Best of 10 Healthcare Brands 2019 by insightscare

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VOL 2 ISSUE-1

BEST OF LIFE WINS CARE WINS Poised to Serve and Enrich Quality of Life, Wockhardt Hospitals is the Next Big Blessing in the Indian Healthcare Industry

Healthcare Consultancy Services A Management Advisory Enhancing Businesses with Unique Approach

Sun Narula Group India Leading the Healthcare Vertical with Innovation

Expertâ&#x20AC;&#x2122;s Board Mr. Udai Kumar Chairman & CEO OHUM Healthcare Solutions Dr. V. Mohan Chairman & Chief Diabetology Dr. Mohan's Diabetes Specialities Centre

Mr. Bhavdeep Singh CEO Fortis Healthcare

Healthcare BRANDS 2019

Brand Building Brand Promise + Brand Experience = Relationship

Camomile Healthcare Ventures Transforming Healthcare Organizations through Digital Technologies

IOTimize Healthcare Solutions Innovating Better Life

Emerging Tech-trends Trending Technologies: Unveiling New Prospects for the Indian Healthcare Sector

Branding: A Key Element to the Healthcare Industry Sayali Rane, Editor

Editors Column

endors pay stringent attention to their branding of products to attract and preserve a steady customer base. A brand is a perceptible uniqueness that has varied characters and disposition. Usually, people buy into the brand and the security that it oﬀers.

Similarly, the healthcare industry also relies on branding and this factor greatly affects the steady flow of customers to keep healthcare companies afloat. When it comes to healthcare, strong branding efforts are needed. Whether it is working with providers or bringing in new patients, healthcare businesses must be able to manage a brand that people have faith in. This is mainly imperative for physical health and wellbeing. People do not trust a healthcare company without it being a trustworthy brand. A few facts and keys that the healthcare companies should consider are, the company needs to keep in mind the brand value to get considered for future merges. It should build healthy relationships with doctors, patients, payers and providers; which would help the company to build a strong/firm customer base. The product or service of the company should be able to provide patients with a unique experience that cannot be replicated. This will generate higher returns, growth and mitigate risk. Attract and retain top talent – nurses, doctors, physicians assistants, etc. this will instill trust and reassurance and increase brand awareness. Healthcare is personal, and thinking of your brand as a promise will help in the growth of the company. Recognize the company’s strengths and weaknesses, acuities do not always match reality, nonetheless they do affect how many people trust the brand for care. Set yourself apart from others and connect online and offline channels keeping the company abreast with latest technology while keeping it connected with the customers. ‘Branding is as essential for the healthcare industry as it is for retailers and manufacturers. To attract and retain patients, set your company apart from others, build trust and loyalty and maximize the relevance of your brand!’

CXO

14 Tackling Diabetes Latest Technologies in Diabetes

Articles

20 Emerging Tech-trends

Trending Technologies: Unveiling New Prospects for the Indian Healthcare Sector

Healthcare Management Healthcare Systems are Complex and Need Strong Management

36 Brand Building Brand Promise + Brand Experience = Relationship

42 Indian Healthcare Sector The Healthcare Sector Today in India: Why is its Role Critical?

Poised to Serve & Enrich Quality of Life, Wockhardt Hospitalsâ&#x20AC;&#x2122; Leading Healthcare With Innovation & Excellence

Camomile Healthcare Ventures Transforming Healthcare Organizations through Digital Technologies

Healthcare Consultancy Services A Management Advisory Enhancing Businesses with Unique Approach

IOTimize Healthcare Solutions Innovating Better Life

Sun Narula Group India Leading the Healthcare Vertical with Innovation

C o n t e n t s

Life Wins Care Wins

BEST OF

Healthcare BRANDS 2019

Leading Healthcare with Innovative Technology & Branding Tactics

ll of us have heard the saying, ‘A healthy nation is a wealthy nation’. Healthcare is one such industry that will thrive to exist till the humans do. It, hence, is a very significant part of the economy of a country. Quality care has ensured that humans all around the world lead a better life. Right from general check-up to diagnosis to post-treatment care, at every step the attention to detail and quality of service provided to the patients have to be up to the mark. Although the healthcare industry has advanced incredibly, it faces several new challenges every day. Tackling these challenges and contributing significantly to the process of improving healthcare, we have shortlisted some of the prominent companies that are dedicatedly working to better the quality of life for people. In our issue, “Best of 10 Healthcare Brands 2019,” we highlight their stories and how they are catering this vast industry. In this issue we have included intriguing cooperate profiles of various leading brands in the healthcare sector namely; Camomile Healthcare Ventures is one of the fastest growing and the largest healthcare strategy and implementation advisory organizations in Asia; Healthcare Consultancy Services (HCS) is a Healthcare Advisory & Consulting firm in the field of Healthcare & Hospital Management, based out of Mumbai; IOTimize Healthcare is focused on developing several technological solutions to uplift the current living situation of the population; Sun Narula Group India is one of the largest independent healthcare solution providers, with world class technology products and services; Wockhardt Healthcare is a chain of tertiary care super-specialty hospitals with its main focus and aim being on clinical quality and patient-centric care. Apart from these we have also included numerous other companies like, Seemeds Healthcare Solutions Pvt. Ltd., Ambuja Neotia Healthcare, Hosmac India Pvt. Ltd., Palash Healthcare and Cipla Ltd. Apart from these we also bring some interesting articles drafted by industry experts on various fields of the healthcare vertical. Mr. Bhavdeep Singh, the CEO of Fortis Healthcare has written a piece on ‘The Healthcare Sector Today in India: Why is its Role Critical?’ Whereas Padma Shri Dr. V. Mohan the Chairman and Chief of Diabetology at Dr. Mohan’s Diabetes Specialities Centre, Chennai; has shared his views on the ‘Latest Technologies in Diabetes.’ Another very interesting article written by Mr. Udai Kumar, the Chairman & CEO of OHUM Healthcare Solutions, on ‘Healthcare Systems are Complex and Need Strong Management.’ Our in house editorial team has also included a few insights through our articles on ‘Trending technologies in the healthcare vertical’ and ‘Branding Strategies and Building.’ So flip through the pages and embark on a journey full of knowledge and interesting business approaches!

Editor-in-Chief Pooja M. Bansal Managing Editor Ashwini Deshpande Executive Editor Sayali Rane Art & Design Head Amol Kamble Associate Designer Asha, Shweta Art & Picture Editor Rahul Kavnekar Co-designer Sapana Shinde Business Development Manager Akansha Garewal Sales Executives Daneshwar Dadsena Technical Head Swapnil Patil Technical Specialist Vivek, Pratiksha Digital Marketing Manager Prashant, Rahul SME-SMO Executives Swati, Manoj Circulation Manager Tanaji sales@insightscare.com

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LIFE WINS CARE WINS

Zahabiya Khorakiwala Managing Director

he healthcare businesses including all stakeholders are evolving rapidly and the future looks radically diﬀerent from present. People now have easy access to healthcare information, which keeps them updated. Digitalization and integrated patient-centric approach is giving rise to databases, thus changing the nature of how healthcare operates. Also, technologies like Artiﬁcial Intelligence, Additive manufacturing, and Machine Learning are acting as game changers in the healthcare industry, and will bring about major changes in incoming times. ‘Healthcare is all about providing best services with patient outcomes.’ A Hospital chain that has proved just that

February 2019 |

POISED TO SERVE & ENRICH QUALITY OF LIFE, WOCKHARDT HOSPITALS LEADING HEALTHCARE WITH INNOVATION & EXCELLENCE

is Wockhardt Hospitals (WHL). Its main focus and aim being on quality and patient care, Wockhardt Hospitals are bridging the path through best medical practices, best nurses and doctors, best teams at par, best of the technology, and updated with the best medical practices. To gain further insights into this journey full of innovation and patient care we bring you an exclusive interview with Zahabiya Khorakiwala who is the Managing Director and driving force behind this new-age chain of multi super-speciality Wockhardt Hospitals. She is deeply involved on all strategic and operational activities of the company. Under her leadership WHL has achieved profound success and is soaring new heights with each step. In 2018, under her leadership WHL launched a super-speciality hospital in Wardha district of Maharashtra. Zahabiya strongly believes that healthcare industry is on the cusp of paradigm shift and today the three stakeholders of this industry government, private players and the society have an exciting opportunity to collaborate and redeﬁne India’s health system in order to power the nation’s growth and development, ensuring eﬀective utilization of the resourcesCapital, drugs, technology and human resources.

with facilities in, Nagpur, Nasik, Vashi (Navi Mumbai), Rajkot, Surat, Wardha, South Mumbai (SOBO) & North Mumbai (NOBO). The guiding philosophy of Life Wins! Stands for serving and enriching the quality of life of patients. Our establishment of 350 bed Super Speciality Greenﬁeld Hospital in South Mumbai – The New Age Wockhardt Hospitals, Mumbai Central, which got accredited by JCI (Joint Commission International) within 3.5 years of its establishment. Our facility has a Pediatric Cardiac Sciences Centre, with a renowned super-specialist team, and state-of-theart technology, of global standard. All our hospitals have state-of-the-art infrastructure and globally benchmarked processes to enable quality healthcare and patient safety. The overall 1500 bedded hospitals have over 1000 Standard Operating Procedures or Protocols for both clinical and non-clinical processes in place.

Q Kindly brief us about Wockhardt Hospitals.

Q Kindly provide us in brief about your organization and how has the company progressed over the years?

Wockhardt Hospitals is a chain of tertiary care super-specialty hospitals

Embracing innovations and constant up

We has developed patented novel Autologous Growth Factors therapies which provides drastically improved clinical outcome over the existing available treatments for diﬀerent kinds of wound healing, musculo-skeletal pain management, hair regrowth, scar less surgery, and aesthetics.

gradations in health services have been our forte that has been constant over the years. We at WHL have identiﬁed three keys areas that have been the mainstays over the years and have contributed to our success.

deliver global best practices at our super-speciality tertiary care hospitals. Q Mention any awards and appreciations that your organization has received.

Focus on Quality and Patient Care – We at WHL practice WHL is committed to serve top-notch premium medical highest quality standard to deliver superior clinical care. We services and therefore the management continuously works have ensure that all our hospitals are NABH accredited and upon bringing in innovative also the group’s flagship Hopsital products and unique services that the ‘New Age Wockhardt Hospitals’ are helpful for the patients. We have at Mumbai central has received the Embracing been on the peak of success in coveted JCI accreditation within delivering healthcare service and first three and half years of its innovations this has been recognized by various operation. and constant up organizations, which have presented gradations in health us with countless awards and Group of Hospitals – Being a group appreciations. 2016 was a golden of seven super-speciality tertiary & services have year in the history of our quaternary care hospitals has its been our forte organization with all WHL hospitals own merits such as: receiving appreciations namely; • Exchange of best practices, that has been Innovation in Quality of Service • Patients transfer/mobility, constant Delivery: Wockhardt hospitals, Best • Doctors/Consultant expertise over the years Marketing Campaign in sharing Healthcare: Wockhardt Hospital, Strong presence in Mumbai − We Surat; Best Multispecialty Hospital, have 3 hospitals in Mumbai of Saurashtra & Kutch region & about 750 beds all together. We are Wockhardt Hospital, Rajkot; Best Dialysis service care able to bring in new modalities of treatment and easily provider: Wockhardt Hospital, North Mumbai; Wockhardt incorporate it in our Mumbai hospitals because it is a metro Hospitals shines at the World HRD Congress with 21 city with an appetite for innovation. awards for excellence in Human Resource; Wockhardt Hospitals South Mumbai won the AHPI Award 2016 in the WHL has also been associated with Boston based Partners category of “Best place to work,” and Wockhardt Hospitals Medical International (PMI) for 17 years. This exclusive Nashik has won the AHPI Award 2016 in the category of association has given us access to a network of Harvard“Nursing Excellence.” affiliated hospitals around the world and their immense expertise and knowledge, ensuring that we adopt and

“

| 2019 February

WHL has been a star since its inception, our world class infrastructure and selﬂess patient care has earned us the NASSCON, Healthcare Transformation Award for AI & Cognitive and Facilitation Impact Awards – GOLD, International Association of Facilitators, in 2017. 2018 was a marvelous year for us; we received three prestigious accolades; AHPI Global Conclave, Nursing Excellence Award, Pride of India Awards, Award for The Best Customer Service Program in Healthcare, and Et NowMaking of Developed India (Modi) Awards, Best HR Practices. Q Innovation is what takes you forward. What are the steps that WHL has taken for this, to remain at the top of your game? WHL has a dedicated Research & Development facility that tirelessly strives to come up with novel and innovative technology that can ease patient care and treatment. Our facility is also equipped with latest and state-of-the-art technology and equipment. This has helped us to develop patented novel Autologous Growth Factor Concentrate (GFC) therapies, which provides improved outcome over existing available treatments for various conditions. Growth factors are a family of diverse substances found naturally in the body. These essentially promote and stimulate biological processes and growth. They are immensely capable of stimulating cellular growth, vascularization, proliferation, tissue regeneration, and collagen synthesis. Some of the conditions for which GFC technology has proven beneﬁts are: Growth Factor Concentrate Treatment: Emergent choice for treating Osteoarthritis (OA) Scientists have devised a novel technique that has the

Fig. Typically, pa ents will require one or two injec ons before no cing improvement. The total recovery me is similar to surgery, three to six months, depending on the severity of the condi on, but the key diﬀerence is that pa ents who opt for Growth Factor Concentrates over surgery may be able to skip the need of surgery.

February 2019 |

potential to repair cartilage damaged by OA, alleviate pain and prevent the need of surgery. This technique is called the Growth Factor Concentrate (GFC) Treatment. The Growth Factor Concentrate (GFC) treatment involves drawing the patient’s blood and using a centrifuge to concentrate the platelets, which are rich in the growth factors. A special technique is then used to extract, concentrate and activate these growth factors that the body uses in various healing processes. The concentrated and activated Growth Factors are then re-injected into the joints affected by Osteoarthritis, where the growth factors can be used by the body to heal. All currently available treatments of Osteoarthritis leads to symptomatic improvement and pain relief only, the GFC treatment leads to not only Side-effects free pain-relief but also has the potential to heal and regenerate OA damaged cartilage. Growth Factor Concentrate (GFC) Treatment for Difficult to Heal Bedsores For large difficult to heal bed sores so far surgery was the only option, recently cell biologists have developed an innovative topical (unlike surgery) treatment that includes application of Growth Factors extracted out of patients own blood that initiates accelerated wound healing leading to a complete wound surface recovery. Apart from a highly trained nursing team that can greatly reduce the incidence of pressure ulcers in chronic bedridden patients, the GFC treatment is a phenomenal option for patients who are already suffering from bedsore. My team has treated several bed sores patients with GFCs preventing major complications and providing complete relief to patients. Growth Factor Concentrates (GFC) Treatment for Sports Ailments There is great news for recreational and professional athletes and sportspersons with painful musculoskeletal

BEST OF

Healthcare BRANDS 2019

conditions or any chronic injury that seriously hampers their training. Scientists have developed a novel treatment that uses a patient’s own ‘supercharged’ blood to heal softtissue injuries. The technique involves drawing the patient's blood and using a centrifuge to concentrate the platelets, which are rich in the growth factors. A special technique is then used to extract, concentrate and activate these growth factors that the body uses in various healing processes. The concentrated and activated Growth Factors are then re-injected into an area of chronic tissue injury, where the growth factors can be used by the body to heal the injured tissue. Diabetic Foot Ulcer: Foot Ulcers can now be Totally Healed with Non-Amputation Techniques People with diabetes are at a higher risk of developing the most dreaded complication; of diabetic foot ulcers. During an open or closed injury to the skin, the tissue that gets damaged is healed by a makeup phenomenon termed wound healing. It being a natural phenomenon, wound healing is typically taken care of by the body's innate immune mechanism of action that works consistently almost every time. Nevertheless, a slight help in promoting healing would not hurt. According to a recent therapeutic development application of growth factors topically, enhances the normal healing process. Wound repair is initiated by growth factors released from platelets. At the moment, cell biologists around the globe including our country have come up with an possibility for non-healing ulcer treatment termed- ‘New Age Concentrated Growth Factor.’ Autologous material– taken from the patient himself, potential to heal all non-healing ulcers, and prevents amputation; are some of the advantages of our new-age ‘Concentrated Growth Factor’ technology.

Nearly Scarless Surgeries-that are Aesthetically Better The GFC (Growth Factor Concentrate) technology is a remarkable new innovation that will be able to minimize and significantly reduce surgical scarring giving superior cosmetic results to patients. Growth Factors are naturally occurring substances found in platelets which are capable of stimulating cellular growth proliferation, healing, and cellular differentiation. Scientists have found an efficient and rapid methodology of extracting a very high concentration of these growth factors from patient’s own blood called ‘Growth Factor Concentrate (GFC)’ which can then be re-applied to the incision post-surgery. The GFC aids in healing by attracting undifferentiated cells in the newly formed matrix, triggering cell division and hence accelerated healing in surgical incisions. The use of GFC represents a greater similarity to the natural healing process thereby leading to a nearly scar less surgical incisions. Hair Regrowth through Follirich Utilizing Growth Factor Concentrate (GFC) Technology, Wockhardt Hospitrals have developed a kit called ‘Follirich’ Kit which gives ready to inject high potency Growth Factor in the scalp of the patients which helps in increasing the hair thickness by 50% and prevent hair fall in individuals. Face Rejuvenation Growth Factor concentrates interacts with cells in the subcutaneous tissues, such as fibroblasts, endothelial cells and stem cells and after binding to their cellular receptors, they activate intracellular signaling events mediating cell proliferation, migration, survival and production of extracellular matrix proteins in the skin. This results in tissue rejuvenation. Its application for superficial or deep dermal stimulation leads to skin rejuvenation and facial volumisation. The Advantages of GFC Technology • SAFE/ Autologous material-taken from the patient himself • Potential to rapidly heal all kinds of surgical incision Due to this ability of our GFC technology our cardiac surgery patients will also be able to have an aesthetically better, nearly scar less surgery. This will have a very positive cosmetic and psychological impact on many of WHL’s patients.

| 2019 February

here have been tremendous advances in technology used for the management of diabetes over the past few years. Technologies most commonly reported are in the arena of needles and injections used in insulin delivery and devices that can manage blood glucose and prevent long-term complications. Insulin Pens Have Become Better, More Accurate and Less Painful Conventionally, insulin used to be given in syringes and a vial of insulin. In earlier days the needles were long and painful and the vial has to be kept in a refrigerator. All this changed when insulin pens were introduced. Insulin pens are more useful as they eliminate the need for drawing up a dose in a syringe. The ability to dial up the desired dose leads to greater accuracy and reliability, especially for low doses which are often needed in the elderly and in small children. The sensory and auditory feedback linked with the dial mechanism on many pens, also helps patients with visual impairment. Pen devices are also more compact, portable and easier to grip. Moreover as they are insulated, it is not necessary to keep the pen in a refrigerator. This makes life much easier especially for busy people who travel a lot. However, Insulin pens are more costly than insulin vials. Advances in Insulin Delivery Devices a) Insulin pumps

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All patients with type 1 diabetes and many with type 2 diabetes require insulin therapy to control their blood glucose levels. Notwithstanding the tremendous advances made in insulin therapeutics over the past three decades, glycemic control remains suboptimal in the majority of patients on insulin. A major reason for this paradox is that the currently used insulin regimens do not exactly mimic the physiological secretion of insulin from the beta-cells of the pancreas. The insulin pump represents an attempt to provide insulin in a more physiological manner to patients with diabetes, avoiding the peaks and troughs in insulin levels seen with multiple subcutaneous injections. The insulin pump consists of a subcutaneous cannula inserted into the interstitial space (usually of the anterior abdominal wall), a connecting tubing and a small pager sized, battery operated pump which has the insulin reservoir as well as a microchip that controls insulin delivery according to pre-programmed rates. b) Artificial Pancreas These are modern insulin pumps with built in glucose sensors. The ultimate Artificial Pancreas (under development now) would be able to automatically deliver the correct doses based on the blood sugars and switch off the delivery if the sugars are low! Use of Technology in Monitoring Glucose Levels a) Blood glucose meters Blood glucose meters have been used in clinical practice since the 1970’s. However their widespread use started only in the 1990s after technological improvements led to a reduction in the cost of the meters and reagent strips. The latest glucose meters provide results that are comparable in accuracy to the venous plasma glucose estimations, at comparable or even lower costs.

Tackling Diabetes

Dr. V. Mohan Chairman & Chief Diabetologist

| 2019 February

The advent of glucose meters and strips has made self-monitoring of blood glucose an integral part of diabetes care particularly in patients who are on insulin. b) Continuous Glucose Monitoring (CGM) Today we have devices which can continuously monitor the glucose levels using sensors applied to the body. These are particularly useful for those who have ﬂuctuating glucose levels.

results to your doctor or health care provider making remote monitoring possible. Use of Telemedicine Telemedicine has now transformed into a complex integrated service used in hospitals, private physician oﬃces, and other healthcare facilities. It has been used to overcome distance barriers and to improve access to medical services that would often not be consistently available in distant rural communities.

c) Ambulatory Glucose Proﬁle (AGP) Electronic Medical Record (EMR) can transform the way healthcare is delivered. EMR is a patient centered record, which contains medical, and treatment history of the patient and this information can be made available online whenever it is needed to authorized users.

The Ambulatory Glucose Profile device consists of a small sensor which is worn continuously by the patient for the duration of the profiling (up to 14 days). The glucose values recorded by the sensor are wirelessly transmitted to a reader (usually kept with the healthcare provider) and downloaded in the form of graphs using a proprietary software .The graphs provide glucose curves for each of the 14 days, as well as a “modal day” curve prepared by collapsing the readings from 14 days into a single curve. The AGP is an improvement upon the original continuous glucose monitoring system in its longer duration of recording and in that, there is no need of calibrating with a capillary glucose meter. It is also far less expensive. The FGM is a useful educational and motivational tool for patients in addition to helping the clinician plan and titrate anti diabetic drug regimens more accurately. Use of Mobile Phones (mHealth/mDiabetes) Today it’s a mobile world. Smart phones are everywhere, giving more people instant access to information at their fingertips. This trend has led to growing popularity and use of mobile health technology. Mobile health technology is making health care more accessible and more flexible, places more power in the hands of patients, and is contributing to greater efficiency at medical practices. Various apps are now available to measure your diet, exercise and track your body weight glucose levels, blood pressure, cholesterol etc. You can also communicate the

February 2019 |

Precision Diabetes: Now in India At Dr. Mohan’s Diabetes Specialities Centre, over the last several years we have developed algorithms by which a precise diagnosis of diabetes can be made. Applying the principles of ‘Precision Diabetes’, it will be possible in the near future to very accurately classify a patient and determine the type of diabetes he or she has, and then decide the type of treatment that this patient is likely to respond to. These are indeed exciting times in the ﬁeld of diabetology. Conclusions This review sums up some of the technologies in practice for the management of diabetes. It ought to be remembered that any device or technology, is only as good as the person who uses it. The success of these technological advances will rely signiﬁcantly on the willingness of patients and doctors to adopt them and to utilize them to the fullest.

Biography Dr. V. Mohan is the Chairman and Chief of Diabetology at Dr. Mohan’s Diabetes Specialities Centre at Chennai in South India which is a WHO Collaborating Centre for Non-communicable Diseases Prevention and Control and IDF Centre of Excellence in Diabetes Care. He is also President and Director of the Madras Diabetes Research Foundation which is an ICMR Centre for Advanced Research on Diabetes. Deeply interested in research from his undergraduate medical student days, Dr. Mohan has published over 1200 papers in peer reviewed journals including 750 original articles, 250 review articlesand invited editorials and 150 chapters to textbooks on Diabetes and Internal Medicine which is a world record by practicing doctor. His work has received over 59,000 citations and has a h index of 110 which is the highest by a medical doctor in India. Dr. Mohan has trained over 12,000 physicians & 500 diabetologists in addition to Nurses, Educators and

Technicians. Dr. Mohan has received over 170 awards including the prestigious Dr. B.C. Roy National Award by the Medical Council of India and the Dr. B. R. Ambedkar Centenary Award from the Indian Council of Medical Research, the highest award for Biomedical research in India. In 2018 he was conferred the prestigious Dr. Harold Rifkin Distinguished International Service in the Cause of Diabetes Award by the American Diabetes Association for his pioneering work in the field of diabetes and he is the first Indian to receive this award. For his extensive contribution in the field of diabetes, in 2012 Dr. Mohan was awarded the prestigious Padma Shri, one of the highest civilian awards given by the Govt. of India. Dr. Mohan also provides lifelong free treatment to thousands of poor patients through the free diabetic clinics established by him and has conducted over 3000 free diabetes camps including several along with the Sri Sathya Sai Seva Organizations and Trusts.

| 2019 February

Trending Technologies

Unveiling New Prospects for the Indian Healthcare Sector

nnovative technologies are the mainstays of today’s modern world. Right from an individual to the various sectors contributing to the GDP of a nation, a bounty of activities and progression is solely dependent on the evolving technologies at the global platform. With each passing year and turn of every decade, emerging technologies are evolving at a brisk pace that is ultimately setting the trajectory of growth and development. One such sector that has showcased a remarkable transition by embracing new trends and innovations is the Indian healthcare industry. Shedding the conventional patterns and approach, the industry is exploring every possible opportunity to stand amongst the major contributors to the Indian economy. Studies reveal that the healthcare segment is growing at a CAGR of sixteen percent and is expected to climb up to USD 280 billion by 2020. Also, with the advent of ‘frugal innovation’ in the private sector, healthcare services are uniquely poised to undergo a radical change in the near future. This post collaborates the recent trends that made way into the Indian healthcare industry and proved to be the ‘showstoppers’ in delivering a plethora of new advancements. This paradigm shift is not only limited to embrace new technologies, but it’s also a gigantic step to revamp the overall process for improving the deliverables and increasing eﬃciency as well.

February 2019 |

Emerging Tech-Trends

| 2019 February

TELEMEDICINE Portrayed as one of the most beneﬁcial digital trends across the globe, this technology truly holds the potential to deliver optimum healthcare services to patients living in rural areas and in the remotest corners of the country. Even though the best doctors in the world are of Indian origin, the fact remains that millions of people still don’t have access to quality facilities. Telemedicine brings the ﬁnest doctors and the patients at one platform using digital technology – without even traveling a single mile! This technology was existent in India over the last decade; however, the usage was very restricted. Now, with the entrance of private players and Government participation, it is been implemented at a much larger scale.

ARTIFICIAL INTELLIGENCE Undoubtedly, this technology has added new dimensions and has unlocked new horizons in the healthcare sector. With support from the State and Central Government, AI technology is penetrating the Indian medical sector at all levels. Companies like IBM, Microsoft, and Google are working extensively to build solutions in the key area of diagnosis. The IT giants are working on the vast amount of raw data and construct it into meaningful analysis. AI algorithms are assisting to monitor and manage the various parameters in the human body. In partnership with Apollo Hospitals, Microsoft is using AI for detecting cardiac diseases. Chatbots and virtual assistants are the other distinctive features that are simplifying the cumbersome process of registering medical records, lab results, and clinical workﬂows.

IOMT - INTERNET OF MEDICAL THINGS

IoMT plays a key role by bridging the gap between medical resources and healthcare services. This technology revolves around the concept of creating a broad network of connected devices that senses crucial data in real time. This promotes individual ‘data-driven’ treatment for improving aﬀordability, disease detection and prevention, and for ﬁtness promotion to name a few of the distinctive features. A convergence of IoT, telemedicine, and telehealth technologies, IoMT is the perfect way to enhance customer experience and for performing in-depth analytics.

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IOMT

HEALTHCARE ROBOTICS Medical robotics is quite a fascinating and an emerging trend in the healthcare segment. Majority of the global companies have shown keen interest and are focusing on developing prototypes that would be the answer to complex medical procedures done with utmost precision and yet be cost-eﬀective. The robot-operated machines are immensely helpful for general surgeries, cardiothoracic and urological procedures, and many more. Besides assisting in complex surgeries, they are also in use for hospitals, pharmacies, rehabilitation services, drug manufacturing, inventory and much more. Blending technology and medicines, healthcare robotics in the Asia-Paciﬁc region is witnessing tremendous growth as a result of the evolving medical infrastructure and investment.

WEARABLE DEVICES Modern-day technology has paved the way for medical devices that are wearable in various forms. These smart devices are proving to be quite eﬀective for the patients by the virtue of their size, design, and of course – utility. One can use it as watches, wristbands, chest straps, sensible glasses, footwear’s that are used to measure blood pressure, heart rate, calories, etc. These user-friendly, unobtrusive connected devices are equipped with features like wireless data transmission, real-time monitoring, and alert mechanisms. One distinctive USP of wearable medical devices is the fact that the patients are empowered to monitor and control their health. Along with patients, it has opened gates for the researchers to maximize the range of the clinical trials.

CONTENT MARKETING AND OPTIMIZATION Along with delivering quality medical services, healthcare companies are quick to understand the prominence of building a positive impression of the brand. Digitalization and smart devices have enabled consumers and patients to have a seamless connectivity with the providers which are creating a win-win situation for both the parties. From searching a doctor online, getting appointments, showcasing essential information’s and contents – content marketing is playing a massive role in creating new opportunities in the sector. The convergence of various technologies is sure to be a game-changer in today’s healthcare sector. Cost-eﬀective solutions backed by cutting-edge innovative trends and technologies are creating a positive eco-system that is quick, eﬃcient, and result-oriented. - Devasish Kanojiya | 2019 February

CAMOMILE HEALTHCARE VENTURES Transforming Healthcare Organizations through Digital Technologies

echnology is playing a dominant role in almost all the processes within the healthcare industry. From patient registration to data monitoring, from lab tests to self-care tools, every aspect and component includes various technologies in some form. Smart phones and tablets are starting to replace conventional monitoring and recording systems, and people are now given the option of undergoing a full consultation in the privacy of their own homes. Technological advancements in healthcare have contributed to services being taken out of the confines of the hospital walls and integrating them with user-friendly, accessible devices. The impact of technology on healthcare is transformational. A company that is efficaciously integrating digital initiatives into their services and solutions is Camomile Healthcare Ventures. It is one of the fastest growing and largest healthcare strategy and implementation advisory organizations in Asia. The company is expanding its horizons to offer compelling technology based solutions to transform healthcare organizations in emerging markets. Camomile’s work with leading organizations across private, public, and social sectors has enabled it to gain a deep functional and industry expertise. Its passionate team works towards bringing up a transformational change that the healthcare industry needs, as its focus lies on tackling and converting the challenges to opportunities, while simultaneously working together.

Raghava Rao CEO

include McKesson, Bank of America Merrill Lynch, Manipal Hospitals, Care Hospitals, Tata Trusts, Government of Andhra Pradesh and others. The Leadership of Camomile Raghava Rao, is the CEO of Camomile and is an accomplished leader in the global healthcare space. He has held senior management and Board positions with various Indian and multinational healthcare companies. He has widely travelled and worked on multiple projects and initiatives in the Indian and the international healthcare sector. He Co-founded Camomile Healthcare Ventures, a boutique Healthcare Transformation company with focus on advising Healthcare CEOs and Board of Directors on transformation and value creation. In a short span of 3 years, Rao led the company to becoming one of the largest and most inﬂuential healthcare consulting companies in India and the Asian region. Helping Achieve Best Outcomes, Clinically and Financially The distinctive services of Camomile that have set a benchmark in the healthcare vertical are as follows:

Camomile is uniquely positioned as a boutique healthcare advisory partner providing comprehensive solutions; it primarily focuses on three key areas: • Strategic advisory and direction setting • Operational design and implementation • IT design & transformation

Analytics & Big data: Healthcare data is growing 48 % YoY—and it pours in from new research, electronic medical records, imaging, wearables, and epidemiological monitoring, along with all the environmental factors that aﬀects the health. It can be overwhelming for doctors, but in all this abundant data lay vital clues to the next medical breakthroughs, cures and eﬃciencies. And now best practices and advanced expertise can go global quickly, changing the very nature of wellness and healthcare.

From its inception just 3 years ago, Camomile has worked with global majors in shaping the healthcare sector. Clients

Digital health: Healthcare IT is a competitive necessity and Healthcare organizations need to move aggressively to

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The impact of Ayushman Bharat would be akin to the Y2K phenomena. It is going to be revolutionary and health services providers need to fundamentally rethink on the operating models to stay relevant

BRANDS 2019

adopt digital technologies. Camomile’s IT and digital practice provide cutting edge solutions for its clients to plan and create a competitive advantage through right deployment of technology. Patient centric processes: Centering care around patients and engaging deeply with them will become survival tools for healthcare providers. Long wait times, unnecessary diagnostic tests, silo operations of each department and other hospital and doctor centric activities will become a thing of the past. Ayushman Bharat will significantly increase the healthcare usage and a shift is impending to happen from out of pocket payment to insurance, the impact of this would require hospitals to provide care at a significantly lower cost as well as deliver higher quality. Creating Patient Ease While patient safety is a major objective of the healthcare industry, the patient experience is also a determining factor in the success of any healthcare provider. The company is constantly working towards taking the delivery system to the next level by creating “patient convenience”. Some of the objectives of its work include; reduction in the overall cost involved, increased efficiency, increasing the patient convenience, improving the clinical outcomes, and developing patient centric care. Key Projects Post-Merger integration and transformation plan of Dr. B Barooah Cancer Institute (BBCI) with Tata Memorial Hospital, Mumbai Camomile healthcare ventures have been involved in PostMerger integration and transformation of Dr. B Barooah Cancer Institute in Guwahati. The overall objective was to transform BBCI into a center of excellence over a period of 3 years and to build local capacities in the North Eastern region.

Building oncology capacity at Government Medical Colleges (GMCs) in Maharashtra An initiative was taken by Department of Medical Education and Research (DMER), Maharashtra and Tata Memorial Hospital to have a comprehensive MIS for the GMC’s in Maharashtra to track the progress and eﬀectiveness of establishing and strengthening cancer care services. Camomile was engaged to develop a digital solution which will act as an enabling system between various selected medical colleges in Maharashtra, DMER and TMH. Transformation of leading Indian University into a World class International campus Camomile Healthcare Ventures has been mandated to guide and advise Sri Ramachandra University (SRU), Chennai to obtain the Institute of Eminence (IoE) recognition and to put together a path for being one of the top 100 universities globally. “We guided them in the implementation of the plan and created benchmark metrics for the transformation of various faculties.” Human Resource Being a Competitive Advantage Camomile strongly believes in hiring and retaining the best talent. The team consists of members with considerable experience in healthcare delivery and healthcare technology. Camomile attracted top talent from the best of the globally ranked Ivy League schools like Harvard University, Imperial College, London, IIMs and other top institutes. “Professionals choose Camomile as they get to work on transformational projects and have highest levels of responsibility from day one. We encourage initiative and entrepreneurial mindset.”, says, Raghava Rao.

| 2019 February

HEALTHCARE SYSTEMS ARE COMPLEX AND NEED

STRONG MANAGEMENT Biography of the Author

Udai Kumar Chairman & CEO

February 2019 |

Udai Kumar, is the Chairman & CEO of OHUM Healthcare Solutions, is a highly successful serial entrepreneur, mentor, and investor. He brings almost 28 years of IT industry and entrepreneurial experience. As the Founder of OHUM and cofounder of QUINNOX, Udai has a deep understanding of the global delivery model and specializes in global business development, human capital management, ď&#x20AC; nance, software development, Six Sigma, systems & processes. Udai holds a Masters in Business Administration from the Indian Institute of Management (IIM), Ahmedabad, India and a BS in Engineering from Banaras Hindu University, India. He was engaged in Sales, design, development & deployment of the three largest IT projects in India - Railway Reservations, Bombay Stock Exchange & Nhava Sheva Port Trust. Udai is an active member of the Health Information Network group and is on the panel of Leadership Team at the Government of India level for healthcare technology.

Healthcare Management

n August 2017, parents watched helplessly as more than 60 babies, diagnosed with encephalitis from mosquito bites, died due to lack of oxygen at a hospital in Gorakhpur, UP, because suppliers’ bills of INR 68 lakhs had not been paid. Such news is made even more tragic when India, in stark contrast, claims to be the lowest cost provider of the highest quality care in the world. Post such an event, questions get raised and the usual causes get flogged in public: corrupt administrators, low government spend, poor sanitation, incompetent or absent doctors, inadequate supplies, etc. After an appropriate period of ennui, the nation moves on until the next tragedy that is inevitable and imminent. Gross negligence and such obvious causes, though difficult to digest, are easy to understand. Our real quest, the Holy Grail, should be to eliminate any and all errors that prevent us from delivering the best modern science has to offer and delivering the same to all. Anticipating and correcting or preventing the errors created in healthcare delivery systems is a larger systemic challenge. The healthcare system is characterized by several major factors that are enlisted below.

Many agencies have recommended that the government spend of 1.1% of GDP be increased immediately to at least 2.5% and eventually to 3% of GDP. Each year over 55 million people go bankrupt due to healthcare expenditure, most of which is due to the cost of medicines. Before we get the increased spend we need to be prudent and pragmatic in how we spend rather than how much.

Affordability

If we take a systemic view of healthcare and improved it from first principles with a strong foundation on education, sanitation, primary and preventive care, we could stretch the healthcare spend to reach millions more and lift the nation to a higher global standard that each citizen truly deserves. In order to reduce the complexity, narrow the variability, increase the availability, improve the know-how and complete the gaps in information at the point of care, we need to invest more in digital health tools than increasing beds or doctors. Ayushman Bharat is a welcome program designed to fix the twin challenges of affordability and access to 10 crore families across India.

Information is at a premium when the time is of essence. But it is often the least available when most needed. Latest lab results, adherence to current medication, a detailed symptomatic history, past medical conditions, genetic proﬁles, latest best practice evidence. Most of the time the healthcare provider is working with less than the full picture.

Incomplete

| 2019 February

Knowledge

Complexity

First, there is the science of medicine. There are estimated 10,000-30,000 diseases known to us that affect humans, of which only a few (500-1,000) have a known cure. There are over 4,000 diagnostic lab tests, over 400 imaging tests and interventions, about 12,000 drugs, approximately 600-1000 procedures. Medical practitioners build up their skills over 60 main specialties and several hundred subspecialties. This knowledge base is constantly updated and modified so fast that even the best practitioners find it very hard to keep up.

Then we have the complexity of the vulnerable and disease-prone human system that is designed to die from the moment it is born. Over 100 billion cells, 78 organs (11 complex large organs) and 12 interdependent systems make the human body - everchanging, continuously monitoring, detecting, and self-healing. The National Institute of Health, USA now estimates that over 400,000 people die unnecessarily each year in the US alone due to medical errors making it the third leading cause of death.

typical healthcare intervention consists of a 4-day admission into a 400-bed Many-to-many Ahospital during which stay you get “managed” by over 40 different persons across 175-200 This takes place across multiple specialties, multiple diseases, interactions multiple encounters. drugs, procedures, and tests. None of these result in absolute guarantees. A reasonable large variance in each encounter can result in the same event being interpreted, acted, and monitored in completely different ways by different persons (the knowledge and competency of and tools available to doctors, nurses, technicians, management, ward boys, pharmacists etc.) Finally, there is the inherent lack of congruence on motivation on the part of the patient (the consumer) and the rest (the payer and the provider). Efficiency vs. effectiveness, today vs. tomorrow, cost vs. profit, need vs. greed, and the strange but compulsive desire by all humans to outsource their mistakes and seek a free ride on someone else’s goodwill.

Availability

February 2019 |

Hospitals operate 24/7 but are not fully functional at night or weekends. Patients, on the other hand, need urgent instantaneous care (be it advice, ﬁrst aid, trauma, or acute pain). Patients often commute for 1-24 hours, wait for 15-45 minutes, only to see a doctor for 2-15 minutes.

What gets measured gets improved. The complexity that arises in healthcare leads to an enormous list of metrics all which claim to improve health care: Beds per 1000, doctors per 1000, cost of an inpatient stay for each procedure, toilets per family, nets in mosquito-friendly regions, lab tests per person, out-of-pocket spend, Healthcare spend as a percent of GDP, infant mortality rates, and maternal mortality rates.

Metrics

The 910 bed Bokaro General Hospital (BGH) run by SAIL has one of the best neonatal care facilities in Asia, but has one of the worst records for neonatal deaths. Just 10 minutes away is the Sadar Government hospital that had the best record for neonatal deaths: ZERO. The entire result can be attributed to the well-meaning, Good Samaritan intervention of the rickshaws near the government hospital who nightly transfer high-risk women in severe distress to the better facility at BGH. A few get saved, many die as it is too late but the government hospital manages to keep its record intact. What can be counted doesnâ&#x20AC;&#x2122;t always count, and not everything that counts can be counted.

Last, but not least, we have the environment; viruses, fungi, and protozoa. Add to this diet, sunlight, exercise, nutrition, stress, sleep, road accidents, murders, and natural calamities.

Environment

This vastly-complex intersystem of medicine, the human body and environment is also both dynamic and fast changing. The human body is subject to more stresses, less rest. The environment is more toxic, the air more polluted, the food more artiďŹ cial (with high sugars and high hormones), medicine is more segmented and intrusive. All of this creates the market conditions for supply and demand of healthcare. We are willing to pay for the right to live a little longer. Sanitation, vaccinations, antibiotics, heart surgery, wound management, and healthier diets and environment have helped us raise our life expectancy from 30 to current 78 years. But this is neither uniform nor guaranteed at an individual level. Modern healthcare seeks to remedy this through practiced carefully prescribed established best practices that deliver near-zero errors for all aspects of healthcare: preventive, diagnostic, interventional, progressive and palliative. The System Of Profound KnowledgeÂŽ (SoPK) propagated by W. Edwards Deming lays the foundation for any large complex system in four parts: System, Variation, Knowledge and Motivation.

Healthcare systems have a vast multitude of parameters with a range of possible values that create an inevitable variation of results built into the design, interpretation, intervention, and prognosis.

Variability

| 2019 February

Healthcare Consultancy Services A Management Advisory Enhancing Businesses with Unique Approach

ealthcare Consulting Services, popularly known as HCS is in the business of Managing and sustaining Hospitals.

Amit Sontakke, the CEO, Co-founder, Managing Partner, and Principal Consultant of HCS is the rockpillar who has eighteen plus years of experience in the Hospital & Healthcare industry. He is a renowned veteran in the Hospital & Healthcare circle and has been instrumental in creating a Hospital Consulting business into a proﬁtable venture. It all started by doing a single Hospital consulting company in the years 2009 as a freelance consultant. Over the years, they moved from one project to another, gradually they were successful enough to create a team of consultant, who were capable to do independent GAP analysis of the Hospitals. By doing multiple gap analysis, they understood the pattern of various gaps or bottlenecks in the diﬀerent processes of the hospital departments. Based on these gap analyses and analyzing various bottlenecks in the various processes, they could devise solutions depending on the size of the hospitals, services and specialties hospital possesses.

Amit Sontakke Co-founder, CEO, & Managing Partner

which will be profit centers and develop the capacity of the HCS to start replicating in all the hospitals they manage. In the year 2017, HCS team freeze one of the opportunity to create and establish pharmacies both in retail set up and hospital setup. That's how, HCS created their first medical store in the name of HCS Medicals - Chemist & Druggist. The Journey of HCS Medicals During the mid-phase of the year, HCS Medical concept was floated among HCS consultants, an idea originated among the consultant and a team was appointed under the leadership of Mr. Sontakke. He appointed Retail pharmacy store manager to give shape and structure to the vision of the leaders. Under the able leadership of Mr. Sontakke, they could identify the precise location for setting up the retail shop. The concept was floated that the retail shop should be located at the junction of any four square and should be near the metro. Since one of the thought processes was to establish the retail store, Option A - under all metro station from Dahisar to Versova and Option B- to establish and create medical store based out of hospitals, either multi-specialty or single specialty with or without a deposit.

Inception Story of the Store HCS consultants realized that couple of hospital they were managing had somewhere faced similar problems such as Lack of funds, Lack of market survey, Not deﬁned proﬁt centers and cost centers, unorganized documentations, and micromanagement issue of promoters. They also noticed that data analysis and documentation was missing, few or most of the departments were outsourced, and promoters were lacking the corporate governance.

Considering the thought process and issues, a location for the ﬁrst store was decided and all the guidelines set by Food and Drug Administration (FDA) were followed such as ownership or rental space proof, ownership proof, layout plan for the space allocated for the store, and cold storage space. Also, guidelines related to cold storage facility and appointing qualiﬁed pharmacist (B.Pharm or D.Pharm) were also looked after keenly.

HCS considered these rising issues as an opportunity to grow and to do backward integration. Since then, they started focusing on a couple of departments or verticals,

Excellent Interior of the Shop By the end of August, HCS could complete the licenses part of the pharmacy. Also, they recruited the well-qualiﬁed

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BRANDS 2019

We are committed and passionate about bringing one-of-its-kind medical services for our clients

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pharmacist and started the interior work for the inspection of the retail space. The interior space of the shop consists of front billing section of the shop, wooden as well as metallic racks, electrical wirings and sockets, fridge connection, and plumbing and toilet work. The space also included internal and external signage, computer hardware, billing software, internet & telephone connection, advanced payment options such as swiping machine, and more. While all these requirements were getting fulﬁlled, one biggest challenge was to appoint the distributors for all types of OTC, and prescription drugs. To overcome this, a speciﬁc budget was allocated and the initial products were procured after which pamphlets were distributed to create more awareness of the pharmacy or medical store. Moving towards Perfection A journey full of ups and downs teaches to sail through the tough times of life. Likewise, HCS shares few learning from its journey for creating a well settled and accomplished business. • Location is the key to the success of the pharmacies. • Not to spend much on the interior or infrastructure of the medical store • Software and hardware selection is critical for the functioning of the medical store • Initially one should keep only one pharmacist • Initial stock of 5-10 lakh to be purchased based on the market survey.

• Profitability to shop is around 25-28% percentage average based on the discount scheme you offer to your clients As and when various promotion campaigns were completed, HCS felt a dire need for creating 'Home delivery system'. Hence, it appointed a home delivery guy to take home delivery to the next level. “It took us close to 9 months to understand the business model and with each passing month, HCS was getting close to profitability. Also, it took almost 1.2 years to get break-even. However, it is said that ‘whatever mistake you do is to move one step forward to perfection’ ”, delivers Mr. Sontakke. Diversified Services and Solutions on the Way HCS is trying to procure all types of products, like generics, branded both over the counter or prescription drugs. The center would be more focused on various disease-specific conditions like, pregnancy-related, diabetic, cardiac or hypertensive, cancer care drugs which would differentiate from the competition. HCS wishes to create a handholding for each patient of chronic disease management on year on year basis. It has highlighted and started service to check regular blood pressure, pulse and weight of the patient. It has also planned to start the Loyalty cards for the corporate clients with which any cardholder can avail discount or various sessional offers floated time to time. On asking him about new product launches, Mr. Sontakke says, “Recently the medical store is planning to launch its newsletter, in order to create awareness about various chronic diseases and scheme & offers company releases time to time”.

• Rental space should not be more than 20-25K maximum | 2019 February

Promise + Experience +

Relationship 36

February 2019 |

Brand Building

oth in terms of revenue and employment – over the last decade, the Indian healthcare sector is touching the pinnacle of success in terms of raising revenue and employment. The healthcare ecosystem comprises of various key components – hospitals, insurance, diagnostics, pharmaceuticals, clinical trials, and telemedicine to name a few. Innovative services, increase in expenditure from the public and private players, expanding the medical coverage, and branding are some of the factors that are fuelling the growth rate at an exponential pace. As the sector witnesses a fierce competition with the entrance of emerging players, branding has become a key to sustain and surge ahead among the competitors in today’s market. Due to the stringent norms and regulations, the traditional marketing techniques are not that effective in scaling up the business revenues. Secondly, the branding distinguishes and showcases the USP of any company or organization that ultimately assists to create a niche market along with customer base. The most evident example is the transformation of various private hospitals that have reworked their existing business models and have standardized the quality of healthcare facilities within the country. The healthcare insurance or Mediclaim is another area that has embraced brand sensibility and sensitivity and has evolved as a major contributor in the sector. Decoding Consumer Relationship As more and more players in the sector are implementing the above equation, the onus of delivering is rapidly growing. It defines the logic that a customer’s opinion about the company before actually knowing them is as important as their experience with the service, which the company actually offers! Indians are known to be very emotional across the globe and decisions relating to healthcare are very personal and significant. One can eat pizza from any popular restaurant, but in case of an eye injury, everyone would like to get treated from the best possible doctor available on the planet! This literal exaggeration of expectation reflects the special relevance of branding in the healthcare industry. As the healthcare landscape progresses to make in-roads for delivering improved quality and increased access, brand-developing remains a vital connectivity for both B2B and B2C segments. More than differentiating the services, branding is acting as a catalyst for innovation and value-added experiences. The Current Scenario In recent times, India stands amongst the top choice for medical tourists across the globe. Studies reveal that by the year-end, this sector will garner up to 6 billion USD. This tremendous growth is driven by brands like Wockhardt Ltd, SNG India, Lenskart, Apollo Ltd, Cipla, Multifit, Fortis Healthcare – and the list continues! As a leading provider of high-end diagnostics services along with the huge influx of capital investment for advanced diagnostics facilities, the Indian healthcare sector is evolving as the global platform for rendering the international medical tourists. The companies are working towards improving the touch points between the target audiences to create awareness and publicize the medical offering from their end. The Advent of Healthtech Startups Although a majority of the healthcare startups are in the nascent stages, the startups are quicker in creating their own brand and defining their business areas. Analytics, preventive healthcare, and pathology are the key areas where these startups are designing their business model and are much swift in connecting with consumers. Some of the startups that have successfully managed to showcase their brand at the global market are listed below:

| 2019 February

NetMeds

NetMeds is an online pharmacy that started in 2010. By uploading the prescriptions, patients can order their medicines via the web portal or the mobile application. It has over eight fulﬁllment centers in the country and recently has raised 35 million USD through a series C funding.

Practo

Initially started for the doctors, Practo has eventually turned out to be a one-stop online destination for booking appointments with doctors. The Bengaluru-based startup was founded in 2007 on a SAAS platform and apart from a PAN-India presence; it is active in Singapore, Indonesia, Brazil, and the Philippines.

NIRMAI

Founded in 2016, Nirmai is using Artiﬁcial Intelligence technology to detect breast cancer during the early stages. Using machine learning and big-data analytics over thermography images, this stands amongst the leading startups to ﬁght and detect cancer.

Forus Health

Forus Health embraces technology to ﬁght the skewed ophthalmologist-to-patients ration in India. With over 1,300 installations over 26 countries, this startup has impacted over 2 million lives in a positive way.

DocTalk

DocTalk is a mobile application that allows patients to save all their reports and ﬁles on the cloud alongside chatting with the registered doctors and getting an instant prescription –without visiting the doctor. It was founded in 2016 and has received a funding of over 5 million USD.

DocTalk Healthcare made simpler

The growth strategies in the healthcare domain are dependent on various factors, however, one factor that remains constant is – the consumer. Creating a positive impact on the minds of the patients is the key to success. Eﬀective branding by the healthcare companies will be the platform on which the collaboration of public and private players will design the present and future of the healthcare industry in India. - Devasish Kanojiya

February 2019 |

IOTimize Healthcare Solutions Innovating Better Life

his elegant story unveils the journey of IOTimize Healthcare Solutions India LLP that is focused on developing several technological solutions to uplift the current living situation of the population. Committed to deliver Equitable Healthcare to the underserved population, it has developed a solution to entrench preventive healthcare into the mainstream clinical process without demanding any extra burden on current healthcare scenario. About the Company Getting on board in 2015, IOTimize started its journey from California, USA. In December 2017, it established its operations in India. Today, 20+ zealous experts are working towards transforming the deep-rooted belief of the company- “people’s healthy present for better future” into reality. To aid this dream, they are developing state-of-theart products, which can help a country address its prevalent and far-reaching socioeconomic concerns that are the direct cause of premature deaths from NCDs. IOTimize is a solution-based organization having a group of passionate and dedicated professionals who strive round the clock to leverage the full potential of existing and upcoming technologies to simplify the complexities that frequently plague the public, irrespective of their age, location, education, or ﬁnancial background. The Benevolent Leader Subir Chandra Ray, the Founder and CEO of IOTimize, is a courageous visionary who quit a fat paying job and turned towards helping out with social issues. During this transition he came across a WHO report based on Public health, which pressed upon his passion of evolving unique and innovative products; designed to address socially relevant issues. And oﬀering best-in-class services that enabled the user to lead a healthy and secure life.

February 2019 |

Subir Ray Subir Chandra Chandra Ray Founder &&CEO Founder CEO

He is an award-winning, seasoned leader with more than 25 years of experience in software development and management. He believes that for any country to thrive, its most precious resource – the people, should have a healthy present. Thus, he has been dedicated to provide people, with the help of cutting edge solutions, a better and secured life by addressing their woes, be it health or social issues. ‘All is Well’ with Oliswell In current healthcare industry when others are providing preventive care solution in bits and pieces, disintegrated from the mainstream clinical process; the ﬂagship product of IOTimize, Oliswell Lifecare Solution, or OWL is empowering preventive, primary, specialty care delivery, early diagnosis, medical and therapeutic intervention, and remote follow-up of masses. Oliswell Lifecare Solution is designed for saving life from premature death caused by non-communicable diseases. The solution focuses on individual’s comfort, minimizes their time spent, and aims to provide personalized perspective for preventive healthcare. The transformational solution intends to entrench preventive care into the mainstream clinical process, detect NCDs at early stage, disseminate secondary and tertiary care to the un-served and underserved population and engage friends-and-family in the treatment process for better follow-up care. OWL makes use of the communication technology for remote accessibility, advanced AI techniques for early detection of NCD, and social media based micro learning for better follow-up care. 700M people in India and more than 4B globally stands to beneﬁt from OWL. It consists of: • Multi-parameter integrated medical device with secure cloud connectivity • Machine learning analytical tools for disease categorization and progression • Multiple statistical tools for public health monitoring, intervention, and improvements

BEST OF

BRANDS 2019

Technology is our mantra for continuous evolution – a means of societal and industrial development

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Healthcare

OWL is one of its kind, extracting human medical data in five minutes, even before the patient can reach the doctor for a checkup. It empowers the doctors with medical parameters that help them in quick decision-making or referring the patients to a specialist. OWL allows generation of analytics in the background, which trigger all kinds of comparative studies to make the preventive care more useful. OWL is providing comprehensive end-to-end solution within the standard process with add on facility like Micro Learning to Last Mile Population of low- and middle-income countries like India. IOTimize is positioning its solution in Indian market keeping “Ayushman Bharat” to be more effective, by engaging data analytics for early detection of NCD and allowing engagement of friends and family to empower follow up care. At Present, in India NCDs are the biggest reason for premature deaths (approx. 2.5 million) and it pushes around 63 million people, the combined population of Kerala and Haryana to poverty line annually. OWL is the answer for this problem; OWL can slow down the premature death rate caused by NCD and its socioeconomic impact drastically as well as help reduce the overall loss of national GDP. Notable Felicitations Along with IIT KGP, IIT Bombay, and AIIMS New Delhi, IOTimize has secured the grant from the Government of India, through the IMPRINT project. The year the company got selected for this grant, IMPRINT had 2600 odd submission and among them only 26 Innovations got funded in the first round, one of which was IOTimize. Developing the Future of Healthcare IOTimize proposes to develop a comprehensive solution for facilitating preventive, primary, and specialty healthcare delivery, to facilitate early diagnosis, medical and

therapeutic intervention, and follow-up. Its unique and innovative approach is on integrating medical devices into a comfortable chair for health screening in order to collect necessary health parameters and upload the data securely to the cloud. The data is remotely accessible to authenticated medical specialists and data scientists for clinical analysis, developing machine learning algorithms, and advanced deep learning neural networks for modeling disease progression of cardiopulmonary, diabetic, cancer and geriatric diseases. With the increase in accumulated BigData, the company believes that predictive analysis can be made more accurate in assisting the medical experts in the diagnosis and early detection of evolving disease condition at the early stages even when the patient is asymptomatic. Team IOTimize IOTimize comprises of a management team and an advisory board of distinguished professionals. In its main management team is its CEO, Subir C Ray; COO, Suryasish Gupta, and CTO, Sandip Mukherjee. Suryasish Gupta has an experience of 23 years in service delivery and management, with in-depth knowledge about database and data warehouse. The CTO, Sandip Mukherjee is a seasoned leader with an experience of about three decades in Application Development & Modernization. He is an expert in IT strategy, Application Roadmap, Large Systems Integration, Transformation Tool, Text Mining, Business Analytics, to name a few. Speaking about the future endeavors, Subir says, “We have few plans that are currently under Research and Development phase.”

| 2019 February

Mr. Bhavdeep Singh Fortis CEO

February 2019 |

Indian Healthcare Sector

The

HEALTHCARE

Sector Today in India: Why is its Role Critical? Mr Bhavdeep Singh is the CEO of Fortis Healthcare, this being his second stint as the Chief Executive Ofﬁcer of the organization. At Fortis, Mr. Singh is driving a strong push towards bringing great patient care to every patient in every hospital, every single day. In addition to driving patient care, the clinical team at Fortis is driving clinical excellence on multiple fronts. At a time when the disease burden continues to grow in India, Mr Singh and the Fortis Healthcare team are taking the lead in helping India becoming a healthier nation.

Prior to joining Fortis, Mr Bhavdeep Singh was with Ahold, a 26 USD billion retailer with almost 800 stores. He was with the company for almost ﬁve years and served on the company's executive board. While there, he was EVP of HR and then went on to head Ahold’s US operations and the new formats business. In addition, prior to his initial stint at Fortis, Mr. Singh ran Reliance Retail in India and was at the helm when Reliance opened up more than 700 new stores in less than two years.

ABOUT THE AUTHOR

Mr Singh is an acknowledged business leader and a seasoned professional, with over 20 years of experience. He has held senior executive roles in Healthcare, Human Resources and Retail. He has worked across multiple geographies and has a strong track record of building great teams whilst delivering exceptional results.

Mr Singh attended Pace University and completed several certiﬁed courses in Leadership and Executive Management from premier institutions such as the Harvard Business School, Cornell University, University of Hartford, Dial Institute of Management and St. Joe’s University in the United States.

| 2019 February

ndia is poised to be one of the top three health care markets globally by 2022 as it is expected to touch US$ 372 billion sector making it one of the fastest growing industries. According to the Brand Equity Foundation (October, 2018), this is driven by rising incomes, lifestyle diseases, increased awareness and greater access to insurance. This presents immense scope for the expansion of health care services in India. Since both public and private hospitals are equally responsible for the last mile delivery of healthcare services in India, they are both key players in the creation of an enabling and conducive ecosystem that provides incentives for investment in delivery infrastructure, medical education, R&D and domestic manufacturing. Accounting for almost 80% of India's health care market, the private sector is and will likely continue to be a vibrant force with private healthcare expenditure at approximately 4.7% of the GDP and this will drive the sector’s growth. The past year has witnessed considerable turbulence, challenges and uncertainties with negative conversations around health care providers and professionals, often with a heightened perspective on the need for stringent regulation. There was a time when the private healthcare industry could not adequately voice its concerns or advocate for greater contribution. However, some recent developments provide an opportunity for the sector to redeﬁne its role and play a strategic part in transforming healthcare in India. We witnessed the MBBS curriculum being revised after about 20 years, steps initiated to restructure the Medical Council of India and also saw our Honorable Prime Minister launch the Pradhan Mantri Jan Arogya Yojana - Ayushman Bharat aimed at achieving universal health coverage. AB-PMJAY is aiming to transform the lives of nearly 50 crore most vulnerable Indians by giving them access to quality hospitalization treatment services of up to Rs 5 lakhs per family, free of cost. The scale of PMJAY is phenomenal, surpassing any other health scheme implemented by the Government of India so far. Beneﬁciaries do not have to pay anything for tests, medicine, meals at hospitals and treatment procedures and the entire process is paperless. This laudable, yet ambitious initiative is not likely to be a success without the active participation of private hospitals and a rational pricing model for treatments. The just-announced guidelines by the Government for setting up private hospitals in Tier 2 and 3 cities are a positive sign that the Government understands that hospital operations have to be viable. In addition, India is also set to witness the biggest healthcare service delivery partnerships ever seen so far, with Malaysia’s IHH buying more than 31% stake in Fortis Healthcare. The estimated capital infusion by IHH is

February 2019 |

expected to facilitate potential operational synergies and integrate into a large global healthcare platform. This partnership does indeed present exciting opportunities not only for one hospital group but a number of synergistic business avenues in the sector. It will set the tone for new investments coming into India and collectively re-energize and boost the sector by driving topline growth, employment opportunities, improved mechanisms and global best practices coming into India, providing world class healthcare services across specialties, with ample opportunities, especially to establish quality standards for healthcare delivery. As an industry, the private sector has complemented the government’s efforts vis-à-vis investments in infrastructure and employment creation, especially for women. The workforce in private healthcare has more than 50% women and provides them with a safe environment, with good growth and skill enhancement opportunities. In addition, the presence of world-class hospitals and skilled medical professionals has strengthened India’s reputation as a chosen destination for international patients seeking quality care. For those seeking world-class clinical care at affordable costs, India is a health care hub, as it provides reasonable healthcare (tertiary and quaternary) facilities in compliance with international quality standards. However, popular public perception is that the over-reliance on private hospitals allows them to charge substantially more than government hospitals. There needs to be a balanced discussion on the topic because the truth is that, for any hospital operator, considerable investment goes in infrastructure, technological knowhow, quality drugs, training of clinicians and other facilities and services that require to be upgraded constantly to avoid obsolescence. Several recent surgical advancements such as robotic-aided surgeries offering higher levels of precision subsequently cost more as they need specially trained surgeons. As a leading healthcare provider in India, patients are our most important stakeholders and customers. Therefore, it is important for us to engage with the public with the right messages and respond immediately to any concerns. We need to enhance understanding of the specializations we have, the technology we use, the infrastructure which enables us and the tireless efforts of our clinicians. We need to position ourselves as enablers in the field of healthcare and constantly showcase our evolvement and participation in the field. We do believe that is the only way forward.

Sun Narula Group India Leading the Healthcare Vertical with Innovation

n mid 1950s the Indian healthcare space was merely a medical supplies and consumables market, with no or negligible exposure to new medical and healthcare technologies. There was a great void. Late P K Narula, the founder of SNG India, wanted to reduce & bridge this gap and introduce the latest technologies, from world-over to India. Founded in the year 1953, Sun Narula Group (SNG), are South Asias leading healthcare solutions providers. The organization’s mission is to ensure that every healthcare facility and institution has the best intra-facility logistics and healthcare solutions consequently reduce healing time, healthcare delivery costs, and enhance healthcare quality. The group has time and again introduced several advanced medical and healthcare technologies in the region. With over 2500 historically and over 450 active healthcare providers as its customers SNG has business spanned all across the country, South Asia and as far as Middle East as well. Over the years it has evolved into South Asia’s leading Healthcare solutions and automation group.

Pankaj Narula

Puneet Narula

Managing Director Joint Managing Director

The Competent Leadership of SNG Over the decades the reigns were passed on to P K Narula’s sons – Pankaj Narula, the Managing Director and Puneet Narula, the Joint Managing Director. Both have taken forward the family legacy of over 65 years, ensuring that SNG remains a front-liner in providing advanced healthcare solutions in the region. PK was largely responsible for bringing several high-tech solutions to Indian healthcare space with many ﬁrsts in the industry and is also referred to as the father of healthcare solutions in the region. Pankaj & Puneet have taken over the operations of the business in mid 1990s and have since taken the group to the levels of being one of most important and leading healthcare solutions group. Both Pankaj & Puneet are also known as pioneers in the space of healthcare logistics automation solutions and have revolutionised the healthcare space. The group has been the number one provider of these solutions continuously for the past ﬁfteen years with more than 70% market share. Awards and appreciations

Currently, there are two core healthcare verticals viz. Healthcare Logistics Automation, wherein SNG oﬀers Pneumatic Tube Systems & Automated Pneumatic Waste & Laundry Collection Systems; Healthcare Turn-Key Solutions, wherein it oﬀers Modular & Seamless OR Solutions, TKS packages for Critical Areas such as ICUs, ERs, & Patient Rooms. SNG has also recently introduced its solutions for Central Medical Gas Supply Pipeline Systems, and have executed and delivered these solutions in a few renowned healthcare facilities.

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Under the leadership of Mr. Pankaj Narula, SNG has been rated among the top 500 leading healthcare brands in India by MBI & has been awarded for achieving multiple milestones: • The Most Emerging Brand of the year 2015 by Medgate • Top 100 SME in India 2016 by India SME Forum • Top 10 Fastest Growing Healthcare Group 2016 by Silicon Review • Top 10 Most Valuable Healthcare Solutions Provider Company by Insight Success, 2016 • Best Emerging Brand of the Year by National Awards for Excellence in Healthcare, 2016

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Our forte and strength lie in delivering innovation to Healthcare

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Distinctive Services and Products With complete in-house teams right from design to project realization, SNG is competently placed to design the best and eﬃcient turnkey ICUs, ERs, OTs and Patient Room Solutions right from design to execution etc. Its turnkey solutions include Hospital & General Furniture, Patient Handling Solutions, Ceiling Supply Pendants, IV Track Systems, Partition Systems, Medical & General Lighting, Wall Surfaces, Drop Ceilings, HVAC, Medical Gas Pipeline System, Clinical & Modular work stations, Storage Solutions, Mobile Solutions & Carts, Modular packaged OTs / ICUs / ERs, Pneumatic Tube Systems [PTS], Automated Waste & Laundry Tube Systems [AWLS], Automated Vertical Storage & Retrieval Systems [AVSRS] & Automated Drug Management Systems [ADMS], Central Medical Gas Supply Pipeline Systems [MGPS], etc.

systems in a reputed private sector hospital in Mumbai and a government hospital in Chhattisgarh – the healthcare industry has expressed keen interest in introducing these systems in some of the major hospitals in India. Confronting Day-to-day Challenges “On one hand continuously scouting for and introducing new technologies in the market has its own risks and hurdles” says the MD – “Whether the market will be receptive for change? Whether the technology will ﬁt into local economic and applications? These have been challenges always – however the Indian Healthcare Givers have been very open to adapting and adopting new technologies. On the other hand, when a technology is successfully adopted by the industry – it attracts competition.”

Innovative New Product Launches

The Bright Future of Sun Narula

SNG is a technology driven group – it is SNG’s endeavor and mission to continuously scout and bring innovation to South Asian healthcare space from time to time. Recently SNG has introduced high quality Automated Pneumatic Waste & Laundry Collection Systems [APWLCS]. This is a network of tube systems that enables waste bags and laundry bags to be transported and collected at the central collection areas, automatically via pneumatic tube. This enables the healthcare facilities to have the waste bags and laundry bags collected at ﬂoor levels and then schedule the transports of these to the central collection area. This also prevents the soiled linen and waste bags to be moved and transported through the corridors, elevators and help the facility maintain high levels of hygiene apart from introduction of automation. SNG has installed two such

The solutions oﬀered by SNG have had a profound positive aﬀect in the healthcare industry. “Customers have understood that they need solutions and not mere products – this understanding has also helped SNG in its business model.” asserts Pankaj. “SNG will continuously scout for and introduce new technologies every few years in the healthcare space. This is our strength and our forte.”

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