delivering world class health care, affordably

8/10/2019 Delivering World Class Health Care, Affordably

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MOHIT KELKAR

EXECUTIVE 2014-15


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India last place on earth to find health careinnovation.

Basic medical needs for the citizens are still not met. Though huge number of doctors and nurses present its

comparatively far lesser than the countries like US andChina. Most medical facilities are outdated, cramped and

often unhygienic. Though the per capita income is less, Indians still

believe that good medical treatment is a necessity. Despite the pressing demand and constrained supply,

Indian hospitals have devised ways of providing worldclass health care affordably.


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They maintain the global quality standards.Though they target a higher income patients,

they cater to low income as well.Low costs attract large volumes and hence

enterprise is profitable.These are generally single or multi speciality

institutions and are many times academiccentres as well.

Their charges are typically 95% lower thanthose of U.S hospitals without compromisingon quality.


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Differential cost of labour seems to be anobvious answer but it is just a small part ofthe story.

Even considering the U.S wages the costin India is just 4%-18% in comparison with

US hospitals.Then how such ultra low costs are

managed still remains unanswered.


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To deliver the dual commitment of high

quality and ultra low cost, Indian hospitals

developed 3 powerful organisational

advantages.

(a.) Hub and Spoke configuration of

assets.

(b.) Shifting of tasks.(c.) Cost Effectiveness.


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Rethinking who does what becomes critical when you have to deliverhigh quality at ultra low price.

Indian exemplars hospitals match the skill levels of people with thebasic requirement of tasks.

They focus on creating fresh categories of low cost health careworkers at one end of the spectrum and highly efficient specialists at

the other. They maximize the efficiency by increasing the number of staffs

supporting the most skilled surgeons extending their reach. Another way of increasing surgeons productivity is to reduce the time

in moving of patients. An extreme form of task shifting is self service where patients and

family members take over tasks traditionally performed by hospitalstaffs. Allowing family members to provide those services reduces costs,

allows personal care and ensures continuity of care at homereducing post surgical complications.


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Indian exemplars have the goal ofmaximising the number of patients treatedrather than the number of procedures

conducted.To achieve the goal, these hospitals follow

the mind set of old fashioned frugalityapplied in both ways as innovative andremarkably mundane.

Cost cutting is the priority even among thedoctors.


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Indian hospitals or doctors have traditionallylooked to the West for advances in medicalknowledge but its about time West looked to

India for innovations in Health Care delivery.Changes in U.S Health Care will not come

easily and quickly, however U.S health caresystem will operate in a very different way if

exposed to the kind of low cost innovationdriving the best Indian hospitals.


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THANK YOU


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Your name to be in small letters.

Images and bar charts.Examples to be mentionedAsk the audience for relation to their personalexperiences. Audience engagement.

Flow chart to be drawn wherever possible.Seminal articles which will go for years likemarketing myopia.

delivering world class health care, affordably

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