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
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& 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.
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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. BIACH&RI in association with Indian Cancer Society (ICS), Mumbai offers treatment to patients earning less than 1,00,000/- (revised to Rs.2 Lakh now) per annum and with 50% survival rate. We would like to take this opportunity to thank all the departments of the hospital for their kind cooperation in this effort. The joint efforts have enabled ICS in funding the treatment of 35 patients at this hospital as per details below. Total Beneficiaries 35 Amount Sanctioned Till Date 1,07,82,000 Amount Received Till Date 59,90,000 Bill Amount 47,17,322 Discounted Amount 6,09,060 Net Amount spent from the fund 41,08,262 Amount Refunded to ICSCCF 1,03,759 Balance Available with BIACH&RI 17,77,979
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Human Resource Development Initiatives: The Department of Human Resources actively supports Medical & Non Medical departments by managing the Institute’s most valuable human assets – its Employees to focus on its key objectives. Over the years, the department has focused on continuous improvement in staff quality and accountability while improving services towards high quality patient care and streamlining administration. While continuing new staff development and welfare initiatives, following new initiatives were taken during the year.
o Introduced Face Index Attendance System o Free Bachelor Sharing Accommodation o Subsidized boarding facility for Nursing Bachelor Sharing o Introduced Transport Allowance to Outsiders (Nursing Staff) o Enhanced Nursing Staff Salaries & Review of Pay across the Nursing staff o Facilitate more accommodation to the patient and their attendants, HR initiated reshuffling of the Staff at Bachelor Sharing accommodation at Vididi and Athidi o Special Allowance to Nursing Supervisors o Enhanced Duty Doctors Night Duty Allowance o Revision of Base Salary (Technical & Non Technical Staff) o Commendable Achievement Reward to Radiation Team o Initiated Accident Policy Coverage to all Staff o Internal & External Training Programs o Additional pair of uniform to the existing staff o Initiated Exit Interviews o Conducted a questionnaire-based Employee Satisfaction Survey for all employees and analyze the survey results to devise improvement measures required at workplace.
Quality Improvement Initiatives:
Quality Assurance Department apart from advising hospital departments on quality issues and assisting in internal quality audits and trainings has coordinated following achievements.
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NABH Accreditation:
NABH Re-accreditation assessment process by NABH-Assessors team was conducted on 12-14th February, 2016 and successfully achieved the NABH Re-accreditation for next three year i.e 2016 to 2019.
OHSAS 18001 Certification:
OHSAS 18001 Re-certification process by OHSAS Assessors team was conducted on 25- 26th Oct 2015. 6 non compliances identified by them were rectified by concerned departments and based on compliance report of Hospital; the certification was continued for next 3 years.
NABL 218 Accreditation:
Desktop surveillance and equipment verification was conducted in Nov 2015 and since no NCs were found, Hospital laboratory’s NABL accreditation was renewed till December-2017.
Financial picture:
The Financial position of the Hospital is consistently improving. During current year, gross revenue showed an increase of 14.36% from 171.07 Crores to 195.90 Crores. But 20% target for revenue growth set by the Board could not be achieved. However, the expenditure has been kept under control and increase in expenditure has been only 6.28% from 162.63 Crores to 172.84 crores in spite of increase in staff salaries and consultancy charges (11.24%), housekeeping charges( 22%) and water charges (9.96%). International Block generated revenue of Rs.1.59 Crores in 2015-16 as against 0.93 Crores only in 2014-15. With various initiatives taken and signing of MOUs with overseas hospitals and International medical tourism companies, it is expected that income from this facility shall gradually increase.
On behalf of BIACH & RI, I thank Andhra Bank, our lenders, various departments of Central and State Governments of Telangana and Andhra Pradesh particularly TSSPDCL, Hyderabad Metro Water Works, GHMC, Drug Control Administration and
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Medical and Health Departments specially Arogyasri of Govt. of Telangana and NTR Arogyasri fof Govt. of AP for their continued support and all our vendors and pharma companies for their continued support. I congratulate Doctors, Nursing, Para-Medical and other staff of the hospital for their continued dedication and hard work. Board of Trustees expect the staff to continue to work harder to provide further improvement in patient services in line with increasing expectations of patients as well as in the revenue. I thank each of my colleague member of Board of Trustees for their continued support in all endeavours of Smt.Nandamuri Basavataraka Ramarao Memorial Cancer Foundation.
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PROFILE OF BOARD OF TRUSTEES: Sri Nandamuni Balakrishna- Chairman and Managing Trustee: Sri Nandamuri Balakrishna is a leading cine artist of south Indian cinema. Son of legendary Late Sri Nandamuri Taraka Rama Rao, former Chief Minister of Andhra Pradesh, Balakrishna is popularly known as Balayya and NBK by his huge number of fans and admirers. He personally takes care of all the activities of the Basavatarakam Indo American Cancer hospital and Research Institute. Telugu edition of India Today Weekly magazine has brought out a special edition on Sri Nandamuri Balakrishna, addressing him as the legend and an all-rounder of his era. It hailed Balayya for his works in cinema, politics and philanthropy. He has been mainly instrumental for the enhanced brand image and popularity of the hospital.
Dr. Kodela Sivaprasada Rao – Member, Trust Board: Dr. K. Sivaprasada Rao, a popular and leading Surgeon from Guntur District of Andhra Pradesh is the first Speaker of the Legislative Assembly of New Andhra Pradesh from June 2014. He also held the portfolios of Minister of Home, Health, Major Irrigation, Panchayati Raj, Rural Development and Civil Supplies in the composite state of Andhra Pradesh. As a founder member and Chairman of Board of Trustees, he with his administrative skills and experience, has developed and guided the Institute from a modest beginning to become a leading centre for cancer treatment in Andhra Pradesh.
Dr. Gaddam Dasaratha Rami Reddy – Member, Trust Board: Dr. Gaddam Dasaratha Rama Reddy, a paediatrician who has chosen to specialize in the prevention, diagnosis and treatment of cardiac disease and defects of the heart and circulatory system. With his vast experience, he is guiding the Hospital to acquire latest medical knowledge/facilities.
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Dr.Tulsi Devi Polavarapu , Member, Trust Board: Dr. Tulasi Devi Polavarapu hailing from Guntur District in Andhra Pradesh is a leading gynaecologist & obstetrician practicing in New York for last 40 years. As president of Indo American Cancer Organization, Dr. Polavarapu has contributed a great deal from the inception of the hospital till date by donating sizeable funds personally as well as organising many fund raising events in USA besides guiding the faculty and staff of hospital from time to time. She is associated with many hospitals and educational Institutions. Dr. MVVS Murthi – Member, Trust Board Dr. Murthi is a strong advocate for high ethical and moral values and excellence in technical education for economic growth of the Nation. To realize his dream of providing quality in Technical and Higher education, he started Gandhi Institute of Technology and Management (GITAM) in the year 1980 which is now a deemed University with 3 campuses in Vizag, Hyderabad and Bengaluru. On the political front he is an important founder member of the regional party, Telugu Desam Party founded by Late Sri N.T. Rama Rao. Presently he is a member of Andhra Pradesh Legislative Council, elected unanimously from Visakhapatnam district. The philanthropist in Dr. Murthi has contributed for the establishment of various charitable trusts and foundations .As a founder member of BIACH & RI, he with his vast administrative and entrepreneurial experience has been guiding the Institute from the beginning besides contributing to donation programmes of the hospital. Sri Nama Nageswar Rao – Member, Trust Board: A former Member of Parliament (Lok Sabha), Mr. Nama Nageshwar Rao is a successful Industrialist and business man. As a trustee with his vast experience, he is guiding the Institute to provide better & affordable medical care to cancer patients.
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Dr. Dattatreyudu Nori – Member, Trust Board Dr. Nori is an internationally renowned Oncologist based in New York, USA. He is presently the Director, Cancer Centre and Professor & Chairman, Department of Radiation oncology, New York Hospital, Queens. He is also the Chief Scientific Advisor of BIACH & RI guiding the faculty on modern cancer treatment protocols from time to time. He was recently awarded with Padmashri, a national honour by the President of India on the eve of Republic Day-26th January-2015 for his highly commendable services to the cancer patients in India, US and many other countries.
Dr Nori, who is widely considered as one of the top cancer treatment Physicians in the US, was feted for his “outstanding contributions and pioneering work at MSKCC. Previously he was named one of the top doctors in all of America for cancer treatment, by The Ladies’ Home Journal magazine. Dr. Nori has been given the 'honor of Tribute to Life' by the American Cancer Society (ACS). The honor was bestowed by Don Distacio, regional director of the ACS in recognition of his contributions to cancer research, patient care and treatment and education. Dr. Dattatreyudu Nori was honoured by the Memorial Sloan Kettering Cancer Center (MKSCC) with its Distinguished Service Award at the International Brachytherapy Symposium in May 2015.
Sri J.S.R Prasad – Treasurer, Trust Board: Sri J.Siva Rama Prasad, a charted accountant by profession with 20 years experience and a successful Industrialist is a Director of Kakatiya Cement & Sugar Industries Limited and of several other business enterprises. With his vast administrative and financial experience, he is ably guiding the Institute in financial planning and administrative matters.
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Scientific Advisory Board:
Chief Scientific Advisor: Dr Dattatreyudu Nori, MD, FACR, FASTRO Director, Cancer Centre. Professor and Chairman, Department of Radiation Oncology, New York Hospital, Queens Professor & Executive Vice-Chairman, Department of Radiation Oncology, New York Presbyterian Hospital, Weill Cornell Medical Centre -USA
International Scientific Advisors:
Jatin Shah, M.D. Memorial Sloan-Kettering Cancer Centre -USA Manjit Bains, M.D., Memorial Sloan-Kettering Cancer Centre -USA Promod Sogani, M.D, Memorial Sloan-Kettering Cancer Centre -USA William Hoskins, M.D., Memorial Sloan-Kettering Cancer Centre -USA Ashok Shaha, M.D., Memorial Sloan-Kettering Cancer Centre -USA Beryl McCormick, M.D., Memorial Sloan-Kettering Cancer Centre -USA Mark Pasmantier, M.D., New York Presbyterian Hospital-Weill Cornell Medical Centre-USA Morton Coleman, M.D, New York Presbyterian Hospital-Weill Cornell Medical Centre -USA Thomas Caputo, M.D. New York Presbyterian Hospital-Weill Cornell Medical Centre -USA Jeffrey Milsom, M.D., New York Presbyterian Hospital-Weill Cornell Medical Centre-USA Himanshu Nagar,M.D., New York Presbyterian Hospital-Weill Cornell Medical Centre-USA Parul Shukla, M.D., New York Presbyterian Hospital-Weill Cornell Medical Centre -USA Manish A. Shah, M.D., New York Presbyterian Hospital-Weill Cornell Medical Centre -USA Jay Loeffler, M.D. Harvard Medical School -USA Carlos Perez, M.D.Washington University Medical School -USA G. Hanumantha Rao, M.D.Christie Hospital -UK Jayant Vaidya, M.D.,University College London -UK Mandava Nageswar Rao,M.D. Flushing Hospital Medical Centre –USA
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Sri R.P.Singh, Chief Executive Officer: Sri R.P Singh, a retired IPS officer is a graduate in mechanical Engineering. He managed diverse large organisations like Hyderabad city Police, APSRTC, Air India Security and after retirement was a senior consultant with GMR Hyderabad International Airport Ltd. on security and operational matters. He is recipient of President's Police Medal for Distinguished Service and Indian Police Medal for Meritorious Service. He is the functional head of the institute and is responsible for management of day- to - day operations. He assists Board of trustees in policy formulation, new initiatives and management of finances as a non-profit institution. His administrative experience and initiatives have helped the Institute to improve quality and safety and to become one of the leading modern Cancer Treatment Centres in India.
Dr.T.S.Rao-Medical Director: Dr.T.Subramanyeswar Rao, M.S., M.Ch. is Director-Medical & Head of Surgical Oncology at BIACH & RI. He was professor of Surgical Oncology at MNJ Institute of Oncology and Regional Cancer Centre, Hyderabad before joining BIACH & RI. He has vast experience in cancer surgeries and is particularly known for his Skills in Esophagus and minimally invasive surgeries and is a much in demand medical professionals. He organized 20 Live Surgical Operative workshops across the country. And has 16 publications in National and International Journals
He was co-investigator in 2 randomized multi center international trials. He is presently Secretary of Indian Association of Surgeons, President of Ostomy Association of India, Scientific Advisor-Guidelines on Cancer Nutrition and Member, ICMR Task Force on Cervical Cancer. He has been instrumental in starting M.Ch and DNB courses in Surgical Oncology at MNJ Institute of Oncology and BIACH & RI respectively
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BIACH & RI PROFILE AT A GLANCE
No.of Registrations for the last 15-years- 1,68,808 No of In-Patients for the last 15-years- 3,33,122 No. of Surgeries (Surgical Oncology) for the last 15-years- 40,057 No. of Daycare (Medical Oncology) for the last 15-years- 1,28,674 No. of Radiotherapy Fractions taken for the last 15-years- 9,47,417 Radiation Oncology cases treated through different Advanced technologies: IGRT-440 3DCRT-503 IMRT-4079 SRS & SRT-197 ICR-7920, 6MV, 15MV , Photons & Electrons-29448 No. of Laboratory Investigations done for the last 15-years - 18,26,909 No. of Radiology investigations for the last 15-years - 3,48,155
MEDICAL STATISTICS FOR THE YEAR (Apr-2015 - Mar-2016):
No. of New Registrations during the year Apr 2015 to Mar 2016 - 18,052 No of In-Patients during the year Apr 2015 to Mar 2016 - 41,347 No.of Surgeries (Surgical Oncology) during the year Apr 2015 to Mar 2016 - 5,362 No.of Day care (Medical Oncology) during the year Apr 2015 to Mar 2016- 26,054 No.of Radiotherapy Fractions taken during the year Apr 2015 -Mar 2016 - 1,16,192
CT Simulation & Planning 7,879 LA ( IGRT) 2,479
LA (6MV,15MV,Electns.) 76,647 LA ( SRS & SRT ) 435
LA ( 3DCRT ) 4,768 LA ( IMRT ) 21,730 BRACHY THERAPY 2,254
Radiation Oncology cases treated through different Advanced technologies: 5,103
LA (6MV,15M,Electns.) 3,241 LA ( IGRT ) 87 LA ( SRS & SRT ) 47 LA ( 3DCRT ) 212 LA ( IMRT ) 763 BRACHY THERAPY 753
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No.of Laboratory Investigations done during the year Apr 2015-Mar 2016 - 2,58,486 No.of Radiology investigations during the year Apr 2015 - Mar 2016 - 5,30,60
X-RAY 19,269 CT 6,266 Ultra Sound 20,743 MAMMO 3,165 MRI 3,617
No.of Gastroenterology investigations during the year Apr 2015 to Mar 2016 - 3,885 UGI 2632 ERCP 22 COLONOSCOPY 1231
ENT investigations during the year Apr 2015 to Mar 2016 - 1,817 No.of Bone Marrow Transplantation Cases during the year Apr 2015 -Mar 2016 - 10 No.of Nuclear Medicine Therapy during the year Apr 2015 to Mar 2016 - 2,767 No.of PET SCAN done during the year Apr 2015 to Mar 2016 - 2,816 Total Blood Bank details during the year Apr 2015 to Mar 2016
Blood Donors 7258 Blood Apheresis 1571
Blood Components 8523 Blood Issues 6441
Total no. of Patients Registered from various districts of Telangana & Andhra Pradesh during the year Apr 2015- Mar 2016 - 17578 The total no. of Patients Registered & Treated from various States of India during the year Apr 2015 - Mar 2016 - 567 The total no of Overseas Patients registered during the year Apr2015-Mar 2016 –151
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COMPARATIVE STATEMENT OF STATISTICS FY 2014-2015 & FY 2015-2016
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THE BIACH & RI MEDICAL TEAM MEMBERS:
MAIN DIVISIONS: o Radiation Oncology o Nuclear medicine o Surgical Oncology including o Radiation Physics NeuroOncology and Uro Oncology o Pathology o Medical Oncology & Paediatric o Microbiology Oncology o Bio-chemistry o Anaesthesiology o Palliative Medicine o Bone marrow Transplantation o Transfusion Medicine/Blood o Radiology & Imaging Bank SUPPORTIVE DIVISIONS o Cardiology o Psychiatry o Gastroenterology o Nephrology o Orthopaedics o Otorhinolaryngology o Pulmonology (ENT) o Diabetology o Dentistry o Gynaecology o Clinical Research
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ADMINISTRATIVE DEPARTMENTS 10. Maintenance 1. Account and Finance 11. Dietetics and Food & Beverage 2. Human Resource 12. Social Work 3. Materials and Stores 13. Front office 4. Procurement 14. Billing 5. Quality Assurance 15. Media and Public Relations 6. Business Development 16. Medical Records 7. Bio-medical and Medical Gases 17. Information Technology 8. Housekeeping 18: Pharmacy 9. Security 19: Physiotherapy
DUTY MEDICAL OFFICERS TEAM
BIACH & RI is having 10 nos of dedicated Duty Medical Officers to assist the consultant & make daily rounds in IP areas to follow up with instructions of treating consultant.
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OPERATIONS TEAM:
All the service departments such as Security & Safety, Contracts and F & B, Information Technology, Materials, Procurement, Assets & Estate, Pharmacy, Finance, Biomedical, Project, House Keeping, Maintenance, WebSite Maintenance are included in the Operations Department reporting to Sri D Satyanarayana, Chief Operating Officer ably assisted by Mr. Ch. Gopal Rao, Mr. Hussain Ali Khan, Mrs. A. Bhagyalakshmi, Mr. K. Muralidhar, Mr. T. Ravi Kumar, Mr. I. Suresh Kumar, Mrs. Rajitha Mr. D. Dhananjaya Reddy, Mr. S. Sathi Babu, Mr. P. Satyanarayana, Mr. G. Dayanand, Mr. G. Mohan Kumar, Mr.Ramkeerthy, Mr. B. Ramarao, Mr NVCSS. Ganesh, Mr. KC. Narsing and M. Subrahmanyam
CHAIRMAN’S OFFICE
This Team is headed by Sri R.P. Singh, CEO and assisted by Sri D. Satyanarayana, COO, Mr. B. Prakash and Mr.M.Subrahmanyam to translate the policies and decisions of the Trust Board in to Effective Actions for affording best services to Cancer Patients.
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DEPARTMENT OF SURGICAL ONCOLOGY
The Surgical Oncology department has a team of 18 nos of qualified and very well trained surgical oncologists including registrars and DNB students. It has two major units and 4 organ specific units-Head & Neck, Uro Onco, Neuro Oncoplasty and Breast unit.
No of surgeries performed: 5362
ACHIEVEMENTS Cleft lip Surgeries performed: 403 ACADEMIC DETAILS /RECOGNITIONS Dr. VIPIN GOEL 1. Huge Umbilical Stone: A Rare Cause of Umbilical Abscess
2. Pattern of External Breast Prosthesis Use by Post Mastectomy Breast Cancer Patients in India: Descriptive Study from Tertiary Care Centre 3. Ovarian Cancer and Mayer–Rokitansky–Küster–Hauser (MRKH) Syndrome a Rare Combination 4. Chronic Arsenic Poisoning leading to Skin Malignancy in a Community One Presentation: Awareness of cancer: what should I know?
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Dr.R.RAJAGOPALAN 1. Delivered a talk on HPV INFECTIONS- PREVENTION AND SCREENING at the 49th Annual CME of Obstetricians and Gynecologists at Vishakapatnam (OGSV) in September 2015.
2. Attended the 29th Annual Conference of the Indian Association Of Surgical Oncologists NATCON at Bhubhaneshwar from 17-20th September 10, 2015
3. Successfully organized the 23rd Annual Conference of Association of Gynecologic Oncologists of India AGOICON 2015 at Hotel Marriott and Convention Centre, Hyderabad from 28-29th November 2015 and a Faculty in the Live Operative Workshop on MINIMAL ACCESS SURGERY IN GYNECOLOGIC ONCOLOGY from Basavatarakam Indo-American Cancer Hospital & Research Institute on 27th November 2015. Around 400 delegates from India and abroad took part in the scientific Deliberations.
Dr. SATISH PAWAR
1. Attended HIPEC workshop at Bangalore by Dr. Sugarbaker from 16-18th April 2015. 2. Attended 7th ATEP (Minimally access thoracic surgery) workshop on 9th and 10th 0ct 2015. 3. Attended Faculty development program in surgical disciplines organised by National board of examinations and Royal College of surgeons of Edinburgh from 29th Nov to 2nd Dec 2015 at Hyderabad. 4. Attended CREST (minimally invasive colorectal) training program at Fortis, Mumbai on 19th and 20th Dec 2015. 5. Faculty in AGOICON 2015 from 10-12th Oct 2015 at Hyderabad. 6. Faculty in CME and live workshop on oral cancer on 5th Dec 2015 at Hyderabad.
Presentations
1. Presentations in NATCON 2015, 17-20th sep 2015 at Bhuvaneshwar a)Laparoscopic Radical Hysterectomy- our Institution experience- paper presentation b)Nerve sparing radical Hysterectomy - video presentation 2. AMASICON 2015,Mumbai, Nov 5th - 8th a) Laparoscopic surgery for carcinoma rectum - single Institution study b)Video presentation on laparoscopic APR 3. Abstract presentation in GEM 2015 on 24th- 25th Oct 2015 at Hyderabad
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Journal publications 1. Ovarian cancer and Mayor- Rokitansky ouster Hauser syndrome- A rare combination 2. completion thyroidectomy and its problems- our Institution experience Dr. SUJIT CHYAU PATNAIK Awarded FMAS fellowship in September 2015. Attended 7th ATEP Skill course on VATS IN Oct 2015 at Mumbai.
Invited as guest faculty NATCON 2015 Bhubaneswar ACOS 2016 New Delhi ASICON 2015 New Delhi. Faculty for live demonstration of Surgery, KIDWAI Memorial Institute Upper GI workshop. Thakurpookur Cancer Institute, Kolkatta. PUBLICATIONS Associate author in Oral malignancy publication on
”VERRUCOUS CARCINOMAFROZEN SECTION RELIABILITY.”
DR. L M CHANDRASEKHAR RAO Publications: 1. Gangiti KK, Gondi JT, Nemade H, Sampathirao LM, Raju KV, Rao T.S; Modified pectoralis major myocutaneous flap for the total glossectomy defects: Effect on quality of life. J Surg Oncol.Apr2016
2.G kranthi kumar, HemantNemade, Krishnamohan, Daphne Fonseca, L.M.Cha ndra Sekhara Rao, T.Subramanyeshwar Rao Rare Case Report of Alveolar Soft Part Sarcoma of the Orbit,.Indian Journal of Surgical Oncology 27 August 2016
3.KranthikumarG, SyedN, NemadeH, Pawar S, Chandra Sekhara Rao LM, Subramanyeshwar Rao Safety of Completion Thyroidectomy for Initially Misdiagnosed Thyroid Carcinoma. Rambam Maimonides Med J. 2016 Jul 28; 7(3)
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Invited As A Faculty: Delivered a talk on near total laryngectomy and participated in panel discussion of carcinoma larynx in CME at ENT hospital, Koti , Hyderabad. Invited surgical faculty for the surgical workshop, National conference ASI - 2015, Hyderabad Surgical faculty for the CME on salivary glands and thyroid held in February 2016 at Govt ENT hospital, Hyderabad Faculty in the ENT Malignancies at ENT hospital, Koti, Hyderabed in the July 2016 Keynote Lecture at SVS Institute of Dental Sciences “Free flap reconstruction in maxillofacial Surgery” on 12th Aug 2016 Cancer larynx CME at Apollo cancer institute, Hyderabad and delivered lecture “Laser surgery for carcinoma larynx” on 3rd September 2016 Demonstrated parotid surgery in the TSASI 2016 on 4th September 2016 Conferences and workshops attended:
1. FHNO 2015 at Nagpur in October 2. Thyroid workshop and conference at AIMS, Kochi in June 2016 Conducted CDE and one surgical workshop on oral cancer
Dr. NUSRATH 1. Follicular Variant of Papillary Thyroid cancer with Breast Metastasis
2. Ovarian Cancer and Mayer-Rokitansky-Kuster-Hauser(MRKH) Syndrome a Rare Combination
3. Safety Completion Thyroidectomy for Initial Misdiagnosed Thyroid Carcinoma.
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DEPARTMENT OF MEDICAL ONCOLOGY The department caters to the medical needs of both paediatric and adult cancer diseases. The centre is recognized for the Glivec International Patient Assistance Program (GIPAP). It also assists in conducting high quality international and national clinical trials. The department has been actively functioning with four fulltime medical oncologists supported by a team of floor doctors, registrars and specially trained nursing staff.
26054 nos of patient - Day Care Chemotherapy. ACHIEVEMENTS 10 nos of Bone Marrow Transplantation done IMPROVEMENT IN Started allogenic bone marrow transplantation and 3 SERVICES completed successfully Significant increase in number of autologous stem cell transplantations First step towards sub specialisation taken with Dr Pavan Kumar now totally in charge of stem cell transplantation NEW INITIATIVES Organised Lung Cancer Perceptorship for radiologists and pathologists July 2016 Organised training session for medical oncology PGs from the city on lung cancer management May 2016 Many studies undertaken in collaboration with IIT,Hyderabad with respect to quality of life,perceptions towards disease, some of which have been published Facilitated and guided visits of oncologists to the hospital from Asia Pacific countries including Vietnam and Japan. Conducted Regular classes for nurses to educate them on stem cell transplantation
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Dr Praveen Paliwal, our first DNB candidate passed the exam with flying colours Second prize won by Dr Chitresh for his poster titled “Altered dosing schedule for trastuzumab” at National Breast Cancer meeting at New Delhi, 2016 Invited lectures by Dr Senthil Rajappa at multiple National and International meetings
Delivered talks on “Choosing II line therapy in metastatic RECOGNITIONS/ kidney cancer” and “Hormonal therapy in Breast cancer” at AWARDS Asia Pacific Cancer congress 2016 at Seoul,South Korea Moderated a session on HER+HR+ Breast cancer at, Cancer Congress at St Petersburg, Russia, 2016 Moderated a session and panelist at European cancer congress, Finland,Helsinki 2016 Delivered around 50 lectures at National meetings this year Chosen as a representative to the Asia Pacific Gastric Cancer Educational Board at Bangkok,Thailand 2016 Dr Krishna Mohan delivered lectures at National Meetings.Attended ESMO Asia at Singapore and APCC at Seoul,South Korea . Illness Experiences, Collective Decisions, and the Therapeutic Encounter in Indian Oncology.Broom A, Chittem M, Bowden V, Muppavaram N, Rajappa S.Qual Health Res. 2016 May 12. pii: 1049732316648125. [Epub ahead of print] . Genito urinary Cancers in India:Laying the foundations for the future…South Asian Journal of Cancer 2016:5(3); 121- PUBLICATIONS 22 . Practical recommendation for the management of skin rash and diarrhoea on EGFR TKIs in non small cell lung cancer. Indian Journal of Cancer 2016:53 (1); 87-91 . Demography and outcomes for advanced adenocarcinoma of the lung: Experience from a tertiary cancer hospital. South Asian Journal of Cancer (accepted for publication)
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DEPARTMENT OF RADIATION ONCOLOGY
It is one of the largest radiation oncology departments in India with 6 Linear accelerators, High Dose rate Brachytherapy Unit, CT- Simulator and Digital Conventional Simulator etc. We are the first in this part of India to introduce Radiation Treatment through Linear Accelerators. The Department is managed by a dedicated and professionally competent team of Radiation Oncologists, Medical Physicists and Radiotherapy Technologists and Nursing Staff rendering Radiation therapy to 450-500 cancer patients every day.
The department is having 12 qualified Radiation Oncologists and this year 4867 nos of Radiation Oncology new cases has been treated with 96,757 no of fractions given.
IGRT- 2479 IMRT- 763 ICR- 87 3DCRT- 212
SRS & 47 6MV, 15MV , PHOTONS & 3241 SRT- ELECTRONS BRACHYTHERAPY 753
TRAINING/SEMINAR/WORKSHOP
Dr A Krishnam Raju
Participated in MOSAIQ workshop from 5th to 6th March 2016 ,Gurgaon.
Conducted NATIONAL SYMPOSIUM “Physics, clinical and radiobiological aspects of hypo fractionation in current radiotherapy practice”. On 8 th aug. 2015 as “Organizing Chairman” . Total participants : 250
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Dr Rohith S - Registrar-Radiation Oncology Poster presented at 8 th annual conference of Indian Society of neuro oncology 1-3 april 2016. ( Breast cancer brain metastasis ,differences in survival depending on biological subtype).
Co author for the article published: Brachytherapy journal belongs to American Brachytherapy Society. Title: HDR interstitial brachytherapy in oral cancer -its impact on quality of life. ( May - June 2016 , Vol 15, 381- 386).
First and corresponding author for the article published in International Journal of scientific research. Title: A prospective study comparing 3D image guided intracavitary brachytherapy and conventional brachytherapy for dosimetry in ca cx. ( May 2016 vol 5, 218-221)
First and corresponding author for the article accepted for publication in journal of dentistry and oral disorders. June 2016. Does adjuvant
radiotherapy improve outcomes in pT1-2 N0 oral tongue squomous cell carcinoma patients with isolated perineural invasion.
Co author for the article accepted for publication: Southeast Asian journal of case report and review. Isolated orbital metastasis in occult rectal adeno carcinoma, a case report; 14 th june 2016.
Dr Aparna S- Registrar-Radiation Oncology Corresponding author for article “incidence and pattern of bone metastesis at presentation in Indian carcinoma breast patients “accepted for publication in Indian journal of cancer. ( June 2016)
Poster presentation at 34 th indian cooperative oncology network and molecular oncology society “A dosimetric comparison of IMRT and 3D CRT in cervical carcinoma patients ". ( March 2016) [Winner of best poster presentation].
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DEPARTMENT OF RADIATION PHYSICIST: Medical Physicists Department of BIACH & RI is having 10 nof Physicists, 30 Technologists and one intern and the team is involved in treatment planning of all conventional and conformal techniques, Mould room procedures supervision, all regulatory issues related to import / export; installation, commissioning ;layout and site approvals of radiation generating equipments., daily dosimetry, mechanical and radiological checks in all the Radiation units, monthly calibrations in all the machines, radiation safety & security, teaching Radiation physics to DNB & DRTT, research and Development.
ACHIEVEMENTS:
Dr N. V. N.Madhusudhana Sresty – Chief Medical Physicist, Head & RSO
Participated in TLD audit conducted by Govt. of India, Bhabha Atomic Research Center. We got excellent result declared by RSS, RSSD, BARC on 30th Nov. 2015. Conducted NATIONAL SYMPOSIUM “Physics, clinical and radiobiological aspects of hypo fractionation in current radiotherapy practice”. On 8th Aug. 2015 as “Organizing Secretary”. Total participants : 250 Conducted a CME "Physicist Vision on Modern Radiotherapy” on 06/06/2015. Total participants :50 Review invitation from an international journal:
Dr Madhusudhana Sresty Selected as a reviewer for the following manuscript from the Journal of contemporary brachytherapy which is an international journal.
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Manuscript number: JCB-00361-2015-01 D: 23/11/2015 Manuscript title: Intraoperative fusion dosimetry using O-arm-based computed tomography and transrectal ultrasound for permanent interstitial prostate brachytherapy
Anil Kumar Talluri -Medical Physicist: Review invitation from an international Journal : IJCTO
Title: A method for verification of treatment times for HDR intra luminal Brachytherapy
Research papers Published: A study of X-ray volume imaging system in image guided radiotherapy with variable gantry rotations, Int J Cancer Ther Oncol 2016; 4(1):411. DOI: 10.14319/ijcto.41.1 Optimal usage of cone beam computed tomography system with different field of views in image guided radiotherapy (IGRT), Int J Cancer Ther Oncol 2015; 3(3):334. DOI: 10.14319/ijcto.33.4 Dose variation due to change in planned position for patients with carcinoma of the cervix undergoing high-dose-rate brachytherapy- 2D dose analysis. Int J Cancer Ther Oncol 2015; 3(1):030121 Dose variation due to change in planned position for patients with carcinoma of the cervix undergoing high-dose-rate brachytherapy- 2D dose analysis. Int J Cancer Ther Oncol 2015; 3(1):030121 by Anil Kumar Talluri -Medical Physicist
Presented a poster in AMPICON-2015 held at Trivandrum, India
Mrs Soubagya- Medical Physicist: A prospective study of OAR volume variations between two different treatment planning systems in radiotherapy. Int J Cancer Ther Oncol 2015; 3(3):336.
Presented a poster in AMPICON-2015 held at Trivandrum, India.
Mrs Laxmi: Participated in AMPICON-2015 held at Trivandrum, India.
Mr Vijay kumar: Participated in AMPICON-2015 held at Trivandrum, India.
Faculty: Guest lecture is delivered in a CME conducted at MNJIO & RCC on 28/02/2016. Topic: "Overview of Active Breath Coordinator system "
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Conferences/workshops Presented a paper & chaired a session in AMPICON-2015 held at Trivandrum, India. Delivered a Lecture in “National Symposium” held at BIACH, Hyderabad. Participated in Oncomeet – JIC (24-25) 2015 at Ahmadabad. Participated in MOSAIQ workshop from 5th to 6th March 2016, Gurgaon. Delivered a lecture in CME conducted @ KIMS, Secunderabad on 8 th Nov 2015. Delivered a lecture in CME conducted @ KIMS, Secunderabad on 8 th Nov 2015. Review invitation from an international Journal : IJCTO Title: A method for verification of treatment times for HDR intra luminal Brachytherapy. Dose variation due to change in planned position for patients with carcinoma of the cervix undergoing high-dose-rate brachytherapy- 2D dose analysis. Int J Cancer Ther Oncol 2015; 3(1):030121.
DEPARTMENT ACHIEVEMENTS
Reached highest grand total number of fractions in a single day - 541 on 12 - 07- 2016 which is the highest number from the hospital inception. Participated in TLD audit conducted by Govt. of India, Bhabha Atomic Research Centre. We got excellent results declared by RSS, RSSD, and BARC on 30 th Nov. 2015. Conducted NATIONAL SYMPOSIUM “Physics, clinical and radiobiological aspects of hypo fractionation in current radiotherapy practice”. On 8 th aug. 2015 as “Organizing Secretary”. Total participants : 250 Conducted a CME “Physicist Vision on Modern Radiotherapy “on 06/06/2015. Total participants :50 RT department has been selected by AERB as one of the recognized center for internship in Medical Physics.
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DEPARTMENT OF ANAESTHESIOLOGY AND CRITICAL CARE:
The Department of Anaesthesiology department is committed to the wholesome peri-operative care of the patients coming to our hospital for their surgery. Peri-operative care is provided in the pre-operative, post – operative surgical intensive care units.
Services offered by the Department: o Pre-Anaesthesia Check Up – PAC o Intensive Care o Surgical Anaesthesia o Sedation For Short Procedures
TRAINING AND WORKSHOPS CONDUCTED Organised the ‘Safe Nursing Training’ workshop an initiative of Smile Train India on 13-15th Aug 2015. Organised the symposium on ‘Oncology and Anaesthesia’ for ISA Hyderabad city branch bimonthly meet on 2nd July 2016. Organised live operative workshops for Head and neck oncology workshop, AGOICON 2015, TSASICON 2016, etc Conducted multiple sessions for the ‘In-house BLS’ and ‘Hands-on’ training at BIACH&RI for nurses and paramedics. Upgraded the department services by newer equipment and facilities like pediatric bronchoscope, bronchial blockers, ultrasound machine, etc.
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ACADEMIC ACHIEVEMENTS (2015-16)
DR.BASANTH RAYANI
Author of Chapter titled ‘Vascular access in infants and children’ in the Textbook ‘Principles and Practice of Pediatric Anaesthesia’ edited by Dr S Dhayagude and Dr N Dave, 1st edn 2016. Jaypee Brothers, India. Authored a narrative review titled “Peri-operative cardiac arrest: Teamwork and management strategies” due for publication in forthcoming edition of Anaesthesia, pain and Intensive Care journal. A Case report titled “Post-operative rate induced left bundle branch block after craniotomy”accepted for publication in Anaesthesia, pain and Intensive Care [ISSN 1607-8322, ISSN(Online) 2220-5799]. A Case report titled “Ondansetron induced atrial fibrillation?” accepted for publication in The Indian Anaesthesists Forum.( E-ISSN- 0973-0311) Nair A and Rayani BK. Anticoagulation and regional anesthesia – recommendations and controversies [v1;F1000Research 2016, 5:255 (poster) (doi: 10.7490/f1000research.1111359.1) Organised the symposium on ‘Oncology and Anaesthesia’ for ISA Hyderabad city branch bimonthly meet on 2nd July 2016. Contributed to a chapter titled “Kinetics and Mechanisms of Local Anaesthetic Action” for Anaesthesia Update Book, 2016. Invited faculty at the 8th AOA and 1st WOAC conference for workshop on ‘Critical incidents in Obstetric Anaesthesia’ on 11th Sep 2015. Panellist for case discussion on ‘Management of morbidly obese patient with endometrial cancer’ at AGOICON 2015 on 28th Nov 2015. Organised and Faculty at the ‘Safe Nursing Training’ workshop an initiative of Smile Train India on 13-15th Aug 2015. Attended the Regional anaesthesia conference in Delhi Attended 2nd Annual south zone critical care conference ‘SZCCC 2016’ in Hyderabad on 27th-28th Aug 2016. Attended ISACC, International symposium in advanced critical care on 9th-10th Jan 2016, Hyderabad. Attended IPSA (Indian Peri-operative sonography association) conference: 2016, both (Basic and advanced). Poster presentation at IPSA-2016 titled: Anticoagulation in Regional Anaesthesia recommendations and controversies. Attended ‘Good clinical practices’ workshop conducted by Pfizer in Hyderabad, on 27th July 2016. AHA trained BLS and ACLS provider
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DR. VIBHAVARI NAIK
Author of Chapter titled ‘Vascular access in infants and children’ in the Textbook ‘Principles and Practice of Pediatric Anaesthesia’ edited by Dr S Dhayagude and Dr N Dave, 1st edn 2016. Jaypee Brothers, India. Author of ‘Anaesthesia for Plastic and Reconstructive Surgery’ in the ‘Textbook of Pediatric Anaesthesia’, edited by Dr Padvi A, 1st edn, 2015. CBS publishers, India. Author of ‘Cardiopulmonary Resuscitation’ in the Textbook ‘Understanding Pediatric Anaesthesia’, edited by Dr Jacob R, 3rd edn 2015. Wolters Kluwer, India. Author of ‘Kinetics and Mechanisms of Local Anaesthetic Action’ in ‘Anaesthesia Update Book’, 2016. Co-authored a narrative review titled “Peri-operative cardiac arrest: Teamwork and management strategies” due for publication in forthcoming edition of Anaesthesia, pain and Intensive Care journal. Elected as the Treasurer for IAPA (Indian Association of Paediatric Anaesthesiologists) and on the newsletter editorial board. Delivered a talk on ‘Difficult airway – recent advances’ at the ISA CME, Nanded on 4th Oct 2015. Delivered a talk on ‘Recent updates in Pediatric Resuscitation’ and conducted a workshop on ‘Simulation based pediatric resuscitation’ at NCPA 2016, Vellore on 28th-30th Jan 2016. Delivered a talk on ‘Postoperative Hypoxia on Day 1’ a problem based case discussion, at TISACON 2015 (1st Telangana state ISA conference) on 23rd-26th July, Hyderabad. Delivered a talk on ‘Chemotherapy – Anaesthesiologists’ perspective’ in the symposium on ‘Oncology and Anaesthesia’ for ISA Hyderabad city branch bimonthly meet on 2nd July 2016. Attended ISACC, International symposium in advanced critical care on 9th-10th Jan 2016, Hyderabad. Attended ‘Good clinical practices’ workshop conducted by Pfizer in Hyderabad, on 27th July 2016. AHA trained BLS, ACLS and PALS provider plus AHA certified PALS trainer.
DR. NARAHARI
Attended TISACON 2015 (1st Telangana state ISA conference) on 23rd-26th July, Hyderabad. AHA trained PALS provider
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DR. MD SALMAN
A Case report titled “Post-operative rate induced left bundle branch block after craniotomy” accepted for publication in Anaesthesia, pain and Intensive Care [ISSN 1607-8322, ISSN (Online) 2220-5799]. Attended ‘Cardio embolic stroke update’ by IMA Hyd on 30th April and 1st May 2016. Attended and completed the course ‘Apollo International Hands on Regional Anaesthesia & Chronic Pain Workshops’ held on 31st July, 1st and 2nd Aug 2015. AHA trained BLS, ACLS and PALS provider.
DR ABHIJIT S NAIR
Attended IPSA (Indian Peri-operative sonography association) conference: 2016, both (Basic and advanced). Poster presentation at IPSA-2016 titled: Anticoagulation in Regional Anaesthesia recommendations and controversies. Participated in photo presentation: Anomalies of Brachial plexus. Appeared and cleared IDRA (Indian diploma in regional Anaesthesia) Part 1. Delivered guest lecturer at N.K.P. Salve institute of Medical Sciences and Research Center,Nagpur on the topic: Basics of Ultrasound for Regional Anaesthesia ( April 2016 ). Delivered a lecture on topic “Onco-Anaesthesia: an emerging subspecialty” at bimonthly Indian Society of Anaesthesiologist meeting on 2/7/2016. A narrative review titled “Peri-operative cardiac arrest: Teamwork and management strategies” due for publication in forthcoming edition of Anaesthesia, pain and Intensive Care journal. A Case report titled “Post-operative rate induced left bundle branch block after craniotomy” accepted for publication in Anaesthesia, pain and Intensive Care [ISSN 1607-8322, ISSN (Online) 2220-5799]. A Case report titled “Ondansetron induced atrial fibrillation?” accepted for publication in The Indian Anaesthesists Forum.( E-ISSN- 0973-0311) Attended “Good Clinical Practice Workshop” conducted by BIACH & RI by PFIZER (21 st July 2016). A. Nair. Implications of Intrathecal Chemotherapy for Anaesthesiologists-A brief review. Scientific (Cairo).2016;2016:3759845.doi:10.1155/2016/3759845.Epub 2016, Mar 31. ( PMID: 27123363; PMCID: PMC4830729). [ISSN: 2090-908X (Online)] Nair A and Rayani BK. Anticoagulation and regional anesthesia – recommendations and controversies [v1;F1000Research 2016, 5:255 (poster) (doi: 10.7490/f1000research.1111359.1)
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Certificate issued for Online Medical Writing Training Program (MCRW), by Infocusrx. Contributed to a chapter titled “Kinetics and Mechanisms of Local Anaesthetic Action” for Anaesthesia Update Book, 2016. Contributed chapter titled “Digitalis (Digoxin)” for the 4 th edition of the textbook ‘Essence of Anaesthesia Practice’ by Fleischer et al (published by Elsevier). Attended Cadaveric workshop conducted IPSA Gangaram hospital (August 2016). Attended South Zone Critical Care Conference on 27 / 28 of August, 2016. AHA trained BLS, ACLS and PALS provider. DR. HARINI NARAYANAN
Acquired new skills by attending TEE workshop on 12th-13th Dec 2015. Attended ‘Best of Brussels’ critical care conference in Pune, on 8th-10th July 2016. Attended 1st Telangana state annual conference ‘TISACON 2016’ on 25th-26th July 2015. AHA trained BLS and ACLS provider. Attended ‘Good clinical practices’ workshop conducted by Pfizer in Hyderabad, on 27th July 2016. DR PRIYA P NAYAK
Attended ‘Good clinical practices’ workshop conducted by Pfizer in Hyderabad, on 27th July 2016. AHA trained BLS, ACLS and PALS provider. DR. ASIEL CHRISTOPHER
Attended the 8th AOA and 1st WOAC conference in Hyderabad, on 12th-13th Sept 2015. Attended the 8th national pediatric anaesthesia conference NCPA 2016 in Vellore, on 28th-30th Jan 2016. AHA trained BLS, ACLS and PALS provider. DR SURESH S
AHA trained BLS, ACLS and PALS provider
DR AANCHAL BHARUKA
Attended and presented a poster at the 8th AOA and 1st WOAC conference titled “Clinical audit of atypical endocrine emergencies in pregnancy – anaesthetic challenges and critical care outcomes” in Hyderabad, on 12th-13th Sept 2015. Passed the “Obstetric Anaesthesia fellowship” exit exam on 13th Sept 2015 at the 8th AOA and 1st WOAC conference in Hyderabad.
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DEPARTMENT OF RADIOLOGY
The initial diagnosis of disease is the first and most important step in planning the management of a cancer patient. The department of Radio- diagnosis at Basavatarakam Indo- American Cancer Institute is geared to take up this task with a dedicated team of Competent Radiologists, paramedical & supporting staff.
ACHIEVEMENTS: Radiology Investigations: 53060 X-RAY 19269 Ultrasound 20743 CT Scan 6266 Mammogram 3165
MRI 3617 Colour Doppler 196 WORKSHOPS ATTENDED AND PAPER PRESENTATIONS
1. Dr. Veeraiah Chowdary actively participated in the international conference (100th conference of Radiological Society of North America), held at Chicago, USA from 30th Nov to 5th Dec 2015. This is attended by more than 60000 Radiologists and Nuclear Medicine specialists all over the world.
2. Poster presentation on “Role of ARFI elastography in differentiation of benign and malignant breast masses” at European Society of Radiology (ESR), Vienna 2015. Dr. Rashmi Sudhir, Dr. Veeraiah K Chowdary, Dr. Kamala.
3. Poster presentation on Role of “Diffusion Weighted MR imaging in differentiation of benign and malignant liver lesions” at European Society of Radiology (ESR), Vienna 2015. Dr. Rashmi Sudhir, Dr. Veeraiah K Chowdary, Dr. Harichandra Prasad.
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4. Dr. Veeraiah chowdary, delivered guest lecture on “Recent advances in breast imaging” 69th IRIA National Radiology Conference held at Bhuvaneshwar from 21st to 24th January 2016.
5. Oral paper presentation on “Diagnostic efficacy of ARFI elastography in evaluation of benign and malignant superficial lymphnodes” at National Radiology Conference, IRIA 2016, Bhuvaneshwar, India. Dr. Rashmi Sudhir, Dr. Veeraiah K Chowdary, Dr. Kamala.
6. Department of Radiology in association of IRIA Telangana branch is conducted three days comprehensive CME programme (KARE) for radiology and oncology residents at BIACH & RI, auditorium from 21st to 23rd December.2015, Hyderabad , many of national faculty delivered lectures from all over the country.
7. Two days work-shop conducted in the radiology and pathology departments on “Molecular Testing of Lung Cancer” at BIACH & RI, Hyderabad, JULY 2016 for radiologists and pathologists.
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DEPARTMENT OF NUCLEAR MEDICINE
Department of Nuclear medicine of BIACH & RI offers a wide spectrum of nuclear medicine imaging services including a full gamut of imaging procedures – conventional gamma camera imaging as well as new PET-CT technology and gallium scans. It also offers various therapeutic applications of radioisotopes such as Radioiodine therapy, MIBG (1-131) therapy and Samarium-153 therapy. It also produces radioisotopes (18F-FDG) required for PET-CT imaging with its in-house cyclotron facility and caters to the need of radioisotopes to other PET-CT centres in and outside Hyderabad city. The initial diagnosis of disease is the first and most important step in planning the management of a cancer patient. The department of Radio-diagnosis at Basavatarakam Indo-American Cancer Institute is geared to take up this task with a dedicated team of Competent Radiologists, paramedical & supporting staff.
The department is equipped with: 1. Dual headed variable angle GE Millennium-MG Gamma Camera, installed at department of nuclear medicine on 2nd floor of Block II. 2. Isolation ward to carry high dose radioiodine therapy located at 2nd floor of the Block II 3. PET-CT scanner with 16 slice CT scanner (GE Discovery STE PET-CT) which is situated in the basement level -1 of Block I 4. Cyclotron (PET Trace 8) for production of radioisotopes (18F-FDG) for PET, situated in the basement of Block I.
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Training programmes conducted: 1. Regular training programmes for the post-graduate radiology students from NRI Medical College, Guntur and also from Kamineni Hospital, Hyderabad. 2. Regular training programme for the DNB students belonging to the radiation oncology, Surgical oncology and Medical Oncology departments in our hospital 3. Conducted CME on “Recent Trends in Management of Neuroendocrine tumors and Prostate cancers” held on August 23, 2015 at ITC Grand Kakatiya Hotel, Hyderabad.
ACHIEVEMENTS 2767 nos of Nuclear Medicine therapy 2816 nos of PET Scan First person in the twin state to start Lu-177 DOTATATE therapy for neuroendocrine tumor First person in the twin state to start Lu-177 PSMA therapy for prostate cancer. First person in the twin state to start Ga-68 PSMA scan for prostate cancer. Second person in the twin state to start Ga-68 DOTANOC scan for neuro endocrine tumors Increased the number of PET-CT Scans, gamma camera scans, radionuclide therapies Increased the number of customers and the production of F-18 FDG CONFERENCES ATTENDED: Presented case series on LN recurrences in thyroid cancer at the first thyroid forum meet held at GKM Grand Hotel, Hyderabad in Jan, 2015 Presented a guest lecture titled "PET based imaging in oncology" at AINU, Hyderabad in July, 2015. Presented a guest lecture titled”An Introduction to Ga-68 based Imaging” at the Pathology twin city meet held at BIACH& RI, Hyderabad on 31st July, 2015. Presented a paper titled "Introduction to Gallium-68 based PET imaging" at a CME held at Grand Kakatiya, Hyderabad in 23rd August, 2015 Attended the second thyroid forum meet held at GKM Grand Hotel, Hyderabad in Sept, 2015 Attended the13th Annual Conference of ANMPI at Kumarakom from October 2- 4, 2015 Presented a guest lecture titled"An introduction to Gallium-68 based PET-CT imaging" in the TechAspire programme conducted by GE company on 6th November, 2015 at Tabla, Hyderabad. Presented a guest lecture titled "New PET Tracers in Oncology" at a CME
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programme on Nuclear Medicine updates in Oncology and Cardiology held at NIMS, Hyderabad on 12th March, 2016. MAJOR DECISIONS MADE: 1: Purchased the Germanium-Gallium generator for Ga-68 production in June,2015 2: Upgraded the cyclotron by replacing the silver target with Niobium target for more F-18 FDG production in July, 2016. 3: Recruited two full time consultants for efficient and timely reporting of PET-CT & gamma camera scans. 4: Recruited an extra front office person for more efficient catering of the patients and typing of the reports in time.
TARGET FOR THE COMING YEAR Increasing the number of scans in PET-CT & gamma camera by conducting more CMEs and more efficient marketing Increasing the number of customers for FDG supply by more efficient marketing Increasing the number of radionuclide therapy cases by conducting more CMEs and more efficient marketing. Use of newer radionuclides for therapeutic purposes like Y-90, Rhenium by taking permission from AERB and marketing To publish at least 3 papers in leading journals by spending more time by each consultant for data collection and writing papers To start DNB programme as we have got sufficient staff for the same. To start technologist course as we have got sufficient staff for the same. Need to tie up with some local university for the same.
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DEPARTMENT OF LABORATORY MEDICINE
Laboratory Medicine department provides services in Haematology, Cytology & Histopathology, Biochemistry, Microbiology and Molecular Pathology. The professional team consists of dedicated specialist doctors trained in respective fields with vast experience in oncology, molecular scientists, technologists/technicians and other support staff. The Labs are accredited by NABL (National Accreditation Board of Laboratories). Laboratory functions round the clock and seven days week. The 2, 49,935 total investigation reports has been generated in this year including pathology, Microbiology, bio-chemistry, Haematology, Histopathology.
TRAINING PROGRAMMES CONDUCTED 1st Lung Cancer Preceptorship programme ( South Zone)
Gynaecologic Oncopath Workshop AGOICON 27th November ,2015.
Pathfest Post graduate Educaton programme in Pathology - Workshop on Grossing techniques,FISH and Flow Cytometry May 2015
SEMINARS / WORKSHOPS ATTENDED Process Excellence in Healthcare Organisation ,Indian School of Business Jan 2016 ,Hyderabad attended by Sudha Murthy
American Society of Hematology Fellowship, Roswell Park Cancer
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Hospital New York, 12th. October - 3rd Jan 2015 Faiq Ahmed
Research Methodologies in DNB training , July 22nd -23rd 2016
Pediatric Brain tumors : Morphology to Molecular Genetics IAPM - TS State Chapter February 2016 guest lecture by Prof C Sundaram
Pathogenesis of fungal infectionsof CNS ,NPSICON December 2015
Preceptorship on Lung Cancer at Tata Memorial Hospital 16th -18th October 2015 by Sudha S Murthy,Lavanya N
Lab Med Inaugaral Function Guest of Honor, KIMS ,Nellore Mysteries of small biopsies : Dr S Sudha Murthy
Suryakanta Tapadia Memorial Endowment Award Symposium on Soft Tissue Sarcomas September 2015 Dr Sudha Murthy ( Moderator) Speakers Dr Sudha, Dr Suseela ,Dr Daphne
Dr Suseela Elected Treasurer of IAPM Telangana Chapter 2015-16
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DEPARTMENT OF MICROBIOLOGY
The Department of Microbiology is committed to strive for and achieve excellence in providing diagnostic facility for In-patient, outpatient and CGHS beneficiaries. The laboratory is equipped with state-of-the-art instruments and assays making it possible to diagnose infectious diseases missed by conventional methods.
Our services include:
Bacteriology Mycology Mycobacteriology Molecular studies Immunoserologic testing. Focus on microbiological diagnosis and surveillance of infectious diseases Monitoring of Hospital Acquired Infection rates in addition to laboratory based surveillance of pathogens & their antibiotic resistance patterns.
OTHER ACTIVITIES: INFECTION CONTROL:
Department HOD acts as an Infection Control Officer and chairperson of Infection Control Committee, monitors Hospital Acquired Infection rates in addition to laboratory based surveillance of pathogens & their antibiotic resistance patterns.
Activities under taken: Operation theatre surveillance, Water culture Hospital infection control policy formulation.
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Implementation of Antibiotic policy Tracing and monitoring outbreaks Disinfectant testing Monitoring of CSSD Biomedical waste Management No of investigations done between 2014-2016
Cultures & Staining Serology & immunology
Year 2014 2015 2014 2015
30,177 Total 3180 3455 27,046
CONTINUOUS MEDICAL EDUCATION PROGRAMMES ORGANISED 1. Organised a CME on “Management of sepsis in Immuno compromised patients
“on 11th Sept 2015 as part of World sepsis day.
2. Organised a training programme on Sterilization Wrap techniques with Kimberly clark on 16-5-15.
3. Organised a CME on Sterilization & Bacterial Barriers in Health care centers with Medovation products on 19th March 2015
4. Participating in regular Induction training programme on HIC of all new Joinees & Conducting in House training programmes at regular intervals.
PUBLICATIONS / PRESENTATIONS IN INTERNATIONAL JOURNAL
1. Lakshmi Kiranmayi R1, Radha Rani D2, Harinatha Reddy A1, Nageswari G1, Sowmya M1,Venkatappa B1* Isolation, screening and molecular identification
of Pseudomonas aeruginosa from immune-compromised patients International Journal of Microbiology and Allied Sciences (IJOMAS)ISSN: 2382-5537 May 2015, 1(4):1-9 ©IJOMAS, 2015
th 2. Presented a paper in 17 International Congress On Infectious Diseases on” Bacteriological profile of Blood culture isolates in a cancer hospital with
special reference to E.coli and Antibiotic susceptibility pattern in patients with Haematological malignancies” Dr. Radha Rani. D, Dr. Devi Chaitanya, Hyd , March 2nd 2016 – March 5th 2016
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FUTURE PLANS:
1. Introduction of Automation for early diagnosis of Tuberculosis. 2. To upgrade the Mycology services.
Dr. D Radha Rani Recent updates on State level CME on TB 1 day Diagnosis & organized by NIMS & HOD Microbiology treatment of telangana state task 30th March Tuberculosis force for TB , Hyd 2016
Dr. D Radha Rani JCI Internal auditor Six sigma 2 days course HOD Microbiology 25th feb 2016 27th feb 2016
Dr. D Radha Rani Annual seminar on Apollo institute of 2 days infectious diseases Medical sciences & HOD Microbiology 26th June & Research in th collaboration with 27 June Public health & 2015. community medicine UNSW medicine, Hyd
Dr.B. Sridevi CME on 2 days
Chaitanya Microbiology- An nd Consultant Update Kamineni Institute of 2 April Microbiology 2016 Medical sciences , Hyd
Dr.B. Sridevi Diagnostic clinical 2 days Chaitanya Microbiology - Global hospitals , Hyd Aug 1st & Consultant nd Microbiology An update 2 Aug 2015.
BLOOD BANK: BIACH RI has in house blood bank and it functions round the clock. It received 7821 nos. of donors and collected 7258 nos of blood components. The Hospital has conducted 8 Blood donation camp in many areas. 1373 no of units are
Page 45 collected and 361 no of units are issued to Govt. Hospital.
Blood Donors 7258 Blood Apheresis 1571
Blood Components 8523 Blood Issues 6441
RESEARCH & DEVELOPMENT:
A well equipped in-house research lab working in tandem with clinicians has added advantage of ready availability of research medium in the form of tissue and other human samples as also the observations, insight and knowledge of clinicians obtained during their day to day medical work. It can help in giving leads to new research projects towards discoveries of new drugs or/and diagnostic and treatment modalities.
CLINICAL TRIALS TEAM MEMBERS:
Clinical Trials Dept established in Aug 2004, Dept successfully completed more than 100 trials as per regulatory requirement. Department consists of Dr K.Suseela who heads the Dept ,with senior CRC Mr. Mahesh and other CRCs Mrs. Suma M.Pharm,Mr.Sasi Kiran Pharma.D and Ms. Neelima B.Pharm. Dept have qualified Investigators and supporting team.
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Present Ongoing studies at site details below given:
S. Principal Study Protocol No of No of Patients Patients N Investigator Coordinator Number Indication Status Patients Enrolled Ongoing Screened 1 Dr.Senthil J Jai/Suma CLDKA378 NSCLC ALK On 02 02 01 Rajappa Mutations going 2 Dr.Senthil J Jai/Suma GP-13-301 Follicular On 07 06 02 Rajappa Lymphoma going 3 Dr.Senthil J Jai/Suma 1200.66 NSCLC - On 07 07 02 Rajappa EGFR going Mutations 4 Dr.MVT Jai/Suma/ HCR/III/BM Metastatic On 12 10 01 Krishna Sasi Kiran AB/10/2013 Colorectal going Mohan Cancer 5 Dr.MVT Jai/Suma ML29282 Metastatic On 04 04 04 Krishna Breast Cancer going Mohan
As per new DCGI guidelines it has been permitted to take up more than 3 trials by each investigator. -In Ethics committee the constant absentees are substituted by respective discipline members. 1. Dr.Lakshmi Rao substituted for Dr.KPC Gandhi 2. Dr. Nagarjuna Reddy for Dr.Venkat Rathna -Surgical trials are taken up in collaboration with Tata Memorial hospital, Mumbai -Clinicians and residents are encouraged to participate in clinical trials and research studies
DEPARMENT OF PHYSIOTHERAPY: The Physiotherapy Department in BIACH & RI aims to establish the highest quality service, which is sensitive to the needs of the patients and the hospital. It aims to enable patients to achieve the highest quality of life that their condition allows, by encouraging and educating their own participation in their care management.
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The department is having 3 number of physiotherapist who is responsible for providing following treatments for cancer patients.
. Lymph edema management with Intermittent Pneumatic Compression (IPC). . Assessment and treatment of physical problems like muscle weakness, decreased joint mobility, balance, equilibrium, and coordination. . Manual mobilization of stiff joints in Post-Op, Post RT patients. . Exercise rehabilitation programs for post operative cases of Head and neck carcinomas, Breast carcinomas & Brain and spinal tumors . Pre operative and post operative Chest physiotherapy including Incentive spirometry, breathing exercises, and postural drainage. . Prescription of home exercise programs and ergonomics. . Prescription of walking aids, orthoses, prostheses, and gait training. . Electrotherapy for re-education of muscle power and pain relief
INTERNAL TRAINING PROGRAMMES on TRAINING PROGRAMS Peripheralnervemobilzation(oct2015) CONDUCTED Modifiedposturaldrianage(Dec2015) NDT techniques in hemiplegia(march2016) LumbarspineMobization (Aug,2016) BLS certified training in BIACH in WORKSHOP august2015,fascial manipulation at progressive care ATTENDED hyd, lumbarspine manual therapy in care college hyd
ACHIEVEMENTS No. of Out patients:1936: No. of in patients :4473
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ACADEMICS & RESEARCH
The Dept.of Academics of BIACH & RI conducts DNB – PG Programme for Doctors, approved by National Board of Examinations, New-Delhi, in Surgical Oncology, Medical Oncology, Radiotherapy and Pathology. B.Sc(Nsg), GNM Nsg and Paramedical Courses 2 Year Diploma Courses in Radiotherapy Technology, Medical Imagiology, Anaesthesiology & Lab Medicine. The doctors, Nurses and paramedical staff during their training in various authorized courses available in academic units of the Institute support clinical services during their training and help to meet the requirements of the Institute after completion of their training and degree/diploma. With this in view, BIACH&RI has obtained necessary authorization/accreditation for post graduate diploma super-specialty/general specialty courses for Radiation Oncology, Surgical Oncology, Medical Oncology, Pathology and Degree and Diploma Courses in Nursing as well as Diploma/Certificate Courses. DNB : 12 DNB PG students joined DNB Programme in the current academic year 2015.
Observership: A significant number of PG Students and doctors are coming from different medical colleges and hospitals both from India and abroad for observership in Surgical Oncology, Gynec Oncology, Head & Neck oncology, Pathology, Radiology, and Nuclear Medicine etc. The students are charged a nominal amount of Rs.5000/- for affiliation fees. Students from Vishnu Dental College, Bhimavaram (Onco Pathology), Kamineni Hospital (Surgical Oncology), LB Nagar, SVS Institute of Dental College (Head & Neck Onco Surgery), Mahaboonagar, South Central Railway (Surgical Oncology), Secunderabad, Medwin Hospital and A.M.E’s Dental College and Hospital, Raichur. Students from Other Colleges:
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Head & Gynec Radiotherapy Surgical Neck Oncology Pathology Radiology Oncology Onco Surgery DNB (Gen.Surg) -3 MDS - 6 DNB - 4 PG Students- 2 PG Students -2 MDS - 2 DNB MDS- 5 (Gynec)- 4
B.Sc(N):
50 Students joined B.Sc(Nursing) course in the academic year 2015/16. B.Sc(N) : The B.Sc(N) 4th Year results are declared on 01.02.2016.
Year Appeared Result 1st 2nd Division Fail Final Exam (Distinction) Division 4th Year 37 14 23 -- NIL
GNM:
22 Students joined for GNM course for the academic year 2015 – 2016.
GNM: The GNM 3rd Year results are declared on 4th March 2016. Year Appeared Final Exam Passed 1st Class Fail 3rd Year 42 41 1
A total 36 Passed students joined BIACH&RI as regular nursing staff, with a commitment to work for Two years. Students from other states want to work for one year.
Paramedical:
Admissions – Paramedical course for the academic year 2015 – 2016. Dip. in Radiotherapy Technician Course - 39 Dip. in Medical imaging Technician Course - 5 Dip. in Anesthesia Technician course - 3
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Publications/Research Papers :
Dr.Manasi Mundada, Consultant Pathology "Flurosence in situ hybridisation negative PML/RARA: a cryptic puzzle" has been published in Indian Journal Of Health Sciences in the JAN-JUN issue.
Dr.Radha Rani, HOD-Microbiology, “Isolation, screening and molecular identification of Pseudomonas aeruginosa from immunocompromised patients" published in "International Journal of Microbiology and Allied Sciences"- IJOMAS May 2015.
Dr.V.V.T.S.Prasad, HOD-R&D “Continued use of MDA-MB-435, a melanoma cell line, as a model for human breast cancer, even in year, 2014” Online journal www.nature.com /npjb cancer.
"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. May 6th 2015.
Dr.Daphne Fonseca, Consultant Pathology, "A tale of synchronous lung carcinoma and diffuse large B-cell lymphoma of ileum: A rare combination" has been published in "Lung India" July – August 2015.
Mr.Anil Kumar Talluri, Medical Physicist - Dose variation due to change in planned position for patients with carcinoma of the cervix undergoing high-dose-rate brachytherapy- 2D dose analysis. International Journal Cancer Ther Oncol 2015; 3(1):030121.
Mrs.Soubagya, Medical Physicist - A prospective study of OAR volume variations between two different treatment planning systems in radiotherapy. International Journal Cancer Ther Oncol 2015; 3(3):336.
Dr.N.V.N.Madhsudhan Sresty, Chief Physicist & RSO Optimal usage of cone beam computed tomography system with different field of views in image guided radiotherapy (IGRT), International Journal Cancer Ther Oncol 2015; 3(3):334. DOI: 10.14319/ijcto.33.4.
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Dr.N.V.N.Madhu Sudhan Sresty, Chief Physicist & RSO Quality Assurance Protocol for IORT facility in the hospitals, Abstracts of AMPICON-2014, Journal of Medical Physics, Vol.39, No.4, 306, 2014.
Dr.N.V.N.Madhu Sudhan Sresty, Chief Physicist & RSO Analysis of patient specific dosimetry quality assurance measurements in intensity modulated radiotherapy: A multi centre study, Journal Cancer Res Ther.10 (3):611-7, 2014.
The Poster presentation by Dr.Reshmi Sudhir, Consultant Imagiology at European Society of Radiology, Vienna, Austria between 4th - 8th March 2015. 1. Role of ARFI Elastography in evaluating indeterminate breast masses. 2. Role of diffusion weighted MR imaging in differentiating benign and malignant breast lesions.
Follicular Variant of Papillary Thyroid Cancer with Breast Metastasis, Article. Dr.Syed Nusrat, Dr.Munish Mahajan, Dr.T.Subramanyeshwar Rao, Dr.KVVN Raju, Dr.Sudha S Murthy. Indian Journal of Surgical Oncology · March 2016, DOI: 10.1007/s13193-016- 0496-2.
A tale of synchronous lung carcinoma and diffuse large B-cell lymphoma of ileum: A rare combination. Dr.Daphne Fonseca, Dr.Bharti Musthyala, Dr.Faiq Ahmed, Dr.Sudha S Murthy, Dr.KVVN RAJU. Article in Lung India 32(4):398-401 · July 2015, DOI: 10.4103/0970-2113.159598 ·
High Frequency of Codon 12 but not Codon 13 and 61 K-ras Gene Mutations in Invasive Ductal Carcinoma of Breast in a South Indian Population – Dr.Sushma, Dr.Shiva Prasad Rudramma Devi, Dr.Sudha Murthy, Dr.TS Rao, Dr.CK Naidu Article in Asian Pacific journal of cancer prevention: APJCP 16(8):3505-8 · April 2015,Impact Factor: 2.51 · DOI: 10.7314/APJCP.2015.16.8.3505 ·
Mantle cell lymphoma of tongue masquerading as squamous cell carcinoma. IJOHS 2015 5(2):121-124.
Phyllodes Tumor in a Lactating Breast. Dr.S.Sudha Murthy, Dr.K.V.V.N.Raju., Dr.Haripreetha GR. Clinical Medicine Insights: Pathology 2016:9 13–17.
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Plasmablastic Lymphoma of Small Intestine: A Rare Case Report with Review of Literature Dr.Rachna Khera, Dr.Faiq Ahmed, Dr.Sudha Murthy, Dr.Krishna Mohan Mallavarapu.. Indian Journal of Hematology and Blood Transfusion. Published online 17 May 2015.
Mixed Phenotypic Acute Leukemia (B/T), with t(9;22)(q34;q11.2);BCR-ABL1: A rare phenomenon and strange phenotype. Dr.Rachna Khera, Dr.Faiq Ahmed, Dr.Sandhya G Devi, Dr.Sudha S Murthy, Dr.Daphne Fonseca, Dr.Krishna Mohan Mallavarapu. Journal of Hematopathology. Published Online June 2015.
HPLC in characterization of Hemoglobin profile in thalassemia syndromes and Hemoglobinopathies: A clinico-hematological correlation Dr.Rachna Khera, Tejinder Singh, Nita Khuana, Naresh Gupta, A.P Dubey. Indian J Hematol Blood Transfus. 2015 Mar;31(1):110-5.
Pictorial Journey of peripheral smear and HPLC findings in Thalassemia syndromes and Hemoglobinopathies Dr.Rachna Khera, Tejinder Singh.. Education book- Haematology Today 2015. Achievements & Awards:
Dr.S.Rohith (DNB Sr.Registrar) & Dr.Harjot Kaur Bajwa (DNB Rad Onc Student) presented their study titled “Interstitial Brachytherapy in oral cancers - its impact on Quality of Life" at National Indian Brachytherapy Society Conference 2015 won Best Paper Award.
Dr.Chitresh Agarwal, (DNB Med.Onc Student) was awarded Second Prize for proposing a novel study in advanced aggressive breast cancer at Converge 2015, a breast cancer conference at Delhi.
Dr.S.Sudha Murthy, HOD Pathology, Dr.K.Suseela, Sr.Consultant Pathology, Dr.Daphne, Consultant Pathology were honoured and awarded gold
Page 53 medals for conducting Smt Suryakanta memorial Symposium on "Soft tissue Tumors" Annual conference of IAPM (AP State) at Khammam.
Dr.Sahithi Shilpa Arya, DNB Pathology Second Year received the first prize for PG Slide Quiz. Her paper in the plenary session "Colorectal carcinoma-post NACT/RT-Does systematic grossing and reporting matter".
Dr.Manjula, DNB Pathology Final Year presentation on "Demystifying Ewing's sarcoma family of tumors-an IHC and FISH study " received the second prize in the Plenary session for post graduates.
Dr.M.M.Poornima, DNB Pathology Final Year presented a paper entitled Molecular subtypes of breast cancer (Platform presentation).
Dr.Nidhi Chowdhary, DNB Pathology Second Year put up a poster on Alveolar soft part Sarcoma of Orbit- a rare tumor.
Indo-American College of Nursing organized a seminar on "Chemotherapy - Nurse’s Role" on 5th March 2016, in the Auditorium from 08:30am to 05:00pm. 300Nsg Students from various colleges participated in the Seminar. Mrs.D.Vidyavathi, Registrar, Telangana State Nurses & Midwives Council, was the Chief Guest of the function.
Indo-American School Of Nursing organized a programme on the occasion of World Health Day celebrations on 7th April 2016, at 02:30pm in our Auditorium. Topic ; “Halt the Rise - Beat Diabetes”. The programme was attended by Patients, Attendants, Nursing Students and Nursing Staff. Presentation was given on control of diabetes by Mrs.Ivy Dias, Principal – IASON, Faculty O.Vidya Sri. Students conducted a role play on presentation of Diabetes.
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QUALITY ASSURANCE DEPARTMENT
Quality Assurance Department performs a range of activities including review, evaluation, surveillance, and monitoring which collectively comprise the intelligence gathering arm of quality assurance. BIACH & RI is having a Quality core committee which is responsible for providing assurance on all aspects of quality of clinical care; patient safety, regulatory standards.
Reviewing of SOPs/ make necessary amendment and implementation Evaluating the Quality/ performance indicators Audit programme on a continuous and routine basis. Surveillance is routinely repeated evaluation. Monitoring the ongoing quality initiatives programme Set quality strategic goals and direction to achieve it.
Quality Assurance Team:
CHIEF EXECUTIVE OFFICER
Manager-QA Advisory Team
Asst.Manager-QA Chief Anaesthetist
Medical Oncologist
Supervisor-QA HOD-Microbiologist
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Quality Improvement Initiatives:
Quality Assurance Department apart from advising hospital departments on quality issues and assisting in internal quality audits and trainings has ensured following achievements.
NABH Accreditation:
NABH Re-accreditation assessment process by NABH-Assessors team was conducted on 12-14th February, 2016. 45 NCs identified by them were rectified and compliance report of the Hospital was sent to Quality Council of India.
OHSAS 18001 Re- Certification:
OHSAS 18001 Re-certification process by OHSAS Assessors team was conducted on 25-26th Oct 2015. 6 non compliances identified by them were rectified by concerned departments and based on compliance report of Hospital; the certification was continued for next 3 years.
NABL 218Accreditation:
Desktop surveillance and equipment verification was conducted in Nov 2015 and since no NCs wew found, Hospital laboratory’s NABL accreditation was renewed till December- 2017.
IMC Ramakrishna Bajaj Quality award:
Hospital was awarded IMC RBNQ Certificate of Merit-2015 from IMC Ramakrishna Bajaj National Quality Award Trust in January, 2016.
Training and workshops: Topics covered Conducted by A ttended by JCI Internal Auditor Six sigma star healthcare, Manager-QA Training Programme new Delhi, India
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QUALITY COMMITTEES & MINUTES OF THEIR MEETINGS
COMMITTEE: QUALITY CORE COMMITTEE
Major Decision made Implementation Outcome
Quality Initiatives taken: Safe Medication (Medication Achieved Goals: chart Audit) Reduced no of Conducted Safe Environment medication error Patient safety Programme ( Audit of Safety devices working condition /repaired/replaced Install metal detector for Safe Transportation main entrance and exit (audit of condition/repaired/ gate, Install more CCTV replaced of Stretchers/Wheel chair camera, sprinklers, fire extinguisher In more risk prone areas Purchased more no of wheel chair/stretchers for patient transportation having proper safety belt.
HOSPITAL INFECTION CONTROL COMMITTEE Major Decision made Implementation Outcome
Bundle approach for Educational drives like reduction of CLABSI & mandatory Induction training, VAP rates ongoing in- house training & Reduction in CLABSI External training.Central line rates & VAP rates check list for daily maintenance of the lines.
Training a team of nurses on An infusion team was infusion practices by BD formed to oversee the Company. day to day infusion
CSSD & OT technicians from practices various hospitals in twin cities. To Increase awareness MOM with BD for Risk reduction about sterilization & programme disinfection practices.
For giving MIC (Minimum Better patient treatment Inhibitory Concentration of the outcome drugs)Organised a work shop on Sterilisation & Bacterial barriers in Health care Introduced Fully Automated BD Phoenix instrument in Microbiology Department
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HUMAN RESOURCE COMMITTEE Major Decision made Implementation Outcome
Privileges for Medical/ Prepared privileges for Clarity about the Non medical staff consultants/ paramedical by procedure performed. concerned HODs. Improvement of Focused on Nurse-Patient Recruited 100 no of additional Quality Nurse care ratio nurses to maintain the ideal ratio
Categorize the attrition rate Reducing Cost of New Identified the target group to prepare recruitment HR strategies for retention.
DRUG FORMULARY COMMITTEE Major Decision made Implementation Outcome
Revised Drug Formulary Addition/Deletion of the drugs Produced revised based on demand/ request Formulary Suggested to Amendment of Narcotic drug Policy Revised Narcotic Drug Policy Practiced
Introduce Patient Indirect participation in assistant Program Patients get free medicines under social responsibilities PAP sponsored by some and at the same time Introduce MCI approval pharmaceutical company satisfied the patient prescription format Designed and Implemented
Selection of Tender Proceed with the order Based on SOPs finalization of Tender
Capture all the audit parameters to make the audit useful.
CODE BLUE COMMITTEE Major Decision made Implementation Outcome
Prepare PALS Sops and List out the staff and SOPs of PALS prepared Independently perform doctors of paediatric PALs ward for training. 101 nos trainees participated
Prepared BLS & ACLS 68 nos of participants Training calendar Trained the staff of critical area qualified independently Based on finding, Crash cart check list perform Designed CPR training prepared Module Regular monitoring and make available the Audited all CPR reports drugs
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SAFETY & DISASTER MANAGEMENT COMMITTEE Major Decision made Implementation Outcome
Suggested to conduct Participation in patient safety Increase overall safety code pink mock drill programme and security, continuous real time Proposal to purchase of Conducted the code pink mock monitoring Breath analyzer (Alcohol) drill Listed out all security devices and installed new devices in more risk Prevent the incident of prone areas including outside of child abduction the main entrances. (installed CCTV camera) Purchased and implemented in Restricted entry of main entrance gate. alcoholic people ANTI SEXUAL HARASSMENT COMMITTEE Major Decision made Implementation Outcome
------No such Incident reported------ETHICS COMMITTEE ------Discussed about clinical trials------
GRIEVANCE REDRESSAL COMMITTEE
------No grievances reported to the committee------
MEDICAL AUDIT COMMITTEE
Major Decision made Implementation Outcome
Conducted Clinical Audit, Changes Made based Implementation of Bar coding of Case on sheet result Right tracking of the Review of audit case sheet On the process BLOOD TRANSFUSION COMMITTEE Major Decision made Implementation Outcome
Proposal for Blood 9 nos of Blood donation camp 1032 units of blood donation camp once in conducted collected month Proposal for purchasing 2 boxes purchased Preserve the collected Mobile transportation box blood unit to avoid unnecessary wastage.
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HUMAN RESOURCES DEPARTMENT
The Department of Human Resource is actively supporting different Medical & Non Medical divisions, ensuring that Institution's most valuable assets i.e., Employees are driving the key objectives of institution.
The department has focused on continuous improvement to increase the quality & accountability, while improving the department services towards best patient care and administration - playing a vital role in bringing highly engaged workforce to deliver organizational goals.
CONTRIBUTIONS: TRAINING & DEVELOPMENT ACTIVITIES: S. N DIVISION MANPOWER S.N TOPIC MAN DAYS 01 Medical 142 01 HR General Training 141 02 Nursing 305 Sessions 03 Para Medical 132 02 Professional 393 Education Programs 04 Other 363 03 Other Skill Dev. 15 Support Staff Programs
TALENT ACQUISITION Initiated Talent search Actively hiring and appointing a diverse range of employees Internal Employee Referral Scheme Job posting on various portals. Internal promotions. Complete review of all recruitment and selection activity in order to improve service provision. Rationalized Induction Process. Monthly MIS on Talent Acquisition Tie up with external agencies for niche profiles
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Enabling an environment of employee empowerment and involvement with flexible working arrangements, tools and resources that facilitates an effective operating environment to help these employees deliver their full potential
LONG SERVICE RECOGNITION (> 10 yrs) S. N. DIVISION CURRENT YEAR 01 Medical 01 02 Nursing 07 03 Para Medical 01 04 Other Support 18 Staff
EMPLOYEE MANAGEMENT
S. N INITIATIVES 01 Introduced Face Index Attendance System
02 Free Bachelor Sharing Accommodation 03 Subsidized boarding facility for Nursing Bachelor Sharing 04 Introduced Transport Allowance to Outsiders (Nursing Staff) 05 Enhanced Nursing Staff Salaries & Review of Pay across the Nursing staff 06 Facilitate more accommodation to the patient and their attendants, HR initiated reshuffling of the Staff at Bachelor Sharing accommodation at Vididi and Athidi 07 Special Allowance to Nursing Supervisors 08 Enhanced Duty Doctors Night Duty Allowance 09 Revision of Base Salary (Technical & Non Technical Staff) 10 Commendable Achievement Reward to Radiation Team 11 Initiated Accident Policy Coverage to all Staff 12 Internal & External Training Programs 13 Additional pair of uniform to the existing staff 14 Initiated Exit Interviews 15 Conducted a questionnaire-based employee satisfaction Employee Satisfaction Survey for all employees and analyze the survey results to devise improvement measures required at workplace.
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PERFORMANCE MANAGEMENT Initiating the On-line Performance Appraisal System to incorporate an assessment process to identify the employee performance and grooming in their work areas.
MANPOWER DETAILS APR'15 - MAR'16
DEPARTMENT OF PHARMACY- PROCUREMENT
The Pharmacy Procurement department is manned by professionally competent, legally qualified pharmacists who directly supervise and ensures the correct dispensing, compounding and distribution of medications to in & out patients. BIACH & RI’s Outpatient pharmacy functions round the clock. Pharmacy is having a central store.
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VARIOUS TASKS PERFORMED BY THE DEPARTMENT INCLUDE:
Registration for Tender Tender floating TENDER RATE Price negotiations CONTRACTS Rate contract with 62 companies Establishment of Hospital drug formulary VENDOR All suppliers should register with us. We had registered 42 REGISTRATIONS distributors and issued Vendor registration certificate valid for 3 years.
PROCUREMENT Raising Purchase orders against the purchase requests and PROCESS follow ups
PATIENT We are supporting the patients by providing free medicines ASSISTANT from various companies that had MOU with us like Dr. PROGRAM Reddy’s and many others.
CLINICAL Prescription auditing is done by daily ward rounds. PHARMACY Reporting Medication errors SERVICES CME FOR Initiation for Anti-Microbial Therapy audit and its PHARMACISTS & prescribing pattern NURSES
DRUG Drug information is provided to Para-medical health care INFORMATION professionals & nursing staff. SERVICES
MEDICAL RECORDS DEPARTMENT
The Medical Records Department is having 1 staff and is responsible for maintaining medical records in a standardized and professional manner in order to protect patient confidentiality while allowing adequate access to providers in order to promote quality patient care.
Transcription, diagnosis coding, and release of information are some of the other major duties performed in the Medical Records Department. Information is also gathered and sent to state agencies concerning births, and deaths, notified diseases. Records are released in accordance with state laws.
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The major responsibilities are:
Retention of Medical Record Confidentiality of Medical Records Security of Medical Records ICD -10 Coding and Data Abstracting Medical Records Tracking System Patient Medical Record Identification Medical Record Analysis and Completion Storage of Old Inactive Records Approved and Prohibited Abbreviations Data submission to ICMR ( Cancer Registry programme)
IMPROVEMENT IN THE SERVICES: Revised the standards of Medical Records Operating procedures on maintaining Confidentiality, Integrity and Security of Information. Documented procedure exists on how to respond to patients/physicians and other public agencies requests for access to information in the clinical record in accordance with the local and national law. All requests for release of patient information, including requests for copies of a patient's medical record, are to be referred to the Competent Authority for approval.
NEW INITIATIVES:
Prescribed time period for retention and preservation of the Medical Records for medical, legal, administrative, education and other purposes. For destruction of Patient Records a committee has been formed and destruction proceedings were recorded and time barred record were sent for destruction as per prescribed procedure.
MAJOR DECISION: As we have Hospital Retention policy of 10 years for In-Patient Case sheets. As per the code of Ethics Regulations 2002, under section 20A of the Indian Medical Council Act, 1956 under chapter 1.3.1., 6-years inactive Medical Records of the patients who were discharged up to June, 2006 and did not attend from last 10- years for the review were sent for destruction by shredding as per MOU with ITC, Bhdarachalam. HARNESSIN ADVANCEMENT IN TECHNOLOGY& INFRASTRUCTURE:
Digitization of patient’s records and DMS (Document Management System) was implemented for all legacy patients’ records for the purpose of security and confidentiality of the patient’s details and treatment and also protection from external disasters.
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ACHIEVEMENTS: Implemented CGSL (Neura) HIS project with a view of improving INFORMATION MANAGEMENT SYSTEM and bringing entire medical records to e-platform in future with faster flow of information and taking BIACH&RI towards a paperless medical environment. CHALLENGES: The Strategic Challenge is to implement the electronic medical recording system with a standardized approach to significantly improve patient access and coordination of care transitions, and ensuring all case information from paper to paperless.
RECOGNITION'S & AWARDS: Elected as Jt. Secretary for HIMA INDIA (Health Information Management Association). HIMA INDIA is in collaboration with international Federation of Health Information Management Associations (IFHIMA) is committed to advancing the HIM profession in an increasingly electronic and global environment through leadership in advocacy, education, certification and lifelong learning. The HIMA INDIA’s primary goal is to provide the knowledge, resources and tools to advance Health information professional practice and standards for the delivery of quality healthcare. Received awards at national & international level seminars & conferences upon presentation of best papers. The latest publication, is “Transformation of Healthcare with Health Information Management” (Opportunities & challenges)”, on Dec-2015, published in 1st-National Health Information Management Association Conference, organized by KIMS, Hyderabad. Coordinated for National Accreditation of the Hospital and recognized MRD as an excellent Department after first inspection and declared MRD is one of the important strength of the Hospital upon Surveillance Assessment.
DEPARTMENT OF CLINICAL NUTRITION DIETETICS
The Dietary services of BIACH & RI is providing clean & hygienic, nutritious diet for the indoor patient as per their caloric requirement. The Dietetics department is committed to provide the best possible patient care and support to the patients of the hospital. Dieticians provide an array of patient care services including, nutritional assessment, therapeutic diet counselling, and ENTERAL feeding recommendations.
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INITIATIVES, IMPROVEMENTS AND ACTIVITIES -2015
1. National Nutrition Week is celebrated every year in September first week by organizing different Nutritional education activities for different groups of people. In this connection, celebrated the first Anniversary of Nutrition Support Group Program on 12thSeptember-2015.
2. Involved in Diet Counselling for hospitals Support and Rehab clinic on every Friday from 12pm to 1pm.Started getting students from post graduate college for their M.Sc Dietetic Internship. First Batch from June & July- 2015.
3. Successfully running Nutrition Support Group Program for patients and attenders. Conduct the same every 2nd Saturday and started involving other departments on all other Saturdays. (Physiotherapy, Psychiatry).
4. Attended Nutrition education programs and CME’s organized by Indian Dietetic Association- A.P Chapter and other hospitals.
5. Mr. Raveendra, Dietician attended 48th Annual National Conference of Indian Dietetic Association held in Bengaluru from 19th to 21st November- 2015.
6. Conducting regular education programs for the Department for the Nutrition updates.
DEPARTMENT OF NURSING SERVICE
The Department of Nursing Service is the largest departments of the institution that employs over 339 nursing personnel under the Nursing Superintendent with inpatient occupancy of 75% on an average. The Nurses function in all the OP & IP units of the Hospital. There are designated Nursing personnel for patient education, high skilled areas of the hospital, in-service training and auditing. The Nursing Department in BIACH & RI endeavors to provide quality nursing care, protect the health and safety of its members and ensure that nursing team is compassionate, competent and ethically sound to practice.. The department maintains Standing Orders, which allow the nursing team members to exercise their judgment in
Page 66 times of emergency. The Nursing manual, which is made available in every unit, ensures uniformity in performing procedures, patient safety and the provision of efficient care.
36 nursing staff completed prerna chemotherapy nursing certificate course by Glenmark from August- October 2015. 3 senior staff completed National certificate course in Hospital Infection Prevention and Control by Care hospital in collaboration with IIPH ISDS & IMA from 1/10/2015 to 3/10/20115. K. Jayamma, Operation theatre In charge attended Energy Safety Roadshow by Medtronics on 4th November 2015. 6 Staff completed Certificate course on Sedation and delirium monitoring in the ICU, hemodynamic monitoring in the ICU, medication errors in the ICU by Abbott. E. Swetha participated in a workshop on SOTS by STERRAD at Bangalore on 5th may 2016. 150 nursing staff attended in a workshop on hand hygiene conducted by SANDMED on 5th may 2016. K. Jayamma Operation theatre incharge participated in operation theatre nurse’s convention by Meril Endo- Surgery at Vapi from 3/6/2016 to 5/6/2016. 70 staff attended in Basics of diabetes and Insulin conducted by BIOCON on 4/06/2016. Out of 61 nurses who went for BLS training 50 staff passed through the test for certification from September 2015 to April 2016. Nurses who attended BLS training previously, for them two hands on session conducted for their practice
Achievements, major decision made
Interdepartmental audits on stock initiated every quarterly. On the job training has been provided with two senior staff to the newly joined nurses. Multi tasking is encouraged by clinical rotation to selected group of nurses.
Major Challenges: Nurse’s attrition and shortage
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BIO-MEDICAL ENGINEERING DEPARTMENT
BIACH & RI is equipped to maintain latest technology equipments that are used cures all Cancer diseases Biomedical Engineering Department is also extending their Services by Supporting Gas Plant, CSSD by Supervision with one HOD and 7 technicians.
Gas Plant with Liquid Oxygen tank and 3 Compressors supplies 24/7 Medical Gases to all the required Departments.
CSSD Department is equipped with two Steam Sterilizers, two washer & Disinfectors and two Plasma Sterilizers which sterilize 150 packs daily for operational procedures and minor procedures at patient wards.
Achievements; Biomedical Department was praised by NABH Authorities during NABH Audits.
Biomedical Engineering Department is
Maintaining 1200 Equipments in House by cost cutting and economical methods Managing Contracts for Radiotherapy Equipments and monitoring closely performance of it having monthly reviews at management level Installation of new 3D Laparoscopic Surgical Equipment and Gamma Detection System. Upgradation of Pathology Lab by Installing Auto Strainer & high Capacity Auto Programmed Tissue Processor Planned for Future are CT up gradation in Radiology Department and installation of new colour Doppler for Cardiology Department. Preventive Maintenance of each and every equipment is carried out as per Schedule
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Excellent training provided with safety Guidelines during induction, as well real time training to paramedical staff and End user Calibrating and keeping the equipment uptime all the time for smooth operations Provision of External training programmes by OEM companies to paramedical staff along with Gas plant staff and other end users
Trimedx Company: A BM equipment maintenance services Provider maintains all BM equipments in this hospital. Target given to them are extend the life of medical equipment, Calibration of equipment from time to time, Planned Preventive maintenance of medical equipment to reduce costs and increase efficiency Holding AMC / CMC of medical equipment, Develop and implement a comprehensive training program, Streamline supply chain management, Uncover hidden costs associated with BM equipment.
DEPARTMENT OF FRONT OFFICE:
Our busy outpatient department caters for oncology patients at all stages of their disease - from diagnosis through treatment to monitoring. We try to offer an environment where patients feel welcome and cared for.OPD has 47 nos of consultation chambers for all oncology consultation. The OPD is supported by 18 nos of procedure/examination room along with efficient outpatient’s services.
The Outpatient Department operates round the clock. The services provided by the Outpatient Department functions on a fixed time appointment booking system/ walk in patient/ emergency patient/referral patient basis. Our patients are categorized as new cases or follow up cases and a multi-disciplinary health team directly addresses their needs. Diagnostic testing and support services are also available.
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Our department is subdivided into the following sections:
Radiation unit and subspecialties Medical unit and subspecialties Surgical unit and subspecialties Day care Unit IMPROVEMENT IN SERVICE:
On line feedback system
ACHIEVEMENTS:
Reduced the dissatisfaction level of the patient Solved the patient’s issues on real time basis
DEPARTMENT OF PHARMACY –STORES& DISPENSING
The pharmacy (stores) department is manned by 31 professionally competent, legally qualified pharmacists who directly supervises and ensure the correct dispensing, compounding and distribution of medications to in & out patients. BIACH & RI’s Outpatient pharmacy functions round the clock. Pharmacy is having a central store.
ACHIEVEMENTS:
Floor stock at OT, worth of Rs. 14 lakhs has been withdrawn and started supply of consumable kits surgery wise on daily basis. 100% accuracy in billing to the patients without any confusion within the stipulated time. Over sight of expiry drugs has been avoided.
In case of specific emergencies, we have arranged one pharmacy runner inside the OT who delivers the stock as per the requirement to all 9 theatres without any loss of time.
Manager Pharmacy (Stores) has attended a workshop at Meril Academy, Vapi, Gujarat, conducted by IIM, Ahmadabad on 21.11.2015. Participation certificate is attached.
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WORKSHOP ATTENDED:
Manager Pharmacy (Stores) has attended a workshop at Meril Academy, Vapi, Gujarat, conducted by IIM, Ahmadabad on 21.11.2015. Participation certificate is attached.
TRAINING PROGRAMME CONDUCTED-2015
31.10.2015 Rational use of medicines
15.12.2015 Procurement & Inventory Management
10.01.2016 GPP – Code of Pharmaceutical Ethics
21.02.2016 GPP – Procurement & Inventory Management
27.03.2016 GPP – Dispensing, Storage &Stock Management
24.04.2016 GPP – High Risk Medication &Patient Information
23.06.2016 Medication Errors – Webinar by Dr. Aniket C. Mandekar
DEPARTMENT OF FINANCE & ACCOUNTS:
The financial management team support managers within the hospital, providing reports and analysis on expenditure and income throughout the year, setting budgets and providing financial information and support. At Corporate level, the team provides hospital wide reports on the financial performance of the hospital to the senior management team and the Trust Board. The financial accounts team manages the hospital’s cash, and deals with the payment of creditors, collection of income, internal controls and production of statutory and assists in internal and statutory audits.
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MATERIALS- (STORES & PROCUREMENT) DEPARTMENT
"Stores Procurement Department consists of Sr. Manager–Procurement working along with 2 Executives & 1 Assistant. This Department undertakes procurement of General, Civil and Electrical items and equipment for the hospital - both major and minor, entering into AMCs/CMCs for the equipment available in the hospital and other general items for the hospital. It follows strictly approved Dept. System Manual - limiting to local purchase to the barest minimum, continuously checking the market for new trends, rates and quality of the products by registering new vendors. Recently SAP was introduced in the department to streamline the supplies of requirements of the hospital duly following the stores principle 5Rs - Right quality; right quantity; right place; right time; right price. "
The Stores material department is responsible for safe custody and preservation of the materials stocked, ensuring efficient, economic and specified receipts, issue and accounting and providing right material at the time when it is required and in the condition in which it is required.
ACHIEVEMENTS
The Consumption value for the year 1st April2014 to 31st March 2015 = Rs.1175 lakhs, Average Monthly Rs.97.9 lakhs
The Consumption value for the year 1st April2015 to 31st March CONTRIBUTION 2016 = Rs1396 lakhs, Average Monthly Rs. 116.3 lakhs TOWARDS The Inventory value for the year 1st April2014 to 31st March 2015 = EXPENDITURE Rs.380 lakhs, Average Monthly Rs.31.66 lakhs (Excluding Linac spares
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The Inventory value for the year 1st April2015 to 31st March 2016 = Rs.418 lakhs, Average Monthly Rs.34.8 lakhs (Excluding Linac spares) Stores being an expenditure unit, However, the subject “Disposal of scrap “was attached to General stores and the CONTRIBUTION scrap is being disposed of from time to time without having TOWARDS any accumulations. The value of the scrap disposed 1st April2015 to 31st March INCREASE IN 2016 Rs.6.5 lakhs. REVENUE:- Photo copier revenue is 1st April2015 to 31st March 2016 Rs.3.8 lakhs. APPRECIATION In the Process for effective management of scrap material and CERTIFICATE disposal of paper waste, ITC has awarded appreciation certificate for outstanding performance for the year 2015.
DEPARTMENT OF MEDICO-SOCIAL WORK (PATIENT & VISITORS COUNSELLING) The department provides a range of supportive services to patients, families and those affected by illness and hospitalisation. Services include: Counselling relating to illness and its impact on their family, our department also offers bereavement support and crisis help following traumatic events.
TRAINING PROGRAMME CONDUCTED 18/07/2015 Attenders crowd management in patient care areas 14/08/2015 Cervix Cancer Support Group Meeting 23/09/2015 Childhood cancer awareness Programme 19/10/2015 Breast Cancer Awareness Programme 26/11/2015 Distress Management Programme 26/12/2015 HIV awareness Programme 13/01/2016 How to handle Vulnerable Patients in the Hospital 06/02/2016 Cervix Cancer & Sexual life 31/05/2016 Bone marrow Transplantation ACHIEVEMENTS AMOUNT OF Rs. 9,92,128/- DONATIONS COLLECTED AND WERE GIVEN TO 57 NUMBER OF PATIENT SURVIVAL SUPPORT GROUP MEETINGS CONDUCTED
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DEPARTMENT OF BUSINESS DEVELOPMENT
The Business Development department of BIARCH & RI is HELPING the Hospital for growing its revenue, enhancing image, and contributing to Hospital growth and profitability, conducting various outreach programmes with the collaboration of various NGOs/ business groups and taking care of its promotion and branding and cover the news of success stories of the hospital.
INITIATIVES AND ACHIEVEMENTS FINANCIAL The Performance for the financial year April 2015 to March 2016, GROWTH had growth 9 % in revenue, cash admissions grown by 9% and corporate business grown by 25% especially Insurance patients business.
CME We have conducted 15 CME's in Districts of Telangana, AP, Ranchi, Nanded and Bilaspur, 1435 doctors attended the CME Programme.
CLINIC Dr A K Raju's monthly clinic at Bhimavaram. Average 15 patients were seen by Dr AK Raju and generally refer 2/ 3 patients for further treatment. Dr Hemanth Kumar clinic at Chandrapur in the month of January and February 2016 RENEWAL OF Renewal of Twelve corporate MOUs on CGHS 2014 Oncology MOU'S tariff GIPSA: MoU signed. STATE Government of Jharkhand GOVERNMENT Government of Chhattisgarh. EMPANELMENT Coverage of Article in HINDU Newspaper regarding Cancer Awareness, the topic's were on Oral Cancer, Cervical Cancer, Breast Cancer, Nuclear Medicine etc.,
PR - ACTIVITIES Coverage in Hindi (Hindi Milap) and Urdu (Siyassat) Newspaper regarding Cancer awareness, hospital facilities, Breast Cancer, Oral Cancer and Cervical Cancer etc.,
BUS SHELTERS (12) Spread out in the twin cities of Hyderabad.
INTERNATIONAL Enrolled THREE medical facilitators to refer International patients. BUSINESS Which are NIZAMI SERVICES(Referred six patients), YA YA Khan (referred three patients), Mr Kaleem (referred two patients)
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DEPARTMENT OF INFORMATION TECHNOLOGY:
BIACH & RI’s IT Department involves the exchange of health information in an electronic environment and supports to increase administrative efficiencies, decrease paperwork, and expand access to affordable health care and maintain privacy and security of electronic health information through electronic transmission.
IMPLIMENTATION AND ADOPTION OF BEST PRACTICES IN THE INFORMATION TECHNOLOGY
New HIS-Neura Implemented successfully from old HIS two tier architecture technology to new Three Tier architecture technology (web based) provided by CGS limited. LIS Machine Integration completed by CGS Limited SMS and E-mail interaction to the patient done successfully through new HIS. Purchase, Inventory and Finance are totally implemented in SAP B1 supplied by NHCS limited. Transaction to Transaction Handshaking is done with HIS and SAP. Feedback Tracking System implemented by The Decision Labs, Bangalore. New RIS and upgraded PACS version 4.X to 5.X implemented successfully. Surveillance CCTV integration of all camera’s implementation completed. Document Management System – uploading of Digitized Medical Records along with all the legacy records done by Asprins Health Care. Server Virtualization to be implementing process.
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DEPARTMENT OF BILLING:
The Billing department of BIACH & RI is taking care of cash, insurance, credit, aarogyashree billing process. Its focus on the patient’s financial condition, treatment requirement and based on that guide the patient for further process, coordinate with the Inpatient department to timely discharge the patient without any delay
DEPARTMENT OF MAINTENANCE:
The department of Maintenance is taking care of the entire operation and maintenance of lighting, plumbing, electrical distribution, air conditioning / heating systems of all Hospital buildings. We have an extensive equipment preventive maintenance system which provides a weekly summary of outstanding equipment preventive maintenance tasks.
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MAINTENANCE COMPLAINTS RECEIVED STATUS FOR THE PERIOD OF 2015-2016
NO.OF MAJOR NO.OF MINOR COMPLAINTS COMPLAINTS SN WING TOTAL RECEIVED RECEIVED
1 CIVIL 60 180 240 2 ELECTRICAL 35 160 195 3 AIR 30 75 105 CONDITIONING 4 CARPENTRY 120 230 350 5 PLUMBING 250 420 670 6 LIFTS 75 110 185 7 FIRE 20 36 56 8 MISCELLANEO 150 230 380 US All issues are closed Total 2181
The Electrical department of BIACH & RI provide uninterruptible quality power supply with normal voltage and lowest electricity bill consumption and look after the routine maintenance for all the light fittings, fans, geysers, switch boxes, MCB boards, sub-panel boards etc.
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DEPARTMENT OF HOUSEKEEPING: The department of Housekeeping services always aims to maintain a healthy, clean, orderly, safe and pleasant environment by making the maximum use of the facilities of hospitals. The total 379 team members besides ensuring implementation of statutory provisions and positive effect on the morale, welfare and safety of the patients but also prevent a lot of areas from becoming a source of infection. The Housekeeping Department helps in prevention and minimizing of the effect of the microorganisms in the environment by training its staff on regular basis, along with regular controls of cleanliness and applying the programs declared by the Infection Control Committee.
ACHIEVEMENTS 1. 52 nos of in house training programmes conducted for Housekeeping staff in the year 2015-2016 2. 67 nos of total complaint received from Housekeeping Feedback form, all issues were closed.
DEPARTMENT OF SECURITY:
BIACH & RI is having the Outsourced security services and the department is leaded by the in house Chief Security Officer. The security & safety department of BIACH & RI is always alert to protect BIACH & RI’s patients, visitors, staff as well as the property, information and reputation of the Hospital. It always responds rapidly to security emergencies within the Hospital of health care setting.
ACHIEVEMENTS 1. 59 nos of Training programme conducted for security staff in the year 2015-2016 2. Successfully completed two live Mock drill for the year 2015-2016 3. 7 nos of CC TV camera installed in more risk prone areas.
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Cancer Awareness and Cancer Screening Programme from April 2015 t-March 2016
On the occasion of“ “World Anti Tobacco Day" on Sunday 31st May 2015, displayed posters in the premises of the Hospital and Outside Athidi, addlife, Near Andhra Bank, and KBR Park. Pamphlets on Ill effects of Tobacco in Telugu and English were distributed to the public at KBR Park, Auto stands, Bus Stops, Chowltry, Canteen, Staff at Super Gas, Andhra Bank.
Talks on Cancer Awareness and Cancer Screening are given to the families at MRF Tyres at Sangareddy on 7th April 2015 and Zaheerabad on 24th June 2015 followed by Interactive session by Dr.K.Kalpana Raghunath.
Dr.K.Kalpana Raghunath and Mr.C.Pardasaradhi Visited Assam Gauhati on 4th, 5th & 6th July 2015, given Presentation on “Train the trainers on cancer awareness for early detection” organized by Asmi at Gauhati. More than 300 Health workers and Doctors attended the programme, A booklet on Cancer Awareness and Screening was distributed to the participants.
Met Principal Secretary to CM, Sri.M.G.V.K.Bhanu on 6th July 2015, briefed him the facilities at Basavatarakam and discussed the possibilities of referring patients from Assam.
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October Month is observed as World Brest Cancer Awareness Month and Free Brest Cancer Screening Programme was conducted for women Every day from 10.00 A.M. to 02.00 P.M. at Our Hospital premises from 1st October to 31st October 2015. Four cases of Breast Cancer were detected and treatment initiated. 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.
No.of Patients Pap Smear Mamo U/S Biopsy FNAC 230 195 39 49 11 4
Two cases of Ca.Cervix are diagnosed, and treatment started. One lady undergone Hysterectomy for benign lesion at Multi speciality hospital. On the occasion of World Health Cancer Day, Cancer Screening camp was conducted at BIACH&RI for One week from 04.02.2016 to 11.02.2016, Total 79 screened, Female 43 and Male 36, Master health checkup 31, other investigations 18. Awareness programme was conducted for NATCO employees on Feb 4th 2016 World Cancer Day addressed by Dr.K.Kalpana Raghunath. 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,
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“ADDLIFE” International Yoga day celebration:
"addlife" conducted Yoga camps from 21st May 2015 to 21st June 2015, at Khammam, Nalgonda, Nizamabad & Ranga Reddy. The programmes were sponsored by Central Council for Research Yoga & Naturopathy, New- Delhi.
Patients doing Yoga at BIACH&RI
The following staff of the “addlife” Basavatarakam Indo-American Cancer Hospital & Research Institute actively participated in the month long Yoga Programme in various places. Dr.C.Sumathi, (HOD Naturopathy and Yoga), Dr.Uday Kumar, (Naturopathy & Yoga), Dr.K.Kalpana Raghunath, (Med.Supdt.,) Mr.Surendra Upadhyay, (Yoga Teacher), Mr.Vikram (Yoga Teacher) Mr.Aditya Kiran, (Manager), Mr.C.Pardhasaradhi, (CSP Manager), Mr.B.Ravindranath, (Manager), Mr.Anil Kumar, (Executive), Mr.Ravi Kumar, (Executive), Mr.Raju, (Assistant), Mr.Seetharamaiah, (Driver). Page 81
The services of the local yoga teachers are utilized for the month long Yoga classes at various places.More than 300 to 500 people participated in each camp. The public, the civil authorities and the local leaders highly appreciated the programme and wide media coverage was given. Nalgonda District - 12th Police Battalian, Nizamabad District - Police Head Quarters and SPR School. Reserve Police Force, Dichpally, Nizamabad.
Khammam District - SR & BJNR Govt. College & Mandharapu Ramaiah Prayer Hall etc.
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“Summer Camp” for children was conducted at “addlife” on 24th April 2015 to 30th May 2015. 50 Children participated. Aerobics, Yoga, Drawing, General Knowledge, Health Education classes were conducted.
SUMMER CAMP – AT ADDLIFE IN 2015 – Art class Health Talk
Aerobics – Summer Camp – 2015 Onam Celebrations at addlife on 28th Aug 2015
CGHS : Department of Naturopathy, Yoga & Ayurveda are accorded recognition by CGHS in July 2015
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CCRYN GRANT : Rs.35,59,284/-(Thirty Five Lacks Fifty Nine Thousand Two Hundred Eighty Four Only) received in Sep 2015 as first installment of grant-in-aid during the financial year 2015-16towards the research project “Influence of Naturopathy and Yoga therapy as an adjuvant in the management of adenocaricinoma of colon stage II & III with chemo therapy”.
NATUROTHERAPY TEAM MEMBERS
DEPARTMENT OF AYURVEDA: PATIENTS TREATED FOR THE YEAR-2015-2016 AP May June July Aug Sep Oct Nov Dec Jan Feb Mar sum 55 Arthritis 3 2 4 3 4 6 6 8 4 4 8 3 Lumbar 55 Spondylosis 4 5 3 6 2 6 2 7 6 3 5 6 Cervical 18 Spondylosis 1 4 1 1 3 6 1 1
16 Diabetes 2 5 2 5 2
2 Hypothyroidism 1 1 Muscular 2 Dystonia 1 1
3 26 CNS Disorder 5 1 1 3 1 2 1 4 4 1 Bronchial 4 Asthma 1 1 1 1 Sinusitis & 37 Rhinitis 3 1 3 6 3 1 6 4 3 5 2
38 A.P.D. 2 3 2 5 4 4 1 6 5 2 2 2 Piles 2 1 1 4 Irritable bowel 4 syndrome 1 2 1
Skin disorder 2 2 4 3 1 3 2 3 2 1 4 27
65 Obesity 3 2 5 5 7 4 5 9 7 6 8 4 25 Gyneac 3 2 3 4 2 2 4 1 2 2
25 Malignancy 4 2 2 1 2 3 4 3 1 3
22 Stress disorder 4 3 1 5 4 3 1 1
45 52 584 Rejuvenation 50 42 48 53 56 49 52 61 32 44 Total no. of 79 88 1009 Patients 76 81 79 92 79 95 97 92 78 73 Total no. of 452 389 369 510 349 405 400 432 440 410 473 457 5086 Procedures done
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FORM NO. 10B [See rule 17B] Audit report under section 12A(b) of the Income-tax Act, 1961, in the case of charitable or religious trusts or institutions
We have examined the statement of Affairs of Smt. Nandamuri Basava Taraka Rama Rao Memorial Cancer Foundation as at 31.03.2016 and the Income & Expenditure account for the year ended on those dates which are in agreement with the books of accounts maintained by the Trust.
We have obtained all the information and explanations, which to the best of our knowledge and belief were necessary for the purpose of the audit.
In our opinion proper books of accounts have been kept by the above named Trust so far as it appears from our examination of the Books.
In our opinion and to the best of our information, according to the explanations given to us, the said accounts give a true and fair view.
I In case of the statement of affairs of the above named Trust as on 31.03.2016
AND
II In case of the Income & Expenditure Account, for the year ending 31.03.2016
For KARVY & CO Chartered Accountants (Firm Registration No. 001757S)
K. AJAY KUMAR PARTNER Membership No. 021989
Place: Hyderabad Date:
P a g e | 85 FORM NO. 10B
Audit report under section 12A(b) of the Income-tax Act, 1961, in the case of charitable or religious trusts or institutions
Annnexure
Statement of Particulars
I. APPLICATION OF INCOME FOR CHARITABLE OR RELIGIOUS PURPOSES
1 Amount of income of the previous year Rs. 1,72,84,45,399/- applied to charitable or religious purposes in India during that year. 2 Whether the trust / Institution has NIL exercised to option under clause (2) of the explanation to section 11 (1)? if so, the details of the amount of income deemed to have been applied to charitable or religious purposes in India during the previous year. 3 Amount of Income Accumulated or set Rs. 23,05,83,637/- Part/ Finally set apart for application to Charitable or religious purposes to the extent it does not exceed 15% of the Income derived from Property held under trust wholly/ in part only for such purposes. 4 Amount of Income eligible for exemption NIL under section 11 (1) ( C ) (Give Details) 5 Amount of Income In addition to the NIL amount referred to in item 3 above accumulated or set apart for specified purposes under section 11 ( 2) 6 Whether the amount of Income Mentioned NIL in Item 5 above has been Invested or deposited in the manner laid down in section 11 (2) (b) ? If so, the details thereof. 7 Whether any part of the income in respect NIL of which an option was exercised under clause (2) of the explanation to section 11 (1) in any earlier year is deemed to be income of the previous year under section 11(1b) ? if so, the details thereof
P a g e | 86 8 Whether during the previous year, any NIL part of income accumulated or set a part for specified purposes under section 11 (2) in any earlier year
a) Has been applied for purposes other NIL than charitable or religious purposes or has ceased to be accumulated or set apart for application thereto, or
b) Has ceased to remain invested in any NIL security referred to in section 11(2) (b) (I) or deposited in any account referred to in section 11(2) (b) (II) or section 11(2) (b)
c) Has not been utilised for purposes for NIL which it was accumulated or set apart during the period for which it was to be accumulated or set apart, or in the year immediately following the expiry thereof? If so, the details thereof.
For KARVY & CO Chartered Accountants (Firm Registration No. 001757S)
K. AJAY KUMAR PARTNER Membership No. 021989
Place: Hyderabad Date:
P a g e | 87 FORM NO. 10B Audit report under section 12A(b) of the Income-tax Act, 1961, in the case of charitable or religious trusts or institutions
Annnexure
Statement of Particulars
II. APPLICATION OF USE OF INCOME PROPERTY FOR THE BENEFIT OF PERSONS REFERRED TO IN SECTION 13(3)
1 Whether any part of the Income or NIL property of the trust / institution was lent, or continues to be lent, in the previous year to any persons referred to in section 13(3) (Hereinafter referred to in this annexure as such person)? If, so give details of the amount, rate of interest charged and the nature of security, if any.
2 Whether any land, building or other NIL property of the trust / institution was made or continued to be made, available for the use of any such person during previous year? If so, give details of the property and the amount of rent or compensation received, if any 3 Whether any payment was made to any NIL such person during the previous year by way of salary, allowance or otherwise? If so, give details 4 Whether the service of the trust / NIL Institution were made available to any such person during the previous year? if so, give details thereof together with remuneration or compensation received if any?
P a g e | 88 5 Whether any share, security or other NIL property was purchased by or on behalf of the trust / Institution during the previous year from any such person? if so, give details thereof together with the consideration paid. 6 Whether any share, security or other NIL property was sold by on behalf of the trust / Institution during the previous year to any such person? if so, give details thereof together with the consideration received. 7 Whether any income or property of the NIL trust / Institution was diverted during the previous year in favour of any such person? if so, give details thereof together with the amount of income or value of property so diverted. 8 Whether the income or property of the NIL trust/ institution was used or applied during the previous year for the benefit of any such person in any other manner? if so, Give details.
For KARVY & CO Chartered Accountants (Firm Registration No. 001757S)
K. AJAY KUMAR PARTNER Membership No. 021989
Place: Hyderabad Date:
P a g e | 89
SMT. NANDAMURI BASAVA TARAKA RAMA RAO FY 2015-16 MEMORIAL CANCER FOUNDATION AND RESEARCH CENTRE
BOARD NOTE
The Institute would be completing 16 successful years of operations as a Non Profit Organization on 22nd June, 2016.
The Board of Trustees are pleased to present the annual report for FY 2015-16 and the audited financial statements of accounts for the year ended 31st March 2016.
FINANCIAL AND OPERATIONAL HIGHLIGHTS OF THE TRUST - FIVE YEARS AT A GLANCE
Financial highlights:
** The below financial hightlights are taken for the years ended 31st March.
Revenue from operations & Total expenditure Other income 17,284 16,263 14,951
19,590
17,130 12,329
15,305
10,197 lakhs)
12,022
10,419
(Rs. in lakhs)
(Rs. in
2012 2013 2014 2015 2016 2012 2013 2014 2015 2016
CAGR : 13.46% CAGR : 11.13%
Donations Concessions
325 3,022 3,155
2,509
lakhs) 1,629 1,665 149
(Rs. in lakhs)
(Rs. in 91 87 49
2012 2013 2014 2015 2016 2012 2013 2014 2015 2016
CAGR : -22.50% CAGR : 14.13%
P a g e | 90 SMT. NANDAMURI BASAVA TARAKA RAMA RAO FY 2015-16 MEMORIAL CANCER FOUNDATION AND RESEARCH CENTRE Operational highlights:
** The below operational hightlights are taken for the years ended 22nd June except for 2016 which gives operational highlights for the year ended 31st March 2016
OP IP
41,751 40,482 40,729 38,511 37,283
33,586 32,229 30,528 29,333 27,150
(Numbers)
2012 2013 2014 2015 2016 2012 2013 2014 2015 2016
CAGR : 8.32% CAGR : 7.32%
Surgeries RT
6,190 5,097
5,417 5,574
4,943
4,343
4,117
4,834
(Numbers) 4,620
(Numbers) 4,590
2012 2013 2014 2015 2016 2012 2013 2014 2015 2016
CAGR : 8.50% CAGR : 1.98%
Chemos Labs
2,27,704 2,29,939
34,628 2,13,156 1,87,610 1,85,648 33,785
33,457
32,523
(Numbers)
32,229 (Numbers)
2012 2013 2014 2015 2016 2012 2013 2014 2015 2016
CAGR : 1.26% CAGR : 4.15%
P a g e | 91 SMT. NANDAMURI BASAVA TARAKA RAMA RAO FY 2015-16 MEMORIAL CANCER FOUNDATION AND RESEARCH CENTRE
Radiology Endoscopy
52,931 55,168 5,951
49,480
5,654 5,551
5,229
36,830 36,385
3,078
(Numbers)
2012 2013 2014 2015 2016 2012 2013 2014 2015 2016
CAGR : 8.42% CAGR : 14.09%
Blood bank
19, 705 18, 723 19,705 18,723 16,931 17,597
16,326
(Numbers)
2012 2013 2014 2015 2016
CAGR : -2.24%
OPERATIONS OF THE TRUST
22 CME programmes conducted by our doctors Dr. T.S. Rao, Dr. K.V.V.N. Raju, Dr. Senthil Rajappa, Dr. Krishna Mohan, Dr. L.M. Chandra Sekhar, Dr. A.K. Raju, Dr. Satish Pawar and other doctors also attended for CMEs at Khammam, Godavarikhhani, Chandrapur, Nirmal, Nalgonda, Adilabad, Hyderabad in Telangana and Guntur, Vijaywada, Nandyal, Kakinada in Andhra Pradesh and Orissa, Chattisgarh. Around 1500 doctors attended for the above CME programmes.
Nine batches of nursing school students have successfully completed their course and graduated from the Institute with excellent academic track record.
10th batch of nursing college students has being admitted in this academic year. 6 batches have completed during the year in addition to existing DNB course in radiotherapy, DNB courses in surgical oncology, medical oncology and pathology were approved and students were allotted and have joined.
P a g e | 92
Under the sponsorship of Smile Train Inc., New York for cleft lip and palate surgeries to patients from Telanaga, Andhra Pradesh and neighbouring regions. For the period from April 2015 to March 2016, 441 patients have been treated under BSTC. Total cost was sponsored by Smile Train Inc.
13 blood donation camps were conducted in collaboration with Lions Club, Rotary Club and local organizations and around 1251 units of blood was collected.
40 cancer awareness and screening camps were conducted in this Financial Year in various districts of Andhra Pradesh and Telangana where more than 18,399 individuals were screened. The camps were organized in association with Agrogya Sree, Novartis Pharma, TANA, Arogya Bhadartha, SSGST, Agarwal Samaj, Lions Club, Indian Airforce Stations, BRMT, Dr.KSMCT, NCP Ltd,Agarwal Samaj,White Coats, and Yellow Pamelo
Efforts are on for raising funds for Cancer Awareness and Screening Programmes. The dormitory which was donated by Kala Jyothi Press and is almost completed. It will be inauguarated by this financial year.
P a g e | 93 SMT. NANDAMURI BASAVA TARAKA RAMA RAO FY 2015-16 MEMORIAL CANCER FOUNDATION AND RESEARCH CENTRE
ANALYSIS OF THE FINANCIAL STATEMENTS
Statement of Income & Expenditure The following table represents a summary of operations of the Trust for the years ended 31st March, 2016 and 31st March, 2015: (Rs. In lakhs)
% of total % of total
FY 2016 FY 2015
income income
INCOME
Revenue from Operations 19,384.60 98.95% 17,089.00 99.76%
Other Income 205.69 1.05% 41.26 0.24%
Total income 19,590.29 100.00% 17,130.26 100.00%
EXPENDITURE
Operative expenses 11,945.72 60.98% 9,576.76 64.05%
Employee Benefit Expenses 2,100.39 10.72% 1,704.86 11.40%
Finance Costs 526.23 2.69% 773.98 5.18%
Depreciation and Amortisation 1,060.61 5.41% 1,525.35 10.20%
Administrative and other expenses 1,651.52 8.43% 1,370.37 9.17%
Total expenditure 17,284.45 88.23% 14,951.32 100.00% Excess of income over expenditure/ (expenditure over income)
transferred to Statement of Affairs 2,305.84 11.77% 2,178.93 11.12% Income The total income of the Trust jumped by 14.36% from Rs. 17,130 lakhs in FY 2015 to Rs. 19,590.29 lakhs in FY 2016 with revenues from hospital collections increasing by 14.24%, revenues from pharmacy collection decreasing by 2.77%, revenues from academics increasing by 6.31% and 398.58% increase in other income. The following table shows the key drivers of our total income for the years ended 31st March 2015 and 31st March 2016: (Rs. In lakhs)
% of total % of total % increase/
FY 2016 FY 2015
income income (decrease)
Hospital collections 18,495.67 94.41% 16,190.68 94.52% 14.24%
Pharmacy collections 707.48 3.61% 727.65 4.25% -2.77%
Academics collections 181.45 0.93% 170.67 1.00% 6.31%
Other income 205.69 1.05% 41.26 0.24% 398.58%
19,590.29 100.00% 17,130.26 100.00% 14.36%
The details of segment wise hospital collections is as follows for the years ended 31st March 2016 and 31st March 2015:
% of total % of total % increase/ FY 2016 FY 2015
income income (decrease)
Athidi, Vididhi, Dormitory 92.44 0.47% 86.84 0.51% 6.45%
IP 11,905.80 60.77% 10,122.98 59.09% 17.61%
OP 5,603.35 28.60% 5,175.64 30.21% 8.26%
Bloodbank 323.28 1.65% 204.37 1.19% 58.19%
FDG 241.45 1.23% 258.20 1.51% -6.49%
Addlife 215.83 1.10% 190.54 1.11% 13.27%
Others 113.52 0.58% 152.11 0.89% -25.37%
18,495.67 94.41% 16,190.68 94.52% 14.24% Expenditure (a) Operative expenses Increased operations necessitated an increase in operating expenses of the Trust. They grew by 9.58 in FY 2016 as compared to FY 2015. The increase in operative expenses was in line with the growth in total income of the Trust.
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SMT. NANDAMURI BASAVA TARAKA RAMA RAO FY 2015-16
MEMORIAL CANCER FOUNDATION AND RESEARCH CENTRE The following table gives an overview of the operative expenses of the Trust for the years ended 31st March 2015 and 31st March 2016:
(Rs. In lakhs)
% of total % of total % increase/
FY 2016 FY 2015
income income (decrease)
Materials consumed 5,155.96 26.32% 4,608.57 26.90% 11.88%
Concessions 3,154.72 16.10% 3,021.96 17.64% 4.39%
Power charges 464.44 2.37% 466.96 2.73% -0.54%
Water charges 276.44 1.41% 251.64 1.47% 9.86%
Hospital maintenance 786.08 4.01% 693.17 4.05% 13.40%
Consultancy and professinal charges 2,030.64 10.37% 1,778.60 10.38% 14.17%
Cancer screening programme & CME 42.07 0.21% 44.70 0.26% -5.88%
Investigations & Diagnosis 35.37 0.18% 36.20 0.21% -2.28%
11,945.72 60.98% 10,901.80 63.64% 9.58%
(b) Employee benefit expenses Employee benefit expenses have increased by 10.87% from Rs. 1,894 lakhs in FY 2015 to Rs. 2,100 lakhs in FY 2016 due to increased operations resulting in increase in the number of employees to manage the same and also due to annual salary increase.
(Rs. In lakhs)
% of total % of total % increase/
FY 2016 FY 2015
income income (decrease) Employee benefit expense 2,100.39 10.72% 1,894.42 11.06% 10.87% 2,100.39 10.72% 1,894.42 11.06% 10.87% Average number of employees during the year 846 807 4.90% Average employee benefit expense per employee 2.48 2.35 5.70%
(c) Finance costs The finance costs were lower at Rs. 526 lakhs in FY 2016 as against Rs. 667 lakhs in FY 2015 resulting in decrease by 36.60%. This is due to repayment of borrowings which was partly offset by new borrowing from Andhra Bank (i.e. Term Loan VIII)
(d) Depreciation and Amortisation The depreciation and amortisation was lower at Rs. 1,061 lakhs in FY 2016 as against Rs. 1,320 lakhs in FY 2015 resulting in decrease by 35.20%.
P a g e | 95 (e) Administrative & other expenses The following table gives an overview of the operative expenses of the Trust for the years ended 31st March 2015 and 31st March 2016:
(Rs. In lakhs)
% of total % of total % increase/
FY 2016 FY 2015
income income (decrease) Communication charges 25.33 0.13% 21.37 0.12% 18.54% Rates & taxes 100.99 0.52% 129.73 0.76% -22.15% Repairs & Maintenance 949.32 4.85% 846.44 4.94% 12.15% Travelling and conveyance 118.40 0.60% 82.75 0.48% 43.09% Advertisement 65.79 0.34% 88.90 0.52% -26.00% Payment to auditors 3.02 0.02% 2.90 0.02% 3.98% Books and periodicals 10.48 0.05% 14.99 0.09% -30.09% Insurance 31.63 0.16% 18.38 0.11% 72.09% Land lease charges 0.74 0.00% 0.74 0.00% 0.00% Printing & stationery 79.43 0.41% 50.34 0.29% 57.80% Security charges 103.87 0.53% 102.56 0.60% 1.28% Foreign exchange loss 30.16 0.15% 24.07 0.14% 25.30% Receivables written off 4.80 0.02% - 0.00% 100.00% Advances written off 3.26 0.02% 39.53 0.23% 100.00% Contributions to Indo American Cancer Research 82.13 0.42% - 0.00% 100.00% Foundation Miscellaneous expenses 42.16 0.22% 46.78 0.27% -9.87% 1,651.52 8.43% 1,469.48 8.58% 12.39%
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SMT. NANDAMURI BASAVA TARAKA RAMA RAO FY 2015-16 MEMORIAL CANCER FOUNDATION AND RESEARCH CENTRE
Statement of affairs The following table details out the statement of affairs of the Trust as on 31st March, 2016 and 31st March, 2015: (Rs. In lakhs)
% increase/
FY 2016 FY 2015
(decrease) SOURCES OF FUNDS FUNDS Corpus fund 3,803.21 3,712.39 2.45% Excess of income over expenditure/ (expenditure over income) (749.08) (3,054.92) -75.48% Government Grants 158.05 158.05 0.00% 3,212.17 815.51 293.88% NON-CURRENT LIABILITIES Long-term borrowings 1,914.19 2,893.40 -33.84% Long-term provisions 133.16 107.50 23.87% 2,047.35 3,000.90 -31.78% CURRENT LIABILITIES Short-term borrowings 1,411.94 1,460.75 -3.34% Payables (Suppliers) 1,402.60 1,902.91 -26.29% Other current liabilities 1,538.16 1,494.52 2.92% Short-term provisions 7.62 13.15 -42.05% 4,360.32 4,871.33 -10.49% 9,619.84 8,687.75 10.73% APPLICATION OF FUNDS NON-CURRENT ASSETS Fixed assets Tangible assets 5,061.43 5,730.17 -11.67% Intangible assets 10.69 - 100.00% Capital work in progress 6.61 6.49 1.85% Intangible assets under development 47.24 50.92 -7.22% 5,125.98 5,787.58 -11.43% CURRENT ASSETS Receivables 2,901.13 1,676.75 73.02% Inventories 336.72 296.46 13.58% Cash and cash equivalents 745.01 471.85 57.89% Short-term loans and advances 71.33 95.93 -25.65% Other current assets 439.68 359.17 22.41% 4,493.87 2,900.17 54.95% 9,619.84 8,687.75 10.73%
Sources of funds (a) Funds The Trust fund consists of Corpus Fund and grants received from Central Government. During the FY 2016, the Trust has received donations to Corpus Fund amounting to Rs. 91 lakhs as against Rs. 49 lakhs in FY 2015. Out of Rs. 91 lakhs received in the current year, Rs. 52.56 lakhs was received in US Dollars from IACO for purchase of medical capital equipments.
P a g e | 97 (b) Long-term borrowings Our long-term debt stood at Rs. 3009 lakhs (including current maturities Rs. 1095 lakhs) as on 31st March, 2016 against Rs. 3,989 lakhs (including current maturities Rs. 1095 lakhs) as on 31st March, 2015. The loan-wise position of the long-term debt is as follows:
(Rs. In lakhs)
Total debt Principal Interest Current
Rate of interest
outstanding outstanding outstanding maturities
Term loan - 3 from Andhra Bank 11.00% 69.00 69.00 - 51.75
Term loan - 4 from Andhra Bank 11.00% 133.17 133.17 - 99.88
Term loan - 5 from Andhra Bank 11.00% 999.50 999.50 - 428.36
Term loan - 6 from Andhra Bank 11.00% 952.81 952.81 - 408.35
Term loan - 7 from Andhra Bank 11.00% 401.79 401.79 - 107.14
Term loan - 8 from Andhra Bank 11.00% 453.40 453.40 - -
3,009.67 3,009.67 - 1,095.48
During the FY 2016, the Trust has obtained term loan-8 instalment from Andhra Bank for purchase of medical equipment.
(c) Provisions The long-term and short-term provisions consist of provision for gratuity. The total provision for gratuity stood at Rs. 141 lakhs as on 31st March, 2016 against Rs. 120 lakhs as on 31st March, 2015. This provision is net off the grautity fund maintained with HDFC Standard Life Insurance Company Limited. The balance of the grautity fund stood at Rs. 33 lakhs as on 31st March, 2016.
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(d) Payables (Suppliers) The trade payables stood at Rs. 1402 lakhs as on 31st March, 2016 compared to Rs. 1902 lakhs as on 31st March, 2015. The table below gives on overview of the trade payables outstanding as on 31st March, 2016 and 31st March, 2015: (Rs. In lakhs)
% increase/
FY 2016 % FY 2015 %
(decrease)
Creditors for pharmacy 661.47 47.16% 675.59 35.50% -2.09%
Creditors for equipments 248.45 17.71% 576.85 30.31% -56.93%
Creditors for others 492.68 35.13% 650.47 34.18% -24.26%
1,402.60 100.00% 1,902.91 100.00% -26.29% (e) Other current liabilities The table below gives on overview of the other current liabilities as on 31st March, 2016 and 31st March, 2015: (Rs. In lakhs)
% increase/
FY 2016 % FY 2015 %
(decrease) Current maturities of long-term borrowings 1,095.48 71.22% 1,095.48 73.30% 0.00% Statutory dues payable 48.15 3.13% 39.74 2.66% 21.18% Caution deposits - 0.00% 0.17 0.01% -100.00% Security deposits 114.56 7.45% 120.84 8.09% -5.20% Liabilities for expenses 124.89 8.12% 99.31 6.64% 25.76% Other payables 155.08 10.08% 138.99 9.30% 11.58% 1,538.16 100.00% 1,494.52 100.00% 2.92%
Current maturities of long-term borrowings consist of principal portion payable to banks within twelve months from the end of the financial years. Statutory dues payable local taxes and stautory liabilities under which we operate and the same will be paid in due course.
Liabilities for expenses include liabilities for accrued salaries & benefits payable to employees and amounts accrued for other operative expenses. Other payables include refundable deposits, retention monies withheld on contractor payments pending final acceptance of their work, donations received for patients and scholarship amounts received for students of nursing school and nursing college.
Application of funds: (a) Fixed assets Tangible assets: During the FY 2016, we have capitalized Rs. 403 lakhs to the gross block as against Rs. 1,344 lakhs during the FY 2015
(b) Receivables (Patients) The receivables amounted to Rs. 2,901 lakhs as on 31st March, 2016 as compared to Rs. 1,677 lakhs as on 31st March, 2015. These receivables are considered good and realizable. The table below gives on overview of the receivables as on 31st March, 2016 and 31st March, 2015: (Rs. In lakhs)
% increase/
FY 2016 % FY 2015 %
(decrease) Corporate debtors 260.50 8.98% 214.31 12.78% 21.55% Insurance debtors 163.75 5.64% 89.54 5.34% 82.88% Agroyasree and EHS 1,194.01 41.16% 476.55 28.42% 150.55% Central Government debtors 277.75 9.57% 187.65 11.19% 48.02% State Government debtors 374.10 12.90% 194.58 11.60% 92.26% Other receivables 631.02 21.75% 514.13 30.66% 22.73% 2,901.13 100.00% 1,676.75 100.00% 73.02%
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(c) Inventories The inventories stood at Rs. 337 lakhs as on 31st March, 2016 as compared to Rs. 296 lakhs as on 31st March, 2015.
The table below gives details of the inventories as on 31st March, 2016 and 31st March, 2015:
(Rs. In lakhs)
% increase/
FY 2016 % FY 2015 %
(decrease)
Stock of pharmacy 225.77 67.05% 200.72 67.70% 12.48% Stores and consumables 109.03 32.38% 92.40 31.17% 18.00%
Addlife pharmacy stock 1.91 0.57% 3.34 1.13% -42.69%
336.72 100.00% 296.46 100.00% 13.58%
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(d) Cash and cash equivalents The cash and cash equivalents of the Trust consist of cash on hand, balances with banks in current accounts and in fixed deposits.
(e) Short term loans and advances The short term loans and advances of the Trust stood at Rs. 71 lakhs as on 31st March, 2016 as compared to Rs. 96 lakhs as on 31st March, 2015. These loans and advances consist of advances to suppliers, capital advances and other advances.
(f) Other current assets The other current assets of the Trust stood at Rs. 440 lakhs as on 31st March, 2016 as compared to Rs. 359 lakhs as on 31st March, 2015. They consist of deposits, prepaid expenses, TDS receivable and other assets such as interest receivable and rent receivable.
CONCLUSION
Managing Trustee on behalf of Board of Trustees acknowledges with thanks:
Each Members of Trust Board for their valuable guidance and contribution in the regular activities of trust, hospital and research division and deliberations of the Trust Board.
Valuable contribution of Indo American Cancer Organization – USA. Without their constant active support to the institute, it would not have been possible to raise major donations for many capital purchases and to achieve the progress to the level of excellence which Institute has achieved.
All the Donors for giving their relentless support and the medical and non medical staff who are putting their whole hearted efforts to make our institute one of the top Cancer Care Institutes in India.
The contribution of Rotarians, both in India and abroad for mobilizing funds for the institute.
Various departments of State Government - especially Transco, Water works, GHMC for their kind co-operation and the Government of India for their benovalent attitude towards cancer institute.
The Andhra Bank for their timely financial assistance, especially for establishing the CR&DR, and construction of Service Block and New Block-2 and extending the great support in giving the concessions in Interest Rates, L.C.Charges, Processing Fee and Upfront Fee and for Sanctioning New Term Loan for Setting up of New Operation Theaters. With the support of Andhra Bank Term Loan 8 was sanctioned within 2 months for purchase of Linear Accelerator with IMRT, Co2 laser & RFA System for Radiation Dept.
To the Income Tax Department for their great Support in granting to us the required Exemptions like 80”G”, No Tax Deduction certificates, Approval U/s Sub Clause (via) of clause (23C) of Section 10 of the Income Tax Act, 1961 and Approval under Proviso (ii)(b) to Sec.17(2) of the I.T. Act, 1961.
For Smt. Nandamuri Basava Taraka Rama Rao Memorial Cancer Foundation
(Managing Trustee)
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SMT. NANDAMURI BASAVA TARAKA RAMA RAO FY 2015-16
MEMORIAL CANCER FOUNDATION AND RESEARCH CENTRE
Statement of affairs as at 31st March 2016 (All amounts in Rupees unless otherwise stated)
As at As at
Note
March 31, 2016 March 31, 2015 SOURCES OF FUNDS FUNDS Corpus fund 2.1 38,03,20,570 37,12,38,517 Excess of income over expenditure/ (expenditure 2.2 (7,49,08,448) (30,54,92,085) over income) Government Grants 1,58,04,850 1,58,04,850 32,12,16,972 8,15,51,282 NON-CURRENT LIABILITIES Long-term borrowings 2.3 19,14,19,233 28,93,40,163 Long-term provisions 2.4 1,33,16,000 1,07,50,000 20,47,35,233 30,00,90,163 CURRENT LIABILITIES Short-term borrowings 2.5 14,11,93,682 14,60,75,380 Payables (Suppliers) 2.6 14,02,60,383 19,02,90,640 Other current liabilities 2.7 15,38,16,108 14,94,52,310 Short-term provisions 2.8 7,62,000 13,15,000 43,60,32,172 48,71,33,330 96,19,84,377 86,87,74,775 APPLICATION OF FUNDS NON-CURRENT ASSETS Fixed assets Tangible assets 2.9 50,61,43,382 57,30,17,070 Intangible assets 2.9 10,68,821 - Capital work in progress 6,61,225 6,49,225 Intangible assets under development 47,24,387 50,91,770 51,25,97,815 57,87,58,065 CURRENT ASSETS Receivables (Patients) 2.10 29,01,12,951 16,76,75,050 Inventories 2.11 3,36,71,693 2,96,46,231 Cash and cash equivalents 2.12 7,45,01,398 4,71,84,803 Short-term loans and advances 2.13 71,32,594 95,93,167 Other current assets 2.14 4,39,67,926 3,59,17,460 44,93,86,562 29,00,16,711 96,19,84,377 86,87,74,775 Summary of significant accounting policies 1
The accompanying notes are an integral part of the financial statements
As per our report of even date For and on behalf of the Board of
For Karvy & Co Trustees of Smt. Nandamuri Basava Taraka Rama
Chartered Accountants Rao Memorial Cancer
Firm Registration No. 001757S Foundation
K. AJAY KUMAR N.BALA KRISHNA J.S.R.PRASAD
PARTNER MANAGING TRUSTEE TRUSTEE
Membership No. 021989
Place: Hyderabad Place: Hyderabad Place: Hyderabad
Date: Date: Date:
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SMT. NANDAMURI BASAVA TARAKA RAMA RAO FY 2015-16
MEMORIAL CANCER FOUNDATION AND RESEARCH CENTRE
Statement of Income & Expenditure for the year ended 31st March 2016
(All amounts in Rupees unless otherwise stated) (Amount in Rs.)
For the year ended For the year ended
Note
March 31, 2016 March 31, 2015
INCOME Revenue from Operations 2.15 1,93,84,59,898 1,70,89,00,035 Other Income 2.16 2,05,69,138 41,25,551 Total income 1,95,90,29,035 1,71,30,25,586
EXPENDITURE Operative expenses 2.17 1,19,45,71,850 1,09,01,79,547 Employee Benefit Expenses 2.18 21,00,38,561 18,94,41,823 Finance Costs 2.19 5,26,22,744 6,76,94,823 Depreciation and Amortisation 2.9 10,60,60,570 13,20,36,431 Administrative and other expenses 2.20 16,51,51,674 14,69,47,787 Total expenditure 1,72,84,45,399 1,62,63,00,412
Excess of income over expenditure/ 23,05,83,637 8,67,25,174 (expenditure over income) transferred to Statement of Affairs
Summary of significant accounting policies 1
The accompanying notes are an integral part of the financial statements
As per our report of even date
For Karvy & Co For and on behalf of the Board of Trustees of Chartered Accountants Smt. Nandamuri Basava Taraka Rama Rao Memorial Firm Registration No. 001757S Cancer Foundation
K. AJAY KUMAR N.BALA KRISHNA J.S.R.PRASAD PARTNER MANAGING TRUSTEE TRUSTEE Membership No. 021989 Place: Place: Hyderabad Place: Hyderabad Hyderabad Date: Date: Date:
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SMT. NANDAMURI BASAVA TARAKA RAMA RAO MEMORIAL CANCER FY 2015-16 FOUNDATION AND RESEARCH CENTRE Receipts and Payments account for the year ended 31st March 2016 (All amounts in Indian Rupees unless otherwise stated) For the For the For the For the year ended year ended year ended year ended Receipts Payments March 31, March 31, 2015 March 31, 2016 March 31, 2015 2016 Opening Balance Repayment of Term 13,85,63,604 12,62,00,705 Cash in hand 5,78,903 8,65,754 PaymentsLoans for capital 4,71,93,312 5,34,20,569 assets Balances with Payment to: Current accounts 3,61,45,289 6,28,90,103 -Pharmacy suppliers 37,38,04,745 40,76,40,434 Working capital accounts (14,60,75,380) (13,09,42,178) -Other suppliers 31,09,60,465 22,94,42,142
Deposits 11,72,580 2,95,000 Corpus Fund 85,82,053 49,11,582 Fixed Deposits 1,00,000 14,50,000 Term Loan taken 2,44,62,391 2,06,84,810 Hospital Maintenance 3,43,55,600 3,20,94,192 Hospital collections 1,45,78,75,410 1,35,13,95,383 Statutory liabilities paid 3,18,33,889 3,27,20,185 Academics collections 1,15,75,370 1,15,04,292 House Keeping Charges 4,82,02,975 4,29,52,728 Scholarship received 11,60,544 22,48,632 Linen & Washing 24,07,454 26,33,394 Charges Interest 76,438 56,161 Investigations & 51,67,378 49,37,357 Diagnosis Grant - 8,48,951 Professional Charges 4,06,87,378 3,43,50,295 Others 2,08,15,070 1,02,98,804 Power Charges 4,74,90,494 4,71,93,245 TDS refund 1,48,73,458 86,20,750 Salaries & Wages 32,30,50,280 30,27,03,363 Staff Welfare 1,08,78,533 56,62,545 Lease Rent 73,873 73,873 Rates & Taxes 1,14,77,628 1,01,84,816 Communication Charges 14,92,380 14,62,789 Conveyance & Travelling 1,04,61,454 99,99,389
Repairs & Maintenance 58,92,091 1,77,27,628 Vehicle Maintenance 16,132 65,586 Security Charges 1,04,65,516 1,01,38,645 Insurance & Others 38,26,256 23,30,118 Advertisement 85,26,567 79,36,556 Cancer screening 8,30,976 10,64,992 programme Other administrative expenses 26,84,540 17,03,548 Interest on Term Loans 2,35,19,173 5,01,13,992 Interest on Working 82,16,461 1,04,76,370 Capital Bank charges 47,03,864 52,99,805 Concessions 2,07,008 4,59,971 Closing Balances Cash in hand 11,30,357 5,78,903 Balances with Current accounts 6,18,69,331 3,61,45,289 Working capital accounts (14,11,92,746) (14,60,75,380)
1,43,00,69,546 1,34,33,83,044 1,43,00,69,546 1,34,33,83,044
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As per our report of even date
For Karvy & Co For and on behalf of the Board of Trustees of
Chartered Accountants Smt. Nandamuri Basava Taraka Rama Rao Memorial Firm Registration No. 001757S Cancer Foundation
K. AJAY KUMAR N.BALA KRISHNA J.S.R.PRASAD PARTNER MANAGING TRUSTEE TRUSTEE Membership No. 021989
Place: Hyderabad Place: Hyderabad Place:Hyderabad Date: Date: Date:
P a g e | 105 MEMORIAL CANCER FOUNDATION AND RESEARCH CENTRE
1 Significant accounting policies
(a) Basis of Preparation of Financial Statements
The financial statements have been prepared under the historical Cost convention in accordance with the generally accepted accounting principles in India.
The Trust generally follows the mercantile system of accounting and recognizes significant items of Income and Expenditure on accrual basis.
(b) Fixed assets
Fixed assets are stated at cost and as reduced by accumulated depreciation. All costs including financing costs, up to the date of commissioning and attributable to the fixed assets are capitalized.
(c) Revenue recognition
Income from Hospital (I.P & O.P) collections is recognized when the final invoice is raised. Income from Nursing school & Nursing College is recognized when the final invoice is raised. Income from deposits recognized on accrual basis when right to receive is established.
(d) Inventories
The Inventories of all medicines, Medicare items traded and dealt with by the trust are valued at cost applying FIFO method.
Stock of provision, stores, stationery and housekeeping items are stated at cost applying FIFO method.
(e) Depreciation
Depreciation on fixed assets was charged as follows: Rate of
Description of the asset Depreciation Method
Buildings 12.50% WDV
Air conditioners 15.00% WDV
Office equipments 15.00% WDV
Furniture & fixtures 10.00% WDV
Auxiliary equipments 15.00% WDV Written off over a period Hospital & Surgical equipment 50.00% of two year
Computer 60.00% WDV
Intangible Assets 25.00% WDV
(f) Retirement benefit to employees
The Trust has Defined Benefit Plan for Gratuity Fund. The Trust contributes to Gratuity Fund administered by HDFC Standard Life Insurance Company Limited. The liability for the Gratuity Fund is determined on the basis of an independent actuarial valuation done at the year end. Actuarial Gains and Losses comprise experience adjustments and the effect of changes in the actuarial assumptions and are recognised immediately in the Income & Expenditure Account as income or expense.
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1 Significant accounting policies
(g) Foreign currency transaction/ Exchange fluctuation
Transactions denominated in foreign currency are normally recorded at exchange rate prevailing at the time of the transaction.
Any income or expense on account of exchange difference will be recognized in the Income & Expenditure Account.
(h) Borrowing costs
Borrowing cost includes interest and amortization of ancillary costs incurred in connection with the arrangement of borrowings.
Borrowing Costs that are directly attributable to the acquisition of a fixed asset are capitalised as part of the cost of the asset till the date the asset is ready for use. All other borrowing costs are charged to Income & Expenditure Account.
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Notes forming integral part of the financial statements (All amounts in Rupees unless otherwise stated)
2.1 Corpus fund
As at As at March 31, 2016 March 31, 2015
At the Commencement of the year 37,12,38,517 36,63,26,935 Add: Donations to Corpus Fund 90,82,053 49,11,582
38,03,20,570 37,12,38,517
2.2 Excess of Income over expenditure/ (expenditure over income) As at As at March 31, 2016 March 31, 2015 Excess of Income over expenditure/ (expenditure over (30,54,92,085) (39,22,17,259) income) brought forward Excess of Income over expenditure transferred from 23,05,83,637 8,67,25,174 Statement of Income and Expenditure At the end of the year (7,49,08,448) (30,54,92,085)
2.3 Long-term borrowings
As at As at March 31, 2016 March 31, 2015 Secured Term Loans from Bank Andhra Bank 19,14,19,233 28,93,40,163 (Secured by Mortgage of Land and Hypothecation of Equipments) 19,14,19,233 28,93,40,163
2.4 Long term provisions
As at As at March 31, 2016 March 31, 2015 Provision for Gratuity - Non Current 1,33,16,000 1,07,50,000
1,33,16,000 1,07,50,000
2.5 Short-term borrowings
As at As at March 31, 2016 March 31, 2015 Working Capital Loan from Andhra Bank 14,11,93,682 14,60,75,380 (Secured by hypothecation of Book Debts &Stocks)
14,11,93,682 14,60,75,380
2.6 Payables (Suppliers)
As at As at March 31, 2016 March 31, 2015 Payables (Suppliers) 14,02,60,383 19,02,90,640
14,02,60,383 19,02,90,640
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Notes forming integral part of the financial statements (All amounts in Rupees unless otherwise stated)
2.7 Other current liabilities
As at As at March 31, 2016 March 31, 2015 Current maturities of long-term borrowings 10,95,47,544 10,95,47,544 Statutory dues payable 48,15,227 39,73,718 Caution deposits - 17,000 Security deposits 1,14,55,800 1,20,83,800 Liabilities for expenses 1,24,89,222 99,30,882 Other payables 1,55,08,315 1,38,99,366
15,38,16,108 14,94,52,310
2.8 Short-term provisions
As at As at March 31, 2016 March 31, 2015 Provision for Gratuity - Current 7,62,000 13,15,000
7,62,000 13,15,000
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Notes forming integral part of the financial statements (All amounts in Rupees unless otherwise stated)
2.10 Receivables (Patients)
As at As at March 31, 2016 March 31, 2015 (Unsecured, considered good) Debts outstanding for more than six months 3,87,77,907 1,80,75,388 Others 25,13,35,044 14,95,99,662
29,01,12,951 16,76,75,050
2.11 Inventories
As at As at March 31, 2016 March 31, 2015 Stock of pharmacy 2,25,77,098 2,00,71,927 Stores and consumables 1,09,03,258 92,40,427 Addlife pharmacy stock 1,91,337 3,33,877
3,36,71,693 2,96,46,231
2.12 Cash and Cash Equivalents
As at As at March 31, 2016 March 31, 2015 Cash on Hand 11,30,357 5,78,903 Balances with Banks - Current Accounts 6,18,69,331 3,61,45,289 Balances with Banks - Fixed Deposits 1,15,01,711 1,04,60,611
7,45,01,398 4,71,84,803
2.13 Short-term loans and advances
As at As at March 31, 2016 March 31, 2015 (Unsecured, considered good) Advances to suppliers 61,54,541 86,44,377 Other advances 9,78,053 9,48,790
71,32,594 95,93,167
2.14 Other current assets
As at As at March 31, 2016 March 31, 2015 (Unsecured, considered good) Deposits 86,74,522 77,40,223 Prepaid expenses 30,91,820 16,71,020 TDS receivable 3,16,55,960 2,59,10,612 Other current assets 5,45,624 5,95,605
4,39,67,926 3,59,17,460
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Notes forming integral part of the financial statements (All amounts in Rupees unless otherwise stated)
2.15 Revenue from Operations For the year ended For the year ended March 31, 2016 March 31, 2015
Hospital collections 1,84,95,66,847 1,61,90,67,945 Pharmacy collections 7,07,48,325 7,27,65,068 Academics collections 1,81,44,726 1,70,67,022 1,93,84,59,898 1,70,89,00,035
2.16 Other Income For the year ended For the year ended March 31, 2016 March 31, 2015 Other Income 51,73,258 41,25,551 Credit balances written back 37,81,566 - GOS-2013 80,55,030 - Grant 35,59,284 - 2,05,69,138 41,25,551
2.17 Operative expenses For the year ended For the year ended March 31, 2016 March 31, 2015 Materials consumed 51,55,95,575 46,08,57,217 Concessions 31,54,72,130 30,21,96,118 Power charges 4,64,43,556 4,66,95,855 Water charges 2,76,44,371 2,51,64,040 Hospital maintenance 7,86,07,827 6,93,17,042 Consultancy and professinal charges 20,30,64,022 17,78,59,636 Cancer screening programme & CME 42,07,280 44,70,050 Investigations & Diagnosis 35,37,090 36,19,590 1,19,45,71,850 1,09,01,79,547
2.18 Employee Benefit Expenses For the year ended For the year ended March 31, 2016 March 31, 2015 Salaries and wages 18,78,30,800 17,34,23,207 Contribution To Provident And Other Funds 1,31,74,047 90,24,182 Staff Welfare Expenses 90,33,714 69,94,434 21,00,38,561 18,94,41,823
2.19 Finance Costs For the year ended For the year ended March 31, 2016 March 31, 2015 Interest on term loans 3,96,99,456 5,18,87,920 Interest on working capital 82,16,461 1,04,98,043 Bank charges 47,06,827 53,08,860 5,26,22,744 6,76,94,823
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Notes forming integral part of the financial statements (All amounts in Rupees unless otherwise stated) 2.20 Administrative & other expenses For the year ended For the year ended March 31, 2016 March 31, 2015 Communication charges 25,33,390 21,37,074 Rates & taxes 1,00,98,906 1,29,72,763 Repairs & Maintenance - Hospital equipment 2,51,149 9,16,475 - Buildings 2,06,07,310 2,00,12,568 - CAMC and others 7,40,73,343 6,37,15,017 Travelling and conveyance 1,18,40,466 82,74,812 Advertisement 65,79,010 88,90,331 Payment to auditors - As auditors 2,59,104 2,28,000 - Reimbursement of out of pocket expenses 42,548 34,017 - Others - 28,090 Books and periodicals 10,47,674 14,98,709 Insurance 31,63,322 18,38,222 Land lease charges 73,873 73,873 Printing & stationery 79,43,049 50,33,588 Security charges 1,03,87,329 1,02,56,369 Foreign exchange loss 30,15,959 24,07,080 Receivables written off 4,80,494 - Advances written off 3,25,500 39,53,121 Contributions to Indo American Cancer Research 82,13,488 - Foundation Miscellaneous expenses 42,15,759 46,77,678 16,51,51,674 14,69,47,787
2.21 Contingent liabilities not provided for: Nil (Previous year: Nil)
2.22 Capital commitments not provided for on account of capital works [net of advances] Rs. 9,634,860/- (Previous year: Nil)
2.23 Previous year figures have been regrouped and reclassified wherever considered necessary to conform to this year's classifications.
As per our report of even date
For Karvy & Co For and on behalf of the Board of Trustees of Chartered Accountants Smt. Nandamuri Basava Taraka Rama Rao Firm Registration No. 001757S Memorial Cancer Foundation
K. AJAY KUMAR N.BALA KRISHNA J.S.R.PRASAD PARTNER MANAGING TRUSTEE TRUSTEE Membership No. 021989
Place: Hyderabad Place: Hyderabad Place: Hyderabad Date: Date: Date:
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