The presentation was prepared by me to showcase the opportunities available for Healthcare IT professionals in India

1. CAREER OPPORTUNITIES FOR HEALTHCARE IT PROFESSIONALS IN INDIA By : Vishal Sharma VP Operations 07th Feb 10 1

2. Current Healthcare Landscape in India Direct employment in millions HC Availability India’s Hospital beds stand at around more than 0.7 per 1000 as against Russia’s 9.7, Brazil’s 2.6, China’s 2.2 and the world average of 3.96. India needs additional beds of 1.1 million immediately, 3.1 million in 2018 and 2 million in 2028. Health Care is the largest service industry after education in terms of employment. Source: National Accounts Statistics ; Manpower profile ; McKinsey Analysis; 2001;Technopak Advisors 2010 2

3. Opportunities in Healthcare Increasing population base - Population growth of 1.7 per cent per annum for the next five years. Increasing income - The number of households with income greater than Rs 2,00,000 per annum is likely to increase from 95 million (8 per cent of population) to 404 million (32 per cent of population) by 2015. Increasing incidence of "lifestyle" diseases - Cardiac ailments, diabetes, and the like result in an increased requirement of secondary and tertiary care beds. Increase in the number of senior citizens - Driven by higher life expectancy, from 59 to 63 in the last decade, senior citizens (~ 4 % of population) constitute around 20 per cent of in-patients at hospitals. Increase in Awareness – Indian Population is now having increased awareness about their state of health and would increase adoption of preventive medicines and regular testing. Increase in access to Medical Information - With the availability of Internet / Google and specialised websites and online groups , people want to take informed decisions. Increase in Accountability of Healthcare Providers - Individual households bear 70–75% of healthcare costs and is now asking for more transparency and accountability. Increase role of Private HC Groups and Insurance Agencies – Private HC groups adopt technology faster and Insurance companies will encourage technology adoption by care givers. Source : http://www.rediff.com/money/2008/aug/18spec.htm 3

4. Healthcare Expenditure The Indian healthcare system is mainly funded by out-of-pocket payments, followed by government spending and a small contribution from insurance coverage. Individual households bear 70–75% of healthcare costs. Total national spending on healthcare in 2006 was close to 5.3% of GDP (approximately $45 billion). Private spending accounts for 82% of this expenditure with public spending constituting the remaining 18%, which turns out to be abysmally low. However, the total spending has risen to 5.7% of GDP by 2009. 4

6. Medical infrastructure is by far the largest portion of the healthcare economy in India. The medical equipment industry will surpass $5 billion by 2012.

7. 2012 will see clinical laboratories reach over a billion dollars, and health services outsourcing will reach $7.4 billion

8. Other nations have begun looking to India for their healthcare needs. Medical tourism is becoming increasingly popular. Medical equipment, pharmaceuticals, IT, telemedicine, and BPO (medical transcription, billing, and coding) are collectively redefining the international reputation of Indian healthcare.

9. The role of privatization has been crucial in the development of Indian health services. Besides providing 70% of the hospitals and 40% of the hospital beds, the private sector has fully revamped the industry. Funds are more readily available, infrastructure and technology have drastically improved, and political issues in public hospitals have ceased.

10. Medical tourism has succeeded by offering high quality services at third-world prices. Dental tourism has gained an especially strong reputation. Growing at 25% a year, medical tourism will easily become a $2 billion industry by 2012.5

11. Healthcare IT Adoption Ironical Situation. Despite India’s recent ascendancy as the hub of the IT and IT-enabled services industry powered by a vast pool of skilled manpower, it has lagged tremendously behind other countries in HIT adoption. Large corporate hospitals in India spend under 1% of their operating budget on IT, while spending is closer to 3% in the West. Barring a few preliminary attempts to computerize basic hospital administrative and some clinical functions, there has been little appreciation or impetus given to HIT adoption. Positive Moves by the Government. Currently, official HIT adoption or implementation policies are almost nonexistent. However, HIT is on the government’s radar and serious exploratory initiatives are underway to explore coordination of a national health IT infrastructure and network. 6

12. Challenges for HIT in India 7

14. Competition has also forced hospitals to adopt technology, and private sector hospitals are taking the lead.

15. There is a change in the mindset among the big Indian hospitals like Apollo, Fortis, Wockhardt, Manipal, which, earlier, were of the perception that IT only automates the medical process and does not lead to either cost reductions or increase the return on investments (ROI).

16. With the onset of health insurance in the country and the changing regulatory framework, healthcare providers today truly see value in the adoption of IT.

17. Healthcare IT, with help from India’s thriving IT industry, has begun to grow faster than that of any other Asian country. It’s set to reach $254 million by 2012. The increase in privatization of medical insurance will become a major driver of HIT adoption in the future, which will create a big push for comprehensive patient information and consequently the use of HIT. Rising education and awareness, several small medical informatics and related organizations have become extremely active and have grown in membership. 8

18. SURGE IN HIT EDUCATION 9

20. In US alone, there is a shortage of 40,000 HIT professionals.10

22. Pharmacist/ Bio Chemist

23. Analytical Chemistry Associate

24. Formulation Scientist

25. Chemical Research manager

26. Clinical Research manager

27. Bio-Informatics Associate

28. Clinical research Physician

29. Manager- Clinical trials

30. Clinical Research Co-ordinator

31. Statistical Analyst

32. Blogging/ WritingClinical Informatics Physician Healthcare Business Analyst Product manager Healthcare Consultants Sales Representative Healthcare Account Executive EMR consultants Clinical Application Specialist Medical Administrator Clinical Data manager Clinical Research Trainer Medicoding Analyst 11