Transform indian healthcare culture through agile scrum
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Transcript of Transform indian healthcare culture through agile scrum
Transform Indian Health Care through Agile Scrum
- By
Krishnamurty VG Pammi
CSP, CSM, PMI-ACP, PMP, ITIL, MCTS
Family doctor in ancient India was treated equivalent to “God”
Service to mankind .. True Examples
Family doctor in ancient India was treated equivalent to “God” Service to mankind was service to God….True Examples
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5 Indian Health Care Sector- Current State of Affairs
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9Patients' Challenges
Doctors try their best to convert short term treatments into Long Term treatment scenarios
Doctors do not disclose the disease details in their exact form and shape
Doctors are not approachable
Doctors do not provide sufficient time to counsel patients
High Cost Factor – Sometimes Hospitals create scenarios to charge more
10Patients' Challenges continued…
For the patients with insurance coverage, hospitals try to squeeze entire insured high slab rate amount for the prescribed disease that patient is covered with
Doctors prescribe wide list of medicines. They are ignorant of the side-affects
Paying money does not guarantee good healthcare. The private healthcare system largely treats patients as revenue generators, without rationality or medical logic
11 Doctor’s Challenges
Patient does not trust Doctor prescription and does not show up on the prescribed follow up dates
Pharma companies are giving foreign tours and junkets to doctors. It happens under the pretext of medical study. Unfortunately, some doctors eagerly wait for the pharma company invitation for foreign tours
Corporate hospitals only want doctors who can help them earn more money
Frequent irrational procedures and surgeries, the distorting influence of corporate and multi-speciality hospitals on ethics of the medical profession, and the growing grip of pharmaceutical companies on private medical practice.
12 Doctor’s Challenges Continued…
Lack of adequate regulations on Fee and quality of medical service in private sector
Wealthy patients are admitted directly into intensive care and several thousand rupees are pocketed by the doctors
Corruption, kickbacks and the nexus between Hospitals and pharmaceutical firms
High work load avoid doctors to counsel patients to the best of their ability
Half Knowledge Patients - With advent of Internet, patients browse the internet and comes to doctors to test their skill and ability
Complete lack of regulation of the private medical sector
Usage of unsafe injections and medicines
13 Indian Health Care Sector- Current State of Affairs
Voices of Conscience from the Medical Profession: Revealing testimonies by rational doctors about the reality of private medical practice in India http://www.sathicehat.org/
Published by SATHI (Support for Advocacy and Training to Health Initiatives).
The sensitive “Trust Layer” between Doctor and “Patient” communities has been consistently tested in the past 15 years on the negative side.
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15 Root Causes For This Disconnect… The distorting influence of corporate and multi-specialty hospitals
on “ethics” of the medical profession
The growing grip of pharmaceutical companies on private medical practice
Government’s Successive health policies and resource allocation exercise has allowed degeneration of public health infrastructure and actively encouraging private sector
Frequent irrational procedures and unnecessary surgeries
More focus is given on “Following the set plan” over “responding to change”
More focus is given on “Fixed and non-cooperative attitude” over “Flexible, accommodating and stakeholder collaboration”
More Focus is given to compliance with documentary admitting procedures over talking to patients and counselling them
Success is measured on motivated Documented facts over healthy patient
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Accou
ntab
ilit
y
Accountabilit
y
Communication
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Restore the Trust – For God Sake!....
Rational
Doctors
Government Policies
External
influence
Non inclusive Working
Methodology
Monitory Attractions
Trust Restored
Accountable
Approachable
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Proposed model hospital “Trust Re-invented”a non profit Hospital where “care”, “counselling” and “value” are our motto.
Service Mindset – Management
Rational and Ethical doctor community
Care Value Counseling
Government Policies
Regulated pharmaceutical Companies
Distorting influence of corporate and multi-specialty hospitalsGrowing grip of pharmaceutical companies
Monitory Aspects
Hospital “Trust Re-invented” Addresses Cost Factor through
Money Pooled up from Volunteers /Charitable volunteers/sources
Fee charges as per regulatory norms
Transparency on the balance sheet every quarter.
Pass on the profit gained (after keeping minimum reserve for future sustenance) to the patients through decreasing fee rates for major diseases
Fall back support from government in-case of no/less reserve funds
21 Hospital “Trust Re-invented” – 5 Scrum teams
Development Team - Each team consists of 6 Doctors.
Scrum Master - “Hospital Customer Service Contact”
Area Product Owner –Senior Doctor who can mentor / help prioritize
Chief Product Owner – Resolve dependencies among Area Product Owners.
22 Scrum Artefacts
Patient Backlog Release Backlog Sprint Backlog
23 Nurture Trust and Accountability through…
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Scaling…
25 Scrum Implementation – Key Insights
Value Driven Planning using techniques
Value Stream Mapping
Patient Value Prioritization
Inspect & Adapt after every iteration
Information Radiators
Patient Recovery Burn Down
Value Points / Patient Satisfaction Index Delivered
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Proposed Benefits
A thrust for India’s much needed national movement begins for “building more number of rational and ethical doctors” for better health care
Restore the trust, communication between Doctor and Patient Community
Monitory factor removed from Patient and Doctor communities
Influence of corporate and multi-specialty hospitals nullified
Influence of Pharmaceutical companies nullified
India starts experiencing the art of pure “health care”
27Thank You
Krishnamurty VG Pammi
Facebook: Krishnamurty Pammi
Linked In: Krishnamurty Pammi
Twitter: @krishnamtypammi
+91 9848456687