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Creating a sustainable future

Creating a sustainable future



regarding to hospital

regarding to hospital



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    Creating a sustainable future Creating a sustainable future Presentation 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.
      The role of hospital is
      Training: Health Ed
      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
      • Controlled Infectious Diseases /emerging infections.
      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
      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
      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.