Maharaja Agrasen Medical College
- Maharaja Agrasen Medical College, Agroha ( MAMCAg) is a joint venture between the Maharaja Agrasen Medical Education & Scientific Research Society ( MAMESRS) and Govt. of Haryana.
- The promoters of the Society have requested Advent Healthcare to undertake an assessment and propose steps to transform the institution into a progressive goal oriented centre of medical and research excellence in the region , nationally and internationally.
- Advent Healthcare prepared a Budget to be presented to the Govt of Haryana for the upgradation of Maharaja Agrasen College
- The Advent approach is to create a framework selecting key components and approach in three steps :
- Answering the question “ What “ in relation to four variables-: Geographic Focus, Target customers, Disease Focus, and Products and services Having defined “ what” should be the institutional vision we would then analyse “ How “ best to do it and this would cover competitive positioning, pricing, delivery and whether to in house / outsource.
- The final step would be to examine the organisation and human resources required, investment and funding requirements and analysis of possible risk factors relating to the vision.
India Entry Strategy
- With a decade of experience in the US of operating 75 Surgery Centers in over 20 states, Kare Partners has defined plans for India as a ‘strategic investor’ in healthcare.
- The India plans are focused on two unique propositions. Firstly, to reach out to every Indian in a phased manner by providing a ‘primary’ care outpatient clinic to a target population of 20,000 people. These primary outpatient clinics will seamlessly integrate into secondary & tertiary care creating "coordinated care networks" offering a continuum of care to all patients within the Kare Partners India networks.
- Advent Healthcare prepared a Budget to be presented to the Govt of Haryana for the upgradation of Maharaja Agrasen College
- The Advent approach is to create a framework selecting key components and approach in three steps :
- The second proposition is to create a ‘Health Ecosystem’ which will align the medical and commercial interests of all stake holders( doctors, diagnostic centers, pharmacy and hospitals ) in a transparent manner. The "profits" generated will be shared between the entire chain including patients while ensuring that no patient is exposed to unnecessary investigations or procedures.
- To deliver these services KPI has formed a team of competent healthcare experts from India, US and Philippines with years of experience in starting, running and operating health services. They will implement these delivery models during the year in two locations in Northern India.
- Current status: Kare Partners are progressing their plans to focus initially on Tier II Cities and have invested approx. USD 25 Million into India.
- Advent Hyperbaric Service is a pioneer in the field of diving and hyperbaric medicine and the only agency in India, which can offer complete solutions in this field.
- Advent is committed to fill in the gap in the health support of available national resources in the field of diving, hyperbaric and compressed air work.
- We have set up the first hyperbaric unit (man lock) in the private sector, offer services to diving companies and have provided services to contractors engaged in metro tunneling work in 2002 , 2009 and now ongoing in 2014
- Occupational Health & Safety Medical Services
- Medical Examination of staff
- Emergency Medical Services – on site , offsite and evacuation plans
- Training in CPR and Basic Life Support
- Assessing fitness to work in compressed air by testing them in our own managed medical lock
- Team training on action in case of emergencies in Man lock
- Man lock Supply & Man lock Operating Services
- Supply of onsite Man lock for support to compressed air works
- Our equipment is made in India but fulfills the highest of International standards
- Customize equipment on the client’s needs
- Train staff in its use
- Our team of experienced man lock supervisors will provide 24/7 coverage to compressed air operations
- The team is supported by an expert occupational physician and hyperbaric trained expert in this field
Advent Hyperbaric Service
- Advent conducts diving medical courses in association with KBA Training Centre Pte Ltd (KBAT) established in Singapore to meet the growing demand for specialized offshore industry training. KBAT is the only IMCA-approved training provider centre.
- KBAT provides an Independent service to the Offshore Oil and Gas, Marine Civil engineering works and telecommunications cable services well in excess of 50 years, dealing in operations and management of Subsea, Industrial, Marine and Inspective projects.
- We conduct wide range of courses which include air diving supervisor, bell diving supervisor and diving medical technician courses for onshore and offshore divers since 5 years . These courses will provide the attendees with IMCA-approved certification that is recognized by industry bodies worldwide. The course provides commercial divers with the required training to become certified IMCA Diver Medics.
- Advent and KBAT with its team of qualified and experienced trainers provide participants to build in confidence and help them acquire best of knowledge.
Diving Medical Courses
- Advent was retained by a potential investor to create a country report on the opportunity to invest in Kazakhstan – a fast growing economy in the world.
- Advent made the following assessment for investment in healthcare: High quality healthcare services providers for high paying individuals, Multi-specialty secondary care Medical excellence, Service excellence, Products and Services.
- In secondary care specialties, High quality specialized services for the oil & gas sector, Occupational health services of the oil & gas sector.
- Flow to nearby countries like India for secondary and tertiary care.
- Current status: The political climate at that time was not stable and there was a likely battle for succession as a result Advent did not recommend that the investment in the country as safe.
Kazakhstan – Fact Finding & Market Assessment
- LRSI is an autonomous institution under the Ministry of Health GOI.
- 520-bed hospital situated in 25 acres of central Delhi (http://www.lrsitbrd.nic.in ).
- Since its inception in 1956 LRSI has provided services to TB and other respiratory diseases patients. LRSI is a leading institute in the region.
- It has a daily load of over 500 outpatients and bed occupancy of over 85%. Its other strengths are in an active chest surgery unit, pediatric services, acute respiratory care and modern diagnostic services.
- LRSI desires to drive the institute into a centre of excellence in the field of Respiratory diseases and Tuberculosis providing clinical services of international standards while incorporating research, teaching and training facilities.
- A team led by Dr Tarun Sahni was selected after a competitive bidding process for creating the vision document for this hospital with a combined role of public health and clinical facilities.
- The assignment was complex and needed great innovation to create a vision keeping in perspective the institute’s current SWOT.
- Current status : The vision document is accepted by the Government and is being implemented in a phased manner in the institute with a total investment of over 800 Crore.
Vision Document
Lala Ram Sarup Institute of Tuberculosis and Respiratory Diseases (LRSI). New Delhi
- Max India strategic direction led them to enter into the business of healthcare.
- The vision was to evolved a new Health Care Delivery System integrating professional American values (inputs from Harvard Medical International) with Indian practice, cultural & financial variations.
- Additionally develop criteria for planning a tertiary care hospital, expertise on clinical, technical, administrative and personnel-related aspects of health care management.
- The assignment required close working with a Harvard team and frequent visits to Harvard and being awarded a certificate in Ambulatory Design and management at Harvard.
- Evaluated various models of hospital design and architecture and prepared guidelines for evaluating various equipment used in medical establishments.
- We evolved the “Hub and Spoke Model “ of healthcare delivery.
- Current status: The organization has built significant brand value and has has over 2000 beds in various locations in Northern India and now has an internal team.
Create a healthcare delivery model integrating American and Indian processes
Max Harvard Health Care
- The Government of Tamil Nadu (GOTN) through the Government of India has requested World Bank (WB) support to implement a Health Systems Project in line with the Millennium Development Goals in health.
- The proposed Tamil Nadu Health Systems Project Development Objective (which is supported by the World Bank) is to ”improve health outcomes of the poor and underserved populations, with a focus on regional disparities, through increased utilization and improved quality of a series of cost-effective interventions, in both, the public and private sector”.
- The World Bank selected the team led by Dr Tarun Sahni after a competitive bidding process as the consultants for assessment of the healthcare delivery system of the Government of Tamil Nadu (GOTN).
- The objective of the assignment is “ to assess, in a participatory manner, the organizational capacity of Department of Health and Family Welfare (DOHFW), Tamil Nadu, with a strategic focus on the health sector priorities in the state“.
- The diagram illustrates our approach.
- We evolved the “Hub and Spoke Model “ of healthcare delivery.
- Current status: The organization has built significant brand value and has has over 2000 beds in various locations in Northern India and now has an internal team.
Organizational Capacity Analysis of the Department of Health and Family Welfare, Tamil Nadu.
The World Bank
- TTL provides primary healthcare facilities at each of its tea estates. In addition TTL provides secondary care through its two large referral hospitals at Chubwa (Assam) and Munnar (Kerala). These hospitals provide free or subsidized treatment to its employees and their families and free treatment to economically underprivileged patients.
- The company desire to focus on its core businesses and therefore like to identify possible partners to manage and deliver healthcare services on its behalf.
- The team led by Dr Tarun Sahni led to the creation of a unique hybrid “managed healthcare delivery model “through partnerships which could fulfil the social commitments while also provide high quality services to the paying patients in the region. This model had the capability of reliability and adoption by others.
- IMHS is a comprehensive plan designed to cover the range of services provided both as a payor and provider to a captive community of an institution at pre negotiated terms.
- The project involved legal due diligence, market assessment, infrastructure, manpower and equipment planning, financial projections , tripartite agreement and an investor note for partnership.
- We evolved the “Hub and Spoke Model “ of healthcare delivery.
- Current status: The organization has built significant brand value and has has over 2000 beds in various locations in Northern India and now has an internal team.
Reengineer healthcare services of an existing hospital for enhanced utilisation through partnerships
Tata Tea Limited (TTL) hospital Chubwa Assam
- Bhimrao AmbedkarMulti-Specialty Hospital, Noida Hospital Planning ,Project management
- District Hospital Noida is a multi specialty government hospital in Sector - 30, Noida.
- The hospital will have 300 beds of which 225 will be general wards divided into various specialities.
- The balance 75 beds will be available in Semi-private, single rooms and suite configuration.
- Projected Budget Cost – 513 Cr (Including Equipments).
- Total Land Area – 10 Acres.
Bhimrao Ambedkar Multi-Specialty Hospital, Noida
Project
Challenge
Beds Distribution
Details
- Super-Specialty Hospital, Greater Noida Hospital Planning ,Project management
- Super specialty Hospital Greater Noida is a multi specialty government hospital .
- GNIDA desires to create a state of the art Healthcare facility of National & International stature for the treatment, research and training.
- Total No. of Beds – 500.
- The balance 75 beds will be available in Semi-private, single rooms and suite configuration.
- Projected Budget Cost – 738 Cr (Including Equipments).
- Total Land Area – 15 Acres.
Super-Specialty Hospital, Greater Noida
Project
Challenge
Beds Distribution
Details
- PIMS – (Punjab)(Strategic Advisors & Partnership on PPP) Consulting assignment.
- Punjab Institute of Medical Sciences (PIMS) is a proposed 500 bedded hospital along with teaching facility for 100 students in Jalandhar Punjab government is finding it challenging to run & operate the centre.
- Punjab government plans to promote PPP & has invited private sector participation for development & running of PIMS.
- Regulatory & Legal Framework.
- Infrastructure Assessment.
- Demand & Supply.
- Advent on MAX’s behalf created EOI with all papers supporting eligibility criteria.
Impact
- Advent shall be working along with MAX in running & operating the hospital & college after successful acquisition.
PIMS – (Punjab)
Project
Challenge
Solution
Advent conducted an assessment of existing facilities, on behalf of MAX Healthcare on the following parameters:-
- MAX Healthcare(Strategic Advisors) Consulting assignment.
- MAX Healthcare plans to provide truly integrated healthcare system at world class standards to Indian Citizens.
- The main objective was to evolve a complete healthcare delivery system in India & plan a super specialty hospital
- Advent was selected by MAX as their principal consultants to develop a complete business model.
- Advent carried out extensive market assessment on various parameters and identified existing need gaps in healthcare delivery in our country.
- The assessment was followed by creating a business and delivery model that integrated professional American values with Indian requirements.
- This was followed by detailed planning of infrastructure, manpower, and equipments needed based on the service profile.
Impact
- MAX Healthcare is now India’s leading healthcare provider with Advent as their key strategic partners.
- Business plan for the next five years has been rolled out by us as well.
MAX Healthcare
Project
Challenge
Solution
Advent conducted an assessment of existing facilities, on behalf of MAX Healthcare on the following parameters:-
- LRSI – New Delhi(Vision Document)
- LRSI is a 520 bedded autonomous institute under Ministry of Health providing services to TB and other respiratory diseases.
- LRSI desired to convert the institute into centre of excellence using modern practices and international standard.
- Advent was selected after competitive bidding and was assigned the task of creation of Vision document .
- Advent carried out extensive assessment of the current facilities and services followed by SWOT analysis of the institute.[/bullet]We understood the future trends in different areas of Respiratory medicine.
- A vision document was created which had special focus on teaching, training and research and at the same time provide reinforced existing range of services to align with national & international trends.
- LRSI is under the process of implementing the solutions provided by us .
- The approach followed for this project is given above.
LRSI – New Delhi
Project
Challenge
Solution
Impact
