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©Rajendra	
  Pratap	
  Gupta	
  .	
  Email:	
  	
  office.rajendra@gmail.com	
   1	
  
eHealth	
  in	
  India	
  	
  
Keynote	
  Address	
  	
  
	
  @	
  
	
  
Rajendra	
  Pratap	
  Gupta	
  	
  	
  	
  
Chairman	
  –	
  India	
  	
  
Journey	
  so	
  far…..	
  
	
  
2	
  
©Rajendra	
  Pratap	
  Gupta	
  .	
  Email:	
  	
  office.rajendra@gmail.com	
  
•  1996	
  –	
  First	
  deployment	
  –	
  HIS	
  by	
  CDAC	
  @SGPGIMS	
  
	
  
•  1999	
  -­‐	
  	
  Indigenous	
  Development	
  of	
  Telemedicine	
  
Technology	
  &	
  Deployments	
  by	
  DeitY,	
  MCIT,	
  Govt.	
  
of	
  India	
  @AIIMS,	
  New	
  Delhi;	
  PGIMER,	
  Chandigarh;	
  
&	
  SGPGIMS,	
  Lucknow.	
  	
  
•  2000	
  –	
  Satellite	
  based	
  Telemedicine	
  Deployment	
  by	
  
ISRO	
  @	
  Aragonda	
  	
  
•  2001	
  –	
  First	
  Telemedicine	
  network	
  between	
  AIIMS,	
  
New	
  Delhi	
  –	
  PGI,	
  Chandigarh-­‐	
  SGPGI,	
  Lucknow.	
  
	
  
EvoluXon	
  of	
  eHealth	
  in	
  India	
  
3	
  
©Rajendra	
  Pratap	
  Gupta	
  .	
  Email:	
  	
  office.rajendra@gmail.com	
  
•  2003	
  -­‐04	
  -­‐	
  Deployment	
  of	
  SATCOM	
  based	
  TM	
  nodes	
  
across	
  the	
  country	
  by	
  ISRO	
  	
  
	
  
•  2005	
  -­‐	
  	
  Task	
  force	
  on	
  Telemedicine	
  by	
  MOHFW.	
  	
  
•  2006	
  –	
  Planning	
  Commission	
  approves	
  budget	
  for	
  
eHealth	
  
•  2006	
  –	
  In	
  the	
  11th	
  FYP,	
  School	
  of	
  Telemedicine	
  &	
  
Biomedical	
  InformaXcs	
  (STBI)	
  set	
  up	
  at	
  SGPGIMS	
  
	
  
EvoluXon	
  of	
  eHealth	
  in	
  India	
  
4	
  
©Rajendra	
  Pratap	
  Gupta	
  .	
  Email:	
  	
  office.rajendra@gmail.com	
  
•  2006	
  –	
  PHFI	
  was	
  asked	
  to	
  set	
  up	
  Healthy	
  India	
  
website	
  by	
  MOHFW	
  
	
  
•  2007-­‐	
  STBI	
  @SGPGIMS	
  was	
  made	
  the	
  NaXonal	
  
Resource	
  Centre	
  for	
  Telemedicine	
  &	
  Biomedical	
  
InformaXcs	
  by	
  DietY	
  
	
  
•  2007	
  –	
  MOHFW	
  supported	
  Tele-­‐opthalmology	
  
project	
  
•  2007	
  –	
  MOHFW	
  supported	
  the	
  Onco-­‐NET	
  project	
  
EvoluXon	
  of	
  eHealth	
  in	
  India	
  
5	
  
©Rajendra	
  Pratap	
  Gupta	
  .	
  Email:	
  	
  office.rajendra@gmail.com	
  
•  2009	
  –	
  MOHFW	
  supported	
  NaXonal	
  Rural	
  TM	
  
Network	
  to	
  start	
  pilots	
  projects	
  in	
  Telemedicine	
  
•  2010	
  –	
  NaXonal	
  Medicine	
  College	
  Network	
  Project	
  
conceived	
  	
  
	
  
•  2010	
  –	
  SGPGIMS	
  made	
  NaXonal	
  Resource	
  Centre	
  
for	
  Telemedicine	
  by	
  MOHFW	
  	
  
•  2010	
  –	
  MCTS	
  launched	
  by	
  MOHFW	
  
EvoluXon	
  of	
  eHealth	
  in	
  India	
  
6	
  
©Rajendra	
  Pratap	
  Gupta	
  .	
  Email:	
  	
  office.rajendra@gmail.com	
  
•  2012	
  –	
  	
  EMR/EHR	
  Standards	
  by	
  MOHFW	
  
	
  
•  2013	
  –	
  NMCN	
  iniXated	
  	
  
	
  
•  2013	
  –	
  MCIT	
  iniXaXve	
  of	
  NOFN	
  to	
  provide	
  high	
  
speed	
  bandwith	
  connecXvity	
  to	
  every	
  Gram	
  
Panchayat	
  (2,50,000).	
  
•  2014	
  –	
  NaXonal	
  Health	
  Portal	
  was	
  launched	
  
www.nhp.gov.in	
  	
  
EvoluXon	
  of	
  eHealth	
  in	
  India	
  
7	
  
©Rajendra	
  Pratap	
  Gupta	
  .	
  Email:	
  	
  office.rajendra@gmail.com	
  
•  GOI	
  has	
  established	
  NKN	
  ,	
  a	
  state-­‐of-­‐the-­‐art	
  mulX-­‐
gigabit	
  Pan-­‐India	
  network	
  backbone	
  for	
  all	
  
knowledge	
  related	
  insXtuXons	
  in	
  the	
  country.	
  	
  
•  NKN	
  has	
  already	
  connected	
  831	
  insXtuXons,	
  
including	
  151	
  medical	
  insXtuXons	
  	
  
	
  
•  SWAN	
  –	
  State	
  Wide	
  Area	
  Network	
  by	
  GOI	
  to	
  enable	
  
states	
  to	
  have	
  bandwith	
  connecXvity	
  of	
  2	
  –	
  10	
  
MBPS	
  Xll	
  the	
  block	
  level.	
  	
  
	
  
EvoluXon	
  of	
  eHealth	
  in	
  India	
  
8	
  
©Rajendra	
  Pratap	
  Gupta	
  .	
  Email:	
  	
  office.rajendra@gmail.com	
  
•  BBNL,	
  a	
  SPV	
  for	
  the	
  NOFN	
  project	
  has	
  started	
  3	
  
pilot	
  projects	
  under	
  NOFN	
  in	
  3	
  blocks	
  covering	
  58	
  
Gram	
  Panchayats	
  in	
  3	
  states	
  –	
  Arian	
  Block,	
  Ajmer	
  
(Rajasthan);	
  Parvada,	
  Visakhapatnam	
  (AP)	
  &	
  
Panisagar	
  (	
  Tripura).	
  TM	
  centre	
  in	
  each	
  block	
  is	
  
connected	
  with	
  a	
  medical	
  college	
  	
  
•  Regional	
  Resource	
  Centres	
  (RRC)	
  –	
  	
  
	
  	
  	
  	
  	
  	
  SGPGIMS,	
  Lucknow	
  is	
  the	
  RCC	
  for	
  UP,	
  Bihar	
  ,	
  	
  
	
  Jharkhand	
  ,	
  WB,	
  Odisha	
  ,	
  Andaman	
  &	
  Nicobar	
  
	
  Islands	
  	
  
	
  
EvoluXon	
  of	
  eHealth	
  in	
  India	
  
9	
  
©Rajendra	
  Pratap	
  Gupta	
  .	
  Email:	
  	
  office.rajendra@gmail.com	
  
 
•  PGIMER,	
  Chandigarh	
  is	
  the	
  RRC	
  for	
  J&K,	
  Punjab,	
  
Chandigarh,	
  Haryana	
  &	
  HP.	
  
•  KEM,	
  Mumbai	
  is	
  the	
  RRC	
  for	
  Maharashtra,	
  Gujarat,	
  
Goa	
  ,	
  Daman	
  &	
  DIU	
  ,	
  Dadra	
  &	
  Nagar	
  Haveli	
  
	
  
•  AIIMS	
  Delhi	
  is	
  the	
  RRC	
  for	
  Ufarakhand,	
  Delhi,	
  MP,	
  
Chhagsgarh	
  &	
  Rajasthan	
  	
  
	
  
•  JIPMER	
  is	
  the	
  RRC	
  for	
  AP,	
  Tamil	
  Nadu,	
  Karnataka,	
  
Kerala	
  and	
  Puducherry	
  
EvoluXon	
  of	
  eHealth	
  in	
  India	
  
10	
  
©Rajendra	
  Pratap	
  Gupta	
  .	
  Email:	
  	
  office.rajendra@gmail.com	
  
•  NEIGRHIMS	
  is	
  the	
  RRC	
  for	
  Assam,	
  Meghalaya,	
  
Tripura,	
  Manipur,	
  Sikkim	
  ,	
  Arunachal	
  Pradesh	
  ,	
  
Nagaland	
  &	
  Mizoram	
  
	
  
•  Gujarat	
  ,	
  Maharashtra	
  ,	
  Odisha	
  and	
  Ufarakhand	
  
are	
  using	
  PPPs	
  in	
  Telemedicine	
  	
  
	
  
•  108	
  is	
  a	
  success	
  story	
  for	
  a	
  scalable	
  project	
  	
  
	
  
•  Tele-­‐radiology	
  ,	
  Tele-­‐opthalmology,	
  MCTS	
  	
  &	
  
Emergency	
  response	
  services	
  are	
  success	
  stories	
  in	
  
eHealth	
  
EvoluXon	
  of	
  eHealth	
  in	
  India	
  
11	
  
©Rajendra	
  Pratap	
  Gupta	
  .	
  Email:	
  	
  office.rajendra@gmail.com	
  
•  MEA,	
  GOI	
  has	
  iniXated	
  two	
  projects	
  1)	
  Pan-­‐African	
  
e-­‐Network	
  Project	
  2)	
  SAARC	
  e-­‐Network	
  Tele-­‐
Medicine	
  Project	
  
	
  
•  There	
  are	
  about	
  35	
  projects	
  /	
  iniXaXves	
  funded	
  by	
  
IFI’s	
  like;	
  World	
  Bank,	
  USAID	
  &	
  BMGF	
  
•  There	
  are	
  more	
  than	
  40	
  Private	
  Sector	
  Projects	
  	
  
	
  
•  Shankara	
  Nethralaya,	
  L	
  V	
  Prasad	
  Eye	
  InsXtute	
  &	
  
Aravind	
  Eye	
  Care	
  system	
  are	
  the	
  best	
  examples	
  of	
  
Telemedicine	
  backed	
  hospital	
  networks	
  	
  
EvoluXon	
  of	
  eHealth	
  in	
  India	
  
12	
  
©Rajendra	
  Pratap	
  Gupta	
  .	
  Email:	
  	
  office.rajendra@gmail.com	
  
What	
  next…..	
  
	
  
13	
  
©Rajendra	
  Pratap	
  Gupta	
  .	
  Email:	
  	
  office.rajendra@gmail.com	
  
 
•  Segng	
  up	
  of	
  IHIN	
  vide	
  GO	
  no.	
  R-­‐14012/16/2014-­‐E-­‐
Gov	
  ,	
  Government	
  of	
  India	
  ,	
  Depf.	
  Of	
  Health	
  and	
  
Family	
  Welfare	
  –	
  eGov	
  Division;	
  6th	
  Jan,	
  2015	
  	
  
	
  
•  Segng	
  up	
  of	
  NeHA	
  (	
  NaXonal	
  eHealth	
  Authority)	
  
•  TEC,	
  Min	
  of	
  IT	
  is	
  already	
  working	
  on	
  the	
  M2M	
  
standards	
  	
  
•  BIS	
  has	
  a	
  Medical	
  InformaXcs	
  Commifee	
  	
  
An	
  Era	
  of	
  AcXon	
  has	
  begun	
  …	
  
14	
  
©Rajendra	
  Pratap	
  Gupta	
  .	
  Email:	
  	
  office.rajendra@gmail.com	
  
•  NaXonal	
  Health	
  Policy	
  :	
  	
  
•  hfp://www.mohfw.nic.in/index1.php?
lang=1&level=2&sublinkid=4886&lid=3013	
  	
  
	
  
•  NeHA	
  dran	
  would	
  be	
  up	
  for	
  public	
  comments	
  	
  
•  PCHA	
  /	
  HIMSS	
  working	
  on	
  a	
  joint	
  summit	
  with	
  
MOHFW.	
  	
  	
  	
  	
  Email	
  :	
  india.info@himsschapter.org	
  	
  
	
  	
  	
  	
  	
  	
  	
  Working	
  together…	
  
15	
  
©Rajendra	
  Pratap	
  Gupta	
  .	
  Email:	
  	
  office.rajendra@gmail.com	
  
eConsult*	
  
	
  
•  35	
  %	
  required	
  F2F	
  consultaXon	
  	
  
•  eConsults	
  took	
  a	
  third	
  of	
  the	
  Xme	
  of	
  a	
  F2F	
  consult	
  
•  98	
  %	
  of	
  the	
  eConsults	
  were	
  appropriate	
  
•  84	
  %	
  	
  of	
  the	
  referring	
  primary	
  care	
  physicians	
  were	
  
very	
  or	
  somewhat	
  saXsfied	
  	
  
•  Over	
  90	
  %	
  of	
  the	
  paXents	
  were	
  very	
  or	
  somewhat	
  
saXsfied	
  	
  
*	
  Think	
  BIG,	
  start	
  small,	
  MOVE	
  FAST	
  by	
  Nicholas	
  LaRusso	
  ,	
  Barbara	
  Spurrier	
  &	
  Gianrico	
  Farrugia–	
  (	
  N-­‐6253	
  CONSULTS	
  )	
  .	
  
	
  
	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  Evidence	
  mounXng…	
  
©Rajendra	
  Pratap	
  Gupta	
  .	
  Email:	
  	
  office.rajendra@gmail.com	
  
©Rajendra	
  Pratap	
  Gupta	
  .	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  Email:	
  	
  office.rajendra@gmail.com	
  
17	
  
19	
  
©Rajendra	
  Pratap	
  Gupta	
  .	
  Email:	
  	
  office.rajendra@gmail.com	
  
	
  
u  Views presented are personal
u  Presenter is associated with healthcare organizations across USA, Europe , U.K. &
India .
u  The figures and studies if quoted, are indicative & for representational purpose only
u  Utmost care has been taken to quote the data / facts. Any inadvertent error is regretted
u  The presentation has used many resources and acknowledges the contributors with
appreciation and thanks . Some of the trade names / marks used may belong to third
parties , and have been quoted just for the sake of information for the audience with or
without the consent of the respective trademark owners .
u  Please do not copy or reproduce in whole or part thereof, the contents of this
presentation without the written permission from the presenter .
Disclosures & Acknowledgements
20	
  
Thank	
  You	
  !	
  
	
  
	
  
Rajendra	
  Pratap	
  Gupta	
  
Email	
  :	
  office.rajendra@gmail.com	
  
C:	
  09	
  22	
  33	
  44	
  303	
  
	
  	
  
©Rajendra	
  Pratap	
  Gupta	
  .	
  Email:	
  	
  office.rajendra@gmail.com	
  

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  • 1. ©Rajendra  Pratap  Gupta  .  Email:    office.rajendra@gmail.com   1   eHealth  in  India     Keynote  Address      @     Rajendra  Pratap  Gupta         Chairman  –  India    
  • 2. Journey  so  far…..     2   ©Rajendra  Pratap  Gupta  .  Email:    office.rajendra@gmail.com  
  • 3. •  1996  –  First  deployment  –  HIS  by  CDAC  @SGPGIMS     •  1999  -­‐    Indigenous  Development  of  Telemedicine   Technology  &  Deployments  by  DeitY,  MCIT,  Govt.   of  India  @AIIMS,  New  Delhi;  PGIMER,  Chandigarh;   &  SGPGIMS,  Lucknow.     •  2000  –  Satellite  based  Telemedicine  Deployment  by   ISRO  @  Aragonda     •  2001  –  First  Telemedicine  network  between  AIIMS,   New  Delhi  –  PGI,  Chandigarh-­‐  SGPGI,  Lucknow.     EvoluXon  of  eHealth  in  India   3   ©Rajendra  Pratap  Gupta  .  Email:    office.rajendra@gmail.com  
  • 4. •  2003  -­‐04  -­‐  Deployment  of  SATCOM  based  TM  nodes   across  the  country  by  ISRO       •  2005  -­‐    Task  force  on  Telemedicine  by  MOHFW.     •  2006  –  Planning  Commission  approves  budget  for   eHealth   •  2006  –  In  the  11th  FYP,  School  of  Telemedicine  &   Biomedical  InformaXcs  (STBI)  set  up  at  SGPGIMS     EvoluXon  of  eHealth  in  India   4   ©Rajendra  Pratap  Gupta  .  Email:    office.rajendra@gmail.com  
  • 5. •  2006  –  PHFI  was  asked  to  set  up  Healthy  India   website  by  MOHFW     •  2007-­‐  STBI  @SGPGIMS  was  made  the  NaXonal   Resource  Centre  for  Telemedicine  &  Biomedical   InformaXcs  by  DietY     •  2007  –  MOHFW  supported  Tele-­‐opthalmology   project   •  2007  –  MOHFW  supported  the  Onco-­‐NET  project   EvoluXon  of  eHealth  in  India   5   ©Rajendra  Pratap  Gupta  .  Email:    office.rajendra@gmail.com  
  • 6. •  2009  –  MOHFW  supported  NaXonal  Rural  TM   Network  to  start  pilots  projects  in  Telemedicine   •  2010  –  NaXonal  Medicine  College  Network  Project   conceived       •  2010  –  SGPGIMS  made  NaXonal  Resource  Centre   for  Telemedicine  by  MOHFW     •  2010  –  MCTS  launched  by  MOHFW   EvoluXon  of  eHealth  in  India   6   ©Rajendra  Pratap  Gupta  .  Email:    office.rajendra@gmail.com  
  • 7. •  2012  –    EMR/EHR  Standards  by  MOHFW     •  2013  –  NMCN  iniXated       •  2013  –  MCIT  iniXaXve  of  NOFN  to  provide  high   speed  bandwith  connecXvity  to  every  Gram   Panchayat  (2,50,000).   •  2014  –  NaXonal  Health  Portal  was  launched   www.nhp.gov.in     EvoluXon  of  eHealth  in  India   7   ©Rajendra  Pratap  Gupta  .  Email:    office.rajendra@gmail.com  
  • 8. •  GOI  has  established  NKN  ,  a  state-­‐of-­‐the-­‐art  mulX-­‐ gigabit  Pan-­‐India  network  backbone  for  all   knowledge  related  insXtuXons  in  the  country.     •  NKN  has  already  connected  831  insXtuXons,   including  151  medical  insXtuXons       •  SWAN  –  State  Wide  Area  Network  by  GOI  to  enable   states  to  have  bandwith  connecXvity  of  2  –  10   MBPS  Xll  the  block  level.       EvoluXon  of  eHealth  in  India   8   ©Rajendra  Pratap  Gupta  .  Email:    office.rajendra@gmail.com  
  • 9. •  BBNL,  a  SPV  for  the  NOFN  project  has  started  3   pilot  projects  under  NOFN  in  3  blocks  covering  58   Gram  Panchayats  in  3  states  –  Arian  Block,  Ajmer   (Rajasthan);  Parvada,  Visakhapatnam  (AP)  &   Panisagar  (  Tripura).  TM  centre  in  each  block  is   connected  with  a  medical  college     •  Regional  Resource  Centres  (RRC)  –                SGPGIMS,  Lucknow  is  the  RCC  for  UP,  Bihar  ,      Jharkhand  ,  WB,  Odisha  ,  Andaman  &  Nicobar    Islands       EvoluXon  of  eHealth  in  India   9   ©Rajendra  Pratap  Gupta  .  Email:    office.rajendra@gmail.com  
  • 10.   •  PGIMER,  Chandigarh  is  the  RRC  for  J&K,  Punjab,   Chandigarh,  Haryana  &  HP.   •  KEM,  Mumbai  is  the  RRC  for  Maharashtra,  Gujarat,   Goa  ,  Daman  &  DIU  ,  Dadra  &  Nagar  Haveli     •  AIIMS  Delhi  is  the  RRC  for  Ufarakhand,  Delhi,  MP,   Chhagsgarh  &  Rajasthan       •  JIPMER  is  the  RRC  for  AP,  Tamil  Nadu,  Karnataka,   Kerala  and  Puducherry   EvoluXon  of  eHealth  in  India   10   ©Rajendra  Pratap  Gupta  .  Email:    office.rajendra@gmail.com  
  • 11. •  NEIGRHIMS  is  the  RRC  for  Assam,  Meghalaya,   Tripura,  Manipur,  Sikkim  ,  Arunachal  Pradesh  ,   Nagaland  &  Mizoram     •  Gujarat  ,  Maharashtra  ,  Odisha  and  Ufarakhand   are  using  PPPs  in  Telemedicine       •  108  is  a  success  story  for  a  scalable  project       •  Tele-­‐radiology  ,  Tele-­‐opthalmology,  MCTS    &   Emergency  response  services  are  success  stories  in   eHealth   EvoluXon  of  eHealth  in  India   11   ©Rajendra  Pratap  Gupta  .  Email:    office.rajendra@gmail.com  
  • 12. •  MEA,  GOI  has  iniXated  two  projects  1)  Pan-­‐African   e-­‐Network  Project  2)  SAARC  e-­‐Network  Tele-­‐ Medicine  Project     •  There  are  about  35  projects  /  iniXaXves  funded  by   IFI’s  like;  World  Bank,  USAID  &  BMGF   •  There  are  more  than  40  Private  Sector  Projects       •  Shankara  Nethralaya,  L  V  Prasad  Eye  InsXtute  &   Aravind  Eye  Care  system  are  the  best  examples  of   Telemedicine  backed  hospital  networks     EvoluXon  of  eHealth  in  India   12   ©Rajendra  Pratap  Gupta  .  Email:    office.rajendra@gmail.com  
  • 13. What  next…..     13   ©Rajendra  Pratap  Gupta  .  Email:    office.rajendra@gmail.com  
  • 14.   •  Segng  up  of  IHIN  vide  GO  no.  R-­‐14012/16/2014-­‐E-­‐ Gov  ,  Government  of  India  ,  Depf.  Of  Health  and   Family  Welfare  –  eGov  Division;  6th  Jan,  2015       •  Segng  up  of  NeHA  (  NaXonal  eHealth  Authority)   •  TEC,  Min  of  IT  is  already  working  on  the  M2M   standards     •  BIS  has  a  Medical  InformaXcs  Commifee     An  Era  of  AcXon  has  begun  …   14   ©Rajendra  Pratap  Gupta  .  Email:    office.rajendra@gmail.com  
  • 15. •  NaXonal  Health  Policy  :     •  hfp://www.mohfw.nic.in/index1.php? lang=1&level=2&sublinkid=4886&lid=3013       •  NeHA  dran  would  be  up  for  public  comments     •  PCHA  /  HIMSS  working  on  a  joint  summit  with   MOHFW.          Email  :  india.info@himsschapter.org                  Working  together…   15   ©Rajendra  Pratap  Gupta  .  Email:    office.rajendra@gmail.com  
  • 16. eConsult*     •  35  %  required  F2F  consultaXon     •  eConsults  took  a  third  of  the  Xme  of  a  F2F  consult   •  98  %  of  the  eConsults  were  appropriate   •  84  %    of  the  referring  primary  care  physicians  were   very  or  somewhat  saXsfied     •  Over  90  %  of  the  paXents  were  very  or  somewhat   saXsfied     *  Think  BIG,  start  small,  MOVE  FAST  by  Nicholas  LaRusso  ,  Barbara  Spurrier  &  Gianrico  Farrugia–  (  N-­‐6253  CONSULTS  )  .                        Evidence  mounXng…   ©Rajendra  Pratap  Gupta  .  Email:    office.rajendra@gmail.com  
  • 17. ©Rajendra  Pratap  Gupta  .                                                                                                                                                                            Email:    office.rajendra@gmail.com   17  
  • 18.
  • 19. 19   ©Rajendra  Pratap  Gupta  .  Email:    office.rajendra@gmail.com     u  Views presented are personal u  Presenter is associated with healthcare organizations across USA, Europe , U.K. & India . u  The figures and studies if quoted, are indicative & for representational purpose only u  Utmost care has been taken to quote the data / facts. Any inadvertent error is regretted u  The presentation has used many resources and acknowledges the contributors with appreciation and thanks . Some of the trade names / marks used may belong to third parties , and have been quoted just for the sake of information for the audience with or without the consent of the respective trademark owners . u  Please do not copy or reproduce in whole or part thereof, the contents of this presentation without the written permission from the presenter . Disclosures & Acknowledgements
  • 20. 20   Thank  You  !       Rajendra  Pratap  Gupta   Email  :  office.rajendra@gmail.com   C:  09  22  33  44  303       ©Rajendra  Pratap  Gupta  .  Email:    office.rajendra@gmail.com