In January 2016, we have launched five programmes. One such programme is the free diagnostics programme. It offers free tele-radiology services and free CT Scan services. Dr Divya S Iyer Sub Collector & Sub Divisional Magistrate, Trivendrum In Kerala, the success in health system that we have achieved we largely owe it to the approach of coordination that we have to the core. When I talk about coordination, let me illucidate with an example. Recenely, I received a writeup on a destitute elderly woman, who was found living at a railway station in my district. A passenger who met the lady decided to talk to her about her condition. She was found to be a little disoriented at the time. The passenger posted a message on social media and it went viral in no time. It was later found that she was a teacher and after she retired from her profession she was living on the streets. Within hours of the message posted on the social media, I could track her down and we have successfully rehabilitated her. This I think should be the last mile approach to healthcare. Dr Bharti Dixit Joint Chief Executive Officer, BSBY Bhamashah Health scheme is an initiative of the Government of Rajasthan to provide health benefits to around one crore eligible families in Rajasthan. We have the most comprehensive cover with the lowest premium. We have a complete process of empanelment of hospitals online. Awareness Programmes are run through ASHAs. We conducted Pandit Deen Dayal Upadhyaya Shivirs, Bhamashah Samasya Samadhan Shivirs to make it popular.
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Dr Jitendra Mehta Chief Nodal Officer, Government of Jammu & Kashmir We have three replicable interventions in the current structure of the State health system. Under the current programme structure in the country, out of 20 ASHAs at the community level the best ASHA is made the facilitator. The structure goes like this: ASHAs, ASHA facilitator, block community mobiliser, district community mobiliser and State programme mobiliser. In J&K, we have decided that we will not make ASHA an ASHA facilitator because in 20 village areas there will be 3-5 ANMs and around 30-40 Anganwadi workers. The one intervention we did here was we have an ANM ASHA worker, who is more powerful than ASHA worker and Anaganwadi worker at the community level. Sangita Reddy Joint Managing Director, Apollo Hospitals In a hospital when people come with a cardiac problem, how many do we see with single vessel disease? As many as 67 per cent of our patients have at least 3-4 vessel disease and they need significant treatment. The scenario in cancer is worse. When people reach the hospital, itâ&#x20AC;&#x2122;s already stage 3 or 4 cancer. So, this entire scenario needs enhancement in the delivery, focus and policy in the entire healthcare. However, the good news is that India has many islands of excellence in healthcare -- both in the government and in private sector. â&#x20AC;&#x153;The developmental pace with which healthcare growing is indeed one of the fastest growing sectors in the country. I think the problems we have are significantly compounded by the incidents of NCDs. Sheena Chhabra Senior Health Specialist, Global Practice on Health, Nutrition and Population, World Bank Rajasthan is characterised by a young population -45 per cent of the pupulation is under 19 years of age with 3/4th of it residing in rural areas. In terms of socio-economic status, three out of every 10 people either belong to Scheduled Caste or Scheduled Tribe, which is one of the highest proportions that we see across India. In terms of female literacy, Rajasthan is still comparitively lower than other states. But as Rajasthan is marching towards addressing issues relating to pregnancy, maternal and child directed causes, it also has an equal burden of noncommunicable diseases.
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Dr Harish Kumar Country Head, Norway India Right treatment given in an emergency can get you on the right side of the table and lack of right treatment like in a Gorakhpur Hospital case can bring you to the media highlights but for a wrong reason. NIPI in partnership with State Health Societies and Government of India is designing innovations in healthcare system.
Rajesh Mundra CEO, Trueworth Wellness I think the problem of NCDs is one of the biggest problems for the government. Globally, in 2005 NCDs caused 35 million deaths. 36 million deaths were caused in 2008 due to diabetes. The number of NCD patients in the corporate, as well as rural sector is increasing at an alarming rate. Recently to handle the burden of NCDs, the Government of India has come up with a project of health screening that was launched by National Health Mission. Its objective was to cover the 50 crore people of the country who are 30 years or older. Rajasthan is one of the states that is doing a pilot project on this. It not only starts with screening but go to the level of monitoring and evaluation of progress and establishing state policy to promote prevention. Syam Adusumilli President & Head – India Sales, Optum We are part of a $200 billion group. We are easily the world’s largest healthcare company in the world. We have been in India for the last 10 years. We are very proud of our India team’s contribution to our company. Ninty per cent of the population spends at least two hours of time to go see a doctor and get 10 minutes of his time. This is a reality which is true for India as well. The concept we want to introduce here is ‘Care Anywhere’, the focus of which is velocity of care. We have spent lot of time as a healthcare community talking about efficacy of care, efficacy of doctors. We want to move it very-very fast so that people get care as they need as early as possible.
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In August this year, I was in Harvard Medical School with a guy popularly called ‘Dr TB’, as he is working day in and day out for eradication of Tuberculosis. I am sharing with you the same presentation I gave to him on ‘Building, Design and Approaches for Air-borne Pollution Control’. There are lots of microbes causing hospital acquired infections and most of them are airborne. Normally this infection happens as patients cough or sneeze. There is a lot of turbulence happening in the hospital like hospital staff vacuum cleaning the floor or toilet flushing that makes microbes air-borne. To take care of this issue, we talk about air filters, air purifiers, air ionisers, air sterilizers, etc. Jaishankar Natarajan AVP and Head – Healthcare Cold Chain Business, Godrej Appliances We interacted with UNICEF, WHO, Gates foundation, and found out that 50 percent of the vaccines lose their efficacy before they are actually administered. Tthis happens due to temperature excursions and the lack of maintenance of temperature. We then came out with a range of products which provide a no freezing technology. It provides precise 4 degree cooling at all points of storage. We are the only Indian manufacturer approved by WHO for this. We also partnered with a UK based company to bring out a very unique solutions for storing vaccines, blood and medicines.
Prakash Vir Rathi Deputy General Manager, Bank of Baroda Bank of Baroda is honoured to be a partner of the Government of Rajasthan, where we offer various online facilities to the citizens. We integrate our IT solutions with the concerned departments. We provide payments to the beneficiaries in a very transparent and fast manner. We are keeping pace with the initiatives of the Government of Rajasthan. We are making changes which are required by the departments and we assure that we perform our role in the best possible way.
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Dilip Patil Managing Partner, Trivector Biomed LLP
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Dr R K Srivastava LEHS|WISH The National Health policy demanded all the State that health sub centres should be converted into health and wellness centres. The policy also demanded 12 deliverables from each sub centre by implementing technology. WISH foundation is a non-profit organisation which is operating 22 PHCs in Rajasthan in PPP mode and around 100 sub-centres to take the healthcare services to the last mile. We are trying to create partnership models that can deliver healthcare services. We want to integrate various types of innovations to take care of various gaps in healthcare delivery.
Pallavi Jain Managing Director, KRSNAA Diagnostics Pvt Ltd Krsnaa Diagnostics is providing PPP services across 15 states of the country. We are the only successful service provider who has reached the rural India from Kashmir to Kanyakumari. We have reached Assam, Manipur, Meghalaya, etc and the 15 State is Rajasthan, where we have been able to serve the people. The Rajasthan project is the first in India for super specialty test, which was earlier either outsourced or not done in the district hospitals. It will now be done in district hospitals that also free of cost under theâ&#x20AC;&#x2DC;Mukhya Mantri Nishulk Jaanch Yojnaâ&#x20AC;&#x2122;. We as service providers are setting up collection centres at 50 locations and are also setting up 7 satellite labs across the State.
Karuna Singh State Program Foundation
Manager,
IPAS
Development
IPAS Development Foundation is a non-forprofit organization working for safe abortion and contraception. In Rajasthan, IPAS is working since 2009 and we are fortunate that Rajasthan is a very good partner. If we think of a woman who has an unplanned pregnancy, then safe abortion becomes very-very important. Abortions account for 8 per cent of total maternal mortality. If we talk about Rajsthan, then our maternal mortality is higher than the national average. Unsafe abortions lead to sepsis, bleeding and even death.
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Dr Vikas Yadav Programme Director, JHPIEGO JHPIEGO is a non-profit international public organisation present in more than 50 countries of the world. We are the lead technical partners of the Government of India on quality of care. We are proud to have worked with the Government of Rajasthan on the Dakshta programme and Kushal Managal programme. We are actively providing support in 24 districts. Quality of care across sectors is in great demand. Because of our quality of care, the mortality reduction is not commensurate. Apart from that, the pace of reach of basic minimum care to vulnerable sections, implementation of evidence-base guidelines and introduction of new techniques and technology are some of the other needs of the country. Dinesh Kumar Goyal, (Rtd IAS) Retired as Additional Chief Secretary in Government of Rajasthan 30 years ago there was 100 per cent participation from the Government, but now, the involvement of the private sector is increasing. There are lot of PPP projects going on. It is happening in every State of the country.The Government has monopoly over the land and the buildings, they have good database of the doctors. But there should be an understanding between private and public sector. New capital can come through FDI. Private sector can offer best of technologies and equipments.
Mohit Soni, Executive Director, Soni Group of Hospitals, Jaipur; Inderjith Davalur, Group CIO, KIMS Hospitals; Dr Prateek Sharma, Medical Director, Saville Hospital & Research Centre, Jaipur; and Alok Khare, Vice President – IT, Jaypee Hospitals, Noida, express their views during the session ‘Role of Hospitals in Developing Healthcare Ecosystem of Rajasthan And Hospitals in Providing Quality & Cost Effective Healthcare’. The speakers in this session highlighted the challenges for the healthcare sector of Rajasthan in terms of quality of healthcare and affordability.
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Healthcare Leadership Awards 2017
List of Awardees For Transforming Sub Centres into Health & Wellness Centres LEHS|WISH Exemplary Banking Services Punjab National Bank Exemplary Banking Services & Best CSR Initiatives Bank Of Baroda Innovative Solutions for Air Borne Infections Trivector Biomed
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Best Cancer Hospital in Delhi/NCR Park Hospital, Gurugram Integrated Ambulance Project GVK EMRI Woman Leadership Award in the Healthcare Spectrum World Bank Exemplary Work Towards Medical Education Shri JJT University Being an esteemed Radio Partner Radio City 91.1 FM
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Dr Divya S Iyer Sub Collector & Sub Divisional Magistrate, Trivendrum
Sangita Reddy Joint Managing Director, Apollo Hospitals
Dr Monika Priyadarshini Special Secretary & MD NHM, Andaman & Nicobar
Bharti Dixit Joint Chief Executive Officer, BSBY
Anju Sharma Principal Secretary, Higher & Technical Education, Gujarat
Arti Dogra Managing Director,Jodhpur Vidyut Vitran Nigam Ltd
Veena Pradhan Managing Director, Rajfed, Jaipur
Yasmin Singh Kathak Dancer, Chhattisgarh
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Daughters are Precious Awards 2017
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Daughters are Precious Awards 2017
Gazal Mishra, Bollywood Designer, Jaipur
Representative from V Can Give Them Hope
Roma Bose, Health and Development Sector Professional, New Delhi
Shabnam Dayer, Community Healthcare Professional, Rajasthan
Dr Rekha, Medical Professional, Jaipuria Hospital
The Team of PCPNDT, Rajasthan
Era Tak, Artist, Bikaner
Representative of Sheroes- Stop Acid Attack â&#x20AC;&#x201C; Chhanv Foundation
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Sangeeta Gharu, Model, Rajasthan
The Winners of Daughters are Precious Awards
Anita Bhadel, Honâ&#x20AC;&#x2122;ble State Minister (Independent Charge), Women and Child Development inaugurating the Daughters are Precious Evening in Jaipur.
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Neelam Narang, Entrepreneur