SUSTAINABILITY MODEL

IN

HEALTHCARE INDUSTRY

AKHILESH MISHRA

Sr. Vice President HR – Bharat Serums & Vaccines Ltd

Healthcare has become one of India's largest sectors both in

terms of revenue & employment. The industry is growing at a

tremendous pace owing to its strengthening coverage, services

and increasing expenditure by public as well as private

players.

India is expected to rank amongst the top three healthcare

markets in terms of incremental growth by 2020

The current Indian healthcare sector in the year 2017 is

expected to touch USD 160 billion. It is one of the fastest

growing industries and is expected to advance at a CAGR of

22.87 per cent during 2015–20 to reach USD280 billion by

2020.

OVERVIEW OF HEALTHCARE INDUSTRY

DIFFERENT SEGMENTS OF THE

HEALTHCARE MARKET

• Government Hospitals

• Private HospitalsHospitals

• It includes manufacturing, extraction, processing, purification and packaging of chemical materials for use as medications

for humans or animals

Pharmaceutical

• It comprises businesses and laboratories that offer analytical or diagnostic services,

including body fluid analysisDiagnostics

DIFFERENT SEGMENTS OF THE

HEALTHCARE MARKET

• It includes establishments primarily manufacturing medical equipment and

supplies, e.g. surgical, dental, orthopaedic, ophthalmologic, laboratory instruments, etc

Medical Equipment &

Supplies

• It includes health insurance and medical reimbursement facility, covering an

individual’s hospitalization expenses incurred due to sickness

Medical Insurance

• Telemedicine has enormous potential in meeting the challenges of healthcare

delivery to rural and remote areas besides several other applications in education,

training and management in health sector

Telemedicine

What is Sustainability?

Sustainability is a measure of long-term viability.

Three Ps: People, Profit, Place.

A sustainable healthcare system:

“Sustainable healthcare is about ensuring we provide good quality health care today without compromising the ability of future generations to provide good quality health care.”

In summary: delivers high quality care without exhausting financial, social and environmental resources.

Using resources to deliver healthcare today without compromising the health of current or future generations.

Environmental

Reduce Carbon footprints,

Improve Energy efficiency, Waste management; Curb pollution - Air pollution, Water Pollution & Noise

Pollution, adopting Green Technology.

Economic

Cost of services

Cost of resources

Service models

Profitable

Social

Health education

Public health awareness

Patient/staff experience

Community support

OBJECTIVE

Sustainability as a domain of quality

SustainablePatient

CentredEquitable

Efficient

Effective

Timely

Safe

IMP STAKE HOLDERS

TO MAINTAIN SUSTAINABILITY

Green Initiative

Workers

Government

Regulations

Executive

Middle & Top

Management

Healthcare industry is looking at new green technology to cut

costs and benefit the planet.

SUSTAINABILITY GREEN INITIATIVES

Hospitals and healthcare facilities consume tremendous

amounts of energy, amounting to about 2.5 times the

amount used in a commercial building of the same size,

Hospitals and medical centers are now designing energy

efficient buildings and looking for sustainable practices

through phases of healthcare. Medical companies are

seeking ways to build using green energy solutions and

sustainable materials.

Mobility has opened gates for virtual world where doctors

and patients can collaborate in real time.

An online portal like iCliniq is helping individuals to take

advice online or consult doctors round the-clock over the

phone and HD video if they have an urgent health concern

that requires immediate consultation

Healthcare is witnessing a push to make the move from

paper-based to electronic health record systems

Digitization enables centralized database containing all

aspects of patients’ health, which in turn reduces the risk of

medical errors

A major initiative that demonstrates the power of

digitization in healthcare is eHealth, which is a part of

Digital India program of the government.

With concepts like ePharmacy, eDiagnostics, eInsurance,

eReferrals, this program would provide a robust ecosystem

The database of health records is further expected to be

linked to the Aadhar number of citizens.

With this initiative, getting an OPD appointment, lab reports

and blood availability in any government hospital becomes

easy. Patients can skip the hassles of registration by merely

identifying themselves through the Aadhaar number and can

select hospital and department, date of appointment and get the

same through SMS.

Cloud Computing – Healthcare too like any other

sector is soaring high on the cloud wave. Almost 90%

doctors are now storing all their patient records in digital

format and then moving them to the cloud. With this

patients and doctors can access their information

anytime, anywhere. This ensures complete picture of a

patient’s medical history to doctors.

To drive improved efficiencies, more hospitals are likely

to seek automation for their workforce management,

administration, finance, billing, patient records and

pharmacies.

Work-Life-Balance

Individual

Companies

Strategies ObjectivesInstruments Methods Processes Structures

Culture Attitudes Values

Model of a Sustainable Human Resource

Management

Three pillars of sustainability in HR

➢ Work-Life-Balance

Growing importance of professional career

Growing importance of private and family life

➢ Individual Responsibility

Increased autonomy and self-determination in questions of professional development

➢ Employability

Focus on continuous development and professional agility rather than specific activity.

▪ MRF (Manpower Requisition Form)

▪ Job Identification & Analysis

▪ Recruitment (staffing)

▪ Induction & Orientation

▪ Records Updation for payroll

▪ Identification of key result areas (KRA’s)

▪ Organization and utilization of work force

▪ (PMS) Measurement and appraisal of work force performance

▪ Implementation of reward systems for employees

▪ Professional development of work force

- Training

- Workshops/conferences

- Academia

▪ Corrective action plan

▪ Disciplinary action plan

▪ Exit Management System

▪ Feedback from Ambassadors (Focus on areas of improvement)

TRUST INDEX

❖ CREDIBILITY

❖ FAIRNESS

❖ RESPECT

❖ PRIDE

❖ CAMARADERIE

❖ VARIETY

❖ ORIGINALITY

❖ALL-INCLUSIVENESS

❖ HUMAN TOUCH

❖ INTEGRATION

CULTURE

Environment health safety

Pollution Control – Air Pollution

Use of alternate fuels:We at Bharat Serums & Vaccines Limited use Light Diesel Oil i.e Biodiesel for

our Boiler System instead of normal Diesel or H.S.D (High Speed Diesel)

Advantages of BIODIESEL:Chemically stable and incompatible with strong oxidizers. Does not React

vigorously with common materials but may react with oxidizing agents.

Reduction in the amount of soot and unburnt hydrocarbons

Allows reducing excess air used during the combustion process.

Highly Efficient

Reduces Sludge formation thus reduces unburnt solids by at least 50%

Decreased emission of Black Smoke & CO as compared to HSD / Diesel.

Reduced NOX by at-least 30% as compared to HSD/ Diesel.

Reduction of CFC induced refrigerants:As we know, Chlorofluro Carbons released from the Air Conditioners &

Refrigeration Units lead to reduction of Ozone Layer which lead to Global

Warming.

So, we are using Freon R22 because of its relatively low ozone depletion potential

of 0.055 as compared to CFC- 11 & CFC -12

Pollution Control – Air Pollution

STANDARDIZE EMISSIONS:All process emissions are continuous monitored by Engineering section and are

maintained as per standards specified by MPCB.

AIR MONITORINGStack Air Monitoring is carried out for Boiler & D.G.Set where SPM, SO2, CO

emissions are monitored and maintained as per standards specified in MPCB

Consent.

Ambient Air Monitoring is carried out in different areas of Plant Premises in which

following parameters are calculated:

Ambient Temperature, Humidity, Wind Speed

VEHICLE MONITORING

All vehicles entering in premises are checked and PUC (Pollution Under Control)

Certificate is verified.

Pollution Control – Water Pollution

ETP – (Effluent Treatment Plant)We are having a full-fledged Effluent Treatment Plant in which Effluents released

from the process are Treated, recycled & reused.

The treated effluents are reused for Cooling Tower and Dusting purpose and

remaining are sent to CETP (Common Effluent Treatment Plant).

EFFLUENT MONITORING:Monthly Effluent Analysis is carried out for both untreated & treated samples.

The Effluent Analysis is carried out by Environmental agency approved MoEF lab.

Wire Mesh are provided at all Water exits and are cleaned periodically. Sludge is

transferred in ETP – Solid Waste Section.

Pollution Control – Water Pollution

HAZARDOUS WASTE MANAGEMENT:

Liquid Hazardous wastes are segregated by considering 04 criteria's:

•Toxicity

•Corrosivity

•Flammability

•Reactivity

The segregated hazardous waste are sent to CHWTSDF (Common Hazardous

Waste Treatment Storage & Disposal Facility) i.e. Mumbai Waste Management

located at Taloja MIDC.

Form 13 – Hazardous Waste Manifest is maintained and information is forwarded

to Pollution Control Board by sending the Copy of Hazardous Waste Manifest.

Pollution Control – Noise Pollution

SOURCE EMISSION CONTROL:

Noise emissions from source are controlled by various techniques viz.

Acoustic Enclosures for Noisy process.

Anti -Vibration Pads to machinery such as D.G Sets, Boiler foundation, Spray

Dryers, Air Compressors , etc.

Bellows are provided in piping for prevention of vibration and noise.

Silencers for critical system and machineries.

Isolation of Noise induced system.

Preventive Maintenance of machineries, equipment’s.

NOISE MONITORING:Monthly & Daily Monitoring is carried out in which noise levels are checked as

specified in MPCB Consent.

The Noise levels are maintained as follows:

Below 85 dBA – During Day time

Below 75 dBA – During Night Time.

Pollution Control – Noise Pollution

SAFETY MEASURES FOR PERSONS:

All safety measures and precautions are taken as specified in Factories Act, 1948

& Maharashtra Factories Rules, 1963.

The persons working in the noise induced process are provided with PPEs viz.

Ear Pugs, Ear Muffs & Ear Defenders.

Health Checkups of employees is carried out in which audiometry test in given

utmost importance.

SAVINGS…

WATER SAVINGS:

Following techniques followed for reduction of water consumption:

SOP LEAKS:

All faucets are checked once a month by the Plumber and the defective

items are checked also a daily visit is done in which the observations

regarding any kind of leaks or defective equipment's from the

Housekeeping personnel's are considered and are resolved immediately.

UPGRADE:

The process in which water is consumed to above required or

standardize criteria in upgraded so that minimum water will be utilized.

CHANGE HABITS:

Tool Box trainings are provided to employees and contractor personnel

by P& A department for safe & limited use of water.

RECYCLE & REUSE:

Waste Water is recycled in ETP & is used for cooling tower, Dusting &

Gardening Purpose.

SAVINGS…

ENERGY SAVINGS:

•All employees are given instructions for the usage of Electricity.

•Instructions are also placarded in the plant premises and respective

locations for electricity savings.

•Automation in process is done for high energy efficiency output.

•LEDs light fittings are used instead of CFL / Halogens for which are

highly efficient and also provides proper illumination.

WASTE SEGREGATION

We utilize 5s Techniques for waste segregation in which waste is

segregated with respect to

1. Nature of Waste (Solid/ Liquid / Bio-waste)

2. Toxicity of waste

3. Reactivity & Flammability

All types of waste are segregated in Scrap Yard located in Plant premises.

What we do to….

• REDUCE, REUSE & RECYCLE Effluents……!

• We are having 65 trees in our Plant Premises.

• We have targeted plantation of 150 trees in current year.

• Also we were a part of One Lakh Tree plantation Campaign held at Nevale, Kalyan District by Forest Department and DISH (Directorate of Industrial Safety & Health.

CURRENT SCENARIO OF HEALTHCARE

The current public healthcare infrastructure in India is inadequate

as compared with global standards.

1) A very low doctor-to-patient ratio : 0.6 doctor per 1000

population.

(Additional 1.54 million doctors and 2.4 million nurses

required to meet the growing demand)

2) Hospital bed density per 10,000 populations in India is 12.

(Additional 3 million beds needed for India to achieve the

target of 3 beds per 1000 people by 2025)

CURRENT SCENARIO OF HEALTHCARE

3) Lack of proper facility management and basic

infrastructure leads to delay in delivery of drugs and/or

vaccines, downtime of equipment, etc.

4) Absence of an effective and transparent grievance

redressal system further creates gaps in the Indian

healthcare scenario.

5) Another issue of traditional healthcare is posed by paper

based record keeping system—delay in access to

records leads to delay in diagnosis, impacting the

quality of healthcare services provided to patients.

Rising income levels, ageing population, growing health

awareness and changing attitude towards preventive

healthcare is expected to boost healthcare services demand in

future.

India has emerged as a hub for R&D activities for

international players due to its relatively low cost of clinical

research

The low cost of medical services has resulted in a rise in the

country’s medical tourism, attracting patients from across the

world.

OVERVIEW OF HEALTHCARE INDUSTRY

Why Sustainability is Important

1) Financial challenges are likely to increaseover the next ten years.

2) Demands on health services are likely tocontinue to increase.

3) Global climate change has been described asthe largest health threat in this century.

4) The Climate Change Act has set targets, andWE have committed to reduce its carbon footprintby 80% within three decades.

5) Society is changing rapidly with an ongoingtechnological revolution, consistently risingIndian population and increasing urbanization.

SUSTAINABILITY DESIGN FROM HR PERSPECTIVE

Within many health care systems worldwide, increased attention is

being focused on human resources management (HRM).

Human resources, when pertaining to health care, can be defined as the

different kinds of clinical and non-clinical staff responsible for public

and individual health intervention.

The primary responsibilities associated with human resource

management include:

DIFFERENT OPPORTUNITIES IN

THE HEALTHCARE SEGMENT

WASTE MANAGEME

NT

WASTE MANAGEME

NT

OBJECTIVES OF EHS

❖Prevention of pollution by optimal utilization of resources through regular revision in consumption norms.

❖Minimize effluents and emission by recycle and reuse.

❖Safe place of work with safe means of access and egress.

❖Strengthen awareness, Skill and competence of our employees to enable them to contribute effectively and pro-actively in sound EHS management through promotion of safety.

❖Design procedure and develop competent workplace through regular and effective training and define clarity the roles and responsibilities at all level of organization.

❖Improve occupational health standard by regularly monitoring of workplace environment and employee health.

❖Implement safe work practices for handling, processing, storage and transportation of incoming, in-process and finished product and create a culture of learning involving all its workmen and contractors.

Systematic Management for EHS…