Healthcare

Sector Profile
Department of Health & Family Welfare Government Of Gujarat, Gandhinagar

INDEX
1 2 3 4 5 6 7 Gujarat Snapshot Healthcare: A Snapshot Drivers Of Healthcare Key Players Industry Analysis Upcoming Trends Government Initiatives

8
9

Support Infrastructure
Investment Opportunities

Gujarat Snapshot

Gujarat: Growth Engine of India

Population Geographical Area Literacy Rate GSDP (at current price) Revenue Surplus Exports Urbanization rate Per Capita Power Consumption Cellular Connection Cellular Subscriber Motor Vehicles Irrigated area as % of GCA* Villages Electrified Sex Ratio at birth (CRS 06) Inflation rate (WPI) 50 million (5% of India) 196,000 sq. km (6.19% of India) 69.14 % (National Literacy Rate: 61%) USD 52.8 billion INR 1802.85 Crore (2006-07 RE*) 14.3% of India 38% (vis--vis Indias 28%) 1,354 units (National Average: 665) 41 per 1000 persons (National Average: 26) 10.3 million 118 per 1000 persons (National Average: 57) 32.15% 100% 870 Females : 1000 Males 9.3 %
Source: CMIE, Monthly Review of Gujarat Economy, October 2007, Social Economic Review 2006-07

Composition of GSDP as per Economic Activity

20.2% 41.5% 41.5%

20.2%

38.3%

38.3%

Primary Sector Secondary Sector Tertiary Sector

*GCA Gross Cropped Area, *RE Revised Estimate

Gujarat: Growth Engine of India

Gujarat accounts for 15.14% (USD 114.52 bn) of the total
investments (IEM+LOI+DLI) in India; highest amongst all States
Worlds largest producer of Psylium husk, Fennel seed Worlds largest hub for diamond processing Worlds 2nd largest producer of gold jewellery

It contributes 16% of total national industrial production and accounts for 25% of Indias cargo The State has 83 product clusters with 202 functional industrial estates and 51 Special Economic Zones (SEZs) The proposed Delhi Mumbai Industrial Corridor is expected to cover 38% of length in Gujarat, which will accelerate the economic growth in the State The development of several specialised industrial regions, such as the Petroleum, Chemicals and Petrochemicals
7%

and Castor Worlds largest grass root petroleum refinery Worlds 3rd largest steel hub at Kutch Asias largest producer of denim and wall clocks

Sectoral Break-up of Industrial Production in Gujarat

6% 2% 6% Petroleum Engineering 9% Food Processing Textiles & Apparels Metalurgical industries 9% 34% Mineral based industries Others 27% Chemicals & Pharma

Industrial Region (PCPIR) act as major growth driver for

industrial development
Source: Socio-Economic Review, Gujarat State 2006-07; Secretariat for Industrial Assistance Statistics October 2007, Department of Industrial Policy & Promotion (Government of India)

Indian Healthcare Sector: A Snapshot

The Indian Healthcare Sector

Table 1: Snapshot of the Healthcare Market (2006) (USD)

The Indian Healthcare market has grown from USD 22.8 billion in 2005 at a CAGR of 16% to USD 34.2 billion in 2006 The Indian Healthcare sector has emerged as one of the largest service sectors in India and is projected to grow to nearly USD 40 billion by 2012 The private sector accounts for over 80% of total healthcare expenditure in India Growth drivers of the Sector

Country
India Brazil China Germany USA

Market Size
34.2 billion 19.1 billion 137.0 billion 250.0 billion 2,100.0 billion

Public Healthcare Infrastructure

Primary Health Centres 23,000 2,935 4,400 1,200

Indias booming population, increasing at an annual rate of 2%, complimented by the thriving economic growth Increasing urbanization and expanding middle class with more disposable income and the ability to buy costlier western medicines Revenue attributable to insurance or Third party Administrators (TPAs) has grown from 2% in 2001 02 to 16 % in 2005-2006 Rise in infectious and chronic degenerative diseases and lifestyle related diseases

Community Health Centres District Hospitals State Owned Hospitals

Health Insurance Revenue (as a % of total healthcare revenue) 16%

2% 2001-02 Year 2005-06

Source: IBEF Healthcare Report 2007

Gujarat Healthcare Sector: A Snapshot

Gujarat Healthcare Sector Growth Perspective

Fig. 1 - Gujarat Healthcare Infrastructure

Gujarat offers holistic medicinal services and cost effective treatment

4% 17%

through various District hospitals, Sub district hospitals and Private Specialty Hospitals Most sought after Super Specialties in the State include Cardiology, Neuro Surgery, Orthopedics, Infertility treatment, joint replacement and eye surgeries Share of Primary care in the total healthcare market of Gujarat is around 75-80 %. Secondary and tertiary care account for 17% and 4% respectively of the total healthcare market Market for tertiary care expected to grow at a faster rate, due to rise in income levels, increasing adoption of health insurance and rise in complex in-patient ailments( heart diseases, kidney ailments, cancer)
Source: Office of Commissioner Of Health : Government of Gujarat

79%
Primary Care Secondary Care Tertiary Care

Fig. 2 - Hospitals in Gujarat 25 25

20

District Hospital

Sub District Hospital

Private Specialty Hospital

Healthcare Dynamics
Gujarat - Healthcare Snapshot

Infrastructure

Indian Healthcare Pie Healthcare Pie of India

14% 35% 5%

75% primary care in total healthcare market 25 district and 25 sub district hospitals

Medical Equipment
Welltronix, A.B.C. Sons, GE healthcare

Pharmaceuticals
Zydus Cadilla, Claris, Aventis, Cadilla

Health Insurance
Govt. Schemes Private Players Bajaj Alliance Healhcare ,Tata AIG General Insurance Company, Vyasa life Insurance Company, National Insurance Company Ltd.

Health Outsourcing
Claims processing, Medical Billing, Medical transcription and Medical Coding Players - BVS Trans technology, Healthcare Informatics Pvt. Ltd

18% 3% 1% Infrastructure Health Outsourcing 3% 1% 11% 2% Pharmaceuticals Research Laboratories Health Insurance Clinical Trials

Medical Value Travel

Treatment at cost-effective rates, state-of-art medical facilities

Clinical Research
Major hospitals are into clinical research on stem Cell therapy infertility, foetal medicine, Cardial Drugs and others

Medical Equipment Medical Value Travel

Education
M.B.B.S., Dental, Ayurvedic, Physiotherapy, Homeopathic colleges present across the State

Training And Education Revenues

Source: IBEF Report 2007, Industry Analysis

Available Infrastructure & Resources

Capacity Building
Nursing Services Efficient Manpower Hospital Management Public Health Bio- Medical Engineering Physiotherapists X Ray technicians

Clinical State Of Art Hospitals Blood Banks Diagnostics- MRIs, CT Scans etc

Holistic Wellbeing Yoga Siddha Meditation

Potential for Investments

Source: Industry Analysis

Support Services Hotels Boarding & Lodging Facilities Catering

Facilitating Good Health

No. of Registered Doctors (2006): 39,734
41000 40000 39000 38000 37000 36000 35000 34000 33000 32000 2002 2003 2004 2005 2006
14500 2002 2003 2004 2005 2006

No. of Registered Nurses (2006): 16,816

17000 16500 16000 15801 15478 15500 15000 16299 16816

39461 38013 36831 35086

39734

16755

Medical Colleges - 13

Health Pyramid of Gujarat

Infant Mortality Rate (per 000) -50 Mobile Health Care Units - 85 Maternal Mortility Rate (per 00000) 172 Community Health Centres - 273 Primary Health centres - 1072 Primary Sub centres - 7274

Manpower and Education

Manpower Statistics Number of Doctors - 39,734 Number of Nurses - 16,816 Medical Colleges MBBS 13 (6 Govt. & 7 Private) Homeopathic 13 Ayurvedic 9 Dental 12 ( 5 Govt. & 7 Private) Physiotherapy 17 Pharmacy - 50 Key Education Centres Institute of Kidney Disease and Research Centre (IKDRC) Gujarat Cancer Research Institute ( GCRI) U.N. Mehta Cardiology Research Institute B.J. Medical College Ahmedabad Gujarat Ayurvedic University , Jamnagar Pramukh Swami Medical College , Karamsad Anand Nathiba Hargovindas Lalbhai Medical College, Ahmedabad Surat Municipal Institute of Medical Education & Research Medical Infrastructure in Gujarat (Map)

R & D Organisation
Medical Colleges MBBS & Dental Hospitals

Source : Department of Health, Government of Gujarat

Value Chain Analysis

Fiscal Intermediaries

Producers

Purchasers

Insurers Pharmacy Benefit managers

Payers

Wholesalers Drug Manufacturers Device Manufacturers Mail- order Distributors Group Purchasing Surgical Manufacturers Organizations

Providers

Government Employers Individuals

Hospitals Physicians Pharmacies

Employer Coalition

Gujarat: Healthcare Value Chain

Bajaj Allianz Health Insurance Company Limited TATA AIG General Insurance Company Vysya life Insurance Company National Insurance Company

Hospitals
Apollo Hospital Wockhardt Hospital Sterling Addlife India Ltd SAL Hospital Rajasthan Hospital Medisurge Hospital

Pharmaceutical Companies Zydus Cadila Healthcare Ltd. Claris Life sciences Ltd. Cadila Pharmaceuticals Ltd. Intas Pharmaceutical Ltd.

Torrent Pharmaceuticals

Ltd.
Dishman Pharmaceuticals Abott Laboratories Wyeth Jubilant Organosys

Ltd.

Sun Pharma

Drivers Of Healthcare Sector

Holistic Wellbeing
The Concept
Hospitals and wellness centres now looking at a comprehensive and holistic approach towards treating their patients Naturopathy or nature cure is fully developed and scientific system which utilizes the scientifically designed dietary principle in combination with Yog and physiotherapy for physical and mental health

Services Offered in Wellness

centres in Gujarat
Diet and Nutrition Gym and Fitness Yoga Herbal Medicine Healing touch therapy Stress Management including Relaxation, and Meditation Reiki Acupuncture Acupressure Pranic and Crystal Healing Magnetotherapy Aroma Therapy

Wellness Centres- As Centres of Holistic Well Being in Gujarat Kalpa Sidhi Health, Ahmedabad Life Care, Ahmedabad Mind Body Zone, Vadodara Reiki, Grandmaster, Vadodara Gujarat Ayurvedic University, Jamnagar Kudrati Upchar Kendra, Amreli
Source: Industry Analysis

Quality Assurance
Quality Assurance Group (QAG) Each district has a QAG with a clear mandate for steering QA programme interventions

Quality Improvement Programme (QIP)

National Accreditation Board for Hospitals and Health Care Providers (NABH) National Accreditation Board for Testing and Caliberation Laboratories (NABL)

8 Civil Hospitals 1 Teaching Hospital 6 laboratories of All Govt. teaching hospitals

Investment Information and Credit Rating Agency of India (ICRA) Limited has graded six

hospitals under the grading agencys pioneering services of Grading Healthcare

Institutions in India. Three medical college hospitals Civil Hospital Ahmedabad , Vadodara, Surat and three district hospital Civil Hospital Mehsana, Gandhinagar and Junagadh
Source: Department of Health, Government Of Gujarat

Moving Up The Value Chain

The healthcare sector in Gujarat has moved up the value chain by imbibing the global best practices to deliver seamless patient care of highest quality
Tertiary care Facilities Medicity

Wockhardt have made significant investments in setting up state-of-theart hospitals in major cities of Gujarat Greater emphasis on Education, Research & Development

APOLLO Tyres-promoted Artemis Health Science is finalising plans to set up a INR 500-crore medical education hub on the Baroda-Ahmedabad highway in Gujarat The medicity envisions a research centre, a medical college, nursing college, pharma college, medical administration college and a hospital which will have over 500 beds The company is planning to acquire around 95 acres for the project on the Baroda-Ahmedabad highway.
Source: Industry Analysis

Super Specialty centres

Community Centres

Primary Health Centres

Quality & Diversity of Services

Major corporate hospital groups such as Sterling, Apollo, Fortis,

Health Insurance
Health insurance policy not only covers expenses incurred during hospitalisation but also during the pre as well as post hospitalisation stages like money spent for conducting medical tests and buying medicines.

Integrated Insurance Scheme, Gujarat

This Community Based Health Insurance Scheme is run by the Non Government Organisation (NGO) Self-Employed Women Association (SEWA), based in Ahmedabad, Gujarat
One of its primary activities is providing financial services for women and this was widened in 1992 to include health insurance as part of a wider insurance package including life, accident and asset insurance The scheme covers (i) Inpatient care (ii) Hospitalisation cover, plus one-time payment for denture and hearing aid. Members can use any kind of hospital, public private or trust. (iii) Delivery benefits for fixed deposits members. There is a cap on reimbursement of INR 2,000 per year. At the time of discharge, the member must pay for the bill and apply for reimbursement from the scheme The scheme is managed by SEWA which purchases medical insurance from a Government Insurance Company subsidiary National Insurance Company (NIC) and ICICI Lombard

Source: Department of Health, Government Of Gujarat

Health Insurance
Employees State Insurance Scheme, Gujarat Each person after joining insurable employment , after completing certain formality , is issued an identity card which has all essential particulars i.e. name , insurance no. of the IP , dispensary and local office to which he is attached and names of his/her family members. This card is a very important document and has to be produced while obtaining medical benefits. Beneficiaries can claim treatment at the dispensary/clinic of the IMP to which he/she is allotted on the production of the card Total Number of beneficiaries 5,14,000

Private Players in Gujarat

Bajaj Allianz Health Insurance Company Limited TATA AIG General Insurance Company Vysya life Insurance Company National Insurance Company Ltd.

Source: Department of Health, Government Of Gujarat

Impelling Technology
Gujarat boasts of modern medical technology and well equipped Healthcare facilities Anand (a district in Gujarat ) is renowned globally as a pioneer in offering paid surrogacy through the in-vitro fertilisation technique The procedure costs around INR 20 lakh in US whereas it can be accomplished for INR 2.5 lakh Worlds 1st trans-Radial lounge for Angioplasty Angiography (Sterling Hospital) Current Trends in Medical Technology In Gujarat Micro-processor based implantables in patients CPU-driven technology supported by artificial intelligence Robotics Research Instrumentation surgical practices Biotechnology, Genomics, Molecular Biology and Stem cell research. Intra - arterial Thromolytic Therapy for Acute Stroke The State Boasts of Laser Vision Correction (LASIK) Excimer laser Five on five innovations for cardiac and diabetic patients to be monitored with sensors installed in homes or devices such as mobiles Helping Hand Pill dispenser Virtual Doctor Checkups at home Computer Navigated Surface Replacement Surgery of the Hip and Knee-Joint
Source: Industry Analysis

in

OTs, in

Path-labs medical

and

Digital Pen E Electronic Medical Records

Key Players

Players in Gujarat
Hospital Merits Tertiary Care Hospital Treats about 6 to 6.5 lakh Outdoor patients, Admits 70,000 patients annually I Performs about 26,000, surgeries and 6500 deliveries per year Key Features State of Art Facilities For Cancer treatment and research at GCRI Kidney and urology related ailments at the IKDRC Cardiac diseases at the UN Mehta Cardiac Institute Has been rated Ahmedabads Best Hospital 2007 by IMRB and The Week Magazine First Private Bone Marrow Unit set up in Gujarat Pathology Department ranked 3rd in India & 10th in the World Over 150 Successful Cadaver & Living Related Renal Transplants

CIVIL HOSPITAL

Multispecialty (Ahmedabad) Networth of over INR 1 billion 300 beds State of the art infrastructure to provide high quality services across a range of specialties Around 60-70 medico tourists visit the hospital for treatment

Largest corporate hospital in Gujarat Has a number of specialized clinics and centers of excellence 400-bed Handles around 10,000 patients every year Success rate of 98%

Meal on metal Knee Replacement surgeries Renal Transplant for both live donor and cadaver Stem Cell Transplant Largest and most sophisticated Dialysis Unit with an in-house Reverse Osmosis plant

sis

Players in Gujarat
Hospital

Merits
A charitable Trust 230 beds Quality System Is Certified as fulfilling the ISO 9001-2000 standards Provides medical relief by way of medical research, medical treatment and medical education
Largest private care Womens hospital in Western India 50 Bedded Hospital Tertiary Care Super Specialty Hospital

Features
Multi Purpose Laser Centre Orthopedic Hospital Handicapped Centre Research Unit

In vitro Fertilisation Endoscopy (Laproscopy) Karl Storz in Germany is the key supplier of the medical equipments Mayflower Childrens Hospital Neonatal Intensive Care Unit (NICU)

N.M. Virani Wockhardt Hospital - World-class super specialty hospital (Rajkot) 200 beds Rich medical expertise from Wockhardts association with Harvard Medical International (HMI), the international arm of Harvard Medical School, USA

Dedicated Cardiothoracic and Orthopedic/ replacement Operation Theatres True flat panel Cardiac Catheterization Lab Dedicated super specialty hospital to offer comprehensive end-to-end care in cardiology, cardiac surgery, Neurology, Neurosurgery, Orthopedics, Joint replacement & Minimal access Surgery Non Invasive Cardiology Balloon Valvuloplasties Pacemaker Implantations Coronary/ Radial Angioplasties

Superspecialty Cardiac Centre ISO 9001:2000 Certified Heart Institute More than 4500 Cardiac Angioplasties

Industry Analysis

Key Facts
Expansion Projects
Investment Plans
Surat 150 beds hospital INR 700 Cr

Number of Hospital Beds Doctor to patient Ratio

31,369 (govt.) 1:10

Hospital
Sterling Addlife India Ltd

Nurse to Patient ratio

1:5

Rajkot- 125 beds hospital by 2008

Mundra SEZ 100 beds - by 2008

Ahmedabad Muklti Specialty- 100 Cr

Medisurge Hospital

Surat- Oncology 20 Cr Rajkot- Oncology- 20 Cr Bhavnagar- Oncology- 20 Cr Medicity Hansol Ahmedabad

Foreign Collaborations
Krishna Heart Institute

New York

Interfaith Medical Centre

Rajasthan Hospital Pulse Womens Hospital Pvt. Ltd

Transplantation Hospital- Ahmedabad Naturopathy Hospital b Ahmedabad Palanpur 1 Cr Surat 25 Cr

Sterling Addlife India Ltd.

Private Equity Investor

Actis Equity Firm

Pulse Womens Hospital Pvt. Ltd

Ghana Ghana

Jubail Specialist Hospital

Mayflower Womens Hospital Pvt. Ltd

Germany

Karl Storz,

Apollo Hospital

Bakersfield CA

Comprehensive Blood and Cancer center (CBCC),

Source: Industry Analysis

Location Analysis
Corporate Hospitals in Gujarat *

Medisurge Hospital SAL Hospital

Atharva Multispecialty Ayurveda Hospital

Source: Industry Analysis

* Indicative List

Upcoming Healthcare Facilities

Palanpur Ahmedabad Gandhinagar Cluster Multi Specialty Hospitals, Medicity

Mundra

Rajkot Bhavnagar Cluster Multi specialty Hospitals

Valsad Surat and Vadodara Cluster Super specialty Hospitals ( Onco, Nephro), Medicity

Industry Analysis

Upcoming Trends

Medical Tourism
Gujarats medical expertise and the strength of its facilities are better than those of some of the South East Asian Nations and

Gujarat hospitals are trying to do a lot more hard selling abroad. They are seeking to achieve this by measures such as
Creating centre of excellence in respective fields, Developing a Network, Customised packages available and Quality stamp through accreditation from global certification agencies such as JCI

Holistic medicinal services

Experienced & qualified specialists

No waiting list Language is another plus point English widely spoken

Cost Benefits
Medical Tourism : Key Drivers In Gujarat Advantage Gujarat State-of-art multispecialty hospitals Corporate hospitals receives about 60-70 international patients during October to January each year

6 million Gujaratis spread across the world constituting 32% of Indians abroad

Highest number of airports in India Excellent rail-road connectivity Gujarat contributes to 25-31 % of Medical Tourism

Source: Industry Analysis, Gujarat Infrastructure Development Board (GIDB),

Medical Tourism
Gujarat is poised to be a leader in the medical tourism development of India This state, offers tremendous potential to develop medical tourism particularly in its major cities like Ahmedabad, Baroda, Surat and Rajkot Gujarat has world class medical facilities in its various hospitals, which have set new standards of health care in all disciplines of Modern Medicine Health care is available at very competitive charges so Gujarat has become a lucrative destination for people wanting to undergo the best treatment at cost-effective rates There are excellent multi-specialty hospitals with ultramodern Root Canal $ 100 $ 20 Joint Replacement Operation Open Heart Procedure $ 50,000 $ 10,000

Specialty

Cost in US

Cost in Gujarat

$ 39,000

$ 4000

infrastructure which offer attractive options for foreigners and NRI There are facilities for Indian system of medicine coupled with resorts and premium hotels , which offer various facilities aimed at rejuvenating both the domestic and international tourist
Source: Department of Health : Government of Gujarat

Public Private Partnerships (PPP)

Benefits of PPP
Cost Effectiveness, Higher Productivity Accelerated Delievery, Clear Customer Focus Enhanced Social Service, Recovery of user charges
Shamlaji Hospital located in tribal area of Sabarkantha district of Gujarat is managed by All India Movement for Seva 5 CHCs (Malav, Shamlaji, Rajsitapur, Mota Phospholiya, Golagandi) and PHC (Chansad) being run by Community Organisations 108 grant in aid Hospitals Centre for Health, Education, Training and Nutrition Awareness (CHETNA) has been actively supporting a total of 14 mother NGOs working effectively to implement Reproductive and Child Program (RCH) PPP for Delievery Services under Chiranjivi Yojna Sarva Swastha Abhiyan (SSA , an NGO dedicated to taking quality healthcare to inaccessible areas) has opened 10 centres in the five predominantly tribal areas of Idar, Prantij, Bardoli, Hansot and Mundra that will be connected through telemedicine to the super speciality hospitals at Ahmedabad, Nadiad, Vadodara and Surat Wockhardt Hospitals Group (WHG), along with the Government of Gujarat will conduct and manage the 275-bed Palanpur Civil General Hospital Hyderabad-based Emergency Medical Research Institute (EMRI) with the Gujarat government will take care of road and fire accident victims on a 24-hour basis through the year by jus dialing 108
Source: Department of Health : Government of Gujarat

based

Medical Equipment Market

Gujarat medical device industry consists of firms that produce a wide range of medical, surgical and dental products used for diagnosis and treatment of ailments The demand for hi-tech devices is growing in Gujarat Has great potential to tap the growing demand for hi-tech devices

Several favourable factors, such as economic growth, free market environment, a developed industry and investment
in health infrastructure, are driving increased demand for high quality medical devices in Gujarat Medical Disposables Surgical Instrument Otoscope, Ear Curettes Physiotherapy Equipment Rehabilitation Equipment Hot Therapy Equipment Cold Therapy Equipment Fitness Equipment Slimming Equipment Short Wave Diathermy Ultrasonic Therapy Lumber Traction Traction Table Interferential Therapy Muscle Stimulator Tens and CPM Ophthalmoscopes

Some of the Suppliers of Medical

Equipments/ Diagnostic Kits in Gujarat * Welltronix Instruments

A.B.C.Sons
Bhupendra Surgicals Excel Enterprise RLS Techno Services GE Healthcare

* Indicative List *
Source: Industry Analysis

Clinical Research
In order to initiate clinicians in the concept of scientific evidence-based medicine and to address burning medical and epidemiological questions, many hospitals in Gujarat are engaged into clinical research

VEEDA CR, India's fastest growing Clinical Research Organisation (CRO), has opened it's new Clinical Pharmacology Unit
(CPU) at Muljibhai Patel Urological Hospital (MPUH), Nadiad, Gujarat

Pulse Womens Hospital PVT. LTD.

Krishna Heart Institute

Apollo

Infertility, Foetal medicine, Embryology

Stem Cell Therapy , Cardial Drugs

Radiation Therapy for Cancer Care

Rajasthan Hospital

Sterling Addlife India Ltd

Atharva Multispeciality Ayurveda Hospital

Plastic & Burns Hematology Otolaryngology Anaesthesiology

Source: Industry Analysis

Nephrology, Oncology, Respiratory System, Cardiology

Nephrology, Oncology, Respiratory System, Cardiology

Healthcare Outsourcing
Outsourcing in the healthcare sector has come a long way from low-end claims processing and medical transcription to medical analytics and clinical processing Healthcare BPO is still not very large in Gujarat, but it has immense potential and is growing at fast pace
Claims Processing

Gujarat is home to Healthcare BPOs like BVS Trans Tech in Vadodara In collaboration with its US partner Pertexa it provides medical coding, billing and transcription services to doctors, lawyers and

insurance professionals based in USA, UK

and around the World

Similarly Healthcare Informatics Pvt. Ltd. (Vadodara)-a captive Healthcare KPO, is one of the biggest providers of Medical

Medical Transcription

Healthcare BPO: Gujarat

Medical Billing

Transcription services in Western India It is the sister concern of Digidms Inc., U.S.A. - A Healthcare information software company

Medical Coding
Source: Industry Analysis

z
Government of Gujarat

Government Initiatives

Health Reforms
Pre Hospital Emergency Medical Services
Golden Hour Concept 40% deaths following injury instantaneous 30 % death within hours preventable if appropriate treatment can be provided within an hour

Special Innovations
Web-based Integrated Disease Surveillance Programme

Improving MIS through Computer applications

State Medical Relief Society Indian System Of Medicine Hyderabad-based Emergency Medical Research Institute (EMRI) with GoG will take care of road and fire accident victims on a 24-hour basis through out the year by just dialing 108

Pilot Project In Ahmedabad

Components Multiple Level Trauma Centers Centralized Ambulance Services Trained Personnel Injury Surveillance/information system Training / Awareness of community

Decentralisation
Financial Decentralization for Medicines and Maintenance 25% of allocated budget transferred to facility No prior approval required up to INR 10,000 Rate contract system to be followed

State Medical Relief Society

4 Crore INR fixed deposited Interest spent on medical expenditure of BPL families Limit of Rs. 15,000/- per Patient 80.54 Lakhs utilized in 03-04

Source: Department of Health : Government of Gujarat

Chiranjeevi Yojna
Chiranjeevi Yojna a local name, meaning long life (of mothers and children) Gujarat health department worked out a scheme of PPP in 2005 to through a series of collaborations with key stakeholders to provide delivery care to the poor in rural areas The scheme was operationalised in 5 backward districts of the State with a total population of 9.7 million Most of the Chiranjeevi users have income levels less than INR 12,000 per annum indicating the scheme is able to target the poor

families across the State

Private specialist enrolled: 855/2000
100.0

Effect of Chiranjeevi on Institutional Delivery

90.8

Outcome of Chiranjeevi Scheme: Mothers & New Born babies saved

Total Deliveries under Chiranjeevi Scheme Expected Maternal Death Maternal Death reported under Chiranjeevi Scheme Mothers saved under Chiranjeevi Scheme Expected New Born Death New Born Death reported under Chiranjeevi Scheme New Born Saved

90.0 80.0 70.0

68.9

78.8

60.0 50.0

62.6 53.3

63.5 57.5

46.0

45.1

165026

642

33

611

6561

554

6007

40.0
36.5

30.0 20.0

% Institutional Delivery at the time of Initiation of Chiranjivi

10.0 0.0 Sabarkantha Banaskantha Panchmahals Dahod Kutchh

% Institutional Delivery - Current Status

International Accolades
Shortlisted by the Kennedy school of Governance as an important global initiative Asian innovation award WHO consulting for possible word wide replication

Source: Department of Health: Government of Gujarat , February 2008

State Health Action Plans - 2008-2009

The department of Health and Family Welfare, Government of Gujarat aims at minimising regional variations in the areas of Reproductive and Child Health (RCH) including population Stabilization through an integrated, focussed and participatory program The entire State Health and family welfare team is working in a mission mode to achieve goal set in for the State and effectively dealing with the challenges. Convergence of strategies and progress is as described below:

RCH Components Goals Strategies Family Planning Maternal Health Institutional framework and Cost cutting Governance strategies mechanism Core program strategies Child Health Adoloscent Health Vulnerable Community
Reduction In TFR

Reduction in MMR Reduction in IMR Services to each adoloscent

Chiranjeevi Yojna, Mamta Divas ( Village Health and Sanitary Day,Incentives to Health Staff

Capacity building, PPP, Quality Assurance, Gender mainstreaming, Community participation

Ensuring Equitable Healthcare Delievery

Sex Selection Increase in Sex PC & PNDT ACT Ratio

Source: Department of Health: Government of Gujarat

Hospital Management & Information System (HMIS)

HMIS project was conceptualized by the department of Health & Family Welfare, Govt. of Gujarat Objective : To ensure the quality health using Information and Communication Technology (ICT) as the tool to provide standard clinical & diagnostic tools, hospital management tools and integration of management information at the state level to ensure online review & monitoring Aim: Management of vital patient records, analysis of the critical health related data so as to provide an updated planning & policy tool towards provision of quality heath services Assists the doctors and medical staff to improve health services with readily reference patient data, work flow enabled less-paper process and parameterized alarms and triggers during patient treatment cycle

Current status of HMIS project is as follows No. of Users 9000 + No. of Modules Size of Database No. of District Hospitals covered No. of Teaching Hospitals covered No. of LIVE Hospitals No. of registrations (Average Daily) ( Data for 13 LIVE hospitals) Average No. of Transactions No. of Users Trained 26+2 (MIS/EIS)=28 500 - 600 MB at each hospital. 3 GB at central server 24 3 22 (3 Teaching + 19 Non Teaching 750 per hospital. Overall Gujarat 8000 + Approx 1,00,000 per hospital 5000 +

Swasthaya Bima Yojana Gujarat

Insurance scheme for the workers in the unorganized sector Unorganized sector workers belonging to BPL category and their family members a family unit of five, (will be the beneficiary under the scheme Pilot Project for the five district Bharuch, Dahod, Jamnagar, Kutch and Patan this year. Covering around 4.5 Lakhs BPL families of 42 Talukas and over 3500 villages Entire state to be covered in five years Security against unforeseen health expenditure Cashless health facilities up to INR 30,000 (on floater basis for the family), for Medical emergencies

Vibrant Gujarat 2007: MOUs Signed

Name of the Company Project Details Medical College cum Hospital Ayurvedic College Paramedical College Nursing College District Hospital Palanpur Surat Ahmedabad Valsad Location Cost (INR Crore)

Apollo Tyres, Artemis Health Science (AHS)

Baroda

500

Wockhardt Hospitals Anoop kothari, VC Kapoor and Other Public Health Foundation of India United Phosphorus Ltd & Rotary Club of Vapi Bombay Hospitals

Tertiary Care Hospital 150 bedded multispecialty and superspecialty hospital Indian Institute of Public Health 1.Civil Hospital 2. Medical College Under Graduate and Post Graduate Medical institute with MS Hospital Setting up a healthcare hub Clinical Islet & Transplantation for diabetes

2 Crore 90-100 140 Investment by GoG URMET Trust 150

Ahmedabad

Fortis Healthcare Clinical Islet Transplant Group Inc

Ahmedabad Ahmedabad

750 450

Source: Health Department, Government of Gujarat

Budget Allocation-2008
Health

Allocation for Health and Family welfare increased 45.92 % to INR 824.75

INR 25 Crore for getting accreditation For 6 govt. laboratories and 9 hospitals

INR 32 Crore for qualitative Ayurvedic and other alternative medicines

INR 12 Crore for extending Emergency Service 108 in the entire State

Gujarat State Health Infrastructure Development Corporation to be set up for excellence in infrastructural Construction repairs and maintenanance of health institutions

Post graduate level hospital management course in North Gujarat University

Support Infrastructure

Support Infrastructure
Ports
First State to privatize ports
41 ports along 1600 km coastline, including 1 major port at Kandla and 40 minor ports Total cargo handled is 108 MMTPA (25% of India) Cost efficient transportation of natural gas, crude oil and petroleum products from Middle East and Europe Landmark projects such as LNG port terminal at Hazira developed by Shell India Limited, Green field port at Mundra developed by Gujarat Adani Port Limited, LNG terminal at Dahej developed by Petronet LNG Ltd. and Pipapav port developed by Gujarat Pipapav Port Ltd. Modern mechanized cargo handling systems at all ports

Airports

Gujarat is well connected to major cities in the USA, EU, Asia and other Indian metropolitan cities
13 airports under the operational jurisdiction of Airports Authority of India (AAI), at Vadodara, Surat, Jamnagar, Rajkot, Bhavnagar, Porbandar, Bhuj, Pipavav, Mandvi, Mundra, Kandla and Palanpur, including one international airport at Ahmedabad

Rail & Road

71% of the road in the State is surfaced

State-of-the-art road infrastructure such as Indias first National Expressway from Ahmedabad to Baroda. Total road length is 74, 111 Km; Target road length is 1,14,866 Km Total length of railways in Gujarat is 5188 km (8.25% of India)

Support Infrastructure
Power
Electricity Generation Capacity 13,500 MW (2007) and estimated to rise to 25,000 MW (2012) Per capita power consumption is 1,354 units whereas Indias average is 665 units Rich availability of natural gas (34 MMCD) and Lignite (1,072 MMT) 24-hour power supply to 98% of the villages

Gas

Total length of the existing GSPL pipeline is 14,53,163.33 m supplying to 18 districts

The pipelines of Gujarat State Petronet Limited (GSPL) supply gas to 13 districts, 5 more districts are proposed to be connected by the pipeline

Total length of Integrated Gas Grid supplying gas to all districts is 2200 km, of which 1200 km is
complete and 800 km is under construction

Water

Only State to carry out interlinking of rivers An extensive water grid network across the State The water grid is a network of 75,000 km for water distribution for irrigation 75% population proposed to be covered by the grid by 2010

Investment Opportunities

Investment Opportunities
Integrated Medicity Healthcare Outsourcing (BPO) Establishing Global Accreditations Facilities High Tech MRI/CT Scan Facilities Establishing Chain of Primary public /Community Centres

DESTINATION GUJARAT
Holistic Wellbeing- Yoga, Physiotherapy, Acupressure
Computer Navigated Surface Replacement Surgery of the Hip and Knee-Joint Low Cost Paid Surrogacy through In- Vitro Fertilisation Hospital Management on Rehabilitate, Operate and Transfer (ROT) basis Clinical Research & Trials

Connecting Further.

Health & Family Welfare Department, Govt. of Gujarat Dr. Amarjit Singh - Commissioner of Health, Medical Services, Medical Education and Research iNDEXTb Industrial Extension Bureau Gujarat Industrial Development Corporation

http://www.gujhealth.gov.in cohealth@gujarat.gov.in Mob: 9825037421 http://www.indextb.com http://www.gidc.gov.in http:// www.gujaratindustry.gov.in

Industries Department , Govt. of Gujarat