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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

GE Healthcare

Healthcare Innovations

- Public Private Partnerships

Parag Varshney

National Manager – PPP

South Asia

16th January 2013

slide2

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
more than one india with unique needs

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

slide5

PPP builds India’s Infrastructure

Why not PPP for

Healthcare ?

slide6

How can PPP help in Healthcare…

  • Enhance Efficiency of existing Govt. Hospitals
  • Rapidly create additional HC Infrastructure
  • Improving Performance and Quality of Public Healthcare
slide7

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

slide9

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
Radiology services in Andhra Pradesh

Equipment

Manufacturer

Govt ReimbursesPay 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”

slide12

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

slide13

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
slide14

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
slide15

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
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
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