presentation - himss apac 12 by himss india

HIMSS ASIAPAC12 CONFERENCE 17-19 SEPTEMBER 2012 MARINA BAY SANDS, SINGAPORE

STATE OF HEALTHCARE IT IN INDIA

AMIT MISHRA EXECUTIVE MEMBER, HIMSS INDIA

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India Healthcare Landscape • • • • • • • •

Public Healthcare Infrastructure Public Health Programs Private Healthcare Infrastructure Demand Supply Gap Complexity and Challenges Growth Perspective Healthcare IT Spending in India The Way forward

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Healthcare Infrastructure Private Healthcare

Public Health Programs – GOI

Public Healthcare

Not For Profit Org / Other Healthcare Org

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States of India Mizoram,Nagaland,Pondicherry,Himachal,Manipur,Meghalya,Goa Orissa,Chandigarh,Haryana,Bihar Assam,Punjab,MP,Karnataka,UP Rajasthan,Gujarat,Kerala Andhra Pradesh , Tamilnadu,West Bengal, Delhi, Maharashtra

Number of Hospitals >10 11-50 51-100 101-200 < 200

Source: Research Paper of Ramesh Bhatt and Nishant Jain, IIMA 10/13/2012

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Spending on Health a

Member State

USA Germany UK Sri Lanka India

Total expenditure on health as % of gross domestic product 2000 13.4 10.3 7.0 3.7 4.6

2008 15.2 10.5 8.7 4.1 4.2

Health expenditure ratios Private General government expenditure on expenditure on health health as % of total as % of total expenditure on expenditure on health health 2000 2008 2000 2008 43.2 47.8 56.8 52.2 79.8 74.6 20.2 22.0 79.3 82.6 20.7 17.4 48.3 43.7 51.7 56.3 27.5 32.4 72.5 67.6

Out-of-pocket expenditure as % of private expenditure on health 2000 2008 25.5 24.4 54.8 53.9 64.6 63.7 83.3 86.7 92.2 74.4

Source: WHO 10/13/2012

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The density of doctors per 10,000 populations in India is 6 as compared to the world average of 11.5, while the density of nursing staff in India is 13 per 10,000 as compared to the world average of 28.4.

India is a signatory to the Millennium Development Goals (MDGs).

World Health Organization report that India needs to add 80,000 hospital beds each year for the next five years to meet the demands of the population.

The Urban and Rural Divide: Although about 70% of Indiaâ&#x20AC;&#x2122;s population lives in the rural areas, it accounts for only a meager 15% share of the cumulative healthcare resources

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Complexity and Challenges Inadequate accessibility to affordable quality services Low Government funding & lack of efficient execution of schemes & initiatives Shortfall in Health care infrastructure and Workforce

Dependency on Paper Records Costs Continue to spiral

Rational Use of Drugs

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Growth Perspective

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“Information systems at any McDonalds's are more advanced, and more useful, than those in your doctor’s office.” Fast Company – April 2006

Healthcare IT Spending in India

Source :SHS 10/13/2012

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HIMSS India Study Highlights

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The Healthcare IT …User Experience

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Reasons of dissatisfaction • HIS is not user friendly as all systems are not fully integrated • Limited user interface and lack of customization • Outdated technology, unsatisfied with vendors, limited support

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Barrier for Health IT adoption Lack of sufficient funds Lack of human resources Lack of strategic plan for computerization Return on Investment of computerization cannot be quantified

Lack of clinical guidance Unsuccessful implementation of computerization projects Providers cannot meet requirement for products and services Lack of legal and policy support Lack of support from hospital administrators 10/13/2012

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Slow Adoption â&#x20AC;Ś Cost is an issue System is not ready and doctors and staffs are not willing to use HIS

Lack of supporting infrastructure Hospital expansion Lack of IT literacy among Medical & Para-medical professionals Lack of Govt. determination to introduce HIS in hospitals

Government policies Phase- wise implementation of HMIS in Govt. District Hospitals Training issues, lack of capacity building program for clinical staff Resistance of staffs

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Suggestions…. • “Should be user friendly and staffs should be provided need based training” • “Hospital should go for Computerized HIS as early as possible” • “Sensitization of Doctors and staff to use the technology by using various medical professional association such as IMA, FOGSI etc”

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The Way Forward…  NEED OF HEALTHCARE IT STANDARDS  NATIONAL STANDARDS FOR INTEROPERABILITY  NEED OF A PUBLIC HEALTHCARE INFORMATION SYSTEM  TASK FORCE FOR HEALTHCARE INFO SYSTEM IT TRAINING - HEALTHCARE PROFESSIONALS AT MED-schools

 THE EARLIER THE BETTER

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May be a UNIVERSAL ADAPTER

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Standards and Interoperability • Standards provide a common language and set of expectations that enable interoperability between systems and/or devices.

• “Interoperability” describes the extent to which systems and devices can exchange data, and interpret that shared data. For two systems to be interoperable, they must be able to exchange data and subsequently present that data such that it can be understood by a user.

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• • • •

Importance of Standards and Interoperability

Standards bring technological, economic and societal benefits. Healthcare dependency on information Benefits in figures GBP 2.5 billion - annual contribution standards make to the UK economy • 80% - percentage of world trade impacted by International Standards • AUD 100 million - benefits to Australian economy from sampling standards in the mining industry • 84% reduction in transportation time due to standardization of container transport : source ISO 10/13/2012

India’s Imperatives for Standards • • • •

Effective Management of limited Usable Healthcare Resources Population > Data > Information Languages and Dialects Cost – having many different competing ways of doing the same thing can be costly. Examples of this are the large number of different mobile phone power sockets; or where every computer supplier developed a list of allergies from scratch.

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• Safety – for example specifying the minimum safety requirements for a baby car seat; or the safest way to present an allergy alert on a computer screen. • Health Insurance • Medical Tourism • Measurement of health status, performance monitoring, and the achievement of national performance targets.

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NEED OF A PUBLIC HEALTHCARE INFORMATION SYSTEM

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TASK FORCE FOR HEALTHCARE INFO SYSTEM

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IT TRAINING - HEALTHCARE PROFESSIONALS

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THE EARLIER THE BETTER • Need of Healthcare IT Standards Specifically designed for developing Country like India where the HIT is still in nascent stage. • Eliminate waste and duplication while ensuring that patient information is available at the point of care, eliminating unnecessary tests, enabling more informed decisions and improving the quality of care.

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Better… • Telecom Industry India – Telecom Centers of Excellence – Development Organization of Standards for Telecom in India – Telecom Sector Skill Council

• World’s Reputed Clinical Staff • World’s Recognized IT resources

Aneesh Chopra: ‘There’s never been a better time to be an innovator’ 10/13/2012

THANK YOU

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