WHEELS Healthcare Council presents HEART Model as

Healthcare Easy Access for Rural community via Telemedicine

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 HEART meets WHEELS Principles to Provide Livelihood which Creates employment and livelihood for service providers and Sustainability by generating operating costs 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 in the field of water supply, road transportation, and limited access to preventive health services, diagnostic facilities, clinics, hospitals, pharmacies, and sanitation.

Health Council’s Modus Operandi

◼ Wheels will collaborate with a 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 the 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 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.

HEART: 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 a population of 3000 to 5000.

     --> Resident of the local community is selected and trained as TeleMedicine Operator (TMO).

    --> Installation and On-Site Training of one male and one female TMOs per site.

Some Donated Equipment include Digital Gadgets such as:

• Operational Cost $2 per visit Fee paid by Patient. It covers 3 Variable Cost Components:

1. Technology/Consumables, Support & Maintenance: $0.5 per Visit.
2. TeleMedicine Operator (TMO) Fee: $0.5 per Visit.
3. Doctors Fee GP/Specialist: $1 per Visit

✓ Patient Fee reduced by any one or more components amount covered by the organization/Government/Charities

❖ Net Saving for the Patient: Average cost Travel + Out of Town Stay + Loss of Wages

Project Implementation Steps | TeleMedicine Operator (TMO) and Doctor Training

 Sample Triage Report

Diabetes, Heart, Anemia…

Low Risk: Annual Check    ||   Medium Risk: Half Yearly Check    ||    High Risk: Quarterly check

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

Social Enterprise for Human Upliftment

Matrix

• Access to Healthcare
• Screening and Early Diagnosis
• Vitals: BP, BMI
• General Health Parameters
• Existing Medical Conditions
• Disease  Management

1. Anemia
2. Hypertension
3. Diabetes

• Maternal & Child Health
• Immunization
• Demographics

1. Socioeconomic Parameters