e-Health & Adoption Incentives

Adoption of e-Health

Today i was attending the Joint Round Table on Communication Policy – eHealth in India

I made a few comments and they were accepted by the Round Table, and will be presented to the Hon’ble Union Minister for  Health  , Dr Dinesh Trivedi & the Planning commission on Monday , 8th March 2010

My view was that if the government tied up with private players like TCS, Infosys , Cognizant ( or anyone )  and worked out a nationwide uniform solution for eHealth for the practising doctors and nurses , it could transform the healthcare system in many ways

  1. The government can bear the cost of the software ( Entire solution- i am not a techie so cannot spell the exact terminology !! ) and give it free to doctors who wish to get on this platform within the next three years . This will help a faster adoption of the EMR or the eHealth platform . After three years , the doctors will be charged for the program on the market cost . Here the disincentive will work as the incentive
  2. The government can negotiate the rate with the hardware vendors for doctors who wish to install the hardware. This way , the doctors will get a better deal
  3. This eHealth can start with 40 metros and finally drive down to smaller towns and finally to every doctors
  4. This will check fake doctors . As only registered / qualified doctors will be given login id / password . The patient can even identify the fake doctors
  5. This will get the government the actual number of doctors working in India in each geography. This will help government map the ‘gap’ areas and post government doctors in those areas or initiate PPP in those select areas on priority
  6. With the doctors details resting on the central database , i can simply SMS to a number and get the details of the nearest doctor to my pin code . Pin code mapping will get government and patient the correct picture of the practitioners in the area
  7. Patient database can be used for patient education and immunization of children in an effective manner . Since patient’s medical and allergy history will be available , the medication errors will minimize to a large extent and the treatment will become more outcome and compliance driven .
  8. Spurious drugs can also be tackled to some extent
  9. Medical history / patient record can be made mobile / universally accessible
  10. This will empower the patient for referral / changing his doctor . The patient might not be required to repeat the same tests if he changes the doctor in a short time  ,  as all the tests might be available online for a similar treatment

My view is doctors are not adopting to EMR – eHealth, as most of the dealings are in cash and there is no record of how many patient the doctor sees per day. With this one uniform system , the government’s tax collection will zoom . Thereby making the entire policy change a zero sum game for the government . The government will make money by selling the software to doctors who come on this system after three years , and also by increased tax collection for recording each patient on the central database .

Worth adopting this !!

Rajendra Pratap Gupta

Email : office@rajendragupta.org

Plenary address at the India Health Summit 2009- Rajendra Pratap Gupta

Plenary address at the India Health Summit 2009, Rajendra Pratap Gupta, President, DMAI & Director, DMAA- The Care Continuum Alliance, USA

Dear Friends,

This is an interesting audience which includes policy makers and those who can influence policy makers. I have a short message for you all. I feel so great about our nation. The developed world has failed in healthcare, and fortunately, in India, we are starting to build our healthcare system. This is the time when we can have the strong fundamentals ingrained in our population health improvement model

According to Kaiser Family Foundation the healthiest 50 % of Americans account for just 3 % of the annual spending; the sickest 15 % represents nearly 75 %. Half of the spending goes to those 55 and over, a third to those over 65 and over. In Europe, the chronic care accounts for 70 % of the healthcare expenses.

Today, we are the youngest nation with an average age of approximately 26.5 years, 30 years from now; we will be the oldest nation. Also, that we will become older before we become wealthier.

At present, we are not able to provide healthcare to more than 65 % of our population, and we are growing in numbers and age both. If we don’t pay attention to preventive healthcare, our health systems will soon become over burdened, under-funded and outdated as well.

This sums up clearly that we need primary preventive care as the starting point for healthcare and secondary preventive care in the continuum of care. We have the best of tertiary care in India but preventive care is missing!!
I believe that the biggest threat to our healthcare system is our generation. Our ‘lifestyle’ will lead to ‘disorders’ that will become the ‘Chronic diseases’ for us, and ‘Genetic disorders’ for our very own next generation. It is a call to action.

I must reach out to you all the come and participate in the three Global campaigns that I am starting at the Disease Management association of India

1. Red Flag campaign – If you have BMI above 23. Work Hard. Did you all ever think that having a BMI at 25 is being at borderline and being predisposed to chronic risks!! Let’s try and get it at 23. A healthier India should be our goal
2. Blue Building Campaign – We have green buildings to conserve energy. What about conserving health and becoming more employee health friendly. let’s have blue buildings, where the employers are proactive about employees health
3. Eat more, Burn more campaign. Have the RDA for each lifestyle. Live happy, live healthy. If you eat more, don’t feel guilty and regret, just you need to work out a little more and burn the extra calories. Isn’t that simple.

Thank you.