Revolutionizing Stroke Care in India: AI-Powered Hub & Spoke Model

00:45:02
https://www.youtube.com/watch?v=aA8MfKq9j7g

摘要

TLDRIl webinar 'Rivoluzionare le cure per l'ictus in India' discute come un modello hub-and-spoke potenziato dall'IA possa migliorare l'accesso e i risultati delle cure per l'ictus. I relatori evidenziano le disparità nel sistema sanitario indiano e la necessità di un approccio integrato per affrontare il carico dell'ictus. Viene enfatizzata la trombectomia meccanica come soluzione chiave e viene discusso il ruolo dell'IA nell'accelerare diagnosi e trattamento. Gli esperti suggeriscono che migliorare le strutture pubbliche e aumentare il numero di professionisti coinvolti nelle cure per l'ictus è fondamentale per abbattere le barriere attuali.

心得

  • 🧩 Rivoluzione delle cure per l'ictus in India.
  • 🏥 Importanza del modello hub-and-spoke.
  • ⚕️ Necessità di migliorare l'accesso alle trombectomie.
  • 📉 Solo il 3% dei pazienti riceve attualmente trombectomie.
  • 🤖 Ruolo cruciale dell'IA nel potenziare le cure per l'ictus.
  • 📊 Differenze regionali significative nel trattamento dell'ictus.
  • 📅 Urgenza nel trattare l'ictus entro le 24 ore dalla diagnosi.
  • 🩺 Necessità di coinvolgere più neurologi nel sistema pubblico.
  • 💡 Proposte per un miglioramento della formazione dei medici.
  • 💰 Fondi disponibili per migliorare le strutture sanitarie.

时间轴

  • 00:00:00 - 00:05:00

    Il webinar discute l'innovazione delle cure per l'ictus in India attraverso un modello di hub-and-spoke abilitato da intelligenza artificiale (AI). Si esplorano lo stato attuale delle cure per l'ictus, i benefici della trombectomia meccanica e il ruolo dell'AI nell'implementazione del modello hub-and-spoke.

  • 00:05:00 - 00:10:00

    Dr. JJ Pandan discute le disparità nelle cure per l'ictus in India, evidenziando che annualmente si registrano circa 1,7 milioni di nuovi casi con tassi di mortalità elevati, particolarmente nel Nord-est. Il sistema sanitario è frammentato, con una carenza di neurologi, il che richiede un approccio integrato alle cure per l'ictus, con particolare attenzione ai servizi governativi.

  • 00:10:00 - 00:15:00

    Viene sottolineata l'importanza di un modello di cura per l'ictus che coinvolge anche medici non neurologi e la necessità di stabilire hub di trattamento accessibili. Sono stati condivisi esempi di successo in ospedali senza neurologi, che dimostrano come una formazione adeguata possa migliorare notevolmente le misure di qualità e i risultati clinici.

  • 00:15:00 - 00:20:00

    Pratik Tiwari discute del modello hub-and-spoke, che connette centri di riferimento e centri specializzati per garantire un intervento sanitario tempestivo. Si sottolinea la necessità di espandere questo modello nelle aree sub-urbane e rurali per migliorare l'accesso alle cure per l'ictus.

  • 00:20:00 - 00:25:00

    Il potenziale dell'AI per migliorare la gestione dell'ictus è considerato significativo, con piani per sviluppare 20-30 nuovi centri in India per permettere una diagnosi e un trattamento rapidi attraverso l'analisi automatizzata delle scansioni CT.

  • 00:25:00 - 00:30:00

    Viene discusso come l'AI possa assistere nella lettura delle scansioni CT in tempo reale, informando rapidamente i medici dell'arrivo di pazienti con ictus. Sono stati menzionati esempi di centri in India che sono già in fase di attuazione di questi protocolli.

  • 00:30:00 - 00:35:00

    Dr. Pandan e Pratik Tiwari sottolineano l'importanza della collaborazione tra il settore pubblico e privato per implementare tecnologie AI e garantire l'accesso equo alle cure per l'ictus. Viene esaminata la necessità di migliorare la formazione e l'infrastruttura negli ospedali per una cura più efficiente.

  • 00:35:00 - 00:45:02

    Il World Stroke Organization sta lanciando iniziative per standardizzare e certificare i centri di cura per l'ictus in India, con l'obiettivo di migliorare la qualità delle cure e aumentarne la disponibilità in tutto il paese. Ci si aspetta un impatto positivo attraverso partnership locali e iniziative governative.

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思维导图

视频问答

  • Qual è l'attuale stato delle cure per l'ictus in India?

    In India, esiste una notevole disparità nelle cure per l'ictus, con un alto tasso di mortalità e una minore accessibilità alle terapie come la trombectomia meccanica.

  • Che cos'è il modello hub-and-spoke?

    Il modello hub-and-spoke collega centri di riferimento con centri principali che offrono trattamenti completi, garantendo che i pazienti ricevano l'intervento giusto al momento giusto.

  • Qual è il ruolo dell'IA nelle cure per l'ictus?

    L'IA può ottimizzare la diagnosi e il trattamento dell'ictus, consentendo una revisione più rapida delle immagini e migliorando la comunicazione tra le strutture sanitarie.

  • Quali sono le principali sfide per le cure per l'ictus in India?

    Le principali sfide includono la disparità nell'accesso ai neurologi, la frammentazione del sistema sanitario e la necessità di un miglioramento nelle cure pubbliche.

  • Come può essere migliorato l'accesso alla trombectomia?

    Attraverso lo sviluppo di centri hub e spoke, è possibile aumentare il numero di pazienti che ricevono trombectomie, specialmente nelle aree rurali.

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  • 00:00:00
    [Music]
  • 00:00:13
    hi welcome
  • 00:00:16
    everyone today's webinar uh is
  • 00:00:18
    revolutionizing stroke care in India uh
  • 00:00:21
    through an AI powered hubin book model
  • 00:00:24
    uh we'll speak about the state of stroke
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    care in India we'll speak about U the
  • 00:00:29
    benefits of mechanical thrombectomy uh
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    how a hubin book model can ensure that
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    more patients get to a mechanical
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    thrombectomy and lastly we'll talk about
  • 00:00:39
    Ai and the role of AI in the uh in
  • 00:00:42
    getting uh in enabling the haben book
  • 00:00:44
    model so I have got uh two panelists
  • 00:00:47
    with me uh from Dr JJ pandan and pratik
  • 00:00:52
    tiwari uh Dr JJ pandan um is uh the
  • 00:00:57
    profess is a professor and head of
  • 00:00:58
    Neurology and the principal Dean from
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    chrisan Medical College Ludhiana Punjab
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    uh Dr pandan is the current president
  • 00:01:05
    elect of world stroke organization and
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    immediate past president of the Indian
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    stroke Association uh he was the past
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    chair of the world stroke campaign
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    International working group of wso uh
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    he's a member of the Strategic Advisory
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    Group for ncdc in wh Geneva um and Dr
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    pandan was conferred the wso global
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    stroke Services award in 2020 for his
  • 00:01:25
    contributions to the field of stroke uh
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    he has made significant contribution to
  • 00:01:29
    stroke care services
  • 00:01:30
    epidemiology and thrombosis in low and
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    midle inome countries he's a national Pi
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    for the Indian stro clinical trial
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    Network instruct uh Mr pratik is working
  • 00:01:40
    as senior director neurosciences and
  • 00:01:41
    speciality therapies he has been with
  • 00:01:43
    metronic for over a decade working
  • 00:01:45
    across strategy marketing and sales he's
  • 00:01:48
    a bike rider as I've seen uh and a
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    travel addict he lives in Mumbai with
  • 00:01:52
    his family he's an alumnus of inad
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    business school and I am Kolkata so uh
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    we will we'll get the panel started Dr
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    pandan can you hear me yeah I can hear
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    you
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    Mr thank you thank you great thank you
  • 00:02:06
    for joining us Dr pandan uh really an
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    honor to uh have you as part of this
  • 00:02:11
    panel so I wanted to uh wanted you to
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    sort of speak to I mean with your
  • 00:02:15
    experience speak to the audience about
  • 00:02:17
    uh the the state of stroke care in India
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    and uh what are the sort of shortcomings
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    that we have and uh what are the uh big
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    areas of
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    improvement yeah uh thank you uh
  • 00:02:30
    um if you look at this but and look at
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    the here know there is so of disparity
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    if you look at incidence of stroke from
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    192 uh the incidence varies from 119 to
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    152 per one lakh population and uh uh if
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    you look at the annual stroke rate uh it
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    is about uh we are looking at 1.7
  • 00:03:01
    million new cases in a year in India and
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    the case fatality rate is uh similar
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    between 22 to 42% you know 42% is in the
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    Northeast India and we have recent D
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    from dier where the case fatality rate
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    is touching up to 60% and so uh there is
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    a huge burden of stroke and in order to
  • 00:03:26
    address or reduce the burden of stroke
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    uh we need to have integrated approach
  • 00:03:31
    um if you look at wh they always look at
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    prevention at a large scale and uh
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    prevention you know Lifestyle Changes
  • 00:03:41
    screening for hypertension it takes so
  • 00:03:43
    many years to happen and uh during this
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    process know you need to reduce
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    disability and functional Independence
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    so that is where the stroke systems of
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    care are very very important so if you
  • 00:03:56
    look at India know we have this uh
  • 00:03:59
    health care system which are largely
  • 00:04:01
    private and uh government healthare
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    system we know it is so fragmented even
  • 00:04:07
    in private also it is uh most of the uh
  • 00:04:11
    systems are unregulated and uh to
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    certain extents bigger hospitals corate
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    hospitals have quality programs Etc and
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    uh uh so in this situation where uh
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    majority of the patients go to
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    government hospitals majority of The
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    Strokes so we need to really strengthen
  • 00:04:29
    the government Healthcare sector and uh
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    so that is where we need to put our uh
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    bet and all our efforts into it private
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    sector will improve now uh for example
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    the recent nabh and WS Stoke
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    certification program that we have just
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    rolled out uh the private sector is just
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    waiting for to submit the
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    application no unlike government sector
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    hospitals so uh it is very very
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    important um uh to you know focus on
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    government hospitals the the second most
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    important thing is the
  • 00:05:08
    personal um we know the ratio of
  • 00:05:11
    neurologist to uh the population in
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    India is around 1 per 1
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    million and that also largely focused at
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    southern part of India and if you look
  • 00:05:24
    at the neurologist let's say about 1600
  • 00:05:27
    or close to 2,000 we would have now and
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    only about 10% or 15% are interested in
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    stroke or maximum 25 depending upon the
  • 00:05:37
    region where they come from so uh one is
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    you have the healthare system which is
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    fragmented second is the the human
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    resources so in a situation like this we
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    need to if you are looking at covering
  • 00:05:50
    the government hospitals then it is not
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    neurologist we need to focus we need to
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    focus on the Physicians the MD
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    Physicians or DMD physan so those are
  • 00:06:00
    the people who can drive the program so
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    we have examples which we have
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    scientifically tested in tesur Baptist
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    Christian Hospital and also tesur
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    Medical College in tesur there are no
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    neurologists and uh we uh before we
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    implemented the stroke unit care we
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    collected the Baseline data and then one
  • 00:06:21
    month of training and after that we uh
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    implemented the stroke unit care and
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    collected the data we able to show
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    significant Improvement in all key
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    performance measures or key quality
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    measures uh and um the length of hospit
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    stay reduced the complication rate
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    reduce that itself will improve the
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    outcome so so this a physician LE model
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    has been implemented in Himachal Pradesh
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    Punjab Kerala and recently Maharashtra
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    has
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    joined uh in the same model and uh so uh
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    on a large scale we need to involve the
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    government sector we need to focus on
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    Physicians and the thrombolysis should
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    be free of cost um and if you look at
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    the thrombectomy uh that is where we
  • 00:07:11
    need to when we develop this spokes we
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    need to have at least one or two hubs in
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    each state for the government sector or
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    it could be a private public partnership
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    where we are currently working in Punjab
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    like two hubs one is the PJ chandigar
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    and one is our Center so um so this is
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    how we need to really focus on how we
  • 00:07:33
    can develop stroke a and in terms of
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    funding and government sector funds are
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    available under the state and city
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    program and it is for the uh Healthcare
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    professionals or a stroke champion from
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    each state could approach the government
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    and mobilize those funds for the
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    developing program the top down approach
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    with mou the Angels they are expanding
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    it in many other states now so um if you
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    want to really improve stroke care
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    reduce the burden and disability and
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    improve the functional Independence we
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    need to focus on government sector
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    hospitals District hospitals focus on
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    positions TPA should be you know trolis
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    should be free of
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    cost and we need to create hubs where
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    thomy is covered either through aishan
  • 00:08:30
    bat or through some other ways by which
  • 00:08:34
    the patients can afford the
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    treat Dr pandan could you talk through
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    how many people might be getting a
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    thrombectomy right now and what is the
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    potential to uh get how do we get more
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    people to uh a mechanical
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    thrombectomy sorry yeah so uh in in
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    India currently we don't have actual fig
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    it's all assumptions and also based on
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    um the uh from the industry also from
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    the metronic data and uh um the data
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    that has been published is in Journal of
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    stroke
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    medicine um the mission
  • 00:09:18
    fromy um probably currently know less
  • 00:09:21
    than 5% I would say less than 3% of
  • 00:09:25
    eligible patients reive from beamy uh
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    again uh it is largely in private sector
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    and more in the southern part of India
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    as compared to other regions of the
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    country uh there is a big need to
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    develop this through the Hub and scope
  • 00:09:43
    [Music]
  • 00:09:48
    model got it well thank you thank you so
  • 00:09:50
    much for that Dr pan I'll come back to
  • 00:09:52
    you with some more questions uh for the
  • 00:09:54
    audience who's joined uh you can ask
  • 00:09:56
    your questions uh in the chat and I'll
  • 00:09:59
    pick it up uh in about 20 minutes uh so
  • 00:10:02
    I I'll come to you pratik uh pratik so
  • 00:10:05
    Dr pandan spoke about the hubin book
  • 00:10:07
    model and uh I mean I think metronic has
  • 00:10:10
    played a significant role in enabling
  • 00:10:12
    that and you have at metronic done that
  • 00:10:15
    uh so wanted to uh ask you about the
  • 00:10:18
    hubin spoke model how does it work and U
  • 00:10:21
    if you can elaborate on that sure sure
  • 00:10:24
    so hi Prashant and good evening to all
  • 00:10:26
    the audience uh before before I uh
  • 00:10:29
    answer that question I just want to add
  • 00:10:31
    uh to add a line to what Dr pan said uh
  • 00:10:35
    now the good thing is because government
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    is also putting a lot of focus on
  • 00:10:39
    thrombectomy and thrombectomy is covered
  • 00:10:42
    under uh pmj scheme and now what as a
  • 00:10:46
    call to action we need to take is all
  • 00:10:48
    the state uh government or hospitals
  • 00:10:51
    they need to work on uh adoption of this
  • 00:10:54
    therapy and Leverage What the government
  • 00:10:56
    is supporting for uh now coming back to
  • 00:10:59
    the question on HUB and spoke so this is
  • 00:11:01
    a Innovative model and uh with this
  • 00:11:04
    model the good thing what what we can
  • 00:11:06
    talk about is connecting the referral
  • 00:11:08
    center with the key Center which is
  • 00:11:11
    fully equipped with the complete
  • 00:11:12
    ecosystem to provide a treatment to
  • 00:11:15
    patient is called I would say in my
  • 00:11:17
    language a proper Hub and spoke model
  • 00:11:20
    and this with with this model what
  • 00:11:23
    effectively this model will do is the
  • 00:11:25
    right healthare Intervention which is
  • 00:11:27
    needed at the right time especially for
  • 00:11:30
    therapies like stroke management uh
  • 00:11:32
    because there's a golden period of 24
  • 00:11:34
    hours and within that 24 hours the
  • 00:11:37
    patient need to be treated so Hub and
  • 00:11:39
    spoke model basically connecting the
  • 00:11:41
    referal center with the hub center and
  • 00:11:43
    getting patient treated at the right
  • 00:11:45
    time is a hub and spoke model for
  • 00:11:50
    us makes sense and and and what is the
  • 00:11:54
    what is the opportunity that we can
  • 00:11:55
    address with this hubin spoke model sure
  • 00:11:59
    uh so Prashant opportunity I would say
  • 00:12:01
    it's huge with the what India holds and
  • 00:12:04
    uh just want to add one more line you
  • 00:12:06
    know the number of deaths with with
  • 00:12:09
    stroke is much higher than patient who
  • 00:12:12
    died because of coid uh that's what the
  • 00:12:15
    number I can roughly say um and when we
  • 00:12:20
    talk about opportunity see Hub and spoke
  • 00:12:22
    model is required to expand in uh in
  • 00:12:25
    cities especially the tier 2 to tier
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    three Mar Market uh for such specialized
  • 00:12:31
    procedure uh where we need to build up
  • 00:12:34
    the capability of the center and also uh
  • 00:12:37
    of the and create awareness about the
  • 00:12:39
    about the therapy also it's a uh across
  • 00:12:43
    India I would say as if now there are
  • 00:12:45
    only 10 Comprehensive Center which are
  • 00:12:48
    currently covering 25% of the
  • 00:12:50
    population uh and you can understand
  • 00:12:54
    it's only 25% of the population which is
  • 00:12:56
    getting covered currently the capability
  • 00:12:58
    building uh cannot happen overnight and
  • 00:13:02
    uh as of now what we what we are seeing
  • 00:13:04
    the way infrastructure is getting
  • 00:13:06
    developed in India there are more than
  • 00:13:08
    650 medical colleges and every year
  • 00:13:11
    there are 30% growth of new medical
  • 00:13:14
    colleges and Hospital which are coming
  • 00:13:16
    up so from an infrastructure Capital
  • 00:13:19
    point of view uh the development is
  • 00:13:21
    happening purchasing purchasing is also
  • 00:13:24
    happening at a very fast pace but at the
  • 00:13:28
    same time time when we talk about uh
  • 00:13:30
    development of therapies which are
  • 00:13:32
    specialized therapies it will happen at
  • 00:13:35
    a phase manner so as of now it is 10
  • 00:13:38
    centers which is covering population of
  • 00:13:40
    25% where we have a scope to improve a
  • 00:13:43
    lot and to go to
  • 00:13:47
    masses got it got it got it and could
  • 00:13:50
    you I mean so I think uh I mean we also
  • 00:13:52
    have a partnership with metronic and we
  • 00:13:54
    use AI to uh support this Hub and spoke
  • 00:13:56
    model so uh do you uh want to quickly
  • 00:13:59
    talk about the potential for AI to widen
  • 00:14:01
    the net and extend appropriate stroke
  • 00:14:04
    care to more patients sure sure so uh so
  • 00:14:07
    as of now our plan is within next one
  • 00:14:10
    one year time uh we want to expand this
  • 00:14:14
    uh Hub and spoke model and maybe create
  • 00:14:16
    more Hub model around 20 to 30 uh 30
  • 00:14:20
    centers across India and uh basically it
  • 00:14:23
    cannot happen only with the with the
  • 00:14:25
    part it's it a lot of multiple things
  • 00:14:27
    are linked to it when we talk about 20
  • 00:14:30
    to 30 Center we need to establish a
  • 00:14:32
    partnership we need to support skill
  • 00:14:34
    development we need to work on
  • 00:14:36
    capability building and uh directing
  • 00:14:39
    patients to the the center is the most
  • 00:14:41
    important piece so that we can save
  • 00:14:44
    lives uh so that's that's what the
  • 00:14:46
    vision what metronic as a organization
  • 00:14:48
    we are having and also create these
  • 00:14:51
    centers as high volume centers and maybe
  • 00:14:53
    I can give few examples of centers with
  • 00:14:56
    whom we have already collaborated
  • 00:14:59
    uh Aster uh Nims Calicut zidus aabad
  • 00:15:04
    emis guro CMC Lana where sir is also
  • 00:15:07
    coming from CMC these are all centers
  • 00:15:10
    which are really comprehensive centers
  • 00:15:12
    and maybe just to give few example like
  • 00:15:15
    for example when we talk about Artemus
  • 00:15:17
    guro uh Artemus guro is a hub center and
  • 00:15:20
    they are covering peripheries of Delhi
  • 00:15:22
    like NCR they are covering ruk they are
  • 00:15:26
    covering H similarly zidas hospital it's
  • 00:15:29
    covering msana himat nagar similarly uh
  • 00:15:32
    also zidus uh in the month of Feb they
  • 00:15:35
    have done an announcement where they
  • 00:15:38
    talked about the partnership what they
  • 00:15:40
    have done with cure and metronic how it
  • 00:15:42
    is helping them in a positive way and
  • 00:15:45
    how patient flow have increased uh post
  • 00:15:47
    the partnership uh so as a vision of our
  • 00:15:51
    organization is typically very clearly
  • 00:15:54
    the first point is have more number of
  • 00:15:56
    centers build capabilities in all these
  • 00:15:58
    centers and provide all kind of
  • 00:16:01
    support no makes sense in fact as you
  • 00:16:03
    mentioned zidas there is a comment from
  • 00:16:05
    zidas here as well Philips has said that
  • 00:16:07
    physician focus is imperative India
  • 00:16:09
    India has a shortage of stroke care and
  • 00:16:11
    almost none in the rural areas one good
  • 00:16:14
    example is zidus uh with an AI
  • 00:16:16
    capability a team of stroke experts at
  • 00:16:18
    zidus is helping analyze the CD scan
  • 00:16:20
    done at a partner or spoke Hospital
  • 00:16:22
    supporting doctors there in making
  • 00:16:24
    decisions about treatment so basically
  • 00:16:26
    at the spoke site you're doing a CT or
  • 00:16:28
    dng or an MRI and then uh an a mobile
  • 00:16:31
    app enabled with AI is then Crossing
  • 00:16:33
    those scans and alerting the doctors at
  • 00:16:37
    the Hub hospital that there is this
  • 00:16:39
    thrombectomy patient or a stroke patient
  • 00:16:41
    that requires care right so that that
  • 00:16:43
    communication the ability to read a scan
  • 00:16:46
    uh becomes much faster I mean with AI
  • 00:16:48
    you can actually be able to interpret a
  • 00:16:49
    scan uh within a couple of seconds in
  • 00:16:52
    fact and so that notification can happen
  • 00:16:53
    very very quickly and you can uh connect
  • 00:16:56
    connect the different hospitals so so uh
  • 00:16:59
    I'll sort of uh take it to uh Dr pandan
  • 00:17:02
    and also Dr pandan maybe get your
  • 00:17:04
    thoughts on uh the hen spoke model as
  • 00:17:06
    well and what uh what what the
  • 00:17:08
    opportunity is on that and uh where
  • 00:17:10
    where uh can that model sort of how can
  • 00:17:13
    that
  • 00:17:15
    model yeah I think Mr tiari was talking
  • 00:17:18
    about how this some of the H Spooks and
  • 00:17:23
    private sector hospitals and uh uh uh I
  • 00:17:26
    think this is uh very good opportunity
  • 00:17:29
    now particularly uh in the certain
  • 00:17:32
    states where already The Hub spoke is
  • 00:17:35
    running uh not for thrombectomy but for
  • 00:17:39
    trois so one is Punjab and then second
  • 00:17:43
    is uh imal Pradesh
  • 00:17:45
    Kerala where probably this is the right
  • 00:17:49
    time for introducing AI uh in the
  • 00:17:53
    decision making process and for the
  • 00:17:55
    peripheral hospitals and uh uh in the
  • 00:17:58
    hubs and maybe if you can demonstrate
  • 00:18:02
    this in one of the states in the country
  • 00:18:05
    then probably governments will be very
  • 00:18:08
    keen to roll out in other other uh other
  • 00:18:11
    states sorry um so probably it's very
  • 00:18:15
    important now to show that in private
  • 00:18:18
    sector definitely it is working and uh
  • 00:18:21
    we need to scale up now and uh but for
  • 00:18:24
    in the government sector we need to show
  • 00:18:26
    the government that uh deploying
  • 00:18:29
    this and how it improves uh uh arrival
  • 00:18:34
    of patients and the rapid assessment of
  • 00:18:38
    patient and decision making for
  • 00:18:40
    thrombolysis and thomy so there's a big
  • 00:18:44
    opportunity I would say to work with the
  • 00:18:46
    government sect how do we and maybe I
  • 00:18:48
    mean this is a difficult question but uh
  • 00:18:50
    Dr pan how do you think I mean see like
  • 00:18:52
    you said earlier also the private sector
  • 00:18:54
    is easier to work with I think uh sort
  • 00:18:56
    of figuring these kinds of Technologies
  • 00:18:58
    out integrating Technologies uh uh into
  • 00:19:01
    into the uh clinical workflow happens
  • 00:19:04
    much faster in private sector how do we
  • 00:19:06
    take this to the public uh to the
  • 00:19:07
    government sector what are the uh what
  • 00:19:09
    are the ways to get
  • 00:19:11
    there yeah so number one is uh you know
  • 00:19:15
    if we have case studies uh and some data
  • 00:19:19
    that we have already done in certain
  • 00:19:21
    places where you know like you can show
  • 00:19:24
    uh the example of tesur that that is
  • 00:19:26
    very very important where there's no
  • 00:19:29
    neurologist government will be very keen
  • 00:19:30
    to have something similar at a second
  • 00:19:33
    level hospital so that is so one is
  • 00:19:36
    through case studies uh second is uh
  • 00:19:39
    probably a physicality study uh in a
  • 00:19:42
    small scale if you can do uh um for
  • 00:19:46
    example in
  • 00:19:48
    Punjab all the district hospitals have
  • 00:19:50
    CT scans through PPP model and MRI can
  • 00:19:55
    inspected District Hospital through PPP
  • 00:19:57
    model
  • 00:19:58
    know whether we could Lage with this
  • 00:20:01
    private uh Imaging provider uh and then
  • 00:20:06
    know try to uh you know quickly ass
  • 00:20:11
    these scan for example currently in
  • 00:20:13
    Punjab for them to report through T
  • 00:20:16
    Radiology it takes time a stroke patient
  • 00:20:19
    is in the emergency in a civil hospital
  • 00:20:22
    and uh the doctor gets a CT scan but now
  • 00:20:26
    the reporting part so that is where you
  • 00:20:29
    know the AI can play a major role I
  • 00:20:33
    would say if you can deploy one uh
  • 00:20:35
    District Hospital and demonstrate to the
  • 00:20:38
    government then know uh the process and
  • 00:20:42
    the care will definitely improve I'll
  • 00:20:45
    give you an example now about I think uh
  • 00:20:48
    6 weeks ago I got a call from the Civil
  • 00:20:51
    Hospital we have the Punjab stroke group
  • 00:20:53
    a WhatsApp group and they posted that so
  • 00:20:57
    and so uh CT scan is done and not
  • 00:21:02
    reported because know uh It Takes by hel
  • 00:21:07
    Radiology they have to wait and they
  • 00:21:09
    posted the scan and I said there is no
  • 00:21:12
    Hemorrhage and I asked for the clinical
  • 00:21:15
    symptoms anas and um and then we were
  • 00:21:19
    able to decide on prois so this is where
  • 00:21:23
    AI can play major role inment
  • 00:21:27
    sector absolutely absolutely makes sense
  • 00:21:30
    and and that is that is the opportunity
  • 00:21:31
    right that I mean you I mean
  • 00:21:33
    Radiologists will take time to read I
  • 00:21:35
    mean they may not be available
  • 00:21:37
    immediately uh and even I mean with AI
  • 00:21:39
    you can actually read the scan
  • 00:21:40
    immediately and alert the radiologist
  • 00:21:42
    alert the U The
  • 00:21:45
    Physician yeah so yeah that is that
  • 00:21:49
    that's that's the opportunity that we
  • 00:21:50
    are trying to address I I had one one
  • 00:21:52
    last question for you um U as the
  • 00:21:55
    president-elect of the world stroke
  • 00:21:57
    organization Maybe uh could you talk us
  • 00:21:59
    through uh what are the ways uh uh wso
  • 00:22:02
    is trying to address stroke care in
  • 00:22:06
    India question for you pratique or so
  • 00:22:10
    somebody there is a uh so lxmi uh who's
  • 00:22:13
    a PhD candidate from MDI GGO she's
  • 00:22:16
    asking about uh she works on adoption of
  • 00:22:18
    AI in healthcare and she wants to
  • 00:22:20
    discuss more about uh the metronic U
  • 00:22:24
    work with emis in GGO uh and so maybe
  • 00:22:28
    you can share a little bit more about
  • 00:22:30
    that about the work with Artemis here so
  • 00:22:32
    basically with artmus gura what we have
  • 00:22:34
    done we have done a partnership
  • 00:22:36
    agreement where the leading neuro
  • 00:22:39
    intervention it's a it's a leading neuro
  • 00:22:42
    intervention Center and uh the
  • 00:22:44
    partnership is basically uh Artemus guro
  • 00:22:48
    is a hub hospital where and we have
  • 00:22:51
    collaborated uh they have some spoke
  • 00:22:53
    centers in for example as I said in NCR
  • 00:22:56
    roak and isar any patient who's coming
  • 00:22:59
    for a city scan and if the patient is
  • 00:23:02
    diagnoses diagnosed with stroke uh with
  • 00:23:05
    the app cure AI app we uh that
  • 00:23:08
    intimation immediately goes to the
  • 00:23:10
    doctor who is based out of emis guram
  • 00:23:14
    and if if the patient is having uh
  • 00:23:17
    symptoms and if the patient is ready fit
  • 00:23:20
    for uh uh like if the patient is having
  • 00:23:23
    stroke the immediate attention has been
  • 00:23:25
    given to the patient and the patient has
  • 00:23:27
    been asked to shift from the spoke
  • 00:23:30
    hospital to the hub hospital that's the
  • 00:23:32
    way we are trying to collaborate with
  • 00:23:35
    hospitals and that's the way patients
  • 00:23:37
    life has been saved with a right
  • 00:23:39
    intervention because the golden period
  • 00:23:42
    as we talked about it's only 24
  • 00:23:45
    hours got it than thank you thank you so
  • 00:23:48
    much praque I think Dr pandan is back
  • 00:23:51
    and LXI if you have any more sort of
  • 00:23:52
    follow-up questions for uh prati you can
  • 00:23:54
    post them on the chat and anybody else
  • 00:23:57
    others if you have any other questions
  • 00:23:58
    please uh do post them in the chat uh Dr
  • 00:24:01
    pan now I think we at least clear can
  • 00:24:05
    problem at
  • 00:24:07
    home okay I think I'll uh uh start with
  • 00:24:11
    a question on world stroke organization
  • 00:24:14
    yeah so from World stroke organization
  • 00:24:17
    we have this uh program called Global
  • 00:24:21
    implementation task force so we have
  • 00:24:24
    started the implementation of stroke
  • 00:24:27
    care
  • 00:24:28
    uh throughout the Continuum of Care
  • 00:24:30
    stroke care uh starting from Latin
  • 00:24:33
    America the South American countries
  • 00:24:35
    Brazil um then Chile uh Uruguay Paraguay
  • 00:24:41
    uh so many of the Latin American
  • 00:24:43
    countries along with that uh uh we have
  • 00:24:45
    started the wso stroke center
  • 00:24:47
    certification
  • 00:24:49
    program so that is really coming up well
  • 00:24:52
    in Latin America and then in New Delhi
  • 00:24:56
    we recently had the uh
  • 00:24:58
    Global stroke Alli wso uh ministerial
  • 00:25:02
    meeting before the
  • 00:25:04
    G20 uh on SE from September 6th to 8th
  • 00:25:07
    we had this meeting there were U um um
  • 00:25:11
    representation from 17 States from the
  • 00:25:14
    Ministry of Health and Seven health
  • 00:25:16
    ministers uh uh had come and uh also
  • 00:25:20
    representation from Seven neighboring
  • 00:25:23
    countries from Southeast Asia so there
  • 00:25:26
    was a New Delhi declaration that was
  • 00:25:28
    signed by the ministers and also their
  • 00:25:31
    representatives uh about developing
  • 00:25:34
    stroke care in their own country in
  • 00:25:36
    their own State and also we uh released
  • 00:25:39
    the world stroke organization and nabh
  • 00:25:42
    stroke center certification standards uh
  • 00:25:45
    from October 1st the application process
  • 00:25:47
    will be opened up and centers can uh
  • 00:25:51
    apply and uh this will really improve
  • 00:25:53
    the um the quality of stroke care as
  • 00:25:57
    well as
  • 00:25:58
    more centers will uh come forward to
  • 00:26:01
    certify to get certified we are looking
  • 00:26:04
    at doing it in 20 to 25 centers every
  • 00:26:08
    year at least in the next 2 3 years and
  • 00:26:11
    then uh see how it goes so this is one
  • 00:26:14
    of the major things that we are doing in
  • 00:26:24
    India got it got it no that that's um
  • 00:26:27
    thank you so much much for for that
  • 00:26:28
    answer it makes a lot of sense and I
  • 00:26:30
    think so this this model has been proven
  • 00:26:32
    you're saying in other countries in
  • 00:26:33
    Latin America and now you're sort of
  • 00:26:35
    bringing that model to in Latin America
  • 00:26:38
    uh so they have rolled out the program
  • 00:26:41
    and for a couple of years um with wso
  • 00:26:45
    support they will run but we are handing
  • 00:26:48
    over to the local or Regional or the
  • 00:26:52
    country stroke
  • 00:26:54
    organization and India will be the first
  • 00:26:56
    country where
  • 00:26:58
    this program will be jointly run with
  • 00:27:01
    nabh and then finally nabh will
  • 00:27:04
    completely take over after 2 years we
  • 00:27:07
    don't want wso to be know completely
  • 00:27:11
    running we don't have resources like
  • 00:27:13
    that empower the countries and then they
  • 00:27:15
    take take off with their the
  • 00:27:20
    [Music]
  • 00:27:24
    program no makes sense I think maybe
  • 00:27:27
    also asked pratique the same question I
  • 00:27:29
    think the uh partnership uh we have and
  • 00:27:32
    and the haben spoke model that we have
  • 00:27:33
    in India now with metronic sort of uh
  • 00:27:36
    enabling or supporting that is that
  • 00:27:38
    something that you also want to uh take
  • 00:27:41
    to uh rest of the world is that
  • 00:27:43
    something that you think can also
  • 00:27:45
    benefit some of the uh countries that Dr
  • 00:27:47
    pandan mentioned absolutely means uh I
  • 00:27:51
    was there for the G20 meeting stroke uh
  • 00:27:55
    Summit and uh and also I was just going
  • 00:27:58
    through the agenda of the entire Summit
  • 00:28:00
    plus we were also checking any other
  • 00:28:03
    therapy where government is putting that
  • 00:28:05
    kind of effort or Focus I think it's
  • 00:28:08
    only stroke where uh the entire G20
  • 00:28:11
    Summit which was there for almost 3
  • 00:28:13
    months stroke is the only therapy where
  • 00:28:15
    government is trying to put lot of
  • 00:28:17
    resources lot of focus and that clearly
  • 00:28:20
    indicates like uh whether it is India or
  • 00:28:23
    other countries they they are clearly
  • 00:28:25
    focusing lot of stroke lot on so it's
  • 00:28:28
    it's a very good news and we were really
  • 00:28:31
    surprised and also happy presently
  • 00:28:33
    surprised I would say and really happy
  • 00:28:35
    to see uh the progress and the entire
  • 00:28:39
    discussion um there is there are there
  • 00:28:41
    are couple of audience questions I I'll
  • 00:28:43
    get to those maybe I I'll take lakshmi's
  • 00:28:46
    question first it's a follow-up question
  • 00:28:47
    to your answer about emis praque so uh
  • 00:28:51
    she's asking what all were the factors
  • 00:28:53
    metronic has considered when providing
  • 00:28:56
    AI solution to is example policies or
  • 00:29:01
    agreements okay uh so if I'm able to
  • 00:29:04
    understand it properly please correct me
  • 00:29:07
    Prashant if I'm not understanding so
  • 00:29:09
    lxmi wants to understand what is the
  • 00:29:11
    agreement and what is the uh uh maybe a
  • 00:29:14
    commercial agreement what we have done
  • 00:29:16
    with uh with emus that's what the
  • 00:29:18
    question is I think looks looks like uh
  • 00:29:21
    she's wanting you to address yeah
  • 00:29:23
    policies and agreements in the
  • 00:29:24
    organization so maybe so what are the
  • 00:29:26
    agreements and what are the uh maybe
  • 00:29:29
    policy changes also in terms of uh
  • 00:29:31
    adopting Ai and maybe I think also maybe
  • 00:29:34
    I think she just uh responded maybe
  • 00:29:36
    another fact any other factor of
  • 00:29:38
    adopting AI now as I said I think in uh
  • 00:29:42
    in my previous uh points also I think
  • 00:29:46
    the most important thing when we uh
  • 00:29:48
    identify a hospital or a partner with
  • 00:29:51
    whom we can partner is there are couple
  • 00:29:54
    of factors which we really want to
  • 00:29:55
    develop it's not only the collab
  • 00:29:57
    collaboration where uh we are doing a
  • 00:30:01
    like a agreement and we are just moving
  • 00:30:04
    away uh we what we typically when we do
  • 00:30:07
    a collaboration with the center what we
  • 00:30:10
    also work on the capacity building when
  • 00:30:13
    we talk about capacity that includes uh
  • 00:30:16
    training education of Staff also the hub
  • 00:30:19
    center and the spoke Center also uh when
  • 00:30:23
    we when we uh think about skill
  • 00:30:26
    development uh because as Sir said Dr
  • 00:30:29
    pan said stroke as of now the number of
  • 00:30:35
    doctors who are managing neuro
  • 00:30:37
    intervention is very limited so that's
  • 00:30:39
    where we also try to play a role in
  • 00:30:41
    terms of training and education getting
  • 00:30:43
    more and more doctors uh to understand
  • 00:30:46
    new therapies and new product and
  • 00:30:49
    whether as a organization where we can
  • 00:30:51
    support in training and education and as
  • 00:30:53
    I said uh uh the partnership is also now
  • 00:30:57
    for me it's it's not uh when I when I
  • 00:31:01
    when we say artificial intelligence or
  • 00:31:03
    AI it's not it's not AI it's excess and
  • 00:31:07
    intervention these are the two important
  • 00:31:09
    elements what we try to focus as a
  • 00:31:11
    organization where how do we use
  • 00:31:14
    artificial intelligence to create more
  • 00:31:17
    exess and more intervention for patient
  • 00:31:20
    is something where we we try to uh we
  • 00:31:23
    try to try to work on so maybe lakmi my
  • 00:31:26
    answer is very long but I hope you are
  • 00:31:28
    able to understand it no absolutely very
  • 00:31:32
    very well put pratique I think I think
  • 00:31:33
    the reality is that we all think about
  • 00:31:35
    AI or any other technology but you have
  • 00:31:37
    to create value for the patient you have
  • 00:31:39
    to create value for the physician
  • 00:31:41
    neurologist I mean and you have to
  • 00:31:43
    create value in the ecosystem that is
  • 00:31:45
    all that matters I mean whatever the
  • 00:31:46
    technology be right so very well put
  • 00:31:48
    that AI is not I mean you are actually
  • 00:31:50
    creating access for the patient through
  • 00:31:52
    this right so uh absolutely makes sense
  • 00:31:55
    coming back to I think there is one one
  • 00:31:57
    question I think maybe Dr pandan you can
  • 00:31:59
    address this uh about real world
  • 00:32:01
    evidence being used yeah so the evidence
  • 00:32:05
    based yeah so uh there are two or three
  • 00:32:09
    ways by which we can capture that you
  • 00:32:11
    know the real world evidence what how
  • 00:32:13
    centers are utilizing uh uh the
  • 00:32:17
    evidence-based treatment so that is
  • 00:32:18
    through quality registry so uh there is
  • 00:32:22
    a couple of Registries one is rescue um
  • 00:32:25
    where centers and data it can the key
  • 00:32:29
    quality uh indicators are monitored and
  • 00:32:32
    there is an award know qually we give
  • 00:32:35
    them award if they reach uh uh this
  • 00:32:39
    criteria for diamond gold platinum
  • 00:32:43
    silver Etc so uh that is one way we can
  • 00:32:47
    assess and there are close to 500
  • 00:32:50
    hospitals which are participating in the
  • 00:32:52
    rescue
  • 00:32:53
    registry then the second registry sits
  • 00:32:56
    Reg registry uh but
  • 00:32:59
    uh not not many centers are involved in
  • 00:33:02
    that but the rescue registry is one
  • 00:33:05
    quality
  • 00:33:06
    registry uh uh through which we can uh
  • 00:33:09
    see you know uh the quality parameters
  • 00:33:12
    the second one is the Indian stroke
  • 00:33:13
    Hospital
  • 00:33:15
    registry uh Hospital based stroke
  • 00:33:17
    registry which is run by the icmr that
  • 00:33:20
    is a funded program um probably
  • 00:33:23
    currently close to 50 centers are there
  • 00:33:25
    in the country which are ing data
  • 00:33:28
    they're also entering quality data but
  • 00:33:30
    that is not openly available uh for
  • 00:33:33
    sharing and Reporting and you need to
  • 00:33:37
    get permission from icmr and uh so um
  • 00:33:41
    based on this uh the only way currently
  • 00:33:44
    we can know that these evidence-based
  • 00:33:46
    treatments are being implemented or not
  • 00:33:48
    is through the rescue registry which is
  • 00:33:50
    expanding very
  • 00:33:52
    [Music]
  • 00:33:55
    fast
  • 00:33:58
    [Music]
  • 00:34:00
    thank you thank you so much thank you so
  • 00:34:02
    much um I think there is uh couple of
  • 00:34:06
    questions on uh patient data privacy uh
  • 00:34:10
    from pranav about patient data privacy
  • 00:34:13
    when we are using
  • 00:34:15
    AI uh and uh there is a question about
  • 00:34:18
    after sales service from lakmi again on
  • 00:34:21
    after sales service for AI maybe I I can
  • 00:34:23
    take this I mean so I think the patient
  • 00:34:25
    data privacy part uh see uh a lot of
  • 00:34:28
    times the data is anonymized so we don't
  • 00:34:30
    typically collect at cure and typically
  • 00:34:32
    these kinds of platforms AI platforms
  • 00:34:35
    may not necessarily always collect
  • 00:34:36
    patient information because they don't
  • 00:34:38
    need I mean AI needs only the pixels of
  • 00:34:41
    the image to process the pixels of the
  • 00:34:43
    CD scan uh pixels of the MRI so it's
  • 00:34:45
    only Crossing that it's not Crossing uh
  • 00:34:48
    the uh it does not require any actual
  • 00:34:50
    patient demographics or patient name or
  • 00:34:52
    anything of that s to process uh and
  • 00:34:54
    even if that is there I mean typically
  • 00:34:56
    uh at least from your perspective I can
  • 00:34:57
    say that uh the data handling and the
  • 00:35:00
    data uh protection mechanisms that we
  • 00:35:02
    have are are put in place where uh we we
  • 00:35:06
    make sure that nobody has access to that
  • 00:35:08
    kind of information except the uh The
  • 00:35:10
    Physician who's uh directly treating
  • 00:35:12
    that patient so access access is
  • 00:35:14
    severely uh limited U and only for uh
  • 00:35:18
    people who are uh part of the Care team
  • 00:35:21
    for that patient so that's on the data
  • 00:35:23
    privacy on um after s after sale service
  • 00:35:26
    again I think uh pratique mentioned uh
  • 00:35:29
    the support that uh education that is
  • 00:35:31
    provided uh to these hospitals where uh
  • 00:35:35
    very very frequent training programs uh
  • 00:35:38
    are are provided we are training uh
  • 00:35:40
    teams on the use of uh the technology we
  • 00:35:43
    are working with them on integrating the
  • 00:35:45
    technology with their existing uh
  • 00:35:47
    existing uh software ecosystems U again
  • 00:35:51
    there is there is support there is 24/7
  • 00:35:52
    support so you can reach out to there is
  • 00:35:55
    a single point of contact you can reach
  • 00:35:56
    reach out to somebody if there's an
  • 00:35:58
    issue that you face so uh that kind of
  • 00:36:00
    service is also part of the offering to
  • 00:36:01
    hospital so I think uh when we are uh
  • 00:36:04
    providing this we do provide that after
  • 00:36:06
    salale service to the hospital so uh
  • 00:36:10
    that's uh from uh that's answering the
  • 00:36:12
    question from lakmi um and then I think
  • 00:36:15
    there is a question from Prashant uh
  • 00:36:17
    where his question is uh Ai and machine
  • 00:36:20
    learning tools can augment stroke
  • 00:36:22
    management across the Continuum of Care
  • 00:36:24
    uh including prevention prognos iation
  • 00:36:27
    neuroimaging
  • 00:36:28
    diagnosis uh treatment and Recovery I
  • 00:36:31
    wondered why in India we don't learn
  • 00:36:33
    from the West for stroke uh studies show
  • 00:36:35
    that artificial intelligence tool
  • 00:36:36
    developed by the researchers at the
  • 00:36:38
    University of Copenhagen was able to
  • 00:36:40
    recognize stroke symptoms quicker than
  • 00:36:43
    emergency call handlers I think we we
  • 00:36:45
    are we are addressing that I think but
  • 00:36:47
    maybe Dr I think no this is where no we
  • 00:36:51
    have problems uh uh when researchers
  • 00:36:55
    develop a product now I won't say uh AI
  • 00:36:59
    or but let us say one drug or technology
  • 00:37:04
    when it comes to India it becomes very
  • 00:37:06
    very
  • 00:37:06
    expensive uh or it has to be something
  • 00:37:09
    developed from within the
  • 00:37:11
    country um so uh you know there are
  • 00:37:14
    multiple stroke trials uh they used
  • 00:37:18
    couple of products and uh so when those
  • 00:37:22
    products uh they come to the market you
  • 00:37:26
    know we can't afford uh for example one
  • 00:37:29
    of the uh companies you know they uh
  • 00:37:32
    gave me uh their product for one year
  • 00:37:36
    know uh uh on a research basis but after
  • 00:37:41
    I think they extended to 18 months and
  • 00:37:43
    then after that my institution could not
  • 00:37:47
    afford the huge cost no so that is where
  • 00:37:50
    the translation is an issue and um one
  • 00:37:54
    of the things that you know uh like
  • 00:37:56
    working with your group was now we were
  • 00:38:00
    able to write some GRS
  • 00:38:03
    and uh for Indian situation lmis
  • 00:38:07
    situation um so that you know we need to
  • 00:38:10
    have something which uh everyone can
  • 00:38:13
    afford so uh at a large scale you know
  • 00:38:17
    uh so that is not only in the technology
  • 00:38:20
    but also if you look at the drug trive
  • 00:38:23
    know if you have a drug which is uh
  • 00:38:25
    patented and then come off patent uh it
  • 00:38:29
    takes years so um the cost is an
  • 00:38:32
    important factor I would say why we are
  • 00:38:35
    not able to adapt quickly in
  • 00:38:39
    [Music]
  • 00:38:44
    India pra any any
  • 00:38:46
    thoughts um the I think the only thing
  • 00:38:50
    what I want to add to Dr Pan's uh
  • 00:38:53
    comment is uh see I think all the right
  • 00:38:56
    steps are being taken because with the
  • 00:38:59
    aayushman bhat scheme now the coverage
  • 00:39:01
    is huge the huge population is getting
  • 00:39:04
    covered uh and also on so so there are
  • 00:39:08
    two things one is the demand and second
  • 00:39:10
    is the supply demand side government is
  • 00:39:13
    also investing on lot of hospital all
  • 00:39:16
    the public Hospital there's lot of gun
  • 00:39:19
    government hospitals which are coming up
  • 00:39:21
    as I said 30% is the growth rate in
  • 00:39:23
    government hospital and sir also talked
  • 00:39:25
    about it the public infrastructure is
  • 00:39:28
    developing very at a very fast pace and
  • 00:39:32
    second is on the supply side where
  • 00:39:34
    government is coming up with all these
  • 00:39:36
    schemes like aayushman bhat scheme when
  • 00:39:39
    you go to Jammu and Kashmir there's a
  • 00:39:41
    seat scheme uh when you go to Gujarat
  • 00:39:43
    there's a mass scheme so all these
  • 00:39:45
    schemes are rarely supporting patients
  • 00:39:48
    patient population and that is really
  • 00:39:51
    helping us to get more and more patient
  • 00:39:53
    treated uh I think uh maybe from I feel
  • 00:39:58
    there are three things which we really
  • 00:40:00
    need to work is one is as I said AI is
  • 00:40:03
    now excess and intervention and also
  • 00:40:06
    awareness these are the three things
  • 00:40:08
    what we need to really work on creating
  • 00:40:10
    more awareness about stroke uh getting
  • 00:40:13
    patient treated at the right time and
  • 00:40:16
    also uh sending these patient at a
  • 00:40:18
    golden period what when whenever it uh
  • 00:40:21
    whenever suppose if anyone is getting
  • 00:40:23
    strok so these are the three things
  • 00:40:25
    which I feel feel like as a uh industry
  • 00:40:29
    as a surgeons and as as a government of
  • 00:40:33
    India all three of us we should
  • 00:40:37
    go thank you thank you so much pratique
  • 00:40:39
    I just wanted to add one topic I think
  • 00:40:41
    one one thing which always sort of
  • 00:40:42
    sticks with me is you don't have to go
  • 00:40:44
    to university of Copenhagen we have
  • 00:40:46
    talent here in India we can build these
  • 00:40:47
    Solutions here in India and we have
  • 00:40:48
    built it and we've deployed it and we
  • 00:40:50
    are actually creating impact so we don't
  • 00:40:52
    have to copy from the West we can
  • 00:40:54
    actually build our own Solutions here so
  • 00:40:56
    just
  • 00:40:57
    actually very very means that reminds me
  • 00:41:01
    one point which I think uh last month we
  • 00:41:04
    were having a meeting in Gujarat and
  • 00:41:06
    that's where I also talked about this
  • 00:41:08
    see in India the best thing is from day
  • 00:41:10
    one when doctors are uh in the mbbs
  • 00:41:14
    college when they are doing their mvbs
  • 00:41:16
    from day one they are seeing patients
  • 00:41:18
    and I think that's only practice in
  • 00:41:19
    India uh unfortunately this is not with
  • 00:41:23
    engineering when we go in an engineering
  • 00:41:25
    College ideally it should be in a Tata
  • 00:41:28
    steel or lakmi steel somewhere so that
  • 00:41:30
    we can learn engineering from day one
  • 00:41:33
    but with doctors I think that's the
  • 00:41:35
    that's the talent what we have because
  • 00:41:38
    the from day one they are seeing patient
  • 00:41:40
    and the amount of talent and the amount
  • 00:41:42
    of knowledge what Indian doctors are
  • 00:41:44
    having I don't think so anyone across
  • 00:41:47
    Globe will be even doctors who are doing
  • 00:41:50
    like the top most surgeons in us they're
  • 00:41:52
    Indians only so so Indians are ruling
  • 00:41:55
    the way so so it's a it's an amazing
  • 00:41:58
    talent pool what we
  • 00:42:00
    have thank you thank you pratique I will
  • 00:42:03
    so we are I mean this went 45 minutes
  • 00:42:05
    went by so quickly uh so we are at the
  • 00:42:08
    end of uh the session I'll I'll sort of
  • 00:42:10
    there is one question from rata which is
  • 00:42:12
    uh what are the major hurdles that India
  • 00:42:14
    faces in improving acute stroke care
  • 00:42:16
    across the country maybe I can ask both
  • 00:42:19
    of you to speak for a minute about maybe
  • 00:42:21
    one hurdle one hurdle that uh India is
  • 00:42:25
    facing in improving I think the one
  • 00:42:28
    hurdle I would say uh uh is
  • 00:42:34
    the uh the neurologist and the stroke
  • 00:42:38
    neurologist we need to really work with
  • 00:42:41
    the uh their own State and the
  • 00:42:44
    government if every state we have one
  • 00:42:47
    stroke Champion we can change the uh
  • 00:42:51
    stroke care in the country because there
  • 00:42:53
    is there is no problem with funds funds
  • 00:42:56
    are available every year some of the
  • 00:42:58
    state they send back the money which
  • 00:43:01
    comes for National NCD program for the
  • 00:43:04
    respective States in crores they send it
  • 00:43:06
    back to the central government so there
  • 00:43:09
    is money it is through the uh right
  • 00:43:13
    person who in the health sector in the
  • 00:43:16
    health Ministry we need to have uh
  • 00:43:19
    approach and that is where I would say
  • 00:43:22
    industry's role is very important you
  • 00:43:25
    know whether you take Angels program or
  • 00:43:27
    through metronic know we need to work
  • 00:43:30
    together then only we'll be able to
  • 00:43:32
    change the landscape of stroke care in
  • 00:43:34
    our
  • 00:43:38
    [Music]
  • 00:43:41
    country thank you thank you so much Dr
  • 00:43:43
    Pand and
  • 00:43:44
    pratik so I think prashan this will this
  • 00:43:47
    will make you happy what I'll say
  • 00:43:50
    now so I think use of technology in the
  • 00:43:53
    best possible way to save life and
  • 00:43:55
    that's where where cure AI is coming up
  • 00:43:58
    uh I think that's that's the one element
  • 00:44:00
    which we as a uh as a group we need to
  • 00:44:03
    work around and get more and more uh
  • 00:44:07
    Spokes and hub and spoke model
  • 00:44:09
    implemented in India and maybe we are
  • 00:44:12
    targeting 30 we should go beyond 30 and
  • 00:44:15
    we should touch at least 50 60 in a
  • 00:44:18
    year's time and I think that will really
  • 00:44:20
    help us to widen the scope of work what
  • 00:44:23
    we are trying to do well thank you thank
  • 00:44:26
    you so much Dr Pand and thank you so
  • 00:44:27
    much pratique uh great session and I
  • 00:44:30
    think the number that stood with me is
  • 00:44:32
    the 3% of people who are getting a throm
  • 00:44:34
    to me that that definitely can can
  • 00:44:36
    improve a lot and hopefully through this
  • 00:44:38
    Hub and spoke program and using
  • 00:44:40
    Technologies in AI we can uh make it
  • 00:44:43
    make a difference in in patients life so
  • 00:44:45
    uh thanks so much and look forward to a
  • 00:44:48
    a lot of work together in the next
  • 00:44:50
    several years thank thanks thank you
  • 00:44:54
    thank you sir
  • 00:44:56
    [Music]
标签
  • ictus
  • IA
  • modello hub-and-spoke
  • trombectomia
  • sistema sanitario
  • cure mediche
  • disparità
  • trattamento ictus
  • risorse umane
  • tecnologia