Dear Colleague 2013. A GOOD YEAR Every year
Transcription
Dear Colleague 2013. A GOOD YEAR Every year
Dear Colleague 2013. A GOOD YEAR Every year, the Apollo Hospitals Group makes significant advancements in clinical care, academics and research. The annual Apollo Excellence Report is a way of expressing our gratitude to you for your contribution in making these advancements possible. The Apollo Excellence Report 2013 summarises the improvements in clinical outcomes, patient safety indices, compliance to systems and processes, new initiatives in clinical excellence and patient safety, progress in academics and new research initiatives. This report allows us to share the achievements of our consultants and the recognition received by the Apollo Group with experts in India and abroad. Forty one research papers by our consultants were recognized in 2013 and 120 consultants contributed their achievements for publication in the report. Our respected Chairman, Dr. Prathap C Reddy was honoured with the prestigious Asian Business Leaders Forum Lifetime Achievement Award in Dubai in December 2013. Dr. Reddy was honored by CNBC TV18 at the India Business Leaders Awards 2013. He received the Lifetime Achievement Award by NDTV. Apollo Hospitals were the winners of 10 awards in 9 categories at the prestigious Hospital Management Asia awards at Bangkok in 2013. The organizers gave the Apollo Group a standing ovation by conferring Apollo with the "Special Outstanding Achievement Award". Apollo also won three awards at the FICCI Healthcare Excellence awards and emerged as the winner in the category 'Most Popular Paediatric Hospital Chain' in the inaugural edition of 'Child Best Awards'. Apollo Hospitals Group won the Frost & Sullivan 5th Annual India Healthcare Excellence Award 2013 in the category of “Healthcare Service Provider Company of the Year”. The Week - AC Nielsen, Best Hospital Survey 2013 ranked Apollo Hospitals amongst the top hospitals in India yet again. Apollo Hospitals, Chennai was ranked the 2nd best and Indraprastha Apollo Hospitals, Delhi was ranked the 4th best multi-speciality hospital in the private sector in India. Apollo Hospitals, Chennai, Indraprastha Apollo Hospitals, Delhi, Apollo Gleneagles Hospitals, Kolkata and Apollo Hospitals, Hyderabad were ranked the best multi-speciality hospitals in the private sector in their respective cities. Winston Churchill had said, "Every day you may make progress. Every step may be fruitful. Yet there will stretch out before you an ever-lengthening, ever-ascending, ever-improving path. You know you will never get to the end of the journey. But this, so far from discouraging, only adds to the joy and glory of the climb.” We are all together in this journey, and we are confident that our every step will make 2014 exciting. With warm regards Anupam Sibal MD, FIMSA, FIAP, FRCP (Glasg), FRCP (Lon), FRCPCH, FAAP Group Medical Director, Apollo Hospitals Group APOLLO EXCELLENCE REPORT 2013 1 t h e apollo excellence report 2 0 1 3 A report on clinical, academic and research excellence at Apollo hospitals 2 APOLLO EXCELLENCE REPORT 2013 3 The year that was -2013 Clinical Excellence The Apollo Standards of Clinical Care (TASCC) Apollo Clinical Excellence Scorecard (ACE @ 25) ACE @ 25 Awards Apollo Quality Program ACE Platform Apollo Innovation and Quality Awards 2013 Share Your Story Apollo International Forum on Infection Control III International Congress on Patient Safety Patient Safety Declaration Handholding Workshop on Patient Safety Mentoring and Knowledge Sharing Initiative in Clinical Nutrition Practice Clinical Innovation Report and New in Medicine JCI Accreditation NABH Accreditation Quality Improvement Projects Academics Postgraduate Medical Education at Apollo Apollo ties up with Rochester University Medvarsity International Postgraduate Pediatric Certificate Research AHERF adjunct tiles Published papers recognised Clinical fellowships of AHERF Apollo Medicine Journal AHERF: •• Translational Research » Bio-Banking and Personalized Medicine » Glioblastomas •• Basic Research » Genetic association of Coronary Artery Disease in Young Indian Adults » Pathogen detection and discovery, using High Throughput Platforms 4 •• Epidemiological research » Prevalence of Non-Alcoholic Fatty Liver Disease (NAFLD) in school children (5-10 yrs) » Rural health camps at Gandhigram » Prevalence of anemia and obesity at Sivagangai » Analysis of Gender based newer risk factors for Coronary Artery Disease »Haematological and Biochemical Reference Levels in a healthy Indian Population » Abnormal Blood lipids and glucose levels among healthy Indian population •• Clinical Research » Non-Drug Clinical Studies •• Research Grants Program •• Innovations » Paraxel •• UE Life Sciences •• First Warning Systems, Inc •• Educational Initiatives » Advanced Certificate Course in Clinical Research at PG level •• Collaborations » Medtronic » Philips » Anna University Chennai, India » International Clinical Epidemiology Network (INCLEN) •• Analytics for Life Collaboration (AFL) index Index Recognition for Apollo Hospitals Hospital Management Asia Awards 2013 Asian Business Leaders Forum Lifetime Achievement Award 2013 India Business Leaders Awards 2013 Lifetime Achievement Award by NDTV THE WEEK-A C Nielsen, Best Hospital Survey 2013 FICCI Healthcare Excellence Awards 2013 Frost & Sullivan 5th Annual India Healthcare Excellence Awards 2013 HIMSS Asia Pacific Recognizes Apollo Hospitals HIMSS Elsevier award for Apollo Hospitals Child Best Awards Asian Training and Development Awards Porter Prize, 2013 Our consultants achieve APOLLO EXCELLENCE REPORT 2013 5 6 APOLLO EXCELLENCE REPORT 2013 7 Apollo Innovation and Quality awards kept the motivation for innovation alive in the Apollo Hospitals teams and 183 nominations were received from 19 locations for the Apollo Innovation and Quality Awards 2013. 8 The average scores of The Apollo Standards of Clinical Care (TASCC), which includes our Clinical Excellence Scorecards Apollo Clinical Excellence @ 25 (ACE @ 25), Rocket ACE (RACE), the Apollo Quality Program (AQP) dashboard, incidents, mortality review and Apollo Critical Policies Plans and Procedures (ACPPP) showed a steady increase from 216 in April 2012 to 293 in December 2013 representing increasing standardization of processes and improving outcomes across Group hospitals. Continuing the ACE @ 25 improvement journey, Apollo Hospitals, Hyderabad from Group A hospitals, Apollo Hospitals, Secunderabad from Group B hospitals and Apollo Hospitals, Bhilai and Apollo Hospitals, Noida from Group C hospitals were declared ACE @ 25 champions for 2013 and were awarded the trophies along with a cash prize of 2.5 lakhs, 1.5 lakhs and 1 lakh each respectively. An analysis of ACE @ 25 and AQP parameters individually showed an increase in compliance levels for various parameters in 2013. The group average ACE @ 25 and AQP scores also increased. AQP was presented at the International Society for Quality in Healthcare (ISQua) conference in Edinburgh in 2013. Our latest quality initiative ACE Platform (ACEP) was launched in June 2013. It is a standardized tool to share the best practices for clinical excellence and quality improvement implemented by Apollo hospitals with other healthcare providers. The initiative is pro-bono and intends to contribute to enhancement of quality of healthcare delivered across India. ACEP is a standardized tool which can be used by any hospital across the country to drive quality improvement, improvement in patient safety and better clinical outcomes. ACEP comprises of important indicator sets for monitoring quality and clinical excellence along with policies which would deal with the core processes in patient care. Fifteen hospitals have adopted ACEP. Apollo Innovation and Quality awards kept the motivation for innovation alive in the Apollo Hospitals teams and 183 nominations were received from 19 locations for the Apollo Innovation and Quality Awards 2013. The winning projects were from Apollo Hospital Bangalore for Clinical Services, Apollo Hospital Chennai for Operations, Indraprastha Apollo Hospital Delhi for Human Resources and Finance and Apollo Gleneagles Hospital Kolkata for Environmental Conservation and Community Services. The “Share your story” initiative, conceptualised with the view of sharing of best practices amongst Apollo Group hospitals on one chosen topic every quarter, saw best practices being shared for Patient falls, ALOS (Average Length of Stay) post renal transplant, Pressure Ulcers and Needle Stick injuries. The 1st Apollo International Forum on Infection Control (AIFIC) was organised on 5th and 6th January, 2013. This forum brought together some of the best renowned international and regional professionals in this field. The forum offered a unique platform to share the latest advances in infection control practices and strategies. The 3rd International Congress on Patient Safety was held on the 6th and 7th September, 2013 at Hyderabad. The conference was hosted by the Apollo Hospitals Group and supported by ISQua, Joint Commission International, World Health Organization, Quality Council of India and other reputed organizations. It was attended by an overwhelming 850 delegates from across the globe. Eminent personalities in the patient safety space from across the globe spoke at the conference. They included Dr Nata Menabde, Regional Representative (India), World Health Organization, Dr Janne Lehmannn Knudsen, ISQUA Board member, Denmark, Ms Ann Jacobson, Executive Director, Joint Commission International (JCI), US, Lord Nigel Crisp, Former CEO, NHS, UK and Vinod Khosla, Co-Founder, Sun Micro Systems, California, U.S.A. The Congress also saw the launch of the Patient Safety Declaration. The Declaration was signed by all participating delegates and speakers on behalf of their institutions covering 156 healthcare organizations. A Handholding Workshop on Patient Safety was organized at Indraprastha Apollo Hospitals, New Delhi on the 12th and 13th April, 2013. It was supported by National Accreditation Board for Hospitals and Healthcare Providers (NABH), the Department of Hospital Administration at AIIMS, the INCLEN trust and BD as knowledge partners. Three to five member teams from 25 hospitals attended for the workshop. Hospital CEOs, medical heads, nursing leaders, surgeons, microbiologists, nurses and quality representatives formed part of the teams. The workshop guided the implementation process for patient safety initiatives in Infection Control, Surgical Safety, Medication Safety and Patient Falls through four workshops covering these topics. the year that was A pollo Hospitals continued its journey in its pursuit of excellence into another year with 2013 seeing many new milestones and accomplishments, overcoming challenges and setting of newer goals and targets. The 3rd International Congress on Patient Safety was held on the 6th and 7th September, 2013 at Hyderabad. The conference was hosted by the Apollo Hospitals Group To highlight the clinical innovations at Apollo and what was new in Medicine around the world, Apollo initiated the publication of a quarterly report titled “Clinical innovation report” in April 2013 covering New in Medicine, New in Technology and News Highlights APOLLO EXCELLENCE REPORT 2013 9 Apollo Hospitals on 27th August announced a tie-up with University of Rochester Medical Centre, New York, envisaging patient care and academic collaboration. 10 Continuing the accreditation journey for the group, SPS Apollo Hospitals Ludhiana was reaccredited by JCI in 2013. Apollo Hospitals, Bilaspur, Apollo Hospitals, Bhubaneswar, Apollo Jehangir Hospital, Pune and Apollo BGS Hospitals, Mysore became NABH accredited. In a tertiary healthcare institution, clinical excellence shares a symbiotic relationship with academic excellence with emphasis on training and research. During the academic year 2013, 15 hospitals of the Apollo Hospitals groups offered the DNB and FNB programs in 38 specialties and subspecialties. The new post graduate and post doctoral training programs started in the Apollo Hospitals group during 2013 included DNB in Rheumatology, Paediatric Surgery, Neonatology and Emergency Medicine and FNB in Cardiac Anaesthesiology and Interventional Cardiology. The numbers of DNB / FNB seats have increased by over 30% from 205 in annual year 2012 to 263 during annual year 2013 with over 700 DNB trainees enrolled in the Apollo group of Hospitals in the annual year 2013. The second batch of the Apollo Institute of Medical Sciences and Research joined in 2013. Apollo Hospitals on 27th August announced a tie-up with University of Rochester Medical Centre, New York, envisaging patient care and academic collaboration. As part of the tie-up, the Rochester University and Apollo Hospital’s under-graduate medical college will have faculty and student exchange programme. To continue to motivate and recognize research orientation in our consultants, Adjunct titles of Professor and Associate Professor of AHERF were given to selected consultants across the group during the year 2013. Twenty one consultants were granted the titles. In pursuance of our policy for recognition of research papers published in journals with high impact factors, 41 papers were recognized in 2013. Postgraduate medical education was further enhanced by starting Clinical Fellowships by AHERF in specialities were structured training programs are not available. Clinical Fellowships are offered in Stroke, Neuro-Muscular Disorders, Clinical Nephrology, Transplant Nephrology, Renal Dialysis, IVF, Fetal Medicine, Diabetes, Liver Transplantation, Hepatology, Liver Transplant Anaesthesia, Cardiac Anaesthesia, Endoscopy, Bariatric Surgery, Pain Medicine and Molecular Biology. The “Apollo Medicine” journal saw many changes in 2013. The editorial board was strengthened to include eminent International and National faculty members. The page views of “Apollo Medicine” website depicted a significant growth of 118% from Jan 2013 to Dec 2013. There was contribution of manuscripts from the U.S, China and Egypt as well. Apollo Medicine is now available on Health Advance – A Mobile application to download and read the whole journal. New Sections were added: Algorithms, Interesting Rare Case Pictures, Online CME, etc. “Apollo Medicine” was approved and included in the Directory of Open Access Journals (DOAJ). Spearheading Apollo Hospitals research journey, Apollo Hospitals Educational and Research Foundation (AHERF) completed many ongoing projects and launched several new ones. Apollo Hospitals recently incubated and launched Sapien Biosciences within AHERF’s facility in Hyderabad. Sapien shall fulfil our vision of delivering better clinical outcomes through bench-to-bedside innovation by offering personalized medicine services to Apollo Hospitals. AHERF is in the process of developing a circulating biomarkers (CBMs) based diagnostic panel for detection and screening of Glioblastomas (GBMs) directly from the blood. A pilot collaborative study with AHERF and Institute of Genomics and Integrative Biology (IGIB), a CSIR Institution and National Institute of Biomedical Genomics (NIBMG), a DBT Institute, was completed to study genetic risk factors in young Indians that may be associated with early incidence of coronary artery disease in young Indians. AHERF currently is coordinating almost 100 clinical studies across Apollo hospitals. In April 2013, AHERF organized a first-of-its kind “National Conference on Evolving roles of Ethics Committees in Clinical Research” at New Delhi. AHERF is in the process of establishing a dedicated entity to bring innovation from across the world-distribution agreements, validation services and incubation/ commercialization of ideas. AHERF also signed a collaboration MoU with Nestle in early 2013 to associate in the areas of research, development and validation of disease specific nutrition projects. AHERF spearheaded and realized collaboration with Medtronic Inc. with an objective to revolutionize renal care by providing mobile dialysis at homes and community centres. Apollo Hospitals were recognized for their work at various fora and won many awards in 2013. Dr. Prathap C Reddy was honoured with the prestigious Asian Business Leaders Forum Lifetime Achievement Award at a grand award ceremony in Dubai on 14 December 2013. the year that was and Clinical Innovations from Apollo Hospitals. Significant among these was the successful separation of Pygopagus twins from Tanzania in a marathon surgery of 18 hours conducted by a team of 20 doctors from neurosurgery, plastic surgery, paediatric surgery and paediatric urology. Apollo also celebrated the 15th anniversary of our Liver Transplant program with a gathering of transplant patients and their family members who were addressed by His Holiness The Dalai Lama. As is apt to his stature, our respected Chairman, Dr. Prathap C Reddy was honoured with the prestigious Asian Business Leaders Forum Lifetime Achievement Award at a grand award APOLLO EXCELLENCE REPORT 2013 11 Apollo Hospitals were the winners of 10 awards in 9 categories at the prestigious Hospital Management Asia awards at Bangkok in 2013. The organizers gave the Apollo Group a standing ovation by conferring Apollo with the “Special Outstanding Achievement Award”. 12 ceremony in Dubai on 14 December 2013. Dr. Reddy was also honored by CNBC TV18 at the India Business Leaders Awards (IBLA) 2013. This award felicitated his lifetime’s efforts in transforming healthcare in India. He was also honoured with the Lifetime Achievement Award by NDTV. Apollo Hospitals were the winners of 10 awards in 9 categories at the prestigious Hospital Management Asia awards at Bangkok in 2013. The organizers gave the Apollo Group a standing ovation by conferring Apollo with the “Special Outstanding Achievement Award”. Apollo Hospitals – “Billion Hearts Beating Foundation” won in the award in the Corporate Social Responsibility Category, Apollo Speciality Hospitals, Madurai won the award for the Cost Reduction Project – “To Control the expenses for CAG and PTCA Procedures”, Apollo Hospital Hyderabad won the award in the Human Resource Development and Service Improvement for Internal Customers Category for their “Apollo Simulation Laboratory”, “Antimicrobial Stewardship Programme” from Apollo Hospitals, Chennai won the Patient Safety Award, “Patient Satisfaction Tracking System (PSTS) - A break through Innovation in Healthcare for Voice of Customer Process” from Apollo Hospitals, Chennai won the Customer Service Project, Apollo Hospitals, Delhi’s “Pressure ulcer: zero tolerance” won in the Clinical Service Improvement Category, Apollo Gleneagles Hospitals, Kolkata’s “Project Product: Severity Index Scoring For Biomedical Equipment” and Apollo Hospitals, Chennai’s - “Phasing out mercury” won in the Bio Medical Equipment / Facilities Improvement Category and the “Passion Led Patient Care” project from Apollo Hospitals Dhaka won in the Category of Innovations in Hospital Management and Governance. The FICCI Healthcare Excellence awards that felicitate organizations and individuals for their contributions in the healthcare industry were given on 2nd September 2013. Prof. Ranjit Roy Chaudhury, Chairman - Task Force for Research, Apollo Hospitals Educational and Research Foundation, won the Lifetime Achievement Award. Indraprastha Apollo Hospitals, Delhi won the FICCI Healthcare Excellence Award in the category of Operational Excellence (Private – Multispecialty Hospital) for the project “Pressure Ulcers – Zero Tolerance”. Apollo Hospitals, Delhi won the first position in the Poster Presentation for “Minimizing Medication Errors”. Apollo also emerged as the winner in the category - ‘Most Popular Paediatric Hospital Chain’ in the inaugural edition of ‘Child Best Awards’. Apollo Hospitals Group won the Frost & Sullivan 5th Annual India Healthcare Excellence Award 2013 in the category of “Healthcare Service Provider Company of the Year” (With Annual Revenue greater than Rs 1000 Crores). the year that was The Week - AC Nielsen, Best Hospital Survey 2013 ranked Apollo Hospitals amongst the top hospitals in India. Apollo Hospitals, Chennai was ranked the 2nd best, Indraprastha Apollo Hospitals, Delhi was ranked the 4th best and Apollo Hospitals, Hyderabad was ranked the 10th best multispeciality hospital in the private sector in India. Apollo Hospitals, Chennai, Indraprastha Apollo Hospitals, Delhi, Apollo Gleneagles Hospitals, Kolkata and Apollo Hospitals, Hyderabad were ranked the best multi-speciality hospitals in the private sector in their respective cities. In the healthcare IT space, HIMSS Analytics Asia Pacific recognized three hospitals within Apollo Group for achieving Stage 6 on the Electronic Medical Record Adoption Model (EMRAM) SM - Apollo Main Hospitals, Chennai, Apollo Health City, Jubilee Hills and Apollo Hospitals Ayanambakkam, Chennai. The first HIMSS Elsevier award for Outstanding ICT Achievement was presented to Apollo Hospitals Enterprise Ltd. The award was given to Apollo Hospitals for the Patient Engagement Platform (PEP) – Apollo Prism. In the Human Resources space, Apollo Group participated in Asian Training and Development Awards in two Categories and was announced as winner in both the categories - Best Training Initiative in Health Care and Best Customer Service Program. The journey into 2014 has begun. As Winston Churchill had said, “Every day you may make progress. Every step may be fruitful. Yet there will stretch out before you an ever-lengthening, ever-ascending, ever-improving path. You know you will never get to the end of the journey. But this, so far from discouraging, only adds to the joy and glory of the climb.” You know you will never get to the end of the journey. But this, so far from discouraging, only adds to the joy and glory of the climb.” APOLLO EXCELLENCE REPORT 2013 13 14 APOLLO EXCELLENCE REPORT 2013 15 ACE @ 25 is a clinical balanced scorecard incorporating 25 clinical quality parameters, benchmarked against the published OUTCOMES of the world’s best hospitals Apollo Hospitals aims at establishing standards of clinical care that ensure that all its hospitals deliver safe and quality clinical care to all its patients, irrespective of the location and size of the hospital. The Apollo Standards of Clinical Care (TASCC) embody sets of process requirements and sets of outcome measures that underlie the Apollo Hospitals approach to clinical care. ACE @ 25, RACE, Apollo Quality Program (AQP), Apollo Incident Reporting System (AIRS), Apollo Mortality Review (AMR) and Apollo Critical Policies Plans and Procedures (ACPPP) together form TASCC. TASCC was implemented in January 2012. ACE and RACE are clinical balanced scorecards incorporating 25 clinical quality parameters each involving complication rates, mortality rates, one year survival rates and average length of stay after major procedures with international benchmarks. AQP is a program for the standardization of processes for clinical handovers, medication safety, surgical safety, patient identification, verbal orders, hand washing compliance and falls prevention across Apollo hospitals. Compliance is measured through a monitoring dashboard of 20 parameters. AMR is a standardized methodology of identifying all deaths in a hospital 16 clinical excellence The Apollo Standards of Clinical Care (TASCC) with a potential to have resulted from an error through trigger criteria, systematically peer reviewing them through a checklist and categorizing the deaths to identify the preventable deaths using the Death Audits, The Health Round Table criteria. The checklist included factors like appropriate care setting, appropriate staff privileges, clinical practice deficiency, delay in recognition of clinical deterioration / escalation / response, hospital acquired infection, post procedure complication, medical error, error in communication, equipment deficiency, etc. AIRS provides a mechanism of tracking of all incidences that pose a safety risk to patients. ACPPP are 25 policies covering clinical care, nursing care, managerial processes and infrastructural requirements like restraints, consents, critical test results, disaster policy, that are implemented by all hospitals. Each initiative is scored as follows: ACE@25 (100), RACE (100), AQP (100), AMR (50), AIRS (25), ACPPP (125), totalling 500.The monthly scores in each initiative for each location is plotted as a hexagon. The outer perfect hexagon represents the perfect scores and the inner hexagon represents the scores attained. The target is to achieve the perfect hexagon. A few examples for 2013 are given below: TASCC scores showed a steady increase from 216 in April 2012 to 293 in December 2013 showing increasing standardization of processes and improving outcomes. APOLLO EXCELLENCE REPORT 2013 17 ACE @ 25, our clinical excellence scorecard saw the second update in 2013. Clinical It involved Apollo Excellence Scorecard replacing ACE @ 25 three parameters ACE @ 25, our clinical excellence saw the second update with new scorecard in 2013. It involved replacing three parameters, parameters with new parameters, upgrading the upgrading the scoring scale for three scoring scale and upgrading the benchmarks for for three and three. upgrading the benchmarks for three. 18 Group average scores for ACE @ 25 showed consistency in 2013. The numerators, denominators and inclusions and exclusions are defined lucidly and methodology of data collection is standardized. Data is uploaded online every month through a unique login ID and password. Action taken reports for parameters falling in red are submitted quarterly by all hospitals and reviewed by the board. A quarterly, half yearly and annual analysis of the trends is done. The collective data for all locations can be viewed by the Group leadership at any point in time. Scores are linked to appraisal of the medical head and CEO and there is an “ACE @ 25” Champion Award for the highest scorer. Example of an ACE @ 25 parameter CABG mortality rate 0.60% Cleveland Clinic In 2013, 33 hospitals reported ACE @ 25 data, eight under Group A (Ahmedabad, Bangalore, Chennai, Delhi, Hyderabad, Kolkata, Dhaka and Ludhiana), ten under Group B (Bilaspur, Madurai, Mysore, Ranchi, Pune, Vizag, Bhubaneshwar, Karimnagar, Secunderabad and Hyderguda) and 15 under Group C (Aragonda, AFMH, ASH, Tondiarpet, Sowcarpet, Bhilai, Kakinada, NMDC Bacheli, Noida, Ranipet, Apollo Children’s Hospital, Ambavadi, DRDO, Karur and Karaikudi). The data is validated by the Apollo Clinical Audit Team (ACAT), a 20 member team trained in a rigorous audit methodology outlined in the ACE @ 25 Audit Guide. The team audits the data at all locations every six months for methodology of data collection and accuracy of data reported. The improvement journey continued with many hospitals showing improvement in parameters over the year 2013. ≤0.80 4 0.81-1.20 3 1.21-1.60 2 1.61-2.00 1 >2.00 0 clinical excellence ACE @ 25 is a clinical balanced scorecard incorporating 25 clinical quality parameters involving complication rates, mortality rates, one year survival rates and average length of stay after major procedures like liver and renal transplant, CABG, TKR, THR, TURP, PTCA, endoscopy, large bowel resection and MRM covering all major specialities. Also included are hospital acquired infection rates, pain satisfaction and medication errors. Parameters have been benchmarked against the published bench marks of the world’s best hospitals including Cleveland Clinic, Mayo Clinic, National Healthcare Safety Network, Massachusetts General Hospital, AHRQ US, Columbia University Medical Center and US Census Bureau. There are weighted scores for outcomes color coded green, orange and red. The cumulative score achievable is capped at 100. The collective data for all locations can be viewed by the Group leadership at any point in time. Scores are linked to appraisal of the medical head and CEO and there is an “ACE @ 25” Champion Award for the highest scorer. Few examples: APOLLO EXCELLENCE REPORT 2013 19 clinical excellence 20 APOLLO EXCELLENCE REPORT 2013 21 ACE @ 25 clinical excellence scorecard data has been reported for four years now. The Group recognized the outstanding performance of a hospital in each of Group A, B and C for the year 2013 as in 2010, 2011 and 2012. The median ACE @ 25 score for each hospital was computed and their ACAT score was added to it. The hospital scoring the maximum was awarded the ACE @ 25 champion 22 clinical excellence ACE @ 25 awards award. Apollo Hospitals, Hyderabad from Group A hospitals, Apollo Hospitals, Secunderabad from Group B hospitals and Apollo Hospitals, Bhilai and Apollo Hospitals, Noida from Group C hospitals were declared ACE @ 25 champions and were awarded the trophies along with a cash prize of 2.5 lakhs, 1.5 lakhs and 1 lakh each respectively. APOLLO EXCELLENCE REPORT 2013 23 the locations. clinical excellence Safety Apollo Quality Program during The Apollo Quality Program was clinical started in December 2010 to handovers, implement patient safety practices in Surgical all our Apollo Hospitals irrespective accreditation status. It covers four safety, ofbroad areas: Safety during clinical Medication handovers, Surgical safety, Medication safety and safety and the Six International Safety Goals of JCI. After the Six Patient four months of implementing the International processes, data collection on the Patient Safety monitoring dashboard was started in Goals of JCI. April 2011 with monthly feedback to In July 2012, AQP was strengthened with an AQP observation template that guided the observation methodology for each parameter. In October 2012, an AQP audit tool was used for the ACAT audit and the score for AQP compliance was enhanced. An analysis of the parameters in 2013 has shown an increase in compliance levels for various parameters. The group average AQP score has also increased. AQP was presented as a poster at the ISQua conference in 2013. Below are a few examples of improvement at different Apollo locations: 24 APOLLO EXCELLENCE REPORT 2013 25 clinical excellence 26 APOLLO EXCELLENCE REPORT 2013 27 In Apollo’s pursuit of excellence, our latest quality initiative ACEP was launched in June 2013. It is a standardized tool to share the best practices for clinical excellence and quality improvement implemented by Apollo hospitals with other healthcare providers. The initiative is pro-bono and is intended to contribute to enhancement of quality of healthcare delivered across India. ACEP is a standardized tool which can be used by any hospital across the country to drive quality improvement, improvement in patient safety and better clinical outcomes. ACEP comprises of important indicator sets for monitoring quality and clinical excellence along with policies which would deal with the core processes in patient care. Methodology ACEP comprises of three levels of expertise and runs in phases as the hospitals become more competent to take on higher expectations and stringent benchmarks. A three month trial run is conducted where each hospital shares their data with their assigned experts. The results are then collated and analysed for consistency and accuracy for three months before ACEP is fully implemented in the hospital. Quarterly data is be collected, collated and analysed by a central team for understanding the trends achieved for each parameter implemented by the hospital. In case there is a downwards 28 trend or the indicator features in red, the hospital is requested to draw an improvement plan. Implementation of expected polices is scrutinized. Where ever necessary, best practices and policies followed by Apollo Hospitals are shared to improve the scores. clinical excellence ACE Platform (ACEP) Annual data is then analyzed and presented to the hospital to show consistency or improvements in their outcomes. The data of each hospital is kept absolutely confidential to maintain the integrity of our relationship. After a period of three months, an audit is conducted by us for understanding the trends achieved for each parameter implemented by the hospital. Hospital Inclusion Criteria 1.Bed strength 25 beds or more 2.Laboratory 3.Radiology 4.ICU with ventilator 5.Operation Theatre 6.CSSD 7.Duty Medical Officer (MBBS) at night 8.Registered nurses 9. Emergency department The Implementation The ACE Platform is rolled out in 3 phases in the hospitals. Each phase comprises of implementation of IPSGs, hospital policies and hospital indicators. At Level 1, eight systems and processes are established in the adopted organization. Once the proposed structures are operational, then four more initiatives are taken up in Level 2 and four more over and Annual data is then analyzed and presented to the hospital to show consistency or improvements in their outcomes. The data of each hospital is kept absolutely confidential to maintain the integrity of our relationship. APOLLO EXCELLENCE REPORT 2013 29 The total score obtained by the adopted organisation after Level 1 is 100 points. After attaining Level 2 the total score is 150 points Phase III: Level 3 Once the adopted organisation has fully implemented and sustained the components of Level 2, then it Two IPSGs • Improving communication through the use of read back for verbal orders • Implementing the process for preventing wrong patient, wrong side, wrong procedure surgery moves on to the Level 3, wherein new expectations are established in addition to the sustenance of components of previous two levels. One hospital indicator • Ventilator associated Pneumonia One hospital policy • Policy on daily check of defibrillators and oxygen cylinders Phase I: Level 1 The Level 1 comprises of Three IPSGs • Correct patient identification • Preventing healthcare associated infections • Implementing a falls risk assessment and prevention program Three hospital indicators • Catheter related Urinary Tract Infection (CR-UTI) • Prescription Medication Errors • Pressure Ulcers Phase II: Level 2 Once the adopted organisation has fully implemented and sustained the components of Level 1, it seamlessly moves on to the next level i.e. Level 2, One IPSG • Improving the safety of high alert medication 30 total score is 150 points (100 points for eight parameters established in Level 1 + 50 points for four more parameters incorporated in Level 2). Once the hospital has successfully implemented Level 3, then it is scored on 200 points. Two hospital policies • Policy on consent • Policies for patient education for surgical procedures wherein, new systems are established in addition to the continuing sustenance of components of the previous level. The Level 2 comprises of: Two hospital indicators • Catheter Related Blood Stream Infections (CR-BSI) • Surgical site infections One hospital policy • Policies for reporting critical results for diagnostic tests Quality assurance in healthcare in India is a collective responsibility of all healthcare providers. While each hospital does its own best, the sharing of best practices for quality improvement across the spectrum shall be the driving spirit in achieving safe and quality patient care. ACE Platform is a stepping stone in this direction. The plan is to embark this important quality initiative in as many hospitals as we can towards raising the bar on quality healthcare in India. This endeavour shall allow us to serve our target community in a more objective and evidence based manner. 15 hospitals have adopted ACEP. clinical excellence above previous levels in Level 3. When the systems and processes are in place then these parameters are scored on a pre-defined scale. The total score obtained by the adopted organisation after Level 1 is 100 points. After attaining Level 2 the Apollo Innovation and Quality Awards 2013 Nominations for Apollo Innovation and Quality Awards 2013 were invited from all locations in six categories: • Excellence in Operations • Excellence in Community Service • Excellence in Clinical Services • Excellence in Environmental Conservation • Excellence in HR Practices • Excellence in Financial Management Nominations were open from 15th October to 15th November 2013. 183 nominations were received from 19 locations. ACE Platform is a stepping stone in this direction. The plan is to embark this important quality initiative in as many hospitals as we can towards raising the bar on quality healthcare in India. APOLLO EXCELLENCE REPORT 2013 31 Nominations for Apollo Innovation and Quality Awards Sr. No. Location Number 1 Hyderabad 37 2 Chennai 33 3 Delhi 22 4 Bangalore 13 5 ASH, Teynampet 13 6 ACH 12 7 Madurai 8 Excellence in Financial Practices Mr Krishnan Akhileshwaran Mr Sriram MS Excellence in Environmental Conservation Mr Ravichandran Mr C Natrajan The top five projects in each category are: Excellence in clinical services: Bangalore Minimally Invasive Coronary Artery Surgery making recovery from heart surgery faster and painless 10 Delhi Safety Smart Isolation Rooms ASH Vanagaram 10 Delhi 9 Kolkata 7 10 Bhubaneswar 4 Apollo Accreditation Program (AAP): A web based Joint Commission International Standards compliance management tool 11 Bilaspur 4 Delhi Pressure Ulcer - Zero tolerance 12 Ludhiana 3 Kolkata Project CODE GREEN 13 Dhaka 5 14 Karur 2 15 Mysore 2 16 Kakinada 2 17 Ahmedabad 2 18 AFMH 1 19 Hyderguda 1 Award winner: Minimally Invasive Coronary Artery Surgery Making recovery from heart surgery faster and painless, Bangalore Excellence in operations: Chennai Voice of customer process to capture patient engagement Chennai The number of nominations in each category was as follows: Moving the axis of care: redesigning space for international standards multidisciplinary critical care unit to deliver patient-centric and efficient services Chennai Technology as an enabler for operational excellence Excellence in operations Excellence in clinical services Excellence in financial practices Excellence in HR practices Excellence in community service Excellence in environmental conservation Chennai Decentralization of report dispatch ASH Medication error reduction program Chennai Digitalization of X Ray films: an EMR initiative 70 48 25 16 14 10 The nominations were judged by our esteemed panel of jury members: Excellence in Clinical Services Dr Ranjit Roy Chaudhury Dr Sita Naik Excellence in Operations Mr Prem Kumar Mr Seemant Jauhri Excellence in Community Service Mr Sudhir Diggikar Mr Vikram Thaploo 32 Excellence in HR Practices Mr Jacob Jacob Mr K Prabhakar clinical excellence Number of nominations location wise was as below: Award winner: Voice of customer process to capture patient engagement, Chennai Excellence in HR practices: Delhi People connect program Bangalore Creating a consultant pipeline at Apollo Hospitals, Bangalore Chennai SET (service excellence training modules) Hyderabad Nurse recognition program Delhi Demystifying the Da Vinci Code of Performance Management Award winner: People connect program, Delhi APOLLO EXCELLENCE REPORT 2013 33 Kolkata Apollo Youwecan Cancer Screening Initiative – The Largest Cancer Screening Drive Of The World Hyderabad To increase the follow-ups of stroke patients and conduct stroke clubs regularly Karur Anbudan Apollo Hyderabad Increasing cancer awareness by follow ups through clubs ASH Defeat Breast Cancer, Join the fight – One step at a time Bilaspur Awareness against female foeticide clinical excellence Excellence in community services: Award winner: Apollo Youwecan Cancer Screening Initiative – The Largest Cancer Screening Drive Of The World, Kolkata Excellence in environmental conservation: Kolkata A Commitment to Go Green Bhubaneswar A Step Forward – Efficient Energy Conservation @AHB 12 -13 Delhi Initiatives for Environment- Energy Conservation and Waste Water Reuse Hyderguda Reduction of Water and Electricity Consumption Chennai Plastic waste management Award winner: A Commitment to Go Green, Kolkata Excellence in financial practices: Delhi Act Smart: Health pockets Healthy Heart Chennai Re-use of Single use devices – Boon or Bane Chennai Pattern analysis: reflection of changing customer needs (service excellence leading to financial excellence) Bangalore Comparative Study Between New Packing System And Conventional Cloth Packing Hyderabad Double the assurance campaign Award winner: Act Smart: Health pockets Healthy Heart, Delhi Share your story All Apollo hospitals in their journey towards excellence have made innovations to overcome hurdles they face in various processes. As a group, it is important that we share these best practices and innovations so that other hospitals can learn from what 34 another has achieved. The “Share your story” initiative was conceptualised with this view of sharing of best practices amongst Apollo Group hospitals on one chosen topic every quarter. The initiative started in October 2012. The “Share your story” initiative was conceptualised with this view of sharing of best practices amongst Apollo Group hospitals on one chosen topic every quarter. The initiative started in October 2012. APOLLO EXCELLENCE REPORT 2013 35 Jan - Mar 2013: Patient falls The winner: Apollo Hospitals, Delhi and Bhubaneswar April - June 2013: ALOS post renal transplant The winner: Apollo Hospitals, Bangalore July – Sept 2013: 36 July - September 2013: Pressure Ulcers The winner: Apollo Hospitals, Delhi Oct – Dec 2013: Needle Stick injuries The winner: Apollo Hospitals, Dhaka The Best Apollo Clinic Awards clinical excellence The topics for the quarters in 2013 were: Apollo Clinic, Sarjapur, Karnataka Region and Chandanagar Clinic, Andhra Region, received the best Apollo Clinic Awards for 2013. Awards were given to the best story in each quarter on Founder’s day. Leadership Awards Young Leadership Awards The Outstanding Leader Award from Apollo Hospitals for 2013 was given to Dr. Anupam Sibal, Group Medical Director, Apollo Hospitals and Dr. Udhaya Balasubramanian, Group Director, Preventive Medicine. The Young Leader Award from Apollo Hospitals was given to Mr.V. Jagadesh and Mr. A. Samuel. APOLLO EXCELLENCE REPORT 2013 37 Category A : Apollo Gleneagles Hospitals - Kolkata Category B : Apollo Speciality Hospitals - Chennai Best Patient Engagement Award and Employee Wellness Award Apollo Main Hospital, Chennai received the award for the highest Patient engagement scores for In Patient and Out Patient (as per Gallup external survey) and Apollo Glenegales Hospitals, Kolkata received the Employee Wellness Award for the best adherence to all wellness initiatives from April 2013 Jan 2014. clinical excellence 5S Awards Special Achievement Awards Group Nursing Director, Capt. Usha Banerjee and the Nursing Team for standardization of nursing protocols across the Group. Dr Harinder Singh Sidhu and Africa Team for their excellent results in engagement with Africa. Mr. Srinivasulu Reddy and Team for undertaking new projects in the Hyderabad region. Apollo International Forum on Infection Control, January 5-6, 2013 The core of the Apollo story is the Group’s unique prowess in clinical excellence, revolutionary expertise and the warm culture of Tender Loving Care. This defines the philosophy that makes Apollo Hospitals a trusted healthcare provider. It is this philosophy that has propelled our mission to touch lives, to heal and to improve healthcare delivery in India continuously. The Apollo Hospitals Group has consistently envisioned patients’ needs and introduced game changing innovations. Its path breaking developments in clinical excellence and nurturing expertise stems from 38 a simple goal to make the patient experience safer and better, it is this passion that led to the 1st Apollo International Forum on Infection Control (AIFIC) on January 5-6, 2013. Infection Control being a rapidly evolving field within the Health Care sector, this forum brought together some of the best renowned international and regional professionals in this field. The forum offered a unique platform to share the latest advances in infection control practices and strategies. Series of scientific sessions were organized which focused on best practices, existing concerns, practical implementation tools and The core of the Apollo story is the Group’s unique prowess in clinical excellence, revolutionary expertise and the warm culture of Tender Loving Care. APOLLO EXCELLENCE REPORT 2013 39 Dr. Prathap C. Reddy, Chairman, Apollo Hospitals Group said, “Infection Control is one of the top most priorities in hospitals to help improve patient outcomes and reduce length of stay. With advent of newer antibiotics, there has been a progressive rise in the incidence of antibiotic resistance. While it is a worldwide phenomenon, the nature of antibiotic resistance varies widely from country to country. This is an undesirable and inevitable trend, it is a challenge.” latest advances in the field of Infection Control and Prevention while promoting reflective discussions among speakers and delegates from various disciplines. Through AIFIC we witnessed huge enthusiasm and participation from not only speakers but also delegates and sponsors. The event saw more than 20 speakers, above 600 delegates and support from sponsors like J & 40 J, 3M, BD, Raman & Weill, Johnson Diversey, Lysoform and many others. The feedback and appreciation letters from speakers, delegates and sponsors showed that our efforts to achieve the aim of spreading the message of prevention and control of infection were successful. Diverse as we may be in our locations, the zeal to excel is the common thread that binds all our hospitals. We continuously strive towards improving the processes to achieve the best outcomes for our patients. The 3rd International Congress on Patient Safety The 3rd International Congress on Patient Safety was held on the 6th and 7th September, 2013 at Hyderabad. The conference was hosted by the Apollo Hospitals Group and supported by ISQua, Joint Commission International, World Health Organization, Quality Council of India and other reputed organizations. It was attended by an overwhelming 850 delegates from across the globe. The multidisciplinary sessions saw participation from healthcare professionals across the spectrum ranging from doctors, nurses, paramedics, policy makers, CEO’s, administrators, patient safety experts, quality managers and members of professional societies. Eminent personalities in the patient safety space from across the globe spoke at the conference. They included Dr Nata Menabde, Regional Representative (India), World Health Organization, Dr Janne Lehmannn Knudsen, ISQUA Board member, Denmark, Ms Ann Jacobson, Executive Director, Joint Commission International, US, Lord Nigel Crisp, Former CEO, NHS, UK and Vinod Khosla, Co-Founder, Sun Micro Systems, California, U.S.A. clinical excellence Some of the Conference highlights were: •• Information technology in Infection Control- Gearing up for 2020 •• Employees health in Indian hospitals •• Designing your facility for Infection Control •• Infection Control in limited resources: the Eternal Struggle •• SUD: Safe or Sorry? •• Nightmare of outbreak investigations •• Tackling MDROs •• Perspectives on Antimicrobial Stewardship •• Natural Ventilation: Rethinking respiratory •• UTI, VAP, BSI, SSI Bundles •• Disinfecting scopes the right way •• Surveillance of HAI: Coming Age Dr. Prathap C. Reddy, Chairman, Apollo Hospitals Group said, Infection Control is one of the top most priorities in hospitals to help improve patient outcomes and reduce length of stay. A well-knit program covered presentations, panel discussions, poster presentations, patient safety APOLLO EXCELLENCE REPORT 2013 41 To recognize the best examples of the work done on patient safety and to disseminate them more widely within the healthcare community so that they could be replicated elsewhere, Dr Prathap C Reddy’s Safe Care Awards were also given away by Mr Kiran Kumar Reddy, Chief Minister Andhra Pradesh. The Patient Safety Declaration The third International Congress on Patient Safety held in Hyderabad on the 6th and 7th September, 2013 saw the launch of the Patient Safety Declaration. The Declaration was signed by all participating delegates and speakers on behalf of their institutions covering 156 healthcare organizations. 42 The declaration is as follows: 1.Every hospital shall have a person designated for patient safety. 2.Every hospital shall have a patient safety committee with representatives from medical services, nursing, engineering, housekeeping, pharmacy and infection control that shall meet every quarter. 3.Every hospital shall train all its employees on patient safety issues. 4.Every hospital shall educate its patients on patient safety issues. 5.Every hospital shall have a policy and implemented system on reporting of adverse events within the organization. 6.Every hospital shall collect rates for the following patient safety indices: • Hospital acquired infections • Patient falls • Pressure ulcers • Needle stick injuries • Medication errors 7.All hospitals shall join hands to form a National Patient Safety Network for sharing of best practices in patient safety. Every hospital shall endeavor to prevent never events listed by the National Quality Forum. clinical excellence awards and display of the most widely accepted patient safety tools. Best practices and posters covering all the aspects of patient care were also presented at this platform. Every hospital shall have a patient safety committee with representatives from medical services, nursing, engineering, housekeeping, pharmacy and infection control that shall meet every quarter. APOLLO EXCELLENCE REPORT 2013 43 Surgical events Surgery or other invasive procedure performed on the wrong body part Surgery or other invasive procedure performed on the wrong patient Wrong surgical or other invasive procedure performed on a patient Unintended retention of a foreign object in a patient after surgery or other procedure Intraoperative or immediately postoperative/postprocedure death in an American Society of Anesthesiologists Class I patient Product or device events Patient death or serious injury associated with the use of contaminated drugs, devices, or biologics provided by the health care setting Patient death or serious injury associated with the use or function of a device in patient care, in which the device is used for functions other than as intended Patient death or serious injury associated with intravascular air embolism that occurs while being cared for in a health care setting Any incident in which a line designated for oxygen or other gas to be delivered to a patient contains no gas, the wrong gas, or is contaminated by toxic substances Patient or staff death or serious injury associated with a burn incurred from any source in the course of a patient care process in a health care setting Patient death or serious injury associated with the use of restraints or bedrails while being cared for in a health care setting Radiologic events Death or serious injury of a patient or staff associated with introduction of a metallic object into the MRI area Criminal events Any instance of care ordered by or provided by someone impersonating a physician, nurse, pharmacist, or other licensed health care provider Abduction of a patient/resident of any age Sexual abuse/assault on a patient within or on the grounds of a health care setting Death or significant injury of a patient or staff member resulting from a physical assault (i.e., battery) that occurs within or on the grounds of a health care setting Patient protection events Discharge or release of a patient/resident of any age, who is unable to make decisions, to other than an authorized person Patient death or serious disability associated with patient elopement (disappearance) Patient suicide, attempted suicide, or self-harm resulting in serious disability, while being cared for in a health care facility Care management events Patient death or serious injury associated with a medication error (e.g., errors involving the wrong drug, wrong dose, wrong patient, wrong time, wrong rate, wrong preparation, or wrong route of administration) Patient death or serious injury associated with unsafe administration of blood products Maternal death or serious injury associated with labor or delivery in a low-risk pregnancy while being cared for in a health care setting Death or serious injury of a neonate associated with labor or delivery in a low-risk pregnancy Artificial insemination with the wrong donor sperm or wrong egg Patient death or serious injury associated with a fall while being cared for in a health care setting Any stage 3, stage 4, or unstageable pressure ulcers acquired after admission/ presentation to a health care facility Patient death or serious disability resulting from the irretrievable loss of an irreplaceable biological specimen Patient death or serious injury resulting from failure to follow up or communicate laboratory, pathology, or radiology test results Environmental events Patient or staff death or serious disability associated with an electric shock in the course of a patient care process in a health care setting 44 clinical excellence The National Quality Forum’s Health Care “Never Events” (2011 Revision) Handholding Workshop on Patient Safety Patient safety is now recognized as a serious global public health issue with estimates showing that as many as one in 10 patients in developed countries is harmed while receiving hospital care, in developing countries, the probability is higher. Apollo Hospitals, in their quest of excellence, have made numerous initiatives in patient safety. To develop a culture of “something to teach, something to learn”, Apollo Hospitals have embarked on an initiative to share its best practices in patient safety with other hospitals who wish to start / improve patient safety initiatives in their hospitals. With this end, the Handholding Workshop on Patient Safety was organized at Indraprastha Apollo Hospitals, New Delhi on 12th and 13th April, 2013. It was supported by NABH, the Department of Hospital Administration at AIIMS, the INCLEN trust and BD as knowledge partners. Three to five member teams from 25 hospitals attended the workshop. Hospital CEOs, medical heads, nursing leaders, surgeons, microbiologists, nurses and quality representatives formed part of the teams. The workshop guided the implementation process through four workshops: •• Infection Control •• Surgical Safety •• Medication Safety •• Patient Falls Apollo Hospitals, in their quest of excellence, have made numerous initiatives in patient safety. To develop a culture of “something to teach, something to learn” The workshops were conducted by the quality heads of various Apollo Hospitals. The highlight of APOLLO EXCELLENCE REPORT 2013 45 The workshop received excellent feedback from the delegates with 90% of the delegates rating it as Excellent / Very good. A few glimpses: Building a brighter tomorrow; mentoring and knowledge sharing initiative in clinical nutrition practice Department of Dietetics, Apollo Hospitals Group Knowledge Sharing is an activity through which knowledge (information, skills or expertise) is exchanged among professionals, communities, organizations etc. Organizations have recognized that knowledge constitutes a valuable intangible asset for creating and sustaining competitive advantages. Knowledge sharing activities are generally supported by knowledge management system which enables healthcare organizations to achieve many strategic goals such as providing opportunity for improving clinical services, operational efficiency, and achieve growth through innovation and implementation. Technological developments, globalization and competition significantly accelerate the process of creating new knowledge to sustain leadership. Sharing Clinical Nutrition Knowledge vertical is a vital action point in our road map to success. The philosophy of the Department of Dietetics in our Group is to establish and encourage good nutritional practices and standards as an integral part of the health care provided. Being patientcentric is not a goal, it is the core of our existence, in providing the highest quality nutrition care and dietetic services, to advancing practice of 46 clinical excellence the workshop were case studies, group activities, discussions and demonstrations through videos. The delegates got an opportunity to witness the processes in actual implementation through visits to the wards and ICUs. clinical nutrition including developing specialist dietetic teams within the department, using evidence-based practice to develop effective therapies and new treatments, and to educate future Dieticians and other healthcare providers. We believe in combining Evidencebased care with our signature Tender Loving Care. Our Clinical Nutrition team translated this into their practice and works closely with Clinical teams in developing patient specific nutrition. We always strive to update and upgrade in the field of clinical nutrition which has helped us adopt an approach for quality improvement to benchmark our nutrition practices. The Clinical Nutrition Update is an annual event, which addresses aspects of patient care at hospitals and also that of hospital-based nutritional intervention. There is ample evidence that a team approach to nutritional intervention in the hospitalized patient has a beneficial Knowledge Sharing is an activity through which knowledge (information, skills or expertise) is exchanged among professionals, communities, organizations etc. APOLLO EXCELLENCE REPORT 2013 47 48 In an advancing medical landscape, dieticians play a greater role than ever before and therefore it is critical that they continuously stay abreast of global trends and development in the field. The main objective of the updates was to have an impact on the knowledge base of the practicing dieticians to meet the ever-increasing and changing demands on their expertise which is an important factor influencing their professional growth. Some of the interesting topics so far covered during these updates include Nutrition planning during Solid organ transplants, Inborn errors of metabolism, Critically ill patients, kidney diseases, Chemo and radio therapy, Bariatric procedures. clinical excellence Malnutrition is a major contributor to an increased morbidity and mortality, decreased function and quality of life, increased frequency and length of hospital stay and higher healthcare cost. effect on patient outcome. Hence, in the Scientific Programme of the Updates, Doctors and Dieticians together as a team address medical and nutritional requirements of different clinical conditions. The event faculty includes distinguished National and International Physicians, Surgeons, Paediatricians, Intensivists, and Clinical Dieticians, who are wellknown nationally or internationally for their contribution to Clinical Nutrition. The first CNU was initiated in the year 2009, held at Chennai only for the Apollo Group dieticians and subsequently conducted in different metros for the benefit of the dieticians at various regions. CNU 2009 – Chennai CNU 2010 – Chennai International CNU 2011 – New Delhi. International CNU 2012 – Kolkata. International CNU 2013 – Hyderabad International CNU 2014 – Planned to be held at Bangalore. These events are a platform for the Apollo Group Dieticians to gather and discuss the points to be implemented in all the hospitals towards standardization processes and roll out the group initiatives. Hyderabad Nutrition Declaration: Malnutrition is a major contributor to an increased morbidity and mortality, decreased function and quality of life, increased frequency and length of hospital stay and higher healthcare cost. Hence, Nutrition screening accomplished within 24 hours of admission and nutrition assessment by a dietician helps to find out the degree of malnutrition and decide on the nutrition care plan. In view of the above, during the 5th Apollo International Clinical nutrition update at Hyderabad, there was a “Hyderabad Nutrition Declaration” made with the following points. It was acknowledged by all participants. •• Every Hospital should have a Dietitian •• Every In-patient of the hospital should have a nutrition assessment •• Dietician should be part of multidisciplinary team. Reference Books released during the Clinical Nutrition Updates: The Department of Dietetics has been releasing valuable reference books and Dietitian’s pocket guides every year, during the Clinical Nutrition Updates. 2009- Apollo Clinical Nutrition Manual 2010- Apollo Pediatric Clinical Nutrition Manual 2011– Best of Basics in Clinical Nutrition – Dietitians Pocket Book 2012 – Dietetics Pocket guide to Pediatric Clinical Nutrition 2013 – Beyond the Basics: Transplant Nutrition, Dietitian’s Pocket Guide These books are practical and comprehensive for use by all the practicing Clinical Dieticians. Department of Dietetics of Apollo Hospitals will continue the mission of knowledge sharing in clinical nutrition. The Department of Dietetics has been releasing valuable reference books and Dietitian’s pocket Guides every year, during the Clinical Nutrition Updates. New in Medicine “New in Medicine” is compiled under four heads after studying leading medical journals, major medical news sites and numerous web resources: A.Drugs B.Clinical Research C.Devices D.Treatment guidelines APOLLO EXCELLENCE REPORT 2013 49 The report is also now published as a quarterly report to be sent to all community physicians and Apollo Clinic doctors. It is also sent to Apollo Munich. New in Medicine is now part of the Apollo Knowledge Repository CD being sent to all General Physicians. Clinical Innovation Report Maximum cadaveric liver transplant in India and 3 cadaver liver and 1 live related (total 4) transplants were done within a span of 24 hrs. Medicine is evolving at a tremendous pace. It is imperative that all healthcare providers including clinicians and healthcare administrators keep themselves up to date with the latest research in treatment techniques, new drugs and technology to be able to provide the best clinical care to the patients. Clinical innovations are rapidly changing the way clinical care is delivered around the world today. In April 2013, Apollo initiated the publication of a quarterly report titled “Clinical innovation report” which covered the following: Section 1: New in Medicine A.Drugs B.Clinical Research C.Devices D.Treatment guidelines Section 2: New in Technology Section 3: News Highlights and Clinical Innovations from Apollo Hospitals 50 These include: •• A new procedure, done for the first time in India / the region and which is considered by a reasonable body of medical opinion to be significantly different from existing clinical practice •• A rare procedure e.g. a TKR in a 94 year old patient or liver transplant in a 4 kg baby •• Variation in an operating procedure or intervention or diagnostic procedure •• A new medical treatment •• Large volumes of a complex / rare procedure Few clinical innovations from Apollo Hospitals during 2013 are given below: a) Apollo Hospitals, Chennai Many robotic cardiac and pediatric urologic surgeries were performed. Robotic donor nephrectomies were also performed. Maximum cadaveric liver transplant in India and 3 cadaver liver and 1 live related (total 4) transplants were done within a span of 24 hrs. “I SEE U” facility for virtual intensive visit by family and consultant from anywhere in the world was introduced. Molecular diagnostic laboratory and cytogenetics were introduced. BRTO – Retrograde balloon occlusion test for varices was performed by interventional radiologists. Vascular closure device for puncture site with PERCLOSE was done by interventional radiologists. Cutting balloon angioplasty for carotid in-stent stenosis was performed by interventional radiologists. Intrarterial chemotherapy for retinoblastoma was performed in liaison with Sankranethralaya Hospital. Joint replacement of left knee and right hip in a patient with ochronotic arthritis was performed, a rare case of combined surgery. Successful angioplasty was performed on a man, aged 29, with a 100 per cent blocked artery, and another, aged 50, with three blocks, at Apollo Hospitals, Ayanambakkam. Apollo Speciality Hospital became the first to help with safe collection of stem cells from a volunteer donor from DATRI. The DATRI donor drive kick started at Apollo Speciality Hospital for donors who wish to register. Anybody in the age group of 18 -50, who is medically fit, can volunteer to register himself / herself by donating a sample of his / her cheek cells, which is then screened and registered. When a patient in need of transplant approaches, the match donor is called to donate stem cells which are usually done as a peripheral blood donation. Apollo Speciality Hospital, Chennai is one of the few centers in India with facilities to search for a potential unrelated donor and offer transplantation. Also, In fact, the hospital has been instrumental in performing 50 such procedures over the past few years thus offering a unique opportunity for patients to get cured. In what can be considered a historical case attempted by an Indian Private Hospital, Apollo Specialty Hospitals in Vanagaram declared the successful separation of Pygopagus twins from Tanzania-Ericana&Eluidi. A marathon surgery of 18 hours conducted by a chosen team of 20 doctors from the specialties of neurosurgery, plastic surgery, paediatric surgery and paediatric urology was led by Dr.VenkataSripathi, Senior Consultant Paediatric Urologist and Dr.RoshiniGopinathan, Senior Consultant Plastic Surgeon, Apollo Children’s Hospitals. The Surgery, which began at 7:00 AM on December 16, 2013 concluded with the successful separation of the twin nine month old boys at 1:00 AM on December 17, 2013. b) Apollo Hospitals, Bangalore First Y shaped stent was put for tracheoesophageal fistula in the region. Four autologous chondrocyte implantations were done, a rare procedure. Other rare procedures performed were Spinal angiolipoma excision and Tibial tuberosity shift with MPSL reconstruction. clinical excellence New in Medicine is published monthly to be sent to all Apollo consultants. XXVI issues have been published till December 2013. Apollo Speciality Hospital became the first to help with safe collection of stem cells from a volunteer donor from DATRI. The DATRI donor drive kick started at Apollo Speciality Hospital for donors who wish to register. Variation in an operating procedure or intervention or diagnostic procedure was seen in Left coronary cusp VT ablation and percutaneous renal denervation for resistant HTN in post transplant patient of the native renal artery. APOLLO EXCELLENCE REPORT 2013 51 Apollo Hospitals, Bangalore has the distinction of performing largest series of airway stents in the country. A 97 year old female with Kyphosis and obstructive lung disease was successfully operated for Empyema Gall Bladder and Acute Calculus Cholecystitis by Laparoscopic Cholecystectomy. Apollo Bangalore treated a patient with difficulty in walking due to a hip problem, through the Mini incision hip replacement. This innovative approach uses a cementless or cemented implant that grows into the bone. A 97 year old female with Kyphosis and obstructive lung disease was successfully operated for Empyema Gall Bladder and Acute Calculus Cholecystitis by Laparoscopic Cholecystectomy. Apollo Specialty Hospital at Jayanagar, Bengaluru performed a complicated rare complete elbow replacement surgery. The patient, a native of Udupi district in Karnataka, had swelling in multiple joints and severe anaemia. Her haemoglobin levels had dropped to five. She also had almost no movement in her left elbow joint, which was locked at ninety degrees and was irreparable through medication. She underwent treatment for rheumatic arthritis which reduced by over 80 per cent. Once the rheumatic arthritis had stabilized, the consulting team decided to operate on the joint and replace it. c) Indraprastha Apollo Hospitals, Delhi A 90-year old woman fully recovered from a stroke after she was treated with Thrombolysis at Apollo Delhi. 52 She had suffered a brain stroke due to which she had suffered complete paralysis of left arm and left leg. She also could not turn her eyes to the left. She was rushed to hospital within two hours of the stroke, where doctors administered her with Intravenous Thrombolysis to dissolve the blood clot in the brain. hip fracture and had been bedridden for two months. The patient recovered successfully and has started walking again. Indraprastha Apollo Hospitals successfully treated a 64 years old woman, who was suffering from three kinds of cancer – Uterus, Breast and Oesophagus. The Apollo Hospitals, New Delhi was the medical partner of JPSI, organizer of India’s fastest racing event, the 2013 Indian Grand Prix. A 68 Year old woman underwent Total Knee Replacement for both the knees using patient specific instrumentation at Indraprastha Apollo hospitals. Bilateral total hip replacement surgery was done on a 29 year old Nigerian lady suffering from sickle cell disease at Indraprastha Apollo Hospitals. Doctors at the Indraprastha Apollo Hospital successfully treated the eleventh member of a Pakistani family for an orthopaedic problem. Dr. Priyadarshini Pal Singh was nominated as the 1st Indian Chief Medical Officer for the event. The Apollo Hospitals Group marked the 15th anniversary of its Liver Transplant program with a gathering of transplant patients and their family members at the hospital. The event was graced by the presence of His Holiness, The Dalai Lama, who spoke on the wisdom of compassion to patients and staff of the hospital. clinical excellence A new medical treatment was performed in the form of Coronary perforation treated with covered stent - hand made in cath lab. The event was graced by the presence of His Holiness, The Dalai Lama, who spoke on the wisdom of compassion to patients and staff of the hospital. A 110 year old Kashmiri patient successfully underwent surgery for stomach cancer. A 16 year old Jehovah follower suffering from scoliosis underwent a 7 hour surgery without blood transfusion at Apollo Hospital New Delhi; his faith prohibited him from accepting the blood from anyone. The blood loss was minimized, even the blood loss that occurred was put in a special chamber called cell saver. Later the same blood cells were put in his system. Successful hip replacement at the age of 94 was performed at Indraprastha Apollo Hospitals. The patient had a APOLLO EXCELLENCE REPORT 2013 53 Apollo Gleneagles Hospitals gave a new lease of life to a 55 yearold patient infected with Leiomyosarcoma. They treated the patient through a new type of surgery, a first of its kind in Eastern India to cure a cancerous tumour. e) Apollo Gleneagles Hospitals, Kolkata Apollo Gleneagles Hospitals announced a significant extension of the Company’s central laboratory capabilities with the opening of a state-of-the-art Nucleic acid Amplification Testing (NAT) laboratory. The addition of this laboratory testing service enables Apollo to provide in-region, near real-time NAT testing required by pharmaceutical and biotechnology companies to ensure the safest donor blood screening to reduce the risk of HIV, HCV, and HBV transmission through blood. Apollo Gleneagles Hospital, Kolkata conducted the first ever Reverse Shoulder Prosthesis Replacement in East India. The surgery was conducted 54 on an elderly patient who suffered from multiple complications. The operation was successful and helped to restore pain-free movement of the shoulder and limbs. g) Apollo Hospitals, Bhubaneswar 97 year old patient underwent laparoscopic cholecystectomy for Emyema and Gangrenous cholecystitis at Apollo Bhubaneswar. Apollo Gleneagles Hospitals performed a successful critical neurosurgery on a child patient suffering from a critical cyst similar to a second head. The eight-month-old child was born with a rare and unheard condition of Encephalomeningocele. The infant who was far from leading a normal life like children of his age has showed signs of speedy recovery post the surgery and got back to his regular activities. This surgery was the first of its kind in the entire country. h) Apollo Hospitals, Dhaka Coil embolization of left Lingual artery of a young Patient having Haemangioma who underwent Haemangioma removal was done. Apollo Gleneagles Hospitals gave a new lease of life to a 55 year-old patient infected with Leiomyosarcoma. They treated the patient through a new type of surgery, a first of its kind in Eastern India to cure a cancerous tumour. f) Apollo Health City, Hyderabad Apollo Health City, Hyderabad announced the successful completion of its 700th Cochlear Implant. This marks a new milestone in aiding of the hearing impaired in the state of Andhra Pradesh. A large percentage of patients availing this treatment have been from marginalized sections of society and have received support from SAHI (Society for the Hearing Impaired) or utilized the State Government Health Scheme of Arogyasree. Thrombus in IVC extending Bilateral Femoral Veins to the Right Atrium was successfully removed. Successfully performed a Redo Double Valve replacement for the first time in Bangladesh. Implanted 3rd successful PDA (Patent ductus arteriosus) device in November 2013. Successfully done an Aortic root replacement (Bentall Procedure) in a young male patient with Marfan syndrome. 10.5 cm ascending aortic aneurysm involving the root causing severe aortic regurgitation was repaired using a valved conduit with re-implantation of the coronary arteries. Performed 7th successful Minimal Invasive ASD Closure. i) Apollo BGS Hospitals, Mysore Rare orthopaedic procedures performed were minimal invasive spine stabilisation and fusion surgery and correction of spinal deformity with a 100 degrees curve in a 24 year old patient using the technique called direct vertebral column rotation. Rare CTVS procedures were closure of bilateral coronary pulmonary artery fistula and aortic valve replacement. clinical excellence d) Apollo Hospitals, Ahmedabad Apollo Hospitals, Ahmedabad in partnership with the 6th battalion of the National Disaster Response Force (NRDF) held an external disaster mega mock drill near the Narmada Main canal. The drill was in the spirit of preparedness at the eventuality of a natural or man-made contingency or disaster. Officials from Gujarat State Disaster Management Authority were present at the drill. A heavy – motor vehicle accident was deliberated near the Narmada main canal and 25-30 victims, with varying degree of injuries including death were bought to Apollo Hospitals where they were triaged, treated or disposed. The employees of Apollo Hospitals were trained and briefed about their roles and responsibilities and some of them played the role of accident victims themselves. New chemotherapy agent aflibercept was introduced. Ziv-aflibercept (ZALTRAP), in combination with 5-fluorouracil, leucovorin, irinotecan(FOLFIRI), is indicated for patients with metastatic colorectal cancer (mCRC) that is resistant to or has progressed following an oxaliplatincontaining regimen. Non-operative management of grade IV liver injury was done by interventional embolization. First reported case of surgery for recurrent pancreatic carcinoma with portal vein reconstruction done. A young man, who is a forest guard at Nagarahole, was brought with severely mangled face due to wild bear attack. His face was so severely injured that it was beyond recognition. He had added head injury also. Since patient was facing difficulty in breathing, he was immediately put on ventilator. Next day morning he was taken up for anterior cranial fossa repair and entire face reconstruction. Since he had lost right eye in bear attack, nothing could had done for that. The surgery took nearly 15 hours to reconstruct his face. His face was reconstructed by microsurgical technique. Bony reconstruction was done and soft tissue repair was done by transferring flesh from his thighs. Since he developed salivary leak, unilateral parotidectomy was also done. Patient tolerated the surgery very well and now he is back to his work. A young man, who is a forest guard at Nagarahole, was brought with severely mangled face due to wild bear attack. His face was so severely injured that it was beyond recognition. He had added head injury also. APOLLO EXCELLENCE REPORT 2013 55 mucosal Fibrosis (Article Published in Indian Journal of Oto Laryngology and Head, Neck Surgery). JCI Accreditation Sl. No. Name of Hospital Ist Survey Last Survey 1 Apollo Hospitals Bangalore 2008 2011 2 Apollo Hospitals Chennai 2006 2012 3 Apollo Hospitals Delhi 2005 2011 4 Apollo Hospitals Hyderabad 2006 2012 5 Apollo Hospitals Kolkata 2009 2012 6 Apollo Dhaka 2008 2011 Coronary SPS Apollo Hospitals Ludhiana 2007 2013 bypass 78 Apollo Mauritius 2012 2012 surgery or CABG, as it is commonly NABH Accreditation Last Survey referred to, Sl. No Name of Hospital Apollo Hospitals, Ahmedabad 2011 is often a 1 2 Apollo Speciality Hospital, Chennai 2010 life saving 3 Apollo Hospitals, Secunderabad 2011 procedure 4 Apollo Hospitals, Madurai 2009 where blood 5 Apollo Hospitals, Noida 2011 supply to 6 Apollo Hospitals, Bilaspur 2013 Apollo Hospitals, Bhubaneswar 2013 the heart 7 Apollo Jehangir Hospital, Pune 2013 is restored 8 Apollo BGS, Mysore 2013 when native 9 vessels supplying the Quality Improvement heart are Projects blocked. Minimally Invasive Coronary native vessels supplying the heart Artery Surgery making recovery from heart surgery faster and painless (Apollo Hospitals, Bangalore) The need: Coronary bypass surgery or CABG, as it is commonly referred to, is often a life saving procedure where blood supply to the heart is restored when 56 are blocked. The procedure most often performed in the middle aged or elderly has a recovery period that can extend to as long as 3 months disrupting normal life and work. In the elderly the recovery period is even more prolonged and leaves them weak for several months thereafter. Traditionally the procedure is done by cutting the breast bone or sternum located in the front of the chest akin to a surgically created fracture. Like most fractures the bone takes as long as 3 months to unite. The goal was to redo the same operation with equally good outcomes but without cutting the bone allowing for a rapid recovery, shortened hospital stay, faster wound healing and drastically reduced infection. Conceptualization and Implementation: The new procedure now referred to as MICAS stands for minimally invasive coronary artery surgery, was conceptualized based on a technique reported by Dr McGinn from Staten Island, New York, USA. We had neither seen nor heard of anyone doing this procedure in India. We were aware that this technique was easy to implement in single vessel disease affecting the uppermost vessel that supplied the heart. However in current practice most patients requiring surgical revascularization or CABG require 2 or more vessels to be revascularized. Traditionally in a CABG the sternum or breast bone is cut open to have easy access to the heart and its blood supply. However the impact of this disrupts life in all its aspects and often leaves the patient scarred both physically and mentally. If only we could do a less invasive procedure eliminating cutting any bone but with equally good outcomes as the traditional technique then this would help innumerable patients undergoing coronary bypass. The new approach was through the intercostal or rib space on the left side about 3 finger breadths below the left nipple. The opening was a mere 2 inches and involved no cutting of bone. The challenges were several. First, the internal mammary artery required harvesting in complete through a very small opening, which required mastering the use of special instruments. Second, accessing the aorta for proximal vein graft anastamosis required a special clamp that was nonintrusive but did the job well. Instruments available in other countries were sourced over a period of one year while the entire technique of performing the operation evolved and fell into place. Our initial cases were well selected in terms of body habitus, extent of disease and the ease with which target vessels could be located and revascularized. Obviously it was a risk to be taken both by the surgeon and his team as well as the patient. The aorta had to be clamped remotely with no hand access inside the chest with a flexible clamp. All anastamosis had to be done with very fine sutures using long single shafted instruments. The heart had to be positioned using a positioner that was newly available and not used in the country before. The stabilizer for the critical anastamosis was also different and used remotely. The early operations took anywhere between 5 to 8 hours to perform imposing a tremendous stress on the surgical team. However over a period of 3 months the operation was streamlined, enough to be adapted to clinical excellence j) Apollo Speciality Hospitals, Madurai New medical treatment done: Use of Skeletal Muscle relaxants in Oral Sub Traditionally in a CABG the sternum or breast bone is cut open to have easy access to the heart and its blood supply. However the impact of this disrupts life in all its aspects and often leaves the patient scarred both physically and mentally. APOLLO EXCELLENCE REPORT 2013 57 Faster return to work. 70% of patients resume normal work patterns in under 10 days, compared to traditional CABG where return to work is on an average 45 days. Impacts and benefits 1.Reduced narcotic use. Pain is managed only with paracetamol. 2.Quick in hospital recovery with ICU stay of 12 hours post procedure. Ambulation within 6 hours of surgery. 3.Significantly reduced blood usage. Average transfusion of red cells falls to 0.5 units per case. 4.Shortened hospital stay from average of 6 days to 3 days. 58 5.Eliminates wound infection. Deep wound infection is zero. Superficial wound breakdown in just 3 out of 400 patients. No culture positive infections. This is remarkable in view of most patients being diabetic and more prone to infection. 6.Faster return to work. 70% of patients resume normal work patterns in under 10 days, compared to traditional CABG where return to work is on an average 45 days. 7.Enormous benefit to the elderly. Our oldest patient is 87 years and the recovery time frame was 14 days to normalcy. 8.Sets new standards of care in terms of recovery, financial implications (allows an earning member undergoing the procedure to return to work in under 2 weeks), blood usage and absence of infection (most patients are diabetic). 9.New benchmark for ALOS after CABG. 10.We now conduct workshops both live and on cadavers across multiple centers around the country demonstrating how practice can be changed. We have contributed substantial quantity of information to the world body of heart surgeons (very few) practicing this technique on the many refinements that we have brought about. 11.Financial Impact: a.ALOS of CTVS Department brought down from 8.5 to 5.45 days b.MICS ALOS is 3.9 days which includes 1 day for pre-admission Smart Safety for Isolation Areas (Indraprastha Apollo Hospital, New Delhi) The need: The hospital protocols require the staff to always put on personal protective equipment before entering the room of any patient with airborne infections. This process takes significant time, causing delays for patients and negatively affecting staff productivity and their willingness to visit isolated patients. The requirement was also leading to less-than-optimal adherence to contact precautions, as staff was tempted not to put on protective equipment for routine communications. Each movement inside the isolation room requires the donning of the PPE, hence, incurs certain costs. These costs can be reduced if the evitable movements to the isolation room can be avoided and at the same time the patients’ requirements are attended to. Conceptualization & Implementation A one month study was conducted at the isolation room to map the movements of the staff into the patient room (from 6am to 5.30pm). The following parameters were captured during the study period: •• Number of movements by each category of staff including Consultants •• Purpose of each type of movement (to determine evitable movements) •• PPE donned while entering the room •• Hand-washing compliance clinical excellence 70% of the patients requiring CABG, in a safe and reproducible manner. The additional costs incurred were for the new stabilizer and heart positioner and amounted to approximately 100,000 for each operation. The instrumentation was changed completely from the traditional ones and incurred a onetime expense of approximately 35,00,000. The vein required for the revascularisation that is traditionally harvested from the leg by cutting was now harvested totally endoscopically and required an additional investment of 18,00,000 which was again on reusable equipment. This is a sustainable operation and we have now crossed 400 operations with zero mortality. All types of cases from the very complex left main disease and damaged, dilated hearts have been treated with MICAS. The outcomes are truly gratifying both for the surgeon and the patients. It does not require very expensive instrumentation like a robot or specialized training, costing crores of rupees, while delivering equally good outcome that the common man can easily afford. Approximately 40 movements each day (between 6.30am to 5.30pm) occurred into the isolation room. The various categories of staff that interacted with the patient included the nursing, housekeeping, dietetics, medical services, and other support services. Out of the above mentioned average 40 movements observed in the day time, around 13 movements (32%) were evitable (did not require the staff to enter the room). Because the staff has to wear the PPE, each time they enter the patient room, each movement in the patient room costs the hospital approximately Rs. 197 (refer Appendix I) when the N-95 masks are used. Moreover donning the PPE takes over 70 seconds. Thus in order to save the staff’s time, reduce the costs of personal protective equipment, increase the frequency and quality of interactions between staff and patients, without increasing the risk of health care– associated infections, the ‘Safety Zone’ for Isolation Rooms was implemented. Intercom system was placed outside the Isolation Room. The program was readily accepted by the Infection Control Committee. The staff was more than willing to accept the initiative. APOLLO EXCELLENCE REPORT 2013 59 The nurse emphasizes that the program allows staff to communicate safely with those in the room without going through the timeconsuming process of donning personal protective equipment. Intercom system was placed outside the Isolation Room. The program was readily accepted by the Infection Control Committee. The staff was more than willing to accept the initiative. Key components of the initiative included the following: • Clearly marked safe zone at entry to rooms of isolated patients: Whenever a patient is placed on contact precautions, a high-quality red duct tape is used to create a 3-foot square box at the entrance to the room. This area represents a safe zone where the staff can stand without donning personal protective equipment, and also serves as a visual cue to all who enter the room (e.g., physicians, nurses, and housekeeping staff) that the patient is on contact precautions. Housekeeping staff clean the safe zone (both the flooring and tape) as part of their regular duties. • Educating patients and visitors: The assigned nurse explains the contact precautions and the safe zone to the newly isolated patient and any family members or other visitors. The nurse emphasizes 60 that the program allows staff to communicate safely with those in the room without going through the time-consuming process of donning personal protective equipment, thus reducing barriers to staff–patient communication and speeding up response times for the patient's routine needs. • Setting up the Intercom for communications from the safe zone: Staff can conduct routine communications, education of the patient using the intercom system placed at the entrance. This system includes responding to calls from patients or family members and proactively checking on the patient's status and needs. • Donning of protective equipment as needed: If the staff member deems it necessary to get closer to the patient or touch a surface within the room, he or she puts on personal protective equipment before leaving the safe zone and takes it off on exiting the room, as outlined by hospital protocols. Impacts & Benefits Reducing HAIs Since implementation, no change has occurred in the frequency of HAIs, offering further confirmation that communicating from the safe zone does not increase the risk of spreading infections. Enhancing Staff Safety In fact, by reducing the number of face-to-face interactions of the staff with such patients, we are actually reducing the risk of infections, at the same time without compromising on patient engagement. This also addressed the issue of risks associated with non- compliance to the contact precautions by reducing the number of movements to inside the patient’s room. More frequent and better communication It also improved the willingness of the staff to interact more with the patient as they could now safely communicate with the patients placed on contact precautions. (Refer Fig 1) clinical excellence A 3-foot square area was marked by red duct tape, at the entrance to the isolation rooms and rooms where patients requiring contact precautions are placed. The area served as a “safe zone” where the staff could interact with these isolated patients without donning personal protective equipment. New construction may become cost effective when an older ICU requires expensive repairs or upkeep to remain viable, or simply ceases to function well. APOLLO EXCELLENCE REPORT 2013 61 Optimal ICU design can help to reduce medical errors, improve patient outcomes, reduce length of stay, and increase social support for patients, and can play a role in reducing costs. Hence cost savings incurred in one month = Rs. 2561*30 days = Rs. 76,830 Key issues with facility stacking and adjacencies 62 Moving the Axis of Care: Redesigning space for International standards multidisciplinary critical care unit to deliver patient-centric and efficient services (Apollo Hospitals, Chennai) The need: Hospitals undertake ICU construction for many reasons: to adapt to changing patient demographics or disease patterns; to upgrade or add services; and to accommodate changes in the flow of information, materials, or patients. New construction may become cost effective when an older ICU requires expensive repairs or upkeep to remain viable, or simply ceases to function well. Designing for infection control – by separating patients, adding isolation facilities, adding hand hygiene stations, upgrading mechanical ventilation and filtration, revising provisions for disposal of human waste, or introduction of antimicrobial materials – can lower infection rates and therefore morbidity and mortality, cost per case, •• Co-location of departments with significantly different clinical and operating requirements leading to inefficient patient and work flows •• Fragmentation of key assets spreading highly skilled resources across locations and affecting clinical safety and efficiency •• Facility adjacencies not in alignment with workflow dependencies •• Random sequencing of high and low footfall-density facilities affecting infection •• Control and crowd management •• Lack of clarity on future programs leading to random blocking of spaces that could affect efficiency of future layouts Conceptualization & Implementation Concept, Discussion and Analysis: ICU design is complex and should include both clinically oriented and design based multiprofessional team members. Each team member will bring specialized skills and knowledge to focus on the project at hand, which might be a remodeling, an expansion, or a completely new ICU. Project team members comprised of: 1) DMS and Head Operations 2) the clinical team – a multidisciplinary group, including physicians, nurses, infection control specialists, pharmacists, therapists, and ancillary staff 3) the design team – the architect, engineers (mechanical, electrical, structural), and technology planners (medical equipment, information technology, others) and 4) other hospital service representatives (materials management, environmental services, food service, others). Evidence shows that the physical environment affects the physiology, psychology, and social behaviors of those who experience it. The goal of the design process is to create a healing environment – the result of design that produces measurable improvements in the physical or psychological states of patients, staff, physicians, and visitors. Elements of a healing environment include: materials and finishes that reduce noise levels, minimize glare, and support infection control; floor plans, equipment, and other features, such as human engineering principles, may enhance efficiency and effectiveness of patient care and minimize workplace injury; stress-reducing furnishings and decor, and thoughtful provision for the creature comforts of patients, families, and staff. Optimal ICU design can help to reduce medical errors, improve patient outcomes, reduce length of stay, and increase social support for patients, and can play a role in reducing costs. A design based on the functional requirements of the critical care unit and the consensus opinion of experts should enhance patient, family, and staff satisfaction and in doing so, help to protect the institution’s bottom line. Staff satisfaction with the work environment has been shown to correlate with patient satisfaction and to improve retention and staff commitment. Principles guiding the Renovations were •• Facilities clustered based on clinical functionalities and workflow dependencies •• Facility adjacencies planned to minimize patient movement and improve efficiency •• Major assets massed for flexibility and interoperability •• All critical facilities adjacent to ensure high standards of clinical care and infection control •• Dedicated pathways for patient movement to ensure high standards of clinical care and safety •• Clear segregation of front-of-thehouse and back-of-the-house activities for efficient material and people flows •• Layouts aligned with footfall density for better foot-fall management One new 25 -bed MDCCU had been designed to improve the patient safety through researchbased designa design that could possibly be used as an example by other health care organizations APOLLO EXCELLENCE REPORT 2013 clinical excellence Cost savings incurred in one day by replacing the avoidable movements with ‘Safety Zone’ system: = Rs. 197*13 = Rs. 2561 and length of stay. Changes in the model of care delivery may drive ICU design. Advances in technology have led to miniaturization of equipment, and have increased the amount of equipment needed to care for patients. Persistent shortages of skilled staff and aging of the critical care staff have added new criteria for selecting technology and for making ICU design decisions. Cost Savings Approximate cost of PPE incurred in one movement: Rs 200 Approximate number of evitable (avoidable) movements: 13 63 The evidencebased remodeling is emerging to support the business case that designing for safety and quality can improve patient outcomes and safety, promote healing, increase patient satisfaction, and reduce costs. 64 One new 25 -bed MDCCU had been designed to improve the patient safety through research-based design- a design that could possibly be used as an example by other health care organizations that were building new facilities, remodeling, or expanding existing facilities. The specific safety design principles, intended to specifically address both latent conditions and active failures, included the following: •• Automate where possible •• Design to prevent adverse events (e.g., patient falls, operative / post-operative complications and infections and deaths associated with restraint use) •• Design for scalability, adaptability, and flexibility •• Place accessibility of information in close proximity to the patient •• Improve visibility of patients to staff •• Involve patients in their care •• Minimize fatigue of staff •• Minimize patient transfers/handoffs •• Reduce noise •• Standardize The Multidisciplinary Critical Care Unit Our critical care unit consists of four major zones, each housing a primary function. 1)The Patient Care Zone consists of patient rooms and adjacent areas; its primary function is direct patient care. 2)The Clinical Support Zone consists of functions closely related to direct patient care; not only inpatient rooms but also in other areas of the unit. 3)The Unit Support Zone refers to areas of the unit where administrative, materials management, and staff support functions occur. 4)The Family Support Zone refers to areas designed to support families and visitors. Benefits Patient - centeredness, including •• Using variable-acuity rooms and single-bed rooms •• Ensuring sufficient space to accommodate family members •• Enabling access to health care information •• Having clearly marked signs to navigate the hospital Safety, including • Applying the design and improving the availability of assistive devices to avert patient falls • Using ventilation and filtration systems to control and prevent the spread of infections • Using surfaces that can be easily decontaminated • Facilitating hand washing with the availability of sinks and alcohol hand rubs • Preventing patient and provider injury • Addressing the sensitivities associated with the interdependencies of care, including work spaces and work processes Effectiveness, including • Use of lighting to enable visual performance • Controlling the effects of noise Efficiency, including • Standardizing room layout, location of supplies and medical equipment • Minimizing potential safety threats and improving patient satisfaction by • Minimizing patient transfers with variable-acuity rooms Timeliness, by • Ensuring rapid response to patient needs • Eliminating inefficiencies in the processes of care delivery • Facilitating the clinical work of nurses Equity, by • Ensuring the size, layout, and functions of the structure meet the diverse care needs of patients The evidence-based remodeling is emerging to support the business case that designing for safety and quality can improve patient outcomes and safety, promote healing, increase patient satisfaction, and reduce costs. It is thought that the cost of building or remodeling projects based on design evidence conducive to patient safety can result in organizational savings over time, without adversely impacting revenues. Apollo Accreditation Program (AAP): A web based Joint Commission International standards compliance management tool (Apollo Hospitals Group) clinical excellence Impacts & Benefits The need: Creating and implementing processes to deliver quality care is a challenging task but even more daunting is the sustenance of these processes and systems. To comply, as well as monitor and manage the 329 standards and 1196 measurable elements as established by Joint Commission International across all JCI accredited hospitals within the Apollo Group is indeed a challenge. To develop a single measurable dashboard to display, measure and compare compliance levels for established standards of care was duly required. We required frequent monitoring of the gap between the expected level of care and the level of care delivered on ground so as to provide standardised care consistently. No such regular monitoring was done prior to this initiative. With an intent to provide standardised care consistently across the eight hospitals, the concept of Apollo Accreditation Program was developed. With AAP we aimed to provide for a single measurable dashboard to display compliance levels for each JCI accredited hospital within the Apollo Group with live data current till the last working day of the previous quarter. AAP comprises of all the standards and measurable elements, within each chapter of the JCI Standards Manual with provision for each location to report compliance on a periodic basis. APOLLO EXCELLENCE REPORT 2013 65 Prior to this program weekly audits were done by the Quality Team. Looking onto 1196 measurable elements was a huge task and AAP divided the responsibilities among the 'Champions' who do regular audits regarding the chapters assigned to them. 66 Accreditation is a widely recognized seal of approval that brings international and national recognition to a healthcare organization for its commitment to excellence, accountability, high professional standards and continuous improvement. Hospitals benefit from both the status and the process of accreditation from each step of the review cycle, which continues to unfold over the long-term in its journey towards improving quality. The review process ensures sustainability but the frequency of assessment is 3 years. This span of 3 years provided adequate room to overlook or deviate from some processes. Apollo Accreditation Program served as a comprehensive tool for each hospital which can be used to maintain the same high standard of care throughout the years rather than when gearing up for surveys. AAP comprises of all the standards and measurable elements, within each chapter of the JCI Standards Manual with provision for each location to report compliance on a periodic basis. The various standards of care were assigned to identified champions. For example Anaesthesia & Surgical Care and Medication Management & Usage were the responsibilities assigned to the Medical Superintendent of the hospital. The Medical Superintendent ensured that all policies, protocols and processes were being regularly monitored so as to ensure compliance and sustain them. Similarly, the Head of Operations ensured that the Hospital Facility and Management systems were well in place. The compliance to measurable elements was verified through multiple approaches including regular Tracers by the Quality Team, Clinical Audits by Medical Team, Medication Management Audits by the Clinical Pharmacologists and Facility Rounds by the Operations Team. The main objective was to provide a comprehensive tool to each hospital which could be used to help maintain the same high standard of care throughout the years rather than when gearing up for a survey. This initiative equipped the 'Champions' to understand the requirement of the standards in collaboration with the Quality Teams. The 'Champions' were able to interpret the standards better, which subsequently improved the implementation process. Moreover, cross-sectional audits helped to reduce the interdepartmental gaps and loopholes thereby enhancing efficiency or effectiveness of codepartments. Each measurable element was then scored on a three- point scale of “0” which indicated NonCompliance or "Not Met"; (4 or less out of 10 records or observations demonstrated compliance), “0.5” indicated Partial Compliance or “Partially Met”(5 through 8 out of 10 records or observations demonstrated compliance) and “1” which indicated Satisfactory Compliance or “Fully Met”(9 out of 10 records or observations demonstrated compliance). After creating the online module, the Director Medical Services of each hospital was given a unique login ID for overall supervisory control. Within each hospital the chapters were assigned to Head of Departments based on their role and responsibilities. Each location submitted their data within the first 10 days of next quarter for the preceding quarter, which was then centrally assessed and scored for each location, to eventually give us the overall compliance level for the entire Group, at any given date. A single dashboard view summarized the overall compliance at each location and for the entire Apollo Group as a single entity. Prior to this program weekly audits were done by the Quality Team. Looking onto 1196 measurable elements was a huge task and AAP divided the responsibilities among the 'Champions' who do regular audits regarding the chapters assigned to them. This has developed a sense of ownership among them thereby enhancing constant vigil and compliance levels. The compliance levels are submitted within stipulated time by each location. The dashboard is then viewed by top management including Chairman and accordingly further management and quality governance strategies are formulated. Impacts & Benefits clinical excellence Conceptualization & Implementation This initiative helped to enhance 'Overall satisfaction with experience at hospital' at all locations captured through our feedback mechanism i.e. the Voice Of Customer which is filled by the patient before discharge to share their experience. e.g.: Indraprastha Apollo Hospitals, Delhi score for this parameter had increased from 4.64 in August 2012 to 4.77 by April 2013(Fig: 1). In AAP module, confidentiality of data is to be focused upon. We plan to extend the scope of this tool for other accreditation standards like NABH, NABL for labs, blood banks. APOLLO EXCELLENCE REPORT 2013 67 Code Green is a mechanism to alert the hospital staff through announcements when an infected patient requiring contact or other isolation is transported from one unit of the hospital to another unit. 68 The module has also helped in developing a culture of patient safety across the organization. Now the systems and processes focus on patient safety at any given time across the Apollo Group. In AAP module, confidentiality of data is to be focused upon. We plan to extend the scope of this tool for other accreditation standards like NABH, NABL for labs, blood banks. Project CODE GREEN (Apollo Gleneagles Hospitals, Kolkata) The need: Code Green is a component of ESCALATE strategies developed by the hospital to prevent Hospital Acquired Infections with Multidrug resistant organisms. The idea is to mitigate the Infection Control – Patient Safety related risk from Carbapenem Resistant Gram Negative Bacteria (CRGNB), Multidrug resistant Acinetobacter and Pseudomonas, MRSA and other organisms in the Hospital Acquired Infection within Apollo Gleneagles Hospital. The purpose is to establish a Code Green policy that will lay down systematic steps of action to be taken in the event of an infected patient being transferred from one ward to another ward/ diagnostic department. It is also to ensure the safety of staff involved in transporting the patient and to assign responsibilities to individuals and departments in responding to this emergency. The Infection Control practices are not robust during the patient transport from one unit to the other unit. The diagnostic units in the hospital including radiology, endoscopy, non interventional cardiology and other out patient department play a pivotal role in infection control within a hospital because it is a site of high patient traffic and thus has the potential to be a major source of infection transmission among patients, health care personnel, and hospital visitors. Principal goals for infection control in these department should be to optimally observe infection control precautions and adhere to standards for environmental and equipment cleansing. Conceptualization & Implementation I. Code Green concept was derived from SWARM INTELLIGENCE MODEL to allow flexibility, robustness, decentralization and self organization of the staff and unit performing infection control. Central Idea - SWARM INTELLIGENCE • Flexibility - The nearest team of transport staffs, housekeeping team and the nursing takes over the role to ensure Code Green. • Robust - All staffs trained to follow the steps. In absence of one group, another takes over. • Decentralized - The transport and nursing staffs of the concerned unit complete the procedure with supervision of Infection Control Team. • Self Organized - Training, Motivation and Dedication to the job. The Infection Control Team headed by Dr Suresh Ramasubban and Infection Control Nurse - Ms Junie Xaviour spearheaded the program through adequate brainstorming, planning and execution. There was a renewed vigour in attending this patient through multiple involvement of staff incorporating the concept of SWARM INTELLIGENCE - Flexibility, Robustness, Decentralization and Self Organization. Staff involved were: • For initial Calls - Ward Nurse or Ward Secretary • Public Address Announcement Call Center Staff • Transport - Ward Nurse & Transport staff • Shifting - Ward Nurse, Transport Boy and the Technical Staff in Diagnostic Area • Local Cleaning - Nearest Housekeeping Personnel • Supervision - Infection Control Nurse and Housekeeping Supervisor • The Microbiology department did the surveillance testing • The Quality Department contributed by monitoring and statistical analysis II.Code Green is a mechanism to alert the hospital staff through announcements when an infected patient requiring contact or other isolation is transported from one unit of the hospital to another unit. III.Scope includes patients who are currently having Contact Precautions with Carbapenem resistant Enterobacteriaceae, Multi drug resistant Acinetobacter and Pseudomonas and MRSA; Enteric precautions with Enterococcus and Clostridium difficle; Respiratory Precaution through Pulmonary Tuberculosis etc. IV.The areas include transfer of patients to Radiology units, Endoscopy & Bronchoscopy units, Pulmonary Function Test unit, Non Interventional Cardiology unit and other areas of the hospital where these patients are transported for the diagnostic procedure. V. The hand hygiene solutions were made available in these areas by construction of new sinks in Radiology and in Endoscopy areas. Hand hygiene compliance was monitored through renewed checklists. Hand Hygiene pamphlets were provided to encourage social hand wash at these areas – for Outpatients and Inpatient families. clinical excellence There was an overall increase of 15.5% in the compliance levels for the eight JCI accredited hospitals within the Apollo Group in the duration of one year of implementation of the Apollo Accreditation Program. Before entering the receiving unit the person carrying the patient removes the gown and gloves, washes hands, and then takes the patient to the receiving unit. VI.Focus was also laid on patient and family to train them on the techniques of hand hygiene. APOLLO EXCELLENCE REPORT 2013 69 VII.Procedures were developed for routine care, cleaning, and disinfection of environmental surfaces, especially frequently touched surfaces in patient-care areas of MDR patient in diagnostic areas following their use. This project brings a unique flair of combining concept of Intelligence Management and Infection Control Principles to mitigate the risk of Infections to the patients in the hospital particularly in diagnostic setting. 70 VIII.These included – • Focus technique to use Hand Held spray guns only - no mop and bucket usage; • Tissue papers for cleaning – no clothes and these need to be disposed of immediately after use; • Use of double layer disinfectant solution – suggested – Ecoshield followed by Vircon; Contact time – minimum 5 minutes with rubbing the surfaces; between disinfectants 5 minutes and Frequency – immediately after patient use. IX.40 environmental samples taken and analysed in the month of April 2012 showed a 0% growth in CRGNB and 5% in MDR-NF whereas previous study showed 17% CRGNB and 10% MDR -NF contamination in March 2012. X.346 Code Green Calls were made from April 2012 to May 2013. • Majority of the calls were made for patients being shifted to the Radiology Department (82%). • 10% of calls were for patients being shifted to Non Invasive Cardiology Procedures like Echocardiography. • Though the code green calls required 20% more time than the normal in patient’s time, bulk of this time was utilized in environmental cleaning following the protocol. The environmental cleaning time was 6 times more than normal patients – although it did not affect the current patient waiting times. • Contact Precaution of Drug Resistant Gram Negative Organisms accounted for 65% of patients through Code Green; Enteric Precautions for 22% patients. Respiratory precaution – Suspected cases of TB were for less than 2% patients. XI.In this period there was Zero incidence of In house Cross Infection in Patient Transfers from diagnostic units involving 231549 procedures in 3 departments. XII.This project brings a unique flair of combining concept of Intelligence Management and Infection Control Principles to mitigate the risk of Infections to the patients in the hospital - particularly in diagnostic setting. For patient transport, the following guidelines apply • Wear gloves only if the staff is physically moving the patient from the bed. Green Board to be placed in the bed. • Staff should wear gloves and a gown only if the patient is incontinent, or has diarrhea or a draining wound. Patient transport in Code Green Calls followed this pattern: • “Code Green” is announced when an infected patient is transferred for investigations/ non-invasive procedures. • Gloves and Gown worn when physically moving the patient from the bed in a Green trolley. • Before entering the receiving unit the person carrying the patient removes the gown and gloves, washes hands, and then takes the patient to the receiving unit. • After the investigation is complete the staff again dons PPE to take the patient back to the ward. • After transportation is complete, the stretcher or the wheelchair is wiped with VIRKON. Impact & Benefits There were no additional costs involved in the process. It was done through appropriate time management and staff education. Strategies: Nursing will notify Receiving Departments of any patients on Special Organism Precautions. APOLLO EXCELLENCE REPORT 2013 71 72 APOLLO EXCELLENCE REPORT 2013 73 Apollo Hospitals group with an aim to develop human resources with requisite skill sets in the medical arena to address the critical shortage of competent trained specialists in the highly technology oriented current day medical practice. 74 In an integrated academic center of excellence model in healthcare space, clinical excellence, which assures the best quality of care to the patients, shares a symbiotic relationship with academic excellence emphasising on training and research. Various post graduate and post doctoral medical education programs are being offered at Apollo Hospitals group with an aim to develop human resources with requisite skill sets in the medical arena to address the critical shortage of competent trained specialists in the highly technology oriented current day medical practice. I. Diplomate of National Board (DNB) programs During the academic year 2013-2014 fifteen hospitals of the Apollo Hospitals groups located at Chennai, Hyderabad, New Delhi, Kolkata, Bangalore, Mysore, Madurai, Pune, Ludhiana, Ranchi, Bilaspur and Bhubaneshwar are offering the DNB and FNB programs in 38 specialties and subspecialties as mentioned below: Board Specialties (DNB) 1. Anaesthesiology 2. ENT 3. Family Medicine 4. General Surgery 5. Nuclear Medicine 6. Obstetrics & Gynecology 7. Orthopaedics 8. Internal Medicine 9. Pathology 10. Paediatrics DNB: Rheumatology Paediatric Surgery Neonatology Emergency Medicine 11. Respiratory diseases 12. Radiodiagnosis 13. Radiotherapy 14. Immunohaematology & transfusion Medicine 15. Emergency Medicine Super Specialties (DNB) 1. Cardiology 2. Cardiothoracic Surgery 3. Endocrinology 4. Medical Gastroenterology 5. Medical Oncology 6. Nephrology 7. Neuro Surgery 8. Neurology 9. Plastic Surgery 10. Paediatric Surgery 11. Rheumatology 12. Neonatology 13. Surgical Gastroenterology 14. Surgical Oncology 15. Urology FNB: Fellow of National Board of Examinations: (Subspecialty post doctoral program of 2 years duration) 1. Critical Care Medicine 2. Cardiac Anaesthesiology 3. Infectious Diseases 4. Minimal Access Surgery 5. Interventional Cardiology 6. Paediatric Intensive care 7. Paediatric Hematology 8. Paediatric Cardiology FNB: Cardiac Anaesthesiology Interventional Cardiology The numbers of DNB/FNB seats have increased by over 30% from 205 in annual year 2012-2013 to 263 during annual year 2013-2014 with over 700 DNB trainees enrolled in the Apollo group of Hospitals in the annual year 2013-2014. Besides the post graduate and post doctoral programs accredited to National Board of Examinations, other post graduate Diploma and Fellowship programs are being offered in Apollo Group of Hospitals accredited to Royal College of General Practitioners (UK), Royal Liverpool university (UK), Dr. NTR university of Health Sciences, AP, Indira Gandhi National Open University (IGNOU), Indian College of Pathologists, Indian Society of Critical Care Medicine and College of Emergency Medicine (UK). During the current academic year over 1,000 PG Medical trainees are pursuing various Post Graduate and Post Doctoral training programs in Apollo Group of Hospitals including DNB, FNB, MCEM, IDCCM, IFCCM, PGDCC, DEM, DFM, PDCC courses. II. Royal College membership programmes: A)Membership of College of Emergency Medicine (UK) (MCEM): The course is conducted by Apollo Hospitals, Hyderabad under the aegis of College of Emergency Medicine (UK). It is of three years duration and medical graduates from Medical schools recognized by MCI are eligible for the course. Currently this programme is being offered at Apollo Hyderabad, Chennai, Delhi, Bangalore, Ahmedabad and Kolkata. B)MRCGP (International): Member of Royal college of General Practioners (International): Conducted in collaboration with RCGP (UK) and IMA. academics Post Graduate and Post Doctoral Medical Education at Apollo Hospitals group The numbers of DNB/FNB seats have increased by over 30% from 205 in annual year 2012-2013 to 263 during annual year 2013-2014 with over 700 DNB trainees enrolled in the Apollo group of Hospitals in the annual year 2013-2014. During the annual year 2013-2014, the following new post graduate and post doctoral training programs have been started in the Apollo Hospitals group. APOLLO EXCELLENCE REPORT 2013 75 PG Diploma programme in Clinical Cardiology (PGDCC) is conducted in collaboration with IGNOU. Medical Graduates are trained for 2 years in clinical non interventional cardiology. 76 A)IDCCM & IFCCM (Indian Diploma in Critical Care Medicine & Indian Fellowship in Critical Care Medicine) is being conducted under the aegis of ISCCM at Apollo Hospitals, Hyderabad, Chennai, Kolkata, Pune, Bhubaneshwar and New Delhi. B)PG Diploma in Clinical Cardiology (PGDCC) PG Diploma programme in Clinical Cardiology (PGDCC) is conducted in collaboration with IGNOU. Medical Graduates are trained for 2 years in clinical non interventional cardiology. It is available at Hyderabad, Chennai, Kolkata, Ludhiana, Delhi and Bangalore. Currently 100 trainees are pursuing PGDCC programme in Apollo Group of Hospitals. (C) PDCC: (Post Doctoral Certificate Course) A one year fellowship programme in Nephropathology for pathologists with MD/DNB (Pathology) qualification is being offered at Apollo Health City, Hyderabad, accredited by the Indian College of Pathologists. (D)Diploma in Emergency Medicine (DEM): It’s a one year Post Graduate Diploma programme being offered by Medversity online limited, accredited by University of Liverpool (UK) with 9 months contact programme in the Emergency Medicine services of Apollo Hospitals group and 3 months of online training imparted by MedVarsity. (E)Diploma in Family Medicine (DFM): It’s a one year Post Graduate Diploma programme being offered by Medversity online limited accredited by the Royal college of General practitioners (UK) with 3 months contact programme in the Department of Family Medicine along with 9 months of online training imparted by Medvarsity. Course Affiliation MCEM (Member of Royal college of Emergency Medicine) College of Emergency Medicine, UK IDCCM (Indian Diploma in Critical Care Medicine) ISCCM, Indian Society of Critical Care Medicine IFCCM (Fellowship in Critical Care Medicine) ISCCM PhD in Molecular Medicine and Medical Microbiology Dr NTR University of Health Sciences Fellowship in Nephro pathology Indian College of Pathology FEM (Fellowship in Emergency Medicine) Royal Liverpool University (UK) DFM (Diploma in Family Medicine) Royal College of General Practioners (UK) IPPC (International Postgraduate Pediatric certificate) University of Sydney DNB (Diplomate of National Boards, New Delhi) National Board of Examinations, New Delhi PGDCC (Post Graduate Diploma in Clinical Cardiology) IGNOU, New Delhi S.No Name of the programme Location No. of seats No. of trainees during 2013-14 1 DNB 15 centers 263 700 2 Post Graduate Diploma in Clinical Cardiology course (PGDCC) 6 centers 52 100 3 MCEM 6 centers 4 IDCCM / FCCM (ISCCM) 6 centers 25 50 5 PhD in Microbiology 1 (Hyderabad) 2 4 6 FEM (LHP) University of Liverpool 9 centers 100 7 Diploma in Family Medicine (RCGP) 9 centers 100 Performance in exit exams: The success rate of DNB/FNB trainees in the exit exams at Apollo group of Hospitals for the annual year 2013 -14 is 68%. While 55% 0f MCEM trainees have cleared the Part B&C of the exit exam during the current academic year, 95% of PGDCC and 100% of PDCC (Nephro pathology) trainees have come out with flying colors in the final qualifying exam conducted by the IGNOU and Indian College of Pathology. academics III. Other PG Programmes: 100 In future, we shall endeavor to continuously upgrade the infrastructure and teaching resources by training the faculty and trainees and leveraging technology in our hospitals to enable us to improve the quality of structured competency based post graduate training. While 55% 0f MCEM trainees have cleared the Part B&C of the exit exam during the current academic year, 95% of PGDCC and 100% of PDCC (Nephro pathology) APOLLO EXCELLENCE REPORT 2013 77 Apollo Hospital on 27th August announced a tie-up with University of Rochester Medical Centre, New York, envisaging patient care and academic collaboration. Apollo Hospital on 27th August announced a tie-up with University of Rochester Medical Centre, New York, envisaging patient care and academic collaboration. As part of the tie-up the Rochester University and Apollo Hospital’s under-graduate medical college will have faculty and student exchange programme. Also, the University of Rochester will provide its expertise in designing special curriculum, which will be taught here in addition to the syllabus prescribed by the Medical Council of India. Dr. Prathap C Reddy, Chairman of the Apollo Group, said the two institutions would also share expertise, in-clinical care and research across multiple specialities such as gastroenterology, emergency medicine and neurosciences. Medvarsity Medvarsity is the first Medical e-learning venture in India. As envisioned by our Chairman Dr Prathap C Reddy we, at Apollo Hospitals Group, are committed to the achievement and maintenance of excellence in education and research for the benefit of humanity. We firmly subscribe to the belief that clinical services supported by medical education & research of the highest quality relevant to the needs of the country should be an integral part of Apollo Hospitals. There are various programs being offered as part of post graduate medical education initiative at Apollo Hospitals group with the aim of developing competent human resources in the medical arena. Academic Achievements of Medvarsity Diploma in Emergency Medicine 1900 doctors trained and educated in Emergency Medicine and Intensive Care Medicine until date. The Diploma in Emergency Medicine is offered by Royal Liverpool Academy (RLA), Royal Liverpool University Hospital and Medvarsity Online Ltd. The duration is 1 year and an extensive 9-month contact program at Apollo Hospitals. The quality of the program is assured by RLA, UK. Currently, there is a huge demand for trained professionals in accident and emergency care and is expected to rise significantly. As per a BBC report, one person dies every 6 minutes and 10 people are critically injured in road traffic accidents in India. 78 Emergency Medicine is relatively new in India but is fast growing to be a critical specialty. There are very few training programs for Emergency Medicine while the demand for qualified emergency physicians is massive. Those who train in this specialty now have an exciting career ahead of them as many institutes across the country and abroad are in desperate search of qualified emergency physicians. Medvarsity also offers a 6-month course in Intensive Care Medicine with a rigorous 15-day contact program at Apollo Hospitals. This program is designed to develop registered and graduate medical professionals into intensive care practitioners through a programmed approach of knowledge and skills acquisition coupled with a critical thinking focus. This program also prepares the student to take full responsibility for the quality of treatment and care of the critically ill patient. The course material has been developed by experienced specialists from Apollo Hospitals and Medvarsity. Diploma in Family Medicine Trained 1022 doctors in the field of Family Medicine The Diploma in Family Medicine is a one year course with a 3 month contact program at Apollo Hospitals. The course is quality assured by RCGP who also act as external examiners during the assessments. The Family Medicine Course gives doctors in India a chance to upgrade their knowledge and skill online followed by full time clinical attachment. The demand for family medicine courses run by various institutions is seeing a major increase. As against just 50 MBBS students enrolling to become family physicians a couple of years ago, the numbers reached close to 300 in 2011. This is mainly because private hospitals have increased their recruitment for general practitioners. Introduction of Family Medicine as a PG discipline has been emphasized by the Bhore Committee, National Health Policy 2002, National Knowledge Commission and the taskforce on human resource for NRHM. Fellowship in Dialysis Medvarsity has successfully trained about 100 students in the field of Dialysis. There are about 1.5 million people currently undergoing renal replacement therapy in India and the number is expected to double within the next 10 years. This 6 months course followed by 2-week hands on training will enable professionals to play a crucial role in delivering the best dialysis treatment and discuss the value of teamwork during dialysis. Diploma in Hospital Administration Medvarsity has successfully trained and developed 6000 graduates in the field of Hospital Administration. This one year course, which involves a 15 day contact session and a project work, prepares qualified and efficient administrators to manage modern hospitals and deliver better healthcare. academics Apollo Group ties up with Rochester Varsity Introduction of Family Medicine as a PG discipline has been emphasized by the Bhore Committee, National Health Policy 2002, National Knowledge Commission and the taskforce on human resource for NRHM. APOLLO EXCELLENCE REPORT 2013 79 Even nonmedical professionals are increasingly taking up the mantle of hospital administration. The government too is veering around to the view that public hospitals also need to be run professionally. It is evident that there is a wide gap between supply and demand for trained healthcare managers / administrators to work for hospitals, pharmaceutical companies, health insurance and third party administrators and other healthcare organizations. There are bright opportunities even in the government sector. The National Rural Health Mission (NRHM) looks forward to appoint healthcare administrators. The demand for healthcare professionals is envisaged to increase in manifolds in the years to come with more and more hospitals expected to increase in semi-urban and rural areas. Certificate Course in the Management of Diabetes Successfully provided education and training to over 1000 students in the field of Diabetes Management. An estimated 41 million Indians are diabetic and this figure is expected to reach 73 million by 2025 making India the diabetes capital of the world. 80 This 6 month course followed by a 1-week contact program will impart knowledge, skills and confidence in the delivery of diabetes care and to respond appropriately in complex practice situations with other professionals. Certificate Course in Healthcare Quality Management Trained and certified 2500 healthcare professionals in Quality Management Quality improvement has to be the core competency for every healthcare manager and clinician at every level of medical practice. An increasingly educated public expects to receive nothing less than excellent care and services and it must be the mission of every healthcare organization to deliver that excellence. The 6-month Certificate Course in Healthcare Quality is designed to provide participants with a solid foundation of all the core elements of healthcare quality improvement. The fundamental concepts, tools and management techniques of quality are extensively covered in this program. Nursing Courses Trained and certified around 425 nurses in various specialties Nurses and nursing assistants form the largest group of workers in health sector. They are required in the hospitals and health centres right from general ward to operation theatre. Therefore, with the growth of the health industry, the demand for nurses is also increasingly making a career in nursing very attractive. With increasing health consciousness in India, the quality of health services has improved. Skilled and specialized nurses are in high demand by the health organizations. Medvarsity offers nursing courses of 3 months duration in Cancer and Palliative Nursing, Surgical Nursing, Nursing Administration, Critical Care Nursing, Cardiac Nursing and Ward Sister Course, which are available online and offline for nursing graduates who wish to enhance their skills in specialized areas. Fellowship in Neurological Rehabilitation More than 350 students have been awarded successfully. From the bench to the bedside bringing neuroscience to the clinical workplace, this is a flexible program designed for health professionals with an interest in neurological rehabilitation wishing to enhance their career potential in this field. The program is transferable across health care settings nationally and internationally and enables students to apply underpinning principles to their specific areas of work; it encourages debate, critique and selfanalysis of a health care professional’s own clinical practice; it enables students to promote and lead change and be responsive in a changing health care environment. Fellowship in Orthopaedic Rehabilitation There are 448 health care professionals that have been trained & educated. This unique course enables specialist registrars to acquire a scientific and analytical approach to orthopaedic practice, and engenders a class of orthopaedic rehabilitation with a depth and breadth of skills, knowledge and attitude based on a solid foundation of science and clinical expertise. This E - Learning covers a broad spectrum of musculoskeletal topics, including basic science and clinical aspects. It aims to give students, in a multidisciplinary setting, a holistic view of musculoskeletal science and rehabilitation, and provides an in-depth knowledge of specific areas appropriate to each student’s individual interests. Fellowship in Cardiac Rehabilitation (FCR) Medvarsity was able to deliver the course on FCR to 473 health care professionals successfully. This course aims to provide health professionals with an understanding of cardiovascular rehabilitation and prevention, to prepare health professionals to provide an effective cardiac rehabilitation service, and to evaluate their practice objectively through research. It also aims to develop the health professionals’ knowledge of current prevention strategies in the area of cardiovascular disease. The student will gain research experience and undertake a research dissertation. academics Until recently, doctors without any professional training in management were assigned managerial roles. Besides being a difficult task, doctors barely managed to devote time to their patients. Thanks to the rapid corporatization, a lot of medical graduates are taking up further specialization in hospital administration. Even non-medical professionals are increasingly taking up the mantle of hospital administration. The government too is veering around to the view that public hospitals also need to be run professionally. Hence there is a strong need for a course in Healthcare Management. This E Learning covers a broad spectrum of musculoskeletal topics, including basic science and clinical aspects. APOLLO EXCELLENCE REPORT 2013 81 The “Fellowship in Diabetes” course is structured to provide broad, in-depth and updated knowledge in all the aspects of diabetic care and facilitate the physicians develop the skills for efficient and integrated diabetic care. The FSS program started in 2005. Since then Medvarsity has trained 271 physical therapists, sports nutritionists and other health care professionals. Offers knowledge and expertise to develop students’ evaluative, critical thinking and problem-solving skills, and to increase their practical and theoretical knowledge of sports science and injury so that they can apply these skills in the further advancement of their profession. both inpatient and outpatient settings. The Fellowship in Pain Medicine Course is a one year online course with 2 weeks of contact program for MBBS graduates and 6 months online with 1 week contact program for specialists. A “Fellowship in Pain Medicine” will be awarded to those who successfully complete the module tests, the final exam and contact program by Medvarsity and AHERF. Fellowship in Diabetes Post Graduate Diploma in Clinical Nutrition The students will get a joint certification from Apollo Hospitals, Royal Liverpool academy and Medvarsity. The program consists of 100 plus instructional hours through expert web based classes, online learning resources plus hands on internship for 10 days in one of the Apollo Hospitals across India. Certification is by Apollo and Medvarsity. Successfully provided education and training to over 200 students in the field of Diabetes Management. The “Fellowship in Diabetes” course is structured to provide broad, indepth and updated knowledge in all the aspects of diabetic care and facilitate the physicians develop the skills for efficient and integrated diabetic care. The course offers in-depth and updated course content, latest advances and guidelines, 4 week period of hands on training to enhance clinical skills at major Apollo Hospitals across India. Fellowship in Pain Medicine International Postgraduate Paediatric Certificate (IPPC) International Postgraduate Paediatric Certificate (IPPC) program is run in collaboration with University of Sydney as a one year online program with contact classes at Apollo. It was started at three Apollo centres in 2010 - Delhi, Chennai and Kolkata. We added two centres - Bangalore and Hyderabad in 2012. academics Fellowship in Sports Sciences (FSS) Contact classes are organized at these locations for the students on a regular basis. The exam for the 2012 -13 batch was organized in August 2013 at two centres, Delhi and Bangalore and at two centres, Delhi and Kolkata in December 2013. Successfully trained around 120 students in the field of Clinical Nutrition The Post Graduate Diploma in Dietetics & Clinical Nutrition (PGDDCN) is a one year e-learning program with a combined integrative and preventive educational approach to health, nutrition and disease. It is specifically designed for health professionals who are interested in acquiring competency in the field of Clinical Nutrition. The Fellowship in Pain Medicine Course introduces the student to best practices in Pain Management. This course focuses on teaching comprehensive, interdisciplinary approach to management of pain in 82 APOLLO EXCELLENCE REPORT 2013 83 84 APOLLO EXCELLENCE REPORT 2013 85 In pursuance of our policy for recognition of research papers published in journals with high impact factors, the following papers were recognized in 2012-13: AHERF Adjunct Titles Policy to grant Adjunct titles of Professor and Associate Professor of AHERF was implemented across the group during the year 2013. List of Published Papers recognized in 2013 - Apollo Group Consultants Twenty one consultants were granted the adjunct title of Professor and Associate Professor of AHERF during the year 2013. Consultants Granted Adjunct Titles of Professors and Associate Professors of AHERF - 2013 86 S.No Name of consultant Speciality Location Title 1 Dr. Bharat J. Parikh Oncology Ahmedabad Professor 2 Dr.Govindarajan M J Radiology Bangalore Associate Professor 3 Dr. Sambit Das Endocrinology Bhubaneswar Associate Professor 4 Dr. Mohammad Ibrarullah Gastroenterology & laparoscopic surgery Bhubaneswar Professor 5 Dr. Prasant Kumar Sahoo Interventional Cardiology Bhubaneswar Associate Professor 6 Dr. Abdul Ghafur Infectious Diseases ASH Chennai Associate Professor 7 Dr. Anand Khakhar Liver Disease & Transplantation Chennai Professor 8 Dr. Rajesh Chawla Respiratory Medicine Delhi Professor 9 Dr. Devendra Kumar Agarwal Nephrology Delhi Professor 10. Dr. Sundeep Upadhyaya Rheumatology Delhi Associate Professor 11 Dr. Umanath Nayak Head & Neck Oncology Hyderabad Associate Professor 12 Dr. Sanjay Sinha Urology & Transplant Surgery Hyderabad Professor 13 Dr. P. C. Rath Interventional Cardiology Hyderabad Professor 14 Dr.V.Sathavahana Chowdary ENT, Head & Neck Surgery Hyderabad Associate Professor 15 Dr. Pankaj Kumar Orthopedic Surgery Karimnagar Associate Professor 16 Dr. Dev Shuvendu Roy ENT, Head& Neck Surgery Kolkata Associate Professor 17 Dr. Gaurab Maitra Anesthesiology & Pain Medicine Kolkata Associate Professor 18 Dr Usha Goenka Radiology Kolkata Associate Professor 19 Dr. Rabindra Nath Chakraborty Cardiology Kolkata Professor 20 Dr. Krishnan Swaminathan Diabetes & Endocrinology Madurai Professor 21 Dr. Shyama Subramaniam Biochemistry Tondiarpet, Chennai Associate Professor Publishing Journal and date Recommendations of the Committee Dr. Abdul Ghafur Dr. Ramasamy Pushparaju Dr. Sarathy Nalini Dr. Krishnamurthy Rajkumar Dr. Durairajan Sureshkumar Journal of Microbiology and Infectious Diseases March 2012 Rs. 10,000/and Citation by the Chairman Clinical profile of patients treated with cefepime/ tazobactam: A new Beta-lactam/ Betalactamase inhibitor combination Dr. Abdul Ghafur Dr. Ashwini Tayade Dr. Priyadarshini Kannaian Journal of Microbiology and Infectious Diseases September 2012 Rs. 15,000/and Citation by the Chairman ASH Chennai Factors influencing quality of life in adult primary brain tumour Dr. Rakesh Jalali Neuro Dr. Debnarayan Dutta Oncology September 2012 Rs. 10,000/and Citation by the Chairman Orthopedics Bhubaneswar Osteoporosis affects component positioning in computer navigation - assisted total knee arthroplasty Dr. Dae-Hee Lee The Knee Dr. Debabrata Padhy 2012; Dr. Soon-Hyuck Lee 19(3):203-7 Dr. Kyung-Wook Nha Dr. Ji-Hun Park Dr. Seung-Beom Han from Korea Rs. 10,000/and Citation by the Chairman Orthopedics Bhubaneswar Bilateral ankle swelling in a renaltransplant recipient - Case presentation Dr. Prasantha padhan Dr. Debabrata Padhy Dr. Bikash Agrawala Dr. Ajit Biswal Dr. Samiran Adhikary Indian Journal of Rheumatology March 2012, Vol. 7 Rs. 10,000/and Citation by the Chairman Dr. MohamSurgical mad Ibrarullah Gastroen terology Bhubaneswar Management of bile duct injury at various stages of presentation: Experience from a tertiary care centre Dr. Md. Ibrarullah Dr. S. Sankar Dr. K. Sreenivasah Dr. S. R. K. Gavini Indian J Surg DOI 10.1007/ s12262012-0722-2 September 2012 Rs. 10,000/and Citation by the Chairman 7 Dr. Rashmi Sharma Obstetrics and Gynecology Bilaspur Management of Dr. Rashmi Sharma sickle cell disease in pregnancy Apollo Medicine September 2012 Rs. 15,000/and Citation by the Chairman 8 Dr. Ashish Jaiswal Orthopedics and spine surgery Bilaspur Minimally invasive spine surgeries MISS Dr. Ashish Jaiswal Apollo Medicine December 2012 Rs. 15,000/and Citation by the Chairman 9 Dr. Ramesh Venkataraman Critical Care Medicine Chennai Sepsis: Update in the Management Dr. Ramesh Venkataraman Dr. John A. Kellum Advances in Chronic Kidney Disease, January, 2013 Rs. 10,000/and Citation by the Chairman S. Name of the No Consultant Specialty Hospital Topic Authors and Co authors details 1 Dr. K. Abdul Ghafur Infectious Diseases ASH Chennai Sensitivity pattern of Gram negative bacteria to the new beta-lactam/ Beta-lactamase inhibitor combination: Cefepime/ tazobactam 2 Dr. K. Abdul Ghafur Infectious Diseases ASH Chennai 3 Dr. Debnarayan Dutta Radiation Oncologist 4 Dr. Debabrata Padhy 5 Dr. Debabrata Padhy 6 APOLLO EXCELLENCE REPORT 2013 research Published papers recognized 87 S. Name of the No Consultant 10 11 Publishing Journal and date Rs. 10,000/and Citation by the Chairman Specialty Hospital Topic Critical Care and sleep Medicine Chennai Asian Venous thromb oembolism guidelines: prevention of Venous thromb oembolism Dr. Liew N. C-Malaysia Dr. Chu P. H and Dr. Chang Y. H-Taiwan Dr. Choi G-Hongkonh Dr. Gao X- China Dr. Gibbs H-Australia and 14 others International Angiology, December 2012 Neuro surgery in India: an overview Dr. K. Ganapathy World Neurosurgery Histoplasmosis in India: Truly Uncommon or Uncommonly Recognised Dr. Ram Gopalakrishnan Dr. P. Senthur Nambi Dr. V. Rama subramanian Dr. K Abdul Ghafur Dr. Ashok Parameswaran Dr. Shareek P.S Dr. D. Sureshkumar Dr. Ramgopala krishnan Dr. V. Rama subramanian Dr. K. Abdul Ghafur Dr. M.A. Thirunarayan Dr. Raju Vaishya Delhi Rs. 15,000/and Citation by the Chairman Orthopedics and joint replace ment surgery Pain management in Dr. Vaishya R. Total Knee Replace- Dr. Majeed A. ment Apollo Medicine December 2012 Rs. 15,000/and Citation by the Chairman 20 Dr. Raju Vaishya Delhi Rs. 15,000/and Citation by the Chairman Hip Resurfacing Arthroplasty in Inflammatory Arthritis Dr. Vaishya R Journal of association of Physicians of India October 2012 Orthopedics and joint replace ment surgery The Journal of Arthroplasty 2013 Rs. 10,000/and Citation by the Chairman 21 Dr. Shuvendu Prosad Roy Orthopedics Delhi Dr. Shuvendu Prosad Roy Dr. U. F. Tanki Dr. A. Dutta Dr. O. N. Nagi Dr. S. K. Jain Knee surg sports traumator Arthorsc; 15 March 2012 Rs. 10,000/and Citation by the Chairman American Journal of Infectious diseases 2012 Rs. 15,000/and Citation by the Chairman Efficacy of intraarticular tranexamic acid in blood loss reduction following primary unilateral total knee arthroplasty 22 Dr. Tarun Sahni Internal and Hyperbaric Medicine Delhi Use of Hyperbaric Oxygen therapy in management of Orthopedic Disorders Dr. Tarun Sahni Dr. Shweta Aggarwal Elseveir Apollo Medicine Journal, Orthopedics December 2012 Rs. 10,000/and Citation by the Chairman 23 Dr. Subash Gupta Pediatric Gastroenterology and Hepatology Delhi Post transplant biliary complications: an analysis from a predominantly living donor liver transplant center Dr Manav Wadhawan Dr A Kumar Dr S Gupta Dr R Shandil Dr S Taneja Dr A Sibal Journal of gastroenterology and Hepatology, 22nd Feb 2013 Rs. 10,000/and Citation by the Chairman 24 Dr. C. Chandra sekhar Vascular Surgery Hyderabad Cholesterol Emboli Syndrome: Acute Renal Insufficiency After a Procedure or a Thrombolytic Therapy or Anticoagulant Therapy Dr. C. Chandra Sekhar Dr. Parveen Jindal Dr. V. Guru Karna Dr. Manoj Aggarwal Dr. Soma Sekhar Indian Journal of Surgery September 2012 Rs. 10,000/and Citation by the Chairman 25 Dr. AVS Suresh Medical Oncology Hyderabad Stem-cell therapy in medicine–how far we came and what we can expect? Dr. AVS Suresh Apollo Medicine March 2012 Rs. 10,000/and Citation by the Chairman 26 Dr. AVS Suresh Medical Oncology Hyderabad A randomised, double-blind, placebo-controlled phase 2 study of trebananib (AMG 386) in combination with FOLFIRI in patients with previously treated metastatic colorectal carcinoma. Dr. M Peeters Dr. A H Strickland Dr. M Lichinitser Dr. AVS Suresh Dr. G Manikhas Dr. J Shapiro, W Dr. Rogowski Dr. X Huang Dr. B Wu Dr. D Warner Dr. R Jain Dr. N C Tebbutt Br J Cancer January 2013 Rs. 10,000/and Citation by the Chairman 13 Dr. Shareek, P.S. Infectious Diseases Chennai Antibiotic sensitivity pattern of blood isolates of acineto bacter species in a tertiary care hospital 14 Dr. Dorairajan Sureshkumar Infectious Diseases Chennai Invitro activity of Dr. Dorairajan tigecycline in the era Sureshkumar of NDM-1 Dr. Ram Gopala krishnan Dr. M.A. Thirunarayan American Journal of Microbiology 3 2012 Rs. 10,000/and Citation by the Chairman 15 Dr. Manav Wadhawan Gastro enterology Delhi Cytomegalovirus Infection: Its Incidence and Management in CytomegalovirusSeropositive Living Related Liver Transplant Recipients: A Single-Center Experience Dr. Manav Wadhawan Dr. Subash Gupta Dr. Neerav Goyal Dr. Karisangal R. Vasudevan Dr. Kausar Makki Dr. Reetika Dawar Dr. Raman Sardana Dr. Nand Lal Dr. Ajay Kumar Liver Transplantation December 2012 Rs. 10,000/and Citation by the Chairman Hepatitis B core antibody testing in Indian blood donors: A double edged sword! Dr. R. N. Makroo Dr. Mohit Bhatia Dr. Aakanksha Bhatia Dr. Bhavna Arora N. L. Rosamma Asian Journal of Transfusions Science January-June 2012 Rs. 15,000/and Citation by the Chairman Rapid prenatal diagnosis through fluorescence in situ hybridization for preventing aneuploidy related birth defects Dr. Ashish Fauzdar Dr. Mohit Chowdhry Dr. R. N. Makroo Mr. Manoj Mishra Ms. Priyanka Shrivastava Ms. Preeti Bhadauria Dr. Anita Kaul Indian Journal of Human Genetics Jan-March 2013 Rs. 15,000/and Citation by the Chairman 17 Dr. R. N. Makroo Transfusion Medicine, Molecular Biology, Transplant Immunology Delhi Rs. 10,000/and Citation by the Chairman 19 Chennai Dr. Vaishya Raju The Journal of Arthroplasty 2012 All-Polyethylene Tibial Implant in Young Active Patients Infectious Diseases Delhi Topic Recommendations of the Committee Delhi Dr. Ram Gopala krishnan Transfusion Medicine, Molecular Biology, Transplant Immunology Hospital Publishing Journal and date Orthopedics and joint replace ment surgery Chennai Dr. R. N. Makroo Specialty Authors and Co authors details Dr. Raju Vaishya Neuro surgery 16 S. Name of the No Consultant 18 Dr. K. Ganapathy 12 88 Dr. N. Ramakrishnan Authors and Co authors details List of Published Papers recognized in 2013 - Apollo Group Consultants Recommendations of the Committee APOLLO EXCELLENCE REPORT 2013 research List of Published Papers recognized in 2013 - Apollo Group Consultants 89 S. Name of the No Consultant Hospital Topic Authors and Co authors details Publishing Journal and date 27 Dr.V.Satha vahana Chowdary ENT, Head and Neck surgery, Allergy and dizziness Hyderabad CD 23, Total IgE and TH1/TH2 cytokines in asthma patients Dr. V. Sathavahana Chowdary Dr. Vijayendra chary Dr. A. Hemalatha R Dr. Narendra Babu K Dr. Ramesh Kumar R Dr.Dinesh Kumar B International journal of pharmacy and pharmaceutical sciences March 2012 Rs. 10,000/and Citation by the Chairman 28 Dr. Sudipta Sekhar Das Transfusion Medicine Kolkata Managing uncontrolled postsplenectomy reactive thrombocytosis in idiopathic thrombocytopenic purpura: Role of thrombocytapheresis Dr. Sudipta Sekhar Das Dr. Soumya Bhattacharya Dr. Subrata Sen Transfusion and Apheresis Science February 2013 29 Dr. Sudipta Sekhar Das Transfusion Medicine Kolkata Investigating weak 'A' subgroups in a healthy lady: the blood bank limitations 30 Dr. M. K. Goenka Gastroenterology Kolkata 31 32 33 34 90 Specialty List of Published Papers recognized in 2013 - Apollo Group Consultants Recommendations of the Committee Dr. M. K. Goenka Dr. Ashish Gupta Dr. Ashish Gupta Dr. G. L. Awasthi Gastroenterology Plastic Surgery Plastic Surgery Department of Medicine Kolkata Ludhiana Ludhiana Ludhiana S. Name of the No Consultant Specialty Hospital Topic 35 Dr. Manpreet Singh Salooja Cardiothoracic and Vascular Surgery Ludhiana Pulmonary Embolectomy With Use Of Pediatric Bronchoscope For The Detection Of Residual Emboli: An Innovative Surgical Technique Rs. 15,000/and Citation by the Chairman 36 Dr. Krishnan Swaminathan Endocrinology Madurai Dr. Sudipta Sekhar Das Asian Journal Dr. R. U. Zaman of TransfuDr. Mohd. Safi sion Science February 2013 Rs. 10,000/and Citation by the Chairman 37 Dr. Krishnan Swaminathan Endocrinology Glue for Sealing Internal Pancreatic Fistula in a Patient with Liver Cirrhosis: A Useful Technique Dr. Mahesh Kumar Goenka Dr. Ashish Kumar Jha Dr. Nisha Kapoor Dr. Usha Goenka JOP. J Pancreas (Online) 2012 May 10; 13(3):292-295 Rs. 15,000/and Citation by the Chairman 38 Dr. Anuradha Khadilkar Multistix 10 SG Leukocyte Esterage Dipstick Testing in Rapid Bedside Diagnosis of Spontaneous Bacterial Peritonitis: A Prospective Study Dr. Ashish K. Jha Dr. Dal C. Kumawat Dr. Yasvant K. Bolya Dr. Mahesh K. Goenka Journal of Clinical and Experimental Hepatology September 2012 Vol. 2 No. 3 224–228 Rs. 10,000/and Citation by the Chairman 39 Dr. Vaman Khadilkar Demographic profile of hand injuries in an industrial town of north India: A review of 436 patients Dr. Ashish Gupta Dr. Ashok K Gupta Dr. Sanjeev Uppal Dr. Rajinder Mittal Dr. Ramneesh Garg Dr. Niharika Aggarwal Indian Journal of Surgery June 2012 Rs. 10,000/and Citation by the Chairman Rotation advanceDr. Ashish Gupta ment flap for Dr. Ashok K Gupta isolated congenital alar rim defect: An effortless paradigm? International Journal of pediatric otorhinolaryngology October 2012 Rs. 10,000/and Citation by the Chairman MethotrexateDr. Gurcharan Avasthi Induced Liver CirDr. Prashant Bhatt rhosis in a Patient of Dr. Jagdeep Singh Psoriasis Journal of Association of physicians of India May 2012 Rs. 15,000/and Citation by the Chairman Authors and Co authors details Recommendations of the Committee Indian Journal of Cardiothoracic And Vascular Surgery (IJTCVS) January 2013 Rs. 10,000/and Citation by the Chairman Pancreatic Diabetes: Dr. Krishnan An Indian PerspecSwaminathan tive Dr. Rajesh Prabhu The British Journal of Diabetes and Vascular Disease November 2012 Rs. 15,000/and Citation by the Chairman Madurai Refractory hypoglycemia in diabetes: A quinolone link Dr. Krishnan Swaminathan Dr. Keerthiga vidi The British Journal of Diabetes and Vascular Disease November 2012 Rs. 20,000/and Citation by the Chairman Pediatrics Pune Body fat reference percentiles on healthy affluent Indian children and adolescents to screen for adiposity Dr. AV Khalidkar Dr. Sanwalka NJ Dr. Chiplookar SA Dr. Khadilkar VV Dr. Pandit D International Journal of Obesity (Lond). January 2013 Rs. 15,000/and Citation by the Chairman Pediatric Endocrinologist Pune Relationship between body mass index, fat distribution and cardiometabolic risk factors in Indian children and adolescents Dr. Khadilkar VV Dr. Khadilkar AV Dr. Chiplonkar SA Pediatric Obesity August 2012 Rs. 15,000/and Citation by the Chairman 40 Dr. Smita Joshi Obstetrics and Gynecology Pune Screening of cervical neoplasia in HIV-infected women in India Dr. Smita Joshia AIDS FebruRengaswamy ary 2013 Dr. Sankaranarayanan Dr. Richard Muwongeb Dr. Vinay Kulkarnic Dr. Thara Somanath Dr. Uma Divate Rs. 15,000/and Citation by the Chairman 41 Dr. Nina Mansukhani Pune Are women satisfied when using levonorgestrel-releasing intrauterine system for treatment of abnormal uterine bleeding Dr. Nina Mansukhani Dr. Jyothi Unni Dr. Meenakshi Dual Dr. Reeta Darbarf Dr. Sonia Malikl Dr. Sohani Verma Dr. Sonal Bathla Rs. 10,000/and Citation by the Chairman Obstetrics and Gynecology Dr. Manpreet Singh Salooja Dr. Kishore .C. Mukherji Dr. Anupam Shrivastava Dr. Manender K. Singla Dr. Sonia Saini Dr. Sankhadip Parmanik Dr. Pardeep Kaur Publishing Journal and date Journal of Midlife health JanuaryMarch 2013 APOLLO EXCELLENCE REPORT 2013 research List of Published Papers recognized in 2013 - Apollo Group Consultants 91 Clinical Fellowships of AHERF strategic partnerships with national/ internationally renowned institutes/ universities and hospitals in India and abroad in the interest of developing innovative collaborative educational and research programmes. The unique goals of the AHERF remain improvement of standards of medical care and promoting and pioneering innovative steps for further progress of medical science. In 2013, AHERF started to grant Clinical fellowships of one year duration in various disciplines to qualified medical professionals. These fellowships are offered in those specialities where no or limited training programs exist in India. AHERF Clinical Fellowships is offered in the following specialties: S. No. Speciality Qualification Fellowship 1. Neurology MD/DNB (SS*) DM/ DNB (SS*) i. Fellowship in Stroke ii. Fellowship in Neuro-Muscular Disorders 2. Nephrology MD/DNB DM/DNB (SS*) MD/DNB i. Fellowship in Clinical Nephrology ii. Fellowship in Transplant Nephrology iii. Fellowship in Renal Dialysis 3. Obs & Gynae MD/DNB MD/DNB i. Fellowship in IVF ii. Fellowship in Fetal Medicine 4. Endocrinology MD/DNB Fellowship in Diabetes 5. GI Surgery MCh/DNB (SS*) Fellowship in Liver Transplantation (duration 2 years) 6. Hepatology DM/DNB (SS*) Fellowship in Hepatology 7. Anaesthesiology MD/DNB MD/DNB i. Fellowship in Liver Transplant Anaesthesia ii. Fellowship in Cardiac Anaesthesia 8. Gastroenterology MD/DNB Fellowship in Endoscopy 9. General Surgery MS/DNB Fellowship in Bariatric Surgery 10. Medicine MD/DNB Fellowship in Pain Medicine MD/DNB Fellowship in Molecular Biology 11. Microbiology * Super speciality DNB 92 research Apollo Hospitals Education and Research Foundation (AHERF) is a not-for-profit registered organisation established in the year 1992. AHERF aims at promoting and supporting education, training and research activities in the quest of quality health care. Through its various educational institutions across the country, it offers an array of Master’s, Baccalaureate, Fellowship, Diplomas, and Certificate courses in Medical and Health Sciences, Hospital and Healthcare Management disciplines. In addition to educational and research activities, AHERF continues to establish and strengthen In 2013, AHERF approved Clinical Fellowships in the following specialties at various locations of Apollo Hospitals Group: Specialty wise approved list of Clinical Fellowships of AHERF 2013 Specialty Total Number Locations Name Stroke in Neurology 4 Delhi, Bilaspur, Pune & Kolkata Nephrology/Clinical Nephrology 2 Secunderabad and Bilaspur Endoscopy in Gastroenterology 2 Bilaspur and Kolkata Interventional Cardiology 1 Secunderabad Interventional Pulmonology 1 Chennai Hyperbaric Medicine 1 Delhi Endocrinology 1 Delhi Liver Transplant Anaesthesia 1 Delhi Liver Transplantation** 1 Delhi Head and Neck Oncologic surgery 1 Hyderabad Total number of Clinical 15 Fellowships approved ** Duration of Fellowship in Liver Transplantation is 2 years Apollo Medicine Journal “Apollo Medicine Journal”, the official journal of the Apollo Group is being published in collaboration with Elsevier in both print and electronic formats. Apollo Medicine Journal (ISSN No 0976-0016) has been conceptualized with the idea of providing a platform for researchers as well as clinicians ever since its inception in September 2004. The journal has a panel of approximately 108 reviewers and is published quarterly (March, June, September and December) and is distributed to all consultants of Apollo Group, medical colleges and various subscribers around the world. Current and previous issues of the journal can be accessed at www.apollomedicaljournal.net The published work in this journal is now visible and acknowledged globally as the journal is indexed on Science Direct, world’s largest and leading medical sciences portal for educational institutions, libraries and hospitals. All articles are now peer reviewed and we have also applied for Scopus. The revised editorial board has on board eminent International and National faculty members. The Journal invites articles from outside Apollo and approximately 30 outside articles are in production for the coming issues. The page views of AMJ website depicted a significant The revised editorial board has on board eminent International and National faculty members. The Journal invites articles from outside Apollo and approximately 30 outside articles are in production for the coming issues. APOLLO EXCELLENCE REPORT 2013 93 Apollo Medicine is now available on Health Advance – A Mobile application to download and read the whole journal. 94 Medicine is registered with COPE (Committee on Publication Ethics) and each manuscript is checked for Plagiarism. New Sections have been added: Algorithms, Interesting Rare Case Pictures, Online CME, etc. Apollo Medicine is now also available on yearly subscription. Apollo Medicine Journal has been approved and included in the Directory of Open Access Journals (DOAJ). Sl. No. Volume No. Date of issue Subject 24 No. 2 June 2010 Minimal Access Surgery 25 No. 3 September 2010 Critical care 26 No. 4 December 2010 Gastroenterology and Gastrointestinal Surgery 27 Vol. 8 No 1 March 2011 Advances in Diagnostic Methods 28 No 2 June 2011 Anaesthesia 29 No 3 September 2011 Cardiology 30 No 4 December 2011 Recent Advances in Paediatrics 31 Vol 9 No 1 March 2012 Advances in Organ Transplantation Apollo Medicine Journal Issues: 32 No 2 June 2012 Advances in Oncology 38 issues have been published so far and from Dec 2013 onwards it’s non theme based. 33 No 3 September 2012 Advances in Obstetrics and Gynaecology Sl. No. Volume No. Date of issue Subject 1 Vol. l No.1 September 2004 Cardiology and CardiothoracicSurgery 2 No.2 December 2004 Oncology 3 Vol.2 No.1 March 2005 Neurosciences 4 No.2 June 2005 Orthopaedics 5 No.3 September 2005 Nephrology and Urology 6 No.4 December 2005 Paediatrics 7 Vol.3 No.1 March 2006 Obstetrics and Gynaecology 8 No.2 June 2006 Endocrinology 9 No.3 September 2006 Internal medicine 10 No.4 December 2006 Minimal Access Surgery 11 Vol.4 No.1 March 2007 Diagnostic Services 12 No.2 June 2007 Paediatrics 13 No.3 September 2007 Cardiology 14 No.4 December 2007 Gastroenterology 15 Vol.5 No.1 March 2008 Anaesthesia 16 No.2 June 2008 Neurosciences 17 No.3 September 2008 Oncology 18 No.4 December 2008 Organ Transplantation 19 Vol.6 No.1 March 2009 Orthopaedics 20 No.2 June 2009 Nephrology and Urology 21 No.3 September 2009 Obstetrics and Gynaecology 22 No.4 December 2009 Endocrinology 23 Vol. 7 No. 1 March 2010 Internal Medicine 34 No 4 December 2012 Advances in Orthopaedics 35 Vol 10 No 1 March 2013 Advances in Nephrology and Urology 36 No 2 June 2012 Advances in Endocrinology 37 No 3 September 2012 Advances in Neurosciences 38 No 4 December 2012 Non theme AHERF Vision Enable a Research and Innovations led Apollo Hospitals, which consistently rides the cutting edge in Technology, Therapy and Delivery for improved patient outcomes, affordability and reach. About AHERF AHERF spearheads research dedicatedly for the Apollo Hospitals group. The Apollo Hospitals Educational and Research Foundation (AHERF) is an autonomous organization recognized by the Department of Scientific and Industrial Research (DSIR) as a “Scientific and Industrial Research Organization (SIRO)”, to carry out research, educational and training programs in the quest of quality health care. AHERF undertakes and promotes scientific and medical research programs that have a bearing on the health, social, economic and industrial needs of India. AHERF leverages the strength of the Apollo Group of Hospitals, which lies in its competent clinicians and clinical researchers, a large number and variety of patients, state-of-the-art diagnostic and therapeutic technologies and an excellent medical records system. research growth of 118% from Jan 2013 to Dec 2013. In June 2013, India has seen the maximum page views of 471, followed by United States (197) and Great Britain (60). There has been contribution of manuscripts from U.S, China and Egypt in the last six months. Apollo Medicine is now available on Health Advance – A Mobile application to download and read the whole journal. Apollo a large number and variety of patients, state-of-theart diagnostic and therapeutic technologies and an excellent medical records system. The foundation aims to strengthen Apollo Hospitals in its quest for excellence in providing healthcare solutions to patients such that healthcare is more effective, affordable and accessible. AHERF is APOLLO EXCELLENCE REPORT 2013 95 The company shall leverage pathological data to develop high-end diagnostics for various diseases and shall also provide genetic risk assessment tools. ethically consented human tissues and its associated data in a state-of -the-art, proprietary database. This shall greatly facilitate the discovery of new treatments and the prosecution of new and known therapeutics for national and international investigators. Work Scope AHERF works across a diverse set of focus areas namely – Drug trials, Device and software validation studies and co-development, basic and translational research, public health studies and healthcare innovation through creative collaborations. Sapien shall fulfil our vision of delivering better clinical outcomes through bench-to-bedside innovation by offering personalized medicine services to Apollo Hospitals. The company shall leverage pathological data to develop high-end diagnostics for various diseases and shall also provide genetic risk assessment tools. It also intends to bring to patients specific gene-based diagnostic panels for cancer, diabetes and ophthalmology ailments to transform the diagnosis and treatment regimens. These developments shall drive transformation from reactive to preventive healthcare management amongst patients. Translational Research Bio-Banking and Personalized Medicine Apollo Hospitals is committed to translating research into clinical outcomes for patient benefit. With this aspiration, Apollo Hospitals recently incubated and launched Sapien Biosciences within AHERF’s facility in Hyderabad. Sapien Biosciences is currently in the process of creating a world class bio-bank comprising of high quality Sapien has launched its first and novel personalized medicine diagnostic test “My Platelet” at Apollo Hyderabad. Roll out to other Apollo centres are in progress. So far, Sapien has rolled out its first personalized medicine assay called ‘’My Platelet’’ at Apollo Hospitals Hyderabad to determine patient’s response to their bloodthinning medication and support decision-making by the cardiologists to personalize therapy for better outcomes. This is the only test in India that combines both genetic and platelet function response to enable tailored anti-platelet therapy for 96 each patient. In 4 months, around 60 diagnostic tests have been undertaken and the same test is likely to be rolled out in other locations starting with Bangalore and Bhubaneswar. Further, Sapien is all set to introduce a first clinical genomics test for the eye at Apollo across major hospitals in February 2014, which will allow differential diagnosis amongst patients. Subsequently a robust pipeline is planned across the year to introduce genetic tests in oncology, cardiology and diabetes. These tests will either fall in the category of predictive risk assessment of disease or under the category of clinical genomics for differential diagnosis and better disease management. Sapien is engaged with the best technology partners existing in India and the west. Glioblastomas Glioblastoma multiforme (GBM) is the most aggressive malignant primary brain tumor in humans. Based on the World Health Organization (WHO) diagnosis criteria, histopathological assessment thus far is considered the gold standard for identification of brain tumors. However, the diagnosis procedure is not always precise due to substantial inter-observer variation, heterogeneous nature of tumors and complications arising from invasive cerebral biopsy, which are around 10% of total biopsies. AHERF is in the process of developing a circulating biomarkers (CBMs) based diagnostic panel for detection and screening of glioblastomas (GBMs) directly from the blood. This technology is based on the principle that CBMs levels are increased in GBM patients, which are quantifiable using the existing molecular diagnostic technologies. So far, a pilot study has been conducted with encouraging results leveraging which AHERF shall soon commence a larger study to realize the path breaking biomarker. This minimally invasive technology enables gaining information about the GBM profile without the need of an invasive biopsy. Further, this panel can also be used for real time monitoring of GBM post surgery for any cases of metastasis. The benefits that could accrue from this project are multifaceted: 1.Development of a blood-based diagnostic panel obviating the need for biopsy especially in inaccessible GBM patients where the risk of biopsy is 10%. 2.Establishment of additional diagnostic panels for GBM diagnosis using tissue biopsy. 3.Exosome-enabled diagnostics are also potentially applicable to other diseases or medical conditions where genetic testing is beneficial, but access to tissue is difficult. Examples include neurological diseases, muscular disease, kidney disease, diabetes, and other metabolic diseases. 4.Publications, which will help filing a full-scale DSIR certification to avail customs duty exemption. research a single point of contact (SPOC) for the pharmaceutical, biotechnology, medical device and innovator organizations when it comes to undertaking clinical studies for outcomes, technology/ therapy validation and co-development of intellectual property. Glioblastoma multiforme (GBM) is the most aggressive malignant primary brain tumor in humans. Based on the World Health Organization (WHO) APOLLO EXCELLENCE REPORT 2013 97 AHERF has undertaken multiple basic research projects that have significant potential in the area of diagnostics and prognostics for better management of disease in patients. Two of the significant SNPs are in non-coding RNA, which has gained importance because their roles in many diseases, have been clearly elucidated. Genetic association of Coronary Artery Disease in Young Indian Adults A pilot collaborative study with AHERF and Institute of Genomics and Integrative Biology (IGIB), a CSIR Institution and National Institute of Biomedical Genomics (NIBMG), a DBT Institute, was completed to study genetic risk factors in young Indians that may be associated with early incidence of coronary artery disease in young Indians. A total of 109 MI patients (92 males) and 101 healthy controls (76 males) fulfilling inclusion and exclusion criteria were recruited for the study from Chennai, Delhi, Hyderabad and Ahmedabad. The statistical quality control analysis performed at NIBMG revealed high quality data and included 189 individuals for analysis. Although none of the SNPs showed statistically significant differences between patients and controls, highly interesting data was generated. Among the 10 genetic markers, which showed the highest significant association, some are located close to known markers for various CVD risk factors such as obesity. Two of the significant SNPs are in non-coding RNA, which has gained importance because their roles in many diseases, have been clearly elucidated. Many of the associated SNPs were identified for the first time, which needs to be established and validated in 98 consecutive replication studies. The vast amount of data is being subjected for the pathway analysis by Genome Wide Association Studies (GWAS). Once the above analysis is completed, a full fledged study to establish a genetic pre-disposition is likely to be explored further. Pathogen detection and discovery, using High Throughput Platforms In collaboration between International Centre for Genetic Engineering and Biotechnology (ICGEB), AHERF, and Kalawati Saran Children’s Hospital, New Delhi, the RVP Fast Tag technology was evaluated to detect novel viral pathogens from patients with respiratory disease. Using this state-of-the-art technology to assess the prevalence of various respiratory pathogens in Indian hospitals with different socio economic backgrounds. Ninety three (93) paired nasal (NS) and nasopharyngeal (NP) samples were tested and eight respiratory viruses were detected. The frequency of detection was as follows: Rhinovirus in 54, Influenza B virus in 49, Bocavirus in 38, Parainfluenza 4 in 29, Respiratory syncitial virus and Parainfluenza 3 in 8 each, Coronavirus in 2 and Influenza A in 1. These results were confirmed using a multiplex polymerase chain reaction, thereby validating the usefulness and reliability of X-tag assay. The newly identified polyomaviruses associated with acute respiratory infections WU and KI which have not been so far reported in India were isolated in 63 and 32 of the 200 samples. Epidemiological research Prevalence of Non-Alcoholic Fatty Liver Disease (NAFLD) in school children (5-10 years) This ICMR funded study jointly conducted by AHERF and INCLEN intends to study the prevalence of NAFLD amongst children in the age group of 5-10 years who are either overweight, obese or normal weight and the association of this prevalence with insulin resistance and other metabolic syndrome. The cross-sectional study screened 5055 students from 21 randomly identified Delhi schools were initially included for screening, of which 1108 students were excluded based on exclusion criteria. Of the final sample size of 3947, ultrasound was performed in 706 children after obtaining consent from their parents. Detailed evaluation including blood tests could only be performed in a subset of these children. 15% of the children were overweight/obese and 5% of the children were obese while 30.1% of children were underweight. While 9.2% of all children were found to be hypertensive, 22.4% of children (25.6% of boys and 18.5% of girls) had fatty liver on ultrasound; this was found in 8.5% of normal weight and 45.6% of overweight/obese children. Among children with fatty liver disease, 8.1 % had metabolic syndrome. The study findings are being submitted for joint publication. This study is the first to explore the issues on non-alcoholic fatty liver disease in Indian children and the association with metabolic derangement. There is no report from India on fatty liver disease in children. This study provides knowledge based on: Fatty liver disease is not uncommon in children and about 18% of children with normal BMI have evidence of fatty liver disease on USG. Low HDL, hypertriglyceridemia and hyperglycemia are commonest metabolic derangements in children with fatty liver. High BMI and severe fatty liver disease have higher association with metabolic derangement and metabolic syndrome. About 18% of the children are hypertensive and a sizeable proportion of underweight have hypertension. There is lack of appropriate cut off levels for metabolic parameters for Indian children and there is lack of consistency in results using different metabolic syndrome criteria. About 18% of the children are hypertensive and a sizable proportion of underweight have hypertension. The manuscript is under process of preparation. Rural health camps at Gandhigram In collaboration with Kasturba Hospital, Gandhigram (KHGG) AHERF has been providing standard healthcare facilities to a population of the 300 villages in and around Gandhigram Trust, Madurai District. As part of this effort, medical camps, tele-medicine consultations and awareness programs were organized for Gandhigram staff and public from Apollo Specialty Hospitals, Madurai. An ultra sonogram was donated to the hospital. The healthcare screening camps were conducted in the rural area covered by Gandhigram Trust. Out of the 6714 persons screened, 6286 were examined, in whom height and weight research Basic Research There is lack of appropriate cut off levels for metabolic parameters for Indian children and there is lack of consistency in results using different metabolic syndrome criteria. APOLLO EXCELLENCE REPORT 2013 99 A total of 10,104 adolescent girls aged between 10-19 years were recruited on the basis of inclusion and exclusion criteria. Haemoglobin was estimated and sociodemographic details were collected from all participants. 100 Prevalence of anemia and obesity at Sivagangai AHERF, Chennai in collaboration with Apollo Specialty Hospital, Madurai, Mother Theresa Education and Charitable Trust (MTEC), an NGO based at Sivagangai and District Collector’s Office at Sivagangai, Tamil Nadu, undertook a study to evaluate incidence and prevalence of anaemia among adolescent girls and adult women in the Sivagangai District, Tamil Nadu, Southern India. A total of 10,104 adolescent girls aged between 10-19 years were recruited on the basis of inclusion and exclusion criteria. Haemoglobin was estimated and socio-demographic details were collected from all participants. Haemoglobin levels were classified as normal and abnormal based on WHO classification. Of 10,104 study participants, 9.1% were 10-15 yrs, 11.6% were between 15-19 years of age. It was observed that overall 61% of adolescent girls were anaemic (haemoglobin<10g/dL); 27.2% had mild anaemia, 16.2% had moderate anaemia (haemoglobin 7.0-9.0g/ dL) and 17.5% had severe anaemia (haemoglobin<7.0 g/dL). There was a significant association between eating preference and abnormal haemoglobin levels (p<0.001) were noted. Similarly, lack of fruit intake and intake of junk food (p=0.020) were also associated with abnormal haemoglobin levels (p<0.001). We found that certain cofactors such as eating habits, low economic status and marital status are significantly associated with abnormal haemoglobin levels among women of reproductive age. Further, we documented changes among risk factors associated with abnormal haemoglobin levels. The manuscript is being submitted for publication. Analysis of Gender based newer risk factors for Coronary Artery Disease A retrospective data collection study was done to analyze the coronary major risk factors and other newer risk factors in respect to gender difference by a non invasive screening of CAD in asymptomatic subjects in Advanced Heart Health Check up in about 1000 individuals at Apollo Hospitals Chennai from 2007 – 2010. The major and the newer gender based risk factors will be analyzed to correlate with the findings of ECG, ECHO, treadmill and CT coronary angiography. The outcome report is in being prepared. Haematological and Biochemical Reference Levels in a healthy Indian Population Reference intervals refer to quantitative data accompanied with the range of the normal values defining both the upper and lower limits for the laboratory parameters. They have been evaluated by AHERF in a retrospective study across four Apollo Hospital centres at Ahmedabad, Chennai, Hyderabad and New Delhi. 10,665 persons identified as apparently “healthy” were selected using stringent inclusion criteria from a population of 76,000 individuals who underwent Health Check-ups, a preventive health check offered by Apollo Hospitals. The findings of this study were formally released by Dr. V. M. Katoch, Director-General, Indian Council of Medical Research (ICMR) on March 9th, 2010 in presence of the Chairman, Apollo Hospitals Group, Dr Prathap C Reddy. The study outcome is published in Indian Journal of Clinical Biochemistry in July 2013 (Springer Publications). The mean values for all parameters were statistically different between the two genders for all analysis except Mean Corpuscular Volume (MCV). However, the magnitude of the difference was small. Larger differences were observed for the following parameters for which separate reference intervals for the two genders must be considered in clinical decision making. Haemoglobin, Packed cell volume (PCV), Erythrocyte Sedimentation Rate (ESR), Serum Creatinine, Uric acid, High Density Lipoproteins (HDL), triglycerides and gamma glutamyltranspeptidase (GGTP). ESR values were almost 3-fold higher in females than males (4-55mm/ Hr (F) Vs.2-22 (M) mm/Hr.) and the ULN was elevated almost 2-fold as compared to reporting ranges. The reference interval established by our study differed from the currently used reference values. Gender based partitioning is required for haemoglobin, packed cell volume, ESR, high density lipoprotein (HDL), triglycerides, serum creatinine, serum uric acid, and GGTP. Further community based studies are required to validate these findings and make definite recommendations. Abnormal Blood lipids and glucose levels among healthy Indian population A retrospective multi -centric cross-sectional study was conducted on 9842 healthy individuals from four Apollo Hospital centres at Ahmedabad, Chennai, Hyderabad and New Delhi. The study was aimed to identify and collect the data of the persons with abnormal lipid profile and blood glucose levels among healthy Indian population who visited Apollo Hospitals for a preventive health checkup program; and to assess the persons at risk of developing cardiovascular disease. ATP III guidelines were used for lipid and lipoprotein classification as normal and abnormal. The study revealed that overall 22% of the population showed high cholesterol, 38% low HDL cholesterol, 14% with high triglycerides. Similarly, elevated levels of fasting glucose and 2 hr. post glucose were also observed in 20% of the population. The manuscript is submitted for publication. research were recorded. BP measurement was recorded in 65% and blood sugar levels were done for 59% of participants. X-rays were done for 229 and ECG for 299 of the subjects. Telemedicine consultation was provided to 55 subjects. Telemedicine consultations by relevant specialists were provided wherever necessary through Apollo Hospitals, Madurai. The mean values for all parameters were statistically different between the two genders for all analysis except Mean Corpuscular Volume (MCV). However, the magnitude of the difference was small. APOLLO EXCELLENCE REPORT 2013 101 The Institutional Ethics Committees in all the 11 Apollo Hospital locations are registered with the Drug Control General of India (DCGI). Clinical Research AHERF is India’s first and single largest site solutions organization (SSO) having experience of coordinating conduct of over 750 clinical trials across 11 locations in various therapeutic disciplines over the last 14 years. With the current strength of almost 80 certified and experienced Clinical Research Coordinators and 200 Principal Investigators on its panel across 15 sites, AHERF ensures ethical conduct of clinical research across the hospital group. AHERF conducts phase II, III and IV clinical trials, of which 80% are global multi-centric trials. AHERF has established a benchmark in terms of ethics compliance and standards across its sites. For multicentric trials, AHERF has established 102 a central ethics committee which is registered with the national regulatory agency to comply with the requirement and Office of Human Resource Protection (OHRP), US Department of Health whilst its institutional ethics committees at Chennai and Hyderabad are also OHRP registered. AHERF also has built an in-house capability in ethics and quality assurance for clinical trials across multiple sites. In April 2013, AHERF organized a firstof-its kind “National Conference on Evolving roles of Ethics Committees in Clinical Research” at New Delhi. The conference witnessed significant participation by speakers, panellists and delegates from the industry, academia and the Government. The conference was organized with an objective of increasing awareness, aligning all stakeholders on current state, discussing and identifying key changes required on the regulatory and industry front, identifying responsibility amongst stakeholders and charting out the roadmap to strengthen ethical conduct of clinical research in India. Subsequently, Dr. Ranjit Roy Chaudhary, Advisor AHERF & Chairman Research Task Force, Apollo Hospitals was selected as the Chairman for the committee drafting the recommendations research India is currently witnessing a reform process in clinical trials regulation and this has slowed down the approval of clinical (drug) trials for phase 2 and 3 trials particularly. In these circumstances, AHERF has taken on the role of championing Ethics in clinical research. AHERF set out to spearhead ethics across stakeholders through a series of strategically important conferences and meetings. AHERF organized the first ever meeting of chairs of the ethics committee and ethicists who clear clinical trials to discuss the current state of affairs. The conference was well attended with distinguished delegates from across 20 institutes, which included All India Institute of Medical Sciences, NTs, Fortis, JNU and other leading organizations. The proceedings have been submitted to ICMR with recommendations. Dr. Ranjit Roy Chaudhary, Advisor AHERF & Chairman Research Task Force, Apollo Hospitals was selected as the Chairman for the committee The Institutional Ethics Committees in all the 11 Apollo Hospital locations are registered with the Drug Control General of India (DCGI). AHERF currently is coordinating the conduct of almost 100 clinical studies across Apollo hospitals. APOLLO EXCELLENCE REPORT 2013 103 the documents for a study to evaluate the new low dose FDC versus the standard FDCs as Oral Hypoglycemic Agents (OHA) in Type II diabetes patients. 104 Non-Drug Clinical Studies AHERF is working closely with domestic and global pharmaceutical and biotechnology companies to bring in observational/post-marketing studies. This scenario will help to reduce dependence on drug trials and commence Investigator Initiated research studies at Apollo Group. • Two first-of-its-kind observational studies on Hypertension led by Padmashree Dr. Venkat Ram as a principle investigator are expected to be conducted at Apollo Hospitals shortly. Both the studies envisage conducting the study across 130 sites with patients numbering between 500-1200. The magnitude of the study envisages AHERF to manage the studies across Apollo hospitals and external sites as well. The studies involve correlation of the 24 hours ambulatory blood pressure monitoring (ABPM) and home blood pressure monitoring (HBPM) versus office blood pressure monitoring (OBPM) for measuring and monitoring blood pressure in clinical practice and are being reviewed by the Institutional Ethics Committees for recommendation. The studies are likely to commence from April/May 2014. • Under the advisory expertise of Dr. Venkataraman – Senior Consultant Diabetology, AHERF is working towards developing the documents for a study to evaluate the new low dose FDC versus the standard FDCs as Oral Hypoglycemic Agents (OHA) in Type II diabetes patients. The documents will be sent for Ethics Committee review once the protocol is finalized. • A Medtronic sponsored research study to assess the prevalence of Abdominal Aortic Aneurysm (AAA) in patients with cardiovascular risk by USG screening is initiated with Dr. Balaji – Vascular Surgeon as the Principal Investigator. The study will aim to enrol 500 CVD risk patients in one year. The outcome of the study will provide better understanding of AAA pathophysiology and clinical decision making. • Antimicrobial resistance is a growing medical concern and has far reaching consequences both for patient and healthcare outcomes. Many observational studies are being conducted in Infectious Diseases department of the Apollo Hospitals to assess the drug resistance effect of newer antibiotics as mono therapy or as combination therapy versus the existing standard of care practice in patients with various gram positive and gram negative infections. The outcome of the studies will help to define the clinical success, reduced mortality/morbidity, treatment pattern, dose, duration and use for specific pathogens on completion of the study. The studies with Dr. Abdul Ghafur as Principal Investigator sponsored by Astra Zeneca and Glenmark are currently underway. Further, studies with Dr. Ramasubramanian as Principal Investigator sponsored by MSD and Fontil are expected to initiate by March 2014. Research Grants Program To promote investigator driven clinical research within the Apollo Hospitals Group, AHERF has been actively facilitating the program with Apollo Hospitals Group. 25 research projects developed by Apollo clinicians across the country were approved and awarded a sum of Rs 50,000 to facilitate proposal creation. The activity is being continued for third consecutive year to motivate and to stimulate research across Apollo Group of Hospitals. Innovations AHERF is in the process of establishing a dedicated entity to bring innovation from across the world-distribution agreements, validation services and incubation/ commercialization of ideas. The proposal is awaiting the approval of the management and the first innovation campaign is likely to commence by April 2014. • Analytics for Life Collaboration (AFL) Apollo Hospitals has signed an MOU with AFL, a Canadian based innovation company to create a disruptive innovation to strengthen screening capability in cardio-vascular disease. The final agreement with AFL has been finalized for signature by Feb 2014. AHERF has completed conducting first two phases of the study to validate the software algorithm and to assess the CVD. AFL has innovated a technology, capable of detecting a range of cardiac abnormalities by a simple non-invasive mechanism. Their Cardio -Analysis technology has potential to quickly detect and even predict cardiac conditions beyond what a standard ECG analysis can provide. AHERF has completed the first two phases of the study during which the AFL algorithm was trained on normal volunteer subjects followed by a blinded assessment using high resolution Electrocardiogram (hrECG) collected on patients and normal subjects analyzed by AFL cardio analysis to diagnose CAD. The final extension phase study is anticipated to start by end of Feb 2014, which will be a blinded assessment using hrECGs collected on subjects and analyzed by AFL cardio analysis. research for changes in the regulations related to clinical trials. Following the Dr. Roy Chaudhary committee recommendations, AHERF organized a conference in partnership with AIIMS, India’s premiere government institution and Harvard to discuss the implementation challenges and solutions at New Delhi in Jan 2014. The recommendations from this conference shall be submitted to the Government of India shortly. Their Cardio -Analysis technology has potential to quickly detect and even predict cardiac conditions beyond what a standard ECG analysis can provide. APOLLO EXCELLENCE REPORT 2013 105 The fulltime one year Advanced Certificate Course in Clinical Research at PG level is now extended across five AHERF locations including new centres at Kolkata, Hyderabad and Ahmedabad. 106 • First Warning Systems, Inc.: AHERF is exploring potential collaboration opportunities with First Warning Systems, Inc to validate a breakthrough nonirradiative, non-compressive device for dense breast tissue screening with circadian pattern behavior analysis to mammography and physical examination for breast cancer screening. The technology works with the objective of dynamic assessment of circadian cellular relationships in breast tissue which yields higher predictive correlation to tissue abnormalities, leading to reduced patient radiation and reduction in unnecessary breast surgeries. The proposal is being reviewed by the Apollo clinical team. Educational Initiatives The broad objective of this initiative is to train and equip young professionals with the critical skills needed to develop and promote scientifically valid and ethically appropriate clinical research and to collaborate with the industry leaders and give hands on experience to acquire expertise in the area of clinical research. Advanced Certificate Course in Clinical Research at PG level In order to address the significant skill gap of over 50,000 clinical research professionals in India, AHERF commenced a post-graduate program in clinical research at its Delhi and Chennai centres in 2008. The full-time one year Advanced Certificate Course in Clinical Research at PG level is now extended across five AHERF locations including new centres at Kolkata, Hyderabad and Ahmedabad. The course is affiliated to Anna University, Chennai and the curriculum, student selection, faculty, assessment and certification is done uniformly across the centres and jointly with the guidance of the university. A unique and unmatched feature of this course is an exclusive 6 months internship wherein AHERF students undergo an experience of observing diverse facets of coordinating a clinical trial under the guidance of primary clinical research coordinators in Apollo Hospital clinical trial centres. This ensures that the students from AHERF minimize their industry skill gap and are ready for working in the industry and government. AHERF has collaboration with Credila (subsidiary of HDFC) for educational assistance for financial support. Over 450 highly qualified clinical research professionals have been trained in 5 years through this course. Approximately 70 candidates have enrolled for this program for the academic year 2013-14. Prospective collaborations with leading clinical industry experts are in process. AHERF has contributed over 400 trained professionals to the industry, academia and government institutions. There has been over 90% placement of the graduates with multinational pharmaceutical companies, Clinical Research Organizations (CRO), KPOs, Hospitals, Apollo Hospital clinical trial centres, Pharmacovigilance and Data Management Centres. AHERF is in the process of commencing short term week end executive program on Pharmacovigilance and Clinical Data Management shortly. Collaborations AHERF signed collaboration MoU with Nestle in early 2013 to associate in the areas of research, development and validation of disease specific nutrition projects. The first proposal is being evaluated by the Apollo Clinical team and the study is shortly about to commence. Medtronic: AHERF spearheaded and realized collaboration with Medtronic Inc. with an objective to revolutionize renal care by providing mobile dialysis at homes and community centres. Apollo Hospitals signed a MoU with Medtronic Inc. Under the partnership, Apollo will leverage the technology of Medtronic to provide haemodialysis under the affordable treatment services for end stage renal disease (ESRD) patients. The discussion on terms of agreement is in progress and the final agreement is expected to be completed by end of May 2014. Philips: AHERF is in the process of partnering with Philips to nurture and support medical research and clinical development activities in the areas of clinical outcomes and translational research, medical education and health policy and payment that are relevant for the people of India. Through clinical excellence and meaningful innovation, the collaboration will work towards developing and managing an evidence -based clinical research effort to commence medical device innovation and validation studies that establish the pre-eminence of Apollo Hospitals and Philips Healthcare as a team that can enhance the health and well- being of the people of India. The Master Service Agreement is expected to be completed by Feb 2014 and creation of Investigator idea pipeline is in process. Anna University Chennai, India: ‘Advanced Certificate Course in Clinical Research at PG level’ was jointly initiated in 2009 by AHERF and AU-KBC (Anna University-KB Chandrasekhar) Research centre of Anna University to meet the shortage of the clinical research professionals in the pharmaceutical industry and to bring out certified and trained Clinical Research professionals. In order to extend this joint program to other AHERF / Apollo Hospitals locations in India such as Delhi, Kolkata, Hyderabad, Bangalore and Ahmedabad etc., a MOU was signed between AHERF and AU on 19th July 2011 and the first two batches research • UE Life Sciences: AHERF is in discussion with UE Life Sciences to validate their hand held device – Intelligent Breast Exam (iBE) in early warning selfexam for breast cancer screening. Applications to NIH and Welcome Trust have been submitted by UE Life Sciences with AHERF support for an Apollo study to validate the technology. AHERF spearheaded and realized collaboration with Medtronic Inc. with an objective to revolutionize renal care by providing mobile dialysis at homes and community centres. APOLLO EXCELLENCE REPORT 2013 107 108 Paraxel: AHERF is in final stages of discussion with Paraxel – World’s second largest Clinical Research Organization to place clinical studies across the Apollo Hospital locations. The Master Service Agreement is in progress and is expected to be completed by end of Feb 2014. This will help Paraxel to place over 20 India trials at Apollo Hospital sites. International Clinical Epidemiology Network (INCLEN): AHERF forged collaboration with INCLEN to strengthen epidemiological research at Apollo Hospitals. The ICMR sponsored research study on non-alcoholic fatty liver disease (NAFLD) is completed and AHERF is now working with INCLEN towards initiating joint projects in hypertension, child and maternal healthcare. There are multiple potential collaborations being explored to be realized within the year 2014 across basic & clinical research, bio-banking and translational research and Innovations. research The Master Service Agreement is in progress and is expected to be completed by end of Feb 2014. This will help Paraxel to place over 20 India trials at Apollo Hospital sites. of Advanced Certificate Course in Clinical Research (ACCCR) were successfully completed at AHERF Pan India centres. The third Pan India batch classes commenced from Sept 2013 and are ongoing and the fourth batch is anticipated to commence from April 2014. In addition, AHERF is planning to launch weekend short term executive programs in Pharmacovigilance and Clinical Data Management shortly. Collaborations in Pipeline: The following are some of the key collaborations with relevant focus areas: 1.Cleveland Clinic - Bio-Bank & Basic Research 2.Accenture - Clinical Research 3.George Institute for Global Health Public Health 4.Samsung - Innovations 5.Bosch - Innovations 6.Tel Aviv University - Innovations APOLLO EXCELLENCE REPORT 2013 109 110 APOLLO EXCELLENCE REPORT 2013 111 The Hospital Management Asia Awards 2013 at Bangkok were a very momentous occasion for the Apollo Group. Eleven winners and 28 runners up in 10 categories won the coveted Asian Hospital Management Awards held on September 13, 2013 at Bangkok. The celebration was the culmination of the Hospital Management Asia Conference, attended by 880 delegates from 34 countries and 398 organizations. The Asian Hospital Management Awards recognize and honor hospitals in Asia that carry out best practices in hospital management. Now in its twelfth year, AHMA is the accepted hospital management awards program for the Asia Pacific region. Awards are given to hospitals in the region that, in the opinion of the judges and advisers, have implemented or enhanced outstanding and innovative projects, programs, and best practices during the previous year. HMA 2013 garnered 298 entries representing 78 hospitals from 13 countries. The Hospital Management Asia Awards 2013 at Bangkok were a very momentous occasion for the Apollo Group. Apollo Hospitals were the winners of 10 of these awards and won an award in 9 categories! The organizers gave the Apollo Group a standing ovation by conferring Apollo with the “Special Outstanding Achievement Award”. They commended the Apollo Group for being an improvement oriented organization in view of the 71 improvement projects submitted by the Group and the number of awards won. 112 The awards won were: Corporate Social Responsibility Project Apollo Hospitals – “Billion Hearts Beating Foundation” recognition Hospital Management Asia Awards 2013 Cost Reduction Project Apollo Speciality Hospitals, Madurai – “To Control the expenses for CAG and PTCA Procedures.” Human Resource Development Project Apollo Hospital Hyderabad – “Apollo Simulation Laboratory” Service Improvement for Internal Customers Project Apollo Hospital Hyderabad – “Apollo Simulation Laboratory” Patient Safety Project Apollo Hospitals, Chennai – “Antimicrobial Stewardship Programme” Clinical Service Improvement Project Apollo Hospitals, Delhi – “Pressure ulcer: zero tolerance” Customer Service Project Apollo Hospitals, Chennai – “Patient Satisfaction Tracking System (PSTS) - A break through Innovation in Healthcare for Voice of Customer Process” Bio Medical Equipment / Facilities Improvement Project Apollo Gleneagles Hospitals, Kolkata – “Project Product: Severity Index Scoring For Biomedical Equipment” Apollo Hospitals, Chennai - “Phasing out mercury” Innovations in Hospital Management and Governance Apollo Hospitals Dhaka – “Passion Led Patient Care” APOLLO EXCELLENCE REPORT 2013 113 the jury sharing their vision for 2014 and was followed by debates that detail the impact of economics, politics and business. On 14 December 2013, our respected Chairman, Dr. Prathap Chandra Reddy was honoured with the prestigious Asian Business Leaders Forum Lifetime Achievement Award at a grand award ceremony in Dubai. Dr. Prathap C Reddy, Chairman, Apollo Hospitals Group was honored by CNBC TV18 at the India Business Leaders Awards (IBLA) 2013. Chairman is recognized as the architect of modern healthcare and the pioneer of corporate healthcare in the country. This award felicitated his lifetime’s efforts of transforming healthcare in India. IBLA has been instituted to salute frontrunners who are ready to champion the change agenda; strong enough to rise and lead the nation forward. The event opened with the jury sharing their vision for 2014 and was followed by debates that detail the impact of economics, politics and business. The criteria of selection of winners across categories were to shortlist men and women who have the ability and the vision to rise above the current volatility and see the long term goal. They have a global aspiration – to put India on the world map. recognition “Asian Business Leaders Forum The event Lifetime Achievement opened with Award”- 2013 Lifetime Achievement Award by NDTV Dr. Prathap C. Reddy, Founder and Chairman of the Apollo Hospitals Group was honoured with the Lifetime Achievement Award by NDTV. Asia HRD Awards 2013 Apollo Hospitals was bestowed the award for ‘Contribution by HR to an Organization’ at the Asia HRD Awards 2013. The Apollo group was specifically recognized for the contribution to the HR community and the Health Industry. The award was given at the Asia HRD Congress in Jakarta. Apollo was the only organization recognized from India in the entire Asia Pacific Region. THE WEEK-A C Nielsen, Best Hospital Survey 2013 THE WEEK-Nielsen best hospitals survey 2013 was conducted in 15 cities - Ahmedabad, Bangalore, Bhopal, Chandigarh, Chennai, Coimbatore, Delhi and NCR, Hyderabad, Jaipur, Kochi, Kolkata, Lucknow, Mumbai, Pune and Thiruvananthapuram from September to October 2013. Apollo Hospitals was bestowed the award for ‘Contribution by HR to an Organization’ at the Asia HRD Awards 2013. Best multi-speciality hospitals in various cities and best hospitals in various specialities from the survey were published in November 2013. Apollo Hospitals, Chennai was ranked the 2nd best, Indraprastha Apollo Hospitals, Delhi was ranked the 4th best and Apollo Hospitals, Hyderabad was ranked the 10th best multispeciality hospital in the private sector in India. Dr Prathap Chandra Reddy, Chairman, Apollo Hospitals Group was conferred with the lifetime achievement award by CNBC TV18 at the 9th edition of India Business Leaders Awards (IBLA) 2013 114 APOLLO EXCELLENCE REPORT 2013 115 Apollo Hospitals, Chennai was ranked the best multi-speciality hospital in Chennai. The FICCI Healthcare Excellence awards that felicitate organizations and individuals for their contributions in the healthcare industry were given on 2nd September 2013. Apollo Gleneagles hospitals was ranked the best multi-speciality hospital in Kolkata. Apollo Hospitals was ranked the best multi-speciality hospital in Hyderabad. Apollo Hospitals was ranked the 2nd best multi-speciality hospital in Bangalore. Jehangir Hospital, Pune was ranked the best private multi-speciality hospital in Pune. Apollo Hospitals, Chennai was ranked the 2nd best and Indraprastha Apollo Hospitals, Delhi was ranked the 4th best private hospital in India for Paediatrics. Apollo Hospitals, Chennai was ranked the 2nd best and Indraprastha Apollo Hospitals, Delhi was ranked the 5th best private hospital in India for Neurology. Apollo Hospitals, Chennai was ranked the 2nd best and Indraprastha Apollo Hospitals, Delhi was ranked the 6th best private hospital in India for Cardiology. 116 Apollo Hospitals, Chennai was ranked the 3rd best and Indraprastha Apollo Hospitals, Delhi was ranked the 8th best private hospital in India for Diabetology. Frost & Sullivan 5th Annual India Healthcare Excellence Awards 2013 Apollo Hospitals, Chennai was ranked the 4th best private hospital in India for Oncology. Frost & Sullivan presented its 5th edition of the India Healthcare Excellence Awards 2013 on September 27, 2013 in Mumbai. Award categories spanned across various healthcare segments such as Pharmaceuticals and Biotechnology, Medical Technologies, Healthcare Delivery Services and Special Awards. Apollo Hospitals Group won the award in the category of “Healthcare Service Provider Company of the Year” (With Annual Revenue greater than Rs 1000 Crores). FICCI Healthcare Excellence Awards 2013 The FICCI Healthcare Excellence awards that felicitate organizations and individuals for their contributions in the healthcare industry were given on 2nd September 2013. • Prof. Ranjit Roy Chaudhury, Chairman, Apollo Hospitals Educational and Research Foundation, won the Lifetime Achievement Award. • Apollo Hospitals Delhi won the FICCI Healthcare Excellence Awards 2013 in the category of Operational Excellence (Private – Multispecialty Hospital) for the project “Pressure Ulcers – Zero Tolerance”. • Apollo Hospitals, Delhi won the first position in the Poster Presentation for “Minimizing Medication Errors”. • Nominations of Apollo Hospitals Chennai, Apollo Hospitals Delhi and the Apollo Telemedicine Network Foundation were shortlisted as finalists. HIMSS Asia Pacific Recognizes Apollo Hospitals HIMSS Analytics Asia Pacific recognized three hospitals within Apollo Group for achieving Stage 6 on the Electronic Medical Record Adoption Model (EMRAM) SM. The hospitals are: • Apollo Main Hospitals, Chennai • Apollo Health City, Jubilee Hills • Apollo Hospitals Ayanambakkam, Chennai These Stage 6 hospitals were recognized at the HIMSS Digital Healthcare Week in Singapore, on 21 October 2013. The award was presented by Stephen Lieber, CAE President & CEO of HIMSS worldwide; in the presence of Dr. Amy Khor, Senior Minister of State for Health and Manpower, Ministry of Health and recognition Indraprastha Apollo Hospitals, Delhi was ranked the best multi-speciality hospital in Delhi in the private sector. Ministry of Manpower, Republic of Singapore; Steven Yeo, Vice President & Executive Director HIMSS Asia Pacific and John Hoyt, Executive Vice President, HIMSS Analytics. HIMSS Elsevier award for Apollo Hospitals The first HIMSS Elsevier award for Outstanding ICT Achievement was presented to Apollo Hospitals Enterprise Ltd. The award was given to Apollo Hospitals for the Patient Engagement Platform (PEP) – Apollo Prism. The award is given in recognition of the exemplary effort, commitment and dedication to leveraging on healthcare ICT to transform patient care and outcome. The award was presented at the HIMSS Digital Healthcare Week in Singapore, on 21 October 2013. The award was presented by Stephen Lieber, President and CEO of HIMSS worldwide and Gerrit Bos, Managing Director APAC, Elsevier. The first HIMSS Elsevier award for Outstanding ICT Achievement was presented to Apollo Hospitals Enterprise Ltd. The award was given to Apollo Hospitals for the Patient Engagement Platform (PEP) – Apollo Prism. APOLLO EXCELLENCE REPORT 2013 117 Apollo Gleneagles Hospitals, Kolkata won the Coffee Table Winner’s Book of 2013 – Porter Prize in the Healthcare category. Apollo emerged as the winner in the category ‘Most Popular Paediatric Hospital Chain in the inaugural edition of Child Best Awards’, from the Child India magazine, a respected and widely circulated publication. Apollo emerged as the winner in the category - ‘Most Popular Paediatric Hospital Chain in the inaugural edition of Child Best Awards’ Apollo emerged as the winner in the category - ‘Most Popular Paediatric Hospital Chain in the inaugural edition of Child Best Awards’, from the Child India magazine, a respected and widely circulated publication. The magazine Child has been in India for 5 years now and is the Indian edition of the America’s iconic parenting magazine - Parents. The polling for these awards was conducted as a reader’s poll, both through the magazine and also online. Thousands of discerning readers had voted and it is indeed an honour to be recognized as the most popular paediatric hospital. 118 recognition Porter Prize, 2013 QIMPRO QualTech Prize Apollo Gleneagles Hospitals, Kolkata was awarded the Runners Up Prize for ‘’The Reduce ALOS - Increase Productivity’’ Project and topped the Healthcare category. Asian Training & Development Awards Apollo Group participated in Asian Training & Development Awards in two Categories and were announced as winners in both the categories. 1.Best Training Initiative in Health Care (This encompasses all the Training Initiatives AAPIE, Tender Loving Care, Velvet Touch, Transforming your Telephone Experience, Enhancing your Shop Floor, Measure to Improve & Not Impress, Voice of Customer Training Module). 2.Best Customer Service Program (This encompasses the Service Culture Transformation workshop that was first kicked off in Apollo Future Leaders Development Program and also deployed in Chennai Region). APOLLO EXCELLENCE REPORT 2013 119 120 APOLLO EXCELLENCE REPORT 2013 121 Dr Chirag J Desai GI, HPB & Liver Transplant Surgery, Apollo Hospitals, Ahmedabad Chapters contributed to text books Surgical Gastroenterology, 2nd Edition, 2013, Paras Medical Publisher, “Hepatocellular Carcinoma”. Advisory Board Member, Asicon, December 2013 ‘’Is it easy to diagnose a Trauma patient with distending abdomen and free fluid?’’, 15th Annual conference of SEMI, EMCON 2013, Calicut, Nov-13. Positions held Advisory Board Member, North Gujarat University, MBA – Hospital Management Program, Patan, Gujarat. Membership of editorial boards of peer reviewed journals EMSINDIA, since 2010. Lectures ‘’Liver Surgery for General Surgeons’’, Gujarat State Surgeon’s Association, Annual conference, Sept 2013. Invited Examinership MCEM Positions held Executive committee member, IHPBA - Indian Chapter, 2013 - 2015. Neurosurgery, Apollo Hospitals, Ahmedabad Dr Ketan Patel Emergency Medicine, Apollo Hospital, Ahmedabad Dr. Somesh Desai Lectures ‘’Traumatic Brain Injury and its Management’’, National Conference, ASI. Lectures Newer Guidelines in Resuscitation, AFPANATCON 2013, Ahmedabad, Feb-13. Dr. Tushar S. Lakhia Triage and Emergency Management of Trauma patient, 5th Advanced Critical Care Conference 2013, Chennai, Aug 2013. Chapters contributed to text books Hospital Management – Text And Cases, 2013, Author – K. V. Ramani, Pearson, Dorling Kindersley (India) Pvt. Ltd, ‘’7. Hospital Finance & Cost Management - 7.2/208’’ and ‘’8. Hospital Human Resource Management - 8.2/226’’. “Overcrowding in ED, is the 4hr target applicable to Indian scenario?’’, 15th Annual conference of SEMI, EMCON 2013, Calicut, Nov 2013. Presentations ‘’Is early hypodense lesion in CT Brain, a fatality in TBI?’’, ACEM 2013, Tokyo, Japan, Oct-13. 122 ‘’Unusual myocardial infarction…..!!!’’, ACEM 2013, Tokyo, Japan, Oct-13. Surgical Gastroenterology, Minimal Access Surgery, Apollo Hospitals, Ahmedabad Lectures Invited Faculty, Criticon Gujarat, October 2013 Organizing Faculty, Gastrosurgcon, December 2013 Course Faculty, Centre of Excellence for Minimal Access Surgery Training (CEMAST), Mumbai (Recognised by IAGES, ASI and Maharashtra University of Health Sciences). Honorary Surgeon to His Excellence Governor of Gujarat. Apollo First Med Hospital, Chennai Professor. Dr. R. A. Pandya Raj General Surgery, Apollo First Med Hospital, Chennai Awards Awarded ‘’The Fellowship of Royal College of Surgeons Glasgow’’, 2013. Dr. Divya Seshadri Dermatology, Apollo First Med Hospital, Chennai Publications ‘’Acantholysis revisited: back to basics’’, Divya Seshadri, Sendhil Kumaran, A J Kanwar, Indian Journal of Dermatology, Venereology and Leprosy, 2013 Jan-Feb;79(1):120-6. ‘’Fluid Within Striae – An Unusual Phenomenon’’, Divya Seshadri, Dipankar De, Manish Rathi, Jane George, A J Kanwar, Journal of Case Reports, 2013, 3(2):331-333. achievements Ahmedabad Prof. T. V. Devarajan Internal Medicine, Apollo First Med Hospital, Chennai Publications Publications in the following journals: API Chennai, Neurology India, Journal of Infectious disease, South African Journal, JIACM on Gastric tuberculosis, TAPIJ on Intra abdominal tuberculosis, PLEGIA on Pulmonary embolism with quarter, Neurology India on Cortical Venous thrombosis, TIPIJ on Swine Flu with pregnancy with successful outcome, South Africal Journal on 120 cases of Dengue fever treated, Indian journal of Infectious disease on Scrub typhus with multi-organ failure. Orations Student Mr. Suresh Memorial oration on PUO in Madras Medical College. Difficult fevers treated at Balaji Medical College - Crompet. Lectures International conference on Acute care, presented paper on cases of Infection due to sepsis. International respiratory sepsis conference, presented a paper on CYSTS in the lung, Chennai. Internal Chest conference at Pune, presented a paper on Chest Infection. APOLLO EXCELLENCE REPORT 2013 123 Positions held President, IMA, Ambattur Avadi branch. Chairperson, Simposium Pioglitazone, Tanzcanth. Invited examinership MBBS & MD examiner Dr. MGR University, Annamalai University, Pondicherry University, Madurai Kamarajar University. Inspector for National Board of Examination for 1 year appointed by Ministry of Health. Awards Padma Shri awarded by Government of India given by Honorable President of India in 2013. Life time achievement award - Kilpauk Medical College - Chennai. Life time achievement award - Lions club of India. Life time achievement award Eminent Prof of Medicine. Life time achievement award - AVM Pondicherry. Special Achievement Started Advance Fever Clinic: First office of its kind in India for patients of undiagnosed fever more than 2 weeks. 62 cases have already been treated now. 124 Apollo Speciality Hospital, Chennai Dr Srinivasan Ananth Internal Medicine, Apollo Specialty Hospital, Chennai Member of task forces of Government of India or State Governments ‘’Member of National Academy of Medical Sciences (India)’’. Positions Held Consultant Physician NHS On Going, Norfolk& Norwich University Hospital. Dr. Abdul Ghafur Infectious Diseases, Apollo Speciality Hospital, Chennai Chapters contributed to text books A Ghafur, Management of VAP; Monogram on VAP published by Elsevier, 2013. Publications Abdul Ghafur, Perseverance, persistence, and the Chennai declaration, The Lancet Infectious Diseases, Volume 13, Issue 12, Pages 1007 - 1008, December 2013. Abdul Ghafur, P. R. Vidyalakshmi, K. Priyadarshini, Jose M. Easow, Revathi Raj, T. Raja, Elizabethkingia Meningoseptica bacteremia in immuno-compromised hosts: The first case series from India. SAJC 2013;2(4):211-15. A Ghafur, Superbugs and we intensivists: A time for introspection… IJCCM, 2013; 17(3):125-126. A Ghafur, India must overhaul medical training to act on antimicrobial resistance, BMJ 2013; 347:f4230, doi: 10.1136/bmj.f4230. A Ghafur, PS Sharee, Nambi P Senthur. Mucormycosis in Patients without Cancer: A Case Series from a Tertiary Care Hospital in South India. JAPI2013; 61: 305-8. Abdul Ghafur, ‘The Chennai Declaration’: An Indian perspective on the antimicrobial resistance challenge, Journal of Global Antimicrobial Resistance 1 (2013) 5–6. Abdul Ghafur, Call for global action to halt the superbug.MJA 2013;198 (5):251. A Voss, A Ghafur, “The Chennai declaration” - Indian doctors’ fight against antimicrobial resistance, Antimicrobial Resistance and Infection Control 2013, 2:7 doi:10.1186/20472994-2-7. Abdul Ghafur, “The Chennai Declaration”- A solution to the antimicrobial resistance problem in Indian subcontinent, Clin Infect Dis. (2013) doi: 10.1093/cid/cis1224. Lectures Abdul Ghafur, Vidyalakshmi, Priyadarshini, Thirunarayanan, An obituary to antibiotics-Emergence of pan drug resistance amongst Gram negative bacteria, CIDSCON 2013. Abdul Ghafur, Chennai declaration An achievement in creating an attitude change, ID week San Francisco 2013. Abdul Ghafur, Vidyalakshmi, Priyadarshini, Thirunarayanan. Fosfomycin - promising option in the era of NDM - 1 - The first invitro data from India. ICAAC 2013 Denver, No 911. achievements Lectures on IV antibiotic, Moscow & Sydney. Abdul Ghafur, Vidyalakshmi PR, Chandra K, Successful implementation of an infection control programme in a tertiary care oncology centre from a developing country, P262, ICPIC June 2013, Geneva. A Ghafur, Vidyalakshmi, Chandra, Sahaya, Priyadharshini, Increasing needle stick injuries amongst the radiology team-needs attention! , P297, ICPIC June 2013, Geneva. Abdul Ghafur, Coordinator, Chennai Declaration, Oral presentationHigh Impact paper-“The Chennai Declaration”-A historic document, Abstract no.O009, ICPIC June 2013,Geneva. Abdul Ghafur, Vidyalakshmi PR, Ashwini, Chandra, Pushparaju, Call for joint effort to tackle Gram negative resistance. Tsunami can’t be blocked with a barricade Paper no 121 ISAAR, Kuala Lumpur, 9th-13th March 2013. Vidyalakshmi, Ravikant, AbdulGhafur, Thirunarayan M A, Murugan, An unsual case of SBP in a Cirrhotic-The first case reported from India, Paper No 270,ISAAR, Kuala Lumpur, 9th13th March 2013. APOLLO EXCELLENCE REPORT 2013 125 Abdul Ghafur, Vidyalakshmi P R, Priyadarshini, Thirunarayan M A. A Ghafur, Meet the expert-setting up infection control in resource limited settings, ICPIC 2013, Geneva. A Ghafur, Hyperendemic Gram negatives, Indian scenario, ICPIC 2013, June 2013, Geneva. Fosfomycin, a promising option in the era of NDM1- The First In Vitro Data From India. ICAAC September 2013. A Ghafur, Chennai Declaration, A historic initiative, ICPIC June 2013, Geneva. Abdul Ghafur, Priyadarshini Kannaian, Aswini Tayade, ‘’Clinical Study on Carbapenem Sensitive & Carbapenem Resistant Bacteremia in Neutropenic & Non-Neutropenic Patients-The First Series from India’’, P1368, ESCMID, April 2013. A Ghafur, Indian perspective of tackling resistance, June 2013, ICPIC, Geneva. A Ghafur, Tackling antimicrobial resistance - Indian perspective- Royal free hospital, London, October 201310-10. A Ghafur, Management of NDM producers, ECCMID Berlin, April 2013. A Ghafur, Chennai declaration and antibiotic resistance: Public Health England, Colindale, London, October 2013. A Ghafur, Overcoming barriers to behavioral changes-Antimicrobial resistance: Incentivizing change towards a global solution: Chatham house (Institute of international affairs, London) October 2013. A Ghafur, “Chennai Declaration”-An Indian initiative to tackle antimicrobial resistance, ICAAC September 2013, Denver, USA. 126 A Ghafur, Meet the professor: ICAAC September 2013 Denver, USA along with Dr Otto cars, Laura Piddock and Dr Antony So. A Ghafur, Indian perspective of tackling resistance-June 2013, 3rd world HAI meeting, Annecey, France. A Ghafur, Gram negative resistance problem in India, Australian infectious diseases society and CDC combined meeting, March 2013, Canberra, Australia. A Ghafur, Mobilising political will to tackle antimicrobial resistance, Australian infectious diseases society and CDC combined meeting, March 2013, Canberra, Australia. A Ghafur, ESBL in the community, ISAAR Kuala Lumpur, March 2013. A Ghafur, Management of ESBL UTIISAAR Kuala Lumpur, March 2013. A Ghafur, Pyrexia of Unknown origin; GAMICON 2013, December 2013, Mumbai. A Ghafur, Tackling antimicrobial resistance, GERICON, December 2013, Chennai. A Ghafur, Antibiotic resistance: Is there a future?, PCCON 2013,November 2013, New Delhi. A Ghafur, Antibiotic stewardshipJPIMER Pondicherry, November 2013. A Ghafur, Antimicrobial resistanceCME by IMA Karnataka, Bangalore, October 2013. A Ghafur, Invasive fungal infectionsCME by IMA Karnataka, Bangalore, October 2013. A Ghafur, Chennai DeclarationInternational patient safety congress, Hyderabad, Sep 2013. A Ghafur, Plenary lecture, Chennai declaration, CRTICARE 2013, March, Kolkota. A Ghafur, Chennai declaration, APICON 2013, COIMBATORE, Jan 2013. Membership of editorial boards of peer reviewed journals International Journal of Antimicrobial Agents(IJAA) Journal of Antimicrobial Resistance & Infection Control(ARIC) Indian Journal of Critical care Medicine(IJCCM) achievements Abdul Ghafur, Priyadarshini, Vidyalakshmi PR, “Clinical Profile Of Carbapenem Resistant Bacteraemia Among Paediatric Population - First Clinical Study From India”, A-5340002-01455 entitled at the 31st Annual Meeting of the European Society for Paediatric Infectious Diseases, May 28 - June 1, 2013- Milan, Italy. Positions held Antimicrobial stewardship working group member of International Society of Chemotherapy (ISC), since 2013. Ad Hoc executive member of International society of Chemotherapy (ISC), since 2013. Antimicrobial Stewardship Committee Chairperson, Clinical Infectious Disease Society (INDIA), since 2011. Member of task forces of Government of India or State Governments Steering committee member for the National antibiotic policy and antibiotic guidelines by Indian Ministry of Health. Bangalore Dr. Purnima Parthasarathy Infectious Diseases, Apollo Hospitals, Bangalore Presentations ‘’41194 Risk Factors and Mortality in Carbapenem Resistant Gram Negative Bacteremias: A Retrospective Analysis from a Tertiary Health Care Setting in India. IDWeek, the annual conference by the Infectious Diseases Society of America.’’ Oct 2013, San Francisco. Journal of Microbiology & Infectious Disease(JMID) APOLLO EXCELLENCE REPORT 2013 127 Dr. A. Chandra Shekar Joint Replacement and Arthroscopy Surgery, Apollo Hospitals, Bangalore Nephrology, Apollo Hospital, Bangalore Publications An Isolated Displaced Fracture of the Coracoid Process Treated with Osteosynthesis—A Case Report and Review of Literature, Adala Raviraj, Ashish Anand, Srinivas Vijay, Surgical Science, Vol.4 No.2, February 2013. Publications “Survival analysis of patients on maintenance hemodialysis”, A. Chandrashekar, S. Ramakrishnan, D. Rangarajan, Indian Journal of Nephrology, in press. Distal Tibial Stress Fracture Secondary to Severe Osteoarthritis Knee. Raviraj Adala, Surendranath Shetty, Ashish Anand, Rajendran Ravidnran. Surgical Science, 247-249, April 24, 2013. “A Concise Review of Surgical exposures for Revision Knee Arthroplasty,” A. Anand, R. Adala, M. Kumar, J. Srinivas and G. Kodikal, Surgical Science, Vol. 3 , 2013 , 256260. Membership of editorial boards of peer reviewed journals Invitee editorial member, American Journal of Orthopaedic Research. Dr Venkatesh TK Cardiology, Apollo Hospital, Bangalore ‘’ECG with no prior heart or lung disease’’, Venkatesh TK, Journal of Clinical Biomedical Sciences, 2013, 3(1) 46,49. Dr. Sharath Kumar G.G. Radiology, Apollo Hospitals, Bangalore Publications Z. Abdul Aziz, D. Jethwani, G. Ananta Ram, G. G. Sharath Kumar, J. Saini, ‘’N-Acetyl peak in proton MR spectroscopy of metastatic mucinous adenocarcinoma of brain’’, Clin Neuroradiol, 2013 Jun, 23(2):153-6. Zarina A. Aziz, Jitender Saini, P. S. Bindu, G. G. Sharath Kumar, ‘’Demonstration of different histological layers of the pachygyria/ agyria cortex using diffusion tensor MR imaging’’, Surg Radiol Anat (2013) 35:427–33. Jagathlal Gangadharan, G.G. Sharath Kumar, Chandrajit Prasad, Sampath Somanna, Bhagavatula Indira Devi, ‘’Can diffusion tensor imaging predict outcome in acute traumatic deterioration of degenerative cervical spine disease’’, The Indian Journal of Neurotrauma, pp 1-8. Lectures Guest lecture on “Endovascular Intervention in Head and Neck Pathologies” and to panel the interactive sessions during CME on Neck Imaging Fiesta for ENT& Radiology Trainees to be held on Saturday 20th April 2013, at S S Institute of Medical Sciences & Research Centre, Davangere. Guest lecture on “MR Spectroscopy”May 2013, Annual CME – NIMHANS, Bangalore. Invited for CME IN STROKENeuroradiologists perspective, 4-102013, SNMC – Bagalkot (Karnataka). Invited speaker for talk on “Neurointerventions-emerging trends” by Associations of Physicians in India, Karnataka Chapter – Bangalore on 17-10-2013. Positions held Executive committee member for ISNR annual conference: 2013 held in NIMHANS -Bangalore. Dr Sunil Narayan Dutt ENT and Head-Neck Surgery, Apollo Hospitals, Bangalore Lectures Chairman, The Scientific Committee, 9th Asia Pacific Symposium on Cochlear Implants and Allied Sciences (APSCI) November 2013, HICC, Hyderabad. Membership of editorial boards of peer reviewed journals Otology-Neurotology (USA) Editorial Board 128 Cochlear Implants International (UK) Editorial Board achievements Dr Raviraj A Postgraduate Journal of Medicine (India) Peer review Board Indian Journal of Otolaryngology Head & Neck Surgery (India) Peer Review Board Positions held Founder and Treasurer, Cochlear Implant Group of India (CIGI). Invited examinership DNBE (ORL) Awards Dhruva Thara Award for work with hearing impaired children. Dr. Prashanth .S. Urs Neonatology & Pediatrics, Apollo Hospitals, Bangalore Presentations “Newborn screening”, Karnataka State Pediatric Conference ‘’Pedicon 2013’’, Belgaum 19-21 October 2013. “Screening for CHD in Newborns”, NNF South Zone Neonatal Conference, Bangalore, 15-17th November, 2013. Chairperson: Enteral feeding, National Conference of Pediatric Critical Care, Bangalore, 15/09/2013. “Oxygen saturation screening”, NAPP: Neonatal Pediatric pearls, Bangalore, 19 May 2013. Membership of editorial boards of peer reviewed journals Reviewer : Apollo Medicine, since 2012. APOLLO EXCELLENCE REPORT 2013 129 Organising Chairman, South Zone Neonatal Conference: NNF, 2013. Director, Neonatal and Pediatric Pearls, 2013. Member of task forces of State Government “Newborn screening”, Karnataka State Government. Member of governing board Inspector for affiliation of “Fellowship in Neonatology, Rajiv Gandhi University of Health Science. Awards “Felicitation for contribution towards Neonatology and Neonatal chapter”, 2012-2013, Indian Academy of Pediatrics: Bangalore chapter (IAPBPS), Bangalore, 26/01/2013. Presentations ‘Rapid Sequential Induction’: Standardizing Emergency Medicine Training in India at Apollo Hospitals, Bangalore, a prospective observational study, By Dr A N Venkatesh, Dr Rodrics Durai Raj, EMCON 2013-14- Inter-National Emergency Medicine conference in India, Nov-13. Bhubaneswar ‘’Strokes presenting within the window period: a distant reality?’’, Dr A N Venkatesh, Dr Rahul, EMCON 2013-14- Inter-National Emergency Medicine conference in India, Nov-13. ‘’Stroke Burden in India’’, American Academic Neurology at USA, 16th -22nd March 2013. Positions held President of Karnataka State Chapter, Society of Emergency Medicine in India (SEMI), 2013 - 2015. Nephrology, Apollo Hospital, Bhubaneswar Invited examinership MCEM - Membership of College of Emergency Medicine. Dr Bikash Kumar Mishra Neurology, Apollo Hospital, Bhubaneswar Lectures ‘’Stroke Burden in India’’, Stroke Update 2013, at Visakhapatnam, Jan 2013. Dr Bibekananda Panda Lectures “European Society of Organ Transplant Annual Conference 2013” at Vienna, 8th till 12th Sep’13. Dr. Dipika Mohanty Dr A N Venkatesh Emergency Medicine, Apollo Hospitals, Bangalore Publications Accuracy of admission diagnoses made by emergency physicians in India, Dept of ER, Apollo Hospitals, Bangalore, Dr A N Venkatesh, Dr Anisha Iyer, National Jounal of Emergency Medicine Published in April - June 2013. Thrombolysis of a cerebral ischemic stroke in the second trimester of pregnancy, Dr. A.N. Venkatesh, Dr. Anisha Iyer, Dr. Jagan Mohan Reddy, National Jounal of Emergency Medicine Published in April - June 2013. 130 Bhilai Haematology, Apollo Hospitals, Bhubaneswar Dr A P Savant Publications ‘’Prevalence of β-thalassemia and other haemoglobinopathies in six cities in India: a multicentre study’’, Mohanty D, Colah RB, Gorakshakar AC, Patel RZ, Master DC, Mahanta J, Sharma SK, Chaudhari U, Ghosh M, Das S, Britt RP, Singh S, Ross C, Jagannathan L, Kaul R, Shukla DK, Muthuswamy V, J Community Genet, 2013 Jan, 4(1):33-42. Medical Director, Apollo BSR Hospitals, Bhilai Lectures Chairing the two sessions in National Conference of Indian Academy of Paediatrics, ‘’Contraception in adolescent and Invasive Vs Non invasive Ventilation in newborn babies’’, 2012-13 and 2013-14. Awards Doctor of the year award by Indian Medical Association - Chhattisgarh. Spectrum of Hemoglobinopathies Among the Primitive Tribes: A Multicentric Study in India, Mohanty D, Mukherjee MB, Colah RB, Wadia M, Ghosh K, Chottray GP, Jain D, Italia Y, Ashokan KS, Kaul R, Shukla DK, Muthuswamy V, Asia Pac J Public Health, 2013 Mar 19 (IF:1.056). achievements Positions held President, National Neonatology Forum, Karnataka State, 2012- 2014. Lectures Key note address: X -linked disorders in India with special reference to bleeding disorders, Adaspur, Cuttack, September 2013. Dept. of Science Technology, India - Brain Storming session “Science, Technology & Innovation Policy”, Orissa, Took part in Panel Discussion, KIMS, BBSR, Sept-2013. Chairing the session on Bone marrow Transplant, 24th Annual Conference of Indian Society of Organ Transplantation, KIMS, BBSR, Oct2013. “Flow Cytometry for Platelet Disorders” Lecture delivered in Annual meeting of Flow Cytometry Society, Mumbai, Nov- 2013. Indian Social Science Congress, Lecture delivered in “Genetic Disease in Orissa- What can be done”, KIMS, BBSR, 27th – 30th Dec 2013. Membership of editorial boards of peer reviewed journals Member of Editorial Board for Indian Journal of Medical Research, since 2000. APOLLO EXCELLENCE REPORT 2013 131 Member of National Task Force on Hemoglobinopathies and its control. Member of Task Force on Genetics and Genomics of DBT (Dept. of Biotechnology). Chairperson, Managing Committee of Central Red Cross Blood Bank, Cuttack. Member of Working committee of Orissa State Red Cross. Member of State Audit Advisory Board for Social Audit, A.G. Orissa. Chairperson of Scientific Advisory Committee of National Plasma Fractionation Centre, Mumbai. Dr. Laxmi Kant Plastic surgery, Apollo Hospitals, Bhubaneswar Positions held Treasurer, APRASO, 1 year. 132 Dr M S Modi GI Surgery, Apollo Hospitals, Bhubaneswar Publications “Single sitting” laparoscopic cholecystectomy and endoscopic removal of common bile duct stone for cholelithiasis and choledocholithiasis: a feasibility study’’, Ibrarullah M, Mishra T, Dash AP, Mohapatra D, Modi MS, Indian Journal of Surgery, 2013 (10.1007/s12262-013-0937-x. (online first)). ‘’Spilled gallstone: Late presentation”, Ibrarullah Md, Modi MS, Indian Journal of Surgery, 2013 (10.1007/ s12262-013-0901-9). Lectures Faculty: Chairperson- international HPB Conference at Mumbai, 2013 Positions held Court of Examiners, Royal College of Surgeons of England, London, Lifetime Tenure. Awards FRCS (Royal College of Surgeons of England, London), 15th Nov 2013. FACS (Fellow of American College of Surgeons, USA,) 15th Nov 2013. Dr Nachiketa Mohapatra GI Surgery, Apollo Hospitals, Bhubaneswar Histopathology, Apollo Hospitals, Bhubaneswar Chapters contributed to text book Pearls in Surgery 2013, Paras Medical Books, ‘’Right iliac fossa lump’’. Lectures ‘’Acute antibody mediated rejection presenting as nephrotic syndrome’’, Indian Society of Organ Transplantation, 25th-27th Oct’13. Publications ‘’Single sitting’ laparoscopic cholecystectomy and endoscopic removal of common bile duct stone for cholelithiasis and choledocholithiasis: a feasibility study’’, Ibrarullah M, Mishra T, Dash AP, Mohapatra D, Modi MS, Indian Journal of Surgery, 2013 (10.1007/s12262-013-0937-x. (online first)). ‘’Gastro-intestinal stromal tumor (GIST) of the ampulla of Vater: Report of Two Cases’’, D. Mohapatra T. Mishra, A.P. Dash, Ibrarullah M, P. Devi, The Internet Journal of Surgery, 2013; 29: DOI: 10.5580/2d00. ‘’Spilled gallstone: Late presentation”, Ibrarullah Md, Modi MS, Indian Journal of Surgery, 2013 (10.1007/ s12262-013-0901-9). Lectures ‘’Inflammatory Pancreatic head mass: Panel discussion’’, Annual conference of IASG at Kolkata, Oct’13. Positions held Executive member, Indian chapter of IHPBA. achievements Member of task forces of Government of India or State Governments Member of Peer Review Committee of ICMR, Hematology, Physiology, Genetics and Pharmacology. Dr Md Ibrarullah Dr Nisith Kumar Mohanty Nephrology, Apollo Hospitals, Bhubaneswar Lectures ‘’Meaningful Clinical benefits with basiliximab induction therapy’’, Poster presentation, ISOT-2013, 25th - 27th Oct 2013. Case Report-Acute Rejection presenting as NS, ISOT-2013, 25th Oct 2013. Dr Pitambar Prusty Medicine & Endocrinology, Apollo Hospitals, Bhubaneswar Publications ‘’Clinical experience with insulin dete mir, biphasic insulin aspart and insulin aspart in people with type 2 diabetes: Results from the East India cohort of the A1chieve study’’, Abhay Kumar Sahoo, Sambit Das, Pitambar Prusty, Anand Shankar, Shaibal Guha, Indian Journal of Endocrinology and Metabolism, 2013. APOLLO EXCELLENCE REPORT 2013 133 Cardiology, Apollo Hospitals, Bhubaneswar Chapters contributed to text books Postgraduate Medicine Advances in Clinical Medicine including prevention: Vol XXVII: 2013: 54-61, The Association of Physicians of India, Indian College of Physicians, ‘’Coronary Intervention in Acute Myocardial InfarctionCurrent Status in India’’. Publications ‘’Role of Thrombolysis in reperfusion therapy for management of AMI: Indian scenario’’, Jamshed Dalal, Prasant Kumar Sahoo, Rakesh Kumar Singh, Anil Dhal, Rajneesh Kapoor, A. KrishnaMurthy, Sadananda R. shetty, Shailendra Trivedi, Dhiman Kahali, Bhupesh Shah, K. Chockalingam, Jabir Abdullakutty, Pradeep K Shetty, Arun Chopra, Raja Ray, Devang Desai, Pachippan, Gajanan Ratnaparkhi, Mridula Sharma. K A Sambasivam, Indian Heart Journal, 2013(IHJ.2013.08.032). Lectures Coronary Interventions in AMI, APICON - 2013 (Annual Conference of National API- 2013), Coimbatore, January 2013. Sudden Cardiac Death: An Overview, IMAOSBCON - 2013 (Annual Conference of Odisha State IMA), Anugul, February 2013. Primary Angioplasty – Current Status in India, EIICON – CSI - 2013 (Eastern India Intervention Conclave - 2013, Organised by Cardiological Society of India), Patna, May, 2013. 134 Meet the Masters – “Bifurcation stenting with Bio-absorbable stents”, SCI-2013 (Organized by – Society of Cardiovascular Interventions), Kolkata, August 2013. Case presentation on Complex Angioplasty, CSIOBCON - 2013 (Organised by – CSI Odisha State Chapter), Cuttack, December 2013. PTCA of Anomalous LMCA with WPW syndrome, India Live 2013, New Delhi, February 2013. Awards Fellow, American College of Cardiology (FACC), American College of Cardiology, USA, August, 2013. Fellow, Indian Society of Cardiology (FISC), Sept 2013. Dr Samarjit Bisoyi Cardiac Anesthesiology, Apollo Hospitals, Bhubaneswar Publications ‘’Free radicals and cardiac anaesthesia’’, Samarjit Bisoyi, Jitendu Mohanty, Indian Journal of Anaesthesia, 2013; 57:327-9. Anatomical landmark technique for internal jugular vein cannulation in patients with cyanotic congenital heart disease: A word of caution, Dr Samarjit Bisoyi, Annals of Cardiac Anesthesia, 2013, 57, 327-9. Orations ‘’Paediatric pain assessment- Do we bother?’’, ISAJAC-2013 [Indian Society of Anaesthesiologists, Eastern Zone], Kolkata, 27.09.2013. Lectures “European Society of Organ Transplant Annual Conference 2013”, Vienna, 8th till 12th Sep’13. ‘’Peri-operative Management and Midterm Outcomes of Post Infarct-VSD Repairs: A Series of Ten Cases’’, ASCA-2013 [Asian Society of Cardiothoracic Anaesthesiologists], Singapore, 04.10.2013. Dr Sambit Das Endocrinology, Apollo Hospitals, Bhubaneswar Chapters contributed to text books Cognitive impairment and Hyperglycemia, Das S. Cognitive impairment and Hyperglycemia, ‘’Hyperglycemic and Hypoglycemic complications of Diabetes mellitus’’, 2013, Vol-1, 27-32. Lectures Diabetic autonomic neuropathy, Controversies in Obesity, diabetes and endocrinology, August, 2013, Kolkata. Metformin should be used in nonobese PCOS, Endocrine Society of India conference, ESICON Bhopal-2013, October. Glycemic emergencies, IMA-AMS, Orissa Chapter-2013, February. Publications ‘’Clinical experience with insulin detemir, biphasic insulin aspart and insulin aspart in people with type 2 diabetes: Results from the East India cohort of the A1chieve study’’, Abhay Kumar Sahoo, Sambit Das, Pitambar Prusty,Anand Shankar, Shaibal Guha, Indian Journal of Endocrinology and Metabolism, 2013 / Vol 17 / Supplement 2. achievements Dr Prasanta Kumar Sahoo Positions held Secretary, Endocrine society of Orissa, 1 year (2013-2014). Dr Samiran Adhikary Urology, Apollo Hospitals, Bhubaneswar Lectures USICON, Feb 2013 Dr Sanjeev Gupta ENT, Apollo Hospitals, Bhubaneswar Lectures Unexpected nasopharyngeal foreign body, Apollo Medicine, Sanjeev Gupta, Surya Kanta Pradhan, 10 (2013)310e312. Dr Sanjeev Pattnaik Orthopaedics, Apollo Hospitals, Bhubaneswar Lectures Paper presentation on Joint Replacement, Asia Pacific Regional Hip Live Surgery at Chonnam National University Hospital, Gwangju, 4th-5th Apr’13. Joint Replacement Scenario in Odisha- The present & future, IGOF Odisha course on Trauma and Joint Replacements, 1st-3rd Mar’13. APOLLO EXCELLENCE REPORT 2013 135 Membership of editorial boards of peer reviewed journals Odisha Journal of Orthopaedics & Trauma, since 2013. Positions held Associate Member, SICOT, tenure 2014. Dr Sarala Das Neuropathology, Apollo Hospitals, Bhubaneswar Orations Presidential Oration, Annual Conference Association of Neuroscientist of Eastern India, held at Ranchi, 15th - 17th Nov’13 (Oration on 16th Nov’13). Lectures Immunohistopathochemistry - A new vista in diagnosis and management of Tumors of C.N.S, Annual Conference Association of Neuroscientist of Eastern India, held at Ranchi, Nov’13. Positions held President, Association of Neuroscientists of Eastern India, one year. Dr Satyabrata Tripathy Dermatology, Apollo Hospitals, Bhubaneswar ‘’Psoriatic arthritis’’, Dr Satyabrata Tripathy, Dr Prasanta Pradhan, Indian Journal of Rheumatology, 2nd June 2013. Dr Subodh Kumar Das Urology, Apollo Hospitals, Bhubaneswar Lectures “European Society of Organ Transplant Annual Conference 2013” at Vienna, 8th till 12th Sep’13. Dr Suneeta Sahu Microbiology, Apollo Hospitals, Bhubaneswar Lectures Clinical Immunoserological profile of Scrub Typhus- A killer disease, IAMM State chapter, 29th Sep 2013. Poster presentation on -’’multi resistant Klebsiella Pneumonia as a cause of exuberant cutaneous ulcers on the lower limbs’’, IAMM State chapter, 29th Sep 2013. Bilaspur Chennai Dr.Vinit Kumar Srivastava Prof. K. Ganapathy Neuro-Anesthesiology, Apollo Hospitals, Bilaspur Neurosurgery, Apollo Hospitals, Chennai Publications ‘’Cardiac arrest associated with ranitidine and ondansetron combination in day care gynecologic surgery’’, VK Srivastava, P Jaisawal, S Agrawal, D Kumar, J Anaesthesiol Clin Pharmacol, 2013; 29(4):563-4. Publications ‘Neurosurgery in India’, Krishnan Ganapathy, World Neurosurgery, 79 [5/6]: 621-628, May / June 2013. ‘’Anesthetic management of spinal decompression in double vessel coronary artery disease’’, VK Srivastava, S Agrawal, MP Samal, S Sharma, J Neurosci Rural Pract, 2013; 4(1):101-2. ‘’Bradycardia and hypotension during laryngoscopy for intubation in maxillofacial trauma’’, VK Srivastava, S Agrawal, R Kumar, PP Misra, Saudi J Anaesth, 2012; 6(4):436-7. Membership of editorial boards of peer reviewed journals Reviewer, Journal of Clinical and Diagnostic Research, since 08/06/2013. Awards Associate Professor (AHERF), 2013. achievements Basic Principles of fracture management, AO Trauma course (Table instructor), 21st-23rd Nov’13. Peer reviewed BMJ Blogs The rise of internet use and telehealth in India, http://blogs.bmj.com/ bmj/2013/11/29/k-ganapathy-therise-of-internet-use-and-telehealthin-india/J Blogs, 29th November 2013. Is your Doctor Health enough, http://blogs.bmj.com/bmj/category/ guestbloggers/, http://blogs.bmj.com/ bmj/2013/02/15/krishnan-ganapathyis-your-doctor-healthy-enough/, 15th February 2013. http://blogs.bmj.com/bmj/2013/02/18/ krishnan-ganapathy-is-surgerynot-more-than-stitching-andcutting/#disqus_thread, 18th February 2013. http://blogs.bmj.com/bmj/2013/02/22/ krishnan-ganapathy-homo-mobilicusthe-homo-sapiens-of-tomorrow/, 22nd February 2013. mHealth in India: a pan India survey, http://www.pitt.edu/~super1/lecture/ lec50951/index.htm. 136 APOLLO EXCELLENCE REPORT 2013 137 Lectures Cost effective and Accessible Health Care Technologies on “Affordable and Sustainable Technologies”, CII Tamil Nadu Chapter, Chennai, 20th December 2013. “Telehealth & technology”, Xerox Research Centre Bangalore, July 8th 2013. CSCs: Delivering Healthcare to Rural India’ Invited guest lecture, New Delhi, Nov 13, 2013. Guest Lecture in session on innovating for Informatics, SGPGIMS, http://www. nrct.in/ nmcnworkshop.php, GSMA, Dubai, 22nd October 2013. Guest Lecture - “Telemedicine in Neurosciences” And “Management of cerebral AVM”, WFNS Educational Course Tanzania (Dar-es-Salaam), August 2013. 138 Patient Empowerment – The eWay: A Story from Rural Tamil Nadu, K. Ganapathy, S.Rajkumar & S. Jegan, the 4th International Conference on Transforming Healthcare with Information Technology, Hyderabad, 6 – 7 September 2013. Invited faculty, mLearning: The future is now, National Workshop for Sensitization & Awareness on National Medical College Network Project Ministry of Health & Family Welfare, Govt. of India, School of Telemedicine & Biomedical Informatics, SGPGIMS, http://www. nrct.in/nmcnworkshop.php, Lucknow, 21-22 March 2013. Health care to anyone, anytime, anywhere, Indian Medical Association, Alwaye Kerala, January 2013. Dr. N.Ramakrishnan AB Positions held Member, Hi Power Programme Advisory Committees in Health Sciences under Science & Engineering Research Board – a Statutory body under Department of Science and Technology, Govt. of India - only one from a non academic institution, 2013 to 2015. Publications ‘Epidemiology of intensive care unit infections and impact of infectious disease consultants in managing resistant infections’, Ravi, K.P., Suresh Durairajan, Sankalp Parivar, Ramesh Venkataraman, V. Ramasubramanian and N. Ramakrishnan, American Journal of Infectious Diseases 9 (2): 30-33, 2013. Panelist Health Care Summit 2013 organised by Network 18 CNN IBN, New Delhi, May 31st 2013. President, Indian Society for Stereotactic and Functional Neurosurgery, 2011-2013. Guest Lecture Delivering Healthcare to Rural India, New Delhi, 7th November 2013. Member of Board of Directors, The Foundation for Advanced Medical Education Global Telementoring Network, http://www. medicalfoundation.org/board-ofdirectors/, 2013. Guest Speaker, Symposium on Asia US Partnership Opportunities (SAUPO), Atlanta USA, April 2013. Invited Lecture on “mHealth: the reinvention of Health care”. Indian Technical and Economical Cooperation Special Commonwealth Assistance for Africa Programme (SCAAP) Course ‘Advance Course in Telemedicine and Medical Informatics’, C-DAC, Mohali, 12th November 2013. Forum 2013 Regional Conference of Sundaram Medical Foundation Chennai., Can the mind go where the body cannot, Chennai, 20th October 2013. Thought leadership research study on ICT in the Healthcare sector in India and Technology trends in Health Care in India Interview by Ernst & Young, October 28, 2013. Member of Board of Directors, Member of Advisory Board Health Centre of Excellence South Eastern Europe, 2013. Chairman, Scientific Committee International Conference on “Transforming healthcare with IT”, 2013 Hyderabad – largest conference organised by Apollo Hospitals. achievements Orations P R Thakor Oration Healthcare in 2025: a peep into the future’’, Ahmedabad Medical Association, Ahmedabad, July 28th 2013. Critical Care & Sleep Medicine, Apollo Hospitals, Chennai Dr. Prasanna Kumar Reddy Gastroenterology, Laparoscopic & Bariatric Surgery, Apollo Hospitals, Chennai, India ‘Laparoscopic completion cholecystectomy: A retrospective study of 40 cases’, Parmar AK et al., Asian Journal of Endoscopic Surgery, Featured on MDLinx.com. Dr. G. Anantha Subramaniam General Medicine, Apollo Hospitals, Chennai Awards Selected by Medscape India, Mumbai for the National Award for “Excellence in Medicine” for 2013. APOLLO EXCELLENCE REPORT 2013 139 Orthopaedics, Apollo Hospitals, Chennai Positions Organising Secretary, Conference Secretariat, Indian Cartilage Society. Programs Conducted First ever Asian Cadaver Course on cartilage procedures, First Asian Cartilage Congress in November 2013. International Cartilage Conference with the First Asian Cartilage Congress in November 2013. Dr R Magesh Geriatrics, Apollo Hospitals, Chennai Lectures Lecture delivered at GERICON2013, (National Geriatric meeting), December 15th, Chennai. Positions Joint Secretary, Indian Academy Of Geriatrics, Chennai chapter. ‘’Best of Basics in Clinical nutrition– Dieticians Pocket Book’’, Dr. Bhuvaneshwari, Ms. Daphnee. D.K, Ms. Ramya. S, Ms. Lekha, 2013, 2nd Edition, Department of Dietetics, Apollo Hospitals, Chennai. Chapters contributed to text books Maternal Nutrition in Practice: South Asian Perspective, Edited by Dr. Gita Ganguly Mukherjee, Alokendu Chatterjee, 2013, SAFOG -NNI Publication, Jaypee Publishers, 1st Edition, Dr. Bhuvaneshwari, Ms. Daphnee.D.K, 169 - 177, “Balanced diet in Pregnancy”. Dr K N Srinivasan Cardiology, Apollo Hospital, Chennai Membership Member In Stemi India Programme. International Associate Member in American College of Cardiology, July 2013. Dr R Ramnarayan Dr. Bhuvaneshwari Shankar Clinical Nutrition, Apollo Hospitals, Chennai Books published ‘’Beyond the Basics: Transplant Nutrition, Dieticians’ Pocket Guide’’, Dr. Bhuvaneshwari, Ms. Daphnee. D.K, Ms. Ramya. S, Ms. Lekha, 2013, 1st Edition, Department of Dietetics, Apollo Hospitals, Chennai. 140 Neurosurgery, Apollo Hospital, Chennai Chapters contributed to text books Venous and Capillary Malformations of the CNS, Chapter 58, Textbook of Contemporary Neurosurgery, Jaypee. Vascular Malformations of the spinal cord, Chapter 107, Textbook of Contemporary Neurosurgery, Jaypee. Publications Ramnarayan R, Anilkumar T.V., Rani Nayar, ‘’An Unusual Extra-Axial Hypodense Lesion mimicking Chronic Subdural Haematoma: Case Report’’, J Neurosci Rural Pract. 2013, 4 (2): 216-219. Orations Invited as faculty and Auditor to represent India for the Comprehensive Clinical Neurosurgery Review in Krakow (Poland), December 2 - 6, 2013. Invited Examinership Examiner for DNB neurosurgery, final clinical at RML Hospital, Delhi, April 2013. Lectures Degenerative Aortic stenosis and clinical case discussions, SRM institutes for medical sciences, Vadapalani, 15th March 2013. Interesting case studies and clinical case discussions, Krishna Institute of Medical Sciences, KIMS, Secunderabad, 17th and 18th of August 2013. Awards Life Time Achievement award by Rotary club, Jan-13. Honorary degree of Doctor of Science by Veltech University, 09-11-2013. Awards Best doctor award by Dr MGR Medical University, Tamil Nadu. Dr. P. G. Sundararaman Conferred FRCS by the Royal College of Surgeons of England July 9, 2013. Lectures ‘’Neonatal Thyroid Dysfunction’’, I TS Con-2013, Bangalore, 16/02/2013 to 17/02/2013. Dr. I. Sathyamurthy Cardiology, Apollo Hospitals, Chennai Chapters contributed to text books ‘’Clinical importance of chirally pure therapeutics’’, Post graduate medicine, 2013, The Association of Physician of India, volume XXVII, pp 675-681. Memberships Expert of the selection committee member, Sir. C. V. Raman Birth Centenary award for the year 20132014, The Indian Science Congress Association. achievements Dr P Rajasekar Endocrinology, Apollo Hospital, Chennai ‘’Approach to Short Child’’, International Symposium on Diabetes and Metabolism, Coimbatore, 10/08/2013 to 11/08/2013. ‘’Premature Ovarian Failure’’, Ferticon-2013, Akash Fertility Centre Hospital Vadapalani, 22/12/2013. Department of Infectious Diseases Apollo Hospitals, Chennai APOLLO EXCELLENCE REPORT 2013 141 Ashwini Choudhary, Gopalakrishnan R, Senthur Nambi P, Ramasubramanian V, Abdul Ghafur K & Thirunarayan MA. Antimicrobial susceptibility of Salmonella enterica serovars in a tertiary care hospital in southern India. Indian J Med Res 2013; 137:800-802. Dorairajan Sureshkumar, Gopalakrishnan R, MA Thirunarayan. In vitro activity of tigecycline in the era of NDM-1. American Journal of Microbiology 3 (2): 42-44, 2012 Gopalakrishnan R, Sureshkumar D, Thirunarayan MA, Ramasubramanian V. Melioidosis: an emerging infection in India. J Assoc Physic India 2013;61:24-26. Babu AK, Gopalakrishnan R, Sundararajan L. Pulmonary cryptococcosis: an unusual presentation. Lung India 2013;30(4):347-350. Vancomycin creep among methicillin resistant Staphylococcus aureus: a report. Sureshkumar D, Gopalakrishnan R, Abdul Ghafur K, Ramasubramanian V. American Medical Journal 2013; 4 (2): 197-200. 142 Voss A, Ghafur A. “The Chennai declaration” - Indian doctors’ fight against antimicrobial resistance. Antimicrobial Resistance and Infection Control 2013, 2:7 doi:10.1186/20472994-2-7. Ghafur A, PR Vidyalakshmi, K. Priyadarshini, Jose M. Easow, Revathi Raj, T. Raja. Elizabethkingia meningoseptica bacteremia in immunocompromised hosts: The first case series from India. SAJC 2013;2(4):211-15. Ravi KP, Suresh Durairajan, Sankalp Parivar, Ramesh Venkataraman, Ramasubramanian V and N. Ramakrishnan. Epidemiology of Intensive care unit infections and impact of infectious disease consultants in managing resistant infections. American Journal of Infectious Diseases 2013 9(2): 30-33. Sureshkumar D. Tackling Antibiotic resistance - Published in IJPP Sep Dec 2013 Issue. Chapters contributed to text books Scrub Typhus; The Association of Physicians of India – Medicine Update Ramasubramanian V, Senthur Nambi P, Vol 23: 2013 19 – 22. Biomarkers and Clinical Criterion - Guided Optimum Antibiotic Therapy in Intensive Care Unit - Dr Ramasubramanian V, Clinical Notes ECAB Infectious Diseases. Publisher Elsevier 2013. International Conference presentations Ashwini Tayade, Ram Gopalakrishnan, Thirunarayan MA. Endocarditis after cutting fish. Abstract 346. 9th International Symposium on Antimicrobial Agents and Resistance, Kuala Lumpur, 13-15 March, 2013. Sureshkumar D, Gopalakrishnan R, Ramasubramanian V, Gaikwad R. A prospective study of MRSA screening in pediatric cardiothoracic patients. Abstract 2308 at 53rd International Conference on Antimicrobial Agents and Chemotherapy (ICAAC), Sep 10-13, Denver, USA. D Sureshkumar, Abdul Ghafur, V Ramasubramanian, Ram Gopalakrishnan. Universal Surveillance of ICU patients: a report from South India. 9th International Symposium on Antimicrobial Agents and Resistance, Kuala Lumpur, 13-15 March, 2013. R. Porwal, R. Gopalakrishnan, V Ramasubramanian. Knowledge or isolation practices among nurses: a single center survey from India. Oral presentation K 446 at 53rd International Conference on Antimicrobial Agents and Chemotherapy (ICAAC), Sep 10-13, 2013, Denver, USA. Vidyalakshmi PR, Ravikant Porwal, Abdul Ghafur, Thirunarayan MA, Murugan N. An unusual cause of SBP in a cirrhotic- the first reported case from India. Paper 270. 9th International Symposium on Antimicrobial Agents and Resistance, Kuala Lumpur, 13-15 March, 2013. Ghafur A, Vidyalakshmi PR, Ashwini Choudhary, Chandra K, Pushparaju R, Rajkumar K. Call for a joint effort to tackle Gram negative resistance: a tsunami can’t be blocked with a barricade. Paper 121. 9th International Symposium on Antimicrobial Agents and Resistance, Kuala Lumpur, 13-15 March, 2013. Abdul Ghafur, Priyadarshini, Vidyalakshmi PR. “Clinical profile of carbapenem resistant bacteraemia among paediatric population - first clinical study from India”. A-5340002-01455. 31st Annual Meeting of the European Society for Paediatric Infectious Diseases, Milan, Italy, May 28-June 1, 2013. achievements Publications Ghafur A, Shareek PS, Nambi PS, Vidyalakshmi PR, Ramasubramanian V, Parameshwaran A, Thirunarayan MA, Gopalakrishnan R. Mucormycosis in patients without cancer: a case series from a tertiary care hospital in South India. J Assoc Physic India 2013;61:11. R Porwal, P Senthur Nambi, V Ramasubramanian. Attitude towards adult vaccination in India: a long way to go. Abstract P 799 at 53rd International Conference on Antimicrobial Agents and Chemotherapy (ICAAC), Sep 10-13, 2013, Denver, USA. Sureshkumar D, Ram Gopalakrishnan, V. Ramasubramanian. Survey of Infection Control Programs In India. Abstract 42762 at ID Week 2013, Oct 2-6, San Francisco, USA. Abdul Ghafur, Vidyalakshmi, Priyadarshini, Thirunarayan MA. Fosfomycin- promising option in the era of NDM-1-The first in vitro data from India. ICAAC 2013 Denver. Abstract No 911. APOLLO EXCELLENCE REPORT 2013 143 A Ghafur, Vidyalakshmi, Chandra, Sahaya, Priyadharshini. Increasing needle stick injuries amongst the radiology team-needs attention! P297. ICPIC June 2013 Geneva. Lectures at International Conferences Ram Gopalakrishnan. Chairperson for symposium on “Treatment options for MDR Gram negative bacilli” at 23rd European Conference of Clinical Microbiology and Infectious Diseases (ECCMID) at Berlin, Germany on 27th April 2013. Ram Gopalakrishnan. Chairperson for symposium on “Focus on bacteraemia” at 23rd European Conference of Clinical Microbiology and Infectious Diseases (ECCMID) at Berlin, Germany on 28th April 2013. National Conference Abstracts Dorairajan Sureshkumar, Ram Gopalakrishnan, V. Ramasubramanian. Infection Control Program to rural community hospital in Southern India - a dream or reality? Oral paper presentation at HISICON 2013, Mumbai on 9th Feb 2013. Porwal R. Susceptibility patterns of two saviours in the era of multi-drug resistance: tigecycline and colistin. 3rd Annual Conference of the Clinical Infectious Diseases Society (CIDSCON 2013), Aug 30-Sep 1, 2013. 144 Sureshkumar D, Gopalakrishnan R, Thirunarayan MA. Are all carbapenems same in Petri dish? 3rd Annual Conference of the Clinical Infectious Disease Society (CIDSCON 2013), Aug 30-Sep 1, Mumbai. Sureshkumar D. Clinical & Epidemiological profile of Typhoid; APICON 2013 oral presentation. Viral Infections in Pregnancy. Chairperson at 13th International Conference “What is new in Subfertility, Obstetrics and Gynecology’, Chennai on 10th Aug 2013. Dr Senthur Nambi Clinical controversies in Infectious Disease. Lecture at third annual conference of the Clinical Infectious Diseases Society (CIDSCON 2013) on 31st Aug 2013. Post operative sepsis: Lecture at Dept of General Surgery, Govt Rajiv Gandhi General Hospital, Chennai on 6th February 2013. Invited Lectures at National Forums Dr Ram Gopalakrishnan TORCH infections: a case based approach. Lecture at symposium on “Infectious Diseases: from bench to bedside” at Fortis Hospital, Mulund, Mumbai on 21st April 2013. Endocarditis: all you wanted to know. Lecture at symposium on “Infectious Diseases: from bench to bedside” at Fortis Hospital, Mulund, Mumbai on 21st April 2013. The Clinician and the Microbiology laboratory. Lecture at Apollo Infectious Disease Conference 2013 on 15th June 2013. Investigating a patient with HIV and liver disease. Lecture at Liver Clinics 2013 at Madras Medical College on 20th July 2013. Principles of antibiotic use in septic shock. Lecture at 5th Apollo Advanced Crirical Conference, Chennai on 3rd August 2013. Approach to infections in the post -transplant host. Lecture at Infectious Diseases CME for Postgraduates at CMC, Vellore on 13th Dec 2013. Dr D Sureshkumar Chennai declaration-What is the status APICON 2013. Fever of Multiple origin - IMA Tuticorin CME, Feb 2013. Tackling Antibiotic Resistance in Pediatric Practice - IJPP CME June 2013. ABC of HIV/AIDS- Nellore IMA CME December 2013. Lab diagnosis of Infectious Disease IAP Salem, November 2013. Changing Scenario in Antimicrobial resistance: Guest Speaker for the monthly CME Prog. at KKTCH, Chennai on 22nd February 2013. achievements Abdul Ghafur, Vidyalakshmi PR, Chandra K. Successful implementation of an infection control programme in a tertiary care oncology centre from a developing country. P262. ICPIC June 2013 Geneva. Influenza: The current approach & Procalcitonin: Pros & Cons - Lectures at symposium on “Infectious Diseases: from bench to bedside” at Fortis Hospital, Mulund, Mumbai on 21st April 2013. Newer antibiotics in the horizon, Lecture at CME on antimicrobial therapy in paediatrics, 5th May 2013. Fungal Infections in ICU, Lecture at Railways Hosp, Chennai, 7th May2013. Labs in diagnosing infections, IAP – Coimbatore Chapter, IDCON, 19th May 2013. OP antibiotics simplified, Lecture at Apollo Infectious Disease Conference 2013 on 15th June 2013. Managing soft tissue infections, Lecture at 1st Chennai Advanced wound care conference, 7th July 2013. Antibiotics in community acquired sepsis, Lecture at Military Hospital, Chennai, 25th July 2013. Infection control Basics, Seethapathy clinic, Chennai, 2nd August 2013. APOLLO EXCELLENCE REPORT 2013 145 Antibiotic choice in sepsis, Lecture at Apollo Paed Refresher course, 17th August 2013. How to use labs effectively in diagnosing infections Panelist, “38th Annual IAP - TN State Conference Chennai Pedicon 2013, 24th August 2013. Tropical infections in ICU, ISCCM Chennai Chapter Meeting, 9th October 2013. Gram positive Infections, CME at GB Pant Hosp, Port Blair, 12th October 2013. Choice of antibiotics in UTI, APSOGUS, Vijayawada, 10th Nov 2013. Dr. V. Ramasubramanian Pooja Bagdi Agrawal Adjunct Professor, Tamil Nadu Dr. MGR Medical University Anesthesiology, Apollo Day Surgery, Alwarpet Joint Secretary, Clinical Infectious Disease Society (India) Awards First place for the paper titled Ultrasound Guided Transversus Abdominis Plane (TAP) Block - A Boon in Ambulatory Laparoscopic Cholecystectomy, IInd National Conference on Ambulatory Surgery 3rd & 4th August 2013 at Bangalore. Dr. Ram Gopalakrishnan Adjunct Professor, Tamil Nadu Dr MGR Medical University Member, Board of Super-specialities, Tamil Nadu Dr MGR Medical University President, Clinical Infectious Diseases Society (India) Member, Education Subcommittee, European Society of Clinical Microbiology and Infectious Diseases. Awards Asian Hospital Management Awards 2013, Bangkok: Excellence award in Patient Safety category for Antimicrobial Stewardship Program awarded to Apollo Hospitals, Chennai for a project on Antimicrobial Stewardship initiated by Dept of Infectious Diseases, Apollo Hospitals, Chennai. Dr Senthur Nambi Positions held Book Published Textbook of Contemporary Neurosurgery, Editor, Jaypee Publishers, New Delhi Faculty at “Initiative Chronic Wound” [ICW] Program, Apollo HARTMANN Training Project for India, August 2013, Chennai. Dr. A. Vincent Thamburaj Neurosurgery, Apollo Hospitals, Chennai Delhi Dr. Ajay Kumar Kriplani Laparoscopic, Bariatric & G.I. Surgery, Indraprastha Apollo Hospitals, New Delhi Lectures Live demonstration of “Laparoscopic Trans Abdominal Pre Peritoneal Repair of Inguinal Hernia”, Asia Pacific Hernia Society 2013 Pre Congress Workshop, HKEC Training Center for Healthcare Management & Clinical Technology, Pamela YoudeNethersole Eastern Hospital, Hongkong, 26th November 2013. Guest Lectures on “Complications of Laparoscopic Hernia Repair” and “Laparoscopic Inguinal Hernia Repair without fixation”, Asia Pacific Hernia Society 2013, Hongkong, 26th November 2013. Guest lectures on “Minimal Access Surgery for pancreatic tumors” and “How I learnt my basics in laparoscopic surgery”, Continuing Medical Education Program, 73rd Annual Conference of the Association of Surgeons of India, 24th to 29th Dec 2013. achievements Approach to PUO, IMA Ponneri, 4th August 2013. Live demonstration of “Laparoscopic Adrenalectomy”, SURGICON 2013, Annual conference of the Delhi State Chapter of the Association of Surgeons of India, organized by Post Graduate Institute of Medical Education and Research, Ram Manohar Lohia Hospital, 29th Nov to 1st Dec 2013. Live Demonstration of “Laparoscopic repair of Incisional Hernia”, 2nd Fellowship Certification Course in Advanced Laparoscopic Surgery (FALS) organized by Indian Association of Gastrointestinal Endo-Surgeons & Sir JJ Group of Hospitals, 14th to 17th November 2013. Guest Lectures on “Laparoscopic pancreatic surgery” and “Technique of Laparoscopic fundoplication and paraesophageal hernia”, 2nd Fellowship Certification Course in Advanced Laparoscopic Surgery (FALS) organized by Indian Association of Gastrointestinal Endo-Surgeons & Sir JJ Group of Hospitals, 14th to 17th November 2013. Guest lectures on “Suturing techniques in Laparoscopic Hernia Surgery”, National Conference of the Indian Hernia Society, Banaras Hindu University, 26th & 27th October 2013. 146 APOLLO EXCELLENCE REPORT 2013 147 Live demonstration of “Single Incision Laparoscopic Cholecystectomy” & “Single Incision Laparoscopic Appendicectomy”, New Areas in Minimal Access Surgery II, Indraprastha Apollo Hospitals, 18th & 19th Oct, 2013. Live Demonstration of “Laparoscopic Repair of recurrent inguinal Hernia”, 7th National Congress of Hernia Society of India, 13th to 15th Sept 2013. Guest Speaker “in Favour of TAPP in Debate on Trans Abdominal Pre Peritoneal (TAPP) Hernia Repair Versus Total Extra Peritoneal (TEP) Hernia Repair”, 7th National Congress of Hernia Society of India, 13th to 15th Sept 2013. Guest lecture on “Troubleshooting in Laparoscopic Trans Abdominal Pre Peritoneal (TAPP) hernia repair”, Continuing Medical Education Programme on Minimal Access Surgery, organised by Deptt of Surgery, Maulana Azad Medical College, 29th September 2013, New Delhi. Guest lecture on “Laparoscopic surgery of the liver and pancreas”, 33rd fellowship course of Indian Association of Gastrointestinal Endosurgeons (FIAGES 2013), Shri Balaji Action Hospital, 6th Sep 2013. 148 Live Demonstration of “Single Incision Laparoscopic Cholecystectomy” and “Laparoscopic Incisional Hernia Repair”, 33rd fellowship course of Indian Association of Gastrointestinal Endosurgeons (FIAGES 2013), Shri Balaji Action Hospital, 7th Sep 2013. Guest lecture on “Laparoscopic bowel injury: traps, tips and tricks”, Annual Conference of the Delhi Gynaecological Endoscopic Society, 4th August 2013. Guest lecture on “Laparoscopic Surgery of the Pancreas”, Meeting of the Delhi Society of Gastroenterology, 27th July 2013. Live Demonstration of “Laparoscopic Sleeve Gastrectomy”, “Laparoscopic ventral Hernia repair” and “Laparoscopic adrenalectomy”, Newer Advances in Minimal Access Surgery, Indraprastha Apollo Hospitals, 27th April 2013. Panelist for Panel discussion on “Complications in Bariatric Surgery” and “Laparoscopic Hernia Repair”, Newer Advances in Minimal Access Surgery, Indraprastha Apollo Hospitals, 27th April 2013. Guest lecture on “Technique of Trans Abdominal Pre Peritoneal Hernia Repair”, Hernia Update, Organised by Delhi Chapter of Association of Surgeons of India, Indraprastha Apollo Hospital, 9th March 2013. Panelist for panel discussion on “Controversies in Laparoscopic Hernia Surgery”, Hernia Update, Organised by Delhi Chapter of Association of Surgeons of India, Indraprastha Apollo Hospital, 9th March 2013. Guest Lecture on “Surgical Management of Obesity”, 34th All India Steel Medical Officer’s Conference organized by J.L.N. Hospital and Research Centre, Bhilai Steel Plant, Bhilai (C.G.), 3rd February 2013. Live Demonstration of “Laparoscopic Trans Abdominal Pre Peritoneal Inguinal hernia Repair” and “Laparoscopic Ventral Hernia Repair”, Agra Lapcon 2013 under the Aegis of SELSI and Indian Hernia Society, 27th January 2013. Guest Lecture on “Laparoscopic Management of Diaphragmatic hernia”, 26th AMASI skills course, Ram Manohar Lohia Hospital, 19th January 2013. Guest faculty for the “Bariatric surgery master class” (BSMC), “Bariatric surgery master class” (BSMC) organized by West Zone, Indian Association of Gastrointestinal Endosurgeons, Pune, Maharashtra, 12th-13th January 2013. Positions held Trustee, Indian Association of Gastrointestinal Endo Surgeons, since 2012. Dr. Anil Chandra Anand Gastroenterology and Hepatology, Indraprastha Apollo Hospitals, New Delhi achievements Guest lecture on “Why Single Incision Laparoscopic Surgery”, New Areas in Minimal Access Surgery II, Indraprastha Apollo Hospitals, 18th & 19th Oct, 2013. Books published ‘’Gastroesophageal Reflux Disease (Standalone publication)’’, Dr A Murugunathan, Dr Rajesh Upadhyay, Dr A C Anand, Dr V G Mohan Prasad, 2013, Elsevier. ‘’Acid Peptic Disease(Standalone publication)’’, Dr A Murugunathan, Dr Rajesh Upadhyay, Dr A C Anand, Dr V G Mohan Prasad, 2013, Elsevier. ‘’Gastritis and Dysypepsia(Standalone publication)’’, Dr A Murugunathan, Dr Rajesh Upadhyay, Dr A C Anand, Dr V G Mohan Prasad, 2013, Elsevier. ‘’Acid Peptic Disease: Case Studies (Standalone publication)’’, Dr A Murugunathan, Dr Rajesh Upadhyay, Dr A C Anand, Dr V G Mohan Prasad, 2013, Elsevier. Chapters contributed to text books ‘’Management of Hepatic Encephalopathy in Pregnancy’’, Hepatic Encephalopathy 2013, Dr A C Anand, Dr P Puri, MacMillan Medical Communications. ‘’Abdominal Tuberculosis’’, Clinical Gastroenterology 2013, Dr A C Anand, Paras Medical Publishers. ‘’NAFLD’’, Liver Annual 2013, Dr A C Anand, Dr P Puri, INASL. Publications ‘Prisoner of War’, A C Anand, National Medical Journal of India, Accepted for publication 2013. APOLLO EXCELLENCE REPORT 2013 149 ‘Indian Guidelines on the management of Hepatitis B’, Annual Meeting of Association of Physicians of India, 31 Jan-02 Feb. ‘Quality of Health Care: Back to Basics’ Key note address, Bombay medical Congress, 9-10 March, 2013. ‘Stewardship to prevent HBV Drug Resistance’, Annual conference of Indian association for the study of Liver (INASL), 22-24 March 2013. ‘HBV Management- State of Art’, Gastroenterology CME and Endoscopy workshop at Banaras Hindu University, 26-28 Apr 2013. Key note Address on ‘Patient Safety’, Medicine Update organised by INHS Kalyani, Vishakhapatnam, 17 May 2013. ‘’Indian Guidelines on Genotype 3 HCV Infection’’, National CME organised by South India Doctors Association, 22 Jun 2013. ‘’Clinical spectrum of hepatitis B (Public Lecture at AIIMS)’’, World Hepatitis Day Public Lecture at AIIMS, New Delhi, 28 July 2013. ‘Applications and Limitations of Fibroscan and ARFI’, Controversies in Hepatology, a Conference organised by Delhi Liver Foundation and Sir Ganga Ram Hospital, 7-8 Sep 2013. 150 ‘Systemic diseases and Mesentric vascular Thrombosis’, ‘Current Perspectives in Liver Disease’ An annual conference jointly organised by AIIMS and PGIMER Chandigarh, 05-06 Oct 2013. ‘’Upper GI Bleeding- A practical approach’’, National CME on Gasttroenterology, Hepatology and Liver 20 Oct 2013: transplantation, 20 Oct 2013. PG Symposium on ‘Interesting problems after liver transplantation’, ISGCON 2013 at Jaipur, 29 Nov 2013. Key note address on ‘Healthy Aging’, Rajiv Gandhi University and Command Hospital (AF) Bangalore CME on Gerontology, 06 Dec 2013. ‘’NASH: What is new?’’, CME by Indian Medical association, 27 Dec 2013. Membership of editorial boards of peer reviewed journals Associate Editor, Journal of Clinical and Experimental Hepatology, Inception 2010. Positions held President (2012-2014), Indian National Association for the Study of Liver. President Elect (2013-2014), Indian Society of Gastroenterology. Member of task forces of Government of India or State Governments Member of National Guidelines Committee of Ministry of Health, Ministry of Health, Government of India, 2011 onwards. Convener of National Task Force on Hepatitis C Virus Infection in India, Indian National Association of the study of Liver, 2011 onwards. Invited examinership Invited to be an Examiner for DNB (Gastroenterology) organised at G B Pant Hospital. Invited to be an examiner for DM (Hepatology) at PGIMER Chandigarh. Awards Fellowship of National academy of Medical Sciences. President’s Honorary Surgeon in 2013 (Ex-Officio). Fellowship of American College of Gastroenterology, Virginia (USA). Fellowship of American College of Physicians (USA). Fellowship of Indian College of Physicians, Mumbai. Fellowship of Society of Gastrointestinal Endoscopy of India. Dr. Anupam Sibal Pediatric Gastroenterology and Hepatology, Indraprastha Apollo Hospitals, New Delhi Publications Wadhawan M, Kumar A, Gupta S, Goyal N, Vasudevan KR, Shandil R,Taneja S, Sibal A. Post Transplant Biliary Complications – An Analysis from a Predominantly Living Donor Liver Transplant Centre. Journal of Gastroenterology and Hepatology 2013. Feb 22. doi: 10.1111/jgh.12169 Malhotra S, Kapoor A, Gupta S, Sibal A. Liver Transplantation in Children. IAP Speciality Series on Pediatric Gastroenterology 2013, Second edition. Jaypee Publishing 2013. 281 -29. achievements Lectures ‘Immunology of HCV Infection’, ‘GI Immunology Course’ by AIIMS, New Delhi, Jan 12-13, 2013. Bhatia V, Sibal A. Are fathers catching up with mothers in Liver donation?; Indian Pediatrics 2013 Jan 8;50(1):158. Lectures Liver disease: Autoimmune hepatitis, 13th scientific meeting of the Commonwealth Association of Paediatric Gastroenterology and Nutrition (CAPGAN), 6-7 December 2013, Colombo, Srilanka. New Trends & prospect of Global Healthcare, Korean Healthcare Congress, 2013, 13- 15 November 2013, Seoul, Korea. Global Trend of Hospital Innovation, Korean Healthcare Congress 2013, 13- 15 November 2013, Seoul, Korea. Liver transplantation in metabolic liver diseases 13th APPSPGHAN & 40th JSPGHAN, 31 October – 3 November, 2013 Tokyo, Japan. Apollo Accreditation Program (AAP), The International Society for Quality in Health Care’s (ISQUA) 30th International Conference, 13 -17 October 2013, Edinburgh. “How to Develop a Patient Safety Program that is Straightforward, Takes Little Infrastructure and Few Resources, and Benefits Providers as Well as Patients”, Hospital Management Asia 2013, 11-15 September 2013, Bangkok. APOLLO EXCELLENCE REPORT 2013 151 The Way Forward, Mid Year conference, GAPIO, 5-6 July 2013, Los Angeles, USA. Updates in nutritional management of children with liver disease/ liver failure, XIV Annual Scientific Conference, Kenya Pediatric Association 2013, 16 – 20 April, Mombasa, Kenya. 15 years of successful liver transplantation in SAARC, Nepal Medical Association 2013, 2 -3 January 2013, Kathmandu, Nepal. Case discussions in Pediatric Liver Diseases, IAP, 14 December 2013, Mumbai. Case scenarios in day to day hepatology, GIAPCON 2013, 7 December 2013, Baroda. Abdominal pain revisited, GIAPCON 2013, 7 December 2013, Baroda. Liver Transplantation in Children, IAP, 16 November 2013, Jaipur. Liver Transplantation in Children, IAP, 26 October 2013, Lucknow. Apollo International Clinical Nutrition Update – 2013, 4 – 5 October, Hyderabad. 152 Management of liver failure, IAP, Chhattisgarh, 24 - 25 February 2013, Bilaspur. Dr Arun Prasad Sisir Chandra Bose Oration, Institute of Child Health (ICH), Kolkata, 23 – 24 August 2013, Kolkata. Acute liver failure: Management issues, XXXXX National Conference of the Indian Academy of Pediatrics (PEDICON 2013), 17 January 2013, Kolkata. Chapters contributed to text books Text book of laparoscopic surgery, 2013, ‘’Video assisted thoracoscopic surgery’’. 15 years of pediatric liver transplantation in India, Indian Medical Association (IMA), Amritsar, 21 July 2013, Amritsar. Awards “Vashisht Chikitsa Ratan Award” by Delhi Medical Association June 2013. XXIIIrd National Conference of Paediatric Gastroenterology and Nutrition PEDGASTROCON 2013, Pune, 27 – 28 September 2013, Pune. Indraprastha Apollo Hospitals Delhi becomes the busiest solid organ transplant centre in the world, Apollo Hospitals, 23 June 2013, Ajmer. Pediatric liver transplantation, IAP, 31 May 2013, Ahmedabad. Pediatric liver transplantation, IAP, 26 May 2013, Panipat. Pediatric liver transplantation, IAP, 12 May 2013, Gwalior. 15 years of pediatric liver transplantation in India, IAP, 27 April 2013, Ludhiana. Pediatric liver transplantation, IAP, 8 March 2013, Pune. Beyond Accreditation - the Apollo Experience, Aditya Birla Memorial Hospital, QIPS 2013 conference, 9 March 2013, Pune. Newer diagnostic modalities in gastroenterology and hepatology, Pediatrics 2013, 10 March, Nagpur. Fellow, American Academy of Pediatrics, 2013. Memberships Asian Pan Pacific Society of Pediatric Gastroenterology Hepatology and Nutrition, Executive Council 2005 – 2013. Positions held Member of the Regional Middle East International Advisory Board of Joint Commission International (JCI) since 2011. Member of the Institute Body of Postgraduate Institute of Medical Education and Research, Chandigarh since October 2009. Adjunct Professor of Pediatrics, School of Medicine, University of Queensland, Brisbane, Australia since June 2009. Group Medical Director, Apollo Hospitals Group since September 2005. Minimal Access Surgery, Indraprastha Apollo Hospitals, New Delhi achievements Debate - Managing a Hospital is much more difficult than Managing a Hotel or Other Service Company, Hospital Management Asia 2013, 11-15 September 2013, Bangkok. Text book of laparoscopic surgery, 2013, ‘’Robotic surgery in India’’. Publications Laparoscopic and thoracoscopic gastric pull-up for pure esophagealatresia in early infancy. Journal of Indian Association of Pediatric Surgeons, 2013; 18: 27-30. Right or left first during bilateral thoracoscopy? Surgical Endoscopy 2013; (DOI) Volume 27, Issue 8 (2013), Page 2868-2876 http://link. springer.com/article/10.1007%2 Fs00464-013-2843-5, http://www.ncbi. nlm.nih.gov/pubmed/23404154. Lectures 5th Jan 2013 – Pune, chairing session on Bariatric surgery and presentation on hiatus hernia with obesity, bariatric surgery. 16th Jan 2013 – Amritsar – Bariatric surgery, live demonstration in workshop. 19th Jan 2013 – Association of minimal access surgeons of India, RML hospital conference, guest lecture on laparoscopic colorectal surgery. Director Medical Services, Indraprastha Apollo Hospital, New Delhi since March 2003. APOLLO EXCELLENCE REPORT 2013 153 3rd February 2013 – Robotic bariatric surgery guest lecture at South Delhi IMA meeting. 27th, 28th February 2013 – Yangoon, Myanmar – Guest lecture on Robotic surgery in India. 15th March 2013 – AIIMS, New Delhi – Chairperson at bariatric surgery session of annual conference. 6-7 April 2013 – Bangalore, Annual conference of Obesity surgery society of India. Chairperson, Panelist and Presentations on complications of bariatric surgery, robotic bariatric surgery. 26, 27, 28th April 2013 – New Delhi. Apollo Hospital, Organizer, chairperson, live laparosopic, thoracoscopic and robotic surgery at conference of new areas in minimal access surgery. 29th June 2013 – Hyderabad – Conference on obesity surgery – Chairperson, presentations on gastric bypass surgery, robotic bariatric surgery. 5th July 2013 – Hyderabad, ACMOMS international conference – presentations on complications in bariatric surgery and robotic bariatric surgery. 154 2-3 Aug 2013 – Delhi, Max hospital – Guest lecture and panel discussion on complications of bariatric surgery. 11 Aug 2013 – West Delhi IMA – guest lecture on robotic GI surgery. 6,7 Aug 2013 – Indore – Medical College – live bariatric surgery and presentation on sleeve gastrectomy. 21 Aug 2013 – Bangalore – Indian Association of Gastroendoscopic surgeons – Guest lecture on robotic surgery. 28 Aug 2013 – New Delhi – Maulana Azad Medical College – Guest lecture on single incision laparoscopic surgery. 10th Oct 2013 – Paris – 2nd international conference on mini gastric bypass surgery. Video presentation of world’s first robotic mini gastric bypass ( RMGB ). 18, 19 Oct 2013 – New Delhi – Apollo Hospital – Organizer of single incision laparoscopic surgery conference. Live surgery and lectures. 8,9 Nov 2013 – Coimbatore – Metabolic surgery conference. Guest lecture on Indications of metabolic surgery, Chairperson. 14 Nov 2013 – Mumbai – Fellowship in Advanced Laparoscopic Surgery. Faculty for Thoracoscopic surgery and Robotic thoracic surgery. 23 Nov 2013 – Ghaziabad – Association of surgeons of India annual conference, guest lecture on Robotic GI surgery. 26-30 Nov 2013 – Hong Kong – Asia Pacific Hernia Society Conference. Lecture on Laparoscopic Ventral Hernia Repair. 7th Dec 2013 – Gurgaon Medanta – European society of thoracic surgeons meeting – Guest lecture on Robotic thymectomy and live demonstration of thoracoscopic surgery relayed from Apollo Hospital operation theatre. 28thDect 2013 – API annual conference – Guest lecture on Robotic GI surgery. Positions held Vice president, IAGES (Indian Association Of Gastroendoscopic Surgeons), 2012-2014. Vice president, OSSI (Obesity Surgery Society Of India), 2012-2014. Member of task forces of Government of India or State Governments FICCI Task Force on Innovation in Healthcare. Sector Innovation Council for the Health sector – Ministry of Health. Dr. Ashish Kakar Dental Surgery, Indraprastha Apollo Hospitals, New Delhi achievements 24th Jan 2013 – Royal College of Obstetricians and gynaecologists surgical skills course, New Delhi – Invited guest faculty. Publications ‘’A comparison of dentifrices for clinical relief from dentin hypersensitivity using the Jay Sensitivity Sensor Probe’’, Hegde S, Rao BH, Kakar RC, Kakar A, American Journal of Dentistry, 2013 May, 26 Spec No B:29B-36B. ‘’Measurement of dentin hypersensitivity with the Jay Sensitivity Sensor Probe and the Yeaple probe to compare relief from dentin hypersensitivity by dentifrices’’, Kakar A, Kakar K, American Journal of Dentistry, 2013 May 26, Spec No B:21B-28B. ‘’Clinical assessment of a new dentifrice with 8% arginine and calcium carbonate on dentin hypersensitivity in an Indian population using a new measuring device: the Jay Sensitivity Sensor Probe’’, Kakar A, Dibart S, Kakar K, American Journal of Dentistry, 2013 May 26 Spec No B:13B-20B. ‘’Clinical evaluation of the Jay Sensitivity Sensor Probe: a new microprocessor- controlled instrument to evaluate dentin hypersensitivity’’, Sowinski JA, Kakar A, Kakar K, American Journal of Dentistry, 2013 May 26 Spec No B:5B-12B. APOLLO EXCELLENCE REPORT 2013 155 ‘’Minimally Invasive Lateral Ridge Augmentation Using a Tunnel Technique’’, (EAO) European Academy Of Osseointegration, Dublin, Ireland, October 2013. Positions held General Secretary, Academy Of Oral Implantology, India, 2013-2015. Visiting Professor, Yenepoya University, Mangalore, India, 20132015. Adjunct Assistant Professor, Rutgers School of Dental Medicine, Newark, USA, 2013. Patent Apparatus And Method for Measuring Dentin Hypersensitivity, November 12, 2013, Patent number: 8,579,630b2 Dr Ashish Malik Anesthesiology, Indraprastha Apollo Hospitals, New Delhi Publications ‘’Right or left first during bilateral thoracoscopy’’, Dr. Meera Kharbanda, Dr. Arun Prasad, Dr. Ashish Malik, Surgical Endoscopy, Vol 27, issue 8, 2013. Awards Transplant anaesthesia fellowship in liver, kidney, pancreas, University of Western Ontario, London, Ontario, Canada, 2013. 156 Dr. Ashu Agarwal Ophthalmology, Indraprastha Apollo Hospitals, New Delhi Lectures ‘’Local Anesthesia in Ocular Surgery’’, Asia Pacific Academy of Ophthalmology, Hyderabad, January 18, 2013. ‘’Topography & Scheimpflug Imaging for Detecting Corneal Ectasia’’, Asia Pacific Academy of Ophthalmology, Hyderabad, January 20, 2013. ‘’Keratoconus- Clinical Case Discussion’’, Intraocular Implant & Refractive Surgery, India, Chennai, July 7, 2013. ‘’Anterior Segment OCT’’, Intraocular Implant & Refractive Surgery, India, Chennai, July 7, 2013. ‘’Keratoconus - Clinical Case Discussion’’, Intraocular Implant & Refractive Surgery, India, Delhi, September 8, 2013. ‘’Choosing the Right Phaco Machine’’, Intraocular Implant & Refractive Surgery, India, Delhi, September 8, 2013. ‘’Anterior Segment OCT- An Effective Diagnostic Tool’’, Delhi Ophthalmological Society, Annual Meeting, Delhi, April 13, 2013. ‘’Using Capsular Hooks and Segments in Subluxated Cataract’’, Delhi Ophthalmological Society, Annual Meeting, Delhi, April 14, 2013. ‘’At risk Cornea for Laser Refractive Correction’’, Delhi Ophthalmological Society, Winter Meeting, Delhi, December 1, 2013. ‘’Tissue Adhesive In The Management of Corneal Perforations’’, Haryana Ophthalmological Society, Annual Conference, Rohtak, February 24, 2013. Dr. IPS Kochar Paediatric Adolescent Endocrinology & Diabetology, Indraprastha Apollo Hospitals, New Delhi Publications ‘’Continuous Glucose Monitoring System for Congenital Hyperinsulinemia’’, Md. Saif, Akshay Kapoor, IPS Kochar, and Radhika Jindal, Indian Paediatric Journal, Volume 50, April 16, 2013, pp 421. ‘’Glibenclamide for Neonatal Diabetes’’, IPS Kochar and Radhika Jindal, Indian Paediatric Journal, Volume 50, April 16, 2013, pp 428. Dr. Mohammad Asim Siddiqui Endocrinology & Diabetes, Indraprastha Apollo Hospitals, New Delhi Publications Radhika Jindal, Ayesha Ahmad, Mohammad Asim Siddiqui, Inderpal Singh Kochar, Subhash Kumar Wangnoo, ‘’Novel mutation c.597_598dup in exon 5 of ABCC8 gene causing congenital hyperinsulinism, Diabetes & Metabolic Syndrome: Clinical Research & Reviews, In Press, Corrected Proof’’, Available online 26 March 2013. Niti Agarwal, SK Wangnoo, Asim Siddiqui, Mukul Gupta, ‘’Primary Thyroid Lymphoma: A Series of Two Cases and Review of Literature”, JAPI 2013; (61)496-498. achievements Presentations ‘’Clinical Evaluation of new microprocessor based instrument for Dentine hypersensitivity’’, International Association for Dental Research, Seattle, USA, March 2013. Jindal R, Gupta N, Siddiqui MA, Wangnoo SK, ‘’Post-Prandial Hyperglycemia’’, JIACM. 2013; 14(34);242-246. Presentations Ayesha Ahmad, Radhika Jindal, Mohammad Siddiqui & Subhash Wangnoo, Pregestational BMI predicts neonatal hypoglycemia in women with gestational diabetes, Endocrine Abstracts (2013) 31 P213, British Endocrine Society Annual Meeting, Harrogate, Yorkshire, United Kingdom. Subhash Wangnoo, Radhika Jindal, Nitin Gupta, Mukul Gupta, Mohammad Siddiqui, Prevalence and Characteristics of painful diabetic neuropathy in a community based diabetic population attending a tertiary care setting, AACE Annual Meeting 2013, Abstract 235, P39, American College of Endocrinology Annual Meeting, Phoenix, Arizona, United States of America. Radhika Jindal, Nitin Gupta, Mukul Gupta, Mohammad Asim Siddiqui, and Subhash Kumar Wangnoo, Study of Maternal and Neonatal Outcomes in Women with Gestational Diabetes Mellitus, Endocr Rev 2013 34: SAT818, 95th Annual Endocrine Society Meeting 2013 at San Francisco, United States. APOLLO EXCELLENCE REPORT 2013 157 Lectures 5th Asia Pacific Vascular Intervention Course, 14th - 15th June, 2013, New Delhi, “Management of Diabetes in patients with Peripheral Vascular Disease”. Dr. Nitin P. Ghonge Radiology, Indraprastha Apollo Hospitals, New Delhi Chapters contributed to text books FOGSI text book, ‘’CT & MRI in Obstetrics and Gynecology’’, Jaypee Medical Publishers, 2013. Textbook on Pediatric Radiology, ‘’Imaging in Reproductive Tract Anomalies’’, Jaypee Medical Publishers, 2013. Publications ‘’MDCT Enterography-A state-ofthe-art technique for small bowel imaging’’, Indian J Gastroenterol (May–June 2013) 32(3):152–162. ‘’Pleural endometriosis: Current strategies for diagnosis and management’’, Clinical Pulmonary Medicine, 20(1):48-50, January 2013. ‘’Computed Tomography in the 21st Century- Current status and future prospects’’, Invited review for a special issue on advances in Imaging, Journal of International Medical Sciences Academy (JIMSA) 2013, 26(1): 35-42. 158 ‘’Mutations in Extracellular Matrix Genes NID1 and LAMC1 Cause Autosomal Dominant Dandy– Walker Malformation and Occipital Cephaloceles’’, Human Mutation, 34:1075–1079, 2013. “Imaging of Paediatric GastroIntestinal Tract”, An invited guest lecture at the Kunwar Viren Ostwal teaching course in Paediatric Gastroenterology & Hepatology at New Delhi in August 2013. High-Frequency Ultrasound of Shoulder Joint – Dr. Gauri Gupta, Dr. Nitin Ghonge et al., An award-winning study (1st prize) presented at the Delhi Ultrasound Update (DUU-2013), New Delhi – 15th December 2013. ‘’Intramuscular cysticercosis: Starry Sky Appearance’’, Quarterly Journal of Medicine, 2013 Dec 3, PubMed PMID: 24300159. “Neonatal MRI Brain – Patterns & Timings in Brain Injury”, An invited guest lecture at the Neonatal Neurocon at Gurgaon in September 2013. High-Frequency Ultrasound of nonneoplastic conditions of the Inguinoscrotal region, Dr. Sunil Agarwal, Dr. Nitin Ghonge et al., An award-winning poster (2nd prize) presented at the Delhi Ultrasound Update (DUU-2013), New Delhi, 15th December 2013. Orations Dr. N. G Gadekar memorial Oration of Indian College of Radiology & Imaging [ICRI] at Indore, January- 2013, ‘’CT & MR angiography of Kidneys – Maximising information in this era of minimally-invasive Surgeries’’. Selection for Dr. K. M Rai memorial Oration of Indian Radiology & Imaging Association [IRIA] at IRIA Annual Conference at Cochin, January-2015, ‘’MDCT work-up of living renal donors prior to Laparoscopic Donor Nephrectomy’’. Presentations “Radiography and CT Imaging in Inflammatory Bowel Diseases”, An invited guest lecture presented at Delhi Imaging Update [DIU-2013] at New Delhi in April 2013. “Image Acquisition in Clinical Radiology – Pearls & Pitfalls”, An invited guest lecture at Tech Aspire- A training session for the Radiologic Technicians & Radiographers at New Delhi in July 2013. “MRI applications in Gynecology”, An invited guest lecture at UP state IRIA conference – UPRICON Meerut; October 2013. “Role and relevance of MRI in Gynecology”, An invited guest lecture at Hamdard University CME, New Delhi - November 2013. “Imaging in Ovarian Malignancy”, An invited guest lecture at Delhi Ultrasound Update, New Delhi December 2013. Mentored projects HRCT evaluation of pulmonary edema in patients with solid organ transplant – Dr. Lakshya Mehta, Nitin Ghonge et al., An award-winning study (2nd prize) presented at the International Day of Radiology (IDoR-2013), New Delhi, 8th November 2013. achievements Membership of editorial boards of peer reviewed journals: BMJ Case Reports Membership of editorial boards of peer reviewed journals Associate Editor for ‘Radiology’ [Radiological Society of North America], 2013. Associate Editor for ‘British Journal of Radiology’, 2013. Section Editor for ‘Apollo Medicine’, 2013. Promoted to Consultant to Chief Editor for ‘Radiology’ journal [Radiology Society of North America] in October 2013. Guest Editor in 2013 for the dedicated issue of ‘Indian Journal of Radiology & Imaging’ (IJRI) – Transplant Imaging, Nov-2014. Positions held Joint Secretary, Indian College of Radiology & Imaging (ICRI), 2013-15. APOLLO EXCELLENCE REPORT 2013 159 Received the Fellowship of Indian College of Radiology & Imaging [FICR] at the convocation of the College at Indore in January-2013. Dr. P. K. Das Medical Oncology, Apollo Cancer Institute, New Delhi Member of task forces of Government of India or State Governments Member of “Expert Advisory Committee on Oncology” for six new AIIMS institutes (Bhopal, Bhubaneswar, Jodhpur, Patna, Raipur and Rishikesh). Dr. Praveen Garg Medical Oncology, Indraprastha Apollo Hospitals, New Delhi Lectures ‘’Presentation on oropharyngeal cancers’’, International cancer congress, Delhi in Nov 2013. ‘’Chaired a session on Robotic Prostatectomy’’, International cancer congress, Delhi in Nov 2013. Positions held Member Advisory Board for Head and Neck Cancer, International cancer congress, Delhi in Nov 2013. 160 Dr. Pushpendra Nath Renjen Neurology, Indraprastha Apollo Hospitals, New Delhi Publications ‘’Intravascular large B-cell lymphoma confirmed by brain biopsy: a case report’’, Pushpendra Nath Renjen, Nadeem Israr Khan, Yogesh Gujrati, Shakti Kumar, BMJ Case Reports, published online 18 February 2013, doi:10.1136/bcr-2012-007990. ‘’Acquired hepatocerebral degeneration’’, Pushpendra Nath Renjen, Laxmi Khanna, Ruchi Rastogi, Nadeem Israr Khan, BMJ Case Reports, published online 18 June 2013, doi:10.1136/bcr-2013-009387. ‘’An unusual recurrence of dysembroplastic neuroepithelial tumors after a seizure free period of 8 years’’, Nadeem Israr Khan, Laxmi Khanna, Pushpendra Nath Renjen, Cecilia Succour Fernandes, BMJ Case Reports, Published online (05th of Sept. 2013), doi:10.1136/bcr-2013010469. ‘’Role of plasma N-terminal proB-type natriuretic peptide (NT- proBNP) level in acute cardioembolic stroke’’, Pushpendra Renjen, Rajender Singla, Apollo Medicine, Volume 10, Issue 3, September 2013, 217-219. ‘’Stroke as the first manifestation of Takayasu’s arteritis’’, Pushpendra Renjen, Laxmi Khanna, Cecilia Fernandes, Nadeem Khan, Apollo Medicine, Volume 10, Issue 3, September 2013, 251-253. ‘’Stroke in young’’, Pushpendra Renjen, Apollo Medicine, Volume 10, Issue 4, December 2013, 265-269. Lectures ‘’Immunological modulation in neurological disorder’’, API Agra Chapter, 29th of January 2013. ‘’Comprehensive epilepsy management’’, All Nepal Medical Conference organized by Nepal Medical Association, 02nd – 04th of March 2013. ‘’Management of TIA’’, National Neurosciences Meeting organized by Apollo Hospital, 12th of May 2013. ‘’Management of Young Stroke’’, National Neurosciences Meeting organized by Apollo Hospital, 12th of May 2013. ‘’Management of unconscious patient’’, National CME of Emergency Medicine, 21st of July 2013. ‘’Management of Headache’’, IMA Ghaziabad, 16th of August 2013. ‘’Management of Headache’’, IMA South Delhi Branch, 21st of August 2013. ‘’Per-surgical Evaluation in Intractable Epilepsy’’, Annual Conference of India Society for Stereotactic & Functional Neurosurgery (ISSFN) Stereocon 2013, 14th & 15th of September 2013. ‘’Thrombolytic Therapy’’, IMA UP Chapter at Agra, 18th December 2013. ‘’Thrombolysis beyond window period’’, IMA Bhopal organized by BHEL, 21st December 2013. Dr. (Prof.) RN Makroo Transfusion Medicine, Indraprastha Apollo Hospitals, New Delhi. achievements Awards “Certificate of Merit”, education exhibit entitled “Pre-treatment CT and MRI Evaluation of Renal Tumors: Maximizing Information in this Era of Minimally-invasive SurgeriesRSNA- 2013, 99th annual conference, Chicago, USA (on- line presentation), Study done in collaboration with Dr. Rajesh Taneja, Urologist, Indraprastha Apollo Hospitals, New Delhi. Publications ‘’Red cell alloimmunization and infectious marker status (human immunodeficiency virus, hepatitis B virus and hepatitis C virus) in multiply transfused thalassemia patients of North India’’, Raj Nath Makroo, Jatinder Singh Arora, Mohit Chowdhry, Aakanksha Bhatia, Uday Kumar Thakur, Antony Minimol, Indian Journal of Pathology and Microbiology- 56(4), OctoberDecember 2013, pp- 378. R.N. Makroo, Aakanksha Bhatia, Richa Gupta and Jessy Phillip, Prevalence of Rh, Duffy, Kell, Kidd & MNSs blood group antigens in the Indian blood donor population. Indian J Med Res 137, March 2013, pp 521-526. Makroo R N, Bhatia A.and Singh S, Donor return after a positive feedback: How altruistic are we? Vox. Sanguinis. (Abstract) P-89,Vol 105, Supplement 1 June,2013. Makroo R N, Arora B, Bhatia A, Chowdhry M and Rosamma R: Determination of the clinical significance of antibody specificities to M, N and Lewis blood group system Vox. Sanguinis. (Abstract) P-428, Vol 105, Supplement 1 June, 2013. Makroo R N, Walia RS, AnejaS, Bhatia A, Chowdhry M, Arora B and Thakur UK: Effects of No Transfusion, Autologous transfusion, Allogenic transfusion and age of blood on outcome in cardiac surgeries. Vox. Sanguinis. (Abstract) P-599, Vol 105, Supplement 1 June, 2013. APOLLO EXCELLENCE REPORT 2013 161 162 R.N. Makroo, Rimpreet Singh Walia, Sanjeev Aneja, Aakanksha Bhatia, and Mohit Chowdhry. Preoperative predictors of blood component transfusion in living donor liver transplantation. Asian J Transfus Sci. 2013 Jul-Dec; 7(2): 140–146. RN Makroo, Mohit Chowdhry, Sonika Sharma Journal Scan. Identification and characterization of marker chromosome in Turner syndrome Apollo Medicine June 2013 Volume 10, Number 2; pp170-171. R. N. Makroo, Aakanksha Bhatia. Journal Scan. Therapeutic plasma exchange in patients with neurological diseases: Retrospective multicenter study. Apollo Medicine vol. 10, Sep 2013, page 256-57. R.N. Makroo, Rimpreet Singh Walia, Mohit Chowdhry, Aakanksha Bhatia, Vikas Hegde & N.L. Rosamma Seroprevalence of anti-HCV antibodies among blooddonors of north India Indian J Med Res 138, July 2013, pp 125-128. Bhatia A, Makroo R N, Thakur UK and Joshi M: An insight into errors in the transfusion chain 5 year experience at a hospital based transfusion centre. Vox. Sanguinis. (Abstract) P-3 A-S 10- 0 ,Vol 105 Supplement 2 December,2013. R N Makroo, A Bhatia, M Chowdhry, B Arora Evaluation of ProcleixUltrio Plus Nucleic Acid Test (NAT) Assay for Blood Donor Screening in a Tertiary Care Center in North India, (Abstract) Transfusion September 2013- Vol.53, Page 208 A Supplement. Makroo R N, Bhatia A, Chowdhry M, Thakur UK and Rosamma NL: Red cell alloimmunization in patients undergoing living donor liver transplantation. Vox. Sanguinis. (Abstract) P-175, Vol 105. Supplement 2, December, 2013. Raj Makroo, Richa Gupta, Aakanksha Bhatia, Nakamatathil L. Rosamma. Rh phenotype, allele and haplotype frequencies among 51,857 blood donors in North India Blood Transfusion. DOI 10.2450/2013.030012. Lectures Chairperson for scientific session on immuno- haematology at 6th Annual CME of Department of Transfusion Medicine AIIMS on 22nd Feb, 2013 in Auditorium AIIMS. Moderator on Seminar on rational use of blood organized by GTB Hospital in Collaboration with Delhi State Aids Control Society (DSACS) on 22nd March, 2013 at Library Hall UCMS GTB Hospital Delhi. Guest Lecture – Importance of red cell antibody screening & identification at (RaktPravah- 2013) on 30-31 March, 2013 at Dehradun organized by IMA blood Bank Dehradun, Uttarakhand. Moderator Management of Patients with Antibodies: Current Situation & Future Strategies at the Seminar the Pulse of Transfusion Medicine organized by Lions Blood Bank Shalimar Bagh, Delhi in collaboration with the Indian Immuno-haematology Initiative & SAATM on 6th April, 2013. Guest Lecture – Impact of NAT on blood safety at CME organized by Triumph Blood Bank Thane on 28th April, 2013 at Thane, Maharashtra 400601. Donor return after a positive feedback: How altruistic are we? (Poster presentation) at 23rd Regional Conference of International Society of Blood Transfusion (ISBT) at Amsterdam, The Netherlands 2-5 June, 2013. Effects of No Transfusion, Autologous transfusion, Allogenic transfusion and age of blood on outcome in cardiac surgeries. (Poster presentation) at 23rd Regional Conference of International Society of Blood Transfusion (ISBT) at Amsterdam, The Netherlands 2-5 June, 2013. Determination of the clinical significance of antibody specificities of M, N and Lewis blood group system (Poster presentation) at 23rd Regional Conference of International Society of Blood Transfusion (ISBT) at Amsterdam, The Netherland 2-5 June, 2013. Models to predict blood component transfusion in living donor liver transplantation. (Poster presentation) at 23rd Regional Conference of International Society of Blood Transfusion (ISBT) at Amsterdam, The Netherlands 2-5 June, 2013. achievements Makroo R N, Hegde V, Bhatia A, Chowdhry M and Rosamma R: Determination of the clinical significance of antibody specificities to M, N and Lewis blood group system Vox. Sanguinis. (Abstract) P-428, Vol 105, Supplement 1 June, 2013. Guest lecture on blood safety at Patient Safety Workshop organized by Delhi, Medical Council at India Habitat Centre New Delhi on 22nd June, 2013. Guest lecture on opportunities and challenges in Indian BTS at Annual National Conference of Indian Society of Transfusion Medicine (ISTM) TRANSMedicon on 14th September, 2013 at Bangalore. Chairman scientific session XA - on Nucleic Acid Testing at Annual National Conference of Indian Society of Transfusion Medicine (ISTM) – TRANSMedicon on 14th September, 2013 at Bangalore. Guest lecture on Stem Cell Transplantation – Indian Scenario at Pre-Conference CME on Celluar Theraphy SAATM on 3rd October, 2013 at Fortis Memorial Research Center, Gurgoan. Chairperson scientific session 1 – Seminar on Pathogen Reduction at IX Annual SAATM Conference at Gurgoan on 4-5th October, 2013. Guest Lecture on Apheresis platelets collection efficiency & maximizing safety at IX Annual SAATM Conference at Gurgoan on 4-5th October, 2013. APOLLO EXCELLENCE REPORT 2013 163 Red cell alloimmunization in patients undergoing living donor liver transplantation. (Poster Presentation) at 24th Regional Congress of the International Society of Blood Transfusion Kuala Lumpur, Malaysia December 1-4, 2013. Membership of editorial boards of peer reviewed journals Editor in chief South Asian Association Transfusion Medicine (SAATM) News Bulletin. Associate editor Apollo Medicine Scientific Journal of the Apollo Hospitals Group. Member of task forces of Government of India or State Governments Member, Technical Advisory Committee Blood Transfusion Services, Govt. of India. Member, National Accreditation Committee on Blood Banks, Govt. of India. Qualified Assessor for NABH certification for Blood Banks. Member, Task Force on Blood & Blood Safety, Government of India. Member, Setting of Metro state of art blood banks, Govt. of India. 164 Member, National Haemovigilance Programme, Govt. of India . Invited Examinership External Examiner for MD Blood Transfusion & Immuno-haematology, PGI Chandigarh, 3-4 May, 2013. External Examiner for post graduate diploma Blood Transfusion & Immuno-haematology, Sheri Kashmir Institute of Medical Sciences, Srinagar, Kashmir, 8-9 May, 2013. External Examiner for MD Blood Transfusion & Immuno-haematology, PGI Chandigarh, 9-10 December, 2013. Awards Felicitated by the Honourable Health Minister of India on 1st October, 2013 (National Voluntary Blood Donation Day) for promotion of voluntary blood donation as Centurion blood donor. Dr. Rajesh Chawla Respiratory, Critical Care and Sleep Medicine, Indraprastha Apollo Hospitals, New Delhi Publications Predictors of mortality and length of stay in hospitalized cases of 2009 influenza A (H1N1), Chawla R, Chauhan M, Kansal S, Jain A, Jibhkate B.N, Indian J Crit Care Med, 2013, Sept-Oct; 17 (5): 1-8. Hyperammonemic coma in a postpartum patient with undiagnosed urea cycle defect, Dash SK, Chauhan M, Varma V, Sharma R, Kansal S, Chawla R, Indian J Crit Care Med, 2013 Mar; 17(2):107. Diabetic ketoacidosis induced cerebral infarct: A missing link in pathogenesis of neurologic manifestations of acute pancreatitis, Dash SK, Sharma R, Chawla R, Kansal S, Apollo Medicine, 2013; 10:155-8. Guidelines for noninvasive ventilation in acute respiratory failure, Chawla R, Chaudhry D, Kansal et al., Indian J Critical Care Medicine, Supplement 2013 March; 17(5):42-70. “Guidelines for diagnosis and management of chronic obstructive pulmonary disease: Joint ICS/NCCP (I) recommendations”, A. K. Janmeja, Honey Sawhney, Nusrat Shafiq, S. K. Chhabra, Abhishek Goyal, Indranil Haldar, P. Sarat, Chandigarh, Sabir Mohammed, Ajay Handa, J. C. Suri, Pallab Ray, Samir Malhotra, Ashish Bhalla, J.S. Thakur, Parvaiz Koul, Sundeep Salvi, Bharat Gopal, Jai Kishan, Pranab Baruwa, Sanjay Jain, D. Dadhwal, K. B. Gupta, R. S. Bedi, Surender Kashyap, Dharmesh Patel, Mandeep Garg, Raj Kumar, Surya Kant, D. J. Christopher, Narayan Mishra, Rajendra Prasad, U. P. S. Sidhu, Dhruva Chaudhry, Navneet Sharma, Rajesh Chawla, George D’Souza, Nirmal K. Jain, Randeep Guleria, Vikas Gautam, Virendra Singh, Vishal Chopra, Lung India, 2013 Jul-Sep; 30: 228-267. Critical care delivery in Intensive care units in India: Defining the functions, roles and responsibilities of a consultant Intensivist, Divatia J, Baronia AK, Bhagwati A, Chawla R, Iyer S et al., Indian J Crit Care Med, Supplement 2013 Mar; 17 (5):15-25. Orations ‘’Why we should talk about sepsis today’’, World Sepsis Day organized by ISCCM, Delhi, 13-Sep-13. achievements Evaluation of ProcleixUltrio Plus Nucleic Acid Test (NAT) Assay for Blood Donor Screening in a Tertiary Care Center in North India Poster presentation at Annual meeting of American Association of Blood Banking 12-15 October, 2013 at Denver, Colarado, USA. Lectures Pulmonary Embolism – ICU management, Critical Care Board Webinar Review Course of Indian College of Critical Care Medicine of ISSCM, 12th January, 2013. COPD- critical care issues, Critical Care Refresher Course at Auditorium, Medanta – The Medicity, 18th – 20th January, 2013. ‘’Approach to a hypoxemic patient’’, CME on Critical Care, Hotel Park Plaza, Sector 21-C Faridabad, 27 January, 2013. ‘’New Surviving Sepsis guidelines’’, Update on Sepsis, India Habitat Centre, 10 February, 2013. ‘’Surviving sepsis guidelines: What is new?’’, Criticare - 2013, 17th Annual Congress of the ISCCM, Kolkata, 3, 4 & 5 March, 2013. ‘’Moderated a panel discussion on Managing MDR infections’’, Criticare - 2013, 17th Annual Congress of the ISCCM, Kolkata, 3, 4 & 5 March, 2013. ‘’Ventilation in different scenarios (30 min) 1. Ventilating ARDS, 2.Ventilating COPD/Asthma’’, Criticare - 2013, 17th Annual Congress of the ISCCM, Kolkata, 3, 4 & 5 March, 2013. APOLLO EXCELLENCE REPORT 2013 165 ‘’Respiratory Update’’, Ahmedabad, 08-Jul-13. ‘’Non Invasive Ventilation’’, Comprehensive Critical Care Course (Course director) - 2013, Kolkata, 08-Mar-13. ‘’Essentials of Ventilator graphics’’, ISCCM Pune MV workshop, 12-14 July 2013. ‘’Pulmonary Thromboembolism’’, Comprehensive Critical Care Course (Course director) - 2013, Kolkata, 08-Mar-13. ‘’Coagulation & Anticoagulation’’, 4th ECMO training course & Conference 2013 at Apollo Hospitals, New Delhi, 6-8 June 2013. ‘’Renal issues & Dialysis’’, 4th ECMO training course & Conference 2013 at Apollo Hospitals, New Delhi, 6-8 June 2013. ‘’Monitoring Blood Flow, Oxygenation & Acid-Base Status Diagnosis’’, FCCS course held at Medanta – The Medicity Hospital, Gurgaon, 19-20 July 2013. ‘’Management of Acute Respiratory Failure’’, FCCS course held at Medanta – The Medicity Hospital, Gurgaon, 19-20 July 2013. ‘’Respiratory Emergency Handling’’, National Emergency CME Apollo Hospitals, New Delhi, 21-Jul-13. ‘’Decannulation’’, 4th ECMO training course & Conference 2013 at Apollo Hospitals, New Delhi, 6-8 June 2013. ‘’Venous thromboembolism and pregnancy’’, 5th Apollo Critical Care Conference Tamilnadu, Dr. MGR Medical University, Chennai, 03-Aug13. ‘’Respiratory ECMO - Indian Scenario’’, 4th ECMO training course & Conference 2013 at Apollo Hospitals, New Delhi, 6-8 June 2013. ‘’Indications/Contraindications of PCT Vs Surgical Tracheostomy’’, The Scientific Committee of DCCS 2013, 17-Aug-13. ‘’Noninvasive Ventilation in the ICUHealing or Hurting’’, Ashraicon-2013 a Critical Care Conference, at Ahmedabad, 29-30 June 2013. ‘’Therapeutic Hypothermia’’, Ashraicon-2013 a Critical Care Conference, at Ahmedabad, 29-30 June 2013. 166 ‘’Ultrasound in Emergency & Critical Care Course (WINFOCUS USLS BL1-P)’’, Medanta The Medicity, 16-17 July 2013. ‘’ABG’’, EDPA, Midcon 2013 Respiratory Update, 25-Aug-13. ‘’Pulmonary embolism’’, EDPA, Midcon 2013 - Respiratory Update, 25-Aug-13. ‘’Mechanical Ventilation’’, Comprehensive Critical Care Course (4c) at Tata Memorial Hospital, Mumbai, 6-8 September 2013. ‘’Pulmonary Thromboembolism’’, Comprehensive Critical Care Course (4c) at Tata Memorial Hospital, Mumbai, 6-8 September 2013. ‘’Brain Death’’, Comprehensive Critical Care Course (4c) at Tata Memorial Hospital, Mumbai, 6-8 September 2013. ‘’Non invasive ventilation – an overview’’, VMMC & Safdarjang Hospital PG Pulmonary Update- 2013, Safdarjang Hospital, New Delhi, 14 – 15 September 2013. ‘’Management of Sepsis and Septic Shock’’, NIMC- 2013, API Saharanpur, Haridwar, 21-22 September 2013. ‘’PEEP and Recruitment Maneuvers’’, WAD-2013, Mumbai, 25-Oct-13. ‘’Ventilator Graphics’’, WAD-2013, Mumbai, 25-Oct-13. ‘’Ventilating the patient with severe asthma (Interactive Case Discussions -40 minutes)’’, WAD-2013, Mumbai, 25-Oct-13. ‘’Optimisation for surgery ....role of a chest physician’’, WAD-2013, Mumbai, 26-Oct-13. ‘’PEEP and Recruitment’’, GSVM Medical College, Kanpur, 27-Oct-13. ‘’Diagnosis, management and implication of Tuberculosis in women’’, CME-Teaching schedule for DNB students, Dept. of Obs & Gynae -October- 2013, Apollo Hospitals, New Delhi- 76, 31-Oct-13. achievements High Frequency Oscillatory Ventilation (30 mins), (1. APRV / Bilevel, 2. Proportional assist, 3. PRVC / VC+, 4. Tube compensation, 5. Volume support), Criticare - 2013, 17th Annual Congress of the ISCCM, Kolkata, 3, 4 & 5 March, 2013. ‘’Management of Fungal Infections in Critically ill patients’’, Scientific meeting at GlaxoSmithkline (GSK), New Delhi, 07-Nov-13. ‘’Noninvasive Ventilator’’, API-Roorki, 17-Nov-13. ‘’Poisioning’’, 0th Comprehensive Critical Care Course, ISCCM, Medanta The Medicity, 22-Nov-13. ‘’Acute Renal Failure’’, 1st Comprehensive Critical Care Course, ISCCM, Medanta The Medicity, 22Nov-13. ‘’Hyponatremia’’, 2nd Comprehensive Critical Care Course, ISCCM, Medanta The Medicity, 23-Nov-13. ‘’ECMO:WHO gets it, & how do you do it?’’, 2nd Comprehensive Critical Care Course, ISCCM, Medanta The Medicity, 24-Nov-13. ‘’Neuromascular disorders’’, NAPCON-2013, Chennai Trade Centre, 29-Nov-13. ‘’Anticoagulation’’, The Auditorium, Sir Ganga Ram Hospital, New Delhi, 13-Dec-13. ‘’Hemodynamic Monitoring-I’’, 3rd Comprehensive Critical Care Course, ISCCM office Pune, 21-Dec-13. APOLLO EXCELLENCE REPORT 2013 167 ‘’Acute Pancreatitis’’, 3rd Comprehensive Critical Care Course, ISCCM office Pune, 22-Dec-13. ‘’Fungal Infection in ICU’’, 3rd Comprehensive Critical Care Course, ISCCM office Pune, 22-Dec-13. Membership of editorial boards of peer reviewed journals Indian Journal of Critical Care Medicine Intensive Care Medicine Indian Journal of Chest Diseases & Allied Sciences Positions held Vice-President, National College of Chest Physicians (NCCP), 2011-2013. Vice Chancellor, Indian College of Critical Care Medicine, 2011-2014. Invited examinership National Board for FNB Critical Care Membership of editorial boards of peer reviewed journals Reviewer, Journal of Clinical Ophthalmology & Research, since January 2013. Positions Held Treasurer, Delhi Ophthalmological Society, April 2011- April 2013. 168 Dr (Prof) Raju Vaishya Orthopaedics and Joint Replacement Surgery, Indraprastha Apollo Hospitals, New Delhi Publications Vaishya R, ‘’Hip Resurfacing Arthroplasty in Inflammatory Arthritis’’, J Arthroplasty, 28(1):199, 2013. Vaishya R, ‘’A retrospective analysis of medial open wedge high tibial osteotomy for varus osteoarthritic knee’’, Ind J Orthop., 47 (2): 215; 2013. Vaishya R, Singh AP, Vaish A, ‘’Outcome of sub vastus approach in elderly non obese patients undergoing bilateral simultaneous total knee arthroplasty’’, Ind J Orthop. 47(4): 430-431; 2013. Vaishya R, Hasija R, ‘’Joint hyper mobility and anterior cruciate ligament injury’’, Journal of Orthopaedic Surgery, 21(2):182-4; 2013. Vaishya R, Sharma M, Chaudhary RR, ‘’Bioball universal modular neck adapter as salvage for failed revision Total Hip Arthroplasty’’, Ind J Orthop. 47(5): 519-22; 2013. Vaishya R, Zamil, Shrivastava VK, ‘’Megaprosthetic replacement of knee in a young boy of 14’’, Apollo Medicine, 2013, 10(4): 293-96, http://dx.doi. org/10.1016/j.apme.2013.07.001. Vaishya R, ‘’Medial Patellofemoral Ligament Reconstruction: The Superficial Quad Technique’’, Am J Sports Medicine, 2013 Oct, 41(10):NP47, doi: 10.1177/0363546513505842. Vaishya R, Singh AP, Vaish A, ‘’Peri prosthetic fracture in mega prosthesis of the knee’’, Chinese Journal of Traumatology, 2013,16(5):314-315. Vaishya R, Vaish A, Nadeem A, ‘’Bisphosphonate induced atypical sub trochanteric femoral fracture’’, BMJ case reports’’, 2013 Nov 28, doi:pii: bcr2013201931. 10.1136/bcr-2013201931. Vaishya R, Khan SA, Kumar A, ‘’A rare case of giant osteoid osteoma’’, Apollo Medicine, 2013, 10 (4): 285-88, doi:10.1016/j.apme.2012.08.006. Vaishya R, Shrestha S, Vaish A, ‘’A Galeazzi -variant type fracture dislocation in adults’’, Chinese Journal of Traumatology, 2013 Dec 1;16(6):344-6. Vaishya R, Vaish A, ‘’Use of intravenous tranexamic acid in total knee arthroplasty: a meta-analysis of randomized controlled trials’’, Chinese Journal of Traumatology (In press) Vaishya R, Kumar R, Maharjan RR, ‘’Per cutaneous fixation of Pelvic Fractures’’, Apollo Medicine, http://dx.doi.org/10.1016/j. apme.2013.04.001. Vaishya R, Dhiman RS, Nyokabi DN, Rai BK, ‘’Pseudo aneurysm of profunda femoris artery following dynamic hip screw fixation for inter trochanteric femoral fracture’’, Chinese Journal of Traumatology (In press). achievements ‘’Nutritional Support in ICU’’, 3rd Comprehensive Critical Care Course, ISCCM office Pune, 21-Dec-13. Vaishya R, Chauhan M, Vaish A, ‘’Bone Cement (Review Article)’’, J Clin Orthop & Trauma, 2013 (4): 157-63, doi:10.1016/j.jcot.2013.11.005. Vaishya R, Mahana M, Vijay V, Vaish A, ‘’Treatment for acute anterior cruciate ligament tear: five year outcome of randomised trial’’, BMJ, http://www. bmj.com/content/346/bmj.f232/ rr/679870. Orations ‘’Periarticular multimodal drug injection for pain management in TKA’’, MP Orthocon 2013, Satna, M.P, Dec 2013. Lectures ‘’Antero lateral approach for total hip arthroplasty’’, IOACON, Agra, Dec 2013. ‘’Cementing techniques in Total Hip Arthroplasty’’, IOACON, Agra, Dec 2013. ‘’Modified Insall’s approach for Primary TKA’’, DOACON, N Delhi, Nov 2013. ‘’Total Knee Arthroplasty in morbidly obese patients’’, IAACON, Jaipur, Nov 2013. APOLLO EXCELLENCE REPORT 2013 169 ‘’What’s new in Joint Replacement surgery?’’, Nepal Medical Association Conference, Kathmandu, March 2013. Dr. Ramji Gupta ‘’To compare the rates of joint hypermobility in patients with and without Anterior cruciate ligament (ACL) injury’’, Annual Conference of DOA, Nov 2013. ‘’Megaprosthetic replacement of the knee in a young boy of 14 years’’, BOSCON, March 2013. Books published ‘’Can we cure Psoriasis?’’, Dr. Ramji Gupta, Prayatna, 2013. ‘’Tuberculosis of the mid foot- a review of 10 cases’’, Annual Conference of DOA, Nov 2013. ‘’Arthrodesis for osteoarthritis of the manubriosternal joint-case report’’, Annual Conference of DOA, Nov 2013. ‘’Bioball universal modular neck adapter as a salvage for failed revision Total Hip Arthroplasty’’, SICOT, Hyderabad, Oct 2013. ‘’Pain management in primary TKA, using LIA: a double RCT’’, MP Chapter of IOA conference, Satna, Oct 2013. (Dr B Das Oration). ‘’What’s new in Knee Replacement surgery?’’, 7th Annual Kenya Orthopaedic Association / ASOTS Congress 2013, Nairobi, July 2013. ‘’Autologus Chondrocyte Implantation for femoral condylar articular defects’’, Apollo Cartilage workshop, May 2013. ‘’Spontaneous Osteonecrosis of the Knee’’, Apollo Cartilage workshop, May 2013. 170 Membership/Reviewer of editorial boards of peer reviewed journals BMC Musculoskeletal Disorders Lancet British Medical Journal Journal of Bone & Joint Surgery (Br) Indian Journal of Orthopaedics Journal of Orthopaedic Surgery and Research JIMA Apollo Medicine OMICS Group- Medical Journals Positions held Treasurer, Indian Cartilage Society, 2011-13. Awards Adjunct Professor of Apollo Hospitals for Educational and Research Foundation (AHERF) (2012-13, 201314). Got the honor of doing a bilateral Total Knee Replacement in the oldest couple in a single sitting & created a world record (published in Limca Book of Records and India Book of Records 2013). Dermatology, Indraprastha Apollo Hospitals, New Delhi Publications ‘’Azathioprine Pulse Therapy in the treatment of Psoriasis’’, Ramji Gupta, Journal of Pakistan Association of Dermatologists, 2013; 23(2); 120-125. Lectures ‘’Prolong Remission of Psoriasis by Azathioprine Pulse Therapy’’, Hyderabad (7-8/9/2013) Pemphigus and Pulse therapy Foundation, Delhi (4-7/12/2013) International Conference of IADVL . Awards Dr. Sardari Lal Memorial Award, 17/11/2013. Dr. Rohini Handa Rheumatology, Apollo Indraprastha Hospitals, New Delhi Publications Chopra A, Saluja M, Tillu G, Sarmukkaddam S, Venugopalan A, Narsimulu G, Handa R, Sumantran V, Raut A, Bichile L, Joshi K, Patwardhan B, ‘’Ayurvedic medicine offers a good alternative to glucosamine and celecoxib in the treatment of symptomatic knee osteoarthritis: a randomized, double-blind, controlled equivalence drug trial’’, Rheumatology (Oxford) 2013 Jan 30. [Epub ahead of print]. Handa R, ‘’Rheumatoid Arthritis: At the cross roads of inflammation and atherosclerosis’’, J Assoc Physic India 2013; 61:9. achievements ‘’Management of patellar cartilage lesion’’, 2nd ICS congress, Chennai, Nov 2013. Handa R, ‘’Corticosteroids in Rheumatoid Arthritis’’, Proceedings of the 9th Scientific Conference of Bangladesh Rheumatology Society, Dhaka, Bangladesh. October 5-6, 2013. Lectures 4th Inflammation Forum, Vienna, Austria, February 21-23, 2013, Invited Panelist: ‘’Emerging Therapies for RA: Efficacy of Tofacitinib’’. Symposium of the Asia Pacific League of Associations for Rheumatology in conjunction with 2nd Indonesia Japan Rheumatology Forum, Bali, Indonesia. August 29-September 1, 2013, Plenary Session chaired: ‘’The challenge of rheumatic diseases treatment in developing countries’’, Speaker-Handono Kalim, Invited talk: ‘’Premature Atherosclerosis in Rheumatoid Arthritis’’. 9th Scientific Conference of Bangladesh Rheumatology Society, Dhaka, Bangladesh. October 5-6, 2013, Invited talks: ‘’Corticosteroids in Rheumatoid Arthritis’’ The 2nd World Congress on Controversies, Debates & Consensus in Bone, Muscle & Joint Diseases (BMJD), Brussels, Belgium, November 21-24, 2013, Invited Chair: ‘’Session on New molecules in development’’. APOLLO EXCELLENCE REPORT 2013 171 Delhi Rheumatology Association Update 2013, New Delhi. February 17, 2013, Invited talk: ‘’Optimum use of Non-Biologic DMARDs in RA- Which drug, what dose, how to monitor, when to change?’’ Conference on SLE, Odisha Chapter of IRA, Cuttack. April 24, 2013, Invited talks: ‘’Diagnosis of Lupus: Lessons from real life’’ and ‘‘Minor Organ involvement in SLE- Minor but not unimportant!’’ Indian Rheumatology Association (IRA) Midterm CME, Lucknow. July 28, 2013, Invited talk: ‘’Immunogenicity & Biologics- At the cross roads of Immunology & Rheumatology’’. Association of Physicians of India, Delhi State Chapter CME, New Delhi, July 31, 2013, Invited talk: ‘’Gout: Integrating myths, facts and evidence!’’, Indian Rheumatology Association, Rajasthan Chapter CME- Art & State of the Art Clinical Rheumatology 2013, Jaipur, August 4, 2013, Invited talk: ‘’Gout: Integrating myths, facts and evidence!’’ Max Internal Medicine Update 2013, New Delhi. November 9-10, 2013, Invited talk: ‘’Vasculitis-Diagnostic approach’’. 172 Annual Conference of Delhi Orthopaedic Association, New Delhi, November 9-10, 2013, Invited talk: ‘’Rheumatology-Orthopedics Interface- Name changers & Game changers in 2013’’. XXIV Annual CME Association of Physicians of India-Delhi State Chapter, New Delhi, December 28-29, 2013, Invited talk: ‘’Ankylosing Spondylitis: Integrating Myths, Facts and Science’’. Rheumatology Update 2013, Postgraduate Medical Institute, Chandigarh. November 10, 2013, Invited talk: ‘’Gout: Moving from Evidence to Practice’’. Membership of editorial boards of peer reviewed journal Member Editorial Board, Clinical Rheumatology Member Editorial Board, Current Rheumatology Reports Member Advisory Board, Journal of Association of Physicians of India Member Editorial Board, Indian Journal of Rheumatology Positions held Vice Dean, Indian College of Physicians (2013-2016). 15th Postgraduate Instructional Course in Orthopedics, Maulana Azad Medical College, New Delhi, November 13-16, 2013, Invited talk: ‘’Management of Rheumatoid Arthritis’’. Association of Physicians of IndiaDIAS Programme (Dissemination of Updated Information through API Speakers), New Delhi. November 17, 2013, Invited talk: ‘’Differential Diagnosis & Treatment of Rheumatoid Arthritis’’. 29th Annual Conference of Indian Rheumatology Association- IRACON 2013, Kolkata. December 6-8, 2013, Invited faculty: Moderator Interface Session: ‘’Rheumatology, Pulmonology, Hematology & Nephrology’’, Session chaired: President’s Oration. CME on Rheumatic Diseases for Physicians, Association of Physicians of Surat and Rheumatology Association Gujarat, Surat, December 22, 2013, Invited talks: ‘’Biologics in India: Cutting costs or cutting corners?’’, ‘’Rheumatoid Arthritis: Early recognition and Effective management’’ and ‘’Demystifying connective tissue diseases’’. Elected Chair Scientific Committee, Annual Conference of Indian Rheumatology Association (IRACON) 2014, Chandigarh. Elected Chair Scientific Committee, Asia Pacific League of Associations for Rheumatology (APLAR) Congress 2015, Chennai. Invited Examinership National Board of Examinations: DNB Rheumatology Awards Excellence in Integrative Medicine (ECIM) Research Award 2013 by The European Society of Integrative Medicine (ESIM), Chopra A, Saluja M, Tillu G, Sarmukkaddam S, Venugopalan A, Narsimulu G, Handa R, Sumantran V, Raut A, Bichile L, Joshi K, Patwardhan B, ‘’Ayurvedic medicine offers a good alternative to glucosamine and celecoxib in the treatment of symptomatic knee osteoarthritis: a randomized, doubleblind, controlled equivalence drug trial’’. Dr. S. K. Agarwal Internal Medicine, Indraprastha Apollo Hospitals, New Delhi achievements 41st National Conference of Indian Association of Dermatologists, Venereologists & LeprologistsDermacon 2013, Ahmedabad, January 24-27, 2013, Invited talk: ‘’Recent Investigations in Connective Tissue Diseases’’. Awards Life time achievement award, East Delhi Physicians Association (EDPA) . Dr. Sapna Nangia Radiation Oncology, Indraprastha Apollo Hospitals, New Delhi Presentations ‘’Hypofractionated Rotational Modulated Radiotherapy in Prostate Cancer using CBCT: Early Results’’, S. Nangia, M Chomal, A Agarwal, R Srivastava, MP Noufal, G Saini, PK Sharma, Indian Cancer Congress 2013, Nov-13. Lectures Radiation Oncology in India: “Into Ever Widening Thought & Action”, Annual Meeting of Indo-American Cancer Association, Nov-13, Atlanta, USA. Prof. Dr. Shakti Bhan Khanna Obstetrics & Gynaecology, Indraprastha Apollo Hospitals, New Delhi Lectures ‘Role of Robotic in Gynae Onco Surgeries’, XXXIII annual convention Indian Medical Association South Delhi Branch on 3rd Feb 2013. ‘Role of Well Woman Check in Screening for Gynaecological Malignancies’ in 23rd national converntion of Forum of Women in Public Sector on 12th February 2013. APOLLO EXCELLENCE REPORT 2013 173 ‘Role of robotic surgery in Gynae Onclogy’ in National Oncology CME on 30 th June 2013. ‘Endometrial Stromal tumors-then and now’, AOGD monthly clinical meeting on 26th July2013. ‘Robotic Surgery In Gynaecology’, AOGD monthly clinical meeting on 26th July 2013. ‘Swine flu in pregnancy’, AOGD monthly clinical meeting on 26th July 2013. Panelist, ‘Paediatric & Adoleoscent issue’ in AICC-RCOG conference on 1st september 2013. ‘Cervical Cancer in Pregnancy Wait, treat and Interrupt’, on Gynae Oncocon on 7th September 2013. Presentations ‘Letrazole in the treatment of endometrial stromal sarcoma’ in International congress of Oncology Delhi November 2013. Membership of editorial boards of peer reviewed journals Apollo Medicine, 2013. Positions held Member representing India, Asian football confederation ADHOC committee for disorders of Sex development from 2011 to 2015. 174 Member, south and south east district, Family welfare Govt of NCT of Delhi. Awards KECSS (The Kashmir Education, Culture and Science Society (Regd) New Delhi) Award for outstanding contribution in the field of Medical sciences on February 15, 2013. Dr Shuaib Zaidi Surgical oncology, Indraprastha Apollo Hospitals, New Delhi Publications in peer reviewed journals ‘’Mutation and protein expression analysis of CYP1A1 gene-a study on female breast cancer cases from India’’, Mohammad Zeeshan Najm, Salman Akhtar, Istaq Ahmad, Shilpi Chattopadhyay, Nasar Mallick, Sarah Siddiqui, Shuaib Zaidi, Waseem Ahmad Siddiqui, Syed Akhtar Husain, Tumor Biology (Impact Factor: 2.52), 10/2013, DOI:10.1007/s13277-0131262-5, Source: PubMed. ‘’Immunohistochemical expression and mutation study of Prohibitin gene in Indian female breast cancer cases’’, Mohammad Zeeshan Najm, Shuaib Zaidi, Waseem Ahmad Siddiqui, Syed Akhtar Husain, Medical Oncology (Impact Factor: 2.14), 09/2013; 30(3):614, DOI:10.1007/s12032-0130614-8. Dr Sohani Verma Obstetrics & Gynaecology, Indraprastha Apollo Hospitals, New Delhi Chapters contributed to text books Manual of Assisted Reproductive Technologies & Clinical Embryology, Jaypee Publication, 2nd Edition, 2013, ‘’Oocyte and Maternal Inheritance’’, pp 416-423. Publications ‘’Are women satisfied when using Levonorgestrel- releasing intrauterine system for treatment of abnormal uterine bleeding (A multicentre study)’’, Mansukhani N, Unni J, Dua M, Darbari R, Malik S, Verma S, Bathla S, Journal of Mid-life Health, Jan-Mar 2013, Vol 4, Issue 1, pp 31-35. Lectures ‘’The best stimulation protocol for Endometriosis’’, 9th Annual National Conferece of Indian Fertility Society, 7-8 Dec 2013. ‘’When to start thinking about IVF- Pre Conf Workshop’’, 9th Annual National Conferece of Indian Fertility Society , 06-Dec-13. ‘’Human Oogenesis - Embryology’’, Certification Course, 4-6 Dec 2013. ‘’Ovulation Induction- Protocol for IUI - Pre-cong Workshop’’, 35th Annual Conference of AOGD, 20-Sep-13. ‘’Ovarian Stimulation ProtocolsNewer Concepts’’, Pre Conf AOGD Workshop on Oocyte Retreival and IVF Lab techniques, 20-Sep-13. achievements ‘Gynae Cancer Screening’, Annual conference of Kashmir Medicos Association in India, on 28th april 2013. ‘’ART in special situations- Cancer, HIV positive, Post Bariatric surgery’’, 28th AICC RCOG National Annual Conference, 30 Aug - 1 Sept 2013. Organized 28th Annual National Conference of AICC RCOG and 9 pre and post Conference Workshops as Organizing Chairperson, 28 Aug - 2 Sept 2013. Organized RCOG UK Franchised Courses for MRCOG Part II, Basic Practical Skills twice a year, (January and July 2013). Positions held Chairperson, North Zone AICC RCOG India, since May 2012 (Five year post). Vice President, Indian Fertility Society, since 1 April 2012. Honorary Professor, Centre for Reproductive Biology, Amity University UP, since 5th Dec 2013. ‘’Myths & Facts about Clomiphene’’, 20th Annual National Conference of NARCHI 2013, 28-29 Sept 2013. ‘’Advances in Ovarian Stimulation Protocols’’, 35th Annual Conference of AOGD, 21-22 Sept 2013. APOLLO EXCELLENCE REPORT 2013 175 Liver Transplant Surgery, Indraprastha Apollo Hospitals, New Delhi Publications ‘’Single-lobe living donor liver transplant in a morbidly obese cirrhotic patient preceded by laparoscopic sleeve gastrectomy’’, Taneja S, Gupta S, Wadhawan M, Goyal N, Case Rep Transplant, Epub 2013, Dec 10. ‘’Fifteen years of liver transplantation in India’’, Sibal A, Bhatia V, Gupta S, Indian Pediatr, 2013 Nov 8;50(11):9991000. Dr. Subhash Kumar Wangnoo Endocrinology, Indraprastha Apollo Hospitals, New Delhi Publications Wangnoo SK, Bader G, Gawai A, Singh S, ‘’Effectiveness and Tolerability of Vildagliptin in Indian Patients with Type 2 Diabetes Mellitus: Results from Edge−A Real-World Observational Study’’, IJCP, 2013; 24(6):537-42. Jindal R, Gupta N, Siddiqui MA, Wangnoo SK, ‘’Post-Prandial Hyperglycemia’’, JIACM, 2013, 14(34);242-246. 176 Mathieu C, Barnett AH, Brath H, Conget I, de Castro JJ, Göke R, Márquez Rodriguez E, Nilsson PM, Pagkalos E, Penfornis A, Schaper NC, Wangnoo SK, Kothny W, Bader G, ‘’Effectiveness and tolerability of second-line therapy with vildagliptin vs. other oral agents in type 2 diabetes: a real-life worldwide observational study (EDGE)’’, Int J Clin Pract, 2013, Oct; 67(10):947-56. Wangnoo SK, Maji D, Das AK, Rao PV, Moses A, Sethi B, Unnikrishnan AG, Kalra S, Balaji V, Bantwal G, Kesavadev J, Jain SM, Dharmalingam M, ‘’Barriers and solutions to diabetes management: An Indian perspective’’, Indian J Endocrinol Metab, 2013 Jul;17(4):594-601. Radhika Jindal, Ayesha Ahmad, Mohammad Asim Siddiqui, Inderpal Singh Kochar, Subhash Kumar Wangnoo, ‘’Novel mutation c.597_598dup in exon 5 of ABCC8 gene causing congenital hyperinsulinism’’, Diabetes & Metabolic Syndrome: Clinical Research & Reviews, In Press, Corrected Proof, Available online 26 March 2013. Niti Agarwal, SK Wangnoo, Asim Siddiqui, Mukul Gupta, ‘’Primary Thyroid Lymphoma: A Series of Two Cases and Review of Literature’’, JAPI, 2013;(61)496-498. Gokulnath, Sahay M, Kalra S, Vishwanathan V, Zargar AH, Talwalkar PG, Wangnoo SK, Maji D, Kumar GV, Sharma RK, Chafekar D, Mohan B, Bantwal G, Bansali A, Sahni JS, ‘’Protocol of an observational study to evaluate diabetic nephropathy through detection of microalbuminuria in Indian patients’’, Indian J Endocrinol Metab, 2013 May;17(3):496-504. Presentations Ayesha Ahmad, Radhika Jindal, Mohammad Siddiqui & Subhash Wangnoo, “Pregestational BMI predicts neonatal hypoglycemia in women with gestational diabetes”, Endocrine Abstracts (2013) 31 P213, Presented at the British Endocrine Society Annual Meeting, Harrogate, Yorkshire, United Kingdom. Subhash Wangnoo, Radhika Jindal, Nitin Gupta, Mukul Gupta, Mohammad Siddiqui, ‘’Prevalence and Characteristics of painful diabetic neuropathy in a community based diabetic population attending a tertiary care setting’’, AACE Annual Meeting 2013, Abstract 235, P39, Presented at American College of Endocrinology Annual Meeting, Phoenix, Arizona, United States of America. Radhika Jindal, Nitin Gupta, Mukul Gupta, Mohammad Asim Siddiqui, and Subhash Kumar Wangnoo, ‘’Study of Maternal and Neonatal Outcomes in Women with Gestational Diabetes Mellitus’’, Endocr Rev 2013 34: SAT818, Presented at the 95th Annual Endocrine Society Meeting 2013 at San Francisco, United States. Membership of editorial boards of peer reviewed journals: Diabetes Technology and Therapeutics Journal of Associations of Physicians of India Indian Journal of Endocrinology Diabetes & Metabolic Syndrome: Clinical Research & Reviews Lectures ‘’Indian Incretin axis: Role of Gliptins in Indian diabetics’’, International symposium on Diabetes- IDSI, Mumbai, 12th and 13th January, 2013. ‘’Dyslipidemia in Pregnancy’’, 8th Annual Conference of Diabetes in Pregnancy Study group India - DIPSI 2013, 16 - 17 February, 2013, Thaltej, Ahmedabad. ‘’Technology and Diabetes’’, International conference on Recent Advances in Diabetes & Endocrinology (IC-RADE 2013), Aligarh, 15-17 March, 2013. achievements Dr. Subhash Gupta ‘’Role of Sulphonylurea in Gliptin Era’’, 5th World Congress of Diabetesindia, Kochi, April 18-21, 2013. ‘’Metabolic Syndrome in Pregnancy’’, Specialty training Group in Gestational Diabetes. Chennai, May 18-19th, 2013. Dr Sundeep Upadhyaya Rheumatology, Indraprastha Apollo Hospitals, New Delhi Indian Association Orthopaedics Delhi chapter, 2013 Goa: “Advances in the management of rheumatoid arthritis”. Delhi Rheumatology Association annual meet 2013: “Approach to MCTD, Sjogrens Syndrome and Other CTDs”. Clinical Immunology Society of India 2013 Kochi - “Do antiphospholipid antibodies co-relate with clinical features?” Interrnational Conference of Antibodies: 2013, Hangzhou China, “Antibodies to cytokine targets in Rheumatoid Arhtritis and Spondyloarthritis: the clinical science and unmet needs. Results of a single centre.” International Conference of Vaccines: 2013, China, “Immunotherapy and Vaccines for RA and Spondyloarthritis”. APOLLO EXCELLENCE REPORT 2013 177 Neurosurgery, Indraprastha Apollo Hospitals, New Delhi Publications Progress in Clinical Neurosciences, Volume 27, Jaypee. Membership of editorial boards of peer reviewed journals Journal of paediatric neurosciences. Positions held Secretary of Indian society for stereotactic & functional neurosurgery, 2013. Dr. Vinit Suri Neurology, Indraprastha Apollo Hospitals, New Delhi Publications ‘’Young girl with abnormal behavior: Anti-N-Methyl-D-Aspartate receptor immune encephalitis’’, Vinit Suri, Sushma Sharma, Rohan Gupta, Nilesh Jadhao, Kunal Suri, Annals of Indian Academy of Neurology, April-June 2013, Vol 16, Issue 2, 169-171. ‘’Bronchogenic adenocarcinoma masquerading as recurrent embolic strokes and myocardial infarction due to nonbacterial thrombotic endocarditis’’, Vinit Suri, Sushma Sharma, Nilesh Jadhao, Ruchi Rastogi, Neurology India, Jan-Feb 2013, Vol.: 61, Issue:1, Page:80-82. Lectures ‘’Iv thrombolysis vs mechanical thrombectomy in posterior circulation Stroke’’, annual DNA Delhi Neurologycal Association Conference, 02-01-2013. 178 ‘’Stroke management in patients with Prosthetic Valve Thrombosis in Heart and Stroke’’, Heart and Stroke conference at India Habitat, 9/11/2013. ‘’Stroke management from guidelines to practice”, API-DIAS, API Delhi Chapter, 11-10-2013. ‘’Early stroke management at API Uttaracon’’, API Uttaracon at Roorki, 17/11/13. “Update on thromboloysis 2013”, Neuroedge-Conference at Chennai, 27-July-2013. Conducted first summer school of Indian Stroke Association at wild Flower Mashobra, Simla-7 & 8th June 2013, Summer school of Indian Stroke Association, 7- 8- June 2013. Given talks on i) Basilar artery occlusion ii)Thrombolysis Beyond Guidelines iii)Personalized, prevention of Stroke iv)Restarting antiplatelets anticoagulation after ICH and hemorrhagic stroke. Positions held Executive Member, Delhi Neurological Association, 2012-2015 Secretary, Indian Stroke Association, 2012 -2015. Dr Yatinder Kharbanda Orthopedics, Indraprastha Apollo Hospitals, New Delhi Publications Yatinder Kharbanda, Mrinal Sharma, AnandVadhera, Vivek Srivastava, Apollo Medicine, December 2013, Volume 10, Number 4; PP.276-279. Yatinder Kharbanda, Mrinal Sharma, Kuldeep Singh, Lokesh Kumar, Sideswipe injuries around the elbow: Management and functional evaluation, Indian Journal of Orthopaedics, July 2013, Vol. 47, Issue 4; pp. 382-387. Presentations Chairman, Hip Arthroplasty Cadaver Course at M S Ramaiah Advanced Learning Centre, Bangalore, 30th June 2013. Faculty, Revision Hip Course at M S Ramaiah Advanced Learning Centre, Bangalore, 24th August 2013. Bone grafting in Primary Total Hip Arthroplasty- Great Expectations 2013, Stryker 7th Asia Pacific Hip & Knee Symposium September 28-29 2013. Exeter Stem for all Hips - Great Expectations 2013, Stryker 7th Asia Pacific Hip & Knee Symposium September 28-29, 2013. Accolade Hip, Indian experience Great Expectations 2013, Stryker 7th Asia Pacific Hip & Knee Symposium, September 28-29 2013. Infected Total Knee Arthroplasty, 2 stage revision surgery – Annual Conference, Delhi Orthopaedic Association, 9th-10th November 2013. achievements Dr V P Singh Course Director, Basic Primary Knee Cadaver Course, Himalayan Institute of Medical Science, Dehradun, November 24th 2013. Course Director, Basic Primary Knee Cadaver Course, Himalayan Institute of Medical Science, Dehradun, March 2013. Dr Rajesh Taneja Urology, Andrology and Robotic Surgery, Indraprastha Apollo Hospitals, New Delhi Publications Article review, Testicular function in male patients with lepromatous leprosy, reviewed in March 2013. Anterior Urtheral Valves without Diverticulae: A Report of Two Cases and Review of the Literature. Rajesh Taneja, Dig Vijay Singh. Congenital Anomalies Oct 2013. Giant Renal Angiomyolipoma: Unusual Cause of Huge Abdominal Mass. Rajesh Taneja, DigVijay Singh. 2013 Journal of Clinical Imaging Science, 3 : 1, p 56 Lectures Delivered a guest lecture to IMA Jalandhar, ”Role of Robotic Surgery in Urology”, on 20 December 2013 Conducted a round table meeting with academic forum of doctors at Sarita Vihar on Uro oncology, 28 November 2013 APOLLO EXCELLENCE REPORT 2013 179 Delivered a talk on ‘Role of Robotic Surgery in Urology’ at IMA meeting at Mathura, 31 August 2013. Chaired a session on “Robotics in Urology” during a CME organized by Indraprastha Apollo Hospitals, New Delhi, 18th July 2013. Delivered a talk on “Role of Robotic Surgery in Urology” at the annual conference of DMA, GPCON 2013 at New Delhi on July 17, 2013. Delivered a talk at the annual meeting of Kashmir Doctors association on ‘Diseases of prostate in elderly, Benign and Malignant’ on 4th July 2013. Invited to deliver a talk on ‘Role of Robotic Surgery in Diseases of Urinary Tract’ at CME held at Kabul, 4th May 2013. Delivered a talk on ‘Robotic Radical Prostatectomy’ during Annual convention of IMA South Delhi Branch, held on 3rd February 2013. 180 Conducted a Mentorship program on Holmium Laser Enucleation of Prostate (HoLEP) at Nova Surgical center, Bangalore, on 13th September 2013. Delivered a talk ‘Preventing complications during HoLEP’ during the annual conference of Urology society of India held at Pune, 17-20 January, 2013 Conducted live operative workshop on Holmium laser enucleation of prostate (HoLEP) at SMS Medical College and hospital Jaipur, 6th July 2013. Presented a lecture on ‘High power Laser in treatment of Stone disease’ at the annual conference of Urology society of India held at Pune, 17-20 January, 2013 Invited to mentor a program of holmium laser prostatectomy (HoLEP) at Nawaloka Hospitals, Colombo, Sri Lanka in 18th May 2013. Conducted a mentorship program on Holmium Laser Enucleation of Prostate, (HoLEP) at Rama Krishna Mission Hospital, Kolkata on 9th March 2013. Invited to Demonstrate and supervise HoLEP (Holmium Laser Enucleation of Prostate) at Fortis Hospital Mohali, Chandigarh, on 10th February, 2013. Conducted a Mentorship program for HoLEP at Apollo Hospitals Kolkata on 4th and 5th January2013. Conducted a training workshop and performed live HoLEP in Vizag, 6 December 2013. National level conferences Delivered a talk ‘How to prevent Stress Urinary Incontinence during HoLEP’ at the annual conference of Urology society of India held at Pune, 17-20 January, 2013 Conducted a mentoring session and demonstrated live the art of HoLEP at Care Hospital, Hyderabad on 25th October 2013. Chaired a session on ‘Uro Oncology’ held at the annual conference of Urology society of India held at Pune, 17-20 January, 2013 Delivered a guest lecture on Oligo AsthenioTerato spermia During annual conference of north zone Urological society of India, held at Chandigarh on 15th November, 2013 Chaired a session on “Robotic Radical Prostatectomy” during a CME held at Medanta Medicity, Gurgaon on 14th September 2013. Dhaka Dr. Anisur Rahman General Surgery, Apollo Hospitals, Dhaka Presentations Poster presentation, World Congress of Surgery, Obstetrics, Trauma and Anaesthesia, October16-17, 2013, Port of Spain, Trinidad and Tobago. Dr. Sandip Kumar Dash Neurology, Apollo Hospitals, Dhaka. achievements Delivered a guest lecture in a meeting held by IMA Patiala, ”Robotic surgery in Uro Oncology” on 16 November 2013. Publications ‘’Zolpidem in progressive supranuclear palsy’’, Dash SK, Case Rep Neurol Med. 2013; 2013:250865, doi: 10.1155/2013/250865, Epub 2013 May 9, PMID: 23762677 [Pub Med]. ‘’Cognitive impairment and diabetes’’, Dash SK, Recent Pat Endocr Metab Immune Drug Discov, 2013 May; 7(2):155-65. Review, PMID: 23489242 [Pub Med - indexed for MEDLINE]. Hyderabad Dr. R Paul Critical Care, Apollo Hospitals, Jubilee Hills, Hyderabad Member of task forces of Government of India or State Governments Hony. Secretary of the Indian Society Of Critical Care Medicine (ISCCM) Hyderabad Chapter for the session 2013 - 2015. Dr Rachna Vinaya Kumar Paediatric Ophthalmology and Adult Strabismus, Apollo Hospitals, Jubilee Hills, Hyderabad Presentation‘’Amblyopia in congenital ptosis- Factors that matter’’, 28th Congress of the Asia Pacific Academy of Ophthalmology in conjunction with the 71st Annual Conference of the All India Ophthalmic Society, Hyderabad, January 2013. APOLLO EXCELLENCE REPORT 2013 181 Awards Best rapid fire case presentation in neuro ophthalmology for ‘’Convergence insufficiency in Parkinsons’ disease’’ at Confluence Eye and Beyond - the International masters’ course in Oculoplasty, Aesthetics, Ocular Oncology, and Neuro-ophthalmology’, Hyderabad, December 2013. Dr. Sai Praveen Haranath Pulmonary & Critical Care Medicine, Apollo Hospitals, Jubilee Hills, Hyderabad Publications ‘’Caring for the Critically Ill’’, Aug 2013, eHealth Magazine. Vaccine update, B Positive . Lectures A prospective observational study on the impact of a structured mechanical ventilation workshop on pre-test and post test assessment, ESICM, Paris 2013. ‘’Talk on TeleICU’’, Apollo Patient Safety Conference, 2013. Positions held American College of Chest Physicians. 182 Chair, Disaster Response Network Steering Committee, ACCP till 2015. Member, Occupational and Environmental Diseases Network Steering Committee, ACCP. Chest 2013 Liaison: Scientific Program Committee. Srinivas Jakkinaboina Critical care medicine , Apollo Hospitals, Jubilee Hills, Hyderabad Presentations ‘’A prospective observational study on the impact of a structured mechanical ventilation workshop on pre-test and post test assessment’’, European Society of Intensive Care Medicine Annual Conference, October 7th 2013, Paris, France. ‘’Outcomes of sepsis in patients admitted to a tertiary hospital in india after implementation of a sepsis pathway: a retrospective study’’, European Society Of Intensive Care Medicine Annual Conference, October 9th 2013, Paris, France. Publications ‘’A prospective observational study on the impact of a structured mechanical ventilation workshop on pretest and post test assessment’’, International journal- Intensive care medicine, October supplement 2013. ‘’Outcomes of Sepsis in Patients Admitted to A Tertiary Hospital in India After Implementation of A Sepsis Pathway: A Retrospective Study’’, International journal- Intensive care medicine, October supplement 2013. Positions held Executive member, Indian society of critical care medicine for Hyderabad chapter. Dr. Ratna Rao Infectious diseases, Apollo Hospitals, Jubilee Hills, Hyderabad Publications ‘’Avian Ecto Parasite Infestation in the Hospital’’, Ratna Rao, MD, Infection Control and Hospital Epidemiology, Vol. 34, No. 2 (February 2013), pp. 219-220, Published by: The University of Chicago Press on behalf of The Society for Healthcare Epidemiology of America, DOI: 10.1086/669077, Stable URL: http://www.jstor.org/ stable/10.1086/669077. V Satya Suresh Attili Medical Oncology and Hematology, Apollo Hospitals, Jubilee Hills, Hyderabad Publications ‘’Palliative chemotherapy in head and neck squamous cell cancer - What is best in Indian population? A time without symptoms, treatment toxicity score based study’’, V Anuradha, BB Anand, A. V. S. Suresh, Sudha Sinha, S Chinna Babu, K Suresh, Indian J Med Paediatr Oncol, 2013;34:11-5. ‘’A randomised, double-blind, placebo-controlled phase 2 study of trebananib (AMG 386) in combination with FOLFIRI in patients with previously treated metastatic colorectal carcinoma’’, M Peeters, A H Strickland, M Lichinitser, A V S Suresh, Br J Cancer, 2013, 108: 503-511. Presentations ‘’Hospital based observational study on the tolerability, and efficacy of two gemcitabine oxaliplatin regimens’’, ESMO- GI conference Barcelona, Spain, 04- July 2013. achievements ‘’Amblyopia in congenital ptosisFactors that matter’’ at the young ophthalmologists’ session at the American Association of Paediatric ophthalmology and Singapore National Eye Centre collaborated Intercontinental Perspective of Paediatric Ophthalmology and Strabismus, Singapore, July 2013. ‘’A randomised, multicentre, openlabel, phase 3 study of panitumumab vs cetuximab for previously treated wild-type (WT) KRAS metastatic colorectal cancer (mCRC)’’, COSA 2013, http://www.cosa2013.org, Session, Best of best orals – GI cancer, date: 12/11/2013. Proof-read paper ‘’A randomised, multicentre, openlabel, phase 3 study of panitumumab vs cetuximab for previously-treated wild-type (WT) KRAS metastatic colorectal cancer (mCRC)’’, The European Cancer Congress 2013, Session title: GI malignencies Colorectal Cancer I, Session type: Proffered Papers Session, Abstract number: 18. Guest of Honour and Guest lecture Biomarkers in development of bio-similar drugs, International Conference on “Emerging Trends in Biomarker Research – Prospects & Challenges”, ICBR 2013, 13 & 14th September- 2013. Positions Held Member- National Advisory board, Jawaharlal Nehru Institute of Advanced Studies, 2 years. Member of task forces of Government of India or State Governments Hemovoigilence committee, NBI, Govt of India, In collaboration with CDSCo, AP branch, 1 year. APOLLO EXCELLENCE REPORT 2013 183 November 23rd, JNMC and KLE society Belgaum for the following topics: Recent trends in blood banking, safe blood transfusion, Triggers of blood transfusion. Publications ‘’Experiences on Autologous Peripheral Blood Stem cell collection’’, Vox sangunis volume 105 s1 June 2013. Pankaj Kumar, Sagar Raj Pandy, Myxofibrosarcoma of hand with metastasis to lung- a case report’’, Accepted for publication in Apollo Medicine. Dr Sudha Ranganathan Lectures December 1-4, 25th Regional congress of the ISBT at Malaysia and presented a poster on the topic: The impact of Nucelic Acid testing (NAT) in the detection of occult Hepatitis B infection in a blood donor population in India. The impact of Nucelic Acid testing (NAT) in the detection of occult Hepatitis B infection in a blood donor population in India, vox sangunis, Dec 2013, volume 105, issue s2 page 91. Membership of editorial boards of peer reviewed journals Member, Editorial Board, World Journal of Orthopedics. Karimnagar Talk on ‘’Role of emergent technologies in blood transfusion’’, Nov 12-14th, National Conference of the Indian Society of Transfusion Medicine (ISTM), Bangalore. Dr.Pankaj Kumar, Positions held Adjunct Associate Professor of AHERF in 2013. Transfusion medicine, Apollo Hospitals, Jubilee Hills, Hyderabad Invited speaker Feb 23rd ISBT Karnataka chapter held at BELLARY – invited to participate on a debate: on “NAT is the need of the hour”. March 16th, ‘’Safe blood transfusion – a collective responsibility”at LTMG medical college and Sion hospital Mumbai. March 31st, ‘’Blood transfusion in clinical practice” as a part of annual update on Haematology and Transfusion medicine’’, Hyderabad. May 26, Blood transfusion update for clinicians as a part of Indian Medical Association, Pune. 184 Oral presentation- Experiences with Luminex bead assay for HLA cross matching in Live related Kidney transplants, Nov 12-14th, National Conference of the Indian Society of Transfusion Medicine (ISTM), Bangalore. October 26, ‘’Overview of blood and blood components as a part of CME on blood conservation in cardiovascular thoracic surgeries’’ Star hospital, Hyderabad. Poster presentation- ‘’case of platelet refractoriness, diagnosis and management’’, Nov 12-14th, National Conference of the Indian Society of Transfusion Medicine (ISTM), Bangalore. Nov 7-9th, Attended the National conference of the Indian Association of Hematology and Blood transfusion and presented the topic “Experiences with Autologous Periphereal Blood Stem cell transplants”. June 2-5, 23rd regional congress of the ISBT Amsterdam, poster presentation, ‘’Experiences on Autologous Peripheral Blood Stem cell. Orthopedics, Apollo Hospitals, Karimnagar Publications Pankaj Kumar, ‘’Pediatric cervical spine clearance: A review and understandings of the concepts’’ Apollo Medicine; in press, Available online, February 2013. Pankaj Kumar, ‘’Thoracic myelopathy secondary to ossification of ligamentum flavum: Short case series and review of literature’’, Apollo Medicine, available online 20 June 2013. Pankaj Kumar, ‘’Floating first metatarsal: a rare injury’’, Apollo Medicine, available online 19 June 2013. achievements Invited examinership 3 thesis as external expert examiner, PhD Review committee, NIMS, Hyderabad. Member, Editorial Board, Case Reports in Orthopedics. Awards ‘’Leading Health Professionals of the World’’, International Biographic Centre, Cambridge, England. Dr. Sudhkar Thungaturthi Lab services, Apollo Hospitals, Karimnagar Publications ‘’Ratios of Age & Sex with Blood Group Prevalence’s in Dengue Fever’’, Sudhakar Thunguturthy, Kolan Bhagavan Reddy, B. Sai Ravi Kiran, Journal of Current Trends in Medicine and Laboratory Biochemistry, Vol:1, Issue:2, July- Sept 2013, pp 24. Pankaj Kumar, ‘’Closed Plaster treatment of severe compound injuries- a report and revisit’’, Apollo Medicine, available online 10 June 2013. APOLLO EXCELLENCE REPORT 2013 185 Dr Anjan Bhattacharya Developmental Paediatrics, Apollo Gleneagles Hospital, Kolkata Chapters contributed to text books Paediatric Neurology, Textbook of Indian Academy of Paediatrics, IAP Barmer, 2013, ‘’Global Developmental Delay’’, First Chapter p4-11. Behavioural Paediatrics, West Bengal Academy of Paediatrics, 2013, ‘’Developmental Coordination Disorder’’. Publications ‘’Toward the Development of the International Classification of Functioning Core Sets for Children With Cerebral Palsy: A Global Expert Survey’’, Veronica Schiariti, Louise C. Mâsse, Alarcos Cieza, Anne F. Klassen, Karen Sauve, Robert Armstrong and Maureen O’Donnell, Journal of Child Neurology. Publication is from British Columbia University, Vancouver, Canada, 21 February 2013. DOI:10.1177/08830738134754 81,http://jcn.sagepub.com/content/ early/2013/02/21/08830738134 75481. ‘’What is a multidisciplinary developmental input for a child with special needs?’’, Anjan Bhattacharya et. al., Conference brochure publication, Jharkhand State Annual Paediatric Conference, 2013, 13:32-37. ‘’Clinical Governance (CG): Principles and its relevance in Indian Contexts’’, Anjan Bhattacharya, Journal of Indian Medico-legal & Ethics Association, 2013, 1(2):44-52. 186 Lectures Trainer, ‘’Neonatal Resuscitation Program’’, National Medical College, Nov, 2013, Kolkata. Invited examinership National Board of Examinations, DNB Centre Appraisal, Tata Memorial Hospital, Jamshednaga, Jharkhand. Chair, ‘’Paediatric Stroke’’, East Zone PEDICON, 17/11/13, Tezpur. Invigilator, Examiner Elect , MRCPCH, UK. Panel Discussion, ‘’Autism - what’s new?’’, GDBP & State PEDICON, 12-08-2013, Kolkata. Awards by state or national or international professional bodies Pioneer, East Zone IAP, 16/11/2013. Monthly Contact Program, International Teaching Course, DCH/ IPPC, 3rd Sundays/month, AGH, Kolkata. Monthly Academic Meetings, Child Development Centre, Paediatricians & Developmental Professionals of the metropolis, 1st Thursdays of every month, AGH, Kolkata. Membership of editorial boards of peer reviewed journals Associate Editor, Journal of Indian Medico-legal and Ethics Association, since June-2013. Positions held Organizing Secretary, Preconference Workshop, Growth & Autism, AGH, Kolkata, 12-06-2013. Jt. Organizing Secretary, National GDBPCON & WB State PEDICON, Paediatric Annual State & National Chapter Conference, Kolkata, 7-8/12/2013. Sponsor and Patron, India ICF Group, Kochi, 3-4/12/2013. World Expert, ICF Core Standard setting, WHO International, Vancouver, Canada, 4-6/6/2013. Treasurer, Disability Group, IAP, 1 year. Member of task forces of Government of India or State Governments IAP Presidential Action Plan, ToT Task Force, ‘’Emotional Intelligence & Emotional Quotient’’, IAP, Design and dissemination of Training module for Trainers in the country. Neurosurgery, Apollo Gleneagles Hospitals, Kolkata Publications ‘’Osteosynthesis a physiological way of managing Hangman’ fracture, Dr Binod Kumar Singhania, Dr Sapna Sirohia’’, Apollo Medicine- Sept 2013, Vol 10. Expert opinion, ‘’City Scientists on way to Dementia Cure’’, Times of India, 5th Dec 2013. Expert opinion, ‘’Tech tonic for tough disease’’, Times of India, 23rd Dec 2013. Orations Dr Kumud Sankar Ray JIMA Oration, Neurosurgery in present and future, IMA, Kolkata, 2013. Lectures C1-C2 Screws are better option for traumatic Dislocation, ANEICON 2013, 17th Nov, 2013. Dr Vikash K Agarwal Issue Editor, OMICS, since Dec 2013. Positions held Vice President, Growth, Development & Behavioural Paediatric Chapter, IAP, 1 year. Dr Binod Kumar Singhania achievements Kolkata Dr Saikat Gupta Medical Oncology, Apollo Gleneagles Hospital, Kolkata Abstract Acceptance of abstract for poster presentation at the European Breast Cancer Congress at Glasgow. Onco-surgery, Apollo Gleneagles Hospitals, Kolkata Abstract Gouri Shankar Bhattacharyya, Hemant Malhotra, Purvish M. Parikh, Kanaka Govindbabu, Tanweer Shahid, Vikash Agarwal, Saumen Basu, Raja Dhar, Sushmita Roychoudhury, Raman Deshpande, Abstract 1356, ‘’Heterogenity of Adeno carcinoma of Lung - change in Immunohistochemistry and histopathology chacter in patients treated with chemotherapy or EGFRTKIs’’. APOLLO EXCELLENCE REPORT 2013 187 Dr Chinmay Nath Orthopaedic Spine Surgery, Apollo Gleneagles Hospitals, Kolkata Lectures Lecture delivered at 34th SICOT Orthopaedic World Congress 17-19 October 13, ‘’Management option for tandem spinal stenosis (TSS)’’, Hyderabad. Poster presentation at 34th SICOT Orthopaedic World Congress 17-19 October 13, ‘’A case of post operative spondylodiscitis’’, Hyderabad. Dr. Dev Roy Head & Neck Oncology And Facial Cosmetic Surgery, Apollo Gleneagles Hospital, Kolkata Publications ‘’Transoral lasers in Head and neck oncology’’, D.Roy, D. Mukherjee, I. Chatterjee, Bulletin: Dr SG Cancer and Research publication, Dec 2013. Lectures Panelist, Rhinology Symposium, 5th Jan 2013. Complications and how to avoid pitfalls in Botox injections in the face, 13th Annual Plastic Surgery Association State Conference, Ramkrishna Mission Hospital, Kolkata, 17th Feb 2013. Infections in Head & Neck, Emergency, Apollo Hospital, Kolkata, 12th April 2013. Allergic rhinitis—Pearle Hotel, Cipla, Kolkata, 27th April 2013. Surgical management of snoring & sleep apnoea, World asthma day, National Allergic Asthma Bronchitis Institute, Swabhumi, Lupin, 7th May 2013. Hair transplant workshop, Indore, 2nd June 2013. Allergic rhinitis Hotel Pearle, Cipla, 3rd August 2013. Invited Guest speaker on “Laryngoplasty,“ hoarseness evaluation, panel discussion”, “Botox in Spasmodic dysphonia”, Annual 3rd Laryngology conference, Sri Ramchandra Medical College, Chennai, August 2013. Invited Guest speaker and Live Surgery on Rhinoplasty, Koti ENT Hospital, Hyderabad, Organised South Zone All India Otolaryngology Association of India (Feb 2013). Dr Sudipta Sekhar Das Transfusion Medicine, Apollo Gleneagles Hospitals, Kolkata Publications Das SS, Bhattacharya S, Sen S “Managing uncontrolled postsplenectomy reactive thrombocytosis in Idiopathic thrombocytopenic purpura: Role of thrombocytapheresis”, Transfusion and Apheresis Science, 2013, Oct; 49(2):171-3. Das SS, Zaman RU, Biswas D, ‘’Era of blood component therapy: Time for mandatory pre-donation platelet count for maximizing donor safety and optimizing quality of platelets’’, Transfusion and Apheresis Science, 2013 Dec; 49(3):640-3. Das SS, Zaman RU, Safi M, Sen S, ‘’Investigating weak A subgroups in a healthy lady: The blood bank limitations’’, Asian Journal of Transfusion Science, Dec 2013. Invited speaker Organizing secretary, speaker, Moderator. First Eastern India wet workshop on basic Immunohematology on 20th January, 2013 Kolkata under Indian Society of Transfusion Medicine. Speaker, Clinical Blood Transfusion Practice on 7th of March, 2013 at Thakurpukur Cancer hospital, Kolkata. Speaker, Role of Leukoreduction in clinical practice at Fortis Hospital, Kolkata on 23rd March, 2013. 188 Speaker, Clinical Blood Transfusion Practice at Fortis hospital, Kolkata on 25th April, 2013. achievements Temozolomidemetronomic schedule with weekly of cisplatin in metastaticsoft tissue sarcoma, Tanweer Shahid, Vikash Agarwal, Saumen Basu, Gouri Shankar Bhattacharyya, 2013 ASCO Annual Meeting (May 31 - June 4, 2013). Speaker on “Outcome of platelet transfusion” at the 23rd Regional Congress of the International Society of Blood Ttransfusion, Amsterdam, The Netherlands, from June 2 – 5, 2013. Speaker, “Need for safe blood & blood products with special emphasis on use of blood components” at ESI Hospital Kolkata on 12th June, 2013. Speaker at the Fresenius Kabi Advanced Course on Transfusion Technology July 19, 2013 Taipei, Taiwan. Guest speaker at the Transfusion Summit – Advancing Practices in Transfusion Medicine September 5-6th, 2013, Phuket, Thailand. Speaker, “Rational Use of Blood & Blood components” at ESI Hospital Kolkata on 27th September, 2013. Moderator & Speaker, National immunohematology workshop of Indian Society of Transfusion Medicine, 12th September 2013, Bangalore. Speaker, National conference of Indian Society of Transfusion Medicine, 1315th September 2013, Bangalore. Speaker, “Blood Component Therapy” at ESI Hospital Kolkata on 8th November, 2013. APOLLO EXCELLENCE REPORT 2013 189 Chairperson Chairperson, National conference of Indian society of blood transfusion and Immunohematology, 13-15th September 2013, Bangalore. Chairperson, Fresenius Kabi Advanced Course on Transfusion Technology July 19, 2013 Taipei, Taiwan. Member of task forces of Government of India or State Governments External resource person, Transfusion Medicine, National AIDS control organization, Government of India. Technical expert, Transfusion Medicine & Blood banking, Govt. of West Bengal. Awards “Best Scientific paper of the Year Award” in 2013 by Indian Society of Transfusion Medicine, in September 2013, Bangalore. Dr. Chandrashish Chakravarty Critical care, Apollo Gleneagles Hospitals, Kolkata Publications Chakravarty C, Hazarika B, Goswami L, Ramasubban S, ‘’Prevalence of malnutrition in a tertiary care hospital in India’’, Indian J Crit Care Med [serial online] 2013 [cited 2014 Jan 25]; 17:170-3, http://www.ijccm.org/ text.asp?2013/17/3/170/117058. 190 Punj J, Chakravarthy C, Sivakumar P, ‘’Acute abdomen in a young girl with factor XIII deficiency: Perianesthetic issues’’, J Anaesthesiol Clin Pharmacol [serial online] 2013 [cited 2014 Jan 25]; 29:1368, http://www.joacp.org/text. asp?2013/29/1/136/105833. Lectures Criticare 2013, ‘’Selective decontamination of digestive tract (SDD/SOD): is it an option in India? ‘’ Organizer & faculty at “Mechanical Ventilation” workshop at Criticare 2013. Dr. Debasish Chowdhury Nuclear medicine, Apollo Gleneagles Hospitals, Kolkata Chapters contributed to text books Current Trends In Cardiology, April 2006, Ramkrishna Seva Pratisthan & Vivekananda Institute of Medical Sciences, ‘’Nuclear Imaging in Cardiology : Current Status’’. Position Held Secretary, Society of Nuclear Medicine (EC), last 4 years. Dr. Amitabha Ghosh Neurology, Apollo Gleneagles Hospitals, Kolkata Publications Using the revised diagnostic criteria for fronto-temporal dementia in India: Evidence of an advanced and florid disease, Ghosh A, Dutt A, Bhargava P, Rao P S, Plus One, 2013, 8(4), 60999. Evironmental Dependency in fronto -temporal dementia: Have we underrating them?, Ghosh A, Dutt A, Bhargava P, Snolxlen J, Journal of Neurology, 2013, 260: 861-868. Genetic Study of fronto- temporal loban degeneration cases of India’’, Das G, Sadhukhan t, Biswas A, Pal S, Ghosh A, et al., Parkinsonism and related Disorders, 2013, 19 (4): 487-489. Lectures ‘’Fronto-temporal dementia in India’’, Establishing therapeutic efficacy in families FTLD Meeting, Nov 2013, University of California, San Francisco. ‘’FTD in India: Distinctive behavioural patterns’’, Symposium of FTD in Asia: 16th International Psycho-geriatric Congress, October 2013, Seoul, South Korea. ‘’FTD: Cross cultural issues’’, World Federation of Neurology Symposium on FTD/ ALS, August 2013, Columbia. ‘’Clinical Spectrum of FTD’’, 19th Annual Conference of ARDSI, November 2013, Guwahati. ‘’FTD: Disorders in disguise’’, Annual Conference of Indian Academy of Neurology, October 2013, Indore. achievements Speaker, CME on “Enhancing Blood Safety through NAT” organized by Apollo Gleneagles Hospitals, Kolkata, 1st December, 2013. Membership of editorial boards of peer reviewed journals Apollo medicine, since 2013. Positions held Treasurer, Association of Neuroscientists of Eastern India, 2012-2015. Dr. Sanjay Chatterjee Diabetology, Apollo Gleneagles Hospitals, Kolkata Chapters contributed to text books Diapedia (Initiative of European Association for Study of Diabetes), Driebit, Amsterdam. Edited by Prof. Edwin Gale, 2013, Chapter contributed- ‘’Hyperparathyroidism and Diabetes Mellitus Ref: Chatterjee, Sanjay, Hyperparathyroidism and Diabetes Mellitus [internet]. 2013 [cited 2014 Jan 14]; Diapedia 4104673121 rev. no. 16. Available from: http://www.diapedia.org/other-typesof-diabetes-mellitus/4104673121/ hyperparathyroidism-and-diabetesmellitus’’. Diapedia (Initiative of European Association for Study of Diabetes), Driebit, Amsterdam, Edited by Prof. Edwin Gale, 2013, Chapter moderated- ‘’Hyperthyroidism, Reference: Groups, Sapienza, Chatterjee, Sanjay, Hyperthyroidism, 2013, Diapedia 41040851105, rev. no.54, Available from: http:// www.diapedia.org/other-types-ofdiabetesmellitus/41040851105/ hyperthyroidism’’. APOLLO EXCELLENCE REPORT 2013 191 ‘’Vildagliptin With Metformin OnceDaily Regimen-Insights From a Single-Center Analysis’’, Sanjay Chatterjee & Saurav Chatterjee, American Journal of Therapeutics, Am J Ther. 2013 May 9. [Epub ahead of print]. ‘’Glycemic Effects of Vildagliptin and Metformin Combination Therapy in Indian Patients with Type 2 Diabetes - An Observational Study’’, Sanjay Chatterjee and Sudip Chatterjee, Journal of Diabetes, Reference: J Diabetes. 2013 Jul 24. doi: 10.1111/1753-0407.12078. [Epub ahead of print]. ‘’History of Discovery of Insulin: From isletin to degludec and beyond’’, Sanjay Chatterjee, Anirban Majumdar, Ghanshyam Goyal, Journal of the Indian Medical Association, November 2013; vol 111, 11, 729 – 734. Positions held Vice-President, Integrated Diabetes & Endocrine Academy, July 2011 – July 2014 Organizing Chairperson, IDEACON 2013 – the annual conference of the Integrated Diabetes & Endocrine Academy. 192 Ludhiana Dr. Anurakti Dev Singla Pediatric Cardiology, SPS Apollo Hospitals, Ludhiana Chapters contributed to text books ‘’A Comprehensive Approach to Congenital Heart Diseases’’, Jaypee Brothers, Chapter Pulmonary atresia with Ventricular Septal Defect, 2013. Publications Transcatheter device closure of patent ductus arteriosus without arterial access- Single institution experience (Original article), Gaurav Garg, Anurakti Srivastava, Himanshu Tyagi, Sridhar P. Reddy, Anil Sivadasan Radha, Indian Heart Journal, issue 65 (2013), pp 546-551. Pneumatic Blalock Taussig Shunt: Case Report, Gaurav Garg, Anurakti Srivastava, Anil Sivadasan Radha, Pediatric Cardiology, Vol. 34 Issue 3 (2013) 752-753. Lectures ‘’Transcatheter Closure of Decompressing Vein in Glenn Physiology’’, 6th World Congress Paediatric Cardiology and Cardiac Surgery, 17-22 Feb, 2013, Capetown, South Africa. ‘’Ductal Stenting- Single Institiution Experience’’, 6th World Congress Pediatric Cardiology and Cardiac Surgery, 17-22 Feb, 2013, Capetown, South Africa. ‘’Transcatheter Device Closure Of Patent Ductus Arteriosus Without Arterial Access- Single Institution Experience’’, 6th World Congress Pediatric Cardiology and Cardiac Surgery, 17-22 Feb, 2013, Capetown, South Africa. ‘’A Rare Case of Benign Multicystic Peritoneal Mesothelioma: A Clinical Dilemma’’, Ashish Gupta, Harish K. Rao, Raghav Pande, Soumya Gupta, Indian Journal of Surgery, June 2013,Volume 75, Issue 1 Supplement, Page 27-29. ‘’Novel Use Of Rapid Ventricular Pacing In Pediatric Cardiac Catheterization’’, 6th World Congress Pediatric Cardiology and Cardiac Surgery, 17-22 Feb, 2013, Capetown, South Africa. Lectures ‘’Eyelid Avulsion Injury: Apparent loss but Obviously not’’, International conference on oculoplasty, aesthetics, ocular oncology, ophthalmic pathology and neuro-ophthalmology: “Confluence - Eye and Beyond”, 1315th Dec 2013, Hyderabad. ‘’Carotid Approach For Stenting The Arterial Duct’’, 6th World Congress Pediatric Cardiology and Cardiac Surgery, 17-22 Feb, 2013, Capetown, South Africa. Dr Ashish Gupta Plastic & Micro-vascular Surgery, SPS Apollo Hospitals, Ludhiana Publications ‘’Demographic profile of hand injuries in an industrial town of north India: A review of 436 patients’’, Dr Ashish Gupta, Dr Ashok K Gupta, Dr Sanjeev Uppal, Dr RK Mittal, Dr Ramneesh Garg, Indian Journal of Surgery, December 2013, Volume 75, Issue 6, Page 454-461. ‘’Rotation advancement flap for isolated congenital alar rim defect: An effortless paradigm?’’, Dr Ashish Gupta, Dr Ashok K Gupta, International Journal of Pediatric Otorhinolaryngology, 2013 Jan; Volume 77(1), Page 144-6. achievements Publications ‘’Review: Dipeptidyl peptidase -4 inhibitors do not increase overall adverse events in type 2 diabetes’’, Saurav Chatterjee & Sanjay Chatterjee, Annals of Internal Medicine, 16 April 2013, 158, Number 8, Reference: Ann Intern Med. 2013 Apr 16;158(8):JC8. doi: 10.7326/00034819-158-8-201304160-02008. Dr Priyanka Gupta Paediatric Haematology & Oncology, SPS Apollo Hospitals, Ludhiana Chapter Contributed to textbooks ‘’Immunological Problems & Critical Illness’’, Priyanka Sharma, Mukesh Desai, IAP Textbook on Pediatric Intensive Care (Chapter 40, Page536 -549), 2nd Edition, Jaypee Publishers. Lectures Speaker on ‘’Osteonecrosis in ALL’’, HEMATOCON 2013, December 2013. ‘’Thrombotioc Thrombocytopenic Purpura (Panel Discussion)’’, Annual Mumbai Hematology Group, October 2013. APOLLO EXCELLENCE REPORT 2013 193 Dr. G. L. Avasthi Transfusion Medicine, SPS Apollo Hospitals, Ludhiana. Medicine, SPS Apollo Hospital, Ludhiana Presentations Overcoming the challenges of Introducing Leucoreduction, 9th Annual Conference of South Asian Association of Transfusion Medicine, 4-5th October, 2013 at Gurgaon. Publications ‘’Role of Intravenous Immunoglobulin in neurological recovery and its effect on circulating TNF-α levels in Guillan-Barré syndrome’’, Gurcharan Avasthi, Prashant Bhatt, Amit Kumar Soni, Rajinder Bansal, Journal of International Medical Sciences Academy, Accepted for publication. Biomedical Waste Management in Blood Bank: An 18 month audit at SPS Apollo Hospitals, Ludhiana, 9th Annual Conference of South Asian Association of Transfusion Medicine, 4-5th October, 2013 at Gurgaon. Pattern of Blood Procurement and Utilisation at SPS Apollo Hospitals, Ludhiana, Punjab, 38th National Conference of Indian Society of Blood Transfusion and Immunohematology, 18-20th October, 2013 at Surat. Seroprevalence and Trends in Transfusion Transmitted Infections among Blood Donors at SPS Apollo Hospitals, Ludhiana. 38th National Conference of Indian Society of Blood Transfusion and Immunohematology, 18-20th October, 2013 at Surat. Positions held President, Indian Society of Blood Transfusion and Immunohematology (Punjab Chapter). Awards Best Poster Award, Biomedical Waste Management in Blood Bank: An 18 month audit at SPS Apollo Hospitals, Ludhiana, 9th Annual Conference of South Asian Association of Transfusion Medicine, 4-5th October, 2013 at Gurgaon. 194 Orations ‘’G.S. Sainani Pushpa Sainani Oration, Cancer Screening- A Physician’s perspective’’, 21st Annual conference of Indian Association of Clinical Medicine, October 26-27, 2013, Medical College, Kota, Rajasthan, India. Positions held President, Punjab Chapter, International Medical Sciences Academy, since 2011. Invited examinership DNB-General Medicine DNB-Family Medicine Madurai Dr. J. KannaPeruman Orthodontics, Apollo Hospitals, Madurai Publications ‘’Tuberculous Osteomyelitis of Mandible– A rare Case report’’, Kannaperuman J, Natarajarathinam G, Rao AV, Palanimuthu S, Dent Res J (Isfahan) (Pubmed Indexed International Journal), 2013 Mar, 10(2):283-6. ‘’Micro-implants for Orthodontic Anchorage – a Review’’, J. Kannaperuman, G, Natarajarathinam, Adith. V, Int. Journal of Contemporary Dentistry, April, Vol 4, No 1 (2013) pp 61– 65. Lectures ‘’Micro and Mini Implants– the Future, rather the present day anchorage in orthodontics’’, FDI / SLDA Joint International Conference & 80th Anniversary Annual Scientific Sessions of Sri Lanka Dental Association, June 2013 – Colombo, Sri Lanka. ‘’Osseointegrated implants in Orthodontics’’, 66th Indian Dental Conference, February 2013, Kolkata. ‘’Implant Anchors’’, Indian Dental Association, Tamil Nadu State Conference, December 2013, Pondicherry. Membership of editorial boards of peer reviewed journals Associate Editor, Indian Orthodontic Society Times (Official Newsletter of the Indian Orthodontic Society). achievements Dr.Hitish Narang Editorial Board, Dental Journal of Indian Dental Association, Madurai Branch. Positions held Indian Dental Association, State Executive Committee Member (Tamil Nadu). Executive Member, Indian Orthodontic Society (National Association for Orthodontic Professionals). Panel member in Colgate oral devices expert group, Representative for Tamil Nadu. Awards Best Poster Award, Awarded at the 48th Indian Orthodontic Conference, National conference at Ahmedabad (November 2013). Dr. Krishnan Swaminathan Endocrinology, Apollo Hospitals, Madurai Publications Swaminathan K, Sundaram M, Prakash P, Subbiah S, ‘’Diabetic ketoacidosis: an uncommon manifestation of pesticide poisoning’’, Diabetes Care, 2013 Jan; 36(1). S.Meenakshi-Sundaram, SN Karthik, S Bharathi, T Badrinarayanan, K Swaminathan, ‘’Cranial Nerve palsy in Diabetes. A Hunt for the diagnosis’’, Practical Diabetes, June 2013. APOLLO EXCELLENCE REPORT 2013 195 K Swaminathan, A Mathavan, J Sharnika, ‘’Diabetes and Coronary artery Disease in South Asians.’’, British Journal of Diabetes & Vascular Disease, June 2013. Mysore Pune Dr. Raghavendran, Dr Jyothi Unni K Swaminathan, ‘’Experience of Metformin use in Gestational Diabetes’’, Contribution to the debate, Apollo Medicine, June 2013. Membership of editorial boards of peer reviewed journals K Swaminathan, A SureshKumar, K Usha Rani, K Hemalekha, ‘’Adrenal mass in pregnancy: Diagnostic approach and dilemmas’’, Apollo Medicine, June 2013. K Swaminathan, K Usha Rani, S Rohini, V Keerthiga, ‘’Diabetes and Nephropathy is not always equal to diabetic nephropathy’’, British Journal of Diabetes & Vascular disease, Sep 2013. K Swaminathan, ‘’Pesticides and human diabetes, A link worth exploring’’, Diabetic Medicine, November 2013. Presentations ‘’Pesticides and diabetes: A potential link’’, Diabetes UK Annual Conference, Manchester, UK 2013. ‘’Epidemiological study of subjects attending a Master Health Check’’, the Diabetes UK Annual Professional Conference, Manchester, UK 2013. 196 Urology and Transplant Surgery, Apollo Hospitals, Mysore Reviewer, American Urological Association’s guidelines for Urotrauma and Cryptorchidism. Noida Dr. Bincy Varghese Dermatology, Apollo Hospital, Noida Publications ‘’Successful management of airway hemangioma with propranolol’’, Vibhu Mendiratta, Bincy Varghese, Ram Chander, Ankit Parakh, Ravi S. Solanki, International Journal of Dermatology, Volume 52,”http:// onlinelibrary.wiley.com/doi/10.1111/ ijd.2013.52.issue-6/issuetoc”, pages 750–752, June 2013. Awards IADVL Training Fellowship award 2013, Paediatric Dermatology under Dr. G. Sethuraman at AIIMS, New Delhi in August 2013. WCPD grant from International society of Paediatric Dermatology (ISPD) for attending the 12th World Congress of Paediatric Dermatology at Madrid, Spain, September 25th to 27th 2013. HOD, Obstetrics & Gynaecology, Jehangir Hospital, Pune Chapters contributed to text books A Practical Guide to Obstetrics 2013, Universities Press (India) Private Limited, ‘’Peripartum Critical Illness and Collapse’’. Publications ‘’Are women satisfied when using levonorgestrel- releasing intrauterine system for treatment of abnormal uterine bleeding’’, Mansukhani N, Unni J, Dua M, Darbari R, Malik S, Verma S, Bathla S, Journal of Midlife Health 2013, 4(1):31-5. Orations Prof Tarun Banerjee Memorial Oration on Current Usage of Menopausal Hormone Therapy, 24 Nov 2013 at IMS Kolkata Chapter Annual Conference. Lectures Moderator, Panel Discussion on Multispecialty partnerships in Pregnancy and Delivery, 19 Jan 2013, All India Congress of Obstetricians and Gynaecologists in Mumbai. Invited Lecture, ‘’Vitamin D Deficiency in a Land of Sunshine’’ in British Menopause Society Annual Congress, 24 May 2013, Stratford–upon-Avon, UK. ‘’Pre Cancerous Lesions of the Cervix’’ at AICC RCOG West Zone Annual Conference, Kolhapur, 25 August 2013. ‘’Tissue Selective Estrogen Complex’’, 02 October 2013, GYNECON 2013, Armed Forces Medical College, Pune. Positions held Chairperson, All India Co-ordinating Committee of Royal College of Obstetricians and Gynaecologists (AICC RCOG) Western Zone, October 2010 - 2015. President, Indian Menopause Society, 2013-2014. Dr Prasad Walimbe Ophthalmology, Jehangir Apollo Hospital, Pune Presentations Combined Small Incision Cataract Surgery with Trabeculectomy (Fp000321), 9th International Symposium of Ophthalmology (ISO 2013), Guangzhou, China (9-11 Nov 2013). Combined (small incision cataract surgery) with trabeculectomy with ologen implant (FP-000322), 9th International Symposium of Ophthalmology (ISO 2013), Guangzhou, China (9-11 Nov 2013). Combined Trabeculotomy with Trabeculectomy in Congenital Glaucoma (FP-000323), 9th International Symposium of Ophthalmology (ISO 2013), Guangzhou, China (9-11 Nov 2013). APOLLO EXCELLENCE REPORT 2013 197 Combined Trabeculotomy With Trabeculectomy in Congenital Glaucoma, AAPOS and SNEC Joint Meeting, An Intercontinental Perspective of Pediatric Ophthalmology and Strabismus, Singapore (July 14-16, 2013). Surgical Techniques in Various Types of Pediatric Cataract, AAPOS and SNEC Joint Meeting, An Intercontinental Perspective of Pediatric Ophthalmology and Strabismus, Singapore (July 14-16, 2013). ‘’Persistent Epiphora post sac surgery’’, 6th annual conference of Poona Ophthalmological Society (POSCON 2013), Pune (Dec 2013). Dr Vikram Padbidri Microbiology & Infection Control, Jehangir Hospital, Pune Presentations Our experience with VAP over three years, Apollo International forum for Infection Control, 5th & 6th January 2013. Orations ‘’Management of Congenital cataract’’, FOCUS STRABISMUS- 20th annual conference of Strabismological Society of India & Paediatric Ophthalmology Update, Pune (7-8 Dec 2013). 198 APOLLO EXCELLENCE REPORT 2013 199 200