Beruflich Dokumente
Kultur Dokumente
Business Idea in BOP Healthcare Industry,
India
IGNITE, Ashwamedh
IIM Indore
Submitted by
Ankita Chaturvedi
B08009@astra.xlri.ac.in
XLRI Jamshedpur
2009
Statement of Identifying the Environment Business
Purpose Target Segment Analysis Proposition
Implementation Strategy Conclusion
Objectives
¾ To provide quality and accessible healthcare at affordable cost
¾To integrate health insurance services with curative care support
¾To increase the awareness level of the community on health issues and services
VISION
To deploy measures that expand availability of sustainable,
affordable,
ff d bl timely
i l accessible
ibl and
d profitable
fi bl health
h l h services
i and
d
products to support the poor.
MISSION
To upgrade, develop and expand alternative medical care set
p serving
ups g the p
poor to support
pp p
public system
y by
ypproviding
g
financial and technological solutions.
Financial Solutions :
Sustainability
Target Segment
NGOs
SHG
Social Set ups/ Social entrepreneurs in healthcare
Mobile Services – e.g. Healthcare vans etc
G
Government hospitals/
h i l / programmes
Technological Solutions
Private healthcare set ups
: Timely care through
timely Information
CREATING VALUE : Sustainability
Two crucial issues:
India has a lot of a. Sustain – Profitable :
independent set for the set ups
ups working
towards providing
d idi People have a stake
People have a stake
through SHGs, mutual
healthcare
responsibility, Scale and
services to the risk sharing
poor in forms of
p
local NGOs, govt. b. Tried & Trusted path
sponsored SHG & microfinancing
community : for the poor
programs or
programs or
otherwise, social Programmes &
ventures, private Initiatives on line of
set ups. Most of Micro health insurance/
them are micro finance. Harness
essentially SHG benefit.
dependent on
Fund raising
Fund raising. DEPLOY FINANCIAL
DEPLOY FINANCIAL
SOLUTIONS
CREATING VALUE : Fill the Gap
Government Free/ Subsidized/ Other
Government Free/ Subsidized/ Other
Two crucial issues:
medical Care ‐ Gaps in the value chain
RIGHT
Service Gap
‐ Poor Quality , under staffed, high INFORMATION
workloads leading to burnout that expresses
a. Faster Healthcare
it lf i
itself in rude behavior, Long queues for
d b h i L f
At Reduce the time to
Reduce the time to
patients as everyone travels down to center
medical response to
Resource Gap
‐ human resource crunch, lack of information THE RIGHT patients
, Shortage of supplies at medical care center,
timely delivery does not happen,
l d l d h Drug and
d TIME
medicine expense high for poor,
b. Information Therapy
Operational Gap To/for Design and create
‐For the poor patients, taking day off effective healthcare
travelling to medical centers results in huge
lost income leading to postponing of this THE RIGHT information avenues
information avenues
need to visit by the poor
PERSON to promote health
‐ Human resource crunch at these centers
results in poor quality service and improper
awareness and for
care training purposes
‐ Also burnout of the medical staff
Also burnout of the medical staff
Inadequate, delayed medical attention 2.5
Sales
results in simple medical problems
becoming minor illnesses and then major 38.8
diseases
58.7
DEPLOY TECHNICAL
DEPLOY TECHNICAL
SOLUTIONS
Primary Care Secondary & Tertiary Care Others
Health Care for the Bottom of the pyramid
Addressing Value Capabilities
Linking Strategy to value in the Healthcare value Chain
NEED OF High Quality Patient Care at
THE HOUR Optimal Economic Cost
Venture in
Healthcare that Bi –
Bi Busines
Enablin
makes medical Directi s
g Collabo Alignm
care onal Process
Techno ration ent
Visibilit Innovat
logies
ACCESSIBLE y i
ion
AFFORDABLE
Demand Driven Value Network Strategy
Supporting the Need with demand driven capabilities, consciously
Supporting the Need with demand driven capabilities consciously
& executing value – based tradeoffs
PROFITABLE Outside in Focus coupled with Inside‐Out Excellence
To the Poor
Health Care for the Bottom of the pyramid
THE NETWORK : Develop a formal alliance
Business Proposition
Develop a network of SHGs and local NGOs, pvt. hospitals in a district and create People owned health intervention to serve the
objectives listed earlier.
objectives listed earlier.
will be a registered legal entity comprising of a representative from each of the member
entities.
Will constitute three operational units:
Central level multi specialty hospital ( well equipped, established in a major
town)
g / g
Technological/Mobile solutions to cover remotest village in the district Feeder Units : Screen Patients provide primary care
Feeder Units : Screen Patients, provide primary care
services, refer for further diagnosis, treatment to central
Permanent outreach setup in each block with qualified and well trained staff hospital unit, after‐care and counseling services to treated
patients
Formal Alliance : To refer patients to pvt. Hospitals in case of tertiary and speciallity care needs
Affordability : 30‐35% less charges than missionary hospitals , sustainable due to Pool sharing and economies of scale
Cashless and reimbursement services under Micro health insurance/financing programs
Profitability & Sustainability are met by going the tried and tested route of Microfinance, Pool Sharing, and Economies of Scale
Business
Demand Driven Enabling
Bi‐Directional Collaboration Process Alignment
value network Technologies
Innovation
Health Care for the Bottom of the pyramid
Right Information at the Right Time…
Technical Solution
Technical Solution
Central Set up a PC/Laptop running a special software, a
free open source software program that enables Rural Sector, spread over larger
Clinic two way text messaging using a computer, GSM
modem and cell phones
areas. Travelling is difficult.
Some patients remain
untreated for long
t t df l :
:
Workers are trained in sending text messages to
hospital staff to request drug dosing information or
treatment instruction or provide status updates on 9Setting up of this
particular patients. Modified camera phones can communication system
be used to analyze blood samples or critical
be used to analyze blood samples or critical
Medical
d l diagnostics for HIV obviates the time crunch
Workers and provides timely
information reinforcing
timely and correct
timely and correct
Community Health Workers travel among clinics
and villages. They record patient interactions and
medical care.
bring these to central clinic for further instruction
9Emergencies are
Villages/Rural Poor segments better handled.
Business
Demand Driven Enabling
Bi‐Directional Collaboration Process Alignment
value network Technologies
Innovation
Health Care for the Bottom of the pyramid
Right Information at the Right Time…
Technical Solution
Technical Solution
INFORMATION THERAPY
BARRIERS HIDDEN RESOURCES
The fact that literacy skills are limited The numbers are huge, and women , children and the elders who
stay at home will have plenty of time
Time is at a premium for most of the men Even though they may be illiterate, they are street‐smart
Right Information at the right time to the right person can be powerful medicine.
The key is to develop materials that are right for them and right information is the
information they will want to watch and learn from
e.g. GRAPHIC INTENSIVE MATERIALS
Business
Demand Driven Enabling
Bi‐Directional Collaboration Process Alignment
value network Technologies
Innovation
Health Care for the Bottom of the pyramid
CONCLUSION
¾ The intervention envisages diversification of SHG based microfinance services
The intervention envisages diversification of SHG based microfinance services
through integrating health intermediation and social security.
¾ In addition to enhancing the effectiveness of health intervention, this design
will ensure sustainability of microfinance operations.
¾ It will be a way forward initiative through exhibiting a sustainable community
healthcare initiative to the development sector
healthcare initiative to the development sector
¾ Providing a package of preventive, promotive, and curative healthcare services
along with proper monitoring system will enhance the viability of health
insurance
The initiative will demonstrate that people owned, controlled and managed health
p p , g
and social security interventions can be run effectively and scaled up.