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Glocal Healthcare Systems Private Limited Brochure

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Glocal Healthcare Systems Private Limited Brochure

  1. 1. Partners for HealthcarePartners for Healthcare
  2. 2. Glocal Healthcare System Glocal Healthcare is different because it delivers healthcare in the most rational,results-based method possible.Glocal relies on three pillars in devising its healthcare platform.These are: Evidence Based Medicine: Glocal uses evidence judiciously to decide the best course of treatment and is not guided merely by market practices. It delivers healthcare that is medically, not commercially, necessary. Thus, when patients come to a Glocal hospital,our employees are focused not on how much they can pay, but on what they actually need. Protocolized Healthcare: Outcome Based Healthcare: Glocal continuously defines protocols for Diagnosis, Management & Administration.This not only allows results to be measured but ensures economy and efficiency. 95% of the disease load in the community is comprised of 42 diseases ranging from Ischaemic Heart Disease to Malaria. At Glocal, we have protocolized these diseases to ensure the best treatments at the lowest costs. Every patient who comes to a Glocal Hospital is assured of outcomes.Our feedback is primarily for checking how well the patient recovered and not merely focused on comfort. At Glocal,we believe that hospitals are meant to ensure health and are not for just delivering healthcare interventions. Our yardstick of success is, therefore, not how many surgeries we did, but how many patients got well. Glocal Healthcare Model DEFINING GLOCAL HEALTHCARE “Rather than India's first Formula 1 car racing team, we at Express Healthcare are sure that it is the likes of Dr. Devi Shetty and Dr. Sabahat Azim who are the true 'Force India', who will make a real difference in the days to come.” -Viveka Roychowdhury, Express Healthcare; November 2011 (http://www.expresshealthcare.in/201111/editorial01.shtml) Evidence Based Medicine Feedback from studying outcomes of patients Defining Outcomes Standardized Treatment Protocols Standardized Diagnostic Protocols Glocal - a Social Enterprise - is driven by the desire to bring real healthcare to everybody by leveraging Knowledge & Technology for every locality - hence We at Glocal are aware about the asymmetry that exists between patients & doctors, between doctors & industry, between capital investment & execution and between dreams & implementation.We believe that it is only by creating winning linkages for everyone,can the problem of health access be sustainably met.By creating an ecosystem where everyone, including patients, clinicians, industry, real estate owners, investors and government benefit, Glocal believes it can help create a very large scale intervention in healthcare.Thus making healthcare universally affordable, accessible and equitable. To make the dream of universal healthcare possible, Glocal believes in not working for its own success alone.We create ecosystems where we can leverage the best of every player and ensure that we are facilitators of success for everyone.Thus, land comes from local real estate investors,capital comes from GlobalTier I Capital Funds,Clinicians already present come first, supplemented by those whose skills are needed, Technology & Systems come from Glocal itself, skills support from the National Skills Development Corporation & the world’s best medical schools,Social Health Insurance (RSBY,ESI,CGHS) from the Government - and all these are put to work for the patient. Global Glocal. CreatingWin-Win Ecosystems around the Patient What drives Glocal It is about Change. The Sustainable Way. The Glocal Way. COMMITTED TO QUALITY CARE AND TREATMENT
  3. 3. One of the ways that Glocal has been able to improve the efficiency of buildings has been the removal of clutter and smoothening of traffic flows - it takes about 6 hours in most hospitals for an OPD patient to get his check ups, tests & reports done whereas Glocal has brought it down to about 1.5 hours by process improvements. This means that less waiting spaces are required. “Mint reported on 19 August 2010 that the company (Glocal) is spending less than half the investment of Rs 16-20 lakh per bed that corporate groups have been projecting as the cost of opening speciality hospitals in urban and semi-urban areas.” Namrata Nandakumar, LiveMint, January 17, 2012 (http://www.livemint.com/Politics/jChCCzXxdcWmMAavyaWibO/Primary-healthcare-gets-a- corporate-lift.html) Glocal Hospitals are among the best designed hospitals in terms of efficiency and economy. World class infrastructure is set up at costs that the patients can afford while bringing many-fold improvements in the way healthcare functions. INFRASTRUCTURE FOR HEALTHCARE Paresh Singhal, Chief Planning & Supply Chain, designs hospitals and constructs them besides coding logic in the ERP, checking financial statements, correcting Chartered Accountants & electrical consultants and teaching them something about their own domains. Infrastructure for Efficiency Hospital Infrastructure Each Glocal hospital is a smart hospital, designed in house with a Zero Based Framework where all assumptions were questioned. Energy efficiency, eco-friendliness and durability were areas of focus. Construction has been protocolized so that each hospital gets constructed within 8 months, right from scratch.The result is a breathtaking 28,000 sq ft, 100-bed hospital that is great to look at and heavenly to work inside. Technologically superior designs ensure effective containment of infections. Glocal’s World-Class Infrastructure
  4. 4. What differentiates Glocal Hospitals from others is its in-house Technology Division. Glocal has pioneered the use of technology to integrate all aspects of a hospital. Systems such as tele-radiology, around which many companies build their entire business models,are routinely used at Glocal hospitals. We have integrated clinical intelligence with process flows and pioneering applications for which patents have been filed. Glocal Hospitals support their clinicians with an Artificial Intelligence system that not only helps in diagnosis, but also helps in choosing medications, preventing drug interactions, contra-indications and adverse drug reactions. The Secret Sauce TECHNOLOGY FOR HEALTHCARE “ The level of technology integration that Glocal has achieved in a small time is amazing. Even in our hospital we have systems that don't talk to each other.” Dr. Sharmila Anandasabapathy, MD Director of GI Endoscopy, Mt Sinai Hospital, NewYork Soura Bhattacharyya, Chief, MedTech, believes in technology that can change people’s lives. After spending years at the cutting edge of tertiary- quarternary medical devices, Glocal gives him the opportunity to create technology that can help millions of people . Technology Screenshots of Glocal’s Integrated IT System Digital Hospital—100% Paperless & WiFi Enabled Electronic Health Records Artificial Intelligence based Diagnosis Support & Management (MDMS) Electronic Pharmacy Tele-Consultation Tele-Radiology Tele-Pathology Tele-Sonology Tele-Endoscopy Each hospital linked over a 2 Mbps link to a data center Telemedicine systems deployed at Glocal facilities allow our clinical experts to offer their expertise to patients in remote locations/other hospitals from the comfort of their offices.
  5. 5. Glocal Hospitals are about giving the best treatment known to science at the most affordable prices.These are probably the only hospitals in India that measure health outcomes. We at Glocal believe that hospitals are meant to deliver health;and healthcare interventions, like medicines, investigations and surgeries are only important if they can restore the health of a patient. Therefore, we measure our outcomes and ensure that we are always focused not on the number of interventions delivered but on the number of patients treated and cured. That is Glocal. Patient-centric Care “For the sake of India, we need ventures like Glocal to work to attract more such entrepreneurs to solve rural India’s problems – not only within the healthcare space, but also across the education, financial services and affordable housing sectors.” - S. Prem Kumar,The Smart CEO; 15th June 2011 (http://www.thesmartceo.in/Functions/strategy/a-cure-for-rural-healthcare.html) Ashutosh Shrivastava, COO, is available literally 24 hours a day for all team members. Between 4 AM & 8 AM he would prefer to sleep if possible. He feels bored if there is less than overwhelming work. SERVICES FOR HEALTHCARE Shri Pranab Mukherjee, Hon’ble President & then Union Minister of Finance, inaugurating KKMISAP Glocal Hospital, Khargram Services General Medicine Pediatrics & Neonatology 24 Hour Laboratory 24 Hour Emergency & Critical Care (ICU & NCU) 24 Hour Radiology 24 Hour Pharmacy General Surgery Orthopedics & Trauma ENT USG, Color Doppler, Echocardiography ECG & TMT Endoscopy Gynecology & Obstetrics Ophthalmology Dental Dialysis EEG Laparascopy Photos of current hospitals
  6. 6. “Providers are waking up to the need of investing in healthcare facilities that are asset-light, low on investment and manpower requirements, and easy to scale up and replicate. Corporate players which have so far concentrated mainly on achieving high occupancies in large multi-specialty hospitals are venturing into formats that involve lower in-patient hospital stay, higher bed turnover and lower operational costs. Some of these encouraging initiatives include Narayana Hrudayalaya,Vaatsalya, Glocal Healthcare,Viva Sehat to name a few.” Saloni Nangia, Business Standard, Dec 12, (http://www.businessstandard.com/india/news/improvingpictureindia%5Cs-healthcare/477590/) At the end of the day,each hospital needs money.Glocal’s unique strength is that its hospitals break even in 8 months on average, compared to the industry standard of 24 months, while reducing costs to patients.This seems impossible but happens due to focus on lean operations and ability to create a market quickly. Sustainability HEALTHCARE REVENUES Glocal is able to make the investment in hospitals attractive by strong focus on the following: Glocal teams start working much before a hospital is commissioned.This communication involves group meetings,creating resource persons,CMEs, AudioVisual,Print Media etc.Our teams of highly trained experts customize standardized communication strategies to quickly cover everyone. Glocal Hospitals are empaneled with a range of insurance schemes, from all private health insurance to Government Health Insurance Schemes,such as RSBY,CGHS,ESI & SHS.Glocal actively promotes the selling and adoption of health insurance by people, since we believe that out-of-pocket expenditure causes great stress and strain on a person’s economic livelihood. COMMUNICATION : MARKET DEVELOPMENT : REVENUE CYCLE MANAGEMENT : DATA ANALYTICS : COST REDUCTION : From Billing Management to Debt Collection, Debt Management, Cash Management System - all of these have been standardized to ensure painless collections. ERP systems allow each hospital to keep track of the financial health of the hospital. Continuous and life cycle measurement along the lines of Pareto, ABC analysis and outcome management through the ICT platform enables the hospitals to ensure the well being of the patient and the hospital. Regular Audits, Protocolization & Supply Chain Systems ensure that wastage is removed and leakages stopped.All orders are filled electronically, thus reducing chances of pilferage. Similarly Telemedicine systems allow using one highly skilled resource in multiple locations. Experts in creating markets & achieving sustainability
  7. 7. RISK MANAGEMENT Running a hospital today is a risky business and complying with all regulations and laws is not very easy.Non compliance with loss leads to unquantified risks. Carrying such risks make all efforts hostage to unwanted events.Therefore it is not a very easy task to run a hospital. Glocal brings with it a very well developed and systematic risk management expertise. We at Glocal believe in identifying and covering all risks. When it comes to compliance,Glocal has a professional team that ensures complete compliance and hence minimizes regulatory risks. Risk Management & Regulatory Compliance “ Of all the companies that we have invested in, Glocal has probably the best Risk Management Systems. In fact, we are asking other investee companies of ours to follow their model” - GV Ravishankar, MD, Sequoia Capital. Identify Risks Share/ Insure Mitigate Risk Alternate Strategies ENTERPRISE SECURITY Risk Management Strategies Enterprise Security HAZARD RISKS FINANCIALRISKS OPERATIONALRISKS STRATEGIC RISKS Criminal Proceedings Macroeconomics Natural Disasters Reputational Risk Civil Litigation Regulatory Risk Property Damage Competition Revenue Risks Patient Satisfaction Price Risks Data/ IT Security Capital Availability Supply Chain Risks Leakage RisksManpower Availability Protocolization Quality Processes Insurance Full Regulatory Compliance Full Disclosure & Information Complete Documentation D & O Insurance 24 Hour Legal Team Internal Audits ERP Competition Analysis Financial & Treasury Management
  8. 8. SKILLS FOR HEALTH There is nothing more important in the healthcare industry than ensuring a continuous supply of skilled manpower and continuously upgrading the skills of our teams.To this end,Glocal has set up a huge engine to ensure the best skills for our people.Glocal has acquired Indigram Skills & Knowledge Initiatives, a company focused on Skill Development.Through it, Glocal has already trained paramedical staff. Glocal is supported in this initiative by the National Skills Development Corporation, set up by the Government of India to ensure broad-based skill enhancement. Glocals iSkill Portal delivers e-learning content seamlessly to its trainees. Skill Development Gautam Chowdhury, CEO, Indigram S&K IPL, looks forward to training 7000 people by March 2013, and about 20,000 every year thereafter to ensure a continuous supply of skilled manpower. On December 7,2012,Glocal signed an MoU with Mt.Sinai School of Medicine,NewYork,NY. The 5-year MoU comes into effect on January 1,2013,and spans multiple facets of collaboration in Gastroenterology,GI Endoscopy,and Internal Medicine. This will ensure cross fertilization of ideas and training to Glocal by one of the best in the world.This will give Glocal the edge in terms of training and skilling of its teams. The Mount Sinai Medical Center encompasses bothThe Mount Sinai Hospital and Mount Sinai School of Medicine.Established in 1968,Mount Sinai School of Medicine is one of the leading medical schools in the United States.The Medical School is noted for innovation in education,biomedical research,clinical care delivery,and local and global community service.It has more than 3,400 faculty in 32 departments and 14 research institutes, and ranks among the top 20 medical schools both in National Institutes of Health (NIH) funding and by U.S.News &World Report. The Mount Sinai Hospital,founded in 1852,is a 1,171-bed tertiary- and quaternary-care teaching facility and one of the nation's oldest, largest and most-respected voluntary hospitals. In 2012, U.S. News &World Report rankedThe Mount Sinai Hospital 14th on its elite Honor Roll of the nation's top hospitals based on reputation, safety, and other patient-care factors. Nearly 60,000 people were treated at Mount Sinai as inpatients last year,and approximately 560,000 outpatient visits took place. Glocal – Mt. Sinai Partnership The iSkill Program
  9. 9. Major (Ret’d) Ashutosh Kumar Shrivastava (MBA, XLRI) : Ashutosh has been associated with companies like SubhikshaTrading Services Ltd.as the Project Head - North,and Sahaj e – village Ltd.as Head of Operations & Chief Marketing Officer. He has participated in the famed Operations Vijay and Parakram, and has a distinction of serving in Indian Air Force as well as in the Indian Army. A true professional in nature and with outstanding Marketing, Contingency Planning & Operations skills, Mr. Shrivastava has always been a team player and the main driving force behind the company’s marketing operations. Paresh Singhal (MBA,XLRI) : Paresh heads Strategy & Projects in Glocal. An ex major of the Indian army, he is a leader in Supply Chain Management & Logistics.He has been associated with companies like Subhiksha Retail & Essar Steel. A highly versatile planner & implementer, his interests span from ERP implementation to Building Design to Medicine Procurement &Testing. He is the strategic backbone of the company. Gautam Chowdhury (Serial Entrepreneur & Process Specialist) : Gautam heads the Skill Development Division of Glocal and is independently CEO of Indigram Skill & Knowledge Initiatives Pvt Ltd, which in partnership with NSDC is spearheading skilling of people across India.He has earlier run his business in microfilming & archiving of National Manuscripts and later set up & managed WB Operations for Sahaj eVillage Ltd, where he promoted 4800 Telecenters in rural West Bengal. Soura Bhattacharyya (MBA, Harvard Business School; B.Tech, IIT Kharagpur) : Soura heads the MedTech division, developing appropriate medical devices and also the technology backbone of Glocal. Soura spent 5 years in OmniGuide Inc., a laser microsurgery enterprise from MIT, where he helped grow the company to $25Mn revenues. Earlier, he worked at ITC Limited in Operations and Engineering Project Management. Glocal is led by people whose credibility and long years of institution building give them both the ability to conceive big and also implement them on the ground. Together, the top team has a massive experience in Healthcare, Government, Law, Development, Industry, Finance, Retail, Supply Chain, Technology, Project Implementation, Marketing & Sales, along with a deep understanding of under- served India . It is a dream team that lives not in ivory towers but has created successful institutions before. The Chairman, M. Damodaran has been billed as one of the seven people who created modern India (In Search of Change Maestros,Dr.Pritam Singh and Dr. Asha Bhandarker, Sage,2011) Leadership MANAGEMENT TEAM The People behind Glocal Meleveetil Damodaran (Chairman) : Dr Syed SabahatAzim,(MD) GV Ravishankar (Director, Glocal & MD, Sequoia Capital) : (www.sequoiacap.com). A thought leader, business executive and former government official. He is presently Advisor and Chief Representative in India for the ING Group of Netherlands.He served as the Chairman of the Securities and Exchange Board of India(SEBI),India's financial markets regulator,from February,2005 to February,2008.Prior to this,he served as Head of IDBI,a development finance institution which he converted to a bank.He was also Chairman of UnitTrust of India, then India's largest mutual fund from July, 2001 to December, 2004. He served UTI from an impending collapse and turned it around.He belongs to the IndianAdministrative Service.Damodaran also served as Chief Secretary, Tripura and Joint Secretary of the Banking Division of the Indian Ministry of Finance for five years. Sabahat is a medical doctor, IAS officer,Private Sector CEO & an entrepreneur. He is an alumnus of JNMC, AMU; LBSNAA, Mussourie & IIM,Ahmedabad. He is currently the Chief Executive Officer & Founder of Glocal Healthcare Systems Pvt Ltd.Till 2006, he was Secretary to Chief Minister ofTripura. He also worked in various capacities like Joint Secretary, Cabinet & Confidential department; JS, Personnel & Training; Director, IT ; Director, Vigilance; ADM & Collector, WestTripura District,Subdivisional Magistrate,Sonamura &Ambassa.He was also the founder of Sahaj eVillage Ltd, a 18000 plus telecenter network in PPP with Govt of India and 6 state Governments. Ravi Shankar is Managing Director with Sequoia Capital India Prior to joining Sequoia Capital, Ravi Shankar worked at McKinsey & Company in Mumbai, where he advised senior management of top Indian companies on a variety of issues including business building,channel management and leadership development.Prior to McKinsey,Ravi Shankar worked atWiproTechnologies in their Embedded and InternetAccess : division.AtWipro,Ravi Shankar helped several venture-backed networking start-up clients design and build customer premise equipment for next generation applications likeVoDSL and Internet over Cable.Ravi Shankar is an MBA (PGDBM) from Indian Institute of Management,Ahmedabad where he was awarded the President’s Gold Medal. He also holds a BE in Computer Science and Engineering from REC, Trichy. is Managing Director of Elevar Equity , a thesis based investor focused on backing entrepreneurs who deliver essential services to disconnected communities underserved by global networks. Sandeep founded the India operations of Unitus (a global microfinance accelerator) in 2004 and was Chief Innovation Officer of Unitus in 2007. Sandeep came to the impact space from Nishith Desai Associates (NDA), one of India’s leading law firms where he founded the firm’s development sector practice,incubated new practice areas and led its corporate law practice.He also established the firm’s offices in PaloAlto,California and Bangalore,India.Sandeep also serves as a Director of Vistaar Finance, Aarusha Homes,Shubham Housing Finance and Madura Microfinance and has served as a Director of Ujjivan. Sandeep has an integrated Law &Arts Honors Degree from the National Law School,Bangalore. Sunil has worked in the agribusiness and development sector in India for more than 18 years. He is a B.Tech in Agriculture Engineering and a Management Post Graduate from IIM Ahmedabad. He conceptualised and co-founded Indian Agribusiness Systems Pvt Ltd. which runs Agriwatch Subsequently he has been involved in promoting three social enterprises and spanning agriculture development,vocational skill development and rural healthcare. AnAshoka Fellow,Sunil helps Glocal in creating local ecosystems that can work in synergy. As President and COO,Mt. Sinai Medical Center, NewYork , Mr. Keathley oversees all executive and operational functions of the hospital,including ambulatory care,emergency services,surgical,nursing,and support services. As ExecutiveVice President for Business Development, Mr. Keathley guides Mount Sinai’s efforts to build and strengthen relationships with community- based physicians and other institutional providers of care.With over 30 years of experience in healthcare,Wayne is a thought leader in Hospital Operations. He is helping Glocal see the future of Operations in an increasingly cost conscious world. Sandeep Farias (Director, Glocal & MD, Elevar Equity) (www.elevarequity.com) Sunil Khairnar (Director, Glocal Advisory Board & MD,Agriwatch) : (www.agriwatch.com). (www.isapindia.org, www.indigram.net www.ishpindia.org) Wayne Keathley (Director,GlocalAdvisory Board & President & COO of Mt.Sinai Medical Center) : (http://www.mountsinai.org)
  10. 10. WHY GLOCAL HOSPITALS Why Glocal Hospitals SIDBI, Glocal Healthcare to set up hospitals “We plan to partner with Glocal in taking this model across all states in the country,” said Mr. Sushil Muhnot, Chairman and Managing Director, SIDBI.“The partnership aims to build 50 such hospitals within the next 18-months.” The Hindu Business Line, 11th June 2012 (http://www.thehindubusinessline.com/industry-and-economy/economy/article3531830.ece) Healthcare investing is the sunrise sector of India’s growth story. With structural changes coming, this space is among the most attractive avenues for investment. As schemes like RSBY diffuse and bring cashless coverage to an ever-growing share of the population, a functional network of affordable healthcare providers will be ideally positioned to fully utilize this growth opportunity. Tertiary & quarternary hospitals will be stressed for margins as more caregivers enter the market. However, for technologically advanced affordable hospitals, costs reduce & operational efficiencies increase as a larger patient base is served. With a network of hospitals, Glocal brings a large pool of clinicians and resources that can be shared to provide superior returns to everyone, including patients, employees, the local economy,and our co-investors.Healthcare is a universal need With rising prosperity, people now demand better services Healthcare as an industry faces no slumps Section 35AD IT Act provides for tax exemption for income up to 1.5 times of capex With increasing penetration of cashless services, demand will phenomenally increase Lifestyle diseases have created the need for regular health services Fund flow like NREGS has directly elevated demand even from BoP With increasing stress, need for healthcare actually increases Section 80 IB IT Act provides for a 5-year tax exemption Increasing regulations make it difficult for individual players to provide services Perpetual Demand Rising Incomes Recession Free Income Tax Benefits Structural Changes Sequoia Capital: Sequoia Capital is an American venture capital firm in Menlo Park, California, United States. Sequoia's diverse portfolio includes companies in energy, financial services, health care, mobile and technology sectors.The firm is known for the success of companies it has funded,such as Google,YouTube, Apple,PayPal,Cisco Systems,Oracle,Yahoo!,NVIDIA,LinkedIn, Airbnb, Aruba Networks,Instagram,ElectronicArts,Navigenics,Cotendo,Atari,Ameritox,Kayak,Meebo,Admob,Zappos,Green Dot. Its broad range of highly successful investments proves its ability to create wealth.19% of the NASDAQ’s value is made up of firms that Sequoia has invested in. Elevar Equity: Elevar Equity is a thesis based investor focused on generating outstanding investment returns by delivering essential services to disconnected communities underserved by global networks. Since 2006, Elevar has managed two private equity funds totaling $94 million and has backed 16 companies at various stages of their growth.Elevar’s portfolio companies have served close to 11 million households and have mobilized over $4 billion in equity and debt capital for targeted communities. Elevar is among the select few in the impact investing market who have been highly successful. Investors Why are some of the world’s best funds so strongly committed to Glocal Healthcare? Benchmarking Glocal against the Industry Industry Average Glocal Capex/bed, Rs. Lakhs 0 10 20 30 Build time/ hosp., months Breakeven time/hosp., months Investment Payback, years Each hospital is put up by Glocal @ Rs. 8 Lakhs/Bed when the market cost of infrastructure alone is Rs.15 - 20 Lakhs/bed for a similar set up. Shortest time to market - typically each hospital gets commissioned within 8 months from land possession. This is the shortest time by any standard. This means that investments start earning earlier. Each hospital starts earning profits within a year, typically from 6 months.In general,IRR of 20% at the base are easily achieved from year 2 onwards (Profit Returns) The real estate is always a hard asset that keeps appreciating @ 20% annually.
  11. 11. Glocal Healthcare Systems Private Limited 3B-207,EcospaceBusinessPark,ActionArea-II,NewTown Rajarhat,Kolkata700156 www.ghspl.com +91-33-65356014/66081000 info@ghspl.com

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