3 3 Globalization Kalyanpur

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ADVENTURES ADVENTURES ININ

TELERADIOLOGY- TELERADIOLOGY- 247 SERVICES THROUGH A GLOBAL 247 SERVICES THROUGH A GLOBAL

INFRASTRUCTUREINFRASTRUCTURE

Arjun Kalyanpur, MDCEO and Chief Radiologist

RADIOLOGY – THE EYE RADIOLOGY – THE EYE OF MEDICINEOF MEDICINE

Problems in Problems in RadiologyRadiology

Increasing imaging volumes Ageing populations Cancer, Heart Disease and Stroke Faster scanners, newer applications, more

follow-up Rising costs Lack of subspecialists Radiologist distribution between geographies not

optimal Long report turnaround timesGlobal radiologist shortagesGlobal radiologist shortages

The Internationalization of Radiology

TODAY Teleradiology is GL BAL

And ONLINE !

What is Teleradiology?

Transfer of diagnostic images to another location for interpretation

How to get the most bang from your radiology buck Hub and spoke model – a single

radiologist able to report for any hospital, anywhere in the world

Everyone gets to sleep at night! Optimize productivity using

technology and assistants

Teleradiology Solutions…Teleradiology Solutions…Bangalore based but

global!

Founded in 2002Fully accredited by the US Joint

Commission Only health care provider

outside Singapore to be accredited by the Ministry of Health, Singapore

An innovative company at the forefront of the teleradiology

revolution - ABC news, BBC, Arte, Le Point, Le Nouvel Obs, Le Monde, Geo

Emergency Teleradiology - Emergency Teleradiology - USUS

80 hospitals in 14 states 30 minute report turnaround time Productivity and quality benefit due to

day-night reversal Graveyard shift eliminated, ER gets a

cheerful awake Radiologist at night!

Teleradiology for Teleradiology for Singapore: TAT reduced Singapore: TAT reduced from 3 days to 1 hourfrom 3 days to 1 hour 98% of X-rays, which are now read in

India, are turned around within one hour. This is a tremendous improvement over past practice where patients had to wait 2-3 days and comes at much lower costs. Their quality of X-ray reading is excellent.

Excerpt from speech by Mr Lee Kuan Yew,

Former Singapore PM, 4/16/06

35,000 exams read in 2006; 60000 exams in 200899.98% report accuracy

11 hospitals

VirtualVirtual 3D Lab 3D Lab

Acute chest pain at 3 AM 64 slice CT Angiogram processed

and reported in 1 hour Skilled technologists in short

supply Labor intensive operations

Why teleradiology should make sense to Pharma and Device Companies

Infrastructure at teleradiology hub to receive images from multiple clinical trial sites

Multiple pairs of eyes for each trial available at one location

Reporting of oncologic scans using standardised techniques, such as RECIST measurements with shorter TATS

The India AdvantageThe India Advantage

English speaking workforce – at all levels Large number of IT/technology schools Highly skilled physicians Lower cost of labour New Governmental initiatives in

infrastructure Highly-charged entrepreneurial

environment Fast growing economy

Teleradiology has put India on the Teleradiology has put India on the world map for world map for

High quality Healthcare DeliveryHigh quality Healthcare Delivery

Robin Hood model – giving back within India

The Telerad Foundation – started 2007

Provide reporting services free of cost to remote parts of India

Develop low cost technologies, train radiologists

www. Teleradfoundation.org

TELERADIOLOGY TELERADIOLOGY

The Future is Here !The Future is Here !