ReMeDi - Enabling Access to Rural Healthcare
Bangalore, India
Organization type:
for profit
Growth
Budget:
$500,000 - $1 million
Example: Walk us through a specific example(s) of how this solution makes a difference; include its primary activities.
There are presently three models that ReMeDi™ is deployed on, and all have been identified as replicable and scalable:
• NGO centric
• Healthcare Outreach centric
• Government centric
In all models, existing infrastructure and local capacity are leveraged to ensure long term sustainability. ReMeDi™ integrates end-to-end healthcare delivery processes.
NGO model – a social franchising structure which is made operational by harnessing efficiency of the private sector, economy of scale to drive down costs, and linkages with the public sector. Telemedicine serves as a value-added service to providers (rural tele-clinics, diagnostic labs & peri-urban clinics) who subscribe to the system. Central Medical Facility (CMF) employs doctors for consultations.
Healthcare Outreach model – includes a few factors of the NGO model with a hub and spoke architecture: paramedics providing services in villages are connected to a CMF. A small fee charged to the patients generates sufficient revenue for operational profitability.
Government model – the ReMeDi™ platform makes the existing system efficient.
Last year alone, there have been more than 85,000 paid rural tele-consultations. 75% of the patients visiting telemedicine centers avoided further travel. Patients exhibit high level of confidence with 40% patients being repeat visitors for different episode of illness. The access to quality healthcare is much nearer and quicker for a villager.
CHMI report has identified telemedicine as one of the five innovative approaches to watch-out for, highlighting WHP-Neurosynaptic model.
Marketplace: Who else is addressing the problem outlined here? How does the proposed project differ from these approaches?
Rural Healthcare is an estimated USD 30 Bn market in India. However, it is difficult to access, due to lack of established delivery channels. Several approaches have been taken towards addressing this market:
•Semi-urban Hospital chains, e.g. Glocal, Vaatsalya: hospitals for primary & secondary care. Use of HMIS, and a few mobile solutions.
•Social Franchising, e.g. Janani: link private sector resources and public sector infrastructure for efficient program delivery.
•Earlier Telemedicine attempts, eg. VRCs: Expensive infrastructure, rely on high skill-set, absence of viable business model.
•Vertical based Initiatives, e.g. cardiology, eye-care services: technology based, some sustainability.
•WHP and e-Healthpoint Services: use ICT for tele-consultations, operate with different population aggregation, operators, models
•Medical helpline, e.g. 104
•Mobile based information collection & diagnostics initiatives elsewhere in the world, e.g. Dimagi
In telemedicine, there are a few Medical Devices, Software as well as Healthcare Service Providers as players. Neurosynaptic differentiates itself as the largest channel & an end-to-end platform provider, seamlessly integrating components of healthcare delivery at the ground level, with a reach in rural areas. It takes a collaborative approach and operates through Integration, Distribution and Implementation partners. It presently has a revenue model of sale and support of hardware and software, and customization services
Comments
Sameer Sawarkar has recently been elected as "Ashoka Fellow" by the Ashoka Foundation as a recognition for the work in the area of telemedicine for primary healthcare. Congratulations for this recognition!!! - Neurosynaptic Team
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Finalists of India Social Entrepreneur of the Year (SEOY) Award 2012 just announced. Neurosynaptic is one of the three finalists!!!
http://www.indiainfoline.com/Markets/News/Finalists-of-India-Social-Entr...
http://www.moneycontrol.com/news/special-videos/neurosynaptic-communicat...
Thank you for your participation in AFI Growth Prize Competition. We have a key question for you: what is the systems-changing innovation the differentiates your service from other similar services?
Please post your response as comment here, before Dec 15, 2012 to be considered for final evaluation.
Excuse us for being verbose, but it is important to set a little bit of context.
With the rural telemedicine network spanning over 4.5 Crore population in the villages over 20 districts through more than 650 e-healthcare centers, Neurosynaptic’s ReMeDi today is the largest rural e-healthcare platform in India. Neurosynaptic is also possibly the only company that has shown sustainability and profitability while exclusively working for rural e-healthcare segment. This growth has been consistent year-on-year for the past five years. It is a result of consolidation and absorption of learnings from a lot of failures prior to 2008.
Lack of access to rural health & healthcare is a well recognized problem in India, and all attempts to carry doctors to villages have yielded very little results. While it is quite clear that technology with local capacity building is the way ahead, very little is understood on the ground level channels to deliver the required services.
Neurosynaptic, at its inception in 2002, had a very naïve (as realized today) view about addressing this huge untapped market, representing a large need of 70% of the population. We assumed that creating devices, software and technology would address it. Accordingly, technology was developed with existing infrastructure, skillsets into considerations, as well as with inputs from the medical community. We created the best of the technology that works on 32 Kbps with audio, video and medical data transfer in real time (and also store-and-forward), and a medical device that works on just 2 watts of power, and could set-up a tele-consultation just about anywhere with any kind of connectivity.
However, as we went in the field with this technology, we realized that not only the technology, but the whole ecosystem required for healthcare delivery is missing! There is a need to re-create the ecosystem. This is when Neurosynaptic went ahead to explore various components of the ecosystem between 2005 to 2007, with various partners, channels, economic, training & awareness, service delivery, charging structures, geographic variations in the needs and solutions, infrastructures, components of ecosystem, etc. The ReMeDi technology, also, during this period, went through quite a few alterations, and became capable of bringing together medicines, diagnostics, doctors, village centers, specialists, as well as various ground level delivery processes. In fact, we refer to Technology here as defined by Prof. Clayton Christiansen of Harvard Business School as “a set of processes which transforms labor, capital, materials and information into products and services of higher value”.
The largest initiative today with our strong involvement, began in 2008 with World Health Partners, systematically scaled from 5 centers in 2008, to 30 in 2009, to 128 in 2010 and over e-healthcare 510 centers today in the most backward states of Uttar Pradesh and Bihar. This covers over 4.5 Crore rural population through 5,750 trained village health workers today. It is expected to scale to 28 districts with in the next year.
The service delivery model here has a horizontal approach rather than vertical program based approach, thus covering wide range of primary ailments, leverages financial resources from all three: public sector, private sector and grants. It also leverages the existing public infrastructure in terms of linking up to the Government network for communicable diseases program as well as engages the large fragmented private sector resources (entrepreneurs), who invest and earn or enhance their incomes out of providing the e-healthcare services. In the last two years the ReMeDi platform has provided more than 200,000 consultations. Patients are charged fees close to a dollar for the services obtained in a transparent manner (thereby saving 6-7 dollars of spend), with the Internet Technology component providing strong checks and balances in the system. The ReMeDi platform today provides the most robust, scalable and proven solution in both the client-server and cloud based models.
We also worked with the Government in deploying telemedicine at 50 PHCs in a district and linking up to the rural and district hospitals as well as tertiary care centers. We also work with Hospitals in a rural outreach clinics model.
We see a visible increase in the interests from the private sector players, and additional enablers like RSBY, and National Health Mission are slowly and steadily creating the financing and delivery mechanisms on the ground. We expect to cover a large footprint in India through the ReMeDi solution and various partnerships.
We have been recognized as Technology Pioneers in 2008 by the World Economic Forum, for our path-breaking approach, Global Indus Technovators in 2006 by IBC at MIT Boston and have been the runners up at the Social Entrepreneurs of the Year 2012 Award by Schwab Foundation, and a few other important recognitions, for our contribution in this field.
Neurosynaptic’s business model involves closely engaging with the healthcare service delivery partners and modeling the ground level delivery process in the Technology Platform, and making access possible through these channels. We are self-sustainable since last five years.
With this context, the most important innovation Neurosynaptic brings forth, and which differentiates it from similar other initiatives, is the end-to-end linking of various ecosystem components, capturing of processes and entities through its ReMeDi solution, which makes actual affordable service delivery possible on the ground.
Having said that, we are happy to note that there are now several upcoming initiatives for the rural e-healthcare segment. It would also be important at this stage of this nascent and growing segment, to consider commonalities amongst various initiatives like Neurosynaptics’ on the ground, to evolve basic guidelines / accreditations and systematic inclusive policy approaches, so that the 70% of the population gets maximum benefit towards the access of healthcare.
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Your statement of 70% people live in village and 74% doctors live in urban, after reading this i laughed for 15 minutes. i live in a town due to power cuts i purchased invert-er. I understood that you need power to charge your invert-er. In rural villages now every week city doctors visit is there. We need to solve the basic needs to implement this.What i feel is your total invention invented by our elders in terms of R M P doctors.This is my opinion only . Indians are touch and feel type people. I feel your idea will take lot of time for us to adopt. As i know villages people are not poor now. We all are doing the same mistakes like what our government is doing,Government gives crop lone to the farmer, latter they ask them to pay only half of it,latter they give total reduction. We are indirectly encouraging farmers to be lazy. This point should be noted. In your explanation to one of the question raised by Sharma you have told that you are making good profits since 5 years. The 74% doctors loosing their income because they live in urban?.
Although, it was a bit difficult for me to handle the legalities of clinical negligence claim, but I was firmly determined to fight against the negligent doctor unnecessary delay in attending my son in acute diarrhea and vomiting, when he was already under his care, which resulted in dehydration and risked his life.
Our mission is to Enable Access of Quality Rural Healthcare affordably by providing end-to-end solution; with appropriate Technology as the key differentiator Regards Yandy Roman
There is a huge demand-supply gap for the Primary & Rural Healthcare. The largest provider is a completely fragmented set of unorganized, at best semi-qualified private practitioners. virtual weight simulator
Hospitals like Glocal & Vaatsalya in the towns, NRHM support, RSBY are welcome initiatives, but still can't address rural primary care need, where ailments can be arrested much earlier in the disease cycle TestCore Pro
Thanks for highlighting the challenges in handling the healthcare facilities in the rural parts of India.
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