HEALTHCARE DELIVERY SYSTEMS ARE KEY TO A PROSPEROUS INDIA OF THE FUTURE

Innovations in Healthcare Reaching the Unreached

October 23, 2013

A WORKFLOW SOLUTION FOR

ELECTRONIC HEALTH RECORDS

IN RURAL INDIA

Innovations in Healthcare Reaching the Unreached

World of Disparities

Innovations in Healthcare Reaching the Unreached

India A Perspective

India A diverse country rich in culture, people, knowledge

Second Most Populated Country Birth Rate at 20.97/1000 (2011)

Median Age of Indians at 26.5

1.15 Billion people

Death Rate at 7.48/ 1000 (2011)

68.84% Rural and 31.16% Urban Population as per 2011 Census

Projected Population growth in 2020 to 1.331 Billion

Life Expectancy at Birth 67.3 Years

Innovations in Healthcare Reaching the Unreached

Diseases & Mortality

Non-communicable and chronic diseases are the leading causes of death in most of the parts of rural India Based on current trends, it is expected that non communicable diseases (NCD) will account for 73% of deaths and 60% of the global disease burden by 2020 They will also account for a major proportion of disease and deaths in India These deaths are mostly due to heart disease, strokes, diabetes mellitus, cancers and lung diseases.

Innovations in Healthcare Reaching the Unreached

Healthcare Costs & its Impact India is a 100% self-pay market

98% of our patients are spending from their own pocket/savings no medical insurance, no other source of financial support Many patients also take loans to pay

40%70% of Healthcare financed by borrowing

expenditures

are

The devastating impact of TB, asthma, chronic obstructive pulmonary disease (COPD), heart diseases, etc. on individual household is similar, with children having to discontinue schooling and/or take up employment to provide an additional source of income.

People are forced to properties and farms

sell

away

their

Innovations in Healthcare Reaching the Unreached

India - Current Challenges Lack of Hospitals and Doctors Inadequate Infrastructure and Communication Networks Patient data is not collected, stored and shared Lack of Doctors willing to work in Rural Areas Lack of Mass Disease Surveillance Methods

Innovations in Healthcare Reaching the Unreached

US Healthcare Reforms & CHCs

USA - Health Care Reform and Primary Care The Growing Importance of the Community Health Center
Eli Y. Adashi, M.D., H. Jack Geiger, M.D., and Michael D. Fine, M.D

CHCs are running well, but many challenges Cost of sustenance Increasing number of Uninsured Scarcity of Care Providers Difficulty in getting specialists

Similar problems faced by Emerging Countries as well

Innovations in Healthcare Reaching the Unreached

Innovations in Healthcare Delivery Healthcare Processes / Delivery

Application of Information Technology? Specific Interventions?

Healthcare Financing

Insurance Schemes BPL, Neo Middle Class?

Healthcare Awareness

Proper Data Collection & Analysis?

Reduce Healthcare Costs

Generic Medicines?

Increase Access to Healthcare

Innovations in Healthcare Reaching the Unreached

Application of IT for Improving Healthcare

Poor or no Records of Patients History

Infrastructure Power & Connectivity

Unorganized Patient Referral Electronic solutions to improve

Non-availability of Doctors / Experts at point-of-care

High Turnaround Times for Disease Identification and non-availability of point-ofcare diagnostics

Innovations in Healthcare Reaching the Unreached

Kshema Rural Healthcare Solution

Paramedic can assist the patient Automation of Vital Signs Measurement including ECG Features for Disease Identification Works in Harsh rural / remote environments

Innovations in Healthcare Reaching the Unreached

Kshema Successes

eIndia Award
Telemedicine Initiative of the Year 2013

India Country Winner 2011

Global Innovation Partner Program of Logica

e-Kshema, Bangalore
Kshema Kiosks setup in Urban Poor areas in Bangalore BBMP Primary Health Centers (24) More than 9,000 patients have benefitted from Kiosks

Ayushman, Bihar
Setting up a large Telemedicine Network , NARTAN in Bihar covering 250 Villages More than 42,000 patients have benefitted from Kiosks

Innovations in Healthcare Reaching the Unreached

Malaria Detection &Treatment

Malaria is still a big problem. Point-of-Care Diagnostics and Data Collection are Vital requirements

High Turnaround times for Detection High Cost of Tests

Innovations in Healthcare Reaching the Unreached

Malaria Parasite Detection System

Automates Malaria Parasite Detection in a Blood Smear Identifies parasites at different stages Ring or Club Stages Reduces Turnaround Time for Disease Identification from days to minutes Interoperable with other systems

Innovations in Healthcare Reaching the Unreached

Tuberculosis in India According to the World Health Organization (WHO)

Every 3 minutes 2 people die of TB in India. Every day about 2000 people are dying of TB Every year 200,000 Indians die of TB,

TB is an air borne disease. TB bacilli is ever present in the atmosphere. In India more than 70% of the population is infected by this TB bacilli, which means that more than 700 Million people are infected. If persistent coughing, fever in the night, loss of appetite & loss of weight continue for more than two weeks, get tested for TB. TB is curable and treatment is freely available in all government hospitals.

Innovations in Healthcare Reaching the Unreached

Tuberculosis Bacilli Detection System

Automates Tuberculosis Bacilli Detection in a Sputum Smear Uses Color Image Microscopy for Bacilli Detection Reduces Turnaround Time for Disease Identification Interoperable with other systems

Innovations in Healthcare Reaching the Unreached

K-Janani Mother & Child Care System

K-Janani is an Integrated Management solution for Pregnancy and Childbirth - Prenatal and Postnatal Care K-Janani automates all the processes from the time of conception till delivery K-Janani aids Doctor / Staff to manage and monitor the progress related to Pregnancy and Childbirth, Prenatal and Postnatal Care The entire procedure of maternal and neonatal care is brought together in K-Janani to make the best use of the Primary Healthcare Centers and provide the mothers and to-be-mothers the necessary care at the nearest and at affordable cost.

Innovations in Healthcare Reaching the Unreached

K-Prathamik Mobile Healthcare Kit

Solution for ANMs in Villages for registering the people with illnesses that can then be uploaded to Taluk / District hospitals Solution for Doctors on the move / Chronic Patients at Home / Geriatric Use Vital Signs are made available to cloud-based server running e-Referral software suite. Can Maintain complete (Electronic Health Record) EHR

Innovations in Healthcare Reaching the Unreached

K-Vitals Home Multi Parameter Kit

Vital Signs Kit in association with either a laptop or a desktop or a tablet provides a simple solution to the home users or care coordinator register the names of the patients who are suffering with different ailments. Can send the vital signs like Blood Pressure, Pulse Rate, Respiration Rate, Temperature, ECG, Heart Beats and Lung sounds to the clinics / hospitals instantaneously through mobile internet Can Maintain complete (Electronic Health Record) EHR

Innovations in Healthcare Reaching the Unreached

Kuick-Detect : Mass Screening of Diseases

Malaria, TB, Chikungunya, Dengue, Kala Azar

Mobile phone captures the images from Microscope Transfers images to a server though Wi-Fi Server Application analyses the images and detects the disease condition Sends the results back to Mobile Turnaround Time less than 30 Minutes

Innovations in Healthcare Reaching the Unreached

Innovations in India : Public /Private Partnership

Every 50km, telemedicine kiosks will be set up to call doctors for free treatment, with medicines available at attached counters.

State Health Society, Bihar has embarked on a state-wide Telemedicine Network - first of its kind in India covering 212 PHCs, 38 DHs and a State Command Center

Innovations in Healthcare Reaching the Unreached

ICT Jargon

eHealth

Internet / Cloud based medical applications that can be used at homes/offices/healthcare facilities

mHealth

Internet / Cloud based Medical applications that can be used on Handhelds / Tablets / Mobile Phones

Low Cost Telehealth Services Innovations in Healthcare

Integrated Healthcare Services Model

An integrated healthcare provider with technology enabled inter-connected platform, providing single interface to the customers and run on a branded asset light model to deliver high quality care at affordable prices Information passed to analytics engine for deep analysis Analysis results passed to be stored in the cloud Analytics engine
Device connected to network (e.g. mobile, computer, healthcare hub)

Central cloud server

Patient healthcare information stored in the cloud Monitoring through healthcare apps

Web applications

Suggestions and guidance through mobile device Remote medical devices Monitoring of various signs

Web applications

Share detailed analyses to support decision making

Prescriptions/ guidance from the service backend

Users

Prescriptions Cure

Healthcare service providers (Hospitals, Pharmacy, Physician, labs, others)

Innovations in Healthcare Reaching the Unreached

FAQs

How accurate are your systems / applications? Are they Medical Grade? How useful are these Applications / Devices? Will they replace Doctors / Experts?

Innovations in Healthcare Reaching the Unreached

Conclusion If ICT has to be used for the General Good what is needed? Fear of Displacement should go! Collaboration between Medical Experts and ICT Professionals should evolve!

Together we can build robust systems that will help us provide affordable and accessible Healthcare to all

HEALTHCARE DELIVERY SYSTEMS ARE KEY TO A PROSPEROUS INDIA OF THE FUTURE

A WORKFLOW SOLUTION FOR

ELECTRONIC HEALTH RECORDS

Thank You IN RURAL INDIA