NARAYANA HRUDALAYA
HEART HOSPITAL :
CARDIAC CARE FOR
THE POOR
Timeline
The Insurance Scheme - Yeshasvini Launched
First Diploma in Cardiology offered in collaboration with
IGNOU
Initiatives such as - Telemedicine Consultations
& Mobile Cardiac Diagnostic Labs
Training the Next Gen - 19 PG Programs
Training the Nurses : Degree & Diploma Offered
2002
2001
Founded by Dr. Devi Prasad Shetty
With mission to take affordable health care
to people
2005
2004
Expansion to six stories building with 500 beds with
90 cardiac surgeons and cardiologist
Neurosurgery unit started with plan of Health City ,
Orthopaedic, Trauma Hospital and Pediatric Unit
were to be executed till 2005
Indian Health Landscape in 2003
Overall health expenditure:
5% of GDP
Private health-care popular
among foreigners
Physicians per 1000
population was only 0.5
Expensive heart surgeries
Corruption at government
hospitals
Congenital heart disease
Gov. hospitals understaffed
& underequipped
Coronory Heart Disease:
Angioplasty and CABG
Operational Strategy at NH
Wal-Martrization of health care
Focus on scale
Negotiate better deals with suppliers
Machines on monthly rent
New technology with no recurrent costs
Fixed salaries at 22% as opposed to 60%
Utilized generic drugs (80% cheaper)
Monitored funds daily
SEE MORE
Current Volume of Surgeries
Revenue Breakdown
"Revolutionizing Healthcare: Dr. Shetty's
Vision for Telemedicine and Mobile
Cardiac Diagnostic Lab"
Bridging the Healthcare Gap through
Telemedicine
01
Incorrect Prescription due
to lack of Knowledge &
facilities
02
Setup 9 CCUs across India
linked with NH & RTI
03
India's largest network &
only hospital to provide
free service
01
04
Opportunity for Doctors to
accomplish extraordinary
things
02
Equipped buses for rural
cardiac care
03
Collaborations with local
associations for free
screenings.
9591 Teleconsultations
4077 CCU Inpatient
Cardiac Care on Wheels
Outreach camps with
cardiac diagnostic
services.
Training the Next Generation
For Doctors
19 PG program for doctors and other
medical staff.
First formal training program for
pediatric cardiac surgery
India's first diploma in cardiology in
collaboration with IGNOU.
For Nurses
department
Seperate
for training
nurses.
Offer degree and diploma couses for
trainee nurses.
The Insurance SchemeYeshaswini
For 1.7 mn farmers and their families.
Pay Rs 5/ month for any medical
procedure of Rs 100000.
Extension of program for teachers and
self-help group.
The Plan for Health City
Extend affordable healthcare to other
speciality.
Construction of new buildings in 35
acre.
Challenges Ahead
Sustainability through
current operations
Net profit after tax:
2003- $ 781400
2004- $ 787000
The vision of "HEALTH
CITY"
Beyond area of specialization
Cost implications
Trained surgeons
Clash with current focus expansion of the heart
businesss
Can this model be
adopted to other
developing countries?
Process Reconfiguration
When? Margins are low
Identify Constraint -> Redesign Workflow
Achieve operational effficiency
Economies of Scale
Recommendations
Focus on multi-speciality
Collaborate with government
Replicate in other developing markets
Raise funds from public
THANK YOU!
Questions...