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TotalTotal number of pagespages 4848 AligningAligning businessbusiness anandd healthcarehealthcare inin IndiaIndia JulyJuly 2017 VoVoll 5 • Issue 10 • `50 KERALA SPECIAL PRIVATE HEALTHCAREHEALTHCARE BOOMBOOM IT LEVERAGINGLEVERAGING IT FORFOR HOMEHOME HEALTHCAREHEALTHCARE BEST OF THE WEST DR LLOYD NAZARETH, GROUP CEO, AMERICAN ONCOLOGY INSTITUTE, ON HIS ENDEAVOUR TO BRING WORLD-CLASS CANCER CARE TO SOUTH-EAST ASIA Published by ITP Publishing India KERALA SPECIAL Projects galore A spate of new hospitals with state-of-the-art technology and infrastructure is underway in Kerala BY RITA DUTTA 1 rivate healthcare in the state of This facility is the first of its kind built on Kerala is witnessing an influx offsite construction technology. UAE-based of Greenfield hospital projects NMC Healthcare is exploring for projects in with state-of-the-art technol- Kerala. Reportedly, the group has taken up Pogy and infrastructure. And the existing an existing facility in Thiruvanthapuram and ones are slated for expansion and technol- plans to upgrade and expand the facilities. ogy upgradations. For instance, Aster DM Several of the large projects are located Healthcare, which has 2,000 beds in Kerala, in and around the cities of Kochi and has announced investment to the tune of Rs Kozhikode and funded by NRI business 600 crore in Kerala in various projects in the tycoons. There has also been a spate in PE next three years. The group has planned for investment into the sector as well. Leading hospitals in Thiruvananthapuram, Kannur PE fund True North (formerly India Value and Kozhikode. Fund Advisors) has announced an invest- Thiruvananthapuram’s KIMS group is ment of $200 million in KIMS. True North adding more than 100 beds in each of its acquired 40% stake in KIMS held by existing units in Thiruvananthapuram, Thonaikkal, investors—Ascent Capital Advisors India Pvt. Kollam, Kottayam and KIMS Alshifa. UAE’s Ltd and OrbiMed Advisors. VPS Health has recently acquired Lakeshore According to Johnson Vazhappilly, execu- P Neelakannan, Hospital and announced an addition of 2 tive director & CEO, Rajagiri Hospital, a ter- group COO, KIMS lakh square feet block,. With an investment tiary care hospital in Kochi, “Today, Kerala, of around Rs 300 crore, this will be opera- particularly Kochi, has grown into a hub of tional shortly. quaternary healthcare with private and cor- 1. Aster Medcity Another project presently underway is porate players leading the way in the fields Kochi – a 670-bed quaternary care MEITRA, a 200-bed project in Kozhikode, of multi-organ transplants, hi-end cancer hospital. promoted by the UAE-based KEF group. care and robotic surgery. The rate of increase 26 -8/<_+($/7+&$5(5$',86 KERALA SPECIAL in the number of beds in the super specialty category has increased considerably when compared to a negligible increase in the bed strength among small and medium category hospitals. Considering the rise in life expec- tancy, Kerala has also been leading the way in palliative and geriatric medicine.” edical centres of excellence like Sree MChitra Thirunal Institute of Medical Sciences and Technology, Thiruvantha- puram, Amrita Institute of Medical Sciences, Kochi, Regional Cancer Centre Thiruvantha- 2 puram, KIMS Thiruvanthapuram, and several mission run and faith based hospitals and chairman & managing director, Baby Memo- health facilities dot the healthcare land- rial Hospital, Kozhikode, “The initial period scape and have pioneered medical technol- of rapid growth in health facilities was domi- ogy and healthcare services in the region. nated by the government sector up to the Kerala today boasts of four JCI certified and 1980s. By the mid 1980s, there was a slow- around 25 NABH accredited hospitals. down in the growth of government health According to analysts, the organised health- institutions because of fiscal problems. care in Kerala can be traced back to the mis- However, the private sector was geared up sionary hospitals. Explains Dr KG Alexander, for growth and took a lead in the develop- ment of healthcare facilities in Kerala.” The current boom began in the 1980s and has been attributed to rising levels of education, increase in household incomes and greater health consciousness among Keralites. An ageing population also led to more and more people seeking quality healthcare. Johnson The healthcare landscape in Kerala is Vazhappilly, executive director ahead in many parameters when compared & CEO, Rajagiri to other states. Kerala has taken a lead in Hospital infant mortality, maternal mortality and also in the longevity of life. This progress is attributed to the good infrastructure of pri- mary healthcare as well as improvement in AT A GLANCE the secondary and tertiary care. More than • Some of the new hospital projects recently 25 super specialty hospitals, 15 medical col- commissioned or upgraded include: leges dot the private sector, along with eight • Aster Medcity Kochi medical colleges and four dental colleges in • VPS Lakeshore Hospitals, Kochi government sector R&D facility, paramedical Faizal Kottikollon, • Rajagiri Hospital, Kochi and nursing institutions and medical device chairman, Meitra • St Gregorios International Cancer Care manufacturing. Hospital Hospital Parumala Says Dr Harish Pillai, head – Kerala Cluster, • Starcare Hospital, Kozhikode Aster DM Healthcare, “Though the state has 2. • Al Shifa KIMS Hospital, Perinthalmanna the highest life expectancy, it also has the VPS Healthcare is redeveloping Kochi’s highest morbidity rate in the country. This Lakeshore Hospital. +($/7+&$5(5$',86_-8/< 27 KERALA SPECIAL 3 means we might be sitting on a time bomb. KERALA INSTITUTE OF MEDICAL The rapid demographic transition resulting SCIENCES from low fertility rates and growing popula- Thiruvananthapuram’s KIMS Group tion of geriatrics, estimated to be currently has the following presence in Kerala: above 4 million, contributes to this demand.” Thiruvananthapuram with 650 beds, KIMS Al- According to John Punnoose, advisor to Shifa, Perinthalmanna with 400 beds, Kochi Muthoot Healthcare and St Gregorios Medi- with185 beds, Kottayam with 90 beds and cal Mission Parumala, "Kerala spends 6.5% Kollam with 100 beds. of its Gross State Domestic Product (GSDP) Says P Neelakannan, group COO, KIMS, “In on healthcare, out of which public expen- John Punnoose, the coming years, KIMS, Thiruvananthapuram diture constitutes 1.5% of the GSDP, as per advisor, Muthoot is adding another 225 beds with an 2013-14 figures." In terms of the money spent, Healthcare investment of Rs 250 crore. KIMS Thonaikkal, the State‘s average annual expenditure on Thiruvananthapuram, will be a rehabilitative health is about Rs 25,000 crore. Out of this, and holistic medicine centre with 200 beds the governments expenditure comes to at a cost of Rs 100 crore. Also, KIMS Kollam about Rs 6000 crore while the rest is private has completed the project of additional 100 expenditure. beds facility at a cost of Rs 75 crore and be “Kerala has the highest per capita ex- ready to occupy by July 2017.” Additionally, penditure on health in the country during KIMS Kottayam is adding another 125 beds 2013-14 at Rs 7,636. Out of this, the public to its existing facility. And KIMS Alshifa will be per capita spending comes to about Rs adding another 200 beds in a year with an 1,765 still one of the highest in the country," Dr KG Alexander, chairman & additional investment of about Rs 50 crore. adds Punnoose. managing director, Analysts say that in early 1990s, the Baby Memorial private medical sector in Kerala was much Hospital more aggressive as compared to the rest of India. In the year 2000, there were about 3. St Gregorios 70,000 beds in the private sector as against International Cancer 45,684 in the government sector. During Care Hospital the same year, the number of doctors in was recently commissioned in the government sector was less than 6,000, Parumala. while the private sector employed over 28 -8/<_+($/7+&$5(5$',86 KERALA SPECIAL MEITRA HOSPITAL MEITRA Hospital, to be launched by August, 2017, and is one of the fastest completed hospital projects in the country. The project end to end completion time was just 18 months. Says Faizal Kottikollon, chairman of the board, Meitra Hospital, “Using the latest technology in offsite construction, we were ASTER DM HEALTHCARE able to bridge the gap between architecture, The group’s projects in Kerala include Aster Medcity Kochi – a 670-bed engineering and technology while reducing quaternary care hospital; Aster MIMS Calicut – a 600-bed tertiary care considerable environmental impact.” Hundred hospital; Aster MIMS Kottakkal – a 200-bed secondary care hospital; DM per cent the hospital’s design and 70 per WIMS, Wayanad- a 575-bed hospital and medical college. cent of the manufacturing was done offsite Says Dr Harish Pillai, head – Kerala Cluster, Aster DM Healthcare, at KEF Infra’s state-of-the-art factory at “We currently have three upcoming projects in Kannur, Kochi and Krishnagiri, Tamil Nadu. The built– up area of Thiruvananthapuram. The Kannur project will be a 250 bed multi-specialty the hospital is 3,50,000 square feet, with a hospital that would complement the existing facility at Kozhikode. The 500-bed strength (in two phases) including project at Thiruvananthapuram will have over 700 beds. There is also a 52 individual intensive care suites to ensure phase II expansion plan for Aster Medcity, as phase I is nearly completed world- class patient care. The hospital will also now.” The group has committed a sum of Rs 600 crore for the expansion host 28 consulting rooms, seven operating of projects.