hazaron ke anna
Karnataka is fast emerging as Medical & Health Tourism / Wellness Tourism destination. This thread is for photographs, news, ... on healthcare, hospitals, health resorts, ... in Karnataka.
Source: http://en.wikipedia.org/wiki/Narayana_HrudayalayaApart from cardiology, the hospital also offers treatments in the area of Pediatrics, Neurology, Gastroenterology, General Surgery, Nephrology, Urology, Transplants, Nuclear Medicine, Medical Imaging and Radiology. It also houses a Blood bank and Laboratory. With the help of ISRO, Narayana Hrudayalaya has pioneered some of the aspects of Telemedicine.
Source: The HinduMYSORE: Wellness or health tourism will soon get a boost, with the Department of Tourism set to come out with guidelines for its promotion.
Perhaps, it is for the first time that the department, which has pushed many concepts to promote tourism in the State, has set a definite plan to make Karnataka an important and preferred hub for wellness tourism, in view of the good feedback from foreign visitors.
Bangalore has the potential to be a leading international healthcare destination and a key centre for promotion of health tourism in the State, thanks to the presence of many world-class hospitals that provide qualitative and cost-effective treatment.
Perceiving medical tourism to be one of the fastest growing segments in the sector, the department has framed guidelines which will be released in a few days.
Disclosing this to The Hindu, Managing Director of the Karnataka State Tourism Development Corporation Vinay Luthra said Ayurveda, Yoga, Naturopathy, Homoeopathy, Allopathy and other recognised forms of treatment would be promoted under health tourism, giving accreditation to institutions offering these services.
Mr. Luthra said the State Government had plans to accord accreditation to stakeholders in the health tourism sector in the categories of gold and silver.
“The guidelines will be different for each category. The stakeholders are supposed to apply for accreditation in compliance with the guidelines suiting their services. The accreditation will be on the lines of star status given to hotels. It depends on the services offered by the stakeholders,” he said.
The stakeholders should maintain certain standards and fulfil the guidelines to be part of wellness tourism. “People will get confidence once the institutions offering healthcare services are certified by the Government in accordance with the standards of services. It will be convenient for visitors to avail themselves of the services based on the gold or silver accreditation,” he said.
Bangalore has earned a name in health tourism in the foreign market. It is followed by cities such as Mysore, which has the Indus Valley Ayurvedic Centre near Chamundi Hills, which attracts visitors from abroad.
“These factors will go a long way in promoting health tourism as the number of people arriving in India for medical treatment has been increasing every year on account of better quality and value for money they get,” industry sources say.
After Bangalore, Mysore has been identified as a key centre for health tourism promotion since Ayurveda and yoga are popular here.
Sources said that Ayurveda practitioners in Mysore and Nanjangud were known for preparation of medicines from herbs, and this expertise could be used to project the city’s popularity as a healthcare destination.
In fact, hundreds of foreigners are undergoing training in yoga from instructors in the city.
People from different parts of the world arrive here every year to gain knowledge of yoga to improve their health. The expertise in Ayurveda and yoga is also likely to be promoted in a big way.
Source: EBNot long ago, it was a truism that the US had the world’s finest healthcare system. Patients from all parts of the world who could afford it made a beeline for hospitals there. Today, Americans generally agree that their healthcare system is grossly expensive, ineffective — even unjust. In fact, Americans have created a healthcare system that leaves millions of citizens out in the cold.
Among the world’s developed nations, the US stands at or near the bottom in most important rankings of access to and quality of medical care. In 2000, when a Harvard Medical School professor working at the WHO developed a complicated formula to rate the quality and fairness of national health care systems around the world, the richest nation on earth ranked 37th, just behind Dominica and Costa Rica, and just ahead of Slovenia and Cuba.
The one area where the US unquestionably leads the world is in spending. As per OECD Health at a Glance, 2007 health expenditure as a percentage of GDP, 2005, the US spends 15.3; Switzerland 11.6; France 11.1; Germany 10.7; Canada 9.8; Sweden 9.1; UK 8.3; Japan 8.0; Mexico 6.4; Taiwan 6.2. Even countries with considerably older populations than the US, with more need for medical attention, spend much less. Japan has the oldest population in the world. And yet Japan spends about $3,000 per person on healthcare each year compared to $7,000 per person in the US.
Americans shell out big bucks without getting what they pay for. J R Reid in a recently published book The Healing of America makes this observation: “Surveys show that Americans who see a doctor tend to be less satisfied with their treatment than Britons, Italians, Germans, Canadians, or the Japanese — even though we pay the doctor much more than they do.”
India has a healthcare model to offer the world. It is based on public-private-partnership: government the insurance-provider; private hospitals the healthcare-provider. It leverages number and volume, thereby reducing the cost of treatment.
The first part of the model — insurance and healthcare — has been in operation the last few years at Narayana Hrudayalaya (NH) in Bangalore. In collaboration with the Karnataka government the hospital started the Yeshasvini scheme — a comprehensive health insurance scheme, at Rs 10 per month, for the poor farmers of the state. It covered open-heart surgery.
The man behind it is Dr Devi Shetty, chairman of Narayana Hrudayalaya. His idea of health city is founded on a sound business model. A multi-speciality hospital can mean better utilisation of resources; the same equipment can be exploited for different specialities, thereby driving down the cost relentlessly.
Within a few years of setting up NH with world-class facilities in cardiac care, he has set up multiple hospitals with a total strength of 3,000 beds, offering facilities like neurosurgery, orthopaedics, gastroenterology and transplant surgery, ophthalmology and nephrology. Today, there is a cluster of hospitals around NH in Narayana Health City — a 350-bed Narayana Nethralaya for ophthalmology, a 250-bed Sparsh Hospital for orthopaedics, Thrombosis Research Institute for research and study, and the 1,500-bed Narayana Multi-Speciality Hospital and Cancer Research Centre for all other disciplines. Quality healthcare for the poor is no more a mirage, as the universally accepted algorithm would have us believe.
“India will become the first country to dissociate healthcare from affluence,” Shetty says. But for this the government will have to become an insurance-provider rather than a healthcare-provider. Governments will realise that it is better to offer health insurance than manage hospitals. But this will only happen through big hospitals catering to big numbers at a very low price.
Healthcare, unlike other services, is a high-octane beast. Drugs and disposables take up 40 per cent of the revenue generated. The other fixed costs are salary and overheads. However, volume equips one with power to source disposables. The Wal-Mart model is the one to follow in order to drive cost down. India’s population — patients and skilled human potential — provides a unique competitive advantage. The vast untapped pool of patients not in the treatment window can be leveraged for economy of scale. This is where the government can step in — as health insurance provider.
All that it needs to do is encourage creation of large private hospitals that can leverage numbers and provide quality healthcare aided by government-sponsored health insurance cover. The mass insurance will drive premiums down. More-less duality is the mantra. More people insured means lower premiums; more patients means more honing of skills; more skills mean less time spent on procedures; less time spent means less labour cost/overhead; more patients means more exploitation of available facilities; more patients mean more use of disposables and volume discount aiding less cost of consumables; less labour/material and more exploitation of fixed assets mean less overall expenses; lower overall expense mean lower insurance payment; which translates into lower premiums, and that implies less government liability.
NH follows another ingenious technique to whittle costs. Given the high patient footfall, the number of tests is high. So NH has ‘in-sourced’ equipment by persuading manufacturers/suppliers to merely ‘park’ their machines for use by the hospital and earn their revenue from selling chemical reagents and disposables for the tests and treatment. NH saves on investment while the manufacturers/suppliers get more than their share of profit by selling disposables/consumables. And the more the merrier: NH for driving the cost down and the supplier for its earnings and profit.
Is the model replicable? Perhaps yes. Because there is a silver lining: the magic of markets. Which is why a successful NH model has the potential to push market forces to drive healthcare costs down by embracing the populace at the bottom of the pyramid — and decoupling quality healthcare from money and bridging the gaps among societal strata.
Source: TOIBANGALORE: After three decades of lobbying, the private health sector had to finally give in. The final notification of Karnataka Private Medical Establishment(KPME) Rules, 2009, has been approved by the ministry and has been gazetted in the first week of October. With this notification, now hospitals have to register and maintain the standards as outlined in the notification.
The rules are aimed at regulating private medical establishments, including clinics, diagnostic centres and alternative medicine centres to ensure that people get quality healthcare.
The new rules stipulate minimum standards in terms of physical infrastructure, technical know-how and staff qualification to set up a private healthcare institution.
More importantly, the rules will make it mandatory for private hospitals to display the rate charts.
The rule covers all forms of medical practices __ from allopathy, ayurveda, unani to homeopathy.
The efforts to regulate private medical establishments in the state began in 1976. Health and family welfare deputy director H C Ramesh said: "Due to lot of pressure from the private medical establishments, regulation was delayed for more than three decades. Now, with the gazette notification of the rules, the Act will be implemented in the state.''
Though there is a list of Karnataka Medical Council-registered doctors, the actual numbers are not known. This was evident during the recent chikungunya and H1N1 flu outbreak __ lack of list of private medical practitioners affected the disease-prevention programme.
WHAT DOES IT MEAN?
For registration which is mandatory, all private medical establishments __ from clinics to hospitals __ should ensure clean and hygienic surroundings, proper lighting, ventilation, adequate/hygienic sanitation facility, proper maintenance of medical records, standard bio-medical waste disposal system, accessibility to attending doctors and qualified staff appointed in proportion to number of patients treated in a day.
While the registration fee under allopathy for medical clinics is Rs 1,000, a nursing home with more than 2,000 beds has to pay registration fee of Rs 2 lakh. There is concession in fee for charitable and non-profit hospitals.
For alternative Indian system of medicine, it is Rs 500 for clinic and dispensary, Rs 2,000 for hospital with 20 beds and more and Rs 10,000 for diagnostic centres with advanced facilities.
The registration is valid for five years. Hospitals have to be registerd within 90 days from the date of the Act coming into force.
At the district level, a regulatory committee is formed. It comprises deputy commissioner, district health officer and an Indian Medical Association member.
From comfortable seating arrangements for patients in reception to examination room having minimum area of 125 sq ft and consultation chambers equipped with basic investigation facilities, standards have been set for the hospitals.
"There are several hospitals functioning without basic infrastructure and medical equipment and there are several hospitals functioning without qualified staff. So, we have listed mandatory basic equipment and required qualified hospital staff. Private medical establishments have to display charges to all the services rendered," said health and family welfare deputy director H C Ramesh.
We are glad to have KPME rules as this will check quacks. With registration made mandatory, we will get to known as to how many private medical establishments are there in the state. __ Karnataka private hospitals and nursing Home Association vice president P S Premnath
There is need for regulation as the environment of accredited healthcare promises patient safety. And the rules need to facilitate reform in the healthcare sector and should be covered by good governance for efficient implementation. __ Wockhardt Hospitals Group CEO Vishal Bali
It is a welcome move as the rules will bring in quality, standard and accountability in healthcare. Along with patient safety, it will stop mushrooming of private hospitals without proper infrastructure and staff. It will assure quality players in healthcare sector. __ Manipal Hospital COO and Medical Director Dr S C Nagendra Swamy.
Read more on The Hindu* It is meant to cover 5 crore people in slums
* Officials say project delayed owing to change of guard at the Union Health Ministry
* Main component of the Rs. 8,000-crore project is health insurance for the urban poor
Bijapur: Chairman of the Karnataka State Forest Industries Corporation Shankargouda Patil has said that Ayur (Ayurveda) parks will be set up in Belgaum and Bangalore in association with private organisations.
Speaking to presspersons here on Tuesday, Mr. Patil said that these parks would concentrate on preserving and developing medicinal plants, researching medicinal plants and producing medicines. The matter would be discussed with Chief Minister B.S. Yeddyurappa and plans would be drawn up to set up these parks in three months.
Source: The HinduThe corporation had plans to grow medicinal plants on 2,000 hectares of land in the State.
In dry areas such as Bijapur the corporation would encourage farmers to take up neem plantation, he said.
Source: IndiaInfolineNarayana Nethralaya Postgraduate Institute of Ophthalmology, Bangalore which has been involved in pediatric community eye outreach programs for over 25 years has helped evolve a unique tele-medicine software which allows screening of rural and semi-urban infants for a potentially blinding condition called Retinopathy of Prematurity along with other common conditions including ocular cancers.
The institute has helped provide the access of this software on the iPhone. The development is said to have large consequences in reducing the blindness burden of the country.
“Retinopathy of prematurity is the leading cause of preventable infant blindness worldwide. In India, over 8% of 27mn births each year are at risk of this potentially blinding condition. Roughly if 100 ‘at-risk’ infants are screened, 15-20% may require treatment that can prevent blindness.
This requires a fast and efficient system of screening infants especially in the peripheral rural areas where expertise is lacking”, said Dr Anand Vinekar, Project Co-Ordinator & Pediatric Retinal Surgeon, Narayana Nethralaya, Bangalore. “Since we began 2 years ago in 7 districts of Karnataka, we have successfully treated over 150 infants and screened over 1500, but we used the ‘store and forward’ technology that was slow and did not solve security and storage issues.” Dr Vinekar remarked.
“With the experience of over 56,000 images of infant retinas in our database, we required a dedicated web-based software with progressive viewing to speedily allow access to our experts at the base hospital. This quest lead to the development of this new technology” said Dr Bhujang Shetty, Chairman of Narayana Nethralaya.
"There isn’t anything more rewarding than seeing the anxious look of a mother with a new born at risk of blindness and giving her reassurance that the best care is only a click away on a doctors iPhone" said Sham Banerji, CEO of i2iTeleSolutions, the collaborating software partner. "The i2i team is proud that our CARE TeleOphthalmology software connects ROP specialists to pre mature infants in the farthest corners of India”, said Banerji.
The i2i Teleopthalmology Application running on Apple’s iphone ushers in a new era of telemedicine letting doctors see amazingly clear images of the retina and report findings anywhere, anytime, realtime. The new pilot will run for 36 months at which time we expect TeleROP to be deployed on a much broader scale across the country and soon in other countries linking them in this unique way.
Source: The Hindu* Karnataka has been able to maintain high levels of treatment adherence
* Karnataka is the only State to have a government ART centre in every district
* The high levels of HIV-TB co-infection in north Karnataka are a cause for concern
Bangalore: Karnataka is one of the States in India with a high HIV prevalence, with an estimated 2.75 lakh people currently living with the virus. But there is heartening news on the eve of World AIDS Day: targeted prevention interventions have played a significant role in controlling the spread of the virus and mitigating its impact.
A mathematical modelling projection based on studies done in two districts by the Karnataka Health Promotion Trust (KHPT), established by the Karnataka State AIDS Prevention Society (KSAPS) and University of Manitoba (UM), shows that the situation would have been far worse but for the interventions that have been scaled up effectively since 2003.
HIV sentinel surveillance among ante-natal clinic (ANC) populations in 27 districts over the years shows that the HIV prevalence has come down from 1.6 per cent in 2003 to 0.86 in 2007-08.
In sheer numbers, this reduction in prevalence would reduce the number of HIV-positive newborns by over 2,000 every year. “This is much greater than the most optimistic estimates from Prevention of Parent to Child Transmission of HIV (PPTCT) programmes,” says Dr. Stephen Moses, Project Director of the Sankalp/Corridors Project (Avahan India-AIDS initiative) implemented by the KHPT. Karnataka is the only State to have a government Anti-Retroviral Therapy (ART) centre in every district.
Statistics show that Karnataka has been able to maintain high levels of treatment adherence. “As a result of good coordination at the district level, our ‘lost to follow up’ among patients on ART is about 3.2 per cent, while the national average is around 7 per cent,” says Dr. Reynold Washington, in-charge Project Director of the Samastha-USAID project in Karnataka.
However, a particular point of concern is the situation in north Karnataka districts, with high levels of HIV-TB co-infection. Districts in the region also show a higher HIV prevalence among the rural population.
The prevalence of HIV in Bagalkot is 2.38 per cent in urban population and 3.59 per cent in rural areas (2003). In contrast, in Mysore, it is 0.94 per cent (urban) and 0.71 per cent (rural).
http://www.deccanherald.com/content/41045/8-more-esi-hospitals-proposed.html8 more ESI hospitals proposed in state
Bangalore, Dec 12, DHNS:
The State Government has proposed to set up 100 ESI dispensaries and eight ESI hospitals in the State, announced Labour Minister B N Bache Gowda here on Saturday.
At the 4th annual ESI Medical Conference here, he said an ESI hospital worth Rs 185 crore will also be set up at Peenya, along with acquiring a five acre land at the cost of Rs 25 crore to build a 100-bedded hospital in Bommasandra.
"A 500 bedded ESI hospital in Gulbarga will also be set up at a cost of about Rs 600 to 700 crore. This hospital will be second largest hospital in the country," he said. All the three hospitals will be part of the eight hospitals that will come up in the state.
Gowda also stressed on making the ESI dispensaries 24x7. "At present, even the health department can't operate 24x7 dispensaries. However, I will try to see that ESI hospitals operate 24 hours a day and seven days a week," he said.
ESI medical officers’ demands for a salary hike, filling up of vacant posts of doctors and upgradation of ESI hospitals came to the fore at the Conference, with the Karnataka Government ESI Medical Officers' Association (KGEMO) submitting a 13 point memorandum to Labour Minister B N Bache Gowda.
Dr Albert David, the Association's general secretary, said that the salary of doctors in CGHS, ESI Corporation, Union and state public undertakings and Directorate of Medical Education was much higher than what ESI doctors received.
He said of the sanctioned 547 Insurance Medical Officer's posts, 180 were vacant. In fact, they initiated contract basis appointment, only four doctors reported for duty. The Association also highlighted how two machines in the dialysis unit at ESI Hospital, Indiranagar, were far from adequate.
The hospital received 100 dialysis patients and an equal number of kidney transplant patients and 200 chronic renal failure patients. The hospital received 20 nephrology patients every day. "At least five more dialysis machines and a CT scan unit in Radiology Department at this hospital," Dr David said.
http://www.deccanherald.com/content/42344/rs-22-crore-released-health.htmlMulti-purpose smart cards will be distributed to labourers
Rs 22 crore released for health insurance scheme in DK
Mangalore: Dec 20, DH News Service
District-in-Charge Minister J Krishna Palemar said that a total of Rs 22 crore including state’s contribution of Rs 5.5 crore has already been released for the implementation of Rashtriya Swasthya Bima Yojana (RSBY), a health insurance scheme for the labourers in an unorganised sector, in the district.
District In-charge Minister J Krishna Palemar addressing field key officers at a workshop on Rashtriya Swasthya Bima Yojana at the Deputy Commissioner’s Office in Mangalore on Sunday.Addressing after inaugurating a district-level workshop organised for field key officers of RSBY at the Deputy Commissioner’s Officer here on Sunday, Minister said that the field officers should strive to implement the scheme successfully in the district.
Those beneficiaries, who possess the cards of Yashaswini Scheme of the state government can also avail the benefits of RSBY. Multi-purpose smart cards will be distributed to labourers in the unorganised sectors including construction workers under the scheme, he added.
Deputy Commissioner V Ponnuraj said that the scheme is being implemented only in rural areas of five districts including Dakshina Kannada, Shimoga, Bangalore Rural, Belgaum and Mysore. Beneficiaries in urban areas will be covered under the scheme in the next phase, he added.
The scheme will enable beneficiaries to have access to health facilities in private and government hospitals, DC said adding that the scheme has already been implemented successfully in Kerala state.
Mangalore South MLA N Yogish Bhat said that the government hospitals in the state should be upgraded for the successful implementation of the scheme.
Super speciality facilities should be introduced in all government hospitals. Initiative will be taken to hold discussion with corporate organisations with regard to the upgradation of government hospitals.
Corporate institutions can join hands to upgrade government hospitals utilising the benefits of income tax exemption, he added.
Only 42,000 beneficiaries
Though there are 1.10 lakh BPL families in the district, who are deserved to be the beneficiaries under RSBY, currently the scheme benefits have been extended to only 42,000 families. Following this, majority of BPL families in the district are being deprived of their privileges.
DC Ponnuraj informed that the district administration had conducted survey only in rural areas in 2007 and accordingly a list of 42,000 BPL families was sent to the centre.
Though the number of BPL families increased to 1,10,000 in the survey conducted in 2008, the Centre was not ready to accept the new list, he said adding that the list of 2007 was approved by the central government for the implementation of the RSBY scheme.
Reacting to the lacunae, Minister Palemar said that the government will make efforts to include all beneficiaries under the scheme. State will write to the centre include all BPL families in rural and urban areas in the beneficiaries list under the RSBY, he added.
http://www.thehindubusinessline.com/2009/12/21/stories/2009122151180400.htmEurope's Swiss Smile plans dental clinics in India
The chain also eyes the large opportunities in dental tourism, where people from other countries travel to India to get low-cost dental treatments.
Bangalore, Dec. 20
Now, overseas dental clinics are turning towards India. Europe's leading dentistry brand, Swiss Smile, has chosen India for its foreign foray.
Starting with Bangalore in January 2010, it plans to start ten clinics across A-cities to offer multiple health and beauty services for teeth under one roof. Two clinics are to be opened in Bangalore with an investment of around Rs 15 crore, Swiss Smile Dental Clinics India said in a release.
According to Dr Sathya Kallur, CEO and Director of Clinical Operations, Swiss Smile Dental Clinics India, the national dental care market is growing. The chain also eyes the large opportunities in dental tourism, where people from other countries travel to India to get low-cost dental treatments.
Dr Kallur said dental tourism forms ten per cent of the total medical tourism industry in the country, which is projected to grow at 30 per cent a year, into a Rs 9,500-crore industry by 2015.
“In India, any dental service is 60-70 per cent cheaper than in Europe or the US. We aim to contribute to medical tourism in India by offering quality services at reasonable prices,” he said.
The first Bangalore clinic will be a 5,000-sft facility with eight internationally trained specialists in aesthetic and cosmetic dentistry, orthodontics, periodontics, oral surgery, emergency treatments and children's dentistry.
Over the next three years, SS India plans expand to Hyderabad, Delhi, Mumbai, Chennai, Kolkata, Chandigarh, Ahmedabad and Pune with a planned investment of Rs 150 crore.
Swiss Smile India is a 50:50 venture between Swiss Smile Holdings and local investment firm Global Tech Park.
Mr Clifford Zur Nieden, a board member of Swiss Smile Holdings, said, “The dental segment is one of the most attractive segments of the health care industry with an estimated market size of about $18.8 billion in 2008. The market is dominated by the US, Europe and Japan.”
In India, he said an increasingly aging population, awareness of oral health and aesthetics and rising middle-class salaries were driving the dental care market. However, according to Mr Zur Nieden, there is a big demand-supply gap for organised, world-class dental care. “We aim to bridge this gap.”
SS Holdings runs these clinics in Zurich, St. Moritz and London. Global Tech Park has invested in companies such ase EDRC Technologies and Hands Free Networks. Its Chairman and Managing Director, Mr Satish, is also the CMD of Swiss Smile India.