Tansforming healthcare condensed

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Tansforming healthcare condensed

  1. 1. An innovative solution forAffordable & Quality Health & Wellness Neeraj Mahajan 2009 1
  2. 2. A new health management tool that is:  Custom made  Efficient  Personal  Password-secure  Innovative  Priced transparently  Flexible  Improves Quality  Reduces the cost of service.  Improves patient access On-demand, need-specific Healthcare at the Doorstep of the Consumers Neeraj Mahajan 2009 2
  3. 3.  Transforming Healthcare Prevent and manage chronic diseases Help control the rise in health care costs Try and bridge the gap between the Have‟s and the Have-nots Expand healthcare coverage for the long-term uninsured Restructure the way in which doctors and hospitals are paid More Smiles Per Mile– Across the World Neeraj Mahajan 2009 3
  4. 4.  High-quality healthcare services Available and Affordable Choice of Premium, Optimum & Budget category facilities & specialists On demand Health, Wellness & Medicare at reasonable costs Virtual Hospital - 24x7 worldwide Smart America = (Healthy + Prosperous America ) x Wellness worldwide Neeraj Mahajan 2009 4
  5. 5. Hospital Patient Care Physician FamilyPre/ Post Op Care Support Groups Social Physiotherapy Community Counseling Meditation Step by Step Process Health & Wellness does not begin and end with the patient Neeraj Mahajan 2009 5
  6. 6.  Access to care Quality of care Cost of care Technology adoption Burden on providers Shortage of providers Margins for providers declining Policy Concerns Neeraj Mahajan 2009 6
  7. 7.  Who wins if America looses ? Who gains from the inherent inefficiencies of the US healthcare system? Can there be more accessible and affordable healthcare options for US citizens? Neeraj Mahajan 2009 7
  8. 8. 80:20 FormulaSolution: Inside-Out Neeraj Mahajan 2009 8
  9. 9.  80% goal - Healthcare at the doorstep of the consumer – Streamline operations at a wide network of state of the art medical facilities so that patients does not have to travel overseas and finds it prudent to receive superior treatments at comparable costs, that too within walking distance from their homes. 20% goal – Assurance of Streamlined, Safe and Supervised treatment at pre-selected overseas facilities in cases where the same procedure cannot either be done at a lesser cost or requires immediate, unavoidable treatment, economically unviable investment, staffing or maintainance Neeraj Mahajan 2009 9
  10. 10.  Centralized planning for 300 million Americans is unrealistic  Doesn‟t work anywhere else in the economy  Goes against the American grain By developing a market driven and government endorsed strategy to streamline health care costs, US citizens can significantly reduce their health insurance expenditures and lower overall costs to the health care system. The savings can spur the growth and development of a healthy & economically wealthy America The spin-offs can benefit many friendly nations and add to their economic development -- leading to generation of employment and opportunities within their own boundaries In the long run this can result in reduction of immigrants to t he US Neeraj Mahajan 2009 10
  11. 11.  Even if a small percentage of the amount spent on traveling abroad for medical treatment could be saved and reinvested into the US facilities, the long term benefits could be much more than the immediate gains Investment in hospitals, research and medical education, can spur sustainable economic development and employment opportunities in US with enough spin-off for the rest of the world. Only strong healthy and economically strong America can be the true Super power that can not only transforms itself but the rest of the world as well Neeraj Mahajan 2009 11
  12. 12. Strategic Win-Win America Project (SWAP) for Smart Health & Prosperous Economy (SHAPE) Solution: Inside-Out Neeraj Mahajan 2009 12
  13. 13. Advantage Humanity Advantage India Advantage AmericaStrategic Win-Win America Project (SWAP) for Smart Health & Prosperous Economy (SHAPE) Solution: Inside-Out Neeraj Mahajan 2009 13
  14. 14.  Advantage America – Health & Wellness 3600 Plan  Healthy Healthcare Industry, Satisfied Doctors & other professionals, Satisfied patients Advantage India – Health & Wellness 3600 Plan  Healthy Healthcare Industry, Satisfied Doctors & other professionals, Satisfied patients Advantage Humanity  Sharing of knowledge, expertise and infrastructure  Recession proof growth of Health, Medicare & Wellness industry worldwide  One Big Virtual Hospital- anyone, anywhere in the world can consult a doctor across another continent without stepping out of their homes  Better Patient Awareness though specially designed Audio-video, print material and web content. Cost effective option to seek expert advise through live web chat and email queries  Better and More Informed Choices- Libraries, reading rooms and counseling by qualified Doctors whose job is just to explain the how‟s, whys and other complicated medical terminology to the patients Neeraj Mahajan 2009 14
  15. 15. 1. Advantage America – Health & Wellness 3600 Plan Healthy Healthcare Industry, Satisfied Doctors & other professionals, Satisfied patients  Centres of Excellence impart quality Medicare  Horizontal Integration- One Country, one rate for the same medical treatment or services – also from other states, even those uninsured on unfavorable terms of Insurance Companies & choice A, B or C category Doctors -- almost at the patient‟s doorsteps – recommended Quality Medicare & Wellness Centres to chose from under Premium, Moderate and budget panel based on the fee, professional experience and minimum infrastructure & services in each category – as different centres and doctors with similar experience & facilities within the same country charge the same fee Neeraj Mahajan 2009 15
  16. 16. Case Study # 1: Doctor is unavailable – A 100% insured person needs immediate medicalattention for a sudden and excruciating pain at midnight but the regular doctor is asleep or on avacationSWAP ADVANTAGE – It may be midnight in USA but day time in India when almost all thedoctors are working and can be available - they can at least advise you if it‟s a false alarm or areal need to rush to a hospital. In case of a real emergency – a standby evacuation /ambulance team is rushed and responds to the callCase Study # 2: Experienced Doctors are available but too expensive to afford – An usualdilemma for many people in USASWAP ADVANTAGE – Reach to some other comparable quality and affordable facility orDoctor in the same city, across USA or India and get the right treatment at the right time !!Case Study # 3: Patient is insured but the disease isn‟t – A 100% insured person in USA needstreatment which requires out-of-pocket expenses or is not 100% covered in his healthinsurance policySWAP ADVANTAGE – Assured and affordable facilities and Doctors in the same city, acrossUSA or India.Universal access to 24 x 7 x 365- on demand healthcare at the doorstep of theconsumer. Doctor on call – anywhere, anytime from across the universe. Neeraj Mahajan 2009 16
  17. 17. Case Study # 4: Both the Patient and the disease are inadequately covered by InsuranceSWAP ADVANTAGE – Choice of opt-in Premium, Moderate and budget category facilities anddoctors. Right and appropriate value for money !!Case Study # 5: Patient goes abroad for medical treatment but still needs care, support andcounseling in the pre and post operative phaseSWAP ADVANTAGE– Assurance of single window for pre and post-operative care, Safety &coordinated travel arrangements & monitored treatment even at the overseas facilitiesCase Study # 6: Patient is willing to go abroad for treatment but needs a doctorsrecommendation and advise as to which hospital or doctor to visitSWAP makes it possibleCase Study # 7: Patient is willing to go abroad for treatment but wants the trusted family doctorto monitor his progressSWAP makes it possibleCase Study # 8: Patient, on his own, is unable to differentiate between a real emergency orfalse alarm as well as short term v/s long term disease management optionsSWAP can open a plethora of possibilities.Universal access to 24 x 7 x 365- on demand healthcare at the doorstep of theconsumer. Doctor on call – anywhere, anytime from across the universe. Neeraj Mahajan 2009 17
  18. 18. 2. Advantage India – Health & Wellness 3600 Plan Healthy Healthcare Industry, Satisfied Doctors & other professionals, Satisfied patients  Centres of Excellence impart quality Medicare  Horizontal Integration- One Country, one rate for the same medical treatment or services – also from other states, even those uninsured on unfavorable terms of Insurance Companies & choice A, B or C category Doctors -- almost at the patient‟s doorsteps – recommended Quality Medicare & Wellness Centres to chose from under Premium, Moderate and budget panel based on the fee, professional experience and minimum infrastructure & services in each category – as different centres and doctors with similar experience & facilities within the same country charge the same fee Neeraj Mahajan 2009 18
  19. 19. Case Study # 1: Doctor is unavailable – A person needs immediate medical attention for asudden and excruciating pain at midnight but the regular doctor is asleep or on a vacationSWAP ADVANTAGE – It may be midnight in India but day time in USA when almost all thedoctors are working and can be available - they can at least advise you if it‟s a false alarm or areal need to rush to a hospital. In case of a real emergency – a standby evacuation /ambulance team is rushed and responds to the callCase Study # 2: Experienced Doctors are available but too expensive to afford – An usualdilemma for many people in IndiaSWAP ADVANTAGE – Reach to some other comparable quality and affordable facility orDoctor in the same city, across India or USA and get the right treatment at the right time !!Case Study # 3: Patient is insured but the disease isn‟t – A 100% insured person in Indianeeds treatment which requires out-of-pocket expenses or is not 100% covered in his healthinsurance policySWAP ADVANTAGE – Assured and affordable facilities and Doctors in the same city, acrossIndia or USA.Universal access to 24 x 7 x 365- on demand healthcare at the doorstep of theconsumer. Doctor on call – anywhere, anytime from across the universe. Neeraj Mahajan 2009 19
  20. 20. Case Study # 4: Both the Patient and the disease are inadequately covered by InsuranceSWAP ADVANTAGE – Choice of opt-in Premium, Moderate and budget category facilities anddoctors. Right and appropriate value for money !!Case Study # 5: Patient goes abroad for medical treatment but still needs care, support andcounseling in the pre and post operative phaseSWAP ADVANTAGE– Assurance of single window for pre and post-operative care, Safety &coordinated travel arrangements & monitored treatment even at the overseas facilitiesCase Study # 6: Patient is willing to go abroad for treatment but needs a doctorsrecommendation and advise as to which hospital or doctor to visitSWAP makes it possibleCase Study # 7: Patient is willing to go abroad for treatment but wants the trusted family doctorto monitor his progressSWAP makes it possibleCase Study # 8: Patient, on his own, is unable to differentiate between a real emergency orfalse alarm as well as short term v/s long term disease management optionsSWAP can open a plethora of possibilities.Universal access to 24 x 7 x 365- on demand healthcare at the doorstep of theconsumer. Doctor on call – anywhere, anytime from across the universe. Neeraj Mahajan 2009 20
  21. 21. 3. Advantage Humanity – The world as one big where anyone can consult an expert doctor anywhere in USA or India and get their advise, even without stepping out of their homes-- just by paying a fee online.  Lesser need for travel to unfamiliar places away from ones own country for medical treatment  Monitored & less risky emergency medical travel even outside ones country where it cannot be avoided  Structured pre-and long term, post emergency care – within the country of regular stay  Pre approved, Doctor– recommended Quality Medicare & Wellness Centres to chose from  Less waiting – as different centres with similar facilities and experienced doctors nearby the patients home town charge the same fee  Better patient advocacy through specially designed literature – printed brochures, audio-video and web content  Live counseling by qualified doctors and health motivation staff who explain the How‟s, Why‟s as well as complicated medical terms in layman terms– which normally remained unexplained as Doctors have to attend to other patients as well, and in the process help them take right decisions. Neeraj Mahajan 2009 21
  22. 22.  One country one price for the same or similar procedure and consultation Standardized care- pre-op screening in one country to be acceptable in the receiving facility in another country as well. Owned Centres, channel partners & Virtual Hospital– experts for tele- diagnosis, tele-consultation, second opinion, referral and tele-nursing care. Assurance of Post-op follow up, long-term rehab and disease management. No waiting -- the Patient can but disease, pain and suffering doesn‟t wait… Minimum need for cross country travel--travel only if you must for emergency treatment but get pre and post op care in the home country Real time Monitoring -- the doctor whom you trust is in the loop at every stage and can see your blood sugar level, weight or BP and well as prescription and treatment course of action at his own computer work station in the home country, and thus give his own suggestions, if need be, even during the duration of emergency translocation Neeraj Mahajan 2009 22
  23. 23. Multiple choices, can even work like a parallel or –The consumer is the king with options to choose from either of the following options: One time Joining, nominal annual fee and rest as per actual expenses, as and when needed– Patients enroll just for maintainace of medical records and later make payment for services and facilities as and when used Alternate Insurance model- Patients join the program with a commitment to pay a minimum amount – irrespective of whether the services are consumed or not. May get rollover benefit to accumulate certain points and use later at approved facilities Healthcare deals and discounts – Patients who are not adequately insured, those who do not wish to pay premium for diseases they may not even enquire or those with pre- existing diseases like heart stroke or diabetes who may end up paying heavy premium in any other insurance scheme can opt for this. All they have to do at the beginning is to agree to consume a certain minimum hours of treatment for a specific disease during the year. This makes them eligible for a package or discount. As members of this program, they may also avail treatment of other diseases at the pre approved facilities in USA and India – at normal rates – on use No strings attached- Just enroll and pay on use basis Neeraj Mahajan 2009 23
  24. 24.  Network of own Centres, Channel Partners and tie-up facilities across USA & India Assurance of quality and reliability – Each centre follows a standard operating procedure and is certified by a medical board on the basis of experience, facilities offered, infrastructure, technological expertise, patient feedback and success rate Information at the fingertip, doorstep and desktop of the consumer- Before even stepping out of the home a patient can check the past experience of other patients, community opinion as well as medical rating of a healthcare facility or doctor Common pricing - Next to quality, price is a common concern for the patients. This is resolved as all facilities enrolled in the program are graded under Premium, Moderate and Budget category. All facilities in the same city or country essentially charge a pre- determined fixed charge. For instance doctors with 25 years or more professional standing charge the same price – if their equipments and facilities are comparable. Likewise all doctors with similar infrastructure with 15-25 years fall in B- category while those with less than 15 years practice fall into the budget category. The price list for each individual category is fixed Zero waiting- Since the quality and price across the board in a particular category is fixed, a patient can or may visit some other doctor with similar skills and charges Neeraj Mahajan 2009 24
  25. 25.  Economically viable and affordable treatment – For all, including those who are uninsured or economically not so well off No Headache- Single window services for medically supervised and monitored travel for emergency treatment- Same agency books premium, moderate and budget category hospitals and Doctors, provides trained nurses for the journey as well as booking airlines, hotels, travel insurance, currency exchange, money transfer and helps in processing of insurance claims, if need be. One point –management & up gradation of patient history and prescription data- standard, user friendly format incorporating all the required information in a single source makes it easier for doctors and convenient for the patients Centralized billing and payment of taxes- avoids duplicate efforts and tax on taxes already paid. Mobile ICU- Specially equipped helicopters, air & ground ambulance services in USA & India for emergency evacuation of critical patients. Similar Diagnostic standards and bench-marks for every report within a city, country or across the continent – for world wide acceptance and reliability. Neeraj Mahajan 2009 25
  26. 26.  Virtual Hospitals – Universal access to 24 x 7 x 365- on demand healthcare at the doorstep of the consumer. Doctor on call – anywhere, anytime from across the universe. Matrix of High-tech Diagnostic Base Camps in major cities across USA & India, each with a network of as many as possible collection centers and report pick-up points, ideally within 2-5 km radius of patients homes. Global centres of learning:  Global Lifestyle Modification Academy- specific training to individuals already suffering from a disease to manage their life and remain healthy, the rest of their lives.  Corporate Employee Training seminars and short term workshops– specially designed short term courses for corporate entities and professional bodies  Modules for training the Insured Persons– Insurance companies can save money by training the insured persons – on how to live healthy and beat stress & tension. Corporate Social Responsibility Programs- Responsible corporate citizens can reap indirect benefits of good health by contributing towards their social responsibilities Neeraj Mahajan 2009 26
  27. 27.  Uniform & affordable Healthcare services and choice of provider nearer to home Single window services for medically supervised and monitored travel for emergency treatment- Same agency quotes and takes orders for booking premium, moderate and budget category hospitals as well as fixes appointment with the best Doctors in the affordability range (from a Medical Board recommended pre-approved panel of hospitals and specialists– rated on the basis of qualifications, proficiency and facilities), provides trained nursing escorts as well as does the bookings for airlines, hotels, travel insurance, currency exchange and money transfer . And helps in processing of insurance claims on behalf of the patient, if need be. One point – universal management & regular up gradation of patient history and prescription data- standard, user friendly format incorporating all the required information in a single source makes it easier for doctors and convenient for the patients Centralized billing and payment of taxes- to avoid duplicate efforts and tax on taxes already paid. Economic model to make treatment affordable for even the uninsured and economically not so well off Neeraj Mahajan 2009 27
  28. 28.  Mobile ICU- Specially equipped helicopters, air & ground ambulance services in USA & India for emergency evacuation of critical patients. Imagine a person “Alpha” on the way to attend a business meeting or holiday in a third world country when the medical emergency strikes… This place does not seem to have appropriate medical facilities and his family is insisting him to USA or nearby big hospital which has the latest medical facilities with modern diagnostics to evaluate and stabilize the patient‟s condition. This is where ground & air ambulance or helicopters and specially fitted jets can play a life saving role. Standardized Diagnostics & reporting– similar Diagnostic standards and bench-marks with common minimum factors in every report within a city, country or across the continent – for world wide acceptance and reliability. Economically viable and cost effective matrix of High-tech Diagnostics– Matrix of High-tech Diagnostic Base Camps in major cities across USA & India, each with a network of as many as possible collection centers and report pick-up points, ideally within 2-5 km radius of patients homes. Online Medical Library, Reading Space & real world Information Kiosks Online & Real world Patient Support Groups & Community Participation programs School and Community Awareness programs Neeraj Mahajan 2009 28
  29. 29.  Global Lifestyle Modification Academy- imparts specific and relevant training to individuals already suffering from a disease to manage their life and remain healthy for the rest of their lives. Different modules and course content can be specially tailor- made for groups of patients suffering from specific diseases. These courses can he held both in real and virtual world. Lectures, demonstrations, webinars, participatory group discussions and exposure to new ideas from the domain of yoga, pranayam, art of living, reiki and meditation techniques besides lessons in breathing, body toning and conditioning – can help to rejuvenate as well as motivate the people who attend. Corporate Training seminars and short term workshops– specially designed short term courses for corporate entities and professional bodies which teach people who attend how to de-stress and simultaneously manage their disease and work efficiently. Modules for training of the Insured Persons– This will help insurance companies save a lot of money by reducing the stress, BP, Blood Sugar as well as chances of Heart- stroke, paralysis or other lifestyle diseases. Corporate Social Responsibility Programs- Rich and influential classes pay for the underprivileged masses and indirectly benefit from lesser disease and infections All these will help people who live longer, live better Neeraj Mahajan 2009 29
  30. 30.  The world that we live in today is a flat world now where even disease is a country or person‟s personal problem No country or people have the ultimate answer to all medical and health problems Good Doctors are available to cure disease – its just that a patient needs to reach out to them at the right time and in the right manner Access to high quality care – without any delay at the hour of need can make a big difference between life and death Technology and mediums of communication has made it possible for the patient as well as the doctor to reach out to each other and defeat both, the disease and imminent death. Virtual Hospital- A level playing field which bridges the gap between need and availability in the virtual domain where even the have-nots and deprived people can avail the cheapest and best services or facilities sitting at home - from across the seven seas Neeraj Mahajan 2009 30
  31. 31. First Point of Contact Trouble Shooting Teams: A nurse or junior Doctor with a laptop Emergency on the spot and GPRS enabled mobile phone - follow up Team just to record the physical symptoms like BP, weight, blood Sugar etc at the behest of the remote expert Control Room O. P. Gupta Memorial Virtual Hospital Doctors on Duty Doctors on Call Emergency evacuation & 24 x 7 Surgical / OT and Stabilization teams, Mobile Diagnostic Lab back-up ICU & Ambulance Service at a nearby Tie up facilityFor those times when – it‟s a few minutes race between life and death and thewinner takes it all Neeraj Mahajan 2009 31
  32. 32. First Point of Contact Trouble Shooting Teams: A nurse or junior Doctor with a laptop Emergency on the spot and GPRS enabled mobile phone - follow up Team just to record the physical symptoms like BP, weight, blood Sugar etc at the behest of the remote expert Control RoomE-Mail for Help O. P. Gupta Memorial Virtual Hospital Dial-in for Help Doctors on Duty Doctors on Call Emergency evacuation & 24 x 7 Surgical / OT and Stabilization teams, Mobile Diagnostic Lab back-up ICU & Ambulance Services at a nearby Tie up facility Timely, Quality and Affordable medical services at the point of Need. Neeraj Mahajan 2009 32
  33. 33. Second Life & Teen Second Life : Benefits to the Doctors:  Doctor‟s Consultation Chambers in the virtual world.  A place were Doctors meet other Doctors, attend Web Seminars, Conferences and watch video demonstrations of new products  They get points for each log-in, give consultation and advise to patients. These points can be later redeemed for gifts and family holiday Packages Timely, Quality and Affordable medical services at the point of Need. Neeraj Mahajan 2009 33
  34. 34. Case Study # 1: An uninsured or underinsured patient in New York, USA needs emergency medicalconsultation but can only afford to pay US$ 20 Option 1: Visits a specialist in New York whom he cannot afford Option 2: Visits a relatively inexperienced GP in a far off state who charges less than $ 20 Alternative 3: Dials/ logs-into Virtual Hospital- pays US $ 20 and receives consultation from a highly experienced doctor in Delhi or Mumbai while sitting on own bed in New York, without even having to travel down town in a local bus.  A fee is quoted for online consultation with the expert doctor and the payment is processed electronically at the beginning of the session.  The Doctor does not mind receiving US $ 20 as after dollar to rupee conversion – the price works out to Rs 1000 which is approximately close to his regular charges  The patient too is happy because he is receiving the best possible treatment by a top end doctor.  The session begins on realization of the payment  An intern doctor or trained nurse without much experience in clinical practice physically examines the patient and records the weight, BP, Pulse and other physical symptoms on a laptop connected to a web server  An expert doctor sitting across the globe is monitoring the process through a web cam  The patient receives a printed prescription in hand, electronically signed by the expert at the end of session. As long as there is someone committed to serve, there are ways to do so… Neeraj Mahajan 2009 34
  35. 35. Case Study # 2: A patient in remote Muzzafarpur district in Bihar, India, suffering from an acutedisease requires immediate medical attention Option 1: Visit the nearest facility in Patna : Cost Rs 1500 or US $ 30 + Time wasted  Cost of cheapest two and fro travel : Rs. 500  Cost for local transport + Food : Rs 150  Doctor‟s fee & lab tests : Rs. 250  Medicines : Rs 300  Loss of Income / productivity Rs 300 per day (Two persons – one patient and one attendant, even if we calculate on the basis of minimum earning @ Rs 150 per person, per day ) Option 2: Treatment at to a moderate clinic in New Delhi: Cost Rs 3400 or US $ 70 + Time wasted  Cost of cheapest two and fro travel : Rs. 1000  Cost for local transport + Food : Rs 400  Doctor‟s fee & lab tests : Rs 300  Medicines : Rs 300  Loss of Income / productivity : Rs 1500 five days (Two persons – one patient and one attendant, even if we calculate on  the basis of minimum earning @ Rs 150 per person, per day ) Alternative 3: Dials/ logs-into the Virtual Hospital- Cost: US $ 50 for i.e. Rs 2500; conveniently sitting on own bed in Muzzafarpur and without any additional income or productivity loss.  A fee is quoted for online consultation with the expert doctor and the payment is processed electronically at the beginning of the session. The session begins on realization of the payment  An intern doctor or trained nurse without much experience in clinical practice physically examines the patient and records the weight, BP, Pulse and other physical symptoms on a laptop connected to a web server  An expert doctor sitting across the globe is monitoring the process through a web cam  The patient receives a printed prescription in hand, electronically signed by the expert at the end of session. Neeraj Mahajan 2009 35
  36. 36.  BPL Mobile, Mumbai‟s leading mobile service provider, recently launched „Doctor on Call‟, a 9-to-9 service for live interaction between doctors and patients over the phone. Powered by HealthcareMagic.com, the service will provide consultation over the phone where the doctors will diagnose the patient‟s problems under three categories - „Acute‟, „Chronic‟ and „Emergency‟. While the service does not claim to replace a family Doctor, „Doctor on Call‟ will be useful on all occasions when one can‟t reach the trusted doctor; in an emergency, for second opinions and for recurrent ailments Priced Rs 15 per minute this service may be beneficial for people who worry about loss of pay/ business during absence from work, dread long queues or those who haven‟t got a prior appointments. Such people often end up denying themselves timely medical advice just to avoid upsetting their busy and tight schedules. Even the aged, sick and those who cannot travel unaccompanied can now call this number without any need to worry about the travel. This way one could even seek the doctor‟s advice when traveling on a far away business or holiday. Neeraj Mahajan 2009 36
  37. 37.  The Doctor who attends the call probes to understand the patient‟s condition of the on the phone and then offers home remedy to the subscriber. Acute condition: the attending doctor suggests a future course of action in terms of Lifestyle change, preventive measures and specialist to be consulted for further management of the disease Chronic condition- in case of an Emergency, the doctor gives the suggestion if the calling patient needs to be rushed to the nearest hospital, based on the history and will immediately end the call. Such medical assistance over the mobile phone be able to reach out further more to the typical Mumbai dwellers who are always on the move. Use of mobile phone as a platform for healthcare delivery may ultimately prove to be the next logical and innate step towards easing the suffering in people‟s lives that too at a affordable cost… Neeraj Mahajan 2009 37
  38. 38. Doctor on Phone Service Virtual HospitalLimited reach confined to Mumbai Both the Patient and the Doctor could be anywhere in the worldNo Physical contact with the patient If need be, all it requires is a laptop and a GPRS enabled mobile phone in the hands of even a semi-trained nurse who is capable of just recording the temperature, BP, Pulse etc – to be present on the ground. An experienced Doctor is monitoring this at the other end of the web camIs not the complete solution as a patient stills has to visit The patient receives a complete diagnosis and prescriptionanother doctor for prescription at the end of the sessionDependent on the patient to describe all his symptoms on Fool-proof – even a deaf and dumb patient who cannotphone speak or express his feelings or some one who does not know how to type can be examined by a nurse who explains these to a doctor at the other endOne patient – One doctor at a time A doctor could be addressing several patients at the same time in different chat windows as a results those who need immediate attention get preference over others who can waitPerformance is likely to affected by shortage of Doctors Can be the solution for limited availability of DoctorsCost effective solution Cost effective and Multiple benefit system, not likely to be affected by even resource crunch or other shortages Neeraj Mahajan 2009 38
  39. 39.  The next healthcare provider will not have to search for or guess about a patients allergies, medications, or current and recent past diagnoses and other pertinent information. The next healthcare provider will be informed about the patients most recent healthcare assessment and services. The next healthcare provider will be informed about recommendations of the caregiver who last treated the patient. As patient demographics will be provided, time and effort will be saved by not having to repeatedly ask a patient for demographic information in detail. Rather, this information can be more quickly and easily verified. Costs associated with the patients care will be reduced, for example through avoiding repetitive tests and basic information gathering. The effort required to update the patients most essential and relevant information will be minimized Neeraj Mahajan 2009 39
  40. 40. Recent innovations like Motorolas world-class mobility products and healthcare softwareapplications may help extend mobility to the point of care and beyond.Such healthcare solutions allow sharing of real-time information anywhere, inside oroutside the facility, for increased patient safety and more attentive care. These include: Medication Administration Solutions- Ensure that the right patient receives the right medication, the right dose, by the right route, at the right time.. Mobile Physician Rounding Solutions- Access information, order tests, scan billable items and more – all from the patient‟s bedside. Remote Patient Monitoring Solutions- Monitor patient vital signs and adjust medical equipment while moving throughout the healthcare facility. Specimen Collection Solutions - Protect and streamline the collection process to improve accuracy and speed test results. Wireless Broadband for Healthcare- High-speed, reliable and secure connectivity and information access. Neeraj Mahajan 2009 40
  41. 41.  Patients can keep all of their health and insurance information in one place, Make appointments and stay in touch with their physicians office via e-mail Receive information via RSS feed on subjects they choose Receive reminders about medication schedules, classes, exercise timetables and other health calendar entries, Participate in support groups and read health journals. Helps build trust & strengthen relationships Feedback and appraisal-- A doctor can learn more about the patient‟s wants and needs and accordingly adjust or fine-tune their programs. Social Network & Health Support Groups : Reach Global, Bonding Local Neeraj Mahajan 2009 41
  42. 42. Online Resource Centre & Virtual Traffic Control Room Friends Doctors Patients Like Me User Patient Support SpecialtyParents Groups Children MD junction Specialist Groups Healer Groups & Patients Health Wellsphere.com Communities Well DailyStrength.org Surgeons wishers Health Blogger Network Organized Wisdom Patient Empowerment Forum Town Hall Healthcare Community Peer Trainer Trusted MD Health Diaries HealthyPlace.com Neeraj Mahajan 2009 42
  43. 43. Online Resource Centre & Virtual Traffic Control Room Traditional Media New MediaPrint Radio Television Web Mobile Payment Intranet Internet Webcast Podcast RSS Email SMS GatewaySocial Face book Portal Website E ZineMedia Linked In MySpace Patients Like Me Support Groups & MD junction Orkut Communit ies Wellsphere.com Twitter DailyStrength.org YouTube Health Blogger Network Organized Wisdom Blogger HealthyPlace.com Patient Empowerment Wikipedia Forum Neeraj Mahajan 2009 43
  44. 44. Alternative Inform options & Prevention prices Perception Remain Inspire Payment Management Healthy Adjust Motivate Booking News Lifestyle after disease Online Community Educate Feedback Advertising opinionVerify Facts Research Promotion Support Neeraj Mahajan 2009 44
  45. 45. Neeraj Mahajan 2009 45
  46. 46. 1. Blog - Increasingly, those who suffer from serious diseases look to the Internet, not only for information on their disease, but also for patient communities. As a result, blogs on serious diseases are fast becoming an important and undeniable media for PR professionals in healthcare.2. Agony Aunt - Interactive forum answering questions from patients & their families3. Friends for Friends Community Discussion Forum: In this forum members give and receive support; discuss issues; exchange ideas, information, news, and comments; and discuss their concerns, fears, and methods of coping with disease, disorders and learn about various alternate therapies. Messages of each member of the Forum will be distributed by e-mail to all other members, any of whom can respond and cross-respond to all others.4. Third Umpire Live Chat : Like a third umpire in cricket, there are often situations in life when faced with a complicated medical problem, parents need to seek second or third opinion. In this format we can have a subject expert who is available to the online audience on specified weekdays say Monday to Friday. During this time they can ask him whatever they wish to know about the disease or its management. Neeraj Mahajan 2009 46
  47. 47. 5. Partnerships with Federal Agencies and Medical Groups: strategic alliance with NGOs and government agencies working in public health, healthcare advocacy and public policy like Public Policy Research Institute, National Initiative for Centers for Disease Control and Prevention (CDC), Consortium for Citizens with Disabilities (CCD) and National Health Council.6. Public campaign to reach out to state and federal lawmakers : Mass e-mails to local Legislators and members on important Senate committees like Health, Education and Labor to take speedy action on legislation affecting health issues.7. Med-Update—E-mail newsletter / RSS feed to Doctors and patients on the latest research and trends.8. Campus zone and hang-out Corner: Children are among the most vulnerable sections of society, easily affected by the manner in which their playmates, teachers and quite often parents treat them. Teasing and name calling make the impact of the disease even more harsh. This could be a forum where children and youth interact with others facing similar problems and evolve mechanisms to cope with social and psychological aspects of a problem and in general hang around to have fun, without being made to realize that they are in any way inferior to their peers. Neeraj Mahajan 2009 47
  48. 48.  Reach out to people where they already are Use the power of community and social networks to create change Use existing, or newly developed technology tools for social impact Generate online conversation for community-building Serve as a clearinghouse for evidence-based information on various diseases, Serve as a family support group for families and individuals affected by diseases, Serve as an advocate for appropriate public policies in response to needs of families & patients Key Features:  Dynamic Content- Different content on the Homepage, each time a person logs in.  Comprehensive & Credible user-friendly information on disease and their symptom, tell-tale Signs, When to say that something is abnormal, Why and whom to consult, FAQs, Share your Story, Growth Charts and Calculators for BMI, BP, Height- Weight etc., Comic strips & Quiz on how‟s and why behind diseases, prevention and difficult terms  Second Opinion– Online Consultation with a panel doctor  Points for reading articles, commenting on stories, polls etc and subsequent log ins.  Searchable by key words  Easy and user-friendly Audio-Video playback options  Translations in popular European languages  Viral marketing or word of mouth promotion on social sites and blogs.  Search Engine Promotion, RSS mailing lists and Posts on social forums, chat sites and health support groups  Senator, Congressmen, Lawmaker sensitization campaign  Networking with other NGOs and governmental agencies for advocacy Neeraj Mahajan 2009 48
  49. 49.  Customer Relationship Management Media Relations Internal Collaboration Knowledge Management Recruitment Test ideas or products Rank high in Search Engines All the information about various diseases under the sun that people need to know but don’t know whom to Ask. Neeraj Mahajan 2009 49
  50. 50.  With the advent of social media, patients now have power to share information, express opinions and influence the direction service and device providers will take. People are seeking personal health information from a broad range of online sources. Web enabled health searches is a fast-growing feature of social media. According to Manhattan Research , top three online brands for health information are:  Google, with about 77 million searchers;  Yahoo!, with about 45 million searchers; and  MSN, with 20 million searchers. According to Harris Interactive, 80%, U.S. adults use the Internet to search for health-related information and 16% i.e. 136 million adults who have searched for health information online at some point of time in their lives. People are relying on blogs and other social media. Five percent of those searching online for information about the antidepressant Lexapro went to CrazyMeds.org -- a blog that contains information about the safety and efficacy of psychiatric medications. Jupiter Research found 34% of adult Internet users in the U.S., or 54 million people, browsed online content created by other consumers about health issues. Patients today take content created by advocacy groups, physicians and fellow consumers more seriously than pharmaceutical companies. A Kaiser Family Foundation report found only 18% of consumers trust pharmaceutical company Neeraj Mahajan 2009 50
  51. 51.  Overall Project Management Outline Budgeting and Financial Planning Team Identification, motivation and build-up  Overall Management  Corporate Affairs, HR & Administration  Medical Board for empanelment of facilities & Doctors  Corporate communications, Content Development, PR & Image Management  New Business Development  Booking, Appointments, Travel & Logistics  Transcription, Billing, & Recovery  Insurance & Mediclaim  Finance & Taxes  IT- Database management, programming & Web Development  Online Marketing & Search Engine Promotion  Legal Affairs and Affiliations  Coordination  Operations  Medical Response Teams- Obesity, Diabetes, Hypertension, Heart Stroke, Dentistry and other areas  Alternative Therapy, Meditation and Health SPAs  Diagnostics and Microbiology Roles & Responsibilities Execution Timelines Infrastructure Project Implementation Operations Neeraj Mahajan 2009 51
  52. 52. J HEALTH FOR ALL J Neeraj Mahajan 2009 52
  53. 53. Neeraj Mahajan 2009 53

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