The document discusses the state of healthcare IT in India. It notes that India faces a demand-supply gap in healthcare as well as challenges around infrastructure, workforce shortages, and reliance on paper records. Healthcare IT spending is growing but remains low compared to other countries. Barriers to adoption include lack of funds, human resources, and strategic plans for computerization. The document calls for national standards for healthcare IT interoperability, a public healthcare information system, task forces to develop healthcare IT, and training for healthcare professionals to move the sector forward.

1. HIMSS ASIAPAC12 CONFERENCE17-19 SEPTEMBER 2012
MARINA BAY SANDS, SINGAPORE

2. STATE OF HEALTHCARE IT IN INDIAAMIT MISHRAEXECUTIVE MEMBER, HIMSS INDIA
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3. India Healthcare Landscape
•Public Healthcare Infrastructure
•Public Health Programs
•Private Healthcare Infrastructure
•Demand Supply Gap
•Complexity and Challenges
•Growth Perspective
•Healthcare IT Spending in India
•The Way forward
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4. Healthcare Infrastructure
Private Healthcare Public Health Programs –GOI
Public Healthcare
Not For Profit Org / Other Healthcare Org
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States of India Number of Hospitals
Mizoram,Nagaland,Pondicherry,Himachal,Manipur,Meghalya,Goa >10
Orissa,Chandigarh,Haryana,Bihar 11-50
Assam,Punjab,MP,Karnataka,UP 51-100
Rajasthan,Gujarat,Kerala 101-200
Andhra Pradesh , Tamilnadu,West Bengal, Delhi, Maharashtra < 200
Source: Research Paper of Ramesh Bhatt and Nishant Jain, IIMA

6. Spending on Health
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Health expenditure ratios a
Member
State
Total expenditure
on health as % of
gross domestic
product
General government
expenditure on health
as % of total
expenditure on health
Private
expenditure on
health as % of total
expenditure on
health
Out-of-pocket
expenditure as %
of private
expenditure on
health
2000 2008 2000 2008 2000 2008 2000 2008
USA 13.4 15.2 43.2 47.8 56.8 52.2 25.5 24.4
Germany 10.3 10.5 79.8 74.6 20.2 22.0 54.8 53.9
UK 7.0 8.7 79.3 82.6 20.7 17.4 64.6 63.7
Sri Lanka 3.7 4.1 48.3 43.7 51.7 56.3 83.3 86.7
India 4.6 4.2 27.5 32.4 72.5 67.6 92.2 74.4
Source: WHO

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©2011 Healthcare Information and Management Systems Society The density of doctors per 10,000 populations in India is 6 as compared to the world average of 11.5, while the density of nursing staff in India is 13 per 10,000 as compared to the world average of 28.4.
India is a signatory to the Millennium Development Goals (MDGs).
World Health Organization report that India needs to add 80,000 hospital beds each year for the next five years to meet the demands of the population.
The Urban and Rural Divide: Although about 70% of India’s population lives in the rural areas, it accounts for only a meager 15% share of the cumulative healthcare resources

8. Complexity and Challenges
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Rational Use of Drugs
Inadequate accessibility to affordable quality services
Low Government funding & lack of efficient execution of schemes & initiatives
Shortfall in Health care infrastructure and Workforce
Dependency on Paper Records
Costs Continue to spiral

9. Growth Perspective
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10. “Information systems at any McDonalds's are more advanced, and more useful, than those in your doctor’s office.” Fast Company –April 2006

11. Healthcare IT Spending in India
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Source :SHS

12. HIMSS India Study Highlights
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13. The Healthcare IT …User Experience
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14. Reasons of dissatisfaction
•HIS is not user friendly as all systems are not fully integrated
•Limited user interface and lack of customization
•Outdated technology, unsatisfied with vendors, limited support
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21. Barrier for Health IT adoption
Lack of sufficient funds
Lack of human resources
Lack of strategic plan for computerization
Return on Investment of computerization cannot be quantified
Lack of clinical guidance
Unsuccessful implementation of computerization projects
Providers cannot meet requirement for products and services
Lack of legal and policy support
Lack of support from hospital administrators
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22. Slow Adoption …
Cost is an issue
System is not ready and doctors and staffs are not willing to use HIS
Lack of supporting infrastructure
Hospital expansion
Lack of IT literacy among Medical & Para-medical professionals
Lack of Govt. determination to introduce HIS in hospitals
Government policies
Phase-wise implementation of HMIS in Govt. District Hospitals
Training issues, lack of capacity building program for clinical staff
Resistance of staffs
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23. Suggestions….
•“Should be user friendly and staffs should be provided need based training”
•“Hospital should go for Computerized HIS as early as possible”
•“Sensitization of Doctors and staff to use the technology by using various medical professional association such as IMA, FOGSI etc”
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24. The Way Forward…
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NEED OF HEALTHCARE IT STANDARDS
NATIONAL STANDARDS FOR INTEROPERABILITY
NEED OF A PUBLIC HEALTHCARE INFORMATION SYSTEM
TASK FORCE FOR HEALTHCARE INFO SYSTEM
IT TRAINING -HEALTHCARE PROFESSIONALS AT MED-schools
THE EARLIER THE BETTER

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26. May be a UNIVERSAL ADAPTER
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27. Standards and Interoperability
•Standards provide a common language and set of expectations that enable interoperability between systems and/or devices.
•“Interoperability” describes the extent to which systems and devices can exchange data, and interpret that shared data. For two systems to be interoperable, they must be able to exchange data and subsequently present that data such that it can be understood by a user.
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28. Importance of Standards and Interoperability
•Standards bring technological, economic and societal benefits.
•Healthcare dependency on information
•Benefits in figures
•GBP 2.5 billion-annual contribution standards make to the UK economy
•80%-percentage of world trade impacted by International Standards
•AUD 100 million-benefits to Australian economy from sampling standards in the mining industry
•84%reduction in transportation time due to standardization of container transport : source ISO
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29. India’s Imperatives for Standards
•Effective Management of limited Usable Healthcare Resources
•Population > Data > Information
•Languages and Dialects
•Cost–having many differentcompeting ways of doing the same thing can becostly. Examples of this are the large number of different mobile phone power sockets; or where everycomputer supplier developed a list of allergies from scratch.
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30. •Safety–for example specifying the minimum safety requirements for a baby car seat; or the safest way to present an allergy alert on acomputer screen.
•Health Insurance
•Medical Tourism
•Measurement of health status, performance monitoring, and the achievement of national performance targets.
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31. NEED OF A PUBLIC HEALTHCARE INFORMATION SYSTEM
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33. TASK FORCE FOR HEALTHCARE INFO SYSTEM
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34. IT TRAINING -HEALTHCARE PROFESSIONALS
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35. THE EARLIER THE BETTER
•Need of Healthcare IT Standards Specifically designed for developing Country like India where the HIT is still in nascent stage.
•Eliminate waste and duplication while ensuring that patient information is available at the point of care, eliminating unnecessary tests, enabling more informed decisions and improving the quality of care.
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36. Better…
•Telecom Industry India
–Telecom Centers of Excellence
–Development Organization of Standards for Telecom in India
–Telecom Sector Skill Council
•World’s Reputed Clinical Staff
•World’s Recognized IT resources
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AneeshChopra: ‘There’s never been a better time to be aninnovator’

37. THANK YOU
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