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INFOCOM Future Leadership Awards (IFLA) is INDIA's most prestigious paper writing competition for management students across the globe. 6 best student entries from B Schools across the world were selected in IFLA 08-09 by strict screening process. The jury panel included eminent personalities like Mr. Roopen Roy (Managing Director, Deloitte & Touche Consulting India Pvt. Ltd.) and Mr. Ainar Aijala (Global Managing Partner Consulting, Deloitte). The theme of my paper was "Innovative Healthcare in an Integrated Environment". My paper was awarded third prize in IFLA.
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Innovative Healthcare in an Integrated Environment
Arpit MehtaMBA -II
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Agenda
Need
Current System
Innovative Model
Integration of Stakeholders
Benefits
Challenges
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There is a Need!!
Situation 1: Unavailability of Medical Information.
* Jishnu Das and Jeffrey Hammer in “The Quality of Medical Care in India”.
There is a 50% chance of receiving wrong treatment in India because of the unavailability of correct and timely medical information.*
There is a difficulty in accessing medical history of migrating employees outside hometown.
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There is a Need
Situation 2: Lack of Financial Capacity
* National Statistic Survey Organization 2004 quoted from Mr. Gurucharan Das’s article in Times of India dated November 2. 2008.
65% of India’s poor get into debt and 1% fall below the poverty line each year because of illness. *
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There is a Need
Situation 3: Lack of Requisite Data
Government faces problems in designing effective health policies and proper allocation of resources because of lack of requisite data.
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The Current System
In Uttarakhand, an individual’s health information is dispersed throughout different healthcare providers in paper records and in computer systems, that can’t tally with each other. There are 81 hospitals, 274 health centers and 916 dispensaries in the state.
INTEGRATION
What is lacking in the system?
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The Current System
To provide a complete information about the citizen for decision making.
The Data has been collected by the government in 2007 through a Multi Purpose Household Survey.
The data collected included :
Family information (name, age, education, occupation, caste etc),
Property related information, Biometric details.
* Mr. Sanjay Mathur, Task force manager, ITDA, Dept. of IT, Government of Uttarakhand, India.
Central Data Vault (CDV) built up by State Government. *
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Innovative Model
Records of patient’s medical history will be stored categorically inside CDV and can be retrieved as and when needed.
A multipurpose smart card will be issued to each citizen with photos and fingerprints of each of his family members.
Government can take initiative by providing Health insurance to the poor. Time to Time patient information shall be updated in the smart card.
DoctorsDoctors PatientsPatients
PharmacistsPharmacists
Health DepartmentsHealth Departments
InsurersInsurers
Logistics CompaniesLogistics Companies
System
Center Data Vault
Government and Public BodiesGovernment and Public Bodies
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Integration of Stakeholders
Government •Design Policies•Resource Allocation•Budget Allocation•Social Insurance Schemes•Disaster Management
Government •Design Policies•Resource Allocation•Budget Allocation•Social Insurance Schemes•Disaster Management
Doctors and Hospitals• Effective Diagnosis and Treatment.
•Efficient Administration of the Process.
Doctors and Hospitals• Effective Diagnosis and Treatment.
•Efficient Administration of the Process.
Patients• Use of Smart Cards brings Ease and Flexibility in Operations.
•Transparency.•Updated about One’s Health.
Patients• Use of Smart Cards brings Ease and Flexibility in Operations.
•Transparency.•Updated about One’s Health.
PharmacistsCalculate what drugs would be needed and in what quantities.
PharmacistsCalculate what drugs would be needed and in what quantities.
Health DepartmentsNodal bodies implementing the policies of the government.
Health DepartmentsNodal bodies implementing the policies of the government.
Insurers• Better understanding of the risks.
•Designing innovative social insurance schemes.
Insurers• Better understanding of the risks.
•Designing innovative social insurance schemes.
Logistics CompaniesResources like medicines, drugs, medical equipments, beds could be stored and transported as needed.
Logistics CompaniesResources like medicines, drugs, medical equipments, beds could be stored and transported as needed.
SYSTEM
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Implications
Social Implications
The risk of being exposed to wrong medication shall be reduced.
The people at the bottom of the pyramid will now have access to better medical facilities.
The Hospitals will have a better chance to improve the quality of healthcare.
New hospitals will come up because of better understanding of gaps and opportunities.
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Implications
Business Implications
Paperless and Cashless Transactions.
Proper allocation of resources and minimization of wastage.
Telemedicine for remote areas.
Data Mining.
Why Uttarakhand?
Uttarakhand is a small state of India with 13 Districts grouped into three distinct geographical regions
the High mountain region, the Mid-mountain region and the Plain region
Uttarakhand has already created a customer-centric citizen database which integrates multi-purpose citizen information.
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Implementation
PPP Model
The implementation shall be carried out in a phased manner.
Health Department and NGOs could be the nodal agencies.
Enrolling Doctors and Hospitals
Doctors will be a part of the system for better coordination.
Hospitals and doctors will be rated. And only certified hospitals will be allowed to avail the services of this model. This will help build a quality standard for the hospitals aspiring to enroll.
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Challenges
Privacy
There is a social stigma attached with a few diseases in a country like India.
Integration There could be difficulty in getting buy-ins from the stakeholders.
Infrastructure
Proper SLAs with ICT companies will help ensuring optimal infrastructure.
Security
Authentication of the user entityAuthority to accessProtection against theft of Data Security Policies
Database Maintenance
Updating information such as birth/deathMinimizing redundancy. For example: - Arpit Mehta, Mehta Arpit P., Arpit M. etc
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Conclusion
If different stakeholders of the system join hands and take initiatives to overcome all the hurdles, then I believe that we are not very far from developing a better healthcare ecosystem.
Uttarakhand would then be the forerunner in implementing the first alternative model for inclusive healthcare system.
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Thank You
All it takes is one idea to solve an impossible problem
– Robert H. Schuller
