Healthcare and Life

Sciences

HealthCare
Health care is the diagnosis,
treatment, and prevention of
disease, illness, injury, and other
physical and mental impairments in
humans

History of HealthCare
Healthcare history from ancient times to colonial
era to the modern day.
Healthcare systems
Primary care
Secondary care
Tertiary care

Introduction to Life Sciences

Thelife sciencescomprise thefields of
sciencethat involve the scientific study of living
organisms, such as plants,animals, andhuman
beings, as well as related considerations
likebioethics
The Life Science industry is made up of many
sectors
Pharmaceuticals
Medical devices
Biotechnology and diagnostics

Advancing Sciences
Shifting innovations from chemistry-based to
biology-based advance data management or
bioinformatics
Effective management values specialists
handling scientific data, massive databases of
clinical drug and discovery data.

Health Care Terminology

Subscriber
Member
Provider
Claims
Coinsurance
Copayment
Deductible
Lifetime maximum

How do coinsurance and copays work?

Health Care Terminology

HMO and PPO
HMO

PPO

Health Care Terminology

Enrollment period
Capitation

Health Care Terminology

PHI
HIPAA
COB
ICD Codes ICD10
List of ICD-9 codes 001139: infectious and
parasitic diseases
List of ICD-9 codes 140239: neoplasms
List of ICD-9 codes 240279: endocrine, nutritional
and metabolic diseases, and immunity disorders

HL7

HL7 Message

Example for a HL7 message

MSH|^~\&|EPIC|EPICADT|SMS|SMSADT|199912271408|CHARRIS|ADT^A04|
1817457|D|2.5|
PID||0493575^^^2^ID 1|454721||DOE^JOHN^^^^|DOE^JOHN^^^^|
19480203|M||B|254 MYSTREET AVE^^MYTOWN^OH^44123^USA||(216)1234567|||M|NON|400003403~1129086|
NK1||ROE^MARIE^^^^|SPO||(216)123-4567||EC|||||||||||||||||||||||||||

Commercial Health Care Plans

Medicare
Medicaid
Medigap

 Reduce malpractice & frauds

Reduce medical errors & consequent financial
loss
Reducing cost of care delivery
Adhering to regulations Enhancing operational
efciencies Enhancing quality of care
Point of care convenience
Expecting Increased awareness pertaining to
their health Providers

Payers

Provide
rs

Patient
s

Stakeholders perspectives
on IT

An example

Distinction of Healthcare in INDIA

and US
India

US

% of GDP

4-5%

16.2%

HealthCare System

Mixed

Mostly Private

Out Of Pocket
70%
Payment
Life
63/66
Expectancy(m/f)
Infant Mortality Rate 66
(per thousand)

10-12%
76/81
8

Conclusion
The Indian healthcare sector can be viewed as
a glass half empty or a glass half full. The
challenges
the sector faces are substantial, from the need to
improve physical infrastructure to the necessity
of providing health insurance and ensuring the
availability of trained medical personnel with the
opportunities available equally

Healthcare in 2020?