Based on case study "Narayana Hrudayalaya Heart Hospital: Cardiac Care for the poor" by Harvard Cases.
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In August 2000, P&G introduced one of its kind product Crest Whitestrips, readily available online and through dentist offices
P&G claims that the new products are 10 times more effective than the Colgate Tartar Control Whitening Within two years P&G captured more than 80% of the share market. Colgate made a come back in August 2002 with Simply White. Colgate’s USP was that it focused on convenience and lower price. One month after introduction Simply White captures half the market with Crest Whitestrips losing 50% of its market share.
Narayana hrudayala heart hospital Business StrategyAshis Sarangi
The slide include how Devi Shetty implemented his business strategy in order to position his trust among all by giving below cost quality care and in order to compensate the investment, he indirectly targeted rural areas in the form of insurance scheme and also the scheme helped him in planing to expand his business for long time sustainability.
In August 2000, P&G introduced one of its kind product Crest Whitestrips, readily available online and through dentist offices
P&G claims that the new products are 10 times more effective than the Colgate Tartar Control Whitening Within two years P&G captured more than 80% of the share market. Colgate made a come back in August 2002 with Simply White. Colgate’s USP was that it focused on convenience and lower price. One month after introduction Simply White captures half the market with Crest Whitestrips losing 50% of its market share.
Narayana hrudayala heart hospital Business StrategyAshis Sarangi
The slide include how Devi Shetty implemented his business strategy in order to position his trust among all by giving below cost quality care and in order to compensate the investment, he indirectly targeted rural areas in the form of insurance scheme and also the scheme helped him in planing to expand his business for long time sustainability.
A marketing Case Study of Natureview Farm, an organic yogurt manufacturer. This analysis was performed by E. Santhosh Kumar, IIT Madras, during an internship with Prof. Sameer Mathur, IIM Lucknow.
This is a presentation on Narayana Hrudyalaya , now known as Narayana Health . It was done for Organisational Behaviour as a group presentation. Hope this will be helpful for u guys.
A marketing Case Study of Natureview Farm, an organic yogurt manufacturer. This analysis was performed by E. Santhosh Kumar, IIT Madras, during an internship with Prof. Sameer Mathur, IIM Lucknow.
This is a presentation on Narayana Hrudyalaya , now known as Narayana Health . It was done for Organisational Behaviour as a group presentation. Hope this will be helpful for u guys.
This is an architectural design project designed in 4th year of graduation.
The project was to design a Modern Cardiac Hospital which sustains all the constraints generated by the live site proposed.
High-Volume Focus Hospitals―Value Innovation in Health CareScott Frankum, MBA
High-Volume Focus Hospitals are about to explode onto the health care conversation. The model halves the local cost of surgery, delivers top medical outcomes and creates experiences patients prefer.
Over the next few years the main operator will build 40,000 beds in both high-cost and low-cost environments.
Most hospital medicine is developed for the 8% to 10% of the world's population that can afford surgery. The rest go unserved. This model expands the pool of people who can be helped, saves money in richer countries and returns above average profits to owners.
Operators of existing hospitals need to pay attention too. When High-Volume Focus Hospitals open near you, they could hollow-out profitable surgeries, leaving hospitals with mostly, cost centers.
SEMS 2014: Augustine Tee - Inpatient Medical Emergency TeamsRahul Goswami
The Critical Care track of the Society for Emergency Medicine in Singapore Annual Scientific Meeting 2014.
For more information and conference videos, go to singem.blogspot.sg
Report on Surgical cost at Top 5 Bangalore HospitalsHari Thirumal
This report is about How same service is been marketed at different price points. Still they stand unique among the crowd. The Comparison is done with different parameters.
Thyrocare Technologies Limited claims to be India’s most advanced totally automated laboratory having its strong presence in more than 2000 cities / towns in India and internationally.
The company was started in 1996, by Dr Velumani Arokiaswamy with a staff of 4 people, with focus on low cost Thyroid testing.
By 2014, it has become India’s most profitable diagnostic business. The company has a highly differentiated business model. It is more of a B2B company, collecting samples from hundreds of dedicated collection points, and also from allied labs. All processing is done in one highly automated lab near Mumbai.
For abounding physicians, business is artlessly a bulk of putting an advertisement in the belted newspaper, beautification the cat-and-mouse allowance or administering a complete charge to bodies in the community. But this is adventitious admission that will accomplish little added for your breeding than description its business budget.
HealthCursor Consulting Group India- Mobile Health is going to be a 3000 crore market in India by 2017. (Source PwC). M-health (use of mobile phones) and E-health are all set to make an entry into India's primary health centres (PHCs) and sub-centres as the health ministry plans to go hi-tech. Healthcare industry is expected to show a strong growth of 23% per annum to become a US$ 77 billion industry by 2012. One of the largest sector in terms of revenue and employment has grown at 9.3% per annum between 2000-2009 with a current size at par with fastest growing developing country like China, Brazil and Mexico.Driven by various catalysts such as increasing population, rising income levels, changing demographics and illness profile with a shift from chronic to life style diseases, healthcare industry is expected to move to levels of US$ 77 billion in next 3 years. (Source: ASSOCHAM).
Empowering rural India is of utmost importance and the government needs to do so by provisioning for broadband penetration and financial inclusion. Access to quality health care is another key to achieving rural empowerment. The budget for this segment was raised marginally last year and it would be good to have an allocation for rural health care programs with provisions for technology that would help modernize this sector to expand its reach through remote healthcare solutions and telemedicine.
Furthermore, the government announced a big budget campaign 'Swabhimaan' in the budget last year to promote banking and provide services to about 20,000 villages. In order to meet this goal, the budget this year too would need to make provisions accordingly. The steering committee on health said that in the 12th plan (2012-17), all district hospitals would be linked to leading tertiary care centres through telemedicine, Skype and similar audio visual media. M-health will be used to speed up transmission of data. Disease surveillance will be put on a GIS platform.
Disease surveillance based on reporting by providers and clinical laboratories (public and private) to detect and act on disease outbreaks and epidemics would be an integral component of the system.India will also put in place a Citizen Health Information System (CHIS) - a biometric based health information system which will constantly update health record of every citizen-family. The system will incorporate registration of births, deaths and cause of death. Maternal and infant death reviews, nutrition surveillance, particularly among under-six children andwomen, service delivery in the public health system, hospital information service besides improving access of public to their own health information and medical records would be the primary function of the CHIS.
Economies of Indian states can grow 1.08 per cent faster with every 10 per cent increase in Internet and broadband connections.
Vibrant Gujarat Summit Profile on Healthcare Sector investmentVibrant Gujarat
To be the network of finest public healthcare institutions in the state of Gujarat, providing quality medical care services with the state of the art technology with easy accessibility, affordability & equity to the people of Gujarat & beyond.
Medical services are meant for curative care via diagnosis and treatment. Medical Relief services mainly are centred in the urban areas of the state and are delivered through the following hospitals, which are the leading hospitals at the district and State Infrastructure hospitals, the sub‐district level for all the districts.
autism has been published by NeuroGen Brain & Spine Institute, in the
prestigious journal Stem Cell International.
In adults, Stem cell therapy performed at NeuroGen brings
about inspiring improvements in the paralytic symptoms of patients
with spinal cord injury, brain stroke and head injury. In deteriorating
conditions, like motor neuron disease, muscular dystrophy and other
neurodegenerative disorders, it offers lifesaving, stabilizing treatments
and improves the quality of life of patients, infusing vitality in their dayto-day lives. Since its inception in 2008, NeuroGen has successfully
treated over 8000 patients from over 65 countries. We have been
accredited by ISO 9001-2015 and have a GLP (Good Laboratory Practice)
and GMP (Good Manufacturing Practice) certified stem cell laboratory.
Nokia- Connecting People or Disconnecting Customers (2012), A case study on N...Maneesh Garg
Case study was written solely to provide material for class discussion and publishing purposes. Areas covered in the case study are-
- Discussing the reasons of Nokia's decrease and Competitors increase in market share
- New market trends and changes in the Mobile Hardware industry
- Analysis of Nokia's efforts to come out of this disaster
Note- This case and its data was revised till September 2012. This does not cover newly launched Lumia series, Nokia's overtake by Microsoft and other activities and updates which happened in year 2013.
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Social / Digital Media - A report on new trends in industryManeesh Garg
Social Media - Analysis of great social media campaigns of all time. Also a brief look on social media campaign run by Spice Mobile India. The presentation is also available for this report in my uploads.
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GlaxoSmithKline GSK - Brand Activation Calender and marketing ideasManeesh Garg
Brand activation calender and marketing ideas for GlaxoSmithKline (GSK)
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GlaxoSmithKline GSK CH - A report on Business Strategy and Growth Avenues in ...Maneesh Garg
A summer internship report on GlaxoSmithKline Consumer Healthcare (GSKCH) Himachal Pradesh. Report comprises the sales structure, business and supply chain model of GSK Consumer Healthcare in Himachal Pradesh. It also includes the comparative analysis of GSK supply chain and sales structure with competitor FMCG companies like HUL, P&G, Nestle and Colgate etc, Himachal Pradesh geographical audit, revenue model, remunerations of sales team, incentives and much more...
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Social / Digital Media - A Presentation on New TrendsManeesh Garg
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Hr Policy / Employee Catalogue - A template for your companyManeesh Garg
I have designed this HR policy in a way that it can be used as a template or model for designing employee rule book for any company. Data is taken from various sources. The company name used in this policy document is a dummy name and has no relation directly or indirectly with any company or individual.
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Airtel - Analysis of past advertisements and marketing campaignsManeesh Garg
Analysis of Airtel's past advertisement and marketing campaigns.
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Analysis of Sony Corp.
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Based on the analysis of case study Cybertech Project...
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Bhushan Steel - A report and complete analysis of stock priceManeesh Garg
This report is analysis of Bhushan Steel's stock price, and its comparison with Steel Industry and Competitor Tata Steel
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Western Music - A change in consumption behavior in past decadesManeesh Garg
A report explaining consumer behavior with the help of change in consumption of western music in past decades.
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Analysis of case study Autobytel.com by Harvard Business School...
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Ikea Invades India - Market Research report on entry strategy in IndiaManeesh Garg
Market Research Report on - Entry Strategy of IKEA in India based on case study "IKEA Furniture" by Harvard Cases.
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Public Relations, Publicity and Corporate Advertising explained through examplesManeesh Garg
Based on chapter 17 - "Public relations, publicity and corporate advertising" of book "Advertising and Promotion" published by Tata Mc Graw Hill.
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Flipkart - Analysis of Marketing Strategy and new Branding IdeasManeesh Garg
The analysis of Flipkart's old marketing strategy and new branding ideas for better sales and publicity.
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New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Factory Supply Best Quality Pmk Oil CAS 28578–16–7 PMK Powder in Stockrebeccabio
Factory Supply Best Quality Pmk Oil CAS 28578–16–7 PMK Powder in Stock
Telegram: bmksupplier
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threema: TUD4A6YC
You can contact me on Telegram or Threema
Communicate promptly and reply
Free of customs clearance, Double Clearance 100% pass delivery to USA, Canada, Spain, Germany, Netherland, Poland, Italy, Sweden, UK, Czech Republic, Australia, Mexico, Russia, Ukraine, Kazakhstan.Door to door service
Hot Selling Organic intermediates
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Narayana Hrudayalaya Heart Hospital - Cardiac Care For the Poor
1. NARAYANA HRUDAYALAYA HEART HOSPITAL:
CARDIAC CARE FOR THE POOR
manigarg21@gmail.com
MANEESH GARG
GROUP 1
Case Analysis
2. The Indian Health Landscape
2003:
Indian Government spent approx 1% of its GDP on public health care
Overall expenditure on health – 5% of GDP (Asian average: 6.3%)
85% of the Indian population and 47% of children under 3 years of age didn’t
receive enough nourishment – National Nutrition Monitoring Bureau
15,000 hospitals and 6,00,000 physicians – well equipped health care system
Number of physicians per 1,000 population: 0.5
70% of doctors only in urban areas
Government hospitals were underequipped and understaffed
3. The Indian Health Landscape
2003:
Less than 14% of the population was supported by health insurance
Medical Tourism
1,50,000 foreign patients
OHS would cost only $ 3,000 - $ 10,000 at the best Indian hospital as compared
to $1,50,000 in the U.S and $70,000 in UK
2.4 million people needed heart surgery every year
Only 60,000 surgeries were performed each year
Approx 25% of heart attacks occurred among the under 40 population
Around 2,24,000 newborns in India were affected by heart disease every
year
4. Present Scenario in Indian Health
Care Industry
The Indian healthcare sector is expected to reach US$ 100 billion by 2015 from the
current US$ 65 billion, growing at around 20 per cent a year, according to rating agency
Fitch
Government is proposing an increase in public spending by half a percentage point to
make it 1.58% for the coming five years (2012-17) under the 12th Plan
Major factors driving the growth in the sector include :
increasing population
growing lifestyle related health issues
Cheaper costs for treatment
trust in medical tourism
improving health insurance penetration
increasing disposable income
government initiatives
Focus on Public Private Partnership (PPP) models
5. Present Scenario in Indian Health
Care Industry
According to the Planning Commission's draft, the country's government-run healthcare
system is short of the target by a jaw-dropping 76%
There are 53% fewer nurses, specialist doctors are short by 88%
Radiographers are short by 85% and laboratory technicians are short by 80%
According to union budget 2012-13, healthcare spending to be increased from Rs.26,897 cr
to Rs. 30,702 cr an increase of 14%
There are 12,760 Govt. hospitals having 5,76,793 beds in the country
6,795 hospitals are in rural area with 1,49,690 beds and 3,748 hospital are in Urban area
with 3,99,195 beds
India has a total of 1,45,894 sub centers 23,391 PHCs and 4,510 CHCs
There is an 18% shortfall in PHCs, and an alarming 34% shortfall in CHCs
6. Present Scenario in Indian Health
Care Industry
According to the government's formula, we're
supposed to
one sub-centre for every 5,000 people (3,000 in
hilly areas)
one primary health centre for every 30,000 people
(20,000 in hilly areas)
one community health center for every 120,000
people (80,000 in hilly areas)
According to the Global Atlas on cardiovascular disease
prevention and control 2011, death rate due to ischemic
heart disease (a condition which is characterized by
reduced blood supply of the heart muscle) in India is 165.8
per 100,000. Around 116.4 per 100, 000 people in India
die due to cerebrovascular diseases
7. About the Hospital
God’s Compassionate Home
Situated in Bangalore, Karnataka
Founded in 2001, by Dr. Devi Shetty
Aims at providing medical treatment to the
poor
Vision : “Affordable Quality Healthcare for
the Masses Worldwide”
Mission : “A dream to making quality
healthcare accessible to the masses
worldwide”
Around 40% of all treatments were pediatric
8. Wal-Martization of health care
Focused on volumes
Performed 19 OHS & 25 catherization procedures
everyday, almost 8 times the average at other Indian
Hospitals
500 blood tests on a machine everyday, as compared to
other hospitals which run 2 tests on a machine
Negotiate better deals with suppliers- no long term
contracts
Took machines on monthly rent and paid for reagents
used to run the machine
9. Wal-Martization of health care
Management software which helped maintain
minimum inventory & quicker processing of tests
Used generic drugs which were 80% cheaper than
the market rate for similar medication
Spent only 22% of its revenue on staff salaries
Doctors got fixed salary and not % of the revenue
Monitored funds on a daily basis- helped in
planning
10. Wal-Martization of health care
Break even price for an Open Heart Surgery:
Rs.90,000 – adults
Rs. 1,30,000- children
Basic package including surgery & hospitalization charges: Rs. 1, 10,000 – cheapest in the country
Treatment and care same irrespective of general or private ward
Karuna Hrudaya: Financially constrained patients could pay Rs. 65, 000 for OHS and the rest will
be paid by NH
Narayana Hrudayalaya Trust: For patients who couldn’t afford to pay anything, this trust would
help them in getting funds via donations
“ Never turn away a patient for lack of
funds ”
11. Company Background
In 1989, Dr. Shetty
joined the Birla
Heart Research
Foundation,
Calcutta
Realized, India has
a lot of wellequipped
hospitals, but
unaffordable by
the poor
#. Co-founded Asia
Heart Foundation (AHF)
#. Later promoted
Rabindranath Tagore
Institute (RTI) of
Cardiac Sciences- 150
bed heart hospital, with
3 OTs & a 22 bed
intensive therapy unit
#. Personal Cardiac
surgeon of Mother
Teresa
#. In 2001, with the
help of his father in
law (SNC), Dr.
Shetty founded NH
12. Fact Sheet
2012
25 acre area
2 storey housing
Beds: 280
Operation Theatres: 5
2004
2001
Beds: 500
Operation Theatres: 10
Catherization Labs: 2
Open heart surgeries: 11,228
(half were pediatric)
Surgeries: 4,276 (1,467 on children)
Catherization procedures: 5,430
Cardiac surgeons & cardiologists: 90
Beds: 1,000
Operation Theatres: 24
Infrastructure to perform 50 heart
surgeries daily
Treat patients from 73 countries
NH Group has 12 hospitals, 2 care
centers and 5 upcoming hospitals
13. Heart Disease
Occurs when supply of blood to the heart stops
Happens when coronary arteries get clogged due to fat & cholesterol
Methods to cure coronary heart disease:
Angioplasty
A balloon catheter is
inserted in/near the
blockage and
inflated , thus
opening the blocked
vessel
Finally, arteries
open up and
adequate blood
flows to the heart
CABG
Creates a bypass
along the blocked
part of the coronary
artery
Recommended over
Angioplasty
14. Telemedicine
In telemedicine a surgeon or a specialist instruct
another doctor who is operating the patient. It is
basically used when a specialist is not able to reach
and operate. When a general practitioner feels
that a heart patient need for immediate
treatment, s/he may use telemedicine
The state government planned to sponsor 29 more
CCUs. Between 2001 and July 2004, the NH facility
performed 9,591 tele-consultations and the CCUs
had 4,077 inpatients
Both NH and RTI started outreach campus for
cardiac diagnosis and care. Each weekend, two
buses were sent out to rural areas, up to 800
kilometers in order to give best possible help
onsite
15. Yeshasvini
NH started 19 postgraduate courses. In 2005, collaborate with Indira Gandhi National Open
University (IGNOU) and scheduled to offer India’s first diploma in cardiology.
Dr. Shetty developed an insurance program “Yeshasvini”. The team of NH set up an insurance
scheme or 1.7 million farmers and their families in Karnataka
16. According to Dr. Shetty, they managed to reduce the cost of bone marrow
transplant from Rs. 1.2 million (USD 27,000) to Rs. 400,000 (USD 8,900), this time they
used the blood which can’t be used for cardiac surgery after 10 days but can be used for
transplant up to 26 days.
According to Dr. Shetty our three line of business:
Heart hospital and associated activities
Yeshasvini insurance scheme
Finally Health City
17. Updates
NH group of hospital have following hospitals:
NH Institute of Cardiac Sciences, Bangalore, RTIICS NH, Kolkata, NH
Multispecialty Hospital, Bangalore, Brahmananda NH, Jamshedpur, Mazumdar Shaw
Cancer Center, Bangalore, NH Hospital, Hyderabad, MS Ramaiah NH, Bangalore, Narayana
Hrudayalaya, Jaipur, Chinmaya NH, Bangalore, Rotary Narayana Hrudayalaya, Kolkata, SDM
NH, Dharwad, NH Devraj Urs Hospital, Kolar
NH hospital comes in o10 best hospitals of Bangalore city
The telemedicine network of the hospital connects to countries like Malaysia,
Mauritius and Pakistan
Narayana Hrudayalaya Dental Chain Started in 2008, NHDC has expanded to 25 dental
clinics, 19 in Bengaluru and 6 in Kolkata
Bangalore-based Narayan Hrudayalaya Hospitals (NHH) which is setting up Rs 600 cr.
health City
18. Updates
Soon they will implement the 300-bed health
care facility in eastern part of the city
Multispecialty hospital and cancer center
Proposed health city, Ahmadabad
They are planning to build low-cost heart
hospitals across India with collective capacity of
30,000 beds in the next 5-7 years’ time
Source: http://www.business-standard.com/india/news/narayan-hrudayalaya-plans-low-cost-heart-hospitals/164176/on)
http://www.narayanahospitals.com/
19. S
Strength
S
High volume of surgery
Affordable
New technology
Collaborations
Insurance scheme
Limited approach
Poor technology
infrastructure
W
Internal
factor
W
NH
Opportunity
O
Weakness
O
Expansion
Steady sectorial growth
Air ambulance
T
Threat
Competitors can follow the
same
Attrition rate
External
factor
T
Positive
Negative