mhealth for providers in india
DESCRIPTION
HealthCursor Consulting Group India- Mobile Health is going to be a 3000 crore market in India by 2017. (Source PwC). M-health (use of mobile phones) and E-health are all set to make an entry into India's primary health centres (PHCs) and sub-centres as the health ministry plans to go hi-tech. Healthcare industry is expected to show a strong growth of 23% per annum to become a US$ 77 billion industry by 2012. One of the largest sector in terms of revenue and employment has grown at 9.3% per annum between 2000-2009 with a current size at par with fastest growing developing country like China, Brazil and Mexico.Driven by various catalysts such as increasing population, rising income levels, changing demographics and illness profile with a shift from chronic to life style diseases, healthcare industry is expected to move to levels of US$ 77 billion in next 3 years. (Source: ASSOCHAM). Empowering rural India is of utmost importance and the government needs to do so by provisioning for broadband penetration and financial inclusion. Access to quality health care is another key to achieving rural empowerment. The budget for this segment was raised marginally last year and it would be good to have an allocation for rural health care programs with provisions for technology that would help modernize this sector to expand its reach through remote healthcare solutions and telemedicine. Furthermore, the government announced a big budget campaign 'Swabhimaan' in the budget last year to promote banking and provide services to about 20,000 villages. In order to meet this goal, the budget this year too would need to make provisions accordingly. The steering committee on health said that in the 12th plan (2012-17), all district hospitals would be linked to leading tertiary care centres through telemedicine, Skype and similar audio visual media. M-health will be used to speed up transmission of data. Disease surveillance will be put on a GIS platform. Disease surveillance based on reporting by providers and clinical laboratories (public and private) to detect and act on disease outbreaks and epidemics would be an integral component of the system.India will also put in place a Citizen Health Information System (CHIS) - a biometric based health information system which will constantly update health record of every citizen-family. The system will incorporate registration of births, deaths and cause of death. Maternal and infant death reviews, nutrition surveillance, particularly among under-six children andwomen, service delivery in the public health system, hospital information service besides improving access of public to their own health information and medical records would be the primary function of the CHIS. Economies of Indian states can grow 1.08 per cent faster with every 10 per cent increase in Internet and broadband connections.TRANSCRIPT
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HEALTHCURSOR CONSULTING GROUPHow does Mobile Health relate to me as a Doctor?
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A Prescription that is worth millions……
Health - a state of complete physical, mental, and social well-being and not merely theabsence of disease or infirmity.- The most enduring definition till date….
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Doctor?
Doctor - is a health care provider who practices the profession of medicine, which isconcerned with promoting, maintaining or restoring human health through thestudy, diagnosis, and treatment of disease, injury and other physical and mentalimpairments.
Eating Healthy
Sleeping tight
Physically Active
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(R)Evolutionary Medicine
It’s not just about drugsand prescription, butbringing behavioral change
Not episodic, ……butcontinuous care
Not just Doctor driven, butCollaborative Care
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Patient engagement and Management platform
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Case Study- Philips Health Informatics Division
Consumerbehavior
Consumerexperiences
Treatmentoptions and
risks
(R)Evolutionary Medicine --------------------------------------> Evidence based medicine
Because we collect hundreds ofthousands of ECGs, we can analyzeheart rhythms and create predictivealgorithms tailored to gender, race,and age
Because we have banks ofthousands of lung images, scanned,bar-coded, and registered, we cancreate lung models for computer-aided diagnosis (CAD) of lungdisease
Because we have monitoring andlaboratory information on over onemillion ICU patients, we cantransform the data into algorithmsthat help predict and treat sepsis andrelated adverse events
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Evidence-based medicine (EBM) is thenew mantra.
It evaluates the strength of the evidence ofbenefits and risks of treatments.Its processes mandate a systematic search ofinternational medical literature to ferret out relevantresearch.It attempts to assess the quality of the evidenceand ranks its sources.Its rigorous methodology, elaborate checklists,detailed assessments and quality controls haveraised research standards.It recommends that the best available evidencebe used to aid clinical decision-making and policy.It has improved the evidence base. EBM haschanged medical practice.
Evidence Based Medicine
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Chronic Disease Management platform
Access Efficiency Quality Patientsatisfaction Productivity Patient
engagementCost
effectiveness
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WHY BOTHER?
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Medical ErrorsThe most common errors per 1,000 visitsare:• 65 incidents per due to adverse drugevents• 60 incidents due to hospital acquiredinfections• 51 incidents related to proceduralcomplications
Adverse Drug Events (ADEs) areresponsible for $2 billion per yearnationwide in hospital costs alone. It’sestimated that a national healthinformation infrastructure can saveabout $140 billion per year throughimproved care and reduced duplicationof services.
Medical errors are responsible for 30%of the price of healthcare More than 50% of the $17- $29 billionnational cost associated with medicalerrors is preventable Medical errors cost 10-15% of ahospital’s annual operating budget
Statistics
Business Problems
Source: HIMSS
Annual Cost for an adversemedical event annually
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The Doctor Says….
“I haven’t used a stethoscope to listen to apatient’s heart in two years. “Why would youlisten to a heart when you have anultrasound in your pocket?”
‘“Stethoscope” is a term that is outdatedbecause it implies the ability to “look” orscope into the patient’s chest.
and he did a live demonstration of GE’sVscan ultrasound device.
The story here is that a remarkable digital infrastructure has been built and yet the medicalworld is in a separate orbit, a cocoon of sorts. This is the beginning of a coalescence of athese two fields, where medicine can leverage this fantastic digital infrastructure. Not justwireless but the idea that you can digitize the whole human being.
We’re used to digitizing books and movies but now we can digitize people with wirelesssensors, advanced medical imaging, even genomic sequencing. mHealth is a way to takethis forward, because now we’re talking about a mobile platform, a way of getting that dataon any individual, to individualize their care, to allow prevention of significant illnesses. Thisis a unique opportunity, the most exciting time in medicine ever.
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Outcomes?
Provides timely Treatment- Kettering Health Network’s iSite PACS enabled users toread studies faster, from practically anywhere in the network, and improved workflowefficiency in a CT imaging study for ED patients providing turnaround from exam to finalreport in as little as 15 minutes, (vs 2-3 hours).Simplifies workflows- At Banner Health (a multi-US-state nonprofit), glucose workflowreminders contributed to constant dialog between the eICU® center and the Units, resultingin increased compliance from 20% to 60% of patients whose levels were kept within targetrange.Saves Lives- At Legacy Health (Portland, Oregon-based hospital system) and StVincent’s (Bridgeport, Connecticut) in a 135-patient study, septic patients monitored withProtocol Watch had a significant decrease (from 182 to 112 minute) in the amount of time ittook to administer antibiotic therapy – in a patient population where time is criticalImproves Financial Outcomes- Avera Health (a multi-state HMO) implemented ICTenabled ICU Program in 16 facilities across four states; through remote monitoring, anestimated 37.5% fewer rural health patients required transfer, which represented a costsavings of more than $1.2 million, and they reported an additional $8 million savings foraggregate length of stay reductions.
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MONEY?
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No reason to say no to mHealth?= It does relates to me as a Doctor!
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Thank you!
Healthcursor is a niche private, healthcare strategic business consulting organization based in India. Every day,across the globe, Healthcursor et al conceptualises and implements innovative healthcare delivery models thatimprove value, access, profitability and market for the innovative technologies by integrating them with right partnersand systems. It is the only niche mhealth consulting company in India.
The Company has won laurels and is now a member of mHealth Alliance (Hosted by the United Nations Foundation,and founded by the Rockefeller Foundation, Vodafone Foundation, and UN Foundation, the mHealth Alliance now alsoincludes the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), HP, the GSM Association, and NORADamong its founding partners.) HealthCursor is working with Major Telcom operators and Healthcare Providers in theAsia Pac and MENA region to help conceptualize and position the mHealth opportunity in diverse economies of scale.
We are a Member of HIMSS Asia Pacific. The Healthcare Information andManagement Systems Society (HIMSS) is dedicated to improving the quality, safety, cost-effectiveness, andaccess to healthcare through the best use of information technology and management systems.