Urban-

Rural

Divide

Lack of

Last Mile

Access

Lack of

Organized

Delivery

Quality

of Care

Silos

Awareness Patient

Safety

Lack of

Skilled

Workforce

High

Cost/

Affordability

Standards

Efficiency

The Indian Healthcare Jigsaw

“An Equitable,

Sustainable, Quality

Healthcare for One

Billion People”

Technology-driven Healthcare Transformation

How Can We Achieve…

K. GANAPATHY, APOLLO TELEMEDIICNE NETWORKING FOUNDATION

Traditional Healthcare Delivery Model

The Patient Community - Bottom of the pile!!

3°

HealthCare

2°

HealthCare

1°

HealthCare

Teaching Hospitals

Regional Hospitals

District General Hospitals

General Practitioners

Unchanged for 6000 years - circa 3000 BC!

The wellness paradigm

PRIMARY TELERADIOLOGYPRIMARY TELERADIOLOGY

AND TELEPATHOLOGYAND TELEPATHOLOGY

eHealth &eHealth &

TelemedicineTelemedicine

Clusters of SpecialistsClusters of Specialists

global spread &global spread &

universal accessuniversal access

Allied HealthCare Professionals

Primary HealthCarePrimary HealthCare

The ‘Super’ Primary Care PhysicianThe ‘Super’ Primary Care Physician

CommunityHospitals

(Acute)

CommunityHospitals(Non-acute)

Freestanding Diagnostic

Centres

HomeCare

HealthKiosks

DayCareSurgery

MaternityAcute

Trauma

??

Direct Access to specialistsDirect Access to specialistsWWWWWW IDTVIDTV IDTVIDTV WWWWWW

The Informed Wired upInformed Wired up Citizen Community

CC--HealthHealth

Future Health System TransformationFuture Health System Transformation

eHealth: another Buzzword?

Access to

Affordable

Quality Care

• ↑ Costs• ↑ Burden• ↑ Quality

Healthcare Trends

Leverage the patient

Society will want patients to

take responsibility for their care

Patient demands more involvement

in decision making process

Move health out of hospital

& doctor’s office to home, car, office, grocery

HealthCare Industry by tradition extremely CONSERVATIVE

• Toward Patients• Increased patient responsibility and power

• Toward Prediction• From post-symptomatic diagnosis to pre-

symptomatic screening • Genomic revolution and molecular imaging

• Clinical Convergence• Diagnostic tests (in-vivo and in-vitro) • Diagnosis linked to therapy • Convergence of pharma and diagnostic industries

• Productivity Driven• Payors demand rigorous cost/benefit analysis and

health technology assessments

• Information Driven• Integrated, accessible, personalized and actionable

patient information

Technology Trends

Winning in the Flat World Wellness Management ↓ Health care Costs

Medication, Diet, Nutrition Compliance & Life Style Improvement

Patient Safety, Education, Enablement, Counseling, Healthcare Forums

Streamlining & Standardizing Processes

Developing a Road Map in Change Management in Healthcare

Isolation of Information – a major issue

2010 IT in Medicine:Cloud Computing

Integrated, Multi-directional, web-accessible portal

Insurance

Drug Manufacture

Pharmacy

Patient

Doctor

Hospital

1. Doctor prescribes a medicine,2. Insurance approves it.3. Pharmacy keeps it ready for..4. Delivery or pick-up.5. Patient gets Drug Schedule Alert on Phone.

1. Patient takes her own Blood pressure using BP equipment with USB drive.

2. BP Device – USB- Cell phone.3. Doctor looks at the 15 day data on her Cell-phone.

Changes Dose.4. Patient gets Drug Change Alert at next schedule.

Virtual Reality as a Training Tool

Digital Healthcare Eco SystemmPHR, Wellness, Triage,

TeleConsulting,

TeleMedicine

mPrescription

Doc on Call

Remote Monitoring

Drug Enclclopedia

Drug Interaction

mDashboard

mASHA

mPandemic

Healthcare Education

Emergency Response

mPharma

mInsurance

mDiagnostic

mHIS

Emergency Response

mVLT

Patient

Doctor

Nurse

HospitalDiagnostic Lab

Insurance

Pharma

Government

Pregnancy

Infancy

Childhood

Adulthood

Old Age

Next Gen

Telemedicine

MMU

National ERCMobile Healthcare

Platform

HealthNet

Database

and Analytics

Next Gen

Drug

Database

Triage, WellnessCommand and

Control Center

Value Propositions• Solution

– Real time Alerts

– Management Dashboards

– Trends & Predictive Analysis

– Analytics

• Benefits– Connect all Hospitals to one centralized system

– Monitor Key business parameters online

– Anytime anywhere access for decision makers

– Improves Operational efficiency by up to 30%

…Information at your fingertips…

From Intervention to Early Detection

P4 medicinePredictiveScience is making it possible for doctors to make accurate predictions about anindividual's future health through an in-depth analysis of his current health data.

PersonalizedThese predictions, which pertain uniquely to the individual, can allow him to get acurrent update on the his/her health.

PreventiveThe possible risks can then be addressed medically, in advance, as the role ofmedicine changes from treating disease to maintaining wellness.

ParticipatoryAll this allows an individual to participate in his own health, modify his behaviourand lifestyle, and acquire control over his future health.

Molecular Analysis• Assay development• DNA Enzymology• Molecular biology

Information Technology• Biology, disease, clinical models• Biostatistics – genomic, proteomic• Decision support tools

Pharmaceutical Solutions• Antibodies, proteins, nucleotides• Synthetic organic chemistry• Diagnostics biomarkers•Pharmacogenetics

Imaging and Intervention• Imaging agent discovery• Agent efficacy• Biodistribution•Stem Cells

Alternate systems of medicine

And finally……….

Hyderabad DataCenterCommunication modalities

TSC : Telemedicine Specialist Center

TCC : Telemedicine Consulting Center

TSC and TCC Consultation Workflow: ISDN / Broadband

Telemedicine DB server

CUCM cluster

CUP cluster

Internet/ VPN Router

ArchiveServers

Application Server

EMR

Apollo Hospital - Chennai

Port BlairGuwahati

Burdwan

Siliguri

Durgapur

Network

Data Centre

Apollo Chennai Apollo, Delhi

Apollo Bangalore

Apollo KolkattaApollo Hyderabad

Remote peripheral ICU 1

Remote peripheral ICU 15

Remote

peripheral ICU 25

Remote peripheral

ICU 35

mHealth Key DriversmHealthDrivers

Pressure to innovate new approaches to tackle acute & emerging epidemiological & other healthcare challenges

Near ubiquitous presence of mobile connected device technology

The Consumer Appeal of mHealth – Personal, 24x7, Always Handy

Increased IT Adoption by Healthcare Providers

Broader Health Care Industry Reforms

The Rural-Urban Healthcare Divide

Government push for technology-enabled supplementary care delivery for reaching grassroots and masses

Education & Awareness

Mobile devices for care givers

Remote monitoring

Mobile access to HIS & clinical systems

Wellness & prevention

Personal emergency system

Tracking

Tele assessment

Services for Health Professional

Health management

Prevention and wellness

Data collection

The Mobile Phone in Health Care

The Future of Health Care

A Big Thank You

From the Unborn

Today we should not be talking of achieving World class

The world should talk of reaching India class

We have the doyens of medical care & the czars of ICT

but still there is no real Technology in Health Care

Using e Technology we can bridge the Urban Rural Health

Divide & make ( e ) Health a reality in India