healthcare it opportunities and challenges
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Healthcare IT: Opportunities and Challenges
Shushmul MaheshwariCEO
RNCOS – Business Consulting Services
ASSOCHAM: June 2014
RNCOS is a leading business research and consultancy firm with more than 12 years of market presence and expertise
We offer Custom Research Solutions, Management Consultancy Services
and Syndicate Research to Fortune 500 companies and Government agencies worldwide.
Our client base falls in Healthcare, IT, Retail and BFSI Verticals
Backed by a team of 35 research analysts with domain knowledge in various verticals
Shushmul Maheshwari CEO, brings more than 20 years of rich experience, working with large corporate houses and well exposed to domestic and international markets
About Us
Indian Healthcare : A Snapshot
US China India
2.92.6
0.700000000000001
Hospital Beds/1000 Population Ratio (2013)
US China India
3.31
1.53
0.592
Doctors/1000 Population Ratio (2013)
Source: EIU
There is only one doctor per 1,700 citizens in India
India would additionally need about 4 Lakh doctors by 2020
There is a severe shortage of hospital beds and medical facilities
Approximately 1 Million Indians die every year due to inadequate healthcare facilities
Nearly 700 Million people have no access to specialist care
The Indian government spends a trivial 4% of GDP on healthcare
Government spends a meager 33%
In comparison US and China, spend nearly 46% and 56%, respectively
2009 2010 2011 2012 2013 2014
USChinaIndia
CAGR of Healthcare Spending Per Capita (2009-2014)
Source: EIU
3.78%
17.07%
7.57%
Healthcare Spending Per Capita (US$)
2013
9559
373
78.2
USChinaIndia
Challenges slowing growth
Inaccessibility
Patient Monitoring & TrackingClinical Errors
Lack of Data Centralization
Maintaining huge Medical Records
Healthcare ICTThe way to move forward
Healthcare Information Technology (HIT)
HIT - Holistic management of health information across
computerized systems and its secure exchange
between consumers, providers, government and
quality entities and insurers
Digitization of Patient health records
Reaching remote parts of country -Telemedicine
Advanced patient monitoring and tracking
Address scarcity of doctors and hospital beds issue
Knowledge management - vaccination, hygiene maintenance, healthy lifestyle, etc., could be spread easily
Healthcare IT Components
Telemedicine M-Health
Health Information Management System
(HIMS)
Health Information Management System (HIMS)
HIMS automates it all
Enables Patient/Vendor accounting (insurance or other claims) and smoothens the whole process
Saves a lot of space in physical terms
Patient’s data/test records are accessible at any point of time, anywhere
Patient’s movements could be tracked with data centralizationHIMS
Implementation of HIMS in India
In order to understand the penetration level of HIMS in India, RNCOS research team interviewed IT Head/Administrative Officers of various public and private hospitals PAN India
Sample size for the research was approximately 200 public/private hospitals
Basic Level (for general patient
registration and billing process)
Moderate Level (up to LIS & PACs
level)
Advanced Level (up to e-
Prescription and CDSS level)
Source: RNCOS
Telemedicine
Telemedicine is the utilization of medical
information exchanged from one site to
another, via electronic communication tools for
improving a patient’s clinical health status
Unwillingness of doctors to work in the rural areas
Large number of patients in rural India travel to cities
Facilitating Accessibility & Affordability
Providing treatment at Par with Metropolitans
Overcoming the Scarcity of Paramedics & Hospital Beds
National Telemedicine Projects
Tele-ophthalmology Project• Provides eye care specialty services to the patients of rural and
remote areas through tele-ophthalmology mobile vans covering Punjab, Uttar Pradesh and West Bengal
National Rural Telemedicine Network (NRTN)
• 4 Regional Workshops for NRTN are planned in 4 different regions of the country to educate the state functionaries and finalize the state project proposals
National OncoNET Project • 27 Regional Cancer Centers will be linked with 100 peripheral
centers for primary prevention, early detection, treatment and rehabilitation of cancer patients
• Plans to establish a national grid on telemedicine for networking of medical collegesNational Medical College Network
ISRO Telemedicine Projects
DIT Telemedicine Projects
ISRO & DIT Telemedicine Projects
Telemedicine: ISRO & DIT Projects
ISRO established a Telemedicine Network consisting of 382 Hospitals
DIT established more than 100 nodes all over India
Besides these, other ISRO & DIT Projects are:• Village Resource Center (VRCs)• Common Service Center (100,000 nodes)• E-PanchayatSource: RNCOS
M-Health
Smartphone shipments grew by 167% in 2013
M-health - Delivery of healthcare services/information via mobile phones
Clinical data immediately viewable throughout hospital on mobile and
desktop devices
Bridging the gap between the existing and required healthcare services
Services such as telephone-based appointment scheduling and prescription refilling
Improving the healthcare access for the vast underserved rural areas and enhances patient care for urban consumers
Consultations using mobile or 3G based video conferencing providing quality care - just a click away
Provides options of performing basic tests like glucose monitoring, BP/heart beat monitoring, urine analysis etc. at home
M-Health - Changing Healthcare Paradigm
• Launched in 2009
• Over 10.5 Crore pregnant women and children have been registered in MCTS
• System sends reminders to the Auxiliary Nursing Midwives (ANMs) or Accredited Social Health Activist (ASHAs) on the various treatments
• Once a mother receives her immunization, ANMs send information to the system via SMS
• Ensures timely delivery and tracking of mother and child health.
Mother and Child Tracking System (MCTS)
Integrated Disease Surveillance Program (IDSP)
• Launched in 2004
• To detect and respond to disease outbreaks
• At present, over 90% districts report such weekly data through e-mail/portal
• On an average, 30-40 outbreaks are reported every week by all the States
• Over 1500 outbreaks in 2012, over 1900 outbreaks were reported in 2013
• Launched in 2012
• More than 3.5 Lakh patients already registered
• It keeps track of TB patients across the country and ensure timely delivery of medication
• An SMS is sent to patient with registration ID and details of DOTS Operator
• SMS reminder is sent for taking regular medicine
• Daily SMS is sent to all monitoring authorities
Nikshay for TB
National Health Portal
• The NHP was launched in late 2013
• Aims to serve as a repository of medical history of 1 Billion Indians
• Works as a single point access for authenticated health information for citizens, students, healthcare professionals and researchers
• Promotes reliable, high quality health information among the population to decrease the risk of hospitalization or disease burden
Despite India being an IT-enabled services’
giant, the use of HIT is limited
2013E 2014e 2015f 2016f 2017f 2018f
0.875000000000002
1.081.27 1.43
1.651.92
Healthcare IT Spending in India (Bil-lion US$), 2013-2018
Source: Gartner, RNCOSNote: E = Gartner Estimation, e/f = RNCOS Estimation
HIT Adoption Challenges in India
Scarcity of trained manpower
Insufficient fund allocation
Multilingualism
Interoperability at state/national level
Scalability
Low awareness
Lack of Proper Infrastructure
Measures Required
Availability in regional languages
Provide Quality Training
Increased funding for infrastructural developments
Creation of Data Repositories
Linking of EMRs with PAN or Unique ID
Creating HIT policies for effective implementation
Better Knowledge Management
New Technologies to improve efficiency
Nanotechnology is the manipulation of matter on an atomic, molecular and supramolecular scale
Nanotechnology
Application at DNA analysis/diagnostics level
Faster and accurate diagnosis with minimal sample size
Accurate targeting of the drug using nanoparticles
3D PRINTING3D printing or additive manufacturing (AM) is a process of making a three-dimensional solid object of virtually any shape from a digital model
3-D printing saves time over casting handmade inner ear mould
Scientists are able to print the artificial meat tissue suitable for eating
In future, printing functional human tissues will also be a revolution
surgeons can design knees specific to each patient
What Is Required for Successful Implementation of HIT
Awareness about importance of HIT through Seminars and Conferences
Policy framework required for HIT implementation
Realist deadline of upto 10 years for complete implementation
Post grace period institutions/doctors should be penalised
Doctors/Hospitals should be encouraged to use HIT
Policy need to be defined for interoperability
Healthcare information should be available in regional languages
IT industry must work closely with doctors to develop user friendly applications
THANK YOU
Shushmul MaheshwariChief Executive Officer
RNCOSE mail: [email protected]
Phone: +91 120 4224700 /01 / 02/ 03
Mobile:+91 9891048088
Website: www.rncos.com
For more information