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Effective change management is the lifeblood for the success of digitally enabled Health programs

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Change Management for Hospital Information Management System (HIMS) The world hates change, yet it is the only thing that has brought progress. Charles Kettering Health transformation through digital means is not about technology but about people, changing the mindset and embracing the change. In this context it is most important for any digitally enabled health transformation project to ensure that the change through HIMS implementation is sustainable across all user groups. Core users, such as doctors and nurses, need to understand why the change is happening, how it can benefit them individually, and how it will impact their day-to-day activities. Additionally, it is important to communicate how integrated HIMS will make their work easier. Clear communication and training can help ensure a successful implementation and adoption of the new system. The ADKAR model for change management is a widely used framework for managing change and can be effective in digital transform...

Farmers Protest: A big failure of participation and communication in bringing new Farming legislation by GoI

     Farmers are sitting on protest at Delhi border against the newly enacted farm bills which promises to open up the transaction of primary farm produce with anybody, anywhere and anytime. In short a forward looking reform but without any mechanism to empower farming community to prepare themselves to this level leaving behind the Mandi system and MSP route. I don't understand what was the hurry, first it was promulgated through ordinance and then in a much hurried way passed in parliament. This makes the whole process looks suspicious from the beginning and put this forward looking reform in a mess of controversy. Agriculture is a state subject and having these acts without consulting states  makes the good intention to bad one.  Secondly farmers organizations were also not consulted . In sum total there was no pre-legislative exercise to bring these laws. All major stakeholders were left out of any consultative process before bringing such an important legis...

A Million Dollar Question:When the World will become Normal

     The world is reeling under COVID for 7-8 months except China and we are not far from million mortality due to Corona world wide.      The question that lingering to everyone from children to adult to senior citizens that when normal activities will begun. The definition of normal activities is different from person to person, region to region,country to country. But the return to normal means resumption of all social and economic activities around the World.      But it is not visible and may take another year or so to make the World Covid free or transitioning to the case where mortality becomes zero and people find their confidence back to venture out without fear of getting infected or vice versa.      There are two scenarios , one in which the entire world develops herd immunity. Slowly we are moving towards it but the current thinking is to reach the herd immunity by support of vaccine. Without vaccine also herd immun...

National Digital Health Mission (NDHM): A mission within National Health Mission (NHM) 2017

       I remember adoption of National Health Mission (NHM) 2017 after merger of National Rural Health Mission (NRHM) 2005 and National Urban Health Mission (NUHM) 2014, which presents a holistic approach to improve health care services in the country. It envisage the "Continuum of Care " and seek to end the fragmentation of health care services across the country by increasing access to health services, improving quality of health service from Primary Health Centre (PHC) to Tertiary level and significant lowering of the cost of health care delivery by leveraging digital technology. NHM 2017 vision is to build comprehensive health ecosystem on the latest digital architecture and technologies.      It visualizes use of digital technology at all level, component and stakeholders. Care providers to care takers, testing to diagnostics, education to training, medicines to vaccines and above all building a system where mobility of data, record and diagnosi...

Building Long Term Response for Corona like Pandemics

    I start with Jim Kim, former world bank president remarks that, The World has seen repeated instances of cycle of panic,neglect ,panic,neglect, whereby the tremor created by an adverse outbreak recedes , attention shifts , and we let out vital outbreak fighting mechanism atrophy.       This is so true and relevant to this day. The world has faced enough pandemics and epidemics since 3000 BC but every time our response is such that this is the first pandemic. It shows our mentality that we only think to overcome it in shortest time and then forget about it. We have not bothered to include huge experiences learned in fighting all previous pandemics and incorporating these to our future responses . Each time a new war with no memory, reinventing the wheel afresh.      There were several large epidemics and  pandemics which changed the course of history starting from the first recorded epidemic in North East China in 3000 BC. It wiped ou...

China-India conflict has potential to retard 21st Century as Asian Century

     The recent China-India conflict in the midst of pandemic Corona has confused many strategic thinkers as well as common people like us about its timing, need and its overall effect on the India-China relations and the  World order.      The way Chinese economy has grown in last four decades was unthinkable and it put China as the number two economy in absolute dollar terms but on the basis of purchasing power parity it already surpassed USA to become number one. And not only economic , militarily also China has advanced very rapidly.       The economic prosperity has helped China in reducing its poverty in record time and also raising the living condition of its citizens almost comparable to middle income countries. The World envy the growth and power of China and in return China seek to be treated as world power by rest of the world. Both are right in their perception, those who are envying China is also being threatened by the...

Trying to build a post corona Indian stock portfolio

I don't know how many times I miserably failed in building a good  descent portfolio due to several reasons, mainly  not enough information, slow in reaction, emotional attachment etc.  This year also my pre-corona portfolio was battered badly and I tried to shuffle it but again the shuffled portfolio were poorly selected. After too much back and forth finally I decided to do it again and this week picked seven stocks out of 20  with glancing whatever the information available on net for long term , minimum two years. It is a mix of large , medium and small cap companies with moderate risk. My choices are: 1. Bharat Dynamics (large) : Public Sector  2.Jubilant Science (medium) 3. Torrent Power (medium) 4. Deepak Nitrite (medium) 5. Birla Soft (small) 6. IRCON (small ) : Public Sector 7.Garden Reach Ship Builders (small) : Public Sector

Building a Robust Stock Portfolio is a Myth

Building a robust stock portfolio  is like chasing a dream that never comes true. It is like finding the meeting point between earth and sky, balancing your greed and rationality , fear and triumph , finding a common thread between logical and illogical , emotion and detachment, loss and profit , stillness and response , being patient and impatient , picking up fast and slow, able to see long and short etc. It seek a balance between  almost all human behaviors and then only one can think of building a robust portfolio.  It is about diving deep inside the business and understanding more and more about the company and its future. There are so many determinants that it is sheer impossible to satisfy all parameters and then comes the emotion , likeness and longing for a particular stock or sector or business. It only indicates that trying to build or construct such portfolio is almost near impossible. There are few wizards who may have achieved this but for a normal worldly h...

Digital era of distribution

Bit slowly but decisively the world is moving towards unemployment created by technology. Things which are in laboratory ,in pilots , scaling up such as advancing coverage of internet and dependency on it ,cloud getting norms for big data ,robotics , machine learning ,artificial intelligence etc. will reduce human interaction and decreases number of required human resources .but apart from reducing and fueling unemployment it will boost the distribution system and help in reaching unreached . It is also not very clear that how these advance techs will influence the economy and how bigger its change  would be on economy . These technologies will impacts all walks of life on earth but will certainly define the way distribution should reach to the bottom . It will provide means to reach traditional areas left out of distribution net due to several known and deliberate reasons for  limiting the reach. It will change the politics of limited distribution, free market mechanism a...