Building a Purpose Driven Digital Oncology Platform to Deliver World Class Cancer Care by R. Venkataramanan, Founder CEO, @karkinoshealthcare


KARKINOS HEALTHCARE (KH) is desirous to construct an end-to-end expertise pushed oncology targeted managed healthcare platform the place nearly no individual is disadvantaged of care both by lack of entry or by affordability.

The design and supply might be by way of bespoke options for most cancers care, as a one cease store in expertise, addressing core market wants for this specialised well being care. It’ll use expertise and AI based mostly steady suggestions to improvise care to our personal wants, the learnings of which might be scaled up inside India and past. Karkinos Healthcare is supported by an eclectic Founding Staff with sturdy expertise, healthcare and finance expertise, and a panel of eminent Scientific Advisors in India and overseas. The crew’s efforts are additional augmented by its entry to best-inclass architects, house planners, distributors, expertise help engineers, pharma companions – all of whom mix to create the agency’s USP within the discipline of most cancers care supply. The crew of Karkinos Healthcare has, of their earlier avatars, facilitated the design, growth and commissioning of a 700-bed Specialty Oncology Hospital and the redesign/ modernization of an present hospital, aggregating to 1 million sq. toes in lower than a yr’s time. Each have since been commissioned and are absolutely operational. As well as, they’ve additionally been instrumental within the design and growth of a ‘hub & spoke’ Most cancers Care hospital community within the North East of India that contains of 12 hospitals, presently beneath development. The Distributed Most cancers Care Community mannequin (DCCN) additionally finds a point out in Lancet Oncology.


With gross underreporting and insufficient analysis, there’s a excessive burden of Most cancers in India with nearly 1.9 million new instances per yr. Greater than ~50% most cancers sufferers go to a physician for the primary time, at or previous the third stage of most cancers, thereby requiring multi-modal remedy, unfold over 2-3 years and at last succumb to the illness. Most cancers places an enormous private and monetary burden on not solely the affected person, but in addition on the affected person’s whole household with the out-of-pocket bills being as excessive as 70% of the whole remedy price. Together with the lack of working days for the affected person there may be loss for the household and resultant detriment to GDP. With the rise in most cancers instances throughout the nation, and lack of enough most cancers care infrastructure and medical professionals, there’s a must assess the most cancers care requirement higher and put together to bridge the demand- provide hole by enhancing accessibility, availability and affordability of most cancers care. As well as, there may be additionally an pressing want for intensive early detection and prevention initiatives given the remarkably excessive tobacco consumption and low consciousness within the nation. The most cancers care diagnostic and supply platform in India is presently woefully insufficient. A number of gamers principally function in silos thereby contributing to a well being care infrastructure that’s fragmented, inaccessible by sufferers and thus resulting in the unsatisfactory affected person expertise. Current information within the public area and market analysis has demonstrated a major hole within the provide of oncology beds, linear accelerators, radiotherapy technicians and oncologists. With ever-increasing demand from sufferers in search of remedy, the demand/provide hole widens with the passage of time. That is the unaddressed alternative. Nonetheless, there’s a must revisit the working mannequin and encourage the institution of participatory techniques reasonably than proprietary techniques.


Karkinos Healthcare goals to considerably improve entry to most cancers care providers by making a expertise enabled information pushed platform whereby the information structure is centralized, and the supply techniques are democratized and distributed. The answer encompasses a ‘hub- and-spoke and additional spoke’ hospital infrastructure on the again of strong expertise and medical determination help techniques that permits service supply in a large affected person catchment. The mannequin depends on a expertise spine that permits anchor referral hospital/s that cater to advanced instances, surgical procedure, and radiotherapy supported by a community of smaller facilities for catering to analysis and ongoing remedy in order that the remedy could be decentralized, thereby lowering the load on Apex facilities for non- advanced remedy whereas rising accessibility and chopping down on lack of productive days for the household. The community is designed to be ‘wired’ to allow connectivity amongst all facilities, seamless entry to information, diagnostics, and affected person consulting – which features a mixture of a central information repository, diagnostic capabilities, and a standard coaching HR pool. It’s, subsequently, important that the ‘hub and spoke and additional spoke’ most cancers care hospital community be supported by core investments in infrastructure (“Karkinos cloud” and a medical workflow orchestration and care coordination engine). This could entail instruments/apps that can assist gather information from Tier 3-4 medical clinics and aggregation & reporting from Tier 1-2 hospitals. The structure will deal with the creation of the Karkinos spine infrastructure and open APIs adopted by a number of “core apps”. A number of the apps could be open supply for the developer group to emulate and develop extra apps required by the Karkinos community. The precedence of those functions is pushed by clients, the diagnostics and remedy modalities that they at the moment have, and their maturity in dealing with medical information.

The information collected might be key drivers of understanding particular genomic profiles of tumours with the medical annotation that can assist

a) A expertise platform for analysis and information mining

b) A shared providers infrastructure coaching facility and ongoing medical R & D

Karkinos Healthcare strongly believes that expertise would be the key enabler for the de- centralization of professional care. The expertise platform consists of a distributed structure with the event of instruments/functions that can combine seamlessly and securely to a Karkinos spine in drug discovery, diagnostics and remedy methods This can nurture innovation and newer therapeutic approaches to enhance outcomes, as well as, to changing into a powerful income generator. The medical information repository, curated information base and advance analytics might be a part of the Karkinos choices.


Detection & Prognosis – Institution of participatory techniques and close to residence care, Analysis on genomics as a basis method for prevention, Innovation and game-based outreach method for early analysis and wellness.

Information & Analysis – Contribute in the direction of Atmanirbhar Bharat by way of drug discovery analysis and remedy innovation, Giant scale screening and longitudinal information to construct sturdy AI/ML analytics, predictive fashions and medical determination help system for actual world proof.

Ship managed well being care – 2 million+ sufferers served yearly, 10 million+ affected person hours saved yearly.


Karkinos Healthcare over the subsequent 18 months, might be targeted on creating the muse for the next parts –

• a state-of-the-art expertise platform curated for oncology.

• a information community with medical protocols, surgical abilities, digital pathology middle.

• together with fifty Stage 4, fifteen Stage 3, 5 Stage 2 and one Stage 1 centres.

The article was first revealed on the Ok-Vani Weblog by Karkinos Healthcare, it has been republished right here with the writer’s permission, hyperlink to the article

R. Venkataramanan
R. Venkataramanan

Venkat is Founder and CEO of Karkinos Healthcare. He’s at the moment engaged as an Advisor to the Chairman, Reliance Industries Restricted, India’s largest personal sector firm.

Previous to his affiliation with Reliance, Venkat spent greater than a decade and a half with the Tata Group in numerous capacities. His final project within the Tata Group was as Managing Trustee of the Tata Trusts whereby he was accountable for the operations, oversight and co-ordination between the assorted Tata Trusts.

In his function because the Chief Govt Officer of the Tata Trusts, Venkat was engaged in redefining the Tata Trusts’ strategic method with a view to creating it related and conscious of the present wants of society whereas remaining throughout the mandate established by the Settlors. He was immediately overseeing a number of massive initiatives throughout the Trusts viz “Lakhpati Kisan – an program that goals to considerably improve rural prosperity in beneath privileged and disadvantaged communities, redefining Most cancers Care throughout the nation, expertise enabled training initiatives in partnership with Massachusetts Institute of Know-how (MIT) and the sanitation and diet initiatives in collaboration with Govt., of India.

He has over 20 years of enterprise and operations expertise within the areas of finance, enterprise help and technique. From early 2007 to finish 2012, he was Govt Assistant to Mr. Ratan N. Tata, the previous Chairman of the Tata Group. Throughout his stint within the Chairman’s workplace of Tata Sons, Venkat was a part of a number of vital initiatives together with the Tata Motors acquisition of Jaguar Land Rover, launch of the small automotive Nano, creation of a number of Joint Ventures, responses in working firms throughout the 2008 monetary disaster and so forth., and was additionally aware about a number of senior management transitions and alter administration processes within the Tata Group. On behalf of the Chairman, he was the important thing level individual to a number of entities in India and overseas.

Previous to his stint with Mr. Tata’s workplace, Venkat was related as Head of Enterprise Help on the Qatar Basis, a not for revenue entity engaged in Schooling, Science and Neighborhood growth based mostly in Doha, whereby he performed a key function in establishing partnerships with a lot of main US universities.

Venkat is a Science graduate and has completed his MBA from the Sri Satya Sai College, Puttaparthi. He’s additionally a Legislation Graduate from Mumbai College and has accomplished his Superior Administration Program (AMP) from the Harvard Enterprise Faculty. He’s at the moment pursuing his EngD from the College of Warrick, UK on function of Know-how in Well being Care Programs.

Over the previous a number of years, in his private capability, Venkat actively supported Mr. Ratan Tata in his investments within the expertise, digital and e-commerce house which have now begun to draw vital consideration in India and overseas. He was additionally the CEO of UC-RNT Fund, a US$ 350 million VC fund that Mr. Tata established in collaboration with the College of California. A key proponent of societal platforms, he’s the midst of incubating different enterprise and funding automobiles that work within the intersection of enterprise, philanthropy, non-profits and governments on the notion of sustainable shared worth creation for societal profit

– Advisor to Chairman, Reliance Industries Ltd
– Chief of Workers to Chairman, Tata Sons and Managing Trustee of Tata Trusts
– Tata Memorial Hospital and Tata Medical Centre Belief, conceived Tata Facilities for most cancers care
– CEO and Accomplice of UC-RNT Fund and RNT Capital Advisors, a $350 million fund

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