mHealth for providers in India


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HealthCursor Consulting Group India- Mobile Health is going to be a 3000 crore market in India by 2017. (Source PwC). M-health (use of mobile phones) and E-health are all set to make an entry into India's primary health centres (PHCs) and sub-centres as the health ministry plans to go hi-tech. Healthcare industry is expected to show a strong growth of 23% per annum to become a US$ 77 billion industry by 2012. One of the largest sector in terms of revenue and employment has grown at 9.3% per annum between 2000-2009 with a current size at par with fastest growing developing country like China, Brazil and Mexico.Driven by various catalysts such as increasing population, rising income levels, changing demographics and illness profile with a shift from chronic to life style diseases, healthcare industry is expected to move to levels of US$ 77 billion in next 3 years. (Source: ASSOCHAM).

Empowering rural India is of utmost importance and the government needs to do so by provisioning for broadband penetration and financial inclusion. Access to quality health care is another key to achieving rural empowerment. The budget for this segment was raised marginally last year and it would be good to have an allocation for rural health care programs with provisions for technology that would help modernize this sector to expand its reach through remote healthcare solutions and telemedicine.

Furthermore, the government announced a big budget campaign 'Swabhimaan' in the budget last year to promote banking and provide services to about 20,000 villages. In order to meet this goal, the budget this year too would need to make provisions accordingly. The steering committee on health said that in the 12th plan (2012-17), all district hospitals would be linked to leading tertiary care centres through telemedicine, Skype and similar audio visual media. M-health will be used to speed up transmission of data. Disease surveillance will be put on a GIS platform.

Disease surveillance based on reporting by providers and clinical laboratories (public and private) to detect and act on disease outbreaks and epidemics would be an integral component of the system.India will also put in place a Citizen Health Information System (CHIS) - a biometric based health information system which will constantly update health record of every citizen-family. The system will incorporate registration of births, deaths and cause of death. Maternal and infant death reviews, nutrition surveillance, particularly among under-six children andwomen, service delivery in the public health system, hospital information service besides improving access of public to their own health information and medical records would be the primary function of the CHIS.

Economies of Indian states can grow 1.08 per cent faster with every 10 per cent increase in Internet and broadband connections.

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mHealth for providers in India

  1. 1. How does Mobile Health relate to me as a Doctor? HEALTHCURSOR CONSULTING GROUP 1
  2. 2. A Prescription that is worth millions…… Health - a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.- The most enduring definition till date…. 2
  3. 3. Doctor? Doctor - is a health care provider who practices the profession of medicine, which is concerned with promoting, maintaining or restoring human health through the study, diagnosis, and treatment of disease, injury and other physical and mental impairments. Physically Active Eating Healthy Sleeping tight 3
  4. 4. (R)Evolutionary Medicine  It’s not just about drugs and prescription, but bringing behavioral change Not episodic, ……but continuous care Not just Doctor driven, but Collaborative Care 4
  5. 5. Patient engagement and Management platform 5
  6. 6. (R)Evolutionary Medicine --------------------------------------> Evidence based medicine Case Study- Philips Health Informatics Division Because we collect hundreds of thousands of ECGs, we can analyze heart rhythms and create predictive algorithms tailored to gender, race, and age Because we have banks of thousands of lung images, scanned, bar-coded, and registered, we can create lung models for computeraided diagnosis (CAD) of lung disease Treatment options and risks Consumer behavior Consumer experiences 6 Because we have monitoring and laboratory information on over one million ICU patients, we can transform the data into algorithms that help predict and treat sepsis and related adverse events
  7. 7. Evidence Based Medicine Evidence-based medicine (EBM) is the new mantra. It evaluates the strength of the evidence of benefits and risks of treatments. Its processes mandate a systematic search of international medical literature to ferret out relevant research. It attempts to assess the quality of the evidence and ranks its sources. Its rigorous methodology, elaborate checklists, detailed assessments and quality controls have raised research standards. It recommends that the best available evidence be used to aid clinical decision-making and policy. It has improved the evidence base. EBM has changed medical practice. 7
  8. 8. Chronic Disease Management platform Access 8 Efficiency Quality Patient satisfaction Productivity Patient engagement Cost effectiveness
  9. 9. WHY BOTHER? 9
  10. 10. Statistics Medical Errors The most common errors per 1,000 visits are: • 65 incidents per due to adverse drug events • 60 incidents due to hospital acquired infections • 51 incidents related to procedural complications Adverse Drug Events (ADEs) are responsible for $2 billion per year nationwide in hospital costs alone. It’s estimated that a national health information infrastructure can save about $140 billion per year through improved care and reduced duplication of services. 10 Business Problems  Medical errors are responsible for 30% of the price of healthcare  More than 50% of the $17- $29 billion national cost associated with medical errors is preventable  Medical errors cost 10-15% of a hospital’s annual operating budget Annual Cost for an adverse medical event annually Source: HIMSS
  11. 11. The Doctor Says…. “I haven’t used a stethoscope to listen to a patient’s heart in two years. “Why would you listen to a heart when you have an ultrasound in your pocket?” ‘“Stethoscope” is a term that is outdated because it implies the ability to “look” or scope into the patient’s chest. and he did a live demonstration of GE’s Vscan ultrasound device. The story here is that a remarkable digital infrastructure has been built and yet the medical world is in a separate orbit, a cocoon of sorts. This is the beginning of a coalescence of a these two fields, where medicine can leverage this fantastic digital infrastructure. Not just wireless but the idea that you can digitize the whole human being. We’re used to digitizing books and movies but now we can digitize people with wireless sensors, advanced medical imaging, even genomic sequencing. mHealth is a way to take this forward, because now we’re talking about a mobile platform, a way of getting that data on any individual, to individualize their care, to allow prevention of significant illnesses. This is a unique opportunity, the most exciting time in medicine ever. 11
  12. 12. Outcomes? Provides timely Treatment- Kettering Health Network’s iSite PACS enabled users to read studies faster, from practically anywhere in the network, and improved workflow efficiency in a CT imaging study for ED patients providing turnaround from exam to final report in as little as 15 minutes, (vs 2-3 hours). Simplifies workflows- At Banner Health (a multi-US-state nonprofit), glucose workflow reminders contributed to constant dialog between the eICU® center and the Units, resulting in increased compliance from 20% to 60% of patients whose levels were kept within target range. Saves Lives- At Legacy Health (Portland, Oregon-based hospital system) and St Vincent’s (Bridgeport, Connecticut) in a 135-patient study, septic patients monitored with Protocol Watch had a significant decrease (from 182 to 112 minute) in the amount of time it took to administer antibiotic therapy – in a patient population where time is critical Improves Financial Outcomes- Avera Health (a multi-state HMO) implemented ICT enabled ICU Program in 16 facilities across four states; through remote monitoring, an estimated 37.5% fewer rural health patients required transfer, which represented a cost savings of more than $1.2 million, and they reported an additional $8 million savings for aggregate length of stay reductions. 12
  13. 13. MONEY? 13
  14. 14. No reason to say no to mHealth?= It does relates to me as a Doctor! 14
  15. 15. Thank you! Healthcursor is a niche private, healthcare strategic business consulting organization based in India. Every day, across the globe, Healthcursor et al conceptualises and implements innovative healthcare delivery models that improve value, access, profitability and market for the innovative technologies by integrating them with right partners and systems. It is the only niche mhealth consulting company in India. The Company has won laurels and is now a member of mHealth Alliance (Hosted by the United Nations Foundation, and founded by the Rockefeller Foundation, Vodafone Foundation, and UN Foundation, the mHealth Alliance now also includes the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), HP, the GSM Association, and NORAD among its founding partners.) HealthCursor is working with Major Telcom operators and Healthcare Providers in the Asia Pac and MENA region to help conceptualize and position the mHealth opportunity in diverse economies of scale. We are a Member of HIMSS Asia Pacific. The Healthcare Information and Management Systems Society (HIMSS) is dedicated to improving the quality, safety, cost-effectiveness, and access to healthcare through the best use of information technology and management systems. 15
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