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The Business APAC , 2019ADVANCED EMR-EHR PROVIDERS
Fortis Hospital
154, 9, Bannerghatta Main Rd, Opposite IIM, Sahyadri Layout, Panduranga Nagar, Bengaluru, Karnataka 560076
The EMR and EHR market in Asia-Pacific is estimated to hold USD 2.5 Billion in
2018 and is expected to reach a market size of USD 3.62 Billion in 2023. The EMR-
EHR system plays a crucial role in the development of modern healthcare structure,
which is posited as efficient and patient-centric. The healthcare technology providers
are also rapidly evolving to balance heightened regulatory requirements, soaring
healthcare costs, and operational efficiency.
Moreover, healthcare providers in APAC are focusing on ways to manage costs by
leveraging existing data to identify population segments that are in severe need of
services to channelize limited resources accordingly. In the future, EMR-HER solution
providers will compete by offering different software packages for developed and
developing nations to ensure high-quality patient care.
Considering the ongoing progress in this sector, we have featured prominent companies
in our latest magazine issue of “The Business APAC Advanced EMR-EHR
Providers of 2019”. These leading EMR-EHR providers are contributing to the
industry through their innovative approach towards eliminating the current and
emerging challenges.
Out of these phenomenal organizations, we are privileged to feature Incarnus
Technologies on the cover of this magazine. It is a global provider of next-generation,
cloud-enabled solutions for all levels of healthcare from primary health practice to
large-scale hospital networks. The Co-founders, Seetharam Malur and Prabhakar
Annaswamy established Incarnus Technologies with a vision to be the preferred
solution provider offering compelling value to healthcare organizations in their chosen
geographies.
We hope our readers enjoy interesting articles ‘Health Monitor’ and ‘Quantum Buzz’
sections respectively.
Happy reading!
Advanced
Providers 2019
Eliminate Needless
Blindness
ARTICLES
12
22 34
Cover Story
Easy Clinic
iPatientCare
JVS Group
20
28
30
COVER
STO
Incarnus
Technologies
businessapac.com
Co-founder & CEO
Seetharam Malur
COO
Wael Khalil
September 2019
ORY
At Incarnus, we are passionately committed to delivering
the highest consumer value to our global user community
by bringing more innovation and newer technologies in this
digital age.
ADVANCED EMR-EHR PROVIDERS
businessapac.com
Co-founder & CTO
Prabhakar Annaswamy
Regional Sales Director
Hitesh Kothari
September 2019
Incarnus Technologies:
Meeting Healthcare’s Challenges Today And In The Future
With Cloud-Enabled IT Solutions
The role and importance of healthcare systems have
been widely recognized in the quality of life. With
the invention of the latest technological
developments, the healthcare industry is catching up with
the other leading industries of the world. Today, healthcare
providers and institutions are shifting from the traditional
system to an automated one so that they can deliver better
care. However, they are facing various challenges, which
are barricading them from their goals. These challenges
include varying healthcare standards and guidelines,
different requirements and expectations, working in
resource-limited settings and with culturally diverse teams.
To overcome these challenges, isIncarnus Technologies
offering cutting-edge smart solutions for healthcare
providersandinstitutionsthatareinthetransitionphase.
ServingaWideRange ofCustomers
Headquartered in Singapore, Incarnus Technologies is a
global provider of next-generation, cloud-enabled solutions
for all levels of healthcare from primary health practice to
large-scale hospital networks. The highly skilled and
dedicated global team of Incarnus has been working in
accordance to their mission, which is divided into four
segments:
Ÿ Help their customers consistently deliver a better quality
ofpatientcare
Ÿ Improveprofitabilityandefficiencyoftheircustomers
Ÿ To getthebestoutofeveryteammember
Ÿ Make it beneficial for all the stakeholders to work with
them
Since its inception, the global healthcare solutions provider
hasbeenservingcustomersacrossMalaysia,Thailand,
C O V E R S T O R YADVANCED EMR-EHR PROVIDERS
Co-founder & CEO
Seetharam Malur
businessapac.comSeptember 2019
India, and the Middle East. The
company offers a suite of solutions
that comprehensively enables health
organizations to deliver the best
patient care practices through
effective coordination. At the same
time, achieving strategic data-driven
decision making and forward
planning to optimize workflows and
contain costs. These solutions are
designed to minimize medical errors,
increase physician efficiency, reduce
costs, facilitate regulatory compli-
ance, and promote standardization of
care to build a safer, more convenient
wayofmanaginghealthcare.
A Stellar Array of Admirable
Solutions
To achieve its mission of delivering a
better quality of patient care
consistently, Incarnus has developed
some innovative solutions that
include , ,Arcus Air ArcusLive
EasyRefer DoctorApp,and .
Arcus Air: Incarnus’s flagship Arcus
Air is a single unified platform that
has comprehensive modules for HIS
a n d E M R , w h i c h h a s b e e n
implemented across various care
settings from ambulatory to acute to
tertiary care. It is built on a techno-
logy stack and framework that allows
a high degree of configuration in one
go via customizations, form temp-
l a t e s , s e c u r i t y, r o l e - b a s e d
permissions, user access, etc. As a
single unified system, it helps in
improving care coordination,
minimizing treatment delays and
reducing medication errors and test
duplication. Arcus Air also supports
the patient journey throughout the
whole process from admission to
discharge. This platform is readily
available in Cloud, integrating and
managing thousands of concurrent
connections across multiple hospi-
tals, clinics, and clinicians, with no
geographicbarriers.
ArcusLive: ArcusLive is a cloud-
based HIS and EMR solution. This
simple yet powerful platform is
suitable for primary care, specialties,
and small hospitals and available on
monthly or yearly subscriptions. It
supports built-in workflows and
features for complying with regional
requirements such as e-Claim,
National ID integration, and Social
security integration. This platform
covers appointment scheduling,
registrations, clinical documentation
& EMR, and outpatient billing. The
standard reporting combined with
dashboards and ad-hoc reporting
helps in managing the hospital and
patientcareefficiently.
EazyRefer: EazyRefer is a digital
Referral Management platform for
collaboration and communication
among patients and healthcare
providers, with consent-based Patient
Health Information access and
management. The platform ensures
that individuals can communicate
with specialists in real-time.They can
also build their own network of
specialists and will have access to
other global networks of doctors/
providers in the EazyRefer platform.
Thisplatformis easytouse,provides
At Incarnus, we are
advancing the
delivery of
healthcare
information
by making it easy to
access patient
information at the
point of patient
care.
businessapac.com September 2019
real-time access from anywhere, discovers and builds
the network, and tracks the status. It also offers
transparency and better patient care, improves revenues,
andsetsup reminders,notifications,andfollow-ups.
Doctor App: It is an intuitive application which is
dedicated to helping doctors and medical professionals
involved in patient treatment and health decisions.
Throughthisapp,thedoctorsareabletoobtaincomplete
patient information on their fingertips and maximize the
efficiency of caregiving. This app extracts details from
the doctor’s worklist in Arcus Air HIS and EMR and
provisions thisinformationtothedoctoron thego.
Co-founding Pair Uplifting Incarnus towards
Steady Progress
The Co-founders, Seetharam Malur and Prabhakar
Annaswamy established Incarnus Technologies with
a vision to be the preferred solution provider offering
compelling value to healthcare organizations in their
chosen geographies. Together, they look after the steady
growth andempowermentoftheirteamatIncarnus.
Incarnus CEO, Seetharam has 20+ years of experience
in health informatics, besides other technology fields
such as automobile design, aeronautical design &
supply chain management, and education system. Prior
to Incarnus, the competent leader had built IdeaObject
Software Pvt. Ltd, which created a world-class
enterprise healthcare solution that was implemented for
more than 300 sites in 6 countries, before it was acquired
byTelstraHealth.
Incarnus CTO, Prabhakar has 18 years of experience in
health informatics, along with the gaming domain
where he started his career with HCL. He is a highly
innovative person, passionate about product
development and enterprise-scale architecture. He also
co-founded IdeaObject Software Pvt. Ltd. While
working in healthcare IT and in product development
for global markets, both Seetharam and Prabhakar
gainedvaluableexpertiseandknowledge.
According to the dynamic duo, they targeted this sector
because they realized that the healthcare IT market
would inevitably grow and expand in the APAC region.
Backed by their experience and background, the Co-
founders decided to venture on their own and build a
product based on the latest technology, cloud-hosted,
addressing the software as a service market. The result
of their efforts, commitment, and passion was the
implementationoftheirproduct,ArcusAir.
SettingApart fromCompetitors
In the healthcare industry, there are various solutions
available for healthcare organizations to utilize. So,
what makes Incarnus solutions different and unique
from the existing ones? The company adopts a unique
combination of programming languages, tools, and
frameworks, which is based on the cutting-edge
technologies such as cloud. For instance, its Arcus Air
EMR has been designed by clinicians with advanced
features such as CPOE, CDSS, care plan, flow sheets,
cumulative view of charts, reports, timelines, and
electronic medication administration. With extensive
proven experience in international e-Health solutions,
Incarnus’ talented team has delivered innovative
solutions for better patient care over 300+ locations
across 7 countries. This demonstrates how their rapid
implementation methodology has been proven in many
projectswithsuccessfuloutcomes.
Adoption of EMR-EHR Services in the APAC
Region
Incarnus duo, Seetharam and Prabhakar believe that
hospitals and physicians are receptive due to the
smartphone, tablet device penetration. Because of the
increased awareness of diseases among people and the
arrival of mobile platforms, the APAC region is
expected to see the highest growth rate in healthcare
services. The dynamic duo has witnessed that many
countries such as India and Thailand are rapidly
becoming medical tourism hubs that attract patients
fromwesterncountries.Therefore,theyhave
ADVANCED EMR-EHR PROVIDERS C O V E R S T O R Y
businessapac.comSeptember 2019
established their footprint across 6+ countries and
working toexpandinotherareas.
Moreover, the APAC region’s healthcare practitioners
and hospitals are shifting from the traditional system to
EMR. The EMR provides complete and smooth access
to health records, which eliminates the waiting time for
physical folders and thereby providing physicians with
the consultative moment. This system combined with
CDS ensures a reduction in medical errors, improved
patient safety, and improved quality of care. Hence,
most clinics like JCI and HIMSS EMRAM are eager
on accreditation to set their norms. Therefore, it
becomes an extremely important task to implement
EMR for achieving these accreditations. Incarnus duo
believes that if they had this information before, they
would have achieved a global presence much earlier by
building customer-facing teams at multiple locations
tohandlehospitalsofthisregionbefore.
We are helping our
customers deliver better
quality patient care and
also assisting them to
improve pro tability &
ef ciency.
businessapac.com
Co-founder & CTO
Prabhakar Annaswamy
September 2019
Amgen’s
Dedication
Heart
Amgen is dedicated to the fght against heart
disease and has now launched Breakaway from
Heart Disease™. The collective goal of this
national campaign is to help make America’s
heart health a priority.
Disease
www.amgen.com
The APAC EMR-EHR market is in the growth phase with
healthcare providers rapidly moving towards digitization. These
healthcare providers are looking for ideal solutions that can
fulfill their requirements. Despite such growth, the industry is facing
various challenges. According to Girish Mohata, the Founder and CEO
of , few pressing challenges faced by industry players ofEasy Clinic
EMR- EHR are the lack of standards for clinical data recording and no
initiative from the governments to promote the use of EMR.
In addition, there is also a practical challenge in terms of representing the
differences between a truly enterprise-ready platform vs. a seemingly
functional EMR solution. The well-versed leader believes the market is
packed with EMR solution providers but only few handpicked of them
provide an ROI multiple times over the long term. Therefore, Girish
deems Easy Clinic as comprehensive solution that increase the bottom
line of the clinic, both in terms of clinical and financial successes.
Events That Led To Foundation of Easy Clinic
Being a seasoned entrepreneur, Girish decided to pursue career in this
industry because of an eventful incident. This incident took place back in
the year 2000. At that time, he visited a doctor for a nagging cough.
During his visit, he experienced that the registration and billing processes
were quite fast. But, after meeting with doctor his views changed. The
versatile leader remarks that “If the doctor was using a paper pad, it
would have taken him 5 mins at the most to complete the visit, whereas it
ended up taking him 15 mins.” He further adds, “As much as I believed in
computerisation of records, I never for a moment felt that a computer
program should slow its user down. Matter of fact, it should be the
opposite.”
This experience pushed him to do research on healthcare informatics to
better understand the complexities involved in recording clinical data.
During the research, Girish pretended to be a patient and used to visit
doctors and thereafter also interviewed a few of them. From these visits,
he found that data that was meant to be captured was relatively simple,
but due to several regulatory and computing challenges seized the
doctor’s valuable time.
So, the industrious CEO started his journey to create solutions that
simplify clinical data recording, handle complex workflows and offer
deep dive into the data. Thereby, Easy Clinic is built with a mission to
create the most captivating, modern and integrated healthcare software
platform to reform healthcare delivery of the future.
An Integrated Platform Providing Doctor
Friendly EMR Solutions
We don't just sell
software, we
provide solutions,
workow
enhancements, and
a guaranteed ROI.
‘‘
‘‘
ADVANCED EMR-EHR PROVIDERS
20 businessapac.comSeptember 2019
customers and resolves big-to-small issues of customers to
deliver a stellar experience. The seasoned team understands
that every user is different, so they offer workflow-based
training to users of the system, thereby ensuring a 360-degree
buy-in from their clients.
A User-Friendly Medical Solution
The leading medical software provider understands the needs
of each client are subtly different. The team of Easy Clinic
strives to understand their needs, existing processes, gaps, and
benchmarks. Commenting on this statement, the versatile
entrepreneur states, “We couple this with our knowledge in the
healthcare domain and our technically superior Easy Clinic
Enterprise framework to deliver an affordable, result-oriented
solution to enhance productivity, profitability and patient
care.”
To deliver medical solutions on a scale, Easy Clinic has built
an award-winning flagship product called ‘Easy Clinic
Enterprise’ which is best suited for large clinic chains. This
product helps them to streamline clinical and administrative
processes to maintain a standard level of care across
locations. In addition, it also simplifies their inventory and
financial operations and empowers them with exceptional
reporting and analytical capabilities to manage and grow their
business.
APAC EMR-EHR Market Growth
Today, numerous studies have shown that the APAC region is
expected to show the fastest growth in the EHR market of any
region in the world between 2019 and 2025, with a CAGR of
approximately 8 percent. According to Girish, the APAC
EMR-EHR market is divided into two segments. First,
developed nations like Australia, Singapore, Japan using
EMR solutions since the 90’s. Second, emerging countries
such as India, Malaysia, Indonesia beginning to realize the
value of structured clinical data recording using EMR’s. The
Founder of Easy Clinic states that there is growing demand
across APAC for smart EMR solutions. Therefore, the market
is witnessing increase in growth rate of EMR adoptions.
A Piece of Advice
Being the founder of a leading provider of medical solutions,
Girish believes the biggest advice he would like to give
himself would be to choose a market selectively and not just
based on statistics. Today, Easy Clinic has clients from 18
countries and over 1 million patient records every month is
managed by it. “Having said that, we have been lucky to be
experienced in the regulatory requirements of various regions
across the world together with a deep insight into the core
needs of healthcare organizations in those regions,” Easy
Clinic Founder Girish.
Supplying World-Class Global Standard Healthcare
Software
Since its inception in 2003, Easy Clinic’s motto is to deliver
world-class international standard healthcare software
which is simple to use and affordable as well as backed by
an exceptionally high level of customer support. For its
customers, it is an integrated platform with an extremely
simple and flexible EMR module, with care plans, decision
support, e-prescribing, CPOE on the medical side. On the
administrative side, it offers appointments, financial
accounting, insurance claiming, corporate partner tie-ups,
descriptive & predictive analytics, data warehousing,
inventory, logistics, and pharmacy.
Easy Clinic has built its products on 3 engines: workflow,
process and automation engines to deliver super-fast,
extremely scalable and easy to use medical solutions. Its
user interfaces are designed to keep typing to a minimum
and most actions are completed using a simple point and
click. It believes that customized workflows and user-
friendly interfaces enable users to save time, avoid
frustration, and prevent errors. The advanced EMR
providers’ stores and visualizes data intelligently which
enables informed decision making, automates monotonous
tasks, prompts on clinical actions, delivers quick and
hassle-free accounting. At the same time, it makes a
doctor’s day more organized and error-free.
Easy Clinic’s biggest strength is its 24/7 customer service.
The company assigns dedicated account managers to its
21businessapac.com September 2019
&Easy
Healthy
Healthcare
Expenses
The health of healthcare has drastically improved in
the past two decades. The improvement brought in
by science and technology is making it easier for
people to get cured much quicker. The global spending on
healthcare is projected to increase by a healthy rate of 5.4%
from 2017 to 2022 and this might take the healthcare
industry which stands 7.724 trillion US dollars to 10.059
trillion US dollars. Though the improvement in medicine
and cure technology is great news, the decrease in people’s
health is still a giant headache. This is purely due to the
lifestyle that we are liv today. The people are less concerned
about their physical and mental wellbeing as they abuse
their body and mind to get what they want to the point that
they breakdown. Though this is good business for the
people engaged in healthcare and medicine sector, in the
long run, it might not be beneficial for the society. The
average spending on healthcare by the family of four was
approximately 28,166 dollars for the year 2018 in the US.
This is quite a big number and estimated to further increase
in the coming years. This is partly due to expensive
healthcare solutions and personal negligence. We do not
have time for ourselves, the speed and the urgency we show
in life give us only pain in the end. Work is important but it
should not cost us our health.
Solutions To Cut Down
22 businessapac.comSeptember 2019
Health Monitor
23businessapac.com September 2019
Small steps but big impact
Let’s take a few minutes and breathe in and breathe out and
just relax. The following mentioned steps will help you to
maintain good health.
1. Bring positivity
Sometimes, it is very difficult to think green if we see
red all over the world. The negativity does not only
surround us but haunts us even in our dreams. We might
not change the world but can bring some positive
changes in our thought process to make ourselves feel
good. It might be slow but the impact will be felt in due
course.
2. Eat healthy
There was a great catchphrase by Britannia “Eat Healthy
Think Better”. Our body needs food to derive energy.
But our tongue needs entertainment and we keep falling
in the trap of tasty but highly unhealthy and unhygienic
food. Listen to your body and eat healthy food always. It
will improve the immune system’s capabilities to fight
diseases.
3. Push, Pull, and Stretch
Yes, do exercise for a few minutes daily. Do what your
body and mind can handle. Doing exercise is about
getting your mind ready and sometimes it is difficult to
convince our mind to do something. It gets even more
difficult if an activity involves exercise. Give it a carrot
and make small and slow progress.
4. Goodbye and goodnight
st
The 21 century is probably the most sleep-deprived
generation in the history of mankind and mankind had
seen a lot that can take away the sleep. At the end of the
day, we have to give our due to our body as it needs rest
after a grueling day of work. So say goodbye to your
phones, tablets, laptops and all your stress and immerse
yourself in a deep sleep. Good sleep not only recharges
body but also energizes the mind.
5. Keep clean and maintain hygiene around
Keep your home and environment clean and
accommodate hygienic habits. It will prevent you from
many contagious diseases like malaria, dengue, and
many more.
6. Regular health checkup
People should have a regular health checkup. It will give
you the right information about your robust outside and
delicate insides. It should be done mainly to find any
unnecessary changes in the system that might turn into a
life-threating disease later.
Practices to avoid for the prosper health
By involving positive things in life, we have to get rid of
negative stuff as well.
1. Abuse of the intoxicating substance
Smoking and drinking is a personal choice. But
excessive smoking and drinking damages the body
permanently. If we can avoid it, our health might not
suffer that much.
2. Cut down caffeine
The working-class people consume a ridiculous amount
of caffeine in a day. It might keep you awake and fresh.
However, the aftereffect of extra caffeine in the system is
that it does not allow the body to relax properly.
3. Skipping meals
People skip timely meals due to the pressure of work. It
might work for your job but health will be compromised.
So take food on time and drink enough water to digest it
well. If health is lost money can’t bring it back.
4. Avoid sugar, sodium, and cholesterol
Try to cook food in healthy oil or try to avoid oil
sometimes. Consume less sugar and salt. It will bring
down the possibility of diabetes, high blood pressure,
and heart attacks. These three diseases are the major
concern around the world at this point in time.
5. Stop being your own doctor
If you are not a certified physician, then stop self-
diagnosis and avoid using medical drugs without any
professional consultation. It might feel right at the
moment but in the long run, the consequences can be
grave.
It’s all in our own hand
Like our fate, our health is in our hands too. It is really
unfortunate to see people succumb to diseases before their
time. The above measures and preventions might not cure
all the diseases but it will sure make us strong physically
and mentally. Timely prevention can bring down
unnecessary expenses on healthcare and we could stop a
small itch before it can become an epidemic. As the Arabian
proverb suggests, “He who has health has hope, and he who
has hope has everything”, we need to bring back our good
health to have hope for the future.
24 businessapac.comSeptember 2019
Health Monitor
www.sailife.com
Though information and communication technologies offer the
opportunity for tremendous innovation, technology has come
late to healthcare delivery. Current estimates indicate that
preventable medical errors are the third leading cause of death in the
United States. Electronic medical records (EMR) can help correct this
systematic error. Relatedly, the cultural gap between healthcare
specialists and technology specialists needs to be bridged. EMRs
improve patient safety by requiring computer-based physician orders that
eliminate illegible handwriting and misinterpreted verbal orders. The
safety features, delivered through the EMR, are now in common practice.
EMR is serving as a platform for innovation and creativity. Progressive
and tech-savvy provider industries are advancing the frontier of ensuring
medical quality. One such leading advanced EMR-EHR provider
company is .iPatientCare
iPatientCare is a full collection of innovative healthcare products and
value-added services that help physician offices, rural health clinics, and
community/federally qualified health centers (CHC/FQHC) nationwide
in improving the health of their patients, enhancing patient care through
care management/coordination/analytics, and reducing costs of care
delivery.
Services proved to deliver outcomes beyond expectations
The APAC region operations started a couple of years ago, and the users
successfully adopted iPatientCare products. The firm noticed that the
healthcare practitioners and hospitals were responding the same as the
US clients. The rapid growth in the APAC region is due to the integrated
services platform. The platform provides a collection of services such as
built-in management, population health management, analytics,
ePrescribing System, electronic interface to any HL7 compliant lab and
radiology systems, Document Imaging & Management. It also includes a
bunch of integrated services like integrated practice management system
and integrated Patient Portal. In addition to other services, the most
popular services are mHealth based patient suite, provider-to-provider
referral tracking, miEHR on iPhone mobile, miPatientCare on iPad
tablets, and ready dual coding features. These services cater to numerous
small/medium/large practices, hospital/health systems, rural health
clinics, and high profile customers, such as the US Army and NASA
Space Medicine.
The award-winning EHR, integrated practice solutions and value-added
services, such as the revenue cycle enhancement and quality
improvement consulting, provide everything one needs to control the
practice operations, increase revenues, and provide better patient care.
Innovating Patient Care Through Digital
Transformation
We are a group of
committed technologists
and physicians who
sincerely believe in
empowering healthcare
practitioners to provide
better care to their
patients and improve
their health.
iPatientCare:
‘‘
‘‘
ADVANCED EMR-EHR PROVIDERS
28 businessapac.comSeptember 2019
Management Solution.
iPatientCare EHR – version 18.0, has received 2015
Edition ONC Health IT certification by Drummond
Group, an Office of the National Coordinator-Authorized
Certification Body (ONC-ACB). In 2016, iPatientCare
received Surescripts’ 2016 White Coat of Quality Award
for testing overall highest standards of quality in e-
prescribing. As part of its MACRA-ready solutions,
iPatientCare has been recognized as a qualified MACRA-
MIPS registry by CMS and has a distinguished credit of
being selected as preferred medical billing software.
Using Experience for the Endeavouring Growth
Udayan Mandavia, Chief Growth Officer at AssureCare
LLC is a very passionate and restless technologists who
understand the business needs of healthcare in the US and
globally. While serving for the United States Army through
the company’s mobile computing solutions, he came across
policy-makers and Medicare/Medicaid administrators who
introduced iPatientCare to the challenges of managing
chronic conditions of hypertension, diabetes, cardiovascular
diseases, etc. All these conditions had a significant impact
on the quality of lives of the patients and their families.
Udayan believed that as a leader the market is quite
fragmented and difficult to progress. The firm together
decided to evolve a pro-active clinical decision support
system that was founded on the patient’s longitudinal health
record. His main objectives are to evolve innovative and
disruptive technology solutions that help to improve the
health of the patient population, enhance patient care, and
reduce per capita costs. Udayan is ruthlessly focused on
customers and their needs and priorities.
Before being a part of the AssureCare team, Udayan
worked as a CEO at iPatientCare Inc, which is an
AssureCare product now. He is in the business for close to
three decades now and believes the business should spread
globally but serve locally. As a leader, he considers
recruiting and retaining smart people with high integrity can
contribute to the growth of the company.
Empowering the healthcare industry
iPatientCare team aims to empower healthcare practitioners
and hospitals/clinics to improve the health of their patients,
provide efficient and enhanced patient care, and deliver
better population health management outcomes at reduced
costs through cloud-based EHR and integrated
Clinic/hospital management and patient engagement
solutions.
The Amenities that set iPatientCare Apart from Others
A greater and seamless flow of information within a digital
healthcare infrastructure, created by EHR, encompasses and
leverages technology and can transform the way care is
delivered and compensated. The technology used by the
iPatientCare platform is Cloud/Web-based; it comprises of
Microsoft.net framework and is powered by SQL Server.
The updated benefits of healthcare can only be available to
practitioners if the provided solutions are affordable.
iPatientCare platform’s Pay-per-use Pricing Model with
cloud/web-based hosting included, makes iPatientCare
application extremely competitive and affordable for
healthcare practitioners. Considering the organizational
bandwidth, the firm has been profitable from day one and
has grown organically and strategic partnerships.
iPatientCare has also developed a software ground up and
has magnificently supported and implemented by over
100,000 users globally in the span of 20 years.
Significant accomplishments by iPatientCare
There are many challenges companies face while delivering
ever-evolving superior healthcare IT solutions, yet
iPatientCare has managed to clamp more than 100,000
users globally. It is the first vendor to offer EHR on a
handheld device and the first to offer a SaaS-based EHR
product. Numerous Regional Extension Centers (RECs),
hospitals/health systems and academies have selected the
firm as a preferred Unified – EHR and Practice
29businessapac.com September 2019
The healthcare IT industry is one of the most dynamic industry in
the global economy. Currently, there are numerous emerging
start-up companies coming up with innovation-fuelled and
creativity-driven solutions that are designed and developed to cater to the
rising demands of the modern healthcare industry. Today, what this
overcrowded and solutions packed industry needs is a simple-to-use
solution with standardization of healthcare data elements. This is because
there is a huge amount of data generated on a daily basis but maintaining it
by conventional methods becomes a very daunting and high-maintenance
tasktobeperformedmanually.
Such a modern but simple solution is provided by . JVS GroupJVS Group
was founded in 1992, New York, USA with a rationale to aid physicians
around the world to manage their Electronic Medical Records (EMRs).At
present, JVS is headquartered in Ahmedabad, India and is one of the
leading company in the healthcare IT industry. The primary focus of the
company is to provide customized hospital management software
solutions for all the healthcare providers such as all size of Hospital,
Clinics&CommunityCareCentres.
SoftClinic:JVS Group’s FlagshipProduct
Decision making plays an important role in the healthcare industry. But,
during now or never situations, assistance from softwares would help to
reduce the time taken in decision making processes. Such assistance is
provided by SoftClinic; an intelligent hospital management software
created by JVS Group. SoftClinic assists healthcare facilities in gathering,
organizing, analyzing, and managing health data of patients and financial
data of the organizations. Some of the unique features about the software
are: Firstly, it complies with various international standards such as
HIPAA, HL7, and ICD-10 and secondly, it is a cloud-ready and mobile-
readysolution.
SoftClinic is designed in such a manner that irrespective of the scalability
of the modules, it suits the requirements of all the organizations whether
it’s a single physician practice or large corporate hospital with more than
500 beds. With just a few clicks, the physicians are able to complete the
digital health recording because of SoftClinic’s predefined templates with
variousstandardmedicalconditions.
Connecting GenX Patients With Physicians
Through Tech Enabled Healthcare Solutions
At JVS Group,
we believe in
providing EMR & EHR
for GenX Physicians
& GenX Patients.
JVS Group:
‘‘
‘‘
ADVANCED EMR-EHR PROVIDERS
30 businessapac.comSeptember 2019
completing his college, he received a requirement to
develop a software for a renowned cardiologist who could
not find readily available solution. There were many similar
incidents that happened throughout his journey, making him
aware of how the IT industry was growing worldwide.
Moreover, he also noticed that the healthcare industry was
underserved market and it required people who could
understand both healthcare as well as IT. In a significant
way,theseincidencesledhimtoestablishhiscompany.
To Saket, these industry insights came after years of
working in the healthcare IT sector. Revealing one piece of
advice which he would like to give his younger self, Saket
asserts, “One should create a team of proactive leaders very
early in his entrepreneurial journey. I would have given that
pieceofadvicetomy youngerself.”
ASmooth HealthcareExperience
JVS Group’s mission is to develop software solutions which
are quality driven and affordable for the global healthcare
facilities. The company believes in providing them by
taking an innovative approach to achieve business growth
for its clients. It focuses on delivering value, experience,
and growth to all stakeholders, customers, partners, and
consumers while ensuring a healthier life for generations. In
the long haul, the company aims to create a smooth
interaction between healthcare practitioners and patients
that will result in raising the bar of standard patient care
acrosstheworld.
SoftClinic a Well Known Global Brand in the APAC
Region
As per the latest reports, the APAC region is one of the
fastest-growing regions in the EMR-EHR market.
Presently, the market is growing at 7.7% CAGR and is
expected to grow up to 3.6 billion by 2023. Presently, the
healthcare practitioners have realized the need to maintain
and access these records and hence the demand for
established EMR-EHR software is at all-time high in this
region. Acknowledging this demand, SoftClinic is one of
the top key players in the EMR software market of the
APAC region. Today, JVS Group has more than 18,000
physicians using its product while SoftClinic has more than
4 million registered patients across 35 countries, mainly
coming from India, Africa, the Middle East, and Southeast
Asia.
ADynamicSoftwareProvidingModernDay Solution
SoftClinic software is so dynamic that it can be used by
everyone, right from physicians and nursing team at multi-
specialty hospitals to government hospitals, independent
practices, pharmacies, and laboratories. The user-friendly
software can also be used by patients via smartphones. The
multiple products offered by JVS Group are easy-to-use and
also cost-effective which differentiates the leading health
tech company from other competitors. The company
constantly involves itself in developing more relevant
products and services for today as well as for tomorrow. For
this, it makes 35% of total operating expenses on R&D,
allowingthemtothinkaheadoftheothers.
Other than competitors, JVS Group continuously faces
external as well as internal challenges from in and around the
industry. The healthcare IT industry demands people with
technical knowledge of IT as well as functional knowledge
of healthcare. Finding the right combinations of people who
are ready to adapt and learn is one of the challenges faced by
thecompany.
AZealousLeader’s EntrepreneurialJourney
Saket Singhi, the Managing Director of JVS Group
started a dedicated healthcare IT company to address the
needs of healthcare as well as IT in the market. After
Saket Singhi | Managing Director
31businessapac.com September 2019
HEALTH CARE
INNOVATIVE MEDICAL TECHNOLOGIES
Novita Healthcare Limited (ASX: NHL) is an Australian Medical Technology Company listed on the Australian Securities Exchange. Novita’s core focus is
the development of TALI Health and the TALI Technology.
TALI Health Pty Ltd is based in Melbourne, Australia and is made up of a team of neuroscientists, software engineers, game developers and all-round
talented individuals. Our vision is to be a leader in the assessment and treatment of childhood attention difficulties. We aim to assist children in reaching their
full potential by providing engaging training software clinically proven to improve core cognitive performance. Under the leadership of the TALI Health
board of directors, scientific advisory board and Chief Research Officer Dr Hannah Kirk, our team of experts design, develop, and evaluate training exercises
that target core issues in early childhood and academic skills.
Quantum Buzz
34 businessapac.comSeptember 2019
Rises:
Is It Time To A Goodbye?Bid Blockchain
Murmurs are going around on how new
technology is going to take over blockchain's
layers of encryption effortlessly. According to
the study quantum computing may eventually settle the
cryptographic structure of blockchains. However, both
technologies are new and innovative in their features. To
simplify, Blockchain is a platform for performing a
transparent and hassle-free transaction, and quantum
computing is the next-generation computing machine which
will make the work more fast and easy.
Quantum computing: A threat for Blockchain?
Quantum computing includes quantum mechanical theory
to speed up quantum computers ability to solve complex
mathematical equations in a fraction of time which classic
computers would take a lot of time. Classical computers
(regular computers) rely on binary bits that range in one of
two states, 1 and 0, whereas, quantum computers use
quantum bits or qubits. The state of superposition, which is
necessary to perform calculations is hard to achieve and
also difficult to maintain. Physicists use laser and
microwaves to put qubits in the working state and then
make use of an array of techniques to preserve it from
fluctuations. Current quantum computers are not accurately
errored free due to the instability of working conditions
which disintegrates in a process called decoherence before
most operations can be executed.
Quantum computational power is determined by how many
qubits a machine can simultaneously control. Quantum
computing makes use of subatomic particles. These
particles will be present in more than one state at one
particular time. This unique feature results in the fast speed
of the machine as compared to that of a regular machine.
They can store a bulk amount of data with lesser
consumption of energy. Quantum processors are million
times faster than the processors we use now. Starting with
just two qubits achieved in the first experiment in the late
1990s, the powerful computer today is operated by Google,
which uses up to 72 qubits.
A mathematical structure designed to secure data through
asymmetric cryptography and the hash function is a
blockchain. If the quantum computing advances then it
would be a threat to blockchain integrity as the quantum
technology in the hands of hackers may primarily target
emerging payment infrastructures including cryptocurrency.
Quantum computers and blockchain
The idea of blockchain's unchangeable nature and
unmatched security is widely accepted. It triggers the
public's trust in digital assets and encourages mass
acceptance. However, the launch of quantum computing
could risk the integrity of public-key cryptography, which is
the backbone of blockchain security.
The range of quantum computers application is vast; the
one most important in the context of blockchain technology
is the capacity to run algorithms much faster than the
existing supercomputers. Among the widely discussed
businessapac.com 35 September 2019
presumed use cases the famous one is Shor's Algorithm for
factor decomposition, which could render many existing
encryption techniques outdated.
More on Shor's Algorithm
Asymmetric cryptography uses multi-digit numbers as
public and private keys and hashes them into a set of
smaller numbers. The proficiency of this system centers on
the fact that the current computer is unable to find the prime
factors of these numbers and crack the algorithm. Shor's
theoretical algorithm is programmed in a way to find prime
factors by reducing the steps it takes, which threatens the
integrity of public and private keys. It is predicted that it
would take a normal computer
340,282,366,920,938,463,463,374,607,431,768,211,456
basic operations to find the private key linked to a public
key while it would take a quantum computer 2,097,152
calculations to crack the private key.
Group of Researchers from the Russian Quantum Center
noted their observation in journal Nature— one possible
risk stems from the fact that blockchain security heavily
depends on one-way mathematical functions (the ones
which are easy to run but challenging to reverse calculate).
These functions are used in generating digital signatures
and validate transactions on the record.
Precautions are better than cure
If a criminal is prepared with a functional quantum device,
he would be able to perform reverse calculations very
faster, which would allow them to forge signatures,
impersonate other users and gain access to digital assets.
The criminal could take over the process of updating the
record and manipulate transaction history.
The researchers advised that the architects of encrypted
systems should start taking precautions against this threat
almost immediately. Replacing conventional digital
signatures with quantum-resistant cryptography is one of
the solutions the researchers suggested. This type of
security measure is specially designed to endure an attack
from a suitably powerful quantum computer. Another
solution, the researches put forth would only be available
with the introduction of a quantum internet, which is yet to
be achieved in future years. This forthcoming wireless
communication architecture, based on a connection
between remote intertwined quantum particles, will unlock
a wealth of new blockchain models and designs.
Blockchain combined with quantum computing
The researchers Del Rajan and Matt Viser from the Victoria
University in New Zealand came up with an idea to
combine quantum computing with blockchain. They
suggested preceding the use of quantum cryptography and
leap straight to making blockchain a quantum-based system
itself. Their model showcases a blockchain-based on qubits
intertwined not just in space but also in real-time. The
attempt to altogether alter the record of transactions,
encoded by the history of a single particle's states over time,
would be impossible without destroying the particle
completely. However, manufacturing this model is
impossible until the quantum internet is introduced.
The solutions provided may be decades away, but a lot of
development in quantum computing and quantum
cryptography is happening right now. The views of the
experts differed on quantum computing being an immediate
threat to the blockchain.
Blockchain community still have time to upgrade their
system which is free from an attack from quantum
computing. The company is working on a private key. The
key generation process is very complicated and makes use
of complex equations. The other solution is to introduce
Private Blockchain. Private Blockchain requires permission
to join the network. The user must be invited to participate
and validate by the network. This will make the system
fool-proof and free from the attack of hackers.
To conclude, these are just the glimpse of both Blockchain
and quantum computing. According to experts, it may take
about five to ten years before quantum computers become a
threat to the blockchain. Other research predicts that it will
take 10,000 qubits to run Shor's Algorithm. Leading
companies like Microsoft, IBM and Google are racing to
achieve the 50 qubit computing capabilities. The most
powerful quantum computer currently is Canadin Firm;
DWave's quantum computer packs 512 qubits of quantum
computing but has a high rate of errors. It will take 20-30
years for quantum computing to achieve 4,000 qubits, with
a long way to go to achieve 10,000 qubits. We still have to
wait for quantum computers to be there up and operating.
Similarly, the developers need to work on Blockchain to
make it safer and away from hackers. Rather than debating
who's best, we must appreciate the updating systems and
take advantage of them.
36 businessapac.comSeptember 2019
Quantum Buzz
www.rch.org.au
The Royal Children's Hospital improves the health and wellbeing of children
and adolescents throughleadership in healthcare, research and education
A Great Children’s Hospital,
Leading The Way
www.gsk.com
usiness
usiness
Advanced EMR-EHR Providers of 2019

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Advanced EMR-EHR Providers of 2019

  • 1. The Business APAC , 2019ADVANCED EMR-EHR PROVIDERS
  • 2. Fortis Hospital 154, 9, Bannerghatta Main Rd, Opposite IIM, Sahyadri Layout, Panduranga Nagar, Bengaluru, Karnataka 560076
  • 3.
  • 4. The EMR and EHR market in Asia-Pacific is estimated to hold USD 2.5 Billion in 2018 and is expected to reach a market size of USD 3.62 Billion in 2023. The EMR- EHR system plays a crucial role in the development of modern healthcare structure, which is posited as efficient and patient-centric. The healthcare technology providers are also rapidly evolving to balance heightened regulatory requirements, soaring healthcare costs, and operational efficiency. Moreover, healthcare providers in APAC are focusing on ways to manage costs by leveraging existing data to identify population segments that are in severe need of services to channelize limited resources accordingly. In the future, EMR-HER solution providers will compete by offering different software packages for developed and developing nations to ensure high-quality patient care. Considering the ongoing progress in this sector, we have featured prominent companies in our latest magazine issue of “The Business APAC Advanced EMR-EHR Providers of 2019”. These leading EMR-EHR providers are contributing to the industry through their innovative approach towards eliminating the current and emerging challenges. Out of these phenomenal organizations, we are privileged to feature Incarnus Technologies on the cover of this magazine. It is a global provider of next-generation, cloud-enabled solutions for all levels of healthcare from primary health practice to large-scale hospital networks. The Co-founders, Seetharam Malur and Prabhakar Annaswamy established Incarnus Technologies with a vision to be the preferred solution provider offering compelling value to healthcare organizations in their chosen geographies. We hope our readers enjoy interesting articles ‘Health Monitor’ and ‘Quantum Buzz’ sections respectively. Happy reading! Advanced Providers 2019
  • 5.
  • 7.
  • 10.
  • 11.
  • 13. ORY At Incarnus, we are passionately committed to delivering the highest consumer value to our global user community by bringing more innovation and newer technologies in this digital age. ADVANCED EMR-EHR PROVIDERS businessapac.com Co-founder & CTO Prabhakar Annaswamy Regional Sales Director Hitesh Kothari September 2019
  • 14. Incarnus Technologies: Meeting Healthcare’s Challenges Today And In The Future With Cloud-Enabled IT Solutions The role and importance of healthcare systems have been widely recognized in the quality of life. With the invention of the latest technological developments, the healthcare industry is catching up with the other leading industries of the world. Today, healthcare providers and institutions are shifting from the traditional system to an automated one so that they can deliver better care. However, they are facing various challenges, which are barricading them from their goals. These challenges include varying healthcare standards and guidelines, different requirements and expectations, working in resource-limited settings and with culturally diverse teams. To overcome these challenges, isIncarnus Technologies offering cutting-edge smart solutions for healthcare providersandinstitutionsthatareinthetransitionphase. ServingaWideRange ofCustomers Headquartered in Singapore, Incarnus Technologies is a global provider of next-generation, cloud-enabled solutions for all levels of healthcare from primary health practice to large-scale hospital networks. The highly skilled and dedicated global team of Incarnus has been working in accordance to their mission, which is divided into four segments: Ÿ Help their customers consistently deliver a better quality ofpatientcare Ÿ Improveprofitabilityandefficiencyoftheircustomers Ÿ To getthebestoutofeveryteammember Ÿ Make it beneficial for all the stakeholders to work with them Since its inception, the global healthcare solutions provider hasbeenservingcustomersacrossMalaysia,Thailand, C O V E R S T O R YADVANCED EMR-EHR PROVIDERS Co-founder & CEO Seetharam Malur businessapac.comSeptember 2019
  • 15. India, and the Middle East. The company offers a suite of solutions that comprehensively enables health organizations to deliver the best patient care practices through effective coordination. At the same time, achieving strategic data-driven decision making and forward planning to optimize workflows and contain costs. These solutions are designed to minimize medical errors, increase physician efficiency, reduce costs, facilitate regulatory compli- ance, and promote standardization of care to build a safer, more convenient wayofmanaginghealthcare. A Stellar Array of Admirable Solutions To achieve its mission of delivering a better quality of patient care consistently, Incarnus has developed some innovative solutions that include , ,Arcus Air ArcusLive EasyRefer DoctorApp,and . Arcus Air: Incarnus’s flagship Arcus Air is a single unified platform that has comprehensive modules for HIS a n d E M R , w h i c h h a s b e e n implemented across various care settings from ambulatory to acute to tertiary care. It is built on a techno- logy stack and framework that allows a high degree of configuration in one go via customizations, form temp- l a t e s , s e c u r i t y, r o l e - b a s e d permissions, user access, etc. As a single unified system, it helps in improving care coordination, minimizing treatment delays and reducing medication errors and test duplication. Arcus Air also supports the patient journey throughout the whole process from admission to discharge. This platform is readily available in Cloud, integrating and managing thousands of concurrent connections across multiple hospi- tals, clinics, and clinicians, with no geographicbarriers. ArcusLive: ArcusLive is a cloud- based HIS and EMR solution. This simple yet powerful platform is suitable for primary care, specialties, and small hospitals and available on monthly or yearly subscriptions. It supports built-in workflows and features for complying with regional requirements such as e-Claim, National ID integration, and Social security integration. This platform covers appointment scheduling, registrations, clinical documentation & EMR, and outpatient billing. The standard reporting combined with dashboards and ad-hoc reporting helps in managing the hospital and patientcareefficiently. EazyRefer: EazyRefer is a digital Referral Management platform for collaboration and communication among patients and healthcare providers, with consent-based Patient Health Information access and management. The platform ensures that individuals can communicate with specialists in real-time.They can also build their own network of specialists and will have access to other global networks of doctors/ providers in the EazyRefer platform. Thisplatformis easytouse,provides At Incarnus, we are advancing the delivery of healthcare information by making it easy to access patient information at the point of patient care. businessapac.com September 2019
  • 16. real-time access from anywhere, discovers and builds the network, and tracks the status. It also offers transparency and better patient care, improves revenues, andsetsup reminders,notifications,andfollow-ups. Doctor App: It is an intuitive application which is dedicated to helping doctors and medical professionals involved in patient treatment and health decisions. Throughthisapp,thedoctorsareabletoobtaincomplete patient information on their fingertips and maximize the efficiency of caregiving. This app extracts details from the doctor’s worklist in Arcus Air HIS and EMR and provisions thisinformationtothedoctoron thego. Co-founding Pair Uplifting Incarnus towards Steady Progress The Co-founders, Seetharam Malur and Prabhakar Annaswamy established Incarnus Technologies with a vision to be the preferred solution provider offering compelling value to healthcare organizations in their chosen geographies. Together, they look after the steady growth andempowermentoftheirteamatIncarnus. Incarnus CEO, Seetharam has 20+ years of experience in health informatics, besides other technology fields such as automobile design, aeronautical design & supply chain management, and education system. Prior to Incarnus, the competent leader had built IdeaObject Software Pvt. Ltd, which created a world-class enterprise healthcare solution that was implemented for more than 300 sites in 6 countries, before it was acquired byTelstraHealth. Incarnus CTO, Prabhakar has 18 years of experience in health informatics, along with the gaming domain where he started his career with HCL. He is a highly innovative person, passionate about product development and enterprise-scale architecture. He also co-founded IdeaObject Software Pvt. Ltd. While working in healthcare IT and in product development for global markets, both Seetharam and Prabhakar gainedvaluableexpertiseandknowledge. According to the dynamic duo, they targeted this sector because they realized that the healthcare IT market would inevitably grow and expand in the APAC region. Backed by their experience and background, the Co- founders decided to venture on their own and build a product based on the latest technology, cloud-hosted, addressing the software as a service market. The result of their efforts, commitment, and passion was the implementationoftheirproduct,ArcusAir. SettingApart fromCompetitors In the healthcare industry, there are various solutions available for healthcare organizations to utilize. So, what makes Incarnus solutions different and unique from the existing ones? The company adopts a unique combination of programming languages, tools, and frameworks, which is based on the cutting-edge technologies such as cloud. For instance, its Arcus Air EMR has been designed by clinicians with advanced features such as CPOE, CDSS, care plan, flow sheets, cumulative view of charts, reports, timelines, and electronic medication administration. With extensive proven experience in international e-Health solutions, Incarnus’ talented team has delivered innovative solutions for better patient care over 300+ locations across 7 countries. This demonstrates how their rapid implementation methodology has been proven in many projectswithsuccessfuloutcomes. Adoption of EMR-EHR Services in the APAC Region Incarnus duo, Seetharam and Prabhakar believe that hospitals and physicians are receptive due to the smartphone, tablet device penetration. Because of the increased awareness of diseases among people and the arrival of mobile platforms, the APAC region is expected to see the highest growth rate in healthcare services. The dynamic duo has witnessed that many countries such as India and Thailand are rapidly becoming medical tourism hubs that attract patients fromwesterncountries.Therefore,theyhave ADVANCED EMR-EHR PROVIDERS C O V E R S T O R Y businessapac.comSeptember 2019
  • 17. established their footprint across 6+ countries and working toexpandinotherareas. Moreover, the APAC region’s healthcare practitioners and hospitals are shifting from the traditional system to EMR. The EMR provides complete and smooth access to health records, which eliminates the waiting time for physical folders and thereby providing physicians with the consultative moment. This system combined with CDS ensures a reduction in medical errors, improved patient safety, and improved quality of care. Hence, most clinics like JCI and HIMSS EMRAM are eager on accreditation to set their norms. Therefore, it becomes an extremely important task to implement EMR for achieving these accreditations. Incarnus duo believes that if they had this information before, they would have achieved a global presence much earlier by building customer-facing teams at multiple locations tohandlehospitalsofthisregionbefore. We are helping our customers deliver better quality patient care and also assisting them to improve pro tability & ef ciency. businessapac.com Co-founder & CTO Prabhakar Annaswamy September 2019
  • 18. Amgen’s Dedication Heart Amgen is dedicated to the fght against heart disease and has now launched Breakaway from Heart Disease™. The collective goal of this national campaign is to help make America’s heart health a priority. Disease
  • 20. The APAC EMR-EHR market is in the growth phase with healthcare providers rapidly moving towards digitization. These healthcare providers are looking for ideal solutions that can fulfill their requirements. Despite such growth, the industry is facing various challenges. According to Girish Mohata, the Founder and CEO of , few pressing challenges faced by industry players ofEasy Clinic EMR- EHR are the lack of standards for clinical data recording and no initiative from the governments to promote the use of EMR. In addition, there is also a practical challenge in terms of representing the differences between a truly enterprise-ready platform vs. a seemingly functional EMR solution. The well-versed leader believes the market is packed with EMR solution providers but only few handpicked of them provide an ROI multiple times over the long term. Therefore, Girish deems Easy Clinic as comprehensive solution that increase the bottom line of the clinic, both in terms of clinical and financial successes. Events That Led To Foundation of Easy Clinic Being a seasoned entrepreneur, Girish decided to pursue career in this industry because of an eventful incident. This incident took place back in the year 2000. At that time, he visited a doctor for a nagging cough. During his visit, he experienced that the registration and billing processes were quite fast. But, after meeting with doctor his views changed. The versatile leader remarks that “If the doctor was using a paper pad, it would have taken him 5 mins at the most to complete the visit, whereas it ended up taking him 15 mins.” He further adds, “As much as I believed in computerisation of records, I never for a moment felt that a computer program should slow its user down. Matter of fact, it should be the opposite.” This experience pushed him to do research on healthcare informatics to better understand the complexities involved in recording clinical data. During the research, Girish pretended to be a patient and used to visit doctors and thereafter also interviewed a few of them. From these visits, he found that data that was meant to be captured was relatively simple, but due to several regulatory and computing challenges seized the doctor’s valuable time. So, the industrious CEO started his journey to create solutions that simplify clinical data recording, handle complex workflows and offer deep dive into the data. Thereby, Easy Clinic is built with a mission to create the most captivating, modern and integrated healthcare software platform to reform healthcare delivery of the future. An Integrated Platform Providing Doctor Friendly EMR Solutions We don't just sell software, we provide solutions, workow enhancements, and a guaranteed ROI. ‘‘ ‘‘ ADVANCED EMR-EHR PROVIDERS 20 businessapac.comSeptember 2019
  • 21. customers and resolves big-to-small issues of customers to deliver a stellar experience. The seasoned team understands that every user is different, so they offer workflow-based training to users of the system, thereby ensuring a 360-degree buy-in from their clients. A User-Friendly Medical Solution The leading medical software provider understands the needs of each client are subtly different. The team of Easy Clinic strives to understand their needs, existing processes, gaps, and benchmarks. Commenting on this statement, the versatile entrepreneur states, “We couple this with our knowledge in the healthcare domain and our technically superior Easy Clinic Enterprise framework to deliver an affordable, result-oriented solution to enhance productivity, profitability and patient care.” To deliver medical solutions on a scale, Easy Clinic has built an award-winning flagship product called ‘Easy Clinic Enterprise’ which is best suited for large clinic chains. This product helps them to streamline clinical and administrative processes to maintain a standard level of care across locations. In addition, it also simplifies their inventory and financial operations and empowers them with exceptional reporting and analytical capabilities to manage and grow their business. APAC EMR-EHR Market Growth Today, numerous studies have shown that the APAC region is expected to show the fastest growth in the EHR market of any region in the world between 2019 and 2025, with a CAGR of approximately 8 percent. According to Girish, the APAC EMR-EHR market is divided into two segments. First, developed nations like Australia, Singapore, Japan using EMR solutions since the 90’s. Second, emerging countries such as India, Malaysia, Indonesia beginning to realize the value of structured clinical data recording using EMR’s. The Founder of Easy Clinic states that there is growing demand across APAC for smart EMR solutions. Therefore, the market is witnessing increase in growth rate of EMR adoptions. A Piece of Advice Being the founder of a leading provider of medical solutions, Girish believes the biggest advice he would like to give himself would be to choose a market selectively and not just based on statistics. Today, Easy Clinic has clients from 18 countries and over 1 million patient records every month is managed by it. “Having said that, we have been lucky to be experienced in the regulatory requirements of various regions across the world together with a deep insight into the core needs of healthcare organizations in those regions,” Easy Clinic Founder Girish. Supplying World-Class Global Standard Healthcare Software Since its inception in 2003, Easy Clinic’s motto is to deliver world-class international standard healthcare software which is simple to use and affordable as well as backed by an exceptionally high level of customer support. For its customers, it is an integrated platform with an extremely simple and flexible EMR module, with care plans, decision support, e-prescribing, CPOE on the medical side. On the administrative side, it offers appointments, financial accounting, insurance claiming, corporate partner tie-ups, descriptive & predictive analytics, data warehousing, inventory, logistics, and pharmacy. Easy Clinic has built its products on 3 engines: workflow, process and automation engines to deliver super-fast, extremely scalable and easy to use medical solutions. Its user interfaces are designed to keep typing to a minimum and most actions are completed using a simple point and click. It believes that customized workflows and user- friendly interfaces enable users to save time, avoid frustration, and prevent errors. The advanced EMR providers’ stores and visualizes data intelligently which enables informed decision making, automates monotonous tasks, prompts on clinical actions, delivers quick and hassle-free accounting. At the same time, it makes a doctor’s day more organized and error-free. Easy Clinic’s biggest strength is its 24/7 customer service. The company assigns dedicated account managers to its 21businessapac.com September 2019
  • 22. &Easy Healthy Healthcare Expenses The health of healthcare has drastically improved in the past two decades. The improvement brought in by science and technology is making it easier for people to get cured much quicker. The global spending on healthcare is projected to increase by a healthy rate of 5.4% from 2017 to 2022 and this might take the healthcare industry which stands 7.724 trillion US dollars to 10.059 trillion US dollars. Though the improvement in medicine and cure technology is great news, the decrease in people’s health is still a giant headache. This is purely due to the lifestyle that we are liv today. The people are less concerned about their physical and mental wellbeing as they abuse their body and mind to get what they want to the point that they breakdown. Though this is good business for the people engaged in healthcare and medicine sector, in the long run, it might not be beneficial for the society. The average spending on healthcare by the family of four was approximately 28,166 dollars for the year 2018 in the US. This is quite a big number and estimated to further increase in the coming years. This is partly due to expensive healthcare solutions and personal negligence. We do not have time for ourselves, the speed and the urgency we show in life give us only pain in the end. Work is important but it should not cost us our health. Solutions To Cut Down 22 businessapac.comSeptember 2019 Health Monitor
  • 24. Small steps but big impact Let’s take a few minutes and breathe in and breathe out and just relax. The following mentioned steps will help you to maintain good health. 1. Bring positivity Sometimes, it is very difficult to think green if we see red all over the world. The negativity does not only surround us but haunts us even in our dreams. We might not change the world but can bring some positive changes in our thought process to make ourselves feel good. It might be slow but the impact will be felt in due course. 2. Eat healthy There was a great catchphrase by Britannia “Eat Healthy Think Better”. Our body needs food to derive energy. But our tongue needs entertainment and we keep falling in the trap of tasty but highly unhealthy and unhygienic food. Listen to your body and eat healthy food always. It will improve the immune system’s capabilities to fight diseases. 3. Push, Pull, and Stretch Yes, do exercise for a few minutes daily. Do what your body and mind can handle. Doing exercise is about getting your mind ready and sometimes it is difficult to convince our mind to do something. It gets even more difficult if an activity involves exercise. Give it a carrot and make small and slow progress. 4. Goodbye and goodnight st The 21 century is probably the most sleep-deprived generation in the history of mankind and mankind had seen a lot that can take away the sleep. At the end of the day, we have to give our due to our body as it needs rest after a grueling day of work. So say goodbye to your phones, tablets, laptops and all your stress and immerse yourself in a deep sleep. Good sleep not only recharges body but also energizes the mind. 5. Keep clean and maintain hygiene around Keep your home and environment clean and accommodate hygienic habits. It will prevent you from many contagious diseases like malaria, dengue, and many more. 6. Regular health checkup People should have a regular health checkup. It will give you the right information about your robust outside and delicate insides. It should be done mainly to find any unnecessary changes in the system that might turn into a life-threating disease later. Practices to avoid for the prosper health By involving positive things in life, we have to get rid of negative stuff as well. 1. Abuse of the intoxicating substance Smoking and drinking is a personal choice. But excessive smoking and drinking damages the body permanently. If we can avoid it, our health might not suffer that much. 2. Cut down caffeine The working-class people consume a ridiculous amount of caffeine in a day. It might keep you awake and fresh. However, the aftereffect of extra caffeine in the system is that it does not allow the body to relax properly. 3. Skipping meals People skip timely meals due to the pressure of work. It might work for your job but health will be compromised. So take food on time and drink enough water to digest it well. If health is lost money can’t bring it back. 4. Avoid sugar, sodium, and cholesterol Try to cook food in healthy oil or try to avoid oil sometimes. Consume less sugar and salt. It will bring down the possibility of diabetes, high blood pressure, and heart attacks. These three diseases are the major concern around the world at this point in time. 5. Stop being your own doctor If you are not a certified physician, then stop self- diagnosis and avoid using medical drugs without any professional consultation. It might feel right at the moment but in the long run, the consequences can be grave. It’s all in our own hand Like our fate, our health is in our hands too. It is really unfortunate to see people succumb to diseases before their time. The above measures and preventions might not cure all the diseases but it will sure make us strong physically and mentally. Timely prevention can bring down unnecessary expenses on healthcare and we could stop a small itch before it can become an epidemic. As the Arabian proverb suggests, “He who has health has hope, and he who has hope has everything”, we need to bring back our good health to have hope for the future. 24 businessapac.comSeptember 2019 Health Monitor
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  • 28. Though information and communication technologies offer the opportunity for tremendous innovation, technology has come late to healthcare delivery. Current estimates indicate that preventable medical errors are the third leading cause of death in the United States. Electronic medical records (EMR) can help correct this systematic error. Relatedly, the cultural gap between healthcare specialists and technology specialists needs to be bridged. EMRs improve patient safety by requiring computer-based physician orders that eliminate illegible handwriting and misinterpreted verbal orders. The safety features, delivered through the EMR, are now in common practice. EMR is serving as a platform for innovation and creativity. Progressive and tech-savvy provider industries are advancing the frontier of ensuring medical quality. One such leading advanced EMR-EHR provider company is .iPatientCare iPatientCare is a full collection of innovative healthcare products and value-added services that help physician offices, rural health clinics, and community/federally qualified health centers (CHC/FQHC) nationwide in improving the health of their patients, enhancing patient care through care management/coordination/analytics, and reducing costs of care delivery. Services proved to deliver outcomes beyond expectations The APAC region operations started a couple of years ago, and the users successfully adopted iPatientCare products. The firm noticed that the healthcare practitioners and hospitals were responding the same as the US clients. The rapid growth in the APAC region is due to the integrated services platform. The platform provides a collection of services such as built-in management, population health management, analytics, ePrescribing System, electronic interface to any HL7 compliant lab and radiology systems, Document Imaging & Management. It also includes a bunch of integrated services like integrated practice management system and integrated Patient Portal. In addition to other services, the most popular services are mHealth based patient suite, provider-to-provider referral tracking, miEHR on iPhone mobile, miPatientCare on iPad tablets, and ready dual coding features. These services cater to numerous small/medium/large practices, hospital/health systems, rural health clinics, and high profile customers, such as the US Army and NASA Space Medicine. The award-winning EHR, integrated practice solutions and value-added services, such as the revenue cycle enhancement and quality improvement consulting, provide everything one needs to control the practice operations, increase revenues, and provide better patient care. Innovating Patient Care Through Digital Transformation We are a group of committed technologists and physicians who sincerely believe in empowering healthcare practitioners to provide better care to their patients and improve their health. iPatientCare: ‘‘ ‘‘ ADVANCED EMR-EHR PROVIDERS 28 businessapac.comSeptember 2019
  • 29. Management Solution. iPatientCare EHR – version 18.0, has received 2015 Edition ONC Health IT certification by Drummond Group, an Office of the National Coordinator-Authorized Certification Body (ONC-ACB). In 2016, iPatientCare received Surescripts’ 2016 White Coat of Quality Award for testing overall highest standards of quality in e- prescribing. As part of its MACRA-ready solutions, iPatientCare has been recognized as a qualified MACRA- MIPS registry by CMS and has a distinguished credit of being selected as preferred medical billing software. Using Experience for the Endeavouring Growth Udayan Mandavia, Chief Growth Officer at AssureCare LLC is a very passionate and restless technologists who understand the business needs of healthcare in the US and globally. While serving for the United States Army through the company’s mobile computing solutions, he came across policy-makers and Medicare/Medicaid administrators who introduced iPatientCare to the challenges of managing chronic conditions of hypertension, diabetes, cardiovascular diseases, etc. All these conditions had a significant impact on the quality of lives of the patients and their families. Udayan believed that as a leader the market is quite fragmented and difficult to progress. The firm together decided to evolve a pro-active clinical decision support system that was founded on the patient’s longitudinal health record. His main objectives are to evolve innovative and disruptive technology solutions that help to improve the health of the patient population, enhance patient care, and reduce per capita costs. Udayan is ruthlessly focused on customers and their needs and priorities. Before being a part of the AssureCare team, Udayan worked as a CEO at iPatientCare Inc, which is an AssureCare product now. He is in the business for close to three decades now and believes the business should spread globally but serve locally. As a leader, he considers recruiting and retaining smart people with high integrity can contribute to the growth of the company. Empowering the healthcare industry iPatientCare team aims to empower healthcare practitioners and hospitals/clinics to improve the health of their patients, provide efficient and enhanced patient care, and deliver better population health management outcomes at reduced costs through cloud-based EHR and integrated Clinic/hospital management and patient engagement solutions. The Amenities that set iPatientCare Apart from Others A greater and seamless flow of information within a digital healthcare infrastructure, created by EHR, encompasses and leverages technology and can transform the way care is delivered and compensated. The technology used by the iPatientCare platform is Cloud/Web-based; it comprises of Microsoft.net framework and is powered by SQL Server. The updated benefits of healthcare can only be available to practitioners if the provided solutions are affordable. iPatientCare platform’s Pay-per-use Pricing Model with cloud/web-based hosting included, makes iPatientCare application extremely competitive and affordable for healthcare practitioners. Considering the organizational bandwidth, the firm has been profitable from day one and has grown organically and strategic partnerships. iPatientCare has also developed a software ground up and has magnificently supported and implemented by over 100,000 users globally in the span of 20 years. Significant accomplishments by iPatientCare There are many challenges companies face while delivering ever-evolving superior healthcare IT solutions, yet iPatientCare has managed to clamp more than 100,000 users globally. It is the first vendor to offer EHR on a handheld device and the first to offer a SaaS-based EHR product. Numerous Regional Extension Centers (RECs), hospitals/health systems and academies have selected the firm as a preferred Unified – EHR and Practice 29businessapac.com September 2019
  • 30. The healthcare IT industry is one of the most dynamic industry in the global economy. Currently, there are numerous emerging start-up companies coming up with innovation-fuelled and creativity-driven solutions that are designed and developed to cater to the rising demands of the modern healthcare industry. Today, what this overcrowded and solutions packed industry needs is a simple-to-use solution with standardization of healthcare data elements. This is because there is a huge amount of data generated on a daily basis but maintaining it by conventional methods becomes a very daunting and high-maintenance tasktobeperformedmanually. Such a modern but simple solution is provided by . JVS GroupJVS Group was founded in 1992, New York, USA with a rationale to aid physicians around the world to manage their Electronic Medical Records (EMRs).At present, JVS is headquartered in Ahmedabad, India and is one of the leading company in the healthcare IT industry. The primary focus of the company is to provide customized hospital management software solutions for all the healthcare providers such as all size of Hospital, Clinics&CommunityCareCentres. SoftClinic:JVS Group’s FlagshipProduct Decision making plays an important role in the healthcare industry. But, during now or never situations, assistance from softwares would help to reduce the time taken in decision making processes. Such assistance is provided by SoftClinic; an intelligent hospital management software created by JVS Group. SoftClinic assists healthcare facilities in gathering, organizing, analyzing, and managing health data of patients and financial data of the organizations. Some of the unique features about the software are: Firstly, it complies with various international standards such as HIPAA, HL7, and ICD-10 and secondly, it is a cloud-ready and mobile- readysolution. SoftClinic is designed in such a manner that irrespective of the scalability of the modules, it suits the requirements of all the organizations whether it’s a single physician practice or large corporate hospital with more than 500 beds. With just a few clicks, the physicians are able to complete the digital health recording because of SoftClinic’s predefined templates with variousstandardmedicalconditions. Connecting GenX Patients With Physicians Through Tech Enabled Healthcare Solutions At JVS Group, we believe in providing EMR & EHR for GenX Physicians & GenX Patients. JVS Group: ‘‘ ‘‘ ADVANCED EMR-EHR PROVIDERS 30 businessapac.comSeptember 2019
  • 31. completing his college, he received a requirement to develop a software for a renowned cardiologist who could not find readily available solution. There were many similar incidents that happened throughout his journey, making him aware of how the IT industry was growing worldwide. Moreover, he also noticed that the healthcare industry was underserved market and it required people who could understand both healthcare as well as IT. In a significant way,theseincidencesledhimtoestablishhiscompany. To Saket, these industry insights came after years of working in the healthcare IT sector. Revealing one piece of advice which he would like to give his younger self, Saket asserts, “One should create a team of proactive leaders very early in his entrepreneurial journey. I would have given that pieceofadvicetomy youngerself.” ASmooth HealthcareExperience JVS Group’s mission is to develop software solutions which are quality driven and affordable for the global healthcare facilities. The company believes in providing them by taking an innovative approach to achieve business growth for its clients. It focuses on delivering value, experience, and growth to all stakeholders, customers, partners, and consumers while ensuring a healthier life for generations. In the long haul, the company aims to create a smooth interaction between healthcare practitioners and patients that will result in raising the bar of standard patient care acrosstheworld. SoftClinic a Well Known Global Brand in the APAC Region As per the latest reports, the APAC region is one of the fastest-growing regions in the EMR-EHR market. Presently, the market is growing at 7.7% CAGR and is expected to grow up to 3.6 billion by 2023. Presently, the healthcare practitioners have realized the need to maintain and access these records and hence the demand for established EMR-EHR software is at all-time high in this region. Acknowledging this demand, SoftClinic is one of the top key players in the EMR software market of the APAC region. Today, JVS Group has more than 18,000 physicians using its product while SoftClinic has more than 4 million registered patients across 35 countries, mainly coming from India, Africa, the Middle East, and Southeast Asia. ADynamicSoftwareProvidingModernDay Solution SoftClinic software is so dynamic that it can be used by everyone, right from physicians and nursing team at multi- specialty hospitals to government hospitals, independent practices, pharmacies, and laboratories. The user-friendly software can also be used by patients via smartphones. The multiple products offered by JVS Group are easy-to-use and also cost-effective which differentiates the leading health tech company from other competitors. The company constantly involves itself in developing more relevant products and services for today as well as for tomorrow. For this, it makes 35% of total operating expenses on R&D, allowingthemtothinkaheadoftheothers. Other than competitors, JVS Group continuously faces external as well as internal challenges from in and around the industry. The healthcare IT industry demands people with technical knowledge of IT as well as functional knowledge of healthcare. Finding the right combinations of people who are ready to adapt and learn is one of the challenges faced by thecompany. AZealousLeader’s EntrepreneurialJourney Saket Singhi, the Managing Director of JVS Group started a dedicated healthcare IT company to address the needs of healthcare as well as IT in the market. After Saket Singhi | Managing Director 31businessapac.com September 2019
  • 32. HEALTH CARE INNOVATIVE MEDICAL TECHNOLOGIES Novita Healthcare Limited (ASX: NHL) is an Australian Medical Technology Company listed on the Australian Securities Exchange. Novita’s core focus is the development of TALI Health and the TALI Technology. TALI Health Pty Ltd is based in Melbourne, Australia and is made up of a team of neuroscientists, software engineers, game developers and all-round talented individuals. Our vision is to be a leader in the assessment and treatment of childhood attention difficulties. We aim to assist children in reaching their full potential by providing engaging training software clinically proven to improve core cognitive performance. Under the leadership of the TALI Health board of directors, scientific advisory board and Chief Research Officer Dr Hannah Kirk, our team of experts design, develop, and evaluate training exercises that target core issues in early childhood and academic skills.
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  • 35. Rises: Is It Time To A Goodbye?Bid Blockchain Murmurs are going around on how new technology is going to take over blockchain's layers of encryption effortlessly. According to the study quantum computing may eventually settle the cryptographic structure of blockchains. However, both technologies are new and innovative in their features. To simplify, Blockchain is a platform for performing a transparent and hassle-free transaction, and quantum computing is the next-generation computing machine which will make the work more fast and easy. Quantum computing: A threat for Blockchain? Quantum computing includes quantum mechanical theory to speed up quantum computers ability to solve complex mathematical equations in a fraction of time which classic computers would take a lot of time. Classical computers (regular computers) rely on binary bits that range in one of two states, 1 and 0, whereas, quantum computers use quantum bits or qubits. The state of superposition, which is necessary to perform calculations is hard to achieve and also difficult to maintain. Physicists use laser and microwaves to put qubits in the working state and then make use of an array of techniques to preserve it from fluctuations. Current quantum computers are not accurately errored free due to the instability of working conditions which disintegrates in a process called decoherence before most operations can be executed. Quantum computational power is determined by how many qubits a machine can simultaneously control. Quantum computing makes use of subatomic particles. These particles will be present in more than one state at one particular time. This unique feature results in the fast speed of the machine as compared to that of a regular machine. They can store a bulk amount of data with lesser consumption of energy. Quantum processors are million times faster than the processors we use now. Starting with just two qubits achieved in the first experiment in the late 1990s, the powerful computer today is operated by Google, which uses up to 72 qubits. A mathematical structure designed to secure data through asymmetric cryptography and the hash function is a blockchain. If the quantum computing advances then it would be a threat to blockchain integrity as the quantum technology in the hands of hackers may primarily target emerging payment infrastructures including cryptocurrency. Quantum computers and blockchain The idea of blockchain's unchangeable nature and unmatched security is widely accepted. It triggers the public's trust in digital assets and encourages mass acceptance. However, the launch of quantum computing could risk the integrity of public-key cryptography, which is the backbone of blockchain security. The range of quantum computers application is vast; the one most important in the context of blockchain technology is the capacity to run algorithms much faster than the existing supercomputers. Among the widely discussed businessapac.com 35 September 2019
  • 36. presumed use cases the famous one is Shor's Algorithm for factor decomposition, which could render many existing encryption techniques outdated. More on Shor's Algorithm Asymmetric cryptography uses multi-digit numbers as public and private keys and hashes them into a set of smaller numbers. The proficiency of this system centers on the fact that the current computer is unable to find the prime factors of these numbers and crack the algorithm. Shor's theoretical algorithm is programmed in a way to find prime factors by reducing the steps it takes, which threatens the integrity of public and private keys. It is predicted that it would take a normal computer 340,282,366,920,938,463,463,374,607,431,768,211,456 basic operations to find the private key linked to a public key while it would take a quantum computer 2,097,152 calculations to crack the private key. Group of Researchers from the Russian Quantum Center noted their observation in journal Nature— one possible risk stems from the fact that blockchain security heavily depends on one-way mathematical functions (the ones which are easy to run but challenging to reverse calculate). These functions are used in generating digital signatures and validate transactions on the record. Precautions are better than cure If a criminal is prepared with a functional quantum device, he would be able to perform reverse calculations very faster, which would allow them to forge signatures, impersonate other users and gain access to digital assets. The criminal could take over the process of updating the record and manipulate transaction history. The researchers advised that the architects of encrypted systems should start taking precautions against this threat almost immediately. Replacing conventional digital signatures with quantum-resistant cryptography is one of the solutions the researchers suggested. This type of security measure is specially designed to endure an attack from a suitably powerful quantum computer. Another solution, the researches put forth would only be available with the introduction of a quantum internet, which is yet to be achieved in future years. This forthcoming wireless communication architecture, based on a connection between remote intertwined quantum particles, will unlock a wealth of new blockchain models and designs. Blockchain combined with quantum computing The researchers Del Rajan and Matt Viser from the Victoria University in New Zealand came up with an idea to combine quantum computing with blockchain. They suggested preceding the use of quantum cryptography and leap straight to making blockchain a quantum-based system itself. Their model showcases a blockchain-based on qubits intertwined not just in space but also in real-time. The attempt to altogether alter the record of transactions, encoded by the history of a single particle's states over time, would be impossible without destroying the particle completely. However, manufacturing this model is impossible until the quantum internet is introduced. The solutions provided may be decades away, but a lot of development in quantum computing and quantum cryptography is happening right now. The views of the experts differed on quantum computing being an immediate threat to the blockchain. Blockchain community still have time to upgrade their system which is free from an attack from quantum computing. The company is working on a private key. The key generation process is very complicated and makes use of complex equations. The other solution is to introduce Private Blockchain. Private Blockchain requires permission to join the network. The user must be invited to participate and validate by the network. This will make the system fool-proof and free from the attack of hackers. To conclude, these are just the glimpse of both Blockchain and quantum computing. According to experts, it may take about five to ten years before quantum computers become a threat to the blockchain. Other research predicts that it will take 10,000 qubits to run Shor's Algorithm. Leading companies like Microsoft, IBM and Google are racing to achieve the 50 qubit computing capabilities. The most powerful quantum computer currently is Canadin Firm; DWave's quantum computer packs 512 qubits of quantum computing but has a high rate of errors. It will take 20-30 years for quantum computing to achieve 4,000 qubits, with a long way to go to achieve 10,000 qubits. We still have to wait for quantum computers to be there up and operating. Similarly, the developers need to work on Blockchain to make it safer and away from hackers. Rather than debating who's best, we must appreciate the updating systems and take advantage of them. 36 businessapac.comSeptember 2019 Quantum Buzz
  • 37. www.rch.org.au The Royal Children's Hospital improves the health and wellbeing of children and adolescents throughleadership in healthcare, research and education A Great Children’s Hospital, Leading The Way