Ever thought about what clinics of the future would look like?

If not yet, then here is a good start as the care delivery design is gradually changing and influencing all our lives as DOCTORS, PATIENTS, HEALTHCARE STAFF and well everyone!

Source: Google

Cost-effective, timely and efficient are some of the oft-used adjuncts when healthcare leaders discuss tech in the medical industry. Convinced as they are regarding the impact of technology in healthcare, we must admit that they are mostly right, generally because we have seen the vital role of technology from disease diagnosis to care delivery during COVID-19 Pandemic. Although, it goes without saying that tech has ‘waved at the tides of chaos’ in the existing healthcare system, but it wasn’t all so good – was it?

Let’s face it, the issues that technology has caused in the existing healthcare systems during COVID-19 pandemic point toward the lack of infrastructure and trained workforce in healthcare systems. And, if someone should take the blame for it, it should be tech literacy in the healthcare workforce which can be resolved with optimum training!  

Fast forward to the present — today, healthtech systems have also caught the attention of Governmental organisations, Private Practitioners & as well as Patients, who find it an accessible and efficient form of care delivery.

In between the rising expectations of healthcare stakeholders and healthtech companies aspiring to fill these up silos using in the age-old healthcare system, the future of healthcare delivery looks quite different from the healthcare units of today. 

Towards Digital Health

The digital age has given rise to a whole variety of online services, apps and virtual tools that have made our lives easier in so many ways. From booking a flight to finding the perfect holiday destination, we can access information and services on demand with just the click of a mouse or tap of an app. Many traditional industries have been forever changed by this new way of doing things – and healthcare is no exception. The medical world has also been transformed by the digital age, with AI-assisted diagnosis, Automated Reception-desks, Remote patient Monitoring and Telemedicine, all found commonly in diverse specialties. With several innovations taking place within healthcare, what does the future hold for a doctor’s visit?

Source: freepik

Let’s take a closer look —

Medical Consultations

Being a patient, imagine getting a doctor’s appointment, on-time consultations and easy check-out – feels like a blessing, right?

In digital/virtual clinics, this is very much a reality, with just a few taps on your phone, enabling you to seek treatment from the comfort of your home. Such digital clinics can efficiently reduce the overall care expense to a great extent. With inpatient health care services being pushed to home via easy-to-use vital monitoring tools, digital health also guarantees to elevate personalisation in healthcare. 


Although many complicated medical cases and severely ill patients will continue to need acute inpatient services, but, at least the primary consultations are expected to be faster and hassle-free. 

For medicos, other than showing up to less crowded clinic hallways, they can monitor patients intermittently, while collaborating with specialists in other locations about diagnosis or treatment. Not only they’ll be able to make a prognosis in virtual clinic rooms but will reduce the patient load from secondary and tertiary hospitals. All this while, such virtual clinics will give a chance to primary care providers to expand their services in remote/rural locations by setting up  Satellite OP-Clinics in the destination of their choice. 

Other than the healthcare delivery reach, the existing care system is struggling because of poor healthcare record systems and digital clinics of the future seem to have a solution for it. 

Medical Records and Data Security

If you search for your medical records, it is a stack of ‘yellow pages’ with clinics/hospital & diagnostic centre logos — Too old to be read and too fragmented to base a diagnosis on!  This fragmentation usually happens at the primary care level, presenting a challenge for secondary & tertiary care units while delivering better patient care. In response to this challenge, digital healthcare records have emerged as the new standard for healthcare management making medical records more streamlined and secure than ever before. 

While operating via digital clinics and digitising health care records, providers can more easily and accurately track patient care & medications thus reducing medication errors. Additionally, digital healthcare records can be easily shared between providers, which can help improve coordination necessary for personalised care at the grass root levels. For patients, digital healthcare records can help to ensure that their health information is accurate and up-to-date. Additionally, digital healthcare records can give patients more control over their health information and make it easier for them to access their records from anywhere. 

It is understandable that accessibility of medical records will raise several data security issues, and the brilliant minds of IT professionals in healthcare seem to have it covered via below mentioned key functions —

Data Accountability: Medical information is protected by ensuring health care providers are accountable for their access and the platforms that are used to deliver virtual-care protect the data via role-based access control

  1. Master Backups: Eliminating all the middle-men and being the sole-key person to access the data from cloud reserves will reduce the data breaching issues in healthcare to great extent. The future digital clinics consist of such EMR modules that are absolutely unbreachable. 

The journey towards digital healthcare delivery has already begun; now the question is, do you see yourself associating with the advancements in healthcare?

HArborSays

The involvement of technology in healthcare, stakeholders behaviour and overall economic challenges are evolving the way we perceive healthcare. Moreover, with secondary and tertiary healthcare units adapting tech-driven solutions to enhance the care outcomes, and somehow the silos in the primary healthcare structure are unblurred. Hence, the introduction of Digital Clinics in primary care not only promises to support the exponential care requirements but will cement the age-old care delivery issues.  

It is time to change the healthcare delivery practices from the core, make way for Digital Healthcare units! 

Ghanshyam- A Vegetable Vendor with Chronic Ailments

A vegetable vendor, Ghanshyam from a rural area of Sitapur with health aliments, relies on the Government health centre in his village. He is aware of his deteriorating health but prefers to visit the facility only when his condition becomes unbearable. 

Caption: The conversation between PHC doctors and Ghanshyam

Irrespective of his rare visits, he was optimally treated by Dr Ram, in-charge of the PHC and was suggested further tests to confirm the prognosis. Ghanshyam, being ignorant of his condition, hoped that this ‘temporary’ alignment would go away with traditional home remedies. And, thus he ignored the tests, medicines and routine follow-up requests suggested by his primary doctor. 

After a few days, when he got severely ill, he was admitted to a Government Medical College in his district. When his wife was asked about his condition and related healthcare records, sadly she didn’t have any. With no previous history and medication data, the doctors started their protocol procedure followed by tests one by one. 

This led to, 

– Delayed diagnosis and treatment resulting in deterioration of health.

– Time, Energy and Resources spent by Ghyansham and his family while travelling to GMC. 

– Prolonged days of pain and illness.

After running all the tests, doctors concluded the diagnosis, which turned out to be a condition due to a simple chronic disease. 

If only, Ghanshyam had taken his primary doctor’s treatment seriously, he and his family would have avoided this unfortunate event and contained the disease in its initial days. 

If only, Dr. Ram had a health tech platform which would keep consistent reminders of appointments, and treatment for his patients, his patients would have been better literate about their health. 

Like Ghanshyam, several other examples are living in every corner of India and facing the consequences of ignoring health. 

Low health literacy levels can negatively impact an individual’s ability to navigate the healthcare system, manage chronic diseases, follow a healthy diet, and monitor medication. 

Don’t be like Ghansham, be responsive to your doctor’s treatment. 

Don’t be like Dr Ram, be responsible for your patient’s adherence to your treatment.  

Be a part of our mission to strengthen the health literacy rate in India. Join us today! 

https://harborvision.in/contact.html

ARE THE GHOSTS OF THE PAST, HAUNTING THE FUTURE OF HEALTHCARE IN INDIA?

Healthcare has always been an integral part of our lives. India, the country of ‘AYURVEDIC’ practices has seen its glorious tradition of public health service from 5500–1300 BCE when the likes of Sushruta and Saints performed care-giving as practice. Ever since then, the objective of delivering healthcare to ‘everyone’ has indeed presented a spectrum of contrasting landscapes. Fast forward to the present, the healthcare sector has made prolific advancements, but its leaders and care providers are still appalled by the same challenge every now and then. The situation of the present healthcare delivery system is an eye opener and, make no mistake, it will be a ticking time bomb, unless it is systemically fixed.

Truth be told, several attempts have been made to enhance healthcare delivery in India since 1983, when the first National Health Policy of India (NHP) was formulated. With central and state governments trying their best to put forward the most ‘suitable’ policies to provide healthcare for all, very little has been done to make space for the integration of advancements of the future. 

In fact, when the seismic effects of technology in healthcare commenced the change to strengthen the existing care delivery system in India, the outdated infrastructure and policies limited this partnership between healthcare & technology, in the first few phases while leaving us in doubt about its excellence.

Although, there are several challenges in the path of the advancement of digital healthcare in India, let us add a little more light on basic infrastructure and healthcare policies. 

India has a three-tier structure that comprises primary, secondary and tertiary care. This structure further segregates the primary care via sub-centres, primary health centre (PHC), and community health centre (CHC) and sometimes, even Anganwadis. The secondary care is largely delivered through district and sub-district hospitals while on the other hand, tertiary care is extended at state and central level institutions, super/multi specialty hospitals. While this system looks ‘perfect’ to facilitate healthcare coverage even at the extreme corners of the country, the ground realities are different than we anticipate!


Even after creating huge buildings and infrastructures across the country, the existing public healthcare system is still relatively inaccessible, inefficient and primitive for its stakeholders. This makes the public healthcare system, undesirable for a large part of the communities, even though many still avail it for its “free-of-cost” approach.

According to a study —

“Despite private healthcare being four times more expensive, 72% of rural and 79% of urban residents would not trust a public healthcare facility.”

On one hand, the statistics present patient experience and care outcome concerns, and on the other, it questions us if this has always been the case. The answer is No. In its initial days, Public healthcare in India was preferred by everyone and has assisted care professionals to deliver care to the patients. However, the times have changed, and so have the patient’s expectations; delivery methods and even treatments, but public healthcare infrastructure, policies and care-givers in India remain stuck in the old times, enjoying past glory without preparing for the future.

The blame for the underdevelopment of the healthcare delivery system in India also lies on the shoulders of ‘ancient’ healthcare policies & norms that we still follow. Moreover, these “dinosaur-era” policies remain to be one of the most significant factors why establishing digital healthcare delivery is so hard in India.

The Role Healthcare Policies in Healthcare Delivery

Since its establishment in 1983, the National Healthcare Policy was hardly revised till 2002. As for the latest National Health Policy (NHP) 2017 highlights, it presented the ‘Health for All’ approach to provide assured healthcare for all at an affordable cost. With schemes like Ayushman Bharat Digital Mission (ABDM) and Pradhan Mantri Jan Arogya Yojana (PM-JAY) we are possibly even pacing up towards the vision of better healthcare practices, but as stakeholders are we ready for it? 

Earlier in 2021, when the Ministry of Health announced the National Digital Health Mission, to digitise the existing healthcare structure, the policymakers certainly overestimated its results. The adoption of such remarkable policies has been much slow because we overlooked the ground-level reality check. The current state of the system lacks skilled professionals, it has low technology literacy and even the basic infrastructure to sustain these changes have corroded with time.  

The truth is Digital health and the existing healthcare design is still at a crossroad. These are the times, when we as a civilization are facing a mounting healthcare crisis extensively exposed by COVID combined with Natural Disasters, Heavy Rains combined with an ever-increasing burden of disease with ever increasing population, resulting in low care quality.

These aged policies are hampering the adoption of digital health solutions in India. Interestingly, on the other hand, the time tested way of delivering “non-digital care” has also been affected by these policies. For example : 

  • The norms of establishing healthcare facilities required a certain minimum land acquisition which increased the project cost by multiple times. 
  • The process of hiring medical staff is tedious, requires “caste certificates” and numerous rounds of approvals.

This has had a knock-out effect on the development of any sort of health solutions, as many of the modern day solutions require a fresh look at things from beyond the purview of the ancient policies. 

As a result, the potential benefits of digital health are not being realised in India, and the country’s healthcare system is still struggling to keep up with the demands of a rapidly growing population. It is essential that the government revises its policies in order to allow modern health solutions to flourish in India. Only then will the country be able to address its healthcare challenges sustainably and effectively.

From the Stakeholders Perspectives —

Ideally, digitization and modernization of the healthcare system must optimise the practice of doctors, enhance patient-doctor communication to improve patient outcomes. But, since the introduction of ABDM in 2021, the statistics showed a mixed response from the major stakeholders of healthcare. Wherein, the urban regions of the country showed significant adoption rates concerning Virtual Care Modules, but in the rural areas, nothing has changed. Infact, the ‘burden of digitization’ on the ‘Gramin’ healthcare system’ has created nothing but chaos! 

Often the challenges that care professionals go through are due to age-old infrastructure or outdated policies. And, it is evident that until we redesign the healthcare delivery systems according to care professionals and the beneficiaries, we ain’t moving anywhere. Below is a small example of a public health doctor, exposing lack of infrastructure and trained medical professionals which would help him execute his duty. 

Read the full answer here. 

On the other hand, when we have unnecessary policies on the infrastructure side, we totally lack policies, guidelines and regulations on the data security side. This has led to data theft, misuse of digital prescriptions, electronic health records, fraudulent practices and solicitation in the form of listing websites in the noble field of care delivery.

HArborSays:

Change is often not so easy but, when the existing policies and regulations lead to insufficient care experiences for the beneficiaries as well as the service providers, it is time we change them. We must modernise them. And, it must start with changing the age-old perspective toward healthcare delivery. An approach that remains more India-centric in healthcare tech while keeping all the major stakeholders on a single platform. 

Here at HArbor, we have already started our journey by simplifying care practices for medicos to assist them to deliver the best care outcomes possible.

Connect with us to know how HArbor platform can help your care facility!  

Why Doctors can’t Commit to EMR Modules? 4 EMR formats that can change the course! 

Electronic medical records (EMRs) have had a positive effect on patient care and the work lives of physicians. However, convincing healthcare professionals and healthcare management to adopt EHR/EMR modules have always been a challenge in India. This article sheds light on why healthcare professionals are still so attached to the idea of paper records when they should be reaping the benefits of new-age EMR/EHR modules! 

Let’s get started. 

From the perspective of a medical professional!


No doubt, we are gradually upgrading with the modern health tech solutions, however, full-fledged adoption of EMR still has a long way to go, and the reason behind it is the asymmetry of benefits. For a health tech designer, the tendency to look for technological fixes for significant conventional problems may have sufficed with every new feature, but, from a medical professional’s perspective, maybe there is a lot more to this. 

  • The broken medical market – as economists would call it: A bitter fact about the existing healthtech systems is that the set-up and everyday usage of these largely ERP driven software is expensive. Until now, most of the providers haven’t recovered those costs, either in payment or in increased patient satisfaction in India. It’s beyond question that having digital data at fingertips can assist the healthcare facility to operate in multi-folds, but, the costs are hefty, and they have fallen on people who have no economic incentive to make the transition. 
  • Time-consuming & complicated designs: In India, the average time for a doctor to see a patient is less than 2 minutes. At the same time, imagine dealing with a complex EHR/EMR system, when you can easily scribble the prescription! This critical aspect of an EMR module is very crucial for its adaptation. 
  • The habit-loop of pen-paper practices: The practice of creating medical records using pen & paper holds a significant place at the core of the Indian Healthcare System, which may be a time consuming but irreplaceable habit.  So, for a healthcare professional, switching EHR/EMR modules may disturb the practice flow while leaving the professional agitated and unproductive. 

Moreover, healthTech leaders in India need to think about the various aspects of healthcare that would make sense to modernize and are ready to adapt to change, to incorporate into the core healthcare system. Meanwhile, we need digital record modules that would make the transition between paper to EMR easy and with simple designs. 

You need an EMR module that comprises….

  1. A Template-driven, Touch-Based EMR: Most clinicians are familiar with paper data sheets that are more or less in tabular formats. A structured EMR format with touchpoints to choose from a variety of templates will tidy up the data coming from different sources.
  • Tabular format simplifies the bulk datasets for easy visualizations and will hold up space for diagnostic reports, RX sheets and medical bills. 
  1. Speech-to-text AI replacing medical transcriptors: Often doctors feel typing patient notes can distract them from actually listening to their patients. But if they only listen to their patients and don’t feed EMR, the consultations won’t make it to a treatment plan or generate medical claims later.
  • Using Speech-to-text AI allows practitioners to dictate their medical notes during a patient encounter instead of typing them while making EMR more navigable. 
  • This feature saves time and bridges the gap between conventional data entry practices to new-age health tech modules. 
  1. Handwritten prescription to digital using OCR: One tricky yet effective way to create a digital health record is to let the medicos use their favourite pen and paper and give them an option to save the image of that Rx paper. The EMR then should convert that image into a digital prescription.

  2. EMRs compatible with digital writing pads: A way to replicate the pen-paper based medical records is to have an EMR which can connect with a market available writing pad. These writing pads can then transfer the record thus captured digitally and EMRs with special features can convert them into incidental electronic medical records. 

HArbor Says:

HArbor is more than eager to see healthcare practitioners get onboard with the digital healthcare systems and especially, EMR! However, the perpetually diverse module requirements of the medical record modules in India cannot be resolved with just a single format. We need to make EMR adaptable and in order to make it happen, healthtech platforms must be able to bridge between the old practices and the new-age tech for a smooth transition.