WELCOME TO SHANTI MEMORIAL HOSPITAL PVT LTD A MULTISPECIALTY MEDICAL CENTRE

WELCOME TO SHANTI MEMORIAL HOSPITAL

Ganesha is widely revered as the remover of obstacles.

The patron of arts and sciences and the deva of intellect & wisdom.

As the God of beginnings, he is honoured at the start of rituals & ceremonies.

DR. SANJEEV SINGHPRINCIPAL ASSESSOR

NABH-QCI

MS. SANDHYA SHANKAR PANDEY

CO-ASSESSORNABH-QCI

DR. ANAND BANSAL CO-ASSESSOR

NABH-QCI

ON BEHALF OF SHANTI MEMORIAL HOSPITAL PVT . LTD WE

WELCOME

PREAMBLE

• SHANTI HOSPITAL WAS NAMED AFTER THE MEMORY OF MY BELOVED MOTHER

LATE SHANTILATA PATNAIK, WHO LEFT US ON 6TH DEC. 1978.

• HER LAST WISH WAS THAT ONE OF HER CHILDREN SHOULD BECOME A DOCTOR AND HELP THE POOR AND THE NEEDY

MY PARENTS

LATE GOPAL CH. PATNAIK & LATE SHANTILATA PATNAIK

PROFILE

• SHANTI MEMORIAL HOSPITAL IS A MULTISPECIALITY MEDICAL CENTRE ESTD. IN APRIL 1991 & IS SITUATED IN THE HEART OF THE CITY OF CUTTACK.

• IT IS A PRIVATE LIMITED HOSPITAL.• STARTED WITH A TEAM OF LIKE MINDED MEDICAL

PROFESSIONALS WITH A MISSION TO PROVIDE HEALTHCARE FOR THE NEEDY AT AN AFFORDABLE COST

MISSION OF THE HOSPITAL

• WE BELIEVE THAT A PERSON CAN BE BEST CURED IN A COMFORTABLE HOMELY ATMOSPHERE & WE STRIVE TO CREATE AN AMBIENCE WHERE THE PATIENT FEELS MORE AT HOME THAN AT HOSPITAL

VISION

• OUR VISION FOR THE FUTURE IS TO KEEP OURSELVES IN TO THE BEST OF THE HEALTHCARE INNOVATIONS, AND PROVIDE HIGHEST QUALITY HEALTHCARE FOR THE MASSES.

• HEAL PATIENTS & KILL THE DISEASE WITHIN.

• WE ENSURE HOPE & GIVE HAPPINESS TO OUR PATIENTS

DR. REKHA DASShe has been a Constant Guide as a partner & our Chief Intensivist, Senior consultant internal medicine. She has done her PG in Anesthesia. She is involved in Quality Initiative of hospital. She is the managing partner of our company.

QUALITY POLICY

• We are Committed to maintain the highest Standard of Care and treatment with Special emphasis to patient Safety and Satisfaction. We Constantly Strive improving Quality Indices & make it our Hallmark of practices

KEY PROFILE OF THE INSTITUTE • Established in 1991, since the last 22 years SMH has become

the state of the art hospital.• This has occurred almost entirely due to the golden motto of

our intitution : “ Service through Excellence”- the ONE FAMILY TRADITION followed by all staff members at the hospital.

• The hospital has 100 beds and has recognition from the Local Council.

• The metamorphosis from 25 beds in 1991 to the present has been a slow but a progressive one.

• We Believe in Quality & Personalised care & affordibility of our patients.

• Since the last 2 years we have seen tremendous improvements in methods of communication and counselling of critically ill patients.

• The critical care dept. is at par the best in the state.

OUR STRENTGHS

• World class physicians• Competing through quality• Working as a team• Winning the Trust of public• Adopt to the local needs• Financial transparency• Quality through education & training

LOCATION

• WITHIN THE MUNICIPALITY AREA OF CUTTACK

• AIRPORT – 35 KMS• RAILWAY STATION – 3 KMS• BUS STAND – 3 KM• TOWNBUS AVAILABLE EVERY 10

MINUTES• AUTO RICKSHAW & OTHER

TRANSPORT AVAILABLE

ORGANISATION

• Dr. R.K. Singh- Medical Superintendent• Dr. Hrudananda Dash- Chief Manager Administration• Dr.D.P. Mohanty- Microbiologist (ICO) • Dr. Pallavi Bhuyan- Pathologist • Mr. Niranjan Panda- Manager Finance• Mr. Bhabesh Panda- Manager Operations• Mr. Utkal Das- Manager Corporate Affairs• Mrs. Mamata Das- Matron • Ms. Dipti Mayee Swain- Infection Control Nurse • Ms. Rekha- Infection Control Nurse• Mr. Pramod Pani- HR Manager • Mr. Sujit Panda- Manager Marketing• Mr. Bindusagar Patnaik- Dy. Hospital Administrator

OUR STAR PERFORMERS

Internal Medicine Emergency Medicine Critical care medicine & Intensive Care General Surgery and minimal access surgery ENT Surgical Oncology Dermatology Pulmonary Medicine Radio Diagnosis Orthopedics Surgery Physiotherapy Dietetics Cardiology non InvasiveGestroenterlogy Plastic, Cosmetic & Reconstructive Surgery

SCOPE OF SERVICES Ophthalmology Anesthesia & pain Management NeurologyNephrology Bariatric & Metabolic Surgery Obesity Support Group Urology & Endo Urology

LAY OUT GROUND FLOOR

RECEPTION OPD

LABROTORY

ULTRA SOUND

CASUALITY

SAMPLE COLLECTION ROOM RADIOLOGY

DAY CARE

DIGITAL X-RAY

CENTRAL LABORATORY

AMBULANCE OLD BUILDING WAITING LOUNGE

CT-SCAN

GAS PLANT

PHYSIOTHERAPY DEPT.

PHARMACY DEPT.

LAY OUT 1ST FLOOR

ENDOSCOPY DEPARTMENTEYE DEPARTMENT OT DEPARTMENT

HIGH DEPENDENCY UNIT

ICU CANTEEN

LAY OUT 2ND FLOOR

SUPER DELUX NURSING STATION SUPER DELUX PATIENT ROOMS

DIALYSIS DEPARTMENT

LAY OUT -3RD FLOOR

CLINICAL DEPARTMENTS

OUTDOOR OPERATION THEATER

ICU

The facilities at the hospital are at par with the best.

FACILITIES….

DIAGNOSTIC FACILITIES

SUPER SPECIALITY SERVICES

• BARIATRIC & WEIGHT LOSS CLINICS• LIVER & HEPATITIS SCREENING CLINICS• SPINAL CLINICS

OPD AND DAY CARE PROCEDURES

• UPPER GI & COLONOSCOPY• CYSTO-URETHROSCOPY• CATARACT PHACO-SURGERY• DIAG. LAPAROSCOPY

24 X 7 SERVICES

CASUALITY

RADIOLOGY

DAY CARE

DIGITAL X-RAY

CENTRAL LABORATORY

AMBULANCE

CT-SCAN

PHARMACY

INFRASTRUCTURE AND ENGINEERING DETAILS

Total Plinth area9000 sq.ft

Total Water Capacity-

65000 ltr/day

Water Consumption

2 lacs litre/Day

Electrical Load129KW

HVAC Load

8.5x5 Ton

UPS Backup

FACILITY RESOURCES• BUILT IN AREA -40,000 SQ FT • POWER SUPPLY- 950 KW• TRANSFORMER – 500 KVAX 3• GENERATOR – 500 KVA X 2• UPS - 40 KVA X 1

30 KVA X 1 20 KVA X 3

• WATER SUPPLY – 2.26 LACS LITRES / DAY• SEWAGE TREATMENT PLANT• MEDICAL OXYGEN PLANT• FIRE SAFETY SERVICE

S.NO STATISTICS YEAR 2012-20131 NO . OF OPD PATIENTS 13456

2 NO. OF IP PATIENTS 3976

3 BED OCC. RATE (DEC 11) 87.07%

4 USG 6021

5 X-RAY 8088

6 SURGERIES 1928

STATISTICS FOR THE YEAR 2012 - 2013

HOSPITAL BED DISTRIBUTION

DAY-CARE7

ICU16

SUPER DELUX 30

GENERAL WARD20

CABIN24

CASUALTY 3

COMMITTEES AVAILABLE We have formed various Committees to look after hospital development & Quality Management Systems 1. Hospital Quality Assurance Committee

2. Hospital Safety & Risk Management Committee

3. Drugs & Therapeutic Committee

4. Code Blue Evaluation Committee

5. Disaster Management Committee

6. Medical Audit & record Management Committee

7. Female Grievance handling Committee

8. Grievance & Complaint Management Committee

9. Blood and Blood transfusion Management Committee

COMMITTEES AVAILABLE

QUALITY INITIATIVEThe Institute took an initiative to maintain a Quality Management System hence NABH Accreditation Programme was started in the year 2011

Sensitization on QMS & NABH Standard was done to develop team & leaders

Various Committees were formed

SOP/Policy and Procedure were developed

Infrastructure alteration & arrangement

Signage and Display

Procurement and use of accessories and instruments

Training and Development Program

Various audit- Death audit, medical Audit, Clinical audit, Prescription audit, Antibiotic audit, Internal audit to Strengthen the program

QUALITY INITIATIVE

Monitoring and analysis of Quality Indicators

Mock drills and practices

Availability of Licenses and reports

Development of Infection Control Program

Development of Patient’s Safety Program

QUALITY INITIATIVE

INITIATIVE AFTER PRE-ASSESSMENT(As recommended)

Fire Safety Provisions were made

Restuctured and Designed the new Laboratory

Newly Structured the Kitchen & Cafeteria

Installed HEPA filteration & AHU for ICU & OT

Made modifications in the ICU

Procured Essential Staffs- Microbiologist, Pathologist, Dietician, Bio medical Engineer

Procured New Equipment & Accessories

CSIR ACTIVITIES (2012-13)

General Health Camps –4Weight loss check up camps-2CME & Scientific meetings-48Total No. of Hepatitis B Screening Camps – 2 ; total number

screened – 287Dental camps – 3, screened 107 Cleft lip & Palate surgical camp-1, (operated 27 pts.)Hernia Surgical camp- sreened -100,( operated 52 pts.)Liver clinic Camp –screened 118 patientsSpinal clinic Camp – screened 412 patients

CSIR ACTIVITIES

Obesity Support Group meetings -4, screened >89 pts.Annual distibution of Cash prizes, funding, and

certificates to Toppers in ICSE, CBSE & HSSC Girls at nearby adopted Municipal Girls High School.

Annual participation in BALIYATRA- the largest mela, with free EYE CHECK UP, BMI and bone density, FBS and diabetic screening- > 1000 pts.

Bariatric Surgery workshop- screened 32, operated on 4 pts.

FREE HEALTH CHECK-UP CAMP

FREE DENTAL CAMP

FREE HERNIA SURGICAL CAMP

FREE CLEFT LIP & PALATE SURGICAL CAMPFeb. 2012 By- Dr. Peter Kessler, From: Netherlands

FREE SCHOOL HEALTH CAMPAT

MUNICIPAL GIRLS HIGH SCHOOL

SCIENTIFIC SESSION & CME ON KNEE REPLACEMENT SURGERY

PRESS MEET ON OBESITY AWARENESS

PRESS MEET ON OBESITY MANAGEMENT & WEIGHT REDUCTION SOLUTIONS – AT BBSR

FREE LIVER CLINIC –DR A.S.SOIN –MEDANTA HOSPITAL

BARIATRIC SURGERY WORKSHOP 2012

AT BALIYATRA FREE HEALTH CHECK-UP CAMP INAGURATION

DOCTOR’S DAY HEALTH CAMP

PRATIVA SAMMELAN AT MUNICIPAL GIRLS HIGH SCHOOL 2010

PRATIVA SAMMELAN 2011

ACHIVEMENTS OF 2011

ACHIVEMENTS OF 2012

OUR NABH JOURNEY

• It was an initiative of Hospital Management• NABH Sensitization Program was done • Various Committees were formed • Systems, Processes were modified by

developing Policies and procedures• Training and Development was given priority • Gap Analysis of the hospital was done• Audit and Monitoring of Indicators • Structural Modification

QUALITY MANAGEMENT SYSTEM

• Continual improvement is our aim and NABH Accreditation process is a step further towards our journey to Quality

QUALITY ASSURANCE COMMITEES

1. Quality Assurance Committee2. Hospital Safety Committee3. Hospital Infection Control Committee4. Drug and Therapeutic Committee5. Medical Audit Committee6. HRM Committee7. Sexual Harassment Committee8. CPR Committee9. Mortality and Morbidity Committee

OTHER INITIATIVES

• Emergency Mock drills• Quality assurance programs in ICU

and OT• Quality Improvement Programs

Launched QIP-BMW management Improvement QIP-Hand washing Compliance

Improvement

• WE ARE PRIVILEGED TO HAVE YOU AMONGST US AS ASSESSORS

• WE PRAY TO YOU TO HAVE A THOROUGH ASSESMENT OF OUR HOSPITAL

• WE EXPECT THAT EVERY STAFF WILL COOPERATE & WILL HAVE A GOOD INTERACTION AND EXPERIENCE.

• TO THE BEST OF MY KNOWLEDGE I HAVE COMPLETE FAITH ON MY STAFF, THEY ARE PRACTICALLY SUPERIOR , DEDICATED & BUT THEY MAY NOT THAT EXPERIENCED TO MATCH AS PER YOUR EXPECTATIONS

• I WISH ALL MY DOCTORS , MANAGERS, & MY ENTIRE STAFF

• GOOD LUCK• COURAGE• CONFIDENCE• AND STRENGTH

• THE REST LAYS IN OUR FATE

IN SANSKRIT JAGAT (UNIVERSE) AND NATH (LORD OF)

LORD OF THE UNIVERSE

• ICU management• STERAD (Plasma

Sterilizer)• Sterile Operation

Theaters• Trained and proficient

employees.• Ultra modern & State

of the art Operative Equipments.

STRENGTH OF SMH