1. NARAYANA AND TECHNOLOGY

2. Hospital Safety 1966 Look Magazine March 22, 1966 2008, STILL A PROBLEM

3. Skydiving is less riskier than getting admitted to a hospital in the U.S!

5. WE ARE NOT TALKING ABOUT BIG DATA!! ICD 9-6000 diseases,1000 common 50,000-SIGNS, SYMPTOMS 100,000-SIGNS, SYMPTOMS, LAB TESTS

6. SOFTWARE FOR PATIENT MANAGEMENT, NOT HOSPITAL MANAGEMENT

7. PARTNER WITH: – ONE OF THE WORLD’S LARGEST REINSURER – THE LARGEST AIRCRAFT SIMULATOR FIRM – PROCESS ORIENTED AMERICAN HOSPITAL – WORLD’S BEST SOFTWARE BRAINS NH HEALTH CITY AS THE BETA SITE FOR DEVELOPMENT

8. IT TO REDUCE INPATIENT MORTALITY BY 50% COST BY 25%

9. Experience or inexperience of a junior doctor or a junior nurse can make difference between life and death, but inexperience of the junior pilot doesn't matter to the passenger IT IS ALL ABOUT THE EXPERIENCE

11. Machines to train ICU NURSES UNIVERSITIES GIVE THE KNOWLEDGE, DRIVING SCHOOLS GIVES THE SKILL APPROXIMATELY 110 TASKS APPROXIMATELY 20 CARDIAC ARRESTS PER YEAR MACHINES DON'T GET TIRED, BORED, CHEAT TECHNOLOGY SIMULATORS TO TRAIN ICU NURSES

12. TELE-MEDICINE  Tele consultation & Video conferencing  TTECG Network  CME Program  ECHO Reporting  Live Surgery Transmission

13. TELEMEDICINE with ISRO 54000 patients have had tele-consultations free of cost!

14. TELE-CONSULTATION Total 120 Tele-consultation centers 53 centers in Africa 10 centers in other countries 35 centers in Karnataka 22 centers out side Karnataka Average 2- 3 consultations per day Average 2-3 medical opinions through mail

15. We Also Skype!

16. TTECG NETWORK Total 650 ECG centers across the world – 460 centers in Karnataka – 133 centers in Bangalore – 165 centers out side Karnataka within India – 25 centers out side India like Malaysia, Iraq, Tanzania, Nigeria, Burundi, Ethiopia, Bangladesh 450-500 ECG’s per day Time period to report ecg 5 - 10min 8-10 MI ECG’s per day 120-150 Abnormal ECG’s per day Till date 5,54,000 ECG’s reported

17. TELE-REPORTING Echo Reporting Echo done by physicians in remote locations. Doctors in NH guide and diagnose these online. – Every month 90 - 100 Echo’s from different centers

18. 18 TELE MENTORING

19. 2419

20. Daily P&L Statement 27

21. Narayana-Cayman University Medical Centre, Cayman Islands

22. NARAYANA-CAYMAN 200 Bed Hospital to be opened in February 2013 Follow the Sun Model Round the clock ICU care with remote monitoring Cost Effective Easy Staffing

23. 21 NARAYANA WET LAB

24. We have been in the forefront of investing and implementing Technology If healthcare needs to reach every individual then investment in technology is the way forward

25. THANK YOU