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