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Healthcare - Going ForwardSpecial Keynote Address
Rajendra Pratap Gupta Chairman
Personal Connected Health Alliance – India
&
President & Board Member Disease Management Association of
India (DMAI)
© Rajendra Pratap Gupta . Email: [email protected]
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NGOs
2© Rajendra Pratap Gupta . Email: [email protected]
G2C
2
20th C
2000
Focus on Communicable diseases
Focus on Hygiene & Sanitation
19th C
Focus on NCDs & Rural Health21st
C
© Rajendra Pratap Gupta . Email: [email protected]
Changing Goal Posts ..
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Under the Influence of…
SAP – Opening up Sectors
SPRS – Opening up Sectors
WHO / UN / World Bank - ( 1 $ = 1 vote)
© Rajendra Pratap Gupta . Email: [email protected]
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A new beginning .. Government with a majority
Policies written by an ordinary Indian like YOU
No one can dictate us now The end of adhocism A planned / institutionalized
approach
© Rajendra Pratap Gupta . Email: [email protected]
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What to expect in the next 5 years
© Rajendra Pratap Gupta . Email: [email protected]
The Road Ahead ..
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© Rajendra Pratap Gupta . Email: [email protected]
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© Rajendra Pratap Gupta . Email: [email protected]
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© Rajendra Pratap Gupta . Email: [email protected]
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© Rajendra Pratap Gupta . Email: [email protected]
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© Rajendra Pratap Gupta . Email: [email protected]
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© Rajendra Pratap Gupta . Email: [email protected]
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© Rajendra Pratap Gupta . Email: [email protected]
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• 1996 – First deployment – HIS by CDAC @SGPGIMS
• 1999 - Indigenous Development of Telemedicine Technology & Deployments by DeitY, MCIT, Govt. of India @ AIIMS, New Delhi; PGIMER, Chandigarh; & SGPGIMS, Lucknow.
• 2000 – Satellite based Telemedicine Deployment by ISRO @ Aragonda
• 2001 – First Telemedicine network between AIIMS, New Delhi – PGI, Chandigarh- SGPGI, Lucknow.
Evolution of eHealth in India
©Rajendra Pratap Gupta . Email: [email protected]
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• 2003 -04 - Deployment of SATCOM based TM nodes across the country by ISRO
• 2005 - Task force on Telemedicine by MOHFW.
• 2006 – Planning Commission approves budget for eHealth
• 2006 – In the 11th FYP, School of Telemedicine & Biomedical Informatics (STBI) set up at SGPGIMS
©Rajendra Pratap Gupta . Email: [email protected]
Evolution of eHealth in India
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• 2006 – PHFI was asked to set up Healthy India website by MOHFW
• 2007- STBI @SGPGIMS was made the National Resource Centre for Telemedicine & Biomedical Informatics by DietY
• 2007 – MOHFW supported Tele-opthalmology project
• 2007 – MOHFW supported the Onco-NET project
©Rajendra Pratap Gupta . Email: [email protected]
Evolution of eHealth in India
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• 2009 – MOHFW supported National Rural TM Network to start pilots projects in Telemedicine
• 2010 – National Medicine College Network Project conceived
• 2010 – SGPGIMS made National Resource Centre for Telemedicine by MOHFW
• 2010 – MCTS launched by MOHFW
©Rajendra Pratap Gupta . Email: [email protected]
Evolution of eHealth in India
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• 2012 – EMR/EHR Standards by MOHFW
• 2013 – NMCN initiated
• 2013 – MCIT initiative of NOFN to provide high speed bandwith connectivity to every Gram Panchayat (2,50,000).
• 2014 – National Health Portal was launched www.nhp.gov.in
©Rajendra Pratap Gupta . Email: [email protected]
Evolution of eHealth in India
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• GOI has established NKN , a state-of-the-art multi-gigabit Pan-India network backbone for all knowledge related institutions in the country.
• NKN has already connected 831 institutions, including 151 medical institutions
• SWAN – State Wide Area Network by GOI to enable states to have bandwith connectivity of 2 – 10 MBPS till the block level.
©Rajendra Pratap Gupta . Email: [email protected]
Evolution of eHealth in India
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• BBNL, a SPV for the NOFN project has started 3 pilot projects under NOFN in 3 blocks, covering 58 Gram Panchayats, in 3 states – Arian Block, Ajmer (Rajasthan); Parvada, Visakhapatnam (AP) & Panisagar ( Tripura). TM centre in each block is connected with a medical college
• Regional Resource Centres (RRC) – SGPGIMS, Lucknow is the RCC for UP, Bihar , Jharkhand , WB, Odisha , Andaman & Nicobar Islands
©Rajendra Pratap Gupta . Email: [email protected]
Evolution of eHealth in India
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• PGIMER, Chandigarh is the RRC for J&K, Punjab, Chandigarh, Haryana & HP.
• KEM, Mumbai is the RRC for Maharashtra, Gujarat, Goa , Daman & DIU , Dadra & Nagar Haveli
• AIIMS, Delhi is the RRC for Uttarakhand, Delhi, MP, Chhattisgarh & Rajasthan
• JIPMER is the RRC for AP, Tamil Nadu, Karnataka, Kerala and Puducherry
©Rajendra Pratap Gupta . Email: [email protected]
Evolution of eHealth in India
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• NEIGRHIMS is the RRC for Assam, Meghalaya, Tripura, Manipur, Sikkim , Arunachal Pradesh , Nagaland & Mizoram
• Gujarat , Maharashtra , Odisha and Uttarakhand are using PPPs in Telemedicine
• 108 is a success story for a scalable project
• Tele-radiology , Tele-opthalmology, MCTS & Emergency response services are success stories in eHealth
©Rajendra Pratap Gupta . Email: [email protected]
Evolution of eHealth in India
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• MEA, GOI has initiated two projects 1) Pan-African e-Network Project 2) SAARC e-Network Tele-Medicine Project
• There are about 35 projects / initiatives funded by IFI’s like World Bank, USAID & BMGF
• There are more than 40 Private Sector Projects
• Shankara Nethralaya, L V Prasad Eye Institute & Aravind Eye Care system are the best examples of Telemedicine backed hospital networks
©Rajendra Pratap Gupta . Email: [email protected]
Evolution of eHealth in India
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• Setting up of IHIN vide GO no. R-14012/16/2014-E-Gov , Government of India , Deptt. Of Health and Family Welfare – eGov Division; 6th Jan, 2015
• Setting up of NeHA ( National eHealth Authority)
• IOT Policy
• RSBY has moved to the MOHFW W.E.F 01st April’15
• TEC, Min of IT & BIS working on the standards
Action has begun …
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©Rajendra Pratap Gupta . Email: [email protected]
Opportunity is mind boggling
• Digital Health record
• Health Exchange
• Patient Portals
• Telemedicine / mHealth / wearable devices / POCD
• Home healthcare / geriatric care / Chronic disease management
• Big Data & Analytics
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©Rajendra Pratap Gupta . Email: [email protected]
• SC(148k+) + PHC(23k+) + CHC(4.8k+) - 177248
• Sub divisional hospitals - 985
• District hospitals – 613
• Total number of hospitals & dispensaries - 35415
• ESIC - 2000
• ECHS > 400
• Railways & other PSUs
Opportunity is mind boggling
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©Rajendra Pratap Gupta . Email: [email protected]
• 1.22 billion users
• Universal Healthcare
• Corporate hospitals >200 beds - 425
• Single specialty hospitals - 660
• Tier 1 Private hospitals 100-200 beds - 2125
Opportunity is mind boggling
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©Rajendra Pratap Gupta . Email: [email protected]
• Tier 2 private hospitals 30-100 beds - 4250
• Nursing homes < 30 beds – 3750
• Clinics 0-1 beds - 2,00,000
• Standalone doctors – 1.5 million+ ( Allopathy + AYUSH)
• Nurses - 2.1 million
• Diagnostics centers - 40,000
• Smart cities
Opportunity is mind boggling
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©Rajendra Pratap Gupta . Email: [email protected]
Chronic Diseases / Risks 2011
Diabetes 65 million
CVD 64 million
Cancer 12.7 million
Hypertension 100+ million
Obesity incidence 60 million
Tuberculosis 2.2 million
Opportunity is mind boggling
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©Rajendra Pratap Gupta . Email: [email protected]
Words of caution
• We need to gather clinical evidence in support of HCIT & Patient care / outcomes
• Move from the ROI to VOI approach
• Learn to restrain when dealing with the Government
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“For the first time in many decades , the Government
has made the right moves, and it is upon us to work
together to transform these
ideas into reality”
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Thank You !
Rajendra Pratap Gupta Email : [email protected]
©Rajendra Pratap Gupta . Email: [email protected]
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• Views presented are personal
• Presenter is associated healthcare organizations across USA, Europe , U.K. & India .
• The figures and studies are indicative & for representational purpose only Utmost care has been taken to quote the data. Any inadvertent error is regretted .
• Quotes used in the presentation are coined specially for this presentation & are copyrighted by the author & presenter. Do not use any quote without the written consent of the author
• The presentation has used many resources and acknowledges the contributors with appreciation and thanks . Some of the trade names / marks (if used ) may belong to third parties , and have been quoted just for the sake of information to the audience
• Please do not copy or reproduce in whole or part thereof, the contents of this presentation without the written permission from the presenter .
Disclosures & Acknowledgements
© Rajendra Pratap Gupta . Email: [email protected]