Critical Care Hope

Hub & Spoke Tele-ICU monitoring for critical care patients

CURRENT IMPACT

As on August 2023

7

Tele-ICU spoke centres established across Rajasthan, Punjab, and Haryana

900+

patients benefited from the services.

Samridh support

With SAMRIDH’s support, Critical Care Hope aims to set up 12 full stack Tele ICUs across the select geographies with a combined bed strength of >100 ICU beds. Timely intervention by Critical Care experts will further reduce the mortality rate by reducing death due to transit. The proposed solution will enable access to quality critical care services to people residing in the tier 2 and tier 3 cities of the 5 select geographies thereby reducing their time taken to travel more than 200 kms on an average to Tier 1 cities. This intervention will also save the patient an average of INR 1,00,000 for hospitalisation expenses.

Geographical Focus
  • Rajasthan, Haryana, Punjab, Uttar Pradesh and Madhya Pradesh
Potential Impact

  • – 7 Tele-ICU


    spoke centres established across Rajasthan, Punjab and Haryana

  • – 900+


    patients benefited from the services

5331

are disproportionately distributed to cater to a population of 6.6 crores (as of June’21) in Rajasthan, i.e., 8 ICU beds per
100,000 population.

27

Out of 33 districts reported less than the state average of ICU beds per million population

41%

Of patients lose the battle of their life before reaching the hospital.

The public health landscape is heavily biassed towards urban populations of tier 1 and 2 cities with 30% of the urban residents having access to over 60% of hospital beds. The COVID-19 pandemic has also unearthed further challenges in logistics and transportation of medicines and medical equipment. Furthermore skilled manpower to deliver critical care services is extremely scarce. Critical patients must be rushed to hospital or critical units in tier 1 towns or metro cities which involves significant delays and often major complications or death. To improve the critical care service delivery in India, the entire healthcare ecosystem-infrastructure needs to be strengthened.

HOPES (Health Outcomes Focused Preventions and Evaluation System)

Critical Care HOPE, In response to the steep increase in the number of critical care patients during the COVID- 19 pandemic, adopted a Hub-and-Spoke ‘Tele-ICU model’. The model revolves around a dedicated command centre which acts as a Hub to effectively manage critical care patients at remote sites (Spokes). The ‘Tele-ICU’ platform is an innovative model because it allows an intensivist to actively manage the needs of 60-80 ICU patients across multiple locations from the command centre, as against 10-12 patients in a normal hospital scenario where the intensivist has to be at the hospital to physically monitor patient progress. This model not only increases the number of ICU beds that an intensivist can reach in a timely and cost-effective manner, but also deploys automated warnings and diagnostic assistance to provide high quality care to critically ill patients, thereby improving patient health outcomes.