{"id":54427,"date":"2020-02-19T17:27:00","date_gmt":"2020-02-19T11:57:00","guid":{"rendered":"https:\/\/blogadmin.forumias.com\/?p=54427"},"modified":"2020-02-26T17:29:48","modified_gmt":"2020-02-26T11:59:48","slug":"7-pm-powering-the-health-care-engine-with-innovation19th-february-2020","status":"publish","type":"post","link":"https:\/\/forumias.com\/blog\/7-pm-powering-the-health-care-engine-with-innovation19th-february-2020\/","title":{"rendered":"7 PM |Powering the health-care engine with innovation|19th February 2020"},"content":{"rendered":"\n<p><strong>Context:\n<\/strong>Mainstreaming\ninnovation in health care system in India.<\/p>\n\n\n\n<p><strong>Ayushman\nBharat:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Ayushman Bharat, a flagship scheme of\nGoverment of India was launched as recommended by the National Health Policy\n2017, to achieve the vision of Universal Health Coverage (UHC).<\/li><li>This initiative has been designed on the\nlines as to meet SDG and its underlining commitment, which is &#8220;leave no\none behind&#8221;.<\/li><li>Ayushman Bharat is an attempt to move\nfrom sectoral and segmented approach of health service delivery to a\ncomprehensive need-based health care service.<\/li><li><strong>Aim\nof Ayushman Bharat:<\/strong>&nbsp;The aim is to undertake path\nbreaking interventions to holistically address health (covering prevention,\npromotion and ambulatory care), at primary, secondary and tertiary level.<\/li><li>The scheme adopts a continuum of care\napproach, comprising of two inter-related components:<\/li><li>Health\nand Wellness Centres (HWCs)<\/li><li>Pradhan\nMantri Jan Arogya Yojana (PM-JAY)<\/li><\/ul>\n\n\n\n<p><strong>Health\nand Wellness Centres (HWCs): <\/strong>The Government of India in 2018\nannounced the creation of 1,50,000 Health and Wellness Centres (HWCs) by\ntransforming existing Sub Centres and Primary Health Centres.&nbsp;<\/p>\n\n\n\n<p><strong>Pradhan\nMantri Jan Arogya Yojana (PM-JAY):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>The second component under Ayushman\nBharat is PM-JAY, which aims at providing health insurance cover of Rs. 5 lakhs\nper family per year for secondary and tertiary care hospitalization to over\n10.74 crores poor and vulnerable families (approximately 50 crore\nbeneficiaries).<\/li><li>There is no cap on the family size under\nthe scheme.<\/li><li>This scheme was earlier known as\nNational Health Protection Scheme (NHPS) before it was rechristened to PM-JAY.<\/li><li>PM-JAY has been rolled out for the\nbottom 40% of poor and vulnerable population.<\/li><li>The households included are based on the\ndeprivation and occupational criteria of Socio-Economic Caste Census 2011 (SECC\n2011) for rural and urban areas respectively.<\/li><li>The scheme subsumed then existing\nRashtriya Swasthya Bima Yojana (RSBY), launched in 2008.<\/li><li>PM-JAY is completely funded by the\nGovernment, and cost of implementation is shared between Central and State\nGovernments.<\/li><\/ul>\n\n\n\n<p><strong>Present\nStatus of its implementation:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>The scheme is currently being\nimplemented in 32 of 36 States and Union Territories. <\/li><li>It has provided 84 lakh free treatments\nto poor and vulnerable patients for secondary and tertiary ailments at 22,000\nempanelled hospitals, countrywide. <\/li><li>Under PM-JAY, there is one free\ntreatment every three seconds and two beneficiaries verified every second.<\/li><li>At present, there is one government bed\nfor every 1,844 patients and one doctor for every 11,082 patients.&nbsp;<\/li><\/ul>\n\n\n\n<p><strong>Need\nof innovation in Indian health care system:<\/strong><\/p>\n\n\n\n<p>Considering 3%\nhospitalisation of PM-JAY-covered beneficiaries in coming years, the scheme is\nlikely to provide treatment to 1.5 crore patients annually. This means physical\nand human infrastructure capacity would need to be augmented vastly. It has\nbeen estimated that India would need more than 150,000 additional beds,\nespecially in Tier-2 and -3 cities. While a comprehensive long-term strategy\nwill focus on expanding hospital and human resources infrastructure, an\neffective near-term approach is needed to improve efficiencies and bridge gaps\nwithin the existing supply and demand. <\/p>\n\n\n\n<p>Thus, a\npotential for accelerating health system efficiency and bridging the gaps of\nsupply and demand, there is need of mainstreaming innovation in the Indian\nhealth system.<\/p>\n\n\n\n<p><strong>Mainstreaming\nof health-care innovations:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Start-ups are working to bring\ninnovative technologies and business models that leapfrog infrastructure, human\nresources, cost-effectiveness and efficiency challenges in Tier-2 and -3\ncities. There are more than 4,000 health-care technology start-ups in India. <\/li><li>Leveraging disruptive technologies like\nartificial intelligence, robotics, internet of things, healthcare aggregators\nare delivering top class affordable medical facilities to people in terms of\ndiagnostic equipment, imaging, and telemedicine. <\/li><li>Innovations in the areas of\nnew&nbsp;drugs, vaccines, diagnostic tests, telemedicine have also enhanced\npatient care and contributed towards enhanced quality of overall delivery of\nhealthcare services. Healthcare providers and start-ups are coming up with\ninnovative solutions to enhance patient care.<\/li><li>The innovative practices hold huge\nsignificance in the wake of spurt in non-communicable diseases (NCDs) like\ncancer, stroke and heart related issue in recent years. According to WHO\nreport, nearly 61 per cent deaths are attributed to NCDs.<\/li><li>Series of innovative practices have been\nadopted by States like Rajasthan, Andhra Pradesh and Madhya Pradesh to\nstrengthen healthcare delivery system enabling people quality and\ncost-efficient medical facilities at their doorsteps. Taking cue from these\ninnovative ideas, many others States are striding towards enhanced healthcare\ndelivery model.<\/li><\/ul>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"\"><tbody><tr><td>\n \n \n \n \n <strong>Case\n Study on Rajasthan: <\/strong>\n Rajasthan\u2019s Bhamashah Swasthaya Bima\n Yojana (BSBY) is one of the most successful healthcare insurance programmes\n where insurer gets Rs 30,000 for general illness and Rs three lakh for\n critical illness.The State is torchbearer in terms of\n technology and innovations that have been harnessed to benefit people. The\n Government recently launched innovative software named Nidaan for\n presumptive diagnosis and monitoring of seasonal and non-communicable\n diseases as well as the trends of ailments found in specific areas. The\n software is found to be helpful in formulation of specific action plans for\n control of diseases.With the aim to screen newborns for\n hearing loss, a device called SOHAM was launched. This device would help\n doctors to detect and treat infants having hearing impairment. Another\n mobile app based ECG device, ATOM, was also launched to screen patients at\n primary healthcare level.Rajasthan is the first State in the\n country to introduce community mother milk banking project. The bank\n collects excess breast milk from lactating mothers and provides it\n to&nbsp;infants deprived of it. The bank is very helpful for those mothers\n who are unable to feed infants due to clinical reasons, or those who are\n orphaned or abandoned.\n \n \n \n &nbsp;\n <strong>Andhra\n Pradesh: <\/strong>Chandranna Sanchara Chikitsa (CSC), a flagship\n programme of the Andhra Government, stands for primary medical care on\n wheels. It ensures availability and accessibility of medical services to\n the needy in remote villages. With the help of 289 Chandranna Sanchara\n Chikitsa(CSC) vehicles, people are catered with best medical facility.\n \n \n \n \n &nbsp;<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><strong>&nbsp;<\/strong><br><\/p>\n\n\n\n<p><strong>Challenges\nfaced in mainstreaming innovation in health care system:<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"242\" height=\"170\" src=\"https:\/\/i0.wp.com\/blogadmin.forumias.com\/wp-content\/uploads\/2020\/02\/111111.jpg?resize=242%2C170&#038;ssl=1\" alt=\"Text Box: FDA and CE certification:\nThe CE Mark in the European Union and the FDA-approval process in the United States both perform the same functions, namely assessing the safety and efficacy of new devices. \n\t\n\n\" class=\"wp-image-54428\"\/><\/figure>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Non-uniform\nregulatory and validation standards:<\/strong> Regulatory\nrequirements, specifically for biomedical start-ups, are still evolving in\nIndia. Hospitals often rely on foreign regulatory certifications such as FDA\nand CE.<\/li><li><strong>Huge\nvariation in validation requirements: <\/strong>It is difficult\nfor a start-up to understand the minimum necessary validation requirements in\norder to qualify for procurement by hospitals.&nbsp;<\/li><li><strong>Long\ngestation period: <\/strong>Health-care start-ups spend long periods\nof time in the early development of their product, especially where potential\nclinical risks are concerned. The process of testing the idea and working\nprototype, receiving certifications, performing clinical and commercial\nvalidations, and raising funds, in a low-trust and unstructured environment\nmakes the gestational period unusually long thereby limiting the operational\nliquidity of the start-up.<\/li><li><strong>Lack\nof incentives:<\/strong> Health-care providers and clinicians, often lack\nthe incentives, operational capacity, and frameworks necessary to consider and\nadopt innovations.&nbsp;<\/li><li><strong>Procurement\nchallenges:<\/strong> Start-ups also face procurement challenges in both\npublic and private procurement. They lack the financial capacity to deal with\nlengthy tenders and the roundabout process of price discovery.<\/li><\/ul>\n\n\n\n<p><strong>Way\nForward:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>The partnership between&nbsp;National\nHealth Authority&nbsp;(NHA) and the Healthcare Federation of India (NATHEALTH)\nwhich aims to streamline all innovations ensuring that it increases the\nefficacy of service delivery of Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana\n(AB-PMJAY) is a step in right direction.<\/li><li>The collaboration will provides an\nindustry interface for testing innovations, providing mentorship and creating\nchannels for facilitating support required for scaling these innovations.&nbsp;<\/li><li>Further, there is&nbsp;need to focus on\nidentifying promising market-ready health-care innovations that are ready to be\ntested and deployed at scale. <\/li><li>Also, there is a need to facilitate\nstandardised operational validation studies that are required for market\nadoption, to help ease out the start-up procurement process such that these\nsolutions can be adopted with confidence.&nbsp;<\/li><\/ul>\n\n\n\n<p><strong>Conclusion:<\/strong><\/p>\n\n\n\n<p>The launch and\nexpansion of Ayushman Bharat-PM-JAY is a watershed moment for the Indian\nhealth-care service delivery ecosystem.&nbsp;AB-PMJAY will help in exploiting\nthe potential of collective bargaining and leveraging economies of scale. This\ncould deliver more affordable and quality healthcare by negotiating better\nprices for various devices, implants and supplies, and also leveraging other\npolicies such as Make in India. However, technological innovations in\nhealthcare need to be backed by a robust policy framework.<\/p>\n\n\n\n<p><strong>Source:\n<\/strong><a href=\"https:\/\/www.thehindu.com\/opinion\/lead\/powering-the-health-care-engine-with-innovation\/article30854153.ece\">https:\/\/www.thehindu.com\/opinion\/lead\/powering-the-health-care-engine-with-innovation\/article30854153.ece<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Context: Mainstreaming innovation in health care system in India. Ayushman Bharat: Ayushman Bharat, a flagship scheme of Goverment of India was launched as recommended by the National Health Policy 2017, to achieve the vision of Universal Health Coverage (UHC). This initiative has been designed on the lines as to meet SDG and its underlining commitment,&hellip; <a class=\"more-link\" href=\"https:\/\/forumias.com\/blog\/7-pm-powering-the-health-care-engine-with-innovation19th-february-2020\/\">Continue reading <span class=\"screen-reader-text\">7 PM |Powering the health-care engine with innovation|19th February 2020<\/span><\/a><\/p>\n","protected":false},"author":61,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"footnotes":""},"categories":[130,955],"tags":[],"class_list":["post-54427","post","type-post","status-publish","format-standard","hentry","category-7-pm","category-7-pm-brief-infograph","entry"],"jetpack_featured_media_url":"","views":{"total":0,"cached_at":"","cached_date":1704800248},"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/posts\/54427","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/users\/61"}],"replies":[{"embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/comments?post=54427"}],"version-history":[{"count":0,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/posts\/54427\/revisions"}],"wp:attachment":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/media?parent=54427"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/categories?post=54427"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/tags?post=54427"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}