Narayana Hrudayalaya Case Notes

Narayana Hrudayalaya Case Notes

 Bangalore in India

 Founded in 2001, now houses 500 beds, 10 ORs, 2 cardiac labs, and its own blood and valve banks.

 Pediatric therapy unit 50 beds one of the larges in the world

 Over 11,228 open heart surgeries since its opening

 Followed a hybrid strategy of attracting paying patients by it’s reputation for high quality combined with a focus on lowering its costs of operation wherever possible so a larger number of people can seek treatment

 Break-even price 1 OHS was $2,000 adults $2,900 children. Cheaper than average price of OHS in a private hospital of $5,500

 Karuna Hrudaya package allowed financially constrained patients to pay $1,400 per OHS. Narayana Hrudayalaya Trust helped arrange funds if this couldn’t be afforded

 Phase 2 plan of expanding by Dr. Shetty

 Background o Asia Heart Foundation (AHF) in Calcutta o NH 1.27% mortality rate, 1% infection rate

 The Indian Health Landscape o India is one of the lowest public health care spending levels in the world o There had been improvements in life expectancy, but health and nutrition remained poor o Actual number of physicians per 1,000 population was only .5

 The Demand for Cardiac Care in India o Heart disease was one of the most common illnesses in India

 Heart Disease o 2 common methods of treating heart disease: angioplasty and CABG  Operations Strategy at NH o Dual principal of highest quality at lowest cost consistent with quality o Equipment was imported and all supplies were obtained from vendors that provided the highest quality o “Wal-Martization of health care” to perform a high number of procedures