HIMSS Digital India Health Summit 2015 Report

Foreword . . . . . . . . . . . . . . . . . . . . . 2
Chairman’s Message . . . . . . . . . . . . . . . . . 3
Executive Summary . . . . . . . . . . . . . . . . . . 4
About the HIMSS APAC India Chapter . . . . . . . . . . . . 5
Picture Gallery . . . . . . . . . . . . . . . . . . . 8
Keynote Address by the Chief Guest . . . . . . . . . . . . 10
Valedictory Address by the Guest of Honour . . . . . . . . . . 11
Special Address by the Chairman . . . . . . . . . . . . . 12
Keynote Address . . . . . . . . . . . . . . . . . . 13
Enabling Policies—Future of HIT in India . . . . . . . . . . . 14
Role of Big-Data and Predictive Analytics . . . . . . . . . . 18
Smart-Cities and HCIT . . . . . . . . . . . . . . . . 22
Chronic Disease Management—Home Healthcare
and Healthcare Information Technology . . . . . . . . . . . 26
Healthcare IT as a Revenue Stream . . . . . . . . . . . . 30
Digital Health . . . . . . . . . . . . . . . . . . . 34
Doctors, Clinics and Hospitals . . . . . . . . . . . . . . 37
UHC and Insurance . . . . . . . . . . . . . . . . . 41
Pharma Industry and IT Innovation . . . . . . . . . . . . . 45
Human Resources for HCIT, Medical
Education, Training and Skill Development . . . . . . . . . . 49
Leader’s Speak . . . . . . . . . . . . . . . . . . . 52
In the Media . . . . . . . . . . . . . . . . . . . . 54
The HIMSS Digital India Health Summit 2015 team . . . . . . . . 57
Contents

2
Foreword
HIMSS Digital India Health Summit 2015 was
designed to showcase the capabilities of IT in the
transformation of healthcare in India. In this summit,
participants discussed the various opportunities
for HCIT with the thought leaders and the decision
makers from the Government, industry and other
stakeholders.
Given the importance and need of IT in healthcare,
the summit attracted high-profile speakers from the
Government and industry, to come together to set
the agenda for healthcare IT in India. This report
will cover the deliberations of the two-day summit
and includes recommendations for stakeholders
on IT deployment across the continuum of care.
This summit was attended by 425 healthcare
leaders from across the government and industry
and this report will help define the agenda for HCIT
in India 2015.
The effective use of healthcare information systems
has a direct impact that has been well recognized
around the globe: improved care, greater
efficiencies, enhanced patient safety, reduction
of medial error and ROI are some of the ways in
which IT has benefited physicians, nurses, bottom
line and most importantly patients. Through this
summit and report, we have the opportunity to see
how these benefits can be realized in India.
I offer my congratulations to HIMSS APAC India
Chapter for convening this very important summit
and the distribution of the deliberations.
H. Stephen Lieber, CAE
President & CEO
Healthcare Information and
Management Systems Society
(HIMSS)

Chairman’s Message
Thank you for joining us at the HIMSS Digital India Health Summit 2015.
I take this opportunity to present the proceedings of the HIMSS Digital India Health Summit,
2015, in the form of this report ‘HIMSS Digital India Health Summit Report 2015’.
Graced by senior Government officials and eminent leaders from the healthcare industry, the
summit helped share ideas and experiences across the board. Through this summary report we
have tried to capture the key takeaways from the summit. The photos and videos of the summit
proceedings are available on the website http://digitalindiahealthsummit.org.
We, at HIMSS APAC India Chapter, are at the forefront of driving the thought leadership for
transformation of healthcare, leveraging IT in India, to make the healthcare system transparent,
accountable and outcome driven.
I am personally thankful to Shri J.P. Nadda, Hon’ble Union Minister for Health & Family Welfare,
Government of India, for his inspiration and support, Shri Shripad Naik, Hon’ble Minister for
Health & Family Welfare (Independent Charge), Government of India for gracing the summit
as our Chief Guest. We would also like to thank our Guest of Honour: His Excellency, Shri
V. Shanmuganathan, Hon’ble Governor of Meghalaya, for enlightening us with his thoughts on
the ‘doctor–patient relationship’.
I am indebted to my friends from the government and the industry, who have put-in their best to
make this summit a grand success. ‘Thank you’ would be too small a word to express gratitude for
the wonderful support you have extended to make this summit a successful and enlightening one.
My team at HIMSS APAC India Chapter have done commendable work for making this summit
a huge success, the credit for which goes to them. I am grateful to our sponsors and speakers,
without whom this summit would not have been possible. I also wish to thank Stéphane Labadie
and the Jouve Group team for drafting this report and Ms. Punyata Gayatri, on behalf of HIMSS
APAC India Chapter for coordinating this compilation.
It is our constant endeavour at HIMSS APAC India Chapter, to bring the healthcare leaders on a
common platform to ideate, discuss and plan, thus help realize the vision of ‘Digital India’ and to
revolutionize healthcare by leveraging technology across the continuum of care.
The work for the next year’s summit has already started, and we look forward to your active
participation to make the 2016 summit a landmark event. The HIMSS APAC India Chapter, will be
working on policy papers based on healthcare, regional meetings and reports. I look forward to
your active participation in all our endeavours through your ideas and feedback shared.
Wish you good health and a fabulous 2016!
Rajendra Pratap Gupta
Chairman,
Board of Directors, HIMSS Asia Pacific India Chapter.
Chairman – Personal Connected Health Alliance – India.
Chairman – Continua India.
@rajendragupta
I take this opportunity to present the proceedings of the HIMSS Digital India Health Summit, 2015; in the
form of this report: “HIMSS Digital India Health Summit Report 2015.”
Graced by senior Government officials and eminent leaders from the healthcare industry; the summit
helped share ideas and experiences across the board. Through this summary report, we have tried to
capture the key takeaways from the summit. The photos and videos of the summit proceedings are
available on the website http://digitalindiahealthsummit.org.
We, at HIMSS Asia Pacific India Chapter, are at the forefront of driving the thought leadership for
transformation of healthcare, leveraging IT in India, to make the healthcare and system transparent,
I am personally thankful to Shri J. P. Nadda, Hon’ble Union Minister for Health & Family Welfare,
Government of India, for his inspiration and support, Shri Shripad Naik, Hon’ble Minister for Health
& Family Welfare (Independent Charge), Government of India for gracing the summit as our Chief Guest.
We would also like to thank our ‘Guest of Honor’: His Excellency, Shri V. Shanmuganathan, Hon’ble
Governor of Meghalaya, for enlightening us with his thoughts on the ‘doctor–patient relationship’.
I am indebted to my friends from the government and the industry, who have put-in their best to make this
summit a grand success. “Thank you” would be too small a word to express gratitude for the wonderful
support you have extended to make this summit a successful and enlightening one.
My team at HIMSS Asia Pacific India Chapter have done commendable work for making this summit a huge
success, the credit for which goes to them. I am grateful to our sponsors and speakers, without whom this
summit would not have been possible. I also wish to thank Stéphane Labadie and the Jouve Group team for
drafting this report, and Ms Punyata Gayatri; on behalf of HIMSS Asia Pacific India for coordinating this
compilation.
It is our constant endeavour at HIMSS APAC India Chapter, to bring the healthcare leaders on a common
platform; to ideate, discuss and plan, thus help realize the vision of ‘Digital India’ and to revolutionize
healthcare by leveraging technology across the continuum of care.
The work for the next year’s summit has already started, and we look forward to your active participation
to make the 2016 summit a landmark event. The HIMSS APAC India Chapter, will be working on policy
papers based on healthcare, regional meetings and reports. I look forward to your active participation in all
our endeavours through your ideas and feedback shared.
Chairman,
Chairman- Personal Connected Health Alliance – India.
I take this opportunity to present the proceedings of the HIMSS Digital India Health Summit, 2015; in the
form of this report: “HIMSS Digital India Health Summit Report 2015.”
Graced by senior Government officials and eminent leaders from the healthcare industry; the summit
helped share ideas and experiences across the board. Through this summary report, we have tried to
capture the key takeaways from the summit. The photos and videos of the summit proceedings are
available on the website http://digitalindiahealthsummit.org.
We, at HIMSS Asia Pacific India Chapter, are at the forefront of driving the thought leadership for
transformation of healthcare, leveraging IT in India, to make the healthcare and system transparent,
I am personally thankful to Shri J. P. Nadda, Hon’ble Union Minister for Health & Family Welfare,
Government of India, for his inspiration and support, Shri Shripad Naik, Hon’ble Minister for Health
& Family Welfare (Independent Charge), Government of India for gracing the summit as our Chief Guest.
We would also like to thank our ‘Guest of Honor’: His Excellency, Shri V. Shanmuganathan, Hon’ble
Governor of Meghalaya, for enlightening us with his thoughts on the ‘doctor–patient relationship’.
I am indebted to my friends from the government and the industry, who have put-in their best to make this
summit a grand success. “Thank you” would be too small a word to express gratitude for the wonderful
support you have extended to make this summit a successful and enlightening one.
My team at HIMSS Asia Pacific India Chapter have done commendable work for making this summit a huge
success, the credit for which goes to them. I am grateful to our sponsors and speakers, without whom this
summit would not have been possible. I also wish to thank Stéphane Labadie and the Jouve Group team for
drafting this report, and Ms Punyata Gayatri; on behalf of HIMSS Asia Pacific India for coordinating this
compilation.
It is our constant endeavour at HIMSS APAC India Chapter, to bring the healthcare leaders on a common
platform; to ideate, discuss and plan, thus help realize the vision of ‘Digital India’ and to revolutionize
healthcare by leveraging technology across the continuum of care.
The work for the next year’s summit has already started, and we look forward to your active participation
to make the 2016 summit a landmark event. The HIMSS APAC India Chapter, will be working on policy
papers based on healthcare, regional meetings and reports. I look forward to your active participation in all
our endeavours through your ideas and feedback shared.
Chairman,
Chairman- Personal Connected Health Alliance – India.
@rajendragupta

Executive Summary
The first HIMSS Digital India Health Summit, 2015 was a two-day event held on 5th and 6th
August 2015 at the Leela Ambience, Gurgaon.
Mr. Vamsi Chandra Kasivajjala, President, HIMSS APAC India Chapter, CEO, Enlightiks, in the
opening remarks, addressed the dignitaries with a brief introduction about HIMSS worldwide and
the India Chapter, the purpose of the conference and the house rules. The revolution brought by
start-ups in solving our day-to-day problems in particular and how technology has acted as a
game changer in the healthcare industry were highlighted.
The two-day power packed digital summit had 425 delegates from India and abroad,
68 speakers, 10 sessions and 33 sponsoring and supporting organizations, making it one of the
best Healthcare-IT summits in India in 2015.
The summit commenced with the session on Enabling Policies—Future of HIT in India and was
followed by a discussions on Role of Big-Data; Smart-Cities; Chronic Disease Management; HIT
as a Revenue Stream; Digital Health; Doctors, Clinics and Hospitals; UHC and Insurance; Pharma
Industry and IT Innovation. The summit concluded with a session on Human Resources for HCIT,
Medical Education, Training and Skills Development. The main objective of this ‘Healthcare
Conclave’ was to bring together esteemed and distinguished speakers, thought leaders, doctors
and industry veterans on a common platform so that they could debate, ideate and share their
ideas on the technological revolution of the healthcare industry and lend direction to budding
entrepreneurs, researchers and professors.
Thus, the spirit of the summit in enabling one and all (including delegates, sponsors and
speakers) in learning and challenging the current healthcare-based status quo and establishing
newer partnerships, renewal of existing ones and helping us realize and experience the aim of
‘Digital India’ was succeeded!
Mr. Vamsi Chandra Kasivajjala
President, HIMSS APAC India Chapter,
CEO, Enlightiks

About HIMSS:
HIMSS is a global, cause-based, not-for-profit organization focused on better health through
information technology (IT). HIMSS lead efforts to optimize health engagements and healthcare
outcomes using IT.
HIMSS is producing health IT thought leadership, education, events, market research and
media services around the world. Founded in 1961, HIMSS encompasses more than 52,000
individuals, of which more than two-thirds work in healthcare provider, governmental and not-for-
profit organizations across the globe, plus over 600 corporations and 250 not-for-profit partner
organizations. HIMSS, headquartered in Chicago, serves the global healthcare IT community
with additional offices in USA, Europe and Asia.
About HIMSS Asia-Pacific India Chapter:
The HIMSS India Chapter has been established to usher new changes and revolutionize
healthcare in India. The HIMSS APAC India Chapter was formed in 2010 and acting as the locus
of all activities of HIMSS in India. This Chapter has the distinction of being the first country-
specific Chapter of HIMSS outside the USA.
About the HIMSS APAC India Chapter
From Left to Right: Ms. Kripa Gopalan (Chair, Advocacy and Policy); Mr. Amit Mishra
(Secretary); Ms. Madhubala Radhakrishnan (Vice President); Mr. Vamsi Chandra Kasivajjala
(President); Mr. Rajendra Pratap Gupta (Chairman); Mr. Jeyaseelan Jeyaraj (Treasurer); and
Ms. Punyata Gayatri (Volunteer, Organizing Committee).

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10
Keynote Address by the Chief Guest
Integrated care is one of the most important pillars under the Digital
India program launched by the Honorable Prime Minister. “The
government’s vision is to establish an integrated pan India information
system for healthcare involving both public and private sectors.”
Under this initiative, programs like BharathNet (connecting 2,50,000
Gram Panchayats with minimum of 100 Mbps) and Meghraj
(National Cloud Computing initiative) will enable the government to
leverage cloud computing for effective delivery of e-services.
Speaking on healthcare spend and expenditures, Shri Shripad
Naik, Minister of State (I/C), Ministry of AYUSH, and MoS, Ministry of
Health and Family Welfare, GoI, shared that spending by both public
and private sector in Indian healthcare has steadily increased in
the past few years. “Total healthcare spend was estimated around
$96 billion in 2013 which was around 5% GDP, and it is projected
to grow to about $196 billion by 2018”, he said. Adoption of ICT in
an inclusive manner has become one of the top priorities for both
private and public healthcare systems.
The Ministry of Health and Family Welfare (MOHFW), GoI, has taken
various steps to incorporate IT tools and applications in healthcare
service delivery. A citizen portal is in place working as a single point of
accessforauthenticinformationonhealthsector.GovernmentofIndia’s
new health policy will focus on systematic deployment of healthcare
IT for improving outcomes. The ministry plans to focus increasingly on
various aspects of e-Health, mobile health and Telemedicine.
Only 33% of the government doctors are available in the rural
areas where nearly 70% of the population lives. Mobile net initiative
is being used for awareness creation, enablement of frontline
health workers, remote monitoring of the patient, etc. Speaking
on Telemedicine, he said, “Telemedicine has a huge potential in a
country like India, a large portion of the rural Indian population is
medically underserved mainly due to the acute shortage of care
providers and infrastructure.”
There are several challenges in integrating IT into healthcare system
in India and the government is continuously striving to identify
solutions to mitigate them. In order to address the issue of lack
of standardization and interoperability among the various health IT
systems, MOHFW, GoI, has notified EHR standards in 2013.
MOHFW, GoI, has been engaging the stakeholders to facilitate and
promote adoption of EHR standards and has taken the initiative
for establishment of India Heath Information Network (IHIN)
(a body collectively representing the network of Indian healthcare
providers, e-Health application developers, research community,
etc.) and the setting up of the National e-Health Authority (NeHA),
which is envisaged as a noble body for the promotion and adoption
of e-Health standards in the country.
Shri Shripad Naik,
Minister of State (I/C),
Ministry of AYUSH, and MoS,
Ministry of Health and Family
Welfare, GoI
The government’s vision
is to establish an integrated
pan India information system
for healthcare involving both
public and private sectors.
Telemedicine has a huge
potential in a country like
India; a large portion of
the rural Indian population
is medically under-served
mainly due to the acute
shortage of care providers and
infrastructure.

Valedictory Address by the Guest of Honour
The valedictory address delivered by the Guest of Honour, His Excellency, Shri. V. Shanmuganathan,
Hon’ble Governor of Meghalaya, covered a brief account of the summit’s proceedings over two days
and highlighted the key takeaways from the sessions.
He emphasized on the need of healthcare in rural areas more than in urban areas. In his words, in
addition to knowledge and professionalism, a physician must be empathetic towards the patient so as
to deliver holistic and effective care.
During the various sessions spanning two days, various distinguished panellists had drawn ample
attention toward the pressing need for adopting technology in healthcare. However, while concurring
that technology is very important, reminded us about the importance of compassion in our life.
In his address note he urged on the need to use IT to bridge the gap between the northeastern part
of India and the rest of the country with the message, “I would also like to touch upon the role of
technology in the eastern and northeastern part of the country as this is a geographical challenge for
healthcare providers, but an opportunity for technology to bridge this divide. Please look at the east
and northeastern part of the country, where we need you. Remember, sun rises in the East…”
While covering the different aspects of healthcare and the impact of Healthcare Information Technology,
he touched upon the important segments across the continuum of care, global best practices, existing
scenario of Healthcare IT in India and its role in shaping the country’s digital health agenda.
He congratulated the members of the HIMSS Asia Pacific India Chapter team and appreciated the
leadership of Mr. Rajendra Pratap Gupta, Chairman, HIMSS APAC India Chapter for organizing an
informative summit and having invited him to be part of the first HIMSS Digital India Health Summit.
He hoped that the community, together, will continue to make a difference to the healthcare of the
country through the use of Information Technology.
…while technology is very
important, the concern for
human being is also important
His Excellency, V. Shanmuganthan,
Hon’ble Governor of Meghalaya.

12
Special Address by the Chairman
In his brief and impactful presentation, Mr. Rajendra Pratap Gupta, Chairman, HIMSS APAC
India Chapter, highlighted the ‘three inventions that changed the world: the wheel, electricity and
the Internet’. He captivated the audience on how the world transformed and evolved with the
advent digital technology.
Citing examples of transformations, he spoke of digitization of entertainment, giving consumers
a range of choice on the digital-set-top-box thus taking away the tyranny of cable operators.
While the introduction of mobile phones for communication has eliminated the role of the telecom
giants of yesteryears, it gave the modern day consumer relief and freedom from dependency on
the technical ‘lineman’.
Evolution met revolution when photography became digital! The marketing wars between
photography giants, led to the invention of digital photography and the customers being liberated
from ‘rolls’ and waiting for prints. The digital camera revolution accentuated by IT and the Internet
saw photos being shared via social media instantaneously. Speaking further on communication,
he spoke eloquently on the glorious 150 years when ‘telegrams’ ruled communications. Having
failed to keep pace with expectations of the masses, it was finally washed-out by e-mails that
removed all boundaries and gave freedom from the ‘word-restricted’ king of communications.
Citing the examples of the past, he urged the healthcare professionals in the audience to keep
pace with technology and align to consumer’s expectations to avoid being left behind. Quoting
an example of India sending an unmanned space vehicle and its precise landing on Mars,
millions of miles away, he emphasized on the role of technology in providing healthcare to the
most remote and inaccessible areas. Addressing them he said, “If doctors don’t need (use)
technology, technology wouldn’t need them in future”. The future of healthcare lies with the
healthcare professionals going hand-in-hand with technology and embracing the change.
He summarized stating that “It is time for doctors, surgeons, medical professionals to make the
critical choice of challenging traditional concepts and accepting the invasion by technology lest
be left behind in the race”.
He concluded his address leaving the audience with a message on the future healthcare, wherein
health would be synonymous with ‘Digital Health’, i.e. ‘d-Health’.
If doctors don’t need (use)
technology, technology wouldn’t need
them in future
Mr. Rajendra Pratap Gupta
Chairman
HIMSS APAC India Chapter

Keynote Address
Mr. Phaneesh Murthy, Co-founder and Executive Chairman, PMHLC, spoke about the focus of
his organization in context of technology and efficiency, quality and accessibility of healthcare.
Efficiency of healthcare provided correlates to the availability of patient medical history and
treatment data for accurate problem diagnosis. In this context, he said, “what we are [as an
organization] recommending is the concept of an absolutely free but highly secure way to
maintain your own electronic health information. It is secure and controlled by you, and you can
give access to whoever you want.”
Speaking on quality of healthcare, Mr. Phaneesh Murthy, referred to research data suggesting a
life expectancy of 140 years. Here, quality of life and how you manage it would be very critical.
This would require microlevel analysis of data collected and aggregation of data across the
globe to make these available to the regulators. This is only possible by way of Big-Data and
analytics.
Support groups are becoming critical for the mental well-being of patients. These support groups
are more important than the actual medication. Technology aids to bring together the patients
and their care givers who can share experiences with each other. This will help in improving their
overall well-being.
In closing, Mr. Phaneesh Murthy shared his vision to see India on the global healthcare map,
he said, “my personal aspiration would be to use technology to create a role model for at least
70% of the world’s population in terms of quality of healthcare, accessibility and inclusion of
healthcare, and efficiency of healthcare. That is the journey I am embarking on, hopefully, over
the next fifteen to twenty years of my life.”
…my personal aspiration
would be to use technology to create
a role model for at least 70% of
the world’s population in terms of
quality of healthcare, accessibility
and inclusion of healthcare, and
efficiency of healthcare.
Mr. Phaneesh Murthy
Co-founder and Executive Chairman,
PMHLC.

14
Session
ONE
Day
1
The first session was chaired by Mr. Rajendra Pratap Gupta, Chairman, HIMSS APAC India
Chapter and Public Policy Expert, who extended a warm welcome to all panellists and the
audience. He then invited his first panellist Ms. Padmaja Ruparel, President, Indian Angel
Network to share her views on Health Information Technology (HIT) and funding in healthcare.
Ms. Ruparel spoke about the opportunities and gaps in the fast evolving Indian healthcare
industry. She laid emphasis upon the need for policies that would seed innovations. This was
followed by a sharing of insights by Mr. Sudarshan Jain, MD, Abbott Healthcare Pvt. Ltd., a
leader from the pharmaceutical industry, who shared his thoughts on the need for more stringent
policy imperatives for the healthcare industry. He also shared the imminent need for integrating
IT with Pharma to improve access to healthcare as something that should not be undermined. He
also revealed that the role of start-ups in the delivery of healthcare was clearly promising and fast
emerging. He shared his thoughts via a snapshot of the average spending on healthcare in India
compared with that of major developed countries and highlighted it as an objective evidence for
the lack of focus in this sector. He felt the need for policies and regulations that would promote
and encourage healthcare providers to utilize the power of Telemedicine and online pharmacies:
a must for digitization to take root in the healthcare system of our country! He concluded with his
thoughts on the need for development and nurturing of better healthcare financing infrastructure,
so as to help the unfortunate, particularly in the chronic disease segment.
Mr. Shashank N.D, Co-founder and CEO of Practo, a successful
healthcare entrepreneur, also shared his thoughts about
the phenomenal growth of Internet-enabled devices in the
country and emphasized on the immense potential and role
of Internet in the space of digital knowledge and particularly
in the delivery of healthcare. He shared that if we achieved
digitization of registration of practitioners, it would go a long way
in authenticating the qualifications and credentials of the care
providers, who in turn would improve the quality of the healthcare
service provided. Mr. Hemant Bharadwaj, Co-founder, MD and
CEO of PMHLC, voiced his thoughts by highlighting the status
quo of e-Pharma in the country and the imminent need for the
evolution of policies so as to meet the challenges of the fast-
changing times. He mentioned that technology alone has the
potential to create chaos, but when combined with the policies
it would help route and give direction to technology and prove
beneficial to all.
Enabling Policies—Future of HIT in India
I see healthcare as a huge opportunity…
it’s a 65 billion dollar opportunity, just on a very
conservative estimate
Ms. Padmaja Ruparel
President,
Indian Angel Network
Dr. Sanjiv Kumar
Executive Director, NHSRC,
MOHFW. GoI

From Left to Right: Dr. Sanjiv Kumar (Executive Director NSHRC, MOHFW, GoI); Dr. S.D. Gupta (President, IIHMR University);
Mr. Rajendra Pratap Gupta (Session Chair, Public Policy Expert & Chairman, HIMSS APAC India Chapter); Mr. Vikram
Tiwathia (Deputy Director General, COAI); Mr. Shashank N.D (Co-Founder and CEO, Practo); Mr. Sushil Kumar (Deputy
Director General, TEC, MOCIT, GoI); Mr. Sudarshan Jain (MD, Abbott Healthcare Pvt. Ltd.); Ms. Padmaja Ruparel
(President, Indian Angel Network); and Mr. Hemant Bhardwaj (Co-Founder, MD and CEO, PMHLC)
As we all know, any forum on Health Information Technology (HIT) is
incomplete without a discussion on education and training that is required
to develop and produce a skilled workforce with the correct skill sets. This
topic was discussed and led by veteran and eminent medical educator
Dr. S.D. Gupta, President, IIHMR University, who lamented about the
present crisis in provision of medical education in India. He opined that
Information Technology (IT) could help bridge the gap and also provide
better training not only to students but also to trainers and educationalists
from across the world. The fact that technology is widely available but its
true potential lay unexplored in healthcare industry was also discussed.
He strongly felt that policy, or rather the lack of it is acting as the stumbling
block. It thus was imperative and therefore could be safely deduced that it
is time for a reformation in the medical education sector.
India is the pharmacy of the
world….If we combine IT and
pharma we can play a very major role
to improve access of healthcare in this
country
Mr. Sudarshan Jain
MD, Abbott Healthcare Pvt. Ltd.
Mr. Hemant Bhardwaj
Co-Founder, MD and CEO,
PMHLC

16
• The Internet of Things (IOT) and Machine-to-Machine (M2M) are
going to play an important role in the future of healthcare delivery,
hence key enabling policies are important.The Government must take
a lead role in setting up an ecosystem that encourages innovation and
RD. It should be backed by funding for start-ups that will lead to the
scaling up of innovations.
• Standards and interoperability needs to be high on the policymaker’s
agenda to ensure widescale adoption of InformationTechnology, as
multiple solutions will be deployed to serve 1.22 billion people. Unless
these solutions are standardized and are interoperable, healthcare will be
in a big crisis.
• Digital mapping of healthcare resources (doctors, facilities, etc.) to
population will help in the effective healthcare delivery.
Session Takeaways
Elaborating further on IT, Mr. Vikram Tiwathia, Deputy Director General,
COAI and a telecom industry veteran, presented a vivid picture of
the mobile telephone industry in India. In terms of Electro Magnetic
Field (EMF) exposure, India has one of the most stringent policies
and that further amendments could be made by bringing regulators,
policymakers and all stakeholders on board. He concluded with the
thought that the sharing of high-end medical technology via Internet
is not far away if appropriate policies were to be laid down. Post a
brief discussion on the identified possible areas of improvement, our
panellist Mr. Sushil Kumar, Deputy Director General, TEC, MOCIT, GoI
spoke about the progress that has been made in framing policies
related to machine-to-machine communication and more while
touching upon inevitable challenges that exist. Once these policies are
defined it would accelerate the implementation of remote healthcare
management and in particular benefit the rural populace. This was
extrapolated with a scenario wherein vital parameters of patients
could be transmitted over a digital network through a series of modern
day gadgets and equipments, and be stored on a cloud server for
retrieval when required by the patient himself or by the doctor or any
other healthcare personnel. The session concluded with the views of
Dr. Sanjiv Kumar, Executive Director, NHSRC, MOHFW, GoI, about
universal healthcare, yoga as part of lifestyle and how technology
could be partnered not just for healthy, but quality lifestyle.
The essence is that you cannot do anything unless
you have enabling policy framework
Mr. Rajendra Pratap Gupta
Chairman, HIMSS APAC
India Chapter, Public Policy Expert
Mr. Sushil Kumar
Deputy Director General,
TEC, MOCIT, GoI

18
Session
TWO
Day
1Role of Big-Data and Predictive Analytics
Session 2 on Day 1, was led by Mr. Vamsi Chandra Kasivajjala, President
of HIMSS APAC India Chapter, CEO, Enlightiks. This session on Big-Data
analytics saw leading industry experts for panellists and intense discussions
on predictive analytics in the context of accountable care, population health
management, evidence-based practices, clinical dash boards and health
economics. The models used for predicting the probability of a patient
getting re-admitted after discharge were demonstrated. It was discussed
on how predictive analytics could be applied to prognosticate the chances
of onset of disease in hospitals, besides for other applications such as
revenue forecasting and inventory optimization.
Mr. Jeyaseelan Jeyaraj, Treasurer, HIMSS APAC India Chapter, Director,
Oracle Health Sciences, Asia Pacific Oracle Corporation, discussed
aggregation of data from multiple sources and applying this knowledge
in real time. The four factors impacting the health system globally, viz:
1) technology, 2) treatment methods, 3) patient privacy and 4) patient-data
management were discussed. Apart from being a predictor of disease
onset, data analytics was also seen to be applicable to customization
of treatment making it more patient centric. Genomic data and its use in
analysis of diseases were also expounded in this session.
The audience was treated to an enlightening discourse on clinical decision
support systems and wearable health devices by Dr. Satish Prasad Rath,
Chief Innovation Manager Healthcare Research, Xerox Innovation Group,
who is an expert in Biomedical Informatics. The importance of applying
analytics to prevent disease and preserve health was illustrated with the
help of an analytics-driven application that can be used in predicting the
health condition(s) of a person. Mr. Gopal Devanahalli, COO, Manipal
Healthcare; a seasoned technocrat, extolled the virtues of Big-Data and its
analytics. He also spoke eloquently on the ability of these tools to improve
quality of care. In the context of healthcare, three major segments of
analytics were illustrated: 1) operation analytics, 2) customer analytics and
3) revenue analytics, delving into areas such as process improvement,
feedback analysis and resource optimization.
There is a huge amount of work that is happening in
deep learning space …As long as there is large data the
amount of savings that can basically happen for hospitals
is huge
Mr. Vamsi Chandra Kasivajjala
President, HIMSS APAC
India Chapter, CEO, Enlightiks
Mr. Jeyaseelan Jeyaraj
Treasurer, HIMSS APAC
India Chapter, Director,
Oracle Health Sciences, Asia
Pacific Oracle Corporation
Mr. Anil Bajpai
Co-founder and CTO,
PMHLC

Mr. Shireesh Sahai, CEO, Wolters Kluwers (India), a senior management professional illustrated
the potential of m-Health and how the increased proliferation of Internet connectivity and mobile
usage increased the prospect of deploying m-Health apps to make effective clinical decisions.
Dr. Sandeep Dewan (HOD Critical Care Fortis Escorts Group [Philips India], Director, Critinext
Asia), a veteran medical practitioner, explained how data can be categorized and applied to make
key critical clinical decisions from an end-user perspective. A practical example, i.e. electronic-
Intensive Care Unit (e-ICU) that utilizes state-of-the-art technology to provide an additional layer
of critical care service and information of vital parameters for patient was also demonstrated.
This discussion brought the need for documenting patient data to the forefront, which is one
of the major concerns pointed out by Mr. Anil Bajpai, Co-founder and CTO of PMHLC. Apart
from the non-availability of data, he lamented that the inadequate application of technology in
healthcare is something that needs attention and governance. ‘Healthcare on mobile’ has now
become a widely adopted reality.
Your wearable which is going to give you an accelerated data or a
diet data or a lifestyle data is just not enough for a doctor to diagnose a
severe chronic condition. If at all we have to get into assistive telemedicine
to prescriptive telemedicine, what we call analysis driven telemedicine, our
data has to be comprehensive. Dr. Satish Prasad Rath,
Chief Innovation Manager, Healthcare
Research–Xerox Innovation Group
From Left to Right: Mr. Shireesh Sahai (CEO, Wolters Kluwers India); Dr. Satish Prasad Rath (Chief Innovation Manager,
Healthcare Research–Xerox Innovation Group); Mr. Gopal Devanahalli (COO, Manipal Healthcare); Mr. Anil
Bajpai (Co-founder and CTO, PMHLC); Dr. Sandeep Dewan (HOD Critical Care Fortis Escorts Group (Philips India));
Mr. Jeyaseelan Jeyaraj (Treasurer, HIMSS APAC India Chapter, Director, Oracle Health Sciences, Asia Pacific Oracle
Corporation); and Mr. Vamsi Chandra Kasivajjala (Session Chair, President HIMSS APAC India Chapter , CEO, Enlightiks)

20
• Business Intelligence (BI) and advanced analytics will play key role in all
aspects of healthcare and will become mainstream in the next few years.
• Some major provider chains in India are already using Analytics and
CDSS for operational and revenue optimization and better patient
outcomes respectively. It is believed that many others will also be
embracing the same in the years to come.
• Data is still a critical concern. Other than patient Demographics (that
is being collected widely today), more than 80% of the hospitals do
not collect Billing, Laboratory and Radiology data of the patient. Since
data is critical for analytics and the insights thus derived it becomes the
crux parameter to healthcare and its predictive analytics for patients.
• As hospitals in India embrace the fact that Health Information
Management Systems (HIMS) and Electronic Medical Records
(EMR) softwares are critical for their operations, we will see a deluge
of data and information in the next few years. Usage of such data and
information in the right manner will be the key feature in the next
phase of analytics.The same would be used in drug discovery, disease
surveillance, population health management and more!
Session Takeaways
The session concluded with the thought that though we may
have numerous intrinsic challenges, Big-Data and analytics
certainly have a sizeable role to play in the future of the Indian
healthcare system.
There are challenges in terms adoption of using Big-Data
analytics, challenges are in terms of the data types…and…how
do you actually look at small things that you can bite, show success
and slowly role it across the company
Mr. Gopal Devanahalli
COO, Manipal Healthcare
Mr. Shireesh Sahai
CEO, Wolters Kluwers (India)

22
Dr. Neena Pahuja, Director General, ERNET, MOCIT, Government of India,
is an accomplished leader in technology and is known as a champion in
Telecommunications, especially on the ‘Internet Of Things (IOT)’.
As chair to the session, she initiated the discussion by defining ‘Smart-Cities’ in
terms of healthcare and the role it plays in the life of a citizen living in a futuristic
‘Smart-City’, wherein sensors will be an integral part in enabling seamless
interconnectivity. According to Ms. Kripa Gopalan, Chair – Advocacy Policy,
HIMSS APAC India Chapter, health is of utmost priority in an ideal Smart-City,
where rehabilitation and chronic disease management are quintessential parts of
‘Smart Living’. Healthy citizens are a prerequisite for any Smart-City, thus the need
to pre-empt, predict and prevent diseases was highlighted.
Mr. Lux Rao, Country Leader – HP Future Cities CTO, Technology Services,
HP India, put forth his concerns and thoughts about providing and meeting the
healthcare requirements of the urban poor and stressed on the urgent need to
mainstream them. A discussion on how citizen-centric Smart-Cities should include
aspects of safety, health, skill, education, livelihood, livable places, etc. was held.
Mr. Narang N. Kishor, Mentor and Principal design architect, Narnix Technolabs
Pvt. Ltd. and a pioneer of ‘Independentdesign Houses’ in India; posed a question
to the audience and esteemed panellists: “What a consumer should expect from
a Smart-City?”. According to him Smart-Cities should aspire to be more livable
and citizen-friendly and Information and Communications Technology (ICT) would
become the backbone and play a vital role in interconnecting all services in the
future. The need for interdependent-smart-infrastructures, as well as a central-
unified-management-centers was presented, so that a Smart-City would enable
and support assisted living for its citizens across all ages and physical abilities.
There are already contact lenses that monitor
glucose level...you have heart rate monitors...We
already have people coming up with artificial
kidneys...we already have limbs created by
3D printing...All this is going to give you a better
livability in a Smart-CityDr. Neena Pahuja
Director General,
ERNET, MOCIT, GoI
Session
THREE
Day
1Smart-Cities and HCIT

From Left to Right: Dr. Neena Pahuja (Session Chair, Director General, ERNET, MOCIT, GoI); Mr. Gaurav Agarwal
(Managing Director, Enterprise Public Sector, Cisco Systems); Mr. Lux Rao (Country Leader, HP Future Cities and
CTO); Mr. Vikram Tiwathia (Deputy Director General, Cellular Operators Association of India); Mr. Narang N. Kishor
(Narnix Technolabs Pvt. Ltd.); and Ms. Kripa Gopalan (Chair – Advocacy and Policy, HIMSS APAC India Chapter)
We are not talking about people who already
have great healthcare; it isn’t actually about
enabling great healthcare through technology for the
middleclass and upper middleclass people ……
if it has to be a Smart-City we have to take into
cognizance the urban poor Mr. Lux Rao,
Country Leader, HP Future Cities

24
You need to worry about security
for the Internet of Things provided you
have the Internet of Things...Right now
in India you don’t have it.You’re not
likely to get it; not in the near future.
The Indian telecom networks today
with the given amount of spectrum... the
latency...by the time you put in a request
to the cloud, it processes and gives you
back your data, that latency or Indian
networks will not allow you to have
cloud based services...
Mr. Vikram Tiwatia,
Deputy Director General,
Cellular Operators Association of India
Mr. Vikram Tiwathia, Deputy Director General, COAI, emphasized the need to
have proper network and connectivity in the country in order to provide efficient,
cloud-based healthcare services in Smart-Cities. He also discussed the need
to set benchmarks for investments, broadband connections and e-commerce.
Mr. Gaurav Agarwal, MD, Enterprise Public Sector, Cisco Systems gave the
audience an enthralling presentation on how a typical Smart-City would look like
in the future, along with the connectivity and other prerequisites that are essential
for experiencing the amenities that a Smart-City should offer.
The end of the session saw the panellists collectively draw a vivid picture of an
‘Ideal Smart-City’ and what it symbolizes from the healthcare perspective.
Mr. Narang N. Kishor
Mentor and Principal design architect
Narnix Technolabs Pvt. Ltd.

• e-Health concepts of Smart-City are extendable to smart villages and
will be able to support the population in remote areas and villages.
• We need to be consumer centric while defining the blue print of
health requirements in a Smart-City. It needs to cover the needs of
all consumers: from someone planning to start a family, needs of an
unborn child or meeting the needs of an infant, child, youth or middle
aged or senior citizen. Preparedness for dealing with accident cases to
surgery cases and or those afflicted with chronic diseases. A Smart-City
should be prepared with respect to disease prevention and prevention
of epidemics such as Dengue, Flu, using ‘SmartTechnology’.
• Rehabilitation and providing continuous care at manageable costs
should be an aim of Smart-Cities.Technology can be effectively used
there to manage the chronic disease burden. Big-Data can support
prevention and wellness. Products like EHR together with analytics will
help in wellness program together with disease management, thereby
improving livability, and should be part of Smart-City echo system.
• Smart-Cities will also have products, processes and design that can help
persons with physical disabilities and seniors in better and safer living.
• Smart-Cities will require ubiquitous connectivity and things connected
on Internet, which will support higher battery life and use the set safety
standards.There is a need to come up with legal guidelines so that
technology can be effectively used in Smart-Cities.
Session Takeaways
Ms. Kripa Gopalan
Chair – Advocacy Policy,
HIMSS Asia Pacific India Chapter

26
Session
FOUR
Day
1
Session 4 on Chronic Disease Management—Home Healthcare and HIT, was chaired by Dr.
V. K. Singh, Director – Asia Simpler Healthcare, who threw the session open and drew the
attention of the audience alike that of his panellists on three things requiring utmost attention: 1)
on how to cut down cost by adopting technology, 2) whether we should prefer domiciliary care or
home-care and 3) on utilization of technology. The statistics shared revealed that over 62 million
individuals are affected with chronic diseases in India alone and according to a World Health
Organization report, about one fourth of the rural population would be affected in the near future.
According to Mr. Karthik Tirupathi, CEO, Napier Healthcare, a senior management professional,
ubiquitous healthcare should be the norm. But owing to the numerous challenges, seamless
access and doorstep delivery of care to the patient still remains a dream. Nowadays, healthcare
providers are evolving and can provide technology-based solutions to the community to take
care of the chronically ill within the community. It was thus concluded that the best way to tackle
the healthcare situation is by focusing on home-care, mobility, managing transitions of care and
Telemedicine.
Chronic Disease Management—Home Healthcare
and Healthcare Information Technology
Talking about optimum cost solutions in healthcare, Ms. Nidhi Saxena, Founder, Zoctr: a
healthcare start-up, talked about her initiatives in the area of home-based care. After explaining
how technology has impacted the healthcare system, Ms. Nidhi made a presentation synopsis
on the current healthcare scenario in India. The different aspects of home-care including the
logistics required for home-care were also highlighted and discussed.
The biggest problem we want to solve today
is the access of healthcare for patients at the point
where they want.
Mr. Karthik Tirupathi
CEO, Napier Healthcare
Mr. J.P. Dwivedi
Chief Information Officer.
Rajiv Gandhi Cancer Institute
Research Centre, Delhi
Mr. Sudarshan Jain
Managing Director,
Abbott Healthcare
Pvt. Ltd.
Ms. Nidhi Saxena
Founder,
Zoctr

Acute care environment has evolved over the years and according to Mr. Sudarshan Jain, MD,
Abbott Healthcare Pvt. Ltd., the present concept of acute care has become more patient centric
and has been designed to reduce morbidity and mortality rates. That an urgent need for the
amalgamation of Pharmacology and Technology to tackle the issues faced by the patient-centric
model was put forth. The need for patients as well as doctors to be educated was emphasized
upon. It was discussed as to how one could use a good innovative technology as platform to
teach and help bridge the gap between patient and the medical personnel or even a hospital.
Mr. Saurav Panda, Board of Director and Co-founder at Sparsh Nephro, threw light on his survey
and its findings on dialysis-care and its impact on the individual. It was noted that there exists a
shortage of beds in even some of the premier healthcare institutions. Emanating from the same,
Mr. J.P. Dwivedi, Chief Information Officer, Rajiv Gandhi Cancer Institute Research Centre,
Delhi, talked about cancer as a chronic disease and how terminally ill patients could be monitored
remotely with the help of technology and thereby provide hospital care for the chronically ill and
individuals seeking active medical interventions. It was observed that a majority of the cancer
patients died due to co-morbidities, rather than the disease itself.
Home-care is the next big-idea that would revolutionize caregiving, especially with technology
playing a significant part in enabling entrepreneurs who are taking significant strides by coming
up with innovative models for home-care and remote health monitoring. This would be encouraged
further by the progressive climate conducive for business and policymakers; reviewing and
revising regulations on Telemedicine, electronic health records and e-prescriptions, apart from
creating structured policies for home-care in India.
From Left to Right: Mr. J.P. Dwivedi (CIO, Rajiv Gandhi Cancer Institute and Research Centre, Delhi); Ms. Nidhi Saxena
(Founder, Zoctr Health); Surgeon Rear Admiral V.K. Singh ([Retd.] Session Chair, Director – Asia Simpler Healthcare);
Mr. Sudarshan Jain (Managing Director, Abbott Healthcare Pvt. Ltd.); Mr. Saurav Panda (Board of Director and
Co-founder, Sparsh Nephro); and Mr. Karthik Tirupathi (CEO, Napier Healthcare)

28
• Management of chronic diseases requires lifelong care, hence there
is a dire necessity for a strong presence of home health initiatives to
coordinate all aspects of treatment with minimal cost implications and
reduced number of hospitalizations.
• IT should be exploited to its maximum potential so as to increase
efficiency and also reduce costs by decreasing the human interface.
• Drugs should be made available at minimal costs since the chronically
afflicted have to consume them lifelong.
• There is a necessity to handle the chronic-disease afflicted under a
single roof by the multi-speciality approach.
Session Takeaways
There are about twenty lakh patients who
require dialysis but only about fifty thousand
get it done”.“Accessibility is the key problem not
affordability
Mr. Saurav Panda
Board of Director and Co-founder, Sparsh Nephro
We all know the problems…we’re looking at
the solutions, and not only affordable solutions…
but optimum cost solutions
Surgeon Rear Admiral V.K. Singh (Retd) (Session Chair)
Director, Asia Simpler Healthcare

Applying Better Data for Better Health
►Clinical and Business Intelligence
►Genomic Medicine
►Data Governance
►Population Health
►Preventive Care
Moving Closer to Your Patient
►Internet of Things
►Interactive Healthcare
►Telemedicine
►Patient Engagement
►Smart Healthcare
Creating Smart Hospital Flows
►Intelligent Hospital Technologies
►IT Governance
►Physician Connectivity
►Nursing Informatics
►Medical Tourism
Transforming Care Models
►Caring for an Ageing Population
►Care Models
►Universal Healthcare Coverage
►Interoperability
►Rural Healthcare
LOOKING FORWARD TO FURTHERING THE CONVERSATION WITH YOU IN BANGKOK, 2016!
Consumer Healthcare
Expenditure 2015:
~US$15.2
billion
Healthcare Spending (%
of GDP) 2015:
~US$15.4 billion
(~3.9%)
Ageing Population
(% of total
population) 2015:
10%
Number of
Hospitals 2015:
~1,002 (Public)
~316 (Private)
Why Thailand?
Thailand’s healthcare
market has reached a
tipping point. Witness
the potential in 2016:
Why Digital and Patient-Centered Care?
Today, many healthcare systems are rapidly transforming to adopt a more patient-centered approach to care.
Complimenting this effort by physicians, nurses and caregivers is the increased involvement from tech-savvy better
informed patients.
The end result? Improved efficiency, safety, satisfaction and outcomes.
However, achieving digital and patient-centered care is a complex process that requires methods of measurement,
technology adoption and cultural changes.
Attend HIMSS AsiaPac16 to be equipped with the knowledge you need to get there.
ICT Expenditure
2015:
~US$20
billion
Email us: himss-ap@himss.org · Call us: (65) 6664 1100 ·
Visit us to find out more:
www.himssasiapacconference.org (English)
http://ehealth.moph.go.th/himss (Thai)
Brought to you by: In Collaboration with:
If your paper is selected, you will be invited to present at
the HIMSS AsiaPac16 event OR we will showcase your
paper as a poster presentation in the Exhibition Hall.

30
Session
FIVE
Day
1
Ms. Madhubala Radhakrishnan, Vice President, HIMSS Asia Pacific India Chapter, Founder
President, mCURA Inc, USA chaired the session on ‘HIT as a revenue stream’ and was optimistic
about how IT can be seen as a revenue stream in healthcare. She also pointed out that owing to
the limited penetration that IT had in the sector, it had not reached its full potential as of date. This
was concluded to be one of the many reasons for not having any standardized/tried and tested
revenue models in this sector. With new opportunities remaining open and unexplored, HIT has a
range of offerings that are to be discovered and utilized. The Chairman CEO, Ohum Healthcare
Inc. USA, Mr. Udai Kumar, suggested that there was a need for a revenue model in healthcare that
would be focused primarily on the ‘Return On Investment (ROI)’ parameter. He concluded that
the quality of healthcare investment needs to be patient centric, i.e. it should be safe, timeless,
efficient and equitable. Also, the model itself needs to be a mixed investment in terms of both
IT and process engineering that could potentially bring about improvement in cost-efficiency
and quality in patient-centric care. He shared insights from an HIMSS study wherein all the
returns were attributed to patient and clinician satisfaction, treatment improvement, decrease in
re-admissions, improved revenue capture, turnaround times and savings from overall spectrum.
Highlighting the numerous challenges in the medico-legal area of work in India, eminent
Cardiologist and Secretary of the Indian Medical Association, Dr. K.K. Aggarwal expressed his
thought on whether it would be ideal for a doctor to use IT model to raise revenue? He opined
that while the Indian laws do not permit the practice of Telemedicine in India, and that while it
cannot be legally deployed in India, the West has seen a widespread, healthy practice of the
same. Thus, emanating the questions raised in the previously held session about the requirement
for imminent changes in policy pertinent to healthcare as a service and sector.
Healthcare IT as a Revenue Stream
If you have individual resources responsible for
each and every activity…if you can get a balance
scorecard driven model definitely you can save money
and earn profit
Mr. Niranjan Kumar
CIO, Sir Gangaram Hospital
Supreme Court judgment is very clear…do not
give prescription without actual consultation
Dr. K.K. Aggarwal
Secretary General,
Indian Medical Association

Mr. R.D. Thulasiraj, Executive Director, Aravind Eye Care,
our panellist explained that while legality in context to HIT
could be argued and its pitfalls be debated upon, the
success stories demonstrated with the involvement of IT
were simply impeccable! Through his presentation and
videos he demonstrated and showcased how IT could be
used effectively to bring down the cost using a case-study
example of comprehensive ‘Eye Care’. The model discussed
was achieved through outreach camps in the rural areas
along with trained group of Optometrists who would visit
the patients at the field level and collect data and ensure
a consult with remotely seated Ophthalmologists. These
consultants mostly located in the base-hospital of an urban
setting would then prescribe medication and treatment via
the Optometrist (in the field/village), who would guide and
monitor the patients in accordance.
Mr. Udai Kumar
Chairman CEO,
Ohum Healthcare Inc.
USA
From Left to Right: Mr. Suresh Kochattil (General Manager, Apollo); Ms. Madhubala Radhakrishnan (Session Chair, Vice
President, HIMSS APAC India Chapter, Founder President, mCURA Inc, USA); Mr. Niranjan Kumar (CIO, Sir Gangaram
Hospital); Mr. Udai Kumar (Chairman CEO, Ohum Healthcare Inc. USA); and Mr. Thulasiraj (Executive Director, Aravind
Eye Care)

32
Mr. Niranjan Kumar, CIO, Sir. Gangaram Hospital, New Delhi, engrossed the audience and his
co-panellists with his thoughts on utilizing HIT to save on costs and thus increase the profit
margins earned in any hospital setting. Setting context to the same, he shared his views on
how IT needs to be utilized as an ‘enabler’ rather than as a ‘direct revenue creator’ in hospitals.
He mentioned the five areas wherein digital technology could be implemented: 1) cost centre
management, 2) outcome measurement, 3) resource management, 4) expenditure management
and 5) e-procurement. Speaking on saving through systems automation, Mr. Suresh Kochattil,
General Manager, Apollo Hospitals, explained how a hospital could be better equipped to
provide better services by implementing specific IT products that enable automation and thus
reduce time and additional resource-based overheads. He demonstrated one such product
and explained how it helped a hospital to function seamlessly. The end of this session saw
Dr. K.K. Aggarwal interact with the audience on questions and views regarding IMA’s vision and
a doctor’s perspective on IT adoption. The session concluded with many enlightening take-away
points and learnings, the most important being ‘technological developments do not always and
only translate into a service (rendered) becoming cheaper’.
Look at the US example....they have certain
standards that we can follow, including the charge
for medical records when they are transferred
from one hospital to another or from one insurance
to another. Pay for performance for doctors, IT
professionals and everyone in the stream would
encourage competition...it will ensure that you get
real value for what you are spending
Mr. Suresh Kochattil
General Manager, Apollo

• HIT: an enabler.
• Doctors need to be sensitized and made aware of the legal aspects and
consequences of (self) advertising of their services through digital media
(currently) considered a punishable offence as per the Supreme Court of India.
• Sharing of Patient Medical Records via social media platforms such as
Whatsapp are not valid, and considered as an ‘illegal practice’. It is a criminal
offence for which the license of a practitioner could be cancelled.
• Owing to the ambiguity and lack of policies regarding clinical decision making
inTelemedicine in India, it is not recognized as a conventional method of
providing treatment to the patients.
• Standards and norms on HIT are now being formed by IMA and the same is
expected to be released by the end of 2015.
• HIT in the revenue stream is fast emerging as a powerful module.
• There is an urgent need of the hour for revising existing and creating newer
policies in the realm of healthcare.This also encompasses the need for
legalization and boosting of Telemedicine as a recognized and proven mode of
delivery of healthcare services.
• Proven models inTelemedicine help in reduction of cost of healthcare
expending per patient, thus lowering cost of care provided to the patient
through implementation of IT.Telemedicine models such as the one practiced at
the Aravind Eye Hospital needs to be recognized for deriving standards.
• Incorporation of IT in strategic decision making or/and deducing cost-benefit
analysis helps in reducing operational over-heads resulting in profits—the HIT
system implemented in Sir Ganga Ram Hospital, New Delhi can be a learning
that can be referred to.
• Time and cost are most important aspects of health IT and if implemented
properly, it will add value in making precise clinical decisions.
• Patient discomforts and waiting time can be tremendously decreased through
health IT thus adding value in terms of patient loyalty.
Session Takeaways

34
Session
ONE
Day
2
Mr. Mark Landry, Advisor – WHO, an e-Health solutions expert,
chaired and set the stage for the first session on Day 2 by inviting
panellists to present their ideas and thoughts on digital health
solutions, issues concerning scalability and sustainability in the
Public-Private-Partnerships (PPP) domain, standardizations and
interoperability of these solutions. The eclectic group of panellists
consisting of government officials, HIT entrepreneurs and
healthcare professionals contributed to the discussion. The Ministry
of Health and Family Welfare (MOHFW), GoI, is committed towards
the adoption of e-Health solutions in India. Mr. Nikunja Dhal, Joint
Secretary, Ministry of Health and Family Welfare, GoI, reiterated
this commitment about MOHFW’s initiatives while touching upon
Government’s views on the Electronic Health Record (EHR)
standards.Hesharedthattheplanstoestablishane-Healthauthority
for the promotion and updation of standards were in pipeline. This
body would also design and enforce the protocols for sharing EHR.
The big idea being that of promotion of standardization of health
information systems across the public and private sectors.
Dr. Ashok Kumar, Addl. DGHS, MOHFW, GoI, gave a brief
introduction to the Bureau of Indian Standards (BIS), and its
contributions in the realm of Health Information System (HIS).
The main function of the Bureau being that of publishing and
promoting the Indian standards in relation to any article or process
related to meeting international standards of quality in healthcare.
The body is also responsible for reviewing and providing grants
or cancellation of licenses for using the ‘Standard Mark’. Protocols
established by the Health Informatics Committee in the field of HIS
help ensure the smooth functioning of the system.
Digital Health
Digital health is meant to support the
provider–patient relationship directly to have a
maximum impact to overcome the natural obstacles
Mr. Anil Bajpai
Co-founder and CTO,
PMHLC
There are no major rollouts which
have happened in PPP model in e-Health.
Opportunity is here !!!
Mr. Krishan Girdhar
MD, Presto
Dr. Ashok Kumar
Addl. DGHS,
MOHFW, GoI

Attention was drawn on to the design of digital health solutions by Dr. R. Balaji, CMIO, HCG
Oncology. According to him digital health is a key enabler in promoting the provider–patient
relationship. The patient experience is an important factor in the design of digital health solutions.
The need of the hour is to have a predictive and proactive healthcare management system. An
example of a predictive system shared was that of ‘Sensor technology’ playing a large role in the
future of digital health solutions and products. Sensors have existed in the field of diagnostics for
a long time, but a breakthrough is yet to be witnessed. Dr. Prabhat Ranjan, Executive Director,
TIFAC, echoed this idea on sensors and how they could be utilized in healthcare. The latest wave
of sensor technology discussed is capable of providing faster and more accurate diagnostic
solutions.
Mr. Krishan Girdhar, MD, Presto, a healthcare entrepreneur, opined how PPP would help nurture
digital health solutions. The salient features and challenges of this model were also discussed
such as incorporation of parameters so as to make it more potent.
From Left to Right: Mr. Mark Landry (Session Chair, Advisor, WHO); Mr. Nikunja Dhal (Joint Secretary, MOHFW, GoI);
Dr. Prabhat Ranjan (Executive Director, TIFAC); Dr. R. Balaji (CMIO, HCG Oncology); Mr. Anil Bajpai (Co-founder and
CTO, PMHLC); Mr. Krishan Girdhar (MD, Presto); Dr. Ashok Kumar, Addl. DGHS, MOHFW, GoI); and Dr. Suptendra Nath
Sarbadhikari (Project Director, Centre for Health Informatics, GoI)

36
Many experts have raised concerns about the state of the healthcare system in India. According
to Mr. Anil Bajpai, it is apparent that there is a huge gap between today’s reality and the aspiration
to provide quality healthcare on an equitable, accessible and affordable basis across the country.
Accountability and transparency were the two other major issues identified. The development
of a collaborative health information exchange (that not only works on digital transformation
or transmission of data but also will collaborate with multiple players) was suggested as a
solution. Although initial processes have been commenced with, there still is a lot of work ahead
for the pioneers and champions of Indian HIT. In a similar context, Health Informatics expert
Dr. Suptendra Nath Sarbadhikari, Project Director, Centre for Health Informatics, GoI, discussed
the potential role of the National e-Health Authority (NeHA) in India, and gave a brief account of
the aims and salient features of the National Health Portal and other Government initiatives in the
field of e-Health.
Concluding the session, Mr. Mark Landry, requested the panellists to summarize the session in
terms of issues, priorities, experiences, capacity and various other dimensions of digital health
implemented in India.
• The session on digital health showcased how government and the
private sector are addressing barriers, tailoring solutions to patients,
strengthening capacity, implementing standards, changing policy,
building partnerships and innovating for the future.
• TheWorld Health Organization sees digital health advances in India
as a test-bed and learning environment for sharing knowledge and
experience with the world.
• Sensors can be a very useful tool in the future of healthcare.They can
have practical uses in improving the quality of life of differently-abled
people.
• There is a lack of interoperability and accountability in healthcare in
India.
• Public-Private-Partnership will help e-Health initiatives like
Telemedicine to be adopted widely.
• The National Health Portal was established to provide healthcare-
related information to the citizens of India and to serve as a single
point of access for consolidated health information.
Session Takeaways

Session
TWO
Day
2Doctors, Clinics and Hospitals
Mr. Amit Mishra, Secretary, HIMSS Asia Pacific India Chapter,
chaired the second session for the day. After giving an overview
of the current Indian healthcare system, he invited his panellists
to present their views on how IT can be considered as an
enabler of healthcare. The multitude and complexity of gaps
in healthcare technology has only grown, owing to the various
demands, economic and population demographic changes.
These in return have affected the way HIT has been adopted
in India. Technology entrepreneur Mr. Udai Kumar, delved
deeper into the topic of technology adoption and the need for
change management in hospitals and clinics. Citing the United
States of America, he said that the government’s ‘meaningful
use’ program was responsible for providing incentives for the
adoption of a fully functional electronic medical record (EMR)
system. The incentivization of the program (as observed) led
to hospitals accepting, acknowledging and embedding this
program. The four fundamental drivers for technology adoption
and change management were listed as those of 1) availability
of information at the point of care, 2) user friendliness, 3)
adaptability and 4) scalability.
Telemedicine provides ….half a doctor…but if
we use the rural doctors already there, enhance their
skill level can we make it more than half
Dr. S.B. Gogia
President, APAMI
I want all of us to ponder a bit that is it only
the technology or the data which is required and if
that was to come one day and get all integrated…is
that the answer or a bit of a digression towards…
that the physicians and the medical fraternity also
holds equal responsibility
Mr. Vikram Anand
Founder, Global Health Reach
Dr. Sumer Sethi
MD,
Radiologist and CEO,
Telerad Providers

38
Technology has nourished many enterprises (small and big) in the healthcare sector, speaking
of which, Mr. Shirish Kulkarni, CEO, Palash, shared his views on technology adoption and
demonstrated a Health Information Exchange (HIE) platform that can provide a friendly,
futuristic, yet simple healthcare ecosystem that would benefit health providers and the patients.
Mr. Premanshu Singh, Head of Marketing-Enterprise, Practo, stressed upon the importance of
beingpatientcentricfordevelopmentofbetterhealthcareproductsandcreatingabetterhealthcare
environment along with the need to set newer benchmarks. Mr. Vikram Anand, Founder, Global
Health Reach, gave his views on how technology and analytics could be the solution of tomorrow.
He stressed upon the importance of syncing data, while assuring the audience that technology
and analytics were the next steps for a promising future. Mr. Vamsi Chandra Kasivajjala, spoke
about different predictive models and population health management. He mentioned that the
HIMSS analytics EMR Adoption Model is very popular in the developed countries. Through its
paperless system, it has helped in information exchange, instantaneous delivery of patient data,
delivery and ensuring quality of care and safety in healthcare organizations. Medical informatics
Mr. Premanshu Singh
Head of Marketing-
Enterprise, PractoMr. Shirish Kulkarni
CEO, Palash
From Left to Right: Mr. Vamsi Chandra Kasivajjala (President, HIMSS APAC India Chapter, CEO, Enlightiks); Dr. Sumer
Sethi (MD, Radiologist and CEO, Telerad Providers); Mr. Vikram Anand (Founder, Global Health Reach); Mr. Amit
Mishra (Session Chair, Secretary, HIMSS APAC India Chapter); Mr. Shirish Kulkarni (CEO, Palash); Mr. Udai Kumar
(Chairman CEO, Ohum Healthcare Inc. USA); Mr. Anand Ambekar (Principle Product Manager, EMC2
, India);
Dr. S.B. Gogia (President, APAMI); and Mr. Premanshu Singh (Head of Marketing Enterprises, Practo)

• The doctor–patient ratio in India is less than theWHO-prescribed
average of 1:1000. Healthcare IT can be leveraged to minimize the gap
between demand and supply of Skilled Healthcare Manpower.
• Better quality of care and improved patient outcomes can be achieved
by widespread usage of IT. Practitioners in the rural areas can be
trained online to help improve outcomes and decrease the overloading
of referral and city hospitals thus the need for the patient to travel for
healthcare.
• It can help bridge the huge gap in the Indian healthcare scenario,
especially in rural and urban (poor) areas.
• Support from the government in the form of policies and standards
is required to increase the adoption of IT by healthcare organizations.
Government of India should promote IT usage in healthcare.
Session Takeaways
and Telemedicine expert Dr. S.B. Gogia explained how one could mitigate natural disasters with
the help of technology and shared some of his experiences of working in healthcare projects
that were carried out in Mizoram and Nepal. While Mr. Anand Ambekar, Principal product
Manager, India COE Innovation – EMC2
, spoke about how digitalization transforms the public
health system. Teleradiologist Dr. Sumer Sethi, MD, Radiologist and CEO, Telerad Providers,
shared a few of his experiences and challenges in this sector. He had observed there is a
dearth of radiologists in the country, in addition to this there is a massive bias in the numbers of
radiologists practicing in urban areas. This skewing could be easily addressed by the adoption
of Teleradiology, which enables the flow of radiology expertise from areas of surplus to areas of
insufficiency. This principle could be then extrapolated to the international arena of practicing
radiologists for referrals.
The session concluded with the thought that while some individuals feel that Telemedicine
and Teleradiology are indispensable for the future of HIT, others felt it should predominantly be
utilized to transform rural healthcare. The wide support Telemedicine receives is noteworthy and
we should adopt this model to benefit many at the earliest possible.
Indian healthcare is poised for growth…due to
several reasons…epidemiological transitions demographic
transition…increase in life expectancy, lifestyle diseases…
can IT make a change, can IT help us live independently
longer, can IT help alleviate the pain of patients
Mr. Amit Mishra
Secretary, HIMSS APAC India Chapter

Disease Management Association of India
102, Siddhivinayak, Plot no.3, Sector 14, Khanda Colony, New Panvel, Mumbai 410206, Maharashtra, India
F: +91 11 4582 33 55 | W: www.dmai.org.in
Disease Management Association of India is one of the most revered multi-stakeholder
Indian healthcare organizations.
Given DMAI’s immense contribution to healthcare reforms in India; the United Nations
(ECOSEC) has granted a ‘Special Consultative Status’ to DMAI in July 2015.
DMAI: provides a matchless international platform with access for doctors, nurses,
pharmacists, counselors other healthcare professionals; to come together and share
information, experiences, besides bridging and promoting networking of industry and
various stakeholders and thus contribute to the betterment of healthcare in India
Through its path-breaking initiative in 2012, DMAI has instituted ‘The Government –
Industry Dialogue’ (GID) in association with the Ministry of Health Family Welfare ,
Government of India and paved-way to bring together multi-sectorial stakeholders to
discuss and provide solutions to various issues.
For more details visit our website www.dmai.org.in
Details of the GID is available on: http://governmentindustrydialogue.org
Disease Management Association of India is one of the most revered multi-stakeholder
Indian healthcare organizations.
Given DMAI’s immense contribution to healthcare reforms in India; the United Nations
(ECOSEC) has granted a ‘Special Consultative Status’ to DMAI in July 2015.
DMAI: provides a matchless international platform with access for doctors, nurses,
pharmacists, counselors other healthcare professionals; to come together and share
information, experiences, besides bridging and promoting networking of industry and
various stakeholders and thus contribute to the betterment of healthcare in India
Through its path-breaking initiative in 2012, DMAI has instituted ‘The Government –
Industry Dialogue’ (GID) in association with the Ministry of Health Family
Welfare, Government of India and paved-way to bring together multi-sectorial
stakeholders to discuss and provide solutions to various issues.
For more details visit our website www.dmai.org.in
Details of the GID is available on: http://governmentindustrydialogue.org

Session
THREE
Day
2
This session on the advancement of the Universal
Health Coverage in India, the roadblocks and
challenges was chaired by Mr. Jeyaseelan Jeyraj,
who invited the panellists to give their views on the
role of ICT in health insurance. Dr. Chandrakant
Lahariya, National Professional Officer – Universal
Health Coverage at World Health Organization,
an expert in social inclusion and sustainable
development, spoke about the role of ICT in
achieving ‘Universal Health Coverage (UHC)’,
particularly how ICT could be utilized in expanding
healthcare services and in tracking progress of
UHC. The three dimensions of UHC explained were
1) accessibility, 2) affordability and 3) services. He
also expressed that e-Health and m-Health could
be utilized for improving accountability, for supply
of services, in generating demand for services and
in improving the quality of care provided.
UHC and Insurance
ICT provides possible platform
to address the challenges which are
highlighted for progress of UHC
Dr. Chandrakant Lahariya
World Health Organization
There are lots and lots of
good things that are happening in
isolation but they don’t fit the larger
picture and they are not connected with
each other, and that’s the biggest issue we’re
facing in India UHC
Dr. Nishant Jain
German International Cooperation
Almost about 30% of the
rural population [in India] does
not go for any medical treatment
clearly because of the financial
constraint
Mr. Jeyaseelan Jeyaraj (Session Chair)
Treasurer, HIMSS APAC India Chapter,
Director, Oracle Health Sciences, Asia
Pacific Oracle Corporation

42
According to Dr. Nishant Jain, Deputy Programme Director, GIZ, an international leader in the
field of health systems said that India is facing challenges in implementing the Universal Health
Coverage scheme. Healthcare financing in India can be described at best as ‘fragmented’. On
the brighter side, Rashtriya Swasthya Bima Yojana (RSBY) has been able to utilize Information
Communication and Technology (ICT) to provide insurance coverage for Below Poverty Line
(BPL) families. Comparison of the Indian insurance healthcare system with the healthcare systems
across the globe were unjustifiable as there are many models that are practiced successfully in
other countries. Dr. Abhitabh Gupta, CEO, Paramount TPA, cited different models for healthcare
adopted by different countries such as the Beveridge Model, Bismarck Model, National Health
Insurance Model and the Out-of-Pocket Model to name a few. He mentioned that the benefits
of EHRs from an Insurance perspective need to be delved into and a plan as to how Universal
Health Coverage could be achieved by 2022 needs to be drawn up.
Individuals across the globe require reassurance that they will get good quality health services
without worrying about their finances. However, how one must capture the large number of health
interventions spanning the range of promotion, invention, treatment and rehabilitation across a
wide population is still a question that needs to be answered. As the discussion concluded,
Mr. Jeyaseelan Jeyaraj, got a brief summary from his panellists on ‘the mechanisms that could
be utilized for achieving UHC’ and ‘how one were to achieve equity and also meet the needs of
vulnerable populations within UHC’.
From Left to Right: Dr. Nishant Jain (German International Cooperation); Mr. Jeyaseelan Jeyaraj (Session Chair,
Treasurer, HIMSS APAC India Chapter, Director, Oracle Health Sciences, Asia Pacific Oracle Corporation);
Dr. Chandrakant Lahariya (World Health Organization); and Dr. Abhitabh Gupta (CEO, Paramount TPA)

• Need to establish vision, action-oriented dedicated organization to
achieve the goals of Universal Health Coverage in India.
Universal health entitlement should be provided to every citizen.
National Health Benefits Package should be collated by means of
public, tax-based/mandatory social health insurance and provide
guaranteed access to an Essential Health Package (free of cost including
cashless, primary care, in-patient and out-patient care).
Funding stakeholders should include State/Central Governments,
Self-Help Groups, Non-Government Organizations, Corporate Social
Responsibility activities,World bank, etc.
There is a wider agreement and consensus on role of ICT could play
in UHC.The roll out e-Health strategy/roadmap for the country
and learning from the global practices and successful e-Health
implementations would be beneficial.
Need to set a goal to provide HER access to every citizen, which will
result in increases in healthcare efficiency, reducing redundancies, costs
and improvements in patient outcome.
Session Takeaways
Dr. Abhitabh Gupta
CEO, Paramount TPA

Session
FOUR
Day
2
Mr. B.R. Jagashetty, VP – Legal Compliance Medlife.com, chaired the session and spoke about
the importance of Pharma in the healthcare industry and legal reforms that have taken place in
the domain over the years were discussed. It is widely believed that India is heading towards a
‘Diabetic Epidemic’, it would therefore be sensible to collectively address this impending problem
without any further delay. Mr. Dilip Rajan, G.M.Abbott Healthcare Pvt. Ltd., presented a snapshot
of the Indian incidence rate, global diabetes burden and the estimated number of people living
with diabetes in India by 2035. It is believed that only 50% of population suffering from diabetes
in India are being diagnosed and treated. Across the world, diagnosis and regular monitoring of
diabetes is done either by using self-monitoring tools or from professional laboratory services—
both of which are done using a needle/invasive methods, which is painful and uncomfortable,
especially when repeatedly done in regular monitoring. The need for different innovations for
blood glucose monitoring using sensors and non-invasive methods for analysis and creating
treatment plans was spoken about by Mr. Ananda Sen Gupta, MD Trackmybeat.com.
It is estimated that over 100 million people suffer from chronic non-communicable diseases.
There are several challenges related to treatment at the level of the physician as well as at the
level of dosing and providing pharmacological advice (that needs to be repeatedly titrated so
as to suit the patient’s condition and control of the disease). Given this complex scenario and
requirement for multiple visits, the Internet can be utilized to facilitate the numerous doctor–
patient interactions and provide a personalized health management plan.
Pharma Industry and IT Innovation
There is insufficient medical research data...if you
collect data over a period of time you can start looking
at personalised medicine.
Mr. Ananda Sen Gupta
MD, Trackmybeat.com
Ayurveda like any other treatment science has
to be made accountable
Mr. Madhusudan Chauhan
Director, Jiva Ayurveda

46
The need for funding of innovations, research in the healthcare space was discussed.
Dr. Shirshendu Mukherjee, Senior Strategic Advisor, Head, Affordable Healthcare – India
Wellcome Trust, shared his experiences related to his organization and how innovations were
funded so as to promote affordable healthcare in India. Innovations and HIT is more often than
not contextualized with modern medicine. However, Mr. Madhusudan Chauhan, Director. Jiva
Ayurveda, demonstrated how technology could be used to dispense the Ayurvedic forms of
treatment and care. Like the many (above listed) challenges that hinder successful implementation
of HIT, the lack of awareness, access to care, lack of protocols and lack of adequate research
are also some of the bottlenecks that were identified. Innovation in healthcare technology was
seen to be the only feasible answer to all these challenges put together. Mr. S.W. Deshpande,
Joint Commissioner, FDA Director General, AIDCOC, touched upon the regulatory aspects of
e-Pharmacy in India and enlightened the audience on the current uncertainty of Indian laws that
govern online pharmacy. He lamented on the lack of checks-and-balances to ensure that drugs
sold online were authentic. He propounded that the absence of clear guidelines and regulation
policies and mentioned the need for lawmakers to step in to facilitate the use of technology.
From Left to Right: Mr. Dilip Rajan (GM, Abbott Healthcare Pvt. Ltd.); Mr. S.W. Deshpande (Director General, AIDCOC);
Mr. B.R. Jagashetty (VP-Legal Compliance, Medlife International Pvt. Ltd.); Dr. Shirshendu Mukherjee (Senior
Strategic Advisor, Wellcome Trust, India); Mr. Ananda Sen Gupta (MD, TrackMyBeat.com); and Mr. Madhusudan
Chauhan (Director, Jiva Ayurveda)

Mr. B.R. Jagashetty summarized the session on how data is important to patients for planning,
maintaining and monitoring their own health. From exploratory and qualitative research methods
to process engineering, the current use of technology has made the pharma industry more
powerful and stronger than it has ever been. Pharma and technology companies have come
(ongoing) up with various products that can aid chronic healthcare management and in alleviation
of disease burden.
As a funder what we look at is, what is the
unmet need, what is your exit strategy from the
programme and what is your policy uptake of
the programme. If these criteria is fulfilled by
an innovator, he has a strong chance to take his
programme to the next level
Dr. Shirshendu Mukherjee
Senior Strategic Advisor,
Wellcome Trust, India
• Pharmaceutical industry is widely using InformationTechnology.
However, this is limited to the use of certain softwares.The panel
discussion brought forth a number of innovative products which can be
used to improve current healthcare systems.
• The advent of the Internet has opened many opportunities and one
such buzz word is e-Pharmacy.Though it has many advantages, the
system of sales has many disadvantages that need to be addressed and
regulated by means of laws and policy regulations.
• Delegates got a clear view of existing legal position, legal impediments
and also what needs to be done so that this powerful tool can be used
for the benefit of society.
Session Takeaways

The Personal Connected Health Alliance (PCHA) is at the forefront of health and wellness in today's society,
driving advancements in mobile and communications technologies, and the growing use of new devices, health
trackers and apps by consumers and healthcare providers.
PCHA is working to generate greater awareness, availability and access to plug-and-play, consumer-friendly
personal health technologies to empower individuals to better manage their health and wellness, anywhere at
any time.
The Personal Connected Health Alliance is a global non-profit umbrella for the Continua and mHealth Summit,
and an independent HIMSS organization.
First-of-its-kind collaboration was founded by three industry leaders: Continua, mHealth Summit and HIMSS,
focused on engaging consumers with their health via personalized health solutions designed for user-friendly
connectivity (interoperability) that meet their lifestyle needs.
Each of the founding organizations – Continua Health Alliance, mHealth Summit and HIMSS – offers a unique
perspective and expertise, combining to create a holistic view and approach to promoting the advancement of
healthcare technologies that focus on the individual.
The mission of the Personal Connected Health Alliance is to facilitate the development and adoption of
personal health solutions that foster independence and empower people to better manage their health and
wellness from anywhere, at any time. Making health and wellness a convenient part of daily life through
personal connected health technologies.
 Uniting all stakeholders in healthcare and health IT around plug-and-play personal health solutions that
create value for consumers, technology and healthcare industry leaders, providers, purchasers,
pharmaceutical manufacturers and policy makers.
 Bringing greater focus on personal connected health technology through education, awareness building and
advocacy, drawing upon the unprecedented international network, leadership and resources of Continua,
mHealth Summit and HIMSS.
 Standardizing connectivity, privacy and security of personal connected health devices and systems, based on
Continua's global interoperability standards to ensure end-to-end, plug-and-play connectivity.
http://www.pchalliance.org/
ask@pchalliance.org.

Session
FIVE
Day
2
Veteran educationist Dr. Ajith K Nagpal, Chairman and Director General, Amity University, the
session chair, made a presentation on ‘international policy initiatives’ to facilitate the availability
of clinical information at the point of care. The purpose of the initiative being: 1) to achieve
highest attainable technical standards of care, 2) ensure clinical effectiveness and 3) delivery
of quality care. Healthcare in India is undergoing a major transformation and one of the key
drivers for being the change in disease patterns. It is believed that approximately 70% of the
disease burden is due to chronic diseases. Addressing the massive skill deficit and dearth of
IT-enabled medical education in the country, Dr. S.D. Gupta, President, IIHMR University, shared
his ideas on the same. He opined that owing to the paucity of skilled and trained (especially
super specialization) health personnel that the healthcare system was unable to meet the
requirements of secondary or tertiary level care. Speaking further on these lines, he suggested
that ‘open’ educational platforms such as Massive Open Online Courses (MOOCs) can be used
for community interactions and skill development at the primary healthcare level to begin with.
Adding further the discussion, Dr. Shubnam Singh, Chief Executive, Max Health Education
Research, said that Information Technology needs to be the platform for all levels of care, i.e.
primary, secondary and tertiary should exist simultaneously, that we need to focus on all three
sub-levels of care so that the spectrum of education in healthcare is holistically upskilled. Some
examples of government led initiatives in skilling the workforce mentioned were: Healthcare
Sector Skill Council (HSSC) and Life Sciences Sector Skill Development Council (LSSSDC),
these initiatives work on training healthcare professionals in their chosen domain. The National
Skills Qualification Framework is a competency-based framework that organizes all qualifications
according to a series of levels of knowledge, skills and aptitude—was also discussed.
Human Resources for HCIT, Medical
Education, Training and Skill Development
What is the level of our preparedness to be able
to harness this [IT] to ensure that there is equity in
healthcare delivery, there is true quality in healthcare
delivery, there is true scalability in healthcare delivery,
there is the ability to harness the information therein
provided and thereby spawn this entire new sea of life
which is called data analytics, predictive analytics and so
on and so forth?
Dr. Shubnam Singh
Chief Executive,
Max Health Education
Research
I see this topic…as a jigsaw puzzle….this
puzzle is really difficult, but there are several
pieces which could be looked at and we try to solve
it by integrating this in a framework Dr. S.D. Gupta
President, IIHMR University

50
Mr. Terig Hughes, MD, Reed Elsevier – India, from the educational publishing industry, spoke
about the need of white-collared professionals (which includes doctors, nurses and allied medical
workforce) for expertise, and added how we can address challenges in the ‘healthcare learning’
by introducing innovations such in e-learning and simulation tools. Mr. Krishan Girdhar, MD, Presto,
illustrated how ‘Digital India Program’ and ‘Skills India Program’ could play an important role in
the e-Health initiative and in tele-education. He said that while Digital India provided the basic
infrastructure for facilitating knowledge exchange, Skills India Program would cover the capacity
building initiative. Dr. Sandeep Bhalla, shared the achievements of Public Health Foundation of
India (PHFI) in the field of training and capacity building for primary care physicians and healthcare
personnel. He shared that PHFI chiefly focused on education, training, research, affordable
healthcare technologies, health support system, communication and advocacy and policy via
development of the Indian Institute of Public Health (IIPH) in partnership with state government.
Dr. S.P. Gogia
President, APAMIMr. Terig Hughes
MD, Reed Elsevier – India
From Left to Right: Mr. Krishan Girdhar (MD, Presto); Dr. S.P. Gogia (President, APAMI); Dr. Shubnam Singh (Chief
Executive, Max Health Education Research); Dr. Ajith K. Nagpal (Session Chair, Chairman and Director General,
Amity University); Mr. Terig Hughes (MD, Reed Elsevier – India); Dr. Sandeep Bhalla, Program Director, Training, PHFI);
Dr. S.D. Gupta (President, IIHMR University); Mr. Rohit Kumar (Founder and CEO, Chapter Apps Inc.)

The need for skill development in rural areas was highlighted by Dr. S.P. Gogia, President, APAMI,
who said that the rural population had limited access to education and training (especially
healthcare related), mostly due to financial barriers and lack of basic education. This reason
alone hampers their access (admission) to higher technical and vocational training or other basic
skills development courses. According to him, an integrated approach of health informatics
would aid the development of such programs (cited above). Mr. Rohit Kumar, CEO, Chapter
Apps Inc., spoke about his organization: a mobile publishing company that specializes in bite-
sized content for use through mobiles. It was thus concluded that in the wake of rising global
smartphone subscriptions at alarming growth rates and Internet proliferation, initiatives like these
seem to be the order of the day towards ensuring the most important and imminent need: to
bridge the gap and meet the requirements of trained and skilled personnel.
We have known about software writers, we have
known about network engineers, but now we need
…desperately in the realm of healthcare people who
are trained in informatics
Dr. Ajith K. Nagpal
Chairman and Director General,
Amity University
• The skill deficit in the healthcare sector needs to be addressed with
urgency.
• There is a need to improve human capacity including that of doctors,
nurses and allied medical workforce.
• We can mitigate challenges in healthcare learning by introducing
innovations such as e-Learning and simulation tools.
• Government initiatives like HSSC and LSSSDC are steps taken in the
right direction to up skill the existing workforce.
• Indian healthcare professionals are underpaid, as compared to
professionals from BRIC countries.We need to augment their skills,
so as to enable help these professionals to earn at par with their
professional counterparts from other countries.
• The concept of bite-sized content for mobile-based learning is
something that will be immensely beneficial.
Session Takeaways

52
Leader’s Speak
This is a pivotal time in the delivery of health care in India.The HIMSS India 2015 conference was timely and
brought together the best and brightest of our industry.The best conference I have ever attended in terms of
content and quality.
— Mr. Jeyaseelan Jeyaraj, Director, Health Sciences, Asia Pacific, Oracle Corporation
It was really a nice event to know about latest trends and developments in the healthcare segment across the
country and to experience the thought process of highly versatile think tanks. It offered a great opportunity
to interact with the leaders from health sector. And, at the same time, the event witnessed a large number of
delegates and eminent speakers.The calibre of the speakers was incredible as they shared tons of information
in a short period of time. HIMSS Digital India Summit 2015 did a tremendous job bringing industry leaders
together to hold open, frank discussions regarding InformationTechnology in Health.The Conference was highly
structured and managed exceedingly well. Hats-off to the organizing team and especially Mr. Rajendra Pratap
Gupta, who put this together – quality speakers, interaction and a great show.
— Mr. Krishan Girdhar, Managing Director, Presto Infosolutions Pvt. Ltd.
One of the best conferences that I have attended. A great balance of Topics, Speakers and most importantly
very well organized. Kudos on a well conceived and superbly executed conference.
— Mr. Lux Rao, Country Leader – HP Future Cities CTO – Technology Services, HP India
The HIMSS Asia-Pacific India Chapter plays an important role enabling collaborators to engage in effective
partnerships for scaling up and sustaining effective digital health solutions.The session on digital health
showcased how government and the private sector are addressing barriers, tailoring solutions to patients,
strengthening capacity, implementing standards, changing policy, building partnerships, and innovating for the
future.TheWorld Health Organization sees digital health advances in India as a testbed and learning environment
for sharing knowledge and experience with the world.
— Mr. Mark Landry, Regional Advisor, World Health Organization, Regional Office for South-East Asia
The HIMSS Digital India Summit, 2015, was a very good initiative for India. I feel that this was a good platform
which connected everyone in the Health sector in India, starting from the Government bodies influencing
policies, Industry experts, Academia and specially the Service providers (Doctors and Hospitals). Looking
forward to see the HIMSS India Chapter nurture the ecosystem and also roping in the super end users in the
upcoming conferences.
— Mr. Munir Mohammed, Program Specialist – ComSoc e-Health, IEEE India
The summit provided a great opportunity to listen to the different perspectives of some extraordinary leaders
of Healthcare industry in India. It showcased the serious advances that are being made in our country and how
organisations of various sizes are driving the agenda of affordable, high quality healthcare in India. I expect
HIMSS India Chapter, to continue to play a strong role in India and look forward to more engagements and such
events to continue and grow larger in the future.
— Mr. Ananda Sen Gupta, Founder CEO, Trackmybeat.com

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