To felicitate organizations who have:

FICCI Healthcare Excellence Awards 2013 Successful Innovation

Objective of the Awards To felicitate organizations who have: Shown operational excellence; Innovated for the betterment of the industry; and Increased efficiency and improved performance of healthcare delivery at large 2

Theme of the awards: Successful innovation Success Innovation Success is critical when awarding any entity. Parameters such as financial performance, accreditation, occupational safety, environmental conservation, infection rates, etc would need to be considered Innovation is what takes the industry to the next level, and these awards aim to reward such innovations. 3

Judging Process & Determination of Winners 120 nominations received across 3 categories The Screening Jury round was moderated by EY to identify top scoring applicants in Operational excellence and Projects for healthcare betterment categories. For People who moved the needle the Screening Jury shortlisted applicants and even recommended nominees for the award Jury provided scores for each nominee using the provided rating scale (next slide) Short listed nominees for Operational Excellence and Projects for healthcare betterment category made in person presentations to a panel of Final Jury members while the nominees for People who moved the needle were judged on the basis of their applications or background information provided. These sessions were moderated by EY and the scores given by each jury member were tabulated to determine the winners 4

Evaluation parameters & rating scale

Operational excellence categories Evaluation parameters Sub - Categories Small Public Private Innovation 40% 30% 30% Operational parameters: 60% 70% 70% - Financial Health 15% 0% 15% - Accreditation 5% 20% 15% - Academic research and training (only training for small hospitals) 15% 20% 15% - Patient Satisfaction 15% 20% 15% - Environmental conservation 10% 10% 10% Sub Category : Diagnostics Innovation 40% Operational parameters: 60% - Financial Health 20% - Accreditation 20% - Training 20% 6

Operating excellence - rating scale Operating excellence Innovation 1 Not innovative, and with minimal impact on efficiency, growth, issues faced by the industry 2 Below average; some impact created 3 Moderate level of innovation; moderate level of impact 4 Above average 5 Path-breaking and unique; huge potential to enhance efficiency, industry growth, solve problems, etc Operational parameters 1 Poor 2 Below average 3 Average 4 Above average 5 Leader 7

Projects for healthcare betterment category Evaluation Parameters Total Points (Out of 10) All projects for healthcare betterment categories (Except CSR) Innovation 4 Impact Created 3 Sustainability 3 Sub-category CSR Project Innovation 2 Impact Created 4 Sustainability 4 8

Rating scale - projects for healthcare betterment Scor e Innovation Impact Sustainability 1 Below average Limited impact Sustainable till 2.5 years 2 Moderate level of Sustainable for 2.5 5 Moderate impact innovation years 3 Above average Extremely impactful Extremely sustainable - for more than 5 years 4 Path-breaking and unique; huge potential to enhance efficiency, industry growth, solve problems, etc 9

Rating Scale- CSR Score Innovation Score Impact 0.5 Below average 1 Limited impact 1 Moderate level of innovation 2 Moderate impact 1.5 Above average 3 Good Impact 2 Path-breaking and unique; huge potential to enhance efficiency, industry growth, solve problems, etc 4 Extremely impactful Sustainability Not Sustainable or Sustainable for less than a year Moderately sustainable (for about 2 years) Sustainable for 2 4 years Sustainable for more than 4 years 10

Tied Score In case of tied score, the winner will be decided by considering highest score received by a nominee for the parameters in the following order : Operational Excellence 1 Innovation 2 Financial health 3 Accreditation 4 Academic research and training 5 Patient Satisfaction 6 Environmental conservation Projects for Betterment of Healthcare 1 Innovation 2 Impact Created 3 Sustainability 11

And the Awards go to

Winner List - 2013 Sr. No. Category Sub Category Winner 1 Private - Multi Speciality Indraprastha Apollo Hospitals, New Delhi (Pressure Ulcer) Special mention to - P D Hinduja Hospital & Medical Research Centre, Mumbai (Care @ Home & SSS Initiative) Special mention to - Fortis Hospital, Mulund (Celebrating You) 2 Operational Excellence Private - Single Speciality No winner in this category 3 Private - Small Healthcare Organization Renupower Hospital, Sonebhadra 4 Public - > 50 beds Institute of Liver & Biliary Sciences, New Delhi 5 Public - <=50 beds Bardoli Satyagrah Hospital & CHC, Surat 6 Operational Pathology Labs SRL Ltd. Excellence 7 Diagnostics Radiology Dr. Gulati Imaging Institute, Delhi 8 Medical Technology Vyzin Electronics Pvt. Ltd. Projects for Amrita Institure of Medical Sciences & Research Centre, 9 Healthcare CSR Cochin Betterment 10 Others Vittala International Institute of Opthalmology, Bangalore 11 People who Healthcare personality of Dr. Narottam Puri moved the the Year 12 needle LTA Dr. Ranjit Roy Chaudhury 13

Operational Excellence Private Multispeciality : Indraprastha Apollo Hospitals, New Delhi Pressure Ulcer) It is one of the best multi-speciality tertiary acute care hospitals with over 700 beds in India and the most sought after destination in SAARC region for healthcare delivery Assessment of pressure ulcers on admission using Pressure Ulcer Risk assessment (Braden Scale) and care tool Steps taken to resolve the Issues: Inclusion of pressure ulcer incidences as a Quality Indicator Use of Protective mattresses and skin barrier films Incidence reporting on occurrence of pressure ulcer Periodic Staff sensitization and reinforcement Workshops, Campaigns and Posters Periodic competency check of staff Patient and family education for extended care at home on discharge 14

Operational Excellence Private Multispeciality Special Mention: P D Hinduja Hospital & Medical Sciences Ultramodern tertiary care hospital in Mumbai motivated to lead the pathway to medical excellence with world-class healthcare treatments and services Short Stay Service & Care@Home initiatives The Short Stay Service (SSS) offers 19 beds along with 2 dedicated OT s with 122 listed surgeries to begin with 24 hours billing system in SSS Care@Home (Home care) offers physiotherapy, nursing, laboratory sample collection & physician visits Pre-operative investigations of SSS patients & post-op follow up done at home, without an additional hospital visit 15

Operational Excellence Private Multispeciality Special Mention: Fortis Hospital Mulund Part of the largest private healthcare network in India, with over 10,000 beds in 68 hospitals across India Employee engagement was the key driver- with focus on Employees and Clinicians ; thereby impacting Patients and their Clinical Outcomes. Based on employee feedback, a wide range of initiatives were planned with an objective to enhance communication across levels, improve transparency in performance management and institute a broad-based rewards & recognition system. (Celebrating YOU) 16

Operational Excellence Private Small Healthcare Organization: Renupower Hospital, Sonebhadra Part of the Renukoot residential complex maintained by Hindalco (Aditya Birla Group) In-house Integrated Hospital software called Hospital Management System (HMS) Solve the myriad problems of Record keeping, and ease the various support processes with an overall objective to enhance the productivity and patient satisfaction Enhanced Patient Satisfaction & Record Keeping of patients have become easier. Ease and Comfort of Hospital Employees in conducting various Hospital tasks. Better Controls on Medicine Expenditure Simplification of procedures, Removal of duplication of various tasks and Higher Productivity 17

Operational Excellence Public (> 50 beds): Institute of Liver & Biliary Sciences, Delhi A dedicated international centre of excellence for the diagnosis, management and advanced training and research in the field of liver and biliary diseases Resolved the issue of increasing burden of life threatening complications of liver cirrhosis especially upper GI bleed and increasing number of cases of Acute Liver Failure Steps taken to resolve the Issues: Installation of dedicated liver helpline number. Setting up of emergency infrastructure including Advance Liver Ambulance Establishing a GI bleed unit for instant management of acute GI Bleed cases / ALF Emergency liver transplant 18

Operational Excellence Private (<=50 beds): Bardoli Satyagrah Hospital & CHC, Surat It treats around 12,000 indoor patients and carries out 65,000 laboratory tests of people of Bardoli taluka in Surat district. The community health centre (CHC) in Bardoli is the first CHC in the country to be accredited by the National Accreditation Board for Hospitals & Healthcare Providers (NABH) Attempted to resolve the following issues Institutionalizing the larger vision Improve the credibility of Public Health Care Setup in Community Multiplying infrastructure & other facilities Face lifting and image polishing of CHC Steps Taken to Resolve the issues: Visioning, Extensive training, Brainstorming and Responsibility charting Extensive Mass out reach interventions Public private partnership mode Intensive IEC Activities Better working environment and development of ownership of different processes at the work place 19

Operational Excellence Diagnostics - Pathology Labs Super Religare Laboratories Limited (SRL) SRL, is the veritable pioneer of medical diagnostics in India. Established in 1995, within 17 years from inception, SRL has excelled in delivering Gold Standard Diagnostic services, both in the field of radiology and pathology Attempted to resolve the issue of Development & Implementation of New Diagnostic Markers in India Steps taken to resolve the issues: Created a dedicated team of in house experts for Identification of New Biomarker Fortified the division of new Technology identification and evaluation with various subject experts. Got recognition and affiliation with internationally reputed organizations like Association for Molecular Pathology (AMP), USA and Association of Indian Pathologists in North America (AIPNA) through which received enormous support in terms of knowledge and technical knowhow. Created a separate platform-the SRL Global Knowledge Forum (SGKF) and conducted close to 100 CME events a year Started in house MSc, PhD and Fellowship programmes recognized by Mumbai University and Maharashtra University of Health Sciences respectively Got ISO 9001:2008 certification to maintain highest standards even in our research & development activities. Released 43 new diagnostic tests last year and implemented 4 high end technologies at SRL Focused training on soft skills, sample collection and handling 20

Operational Excellence Diagnostics - Radiology Dr. Gulati Imaging Institute, Delhi Dr. Gulati Imaging Institute, a unit of S M Imaging Institute Pvt. Ltd. has been conceptualised to provide diagnostic services par excellence with international standards Resolved the problem of radiation exposure & data storage Steps taken to resolve the issue: Diagnostic image & not beautiful image developed new protocols Justify the examination Regular monitoring / teaching Started using external hard drive 21

Projects for Healthcare Betterment: Medical Technology Vyzin Electronics Pvt. Ltd. Vyzin is a proven innovator in the field of health care, electronics, telecommunications, information technology and manufacturing, with a passion for providing application specific solutions for most difficult day to day business challenges Resolved issues of child mortality, late detection of health disorders and security of Alzheimer s patients Steps taken to resolve the Issues: Child Mortality: Provide Fetal Monitoring services for pregnant women (fetal heart rate, blood glucose, hemoglobin levels, automatic alerts) and proper education regarding safety and nutritional measures during pregnancy and after child birth. Late detection of health disorders : Provided VESAG pro-active and remote health monitoring services including health education. Security of Alzheimer s patients : Developed the innovative VESAG smart watch to track location and provide single button emergency calling service. 22

Projects for Healthcare Betterment: CSR Amrita Institute of Medical Sciences & Research Centre, Cochin Amrita Institute of Medical Science (AIMS) brings together a dedicated team of physicians, nurses, and other healthcare professionals to provide the highest standards of medical treatment. Addressed the following issues Lack of Medical Services in Remote Islands of Lakshadweep in the Arabian Sea. Lack of facilities for safe delivery and child care. Lack of specialist (General Medicine, General Surgeon, Pediatrician, ENT, Radiologist, Orthopedician, Obstetrician & Gynecologist, Pathologist and Anesthesiologist) Providing Sustainable Quality Healthcare in Remote Island of Lakshadweep Provide necessary infrastructure and facilities to the medical, paramedical and support staff Provide adequate remuneration, proper accommodation in the island and travel. Steps taken to resolve the issues : Deputed 16 doctors, 55 nurses and paramedical staff to commission the Rajiv Gandhi Specialty Hospital, Agatti, Lakshadweep Established facilities for Mother and Child Care. Commissioned the operation theater and labour room for safe conduct of deliveries including LSCS. Deputed all the specialists to provide specialty care. Rotation of 10 post MD/MS specialist to serve in this remote area. Rotate 6 post MBBS, General Duty Medical Officer to service in this remote area. Extending domain expertise in healthcare delivery with continuous liaising with government & non government agencies in procuring medicines and supplies, timely supply of equipments, timely completion of hospital infrastructure. Provided free family accommodation, free food and travel to the medical faculty and staff. 23

Projects for Healthcare Betterment: Others Vittala Intl. Institute of Ophthalmology, Bangalore It is a super specialty charitable Ophthalmic Hospital and research center. The institute focuses on clinical work, Research and Training as its core areas with main motto as Dedication is the Ultimate Goal Issues Addressed Uneven distribution of resources and skills for diagnosis and treatment of Retinopathy of Prematurity Lack of screening standards, epidemiological data and guidelines An economic model that is inclusive and sustainable Steps Taken to resolve the issues: An advanced mobile imaging unit combined with tele diagnosis system that can screen infants in the NICU itself Research and publication of comparative data in British Journal of Ophthalmology, presentations at World ROP congresses An affordable screening and treatment cost is charged to parents who are able to pay. A revenue share model is used to compensate local doctors. 24

Healthcare Personality of the Year: Dr. Narottam Puri Graduate and post graduate in ENT from M.A. Medical College, Delhi PG Advanced Diploma in Health Administration Fellow of the International College of Surgeon (FICS), FIAMS Chairman, National Accreditation Board for Hospitals & Healthcare (NABH) Co-Chairman of FICCI s National Health Insurance Committee Chairman of FICCI-IRDA Healthcare Advisory Group Advisor, Health Services, FICCI Advisor Medical, Fortis Healthcare President Medical Strategy & Quality, Fortis Healthcare Limited Executive Director, Max Healthcare Honorary Secretary, Delhi Medical Association President, Association of Otolaryngologists Awards and Recognitions Dr P V Cherian Award Delhi University Swami Vivekananda Award from DMA AOI Award Distinguished Alumnus Award from MAMC 25

Lifetime Achievement Award: Dr. Ranjit Roy Chaudhury Professor Ranjit Roy Chaudhury has served as Professor and Head of the Department of Pharmacology, Dean and Director of the Postgraduate Institute of Medical Education and Research, Chandigarh In 1978, he started the first DM course in Clinical Pharmacology in India He developed the "Delhi Model" of Rational Use of Medicines and participated in the Task Force preparing the "Antibiotic Policy" of the Government of India He was the Founder President, Delhi Medical Council, Member, Board of Governors of the Medical Council of India, and President, Delhi Society for the Promotion of Rational Use of Medicines He also holds positions with the Expert Committee of the Indian Council of Medical Research, the Regional Advisory Committee on Research of the WHO and the Task Force for Research of the Apollo Hospitals and Educational Foundation Prof. Roy Chaudhury has worked as Emeritus Scientist at the National Institute of Immunology, New Delhi and holds the UNESCO Chair in Rational Use of Medicines at the Chulalongkorn University which conferred on him the honorary degree of Doctor of Science. Awards and Recognitions Prof. Roy Chaudhury's major contributions in research are in the field of reproduction pharmacology, clinical trials, rational use of medicines and research on medicinal plants. In1998 the President of India conferred on him the title of Padma Shri for his contributions to the country in the field of medical research and medical education He has also been honored by the Delhi Government by being bestowed upon the Delhi Ki Gaurav award 26

Thank You!