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Dr. Nandakumar Jairam Chairman and Group Medical Director
Columbia Asia Hospitals Pvt Ltd
Promoting Quality Improvement in Indian Hospitals - What Will it Take?
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Rural India Urban India
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90 % patients need primary and secondary care
Tertiary Care
Secondary Care
Primary Care
Maximum concentration of corporate Healthcare
Highly fragmented and unorganized sector, focus mainly on secondary care
Even Primary & secondary care is at times elusive
Urban
Semi - Urban
Rural
India Healthcare: Demand & Supply
Demand Supply
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Public clinic / PHC 19%
Private practioners
56%
Private clinic / nursing home 15%
Other private
10%
India Healthcare: Demand & Supply
• Public primary care is underutilized
• 80% of primary care is at private facilities
• Private practice is unregulated, hence quality and safety is questionable
Source: CII-McKinsey Report, 2002
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Medical Quality – Current Scenario
• Unregulated • Strong diversity • Lack of transparency • Pockets of individually driven initiatives • Role of FICCI/WB/IRDA/NABH/JCI • Development of STG’s – 20 created • Effort of FICCI/world bank/others • Insurance as a driver of quality
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AIM – An urgent need
• Safe health care delivery • Transparency at every step • Ethical practice • Accountable and evidence
based medical practice • Good governance
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Medical Quality – Next Steps
• One uniform national quality framework
• Adoption and acceptance by all stake holders
• Incentives for quality adoption
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But the scenario is changing.. !
• Registration of health care facilities
• better awareness in urban India
• Judicial activism • Consumer activism
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World Bank & FICCI
• Standard Quality Indicators & empanelment • FICCI-RSBY survey of hospitals • Standard TPA/Insurer Contract, Billing,
Discharge • Combating Health Insurance Fraud • Knowledge and technical partnership
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Emerging scene to quality In an Indian hospital chain
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Initiatives in a private hospital group
• Structured team and process
• Corporate governance • National level • Internal audits in place • Separate governance for
clinical quality
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Initiatives in a private hospital group
• Quarterly review of data • Mining of data electronically • Clinical indicators based on accreditation
requirement and group requirement • “closing the loop”
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The structure of the program
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Thank You