FUTURE OF
GLOBAL ECONOMY
Dr. Devi Prasad Shetty, M.S, FRCS (England)
Chairman, Narayana Group of Hospitals
Jobs for stability
• Jobs for extremely skilled, semiskilled and
unskilled.
• $ 4.5 trillions.
• IT> health sector.
• NHS
Hospital Safety 1966

Look Magazine
March 22, 1966
2008, STILL A PROBLEM.
“One in 200 patients who
spends a night or more in
the hospital will die from a
medical error. One ...
SOFTWARE FOR DISEASE
MANAGEMENT
NOT HOSPITAL MANAGEMENT
INPATIENTS
• DON'T DIE DUE TO WRONG DIAGNOSIS
• DON'T DIE DUE TO THE MAIN DISEASE
• THEY DIE DUE TO COMPLICATIONS OF TREAT...
WE ARE NOT TALKING
ABOUT BIG DATA
• ICD 9-6000 diseases,1000 common.
• 50,000-SIGNS, SYMPTOMS
• 100,000-SIGNS, SYMPTOMS, L...
FUTURE OF HEALTH CARE IS IN THE HANDS OF
CRITICAL CARE NURSES
75%OF HOSPITAL BEDS WILL BE ICU BEDS
SUCCESS OF EVERY SURGER...
Machines to train ICU NURSES
• CEA TECHNOLOGY SIMULATORS TO TRAIN ICU NURSES.
• UNIVERSITIES GIVE THE KNOWLEDGE, DRIVING S...
Today heart surgery is
delivered as a hand crafted
masterpiece.
“A doctor could alternatively be God

or a cowboy ruling the hospital by
preference or whim, with insufficient
considerati...
“Conventional wisdom often has it that if a
nurse makes a mistake, he/she should be
terminated, but the vast majority of h...
We want to commoditize and
standardize the delivery of
heart care.
“Standardization by commoditization of
the process increases the safety,
reliability and reduces the cost.”
-Henry Ford
“If healthcare was an airline”
“If healthcare was an

airline, only dedicated
risk takers, thrill seekers
and those tired ...
The New Magic Pill in Healthcare is Software - Future of Global Economy
The New Magic Pill in Healthcare is Software - Future of Global Economy
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The New Magic Pill in Healthcare is Software - Future of Global Economy

  1. 1. FUTURE OF GLOBAL ECONOMY Dr. Devi Prasad Shetty, M.S, FRCS (England) Chairman, Narayana Group of Hospitals
  2. 2. Jobs for stability • Jobs for extremely skilled, semiskilled and unskilled. • $ 4.5 trillions. • IT> health sector. • NHS
  3. 3. Hospital Safety 1966 Look Magazine March 22, 1966
  4. 4. 2008, STILL A PROBLEM. “One in 200 patients who spends a night or more in the hospital will die from a medical error. One in 16 will pick up an infection. Deaths from preventable hospital infections exceed 100,000, more than those from AIDS, breast cancer and auto accidents combined.” Forbes Magazine 03-10-2008
  5. 5. SOFTWARE FOR DISEASE MANAGEMENT NOT HOSPITAL MANAGEMENT
  6. 6. INPATIENTS • DON'T DIE DUE TO WRONG DIAGNOSIS • DON'T DIE DUE TO THE MAIN DISEASE • THEY DIE DUE TO COMPLICATIONS OF TREATMENT, BLEEDING, SEPSIS, MULTIORGAN FAILURE, MEDICAL ERROR • DEATH DUE TO NATURAL DELAY IN DIAGNOSIS, TREATMENT OF COMPLICATIONS. • MEDICAL ERROR CAN BE THE SIXTH COMMONEST CAUSE OF DEATH IN THE USA. • IPAD WITH EMBEDDED PROTOCOL TO REPLACE THE OPD, IP FILE AND ICU CHART. • DOCTORS DON'T LIKE TO TYPE,INFO ON PATIENT JUST TWO CLICKS AWAY.
  7. 7. WE ARE NOT TALKING ABOUT BIG DATA • ICD 9-6000 diseases,1000 common. • 50,000-SIGNS, SYMPTOMS • 100,000-SIGNS, SYMPTOMS, LAB TESTS
  8. 8. FUTURE OF HEALTH CARE IS IN THE HANDS OF CRITICAL CARE NURSES 75%OF HOSPITAL BEDS WILL BE ICU BEDS SUCCESS OF EVERY SURGERY WILL DEPEND ON THE SKILLS OF THE NURSE ON DUTY AT MIDNIGHT .
  9. 9. Machines to train ICU NURSES • CEA TECHNOLOGY SIMULATORS TO TRAIN ICU NURSES. • UNIVERSITIES GIVE THE KNOWLEDGE, DRIVING SCHOOLS GIVES THE SKILL • APPROXIMATELY 110 TASKS • APPROXIMATELY 20 CARDIAC ARRESTS PER YEAR • MACHINES DON'T GET TIRED, BORED, BLUFF • MACHINES TO TRAIN, GRADE AND CERTIFY. • INDIA NEEDS 1-MILLION DOCTORS, 2-MILLION NURSES, 3-MILLION BEDS.
  10. 10. Today heart surgery is delivered as a hand crafted masterpiece.
  11. 11. “A doctor could alternatively be God or a cowboy ruling the hospital by preference or whim, with insufficient consideration for best practices or procedural standardization.” -Cpt. Sullenberger
  12. 12. “Conventional wisdom often has it that if a nurse makes a mistake, he/she should be terminated, but the vast majority of harmful events are due to system failures and not practitioner error. The leaders are responsible for the maintenance of the support systems, not the care givers.” -Cpt. Sullenberger
  13. 13. We want to commoditize and standardize the delivery of heart care.
  14. 14. “Standardization by commoditization of the process increases the safety, reliability and reduces the cost.” -Henry Ford
  15. 15. “If healthcare was an airline” “If healthcare was an airline, only dedicated risk takers, thrill seekers and those tired of living would fly in it.” Patient Safety (2005) By Charles Vincent

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