FUTURE OF GLOBAL ECONOMY

Dr. Devi Prasad Shetty, M.S, FRCS (England)Chairman, Narayana Group of Hospitals

Jobs for stability

• Jobs for extremely skilled, semiskilled and unskilled.

• $ 4.5 trillions.

• IT> health sector.

• NHS

Hospital Safety 1966

Look Magazine March 22, 1966

2008, STILL A PROBLEM.

Forbes Magazine 03-10-2008

“One in 200 patients who spends a night or more in the hospital will die from a medical error. One in 16 will pick up an infection. Deaths from preventable hospital infections exceed 100,000, more than those from AIDS, breast cancer and auto accidents combined.”

SOFTWARE FOR DISEASEMANAGEMENT

NOT HOSPITAL MANAGEMENT

INPATIENTS • DON'T DIE DUE TO WRONG DIAGNOSIS

• DON'T DIE DUE TO THE MAIN DISEASE

• THEY DIE DUE TO COMPLICATIONS OF TREATMENT, BLEEDING, SEPSIS, MULTIORGAN FAILURE, MEDICAL ERROR

• DEATH DUE TO NATURAL DELAY IN DIAGNOSIS, TREATMENT OF COMPLICATIONS.

• MEDICAL ERROR CAN BE THE SIXTH COMMONEST CAUSE OF DEATH IN THE USA.

• IPAD WITH EMBEDDED PROTOCOL TO REPLACE THE OPD, IP FILE AND ICU CHART.

• DOCTORS DON'T LIKE TO TYPE,INFO ON PATIENT JUST TWO CLICKS AWAY.

WE ARE NOT TALKING ABOUT BIG DATA

• ICD 9-6000 diseases,1000 common.

• 50,000-SIGNS, SYMPTOMS

• 100,000-SIGNS, SYMPTOMS, LAB TESTS

FUTURE OF HEALTH CARE IS IN THE HANDS OF CRITICAL CARE NURSES

75%OF HOSPITAL BEDS WILL BE ICU BEDS

SUCCESS OF EVERY SURGERY WILL DEPEND ON THE SKILLS OF THE NURSE ON DUTY AT

MIDNIGHT .

Machines to train ICU NURSES

• CEA TECHNOLOGY SIMULATORS TO TRAIN ICU NURSES.

• UNIVERSITIES GIVE THE KNOWLEDGE, DRIVING SCHOOLS GIVES THE SKILL

• APPROXIMATELY 110 TASKS

• APPROXIMATELY 20 CARDIAC ARRESTS PER YEAR

• MACHINES DON'T GET TIRED, BORED, BLUFF

• MACHINES TO TRAIN, GRADE AND CERTIFY.

• INDIA NEEDS 1-MILLION DOCTORS, 2-MILLION NURSES, 3-MILLION BEDS.

Today heart surgery is delivered as a hand crafted

masterpiece.

“A doctor could alternatively be God or a cowboy ruling the hospital by preference or whim, with insufficient consideration for best practices or procedural standardization.”

-Cpt. Sullenberger

“Conventional wisdom often has it that if a nurse makes a mistake, he/she should be terminated, but the vast majority of harmful events are due to system failures and not practitioner error. The leaders are responsible for the maintenance of the support systems, not the care givers.”

-Cpt. Sullenberger

We want to commoditize and standardize the delivery of

heart care.

“Standardization by commoditization of the process increases the safety, reliability and reduces the cost.”

-Henry Ford

“If healthcare was an airline, only dedicated risk takers, thrill seekers and those tired of living would fly in it.”

Patient Safety (2005)

By Charles Vincent

“If healthcare was an airline”