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Healthcare - Going Forward
Special Keynote Address
Rajendra Pratap Gupta
Chairman
Personal Connected Health Alliance – India
&
President & Board Member
Disease Management Association of India
© Rajendra Pratap Gupta . Email: ea2rajendragupta@gmail.com
2
NGOs
2
© Rajendra Pratap Gupta . Email: ea2rajendragupta@gmail.com
G2
C
2
20th C
2000
Focus on Communicable
diseasesFocus on Hygiene & Sanitation
19th C
Focus on NCDs & Rural
Health21st C
© Rajendra Pratap Gupta . Email: ea2rajendragupta@gmail.com
Changing Goal Posts ..
3
Under the Influence of…
 SAP – Opening up Sectors
 SPRS – Opening up Sectors
 WHO / UN / World Bank - ( 1 $ = 1 vote)
© Rajendra Pratap Gupta . Email: ea2rajendragupta@gmail.com
4
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: ea2rajendragupta@gmail.com
5
What to expect in the next 5 years
© Rajendra Pratap Gupta . Email: ea2rajendragupta@gmail.com
The Road Ahead ..
6
© Rajendra Pratap Gupta . Email: ea2rajendragupta@gmail.com
7
© Rajendra Pratap Gupta . Email: ea2rajendragupta@gmail.com
8
© Rajendra Pratap Gupta . Email: ea2rajendragupta@gmail.com
9
© Rajendra Pratap Gupta . Email: ea2rajendragupta@gmail.com
10
© Rajendra Pratap Gupta . Email: ea2rajendragupta@gmail.com
11
© Rajendra Pratap Gupta . Email: ea2rajendragupta@gmail.com
12
© Rajendra Pratap Gupta . Email: ea2rajendragupta@gmail.com
eHealth…..Journey so far
13
©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com
• 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
14
©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com
• 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
15
©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com
Evolution of eHealth in India
• 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
16
©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com
Evolution of eHealth in India
• 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
17
©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com
Evolution of eHealth in India
• 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
18
©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com
Evolution of eHealth in India
• 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.
19
©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com
Evolution of eHealth in India
• 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
20
©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com
Evolution of eHealth in India
• 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
21
©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com
Evolution of eHealth in India
• 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
22
©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com
Evolution of eHealth in India
• 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
23
©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com
Evolution of eHealth in India
Time for action…..
24
©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com
• 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 …
25
©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com
26
©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com
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
27
©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com
• 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
28
©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com
• 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
29
©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com
• 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
30
©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com
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
31
©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com
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
32
“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”
33
Thank You !
Rajendra Pratap Gupta
Email : rajendra.gupta@bjp.org
©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com
34
• 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: ea2rajendragupta@gmail.com

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3rd Healthcare IT India Summit - 2015

  • 1. 1 Healthcare - Going Forward Special Keynote Address Rajendra Pratap Gupta Chairman Personal Connected Health Alliance – India & President & Board Member Disease Management Association of India © Rajendra Pratap Gupta . Email: ea2rajendragupta@gmail.com
  • 2. 2 NGOs 2 © Rajendra Pratap Gupta . Email: ea2rajendragupta@gmail.com G2 C 2 20th C 2000 Focus on Communicable diseasesFocus on Hygiene & Sanitation 19th C Focus on NCDs & Rural Health21st C © Rajendra Pratap Gupta . Email: ea2rajendragupta@gmail.com Changing Goal Posts ..
  • 3. 3 Under the Influence of…  SAP – Opening up Sectors  SPRS – Opening up Sectors  WHO / UN / World Bank - ( 1 $ = 1 vote) © Rajendra Pratap Gupta . Email: ea2rajendragupta@gmail.com
  • 4. 4 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: ea2rajendragupta@gmail.com
  • 5. 5 What to expect in the next 5 years © Rajendra Pratap Gupta . Email: ea2rajendragupta@gmail.com The Road Ahead ..
  • 6. 6 © Rajendra Pratap Gupta . Email: ea2rajendragupta@gmail.com
  • 7. 7 © Rajendra Pratap Gupta . Email: ea2rajendragupta@gmail.com
  • 8. 8 © Rajendra Pratap Gupta . Email: ea2rajendragupta@gmail.com
  • 9. 9 © Rajendra Pratap Gupta . Email: ea2rajendragupta@gmail.com
  • 10. 10 © Rajendra Pratap Gupta . Email: ea2rajendragupta@gmail.com
  • 11. 11 © Rajendra Pratap Gupta . Email: ea2rajendragupta@gmail.com
  • 12. 12 © Rajendra Pratap Gupta . Email: ea2rajendragupta@gmail.com
  • 13. eHealth…..Journey so far 13 ©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com
  • 14. • 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 14 ©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com
  • 15. • 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 15 ©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com Evolution of eHealth in India
  • 16. • 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 16 ©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com Evolution of eHealth in India
  • 17. • 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 17 ©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com Evolution of eHealth in India
  • 18. • 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 18 ©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com Evolution of eHealth in India
  • 19. • 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. 19 ©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com Evolution of eHealth in India
  • 20. • 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 20 ©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com Evolution of eHealth in India
  • 21. • 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 21 ©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com Evolution of eHealth in India
  • 22. • 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 22 ©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com Evolution of eHealth in India
  • 23. • 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 23 ©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com Evolution of eHealth in India
  • 24. Time for action….. 24 ©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com
  • 25. • 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 … 25 ©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com
  • 26. 26 ©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com 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
  • 27. 27 ©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com • 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
  • 28. 28 ©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com • 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
  • 29. 29 ©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com • 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
  • 30. 30 ©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com 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
  • 31. 31 ©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com 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
  • 32. 32 “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”
  • 33. 33 Thank You ! Rajendra Pratap Gupta Email : rajendra.gupta@bjp.org ©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com
  • 34. 34 • 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: ea2rajendragupta@gmail.com