Creating a sustainable future
- 1. Creating aSustainable Medical Service
- 2. The Unsustainability of Health SystemsRising costsRising medical cost per employeeRising referralsuneven qualityUneven distribution of man & machineInequitable or mismanaged access Restructuring of Medical services
- 3. Features of SustainabilityQuest for common ground Building an infrastructure for providing basic health benefits within the context of social priorities. A digital backbone ( Digital Hospital)Better use of technology and interoperable electronic networks accelerate integration, standardisation, and knowledge transfer of administrative and clinical information.
- 4. Features of SustainabilityQuality and safety standardization Defined and enforced clinical standards established mechanisms for accountability and enhanced transparency, thereby building consumer trust. Strategic Resource DeploymentAppropriate Resource allocation to control costs while providing sufficient access to care for the most people. (Right resources at right place)
- 5. Features of SustainabilityAdoption of changes Innovation, technology and process changes to continuously improve treatment, efficiency and outcomes. Adaptable roles and structures Flexible care settings and expanded clinical roles provide avenues for care that are centered on the needs of the patient.
- 6. Features of SustainabilityTo be sustainable Innovation, technology and process changes to continuously improve treatment, efficiency and outcomes. Adaptable roles and structures Flexible care settings and expanded clinical roles provide avenues for care that are centered on the needs of the patient.
- 7. HEALTHHealth has been defined by WHO as a state of physical, mental and social well being.Able to lead productive life.
- 8. ROLE OF HOSPITALThe role of hospital is PreventivePromotionalCurative Rehabilitation Training: Health EdResearchNot limited to hospitalPre hospital CareDisaster management
- 9. Essential to SustainabilityHospitals must continue to evolve in response to factorsChanging expectations of clienteleClinical specialties – primacyChanging healthcare needsAffordable Health Care Services.Emerging Technologies
- 10. Patient ExpectationsSafe and Focused CareTechnology Based CareRespect as Human BeingMinimum Hospital StayHospital to be a real Social CentreValue Addition
- 11. Clinical specialties Better clinical skillBetter clinical approach- EBMStandardization- accreditationSOPs where possiblePatient centered careMore specialized hospitals
- 12. Changing healthcare needsChanging pattern of diseases- Epidemiological ChangeControlled Infectious Diseases /emerging infections.More MalignanciesChange in population compositionMore older groupChanging life styleComfortable life styleInformed ClienteleChanging environmentGlobalization- Medical tourismGlobal Warming
- 13. Affordable Health Care Services Rising Cost of healthcare :User charges ×Better Paying Capacity of Clientele Different paying master:Insurance/ Govt./ PSUs- CONTROLCost containmentDay Care ServicesOutsourcingUtilization of common facilitiesCommon diagnostic services both pathological & imagingSpecialized Referral HospitalsCost consciousness is important even in Public Sectors
- 14. Technology advancementTechnology based hospitalRevolution of 80sDual Energy CTPET: imaging of physiologyFusion ImagingMinimal Access SurgeryIVFRobotic surgeryBeginning or End
- 15. Technology AdvancementPharmaceuticals will replace some procedures and will decrease the need for admission to hospital, and newer vaccines will treat as well as prevent diseaseMinimally invasive surgery will reduce hospital stay and promote outpatient operationsSensors will change central laboratories and intensive care units of todayDigitized images will be accessible to all cliniciansXenotransplantation from transgenic pigs is ever more likelyEconomics and superior outcomes will favour specialty hospitals
- 16. Looking aheadPatient centered hospital with value additionGreen hospital with self communicating skillOrgan / System specific hospitalMore of genetic based investigationsCostly but dedicated hospitalsTechnology oriented hospitals
- 17. Hospital of the FutureMore planned and standardized acute servicesNo indoor place for chronic patients More of preventive health clinicsHealth counselingPromotional clinicThe bed requirement is likely to go down but it will need more operating theatres and intensive therapy units.Flexibility in functioning of hospitals will be the main feature.
- 18. To be sustainableWe must provide the right type of services on right time at right place at minimum cost up to the satisfaction of the patient.
- 19. THANK YOU