Healthcare Innovations Path, Journey Goals

1. Dr. Shakti Kumar Gupta Head-Dept. of Hospital Administration & Medical Superintendent, Dr. R.P.Centre for Ophthalmic Sciences, All India Institute of Medical Sciences New Delhi, INDIA. Healthcare Innovations Path, Journey & Goals

2. Role of Healthcare Administrators Synergizing health sector environment Bringing diverse expertise and skills to common goals Optimizing healthcare delivery Serve as facilitators to clinicians and path providers for scientific innovations and industry Advance the matrix of healthcare delivery system.

3. The Integration Function

4. Essential Health Service Criteria Efficacy Effectiveness Accessibility Affordability Acceptability Economic merit of innovation ( in terms of DALY/QALY) These principles would indicate the potential of a healthcare product, service or innovation for the community keeping in view the ethical, social and cultural impact of such medical innovations.

5. Managing Thrust Areas

6. Medical Technology Need based Technology Training of healthcare personnel Autonomous regulatory body Post market surveillance for adverse effects Prompt reporting of adverse effects Developing a culture of Research and Innovation

7. Management of Innovation Strategy Options : Flexibility and multiple approaches required (economic incentives for some, professional satisfaction for others) During design phase there should be divergent thinking, creativity, brainstorming, administrative flexibility and effective communication. During implementation phase there should be effective planning, coordination, control, evaluation, participative decision making and appropriate incentives.

8. Management of Technology Strategy Options : Optimization of health care, to which equipment, appliances and technology makes a significant contribution, must be subjected to a critical qualitative appraisal using scientific methods.

9. Challenges in Technology application Need driven not market driven Manage growth with distribution Balance equity with efficiency That as parts of the Indian health care sector enter the worldwide elite, the masses should not be left behind. Appropriate utilization of the spread of new medical devices & technology in India and monitoring the main factors underlying this approch Sufficient Regulations like Medical Devices Act.

10. Some areas to be explored Microelectronics Intelligent telemetry High-resolution diagnostic imaging Bionics Telemedicine Internet Mobile computing IT outsourcing Speech recognition Data analysis tools Healthcare data standards

11. Stakeholders alignment

12. Emerging Issues

13. Issues demanding attention Health Insurance- A Path Public Private Partnership model- A Journey Regulations : Clinical Establishment Bill, Patent Bill, Clinical Trails- A Guide

14. Healthcare Financing � Novel Concepts

15. Our Approach to the Goal Stakeholders alignment Synergy of Innovation, Application and Community reach Managing changing trends of disease burden Managing HR needs & response to changing HR environment Management of hi-tech equipment Incorporating Ethics in day to day operations Redefining Hospital Planning & Architecture Capacity Building & Skill bridging

16. Managing Human Expertise Participative decision making Monetary compensation Non-monetary packages- paid family holidays, financed conferences, Skill up gradation initiatives, Stress Management Human Resources Development Preventing Brain Drain - performance based remuneration - incentive driven work culture

17. Quality & Consistency Achieving TQM, CQI Working for Accreditation/certifications Options � NABH, NABL, ISO, JCI, JACHO Quality is not a number rather a function of positive perceptions Quality is not a buzzword but an essential management tool for healthcare organizations to serve and thrive.