World class health care in India /at ultra low cost/

world-class Health Care [at ultralow cost] United States 3 million doctors 4.4 million nurses 4x more than in India India 750 000 doctors 1.1 million nurses China 1.6 million doctors 2.3 million nurses 2x more than in India India 42 in 1000 infants die 8x more than in United States 3x more than in China China 15.2 in 1000 infants die United States 5.2 in 1000 infants die [facts about India] India's 63 million nominal diabetics and 70% patients typically have to per capita income 2.5 million is 1500$ cancer sufferers haven't been diagnosed of India 12 million blind people could be cured pay 60% of health expenses from their pockets by a siple surgery if it were available to them Necessity spawns innovation There are more than 40 hospitals with innovative strategies in India. Indian hospitals' ultralow costs Breast cancer Renal disease Cancer treatment Kidney dialysís $12,000 - SURVIVAL RATES - SURVIVAL RATES - 86.9% 50% $2,290 HCG ONCOLOGY, INDIA HCG ONCOLOGY, INDIA 89.2% 41% HCG ONCOLOGY, INDIA DECCAN HOSPITAL, INDIA U.S. AVERAGE U.S. AVERAGE $22,000 $66,750 U.S. AVERAGE U.S. AVERAGE Indian hospitals" high quality How does it work? the differential in the cost of labor - Indian doctors earn anywhere from 20-74% of what their American counterparts do A Hub-and-Spoke Configuration creates large volume Spoke facilities arrayed arround hubs, to reach patients in far-flung locations focus on: routine treatment diagnosis follow-up care Urban Hubs provide: cheaper medicines, supplies, medical equipment channeling patients to hubs efficiently used facilities, doctors, equipment .. .. %3D telemedicine .. ... ... sheer variety of cases attracts doctors seeking to improve their skills rapidly remote delivery of health care super-specialists complex tests | surgeries | sophisticated procedures high-end equipment savings for patients on lost wages, transportation expenses, room and board the caliber recruits, in turn, contributes to high quality of outcomes a U.S. hospital might use PET-CT scanner to evaluate 3-5 patients a day indian HCG hospital conducts up to 20 scańs a day surgeons from NH Hospital in India performs Aravind doctors each perform 1000-1400 several indian exemplars run their MRI machines 24/7, often charging 400-600 surgeries a year compared with 200-300 by U.S. surgeons eye surgeries a year compared with average of 400 by doctors in ÚS. lower prices at night as incentive to inconvenient scan times creating specialists in rare subspecialties of medicine As volumes increase, relatively rare conditions are treated often enough that doctors become world-class experts promoting innovation that suits local conditions Indian doctors pioneered the beating-heart method of surgery V fewer complications v procedure without expensive heart-lung machine To increase surgeons' productivity, two surgical stations are set side by side, for cataract surgery, with surgeon positioned between them, assisted by swiveling microscope and two pairs of paramedics. surgeons from Aravind Hospital in India perform cataract 5-6 surgeries hourly compared with 1-2 by U.S. surgeons reduced costs personalized care Task shifting NH hospital in India has developed 4 hour audio-video curriculum explaining how to care for patients during the three days following heart surgery. Family members provide non-ICU postoperative care. reduced postsurgical complications continuity of care at home Some hospitals routinely reuse medical devices sold as single-use products such as $160 steel clamps employed during beating-heart surgeries. Clamps are sterilised and reused 50 to 80 times. More ways to save hospitals carefully match the sophistication of equipment 'to the task doctors are informed about cost of treating patients on daily basis PAY pay-per-Use arrangements PER available thanks to huge volume of patients USE The practice induces doctors to be prudent, by seeing how their decisions about medicines, supplies, or tests to use affect the costs. motivation ideas for cost savings, process improvements Having comparative performance data from many innovative hospitals, encourages doctors to share best practises. In contrast, most U.S. hospitals lack an understanding of their cost. ??