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Vol 4 Issue 5 August 2014 `100

INSIDE

A South Region
Special Edition

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Bringing The Most Reliable, Innovative & World class Imaging,

Cardiac & Critical Care solutions within Healthcare Reach.

The Most Reliable Solutions

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Vol 4 Issue 5 August 2014 `100

INSIDE

A South Region
Special Edition

Going South
Healthcare infrastructure has surged
by leaps & bounds, particularly in the
Southern region of India pg 22

Strategy

Building a winning team is


a never ending work in
progress pg 36

Safety First

Errors & mishaps in a


hospital that lead to harm,
have dual effects pg 40

Industry Trends

Home healthcare is
opening new career
doors for nurses pg 43

THE

Welcome to the August edition of Health Biz India!


Recently, a poll was conducted by my team about which region of India
has the best medical facilities. A staggering 84 per cent pointed towards
South India!
If you look at the last few decades, the region has actually shown some
tremendous growth. Be it Narayana Hrudayalayas bottom of the pyramid
model or Aravind Eye Cares outstanding network, there are countless
instances where Southern India has proved its mettle. Our August edition
is thus dedicated to this fastest-growing region of India. Sit back and enjoy
the ride in this South Special Issue!
As you know, our Strategy section is currently running a series on
champion teams. In the second part this month, Vivek Shukla explains
that a winning team is not built in a day, and doesnt stay a winning team forever; its a never
ending work in progress.
In our Safety First section, Dr. Nikhil Datar sheds light on a phenomenon in which errors and
mishaps in a hospital set-up that lead to harm, have dual effects; on patients as well as on the
clinicians. Apparently, the WHO is now looking at healthcare professionals involved in such
incidences as second victims of patient safety accidents. Read the section to know more.
We all know that home healthcare is now gaining momentum in India, with many new
organisations stepping into the business. This segment is also offering new avenues for a whole
lot of healthcare workers too, especially nurses. Our Industry Trends, thus, rightly covers how

FROM

EDITOR

home healthcare is now seeming to be a favourable trend for nurses in India.


Moving further, we all lead a stressful work life with crazy and long working hours. Under
the burden of all this work, we tend to forget that our health is getting side-lined, especially our
backs and necks, which pay the price for our erratic work hours. Health Beyond Fitness this
month tells you the right postures of sitting at work for long hours.
Our Travel section in this edition takes you to Kabini, which lies in the Nilgiri Biosphere
Reserve of the Western Ghats, and is one of the worlds 10 Hottest Biodiversity Hotspots,
declared by UNESCO. Enjoy the adventure with some aptly clicked pictures.
How many times have we accidently dropped our phone in a (ahem) bowl of water? Or
probably spilled some or lots on it? On most occasions, we had to bid adieu to our beloved
device. Well, seems there are ways to save this life, which our Tech-o-Manic section will tell you
about.
Happy Reading!

Jayata Sharma-Sand

Health Biz India August 2014 3

Content August 2014 Vol 4 Issue 5

HEALTH

BIZ INDIA
Indias 1st Online Healthcare Business Magazine

Editor-in-Chief
Jayata Sharma-Sand
Editorial Contributors
Vivek Shukla
Dr. Nikhil Datar
Dr. Tennore Ramesh
Dr. Gerd Mueller
Usha Prabhakar
Avirat Shete
Prashant Pathak
Marketing & Sales
Regional Sales Head
(New Delhi) Bhupesh Tewari
Consultant
(Mumbai) Deepti Khanna
Art & Design
Glowrt Design House
Cover Design
P. Jadhav
Online Production
P. Jadhav & Vishal Phalke
Disclaimer: Health Biz India is an online magazine only. We do not deal in any other service/
product under this name. Views and opinions
expressed in this magazine are not necessarily
those of Health Biz India, its Publisher and/or
Editors. We, at Health Biz India do our best to
verify the information published but do not take
any responsibility for the absolute accuracy of the
information.
Health Biz India does not take the responsibility
for any investment or decision taken by readers
based on the information provided in the magazine. No part of this magazine can be reproduced
without prior written permission of the Publisher.
Health Biz India reserves the right to use the
information published in the magazine in any
manner whatsoever.
Printed by Himanshu Manral and Published by
Jayata Sharma-Sand on behalf of Health Biz
India.
Printed at A 120, Okhla Phase II, New Delhi 20;
and Published at C-1/701, Neelpadamkunj, Sector 1, Vaishali, Ghaziabad 201010

Content

Center Stage----------------------------------------------------------------------------22
One of the largest service sector industries in India, healthcare is playing an increasingly pivotal
role in the nations economic growth story. Driven by allied services such as pharmaceuticals,
biotechnology and software solutions, healthcare infrastructure has surged by leaps and bounds,
particularly in the Southern region of India

Front of the Book

Opinion------------------------------------------------- 06
Dr. Ramakanta Panda, VC of Mumbais Asian Heart Institute,
expresses his opinion on Access to Healthcare in India

Top News----------------------------------------------- 10
News that impacts the industry in ways more than one. Every
month, we fish out and bring to you the top news from among
the lot of numerous news that streams in

Current Affairs----------------------------------------12

Latest takeovers & mergers, new launches, new technologies, and


updates of the industry
4 Health Biz India August 2014

www.healthbizindia.in

Features

Strategy ---------------------------------------------- 36

In the second part of our series, Story of Champion Teams, Mr.


Vivek Shukla explains that a winning team is not built in a day,
and doesnt stay a winning team forever; its a never ending work
in progress

Safety First --------------------------------------------40


Errors and mishaps in a hospital set-up that lead to harm, have
dual effects; on patients as well as on the clinicians

Industry Trends---------------------------------------43
Homecare open new doors for nurses; the segment is gaining
momentum in India, and it seems is a favorable trend for nurses

Special Feature --------------------------------------55


Early diagnosis of motor neuron diseases is becoming more
important so that patients can be medicated and managed to live
better

Health Beyond Fitness----------------------------58


Sitting for long hours takes a toll on your health; here are some
tips to improve your health with a sedentary job

Back of the Book

Leisure Travel--------------------------------------60

Kabini lies in the Nilgiri Biosphere Reserve of the Western Ghats,


and is one of the worlds 10 Hottest Biodiversity Hotspots,
declared by UNESCO

Leisure Tech-o-Manic--------------------------66

How to save a life; things you do when your phone becomes wet

Events---------------------------------------------------68
A monthly update on the healthcare events taking place in the
country & globally

Post Events-------------------------------------------69
AMENs 1-day conference on Healthcare Branding, Marketing
and Profitability at Chennai

Stretch your Business


Opportunities with
Health Biz India

Call us on:
+91 9718350415 / +91 9820839988
OR write to us at
marketing@healthbizindia.com

HEALTH

BIZ INDIA
Indias 1st Online Healthcare Business Magazine

Health Biz India August 2014 5

India is not a poor country, but a country with


many poor people
Around 40 per cent of Indias 1.1-billion population is living on less than $2 a day.
Yet, India spends more than 40 billion on weapons per year and less than 4 billion on healthcare.
Not surprisingly, India is burdened with a twin epidemic of infectious and non-communicable
diseases. Even as we tackle diarrhoea and tuberculosis as causes of large scale death, we face the
dubious distinction of being the heart disease and diabetes capital of the world. In the year 2015,
India is projected to lose 237 billion dollars as income loss attributable to the burden of chronic
disease.
Globally, the top 10 risk factors leading to disease, disability, or death are:
1. Underweight/malnutrition
2. Unsafe sex
3. Unsafe water, sanitation and hygiene
4. Indoor smoke from solid fuel
5. Zinc deficiency
6. Iron deficiency
7. Vitamin A deficiency
8. High blood pressure
9. Tobacco
10. High cholesterol
Generationally, it may take a couple
of turns to cure all of the above ills,
but heres an 8-point roadmap that
we could start with, keeping in mind
that improving access to healthcare for
under-served patients is our goal:
1. Sustainable model: We need
a sustainable social model that will
involve training our citizens in Health seeking behaviour a section of India is so poor that
they dont believe they deserve healthcare at all. This has to change, besides, the closest clinic or
dispensary or doctor in any form is a 5 km walk away.
2. Advocacy: This has to start with basics like not discriminating against the girl child, equal
opportunities for all and the need to take vaccines on time. These simple, local language programs
have to be delivered door-to-door, group by group. The top 10 risk factors outlined above also
need advocacy.
3. Human resources: In 2013, the Union Cabinet approved the governments plan for the
creation of a specialised cadre of healthcare workers for rural areas by instituting a three-yearcourse in state universities. The Bachelor of Science (Community Health) course will create a
cadre of Community Health Officers who will be posted at sub-centres, functioning under the
Ministry of Health and Family Welfare, where they can provide basic healthcare. The emphasis
on training will be on conducting normal deliveries, pre-and anti-natal care, handling diarrhoea,
pneumonia, vaccination, providing tuberculosis treatment and treatment of fevers and skin
infections. This should be started, and they should be made to fit seamlessly into the rural
healthcare system.
4. Healthcare infrastructure: Indias healthcare infrastructure is inadequate to meet the burden
of its diseases. India has just 130 beds per 1,00,000 population against a world average of 270
beds and the WHO mandate of 350 beds.
5. Access to treatment: According to World Bank data, India spends four per cent of its

OPINION
6 Health Biz India August 2014

GDP on health, which is among the lowest in the world (the average for LMICs is 5.7 per cent
denotes those countries within Sub-Saharan Africa, South-east Asia or South Asia (with the
exception of India). Many people cannot access treatment when they need it. Under the universal
health coverage, supplying free or subsidised medication should be a priority, especially to citizens
below the poverty line. This is vital, since medicines make up about 70 per cent of out-of-pocket
healthcare expenditure. Tamil Nadu, Kerala, and Rajasthan are some of the states which have
taken up this project and have had varying degrees of success in implementation.
6. Nutrition: One in every three malnourished children in the world lives in India; as per UNICEF
Madhya Pradesh records the worst at 55 per cent malnutrition, while Kerala is the best on this
front at 27 per cent.
7. Individual poverty, housing, water and sanitation: With 626 million people openly
defecating, India has the dubious distinction of accounting for 59 per cent of 1.1 billion people
worldwide who practice it. According to UN, this is the riskiest sanitation practice, one of the
main cause of diarrhoea. Each day, 3,000 children before the age of four die from this. Diarrhoea
related illness deprive India of 73 million working days each year. The supply of potable water
along with radical improvements in sanitation and waste control should be priority areas.
8. One country, many laws: A typical hospital needs to comply with several acts such as law
related to governing the commissioning of hospital, law governing storage/sale of drugs and safe
medication. Consider the following
which comes under different ministries:
a. The Quality Council of India (and its
NABH) is under Ministry of Commerce
and Industry.
b. The IPHS and Clinical Establishment
Act comes under Ministry of Health
and Family Welfare.
c. The Medical Insurance (IRDA) is
under Ministry of Finance.
d. BIS (Bureau of Indian Standards) and
Consumer Protection Act are under Ministry of Consumer Affairs, Food and Public Distribution.
e. Medical Council of India is another governing body.
There definitely needs to be an integrated approach to healthcare delivery and regulation. On the
institutional side, India has a chaotic healthcare delivery model, because there are no standards or
norms for clinical processes that need to be followed by the hospitals across India.

OPINION
Summing up

There is a need to build healthcare systems based on principles of equity, disease prevention and
health promotion. We have to strengthen the public sector leadership in equitable health care
systems financing, ensuring universal access to care regardless of ability to pay. We also need to
invest in national health work forces, balancing rural and urban health workers density if we have
to work on closing the healthcare gap in a generation.
There is a lot of work to be done, and from what I see of young healthcare professionals in the
country, who are among the best in the world, we are ready to rise to the challenge.
Dr. Ramakanta Panda is the Vice Chairman of Mumbais Asian Heart Institute, and worlds leading
cardiac surgeon. This Opinion piece is written by him as an ambassador for healthcare reform in
India.

8 Health Biz India August 2014

Current Affairs

Ford launches Innovate Mobility Challenge Series


The worldwide challenges kicked off in July in Lisbon, Portugal, Los Angeles, United
States, and Mumbai, India, before moving on to Delhi and the Chennai region

Top news

Ford recently announced


the launch of its Innovate
Mobility Challenge Series,
inviting the developer and
maker communities to come
together to find innovative
mobility solutions in eight
different locations around the
world.
The eight challenges of
the Innovate Mobility Series
will charge developers and
makers to propose solutions
to specific locally-relevant
issues including the delivery
of healthcare solutions
The worldwide challenges
kicked off in July in Lisbon,
10 Health Biz India August 2014

Portugal, Los Angeles, United


States, and Mumbai, India,
before moving on to Delhi
and the Chennai region in
India, Shanghai, China,
Johannesburg, South Africa,
and a countrywide challenge
in Argentina.
Reaching out to local
stakeholders lets Ford
more effectively address the
diverse mobility challenges
around the world, said Paul
Mascarenas, Fords Chief
Technical Officer and Vice
President, Research and
Innovation. Launching our
Innovate Mobility Challenge

Series in eight different


regions will bring global and
local players together in the
pursuit of one goal, which is
a smarter and more efficient
transportation network for
the future.
For each competition,
Ford will partner with local
authorities and experts to
address different issues in
each location. The
competitions will be judged
by a panel of Ford executives
involved in researching
mobility solutions, as well as
by local experts selected for
each competition. For full

details on all the challenges,


visit the Innovate Mobility
Challenge Series landing
page, fordsvl.com/
innovatemobility.
Each challenge was
designed to address a specific
issue facing the diverse needs
of cities around the world.
For Delhi, the SUMURR
Golden Hour Challenge
will invite developers to
create software applications
leveraging information to
decrease the time to get to
care and increase information
available for care to improve
health outcomes within the
critical Golden Hour after a
traumatic incident.
The submission period will
run from July 30 to October
30. For the Chennai region,
the SUMURR mHealth
Challenge will focus on
leveraging information
to extend health services
for remote rural regions
accessible from Chennai. The
submission period will run
from July 30 to October 30.
The first three competitions
of the Innovate Mobility
Challenge Series Mumbai,
Lisbon and Los Angeles
will offer prizes totalling
US$30,000 for each challenge,
with a grand prize of
US$15,000 for the winner of
each.

Current Affairs

Philips HC appoints Sameer Garde as President


An industry veteran with an extensive & interesting experience spanning over 24 years
Philips India announced the
appointment of Mr Sameer
Garde as President, Philips
Healthcare, South Asia,
effective from July 22, 2014.
In his new role, Sameer will
be based in Gurgaon and will
be responsible for driving
and building the healthcare
business for Philips in India. He
replaces Mr. Krishna Kumar
who continued to lead the
Philips Healthcare business
following his appointment as
Vice Chairman and Managing
Director.
An industry veteran with
an extensive and interesting
experience spanning over
24 years, Sameer started
his career in the consumer
industry with Nestle and
Pepsi before transitioning
to the B2B segment with

Top news

CURA & Sri Ramachandra University sign MoU


Recently, Mr. Bala, CEO,
CURA Healthcare and Dr.
SP Thyagarajan, Prof of
Eminence and Research, Sri
Ramachandra University
signed an MoU in presence
of Dr. JSN Murthy, ViceChancellor, SRU to establish
an industry-academia
partnership.
The objective is to
work together so as to
facilitate the advancement
of knowledge in Imaging
12 Health Biz India August 2014

Diagnostics technology. The


collaboration space includes
imparting training, being
part of their Radiology
and Imaging curriculum,
assist SRU in coming as an
external examiner in semester
examinations and in enhancing
contents of internship to be
undergone by the students of
Radiology & Imaging Sciences
of SRU, industrial collaborative
research projects, joint R&D
initiatives etc.

positions in Whirlpool and


Dell International. Prior to
joining Philips, Sameer headed
Enterprise Business at Samsung.
An alumnus of IIM Kolkata
and IIT Delhi, Sameer brings in
extensive experience in driving
sales and defining marketing
growth opportunities for both
B2C and B2B companies.
Commenting on his new role,
Sameer said I am looking
forward to this new role in
Philips and am excited about
working with the Philips
Healthcare team to strengthen
our leadership in the healthcare
space in India.
Krishna Kumar, Vice
Chairman and Managing
Director, Philips India said I
am confident that he will lead
Philips Healthcare to greater
scale and excellence.

Current Affairs

Dr. Devi Shetty awarded Honoris Causa by IIT-Madras


Dr. Devi Shetty, Chairman,
Narayana Health Group was
awarded with an honorary
doctorate degree of Doctor of
Science for his contributions
and commitment to the field
of Medical Science. The
Doctorate was conferred upon
him with the consent of the
President of India Shri. Pranab
Mukherjee to the proposal
made by Indian Institute of
Technology Madras (IIT-M).
The Honorary Degree was
bestowed by Prof. Bhaskar
Rammurthi Director, IIT- M
as part of 51st convocation at
a ceremony in Chennai.
Receiving the award, Dr.
Devi Shetty, Chairman,
Narayana Health, said, A

tribute to a person is always


an acknowledgment of his
ideologies, efforts and the
purpose to which that person
has devoted his life. It has
been our constant endeavour

at Narayana Health to bring


down the cost of healthcare
and make quality healthcare
accessible to all sections of
society. Thus, I share this
award with all those who have
also dedicated themselves for
this cause. He also added,
Consolidation is the only
way to reach out to a larger
level, for which its important
to partner with multiple
stakeholders, including
academia.
Dr. Devi Shetty is also the
recipient of the prestigious
civilian award, Padma
Bhushan for his contributions
in the field of healthcare,
especially heart care.
After completing his

graduate degree in Medicine


and post-graduate work in
General Surgery from Kasturba
Medical College, Mangalore,
he trained in cardiac surgery
at Guys Hospital in the United
Kingdom. He performed the
first neonatal heart surgery
in the country on a 9-dayold baby. In Kolkata, he
operated on Mother Theresa
after she had a heart attack
and subsequently served as
her personal physician. Dr.
Shetty founded Narayana
Hrudayalaya (now Narayana
Health) in 2001, which is
today one of the largest
multispeciality hospital chains
in India with 26 hospitals
across 16 cities.

HCIT VC funding doubled over Q1 with $1.8 bn in Q2 14


Mercom Capital Group, llc,
a global communications
and consulting firm, recently
released its report on
funding and mergers and
acquisitions (M&A) activity
in the Healthcare Information
Technology (IT) sector for
the second quarter of 2014.
Mercoms comprehensive
report covers deals of all sizes
in Healthcare IT across the
globe.
Venture capital (VC) funding
in the sector more than doubled
with $1.8 billion raised in 161
deals, a 104 percent increase
compared to the $861 million
raised in Q1 2014. Ten of those
deals were for more than $50
14 Health Biz India August 2014

million each.
The $2.6 billion raised so far
this year has already exceeded
the $2.2 billion raised in all
of 2013. There were 263
investors that participated in
these funding rounds, with 58
angel investors including some

well-known celebrities and


entrepreneurs. The quarter also
included 30 corporate venture
capitalists.
It was a quarter of several
milestones. It was the first
billion dollar fundraising
quarter for the Healthcare IT

sector which has now raised


almost $7 billion in venture
funding since 2010. M&A
deals were also at their highest
levels this quarter, while Mobile
Health companies continued to
outraise other technologies,
commented Raj Prabhu, CEO
and Co-Founder of Mercom
Capital Group.
Practice-centric companies
received 61 percent of all VC
investments in the second
quarter of 2014, with $1.1
billion in 61 deals. Areas that
received the most funding under
this category were Practice
Management with $220
million in eight deals, Data
Analytics with $204 million in

www.healthbizindia.in

Current Affairs

nine deals, Population Health


Management with $144 million
in four deals.
Consumer-centric companies
received $678 million in 100
deals, with the majority of
the funding again going into
the Mobile Health category
($401 million in 45 deals).
Within Mobile Health, $129
million went to 23 companies
developing Apps, $226
million went to 17 companies
developing Wearables. Personal
Health companies received
$115 million in 23 deals and
Scheduling, Rating & Shopping
companies received $61 million
in 12 deals.

Modular Bipolar technique saves life of a 95-yr-old


A 95-year-old woman,
a resident of Vashi-Navi
Mumbai, suffered from hip
fracture after slipping in the
bathroom at night. She was
bought to Sterling Wockhardt
Hospital where she had to
undergo a surgery. Dr Kuldeep
Tamboli, an Orthopaedic &
Joint replacement Surgeon at
Sterling Wockhardt Hospital,
conducted the surgery. The
operation had to be done with
utmost care as the risk was
high considering her age.
This the common fracture
in the elderly near the hip

joint also called an InterTrochanterric fracture. Dr


Kuldeep suggested modular
bipolar arthroplasty wherein
the fractured can be treated
by removing the fractured
bone and replacing it with an
artificial metal stem with a ball.
By this, we do not wait for the
fracture to heal and can make
the patient walk much earlier.
Operating on such an
elderly patient was a risk.
Ideally, we use a material called
bone cement to fix the stem
and the ball to the patients
thigh bone. But sometimes

using this bone cement can


cause severe allergic reactions
leading to even death of the
patient. The patients relatives
were already aware of such
complication as somebody they
knew had died due to allergic
reaction of the bone cement
during surgery. So a newer
technique of using a stem with
a special coating called HA
that sticks the bone without
using bone cement was decided
to be used.
The surgery went well and
she was back on her feet in a
short time.

US-based Comprehensive Prosthetics & Orthotics launches India operations


The United States-based
Comprehensive Prosthetics
& Orthotics (CPO), which
primarily focuses on improving
the lives of disabled through
innovative devices and
techniques, has commercially
launched its India operations
following huge response for
its pilot project for people
suffering from amputations,
limb loss, as well as lifestylerelated joint problems.
The company, started
by Indian-origin American
Mr Amit Bhanti, had been
operating a series of clinics in
the country on a pilot basis at
seven locations, including in
Delhi, Noida and Hyderabad.
The clinics will act as onestop solution for prosthetic
and orthotic patients, offering
technologically advanced and

cutting-edge products and


services. CPO last started the
state-of-the-art clinic in Jammu
recently.
CPO is the one of the
premium providers of all
prosthetics and orthotics
products and services in the US,
where it has a network of 21
clinics across various locations.
The company strategises to

implement a similar patientcentric model in India, where


the sector is very fragmented
and does not have many
specialised players.
The prosthetics and
orthotics space in India is very
unorganised and the sector is
in its early stages of growth.
There is a huge potential for
growth for the company here.

Also, we can offer customers


our customised and highend products along with the
support and guidance of our
rehabilitation experts. Our
aim is to restore mobility and
quality of life in those who
have lost hope, says Mr Amit
Bhanti, Clinical Director &
Global Chief Executive Officer
of CPO.
We have been running
clinics on a pilot basis at
various locations in India.
Seeing the huge response,
we have commercialised our
business and plan to launch
20 more clinics in the next one
year.
Our customised products
help people get on with their
lives independently by making
them resume their normal
activities of living.
Health Biz India August 2014 15

Current Affairs

Yashoda Cancer Institute unveils Triple F Radiosurgery


Yashoda Cancer Institute
recently launched the Triple
F beam which is more
accessible and affordable
to the people across India.
Triple F Radiosurgery unveils
a new realm in the world of
radiotherapy wherein hypofractionated stereotactic
treatments can be performed
for all types of cancers:
malignant or benign.
Triple F technology is the
Fastest: Increased dose rate
leads to shortened treatment
time, as low as 3 minutes
per day, compared to 1-3
hours of other radiosurgery.
With 4D Imaging it gives
better outcomes, hence, has

the highest Precision and


it is the Safest as it reduces
complications and sideeffects. Stereotactic body
radiotherapy and stereotactic
radiosurgery involve delivering

the total dose in fewer


treatment sessions, with a
greater portion of the dose
delivered in each session.
With the availability of this
Triple F technology; early

lung, liver, spine, prostate and


brain tumours conventional
radiotherapy treatment
sessions of five to six weeks
can be reduced to 1-3 days
of treatment, explained Dr.
GS Rao, Managing Director,
Yashoda Group of Hospitals.
The strength of the Cancer
Institute lies in the ability to
offer all treatment modalities
under one roof. The emphasis
is on combining all modalities
of treatment in the right
combination to achieve the best
results, while minimising the
side effects. The focus on organ
conservation surgery is to
improve quality of life without
affecting the chances of cure.

Thermo Fisher launches Customer Experience Center


Thermo Fisher Scientific Inc.,
the world leader in serving
science, recently announced
the launch of the Customer
Experience Center (CEC) in
Bangalore, India to showcase
its innovative technologies to
new and existing customers.
Genomics plays an
increasingly important role
in driving discoveries in the
life sciences. For example,
in medicine and healthcare,
genomics provides an
advantage in the development
of research into the diagnosis
and treatment of communicable
diseases including tuberculosis
and more serious diseases
such as cancer. In the fields
18 Health Biz India August 2014

of agriculture and the


environment, genomics
supports advancements in crop
development and the search
for alternative energy sources
improving the availability of
nutritious food and access to
sustainable energy.

The study of whole


genomes, or genomics, enables
researchers to find solutions
to some of the most complex
challenges in science today.
Thermo Fisher s new 1800
sq. ft. CEC is located in the
heart of Indias biotechnology

capital and designed to meet


these developing needs, which
cover the life sciences spectrum
including genomics, proteomics
and cell biology.
More than 24 training
programs have been scheduled
for the year 2014 at CEC,
which will enhance the
skills and knowledge of
approximately 200 scientists.
Joydeep Goswami, Asia
Pacific and Japan President Life
Sciences Solutions, Thermo
Fisher said, The CEC will
enable us to provide hands on
experience and training in our
latest technologies to scientists
in India and partner with
them.

Current Affairs

International recognition for Kerala surgeon at British Parliament


Keralas renowned
laparoscopic and liver surgeon
Dr. KP Haridas has been
honoured with a lifetime
achievement award for his
outstanding contribution
to healthcare, social work
and philanthropy. The
Thriuvananthapuram-based
surgeon was bestowed the
award at the UK South India
Business Meet 2014 held at
the Houses of Parliament,
Westminster, London recently.
Dr. Haridas received the
award from Lord Swraj Paul,
eminent Indian-born British
industrialist and Life Peer and
Member, UK House of Lords
in the presence of Mr Virendra
Sharma, Member, UK House
of Commons. Mr Alister
Jones, Deputy Director, UK
Trade & Investments (UKTI),

Mr Mike Knowles, British


Business Group, Mr Sujit
Nair, Director, BSICC and Mr
Philip Abraham, Vice-Chair,
BSICC were also present.
Dr Haridas holds the credit
for successfully carrying out
the first liver resection in
Medical College, Trivandrum
as early as 1980. In his

over four decade surgical


experience, he has performed
thousands of minimally
invasive gastrointestinal
surgeries, most of them
declared inoperable.
Dr Haridas, Chairman
and Managing Director of
the multi-disciplinary Lords
Hospital here also made a

presentation on New models


in Healthcare relevant to
South India. Mr Harish
Haridas, Vice Chairman,
Lords Hospital and Oxford
Alumni spoke about the
Business Opportunities in
Kerala. He highlighted the
initiatives taken up by the
Kerala Government and the
favourable investment climate
in Kerala.
Members of the House of
Lords, House of Commons,
representatives of UK and
Indian companies interested
in exploring business
opportunities in South India
were present. Business experts
and industry leaders from the
states of Karnataka, Kerala,
Andhra Pradesh, Tamil
Nadu and Pondicherry also
participated.

Ayushaktis first Ayurvedic Franchise Centre in Mumbai


Ayushakti Ayurved Pvt. Ltd.,
an ISO 9001 -2008 certified
company, recently launched
its first Ayurvedic Franchise
Centre at Elphistone Road
in Mumbai. The centre is
inaugurated by Bollywood
Actor Juhi Chawla. Spread
across 1,500 sq.ft area,
the first franchise centre is
owned by Mr. Chiranjeev
Shirvastava, CEO, Ayushakti
Ayurved Pvt. Ltd.
The Company is
spearheaded by renowned
women entrepreneur, Vaidya
Smita Naram, a successful
20 Health Biz India August 2014

Ayurvedic practitioner for the


past 27 years, she has helped
more than half a million
people across the world.
Talking on the occasion,

Vaidya Smita Naram,


Co-founder and Managing
Director, said, We are glad
to launch our first Ayurvedic
Franchise Centre in Mumbai.

We are looking forward for


a robust growth by means of
exceptional service orientation
and franchise expansion.
Ayurveda has immense power
to cure diseases and I wish to
encourage entrepreneurship
to rekindle the strength of
our ancient proven science
and create remarkable healing
experience of Ayurveda across
the world.
Juhi Chawla is an ardent
believer of Ayurveda and
depends on this Indian ancient
science for her familys health
and well-being.

Center Stage

Going South for


Quality Healthcare
One of the largest service sector industries in India, healthcare is playing
an increasingly pivotal role in the nations economic growth story. Driven
by allied services such as pharmaceuticals, biotechnology and software
solutions, healthcare infrastructure has surged by leaps and bounds,
particularly in the Southern region of India

22 Health Biz India August 2014

Center Stage

By: Jayata Sharma-Sand

arlier this year, India celebrated the complete eradication


of polio following an official certification by the World
Health Organization (WHO). As declared by the
Government of India, the nation has been polio free since
January 2011. This is a triumph not only for the thousands of
doctors and primary healthcare workers who have toiled for
decades in some of the remotest parts of the country, but also
for the entire healthcare industry which is the second largest

Cape Comorin, South India showing the Statue of Thiruvalluvar and Vivekananda Memorial

Health Biz India August 2014 23

Center Stage

service sector in India today.


In fact, quality healthcare in
India dates back to the 1800s
when the Southern Princely
State of Mysore was perhaps
the first state in the country
to take up a vaccination
drive against small pox. The
state administration set up
a government hospital in
Bangalore in 1846, the first
public health unit in Mandya
in 1929 and the worlds first
two birth control clinics
in 1930. However, after
Independence, many Southern
states, like the rest of India,
had to strive hard to maintain
high healthcare standards,
especially in rural areas.
Despite individual and
successive state governments
policy differences, Southern
India has been relatively
24 Health Biz India August 2014

impetus to global healthcare


providers who have made
a recent foray into India,
thereby providing unique
opportunities for innovation,
differentiation and
profitability.

Low cost advantage

more successful in developing


healthcare infrastructure
owing to the dynamic
growth of allied industries
such as pharmaceuticals,
biotechnology and IT
services. These industries
have provided an immediate

One of the fastest growing


industries in India, healthcare
is expected to advance at
a CAGR of 15.2 per cent
during 201117 to reach
$160 billion. Rising income
levels, an ageing population,
growing health awareness and
changing attitude towards
preventive healthcare are the
key factors that will drive
this growth. The low cost of
medical services, especially
in South India has resulted
in the rise of the regions

www.healthbizindia.in

Center Stage

medical tourism market,


attracting patients from across
the world. Moreover, many
Southern cities emerged as key
R&D hubs for international
players due to its relatively
low cost of clinical research.
For instance, Aravind
Eye Hospitals is a chain of
hospitals present in all the
major cities of South India
such as Theni, Tirunelveli,
Coimbatore, Puducherry and
Madurai. The single largest
provider of eye surgery in the
world, Aravind is also present
in select cities of North India
such as Amethi and Kolkata
in the East. In 1998, Aravind
Eye Hospitals saw 1.2 million
outpatients and performed
1,83,000 cataract surgeries.
It costs Aravind about $10 to
conduct a cataract operation

while the same costs hospitals


in the US about $1,650. This
demonstrates the power and
potential of the Southern
Indias healthcare industry.
Over the years, Southern
India has adopted several
strategies to empower the
healthcare sector to achieve
its maximum capability.
Conducive policies for
encouraging foreign direct
investment (FDI), tax benefits,
favourable government
policies coupled with
promising growth prospects
have enabled the industry
to attract private equity,
venture capitalists and foreign
investors.

A two-tier approach
Similar to other service sectors
in the pre-liberalisation

period of the Indian economy,


healthcare in South India has
always been segregated into
public and private sectors.
The public sector healthcare
system consists of facilities
run by the central and state
governments. These facilities
are provided freely or at
subsidised rates to lower
income groups in rural and
urban areas. However,
healthcare in Southern India
is going through a rapid
growth phase, particularly
in the private sector, owing
to a healthy economy and
surging middle class. This is
demonstrated through some
key private sector players who
have strategically expanded
into leading cities of South
India in order to provide
quality healthcare to a

Despite individual
and successive
state governments
policy differences,
South India has
been relatively
more successful
in developing
healthcare
infrastructure
Health Biz India August 2014 25

Center Stage

It wont be long
before South India
becomes the
healthcare capital,
not only of India,
but for the entire
Southeast Asia

26 Health Biz India August 2014

prospering population down


South.
Private players have made
significant investments
in setting up of state-ofthe-art hospitals in cities
like Mumbai, New Delhi,
Chennai, Bangalore and
Hyderabad. The emergence
of latest medical technology
has created a competitive
environment which has greatly
benefitted the consumer. The
governments share in the
healthcare delivery industry
is 20 per cent while 80 per
cent is in the private sector.
Corporate hospitals such as
Apollo Group, Fortis, Max,
and Wockhardt have led to
increased professionalism
in medical practices and

use of world-class hospital


management tools.
In fact, Chennai is known
as the healthcare capital
of India with world-class
hospitals and specialty clinics.
It is emerging as an important
medical hub in South Asia.
Some reputed names include
Apollo Hospitals, Vijaya
Hospitals, Sankara Nethralaya
Eye Hospital, Christian
Medical College Hospital
at Vellore and the affiliated
hospitals of Ramachandra
Medical College. The Apollo
Group, Sankara Nethralaya,
Madras Medical Mission
and MIOT group also attract
overseas patients, thereby
giving a boost to the regions
medical tourism industry.

Healthcare facilities provided


by government hospitals
in the state are also good.
The government focuses on
improvement in the general
health, access to healthcare
services and effective
control and prevention of
communicable diseases.

Southern stronghold for


healthcare
Some of the major private
sector healthcare providers
have begun their foray
into India through its
Southern cities. Owing to
the substantial demand for
high-quality and specialist
healthcare services in tier-II
and tier-III cities, leading
healthcare brands such as

Center Stage

Quality healthcare
in India dates back
to 1800s, when the
Southern Princely
State of Mysore
was perhaps the
first to take up a
vaccination drive
against small pox

Global Hospitals and Manipal


Group have firmly established
themselves in South India. For
instance, Global Hospitals
launched its first hospital in
Hyderabad way back in 1998
followed by an expansion of
its network in Bengaluru and
Chennai. In 2002, Global
Hospitals acquired the Tamil
Nadu Hospital to transform
it into the Global Health
City. Similarly, the Apollo
Group launched Indias first
corporate hospital in Chennai
in 1983 and also started its
first childrens hospital in
Chennai with 80 bed capacity
in 2002.
One of the most successful
hospital networks in the
country, the Manipal Group
is an active player in all major
Southern cities such as Udupi,
Bengaluru, Manipal, Attavar,
Mangalore, Goa, Tumkur,
Vijaywada, Kasaragod and
Visakhapatnam.
To encourage further
private sector participation
28 Health Biz India August 2014

in the regions healthcare


initiatives and establish more
hospitals in these cities, many
Southern state governments
have relaxed the taxes on
these hospitals for the first five
years. Also, many healthcare
players such as Fortis and
Manipal Group are entering
management contracts to
provide an additional revenue
stream to hospitals. These
policy-level initiatives by the

public sector are likely to


make healthcare in India more
efficient and cost effective.
These factors are certainly
creating a positive and
investor-friendly atmosphere
for the healthcare industry,
not only in South India but
throughout the country.
For instance, the Narayana
Hrudayalaya has inaugurated
the first phase of its 5,000-bed
health city in Hyderabad. Yet
another huge project coming
up is the Aster MedCity by
DM Healthcare Pvt. Ltd.
in Kochi. Aster MedCity
will be completed with an
investment of around Rs. 21.5
billion and will be a unique
comprehensive healthcare
institution with 9 Centres of
Excellence (COEs).
As these and other such
projects begin to take shape
across India, it wont be long
before South India becomes
the healthcare capital not only
of India but for the entire
Southeast Asia.

HOSPITAL PROFILES
psychology, rheumatology,
robotic assisted surgery,
skin care, spine care, sports
medicine, women & child care,
and plastic & cosmetic surgery.

www.healthbizindia.in

Center Stage

Apollo Hospitals

Manipal Hospitals

Manipal Hospitals
Started more than five decades
ago, today Manipal Hospitals
is Indias third largest
healthcare group, comprising
15 hospitals and three primary
clinics. Its flagship hospitals
located in Bangalore, Manipal
Hospital at HAL Airport Road,
Manipal Northside Hospital
in Malleshwaram, and Dr.
Malathi Manipal Hospital in
Jayanagar, are among Indias
top 10 multispecialty hospitals,
accredited with NABH.
Working towards developing
an affordable tertiary care
multispecialty healthcare
framework, which would
be extended to homecare in
future, Manipal Hospitals

currently provides both


curative and preventive care
to a wide variety of patients
from across the globe. Known
for clinical excellence, patient
centricity and ethical practices,
the hospitals are equipped with
state-of-the-art infrastructure
and facilities, enabling them
to address the most complex
medical problems.
The hospitals are specialised
in accident & emergency care,
bone & joints, brain & nerves,
cancer care, child care, dental
care, diabetes & thyroid care,
dialysis & kidney transplants,
ENT, eye care, general
medicine, general surgery,
genetics, growth and hormonal
medicines, health check, heart
care, ICU & critical care,

infertility & sexual medicine,


liver & digestive system,
kidney stone, prostate &
urology, physiotheraphy &
rehabilitation, psychiatry &

Established in 1983, Apollo


Hospitals Chennai is the
flagship hospital of the Apollo
Group. The hospital has
more than 60 departments,
specialised in cutting-edge
medical procedures, and
spearheaded by internationally
trained doctors supported
by highly-skilled patient-care
personnel. This Indias first 1S0
9002 and ISO 14001 certified
hospital has a success rate of
70 per cent in bone marrow
transplant, and 99.6 per cent
in heart surgeries. It has also
received accreditation from the
Joint Commission International
USA and declared a Centre of
Excellence by the Government
of India.
The hospital has won these
accreditations on account of
various firsts it has created

Apollo Hospitals

Health Biz India August 2014 29

Center Stage
in the medical history. For
instance, the first donor
incompatible kidney transplant
using the column adsorption
of blood group antibodies
technique was performed here.
It is also Indias first hospital
to perform Birmingham hip
resurfacing procedure, total
knee replacement and the
Illizarov procedure, as well as
multi-organ and cord blood
transplants in India.
Its innovative healthcare
delivery model - Apollo Day
Surgery - is the first-of-itskind fully dedicated facility
in Chennai to perform minor
surgeries requiring short-stay.
In a short span of few years,
its centre for liver disease and
transplantation has completed
100 liver transplantations with
the success rate of over 90 per
cent. Apollo Speciality Hospital
has become Tamil Nadus first
to launch Movement Disorder
Clinic in Chennai.

Global Hospitals

Among multi-speciality
tertiary care hospitals, Global
Hospitals Group is a renowned
name that has Indias largest
chain of multi-organ transplant
centres founded in 1998 by
Dr. K. Ravindranath. The
Group has two hospitals in
Hyderabad. Global Hospitals,
located at Lakdi-ka-pul in
Hyderabad, is a 200-bed
facility offering tertiary level
multi super-specialty care and
multi-organ transplantation
services. While Global
Hospital, located at LB Nagar
in Hyderabad, is a 300-bed
multi super-specialty hospital.
This hospital is not only
NABH accredited, but also
a HALAL certified hospital,
which is equipped with
advanced infrastructure, ultra30 Health Biz India August 2014

Global Hospitals

modern equipment as well as


state-ofthe-art ICUs and OTs.
Global Hospitals also
has presence in Chennai,
Bangalore and Mumbai.
The groups hospitals house
various institutes such as
advanced heart, lung &
vascular institute; institute of
minimal access & bariatric
surgery; institute of liver,
pancreas diseases & transplant;
institute of neuro sciences
& spinal disorders; institute
of spine surgery; institute of
orthopaedics, joint replacement
& sports medicine; kidney
institute; institute of urology;
advanced centre for trauma
& emergency care; institute of
multi-organ transplant; cancer
institute; institute of plastic,

LV Prasad Eye Institute

reconstructive & cosmetic


surgery; institute of ENT, head
& neck surgery; advanced
gastroenterology & therapeutic
endoscopy; and institute of
paediatrics.

LV Prasad Eye
Institute

Located at Banjara Hills in


Hyderabad, LV Prasad Eye
Institute (LVPEI) is a WHO
Collaborating Centre for
Prevention of Blindness that
offers comprehensive eye
health facility, which includes
patient care, sight enhancement
and rehabilitation services, and
high-impact rural eye health
programs. Governed by two

trusts - the Hyderabad Eye


Institute and the Hyderabad
Eye Research Foundation,
LVPEI is a not-for-profit
organisation and a Global
Resource Center for VISION
2020: The Right to Sight
initiative.
Since its inception in 1987,
the institute is working
towards providing equitable
and efficient eye care to all
sections of society. So far, it
has provided secondary and
primary care to over 2,000
villages. The Institute is also
involved in cutting edge
research and provides training
for all levels of ophthalmic
personnel; 13,250 eye care
professionals have been
trained from the institute. The
Institutes campus is accredited
by the National Accreditation
Board for Hospitals and
Healthcare Providers (NABH),
while the LVPEI Eye Health
Pyramid, its innovative and
comprehensive approach to
community eye health, serves
as a model to Indias and
other developing countries
governments.

KG Hospital

Located at Arts College


Road in Coimbatore, what
was started in 1974 as a
25-bed hospital by leading
industrialist and philanthropist
K Govindasamy Naidu has
now grown into a 200-bed
multi-specialty high-tech KG
Hospital. Today, this fully
self-contained healthcare unit
is nationally recognised as one
of the finest medical centres in
the country, offering a variety
of world-class healthcare
services at an affordable
cost. It has thus become
the beneficiary of the Prime
Ministers and Tamil Nadu

Nominations Open!
6th Annual India Healthcare Excellence Awards 2014
19th September, 2014 | Taj Lands End, Mumbai

Special Award
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Imaging Company of the Year
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Most Successful Brand Launch of the Year

For more details, please contact:


Log on to: www.frost.com/hcawards2013 or Email: indiahcawards@frost.com

Center Stage
and teams, along with a unique
water ambulance system to
serve special terrains of Kerala.
Beside these, Aster Clinical
Support also includes a critical
care unit, a diagnostic centre,
day care centre, health checkup centre, and rehabilitation
centre. While Aster Centres
of Excellence include Aster
Institute for Children, Aster
Institute for Women, Aster
Institute for Cardiology
and Cardiac Surgery, Aster
Institute for Oncology, Aster
Institute for Orthopaedics
and Spine Surgery, Aster
Institute for Neurology and
Neurosurgery, Aster Institute
for Gastroenterology and
Hepatology, Aster Institute for
Nephrology and Urology, and
Aster Institute for Plastic and
Aesthetics.

Aster MedCity

Chief Ministers Relief Fund.


Equipped with some of
the latest technologies, such
as the Worlds Fastest and
Asias First 128 Slice Heart CT
Scanner, patients are served
here by more the 250 doctors,
800 nurses and para-medical
staff, available on call. Beside
these, the Hospital also
boasts 24-hours emergency
and trauma care center,
pharmacy, laboratory services
and regional blood bank. In
fact, for almost 200 hospitals
located in Coimbatore and
adjoining areas, it serves as
a Designated Blood Bank.
For its contribution in the
field of medical research, the
Government of India, Dr.
MGR Medical University
and National Board of
Examination has also
recognised the Hospital as a
centre for nursing education
and post graduate courses
in 13 medical and superspecialities. Some of these are
neuro surgery, orthopaedics,
neurology and radio diagnosis,
general medicine and general
surgery.
32 Health Biz India August 2014

Narayana
Multispecialty
Hospital
Narayana Hrudayalaya

Aster MedCity
Located in Kochi, Aster
MedCity by DM Healthcare
Pvt. Ltd. is a unique
comprehensive healthcare
institution that houses a
540-bed General Hospital
and Emergency Centre, along
with 9 Centres of Excellence
(COEs). These COEs
harmoniously integrate with
the emergency and intensive
care as well as other clinical
and diagnostic facilities, to
offer focused care by specialists
in any given medical field.
This Rs. 21.5 billion project

is under way right now and


once operational, will provide
services in general medicine,
pulmonology, endocrinology,
dermatology, general surgery,
ENT, ophthalmology and
dental along with diabetology
and health check-ups.
Equipped with sophisticated
technologies, such as advanced
image guided intra-operative
MR, the OTs have capabilities
to conduct robotic and
endoscopic surgeries in all
disciplines. Other USPs of
it includes a department of
emergency medicine, backed by
radio controlled rescue systems

Strategically located near the


Information Technology Park,
Bangalore (ITPB), this 150bed fully-equipped hospital
at Whitefield offers multispeciality care and treatment
for varied acute and chronic
conditions. Narayana Multi
Speciality Hospital boasts of
state-of-the-art cath lab and
critical care units for heart
attack, and a 19-bed dialysis
unit and isolation dialysis for
infected/high risk patients as
well as two labour OTs. The
USP of this hospital are the
six neonatal intensive care
units to treat preterm babies,
and its dedicated High Risk
Pregnancy facility.
Narayana Multi Speciality
Hospital is specialised in
neurosurgery, paediatrics,

Center Stage

Aravind Eye Hospital

obstetrics & gynaecology,


medical gastroenterology
and orthopaedics, general
medicine, general surgery.
Beside these, the hospital also
provides facilities in critical
care, cardiology adult,
cardiology paediatric,
clinical nutrition & dietetics,
dental sciences, dermatology
& cosmetology, diabetology,
ENT, nephrology, neurology,
ophthalmology, physiotherapy
& rehabilitation, plastic
surgery, psychiatry & clinical
psychology, pulmonology,
radiology and urology. These
facilities are supported by 24x7
services such as accident and
emergency, lab & blood bank,
diagnostic radiology including
CT/MRI, X-Ray, ultrasound,
and a complete obstetric care.

HCG Hospitals

With 27 cancer centres, 500


oncologists and over 3,000
employees serving more than
1,00,000 patients across the
globe, HCG safely maintains
its leadership position in
cancer care in Asia.
It is accredited with NABL,
NABH, DSIR, FDA, CAP and
is ISO:9002 certified. It is also
the first Indian hospital to win
the Golden Peacock Award
34 Health Biz India August 2014

HCG Hospitals

Innovation Management.
Beside this, F&S Oncology
Leader of the Year, a record
in the Limca Book of Records
for forming the largest human
ribbon, and for creating the
largest to-scale model of the
lung, and a mention in the
Harvard Business Review, are
some of the accolades garnered
by HCG.
One of its noted hospitals is
the HCG Panda Cancer Centre
located in Cuttack. It boosts
two major OTs fitted with
advanced surgical equipment,
CO2 laser, C-ARM, Cobalt
60, HDR brachytherapy,
Microscope, Strikers saw,
Boyles apparatus, centrally
operated suction, and centrally
operated gas pipe.
In the field of surgical
oncology, they are specialised
in radical head and neck
surgery, micro vascular
surgery with reconstruction,
CO2 laser surgery, colon rectal
surgery, laparoscopic cancer
surgery, gastrointestinal
cancer surgery, gynaecology
surgery, breast cancer surgery
and reconstruction, urology
and prostate cancer surgery.
While in medical oncology,
they provide chemotherapy,
bio-therapy, targeted therapy,
and metronomic therapy.

In radiation oncology, they


provide linear accelerator
(LINAC) with IMRT and
3DCRT, Cobalt-60, and HDR
brachytherapy. The hospitals
are supported by 24-hr
pharmacies, in-house lab and
CT scan facilities, 24-hr power
back-up, X-Ray facilities,
centralised water treatment
plant, and ambulance services.

Aravind Eye
Hospitals

Established in the year


1976 in Madurai by Dr.
Venkataswamy under the
GOVEL Trust, from a
humble beginning of just
a 11-bed hospital and 4
medical officers, Aravind Eye
Hospitals has now grown into
a chain of hospitals, together
accommodating more than
4,000 beds. The other 6
hospitals are located in Theni,
Tirunelveli, Coimbatore,
Pondicherry, Dindigul and
Tirupur. Over the years,
the organisation has not
only grown in size but also
evolved into a sophisticated
system, The Aravind Eye
Care System. Working on
the principle of providing the
same standard of services

to all sections of the society,


and still being financially
self-supporting, it serves as
a model for India as well
as the rest of the world in
providing quality service for
sight at affordable prices.
Owing to high quality, large
volume care, supported by a
well-organised system, the
hospitals manage to achieve
this feat.
The hospitals have wellequipped specialty clinics for
retina & vitreous
cataract, neuro
ophthalmology, children eye
care, orbit, oculoplasty &
ocular, oncology, glaucoma,
uvea, cornea, and low vision
& visual rehabilitation.
Backed by comprehensive
support facilities, Aravind
Eye Hospitals accounts for
5 per cent of the ophthalmic
surgeries performed
nationwide. In 2013 itself,
the hospitals have treated
3.1 million outpatients and
performed over 3,70,000
surgeries. To serve the
ophthalmic needs of a semi
urban population, Aravind
Eye Hospitals has established
its primary eye care facility,
Vision Centres, the
community eye clinics in the
rural areas of Tamil Nadu.

Strategy

Story of Champion
Teams II
A winning team is not built in a day, and doesnt stay a winning
team forever; its a never ending work in progress

By: Vivek Shukla

A
It is OK to get your
ideas shot down
at times; too much
fondness towards a
thought or an idea
can lead to distance
36 Health Biz India August 2014

s I sit down to write


the second article
on of the series
Story of Champion Teams,
I cant help but think about
the spectacle of teamwork
the world witnessed in the
football stadiums of Brazil.
The best teams in the sport
had converged in to display
immaculate teamwork and
strategy execution.
What makes these teams
great? What makes any team
great? Is it just talent? Is it

leadership? Is it just luck? Is


it unity? Let us take a closer
look.

No distance
One of the outstanding
features of great teams is
what I call no distance.
There seems to be no distance
amongst the members on
professional as well as
personal fronts. If you notice,
any team, whether doctors,
or multi-functional, will have
some areas where there are
disagreements. At the end of
the day, these disagreements

turn into disgruntled team


members. Members then keep
thinking about each other,
dismissing their behavior and
ideology. Initially it happens
in thoughts and then it comes
out in the open as gossip and
backbiting. So, what starts as
a little distance, blows up and
becomes a wide divide.
Champion teams recognise
the importance of bridging
the distance as soon as it
arises at the thought level. The
members or the leader of the
team bring the differences in
the open amongst the relevant

Leaders of teams
must work towards
belonging to the
group, its the only
access to extract
100% from each
member

people and deal with them


till they are resolved. This
is something that human
beings are not naturally
adept at. Needless to say,
it is an acquired skill. But a
very important one. It is not
necessary nor is it possible
for everyone to agree at every
point and idea. However, by
speaking about it in a way
that moves things forward,
the teams are able to create
proactive consensus and
eliminate the distance.
An example that I often
quote from my sports days
is There were times when
we would not agree with our
cricket team captain as to
whether we should choose to
bat or to bowl after winning
the toss. At this juncture,
during the team meeting,
the coach would take every
differing opinion and logic
and then talk about how
winning the game is more
important than deciding
whether to bat or bowl. After
a while, everyone would
proactively align themselves

to either of the decision


irrespective of whether they
agreed or not. No distance
was created in spite of the
members disagreeing. No one
had hard feelings and negative
thoughts about anyone. One
would say I dont agree with
this logic, however, since this
is what the team has decided,
I am giving up attachment
to my point of view and
committing myself to what is
important to the team.
This leads me to say that in
teams, every member has
to be ready to proverbially
sometimes kill his own
babies. Members know that
their ideas will be shot down

www.healthbizindia.in

Strategy

sometimes. That should be


OK with them. Too much
fondness towards a thought or
an idea can lead to distance.

Ground rules
The culture of champion
teams is built carefully on
consciously-created ground
rules. For example, one
hospital quality team prides
itself in starting all meeting
on time with all members
present. A marketing team has
created a rule of answering
all missed calls within 24
hours and all emails within 48
hours. One more team took
up not talking or discussing
a person in his absence. All

Health Biz India August 2014 37

Strategy

It is vital to give
up attachment
to your individual
point of view and
committing yourself
to what is important
to the team

Vivek Shukla specialises in


healthcare strategy, business
growth, branding, marketing,
sales, and operational
excellence. Currently, he is
the AGM & Head-Marketing at
DM Healthcare, UAE, where
he is leading the creation
and execution of revenue and
market share enhancement
initiatives for the groups clinics
and hospitals.

38 Health Biz India August 2014

great teams have a group


of such rules that are the
cornerstones of the culture
of that team. The rules and
culture are sacrosanct. There
are rarely any exceptions. Any
variance in the agreed culture
is brought out in the open and
discussed till it is resolved for
everyone. Everyone is clear
about what the rules are and
what the consequences of
flouting them are.
The person who leads the
team is a crucial component
for its success. He sets the
direction, goals, pace, values
and various ground rules. He
has an acute sense of what
is going on in the minds of
people and in the overall
team. He is usually someone
who has equipped himself
through his words and his
actions to impact the way
people think and act. Most
importantly, he belongs
to the team. They see him
as one of their own. They
connect with him. This gives
him access to impact their
thoughts and thus behavior.
Leaders of teams must work

towards belonging to the


group. That is the only access
to extract 100 per cent from
each member. Incentives and
rewards run their course too
soon and after a while have
no juice left in them. Its
ultimately up to the leader to
have the team gunning for its
goals incessantly.

Celebrating success
Champion teams celebrate
success. It may be individual
success or the success of the
team, celebrations inevitably
follow. People relish each

others success. On the other


hand, each failure is analysed.
The motive is not to attribute
the failure to an individual or
a group. It is to find out what
did not work collectively for
the team and put corrective
measures in place.
Success is defined for each
member. They know what
they will end up with if they
continue to stick around and
help the team to win. How
many of us have gone through
the next two-year career
plan for each of our team
members? How many of us
have helped the members to
list what skills and attributes
will be added to them as
a result of working in our
teams? This crucial exercise
should be done every once in
a while.
Winning teams are not
built in a day. And when
you manage to build one, it
doesnt stay a winning team
forever. Its a never ending
work in progress. But the
rewards are fulfilling and
everlasting. An endeavor
worth pursuing.

WE

HBI
Cause:
Highest Online Reach
3600 Advertising Options
Premier Event Participation
Proling of Industry Big Wigs &

Maximum Visibility
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To associate with us, contact: Mr. Bhupesh Tewari at: +91 9718350415 or write to us at: bhupesh.tewari@healthbizindia.in

Safety First

A Trial on Error

Errors and mishaps in a hospital set-up that lead to harm, have


dual effects; on patients as well as on the clinicians

By: Dr. Nikhil Datar

ichie Williams was


young boy of 12. He
was suffering from
leukemia (blood cancer) and
was undergoing treatment

40 Health Biz India August 2014

at the Great Ormand Street


Childrens Hospital which
specialised in treating such
patients. Richie used to receive
anti-cancer medicines in a
cyclical manner. He used
to go to the hospital on a
pre-scheduled day to receive
his dose of chemotherapy.
They used to give him a dose
of injection Vincristine by
intravenous route. Another
dose of injection methotrexate
would be injected intrathecally (injection between
the spaces in the back bone,
typically called as spinal
injection). Being young, Richie
used to get a small dose of
sedative first and then the
spinal injection would be given
to him. He was doing well
and recovering fast. In fact, he

was almost at the end of the


chemotherapy regime.
In the month of July 1997,
Richie as usual went to the
hospital. He was always
instructed to come Nil by
mouth (empty stomach) to
the hospital. On that day in
the morning someone offered
him a cookie. The young
boy simply could not resist
it and quickly ate it. Richie
got admitted as usual to the
chemotherapy ward. Dr.
Murphy was on his morning
rounds and saw Richie in
the ward. Dr. Murphy was
a senior doctor working at
the hematology department
of the Great Armond Street
Childrens Hospital. Hi
Richie! How are you doing
today? he asked Richie.

The WHO is now


looking at something
called as Second
victims of patient
safety accidents

Thanks, Doc. I am fine. But I


want to make one confession. I
have eaten a cookie just on my
way, Richie said. Now Dr.
Murphy was in a fix. Riches
appointment was scheduled for
long. Since Richie was not Nil
By mouth, it was risky to give
me the sedative. Since sedative
could not be given, the spinal
injection and the dose could
not be given. There was no
point in rescheduling the
appointment as Richies school
examination was approaching.
Too much of delay would
surely have been detrimental
to Richies recovery. Richies
parents were co-operative.
They understood the problem.
It was decided that Richie
should be brought in at 4 pm
on the same day. This elective
procedure could be done in
emergency hours after 4 pm.

The blunder
Richie came in at 4 pm
as decided. He had to be
admitted in another ward as
the hematology ward was
not vacant. In emergency

hours, Richie was sent to the


operation theater for the spinal
injection. By that time, Dr.
Murphy was off duty. Dr. Lee
was on the duty. Dr. Lee was
known to be a studious doctor
and was very popular amongst
his patients for his empathetic
reassuring approach. He was
senior to Dr. Murphy and
was an expert in paediatric
anaesthesiology. He had given
many such injections in the
past. Dr. Lee phoned Dr.
Murphy who was off duty
to check whether there was
anything specific he had to
take care of, while doing the
job. Dr. Murphy said, Well,
it is a straight forward spinal
injection and thats it. This
was completely true!
Dr. Lee started the
procedure. He carefully cross
checked the consent and the
identity of the patient. He
swiftly gave a small dose of
medicine to put Richie to sleep.
Vigilantly, he changed Richies
body position and made him
lie on the side. He confirmed
that the oxygen saturation

of the Riches blood was


well maintained and started
applying the antiseptic solution
to the back to prepare the part
for the spinal injection. He had
already told the senior staff
nurse to check the expiry date
on the injection. The nurse also
confirmed that the injection
was meant for the same patient
Richie Williams. The doctors
needle swiftly entered the
space where it had to be in the
first shot. The nurse handed
over the syringe to Dr. Lee
who attached it to the needle
and off went the medicine in
the spinal space. He carefully
changed the patients position.
As soon as this was done, the
nurse came running frantically.
She said, Dr. Lee, I found
one more injection in the
name of the patient Richie.
And Dr. Lee was dumb stuck.
One more injection? he
cried loud. Dr. Lee confirmed
it. It was true. The injection
read Injection Methotrexate.
Richie Williams. Dr. Lee
realised what had happened.
The injection which should

www.healthbizindia.in

Safety First

Patient deaths
can be a result of
series of mishaps
and failings in the
hospital systems,
rather than gross
negligence
Health Biz India August 2014 41

Safety First

About the author


Dr. Nikhil Datar is a
Senior Gynaecologist
based in the western
suburbs of Mumbai. He
is well known for the
legal battle he fought for
his patient challenging
the abortion law of the
country in 2008.
He was recently
interviewed by Aamir
Khan on Satyamev
Jayate for his exemplary
work on developing
protocols for examining
rape victims.
Dr. Datar is the recipient
of the prestigious
Commonwealth
professional fellowship
(UK), American Austrian
foundation fellowship for
health and human rights
(Austria), and Dr. BN
Purandare gold medal.
He is the Founder
President of the Patient
Safety Alliance, which is
an NGO that empowers
patients and supports
healthcare providers to
prevent medical errors.

42 Health Biz India August 2014

have been given by intravenous


route (via the vein in the hand)
had been given in the spine.
Dr. Lee was shattered
when he realised what the
blunder was. The staff started
running helter-skelter under
tremendous stress. Senior
doctors were contacted. The
outcome was clear the
spinal cord almost dissolves
when vincristine in that dose is
given in to the spine. Richies
death was inevitable now. The
doctors tried everything that
was possible to save him. Dr.
Lee was sitting next to Richie
personally monitoring the
condition. Richie died. The
medicine that was supposed
to cure him of the cancer had
killed him!
The police arrested Dr.
Lee and Dr. Murphy under
the charges of manslaughter.
The media and news channels
started bombarding the news.
Some called the doctors
criminals, murderers, monsters
who should be hanged to
death. Those doctors and
patients who knew Dr. Lee
were talking about him. Some
still said that he had a great
track record. Some held him
negligent and responsible for
the death. Some said that it
was a sad and unfortunate
event. Some senior doctors

criticised the juniors for


impatience and gave examples
of their days and how they
used to work in the past.

The Trial that followed


The trial started in the court.
Professor Alan Aitkenhead,
Head of the Department
of Anaethesiology from
Nottingham University was
appointed as an expert. He
made elaborate inquiry in the
incidence. The incidence had
its roots into multiple small
incidences, facts and errors. It
all started from the fact that
Richie had eaten the biscuit
due to which the case had to be
postponed. He was admitted
at 4 pm in another ward as
there was no vacancy in the
hematology ward. It was the
policy of the hospital to first
give the vincristine injection
in the ward itself, so that only
one injection would reach the
operation theater. On that
day, the nurse in charge of the
general ward where Richie was
admitted was not aware of this
policy. She sent both injections
to the operation theater. The
staff in the operation theater
and Dr. Lee could have not
have even imagined that such
a thing would have happened.
It was true that if he would
have carefully gone through all

the case papers he could have


understood it. But he believed
his colleagues and assistants
with whom he worked all
these years. It was found that
the same mistake or error had
happened across the world
on 15 different occasions in
different hospitals so far.
The court ultimately
decided the matter. The court
considered that the crime of
manslaughter could not be
made out. The court concluded
that the death was a result of
series of mishaps and failings
in the hospital systems rather
than gross negligence. The
error on the part of Dr. Lee
was in the end of the chain
of multiple lapses. The court
absolved Dr. Lee from the
charges of criminal negligence
and the civil case continued
further. The hospital had
already removed Dr. Lee from
the job. At a later date, the
hospital struck out of court
settlement by paying exemplary
compensation to the parents.
Dr. Lees dreams were totally
shattered. He could not come
out from the trauma. He
could not imagine that he was
instrumental in killing one of
his patients. Ultimately he left
the United Kingdom. Few years
later, he committed suicide.
The incidence had claimed
not one but two lives! The
WHO is now looking at
healthcare professionals
involved in such incidences
as Second victims of patient
safety accidents.
Friends! What do you think
after reading this true story?
Whose mistake was it? Was it
a human error? Or defective
system? Or just an outcome of
an unlucky day? Tell me your
comments and thoughts.
Write to me at: drnikhil70@
hotmail.com

Homecare Opens New


Doors for Nurses

www.healthbizindia.in

Industry Trends

Home healthcare is gaining momentum in India, and it seems


to be a favorable trend for nurses

By: Usha Prabhakar

here was a human


touch in the way she
dealt with people.
Striking an emotional chord
with others had always
been such an effortless
thing for her. This is how
Sunidhi Ramanathan was
affectionate and caring, polite
and loving. Therefore, when
she had to zero in on a career,
nursing was a natural choice.

Being a nurse would


allow her to be herself, she
thought. Her gregarious self,
she presumed, would let her
excel in her profession too,
as it required serving patients
who, on top of everything else,
would need a lot of emotional
support to be able to fight with
their health conditions. She,
inarguably, was very good at
it.
With all that in mind, Ms
Ramanathan went ahead to

pursue nursing. After her


graduation, she was excited
to join a hospital and put her
theoretical knowledge into
practical use, as also lend
support to patients and help
them deal with their health
problems.
But there was more to what
Ms Ramanathan had thought.
In her role as a nurse in the
hospital, she had a diversified
work profile, which required
her to look after patients,
Health Biz India August 2014 43

Industry Trends

Homecare service
providers usually
assign less patients
to their nurses to
ensure maximum &
undivided attention

keep their records, take care


of drugs availability and their
storage, doctors round and
housekeeping, among umpteen
other things.
Initially, she put in extra
efforts to fulfill all the
responsibilities without
being stressed, and drew a
lot of satisfaction out of it.
The excitement, however,
started to wane with the
passage of time. She had 15
patients to take care of and
the other responsibilities to
be met started taking a toll
on her mental health. Ms
Ramanathan found that she
had more on her plate than
she could handle. What was
adding to her woes was her
inability to interact with her
patients and give them more
time all this in the face of
excess workload.
Though her doctors and
team were very supportive,
Ms Ramanathan felt that she
was not being true to her job,
especially to her patients, who
demanded her undivided and
individual attention. However,
there was no option, she
thought, and that she would

have to continue like that


not too satisfied, yet carry
on with her monotonous
job. Just when she thought it
was the end of the road, she
stumbled upon an opportunity
that changed the course of her
professional life.
Ramanathans senior
recommended her for a
job in a home healthcare
organisation. Apprehensive
initially about how a nurse
would fit in such a company,
she went for an interview.
What came next was her
appointment with the
company the very next week.
A nursing-led company,
Ramanathan was more than
convinced about the growth
and myriad opportunities
that would come her way
while being with such an
organisation. However, the
fact that she will be able to
spend more time to spend with
patients remained the primary
reason for her to join. Ms.
Ramanathan knew this is what
she was looking for. Suddenly,
her job gave her a purpose, a
purpose of doing something
for others.

Exciting new avenue for


nurses
Patient-centric nursing &
professional satisfaction:
Nurses first and foremost
aim is to take care of their
patients. But the large number
of patients they have to look
after in hospitals sometimes
bogs them down. Though
the intention is always to be
by their patients side, nurses
find it difficult to actually do
so. Again the work pressure.
Homecare service providers
usually assign less patients
to their nurses with a view
to ensuring maximum and
undivided attention to those
in need. Mostly, the number
is as less as one patient. When
the number of patients is less,
the scope of interaction with
the patient and the care that
could be provided is invariably
high. The feeling of doing the
core job of nursing, i.e. taking
care of patients boosts nurses
professional satisfaction level.
Besides, they also find time
to impart health education to
patients, inform them about
the treatment being followed
and do their counseling. Being
associated with homecare
service provider is the
extension of what nurses learn
during their stint at a hospital
and practice those individually.

Autonomous working
& decision-making: In
hospitals, nurses are usually
very well protected by their
doctors. Undoubtedly, it
is good. However, such a
thing in the long run makes
the nurses dependent and in
critical situations they are
unable to take decisions.
The case is different with
homecare service providing
companies. The treating doctor
is always kept in the loop and
the treatment is purely based
44 Health Biz India August 2014

Nurses first and


foremost aim is to
take care of their
patients

on his/her prescription, but


here the doctor is not present
physically. So, all the decisions
which have to be taken in the
event of any problem that
arise while administering the
treatment is solely on the
shoulders of the nurse. When
such a situation is dealt with
successfully, the outcome
is increased self confidence.
It not only sharpens their
decision-making skills, but also
clinical skills. Getting armed
with skills of handling critical
situations independently adds
to their professional worth and
growth.

Learning, training & high


exposure: Usually, home
healthcare companies hire
nurses with some minimum
experience of having worked
with a hospital. The basic
understanding of work is one
of the pre-requisites. After that,
the aim is to polish their skills
for homecare environment.
After the recruitment process is
over, most organisations give
the nurses a homecare training
course, which can consist of a
nurse refresher course, a course
for each homecare training
and IT training and probably
a course where in pay shadow
visits the patients home while
assisting trained nurses.

HealthCare At Home also


does such scenario-based
training in partnership with
Berkley HealthEDU; at the end
of which, a competency check
is performed.
Apart from the training,
nurses also get exposed to
all kinds of patients ranging
from cancer (oncology), heart
(cardiology), orthopedics,
critical care, bariatric, postoperative, mother and child
care to elderly care, home
pulmonolgy, IVF, infertility,
home dialysis and diabetic
(VAC dressing).
Such a vast exposure
expands their learning curve
and they gain insight into
dealing with patients with
varied ailments. They later
on have the choice to choose
the specialisation depending
upon their choice of field. This
cements their career prospects
as well.

Financial satisfaction &


growth prospects: Job
benefits apart from work
remuneration are a way to
make employees feel cared
for. At HealthCare at Home,
we offer additional incentives
like insurance, pension and
provident fund. If there is
any overtime, nurses are
compensated for it monetarily.

The salary also is better than


what is offered elsewhere. On
employee and patient referrals
too, they are rewarded.
Also, if a nurse holds extra
qualification, then on every
extra degree or diploma,
incentive is paid to them.
Besides, there is a policy
in place for permanent
promotions. Hierarchy wise,
nurses can become nursing
directors and they can even
get elevated to the level of
Chief Executive Officer (CEO)
due to the availability of
cross-sectional opportunities.
As HealthCare at Home is
planning to go pan-India in
the next two years and set up
operations abroad, our nurses
will also gain experience of
handling different territories
apart from handling different
kinds of patients. So, the
exposure they will gain is huge.
While hospitals are the
ultimate calling for nurses, the
concept of homecare services
is another area that ensures
promising careers for nurses.
While hospitals are always
a training ground, homecare
services is turning out to be
a new professional arena to
enhance and sharpen skills.
For nurses, now there is more
than hospitals!

www.healthbizindia.in

Industry Trends

About the author


Usha Prabhakar is the
Nursing Director at
HealthCare at Home.
She did her BSc (HONS)
Nursing from AIIMS, New
Delhi. She has 18 years
of clinical and teaching
experience in nursing
including five years in
NHS UK. She is the Ex
Nursing superintendent
of Dharamshila Hospital
& Research Centre,
Delhi and Assistant
Nursing superintendent
at Rockland Hospital,
Delhi. Shes also had
numerous nursing
publications in TNJI.

Health Biz India August 2014 45

Promotions

An Indian MNC with Big


Growth Potential
Being a quality conscious organisation, Allengers endlessly
endeavors to maintain international quality standards in its
manufacturing processes

llengers Medical
Systems Ltd.,
a Chandigarhbased medical equipment
manufacturing company,
has been a market leader
for X-ray-based imaging for
the last 27 years, and is the
acknowledged technological
leader in mobile C-arms and

Allengers Mobile DR (Mobilx DR)

46 Health Biz India August 2014

X-ray systems. As a specialist


in the field of diagnostic range
of medical products, Allengers
C-Arms have always been
appreciated for its excellent
quality and have been the first
choice of many specialists.

A trusted brand
From a modest beginning in
1987, Allengers brand name
and trust has been established
at regional, national and
international levels with
exports crossing over to more
than 70 countries. Presently,
the company has the largest
market share of approximately
36.5 per cent in the domestic
market, as per statistics of
a world renowned research
organisation.
Allengers has the honor
to be adjudged not only on
the national level, but also
at the international level
with awards like National
Award - Quality Products
from the Honble Prime
Minister of India, National
Award - Distinguished
Entrepreneurship from the
President of India, Export
Excellence Awards, PHD
Chamber Award, Century
International Quality Era
Award on the lines of QC100,
etc. to name a few. Allengers
has also been recognised as the
Star Export House and was

Suresh Sharma, CMD, Allengers


Group of Companies

recently assigned rating A by


CRISIL with a stable outlook.

Largest manufacturing
set-up
Allengers has the largest
manufacturing set up in India,
spread over an area of 45,000
sq. mtrs, equipped with the
most modern manufacturing
and testing facilities, in
house R&D and QC set ups
to manufacture customised
systems. More than 60 R&D
engineers are working to
develop indigenous technology
suiting to Indian conditions
and due to this, a lot of
firsts are attached with the
brand of Allengers, like:
First Indian company to
develop HF X-Ray Machine
First Indian company to
develop Mobile and Fixed
Cath Labs, and
First Indian company to
develop Mobile DR system

www.healthbizindia.in

Promotions
companys equipment has
earned immense credibility in
the industry, owing to their
unmatched quality, reliable
operations and efficient
performance. Allengers
Medical Systems Ltd. is the
parent company, and has three
sister concerns, namely:
Allengers Global Healthcare
(for ECG, monitors, EEG,
EMG, PSG, TMT)
Allengers Infotech (for IT
based healthcare products
like HMS, LIS, PACS)
Allengers Care Foundation
(for implementing the
companys social causes)

Wide network

Allengers Full Field Digital Mammography (FFDM) Fairy DR

Allengers excellent business


success, to a great extent,
helps in tackling Indias
unemployment problem
by generating more job
opportunities. The company
currently employs more than
1,300 people.
With its innovative
solutions, Allengers is playing
a significant role in the
rapid development of digital
X-ray, i.e. the DR (digital
radiography) systems.

Dynamic range of products


Apart from a specialised range
of DR Systems and C-Arms,
Allengers vast and dynamic
range of medical products
include: X-Ray Systems, Cath
Labs, Mammography Systems,
DSA Systems, RF Table,
OPG, Lithotripter (E.S.W.L),
TMT, ECG, Monitors, EEG,
EMG, PSG, HIS and PACS.
Allengers product profile
caters to various medical
applications like radiology,
cardiology, orthopedics,

gastroenterology, urology,
neurology, and many more,
which are all CE certified.
Four main principles drive
Allengers to serve much better:
1. Keeping the best quality
with reasonable prices
2. Developing and searching
new products to meet the
fast changing market
3. Providing satisfied services
for the demands of our
customers
4. Customers satisfaction and
continuing support (this is
the most important aspect
for the company)

Quality conscious
Being a quality conscious
organisation, Allengers
endlessly endeavors to
maintain international
quality standards in its
manufacturing processes.
The company manufactures
medical equipment, which
are well tested and verified
before dispatching them
at the customers end. The

The Allengers Group, which


comprises of the above four
companies is headed by
Mr. Suresh Sharma as the
Chairman and Managing
Director.
Allengers has a wide spread
sales and service network.
Allengers presence is spread
in large numbers of corporate/
large hospitals like Max,
Fortis, B.L. Kapur, Sarvodaya,
Mahajan Imaging, Rockland,
PGIMER, AIIMS, JIPMER,
SGPGI, B.P. Poddar, Aditya,
Woodland, Kothari, Narayana
Hrudayalaya, KEM, Karuna,
J.J, Apollo, Care, NIMHANS,
HOSMAT, JIPMER, and
many more. This wide
network also speaks volumes
about brand of Allengers.
Their consultative approach
allows them to better
understand the customers
needs. As per their customers,
they are truly an Indian
MNC in the making.
Keeping in mind their
corporate slogan, Passion
for excellence, they aim to
develop into a true global
business, one that is respected
around the world.

With its innovative


solutions, Allengers
is playing a
significant role
in the rapid
development of
digital X-ray

Health Biz India August 2014 47

Promotions

We are focusing on our


differentiating factors
CURA is consolidating & expanding its imaging solutions

USPs of CURA.
CURA also boasts of 97.5%
uptime, 24x7, across regions
and solutions.

n a detailed conversation
with Mr. Kalyanaraman
S, General Manager,
Marketing and Corporate
Accounts, CURA Healthcare
Pvt. Ltd., he tells Health Biz
India what makes CURA a
market leader.

You have now got a fresh


round of funding, how do
you plan to utilise it?

What do you think about


the medical device market
in India?
With the emergence of a wellto-do middle class, India is
embracing a population that is
living their dreams like never
before. Medical technology
market in India has been
steadily growing and is immune
to economic market dynamics.
Accessibility to healthcare has
improved multifold, however,
quality and specialised
healthcare is still confined to
large cities, with rural India
still living without access to
decent healthcare due to lack
of accessibility to cost effective
technologies.

Where do we stand as
compared to our global
counterparts?
Compared to worldwide
healthcare consumption,
Indian healthcare expenditure
constitutes only 1% of the
global healthcare spending,
but it is home to 17% of
the worlds population.
This obviously brings forth
huge growth potential for
the industry here. Trend
has changed than what
48 Health Biz India August 2014

was a decade ago. Now,


the Western world looks
at East for its growth and
consumption. Though we
are yet import dependent
for technologies, hopefully,
the situation will change in
another decade. As compared
to global counterparts, we
need to improve in the areas
of innovation, customised
solutions for tier 2 and 3
markets, regulatory policies
encouraging indigenisation, etc.

What is the USP of CURA


Healthcare?
CURA is today a
professionally-managed
company and places high focus
on driving strong customer
relationships by delivering
lower cost of ownership and
maximising the lifetime value
for its customers. Ear to ground
approach, understanding
clinicians need and offering
customised solutions combined
with industry-best after sales
service support 24x7 are few

The medical equipment


manufacturing sector in
India is still at a very nascent
stage as more than 85% of
our requirements are met by
imports. We strongly believe
that India will follow the same
path as China wherein large,
indigenous manufacturers
of medical equipment have
emerged over the past decade.
With the government focusing
on boosting the manufacturing
sector in India, CURA with
its strong manufacturing,
distribution and service
infrastructure is well
positioned to capitalise on this
opportunity.
With fresh funding, we
will be focusing on scaling
up economies of Digital
Radiography systems.
Besides this, CURA plans to
manufacture top-of-the-line
Mobile Computer Radiography
Systems which offer high
quality X-ray at the bed
side of patients. Inorganic
growth through acquisitions
and expanding its product
portfolio in adjacent spaces and
making footprint in emerging
markets of the world with own
manufactured solutions is also
on the anvil.

www.healthbizindia.in

Promotions
CURA recently announced
that it will launch a slew
of patented medical
equipment to address the
domestic market. Kindly
shed more light on this.
As mentioned above, we will
be expanding our current
offerings in DR, CR and
HF x-ray systems, bringing
newer solutions in DR with
mammography, PET CT etc;
scaling/up-gradation of preowned imaging diagnostics
solution. Recently, we have
acquired Concept Integrations,
a Pune-based Cardiac and
Critical Care solutions
manufacturing facility. Thus,
we are now entering critical
care device space as well. We
have also launched Ultrasound
systems.

Tell us about your


manufacturing processes?
CURA has two facilities at
Chennai and recently acquired
Concept Integrations at
Pune. At Chennai, facility in
MEPZ SEZ (Madras Export
Processing Zone, Special
Economic Zone) campus is
focused on manufacturing
Digital Radiography, Mobile
CRs, HF X-ray systems along
with accessories such as Bucky
table, X-ray table. It adheres
to international standards, is
ISO 13485 certified and the CE
certification is under process.
Another facility is outside
this campus, which focuses
on pre-owned equipment
processing. We adhere to
COCIR framework and
bring end to end best in class
pre-owned hi-end imaging
diagnostics solutions including
single and multi-slice CT,
permanent magnet and
Supercon MRI, Mammography
and BMD systems. The facility
also houses PCB and tube

repair facility. This is countrys


first of its kind facility for preowned equipment. Concept
Integrations, Pune, focuses
on cardiac and critical care
solutions.

Many companies have


struggled to manufacture
products in-house. How
did CURA overcome the
hurdles and succeeded?
As rightly pointed out by you,
it has not been smooth ride for
CURA too. Perseverance and
determination to bring world
class, cost effective solutions
to make healthcare accessible
made us reach at the present
level. We work more towards
bringing India-fit solutions
and add value to the solutions
than mere selling products.
Unlike available solutions,
we have addressed few
challenges faced by Indian
healthcare providers such as
electricity, space and product
life cycle cost. We have brought
solutions which works at NO
POWER yet provide optimum
output like 400mA X-ray
output using just 15amps
power as against requirement
of 30-40KW.
This brings down overall
cost of a radiology department.
Similarly, we have re-designed
our DR system so that space
utilisation can be reduced
by close to 70 sq.ft. Though

70 sq.ft looks small, please


remember, a radiology
department is usually situated
in ground floor and is in
premium space. If you saving
such a space, then it can be
used for more valuable services
within the institute. Similarly,
few other solutions work in our
favour. Innovative thinking and
offering value added solution
has so far helped us.

Which locations in India do


you currently cater to?
We cater pan India. We have
21 service offices strategically
located across India. Our
client list includes best of the
best hospitals such as Apollo,
SRMCH, MIOT, Max, Tata
Memorial, SCT, SGPGI,
Vaidehi, etc. We have strong
presence in TN Government
hospitals. Overall, we have
over 600 installations across
country in premier institutes.

What are the companys


plans for the next 10
years?
To consolidate and expand in
Imaging Diagnostics space with
more technologically advanced
solutions. Also expansion is
planned in cardiac and critical
care solutions. Our focus is to
offer Best Service and we are
working on such service models
which will be the differentiating
factor in industry.

Our focus is to offer


Best Service and
we are working on
such service models
which will be the
differentiating factor
in industry
Health Biz India August 2014 49

Promotions

Technomed updates LED


Surgical OT Light
Not only does Technomed has strict quality assurance, but also
an extended after sale service that is guaranteed for many
years after purchase

50 Health Biz India August 2014

ED lighting technology
has come a long way
since its inception in
the late 1990s. Recent years
have witnessed the high
functionality of LED OT
lights. By combining in-depth
manufacturing competence
with innovative ideas
Technomed is committed in
manufacturing fully-featured,
future-proof Surgical Operating
Lights/Tables that are bound
to satisfy all of the hygienic
and practical requirements of
surgical procedures.
Technomed with the
able support of its respected
surgeons/end users has now
reached at a stage of leaving
behind Halogen and moving
ahead with surgeons choice
of LED with 3 FINS to
10 FINS giving 40,000 to
2,70,000 Lux and which can
be placed on ceiling or can be
mobile and also wall mounted.
Technomed LED has
passed through various tests
and is very much confident to
maintain that familiar smile on
the faces of its respected clients
the surgeons.

offers impeccable viewing


conditions. These lights are
made of lightweight aluminium,
and hence the nimble body
and suspension arms are sleek
and easy to reposition. The
screen is made of scratch-proof
and toughened glass to ensure
the finest of light emission
throughout its working life.
Technomed, through its
multi-coloured and single
colour LED surgical lights,
ensures a flawlessly lit medical
working environment. With
flexible ceiling-mounted
supply unit that comes with
modular elements like special
support arm system that can
be reconfigured as desired even
after installation, these lights
guarantee to throw the best
light onto your examinations.

The detailing

A better view

Technomed LED OT lights


are available in triangular/
pentagonal/and hexagonal
shapes. The lights maximise the
field of illumination and their
optimised illumination depth

In its LED lights, Technomed


has introduced the unique
multi-lens matrix
that provides excellent
distribution of light and
at the same time, ensures

Manoj Kumar, CEO, Technomed India

homogeneous illumination
of the operating area, as its
very important to keep entire
operating area clearly visible.
Its innovative shadow
management control helps
surgeons to get a better view
during deep cavity procedures,
such as deep, narrow wounds.
Additionally, Technomed
provides special two hours
training to the OT staff during
installation of every OT Table
and OT Light explaining the
important steps to be taken
before and after every surgery.

Quality assurance
Clients from different corners
of the country have acclaimed
Technomeds products for
their performance, thanks to its
seamless, sealed construction
and its scratchproof, easy-toclean safety glass. This is thanks
to the strict quality parameters
of Technomed, due to which
the company undergoes
certified manufacturing
processes. Not only they
have quality assurance, but
also an extended after sale
service that is guaranteed for
many years after purchase.
Technomed has many years
of expertise and unmatched
strengths in technical
innovation that has helped it
carve a niche among leading
global surgical LED light
manufacturers.

A Commitment to
Innovation & Precision

www.healthbizindia.in

Promotions

With more than 60 years innovations & product development,


Nihon Kohden has become one of the significant global
medical equipment manufacturers

hrough a strong
commitment to
innovation and
precision of parameters, Nihon
Kohden is well positioned to
deliver new technologies that
will propel advancements and
lay the foundation for the
future of patient-focused care.

Strong focus on quality


On August 7, 1951, Nihon
Kohden was founded with
the goal of Fighting Disease
with Electronics. With more
than 60 years innovations and
product development, Nihon
Kohden has become one of
the significant global medical
equipment manufacturers and
one of the largest Japanese
medical devices providers.
The companys success
has been deeply rooted in
its commitment to invest
in R&D every year for
continuous innovative product
development. Nihon Kohden
R&D centers, scientists and
engineers are working towards
innovations and regular
improvisation of technology.
Nihon Kohden Corporation
is always focusing on providing
quality medical services for
the Indian market; since
India with worlds second
largest population has become
one of the most important
global economic propellers.

Anil Srivastava, National Sales Manager-Medical Equipment, Nihon Kohden India

In order to further deliver


better healthcare solutions for
clients in India, from pre-sales
to customer services, Nihon
Kohden Corporation Japan
had set the Indian subsidiary
in April 2011 as Nihon
Kohden India Pvt. Ltd. By
its endless pursuits for high
quality and technology, the
companys products have
always gained good recognition
and reputation in the Indian
market.

Growing business in India


In a short period of just

39 months operation, the


company has got fantastic
business from all segment of
customers including many
prestigious hospitals like All
India institute of Medical
Sciences New Delhi,
JIPMER- Puducherry, Apollo
Group of Hospitals, Ruby
Hall Clinic - Pune, Prince Aly
Khan Hospital - Mumbai,
MIOT Hospital - Chennai,
Fortis Healthcare Gurgaon,
Paras Healthcare Gurgaon,
Delhi, Patna; Madras Medical
Mission - Chennai, SCTIMSTThiruvananthapuram,
Health Biz India August 2014 51

Promotions

Christian Medical CollageLudhiana, Dayanand Medical


Collage - Ludhiana , BL
Kapur Hospital - Delhi, Kerala
Institute of Medical Sciences
- Trivandrum, Narayana
Hrudayalaya - Bangalore,
Nizam Institute of Medical
Sciences - Hyderabad, KLE
Group of Hospitals - Belgaum,
Manipal Group of Hospitals Bangalore, Neotia Healthcare
- Kolkata, Bhartiya Vidyapeeth
Hospital Pune, Sree Chitra
Tirunal Institute for Medical
Sciences & Technology,
Trivandrum, to name a few.

Awards & recognitions


Dr. Takuo Aoyagi, Ph.D., a
Nihon Kohden employee and
the inventor of the clinical
measurement called Pulse
Oximetry in 1972 received
the Gravenstein Lifetime
Achievement Award for his
significant contributions to
world-wide healthcare. Dr.
Aoyagi received the award
on January 11, 2013 at the
Society for Technology in
52 Health Biz India August 2014

Anesthesia (STA) Meeting in


Phoenix, Arizona. The Society
of Technology in Anesthesia
is recognised as one of the
top medical meetings in the
United States for inventors
and innovators of medical
technology.
Nihon Kohden intends to keep
growing as a leading medical
electronic equipment company.
Their company mottos are:
To develop innovative
products based on its
engineering specialty, the
human-machine interface.
Continue to develop
competitive, high quality
products in its core market
areas.
Use its strong distribution
network and experience
in the medical equipment
industry to expand into a
wider range of markets.

Product range
Nihon Kohden currently
offers more than 35 products
across three business segments
including:

Patient monitoring devices


and life support products
In-vitro diagnostic
instruments
Neurology diagnostic
equipment
Nihon Kohden recently
launched the esCCO, a novel
technology to non-invasively
measure continuous cardiac
output from ECG and SpO2.
esCCO is a new technology to
determine the cardiac output
continuously using Pulse
Wave Transit Time (PWTT)
which is obtained by the pulse
oximetry and ECG signals
from each cycle of the ECG
and peripheral pulse wave.
esCCO provides real-time,
continuous and non-invasive
cardiac output measurement.
Ease of operating and ease of
access to the technology will
be the key in future, believes
Nihon Kohden.
Also, with its investment
in research and development,
quality has always been the
companys first priority.
As a medical equipment
manufacturer, the quality of its
products is not only vital for a
patients life but is also a vital
part of the Japanese quality
culture.
We are very confident that
our growing comprehensive
portfolio of high-quality, hightechnology, easy to use and
affordable products will allow
Nihon Kohden to continue
growing market share in India
and globally. We thank our
customers for their continued
support and for the confidence
that they have placed in us.
We are fully confident that
Nihon Kohden will play more
significant role in Indian
market in coming years, says
Anil Srivastava, National Sales
Manager-Medical Equipment,
Nihon Kohden India.

Nishika Makes Managing


Waste Easier

www.healthbizindia.in

Promotions

Nishika Enterprises has become the foremost company to


provide Bio Medical Waste Handling Solutions

Neeraj Garg, CEO, Nishika Enterprises

ishika Enterprises was


incorporated in 1992
with the aim to cater
to the healthcare industry. The
company is credited to have
launched Melto-Plus Syringe
Needle Destroyers for the first
time in India in 1992.
Nishika subsequently
became the foremost company
to provide Bio Medical Waste
Handling Solutions. With the
introduction of wide range
of Sharp Containers in India
in 2002, Nishika Enterprises
created a niche space for itself.

Country wide presence


Today, the company has a

country wide presence with


a number of Government/
Private and Corporate
Hospitals giving Nishika
a chance to serve them.
Their list of satisfied clients
speaks for itself about the
companys commitment for
excellence. Nishika Enterprises
is spreading wings to attain
greater heights in future.
The quality of their products
and prices makes them the first
choice forthe healthcare sector
and gives stiff competition to
their competitors and night
flyers, if any.
The companys USP is: Best
quality, lowest price.

Brands
Their brand names
DISPOSAFE for
Sharp Containers and
GARBICARE for Waste
Bins, Trolleys are synonyms
for quality. They are in
rate contract with many
Government and Corporate
Hospitals. Currently, Nishika
has more than 100 products
to offer.
The company looks forward
to increasing the range of
its products in the coming
time and look forward to
becoming the most talked
about company in field of Bio
Medical Waste Management.
Health Biz India August 2014 53

Promotions

For those users who have


a concept of new product
designin the field, Nishika
Enterprises proves to be their
first choice, as the company
has already developed a wide
range of Waste Handling
products in consultation with
end users.

DISPOSAFE Sharp
Containers

Nishika caters to
the top 70 per cent
of hospitals in Delhi
and NCR region and
to many renowned
hospitals in the
country

54 Health Biz India August 2014

Nishika Enterprises introduced


DISPOSAFE Sharp
Containers in the year 2002
and within a short period of
one year, the company was
able to procure orders from
reputed Government and
Private hospitals. At that point
of time, only 6 lit. containers
were introduced and the
prices were almost one third
as compared to imported
containers available at that
time. Hence, it was instant
hit in the healthcare industry.
Today, Nishika caters to the
top 70 per cent of hospitals
in Delhi and NCR region and
to many renowned hospitals

throughout the country.


Looking into the wide
acceptance in the market and
considering the feedback of
the end user, the company
slowly developed a wide range
of disposable containers and
with different designs. Today,
the company offers 6 lit., 3
lit., 1.7 lit., 1 lit., and 0.8
lit. containers in both round
and rectangular shapes. Our
container is made of 100 per
cent polypropylene and are
autoclaveable.

Key clients
Some prominent users of
Nishika Enterprises
products
Ziqitza Health Care Ltd,
Mumbai
Seven Hills Healthcare
Pvt. Ltd., Mumbai &
Vishakhapatnam
S.L. Raheja Hospital,
Mumbai
Centre For Digestive &
Kidney Diseases, Mumbai
CIMS Hospital Pvt. Ltd.
Ahmedabad (Gujrat)

SPS Apollo, Ahmedabad


Jaya Deva Hospital,
Bangalore
Ganga Care Hospital,
Nagpur
Manipal Servicecorp Facility
Management Pvt. Ltd.,
Manipal
O.P. Jindal Institute Of
Cancer & Research, Hisar
Ivy Hospitals, Punjab
Satguru Partap Singh Apollo
Hospitals, Ludhiana
Max Hospitals, (Pan) India
Paras HMRI Hospital,
Patna & Gurgaon
Medicity, Gurgaon
Quest Diagnostics, Gurgaon
Asian, Faridabad
Metro Heart Institute,
Faridabad
Dr. Lal Path Labs, Delhi
G.B. Pant Hospital, New
Delhi
L.N.J.P. Hospital, New
Delhi
Dr. R.M.L. Hospital, New
Delhi
Sarvodaya Hospital &
Research Centre, Faridabad
Shri Action Balaji Medical
Institute, New Delhi
Alchemist Hospital,
Gurgaon
Bensups Hospital, New
Delhi
Saroj Hospital, New Delhi
Saket City Hospital, New
Delhi
Indian Spinal Injuries
Centre, New Delhi
Pushpawati Singhania
Research Institute, New
Delhi
M.G.S., New Delhi
SRL Limited
Cryobank Ltd., Gurgaon
S.R.M.I.M.S., Bareilly (U.P)
Santosh Medical College &
Hospital, Ghaziabad (U.P)
Solanki Hospital, Alwar
(Rajasthan)
Mahajan Scientific, Solan
(H.P)

Early Diagnosis Holds


the Key for Better Care

www.healthbizindia.in

Special Feature

Early diagnosis of motor neuron diseases is becoming more


important so that patients can be medicated and managed to
live better

By: Dr. Tennore Ramesh

Amyotrophic lateral
sclerosis/motor
neuron disease
(ALS/MND) are a group of
neurological disorders that
affect motor neurones, the cells
that control voluntary muscle
activity that affect general body
movements such as walking,
breathing, speaking and
swallowing. In southern India,
a rare form of MND called
Madras motor neuron disease

is also observed.
While ALS/MND generally
affects motor neurones, the
neurons that directly impact
body movement, many
other non-motor sensory
and cognitive changes are
also becoming recognised in
these patients. Hence, ALS/
MND falls in a spectrum of
neurodegenerative diseases
that involves multiple neuronal
systems in the brain and spinal
cord.
Interestingly, ALS among

Indian patients is appearing far


earlier than in many Western
countries, although the reasons
for that are unclear. With
many Indians living longer,
we get to see far more ALS
patients now than in the past.
There is no cure for ALS/
MND and the only approved
drug Riluzole sold under the
brand name Rilutek extends
life of ALS patients only by a
few months. However, early
diagnosis is becoming more
important so that patients can
Health Biz India August 2014 55

Special Feature
be medicated and managed to
live better.

The University
of Sheffield has
developed the
worlds first
adult onset
neurodegeneration
model using
zebrafish

56 Health Biz India August 2014

The zebrafish study


Research on ALS is difficult
as most of the ALS cases
are sporadic i.e. the cause
is unknown. However,
modelling genetic forms of
ALS such as mutation in the
SOD1, TARDBP, C9ORF72
have been useful in finding
parallels in the sporadic
disease and in developing
cellular and animal models
of ALS. Zebrafish (Danio
rerio) a tropical fresh water
fish native to the Himalayan
region in India is emerging as
a great system to model many
human diseases including
neurodegenerative diseases
such as ALS. Zebrafish offers
an excellent model system to

study neuronal circuits and


synaptic plasticity as they are
vertebrates with similar CNS
architecture and organisation
to humans.
They are transparent, and
the development of locomotor
neuronal circuits from a single
cell embryo occur ex-vivo
(outside the body), where
they can be easily observed,
recorded and manipulated.
We, at the University of
Sheffield, developed the
worlds first adult onset
neurodegeneration model
using zebrafish.
The sod1 zebrafish model
developed was to trace and
track cells in the body that
are sick/stressed. We used the
heatshock promoter (hsp70) to
drive a red fluorescent protein
expression. This allowed us to

identify stressed neurons and


thus map the disease better.
Using this model, we were the
first to show that inhibitory
interneurons in the spinal cord
show the earliest evidence
of stress. Interestingly, we
observed stress in these
neurons in early embryogenesis
(24 hours post fertilisation).
The inhibitory interneurons
act as brakes to the motor
neurons and hence damage/
stress to them will lead to
lack of control over motor
neuron function. We observed
that over time (few months),
this leads to stress/damage
to motor neurons themselves
and this in turn leads to
denervation of the muscles
which they supplied.
Thus, for the first time,
we were able to clearly

Research on
Amyotrophic Lateral
Sclerosis is difficult
as most cases are
sporadic and the
causes are unknown

demonstrate how different


populations of neurons are
affected over the course of
the disease (Figure-1). This
result was recently published
in the top neurology journal
Annals of Neurology. This
study provides clues on the
important role of neuronal
circuits and demonstrates
how the disease can spread
over time. This has great
implications on developing
novel treatments for MND
and the zebrafish model
additionally provides a new
tool to test the efficacy of
drugs using the neuronal stress
assay.

Increased opportunities
Since October 2011, we have
been working on a major
project using the zebrafish
model of MND to efficiently
screen over 2,000 potential
drugs for any beneficial
effects. The zebrafish model
provided the researchers
with opportunities to study
and better understand how
neuronal stress develops and

spreads in MND, offering


insight into the earliest stages
of the disease. Riluzole is a
drug used to treat ALS. It also
delays the onset of ventilator
dependence in selected patients
and may increase survival by
approximately 35 months.
We demonstrated that riluzole
is able to reduce the neuronal
stress in the sod1 zebrafish
model, thus validating the
utility of this assay.
Since then, we have
also demonstrated that
apomorphine-S (Not R
isoform) is also able to reduce
the neuronal stress. We had

earlier shown in the MND


mouse model that this drug
shows a modest effect in this
model. Nrf2 is an important
transcription factor that is
involved in reducing oxidative
stress and is considered an
important target for therapy
in ALS. Initial studies indicate
that many other compounds
may also be effective in this
zebrafish model. As many
of the drugs in the screen are
already approved for human
use, any drugs we identify
would be tolerated in humans
as well.
We also found out that
many steroidal compounds
in the drug library showed
a small modest effect on
reducing neuronal stress. It is
well known that estrogen, a
steroid, has neuroprotective
effect and the incidence of
ALS in women peaks after the
menopause. Thus, this finding
adds more interesting clues to
identifying the mechanism of
protective effects of such hits
and identifying more potent
drugs from this class.

www.healthbizindia.in

Special Feature

About the author


Dr. Tennore Ramesh
is a motor neuron
disease researcher at
the Sheffield Institute
of Translational
Neuroscience (SITraN),
the University of
Sheffields Department
of Neuroscience (UK).

Health Biz India August 2014 57

Health Beyond Fitness

Sit Straight at Work!


Sitting for long hours takes a toll on your health; here are
some tips to improve your health, if you are in a sedentary job

By: Dr. Gerd Mueller

n todays hectic world,


many hours are spent at
offices. On an average, a
person sits more than eight
hours per day while doing his/
her job at the office. Many
of us do not take required
number of frequent eye or
leg breaks and eventually
develop body ailments, most
common of them are back
and neck pain. Lack of proper
knowledge and guidance
coupled with a careless
attitude towards health are
the main culprits.

Negative effects of sitting


for long hours

Workout is essential
to counter the
negative effects of
sitting at desk for
long hours at your
office
58 Health Biz India August 2014

Not only during office


hours, but even at home we
tend to pass the rest of our
days hours mostly sitting
watching TV, eating,
surfing the net, commuting
at sit-position and so on.
This sitting habit contributes
to a number of medical

conditions like back pain,


neck pain headache and other
conditions. The way we are
working on a computer,
we underuse many of our
muscles, while other muscles
get tense and shorten. Very
often we develop a so-called
muscular imbalance, with
a shortening of the breast
muscles and a weakness of
the upper back and shoulder
blade muscles.

What we should do?


If you are sitting at a desk for
large portion of the workday,
its important to give your
body a break by standing up.

When you do, you will work


different muscles and get your
blood moving up.
When you are sitting,
make sure you move around
a lot and change positions,
it is called dynamic sitting.
This way you start to use
different muscles. Recharge
your body through frequent
breaks. Frequent breaks
are important to maintain
good health. Despite having
medically-correct furniture
and other things, you still
need these breaks. Instead
of asking a helper to fetch
for you a file or something,
you should yourself go for it.

www.healthbizindia.in

Health Beyond Fitness

About the author

If you can talk to someone


while standing, do it. Just
a few minutes of frequent
stroll during office hours are
enough to keep you healthy
and recharged. So be active!

Tips to maintain correct


sitting posture
Choose a stable working
place where the computer is
placed and get a computer
which can be adjusted
according to your needs.
When you are seating
comfortably, then ensure
that the distance between
you and your computer is
an arms length. Make sure
that the monitor should
be at the level of your eyes
so that you dont have to
look up or down which will
really stress your eyes as
well as neck.
Make sure that the
keyboard and mouse are
placed at the same height as
your elbow.

However, the workplace


corrections are often
overrated regarding their
effect on the symptoms. More
recent studies show that a
much more effective way in
dealing with the symptoms
lies in proper exercises, both
with short active breaks and
stretches at the workplace
and a good workout in your
leisure time.

Exercise as counterweight against sitting


Workout is essential to
counter the negative effects
of sitting at desk for long
hours at your office. The
exercise regime is different
for different people. Not only
does it differ according to the
age and gender, but also the
weight and the height of a
person. Exercising is a better
way to loose body fat, as it
increases your metabolism.
Physical stamina is increased
to a great extent, which helps

keep you fresh throughout


your hectic schedule for the
whole day. A good workout
also acts as a stress-buster.
Exercising is one of the best
ways to deal with the pain
and stiffness in your neck or
back.

Dr. Gerd Mueller is the


Chairman and Managing
Director of AktivOrtho. He
is a renowned European
orthopaedic. After 15 years
of surgical orthopaedic
specialisation, including
spine surgery (discectomies,
spinal decompressions,
fusions), arthroscopies
(knee, shoulder, elbow, ankle)
and joint replacements,
Dr. Mueller identified an
increasingly prevalent need
for effective rehabilitation and
pain management and since
then has devoted himself to
the non-invasive treatment of
orthopaedic ailments.

Back & neck exercise


must for office-goers
Neck stretching exercises
can loosen the stiffness of
the muscle and expand the
range of motion. Neck and
upper back strengthening
exercises can help a person
in maintaining proper neck
position which may stop
recurrent pain caused by long
sitting hours.
There are a number of
exercises to strengthen back
muscles, but it is advisable
to consult a physiotherapist/
doctor before starting any
exercise, especially when
symptoms have been there for
a long time.
Health Biz India August 2014 59

Leisure - Travel

Klassic Kabini

Kabini lies in the Biosphere Reserve of the Western Ghats,


and is one of the worlds 10 Hottest Biodiversity Hotspots,
declared by UNESCO

The prince - A male leopard looks straight into my lens

Photos & Words by: Avirat


Shete

T
The food served
at Gol Ghar is
sumptuous and
tasty, made peppier
with jungle tales
exchanged between
mouthfuls
60 Health Biz India August 2014

Spotted Deers lock antlers

he tiger is the king,


undoubtedly! But, have
you ever set sight on
the prince? Also known as
the ghost of jungles, the Indian
Leopard (Panthera pardus)
is even rarer to spot than the
tiger. It is here in Kabini, part
of Nagarhole National Park
(Rajiv Gandhi National Park),
that I had my first leopard
sighting.
It was the first time that I
saw this magnificent predator

Places nearby

Wild Dog showing off his canines

Malabar Giant Squirrel, the


state animal of Maharashtra

Lesser Yellownape Woodpecker

A tender moment - Elephant calf suckling, while the family jostles around after a mud bath

in over seven years of wild


outings. Perched on a teak
branch, 15 feet above the
ground (they are excellent
climbers), a fully grown adult
male leopard looked straight
into my lens, and I got the
image I had been hoping to
capture for a long time. The
deadly look of a leopard is
unmatched in our forests.
Something I wont forget in my
lifetime.
Kabini lies in the Nilgiri
Biosphere Reserve of the
Western Ghats. The Western
Ghats area is one of the
worlds 10 Hottest Biodiversity
Hotspots, declared by

Indian Roller, the state bird of Karnataka

UNESCO, and has over 5,000


species of flowering plants,
139 mammal species, 508
bird species, 179 amphibian
species and 288 freshwater fish
species. At least 325 globally
threatened species are in the
Western Ghats.

Peacock showing off his magnificent tail

Ranganathittu Bird Sanctuary


(45 kms/1 hr) for a boat
ride in the Cauvery river that
offers very good sighting of
huge colonies of water birds,
and also the crocodiles.
Mysore (94 kms/2 hrs) for
the most visited monument
in India - The Mysore Palace,
several famous temples,
railway museum, and of
course, the Brindavan
Gardens. (Tip: Visit Mysore
during Dussehra for the most
amazing celebration you may
ever see).
Coorg (113 kms/2.5 hrs) for
lush green valleys, misty hills,
sprawling coffee plantations,
tea estates, orange groves,
lofty peaks and fast flowing
streams.
Nanjangud (95 kms/2
hrs) for the stunning
Nanjundeshwara temple and
Parshurama Kshetra.

www.healthbizindia.in

Leisure - Travel

Situated on the
banks of the Kabini
River, the reserve
is spread over 55
acres (22 ha) of
forestland, steep
valleys, and water
bodies
Health Biz India August 2014 61

Leisure - Travel
bodies means more animal
activity near the river. The
largest congregation of Asian
Elephants can be witnessed
during the boat ride.

Kabini Flora
The vegetation here consists
mainly of North Western Ghats
moist deciduous forests
with teak and rosewood
predominating in the southern
parts. There is Central Deccan
Plateau dry deciduous forests
with Pala indigo and thorny
wattle towards the east. There
are some sub-montane valley
swamp forests with several
species of the Eugeniagenus.
The main trees found here are
the commercially important
rosewood, teak, sandalwood
and silver oak. Species of
trees of the dry deciduous
forest include crocodile bark,
lagerstroemia lanceolata
(crepe myrtle), Indian kino tree,
grewia tilaefolia, rosewood and
axlewood.
Other tree species that are
seen in the forests are kadam,
cotton tree, schleichera trijuga
and some species of ficus.
In the understorey, species
found growing include kydia
calycina, Indian gooseberry
and beechwood; shrubs like
horse nettles, tick clover,
helicteres species and
invasive species like lantana
and bonesets are found in
abundance.
These forests also have some
conspicuous tree species such
as golden shower tree, flame
of the forest and clumping
bamboo.
- Wikipedia

Where to stay

Winding path in the woods

Sightings
How to reach
The Kabini Forest Reserve
is one of the most popular
wildlife destinations of
Karnataka, probably because
of its accessibility, lush green
landscape surrounding a large
lake, and sightings of herds of
elephants. It is 90 km away
from Mysore and 205 km from
Bangalore. Situated on the
banks of the Kabini River, the

62 Health Biz India August 2014

Several hotels, resorts and


lodges to choose from - Orange
County, Red Earth, The Serai,
and so on.
However, my vote would
go to the Kabini River Lodge,
managed by Jungle Lodges
and Resorts. It has been
voted as the fifth best wildlife
resort in the world. From the
luxurious Maharaja Cottage
to the lovely simple tents, you
have four different options of
accommodation. I stayed in a
self-contained tent, close to the
river, and thoroughly enjoyed
it. There are hammocks outside
your cottages, and you can laze
around after the safari, dozing
off amid gentle bird songs.
The food served at Gol
Ghar is sumptuous and tasty,
made peppier with jungle tales
exchanged between mouthfuls.
Since it is the closest resort to
the forest as well as the river,
you save precious commuting
time, a bonus any jungle
traveller would vouch for. In
fact, tourists from all other
resorts too have to come here
for the safari.

reserve is spread over 55 acres


(22 ha) of forestland, steep
valleys, and water bodies.

Best time
If it is pleasant weather
you are looking for, then
head to Kabini in winters,
but if wildlife sighting or
photography is your focus,
then the best time to visit is
March to May. It will be hot
and humid, but the dried water

As mentioned earlier, the


highlight of this trip was
the unforgettable leopard
sighting. But how can I forget
the seven wild dogs that
were playing around on the
grassy forest floor? Or the
lone tusker, ambling around
on the banks of the river?
The cutest moment captured
was the elephant family, mud
bathing in a quiet corner. A
family portrait, with a little

Leisure - Travel

Darter a.k.a Snake Bird, courtesy its neck

About the author


Avirat V. Shete is a teacher
and motivator for the past 15
years. His journey as a wildlife
and nature photographer
started in 2006 with a trip
to the World Heritage Site:
Kaziranga and in his own
words he fell head over
heels in love with the wild
outdoors. Having travelled
across the length and breadth
of India, he loves to share
his experiences with the
concrete dwellers and urges
them to explore the offbeat.
Through his company Mid
Earth, he has introduced
hundreds of young and old
to the wonders of nature. He
has also composed over 200
poems on diverse topics,
and his works have featured
in reputed publications like
Hornbill and Saevus. He lives
in Thane with his family of 9,
spanning 4 generations.

64 Health Biz India August 2014

Serpent Eagle captured while preening

calf suckling, was a moment


to cherish. And yeah, a tiger
was also spotted, albeit quite
far away. But, the chances
of seeing a tiger in the dense
forests of South India are
pretty slim. So, no complaints
there. The smallest mammal
we spotted was the Malabar
Giant Squirrel (state animal of
Maharashtra).
Several lifers (seen for
the first time in life) on the
birding front. Worthy of
special mention would be the
Pompadour Green Pigeons,
seen at a salt lick, along with
40 Yellow-footed Green
Pigeons and Green Imperial
Pigeons. Surprisingly, the
majestic Serpent Eagle was the
only raptor seen in this trip.
Apart from the leopard
sighting, I will remember this
trip for my best peacock photo
ever.
In the golden morning light,
our national bird was perched
at eye level on a dead tree.
The light was perfect, and so
was the perch. Shutters clicked
away like crazy, and the
subject was co-operative too.

Must Do
Apart from the amazing
jungle safaris in open
vehicles, dont forget to
enjoy a boat ride in the back
waters of Kabini. There

Lesser Goldenback

A tusker enjoying a stroll in the meadow

Self contained tents at Kabini River Lodge

are two options motor


boat ride and coracle. Try
the latter only if you are
adventurous.
Watch a one hour wildlife
movie/documentary at the
colonial restaurant.
Browse through some
stunning images and enhance
your knowledge about the
region, through the books at
the local library.

Ask your bartender to


narrate the legend of John
Wakefield a.k.a Papa, the
British conservationist who
made Kabini his home.

Useful links:
http://www.junglelodges.com/
kabini-river-lodge
www.nativeplanet.com
www.wildlifediaries.com
www.tripadvisor.in

Go Digital!
Enjoy Healthinfo at your Fingertips

Log on to

www.healthbizindia.in

Leisure - Tech-o-Manic

How to Save a Life


Things you should do when your phone becomes wet
been, Im sorry dude.), and
it wouldnt do much damage
by itself. The damage occurs
when there is short circuiting
inside.
If there are SIM cards or
memory cards in the device, it
is advisable you take them out
now. Dry them with a napkin
or a towel and keep them
aside. In case you spilled some
milk or some aerated drink,
clean them with ear-buds
and nail varnish or surgical
alcohol.
Are there any fancy covers
or attachments in your device?
You need to remove them too.

Step 3: Dry it

By: Prashant Pathak

Always make sure


your dryer is in cold
mode while drying
your wet device
66 Health Biz India August 2014

nd there it went.
Like a washed-out
actor heading towards
a crash, your phone decided to
take the plunge. You couldnt
do much, since it already had
made up its mind and had a
plan in place. It doesnt matter
how it went, you dropped it in
a bowl of water, you walked
in the rain, or you spilled a
glass of water on it, it just did.
And now its up to you to drag
it back to life.
Wet phones are tricky, and
your manufacturer wont
probably cover it in warranty.
It all depends on how much
time passed before you could
retrieve it. I make no promises;
so even after performing all
the steps mentioned below you
could still end up with a very

expensive paper weight. But at


least you would have tried.
Right ho!

Step 1: Rescue it
Close your mouth and fish out
the damn thing. The longer
the phone is in the water, the
higher the chances of it getting
wasted.
If you spilled liquid on it,
get it out of the battlefield and
give it a quick wipe with the
towel before proceeding with
the next step.

Step 2: Cut off the juice


and strip
Take out the battery if you
can. At this point of time you
should resist the urge to turn
it on and checking if it works.
Most likely the water/liquid
your phone has been into isnt
corrosive or salty (if it has

This is a two-step process.


You need to first clean out
all the moisture inside the
phone. You could either dry it
by using a hair dryer or use a
vacuum cleaner to suck out the
liquid.
Set the hair dryer to Cold
(never warm or hot air) and
blast the device from every
angle. Get up close and
personal with it, and make
sure all the moisture that you
could reach is gone. Take short
breaks, since you dont want
the dryer to become too hot
and melt the electronics inside.
Or you could take up that
vacuum nozzle and suck out
the liquid. Make sure you get
all the vents and the ports,
especially the ones that allow
you direct access to the mobile
innards. If you dont have a
vacuum cleaner handy, use
your lips. Not the best way,
but it gets the job done.

www.healthbizindia.in

Leisure - Tech-o-Manic

After you are satisfied


with all that hot air blasting/
vacuuming/sucking, take the
phone and put in a bowl of
uncooked rice for the next 24
hours. Make sure you cover
the entire device, and remove
the back cover if you can.
Silica gel can also be used, if
you have it handy. This will
help remove any moisture in
the device.
Keep on checking every four
to five hours if you phone was
particularly wet. You might
want to change the rice of
bowl. If even after the allotted
24 hours, you still see moisture
on screen, put it back in for

some more time.

Step 4: Put it all back


together
You have removed it from the
rice, and it looks good. The
water is now gone and it is
now time to assess the damage.
Put in the SIM card and the
battery and try switching it on.
It might not work the first time
since it is entirely possible the
battery got drained out during
its sojourn in the water.
Keep the phone turned
off (if you have managed to
switch it on in the first place)
before you try and charge it.
Take your charger and plug in

the mobile first. Then plug the


charger in the socket and turn
it on, while keeping an eye on
the device. If you see anything
amiss, remove the charger
immediately. Or if its your
lucky day, you would be able
to safely charge your device.
Just make sure you dont
leave it unattended. Its your
precious device we are talking
about here.

Keeping your device


in a bowl of uncooked
rice helps get rid
of excess moisture
inside it

Step 5: Switch it on and


test it
If the stars were aligned and
there is someone upstairs
looking out for you, in all
fairness, you should be able to
turn on your device now.
If you are successful, firstly
my heartiest congratulations.
Secondly, you need to assess
the damage if any. Do a quick
review of the phone functions,
make a call or drop a message,
use the net or play a game, and
check if all is fine with it. If
all is well, you might have just
managed to save your device
from a watery grave.
In case you find out that
the device only runs while
plugged, most likely the
battery is to blame. Get a new
one, and enjoy your phones
second life.
Until next time!
Your friendly neighborhood
PC Guy.

About the author


Prashant is a technogeek who
has an avid interest in writing,
and who in his spare time,
also has being known to pick
up a book or ten. He recently
joined a software company on
his way to pursuing his dream
of writing world changing
code. Whether or not, he
does that, remains to be
seen. He can be contacted at:
prashantpathak@outlook.com

Health Biz India August 2014 67

Events

Conference Alerts
Medicall

SASH 2014

F&S Excellence Awards

FICCI Heal 2014

Medicall is Indias premier


hospital needs and equipment
exposition and the biggest
of its kind in India. Medicall
was started with the idea of
promoting entrepreneurship
amongst the medical fraternity.
The first Medicall expo was
held in 2005 with the idea of
bringing all the stakeholders
of hospital industry under one
roof. Medicall brings the latest,
appropriate and affordable
technologies, for the benefit of
all hospitals including smaller
hospitals, clinics, nursing
homes and physicians setting
up group practice.
Medicall provides an
opportunity for Indian and
international hospital needs
companies to showcase
their products and services.
Thematic seminars focusing
on hospital management
and Medicall Healthcare
Innovation Awards attract
the very best hospitals and
medical professionals from
all over the Globe. Medicall
attracts the Best & Latest of
Healthcare Industry. Medicall
provides a cost effective and
accessible opportunity for
healthcare entrepreneurs,
management professionals and
physicians with relevant group
of products and services.
Organisers: Medexpert
Business Consultants
Date: August 1-3, 2014
Venue: Chennai Trade
Center, Chennai
Contact person: Mr.
Sundararajan
Phone: +91 98403 26020
E-mail: info@medicall.in
Website: www.medicall.in

SASH-2014 is going to be
different experience and will
serve as a benchmark for times
to come. National Conference
on Innovations & Updates
in Hospital Management
has been conceptualised as
a platform, an attempt to
fill up the void that exists
and to get updated on the
emerging technologies in
hospital designing. The event
has set sights on showcasing
the scenario as one would
experience redefining
healthcare management.
The goal is to create a
platform where one can
interexchange knowledge;
hear the researchers and
professionals on the exciting
and challenging trends which
many of us may not be aware
of. Today, healthcare industry
is one of the fastest growing
industries in India and in the
coming years, there is going to
be a phenomenal demand for
hospitals. With this conference,
the motive is to spread
some knowledge on how to
make hospitals of today and
tomorrow, truly patient and
environment friendly healing
centers.
Organisers: AHA Bangalore
Chapter
Date: September 13 & 14,
2014
Venue: M. S. Ramaiah
Medical College & Hospital
Contact person: Paniel J
Phone: +91 9035189825
E-mail: paniel@amenbs.com
Website: www.sashahaindia.
com

After five successful editions,


Frost & Sullivan proudly
presents its 6th edition of the
India Healthcare Excellence
Awards 2014 On Friday,
19th September 2014 in Taj
Lands End, Mumbai. These
awards are in keeping with
its commitment to recognise
innovative growth strategies
and solutions adopted by
the best companies in the
healthcare industry. Award
categories span across
various healthcare segments
such as Pharmaceuticals
and Biotechnology, Medical
Technologies, Healthcare
Delivery Services and Special
Awards.
The coveted Frost &
Sullivan India Healthcare
Excellence Awards are
presented to companies that
demonstrate best practices in
the Indian Healthcare and life
sciences industry. The awards
program follows a rigorous
methodology to recognise
superior planning and
execution of product launches,
strategic alliances, distribution
strategies, technological
innovations, customer services,
healthcare delivery services,
and mergers and acquisitions.
Organisers: Frost & Sullivan
Date: September 19, 2014
Venue: Taj Lands End,
Mumbai
E-mail: indiahcawards@frost.
com
Website: www.frost.com/
hcawards2014

FICCI HEAL is the flagship


event of the Health Services
Division at FICCI. Started
in 2007, the event has
quickly moved on to being
one of the most awaited
Health Conferences in the
country. The Conference is
a conglomeration of policy
makers and national and
international leaders from
healthcare and associated
industries with participation
of delegates from India and
abroad.
Apart from the conference,
another keenly awaited
event on the sidelines is the
Healthcare Awards, which
recognises and Awards
outstanding ach0ievement
and excellence in the field of
Healthcare.
The endeavour through
this Conference is to address
the various opportunities
and challenges to promote
innovation which can change
the current paradigms and
move towards better, efficient
and cheaper methods for
accessible, affordable and
quality healthcare in India.
Organisers: FICCI
Date: September 1&2, 2014
Venue: FICCI Auditorium,
New Delhi
Contact person: Sarita
Chandra
Phone: +11 2373 8760
E-mail: healthservices@ficci.
com
Website: www.ficci-heal.com

68 Health Biz India August 2014

Everything about Branding & Marketing


AMEN organises a 1 Day Conference on Healthcare Branding, Marketing
and Profitability at Chennai
Dr. Sethuraman N, Chairman, Meenakshi Mission Hospital & Research Centre, Madurai

Date: July 19, 2014


Venue: Hotel Ramada,
Chennai
AMEN, Indias leading
Healthcare Management Event
Organisers organised a 1 Day
Conference and Knowledge
Forum on Healthcare
Branding, Marketing &
Profitability on Saturday,
the 19th of July 2014 at
Chennai. The Conference
was a resounding success and
received excellent reviews and
feedback. Participants included
senior healthcare professionals
and hospital promoters from
across the country including
Bangalore, Hyderabad,
Chennai, Kolkata, Ahmedabad,
Calicut, Pondicherry etc.
Dr. Naveen Nagar, AVPStrategy and Operations,
Healthcare Global (HCG),
Bangalore, shared his
experiences on Profitability-A
strategic perspective. He
started his presentation by
saying that profitability
determines the survival of any
organisation. He mentioned
that he strongly believes in
the mantra that Trust is built
through reputation, familiarity,

competence, repetition and


collaboration. It is established
half through expectation
setting and half through service
delivery. Hospitals should
not only aim at retaining the
employees, but also upgrade
their knowledge, he added.
He ended his session by
narrating HCGs success
story and the strategies that
worked for HCG as a single
specialty, giving it a first mover
advantage and making it a
technology leader and shared
their mission of delivering
quality care at an affordable
cost.
The Conference supported
the Self V Survivor Stories
Campaign by HCG. Health
Biz India was one of the Media
Partners for the Conference.
Dr. N Sethuraman,
Chairman, Meenakshi Mission
Hospital and Research Centre,
Madurai, spoke on Hospital
and Healthcare Branding.
He stressed on the fact that
the Customer is King in
todays world and all services
should be designed keeping
the customer in mind. He
elaborated on brand being an
emotional feeling and that one

www.healthbizindia.in

Post Events

Mr. Venkatesh V S, CEO, Apollo White Dental & Apollo Dialysis, Chennai

should aim at building brand


loyalties in their customers. He
talked about the satisfaction
spectrum and insisted that
the organisation should aim
to intoxicate the patient with
delight. Dr. Sethuraman ended
his session by discussing the
tools that are required to build
a brand such as principle,
personality, association, values
and mission.
Mr. Venkatesh VS, CEO,
Apollo White Dental & Apollo
Dialysis, Chennai spoke
extensively on Effectively
Positioning and Re positioning
your brand. According to him,
positioning is what you do
to the mind of the prospect
but in healthcare, positioning
is decided by the patients
perception. He strongly
believes that the healthcare
industry is undergoing large
and fundamental changes
with implications that are not
fully visible. Access, scope,
innovations and demographics
are the points to be kept in
mind while positioning,
he added. Mr. Venkatesh
narrated the success story of
Vassar Brothers Hospital in
Poughkeepsie, New York while

Happiness and
satisfaction on the
faces of the delegates
is what we look forward
to while organising
any conference. We
want the participants
to take home a good
amount of knowledge
and implement the
same in their respective
organisations. We look
forward to organising
more conferences on
this theme and Dubai is
on our cards for 2015
Mr. Paniel Jayanth
Founder and Chief
Strategist, AMEN
Health Biz India August 2014 69

Post Events

Panel Discussion

Delegates

Mr. Sorav Jain, Founder and Thinker in Chief,


EchoVME, Chennai

talking about re-positioning.


Mr. Zakariah Ahmed,
Founder & Chief Mentor,
Health Travelers Worldwide,
Chennai shared his experiences
on International Marketing
Strategies & Techniques for
Medical Tourism. He said that
the hospital should get all the
staff involved and insisted in
including it in the mission of
the hospital. Build a patient
friendly atmosphere in the
hospital as most international
patients stay for about two to
three months, he suggested.
He says that if patients feel
at home as much as possible,
they would help in endorsing
your hospital back at their
homeland. He ended his
session by saying that building
relations with the government
is very important for hassle free
procedures.
Mr. Venkatakrishnan
R, Director, Value Added
70 Health Biz India August 2014

Mr. Venkatakishnan R, Managing Director, Value


Added Corporate Services, Chennai

Corporate Services, Chennai,


talked about Enhancing
Hospital Profitability using
Corporate Performance
Management Systems.
According to him, Enterprise
Performance Management is a
profit value chain that provides
a structured framework
to make strategic choices,
monitor changes business
environment, customer
expectations etc. and in turn
create effective organisations.
He is of the opinion that
effective organisations
anticipate change in customer
expectations and are able to
fulfill them as required and in
time.
Social Media Marketing,
a very interesting session of
the day was taken by Mr.
Sorav Jain, Thinker in Chief,
echoVME. Sorav started off
by mentioning the growth of
social media in international

and national circuits. He


mentioned about popularity
of the internet by showing an
example of Rural Netizens. He
stressed how social media can
be beneficial for healthcare and
shared some examples from his
client list. Social media allows
you to reach people on the
basis of age, gender, interest,
designation, company they
work, education qualification,
sexual orientation, life-style
(mobile, parenting status,
relationship status) and lot
more, he added. He shared
the names of the hospitals that
are widely using social media
as their marketing tool and
also some of the tips and best
practices in creating an effective
social media campaign.
The last session of the
day was taken by Mr.
Gowrishankar N, Managing
Director, HSB Consulting,
Chennai. His session was

on Effective CRM, Internal


Marketing and achieving
customer delight. He started
with the fact that customer
relationship management is
a relationship forged by the
company with its consumers.
He is of the opinion that the
healthcare space is defined by
consumer demands, doctors
as demigods, various myths,
corporatisation and insurance.
He talked about the critical
elements in CRM such as
brand image/positioning
target consumer managing
expectations systems and
processes.
The Conference ended
with a very interesting Panel
Discussion on a critical
topic, Legal Issues & Ethics
in todays Healthcare
Marketing processes. Panel
members included Mr. Harish
Manian, Director, Fortis
Malar Hospital, Chennai;
Mr. S Namdev Rao, Director
- Business Development,
Yashomati Hospitals,
Bangalore; Mr. Aasim
Shehzad, Partner, BSF Legal,
Chennai; Mr. Venkatesh V S,
CEO, Apollo White Dental
& Apollo Dialysis, Chennai;
and Dr. Ramesh Babu, CEO,
Gunam Hospital, Hosur. The
discussion was moderated
by Mr. Gowrishankar N,
Managing Director, HSB
Consulting, Chennai.

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