3rd Healthcare IT India Summit - 2015

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Healthcare - Going ForwardSpecial Keynote Address

Rajendra Pratap Gupta Chairman

Personal Connected Health Alliance – India

&

President & Board Member Disease Management Association of

India (DMAI)

© Rajendra Pratap Gupta . Email: [email protected]

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NGOs

2© Rajendra Pratap Gupta . Email: [email protected]

G2C

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20th C

2000

Focus on Communicable diseases

Focus on Hygiene & Sanitation

19th C

Focus on NCDs & Rural Health21st

C


Changing Goal Posts ..

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Under the Influence of…

SAP – Opening up Sectors

SPRS – Opening up Sectors

WHO / UN / World Bank - ( 1 $ = 1 vote)


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A new beginning .. Government with a majority

Policies written by an ordinary Indian like YOU

No one can dictate us now The end of adhocism A planned / institutionalized

approach


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What to expect in the next 5 years


The Road Ahead ..

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eHealth…..Journey so far

©Rajendra Pratap Gupta . Email: [email protected]

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• 1996 – First deployment – HIS by CDAC @SGPGIMS

• 1999 - Indigenous Development of Telemedicine Technology & Deployments by DeitY, MCIT, Govt. of India @ AIIMS, New Delhi; PGIMER, Chandigarh; & SGPGIMS, Lucknow.

• 2000 – Satellite based Telemedicine Deployment by ISRO @ Aragonda

• 2001 – First Telemedicine network between AIIMS, New Delhi – PGI, Chandigarh- SGPGI, Lucknow.

Evolution of eHealth in India


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• 2003 -04 - Deployment of SATCOM based TM nodes across the country by ISRO

• 2005 - Task force on Telemedicine by MOHFW.

• 2006 – Planning Commission approves budget for eHealth

• 2006 – In the 11th FYP, School of Telemedicine & Biomedical Informatics (STBI) set up at SGPGIMS



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• 2006 – PHFI was asked to set up Healthy India website by MOHFW

• 2007- STBI @SGPGIMS was made the National Resource Centre for Telemedicine & Biomedical Informatics by DietY

• 2007 – MOHFW supported Tele-opthalmology project

• 2007 – MOHFW supported the Onco-NET project



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• 2009 – MOHFW supported National Rural TM Network to start pilots projects in Telemedicine

• 2010 – National Medicine College Network Project conceived

• 2010 – SGPGIMS made National Resource Centre for Telemedicine by MOHFW

• 2010 – MCTS launched by MOHFW



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• 2012 – EMR/EHR Standards by MOHFW

• 2013 – NMCN initiated

• 2013 – MCIT initiative of NOFN to provide high speed bandwith connectivity to every Gram Panchayat (2,50,000).

• 2014 – National Health Portal was launched www.nhp.gov.in



http://www.nhp.gov.in/

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• GOI has established NKN , a state-of-the-art multi-gigabit Pan-India network backbone for all knowledge related institutions in the country.

• NKN has already connected 831 institutions, including 151 medical institutions

• SWAN – State Wide Area Network by GOI to enable states to have bandwith connectivity of 2 – 10 MBPS till the block level.



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• BBNL, a SPV for the NOFN project has started 3 pilot projects under NOFN in 3 blocks, covering 58 Gram Panchayats, in 3 states – Arian Block, Ajmer (Rajasthan); Parvada, Visakhapatnam (AP) & Panisagar ( Tripura). TM centre in each block is connected with a medical college

• Regional Resource Centres (RRC) – SGPGIMS, Lucknow is the RCC for UP, Bihar , Jharkhand , WB, Odisha , Andaman & Nicobar Islands



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• PGIMER, Chandigarh is the RRC for J&K, Punjab, Chandigarh, Haryana & HP.

• KEM, Mumbai is the RRC for Maharashtra, Gujarat, Goa , Daman & DIU , Dadra & Nagar Haveli

• AIIMS, Delhi is the RRC for Uttarakhand, Delhi, MP, Chhattisgarh & Rajasthan

• JIPMER is the RRC for AP, Tamil Nadu, Karnataka, Kerala and Puducherry



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• NEIGRHIMS is the RRC for Assam, Meghalaya, Tripura, Manipur, Sikkim , Arunachal Pradesh , Nagaland & Mizoram

• Gujarat , Maharashtra , Odisha and Uttarakhand are using PPPs in Telemedicine

• 108 is a success story for a scalable project

• Tele-radiology , Tele-opthalmology, MCTS & Emergency response services are success stories in eHealth



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• MEA, GOI has initiated two projects 1) Pan-African e-Network Project 2) SAARC e-Network Tele-Medicine Project

• There are about 35 projects / initiatives funded by IFI’s like World Bank, USAID & BMGF

• There are more than 40 Private Sector Projects

• Shankara Nethralaya, L V Prasad Eye Institute & Aravind Eye Care system are the best examples of Telemedicine backed hospital networks



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Time for action…..


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• Setting up of IHIN vide GO no. R-14012/16/2014-E-Gov , Government of India , Deptt. Of Health and Family Welfare – eGov Division; 6th Jan, 2015

• Setting up of NeHA ( National eHealth Authority)

• IOT Policy

• RSBY has moved to the MOHFW W.E.F 01st April’15

• TEC, Min of IT & BIS working on the standards

Action has begun …


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Opportunity is mind boggling

• Digital Health record

• Health Exchange

• Patient Portals

• Telemedicine / mHealth / wearable devices / POCD

• Home healthcare / geriatric care / Chronic disease management

• Big Data & Analytics

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• SC(148k+) + PHC(23k+) + CHC(4.8k+) - 177248

• Sub divisional hospitals - 985

• District hospitals – 613

• Total number of hospitals & dispensaries - 35415

• ESIC - 2000

• ECHS > 400

• Railways & other PSUs


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• 1.22 billion users

• Universal Healthcare

• Corporate hospitals >200 beds - 425

• Single specialty hospitals - 660

• Tier 1 Private hospitals 100-200 beds - 2125


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• Tier 2 private hospitals 30-100 beds - 4250

• Nursing homes < 30 beds – 3750

• Clinics 0-1 beds - 2,00,000

• Standalone doctors – 1.5 million+ ( Allopathy + AYUSH)

• Nurses - 2.1 million

• Diagnostics centers - 40,000

• Smart cities


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Chronic Diseases / Risks 2011

Diabetes 65 million

CVD 64 million

Cancer 12.7 million

Hypertension 100+ million

Obesity incidence 60 million

Tuberculosis 2.2 million


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Words of caution

• We need to gather clinical evidence in support of HCIT & Patient care / outcomes

• Move from the ROI to VOI approach

• Learn to restrain when dealing with the Government

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“For the first time in many decades , the Government

has made the right moves, and it is upon us to work

together to transform these

ideas into reality”

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Thank You !

Rajendra Pratap Gupta Email : [email protected]


mailto:[email protected]

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• Views presented are personal

• Presenter is associated healthcare organizations across USA, Europe , U.K. & India .

• The figures and studies are indicative & for representational purpose only Utmost care has been taken to quote the data. Any inadvertent error is regretted .

• Quotes used in the presentation are coined specially for this presentation & are copyrighted by the author & presenter. Do not use any quote without the written consent of the author

• The presentation has used many resources and acknowledges the contributors with appreciation and thanks . Some of the trade names / marks (if used ) may belong to third parties , and have been quoted just for the sake of information to the audience

• Please do not copy or reproduce in whole or part thereof, the contents of this presentation without the written permission from the presenter .

Disclosures & Acknowledgements


Health & Medicine

3rd Healthcare IT India Summit - 2015