Ehealth march 2018

SPECIAL ARTICLES & INTERVIEWS STATES INITIATIVES

INTERVIEW INDUSTRY LEADER Exclusive Interview

Dr Ashok Seth Chairman, Fortis Escorts Heart Institute, New Delhi

Tejaswi Naik

Collector Barwani Madhya Pradesh

Nitin Bhadauria Dr Sarveshwar Narendra Bhure Vice Chairman

Mission Director Haridwar Roorkee National Health Mission Development Chhattisgarh Authority and Commissioner, Haridwar Municipal Corporation

Dr Nayan Shah Managing Director

Paramount Health Group

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ANNIVER

SARY

March 2018 | Volume 13 | Issue 03

COVER STORY

exclusive interview

Affordable World Class Medical Services Needed: Dr Ashok Seth

leaders’ speak swm in haridwar

Haridwar: The Gateway to Heaven Goes for Health and Hygiene

Haridwar Municipal Corporation’s Plan on Solid Waste Management

Dr Sarveshwar Narendra Bhure Mission Director, National Health Mission (NHM), Government of Chhattisgarh

Dr Nayan Shah Managing Director Paramount Health Group

Healthcare Initiative in MP Health Transformation in Remote Areas of MP: The Story of ‘Green Commandos’

Healthcare Initiatives 44 Dr Ratnadeep Patil Managing Director Smile Care Expert Dental Centre

Guest article

18 hospital Perspective 24 Dr Anand Bansal Medical Director Sri Balaji Action Medical Institute, New Delhi

industry perspective 26 Arjun Sooraj CEO, AKAS Medical 46 Dineah Samudra Founder and CEO Clinivantage Healthcare Technologies

48 Saarthak Bakshi CEO International Fertility Centre

special feature

Wellness Industry: Drawing New Horizons of Healthy Life

Editorial Innovation - Driven Healthcare Set To Define New India Having earned name and fame across the world due to yoga and traditional practices of healthcare, the technology-driven modern India is making a giant step to take healthcare to every nook and corner of the country innovatively. Leveraging modern technology and innovation to touch every household and person, the Government of India looks determined to make things possible in a big way. Bringing experts, industrialists and policymakers on one platform to brainstorm over various issues linked to such an endeavour from different perspectives, Elets Technomedia is hosting the ‘Healthcare and Wellness Summit 2018’ in New Delhi. In this wake, this special 13th Anniversary Issue of eHealth magazine has justifiably attempted to explore and understand the state of affairs from various dimensions and efforts are being put into addressing the challenges, opportunities and vision for Indian healthcare and wellness. Our cover story ‘India’s Tryst With Innovation-led Healthcare’ has aimed to examine the government’s innovationdriven approach to take healthcare to all as announced in Budget 2018 through ‘Modicare’. It also explores the challenges, opportunities and endeavours related to the government and private sector to actually reach out to people at large despite limited resources. We have a special feature titled ‘Wellness Industry: Drawing Horizons of Healthy Life’ which talks about how wellness deserves to be the focus of everyone’s life and how traditional way of life should inspire the modern approach to lead life. In an exclusive interview, Dr Ashok Seth, Chairman, Fortis Escorts Hospital, talks about rising heart diseases and various other challenges engulfing Indian healthcare sector. Offering various insights into the challenges of heart diseases, he has suggested private and public healthcare must be united to deliver unified healthcare. Dr Sarveshwar Narendra Bhure, Mission Director, National Health Mission (NHM), Government of Chhattisgarh, in an interview has talked about a range of issues including innovative healthcare initiative taken by the State Government. The other distinguished personalities figuring in this issue include experts like Dr Nayan Shah, MD, Paramount Health, Dr Ratnadeep Patil, Managing Director, Smile Care Expert and Professor Supten Sarbadhikari, Dean, IIHMR. We also have special articles on various health initiatives by the State Governments including Uttarakhand and Madhya Pradesh. It includes a write-up about how Haridwar Municipal Authorities have decided to set up Solid Waste Management plants across the city, offering an interesting aspect of this holy city. 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 & CEO, Elets Technomedia Pvt Ltd ravi.gupta@elets.in

COVER STORY

INDIA’S TRYST WITH

INNOVATION-LED

HEALTHCARE With the Government aiming to take healthcare to the last mile, as reflected in ‘Modicare’ during the Budget 2018, it has opened a huge scope for innovation-led healthcare in India, Sandeep Datta of Elets News Network (ENN) explores the challenges and scope for industry.

A Health Survey conducted by the NSSO indicated that during a 15- day reference period 89 individuals per 1,000 persons reported illness in rural India against 118 persons-Proportion (per 1000) of Ailing Persons (PAP) in urban areas.

However, un-treated spell was higher in rural (both for male and female) than urban areas.

xperiencing a new wave of opportunities, the Indian healthcare sector is drawing much attention, especially of the industry leaders. Various solution providers seem to be reinventing existing delivery models to ensure healthcare gets unexpectedly closer to the needy. While supplying an estimated over 20% of the world’s generics and about half the vaccines sold globally, India today enjoys a reputation as a credible, cost-effective medicine manufacturer.

Scope in Indian Healthcare Our country offers a big scope to improve, rectify and cater a lot of new solutions to perhaps a population of unimaginable scale. The enormity of the scope can be gauged from a government communiqué of 2015. The National Sample Survey Office (NSSO), Ministry of Statistics and Programme Implementation, had released the key indicators of Social Consumption in India: Health, generated from the data collected during January to June 2014 in its 71st round survey.

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Private doctors were the most important single source of treatment in both the sectors (Rural & Urban). More than 70% (72 per cent in the rural areas and 79 per cent in the urban areas) spells of ailment were treated in the private sector. Inclination towards allopathic treatment was prevalent (around 90% in both the sectors), the government communiqué added. Be it rural or urban landscape, various household surveys conducted across India show a significant prevalence of and a preference for private healthcare delivery, according to media reports. Looking at NSS findings over the last two decades clearly depicts a decline in the share of public hospitals in treating patients. This has created an asymmetric healthcare distributive network across States in India that is disproportionately scattered between the public and private healthcare sector.

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“Like many other sectors, working in silos was affecting the health sector and thus denying access to good healthcare. We have changed this and integrated various ministries to work towards a common goal- of a healthy India.” “Thus, in the last four years, we have moved from silos to solutions, integrated various stakeholders and are poised towards creating a Swastha Bharat.” “Our aim to make India cleaner is connected with our focus on preventive health. In 2014, if 6.5 crore homes had toilets, the number stands at 13 crore today! Sanitation coverage has risen from 38% to 78%. The message of cleanliness has gone to every home and it is the youth of India that is taking the lead in making the Swachh Bharat Mission a success,” he added.

Private Sector – A Boon for Indian Healthcare

COVER STORY

In an article posted on linkedin, Prime Minister Narendra Modi has stated while the world is talking about eliminating TB by 2030, “we in India have committed to eliminate the disease by 2025 itself! I have faith in the people of India and the skills of those associated with the medical profession”.

In last three decades, private sector has been making a steady contribution. It is serving as a big supporting factor in the heavily burdened public health institutions at every level. The private sector today provides 58 percent of the hospitals and 81 percent of the doctors in India. It comes as a big support to public health institutions from primary care to tertiary care like AIIMS. It maybe noted that India’s non-communicable disease (NCD) burden continues to expand. It is responsible for around 60% of deaths in India. Moreover, out of pocket expenditure (OOPE) constitutes over 60% of all health expenses, a major drawback in a country like India where a large segment of the population lives below poverty line. The Government with its National Health Policy 2017 aims to bridge the gaps by increasing public spending to 2.5% of GDP by 2025. The policy looks at the problems and the solutions holistically with private sector as strategic partners. To achieve the goals of the universal coverage, the government would need the support of private sector at primary to tertiary care levels. The support comes in the form of large investment, new technology, innovations and quality services. India’s healthcare industry is one of the fastest growing sectors providing plethora of opportunities to stakeholders of this field.

Speaking at Global Digital Health Partnership Summit in Australian city of Canberra, Union Minister for Health and Family Welfare J P Nadda recently said the ICT holds great potential to deliver quality and accessible healthcare services. “India is committed to reforms in health service delivery using ICT under Digital India Program of Government of India.”

According to a report by Assocham and research firm RNCOS, the Indian Healthcare Industry may see three-fold jump in value terms to $372 billion by 2022. Lifestyle diseases and rising demand for affordable healthcare delivery systems due to increasing healthcare costs, are driving healthcare market in India In addition, rapid health insurance penetration and mergers and acquisitions are also the leading factors contributing to the growth of Indian healthcare sector.

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eHEALTH Magazine

march 2018

COVER STORY

Challenge of Government Expenditure Though various governments and researchers have underlined the need to spend at least 2.5% of the gross domestic product (GDP) on health sector, the Central government only spent about 1.4% of the GDP on the sector (in 2014). This has perhaps given a big room for private players to enter the healthcare space. It is pertinent to mention till recently the private health spending in India was more than double the government’s expenditure, at 3.3% of the GDP in 2014, according to a recent PricewaterhouseCoopers report.

Out of Pocket Medical Expenses In December, 2017, Insurance Regulatory and Development Authority of India (IRDAI) Chairman T S Vijayan during a FICCI event said that the out of pocket medical expenses make up about 62 percent of all healthcare costs in the country. Stressing upon “a need to bring down out of pocket expenses of patients” which was about 62% of all healthcare costs, Vijayan said, “This is extremely high and leads to impoverishment of patients.”

Blockchain Blockchain technology has taken a lot of industries by storm. It can be said particularly in the post-Union Budget 2018 scenario. During his budget speech, Union Finance Minister Arun Jaitley said the government aimed to organise and streamline various sectors using blockchain technology.With the government announcing massive investments in making healthcare available to everyone via ‘Modicare’, various players in the industry seem keen on exploiting blockchain technology to the hilt. Speaking on innovations-led healthcare, Dr Seth said, “IT will develop into artificial intelligence. Smart phones have revolutised every form of delivery of any kind what we need in small towns.” Dr Seth, a Padma Shree and Padma Bhushan awardee, nobody needs bypass surgery, nobody expects robotic surgery or heart transplant in villages. They need sanitation, hygine, clean drinking water, nutrition, control of infection, hypertension and diabetes. These things must be controlled at basic level. “If one can control these eight things, 90 per cent healthcare delivery is done. And moreover out of these eight, five are the basic right of public.”

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Classifying Innovations Innovation needs to be classified by its impact on stakeholders as disruptive or non-disruptive.We need to understand that nondisruptive innovation improves something that already exists in a way that supports the realisation of new incremental opportunities or solves known issues. It is also referred to as evolutionary, incremental, linear, or sustaining innovation.Disruptive innovations refer to innovations that fundamentally disrupt old systems, create new market constituents and new markets while marginalising old ones. Also termed as radical, revolutionary, transformational, or exponential innovations, these innovations deliver dramatic new value opportunities to those who successfully implement and adapt to the innovation.

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COVER STORY

‘Ayushman Bharat’ A Step in Right Direction The Government of India was recently praised for its health initiative when a top WHO official said India’s mega healthcare initiative -- the ‘Ayushman Bharat’ -- is a bold and ambitious move holding potential to improve health and move people out of poverty. Underlining the significance of spreading public awareness about health related issues at initial stage of life, WHO Director General Tedros Adhanom Ghebreyesus said it was essential to educate people at the primary level about health and well-being. He was delivering a special address on ‘Universal Health Coverage’ before a gathering at NITI Aayog. “Announcement of Ayushman Bharat is bold, ambitious and courageous. The NHPS has the potential to not only improve health but also lift people out of poverty,” the think tank quoted the WHO DG as saying in a tweet. The Ayushman Bharat programme

was announced in the general budget on Feb 1 this year. The government has announced, as a part of ‘Ayushman Bharat’, two path-breaking initiatives that address health holistically, impacting primary, secondary and tertiary care system as well as prevention and health promotion. These include opening of 1.5 lakh health and wellness centres to provide people-centric comprehensive primary healthcare including for common noncommunicable diseases closer to the homes of people, including providing free essential drugs and diagnostics. The second initiative under ‘Ayushman Bharat’ is the National Health Protection Scheme (NHPS), under which over 10 crore poor and vulnerable families (approx. 50 crore beneficiaries) will be provided treatment coverage up to Rs 5 lakh per family per year for secondary and tertiary care hospitalisation.

Conclusively saying, though the Indian health sector appears to have remained largely ignored vis-a-vis expectations and huge requirements of people across the country for decades, an endeavour to ensure a big change in healthcare is visible now. It is hoped modern technology will be more relied upon to reach out to even people living in the unreachable terrains, beyond the confines of metropolitan cities. A better future in terms of healthcare facilities is seeming possible, as finally impetus is being given on a transformation which involves an all inclusive and affordable healthcare through innovative solutions. One can hope for ‘Acche Din’ (the better days), the biggest poll promise of Narendra Modi government to turn realistic in the years to come at least in the healthcare landscape of the country.

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eHEALTH Magazine

march 2018

exclusive interview

Affordable World Class Medical Services Needed: Dr Ashok Seth Q

To make healthcare accessible and affordable every hospital needs to move into the smaller towns. We have zero subsidiaries on latest equipment. Our aim should be to give world class outcome in cheapest possible way, says Dr Ashok Seth, Chairman, Fortis Escorts Hospital, in an interview with Mukul Mishra of Elets News Network (ENN).

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Â Â Having pioneered many innovations in healthcare sector, you are today looked upon as an institution in yourself. Tell us how has been this journey so far? My journey has been most exhilarating, encouraging and satisfying. When I returned from England after 10 years, I had no intention to come back to India. At that time, India was far behind the rest of the world in many ways. Facilities which one needs to practice highest level of medicine and highest level of technologies were nonexistent. I returned for my parents and I was just fortunate that Escort Heart Institute was getting started at that same time. Therefore my first stop of coming was actually the creation of that heart institute. The satisfaction was three-fold for me. Satisfaction was the belief of serving my parents and returning to the country because they were maintaining ill-health. It led me to create highest level of delivery of advanced interventional cardiology facilities in not just for the country but for the region. I was able to create new grounds for India, did many firsts for Asia Pacific region, brought the highest level of technological care, and higher standard of interventional cardiac care and treatment facilities to India and Asia Pacific region. Living in India and making India proud on world map was my second

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You have an expertise in Interventional Cardiology. Is it advanced version of the angioplasty? Tell us something about it.Â Â Interventional cardiology is a whole arena which includes opening of blocked arteries of heart nonoperatively by ballooning and putting the spring like device called stents and treating heart blockages. Interventional cardiology now expands into treating valves also with non-surgical methodologies in cath labs, totally non-operatively. It also comes into play in treating, replacing valves, holes in the heart. Interventional cardiology expands practically a whole array of procedures all of which are non-operative. All of which can be done through a small hole in groin in conscious patients. Best part

is it involves lot lesser risk than a conventional surgery. The field of Interventional cardiology started around 1977. Practically everything which is done surgically has been transferred to minimal invasive non-surgical catcher based techniques. My privilege has been to start off very early in this arena. I have been a part of creation, growth and development of this science not just in India but around world, which is a privilege.

Nowadays people irrespective of age keep suffering heart attacks despite being careful about a good diet in some cases. Then what causes heart attack despite all that even among youngsters? The 50 per cent of death across the world from heart disease are from India. Indians are prone, genetically predisposed to have heart diseases. While in the rest of the world, especially in Europe, the deaths from heart diseases have decreased in last 30 years, in India it has gone up. But among people aged under 45, the disease has grown to twice in

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We can get into Robotics and it will be able to do perhaps procedure at another site with same accuracy. Government should make it mandatory for doctors to serve at least one year or two in rural areas.

exclusive interview

satisfaction. And third satisfaction of everything was when the Government of India recognised all these services and awarded me the Padma Shri and then Padma Bhushan.

last 15 years. People are addicted to other things than exercise now and exercise is also done to build muscle than having a good health. In addition, fast and packaged food has taken over the diet immensely. And that is how trans-fats seep into the body. More food joints and luxurious items have taken over life in cities. The space of playing has gone down. All of these factors are responsible for an increase in heart cases in India. Even women are falling victim of heart diseases nowadays because of the change in lifestyle. Death from heart disease is six times more common than the death from cancers among women. They have to be more cautious to get protected from the heart disease. Heart disease can attack anyone anytime. We are prone to it. Healthy living should be a

eHEALTH Magazine

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exclusive interview 14

standard of healthcare.

What kind of initiatives are your hospitals taking to make healthcare affordable and easily accessible? To make healthcare accessible and affordable every hospitals need to move into the smaller towns. We have zero subsidiaries on latest equipment. Our aim should be to give world class outcome in cheapest possible way. If we can manage to provide these world class treatment facilities to patients’ doorsteps, they don’t need to travel to tertiary level city for hernia, angioplasty and hydrocele. We are setting up modular centres along with Philips healthcare in small cities. In hospitals which are already functional we just set up the cardiac facilities and link it with Fortis Escort heart institute through IT technology and online. Our trained cardiologists will be placed in these centres and will provide same level of expertise what we provide here. Every angiogram would be viewed by

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expert doctor like me. We have set protocol on how we manage the post operative procedure. These modular would be low cost centers i.e low infrastructure cost and low equipment cost yet will provide highest level of efficiency and best level of expertise. We have tied up it with outcome measures. On our website one can see plotted results of outcome measures of angioplasty and heart surgery of last six months. Cost versus quality is a big equation. One should provide cheapest and best services. We have linked 500 beds with eICU technology. It has been started in small towns like Raipur, Dehradun and even in Khulna in Bangladesh. We do real time monitoring of critical patients from here only. ECG, blood pressure and other clinical details are monitored. Patients get high standard of medical facilities in Rs 350. We have saved life of many patients of septicemia and other life threatening diseases through eICU technology.

How do you view the challenges of Indian healthcare sector in terms of failing drastically to improve the doctor-patient ratio? This is huge challenge and India is doing too little and too late to improve the ratio. This reflects some of the apathy around healthcare development for years not in present scenario. We knew that one of the biggest challenges in coming days will be the healthcare because of the rising population. At that time all healthcare measures were abysmal. One would have worked hard to improve these measures. But it is only much later things started to improve. This is the reason why private healthcare grew. It grew because there was nothing else. We actually lagged behind quite a lot in delivering care to our public. Healthcare is huge priority. It figured very low on priority list. And therefore every ratio not only doctor patient, but nursing, district general hospitals, private hospitals everything is lagging far behind. And we never catch up with it.

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Do you think using Artificial Intelligence like methodologies at large scale can be useful in taking ‘doctor’ to every village and small town? IT will develop into artificial intelligence. Smart phones have revolutised every form of delivery of any kind, what we need in small town. Nobody needs bypass surgery, nobody expects robotic surgery or heart transplant in villages. They need sanitation, hygine, clean drinking water nutrition, control of infection, hypertension and diabetes. These things must be controlled at basic level. If one can control these eight things, 90 per cent healthcare

Make in India’ is the future of this country and we should augment that future by saying that ‘Make best of India’ so that the patients get the best.

delivery is done. And moreover out of these eight, five are the basic right of public. Funds need to be utilised properly to keep a check on these determinants. Executions of funds are as important as an outlay. Triage system should be applied. Only complicated cases should be referred to AIIMS and Fortis like big hospitals.

What is your vision on the importance of technological innovation to address the challenges of India’s healthcare sector? My technological innovations revolve around some of these I have said and second aspect is low cost development products. Let encourage our own industry, our own manufacturing industry indigenous products. At the time 80 per cent products are imported. We should encourage indigenous manufacturer. We should create tax free zones. We should bring in robust quality parameters which actually makes sure the public of India gets best at low cost. Low cost should not be sacrificing. So ‘Make in India’ but also ‘Make best of India’. Make in India should be ‘Make best in India’.

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They should be able to match to the best quality standard of the world. The problem of low cost even in stents is even concerns that any research, any developmental process, any trials which have to be done to make them safe in humans or in animals and thereafter come at a cost. It doesn’t come at no cost. Any new technology comes with a price. We should have inbuilt mechanism for actually rewarding science and research. Thirdly, we have to have very robust quality measures which we haven’t actually done at the policy level at the moment. ‘Make in India’ is the future of this country and we should augment that future by saying that ‘Make best of India’ so that the patients get the best. Low cost should not be equated to poor quality. And we have not built in those security systems to support that. Even Companies from outside are coming in India. GE has done great in development centres in India. Low cost models for ECG machines have been created. Similarly, low cost baby warmers have been created. We have to create value for actually encouraging them. IT is also playing a pivotal role in education teaching treatment through skype OPDs through skype, communication and awareness. Low cost models of creation and delivery. We can get into Robotics and it will be able to do perhaps procedure at another site with same accuracy. Government should make it mandatory for doctors to serve at least one year or two in rural areas. And I believe why they can’t do that as government provided them subsidised medical education in public hospitals. That is why I believe the government should open more public hospitals. Next 10 years will show actually where we are progressing towards our vision of better healthcare which has to be subsidized to make it cost efficient.

eHEALTH Magazine

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exclusive interview

I believe more hospitals need to be opened, more medical colleges have to be created. Why we are pushing private medical colleges which charge huge money from students. Medical education shouldn’t be so expensive. We are actually fuelling private care by starting private medical colleges. Today we have more private colleges than government colleges. Why money shouldn’t be pumped into public medical colleges. Students should get admission according to their merit in these public medical colleges. There can’t be two parallel verticals which compete with each other. We should unite both private and public healthcare to deliver unified healthcare. Public sector has great intellect and reach but doesn’t have infrastructure and technology. The Government should realise that free treatment will never come but highly subsidized treatment of quality care can come. And that is what we should aim for. Both public and private healthcare should respect each other’s qualities. If we will concentrate each other’s pluses or qualities then we will be able to create greatest healthcare system.

Leaderâ&#x20AC;&#x2122;s Speak

Chhattisgarh Frontrunner in ICT-enabled Healthcare Initiatives To transform healthcare ecosystem, the Government of Chhattisgarh is actively introducing the ICT-enabled Healthcare Initiatives. Its Mitanin Programme later turned ASHA for the Government of India, says Dr Sarveshwar Narendra Bhure, Mission Director, National Health Mission (NHM), Government of Chhattisgarh, in conversation with Elets News Network (ENN).

How would you describe the healthcare scenario in Chhattisgarh? Chhattisgarh is relatively a new State, as it came into existence 17 years ago only. We have improved a lot on various healthcare indicators. This can be felt easily if someone compares Stateâ&#x20AC;&#x2122;s existing facilities with the past. It is a kind of big jump. This is due to people-friendly policies of the State Government and the kind of importance it is giving to the healthcare sector. We are spending almost 5.75 per cent of the State budget on healthcare and fund utilisation is almost 90 per cent. We have robust system in place with which we ensure delivery of health indicators on time.

What are the healthcare initiatives which have benefitted people of the State the most? Most of the healthcare initiatives that Chhattisgarh Government adopted later became national initiative. For example, the Chhattisgarh Government started Mitanin Programme which later became ASHA for the Government of India. Even the concept of NHRC was started by the State Government.

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Similarly, the Rashtriya Bal Swasthya Karyakram (RBSK) was also adopted by the Government of India. We have many achievements to our credit in healthcare sector.

What are some of the upcoming projects of the State Government to cater to people related to healthcare ecosystem? We are facing one of the biggest problems of anemia amongst pregnant women. Containing the disease is one of the biggest challenges for the State Government. We have started extensive awareness programme and trying to improve the nutritional status of pregnant women. With the help of the Government of India, we have distributed 50 lakh mosquito nets within the families to control the menace of malaria. In addition, we are going for a drive to contain anemia among school-going children. Then we have system of Universal Health Coverage. All those families which were not covered by Rashtriya Swasthya Bima Yojna (RSBY) are now being covered under Mukhyamantri Swasthya Bima Yojana (MSBY) or, the Chief Minister insurance scheme. For hearing defect, amongst newborn babies, we are

Dr Sarveshwar Narendra Bhure Mission Director, National Health Mission (NHM), Government of Chhattisgarh

providing free treatment to the tune of 3 to 4 lakh. We are also going for mass screening of population for noncommunicable diseases (NCDs).

How do you perceive the role of ICT in spreading public awareness about healthcare facilities? ICT or, the Information and Communication Technology is now a cornerstone in healthcare sector. Because of Baster Net project, now our connectivity in the southern part of State has improved. Our internal system is dependent on the HMI (Human Machine Interface). We have some of our in house softwares also. Monitoring and evaluation of programmes are done with the help of ICT tools. Even we are going for PFMS (Public Financial Management System) tool which will facilitate financial transactions. We are forerunner in the race ICT.

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Many areas are still backward in Chhattisgarh. What are the major challenges you face in implementing ICTs strategies in these areas? Definitely the connectivity has been an issue in some parts of the State. We have connectivity issues in sub-health centres and some of the primary healthcare centre too. But because of the Buster Net project things will improve soon. Moreover, we have arranged small VSAT in these areas which lack basic facilities.

How do you view the scope for medical tourism Chhattisgarh? The State has progressed a lot on this front. We are growing in terms of number of doctors per patients and quality of healthcare delivery. The Raipur Medical College is considered as one of the best hospitals within the country. We are having 200 plus postgraduate seats in the State. Many private players and big chain hospitals have come forward considering Chhattisgarh as one of the area for promotion for healthcare Industry. We can expect better tourism in coming days. Even in terms of organ transplant we are moving ahead. Very soon, we will have all the cases of organ transplants in the State.

Do you have any policy supporting medical tourism and investment in Naya Raipur and Chhattisgarh? In Government sector, we are largely focusing to cater healthcare needs of the residents of the State. The private healthcare hospitals are mainly into medical tourism.

How would you rank Chhattisgarh on a scale of 1-10 in providing healthcare facilities in comparison to other States of India? Our motive is to provide best healthcare facilities to the people of the State. Chhattisgarh is doing wonders on this front. We are embracing innovative ideas and follow on the footprints of other States if they take up some good initiatives. We are at 5th position in entire country in the latest report published by NITI Aayog in terms of progress on incremental change in health parameters.

Tell us about some of the healthcare projects set to benefit people in a great way in coming years. We are facing problem of anemia amongst pregnant women. Our

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Our motive is to provide best healthcare facilities to the people of the State. Chhattisgarh is doing wonders on this front.

Leader’s Speak

strategy is to exterminate anemia and ensure safe delivery. The ‘Lakshya programme’ has been launched with the same motive. It is basically labour room quality improvement initiative. Moreover, we are developing thyroid clinics and endocrinology department to make things better on healthcare front. We are coming up with a Government funded super specialty hospital, DKS Super Specialty Hospital to foster healthcare delivery.

eHEALTH Magazine

march 2018

Healthcare Initiatives in MP 18

Health Transformation in Remote Areas of MP: The Story of ‘Green Commandos’ A team of auxiliary nurse midwives (ANMs) toiled tirelessly for two days, having undertaken the foot journey of over 1, 000 km to make mission Green Commando successful. Navigating through arduous and inhospitable terrains, despite harsh weather conditions, the team was resolute to immunise children in Madhya Pradesh’s Pati Block, narrates Souvik Goswami of Elets News Network (ENN).

he old adage ‘Where there’s a will, there’s a way’ stands true for the Pati block in Barwani district of the State which has overcome a long battle against diseases like measles and tetanus, courtesy the much hailed immunisation programme . Launched in 2016 in Pati Block, one of the most backward blocks of India having low HDI (Human Development Index), this immunisation project was named Green Commando. The aim of the mission Green Commando has been to vaccinate kids and pregnant women in the area having a high mortality rate. Considering the topography and lack of accessibility, it was difficult to implement immunisation programme here. There were no roads and only hilly terrains in the block. It was impossible to approach and reach the

march 2018

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villages on hilltops. Moreover, after Dussehra festival, villagers would migrate to big cities to earn their livelihood only to return for Bhagoria Festival in March. Thanks to local administrative machinery’s motivation, a team of ANMs resolutely toiled for two days, covering over 1,000 km journey on foot for the success of the Green Commando mission. Unmindful of the inhospitable terrain and inclement weather conditions, they marched on with their heavy immunisation kit and other required stuff to cover the whole area. These Green Commandos went door-to-door to all the houses

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ANMs were briefed that their job was no less than that of a soldier. Both are alike as they protect us by working in difficult terrain.

allotted to district officials. Last mile connectivity was ensured by the local teacher on bikes to take each ANM to their target household. The exercise involved tracking tough gradients, use of boats to cross Sardar Sarovar apart from commuting by buses, four-wheelers and bikes. The immunisation programme captured imagination of local population, who are now more forthcoming and cooperative in such effort. So much so that the response for other flagship schemes like Deen Dayal Upadhyaya Gram Jyoti Yojana (DDUGJY), Ujjwala and Pradhan Mantri Gramin Awaas Yojana (PMAY) have also received positive response. Since it is to be repeated twice annually for all, tough pockets, public awareness is pre-requirement. With the success of the immunisation programme, it has been proved that focussed approach can yield good results. Workers should be trained and stakeholders must be taken into confidence to make a scheme successful. Need of the hour is to identify areas of intervention and focus the effort to maximum yield. Immunisation was chosen for its obvious correlation with Infant Mortality Rate (IMR). In the larger scheme of things, it will be the first step towards achieving reduction in IMR, Measles, Mumps and Rubella (MMR) and malnutrition as well as improving HDI of the region.

eHEALTH Magazine

march 2018

Healthcare Initiatives in MP

“We need to rework our strategies and approaches to make health accessible and affordable to all. Open thinking aided by technology is required,” says Tejaswi Naik, Collector, Barwani, Madhya Pradesh

in 130 hamlets. The result was that all women and children of 130 remote hamlets of 33 villages, falling under eight health subcentres, were immunised in just two days! It led to the rise of immunisation programme from 40 per cent to 100 per cent in the area. It was second round in March, after Bhagoria festival, which ensured 100 per cent coverage for the remote Rosar Sector and 90 per cent coverage for Pati block. The ANMs have been convinced and motivated to view their job as nothing less than that of a soldier. Both are alike as they protect us by working in difficult terrain. While soldiers safeguard the borders, the Green Commandos save future generation and mothers from several deadly diseases. Hence, ANMs were referred as Green Commando. 130 ANMs were recruited on voluntary manner for the Rosar sector, which is spread over 130 hamlets on 800 Hillocks. A three-day drive was conducted where it was pre-decided that ANMs would stay in local houses or nearby stations there by reducing the time to commute. All these unelectrified villages required maintenance of cold chain for vaccines for which five ANMs were

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ADP: Designing Patient- Centric Hospitals for Developing Cities in India

irmala devi (name changed) hails from Charkradharpur, a town in the eastern state of Jharkhand. After six years of marriage, Nirmala and her husband were not able to have a child. The couple took the prudent step and approached the Assisted Conception Centre (ACC) at Shanti multispeciality hospital in Rourkela, Odisha and embraced the modern medical technologies to help them in their endeavour. Providing quality healthcare in smaller towns and cities is a small part of solutions to healthcare crisis in India. Both public and private sectors should work together in stopping the ‘medical migration’ of patients to bigger cities equipped with better healthcare facilities. For the past few years, the Government has been instrumental in setting up state-of-the-art healthcare institutes like All India Institute of Medical Sciences (AIIMS) and large multispeciality hospitals at strategic locations across India.

However, the private sector is still at a nascent stage. Small hospitals or nursing homes have mushroomed, claiming to provide multi-speciailty services but are failing to deliver the promises. Most of the tier-2 and tier3 cities have hospitals owned and managed by a doctor or a doctor’s family and but with limited number of beds and small budget. International architecture firm, ADP’s design of the 138 bed Shanti multi-speciality hospital (SMSH) is a practical and affordable way of solving this conundrum. Along with the efficient usage of internal spaces, the hospital has been designed on a very constricted site. While the ACC remains the most important department (with a dedicated floor) catering to almost 50 per cent of the patients, ADP’s design also provides a large OPD along with facilities like ICU, CCU, and multiple modular OTs. It also provides latest birthing technologies and equipment and dedicated departments catering to cardiology, nephrology, orthopedics,

pediatrics and general surgery. The OPD is supported by full scale diagnostics and laboratories. ADP has been able to successfully include all these facilities on a site measuring 768 square meters only. We, at ADP, believe in designing sustainable buildings and making an energy efficient hospital which is the need of the hour in India. With SMSH, we have been successful in introducing innovative green design techniques such as usage of fly ash bricks, solar water heating, PV roof top solar plant and maximum day lighting for in-patient spaces. In addition to that, ADP’s designs attempt to add therapeutic value to patients’ experience by using large open spaces with as much natural light as possible and use of pastel shades, colours and graphics. The intention is to change the perception of hospitals in people’s minds. The example of SMSH proves that if a hospital is designed properly and managed well even a relatively smaller sized hospital can satisfactorily cater to whole society. Such hospitals will go a long way in bringing affordable healthcare to people like Nirmala devi and her family. (The author Ranjan Ray is Director at ADP)

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SWM in Haridwar

Haridwar: The Gateway to Heaven Goes for Health and Hygiene

Haridwar Municipal Corporation’s Plan on Solid Waste Management Revered by millions of Hindus as the Gateway to Heaven, Haridwar is steadily focussing on hygiene side of this holy place thronged by thousands of devotees and tourists from across India and world every day, writes Souvik Goswami of Elets News Network (ENN).

“A Solid Waste Management Plant is a paramount necessity of any city. In Haridwar, we face the unique challenge of floating population, much larger than permanent population. A Ghat cleaning project on the lines of Varanasi Nagar Nigam is also proposed under Namami Gange Scheme. Underground bins are also being proposed to check littering. With the Kumbha Mela to be held in Haridwar in 2021, our Municipal Corporation is committed to provide world class sanitation service.”

Nitin Bhadauria

Vice Chairman Haridwar Roorkee Development Authority and Commissioner, Haridwar Municipal Corporation

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SWM in Haridwar

he Government of Uttarakhand has undertaken various initiatives to ensure that Haridwar develops into a hygienic and disease-free city. Due to concerted administrative efforts in this direction, the State was termed first ‘Swachh State’ in the country in 2016. With the solid waste emerging as one of the most burning issues these days. Haridwar Municipal Corporation has formed a plan on Solid Waste Management Solid Waste Management (SWM) holds a huge significance. It’s a planned management process of the discarded waste, encompassing all aspects of it including collecting, treating, and disposing of waste. If not properly managed, solid waste can lead to unsanitary conditions which, in turn, can create environment pollution. It also provides a fertile ground for thriving of rodents and insects causing fear of possible outbreaks of many diseases. Inspired by the overall initiatives of Uttarakhand Government, the municipal authorities of Haridwar have also decided to wage a war against the huge scale of solid waste

that the city generates every day. Spread over 12.17 sq km and having a population of 2,52,338 as per census 2011, the Haridwar city generates 237 Metric Tonne (MT) of waste on an average daily. According to an estimate, the city which has 1.6 lakh/day floating population currently, would rise to

 63 cities were chosen by Government of India under JNNURM

on 16th December, 2005

 Under this mission, Dehradun. Haridwar and Nainital were

chosen from Uttarakhand

 On 26 March, 2010, the Government of Uttarakhand sanctioned

the SWM DPR (detailed project report) to be implemented in PPP mode

 Urban Development Directorate got the SWM Haridwar DPR

prepared from IPE Global, Delhi

 DPR was approved by Government of India in 2008-09  Total financial sanction of DPR was to the tune of Rs 1,671.53

lakhs

 Total revised DPR amount – Rs 2,172.98 lakhs  Total funds released under JNNURM and SBM(Swachh Bharat

Mission)- Rs 1002.02 lakh

 Revolving fund from UKPCB –Rs 500.00 lakh  State Government grant –Rs 100.00 lakh

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6,29,492 by 2025. Industry experts believe that the city would generate 250 MT/day waste in peak months. The projected waste generation till 2025 is 278 MT/ day while the figure would rise to 353 MT/day till 2040. SWM Project Initiated in 2008-09 under Jawaharlal Nehru National Urban Renewal Mission (JNNURM), the SWM project couldn’t get off till 2015 as it got embroiled into various litigations in the Supreme Court and National Green Tribunal (NGT). In 2017, NGT directed Uttarakhand Environment Protection & Pollution Control Board (UKPCB) to give consent to operate the plant. Door to door collection was made operational and various plant machinery was established. Not only that in Swachhta Sarvekshan (cleanliness survey) SWM plant received 1,400 out of 3,500 points.

eHEALTH Magazine

march 2018

hospital Perspective 24

Lifestyle Diseases â&#x20AC;&#x201D; Biggest Killers in India Over 61 per cent of all deaths in India are attributed to lifestyle or non-communicable diseases (NCDs). The lifestyle diseases are not only restricted to adults alone but even kids are falling victim, says Dr Anand Bansal, Medical Director, Sri Balaji Action Medical Institute, New Delhi, in conversation with Elets News Network (ENN).

How Indian healthcare is evolving with the help of latest advanced equipments and technological innovations? Healthcare industry comprises hospitals, medical devices, telemedicine, medical tourism and health insurance etc. The industry has evolved over the last 10 years and is now beyond paper-based records. The healthcare providers have overcome the technological gap and all records have been switched to electronic mode. Healthcare has potential to become one of the largest sectors in terms of revenue and employment. Indiaâ&#x20AC;&#x2122;s healthcare industry is one of

march 2018

the fastest growing sectors and in the coming years it is expected to reach $275 billion. Medical devices are expected to show higher growth in coming years as a result of rising infectious diseases along with popularity of non-invasive diagnostic practices. Innovations and latest technologies are need of the hour which will make modern care approachable to rural areas. Healthcare Industry needs to be strengthened further to make it easily accessible in rural areas. Quality and cost-efficient healthcare delivery will make India a leader on globally.

Dr Anand Bansal

Medical Director, Sri Balaji Action Medical Institute, New Delhi

Why meditation is needed in present times? Our life is surrounded by extreme level of stress and various other kinds of chaos. Everyone is running in a rat race to become successful. But it is not at all easy to become a successful individual which requires a lot of dedication, hard and focussed work. In the quest to excel, one gets immense amount of stress and tension as a by-product. To balance physical as well as mental stress, a person needs to calm his body, mind and soul, and here comes the ultimate power of meditation. Meditation helps you to let your sufferings go away and start enjoying the life. Meditation is a powerful mechanism which not only keeps you fit physically but it enhances your mental capacity too. It is extremely beneficial and can help a person to

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Records say that around half of the Indian people are still not serious about regular exercise,

balanced diet and other disciplined lifestyle habits. How can we encourage people to adopt healthy lifestyle? According to a latest research, lifestyle diseases are the biggest killers in India. Over 61 per cent of all deaths in India are attributed to lifestyle or non-communicable diseases (NCDs). The major concern is that the lifestyle diseases are not only restricted to adults but even kids are falling victim of these diseases. India has the second highest number of obese children in the world after China. According to a study, 14.4 million kids in the country have excess weight. The reason behind the same is unhealthy routine and lifestyle. People must be encouraged to adopt healthy lifestyle and follow a balanced diet. Improper diet and lack of physical work or exercise are the major factors which contribute to lifestyle diseases which include obesity, diabetes, hypertension, heart disease, etc. To stay fit and healthy, we should follow the balance diet and daily exercise practices. Make a healthy routine and follow

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Meditation is a powerful mechanism which not only keeps you fit physically but it enhances oneâ&#x20AC;&#x2122;s mental capacity too.

hospital Perspective

be happier and healthier. Meditation helps to control the mind and thoughts. It is essential to feel healthy and live a happy life. Lots of health benefits are associated with meditation. Some physical benefits of meditation are, it decreases the physical tension, lowers blood pressure, strengthens the immune system, slows the aging process, reduces stress level and anxiety, etc. If a person is short tempered, meditation is the right tool for them. Meditation makes you calm which automatically manages anger. Another major benefit of meditation is that it enhances concentration power and enables a person to focus on their vision and mission. We, at Sri Balaji Action Medical Institute and Action Cancer Hospital, encourage our staff and patients as well to spare some time from their busy schedule for meditation as it will surely help them in several ways.

the same in dedicated manner. It is utmost important to manage some time in your busy schedule for work out and exercise. Yoga is another important panacea to make you feel mentally and physically healthy. Avoid smoking and consumption of alcohol. It might make you vulnerable to deadly lifestyle diseases. Eating oily and spicy food increases your cholesterol level which leads to obesity and various heart ailments. So there is a major requirement to encourage the youngsters to start working on improving their lifestyle and eating habits.

eHEALTH Magazine

march 2018

Industry Perspective

AKAS Medical: Providing Technologically Advanced Solutions Cloud computing is essential in database management of patients. We are going to launch patient monitors so that the vital signs of a patient will be available on the cloud, says Arjun Sooraj, CEO, AKAS Medical, in conversation with Elets News Network (ENN).

AKAS Medical is known for providing excellent services to its clients with its innovative, cost effective and quality products. Over the years, how have you improvised in terms of latest technologies? Quality of our products is improved every three months in the backdrop of technological advancements and latest innovations in the healthcare sector. We launch new models of the same product in every three to five years which are equipped with latest technology. Our infusion pump that we launched as AKAS Infu 505 in 1998 has been replaced by AKAS infu 5005. It is far more advanced in terms of accuracy, compatibility to all disposables and many other features inherent to the product. Our every product has evolved with time.

In the age of Internet, people do have all the information on their fingertips about services and products of a company. How do you cater to these high demanding patients? We make available mobile apps to register complaints and order spares. In addition, our field staff can take customer feedback through apps. We do not directly deal with patients, we cater to hospitals and hospitals ultimately make our services available to patients. We always strive to excel and harness technology to provide

march 2018

best services. Today our sales staff can see customer information on their mobile phones. They can update customer responses on their mobile phones through audio and video feedback.

Shed some light over your latest products under clinical division. How do these work? We have two innovative products under the clinical division. One is a seven parameter machine used in OPD called the Quick vital Sign. You can measure the height, weight, BMI, non contact temperature, NIBP, Pulse Rate and SpO2. This machine is for every OPD. We have another product called the Drip Sure. It is an infusion

Cloud computing is essential in database management of patients. Soon, we are going to launch patient monitors so that the vital signs of a patient will be available on the cloud.

Arjun Sooraj CEO, AKAS Medical

controller which is needed for every bed. It is close to half the price of an infusion pump. It controls the flow rate of Intravenous Therapy (IV) Drip. We have seen an overwhelming response for these products.

Healthcare ecosystem is getting transformed with the help of latest technologies i.e cloud computing, IoT and Artificial Intelligence. As an expert how do you analyse the growth of Indian healthcare Industry? Healthcare industry is adapting to newer technologies like communication, whereby patients’ vital signs are transmitted over the internet to hospitals and doctors / experts who are in cities. Cloud computing is essential in database management of patients. Soon, we are going to launch patient monitors so that the vital signs of a patient will be available on the cloud. Growth of healthcare industry is likely to remain at 12 to 15 per cent in Indian context. This is directly linked with the growth of the economy.

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expert opinion

EHR: A Tool to Deliver Safer, Better Quality Healthcare Standardising the healthcare information technologies along with regulatory reforms need to be the primary drivers of increased Electronic Health Record (EHR) adoption in India, writes Prof. Supten Sarbadhikari, Dean, International Institute of Health Management Research, Delhi, for Elets News Network (ENN).

igital health is all about electronically connecting the points of care so that health information can be shared securely. This is the first step to understand how digital health can help deliver safer and better quality healthcare. Digital health includes mobile health, health information technology, wearable devices, tele-health, tele-medicine and personalised medicine. The cornerstone of digital health is EHR or Electronic Health Record, a digital version of a patient’s medical record. EHRs are real-time, patient-centered records that make information available instantly and securely to authorised users. While an EHR does contain the medical and treatment histories of a patient, an EHR system goes beyond standard clinical data collected in a provider’s office and can be inclusive of a broader view of a patient’s care. EHRs can: • Contain a patient’s medical history, diagnoses, medications, treatment plans, immunisation dates, allergies, radiology images, and laboratory and test results • Allow access to evidencebased tools that providers can

march 2018

use to make decisions about a patient’s care • Automate and streamline provider workflow Automatic integration of EHR systems and intravenous medication infusion devices equipped with dose error reduction software (drug libraries), is termed intravenous (IV) interoperability. This should serve as the goal towards which all healthcare systems work to maximise patient safety. Full Benefits Standardising the healthcare information technologies along with regulatory reforms need to be the primary drivers of increased EHR adoption in India. To realise the full benefits that EHR solutions can deliver, medical organisations must carefully plan their EHR implementation to achieve optimum utilisation. Only then these organisations will achieve the improvements they desire, and ultimately realise a positive return on their technology investments. The Ministry of Health and Family Welfare has already notified the standards to be used for exchange of health information. The

Prof. Supten Sarbadhikari

Dean, International Institute of Health Management Research, Delhi

second edition of the standards was notified in December 2016. Further, an Integrated Health Information Platform (IHIP) is being set up for exchange of health information in an interoperable manner. National Health Policy-2017 The National Health Policy-2017 advocates extensive deployment of digital tools for improving the efficiency and outcome of the healthcare system. The policy aims at an integrated health information platform or system to serve the needs of all stakeholders and improve efficiency, transparency, and citizen’s experience. Delivery of better health outcomes in terms of access, quality, affordability, lowering of disease burden and efficient monitoring

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Effective Implementation Implementing an EHR is not a straight-forward process, and a ‘onesize-fits-all’ approach is ineffective, since numerous variables exist in every practice. An optimised implementation will make the difference between an EHR that drives improvements in efficiency and care delivery, versus an EHR that is abandoned or even replaced. The best practices for EHR implementation usually involve the following areas: • Securing physician leadership • Setting realistic expectations • Adequate and appropriate documentation • Acceptance of evolving staff roles

and responsibilities Cost components to consider when budgeting for an EHR include: • Software licensing (outright purchase, leasing and/or monthly subscription fees) • Hardware expenses, depending on the age or capabilities of current equipment • Implementation • Configuration and customisation • Training • Support and maintenance • Potential lost productivity that impacts revenue during implementation, training and initial use of system For an EHR to be successful it must maximise clinician efficiency. An emphasis on performance (availability and speed) will have to be in place to make EHRs successful. It must be remembered that EHRs are not stand-alone systems but are ‘systems of systems’. Patient Portals While the long-term benefits

Standardising the healthcare information technologies along with regulatory reforms needs to be the primary drivers of increased EHR adoption in India.

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of EHRs are being evaluated, patient portals are a beacon of encouragement. As a single component of or complement to an EHR that helps achieve better care, better health, and reduced costs, the patient portal can drive significant value. Optimally deployed with self-service identity management tools, health systems can magnify the importance of their patient portals to enhance patient loyalty, increase enrollment and utilisation of targeted patient groups, and increase the quantifiable clinical and financial benefits for patients and providers alike.

expert opinion

of health entitlements to citizens, is the goal. The policy underscores the need for establishing federated national health information architecture, to roll-out and link systems across public and private health providers at State and national levels consistent with Metadata and Data Standards (MDDS) and Electronic Health Record (EHR) Standards. Creation of registries (i.e. patients, provider, service, diseases, document and event) for enhanced public health/big data analytics, creation of health information exchange platform and national health information network, use of National Optical Fiber Network (NOFN), use of smart phones/tablets for capturing real time data, are key strategies of the National Health Information Architecture. The National Health Policy-2017 advocates scaling of various initiatives in the area of teleconsultation which will entail linking tertiary care institutions (medical colleges) to district and sub-district hospitals which provide secondary care facilities, for the purpose of specialist consultations.

HIM: The Way Forward Health Information Management (HIM) professionals are well trained in the latest information management technology applications and understand the workflow in any health care provider organisation. Health Information Managers are vital to the daily operations management of health information and EHRs. They ensure that data quality is maintained, by applying the principles of change management and continuous capacity building through education and training. They ensure that the health information and records of a patient are complete, accurate, protected and meet the desired and stipulated medical, legal and ethical standards. Therefore, it must be made mandatory to appoint an adequate number of health information managers, according to the size of the healthcare organisation, to ensure safe and smooth adoption of digital health in India, leading to informed and safer healthcare delivery. (The writer is Dean, International Institute of Health Management Research, Delhi)

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eHEALTH Magazine

march 2018

Special Feature

Wellness Industry: Drawing New Horizons of Healthy Life Amid mounting work pressure, change in lifestyle and the changing eating habits, the concept of wellness has come to the fore. Wellness depends upon various habits an individual adopts for a healthy body, mind, and soul, writes Mukul Mishra for Elets News Network (ENN).

he old saying ‘A healthy mind lives in a healthy body’ holds a deep message as it is not limited to keeping oneself diseasefree but also it’s about adopting a holistic approach to maintain a good health. Wellness encompasses various practices an individual adopts for a healthy mind, body, and soul. In many families, the grandmas and grandpas could be found preferring natural healthcare for good health and keeping diseases at bay. “Wellness is a concept which has been in vogue in India. With the progress of time, it has become a concept that has assumed a dynamic definition, including the individual’s desire for social acceptance and collective welfare,” said Sargam Dhawan, Director, Planet Herbs Lifesciences Pvt Ltd. Though India has had a rich past in the field of wellness with its ancient practices including Yoga and Ayurveda, and many forms of traditional medicines, the concept of wellness still looks dormant in the country. A big section of population in India still prefers alloapathy rather than giving a serious attention to making lifestyle changes.

march 2018

Wellness Demand Off late, due to a range of factors like changing lifestyle due to globalisation, work pressure at job places and the disposable incomes, this concept of wellness has found its new meaning. In addition, a greater awareness about the wellness among individuals, transition in dietary habits resulting a steep rise in lifestyle-related ailments and an increase in the occurrence of non-communicable diseases (NCDs) have also contributed in bringing the wellness industry to the forefront. According to a Confederation of Indian Industry (CII) report, one in four Indians is likely to die of noncommunicable diseases by the age of 70, which compels people to think about healthy approach of life. “Indian urban people are most affected with mental stress and health disorders due to their busy work schedule and work overload. They don’t get enough time to adopt healthy food habits and hence miss out on important nutrients,” said Lakshman Kumar, CIO, Asian Institute of Medical Sciences. “Despite knowing about its harmful effects, urban people can’t stop consuming junk or fast food as that’s easily available and ready to consume. With young people spending

long hours at work, it’s important to get them talk about the importance of nutrition and good eating habits,” Kumar added. Sensing a vast potential in the healthcare ecosystem, a lot of wellness players have jumped into the fray, shifting focus from traditional offerings like curative health care and value-oriented mass products to newgeneration offerings like preventive health care, luxury products and personalised services. Never before Indians have been more conscious about how fit they are and how they look. The contemporary Indian population is well aware of health and tends to inculcate new ideas into their daily routine. Nowadays one can witness mushrooming gymnasiums, yoga centres, spas, beauty salons in every nook and corner of India. In the quest to look younger, fit and rejuvenating, people, especially the youth, are showing keenness in yoga and Ayurvedic products that have been a part of India’s rich legacy as well. Talking about the ways to minimise stress and keeping ourselves in good mood, Kumar of the Asian Institute of Medical Sciences, said, “Early morning stretches for even 5-10 minutes help us focus throughout the day. They

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Market Potential According to a report by FICCI and EY (Ernst & Young), the Indian Wellness Industry is growing currently at a compounded annual growth rate (CAGR) of nearly 12 per cent. Due to a huge demand of beauty products and alternative therapies, the wellness market is to be worth a whooping 1.4 trillion rupees by 2020. The sector has a potential to generate over 3 million job opportunities, says the report. The wellness sector includes various segments such as alternative medicine, nutrition, preventive and personalised health, workplace wellness, yoga and fitness. The key sub-segments in the sector are beauty care and nutritional care which constitute the maximum industry share currently. In addition, the fitness centers which include gyms and slimming centres and alternative therapies too are catching up fast. Experts believe that with a significant scope for penetration in areas like nutrition, rejuvenation and fitness, the Indian wellness industry provides huge business

potential to the stakeholders. Many variants are still not tapped and waiting to be harnessed. Be it physical wellness, emotional wellness or social wellness, the sector is evolving in its various dimensions. The Rich Indian Heritage India has an unmatched rich legacy represented by its ancient systems of medicine which are a treasure house of knowledge for both preventive and curative healthcare. The Indian systems of medicine and homoeopathy, particularly Ayurveda and Yoga, are widely recognised panacea due to their capability to meet emerging health challenges caused by stressful lifestyle. People across globe have now realised the benefits of these ancient Indian practices (especially yoga and herbal products) for a holistic growth of human mind, body and soul. To promote and give required thrust to the wellness industry, the Government has a dedicated Department of Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homoeopathy (AYUSH). The aim of establishing Ayush is to promote and make people aware the benefits of indigenous medicine. The Government made Yoga, which has been a part of the ancient Indian legacy of alternate medicine, popular on world map by declaring June 21 as International Yoga Day. To make wellness industry more structured and easily accessible, the Government also allocated Rs 1,2 00 crore in Union Budget 2018-19 to establish 1.5 lakh health and wellness

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The Government allocated Rs 1,200 crore in Union Budget 2018-19 to establish 1.5 lakh health and wellness centres across country.

Special Feature

keep us energised, improve flexibility, regulate proper body circulation and improve coordination and relaxation in our body.” “We should drink a minimum of 6-8 glasses of water every day, depending on our physical activity. Sufficient intake of water is very essential to kick out toxins from our body and to rejuvenate our cells,” he added.

centres across country. “Even the Government is undertaking measures to build the wellness industry in India. The Make in India initiative is pushing the wellness as well as other industries much far ahead so as to bring much more investments and opportunities to our country,” said Dhawan, the Director of Planet Herbs Lifesciences Pvt Ltd. Challenges Despite the wellness concept having many health benefits, a large number of people in the country still hesitant or averse to adopt these practices into daily routine. The major reason perhaps is less public awareness. In addition, not much availability of inexpensive yoga centres, Ayurvedic centres and regulated environment of the insurance or healthcare providers are also prominent factors causing wellness industry not getting the required push. As the Government takes steps to align itself with the wellness ecosystem, it is important to address various challenges associated with it. One of the possible solutions is to pair the life insurance policy with a wellness plan which will encourage customers to take action to improve their personal health as well as to reduce their premiums.

eHEALTH Magazine

march 2018

interview

Tech-integrated Govt schemes showing way forward As India has a strong presence in IT, the Initiative of ICT in healthcare has a vision to deliver better health in terms of access, quality, affordability, efficient monitoring of health, says Lakshman Sharma, Chief Information Officer (CIO), Asian Institute of Medical Sciences in conversation with Elets News Network (ENN).

How technology integrated schemes of Government have improvised Indian healthcare sector? In Indian healthcare sector, the Government has taken many initiatives, EHR is one of the technology initiative from the gorvement. The use of ICT (Information and Comunitation Technology) is called E-health or M-Health. In India, mobile technologies have been penetrating at a high rate. As India has a strong presence in IT, the Initiative of ICT in healthcare has a vision to deliver better health in terms of Access, Quality, Affordability, Efficient monitoring of health. The objective and scope of these initiatives are to make all medical facilities available all the time from anywhere in the world through web, mobile services, SMS or call center services. Broadly, the intent is to cover online medical consultation, online medical records, online medicine supply management and exchange for patient information. By providing electronic health records to every citizen of the country, the Government of India intends to introduce a uniform system for maintenance of Electronic

march 2018

Medical Records / Electronic Health Records (EMR / EHR) by hospitals and healthcare providers in the country. Objective of intigrated Health information is to enable the creation of standards compliant Electronic Health Records (EHRs) of citizens on an All-India basis along with the integration and interoperability of the EHRs through a comprehensive Health Information Exchange. Some of the benefits of EMR / EHR are that they provide the backbone of technical infrastructure for leverage by national and State level initiatives. They improve quality and safety of patient care by reducing medication and medical errors. They increase efficiency by eliminating unnecessary paperwork. They improve public health reporting and monitoring. They facilitate efficient deployment of emerging technology and health care services. They provide a basic level of interoperability among Electronic Health Records (EHRs) maintained by individual physicians and organizations. They reduce health related cost.

How PPP model has been instrumental in providing quality and affordable healthcare facility

Lakshman Sharma

Chief Information Officer (CIO) Asian Institute of Medical Sciences

to the general public? The public-private partnership route is meant to improve healthcare delivery in India by 2022. Union Health Minister has said that while public health systems must be strengthened at all levels, healthcare needs to be supplemented through private sector participation. With regard to healthcare infrastructure, at current rates, India will end up with a total bed density of 1.84 per 1,000 people against the global average of 2.9 and WHO guideline of 3.5 in 2022. If these figures have to improve, private sector has to play the role of provider and the industry and insurers will have to come up with innovative business models on investments, project planning and optimum deployment of capital at all income levels,

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What is the scope and opportunity for wellness industry in India? Wellness is a concept which has been in vogue in India. Traditional health practices like yoga, Auyrveda and many other alternative medicines have been considered as the concept of physical as well as mental health. With the progress of time, wellness has become a concept that has assumed a dynamic definition, including the individual’s desire for social acceptance and collective welfare. Majorly influenced by changes in society and in the lifestyles of individuals, this change is because India has always been a favourite place for multi-national companies for outsourcing of projects due to cheap labour cost and high quality productivity. This scenario has also increased the degree of resentment at workplaces which eventually leads to stress and illness among employees. The considerable decrease in the rate and quality of productivity is alarming for employers. This is where the wellness industry of India comes into the picture to save the day. Wellness players have thus responded to this change, through a paradigm shift in their focus point. From traditional offerings like curative healthcare and value oriented mass products, today the emphasis is on new generational offerings like preventive healthcare, luxury products and personalised services. The wellness industry in India has evolved rapidly from its nascent unstructured beginning in the early 1990s to a comprehensive ecosystem today. Moreover, India is becoming a hub for medical tourists

The Make in India initiative is pushing the wellness as well as other industries much far ahead so as to bring much more investments and opportunities to our country.

from around the world. To promote this change, the government launched a dedicated Department of Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homoeopathy (AYUSH) (which now exists as a Ministry of AYUSH) with the aim of providing impetus to these ancient healthcare systems with a targeted thrust. The wellness industry is being driven further by a range of factors including India’s young population, rising disposable incomes and an increase in the occurrence of both communicable and noncommunicable diseases. Strong economic growth in the last few years has resulted in a transition in dietary habits, which has led to a steep rise in lifestyle-related ailments. Along with this, the Indian government is also launching a number of other programmes to promote the wellness industry of India. The Make in India initiative is pushing the wellness as well as other industries much far ahead so as to bring much more investments and opportunities to our country. Old practices like Yoga and Ayurveda is India’s contribution to the global map. Therefore, concerted efforts should be put in to consolidate these sectors further and convert the business potentials to achieve maximum

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benefit for the country.

Reports suggest that around half of the Indians are not serious about regular exercise, balanced diet and other disciplined lifestyle habits. How can people be encouraged to adopt healthy lifestyle? Indian urban people are the most effected of mental stress and health disorders due to their busy work schedule and job overload. Urban youths don’t get enough time and energy to adopt healthy food habits and hence miss out on important nutrients. Despite knowing about its harmful effects, they can’t stop consuming junk as that’s easily available and ready to eat. With young people spending long hours at work, it’s important to get them talk about the importance of nutrition and good eating habits. Their outlook towards diet and exercise needs to change. Adopting change in the midst of managing a healthy lifestyle can be a little disordered due to hectic everyday living. Instead of jumping over huge hurdles, it is advisable to make small changes in our lifestyle per week, to stick to it for a longer duration. Begin our day with light stretches. Early morning stretches for even 5-10 minutes will help us wake up instantly, help us focus throughout the day, keep us energised, improve flexibility, regulate proper body circulation and improve coordination and relaxation in our body. We should drink a minimum of 6-8 glasses of water every day, depending on our physical activity. Sufficient intake of water is very essential to kick out toxins from our body and to rejuvenate our cells. Whether it is red, yellow, blue or green add all colors of fruits and vegetables to our plate. The more the colour the better the health benefits we will drive.

eHEALTH Magazine

march 2018

interview

especially in the rural and urban poor sectors. In Jharkhand, the Asian Institute of Medical Sciences has already started affordable healthcare services.

sneak peek @ medical devices industry 34

Hindustan Syringes and Medical Devices gets ‘India Design Mark’

industan Syringes and Medical Devices Limited (HMD), which today exists as the country’s leading manufacturer of SMART (auto disable) syringes, was recently granted the most significant distinction ‘India Design Mark’ by the India Design Council. It has been granted the ‘India Design Mark’ for its recently introduced product ‘Safety Cathy IV Cannula” which is used for drug delivery. It was given this after having successfully completed the evaluation by the jury during an award ceremony in Coimbatore. The India Design Council exists as an autonomous body under Ministry of Commerce and Industry Government of India. The India Design Mark is a design standard, which symbolises excellence in form, function, quality, safety, sustainability and innovation and communicates that the product is usable, durable, aesthetically appealing and socially responsible. It needs to be understood the Safety IV Cannula , used for giving infusion of drugs, has a protective device “SAFETY SIP CLIP” which encapsulates the tip of the used needle when introducer needle is extracted from the Catheter; Post Cannulation. The “Safety Sip Clip” prevents accidental needle stick injury, provided that general effective and safe working procedures and precautions are maintained during its use and disposal. The award was announced by Pradyumna Vyas, Member Secretary,

march 2018

India Design Council in the presence of eminent personalities associated with public and private healthcare, government establishments and healthcare consultancies.

“While this is a prestigious recognition for us at HMD to make the quest for the India Design Mark more popular the procurement officer in Private & Public Healthcare need to give a preference to Medical Devices with the Design to encourage Manufacturer to invest in Quality & Design,” said Pradyumna Vyas, Member Secretary, India Design Council, on the occasion. Reacting to this granting of ‘India Design Mark’, Rajiv Nath, Joint Managing Director of Hindustan Syringes and Medical Devices Ltd (HMD), said, “We are delighted to be honoured by the most significant recognition for our safety IV

Cannulas assuring excellence in aspect of design, quality and safety. “Our product samples were evaluated by the Jury of India Design Mark. The Jury was satisfied with the uniqueness and benefits of the Design of our product and the India Design Mark is awarded to HMD.” It may be noted that the India Design Mark aims to use the design as strategic element for business excellence, to promote design as a tool for innovation and economic competitiveness in industry and to promote the concept of environment friendly designs. Rajiv Nath also stressed that the Government urgently needs to deploy “Safety I V Cannulas” to Limit HIV & Hepatitis Epidemics in the Country and to protect Healthcare workers from accidental needle stick injuries while treating infected patients. “We have been exporting millions of our Safety I V Cannuls to Sweden, Norway, Denmark and other European Countries but (we) are challenged by the discerning Indian doctors who demand quality. The Design Mark should help us gain confidence and trust of those doctors as we did for our Ribbon Packed DISPOVAN Syringes,” said Pardeep Sareen, Chief of Marketing, at HMD. HMD is the most prominent and key player in India and abroad in the manufacturing and supply of Syringes, Needles, I.V.Cannulas, Safety I.V.Cannulas, Surgical Blades, Safety Scalpels, Scalpvein Sets, Nonreusable (AD)Syringes, Blood collection tubes and blood collection systems etc. etc.

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leader’s speak 36

Innovations Showing Way

Forward To Healthcare Industry Healthcare industry in India is riding on a wave of opportunities provided by innovations. The care providers are investing in understanding / devising new strategies on how they can take healthcare close to individuals, says Dr Nayan Shah, Managing Director, Paramount Health Group, in conversation with Elets News Network (ENN).

How is Indian healthcare is evolving with the help of new advanced equipments and technological innovations? Shift in the technology has changed the face of healthcare industry globally. Earlier, use of the technology was restricted only to the hospital administration. Today, technology has changed the way doctors and patients interact with each other. Innovation and integrated technological platforms are at the core of the digital revolution in today’s world. We still have a long way to go. Adoption to the medical technology as a core of medical services delivery is at its budding stage in India. In the western world telemedicine is quite prevalent and the patients as well as the doctors are comfortable interacting with each other over the phone or a video call. However, in India there are apprehensions about use of such technology by medical professionals. On the other hand, these medical professionals are excited and are welcoming most advanced equipment / techniques like Robotic surgeries, Gamma knife radio surgeries, TilePro TM multi-image stereo viewer etc. Another example of technology being used in mainstream medical facility is the use of IBM Watson which is a smart system. Manipal Hospital, Bangalore was the first hospital in India to introduce the use of Artificial Intelligence in the form of IBM Watson. This not only helping doctors to

march 2018

diagnose patients with better accuracy but also assist them in chalking a treatment path with precision. A report published in a leading daily stated that India’s surgical robotics market is estimated to expand at a compounded annual growth rate (CAGR) of 20 per cent between 2017 and 2025 to hit the size of $350 million, compared with $64.9 million in 2016. This growth will be fuelled by the corporate hospital chains like Apollo Hospitals, Fortis Healthcare and Aster Healthcare etc. If the Government adopts a common platform where all the records of patients are stored in a particular way, this will help physicians immensely by allowing them to treat patients in a more focussed manner. Besides, the data which this arrangement shall generate will provide deeper insights to the Government to roll out specific plans for targeted geographical locations in order to control the spread of disease more efficiently. This will also help government to allocate the funds appropriately towards its healthcare spend. In India, we are seeing a surge in number of patient with early onset of conditions like Hypertension, Diabetes, and pulmonary diseases etc. These long-term diseases burden our healthcare ecosystem. However, they also present an exciting opportunity for technology companies to innovate and offer a solution to tackle the problem

Dr Nayan Shah

Managing Director Paramount Health Group

before it is aggravated.

What are the emerging healthcare trends and how are they playing a pivotal role in delivering healthcare facilities efficiently? Healthcare industry in India is riding on a wave of opportunities provided by the innovations taking place in this area. Care providers are investing their efforts in understanding / devising new strategies on how they can take healthcare closer to the individual. Following are some emerging trends which may change the course of the industry in near future: • Government has extended its profile from merely being a service provider to a covering the cost of treatment through its general insurance schemes rolled for its citizens. • Digitisation and internet based medical service players are increasing and a large amount of private equity investments are seen in this vertical. • Focused products like – Diseases Management programs are gaining popularity.

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How have technology integrated schemes of the Government improved Indian healthcare sector? In the 2018 budget, it is quite clear that the Government is serious about improving healthcare outcomes in the country by leveraging new and innovative methods and integrating technology with healthcare. In fact, the private sector is expected to be the major driving force for the technology integrated schemes of the government. Recently the Government has also approached Nandan Nilekani for building the IT infrastructure for the National Health Protection Schemes (NHPS).Various schemes have been launched time and again by the Government of India to improvise the healthcare scenario. To improve health awareness among the citizens, the Government programmes and services in healthcare sector, the National Health Portal (NHP) was launched by the Government. To facilitate ease of services for citizens, Online Registration System (ORS) was launched in 2015. This system provides various services to

citizens - taking online registration and appointment, payment of fees, online viewing of diagnostic reports, enquiring availability of blood online etc. in various public hospitals. It is expected to help the government to take appropriate decisions for enhancing the quality of healthcare delivery across public facilities which will improve the patient’s experience. The patient will be able to receive an effective and appropriate care. To promote organ donation amongst citizens, the National Organ & Tissue Transplant Organisation hosts a web-portal that offers services for Online Registration for Organ/ Tissue Transplantation or Retrieval and Online pledge registry by citizen for organ donation. Apart from this, a wide variety of Mobile Applications have been launched by the Government: • Vaccine Tracker (Indradhanush Immunization): • India Fights Dengue • NHP Directory Services Mobile App. • Pradhan Mantri Surakshit Matritva Abhiyan Mobile App. • Mera Aspataa Apart from the above, a number of e-Health initiatives have been started by the various states. It is also collaborating with leading healthcare institutions and foundations to develop various mhealth solutions for improving the healthcare ecosystem in India.

What is the scope of the wellness industry in India? In India, wellness has been practiced since ancient times. Globally the Wellness movement began after the end of World War II largely because society’s health needs changed. With the progress of time, definition of wellness is largely influenced by changes in the lifestyles of individuals in the advent of globalisation. The Indian Wellness Industry is expected to reach Rs.1.5 trillion by

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financial year 2020, according to a recent report by FICCI & EY. Another report even suggests that Wellness will be a key growth driver of Health insurance in India. The three major segments that dominate the Wellness market landscape are – Hair and skincare, Wellness food and beverages and Fitness. Some of the other popular segments of the wellness industry include –alternative medicine, healthy eating and nutrition, preventive and personalized health, workplace wellness, yoga and alternative therapy services. Rejuvenation services also are gaining popularity. Some of the key industry trends in this sector include: • A large number of domestic entrants and international players. • Franchising is emerging as a popular option for scaling up. • Public and private equity investments are increasing To promote this change, the Government has set up a dedicated Department of Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homoeopathy (AYUSH) with the aim of providing impetus to these ancient healthcare systems with a targeted thrust. Furthermore, the Indian wellness industry is to hit a whopping 1.4 trillion rupees by 2020 according to various reports and surveys. The sector has a potential to generate over 3 million jobs.

leader’s speak

• The ease of accessing healthcare is seen at least in urban areas owing to players like home health care companies, e-pharmacies etc. • Private companies are looking to tap uncharted territories like – Tier 3 and tier 4 cities and the rural population via technological platforms. • Investment in point-of-care devices is seen lately In 10 years, it shouldn’t surprise anyone if the doctor’s clinic turns into a room where a computer acts as a physician. The computer will also assess your condition, prescribe basic medication or it may even dispense the medicines immediately. If needed it will also collect the blood sample or take an X-ray and the report will be issued immediately.

What are the different dimensions of wellness industry? The indicators of the dimensions of the wellness industry are: • Promote Health: This aspect comprises promotion of healthy habbits via adoption of healthy practices and lifestyle changes such as fitness an changing dietary patterns • Preventive Health: Regular health monitoring, Evidence-Based Screenings and Counseling • Protective Health: Routine Immunisations.

eHEALTH Magazine

march 2018

Health-tech Initiatives

KMCH’s Mobile Stroke Unit Brings Relief in Coimbatore

A family member suffering a stroke can leave any one of us shocked. We don’t know what to do in such a medical emergency. Coimbatore-based KMCH has come up with a solution. As the blood supply to a part of one’s brain is interrupted, it deprives brain tissue of oxygen and nutrients. Besides, 17 lakhs brain cells keep dying every minute, reports Elets News Network (ENN).

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n a bid to provide the muchneeded medical attention required for any stroke-hit patient, Coimbatore-based Kovai Medical Center and Hospitals (KMCH) has introduced a mobile stroke unit or a special ambulance dedicated to treatment of acute stroke and similar time-sensitive brain ailments. The KMCH Mobile Stroke Unit performs a key role for the patient within the first three hours of stroke

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Mobile Stroke Unit – How it Functions? A mobile lab in the KMCH Mobile Stroke Unit is able to test blood samples on board. If it is found that the patient is experiencing an ischemic stroke – which account for about 80 per cent of all strokes – the on-board medical team can initiate intravenous (IV) clot bustering drugs immediately. If the patient shows, no recovery by the time the patient reaches the emergency, he will require the next level of treatment, where the clot will be mechanically removed by the use of a suction catheter or stent retriever. Following treatment, the patients are closely observed in a stroke ICU. Then KMCH is one of the few centres in the world where the patient with stroke can receive treatment within the golden hour and receive state of the art treatment of the blocked vessel

What Happens During Stroke? During stroke, the patient finds that he/she is unable to move a hand, leg or one half of the body which is either due to block in the blood vessels caused by clot or by ruptured blood vessels. Time is crucial in stroke. Treated within first critical hours chances of recovery are high. The Challenge of Stroke Stroke therapy has been a challenge not only in India but across the globe. It is so as the first-line treatment in instilling the clot buster drug should be initiated within the first three hours of the stroke. But before that a CT scan should be done to ascertain whether the stroke is caused by blocked blood clot or by ruptured blood vessels.

if the initial treatment fails. Thus, it is most preferred hospital for all neurological complications. The KMCH Mobile Stroke Unit

The KMCH Mobile Stroke Unit reduces the time for the onset of treatment for the stroke patient thus providing high chances of recovery.

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Health-tech Initiatives

usually termed as Golden Hours. Coimbatore District Collector T.N. Hariharan recently flagged off KMCH Mobile Stroke unit for public service. “The goal is to show that patients treated on the mobile stroke unit will have better outcomes because of earlier treatment and, therefore, will have fewer long-term acute care needs and/or rehabilitation needs,” said Dr Nalla G Palaniswami, Chairman, Kovai Medical Center and Hospitals, who is spearheading this change in the management of stroke. He added that the KMCH Mobile Stroke Unit is technically advanced and designed to suit the Indian roads. The Inspector General of Police West Zone Coimbatore A. Pari launched the Stroke Unit Hotline Number. Commissioner of Police of Coimbatore City K Periaiah launched the mobile app for stroke. Commissioner of Coimbatore City Municipal Corporation Dr K Vijayakarthikeyan launched the Stroke ICU.

reduces the time for the onset of treatment for the stroke patient thus providing high chances of recovery. The KMCH Mobile Stroke Unit is a specialised ambulance staffed with a doctor, nurse, emergency personnel and CT technologist. The unit also contains lab testing equipment and a CT scanner. The CT scans are wirelessly transmitted to KMCH neuroradiologists, who in combination with a neurologist, decides if the patient is experiencing a stroke, if so, then whether the stroke is caused by a blocked blood clot (ischaemic) or caused by a ruptured blood vessel (hemorrhagic) . Meanwhile, a neurologist assesses the patient’s symptoms via telemedicine technology en route to the hospital. This unit also contains lab testing equipment and a CT scanner.

eHEALTH Magazine

march 2018

health-tech solutions

New Arrivals CMFRI to launch marine natural product to treat thyroid disorder The Central Marine Fisheries Research Institute (CMFRI) will soon launch a natural product from the sea for treating thyroid disorder. The CMFRI has already developed various nutraceutical products for diabetes, arthritis, and cholesterol from marine organisms. Speaking on the same, A Gopalakrishnan, Director, CMFRI, said, “the marine nutraceutical product developed by the Institute for thyroid dysfunction is in the final stage of clinical trial. The product will be commercialised soon after the successful completion of the clinical experiment.” The Research Institute is looking forward to develop more marine natural products, including, cosmeceuticals. To commercialise the natural marine products developed at the Institute, CMFRI seek the possibilities of interaction with the industry, he said. Marine natural products are highly in demand due to their enriched ingredients and properties which are beneficial for health.

Siemens Healthineers Introduces Innovative Diagnostic Platform Aina Siemens Healthineers India has joined hands with start-up medical technology company Jana Care and introduced world’s first smart phone based diagnostic platform Aina in India. This innovative diagnostic system will enable people to avail high quality of testing anytime, anywhere. Aina which makes detection and management of chronic diseases an easy task is available in two configurations, a smart phone based device and tablet based portable lab system. It offers a broad range of tests on a single platform. When asked how this innovative diagnostic platform will cater people, Anuj Dhingra, Vice President, Global Marketing, Point Of Care Diagnostics, Siemens Healthineers said, “This handheld solution gives an opportunity to healthcare professionals to instantly check multiple parameters including HbA1C, glucose, lipids, and others, and provide a treatment pathway.”

Oracle launches Cloud-based eClinical Platform for enhanced medical research Oracle has launched Clinical One Platform for enhanced clinical research. In addition to that, the company has also unveiled Clinical One Randomisation and Supplies Management which are designed to eliminate the need for customisation. This capability will feature an intuitive user interface, enabling clinical teams to design, validate and deploy a study in days with the click of a button. These olatforms will enable clinical coordinators to quickly add patients to a trial, collect screening information and ensure eligibility for randomisation in record time. Cloud based Clinical Platform unifies clinical development operations and information to help life sciences companies bring therapies to the market faster and more cost-effectively.

Viral load testing launched for people living with HIV/AIDS The Union Health Minister for Health and Family Welfare J P Nadda recently launched viral load test for people living with HIV/AIDS (PLHIV). Under this program, PLHIV would be provided free test facility at least once a year. The scheme to benefit 12 lakh HIV/AIDS patients who are currently on treatment. Viral load test measures the amount of virus in the blood sample. It is used to diagnose acute HIV infection and to monitor response to antiretroviral therapy (ART). “This Viral Load test is of immense importance to monitor the effectiveness of treatment of patients taking lifelong Antiretroviral Therapy,” Nadda said while speaking at a function in New Delhi.

March 2018

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medical education perspective

Technology — Key Enabler in Transforming Medical Education The future of medical education will be more interactive with the explosion of information through digital platforms. It will lead to a lot of inter-departmental collaboration and coordination in the field of healthcare across the globe, says Dr Vijay Patil, President and Chancellor, DY Patil University, in conversation with Rakesh Kumar Roy of Elets News Network (ENN).

How has digital technology transformed medical education in last few years? With the advent of technology, the role of doctors and medical professionals have dramatically evolved in terms of providing healthcare solutions. Technology is now becoming the great facilitator in medical education as per the current scenario. It is the need of the hour that medical educators in our country should adopt modern ways of medical practices with the help of technology along with the traditional ways of medical education, which has still remained quite fundamental.

Educators and medical professionals should keep abreast with the modern practices and latest developments in the field of healthcare to match the global standards.

How do you perceive the collaboration of India International Dental Congress (IIDC) with DY Patil University? Dentistry is an important part in the field of healthcare. Collaboration with professional bodies like IIDC facilitates the unique opportunity to keep abreast with all the latest development in the field of healthcare

Dr Vijay Patil

President and Chancellor DY Patil University

education. It is very important for medical educators to work closely with professionals to update on the best quality education and latest global practices. For the better understanding of the real world, it is necessary that the educationalist should be in synchronisation with professional groups to keep pace in the fraternity. This collaboration helps to get a better understanding of all the developments and innovations taking place in this field.

What are the emerging trends you foresee that will drive the future of Medical Education? The future of medical education will be more interactive with the

march 2018

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How has DY Patil University taken initiatives in introduction of technology in study methods? Technology is being used extensively

at DY Patil University. The teachinglearning methods have been incorporated based on digital learning tools and technologies. Simulation App and a medical simulation laboratory has been introduced for the students where students can learn in a virtual way rather than practicing on patients. Digital platform has been created for our students in terms of applications to watch their lectures online and view their content curated by some of the best professors through customized platforms. We have introduced the ‘Continuing Dental Education Programme’ that brings the most enlightened minds of dentistry under one roof for an active interaction and exchange of ideas and knowledge pertaining to the dental field. These initiatives will supplement the traditional way of medical teaching which has been practiced since decades.

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It is the need of the hour that medical educators in our country should adopt modern ways of medical practices with the help of technology along with the traditional ways of medical education, which has still remained quite fundamental

eHEALTH Magazine

march 2018

medical education perspective

explosion of information through digital platforms. It will lead to a lot of inter-departmental collaboration and coordination in the field of healthcare across the globe. Certainly, technology will play a key role in providing better healthcare solutions to the people. Technology will be facilitating in spreading the medical education by making it more functional and effective. It will allow in providing more solutions to the large cross-section of people not only in India but across the globe. In the digital era, a lot of information or content is curated by some of the best experts across the globe. However, this is the duty of our educators to guide or teach students how to use the information in an efficient manner.

Healthcare Initiatives

Smile Care Expert Dental Centre â&#x20AC;&#x201C; Preparing Dentists of Tomorrow Smile Care Expert Dental Centre has been involved in educating and training dentists and professionals for over 20 years. In our association with New York University over the years, we have managed to train more than 30,000 dentists in India, says Dr Ratnadeep Patil, Managing Director, Smile Care Expert Dental Centre, in conversation with Rakesh Roy of Elets News Network (ENN).

Dr Ratnadeep Patil

Managing Director Smile Care Expert Dental Centre

How has the dental education evolved over the years? Smile Care Expert Dental Centre has been involved in the continuous process of educating and training dentists and professions over the last 20 years. In our association with New York University over the years, we have managed to train more than 30,000 dentists in India. E-Learning or technology in learning has become a buzz in the education industry and today it caters to the needs of modern-day learners. However, a larger part of dental training and education still requires physical methods, I believe around 35-40 % of the training now can be done through e-learning. Initiatives have already been

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started in the direction and training will now be offered in this direction not only at the level of continuous development through professionals but through dental colleges. It is the need of the hour where we have to move from the physical methods to the e-leaning mode of education.

How have the customersâ&#x20AC;&#x2122; expectations changed in dental healthcare with advancement of digital technologies? Digital technologies and Computer aided design and manufacturing have

become an integral part of dentistry and the patients now expect faster treatments and more precise and predictable results. Cone beam scans have allowed very accurate three-dimension images of pathologies and hence allows better planned surgeries. Artificial Intelligence and Robotics are fast gaining importance in specific medical and dental surgeries. With the advancement of technology, customers are now much more aware of dental healthcare. Dentistry is now not only limited to

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Digital technologies and Computer aided design and manufacturing have become an integral part of dentistry and the patients now expect faster treatments and more precise and predictable results.

What is the objective of IIDC Transformational Leadership Summit 2018? The objective of the â&#x20AC;&#x2DC;Transformational Leadership Summit 2018â&#x20AC;&#x2122; is to appraise the young dental professionals about the real world of dentistry in terms of education, research, technology and use of internet - everything put together. The summit is all about giving a

better understanding to the teachers as well as the students how the dental practices are going to be in the coming years from now. The summit witnesses eminent speakers from USA, Europe and across India to discuss topics related to different subjects of dentistry viz;

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Insurance, Make in India initiatives, Oral medicine and Pharma, Technology, Innovative drugs, Natural remedies, etc. The whole purpose of the summit is to showcase holistic approaches of evolving dental healthcare sector.

What is your message for young dentists? It is a big task for todayâ&#x20AC;&#x2122;s young dentist because the field they are entering requires clinical judgment and hands skill are very important. Now things are happening so rapidly with advent of internet and mobile, and people are very impatient and want results very fast. While robotics, automation etc can work to a certain extent in the field, pure dentistry is based on skill-linked subjects. Therefore, hand skills, bedside manners, patient management skills will always remain very important aspects in the dental practice. The young dentists have to quickly learn through a mix of e-learning and mentorship learning.

eHEALTH Magazine

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Healthcare Initiatives

cleaning and bleaching of teeth. The dental healthcare has extended to aligning, capping, implant of teeth through digital technology, 3-D Ultrasound, X-Rays, etc have become a thing of the past. Robotics, Artificial Intelligence, Automation are playing key role in dental healthcare solutions in the current scenario. As more high-quality digital information becomes available to customers, it is imperative that the information should come from certain platforms which people can trust. The information should be validated, evident and research-based.

Industry Perspective 46

India Becoming a Hub for Medical Tourists We at Clinivantage have developed state-of-the-art Doctor of Things (DoT) devices that can help monitoring of health in the most simplistic and hassle free way, says Dineah Samudra, Founder and CEO, Clinivantage Healthcare Technologies in conversation with Elets News Network (ENN).

What are the different dimensions of wellness industry? India is popularly known for its traditional health practices like yoga and Ayurveda as well as many other alternative medicines. It is also a home to modern medicine and practices therein to maintain good health. It’s a known fact that with increased stress related problems, especially in the urban regions, health and fitness are given priority over other necessities. With rapid changes in lifestyle and a desire for social acceptance, care givers have responded to this change through a paradigm shift in their focus point. From traditional offerings like curative healthcare and proactive health and wellness management is slowly gaining ground as also personalised services for health recovery and palliative care. The wellness industry in India is evolving slowly from its unstructured beginning in the early years to a broad ecosystem today. Moreover India is also becoming a hub for medical tourists from around the world, for modern medicine as well as traditional cures. India is now looking forward to deliver last mile care to its rural population, thus giving them equal

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right to good medical aid even in the remote areas of the country.

Records say that around half of the Indian people are still not serious about regular exercise, balanced diet and other disciplined lifestyle habits. How can we encourage people to adopt healthy lifestyle? Healthcare facilities provided in developing countries are not at par with the developed countries. Most of the developing countries have public/ governmental sector organisations that take lead in delivering healthcare throughout the country. Despite decades of budgets and plans the actual healthcare systems in many countries are quite different. Even today maximum population is expected to meet their own health expenses. At the same time, there is a lot of stress involved in professional life of an individual. We do not have fixed budgets for healthcare. People have now realised the importance of healthcare which is still limited to symptomatic and reactive care. We at Clinivantage have developed state-of-the-art Doctor of Things (DoT) devices that can help monitoring of health in the most simplistic and hassle free way. Using such devices individually or for a

Dineah Samudra

Founder and CEO Clinivantage Healthcare Technologies

larger population like a village or hamlet, regular screening of health is possible. This not only generates records for policy decision making for the local governance, but on independent level makes the people aware about their health, exercise and diet requirements.

There are many proven benefits of yoga, still people don’t follow it religiously. How people can be encouraged to make this as a regular practice to improve their health status? Through our health monitoring programs we are making people aware about the exact care they need to take. Yoga being one of the ways to train and exercise the body. We are ready to promote Yoga and its benefits through our app for the healthcare consumers to make them understand that Yoga is internationally accepted practice of exercise.

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Yoga has been an ancient practice till now in India. Off late it has been commercialized as many centres have been opening across country. How do you see the scope of yoga industry in coming years? Yoga is remedy for practically every ailment. Yoga needs to be studied upon and it must be promoted in positive ways in order to make it a lifestyle in its country of origin.

How technology integrated schemes of Government has improvised Indian healthcare sector? The Government is running many integrated schemes to improvise healthcare sector. The Government is executing a few of these schemes with the help of private sector companies and their CSR too. This no doubt will make faster delivery of quality healthcare to the people of this country. The technology developed by the private companies, thus, does not remain limited to select few, but reaches to the grassroot level.

How PPP model has been instrumental in providing quality and affordable healthcare facility to the general public? The PPP model roped in both – technology and efficiency makes it the most effective model to execute any scheme. Healthcare is no exception to this. The Government is doing every bit to delivery last mile care to the remotest part of the country trying to create a healthy India. The private sector is more than happy to be associated with the Government in achieving its goal. We as Clinivantage are proud to be part of such Government projects. We are working with the VSTF in Maharashtra to reach the last mile care in remote villages of the State and are very happy to state the success of the DigiVillage project through the cooperative efforts with the Government and VSTF officials.

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The wellness industry in India is evolving slowly from its unstructured beginning in the early years to a broad ecosystem today. Moreover India is also becoming a hub for medical tourists from around the world, for modern medicine as well as traditional cures.

Industry Perspective

sector. But do we have enough trained staff to handle these emerging technological sound equipments? If not, how can we ensure that? This statement itself has an answer in it. Technology today means simplicity of operations and better results. The DoT devices developed by Clinivantage are so easy to operate that ASHA workers and other volunteers of the villages are operating them successfully. There is no chance of human error at all. This way not only the healthcare is delivered to remote places, but by making the staff required to run these remote OPDs available locally we are also generating employment there. They are trained and made aware about the care of such equipment making it easy for them and us to handle the situation. Our engineers frequently visit the villages and ensure that equipment and OPDs are operating well.

eHEALTH Magazine

march 2018

Guest Article 48

Healthpod: An Accelerator Program for Healthcare Start-ups

ncubators have become prominent within non-healthcare sector like technology, service industry, etc. But in the Indian healthcare this concept is still lacking. The future will see growth in healthcare incubator due to their obvious and quick-to-realise value — they help bring people together and give fledgling firms access to otherwise-hard-to-obtain resources. Any start-up that participates in an accelerator, gains access to mentorship, networks, one-to one coaching, and typically some level of funding. Healthpod focus specifically on healthcare startups from the seed stage onwards. We believe that mentorship is mostly required when an idea needs a validation and that is precisely what Healthpod does. Healthpod mentors work intensively with the companies

march 2018

to help them meet their business goals. Typically, these goals include validating idea, gaining customers, raising capital, building marketing and sales pitch, and refining an investor pitch.

How is healthpod different from another incubator? An accelerator typically has three to six month timeframe for working and post that they leave the start-ups on their own. But in Healthpod we’ve realised that three month is not long enough to get a company to market—the sales cycles within healthcare typically take much longer than that (around 18-24 months for health systems). So at Healthpod we give the start-ups the time they require, which can vary from 12 to 24 months based on the need of the start-up. This allows them to have meaningful

Saarthak Bakshi

CEO, International Fertility Centre

connections and reach to the best of brains in healthcare to validate the business model without any fear of being removed. At Healthpod we not just provide mentorship to the startu-ups but also provide them the proper exposure

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Guest Article

to hospitals and other sectors so that they can practically test the product and get an access to a bigger pool of cases. This also help them understand the real time problems which arise when the product is implemented in various sizes of setups. Earlier, the start-ups used to approach an Incubator just with one need of funding but now things have changed. Now they look at the network an incubator can provide and also the names associated with them as mentors. It is because at the end along with funding even the kind of associations and connects a start-up can make is very important for its survival and growth. We support our companies on a wide range of business issues, including fund raising, go-to-market planning, customer development, business development, contracting, pricing, marketing, communications, and PR

How Your Company Will Benefit? We provide things which are most essential for start-ups today:

Guidance: Every investor provides money and mentorship. But in our case the money is the smaller component. The money we provide is purely to help our companies pay living expenses for incubation months. The most impactful thing we do is working hand-in-hand with our companies to grow their businesses. The kind of advice we provide cannot be bought, because our mentors have proven track record of successfully mentoring numerous startups. Access to potential customers: We have built up a network of healthcare leaders and decision makers and all our startups have access to our network who are their potential customers. Marketing and sales pitch: We work with you to write the content for your marketing materials, including emails, pitch decks, and website content, and will even join you on sales pitches to provide you with feedback. This is hands-on

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marketing and sales consulting which is hard to get anywhere else. Access to potential investors: Most people invest in early-stage companies based on relationships. We help you strategically increase the size of network and provide you credibility to close the deals. Moreover, we provide you with proven tactics to generate interest and close investors from your network as well as ours. Support group: Entrepreneurship journey is many a times a lonely affair and you have to learn unlearn and re-learn from your own mistakes. But at Healthpod we provide a group culture where you learn from other people and you always have someone to lend ear or shoulder when you need them the most. (The writer is Saarthak Bakshi CEO, International Fertility Center. Views expressed are a personal opinion).

eHEALTH Magazine

march 2018

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