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GE Healthcare. Healthcare Innovations - Public Private Partnerships. Parag Varshney National Manager – PPP South Asia 16 th January 2013. India at the Crossroads. World-class 5 star hospitals But…. Several Challenges: Expanding HC access to over 1.2 billion people, Insurance
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GE Healthcare Healthcare Innovations - Public Private Partnerships Parag Varshney National Manager – PPP South Asia 16th January 2013
India at theCrossroads World-class 5 star hospitals But….. • Several Challenges: • Expanding HC access to over • 1.2 billion people, Insurance • covers only about 25% population • HC infrastructure – shortage • of 2M beds, 0.8M doctors & nurses • Affordable, rural healthcare • delivery model needed…80% • medical technology imported • Healthcare Quality assurance, • Regulations at nascent stage
Academic Tier I : Private Tier 2 & 3 Private District Hospital CHC PHC More Than One India…with Unique Needs India # 1 • 85 M Population • 400,000 Doctors • Multinational players 15 Major Cities India # 2 • 200 M Population • 150,000 Doctors • Emerging HealthCare Market Urban & Semi Urban India # 3 • 740 M Population • 50,000 Doctors • Government Focus Rural
PPP builds India’s Infrastructure Why not PPP for Healthcare ?
How can PPP help in Healthcare… • Enhance Efficiency of existing Govt. Hospitals • Rapidly create additional HC Infrastructure • Improving Performance and Quality of Public Healthcare
Healthymagination is a GE business strategy to address global healthcare needs Reduce the cost of health procedures and practices through GE technologies and services Improve quality by simplifying ways of driving best standards of care Increase access to better health for more people through low-cost innovation, education and financing $6 billion commitment to make health sustainable
PPP with Andhra Pradesh Government • 1.5T MRI machines • 16 slice CT machines • Mammography machines • Colour Doppler Ultrasound • Medical College Hospitals: • Kurnool • Kakinada • Tripartite agreement between Government, Wipro GE and Medall (Service Provider). • All sites linked by tele-radiology round the clock service. • Exposure/training to medical students and hospital personnel. • Private partners to construct and/or refurbish hospital building for these radiology equipments and patient facilities. 4 Medical College Hospitals of AP • Warangal • Vishakhapatnam
Radiology services in Andhra Pradesh Equipment Manufacturer Govt ReimbursesPay Per Use Andhra Pradesh Medical College Hospitals CT/ MRI / ULS Equipment Radiology Services Consortium Space Resources/ Expertise Diagnostic / Clinical Service Clinical Service Provider Partner Patients Scan rates CT < Rs 1000 MR < Rs 2000 • Viability Gap Funding of Rs 2.8 Crores • 100% Govt reimbursement • Secured payment mechanism First time in India Excellent example of “True PPP”
Gujarat PPP Project 1.5T MRI & 16 slice CT at 5 teaching Hospitals of the state* Scan rates comparable to Govt rates BPL patients done free upto a defined limit All sites linked by tele-radiology Exposure / Training for medical students Investment & expertise from private sector to complement Govt resources in providing quality care to patients * Only 16 slice CT scanner at Jamnagar
Role of Wipro-GE / Service provider • Provide drawings for construction/modification of sites by Govt. • Carry out interiors, air-conditioning of the sites • Install CT & MRI equipments as per agreed specifications • Complement Government resources by providing radiologists & technicians for running the service • Pay for power connection & usage, and rent to Government. • Provide alternate scanning arrangement in event of breakdown
Role of Govt./ Hospital • Provide constructed space for CT & MR center at the hospital • Provide assistance for procuring power connection • Nominate radiology residents & anesthetists on regular & • night duty at the CT & MR center • Advise hospital doctors to refer patients who need CT/MRI scan • to this center within the hospital • Re-imburse the scan charges for BPL and other free patients • above the 20% free limit • Intimate & collect the rent as per R&B dept guidelines
PPP with M.P. Government First time installation of 1.5T MRI & 16 slice CT In city of Jabalpur at the medical college hospital Tripartite agreement between Govt., WGE & Sanya diagnostics (Service Provider) Rs 8 crores investment BPL patients scanned free (re-imbursement by Govt) 30-50% Lesser cost for patients Training of personnel & medical students Over 20000 patients scanned in last 15 months
Need integrated healthcare solutions Willingness of Governments to solve big Healthcare issues Rising demand for integrated Healthcare solutions Funds available (EU, MCC, Concessional credits…) • Advisory • Project Management • Facility design optimisation • Equipment • Services • Training • Obsolescence protection • Business tools & processes • Organisational development Need for economic efficiency (private & public) Focus on clinical challenges Public – Private Initiatives
Benefits of Partnership Model • For Government • Latest technology • No Capital Investment • Govt charges for quality • services • Efficient, effective services • Assured Uptime • For Technology provider • Appropriate Technology • Installations in Academic/ • General Hospitals • Business opportunity • For Service Provider • Assured patient flow • Scaleable opportunity • Transparent business PPP Framework • For Patients • Accessible within current setup • Affordable @ Govt charges • Better, Latest Technology Win-Win for all stakeholders