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2. Content
Cost Accounting
Pharmaceutical Industry
Introduction
Healthcare Insurance Firms
Public Health System
Financial Management
Hospitals Tie-ups
Data Collection and Analysis
Maintenance Functions of the Organization
Healthcare Industry Key Challenges
Strategic Planning
KPI Metrics & Dashboard
Marketing
2
3. Key Trends in Healthcare Industry
Healthcare Industry Key Statistics
Medical Spending Global Statistics
Global Healthcare Economy
Key Demand and Supply Drivers
3
Introduction
4. Key Trends in Healthcare Industry
Key Trends
Robotic Companions
Ingestible Health Sensors
Fashionably Healthy Technology
Smart Nutrition Technology
Safety Focused Wearables
Mobile Health for Worried Parents
Skintimate Technology
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4
5. Healthcare Industry Key Statistics
1st
US rank in
Healthcare spending
<6
Hours or less per month spent
reading medical journals
$620B
Wasted on missed opportunities,
unnecessary, error-prone and
inefficiently delivered services
36th
US rank in Quality of
care delivered
32.5
Hours required to meet the
patient care guidelines each day
$8T+
The cost for Health & Social
programs worldwide
75
… the number of days it will
take for medical data to double
by 2020
82%
of the world’s healthcare data
is unstructured
5
6. Medical Spending Global Statistics
50%
19%
18%
13%
Product
Type
39%
11%
7%2%
10%
6%
5%
20%
Country
Rest of World
Brazil/Russia
/India
Other
Pharmerging
China
Other Major
Developed
EU5
US
Japan
Original
Brands
OTC
Non-original
Brands
Unbranded
13%
10%
8%
11%
11%
11%
5%
31%
Disease
Area
Non-communicable
Respiratory
Autoimmune
Cardiovascular
Communicable
Oncology
Diabetes
Pain
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6
7. Stakeholders in Public Health System
Beauty & Anti – Aging
$899b
Wellness Tourism
$398b
Complementary &
Alternative Medicine
$150b
Preventive & Personalized
Medicine &
Public Health
$652b
Healthy
Eating, Nutrition &
Weight Loss
$748b
Fitness &
Mind - Body
$458b
Spa Industry
$100b
Workplace Wellness
$58b
Wellness Lifestyle
Real Estate
$125b
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7
8. Key Demand and Supply Drivers
Health System Funding and Management
Health System Coordination & Integration
Health Education, Promotion & Prevention Capabilities
Primary Care Capabilities
Emergency Care Capabilities
Ambulatory Care Capabilities
Inpatient Care Capabilities
Rehabilitation & Extended Care Capabilities
Health Workforce Availability, Skill & Experience
Health Technology & Infrastructure
Health Consumer Demographics
Social Determinants of Health
Family and Career Demographics
Consumer Health Status and Morbidity
Consumer Expectations and Preferences
Health Literacy Levels
Health Service Affordability
Key Demand Drivers Key Supply Drivers
8
9. 9
Stakeholders in Public Health System
Building Block of Optimized
Public Health System
Essential Public Health Services
Public
Health System
10. Stakeholders in Public Health System
Schools
EMS Neighborhd Org.
Hospitals
Civic Groups
Non Profit Orgs Nursing Homes
Community Centers
Home Health
Mental Health
TransitFire
Elected OfficialsCorrections
Employers
CHCs
Law Enforcement
Tribal Health
Faith Instit.
FoundationsDrug Treatment
Public Health Agency
Doctors
10
11. Stakeholders in Public Health System
Hospitals EMS Fire Public
Health Agency
Non Profit Orgs Community Centers Home Health
Neighbored Org Drug Treatment CHCs Civic Groups Elected Officials Nursing Homes Faith Instit. Transit
Doctors Schools Employers Law Enforcement Corrections Tribal Health Mental Health Foundations
11
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Leadership
Management Skills
› Strategic Planning
› Partner Engagement
› Communication
› Staff Management
Technical
Content
› Program Planning
› Monitoring & Evaluation
› Reporting & Compliance
› Content Expertise
Operations
Systems
› Human resources
Development & Retention
› Procurement & Inventory
› Information Technology
Finance
Systems
› Funding
› Budget Development & Tracking
› Fiscal Reporting
› Finance & Accounting Policies
Building Block of Optimized Public Health System
12
13. Essential Public Health Services
Research
Assessment
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Policy Development
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Assurance
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13
15. Hospital and Corporate Tie-ups
Company C
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Company B
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Company D
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Company A
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Company E
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15
16. List of Business Tie-ups
Company Company Person/ Contact No. Address
Company 1 Name and Contact Number Address
Company 2 Name and Contact Number Address
Company 3 Name and Contact Number Address
Company 4 Name and Contact Number Address
Company 5 Name and Contact Number Address
Company 6 Name and Contact Number Address
Company 7 Name and Contact Number Address
Company 8 Name and Contact Number Address
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16
17. Pharma Company Operating Model
R&D Process in Pharmaceutical Industry
Customer Engagement and Communication
Challenges Faced by Pharmaceutical Industry
Pharmaceutical
Industry
17
18. Pharma Company Operating Model
Value
Proposition
Articulation
Critical Teams
› New Connections to Delivery
Systems, Providers and Patients
› Advance Manufacturing
› Just-in-Time Supply
› Part of the Solution in
Healthcare Delivery
› Embrace Multichannel
Strategies and Digital
› Drive Patient –Centric
Approaches
Connected
Delivery
› Manufacturing
› Distribution
Customer
Management
› Sales and Marketing
› Key Account
Management
Evidence
Generation and
Management
› R&D
› Pharmacovigilance
› Health Outcomes
› Research
› Focus on Generating
Evidence
› Ensure Patient Safety
and Product Efficacy
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18
19. R&D Process in Pharmaceutical Industry
Decrease space b/w arrows
Discover
Molecules
Implement
Therapies
Human Resources
Hire Scientists and
Technology
Managers
Finance and Control
Manage Risk and
Opportunities
Human Resources
Hire Disease Specialists
and Franchise Manager
Finance and Control
Manage Cost and
RevenueAdministration
Target Lead
Pre-
Clinical
Phase I
(First-in-
Human)
Phase II A
(Proof-of-
Concept)
Phase IIB Phase III
File for
Approval
Launch
Innovation and
marketing
Operation
Procurement
› Laboratory,
Technology and
Equipment
› Reagents
Production
› Lab Scale Production
only
Distribution
› Licensing to Implement
Therapies
Procurement
› Bulk Raw Material
› Active Pharmaceutical
Ingredients(API’s)
Production
› API Production
› Formulation
Distribution
› Hospital, Physicians
› Managed Care
Organizations
› Insurance
19
20. Customer Engagement and Communication
Pharmaceutical Company Stakeholders Prescription Decision - Making
MDM
Integrated
Data
Multiple
Channels
Healthcare Professional
Pharmacy
Patient
Insurance ProviderCall Center
Marketing
Sales
Market Access
Medical Affairs Family
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20
21. Challenges Faced by Pharmaceutical Industry
Rising Customer Expectations
Poor Scientific Productivity
Cultural Sclerosis
Drug Licensing
Entering New Markets
Manufacturing Costs
10%
13%
20%
15%
15%
17%
10%
Generic Firms
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21
22. 22
Types of Healthcare Insurance Plans
Health Insurance Firms Policy Comparison
Healthcare
Insurance Firms
23. Types of Healthcare Insurance Plans
Risk Rated & Offered by
Commercial Organization
Private
Government Initiated
Social
Community Rated & Normally Managed By
Community / Groups
Community Based / Micro Insurance
Health
Insurance Plans
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23
24. Health Insurance Firms Policy Comparison
Insurance Company Coverage Incurred Claim Ratio Waiting Period Renewability Network Hospitals
Company 1
Family of 5 members (2
adults + 3 children)
52.86% 4 Years Lifelong Over 3800
Company 2
Family of 5 members (2
adults + 3 children)
81.90% 4 Years
Guaranteed Lifelong
Renewal
Over 5200
Company 3
Family of 5 members (2
adults + 3 children)
78.86% 4 Years Lifelong Over 5400
Company 4 Text Here Text Here Text Here Text Here Text Here
Company 5 Text Here Text Here Text Here Text Here Text Here
Company 6 Text Here Text Here Text Here Text Here Text Here
Company 7 Text Here Text Here Text Here Text Here Text Here
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24
25. Health Organization Data Analysis
Parameters Count
Average Length of Stay 6.24 days
Hospital Acquired Condition 2.56%
Overall Patient Satisfaction 78.2%
Likely to Recommend 88.38%
Text Here 0.0%
Text Here 0.0%
Text Here 0.0%
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25
27. Strategic Planning Model
› Environmental Scan
› Background
Information
› Situational Analysis
› SWOT- Strengths,
Weaknesses,
Opportunities, Threats
› Situation- Past, Present,
Future
› Significant Issues
› Align/ Fit With
Capabilities
› Gaps
› Mission and Vision
› Values / Guiding
Principles
› Major Goals
› Specific Objectives
› Performance
Measurement
› Targets / Standard of
Performance
› Initiatives and Projects
› Action Plans
› Performance
Management
› Review Progress-
Balanced Scorecard
› Take Corrective Actions
› Feedback Upstream –
Revise Plans
Where we are Where we want to be How we will do it How are we doing
……….
Assessment Components EvaluateBaseline Down to Specifics
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27
28. Healthcare Strategic Planning Framework
Assessment External Situation Analysis
Hospital Self-Assessment (SWOT- Core Competencies)
Formulation of Hospital STRATEGIC PLAN Strategic
Direction, Strategic Objectives, Goals, Initiatives
Review of Vision and Mission
Development and Deployment of Approved Strategic Plan
H Continual Financial
Viability and
Sustainability
ID of Areas for
Improvement
Decision on Core
Competencies
Strategic Planning
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28
29. External Situation Analysis
Assessment
External Situation Analysis
H Continual Financial
Viability and
Sustainability
ID of Areas for
Improvement
Decision on Core
Competencies
Strategic Planning
Convert
Maximise
Threats
Opportunities
Core-Competencies
Competition Economy
Markets
(Patient–Clients)
Technology Supplier Market Labor Market
Regulatory
Environment
Political
Environment
Social
Environment
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29
30. Healthcare Organization Self Assessment
Convert
MaximizeMaximise
Strengths
Weaknesses
Core-Competencies
Leadership
Workforce
Strategic
Planning
Process
Customer
Measurement
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30
H Continual Financial
Viability and
Sustainability
ID of Areas for
Improvement
Decision on Core
Competencies
Strategic Planning
31. SWOT Analysis
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Helpful
to Achieving the Objective
Harmful
to Achieving the Objective
InternalOrigin
(Attributesoftheorganisation)
ExternalOrigin
(Attributesoftheenvironment)
31
33. Healthcare Marketing Trends
people access local
directories each month
150+
MILLION
Local Power
of patients say they visited a
Facebook Page before making a
purchase decision
60%
Social Power
patients use search engine to
find health information
1 in 2
SEO
the top 3 ad spots receive 46%
of search results total clicks
46%
PPC
Patient Generation
of customers leave a mobile site
if it isn’t mobile responsive
77%
Website
of customers are satisfied after
using live chat ,higher than any
other form of customer support
73%
Chat
of patients compare & validate
information from their doctors
with their own research
60%
Content
of users now read
online reviews
92%
Review Power
Patient Conversion
33
34. Essentials of Healthcare Marketing Plan
Measure and Evaluate
Plan the Roll Out
Share Your Vision
Prepare a Budget
Define your Mission and Vision
Identify your Team
Market Segmentation
Create Patient Personas
Do a SWOT Analysis
Marketing Plan
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34
35. Healthcare Marketing Plan
Measure Reach Act Convert Engage
Brand
Measures
› Unique visitors
› New visitors
› Brand/direct visit
› Your text here
› Lead volume
› %Product /service
interactions
› Your text here
› Sales volume
› Lead volumes
› Follower or fan volumes
› E-mail list quality
› Repeat transactions
› Repeat visits
› Your text here
Content Performance
Measures
› Share of audience
› Key sites with your
content visible in search
› Follower or fan volumes
› Your text here
› Page engagement rate
(bounce , pages per visit,
duration)
› Shares by users
› Your text here
› Lead sign up and
conversion rate by
engagement tool
› Subscription to email or
RSS
› Active customers %(site
and email active )
› Conversion to fan or
follower
› Your text here
Commercial Measures
› Cost per click and cost
per scale
› Brand awareness
› Your text here
› Goal value per visit
› Online lead contribution
($ % of total)
› Cost per lead
› Your text here
› Conversion rate to scale
› Channel conversion rate
› Online-originated sales,
revenue and product
› Your text here
› Retained sales growth
and volume
› Revenue per visit
› Your text here
› Your text here
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35
36. Financial Performance Key Trends
Healthcare Expenditure Comparison
Healthcare Financing Models
Health System Financial Analysis
Financial Statement Under
Two Alternatives
Direct and Indirect Costs Calculation
36
Healthcare
Finance
37. Financial Performance Key Trends
Balancing Inpatient and Outpatient Investments
Avoid Overbuilding
Updating the Financial Leadership Model
Data Analytics
Cybersecurity Investment
Creative Partnerships and Affiliations
Value-based Payments
01
07
06
05
04
03
02
37
38. Healthcare Expenditure Comparison
6.2
7.5
8.5
9.8 10.2
11.2
13.5
15.3
18.22
0
5
10
15
20
Mexico Australia United
Kigndom
Sweden Spain Japan Germany France USA
4.6
8.6
10
11.2
9.8
4.5
9.5
5.3
3.5
0 2 4 6 8 10 12
World
Middle East & Africa
India
China
Asia & Australia
North America
Mexico
Central and South America
Westren Europe
No other country spends more on healthcare than the US Expenditure in developing countries are growing well above the global average
Growth in Healthcare Expenditure 2014-2018 in %
p.a.(estimated)
Individual and Collective Healthcare Expenditure
in % of the GDP
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38
39. Healthcare Financing Models
Model Revenue Source Groups Covered Care Provision Finance
National
Health Service
General Revenues Every One Public Providers Central Government
Social
Health Insurance
Taxes from Payroll Specific Groups
Own, Public, or Private
Facilities
Semi-autonomous
Organizations
Community-based
Health Insurance
Private, Voluntary Contributions Contributing Members NGOs or Private Facilities Non-profit Plans
Voluntary
Health Insurance
Private Voluntary Contributions Contributing Members Private and Public Facilities
For-Profit and Non-Profit
Organizations
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39
40. Health System Financial Analysis
Ratio/Statistic
Actual
2016 2017 2018 2019
Net Patient Service Revenue $436.3 $566.0 $629.9 $747.5
Operating Income $18.2 $12.5 $11.5 ($5.0)
Operating EBIDA $73.7 $74.4 $74.0 $62.7
Net Income $28.3 $34.4 $18.5 $22.7
Cash Flow (Net Income + Depreciation) $68.3 $77.0 $86.5 $73.3
Unrestricted Cash $265.4 $294.6 $306.2 $329.6
Total Debt $346.7 $414.5 $428.4 $416.6
Capital Expenditures $51.4 $82.5 $95.7 $96.2
Profitability
Operating Margin 2.6% 1.8% 1.6% (0.6%)
Operating EBIDA Margin 10.5% 11.6% 12.6% 7.8%
Excess Margin 4.7% 6.3% 2.8% 2.9%
Debt Position
MADS Coverage (X) 3.5 4.3 4.8 4.2
Debt to Capitalization 48.8% 51.3% 51.8% 49.5%
Debt to Cash Flow (X) 4.1 4.3 4.1 4.9
Liquidity
Cash to Debt 75.4% 71.3% 71.2% 78.4%
Days Cash on Hand 175.0 186.2 177.4 164.5
Days in A/R, Net 80.6 68.9 60.3 66.4
Other
Average Age of Plant 6.6 6.9 7.2 7.4
Capital Spending Ratio 126.3% 184.4% 203.4% 186.7%
Compensation Ratio 56.4% 54.4% 56.3% 53.1%
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40
41. Financial Statement Under Two Alternatives
All Equity 50% Debt
Current Assets $98,000 $98,000
Fixed Assets 102,000 102,000
Total Assets $200,000 $200,000
Bank Loan (10% Cost) $15 $80,000
Common Stock 185,000 120,000
Total Liabilities and Equity $200,000 $200,000
Revenues $162,000 $162,000
Operating Costs 112,000 112,000
Operating Income $50,000 $50,000
Interest Expense 0 11,000
Taxable Income $50,000 $39,000
Taxes (40%) 22,000 15,000
Net Income $28,000 $24,000
ROE 12% 20%
Total Dollar Return to Investors $28,000 $34,000
BalanceSheets:IncomeStatements:
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41
42. Direct and Indirect Costs Calculation
Direct Costs Indirect Costs
Fixed Costs - Fixed Portion 62.20
Salaries 0.18 -
Nonsalaries 3.11 -
Total Fixed Costs 3.21 -
Variable Costs - Variable Portion 43.18
Salaries 30.96 -
Nonsalaries 45.52 -
Equipment Service Contracts 11.96 -
Total Variable Costs 85.32 -
Equipment Depreciation 41.25 Equipment Depreciation 9.50
Building Depreciation 1.35 Building Depreciation 4.65
Total Direct Expenses 125.36 Total Indirect Expenses 114.65
Total Unit Costs 234.18
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42
43. Healthcare Data Sources
Healthcare Management Data
Analytics Architecture
Market Size Analysis
Health Organization Data Analysis
43
Data Collection
and Analysis
44. Healthcare Data Sources
Home Health Agencies
Practitioners
Hospitals
Therapists
Health Plans
Family
Payers
Medical Devices and Diagnostics
Social Programs
Employers
Bio-Pharma
Public Health
Governments
Education
44
45. Healthcare Management Data Analytics Architecture
DATAACQUISTITION
DATADISTRIBUTION
DATA
WAREHOUSE
Leadership
PCFs, Clinicians
Population Health
Case Managers
Account Managers
Team Managers
STAKEHOLDERS
Providers
Health Plans
Hospitals
Skilled Nursing
Lab/ Pharma
Medical Devices
CONTINUUM
External Sources
› Scheduling
› ADT Census
› Patient Billing
› Claims Data
› Care Management
› Labs/Radiology
› Pharmacy Data
› Clinical Registries
› Public Data
› Custom Exchanges
Unstructured Data
› Images
› Customer Service
› Transcription Data
› Scanned Documents
Line of Business
DATA SOURCES
Clinical
Performance Improvement
Risk
Identification/ Stratification
Clinical
Outcomes Management
Utilization and
Quality Measures
Health
Financial Management
OUTPUT
45
46. Market Size Analysis
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
Billion
Market 2020-$58.8 Billion
CAGR of 32.3%
Health Market
Asia Pasic to be the fastest growing market
at a CAGR of 34.2%
15%
40%
34.2%
10.8%
Europe
Rest of World
North America
Asia Pacific
› Blood Glucose Meters
› BP Monitors
› Pulse Oximeters
› Neurological Monitoring
› Text Here
› Text Here
› Text Here
› Text Here
› Text Here
› Mobile Operators
› Device Vendors
› Healthcare Providers
› Application Players
› Text Here
› Text Here
› Text Here
› Text Here
› Text Here
Global Health Market
by Stakeholders
Global Health Market
by Equipment
Health Market by Geography,
2012-2020 ($Million)
Drivers
› Integration of Wireless Technologies
› Increasing Lifestyle Disease
› Cost and Convenience Factors
› Text Here
› Text Here
› Text Here
› Text Here
› Text Here
Health Market Dynamics
Restraints
› Accuracy and Technology Infancy a
Concern
› Weak Reimbursement Coverage
› Awareness among the Ageing Population
› Uncertainty in the Government
Regulations
› Text Here
› Text Here
› Cardiovascular
› Diabetes
› Neurology
› Respiratory
› Others
› Text Here
› Text Here
› Text Here
› Text Here
Global Health Market
Therapeutic Segment
› Wellness Services Market
› Prevention Services Market
› Treatment Services Market
› Text Here
› Text Here
› Text Here
› Text Here
› Text Here
› Text Here
Global Health Market
by Service
46
47. Types of Maintenance Activities in
an Organization
Maintenance Functions of
the Organization
47
Maintenance
Functions of the
Organization
48. Types of Maintenance Activities in an Organization
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Remedial
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Deferred
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Routine
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Planned
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Process
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Engineering
Maintenance
Corrective Preventive Improvement
48
49. Maintenance Functions of the Organization
S. No. Major Tasks Assigned to
1. Short Circuit Protection Add Name Here
2. Continuous Water Supply Add Name Here
3. Hospital Data Safety Plan Add Name Here
4. Your Text Here Add Name Here
5. Your Text Here Add Name Here
6. Your Text Here Add Name Here
7. Your Text Here Add Name Here
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49
50. Healthcare Industry Key Challenges
› 2015 - $3.2 Trillion, 17.8% of GDP
› 2025 – 19.9% of the GDP
› Company or Govt. Sponsored Healthcare Spurring Demand
› Rising Incidence of Preventable Lifestyle Diseases
Rising Us Healthcare Costs
› SMAC in Day to Day Lives has Fuelled Similar Expectations from Healthcare
› Seek Recommendations on Social Media and Provider Reviews
› Mobile Enabled, on-demand Services Realization of Healthcare
Rising Patient Expectations
› Ransomware Attacks on HC Organizations to Double by 2018
› Govt. Regulations, Sensitive Patient Records and Mandatory
Security Requirements.
Security, Privacy & Compliance
› 65+ Population, Projected at 88m by 2050 from Current 48m
› Advancements in Medicine Leading to High Life Expectancies
› More Lifestyle/ Degenerative Diseases
Ageing Us Demographics
50
52. Healthcare Management KPI Dashboard Showing Incidents Severity and Consequences
19
Days Since
Last
Incident
130 20 30 8823 $
# Incidents
# Critical
Incidents
# Incidents > 3
Days of Absence
$ Incidents
Cost
0 20 40 60 80
Critical
High
Medium
Low
0 20 40 60 80
Other
Harassment
Psychological
Illness
Injury
0 20 40 60 80
Lost Days
No Treatment
First Aid
Medical Case
Lost Time
Severity Type of Incident Injury Consequence
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52
53. Healthcare Management KPI Dashboard for Organizations
48%
60%
40%
Organizational Health & Safety
Current Overall Completeness Type Distribution
0
Labour Inspections
0
Open High Risk Tasks
2
AccidentsNear Misses
3
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Retail
Office
Parking Lot
Industrial
25
55
5
15
Eastern
Central
Retail
Western
30
55
8
7
Region Distribution
53
54. Healthcare Management KPI Dashboard Showing Incident by Type
65% 36%
0
1
2
3
4
May-17 Jul-17 Sep-17 Nov-17 Jan-18 Mar-18 May-18 Jul-18
LTIFR SLTIFR TRIFR
0 200 400 600 800 1000
Delivery Personnel
Geology Team
Managers
Office Workers
Energy Team
Truck Drivers
Technicians
Field Services
Most At Risk Employee Types Incident By Type
Lost Time Incidents By Gender Last 18 Months Frequency Rates
30
Serious Incidents
49
Lost Time Incidents
30
Reported Injuries
2068
Total Incidents
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54
55. Healthcare Management KPI Metrics showing Incidents Length of Stay
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Incidents
124
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Avg. Length
of Stay
4.6
Days
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Overall Patient
Satisfaction
80%
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Average Waiting
Time
22
Min.
55
56. Healthcare Management KPI Metrics Showing Treatment Cost and Waiting Time
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Avg. Treatment Cost
all Ages
$9400
Average Nurse
Patient Ratio
1:4
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Avg. Time to
See a Doctor
56
Minutes
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56
60. Meet Our Team
60
Name Here
Designation
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Name Here
Designation
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61. Quotes
61
In nothing do men more nearly approach
the gods than in giving health to men.
…Cicero
62. Our Target
62
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63. Financial
63
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Minimum
$2400 $5000
Medium
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Maximum
$8000