INDEX CONTENTS: PAGE NO PART-I 1. Chairman's Message 01-08 2. Profile of Board of Trustees 09-13 3. BIACH & RI’s Profile 14-15 4. Annual Statistics 16-16 5. Main Divisions 17-19 6. Medical Departments Overview 20-48 7. Academics & Research Overview 49-54 8. Admin Departments Overview 55-78 9. Outreach Programmes 79-84 PART-II 1. Financial Report 85-113 CHAIRMAN’S MESSAGE BIACH & RI promoted by Smt. Nandamuri Basavataraka Ramarao Memorial Cancer Foundation and Indo American Cancer Organisation has completed 16 years of its operations on 22nd June, 2016. During this period, the institute provided specialised cancer care to 168808 New patients and 333122 In Patients. Comparative statistics of cancer patients treated at this Institute during 2014-15 and 2015-16 shows that the number of new patients as well as In patients has been rapidly growing. During 2014-2015, New patients and In patients treated at BIACH&RI were 17682 and 40,425. The numbers have kept increasing trend in 2015-16 and rose to 18052 and 41,347 respectively in spite of stiff competition with increasing number of cancer hospitals in Hyderabad and districts of AP and Telangana states. It demonstrates the increasing magnitude of cancer cases in not only in AP and Telangana but also in neighbouring states. Revenue and expenditure has also been growing accordingly from 171.30 Crores and 162.63 Crores to 195.90 and 172.84 Crores respectively in 2014-2015 & 2015-2016. Subsidy to patient treatment has also been significantly increasing every year. The brand image of the institution has been steadily improving over the years due to initiatives taken for focussing on patient amenities and opinion, consistently improving hospital facilities and acquiring latest equipments as well as employing experienced and highly skilled clinicians to keep the Institution in forefront of cancer treatment technology and treatment. Recognitions and Awards: It is a matter of great pride that the BIACH & RI was the only hospital from AP and Telangana among the top 15 cancer hospitals in India both in 2014 and 2015 as per The Week Nielsen Survey. To add to it, CNBC – TV18 and ICICI Lombard jointly rated BIACH & RI as the best single speciality hospital in oncology in India during 2014-15. It indicates that the BIACH&RI is getting widely known across the country as a premium Page 1 cancer treatment and education centre. These achievements were possible only due to continued support and guidance from the Board of Trustees and dedicated and sincere efforts of Doctors, Nursing, Para-medical and other staff. I am grateful to our patients and their families for consistently reposing their faith in the quality treatment and service at the Institute. These awards are recognition of their support. I congratulate each and every member of the BIACH & RI family for making this possible. IMC Ramakrishna Bajaj Quality award: During this year (2015-16) Hospital was awarded IMC RBNQ Certificate of Merit-2015 from IMC Ramakrishna Bajaj National Quality Award Trust in January, 2016. Environmental Friendly Initiatives: BIACH&RI has also been in forefront of environment friendly initiatives. These include planting of large number of trees making it a very green facility in spite of totally rocky terrain, installation of a bio reactive bacteria based Sewage Treatment Plant(STP), installation of solar power water heaters, PCB approved Bio-medical waste management system, usage of STP treated water for gardening and flushing purposes in non treatment areas, use of bio-degradable packaging materials, recirculation of waste paper through ITC Bhadrachalam Paper mills, use of only LED lighting in new and future replacements, switching off light/fans/air conditioners and computer systems when not in use, installation of motion sensors and timers for lights and fans and use of non toxic saline bottles. The Institute has also signed an agreement to buy 2.5MW solar power with a Solar Power Company and started drawing the solar power from 1.4.2016 with a view to reduce usage of conventional electric power. So much so that the Institute has been winning Green Award in Hospital category from the Government of Telangana consecutively for 3 years from 2013-2015. New Equipments: On the technology front, during 2015-2016 year, 6 nos of new equipment with advance technology have been procured and installed in various departments i.e Gemini As (Auto Stainer), Tissue Processor & Microtome Hm 325 in Histopathology Department and Esu Page 2 & Thunderbeat & Colour Doppler System Sonosite Edge With P21x in Operation Theatre. Modernisation of Hospital Information System: The process to modernise the existing Hospital Information System (HIS) provided by M/s.Frontier Technologies about 8 years back with JAVA front End, DB Informix data based from CGSL, an IT software company based in Hyderabad has been taken up this year. While the Finance module was already using SAP , procurement of drugs and all materials was also brought on SAP system w.e.f. 1.4.2016. The new HIS went live from 1.4.2016 and once fully stabilised and integrated with SAP system, the documentation at various stages from OP to discharge shall be on line and improve patient service delivery time. Investigation reports and discharge summaries shall also be available to patients from remote locations on authorisation by the hospital. Research: Research was one area where commensurate progress and achievements were lacking though huge resources in terms of patient samples and disease information have been in store. To put greater focus on cancer research, Board of Trustees decided to separate the R&D department of the hospital as a separate Foundation to provide greater focus to the cancer research activities. Accordingly, Indo American Cancer Research Foundation was formed and registered vide Doc.No.09/IV/2015, Dt.16.12.2014 with a Board consisting of eminent scientists, clinicians and BIACH&RI representatives. It shall continue to function from the premises of BIACH & RI. I am grateful to Dr.Ch.Mohan Rao, Director, CCMB, Dr. Gullapalli N Rao, Chairman LVPEI, Prof.Kalluri Subba Rao, Prof.P.S.Sastry, Dr.B.Sesikeran and thank all of them for having accepted our request to be on the Board of IACRF. I am sure under their guidance, the cancer research will get adequate momentum and proper direction further helping to enhance the image of NBTRCF. During 2015-16, the following are the achievements of R & D (ICACRF) - 1) Concept Proposal for Grant on Stem Cells submitted to ICMR was accepted and received invitation for sending complete Project proposal from the ICMR. Page 3 2) Publication in an International Peer Reviewed Journal, “npg Breast Cancer”. 3) Department of Science and Technology, GOI has renewed the SIRO status to the R&D till March, 2018 and certificate has been received. 4) A manuscript titled, “Susceptibility to Oral Cancers with CD95 and CD95L Promoter SNPs May Vary with the Site and Gender", has been accepted for publication in an international peer reviewed journal. (Tumor Biology, Impact factor 3.611). Cancer Awareness and Screening: As part of cancer control activities 43 cancer awareness and screening camps were conducted during current year participated by 8370 nos of patients from which 81 nos of patients were referred to the Hospital. Cancer Survivors Day was observed during Foundation Day celebrations. About 21 cancer survivors were facilitated on the day. Anti Tobacco week was observed on 31st May, 2015. All programmes were well attended. Colon Rectal Cancer Screening Awareness is organized in BIACH&RI e from 01.03.2016 to 31.03.2016 between 10:00am to 12:30pm. total 21 screened, One case of colon cancer detected. In the month of January 2016 Cervical Cancer camp is organized at BIACH&RI from 01.01.2016 to 31.01.2016. In addition to the cervical cancer screening many undergone master health checkup also. Donations: It is a matter of concern that donations are steadily decreasing. Even though the Board had approved for creation of Corpus Fund more than a year back for providing free treatment to very poor cancer patients, only 90.82 lakhs have been donated to the Corpus Fund Out of Rs.90.82Lakhs Rs.52.57 lakhs (US$79514) was contributed from Indo American Cancer Organisation (IACO), USA through Dr. Tulasi Devi, President IACO against fund raising at USA in the month of July 2015, and Rs.38.25 lakhs from others during this year and Rs.11.55 lakhs donated by some others for poor patients treatment. In addition, Sri Bapanna Chowdary, Chairman & MD, M/s.Kala Jyothi printers came Page 4 forward to take up construction of 15,000 sft. Dormitory(cellar+2 floors) from his own funds in the hospital's open space adjoining Ganesh Temple to meet the growing need for increasing number of poor OP patients and their attenders. Its construction is likely to be completed by October, 2016. Other significant Contributors were Hare Krishna Movement, Hyderabad for free lunches and a group of City based businessmen for free dinners for 250 patients and their attendees housed in the existing dormitory. 13th Annual Conference of Cancer Care India: BIACH&RI hosted two days 13th Annual Conference and General Body meeting of Cancer Care India, an umbrella organization of NGOs working in the field of cancer awareness and helping cancer patients across various states of India at our hospital auditorium on 12-13thDecember,2015. About 50 delegates from these organizations participated in the conference. His Excellency Sri ESL Narsimhan, Hon’ble Governor of Telangana and Andhra Pradesh was the Chief Guest and inaugurated the Conference. Empanelment with Indian Cancer Society Cancer Cure Fund (ICSCCF): Basavatarakam Indo American Cancer Hospital and Research Institute was got empanelled with ICSCCF in August 2015 with a view to receive financial support to treat below poverty line (BPL) patients.