HIMSS ASIAPAC12 CONFERENCE       17-19 SEPTEMBER 2012    MARINA BAY SANDS, SINGAPORE
STATE OF HEALTHCARE IT IN                  INDIA                  AMIT MISHRA             EXECUTIVE MEMBER, HIMSS INDIA10/...
India Healthcare Landscape•   Public Healthcare Infrastructure•   Public Health Programs•   Private Healthcare Infrastruct...
Healthcare Infrastructure                                                            Public Health    Private Healthcare  ...
States of India                                                                          Number of HospitalsMizoram,Nagala...
Spending on Health                                                                                   a                    ...
The density of doctors per 10,000 populations in India is 6 as compared to  the world average of 11.5, while the          ...
Complexity and ChallengesInadequate accessibility to affordable quality servicesLow Government funding & lack of efficie...
Growth Perspective10/13/2012    ©2011 Healthcare Information and Management Systems Society   9
“Information systems at any McDonaldss are more advanced,and more useful, than those in your doctor’s office.”            ...
Healthcare IT Spending in India             Source :SHS10/13/2012                 ©2011 Healthcare Information and Managem...
HIMSS India Study Highlights10/13/2012   ©2011 Healthcare Information and Management Systems Society   12
The Healthcare IT …User Experience10/13/2012   ©2011 Healthcare Information and Management Systems Society   13
Reasons of dissatisfaction• HIS is not user friendly as all systems are not fully integrated• Limited user interface and l...
10/13/2012   ©2011 Healthcare Information and Management Systems Society   15
10/13/2012   ©2011 Healthcare Information and Management Systems Society   16
10/13/2012   ©2011 Healthcare Information and Management Systems Society   17
10/13/2012   ©2011 Healthcare Information and Management Systems Society   18
10/13/2012   ©2011 Healthcare Information and Management Systems Society   19
10/13/2012   ©2011 Healthcare Information and Management Systems Society   20
Barrier for Health IT adoptionLack of sufficient fundsLack of human resourcesLack of strategic plan for computerizationRet...
Slow Adoption …Cost is an issueSystem is not ready and doctors and staffs are not willing to use HISLack of supporting inf...
Suggestions….• “Should be user friendly and staffs should be provided need  based training”• “Hospital should go for Compu...
The Way Forward… NEED OF HEALTHCARE IT STANDARDS NATIONAL STANDARDS FOR INTEROPERABILITY NEED OF A PUBLIC HEALTHCARE IN...
10/13/2012   ©2011 Healthcare Information and Management Systems Society   25
May be a UNIVERSAL ADAPTER10/13/2012         ©2011 Healthcare Information and Management Systems Society   26
Standards and Interoperability • Standards provide a common language and set of expectations   that enable interoperabilit...
Importance of Standards and                   Interoperability• Standards bring technological, economic and societal benef...
India’s Imperatives for Standards •   Effective Management of limited Usable Healthcare Resources •   Population > Data > ...
• Safety – for example specifying the minimum safety  requirements for a baby car seat; or the safest way to present  an a...
NEED OF A PUBLIC HEALTHCARE                INFORMATION SYSTEM10/13/2012         ©2011 Healthcare Information and Managemen...
10/13/2012   ©2011 Healthcare Information and Management Systems Society   32
TASK FORCE FOR HEALTHCARE INFO               SYSTEM10/13/2012   ©2011 Healthcare Information and Management Systems Societ...
IT TRAINING - HEALTHCARE                  PROFESSIONALS10/13/2012        ©2011 Healthcare Information and Management Syste...
THE EARLIER THE BETTER• Need of Healthcare IT Standards Specifically designed for  developing Country like India where the...
Better…• Telecom Industry India       – Telecom Centers of Excellence       – Development Organization of Standards for Te...
THANK YOU10/13/2012   ©2011 Healthcare Information and Management Systems Society   37
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State of Healthcare IT in India – Care Providers’ Perspective

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State of Healthcare IT in India – Care Providers’ Perspective

  1. 1. HIMSS ASIAPAC12 CONFERENCE 17-19 SEPTEMBER 2012 MARINA BAY SANDS, SINGAPORE
  2. 2. STATE OF HEALTHCARE IT IN INDIA AMIT MISHRA EXECUTIVE MEMBER, HIMSS INDIA10/13/2012 ©2011 Healthcare Information and Management Systems Society 2
  3. 3. India Healthcare Landscape• Public Healthcare Infrastructure• Public Health Programs• Private Healthcare Infrastructure• Demand Supply Gap• Complexity and Challenges• Growth Perspective• Healthcare IT Spending in India• The Way forward10/13/2012 ©2011 Healthcare Information and Management Systems Society 3
  4. 4. Healthcare Infrastructure Public Health Private Healthcare Programs – GOI Not For Profit Org / Public Healthcare Other Healthcare Org10/13/2012 ©2011 Healthcare Information and Management Systems Society 4
  5. 5. States of India Number of HospitalsMizoram,Nagaland,Pondicherry,Himachal,Manipur,Meghalya,Goa >10Orissa,Chandigarh,Haryana,Bihar 11-50Assam,Punjab,MP,Karnataka,UP 51-100Rajasthan,Gujarat,Kerala 101-200Andhra Pradesh , Tamilnadu,West Bengal, Delhi, Maharashtra < 200 Source: Research Paper of Ramesh Bhatt and Nishant Jain, IIMA 10/13/2012 ©2011 Healthcare Information and Management Systems Society 5
  6. 6. Spending on Health a Health expenditure ratios Private Out-of-pocket Total expenditure General government expenditure on expenditure as % Member on health as % of expenditure on health health as % of total of private State gross domestic as % of total expenditure on expenditure on product expenditure on health health health 2000 2008 2000 2008 2000 2008 2000 2008 USA 13.4 15.2 43.2 47.8 56.8 52.2 25.5 24.4 Germany 10.3 10.5 79.8 74.6 20.2 22.0 54.8 53.9 UK 7.0 8.7 79.3 82.6 20.7 17.4 64.6 63.7 Sri Lanka 3.7 4.1 48.3 43.7 51.7 56.3 83.3 86.7 India 4.6 4.2 27.5 32.4 72.5 67.6 92.2 74.4 Source: WHO10/13/2012 ©2011 Healthcare Information and Management Systems Society 6
  7. 7. The density of doctors per 10,000 populations in India is 6 as compared to the world average of 11.5, while the India is a signatory to the Millennium density of nursing staff in India is 13 per Development Goals (MDGs).10,000 as compared to the world average of 28.4. The Urban and Rural Divide: Although World Health Organization report that about 70% of India’s population lives inIndia needs to add 80,000 hospital beds the rural areas, it accounts for only aeach year for the next five years to meet meager 15% share of the cumulative the demands of the population. healthcare resources 10/13/2012 ©2011 Healthcare Information and Management Systems Society 7
  8. 8. Complexity and ChallengesInadequate accessibility to affordable quality servicesLow Government funding & lack of efficient execution of schemes & initiativesShortfall in Health care infrastructure and WorkforceDependency on Paper RecordsCosts Continue to spiralRational Use of Drugs10/13/2012 ©2011 Healthcare Information and Management Systems Society 8
  9. 9. Growth Perspective10/13/2012 ©2011 Healthcare Information and Management Systems Society 9
  10. 10. “Information systems at any McDonaldss are more advanced,and more useful, than those in your doctor’s office.” Fast Company – April 2006
  11. 11. Healthcare IT Spending in India Source :SHS10/13/2012 ©2011 Healthcare Information and Management Systems Society 11
  12. 12. HIMSS India Study Highlights10/13/2012 ©2011 Healthcare Information and Management Systems Society 12
  13. 13. The Healthcare IT …User Experience10/13/2012 ©2011 Healthcare Information and Management Systems Society 13
  14. 14. Reasons of dissatisfaction• HIS is not user friendly as all systems are not fully integrated• Limited user interface and lack of customization• Outdated technology, unsatisfied with vendors, limited support10/13/2012 ©2011 Healthcare Information and Management Systems Society 14
  15. 15. 10/13/2012 ©2011 Healthcare Information and Management Systems Society 15
  16. 16. 10/13/2012 ©2011 Healthcare Information and Management Systems Society 16
  17. 17. 10/13/2012 ©2011 Healthcare Information and Management Systems Society 17
  18. 18. 10/13/2012 ©2011 Healthcare Information and Management Systems Society 18
  19. 19. 10/13/2012 ©2011 Healthcare Information and Management Systems Society 19
  20. 20. 10/13/2012 ©2011 Healthcare Information and Management Systems Society 20
  21. 21. Barrier for Health IT adoptionLack of sufficient fundsLack of human resourcesLack of strategic plan for computerizationReturn on Investment of computerization cannot be quantifiedLack of clinical guidanceUnsuccessful implementation of computerization projectsProviders cannot meet requirement for products and servicesLack of legal and policy supportLack of support from hospital administrators10/13/2012 ©2011 Healthcare Information and Management Systems Society 21
  22. 22. Slow Adoption …Cost is an issueSystem is not ready and doctors and staffs are not willing to use HISLack of supporting infrastructureHospital expansionLack of IT literacy among Medical & Para-medical professionalsLack of Govt. determination to introduce HIS in hospitalsGovernment policiesPhase- wise implementation of HMIS in Govt. District HospitalsTraining issues, lack of capacity building program for clinical staffResistance of staffs 10/13/2012 ©2011 Healthcare Information and Management Systems Society 22
  23. 23. Suggestions….• “Should be user friendly and staffs should be provided need based training”• “Hospital should go for Computerized HIS as early as possible”• “Sensitization of Doctors and staff to use the technology by using various medical professional association such as IMA, FOGSI etc”10/13/2012 ©2011 Healthcare Information and Management Systems Society 23
  24. 24. The Way Forward… NEED OF HEALTHCARE IT STANDARDS NATIONAL STANDARDS FOR INTEROPERABILITY NEED OF A PUBLIC HEALTHCARE INFORMATION SYSTEM TASK FORCE FOR HEALTHCARE INFO SYSTEMIT TRAINING - HEALTHCARE PROFESSIONALS AT MED-schools THE EARLIER THE BETTER 10/13/2012 ©2011 Healthcare Information and Management Systems Society 24
  25. 25. 10/13/2012 ©2011 Healthcare Information and Management Systems Society 25
  26. 26. May be a UNIVERSAL ADAPTER10/13/2012 ©2011 Healthcare Information and Management Systems Society 26
  27. 27. Standards and Interoperability • Standards provide a common language and set of expectations that enable interoperability between systems and/or devices. • “Interoperability” describes the extent to which systems and devices can exchange data, and interpret that shared data. For two systems to be interoperable, they must be able to exchange data and subsequently present that data such that it can be understood by a user.10/13/2012 ©2011 Healthcare Information and Management Systems Society 27
  28. 28. Importance of Standards and Interoperability• Standards bring technological, economic and societal benefits.• Healthcare dependency on information• Benefits in figures• GBP 2.5 billion - annual contribution standards make to the UK economy• 80% - percentage of world trade impacted by International Standards• AUD 100 million - benefits to Australian economy from sampling standards in the mining industry• 84% reduction in transportation time due to standardization of container transport : source ISO10/13/2012 ©2011 Healthcare Information and Management Systems Society 28
  29. 29. India’s Imperatives for Standards • Effective Management of limited Usable Healthcare Resources • Population > Data > Information • Languages and Dialects • Cost – having many different competing ways of doing the same thing can be costly. Examples of this are the large number of different mobile phone power sockets; or where every computer supplier developed a list of allergies from scratch.10/13/2012 ©2011 Healthcare Information and Management Systems Society 29
  30. 30. • Safety – for example specifying the minimum safety requirements for a baby car seat; or the safest way to present an allergy alert on a computer screen.• Health Insurance• Medical Tourism• Measurement of health status, performance monitoring, and the achievement of national performance targets. 10/13/2012 ©2011 Healthcare Information and Management Systems Society 30
  31. 31. NEED OF A PUBLIC HEALTHCARE INFORMATION SYSTEM10/13/2012 ©2011 Healthcare Information and Management Systems Society 31
  32. 32. 10/13/2012 ©2011 Healthcare Information and Management Systems Society 32
  33. 33. TASK FORCE FOR HEALTHCARE INFO SYSTEM10/13/2012 ©2011 Healthcare Information and Management Systems Society 33
  34. 34. IT TRAINING - HEALTHCARE PROFESSIONALS10/13/2012 ©2011 Healthcare Information and Management Systems Society 34
  35. 35. THE EARLIER THE BETTER• Need of Healthcare IT Standards Specifically designed for developing Country like India where the HIT is still in nascent stage.• Eliminate waste and duplication while ensuring that patient information is available at the point of care, eliminating unnecessary tests, enabling more informed decisions and improving the quality of care.10/13/2012 ©2011 Healthcare Information and Management Systems Society 35
  36. 36. Better…• Telecom Industry India – Telecom Centers of Excellence – Development Organization of Standards for Telecom in India – Telecom Sector Skill Council• World’s Reputed Clinical Staff• World’s Recognized IT resources Aneesh Chopra: ‘There’s never been a better time to be an innovator’10/13/2012 ©2011 Healthcare Information and Management Systems Society 36
  37. 37. THANK YOU10/13/2012 ©2011 Healthcare Information and Management Systems Society 37
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