How to become a better health care manager

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How to become a better health care manager

• Dr Aniruddha Malpani, MD
• Medical Director
• HELP
• www.healthlibrary.com

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Its hard being a student of healthcare
management !

• Need to understand management principles
• Need to understand healthcare delivery complex
  !
• Deal with teachers and professors

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Its hard being a student of healthcare
management !

• Pass examinations
• Deal with doctors and hospitals . These can be
  scary places how do you manage ?
• Need to get a job !
• Keep your parents happy
• Compete with your peers
• Have a life !

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Its hard being a teacher for healthcare managers
!

• How do we teach students
• Ethics ?
• Legal principles ?
• Advances in medical technology ?
• Managerial principles ?
• CRM, ERP, IT ?

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Its hard being a teacher for healthcare managers
!

• How do we make sure the curriculum is uptodate ?
• What standards should we follow ?
• How do we give them real-life experience ?

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Its hard being a teacher for healthcare managers
!

• How do we grade them ?
• How can we ensure placements for
• them ?
• How do we know we are doing a good job ?

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Difficult Challenges !Huge opportunities !

• Healthcare managers can change Indian society
• You can make a difference!

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• Where do we start ?
• How do we teach the next generation of healthcare
  managers ?

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A different viewpoint !

• You cannot teach anyone anything !
• You can only help them to learn

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Job of a good teacher

• Empower students to learn for themselves
• Give real-life opportunities to do so
• Let them make mistakes in a controlled
  environment
• See one, do one, teach one

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• Let students learn from each other !
• The web allows them to do this.
• Online learning communities where they can share
  knowledge
• Allow students to design their own teaching. Can
  get useful feedback from fresh grads !

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The web !

• Web 2.0 technology allows this to happen with
  ease
• Wikis and blogs
• Online textbooks
• Online courses
• E-learning !

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Open source

• Everyone can contribute !
• Free
• Not to compete but to co-operate
• Everyone wins !
• Huge opportunities we have lots of talents and
  brains lets make use of this.
• Good teachers learn from students

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India specific !

• We need to learn from Indian success stories
• Aravind Eye Care SOPs and systems
• We do not need to ape the West or try to borrow
  their standards recipe for disaster and failure

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My advise for students

• Learn to be an entrepreneur
• These are real-life skills which will help you
  for the rest of your life
• Dont only think of your next job plan a career
  and a life !
• You are your own brand You, Inc

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• Think out of the box and apply what you learn
  to managing your own career !
• If you do what everyone else does, youll be
  another cog in the wheel !
• Whats your USP ? Differentiate !
• For example, start a blog. This is your digital
  reputation !

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• You have certain skills the older generation does
  not have. Capitalise on this !
• Dont expect to be spoonfed need to learn how
  to learn for yourself
• You are a lifelong learner !

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What does a healthcare manager do ?

• Manage what ?
• Money ?
• People ?
• Resources ?
• Equipment ?

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What does a healthcare manager do ?

• Help people to get better healthcare
• Help people to remain well

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How to become a better healthcare manager

• Become a patient !
• This will help you see things from the patients
  point of view

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Todays Health Care System
Media
Self-Care
Physician
Information Overload
Health Insurance
The Patient
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Doctor versus Patient

• Patients are unhappy with doctors
• Make them wait
• Do not explain
• Doctors are unhappy with patients
• Underpaid
• Stressed and burntout

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What is a healthcare manager to do ?

• You need to keep your doctors happy
• You need to keep your patients happy

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Doctor and Patient

• We are all on the same side the patients
• Medicine is a service profession
• Doctors like helping patients
• Want them to get better
• How can we create a win-win situation ?

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We will always have a shortage

• Shortage of doctors
• Shortage of nurses
• Shortage of money
• Shortage of equipment
• Shortage of resources

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This is the challenge

• Too many patients
• Not enough doctors/nurses/equipment/
• hospital beds/money !
• This is seen to be the problem.
• We are a poor country

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This is the opportunity !
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• Patients are not the problem they are the
  solution !
• Patients are the largest untapped healthcare
  resource !

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Today

• Patients make medical decisions all the time !
• Can I manage this headache at home ?
• Should I smoke ? Cheat on my diet ?
• Go to the gym ? Join a yoga class ?
• When should I go to a doctor ? Which doctor
  should I go to ?
• Should I take out an insurance policy ?

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• Often they make poor decisions
• This hurts everyone !
• How can we help them make better decisions about
  their health ?

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Information Therapy !

• Information Therapy is Powerful Medicine !
• Help patients to make better health decisions
• Patients are the largest untapped healthcare
  resource !
• Empower them with information so they can take
  better care of themselves , in partnership with
  their doctor.

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Dont underestimate a patients abilities !

• 1. Patients are smart . With the right tools,
  they can make the right decisions !
• 2. Knowledge is Power !
• 3. The doctor is a partner
• You cannot afford to leave everything upto God
  or upto the doctor !

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Information Therapy helps patients save money on
medical care

• 1. Promote SelfCare . Help you to do as much for
  yourself as you can, so you are not completely
  dependent on the doctor

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Information Therapy helps patients save money on
medical care

• 2. Provide Evidence-Based Guidelines , so you can
  ask for the right medical treatment that they
  need - no more and no less

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Information Therapy helps patients save money on
medical care

• 3. Help you with Veto Power, so you can say No to
  medical care you dont need, thus preventing
  overtesting and unnecessary surgery .

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My personal experience

• I learn a lot from my patients !
• If you treat patients with respect, they will
  respect you in return
• Patients get the doctors they deserve and
  doctors get the patients they deserve
• Well-informed patients are easier to treat,
  because they have realistic expectations

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Our focus areas now are

• Encouraging health insurance companies to invest
  in patient education
• Makes business sense !

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Our focus areas now are

• Encouraging corporate to invest in patient
  education
• Makes business sense !
• Reduces medical absenteeism and sick leave

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National Network

• Every hospital should have a Patient Education
  Resource Center
• Win-win situation
• Great tool to empower patients
• Helps doctors and hospitals too !

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Patient Information Center

• Core collection of books
• DVDs
• PC with internet connection and printer
• Staff member
• Corner centers need just about 100 sq ft
• Costs only Rs 2 lakhs per year !

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Online Information Therapy

• Free
• 24/7
• Easily accessible
• Increased internet penetration
• Answer questions free by email !

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How do we provide the right information to the
right patient ?

• Free floating information ( google) is useless
• Information Therapy needs to be prescribed to
  them, tailored to their needs, based on their
  medical problems
• How can we do this ?
• Personal Health Record

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PHR Personal Health Record

• For the Tax Department, you are your tax return
• For the Bank, you are your bank statement
• For the healthcare system, you are your medical
  record .

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PHR

• Patients store their medical records on their
  personal website.

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PHR organised medical information improved
medical care

• Keeping this record will help them to get better
  medical care.
• Patients need to manage their own health record.
• Doing so will teach them a lot about their health

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How patients can improve the healthcare system

• Patients can add a lot of value to the healthcare
  system using Patient to Patient ( P2P)
  networking.
• Social networking an online community , in
  which patients share information
• Wisdom of the crowds
• Expert patients can act as mentors and email
  buddies.

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How patients can improve the healthcare system

• Grading system for doctors and hospitals
• Get feedback from patients
• Help doctors and hospitals ( and healthcare
  managers) to improve their services

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Todays Health Care System
Media
Self-Care
Physician
Information Overload
Health Insurance
The Patient
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The Patient as Integrator
Care
Information Feedback
The Empowered Patient with the help of
Information Therapy
Choice