1. 1 Dr. Devi Shetty Chairman Narayana Hrudayalaya, Bangalore Asia Heart Foundation, Kolkata

2. 2 100 years after the first heart surgery less than 8% of the world’s population can afford it.

3. 3 If a solution is not affordable it is not a solution

4. 4 India requires 2.5 million heart surgeries a year. India does 60,000 heart surgeries a year

5. 5 4 Narayana Hrudayalaya, Bangalore

6. 6 5 Rabindranath Tagore International Institute of Cardiac Sciences, Kolkata

7. 7 Narayana Hrudayalaya institute of cardiac sciences 23 heart surgeries a day Heart surgery for Rs.65,000 Coronary angiogram for Rs.4500 World’s largest pediatric cardiac surgery unit.

8. 8 In an Industry where disposables comprise 45% of the cost, it is the number game. Large number reduces the cost and improves result. Two Health City projects of 5000 beds each.

9. 9 Technology gives the rich what they already have but it gives the poor what they can never dream of having.

10. 10 Converting the atoms into bytes

11. 11 Telemedicine Less than 1% of the sick requires an operation If you do not need to operate, you don’t need to touch If you don’t need to touch, you don’t need to be there

12. 12 11 Telemedicine

13. 13 6 hours following the heart attack is the golden period

14. 14 Telemedicine A joint venture of Indian space research organization, Asia heart foundation Narayana Hrudayalaya and various state governments 22 telemedicine centers Over 16,000 patients treated free Free telemedicine software from SN informatics

15. 15 14 Telemedicine Center with CCU at Agartala, Tripura

16. 16 Trans Telephonic ECG Network

17. 17 18 Digital X-ray – a Joint Venture with Texas Instrument

18. 18 Free MRI Scan

19. 19 21 Mobile Diagnostic Lab

20. 20 Yeshasvini “Bengal Famine was not due to lack of food, it is the lack of paying capacity to buy food” – Amartya Sen

21. 21 24

22. 22 Poor people in isolation are weak but together they are very strong

23. 23 Yeshasvini micro health insurance Unless you address the problem of paying capacity building hospitals is not going to solve the health problem High interest rate 35% occupancy Rural indebtedness is mainly because of health problems

24. 24 Yeshasvini Micro Health Insurance A joint venture of the Karnataka State Co-operation Dept and Narayana Hrudayalaya/ Asia Heart Foundation. 1.7 Million farmer members in the first year. 2.5 Million farmer members in the second year.

25. 25 Yeshasvini in 20 months 85,000 farmers had free medical treatment 22,000 farmers had free surgeries 1400 farmers had heart surgeries

26. 26 All for 5 rupees a month

27. 27 Arogya Raksha Yojana A comprehensive Health scheme for Anekal Taluk, Bangalore Joint venture of Narayana Hrudayalaya, Biocon and ICICI Free OPD consultation Diagnostics at discounted rates 3 days inpatient treatment Cashless surgical facility Generic drugs at 30% of the market rate.

28. 28 31

29. 29 Disassociate healthcare from affluence by using modern economic and technical tools. Provide a vehicle for the common man to contribute a tiny amount of money every month to cover his healthcare.

30. 30 Generic drugs 33

31. 31 Dissociate academic credentials from ability

32. 32 Congenital heart surgery separates the men from the boys -Christian Bernard 35

33. 33 Break up complex task into many islands of excellence

34. 34 Replacing the moving parts of a medical equipment to PCB’s can reduce cost to any level

35. 35 Signing of MOU with Indira Gandhi National Open University (IGNOU), New Delhi

36. 36 IGNOU Diploma in Community Cardiology Diploma in Community Nephrology Diploma in Community Neurology Diploma in Community Endocrinology

37. 37 Year 2008, India world’s largest mass healthcare provider We produce the largest number of doctors, technicians and nurses in the world Policy changes Pharmaceutical capacity Of course by default

38. 38 40