Charutar Arogya Mandal Annual Report 2008-2009 1 The Structure That Reflects Our Vision 4 Empowerment and Ownership 6 Bhanubhai & Madhben Patel Cardiac Centre 7 Institutional Highlights for the Year 9 Medical Education 17 Patient Care 28 New Equipments and Facilities at a Glance 30 Community Extension 33 Research 38 Support Services 42 Human Resource Development Activities 56 Papers Published 58 Awards and Recognitions 60 The Faculty 62 The Management Team 63 Donors for the Year 2008-2009 64 Deh Dan 65 Accounts ANNUAL REPORT 2008-09 Trustees The Structure that Shri JM Rawal Reflects Our Vision Shri Baboobhai Z Patel Governing Body Chairman Dr. Amrita Patel Hon. Secretary Shri Jagrut Bhatt Dean Dr. Utpala N Kharod Members elected by the Council Shri Chimanbhai B Patel Dr. Chhotubhai L Patel Shri Ashokbhai J Patel Shri Natubhai M Patel Shri Thakorbhai C Patel Shri Prayaswinbhai B Patel Ms. Mirai Chatterjee Shri Harshadbhai S Patel Member co-opted by the Governing Body Dr. Babubhai R Patel Member co-opted by the Chairman Shri Hasmukhbhai S Parikh Smt. Dakshaben N Shah Governing Council he structure of the Charutar Arogya Mandal is a reflection of President Tits commitment to professionalism Shri Hasmukhbhai Shah on one hand and accountability to the Vice-President community, including its many donors, Shri Chimanbhai B Patel on the other. Registered as a trust and a Chairman society, its properties are vested in the Dr. Amrita Patel Board of Trustees. Its policies are decided by the Governing Body headed by the Members elected by the General Body Mandal’s Chairman, Dr. Amrita Patel, who is Shri Bharatbhai M Patel also the executive head of the Mandal. The Shri Harshadbhai S Patel Governing Body functions under the purview Shri Maganbhai B Patel of the Governing Council, which is a wider Dr. Ambalal I Patel body with representation from donors, sister Smt. Sumiben V Patel institutions and members of the Mandal, in Shri Rameshbhai Shah addition to the members of the Governing Donors’ Representatives Body. The President of the Mandal, Shri Shri Ashokbhai J Gokal Hasmukhbhai Shah, chairs the Council Shri Ravindra J Gokal meetings. The Council, in turn, reports to Shri Kishorbhai J Gokal the General Body, in which the members of Shri Hasmukhbhai S Parikh the Mandal participate. The total number of Dr. Anand N Nathwani members as at March 2009 was 1879. Shri Shishir K Diwanji 1 CHARUTAR AROGYA MANDAL Shri Jagrut Bhatt Hon. Secretary Ms. Mirai Chatterjee Shri Jagrut Bhatt Shri Manubhai S Patel Dean Dr. Babubhai R Patel Dr. Utpala N Kharod Shri KB Sanghvi Shri Natubhai H Desai Chief Executive Officer Shri Nitinbhai R Desai Shri Sandeep Desai Shri Bharat N Dave Shri Ashokbhai J Patel Sardar Patel University Shri Dinshaw A Desai Vice Chancellor Shri Navinbhai C Patel Prof. (Dr.) BG Patel Shri Thakorbhai C Patel Bochansanvasi Akshar Purushottam Dr. Darshit Shah Sanstha Shri Prayaswinbhai B Patel Shri SA Patel Nominee of Karamsad Municipal Borough Co-opted Members Shri Kiranbhai R Patel Dr. BR Patel Chairman, Charutar Vidya Mandal Consulting Cardiologist, Vadodara Dr. Chhotubhai L Patel Dr. MM Rajapurkar Medical Director Hon. Secretary, Charutar Vidya Mandal Muljibhai Patel Urological Hospital, Nadiad Shri RP Patel Dr. Jagdish N Patel Members nominated by the Governing Hon. Secretary Body of Charutar Vidya Mandal Medical Care Centre Trust Dr. ARV Murthy KG Patel Children Hospital, Vadodara Dr. AK Saluja A Board of Management has also been set Vice Chancellor, Sardar Patel University up to provide policy inputs to the Cancer Prof. (Dr.) BG Patel Awareness, Education and Early Detection Chairman/President, Anand District Project. Its members are: Panchayat Dr. Amrita Patel Representative of Bakrol Chairman Shri Chandrakant M Patel Charutar Arogya Mandal Eminent ladies nominated by the Dr. Viren Doshi Chairman Chief Executive Officer Smt. Dharmishtaben N Pandya Tribhuvandas Foundation Prof. Ila Patel Dr. Ravi Patel Smt. Neelima Khaitan Oncologist and Donor Members Co-opted by the Council Maj. Gen. Virendra Singh Shri Chandrakantbhai Patel Shri Shantibhai M Amin Donor Shri Natubhai M Patel Dr. Pankaj Shah Shri Dinubhai P Patel Director The Board of Management for the Gujarat Cancer & Research Institute, Pramukhswami Medical College has the Ahmedabad following members: Dr. VK Gupta Chairman Medical Director Dr. Amrita Patel Rajkot Cancer Society 2 ANNUAL REPORT 2008-09 Shri Jagrut Bhatt Governing Council Committee Hon. Secretary Chairman Charutar Arogya Mandal Shri Hasmukh Shah Dr. Utpala N Kharod Members Dean Dr. Amrita Patel Pramukhswami Medical College Shri CB Patel Shri Ashok J Patel Dr. S Mukherjee Dr. BG Patel Professor (Community Medicine) Dr. BR Patel Pramukhswami Medical College Dr. RR Doshi Dr. Girish Mishra Shri JM Rawal Project Director & Convenor Dr. ND Jotwani Dr. Utpala N Kharod Dr. S Shastry Dr. NM Kharod Professor & Head Department of Preventive Oncology Scientific Research Advisory Committee Tata Memorial Cancer Centre Chairman Mumbai Dr. BR Patel Members The Charutar Arogya Mandal Medical Dr. RV Bhatt Research Society, the Mandal’s arm Dr. Mahesh R Desai engaged in the field of medical research Dr. Geeta Pandya appropriate to local conditions, is Dr. Utpala N Kharod managed through a Scientific Research Dr. MM Rajapurkar Advisory Committee, which is responsible Dr. Shilin N Shukla for approving and reviewing the research Dr. TE Udwadia proposals and the Governing Council, Dr. Madhvi Sheth which provides policy inputs and Research Coordinator directions in research. The members of Dr. Nayanjeet Chaudhary these committees are: 3 CHARUTAR AROGYA MANDAL even more intense. The first of the Retreats, Empowerment and the mid-year meet, saw progress on many initiatives, the seeds of which were sown Ownership earlier. Thus, while on the one hand the staff, hose working in the Mandal’s this time numbering well over 50, deliberated institutions have, for the last few on the financial situation of the Mandal and years, created in their own way a its implication, significant decisions in respect T of matters where there would ordinarily unique model of governance; a model that encourages participation of everyone in all be competing claims, such as allocation the activities and one that seeks accountability of budget for purchase of equipment, from the participants themselves. In doing so, were taken in a great spirit of collective it also fosters a sense of ownership among responsibility. The amount of funds available the staff members that enables it to face all for investment is finite and the expectations challenges in the most effective manner. and needs of those delivering services in the institutions are much higher. The total Over the last few years, the staff, growing in investments, based on the estimates made by number each year, have engaged themselves each department, required to be made totaled progressively in defining and redefining their Rs. 525 lakhs, while the amount available own work and planning it for more effective was merely Rs. 150 lakhs. What followed results. The foundations of the planning were several rounds of negotiations, where process are laid and strengthened at semi- departments not only tried to cut down on annual meetings, called Retreats, which has their own requirements, they questioned and emerged as a forum that is central to all critically evaluated the requirements of other planning and thinking for the senior staff of departments. The result that actually emerged, the Mandal. and the manner in which it transpired, speaks In the current year, these Retreats were volumes of the maturity of the staff and their 4 ANNUAL REPORT 2008-09 active involvement in deciding their own modules of three days each at the Institute of future. Rural Management, Anand. The vertical heads and the management executives participate The most important decision, however, related to how the operations of the in a meeting that is held each Wednesday, Mandal’s institutions were organised. The where not only the progress and difficulties Mandal seeks to inculcate the values of faced by them are discussed and resolved, a charitable organisation, but believes in their management capability is also sought to professionalism in its working and it becomes be strengthened by discussing contemporary necessary, therefore, that the organisation management theories and practices. In fact, of its activities takes cognizance of these one of the more intense discussions just somewhat conflicting expectations. After before the second Retreat that this group much deliberation, it was decided that the was concerned with was arriving at the Core hospital-related activities should be divided Purpose and Core Values of the Mandal. into five areas; outdoor services, indoor These, fundamental to any institution, but services, critical care services, trauma & even more so for the Mandal at the present emergency and operation theatres. Pharmacy, stage of its existence, have since helped in radiology and labs, which support these areas being the basis of a number of decisions. and by themselves have significant activities, were also considered as independent areas, Our Core Purpose requiring attention and focus. To provide modern and professional health care to the rural community equitably. Similarly, the academic activities were categorised in respect of undergraduate and Our Core Values postgraduate courses. And finally, recognising 1. Commitment: Doing things wholeheartedly the importance of research in an academic (with heart & soul) institution, it was also designated as an area 2. Excellence: Continuous improvement to that would be given more focused attention. achieve best possible standards All these areas, ‘Verticals’ as they are referred 3. Honesty & Integrity: Meaning what we say to, were then assigned one senior staff, each and doing what we mean of who volunteered their services, to manage As a final step, before starting the process them as Vertical Heads. of transformation, a tentative vision of the This process was further strengthened at the Mandal, ‘To surpass CMC, Vellore as the role second Retreat, in early January, where each model of rural health care’, was enunciated.