1  13h  May  2016  

Preparing  for  the  Future:  Innova4on  in  Digital  Healthcare  

5th  Annual  Healthcare  CIO  Summit  2016  

2  

Visible  Innova4on  

Invisible  Innova4on  

Product  Service  for  End  Users  

Process  Innova4on  

Management  Innova4on  

Innova4on  by  crea4ng  a  Value  chain    

What  is  innova4on  all  about?  

“Innova4on  is  novelty  in  how  value  is  created  and  distributed”  

3  

To  whom  you  will  hire  to  solve  the  mosquito  problem?  

A  Zoologist?   A  Biotechnologist?   A  Mathema4cian  

MBA  Grad?   A  Hacker?  Of  course  an  Ethical  

How  about  a  Magician?  

4  

How  a  Hacker  Developed  the  most  Innova4ve  mosquito  protec4on  shield  

5  

The  laser  shield  can  be  used  in  protec4ng  the  ins4tu4onal  building  and  homes  

6  

System  used  the  electronics  available  in  common  consumer  appliances  

Where  are  We  now...  

7  

Phase  I  (Past)  

Centralized  Medical  Care  

Phase  II  (Present)  

Hub  &  Spoke  Model  

Phase  III  (Future)  

Pa4ent  Centric  Medical  Homes    

Do  we  really  belong  to  service  sector?  

8  

U  

Our  pa4ents  OPD  Experience…  

9  

2  –  3  Hr  20-­‐  25  min  

10  –  20  min  

20  –  30  min  3  –  5  min  

Rehashed  OPD  Experience:  e-­‐Consulta4on    

10  

5-­‐6  min  0  min  

0  min  

0  min  3  –  5  min  

What  are  the  driving  forces  behind  the  Change    

11  

Pa4ent  has  changed  to  Consumer  

Demanding  more  “service”  from  the  service  sector    

Healthcare  Startups  are  spear  heading  the  change  in    “Pa4ent  Experience”    

People  are  more  conscious  about  their  health.  They  wish  to  remain  healthy  and  avoid  hospitaliza4on  

Adapta4on  of  health  technologies  are  growing  at  fast  pace  

Healthcare  Startups  Changing  the  Landscape  

12  

20  -­‐  25%  of  all  startups  in  India  Focus  on  Healthcare  

40%  -­‐  50%  of  them  have  an  IT  based  plaborm  

60%  -­‐  65%  of  them  are  focusing  on  Primary  care,  Pre  Disease  Management,  Improving  the  Pa4ent  experience  

65%  of  the  founders  do  not  have  any  prior  healthcare  Experience  

Case  Study:  Portable  e-­‐Backpack  

13  

                       Brazil  

  -­‐   It   changes   where   health   happens   -­‐   An   easily   transportable   e-­‐health   backpack   gives   clinicians   access   to  thousands   of   out-­‐of-­‐reach   communi4es.   Doctors   gain   a   comprehensive   diagnosis   of   pa4ents   in   the   area  suffering   from   chronic   disease   by   conduc4ng   home   visits   quickly   and   easily,   breaking   down   the   barriers  preven4ng  access  to  healthcare.  

    -­‐   It  makes   smart   use   of   technology   -­‐   The   backpack   includes   various   diagnos4c   tools  with   the   capacity   to  detect  up  to  twenty  different  condi4ons,  record  pa4ent  data  and  can  generate  results  within  minutes.  

   The  evidence  that  it  works    Savings   derived   from   reducing   hospitaliza4ons   of   pa4ents   with   cardiovascular   diseases   were   around   USD  $136,000  per  100  pa4ents.  And   the   savings   created   from  avoiding  other   clinical   interven4ons   ranged   from  USD  $4,000  for  heart   failure  to  USD  $200,000  for  kidney  dysfunc4on  per  100  older  pa4ents   in  the  e-­‐health  program.  

In  an  agempt  to  remedy  the  insufficient  access  to  health  services  for  millions  of  sick  and  elderly  people  living  in  Brazilian  slums,  the  Municipality  of  Rio  de  Janeiro  partnered  with  the  New  Ci4es  Founda4on  to  develop  portable  e-­‐backpacks,  which  provide  vital  medical  assessment  and  treatment  to  out-­‐of-­‐reach  communi4es.  

Case  Study:  Pa4ent  Access  UK  

14  

 -­‐  Using  the  Pa4ent  Access  method  GPs  are  no  longer  4ed  to  10  minute  appointments.  GPs  are  able  to  help  many  pa4ents  over  the  phone,  without  the  need  for  them  to  visit  the  surgery.  This  frees  up  a  substan4al  amount  of  GP  4me,  which  can  be  allocated  to  other  pa4ents  who  might  benefit  from  a  longer  consulta4on.  GPs  omen  carry  out  follow-­‐ups  over  the  phone  to  discuss  progress,  raise  concerns  or  arrange  another  appointment  if  they  feel  it  is  necessary.    Since  being  set  up,  Pa4ent  Access  has  helped  over  60  surgeries  across  the  UK  transform  services  for  over  500,000  pa4ents.  The  wait  to  see  a  GP  at  these  surgeries  has  been  shown  to  decrease  on  average  from  6  days  to  1.  Pa4ents  surveyed  say  they  experience  a  beger,  quicker  service,  and  in  the  majority  of  areas  using  Pa4ent  Access  there  has  been  a  no4ceable  decrease  in  admissions  to  nearby  A&E  departments,  some4mes  by  up  to  49%.  

Pa4ent  Access  was  set  up  by  a  group  of  GPs  to  help  surgeries  and  prac4ces  across  the  UK  to  transform  access  to  their  care  into  a  same-­‐day  experience.  Their  model  allows  pa4ents  to  speak  with  their  GP  over  the  phone  within  an  hour  of  contac4ng  their  prac4ce  and,  if  necessary,  book  a  same  day  appointment  to  see  their  GP.  

                       UK  

Case  Study:  Ginger.io  Worldwide  

15  

 -­‐  91%  of  people  keep  their  phone  at  close  reach,  24  hours  a  day.  Your  smartphone  knows  where  you  go,  when  you  sleep,  how  omen  you  call  and  text,  when  you  get  up.  It  can  no4ce  small  changes  in  your  behaviour  that  could  signal  illness.    Ginger.io  has  also  pioneered  behavioural  tracking  of  condi4ons  ranging  from  diabetes  to  obesity  and  flu,  providing  an  analy4cal  tool  and  early  warning  system  for  individuals,  governments  and  healthcare  prac44oners  alike.  

   It’s  s4ll  early  days  for  this  app  but  Ginger.io  is  already  being  used  by  Type  2  diabetes  sufferers  to  manage  their  condi4on.  And  the  app  is  colla4ng  all  health  data  so  that  par4cipa4on  contributes  to  science  overall,  improving  care  for  everyone.  

Ginger.io  is  a  new  ‘big  data’  digital  app  developed  by  a  Boston-­‐based  health  IT  start-­‐up.  It  uses  sensors  that  are  in-­‐built  in  smartphones  to  track  texts,  calls  and  movements.  The  app  uses  this  data  to  understand  the  rela4onship  between  an  individual’s  health  and  behavior,  genera4ng  health  insights  that  allow  beger  management  of  chronic    condi4ons.  

Case  Study:  Big  Data  &  Analy4cs  Tools    

16  

The  target  hospital  has  

significant  amount  of  data,  however  

not  able  to  retrieve  the  meaningful  

informa4on.  They  did  not  want  to  

invest  in  changing  the  ERP/MIS  

system  

Problem  1  

We  used  the  tools  predominantly  

used  in  retrieving  in  Big  Data  and  analy4cal  tools  

and  methodology  used  in  FMCG  sector  to  give  

them  customized  reports  without  interfering  with  the  exis4ng  system  

Solu4on  2  

Outcome  3  

Ortho  Cases  

Sample  outcome  1:  Specialty  wise  Pa4ent  flow    

GN  Sx  

Cardiac  65%                

           

Ophthalmology  2  years  back  65%,  Now  25%  

           

Sample  Outcome  2:  Developing  Package  rates  

Average  quoted  Package  Rate  

Average  Invoice  Value  at  discharge  

15  –  20%  Difference  

Digital  Future  is  Closer  than  it  appears  

17  

Mantra  for  Success  in  Digital  Innova4on    

18  

Take regular and small steps and focus on improving the “Patient Experience”

 Manas  Tripathi  Managing  Director  Synapse  Healthcare  Consultants  Private  Limited        manas@synapsehealthcare.net  +91  9958468977