TeleMed 2.0 ‘ Next Generation Telemedicine’

1. TeleMed 2.0‘Next Generation Telemedicine’ By, Sridharan Mani CEO, AMI India

2. Prayer Gnanananda Mayam DevamNirmala Spatika KruthimAadharam Sarva VidyanamHayagrivam Upasmahe I promise myself before the Lord, who is the personification of knowledge and Happiness, who is very pure, and who is the basis of all learning Saraswathi Namasthubyam,Varadey Kaamarupinee!VidhyarambhamKarishyami,Sidhirbhavathumeysada Oh  Goddess, Saraswathi, my humble salutations to you, who are the fulfiller of all my wishes. I start my studies with the request that thou will bestow Thy blessings on me

3. Healthcare in India – Hard facts Out of this 830 million, 66% of them do not have access to critical medicine It is estimated that close to 830 million people (69% of Indian Population) live in 640,867 villages across India Around 25 million living in rural India are affected by Diabetes Around 83 million living in rural India are affected by Hypertension Close to 31% of rural Indians have to travel more than 30kms to seek basic health care About 30% rural Indians never visit hospitals because of high medical expenses Source: Tenet - IIT; The Hindu, Ministry of Healthcare India

4. Market Opportunity“Rural healthcare India has a significant growth potential, as market still remains untapped.” • Recently, National Rural Health Mission (NHRM) has been allocated close to 20,822 Crore (USD 4.14 billion) in 2012-13 for rural healthcare initiatives. • The Indian rural healthcare is expected to expand at a pace of 44% by 2015, totaling its worth to USD 8.8 billion. • The CAGR of medical tourists to India is over 19% and it is estimated that around 1.3 million medical tourists will reach India by 2013. India’s medical tourism is in the growth path and India’s share in the global medical tourism industry will reach around 3 per cent by the end of 2013. • The current geriatric services market in India is about USD 250 million, but is expected to grow to USD 1 billion by 2012 and USD 2 billion by 2017. The Indian home-healthcare market stands at USD 1.5 billion. • Being the home for 17.5% of world population with world-class doctors and state-of-the-art medical facilities, India can provide the best in class health care across the globe. IS INDIA READY TO LEAD THE HEALTHCARE ACROSS THE GLOBE? Source: Express Healthcare, "Booming Medical Tourism in India" by RNCOS

5. Limiting Factors that keep Patients away from Quality Healthcare • Urban vs. Rural divide • Access to resources, infrastructure and medical facilities • With the shortage of specialists and physicians, it is impossible for them to keep travelling long distances for attending cases. • Loss of income from being away from place of work. This keeps the rural Indians away from seeking medical facilities for chronic diseases that can be cured by periodic check-up • Lack of specialist-care for Geriatrics due to inability to travel from home • The personal care and constant medical attention given to medical tourists while they were in India is missed when the medical tourists leave the country after treatment. • Medical tourists need to real on the local physicians for postoperative care and periodic check-ups after discharge. Medical tourists would prefer to continue the relationship with the doctor that provided the medical attention for the same and is not possible now. We can’t go far with conventional brick-and-mortal hospitals and Telemedicine is the way forward - Prof. K. Ganapathy, President, Apollo Telemedicine Networking Foundation

6. Why Telemedicine? • Even though India has world-class physicians and state-of-the-art facilities, the ability to reach the patients requiring care is limited to the walk-insto hospitals or nursing homes. • With the shortage of specialists and physicians, it is impossible for them to keep travelling long distances for attending cases. • Telemedicine brings remote patients needing care closer to physicians. “Estimates suggest that the telemedicine market is at least for 800 million Indians. Even if half of these 800 million need to consult a specialist once a year, [that still amounts to] 400 million specialist consultations per year. Even if 10% of these are enabled through telemedicine we are talking about 40 million consultations per year from rural India alone…. The market potential for telemedicine is obviously enormous.” -Prof K. Ganapathy Source: Indian Knowledge @ Wharton: Can Telemedicine Alleviate India's Health Care Problems?

7. Telemedicine– Current Status • Limited to Video Conferencing facilities linking patients with specialists • Required dedicated infrastructure, high capital requirements and computer savvy talent pool to access sophisticated systems • Not providing better time management for specialists. In some cases, the specialists are required to wait on call for all day long to handle a few patient cases. • Requires specialist/physician to be in the conferencing location for the day to handle patient calls and it makes them immobile. • Is only an extended communication system and doesn’t meet requirements to address the challenges.

8. TeleMed 2.0 • Remote Patient Care and Intelligent Monitoring System • From Wired to Wireless • From Fixed Infrastructure to Mobile • Cost-effective, Simple to Use • Accessible, Anywhere, Anytime 24 x 7 – Cuts across the boundaries of Geographical Limitation. Here is how it works…

9. TeleMed2.0 Preview

10. Indian Healthcare – The Way Forward‘Telemed 2.0’

11. TeleMed 2.0 - Summary • Your Virtual Clinic – Extending your presence to reach the far • Existing Infrastructural investments put to better use • Providing quality patient care to the needy • Levering on new generation technologies to enhance the existing setup • Mobile Phones  HIS. • Cost-effective, Simple to Use. • Accessible, Anywhere, Anytime 24 x 7 – Cuts across the boundaries of Geographical Limitation.

12. Health is Wealth Let us put the health into safer hands for treatment

13. Thank You Kindly visit us at the AMI booth to see this technology in action.