Insights Success’ latest edition of ‘India's Most Prominent EMR/EHR and Medical Billing Solution Providers’ is on a mission to find out how the best of this industry are doing this critical social business.

1. VOL 03
ISSUE 08
2022
World Class Healthcare Management Solutions Provider
Access to Care
Integration of Electronic
Health Records to
Improve Patient’s Care
INDIA'SMOST
PROMINENT
EMR/EHR
MEDICAL
BILLING
Solution Providers
&
Dr. Mohan S. Gounder
CEO
Industry Sagacity
Opportunities in
Healthcare Industry
Post-Pandemic

4. Editor’s Note
ealthcare is a social business. And as a society,
Hafter facing our worst nightmare in terms of the
coronavirus pandemic, we must improve every
facet of this socially necessary industry.
This is our current priority and future necessity.
One primary facet of this industry is the electronic medical
records (EMR)/electronic health records (EHR) and
medical billing solution providing sector.
Today, barring very remote, rural, and poor semi-urban
healthcare institutions, not many healthcare providers
maintain medical and healthcare records physically.
Similarly, patients’ might be receiving hand-written
medicine lists and medical bills only from their private and
family physicians.
E-MEDICAL
SOLUTIONS
FOR YOUR
CONVENIENT
HEALTHCARE
EXPERIENCE

5. Nowadays, major hospitals and clinics maintain their
patients’ medical and healthcare records electronically or
digitally. They also hand out their medical bills via
computer software.
The ‘Digital India’ push also worked wonders in this
regard. Since everybody must register on the Aarogya Setu
App to receive their coronavirus vaccination doses, their
personal healthcare information and data gets automatically
recorded electronically.
All the primary healthcare givers also use the advanced
ecosystem of digitally smart and electronically interlinked
IT and communication devices to collect, store, track,
monitor, access, and even analyze all the healthcare data
they are coming across.
EMR/EHR and medical billing solution providers respond
to this ever-increasing demand by coming up with ever-
evolving intelligent solutions.
Automation, artificial intelligence (AI), machine learning
(ML), extensive data management, cloud computing, and
the internet of medical things (IoMT) are some of the
modern technologies adopted by these leading healthcare
solution providers to keep up with the changing times.
They are also streamlining their internal and external
processes and taking up the entire responsibility by
becoming healthcare givers’ extended arm in maintaining
medical and healthcare records while providing practical
medical billing solutions to the healthcare givers’.
Insights Success’ latest edition of ‘India's Most Prominent
EMR/EHR and Medical Billing Solution Providers’ is on a
mission to find out how the best of this industry are doing
this critical social business.
Some trending topics are also covered in articles written by
our in-house editorial team. Flip through the following
pages to know everything about these socially renowned
business entities.
Have a healthy and fantastic read ahead!
Abhishek Joshi
Deputy Editor
abhishek.joshi@insightssuccess.com

6. 20
ACCESS TO CARE
Integration of Electronic Health
Records to Improve Patient's Care
INDUSTRY SAGACITY
Opportunities in Healthcare
Industry Post-Pandemic
16 28
Dr.GIRIJA WAGH
Empowering Women with
the Knowledge of Health,
Nourishment and Nurturing
28 Revitalizing the Healthcare
Industry Through Software
Applications
75HEALTH

7. C
O
N
T
E
N
T
S
Cover Story
08
World Class Healthcare Management Solutions Provider

8. Copyright © 2021 Insights Success Media and Technology Pvt. Ltd., All rights reserved. The content and images used in this magazine should not be reproduced or
transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without prior permission from Insights Success Media and Technology Pvt. Ltd.
Reprint rights remain solely with Insights Success. Printed and Published by Insights Success Media and Technology Pvt. Ltd.
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RNI NUMBER: MAHENG/2018/75953
Editor-in-Chief Sumita Sarkar
Deputy Editor Aditya Umale
Managing Editor Abhishek Joshi
Designing Head Sandeep Tikode
Designer Rashmi Singh
Sr. Vice President Megha Mishra
Sr. Sales Manager Tejaswini Whaval
Business Development Lead Neha Bhilare
Sr. Business Development Executive Suraj Gadekar
Technical Head Prachi Mokashi
Technical Specialist Amar Sawant
Digital Marketing Manager Amol Wadekar
SME-SMO Executive Atul Dhoran
Circulation Manager Tanaji
Insights Success Media Tech LLC
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Email: info@insightssuccess.in
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Copyright © 2021 Insights Success Media and Technology Pvt. Ltd., All rights reserved. The content and images used in this magazine should not be reproduced or
transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without prior permission from Insights Success Media and Technology Pvt. Ltd.
Reprint rights remain solely with Insights Success. Printed and Published by Insights Success Media and Technology Pvt. Ltd.
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Cover Price : RS. 150/-
RNI NUMBER: MAHENG/2018/75953
Editor-in-Chief Pooja M. Bansal
Deputy Editor Abhishek Joshi
Managing Editor Gaurav PR Wankhade
Designing Head Sandeep Tikode
Designer Rashmi Singh
Sr. Vice President Megha Mishra
Sr. Sales Manager Tejaswini Whaval
Business Development Lead Neha Bhilare
Sr. Business Development Executive Uttam Barun
Technical Head Prachi Mokashi
Technical Specialist Amar Sawant
Digital Marketing Manager Renuka Kulkarni
SME-SMO Executive Nikita Khadalkar
Circulation Manager Tanaji
Insights Success Media Tech LLC
555 Metro Place North, Suite 100,
Dublin, OH 43017, United States
Phone - (614)-602-1754
Email: info@insightssuccess.com
For Subscription: www.insightssuccess.com
Insights Success Media and Technology Pvt. Ltd.
Off. No. 22 & 510, Rainbow Plaza, Shivar Chowk,
Pimple Saudagar, Pune, Maharashtra 411017
Phone - India: +91 7410079881/ 82/ 83/ 84/ 85
Email: info@insightssuccess.in
For Subscription: www.insightssuccess.in
Corporate Offices:
sales@insightssuccess.com
MARCH, 2022
We are also available on

9. Management Brief
Company Name
Niraj Kumar Jain,
CEO
JRK Insurance has been providing innovative general insurance
solutions to individuals, families and businesses directly as well as
through its intermediaries and affinity partners.
JRK Insurance
Broking Pvt Ltd
Dr. Mohan S.Gounder,
Managing Director
Aosta’s Information Technology solutions in healthcare can help
provide enhanced care to patients while conforming to present and
emerging standards and regulations and ensuring seamless integration
within the various divisions of healthcare.
Aosta Software
Dr. Girija Wagh,
MD in Obstetrics &
Gynaecology
Dr. Girija Wagh is a highly qualified obstetrician, gynaecologist With
experience of 29 years in this field, and a certified fertility and IVF
specialist
Gynecologist, IVF
expert
Dr. Neelesh Bhandari,
CEO
Founded in 2015, Healtho5 Solutions provides Patient Relationship
Management solutions for Hospitals, Diagnostic centers and
Pharmaceuticals.
Healtho5 Solutions
Anish Kumaramangalam,
Co-founder and CTO
75Health offers the full spectrum of EHR services to help medical
providers and organizations work efficiently. Everything from creating
standards of medical records and helping you keep in touch with your
patients on the cloud.
75 Health
INDIA'SMOST
PROMINENT
EMR/EHR
MEDICAL
BILLING
Solution Providers
&
21st Century Health
Management
Vipul Singh,
Director and COO
21st Century Informatics is a global healthcare informatics solutions
company. Its innovative healthcare informatics solutions are used by
healthcare service providers such as Hospitals, Diagnostic Center and
Specialty Clinics

10. World Class Healthcare Management Solutions Provider
Our Mission is to
be a leader in
Healthcare IT
Products Company
in India

11. Dr. Mohan S. Gounder
CEO

12. The rise of technology in healthcare is
unprecedented. It created an industry, Healthcare
Tech, altogether. This healthcare technology is
pushing the boundaries of how healthcare is provided and
managed. It also has the power to transform our
understanding of the functioning of a healthcare ecosystem.
In this new hospital management space, on the one hand,
hospitals must provide patient safety along with improved
healthcare services, while on the other, they must manage
the tremendous flow of information generated by these
newer technologies. In the continuing pandemic times,
these tasks become unmanageable for most hospitals.
Here is where AOSTA India Private Limited comes to
their rescue. AOSTA becomes their tech-arm by providing a
complete world-class Healthcare Management Solution
(HMS).
The Inception of an Impactful Idea
AOSTA has started its operations as an internal IT team for
its parent organization KMCH, a super-specialty hospital in
Coimbatore. It has been promoted by a team of doctors,
who had the vision to make AOSTA a product company due
to its experience of providing operational services to
KMCH. BackBone, a comprehensive Hospital Information
System (HIS) was created from that exercise.
From its inception, AOSTA grew as an impact player in the
Healthcare IT market in India. Initially, it focused on the
local geography in and around Coimbatore. Once the
product made some noise among the hospital owners,
obviously due to good ratings by the users,
AOSTA/BackBone got excellent exposure in other parts of
the country.
Mr. Aravindan Selvaraj, Director - Sales & Marketing,
AOSTA, shared more about the company, its goals, and the
future of healthcare tech with Insights Success.
The Thought Leader
Mr. Selvaraj comes with over 25 years of Sales and
Business Development experience. An MBA with vast
experience in domains like IT, digital media, market
research, etc., he brings lots of confidence to the customers
on understanding their needs and devising a solution cost-
effectively.
He has serviced fortune 100 companies in domains like
Ecom, new media, SharePoint, BI, mobility, custom
software development, etc. He got the “Best Sales Person”
Award from Microsoft through the Partner program in FY
2007 and 2008. He has travelled in markets like US, Middle
East, Far East, and Africa, to service big customers for their
IT requirements.
Prior to AOSTA, he was instrumental in setting the sales
infrastructure in organizations like Vidyutinfo, Webdunia,
ChennaiOnline, Times Internet, Vishwak Solutions, Accel
Frontline & Scope E-knowledge. In his leisure time, he
loves travelling to far-off places.
The Core Value
“Our core value is based on providing meaningful
healthcare IT services in line with changing times,” Mr.
Selvaraj said.
In terms of priorities, AOSTA is completely focused on
patient-service as well as optimal healthcare. “Our flagship
product – BackBone HIS/EMR ensures that the patient’s
journey in a hospital/clinic is very smooth,” Mr. Selvaraj
added.
AOSTA’s software
follows the best
practices with the
international
standards
India's Most Prominent EMREHR and Medical Billing Solution Providers

13. This way, patients get the correct information during their
diagnosis. The EMR, which aims to provide a paperless
office environment to a hospital, helps automate the
diagnostic process. Mobile apps like Patient Portal helps a
patient to register, book appointments online, make
payment, access health records etc. This ensures patient-
satisfaction all the time.
The Guiding Lights
The founder of the group is Dr. Nalla G Palanisamy, a
visionary businessman with great acumen and leadership
skills. According to Mr. Selvaraj, “Dr. Palanisamy is
instrumental in taking AOSTA and the overall group to
greater heights with each unit functioning in a profitable
manner.”
Mr. Selvaraj added, “He has helped us to leverage the
natural synergy we have had in the clinical and
administrative domain, thanks to KMCH.” He also said that
AOSTA has created a niche advantage in the market due to
this, and that the company is able to transcend those
advantages to its customers as well.
About the second guiding light of AOSTA, Mr. Selvaraj
said, “Our CEO, Dr. Mohan Gounder, is based in USA and
his technical finesse has helped us to adopt the latest of
Healthcare IT practices in our applications. Platforms like
EMR, mobile apps etc., are developed with his intense
contribution and that proved to be a big differentiator for
us.”
Besides, “He has helped to diversify the company with new
service offerings like KPO but sticking to the core domain
strength of Healthcare and IT,” Mr. Selvaraj added.
AOSTA’s Offerings
The company’s major product offering is BackBone HIS.
Besides, it has offerings like EMR, mobile apps for hospital
owners, doctors, patients, administrators/managers, and
other clinical staff. It also provides managed support to
hospitals, for sustained product engineering.
In the recent years, it has also started its KPO operations,
which provide back-office support to insurance, real estate,
and accounting firms in the US/Canada markets.
Defining Success
While defining success, Mr. Selvaraj said that today,
AOSTA is rated as one of the top providers of HIS in the
country, which helped the company to expand its markets in
other countries. The ratings also helped it to diversify into
other services like KPO.
“We take pride in constantly innovating our products and
services, in times with the market trends. This is our biggest
strength and that helps us to scale new peaks – be it
acquiring a big brand as a customer, or expanding market
horizons or stitching new alliances etc.,” he said.
Mr.Aravindan Selvaraj
Director Sales & Marketing
Aosta India Private Limited

14. e India Award – For 800 Bedded
tertiary care multi-disciplinary
super-specialty hospital –
In Tamilnadu – Year 2010
e India Award for 650 Bedded
Medical University Hospital –
In Karnataka – Year 2013
Silicon India – AOSTA is one
among the 10 most promising
companies across India in the
Healthcare Vertical - 2014

15. Shouldering The Greatest Responsibility
COVID-19 has put additional responsibility on the
healthcare sector regarding telehealth trends, hygiene, and
safety precautions. When we asked how the company
adapted to these challenging circumstances whilst preparing
and safeguarding patients and staff for the same, Mr.
Selvaraj said, “Like any other IT services, we also had our
share of problems with COVID-19. Since we deal with
hospitals, when it came to implementing our EMR/HIS
solutions, our frontline consultants and support staff were
affected during onsite engagements.”
However, he said they had prepared for these contingencies
and implemented plans like WFH, hybrid working
platforms, sustained connectivity across environments,
remote support models, etc. “Thus, we could ensure the
safety of our employees and customers,” he informed.
For ensuring optimal service deliveries, Mr. Selvaraj said
that the company had leveraged new trends and
technologies like all kinds of virtual meeting platforms to
good effect. The company had also repurposed its offerings
like telemedicine, QR code support, cloud deployments,
etc.
His foremost advice to the individuals aspiring to step into
the medical technology sector is, “Close the gaps between
academics and industry trends. This is possible only with
industry-academic workshops at institution levels,
internships, etc.”
Envisioning Forward
Talking about the company’s plans, Mr. Selvaraj said, “We
always stick to our strength – that is building excellence in
our core domain – Healthcare IT.”
About expansion, he said, “We would also like to expand
our canvas in building sustained products/services for the
Online Marketplace.”
According to him, AOSTA is on the verge of launching
many new products catering to the SAAS market.
We rate our
success based on
our clients’
satisfaction in
using our software
platforms

16. Kovai Medical Center and Hospital,
Coimbatore
AOSTA’s BackBone HIMS is very comfortable to use and operate. We found many
insightful tools in BackBone, and departments like
Finance, Front Office, Lab and Pharmacy are found to be very user-friendly.AOSTA’s
backend team has given us excellent support after the rollout thus giving peace of
mind when it comes to managing the complete IT BackBone of KMCH.
Yenepoya Medical University,
Mangalore
We have done thorough evaluations of various HIMS systems and finally engaged AOSTA as
they gave the best product to us. We @ Yenepoya use AOSTA BackBone across all our hospital
streams as their system provides seamless experience to all the stakeholders within the hospital.
The ease of use, contemporary best practices, tools like EMR & Mobile interface etc., are some
of the highlights of AOSTA platform. We love to work with AOSTA team.
Testimonials

18. Integration of
Electronic Health Records
to Improve
Patient’s Care
Although electronic health
records (EHR) usage had
surged before the pandemic,
post the COVID-19 outbreak, EHR
saw its actual peak. This process
transforms patients’ physical records
into digital or electronic records.
The apparent benefits are minimal
space (computer’s hard-disk or cloud
storage), minimal costs, and real-time
data tracking, monitoring, availability
and anywhere-anytime-anybody
access. No wonder there is hardly any
major hospital or clinic which are not
using EHR.
But the most significant benefits were
real-time access to and analysis of the
large volume of continuously incoming
data which were on display during the
pandemic.
It provided policymakers with accurate
real-time information, aided caregivers
in saving as many lives as possible by
making resources available to those
who needed them most, and helped
advance our collective knowledge
through rapid conduction of research.
This was the primary factor in which
we as a humanity could fight back
against the coronavirus by discovering
a dozen vaccines in less than two years
after the outbreak and then delivering
more than eleven billion doses of those
vaccines to more than 58% of the eight
billion global population.
Still, there needs to be a tremendous
amount of work done to improve upon
the benefits by building a robust and
scalable digital public and private
healthcare infrastructure so that we can
give more prompt responses in future
emergencies.
Socio-political and demographic
divisions are limiting the investments
from public and private funds. These
limitations expose the public
healthcare systems’ vulnerabilities at
the time of crisis. And private players
make the situation worse by profit
mongering and rent-seeking activities.
16 | March 2022 | www.insightssuccess.in

19. Access to Care
17 | March 2022 | www.insightssuccess.in

20. The solution is to create a streamlined
ecosystem of digital data transfer
where clinical services will submit data
in real-time, using a myriad of
interconnected smart devices, data
encoding, and decoding benchmarks,
and transmission and access protocols
to play the role of a robust initial
response mechanism system.
But current scenario, though improved,
still lacks coordination amongst
various decision-making entities,
insufficient digital infrastructure,
wasted money, time, and resources,
and lost opportunities for timely and
prompt public health innovations.
Thus, addressing the current
limitations, issues, problems, and
challenges are necessary to take a
realistic approach toward creating a
global network of local digital
healthcare ecosystem that serves the
demands of healthcare seekers and
public, private healthcare givers in a
timely and adequate fashion.
EHR has many such elements that, if
advanced, can help develop such an
ecosystem. EHR also has its
shortcomings, but if eliminated, the
technology can offer mission-critical
solutions to public and private
healthcare stakeholders in general and
people in particular.
Telehealth is emerging as the near-to-
perfect answer. With favorable
consumer perception, continued robust
uptake, and tangible investment in this
regard, the sector has been predicted to
grow into a quarter-trillion-dollar
industry.
In-pandemic new-normal times saw
telehealth’s increased awareness and
acceptance amongst consumers,
healthcare-givers, and policy-makers
who adopted regulatory changes to
enable greater availability, access, and
reimbursement.
It bridged the healthcare divide, and
now we can rebuild upon it the
futuristic, virtual, inclusive
personalized healthcare model of
access, affordability, and guaranteed
outcomes.
It is estimated that current substantial
healthcare spending can be diverted to
a virtual or virtually enabled
personalized digitalized healthcare
ecosystem.
It will not be easy, as it will also need
sustained healthcare seekers’ and
givers’ willingness to continue
telehealth adoption and rapid
redesigning of such eco-systemic
infrastructures that will integrate with
automated, artificial, virtual, and
extended realities.
After the initial peak during the first,
second and third waves of the
pandemic, telehealth utilization levels
have stabilized between 10 to 15
percent. It needs to be brought up to a
25 to 30 percent level to attract
significant private and public
investment.
Similarly, healthcare seekers’ and
givers’ perceptions and attitudes
toward telehealth have improved
tremendously. But the expansion rate
of acceptance is slowing down after the
pandemic’s peak. There are some
barriers responsible for this.
They are perceptions of cost,
availability, access, and technical
securities. These issues must be
immediately addressed to sustain
healthcare givers’ and seekers’
enthusiasm in this regard.
If the personalized telehealth model
evolved through further public-private
collaboration by making the temporary
regulatory changes permanent, it could
put new momentum into this stabilized
sector.
Healthcare seekers are worried about
the future scope of telehealth waivers
provided after the pandemic ends. This
uncertainty is the primary factor in
healthcare seekers are not moving
toward telehealth as their first choice.
Suppose, through policy initiatives,
these concerns are addressed. In that
case, it can rejuvenate the rising
investment in virtual personalised
digital healthcare, which is already
three times higher than 2020-21.
The personalised digital healthcare
ecosystem is evolving and
proliferating, expanding to a broad
range of services, including an
integrated hybrid model of telehealth
and virtual health solutions,
longitudinal virtual care, and hybrid
personalised healthcare models.
This is the future of local and global
healthcare, showing tremendous
potential in improving patients’
experience of access, affordability,
comfort, convenience, and outcomes.
- Gaurav PR Wankhade
18 | March 2022 | www.insightssuccess.in

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22. Empowering Women with the Knowledge of Health, Nourishment and Nurturing
Motherhood poses the biggest challenge to any
woman. Different women take the challenge
differently. Pregnancy is a phase in a woman’s
life that many look forward to and experience the joy of
giving birth to a life, whilst some have reservations over
getting pregnant. These are individual choices that women
make and therefore needs to be respected.
The birth of a healthy baby is a result of good care that a
pregnant woman receives right through her pregnancy –
from her family, her doctor and also because she takes good
care of herself with a healthy, nutritious diet, adequate rest
and exercise, positive thoughts etc., Whilst most
pregnancies result in healthy babies, some pregnancies
develop complications, resulting in adverse outcomes for
both the mother and the baby.
“One such complication in pregnancy that is now
increasingly noticed is Preeclampsia or Gestosis,” says
Dr. Girija Wagh (M.D, FICOG, DIP ENDO, FICS). She
had handled many such cases in her professional duty. She
is a highly qualified obstetrician and gynaecologist. With
experience of 29 years in this field, she is a certified fertility
and IVF specialist based in Pune, Maharashtra.
Medical textbooks describe preeclampsia as a hypertensive
disorder in pregnancy. Sudden and high blood pressure
during pregnancy, especially from the fifth month onwards,
and elevated levels of biochemistry tests suggestive of
liver/kidney damage or circulatory problems from low
haemoglobin and platelets are typically how Preeclampsia
presents itself.
An Expert Par Excellence
Dr. Wagh’s expertise comprises high-risk obstetrics. Her
extensive practice focuses on all gynaecological procedures
including, but not limited to, fertilisation, impregnation and
childbirth complications, advanced evidence-based
pre/post-natal care and support through the gestation period.
The practice also constitutes high-risk pregnancy
procedures that include preventive care in gestational
diabetes, hypertensive disorders in pregnancy, pre-term
birth, and recurrent pregnancy loss.
She further specialises and provides services in
tubectomy/tubal ligation, no-cut-no-hole gynae-surgery
(along with high-end sophisticated ART procedures),
cervical cerclage, IVF infertility treatment,
Intracytoplasmic Sperm Injection (ISCI), intrauterine
insemination, hysterectomy, fibroid removal, laparoscopic
hysterectomy, laparoscopic myomectomy, endometriosis
surgeries, and hysteroscopic surgeries.
Her track record vouches for her impeccable surgical
acumen, sound diagnosis, extremely competent guidance
for patients, and her composed and organised approach
towards emergencies and high-risk circumstances.
According to Dr. Wagh, hypertensive disorders in
pregnancy is estimated to be nearly 20-25% of all
pregnancies in India, which is relatively high, given the
high incidence of lifestyle diseases such as obesity,
diabetes, late pregnancies etc. Whilst normal blood pressure
is 120/80mm Hg, preeclampsia results in blood pressure
shooting up suddenly and unexpectedly to 140/90mmHg or
more. Bleeding, epileptic fits, neurological complications
are other serious complications that can arise if not
diagnosed and managed correctly.
A few symptoms include puffiness of the face, swelling of
feet, episodes of abdominal pain, sudden and additional
weight gain of 3-6 kg instead of 1-1.5 kg, within 2-4 weeks
unexpectedly etc., Preeclampsia results in the delivery of
many babies earlier than the term of 38-40 weeks (preterm
birth) as delaying the delivery can result in survival issues
for the baby and in some cases the mother as well.
Dr.
India's Most Prominent EMREHR and Medical Billing Solution Providers
20 | March 2022 | www.insightssuccess.in

23. The Puzzle of Preeclampsia
Dr. Wagh is one of the most professional and
knowledgeable gynaecologists in India. She is presently
practising as a Consultant Gynaecologist and Laparoscopic
Surgeon at her practice in Primrose Wellness & Care,
Kothrud, Pune. She also provides Gynecology and
Obstetrics consultation and IVF, pregnancy and childbirth
treatment at Apollo Hospital (Saras Baug, Pune), Cloudnine
(SB Road, Pune) and Bharati Hospitals, Katraj, Pune.
She further divulges that the causative factors of
preeclampsia are not well understood yet. It is believed to
be of metabolic origin, causing the placenta to become
dysfunctional. A dysfunctional placenta causes a host of
downstream events, such as elevation in blood pressure,
organ damage, etc. Most obstetricians can detect
preeclampsia after the disorder has expressed itself.
Treating Preeclampsia
Diagnoses and detection are through clinical assessment lab
and ultrasound reports. If preeclampsia presents itself closer
to the term of the pregnancy, emergency intervention and
delivery of the baby are the usual ways of managing the
disorder. The challenge is, in case the disorder manifests
itself before 34 weeks of gestation. Early-onset
preeclampsia, as it is called in medical parlance, may
require admission of the baby in neonatal ICU and often the
mother too after delivery and where indicated. Every extra
day/week that is gained to deliver the baby closer to 34
weeks of gestation is that much more beneficial for the baby
as it helps improve survival rates.
Diagnoses and detection of Preeclampsia are through a
combination of clinical assessment, ultrasound reports and
lab tests. Individually each of these methods has low
sensitivity and poor predictability hence the need to do
them together to improve detection. Researchers have been
aiming to unravel the origin of preeclampsia and determine
suitable biomarkers that can confirm the presence of the
disorder at an early stage and predict its onset.
Advanced research using mass spectrometry, protein
sequencing, etc., has helped identify several proteins that
were activated/overexpressed in preeclampsia. One of the
biochemical protein markers that were investigated quite
early and as far back as 1984 is Fibronectin. Fibronectin
plays several critical roles in the human body.
The birth of a
healthy baby is a
result of good
care that a
pregnant woman
receives right
through her
pregnancy –
from herself, her
family, and her
doctor
21 | March 2022 | www.insightssuccess.in

24. Eliminating the Risks
In pregnancy, fibronectin is thought to play an important
role in embryogenesis (development of the foetus). A set of
researchers have shown that the protein, Fibronectin gets
elevated in preeclampsia by measuring the protein in
different stages of the pregnancy and in pregnancies that
developed preeclampsia.
It is now easy to assess the risk of preeclampsia in
pregnancies by measuring the concentration of this protein.
A device similar to a blood sugar meter is now available in
India that enables Fibronectin to be measured in ten
minutes from a finger stick sample of the pregnant woman.
The test can be done in the obstetrician’s clinic and is found
to be helpful in the assessment of risk. A trained nurse or
technician can run the test as it is simple and easy to use.
This saves valuable time for the doctor and the pregnant
woman and is helpful where there is a rapid progression of
the disease, and an intervention decision needs to be made.
Paving a Path of Equality
The test of Fibronectin in the blood also gives results that
help the clinician categorise the patient as mild, moderate,
and severe. This test can be placed in the pregnancy
surveillance at 12 weeks gestation as a screening tool,
especially in women identified as at risk of developing
gestosis. The test can also be performed when the woman
presents with raised Blood pressure and thus help in
identifying the mothers needing closer surveillance and
monitoring and those who can be managed on an outpatient
basis.
Being a passionate doctor, Dr. Wagh believes in
contributing to the bigger picture and paving a path towards
a more equitable and cohesive community by empowering
women through their knowledge of health, nourishment,
and nurturing.
22 | March 2022 | www.insightssuccess.in

26. Opportunities in
Healthcare
Industry
Post-Pandemic
During the last few decades, India has achieved
excellent progress in healthcare delivery in the
country. It has been one of the largest sectors in
terms of income and employment. However, With the
COVID-19 pandemic putting even the world's most
advanced healthcare systems to the test, India's healthcare
system has also been shaken.
The private and public sectors collaborated in the overall
response to the pandemic. Private Indian healthcare
companies rose to the occasion and have been giving the
government all the resources it requires, including testing,
isolation beds for treatment, medical personnel, equipment
at home healthcare, and government COVID-19 hospitals.
India's private healthcare industry has contributed consider-
ably, accounting for over 60% of inpatient care. Most
private hospitals started making plans in response to the
COVID-19 pandemic, which included treatment and
significant investments in quarantine facilities and adequate
medical supplies, and additional labor.
In collaboration with the federal and state governments, the
healthcare industry developed a sophisticated response plan
to combat the pandemic, including the establishment of
dedicated COVID-19 hospitals, isolation centers, and
technology-enabled resource mapping. The Indian govern-
ment also used technology to efficiently manage the
outbreak, developing various programs at both the central
and state levels. In India, the Aarogya Setu smartphone app
was widely utilized to help with contact tracing, syndromic
mapping, and self-assessment.
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27. Industry Sagacity
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28. India's healthcare sector offers numerous opportunities
Despite several setbacks, India's healthcare system was able
to weather the pandemic. In manufacturing medical
equipment, disposables, pharmaceuticals, and, most
recently, vaccines, India has established itself as a global
leader.
India fulfilled its domestic duties and stepped up to help its
neighbours. As a result, the healthcare sector appears to be a
viable investment prospect. The following are a few
elements that are promoting future investments in the
industry:
1. Infrastructure for healthcare in Tier II and III
cities: Shortfalls in the hospital system, such as the
requisite number of beds or availability of modern
equipment, was revealed during the pandemic's
deadliest days, underscoring the necessity for an
'emergency-proof' healthcare system in the future.
Hospital chains and specialist centers, particularly
in Tier II and III cities, are expanding their
capacity.
Several hospital networks have begun to develop
in these cities by establishing small clinics and
partnering with well-known local doctors. This is
also in line with government initiatives to improve
the number of hospital beds per 1,000 people and
close the accessibility gap, particularly in suburban
and rural areas.
2. Awareness of health insurance products: In
recent years, there has been a greater awareness of
health insurance products, and more people are
investing in health insurance with each passing
year.
3. Government policies: Despite having been
planned before the pandemic, the government's
efforts to provide universal health coverage under
the 'Health for All' initiative, as well as programs
such as Ayushman Bharat and the National Digital
Health Mission, have accelerated dramatically.
These initiatives to make healthcare more
inexpensive and accessible to all people provide
opportunities for private companies to expand their
reach and presence.
4. Medical tourism: Foreign patients are drawn to
India's healthcare sector because of high-quality
services at lesser costs than in Western Europe or
the United States. Bangladesh had the highest
number of medical FTAs (foreign tourist arrivals)
in 2012 (22%), followed by the Maldives (17%),
Afghanistan (9%), and Iraq (8%).
5. Use of technology: In today's world, online
consultations and technology platforms are highly
demanded. The Ministry of Health and Family
Welfare launched the eSanjeevani app, an
integrated web-based telemedicine system, in
August 2019. Bridging the gap between urban and
rural India strives to make healthcare services
more equitable.
The prognosis is positive
Growing healthcare awareness, rising incomes, better
access to insurance, and lifestyle-related illnesses will
propel India's healthcare market to USD372 billion by
2022. The Indian government aims to raise healthcare
spending to 2.5 percent of GDP by 2025. (Gross domestic
product).
The COVID-19 epidemic has also changed the government
and private sector's plans for healthcare reform.
Telemedicine services have gotten increasing attention, and
the government has set new requirements to make it a legal
enterprise in India. The Ministry of Health and Family
Welfare (MoH&FW), in collaboration with NITI Aayog,
has released new guidelines that would allow RMPs to
provide healthcare services via telemedicine. In addition, to
address the country's health crisis, the government has
launched the NDHM (National Digital Health Mission).
Telemedicine, health IDs, health records, e-pharmacy, and
Digi-doctor services are all significant components of this
aim.
The most severe health crises in recent memory have
exposed not only the many obstacles and deficiencies in our
healthcare system but also the need to invest in 'well-being'
on a personal and systemic level. It has brought in a new
era of digital and technological developments and advance-
ments that are supposed to assist communities in meeting
their needs much more quickly.
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30. he Healthcare industry plays a vital role in our
Tlives. The importance and scope intensify with the
gravity of the situation, increasing the need for a
faster communication, quick decision making, accurate
diagnosis and reliable data for analysis.
Technology has transformed the Healthcare industry from
the invention of antibiotics, modern diagnostic systems like
MRI scanners, automated treatments through dialysis
machines, robotic applications, and numerous software
systems. Software applications are the current
differentiators which have enhanced the process through
better reliability, increased efficacy, quality diagnosis,
improved patient care and impressive cost reduction.
75Health, the healthcare industry's technology solution
provider, bridges multiple needs through its versatile web-
based software products.
The customized software applications help in various
dimensions of electronic health records, supporting doctors
in managing their functions of patient's data, electronic
prescriptions, medical billing software and online doctor
consultation.
Their nine different medical software applications help all
the other people in the medical chain, including doctors,
diagnostic and pathology centers, consultants, and patients.
Commencing with a noble objective
75Health was formed approximately 12 years ago with the
mission to help the patients, doctors and entire medical
fraternity with important software solutions helping them
prepare, store, manage and share the records, assist in
billing functions, and support both the doctors and patients
in managing their work processes quickly and smoothly.
Enabling innovations
The company has nine different web-based software
customized for the various applications in the healthcare
industry. These software products include electronic health
record (EHR), electronic medical record (EMR), personal
health record (PHR), medical practice management
(MRM), E-prescribing, medical billing software (MBS),
My Health records (MHR), E-lab orders and Tele doctor
respectively.
This web-based electronic software is patient-centric and
real-time digital versions of the paper charts described in
detail. Furnishing data enables information exchange
quickly, reliable, and accurate to the destination in a secure
way.
In some instances, when patients are required to approach
different medical facilities and consult multiple medical
practitioners in different locations, this need can be tackled
quickly and intelligently.
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31. This diversity is met effectively using the software unfolds
case-specific solutions. Digitizing patient details helps meet
these challenges in an efficient way as in this format;
information can be circulated with ease irrespective of time
and location.
The unique software features include patient demographics,
vital signs and symptoms, medical history in a complete
form, diagnosis, medication, administrative and billing
details, allergies and medication information, lab tests and
results, reports, and immunization details.
This ability to provide information exchange efficiently
facilitates medical service providers to offer high-quality
treatment as well as more secure health care for patients.
The general well-being of individuals may be significantly
enhanced by using the applications as the chosen method of
medical records. Web-based electronic health records
software faces all challenges thrown by different issues in
the field of medical service.
The advantages include accurate, quick, and complete data
access, legible documentation-free errors, improved
diagnosis, and care facilities, making decisions and
treatment smooth and timely, safer prescription and clear
billing service, patient privacy with secure data handling,
the better workflow between departments or service
providers.
The 75Health application offers the full spectrum of
Electronic Health Record services to help medical service
providers and organizations work efficiently. All operations
from creating medical records standards and helping the
medical practitioners connect seamlessly with your patients
on the cloud.
75Health's e-prescription software helps generate and
send prescription orders electronically directly to
pharmacies from the point of care. The software assures
improved accuracy, enhanced care quality, and increased
patient safety, e-prescribing software does away with hand-
written details that require interpretation by pharmacists.
There is no need for calling in prescriptions; patients can
now quickly get exactly the medications they need.
Another interesting software developed exclusively for
doctors and medical consultants is Medical Practice
Management Software (MPMS). This simple doctor-
friendly web application helps understand the patients'
statistics of scheduling visits, fixing appointments,
managing insurance-related matters, generating reports, and
preparing bills.
75Health team has another simple yet useful software called
MyHealth record. This online software helps the patients
feed their medical details, add, or edit it, and share the same
with the Doctors or consultants whenever required.
Their Medical Billing Software focuses on payment
process in claim submission, payment collection,
reimbursement process and claim settlement.
75health Tele-Doctor is a tele-health software equipped
with a secured Tele-Doctor system to ease interactions
between physicians and patients for non-emergency doctor
advice through phone calls. It provides health-related
services through electronic audio or visual means that is
maintained online. Users can share images and videos by
using this platform. It can even integrate with the electronic
health record software of individuals. The role of Tele-
Doctor is eliminating direct visits for regular checkups or
medical advice. It is a cost-effective technology that is not
only beneficial for physicians but also for patients.
29 | March 2022 | www.insightssuccess.in

32. Customer-Centric Approach
The company offers a fourteen-day free trial which begins
on registration. In this free trial, they offer an instant access
to their fully loaded premium plan. They inform the user of
the date of expiry. The user can choose the plan of his
choice and make the payment through a debit card or credit
card to continue using the product. If the user chooses not
to continue, then the account gets suspended at the end of
the trial period. At 75health, they priorities the safety of the
customer data, which is carefully hosted in a world-class
data center with the best and most reliable 24X5 security
protection. 75Health provides complete flexibility to their
customers in choosing, changing, and customizing the
software service in their pay-as-you-go model with
absolutely no cancellation fees.
Innovative Leadership
75Health is managed by visionary leaders who have
harnessed a culture of innovation, product quality and
customer satisfaction. The management provides state-of-
the-art infrastructure and a skilled technical team focusing
on continuous research to enhance product attributes and
give customers the highest value.
Kumar Subramaniam: The idea of founding an EHR
Company was conceptualized by Kumar Subramaniam
when he had to carry several paper reports, accompanied by
his wife, who was undergoing treatment. The founder and
CEO embarked on a journey with a vision to empower
people with digitized medical records that prove accurate
and easy, and convenient. The result - the all-new,
innovative 75Health EHR!
Anish Kumarmangalam, Co-founder, and CTO active
since March 2010. Anish holds a previous experience of
more than 3.5 years with other companies in the software
development domain. A software engineer himself; Anish
has been a passionate role player in the technical dimension
of the 75Health product kitty.
Arwin Kumarmangalam CXO is an enthusiastic team
player in the operations of 75Health. Having adapted and
closely monitored the customer feedbacks, Arwin is an
active contributor and support in product development.
The technological applications of 75Health software in the
healthcare industry has greatly helped in developing a
reasonable control over the medical operations, save time,
save costs, gain expert advice, manage crucial tasks easily
and give the doctors a better command over the process for
more accurate diagnosis, right medication, and quicker
patient recovery.
Looking Beyond
The company has ambitious expansion plans in the
domestic and international markets, focusing on industry
research, healthcare industry needs, expert opinion, and
research in product developments.
30 | March 2022 | www.insightssuccess.in