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Hospitals' IT Spends-ANL Madhavann, CEO & Mg Director, SRIMEERA ASSOCIATES INC

February 27, 2009

Global Market for Hospital IT Systems Pegged at $35B by 2015 | www.healthcareitnews.com

Qns: 1. What will acccount for this significant rise in hospital IT spending globally? 2. What geographic region represents the fastest growing market? 3. What companies are poised to benefit? Ans: 1. EMRs would find an extensive use of IT in Healthcare Industry. The next would be the most widely used Medical Transcription Systems across the globe. The third unique space of IT utilisation would inter alia include concepts towards Medical Tourism. Fourth is on UHID ie., Unique Health Identification No. This would mean for Celebrities etc., 2. The geographic growing market ofcourse would be United States of America (Americas), UK, Europe and Far East countries. 3. The companies that are poised to benefit include inter alia, the Healthcare Segment, Hospitals and Leading Providers, Diagnostic Centers, Health Insurance and Re-Insurance Organisations, HMOs, Exclusive Path-Labs, Sample Centers, Saliva Centers, Lever Centers, Transgene Centers etc., However major usage is on Healthcare Cos.

Extensive use of EHRs-ANL Madhavann, Senior Finance & Healthcare Consultant, SRIMEERA ASSOCIATES INC

February 25, 2009

EHRs Can be Used to Test Rx Drug Efficacy, Researchers Say | www.ihealthbeat.org

Q:1. What did the researchers find out about this new use of electronic health records (EHRs)? 2. How well did EHR databases do next to clinical trials? 3. What companies are likely to benefit by this new use for EHRs? Ans: 1. Researchers do find an extgensive use of EMR aka EHRs (Electronic Medical Records). These records qualititatively measure-up to the various innate requirements including strictest confidentiality of medical records of celebrities, film artists, polititicians and so on and so forth. New usage triggers with EHR would interalia include the 'quickness' of writing discharge-summary, handling more patients with in a given space of time and above all the administrative of patients being shrunk to their fullest advantage. EHR and Clinical Trials are two different things and in my opinion, the comparison is rather in-congruous. New use of EHRs would facilitate pharm-manufacturing cos as much as clinical trials and that EHR is reqd as it is becoming a needed data for all

Electronic Medical Records-EMR

August 18, 2008

Majority of Patients Want Doc to use EHRs: Study | www.modernhealthcare.com

Electronic Medical Records (EMR) or Electronic Health Records (EHR) are the most modern formats emerging in the medical field thanks to the innovations emerging in Information Technology Segment.  Most of the current day patients are aware of medical attention needs unlike the olden past. However, the nuances of EMR are yet to be propagated by the medical fraternity or by the providers as such even in major Asian country like India. To answer specifics, the questions are addressed one by one: 1. What percentage of patients want their physicians to use an all-electronic format for their medical records?  Nearly 70% and more particularly those who are celebrities and high-class individuals. Reson being : CONFIDENTIALITY thro UHID. 2. What percent want their physicians to prescribe electronically? Almost the entire 70% 3. What companies may benefit from this sentiment by the large majority of patients? No sentiment now as this ispreferred route to maintain top-class confidentiality.

NO ECONOMIC SHOCK TO HEALTHCARE

July 21, 2008

Patients Curb Prescription Spending | online.wsj.com

No economic shock to healthcare industry as this is totally recession free and cannot get disturbed due to any upheavel of economic zig zags. The polulation demographics and disease demographics does suggest that the various demands from the community has NOT been properly met thanks to acute shortage of quality beds in hospitals across the asian countries (which constitutes two-third of the world population). Patients curn prescription spending primarily due to the sudden boom in "laternate" medicines. Most of the physicians whether attached to a hospital organisation or having an independent practice, are not explaining the pros-n-cons of 'alternate' medicines and hence makes the life of most of the people who take to prescription drugs. Only educated (ie., educated in medical terminologies or medicine nature) people can understand this that too only limited understanding. Consequently the bane on prescription drugs; this ofcourse would change with more awareness and wellness program

SRIMEERA ASSOCIATES-ANL MADHAVANN

July 2, 2008

Ranking Hospitals on Bang for the Buck | blogs.wsj.com

New method for ranking of Hospitals would work towards better deliverables focussing more on "care-n-cure". Providers not being 'ranked' should be disallowed to continue practice. New ranking benefits are immenses; to cite a few-we all lead very good and healthy systems provided our life styles are handy, down to earth and not otherwise. Poorer the care by providers poorer is the treatment. Conditions for ranking poses an urgency to the provider to perform effectively and medically more fit and rigourous. That way ranking ensures better treatment with availability as well being ensured. All those companies who manufacture medical products, equipment etc., and  those diagnostic centers which operates as feeders for such providers would all benefit from this ranking. Infact even smaller diagnostic centers are elited to get ranking and hence the need of the hour is compulsory ranking by elite ranking institutions and not by every tom dick and harry not worthwhile ratins such providers.

MULTI EFFECT ON SINGLE DRUG DELIVERY-SRIMEERA ASSOCIATES, CHIEF MENTOR

July 2, 2008

One drug, many uses. Good idea? | www.indystar.com

No; it would not benefit to pharma companies ONLY to look at newer options all the time to come. Infact, Alternate Drug market is fast emerging and it has almost outpaced existing drug delivery system. Drug Protocols and Prescription Drug Manuals sometimes donot recommend or it even debars usage of alternate medicine. Why alternate medicine at all..is the right question. Pharma companies spending more time and money in developing newer uses for already approved drugs would only benefit "research" and not the patients to have the renowned effect of such delivery principles. Instead, the RIGHT alternates could be investigated upon; as days advance, newer complications are bound to emerge and hence newer delivery systems are not really bad thoughts. However drug delivery of a principled nature having all protocols ensured is the right approach besides building base existing base as expanded at it can accomodate in the whole sphere of pharmacology emerging in the whole world including Asia

SRIMEERA ASSOCIATES-ANL MADHAVANN

June 27, 2008

Obesity costs employers $45 bil a year | www.nytimes.com

OBESITY is not actually a 'disease' but it can lead to all sorts of diseases such as heart-attack, chest-pain continuously, thyroid problems for women, menstruation problem, sex problems etc., etc., Life should NOT be lead wrongly with wrong food habits, excessive eating with absolutely NIL or negligible PHYSICAL EXERCISE. Physical exercises doesnot always guarantee that your 'metabolic' systems would always be perfect as this has got to sub-merge with your both eating and life style. Hypertension FAMILIES are so common that for anything and everything the family members would be unncessarily shouting with each other like barking DOGS many a time without any reason whatsoever. Tragedy is that they will NEVER REGRET for such behaviours in life with or without any company around. Worst part of this is that there is NO AGE for this; older fellows shouts out youngsters and vice versa..total nonsense making the poetry of life to become totally DISMAL and lose the cool all the time and kills

SRIMEERA ASSOCIATES-ANL MADHAVANN

June 26, 2008

Creating Customer Value in a Down Economy | blog.insight-data.com

Customer Value Propositions (CVPs) in down-turn economy should be seriously considered akin to CSR programs and that there need to be a new syndrome or modelling under economic terms of what can be termed as CUSTOMER SOCIAL RESPONSIBILITY (CUSOR). If customers are not driven to their home-deliverieson any segment be it in healthcare or diagnostics or on FMCG segments, there would be total loss of customer and so is customer-value. Down-turn economy does provide the absolute theorom that " every down-side of economy propels prices and reduces consumption". Under this, it is but natural that the consumption pattern reduces in every sphere while the purchasing power remains in tact (likely increases does happen). Capturing the customer and retaining them is an "art"; all sorts of methods are adopted most innovatively. Many a time the hard-core marketing people lack (in our experience we have noticed this) the sense which are absolutely COMMON in nature and hence lose-out to others in game

SRIMEERA ASSOCIATES-ANL MADHAVANN

June 23, 2008

Most Doctors Aren’t Using Electronic Health Records | www.nytimes.com

EMR or EHR ie., Electronic Medical Records or Health Records does warrant and expect from medical professional an astute techno-savvy partcularly in computers the writing skills of medical records with an ardent training of the secretaries normaly called the fifedom. EMR is an excellent way of racing ahead with these technological days wherein most patients can access medical records thro internet from their home by the Unique Health Identification Number or the UHID concept. EMR haven't become popular yet and I would certainly assure that Sankara Nethralaya in Chennai would probabaly become the first Asian Hospital to use EMR thanks to the incessant techno-training and software training given to their doctors, secretaries etc., incessntly for more than two years now by leading software experts in the field incurring more than Rs 7 Crores of amount plus time (immeasurable in monetary terms as this pertains to that of trained and experienced doctors) plus hardware all over incl laptops.

SRIMEERA ASSOCIATES-ANL MADHAVANN

June 20, 2008

Billing System Needs Under Consumer Directed Health Plans | www.phoenixservice.net

Interconnection with banking sector for cash less insurance requirements for providers and making a tripartite agreement for payments between Providers' bankers, Providers' insurance companies and Payers would dramatically improve the syste. Secondly "Productising-the-Services" is yet another area which the Providers have to concentrateto improve the business needs of Consumer Directred Healthcare needs. Thirdly, Medical Tourism in the rational way would help, examples being addressing the Tariff individually procedures' wise item by item, interacting with doctors regularly and deriving the real through-put between the providers' infrastructure management cell and the medical fraternity attached to the hospitals would certainly benefit all in the process and more so the Healthcare Providers. Richness towards this exists only in SYSTEMS and not in chanting it alone; doing is thousand steps positive than merely whispering and shouting loudly as it means nothing IF NOT STEPPED IN ASAP.

ANL Madhavann, Management & Business Consultant

April 7, 2008

Special Report: Market Economy | www.rimag.com

Retail chains are fast growing thanks to corresponding consumer purchasing power and increased disposable income however galloping the reality prices to disproportionate heights. Greater Retail chains are emerging in all countries more particularly most populated countries like India and Asian countries. Prices are affordable to quality standards and increasing awareness of consumers. Value for Money has become an absolute necessasity without which no further sale can be effected

SRIMEERA

March 28, 2008

Gannett Co., Inc. Releases December Statistical Report | www.tradingmarkets.com

Long Term prospectus for Newspapers are actually bleak. Reasons are plenty. To state a few, having been in this industry, I can share that the new digital era is taking over with technology and media support. Material reading content will shrink; browing will increase (infact it has already increased substantially). Content writers in 'digi-media' would be more intelligent, more fast and more paid. Newspaper industries are NOT financially performing well and hence PRINT Media would perish sooner and would be taken over by digital e-news. Reporters would be available to exchange data thro PDA and all would become legally valid and exchangeable. News from countries like Sri Lanka, Pakistan, Bagladesh are not reported-but MEDIA would out-perform to bring in strategies to flash reports on various happenings within the country. Globalisation would be thrown open more judiously and legally for the globe to assimilate and comment. Hence in my view, newspaper in print would become out-dated.

SRIMEERA

March 27, 2008

Smaller Brokers Can Add Up To Better Service | www.propertyandcasualtyinsurancenews.com

Realty brokers are presently the king-pin on metal commodity prices. Small brokers can out perform on quality but on size as large players outperform by sheer quantity. Small brokers as a community has better reach though little un-organised. As globalisation on transactions are happening, small brokers would emerge victorious. Funding to small brokers should have special lines of credit and mechanisms towards that philosophy. It is different in different countries to get a perceived value of benefit in interacting with such robust 'small' brokers. Decades back these systems have not been engineered to work in our favour; however the next decade so to say would become the decade of small brokers. Quality and Tilmelines of deliverables would be the key differentiating philosophies in these segments of businesses. Consequently these small brokers' business must flourish and probabaly a little better formatting of corporates would solve larger and sensitive issues prevailing in our market

What happened to Commodities?????????

March 24, 2008

Commodities: A bit tarnished | www.economist.com

Hearing stories in India that L & T has lost substantial money in metal commodities and hearing that in general commodity prices have all gone for a 'sixer', it is hard to believe that there would be a slow-down in realties and real-estate prices as land prices are still going up disproportionately at various centers in India. Prices of commodities are in a way tarnished leaving behind no direction or lack of direction in the entire episode. These are extremely factors of economy. What is the remedy? The remedy obviously lies in incremental production, intervention of the government in regulating the deman-supply-portfolio and also streamlining the prices variations with sterner disciplines on control of prices. Metals and mettelurgical commodities' pricing have become a matter of concern even to bankers on the fund-based and non-fund based funding philosophies. There needs to be re-structured and re-oriented "funding" schemes with or without Govt participation and is the needofhour.  

Middle East Middle Class- MEMC-Healthcare

March 4, 2008

Health-Care Building Booms in Persian Gulf | online.wsj.com

Middle East Middle Class (MEMC) is mostly 'expats' particularly in Dubai which constitutes nearly 70% (Seventy Percent). Adding number of beds to hospitals will NOT attract people from (emerging) middle class. Dental segments would increase "foot-falls" in Middle East Diagnostic centers. Medical Migration with medical fraternity has become a common issue which Dubai and other middle east countries are trying to combat with real technological innovations and upgradations.

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