humanising care…

Vol 3, Issue 4

October 2016

EDITORIAL

Clinical governance is a framework through which health sector organizations constantly strive to upgrade their overall quality of service, particularly that of clinical care. It aims to reduce unjustifiable variations in service outcomes and, as a result, enhance the performance of hospitals to be near the best. It also improves appropriateness of care, elevates the competency of the staff and enhances patient safety.

Of late, an impetus towards clinical governance in CARE has led to the evolving of systems such as clinical audit, clinical process re-engineering, disease management of STEMI, Heart Failure, Stroke and Poly trauma, risk management and Electronic Medical Records. Incident reporting, action to reduce discharge time, enhancing the competency of nurse trainers and even the display of patient safety posters, which has prominent clinicians saying, “I ensure that my prescriptions are in capital letters, this keeps my patients safe”, are but a few of the many initiatives in this direction. In order to succeed, clinical governance will require a buy in and commitment at all levels, supported by both human and financial resources. It will require setting and comparing standards through internal and external benchmarks besides a structured and empowered Clinical Governance Committee, both at the corporate and the units, which reviews, monitors and oversees progress to achieve the purpose. It is also imperative to develop a culture that acknowledges the current imperfections

Col M Rajgopal (retd), Chief of Human Resources

What’s Keeping us Busy... 2 Training @CARE 7 In The Limelight 8 Book Reviews 8

Delight Stories 9 Patient Testimonials 11 Feature of The Month 12 CARE Foundation 12

Inside

in the delivery of care, with a desire to work together to overcome the same. Meaningful clinical governance is unlikely to be achieved without the enthusiasm and support of a motivated clinical leadership. The clinical governance initiative at CARE has the potential of enhancing the way we deliver services and, hence, should ideally be driven at the level of the Board for a group wide impact.

The first greenfield project of CARE commenced operations this month at Bhubaneswar. It was a proud moment for Dr MP Tripathy, MD, Mr Gaurav Khurana, FCOO and their team which was well supported from the Corporate. We are certain that this second unit at Bhubaneswar will excel because of its modern and aesthetic infrastructure along with the presence of very skilled senior consultant doctors, supported by an enthusiastic staff. The unit is poised to set a fine example in high quality patient care. Our best wishes to the Bhubaneswar unit.

Every features stories that exemplify the tremendous human effort involved in caring for our patients. In this edition it's about Vidya who was under the treatment of doctors at CARE for close to twenty years! A truly inspiring example of hope, persistence and loving care provided by everyone — doctors, nurses, administrators and the stoic courage of her parents.

Wishing everyone a joyful and prosperous Diwali!

First OP patient seen at Bhubaneswar II First inpatient

Clinicians' induction program The shimmering lobby

“ I ensure that I sign my verbal orders within 24 hrs, this keeps my patients safe”.

“ I ensure that my prescriptions are in capital letters, this keeps my patients safe”.

WHAT'S KEEPING US BUSY AND IN THE NEWS

2 3

WHAT’S KEEPING US BUSY AND IN THE NEWS

We welcome Dr Mudit Saxena as CEO of CARE Hospitals Group

Dr Mudit Saxena is a highly accomplished administrator with a Masters in Hospital Administration from ASCI, Hyderabad, and an Executive MBA from the Indian Institute of Management, Bangalore. He did his MBBS from SMS Medical College, Jaipur and has also trained at Johns Hopkins Bloomberg School of Public Health and Singapore Management University.

Mudit has over 18 years of experience in leadership roles in corporate, trust and public sector healthcare organizations. Before joining CARE Hospitals, he was COO of HealthCare Global Enterprises Ltd., heading operations in Karnataka, Rajasthan and Madhya Pradesh, spearheading new business initiatives, central pharma procurement and manufacturing services for the group. Earlier he was Programme Director, Fortis Hospital FMRI (Gurgaon) and Head Medical Services, Wockhardt Hospitals Ltd.

Life Beyond Fear

CARE Banjara organized the first-ever blood cancer and related disorders survivors’ meeting th“Life beyond fear”on 18 September, to create confidence about the range of treatments

available and how such patients can lead a quality life. Presided over by Dr B Soma Raju, CMD and Dr Sonali Sadawarte, Consultant, Haemato-Oncologist and Bone Marrow Transplant, the event was held to commemorate Leukemia and Lymphoma Awareness Month.

Several blood cancer and related diseases’ survivors and patients were present at the meeting. They shared their positive experiences which raised the morale of patients undergoing treatment. They also answered audience questions and celebrated the occasion by singing, dancing and participating in a quiz.

Mission Levers & Clinical Governance MeetsthThe Mission Levers review meeting on 19 August was attended by all the Medical Directors, FCOOs,

Clinicians and Mission Levers teams, besides a sizeable number of clinicians. The meeting took stock of the progress of the Mission Levers and deliberated on the way forward. As always, the talk by Mr Durga Prasad provoked many stimulating conversations.

thThe Clinical Governance meet on 20 August was attended primarily by Clinical HoDs, Medical Directors and other clinicians. It began with talks by Dr B Soma Raju, CMD and Dr N Krishna Reddy, VC. This was followed by an active discussion wherein the clinicians participated enthusiastically. The complexities of the role of clinicians in clinical governance were highlighted. Clinicians were urged to play a larger role in unit management in order to better understand the operational needs and work towards a more productive organization.

Haritha Haram Across CARE

A green initiative, the Haritha Haram program was launched by Chief Minister of rdTelangana, Mr K Chandra Shekhar Rao on 3 July. Focusing on tree plantation

initiatives, it aims at increasing the present 24% tree cover to 33% of the total geographical area of Telangana, by planting 230 crore saplings over the next three

Wonders of Hands Competition @ CARE Hi-tech City

On Independence Day, CARE Hi-tech City, in association with “The Hindu” newspaper organized a poster competition “Wonders of Hands” for school children. More than 200 students participated in the competition and made beautifully imaginative posters on road

Organ Donation Awareness Program thOrgan Donation Day is observed on 13 August every year. On this occasion, CARE Vizag

th thconducted its third organ donation awareness program from 8 to 13 August. CARE Vizag started organ transplants in 2010 and has now completed 200 kidney transplants, 15 liver transplants and also performed the first cadaver heart transplant in Andhra Pradesh in 2012, becoming the sixth city in India to do so. The awareness activities aimed at motivating people to pledge their organs, while dispelling myths and fears of what is indeed a noble gesture. Other initiatives included launching of a Donor Pledge Card, in association with Jeevandan, Andhra Pradesh, with requests to individuals to register for organ donation, as well as staging of plays and talks by senior consultants to educate the community.

CME on National Bone and Joint DaythNational Bone and Joint Day is celebrated on 4 August every year. On this occasion, CARE Bhubaneswar organized an

arthroscopic workshop at Talcher, Odisha. Prof SK Dash, Chief Consultant, Orthopedics & Bone Replacement Surgeon, along with Dr AR Dash, Orthopedic Consultant, Nehru Satabdi Central Hospital, MCL performed a free surgery. Around 40 doctors attended the workshop. A free bone and joint screening health camp was also held, where bone mineral density (BMD) screening was carried out for over 120 people. Later, at a scientific session, Dr SK Dash gave a presentation on total knee replacement, which was also attended by Dr PC Prata, Chief of Medical Services.

World Heart Day Activities

On the occasion of World Heart Day (September 29) CARE Vizag, in association with Eenadu, organised several activities including a public awareness program, a drawing competition titled "Wonders of Hands" for school children themed "Power your life", an awareness session at Hyderabad Petroleum Corporation Limited and a cardiac screening camp at Axis Bank. About 200 children participated in the drawing competition, which was judged by Dr G S R Murthy, Senior Cardiologist, Mr Ashim Kumar, FCOO and Prof Ramesh, Prof Das and Prof Patnaik from Andhra University (Fine Arts). A screening camp was also organized for the parents and grandparents of the children.

He is highly motivated and self-driven and possesses excellent team building skills. He is committed to quality initiatives, with a focus on improving clinical outcomes and service delivery. He has served as Chairperson, Key Speaker and Panelist at various international and national healthcare forums. He has also been a mentor and guide to students across the country as well as abroad from Harvard Medical School.

We look forward to a new vibrant phase of CARE under the stewardship of Dr Mudit Saxena!

Introducing 65-year-old Mr Ramulu, who has successfully combated Acute Myeloid Leukaemia, Dr Soma Raju said that he was a true inspiration for cancer patients. Other inspirational patients included Supraja, 14, who has resumed her studies after treatment for Acute Lymphoblastic Leukemia and Mr Abdul Kareem, 60, who is now leading an almost normal life after treatment for Multiple Myeloma.

Advising regular annual check-ups after the age of 40, Dr Soma Raju highlighted the significant progress in the treatment of cancer if diagnosed at an early stage. People should stay strong and positive; they should follow the doctors’ advice and not worry about the temporary side-effects of treatment. The range of treatment modalities available today include minimal invasive surgery, targeted therapy, new chemotherapy drugs and high precision radiotherapy, he said.

Dr Sonali Sadawarte said that the meeting’s title “Life beyond fear” conveyed the message that cancer was not a death sentence. Treatment is now easily available, affordable and is even administered in day care sessions. Newer drugs have lesser side effects. Intensive therapies like bone marrow transplants have brought about a significant difference in the outlook of blood cancers. Service Standards Session at Musheerabad

thOn 5 August CARE Musheerabad organized a learning session on “Service standards”. Mr Rajeev Chourey, VP (Quality & Operations) spoke on the responsibilities of various hospital departments and how to improve their service standards. It was an interactive session, with associates participating actively in group discussions. Mr Chourey conducted a case study and shared his personal experiences on how to ensure good service. The session was very helpful in laying down behavioral standards to improve services in our units.

Critical Care Nursing Course

The “Learn while you earn” initiative received a boost with the INC (Indian Nursing Council) according approval for the Diploma in Critical Care Nursing program. The highlight of the course, to be launched soon, ensures that associates can continue to work while studying. Announcements for admissions will be made shortly.

Open Forum Elicits Good Response stThe Open Forum concept implemented at CARE Bhubaneswar from 1 September stimulates discussions

on departmental issues amongst associates with prompt follow-up action to redress the issues. Specific weekdays have been designated for various departments, such as nurses, paramedical and admin staff. The sessions, chaired by Dr MP Tripathy, MD and Mr Gaurav Khurana, FCOO are attended by all the key functionaries.

years. The multi-pronged approach includes rejuvenating degraded forests with better protection against smuggling, encroachment, fire and grazing, as well as intensive soil and moisture conservation measures using the watershed approach. Several units of CARE observed Haritha Haram and planted saplings.

safety. The entries were judged by Chief Guests Mr Rajanna, Vice President, Tata Consultancy Services and Dr Avani Rao Gandra, artist, writer and curator.

Speaking on the occasion, Dr Rajeev Menon, MD, CARE Hi-tech City said, “Such events taken up as part of the organisation’s corporate social responsibility efforts are essential.” He added that more events would be taken up to help children learn about life-saving techniques.

WHAT'S KEEPING US BUSY AND IN THE NEWS

2 3

WHAT’S KEEPING US BUSY AND IN THE NEWS

We welcome Dr Mudit Saxena as CEO of CARE Hospitals Group

Dr Mudit Saxena is a highly accomplished administrator with a Masters in Hospital Administration from ASCI, Hyderabad, and an Executive MBA from the Indian Institute of Management, Bangalore. He did his MBBS from SMS Medical College, Jaipur and has also trained at Johns Hopkins Bloomberg School of Public Health and Singapore Management University.

Mudit has over 18 years of experience in leadership roles in corporate, trust and public sector healthcare organizations. Before joining CARE Hospitals, he was COO of HealthCare Global Enterprises Ltd., heading operations in Karnataka, Rajasthan and Madhya Pradesh, spearheading new business initiatives, central pharma procurement and manufacturing services for the group. Earlier he was Programme Director, Fortis Hospital FMRI (Gurgaon) and Head Medical Services, Wockhardt Hospitals Ltd.

Life Beyond Fear

CARE Banjara organized the first-ever blood cancer and related disorders survivors’ meeting th“Life beyond fear”on 18 September, to create confidence about the range of treatments

available and how such patients can lead a quality life. Presided over by Dr B Soma Raju, CMD and Dr Sonali Sadawarte, Consultant, Haemato-Oncologist and Bone Marrow Transplant, the event was held to commemorate Leukemia and Lymphoma Awareness Month.

Several blood cancer and related diseases’ survivors and patients were present at the meeting. They shared their positive experiences which raised the morale of patients undergoing treatment. They also answered audience questions and celebrated the occasion by singing, dancing and participating in a quiz.

Mission Levers & Clinical Governance MeetsthThe Mission Levers review meeting on 19 August was attended by all the Medical Directors, FCOOs,

Clinicians and Mission Levers teams, besides a sizeable number of clinicians. The meeting took stock of the progress of the Mission Levers and deliberated on the way forward. As always, the talk by Mr Durga Prasad provoked many stimulating conversations.

thThe Clinical Governance meet on 20 August was attended primarily by Clinical HoDs, Medical Directors and other clinicians. It began with talks by Dr B Soma Raju, CMD and Dr N Krishna Reddy, VC. This was followed by an active discussion wherein the clinicians participated enthusiastically. The complexities of the role of clinicians in clinical governance were highlighted. Clinicians were urged to play a larger role in unit management in order to better understand the operational needs and work towards a more productive organization.

Haritha Haram Across CARE

A green initiative, the Haritha Haram program was launched by Chief Minister of rdTelangana, Mr K Chandra Shekhar Rao on 3 July. Focusing on tree plantation

initiatives, it aims at increasing the present 24% tree cover to 33% of the total geographical area of Telangana, by planting 230 crore saplings over the next three

Wonders of Hands Competition @ CARE Hi-tech City

On Independence Day, CARE Hi-tech City, in association with “The Hindu” newspaper organized a poster competition “Wonders of Hands” for school children. More than 200 students participated in the competition and made beautifully imaginative posters on road

Organ Donation Awareness Program thOrgan Donation Day is observed on 13 August every year. On this occasion, CARE Vizag

th thconducted its third organ donation awareness program from 8 to 13 August. CARE Vizag started organ transplants in 2010 and has now completed 200 kidney transplants, 15 liver transplants and also performed the first cadaver heart transplant in Andhra Pradesh in 2012, becoming the sixth city in India to do so. The awareness activities aimed at motivating people to pledge their organs, while dispelling myths and fears of what is indeed a noble gesture. Other initiatives included launching of a Donor Pledge Card, in association with Jeevandan, Andhra Pradesh, with requests to individuals to register for organ donation, as well as staging of plays and talks by senior consultants to educate the community.

CME on National Bone and Joint DaythNational Bone and Joint Day is celebrated on 4 August every year. On this occasion, CARE Bhubaneswar organized an

arthroscopic workshop at Talcher, Odisha. Prof SK Dash, Chief Consultant, Orthopedics & Bone Replacement Surgeon, along with Dr AR Dash, Orthopedic Consultant, Nehru Satabdi Central Hospital, MCL performed a free surgery. Around 40 doctors attended the workshop. A free bone and joint screening health camp was also held, where bone mineral density (BMD) screening was carried out for over 120 people. Later, at a scientific session, Dr SK Dash gave a presentation on total knee replacement, which was also attended by Dr PC Prata, Chief of Medical Services.

World Heart Day Activities

On the occasion of World Heart Day (September 29) CARE Vizag, in association with Eenadu, organised several activities including a public awareness program, a drawing competition titled "Wonders of Hands" for school children themed "Power your life", an awareness session at Hyderabad Petroleum Corporation Limited and a cardiac screening camp at Axis Bank. About 200 children participated in the drawing competition, which was judged by Dr G S R Murthy, Senior Cardiologist, Mr Ashim Kumar, FCOO and Prof Ramesh, Prof Das and Prof Patnaik from Andhra University (Fine Arts). A screening camp was also organized for the parents and grandparents of the children.

He is highly motivated and self-driven and possesses excellent team building skills. He is committed to quality initiatives, with a focus on improving clinical outcomes and service delivery. He has served as Chairperson, Key Speaker and Panelist at various international and national healthcare forums. He has also been a mentor and guide to students across the country as well as abroad from Harvard Medical School.

We look forward to a new vibrant phase of CARE under the stewardship of Dr Mudit Saxena!

Introducing 65-year-old Mr Ramulu, who has successfully combated Acute Myeloid Leukaemia, Dr Soma Raju said that he was a true inspiration for cancer patients. Other inspirational patients included Supraja, 14, who has resumed her studies after treatment for Acute Lymphoblastic Leukemia and Mr Abdul Kareem, 60, who is now leading an almost normal life after treatment for Multiple Myeloma.

Advising regular annual check-ups after the age of 40, Dr Soma Raju highlighted the significant progress in the treatment of cancer if diagnosed at an early stage. People should stay strong and positive; they should follow the doctors’ advice and not worry about the temporary side-effects of treatment. The range of treatment modalities available today include minimal invasive surgery, targeted therapy, new chemotherapy drugs and high precision radiotherapy, he said.

Dr Sonali Sadawarte said that the meeting’s title “Life beyond fear” conveyed the message that cancer was not a death sentence. Treatment is now easily available, affordable and is even administered in day care sessions. Newer drugs have lesser side effects. Intensive therapies like bone marrow transplants have brought about a significant difference in the outlook of blood cancers. Service Standards Session at Musheerabad

thOn 5 August CARE Musheerabad organized a learning session on “Service standards”. Mr Rajeev Chourey, VP (Quality & Operations) spoke on the responsibilities of various hospital departments and how to improve their service standards. It was an interactive session, with associates participating actively in group discussions. Mr Chourey conducted a case study and shared his personal experiences on how to ensure good service. The session was very helpful in laying down behavioral standards to improve services in our units.

Critical Care Nursing Course

The “Learn while you earn” initiative received a boost with the INC (Indian Nursing Council) according approval for the Diploma in Critical Care Nursing program. The highlight of the course, to be launched soon, ensures that associates can continue to work while studying. Announcements for admissions will be made shortly.

Open Forum Elicits Good Response stThe Open Forum concept implemented at CARE Bhubaneswar from 1 September stimulates discussions

on departmental issues amongst associates with prompt follow-up action to redress the issues. Specific weekdays have been designated for various departments, such as nurses, paramedical and admin staff. The sessions, chaired by Dr MP Tripathy, MD and Mr Gaurav Khurana, FCOO are attended by all the key functionaries.

years. The multi-pronged approach includes rejuvenating degraded forests with better protection against smuggling, encroachment, fire and grazing, as well as intensive soil and moisture conservation measures using the watershed approach. Several units of CARE observed Haritha Haram and planted saplings.

safety. The entries were judged by Chief Guests Mr Rajanna, Vice President, Tata Consultancy Services and Dr Avani Rao Gandra, artist, writer and curator.

Speaking on the occasion, Dr Rajeev Menon, MD, CARE Hi-tech City said, “Such events taken up as part of the organisation’s corporate social responsibility efforts are essential.” He added that more events would be taken up to help children learn about life-saving techniques.

Evening Marathon

CARE Vizag was the medical partner for the Vizag Steel Bay Marathon, a prestigious and first-of-its-kind event in the City of Destiny.

ndHeld on 2 July, more than 7500 runners from across the country participated in the event. This was the first evening marathon of Andhra Pradesh and India, held on such a large scale.

4

WHAT’S KEEPING US BUSY AND IN THE NEWS

Infection Control for Swachh Bharat, Swachh Hospitals

CARE Nampally, in association with the Infection Control Academy of India (IFCAI) organized the 4 Annual National th

Hospital Infection Prevention and Certificate Course from 29 Sep to 1 Oct. The program was attended by over 500 th st

national and international delegates, including doctors, hospital administrators, students and nursing staff.

The largest event in the area of hospital infection control and prevention, the conference highlighted global issues related to hospital acquired infections (HAI) and anti microbial resistance (AMR), which is responsible for the death of millions every year. Chief Guest Shri Bandaru Dattatreya, Minister of State for Labor and Employment, Govt of India appreciated the initiative of CARE Hospitals and IFCAI for conducting this unique program. He said the women delegates could be torch bearers for the “Swachh Bharat, Swachh Hospital” campaign, conceived by the organizers. He appealed to all delegates to implement this message across the country.

Dr D N Kumar, MD, CARE Nampally urged delegates to strictly implement HAI protocols in their hospitals. Organizing Secretary Dr Mustafa Afzal, Chief Microbiologist recalled that a humble beginning in 2013 had blossomed into a phenomenal movement. Dr Ranga Reddy, President, IFCAI and Dr Vijay Mohan, Senior Physician Consultant also spoke. Moving ahead, the organizers plan to involve and collaborate with similar organizations worldwide, like CDC (USA), WHO, NCDC, APIC (USA) and HPA (UK).

Changing Healthcare Management — Role of Experts

Dr B Soma Raju, CMD, delivered a talk at a national seminar on “Changing Healthcare Management - Role of thExperts” held on 9 September, which was attended by students, faculty and healthcare professionals.

Dr Soma Raju stated that the rapid growth of technology, competition and the increasing role of research and development has had an impact on healthcare education. Earlier patients were going to healthcare providers, now home care is the rising trend. He urged the audience to follow a good lifestyle and stay healthy. Observing that management subjects in healthcare was a new trend, he underscored the necessity for students of MBA healthcare to gain practical knowledge too.

The seminar was conducted by the School of Management Studies, University of Hyderabad (UoH). It was chaired by Prof Rajasekhar, Director, School of Studies, UoH while the inaugural lamp was lit by Dr Soma Raju. Other speakers included Dr Ramani, Director, Telangana State Medical Education Directorate, Prof Rajasekhar, Prof GVRK Acharyulu, Course Coordinator, Dr Sita, Dr Srinivasa Kumar and Dr Ramulu.

CARE Hi-tech City Medical Support for Fitness Event

The Hyderabad Bicycling Club, the world’s largest cycling online club, thorganized a Chak De India 2 ride on 7 August, which was flagged off

by Mr MG Gopal, Special Chief Secretary, Municipal Administration and Urban Development, Mr NVS Reddy, MD, Hyderabad Metro Rail Limited and Mr Stephen Yarwood, former Mayor of Adelaide, Australia. CARE Hi-tech City extended medical support for the ride by setting up medical stations, as well as deploying a medical support team with an emergency physician, paramedical personnel, physiotherapist and nurses. Around 2000 people participated in the event.

CARE Hi-tech City was also the medical partner for the Hyderabad Go Heritage Marathon 21k run, th organized by Hyderabad Runners Society on 24 July. More than 700 people participated in the run.

CARE Hospitals, Bhubaneswar celebrated its th th 9 anniversary on 24 September.

CARE Partners for Airtel Marathon

For the fifth consecutive year, CARE Hospitals was the medical partner at the Airtel Hyderabad Marathon 2016, held on

th28 August. With a massive turnout of over 18,000 runners, the event proved that the citizens of Hyderabad are becoming fitness conscious. CARE set up 20 medical stations, well equipped with first aid material and paramedics, along the route, as well as a 20-bed capacity, fully equipped medical centre at the finish point line at GMC Balayogi Stadium, Hyderabad.

On Friendship Day, CARE Hi-tech City conducted an online campaign on Facebook where users were asked to tag a friend on CARE Facebook page with a prize for the winning pair. Anil and Kartheek each won a basic wellness health check-up worth Rs 6,200!

CARE in Social Media

5

Liver Disease & Transplant Clinic in Guwahati

To extend specialist services in liver transplantation and complex liver surgery to the people of Assam and North East India, CARE started a super specialty Liver Clinic at Guwahati, in association with North East Care Medical Services. Medical experts from CARE shall visit the city twice a month to see patients.

stThe clinic was inaugurated on 21 September by Mr Ranjeet Kumar

Annual Supply Chain Management Workshop

With the objective of realigning the unit Logistics and Purchase teams to the Corporate policies and initiatives and to ensure team building, a Supply Chain Management (SCM) workshop was organised from August 16-17. It was attended by all unit Logistics and Purchase in-charges, along with key associates, as well as members of the Corporate SCM team.

Addressing the team, Dr B Soma Raju, CMD highlighted the role played by the supply chain department in the hospital industry in ensuring patient care and profitability. Mr Dilip Jose, former CEO complimented the participants on their exceptional performance and impressed upon them the need for enhancing efficiency in the supply chain. Col Naresh Sharma (retd) discussed the performance of this domain and

World Hepatitis Day Observed

CARE Nagpur organized an awareness program on World Hepatitis thDay on 28 July. Dr Vaibhav Banait, Consultant, Gastroenterology

spoke about the disease, causes, symptoms, treatment and prevention of hepatitis. The talk was followed by a question and answer session.

WHAT'S KEEPING US BUSY AND IN THE NEWS

Das, Speaker, Legislative Assembly of Assam and Mr Zubeen Garg, famed Hindi film singer, in the presence of Prof Tom Cherian, Head, HPB Surgery & Liver Transplantation, Dr Srilekha Cherian, Dr Biswarup Pal, Dr Naba Kumar Saha and Mr Mahender Pala, GM (BD). Addressing the audience, Prof Tom Cherian said, “The Liver Clinic offers screening programs to diagnose problems in the liver long before they start to cause symptoms. Liver disease shows no definite symptoms until it is well advanced, so screening can help you get the treatment you need as early as possible.” The clinic would help create awareness, as well as aid in early detection, better assessment and prevention.

CARE Nagpur inaugurated a new thdialysis unit on 8 July to provide 24x7

patient care services. Headed by Dr Ashwini Kumar Khandekar, HOD, Nephrology, the unit is well equipped with qualified technicians.

Leadership Training for HoDs

Col M Rajgopal (retd), CHR and Mr Rajeev Chourey, VP – Operations & Quality conducted leadership training p r o g r a m s f o r H o D s o f C A R E Bhubaneswar.

highlighted the improvements brought about by the unit SCM teams. Mr K Haragopala, Chief of Commercials emphasised the need to achieve the targets in the current FY. An interaction with the Assistant Director, Drug Control Administration evoked wide interest.

On the second day, the team moved to an outbound location for a session on team cohesiveness, with a mix of interesting outdoor and indoor activities. A thought provoking session was conducted by Maj Gen (retd) MSS Krishnan, VSM on the Dynamics of Supply Chain.

COPC: COPC, in association with CARE College of Nursing, Begumpet celebrated National Nutrition Week from September 1-7, by conducting an awareness program on “Healthy eating choices for a healthier nation.” Ms Jeena Cherian, Principal, CARE College of Nursing said that the overall theme this year was “Life cycle approach for better nutrition.” First year BSc nursing students educated patients about a balanced diet and various nutritious foods. They displayed posters, charts and models to explain the theme. Over 300, persons including consultants, staff, patients and their family members, visited the exhibition. Mr Amit Kapoor, DGM, COPC said the objective of National Nutrition Week was to inculcate better nutritional practices and create awareness among the community through training, education, seminars, competitions, road shows and other campaigns to help build a healthy nation.

Bhubaneswar: A CME was conducted for nurses and administrative staff to educate them on the importance of nutrition for a hospitalized patient. A health talk was organized for the senior staff of Jindal Steel at Jajpur.

Musheerabad: Nutritional screening was conducted for all associates, which included anthropometric measurement (height, weight, BMI, etc), dietary advice and fat calculation by TANITA (body composition analyzer).

National Nutrition Week Across CARE

Training classes were conducted for the new frontline executives at CARE Bhubaneswar I I . Dr Arundhathy Mamid i , GM - Admin i s t r a t i on (Corporate) took very interesting domain training classes (July 1-12).

Evening Marathon

CARE Vizag was the medical partner for the Vizag Steel Bay Marathon, a prestigious and first-of-its-kind event in the City of Destiny.

ndHeld on 2 July, more than 7500 runners from across the country participated in the event. This was the first evening marathon of Andhra Pradesh and India, held on such a large scale.

4

WHAT’S KEEPING US BUSY AND IN THE NEWS

Infection Control for Swachh Bharat, Swachh Hospitals

CARE Nampally, in association with the Infection Control Academy of India (IFCAI) organized the 4 Annual National th

Hospital Infection Prevention and Certificate Course from 29 Sep to 1 Oct. The program was attended by over 500 th st

national and international delegates, including doctors, hospital administrators, students and nursing staff.

The largest event in the area of hospital infection control and prevention, the conference highlighted global issues related to hospital acquired infections (HAI) and anti microbial resistance (AMR), which is responsible for the death of millions every year. Chief Guest Shri Bandaru Dattatreya, Minister of State for Labor and Employment, Govt of India appreciated the initiative of CARE Hospitals and IFCAI for conducting this unique program. He said the women delegates could be torch bearers for the “Swachh Bharat, Swachh Hospital” campaign, conceived by the organizers. He appealed to all delegates to implement this message across the country.

Dr D N Kumar, MD, CARE Nampally urged delegates to strictly implement HAI protocols in their hospitals. Organizing Secretary Dr Mustafa Afzal, Chief Microbiologist recalled that a humble beginning in 2013 had blossomed into a phenomenal movement. Dr Ranga Reddy, President, IFCAI and Dr Vijay Mohan, Senior Physician Consultant also spoke. Moving ahead, the organizers plan to involve and collaborate with similar organizations worldwide, like CDC (USA), WHO, NCDC, APIC (USA) and HPA (UK).

Changing Healthcare Management — Role of Experts

Dr B Soma Raju, CMD, delivered a talk at a national seminar on “Changing Healthcare Management - Role of thExperts” held on 9 September, which was attended by students, faculty and healthcare professionals.

Dr Soma Raju stated that the rapid growth of technology, competition and the increasing role of research and development has had an impact on healthcare education. Earlier patients were going to healthcare providers, now home care is the rising trend. He urged the audience to follow a good lifestyle and stay healthy. Observing that management subjects in healthcare was a new trend, he underscored the necessity for students of MBA healthcare to gain practical knowledge too.

The seminar was conducted by the School of Management Studies, University of Hyderabad (UoH). It was chaired by Prof Rajasekhar, Director, School of Studies, UoH while the inaugural lamp was lit by Dr Soma Raju. Other speakers included Dr Ramani, Director, Telangana State Medical Education Directorate, Prof Rajasekhar, Prof GVRK Acharyulu, Course Coordinator, Dr Sita, Dr Srinivasa Kumar and Dr Ramulu.

CARE Hi-tech City Medical Support for Fitness Event

The Hyderabad Bicycling Club, the world’s largest cycling online club, thorganized a Chak De India 2 ride on 7 August, which was flagged off

by Mr MG Gopal, Special Chief Secretary, Municipal Administration and Urban Development, Mr NVS Reddy, MD, Hyderabad Metro Rail Limited and Mr Stephen Yarwood, former Mayor of Adelaide, Australia. CARE Hi-tech City extended medical support for the ride by setting up medical stations, as well as deploying a medical support team with an emergency physician, paramedical personnel, physiotherapist and nurses. Around 2000 people participated in the event.

CARE Hi-tech City was also the medical partner for the Hyderabad Go Heritage Marathon 21k run, th organized by Hyderabad Runners Society on 24 July. More than 700 people participated in the run.

CARE Hospitals, Bhubaneswar celebrated its th th 9 anniversary on 24 September.

CARE Partners for Airtel Marathon

For the fifth consecutive year, CARE Hospitals was the medical partner at the Airtel Hyderabad Marathon 2016, held on

th28 August. With a massive turnout of over 18,000 runners, the event proved that the citizens of Hyderabad are becoming fitness conscious. CARE set up 20 medical stations, well equipped with first aid material and paramedics, along the route, as well as a 20-bed capacity, fully equipped medical centre at the finish point line at GMC Balayogi Stadium, Hyderabad.

On Friendship Day, CARE Hi-tech City conducted an online campaign on Facebook where users were asked to tag a friend on CARE Facebook page with a prize for the winning pair. Anil and Kartheek each won a basic wellness health check-up worth Rs 6,200!

CARE in Social Media

5

Liver Disease & Transplant Clinic in Guwahati

To extend specialist services in liver transplantation and complex liver surgery to the people of Assam and North East India, CARE started a super specialty Liver Clinic at Guwahati, in association with North East Care Medical Services. Medical experts from CARE shall visit the city twice a month to see patients.

stThe clinic was inaugurated on 21 September by Mr Ranjeet Kumar

Annual Supply Chain Management Workshop

With the objective of realigning the unit Logistics and Purchase teams to the Corporate policies and initiatives and to ensure team building, a Supply Chain Management (SCM) workshop was organised from August 16-17. It was attended by all unit Logistics and Purchase in-charges, along with key associates, as well as members of the Corporate SCM team.

Addressing the team, Dr B Soma Raju, CMD highlighted the role played by the supply chain department in the hospital industry in ensuring patient care and profitability. Mr Dilip Jose, former CEO complimented the participants on their exceptional performance and impressed upon them the need for enhancing efficiency in the supply chain. Col Naresh Sharma (retd) discussed the performance of this domain and

World Hepatitis Day Observed

CARE Nagpur organized an awareness program on World Hepatitis thDay on 28 July. Dr Vaibhav Banait, Consultant, Gastroenterology

spoke about the disease, causes, symptoms, treatment and prevention of hepatitis. The talk was followed by a question and answer session.

WHAT'S KEEPING US BUSY AND IN THE NEWS

Das, Speaker, Legislative Assembly of Assam and Mr Zubeen Garg, famed Hindi film singer, in the presence of Prof Tom Cherian, Head, HPB Surgery & Liver Transplantation, Dr Srilekha Cherian, Dr Biswarup Pal, Dr Naba Kumar Saha and Mr Mahender Pala, GM (BD). Addressing the audience, Prof Tom Cherian said, “The Liver Clinic offers screening programs to diagnose problems in the liver long before they start to cause symptoms. Liver disease shows no definite symptoms until it is well advanced, so screening can help you get the treatment you need as early as possible.” The clinic would help create awareness, as well as aid in early detection, better assessment and prevention.

CARE Nagpur inaugurated a new thdialysis unit on 8 July to provide 24x7

patient care services. Headed by Dr Ashwini Kumar Khandekar, HOD, Nephrology, the unit is well equipped with qualified technicians.

Leadership Training for HoDs

Col M Rajgopal (retd), CHR and Mr Rajeev Chourey, VP – Operations & Quality conducted leadership training p r o g r a m s f o r H o D s o f C A R E Bhubaneswar.

highlighted the improvements brought about by the unit SCM teams. Mr K Haragopala, Chief of Commercials emphasised the need to achieve the targets in the current FY. An interaction with the Assistant Director, Drug Control Administration evoked wide interest.

On the second day, the team moved to an outbound location for a session on team cohesiveness, with a mix of interesting outdoor and indoor activities. A thought provoking session was conducted by Maj Gen (retd) MSS Krishnan, VSM on the Dynamics of Supply Chain.

COPC: COPC, in association with CARE College of Nursing, Begumpet celebrated National Nutrition Week from September 1-7, by conducting an awareness program on “Healthy eating choices for a healthier nation.” Ms Jeena Cherian, Principal, CARE College of Nursing said that the overall theme this year was “Life cycle approach for better nutrition.” First year BSc nursing students educated patients about a balanced diet and various nutritious foods. They displayed posters, charts and models to explain the theme. Over 300, persons including consultants, staff, patients and their family members, visited the exhibition. Mr Amit Kapoor, DGM, COPC said the objective of National Nutrition Week was to inculcate better nutritional practices and create awareness among the community through training, education, seminars, competitions, road shows and other campaigns to help build a healthy nation.

Bhubaneswar: A CME was conducted for nurses and administrative staff to educate them on the importance of nutrition for a hospitalized patient. A health talk was organized for the senior staff of Jindal Steel at Jajpur.

Musheerabad: Nutritional screening was conducted for all associates, which included anthropometric measurement (height, weight, BMI, etc), dietary advice and fat calculation by TANITA (body composition analyzer).

National Nutrition Week Across CARE

Training classes were conducted for the new frontline executives at CARE Bhubaneswar I I . Dr Arundhathy Mamid i , GM - Admin i s t r a t i on (Corporate) took very interesting domain training classes (July 1-12).

6 7

WHAT'S KEEPING US BUSY AND IN THE NEWSWHAT’S KEEPING US BUSY AND IN THE NEWS

CARE Foundation Day

For the first time, CARE Foundation celebrated its Foundation Day on June th27 at COPC in the presence of Dr N Krishna Reddy, Vice Chairman, CARE

Group, and CARE Foundation management — Dr A Rajagopala Raju, Chairman, Prof Arun Tiwari, Col Ramachandran, COO and Dr Jaishankar, Registrar. The Foundation was registered under the Registrar of Societies, 20 years ago, on this date. The event was attended by several founding members of CARE Foundation, who are with the CARE Group till date.

Organ Donation – The Gift of Life

CARE Nagpur’s kidney transplant team — Ms Kalpana Sonule, Ms Mangala Laxane, Ms Meena Saxena and Ms Priya Patle participated in a rally organized by Government Medical College, Nagpur on Organ Donation – The Gift of Life. Conducted from Aug 30 – Sept 1, the program aimed at promoting cadaver donation in the city.

CARE Support for Ganesh Immersion

CARE Hospitals provided free medical facilities and emergency services on the occasion of Ganesh immersion

th in Hyderabad on 15 September. Around 45 volunteers were at hand to offer first aid services, while doctors, nurses, paramedical staff, emergency medical technicians and ambulances were stationed around Hussainsagar Lake.

Safe Infusion Practices Awareness Week

CARE Nagpur organized an Awareness Week of Safe Infusion Practices from rd thAugust 3 to 11 to focus on patient care practices such as minimizing

medication error, treatment for complications and hospital acquired infections. Healthcare workers discussed information on infusion therapy techniques, best practices and global infusion standards, resulting in better outcomes, higher patient satisfaction and safer care. Highly educative sessions were conducted on several key subjects, viz, “Chemo Drug

Infusion” by Mr Shailesh (Bard), “Blood Transfusion Practices” by Dr Vivek Shivhare, Pediatrician, “Safe Transfusion of Blood Product” by Dr Harish Warbhe (Life Line Blood

Bank), “LASA Drug and Stock-keeping” by Mr Pravin Maind, Assistant Manager - Hospital Administration, “High Risk Drug and Narcotic Policy” by Mr Roshan Ingole, Head, Purchase & Logistics and “Use of Syringe Pump” by Mr Sunil Burde, Assistant Manager, Biomedical Department. Quiz and poster competitions were organized for nurses and RMOs.

Independence Day at CARE

CARE Hi-tech City distributed free m e d i c i n e s t o t h e c i t i z e n s o f Hyderabad, affected by the recent rains and floods and conducted a

thhealth camp on 26 September.

A general fitness camp was held on th28 August by CARE Surat at Lancer

Army School, in which 800 students and 50 teachers were screened. Dr Khushboo, Dietician, gave a talk on the nutritional need for students.

thOn 16 August, CARE Pune organized a CME for doctors and a lecture on ‘Hysteroscopy’ by Dr Milind Telang, Consultant, Obstetrics & Gynecology.

Fire safety training for the canteen staff by Mr Sanjay, Quality Dept at Raipur.

First Aid Camp for Rath Yatra

The Ratha Yatra, also known as the "Chariot Festival" is celebrated at Puri, Odisha, every year. Lakhs of people from all over the world visit Puri on this occasion. CARE Bhubaneswar took the initiative to set up a first aid camp from July 6-15, for the safety of the devotees. An ambulance was also on standby 24*7 in case of any emergency.

Vizag Lifestyle Clinic

Dr B Soma Raju, CMD launched a Life thStyle Clinic at CARE Vizag on 30 July.

World Sepsis Day

On World Sepsis Day (Sept 13), a sepsis awareness program was conducted by the Critical Care and Microbiology Department of CARE Banjara. Dr B Soma Raju, CMD, and Dr Rajagopala Raju, Chairman, CARE Foundation inaugurated the program. The speakers and their topics included Dr Venkat Raman Kola, HOD, Critical Care on "Sepsis, Early warning signs: Time is tissue”, Dr Jhansi Vani, Sr Consultant, Microbiology on “Diagnostics challenges: Rapid diagnostics role” and Dr Pavan N Reddy, Sr Consultant, Critical Care on "Recent changes in sepsis management". A webinar was held, where doctors from all over India participated.

Team Link for Developing Junior Managers

The Team Link training program is aimed at developing competencies in junior managers so that they become effective team members. The program is designed on an incremental model while factoring in the addition of new entrants to the group.

Doctors Participate in Leading Edge Training

The Leading Edge training program for middle level managers was held on August 26-27. Dr B Soma Raju, CMD and Dr N Krishna Reddy, VC, spoke to the associates on Clinical Governance, while Mr Rajeev Chourey, VP (Quality & Operations) spoke on Service

Patient Centered Leadership

The Patient Centered Leadership training program concluded after the fourth session. The associates participated in positive energy training and were exposed to functional subjects that have an impact on the discharge of their responsibilities. The highlight was the one-day outbound training held at NISIET campus. This is the second batch of this unique program that focuses on building role models among frontline associates so that service delivery is of a high order.

TRAINING @ CARE

Book Published

Dr T Vamshidhar, DNB Resident, CTVS, CARE Banjara has published a book with 938 images and concepts explained

in a simple way for PG medical entrance students. Dr Nagasaina Rao (HOD, Cardiac Surgery), Dr Ramasubrahmanyam (Chief Cardiac Surgeon) and Dr Vijayamohan (HOD, Cardiac Anesthesia) have written the foreword.

The first program for 2016 was held from September 27-28, with classroom sessions and a talk by Prof Arun Tiwari on the “Path of Success”. Other sessions included presentations by Dr P V Satyanarayana, Consultant, Cardiothoracic Surgery on “Quality Patient Service”, Mr NS Vishwanathan, CFO on “Managing Cash Flow”, Dr Rahul Medakkar, GM (Operations) on “Role of Managers in Hospital Operations”,

Standards. This was followed by a session on “Cash Flow” by Mr NS Viswanathan, CFO. The next day, the associates underwent outbound training, where they participated in experiential learning on teamwork and leadership through various activities, followed by a debriefing by Col M Rajgopal (retd), CHR. In the last session, Dr Rajkumar of HR Footprints focused on the importance of self awareness in effective leadership. This is the first time that doctors took part in a leadership program.

Quick Takes

A talk on screening for cervical cancer was given by Dr G V Kiranmai, Gyneco log i s t , CARE V i zag a t Concentrics Call Centre.

Onam Celebrations at CARE

Mr YVRS Sundara Rao, GM (HR) on “Performance Culture” and Mr Rajeev Chourey, VP (O & Q) on “Service Standards”. The program ended with high energy activity-based sessions, led by Mr Narendra Tappa from the Corporate training team on the importance of working in teams.

6 7

WHAT'S KEEPING US BUSY AND IN THE NEWSWHAT’S KEEPING US BUSY AND IN THE NEWS

CARE Foundation Day

For the first time, CARE Foundation celebrated its Foundation Day on June th27 at COPC in the presence of Dr N Krishna Reddy, Vice Chairman, CARE

Group, and CARE Foundation management — Dr A Rajagopala Raju, Chairman, Prof Arun Tiwari, Col Ramachandran, COO and Dr Jaishankar, Registrar. The Foundation was registered under the Registrar of Societies, 20 years ago, on this date. The event was attended by several founding members of CARE Foundation, who are with the CARE Group till date.

Organ Donation – The Gift of Life

CARE Nagpur’s kidney transplant team — Ms Kalpana Sonule, Ms Mangala Laxane, Ms Meena Saxena and Ms Priya Patle participated in a rally organized by Government Medical College, Nagpur on Organ Donation – The Gift of Life. Conducted from Aug 30 – Sept 1, the program aimed at promoting cadaver donation in the city.

CARE Support for Ganesh Immersion

CARE Hospitals provided free medical facilities and emergency services on the occasion of Ganesh immersion

th in Hyderabad on 15 September. Around 45 volunteers were at hand to offer first aid services, while doctors, nurses, paramedical staff, emergency medical technicians and ambulances were stationed around Hussainsagar Lake.

Safe Infusion Practices Awareness Week

CARE Nagpur organized an Awareness Week of Safe Infusion Practices from rd thAugust 3 to 11 to focus on patient care practices such as minimizing

medication error, treatment for complications and hospital acquired infections. Healthcare workers discussed information on infusion therapy techniques, best practices and global infusion standards, resulting in better outcomes, higher patient satisfaction and safer care. Highly educative sessions were conducted on several key subjects, viz, “Chemo Drug

Infusion” by Mr Shailesh (Bard), “Blood Transfusion Practices” by Dr Vivek Shivhare, Pediatrician, “Safe Transfusion of Blood Product” by Dr Harish Warbhe (Life Line Blood

Bank), “LASA Drug and Stock-keeping” by Mr Pravin Maind, Assistant Manager - Hospital Administration, “High Risk Drug and Narcotic Policy” by Mr Roshan Ingole, Head, Purchase & Logistics and “Use of Syringe Pump” by Mr Sunil Burde, Assistant Manager, Biomedical Department. Quiz and poster competitions were organized for nurses and RMOs.

Independence Day at CARE

CARE Hi-tech City distributed free m e d i c i n e s t o t h e c i t i z e n s o f Hyderabad, affected by the recent rains and floods and conducted a

thhealth camp on 26 September.

A general fitness camp was held on th28 August by CARE Surat at Lancer

Army School, in which 800 students and 50 teachers were screened. Dr Khushboo, Dietician, gave a talk on the nutritional need for students.

thOn 16 August, CARE Pune organized a CME for doctors and a lecture on ‘Hysteroscopy’ by Dr Milind Telang, Consultant, Obstetrics & Gynecology.

Fire safety training for the canteen staff by Mr Sanjay, Quality Dept at Raipur.

First Aid Camp for Rath Yatra

The Ratha Yatra, also known as the "Chariot Festival" is celebrated at Puri, Odisha, every year. Lakhs of people from all over the world visit Puri on this occasion. CARE Bhubaneswar took the initiative to set up a first aid camp from July 6-15, for the safety of the devotees. An ambulance was also on standby 24*7 in case of any emergency.

Vizag Lifestyle Clinic

Dr B Soma Raju, CMD launched a Life thStyle Clinic at CARE Vizag on 30 July.

World Sepsis Day

On World Sepsis Day (Sept 13), a sepsis awareness program was conducted by the Critical Care and Microbiology Department of CARE Banjara. Dr B Soma Raju, CMD, and Dr Rajagopala Raju, Chairman, CARE Foundation inaugurated the program. The speakers and their topics included Dr Venkat Raman Kola, HOD, Critical Care on "Sepsis, Early warning signs: Time is tissue”, Dr Jhansi Vani, Sr Consultant, Microbiology on “Diagnostics challenges: Rapid diagnostics role” and Dr Pavan N Reddy, Sr Consultant, Critical Care on "Recent changes in sepsis management". A webinar was held, where doctors from all over India participated.

Team Link for Developing Junior Managers

The Team Link training program is aimed at developing competencies in junior managers so that they become effective team members. The program is designed on an incremental model while factoring in the addition of new entrants to the group.

Doctors Participate in Leading Edge Training

The Leading Edge training program for middle level managers was held on August 26-27. Dr B Soma Raju, CMD and Dr N Krishna Reddy, VC, spoke to the associates on Clinical Governance, while Mr Rajeev Chourey, VP (Quality & Operations) spoke on Service

Patient Centered Leadership

The Patient Centered Leadership training program concluded after the fourth session. The associates participated in positive energy training and were exposed to functional subjects that have an impact on the discharge of their responsibilities. The highlight was the one-day outbound training held at NISIET campus. This is the second batch of this unique program that focuses on building role models among frontline associates so that service delivery is of a high order.

TRAINING @ CARE

Book Published

Dr T Vamshidhar, DNB Resident, CTVS, CARE Banjara has published a book with 938 images and concepts explained

in a simple way for PG medical entrance students. Dr Nagasaina Rao (HOD, Cardiac Surgery), Dr Ramasubrahmanyam (Chief Cardiac Surgeon) and Dr Vijayamohan (HOD, Cardiac Anesthesia) have written the foreword.

The first program for 2016 was held from September 27-28, with classroom sessions and a talk by Prof Arun Tiwari on the “Path of Success”. Other sessions included presentations by Dr P V Satyanarayana, Consultant, Cardiothoracic Surgery on “Quality Patient Service”, Mr NS Vishwanathan, CFO on “Managing Cash Flow”, Dr Rahul Medakkar, GM (Operations) on “Role of Managers in Hospital Operations”,

Standards. This was followed by a session on “Cash Flow” by Mr NS Viswanathan, CFO. The next day, the associates underwent outbound training, where they participated in experiential learning on teamwork and leadership through various activities, followed by a debriefing by Col M Rajgopal (retd), CHR. In the last session, Dr Rajkumar of HR Footprints focused on the importance of self awareness in effective leadership. This is the first time that doctors took part in a leadership program.

Quick Takes

A talk on screening for cervical cancer was given by Dr G V Kiranmai, Gyneco log i s t , CARE V i zag a t Concentrics Call Centre.

Onam Celebrations at CARE

Mr YVRS Sundara Rao, GM (HR) on “Performance Culture” and Mr Rajeev Chourey, VP (O & Q) on “Service Standards”. The program ended with high energy activity-based sessions, led by Mr Narendra Tappa from the Corporate training team on the importance of working in teams.

8

IN THE LIMELIGHT

Must Reads for Healthcare Associates By Dr M Anil Kumar

Reading must become a habit if one has to develop oneself as also to ensure a positive professional contribution towards departmental and organizational efforts. There are many books one can read to upgrade one’s knowledge in the healthcare domain. However, these books are strongly recommended as they are thought-provoking and inspire readers to engage in the nuances of the health sector so as to make a favorable impact.

Engaging Physicians – A Manual to Physician Partnership by Stephen C Beeson, MD, is the first of a series. It is a proven ‘how-to’ manual to create physician loyalty, improve physician partnership and generate superior organizational performance. The book helps leaders and physicians to care for the patient, and what is more, it makes a physician’s pursuit of saving lives and his desire for “making a difference” a shared purpose. The book is replete with managerial tools to help leaders partner with the most pivotal resources in the system. Some of them are:

How Doctors Think by Dr Jerome Groopman, MD is an interesting read. On an average, a physician will interrupt a patient describing symptoms within 18 seconds!! In that short time, many doctors decide on the likely diagnosis and best treatment. Often, decisions made this way are correct, but they can also be wrong — with catastrophic consequences. In this myth-shattering book, Groopman pinpoints the forces and thought processes behind the decisions doctors make. He

Hardwiring Excellence – Purpose, Worthwhile Work, Making a Difference by Quint Studer, Founder CEO of the Studer group, an organization renowned for excellence in healthcare, is a textbook with passion. It offers a road map and is a

Icons of Chhattisgarh Awards for Raipur Consultants

Dr Sandeep Dave, Medical Director, Dr Sanjay Sharma, Consultant, Neuro Sciences and Dr Sandeep Pandey, Consultant, Gastroenterology, were presented the ‘Icons of Chhattisgarh Award’ by Dr Raman Singh, Chief Minister

stof Chhattisgarh for outstanding service to the health industry. (31 July)

Dr MP Tripathy Felicitated

Dr Mahendra Prasad Tripathy, MD, CARE Bhubaneswar was felicitated by the Rotary Club of Bhubaneswar and Indian Medical Association on World Doctors Day.

Honour for Dr Rita Bhargava

Two papers by Dr Rita Bhargava, Head, Dietetics, CARE Nagpur were accepted by the International Confederation of Dietetics Association, Granada, Spain (Sept 7-10). She was also an invited faculty at the Renal Workshop at IDACON-Mumbai (Sept 23).

Seva Ratna Awards

Dr Deepthi, Jr Consultant, Cardiology, Dr Pramodini, Consultant, Critical Care and Ms Vijaya G, In-charge, CTICU, were conferred Seva Ratna awards by Mega City Navakala Vedika, an NGO in Hyderabad. The awards were presented by Dr Kakarla Subba Rao.

CARE Surat Gets Recognition For Organ Donation

CARE Surat was felicitated for supporting organ donation by Ms Anandiben Patel, former Chief Minister of Gujarat. Dr Sandeep Patel, Hospital Administrator and Dr Divyang Bhatt, Senior General and Laparoscopic Surgeon, received

ththe awards on 4 August. CARE Surat had supported a cadaveric donation for a 45-year-old man who was declared brain dead, following a road accident. Encouraged by the staff of CARE Surat, along with an NGO ‘Donate Life’, his family donated the liver, kidneys and eyes of the deceased which helped give life to three terminally ill patients.

BOOK REVIEWS

Rahagiri Sanmana rdOn 3 July, Rahagiri Silver Week, CARE

Bhubaneswar was awarded the Rahagiri Sanmana – 2016 for extending support through free health camps during the

Rahagiri weeks, organized in association with BDA and BMC.

Ÿ Create and boldly project a compelling organizational vision.Ÿ Build a high-performance leadership structure.Ÿ Select, develop and activate effective physician champions to lead change.Ÿ Use performance feedback to drive and improve quality and service outcomes.Ÿ Create, communicate and implement physician behavioral standards consistent

with the organizational vision.Ÿ Manage disruptive physicians in a proactive, fair and consistent manner.Ÿ Recognize physicians in a way that generates organizational loyalty.

practical guide for creating and sustaining a culture of service and operational excellence. Quint Studer draws on his personal experience as a former hospital executive, who led two organizations to the top 1% in patient satisfaction and on his experience by coaching hundreds of healthcare professionals. Studer, a nationally acclaimed educator, coach, and thought leader in healthcare, is a master storyteller, mixing "chicken soup style" stories with personal insights on how organizations can move from good to become great.

Practicing Excellence – A Physicians’ Manual to Exceptional Health Care is another book by Stephen C Beeson, MD. Much of a medical organization’s success rides on the leadership, conduct and performance of its physicians. How does a healthcare organization engage its physicians to lead by example? And how

does a physician in the midst of numerous appointments, phone calls and messages, hospital rounds and managing a clinical practice do what needs to be done to foster satisfaction and loyalty among patients? Practicing Excellence eloquently answers these questions. Beeson has created a brilliant guide to implementing physician leadership and behaviors that will create a high-performance workplace built on collaboration, commitment and purpose, making a difference in the lives of the patients it serves.

explores why doctors err and how they can avoid snap judgments, embrace uncertainty, communicate effectively and deploy other skills that can profoundly impact health. This book is one of the first to describe the warning signs of erroneous medical thinking and reveal how new technologies may actually hinder accurate diagnoses. Groopman draws on a wealth of research, extensive interviews with great doctors and his own experiences as a doctor and as a patient. The book

streveals a profound new view of 21 century medical practice, giving doctors and patients the vital information they need to make better judgments together.

I was going along with my son on a bike when I got a heart attack. I took sorbitrate but my chest pain was not relieved. My son immediately brought me to Ramkrishna CARE Hospital where, after investigations, the cardiologist advised angioplasty. Then I underwent angioplasty and now I am feeling very good. I got immediate attention and doctors took fast decision of angioplasty. I am thankful to all doctors and nurses of Ramkrishna CARE

Hospital for saving my life. – Mr Bosco J Monterio, Raipur

Dr K C Das donated 50 wheelchairs to CARE Bhubaneswar in memory of his late wife Mrs Jayanti Das, a patient of the hospital.

CARE Hospitals felicitated its first liver transplant patient, Mr Mohd Rafiq from Afghanistan, who underwent a live donor liver transplant, after his son donated a part of his liver. The event also marked one year of liver transplants at CARE.

DELIGHT STORIES

A Rare Case of Gas Gangrene Survival Mr Tariq Khusrou, a middle-aged businessman from Dubai underwent a hair transplant at a salon in Hyderabad. He was cautioned about some mild rash on the forehead, which he need not worry about. But the rash spread over the forehead, face and was moving down the neck.

Within 3 days, he was admitted to CARE Banjara ICU under the Critical Care team led by Dr Venkat Raman Kola. He was diagnosed with ‘gas gangrene’, a life-threatening condition in which gangrene develops and amputation is the only solution. Gas gangrene is rarely reported and has a mortality rate close to 100%. Here, amputation was not a choice as the affected area was the face and the neck. He also had a compromised airway. His airway was secured with an emergency tracheostomy. Repeated debridement and procedures were done by the Plastic Surgery Department, led by Dr Gnaneswar. High dose antimicrobials, organ support and team work for eight weeks helped the patient to survive. Dr Soma Raju, CMD, was the guiding force in providing multi departmental inputs, even from external organizations such as LV Prasad Eye Institute for orbital tissue management.

This was an example of the high standard of teamwork by the CARE Critical Care team. At one point, it was touch and go. But finally, Mr Khusrou began to respond to treatment. His son wrote a long, eloquent letter to the hospital about the experience and the family’s joy and gratitude to the CARE doctors. His sister wrote a poem, eulogizing the doctors, and presented it to Dr Venkat and Dr Gnaneswar.

Excerpts of the letter capture the sentiments of the family:

“...Today the word victory calls to our minds names of men like Dr Venkat and Dr Gnaneswar and their entire team of soldiers for emerging victorious in tackling a deadly disease like ‘gas gangrene’. The world of science and medicine hath their victories no less renowned than the victories of war. To conquer a disease and save a life is indeed a renowned victory — far more worth winning than the most famous military triumphs.”

“My wife was resurrected by Dr Tripathy and his team”

CARE Bhubaneswar associate Mr Abhijit Das’s mother, Mrs Nayak underwent a

CAG, under the care of Dr M P Tripathy, MD. Mr Das and his family were very

grateful and felicitated Dr Tripathy. His father writes:thIt was 16 Aug 2016 morning, 9.15 am when I was about to leave for my office,

I witnessed the silent sobbing of my wife Mrs Suprava Nayak, with tears glistening in her eyes and pressed right hand on left chest. Perhaps the pain was acute and unbearable. She asked for a tablet of H2 blocker or proton pump inhibitor, assuming the pain was due to hyperacidity; she was bewildered and nervous but we rushed to the Cardiology Dept of SCB Medical College, Cuttack. Since she was reluctant to stay there, we sent the ECG reports by What’sApp to CARE. It was confirmed from the hospital that there was a complication so we immediately went there. Immediate and diligent treatment was rendered by Dr Mahendra Prasad Tripathy and his expert team. I am thankful to the whole team which expedited the process in a twinkling. Dr Tripathy suggested a CAG which was performed the next day after a thorough investigation. He said the patient had a miraculous escape from angioplasty as two blockages were dissolved by the anticoagulant given on the first day… I felt my wife was resurrected by the legendary and enigmatic cardiologist Dr Tripathy and his competent team. I adore the unique culture of the hospital in such a time of commercialization of

hospital business. Mr Anup Kishore Das (father of Mr Abhijit Das, BD), Cuttack–

I was admitted in Ramkrishna CARE Hospital due to fever and chills. I was unconscious when I was brought to the hospital. Doctors told me that I had viral encephalitis with sepsis. Now I have completely recovered and thankful to Dr Sonal Bajpayee and his team of doctors

and nurses for providing me with best possible care. – Mr Dinesh Kumar, Raipur

Like a shower of fresh blossom, despite all odds victorious you comeWith a duty to perform, each human is destined.Bless’d are those who truly serve mankind.From dawn till the dark velvet pall, yours is the noblest task of all.You are a saint in disguise, When to the ailing souls medicines you prescribe.Moments of joy, hours of grief we did share,Whenever we needed you, you were always there.Like an angel from the firmament blue, For the tormented souls like soothing dew, Smiling like a flower betwixed the thorns.A messiah for the poor downtrodden forms.Simple souls with hearts of gold, No finer men indeed, the world can hold,Even if we search the whole vast land, With a lantern in our hand,We cannot hope to find, Someone as strong as you, And yet so gentle and so kind.

An aura of dignity is yours charismatic personality.In your simplicity lies the real beauty, No appreciation is really worth,The noble deeds you do, May the choicest blessings of almighty God shower upon you.Life is precious indeed, you enhance its aesthetic beauty.Making the aching hearts an abode of peace and tranquility.You wipe those tears of pain, And make us smile again. We pray to God, e’en the breeze that carries a tingle of gloom,Never shall blow across your room.Many radiant days, upon you shall dawn,And smile upon you, the rays of many a lovely morn.Happiness, joys, ecstasies, all alight upon you together,And may you live a hundred years, serve the human race forever.

Sameena Khusrou Baig (Mr Khusrou’s sister)

Ode to Dr Venkat and Dr Gnaneswar

9

8

IN THE LIMELIGHT

Must Reads for Healthcare Associates By Dr M Anil Kumar

Reading must become a habit if one has to develop oneself as also to ensure a positive professional contribution towards departmental and organizational efforts. There are many books one can read to upgrade one’s knowledge in the healthcare domain. However, these books are strongly recommended as they are thought-provoking and inspire readers to engage in the nuances of the health sector so as to make a favorable impact.

Engaging Physicians – A Manual to Physician Partnership by Stephen C Beeson, MD, is the first of a series. It is a proven ‘how-to’ manual to create physician loyalty, improve physician partnership and generate superior organizational performance. The book helps leaders and physicians to care for the patient, and what is more, it makes a physician’s pursuit of saving lives and his desire for “making a difference” a shared purpose. The book is replete with managerial tools to help leaders partner with the most pivotal resources in the system. Some of them are:

How Doctors Think by Dr Jerome Groopman, MD is an interesting read. On an average, a physician will interrupt a patient describing symptoms within 18 seconds!! In that short time, many doctors decide on the likely diagnosis and best treatment. Often, decisions made this way are correct, but they can also be wrong — with catastrophic consequences. In this myth-shattering book, Groopman pinpoints the forces and thought processes behind the decisions doctors make. He

Hardwiring Excellence – Purpose, Worthwhile Work, Making a Difference by Quint Studer, Founder CEO of the Studer group, an organization renowned for excellence in healthcare, is a textbook with passion. It offers a road map and is a

Icons of Chhattisgarh Awards for Raipur Consultants

Dr Sandeep Dave, Medical Director, Dr Sanjay Sharma, Consultant, Neuro Sciences and Dr Sandeep Pandey, Consultant, Gastroenterology, were presented the ‘Icons of Chhattisgarh Award’ by Dr Raman Singh, Chief Minister

stof Chhattisgarh for outstanding service to the health industry. (31 July)

Dr MP Tripathy Felicitated

Dr Mahendra Prasad Tripathy, MD, CARE Bhubaneswar was felicitated by the Rotary Club of Bhubaneswar and Indian Medical Association on World Doctors Day.

Honour for Dr Rita Bhargava

Two papers by Dr Rita Bhargava, Head, Dietetics, CARE Nagpur were accepted by the International Confederation of Dietetics Association, Granada, Spain (Sept 7-10). She was also an invited faculty at the Renal Workshop at IDACON-Mumbai (Sept 23).

Seva Ratna Awards

Dr Deepthi, Jr Consultant, Cardiology, Dr Pramodini, Consultant, Critical Care and Ms Vijaya G, In-charge, CTICU, were conferred Seva Ratna awards by Mega City Navakala Vedika, an NGO in Hyderabad. The awards were presented by Dr Kakarla Subba Rao.

CARE Surat Gets Recognition For Organ Donation

CARE Surat was felicitated for supporting organ donation by Ms Anandiben Patel, former Chief Minister of Gujarat. Dr Sandeep Patel, Hospital Administrator and Dr Divyang Bhatt, Senior General and Laparoscopic Surgeon, received

ththe awards on 4 August. CARE Surat had supported a cadaveric donation for a 45-year-old man who was declared brain dead, following a road accident. Encouraged by the staff of CARE Surat, along with an NGO ‘Donate Life’, his family donated the liver, kidneys and eyes of the deceased which helped give life to three terminally ill patients.

BOOK REVIEWS

Rahagiri Sanmana rdOn 3 July, Rahagiri Silver Week, CARE

Bhubaneswar was awarded the Rahagiri Sanmana – 2016 for extending support through free health camps during the

Rahagiri weeks, organized in association with BDA and BMC.

Ÿ Create and boldly project a compelling organizational vision.Ÿ Build a high-performance leadership structure.Ÿ Select, develop and activate effective physician champions to lead change.Ÿ Use performance feedback to drive and improve quality and service outcomes.Ÿ Create, communicate and implement physician behavioral standards consistent

with the organizational vision.Ÿ Manage disruptive physicians in a proactive, fair and consistent manner.Ÿ Recognize physicians in a way that generates organizational loyalty.

practical guide for creating and sustaining a culture of service and operational excellence. Quint Studer draws on his personal experience as a former hospital executive, who led two organizations to the top 1% in patient satisfaction and on his experience by coaching hundreds of healthcare professionals. Studer, a nationally acclaimed educator, coach, and thought leader in healthcare, is a master storyteller, mixing "chicken soup style" stories with personal insights on how organizations can move from good to become great.

Practicing Excellence – A Physicians’ Manual to Exceptional Health Care is another book by Stephen C Beeson, MD. Much of a medical organization’s success rides on the leadership, conduct and performance of its physicians. How does a healthcare organization engage its physicians to lead by example? And how

does a physician in the midst of numerous appointments, phone calls and messages, hospital rounds and managing a clinical practice do what needs to be done to foster satisfaction and loyalty among patients? Practicing Excellence eloquently answers these questions. Beeson has created a brilliant guide to implementing physician leadership and behaviors that will create a high-performance workplace built on collaboration, commitment and purpose, making a difference in the lives of the patients it serves.

explores why doctors err and how they can avoid snap judgments, embrace uncertainty, communicate effectively and deploy other skills that can profoundly impact health. This book is one of the first to describe the warning signs of erroneous medical thinking and reveal how new technologies may actually hinder accurate diagnoses. Groopman draws on a wealth of research, extensive interviews with great doctors and his own experiences as a doctor and as a patient. The book

streveals a profound new view of 21 century medical practice, giving doctors and patients the vital information they need to make better judgments together.

I was going along with my son on a bike when I got a heart attack. I took sorbitrate but my chest pain was not relieved. My son immediately brought me to Ramkrishna CARE Hospital where, after investigations, the cardiologist advised angioplasty. Then I underwent angioplasty and now I am feeling very good. I got immediate attention and doctors took fast decision of angioplasty. I am thankful to all doctors and nurses of Ramkrishna CARE

Hospital for saving my life. – Mr Bosco J Monterio, Raipur

Dr K C Das donated 50 wheelchairs to CARE Bhubaneswar in memory of his late wife Mrs Jayanti Das, a patient of the hospital.

CARE Hospitals felicitated its first liver transplant patient, Mr Mohd Rafiq from Afghanistan, who underwent a live donor liver transplant, after his son donated a part of his liver. The event also marked one year of liver transplants at CARE.

DELIGHT STORIES

A Rare Case of Gas Gangrene Survival Mr Tariq Khusrou, a middle-aged businessman from Dubai underwent a hair transplant at a salon in Hyderabad. He was cautioned about some mild rash on the forehead, which he need not worry about. But the rash spread over the forehead, face and was moving down the neck.

Within 3 days, he was admitted to CARE Banjara ICU under the Critical Care team led by Dr Venkat Raman Kola. He was diagnosed with ‘gas gangrene’, a life-threatening condition in which gangrene develops and amputation is the only solution. Gas gangrene is rarely reported and has a mortality rate close to 100%. Here, amputation was not a choice as the affected area was the face and the neck. He also had a compromised airway. His airway was secured with an emergency tracheostomy. Repeated debridement and procedures were done by the Plastic Surgery Department, led by Dr Gnaneswar. High dose antimicrobials, organ support and team work for eight weeks helped the patient to survive. Dr Soma Raju, CMD, was the guiding force in providing multi departmental inputs, even from external organizations such as LV Prasad Eye Institute for orbital tissue management.

This was an example of the high standard of teamwork by the CARE Critical Care team. At one point, it was touch and go. But finally, Mr Khusrou began to respond to treatment. His son wrote a long, eloquent letter to the hospital about the experience and the family’s joy and gratitude to the CARE doctors. His sister wrote a poem, eulogizing the doctors, and presented it to Dr Venkat and Dr Gnaneswar.

Excerpts of the letter capture the sentiments of the family:

“...Today the word victory calls to our minds names of men like Dr Venkat and Dr Gnaneswar and their entire team of soldiers for emerging victorious in tackling a deadly disease like ‘gas gangrene’. The world of science and medicine hath their victories no less renowned than the victories of war. To conquer a disease and save a life is indeed a renowned victory — far more worth winning than the most famous military triumphs.”

“My wife was resurrected by Dr Tripathy and his team”

CARE Bhubaneswar associate Mr Abhijit Das’s mother, Mrs Nayak underwent a

CAG, under the care of Dr M P Tripathy, MD. Mr Das and his family were very

grateful and felicitated Dr Tripathy. His father writes:thIt was 16 Aug 2016 morning, 9.15 am when I was about to leave for my office,

I witnessed the silent sobbing of my wife Mrs Suprava Nayak, with tears glistening in her eyes and pressed right hand on left chest. Perhaps the pain was acute and unbearable. She asked for a tablet of H2 blocker or proton pump inhibitor, assuming the pain was due to hyperacidity; she was bewildered and nervous but we rushed to the Cardiology Dept of SCB Medical College, Cuttack. Since she was reluctant to stay there, we sent the ECG reports by What’sApp to CARE. It was confirmed from the hospital that there was a complication so we immediately went there. Immediate and diligent treatment was rendered by Dr Mahendra Prasad Tripathy and his expert team. I am thankful to the whole team which expedited the process in a twinkling. Dr Tripathy suggested a CAG which was performed the next day after a thorough investigation. He said the patient had a miraculous escape from angioplasty as two blockages were dissolved by the anticoagulant given on the first day… I felt my wife was resurrected by the legendary and enigmatic cardiologist Dr Tripathy and his competent team. I adore the unique culture of the hospital in such a time of commercialization of

hospital business. Mr Anup Kishore Das (father of Mr Abhijit Das, BD), Cuttack–

I was admitted in Ramkrishna CARE Hospital due to fever and chills. I was unconscious when I was brought to the hospital. Doctors told me that I had viral encephalitis with sepsis. Now I have completely recovered and thankful to Dr Sonal Bajpayee and his team of doctors

and nurses for providing me with best possible care. – Mr Dinesh Kumar, Raipur

Like a shower of fresh blossom, despite all odds victorious you comeWith a duty to perform, each human is destined.Bless’d are those who truly serve mankind.From dawn till the dark velvet pall, yours is the noblest task of all.You are a saint in disguise, When to the ailing souls medicines you prescribe.Moments of joy, hours of grief we did share,Whenever we needed you, you were always there.Like an angel from the firmament blue, For the tormented souls like soothing dew, Smiling like a flower betwixed the thorns.A messiah for the poor downtrodden forms.Simple souls with hearts of gold, No finer men indeed, the world can hold,Even if we search the whole vast land, With a lantern in our hand,We cannot hope to find, Someone as strong as you, And yet so gentle and so kind.

An aura of dignity is yours charismatic personality.In your simplicity lies the real beauty, No appreciation is really worth,The noble deeds you do, May the choicest blessings of almighty God shower upon you.Life is precious indeed, you enhance its aesthetic beauty.Making the aching hearts an abode of peace and tranquility.You wipe those tears of pain, And make us smile again. We pray to God, e’en the breeze that carries a tingle of gloom,Never shall blow across your room.Many radiant days, upon you shall dawn,And smile upon you, the rays of many a lovely morn.Happiness, joys, ecstasies, all alight upon you together,And may you live a hundred years, serve the human race forever.

Sameena Khusrou Baig (Mr Khusrou’s sister)

Ode to Dr Venkat and Dr Gnaneswar

9

Thakore, Hospital Administrator at CARE Musheerabad who to us is the miracle-worker-in-chief. She would listen to the symptoms, reassure my parents with her air of capability and ineffable warmth, and immediately put us through on the phone with a doctor, usually Dr Sree Latha from the ICU. Dr Sree Latha had closely observed Vidya and delivered her through some terrifying episodes, like the time she was on a ventilator (twice) in 2014 and during the nights of alarming and unstoppable seizures. She’s cautious, thorough and attentive—everything you want from a doctor administering critical care.

My sister was a special needs person (I almost said special needs child—she was almost 40 but remained a baby till the end). She was a long-time patient of Dr JMK Murthy, eminent neurologist and a man not given to idle chitchat. But between him and Vidya there existed a special understanding—she’d give him her sweetest smiles when she was wheeled into his office for her follow-ups. She knew he was a friend and that he would fight for her. When it came to her neurological well-being, my family turned unfailingly to Dr Murthy with the kind of faith most people reserve for Gods and certain cricketers.

There are certain less explainable things about doctors: sometimes a specialist may not be able to identify what your family doctor might easily diagnose. And sometimes a gastrointestinal surgeon can add years to your life with advice on nutrition. We met Dr Ravinder Reddy at CARE, Banjara about five years ago when Vidya developed pressure sores on her heels. His job could have been done in the few days if he chose to merely operate on the sores and monitor the healing, but Dr Reddy took a special interest in the case and evaluated her blood levels closely. With the help of these, he told us why Vidya’s immunity had crashed and how we could improve it by changing her diet and adding supplements. I’m convinced that she had the strength to keep fighting for as long as she did towards the end partly because Dr Reddy extended his services to Vidya over and beyond his domain expertise as also his normal call of duty.

Vidya’s condition was a complex one. Lennox-Gastaut first manifests as epileptic fits between the ages of two and six and causes severe developmental delay. The prognosis is not good. Thanks to my parents, their unflagging effort and fierce love, my sister was healthy, happy and comfortable for most of the four decades she was with us. Nobody knew her like my parents did. Patients like Vidya are hard to treat: they can’t tell you what’s wrong and there are so many variables to manage. The drugs that kept her free from epilepsies also made her prone to drowsiness and at risk of aspirating the food particles that caused the recurring pneumonia which ultimately claimed her. But stopping the drugs was also not an option—the seizures would return violently. A doctor in the emergency ward treating my sister for a fever, for example, would have no hope of grasping the complexity of her case if it wasn’t for my parents’ watchful eye. They were Vidya’s most tireless advocates and supporting them at every turn was a team of extraordinary medical professionals. A case like my sister’s demands both ruthless diagnostic instincts as well as gentleness. Some sleuthing skills also come in handy. Confronted with an anxious family and a silently suffering patient, a doctor has to use both their training and humanity to figure a way out.

She may have been bed-ridden, fed through a tube and completely dependent on a nurse all her life, but I can tell you one thing about my sister. She understood kindness and she knew who was on her side. And that’s why hospital visits didn’t faze my family much. We were truly among friends there.

Excellent team of doctors, expertise in critical care, vibrant and supportive administration, which understands the needs of all. Pharmacy is good. Blood Bank, X ray, MRI & CT scan units are well set up, as per the need of the individual. Cafeteria is too good. Security and lift services are fine. Patient drop facility with support like ambulance, anesthetist, technicians needs improvement, specially for longer distances. Visit of Director to patient motivated us. Briefing about condition of patient was good. Above all, accounting system and staff were too good, online facility, wifi delights customers. A suggestion: please provide a statue of God for prayers and good wishes. Overall, excellent experience! Nursing and visit of consultants were marvellous.

Mr Pallav Vyas, Hyderabad (Hi-tech City)

Hi CARE Team, thanks for interacting with us. My Dad met with an accident and his 12 ribs fractured as was the diaphragm. He was on ventilator for 20 days. With the struggle of CARE Hospital and its team my Dad recovered after 24 days. He is doing well now. Thanks a ton for supporting and saving my Dad’s life.

Mr Lakhan , Hyderabad (Hi-tech City)

PATIENT TESTIMONIALS

Next issue of The next issue of will be printed in January 2017. Send us news and events (with pics), write- ups on excellent patient service and patient testimonials with good photos, comments, letters to the editor… anything newsworthy and good to share. Please send information, photos and enquiries to Dr M Anil Kumar (7680882529) and Ms Sarika Jain Antony (7702042255) only by mail, not whatsapp.

thAll material should be received by 15 December 2016.

A Special Circle of CAREDeepa Menon

On 07 July 2016, the day that my sister died, my parents were preparing to take her for admission to CARE, thMusheerabad. Vidya had had a throat infection for about a week and on the morning of the 7 July, she was dull and

listless. After a hurried discussion with her GP, the intelligent and affectionate Dr Nandana Jasti, an ambulance was called in while Vidya started getting ready. For most people, a hospital admission is an unusual event, but with Vidya battling pneumonia for over two years getting admitted to a hospital had become routine for my family. Many dislike going to the hospital, but not us. How could we, when it so often made the difference between life and death!

It would usually go something like this: Vidya would develop chest congestion or a fever; my mother would call Annie

In "CARE Day Special" in the July 2016 issue, we published the photo of Mr Rameshbabu from Musheerabad, instead of Mr P Ramesh from Nampally, published here with apologies.

Correction

Patient Birthdays

With reference to the feedback received from our Cabin Crew when you travelled with us from Singapore to Visakhapatnam. We are grateful for your kind response to our Cabin Crew's call to render medical assistance onboard the flight. Your prompt response in attending to the passenger in need is truly appreciated and commendable.

Ms Dorothy Chong, Customer Affairs Executive, SilkAir (Singapore)(Appreciation letter for Gastroenterelogist, Dr G Satyanarayana, CARE Vizag from Silk Air for extending medical support in an emergency)

CARE had always been our first priority since many years. With the same trust I got admitted in CARE Hi-tech for my tonsillectomy. I must really thank Dr Kareemullah for performing the surgery and Akbar Hussain for taking care of all the insurance and admission procedures without causing any difficulty. The staff are supportive. Being a new building its state-of-the-art infrastructure is what makes this hospital

good. Mr Prudhweesh Kasula, Hyderabad (Hi-tech City) –

The care and the treatment by the consultant doctors is really good, actually beyond our expectations. Excellent services provided by Sister Sushma, Sister Donna, Dr Khushoo (Dietitian) and Dr Nancy (physiotherapist). Our special thanks to Mrs Chethna and Mr Ankit (Insurance dept). All of them guided me well. Overall the staff is caring as and they have lived up to the name of 'CARE' Hospital.

Ms Vimlaben Patel, Surat

Nurses are prompt in attending to the patient and communicating with all our queries. Doctors’ visit, food service is also on time.

Mr Bidyut Prava Kar, Bhubaneswar

I was admitted in Ramkrishna CARE Hospital for appendicitis. Dr Sandeep Dave operated on my appendix. Nursing staff in this hospital is very prompt and efficient. I am very thankful to Dr Dave for my successful operation. I am highly impressed by the cleanliness and environment of Ramkrishna CARE Hospital.

Mr Rajendra Kumar, Raipur

As always, excellent reception and service by staff members at all levels. Would rate it as the best hospital in the twin cities. Keep up the good work.

Ms Janaki Srinivasan, Hyderabad (Musheerabad)

The doctors are very quick in decision making and are very supportive in every visit.

Five stars (*****) for the doctors. Mr Dilip Bhagat, Nagpur–

My experience with Galaxy CARE has been extremely pleasant, heart-warming and inspiring. I called them on Saturday evening late for some surgical procedure on my wife and they welcomed me. On Monday which was Ganesh Chaturthi, all the doctors including the chief Dr Shailesh Puntambekar attended to the patient, gave her confidence, completed all the pre-surgery tests and scheduled the operation. The doctors, nurses and the managerial and support staff, wardboys, ayahs were

extremely helpful, guiding us at every step and often anticipating our needs.

Ms Nisha Singhal, Pune

All aspects impressed us very much and the name of the hospital "CARE" suits it very much. It’s a collective contribution of the concerned staff. Mr Kali Das, Vizag

Very happy for the services provided by the hospital. Nursing care is very good. Attending doctors provided excellent health care. Food provided is also good.

Thanks to the entire staff. – Ms Y Padmavati, Hyderabad (Nampally)

I admitted my mother-in-law for treatment of hyponatremia in emergency and was shifted to ICU. The treatment of all the staff members specially Dr Shyamala was extraordinary. Each and every aspect was minutely briefed to us. My mother-in-law

recovered and is now fine. – Ms Sabyasachi Parida, Hyderabad (Hi-tech City)

I am overwhelmed today to see Team CARE, who have magic in their hands. I never thought this patient would recover. But the efforts of the sisters, paramedics, doctors and the blessings of God made it possible. The hard work put in by all of you encouraged God to also shower his kindness and we can see the result! It was all possible because of the able leadership of Dr Bhargava.

Dr Sugandha Raha, Chief Medical Superintendent, Nagpur Division, SECR

The quality of inpatient service is extremely good. Cleanliness of room is very good and nursing staff is too good, responsible and disciplined at work.

Ms Parulben, Surat

CARE Hospital is a ray of hope for health services in Odisha for its humanitarian treatment by renowned doctors and staff, proper hygiene, maintenance and world

class environment... We wish it all success. – Mr SK Nasrullah, Bhubaneswar

Very good care and support by the staff. The doctors are trustworthy and very

amiable. Treatment was on time. Mr Siviah Katta, Hyderabad (Nampally)–

My appointment with the doctor in OPD was a very pleasant experience. Very happy with the staff response. As everything is too good.

Ms B Padmasri, Hyderabad (Musheerabad)

Dr Khetan sir impressed me. Staff in hospital, sisters, hospitality were very good and nursing care impressed us. Rating 10/10. Excellent.

Mr Mukund Ghonge, Nagpur

Today the life which I am living is only because of Dr Shailesh Puntambekar Sir. I thank Dr Seema Puntambekar, Dr Hirav, Dr Kinholkar, Dr Karandikar and all the junior doctors, nursing staff. I am very grateful to Galaxy CARE Hospital. The

atmosphere in this hospital has a homely touch. Ms Manjusha S Joshi, Pune–

My husband was admitted in CARE hospital. CARE is really taking care of each and every thing. Doctors, services and treatment are very very good.

Dr K Lalitha, Hyderabad (Nampally)

Got my mother in an emergency. The care taken was absolutely amazing. Special thanks to Dr BVSN Raju for his wonderful treatment and also Mr Akbar who guided us smoothly through the entire process. Excellent service.

Ms Parvathi Swapna Vegesna, Hyderabad (Hi-tech City)

Excellent care provided by the doctors and the team of nurses. A very professional approach with a caring attitude. Overall, very good care and attitude by the hospital striving to maintain and keep up the high standards of CARE.

Ms Halima Shah, Surat

So far I have not seen God or godmen. But whenever I enter Aditya CARE Hospitals, I feel in my heart that doctors are ‘Bhagwan’ and nurses employed in the hospital

our second mother. – Mr Jogendranath Hembram, Bhubaneswar

One thing that impressed me during our stay was that the ayahs here are very responsible. They have taken care of my grandma like a child.

Ms Kasthuri, Hyderabad (Musheerabad)

Respected Dr Neha Bhargava ma’am, The BEST doctor in the world. Thank you ma’am for all the care you have taken. Heartiest thank you to one and all team

member of organization who cared for our patient. Ms Rita Gadekar, Nagpur–

The quality of the inpatient services is extremely good. Nursing is what impressed me very much. The name of the hospital is well matched by the services of the

doctors, staffs and all members of CARE Hospital. – Ms Varshaben, Surat

The PRO team/security people and last but not least doctors and their assurance level to stay with the team. The orthopedist Dr Anand Babu is an amazing doctor, the way he treated the patient is awesome. Ms Dasari Saraswathi, Hyderabad (Musheerabad)

CARE Nagpur celebrated the birthday of Dr Eijaz Ahmed, a 74-year-old patient.

Ø

C A R E B h u b a n e s w a r celebrated the birthday of Mr Ananta Ram Behera, a 70-year-old patient.

Ø

Our battalion was on regular search operation for Naxals in deep forest of Dantewada (near Baster, 400 kms from Raipur) and I was covering my colleagues from rear side. Suddenly, Naxals from the jungle opened fire and I got bullet injury on both my legs. I lost consciousness and opened my eyes in Ramkrishna CARE Hospital. A team of doctors was ready and immediately I was operated on by Dr Pankaj Dhabalia. My left leg

had a fracture and the right leg had to be amputated. I am highly thankful to the doctors and nurses who not only took proper care but also helped me to come out of depression and motivated me for a better future.

Mr Umashankar, Raipur

I have a nice feeling about being treated in this hospital. I have come from a distant place, i.e., 450 km away from Bhubaneswar. Dr Aditya Tripathy and his attendant Ms Mamata madam responded to me instantly and made me easy. The food quality as well as cleanliness of the hospital is very good. The nurses responded to us immediately and on time. CARE has proved its name by

caring for the people. Geeta Mishra, Bhubaneswar–

I am very happy with this hospital; my operation was successful. The hospital and staff are very good and also Dr Balram Babu Rajanbabu, Consultant, Cardiac Sciences.

Mr Mohammed, Somalia (Hi-tech City)

10 11

DELIGHT STORIES

Thakore, Hospital Administrator at CARE Musheerabad who to us is the miracle-worker-in-chief. She would listen to the symptoms, reassure my parents with her air of capability and ineffable warmth, and immediately put us through on the phone with a doctor, usually Dr Sree Latha from the ICU. Dr Sree Latha had closely observed Vidya and delivered her through some terrifying episodes, like the time she was on a ventilator (twice) in 2014 and during the nights of alarming and unstoppable seizures. She’s cautious, thorough and attentive—everything you want from a doctor administering critical care.

My sister was a special needs person (I almost said special needs child—she was almost 40 but remained a baby till the end). She was a long-time patient of Dr JMK Murthy, eminent neurologist and a man not given to idle chitchat. But between him and Vidya there existed a special understanding—she’d give him her sweetest smiles when she was wheeled into his office for her follow-ups. She knew he was a friend and that he would fight for her. When it came to her neurological well-being, my family turned unfailingly to Dr Murthy with the kind of faith most people reserve for Gods and certain cricketers.

There are certain less explainable things about doctors: sometimes a specialist may not be able to identify what your family doctor might easily diagnose. And sometimes a gastrointestinal surgeon can add years to your life with advice on nutrition. We met Dr Ravinder Reddy at CARE, Banjara about five years ago when Vidya developed pressure sores on her heels. His job could have been done in the few days if he chose to merely operate on the sores and monitor the healing, but Dr Reddy took a special interest in the case and evaluated her blood levels closely. With the help of these, he told us why Vidya’s immunity had crashed and how we could improve it by changing her diet and adding supplements. I’m convinced that she had the strength to keep fighting for as long as she did towards the end partly because Dr Reddy extended his services to Vidya over and beyond his domain expertise as also his normal call of duty.

Vidya’s condition was a complex one. Lennox-Gastaut first manifests as epileptic fits between the ages of two and six and causes severe developmental delay. The prognosis is not good. Thanks to my parents, their unflagging effort and fierce love, my sister was healthy, happy and comfortable for most of the four decades she was with us. Nobody knew her like my parents did. Patients like Vidya are hard to treat: they can’t tell you what’s wrong and there are so many variables to manage. The drugs that kept her free from epilepsies also made her prone to drowsiness and at risk of aspirating the food particles that caused the recurring pneumonia which ultimately claimed her. But stopping the drugs was also not an option—the seizures would return violently. A doctor in the emergency ward treating my sister for a fever, for example, would have no hope of grasping the complexity of her case if it wasn’t for my parents’ watchful eye. They were Vidya’s most tireless advocates and supporting them at every turn was a team of extraordinary medical professionals. A case like my sister’s demands both ruthless diagnostic instincts as well as gentleness. Some sleuthing skills also come in handy. Confronted with an anxious family and a silently suffering patient, a doctor has to use both their training and humanity to figure a way out.

She may have been bed-ridden, fed through a tube and completely dependent on a nurse all her life, but I can tell you one thing about my sister. She understood kindness and she knew who was on her side. And that’s why hospital visits didn’t faze my family much. We were truly among friends there.

Excellent team of doctors, expertise in critical care, vibrant and supportive administration, which understands the needs of all. Pharmacy is good. Blood Bank, X ray, MRI & CT scan units are well set up, as per the need of the individual. Cafeteria is too good. Security and lift services are fine. Patient drop facility with support like ambulance, anesthetist, technicians needs improvement, specially for longer distances. Visit of Director to patient motivated us. Briefing about condition of patient was good. Above all, accounting system and staff were too good, online facility, wifi delights customers. A suggestion: please provide a statue of God for prayers and good wishes. Overall, excellent experience! Nursing and visit of consultants were marvellous.

Mr Pallav Vyas, Hyderabad (Hi-tech City)

Hi CARE Team, thanks for interacting with us. My Dad met with an accident and his 12 ribs fractured as was the diaphragm. He was on ventilator for 20 days. With the struggle of CARE Hospital and its team my Dad recovered after 24 days. He is doing well now. Thanks a ton for supporting and saving my Dad’s life.

Mr Lakhan , Hyderabad (Hi-tech City)

PATIENT TESTIMONIALS

Next issue of The next issue of will be printed in January 2017. Send us news and events (with pics), write- ups on excellent patient service and patient testimonials with good photos, comments, letters to the editor… anything newsworthy and good to share. Please send information, photos and enquiries to Dr M Anil Kumar (7680882529) and Ms Sarika Jain Antony (7702042255) only by mail, not whatsapp.

thAll material should be received by 15 December 2016.

A Special Circle of CAREDeepa Menon

On 07 July 2016, the day that my sister died, my parents were preparing to take her for admission to CARE, thMusheerabad. Vidya had had a throat infection for about a week and on the morning of the 7 July, she was dull and

listless. After a hurried discussion with her GP, the intelligent and affectionate Dr Nandana Jasti, an ambulance was called in while Vidya started getting ready. For most people, a hospital admission is an unusual event, but with Vidya battling pneumonia for over two years getting admitted to a hospital had become routine for my family. Many dislike going to the hospital, but not us. How could we, when it so often made the difference between life and death!

It would usually go something like this: Vidya would develop chest congestion or a fever; my mother would call Annie

In "CARE Day Special" in the July 2016 issue, we published the photo of Mr Rameshbabu from Musheerabad, instead of Mr P Ramesh from Nampally, published here with apologies.

Correction

Patient Birthdays

With reference to the feedback received from our Cabin Crew when you travelled with us from Singapore to Visakhapatnam. We are grateful for your kind response to our Cabin Crew's call to render medical assistance onboard the flight. Your prompt response in attending to the passenger in need is truly appreciated and commendable.

Ms Dorothy Chong, Customer Affairs Executive, SilkAir (Singapore)(Appreciation letter for Gastroenterelogist, Dr G Satyanarayana, CARE Vizag from Silk Air for extending medical support in an emergency)

CARE had always been our first priority since many years. With the same trust I got admitted in CARE Hi-tech for my tonsillectomy. I must really thank Dr Kareemullah for performing the surgery and Akbar Hussain for taking care of all the insurance and admission procedures without causing any difficulty. The staff are supportive. Being a new building its state-of-the-art infrastructure is what makes this hospital

good. Mr Prudhweesh Kasula, Hyderabad (Hi-tech City) –

The care and the treatment by the consultant doctors is really good, actually beyond our expectations. Excellent services provided by Sister Sushma, Sister Donna, Dr Khushoo (Dietitian) and Dr Nancy (physiotherapist). Our special thanks to Mrs Chethna and Mr Ankit (Insurance dept). All of them guided me well. Overall the staff is caring as and they have lived up to the name of 'CARE' Hospital.

Ms Vimlaben Patel, Surat

Nurses are prompt in attending to the patient and communicating with all our queries. Doctors’ visit, food service is also on time.

Mr Bidyut Prava Kar, Bhubaneswar

I was admitted in Ramkrishna CARE Hospital for appendicitis. Dr Sandeep Dave operated on my appendix. Nursing staff in this hospital is very prompt and efficient. I am very thankful to Dr Dave for my successful operation. I am highly impressed by the cleanliness and environment of Ramkrishna CARE Hospital.

Mr Rajendra Kumar, Raipur

As always, excellent reception and service by staff members at all levels. Would rate it as the best hospital in the twin cities. Keep up the good work.

Ms Janaki Srinivasan, Hyderabad (Musheerabad)

The doctors are very quick in decision making and are very supportive in every visit.

Five stars (*****) for the doctors. Mr Dilip Bhagat, Nagpur–

My experience with Galaxy CARE has been extremely pleasant, heart-warming and inspiring. I called them on Saturday evening late for some surgical procedure on my wife and they welcomed me. On Monday which was Ganesh Chaturthi, all the doctors including the chief Dr Shailesh Puntambekar attended to the patient, gave her confidence, completed all the pre-surgery tests and scheduled the operation. The doctors, nurses and the managerial and support staff, wardboys, ayahs were

extremely helpful, guiding us at every step and often anticipating our needs.

Ms Nisha Singhal, Pune

All aspects impressed us very much and the name of the hospital "CARE" suits it very much. It’s a collective contribution of the concerned staff. Mr Kali Das, Vizag

Very happy for the services provided by the hospital. Nursing care is very good. Attending doctors provided excellent health care. Food provided is also good.

Thanks to the entire staff. – Ms Y Padmavati, Hyderabad (Nampally)

I admitted my mother-in-law for treatment of hyponatremia in emergency and was shifted to ICU. The treatment of all the staff members specially Dr Shyamala was extraordinary. Each and every aspect was minutely briefed to us. My mother-in-law

recovered and is now fine. – Ms Sabyasachi Parida, Hyderabad (Hi-tech City)

I am overwhelmed today to see Team CARE, who have magic in their hands. I never thought this patient would recover. But the efforts of the sisters, paramedics, doctors and the blessings of God made it possible. The hard work put in by all of you encouraged God to also shower his kindness and we can see the result! It was all possible because of the able leadership of Dr Bhargava.

Dr Sugandha Raha, Chief Medical Superintendent, Nagpur Division, SECR

The quality of inpatient service is extremely good. Cleanliness of room is very good and nursing staff is too good, responsible and disciplined at work.

Ms Parulben, Surat

CARE Hospital is a ray of hope for health services in Odisha for its humanitarian treatment by renowned doctors and staff, proper hygiene, maintenance and world

class environment... We wish it all success. – Mr SK Nasrullah, Bhubaneswar

Very good care and support by the staff. The doctors are trustworthy and very

amiable. Treatment was on time. Mr Siviah Katta, Hyderabad (Nampally)–

My appointment with the doctor in OPD was a very pleasant experience. Very happy with the staff response. As everything is too good.

Ms B Padmasri, Hyderabad (Musheerabad)

Dr Khetan sir impressed me. Staff in hospital, sisters, hospitality were very good and nursing care impressed us. Rating 10/10. Excellent.

Mr Mukund Ghonge, Nagpur

Today the life which I am living is only because of Dr Shailesh Puntambekar Sir. I thank Dr Seema Puntambekar, Dr Hirav, Dr Kinholkar, Dr Karandikar and all the junior doctors, nursing staff. I am very grateful to Galaxy CARE Hospital. The

atmosphere in this hospital has a homely touch. Ms Manjusha S Joshi, Pune–

My husband was admitted in CARE hospital. CARE is really taking care of each and every thing. Doctors, services and treatment are very very good.

Dr K Lalitha, Hyderabad (Nampally)

Got my mother in an emergency. The care taken was absolutely amazing. Special thanks to Dr BVSN Raju for his wonderful treatment and also Mr Akbar who guided us smoothly through the entire process. Excellent service.

Ms Parvathi Swapna Vegesna, Hyderabad (Hi-tech City)

Excellent care provided by the doctors and the team of nurses. A very professional approach with a caring attitude. Overall, very good care and attitude by the hospital striving to maintain and keep up the high standards of CARE.

Ms Halima Shah, Surat

So far I have not seen God or godmen. But whenever I enter Aditya CARE Hospitals, I feel in my heart that doctors are ‘Bhagwan’ and nurses employed in the hospital

our second mother. – Mr Jogendranath Hembram, Bhubaneswar

One thing that impressed me during our stay was that the ayahs here are very responsible. They have taken care of my grandma like a child.

Ms Kasthuri, Hyderabad (Musheerabad)

Respected Dr Neha Bhargava ma’am, The BEST doctor in the world. Thank you ma’am for all the care you have taken. Heartiest thank you to one and all team

member of organization who cared for our patient. Ms Rita Gadekar, Nagpur–

The quality of the inpatient services is extremely good. Nursing is what impressed me very much. The name of the hospital is well matched by the services of the

doctors, staffs and all members of CARE Hospital. – Ms Varshaben, Surat

The PRO team/security people and last but not least doctors and their assurance level to stay with the team. The orthopedist Dr Anand Babu is an amazing doctor, the way he treated the patient is awesome. Ms Dasari Saraswathi, Hyderabad (Musheerabad)

CARE Nagpur celebrated the birthday of Dr Eijaz Ahmed, a 74-year-old patient.

Ø

C A R E B h u b a n e s w a r celebrated the birthday of Mr Ananta Ram Behera, a 70-year-old patient.

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Our battalion was on regular search operation for Naxals in deep forest of Dantewada (near Baster, 400 kms from Raipur) and I was covering my colleagues from rear side. Suddenly, Naxals from the jungle opened fire and I got bullet injury on both my legs. I lost consciousness and opened my eyes in Ramkrishna CARE Hospital. A team of doctors was ready and immediately I was operated on by Dr Pankaj Dhabalia. My left leg

had a fracture and the right leg had to be amputated. I am highly thankful to the doctors and nurses who not only took proper care but also helped me to come out of depression and motivated me for a better future.

Mr Umashankar, Raipur

I have a nice feeling about being treated in this hospital. I have come from a distant place, i.e., 450 km away from Bhubaneswar. Dr Aditya Tripathy and his attendant Ms Mamata madam responded to me instantly and made me easy. The food quality as well as cleanliness of the hospital is very good. The nurses responded to us immediately and on time. CARE has proved its name by

caring for the people. Geeta Mishra, Bhubaneswar–

I am very happy with this hospital; my operation was successful. The hospital and staff are very good and also Dr Balram Babu Rajanbabu, Consultant, Cardiac Sciences.

Mr Mohammed, Somalia (Hi-tech City)

10 11

DELIGHT STORIES

12

The Power of Incident Reporting

Extending Care to The Unreached

FEATURE OF THE MONTH

CARE FOUNDATION

By Rajeev Chourey, VP – Operations & Quality

CARE Foundation operates a rural health program through Primary Care Physicians (PCPs) and Auxiliary Nurse Midwifes (ANMs), providing primary and chronic care treatment to a population of over 7 lakhs in 124 villages in East and West Godavari districts of Andhra Pradesh, since 2008-2009. For more effective service delivery, the CARE Rural Health Mission (CRHM) program focuses on several aspects:

Training Programs: In order to provide better clinical services, the Foundation endeavors to upgrade the skills and knowledge of PCPs and ANMs on a continuous basis. The Nursing College conducted training sessions in two phases (July 11-12 and Sept 26-29) for the ANMs of the villages of Ranga Reddy, East and West Godavari districts. They found the learning sessions very useful, especially those using mannequins for demonstration.

CME for Clinicians: rdA CME program was held on 23 July for the PCPs at Bhimavaram, West Godavari district. Dr N Krishna Reddy, Vice Chairman, CARE Hospitals Group conducted the session, thus leading the way and infusing passion into the CRHM program. The PCPs, initially skeptical, of became enthusiastic and participated wholeheartedly. For the next session it is planned to involve more Consultants to cover other specialized topics.

Screening Programs: A comprehensive screening program has been initiated as a pilot in 5 villages of Godavari district to carry out point of care (POC) tests to identify hypertension and diabetes in people above 30, while also educating them about preventive and curative treatment. About 10,500 villagers have been screened so far. A sizeable number of hypertension and diabetes cases were identified during the screening process. Plans are underway to screen the entire population of the 125 villages to enable an analysis of their non communicable diseases health status.

Technology Solutions: An integrated technology solution through smart devices viz., IPads, tabs and outsourced software is being undertaken. The objective is to provide a comprehensive solution to facilitate the ANMs/VCOs to discharge their functions effectively, enhance patient care and safety as well as facilitate telemedicine. The solution includes aspects such as EMR, POC diagnostics, prescription printing and monitoring dashboards.

Hospitals are very complex and human intensive systems. The quality of patient care is completely dependent on the healthcare workers and is subject to human errors.

Studies show that 1 in every 10 patient is subject to some form of medical error in hospitals. Most of these errors are avoidable and preventable, if a hospital has a system of reporting and a fair and just culture.

An incident may be defined as an occurrence or happening. An incident may be defined as any activity that has the potential to harm or has already harmed a patient, staff or visitor who may encounter such situations regularly in hospitals. Some become apparent when a person is harmed, but many such incidents go unnoticed, even when harm is caused to a person.

These incidents may be divided into various categories. The first category is called a “near miss”. It may be defined as an incident which did not reach or affect a patient. For example, a doctor was about to perform a particular procedure on the wrong patient, but was stopped by the nurse before the procedure could be performed. This is called a near miss. This incident did not reach the patient but had a potential of causing harm if the nurse had not stopped the doctor.

The other category is a “no harm” incident. The incident that reached the patient but did not cause any harm may be classified as a no harm incident. For example, a patient was injected a double dose of antibiotic, due to an error in the prescription. However, the patient remained stable and had no adverse reaction. This is a no harm incident.

The third category of incidents is called “adverse event”. Adverse events may be defined as incidents that harm the patients. For example, a patient was being shifted from the stretcher to his bed. During the process he fell

accidentally and sustained an injury to his wrist. This incident is classified as an adverse event.

Studies have shown that 90% of incidents in a hospital are “near misses” and only 10% are “adverse events”. If a hospital takes care of the near misses in its settings, those 10% of adverse events can also be prevented. To achieve this, a hospital needs to have a robust system of reporting incidents through which a hospital can record all the near misses and take preventive actions to reduce the potential adverse event.

A major hurdle to this is that the staff usually do not report such incidents because of fear of blame, punishment or humiliation. Hence, a hospital should promote a “no blame” culture.

CARE Hospitals promotes a “no blame” culture and is genuinely interested in improving the safety of its patients, staff and visitors. At all the units, incident reporting forms are available at every nursing station and any incident that has the potential of harming a patient, staff or visitor can be reported.

We have also initiated an online system of incident reporting that can be accessed from www.carefamily.in. In this system, staff anonymity is assured as the online form does not require mentioning the name of the individual reporting the incident. It is a simple form that does not take much time to fill.

All the incidents reported across the group are compiled and classified under the common occurring category. In future, the units will be updated on these categories and group-wide policies and training programs developed, based on the feedback.

Through the system of incident reporting, CARE Hospitals aims to improve patient, staff and visitor safety in all the hospitals.