Embed Size (px)
Citation preview
Namasté
Fellowship Director, School of International Biodesign
All India Institute of Medical Sciences, Delhi
Adjunct Professor, QUT, Australia
Adjunct Professor, Hiroshima Univ, Japan
Adjunct Professor, Digital Health, IIIT Delhi
Founder & Editor, BMJ Innovations
Senior Editor, South Asia, the BMJ
Product Evangelist, Brün Health
Dr. Prashant Jha
“This is what it takes to beIndia’s best public hospital. TheGovernment-run hospital, withabout 3,000 beds, treated 3.5million people, achievingmortality and infection ratescomparable to the bestfacilities in the developed world– for fees that come to about $1a day for inpatients”
AIIMS: An Oasis for India’s Poorest
Newsweek International, October 30, 2006
Canada Brazil Chile UK Germany France Switzerland Sweden Turkey India China Australia Japan
HealthExpenditurePerCapita$ 5741 1056 1623 3547 4683 4690 8980 5319 665 61 375 6140 3966%GDP 11 9 7 9 11 12 11 10 6 4 6 9 10%OOP 50 58 33 18 51 32 73 18 64 86 37 56 80AccessandStatus%Insurance 100 100 95 100 100 100 >98 100 98 17 95 100 100Beds/10K 27 23 22 29 82 64 50 27 25 7 8 39 133Physicians/K 2.5 1.9 2 2.8 3.8 3.2 3.9 3.8 1.7 0.7 2.1 3.3 2.3Expectancy 81 74 79 82 81 83 83 82 75 66 75 82 84IMR/K 5 12 7 4 3 4 4 2 17 41 6 3 2MMR/100K 11 69 22 8 7 11 6 4 20 190 23 6 3RiskFactors%Diabetes 8 9 10 5 8 5 6 5 15 9 12 8 5%Smoking 19 17 41 21 25 28 26 24 27 14 28 20 19
Excerpts from: International Health Care Systems
NEJM Series, 2015
Report Card of Indian Health Care System
Generic competition drove prices down globally
ARV : Triple therapy (Lowest prices per patient per year)
Can this happen to Medical Devices ?
why ?
5.5B
0.5B
Medical Devices : USD 6 Billion market in India
Imported 2015
Imported Devices
• NOT made for India• Expensive Misfits !• Thought in West• Marketed in East
connect # create # change
connect # create # change
Where do you innovate for the healthcare of the world?
40 MIndians fall below poverty line
4 MMedical tourists visit India
Health Infrastructure
Underdeveloped : Malnutrition
Developing : Infectious diseases
Developed : Lifestyle diseases
Disease Burden
Business Models
General Practitioner
Informal Practitioner
Super-Specialists
InsuranceOut-Of-Pocket
Government Funded Bare-Foot Doctors
Nurse Practitioners
Govt. Provided
Private Provider
Solo Clinics
Hospital Chains
INDIA
Where do you innovate for the healthcare of Developed, Developing, and Underdeveloped world?
where ?
protect Intellectual Property. share wisdom
make health affordable, accessible & affable
Global Affordable Need Driven Health Innovations
SIB
who ?
Constrained Conversations
Biodesign Fellowsnoun. An ordinary designer, engineer, physician, researcher who choses an extraordinary path to create a ‘dent’ in the mediverse.
2016
2015 who ?
how ?
Discover
Define
Design
Develop
Needs Finding
Needs Screening
Concept Generation
Concept Alignment
Concept Screening
Viable product
Strategy development
Funding
Strategic FocusPatient JourneyNeed Exploration
Problem Statement developmentMarket AnalysisStakeholder AnalysisCompetitive landscapeNeeds Selection
IdeationCo-creationIntellectual Property landscapingPrototyping and Voice of CustomerRegulatory pathways
Benchtop & Clinical TrialsQuality ManagementCertificationGrants, Angels & VC FundingBuild organizations (Startups to Scale)
SIB
Discover
Define
Define acknowledge complexity
Design
Indo-Australia medtech hackathon
Indo-Japan medtech group
connect # create # change
connect # create # change
Objectives
• IdentifyunmethealthcareneedsanddevelopsolutionsinIndia
• Developlowcostmedicaldevicesforthecommonman
• IgnitetheFrugalMedTechindustry
IdentifyinIndia
InventwithIndia
ImplementInternationally
Outcomes2008-2015 Future
• 31MedicalDevices• 45ProvisionalPatents• 5PCTApplication• >100Innovatorstrained• 12Start-ups• 5 Devicesinthemarket• 4 DeviceFDA/CEcertified
• SetbenchmarkforfrugalMedTech innovation
• Inspirationforindigenousinnovation
• PromoteGlobalAffordableNeedDrivenHealthInnovations(GANDHI)
Idea Prototype
Design
Manufacture Commercialization
CANYON
Regulatory clearanceVC funding
ManufacturingCommercial launch
innovation journey
Discover & Define
RAVINE
Project managementDesign for manufacturing
Quality/regulatory strategyHuman studies
Grants/Angel funding
VALLEYNeed identificationEarly prototyping
Seed funding
Deploy
creative altruism
how to innovate ? can be taught
Startups – Global at Birth
2015 o Indo-AustralianStartup
o Indo-SingaporeanStartup
2016o Indo-AustralianStartupo Indo-JapaneseStartupo Indo-NepaleseStartup
#3
have a health innovation ? share the story !
http://innovations.bmj.com
have a tech : let us get it to APAC
academic : student exchange
interested : partner
next?
सव# भव%तु स(ुखनः | सव# स%तु ,नरामयाः ।
May all be prosperous and happy. May all be free from illness.
@[email protected]. Prashant Jha
