Pathology and Radiodiagnostic (500 Numbers Per Day)

PATHOLOGY AND RADIODIAGNOSTIC

[EIRI/EDPR/4660] J.C.: 2877XL

INTRODUCTION

In India, majority (70-80 per cent) of medical treatments are based on laboratory diagnostic tests, thus making it one of the most promising sectors in the healthcare industry. In India, the medical diagnostics industry accounts for almost 10 per cent of the healthcare sector’s revenues. With the growth in income and health insurance coverage, there is an increasing demand for better healthcare services among the growing population of the country. The sector’s growth will be driven by the country’s growing middle-class, which can afford quality healthcare.

Healthcare diagnostics is growing at the rate of 15-20 per cent per annum. The major driver for this growth is the wide gap of 70-80 per cent cost-advantage that Indian companies have over different countries. Today, patients from neighboring countries in Asia are coming to India to receive specialized medical treatment. India is now meeting international standards at a cost advantage compared to developed countries.

In addition to this, the vast difference in costs between Western countries and India, the country is being seen as the preferred destination for quality health solutions. This has been reflected by increasing medical tourism.

The Indian diagnostic market is broadly divided into equipment and services. The service sector is found to be largely unorganized, with a large presence of players located at the regional or city level. However, a clear and structured format is being established to have better regulations and proper definition for the market. The use of advanced and cutting-edge technologies in understanding a disease prognosis has further strengthened the sophistication level of participants in the sector

COST ESTIMATION

Plant Capacity            500 Nos./Day  

Land & Building (14,200 sq.ft.)    Rs. 4.49 Cr    

Plant & Machinery                    Rs. 7.13 Cr 

Working Capital for 2 Months    Rs. 3.65 Cr 

Total Capital Investment          Rs. 15.75 Cr 

Rate of Return                          15%

Break Even Point                      70%

CONTENTS

INTRODUCTION

MAJOR GAPS IN DIAGNOSTIC SERVICES

MARKET OVERVIEW

KEY MARKET DRIVERS

TECHNOLOGICAL ADVANCEMENTS

INCREASING HEALTHCARE AWARENESS

INCREASING AGING POPULATION

KEY MARKET CHALLENGES

QUALITY CONTROL

PATIENT DATA PRIVACY AND SECURITY

KEY MARKET TRENDS

HOME-BASED TESTING KITS

SEGMENTAL INSIGHTS

PROVIDER TYPE INSIGHTS

TEST TYPE INSIGHTS

END-USER INSIGHTS

REGIONAL INSIGHTS

RECENT DEVELOPMENTS

KEY MARKET PLAYERS

INDIAN DIAGNOSTIC INDUSTRY–POSITIONING

SECTOR GROWTH DRIVERS

NATIONAL DIAGNOSTIC PLAYERS

INVESTMENTS IN THE INDIAN DIAGNOSTIC INDUSTRY

SIGNIFICANCE OF DIAGNOSTICS CHAINS IN THE ECOSYSTEM

THERE ARE MAINLY 3 TYPES OF TESTS: ROUTINE, CLINICAL LAB AND SPECIALTY TESTS

DIAGNOSTIC INDUSTRY

FISCAL YEAR 2022 BASE CASE GDP GROWTH EXPECTED TO BE 9.5%

INDIAN DIAGNOSTIC INDUSTRY TO SUSTAIN PACE OF GROWTH UP TO FISCAL YEARS 2023

HOSPITAL-BASED DIAGNOSTIC CENTRES

DIAGNOSTIC CHAINS

STANDALONE CENTRES

OTHER BUSINESS MODELS IN DIAGNOSTIC INDUSTRY IN INDIA

OUT-OF-HOSPITAL DIAGNOSTICS MARKET IN INDIA TO LOG 12 TO 13% CAGR OVER FISCAL YEARS 2020 TO 2023

OUT-OF-HOSPITAL DIAGNOSTICS MARKET IN ANDHRA PRADESH AND TELANGANA TO LOG 12 TO 13% CAGR OVER FISCAL YEARS 2020 TO 2023

MPREHENSIVE LABORATORY PREFERRED DUE TO MULTIPLE SERVICES UNDER ONE ROOF AND CONVENIENCE TO CUSTOMERS

RADIOLOGY TO ACHIEVE A CAGR OF 13 TO 14% OVER FISCAL YEARS 2020 TO 2023

COVID-19 HAS FUELLED DEMAND FOR RADIOLOGY, INCREASING ITS SHARE IN DIAGNOSTIC SERVICES

INDUSTRY SHIFTING TOWARDS DIAGNOSTIC CHAINS

PREVENTIVE AND WELLNESS TESTING PACKAGES TO BOOST BIOCHEMISTRY TESTING

HUB-AND-SPOKE MODEL IS MOST PREFERRED FOR DIAGNOSTIC CHAINS

HUB-AND-SPOKE MODEL

NATIONAL CENTRE (MAIN CENTRE):

REGIONAL CENTRES:

SATELLITE CENTRES:

COLLECTION CENTRES:

GROWTH DRIVERS, SUCCESS FACTORS AND RISKS

FUNDAMENTAL GROWTH DRIVERS FOR THE DIAGNOSTIC INDUSTRY

WITH LIFE EXPECTANCY IMPROVING AND CHANGING DEMOGRAPHIC PROFILE, HEALTHCARE SERVICES ARE A MUST

RISING INCOME TO MAKE QUALITY HEALTHCARE SERVICES MORE AFFORDABLE AND PREFERRED

INCREASING HEALTH AWARENESS TO BOOST PREVENTIVE/WELLNESS TESTS

MOST COMMONLY USED DIAGNOSTIC MACHINES ARE: -

SPECIALIZED MEDICAL ELECTRONIC INSTRUMENTS LIKE:-

ANALYTICAL EQUIPMENT FOR PATHOLOGICAL AND BIO-CHEMICAL DIAGNOSIS WHICH ARE CURRENTLY BEING MANUFACTURED AND MARKETED BY UNITS INCLUDE:-

SIGNIFICANCE OF ELECTRONICS IN MODERN MEDICAL DIAGNOSTIC INSTRUMENTS:-

SETTING UP A DIAGNOSTIC LAB IN INDIA

SPACE

FINANCE

INSTRUMENTS

STAFF

LICENSE/REGISTRATION

MEDICAL KNOWLEDGE

RADIOLOGY MARKET IN INDIA

OPPORTUNITIES IN THE DIAGNOSTICS LABORATORY

BENEFITS OF CRM IN THE DIAGNOSTICS SECTOR:

SCENARIO OF HEALTHCARE IN INDIA

FIGURE: HEALTHCARE PYRAMID

FIGURE: PRIMARY CARE

FIGURE: DISTRIBUTION OF DEATHS BY MAJOR CAUSE, INDIA (SOURCE: SPECIAL SURVEY OF DEATHS, REGISTRAR GENERAL OF INDIA)

FIGURE: CAUSES OF DEATH IN URBAN AREAS (25 – 69 YRS. OF AGE AS %) CARDIOVASCULAR DISEASES CONSTITUTE THE LARGEST SEGMENT (SOURCE: SPECIAL SURVEY OF DEATHS, REGISTRAR GENERAL OF INDIA)

FIGURE: CAUSES OF DEATH IN RURAL AREAS (25 – 69 YRS. OF AGE AS %) CARDIOVASCULAR DISEASES CONSTITUTE THE LARGEST SEGMENT (SOURCE: SPECIAL SURVEY OF DEATHS, REGISTRAR GENERAL OF INDIA)

HEALTH CARE FINANCING IN INDIA

FIGURE: OUT OF-POCKET SPENDING IS THE BIGGEST SOURCE OF FINANCING HEALTHCARE DUE TO LOW INSURANCE COVER.

FIGURE: MODES OF FINANCING HEALTHCARE IN INDIA

GOVERNMENT INCENTIVES ON DIAGNOSTICS:

INDIA ENTRY – KEY CHECK POINTS

NEED FOR LOCALIZATION

PROFILES OF EXISTING DIAGNOSTIC LABORATORIES

CORPORATE DIAGNOSTIC SERVICE PROVIDERS

BRIEF PROFILE OF MAJOR PRIVATE PLAYERS

LIST OF DIAGNOSTIC LABS

DETAILS OF DIAGNOSTICS AND MEDICAL EQUIPMENTS

ELECTROCARDIOGRAPHS:-

THERE ARE OTHER COMPONENTS TO THE ELECTROCARDIOGRAPH:

THEORY OF ELECTROCARDIOGRAPHY

QRS IS UPRIGHT IN A LEAD WHEN ITS AXIS IS ALIGNED WITH THAT LEAD'S VECTOR

SCHEMATIC REPRESENTATION OF NORMAL ECG

ELECTROCARDIOGRAM GRID

SONOGRAPHY INSTRUMENTS

FROM SOUND TO IMAGE

PRODUCING A SOUND WAVE

RECEIVING THE ECHOES

FORMING THE IMAGE

DISPLAYING THE IMAGE

SOUND IN THE BODY

X-RAY MACHINE

MEDICAL ULTRASOUND

X-RAY:-

ELECTRO CARDIOGRAPH (ECG):-

B.P. CHECK-UP:-

BLOOD TEST:-

URELOGICAL TEST:-

STOOL TEST:-

SUGAR TEST FOR DIABETIC PATIENTS:-

SEMEN TEST:-

MEDICAL IMAGING

ULTRASOUND IMAGING:-

COMPUTERISED TOMOGRAPHY (CT):-

MAGNETIC RESONANCE IMAGING (MRI):-

POSITRON EMISSION TOMOGRAPHY (PET):-

MAGNETIC SOURCE IMAGING (MSI):-

APPLICATIONS:-

MAJOR EQUIPMENTS

MICROSCOPE

MAJOR EQUIPMENTS/INSTRUMENTS

ECHO CARDIOGRAPHY MACHINES

TMT WIPRO GE MACHINE

TWO FLAT PANEL CATH LABS

ST. JUDE EP SYSTEM

HOLTER MONITOR – ECG

CX 50

WHAT LICENSE REQUIRED TO OPEN A DIAGNOSTIC LAB

NECESSARY LICENSES REQUIRED OPENING A DIAGNOSTIC LAB

REGISTRATION OF DIAGNOSTIC LAB

LAND AND CONSTRUCTION

ELECTRICITY AND WATER

SEWAGE

BIOMEDICAL WASTE

FIRE AND HEALTH LICENSE

REGULATIONS RELATING TO EMPLOYMENT OF STAFF

SIGN BOARDS

FOOD MANUFACTURING LICENSE FOR OPERATING A KITCHEN

PERMIT TO STORE LPG CYLINDER

PHARMACY REGISTRATION FOR MEDICAL SHOP

TRADEMARK REGISTRATION

VEHICLE REGISTRATION FOR AMBULANCES

ARMS LICENSES UNDER ARMS ACT

WASTE DISPOSAL

PLANNING THE DIAGNOSTIC LAB INFRASTRUCTURE

ONE MUST TAKE CARE OF THESE THINGS;

THE OTHER IMPORTANT LICENSE REQUIRED IS:

LIST OF MAJOR LABORATORY TESTS

LIST OF CONSUMABLES

MEDICAL EQUIPMENTS AND SUPPLIERS

MACHINERY & EQUIPMENT SUPPLIERS

X-RAY ACCESSORIES

AIR CONDITIONING & REFRIGERATION UNITS

IMPORTED PLANT & MACHINERY SUPPLIERS

LIST OF CONSULTANT FOR SETTING UP PATHOLOGY LAB IN INDIA

LIST OF NABET ACCREDITED HOSPITAL & HEALTHCARE CONSULTANT (NABH STANDARD)

MANUFACTURERS/SUPPLIERS OF ONCOLOGY DRUGS

ADDRESSES OF DIAGNOSTIC CONSUMABLES SUPPLIERS

ADDRESSES OF DIAGNOSTIC EQUIPMENT & INSTRUMENT SUPPLIERS

X-RAW MACHINE

ULTRASOUND MACHINE

EEG MACHINES

EXPLANATION OF TERMS USED IN THE PROJECT REPORT

1. DEPRECIATION:

2. FIXED ASSETS:

3. WORKING CAPITAL:

4. BREAK-EVEN POINT:

5. OTHER FIXED EXPENSES:

6. MARGIN MONEY:

7. TERM LOANS:

8. TOTAL LOAD:

9. LAND AREA/MAN POWER RATIO:

PROJECT PLANT LOCATION FACTORS

PRIMARY FACTORS

1. RAW-MATERIAL SUPPLY:

2. MARKETS:

3. POWER AND FUEL SUPPLY:

4. WATER SUPPLY:

5. CLIMATE:

SPECIFIC FACTORS

6. TRANSPORTATION:

7. WASTE DISPOSAL:

8. LABOR:

9. REGULATORY LAWS:

10. TAXES:

11. SITE CHARACTERISTICS:

12. COMMUNITY FACTORS:

13. VULNERABILITY TO WARTIME ATTACK:

14. FLOOD AND FIRE CONTROL:

IMPLEMENTATION SCHEDULE

ORGANIZATION CHART

APPENDIX – A:

01. PLANT ECONOMICS

02. LAND & BUILDING

03. PLANT AND MACHINERY

04. OTHER FIXED ASSESTS

05. FIXED CAPITAL

06. RAW MATERIAL

07. SALARY AND WAGES

08. UTILITIES AND OVERHEADS

09. TOTAL WORKING CAPITAL

10. TOTAL CAPITAL INVESTMENT

11. COST OF PRODUCTION

12. TURN OVER/ANNUM

13. BREAK EVEN POINT

14. RESOURCES FOR FINANCE

15. INSTALMENT PAYABLE IN 5 YEARS

16. DEPRECIATION CHART FOR 5 YEARS

17. PROFIT ANALYSIS FOR 5 YEARS

18. PROJECTED BALANCE SHEET FOR (5 YEARS