INTEGRATED LEARNING PROGRAMME ASSIGNMENT ON Dr Devi Prasad Shetty (Narayana Hrudayalaya)

SUBMITTED BY: NIPUN THAPLIYAL PG20121486

INTRODUCTION :
Some people are sent into this world to take away the amount of tremendous pain from the people who are suffering. Such people are called the messiahas. Dr. Devi Prasad Shetty is one of those people who whenever they think, they think of others. On finishing his training in heart surgery from Guys hospital in London, Devi moved to Bangalore and worked at B.M Birla hospital. He then started with the Manipal heart foundation at Manipal Hospital. He is the first heart surgeon in India to enter into neo-natal open-heart surgery, the first doctor in the world to perform open-heart surgery to close a hole in the heart and the first user of an artificial heart in India. In 2001, He started with Narayana Hrudayalaya being the biggest telemedicine centre in the world, established in some 19 countries. He also founded Nerayanma Nethralaya health city which was the centre for neurosciences, a children hospital and cancer research centre. He founded Rabindranath Tagore International Institute of Cardiac Sciences in Kolkata. He later signed an MOU with Karnataka Government for building a hospital with 5000 beds in a budget of 1000 crores, close to the airport. Till date Shetty has performed approximately 15,000 heart operations and has saved thousands of lives. His hospitals make use of economies of scale and perform heart surgeries for one tenth a cost of what it takes in United States. He also came up with this insurance scheme called Yashasvini which is the cheapest health insurance scheme in the world and presently covers 4 million people in Karnataka.

MISSION OF DR DEVI PRASAD SHETTY Dr. Shetty and his team have a mission to make healthcare affordable to the masses living in third world countries. He along with his team pioneered the unique concept of a Health City, a 2000 -5000 bed conglomeration of multiple super specialty hospitals in a single campus. The economies of scale achieved through the health cities have enabled the Group to provide affordable healthcare to thousands. He was also involved in coining the term Micro Health Insuranceand spearheaded the launch of Yeshaswini, a health insurance for the farmers of Karnataka in association with the State Government which has revolutionised health insurance in the state. The Narayana Hrudayalaya Group, in association with ISRO, manages the worlds largest telemedicine programme and has treated over 53,000 heart patients. His activities are profiled in several international publications like Fortune, Business Week, and the Wall Street Journal which referred to him as the Henry Ford of cardiac surgery in a cover page article. He was a recipient of the Padma Shri in 2003, Ernst & Young Entrepreneur of the Year in 2003, Dr. B.C. Roy award in 2004 and Social Entrepreneur - World Economic Forum in 2005.

CHALLENGES HE FACED AND HOW DID HE OVERCOME :

The greatest challenge is that dr shetty and his team needed two million beds. There isnt that kind of a capital investment available in our country. There is a clear disparity in the expectations of the government. On one hand, the Indian government wants the cost of healthcare to go down, and on the other hand, they look at the healthcare industry to generate additional revenue for the government. IT helped to overcome this challenged face by dr shetty and his team , IT helps in reducing the costs of various operations in every service industry. Take a look at the number of financial transactions happening at NASDAQwithin a few minutes, billions of dollars exchange hands. The cost of transaction is virtually nothing. Another good example is supermarkets. Goods are bought, sold and maintained in huge numbers, and still there is hardly any transaction cost. This is possible only because entire services are run on efficient IT platforms.All over the world, in healthcare, penetration of IT is extremely poor. I am not talking about using IT as a glorified typewriter for producing discharge/admission summary, data collection, and claim processes but patient care.Firstly, at Narayana Hrudayalaya,dr shetty wanted to create a robust IT platform to control the finance department and quality of services. Post that, he wanted to get into patient care and outcome.Dr shetty and his team were perhaps one of the few hospitals in the world where a balance sheet is created on a daily basis. A sophisticated ERP system on a cloud solution houses all the financial details about all the group hospitals.
After being a part of Guys Hospital in London for 5 years, Dr Shetty could have opted the easier way out and stayed there and worked as a doctor. But his vision was always clear; he had gone to London to learn and did not intend to settle there. Once he had acquired the desired training he got his foot in the Indian healthcare industry with the motive to set up a hospital that would include cardiac specialty. He worked in Kolkata for a few years and then decided to come to Bengaluru and set up Narayana Hrudayalaya. Th ere were a few hurdles that came his way in terms of finance, but with the support of his family who invested in hospital and the power of his dream the hospital was functional in 2001. Since then there has been no turning back for Dr Shetty.

SHOWCASE OF LEADERSHIP QUALITY BY DR DEVI PRASAD SHETTY :

In this tough and fast paced healthcare industry Dr Shetty has conquered all hearts with his humble and down to earth nature. He is fond of art & painting and has won a brown belt in Budukon Martial Arts. He reveals his passion for surgery as he finds it an art too. A few decades back only a few professions were considered respectable, doctor being one of them. Many aspired to become doctors and it was the best way to earn respect and many did so to fulfill the wish of their parents. Dr Shetty chooses to become a heart surgeon as he felt he was drawn towards it. When he was in class 5 Christiaan Bernard (a famous cardiac surgeon from South Africa) conducted the very first heart transplant in Cape Town and his teacher came and announced it in the class. This was when he decided to become a heart surgeon as he was extremely drawn towards it. His decision to become a heart surgeon was taken even before he decided to become a doctor, says Dr Shetty. Adding to this he says, his father was a diabetic patient and had multiple episodes of diabetic coma. At the time when his parents were not keeping well and were facing medical illnesses, the role and importance of a doctor came to him as a heroic one, this further reemphasised his dream and gave him the drive to pursue his dream with more compassion, he adds. He nurtured his dream from the time he was a child and grew up adding more colours to them. He went to Kasturba Medical College, Mangalore (1982) to attain training in general surgery. He further went and attended the basic training in Cardiac Surgery at the West Midlands Cardiothoracic Rotation programme after which he was appointed at the Guys Hospital, London, in the Cardiothoracic Unit and stayed there from 1983 to 1989. It was in 1989 that he decided to come back to India and actually bring his dream to life. His dream was always to provide healthcare to the needy and ensure that no patient is turned away because they cannot afford to pay for it. Keeping this goal in his vision he set up a 140-bed hospital Research Institute in Calcutta and began his journey as a doctor in India.

Our country requires 25 lakh heart surgeries in a year, all the heart surgeons put together perform only 80,000 surgeries and the rest perish gradually with time. Dr shetty set up this hospital with the basic business principle, that of economy of scale. We conduct more than 30 heart surgeries a day, which is much more than the number of heart surgeries put together in Malaysia and Singapore. About 10 per cent of the heart surgeries in India today are performed by us. The motive was to conduct as many surgeries as possible and never turn any patient back, which by the grace of god we have managed to do, expresses Dr Shetty.

Today, the facility in Bengaluru includes hospitals specialising in cardiology, cancer, multi-specialty hospital, and eye. In Kolkata he runs a cardiac, trauma, kidney and an eye hospital and plans to set up similar heath cities in Jaipur, Ahmedabad and Bhubaneswar. He has also coined the term Micro Health Insurance, which offers low heath insurance to the milk vendors of Karnataka. When asked what got his interest in this area Dr Shetty says, Poor people in isolation are very weak but together are strong. He was approached by the Karnataka Milk Federation one day to endorse low fat milk as good for the heart. He said he would do it provided they launch a health insurance for all the milk vendors and they agreed. So dr shetty and his team started with 1.7 million farmers and now they have 4 million farmers under this insurance. The quality that makes Dr Shetty stand out is the way he keeps upgrading himself as well as his hospital and sincerely tries to provide healthcare to the remote areas of India . He religiously practices telemedicine and has treated over 53,000 heart patients in remote locations using with the help of telemedicine.