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Rural Health Care
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
The Partnership
Our Strategy

  Infrastructure

Human Resources

  Interventions

   Financing
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
Community Risk Profile
Identification



             Bar-coded
             Identity
             Cards
HMIS

       Web-based

       Patient-
       physician
       Interaction

       Supply Chain
       Management
Our Strategy

  Infrastructure

Human Resources

  Interventions

   Financing
Health Extension Worker


              Screening

              Patient
              Management

              Follow-up
The Physician

                                       Patient
                                       Management

                                       Community
                                       Engagement

                                       Wellness
                                       Tracking


AYUSH physician based training and certification model
Comprehensive Solution




                  Drugs
Our Strategy

  Infrastructure

Human Resources

  Interventions

   Financing
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
Diagnostics



          Analysis at
          Hub
Primary Care Dentistry


          Screening

          Scaling

          ART
Women’s Health


         Awareness

         Cervical
         Screening

         STD
         Management
Our Strategy

  Infrastructure

Human Resources

  Interventions

   Financing
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
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




                                                       HLEG
                                                                                                             15,814
HealthCare Financing
                                    Way Forward – Managed Care


                       Preventive          Primary                     Secondary/Tertiary
                                                                        Hospitalization


                                    User Fees                              Insurance



                                            Managed Healthcare (HMO)
Thank You

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ICTPH Introductory Presentation

  • 2. The Context Availability Accessibility Affordability
  • 3. 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
  • 5. Our Strategy Infrastructure Human Resources Interventions Financing
  • 6. Our Strategy Infrastructure Human Resources Interventions Financing
  • 7. 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
  • 8. Enrollment & Risk Screening DAY 1 DAY 3 Demographic (GPS) + Family Composition Adult Risk Profiling
  • 9. Enrollment & Risk Screening Community based exercise
  • 10. 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
  • 12. Identification Bar-coded Identity Cards
  • 13. HMIS Web-based Patient- physician Interaction Supply Chain Management
  • 14. Our Strategy Infrastructure Human Resources Interventions Financing
  • 15. Health Extension Worker Screening Patient Management Follow-up
  • 16. The Physician Patient Management Community Engagement Wellness Tracking AYUSH physician based training and certification model
  • 18. Our Strategy Infrastructure Human Resources Interventions Financing
  • 19. CVD Risk Factor Screening BMI WHR BP Family History Personal History High risk patients recommended detailed blood work-up
  • 20. Screening for Refractive Errors Myopia Hyperopia Presbyopia Cataract
  • 21. Accessible Solutions Dispensing Glasses
  • 22. Diagnostics Blood Collection Hub & Spoke Movement
  • 23. Diagnostics Analysis at Hub
  • 24. Primary Care Dentistry Screening Scaling ART
  • 25. Women’s Health Awareness Cervical Screening STD Management
  • 26. Our Strategy Infrastructure Human Resources Interventions Financing
  • 27. 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
  • 28. 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
  • 29. 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 HLEG 15,814
  • 30. HealthCare Financing Way Forward – Managed Care Preventive Primary Secondary/Tertiary Hospitalization User Fees Insurance Managed Healthcare (HMO)