1. Pan Caribbean Digital Healthcare Network
Dr. Devi Shetty. MS, FRCS(England)
Chairman Narayana Health
Health City Cayman Islands

2. More money than food, 80% can’t afford Tertiary Healthcare
(Source: Deloitte Outlook forecast to grow up to $ 8.7 trillion by 2020)
US $ 8.2trillion
Food & Agriculture
(Source: Plunkett Research 2016)
US $ 8 trillion
Information Technology
(Source: Gartner Report 2016)
US $ 3.4 trillion
Oil & Natural Gas
(Source: IBIS World Report 2017)
US $ 2 trillion
Automobile
(Source: Auto Industry 101)
Media
(Source: Advanced Energy Economy 2016)
US $ 1.7 trillion
Energy
US $ 1.4 trillion
Apparel
Part of $8.7 trillion industry.

3. Challenges for Future Healthcare
Life expectancy will reach 100 years
Most of the deadly diseases like cancer, HIV will become chronic diseases requiring constant monitoring
Average American undergoes 9.2 surgeries in life time (American College of Surgeons)
Less children will be born to take care of the old
90% of hospitals beds will be Critical care Beds
Families and countries budgetary allocation for healthcare will surpass all the other expenses

5. United we Survive, Pan Caribbean Digital Health Network
40 million people,29 island nations, 7000 islands
Carribean countries must get together for collective strategy and bargaining for supplies & self paying health insurance
Share skilled manpower, software and training Doctors, Nurses,Techs
Visiting team of experts from HCCI to train local Doctors to perform procedure in public hospitals of every country
Complex surgeries to be referred to Health City to be performed at less than the current cost.
Post surgery follow up locally.
Gradually build local expertise for complex procedure

6. Caribbean Medical, Nursing & Paramedical school
WHO Region
2013
2030
Africa
1.1
2.4
Americas
8.8
15.3
Eastern Mediterranean
3.1
6.2
Europe
14.2
18.2
South-East Asia
6.0
12.2
Western Pacific
15.1
25.9
World
48.3
80.2
Source : World Bank *numbers in millions

7. Caribbean Medical, Nursing & Paramedical School
Between George Town hospital,Health City modern medical school
Every member country to sponsor students, credential the degree
One year internship in Health City Bangalore
Mentor the students for USMLE,PLAB
Nursing, paramedic students rotation between india & Cayman

8. School – National Public School, HSR LayoutClass – MontessoriStudent Name – Ms Ayura OletiYear – Application No. – NPSHSR/2019/MONT/00354

9. “If healthcare was an airline”
“If healthcare was an airline, only dedicated risk takers, thrill seekers and those tired of living would fly in it.”
Patient Safety (2005)
By Professor Charles Vincent,
Professor of Clinical Safety Research Imperial College UK

10. Joint Commission, 65%of sentinel events due to communication failure

12. EMR - one of the 4 causes of physician burnout in USA
Lloyd Minor, Dean Stanford medical school “Doctors are burning out because EMRs are broken”
American Medical Association “Every hour spent with the patient, doctors spend two hours on updating EMR”
STAT news survey “Improving EMRs was the top of the list of ideas to transform health care”

13. Online Healthcare
65% of diseases are degenerative diseases, emergencies like heart attack, brain stroke can be managed online
More than half Of Kaiser consultation done on line
Diagnosis is dependent on history, images and medical data
Most of the islands cannot accommodate a Cardiologist, Neurologist or Diabetologist
Kaizala can store medical records on phone, Skype
Every patient to have medical records in phone - Kaizala.

14. Quality of Care Delivered Better
(observed 20% reduction in blood sugar levels HbA1C)
7th visit
Difference
20.80 %
95% CI
 to 
Chi-squared
87.524
DF  1
Significance level
P <
1st visit