tansforming healthcare condensed

Ó Neeraj Mahajan 20091

Strategic Win-Win America Project (SWAP) for Smart Health & Prosperous Economy (SHAPE)

An innovative solution for

Affordable & Quality Health & Wellness

The need : A new model Healthcare

A new health management tool that is:

Custom made

Efficient

Personal

Password-secure

Innovative

Priced transparently

Flexible

Improves Quality

Reduces the cost of service.

Improves patient access

Ó Neeraj Mahajan 2009 2

On-demand, need-specific Healthcare at the Doorstep of the Consumers

Our Goal:

Transforming Healthcare

Prevent and manage chronic diseases

Help control the rise in health care costs

Try and bridge the gap between the Have’s and the Have-not's

Expand healthcare coverage for the long-term uninsured

Restructure the way in which doctors and hospitals are paid


More Smiles Per Mile– Across the World

Our Objective:

High-quality healthcare services

Available and Affordable

Choice of Premium, Optimum & Budget category facilities & specialists

On demand Health, Wellness & Medicare at reasonable costs

Virtual Hospital - 24x7 worldwide


Smart America = (Healthy + Prosperous America ) x Wellness worldwide

One of the Top Future–Ready Healthcare Trends:

Continuous & chain-linked


Health & Wellness does not begin and end with the patient

Patient CareFamilySupport GroupsSocialCommunity

Hospital

Physician

Pre/ Post Op Care

Physiotherapy

Counseling

Meditation

Step by Step Process

US Healthcare Industry

Concerns

Access to care

Quality of care

Cost of care

Technology adoption

Burden on providers

Shortage of providers

Margins for providers declining

Policy Concerns



Core Issues to be discussed

Who wins if America looses ?

Who gains from the inherent inefficiencies of the US healthcare system?

Can there be more accessible and affordable healthcare options for US citizens?



The Way Out


80:20 FormulaSolution: Inside-Out

The 80:20 Formula

Objective : Inside - Out

80% goal - Healthcare at the doorstep of the consumer – Streamline operations at a wide network of state of the art medical facilities so that patients does not have to travel overseas and finds it prudent to receive superior treatments at comparable costs, that too within walking distance from their homes.

20% goal – Assurance of Streamlined, Safe and Supervised treatment at pre-selected overseas facilities in cases where the same procedure cannot either be done at a lesser cost or requires immediate, unavoidable treatment, economically unviable investment, staffing or maintainance


The 80:20 Formula

Why : Inside - Out

Centralized planning for 300 million Americans is unrealistic Doesn’t work anywhere else in the economy Goes against the American grain

By developing a market driven and government endorsed strategy to streamline health care costs, US citizens can significantly reduce their health insurance expenditures and lower overall costs to the health care system.

The savings can spur the growth and development of a healthy & economically wealthy America

The spin-offs can benefit many friendly nations and add to their economic development -- leading to generation of employment and opportunities within their own boundaries

In the long run this can result in reduction of immigrants to t he US


The 80:20 Formula

Benefits : Inside - Out

Even if a small percentage of the amount spent on traveling abroad for medical treatment could be saved and reinvested into the US facilities, the long term benefits could be much more than the immediate gains

Investment in hospitals, research and medical education, can spur sustainable economic development and employment opportunities in US with enough spin-off for the rest of the world.

Only strong healthy and economically strong America can be the true Super power that can not only transforms itself but the rest of the world as well



Finally, The Solution



Solution: Inside-Out


Finally, The Solution


Advantage America

AdvantageIndia

Advantage

Humanity


Solution: Inside-Out

The Win-Win Strategy

Who Benefits:


Advantage America – Health & Wellness 3600 Plan Healthy Healthcare Industry, Satisfied Doctors & other professionals, Satisfied patients

Advantage India – Health & Wellness 3600 Plan Healthy Healthcare Industry, Satisfied Doctors & other professionals, Satisfied patients

Advantage Humanity Sharing of knowledge, expertise and infrastructure

Recession proof growth of Health, Medicare & Wellness industry worldwide

One Big Virtual Hospital- anyone, anywhere in the world can consult a doctor across another continent without stepping out of their homes

Better Patient Awareness though specially designed Audio-video, print material and web content. Cost effective option to seek expert advise through live web chat and email queries

Better and More Informed Choices- Libraries, reading rooms and counseling by qualified Doctors whose job is just to explain the how’s, whys and other complicated medical terminology to the patients

Advantage America

How USA Benefits:1. Advantage America – Health & Wellness 3600 Plan Healthy Healthcare Industry,

Satisfied Doctors & other professionals, Satisfied patients

Centres of Excellence impart quality Medicare

Horizontal Integration- One Country, one rate for the same medical treatment or services

Advantage Doctors:

More & regular patient footfalls – also from other states, even those uninsured

Lesser dependence on unfavorable terms of Insurance Companies

Improved choices for patients

Wider availability & choice A, B or C category Doctors -- almost at the patient’s doorsteps

Pre approved – recommended Quality Medicare & Wellness Centres to chose from

Graded by a Board of Health Industry professionals under Premium, Moderate and budget panel based on the fee, professional experience and minimum infrastructure & services in each category

Less waiting – as different centres and doctors with similar experience & facilities within the same country charge the same fee


Case Study # 1: Doctor is unavailable – A 100% insured person needs immediate medical attention for a sudden and excruciating pain at midnight but the regular doctor is asleep or on a vacation

SWAP ADVANTAGE – It may be midnight in USA but day time in India when almost all the doctors are working and can be available - they can at least advise you if it’s a false alarm or a real need to rush to a hospital. In case of a real emergency – a standby evacuation / ambulance team is rushed and responds to the call

Case Study # 2: Experienced Doctors are available but too expensive to afford – An usual dilemma for many people in USA

SWAP ADVANTAGE – Reach to some other comparable quality and affordable facility or Doctor in the same city, across USA or India and get the right treatment at the right time !!

Case Study # 3: Patient is insured but the disease isn’t – A 100% insured person in USA needs treatment which requires out-of-pocket expenses or is not 100% covered in his health insurance policy

SWAP ADVANTAGE – Assured and affordable facilities and Doctors in the same city, across USA or India.



Patient in USA- Illustration of Benefits- 1

Universal access to 24 x 7 x 365- on demand healthcare at the doorstep of the consumer. Doctor on call – anywhere, anytime from across the universe.

Case Study # 4: Both the Patient and the disease are inadequately covered by Insurance

SWAP ADVANTAGE – Choice of opt-in Premium, Moderate and budget category facilities and doctors. Right and appropriate value for money !!

Case Study # 5: Patient goes abroad for medical treatment but still needs care, support and counseling in the pre and post operative phase

SWAP ADVANTAGE– Assurance of single window for pre and post-operative care, Safety & coordinated travel arrangements & monitored treatment even at the overseas facilities

Case Study # 6: Patient is willing to go abroad for treatment but needs a doctors recommendation and advise as to which hospital or doctor to visit

SWAP makes it possible

Case Study # 7: Patient is willing to go abroad for treatment but wants the trusted family doctor to monitor his progress


Case Study # 8: Patient, on his own, is unable to differentiate between a real emergency or false alarm as well as short term v/s long term disease management options

SWAP can open a plethora of possibilities.



Patient in USA- Illustration of Benefits- 2


Advantage India

How India Benefits:

2. Advantage India – Health & Wellness 3600 Plan Healthy Healthcare Industry, Satisfied Doctors & other professionals, Satisfied patients

Centres of Excellence impart quality Medicare

Horizontal Integration- One Country, one rate for the same medical treatment or services

Advantage Doctors:

More & regular patient footfalls – also from other states, even those uninsured

Lesser dependence on unfavorable terms of Insurance Companies

Improved choices for patients Wider availability & choice A, B or C category Doctors -- almost at the patient’s doorsteps

Pre approved– recommended Quality Medicare & Wellness Centres to chose from

Graded by a Board of Health Industry professionals under Premium, Moderate and budget panel based on the fee, professional experience and minimum infrastructure & services in each category

Less waiting – as different centres and doctors with similar experience & facilities within the same country charge the same fee


Case Study # 1: Doctor is unavailable – A person needs immediate medical attention for a sudden and excruciating pain at midnight but the regular doctor is asleep or on a vacation

SWAP ADVANTAGE – It may be midnight in India but day time in USA when almost all the doctors are working and can be available - they can at least advise you if it’s a false alarm or a real need to rush to a hospital. In case of a real emergency – a standby evacuation / ambulance team is rushed and responds to the call

Case Study # 2: Experienced Doctors are available but too expensive to afford – An usual dilemma for many people in India

SWAP ADVANTAGE – Reach to some other comparable quality and affordable facility or Doctor in the same city, across India or USA and get the right treatment at the right time !!

Case Study # 3: Patient is insured but the disease isn’t – A 100% insured person in India needs treatment which requires out-of-pocket expenses or is not 100% covered in his health insurance policy

SWAP ADVANTAGE – Assured and affordable facilities and Doctors in the same city, across India or USA.



Patient in India- Illustration of Benefits- 1


Case Study # 4: Both the Patient and the disease are inadequately covered by Insurance

SWAP ADVANTAGE – Choice of opt-in Premium, Moderate and budget category facilities and doctors. Right and appropriate value for money !!

Case Study # 5: Patient goes abroad for medical treatment but still needs care, support and counseling in the pre and post operative phase

SWAP ADVANTAGE– Assurance of single window for pre and post-operative care, Safety & coordinated travel arrangements & monitored treatment even at the overseas facilities

Case Study # 6: Patient is willing to go abroad for treatment but needs a doctors recommendation and advise as to which hospital or doctor to visit


Case Study # 7: Patient is willing to go abroad for treatment but wants the trusted family doctor to monitor his progress


Case Study # 8: Patient, on his own, is unable to differentiate between a real emergency or false alarm as well as short term v/s long term disease management options

SWAP can open a plethora of possibilities.



Patient in India- Illustration of Benefits- 2


Advantage Humanity

How Do People Worldwide Benefit:

3. Advantage Humanity – The world as one big Virtual Hospital where anyone can consult an expert doctor

anywhere in USA or India and get their advise, even without stepping out of their homes-- just by paying a fee online .

Lesser need for travel to unfamiliar places away from ones own country for medical treatment

Monitored & less risky emergency medical travel even outside ones country where it cannot be avoided

Structured pre-and long term, post emergency care – within the country of regular stay

Pre approved, Doctor– recommended Quality Medicare & Wellness Centres to chose from

Less waiting – as different centres with similar facilities and experienced doctors nearby the patients home town charge the same fee

Better patient advocacy through specially designed literature – printed brochures, audio-video and web content

Live counseling by qualified doctors and health motivation staff who explain the How’s, Why’s as well as complicated medical terms in layman terms– which normally remained unexplained as Doctors have to attend to other patients as well, and in the process help them take right decisions.



Win – Win Advantages


One country one price for the same or similar procedure and consultation

Standardized care- pre-op screening in one country to be acceptable in the receiving facility in another country as well.

Owned Centres, channel partners & Virtual Hospital– experts for tele-diagnosis, tele-consultation, second opinion, referral and tele-nursing care.

Assurance of Post-op follow up, long-term rehab and disease management.

No waiting -- the Patient can but disease, pain and suffering doesn’t wait…

Minimum need for cross country travel--travel only if you must for emergency treatment but get pre and post op care in the home country

Real time Monitoring -- the doctor whom you trust is in the loop at every stage and can see your blood sugar level, weight or BP and well as prescription and treatment course of action at his own computer work station in the home country, and thus give his own suggestions, if need be, even during the duration of emergency translocation

Multiple choices, can even work like a parallel or Alternate Health insurance System – The consumer is the king with options to choose from either of the following options:

One time Joining, nominal annual fee and rest as per actual expenses, as and when needed– Patients enroll just for maintainace of medical records and later make payment for services and facilities as and when used

Alternate Insurance model- Patients join the program with a commitment to pay a minimum amount – irrespective of whether the services are consumed or not. May get rollover benefit to accumulate certain points and use later at approved facilities

Healthcare deals and discounts – Patients who are not adequately insured, those who do not wish to pay premium for diseases they may not even enquire or those with pre-existing diseases like heart stroke or diabetes who may end up paying heavy premium in any other insurance scheme can opt for this. All they have to do at the beginning is to agree to consume a certain minimum hours of treatment for a specific disease during the year. This makes them eligible for a package or discount. As members of this program, they may also avail treatment of other diseases at the pre approved facilities in USA and India – at normal rates – on use

No strings attached- Just enroll and pay on use basis



Path to Practice

Network of own Centres, Channel Partners and tie-up facilities across USA & India

Assurance of quality and reliability – Each centre follows a standard operating procedure and is certified by a medical board on the basis of experience, facilities offered, infrastructure, technological expertise, patient feedback and success rate

Information at the fingertip, doorstep and desktop of the consumer- Before even stepping out of the home a patient can check the past experience of other patients, community opinion as well as medical rating of a healthcare facility or doctor

Common pricing - Next to quality, price is a common concern for the patients. This is resolved as all facilities enrolled in the program are graded under Premium, Moderate and Budget category. All facilities in the same city or country essentially charge a pre-determined fixed charge. For instance doctors with 25 years or more professional standing charge the same price – if their equipments and facilities are comparable. Likewise all doctors with similar infrastructure with 15-25 years fall in B- category while those with less than 15 years practice fall into the budget category. The price list for each individual category is fixed

Zero waiting- Since the quality and price across the board in a particular category is fixed, a patient can or may visit some other doctor with similar skills and charges



Path to Practice

Economically viable and affordable treatment – For all, including those who are uninsured or economically not so well off

No Headache- Single window services for medically supervised and monitored travel for emergency treatment- Same agency books premium, moderate and budget category hospitals and Doctors, provides trained nurses for the journey as well as booking airlines, hotels, travel insurance, currency exchange, money transfer and helps in processing of insurance claims, if need be.

One point –management & up gradation of patient history and prescription data- standard, user friendly format incorporating all the required information in a single source makes it easier for doctors and convenient for the patients

Centralized billing and payment of taxes- avoids duplicate efforts and tax on taxes already paid.

Mobile ICU- Specially equipped helicopters, air & ground ambulance services in USA & India for emergency evacuation of critical patients.

Similar Diagnostic standards and bench-marks for every report within a city, country or across the continent – for world wide acceptance and reliability.



Path to Practice

Virtual Hospitals – Universal access to 24 x 7 x 365- on demand healthcare at the doorstep of the consumer. Doctor on call – anywhere, anytime from across the universe.

Matrix of High-tech Diagnostic Base Camps in major cities across USA & India, each with a network of as many as possible collection centers and report pick-up points, ideally within 2-5 km radius of patients homes.

Global centres of learning:

Global Lifestyle Modification Academy- specific training to individuals already suffering from a disease to manage their life and remain healthy, the rest of their lives.

Corporate Employee Training seminars and short term workshops– specially designed short term courses for corporate entities and professional bodies

Modules for training the Insured Persons– Insurance companies can save money by training the insured persons – on how to live healthy and beat stress & tension.

Corporate Social Responsibility Programs- Responsible corporate citizens can reap indirect benefits of good health by contributing towards their social responsibilities



Path to Practice


Priorities & Concerns Uniform & affordable Healthcare services and choice of provider nearer to home

Single window services for medically supervised and monitored travel for emergency treatment- Same agency quotes and takes orders for booking premium, moderate and budget category hospitals as well as fixes appointment with the best Doctors in the affordability range (from a Medical Board recommended pre-approved panel of hospitals and specialists– rated on the basis of qualifications, proficiency and facilities), provides trained nursing escorts as well as does the bookings for airlines, hotels, travel insurance, currency exchange and money transfer . And helps in processing of insurance claims on behalf of the patient, if need be.

One point – universal management & regular up gradation of patient history and prescription data- standard, user friendly format incorporating all the required information in a single source makes it easier for doctors and convenient for the patients

Centralized billing and payment of taxes- to avoid duplicate efforts and tax on taxes already paid.

Economic model to make treatment affordable for even the uninsured and economically not so well off


Mobile ICU- Specially equipped helicopters, air & ground ambulance services in USA & India for emergency evacuation of critical patients. Imagine a person “Alpha” on the way to attend a business meeting or holiday in a third world country when the medical emergency strikes… This place does not seem to have appropriate medical facilities and his family is insisting him to USA or nearby big hospital which has the latest medical facilities with modern diagnostics to evaluate and stabilize the patient’s condition. This is where ground & air ambulance or helicopters and specially fitted jets can play a life saving role.

Standardized Diagnostics & reporting– similar Diagnostic standards and bench-marks with common minimum factors in every report within a city, country or across the continent – for world wide acceptance and reliability.

Economically viable and cost effective matrix of High-tech Diagnostics– Matrix of High-tech Diagnostic Base Camps in major cities across USA & India, each with a network of as many as possible collection centers and report pick-up points, ideally within 2-5 km radius of patients homes.

Online Medical Library, Reading Space & real world Information Kiosks Online & Real world Patient Support Groups & Community Participation programs School and Community Awareness programs



Priorities & Concerns

Global Lifestyle Modification Academy- imparts specific and relevant training to individuals already suffering from a disease to manage their life and remain healthy for the rest of their lives. Different modules and course content can be specially tailor-made for groups of patients suffering from specific diseases. These courses can he held both in real and virtual world. Lectures, demonstrations, webinars, participatory group discussions and exposure to new ideas from the domain of yoga, pranayam, art of living, reiki and meditation techniques besides lessons in breathing, body toning and conditioning – can help to rejuvenate as well as motivate the people who attend.

Corporate Training seminars and short term workshops– specially designed short term courses for corporate entities and professional bodies which teach people who attend how to de-stress and simultaneously manage their disease and work efficiently.

Modules for training of the Insured Persons– This will help insurance companies save a lot of money by reducing the stress, BP, Blood Sugar as well as chances of Heart-stroke, paralysis or other lifestyle diseases.

Corporate Social Responsibility Programs- Rich and influential classes pay for the underprivileged masses and indirectly benefit from lesser disease and infections



Spinoffs – New Dimension Healthcare

All these will help people who live longer, live better

The world that we live in today is a flat world now where even disease is a country or person’s personal problem

No country or people have the ultimate answer to all medical and health problems

Good Doctors are available to cure disease – its just that a patient needs to reach out to them at the right time and in the right manner

Access to high quality care – without any delay at the hour of need can make a big difference between life and death

Technology and mediums of communication has made it possible for the patient as well as the doctor to reach out to each other and defeat both, the disease and imminent death.


Concept: Virtual Hospital

New Dimension Healthcare

Virtual Hospital- A level playing field which bridges the gap between need and availability in the virtual domain where even the have-nots and deprived people can avail the cheapest and best services or facilities sitting at home - from across the seven seas




For those times when – it’s a few minutes race between life and death and the winner takes it all

Emergency on the spot follow up Team

Emergency evacuation & Stabilization teams, Mobile ICU & Ambulance Service

24 x 7 Surgical / OT and Diagnostic Lab back-up at a nearby Tie up facility

Control Room

O. P. Gupta Memorial

Virtual HospitalDoctors on DutyDoctors on Call




Timely, Quality and Affordable medical services at the point of Need.

Emergency on the spot follow up Team

Emergency evacuation & Stabilization teams, Mobile ICU & Ambulance Services

24 x 7 Surgical / OT and Diagnostic Lab back-up at a nearby Tie up facility

Control Room

O. P. Gupta Memorial

Virtual HospitalDoctors on DutyDoctors on Call

E-Mail for Help Dial-in for Help




Timely, Quality and Affordable medical services at the point of Need.

Benefits to the Doctors:

Doctor’s Consultation Chambers in the virtual world.

A place were Doctors meet other Doctors, attend Web Seminars, Conferences and watch video demonstrations of new products

They get points for each log-in, give consultation and advise to patients. These points can be later redeemed for gifts and family holiday Packages

Second Life & Teen Second Life :

Case Study # 1: An uninsured or underinsured patient in New York, USA needs emergency medical consultation but can only afford to pay US$ 20 Option 1: Visits a specialist in New York whom he cannot afford

Option 2: Visits a relatively inexperienced GP in a far off state who charges less than $ 20

Alternative 3: Dials/ logs-into Virtual Hospital- pays US $ 20 and receives consultation from a highly experienced doctor in Delhi or Mumbai while sitting on own bed in New York, without even having to travel down town in a local bus.

A fee is quoted for online consultation with the expert doctor and the payment is processed electronically at the beginning of the session.

The Doctor does not mind receiving US $ 20 as after dollar to rupee conversion – the price works out to Rs 1000 which is approximately close to his regular charges

The patient too is happy because he is receiving the best possible treatment by a top end doctor.

The session begins on realization of the payment

An intern doctor or trained nurse without much experience in clinical practice physically examines the patient and records the weight, BP, Pulse and other physical symptoms on a laptop connected to a web server

An expert doctor sitting across the globe is monitoring the process through a web cam

The patient receives a printed prescription in hand, electronically signed by the expert at the end of session.


Economic Viability: Virtual Hospital

Path to Practice

As long as there is someone committed to serve, there are ways to do so…

Case Study # 2: A patient in remote Muzzafarpur district in Bihar, India, suffering from an acute disease requires immediate medical attention Option 1: Visit the nearest facility in Patna : Cost Rs 1500 or US $ 30 + Time wasted

Cost of cheapest two and fro travel : Rs. 500 Cost for local transport + Food : Rs 150 Doctor’s fee & lab tests : Rs. 250 Medicines : Rs 300 Loss of Income / productivity Rs 300 per day (Two persons – one patient and one attendant, even if we calculate

on the basis of minimum earning @ Rs 150 per person, per day )

Option 2: Treatment at to a moderate clinic in New Delhi: Cost Rs 3400 or US $ 70 + Time wasted Cost of cheapest two and fro travel : Rs. 1000 Cost for local transport + Food : Rs 400 Doctor’s fee & lab tests : Rs 300 Medicines : Rs 300 Loss of Income / productivity : Rs 1500 five days (Two persons – one patient and one attendant, even if we calculate on the basis of minimum earning @ Rs 150 per person, per day )

Alternative 3: Dials/ logs-into the Virtual Hospital- Cost: US $ 50 for i.e. Rs 2500; conveniently sitting on own bed in Muzzafarpur and without any additional income or productivity loss.

A fee is quoted for online consultation with the expert doctor and the payment is processed electronically at the beginning of the session. The session begins on realization of the payment

An intern doctor or trained nurse without much experience in clinical practice physically examines the patient and records the weight, BP, Pulse and other physical symptoms on a laptop connected to a web server

An expert doctor sitting across the globe is monitoring the process through a web cam The patient receives a printed prescription in hand, electronically signed by the expert at the end of session.


Economic Viability: Virtual Hospital

Path to Practice

Similar Work Being Done

Doctor on Phone- first time in India -1

BPL Mobile, Mumbai’s leading mobile service provider, recently launched ‘Doctor on Call’, a 9-to-9 service for live interaction between doctors and patients over the phone.

Powered by HealthcareMagic.com, the service will provide consultation over the phone where the doctors will diagnose the patient’s problems under three categories - ‘Acute’, ‘Chronic’ and ‘Emergency’.

While the service does not claim to replace a family Doctor, ‘Doctor on Call’ will be useful on all occasions when one can’t reach the trusted doctor; in an emergency, for second opinions and for recurrent ailments

Priced Rs 15 per minute this service may be beneficial for people who worry about loss of pay/ business during absence from work, dread long queues or those who haven’t got a prior appointments. Such people often end up denying themselves timely medical advice just to avoid upsetting their busy and tight schedules. Even the aged, sick and those who cannot travel unaccompanied can now call this number without any need to worry about the travel. This way one could even seek the doctor’s advice when traveling on a far away business or holiday.


Similar Work Being Done

Doctor on Phone- first time in India -2

The Doctor who attends the call probes to understand the patient’s condition of the on the phone and then offers home remedy to the subscriber.

Acute condition: the attending doctor suggests a future course of action in terms of Lifestyle change, preventive measures and specialist to be consulted for further management of the disease

Chronic condition- in case of an Emergency, the doctor gives the suggestion if the calling patient needs to be rushed to the nearest hospital, based on the history and will immediately end the call.

Such medical assistance over the mobile phone be able to reach out further more to the typical Mumbai dwellers who are always on the move.

Use of mobile phone as a platform for healthcare delivery may ultimately prove to be the next logical and innate step towards easing the suffering in people’s lives that too at a affordable cost…


Comparison

Doctor on Phone Service V/s OPGM Virtual Hospital


Doctor on Phone Service Virtual Hospital

Limited reach confined to Mumbai Both the Patient and the Doctor could be anywhere in the world

No Physical contact with the patient If need be, all it requires is a laptop and a GPRS enabled mobile phone in the hands of even a semi-trained nurse who is capable of just recording the temperature, BP, Pulse etc – to be present on the ground. An experienced Doctor is monitoring this at the other end of the web cam

Is not the complete solution as a patient stills has to visit another doctor for prescription

The patient receives a complete diagnosis and prescription at the end of the session

Dependent on the patient to describe all his symptoms on phone

Fool-proof – even a deaf and dumb patient who cannot speak or express his feelings or some one who does not know how to type can be examined by a nurse who explains these to a doctor at the other end

One patient – One doctor at a time A doctor could be addressing several patients at the same time in different chat windows as a results those who need immediate attention get preference over others who can wait

Performance is likely to affected by shortage of Doctors Can be the solution for limited availability of Doctors

Cost effective solution Cost effective and Multiple benefit system, not likely to be affected by even resource crunch or other shortages

Additional Benefits

Universal access to patient information and medical records

The next healthcare provider will not have to search for or guess about a patient's allergies, medications, or current and recent past diagnoses and other pertinent information.

The next healthcare provider will be informed about the patient's most recent healthcare assessment and services.

The next healthcare provider will be informed about recommendations of the caregiver who last treated the patient.

As patient demographics will be provided, time and effort will be saved by not having to repeatedly ask a patient for demographic information in detail.

Rather, this information can be more quickly and easily verified.

Costs associated with the patient's care will be reduced, for example through avoiding repetitive tests and basic information gathering. The effort required to update the patient's most essential and relevant information will be minimized


Emerging Technologies that open new possibilities for

Patient care without boundaries

Recent innovations like Motorola's world-class mobility products and healthcare software applications may help extend mobility to the point of care and beyond.

Such healthcare solutions allow sharing of real-time information anywhere, inside or outside the facility, for increased patient safety and more attentive care. These include:

Medication Administration Solutions- Ensure that the right patient receives the right medication, the right dose, by the right route, at the right time..

Mobile Physician Rounding Solutions- Access information, order tests, scan billable items and more – all from the patient’s bedside.

Remote Patient Monitoring Solutions- Monitor patient vital signs and adjust medical equipment while moving throughout the healthcare facility.

Specimen Collection Solutions - Protect and streamline the collection process to improve accuracy and speed test results.

Wireless Broadband for Healthcare- High-speed, reliable and secure connectivity and information access.


Future : Are we ready for it ?

Customer Response Management and Intelligent Marketing

Patients can keep all of their health and insurance information in one place,

Make appointments and stay in touch with their physician's office via e-mail

Receive information via RSS feed on subjects they choose

Receive reminders about medication schedules, classes, exercise timetables and other health calendar entries,

Participate in support groups and read health journals.

Helps build trust & strengthen relationships

Feedback and appraisal-- A doctor can learn more about the patient’s wants and needs and accordingly adjust or fine-tune their programs.


Social Network & Health Support Groups : Reach Global, Bonding Local

Online Resource Centre & Virtual Traffic Control Room

Additional Benefits Online & Real World Patient Support Groups &

Community Opinion


Patients Like Me

MD junction

Wellsphere.com

DailyStrength.org

Health Blogger Network

Organized WisdomPatient Empowerment Forum Healthcare

Peer Trainer

Trusted MD

Health Diaries

HealthyPlace.com

Patient Support

Groups & Health

Communities

User GroupsPatient

s

Friends

Children

Well

wishers

Parents

Specialty

Groups

Doctors

Healer

Surgeons

Specialist

Town HallCommunity

New Media Maze that will make

Everything possible


Traditional Media

Print Radio Television

NewMedia

Web

Intranet

Internet

Portal

Website

E Zine

Webcast

Podcast

RSS

Email

Mobile

SMSPayment Gateway

Face book

Linked In

MySpace

Orkut

Twitter

YouTube

Blogger

Wikipedia

Social Media

Patients Like MeMD junctionWellsphere.comDailyStrength.orgHealth Blogger NetworkOrganized WisdomHealthyPlace.comPatient Empowerment Forum

Support Groups

& Commu

nities

Online Resource Centre & Virtual Traffic Control Room

W.O.MWord

ofMouth

Role Media Will Play In

Healthcare Delivery


Inform Inspire Motivate Educate

Verify Facts

ResearchFeedback

Booking PaymentAlternative options &

prices

Prevention

Perception ManagementNewsOnline

Advertising

Promotion Support

Community opinion

Adjust Lifestyle after

disease

Remain Healthy

Role Media Will Play In

Healthcare Delivery


Using social media to build communities with key constituencies:

Healthcare Delivery


1. Blog - Increasingly, those who suffer from serious diseases look to the Internet, not only for information on their disease, but also for patient communities. As a result, blogs on serious diseases are fast becoming an important and undeniable media for PR professionals in healthcare.

2. Agony Aunt - Interactive forum answering questions from patients & their families

3. Friends for Friends Community Discussion Forum: In this forum members give and receive support; discuss issues; exchange ideas, information, news, and comments; and discuss their concerns, fears, and methods of coping with disease, disorders and learn about various alternate therapies. Messages of each member of the Forum will be distributed by e-mail to all other members, any of whom can respond and cross-respond to all others.

4. Third Umpire Live Chat : Like a third umpire in cricket, there are often situations in life when faced with a complicated medical problem, parents need to seek second or third opinion. In this format we can have a subject expert who is available to the online audience on specified weekdays say Monday to Friday. During this time they can ask him whatever they wish to know about the disease or its management.

Using social media to build communities with key constituencies:

Healthcare Delivery


5. Partnerships with Federal Agencies and Medical Groups: strategic alliance with NGOs and government agencies working in public health, healthcare advocacy and public policy like Public Policy Research Institute, National Initiative for Centers for Disease Control and Prevention (CDC), Consortium for Citizens with Disabilities (CCD) and National Health Council.

6. Public campaign to reach out to state and federal lawmakers : Mass e-mails to local Legislators and members on important Senate committees like Health, Education and Labor to take speedy action on legislation affecting health issues.

7. Med-Update—E-mail newsletter / RSS feed to Doctors and patients on the latest research and trends.

8. Campus zone and hang-out Corner: Children are among the most vulnerable sections of society, easily affected by the manner in which their playmates, teachers and quite often parents treat them. Teasing and name calling make the impact of the disease even more harsh. This could be a forum where children and youth interact with others facing similar problems and evolve mechanisms to cope with social and psychological aspects of a problem and in general hang around to have fun, without being made to realize that they are in any way inferior to their peers.

Media Strategy:

Healthcare Delivery


Reach out to people where they already are

Use the power of community and social networks to create change

Use existing, or newly developed technology tools for social impact

Generate online conversation for community-building

Serve as a clearinghouse for evidence-based information on various diseases,

Serve as a family support group for families and individuals affected by diseases,

Serve as an advocate for appropriate public policies in response to needs of families & patients

Key Features:

Dynamic Content- Different content on the Homepage, each time a person logs in.

Comprehensive & Credible user-friendly information on disease and their symptom, tell-tale Signs, When to say that something is abnormal, Why and whom to consult, FAQs, Share your Story, Growth Charts and Calculators for BMI, BP, Height- Weight etc., Comic strips & Quiz on how’s and why behind diseases, prevention and difficult terms

Second Opinion– Online Consultation with a panel doctor

Points for reading articles, commenting on stories, polls etc and subsequent log ins.

Searchable by key words

Easy and user-friendly Audio-Video playback options

Translations in popular European languages

Viral marketing or word of mouth promotion on social sites and blogs.

Search Engine Promotion, RSS mailing lists and Posts on social forums, chat sites and health support groups

Senator, Congressmen, Lawmaker sensitization campaign

Networking with other NGOs and governmental agencies for advocacy

How all this would help In

Healthcare Delivery


Customer Relationship Management

Media Relations

Internal Collaboration

Knowledge Management

Recruitment

Test ideas or products

Rank high in Search Engines

All the information about various diseases under the sun that people need to know but don’t know whom to Ask.

Why Social Media for

Healthcare Delivery


With the advent of social media, patients now have power to share information, express opinions and influence the direction service and device providers will take.

People are seeking personal health information from a broad range of online sources.

Web enabled health searches is a fast-growing feature of social media. According to Manhattan Research , top three online brands for health information are:

Google, with about 77 million searchers; Yahoo!, with about 45 million searchers; and MSN, with 20 million searchers.

According to Harris Interactive, 80%, U.S. adults use the Internet to search for health-related information and 16% i.e. 136 million adults who have searched for health information online at some point of time in their lives.

People are relying on blogs and other social media. Five percent of those searching online for information about the antidepressant Lexapro went to CrazyMeds.org -- a blog that contains information about the safety and efficacy of psychiatric medications.

Jupiter Research found 34% of adult Internet users in the U.S., or 54 million people, browsed online content created by other consumers about health issues.

Patients today take content created by advocacy groups, physicians and fellow consumers more seriously than pharmaceutical companies. A Kaiser Family Foundation report found only 18% of consumers trust pharmaceutical company

Next logical Step

Where Do We Go From Here


Overall Project Management Outline

Budgeting and Financial Planning

Team Identification, motivation and build-up Overall Management Corporate Affairs, HR & Administration Medical Board for empanelment of facilities & Doctors Corporate communications, Content Development, PR & Image Management New Business Development Booking, Appointments, Travel & Logistics Transcription, Billing, & Recovery Insurance & Mediclaim Finance & Taxes IT- Database management, programming & Web Development Online Marketing & Search Engine Promotion Legal Affairs and Affiliations Coordination Operations Medical Response Teams- Obesity, Diabetes, Hypertension, Heart Stroke, Dentistry and other areas Alternative Therapy, Meditation and Health SPAs Diagnostics and Microbiology

Roles & Responsibilities

Execution Timelines

Infrastructure

Project Implementation

Operations

Executive Briefing

Phases for Implementation


Consumer Awareness

Social Media & Community Connect

O. P. Gupta Memorial Virtual Hospital

Advantage India

Advantage America

J HEALTH FOR ALL J

tansforming healthcare condensed

Health & Medicine