Express Healthcare (Vol. 17, No. 8) September 2024

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Enhancing healthcare efficiencywith AI and predictive maintenance in healthcare

HEALTHCARE IT

Ensuring the securityof EHR: Best practices and emerging technologies

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Chairman of the Board

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Editor Viveka Roychowdhury*

Editorial Team

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Kalyani Sharma

Kavita Jani

Neha Aathavale

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CONTENTS

INTERVIEW

PG: 10

SAJJAPRAVEEN CHOWDARY Director, Policybazaar for Business

MEDTECH

P11: INTERVIEW

SHAKEELIQBAL Head of Service Sales, GE Healthcare

RADIOLOGY

13 MAKING RADIOTHERAPY FACILITIES COMPULSORY IN MEDICAL INSTITUTIONS OF INDIA

28 ENSURING THE SECURITYOFEHR: BESTPRACTICES AND EMERGING TECHNOLOGIES

Express Healthcare®

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Will Kolkata’s Abhayamake hospitals safer for the sisters she leaves behind?

Will the August 9 rape-murder of a promising trainee doctor at Kolkata's RG Kar Medical College and Hospital be the last time female healthcare staff fear for their lives while trying to save our lives? Referred to as Abhaya (which ironically, means fearlessness or safe in Sanskrit), will we ever know if she paid the price for trying to expose financial irregularities at the hospital?

But Abhaya was chosen to refer to an earlier rape-sexual assault case involving a young medico, who was called, Nirbhaya, (fearless or the fearless one in Hindi). In December 2012, a young 23-year-old physiotherapy intern was beaten, gang-raped, and tortured in a moving bus in Delhi. She succumbed to her injuries 13 days later. Though the Nirbhaya case took eight years to award capital punishment to the perpetrators, it resulted in legal reforms which broaden the definition of rape and also increased the penalties.

The Kolkata case has become a series of #MeToo moments for India’s healthcare staff, with social media throwing up numerous instances of similar harassment, including cases of senior doctors abusing juniors, threatening to fail them in their exams etc. Cases of patients being sexually abused under anesthesia or during physical check ups too have got highlighted over the past few days.

All this, while touting India as a medical travel destination, to capture a larger portion of international patients. Is their safety guaranteed simply because they are treated in private hospitals, with better security, rather than at poorly funded public hospitals and medical colleges?

The public outcry and protests by doctors seems to be having some impact. As per media reports, the West Bengal Assembly has unanimously passed the Aparajita Women and Child (West Bengal Criminal Laws Amendment) Bill, 2024, with a voice vote on September 3, 2024. The bill proposes to seek capital punishment for

Or will public memory fade and all healthcare staff continue to fear for their lives while trying to save our lives?

persons convicted of rape if their actions result in the victim’s death or leave her in a vegetative state. The bill also stipulates a life sentence without parole for those convicted of rape and gang rape and aims to strengthen protections for women and children by revising and introducing new provisions related to rape and sexual offences.

The bill could prove to be political posturing after the West Bengal government was pulled up by the Supreme Court for lapses in the handling of the case in the crucial initial days, but it is a good start. Will Abhaya’s death result in similar reforms at the national level, especially for female healthcare staff? Will it take laws to make hospitals safer workplaces? And what is the guarantee that these laws will be effectively enforced?

Or will public memory fade and all healthcare staff continue to fear patients, relatives and political workers who hit out when they expect a life saving miracle from mere human hands?

After all, we forgot nurse Aruna Shanbhag. The Chief Justice of India DY Chandrachud cited her case during the hearing of the Kolkata case, to remind us that such violence against female medical staff is a chronic long term problem. Shanbhag was raped and attacked in Mumbai’s KEM Hospital by a sweeper/ward boy who she had complained about. She spent over four decades in a vegetative state, passing away in 2015.

CJI Chandrachud’s statement blaming “ingrained patriarchal biases” towards women doctors and his warning that “as more women join the workforce, the nation cannot wait for another rape for real changes on the ground”, gives us hope that Abhaya’s death will not be in vain.

VIVEKA ROYCHOWDHURY, Editor viveka.r@expressindia.com viveka.roy3@gmail.com

INTERVIEW

Indian professional indemnityinsurance practices are graduallyaligning with global standards

Sajja Praveen Chowdary ,Director,Policybazaar for Business,highlights how professional indemnity insurance is evolving to protect Indian doctors against rising medical malpractice claims,in an interaction with Neha Aathavale

Given the rise in medical malpractice suits in India, how can professional indemnity insurance proactively help doctors navigate this increasingly litigious environment? Are there any specific strategies within policies that are particularly effective?

Professional indemnity insurance is becoming increasingly crucial for doctors in India as medical malpractice suits rise. This insurance serves as a safety net, protecting medical professionals from the financial burden of legal claims. It provides coverage not only for the legal defense but also for any settlements or judgments. A key strategy within these policies is the inclusion of retroactive coverage, which ensures that claims related to incidents that occurred before the policy was purchased are also covered. Additionally, policies are often customised to include coverage for specific risks associated with different specialties, ensuring that doctors are protected against the most relevant threats in their practice.

How does professional indemnity insurance mitigate the financial strain of legal defense for doctors, especially in high-profile cases? Can you discuss any recent examples where insurance coverage significantly alleviated the cost burden?

Professional indemnity insurance is designed to cover the extensive costs associated with legal defense, which can be particularly high in highprofile cases. These policies typically cover legal fees, court costs, and any awarded

Professional indemnity insurance serves as a safety net,protecting medical professionals from the financial burden of legal claims

damages, reducing the financial burden on doctors. For instance, in a recent case involving a prominent surgeon accused of malpractice, the professional indemnity insurance covered over 90 per cent of the legal expenses, including attorney fees and settlement costs, amounting to several crores. This allowed the doctor to continue practicing without the financial stress that such a lawsuit could have otherwise caused.

With compensation claims for medical errors on the rise, how does professional indemnity insurance ensure that doctors are protected

against substantial payouts? What trends are you seeing in the types and sizes of claims?

As compensation claims increase, professional indemnity insurance ensures doctors are shielded from the financial impact of substantial payouts. Policies often include high coverage limits, ensuring that even large claims can be fully covered. We are observing a trend towards higher claims related to surgical errors, diagnostic mistakes, and delayed treatments, with the size of claims also increasing as patients become more aware of their rights. To address this, insurers are offering tailored

coverage plans that align with the specific risks of different medical practices, ensuring comprehensive protection.

As medical technology evolves rapidly in India, how is this insurance segment adapting to cover new risks like telemedicine errors or AI-driven diagnostic mistakes? Are there any innovations in coverage to address these modern challenges?

The rapid evolution of medical technology in India has led to new risks, such as telemedicine errors and AIdriven diagnostic mistakes. Professional indemnity insurance is adapting by expanding coverage to include these modern challenges. For example, policies are now being designed to cover errors arising from remote consultations, incorrect AIgenerated diagnoses, and other tech-driven medical services. Insurers are also incorporating flexible coverage options that can be updated as technology evolves, ensuring that doctors are protected against emerging risks in real-time.

How do professional indemnity insurance practices for Indian doctors compare with those in other countries with similar legal environments? Are there any international models or practices that could be adapted to better serve the Indian medical community? Indian professional indemnity insurance practices are gradually aligning with global standards, but there are still differences. In countries like the UK and Australia, for example, professional indemnity insurance often

includes comprehensive risk management services, such as regular legal consultations and risk assessments, which help doctors minimise the risk of claims. Adopting similar practices in India could enhance the value of insurance for doctors. Additionally, some international models include group policies that offer coverage for entire medical teams, which could be beneficial in the Indian context, especially for hospitals and clinics.

What future trends or potential disruptions do you foresee in the professional indemnity insurance market for doctors in India? How might these changes redefine the role and value of insurance in medical practice?

The professional indemnity insurance market for doctors in India is likely to see significant changes in the coming years. One major trend is the integration of advanced analytics and AI to better assess risk and customise policies for individual doctors. This could lead to more personalised coverage and potentially lower premiums for low-risk practitioners. Another potential disruption is the increased use of blockchain technology to streamline claims processing, making it faster and more transparent. These changes will likely redefine the role of insurance from a reactive safety net to a proactive tool that helps doctors manage and mitigate risks throughout their careers.

nehaaathavale75@gmail.com

neha.aathavale@expressindia.com

MEDTECH

INTERVIEW

Enhancing healthcare efficiencywith AI and predictive maintenance in healthcare

Shakeel Iqbal ,Head of Service Sales,GE HealthCare South Asia highlights that Embracing digital technologies is vital to staying competitive and addressing the evolving needs of the healthcare industry

Given the complexity and critical nature of Medtech equipment, what are the common expectations customers have while purchasing a medical equipment?

The healthcare sector is at a cusp of transformation where intelligent software and futuristic hardware are coming together to give patients the medtech they need. The shift is essential, especially at a time when the burden of non-communicable diseases, ageing population and lifestyle diseases are demanding more advanced technological solutions from healthcare. Underlining the need for personalised, ubiquitous, and preventive care led by precision, medtech of the future will come with one promise— giving people the access to care they need and where they need it. Hence, how we provide services for medical equipment that will enable ‘Care’ for our patients, takes centerstage.

Today, medtech breakthroughs are enabling clinicians to offer precise diagnosis and treatment, delivering value-based care. That said, the medtech equipment industry has challenges of its own to meet to ensure the customers have access to the right equipment and training to optimise patient outcomes. The most common challenge faced by customers post the purchase of a medtech product is understanding the complexity and missioncritical nature of the equipment. Specialized knowledge is essential for operating advanced imaging

It is imperative to minimise equipment downtime to ensure the seamless functioning of the healthcare organisations such as clinics and hospitals.By continuously monitoring equipment performance,we can anticipate and resolve potential issues before they lead to failures,thereby significantly reducing unplanned downtime

machines and diagnostic tools to avoid equipment downtime and disruptions to patient care. While skill is important, the potential of the equipment to improve patient, clinician, and provider experience goes a long way in building trust. For instance, intuitive userfriendly applications, state of the art tools which can detect equipment failure in advance and remote capabilities in case of breakdown to enable minimum downtime are the future forward approach to medtech in addition, parts and accessories should readily available.

Moreover, after-sales service approach empower medical professionals is equally significant here.. For instance, at GE HealthCare, we ensure that medical professionals have the knowledge to operate the technology effectively and efficiently. Our maintenance strategies, supported by predictive analytics enable us to anticipate and prevent potential equipment failures. Additionally, we provide flexible service contracts tailored to meet our customers’ needs, offering various levels of support, maintenance, and upgrade options.

This integrated approach, combining preventive maintenance, real-time support, and targeted training, significantly increases the hospital’s trust in its equipment.

Implementation of AI and digitisation has become exceptionally critical for any business. How do you perceive digitalisation as a

driving force for businesses, and what initiatives have you undertaken to advance digitization within your company?

Digitalisation plays an essential role in driving innovat ion and improving operational efficiency, optimising patient outcomes, and enabling personalised care. Embracing digital technologies is vital to staying competitive and addressing the evolving needs of the healthcare industry. At GE HealthCare, precision-led care is the core of everything we do. We believe in the power and possibilities with predictive, preventive, and precision care.

For instance, our AIdriven solution, such as AIR™ Recon DL enables medical professionals to achieve pin- sharp images more quickly. AIR™ Recon DL challenges the inherent trade-off between SNR, scan time and image resolution. Using an AI based reconstruction algorithm, AIR™ Recon DL improves SNR by making use of the raw data to remove image noise and ringing. The equipment can produce highquality images with shorter scan times, enabling greater patient throughput and increased return on investment.

We have also introduced digital tools like the My GE HealthCare app which is an easy way to manage your GE Healthcare service and support in one place –anytime, anywhere. It’s simple and fast to create and track service requests from

MEDTECH

initial contact to completion, monitor planned service needs, initiate unplanned service calls, and proactively manage service for your entire diagnostic imaging fleet, whenever and wherever you want.

Additionally, iCenter, our cloud-based asset management software, provides round-the-clock visibility into asset operational and utilization data, enabling informed decision-making.

To further simplify the customer experience, we also have a first-of-its-kind ecommerce portal called Service Shop where our customers can procure parts, accessories and even contracts online, making it convenient for them.

These initiatives ensure that our solutions remain at the forefront of healthcare innovation, aligned with the evolving needs of the industry.

Efficient and operational equipment is crucial for healthcare organizations to function effectively. As a leading organisation in this field, what measures have you put in place to minimise equipment

downtime? Additionally, what service solutions do you offer to ensure that your customers' equipment always remains fully operational?

It is imperative to minimise equipment downtime to ensure the seamless functioning of the healthcare organisations such as clinics and hospitals. By continuously monitoring equipment performance, we can anticipate and resolve potential issues before they lead to failures, thereby significantly reducing unplanned downtime. This proactive approach ensures that healthcare providers can maintain high operational efficiency without disruptions.

At GE HealthCare, our proactive maintenance strategies are powered by advanced predictive analytics.GE Professional Maintenance offers a holistic, proactive approach to prevent any unplanned breakdown and help our customers optimize asset performance, improve predictability, and have better environmental control. Our remote service capabilities encompass a network of service centers

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and expert online engineers to diagnose and fix issues remotely. At the critical hour of need, on average 50% of service issues can be resolved remotely within an hour.

With AI tools like Tube Watch which is GE HealthCare’s predictive solution, we enable clinicians, and healthcare professionals to remotely monitor and predict tube failures before any disruption occurs, allowing remote repairs or scheduled repairs at a more convenient time.

Our service solutions are designed to always keep our customers’ equipment fully operational, with our Global Spare Parts Organization (GSPO) playing a crucial role. We maintain an extensive inventory of over 25,000 parts ready to support our customers. With an average delivery time of less than 36 hours and a dedicated team of over 100 professionals working around the clock, we ensure that parts are available when needed, providing timely and reliable support.

Our commitment to these service solutions ensures that our customers can focus on what matters most—

delivering exceptional patient outcomes.

Adopting advanced technology and solutions is crucial for improving business efficiency. As India is a major player in digitisation, how do you assist customers who face financial constraints in implementing these cutting-edge solutions?

Adopting advanced technology is essential for enhancing business efficiency. However, financial constraints can pose significant challenges, particularly in markets like India. At GE HealthCare, our mission is to make innovative solutions accessible to a diverse customer base through offering flexible financing options and scalable upgrades tailored to meet specific needs and budgets.

Our AI-driven solutions, like ARDL, help extend the life of existing equipment, enabling customers to leverage the latest technology for precise decision-making, improved productivity, and strong returns on investment. By collaborating closely with customers to identify and prioritize critical

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technologies, we allow them to start small and scale as their financial situation improves. We also provide comprehensive training and continuous support to maximize investment and manage costs effectively. Therefore, we are committed to address financial constraints by offering tailored solutions that make advanced technology accessible within budgetary limits. Our approach ensures that business can benefit from enhanced productivity and strong returns of investment while navigating their digital transformation journey with confidence and support.

With flexible offerings, dedicated field engineers, an extensive parts network, and repair services, our holistic approach to service helps customer optimise their assets, patient flow, and workforce.

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Email your contribution to: viveka.r@expressindia.com viveka.roy3@gmail.com Editor, Express Healthcare

RADIOLOGY

Making radiotherapyfacilities compulsory in medical institutions of India

Dr Manoj Gupta,Head of Department-Radiation oncology,AIIMS Rishikesh and President-elect, Association of Radiation Oncologists of India,AIIMS,Rishikesh highlights that making radiotherapy mandatory in all medical colleges will be a necessary step toward addressing the current infrastructure shortfalls in cancer care

Radiotherapy stands as a pivotal pillar in the battle against cancer, often combined with surgery and chemotherapy to optimise treatment outcomes. It occupies a central role within the continuum of comprehensive cancer care, encompassing prevention, early detection, diagnosis, treatment, and palliative care. Its ability to shrink tumours, alleviate symptoms, and improve survival rates underscores its indispensable nature.

Despite its importance, there is a significant gap in the availability, awareness, and accessibility of radiotherapy in India due to several reasons. Myths and misconceptions about radiation therapy often deter patients from seeking this treatment. There is also a general lack of awareness about the necessity and benefits of radiotherapy.

Another fundamental issue is the lack of cancer care infrastructure. The shortage of radiotherapy facilities severely limits the availability of this essential treatment, especially in rural and underserved areas. This shortage not only affects

the quality of care but also makes radiotherapy inaccessible to many patients, leading to poorer health outcomes and higher mortality rates.

Moreover, the demand for radiotherapy far exceeds the supply, with patients facing waiting times of up to three months in government hospitals. This delay can significantly

impact the effectiveness of treatment, especially for cancers that require timely intervention. The lack of infrastructure in terms of both facilities and trained professionals further exacerbates this issue, making it clear that the current system is inadequate to meet the growing needs of the population.

Importance of making radiotherapycompulsory in medical colleges

There are around 706 medical colleges in India and with 788 districts, it is almost one medical college in nearly every district. Establishing a radiotherapy department in every medical college would ensure that each district in India has access to essential cancer treatment. It will also reduce the burden on existing cancer centers and will eliminate the waiting period.

One might assume that given a large number of medical colleges, there would be easy access to one of the crucial cancer treatment modalities. But this is not the case. There is an alarming imbalance between the number of medical colleges and the availability of radiotherapy departments. This imbalance forces patients to travel long distances, often 3-5 hours, to reach the nearest cancer treatment facility. The extended travel time and associated costs can disrupt patients' lives, leading to the discontinuation of their treat-

ment, which is particularly problematic for those who mainly rely on government centers for daily radiotherapy sessions.

With approximately 706 medical colleges across India, this approach would significantly enhance the country's cancer care infrastructure. Patients would no longer need to travel long distances or endure lengthy waiting periods to receive care. This decentralisation of radiotherapy services would lead to early detection and intervention, which are crucial for effective cancer treatment. It would also improve end-of-life care by providing palliative treatment and pain management near to the door of patients.

In conclusion, making radiotherapy mandatory in all medical colleges will be a necessary step toward addressing the current infrastructure shortfalls in cancer care. This initiative would ensure that every district in India has access to life-saving radiotherapy services, ultimately leading to better cancer outcomes and a healthier population.

As a new entrant causes a stir in the Indian health insurance sector,a look at the current landscape and how this emerging experiment could reshape healthcare coverage in India

In a game where the stakes are as high as life itself, India’s healthcare insurance landscape is undergoing a significant shift. Traditionally, hospitals and insurance companies have operated independently, each with its own objectives, often leading to inefficiencies and delays in patient care. However, this separation is being potentially disrupted by Narayana Health’s stand-alone insurance model, which merges insurance with patient care into a unified system. This innovative approach combines the roles of insurer and hospital, creating a more streamlined and efficient process. However, the question remains: Will this new model, and its first product Aditi Plan, launched in July, reshape the Indian insurance landscape?

Birth of a newhealth insurance model

The Insurance Regulatory & Development Authority of India (IRDAI) granted Narayana Health Insurance a Certificate of Registration during its 124th meeting on December 28, 2023, marking the first such approval in five years. This approval brings the total number of standalone health insurance players in India to six, reflecting the government’s commitment to the ‘Insurance for All by 2047’ vision.

Building on this momentum, Narayana Health recently introduced its first product, Aditi, which offers comprehensive coverage, including Rs. 1 crore for surgeries and Rs. 5 lakh for medical management at Narayana Health network hospitals. Initially limited to Narayana Health facilities for elective procedures, the plan now allows emergency treatment anywhere, minimising administrative hurdles. “Unlike traditional plans, Aditi prioritises a smooth and efficient experience, so the coverage is primarily within the trusted Narayana Health network, where experienced doctors and advanced facilities wait,” informs Viren Prasad Shetty, Vice-Chairman, Narayana Hrudayalaya.

The primary challenge for traditional health insurance companies is the intense competition within the market

Health insurance schemes have seen an increase post-COVID

We believe that if we keep up with the current trajectory,we might become the sixth-largest insurance market within a decade

Adding on to it Dr Devi Shetty, Chairman of Narayana Health, emphasises the importance of this approach by highlighting a critical gap in India’s healthcare system, “In India, there is a need for 70 million surgeries, but only 20 million are being performed as people do not have the means to undergo bellwether procedures like caesarean deliveries, laparotomies, and treatment of open fractures.”

Shifts in health insurance landscape

The new model has attracted a lot of attention and also brought to fore the myriad opportunities and challenges that the Indian health insurance sector presents.

A recent Jefferies report highlights potential pressures, noting that the health insurance sector may face rising claims and increased competition, particularly in the retail segment. "Health, which accounts for approximately 35 per cent of the mix, could see pressure in its retail segment from rising claims frequency and elevated competition," the report stated. With the non-life insurance sector experiencing significant shifts, the health insurance segment may struggle with escalating healthcare costs and higher consumer claims, leading to squeezed margins and pressuring insurers to find ways to manage costs while staying competitive.

Consumers now expect policies that go beyond hospitalisation,covering outpatient care,preventive health checks,and even alternative treatments like AYUSH covers.Today's Indian consumer is more informed,proactive, and demanding than ever before

In light of these developments, several key players in the insurance industry have shared their perspectives on the evolving landscape. The Insurance Brokers Association of India (IBAI) points out that the market is experiencing rapid growth, driven by increased awareness and rising healthcare costs. "Medical inflation and post-COVID awareness have heightened the need for health insurance," Narendra Bharindwal – Vice President, IBAI notes.

Similarly, Pankaj Nawani, CEO of CarePal Secure emphasises that COVID-19 has been a watershed moment for health

insurance, increasing awareness and demand. “Health insurance schemes have seen an increase post-COVID,” adds Nawani. Universal Sompo views COVID-19 as a catalyst for heightened awareness and anticipates a 15 per cent growth in the health insurance sector for 2024. "We believe that if we keep up with the current trajectory, we might become the sixth-largest insurance market within a decade," opines Sharad Mathur – MD and CEO of Universal Sompo General Insurance.

Prudent Insurance also recognises the health segment as a major growth driver, highlighting that it accounted for half of the incremental gross premium in the last financial year. “ It is likely to remain the primary growth driver for the Non-life insurance industry,” shares Surinder Bhagat, Vice President, Special LinesEmployee Benefits at Prudent Insurance Brokers

The age of the informed consumer

Consumer expectations are evolving alongside these trends.

IBAI highlights that Indian consumers are increasingly pricesensitive and demand high coverage with minimal out-of-pocket expenses. "The primary challenge for traditional health insurance companies is the intense competition within the market," Bharindwal states. In line with this, CarePal’s Nawani adds that customers now expect their insurers to act as partners in health management, rather than just claim processors.

This shift towards comprehensive coverage is also reflected in the observations of Star Health Insurance and Policy Bazaar, which underscore the growing demand for policies that include outpatient care, preventive health checks, and alternative treatments.

“Consumers now expect policies that go beyond hospitalisation, covering outpatient care, preventive health checks, and even alternative treatments like AYUSH covers. Today's Indian

consumer is more informed, proactive, and demanding than ever before,” points out Anand Roy, MD & CEO, Star Health and Allied Insurance.

Tech-driven innovation

Innovation and technology are critical to meeting these evolving expectations. Bharindwal accentuates the importance of product innovation and technology adoption, while Nawani highlights that innovations like cashless claims settlements

Innovative but simple to understand product offerings,frictionless purchase and service,technology-enabled risk assessment and claims processing, increasing penetration and profitable growth are the biggest challenges as well as opportunities we see in the current market

The corporate sector is calling for insurance partners to offer comprehensive solutions that encompass both preventive care and hospitalisation,in addition to a wellness ecosystem

In-house health insurance models are considered the private sector's reaction to Ayushman Bharat.The impact of in-house insurance models on the traditional insurance landscape will be limited in the short run due to restricted coverage of healthcare facilities and medical procedures

Manogna Vangari

have become standard practice. Star Health Insurance anticipates that the market will be driven by personalisation and digital integration, “ The lines between insurance, healthcare, and technology will continue to blur. Insurers are experiencing accelerated transformation by adopting emerging technologies,” explains Roy.

While on the other hand, Policy Bazaar and Prudent Insurance’s Bhagat are focusing

on creating sustainable models through data analytics and advanced technology. “Innovative but simple to understand product offerings, frictionless purchase and service, technology-enabled risk assessment and claims processing, increasing penetration and profitable growth are the biggest challenges as well as opportunities we see in the current market,” notes Siddharth Singhal, Head- Health Insurance, Policybazaar.com.

Collaborate to conquer

Strategic partnerships and ecosystem development are also crucial in this changing environment. Bharindwal emphasises the need for partnerships with government bodies and financial institutions, Star Health Insurance’s Roy and Policy Bazaar’s Singhal highlight collaborations with banks, fintechs, and healthcare providers to drive growth and enhance service delivery. “ These collaborations will help us drive growth, control costs, improve service delivery and stay at the forefront of innovation in insurance,” states Roy.

Keygoals: Affordabilityand sustainability

Affordability and sustainability continue to be significant challenges. Both Bharindwal and Nawani point to the need for reducing out-of-pocket expenses and managing inflationary pressures. “The growth in market size is also influenced by inflationary pressures on insurance premiums. In summary, the key drivers are increased consumer awareness and the escalating costs of healthcare,” informs Bharindwal. Roy and Singhal apprise that their respective companies are addressing these issues through innovative products and strategic partnerships. “The focus on affordability is evident in the introduction of innovative products like micro-insurance and tailored group health insurance policies that cater to specific needs and budgets,” updates Singhal. While on the other hand, Universal Sompo’s Mathur acknowledges the difficulties posed by high customer acquisition costs. “Currently, the high customer acquisition costs and multi-layered setup are posing significant challenges. To overcome this and bring every Indian under the insurance arm, the industry has to create cost-effective ways to attract and retain customers,” admits Mathur.

Adisruption in the making?

As the industry navigates these

changes, the emergence of new stand-alone insurance models, such as Narayana Health, has become a topic of discussion.

According to GlobalData's Manogna Vangari, "In-house health insurance models are considered the private sector's reaction to Ayushman Bharat. The impact of in-house insurance models on the traditional insurance landscape will be limited in the short run due to restricted coverage of healthcare facilities and medical procedures." She also points out that the Aditi plan is restricted to general wards at Narayana hospitals and offers limited coverage outside their network.

“The drawback of this plan is that only the general ward at network provider hospitals affiliated with the Narayana Group in India is covered. Moreover, there is very little coverage outside of Narayana Health Network,” posits Vangari.

Despite these restrictions, KPMG identifies potential for disruption. They explain that stand-alone models can avoid high and unnecessary overdiagnosis, potentially benefiting the healthcare system and policyholders. “While these are still nascent, they have already exhibited signs of being disruptive for the traditional industry,” says Kailash Mittal, Partner and Head-Insurance & HeadActuarial, KPMG India. Additionally, Mittal stresses the importance of scalability, stating, "While it has challenges around scalability, an innate ability to disrupt the standardisation of definitions in procedures and claim settlement processes for a country as vast as ours is a major challenge in the offing."

On the other hand, Deloitte is cautiously optimistic about the impact of these models but also signals that their current scale and network limitations may not significantly affect the broader insurance market immediately. "The onset of inhouse insurance such as Aditi by Narayana presents a unique opportunity to step up our health insurance game and is a definite step forward in making

insurance accessible to all. While the limited nature of the network coverage and scale may not end up moving the needle, this pilot, coupled with the regulator’s steadfast stance on improving claims processes will certainly force traditional insurers to introspect on and reinvigorate their models," avers Debashish Banerjee, Partner, Deloitte India. Emphasising the potential of these models, he says, “The impact of these models on traditional health insurance players is futuristic – the key one being a shift in focus from easy-selling to ‘trust.’”

Looking to the future, Vangari suggests that the success of the Aditi Plan could lead other hospitals to explore similar models. She believes that integrating hospital and insurance provider roles could reduce insurance costs and streamline the claims process. “The hospital, the patient, and the insurance company are involved in the traditional health insurance model. In-house mod-

While these are still nascent,they (stand-alone models) have already exhibited signs of being disruptive for the traditional industry

The impact of these models on traditional health insurance players is futuristic – the key one being a shift in focus from easy-selling to ‘trust

els try to save expenses and improve the efficiency of the insurance procedure by combining the hospital and the insurance provider,” explains Vangari. However, she also cautions about the long-term viability and states, “The sustainability of such models in the long term is doubtful as the issue with health insurance programs run by hospital chains is that they force the insured to rush their patients to the chain's internal hospitals.”

Mittal and Banerjee further draw attention to the aspect that while the high coverage at low premiums offered by Aditi is attractive, the details of coverage and exclusions need close examination. Mittal notes, "A high coverage is being offered at low premiums – however one has to be mindful of the detailed fine print. With sub-limits on costs and surgical procedures, exclusions, and caps in place; one should not mistake the Rs 1 crore sum insured as similar to a traditional Mediclaim family

floater cover of an equivalent amount." Banerjee adds, “The long-term sustainability of models such as Aditi is still to be tested. The key risks associated here would be around managing potentially high claims ratios and underwriting quality.”

Mittal provides a forwardlooking perspective and states, "If this test is successful, it will serve as a new services and cost guidewire triggering an industry-wide recalibration." He underlines that while the model is promising, its ability to disrupt the traditional insurance landscape will hinge on overcoming scalability challenges and ensuring long-term sustainability.

Thus, industry experts and analysts are divided on the impact of the new entrant in the health insurance market. However, they are united in their opinion that the health insurance market requires newer approaches and models to ensure health coverage for all.

Atransforming playbook

Providing additional context on the broader insurance landscape, Vangari highlights, “According to the National Insurance Academy, the current health protection gap is 73 per cent, which is noticeably high even with rising insurance awareness. A staggering 400 million people, or 31 per cent of the population, do not have health insurance because of lower penetration, inadequate coverage, and growing medical expenses.”

This, in turn, has opened up avenues for better models to enter and grow in the market.

She further elaborates on market strategies, "Insurers are trying to customise health insurance products, offering low-cost products, tailored products for women, enhanced claims services, discounts on lower claims, and cashless facilities to stay competitive."

Commenting on growth strategies, Banerjee recommends, “The most effective pathway to staying competitive is to provide unique propositions, including lifestyle management and health and well-being, beyond insurance, and exceptional customer service.”

He further notes that "toeing the line between costs and experiences is key," and emphasises that "bringing in smarter underwriting and pricing tools, harnessing the power of data, and designing health insurance products to be of adequate, personalised, and ‘relevant’ coverage will help insurers remain competitive."

In times to come

Whether Narayana Health and its Aditi Plan trigger a broader industry transformation or remain a niche experiment, only time will tell. What is certain, however, is that conversation around healthcare coverage has intensified and it foretells that the industry is poised for growth.

nehaaathavale75@gmail.com neha.aathavale@expressindia.com

Experts and leaders spotlight Lucknow's potential in healthcare and discuss the blueprint for India Healthcare Inc's progress

POST EVENTS

Welcome Address

Express Healthcare organised GenNext Hospital Summit 2024 Lucknow on August 30th . This series of event aim to facilitate the creation of next gen hospitals geared to deal with the evolving healthcare landscape and patient needs.

The overarching theme for this year is, “Building a futureready healthcare ecosystem”. It brought together leaders, experts and decision makers to delve into emerging trends, challenges, and opportunities faced by new-age hospitals. The event also received support from Gold PartnersCipla, Knowledge partnerHospaccx and silver partner mediconz International and UniHealth.

GenNext Hospital Summit Lucknow featured distinguished speakers offering insights into digital acceleration in hospitals and future of healthcare delivery and the rapidly transforming expectations of the next generation.

It commenced with a Welcome Address by Express

L-R: Dr Yash Javeri,Director- CCM and EmergencyMedicine,RegencySuper SpecialtyHospital Lucknow; Dr Tarun Katiyar,MD,Hospaccx; Dr Amod Kumar Sachan,Founder & CEO,Shekhar Hospital; Dr Saumitra Bharadwaj,Regional Director (East),Paras Health; Dr Vikram Singh Chouhan,VP-Operations,Medanta

Healthcare who welcomed the delegates and explained the vi-

sion of GenNext Hospital Summit 2024 Lucknow series. A

lamp lighting ceremony followed the welcome address and provided an auspicious start to the event.

Enhancing patient care with next gen diagnostic labs

Parul Budhraja Khanna, Director-Strategy and Operations, Alpine Plus Diagnostics provided valuable insights on how next-gen diagnostic labs can elevate patient care.

She stresses that 'next gen' diagnostic labs integrates advanced technologies like Next-Generation Sequencing (NGS), Artificial Intelligence (AI), and Machine Learning (ML), offering highthroughput testing for quicker, more accurate results, while emphasising personalised medicine, patientcentric inn ova tions, and faster turnaround times to directly enhance patient care.

She also elaborated on some real world examples like clinics leveraging advanced

diagnostics are now personalising fertility treatments, leading to significantly higher success rates and fulfilled family dreams and precision medicine, driven by genetic testing, is redefining cancer care, allowing for treatments that target the unique genetic profile of each patient’s tumor.

She also mentions that next-gen diagnostics are not just tools-they are the foundation of tomorrow's healthcare, driving innovation and el evating patient care to unprecedented height. She also highlights that in order to build a truly futureready healthcare ecosystem, one must invest in cuttingedge diagnostic technologies today.

Panel discussion: Building a future-ready healthcare ecosystem

L-R: Dr Yash Javert,Director- CCM and EmergencyMedicine,RegencySuper SpecialtyHospital Lucknow; Dr Tarun Katiyar,MD,Hospaccx; Dr Amod Kumar Sachan,Founder & CEO, Shekhar Hospital; Dr Vikram Singh Chouhan,VP-Operations,Medanta Lucknow; Dr Saumitra Bharadwaj,Regional Director (East),Paras Health

The healthcare landscape is undergoing rapid transformation, driven by advancements in technology, shifting demographics, and evolving patient expectations.

Therefore, the first panel discussion at GenNext Hospital Summit 2024 Lucknow was on an interesting and pertinent topic, "Building a futureready healthcare ecosystem”.

The esteemed panel of experts for this session were Dr Amod Kumar Sachan, Founder & CEO, Shekhar Hospital, Dr Tarun Katiyar, MD, Hospaccx Healthcare Business consultancy, Dr Vikram Singh Chouhan, VP-Operations, Medanta Lucknow, Dr Saumitra Bharadwaj, Regional Director (East), Paras Health and Dr Yash Javeri, DirectorCCM and Emergency Medicine, Regency Super Specialty

KEYHIGHLIGHTS

◆ As India's demographic changes,healthcare in Tier II and III cities needs to be ramped up to serve evolving patient needs

◆ Emerging technologies,efficient processes,robust infrastructure,skilled talent and a clear growth strategy will be vital for hospitals of tomorrow

◆ Make healthcare a priority.The government should be a regulator and assess healthcare services and hospitals comprehensively.Make the services affordable with the right pricing policies

◆ Making healthcare affordable and accessible to all is our mission.This is possible only through effective health insurance coverage

◆ Paperless hospitals,cashless systems,timeless services,safe and efficacious practices must be the future of healthcare delivery

Hospital Lucknow.

The panel discussion emphasised the urgent need to bolster healthcare in India's Tier II and III cities, in response to the country's shift-

ing demographics. Experts highlighted that emerging technologies, efficient processes, and robust infrastructure will be critical for the hospitals of the future. A

clear growth strategy, coupled with skilled talent, will also play a pivotal role in meeting the evolving needs of patients in these regions.

The discussion under-

scored the importance of prioritising healthcare, with panelists calling for the government to act as a regulator, ensuring comprehensive assessment of healthcare services and hospitals. They stressed the necessity of implementing appropriate pricing policies to make healthcare services more affordable and accessible to all. Achieving this mission, they argued, is only possible through effective health insurance coverage.

Looking ahead, the future of healthcare delivery must embrace paperless hospitals, cashless systems, timeless services, and the adoption of safe and efficacious practices. This vision sets a strong foundation for transforming healthcare accessibility and affordability across the nation.

Digital acceleration in hospitals

Dr Ashish Shukla, VP, Regency Hospital presented his insights on digital acceleration in hospitals and provided a comprehensive overview of the transformative journey towards digital maturity in the healthcare sector.

The key focus areas included the evolution and adoption of digital health technologies, such as Telemedicine, Electronic Health Records (EHR), Artificial Intelligence (AI), Machine Learning (ML), IoT, Blockchain, patient-centric care models, and personalised medicine.

He highlighted that technology is addressing the three main pillars of healthcare i.e. healthcare access and delievery, affordable healthcare and quality healthcare which in turn is helping in disease prevention, better and early diagnosis and disease management.

Dr Shukla emphasised the opportunities and priority ar-

eas for hospitals, highlighting the aim of amplifying patient engagement and experience, improving health outcomes,

enhancing clinician experience, and increasing operational efficiency while reducing costs. However, challenges

such as lack of infrastructure, privacy concerns, regulatory frameworks, technological barriers, low penetration of

EMR, and the need for additional investment were also addressed.

The presentation underscored the importance of a clear digital strategy roadmap, leadership support, change management, upskilling in digital health, and cybersecurity integration throughout the digital transformation process. Moreover, the session highlighted the potential impact of digital health standards and the shift towards integrated pathways, including OPD transformation through tools like HIS, EMR, patient apps, and CRM systems.

In conclusion, he provided valuable insights into preparing today’s healthcare facilities to meet the challenges of tomorrow through strategic digital acceleration, paving the way for a more efficient, patient-centered, and technologically advanced healthcare ecosystem.

Training the next gen of healthcare professionals

Prof. (Dr) Narsingh Verma, Principal & Dean, Hind Institute of Medical Sciences delivered an insightful talk on training the next generation of health care professionals. His talk focused on the critical need to equip future healthcare professionals with modern skills and knowledge, particularly in the context of the rapidly evolving healthcare landscape.

Key highlights included the importance of competencybased education that emphasises practical, hands-on skills directly applicable in clinical settings. Dr Verma stressed the need for interdisciplinary collaboration and team-based learning, breaking down traditional silos to foster a more holistic approach to patient care.

Cultural competence was another focal point, with Dr Verma advocating for training that prepares healthcare pro-

fessionals to effectively serve diverse patient populations.

This includes integrating cultural competence into curric-

ula to ensure inclusive care for all patients, regardless of background.

Technology integration

was also highlighted, with an emphasis on familiarising students with digital tools, simulation, telemedicine, and AI,

ensuring they are prepared for the digital age of healthcare. Ethical training was underscored as essential, teaching moral responsibility and ethical decision-making through real-world case studies.

The presentation also covered the need for a global health perspective in training programs, preparing students for international health challenges and encouraging global collaborations.

Dr Verma concluded by emphasising the importance of continuous professional development, encouraging lifelong learning to keep pace with the ever-evolving healthcare field.

He called for innovative training programs that equip the next generation of healthcare professionals with the necessary skills to meet the challenges of tomorrow, ultimately shaping the future quality of patient care.

POST EVENTS

Current trends in modular OR workflows and hybrid ORs

Bhavesh Bhatt, Director, Mediconz International delivered an insightful session on innovative approaches to entry-level Hybrid OR solutions. The focus was on optimising hospital investments in the OR space without compromising on advanced surgical capabilities.

He emphasised key challenges faced by hospitals, such as budget constraints, space limitations, and the healthcare system's need to address fundamental challenges before adopting high-end technology.

Bhatt also detailed practical uses of these OR setups across multiple disciplines, including orthopedic trauma, spine surgeries, neurosurgery, and endovascular procedures.

He also highlighted that Mediconz international focusses on comprehensive so-

lutions with the clinical outcome in modular OR, Hybrid OR and critical care areas.

Key challenges faced by hospitals,such as budget constraints, space limitation need to be addressed before adopting high-end technology

Panel discussion: Sustainabilityin healthcare supply chain and procurement

In recent years, sustainability has become a critical focus within healthcare supply chains and procurement.

Therefore, the second panel discussion at GenNext Hospital Summit 2024 was on “Sustainability in healthcare supply chain and procurement.”

The esteemed panel of experts for this session were Dr Nishant Gupta, Partner and Consultant Orthopedic Surgeon, Neera Hospital Lucknow, Akhilesh Tripathi, Managing Director, Wellsun Medcity Hospital, Dr Abhishek Vikram Singh, Founder & Managing Director, Infinity Care Hospital and Dr Tarun Katiyar, MD, Hospaccx Healthcare Business consultancy.

Experts emphasised the critical role of sustainability in healthcare supply chains and

◆ Energy efficient systems,paperless processes,better inventory management, etc are some ways to make healthcare supply and procurement more sustainable

◆ Sound procurement strategies can be a big differentiator in the healthcare business.

◆ Effective demand planning with AI,HIS,data analytics and other technologies can make hospitals more efficient.

◆ Schemes like Ayushman Bharat are high on intent but need better execution strategies.The government needs to regulate many aspects and ensure that schemes like this work for the betterment of the entire ecosystem.

◆ Healthcare needs to continuously evolve through robust strategies,a skilled workforce and sound practices to keep pace with patient needs. KEYHIGHLIGHTS

procurement. Energy-efficient systems, paperless processes, and improved inventory man-

agement were identified as key approaches to enhancing sustainability.

It was noted that sound procurement strategies can serve as a major differentiator

in the healthcare business, driving both operational efficiency and long-term cost savings. Panelists also highlighted how effective demand planning, utilising AI, hospital information systems (HIS), and data analytics, can optimise hospital operations and improve overall efficiency.

While schemes like Ayushman Bharat are commendable for their intent, the panelists stressed the need for stronger execution strategies and better government regulation to ensure such initiatives benefit the entire ecosystem. Ultimately, healthcare must continuously evolve through robust strategies, a skilled workforce, and innovative practices to keep pace with the ever-changing needs of patients.

L-R: Dr Tarun Katiyar,MD,Hospaccx Healthcare Business consultancy(Moderator); Dr Nishant Gupta,Partner and Consultant Orthopedic Surgeon,Neera Hospital Lucknow; Dr Abhishek Vikram Singh,Founder & Managing Director,InfinityCare Hospital; Akhilesh Tripathi,Managing Director,Wellsun MedcityHospital

Infection control in next-gen hospitals

Dr Devendra Kumar Niranjan, HOD-Department of Microbiology and Head-Infection Control, Maharshi Vishwamitra Autonomous State Medical College (MVASMC) shared his insights on infection control in next-gen hospitals.

He highlighted the importance of a practical, evidencebased approach to preventing healthcare-associated infections (HAIs), including those caused by antimicrobial-resistant pathogens.

Key areas discussed included the role of Artificial Intelligence (AI) in infection control, such as using AI to monitor and optimise hospital cleaning, predict outbreaks, and enhance antimicrobial stewardship. AIdriven technologies were shown to improve hand hygiene com-

Future of ICU

Dr Yash Javeri, Director- CCM and Emergency Medicine, Regency Super Specialty Hospital Lucknow shared his views on ICU of the future and explored the evolving landscape of critical care, focusing on the challenges and innovations shaping the ICU of tomorrow.

Dr Javeri highlighted the growing demand for ICU services driven by an aging population and the simultaneous decline in the availability of specialised critical care professionals.

Key areas discussed included the need for a shift towards more efficient, technology-driven ICUs that emphasise patient-centric care. The presentation covered the integration of AI, automation, and remote monitoring (e-ICUs) to address staffing shortages and improve patient outcomes. He emphasised the importance of "less is more" in ICU management, advocating for minimalistic approaches

Dr Yash Javeri,Director- CCM and EmergencyMedicine,RegencySuper SpecialtyHospital Lucknow

that prioritise high-value interventions while eliminating lowimpact practices.

Dr Javeri also discussed the concept of the "Green ICU," fo-

cusing on sustainability and reducing the environmental impact of critical care practices. He touched on the importance of personalised care, health eq-

uity, and global collaboration in advancing critical care standards, especially in resourcelimited settings.

In conclusion, he stressed

pliance, optimise cleaning protocols, and identify high-risk patients, thereby significantly reducing the spread of infections.

Dr Niranjan also touched on the challenges of implementing AI in infection control, including the need for high-quality data, addressing biases, and ensuring privacy and data security. Additionally, it covered emerging technologies like UV-C disinfection robots and automation in Central Sterile Supply Departments (CSSD) to improve hospital hygiene and patient safety. This comprehensive approach aims to leverage technology to enhance the effectiveness of infection prevention and control in hospitals, ultimately leading to better patient outcomes and more efficient healthcare operations.

Dr Javeri highlighted the growing demand for ICU services driven by an aging population and the simultaneous decline in the availability of specialised critical care professionals

on the need for continuous innovation, smarter use of technology, and a more humanistic approach to care to meet future challenges in the ICU.

Dr Devendra Kumar Niranjan,HOD-Department of Microbiologyand Head-Infection Control,Maharshi Vishwamitra Autonomous State Medical College (MVASMC)

HEALTHCARE TREND

AxonCare: Revolutionising care with human-touch technology

Beyond individual care,AxonCare provides tailored solutions for organisations,ensuring that health and well-being are prioritised across various sectors.The AxonCare experience is centred around convenience and accessibility,with a mobile app and a network of clinics and health kiosks

AxonCare, a groundbreaking initiative by Axonic, redefines healthcare delivery by offering accessible, affordable, and patient-centric care. Through a seamless blend of technology and human expertise, AxonCare is bridging geographical and accessibility gaps, empowering individuals to take control of their health.

Beyond individual care, AxonCare provides tailored solutions for organisations, ensuring that health and well-

With a global network of doctors,AxonCare offers patients access to specialised expertise and diverse perspectives

being are prioritised across various sectors. The AxonCare experience is centred around convenience and accessibility, with a mobile app and a network of clinics and health kiosks.

With a global network of

doctors, AxonCare offers patients access to specialised expertise and diverse perspectives. The patient journey is streamlined, allowing for easy appointments, reduced wait times, and convenient access to medical records.

AxonCare is revolutionising healthcare by offering an anytime, anywhere integrated care model with simplified scheduling, reduced wait times, a network of E-clinics, remote consultations, cost

savings, convenience, medical history management, and improved communication, resulting in complete control of health. By leveraging technology and human expertise, AxonCare is paving the way for a future where healthcare is more accessible, affordable, and patient-centered.

Join the AxonCare network today and experience the future of healthcare. Discover how AxonCare can improve your health and well-being

HEALTHCARE IT

Ensuring the securityof EHR: Best practices and emerging technologies

Ruchin Kumar,VP-South Asia,Futurex talks about the best practices and emerging technologies that can help safeguard Electronic Health Records (EHR) from unauthorised access and cyberattacks,emphasising how integrated solutions can play a crucial role

In the healthcare sector, the digitisation of patient records has revolutionised how medical data is stored, accessed, and managed. EHRs offer numerous benefits, such as improved patient care, streamlined workflows, and enhanced data sharing. However, these advantages come with significant challenges, particularly regarding the security of sensitive health information. As cyber threats continue to evolve, ensuring the security of EHRs has become a critical priority for healthcare organisations.

Understanding the importance of EHR security

EHRs contain a wealth of sensitive information, including patient demographics, medical histories, diagnoses, treatment plans, and billing information. The confidentiality, integrity, and availability of this data are paramount to protect patient privacy and ensure the continuity of care and the overall trust in healthcare systems. A breach of EHR security can lead to severe consequences, such as identity theft, financial loss, reputational damage, and compromised patient care.

Best practices for EHR security

◆ Access controls: Implementing robust access control mechanisms is fundamental to EHR security. This involves defining who has access to what information and under what circumstances. Rolebased access control (RBAC) ensures that individuals can only access the data necessary for their job functions. Additionally, implementing multifactor authentication (MFA) can provide an extra layer of security by requiring users to verify their identity through

Abreach of EHR security can lead to severe consequences,such as identity theft,financial loss, reputational damage,and

compromised patient care

multiple methods. Industry solutions can enhance these access controls with advanced identity and access management tools, ensuring only authorised personnel can access sensitive data.

◆ Data encryption: Encrypting EHR data both at rest and in transit is crucial to prevent unauthorised access. Encryption ensures that even if data is intercepted or accessed by unauthorised individuals, it remains unreadable without the proper decryption key. Advanced encryption standards (AES) and secure communication protocols (such as TLS/SSL) should be employed

to safeguard data. Companies offer robust encryption solutions that provide end-to-end protection for EHR data, ensuring it remains secure throughout its lifecycle.

◆ Regular audits and monitoring: Continuous monitoring and regular audits of EHR systems can help detect and respond to security incidents promptly. Logging user activities and access patterns can identify unusual or unauthorised access attempts. Implementing an effective incident response plan ensures that any breaches are swiftly contained and mitigated.

◆ Employee training and

awareness: Human error is often a significant factor in security breaches. Regular training and awareness programs can educate healthcare staff about the importance of data security and best practices for handling EHRs. Training should cover topics such as recognising phishing attempts, using strong passwords, and safeguarding mobile devices.

◆ Secure mobile access: With the increasing use of mobile devices in healthcare, securing mobile access to EHRs is essential. This involves implementing mobile device management (MDM) solutions that enforce security policies, such as device encryption, remote wipe capabilities, and secure access protocols. Mobile security solutions can help healthcare organisations protect data accessed through mobile devices, ensuring compliance and security across all endpoints.

◆ Vendor management: Healthcare organisations often rely on third-party vendors for various services, including EHR systems. It is vital to ensure that vendors adhere to strict security standards and regularly assess their security practices. Contracts should include provisions for data protection, breach notification, and compliance with regulatory requirements.

Emerging technologies in EHR security

◆ Blockchain technology: Blockchain offers a decentralised and tamper-proof method of storing and sharing EHRs. Each transaction is recorded in a secure and immutable ledger, providing a transparent and verifiable history of data access and modifications. Blockchain can enhance data integrity and trust,

making it a promising technology for EHR security.

◆ Artificial Intelligence (AI) and Machine learning: AI and machine learning algorithms can analyse vast amounts of data to identify patterns and anomalies that may indicate security threats. These technologies can enhance threat detection, automate response actions, and improve the overall security posture of EHR systems. For example, AI can detect unusual access patterns that may indicate a breach and trigger automated alerts for immediate investigation. AIdriven analytics and machine learning tools can be integrated into existing security frameworks to provide advanced threat detection and response.

◆ Zero trust architecture: The Zero Trust model assumes that threats can come from both outside and inside the network. It advocates for continuous verification of user identities and strict access controls based on least privilege. Implementing a Zero Trust architecture involves micro-segmentation, where the network is divided into smaller, isolated segments to prevent lateral movement of attackers. This approach can significantly enhance EHR security by ensuring that only authenticated and authorized users can access sensitive data.

◆ Homomorphic encryption: This advanced encryption technique allows data to be processed without decrypting it. Homomorphic encryption can enable secure data analysis and computations on encrypted EHRs, preserving data privacy while allowing healthcare providers to gain insights from the data. This technology holds great potential for

securely sharing and analysing patient data across different organisations. Encryption solutions provide capabilities for homomorphic encryption, offering cutting-edge security for sensitive data processing.

◆ Biometric authentication:

Biometric authentication methods, such as fingerprint scanning, facial recognition, and iris scanning, provide a higher level of security compared to traditional passwords. By incorporating biometric authentication into EHR systems, healthcare organisations can ensure that only authorized personnel can access patient records, reducing the risk of unauthorized access.

Regulatorycompliance and standards

Compliance with regulatory

frameworks and standards is essential for ensuring EHR security. Healthcare organizations must adhere to regulations such as the Health Insurance Portability and Accountability Act (HIPAA) in the United States, the General Data Protection Regulation (GDPR) in the European Union, and other relevant local laws. These regulations set stringent requirements for data protection, breach notification, and patient privacy.

Additionally, following industry standards and best practices, such as the National Institute of Standards and Technology (NIST) guidelines and the International Organization for Standardization (ISO) standards, can help organizations establish a robust security framework. Reg-

ular audits and assessments against these standards ensure ongoing compliance and identify areas for improvement.

Future directions and challenges

As technology evolves, so do the challenges and opportunities in EHR security. The increasing adoption of telehealth services, the Internet of Medical Things (IoMT), and cloud-based solutions introduces new attack vectors and complexities. Healthcare organizations must stay vigilant and proactive in addressing these emerging threats.

Collaboration among stakeholders, including healthcare providers, technology vendors, regulators, and policymakers, is crucial to de-

veloping comprehensive security strategies. Sharing threat intelligence, best practices, and lessons learned can help the healthcare sector stay ahead of cyber threats and ensure the security of EHRs.

Conclusion

Ensuring the security of electronic health records is a multifaceted challenge that requires a combination of best practices, emerging technologies, and regulatory compliance. By implementing robust access controls, data encryption, regular audits, employee training, and secure mobile access, healthcare organizations can protect sensitive patient information from unauthorized access and cyber-attacks. Emerging technologies

such as blockchain, AI, Zero Trust architecture, homomorphic encryption, and biometric authentication offer promising solutions to enhance EHR security. However, staying compliant with regulatory requirements and industry standards is equally important.

In an increasingly digital healthcare landscape, safeguarding EHRs is essential for maintaining patient trust, ensuring quality care, and protecting the integrity of healthcare systems. By adopting a proactive and holistic approach to EHR security and leveraging integrated security solutions from the industry, we can effectively navigate the evolving threat landscape and secure sensitive patient data.

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HEALTHCARE TRACKER

Affordable diagnostic medical imaging solutions byPhantom Healthcare

Brijesh Suneja,Managing Director and Rochi Nargotra,CEO & Managing Director of Phantom Healthcare share their company's journey in offering a sustainable and cost-effective solution—refurbished medical imaging equipments

In the rapidly advancing world of healthcare, medical imaging stands as a cornerstone for accurate diagnosis, treatment planning, and patient outcomes. However, the high cost of cutting-edge imaging equipment often poses a significant challenge for healthcare facilities, especially those in developing regions or smaller institutions. This is where Phantom Healthcare steps in and offers a sustainable and cost-effective solution—refurbished medical imaging equipments.

Our Group started operating in the year 2011 and has become one the leading 3rd party, refurbishers, and re-assemblers of Pre-owned superconductive MRIs and CT Scanners in India.

In the initial years, our focus was on GE MRIs and CT Scanners and we were successful in installing equipment on a pan-India basis. As time progressed we started dealing with other radiological equipment.

◆ Complete radiology solutions: As of now Phantom Healthcare deals in refurbished equipment of MRI Machines, CT Scanners, PET-CT Scanners, Cath-Lab Machines, and Bone Densitometer. We provide complete turnkey solutions, from site planning to the final installation of the equipment with financial assistance. We also provide de-installation and upgrades for your existing medical equipment.

◆ Large inventory: We have a large inventory of spare parts for your existing medical equipment, we do repairs, upgrades, and exchanges of parts. We deliver parts around the globe and to remotest of the areas if possible.

◆ Global service providers:

Our mission is to provide affordable medical radiology setup.The market growth stage is high,and the pace of the market growth is accelerating. The global market has witnessed a significant degree of innovation

Suneja Managing Director

We provide service packages i.e AMC (Annual Maintenance Contract) or CMC (Comprehensive Maintenance Contract). In the last few years, we have been actively providing services and upgrades in the US region also. Our service team is spread all across India serving our clients 24*7.

Qualityand compliance:

Our top priorities

At Phantom Healthcare, we understand that quality and safety are non-negotiable in the medical field. Our refurbishment process is rigorous, adhering to strict industry standards and guidelines. Each piece of equipment undergoes a comprehensive evaluation, in-

We are establishing our presence in the USAand Arab-Gulf region. Our future vision is to expand business in the African regions and other international markets

Rochi Nargotra CEO & Managing Director

cluding detailed inspections, testing, and component replacement, if necessary. This ensures that the equipment not only meets but often surpasses the performance of new systems.

Phantom Healthcare specialises in providing high-quality refurbished medical imaging systems, these devices, essential for modern medical diagnostics, are meticulously restored to meet or exceed original manufacturer specifications, ensuring reliability and

performance at a fraction of the cost of new equipment. Refurbished equipment offers a compelling alternative for healthcare providers, allowing them to expand their diagnostic capabilities without the financial burden associated with purchasing new machines. By choosing refurbished systems, hospitals and clinics can allocate resources more effectively, improving patient care and expanding access to advanced imaging technology.

Shaping the future of healthcare

Anil Prabhakaran,Managing Director,Sysmex India highlights the company’s dedication to scaling up diagnostics for a better healthcare journey

Since 2012, Sysmex India, an affiliate of Sysmex Corporation, has been serving the Indian healthcare industry as a leading IVD company, dedicated through our mission of advancing healthcare. Today, Sysmex supports the health of people across India by providing comprehensive solutions that meet the highest standards of quality and innovation.

Our advancement analysers and reagents have helped us build a robust customer base, including government and private hospitals, standalone labs, blood banks, primary care centres, R&D facilities and medical institutes. As a total solution provider, we also offer support through our dedicated customer service centre. In a significant shift, Sysmex India has transitioned from marketing its products through a distribution partner to managing operations independently. This change aligns with our broader goals of sustainability and innovation.

In India, against the backdrop of rapid economic and population growth, investments in medical infrastructure are being actively implemented through both government initiatives and private capital. High demand and sustained market growth in the areas of testing and diagnosis are expected to continue in the future.

To meet the rising demand in India, Sysmex India has invested in a state-of-the-art reagent manufacturing facility in Baddi, Himachal Pradesh, and has built a new plant in Sanand, Ahmedabad. The new manufacturing base has the largest total floor area of all the Sysmex Group’s manufacturing bases outside Japan. The plan is to start shipments of both reagents and instruments by the end of fiscal 2024. It will also serve as a warehouse and logistics hub to optimise the

supply chain in India. We will gradually expand domestic procurement of raw materials and packaging materials in India in response to the Make in India policy.

Notably, the new plant will follow an environmentally sustainable model, featuring highquality products, high-efficiency manufacturing processes and an advanced zero liquid discharge system

to eliminate water discharge outside the factory site.

We aim to grow faster than the market by focusing on our growth targets. We recognise that ongoing investment is essential to create new value and expand our portfolio, and we want to cultivate a company which creates value for society.

In addition to the new manufacturing plant, Sysmex is making aggressive invest-

ments including the expansion of sales and service bases, and the development of launch of products for the Indian market. To enhance the effectiveness of the emerging market strategies and achieve the sustainable growth of the Group.

At the heart of our growth is our commitment to human capital. We recognise that our employees are the source of our value creation. With skilled professionals across India, we are on track to expand our team to over 300 employees by the end of FY24. This growth has enabled us to establish a strong presence in the Indian market, offering a wide range of solutions in clinical laboratory testing, including haematology, Haemostasis, Urine Analysis, Clinical Chemistry, Flow Cytometry, Life Sciences and Scientific Services.

At Sysmex India, we are committed to making a positive impact on society through our corporate social responsibility programs and sustainable practices. We have conducted blood donation drives,

distributed school uniforms, and conducted COVID-19 vaccination camps, among other initiatives. Our holistic approach integrates sustainability into every aspect of our operations, from manufacturing and logistics to customer service. In addition to our CSR initiatives, we prioritise environmental stewardship through tree plantation drives at our various facilities, fostering a culture of responsibility and eco-friendliness.

Sysmex is dedicated to scaling up diagnostics for a better healthcare journey. We provide quality products, backed by Japanese cutting-edge technology and unmatched service. With a clear roadmap and robust strategy, we aim to establish ourselves as the market leader in India.

As we continue our growth path with inspirational success stories, Sysmex remains committed to shaping the advancement of healthcare by investing in our people, technologies and sustainable practices, ensuring a better healthcare journey.

Hemant Surgical expands into ophthalmic care with precision innovations

This expansion signifies company's commitment to enhancing eye care by offering state-of-theart solutions that meet the needs of modern ophthalmic practices

Hemant Surgical Industries Ltd. (HSIL) has long been a trusted name in the healthcare sector, known for delivering high-quality medical devices and equipment across various specialties. Now, in a strategic move to broaden its impact on healthcare, HSIL proudly announces its entry into the ophthalmic division. This expansion signifies HSIL's commitment to enhancing eye care by offering state-ofthe-art solutions that meet the needs of modern ophthalmic practices.

HSIL's foray into the ophthalmic field is marked by the introduction of four key products, each designed to elevate the standard of care:

◆ Ophthalmic ultrasound: Precision imaging technology is essential for accurate diagnosis and effective treatment in eye care. HSIL's ophthalmic ultrasound delivers exceptional image quality, ensuring that

The company is not just entering a new market; it is bringing its legacy of quality and innovation to a field that is in constant need of cutting-edge solutions

healthcare professionals can provide the best possible care for their patients.

◆ Surgical loupe: Clarity and comfort are paramount during intricate surgical procedures. HSIL's surgical loupe offers high-definition magnification, allowing surgeons to perform with greater accuracy and confidence.

◆ Microscope: Precision is critical in ophthalmic surgeries, and HSIL's advanced microscope technology is designed to meet this need. With innovative optical systems, this microscope provides surgeons with the tools they need for meticulous and successful operations.

◆ Surgical knife: When it comes to surgical instruments,

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sharpness and precision are non-negotiable. HSIL's surgical knife is crafted with the finest materials, ensuring that surgeons can make the delicate incisions required in ophthalmic procedures with ease and confidence.

About HSIL

Founded with a vision to improve healthcare standards, HSIL has been at the forefront of the medical device industry for decades. The company has earned a reputation for delivering reliable and innovative healthcare solutions that cater to a wide range of medical specialties. HSIL's product portfolio includes everything from surgical instruments and diag-

nostic equipment to advanced medical devices, each designed with the end-user in mind.

HSIL's success is built on a foundation of quality, innovation, and customer satisfaction. The company's commitment to excellence is evident in its rigorous quality control processes, ensuring that every product meets the highest industry standards. Moreover, HSIL is dedicated to staying ahead of the curve by continuously investing in research and development, bringing the latest technological advancements to the healthcare industry.

With its recent expansion into the ophthalmic division, HSIL is poised to make a

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significant impact on eye care. The company is not just entering a new market; it is bringing its legacy of quality and innovation to a field that is in constant need of cutting-edge solutions.

As HSIL continues to grow and diversify its offerings, it remains steadfast in its mission to improve healthcare outcomes and contribute to the well-being of patients worldwide.

In summary, HSIL's entry into the ophthalmic division is a testament to its ongoing commitment to healthcare excellence. By introducing precision ophthalmic tools, HSIL is set to enhance the capabilities of eye care professionals and improve patient outcomes. Whether it's through advanced imaging, surgical magnification, or finely crafted instruments, HSIL is dedicated to supporting the future of ophthalmology with the same level of excellence that has defined its journey so far.

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