WHEELS Healthcare Council presents HART Model as

Healthcare Access for Rural community via Telemedicine

For the mission towards Technology Driven Cost-Effective Healthcare Delivery in the Rural and Underserved Areas to improve access to Healthcare particularly started in India and a vision to expand Globally. Project HART meets WHEELS Principles to Provide Livelihood which Creates employment and livelihood for service providers and Sustainability by generating operating cost and a small revenue for expansion. The Healthcare Challenge aims for affordable health care to India's Billion-Plus People presents enormous challenges particularly in rural places. These challenges are further exacerbated by poverty, lack of education, inadequate infrastructure and limited access to preventive health services, diagnostic facilities, water supply and sanitation.

Health Council’s Modus Operandi

◼ Wheels will collaborate with local Organization/NGO that will be responsible for carrying out the project at the local site.
◼ Create a strategy and establish a short and long-term plan executed by collaborating NGOs.
◼ We will monitor and measure outcomes and impacts as per established performance matrix.

All projects will be implemented in phases as follows:

➢ Phase 1: Initially a pilot project for 3 to 6 months will be conducted at no more than six (6) sites to evaluate the feasibility (Only after successful completion, phase 2 will be initiated.)
➢ Phase 2: Expansion from 6 to 30 and up to 100 sites based on the results of phase 1. This must be a self-sustained by generating revenue to support all the activities.
➢ Phase 3: Large scale expansion by promoting public-private partnership and advocacy roles with state and central governments as the opportunities arise.

HART: A Financially Self-Sustaining and Self-Funded Growth Model

• Initial Startup Cost per site (~$1000), Donated by WHEELS:

     --> Equipment Supplied as listed per site with population of up to 5000.
     --> Installation and On-Site Training of one male and one female TMOs per site.

Some Equipments include Digital Gadgets such as:

• Operational Cost ($1.5 per televisit / ₹ 100), Care Recipient's Fee:

1. Technology/Consumables: ₹30 to ₹50/visit (waived if organization provides)
2. TeleMedicine Operator TMO: ₹20 to ₹30 /visit (waived if organization provides)
   ❖ Annual Income: ₹ 75,000- ₹ 90,000 at 10 visits/day
3. Doctor fee: Variable from ₹50 to ₹100/visit (waived if organization provides)
   ❖ Average cost (Travel + Loss of Productivity + Out of Town Living): = ₹500 to ₹2000
   ✓ Net Saving for the Care Recipient: ₹100 to ₹1500

Operations and Quality Monitoring

1. Automated Reminder System
2. Operator initiated reminder
3. Checks in the System to find missing details
4. Compliance with Regulations
5. Administrative Reports
6. Quality Analysis, Matrix to Measure Outcomes and Impact

Quality Monitoring Helps to mitigate Risks and Liabilities

1. Medical
2. Technical
3. Related to Doctor/Patient Behaviour
4. Time Sensitivity