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Dr.

Devi Shetty
Chairman
Narayana Hrudayalaya, Bangalore
Asia Heart Foundation, Kolkata

100 years after the first heart


surgery less than 8% of the
worlds population can afford it.

If a solution is not affordable it


is not a solution

India requires 2.5 million heart


surgeries a year.
India does 60,000 heart
surgeries a year

Narayana
Narayana Hrudayalaya,
Hrudayalaya, Bangalore
Bangalore

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Rabindranath
RabindranathTagore
TagoreInternational
InternationalInstitute
Instituteof
ofCardiac
CardiacSciences,
Sciences,Kolkata
Kolkata
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Narayana Hrudayalaya
institute of cardiac sciences
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heart surgeries a day


Heart surgery for Rs.65,000
Coronary angiogram for Rs.4500
Worlds largest pediatric cardiac surgery
unit.
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In

an Industry where
disposables comprise 45% of
the cost, it is the number game.
Large number reduces the cost
and improves result.
Two Health City projects of
5000 beds each.
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Technology gives the rich


what they already have but it
gives the poor what they can
never dream of having .

Converting the atoms into


bytes

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Telemedicine
Less

than 1% of the sick requires an


operation
If you do not need to operate, you dont
need to touch
If you dont need to touch, you dont need
to be there

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Telemedicine
Telemedicine

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6 hours following the heart


attack is the golden period

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Telemedicine
A joint

venture of Indian space research


organization, Asia heart foundation
Narayana Hrudayalaya and various state
governments
22 telemedicine centers
Over 16,000 patients treated free
Free telemedicine software from SN
informatics
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Telemedicine
Telemedicine Center
Center with
with CCU
CCU at
at Agartala,
Agartala, Tripura
Tripura
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Trans
Trans Telephonic
Telephonic ECG
ECG Network
Network

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Digital
Digital X-ray
X-ray aa Joint
Joint Venture
Venture with
with Texas
Texas Instrument
Instrument
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Free
Free MRI
MRI Scan
Scan

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Mobile
Mobile Diagnostic
Diagnostic Lab
Lab

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Yeshasvini
Bengal

Famine was not due to


lack of food, it is the lack of paying
capacity to buy food
Amartya Sen
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Poor people in isolation are


weak but together they are
very strong

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Yeshasvini micro health


insurance
Unless

you address the problem of paying


capacity building hospitals is not going to
solve the health problem
High interest rate
35% occupancy
Rural indebtedness is mainly because of
health problems
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Yeshasvini Micro Health


Insurance
A joint

venture of the Karnataka State


Co-operation Dept and Narayana
Hrudayalaya/ Asia Heart Foundation.
1.7 Million farmer members in the first
year.
2.5 Million farmer members in the
second year.
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Yeshasvini in 20 months
85,000

farmers had free medical treatment


22,000 farmers had free surgeries
1400 farmers had heart surgeries

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All for 5 rupees a month

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Arogya Raksha Yojana


A comprehensive

Health scheme for Anekal Taluk,

Bangalore
Joint venture of Narayana Hrudayalaya, Biocon
and ICICI
Free OPD consultation
Diagnostics at discounted rates
3 days inpatient treatment
Cashless surgical facility
Generic drugs at 30% of the market rate.

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Disassociate healthcare from


affluence by using modern
economic and technical tools.
Provide

a vehicle for the common man to


contribute a tiny amount of money every
month to cover his healthcare.

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Generic drugs

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Dissociate academic
credentials from ability

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Congenital heart surgery


separates the men from the boys
-Christian Bernard

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Break up complex task into


many islands of excellence

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Replacing the moving parts


of a medical equipment to
PCBs can reduce cost to
any level

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Signing
Signingof
ofMOU
MOUwith
withIndira
IndiraGandhi
GandhiNational
NationalOpen
OpenUniversity
University(IGNOU),
(IGNOU),New
NewDelhi
Delhi

IGNOU
Diploma in Community Cardiology
Diploma in Community Nephrology
Diploma in Community Neurology
Diploma in Community Endocrinology

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Year 2008, India worlds


largest mass healthcare
provider
We produce

the largest number of doctors,


technicians and nurses in the world
Policy changes
Pharmaceutical capacity
Of course by default
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