Solving the problems of
Solving the problems of
Healthcare through
Healthcare through
increasing health access
increasing ...
Background
Background
Telemedicine platform has already been
validated by SGPGIMS, Lucknow, National
Resource Centre (NRC)...
Salient Features
Salient Features
Unique Tele-health enterprise on PPP
model first of its kind in the country
in such dime...
Salient Features
Salient Features
Telemedicine platform has already been
validated by SGPGIMS, Lucknow, National
Resource ...
Project Highlights
Project Highlights
Telemedicine platform has already been
validated by SGPGIMS, Lucknow, National
Resou...
Project Highlights
Project Highlights
Telemedicine platform has already been
validated by SGPGIMS, Lucknow, National
Resou...
Major Super Specialist Hospitals in Telemedicine Network under PPP mode

Narayana Hrudayalaya
Group of Hospitals

Apollo G...
Telemedicine & E-Health Centre:
Workflow
Patient

Registration + Vital
Parameters (PHR)

PHC

I
Referral
To
Secondary/
Ter...
Telemedicine & E-Health Centre:
Available Services

Registration with
Vital Parameters (PHR)
•Patient Demographics
•Photog...
Primary Healthcare
Workflow Outcomes

I

II

III

IV

Registration

Doctor
Consultation

Prescription

Registration

Docto...
Operation Model
Entrepreneur Nomination from each Village with PHC

Bank Loan for procurement of Diagnostic & Telemedicine...
Stakeholders
Roles & Responsibilities
Health Innovative (HIPL) & PacketBio (PB):
•Technology Partner
•Entrepreneur Trainin...
Financing Model

Total IT & Medical
Infrastructure
Cost: 5.00 lacs
Bank Loan by E
Total value: 4.50 lacs
Bank EMI

• 0.50 ...
Revenue Model
Reimbursement for Services (1 PHC)
Particular

No. of
Patients per
day

Fee per
Patient (Rs)

Remarks

A. Fe...
Revenue Distribution (1 PHC)
Particular

Revenue

Revenue Split
E*

OTTET&BF**

Consulting
Dr.

Referral
Dr.

A. Fee for R...
Benefits
Benefits
Telemedicine platform has already been
validated by SGPGIMS, Lucknow, National
Ready availability of med...
Financial Inclusion (Urban & Rural)
Financial Inclusion (Urban & Rural)
What is FI ??
What is FI
Delivery of banking ser...
Financial Inclusion through OTTET –Biocon
Financial Inclusion through OTTET –Biocon
Telemedicine & UHC Programme:
Telemedi...
Our Experience
Our Experience
Conclusion
Conclusion
National Vision for
National Vision for
Health
Health

Equitable Access to
Health services
Skilled m...
Thank You
Thank You
eOdisha Summit 2014 - Financial Inclusion... - Naresh Hasija, Senior Director & Head Institutional Business
eOdisha Summit 2014 - Financial Inclusion... - Naresh Hasija, Senior Director & Head Institutional Business
eOdisha Summit 2014 - Financial Inclusion... - Naresh Hasija, Senior Director & Head Institutional Business
eOdisha Summit 2014 - Financial Inclusion... - Naresh Hasija, Senior Director & Head Institutional Business
eOdisha Summit 2014 - Financial Inclusion... - Naresh Hasija, Senior Director & Head Institutional Business
eOdisha Summit 2014 - Financial Inclusion... - Naresh Hasija, Senior Director & Head Institutional Business
eOdisha Summit 2014 - Financial Inclusion... - Naresh Hasija, Senior Director & Head Institutional Business
eOdisha Summit 2014 - Financial Inclusion... - Naresh Hasija, Senior Director & Head Institutional Business
eOdisha Summit 2014 - Financial Inclusion... - Naresh Hasija, Senior Director & Head Institutional Business
eOdisha Summit 2014 - Financial Inclusion... - Naresh Hasija, Senior Director & Head Institutional Business
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eOdisha Summit 2014 - Financial Inclusion... - Naresh Hasija, Senior Director & Head Institutional Business

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eOdisha Summit 2014 - Financial Inclusion... - Naresh Hasija, Senior Director & Head Institutional Business

  1. 1. Solving the problems of Solving the problems of Healthcare through Healthcare through increasing health access increasing health access Working towards Working towards Poverty Eradication & Poverty Eradication & Social Cohesion Social Cohesion Generation of Generation of employment & employment & improving infrastructure improving infrastructure Pro-poor & Pro-people Pro-poor & Pro-people Initiative Initiative Direct involvement with Direct involvement with local people & local people & government government
  2. 2. Background Background Telemedicine platform has already been validated by SGPGIMS, Lucknow, National Resource Centre (NRC) for Telemedicine Non-availability of Doctors and Specialists. and is in operation. Non-availability of trained Manpower to deliver healthcare. Telemedicine platform has already been validated by SGPGIMS, Lucknow, National Resource Centre (NRC) for Telemedicine and is in operation.
  3. 3. Salient Features Salient Features Unique Tele-health enterprise on PPP model first of its kind in the country in such dimension. First project of its kind exploring potential of employment generation among unemployed youth. Potential for creating a mass of semiskilled productive workers from among unskilled young unproductive population and the training cost is borne by Employment Mission, Government of Odisha.
  4. 4. Salient Features Salient Features Telemedicine platform has already been validated by SGPGIMS, Lucknow, National Resource Centre (NRC) for Telemedicine and is in operation. Data Center facilities are available with National Resource Center for catering to the needs of the country. Readily available equipments and software for instant deployment Availability of Pool of Doctors & Specialists on the Telemedicine Network. - Cloud based Solution - 65 TB storage space - 1 Gbps backbone over 10 Mbps backup bandwidth Integrated Diagnostic Telemedicine Devices with Video Conferencing Facilities duly validated by NRC.
  5. 5. Project Highlights Project Highlights Telemedicine platform has already been validated by SGPGIMS, Lucknow, National Resource Centre (NRC) for Telemedicine and is in operation. SUPER SPECIALITY HOSPITALS Interconnected with the Govt. & Pvt. Medical Colleges, DHHs, SDHs, AHs, CHCs, PHCs, Sub-Centers. Telemedicine platform has already been validated by SGPGIMS, Lucknow, National Resource Centre (NRC) for Telemedicine and is in operation.
  6. 6. Project Highlights Project Highlights Telemedicine platform has already been validated by SGPGIMS, Lucknow, National Resource Centre (NRC) for Telemedicine and is in operation. Provides access of public to their own health information and medical records while preserving confidentiality of data. Telemedicine platform has already been validated by SGPGIMS, Lucknow, National Resource Centre (NRC) for Telemedicine and is in operation.
  7. 7. Major Super Specialist Hospitals in Telemedicine Network under PPP mode Narayana Hrudayalaya Group of Hospitals Apollo Group of Hospitals Asian Institute of Gastroenterology, Hyderabad Global Hospitals Group AIIMS, Bhubaneswar SGPGIMS, Lucknow
  8. 8. Telemedicine & E-Health Centre: Workflow Patient Registration + Vital Parameters (PHR) PHC I Referral To Secondary/ Tertiary Care III IV Telemedicine Consultation Doctor Pharmacy II Diagnostics Test Report Medicines (As per Govt. Norms)
  9. 9. Telemedicine & E-Health Centre: Available Services Registration with Vital Parameters (PHR) •Patient Demographics •Photograph •Height, Weight, BMI •Temperature •Blood Pressure •SpO2 •Heart Rate Diagnostic Facility Semi Auto-Analyser •Biochemistry & Haematological Tests •Other Diagnostic Equipment's as per requirement •Reports IT Infrastructure: Computer, webcam, Internet Bandwidth, Printer, VOIP Service & others based on requirements
  10. 10. Primary Healthcare Workflow Outcomes I II III IV Registration Doctor Consultation Prescription Registration Doctor Consultation Diagnostic Test Prescription Registration Doctor Consultation TeleConsultation Diagnostic Test/ Prescription Registration Doctor Consultation TeleConsultation Medicines (As per Govt. Norms) Medicines (As per Govt. Norms) Medicines (As per Govt. Norms) Referral to Secondary/ Tertiary Care
  11. 11. Operation Model Entrepreneur Nomination from each Village with PHC Bank Loan for procurement of Diagnostic & Telemedicine Equipment Establishment & Operation of e-Health Centre at PHC Fees realized from Patients for Diagnostic and Pathological Services Government Reimbursement based on Services availed by walk-in population Revenue Distribution among stakeholders
  12. 12. Stakeholders Roles & Responsibilities Health Innovative (HIPL) & PacketBio (PB): •Technology Partner •Entrepreneur Training •Monitor & Analysis of Data •Device Support & Maintenance Entrepreneur (E) + team •Operating e-Health Centre •Influx of Patients, Generate Data •Interface with Doctor at PHC Biocon Foundation &OTTET (BF&O) •Administration , Monitoring & Standardization of operations between Entrepreneur/Doctor /PHC/Tertiary Care Centres & Government Government •Reimbursement of fee for services •Infrastructural : Allotment of space •PHC link & Doctor support Doctor •Consultation, prescription & referral for Specialist consultation through VC.
  13. 13. Financing Model Total IT & Medical Infrastructure Cost: 5.00 lacs Bank Loan by E Total value: 4.50 lacs Bank EMI • 0.50 l ac (10% from E) • 4.50 lac Term loan Biocon Fdn.&OTTET E-Health Centre Set-up at PHC Consulting Doctor Charges Referral Doctor Charges Maintenance of Data Centre Services Availed Operational Expenses Entrepreneur Earning Remaining amount equally split between stakeholders OTTET&BF Reimbursement from Govt. + User Fees collected from Patients
  14. 14. Revenue Model Reimbursement for Services (1 PHC) Particular No. of Patients per day Fee per Patient (Rs) Remarks A. Fee for Registration + Vitals 50 40 Govt. B. Fee for Diagnostic Tests 20 100 (Avg.) Govt./ Patient C. Fee for Specialist TeleConsultation 5 450 Govt. Revenue per day 6,250 Revenue per month 1,56,500 Revenue per year 18,75,000 (25 working days)
  15. 15. Revenue Distribution (1 PHC) Particular Revenue Revenue Split E* OTTET&BF** Consulting Dr. Referral Dr. A. Fee for Registration + Vitals (50 patients/day) 40 15 25 -- -- B. Fee for Diagnostic Tests (20 Patients/day) 100 80 10 -- 10 C. Fee for Specialist TeleConsultation (5 Patients/day) 450 75 75 200 100 6,250 2725 1825 1000 700 Revenue per month 1,56,500 68,125 45,625 25000 17500 Revenue per year 18,75,000 8,17,500 5,47,500 3,00,000 2,10,000 Revenue per day (25 working days) * EMI & Operational Expenses to be borne by E ** Charges of Data Centre Maintenance to be borne by OTTET & BF
  16. 16. Benefits Benefits Telemedicine platform has already been validated by SGPGIMS, Lucknow, National Ready availability of medical data for Resourceand implantation ofTelemedicine planning Centre (NRC) for national and is in operation. programmes. Supervision and consultation for primary care in remote sites where a physician is not available. This saves Time & Money of all patients with more benefits for the poor villagers. Helps in initial evaluation of remote patients in case of emergency Telemedicine platform Care already been Evidence – based Health has to effectively validated by SGPGIMS, Lucknow, National treat primary health issues as well as chronic Resource Centre (NRC) for Telemedicine conditions and is in operation. Doctors and hospitals can access the health data of people at the time of teleconsultation for preliminary diagnosis, patient counseling and expert opinion. Where ever there is a single doctor, or atleast ayush doctor, a patient need not move to higher medical facility unless intervention is required.
  17. 17. Financial Inclusion (Urban & Rural) Financial Inclusion (Urban & Rural) What is FI ?? What is FI Delivery of banking services at an affordable cost to vast section of disadvantaged and low Delivery of banking services at an affordable cost to vast section of disadvantaged and low income group. income group. Key Objectives: Key Objectives: Toprovide access to finance by the poor and vulnerable groups for poverty alleviation and To provide access to finance by the poor and vulnerable groups for poverty alleviation and social cohesion. social cohesion. Toaugment and improve in rural economy. To augment and improve in rural economy. Toextend formal banking system among less privileged in urban & rural India. To extend formal banking system among less privileged in urban & rural India. Tomake them free from clutches of unorganized money markets and moneylenders. To make them free from clutches of unorganized money markets and moneylenders. Toequip them with the confidence to make informed financial decisions. To equip them with the confidence to make informed financial decisions. Toprovide Financial Assistance and Subsidy by the Government directly to the beneficiaries To provide Financial Assistance and Subsidy by the Government directly to the beneficiaries through their bank account without the intervention of intermediaries. through their bank account without the intervention of intermediaries. To avail Credit facilities from Bank for economic activities or to develop saving habits and To avail Credit facilities from Bank for economic activities or to develop saving habits and mobilization of surplus rural deposits. mobilization of surplus rural deposits.
  18. 18. Financial Inclusion through OTTET –Biocon Financial Inclusion through OTTET –Biocon Telemedicine & UHC Programme: Telemedicine & UHC Programme: As Pan-India e-health and UHC program, OTETT-Biocon is going to have wide ICT based technological networks. Can play a major role as banking Correspondents under bank’s Financial inclusion plan . OTTET-Biocon Telemedicine and UHC is an Entrepreneurship based activity. Designed to create self-employment opportunity for about 1 lacs youths in the State. Helps implementation of various State & National Health Programmes including NRHM programmes (NHM) with the support of latest Health equipments and ICT platforms. OTTET-Biocon entrepreneurs to install Telemedicine nodes in all Govt. Hospitals either by availing financial assistance from banks under CGTMSE Scheme or through self-financing basis. Mandatory for entrepreneurs to open bank accounts and route all transactions through OTTET networks and entrepreneur’s bank account. OTTET-Biocon to issue ‘Health Cards for All Citizens’ with Health Insurance Coverage facility , for which opening of bank account is made mandatory. While implementing the NRHM (NHM) programme, OTTET-Biocon will ensure each individual to open bank account.
  19. 19. Our Experience Our Experience
  20. 20. Conclusion Conclusion National Vision for National Vision for Health Health Equitable Access to Health services Skilled man-power Infrastructure & HIS Financial Protection Universal Health Universal Health Coverage (UHC) Coverage (UHC) The Collaboration through the PPP Model is trying to bring the thoughts, words & actions of the Government as one towards the National Vision of UHC
  21. 21. Thank You Thank You

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