How Technology can reduce the cost of critical care in India

/, Healthcare Technology/How Technology can reduce the cost of critical care in India

How Technology can reduce the cost of critical care in India

One of the biggest costs when it comes to healthcare in India is critical care. This is the care delivered to patients in the ICU (Intensive Care Unit). Often after a critical episode like a heart attack the patients need to be monitored for some time and thus are based in an ICU.

The daily cost for a patient to use the ICU can be anywhere between Rs 5,000- Rs 10,000 in a tier one city in India. As most tier 2 and tier 3 towns don’t have ICUs patients from these areas have to be shifted to the tier 1 cities for treatment for critical ailments and hence the high cost. Also the lack of qualified health personnel in smaller towns hinders the care delivery process there.

Add to this others costs like manpower, medicines, Infrastructure and taxes, a stay at the ICU for a patient ends up eating into the savings of an entire family and is one of the biggest reasons for rural indebtedness, The image below gives an indication of the costs for treatment in most urban hospitals.

health-large_0610110824331

On a recent visit to the Philips Innovation Center I came across an interesting system can help reduce the cost for the critical care of patients. The application aptly named ‘Consultative Critical Care’ is a application which can be used to monitor patients admitted in ICUs from Tier 2 and Tier 3 cities. The biggest requirement for an ICU is an Intensivist or a physician that specializes in monitoring patients in the ICU. India today has roughly 500 physicians who are qualified intensivits and most of them are based at urban hospitals. But using this application an Intensivist in Bangalore can monitor a patient in Hubli.

Now how does the system work? Firstly it consists of a set of monitors and cameras that relay the patients vital signs and physical condition from the ICU to a monitoring station in the city. So at any given point of time the Intensivist sitting in say Bangalore can see the patient in Hubli and can also monitor his key signs. At any point the intensivist can send instructions to the on duty physicians in the ICU to give the medication or to intervene as the patients conditions require.

On the technical side the application has to be hosted on a data center and the connectivity to the monitoring station is possible through ASDL or 3 G. The records can be shared between both hospitals through the System as long as the hospital systems are HL 7 compliant.

This will require some integration services and is a mouth water prospect for many Indian IT service providers especially given the scope for data center hosting, network monitoring and application support.

The ‘Consultative Critical Care ‘ System has been a process of reverse innovation from Philips Healthcare who have brought in this system from the US centers and reverse engineered it to suit the Indian conditions. Philips Healthcare did not comment on the pricing, but said this is being offered as both Capex and Opex Model.

According to MR Srinivas Prasad the Head of Philips Healthcare in India, this application could reduce the costĀ of ICU monitoring by as much as 40 %. Philips Healthcare did share some images of the system and a typical monitoring station could look like the one below.

Untitled1-580x300

But I want to know your opinion on this system. Do you think such an application would work in India? Will the current infrastructure in the country allow such a system to be effective?

Please do write in and leave your comments.

About the Author:

6 Comments

  1. Sumeet Kad April 21, 2013 at 6:13 pm - Reply

    A very innovation by Philips healthcare. It surely seems to reduce the cost of healthcare in cost-centric country such as India. It could be a boon for people residing in rural areas where there is limited access to quality healthcare leave alone critical care. But is the technology evolved enough to take this innovation to far off places. And you still need experts in those places to compliment such devices/applications. I firmly believe that such systems coupled with skilled experts can take healthcare scenario in India to a different level. Moreover the pricing strategy of this system is going to be very critical as well.

  2. admin April 22, 2013 at 2:22 pm - Reply

    I agree Sumeet we need products specific to the conditions in India and the right personnel to make this model a success.

  3. Archana April 23, 2013 at 6:19 am - Reply

    I am skeptical of the reach of such a system. In the past Telemedicine was touted as a very important milestone for the medical fraternity. But its adoption has been limited to few areas in India, thanks to lack of adequate telecom infrastructure.

    Why would hospitals want a system that reduces costs for patients? After all rural (or otherwise) debt is what fuels their growth.

    Most hospitals today do not offer treatment options to patients. Every treatment comes with a pre-planned package that cannot be customised in keeping with what the patient wants/can afford. Most packages dont have huge cost variations. I wonder if any hospital will recommend this system as an option to its patients.

    • Dr vikram April 25, 2013 at 1:08 pm - Reply

      Hi Archana

      Thats an interesting take and I have asked the spokesperson from Philips Healthcare to respond to you.

  4. AMit May 10, 2013 at 1:01 pm - Reply

    Yes, such innovations are interesting. Adn definitely help reduce the cost oc care. Similarly, other innovative platforms are helping make healthcare accessible and affordable – like healthkartplus.com, medeel.com, mylabyogi.com etc. check out these aggregatrors and you will agree what i am trying to say

    • admin May 13, 2013 at 4:31 pm - Reply

      I Agree Amit, there are many web based technologies that are trying to reduce the cost of care. I also reviewed a similar company called Diasof which was doing remarkable work in the field of Diabetes.

Leave A Comment

This site uses Akismet to reduce spam. Learn how your comment data is processed.