Innovative Healthcare in an Integrated Environment
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Innovative Healthcare in an Integrated Environment



INFOCOM Future Leadership Awards (IFLA) is INDIA's most prestigious paper writing competition for management students across the globe. 6 best student entries from B Schools across the world were ...

INFOCOM Future Leadership Awards (IFLA) is INDIA's most prestigious paper writing competition for management students across the globe. 6 best student entries from B Schools across the world were selected in IFLA 08-09 by strict screening process. The jury panel included eminent personalities like Mr. Roopen Roy (Managing Director, Deloitte & Touche Consulting India Pvt. Ltd.) and Mr. Ainar Aijala (Global Managing Partner Consulting, Deloitte). The theme of my paper was "Innovative Healthcare in an Integrated Environment". My paper was awarded third prize in IFLA.



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Innovative Healthcare in an Integrated Environment Innovative Healthcare in an Integrated Environment Presentation Transcript

  • Innovative Healthcare in an Integrated Environment Arpit Mehta MBA -II
  • Agenda
    • Need
    • Current System
    • Innovative Model
    • Integration of Stakeholders
    • Benefits
    • Challenges
  • There is a Need!! Situation 1: Unavailability of Medical Information. * Jishnu Das and Jeffrey Hammer in “The Quality of Medical Care in India”.
    • There is a 50% chance of receiving wrong treatment in India because of the unavailability of correct and timely medical information. *
    • There is a difficulty in accessing medical history of migrating employees outside hometown.
  • There is a Need
    • Situation 2: Lack of Financial Capacity
    * National Statistic Survey Organization 2004 quoted from Mr. Gurucharan Das’s article in Times of India dated November 2. 2008. 65% of India’s poor get into debt and 1% fall below the poverty line each year because of illness. *
  • There is a Need
    • Situation 3: Lack of Requisite Data
    Government faces problems in designing effective health policies and proper allocation of resources because of lack of requisite data.
  • The Current System
    • In Uttarakhand, an individual’s health information is dispersed throughout different healthcare providers in paper records and in computer systems, that can’t tally with each other. There are 81 hospitals, 274 health centers and 916 dispensaries in the state.
    INTEGRATION What is lacking in the system?
  • The Current System
    • To provide a complete information about the citizen for decision making.
    • The Data has been collected by the government in 2007 through a Multi Purpose Household Survey.
    • The data collected included :
      • Family information (name, age, education, occupation, caste etc),
      • Property related information,
      • Biometric details.
    * Mr. Sanjay Mathur, Task force manager, ITDA, Dept. of IT, Government of Uttarakhand, India. Central Data Vault (CDV) built up by State Government. *
  • Innovative Model
    • Records of patient’s medical history will be stored categorically inside CDV and can be retrieved as and when needed.
    • A multipurpose smart card will be issued to each citizen with photos and fingerprints of each of his family members.
    • Government can take initiative by providing Health insurance to the poor. Time to Time patient information shall be updated in the smart card.
    Doctors Patients Pharmacists Health Departments Insurers Logistics Companies System Government and Public Bodies
  • Integration of Stakeholders
    • Government
    • Design Policies
    • Resource Allocation
    • Budget Allocation
    • Social Insurance Schemes
    • Disaster Management
    • Doctors and Hospitals
      • Effective Diagnosis and Treatment.
    • Efficient Administration of the Process.
    • Patients
      • Use of Smart Cards brings Ease and Flexibility in Operations.
    • Transparency.
    • Updated about One’s Health.
    • Pharmacists
      • Calculate what drugs would be needed and in what quantities.
    • Health Departments
      • Nodal bodies implementing the policies of the government.
    • Insurers
      • Better understanding of the risks.
    • Designing innovative social insurance schemes.
    Logistics Companies Resources like medicines, drugs, medical equipments, beds could be stored and transported as needed. SYSTEM
  • Implications
    • Social Implications
    • The risk of being exposed to wrong medication shall be reduced.
    • The people at the bottom of the pyramid will now have access to better medical facilities.
    • The Hospitals will have a better chance to improve the quality of healthcare.
    • New hospitals will come up because of better understanding of gaps and opportunities.
  • Implications
    • Business Implications
    • Paperless and Cashless Transactions.
    • Proper allocation of resources and minimization of wastage.
    • Telemedicine for remote areas.
    • Data Mining.
  • Why Uttarakhand?
    • Uttarakhand is a small state of India with 13 Districts grouped  into three distinct geographical regions
      • the High mountain region,
      • the Mid-mountain region and
      • the Plain region
    • Uttarakhand has already created a customer-centric citizen database which integrates multi-purpose citizen information.
  • Implementation
    • PPP Model
    • The implementation shall be carried out in a phased manner.
    • Health Department and NGOs could be the nodal agencies.
    • Enrolling Doctors and Hospitals
    • Doctors will be a part of the system for better coordination.
    • Hospitals and doctors will be rated. And only certified hospitals will be allowed to avail the services of this model. This will help build a quality standard for the hospitals aspiring to enroll.
  • Challenges Privacy There is a social stigma attached with a few diseases in a country like India. Integration There could be difficulty in getting buy-ins from the stakeholders. Infrastructure Proper SLAs with ICT companies will help ensuring optimal infrastructure.
    • Security
      • Authentication of the user entity
    • Authority to access
    • Protection against theft of Data
    • Security Policies
    • Database Maintenance
      • Updating information such as birth/death
    • Minimizing redundancy. For example: - Arpit Mehta, Mehta Arpit P., Arpit M. etc
  • Conclusion
    • If different stakeholders of the system join hands and take initiatives to overcome all the hurdles, then I believe that we are not very far from developing a better healthcare ecosystem.
    • Uttarakhand would then be the forerunner in implementing the first alternative model for inclusive healthcare system.
  • Thank You
    • All it takes is one idea to solve an impossible problem
    • – Robert H. Schuller
    [email_address] 9997090565