SMART HOSPITALS Laying Robust Foundation of Smart Delivery of Care

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JULY 2019 | VOLUME 14 | ISSUE 06

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COVER STORY

SMART HOSPITALS

Laying Robust Foundation of Smart Delivery of Care

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INDUSTRY PERSPECTIVE

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Dr Aloke Mullick Group CEO Omni Hospitals

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Dr Nageswar K Group COO OMNI Hospitals

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Neeraj Lal

VP and Cluster Head of Rainbow Children’s Hospital, Bengaluru

SPECIAL FEATURE

Technology Paving Path For Digital Pathology

What Healthcare Experts Decoded from Union Budget 2019-20

CONFERENCE REPORT

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Editorial Tech-led Smart Patient Care As an enabler technology has influenced every facet of our lives, playing a pivotal role to facilitate different deliverables in every sectors including healthcare. Digital technology, touted as game-changer, has transformed whole gamut of patient care, enabling people of every strata of society to avail accessible, quality, and affordable medical care. In the wake of an unprecedented rise in non-communicable diseases due to number of reasons including sedentary lifestyle, smart care is in huge demand. Patients seek better clinical results in hassle free manner. Service providers are expected to deliver value for the money integrating all components of delivery process including technology and innovative practices, which ultimately led to genesis of smart hospitals. eHealth’s latest issue is based on similar theme of Smart Hospital which brings to the fore the holistic way of delivery of patient care. Our cover story titled ‘Smart Hospitals-- Laying robust foundation of smart delivery of care’ highlights many factors which are responsible for providing people an enriched healthcare experience. The magazine also carries special feature titled ‘Technology paving path for digital pathology’ which underlines the fact how digital transformation in pathology segment has enabled people to avail best facilities in quickest possible time. The issue also carries a special story on budget comprising experts’ viewpoints decoding pointers out of the Union Budget 2019-20. We also have interviews of OMNI Hospitals’ Group CEO Dr Aloke Mullick and its Group COO Dr Nageswar K, who talk about latest tech-led initiatives undertaken by the hospital to bolster patient care. The magazine carries an insightful article by Neeraj Lal, VP and Cluster Head of Rainbow Children’s Hospital, Bengaluru, where he provides insight about the industry. The magazine also carries a conference report on Healthcare Summit, Mumbai, comprising outcomes in terms of experts’ inputs to augment healthcare delivery mechanism. With such a bouquet of special feature, articles, and interviews, I hope the latest issue of the magazine will evoke an invaluable feedback of our esteemed readers.

Dr Ravi Gupta Editor-in-Chief eHEALTH Magazine and Founder Publisher & CEO Elets Technomedia Pvt. Ltd. ravi.gupta@elets.in


COVER STORY

SMART HOSPITALS

Laying Robust Foundation of Smart Delivery of Care As patients are getting empowered due to large swathe of information, healthcare service providers need to come up with smart ways to live up to their high expectations pertaining to quality and affordable care. Smart Hospitals synchronise all available machinery of delivery of care including technologies, clinical workflows, and operational issues to provide patients best value for their money in terms of clinical outcome, writes Mukul Kumar Mishra of Elets News Network (ENN).

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to patients, fall into category of smart hospitals. According to Nandkishore Dhomne, VP-IT & CIO, Manipal Hospitals, “Smart hospital is huge investment in terms of money and efforts, and timelines. Smart hospital is culmination of fantastic building, best technology, efficient doctors and nurses. In addition, processes have to be simple, turnaround time should be minimal, and information has to be available at the point of care.” SMART HOSPITALS SHOULD BE SMART ON EVERY FRONT PERTAINING TO PATIENT CARE The critical component for smart hospitals revolves around the ability to provide a valuable service of insight, which was simply not possible or available earlier. This is what makes a hospital a step further from being just digital to becoming smart in true sense. Simply digitising, or making the hospital paperless (although a great achievement) is not sufficient. From exploratory implementations to an intermediate stage, to finally becoming smart where hospitals have complete alignment of clinical processes and management systems, are hallmarks of the smart hospitals. Raj SheKheR j, CEO, Bloom Hospitals, says, “The concept of smart hospital is based on faster,

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cheaper, and better delivery of services. Just having processes and skilled staff won’t help. A holistic approach to healthcare i.e architecture of the hospital, flow of patients, processes, and cleanliness, is the need of the hour.” There are three areas that any smart hospital addresses – operations, clinical tasks and patient centricity. Operational efficiency can be achieved by employing building automation systems and smart asset maintenance and management solutions, along with improving internal logistics of mobile assets, pharmaceutical, medical device, supplies and consumables inventory as well as control over people flow (staff, patients and visitors). Clinical excellence encompasses improving patient outcomes by ensuring patient engagement and monitoring. “The concept of these hospitals starts right from building. Facilities are the first component of these hospitals followed by processes, clinical, nursing part and overall patient engagement,” Dhomne further adds.

COVER STORY

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he Indian healthcare industry is evolving in an unprecedented manner with digital technologies, innovative solutions playing a pivotal role to foster healthcare delivery system, providing an enhanced healthcare experience to people at large. Smart technologies like artificial intelligence (AI)-based solutions, cloud computing services, connected medical devices, and telemedicine are not only redefining the whole gamut of patient care but also contributing to bridge the multitudes of infrastructural gaps in healthcare. “There has been a change in patients’ demands and expectations in the last 20 years. Healthcare providers face a tremendous pressure to manage cost and patients’ expectation,” says Dr Mahendra Kumar, Medical Director, Sagar Hospital. In the wake of rising cases of non-communicable diseases due to number of reasons, providers are expected to deliver quick and better care in cheapest possible manner, and that gives birth of smart hospitals. Those hospitals which synchronises all available machinery of delivery of care including technologies, clinical workflows, and operational issues to provide best healthcare experience

SMART HOSPITALS CONCEPT IS NOT LIMITED TO DIGITALISATION ONLY Changing healthcare trends coupled with huge demands of quality and affordable healthcare from people of all strata of society unleash a barrage of conflicting challenges at hospitals. They need to optimise and automate processes as per the patients’ requirements, maintaining a decent revenue margin. A digitally organised hospital integrates various departments, services, and clinical to do away the manual work. The objective is to improve patient care through digital processes and new technologies through various communication platforms, a cross-

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COVER STORY sector telemedicine network and apps that facilitate patient care or follow-up care. It becomes easier for a digitized hospital to build on its database to design efficient health care delivery services. Digitalisation holds a huge significance to facilitate things but it’s only a single component of whole mechanism of smart delivery of care. “Smart hospital is more about journey. Technology, ease, and convenience are building blocks of smart hospitals. How you apply the technology and smartness to care is what makes a huge difference. Technology is easy to develop but bigger challenge is its adoption by doctors and patients,” says Chaitanya Shravanth, Chief Digital Officer, Cloudnine Group of Hospitals. EHR, MHEALTH NEEDED FOR PERSONALISED HEALTHCARE EXPERIENCE The first step and the foundation of a smart hospital is the electronic health record (EHR). If all patient data is available in a digital format, it can be accessed by all departments and hospital stakeholders in no time at all. In

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an emergency, the physician is able to check for any pre-existing conditions or allergies the patient might have. Needless to say, this speeds up all subsequent treatment steps. Despite its many advantages, EHRs are not being used prominently in many of public and private hospitals in India and the Government needs to take cognisance of it. Then mhealth is another area which proves crucial. A physician can use their smartphone or tablet to access a patients Electronic Health records (EHRs), review medical histories, send followup emails, and even complete prescriptions. There are many mobile apps which provide more high-quality services, and at the same time are cheaper for patients to access. mhealth apps are very useful in chronic care management, medication management, fitness and weight-loss, and managing personal health records. Both EHR, mHealth are basic ingredients of a smart hospital which contribute to give personalised healthcare experience to patients. “Technologies can be harvested

to ensure basic patient care delivery with better outcomes. The basic essence of any smart hospital is that it has to be patient-centric. The most important thing we need to look at is the outcome. When you are talking about smart hospitals, you need to run it in a smarter way which could increase profitability,” says Dr Govindaiah Yatheesh, Unit Head, Apollo Speciality Hospital, Karnataka. MODERN TECHNOLOGIES INCLUDING AI PLAY A KEY ROLE Cutting-edge technology is proving to be a biggest game changer. Artificial intelligence, IoT, robotics, and 3D printing, have been playing a transformative role in enhancing different deliverables in healthcare sector. In cardiology, 3D mapping to facilitate customised cardiac mapping of a patient’s heart is gaining popularity. This technology lets physicians gain new insights into the heart of the individual patient. Artificial intelligence and machine learning used for radiographic assessments show great potential. Robotics are proving to be boon in reducing waiting time, and other operational chaos, thereby increases

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NU Hospitals. Technology in coherence with other aspect of clinical care determines overall outcome of patient care which in turn makes a hospital smart. PATIENT SATISFACTION IS AT CENTRE OF SMART HOSPITAL CONCEPT Patient satisfaction is an important aspect of smart hospital which mainly revolves around quality and affordable care. “Quality and affordability are two factors which decide the patient base of a particular hospital. Patients don’t get influenced by swanky buildings and fancy staffs, but the kind of care they get from the provider,” believes Dr vijayabaskaran Sundararaju, Executive Director, Kauvery Hospital. Patients want best value of their money which makes things difficult at times for the providers who try to find out ways how to live up to their expectation. One of the solutions is to maintain a transparent approach on every front. For an example billing should be done against particular service offered to patient and so on. Santosh Marathe, COO, Apollo Hospitals, believes, “Affordable care and patients’ expectation both are subjective in nature which depends

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upon what value is being offered in lieu of money charged by providers. Standardising cost and quality are need of the hour.” Human touch is another aspect which influences patient satisfaction level. People find it more appealing if a hospital has good staff including doctors and nurses. “Quality of human touch point is very important. Empathy plays a pivotal role in patients’ satisfaction which in turn influences patient care. Empathy and kindness of the lowest level of staff including nurses and housekeeping employees matter a lot,” says Dr Aloke Mullick, Group CEO, Omni Hospitals.

COVER STORY

the overall productivity. Internet of Things has immense potential to give a new high to healthcare sector. It has numerous applications in healthcare, from remote monitoring to smart sensors and medical device integration. “Infusion of technology is not easy. The willingness to adapt technology by all the stakeholders is very low. Even doctors of more than 20 years experience find it tough to adapt to new technology. Therefore it is very imperative to train the staff first. We enable them to adapt to new technology. We have to handhold them so that both patients and hospitals would be benefitted,” says Col Hemraj Parmar, Group CEO, B R Life. Though a section of experts vouch about the potential of these tech-enabled solutions in laying a strong foundation of healthcare delivery system, they believe that technology must be leveraged intelligently to improve total outcomes. Developing technology is one aspect but challenges lie in integration and adoption by hospital staff to leverage it. “Getting the right kind of people who fit your organisation is first requirement for smart hospital. Then using smart technology or using technology smartly holds huge importance,” says Dr Dilip Rangarajan, Medical Director,

ENSURING BEST CARE WITH DECENT REVENUE FOR HOSPITAL IS CHALLENGE In the wake of costly equipment and other expenses on various fronts, providers face tough task to make a balance between quality and costefficiency. “In the wake of huge running cost of healthcare services, providers need to recalibrate their cost-strategy. Providers need to focus on innovative practices, envisioning designing and operationalising smart hospitals,” says Parmar. Guruprasad B R, Vice President, Sparsh Group of Hospitals opines, “Quality is proportional to cost. Every hospital should pronounce that they have some specific standard of quality associated with particular amount of cost.” In nutshell, a smart hospital looks for holistic way of delivery of care. Though approaches may vary from hospital to hospital, the objective remains same— providing best clinical outcome through integrating all aspects including technology, innovative approaches and human resources with minimum hassles at operational level.

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SPECIAL FEATURE

Technology Paving Path For Digital Pathology As the healthcare standards keep rising, the need and demand to revamp pathology is even more evident than in recent times, writes Reetika Bose of Elets News Network (ENN).

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athology is one of the most significant mainstays of the healthcare ecosystem. Thanks to the paradigm shift in the healthcare segment that led revolution of digital pathology. For the past 150 years, pathology has been the essence of the health sector with pathology being at the forefront in understanding and diagnosing diseases for decades. While the medical industry has been blessed with incredible technology and unbelievable innovation on other fronts, the core of the diagnosis process continues to incline heavily on pathologists in labs. Talking about tackling the digital pathology space, Dr Jayaram N Iyengar, Managing Director, Neuberg Diagnostics said, “The scenario is complex with high establishment cost of digital scanners on one hand

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and relative paucity of experts in histopathology on the other. Trained and competent pathologists would not prefer to work in tier 2 cities and district health centres. Establishing a laboratory equipped with trained technicians and a digitisation equipment would facilitate study of the digitised slides by any expert pathologist anywhere in the country.” As the healthcare standards keep rising, the need and demand to revamp pathology is even more foreseen than in recent times. Pathology needs to be ahead of time which will directly imply the capacity to work faster and with more productivity. In that lies the ascent of rise of digital pathology. “Introduction of low cost scanners albeit with acceptable shortcomings compared with the high through put equipment, would be the way

forward”, Dr Iyengar added. DIGITAL PATHOLOGY OVER CONVENTIONAL PATHOLOGY In spite of witnessing the quick advancement of innovative medical technology such as blood-drawing robots, augmented reality, synthetic tissues, and machine-run organs, pathology continues to depend on the similar old technique of looking at tissues with a microscope within laboratory walls. However, experts are of the opinion that with innovations in pathology, the pathologist can have a complete control of the entire process. Live sharing of images becomes easy and high resolution snapshots are made just by a click on the use. “It takes an average pathologist almost 20 minutes to scan and analyse

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a slide that digital pathology systems would be able to do within 3 minutes leveraging artificial intelligence. Moreover, conventional pathology is also not very amenable to proper indexing (incorporating all relevant searchable fields) and tougher to retrieve,” said Pallavi Jain, Managing Director, KRSNAA Diagnostics. “Digital pathology has been used widely for teaching purposes. Recent years have witnessed an increased use in expert consultations and as an archival tool for storage of digitised slides. Use of digital pathology for routine daily diagnosis, and for conducting proficiency testing is now gaining increased acceptance,” Dr Iyenger added. Conventional pathology workflows have innate delays built into the processes. Transferring unique glass slides runs the risk of loss, and when collaborating with others it requires time, which delays diagnostics. Joining hands on the rise in digital pathology, Zoya Brar, Founder, Core

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A BOOMING OPPORTUNITY The utilisation of advanced pathology has given enormous opportunities to pathologists working in labs, colleges, or even research centres. But the question lies on what makes this sector a booming opportunity? Earlier in a pathology lab, a great deal of time was squandered in investigating the slides and examining the tissue tests directly from the slide. At times transportation of these slides turned into a sensitive issue because of its delicate nature. Things have taken a U-turn, thanks to digital advancements made in the healthcare space. With the new digital scanners and computer software, sharing of digital images of tissues electronically with a doctor has

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become very easy and possible. When asked about market opportunities for the diagnostics space, Zoya Brar, Founder, Core Diagnostic, said, “While diagnostics makes up only 3% of total healthcare expenditure in India, it controls 70% of the expense downstream and 100% of the outcome. This problem is even more amplified when you consider digital pathology. The market continues to be constrained by the lack of affordable technology and skilled manpower. However, given the huge delta between what we are spending and the impact of digital pathology, I am confident that this will change.”

SPECIAL FEATURE

Diagnostic said, “Adoption of digital pathology facilitates faster reporting that has made it easy to obtain second opinions across geographies without transporting images. It leverages increased efficiency with a reduced turnaround time for reporting clinical cases by reducing error rates.” Replacing the old technique of laboratory examination with the new digital technique means pathology has now become completely image-based information, which is retrieved with the help of computer technology.

CHALLENGING THE CHALLENGES In India where the ratio of pathologists to patients is very ordinary, digital microscope improved the efficiency and productivity of pathologist and technicians and is able to connect with their peers for second opinion. Through this process, patients of far flung places will also able to access accurate diagnosis in a short span of time. Moreover, implementation of digital pathology system will help in reducing costs especially in larger institutions as it replaces multi-head microscope with live digital one which is easy to store and image production

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SPECIAL FEATURE 14

REPLACING THE OLD TECHNIQUE OF LABORATORY EXAMINATION WITH THE NEW DIGITAL TECHNIQUE MEANS PATHOLOGY HAS NOW BECOME COMPLETELY IMAGE-BASED INFORMATION, WHICH IS RETRIEVED WITH THE HELP OF COMPUTER TECHNOLOGY. can be used for further studies. Shedding light on tackling the challenges, Dr Iyenger said, “The usual practice in our country is for a pathologist to be a “generalist” and not a specialist with expertise and experience in only certain aspects of pathology. This undoubtedly works with the existing healthcare system but we need to have a healthy blend of specialists who would make our health care system in tune with latest advances.” As we are approaching towards 2020, the number of pathologists in the field is reducing. The ratio of pathologists to patients is extremely skewed towards being unfavourable for the former. Coupled with an

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increasing pressure to move faster and more efficiently, pathology labs need to find ways to not only better assist pathologists but also in a way that’s future-ready, efficient, and scalable. Digital pathology holds the answer to this need, and much more. “India has only about 1,000 histopathologists that are trained in organ specific pathology. Compare this with the US where there are close to 18,000, and the problem is clear. Also, we don’t focus on organ specialisation as a country so often our skill-set makes us excellent generalists but when it comes to extremely rare or difficult patient diagnosis, we are at a loss. Collaborating with countries like the US is certainly

one way to overcome this challenge. This of course will require labs to be enabled with digital pathology and to have a collaborative and transparent mindset”, Zoya Brar opines. WHAT’S NEXT IN PATHOLOGY FUTURE? Medical science is rapidly evolving and so as advances made in the field of laboratory diagnostics. A pathologist has transformed from being a support, to an active partner in healthcare delivery. There is an ever-increasing dependence of the physician on the laboratory and this synergy works wonders in the era of precision and personalised healthcare. Broadly speaking, the government must help create a regulatory environment that ensures that organisations get incentivised to focus on providing the right quality. “India has tremendous potential of becoming the digital pathology hub of the future given the existing IT capabilities. Proactive policies by the government will take us a long way forward,” Dr Iyenger said.

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INDUSTRY PERSPECTIVE 16

OMNI Hospitals: An Institution of Compassion & Trust With an objective to serve people with best quality care in cost-efficient manner, OMNI Hospitals is carving niche in healthcare delivery space. The hospital is setting an example to serve mankind with warmth, compassion, and transparency, say OMNI Hospitals’ Group CEO Dr Aloke Mullick and its Group COO Dr Nageswar K, in conversation with Gopi Krishna Arora of Elets News Network (ENN).

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Since its inception in 2010, OMNI Hospitals is making great strides to cater people with best patient care, leveraging technology and innovative practices. How has been the journey? Driven by the vision of building a comprehensive and cost-effective chain of hospitals, OMNI Hospitals’ objective is to provide superspeciality services with warmth, compassion, and transparency. Since its inception in 2010, the hospital has established over 30 specialities including cardiology, nephrology, orthopaedics & orthooncology, general medicine, obstetrics gynaecology, paediatrics and many more. It is on a compassionate mission to alleviate the sufferings of people by providing them gift of perfect health. We are leaving no stone unturned to create a unique identity for ourselves as a professional medical care provider with strong adherence to ethics, and clear focus to create a healthy society. Today, OMNI Hospitals provide superlative patient care across multiple locations in Andhra Pradesh including Hyderabad (Kothapet, Nampally and Kukatpally), Vizag and Kurnool. Each and every touch point including management, doctors, or even the support staff at every branch of OMNI Hospitals, projects compassion. The hospital holds the view that an individual must be treated

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Dr Aloke Mullick

Dr Nageswar K

Group CEO, OMNI Hospitals

Group COO, OMNI Hospitals

as a human first and patient later. OMNI Hospitals, though a young group of hospitals, is driven by a passion for treating patients with compassion and price transparency. We have experienced leaders in management who believe patient care comes above all. We strive to create effective cost control and the benefit of the same are passed to the patients. No standalone hospital except us competes for business with diagnostic chains on pricing.

hospital level tertiary care to patients, at secondary care/nursing home prices. That is the key differentiator between OMNI and other multi-speciality corporate hospitals. We take pride in having some of the best doctors and staff who take patient care very seriously. The objective of OMNI Hospitals is to become the preferred neighbourhood hospital in every catchment we are present in, by meeting the healthcare needs of the community with the same high standard of patient care across all units.

Q

What is the vision that guides OMNI Hospitals? How is it different from other superspeciality hospitals in Hyderabad? The core vision guiding OMNI Hospitals is to provide corporate

Q

OMNI Hospitals’ objective is to provide quality service in costeffective manner. Tell us about key services offered by the hospital. We provide care across full spectrum of clinical specialities in most of our units,

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Q

How is OMNI Hospitals leveraging ICT (Information and Communication Technology) to bridge gaps in healthcare delivery? We have deployed a mature set of ICT tools and solutions including a full featured industry standard -Hospital Information System, Lab Information Systems, Radiology Information Systems, PACS, ICU Central Monitoring Systems, Management Information System, paperless patient feedback system, GP to hospital patient tracking system etc. In a bid to support full paperless operations in our hospitals, we have allocated budget for EHR system in coming fiscal.

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What are the recent achievements of OMNI Hospitals? In past one year we have received series of industry awards including Times Healthcare Achievers 2018; Best Neighbourhood Hospital - OMNI Hospitals, Kukatpally, Hyderabad; Best Emergency & Trauma Hospital - OMNI Hospitals, Kukatpally, Hyderabad; Best Orthopaedics Hospital - UdaiOMNI Hospital, Nampally, Hyderabad; Reader’s Digest Trusted Hospital 2018 - Survey conducted by India Today Group; and 3rd in Hyderabad & 9th in South India

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in Orthopaedics according to Times Health Survey – UdaiOMNI Hospital.

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Shed light on how technologies are being leveraged at the hospital to improve operational efficiency and quality of services? Being one of the earliest hospitals to deploy a ‘Net Promoter Score’ based paperless patient feedback system in India, we have a wealth of actionable information which enables us to achieve greater level of patient satisfaction. Some of our units have a Google satisfaction score of 4.5 out of 5.0, a rare feat in the industry.

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Being one of the leading hospitals receiving international patients, what kind of challenges you face? The Indian medical tourism industry is an extremely price sensitive play, with patients from lower – middle socioeconomic strata majorly from Middle East, North Africa, Bangladesh, Afghanistan visit various hospitals across country. Hospitals with tight price control and competitive prices stand to benefit from this segment. Days of grossly overpriced foreign medical care are nearly over now.

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What are the plans in 2019 to impact the Indian healthcare delivery system? We plan to leverage our core strength of providing high quality care at

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OMNI HOSPITALS, THOUGH A YOUNG GROUP OF HOSPITALS, IS DRIVEN BY A PASSION FOR TREATING PATIENTS WITH COMPASSION AND PRICE TRANSPARENCY. WE HAVE EXPERIENCED LEADERS IN MANAGEMENT WHO BELIEVE PATIENT CARE COMES ABOVE ALL.

INDUSTRY PERSPECTIVE

excluding capex heavy sub specialities like robotic surgery, radiotherapy, bone marrow transplantation etc.

reasonable prices in clean corporate ambience facilities. Despite facing huge peer group competition and lowering service prices, we have managed a significant growth in terms of profit in 2018, and that is because of stringent cost saving strategies.

Q

What kind of innovations OMNI Hospitals are focusing upon to improve different deliverables including quality of care? We are in the process of implementing many innovative practices and solutions for improving operational efficiencies and quality of care including fixed price billing across most clinical care situations including ICU care; unrelenting focus on kindness and empathy; electronic medical records for paperless care; patient portals and remote video consultations, and improving digital marketing footprint.

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BUDGET SPECIAL 18

What Healthcare Experts Decoded from Union Budget 2019-20

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nion Budget 2019-20 aimed at creating new India with major focus on infrastructure, development and technology. Though, there was no major announcement pertaining to healthcare sector, except mentioning of creating healthy society via Ayushman Bharat in the budget present by Union Finance Minister Nirmala Sitharaman in the Parliament, it took into account holistic approach to build empowered and prosperous India. The Government allocated Rs 62,659.12 crore outlay for the health sector including Rs 6,400 crore earmarked for the Ayushman Bharat, the highest in the last two financial years. A section of experts believes that there is no clear cut mention of the plan in the budget on how the funds would be utilised to facilitate accessible, affordable care under the gamechanger scheme of Ayushman Bharat. Dr H Sudarshan Ballal, President, NATHEALTH, termed the budget as comprehensive, wide-ranging and balanced with many positives for the economy. “The government needs to revisit unfinished agenda such as ‘Priority Sector’ status to healthcare for smooth credit flow, mandatory universal health insurance, tax incentives for capacity building, creation of a dedicated infrastructure and

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innovation fund,” he said. Gautam Khanna, CEO, P D Hinduja Hospital & MRC, said, “Although there have been no direct mentions for the healthcare industry, the proposed Rs 100 lakh crore investment in infrastructure in the next 5 years could pave way for a boost in the healthcare segment.” “The government’s objective to move towards building a healthy India with the continuity of the Ayushman Bharat scheme and the proposal to expand the Swachh Bharat mission by means of sustainable waste management and building of more toilets thus aiming India to be open defecation free by this year, is a worthy objective,” he further stated. “National Research Foundation for higher research will help indigenous research in pharmaceutical industry, bio-medical industry, innovation in indigenous treatments modalities,” said Dr Rajeev Boudhankar-CEO, Bhatia Hospital. Amol Naikawadi, Joint Managing

Director, Indus Health Plus, said, “The government’s continuous focus on the Ayushman Bharat scheme will further help in providing extensive medical care and reinforce the commitment to universal healthcare for all citizens. In addition, the announcement to boost Artificial Intelligence will strengthen the usage of technology in the field of healthcare.” Jitendra Haryan, CEO, Jaslok Hospital and Research Centre, said, “The union budget was less inclined towards popularity and focussed on reforms. It was evident from the budget that the government is systematically giving significant importance to digitalisation and the growth of infrastructure.” “It’s a nice budget for startups but it’s mostly incremental and not revolutionary. Government is determined to save startups from the draconian angel tax and IT scrutiny but has still stopped short of scrapping the Angel Tax altogether,” said Pawan Gupta, Co-Founder, Curofy.

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INDUSTRY PERSPECTIVE

Rainbow Hospitals: Ensuring Smart Care via IT-Enabled Solutions Some of the benefits of IT include patient appointment scheduling, queue management in OPDs, electronic maintenance of records, in built patient education tools in devices, and remote access of patients’ records. The use of information system to analyse the wait time, study the cost, easy access of patient records, MIS reports in Business analysis, has transformed the way organisations are dealing with their businesses. Neeraj Lal

VP and Cluster Head of Rainbow Children’s Hospital, Bengaluru

T

here has been an increased use of information technology across fields in enhancing productivity, cost efficency and streamlining the processes. In healthcare, IT has proved to be an important tool to improve patient care, contain cost, minimise errors, and standardise the protocols.

IT ENABLES TO MAINTAIN ROBUST DIGITAL RECORDS IT has been very useful in the maintenance of patient records. Digitalising records has helped in saving the storage space and thereby retrieval has been made easy. These digital records are safe unlike the conventional paper records which are susceptible to physical damages. Digital records can be accessed and shared remotely. The lab and

radiology reports can also be scanned and stored. There are newer technology to store the radiology reports in required resolution. Follow ups have been made more systematic by setting up of timely notifications to the patient and the doctor or hospital. This has been very useful in cases where patients are asked for short interval follow up visits such as in vaccinations, chemotherapy, postsurgery follow ups, physiotherapy, study of slowly progressing chronic ailments etc. PACS--Picture archiving and communications system is a network of computers used by radiology departments which replaces film with electronically stored and displayed digital images. This uses a server to store and allow facile access to highquality radiologic images, including conventional films, CT, MRI, PET scans and other medical images over a network.

Patient care and management through information technology: • IT has revolutionised the whole paradigm of patient care. Today, small and large healthcare setups are largely dependent on appointment booking platforms which have replaced the conventional calling systems. It saves time and cost both to hospitals and the patients. Moreover, IT proves its worth in minimising human efforts, reducing potential errors and delay of conventional calling systems. • Lead management through software has helped track the inflow of patients and thereby provides a wide opportunity for data analysis. • The innovation approach of such technology has largely been patient centric. Patients are provided all the required attention and constantly motivated as well to seek support. • Technology like patient queue management

20

JULY 2019

systematically manages the patient inflow to a doctor. • Quick exchange of information between doctor / hospital and the patient, saves time and cost for both the sides. • Patients who are staying miles away can now have their first consultation with the doctor without even meeting him personally. This innovative approach holds importance in bringing down the first visit apprehensions being faced by few patients to some extent. • Hospitals have designed their own personalised apps to help patients get connected easily. These apps not only contain all the information of organiation / hospital but also have a lot of patient education content, validated by the experts in the field.

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ALPHA CARE: AN OPERATIONAL EXCELLENCE TOOL FOR THE HEALTHCARE INDUSTRY India is grappling with shortage of nurses in terms of their availability in time-per-patient. Nurses aren’t available at the station most of the time, since they are pre-occupied with other tasks, non-clinical errands at most of the times. We face similar situations when we go to hospitals to visit a relative or a friend. We get to see that the nurses are always on their toes to help patients, even for tasks that were not confined to their core responsibility of medical care and assistance. One such situation led to the conception of idea behind Alpha care. ALPHA CARE is an innovative device, a first in the country, which segregates patient requests and routes them to the concerned department. It can easily be integrated into hospital operations because of its user-

Alpha care device installed in all patient rooms

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friendly and accessible nature, which invariantly helps hospitals to monitor their staff. The objective is to bridge the gap between patients, care providers and the hospital management. It also aims to redefine in-patient experience. Enabling real time tracking of patient requests, Alpha Care is an escalation driven system that acts as a catalyst for digitalising processes, optimising operations, and empowering hospitals in terms of data. The results with Alpha Care were worth an applaud: Up to 40 percent reduction in nursing requests, thereby saving nursing hours. Alpha Care almost worked like magic. The device is found to have reduced the queries irrelevant to nurses and channelised it to the right departments at Rainbow Hospitals, thus reducing the turnaround time (TAT) for addressing patient calls from bed side. Through the back end reports we are able to analyse the turnaround time for addressing queries of each department and also to guide them how this can be improvised. Rainbow hospital is the first hospital in Bengaluru to have piloted this project. The hospital leveraged it to improve patient experience and off load the nurses, thus making them more available for clinical care. Rainbow hospitals is constantly working to improve patient care. At

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VIRTUAL PLAYGROUND OR MAGIC FLOORS FOR CHILDREN WHILE WAITING FOR DOCTOR’S CONSULTATION IN OPDS WITH PARENTS Business intelligence (BI) tools have been very useful to analyse the business trends within the company and in comparison with the competitors.

INDUSTRY PERSPECTIVE

a time when the conventional nurse call bell system in the hospital needs upgradation, Alpha care is one which has right answer to it.

Magic floor for children waiting to be consulted in rainbow OPDs

These Business Intelligence tools are placed on top of the regular information systems to get data feed. Sometime the BI tools also give an idea to organisations about their market placement in comparision to their competitors. These tools are extremely useful to plan and strategise marketing activities. In a nutshell, healthcare professionals have relied heavily on IT to direct, retain, educate, monitor, treat and follow up their patients. The innovation in this field is very dynamic and is warmly welcome by healthcare professionals like me!!

(Writer is Neeraj Lal, VP and Cluster Head of Rainbow Children’s Hospital, Bengaluru)

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CONFERENCE REPORT 24

India’s Biggest Healthcare Summit CONFERENCE REPORT

JULY 2019

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CONFERENCE REPORT

Ada Dyndo (center), Head of Mumbai office, Polish Investment and Trade Agency, India inaugurating the Healthcare Innovation Summit (HIS, Mumbai in presence of other dignitaries including Sunil Kumar Bhushan (extreme right), DDG and Head Health Sector, National Informatics Center; Dr Sachin Malhotra (2nd from right), CEO, TC4A India; Uday Ulhe (2nd from left), Representative, Univercell & Amplycell; and Dilip Patil (extreme left), Founder Director, Trivector Group & Baby Quest Cryobank.

In a bid to brainstorm about various issues engulfing the Indian healthcare industry and how to do away with the same leveraging technologies and innovative practices, the Healthcare Innovation Summit was organised in Mumbai recently.

The healthcare experts shed light on various technological advancements and trending innovative practices across the globe and how that could be integrated into Indian healthcare delivery system to improve the outcomes.

Organised by Elets Technomedia, the healthcare conclave witnessed congregation of healthcare luminaries including key policymakers, international experts, industry veterans, and decision makers of big hospital chains.

They touched upon contours of quality, accessibility, and affordability which are determining factors of any healthcare delivery system, influencing patient care and safety.

Through meaningful discussion covering various aspects of healthcare delivery mechanism, the healthcare stalwarts highlighted innovative practices, conducive policies and ways to reach out to the people at the last-mile; their vision for it and the hurdles in that roadmap. Inaugurated by Sunil Kumar Bhushan, DDG and Head Health Sector, National Informatics Center in presence of Ada Dyndo, Head of Mumbai office, Polish Investment and Trade Agency, India; Uday Ulhe, Representative, Univercell & Amplycell Belgium (Wallon) Companies; Dilip Patil, Founder Director, Trivector Group & Baby Quest Cryobank; Dr Sachin Malhotra, CEO, TC4A India; and Nilesh Patel, Co-founder & CEO, LeadSquared, the conference witnessed one of the finest congregation of experts of the healthcare world.

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ehealthmagazine

Various enlightening discussion sessions touched upon issues, such as ‘Taking Healthcare Delivery to The Next Level – Best Practices, Innovation & Excellence’, ‘Role of Emerging Technologies and Health Information Security in Hospitals’, ‘Ensuring Affordable Quality Treatment and Meeting up with Patients’ Expectations’, ‘Ensuring Profitability Through Optimum Patient care’, and ‘Artificial Intelligence & Machine Learning in Healthcare’, were organised. Eminent dignitaries, on this occasion, unveiled a special issue of eHEALTH Magazine, which has been promoting innovations in healthcare ecosystem for over a decade. Also, industry leaders, diagnostic equipment manufacturers, and healthcare service providers were felicitated with the Healthcare Excellence Awards for their extraordinary contributions in the healthcare world.

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CONFERENCE REPORT

Inaugural Session Taking Healthcare Delivery to the Next Level – Best Practices, Innovation & Excellence

SUNIL KUMAR BHUSHAN

Representative Univercell & Amplycell Belgium (Wallon) Companies

"We develop IT solution for hospitals. Health & well-being for all and continuum of care are being kept inside the mind while developing IT solutions which play a crucial role in bolstering patient care. Some of the solutions which have been implemented in hospitals across country include ehospital, online registration system, and reproductive & child health system. We have ehospital which is aimed at computerisation of internal functioning of any hospital primarily public hospital."

"Biologics comprise two parts- vaccine and biosimilar which includes monoclonal antibodies and recombinant proteins. Vaccine is important to prevent diseases like measles, mumps, and rubella. We don’t have enough vaccine available to control rabies as production capabilities are not enough to take care of the huge requirement. We are working on a novel technique called Sabin Inactivated Polio Vaccine (sIPV) which proves very effective in polio eradication."

DR SACHIN MALHOTRA

NILESH PATEL

"We have strategic partnership with organisations where we aggregate technologies from across the globe and provide the best in class outcomes with a high social impact. Tc4a offers data rich clinically validated and customised telemedicine and fragile EMR platforms that solve healthcare access problems and provide solutions to manage the clinics or institutes."

"Automation can improve efficiency, enabling service providers to reduce the overall cost and get more revenue. Enquires are coming from multiple sources. Due to lack of integration, there is high chance that leads could be missed. If you don’t have system which can automate the whole process, then one may miss some of the patients’ enquires. At the same time, it gives bad impression to patients."

CEO TC4A India

26

UDAY ULHE

DDG and Head Health Sector National Informatics Center

JULY 2019

Co-founder & CEO LeadSquared

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CONFERENCE REPORT

ADA DYNDO

DILIP PATIL

Head of Mumbai office Polish Investment and Trade Agency, India "Poland is second largest market of medical devices in Central and Eastern Europe. Our products are mainly exported to the European Union. We aim to export medical devices to companies in Asian Countries including India. Medical devices include surgical instruments and laboratory instruments & devices. Both India and Poland having robust economy with high GDP rate can find mutual possible ways to corporate. We have a special Government programme to support medical devices industry in India."

Founder Director Trivector Group & Baby Quest Cryobank "Main goal of air filtration system is to mitigate air borne transmission through microbes. It also filters particulate matters which try to enter into any particular area of healthcare delivery system. We also aim to kill or deactivate DNA or RNA of opportunistic microorganisms. While implementing these things, one should ensure that there shouldn’t be any adverse impact on patients, medical staff and visitors."

PROF (DR) PREMA BASARGEKAR Program Co-ordinator Healthcare Management, SIMSR

"Inclusive healthcare comprises affordable, easy and quick access to all the healthcare services. But it is easier said than done as lots of obstacles need to tackle to achieve the aim. There is a huge urban and rural divide in delivery of healthcare services across country. Most of the private investment is taking places in cities or urban areas and rural areas are devoid of all these opportunities. There is a severe scarcity of skilled manpower, medical equipment and other facilities in rural areas."

Dilip Patil (Delivering speech), Founder Director, Trivector, Group & Baby Quest Cryobank; Prof. (Dr) Prema Basargekar(extreme right), Programme Co-ordinator, Healthcare Management, SIMSR, Mumbai and other eminent dignitaries participating in inaugural session at HIS, Mumbai

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CONFERENCE REPORT

Panel Discussion Role of Emerging Technologies and Health Information Security in Hospitals

JOY CHAKRABORTY

DR SHREEKANT SAPATNEKAR

"In one hand we have challenge of demand and supply while on the other hand cost-related concerns. With the advent of Ayushman Bharat and other State schemes, the healthcare delivery is not only becoming very competitive but price sensitive as well. Patients’ expectations are also changing due to vast swathes of information available on internet.Technology makes us prone for data leak. Everyday lots of data are getting leaked which is a major pain point."

"India has currently 560 million internet subscribers, 340 million smart phone users, and 8.46 billion medical device market. Disruptive technologies including artificial Intelligence, cloud computing, smart wearable, and telemedicine are proving to be a major game-changer. Patient engagement has become most important aspect of healthcare delivery mechanism. We have adopted technologies in radiology segment like PACS system."

Chief Operating Officer P D Hinduja Hospital, Mumbai

DR K VENKATRAMANAN

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Director Lilavati Hospital

NEERAJ LAL

Director - Projects & Program Bhaktivedanta Hospital & Research Institute

Vice President & Cluster Head Rainbow Children’s Hospital

"Technology brings closer to the patients but threat underlies. Information is like assets that needs to be protected and that is why various kinds of regulations have been introduced to protect it from outside threats to ensure business continuity. It has been found that 54 percent of data leak is from TPA side. They may not be leaking it intentionally but it may happen because there is no proper security in place."

"Rainbow Children’s Hospital has got patient centric technologies implemented in its cluster of hospitals. We have created a magic floor, a virtual playground where children could play while waiting for their turns for consultation with doctors. Usually most of the hospitals have nurse call bell system but we have replaced it with service call bell system. We have provided four button options to patients so that they can easily make a call to nurse, housekeeping and other staff as per their requirements."

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CONFERENCE REPORT

Panel Discussion Ensuring Affordable Quality Treatment and Meeting up with Patients’ Expectations

DR SUJIT CHATTERJEE

SANTOSH MARATHE

"There are new diseases and disorders coming to fore and we require high-end treatment for the same. At the same time we need more of secondary and primary level of care. The Indian healthcare sector is expected to work like an industry when things are not streamlined like an industry. Exiting technology can be very sustainable business in India. In addition, regulation of reuse can improve things."

"Affordable care and patients’ expectation both are subjective in nature which depend upon what value is being offered in lieu of money charged by providers. We don’t differentiate in cost of care which goes across the hospital. It is same for scheme patient, insurance patient or any general poor patient. Standardising cost and quality are need of the hour."

RAVINDRA KARANJEKAR

DR ANKIT THAKKER

"Baseline expectations have to be met in every hospital. There are additional expectations which at times are based on one’s perception that can be linked with cost part. Routine expectations can’t be clubbed with the cost. A particular hospital can deliver affordable care despite making handsome profit. A robust planning and strategy are needed for the same."

"When a regulator, who makes policies, tries to roll out schemes, then expectations have to be in line with realties. Unrealistic expectations from any stakeholders can’t be sustainable in long run. Exiting technology could be very helpful. It can be commercially viable."

Chief Executive Officer Dr L H Hiranandani Hospital

COO Apollo Hospitals

Chief Executive Officer Jupiter Hospital

Chief Executive Officer Kiran Super Multispecilaty Hospital, Surat

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CONFERENCE REPORT

BOMI BHOTE

DR HIREN AMBEGOAKAR

"We are in the healthcare delivery space. It’s our prime responsibility and duty to deliver first class care irrespective of patients’ economic condition. In our hospital, clinical people have full responsibility to cure a person. We don’t differentiate among patients in providing care. Disease specific cure decides the line of treatment at Ruby Hall Clinic. We need to change the way we are managing the healthcare business, to make it both affordable and profitable."

"Quality healthcare is a right of every citizen. When one starts a hospital, it’s his duty to provide quality medical facilities. Clinical care in terms of quality should be the same for every class of citizens-lower, middle, upper, and super rich. Poor people may not afford luxury facilities but that don’t make a difference in line of treatment at our hospital. Complementing the service is important rather than replicating it."

MANPREET SOHAL

DR PRAVIN SWAMY

"If we want to reduce the cost, we need a very strong regulation on single use items. It holds a huge importance in case of angiography and angioplasty. If octopus can’t be used multiple times in coronary artery bypass graft (CABG) then its cost will go up by 100 percent. Our hospital is conscious of quality and that’s why we have quality managers to ensure the same."

"Affordability and patients’ satisfaction don’t go hand in hand. Disease spectrum and technology growth are not going to stop. Meeting those two ends is a big challenge. Mindset of hospitals as well as patients matters a lot. Insurance companies should conduct health checkups of a person before renewing the policies and they should incentivise those having good health or increase the premium according to disease they ail with."

Chief Executive Officer Ruby Hall Clinic

Chief Executive Officer Suastha Hospital

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JULY 2019

Chief Executive Officer S L Raheja Hospital

Chief Executive Officer Godrej Memorial Hospital

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CONFERENCE REPORT

Panel Discussion Ensuring Profitability Through Optimum Patient Care

DR NIRAJ UTTAMANI

DR H K SALE

"There are several factors including patients’ confidence to get quality care at a particular hospital, affect patient footfall. It directly impacts revenue. Patients and their relatives should be involved in decision making process so that they will be well informed and aware of the treatment procedures and the ongoing cost. The post discharge follow up is crucial in retaining patient base and improving the business revenue."

"Quality delivery of services is directly proportional to the propaganda. The increase in patient’s footfall is possible only when you start giving quality services right from the entry till the patient exits. The interaction of the hospital staff with the patient is also important which depends on the transparency on different fronts in hospital."

Medical Director Holy Family Hospital and Medical Research Center

Executive Director Noble Hospital

DR NISHANT TIKEKAR Head- Health Tech Symbiosis International University

"We need a multi-pronged approach to ensure efficient running of hospitals, keeping costs to the minimum. Aim should be to provide quality care and winning the patient’s trust. It is important to make the patient feel special so that not only does he go out as a satisfied patient but also spread good word about the hospital. It improves credibility of the particular hospital and in long run increases revenue."

Sitting in the crowd, dignitaries interacting with subject matter experts at HIS, Mumbai

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CONFERENCE REPORT

Panel Discussion Artificial Intelligence & Machine Learning in Healthcare

DR DEEPAK PATKAR

DR ALOKE MULLICK

"Artificial Intelligence will soon take over lots of processes and functions which we are doing manually today in hospitals. AI changes the way medicine is practiced today. It plays a pivotal role to increase our efficiency and productivity by improving scheduling of patients, record keeping, image acquisition, processing, and diagnosing."

"10 years from now, AI will be going to disrupt the healthcare industry. Huge amount of healthcare work is happening through AI. The way we practice medicine, treat patients, change in clinical pathway, anticipating about patients’, all these things are happening through AI. India lacks machine readable data which proves to be major obstacle to leverage AI."

GIRISH KOPPAR

HUZEFA T MERCHANT

"Artificial Intelligence has taken healthcare to next level by making it more predictive and reactive. It could prove to be a threat if doctors don’t adopt it. Every technology has advantages and doctors have to leverage the technology to improve their own efficiency. It assists doctors to use more of the analytical abilities than the judgmental abilities."

"AI is to use complex algorithm software to leverage the human cognition in analysis of complicated medical scenario and data. AI is having huge role in improving delivery of care. As an enabler, it is assisting all our decision-making process and support system. It will work as an augmented intelligence for medical fraternity."

Director Medical services & HOD Radiology Nanavati Super Speciality Hospital

GM-IT Wockhardt Hospitals

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JULY 2019

Group CEO Omni Hospitals

Head IT Saifee Hospital

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CONFERENCE REPORT

RAJENDRA KSHIRSAGAR

VIKAS SOOD

"The theory that AI will replace human workforce is a myth. The same theory was propounded when computer hit the market. AI will improve delivery of services leading to better patient care to people at large. The tool is very useful in tier-two and three cities where expert clinical care is not available. It can’t be fully automated. Human touch will always be required."

"Clove Dental is trying to leverage AI in radiology in areas of dental X-rays, Orthopantomogram (OPG), and IOPR, and images. With the help of the University of Canada, Clove Dental is developing an AI algorithm. With available data, we are trying to build an algorithm which will help us improve diagnostics thereby making patient avail better care."

CIO Holy Family Hospital

CIO Clove Dental

Experts participating in panel discussion on Artificial Intelligence and Machine Learning

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CONFERENCE REPORT 34

HEALTHCARE EXCELLENCE AWARD

Suniel Kale, Group COO, Lokmanya Hospitals, receiving the Healthcare Excellence Award

D S Chakravarthi, CEO, Prashanth Hospital, Vijayawada, receiving the Award

Bomi Bhote, CEO & Dr Manisha Karmarkar, COO, Ruby Hall Clinic, receiving the Award

Dr H K Sale, Executive Director, Noble Hospital, receiving the Award

Dr Aditi Karad, Executive Director, VishwaRaj Hospital, receiving the Award

The Award being received on behalf of OHUM Healthcare

Dilip Patil, Founder Director, Trivector Group & Baby Quest Cryobank, receiving the Award

Vikas Sood, CIO, Clove Dental, receiving the Award

JULY 2019

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CONFERENCE REPORT

EMINENT DIGNITARIES VISITING INNOVATION GALLERY

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NEWS HIGHLIGHTS

Latest from Healthcare World Union Budget 2019-20: Ayushman Bharat gets outlaw of Rs 6,400 cr

Rajasthan Budget: ‘Janta clinics’ among series of measures to bolster patient care ‘Janta clinics’ was among the many schemes announced by Ashok Gahlot-led Congress Government of Rajasthan while presenting budget in the State Assembly recently. The 2019-20 budget also announced a Rs 1,000-crore farmer welfare fund, a Rs 5,200-crore dedicated feeder to ensure regular supply to farmers and other schemes for green energy, irrigation and health sectors In the healthcare sector, the government announced a series of measures in a bid to ensure accessible, affordable and quality care to people at large. On the lines of a successful model of Delhi government’s Mohalla Clinics, the Chief Minister announced the opening of ‘Janta clinics’ near the residential areas across the State. It will enable people to avail better patient care near doorsteps.

The Union Budget allocated Rs 62,659.12 crore outlay for the health sector in the 2019-2020 fiscal including Rs 6,400 crore earmarked for the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojna (AB-PMJAY), touted as gamechanger healthcare insurance scheme of the Central Government. The outlaw for the healthcare sector is the highest in the last two financial years. The allocation for healthcare this fiscal is around 19 per cent more over the 2018-2019 fiscal when it was Rs 52,800 crore. Rs 249.96 crore has been allocated for setting up Ayushman Bharat Health and Wellness Centres under the National Urban Health Mission to provide comprehensive primary care close to the community, while Rs 1,349.97 crore earmarked for setting up health and wellness centres under the National Rural Health Mission.

ISIC becomes the first in India to perform spine robotics surgery The Indian Spinal Injuries Centre (ISIC), New Delhi has claimed to be the first hospital outside the US to have recently performed surgeries with the help of an advanced robotic system. Considered to be a first of its kind in India, the Indian Spinal Injuries Centre (ISIC) at Vasant Kunj has introduced robotics as an advancement in spine surgery, a specialised approach to a complex procedure that allows planning a surgery and facilitates accurate and predictable execution of the plan. It helps in inserting implants in the spine. On achieving this milestone, Dr H S Chhabra, chief of spine services, ISIC, said, “Surgeries conducted through advanced robotics reduce implant inaccuracies, revision surgeries, radiation exposure, length of stay and infection. Such high improvements in so many parameters simultaneously can drive significant clinical efficiency and reduce the burden on healthcare system in the medium to long run. This will help the doctors of ISIC serve the patients better and in a cost-effective manner.”

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JULY 2019

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NEWS HIGHLIGHTS

Odisha government to form new health policy to stop doctors’ brain drain Health Minister Naba Kishore Das recently said that the Odisha Government will form a new health policy to stop the brain drain of doctors and address the shortage of doctors in the State. He also said there would be no shortage of doctors after two years as the State would produce about 1,500 doctors every year from various medical colleges. “Under the new health policy, steps will be taken to retain the doctors who are moving outside the State after completing their education on State government’s expense,” said Das. The health minister also said that incentives will be provided to the doctors to retain them in the State.

Govt forms panel to consider central law on doctors’ security

The Union Ministry of Health and Family Welfare has formed a committee to look into the feasibility factor of a central law to stop violence against doctors across the country. The move comes to the fore in the backdrop of last month all India strike by doctors following attacks on medicos by the family of a patient in Kolkata. Apparently, the panel has been directed to check the “pros and cons” of bringing central legislation and whether it will be effective to check violence on medical professionals in hospitals. The 10-member panel which held its first meeting recently comprises members from the Home Ministry and the Legal Affairs Department. It also has representatives from the Medical Council of India and doctors’ associations, and medical superintendents of AIIMS and RML Hospital.

Women who wake up early have lower breast cancer risk: study If you are prone to cardiovascular diseases and finding it tough to come to term with the same, there is good news in the offing. Scientists have found that use of pasteurised form of Akkermansia muciniphila bacteria may cut such risks. According to a study published in the journal Nature Medicine, the intestinal bacteria provides greater protection against various risk factors. According to the findings, the research team from the University of Louvain, Belgium developed a clinical study in order to administer the bacteria to humans. For the study, 40 participants were enrolled and 32 completed the trial. The researchers administered Akkermansia to overweight or obese participants, all displaying insulin resistance (pre-diabetes type 2) and metabolic syndrome, in other words, having several elevated risk factors for cardiovascular diseases.

Jharkhand: Slums to get free medical care under Mohalla Clinics The Raghubar Das Government is mulling to replicate the success of “Mohalla Clinics” in Jharkhand. Reports say that the State Government has decided to provide free medical care to people living in slums under “Mohalla Clinics”, a successful model of Arvind Kejriwal-led Delhi Government. “These clinics will be like primary health centres and will offer free diagnostics facilities, treatment and medicine for minor ailments. These are being started for the benefit of daily wagers, who lose a day’s salary if they visit a regular hospital for treatment. The clinics will open every day in the morning and evening. Serious patients would be referred to bigger hospitals for treatment,” State’s Health Minister Ramchandra Chandravanshi was quoted as saying.

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Corporate Acquisitions/Appointments HealthAssure, a Mumbai-based aggregator, has secured a funding of worth $2.5 million. The series A funding round was led by Blume Ventures, an early stage venture capital fund. The healthtech startup was founded in in 2011 by Varun Gera. It is an aggregator of primary care services for corporates and individuals and helps bring day-to-day care closer to individuals. The company will use the fund to augment its health-tech platform, create sharper products that serve various primary care needs of the Indian market more effectively including insurance OPD products, build better data capabilities leveraging AI & ML and strengthen distribution. Responding to the development, Varun Gera, Founder & CEO of HealthAssure said, “We are proud to be associated with Blume through this round of funding. Blume has established itself as one of the most vibrant startup ecosystems in India and we look forward to leveraging their strengths in our journey of consumerising healthcare.

Healthtech startup 1MG raises $70 million in series D funding 1MG, a Gurugram based healthtech startup, has raised $70 million funding led by Switzerland’s Corisol Holdings with participation from the World Bank’s investment arm IFC. Other investors including Redwood Global, Korea Omega Healthcare Fund, existing investors such as Sequoia Capital, Maverick Ventures, HBM Healthcare investments, Omidyar Network and Kae Capital also participated in series D round of funding. 1MG, which deals in online pharmacy and diagnostic labs was started in April 2005 by three founders Prashant Tandon,

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Bengaluru-based healthtech startup mfine recently announced that it raised $4.5 million in debt funding from venture debt firm Alteria Capital. The funding will be used to maximise its investments in AI, mobile engineering and hardware integration. Mfine is also planning to expand its hospital network in some of the metropolitan cities in the next six months. “We are able to bring highquality healthcare to users’ mobile— be it doctor consultations, medicine orders, diagnostics tests or digital tools. The recently closed Series B and Alteria’s current investment are an endorsement of our differentiation and potential to create a large-scale healthtech business,” mfine co-founder and

Dhanuka Labs plan to take over debt ridden Orchid Pharma, NCLT approves Gaurav Agarwal, and Vikas Chauhan. With the latest round of funding, the startup aims to set up labs in 100 cities in India, and epharmacy services available in tier-3 cities as well as villages. The company would also develop AIbased products in order to provide better services to people at large.

Sun Pharma enters licensing agreement with China Medical System Holdings Sun Pharmaceutical Industries said one of its arms has entered into a licensing pact with a subsidiary of China Medical System Holdings for the development and commercialisation of its dermatology products, marking its entry into the Greater China Market. The agreement is to develop and commercialise Tildrakizumab, its lead product in Greater China, including Mainland China, Hong Kong Special Administrative Region, Macao Special

Alteria Capital invests $4.5 million in healthtech AI

CORPORATE UPDATE

HealthAssure secures $2.5 mn in series A funding

Administrative Region and Taiwan. China Medical System will pay Sun Pharma an initial upfront payment, regulatory and sales milestone payments, and royalties on net sales, the terms of which are confidential, the company said in a statement.

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Under the Insolvency and Bankruptcy Code (IBC), The National Company Law Tribunal (NCLT) approved Gurgaonbased Dhanuka Laboratories’ resolution plan of Rs 1,116 crore to take over the financially troubled pharmaceutical company, Orchid Pharma. The Chennai bench of NCLT held the view that a majority of the financial creditors had approved the bid by Dhanuka overruling an objection filed by Accord Life Spec. As per the terms set, the lenders will get about Rs 1,116 crore including Rs 570 crore quoted by Dhanuka Lab. A consortium of 24 banks has lent a total of over Rs 3,200 crore to the drug maker and the lenders will be taking a haircut of around 65 percent.

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