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Patient with multiple flexion deformities walks again

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After a sabbatical of one year, I am back. This news would be of interest and a blessing to those who advised to go for hip and knee replacement surgery. Last month on August 11th 2010, Manipal Hospital performed hip replacement surgery along with bilateral knee replacement surgery and soft tissue release surgeries on a single patient – 10 surgeries in one single sitting

For the first time in India and the world, The Department of Orthopaedics at Bangalore based Manipal Hospital performed 10 surgeries on a patient in the same sitting with minimal blood loss with excellent results. The patient was stable throughout the intra-operative period and did not require post-operative ICU care. Patient recovered and took her first steps on the second post-operative day.

Mrs. Nagamma, 59 years old, complained of pain in both her hips and knees since 15 years and was unable to walk or sit for the past 6 months. The pains were gradual in onset and progressed with time. It was associated with gradually progressive Flexion Deformity; i.e. Bent hips and knees. She was able to move at home with the aid of a walker for the past 2 years and since the last 6 months, she was completely bedridden. She is a known case of Rheumatoid Arthritis but has no other illnesses. On examination, she was found to have Fixed Flexion Deformities of 50 degrees in both the hips and 60 degrees in the Right Knee and 50 degrees in the Left Knee. After thorough investigations and evaluation along with Medical and Rheumatology clearance she was

taken up for surgery on 11th August, 2010, wherein ten surgeries were performed on her viz. Bilateral Hip Replacement surgery along with Bilateral Knee Replacement surgery and 6 soft tissue release surgeries.


Fig: Mrs. Nagamma with the doctors of Department of Orthopaedics at Bangalore based Manipal Hospital

According to Dr. R.D Chakravarty, HOD, Orthopaedic Department, Manipal Hospital who spearheaded the surgical team, “First, she was placed flat on her back and Adductor Tenotomies were carried out on both her Hips, to correct the Hip Adductor deformities. Later, she was turned over to prone position and Hamstring Release procedure was done on both her Knees to correct the Knee Flexion deformities. Next, she was placed in a Right Lateral Position, i.e. on her right side with left side up and a Total Hip Replacement was done on her Left Hip. Similarly, she was shifted to a Left Lateral position, and a Total Hip Replacement was done on her Right Hip. After this, she was again placed Spine and Total Knee Replacement Surgeries were done on both her Knees. Total blood loss during the surgery was 800 ml. She was transfused two Units of Whole Blood to make up this loss. She tolerated the procedure well and post operatively was shifted to the ward as she was stable. She was put on Parenteral Antibiotics and Analgesics along with Anticoagulants and Anti DVT therapy.

She was made to get up from bed and walk on the second postoperative day and she responded well. With rigorous Physiotherapy and encouragement for Rehab, she is now moving with the help of a walker to meet her daily requirements and is also able to bend her knees comfortably till 90 degrees.”

Dr. S.C. Nagendra Swamy, COO, Bangalore Region, Director Shared Strategic Services noted, ” Keeping in mind that such an extensive surgery has never been attempted anywhere in the world before and also remembering the foreseeable risks associated with such an undertaking, we took care to perform a very thorough and meticulous preoperative planning. I applaud Manipal Hospital Orthopaedic team for competently performing such a delicate and rare surgery successfully and with such amazing results.”

Speaking to media persons Dr. H. Sudarshan Ballal, Medical Director, Manipal Hospital said, “In the West, surgeons rarely face these kinds of cases. Whereas in India, the patient tends to neglect due to financial and social reasons and finally comes at the last stage with such gross deformities. Correcting such deformed joints involves great technical skill and straightening a deformed joint can result in neurovascular damage if done without proper expertise and equipment. We are indeed blessed to have a professionally competent team and the best facilities to be able to perform a surgery of this magnitude without a hitch.”

Manipal Hospital, Bangalore is India’s first hospital to be ISO 9001:2000 certified for Clinical, Nursing, Diagnostics and Allied Areas. Manipal Hospital has been repeatedly ranked amongst the ten best hospitals in India.


iSOFT wins US$ 3.54m deal in England for a hospital information system

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iSOFT, an IBA Health Group Company, today announced that it has won a contract for a hospital information system with a National Health Service (NHS) trust in southern England worth £2.4 million (US$3.54m) over five years.

The contract with Heatherwood and Wexham Park Hospitals NHS Foundation Trust is for iSOFT’s i.Patient Manager (i.PM) PAS and a technical refresh of an existing iSOFT clinical solution, i.Clinical Manager (i.CM). i.PM is replacing an outdated third-party system.

The trust elected to contract directly with iSOFT for a replacement PAS instead of waiting for a solution under England’s National Programme for IT. This is one of the first major deals in the Southern Cluster, which was formerly serviced by Fujitsu.

Jonathan Pearce, the Trust’s Director of Infrastructure, said: “We are delighted to be working with iSOFT on this very important programme for Heatherwood and Wexham Park Hospitals NHS Foundation Trust. We already have a strong working relationship with iSOFT as we already use its clinical information system, i.CM. We very much value our partnership with iSOFT and look forward to strengthening this and working with the company to deliver the new PAS solution to the trust.”

Adrian Stevens, Managing Director of iSOFT UK and Ireland, said: “i.PM is a highly robust and proven solution from a company with an established pedigree in the NHS.”

“The seamless integration with i.CM provides a complete patient and clinical management solution to better manage appointments, improve efficiency and reduce waiting times. It also provides a foundation for a smooth transition to iSOFT’s next generation of healthcare solutions. This underlines our position as the leading provider of healthcare solutions to the NHS,” Stevens said.

The trust serves a population of more than 450,000 in six locations: Wexham Park Hospital near Slough, Heatherwood Hospital in Ascot, and hospitals and outpatient clinics in Bracknell, Maidenhead, the Chalfonts, and Windsor.

Fortis Healthcare plans for Fortis Hospital Seshadripuram in Bengaluru

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Unveils new logo of the hospital

 

Fortis Healthcare, the second largest healthcare chain in India that recently acquired a majority stake in erstwhile Apollo RM Hospital today shared its plans for repositioning the hospital as a complete multi-specialty neighbourhood healthcare facility providing medical care at secondary level. The hospital has been rechristened as Fortis Hospital, Seshadripuram. Consequently, the range and quality of healthcare services at the hospital will be enhanced over a period of time.

Mr. Shivinder Mohan Singh, Managing Director, Fortis Healthcare also unveiled the hospital’s new logo. Speaking at the occasion, Mr. Singh said, “Karnataka is very important for us in deepening our presence in the south. We are delighted to be in the high tech city of Bangalore with our first project in the state. This takes us a step closer to becoming a national player and in realizing our vision of bringing the Fortis quality of healthcare to the people of India. We shall continue to expand our presence in south.”

Fortis is committed to use its experience and expertise to upgrade and expand the range and quality of services being provided at Fortis Hospital Seshadripuram and also expand the bed capacity to 200 over time. Fortis Hospital, Seshadripuram will meet every aspect of common man’s day to day healthcare needs. In line with its patient centric approach, Fortis plans to introduce Home Care services wherein basic medical services shall be provided right at the patient’s doorstep. Besides, the hospital shall tie up with prominent medical experts of the city in different specialties for rendering OPD and IPD services.

The hospital will also upgrade the existing medical program and introduce new specialties while continuing to provide high end advanced medical care in Renal Sciences. The range of multi specialty services available at the hospital includes General Surgery, Orthopedics and Trauma, Obstetrics and Gynecology, Psychiatry, General Medicine, Pediatrics amongst others. The hospital will also be equipped to offer high end Emergency Care to ensure that patients are attended to within the shortest possible time.

The hospital shall be fully equipped to provide comprehensive diagnostics services as per well established Fortis standards. It will also provide Executive Health Checks and pre-employment checks for Corporates and offer a screening process for Cardiac, Diabetes, Cancer and Renal problems.

Fortis announces aggressive plans for Clinique Darné now renamed ‘Fortis Clinique Darné’

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CIEL and Fortis Healthcare, who have recently announced a strategic tie up to pick up majority stake in Mauritius’ largest private hospital, Clinique Darné, today unveiled aggressive plans for the hospital. Fortis Healthcare, who have the operations and management contract for the hospital, have extensive plans to enhance the quality of healthcare services being provided. Dr. The Hon Navinchandra Ramgoolam, G.C.S.K. Prime Minister, Minister of Defense and Home Affairs graced the occasion and unveiled Fortis Clinique Darné‘s new logo. Mr. Shivinder Mohan Singh, Managing Director, Fortis Healthcare, Mr. Bhavdeep Singh, Chief Executive Officer, Fortis Healthcare and Mr. Gérald De Senneville, CIEL were present at the occasion.                   

Fortis Healthcare, India’s fastest growing healthcare delivery network plans to utilize its experience and expertise to upgrade and expand Fortis Clinic Darné in a two phased manner.

  • In phase I, the company will make an investment of MUR 66 million of a total of MUR 165 Mn invested and upgrade the current facility which will involve introduction of new specialties and upgradation of existing specialties to tertiary care level.
  • In Phase II, the company, utilizing the six acre land available, will expand the facility to become a 400-bedded super speciality hospital providing comprehensive medical services.

To support the upgradation of medical program, there will be introduction of a high end Critical Care Department. This will allow treatment of more complicated and high end cases. There will be introduction of high end Surgical ICU, Medical ICU and Pediatric ICU. Fortis also plans to introduce a Neonatal ICU which will be of tremendous support to the birthing program in the hospital. These Critical Care Units will meet an important need for people of Mauritius. Along with these, there will be extensive scaling up of Emergency Medicine and Ambulance Services. There will be introduction of comprehensive range of diagnostic services including high end Radiology & Laboratory services. While Clinique Darne was the first private player to introduce Cardiac Care in Mauritius, its Cardiac Program will receive significant strength and will be enhanced using the expertise of Fortis. Today Fortis runs the “Fortis Escorts Cardiac Program” which is one of the largest Cardiac Programs in the world.

Post the investment and creation of state of art super speciality healthcare hub, Mauritians would not be required to travel abroad for high end treatment and the hospital will also attract patients from neighbouring African countries. Fortis, known for its clinical excellence and compassionate patient care, will bring in its clinical and management expertise to further enhance the scope and the quality of services available at Fortis Clinique Darné.

According to Mr. Gérald De Senneville, CIEL, “Fortis is a renowned and highly respected name in the Indian healthcare space with significant contribution made to the sector. We are very proud of this association which has come up after considerable research. We are confident and optimistic that the experience and expertise that Fortis will bring to Fortis Clinique Darné will add immense value not only to the hospital but also to the Mauritian healthcare sector.”

Mr. Raj Gore, Chief Operating Officer of Fortis Clinique Darné further added that, “As a trusted health partner, Clinique Darné has always taken the leadership role to reinvent itself to provide the best of healthcare to the people of Mauritius. The association with an eminent group like Fortis is another milestone in the same tradition. We are very confident about adding real value to the clinical as well as hospital services. Our patients would undoubtedly be the first beneficiary of this.”

While commenting on his plans for Fortis Clinique Darné, Mr. Shivinder Mohan Singh said, “We are excited to be in Mauritius which has a strong cultural and historical connect with India. We are committed to bringing our healthcare expertise for betterment of healthcare standards not only in Fortis Clinique Darné but to the entire Mascaranes and beyond.”

Fortis follows Clinical Protocols found in the best Global Hospitals and has the honour of having a JCI accredited hospital and four hospitals having the coveted NABH accreditation issued by the Quality Council of India. Fortis will bring these protocols to Fortis Clinique Darné for significantly enhancing patient care.

Additionally, Fortis will introduce its’ Fortis Operating System (FOS), designed to provide uniform experience to patients across the Fortis network. FOS benchmarks the quality of services delivered at each patient interface point and creates systems and processes to deliver the same to provide the best in patient care.

Fortis will also continuously train and educate medical, paramedical, nursing and support services staff to ensure high quality service levels.

Fortis becomes first hospital chain to receive highest national recognition for quality for blood banks at two network hospitals

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In a landmark achievement, the blood banks at Fortis Hospital Noida (FHN) and Escorts Heart Institute and Research Center (EHIRC) have been awarded the NABH (National Accreditation Board for Hospitals and Healthcare Organizations) accreditation from the Quality Council of India (QCI). NABH accreditation is an assurance of high quality and safety standards maintained at the blood banks which would help in securing the health status of the fellow patients.

NABH is a constituent autonomous board of the Quality Council of India (QCI), set up to establish and operate accreditation programme for healthcare delivery organizations. The blood banks at FHN and EHIRC are amongst the seven NABH accredited blood banks in India. The NABH standards for blood banks provide framework for quality assurance and quality improvement for blood banks. The soul focus of the standards is to maintain high end patient safety measures and quality of the care being provided. The QCI follows a continuous process where regular monitoring and stringent corrective action plan leads to the building of a strong culture at all levels of operations and functions. The standards are applicable to blood banks in the government as well as private sector.

“There has been a growing concern on how accessible and safe is ‘Safe Blood’. The Indian government is also laying stress on state-of-the-art blood bank facilities at every hospital either in the private or public sector healthcare centres. To maintain the standards in the quality of Blood Bank services and safe blood banking, it is desirable that a blood bank is accredited from a national or international governing organization like QCI.” said Dr. Narottam Puri, President-Medical Strategy & Quality, Fortis Healthcare Limited.

“QCI conducted rigorous quality and standard checks for seven months at both the hospitals and after complete the process successfully the accreditation was awarded to both the blood banks. Fortis Healthcare’s team is proud of its transfusion services for providing critical and life saving support to our patients.” he added.


Written by sreelakshmi

18 March, 2009 at 7:45 pm

Metropolis and Merrygold Health Network to provide Maternal and Child Health Care in UP

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Metropolis Health Services will now provide quality testing services to patients of Merrygold Health Network in Uttar Pradesh. UP has the one of highest maternal mortality ratio of 517 per 1, 00,000 live births (SRS 2005- 2006) and Infant Mortality rate of 71 per 1000 live births (SRS 2007). The main cause of this situation is poor antenatal care (44% received ante natal care) and low coverage of institutional delivery (22%) in the State (source: NFHS III).

HLFPPT has committed to develop the Merrygold Health Network with support of Govt. of UP and SIFPSA (State Innovations in Family Planning Services Project Agency) in the entire State. The Merrygold Health Network is an example of public private partnership working on the principles of franchising for development of network across all 70 districts of Uttar Pradesh. The project will support the Government of UP’s and GOI ‘s efforts in reducing maternal, new born and infant deaths by increasing antenatal care, institutional deliveries and new born care, post natal and family planning services to women in rural and semi urban population.

In the first phase of the project, Metropolis will open one Lab in HLFPPT-owned Hospital and the other lab will be commissioned in a Franchised Hospital. The first Metropolis Laboratory has been commissioned in HLFPPT-owned Merrygold Hospital, Agra. Samples of patients requiring specialized testing will be sent to the referral laboratories of Metropolis Health Services Laboratory through their own effective and efficient systems. The patients will see the reports on the website or can collect the reports from Merrygold hospital.

Speaking on this new partnership, Dr. Velu, Managing Director, Metropolis Health Services said, “It is our privilege to partner with HLFPPT; we are looking forward to provide the best of services and technologies to the underserved. The main objective of this partnership is to create a sustainable public private partnership in health care for the lower middle class and the underserved population. Merrygold health network will create grass-root level networking to provide quality reproductive and child health services at subsidized cost per fixed prices. We will follow the same quality standards to ensure consistency in care. Through this set up we wish to establish our network across the state and offer a comprehensive range of quality tests and latest technology to everyone.”

Elaborating on the project, Dr Vasanthi Krishnan, CEO, Hindustan Latex Family Planning Promotion Trust, said, “The network of franchised hospitals and health clinics will be developed under the name of ‘Merrygold Network’ and each level has been branded with specific name and will provide different level of quality health care . At district level these hospitals/ health clinics will be named as Merrygold and will provide maternal child health services including emergency obstetrics facility. Block /sub divisional hospitals /clinics named Merry silver will provide essential obstetric care, family planning services, and immunization services. These hospitals/clinics are linked with district Merrygold network to refer complicated cases from these centers. Village level network named as Merry Tarang will provide health counseling, condoms, oral contraceptives, sanitary napkins, oral rehydration salts and Folic Acid Tablets to community.”

At present, HLFPPT has established their network in 18 district level Merrygold hospitals and 64 Merrysilver hospitals/health clinics in 11 districts i.e. Agra, Kanpur, Badaun, Lucknow, Barabanki, Gorakhpur, Varanasi, Allahabad, Mathura Bareilly & Azamgargh. Similarly 1350 members like ASHA, AWW, chemist, community leaders have been associated with Merry Tarang health network. All franchises will follow the same quality standards to ensure consistency in care. The hospitals that are part of the franchising network will provide the same set of services, have a similar look, and follow the same branding for easy identifiable. In next two years, franchised hospitals/clinics will be operationalized in more districts in the state of UP.

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Mr. Bhavdeep Singh is Fortis Healthcare’s CEO

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Fortis Healthcare Limited, one of India’s leading private chains of hospitals, announced the appointment of Mr. Bhavdeep Singh as the company’s Chief Executive Officer. Bhavdeep Singh brings with him a vast and rich background covering three decades of professional experience. While for the major part of his career he was in the United States, Bhavdeep has now been in India for three years and most recently serving as Chief Executive of Reliance Fresh.

Bhavdeep Singh, a US citizen, returned to India after spending 30 plus years in US. In the US, for more than 28 years, Bhavdeep was associated with A&P, a leading supermarket chain in the United States. His key areas of responsibility included Operations, Merchandising, Marketing, Finance, Supply Chain/Logistics, HR, Labor Relations, Asset Protection, Productivity and other support functions. In his last role, he was responsible for a $3.5 billion business with almost 20 thousand employees.

On his return to India in 2006, Bhavdeep Singh joined Spencer’s Retail as the Chief Executive –Operations and Food Merchandising before moving to Reliance Fresh as Chief Executive. During the last two plus years at Reliance, Bhavdeep spearheaded the aggressive launch and expansion drive of Reliance Fresh and introduced almost 600 new stores in 18 months, to turn it into the fastest growing retail chain in India.

Announcing the new development in the management team, Shivinder Mohan Singh, Managing Director, Fortis Healthcare said, “Fortis is in a phase of stupendous growth. When organizations grow at this pace, it becomes important to signify and solidify its leadership, align systems and processes with a renewed focus on outcomes. Bhavdeep’s extensive experience in the retail sector with focus on efficient processes, ability to manage and contain cost of operations, exceptional people management experience coupled with his strong operations & business acumen will bring tremendous value to Fortis and help further enhance its leadership stature in the industry.”

Commenting on his appointment as Chief Executive Officer of Fortis Healthcare, Bhavdeep Singh said, “I am very excited to be a part of Fortis at such a crucial and significant time in its growth and see great potential of leveraging my experience both in USA and in India. I look forward to lead the organization which is leading the Indian Healthcare Sector to its next stage of development.”

For further details visit http://www.fortishealthcare.com