ICTPH Introductory Presentation

Gesundheit & Medizin Wirtschaft & Finanzen Business

The Context

Availability

Accessibility

Affordability

HLEG

Delivering a package of services at the primary, secondary
and tertiary level

Seeking Solutions
 Organizing the primary care sector (corporatized approach)

 Breadth of services

 Referral Mechanisms – Continuum of Care

 Prepayment Mechanisms – Insurance vs. Capitation fee

Our Strategy

Infrastructure

Human Resources

Interventions

Financing

Local Presence

Catchment
Population –
10,000 people

Human Resource –
Doctor, Extension
Worker

Technology –
Internet, Computers, H
MIS, Blood Collection

Protocol driven evidence based screening and care

Enrollment & Risk Screening

DAY 1
DAY 3

Demographic (GPS) + Family Composition

Adult Risk Profiling

Enrollment & Risk Screening

Community based exercise

Enrollment & Risk Screening
 Demography – Address with pre-
populated street and village details

 Household Geo-tag

 Family Composition –
Members, Age, Relationship

Risk Screening:
Height, Weight, WC, HC, BP, Smoking
& Alcohol Habits, Pregnancy
Status, Sudden Wt. Loss, Family &
Personal History

GPS Enabled Android Mobile Phones

Identification

Bar-coded
Identity
Cards

HMIS

Web-based

Patient-
physician
Interaction

Supply Chain
Management

Health Extension Worker

Screening

Patient
Management

Follow-up

The Physician

Patient
Management

Community
Engagement

Wellness
Tracking

AYUSH physician based training and certification model

CVD Risk Factor Screening

BMI

WHR

BP

Family History

Personal History

High risk patients recommended detailed blood work-up

$Screening for Refractive Errors Myopia Hyperopia Presbyopia Cataract$

Accessible Solutions

Dispensing
Glasses

Diagnostics

Blood
Collection

Hub & Spoke
Movement

Primary Care Dentistry

Screening

Scaling

ART

Women’s Health

Awareness

Cervical
Screening

STD
Management

15,814

15,000

Arunthavapuram (May 14, 2012)

12,359
Ponnapur (April 12, 2012)
Number of Patient Visits

10,000 Okkanadu Melaiyur (February 01, 2012)

8,854

Kavarapattu (December 05, 2011)

5,000 5,069

Andipatti (May 02, 2011)
3,479

Karambayam (September 06, 2010)
Alakkudi (November 09, 2009) 1,797

434
0
Sep-09 Mar-10 Sep-10 Mar-11 Sep-11 Mar-12

Time line

Number of Patient Visits
15,000

5,000
10,000

0
Sep-09
Mar-10
434
PLSP

Sep-10
CVD Intervention

Mar-11

Time line
1,797
Vision Intervention

RRA
3,479

Dental Intervention
Sep-11
5,069

Cervical Intervention
8,854

Mar-12
12,359
15,814

HealthCare Financing
Way Forward – Managed Care

Preventive Primary Secondary/Tertiary
Hospitalization

User Fees Insurance

Managed Healthcare (HMO)

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