Creating a sustainable future


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Creating a sustainable future

  1. 1. Creating aSustainable Medical Service<br />
  2. 2. The Unsustainability of Health Systems<br />Rising costs<br />Rising medical cost per employee<br />Rising referrals<br />uneven quality<br />Uneven distribution of man & machine<br />Inequitable or mismanaged access<br /> Restructuring of Medical services<br />
  3. 3. Features of Sustainability<br />Quest for common ground <br />Building an infrastructure for providing basic health benefits within the context of social priorities.<br /> A digital backbone ( Digital Hospital)<br />Better use of technology and interoperable electronic networks accelerate integration, standardisation, and knowledge transfer of administrative and clinical information.<br />
  4. 4. Features of Sustainability<br />Quality and safety standardization <br />Defined and enforced clinical standards established mechanisms for accountability and enhanced transparency, thereby building consumer trust. <br />Strategic Resource Deployment<br />Appropriate Resource allocation to control costs while providing sufficient access to care for the most people. (Right resources at right place) <br />
  5. 5. Features of Sustainability<br />Adoption of changes <br />Innovation, technology and process changes to continuously improve treatment, efficiency and outcomes. <br />Adaptable roles and structures <br />Flexible care settings and expanded clinical roles provide avenues for care that are centered on the needs of the patient. <br />
  6. 6. Features of Sustainability<br />To be sustainable <br />Innovation, technology and process changes to continuously improve treatment, efficiency and outcomes. <br />Adaptable roles and structures <br />Flexible care settings and expanded clinical roles provide avenues for care that are centered on the needs of the patient. <br />
  7. 7. HEALTH<br />Health has been defined by WHO as a state of physical, mental and social well being.<br />Able to lead productive life.<br />
  8. 8. ROLE OF HOSPITAL<br />The role of hospital is <br />Preventive<br />Promotional<br />Curative <br />Rehabilitation <br />Training: Health Ed<br />Research<br />Not limited to hospital<br />Pre hospital Care<br />Disaster management <br />
  9. 9. Essential to Sustainability<br />Hospitals must continue to evolve in response to factors<br />Changing expectations of clientele<br />Clinical specialties – primacy<br />Changing healthcare needs<br />Affordable Health Care Services.<br />Emerging Technologies<br />
  10. 10. Patient Expectations<br />Safe and Focused Care<br />Technology Based Care<br />Respect as Human Being<br />Minimum Hospital Stay<br />Hospital to be a real Social Centre<br />Value Addition<br />
  11. 11. Clinical specialties <br />Better clinical skill<br />Better clinical approach- EBM<br />Standardization- accreditation<br />SOPs where possible<br />Patient centered care<br />More specialized hospitals<br />
  12. 12. Changing healthcare needs<br />Changing pattern of diseases- Epidemiological Change<br /><ul><li>Controlled Infectious Diseases /emerging infections.</li></ul>More Malignancies<br />Change in population composition<br />More older group<br />Changing life style<br />Comfortable life style<br />Informed Clientele<br />Changing environment<br />Globalization- Medical tourism<br />Global Warming<br />
  13. 13. Affordable Health Care Services <br />Rising Cost of healthcare :<br />User charges ×<br />Better Paying Capacity of Clientele <br />Different paying master:<br />Insurance/ Govt./ PSUs- CONTROL<br />Cost containment<br />Day Care Services<br />Outsourcing<br />Utilization of common facilities<br />Common diagnostic services both pathological & imaging<br />Specialized Referral Hospitals<br />Cost consciousness is important even in Public Sectors<br />
  14. 14. Technology advancement<br />Technology based hospital<br />Revolution of 80s<br />Dual Energy CT<br />PET: imaging of physiology<br />Fusion Imaging<br />Minimal Access Surgery<br />IVF<br />Robotic surgery<br />Beginning or End<br />
  15. 15. Technology Advancement<br />Pharmaceuticals will replace some procedures and will decrease the need for admission to hospital, and newer vaccines will treat as well as prevent disease<br />Minimally invasive surgery will reduce hospital stay and promote outpatient operations<br />Sensors will change central laboratories and intensive care units of today<br />Digitized images will be accessible to all clinicians<br />Xenotransplantation from transgenic pigs is ever more likely<br />Economics and superior outcomes will favour specialty hospitals<br />
  16. 16. Looking ahead<br />Patient centered hospital with value addition<br />Green hospital with self communicating skill<br />Organ / System specific hospital<br />More of genetic based investigations<br />Costly but dedicated hospitals<br />Technology oriented hospitals<br />
  17. 17. Hospital of the Future<br />More planned and standardized acute services<br />No indoor place for chronic patients <br />More of preventive health clinics<br />Health counseling<br />Promotional clinic<br />The bed requirement is likely to go down but it will need more operating theatres and intensive therapy units.<br />Flexibility in functioning of hospitals will be the main feature.<br />
  18. 18. To be sustainable<br />We must provide the right type of services on right time at right place at minimum cost up to the satisfaction of the patient.<br />
  19. 19. THANK YOU<br />