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JANUARY 2020 | VOLUME 16 | ISSUE 01
COVER STORY
08 LAYING FOUNDATION FOR INCLUSIVE HEALTHCARE MODEL FLASHBACK 2019 AND ROAD AHEAD FOR 2020 LEADER’S PERSPECTIVE
POLICYMAKER’S PERSPECTIVE
SPECIAL FEATURE
Funding
GALORE to Indian STARTUPS! 14
S. Pangnyu Phom
Minister of Health & Family Welfare, Government of Nagaland
CONFERENCE REPORT ANNUAL
10-11 DECEMBER 2019, NEW DELHI
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P. Parthiban
Secretary Health cum MD NHM, Government of Arunachal Pradesh, Government of Arunachal Pradesh
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67 20 DECEMBER 2019 HOTEL CLARKS AMER, JAIPUR
Editorial India Envisions for Robust Healthcare Model Indian healthcare is evolving with unprecedented rate today with cutting-edge technology, innovative solutions, awareness, and quest for personalised and enriched healthcare experience becoming major ingredients, deciding overall outcome of clinical care. In the light of burgeoning non-communicable diseases coupled with lifestyle and infectious diseases, accessible and affordable healthcare hold huge significance. But that needs structural reform and concerted efforts both by public & private players to offset challenges on front of infrastructure, skilled workforce and digital front. With the objective to make giant leap toward Universal Health Coverage, the Government took slew of measures in 2019 which will prove game changers in laying robust foundation of delivery of health services across country in 2020 onwards. Our cover story ‘Key Policy Decisions of 2019--Laying Foundation for Inclusive Healthcare Model’ is based on similar theme which highlights how recent policy initiatives will transform paradigm of healthcare system. Though technology like AI, telemedicine, and robotics will rule the paradigm of clinical care, policy measures play pivotal role to bolster and facilitate overall patient care. 2019 proved to be eventful year as the Government undertook many initiatives from Fit India Movement to National Medical Commission Act and increasing number of medical colleges and seats and scaling up Ayushman Bharat. The latest issue also carries an exclusive interview of S Pangnyu Phom Minister of Health & Family Welfare, Government of Nagaland, who talks about latest initiatives to offset challenges in delivery of services across the State. We have special feature encapsulating how the Indian healthcare startups are witnessing funding galore. The magazine has another story on corporate update comprising churning of top leadership role in healthcare. The latest issue also carries extensive conference report of the Elets Annual Healthcare Innovation Summit 2019 supported by National e-Governance Division(NeGD); Digital India; Ministry of Electronics & Information Technology, Government of India; Government e-Marketplace (GeM); and National Health Mission, Government of Uttar Pradesh, comprising outcomes suggested by Ministers, policymakers, though leaders and healthcare experts. We have another report on Safe Childhood Report in association with Department of Labour, Skill, Employment & Entrepreneurship, Government of Rajasthan. With this bouquet of articles, special features and interviews, we hope this latest issue will invite an invaluable feedback of our readers.
Dr Ravi Gupta Editor-in-Chief eHEALTH Magazine and Founder Publisher & CEO Elets Technomedia Pvt. Ltd. ravi.gupta@elets.in
COVER STORY
LAYING FOUNDATION for Inclusive Healthcare Model FLASHBACK 2019 AND ROAD AHEAD FOR 2020 The Indian healthcare sector is on the cusp of major transformation today with accessibility and affordability becoming major determinants of a sustainable healthcare care delivery model. 2019 ushered in a new era in the Indian healthcare as the year saw a series of policy measures which will bring tangible difference in enhancing and enriching healthcare in 2020 onwards. Mukul Kumar Mishra of Elets News Network (ENN) encapsulates major policy decisions which prove worth taking in coming years.
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rom National medical Commission to Fit India Movement and Scaling up Ayushman Bharat, the Government it seems is working on a mega plan to bring reform in the healthcare sector and several key decisions undertaken this year speaks volumes about its intent to make giant leap in the direction of universal health coverage. Off-course, coming years will be ruled by technology including AI, and modern tools helping people to take charge of one’s own health, nonetheless policy measures will hold key in determining fate of overall evolved healthcare system. “The future of Healthcare will be primarily driven by digital technologies such as Artificial Intelligence, Robotics, 3D printing, augmented and virtual reality. Digitization will bring increased efficiency and accessibility to healthcare services. AI has already
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become an intrinsic part of many Clinical decisions made by medical professionals. Data-based decisions help improve quality of care, clinician productivity and address the challenges in scaling healthcare delivery to rural areas and make a huge impact for the masses,” Dr Geetha Manjunath, CEO & CTO, NIRAMAI, believes. PERSONALISED HEALTHCARE NEEDED IN LIGHT OF BURGEONING NCDS In the backdrop of burgeoning NCDs along with lifestyle diseases which are affecting even youngsters nowadays, people residing in urban areas go out of way to avail personalised and quality healthcare. Even those who don’t fare well on economic parameter seek best care despite having fair idea that it will push them further in the vortex of poverty. Satish Kannan, Co-founder &
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CEO, DocsApp, says, “The year gone by has witnessed an extensive usage of online healthcare by urban, semi-urban and rural people alike. 2019 saw an increase in acute disease manifestation from Dengue to Acute seasonal infections. More and more Indians have now started using online platforms because of the ease and anonymity that it offers.” Though the Indian healthcare sector has evolved to an unprecedented manner in last some decades courtesy cuttingedge technology and innovations, it still needs to further calibrate its strategy to offset challenges on front of infrastructure, affordable model of care, delivery of services in rural areas, skilled workforce including doctors, nurses, and technicians, and integration of modern tools to improve overall outcome. “The technological advancements in healthcare have benefited overall industry including the diagnostic
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market. In 2020, genetic testing will further shape the preventive healthcare segment. Recent findings in our genomic study and the significant decline in the costs of genetic testing will change the game completely. The industry will use these techniques to transform the way personalised healthcare is delivered in the country,” Amol Naikawadi, Joint Managing Director, Indus Health Plus holds opinion. Here’s the list of major policy decisions undertaken in 2019 to augment delivery of healthcare services: MAJOR REFORM IN FORM OF NATIONAL MEDICAL COMMISSION ACT In August President Ram Nath Kovind gave assent to the National Medical Commission (NMC) Act, 2019, which provides for a system that improves access to quality and affordable medical education and ensures the availability of adequate and high quality medical professionals in all parts of the country, among others. The new law provides for setting up of an NMC in place of the Medical Council of India for development and regulation of all aspects of
medical education, profession and institutions. Professor Suresh Chandra Sharma, the chief of Delhi AIIMS’ ENT head-neck surgery department, has been appointed its first chief recently. INDIA VOWS TO REMAIN HEALTHY WITH ‘FIT INDIA MOVEMENT’ With an objective to encourage people to include physical activity and sports in their everyday lives to
keep themselves healthy in the long run, Prime Minister Narendra Modi launched Fit India Movement on the occasion of National Sports Day on 29 August last year. Launching the people’s movement on the birth anniversary of Major Dhyanchand, India’s sports icon, he said that ‘Fit India Movement’ should become a national goal and its aspiration. He highlighted how physical activities were being robbed by modern gadgets and technology , making people vulnerable for NCDs. “Technology has reduced our physical ability and has robbed us of our daily fitness routines and today we are unaware of our traditional practises and lifestyle which could keep us fit. With time, fitness has been relegated to a lower priority in our society. Earlier a person used to walk or cycle for kilometers, today mobile apps have to tell us how many steps we walked,” Prime Minister said. “Today lifestyle diseases are on the rise in India affecting even the young. Cases of diabetes and hypertension are on the rise and even common among children in India. But small lifestyle changes can prevent these lifestyle diseases. ‘Fit India Movement’ is an effort to bring these small lifestyle changes,” he further stated. DECISION TO CONVERT 75 DISTRICT HOSPITALS INTO MEDICAL COLLEGES India has a shortage of over 600,000 doctors and two million nurses. As per Indian Journal of Public Health 2017 data, on an average, a government doctor attends to 11,082 people. With an objective to achieve the target of one doctor for 1,000 people by 2024, the Government is working on every front to ramp up the number of skilled professionals in healthcare. The Health ministry in 2019 initiated the process of converting
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75 district hospitals into medical colleges by 2021-22 in under-served districts of the country that do not have any medical colleges. Once completed, it would lead to the creation of 15,700 more MBBS seats in India. Dr Vinod K Paul, Member, NITI Aayog, Government of India has reiterated the importance of human resources adding that India lacks on experts in primary to tertiary care. “The most difficult journey that we face today is about having the right mix, the right numbers, right quality, right skills and the right distribution of human resources in the healthcare sector,” Paul said delivering a speech at Ficci Heal 2019. INTENSIFIED MISSION INDRADHANUSH 2.0 In an endeavour to immunise children under two years of age and pregnant mothers against eight vaccine-preventable diseases, the government launched new immunization drive on December 2. The Intensified Mission Indradhanush 2.0 is the updated version of flagship vaccination programme Mission Indradhanush (MI) which was launched in 2014. The new mission aims for focused and sharper efforts towards full
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immunisation coverage in 272 districts across 27 states/Union Territories. It has a three-month window between December 2019 and March 2020 to achieve the results. The plan is to reach all children below two years and pregnant women who were left uncovered by the routine immunisation programme and to ensure that no child suffers from any vaccine-preventable disease. The drive includes vaccines for Hepatitis B, tuberculosis, diphtheria etc which pose major threats to children’s life and health. NATIONAL HEALTH STACK TO BOLSTER DIGITAL HEALTH INFRASTRUCTURE In a bid to develop robust digital and IT health infrastructure, NITI Aayog is working on a plan called National Health Stack (NHS). The National Digital Health Blueprint (NDHB) is the architectural document for the implementation of the NHS. Experts believe the Government’s objective is to manage population health in better manner leveraging analytics platform like Big Data and AI with Machine Learning. As per reports, unique health identification cards (IDs) would be provided to citizens so that health history of a person could
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COVER STORY be accessed at the click of a mouse. The idea is to aggregate data so that it would help patients, doctors, diagnostic chains and policymakers in order to make evidence-based interventions. SURAKSHIT MATRITVA AASHWASAN (SUMAN) INITIATIVE In October, the Government launched the Surakshit Matritva Aashwasan initiative or SUMAN scheme which aims to reduce maternal and infant mortality rate. The scheme will provide dignified and quality health care at no cost to every woman and newborn visiting a public health facility. Under the scheme, all pregnant women, newborns and mothers up to 6 months of delivery will be able to avail several free health care services such as four antenatal check-ups and six home-based newborn care visits. The pregnant women will be able to avail a zero expense delivery and C-section facility in case of complications at public health facilities. ROTAVIRUS VACCINE (RVV) EXPANDED IN REMAINING STATES The Rotavirus vaccine (RVV) introduced in India in March 2016 in 11 states (Andhra Pradesh, Haryana, Himachal Pradesh,
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territories, thus covering the entire nation.
IN AN ENDEAVOUR TO IMMUNISE CHILDREN UNDER TWO YEARS OF AGE AND PREGNANT MOTHERS AGAINST EIGHT VACCINEPREVENTABLE DISEASES, THE GOVERNMENT LAUNCHED NEW IMMUNIZATION DRIVE, THE UPDATED VERSION OF FLAGSHIP VACCINATION PROGRAMME MISSION INDRADHANUSH (MI).
Jharkhand, Odisha, Assam, Tripura, Rajasthan, Tamil Nadu, Madhya Pradesh and Uttar Pradesh), to reduce mortality and morbidity caused by Rotavirus diarrhoea was expanded to the remaining states and union
SCALING UP AYUSHMAN BHARAT ON THE BASIS OF BENEFICIARIES’ DATA In 2019, the Government worked on to give fine print to the Ayushman Bharat initiative launched in 2018. On the basis of one year real time data, the Government worked on the strategy on how to take it on mission mode across the country. Many hospitals were lauded with different level of certificate while fraudsters were dealt with iron hands. Till September 2019, more than 1.22 crores screened for oral cancer, more than 49.79 lakh women screened for cervical cancer and more than 82.45 lakh for breast cancer. Around 90,91,903 beneficiaries availed treatment for hypertension and 45,28,307 beneficiaries availed treatment for Diabetes at these AB-HWCs. A total of 3,65,420 Yoga sessions were conducted in operational HWCs. A total 171 hospitals have been de-empanelled and penalties to the tune of Rs 4.5 crore have been imposed on hospitals till date. DECLINE IN MMR AS PER SRS SURVEY The report of Sample Registration
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System (SRS) released in November by the Registrar General of India (RGI) showed that Maternal Mortality Ratio (MMR) of India declined from 130 in SRS 2014-16 to 122 per 100,000 live births in 2015-17. Assam (229) had highest MMR while Kerala (42) ranked at the lowest. In southern states, MMR has come down from 77 to 72 per one lakh births, while in other states the figure has come down from 93 to 90. The report indicates that India has prevented about 2000 MMR per year. PROHIBITION OF ELECTRONIC CIGARETTES ACT, 2019 The Government notified the Prohibition of Electronic Cigarettes Act, 2019 on December 6 which makes production, import, export, transport, sale or advertisements of such “alternative” smoking devices a cognisable offence. As per the rule, offenders would face jail term and hefty fine for the same. NITI AYOG’S PROPOSED MEDICAL DEVICES BILL Apart from the above initiatives, there is also a proposed Medical Devices Bill in the offing. Its objective is to address the concerns on patient safety and reduce import dependency. The proposed Bill by Niti Aayog is also tailored for promoting Make In India of medical devices and providing users with access to safe innovative devices. LEGISLATION ON ASSAULT ON DOCTORS COULD NOT SEE THE LIGHT OF THE DAY The Government toyed with the idea to bring legislation to dissuade violent attack against doctors. The move holds significance in the backdrop of rising number of cases where patients and their relatives
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resort to violent means to settle score with doctors if outcome goes against them. The Health ministry could not bring in the much-sought central legislation to check assault on doctors and other medical professionals with the home ministry opposing it stating that there cannot be a separate law to protect members of a particular profession. However, the health ministry decided to pursue the proposed legislation in the backdrop of rising instances of attacks on medicos. INDUSTRY INSIGHT FOR 2020 Industry veterans hold the opinion that in 2020 Indian Healthcare will be more vibrant in terms of personalised and enriched healthcare experience. Digital tools, innovative devices, and mobile apps will rule the roost. Nitiz Murdia, Marketing Director, Indira IVF believes India will become a major hub of medical tourism owing to low service rates in comparision to developed countries. “2020 will bring in more people to rely on online consultations for their first doctor touchpoint due to the availability & the ease of access. This would see a trend in change of attitude towards seeking help, early intervention leading to better health outcomes,” Kannan says. CONCLUSION Though lots of things are happening in the healthcare sector, they need to be integrated in prudent manner to improve overall clinical outcome. Public and private sector should not work in silo, rather they should join hands cohesively to provide patient best value for the money. On the advent of New Year, we hope the Indian healthcare sector becomes robust and sustainable, setting an example for countries across the globe in terms of affordability and quality.
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‘Promoting Affordablity & Access to Quality Healthcare in Nagaland’ Despite challenges due to connectivity, geographical barriers and health seeking behavior, the State government is leaving no stone unturned to improve healthcare delivery system, enabling people accessible and affordable patient care. Through lots of policy measures coupled with technological advancement, the State is making giant leap in delivery of clinical outcome, says S. Pangnyu Phom, Minister of Health & Family Welfare, Government of Nagaland, in conversation with Nisha Samant and Mukul Kumar Mishra of Elets News Network (ENN).
Q
How do you analyse healthcare delivery system of Nagaland in terms of quality and Affordability? Nagaland has registered significant health progress over recent decades. The state has the lowest Infant mortality rate (IMR) in the country at 7 per 1000 live birth as per SRS May 2019. The State has improved its performance in the State ranking on TB Control Programme from 18th position in 2018 to 12th in 2019 in the country. Similarly, under Vector Borne Control Programme, incidence of Malaria has reduced from 113 in 2018 to 20 this year with no cases reported from 3 districts and placing the State in Category 1 which Annual Parasitic Incidence at less than 1. The Pungro Town becomes the first free malaria Town in the State. In addition, a total of 196 schools, 24 colleges and 3 villages have been declared Tobacco Free. The state has adequate health facilities as per our population (11 District Hospitals, 21 CHC, 126 PHC, 396 SC, 2 TB
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Hospitals and 1 Mental Hospital) but accessibility becomes difficult due to bad connectivity and scattered population over difficult terrains especially in rural areas. Other than major cities like Kohima and Dimapur, all other districts heavily rely on the public health system which the state Government is continuously trying to improve and upgrade, keeping in minds the changing epidemiological trends. The state is continuously upgrading treatment guidelines and other standards of care based on the latest guideline from the Ministry of Health and Family Welfare, Government of India. Best affordable services are being provided to every citizen irrespective of social status, class or gender. Besides regular Performance Reviews at various levels, the department has taken up the following initiatives: a. To promote cleanliness and enhance the quality of public health facilities. Awards to best District Hospitals, Community Health Centres and Primary
S. Pangnyu Phom Minister of Health & Family Welfare, Government of Nagaland
Health Centre have been initiated under Kayakalp under the umbrella of Swachh Bharat Abhiyan introduced by the Prime Minister of India on 2nd of October, 2014. Every year Best Health Facility is awarded to one District Hospital and one Community Health Centres in the State and One Primary Health Centre in every district. b. Healthcare services being
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launched ‘LaQshya’ initiative to fast track the interventions for achieving tangible result by strengthening key processes related to Labour Room and Maternity Operation Theatre. d. Communitisation of Public Institutions and Services: The State government recognizing the need for Community Participation is a fundamental requirement to achieve health and sustainable development, initiated measures to harness its rich social capital to vitalise the public institutions by launching the “Communitization Policy” with the enactment of Nagaland Communitisation of public institutions and services Act in 2002. Unlike other form of decentralisation or privatisation, in the unique concept of Communitization partnership between government and the people is developed through delegation of powers and responsibilities to the community for management of public institutions so that performance of the public utilities improve.
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WITH AIM TO PROMOTE AFFORDABILITY AND ACCESS TO QUALITY HEALTHCARE SERVICES AND TO MITIGATE THE RISK OF IMPOVERISHMENT DUE TO HOSPITALIZATION EXPENSES, THE STATE HAS LAUNCHED SEVERAL INITIATIVES INCLUDING JANANI SHISHU SURAKSHA KARYAKRAM (JSSK)
LEADER’S PERSPECTIVE
delivered should not only be judged by its technical quality but also from the perspective of service seekers. The sustainable quality in public health facilities requires an inbuilt quality management system within the health institution along with ownership by the providers working in the facility to the effective actions for traversing the gaps, periodic assessment and improving the quality standards. To this effect, the department has adopted the National Quality Assurance Standards and has actively implemented starting with the District Hospitals. c. As committed to provide quality and accessible maternal and child health services to every beneficiary coming to public health facilities, several interventions and programmes aids such as Maternal and Neonatal Health Toolkit, Standardization Guidelines for Labour Room, Dakshata, guidelines on maternal and child death review, establishment of skill labs, etc have been adopted. Further, the department has
The communitsation of health sector means the community takes over ownership and management of health institutions
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and services. It also means active participation of community in preventive and promotive measures, contributing their share to make health a reality in their own community. Ownership of the health centres by way of monitoring the functioning of the health unit including the attendance of the staff, provision of medicines, maintenance of the health centre building, contribution in cash and kind. The communitization policy resulted in strengthening and revitalization of the dismal health system in the State. The venture paid off with Nagaland been selected for United Nations Public Service Awards in 2008 for communitization programme in recognition of its innovative use of rich social capital. e. Feedback from the client is continuously monitored and analysed through platforms like Kayakalp, Quality Assurance, Mera Aspataal etc to ensure patient satisfaction. f. With aim to promote affordability and access to quality healthcare
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services and to mitigate the risk of impoverishment due to hospitalization expenses, the state has launched several initiatives such as- Janani Shishu Suraksha Karyakram (JSSK), an initiative to ensure free services to pregnant women and sick neonates accessing Public Health Institutions, Free Drugs and Diagnostic services etc. Further, with the launching of Ayushman Bharat- Pradhan Mantri Jan Arogya Yojna (ABPMJAY), hospitalization expenses of 7,438 beneficiaries worth Rs 9 crore have been paid to various empanelled hospitals by the State as on 8th Jan 2020. Through this social safeguard scheme, the risk of impoverishment of 7,438 beneficiaries, amounting to Rs 9 crores have been mitigated.
Q
Give a brief account of recent initiatives undertaken to improve patients care in rural
areas. Delivery of health services in the rural areas has always been a challenge due to connectivity, geographical barriers and health
seeking behavior. a. In addition to the above mentioned activities, under the Prime Minister’s initiative of Ayushman Bharat umbrella, the state is committed to convert all health sub centres and PHCs into health and wellness centres by additional posting of one Community Health Officer (CHOs) in all these facilities in tune with the global call to improve delivery of comprehensive primary healthcare. b. In the recent past, 165 SubHealth Centre, 16 Primary Health Centres and 7 Community Health Centres have been created/ upgraded to promote accessibility to healthcare services in remote areas. c. To reach all villages, the state is also pushing to revitalise VHNDs/ Village health sanitation and nutrition days in convergence with allied departments like PMMVY and Poshan Abhiyan under Social Welfare, NRLM under Rural Development, school education, PHED etc. d. To improve health seeking
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Q
Infrastructure has always been an obstacle in the delivery of care...how PPP model has
been leverage to improve things in Government hospitals? For strengthening the public sector health system and meeting public health goals, the State government is actively developing partnership with non-governmental sector to bring in much needed resources to ensure a reasonable health service which is available, accessible, affordable and acceptable to all at the right time and right place. a) The State Government in partnership with the Emmanuel Hospital Association (EHA) and Christian Medical College (CMC) Vellore is running a tertiary hospital- CIHSR in Dimapur since 2008. The Institute is also running Nursing College and Paramedical Institute as well as Diplomate in National Board (DNB) awarded the National Board of Examinations under the MoHFW. b. Besides partnership with reputed NGOs and faith-based Organisation for promotion healthcare delivery in remote areas, the department is also tapping much needed resources partnership with Developmental
UNDER THE PRIME MINISTER’S INITIATIVE OF AYUSHMAN BHARAT UMBRELLA, THE STATE IS COMMITTED TO CONVERT ALL HEALTH SUB CENTRES AND PHCS INTO HEALTH AND WELLNESS CENTRES BY ADDITIONAL POSTING OF ONE COMMUNITY HEALTH OFFICER (CHOS) IN ALL THESE FACILITIES
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behavior and awareness around health, the state is partnering with civil societies and the churches on a mission mode especially on Immunization, ANC etc. e. Pradhan Mantri Bhartiya Janaushadhi Pariyojana (PMBJP): To make quality generic medicines available at affordable prices for all, the department has set up Pradhan Mantri Bhartiya Janaushadhi Kendra (PMBJK) is all District Hospitals. f. To promote prompt and timely access to healthcare, the department has placed 80 Ambulances are in place for Referral Transport of serious patients. g. Introduction of Roster Posting linked with Career Progression for doctors. To ensure availability of doctors in remote and difficult areas and to provide equal opportunity to all members of InServices Doctors, the department has formulated Roster Posting liking with career progression.
Partners (World Bank, UNICEF, UNDP, WHO etc as well as support through Corporate Social Responsibility (CSR).
Q
What kind of new projects, hospitals and medical colleges are being planned across the State? a. Medical College at Kohima: After 55 years of Statehood, the State is in the process of developing the first ever medical college at Kohima. The State Government is committed to start the first ever Medical College in the State of Nagaland by 2021-22. b. Model Rural Health Research Units (MRHRU) and National Centre for Disease Control (NCDC): The department is setting one National Centre for Disease Control at Dimapur
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to enhance the capacity and capability for disease surveillance, outbreak investigation, and rapid response to contain and combat outbreaks. The Centre will also provide referral diagnostic support, capacity building and technical support to States. To promote transfer of technology to the rural level for improving the quality health services to rural population and to ensure an interface between the new technology developers, health systems operators and the beneficiaries, the department is in the process of setting up one Model Rural health Research Units at CHC Niuland. c. AYUSH Hospitals: In keeping with the National Goal of Health India, the State Government has been actively promoting AYUSH System of Medicine as an alternative medicine to needy people. Two integrated AYUSH Hospital-30 bedded at Noklak and 10 bedded at Dimapur was made fully functional in 2018. Another two more AYUSH Hospital Razha Chedema under Kohima and
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Sabangya under Mokokchung areunder construction. d. Solar Energy Technology: To ensure regular supply of electricity, the department is in the process of installing hybrid solar backup power solutions for lighting, running of equipments, water pumps, water heaters in Public Health Institutions through World Bank Aided Project. The Nagaland Health Project is also investing on renovations of various Public Institutions- Health Facilities, nursing schools & paramedical institute, Rainwater harvesting structure with storage tank along with plumbing works, Construction of deep burial and sharp pit for Bio-Medical Waste Management.
Q
Technology has proved to be the biggest game changer in today’s time.... How Artificial Intelligence (AI), Telemedicine and other modern day tools are being leverage to facilitate the delivery of services? a. Telemedicine: Due to
poor internet connectivity, telemedicine services initiated earlier was not successful. With the improvement in the connectivity, the department is currently conceptualising telemedicine services. b. Electronic Vaccines Intelligence Network (eVIN): The department in partnership with UNDP has roll out an innovative electronic vaccine intelligence network called eVIN in the State. The eVIN system for the first time, makes it possible for state and district officials/ staffs to see real time vaccine stock and monitor the cold chain as a whole. c. The department is also developing a robust IT application for Supply Chain Management, Human Resource Management System etc through Nagaland health Project. d. The state is also launching ANMOL for ANMs and NCD application software by provision of tablets and training thereby ensuring no beneficiaries are left behind and appropriate tracking is done.
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POLICYMAKER’S PERSPECTIVE
‘Arunachal Pradesh Embarking on Robust Healthcare System’ Despite difficult terrain and topography, the State Government is making concerted efforts to improve care delivery system, enabling masses accessible healthcare services. The State has beautifully integrated various programmes with technological advancements to develop exemplary patient care model, says P. Parthiban, Secretary Health cum MD National Health Mission (NHM), Government of Arunachal Pradesh, in conversation with Nisha Samant and Mukul Kumar Mishra of Elets News Network (ENN).
Q
How do you assess the State’s healthcare delivery system in terms of accessibility and affordability? The state has a unique issue due to difficult terrain and topography of the state. Around 60 percent of the population resides in the rural area. In order to increase accessibility of healthcare services, we have 1 medical college, 6 general hospitals, 15 district hospital, 61 community health centres, 148 primary health centres, 4 urban primary health centres and 582 sub health centres. The number of health facilities in the state is more than the required
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numbers as per the Indian Public Health Standards. However, to ensure that the entire population has access to the healthcare services, the Government has set up health facilities across the state. Provision of quality healthcare services to masses is a priority of the state government. With that objective, the state government provides budget annually for drugs and equipments in all the health facilities including HR. Adding to the state government’s budget, the Government of India also provides funds under various National Health Programmes through National Health Mission. These drugs are
P. Parthiban Secretary Health cum MD NHM, Government of Arunachal Pradesh, Government of Arunachal Pradesh
provided free of cost to all the patients coming to the health facilities. The state government has also implemented the Chief Minister’s Arogya Arunachal Yojna, wherein every household has a health cover of Rs 5 lakh per annum.
Q
Tell us about recent measures undertaken by the Government to boost overall patient care especially maternal and child health. A number of steps have been
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To take care of nutrition of children, one Nutrition Rehabilitation Centre is established at GH Pasighat, catering to the entire state. It is also necessary to have all the children fully immunised, as such programmes like Routine Immunisation, Intensified Mission Indradhanush, IPPI etc are carried out. Incentives for full immunisation are also given to the beneficiaries. Institutional delivery is most important for safe delivery and care of the newborn. In order to encourage pregnant women to deliver in the hospitals, programmes like Janani Shishu Shuraksha Karyakram and janani Shuraksha Yojna are in place. JSSK ensures provision of free services like medicine, diagnostics, blood, diet transportation, etc for all private wards in hospitals for pregnant women from ANC till delivery and PNC. Cash incentives for institutional deliveries are also being given to the beneficiaries. Labour room strengthening and certification are being done under the LaQshya programme. Precious Lives Under Safety (PLUS) project, a state government initiative for pregnant women is being implemented in five districts.
Q
It must be tough to provide quality care to remote part especially areas comprise of mountainous terrain, what have been done on this front? Many Sub Health Centres in the remote areas have been functionalised through infrastructure development and posting of ANMs. Many sub centres and primary health centres have been upgraded to Health & Wellness Centre. Regular outreach activities through Sarkar Aapke Dwar, Mukhya Mantri Rogi Kalyan Kosh, RI, National Health Mission etc are being carried out by the health service provider for the rural masses. Trained ASHAs are available in all the villages who functions as a link worker.
Q
Robust Infrastructure has been a perennial issue affecting delivery of services…how PPP
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REGULAR OUTREACH ACTIVITIES THROUGH SARKAR AAPKE DWAR, MUKHYA MANTRI ROGI KALYAN KOSH, RI, NATIONAL HEALTH MISSION ETC ARE BEING CARRIED OUT BY THE HEALTH SERVICE PROVIDER FOR THE RURAL MASSES.
POLICYMAKER’S PERSPECTIVE
undertaken which can be encapsulated as follows: Chief Minister’s Arogya Arunachal Yojna – Under this scheme every household can avail health coverage of worth Rs 5 lakh per annum. Prime Minister Free Dialysis programme– Taking into account the rising number of patients with kidney issues, the government has set up three dialysis units at TRIHMS, DH Tawang, and GH pasighat. Another unit is being set up at DH Namsai under the Prime Minister Free Dialysis Programme. Patients are being given free dialysis at all these dialysis units. Free Diagnostic Services– A huge sum of money is being spent by the patients in diagnostic services, draining them out economically. In this light, the government has introduced Free Diagnostic Services. All the diagnostic services will be providing free of cost at all the health facilities. Free Drug Initiative– It is yet another initiative of the government to ensure all essential and emergency life saving drugs free of cost to all the patients. Biomedical Equipment Maintenance and Management Programme– In order to provide round the clock diagnostic services, it is important that all the equipments in the hospitals are functioning. In order to ensure 24x7 functionality of equipments, the government has entered into an agreement with a private vendor on PPP mode. He will be responsible to maintain and manage any kind of equipment malfunction. Maternal & Child Health Services–Wellbeing of the pregnant women, mothers, infants and children is a top priority of the government. The government has initiated many programmes exclusively for maternal and child health. In all the health facilities, New Born Care Corners are being set up for immediate care of the newborn. New Born Stabilisation Units have been set up in five district hospitals. Sick Newborn Care Units for the care of sick newborns are being set up in two district hospitals.
model is being leveraged to improve things? In order to ensure healthcare service delivery in the remote areas, management of 16 remote health facilities has been handed over to 5 NGOs. Many infrastructure development projects with funding from the Government of India and various state governments are being implemented.
Q
What kind of new projects, hospitals and medical colleges are being planned across the State? A Medical college at Pasighat is being planned in addition to the existing new medical college at Naharlagun. Requirement of modern infrastructure is unlimited as most of the building has outlived its life. Few Zonal hospital upgradation is being established on priority.
eHEALTH Magazine
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JANUARY 2020
21
SPECIAL FEATURE
Funding
GALORE to Indian STARTUPS!
Despite the fact that India prides to be the global leader in production of generic medicine, for the longest time the healthcare sector received step-brotherly treatment in the start-up world. The run went well between 2010 and 2015, till the time the investment firms started getting cautious about return on investments. Though health-tech is a game-changer, India has long way to go when it comes to using technology to impart health-related services. Startups like Practo and Cure.Fit are creating waves in the healthcare space. As per market report, India is estimated to become $372 billion healthcare market by 2022 and promising returns up to 35-40%. Sugandh Bahl of Elets News Network (ENN) is here to throw light upon the amount of investment raised by some of the healthcare startups into achieving their goals for years to come in order to serve the customer base with required needs and amenities.
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THE ANALYTICAL ROAD With the onset of the growth of healthcare domain into the Indian diaspora, it continues to grow with the overarching technology, the ripple effect of tech advancements are likely to be felt all across the sector. As the healthcare data is on the verge of becoming more comprehensive, data analytics and predictive healthcare is bound to become more accurate, which is further doomed to tackle the problem of access to healthcare. A thriving modern healthcare ecosystem is supported by technological innovation, which in turn will add to the accessibility of information in this division, that can be tapped by human services. This goes to show the reliance among the numerous specializations that organizations have received, which is more grounded in the human services part than most other startup divisions in India. As of 2018, there were a total of 4,892 startups in the Indian health-tech space. In general, the health-tech startups in India raised a sum of $504 Mn between 2014-2018. Supported by considerable financing and developing innovation, healthtech platforms emerged in India,
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accentuating the requirement for making medicinal services office open to all. Despite the fact that most of the social insurance stages began monetising their endeavor. Players like Practo and Lybrate, which tended to the issues of medicinal services conveyance through mechanical developments, succeeded yet this isn’t simple for new contestants to arrive. In India, at present, NetMed, PharmEasy, and Healthians are a portion of the significant new companies in human services fragment. RISE OF THE HEALTH-TECH STARTUPS The beacon of hope for the evolution of healthcare industry today lies in the hands of startups. Today, with the evolution of technology in the healthcare sector, investing in digital innovation and transformation will help startups in the sector to keep up pace with speedy tech evolution. However, the responsibility of building sustainable healthcare solutions has collectively fallen on the shoulders of advanced technology such as AI (Artificial Intelligence), ML (Machine Learning), IoT (Internet of Things), ICT (Information and
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Communication Technology), and Medical Research & Development. Although the industry is driven by large enterprises and international players, healthcare startups from across the world have started gaining an important role in shaping its future. Whether it is telemedicine, e-clinics, mHealth, EHRs (Electronic Health Records), wearables or MedTech devices, the exponential
A RAISED $17.2 MILLION FROM TRIFECTA CAPITAL AND OTHER INTERNAL INVESTORS IN 2019 A SERIES A FUNDING HAPPENEND IN 2012 AND COMPLETED A $55 MN SERIES D FUNDING ROUND IN 2017. A PROMINENT INVESTORS: SEQUOIA, MATRIX, TENCENT, YURI MILNER, ALTIMETER, CAPITALG, SOFINA.
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rise in the pace and scale of digital healthcare innovations are fueling the development. Healthcare startups have also succeeded in the transition of conventional healthcare models to patient-centered, value-based care models. New concepts such as Blockchain, precision medicine, and autoML-based medical equipment needs to be refined and availed to the masses for quality healthcare. Healthcare startups also need to invest more in the digitisation process and technological developments to support personalised healthcare of the future. There is a constant requirement to resolve interoperability issues and risks related to diagnosis and treatment through health tech. This is why system-wide adoption of latest technology becomes important to healthcare startups to pave the path of innovation towards a sustainable healthcare model. The greater inclusion of advance healthcare technology will not only support quality care delivery, but will also foster a new innovative way to create a disease-free, healthy life, for everyone on the planet. There are about 2,975 startups in India that focus on healthtech. Some of the popular
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ones are PharmEasy, CureFit, Practo, MedLife, CallHealth, etc. According to Traxcn data, in 2018 India’s investments in healthtech reached a whopping $571 million. In April 2019, NASSCOM partnered with GE Healthcare to encourage start-ups in the field to help boost digital healthcare solutions in the country.
A CLOSED ITS $70 MN SERIES D ROUND LED BY CORISOL HOLDINGS, ALONG WITH THE WORLD BANK’S INVESTMENT VERTICAL IFC. A EARLIER RAISED INR 314 CR ($45.4 MN) IN A FUNDING ROUND BETWEEN DECEMBER 2018 AND MARCH 2019. 2019’S HEALTHCARE FUNDING HIGHLIGHTS 1. Practo: Founded by Shashank ND and Abhinav Lal in 2008, Practo is one of the first few startups that ventured into the healthcare space. It acts as a marketplace, offering
A THIS B2B PLATFORM FOR MEDICAL SUPPLIES RAISED RS $15.8 MILLION IN ITS SERIES B FUNDING ROUND A INVESTORS WERE HEALTH QUAD, BELGIUM-BASED ACKERMANS & VAN HAAREN (AVH), AND REBRIGHT PARTNERS AND TOPPAN PRINTING CO LTD FROM JAPAN. services like looking for consultation, booking appointments for doctors and medical examinations and ordering medicines. On the other hand, it also codes software with the purpose to digitize hospitals and clinics. Practo currently caters to nearly 25 million customers in 38 cities across the nation. It is also present in Singapore, Indonesia and Brazil. 2. 1mg: 1MG was launched in April 2015 after Healthkart separated its generic drug search
A BENGALURU BASED HEALTH-TECH AI STARTUP ‘MFINE,’ RAISED $17.2 MILLION IN SERIES B FUNDING. A THE INVESTMENT WAS LED BY SBI INVESTMENT, BEENEXT, SBI VENTURE CAPITAL, STELLARIS VENTURE PARTNERS AND PRIME VENTURE PARTNERS.
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business, HealthkartPlus, and rebranded it as 1MG. The company has three business verticals — Pharmaceuticals, Labs, and Doctors. Its founders include — Prashant Tandon, Gaurav Agarwal, and Vikas Chauhan. 3. Medikabazaar: With a digital catalogue of more than 2,50,000 products, Medikabazaar enables hospitals and medical establishments to search for their required supplies online, compare specifications and prices. Apart from India, it also provides services to the Middle East,
A RAISED $100-120 MILLION FROM CDPQ, THE SECONDLARGEST CANADIAN PENSION FUND, AND LGT, THE PRIVATE BANKING AND ASSET MANAGEMENT GROUP CONTROLLED BY THE LIECHTENSTEIN PRINCELY FAMILY. A EARLIER, IT HAD RAISED $50 MILLION FROM EIGHT ROADS VENTURES, THE PROPRIETARY INVESTMENT ARM OF FIDELITY INTERNATIONAL; F PRIME CAPITAL, THE US-BASED SISTER FUND OF EIGHT ROADS VENTURES; NANDAN NILEKANIBACKED INVESTMENT FIRM FUNDAMENTUM AND SAN FRANCISCOBASED HEDGE FUND THINK ADVISORS.
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Bangladesh, Indonesia, and Africa. 4. mfine: Founded in 2017, mfine is a healthcare startup based in Bengaluru which offers professional diagnostics and check-up services by connecting consumers with doctors and medical professionals. By making the best use of cutting-edge technology, mfine aims at providing a seamless customer experience in the healthcare sector by pooling top hospitals as well as the finest doctors in the field.
THIS PUNE-BASED STARTUP RAISED $3 MN IN A SERIES A FUNDING ROUND FROM IVYCAP VENTURES. 5. Pharmeasy: Currently, the fastest growing offline pharmacy aggregator in the country, Pharmeasy was launched in 2015 by Dr Dhaval Shah and Dharmil Seth with an aim to provide affordable medical services to all. Not only it provides a 20 percent discount to the medicines, it also guarantees to deliver within 24 hours.
RAISED AROUND $280 MILLION AND SOME OF ITS PROMINENT INVESTORS INCLUDE CHIRATAE VENTURES, ACCEL, KALAARI CAPITAL, OAKTREE CAPITAL MANAGEMENT.
6. Pharmarack: The startup offers a plug-and-play platform for pharma manufacturers, distributors, and retailers to automate order-taking, and provides real-time visibility
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into operational information like inventory in the warehouse, outstanding payments, and credit, among others.
RAISED $40 MILLION FUND, LED BY MARYLAND-BASED NORTHPOND VENTURES AND SAW PARTICIPATION FROM EXISTING INVESTORS ACCEL PARTNERS, SEQUOIA CAPITAL, SANDS CAPITAL VENTURES, RA CAPITAL MANAGEMENT AND TATACAPITAL. 7. Cure.Fit: After his first startup was acquired by Flipkart in 2014, Mukesh Bansal launched Cure. fit in 2016 AnktNagori. Through it three units eat.fit, cult.fit, mind. fit and care.fit, the startup offers wholistic health solution online. Within three years, Cure.Fit has managed to create a buzz. Its flagship project Cult.Fit is present with more than 40 fitness centres in 16 cities in India and in Dubai. It mostly focuses on functional workout and group exercise. The Eat.Fit unit promotes healthy eating and recently it also started its food delivery app. Mind.Fit focuses on mental health. 8. MitraBiotech: Founded in 2010, the company started its commercial run in 2018. Started by two medical professional Mallik Sundaram and Pradip K. Majumder analyses multiple drugs to arrive at the best fit for a cancer patient in just seven days. Mitra Biotech’s approach toward the solution is different from other companies. To arrive at a suitable drug for a patient, they cultures the cancer tumour in an incubator,
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THIS HEALTHCARE STARTUP RAISED $3 MILLION IN ITS PRESERIES A FUNDING LED BY SRI CAPITAL WITH PARTICIPATION FROM GROWX VENTURES, LETSVENTURE, CITRUS PAY CO-FOUNDER JITENDRA GUPTA AND VENTURE GURUKOOL, AMONG OTHERS. giving it the same microenvironment on a laboratory plate it would have inside the body. Different drugs are tested on the tumour for response. An algorithm collates all the data, compares the drugs and ranks them based on the patient’s suitability.
A THIS B2B PLATFORM FOR MEDICAL SUPPLIES RAISED RS $15.8 MILLION IN ITS SERIES B FUNDING ROUND A INVESTORS WERE HEALTH QUAD, BELGIUM-BASED ACKERMANS & VAN HAAREN (AVH), AND REBRIGHT PARTNERS AND TOPPAN PRINTING CO LTD FROM JAPAN. 9. Forus Health: Launched in 2010 by K. Chandrasekhar and Dr. Shyam Vasudeva Rao, the med-tech startup Forus Health was started with two objective – to increase
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PATH AHEAD According to a McKinsey report, Indians could save about $10 billion by 2025 through the use of telemedicine instead of doctor consultations that happen in-person. The rise of health-care startups in India shows that we can soon see the use of genomics, biotech, and robotics in hospitals and clinics to increase the efficiency of health-related services. Artificial intelligence can be used to detect diseases with absolute accuracy while apps that monitor your vitals and movements can help increase the overall wellness of the country. While financial sustainability, care delivery, patient centricity,
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and regulatory compliance are integral to the healthcare sector, the necessity of digital transformation has compelled healthcare startups to keep technology at the epicenter of healthcare development and innovation. For India, which has a whopping 1.35 billion people and is one of the fastest-developing nations, only technological advancements and facilitation can help create a quality healthcare model. Digital health-tech start-ups have shown early signs of success. The start-ups have been successfully experimenting with a variety of business models and have catered to multiple stakeholders within the health ecosystem. These enterprises now have the responsibility to scaleup solutions and demonstrate the wider applicability of ICT solutions in the healthcare ecosystem. A steady scale-up of tech-driven healthcare delivery is critical for a more efficient healthcare system with better outcomes for patients. With the onset of a new decade, 2020 seems to be embarking upon new healthcare startups to watch out for. The entrants of this decade are sight to behold with their innovative business models booming amongst the VCs. of the existing pool, let’s watch out for the top 5 healthcare start-ups to look out for;
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HEALTHCARE FUNDING FACTS • Investments in healthtech startups have been rising steadily with 2016 and 2017 recording $163 million and $343 million, respectively, but the number of rounds fell from 135 in 2016 and 130 in 2017 to 80.
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access and bring down cost in ophthalmology space. Its oneof-a-kind 3nethra, an integrated, intelligent, affordable, rugged and portable eye screening device that can screen a patient in less than five minutes for common eye problems. 3netra has already been setup in 2200 places in 26 countries. 10. Meddo: The platform offers both offline and online healthcare services like doctor appointments and diagnostics tests through a tie-up with standalone doctor-led establishments and accredited testing labs.
• $510 million were invested across 80 health-tech startups, led by PharmEasy, Curefit and Netmeds, amid rising focus on affordable healthcare in India in 2018 • Venture Capital funding , including private equity and corporate venture capital into Digital health companies in 1st quarter of 2019, came to $2 billion in 149 deals as compared to $1.4 billion in 142 deals in 4th quarter of 2018. VC funding in first quarter of 2019 was down by 19% as compared to same quarter of last year (Q1 2018) when nearly $2.5 billion was raised in 187 deals. Total corporate funding for digital health companies- including VC, debt and public market financing- totaled $2.2 billion in first quarter of 2019.
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A Founded in 2016, Cure. Fit is an app-based service that helps its customers build a healthy lifestyle by adopting healthy habits and diet. The app helps its customer adopt healthy means to fulfil their health needs, be it food, fitness or meditation. Cure. Fit is one of the most promising startups in India with lead investor Accel Growth putting around $30 million in series D round of the company. CureFit has raised over $75 million in funding in less than a year after it raised $120 million the previous year. They have also acquired yoga chain a1000yoga and Bengaluru-based health food delivery firm Kristys Kitchen. A GOQii focuses on helping people to adapt to a healthier lifestyle. The Father of Indian Gaming Industry Vishal Gondal found the company! In order to meet your health targets, the GOQii ecosystem provides a combination of health experts and smart technology. Its ECG
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monitor records your PPG and heartbeat. The integrated GPS tracker of GOQii allows you to track steps count, pace, distance, and calories. Funding: $52M Investor: Akshay Kumar, Edelweiss Financial Services, Bennett Coleman and Co Ltd A BeatO is one of the top startups in India. It helps people with diabetics to manage their ailment with an excellent team that focuses on health and tech. The 2015 started startup’s monitoring Solution and its healthy recommendation of breakfast, snacks as well as juices prove to be helpful for people with diabetics. It also provides the service of collecting your blood samples at home, and thus, you don’t need to worry about visiting the labs for blood tests. Funding: $3M Investor: Orios Venture Partners, Leo Capital India, Vishal Sampat. A mFine has already treated over 300,000 patients! mFine also offers at-home health test packages for many different conditions.
mFine has also already partnered with corporations, offering their doctor on-demand services to employees. Ernst & Young India is already a customer. Keep an eye on this relative newcomer to the health space, their early traction is impossible to ignore! Offices In: Bangalore, Karnataka Total Funding: $27.4MM Founded: 2017 A 1mg is, the online pharmacy for India. a digital consumer healthcare platform that makes healthcare accessible, understandable, and affordable. It allows users to find information about medicines prescribed by doctors and also buy it. Gurugramheadquartered epharmacy raised $45.4 Mn in a funding round raised between December 2018 and March 2019. The round was led by investors including — Corsiol Holding, AG’s subsidiary KWE Beteiligungen, Redwood Global, among others.
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CORPORATE UPDATES
Flashback of Major 2019 Appointments This decade embarks upon innumerable major developments into India’s healthcare domain. Ranging from CEO level hiring to structural managements of the healthcare ecosystem, 2019 was an year of great achievements for the healthcare companies. With the changes in healthcare, CEOs in the healthcare industries will now be redefining the outlook and working of this domain. Sugandh Bahl of Elets News Network (ENN) is here by projecting the highlights of 2019’s healthcare landscape for its readers. SREEJI GOPINATHAN APPOINTED AS LUPIN’S CIO Pharma major Lupin was in news for having appointed Sreeji Gopinathan as its Chief Information Officer (CIO). Gopinathan is known to have an experience span of over 20 years, serving on top posts of renowned organisations, Gopinathan will lead the IT function for Lupin globally. He will be based in Mumbai. Prior to taking over new project at Lupin, Gopinathan had associations with Reckitt Benckiser. He has additionally been related to companies including Philips, Procter & Gamble, ISRO and Asea Brown Boveri. MAX HEALTHCARE APPOINTS PRASHANT SINGH AS DIRECTOR & CIO Prashant Singh has been appointed
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Director and Chief Information Officer at Max Healthcare, replacing Sumit Puri. Prior to his joining at Max, Puri holds the experience of serving at various key positions in renowned organizations, such as Radiant Life. In his new role, Singh has been presented in-charge of entire IT operations of 14 hospitals of Max healthcare. Before starting his stint with Max, he worked for Radiant Life Care for nine years. Prior to Radiant, Singh was AGM–Technology and Operations at Paras Healthcare.
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FORTIS’S NEW CEO ASHUTOSH RAGHUVANSHI ON BOARD As a replacement of the group’s previous CEO Bhavdeep Singh, Fortis appointed Dr. Ashutosh Raghuvanshi as the new CEO effective from march 18, 2019. Prior to it Dr. Raghuvanshi was associated with the Narayana Hrudayalaya group for over 18 years. There he was responsible for creating structures and processes for the group to grow onto newer heights.
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CORPORATE UPDATES
M.Ch in cardio thoracic surgery from Bombay Hospital Institute of Medical Sciences, MS (general surgery) and MBBS from Mahatma Gandhi Institute of Medical Sciences, Wardha, Nagpur University. VIKRAM HOSPITAL APPOINTED ITS NEW CEO, DR SOMESH MITTAL The hospital, which is owned by PE company Multiples appointed Somesh Mittal as its new CEO. Prior to this, he was the Zonal Director of Fortis Escorts Institute overseeing four hospitals and five heart command centres across the Asia-Pacific region. DR REDDY’S APPOINTS SHIKHA SHARMA AS ADDITIONAL DIRECTOR Shikha Sharma, Axis Bank’s former MD and CEO, has been appointed independent additional director of Dr Reddy’s Laboratories. An official release from Pharma major Dr Reddy’s Laboratories stated that Sharma was given reins as additional director for five years. Sharma, who has more than three decades of experience in the financial sector, was the Managing Director and CEO of Axis Bank from June 2009 up to December 2018 An MBA from the Indian Institute of Management, Ahmedabad and PGD in Software Technology from National Centre for Software Technology, Mumbai, she began her career with ICICI Bank Ltd in 1980. TRIVITRON HEALTHCARE APPOINTS RAVISH MITTAL AS GROUP CFO Ravish Mittal has been appointed as Group Chief Financial Officer by Trivitron Healthcare Private Limited,
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a medical device company. The decision came into effect on 9th December 2019. Mittal, a qualified CA and Fellow member of the Institute of Directors (India & London) brings with him more than 25 years of varied experience across Strategic Direction, Business Partnering & Controlling, Mergers & Acquisitions, Joint Ventures, Treasury & Forex Management, Fund Raising, Project & Compliance Management in Multinational Corporations and promoter-driven companies in India. NANAVATI SUPER SPECIALITY HOSPITAL APPOINTS MANPREET SOHAL AS DIRECTOR & COO Nanavati Super Speciality Hospital (NSSH) has appointed Manpreet Sohal as Director and Chief Operating Officer (COO). With over 24 years of experience in management working at top positions, Sohal will be adding value to Hospital with his extensive expertise across multiple key healthcare verticals. Prior to Nanavati, Sohal was CEO of Gleneagles Global Hospitals and Zonal Director of Fortis Healthcare, Mumbai. He is credited with over 24 years of professional experience, including 10 years in Senior Healthcare Management. During his tenures at Gleneagles Global Hospitals and Fortis Healthcare, he excelled in hospital operations and improved the quality of care, physician & medical staff relations, supply chain management and total project management including medical equipment procurement and manpower sourcing.
CONTINENTAL HOSPITALS APPOINTS DR RAHUL MEDAKKAR AS NEW CEO Dr Rahul Medakkar has been appointed Chief Executive Officer by Hyderabad-based Continental Hospitals. Medakkar, who has proven track records working with renowned hospital chains in past including Manipal Hospitals, Apollo Hospitals, B Braun Medicals and CARE Hospitals, will supersede Faisal Siddiqui. He has more than 15 years of experience in various domains of healthcare management including hospital operations, quality assurance and accreditations, market research, consulting and strategy. He is persuader of integrated healthcare delivery model which can consistently customized to societal needs for health and wellness. DR ABHINAY APPOINTED NEW CEO OF KIMS HOSPITALS Dr B. Abhinay has been appointed new chief executive officer of Krishna Institute of Medical Sciences (KIMS), a leading healthcare service provider in Andhra Pradesh and Telangana. He was holding the post of vice-president currently and responsible for the Hyderabadbased hospital’s business development and strategy. In this role, he is credited with driving the hospital to achieve new heights. He was instrumental in setting up a 200-bed medical facility in Kondapur, and partnering with existing hospitals in Vizag, Anantapur and Ongole, a statement released from the hospital stated.
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WHEN EXPERTS PONDERED INNOVATIVE PRACTICES TO AUGMENT DELIVERY OF HEALTHCARE
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n an endeavour to deliberate upon how technology, innovations, best practices being implemented by public and private providers, awareness, and community participation could prove to be effective ingredients to do away existing issues plaguing the Indian healthcare sector, the Annual Healthcare Innovation Summit was organised in New Delhi recently. Organised by Elets Technomedia and supported by National e-Governance Division (NeGD); Digital India; Ministry of Electronics & Information Technology, Government of India; Government e-Marketplace (GeM); and National Health Mission, Government of Uttar Pradesh, the two-day healthcare conclave witnessed congregation of healthcare luminaries including ministers, key policymakers, international experts, industry veterans, and decision makers of big hospital chains. The healthcare stalwarts highlighted various innovative practices, conducive policies and ways to reach out to the people at the last-mile; their vision for it and the hurdles in that roadmap. The Summit was inaugurated by Ashwini Kumar Choubey, Minister of State for Health & Family Welfare, Government of India; Jai Pratap Singh, Hon’ble Minister, Medical and Health, Family Welfare, Mother and Child Welfare, Government of Uttar Pradesh; and Atul Garg, Hon’ble Minister of State, Medical, Health & Family Welfare, Mother and Child Welfare, Government of Uttar Pradesh. Other important dignitaries include Nitin Madan Kulkarni, Secretary, Department of Health & Family Welfare, Government of Jharkhand; S Suresh Kumar, Joint secretary and Additional CEO, Government e-Marketplace (GeM), Ministry of Commerce & Industry, Government of India; Abhishek Singh, CEO & President, National e-Governance Division(NeGD), Ministry of Electronics & Information Technology, Government of India; Dr Neeta Verma, Director General, National Informatics Centre, Ministry of Electronics and Information Technology, Government of India; and Padma Jaiswal, Secretary, Directorate of IT, Government of Puducherry. Ambassadors from across the globe including Moe Kyaw Aung, Hon’ble Ambassador, Embassy of The Republic of the Union of Myanmar; Ritva Koukku-Ronde, Hon’ble Ambassador, Embassy of Finland, New Delhi; and J Goburdhun, GOSK, Hon’ble High Commissioner of the Republic of Mauritius to India; Hector Cueva Jacome, Hon’ble Ambassador, Embassy of Ecuador in India; Daniel Chuburu, Hon’ble Ambassador, Embassy of the Argentine Republic; and Serge Thierry Mandoukou Ombegue, Culural Counsellor Embassy of Gabon, New Delhi. Various enlightening discussion sessions covering topics on technology, leveraging innovative practices, sustainable healthcare delivery model were also organised. Eminent dignitaries, on this occasion, unveiled a special issue of eHEALTH Magazine, which has been promoting innovations in healthcare ecosystem for over a decade. On this occasion, various thought leaders and healthcare experts were also felicitated with Healthcare Transformation Leaders Award and Healthcare Excellence Award for their extraordinary contributions in the healthcare world.
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TRANSFORMING HEALTHCARE SPECTRUM THROUGH RESEARCH, INNOVATION AND CONDUCIVE POLICY: LEVERAGING DIGITAL INDIA AND AYUSHMAN BHARAT PROGRAMMES - THE ROAD AHEAD
Ashwini Kumar Choubey Minister of State for Health & Family Welfare, Government of India Elets Technomedia along with eHealth has organised such a grand health conference where top dignitaries from different parts of the country have participated. Health is biggest wealth one could ever have. It is priceless. Health has been a priority sector for the Government and several measures are being undertaken to provide affordable, accessible, and quality care to masses. In recent years, the Indian healthcare sector has evolved a lot and credit goes to cutting-edge technology including telemedicine and artificial intelligence and lots of innovative works. Ayushman Bharat is one of its kind initiatives in the world. In order to make India happy and healthy, the scheme enables poor people to avail quality tertiary care free of cost. Around 70 lakh people have been benefitted till date. A total of 13 lakh golden cards have been distributed to facilitate care through empanelled hospitals.
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Jai Pratap Singh
Atul Garg
Minister, Medical and Health, Family Welfare, Mother and Child Welfare, Government of Uttar Pradesh
Minister of State, Medical, Health & Family Welfare, Mother and Child Welfare, Government of Uttar Pradesh
Uttar Pradesh has a population 230 million and majority of people thrive on agriculture. They need accessible and affordable healthcare and the Government is striving for the same. We have 175 district hospitals, 853 community health centres, around 3,621 primary centres and 20,521 around sub centres. We provide free medical services like CT scan, MRI, haemodialysis, ultrasound, digital x-ray, and cheap medicines. The State faces challenges on many fronts including skilled professionals and infrastructure. We are looking for technology upgradation to fill gaps on these fronts.
Accountability and work management coupled with robust strategy can do away major issues affecting delivery of care in Uttar Pradesh. There is a gap on front of distribution of work and expertise. Some expert doctor are found to be in management role which they shouldn’t supposed to do. Ideally, they should handle emergency medical patients. In this light, we need participation from private players. The Government needs better and innovative ideas so that every single citizen of the state gets affordable and accessible care. We need to use resources in prudent manner.
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Special issue of eHealth Magazine being launched by Dignitaries at the Annual Healthcare Innovation Summit in New Delhi
Nitin Madan Kulkarni
S Suresh Kumar
Secretary, Department of Health & Family Welfare, Government of Jharkhand
Joint secretary and Additional CEO, Government e-Marketplace (GeM), Ministry of Commerce & Industry, Government of India
Healthcare is at transitive state at the moment. Government policies have clearly defined that health and wellness would be focused nowonwards. With an objective to provide inclusive care, health and wellness centres are being established across country in place of primary and community health centres. Health is only curative part while wellness broadens the perspective, encompassing overall well-being of a person. Patterns of diseases are changing with NCDs becoming a big challenge to tackle. Mental health is another area which needs immediate and urgent attention.
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Healthcare sector is one of the important sectors where there is a need of lots of innovations, investment and government’s spending, that is on the rise. Overall procurement of medical devices is almost to the tune of Rs one lakh crore. If we add, drugs and vaccines, it will be another 50,000 crore. This is combine figure from both private and public sector. Public procurement is around 30-35 thousand crore per year. It includes procurement at primary to tertiary care centres like AIIMS.
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Abhishek Singh
Dr Neeta Verma
CEO & President, National e-Governance Division (NeGD), Ministry of Electronics & Information Technology, Government of India
Director General, National Informatics, Centre, Ministry of Electronics and Information Technology, Government of India
Healthcare industry is poised to grow. The
Professionals in healthcare have been leading
industry which is worth around 100 billion dollar will grow upto 280 billion dollar by 2022 with annual growth rate at 33 percent. This needs a massive push in the availability of infrastructure, doctors, and facilities. Currently we have 0.7 doctors and 1.1 beds per 1,000 persons in India, a dismal figure. Understanding the need and requirement in the sector, the Government has undertaken several programmes including NMC Bill which will pave path for quality healthcare professionals in next few years. Under the Ayushman Bharat scheme, there is a plan to set up 150 wellness centres across country to ensure complete well-being of masses.
the use of technologies in various dimensions of healthcare right from research and development, new treatment, technique, diseases, to discovery of drugs. Technology has been playing a significant role. In last two decades, there has been a significant development in medicine science as a whole, and it has progressed at fast pace. Intervention of laser in all kinds of treatment and kind of simplification in terms of procedure is marvelous. Today we have robots to help doctors for precise intervention and it has huge applications.
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Dr Rubina Bose
Dr Pankaj Gupta
Deputy Drug Controller of India, Government of India
Head Digital Health, Access Health International
The Central Drugs Standard Control Organisation(CDSCO) provides approval or permission of new drugs. Other reponsiblites of the organisation include clinical trials in the country, and control of all the imported medicines. Quality, safety, and efficacy of drugs are being looked after by port officers. We have a portal called ‘Sugam’, developed by CDAC. All applications regarding licensing and submission of new products are being done through this portal.
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Access Health International works in eight different countries. In India, we are working with the Government on National Digital Health Blueprint and many other initiatives based on the blueprint which amalgamates the entire digital component like EHR standard, and meta data standard. It also lays an architecture framework for bringing all the different systems together. We have silosed system working in public and private healthcare which needs to do away with to create robust delivery system.
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Leveraging Global Collaborations to Build Effective Healthcare Ecosystem through Innovation
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Ritva Koukku-Ronde
Daniel Chuburu
Hon’ble Ambassador Embassy of Finland, New Delhi
Hon’ble Ambassador Embassy of the Argentine Republic
Healthcare system in Finland is practically free and open for everybody. We believe in the philosophy that healthy & well educated children and people are future. We are global leader in digital health. Finland has been ranked among three strongest health technology economies in the world. Smart uses of data will be in decisive role in future health management. Research and technology enables AI to optimise processes for ultimate resource, efficiency, and human well-being.
In many aspects, we have highly developed healthcare system, particularly lower middle income standards. Though healthcare system performs well on several key indicators, outcome lags behind the country’s potential. We are one of the leaders in the region with respect to healthcare spending, per capita, and human development. Major issues engulfing Argentina healthcare are equity and efficiency.
Moe Kyaw Aung Hon’ble Ambassador Embassy of The Republic of the Union of Myanmar
In Myanmar all health activities are implemented in conformities with strategies laid down by the Ministry of Health and Sports. It includes widespread dissemination of health information and education to reach the rural areas, enhancing disease prevention activities, and providing effective treatment of prevailing diseases. The Myanmar Government adopted national health policy in 1993. The policy has placed health of all as prime objective using primary health approach.
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J Goburdhun
Hector Cueva Jacome Hon’ble Ambassador, Embassy of Ecuador in India
India has technology and solutions which can change face and fate of world-wide healthcare. India offers cheap and best medical care. There is an enormous gap in cost of medical facilities. In Indian hospitals, there is a specific unit for medical tourists. Cost of medicine and overall treatment in Latin America is very high. Despite the fact, that 40 percent of generic medicine in U.S comes from India; we buy medicines from the former. We need to bridge gaps on many fronts.
GOSK, Hon’ble High Commissioner of the Republic of Mauritius to India
In healthcare, there has been lots of development in terms of Government policies, private initiatives, and pharmaceutical products. Today, we have unbelievable technology and apps which can help us to keep track of health 24*7. In the same vein, I can say that we have failed to ensure good health to population throughout the world. From last 50-60 years, there has been an unprecedented increase in NCDs. It is in epidemic proportion currently in 2019. We all need to work in sync to improve gaps on various fronts.
Serge Thierry Mandoukou Ombegue Culural Counsellor Embassy of Gabon
Gabon is situated at Africa’s west coast having nine provinces and a total of two million population. The new system and standard have improved quality of healthcare in the country by providing physicians, nurses, and health workers information needed to perform diagnosis. Innovations in terms of information system, communication software and programmes are contributing to improve continuity and efficiency in the delivery of care.
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LEADERS’ TALK – Perspective of Healthcare Leaders from Indial
Dr Nandkumar Jairam Chairman & Group MD Columbia Asia Hospital
Columbia Asia Hospital started electronic medical records in 2005. We were the first to take step ahead on technological curve. We have huge swathe of data available today, which not only provides insight about better care in terms of accessibility and quality but it also lays strong foundation for artificial intelligence which is the future of healthcare. Being paperless from day one, we were able to attract physicians, nurses, other medical professionals to use our technology in hassle free manner. We should invest in cost-conscious, efficient, and very effective technology to leverage it for enhancing patient care.
Bulbul Sood Country Director JHPIEGO
JHPIEGO provides technical assistance to Government of India in various health programmes-both public and private. We are working in several states. We work in areas of strengthening of family planning programmes, quality of maternal newborn healthcare, adolescent health, and wellness centres. We are leveraging technology to impart trainings to healthcare workers. JHPIEGO has started virtual class rooms to create a pool of skilled professionals. We have ASMAN programme for saving mothers and newborn.
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JANUARY 2020
Raju Venkatraman MD & CEO, Medall Healthcare Ltd
We are into diagnostic business. We served 11 million customers last year. Half of the total was in PPP mode in Andhra Pradesh and Jharkhand. We have one of the best clinical outcomes in India in such a low investment on percentage of GDP courtesy great doctors across country. Preventive care is need of the hour. Healthcare cost and skill would be major challenge in coming years. There is a huge gap between public and private, majorly being trust deficit. Both are not working in tandem. We need to think holistically to overcome systematic issues in order to make citizens overall healthy.
Dr Aditi Karad Executive Director Vishwaraj Hospital
Vishwaraj Hospital is 300-bed hospital in Pune. Technology is proving to be crucial tool in increasing accessibility of care. It holds significance as we lack required number of doctors and their asymmetric distribution. We invest on technology to leverage it to enrich patient care experience. Major issue is integration of technology which is not happening at the moment. Medical tourism has a great future in India, thanks to growing bunch of medical professionals. The Government of India should involve private sectors in defining and implementing policies.
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ROLE OF PUBLIC PRIVATE PARTNERSHIP FOR EFFECTIVE PRIMARY & SECONDARY HEALTHCARE ECOSYSTEM – ROAD AHEAD
Kethosituo Sekhose
Padma Jaiswal Secretary, Directorate of Information Technology Government of Puducherry
Deputy Resident Commissioner Nagaland House (Delhi), Government of Nagaland
There is a lot of scope of PPP in healthcare as it is unexplored avenue. We don’t have interoperability in healthcare in terms of data. India has tapped only 2 billion market out of a total of 200 billion healthcare market yet. In order to provide universal healthcare, this gap needs to be filled up by private sectors, NGOs, and startups which will help to leverage technology and innovations to improve care.
Nagaland healthcare system is at nascent stage. There is a huge scope of Public Private Partnership kind of infrastructural investment in the state. The Government is taking up infrastructural development issue on war footing. We have a 100-bed teaching hospital being constructed by the State. We are proposing another 400-bed teaching hospital which will be attached with upcoming only medical college in Nagaland.
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Arun Prakash Commissioner Agra Municipal Corporation & CEO Agra Smart City Ltd
One of the purposals of smart city mission is to improve quality of life especially poor. At present, private out-of-pocket expenses on health comprises 64 percent of total health spending in India. Healthcare related expenses comprise medicine, diagnostics, and consultations. We will be establishing 10 smart health centres across city in partnership. It will provide 74 diagnostics on CGHS rates.
Prof (Dr) D K Singh Director RIMS Ranchi
Today, private sector is treating India and Government sector is treating Bharat. But it should not be like this. Trust building is need of the hour. Onus is on both sides to work in this direction. Participation should be in fair manner. There should be handholding in case of such requirement for overall improvement of healthcare delivery system.
Kuldeep Singh Thakur Joint Resident Commissioner Government of Andaman and Nicobar
In Andaman and Nicobar, 99 percent of the health amenities has been covered by Andaman government and one percent covered by private hospitals in which we are providing out all services free to the islanders. And people from West Bengal and Orissa are coming for their healthcare treatment in Andaman and Nicobar and getting free of cost treatment there.
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Developing Healthcare Infrastructure through Innovation: HSCC
Gyanesh Pandey Managing Director HSCC ( India ) Ltd
We have developed more than 100-150 hospitals in India and neighbouring countries. In recent years, we have added IT component in developing healthcare infrastructure. Technology coupled with innovative practices lead to enriched healthcare experience today. Major issue in implementation of eHealth in India is adoptability. Hospitals have complete digital infrastructure including PAC, HIMS, and queue management system, but staff are averse to use it.
Re-Imagining Chronic Disease Management Through Digital Therapies
DASTAK Project in UP
Tejas Bhatt
Dr Vikasendu Agrawal Joint Director / State Surveillance Officer, Integrated Disease Surveillance Programme (IDSP), Directorate of Medical and Health Services, Govt. of Uttar Pradesh
Vice President Clinic & Hospital System Wealthy Therapeutics
In last two years, we have made tremendous success in Acute Encephalitis Syndrome (AES) front and it is attributed primarily to Dastak Programme. There is no vaccine available for AES against any of the causative agents except Japanese Encephalitis. Seven districts of Basti and Gorakhpur divisions were badly hit by the disease. We took number of measures under the programme including state specific guidelines, demarcated inter department activities, strengthened health facilities, and development of ICT and training materials.
Wealthy Therapeutics is chronic disease management platform. We are a therapeutic company, which produces sustained and irreversible change in patients who suffer from chronic diseases. There is a dichotomy i.e urban areas have oversupply of doctors while smaller towns face crunch. We work on patients’ self care behaviour. We have three packages for remote care including heart care.
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‘Digitizing Indian Healthcare with zero behavioral change of Doctors’
Sanchit Singhal Vice President-Business, MedTrail Technologies
MedTrail is a technology startup with network of 1500 doctors pan India who uses our products at their clinics and hospitals. We have built smart assistant of doctors who work in virtual manner. Whatever doctors write, the tool keeps on digitalizing and analyzing it in order to provide them most useful insight. We build products that cause zero behavioral change.
Connected health — Future is here
Shalabh Dang
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Modernizing Healthcare Trend in Nepal through Innovation
Manish Khemka
Head-Domestic Sales Fortis Healthcare
Executive Director Norvic International Hospital
Rising healthcare cost, chronic diseases, increasing no of aged person across globe, and awareness, have been a major challenges and in turn an apt opportunity for stakeholders in healthcare field. Insurance is another challenging area as its penetration is very low. Point of care and technology, both put together can be advantageous to patients. They will have comfort at home as all the data will be integrated with data algorithm in place.
Disruptive innovations have become new buzzword in healthcare world. New developments are happening in the area of artificial intelligence, immunotherapy, 3D printing and social media. These are future of healthcare in every parts of the world. With the objective to provide basic quality health facilities to people of Nepal, we started our journey. As Nepal doesn’t fare good in terms of infrastructure, the country offers huge opportunity to stakeholders in terms of making people available quality care.
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Sandeep Jha Vice President Digital Healthcare, Inspira Enterprise India Pvt. Ltd.
Inspira is a technology company, which was started 10 years back. We have always been a part of digital transformation and innovation in India. Whether it was banking or telecome revolution, we have played a big role. Around six years back, we started our digital health initiation. People are often found working in silos. There is nobody who owns everything. We are owning and driving it with great success. Started from Safdarjung, we have come a long way in our digital endeavour. We provide solutions to MCGM, which is Asia’s largest municipal organisation. We are working on many Government projects as well.
IoT to Ensure Medication Adherence
Public private Partnership: A win win situation
Naresh Jain & Team
K Durga Prasad Director Poornaananda Medecare Pvt Ltd
MD & CEO Ziqitza Healthcare Ltd
Adherence or compliance has been a major issue in healthcare. In India, 65-80 percent people are found to follow non-adherence. People don’t remember to take medicine on time. Even if they take medicine, colour, shape, and size matter to them. We need some system in place which reminds them and keep nagging them on medication. Adherence includes medication, diet, and exercise.
Ziqitza Healthcare deals in emergency medical services. We are managing two verticals-PPP model and private one. It has been more than 10 years since we started company from Mumbai with one ambulance and small investment. Now we are providing ambulance services in more than seventeen states across country. We run various first aid programmes, ensuring people get trained in basic medical things like CPR in villages.
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How Inspira’s Digital Health Mission Driving Towards Population Health Management
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Leveraging New Age Technology & Innovation Like AI, IoT, Robotics, ML for ensuring Quality & Affordable Healthcare: Challenges & Opportunities
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Dr Aloke Mullick
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Dr O P Yadava
Group Chief Executive Officer Omni Hospitals
Chief Executive Officer National Heart Institute
Healthcare industry is on the cusp of getting disrupted by advanced technology. It has proved crucial in transforming delivery of services in every field. Healthcare is only industry which has resisted the change and the reason being key stakeholder i.e doctors are averse for the same. We have all the ingredients available in India related with IT. Even majority of AI-ML algorithm related backend work is being done in India only.
Medicine is not a precise science. In fact it is an art. Algorithmic protocols don’t always take care of medical requirements. Technology has to have human interface. It changes in fast manner but custom, behaviour, and manner don’t change. We work in vertical silos. We need to integrate laterally. Healthcare needs to integrate with engineering services. We seem to be failing on these activities therefore technology is not leading us where we should be.
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Bomi Bhote
Dr Shuchin Bajaj
Chief Executive Officer Ruby Hall Clinic
Founder Director Cygnus Hospital
IT has just bypassed the healthcare. There is big mismatch between the two and these two variants are dependent on patients. Finance affects clinical outcome. Ruby Hall Clinic and Bajaj finserv have come out with a model of pre financing and getting pre authorization done for all the customers of Bajaj.
We don’t incentivise our doctors enough on preventive work. At the same time we grossly underestimate cost of the disease. We can’t have affordable healthcare as long as we focus on sick care. Affordable healthcare can be achieved through gleaning of data. Apart from this, we need to explore other aspect of Ayushman Bharat like wellness centres. We do lots of outreach programmes and organise camps to make people aware to ensure their well-being.
Yateesh Wahal
Gandharv Roy
Executive Director Nayati Healthcare
Chief Operating Officer MEDICA Super Specialty Hospital
Our journey started from Mathura. We are non clinicians who saw an opportunity after analyzing data of some patients. We started operating charitable camps in temple town of Badrinath where we found that 80 percent people having health issues belonging to non-metro cities. We have EMR implemented in our centres. Technology like AI and telemedicine has proved effective in augmenting patient care. But technology should be evaluated time to time as per requirements.
AI-ML is extremely useful tool in healthcare. It has lots of scope. Huge amount of data is generated everyday which is crucial to provide predictive insight about diseases. It tells about what certain society will be exposed to. Healthcare is at transition phase where lots of things are happening. We need to integrate various applications to enrich experience.
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Use of Emerging Technologies in Hospitals—Road Ahead
Amit Goel
Chief Information Officer Aakash Healthcare: Super Specialty Hospital
Data privacy is certain set of principles that have been laid out in Justice Krishna Committee outcome. The bill has already been tabled and it will go to the select committee also. It says that ownership right of the data will be to customers. Interoperability is another important issue which holds significance in the wake of multiple hospitals chains and providers including public and private. Data leakage is another area which needs attention.
EMR is the first step to make a leap on digital front. It helps to capture hand written prescription to digital one. It is important as physical records may be lost due to many reasons including human negligence. Digital data can be transferred easily on real time basis which can be analysed and in turn helps doctors to take informed decisions. Adoption is another issue on this front. Instead of curative care, providers need to focus on preventive, predictive, and personalised care.
Viloo Williams
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Shilpa Saxena
Chief Information Officer Metropolis Healthcare
Gunjan Kumar
Chief Information Officer & Head-Digital Transformation, Sir H N Reliance Foundation Hospital & Research Centre
Chief Information Officer & Head- New Initiatives Regency Healthcare
Massive amount of data is being created everyday in hospitals. How much of that is being converted into correct format and structured for proper analysis, that’s more important. We only look for predictive and clinical side. What about administrative operational and financial analytics? There are so many indicators that are being used in the hospitals. Those indicators also need proper data.
Today we have all the technology available to realise all our innovative needs. The only differentiating factors are knowledge, ability to innovate, and your creativity to use technology. In the wake of EHR/EMR being implemented, patient data safety is a big issue, which needs to be worked out in meticulous manner.
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Quality & Affordable Treatment: Challenges & Opportunities
Dr Rakesh Gupta
Dr Somesh Mittal Managing Director & Chief Executive Officer Vikram Hospital
Chairman Sarvodaya Hospital & Research Centre
There has been a lot of restrictions, sanctions and reductions on the bill of consumables and drugs which is leading to eroding of margins. What was there as a profitability for a hospital, expects similar amount of returns as well. Therefore the new wave of innovative change in healthcare is bringing in new thoughts of how to make it sustainable without any compromises.
The question of affordability is well defined in terms of it relativity. For those people, who have enough money, the cost doesn’t matter. But for those who don't have enough money, anything become costly or relatively costly for them. In healthcare segment, affordability comes from two different ways. For example, in our area, 1/3rd of the clientele is state funded and another segment of 1/3rd is intelligent enough to pay for themselves, and for the rest the real question of affordability comes in. For them it is an unplanned expenditure.
Dr Param Hans Mishra
Dr Chandrashekhar T
Group CEO Kailash Hospital
Director P D Hinduja Sindhi Hospital
Talking about affordability in healthcare, I believe that the Government has revitalized this sector by bringing in the scheme like Ayushman Bharat. To a large extent he has solved the issue of affordability in availing healthcare services at large. Almost 40 crore people have been included in this scheme.
Sustainability is actually the need of the hour and so we need to aim primarily at the sustainability of the hospital services. After sustainability we go for the quality. We tend to ensure that multi-skilling is happened at all the segments of our hospital. We limit ourselves to secondary care only and don’t jump upon the tertiary care and instead send those cases to the tertiary care centre.
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JANUARY 2020
49
ANNUAL
CONFERENCE REPORT
10-11 DECEMBER 2019, NEW DELHI
Next Gen Technologies for Hospitals
Dr Ajay Sharma
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Dr Rajkumar Mani
Founder & CMD Sheetla Hospital and Eye Institute Pvt Ltd
Medical Director Batra Hospitals & Medical Research Centre
Talking about cost-cutting, I aim for that technology which would help increase my revenue. Certain things which we did in our hospital on technology front include changing the software. We came with cloud-based software. We were using a very bulky HMS prior. There were lots of issues on front of reports and MIS. With that objective, we leveraged extensive use of updated technologies.
Technology is counted as extremely crucial for a good delivery and to ensure outcomes on various front. One of it is 'Patient Outcome,' which is ensuring quality. But there are others factors too apart from just recovery and rehabilitation of the patient. It's also the waiting time which is also comfort to the family, documentation, etc and all these things are enable by judicious use of technology.
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Huzefa T Merchant
Neeraj Lal Vice President Cluster Head, Rainbow Childrens Hospital
Head IT Saifee Hospital
In Bangaluru, we have put into use some smart technology for ease of patients. We have provided a 4-point care to the patients where we have provided them 4 buttons so that they can call for anything urgent like housekeeping services or anything else. This way we could see a time save of over 33% within our staff work.
Technology has always been around and proved pivotal in enhancing quality of care that we have been providing to the patients. Be it a simple ventilator machine or an advanced biomedical machine, and the kind of analytics it used to give it to us some 15 years back as compared to today, one can easily see the paradigm being shifted.
Dr Sunil Malhotra
Dr Sourabh Chaudhary
Medical Director Bhagwaan Mahaveer Hospital
Director Vinayak Hospital
We have been using technology not only in enhancing operations at hospitals but in various diagnostic centres in Haryana. Resource crunch was major issue. Radiologist seeking for the same within the same city was a very big task. So, we connected all the diagnostic centres. Moreover, we have a common pool of 900 radiologists across Haryana and Dehradun combined.
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I think judicious use of technology is a must. Required human intervention should always be there. Relying just on technology, we shouldn't forget the clinical aspects. Being a physician myself, I think interpretation and AI are both separate aspects. Clinical aspect plays utmost important role. Role of technology should be of value additions to the health setup.
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ANNUAL
CONFERENCE REPORT
10-11 DECEMBER 2019, NEW DELHI
Dr Kuldeep Singh Martolia
Dr Sandeep Chatrath
Officer Incharge IT of National Health Mission, Government of Uttarakhand
Regional CEO & Medical Director Metro Group of Hospitals
At present, we are working towards creating a sound data base and on basis of that we are trying to walk upon the equity index. Most of the times, what happens in any country or state; we get very happy seeing few parameters decreasing, such as MMR or the IMR. But we tend to forget on screening small pockets where we see change not taking place. So, on basis of that equity index, we can focus upon the less vigilant areas; say for instance the issues prevailing in slums.
Technology is something which cannot overpower human intelligence and is a tool which has to be used judiciously. We have been using i-pads especially for capturing patients' feedbacks and that is one area where we have found technology to be very useful. It helps in real-time capturing of patient's feedback. With the help of AI we are able to predict the spread of Ibola virus before it spreads in a manner like plague.
Dr Shailesh Jain Director, Universal Hospital
Talking about technological advancement, it cannot replace the doctor and patient relationship. For example: in my hospital we have a hospital management system (HMS); if the hemoglobin is coming less than 8, the software immediately sends it to the consultant in order to inform that the hemoglobin is less than the usual range. So this is how doctors are making great use of technology in healthcare.
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CONFERENCE REPORT
Improving Patient Safety and Healthcare Quality through Health Information Technology
Dr Suresh Kumar
Group Head It QRG Health City
Managing Director Family Health Care Hospital
Digitsation is need of the hour, which plays an important role in saving a patient's life. If you look at examples from other countries, they have already adopted this transformation, so why can't we? This is the time I feel the government and stakeholders should go ahead and take steps required to roll out such massive step. Even in India, many hospitals are using it to save many lives.
Dealing into the oncology department, we do require various facets of technology on daily basis to save chronic lives. If you begin from the investigative times, upto the treatment, we always require help from the technological department in treatments like biopsy, ultrasound guided, etc. Keeping the record of the patient and tracing the follow-up are very important. During treatment, we require all the records to be impacted and compact on one card system, as it helps to follow the patient properly and serve the community better.
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53
ANNUAL
CONFERENCE REPORT
10-11 DECEMBER 2019, NEW DELHI
Dr D K Gupta Chairman & MD Felix Hospital
Director Bansal Global Hospital
Today's topic speaks about quality and safety. And there is a very high need of Information technology to assist us in both the areas; be it quality care and value for money. Regarding quality of our patient experience, IT is helping out from the very initial stage. Also, talking about quality of treatment, it depends upon what doctors prescribe if delivered in the same way or same manner.
Clinicians are busy in their part and IT has taken a major role in the healthcare industry. The IT has reduced the cost of the patient by minimizing extra expenses on other things. By minimizing treatment cost, we can reduce the paperwork and increase the administrative efficiency. So, IT is playing a big role today in overall healthcare transformation.
Dr Jyoti Yadav
Prof Supten Sarbadhikari
Director Kamla Hospital
When we talk about big hospitals in big cities, we have access to all the amenities like Wi-Fi. But, when we talk about little periphery in India, things are altogether very different. If you see my hospitals, there are always issues of either reception staff facing issues with softwares and data privacy and they have to run after the IT guys to sort the issue. As a nursing home, we have to manage cost and quality at the same time.
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JANUARY 2020
Dr Suresh Bansal
Health Information Educationist
I think we are hearing a lot about SMART HOSPITALS, and by smart we mean safe; not just for the patient but also for doctors and healthcare personals. The other aspect should be GREEN, which means ecologically balanced and that also brings in the energy saving aspect as the max cost lays into the air conditioning system. Coming back to patient safety, EMR system is the way to go but when we put in data then data privacy becomes an issue there. Often some of the hospitals are also found saving the data in clouds.
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Future of Robotics Surgery in IndiaChallenges & Scope
Dr (Prof.) Anant Kumar
Dr Narmada Prasad Gupta Chairaman- Kidney & Urology Institute Medanta-The Medicity
Chairman- Uro-Oncology Robotics & Kidney Transplantation, Max Healthcare
Robotic surgery started during 2000s but its onset all over the world was very slow initially. In India the first 3 robots came in fields of cardiac surgery actually and they were very slow. Then in 2006, it was at All India Institute of Medical Science when I was the HOD, we decided to start the robotic surgery and therefore the main use of robotic surgery was started at AIIMS in year 2006 in urology.
Actually robotic surgery was an extension of minimal invasive surgery which was commonly known as laparoscopic surgery. Robotic surgery has huge applications in minimal invasive surgery as it comprises very small incision and patient recovery is faster. In robotic surgery we see better results; patients get discharged early from the hospitals.
Dr Ajit Saxena Consultant- Institute of Robotics Surgery Indraprastha Apollo Hospital
See robot is a very good instrument but it has some drawbacks as well. One of the main drawbacks is that you don't get a feel of the finger's tissue and that is called a haptive feedback, which is missing in case of robot. Fingers tell us a lot about the organ dissecting out. The main problem right now in India is the cost of the instrument. At the same time capital cost is very high and the recurring cost is even higher.
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JANUARY 2020
55
ANNUAL
CONFERENCE REPORT
10-11 DECEMBER 2019, NEW DELHI
The impact of eHealth – The Apollo Story
Vikram Thaploo CEO Apollo TeleHealth
Talking about the genetics of tele-medicines, well, it's actually people and technology. It further talks about how we took it to the next level, what was the evolution, etc. Evolution probably was more driven by innovation, public health requirements and connected health. The future of tele-health includes lot of processes, lot of captive expansion, global expansion, etc. We have already touched more than 11 million lives with the help of telehealth services
Smart OPD: Use Case presentation
Madhubala Radhakrishnan Founder and President mCURA Mobile Health Pvt. Ltd
In OPD, four major problems we always crib about; waiting time, multiple cues, punctuality issues with the doctors and the after consult proceedings. Technology can solve many operational issues by reducing the waiting time and also providing EMR service to the doctor. Now, how this EMR can be more interactive in patient as well as in doctor's life is what the question is.
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JANUARY 2020
Improving Patient Experience and Operational Efficiencies in Hospitals Leveraging Technology
Dr Santanu Chattopadhyay Head of Hospital Business - 1mg Technologies Pvt Ltd
So, running a hospital isn’t a child's play but there are basic two issues which have been prevalent from a very long time; one is the clinical adoption. Most of the times doctors find it very cumbersome--it take a lot of time and also it takes the focus away from patients as the eye contact is just lost. On the other hand if you go to a CEO, he will say it to be fine but he would expect you to tell him that what he will get in return. So, where is the financial value? Basically, our offerings not only make your clinicians adopt technology, but also achieve your business objective.
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10-11 DECEMBER 2019, NEW DELHI
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HEALTHCARE EXCELLANCE AWARDS
Dr Aditi Karad, Executive Director, Vishwaraj Hospital
Raju Venkatramana, MD & CEO, Medall Healthcare
Naresh Jain, MD & CEO, Ziqitza Healthcare Ltd
Dr Vikasendu Agrawal,Joint Director / State Surveillance Officer Government of Uttar Pradesh
Arun Prakash, Commissioner, Agra Municpial Corporation & CEO
Department of Health & Family Welfare, Government of Gujarat
Dr Yogesh Agarwal, Chairman, Nayati Healthcare
Department of Health & Family Welfare, Govt of Madhya Pradesh
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JANUARY 2020
57
ANNUAL
CONFERENCE REPORT
10-11 DECEMBER 2019, NEW DELHI
58
HEALTHCARE EXCELLANCE AWARDS
Sandeep Jha, Vice President Digital Healthcare, Inspira Enterprise India Pvt Ltd
Manish Khemka, Executive Director, Norvic International Hospital
Dr Pankaj Gupta, Head Digital Health, Access Health International
Vikram Thaploo, CEO, Apollo TeleHealth
Dr Nandkumar Jairam, Chairman & Group MD, Columbia Asia Hospital
S Suresh Kumar, Joint secretary and Additional CEO, Government e-Marketplace (GeM), Ministry of Commerce & Industry, Govt of India
Dr Somesh Mittal, MD & CEO, Vikram Hospital
Awardees with Ashwini Kumar Choubey, MoS, Health, Govt of India
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DIGNITARIES AND DELEGATES VISITING INNOVATION GALLERY
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DIGNITARIES AND DELEGATES VISITING STALLS AT EXPO
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eHealth Conferences Laying Roadmap of Transformation in Indian Healthcare
CONFERENCE REPORT
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ELETS JHARKHAND HEALTHCARE SUMMIT,
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Raghubar Das, the then Chief Minister of Jharkhand delivering speech
Eminent Dignitaries launching special issue of eHealth magazine
The then CM and Health Minister of Jharkhand inaugurating expo at Summit
Dr Vinod K Paul, Member, NITI Aayog, Government of India delivering speech
Ramchandra Chandravanshi, the then Minister for Health, Medical Education & Family Welfare, Government of Jharkhand
Dr Nitin Madan Kulkarni, Secretary, Department of Health, Medical Education & Family Welfare, Government of Jharkhand, Expert discussing ‘Best & Next Practices in States for Effective Public Healthcare Delivery’ at Summit delivering a speech
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ANNUAL
ELETS HEALTHCARE INNOVATION SUMMIT, CHENNAI (SEPTEMBER 2019)
CONFERENCE REPORT
10-11 DECEMBER 2019, NEW DELHI
Eminent Dignitaries including Anton Chernov, Deputy Consul General, Consulate of the Russian Federation in Chennai, Repubic of India Launching Special Issue of eHealth Magazine
Dr VS Raghunathan, Deputy Director General, NIC, delivering speech at the summit
Top Hospital’s CXOs at the summit
ELETS HEALTHCARE INNOVATION SUMMIT, MUMBAI (JUNE 2019)
Eminent Dignitaries including Sunil Kumar Bhushan, DDG and Head Health Sector, National Informatics Center launching eHealth magazine at Healthcare Innovation Summit, Mumbai
Top Hospital’s CXOs at the summit.
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ELETS HEALTHCARE INNOVATION SUMMIT, BENGALURU (APRIL 2019)
Eminent Dignitaries including Shalini Rajneesh, Principal Secretary, Higher Education Department, Government of Karnataka launching eHealth magazine at Healthcare Innovation Summit, Bengaluru
64
JANUARY 2020
Shalini Rajneesh, Principal Secretary for Planning, Programme Monitoring & Statistics Department, Governmrnt of Karnataka, delivering speech at the summit
Sunita Krishnan, Vice President Digital Marketing & Products, MedikaBazaar delivering Industry Presention at the Summit
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Dr A Ashok, Commissioner and Secretary, Board of Intermediate Education, Government of Telangana; and Dr Anuradha Medoju, Senior Regional Director, Andhra Pradesh and Telangana States, MHFW, GoI, Launching Special Issue of ehHealth Magazine
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ELETS HEALTHCARE INNOVATION SUMMIT, HYDERABAD (FEBRUARY 2019)
Expo Gallery
Dr Anuradha Medoju, Senior Regional Director, Andhra Pradesh & Telangana State, Ministry of Health & Family Welfare, Government of India
Experts participating during a panel discussion on different facets of healthcare
Dr A Ashok, Commissioner of Intermediate Education, Government of Telangana
JVN Subramanyam, Mission director, NHM, Department of Health Medical & Family Welfare, Government of Assam
Awardees during photo-op at Summit
Dignitaries and Delegates visiting Innovation Gallery
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EVENT REPORT
CHIEF GUEST ADDRESS MAMTA BHUPESH Minister, Women & Child Development, Government of Rajasthan
"T
he initiative by ‘Sparsh’ to make children aware of good and bad touch, give them sense that they need to share with their loved ones whenever any such wrong doing happens to them so we can save them from any misfortune. I would like to say that such an initiative is the need of the hour of the society today and I wish that such an initiative by ‘SPARSH’ reaches more people creating a milestone in the state of Rajasthan as well as entire country. I would also like to share that our Hon’ble Chief Minister Ashok Gehlot has launched the Indira Mahila Shakti (IM Shakti) fund, for which Rs 1,000 Cr. has been allocated with an objective to strengthen women self-help groups and make women self-reliant and financially empowered. I would request all of you present here to take forward IM Shakti Yojana and through the medium of SPARSH, we are educating women of good and bad touch but we also need to empower them with skill development."
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SPECIAL ADDRESS
NAVEEN JAIN Secretary, Labour, Employment, Skill & Entrepreneurship, Chairman, RSLDC, Government of Rajasthan
"O
ur SPARSH team comprises of 17-year old students up to 63-year old retired chief engineers. We work with a motto that one should take time out to contribute towards development of the society, be it working against pollution or curbing plastic usage or working towards betterment of animals. Through this platform, I would urge more people to join hands with SPARSH and spread our message on a larger scale. Our teams are in Kota, Udaipur, Alwar, Ajmer and as of now we are spread across 16 districts in Rajasthan. While devising initiatives to spread word on good touch and bad touch, we came across the technique of animation movies to educate the children but what I learned is most of the times, the animation movies sent out a message that only girls are faced with incidents of bad touch. However, out of 100 incidents of bad touch, 53 percent cases happen with boys. And when the same statistics were shared with schools, the administrations of those schools were also shocked to learn of the same. Hence, we decided to make movies from the boys’ perspectives as well.�
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EVENT REPORT 70
SAND ART SHOW BY ARTIST
RAJAT KUMAR
JANUARY 2020
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STORY TELLING ‘SPARSH – EK PAHAL’ NAVEEN JAIN Secretary, Labour, Employment, Skill & Entrepreneurship & Chairman, RSLDC, Government of Rajasthan
DR SHIPRA MATHUR Consulting Editor, India America Today
"T
hereafter, Naveen Jain and Dr Shipra Mathur took the lead with their story telling act where in they touched upon all the aspects of childhood that highlighted the innocence of ‘bachpan’ but the lurking fear of losing that ‘bachpan’ to molestation. They also shared how SPARSH is taking initiatives to reach as many as schools, parents and children to make them aware about good touch and bad touch, and how to keep our children safe from any such incidents that takes away their innocent childhood."
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EVENT REPORT 72
SAFE CHILDHOOD AWARDS
Naveen Jain, Secretary, Labour, Employment, Skill & Entrepreneurship & Chairman, RSLDC, Government of Rajasthan, felicitated with ‘Child Savior Award’
Pradeep Kumar Jha, Joint Labour Commissioner, Kota for Rehabilitation of Child Labour
Dr Shipra Mathur, Independent Journalist & Consulting Editor, India America Today, for Journalism for Raising Safe Childhood issues
Dr Jai Singh, Principal specialist paediatrics and I/C Mahila Bal Chikitsalaya, Chittorgarh; for Exemplary Work in the Area of Paediatrics
Dr Sadasivan Sitaraman, Prof. Paediatric Medicine and Incharge Child Development Centre; for Exemplary Work in the Area of Paediatrics
Vishal Mathur, General Manager, HR Chambal Fertilisers & Chemicals Limited; for IMAM Campaign against Malnutrition
The Global Alliance for Improved Nutrition (GAIN) for IMAM Campaign against Malnutrition
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SAFE CHILDHOOD AWARDS
Dr Tarun Chaudhary, Project Director, National Health Mission, Rajasthan for Ensuring Safe Environment for Newborn in Rajasthan
Vipul Virani, Chairman, Strawberry Kidz, Hajipur for Leading Early Childhood Care & Education Centre
Hema Harchandani, Founder & MD, Canvas International Preschool, Jaipur for Leading Early Childhood Care & Education Centre
Sand artist Rajat Kumar being felicitated with 'Safe Childhood Award' at the Summit
Awardees during photo-op with Mamta Bhupesh, Minister, Women & Child Development, Government of Rajasthan
Team 'SPARSH'
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