#RPA in Healthcare: The Path Ahead for Health IT Leaders By Sreejith Madhavan



Historically, healthcare industry has shown a reluctance to invest in technologies that did not come under the purview of diagnostics and treatment, or demanded by insurance payors (such as electronic claims submission). Anything that required cognitive (human) intervention or intuition was kept aside from the technological takeover. The unprecedented growth of life expectancy, the discovery of new drugs and treatments, and the ability of modern medicine to combat chronic ailments and epidemics have spurred the need for technological inclusion in multiple areas of healthcare.

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#mHealth: A New Growth Engine in MedTech Industry by Ananya Bhandari


Source: Grand View Research
Mobile health highlights the risks and opportunities of pharmaceutical and Medtech industries. Surge in number of purely digital players transformed the mHealth app market


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What does it take to build real-world #AI enabled healthcare solution? By Vijayananda J, @vijayanandaj



Development of new technologies has undoubtedly enabled several breakthroughs in the healthcare industry. To put it simply, it has revolutionised the growth of healthcare from nascent patient-care to accomplishing treatment of life-threatening diseases. High-performance computing and the availability of digital data have extended these remarkable outcomes explaining why AI-based healthcare solutions are at top of the funding lists and are continuously gaining traction.

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NITI Aayog’s National Health Stack - a Healthy Stack?! by Divya Raj @divyaraj1




Extraordinary problems need extraordinary solutions. And creating a country level IT infrastructure addressing challenges in India's Healthcare management for its 1.3 billion population definitely falls very well into that category. 

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#Blockchain in Healthcare: Will it or won't it survive? By Tirupathi Karthik, @TirupathiKarthi




What is Blockchain

Blockchain offers a permanent record of online transactions. Transactions are deemed as a “Block” and a ledger binds them in a “chain” thus earning its moniker “Blockchain”. Each transaction is validated and stored by a network participant based on rules but sans a governing central authority. Information can neither be modified nor copied or deleted.

Every transaction has a time and date stamp, offering a trusted transaction history and allowing verification of such records. Since the information is encrypted, the only way to access the blockchain is with a passcode. This shared ledger system makes Blockchain rather secure. Given this, Blockchain is gaining new use cases for applications that require trusted and immutable data.

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Containing Health Care Cost, What is our role as a Physician? by Dr. Chandrika Kambam @Ckambam




Indian health care is at an inflection point. Today governments’ spending on healthcare needs is one of the lowest amongst the Developing countries [1]. India spends about 5% of the total expenditure on Health which is around 1.7% of the GDP. Public healthcare growth has slowed down over years. In 1998 about 43% of population was served by Public Hospitals and today only 30% use the Public health care system. [2] That means almost 70% of the health care needs are serviced by Private players, trust hospitals and non-profit institutions. This has led to the rapid growth of Private players who are growing at the rate of CAGR 16.5% year on year [3]. The costs of procedures or hospitalization has increased anywhere from 83% to 263% in 10 yrs. i.e. 2004 to 2014. There is also a wide variation of the cost for the same procedure in different hospitals [4]. It is also noted that 86% of rural Indian patients and 82% of urban Indian patients do not have access to any form of employer-provided or state-funded insurance.

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Software Product For Hospital Industry by Girish Koppar @KopparGirish



Before we talk about software product for hospital industry lets understand how the Hospitals are broadly classified

- Based on the legal entity ( Private , Trust or Corporate)
- Based on specialty ( Super specialty, Multi-specialty, Single specialty)
- Based on bed strength ( Larger hospitals and Nursing Homes)

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Electronic Health Record System from the Perspective of Data Privacy by Dr. SB Bhattacharyya @sbbhattacharyya

Electronic health record systems handle health-related ultra-sensitive data of a person throughout his life, along with all personal information that accurately identifies him. This makes it imperative to protect the data from cyber-threats and consequent untold damages. This article discusses the various issues involved and the different mitigation methods.

During the course of any clinical encounter a person discloses ultra-sensitive health related information to his provider to enable the latter to address his health-related problems better, faster, and hopefully, cheaper. Information that he would otherwise rather keep well under wraps. Ethics demands all providers treat all information that their patients disclose to them with the greatest of care and keep them secreted away from everyone, even the spouse, unless explicitly released from this obligation by the patient. The confidentiality of the private information needs to be maintained at the highest possible levels of security by medical professionals at all times—unless there are extenuating circumstances to disclose them, like for the public good, compliance to the law, etc.

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A Data Scientist’s Experience in Decoding Chest Imaging by Vidya MS



The Chest Imaging Update 2018 held by the Narayana Health group, brought together over 150 radiologists, pulmonologists and doctors gathered to update and improve their knowledge in the reporting of Chest Imaging, both X-ray and CT. As a data scientist with keen interest in medical imaging, my aim was to get an inside look into the daily practice of medical professionals in detection and diagnosis of pulmonary diseases.
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PregBuddy’s year with Google Launchpad by Sivareena S. L. @SarikaSivareena




We’re all aware about the Google Launchpad accelerator which selects pre-series A startups across the globe every year to assist them scale their business. Along with this, Google Launchpad has few more offerings where they have extremely well structured programs for various stages of startups. Pregbuddy has benefited from couple of these programs as we grew our product.

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Almighty Data or Hype? By INDERJITH DAVALUR @INDERDAVALUR

DIGITAL TRANSFORMATION AND THE PLACE FOR DATA

Mea Culpa, I am one of those who is guilty of getting on and staying on the Big Data wagon for the wrong reasons. “Data is the new oil” is an oft-repeated phrase. I am about to commit a “virtual” suicide by proclaiming that it is not so. Data has its place and it is not at the top of the digital food chain. I feel that we have crowned the half-naked prince, Emperor in haste.

For the sake of clarity, when I say data, I will be referring to digital data throughout this piece. Data is a by-product of any activity. Therefore, creating data is as natural as breathing. So we have data. A lot of data. So what? Accumulating data, structuring it, storing it, analyzing it are a natural progression from that point onwards. How and what we do with the data is more important. Software. 

The magic that is software, to me, is more transfixing. Consider the prospect of a language written in a semantic that is alien to our natural human language. A cryptic command, logic, condition, trigger – anything at all – that is magically read, understood and acted upon by silicon. Hardware that contains baked-in code that can parse and carry out complex instructions at blazing speeds. Pieces of such chips soldered on a board and communicating through ‘roadways’ of circuits laid out on a board. The miracle of hardware coupled with the magic that is software is what gets my adrenalin pumping. How can such a marvel not be exciting?

Even the awesomeness of hardware pales in comparison to software. Hardware is more or less static. It is confined to physical and functional dimensions. Software, however, is supreme. It can use the same hardware (with some limitations of course) and carry out simple tasks, entertain with games, or perform wildly complex calculations at very very high rates of speed, accurately all the time. And it can do this million million times with alacrity. This is just the beginning of what software can do. But wait, there’s more!

Consider intelligence in software. It suddenly becomes a living, breathing, dynamic being. Almost. Software can learn and teach itself. Crunching data and spitting out patterns and actionable analysis suddenly becomes mundane, banal almost pedestrian. No. I am not against data or big data. By itself, big data is just that. A monstrosity. Sometimes, big data actually gets in the way. Misleads us in making decisions quickly. Software breathes life into data. 

Take any software language or tool. Examine it. Study its flow, the eloquence, the nuance and its brilliance. Brevity in software coding is revered by programming perfectionists. There is elegance in a well-written piece of code that executes beautifully, perfectly, every time. Anyone that can find literary melody in Shakespeare or Milton can certainly begin to enjoy the harmony in a beautifully crafted software application code. So, my appeal goes out to all those who are worshipping big data to take a moment to reflect upon the joy that software brings to our daily lives. After all, the future is software!

Author
Inder Davalur
Inderjith Davalur is a healthcare technology specialist, speaker, writer and utopian dreamer.
Inder works with hospitals committed to transforming the healthcare paradigm with the aid of new innovative technologies. His primary area of interest lies in using data analytics and technologies such as Deep Learning to shift the current physician-driven healthcare model to a patient-driven market dynamic.
Inder focuses on the manifold ways in which data crunching and machine learning can lead to better diagnoses that can not only be made at the time of illness, but predicted way before any symptoms surface. The path ahead in the sector, he believes, lies in the deployment of evolving technologies that immensely influence both diagnostic and therapeutic aspects of healthcare, delivering real patient-driven, data-enabled, informed healthcare.
Inder currently works as the Group CIO at KIMS Hospitals Private Limited, Hyderabad and has previously assumed leadership roles at leading hospitals and companies, in India and the United States of America.
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Simplifying Health Economics by Dr. Karan Sharma

After hearing about India's New Health Insurance Program, I thought it is good idea to share about Health Economics, so here I am

Health economics is a branch of economics concerned with issues related to efficiency, effectiveness, value and behavior in the production and consumption of health and healthcare. 

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Some perceived shortfalls in the proposed Indian National Health Stack by Dr. Pramod Jacob

There is ongoing work in India for a Nationwide Information Technology platform, that will support and facilitate the deployment of the Ayushman Bharat program, which is called the “National Health Stack”, the objective of which is to help achieve Continuum of Care across Primary, Secondary and Tertiary care for each of its citizens and facilitate payment for the care.


A draft of the National Health Stack (NHS) strategy and approach was put out in July 2018 for feedback and comments till July 31, following which no final draft has been published in the public domain. Hence the shortfalls brought out in this write up are based on the July 2018 draft and so these are perceived shortfalls, because the final version may have addressed these concerns. If so, request that the final document be published in the public domain. http://niti.gov.in/writereaddata/files/document_publication/NHS-Strategy-and-Approach-Document-for-consultation.pdf  

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Universal Healthcare: How do we get there? by Ritesh Dogra @ritesh_medium

There is undoubtedly a clear argument for Universal healthcare. The question still looming large is “How do we get there”


Angus Deaton, a well renowned economist, explains that while there is a correlation between higher income and better life expectancy, this is not the only factor. There are means to ensure great health at less cost and equally spending large sum with no purpose, America being one case in point. While earlier any spending on healthcare was dubbed as social overhead, it is no longer so – there is enough evidence to prove that spending on healthcare speeds growth of the nation.

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Timeline: The History of the EMR/EHR by David Rice @bigdatadavid13



Much of the conversation around healthcare technology is centered on where new developments are taking us. But as the age old adage goes, you can’t know where you’re going until you know where you’ve been.
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A PhD Researcher's QnA on #BigDataAnalytics (BDA) with a Healthcare CIO by Inder Davalur, @INDERDAVALUR & Nishita Mehta



Q1. Nishita Mehta: What is data’s role in healthcare & how do you see it influencing future health sector growth in India?

A. Inder Davalur: 

Big Data Analytics (BDA) will have a huge role in healthcare. Healthcare has been a latecomer to using IT as a tool but the future looks good. AI and its children – ML, IoT, and M2M are excellent candidates for advancing technology in healthcare. There is a real potential for technology to advance what I have termed “Connected Continuum of Care” in one of my blogs. This means that with wearables and other Internet of Healthcare Things (IoHT), creating a biome where the patient and doctor/hospital are always connected would become a reality. Always-on Internet is the future and extending that to healthcare is a natural progression. With the price of Internet in India being one of the lowest in the world, we will be in an excellent position to incorporate technology in advancing healthcare delivery.   

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Glossary of terms and acronyms for #Blockchain and #Cryptocurrency




Blockchain: The foundational technology behind the blockchain and cryptocurrency sector. It is a virtual, immutable (unchangeable), distributed store of data stored on servers around the world. This is a new way of distributing both trust and data. It is an alternative to traditional systems where a central organization holds all the data.
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How Mobile Will Transform Primary Healthcare Access in India by Prasad Kompalli, @pkompalli ( mfine @mfinecare )



A few days ago, we came across a very interesting albeit a rare case where a mother wanted to consult a paediatrician. Under a few minutes, she was able to have an online consultation with one of the top paediatricians in Bangalore, who immediately prescribed the required treatment for her child as the  symptoms were severe. At this point the patient informed the doctor that she was on a moving train and travelling towards Bangalore but needed the assistance urgently and was glad to have spoken to him. The doctor meanwhile was totally taken aback. Quickly recovering, he felt a deep appreciation for technology and its ability to empower people and help them access essential services at the hour of need.

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I & L to #AI & #ML in Healthcare by Jyoti Sahai, @jyotisahai

Have you ever wondered why if confronted with any illness symptoms that appear even a bit abnormal, we prefer to consult with a doctor in a large hospital only, even though a more competent doctor may have a clinic next door itself.

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Natural Language Processing #NLP - Giving doctors the freedom to write what they want by Dr. Anuradha Monga

Healthcare produces the highest quantity of data records as compared to any other industry. There has been a substantive shift in the provider workflows from capturing data in paper based records to electronic modes and storage in the past few decades.


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Application of Design Thinking in the Healthcare- Survey results by Vishnu Saxena, @vishnu_saxena


Design thinking is gaining it’s rightful prominence in the Healthcare as a valuable approach to solve range of healthcare issues and redesign care delivery. However, application of Design thinking principles are still not mainstream. NEJM surveyed 625 of their council experts from executives, clinical leaders to clinicians and come-up with their finding on the state of Design thinking in the healthcare.

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Human Factors in Healthcare by Dr. Ruchi Dass, @drruchibhatt



Stare in the middle of the image below..as you move your eyes around you will see black dots flashing. now you know that there is no flashing possible here but it tricks your brain.

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New Data Protection Law Proposed in India! Flavors of GDPR by TMT Practice Team at Nishith Desai Associates




NEW DATA PROTECTION LAW PROPOSED IN INDIA! FLAVORS OF GDPR 
The much-awaited Personal Data Protection Bill, 2018 (“Draft Bill”) was released by the Committee of Experts entrusted with creating a Data Protection Framework for India (“Committee”) on Friday evening.

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#Blockchain for HealthCare Equity by Arnab Paul, @iArnabPaul

In a digital Age when cars drive themselves and CEOs hold meetings across continents in virtual reality conference rooms, engagement of the disenfranchised is a less attractive endeavor than the sleek apps, making it an outlier in the realm of tech solutions.

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Zen Clinicals: An Activity & Workflow based solution (2 of 4)



Part 2 of 4

Now that we have defined the various actors and the activities that they could be performing. It becomes to important to define the guidance as to how these activities will be delivered to their respective audiences. 

In the Zen Clinical System 


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Zen Clinicals: An Activity & Workflow based solution (3 of 4)



Part 3 of 4

Sharing some of the UI screens that I had envisaged for the Zen Clinicals system. The core premise of the system is to be data driven and workflow driven and NOT BE a transactional system wherein a sequential set of activities or tasks are carried out.

Zen Clinicals ensures there are actionable insights that are presented to the right care providers at the right time. 

Welcome you to review the first two parts of this blog: 

Part 1: https://blog.hcitexpert.com/2015/12/zen-clinicals-1of3.html

Part 2: https://blog.hcitexpert.com/2018/07/zen-clinicals-patient-care-pathways-by-manish-sharma.html

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Zen Clinicals: A Patient Care Pathways Solution (4 of 4)


A Clinical Care Pathways Workflow & Activity Orchestration

Overview

Clinical pathways are structured multidisciplinary care plans which address specific clinical scenarios and help to standardize and coordination of care.
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Artificial Intelligence #AI can help address current healthcare challenges in India, Dr Sandeep Reddy @docsunny50

Earlier this year, while making a keynote speech at an Artificial Intelligence (AI) in Health conference in Dubai, I mentioned that AI techniques can be used to address some of the intractable health issues in developing countries. 


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The Integrated Disease Surveillance Program (IDSP ) of India story by Dr. Pramod Jacob

Considering the Nipah virus containment story recently, I thought it would be appropriate to write about the IDSP program in India, as it had a major role in this containment.

The Integrated Disease Surveillance Project (IDSP) was launched in November 2004 with the assistance of the World Bank, to identify and respond to disease outbreaks and epidemics at an early stage, preferably before an event becomes an epidemic. 

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4 hints to get started with #AI in your company by Devesh Rajadhyax @deveshrajadhyax

Most companies are working on Digital Transformation today, and Artificial Intelligence is a critical part of that transformation.

Two questions immediately present themselves-
1.    What is Digital Transformation and how it is different from the IT/ICT transformation that is happening since for than four decades?
2.    Why is AI a critical part of this transformation?

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Why should standalone Hospitals in India focus on IT enabled productivity by Tirupathi Karthik, @TirupathiKarthi CEO at @NapierHealthit



Fresh out of HIMSS India’s inaugural Digital Healthcare Summit, (2015) in Gurgaon, I lamented over the state of healthcare IT in the country. At the time, we were showcasing our hospital information system and launching our telehealth and patient referral management solutions. I should have been proud to be a part of the innovation on display at the event, and understandably so. But what struck me harder than pride at the event and left me with a lingering sense of disappointment was something else. And that was just how far some parts of India lagged behind the rest of the developed world in terms of healthcare delivery and quality.

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mfine, the MVP of a “Cloud Clinic” by Prasad Kompalli, @pkompalli CEO & cofounder, mfine @mfinecare



It has been roughly a year since Ashu and I started mfine. During the course of this journey, we studied the healthcare sector very closely and started interacting with people in the ecosystem. The more we learnt, the more we got passionate about healthcare and at times obsessed with it!

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SURVEY: The use of Big Data Analytics (BDA) for better healthcare delivery in India by Nishita Mehta

This survey tries to understand the state of healthcare data management in hospitals in India and the use of Big Data Analytics (BDA) for better healthcare delivery


The results of this survey will help obtain insights in how the hospitals can make use of technological developments for improving care delivery. 

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My thoughts on DISHA - The Digital Information Security in Healthcare Act, India by Mr. Inder Davalur @inderdavalur

Here's my tuppence on DISHA (Draft Digital Information Security in Health Care Act)

I have listed the areas that the CIO would do well to examine the capabilities in the HIS/EMR used at her/his hospital. The dependency for the CIO on the vendor goes up multiple fold because, the ability of the hospital to respond to the Government/Courts with reports and evidence and also provide flexibility to the patient to request and effect changes to their consent are key. I have attempted here to respond with my thoughts on some salient points in the draft legislation.
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2018 Internet Trends Rerport by Mary Meeker @KPCB



Review the Mary Meeker 2018 Internet Report to understand the most important technology statistics and trends. Legendary Venture Capitalist has released the 2018 Internet Report covering insights about mobile, commerce, competition between Tech Giants, Freelance workers, Job Trends, Healthcare spend, and many other aspects in the entire 294 page report.


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Comparison of #telemedicine with in-person care for follow-up after elective neurosurgery: results of a cost-effectiveness analysis of 1200 patients

Comparison of telemedicine with in-person care for follow-up after elective neurosurgery: results of a cost-effectiveness analysis of 1200 patients using patient-perceived utility scores


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Why India needs Healthcare Information Technology (HIT) by Dr Pramod D. Jacob


India with its vast population of over 1.3 billion firstly has a challenge in keeping a track of this vast population's health, much less keep them healthy.  One of the major reasons for this is lack of timely, accurate and reliable healthcare information in today's paper world



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How can Digital Health be Implemented as envisaged in the National Health Policy 2017? by Prof. Supten Sarbadhikari @supten



The National Health Policy 2017 (NHP-2017) of India correctly identified the need for creating many new institutions like the National Digital Health Authority (NDHA).  However, the ground realities don’t appear to have been considered well enough. Early setting up of a functional NDHA is essential for India to avoid a digital health mess in future. The first job for the proposed NDHA will be to formulate a robust National Digital Health Strategy / Policy, in consultation with all the stakeholders. Caution needs to be exercised before cross referrals and sharing disparate information among different systems of medicine. Health informatics education must be embedded as an integral part for health and hospital management. It may be prudent to include Health in the Concurrent list of the Constitution of India. That will ensure a smooth adoption of digital health in India. Seeking comments on the Draft Bill DISHA (Digital Information Security in Healthcare Act) is a good start.

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Clinical Decision Support Systems: Resolving the “Build or Buy” Dilemma - Part 2 by Dr. Ujjwal Rao, @drujjwalrao


The 2 part paper (review part 1 here): Discusses the key role of evidence-adaptive clinical decision support systems (CDSS) in the healthcare system of the future. Weighs the pros and cons that hospitals should consider when deciding to buy or build such decision support tools


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Clinical Decision Support Systems: Resolving the “Build or Buy” Dilemma - Part 1 by Dr. Ujjwal Rao, @drujjwalrao

Healthcare providers today face the challenge of delivering up-to-date, evidence-based care given the ever burgeoning pool of medical evidence, which is not only prone to inconsistencies but also take an average of 17 years to make their way into routine clinical practice. 

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How do we value your #startup?  Part 2 by Arpit Agarwal, @arpiit



In the previous post we talked about how VCs perceive valuation and how to broadly deal with it. It was aimed to dispel some misconceptions most first-time entrepreneurs may have about this very important aspect of our business. This posts builds on that and another and gives you actual numbers to play with. Before you go on, it maybe a good idea to take a look at the way I define stages of a startup.

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How do we value your #startup?  Part 1 by Arpit Agarwal, @arpiit



This is the favorite topic of every single startup entrepreneur in early stages of their evolution. It also incites an academic curiosity in a large number of people who, like the 3 adorable dads in this video, have a highly misplaced notion about it. A big reason why this happens is because we don’t write about it so often in India and, perhaps, everyone understands this quite well in US or China.
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5 product management hacks to build great products by Subhadeep Mondal, @smondal1008

In the past 5 years, I had the opportunity to build and ship great consumer products which touches the lives of millions of people around the world. Recently, Branchmetrics invited me to share some of my learnings at Innov8 CoWorking Space along with speakers from UrbanLadder, HeadSpin, Branch.io and Glispa Global.
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