We see that on an average, there are at least 10 new startup’s every month across the country trying to address Health Care IT Problems. Are we really solving or are we complicating things?

According to IMS Institute for Health Care Informatics and Health Care IT News, there are more than 165,000 Health-related apps available and a mere 36 of them have 50% or more downloads. Just 10% can connect to a device or sensor and 2% can sync into providers systems (US App’s).

In the Indian Health Care app scenario; there are around 100 Apps and Websites which are addressing the Health Care segment (My personal research) and quite a few are coming up. Out of these 100, around 40% are catering to search (Doctor, Hospital, Diagnostic Center etc.), 22% are in the Wellness segment, 10% in e-Commerce (Medicine delivery), and the others are distributed in Nutrition, EMR/EHR, Medical Devices, Personal Health Management, Chronic Disease Management, Doctors Networking, Analytics etc.

If you look at the big picture and identify sectors in Healthcare which startup’s are trying to solve, majority of the solutions are coming out in Doctor Search, Booking online appointments, Home Tests and Medicine Home Delivery etc. One concern I personally see is that these solutions are being focused on particular region and this poses challenges for scalability. In India, where we have diversified Health Care models it is very important to understand the scalability, adaptability and acceptability for the solutions which we design.

The other vulnerable area specifically in Medicine delivery is that the control, distinction and distribution of duplicate / fake medications.

There are certain key contributing factors for Startup’s and large organisations alike to bare in mind while defining the problem and designing the solutions.

The Big Picture – It is very important for aspiring entrepreneurs who are attempting to solve Healthcare problems to understand the big picture as to how the system is structured and how can we take this solution to the maximum consumers. Also, one should understand if the solution which is being designed will scale up to address the problem at the Nation’s level and will it contribute to uplift Healthcare delivery. Why is this important? Because scattered solutions do not help.

Workflow oriented – When we design Technology solutions for addressing Health Care IT, the most important aspect we should understand is to create solutions based on the Health Care delivery workflows. Even though you design the best solution, if it is not following the delivery workflow, you are loosing consumers.

Scalability – The next important consideration. Why? Health Care IT is not a problem for a specific city / district / state. It is the Nation’s need. Diversifying solutions for each geographical location is not a viable solution. If not today, at a later stage we will need to codify and bring solutions to a common platform.

Adaptability – How are consumers adapting to the solution? India is a culture rich economy where we trust more from family, friends and acquaintances while attempting to utilise HealthCare services. How are we as Entrepreneurs attempting to address this scenario in the tools we build? Today, everyone is using technology to get suggestions and help for their requirements, but do not completely go with the solution they find, but definitely ask others around if it is a viable approach. We need to understand the adaptability of the solutions we design and this comes with additional research on what key areas are people likely to gain deeper understanding before attempting to utilise the services.

Contextual – (Will this solution help better the situation) – This goes next to understanding the big picture. The solution we design should be contextual and if required work in tandem with existing solutions to address the scalability and adaptability.

Data Security – Very important aspect of building Health apps. We need to builds systems/applications following he Data security rules because Health data is very vulnerable and it is the responsibility of the Entrepreneur to ensure security.

To quantify, Entrepreneurs wanting to address HealthCare IT, should begin with the end in mind, understand the System and help develop workflow solutions which contribute to the Macro level.

We hear it everyday; in School, In College and at our workplace. “You need to think big if you need to be successful or get things done”. What does this exactly mean?

Thinking big is the ability to understand the situation and analytically arrive at an answer.

This is not easy. Having an understanding of a situation demands understanding the probable answers and then applying our knowledge to derive an appropriate solution.

In few scenarios we do have a lot of input. Even if we did not study the subject we talk to people, read literature and arrive at a methodology. For example, ‘Money Management’. The moment we start earning, we get lot of suggestions of how to save and invest so that we get good returns on our money. Financial institutions do a lot of advertising for us to understand. Even if we did not study Finance as a subject we develop our skills. When it comes to what we want to do in life or better at a job? We don’t get this information easily. We need to invest time to learn and apply our learnings.

In a running race, to participate in an event, you would work hard to build up the stamina and practice your body to help you run without injuring yourself. What differentiates the winner and others is the technique you have built. Developing technique is based on understanding body, its abilities and the plan we device to build it to our need. The person who comes first has ‘thought big’ and understood his/her short comings and worked on them even more than the one who comes second.

It is the same in other facets of life too. Understanding our strengths/weakness; devising a plan to better at each of them are the key ingredients of thinking big.

So the next time you are addressing something, design a plan to get the best out of you. This needs practice and the moment you start practicing you are practicing thinking big.

Everyday we see news articles and posts on Social Media about a lot of things. In my feed on Facebook for instance, for every 100 posts which come up, 60% are perception based which fortunately or unfortunately are “shared” and not supported with authentic data and mostly leave a negative mark.

In today’s world what we really need in “Perception with data” and this makes a difference.

What happens to just ‘perception’ not supported by data? This creates the negative impact. This impacts our thoughts and these thoughts hamper our actual thinking ability. What happens when your thinking ability comes down is that you turn to opinion based decisions. We all know that opinionated decisions hamper not only us an individual’s but also others around and this impacts the overall society, which has an adverse effect on the Country.

Media is a very powerful tool and we should curate it for a better living.

As Dr. APJ Kalam says “Where there is righteousness in the heart, there is beauty in the character; when there is beauty in the character, there is harmony in the home; when there is harmony in the home, there is an order in the nation; when there is order in the nation, there is peace in the world”.

 Visionaries are people who thin they want to change the world in what ever way they can. By creating their own company, by writing, by traveling, by reading, by sharing their ideas or by creating value in their own lives.

When you embark on a journey with the intention of creating value to yourself, it starts with humiliation, rejection and non-conformance.

When you want to create value to your life, you will need patience, willingness to accept what does not work, embrace it and then build over it. All these are qualities of visionaries who changed the world.

When you wish to change the world, you change yourself and automatically the world around you changes and you become the epitome of change.

Have you embarked on the journey yet?


Most of the complex problems in the world are already solved in the past; Problems which are not on priority are being solved now and the boring problems have been left for this generation to solve.

From Computing to Search to Facebook to LinkedIn to Twitter, all these are not new innovations/inventions, but problems which were solved previously and are now addressed at larger platforms.

Today’s Innovations are stemming from frustrations or inability to connect various solutions. If you look at online market places which bridge the gap in the B2C and B2B segment, this is not a high priority problem. There are existing solutions where we can order goods (by word of mouth, by friends etc). This solution has a limitation. The key limitation is that the choice’s are very minimal and you do not know the variety available in the market. When the problem is magnified, we thought of bringing the world shopping to our finger tips.

For instance, this blog idea is not my invention, but a thought which came about while I was reading about FitMeIn – An online application which offers monthly multiple fitness memberships. What is the pain point they are addressing – Boredom of going to gym everyday. Similarly, quite a few solutions we see today are amalgamation of existing solutions.

Today, there are many platforms from where you can pick ideas if you have the passion to solve them. Use Quora, where you can find many questions and possible answers. Research on this platform to find ideas which you can take forward and solve them. Organisations like HeadStart, Open Coffee Club etc provide a platform for us to solve problems.

Don’t Copy and Paste, but Adapt and Paste is the new mantra.

Creating a niche to bring out the best in yourself always is not an easy one. In today’s world, identifying skill set, nurturing the right attributes with apt understanding of domain are the key qualities to establish oneself.


The 10 Year Rule
To be a perfectionist in a particular field, one needs 10,000 hours of practice. Let us break this into a practical way to implement.


Years 1-2 of your career goes into understanding the “working world” after spending 21 years in school/college.


Years 2-4 go into understand what the work is.


Years 4-6 go into mastering what you are doing.


At this juncture, you need to understand what you wish to do – If you wish to add professional qualifications to strengthen subject knowledge or find work which will help you broaden understanding of the subject.


Years 6-8 go into building on the learnings.


The last two years in the decade goes into establishing yourself as the Subject Matter Expert.


These 10 years will help you complete 10,000 hours of practice and help you identify, create and nurture your niche.


If you aspire to make a meaningful impact in what you do, identifying you niche is the first step.
Life gets really unfair at times. Robs you of what you deserve and what you are destined. Brings you down each second, trying to show you that what ever you do, it has the upper hand. It teaches you to cry, loose confidence and hurt yourself. This is the reality of life.
What do you at these times? Give up? The easy answer is “What ever is destined, it will happen” and this is correct. What ever is destined, will definitely happen. But, if you take a moment and question yourself, the path you have taken, the decisions you have made, all of these will give you different answers.
What did Steve Jobs do when he got fired from his own company? What did Richard Branson do when he had to sell his successfully running music business to start Virgin Airlines and when British Airways was beating him top to bottom? Did they give up? If they did, today, I will not be typing on a MacBook or think of flying in Virgin Atlantic.
Simple Question we need to ask ourself is “What do I want to be remembered for?” This is what Dr. APJ Kalam asked himself. When someone asked him this question, they were looking forward to hearing – Scientist, Statesman etc. But, Dr. Kalam was quick to respond “Teacher”.
Fortunate for him, Dr. Kalam breathed his last when he was teaching and we remember him as a true Thought Leader who had his Theatre of Action perfectly in place.
So, what do you want to be remembered for?
India is a very interesting, unique economy in this world and there are many reasons for that. We are the country with the highest “working population”, we are a country with various traditional medical practices (which prove to work), we are a country with considerable number of people Below Poverty Line, we are a country, where in the last two decades have seen changes in our lives, livelihood, migrations and better quality of life.
With this, even the HealthCare landscape in India is changing. The model we follow is the “Out of Pocket Model”. Even though the Government has a very good spread for reaching each person in the Country, due to various factors, this does not work as expected. Private players are increasing and Technology is playing a bigger role in bridging the HealthCare needs to the common man.
Let us quickly examine the 4 HealthCare models on this Planet:
The Beveridge Model
This model is named after William Beveridge, the man who designed and developed the Britain’s NHS (National Health Services).
In this model, the complete Health Services are funded by the Government from the tax’s collected from public. The best example of complete Beveridge Model adoption is Cuba.
The Bismarck Model
This model is named after Prussian Chancellor Otto von Bismarck. This is an Insurance Model where employers and employees pay for Health Insurance through their payrolls. The Government holds a very strong control on the payout’s and hence the HealthCare costs are controlled. This is a pure “not-for-profit” model and this is the reason even though there are private Health Services, the costs do not go up.
This model is followed in Germany (where there are more than 200 funds which contribute to HealthCare services) and other European countries including Japan and Latin America.
The National Health Insurance Model
This is a combination of Beveridge and Bismarck models. This model uses private providers but funding comes from the Government’s Insurance Programs to which people contribute to. Since payments are controlled by Government, there are no denials/exploitations in the costs and services.
Best example for NHI Model is Canada.
The Out of Pocket Model
About 25% of countries in this world have an established HealthCare Systems are the remaining are Out of Pocket Models.
This is a straight forward model where you pay for the services utilised (Minimal/free in Government Hospitals and completely paid for in Private Hospitals).
Is it time we follow a model / combination of models / Create a Model for ourselves? 

Have you ever tried doing crunches or weights? If Yes, then you do realize that the measurement of your workouts being effective is that you abs get sore and your muscles begin to pain. With that pain will you start seeing results. 

This is the same way one starts to build life. There are quite a few times we are thrown into unknown territories and we start thinking What am I doing? Am I living the life I want? Am I doing what I really want in life? 

These questions become more prominent when you hit roadblocks. As Steve Jobs says “Look into the mirror and ask yourself, if this is the last day of your life, are you happy doing what you are doing? If the answer is No for three consequitive days, then you need to change something”. 

Don’t loose the motivation when things are not going according to your plan. Keep pushing and keep working out. Change the strategy, work and re-work on your plan of action and push yourself. Identify what motivates you and keep bringing those points which motivate you to accomplish what you wish to accomplish. 

Remember, Success always follows failure. 

Since the time I remember, I have always been thinking as to where ideas come from and what does it take for an idea to take off? 

All the successful entrepreneurs share their journey and we get inspired. We want to do something different, but we don’t know where to begin. 

I constantly have ideas which fly by me and then gets lost in time. 

Have a small pocket dairy / use your phone to jot down your idea and you can revist it later. 

What if you are driving or not in a mood to type or write anything – Use the voice recording app on your phone and record you idea. 

Evaluate it later and take it forward. 

Simple. But Complex. 

There is one thig stronger than all armies in the world, and that is an idea whose time has ome – Victor Hugo