CIMS Scientific Outcome Book 2012
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Care Institute of Medical Sciences Outcomes 2012 Green Hospital C I M S NABL A premier multi-super specialty GREEN hospital What's Inside u Vision, Mission and Values ........................2 u Spine Surgery .......................................69 u Chairman's Letter ....................................3 u Urosurgery ...........................................72 u Board of Directors....................................5 u Onco Surgery ......................................74 u Accreditations ........................................6 u General Surgery ....................................77 u Abbreviations .........................................8 u Plastic Surgery ......................................78 u Mission 2013: Cancer and u Obstetrics and Gynecology .....................80 Radiotherapy Centre ..............................12 u ENT Surgery .........................................82 u Departmental Overview ..........................13 u Pain Management .................................83 u Cardiology ...........................................14 u Dentistry..............................................84 u Cardiac investigations ............................26 u Pathology ...........................................85 u Forefront in Cardiac Technology ...............27 u Radiology ............................................88 u Cardiac Rhythm Disorders ......................29 u Dialysis Center .....................................90 u Cardiac Surgery ..................................32 u Physiotherapy, Rehabilitation u Coronary Artery Bypass Grafting .............33 and Nutrition ........................................91 u Heart Failure .........................................35 u Code Blue.............................................92 u Cardiac Valve Disorders .........................37 u Quality Measures ...............................93 u Minimal Invasive Cardiac Surgery .............40 u Pharmacovigilance Unit...........................97 u Vascular and Endovascular Surgery ..........41 u Ambulance and Transport Services ...........98 u Thoracic Surgery ..................................45 u Patient Experience .................................99 u Neonatal and Pediatric Critical Care .........46 u Guest Relationship ...............................100 u Pulmonary Medicine...............................50 u Patient's Say.......................................101 u Critical Care .........................................52 u Ethics.................................................104 u Orthopedic Surgery................................56 u Research Projects ................................105 u Trauma Centre .....................................60 u Education ...........................................107 u Gastro-Intestinal Surgery ........................63 u Medical Fraternity ................................108 u Bariatric Surgery....................................64 u Publication List ...................................114 u Endoscopy............................................65 u JIC 2014 ..............................117 u Neurosurgery ........................................66 1 Vision, Mission and Values Vision To be the best multi-super specialty hospital in India Mission C are I nnovation To provide superior quality health C are using I nnovation to Manage lives and S ave lives. M anage Lives S ave Lives Values n Patient's well-being: It will be our topmost priority n Adopt and encourage ethical practices n Comply with all applicable laws and regulations n Provide a safe and comfortable working environment to employees and associates n Embrace technology and innovation in the delivery of healthcare n Provide socially responsible and safe healthcare Care Institute of Medical Sciences (CIMS) is a 150-bed multi-super speciality eco friendly green hospital located in Ahmedabad, Gujarat, India on Science City Road with a 175-bed expansion plan in progress and an aim to be 300 plus bed hospital by 2016. In its third year since inception, CIMS has established itself to be a centre of medical excellence in extremely spacious surroundings and state-of-the-art Green building supported by one of the best medical teams and backed with cutting-edge technology. Care, compassion and courtesy is the mantra underlying patient care at CIMS. 760 full-time and visiting consultants, over 1000 employee with a ratio of 5 employees per bed (one of the highest in India) devote their full energies to ensure that every patient has the best outcome and experience. 2 Chairman's Letter Dear Colleague, On behalf of the CIMS family, I am pleased to present the second edition of our annual scientific audit CIMS Outcomes 2012 for all our medical colleagues in India and abroad. Since the first edition of the book a year ago, we are proud to have added two feathers in our cap; the NABH accreditation of our hospital and the NABL accreditation of our pathology laboratory. Entire quality assurance team, CIMS staff as well as pathology department needs to be congratulated. After Outcomes 2010-2011 extending the frame work of process measures, volume measures and clinical outcomes, 2012 edition covers most of our invasive, interventional, critical care specialties, and departments such as CIMS KIDS, Endoscopy, ENT, Gastrointestinal, GI & Bariatric Surgery, General Surgery, Gynecology, Neonatal & Pediatric, Nephrology, Neurology, Oncology, Oncosurgery, Orthopedic, Pain Management, Pathology, Pediatric Surgery, Plastic Surgery, Radiology, Spine Surgery, Thoracic Surgery, Trauma, Urology, Vascular Surgery and various subspecialities of Internal Medicine and Surgery. It focuses on every category, every quality measure, and every aspect which improves patient care at CIMS, making it the best health care experience for the patient. This year, we have focused on Appropriateness of Care. Of all the reasons for paying attention to patient satisfaction, only one that transcends correctness, accountability, or accreditation standards is — Appropriateness of Care. We, at CIMS, are proud to inform that we do some of the lowest % of our angiographies converted to angioplasties. Also, our approach to appropriateness between angioplasty & bypass surgery is one of the most balanced in the country with an equal number of our patients being offered the both, subsequently resulting in a higher number of open heart surgeries. We perform angioplasties on 20 % of our coronary angiographies, which is one of the lowest conversion rate in the country (compared to 30-40 % elsewhere), confirming our ethical standards. The outcomes and ethical appropriateness of care presented in this book are not our final destination; but is a continuous journey to provide the best and right care to each patients who walks into our care at CIMS. 3 Chairman's Letter The success of CIMS lies with its magnificent doctors and associates. I would like to "deeply bow" to my associates and directors namely Dr. Milan Chag, Dr. Anish Chandarana,Dr. Ajay Naik, Dr. Satya Gupta, Dr. Urmil Shah, Dr. Hemang Baxi, and Dr. Dhiren Shah who have made CIMS become a success. If you see them around, do bow to them as I do, as it is they who have supported in establishing CIMS cardiovascular division as an outstanding monument of healthcare in such a short span of time. I also appreciate immensely Dr. Dhaval Naik, Dr. Gunvant Patel, Dr. Shaunak Shah, Dr. Kashyap Sheth, Dr. Dipesh Shah, Dr. Srujal Shah all of whom who have worked together as outstanding partners to me as well as to society for last many years. Newer doctors working in various department both visiting as well as full time also need to the admired. While a number of specific case studies about techniques or strategies used to improve patient care have been included, we present only some outstanding cases as an example. This book is directed to all who wish to improve the patient's experience and evaluation of care and who are willing to put some sweat equity into the effort. I suspect that this passion of mine will be very apparent throughout the book! It is again the hard work and the effort of our 'knowledge team' under the able guidance and leadership of Dr. Parloop Bhatt and Ms. Preeta Chag. I also appreciate the help of over 20 members of our various quality control and communication team especially Ms. Komal Shah and Mr. Sanjay Gohel who made this book possible. On behalf of CIMS Family and Board of Directors Sincerely, Dr. Keyur Parikh Chairman Care Institute of Medical Sciences Ahmedabad Email : [email protected] 4 Accreditations 5 Accreditations 6 Board of Directors Dr. Milan Chag Dr. Anish Chandarana Dr. Hemang Baxi Managing Director Executive Director Director Dr. Urmil Shah Dr. Ajay Naik Dr. Satya Gupta Dr. Dhiren Shah Director Director Director Director Dr. Ashit Jain Mr. Kirti Patel Dr. Kamlesh Pandya Dr.(Prof.) Dilip Mavlankar Director, USA Director, UK Director, USA Director, India 7 Abbreviations AAC Access, Assessment and Continuity of Care BLS Basic Life Support ABG Arterial Blood Gas BMI Body Mass Index ABI Ankle-Brachial Index BMS Bare Metal Stent ABP Ambulatory Blood Pressure BNP Brain Natriuretic Peptide ABP Arterial Blood Pressure BP Blood Pressure ACA Anterior Cerebral Artery BSI Blood Stream Infection ACC American College of Cardiology BVS Bioresorbable Vascular Scaffold ACE Angiotensin Converting Enzyme CABG Coronary Artery Bypass Grafting ACL Anterior Cruciate Ligament CAD Coronary Artery Disease ACR American College of Radiology CAG Coronary Angiography ACS Acute Coronary Syndrome CAMC Cardiac Arrhythmias