Given the potential benefits of e-Healthcare, Insight Success introducing some of the most prominent organizations in the industry who are capable of leading their clients towards excellence by supporting them beyond the advisory level. “The 10 Best E-Healthcare Solution Provider Companies” issue aspires to assist organizations to find the right technology partner who has the resources and skills to deliver smart e-healthcare solutions with scalability and inventiveness.

1. The way of business solutionsThe way of business solutions
December 2017December 2017
www.insightssuccess.inwww.insightssuccess.in
THE101010
SOLUTION PROVIDER
C O M P A N I E S
healthcare
BEST
-
Reinventing Technology to Bring Better
Quality and Convenience to Healthcare
Reinventing Technology to Bring Better
Quality and Convenience to Healthcare
Blockchain: A Cure
for Healthcare
IT Problems
Upcoming
Developments
Tech-n-Trends
Upcoming
Developments
Tech-n-Trends
Hospital Wi-Fi:
Making Healthcare
Smarter
Gautam Dey
MD & CEO
ICT Health:ICT Health:

4. ndian healthcare sector is widely diversified and full of
Iopportunities. Currently, it is one of the fastest growing sectors
and is expected to reach a whopping USD 275 billion in the
coming years. Given the ever increasing competition in the healthcare
industry, businesses are looking to explore the latest dynamics and
trends, which will have a positive impact on their business and society
as a whole. Evolution in the Internet of Things (IOT) and advancement
of technology, along with the growing demands for population health
management, and the need to cut healthcare cost, has led to the
intensified demand for e-healthcare solutions. E-Health provides a
cost-effective healthcare delivery platform along with opportunities for
research advancement and health-related activities that can benefit both
low and high-income countries. This has even led the World Health
Organization in promoting e-healthcare services.
The global e-healthcare market is growing at a rapid pace and the
technological developments, innovations, and the use of electronic
devices are driving the market even further. The trends currently
affecting this market are geographical, socio-economic, economic,
consumer-centric, political, and cultural. Their overall effect on clients
and consumer preference will have a major impact in how this market
will structure itself in the years to come. The increasing acceptance of
these systems by medical practitioners across the globe is predicted to
offer promising openings for prominent players in the market.
A recent interesting initiative from the Government of India is the plan
to set up ‘SEHAT’, Social Endeavour for Health and Telemedicine,
launched at Common Service Centre (CSC) with an aim to empower
rural citizens by providing access to information, knowledge, skills,
and other services in various sectors through the intervention of digital
technologies and fulfilling the vision of a ‘Digital India’.
The e-healthcare initiatives which are a part of ‘Digital India’ are
commendable and aim at providing effective and economical
healthcare services to all citizens. The SEHAT program aims to make
use of technology and portals to enable people in maintaining health
records and book online appointments with various departments of
different hospitals.
India’s health reform journey has already gained motion. While the
journey is challenging, the outcomes and the opportunities will
continue to move. With best-around-the-globe clinical talent, business
managers, and policy evangelists, India seems to be well positioned to
achieve its healthcare vision and provide its populace with the best-in-
class healthcare outcomes.
Editorial
E-Healthcare
Gaining a
Leadership Role
in Digital Health
Nikita Doiphode

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Business Development Executives
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Corporate Ofces:
December, 2017
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Copyright © 2017 Insights Success, All rights reserved. The content and images used in this magazine should not be reproduced or
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Reprint rights remain solely with Insights Success. Printed and Published by Insights Success Media and Technology Pvt. Ltd.
Co-designer Rahul Kavanekar
Sachin Bhandare
Contributors
Shweta Priyadarshini
Senior Editor Shraddha Deshpande

6. Cover Story
ICT Health:
Reinventing Technology to
Bring Better Quality and
Convenience to
Healthcare
Indian Health
Organisation:
Introducing the new
Advancement of Telemedicine
in the Arena of e-Healthcare
Interview
with Insights Success
08
16
C O
N
T E N
T S

7. Curofy:
Doctor’s Appealing
Platform
Insider’s Opinion
Computer Technology
Transforming Healthcare
Expert’s Insight
E-Healthcare: Harnessing the
Power of Technology
Impact and Importance
Digital Revolution Transforming
Healthcare Industry
Navia Life Care:
Leveraging Innovative Technologies
to Build Customized Solutions for
Patient Engagement
28
42
34
Upcoming
Developments
Blockchain: A Cure for
Healthcare IT Problems
Tech-n-TrendsTech Evolution
Vocal-Biomarkers:
Technology for
Analyzing Emotions
Hospital Wi-Fi:
Making Healthcare
Smarter
22 30 38
20
26
ARTICLES

8. ver the last couple of decades, developments in the information and communication technology have made the
Omost profound impact on healthcare management all over the world. Globally, there is a considerable
international interest in exploiting the potential of digital solutions to enhance the quality and safety of
healthcare. Implementations of transformative e-health technologies are underway, often at a very considerable cost.
Many health program implementers and policy-makers are exploring the extent to which e-health can help address the
challenges faced by resource-constrained health markets in terms of the availability, quality, and financing of
healthcare. As a result, there is a significant potential for e-health to deliver cost-effective, quality healthcare.
Given the potential benefits of e-Healthcare, we are introducing some of the most prominent organizations in the
industry who are capable of leading their clients towards excellence by supporting them beyond the advisory level.
“The 10 Best E-Healthcare Solution Provider Companies” issue aspires to assist organizations to find the right
technology partner who has the resources and skills to deliver smart e-healthcare solutions with scalability and
inventiveness.
The Cover Story features ICT Health, a dynamic care delivery organization empowering their care practices &
operations with smarter technology accelerators that directly enable improved outcomes. It offers end-to-end solutions
for healthcare domain including Information Systems related to Patient Administration, Electronic Health Records,
Healthcare ERP, Imaging Solutions, Clinical Automation, Medical device technology etc.
Apart from this, we have presented Navia Life Care, a health technology company, focusing on patient care and
enabling users to manage their health with simplicity. Curofy, a platform offering doctors a spam-free and secure
environment to communicate with each. Hospytek aids in enhancing and managing medical device/equipment business
by identifying veritable need to fulfilling it through a suitable suppliers and much more, all under a single platform.
DrLive is a healthcare platform to implement telemedicine programs on mobile devices. The highly secure platform is
very easy to use and has proven its value in a variety of healthcare specialties and settings for patient follow ups, second
opinions, and primary healthcare. eKincare, a wellness platform, integrates medical records, healthcare services, and
leverages predictive analytics to design wellness initiatives and reduce healthcare costs. InnAccel has created India’s
first MedTech innovation platform, anchored by state-of-the-art R&D facilities and a network of national and global
partners, to drive such innovation, and transform healthcare globally. Medimojo is built with an interoperable platform
to aggregate healthcare data from disparate sources which helps turn health data into insights that patients and
healthcare professionals can use to make smarter and healthier decisions. PurpleDocs is an innovative cloud based
offering that makes it easy for healthcare providers to instantly access healthcare information anytime, anywhere.
Additionally, we have interviewed Mansije Mishra, MD at Indian Health Organization, one of India’s leading
healthcare benefits company enabling people to effectively manage their health while making quality healthcare
affordable and accessible.
Scripted by our in-house editors, we have also included some remarkable articles titled “Blockchain: A Cure for
Healthcare IT Problems” and “Hospital Wi-Fi: Making Healthcare Smarter”.
Also, to give meaningful insights and expand your knowledge base about the industry, we have included artcles written
by industry experts titled, “E-Healthcare: Harnessing the power of technology” by Satish Kannan, Co-founder of
DocsApp and “Digital Revolution Transforming Healthcare Industry” by Milind Pol, Sr. Vice President at Ohum
Healthcare Solutions.
So flip through our magazine and explore interesting insights into the world of e-healthcare!
The Flourishing Field of E-Healthcare
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10. ICT Health:
Reinventing Technology to
Bring Better
Quality and Convenience
to Healthcare
G
rowing economic pressure of the ever-increasing
healthcare costs and the suboptimal health outcomes
are driving the search for new approaches towards
health management. Innovation and new technology adoptions
are crucial for better and faster outcomes in healthcare. Today,
technology affects every single aspect of the modern society
and is creating a revolution in the way healthcare is being
delivered. From the widespread adoption of electronic medical
records, to advances in bio-medical engineering and
technology, modern healthcare and its delivery methods are
changing at an ever increasing rate.
Among these technologies, Electronic Health (e-health) is a
novel and proficient method for providing medical and
healthcare services to the society and developing relations
between specialists, patients and all the users of healthcare
ecosystem. Use of e-health becomes more essential in
developing countries where healthcare resources and medical

11. “Every solution
designed at ICT Health
is aimed at creating a
differentiating factor to
our customers in
terms of the quality of
service and engaged
patient experience”
Gautam Dey
MD & CEO
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12. services are not distributed well. Even if e-health would
bring these types of efficiencies to the healthcare system,
there are still challenges around investment and
implementation that needs to be addressed. Execution and
use of digital health services are questioned by many,
mainly due to the ambiguity in patient privacy and security
of data.
Today, patients demand a higher value of care and a better
quality of services. Healthcare providers are compelled to
contribute greater value towards the communities they
serve. Comprehending this requisite, ICT Health, a leading
integrated clinical-technology company, offers end-to-end
solutions for healthcare domain including Information
Systems related to Patient Administration, Electronic
Health Records, Healthcare ERP, Imaging Solutions,
Clinical Automation and Medical device technology, IT
Infrastructure and Managed Services, as well as outsourced
clinical services including Hospital Management and
Quality Accreditations.
ICT Health operates across the IMEA region and is looking
to empower care practices and operations with smarter
technology accelerators that directly result in improved
outcomes. More than a hundred healthcare providers have
harnessed ICT Health’s experience of nearly three decades,
and have availed services from their locally based
technology and consulting specialists.
Recognitions
Ÿ Recipient of Frost and Sullivan Award – UAE Healthcare
IT Company of the year 2017 Enabling Healthcare
Technology (South Asia & Middle East), 2013.
Ÿ Awarded ‘Arab Strategic Web Award’ in 2016 for
Ministry of Health, Sultanate of Oman by Pan Arab
Excellence.
Ÿ Recognized by Silicon India as the ‘Company of the
year’,2014
An Invigorating Frontrunner
A renowned “thought leader” in the domain of healthcare
informatics and clinical technologies, Gautam Dey is the
Managing Director and the Chief Executive Officer of
ICT Health. He is entrusted with the direct ownership of
conceptualization and implementation of strategic plans in
order to drive growth whilst simultaneously being
accountable for the profits within the company's operations.
With over 25 years of presence in the healthcare and
educational sphere, Gautam’s repertoire spreads across
We are here to
bring our
partners’ vision
into action
through best
practices
acquired from
over 100
healthcare
facilities

13. experiences in Clinical Technology, Business Strategy,
Profit Center Management, Quality & Performance, and
Merger & Acquisition. He is an honors graduate from
BITS-Pilani and holds a Strategic Management Diploma
from IIM-Ahmedabad.
Gautam is a regional leader and has a firm vision of
converging new age healthcare and advanced technologies
for the enhancement of end-to-end clinical services. He
advises upcoming entrepreneurs to focus on frugal
innovation. “No solution should ever be more expensive
than the problem,” states Gautam.
Widely travelled and an erudite orator, Gautam has the skill
to evaluate situations and environments, intuitively identify
areas of focus and drive teams and organizations towards
delivering results. Moreover, he is an astute speaker on the
subject of Healthcare and Technology and has evoked
excitement, interest and action across the IMEA and is
widely sought after for his sharp wit and imaginative
insights.
Proffering end-to-end Solutions
ICT Health is in the business of reinventing technology by
conferring the power to do more with less, thus enabling the
healthcare industry to extract more value out of the
available resources.
ICT Health’s HINAI platform provides comprehensive
functionality encompassing patient administration and
Electronic Health Records. HINAI is an enterprise-class
next-gen platform designed for the cloud. It incorporates all
the current interoperability, privacy and security guidelines
and is a world class systems integrator that provides a
holistic view over the continuum of care.
Although designed for the cloud, HINAI can be installed
on-premise, as an enterprise class Hospital Information
System with integrated ERP and Revenue Cycle
Management. Crafted using core java technologies and
accentuated by mainstream open source platforms, HINAI
helps hundreds of care providers routinely deliver safer,
high quality healthcare services enriched with differentiated
care experiences.
HINAI has been adapted to various functions across
healthcare industry.
Electronic Health Records: HINAI EHR’s single page
architecture brings together all aspects of care into a single
customizable window which helps improve patient care
through better clinical support, care coordination and
patient engagement.
Medical Image Management Solutions for Radiology:
HINAI ImageNET brings patients, providers and diagnostic
centers on a collaborative platform allowing access to
images anywhere and anytime ensuring quick turnaround,
thereby transforming care interventions and thus lowering
the cost.
Laboratory Information Systems: HINAI Lab automates
and streamlines the complete workflow and procedures and
updates them to the EMR. It provides delta checks and
automatic verification of test results based on predefined
limits. It can also be configured for telepathology
applications.
Patient Administration: HINAI PAS leverages the
mainstream CRM and ICT technologies to enable
organizations achieve a high level of patient satisfaction,
thus creating a sustainable competitive advantage. It
automates the patient administrative processes and
workflows to achieve optimal resource utilization and
higher efficiencies by eliminating redundancy and
duplication of work.
Hospital Information and Management Systems:
Through the HINAI Web platform, ICT Health provides a
comprehensive Health Information and Management
System which has been exclusively designed to manage the
business needs of modern healthcare enterprises.
Pharmacy: HINAI Medics address the complex needs of
the modern hospital pharmacy and enable users to achieve
the benefits of a fully integrated and automated workflow
including prescription, dispensing, review, and refilling,
along with the effective monitoring of drug therapy.
Revenue Cycle Management: HINAI RCM is a fully
integrated billing module that provides a complete end-to-
end revenue cycle management. From patient authorization
checking to managing claims, they offer a wealth of
technology tools that enhances the capability to access
medical billing and financial reporting to streamline the
entire operations.
EZR.care: EZR.care, an ICT Health’s initiative is a
common thread woven across the healthcare continuum to
improve scheduling, information exchange, appointment
C O V E R S T O R Y

14. show rates and increase overall efficiency by establishing
an optimal referral management platform which is essential
to patient safety and coordinated care. EZR.care helps care
providers to build a private health network that makes it
easier to access care, deliver care, earn from care & regulate
care.
ICT Health also provides some value added services like
mobile healthcare solution, social media solutions, systems
integration, managed services, and consulting.
HINAI at a Glance
Ÿ HINAI solution manages more than 6000 beds across
50+ facilities on a single instance.
Ÿ HINAI system facilitates more than 5 million patient
encounters annually.
Ÿ HINAI Web is certified as a Complete EHR as per ONC
2014 standards with a usability score of 8.5/10.
Ÿ Nearly 400,000,000 medical images are made available
for reporting on HINAI ImageNet.
“Inform, Collaborate and Transform”
Every solution designed at ICT Health is aimed at creating
a differentiating factor towards their customers/partners in
terms of the quality of service and the engaged patient
experience. It helps them build a sustainable competitive
advantage in the market by addressing the constantly
changing regulatory environment, growing patient needs,
increasing business complexity and evolving technologies.
Additionally, their clients are benefited immensely from the
granular visibility of their operations including revenue and
costing analysis. Moreover ICT Health also provides
increased patient convenience leading to higher levels of
patient engagement and also helps the hospital achieve and
maintain accreditations like NABH. In its very essence, ICT
Health looks at its clients like partners in the healthcare
ecosystem.
“We believe that benefits are not just realized by our clients,
we as a vendor organization also benefit from them in terms
of keeping the product and technologies current and up-to-
date,” says Gautam.
Turning Challenges into Opportunities
The biggest challenge ICT Health has faced as an e-health
solution provider is that the clients expected them to
provide a solution which had the next-gen technological
architecture but exactly mimic the exiting processes, which
in most cases was not in line with the patient's expectations.
ICT Health accredits its success primarily to their accurate
interpretation of the industry and technology trends. They
are pioneers in creating cloud native technology and today,
their customers are able to leverage cloud, social media and
analytics to achieve a very high level of operating efficiency
along with strong patient engagement.
Upcoming Endeavors
ICT Health is focused on leveraging digital health
communities to empower collaboration and e-commerce.
Their upcoming products are designed to take healthcare
beyond the hospital boundaries into home healthcare and
building the ecosystem of a digital health community.
Gautam strongly believes that blockchain will take over the
world of healthcare. They are already working on the next
generation of the platforms which incorporates blockchain
technology into the technology stack.
ICT Health has a strong academic partnership with top
colleges in India which allows them to receive suggestions
and ideas from a dynamic student community that are not
burdened by constraints and are more comfortable with
exploring the latest technologies like machine learning, IoT
and blockchain.
ICT Health is in the business of
reinventing technology by giving
you the power to do more with less
C O V E R S T O R Y

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17. Management BriefCompany Name
Curofy
www.curofy.com
Pawan Gupta
Nipun Goyal
Mudit Vijayvergiya,
Co-founders
Developed with an objective to bridge distance among doctors
and help them collaborate to solve the cases, Curofy offers
doctors a spam-free and secure environment to communicate
with each other.
Drlive
Private Ltd
www.drlive.in
Chethan
Channakeshava
Co-founder
DrLive is a healthcare platform to implement telemedicine
programs on mobile devices. The highly secure platform is very
easy to use and has proven its value in a variety of healthcare
specialties and settings for patient follow ups, second opinions
and primary healthcare.
eKincare
Pvt Ltd
www.ekincare.com
Kiran Kalakuntla
Founder & CEO
Hospytek
www.hospytek.com
Manan Mahajan
CEO
Hospytek is a solution that enhances and manages medical
device/equipment business by identifying veritable need to
fulfilling it through a suitable suppliers and much more, all
under a single platform.
1 mg
www.1mg.com
Prashant Tandon
Co-founder
1 mg is an e-commerce healthcare company that operates an
online marketplace for medicines and facilitates medical
appointments and diagnostic test bookings.
InnAccel
www.innaccel.com
Siraj Dhanani
Founder & CEO
InnAccel has created India’s first MedTech innovation
platform, anchored by state-of-the-art R&D facilities and a
network of national and global partners, to drive such
innovation, and transform healthcare globally.
Medimojo
www.medimojo.in
Shikha Suman
Founder & CEO
Medimojo is build with an interoperable platform to
aggregate healthcare data from disparate sources which helps
turn health data into insights that patients and healthcare
professionals can use to make smarter and healthier decisions.
Navia Life Care
www.navialifecare.com
Kunal Kishore Dhawan
Co-founder & CEO
Gaurav Gupta
Co-founder & COO
Shourjo Banerjee
Co-founder & CTO
PurpleDocs
www.purpledocs.com
Deepak Gupta
Founder & CEO
PurpleDocs is an innovative cloud based offering that makes it
easy for healthcare providers to instantly access healthcare
information anytime, anywhere.
eKincare is a wellness platform that integrates medical records,
healthcare services and leverages predictive analytics to design
wellness initiatives & reduce healthcare costs.
Navia Life Care is a health technology company
focusing on patient care and enabling users to manage
their health with simplicity.
ICT Health
www.icthealth.com
Gautam Dey
MD & CEO
ICT Health is a dynamic care delivery organization looking
to empower their care practices & operations with smarter
technology accelerators that directly enable improved
outcomes.
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18. Manasije Mishra
Managing Director
December 201716

19. Health sector are now actively
building upon their national
foundations for e-Health to
deliver public health and health
services in a more strategic and
integrated manner. e-Health can reduce
health inequalities and help to
modernize national health information
systems and services. It has become a
key asset for accessing health
information and services, as well as
improving how health information is
gathered, managed and used. The
prevalence of e-Health is growing in
India and many programmers are
maturing into established national
services, indicating Member States’
commitment to e-Health organization.
Keeping the inclusive advanced e-
Healthcare solution industry in the
mind, Indian Health Organisation
(IHO), a premier, innovative company,
delivers ‘vHealth by Aetna’, and an
end-to-end primary care service
towards their clients. Moreover, the
organization has introduced benefits of
telemedicine in the arena of e-
Healthcare sector.
In an interview with Insights Success,
Manasije Mishra, Managing
Director of the Indian Health
Organisation gave some insightful
answers highlighting the influence of
smart technologies which help
industries to invent diverse ways of
advance supports and solutions in the
field of e-Healthcare.
1) Kindly brief us about your
company and share what kind of e-
Healthcare Solutions and services
Indian Health Organization
provides?
Indian Health Organization is one of
India’s leading primary healthcare
companies. It is a 100% subsidiary of
Aetna, a Fortune 100 world leader in
providing healthcare benefits. Focused
on making quality healthcare
accessible in India, IHO offers
‘vHealth by Aetna’, and an end-to-end
primary care service. At its heart are
IHO's own doctors based in a state of
the art telemedicine center. They are
supported by 16,500 clinicians in its
medical partner network which
includes dentists, diagnostic centers,
specialist doctors, medical centers,
hospitals & pharmacies. With this
ecosystem, IHO organizes blood tests
and medicine delivery at patient's
residence and refer them to appropriate
specialists for consultation in their
vicinity at a discounted fee.
‘vHealth by Aetna’, in clinical
partnership with a Swiss market leader,
Medgate A.G, brings telemedicine
trained doctors close to masses without
compromising on quality. For any
health problem, be it a chronic disease
or ailment, vHealth’s in-house doctors
can be reached through a toll-free
number or through its newly launched
mobile app for voice and video
consultation.
1. Doctors, on an average, spend 20 to
30 minutes on each consultation to
understand the patients complete
medical, surgical & social history.
2. Use established clinical protocols for
probing patients with relevant
questions, ask them to perform
physical maneuvers or send
photographs to identify the root cause
of the medical problems.
3. Treat by sending a prescription, a
detailed care plan and conduct regular
follow-up to provide proper guidance
and ensure that the treatment helps the
patient.
4. Arrange home diagnostic tests,
medicine delivery, home care treatment
and specialist appointments at reputed
health centers with help from a
network of 16,500 health partners.
IHO has almost a million active
members.
2) Briefly tell us about the CEO/ of
the company.
Manasije Mishra is the Managing
Director of the Indian Health
Organisation, since 2015. In this role,
he is responsible for establishing IHO
as the preferred primary care provider
to millions. Since taking over the role,
Mishra has successfully transformed
Indian Health Organization (IHO) from
a startup to a rapidly growing,
customer-centric organization.
Indian Health Organisation:
Introducing the new
Advancement of Telemedicine in the
Arena of e-Healthcare
December 2017 17
Interview with Insights Success

20. Previously, Manasije was the Chief
Executive Officer of Max Bupa. Under
his leadership, Max Bupa witnessed
exceptional growth, making it the
fastest growing health insurer. Prior to
this, he had a two-decade career with
HSBC. He served as the Managing
Director of HSBC Invest Direct and
held senior positions in Strategy, Retail
Banking, Operations, E-commerce,
Trade Finance, Treasury and Financial
Control.
Manasije is an Associate of the
Chartered Institute of Bankers, UK. He
is an Economics graduate from Delhi
University and an MBA from XLRI,
Jamshedpur.
3) What are the challenges your
company has faced on the road to
success?
Our biggest challenge is to change
behavior. Consumers tend to ignore
symptoms initially and try to self-
medicate. After the things get serious,
they directly seek a specialist. Most of
us do not regularly consult a family or
primary care doctor. This behavior
leads to higher costs and poor health
outcomes. IHO is tackling this with the
launch of vHealth by Aetna. Today
40% of our patients are repeat
customers. Patients realise effective
consultations can happen over the
phone or video. The post-consultation
rating of our doctors is at 4.5 out of 5.
4) What are the benefits gained by
your clients while doing business
with you?
Our team of doctors completed over
15,000 consults since its launch in May
2017 and we are delighted with the
patient feedback. Our doctors at
vHealth were able to provide the
appropriate diagnosis and treatment for
70% of the patients without referring
them for physical interventions.
Several patients have commented that
we have been able to identify the root
cause of their long-standing medical
problems. Apart from managing acute
and chronic patients, we have helped to
diagnose cases of hemochromatosis
(iron overload), gastric cancer, triple
vessel disease, nephrology, Parkinson-
plus and more.
Patients were also delighted that they
were able to get the undivided attention
of the doctor for over 30 minutes and
with our hand-holding and follow-ups
consultation.
5) What would be your words of
advice for the upcoming
entrepreneurs?
Behind any innovative solution is a
consumer problem and a strong belief
that this can be solved. Being a
successful entrepreneur involves a
series of missteps and mistakes, in
seeking the right, commercially viable
solution. Don’t hesitate to experiment
and fail. Entrepreneurs, who disrupt
the market, are driven by passion and
self-belief. They will fail fast until they
hit on the solution.
6) Brief us about some of the highly
acclaimed and widely accepted
innovations of Indian Health
Organization?
66% of the medical expenses are
related to consultations, diagnostic
tests, medicines and other non-
hospitalization expenses. IHO
launched Classic Consultation
membership, designed to meet the day-
to-day outpatient medical expenses.
The membership is priced at Rs.5880
for one year for a family of four and
helps people save upto 50% on their
health expenses. Since its launch in
Oct 2016, IHO has enrolled over
1.5lakh members for this consultation.
The annual benefits of Classic
Consultation membership include
access to vHealth by Aetna, where
members get unlimited teleconsultation
for their family members. Members
can avail free specialist consultation at
top hospitals. The package also offers 2
FREE comprehensive health check-
ups, 2 FREE dental scaling and
cleaning sittings and discounts on other
day-to-day medical expenses like
diagnostic tests and medicine delivery.
This membership also helps its
customers benefit from Tax exemption
under section 80D.
7) Kindly share your views on the
current industry trends?
The neglect of primary care in India is
one of the reasons for the increasing
disease burden and medical costs. E-
healthcare has the potential to make
quality healthcare accessible and
improve the quality of primary health
care.
In the next few decades, the idea of
driving to a doctor’s clinic, waiting and
physically meeting the doctor will be
obsolete. Technology, including
smartphones, remote sensors,
connected devices, will provide access
to digital primary care services. While
technology can simplify access to the
primary healthcare system, a critical
component for success in India will be
the delivery of quality care. Clinical
expertise clubbed with digital
technology is the game changer.
8) What can we expect from Indian
Health Organization in the future?
We see a great future for the digital
healthcare ecosystem in India. During
2018 we expect many more families to
accept vHealth by Aetna as their first
port of call for any healthcare issue. By
2020, we aim to have 4 million
members.
Interview with Insights Success
18 December 2017

22. S
ocial media serves to connect
people with their loved ones and
at the same time keeps them
informed as well. However, current
social media platforms do not connect
specialists professionals such as
doctors to exhibit and benefit from
their expertise. Imagine the power of
social media being harnessed for the
greater knowledge and sharing
expertise which would help doctors to
cater their patients in an innovative and
revolutionary way. The makings of
such a great social media platform are
already here. An overwhelming 92% of
doctors believe that social media is a
great tool to communicate with friends
and colleagues.
Curofy is the largest community of
verified doctors in the country. It is
trying to build a community of doctors
to facilitate seamless communications.
This allows them to continue their
medical education by collaborating
with their peers and keeping
themselves updated with the latest and
best medical breakthroughs. Curofy
aims to solve the healthcare problems
by bringing the most important
stakeholders of the industry, i.e. the
doctors under single roof. On the
surface, Curofy is a social network. It
is a facebook-esque mobile application
with only doctors as the users. It is
trying to bridge the gaping doctor-
patient ratio by building the
community. This is a boon for not only
the industry but also patients all around
the country.
Provenance of Digital Healthcare
Possessors
With the aim to create a huge supply of
“digital doctors”, Co-founders Pawan
Gupta, Nipun Goyal, and Mudit
Vijayvergiya come from diverse
backgrounds. With an acute fascination
towards technology and machines,
Curofy:
Doctor's Appealing Platform
Collaborating and
communicating
doctors on one
platform and
help diagnose
faster and
better
‘‘
Nipun Goyal
Co-founder
Pawan Gupta
Co-founder
Mudit Vijayvergiya
Co-founder
‘‘
20 December 2017

23. Pawan did his B.Tech in Electrical
Engineering from IIT Delhi. He
worked with Deutsche Bank for 2
years in Mumbai and now leads the
Product and Technology teams at
Curofy. Nipun Goyal, a B.Tech from
IIT Delhi with major in Electrical
Engineering and minor in Business
Management has worked with
Rothschild India where he handled
mergers and acquisitions across
various business services industries
including IT, logistics, transportation
etc. He is passionate about making
digital health communication easier
and likes to interact with various
healthcare stakeholders. Mudit is a
dual degree graduate in chemical
engineering from IIT Delhi and Axtira
Inc. on health informatics and analytics
for an year before starting Curofy. He
has been an ardent speaker at various
leading summits. The major ones
include VC circle healthcare
investment summit-2015, annual
conference of family physicians 2015
and Indian Association of
Dermatologists, Venerologists and
Leprologists 2014. Born and brought
up in a family of doctors and an
engineer by himself, he could see the
inefficiencies that exist in the everyday
life of a doctor owing to absence of a
simplified technology product which
can help them in their professional and
academic life.
Coordinating and Connecting
Doctors
Curofy is a medical case discussion
platform for doctors. It is now the
largest social network of over 2,20,000
verified doctors in India. Doctors are
discussing patient cases with their
peers to provide extremely quick and
better diagnosis to their patients. The
platform is satisfying the hunger for
knowledge and results in better
outcomes of the doctors. With doctor
to patient ratio being 1:1700 being
extremely low in India, Curofy aims to
bridge this gap with the help of
technology. Curofy envisions that
giving doctors a platform to coordinate
and collaborate will help solve many
cases and save lives thus, making India
a safer place to live in.
The platform allows medical suppliers
notify relevant doctors about new
medical drug samples, device demos,
webinars, events, and surveys. The
company generates revenue through
medical suppliers by connecting
content-based leads to target doctors.
Curofy has received a pre-Series. A
round of funding led by US-based VC
firm RoundGlass Partners and other
angel investors.
To ensure the platform remains spam
free, the team makes sure that only
relevant content is pushed to doctors.
Less a social network, and more a
learning and collaboration platform,
helps physicians to stay ahead by
interacting with and learning from
experts and peers. With Curofy, doctors
can easily find other doctors, call them
with a single tap, and connect to
collaborate on patient cases.
Widely Accepted Innovations
Curofy has been recognized by Google
and is among few chosen startup for
their Google Launchpad initiative.
With daily interactions between
doctors (more than 250,000 cases
already), it has prepared disease trends
reports, social listening tools, various
statistics that can help the industry
make a more informed decision.
Curofy has won several accolades for
innovations including getting
international recognition VivaTech
Paris (“Next generation learning tools
for HCPs”) and Google LaunchPad
(San Fransisco), Medtech Investing
(London). It has also been featured as
one of the top 5 android apps for
doctors by TOI.
Working Towards a Bright Future
According to experts, in the healthcare
industry, which is projected to reach
$280 billion by 2020, the scope of
digital marketing is increasing
enormously. Amidst such projections,
doctor-centric healthcare platforms are
also riding the changing trends in
India. According to the platform, it
aims to keep improving its core
offering for doctors and help them in
all aspects of their practice, including
knowledge, reputation, finance, and
resources. Curofy plans to conquer the
Indian market first before going on to
other markets. It has already started
running pilots in Turkey, Saudi Arabia,
Lebanon, and Nigeria. It plans to have
1 million doctors on the app in the next
two years.
CUROFYDiagnose and cure faster
21December 2017

24. Blockchain is one of the most significant
technologies since the internet. Government and
states, locally and globally, have started to explore
the Blockchain technology for rationalizing back-office
paper trails and business operations. It has been at the
center of media attention largely due to Bitcoin, an
upcoming digital currency that uses blockchain technology.
Blockchain technology is particularly helpful to streamline
processes, minimize fraud, lower operational costs,
eliminate duplication of work and generate new ways to
integrate in a sharing-based economy.
Simply put, blockchain is a distributed, absolute ledger or
database that stores records known as blocks, which further
stores various kinds of information. These blocks, which
collectively form a “blockchain,” are stored on various
storage devices, which ensure that no single person or entity
can manipulate the ledger or database without everyone else
knowing.
While blockchain is being considered for many uses, its
potential to revolutionize healthcare is apparent. Having an
open blockchain for medical data can prove useful as most
healthcare data is now segregated amongst different
providers, who often use different database systems. These
systems often have crucial information which is scattered
and inaccessible. Such a scenario can prove to be dangerous
in an industry where even a few extra seconds or minutes
can make a difference. Blockchain systems built for
healthcare can make important healthcare-related data more
easily accessible leading to a better and faster treatment.
Upcoming Developments
A Cure for Healthcare IT Problems
l ckchain:l ckchain:
22 December 2017

25. Blockchain can link patients to their data, rather than to
their identity. According to a recent survey, the healthcare
industry is planning most aggressive deployments of
blockchain, with 35 percent of health and life sciences
planning to deploy it in the coming years. Furthermore,
blockchain verification can help increase the trust and
integrity in clinical research publication. The decentralized
ledger allows for a simpler, more efficient and cheaper way
to share peer-reviewed research and is highly applauded by
clinicians.
Let’s look at some of the ways in which blockchain is
transforming healthcare:
Drug and Organ Traceability
Currently, counterfeit drugs cost pharmaceutical companies
an estimated $200 billion in losses annually. Employing
blockchain will enable every transaction between drugs
manufactures, pharmacists, wholesalers, and patients to be
tracked to verify and secure drug product information
which is important for tackling issues like counterfeit drugs.
It also facilitates new drug development by making patient
results more widely accessible.
Moreover, it also provides a platform for tracking blood and
human organs. These products are critical to human health
and they often have a tight time expiry. Blockchain helps in
safely tracking it each step of the way.
Precision Medicine
The lack of interoperability among data systems in a
personal health network is impairment on patient care.
Blockchain-based systems could help drive unique
collaboration between participants and researchers to
promote innovation within medical research, predominantly
in the fields of precision or personalized medicine.
Patient Data Access
Informed patients know that data is critical in increasing
their care and safety. This safety is beyond the data hacks.
Blockchain provides ability for the healthcare providers to
have access to information that will help them better treat
the patient. There has been an inclination towards educating
patients to manage their health and embrace wellness and
prevention and that may also include the data that is
generated out of this practice. Precision medicine in clinical
trials presents another big opportunity for blockchain
innovations.
Medical Research
Centralizing the results of clinical trials and patient
outcomes for new treatment protocols can improve care and
patient outcomes. Scientists can quickly find and enroll
patients for their clinical studies and even complete their
entire research project using online datasets. Researchers
can cumulate research data across all the clinical trials a
person has completed to gain unique insight which was not
possible with a smaller dataset. Thus, blockchain could
provide the access to make medical innovations quicker.
Claims and Billing Management
Employing blockchain could reduce admin costs for billing
by eliminating the need for intermediaries with automated
23December 2017

26. activities and more efficient processing. This could help
minimize medical frauds which can cause more than $30
million losses in a year.
Contribution of Wearables
Wearables and internet of things devices can also be
integrated into the health IT ecosystem through blockchain.
Health wearables are currently storing critical information
for clinical research, outcomes of treatments, and disease
prevention and management. If validated, this data can be
secured, shared and verified on a blockchain and thus the
function of health wearable will take on a whole new role.
Electronic Health Records
Blockchain can help enhance three major features of the
EHR systems:
Immutability via File Integrity: Each event on the
blockchain has a unique combination corresponding to the
contents of a record. This means that the users can verify if
the status of the content of the records has been changed or
not.
Cybersecurity via Data Access Management: Each
combination may contain particular user permissions for
doctors, patients, nurses or any authorized users or devices.
Therefore, only authorized personnel may access record
information.
Interoperability via Collaborative Vision Control: Each
party has a record linked to the original record that is
registered to the blockchain. Thus, everyone who has the
appropriate role and responsibility can add information to
the record while avoiding issues such as inconsistent or
duplicate records.
Data Security
With the growth of connected devices and the Internet of
Medical Things (IoMT), existing health IT architecture is
struggling to keep systems secure. Blockchain technology
has the potential to be the infrastructure that is needed to
keep health data private and secure while reaping the
benefits of connected medical devices.
There are some incredibly exciting ways in which
blockchain can enhance healthcare operations, however,
more research, trials and experiments must be carried out to
ensure a secure and established system is implanted before
using blockchain technology on a large scale in healthcare.
Today, the healthcare industry is drowning in data- clinical
trials, patient medical records, complex billing, medical
research and more. Adoption and implementation of
blockchain will be an evolution over time as blockchain
applications are vetted and adopted as well as the industry
coming together to determine collaboration and governance
issues.
24 December 2017

28. C
urrently, the healthcare sector
is in a very good space in
terms of development,
specifically looking at digitization and
adoption of technology by patients and
providers alike. In today’s world of
growing and ageing population,
information and communication
technologies plays a crucial role in the
provision and delivery of healthcare. In
terms of patient care, e-health
technologies enable remote patient
monitoring, better dissemination of
information to patients, improved
access to health advice, access to
remote consultation and telemedicine
and quicker access to emergency
services. Healthcare providers are
eager to try out innovative tech-based
solutions to engage with their patients,
but at the same time there is a pressure
of pricing, competition and
differentiation. There are several
reports that showcase the growth of the
Indian healthcare market in the coming
years, and technology will be a key
component in realizing this potential.
E-health technologies also help to
deliver better training for healthcare
workers, thus improving disease
surveillance, data collection and the
management of patient records,
thereby increasing transparency and
accountability. Leveraging these
technological advancements, Navia
Life Care, a health technology
company, is building customized
solutions for patient engagement.
Navia Life Care works with medical
providers, including, but not limited to
doctors, clinics, hospitals, medical
centers, and even pharmaceutical
companies. Their focus is on
developing innovative solutions that
directly impact patient health outcomes
through the areas of patient
compliance, monitoring,
communication, and engagement.
Its solution suite consists of clinic
management systems, patient
engagement platforms, and provider-
and patient-facing mobile applications,
Navia Life Care
Leveraging Innovative Technologies to Build
Customized Solutions for Patient Engagement
We aim to
provide
simple tools
enabling better
management of
a person’s health
in the most
convenient way
‘‘
Kunal Kishore Dhawan
Co-founder & CEO
Gaurav Gupta
Co-founder & COO
Shourjo Banerjee
Co-founder & CTO
‘‘
26 December 2017

29. all targeted to improve the relationship
between patient and provider.
The Pillars of Navia Life Care
Kunal Kishore Dhawan, Gaurav
Gupta and Shourjo Banerjee are the
Founders of Navia Life Care.
Together they initiated the company
with an aim to improve the lives of
people through innovative products
and services.
Kunal holds a Graduation and Post-
Graduation in the fields of Life
Sciences and Business Management
from University of Delhi and Carnegie
Mellon University, respectively. He has
worked in the healthcare and life
sciences industry for the last 8 years.
Gaurav is a MBA from Indian School
of Business and a Biotech Engineer
from NSIT, Delhi. He has an extensive
experience in running clean-tech,
chemical and social impact businesses,
and specializes in Strategy, Business
Development and Marketing.
Shourjo is a Computer Science
Engineer from University of
Wisconsin-Madison, USA, after which
he gained experience in Software
engineering at Freescale
Semiconductors. He is passionate
about technology and even has a patent
on network architecture to his name.
Collectively they intend to provide
simple tools enabling better
management of a person’s health in the
most convenient way.
A Rousing Expedition
“The biggest challenge that any startup
faces is to generate revenue, i.e. the
ability to attract paying customers. As
a new company, credibility is often
lacking, so most companies resort to
giving their service or product for free,
which anchors the customer further,”
shares Kunal.
Additionally, finding and retaining
good talent was also a huge challenge
Navia Life Care faced. Fortunately,
most of their core team was stuck with
them for over a year, and helped them
build the complete product, but
attracting them to the company and
further incentivizing them to stay, was
a mammoth task. Every startup, if done
properly, struggles with finances. And
as a Founder, Kunal had to put in his
personal savings and run the business
until an external financer pitched in.
While working with medical providers,
Navia Life Care understood the key
problems faced by them in their
functioning, and attempted to solve
them using technology. Their key focus
areas are improvement in health
outcomes, increasing patient
compliance, enable monitoring, and
management of patient health records
amongst others. By implementing their
solutions, medical providers can gain
patient loyalty, improve brand
recognition, enhance quality of care
and all in all, add to their revenues.
“Entrepreneurship is a hard journey,
sometimes lonely, and full of ups and
downs,” says Kunal. Thus, he advises
the aspiring entrepreneurs to be
prepared for such circumstances. If
they are in it for the labels or think of it
as a “get-rich-quick” scheme, then they
are in for a rude shock. Grit,
perseverance, and determination, along
with the willingness to accept mistakes
and be adaptable are the key lessons to
be learnt.
Distinctive Offerings
Navia Life Care prides itself for
working towards solving the problems
that are faced by patients and providers
alike, through innovative use of
technology. They have a product suite,
with different offerings for different
kinds of clients.
For doctors and clinics, they have two
offerings; Navia Ace and Navia Ace
Plus. Navia Ace is an end-to-end clinic
management and patient engagement
software that connects to a patient-
facing mobile application. Some of the
key USPs of this includes a fully-
integrated web-based CMS, a timeline
feature that helps doctors to visualize
and gauge the patient’s progress,
linkage to patient compliance trends,
analytics and much more. More
importantly, it is the most affordable
CMS currently in the market. In Navia
Ace Plus, providers also receive a
white-labeled app for their practice
which they can give to their patients
and have a direct touch point with
them at all times. Their offering for
hospitals is Navia Pro, a highly
customizable and flexible patient
engagement platform, which is white-
labeled, and tailor-made to fit the needs
of the provider.
Upcoming Ventures
Navia Life Care is continuously
working on improving their offerings
for both patients and providers. Some
of their interesting upcoming projects
include specialty-driven product
platforms, A.I. powered analytics and
recommendation engine for doctors
and hospitals, smart prescriptions and
much more.
27December 2017

30. Computer Technology
Transforming Healthcare
With more than 10 years of
cumulative experience in surgical
navigation system R&D, clinical
and marketing & sales, Arpit
Paliwal is the challenge loving
Founder of HRS Navigation,
who has done executive program
in sales & marketing from IIM
Calcutta. He was managing the
navigation business for all India
as part of the Stryker (Fortune
500), where they were already
developing the navigation system
back in 2007. It was during his
tenure that he came across
various hospitals for computer
assisted surgeries & realized the
need for simple, affordable
navigation solution. Arpit has also
been awarded with the Annual
Product Performance Award for
navigation and for bringing
around the navigation business in
India.
About the Author
28 December 2017
Arpit Paliwal
Founder
HRS Navigation

31. omputer Assisted Surgery aims to improve
Cpatient care by the utilization of computer based
technologies during the procedure; to amplify the
benefits; to encourage interdisciplinary collaboration
between engineers and physicians in developing new
concepts and applications. The scope of Computer
Assisted Surgery encompasses all major fields within
surgery, as well as biomedical imaging and instrumentation,
and digital technology employed as a supplement to
imaging in diagnosis, therapeutics, and surgery.
Surgical Precision
Surgery is a distressing experience at best. Medical robotics
and CAS (Computer Assisted Surgery) helps alleviate the
problem. They have been used in a wide variety of fields
from head and neck to urologic surgery. They provide
greater reach and flexibility, smaller incisions made with
more precision which is enough to access the targeted
anatomy. This results in more accurate pre-operative
planning, reduction of operating time, avoiding damage to
healthy tissues, exact alignment of surgical instruments
with anatomy and faster patient recovery. It’s an established
fact about the benefit of these technologies & ever
increasing uses support the fact.
Revolution
In recent years there has been a definite shift to the use of
minimally-invasive techniques, performed by steering
surgical tools through small incisions in the patient’s skin in
order to minimize blood loss and soft tissue damage, and
consequently, reduce postoperative pain and recovery time.
There are CAS technologies which work on CT/MRI
images of patient to guide in real time. These are used
mostly in Brain, ENT & Spine surgeries. Some CAS
technologies which uses ultrasound are being used in soft
tissue biopsies for liver, lungs & breasts. Also there are
technologies which are image-less. These are used in Knee,
Hip implants surgeries.
These technologies made the complex surgeries safer & less
pain full. Now for e.g. in brain surgeries surgeons can plan
the surgery on computer generated 3D model of the patient
by marking areas of interest & danger areas. During surgery
system then guides the surgeon to reach area of interest &
alerting the surgeon if he is operating near any danger
region. It gives confidence to the surgeon on more
aggressive on the tumor & still gentle to any critical part of
the brain following the shortest and safest path. Medical
robots are also getting developed to perform various part of
brain surgery to take the brain surgery to next dimension.
Similarly in the spine surgery the misplacement of spine
screw is quite common. Misplaced screw can cause
permanent damage to nervous system. With the help of
CAS rate of misplacement has been significantly reduced
make it safer for the patients. Various standard reviews have
bespoken the superiority of CAS technique compared to
others for pedicle screw placement. Accuracy rates of
around 95% are commonly reported with CAS which is
quite high when compared to free-hand techniques. Also it
helps to reduce the harmful X-ray radiation dosage for
operating team and the patient.
Robotic surgeries are growing at very rapid rate. Robots are
performing surgeries which require dexterity which can't be
achieved by human hand. They have tiny wristed
instruments which can bend and rotate more than the
human hands providing greater reach through smaller
incision.
Augment Reality
The recent emerging role and integration of virtual reality
(VR) and augmented reality (AR) in healthcare is
transforming this data rich field and justify consideration
for future applications to enhance the surgical experience.
For e.g. a new technology which augments X-ray vision on
the real patient anatomy to help surgeon plan and execute
the operation effectively. It’s like a superman viewing
through the skin of patient.
Growing Market
The world-wide robotic surgery & CAS market is expected
to reach USD 20.8 billion by 2024 as per a market research,
report. The ubiquity of chronic disorders around the globe
is on a rise. These diseases hence need surgery for the
treatment solution. CAS & Robotic surgeries for these cases
provides minimally invasive approach, fewer
complications, faster recovery, lower pain and blood loss,
thereby propelling the demand over the forecast period.
Computer assisted technologies are rising & becoming
standard of care. Lot of innovations are happening. Future
looks promising once these technologies reaches to masses
& make everyone benefitted from them.
Insider’s Opinion
29December 2017

32. Tech Evolution
30 December 2017

33. involves a professional hearing and
analyzing the motor speech changes
associated with neurological disorders
processes for clinical assessment,
judgments, and decisions regarding
the functional change. There is a need
for a fully automated assessment
system that can organize, process,
collect, and analyze speech from
individuals with concussions and
deliver meaningful insights about the
effects on speech production.
Once an audio recording has been
processed, the next step is to extract
various acoustic features that will
form the basis of the health
diagnostics tool. Speech can be
characterized by a variety of different
features and these features can be
determined for various linguistic
elements such as phonemes, vowels,
words, or even entire sentences.
Time measurements such as average
and standard deviation of the duration
of a linguistic entity, duration of
pauses, etc., can be measured. To
measures how quickly an individual
can accurately produce a series of
rapid, alternating sounds assessment,
tool like Diadochokinetic rate comes
in action. It is an assessment tool for
assessing oral motor skills.
If the individual is experiencing
speech or language problems, speech-
language pathologists may measure
DDK rate by asking to repeat certain
sounds during a timed test. The results
can help the pathologists to evaluate
the severity of speech or language
problems, diagnose the underlying
cause, and prescribe apt treatment.
Efficiency and Accuracy
The examination of the motor speech
system can provide information about
can help analyze the mental and
physical well-being of the person.
This tool has tremendous potential to
turnaround diagnostic-procedures in
terms of speed, accuracy and cost-
effectiveness. Moreover, the voice-
based diagnosis does not expose
patients to radiations and therefore are
safe in all other perspectives.
Self-diagnosis is an app away
The emergence of vocal-test
applications on smartphones or other
voice-enabled devices as a low-cost
screening option helps to identify
people with heart diseases and other
disorders. These user-friendly
applications will enhance the
possibility of self-diagnosis and help
patients and their kin to know
potential health risks in advance.
To understand the dimensions of
emotions in human communications,
i.e., people’s moods, attitudes, and
emotional characteristics – also
known as personalities this technology
allows devices and applications to
understand not just what we type,
click, say, or touch, but what we mean
and how we feel.
Speech as a Biomarker
A neurological disorder leaves a
fingerprint in voice and speech
production. Speech signal analysis can
deliver clinical information that can be
used to foresee certain diseases,
provide information about the
neurological position of specific
diseases, and assess to disease
progression or the effectiveness of
treatment regimens. The most
common method to assess the motor
speech characteristics associated with
neurological disease diagnosis is the
auditory perceptual method. This
n the individuals with the major
Idepressive disorder, a
neurophysiological change that
emphasizes the actions, feelings, and
thoughts associated with bodily events
such as the firing of nerve cells in the
brain or the release of hormones often
alter motor control. Thus, this affects
the mechanisms of controlling speech
production and facial expression.
These fluctuations are related to
psychomotor retardation, a condition
marked by slowed neuromotor output
that is behaviorally manifested as
altered coordination and timing across
multiple motor-based properties.
Vocal-biomarkers is a technique that
enables machines to understand
human emotions by analyzing,
recording and detecting raw voice
intonations as people speak.
Biomarkers in the voice of a person
have been linked to disorders such as
depression, coronary artery disease,
and anxiety.
By decoding the human vocal
intonations into their underlying
emotions in real-time, this technology
enables the applications and solutions,
voice-powered devices to interact at
the emotional level, just as humans
do. This platform is designed to
generate unprecedented persistent and
passive health awareness to enable
and enhance holistic patient
management. It measures the features
of speech but does not require the
contents of the speech, therefore
protecting privacy.
Vocal biomarkers are tools that use
voice-input to give a clear insight into
a person’s health conditions. It allows
non-invasive, effective and fast
diagnosis unlike blood tests, MRI/CT-
scans, to detect serious conditions.
Various aspects of a person’s voice
31December 2017

34. the integrity of the neurological system. The more complex the words; higher is the likelihood of errors and
variations in speaking of those words. At the same time, the selected words and phrases while speaking have been
chosen, because they require the involvement of different parts of the mouth, tongue, and soft palate in the back of
the throat as they contain two or more different syllables.
The accuracy of speech analysis (recognition, word onset detection, vocal feature extraction, etc.) degrades severely
when speech is recorded in adverse acoustical environments. While building a speech-based diagnostic tool, the
basic concern is the inability to extract the desired vocal features, significant errors in the vocal features, and
inaccuracies in the detection of the boundaries of words and phonemes.
Many other types of data such as, speech collection, processing, and analysis pose various unique challenges that
require careful design choices and evaluations to ensure that data collection will provide recordings of the highest
quality possible. While speech has received an increasing amount of attention analyzes, remain to be done to
validate its potential as biomarker and assessment tool. The focus in prior work has been on demonstrating the
relationships between neurodevelopmental and neurodegenerative conditions and various vocal features.
32 December 2017

36. Digital Revolution
Transforming
Healthcare Industry
Milind Pol is the Sr. Vice
President of Ohum Healthcare
Solutions Pvt. Ltd., a clinical
transformation company o ering
world class products and processes
to improve patient safety, clinical
outcomes, and lower costs. As a B-
Tech from IIT Bombay, Milind is
an e ective analyst, problem solver
and communicator.
About the Author
Milind Pol
Sr. Vice President
Ohum Healthcare
Solutions Pvt. Ltd.
Impact and Importance
34 December 2017

37. While the world is talking
about technology
enhancements and AI and
mission to Mars, healthcare sector is
evolving rapidly to redefine itself. Very
soon the changes will dwarf the other
sectors in terms of impact and
importance to human history. This
article talks about digital revolution
that will transform the healthcare
landscape globally.
Prescriptive and reactive care to
Predictive and proactive care
Traditionally, medicine in healthcare
has been mostly treatment based for an
ailment. External factors like bacteria
or virus impact health of an individual
and medicine is expected to help
human body fight these external
enemies. Medicine of today starts
when a patient, who is unwell,
approaches a clinical expert to help
fight against his health problems.
This is very counterintuitive in cases of
cancer, diabetes, hypertension etc.,
which do not have any known external
influencers. Research on genomics
shows potential relation
between structure of genes, and
physical & emotional health of an
individual. Patients have started
worrying about why and how they
have been victims of a particular health
issue. Especially with respect to
lifestyle diseases, they demand cause
and effect to be mapped in a scientific
manner at least going back to their
genome sequence.
Major trend setting forces here are Big
Data and AI. With end-to-end EMR
and genomic data of millions of
patients available like never before,
technology can start clustering and
categorizing populations based on
genomic sequences, habits like
smoking, family history, and much
more. This then can be linked to early
warning signs and symptoms, reactions
to specific treatment protocols, health
outcomes and most importantly, risk of
getting into a specific health condition
like Cancer or Diabetes.
Predictive sciences take it one step
forward with deep learning algorithms
that not only predict “what” but also
predict “when”. Today, these
innovative technologies are being
deployed on a pilot basis and very soon
we will see these getting into the
mainstream.
As per a research study, age adjusted
admission rates for all-cause
hospitalisation were 631.3 and 454.8
per 1,000 participant years and the
mean length of stay was 8.2 and 7.1
days respectively for participants with
and without diabetes. When we are
able to have effective predictive and
preventive methods, can we focus on
these high risk patients?
The paradigm changes here from
treating a patient (when he presents
himself with a complaint) to helping a
global citizen live a healthy life by not
being a patient. In tomorrow’s world,
no global citizen is going to experience
the typical symptoms. Even before
those symptoms come to the surface,
the risk will be mitigated. This is just
like destroying a plot of terrorist
attack!
Episodic Cost management to
Reduce number of incidents to
manage costs
The biggest challenge for any public or
private healthcare organisation is
reducing costs of healthcare and
making it more and more affordable.
35December 2017

38. While the machinery
is working on
reducing cost of
generic medications,
we really want
adequate money to
be spent and
intelligent minds to
be working on best
of innovations in health and be able to
compensate them for their best of
efforts. Now this gets you into catch 22
with debate on how much profit you
really want them to be able to make.
I strongly believe that the above
argument is coming to an end. The way
Moors law worked on hardware, in
healthcare the targeted therapies and
predictive and proactive approaches
are going to reduce the number of
incidents by more than 80%. This huge
reduction will make way for money to
be spent in the most critical areas of
healthcare.
In the US, CMS has already started
working on outreach programs to
reduce hospitalization of comorbid
patients. Programs like these are
getting acceptance in developed
countries through effective control on
payer side. Today, a lot of health
insurance providers are giving special
discounts on gym membership and
other preventive health measures.
While the number of incidents is
getting reduced, Big Data is going to
play a huge role to take NNT (Number
Needed to Treat) to a perfect score of
1. This will eliminate discussion on
side effects of the treatment.
Registries for reporting to making
use of registries for effective
management of conditions
In the past, a lot of data was being
captured by various government and
other organizations to understand
criticality and severity of a particular
disease. While it helped us to target
treatments like Polio in the past,
technology has now already started
moving to the next logical step.
You don’t need connected hospital
systems anymore to be able to identify
outbreaks. Google has proven it in the
last few outbreaks already, by
providing just the search terms in
search engine to predict with high
accuracy for effective management of
those outbreaks.
Can we take disease registries to the
next level to add not only clinically
relevant data but also twitter tweets,
facebook updates and whatsapp private
chats, etc.? Can we profile registries by
genomic markers?
Can we make all the
registries open to
researchers to be able
to do meaningful
research? Can the
exceptional cases with
positive outcomes
across the globe be
analyzed to get
effective treatment protocols which are
evidence based, not in a clinical trial,
but in real life cases.
Large Health facilities to Home
based tele-health
Health systems evolved with necessity
of creating best infrastructure to get
best diagnostic services, and then best
of healthcare. Currently, the large
facilities can afford best of technology
with accurate monitoring capabilities
and speedy treatment.
Very soon the wearable technology is
going to be ubiquitous and highly
accurate with support from required
deep learning algorithm. This, linked
with efficient response system from
health worker on tele-health platform,
will take away need for patients to
present themselves in hospitals. Robots
are already making their way in tele-
health.
This single change is not only going to
improve efficiency of the whole
healthcare delivery system but will
also be highly beneficial to the patient
community.
36 December 2017

40. HOSPITAL
Making
Healthcare
Smarter
Wi-Fi is the foundation for digital transformation
in the healthcare industry. The Wi-Fi based
healthcare service sector is predicted to reach a
whopping $33.6 billion by 2020 globally. Healthcare
industry has changed significantly in accordance with the
technological advancements, including its relationship with
Wi-Fi. The demand for Wi-Fi technology is rapidly
increasing as doctors, nurses and other medical
professionals increasingly use Wi-Fi-enabled devices,
ranging from smartphones to patient monitors, in their daily
responsibilities. Wi-Fi access helps medical professionals to
access real-time information and patient records.
Following are some of the ways in which Wi-Fi is
transforming healthcare:
Efficient Workflow
Nearly all healthcare professionals are required to be highly
mobile. In a wireless environment, staff is no longer
restricted by the wired workstations and can freely move
from place to place and task to task without interruptions.
This enables them to monitor patient vital signs through the
use of mobile devices that are connected to the hospital
network. Incorporating such practices simplifies the internal
exchange of data and the recording of health-related patient
data.
Data Transmission
Wi-Fi enables transfer of data from and to anywhere in the
hospital and that too at a lightning fast speed. Doctors
benefit immensely from this as they can access patient
information faster and can relay an appropriate cure
immediately. Wi-Fi can also be used to deliver highly
targeted and patient-specific information such as
vaccination reminders, repeat prescription information,
follow-up appointment dates and special offers to the
patients.
Furthermore, Electronic Health Records (EHRs) digitally
stores all health-related data and can be shared by the
doctors across diverse locations like patient rooms,
treatments room and even in the operating theatre. The
same is true for mobilization of diagnostic equipment. The
static devices can be integrated into the hospital network
via Wi-Fi to make them mobile and thus reduce the need to
purchase multiple devices.
Feedback on Services
In healthcare sector, where everything is driven by targets
and patient satisfaction, it is important to receive
meaningful feedback. Useful feedback ensures that all the
medical center staff is aware of patient views and can
continue to deliver the best service possible. A healthcare
center might get feedback information on how easy it was
to book an appointment, what patients think of the care they
received, and whether they needed a repeat appointment.
Healthcare centers can ask for feedback on services via
their Wi-Fi service whilst the patient is waiting for their
appointment.
Remote Consultations
Appointments between doctors and patients with non-
emergency conditions can be carried out using video
conferencing software. Wi-Fi allows medical professionals
in possession of a mobile device to meet their appointment
schedule even when they are not physically present on-site.
The benefits of this are wide ranging, from saving valuable
practice budget to boosting patient satisfaction.
38 December 2017

41. Medical Advances
Wi-Fi is not just useful for the patients. It is also being used
for monitoring oxygen devices, smart beds, access to
electronic medical records, and real-time access to X-rays
and MRI scans. Such connectivity provides the users with
anytime-anywhere access and allows clinicians to provide
accurate and timely patient monitoring and focus on the
best quality of patient care rather than just administrative
tasks.
Guest Wi-Fi
Enabling guest Wi-Fi for patients and visitors will mean
that outpatient wait times can be put to good use, and
inpatients can stay connected to friends and family more
easily. Healthcare organizations can also update caretakers
with the latest information directly to their connected
mobile devices, as well as enable services such as self-
check in, all of which can help to streamline workflows
while improving patient experience.
Smart Resource Allocation
Healthcare professionals, while trying to make the patient
experience as smooth as possible remains conscious of the
expenses involved in allocating resources. It is of course
important to bear the expenses in mind and ensure that
services are implemented and used in an effective manner.
In this regard, Wi-Fi technology can be used to track
wheelchairs, allowing staff to locate them easily and
reducing instances of equipment going missing. Presence
analytics can also identify which rooms are being used the
most, so the hospital can adjust accordingly.
The possibilities are endless and the future for healthcare
providers is a plethora of opportunity for enhanced
communication from the provision of Wi-Fi.
Tech-n-Trends
39December 2017

44. E-Healthcare:
Harnessing the
Power of
Technology
If there’s one thing we can all agree on,
it's that technology has made a huge
impact, bringing along with it a plethora
of opportunities to explore and take
advantage of. It is impressive to see how the
youth of this country have adapted to
technology in their day-to-day lives. Such
has been the advent of technology that
we’ve got the older generations trying
their hand at it too.
I think one of our biggest advantages is
that India is a very young country, filled
Satish Kannan is the Co-founder of DocsApp, a
mobile platform where people can consult
specialist MD Doctors within 30 minutes
through chat or call from the location of
their convenience. Satish always had an
inclination towards healthcare solutions.
He believes that taking the time to plan
the assignment is crucial for the
company’s success. Being in the
healthcare industry for many years,
he has learned its various functions
at various levels which include
hospitals and hospital management.
He has also extensively worked on
importing new equipment from
markets around the globe.
About Author
Satish Kannan
Co-founder
DocsApp
42 December 2017

45. with smart minds and enthusiastic
individuals who are always striving to
make the best of everything given to
them. Or “Hustling” as we like to call
it. In the past few years, due to the
enthusiasm that technology has
inspired, we have seen huge behavioral
changes in the way we access multiple
services. Earlier we used to stand in
long queues to pay electricity bills,
take time out to walk to the store to
shop for necessities, book cabs a day in
advance, run to the bank for
transactions, and stand in queues to
book train tickets. Today, it is a
common practice to recharge phones,
pay for utilities, order clothes online,
make transfers, and all of this using
just a smartphone device. 10 years ago
if someone would have told, you
would a get a cab in 2 minutes by just a
few clicks on your phone, it would
have been hard to believe. Today, it is
an accepted reality; such is the power
of technology and this said technology
is penetrating into all domains
including healthcare. Healthcare is an
important domain in which technology
is crucial to meet the rising health
needs of the country.
Anecdotal reports suggest that a
whopping 700 million people have no
access to specialist doctors in India,
80% of the population live in rural
areas of the country and have minimal
or no access at all to primary
healthcare. The most shocking fact of
the matter is that 90% of specialist
doctors practice in the top cities of the
country, whereas 90% of the demand is
from people residing in places outside
tier 1 and tier 2 cities. There is huge
mismatch in patient demand and
supply of doctors.
Even though central and state
governments have initiated various
universal healthcare programs,
successful implementation of such
schemes is still a distant dream.
Government hospitals offer treatments,
but the poor infrastructure and the lack
of skilled staff makes it difficult for
people to avail these services. A lot
more needs to be done and that is
where technology can help. Moreover,
at the pace at which the country’s
population is growing, we would need
twice the number of doctors that we
have already in order to meet the WHO
standard. Startups like DocsApp, are
working hard towards making high
quality healthcare accessible to the
masses.
Today, we are a tech savvy generation;
we like to be served quickly, we cannot
even wait to think, we just Google it!
From going to our mom’s kitchen for a
home remedy when we were down
with the flu, we’ve evolved to
searching for online solutions.
According to statistics, 5% of the
Google search keywords are related to
health and medical conditions. There
has been a paradigm shift, people are
comfortable with talking to doctors
online, and it is more convenient for
the people to seek virtual help for all
health issues and ailments. The
younger generations in 20-40 age
brackets are looking online for doctor
consultations, medicine delivery and
getting labs test done at home and the
like.
The future hospitals as I see will be 70
% online and 30% offline. People
would get their OPD (Outpatient
Department) consultations done easily
over the mobile and consult the doctor
via video chat. At junctures where a
physical examination is mandatory by
the doctor, they would visit the hospital
after which they would further follow-
up with the doctor online. Primarily,
procedures and surgeries would
continue to happen at the offline
hospitals. What we see at DocsApp
today is that we provide specialist
doctor consultation for more than 1500
patients a day, which is higher than any
other offline hospital. This is an
indicator of the world that we are
going to see where patients will
primarily access doctor online and
meet physically only when absolutely
necessary.
For countries like the US and China,
healthcare is primarily driven by
Insurance companies and the State. On
the contrary, in India people have the
liberty to choose their preferred
medical care because a majority of the
population, 85% approximately, pay
for their medical consultations right
out of their own pockets. That being
said, new and innovative ideas will be
welcomed as it serves a dual purpose;
infrastructure costs of offline medical
care will be brought down drastically
which will make doctors will also be
able to serve patients beyond any
geographical limits and consultations
will be cost effective.
In the future, geographical constraints
will be a thing of the past. As the
access to high-speed internet is
increasing, video consultation is
becoming seamless and convenient.
We wouldn’t be surprised if VR
consultations would become a real
thing in the years to come.
The changing behavior of the young
populace combined with the strong
need for innovative solutions is how
we can solve the mammoth healthcare
issues in the country. Online healthcare
solutions will be the only and preferred
option in the days to come. The
internet has democratized multiple
industries like travel, music, retail etc.
The impact in healthcare domain is
truly waiting to unfold in the next 10
years. Better IOT devices for vitals
tracking, cloud software, AI helping
doctors in diagnosis, are all happening
as we speak. DocsApp and other
online health solutions are rightly
positioned to transform the future of
the Indian healthcare system.
Expert’s Insight
43December 2017