THE NHS & INDIAN HEALTHCARE PROVIDERS - SYNERGY Commissioning Live - Birmingham June, 16
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1 THE NHS & INDIAN HEALTHCARE PROVIDERS - SYNERGY Commissioning Live - Birmingham June, 16
2 Agenda 1 Private Healthcare in India An Overview 2 Synergies 5 Key Drivers 3 Max Healthcare Institute Ltd. Brief Introduction 4 Offerings to International Patients 2
3 Agenda 1 Private Healthcare in India An Overview 3
4 Indian healthcare industry is expected to reach ~$400 billion fuelled by multiple demand drivers Indian healthcare sector* Estimated size, Bn USD CAGR 14.6% CAGR 11.2% ^ Demand drivers for growth ^ Depending upon public spending levels, insurance proliferation, and success of public-private partnerships by 2025 ~500 mn additional middle class by 2025 ~45% Insurance penetration by 2020 ~134 mn population > 60 years by 2020 ~$8 bn medical tourism market size by 2020 from 3 bn in 2016 ~320 mn at risk of dying due to NCDs by 2020 ~2 mn beds required by 2025 * Healthcare sector includes hospitals, pharmaceuticals, and medical technology sub-sectors Sources: India Brand Equity Foundation Healthcare report, 2012; BofA Merrill Lynch Global Research Sept 15, IBEF report Mar'15 4
5 Hospitals constitute ~70% of Indian healthcare market with increasingly dominant role of private sector Indian healthcare sector * Market share % Private players have established a dominating presence in tertiary / quaternary care 30% 37% 40% 22% 20% 10% 70% 63% 60% 78% 80% 20% Market Share Beds Inpatients Outpatients Doctors Private sector Public sector 70% Market size of private hospitals is expected to reach ~$ 120 bn by 2020 Private sector hospitals Estimated size, Bn USD CAGR ~19.2% 120 Hospitals Pharmaceuticals 22 CAGR ~14.7% Medical technology / Others * Includes hospitals, pharmaceuticals & medical technology / other companies Sources: BofA Merrill Lynch Global Research Sept 15, Indian Brand Equity Foundation report Mar'15 5
6 Private Sector Share Compared to Other Countries New Delhi alone accounts for over 50,000 beds available at private hospitals. Source: McKinsey & Company Sources: India Brand Equity Foundation report March 15, BofA Merrill Lynch Global Research Sept 15 6
7 Treatment Costs Nearly a 10 th of Developed Countries Sources: AMA report published in the BofA Merrill Lynch Global Research Sept 15 7
8 Patient Safety (1/5) Catheter Related Blood Stream Infection Rate 6 CLABSI Rate per 1000 Central Line Days Developing countries benchmark (INICC) 4 3 MHC Rate MHC Target to be achieved by Mar Developed Countries Benchmark(NHSN) 0 Apr-Jun'15 Jul-Sep'15 Oct-Dec'15 Jan-Mar'16 Sources: Max Healthcare Clinical report April 16 8
9 Patient Safety (2/5) Catheter Associated Urinary Tract Infection Rate 6 CAUTI Rate per 1000 Catheter Days Developing countries benchmark (INICC) MHC Rate MHC Target to be achieved by Mar Apr-Jun'15 Jul-Sep'15 Oct-Dec'15 Jan-Mar' Developed Countries Benchmark(NHSN) Sources: Max Healthcare Clinical report April 16 9
10 Patient Safety (3/5) Ventilator Associated Pneumonia Infection Rate VAP Rate per 1000 Ventilator Days 16.5 Developing countries benchmark (INICC) MHC Target to be achieved by Mar MHC Rate Apr-Jun'15 Jul-Sep'15 Oct-Dec'15 Jan-Mar'16 Developed Countries Benchmark(NHSN) Sources: Max Healthcare Clinical report April 16 10
11 Patient Safety (4/5) Gross Surgical Mortality Rate per 100 surgeries Gross Surgical Mortality Rate - Pan Max/ 100 Surgeries - Trends Surgical Mortality - Comparison cumulative rate 0.8% 0.65% 0.64% 0.73% 0.54% 0.61% 0.68% 0.85% 0.77% 0.70% 0.60% 0.62% 0.60% 0.50% 0.7% 0.6% 0.5% 0.7% 0.6% 0.43% 0.42% 0.4% 0.3% Monthly Rate Cumulative Rate Sources: Max Healthcare Clinical report April 16 11
12 Apr-15 May-15 Jun-15 Jul-15 Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 YTD Apr-15 May-15 Jun-15 Jul-15 Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 YTD Patient Safety (5/5) Compliance to Medical Documentation Compliance to Medical Documentation Mortality - Peer Review Rate Compliance to Medical Documentation Target Peer Reviewed Rate Target 95% 94.8% 94.8% 94.6% 94.7% 94.4% 94.3% 100% 100% 100% 100% 100% 100% 100% 93.7% 93.1% 100% 91.4% 91.0% 90.8% 90.5% 92.1% 99% *YTD period is from April, 2015 to March,
13 Agenda 2 Synergies 5 Key Drivers 13
14 1. Pricing Unbelievable pricing with world class outcomes Host of amenities and services for International patients Latest up to date technology offered Most cost effective and savings galore 14
15 2. Waiting Time None absolutely! Straight from the airport to the hospital Surgery within 24 hours of arrival (depending on reports) Appointments and rooms RESERVED well in advance 15
16 3. Talent Pool World renowned doctors Trained at the best facilities in the world Awarded and recognised globally Best in class treatment and care Extremely competent and up to date 16
17 4. Exchange of Ideas Continuous skill enhancement of doctors Indian doctors training in the UK UK doctors training in India Mutual benefits and professional enhancement Sources: dailymail.co.uk, Aug 13 17
18 5. Support Infrastructure in India Over 6 direct daily flights between UK and India apart from countless 1 stop flights English is the most commonly spoken language in India 100% staff at the hospital speak in English. Globally present 5 star hotel chains operating out of India apart from many 3 & 4 star options. World famous sights & sounds located minutes from our facilities, excursions a few hours drive away. Ayurveda, spa treatments available for post-op recuperation. 18
19 Agenda 3 Max Healthcare Institute Ltd. Brief Introduction 19
20 MHC has a strong presence in North India 14 Hospitals Beds Leading doctors Support staff Over 2.2 Million patients from over 80 countries treated Gurgaon NCR OUTSIDE NCR 275 Shalimar Bagh Pitampura 402 Vaishali Patparganj 260 Mohali Bathinda Panchsheel Saket City Saket*2 Noida Dehradun 100 Greater Noida
21 Brain suite CyberKnife* Robotics Novalis LINAC MHC has invested in state of the art equipment to achieve clinical excellence Advanced robotics provides high precision, minimum invasive surgery across multiple specialities High dose radiation with extreme precision (~ 0.5 mm accuracy) Advanced image guided surgery - provides real-time views and automated image processing - Third in the World and First in Asia Robotic radio-surgery (non-invasive) system for both cancerous & non-cancerous systems * planned 21
22 We have a proven record of building an institution Strengthened capabilities to provide comprehensive tertiary & quaternary care Network of highly qualified doctors, nurses and medical personnel First MHC hospital started in 2002 Organic growth through expansion of hospital network JV with Life Healthcare, South Africa, extending expertise and global reach MHC is one of the top 3 healthcare chains in India ISO 9001:2000 & ISO 14001: 2004 certified DL Shah National Award on Economics of Quality FICCI Excellence Awards - Operational Excellence NABL NABH accredited Leadership positions in NatHealth and CII - healthcare 22
23 Centres of Excellence Max Heart & Vascular Institute Max Institute of Pediatrics Max Cancer Centre Max Institute of Renal Sciences Max Institute of Neurosciences Max Institute of Musculoskeletal Sciences Max Institute of Minimal Access & Bariatric Surgery Max Institute of Aesthetic & Reconstructive Surgery Max Institute of Obstetrics & Gynaecology 23
24 Allied Specialities Medical & Surgical Gastroenterology GI Endoscopy & Bronchoscopy Dermatology Pulmonology Anesthesiology Endocrinology/Diabetics Mental Health & Behavioral Sciences Emergency & Trauma Care 24 X 7 Max Chemist Internal Medicine Podiatry General Surgery IVF Dental Ophthalmology ENT Dietetics Rheumatology Physiotherapy & Rehabilitation Home Care Services 24
25 Agenda 4 Offerings to International Patients 25
26 Overview Over 20,000 international patients treated in a year Max Hospital is the healthcare destination of choice for patients coming from: SAARC Middle East Africa CIS countries 26
27 International Patients Popular procedures for overseas medical travel - Orthopaedics & Joint Replacement Cardiac diseases & conditions Cancer treatment Spinal surgeries Cosmetic Surgery Bariatric & Weight loss surgery Dental treatment International patient at an advantage: Affordable quality healthcare % cost savings compared to the west Internationally trained doctors & surgeons State of the art technology being used Scenic holiday options post treatment/ surgery 27
28 International Patient Services Dedicated International patient services team with relationship managers being the single point of contact Online query resolution along with tele-consultation services Complimentary airport pick up and transfers Interpreters available for language support Accommodation arrangements for the attendants Visa arrangements Currency exchange support Choice of international cuisine Regular update on patient s progress Post discharge follow- up 28
29 Contact Procedure
30 Pre-Admission Services Airport Pick-up from the International Airport in New Delhi. Patient is handed over to the IPS team & a dedicated relationship manager is assigned to the patient. International Patient Lounge Patient s room and OT are already booked before the patient arrives at the hospital. The relationship manager helps the patient in the admission procedure and also in the registration formalities.
31 Post-Admission Services Centrally air-conditioned hospitals Choice of international cuisines Interpreters in select languages Wi-Fi enabled rooms Book shop/coffee Shop Prayer rooms Money Exchange Services Arrangement of local Sim card for easy access and communication. Easy Payment Options Regular updates on patient s progress 31
32 Post-Discharge Services Patient is discharged and shifted to Guest House/ Hotel/ Airport Arrange for sight seeing in New Delhi Travel back home facilitated Post procedure follow up via / phone/ video conferencing 32
33 SKS Marya MS DNB MCh (L Pool) FRCS (Eng) FICS Chairman Institute of Musculoskeletal Sciences Max Healthcare 33
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