Sandeep raj br
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The document proposes a solution to address rural healthcare issues in India by setting up satellite clinics connected to central clinics in urban areas through telemedicine. Nurses in satellite clinics can video conference doctors in central clinics for primary consultations and refer patients to macro clinics as needed. The social impact will be increased access to qualified doctors, diagnostic services, and medicines for rural communities, leading to improved health outcomes, employment, and productivity.
Sandeep raj br
- 1. Rural Empowerment And Community Health
- 2. Social Issue Solution & Social impact Setting up Satellite Clinics (Rural) Setting up Central Clinics( Urban) Patient Visits SC Nurse Video conferences with doctor in CC Primary consultation Link up to Macro clinics, Tertiary hospitals
- 3. Market Segment & Size
- 4. The social issues/ customer pain points, Our solution and value created Non-communicable Accessibility of diseases doctors India-Diabetic capital of the world Lifestyle related illness increasing Qualified & trained doctors unwilling to go to rural areas where the need is more Unqualified Local Nursing services practitioners People have to travel to cities Increasing instance of people for even basic nursing turning to un trusted medical REACH services advice No access to quality Information medicines asymmetry Dependence on local • Rural people unaware of health services that they pharmaceutical products and should avail outdated medicines Diagnostic services No access to certified diagnostic labs for blood tests
- 5. Learning from pilot work done PlanMyHealth.com EMRI 3,80,000 emergencies, 4000 babies Demographic diseases delivered Willingness for telemedicine Possible to leverage technology People ready to Pay for the service Doctors Physical presence not required Training is critical Charities and subsidies do not work for ever
- 6. Competitor analysis and Competitive position Scale Collaborators Technology Economic | Geographic Web & IT | Equipments
- 7. Business model and revenue model Main Revenue sources Medical Consultation Registration charges Pharmacy charges Diagnostic services Home health Accompany patients to hospitals Additional Revenue sources Medical data collection Informatics to government Popularize RSBY Ambulance services using EMRI Advertisement
- 8. Business model and revenue model $ 300/month Advertise Registratio $600/month ment n Doctor REACH Pharma on call $700/month $120/month Diagnosti Misc cs $420 $ 300/month lakh/month Total revenue/Satellite Clinic = $1440/ Month
- 9. Entry strategies Post office network- bureaucratic CSC’s – Entrepreneurship culture Exploring network of defence personal Rollout plan Technology
- 10. Funds required Profits 12000000 Working 8000000 10000000 Capital CC 7000000 8000000 6000000 Infrastructure 6000000 investment CC 5000000 4000000 4000000 Working 3000000 2000000 Capital SC 2000000 0 Infrastructure 1000000 investment SC 0 year 1 year 2 year 3 year 1 year 2 year 3 year 4 year 5 -1000000 Sales 25000000 20000000 NPV = $ 14.27 Million 15000000 IRR=85.24% 10000000 5000000 0 1 2 3 4 5
- 11. Social Impact Assessment INPUTS ACTIVITIES • Nurses • Capacity Building • Doctors • Acquiring talents • Infrastructure (call • Training centers & rented space) • Telemedicine equipment OUTPUTS • A satellite clinic in OUTCOMES every locality • Increases employment • Easy connectivity with • Better connectivity good doctors & • Improved health specialists • Improved productivity • Lab tests conducted • Reduced mortality rate • Pharmacy services • Cleaner Environment • Consultation & referrals
- 12. Social Impact Assessment Segment Issue Performance metric Men & Women Morbidity No. of working days Absenteeism to work Change in per capita GDP Households Increased spending to % of savings used to healthcare expenses due fund medical costs to diagnosis at later stage Burden due to health expenses Savings as % of GDP Society Productivity Productivity loss (1.9% of GDP) Early retirement Dependency ratio Life expectancy Preventable deaths from non communicable deaths
- 13. Social Impact Indicators (IRIS) Dimension Performance metric Outcome Employment Caregivers Employed - Number of nurses Nurses licensed or certified based on local requirements, employed by the organization Training & Assessment Caregivers trained Number of the organization's caregivers that received training Quantity & Reach Health related well visits Number of well visits or screenings, including immunization visits Quantity & Reach Patient referrals Number of patient referrals made by the organisation Quantity & Reach Immunizations Number of immunisation Quantity & Reach Medical Consultation Number of medical consultations done
- 14. Social Impact Indicators (IRIS) Dimension Performance metric Outcome Environment Greenhouse gas Greenhouse gas emissions for product emissions that would replaced have been produced by the product replaced during the lifetime of the organizations product Social & Environmental Benefits Social Purpose benefit flow Earning potential created through nurses ($) Productivity in households Year 1 -217,152 Human health benefits Environmental benefits Year 2 997,056 Year 3 3,101,760 Year 4 3,941,760 Year 5 3,941,760 NPV = 5,542,544
- 15. What does an investor get and exit options 12000000 Working Equity Free Cash flow ($) 10000000 Capital CC 8000000 year 0 -2198000 6000000 Infrastructur year 1 -387600 4000000 e investment year 2 1210800 2000000 CC 0 year 3 6096000 Working year year year Capital SC year 4 7680000 1 2 3 year 5 9660000 5th year EBITDA $ 10.8 Mn multiple 5 Equity $ 54 Mn NPV 14,273,955.86 IRR = 85.24% Required investment $ 29.7 Mn 0.55006370 % share holding 4
- 16. Thank You