Foreword . . . . . . . . . . . . . . . . . . . . . 2

Chairman’s Message . . . . . . . . . . . . . . . . . 3

Executive Summary. . . . . . . . . . . . . . . . . . 4

About the HIMSS APAC India Chapter . . . . . . . . . . . . 5

Picture Gallery . . . . . . . . . . . . . . . . . . . 8

Keynote Address by the Chief Guest . . . . . . . . . . . . 10

Valedictory Address by the Guest of Honour . . . . . . . . . . 11

Special Address by the Chairman . . . . . . . . . . . . . 12

Keynote Address . . . . . . . . . . . . . . . . . . 13

Enabling Policies—Future of HIT in India . . . . . . . . . . . 14

Role of Big-Data and Predictive Analytics . . . . . . . . . . . 18

Smart-Cities and HCIT . . . . . . . . . . . . . . . . . 22

Chronic Disease Management—Home Healthcare and Healthcare Information Technology . . . . . . . . . . . 26

Healthcare IT as a Revenue Stream. . . . . . . . . . . . . 30

Digital Health . . . . . . . . . . . . . . . . . . . . 34

Doctors, Clinics and Hospitals . . . . . . . . . . . . . . 37

UHC and Insurance. . . . . . . . . . . . . . . . . . 41

Pharma Industry and IT Innovation . . . . . . . . . . . . . 45

Human Resources for HCIT, Medical Education, Training and Skill Development . . . . . . . . . . 49

Leader’s Speak . . . . . . . . . . . . . . . . . . . 52

In the Media . . . . . . . . . . . . . . . . . . . . 54

The HIMSS Digital India Health Summit 2015 team . . . . . . . . 57

Contents

2

ForewordHIMSS Digital India Health Summit 2015 was designed to showcase the capabilities of IT in the transformation of healthcare in India. In this summit, participants discussed the various opportunities for HCIT with the thought leaders and the decision makers from the Government, industry and other stakeholders.

Given the importance and need of IT in healthcare, the summit attracted high-profile speakers from the Government and industry, to come together to set the agenda for healthcare IT in India. This report will cover the deliberations of the two-day summit and includes recommendations for  stakeholders on IT deployment across the continuum of care. This summit was attended by 425 healthcare leaders from across the government and industry and this report will help define the agenda for HCIT in India 2015.

The effective use of healthcare information systems has a direct impact that has been well recognized around the globe: improved care, greater efficiencies, enhanced patient safety, reduction of medial error and ROI are some of the ways in which IT has benefited physicians, nurses, bottom line and most importantly patients. Through this summit and report, we have the opportunity to see how these benefits can be realized in India.

I offer my congratulations to HIMSS APAC India Chapter for convening this very important summit and the distribution of the deliberations.

H. Stephen Lieber, CAE

President & CEO

Healthcare Information and Management Systems Society (HIMSS)

Chairman’s Message

Thank you for joining us at the HIMSS Digital India Health Summit 2015.

I take this opportunity to present the proceedings of the HIMSS Digital India Health Summit, 2015, in the form of this report ‘HIMSS Digital India Health Summit Report 2015’.

Graced by senior Government officials and eminent leaders from the healthcare industry, the summit helped share ideas and experiences across the board. Through this summary report we have tried to capture the key takeaways from the summit. The photos and videos of the summit proceedings are available on the website http://digitalindiahealthsummit.org.

We, at HIMSS APAC India Chapter, are at the forefront of driving the thought leadership for transformation of healthcare, leveraging IT in India, to make the healthcare system transparent, accountable and outcome driven.

I am personally thankful to Shri J.P. Nadda, Hon’ble Union Minister for Health & Family Welfare, Government of India, for his inspiration and support, Shri Shripad Naik, Hon’ble Minister for Health & Family Welfare (Independent Charge), Government of India for gracing the summit as our Chief Guest. We would also like to thank our Guest of Honour: His Excellency, Shri V. Shanmuganathan, Hon’ble Governor of Meghalaya, for enlightening us with his thoughts on the ‘doctor–patient relationship’.

I am indebted to my friends from the government and the industry, who have put-in their best to make this summit a grand success. ‘Thank you’ would be too small a word to express gratitude for the wonderful support you have extended to make this summit a successful and enlightening one.

My team at HIMSS APAC India Chapter have done commendable work for making this summit a huge success, the credit for which goes to them. I am grateful to our sponsors and speakers, without whom this summit would not have been possible. I also wish to thank Stéphane Labadie and the Jouve Group team for drafting this report and Ms. Punyata Gayatri, on behalf of HIMSS APAC India Chapter for coordinating this compilation.

It is our constant endeavour at HIMSS APAC India Chapter, to bring the healthcare leaders on a common platform to ideate, discuss and plan, thus help realize the vision of ‘Digital India’ and to revolutionize healthcare by leveraging technology across the continuum of care.

The work for the next year’s summit has already started, and we look forward to your active participation to make the 2016 summit a landmark event. The HIMSS APAC India Chapter, will be working on policy papers based on healthcare, regional meetings and reports. I look forward to your active participation in all our endeavours through your ideas and feedback shared.

Wish you good health and a fabulous 2016!

Rajendra Pratap Gupta

Chairman,Board of Directors, HIMSS Asia Pacific India Chapter. Chairman – Personal Connected Health Alliance – India. Chairman – Continua India.@rajendragupta

Thank you for joining us at the HIMSS Digital India Health Summit 2015. I take this opportunity to present the proceedings of the HIMSS Digital India Health Summit, 2015; in the form of this report: “HIMSS Digital India Health Summit Report 2015.” Graced by senior Government officials and eminent leaders from the healthcare industry; the summit helped share ideas and experiences across the board. Through this summary report, we have tried to capture the key takeaways from the summit. The photos and videos of the summit proceedings are available on the website http://digitalindiahealthsummit.org. We, at HIMSS Asia Pacific India Chapter, are at the forefront of driving the thought leadership for transformation of healthcare, leveraging IT in India, to make the healthcare and system transparent, accountable and outcome driven. I am personally thankful to Shri J. P. Nadda, Hon’ble Union Minister for Health & Family Welfare, Government of India, for his inspiration and support, Shri Shripad Naik, Hon’ble Minister for Health & Family Welfare (Independent Charge), Government of India for gracing the summit as our Chief Guest. We would also like to thank our ‘Guest of Honor’: His Excellency, Shri V. Shanmuganathan, Hon’ble Governor of Meghalaya, for enlightening us with his thoughts on the ‘doctor–patient relationship’. I am indebted to my friends from the government and the industry, who have put-in their best to make this summit a grand success. “Thank you” would be too small a word to express gratitude for the wonderful support you have extended to make this summit a successful and enlightening one. My team at HIMSS Asia Pacific India Chapter have done commendable work for making this summit a huge success, the credit for which goes to them. I am grateful to our sponsors and speakers, without whom this summit would not have been possible. I also wish to thank Stéphane Labadie and the Jouve Group team for drafting this report, and Ms Punyata Gayatri; on behalf of HIMSS Asia Pacific India for coordinating this compilation. It is our constant endeavour at HIMSS APAC India Chapter, to bring the healthcare leaders on a common platform; to ideate, discuss and plan, thus help realize the vision of ‘Digital India’ and to revolutionize healthcare by leveraging technology across the continuum of care. The work for the next year’s summit has already started, and we look forward to your active participation to make the 2016 summit a landmark event. The HIMSS APAC India Chapter, will be working on policy papers based on healthcare, regional meetings and reports. I look forward to your active participation in all our endeavours through your ideas and feedback shared. Wish you good health and a fabulous 2016!

Rajendra Pratap Gupta Chairman, Board of Directors, HIMSS Asia Pacific India Chapter. Chairman- Personal Connected Health Alliance – India. Chairman – Continua India. @rajendragupta

Thank you for joining us at the HIMSS Digital India Health Summit 2015. I take this opportunity to present the proceedings of the HIMSS Digital India Health Summit, 2015; in the form of this report: “HIMSS Digital India Health Summit Report 2015.” Graced by senior Government officials and eminent leaders from the healthcare industry; the summit helped share ideas and experiences across the board. Through this summary report, we have tried to capture the key takeaways from the summit. The photos and videos of the summit proceedings are available on the website http://digitalindiahealthsummit.org. We, at HIMSS Asia Pacific India Chapter, are at the forefront of driving the thought leadership for transformation of healthcare, leveraging IT in India, to make the healthcare and system transparent, accountable and outcome driven. I am personally thankful to Shri J. P. Nadda, Hon’ble Union Minister for Health & Family Welfare, Government of India, for his inspiration and support, Shri Shripad Naik, Hon’ble Minister for Health & Family Welfare (Independent Charge), Government of India for gracing the summit as our Chief Guest. We would also like to thank our ‘Guest of Honor’: His Excellency, Shri V. Shanmuganathan, Hon’ble Governor of Meghalaya, for enlightening us with his thoughts on the ‘doctor–patient relationship’. I am indebted to my friends from the government and the industry, who have put-in their best to make this summit a grand success. “Thank you” would be too small a word to express gratitude for the wonderful support you have extended to make this summit a successful and enlightening one. My team at HIMSS Asia Pacific India Chapter have done commendable work for making this summit a huge success, the credit for which goes to them. I am grateful to our sponsors and speakers, without whom this summit would not have been possible. I also wish to thank Stéphane Labadie and the Jouve Group team for drafting this report, and Ms Punyata Gayatri; on behalf of HIMSS Asia Pacific India for coordinating this compilation. It is our constant endeavour at HIMSS APAC India Chapter, to bring the healthcare leaders on a common platform; to ideate, discuss and plan, thus help realize the vision of ‘Digital India’ and to revolutionize healthcare by leveraging technology across the continuum of care. The work for the next year’s summit has already started, and we look forward to your active participation to make the 2016 summit a landmark event. The HIMSS APAC India Chapter, will be working on policy papers based on healthcare, regional meetings and reports. I look forward to your active participation in all our endeavours through your ideas and feedback shared. Wish you good health and a fabulous 2016!

Rajendra Pratap Gupta Chairman, Board of Directors, HIMSS Asia Pacific India Chapter. Chairman- Personal Connected Health Alliance – India. Chairman – Continua India. @rajendragupta

Executive Summary

The first HIMSS Digital India Health Summit, 2015 was a two-day event held on 5th and 6th August 2015 at the Leela Ambience, Gurgaon.

Mr. Vamsi Chandra Kasivajjala, President, HIMSS APAC India Chapter, CEO, Enlightiks, in the opening remarks, addressed the dignitaries with a brief introduction about HIMSS worldwide and the India Chapter, the purpose of the conference and the house rules. The revolution brought by start-ups in solving our day-to-day problems in particular and how technology has acted as a game changer in the healthcare industry were highlighted.

The two-day power packed digital summit had 425 delegates from India and abroad, 68 speakers, 10 sessions and 33 sponsoring and supporting organizations, making it one of the best Healthcare-IT summits in India in 2015.

The summit commenced with the session on Enabling Policies—Future of HIT in India and was followed by a discussions on Role of Big-Data; Smart-Cities; Chronic Disease Management; HIT as a Revenue Stream; Digital Health; Doctors, Clinics and Hospitals; UHC and Insurance; Pharma Industry and IT Innovation. The summit concluded with a session on Human Resources for HCIT, Medical Education, Training and Skills Development. The main objective of this ‘Healthcare Conclave’ was to bring together esteemed and distinguished speakers, thought leaders, doctors and industry veterans on a common platform so that they could debate, ideate and share their ideas on the technological revolution of the healthcare industry and lend direction to budding entrepreneurs, researchers and professors.

Thus, the spirit of the summit in enabling one and all (including delegates, sponsors and speakers) in learning and challenging the current healthcare-based status quo and establishing newer partnerships, renewal of existing ones and helping us realize and experience the aim of ‘Digital India’ was succeeded!

Mr. Vamsi Chandra Kasivajjala President, HIMSS APAC India Chapter, CEO, Enlightiks

About HIMSS:

HIMSS is a global, cause-based, not-for-profit organization focused on better health through information technology (IT). HIMSS lead efforts to optimize health engagements and healthcare outcomes using IT.

HIMSS is producing health IT thought leadership, education, events, market research and media services around the world. Founded in 1961, HIMSS encompasses more than 52,000 individuals, of which more than two-thirds work in healthcare provider, governmental and not-for-profit organizations across the globe, plus over 600 corporations and 250 not-for-profit partner organizations. HIMSS, headquartered in Chicago, serves the global healthcare IT community with additional offices in USA, Europe and Asia.

About HIMSS Asia-Pacific India Chapter:

The HIMSS India Chapter has been established to usher new changes and revolutionize healthcare in India. The HIMSS APAC India Chapter was formed in 2010 and acting as the locus of all activities of HIMSS in India. This Chapter has the distinction of being the first country-specific Chapter of HIMSS outside the USA.

About the HIMSS APAC India Chapter

From Left to Right: Ms. Kripa Gopalan (Chair, Advocacy and Policy); Mr. Amit Mishra

(Secretary); Ms. Madhubala Radhakrishnan (Vice President); Mr. Vamsi Chandra Kasivajjala

(President); Mr. Rajendra Pratap Gupta (Chairman); Mr. Jeyaseelan Jeyaraj (Treasurer); and

Ms. Punyata Gayatri (Volunteer, Organizing Committee).

Digital

PrescriptionsReporting and

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Appointments

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Records

SMS Appointment

Reminders

India’s

No.1Practice

Management

Software

Powerful, Advanced and Secure

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+12 million patients

managed per year

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Call +91 8039 5116 25 or visit: practo.com/for-doctors/ray

Picture Gallery

10

Keynote Address by the Chief Guest

Integrated care is one of the most important pillars under the Digital India program launched by the Honorable Prime Minister. “The government’s vision is to establish an integrated pan India information system for healthcare involving both public and private sectors.”

Under this initiative, programs like BharathNet (connecting 2,50,000 Gram Panchayats with minimum of 100 Mbps) and Meghraj (National Cloud Computing initiative) will enable the government to leverage cloud computing for effective delivery of e-services.

Speaking on healthcare spend and expenditures, Shri Shripad Naik, Minister of State (I/C), Ministry of AYUSH, and MoS, Ministry of Health and Family Welfare, GoI, shared that spending by both public and private sector in Indian healthcare has steadily increased in the past few years. “Total healthcare spend was estimated around $96 billion in 2013 which was around 5% GDP, and it is projected to grow to about $196 billion by 2018”, he said. Adoption of ICT in an inclusive manner has become one of the top priorities for both private and public healthcare systems.

The Ministry of Health and Family Welfare (MOHFW), GoI, has taken various steps to incorporate IT tools and applications in healthcare service delivery. A citizen portal is in place working as a single point of access for authentic information on health sector. Government of India’s new health policy will focus on systematic deployment of healthcare IT for improving outcomes. The ministry plans to focus increasingly on various aspects of e-Health, mobile health and Telemedicine.

Only 33% of the government doctors are available in the rural areas where nearly 70% of the population lives. Mobile net initiative is being used for awareness creation, enablement of frontline health workers, remote monitoring of the patient, etc. Speaking on Telemedicine, he said, “Telemedicine has a huge potential in a country like India, a large portion of the rural Indian population is medically underserved mainly due to the acute shortage of care providers and infrastructure.”

There are several challenges in integrating IT into healthcare system in India and the government is continuously striving to identify solutions to mitigate them. In order to address the issue of lack of standardization and interoperability among the various health IT systems, MOHFW, GoI, has notified EHR standards in 2013.

MOHFW, GoI, has been engaging the stakeholders to facilitate and promote adoption of EHR standards and has taken the initiative for establishment of India Heath Information Network (IHIN) (a body collectively representing the network of Indian healthcare providers, e-Health application developers, research community, etc.) and the setting up of the National e-Health Authority (NeHA), which is envisaged as a noble body for the promotion and adoption of e-Health standards in the country.

Shri Shripad Naik, Minister of State (I/C),

Ministry of AYUSH, and MoS, Ministry of Health and Family

Welfare, GoI

The government’s vision is to establish an integrated

pan India information system for healthcare involving both

public and private sectors.

Telemedicine has a huge potential in a country like India; a large portion of

the rural Indian population is medically under-served mainly due to the acute

shortage of care providers and infrastructure.

Valedictory Address by the Guest of Honour

The valedictory address delivered by the Guest of Honour, His Excellency, Shri. V. Shanmuganathan, Hon’ble Governor of Meghalaya, covered a brief account of the summit’s proceedings over two days and highlighted the key takeaways from the sessions.

He emphasized on the need of healthcare in rural areas more than in urban areas. In his words, in addition to knowledge and professionalism, a physician must be empathetic towards the patient so as to deliver holistic and effective care.

During the various sessions spanning two days, various distinguished panellists had drawn ample attention toward the pressing need for adopting technology in healthcare. However, while concurring that technology is very important, reminded us about the importance of compassion in our life.

In his address note he urged on the need to use IT to bridge the gap between the northeastern part of India and the rest of the country with the message, “I would also like to touch upon the role of technology in the eastern and northeastern part of the country as this is a geographical challenge for healthcare providers, but an opportunity for technology to bridge this divide. Please look at the east and northeastern part of the country, where we need you. Remember, sun rises in the East…”

While covering the different aspects of healthcare and the impact of Healthcare Information Technology, he touched upon the important segments across the continuum of care, global best practices, existing scenario of Healthcare IT in India and its role in shaping the country’s digital health agenda.

He congratulated the members of the HIMSS Asia Pacific India Chapter team and appreciated the leadership of Mr. Rajendra Pratap Gupta, Chairman, HIMSS APAC India Chapter for organizing an informative summit and having invited him to be part of the first HIMSS Digital India Health Summit.

He hoped that the community, together, will continue to make a difference to the healthcare of the country through the use of Information Technology.

…while technology is very important, the concern for human being is also important His Excellency, V. Shanmuganthan,

Hon’ble Governor of Meghalaya.

12

Special Address by the Chairman

In his brief and impactful presentation, Mr. Rajendra Pratap Gupta, Chairman, HIMSS APAC India Chapter, highlighted the ‘three inventions that changed the world: the wheel, electricity and the Internet’. He captivated the audience on how the world transformed and evolved with the advent digital technology.

Citing examples of transformations, he spoke of digitization of entertainment, giving consumers a range of choice on the digital-set-top-box thus taking away the tyranny of cable operators. While the introduction of mobile phones for communication has eliminated the role of the telecom giants of yesteryears, it gave the modern day consumer relief and freedom from dependency on the technical ‘lineman’.

Evolution met revolution when photography became digital! The marketing wars between photography giants, led to the invention of digital photography and the customers being liberated from ‘rolls’ and waiting for prints. The digital camera revolution accentuated by IT and the Internet saw photos being shared via social media instantaneously. Speaking further on communication, he spoke eloquently on the glorious 150 years when ‘telegrams’ ruled communications. Having failed to keep pace with expectations of the masses, it was finally washed-out by e-mails that removed all boundaries and gave freedom from the ‘word-restricted’ king of communications.

Citing the examples of the past, he urged the healthcare professionals in the audience to keep pace with technology and align to consumer’s expectations to avoid being left behind. Quoting an example of India sending an unmanned space vehicle and its precise landing on Mars, millions of miles away, he emphasized on the role of technology in providing healthcare to the most remote and inaccessible areas. Addressing them he said, “If doctors don’t need (use) technology, technology wouldn’t need them in future”. The future of healthcare lies with the healthcare professionals going hand-in-hand with technology and embracing the change.

He summarized stating that “It is time for doctors, surgeons, medical professionals to make the critical choice of challenging traditional concepts and accepting the invasion by technology lest be left behind in the race”.

He concluded his address leaving the audience with a message on the future healthcare, wherein health would be synonymous with ‘Digital Health’, i.e. ‘d-Health’.

If doctors don’t need (use) technology, technology wouldn’t need

them in future

Mr. Rajendra Pratap GuptaChairman HIMSS APAC India Chapter

Keynote Address

Mr. Phaneesh Murthy, Co-founder and Executive Chairman, PMHLC, spoke about the focus of his organization in context of technology and efficiency, quality and accessibility of healthcare.

Efficiency of healthcare provided correlates to the availability of patient medical history and treatment data for accurate problem diagnosis. In this context, he said, “what we are [as an organization] recommending is the concept of an absolutely free but highly secure way to maintain your own electronic health information. It is secure and controlled by you, and you can give access to whoever you want.”

Speaking on quality of healthcare, Mr. Phaneesh Murthy, referred to research data suggesting a life expectancy of 140 years. Here, quality of life and how you manage it would be very critical. This would require microlevel analysis of data collected and aggregation of data across the globe to make these available to the regulators. This is only possible by way of Big-Data and analytics.

Support groups are becoming critical for the mental well-being of patients. These support groups are more important than the actual medication. Technology aids to bring together the patients and their care givers who can share experiences with each other. This will help in improving their overall well-being.

In closing, Mr. Phaneesh Murthy shared his vision to see India on the global healthcare map, he said, “my personal aspiration would be to use technology to create a role model for at least 70% of the world’s population in terms of quality of healthcare, accessibility and inclusion of healthcare, and efficiency of healthcare. That is the journey I am embarking on, hopefully, over the next fifteen to twenty years of my life.”

…my personal aspiration would be to use technology to create a role model for at least 70% of the world’s population in terms of quality of healthcare, accessibility and inclusion of healthcare, and efficiency of healthcare.

Mr. Phaneesh Murthy Co-founder and Executive Chairman, PMHLC.

14

Session

ONEDay1

The first session was chaired by Mr. Rajendra Pratap Gupta, Chairman, HIMSS APAC India Chapter and Public Policy Expert, who extended a warm welcome to all panellists and the audience. He then invited his first panellist Ms. Padmaja Ruparel, President, Indian Angel Network to share her views on Health Information Technology (HIT) and funding in healthcare. Ms. Ruparel spoke about the opportunities and gaps in the fast evolving Indian healthcare industry. She laid emphasis upon the need for policies that would seed innovations. This was followed by a sharing of insights by Mr. Sudarshan Jain, MD, Abbott Healthcare Pvt. Ltd., a leader from the pharmaceutical industry, who shared his thoughts on the need for more stringent policy imperatives for the healthcare industry. He also shared the imminent need for integrating IT with Pharma to improve access to healthcare as something that should not be undermined. He also revealed that the role of start-ups in the delivery of healthcare was clearly promising and fast emerging. He shared his thoughts via a snapshot of the average spending on healthcare in India compared with that of major developed countries and highlighted it as an objective evidence for the lack of focus in this sector. He felt the need for policies and regulations that would promote and encourage healthcare providers to utilize the power of Telemedicine and online pharmacies: a must for digitization to take root in the healthcare system of our country! He concluded with his thoughts on the need for development and nurturing of better healthcare financing infrastructure, so as to help the unfortunate, particularly in the chronic disease segment.

Mr. Shashank N.D, Co-founder and CEO of Practo, a successful healthcare entrepreneur, also shared his thoughts about the phenomenal growth of Internet-enabled devices in the country and emphasized on the immense potential and role of Internet in the space of digital knowledge and particularly in the delivery of healthcare. He shared that if we achieved digitization of registration of practitioners, it would go a long way in authenticating the qualifications and credentials of the care providers, who in turn would improve the quality of the healthcare service provided. Mr. Hemant Bharadwaj, Co-founder, MD and CEO of PMHLC, voiced his thoughts by highlighting the status quo of e-Pharma in the country and the imminent need for the evolution of policies so as to meet the challenges of the fast-changing times. He mentioned that technology alone has the potential to create chaos, but when combined with the policies it would help route and give direction to technology and prove beneficial to all.

Enabling Policies—Future of HIT in India

I see healthcare as a huge opportunity… it’s a 65 billion dollar opportunity, just on a very conservative estimate

Ms. Padmaja Ruparel President,

Indian Angel Network

Dr. Sanjiv Kumar Executive Director, NHSRC,

MOHFW. GoI

From Left to Right: Dr. Sanjiv Kumar (Executive Director NSHRC, MOHFW, GoI); Dr. S.D. Gupta (President, IIHMR University);

Mr. Rajendra Pratap Gupta (Session Chair, Public Policy Expert & Chairman, HIMSS APAC India Chapter); Mr. Vikram

Tiwathia (Deputy Director General, COAI); Mr. Shashank N.D (Co-Founder and CEO, Practo); Mr. Sushil Kumar (Deputy

Director General, TEC, MOCIT, GoI); Mr. Sudarshan Jain (MD, Abbott Healthcare Pvt. Ltd.); Ms. Padmaja Ruparel

(President, Indian Angel Network); and Mr. Hemant Bhardwaj (Co-Founder, MD and CEO, PMHLC)

As we all know, any forum on Health Information Technology (HIT) is incomplete without a discussion on education and training that is required to develop and produce a skilled workforce with the correct skill sets. This topic was discussed and led by veteran and eminent medical educator Dr.  S.D. Gupta, President, IIHMR University, who lamented about the present crisis in provision of medical education in India. He opined that Information Technology (IT) could help bridge the gap and also provide better training not only to students but also to trainers and educationalists from across the world. The fact that technology is widely available but its true potential lay unexplored in healthcare industry was also discussed. He strongly felt that policy, or rather the lack of it is acting as the stumbling block. It thus was imperative and therefore could be safely deduced that it is time for a reformation in the medical education sector.

India is the pharmacy of the world….If we combine IT and pharma we can play a very major role to improve access of healthcare in this country

Mr. Sudarshan Jain MD, Abbott Healthcare Pvt. Ltd.

Mr. Hemant Bhardwaj Co-Founder, MD and CEO,

PMHLC

16

The Internet of Things (IOT) and Machine-to-Machine (M2M) are going to play an important role in the future of healthcare delivery, hence key enabling policies are important. The Government must take a lead role in setting up an ecosystem that encourages innovation and R&D. It should be backed by funding for start-ups that will lead to the scaling up of innovations.

Standards and interoperability needs to be high on the policymaker’s agenda to ensure widescale adoption of Information Technology, as multiple solutions will be deployed to serve 1.22 billion people. Unless these solutions are standardized and are interoperable, healthcare will be in a big crisis.

Digital mapping of healthcare resources (doctors, facilities, etc.) to population will help in the effective healthcare delivery.

Session Takeaways

Elaborating further on IT, Mr. Vikram Tiwathia, Deputy Director General, COAI and a telecom industry veteran, presented a vivid picture of the mobile telephone industry in India. In terms of Electro Magnetic Field (EMF) exposure, India has one of the most stringent policies and that further amendments could be made by bringing regulators, policymakers and all stakeholders on board. He concluded with the thought that the sharing of high-end medical technology via Internet is not far away if appropriate policies were to be laid down. Post a brief discussion on the identified possible areas of improvement, our panellist Mr. Sushil Kumar, Deputy Director General, TEC, MOCIT, GoI spoke about the progress that has been made in framing policies related to machine-to-machine communication and more while touching upon inevitable challenges that exist. Once these policies are defined it would accelerate the implementation of remote healthcare management and in particular benefit the rural populace. This was extrapolated with a scenario wherein vital parameters of patients could be transmitted over a digital network through a series of modern day gadgets and equipments, and be stored on a cloud server for retrieval when required by the patient himself or by the doctor or any other healthcare personnel. The session concluded with the views of Dr. Sanjiv Kumar, Executive Director, NHSRC, MOHFW, GoI, about universal healthcare, yoga as part of lifestyle and how technology could be partnered not just for healthy, but quality lifestyle.

The essence is that you cannot do anything unless you have enabling policy framework

Mr. Rajendra Pratap Gupta Chairman, HIMSS APAC India Chapter, Public Policy Expert

Mr. Sushil Kumar Deputy Director General,

TEC, MOCIT, GoI

18

Session

TWODay1Role of Big-Data and Predictive Analytics

Session 2 on Day 1, was led by Mr. Vamsi Chandra Kasivajjala, President of HIMSS APAC India Chapter, CEO, Enlightiks. This session on Big-Data analytics saw leading industry experts for panellists and intense discussions on predictive analytics in the context of accountable care, population health management, evidence-based practices, clinical dash boards and health economics. The models used for predicting the probability of a patient getting re-admitted after discharge were demonstrated. It was discussed on how predictive analytics could be applied to prognosticate the chances of onset of disease in hospitals, besides for other applications such as revenue forecasting and inventory optimization.

Mr. Jeyaseelan Jeyaraj, Treasurer, HIMSS APAC India Chapter, Director, Oracle Health Sciences, Asia Pacific Oracle Corporation, discussed aggregation of data from multiple sources and applying this knowledge in real time. The four factors impacting the health system globally, viz: 1) technology, 2) treatment methods, 3) patient privacy and 4) patient-data management were discussed. Apart from being a predictor of disease onset, data analytics was also seen to be applicable to customization of treatment making it more patient centric. Genomic data and its use in analysis of diseases were also expounded in this session.

The audience was treated to an enlightening discourse on clinical decision support systems and wearable health devices by Dr. Satish Prasad Rath, Chief Innovation Manager Healthcare Research, Xerox Innovation Group, who is an expert in Biomedical Informatics. The importance of applying analytics to prevent disease and preserve health was illustrated with the help of an analytics-driven application that can be used in predicting the health condition(s) of a person. Mr. Gopal Devanahalli, COO, Manipal Healthcare; a seasoned technocrat, extolled the virtues of Big-Data and its analytics. He also spoke eloquently on the ability of these tools to improve quality of care. In the context of healthcare, three major segments of analytics were illustrated: 1) operation analytics, 2) customer analytics and 3) revenue analytics, delving into areas such as process improvement, feedback analysis and resource optimization.

There is a huge amount of work that is happening in deep learning space …As long as there is large data the amount of savings that can basically happen for hospitals is huge

Mr. Vamsi Chandra Kasivajjala President, HIMSS APAC

India Chapter, CEO, Enlightiks

Mr. Jeyaseelan Jeyaraj Treasurer, HIMSS APAC India Chapter, Director,

Oracle Health Sciences, Asia Pacific Oracle Corporation

Mr. Anil Bajpai Co-founder and CTO,

PMHLC

Mr. Shireesh Sahai, CEO, Wolters Kluwers (India), a senior management professional illustrated the potential of m-Health and how the increased proliferation of Internet connectivity and mobile usage increased the prospect of deploying m-Health apps to make effective clinical decisions. Dr. Sandeep Dewan (HOD Critical Care Fortis Escorts Group [Philips India], Director, Critinext Asia), a veteran medical practitioner, explained how data can be categorized and applied to make key critical clinical decisions from an end-user perspective. A practical example, i.e. electronic-Intensive Care Unit (e-ICU) that utilizes state-of-the-art technology to provide an additional layer of critical care service and information of vital parameters for patient was also demonstrated. This discussion brought the need for documenting patient data to the forefront, which is one of the major concerns pointed out by Mr. Anil Bajpai, Co-founder and CTO of PMHLC. Apart from the non-availability of data, he lamented that the inadequate application of technology in healthcare is something that needs attention and governance. ‘Healthcare on mobile’ has now become a widely adopted reality.

Your wearable which is going to give you an accelerated data or a diet data or a lifestyle data is just not enough for a doctor to diagnose a severe chronic condition. If at all we have to get into assistive telemedicine to prescriptive telemedicine, what we call analysis driven telemedicine, our data has to be comprehensive. Dr. Satish Prasad Rath,

Chief Innovation Manager, Healthcare Research–Xerox Innovation Group

From Left to Right: Mr. Shireesh Sahai (CEO, Wolters Kluwers India); Dr. Satish Prasad Rath (Chief Innovation Manager,

Healthcare Research–Xerox Innovation Group); Mr. Gopal Devanahalli (COO, Manipal Healthcare); Mr. Anil

Bajpai (Co-founder and CTO, PMHLC); Dr. Sandeep Dewan (HOD Critical Care Fortis Escorts Group (Philips India));

Mr. Jeyaseelan Jeyaraj (Treasurer, HIMSS APAC India Chapter, Director, Oracle Health Sciences, Asia Pacific Oracle

Corporation); and Mr. Vamsi Chandra Kasivajjala (Session Chair, President HIMSS APAC India Chapter , CEO, Enlightiks)

20

Business Intelligence (BI) and advanced analytics will play key role in all aspects of healthcare and will become mainstream in the next few years.

Some major provider chains in India are already using Analytics and CDSS for operational and revenue optimization and better patient outcomes respectively. It is believed that many others will also be embracing the same in the years to come.

Data is still a critical concern. Other than patient Demographics (that is being collected widely today), more than 80% of the hospitals do not collect Billing, Laboratory and Radiology data of the patient. Since data is critical for analytics and the insights thus derived it becomes the crux parameter to healthcare and its predictive analytics for patients.

As hospitals in India embrace the fact that Health Information Management Systems (HIMS) and Electronic Medical Records (EMR) softwares are critical for their operations, we will see a deluge of data and information in the next few years. Usage of such data and information in the right manner will be the key feature in the next phase of analytics. The same would be used in drug discovery, disease surveillance, population health management and more!

Session Takeaways

The session concluded with the thought that though we may have numerous intrinsic challenges, Big-Data and analytics certainly have a sizeable role to play in the future of the Indian healthcare system.

There are challenges in terms adoption of using Big-Data analytics, challenges are in terms of the data types…and…how do you actually look at small things that you can bite, show success and slowly role it across the company

Mr. Gopal Devanahalli COO, Manipal Healthcare

Mr. Shireesh Sahai CEO, Wolters Kluwers (India)

22

Dr. Neena Pahuja, Director General, ERNET, MOCIT, Government of India, is an accomplished leader in technology and is known as a champion in Telecommunications, especially on the ‘Internet Of Things (IOT)’.

As chair to the session, she initiated the discussion by defining ‘Smart-Cities’ in terms of healthcare and the role it plays in the life of a citizen living in a futuristic ‘Smart-City’, wherein sensors will be an integral part in enabling seamless interconnectivity. According to Ms. Kripa Gopalan, Chair – Advocacy & Policy, HIMSS APAC India Chapter, health is of utmost priority in an ideal Smart-City, where rehabilitation and chronic disease management are quintessential parts of ‘Smart Living’. Healthy citizens are a prerequisite for any Smart-City, thus the need to pre-empt, predict and prevent diseases was highlighted.

Mr. Lux Rao, Country Leader – HP Future Cities & CTO, Technology Services, HP India, put forth his concerns and thoughts about providing and meeting the healthcare requirements of the urban poor and stressed on the urgent need to mainstream them. A discussion on how citizen-centric Smart-Cities should include aspects of safety, health, skill, education, livelihood, livable places, etc. was held. Mr. Narang N. Kishor, Mentor and Principal design architect, Narnix Technolabs Pvt. Ltd. and a pioneer of ‘Independentdesign Houses’ in India; posed a question to the audience and esteemed panellists: “What a consumer should expect from a Smart-City?”. According to him Smart-Cities should aspire to be more livable and citizen-friendly and Information and Communications Technology (ICT) would become the backbone and play a vital role in interconnecting all services in the future. The need for interdependent-smart-infrastructures, as well as a central-unified-management-centers was presented, so that a Smart-City would enable and support assisted living for its citizens across all ages and physical abilities.

There are already contact lenses that monitor glucose level...you have heart rate monitors...We already have people coming up with artificial kidneys...we already have limbs created by 3D printing...All this is going to give you a better livability in a Smart-City Dr. Neena Pahuja

Director General, ERNET, MOCIT, GoI

Session

THREEDay1Smart-Cities and HCIT

From Left to Right: Dr. Neena Pahuja (Session Chair, Director General, ERNET, MOCIT, GoI); Mr. Gaurav Agarwal

(Managing Director, Enterprise & Public Sector, Cisco Systems); Mr. Lux Rao (Country Leader, HP Future Cities and

CTO); Mr. Vikram Tiwathia (Deputy Director General, Cellular Operators Association of India); Mr. Narang N. Kishor

(Narnix Technolabs Pvt. Ltd.); and Ms. Kripa Gopalan (Chair – Advocacy and Policy, HIMSS APAC India Chapter)

We are not talking about people who already have great healthcare; it isn’t actually about enabling great healthcare through technology for the middleclass and upper middleclass people ……if it has to be a Smart-City we have to take into cognizance the urban poor

Mr. Lux Rao, Country Leader, HP Future Cities

24

You need to worry about security for the Internet of Things provided you have the Internet of Things...Right now in India you don’t have it.You’re not likely to get it; not in the near future. The Indian telecom networks today with the given amount of spectrum... the latency...by the time you put in a request to the cloud, it processes and gives you back your data, that latency or Indian networks will not allow you to have cloud based services...

Mr. Vikram Tiwatia, Deputy Director General,

Cellular Operators Association of India

Mr. Vikram Tiwathia, Deputy Director General, COAI, emphasized the need to have proper network and connectivity in the country in order to provide efficient, cloud-based healthcare services in Smart-Cities. He also discussed the need to set benchmarks for investments, broadband connections and e-commerce. Mr. Gaurav Agarwal, MD, Enterprise & Public Sector, Cisco Systems gave the audience an enthralling presentation on how a typical Smart-City would look like in the future, along with the connectivity and other prerequisites that are essential for experiencing the amenities that a Smart-City should offer.

The end of the session saw the panellists collectively draw a vivid picture of an ‘Ideal Smart-City’ and what it symbolizes from the healthcare perspective.

Mr. Narang N. Kishor Mentor and Principal design architect

Narnix Technolabs Pvt. Ltd.

e-Health concepts of Smart-City are extendable to smart villages and will be able to support the population in remote areas and villages.

We need to be consumer centric while defining the blue print of health requirements in a Smart-City. It needs to cover the needs of all consumers: from someone planning to start a family, needs of an unborn child or meeting the needs of an infant, child, youth or middle aged or senior citizen. Preparedness for dealing with accident cases to surgery cases and or those afflicted with chronic diseases. A Smart-City should be prepared with respect to disease prevention and prevention of epidemics such as Dengue, Flu, using ‘Smart Technology’.

Rehabilitation and providing continuous care at manageable costs should be an aim of Smart-Cities. Technology can be effectively used there to manage the chronic disease burden. Big-Data can support prevention and wellness. Products like EHR together with analytics will help in wellness program together with disease management, thereby improving livability, and should be part of Smart-City echo system.

Smart-Cities will also have products, processes and design that can help persons with physical disabilities and seniors in better and safer living.

Smart-Cities will require ubiquitous connectivity and things connected on Internet, which will support higher battery life and use the set safety standards. There is a need to come up with legal guidelines so that technology can be effectively used in Smart-Cities.

Session Takeaways

Ms. Kripa Gopalan Chair – Advocacy & Policy,

HIMSS Asia Pacific India Chapter

26

Session

FOURDay1

Session 4 on Chronic Disease Management—Home Healthcare and HIT, was chaired by Dr. V.  K.  Singh, Director – Asia Simpler Healthcare, who threw the session open and drew the attention of the audience alike that of his panellists on three things requiring utmost attention: 1) on how to cut down cost by adopting technology, 2) whether we should prefer domiciliary care or home-care and 3) on utilization of technology. The statistics shared revealed that over 62 million individuals are affected with chronic diseases in India alone and according to a World Health Organization report, about one fourth of the rural population would be affected in the near future.

According to Mr. Karthik Tirupathi, CEO, Napier Healthcare, a senior management professional, ubiquitous healthcare should be the norm. But owing to the numerous challenges, seamless access and doorstep delivery of care to the patient still remains a dream. Nowadays, healthcare providers are evolving and can provide technology-based solutions to the community to take care of the chronically ill within the community. It was thus concluded that the best way to tackle the healthcare situation is by focusing on home-care, mobility, managing transitions of care and Telemedicine.

Chronic Disease Management—Home Healthcare and Healthcare Information Technology

Talking about optimum cost solutions in healthcare, Ms. Nidhi Saxena, Founder, Zoctr: a healthcare start-up, talked about her initiatives in the area of home-based care. After explaining how technology has impacted the healthcare system, Ms. Nidhi made a presentation synopsis on the current healthcare scenario in India. The different aspects of home-care including the logistics required for home-care were also highlighted and discussed.

The biggest problem we want to solve today is the access of healthcare for patients at the point where they want.

Mr. Karthik Tirupathi CEO, Napier Healthcare

Mr. J.P. Dwivedi Chief Information Officer.

Rajiv Gandhi Cancer Institute & Research Centre, Delhi

Mr. Sudarshan Jain Managing Director, Abbott Healthcare

Pvt. Ltd.

Ms. Nidhi SaxenaFounder,

Zoctr

Acute care environment has evolved over the years and according to Mr. Sudarshan Jain, MD, Abbott Healthcare Pvt. Ltd., the present concept of acute care has become more patient centric and has been designed to reduce morbidity and mortality rates. That an urgent need for the amalgamation of Pharmacology and Technology to tackle the issues faced by the patient-centric model was put forth. The need for patients as well as doctors to be educated was emphasized upon. It was discussed as to how one could use a good innovative technology as platform to teach and help bridge the gap between patient and the medical personnel or even a hospital. Mr. Saurav Panda, Board of Director and Co-founder at Sparsh Nephro, threw light on his survey and its findings on dialysis-care and its impact on the individual. It was noted that there exists a shortage of beds in even some of the premier healthcare institutions. Emanating from the same, Mr. J.P. Dwivedi, Chief Information Officer, Rajiv Gandhi Cancer Institute & Research Centre, Delhi, talked about cancer as a chronic disease and how terminally ill patients could be monitored remotely with the help of technology and thereby provide hospital care for the chronically ill and individuals seeking active medical interventions. It was observed that a majority of the cancer patients died due to co-morbidities, rather than the disease itself.

Home-care is the next big-idea that would revolutionize caregiving, especially with technology playing a significant part in enabling entrepreneurs who are taking significant strides by coming up with innovative models for home-care and remote health monitoring. This would be encouraged further by the progressive climate conducive for business and policymakers; reviewing and revising regulations on Telemedicine, electronic health records and e-prescriptions, apart from creating structured policies for home-care in India.

From Left to Right: Mr. J.P. Dwivedi (CIO, Rajiv Gandhi Cancer Institute and Research Centre, Delhi); Ms. Nidhi Saxena

(Founder, Zoctr Health); Surgeon Rear Admiral V.K. Singh ([Retd.] Session Chair, Director – Asia Simpler Healthcare);

Mr. Sudarshan Jain (Managing Director, Abbott Healthcare Pvt. Ltd.); Mr. Saurav Panda (Board of Director and

Co-founder, Sparsh Nephro); and Mr. Karthik Tirupathi (CEO, Napier Healthcare)

28

Management of chronic diseases requires lifelong care, hence there is a dire necessity for a strong presence of home health initiatives to coordinate all aspects of treatment with minimal cost implications and reduced number of hospitalizations.

IT should be exploited to its maximum potential so as to increase efficiency and also reduce costs by decreasing the human interface.

Drugs should be made available at minimal costs since the chronically afflicted have to consume them lifelong.

There is a necessity to handle the chronic-disease afflicted under a single roof by the multi-speciality approach.

Session Takeaways

There are about twenty lakh patients who require dialysis but only about fifty thousand get it done”. “Accessibility is the key problem not affordability

Mr. Saurav Panda Board of Director and Co-founder, Sparsh Nephro

We all know the problems…we’re looking at the solutions, and not only affordable solutions…but optimum cost solutions

Surgeon Rear Admiral V.K. Singh (Retd) (Session Chair) Director, Asia Simpler Healthcare

Applying Better Data for Better Health►Clinical and Business Intelligence►Genomic Medicine►Data Governance►Population Health►Preventive Care

Moving Closer to Your Patient►Internet of Things►Interactive Healthcare►Telemedicine►Patient Engagement►Smart Healthcare

Creating Smart Hospital Flows►Intelligent Hospital Technologies►IT Governance►Physician Connectivity►Nursing Informatics►Medical Tourism

Transforming Care Models►Caring for an Ageing Population►Care Models►Universal Healthcare Coverage►Interoperability►Rural Healthcare

LOOKING FORWARD TO FURTHERING THE CONVERSATION WITH YOU IN BANGKOK, 2016!

Consumer Healthcare Expenditure 2015:

~US$15.2billion

Healthcare Spending (% of GDP) 2015:

~US$15.4 billion(~3.9%)

Ageing Population (% of total

population) 2015: 10%

Number of Hospitals 2015:~1,002 (Public)~316 (Private)

Why Thailand?Thailand’s healthcare market has reached a tipping point. Witness the potential in 2016:

Why Digital and Patient-Centered Care?Today, many healthcare systems are rapidly transforming to adopt a more patient-centered approach to care.

Complimenting this effort by physicians, nurses and caregivers is the increased involvement from tech-savvy better informed patients.

The end result? Improved efficiency, safety, satisfaction and outcomes.

However, achieving digital and patient-centered care is a complex process that requires methods of measurement, technology adoption and cultural changes.

Attend HIMSS AsiaPac16 to be equipped with the knowledge you need to get there.

ICT Expenditure 2015:

~US$20billion

Email us: himss-ap@himss.org · Call us: (65) 6664 1100 · Visit us to find out more:

www.himssasiapacconference.org (English)http://ehealth.moph.go.th/himss (Thai)

Brought to you by: In Collaboration with:

If your paper is selected, you will be invited to present at the HIMSS AsiaPac16 event OR we will showcase your paper as a poster presentation in the Exhibition Hall.

HIMSS_AP16_Flyer_STD_FA8.indd 1 14/12/2015 10:05:16 AM

Applying Better Data for Better Health►Clinical and Business Intelligence►Genomic Medicine►Data Governance►Population Health►Preventive Care

Moving Closer to Your Patient►Internet of Things►Interactive Healthcare►Telemedicine►Patient Engagement►Smart Healthcare

Creating Smart Hospital Flows►Intelligent Hospital Technologies►IT Governance►Physician Connectivity►Nursing Informatics►Medical Tourism

Transforming Care Models►Caring for an Ageing Population►Care Models►Universal Healthcare Coverage►Interoperability►Rural Healthcare

LOOKING FORWARD TO FURTHERING THE CONVERSATION WITH YOU IN BANGKOK, 2016!

Consumer Healthcare Expenditure 2015:

~US$15.2billion

Healthcare Spending (% of GDP) 2015:

~US$15.4 billion(~3.9%)

Ageing Population (% of total

population) 2015: 10%

Number of Hospitals 2015:~1,002 (Public)~316 (Private)

Why Thailand?Thailand’s healthcare market has reached a tipping point. Witness the potential in 2016:

Why Digital and Patient-Centered Care?Today, many healthcare systems are rapidly transforming to adopt a more patient-centered approach to care.

Complimenting this effort by physicians, nurses and caregivers is the increased involvement from tech-savvy better informed patients.

The end result? Improved efficiency, safety, satisfaction and outcomes.

However, achieving digital and patient-centered care is a complex process that requires methods of measurement, technology adoption and cultural changes.

Attend HIMSS AsiaPac16 to be equipped with the knowledge you need to get there.

ICT Expenditure 2015:

~US$20billion

Email us: himss-ap@himss.org · Call us: (65) 6664 1100 · Visit us to find out more:

www.himssasiapacconference.org (English)http://ehealth.moph.go.th/himss (Thai)

Brought to you by: In Collaboration with:

If your paper is selected, you will be invited to present at the HIMSS AsiaPac16 event OR we will showcase your paper as a poster presentation in the Exhibition Hall.

HIMSS_AP16_Flyer_STD_FA8.indd 1 14/12/2015 10:05:16 AM

30

Session

FIVEDay1

Ms. Madhubala Radhakrishnan, Vice President, HIMSS Asia Pacific India Chapter, Founder & President, mCURA Inc, USA chaired the session on ‘HIT as a revenue stream’ and was optimistic about how IT can be seen as a revenue stream in healthcare. She also pointed out that owing to the limited penetration that IT had in the sector, it had not reached its full potential as of date. This was concluded to be one of the many reasons for not having any standardized/tried and tested revenue models in this sector. With new opportunities remaining open and unexplored, HIT has a range of offerings that are to be discovered and utilized. The Chairman & CEO, Ohum Healthcare Inc. USA, Mr. Udai Kumar, suggested that there was a need for a revenue model in healthcare that would be focused primarily on the ‘Return On Investment (ROI)’ parameter. He concluded that the quality of healthcare investment needs to be patient centric, i.e. it should be safe, timeless, efficient and equitable. Also, the model itself needs to be a mixed investment in terms of both IT and process engineering that could potentially bring about improvement in cost-efficiency and quality in patient-centric care. He shared insights from an HIMSS study wherein all the returns were attributed to patient and clinician satisfaction, treatment improvement, decrease in re-admissions, improved revenue capture, turnaround times and savings from overall spectrum.

Highlighting the numerous challenges in the medico-legal area of work in India, eminent Cardiologist and Secretary of the Indian Medical Association, Dr. K.K. Aggarwal expressed his thought on whether it would be ideal for a doctor to use IT model to raise revenue? He opined that while the Indian laws do not permit the practice of Telemedicine in India, and that while it cannot be legally deployed in India, the West has seen a widespread, healthy practice of the same. Thus, emanating the questions raised in the previously held session about the requirement for imminent changes in policy pertinent to healthcare as a service and sector.

Healthcare IT as a Revenue Stream

If you have individual resources responsible for each and every activity…if you can get a balance scorecard driven model definitely you can save money and earn profit

Mr. Niranjan Kumar CIO, Sir Gangaram Hospital

Supreme Court judgment is very clear…do not give prescription without actual consultation

Dr. K.K. Aggarwal Secretary General,

Indian Medical Association

Mr. R.D. Thulasiraj, Executive Director, Aravind Eye Care, our panellist explained that while legality in context to HIT could be argued and its pitfalls be debated upon, the success stories demonstrated with the involvement of IT were simply impeccable! Through his presentation and videos he demonstrated and showcased how IT could be used effectively to bring down the cost using a case-study example of comprehensive ‘Eye Care’. The model discussed was achieved through outreach camps in the rural areas along with trained group of Optometrists who would visit the patients at the field level and collect data and ensure a consult with remotely seated Ophthalmologists. These consultants mostly located in the base-hospital of an urban setting would then prescribe medication and treatment via the Optometrist (in the field/village), who would guide and monitor the patients in accordance.

Mr. Udai Kumar Chairman & CEO,

Ohum Healthcare Inc. USA

From Left to Right: Mr. Suresh Kochattil (General Manager, Apollo); Ms. Madhubala Radhakrishnan (Session Chair, Vice

President, HIMSS APAC India Chapter, Founder & President, mCURA Inc, USA); Mr. Niranjan Kumar (CIO, Sir Gangaram

Hospital); Mr. Udai Kumar (Chairman & CEO, Ohum Healthcare Inc. USA); and Mr. Thulasiraj (Executive Director, Aravind

Eye Care)

32

Mr. Niranjan Kumar, CIO, Sir. Gangaram Hospital, New Delhi, engrossed the audience and his co-panellists with his thoughts on utilizing HIT to save on costs and thus increase the profit margins earned in any hospital setting. Setting context to the same, he shared his views on how IT needs to be utilized as an ‘enabler’ rather than as a ‘direct revenue creator’ in hospitals. He mentioned the five areas wherein digital technology could be implemented: 1) cost centre management, 2) outcome measurement, 3) resource management, 4) expenditure management and 5) e-procurement. Speaking on saving through systems automation, Mr. Suresh Kochattil, General Manager, Apollo Hospitals, explained how a hospital could be better equipped to provide better services by implementing specific IT products that enable automation and thus reduce time and additional resource-based overheads. He demonstrated one such product and explained how it helped a hospital to function seamlessly. The end of this session saw Dr. K.K. Aggarwal interact with the audience on questions and views regarding IMA’s vision and a doctor’s perspective on IT adoption. The session concluded with many enlightening take-away points and learnings, the most important being ‘technological developments do not always and only translate into a service (rendered) becoming cheaper’.

Look at the US example....they have certain standards that we can follow, including the charge for medical records when they are transferred from one hospital to another or from one insurance to another. Pay for performance for doctors, IT professionals and everyone in the stream would encourage competition...it will ensure that you get real value for what you are spending

Mr. Suresh Kochattil General Manager, Apollo

HIT: an enabler.

Doctors need to be sensitized and made aware of the legal aspects and consequences of (self) advertising of their services through digital media (currently) considered a punishable offence as per the Supreme Court of India.

Sharing of Patient Medical Records via social media platforms such as Whatsapp are not valid, and considered as an ‘illegal practice’. It is a criminal offence for which the license of a practitioner could be cancelled.

Owing to the ambiguity and lack of policies regarding clinical decision making in Telemedicine in India, it is not recognized as a conventional method of providing treatment to the patients.

Standards and norms on HIT are now being formed by IMA and the same is expected to be released by the end of 2015.

HIT in the revenue stream is fast emerging as a powerful module.

There is an urgent need of the hour for revising existing and creating newer policies in the realm of healthcare. This also encompasses the need for legalization and boosting of Telemedicine as a recognized and proven mode of delivery of healthcare services.

Proven models in Telemedicine help in reduction of cost of healthcare expending per patient, thus lowering cost of care provided to the patient through implementation of IT. Telemedicine models such as the one practiced at the Aravind Eye Hospital needs to be recognized for deriving standards.

Incorporation of IT in strategic decision making or/and deducing cost-benefit analysis helps in reducing operational over-heads resulting in profits—the HIT system implemented in Sir Ganga Ram Hospital, New Delhi can be a learning that can be referred to.

Time and cost are most important aspects of health IT and if implemented properly, it will add value in making precise clinical decisions.

Patient discomforts and waiting time can be tremendously decreased through health IT thus adding value in terms of patient loyalty.

Session Takeaways

34

Session

ONEDay2

Mr. Mark Landry, Advisor – WHO, an e-Health solutions expert, chaired and set the stage for the first session on Day 2 by inviting panellists to present their ideas and thoughts on digital health solutions, issues concerning scalability and sustainability in the Public-Private-Partnerships (PPP) domain, standardizations and interoperability of these solutions. The eclectic group of panellists consisting of government officials, HIT entrepreneurs and healthcare professionals contributed to the discussion. The Ministry of Health and Family Welfare (MOHFW), GoI, is committed towards the adoption of e-Health solutions in India. Mr. Nikunja Dhal, Joint Secretary, Ministry of Health and Family Welfare, GoI, reiterated this commitment about MOHFW’s initiatives while touching upon Government’s views on the Electronic Health Record (EHR) standards. He shared that the plans to establish an e-Health authority for the promotion and updation of standards were in pipeline. This body would also design and enforce the protocols for sharing EHR. The big idea being that of promotion of standardization of health information systems across the public and private sectors.

Dr. Ashok Kumar, Addl. DGHS, MOHFW, GoI, gave a brief introduction to the Bureau of Indian Standards (BIS), and its contributions in the realm of Health Information System (HIS). The main function of the Bureau being that of publishing and promoting the Indian standards in relation to any article or process related to meeting international standards of quality in healthcare. The body is also responsible for reviewing and providing grants or cancellation of licenses for using the ‘Standard Mark’. Protocols established by the Health Informatics Committee in the field of HIS help ensure the smooth functioning of the system.

Digital Health

Digital health is meant to support the provider–patient relationship directly to have a maximum impact to overcome the natural obstacles

Mr. Anil Bajpai Co-founder and CTO,

PMHLC

There are no major rollouts which have happened in PPP model in e-Health.Opportunity is here !!!

Mr. Krishan Girdhar MD, Presto

Dr. Ashok Kumar Addl. DGHS, MOHFW, GoI

Attention was drawn on to the design of digital health solutions by Dr. R. Balaji, CMIO, HCG Oncology. According to him digital health is a key enabler in promoting the provider–patient relationship. The patient experience is an important factor in the design of digital health solutions. The need of the hour is to have a predictive and proactive healthcare management system. An example of a predictive system shared was that of ‘Sensor technology’ playing a large role in the future of digital health solutions and products. Sensors have existed in the field of diagnostics for a long time, but a breakthrough is yet to be witnessed. Dr. Prabhat Ranjan, Executive Director, TIFAC, echoed this idea on sensors and how they could be utilized in healthcare. The latest wave of sensor technology discussed is capable of providing faster and more accurate diagnostic solutions.

Mr. Krishan Girdhar, MD, Presto, a healthcare entrepreneur, opined how PPP would help nurture digital health solutions. The salient features and challenges of this model were also discussed such as incorporation of parameters so as to make it more potent.

From Left to Right: Mr. Mark Landry (Session Chair, Advisor, WHO); Mr. Nikunja Dhal (Joint Secretary, MOHFW, GoI);

Dr. Prabhat Ranjan (Executive Director, TIFAC); Dr. R. Balaji (CMIO, HCG Oncology); Mr. Anil Bajpai (Co-founder and

CTO, PMHLC); Mr. Krishan Girdhar (MD, Presto); Dr. Ashok Kumar, Addl. DGHS, MOHFW, GoI); and Dr. Suptendra Nath

Sarbadhikari (Project Director, Centre for Health Informatics, GoI)

36

Many experts have raised concerns about the state of the healthcare system in India. According to Mr. Anil Bajpai, it is apparent that there is a huge gap between today’s reality and the aspiration to provide quality healthcare on an equitable, accessible and affordable basis across the country. Accountability and transparency were the two other major issues identified. The development of a collaborative health information exchange (that not only works on digital transformation or transmission of data but also will collaborate with multiple players) was suggested as a solution. Although initial processes have been commenced with, there still is a lot of work ahead for the pioneers and champions of Indian HIT. In a similar context, Health Informatics expert Dr. Suptendra Nath Sarbadhikari, Project Director, Centre for Health Informatics, GoI, discussed the potential role of the National e-Health Authority (NeHA) in India, and gave a brief account of the aims and salient features of the National Health Portal and other Government initiatives in the field of e-Health.

Concluding the session, Mr. Mark Landry, requested the panellists to summarize the session in terms of issues, priorities, experiences, capacity and various other dimensions of digital health implemented in India.

The session on digital health showcased how government and the private sector are addressing barriers, tailoring solutions to patients, strengthening capacity, implementing standards, changing policy, building partnerships and innovating for the future.

The World Health Organization sees digital health advances in India as a test-bed and learning environment for sharing knowledge and experience with the world.

Sensors can be a very useful tool in the future of healthcare. They can have practical uses in improving the quality of life of differently-abled people.

There is a lack of interoperability and accountability in healthcare in India.

Public-Private-Partnership will help e-Health initiatives like Telemedicine to be adopted widely.

The National Health Portal was established to provide healthcare-related information to the citizens of India and to serve as a single point of access for consolidated health information.

Session Takeaways

Session

TWODay2Doctors, Clinics and Hospitals

Mr. Amit Mishra, Secretary, HIMSS Asia Pacific India Chapter, chaired the second session for the day. After giving an overview of the current Indian healthcare system, he invited his panellists to present their views on how IT can be considered as an enabler of healthcare. The multitude and complexity of gaps in healthcare technology has only grown, owing to the various demands, economic and population demographic changes. These in return have affected the way HIT has been adopted in India. Technology entrepreneur Mr. Udai Kumar, delved deeper into the topic of technology adoption and the need for change management in hospitals and clinics. Citing the United States of America, he said that the government’s ‘meaningful use’ program was responsible for providing incentives for the adoption of a fully functional electronic medical record (EMR) system. The incentivization of the program (as observed) led to hospitals accepting, acknowledging and embedding this program. The four fundamental drivers for technology adoption and change management were listed as those of 1) availability of information at the point of care, 2) user friendliness, 3) adaptability and 4) scalability.

Telemedicine provides ….half a doctor…but if we use the rural doctors already there, enhance their skill level can we make it more than half

Dr. S.B. Gogia President, APAMI

I want all of us to ponder a bit that is it only the technology or the data which is required and if that was to come one day and get all integrated…is that the answer or a bit of a digression towards…that the physicians and the medical fraternity also holds equal responsibility

Mr. Vikram Anand Founder, Global Health Reach

Dr. Sumer Sethi MD,

Radiologist and CEO, Telerad Providers

38

Technology has nourished many enterprises (small and big) in the healthcare sector, speaking of which, Mr. Shirish Kulkarni, CEO, Palash, shared his views on technology adoption and demonstrated a Health Information Exchange (HIE) platform that can provide a friendly, futuristic, yet simple healthcare ecosystem that would benefit health providers and the patients. Mr. Premanshu Singh, Head of Marketing-Enterprise, Practo, stressed upon the importance of being patient centric for development of better healthcare products and creating a better healthcare environment along with the need to set newer benchmarks. Mr. Vikram Anand, Founder, Global Health Reach, gave his views on how technology and analytics could be the solution of tomorrow. He stressed upon the importance of syncing data, while assuring the audience that technology and analytics were the next steps for a promising future. Mr. Vamsi Chandra Kasivajjala, spoke about different predictive models and population health management. He mentioned that the HIMSS analytics EMR Adoption Model is very popular in the developed countries. Through its paperless system, it has helped in information exchange, instantaneous delivery of patient data, delivery and ensuring quality of care and safety in healthcare organizations. Medical informatics

Mr. Premanshu Singh Head of Marketing- Enterprise, PractoMr. Shirish Kulkarni

CEO, Palash

From Left to Right: Mr. Vamsi Chandra Kasivajjala (President, HIMSS APAC India Chapter, CEO, Enlightiks); Dr. Sumer

Sethi (MD, Radiologist and CEO, Telerad Providers); Mr. Vikram Anand (Founder, Global Health Reach); Mr. Amit

Mishra (Session Chair, Secretary, HIMSS APAC India Chapter); Mr. Shirish Kulkarni (CEO, Palash); Mr. Udai Kumar

(Chairman & CEO, Ohum Healthcare Inc. USA); Mr. Anand Ambekar (Principle Product Manager, EMC2, India);

Dr. S.B. Gogia (President, APAMI); and Mr. Premanshu Singh (Head of Marketing Enterprises, Practo)

The doctor–patient ratio in India is less than the WHO-prescribed average of 1:1000. Healthcare IT can be leveraged to minimize the gap between demand and supply of Skilled Healthcare Manpower.

Better quality of care and improved patient outcomes can be achieved by widespread usage of IT. Practitioners in the rural areas can be trained online to help improve outcomes and decrease the overloading of referral and city hospitals thus the need for the patient to travel for healthcare.

It can help bridge the huge gap in the Indian healthcare scenario, especially in rural and urban (poor) areas.

Support from the government in the form of policies and standards is required to increase the adoption of IT by healthcare organizations. Government of India should promote IT usage in healthcare.

Session Takeaways

and Telemedicine expert Dr. S.B. Gogia explained how one could mitigate natural disasters with the help of technology and shared some of his experiences of working in healthcare projects that were carried out in Mizoram and Nepal. While Mr. Anand Ambekar, Principal product Manager, India COE Innovation – EMC2, spoke about how digitalization transforms the public health system. Teleradiologist Dr. Sumer Sethi, MD, Radiologist and CEO, Telerad Providers, shared a few of his experiences and challenges in this sector. He had observed there is a dearth of radiologists in the country, in addition to this there is a massive bias in the numbers of radiologists practicing in urban areas. This skewing could be easily addressed by the adoption of Teleradiology, which enables the flow of radiology expertise from areas of surplus to areas of insufficiency. This principle could be then extrapolated to the international arena of practicing radiologists for referrals.

The session concluded with the thought that while some individuals feel that Telemedicine and Teleradiology are indispensable for the future of HIT, others felt it should predominantly be utilized to transform rural healthcare. The wide support Telemedicine receives is noteworthy and we should adopt this model to benefit many at the earliest possible.

Indian healthcare is poised for growth…due to several reasons…epidemiological transitions demographic transition…increase in life expectancy, lifestyle diseases…can IT make a change, can IT help us live independently longer, can IT help alleviate the pain of patients

Mr. Amit MishraSecretary, HIMSS APAC India Chapter

Disease Management Association of India 102, Siddhivinayak, Plot no.3, Sector 14, Khanda Colony, New Panvel, Mumbai 410206, Maharashtra, India

F: +91 11 4582 33 55 | W: www.dmai.org.in

Disease Management Association of India

Disease Management Association of India is one of the most revered multi-stakeholder Indian healthcare organizations. Given DMAI’s immense contribution to healthcare reforms in India; the United Nations (ECOSEC) has granted a ‘Special Consultative Status’ to DMAI in July 2015.

DMAI: provides a matchless international platform with access for doctors, nurses, pharmacists, counselors & other healthcare professionals; to come together and share information, experiences, besides bridging and promoting networking of industry and various stakeholders and thus contribute to the betterment of healthcare in India

Through its path-breaking initiative in 2012, DMAI has instituted ‘The Government – Industry Dialogue’ (GID) in association with the Ministry of Health & Family Welfare , Government of India and paved-way to bring together multi-sectorial stakeholders to discuss and provide solutions to various issues.

For more details visit our website www.dmai.org.in

Details of the GID is available on: http://governmentindustrydialogue.org

Disease Management Association of India is one of the most revered multi-stakeholder Indian healthcare organizations.

Given DMAI’s immense contribution to healthcare reforms in India; the United Nations (ECOSEC) has granted a ‘Special Consultative Status’ to DMAI in July 2015.

Disease Management Association of India

DMAI: provides a matchless international platform with access for doctors, nurses, pharmacists, counselors & other healthcare professionals; to come together and share information, experiences, besides bridging and promoting networking of industry and various stakeholders and thus contribute to the betterment of healthcare in India

Through its path-breaking initiative in 2012, DMAI has instituted ‘The Government – Industry Dialogue’ (GID) in association with the Ministry of Health & Family Welfare, Government of India and paved-way to bring together multi-sectorial stakeholders to discuss and provide solutions to various issues.

For more details visit our website www.dmai.org.in

Details of the GID is available on: http://governmentindustrydialogue.org

Session

THREEDay2

This session on the advancement of the Universal Health Coverage in India, the roadblocks and challenges was chaired by Mr. Jeyaseelan Jeyraj, who invited the panellists to give their views on the role of ICT in health insurance. Dr. Chandrakant Lahariya, National Professional Officer – Universal Health Coverage at World Health Organization, an expert in social inclusion and sustainable development, spoke about the role of ICT in achieving ‘Universal Health Coverage (UHC)’, particularly how ICT could be utilized in expanding healthcare services and in tracking progress of UHC. The three dimensions of UHC explained were 1) accessibility, 2) affordability and 3) services. He also expressed that e-Health and m-Health could be utilized for improving accountability, for supply of services, in generating demand for services and in improving the quality of care provided.

UHC and Insurance

ICT provides possible platform to address the challenges which are highlighted for progress of UHC Dr. Chandrakant Lahariya World Health Organization

There are lots and lots of good things that are happening in isolation but they don’t fit the larger picture and they are not connected with each other, and that’s the biggest issue we’re facing in India UHC

Dr. Nishant Jain German International Cooperation

Almost about 30% of the rural population [in India] does not go for any medical treatment clearly because of the financial constraint Mr. Jeyaseelan Jeyaraj (Session Chair) Treasurer, HIMSS APAC India Chapter, Director, Oracle Health Sciences, Asia Pacific Oracle Corporation

42

According to Dr. Nishant Jain, Deputy Programme Director, GIZ, an international leader in the field of health systems said that India is facing challenges in implementing the Universal Health Coverage scheme. Healthcare financing in India can be described at best as ‘fragmented’. On the brighter side, Rashtriya Swasthya Bima Yojana (RSBY) has been able to utilize Information Communication and Technology (ICT) to provide insurance coverage for Below Poverty Line (BPL) families. Comparison of the Indian insurance healthcare system with the healthcare systems across the globe were unjustifiable as there are many models that are practiced successfully in other countries. Dr. Abhitabh Gupta, CEO, Paramount TPA, cited different models for healthcare adopted by different countries such as the Beveridge Model, Bismarck Model, National Health Insurance Model and the Out-of-Pocket Model to name a few. He mentioned that the benefits of EHRs from an Insurance perspective need to be delved into and a plan as to how Universal Health Coverage could be achieved by 2022 needs to be drawn up.

Individuals across the globe require reassurance that they will get good quality health services without worrying about their finances. However, how one must capture the large number of health interventions spanning the range of promotion, invention, treatment and rehabilitation across a wide population is still a question that needs to be answered. As the discussion concluded, Mr. Jeyaseelan Jeyaraj, got a brief summary from his panellists on ‘the mechanisms that could be utilized for achieving UHC’ and ‘how one were to achieve equity and also meet the needs of vulnerable populations within UHC’.

From Left to Right: Dr. Nishant Jain (German International Cooperation); Mr. Jeyaseelan Jeyaraj (Session Chair,

Treasurer, HIMSS APAC India Chapter, Director, Oracle Health Sciences, Asia Pacific Oracle Corporation);

Dr. Chandrakant Lahariya (World Health Organization); and Dr. Abhitabh Gupta (CEO, Paramount TPA)

Need to establish vision, action-oriented dedicated organization to achieve the goals of Universal Health Coverage in India.

Universal health entitlement should be provided to every citizen.

National Health Benefits Package should be collated by means of public, tax-based/mandatory social health insurance and provide guaranteed access to an Essential Health Package (free of cost including cashless, primary care, in-patient and out-patient care).

Funding stakeholders should include State/Central Governments, Self-Help Groups, Non-Government Organizations, Corporate Social Responsibility activities, World bank, etc.

There is a wider agreement and consensus on role of ICT could play in UHC. The roll out e-Health strategy/roadmap for the country and learning from the global practices and successful e-Health implementations would be beneficial.

Need to set a goal to provide HER access to every citizen, which will result in increases in healthcare efficiency, reducing redundancies, costs and improvements in patient outcome.

Session Takeaways

Dr. Abhitabh Gupta CEO, Paramount TPA

Session

FOURDay2

Mr. B.R. Jagashetty, VP – Legal & Compliance Medlife.com, chaired the session and spoke about the importance of Pharma in the healthcare industry and legal reforms that have taken place in the domain over the years were discussed. It is widely believed that India is heading towards a ‘Diabetic Epidemic’, it would therefore be sensible to collectively address this impending problem without any further delay. Mr. Dilip Rajan, G.M.Abbott Healthcare Pvt. Ltd., presented a snapshot of the Indian incidence rate, global diabetes burden and the estimated number of people living with diabetes in India by 2035. It is believed that only 50% of population suffering from diabetes in India are being diagnosed and treated. Across the world, diagnosis and regular monitoring of diabetes is done either by using self-monitoring tools or from professional laboratory services—both of which are done using a needle/invasive methods, which is painful and uncomfortable, especially when repeatedly done in regular monitoring. The need for different innovations for blood glucose monitoring using sensors and non-invasive methods for analysis and creating treatment plans was spoken about by Mr. Ananda Sen Gupta, MD Trackmybeat.com.

It is estimated that over 100 million people suffer from chronic non-communicable diseases. There are several challenges related to treatment at the level of the physician as well as at the level of dosing and providing pharmacological advice (that needs to be repeatedly titrated so as to suit the patient’s condition and control of the disease). Given this complex scenario and requirement for multiple visits, the Internet can be utilized to facilitate the numerous doctor–patient interactions and provide a personalized health management plan.

Pharma Industry and IT Innovation

There is insufficient medical research data...if you collect data over a period of time you can start looking at personalised medicine.

Mr. Ananda Sen Gupta MD, Trackmybeat.com

Ayurveda like any other treatment science has to be made accountable

Mr. Madhusudan Chauhan Director, Jiva Ayurveda

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The need for funding of innovations, research in the healthcare space was discussed. Dr.  Shirshendu Mukherjee, Senior Strategic Advisor, Head, Affordable Healthcare – India Wellcome Trust, shared his experiences related to his organization and how innovations were funded so as to promote affordable healthcare in India. Innovations and HIT is more often than not contextualized with modern medicine. However, Mr. Madhusudan Chauhan, Director. Jiva Ayurveda, demonstrated how technology could be used to dispense the Ayurvedic forms of treatment and care. Like the many (above listed) challenges that hinder successful implementation of HIT, the lack of awareness, access to care, lack of protocols and lack of adequate research are also some of the bottlenecks that were identified. Innovation in healthcare technology was seen to be the only feasible answer to all these challenges put together. Mr. S.W. Deshpande, Joint Commissioner, FDA & Director General, AIDCOC, touched upon the regulatory aspects of e-Pharmacy in India and enlightened the audience on the current uncertainty of Indian laws that govern online pharmacy. He lamented on the lack of checks-and-balances to ensure that drugs sold online were authentic. He propounded that the absence of clear guidelines and regulation policies and mentioned the need for lawmakers to step in to facilitate the use of technology.

From Left to Right: Mr. Dilip Rajan (GM, Abbott Healthcare Pvt. Ltd.); Mr. S.W. Deshpande (Director General, AIDCOC);

Mr. B.R. Jagashetty (VP-Legal & Compliance, Medlife International Pvt. Ltd.); Dr. Shirshendu Mukherjee (Senior

Strategic Advisor, Wellcome Trust, India); Mr. Ananda Sen Gupta (MD, TrackMyBeat.com); and Mr. Madhusudan

Chauhan (Director, Jiva Ayurveda)

Mr. B.R. Jagashetty summarized the session on how data is important to patients for planning, maintaining and monitoring their own health. From exploratory and qualitative research methods to process engineering, the current use of technology has made the pharma industry more powerful and stronger than it has ever been. Pharma and technology companies have come (ongoing) up with various products that can aid chronic healthcare management and in alleviation of disease burden.

As a funder what we look at is, what is the unmet need, what is your exit strategy from the programme and what is your policy uptake of the programme. If these criteria is fulfilled by an innovator, he has a strong chance to take his programme to the next level

Dr. Shirshendu Mukherjee Senior Strategic Advisor,

Wellcome Trust, India

Pharmaceutical industry is widely using Information Technology. However, this is limited to the use of certain softwares. The panel discussion brought forth a number of innovative products which can be used to improve current healthcare systems.

The advent of the Internet has opened many opportunities and one such buzz word is e-Pharmacy. Though it has many advantages, the system of sales has many disadvantages that need to be addressed and regulated by means of laws and policy regulations.

Delegates got a clear view of existing legal position, legal impediments and also what needs to be done so that this powerful tool can be used for the benefit of society.

Session Takeaways

The Personal Connected Health Alliance (PCHA) is at the forefront of health and wellness in today's society,

driving advancements in mobile and communications technologies, and the growing use of new devices, health trackers and apps by consumers and healthcare providers.

PCHA is working to generate greater awareness, availability and access to plug-and-play, consumer-friendly personal health technologies to empower individuals to better manage their health and wellness, anywhere at any time.

The Personal Connected Health Alliance is a global non-profit umbrella for the Continua and mHealth Summit,

and an independent HIMSS organization.

First-of-its-kind collaboration was founded by three industry leaders: Continua, mHealth Summit and HIMSS, focused on engaging consumers with their health via personalized health solutions designed for user-friendly connectivity (interoperability) that meet their lifestyle needs.

Each of the founding organizations – Continua Health Alliance, mHealth Summit and HIMSS – offers a unique perspective and expertise, combining to create a holistic view and approach to promoting the advancement of healthcare technologies that focus on the individual.

The mission of the Personal Connected Health Alliance is to facilitate the development and adoption of

personal health solutions that foster independence and empower people to better manage their health and wellness from anywhere, at any time. Making health and wellness a convenient part of daily life through personal connected health technologies.

x Uniting all stakeholders in healthcare and health IT around plug-and-play personal health solutions that

create value for consumers, technology and healthcare industry leaders, providers, purchasers, pharmaceutical manufacturers and policy makers.

x Bringing greater focus on personal connected health technology through education, awareness building and advocacy, drawing upon the unprecedented international network, leadership and resources of Continua, mHealth Summit and HIMSS.

x Standardizing connectivity, privacy and security of personal connected health devices and systems, based on Continua's global interoperability standards to ensure end-to-end, plug-and-play connectivity.

http://www.pchalliance.org/

ask@pchalliance.org.

Session

FIVEDay2

Veteran educationist Dr. Ajith K Nagpal, Chairman and Director General, Amity University, the session chair, made a presentation on ‘international policy initiatives’ to facilitate the availability of clinical information at the point of care. The purpose of the initiative being: 1) to achieve highest attainable technical standards of care, 2) ensure clinical effectiveness and 3) delivery of quality care. Healthcare in India is undergoing a major transformation and one of the key drivers for being the change in disease patterns. It is believed that approximately 70% of the disease burden is due to chronic diseases. Addressing the massive skill deficit and dearth of IT-enabled medical education in the country, Dr. S.D. Gupta, President, IIHMR University, shared his ideas on the same. He opined that owing to the paucity of skilled and trained (especially super specialization) health personnel that the healthcare system was unable to meet the requirements of secondary or tertiary level care. Speaking further on these lines, he suggested that ‘open’ educational platforms such as Massive Open Online Courses (MOOCs) can be used for community interactions and skill development at the primary healthcare level to begin with. Adding further the discussion, Dr. Shubnam Singh, Chief Executive, Max Health Education & Research, said that Information Technology needs to be the platform for all levels of care, i.e. primary, secondary and tertiary should exist simultaneously, that we need to focus on all three sub-levels of care so that the spectrum of education in healthcare is holistically upskilled. Some examples of government led initiatives in skilling the workforce mentioned were: Healthcare Sector Skill Council (HSSC) and Life Sciences Sector Skill Development Council (LSSSDC), these initiatives work on training healthcare professionals in their chosen domain. The National Skills Qualification Framework is a competency-based framework that organizes all qualifications according to a series of levels of knowledge, skills and aptitude—was also discussed.

Human Resources for HCIT, Medical Education, Training and Skill Development

What is the level of our preparedness to be able to harness this [IT] to ensure that there is equity in healthcare delivery, there is true quality in healthcare delivery, there is true scalability in healthcare delivery, there is the ability to harness the information therein provided and thereby spawn this entire new sea of life which is called data analytics, predictive analytics and so on and so forth?

Dr. Shubnam Singh Chief Executive,

Max Health Education & Research

I see this topic…as a jigsaw puzzle….this puzzle is really difficult, but there are several pieces which could be looked at and we try to solve it by integrating this in a framework Dr. S.D. Gupta

President, IIHMR University

50

Mr. Terig Hughes, MD, Reed Elsevier – India, from the educational publishing industry, spoke about the need of white-collared professionals (which includes doctors, nurses and allied medical workforce) for expertise, and added how we can address challenges in the ‘healthcare learning’ by introducing innovations such in e-learning and simulation tools. Mr. Krishan Girdhar, MD, Presto, illustrated how ‘Digital India Program’ and ‘Skills India Program’ could play an important role in the e-Health initiative and in tele-education. He said that while Digital India provided the basic infrastructure for facilitating knowledge exchange, Skills India Program would cover the capacity building initiative. Dr. Sandeep Bhalla, shared the achievements of Public Health Foundation of India (PHFI) in the field of training and capacity building for primary care physicians and healthcare personnel. He shared that PHFI chiefly focused on education, training, research, affordable healthcare technologies, health support system, communication and advocacy and policy via development of the Indian Institute of Public Health (IIPH) in partnership with state government.

Dr. S.P. Gogia President, APAMIMr. Terig Hughes

MD, Reed Elsevier – India

From Left to Right: Mr. Krishan Girdhar (MD, Presto); Dr. S.P. Gogia (President, APAMI); Dr. Shubnam Singh (Chief

Executive, Max Health Education & Research); Dr. Ajith K. Nagpal (Session Chair, Chairman and Director General,

Amity University); Mr. Terig Hughes (MD, Reed Elsevier – India); Dr. Sandeep Bhalla, Program Director, Training, PHFI);

Dr. S.D. Gupta (President, IIHMR University); Mr. Rohit Kumar (Founder and CEO, Chapter Apps Inc.)

The need for skill development in rural areas was highlighted by Dr. S.P. Gogia, President, APAMI, who said that the rural population had limited access to education and training (especially healthcare related), mostly due to financial barriers and lack of basic education. This reason alone hampers their access (admission) to higher technical and vocational training or other basic skills development courses. According to him, an integrated approach of health informatics would aid the development of such programs (cited above). Mr. Rohit Kumar, CEO, Chapter Apps Inc., spoke about his organization: a mobile publishing company that specializes in bite-sized content for use through mobiles. It was thus concluded that in the wake of rising global smartphone subscriptions at alarming growth rates and Internet proliferation, initiatives like these seem to be the order of the day towards ensuring the most important and imminent need: to bridge the gap and meet the requirements of trained and skilled personnel.

We have known about software writers, we have known about network engineers, but now we need …desperately in the realm of healthcare people who are trained in informatics

Dr. Ajith K. Nagpal Chairman and Director General,

Amity University

The skill deficit in the healthcare sector needs to be addressed with urgency.

There is a need to improve human capacity including that of doctors, nurses and allied medical workforce.

We can mitigate challenges in healthcare learning by introducing innovations such as e-Learning and simulation tools.

Government initiatives like HSSC and LSSSDC are steps taken in the right direction to up skill the existing workforce.

Indian healthcare professionals are underpaid, as compared to professionals from BRIC countries. We need to augment their skills, so as to enable help these professionals to earn at par with their professional counterparts from other countries.

The concept of bite-sized content for mobile-based learning is something that will be immensely beneficial.

Session Takeaways

52

Leader’s Speak

This is a pivotal time in the delivery of health care in India. The HIMSS India 2015 conference was timely and brought together the best and brightest of our industry. The best conference I have ever attended in terms of content and quality. — Mr. Jeyaseelan Jeyaraj, Director, Health Sciences, Asia Pacific, Oracle Corporation

It was really a nice event to know about latest trends and developments in the healthcare segment across the country and to experience the thought process of highly versatile think tanks. It offered a great opportunity to interact with the leaders from health sector. And, at the same time, the event witnessed a large number of delegates and eminent speakers. The calibre of the speakers was incredible as they shared tons of information in a short period of time. HIMSS Digital India Summit 2015 did a tremendous job bringing industry leaders together to hold open, frank discussions regarding Information Technology in Health. The Conference was highly structured and managed exceedingly well. Hats-off to the organizing team and especially Mr. Rajendra Pratap Gupta, who put this together – quality speakers, interaction and a great show.

— Mr. Krishan Girdhar, Managing Director, Presto Infosolutions Pvt. Ltd.

One of the best conferences that I have attended. A great balance of Topics, Speakers and most importantly very well organized. Kudos on a well conceived and superbly executed conference. — Mr. Lux Rao, Country Leader – HP Future Cities & CTO – Technology Services, HP India

The HIMSS Asia-Pacific India Chapter plays an important role enabling collaborators to engage in effective partnerships for scaling up and sustaining effective digital health solutions. The session on digital health showcased how government and the private sector are addressing barriers, tailoring solutions to patients, strengthening capacity, implementing standards, changing policy, building partnerships, and innovating for the future. The World Health Organization sees digital health advances in India as a testbed and learning environment for sharing knowledge and experience with the world.

— Mr. Mark Landry, Regional Advisor, World Health Organization, Regional Office for South-East Asia

The HIMSS Digital India Summit, 2015, was a very good initiative for India. I feel that this was a good platform which connected everyone in the Health sector in India, starting from the Government bodies influencing policies, Industry experts, Academia and specially the Service providers (Doctors and Hospitals). Looking forward to see the HIMSS India Chapter nurture the ecosystem and also roping in the super end users in the upcoming conferences. — Mr. Munir Mohammed, Program Specialist – ComSoc & e-Health, IEEE India

The summit provided a great opportunity to listen to the different perspectives of some extraordinary leaders of Healthcare industry in India. It showcased the serious advances that are being made in our country and how organisations of various sizes are driving the agenda of affordable, high quality healthcare in India. I expect HIMSS India Chapter, to continue to play a strong role in India and look forward to more engagements and such events to continue and grow larger in the future.

— Mr. Ananda Sen Gupta, Founder & CEO, Trackmybeat.com

Leader’s Speak

It was a wonderful experience attending the HIMSS Digital India Health Summit 2015, representing PALASH Healthcare as one of the sponsors. The planning, schedule, reception, timing, exhibitions, infrastructure setup, one-on-one meetings, presence of dignitaries, contents delivered, depth and breadth of knowledge of speakers were absolutely phenomenal. I represented PALASH in a panel discussions on “Doctors, Clinics and Hospitals” – with other healthcare experts. The session brought out the potential perspectives of Technology in healthcare (for all the elements in the ecosystem covering Providers, Doctors and Patients), were phenomenal. The impact of the Digital Trends – Social Media, Mobility, Analytics and Cloud (SMAC) – was brought about very vividly by the speakers. This platform provided PALASH with an opportunity of presenting the SWARM strategy based on these Digital trends and promoting the realization steps of HIE (Health Information Exchange). Overall – an experience that got Palash the required outcome, that I wanted to derive from the investments made. I will strongly recommend the HIMSS Digital India Summit, as a ‘platform’ for getting all the “who’s-who in healthcare” together. Kudos to Mr. Rajendra Pratap Gupta and the summit’s organizing team!

— Mr. Shirish Kulkarni, CEO, PALASH Healthcare Systems Pvt. Ltd.

Delighted to be at HIMSS Digital India Health Summit 2015; a rare confluence of IT and Medical professionals which is a need of the hour to deliver Universal and Affordable Healthcare.

— Dr. Shirshendu Mukherjee, Senior Strategic Advisor R&D for Affordable Healthcare in India Innovations, Wellcome Trust

This was very well organised, meticulously planned summit. Healthcare is at ‘inflexion point’ and technology will play vital role to improve access of affordable health care in India. The HIMSS Digital India Health Summit 2015 was a great platform to get all stakeholders together to make difference to the healthcare delivery system in India. We had many policy makers too present the meeting. I am sure all stakeholders present, significantly benefited from the meetings and will take the agenda forward in their respective domain areas.

— Mr. Sudarshan Jain, Managing Director, Abbott Healthcare Pvt. Ltd.

I would like to take this opportunity to extend my heartiest congratulations to the organizers of this excellent summit. Mr. Rajendra P. Gupta and his team have provided a platform for private and public partners from both the IT and the health sector to discuss and deliberate on the increasingly important contribution that Information and Communications Technology (ICT) can make in ensuring more effective and efficient health service delivery against a background of shortages in the human health workforce. There are many untapped areas where the effective use of IT will go a long way in improving healthcare delivery. This summit has provided a valuable opportunity for these exciting opportunities and innovations to be discussed and explored.

— Dr. Sanjiv Kumar, Executive Director, NHSRC, MOHFW, GoI

The Digital India Health Summit 2015 organised by HIMSS India Chapter, has provided me with a myriad of positive experiences. It brought IT in healthcare theme so strongly and our participation led to multiple opportunities to build relationships with existing and potential clients. Furthermore, the general networking and experience sharing has been invaluable in developing new insights and opening up new doors – both personally and professionally! — Mr. Shireesh Sahai, CEO – India, Wolters Kluwer

54

In the Media

– Shripad Naik, Minister of State, Government of India inaugurated the event

Digital Health Summit 2015 – a mega conference was held in Delhi recently. The event was inaugurated by Shripad Naik, Minister of State, Government of India in presence of Rajendra Pratap Gupta, Chairman, HIMSS – Asia Pacific, India Chapter; Phaneesh Murthy, Co-founder and Executive Chairman, PM Health & Life Care; Nikunja Dhal, Joint Secretary, MoHFW; Dr Neena Pahuja, Director General, ERNET, Ministry of Commerce & IT, Government of India; Dr KK Aggarwal, Secretary General, IMA; and Dr Sanjeev Kumar, Executive Director, National Health Systems Resource Centre.

The mega summit attracted high profile speakers from the government and industry to set the agenda for healthcare IT in India. The inaugural session focused on various aspects of healthcare delivery using effective and efficient healthcare information technology and management systems.

Speaking at the inauguration, Naik remarked, “Aligned with the Government’s aim to address the healthcare gap in the country, multi stakeholder intervention will assist in making enabling policies and public private partnership is the way forward. Initiatives like these will only help us achieve and reinforce best practices for achieving better outcomes in the health care sector of the country.”

The panel discussions during the two day summit focused on showcasing the various capabilities of IT in the transformation of healthcare. Key deliberations were made by thought leaders and key decision makers from the government, industry and other stakeholders in the area of HCIT. The event saw participation from start-ups, SMEs, MNCs, angel investors, government representatives etc.

Digital Health Summit calls for multi-stakeholder interaction

– The event paved the way forward on how IT can transform healthcare in India – under Hon’ble Prime Minister, Narendra Modi’s Digital India Programme

– First-of-its-kinds mega event that attracted stakeholders from across sectors

India’s first Digital Health Summit 2015 – a mega conference was held in Delhi on Aug 5th & 6th. The event was inaugurated by Shri Shripad Naik, Hon’ble Minister of State, Government of India in presence of Rajendra Pratap Gupta, Chairman, HIMSS – Asia Pacific, India Chapter; Phaneesh Murthy, Co-founder and Executive Chairman, PM Health & Life Care Pvt. Ltd; Shri. Nikunja Dhal, Joint Secretary, MoHFW; Dr. Neena Pahuja, Director General, ERNET, Ministry of Commerce & IT, Government of India; Dr. K.K. HIMSS Aggarwal, Secretary General, IMA; Dr. Sanjeev Kumar, Executive Director, National Health Systems Resource Centre, etc.

The mega summit attracted high profile speakers from the Government and industry to set the agenda for Healthcare IT in India. The inaugural session focused on various aspects of Healthcare delivery using effective and efficient Healthcare Information Technology and Management Systems.

INDIA’S FIRST DIGITAL HEALTH SUMMIT CALLS FOR MULTI-STAKEHOLDER INTERACTION

HIMSS Asia Pacific India to host its 1st India Conference– HIMSS Inaugural event (5th & 6th August’2015 at The Leela Ambience, Gurgaon) will focus on improving the Healthcare delivery using effective and efficient Healthcare Information Technology and Management Systems.

This is the first event for HIMSS in India which will be attended by the WHO’s WHO of the Healthcare industry from the Government to the Industry. This is a rare Healthcare event in India that has attracted high profile speakers from the Government and the industry to set the agenda for Healthcare IT in India. The event will be inaugurated by Shri. J.P. Nadda, Hon’ble Union Minister of Health & Family Welfare, Government of India. Besides, key policy makers would be participating in the conference from across ministries.

The event is happening at the right time, given our Honb’le Prime Minister’s push for Digital India with a focus on health, education and governance. We at HIMSS India, believe, that the Industry and the Government interaction is key in implementing the vision of our Hon’ble Prime Minister on Digital India, and this conference will be the defining point for the way forward.

An initiative of The Economic Times

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Mr. Rajendra Pratap Gupta, Chairman, HIMSS APAC India Chapter, Public Policy Expert

Mr. Vamsi Chandra Kasivajjala, President, HIMSS APAC India Chapter, CEO, Enlightiks

Mr. Amit Mishra, Secretary, HIMSS APAC India Chapter

Ms. Madhubala Radhakrishnan, Vice President, HIMSS APAC India Chapter, Founder & President, mCURA Inc, USA

Mr. Jeyaseelan Jeyaraj, Treasurer, HIMSS APAC India Chapter, Director, Oracle Health Sciences, Asia Pacific Oracle Corporation

Ms. Kripa Gopalan, Chair, Advocacy and Policy, HIMSS APAC India Chapter

Mr. Pradeep Prem, Committee Member, HIMSS APAC India Chapter

Mr. Arnab Paul, Committee Member, HIMSS APAC India Chapter

Ms. Punyata Gayatri, Volunteer, Organizing Committee, HIMSS APAC India Chapter

Mr. Rohit Sharma, Volunteer, Organizing Committee, HIMSS APAC India Chapter

The HIMSS Digital India Health Summit 2015 team

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