Central MediCal institutions and new aiiMs · of the best medical colleges for the last 15 years by...

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Central MediCal institutions and new aiiMs

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15.1 ALL INDIA INSTITUTE OF MEDICAL SCIENCES (AIIMS), NEW DELHI

Key Highlights

● AIIMS E-Hospital Project (OnlineRegistration System) launched by thePrimeMinisterofIndiaaspartofDigitalIndiaWeekonJuly4,2015.

● Health Minister launched "Kaya Kalp -Clean and Green AIIMS" campaign onJuly15,2015.

● Health Minister launched the AMRITPharmacy andDrugStore onNovember15,2015forprovidinglowcostdrugsforcancerpatients.

● Health Minister and Chief Minister ofHaryana conducted the Bhumi PoojanCeremony of Independent India's largesthealthcareproject,“TheNationalCancerInstitute” of AIIMS Jhajjar Campus onDecember12,2015.

● AIIMSOPDTransformationprojectwaslaunched on December 25, 2015 by theHealth Minister and MOS (IC) Power,Coal&NewandRenewableEnergy.

● Major expansion in totalbed strengthofAIIMSbyadditionofapproximately3000bedsinnext3-5years.

● WorkstartedonNationalCancerInstituteatJhajjaratacostofRs.2035crores.

● ANewOPDBlock at a cost ofRs. 573crores.

● AnewMotherandChildBlockatacostofRs.204.44crores.

● ANationalCentreofAgeing.

● New courses of MD/DM/MCH andincrease in posts of SeniorResidents by90%(morethan250).

Introduction

All India Institute ofMedical Sciences (AIIMS)establishedin1965byanActofParliamentisanInstitution of National Importance and a CenterofExcellence.AIIMShasdischargeditsrolesasclinical provider, research Institute and teachingInstitution with considerable accolades over thepast6decades.Ithascontributedsignificantlytopolicyformulation.AIIMShasalwaysmaintainedthehigheststandardsofmeritocracyandlearning.It has attracted the best talents from across thecountrythatentersthisinstituteasyoungstudentsandpassoutwiththeintensityofcommitmenttoservethepoorestofthepoor.

AIIMShasdevelopedwithhighlevelsofautonomy.The Government has endeavored to ensure andstrengthen the Governance Structure of AIIMS.AthoroughreviewoftheAIIMS,Act,Rulesand

Annual Report 2015-16

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Regulationshasbeenundertaken.Government isconsideringincorporationoftherecommendationsof the Venkitachalam Committee, the ValiathanCommittee, the Sneh Bhargava Committee,the Sujatha Rao Committee and the PradhanCommittee into the proposed amendments.GovernmentenvisagestheInstitutetohavegreaterfinancialandadministrativeautonomyindecision-making.

15.1.1 Medical Education

The Department of Plastic, Burns andReconstructive Surgery, Rheumatology andOncoAnaesthesiahavebeencreatedtofulfillthedemand in these emerging areas.More than 200new faculty have joined the Institute after dueselectionprocess,whichhasfulfilledtheshortageoffacultyatAIIMSinvariousdepartments.

New courses in MD/DM/MCh have beenapproved and started for the first time in India,whichincludesMDinPalliativeMedicine,MCHinTraumaSurgery,DM inCriticalCare,DM inTherapeutic Nuclear Medicine and many otheremergingbranches.Thecapacityofmanyongoingcourseshavebeenincreasedby90%andmorethan250 new posts of SeniorResidentswere createdinvariousspecialtiesatAIIMS.ThiswillhelpincapacitybuildingandprovidingtrainedmanpowertothecountryandothernewAIIMSinemergingfieldsofmedicaleducation.

15.1.2 Medical Research

● AIIMS is India's most recognizedmedicalsciencesInstituteandhasbeengradedasoneof thebestmedicalcolleges for the last15yearsbyvariousindependentsurveys.

● AIIMS has signed MOU's for furtheringresearch and training with leadinginternational universities of the worldwhich include University of Michigan -USA, Shock Trauma Center, Baltimore -

USA,TheRoyalCollegeofPhysiciansandSurgeons,Glasgow,U.K.,AlfredHospital,Monash University - Melbourne, OsakaUniversity-Japan,OhioStateUniversity-USA,UmeaUniversity-Sweden-throughSwedishEmbassyandErasmusUniversity,Netherlands.

● The Institute is collaborating with theUniversity of Michigan, United States tostrengthen research capabilities in bio-medical sciences and possible scientificcollaborationintheareasofcancerresearch,trauma care and research in translationalaspects of immunology, genetics andstem cell biology. Jai Prakash NarayanApexTraumaCentre in collaborationwithNational Disaster Management AuthorityandMinistryofHealthandFamilyWelfareisworkingtowardscapacitybuildinginIndiain both basic life support and in advancetraumalifesupport.

● AIIMS signed anMOUwith the NationalCancer Institute, USA with focus oncapacity building and knowledge sharingand technology transfer. National CancerInstitute,USAwillprovidetechnicalinputsto set up the National Cancer Institute atJhajjarCampusofAIIMS.

● AIIMSsuccessfullyconductedtheEastAsiaSummit (EAS) Round Table on TraumaCareandNursingonOctober15-16,2015.122 delegates from 18 countries attendedthe Conference. The EAS participatingcountries adopted an outcome document,whichresolvedtopursueareasofcommonunderstanding and priority in the field oftraumacareandnursing.

● AIIMSalsoconvenedthe1stAIIMS-FrenchAcademy of Medicine (FAM) "PublicHealth Innovation Forum" with emphasis


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on Cardiology and Cancer Care. The twodayconferenceattendedby1300delegates/participants discussed the emerging trendsin cardiology and cancer care in the 2countries.Amemorandumof collaborationbetweentheAIIMSandFrenchAcademyofMedicinewassigned.

● During the academic year (2014-15) theongoing research projects are 577 and theInstitute received extra mural grant worthRs.71crore.The scientistsof the Institutehavepublished2194researchpapersand308monographs in national and internationaljournals.NeurosurgeryDepartmentsetupaNeurosurgeryEducationandTrainingSchool(NETS)andNeuroSkillsTrainingFacility(NSTF)incollaborationwithIIT-Delhi.TheResearchSectionalso initiated theClinicalInvestigator Development Programme;howtobecomeaPrincipalInvestigatorandCoursesofResearchMethodologyforPostGraduates.

● Inpursuanceoftherecommendationsofthe87thReport of the Parliamentary StandingCommitteeonHealthandFamilyWelfareontheFunctioningofAIIMS,theInstitutehastakenup initiatives toestablish theCentralInstrumentationFacilityforprovidingStateoftheArtlaboratoryfacilitiesforresearchintheInstitute.

15.1.3 Patient Care

● In the year 2015-16, about 35.77 lakhs people visited OPDs and 1.47 lakhs surgical operations were performed and 3.5 lakhs people got admission at AIIMS.AIIMS E-Hospital Project (onlineRegistration System) was launched by thePrimeMinister of India as part of DigitalIndiaWeekonJuly4,2015.HealthMinisterlaunched "Kaya Kalp - Clean and Green

AIIMS"campaignonJuly15,2015.AIIMSOPDTransformation projectwas launchedon December 25, 2015 by the HealthMinister and MOS (IC) Power, Coal andNew and Renewable energy. The projecthasbenefitted12lakhspatientstillJanuary2016. The AIIMS Transformation Projectimplemented on CSR basis by the TataConsultancy Services has enabled a morepatientfriendlyenvironment.

● Tostrengthenpatientcareservices,AIIMS would be procuring machinery and equipment worth Rs. 261.90 crores in the financial year 2015-16.MajorequipmentsbeingprocuredareSMILE(Small IncisionLenticule Extaction) for Lasik Surgeryby the Dr. R. P. Centre for OphthalmicSciences, an RIS PACS system (radiologyinformation system) to store, manipulateanddistributepatient radiologicaldata andimagery by the Department of Radiologyand a High End CT scanner capable ofadvanced cardiovascular applicationsby Department of Cardiac Radiology,CN Centre. In addition, replacement ofanesthesia workstations with anesthesiamodular monitors by the Department of

Patient Reception Centre, AIIMS, New Delhi


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Anesthesia, Robotic High through-putNanolitre Dispenser Crystalization Systemby theDepartment ofBio Physics and the1.5 Tesla MR Scanner by the Departmentof NMR. A major strengthening of theCentre for Rural Health Services Project,Ballabhgarhhasbeeninitiated.

● The rising patient loads and demands forsuper specialty disciplines has necessitatedhigher health sector investments in apextertiary care hospitals.AIIMS is currentlyin aphaseof sustainedexpansionwith theNational Cancer Institute (710 beds), aMotherandChildBlock(400beds),anewOPD Block, a new Surgical Block (200beds)andEmergencyandDiagnosticBlock(400beds)andNationalCentreforAgeing(200 beds). TheNationalCancer Instituterepresents the largest public investment inhealthsectorwith710bedsatacostofRs.2035crores.TheBhumiPujanceremonyfortheNationalCancerInstitutewasconductedonDecember12,2015.

● AIIMS has been allotted 14.95 acres ofland behindAIIMS Trauma Centre whichwillseemajorexpansioninitspatientcarecapacity. Themajor centers being planned

inthisareawilladd1860beds.TheTraumaCentreexpansioncomprisesofaBurnsandPlasticSurgeryunit (450beds),Centre forDigestiveDiseases(450beds)andaCentrefor Diabetology (240 beds), TransplantCenter for Bone Marrow (80 beds) andKidney&HeartTransplant (63beds).ThetotalcostoftheseworksisnearlyRs.2700crores.

● Housing for AIIMS faculty has been ademandforanumberofyears.InconsultationwiththeMinistryofFinanceandMinistryofUrbanDevelopment, the redevelopment ofwestern campus andAyurvigyan Nagar ofAIIMSproject hasbeen formulatedby theMinistryofHealthandFamilywelfareandAIIMS, which will provide approximately5000 residential flats for various staff ofAIIMS. The project is proposed to beimplemented through National BuildingConstruction Corporation in the comingmonthsonarevenueneutralmodel.

15.1.4 Budgetary Support

● AbudgetarysupportofRs.1727crores(Rs.700croresinplanbudgetandRs.1027croresin non-plan budget) was provided by theGovernmentduringthefinancialyear2015-16.Themajorheadsofexpenditureincludeinfrastructure, machinery and equipment,salarypaymentsandconsumables.

● AIIMS Endowment Fund set up to allow forcontributionsunderCSRaswellasfromAlumni, Charitable institutions and angelinvestors.

● Innovative methods of financing largecapitalworks by partmonetisation of landand leading financial institutional beingworked out. Proposal also worked out forWorldBankFunding.

A Patient Care Coordinator for online system helping a patient


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15.2 POST-GRADUATE INSTITUTE OF MEDICAL EDUCATION AND RESEARCH (PGIMER), CHANDIGARH

Key Highlights

● NewSatelliteCentreatSangrur.

● OnlinePatientRegistrationSystem.

● A Comprehensive Emergency andAdvancedTraumaCentre.

● A new block of 250 beds forOncology,Endocrinology,ENTandHepatology.

Introduction

ThePost-graduateInstituteofMedicalEducationand Research, Chandigarh was declared as anInstituteof"NationalImportance"andbecameanAutonomousBodybyanActofParliament (Act51 of 1966), on 1stApril, 1967.The Institute isfully funded by the Government of India. ThemainobjectivesoftheInstituteare:-

● To develop patterns of teaching of under-graduate and post-graduate medicaleducation in all its branches so as todemonstrate a high standard of medicaleducation;

● Tobring together as far aspossible inoneplace educational facilities of the highestorderfortrainingofpersonnelinimportantbranchesofhealthactivityand

● To attain self-sufficiency in post-graduatemedical education to meet the country'sneedforspecialistsandmedicalteachers.


Post-graduate Institute of Medical Education& Research, Chandigarh has been empoweredto grant medical, dental and nursing degrees,diplomas and other academic distinctions and

titlesunder thePGIMER,ChandigarhAct,1966.Duringtheyear2015-16,theInstitutehasawarded27Ph.Ddegrees,161MDdegrees,71MSdegrees,44DMdegrees,34M.Chdegrees,07M.Sc/M.ScMedical Lab. Technology degrees, 12Master ofPublicHealthdegree,04MasterofAudiology&SpeechLanguagePathology,05MasterinHospitalAdmn.degrees,09MDSdegree,48B.Sc(MedicalTechnology) degrees, 13 Bachelor of PhysicalTherapies, 07 Bachelor ofAudiology & SpeechLanguagePathology, 23 M.ScNursing degrees,46B.Sc.(NursingPostBasic), 78B.ScNursing(4 years). Further, 500 number of candidateshave joined various Post-graduate/Post DoctoralCoursesduring2015-16.

Shri Narendra Modi, Hon’ble Prime Ministerof Indiawas theChiefGuest on theoccasionofXXXIV Convocation of PGIMER. The ChiefGuest honoured nine gold medalists. Eighthundredandtwenty-fivecandidateswereawardeddegrees on the occasion by the President of theInstitute&Hon’bleUnionHealthMinisterSh J.P. Nadda. Forty-six silver medals and forty-onebronzemedalswerealsoawardedtostudentsfromvariousspecialities.


The Institute has excelled in all the three areasnamely-patient care, medical education andresearch.Thepatientcareloadovertheyearshasbeenincreasingexponentiallyandnowisbecomingunmanageable. From an annual attendance of1,25,163 out patients and 3,328 admissions in1963-64, the figure has gone up to 2347304outpatients and 86,131 admissions in the currentyear. The Institute is spearheading the medicaleducationoflargenumberofmedicalcollegesofthecountryandabroad.

TheInstitutecontinuestoexcelinqualityresearch,and the clinicians and basic scientists published731 papers during the year.Various departments


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oftheInstitutehavebeensanctioned147researchprojects supported by DST,WHO, DBT, ICMRand other outside agencies and 63 projects havebeen completed over the last year. During theperiod fromApril, 2015 to December, 2015, 26VisitingProfessorsfromNationalandInternationalInstitutesvisitedthePGIMERandtheirrespectivedepartments.

PGIMERhasbeen judgedas thesecondbest forMedical Education, Research and also multi-specialtypatientcarehospitalamongstfifteenbestInstitutes in India. PGIMERwas also adjudgedas having second best research facilities by TheWeek-NIELSEN BEST HOSPITALS SURVEY2015publishedinTheWeek(November29,2015).Amongst the best hospital specialities PGIMERstands second in Obstetrics & Gynaecology,Gastroenterology, Diabetic Care, PulmonologyandPaediatricsandthirdinNeurology.Specialtiesof Orthopaedics and Cardiology are fourth,Ophthalmology fifth and Oncology sixth. TheHospitalisalsothesecondbestintheNorthZoneofthecountry.City-wise,amongstninebestmulti-speciality hospitals in Chandigarh, PGIMER isfirst.

Dr. Tulsidas Library:ThePGIMERlibraryplaysa significant role to serve the faculty members,residents, research fellows, staff and students. Itremains open for 20 hours every day includingSundaysandholidays.Thelibraryreadingroomisopen24hours.Duringthefinancialyear2014-15Rs.2,94,39,095werespentonthesubscriptionofjournals,onlineMedicalDatabaseandbooks.

15.2.3 Patient Care

● Thepatientcareservices inPGIMERhaveexpandedfromNehruHospitaltoanumberofindependentcenterslikeNewOPDBlock,AdvancedPediatricCentre,NewEmergencyBlock, Advanced Eye Centre, Drug De-addictionCentre,AdvancedCardiacCentre

andAdvancedTraumaCentrewithenhancednumber of hospital beds and operationtheatres.

● The total bed strength of the PGIMERhas increased to 1948 beds. The numberof patients who attended the outpatients’departmentsandthoseadmittedfortreatmentduringthelastthreeyearsisasunder:

Patients Attendance

2015(01.01.2015 -31.12.2015)

2014-15 2013-14 2012-13

Outdoor 23,47,304 22,10,670 20,61,911 19,70,708IndoorAdmissions

86,131 82,164 78,568 72,382

Surgeries 2015 (01.01.2015 -31.12.2015)

2014-15 2013-14 2012-13

Minor 1,59,028 1,49,690 1,44,078 1,23,988Major 42,478 40,714 38,099 34,286

● Emergency Services: The EmergencyComplex and Advanced Trauma Centreprovide all medical and surgical servicesincluding investigations and operationsunder one roof. The Emergencies aremanaged by medical/surgical and super-specialty consultants and senior residents.The workload at emergency services inPGIMERwasasfollows:

Service 2015 (01.01.2015-31.12.2015)

2014-15 2013-14 2012-13

OPD 87003 73,576 70,756 66,204Admissions 40580 39,026 37,535 36,067MajorSurgeries

15080 14,382 13,486 11,409

MinorSurgeries

2720 2,645 2,669 1,819

Recent Initiatives (New Facilities)

i. SatelliteCentre atSangrur at a costofRs.449crores.OPDtobemadefunctionalfirst;


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ii. A new block of 250 beds with Oncology,Endocrinology, ENT (Expansion of NehruCentre)andHepatologyapproved;

iii. RemodelingofTraumaCentreand

iv. AdvanceCardiacCentre.

● TheInstitutebecamethefirstGovt.HospitaltobeconferredthestarratingbyGovernmentof India, Bureau of Energy Efficiency.Institute is among the sevenHospitals andistheonlyGovt.Hospitaltogetthisawardfor Advanced Eye Centre and AdvancedCardiacCentre.TheratingwasawardedbySh.DharmendraPradhan,MinisterofState,PetroleumandNaturalGason03.09.2014.

● The Department of EndocrinologyestablishedastateofartDiabeticFootLabandDiabeticFootClinicwasstarted.

● The Department of Medical Microbiologycontinued to be the largest public sectorhospital accredited for all diagnostic testsfor microbial infection. Besides alreadyestablished six reference centers of thecountry, the department is upgraded thisyearasthe“RegionalSexuallyTransmittedInfectionReference,ResearchandTrainingCentre”. WHO designated the departmentas “Surveillance Centre for Vaccine andPreventable Diseases (VDP) – DiphtheriaandPertusis”.

● The High-precision Linear AcceleratorTrilogy was formally inaugurated by theHon’ble Union Minister for Health andFamilyWelfareand thedepartment isnowroutinely providing services like IGRTandSBRT inDepartment ofRadiotherapy.The department has been recognized byEuropean society ofMedical Oncology asdesignated centre for Integrated OncologyandPalliativeCare.

● Robotic Assisted Surgery Facility, wasformallyinauguratedbytheHon’bleHealthMinister in the Department of Urology, istheonlysuchfacilityinNorthIndia.

● In order to provide new and improvedfacilities to the patients, the Departmentof Nephrology got a functional day careunit with five beds for the purpose ofmanaging patients requiring only day-careaswellasdailytransplantclinicfortheeaseand convenience of post-renal transplantpatients.

● The Department of Paediatric Medicineestablished Mass Spectrometry andMetabolic Core Facility in the AdvancedPediatrics Centre, which is the first of itskindintheregionandthirdinthecountryinagovernmentsetup.Thishelpsindetectionofmetabolicdisorders,andcertaininheritedconditions.TheDepartmenthasalsoaddedChemiluminiscence system to test vitaminB12, folate, homocysteine, vitamin D andthyroidprofileinpediatricpatients.

● The Department of Nuclear Medicine hasstarted Peptide Receptor RadionuclideTherapy (PRRT) for metastaticneuroendocrine tumors as well as prostatecancer.Thistreatmentisnotavailableinanyotherhospitalinthisregion,andisexpectedto benefit patients in whom conventionalchemo-radiotherapyisineffective.

● The Department of Hepatologyin coordination with ChandigarhAdministration initiated the option for“Organ Donation on Driving License” inChandigarh from October 2015. ThusChandigarhhasbecomethesecondstate/UTtodosoinIndia.Nowapplicationformfordriving license has an option for pledgingorgans.


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● The Department of Anatomy received 27body donations and 354 persons pledgedtheirbodiesforresearchandtraining.

Information Technology Initiatives:

● PGIMER has taken various initiativesto create digital resource for electronicdelivery of Healthcare Services. HospitalInformationSystem(HIS),WebPortal andMessaging Services Delivery Gateway(MSDG)of the institutearebeingusedforelectronicdeliveryoftheservices.

● Various patient centric services such asOnline Registration of patients, Onlinedelivery of Lab Reports have been madeavailableontheInstitutewebportalwww.pgimer.edu.inandhtttp://pgihis.inforquitesome time.These services are facilitatingpatients with latest Blood Stock position,online appointments in 15 departmentswhere patients are seen directly-AdvancedEyeCentre(Ophthalmology),Dermatology,Obstetrics, Gynaecology, General Surgery,Internal Medicine, Orthopaedics, PlasticSurgery, Drug De-addiction & TrainingCentre, Otolaryngology Head And NeckSurgery(ENT),OralHealthScienceCentre,Urology, Paediatric Medicine, Psychiatry,Paediatric Surgery and Paediatric(Orthopaedics) and thereby giving themrespitefromstandinginlongqueues.FromMarch 2015 till date 25,645 patients haveregisteredonlineand11,791havevisitedtheInstitute.

● PGIMERhasnowjoinedthe‘DigitalIndia”Programme of the Government of India,by making available OPD Appointments,Laboratory reports and Blood Bank stockposition on the ‘Online RegistrationSystem(ORS;http://ors.gov.in)webportal,a national platform framework to linkhospitalsacrossthecountry.

● PGIMERhasinitiatedtele-evidencefacilitywhichutilizesvideo-conferencetechnologyfor attending the court evidences underDigital IndiaProgramme. During theyear(till 30th November, 2015), a total of 769casesthroughvideo-conferencinghavebeensuccessfully conducted. Three exclusiveTele-evidenceLoungeshavebeensetupintheCentralRegistrationDepartmentof theInstitute for thispurpose.This facilitywasrecently inauguratedby theHon’bleUnionMinisterofHealthandFamilyWelfareandPresidentoftheInstitute.

Swachh Bharat Mission adopted:TheSanitationDepartmentofPGIMERhasstartedaweeklydriveof cleanliness under which a particular area ofthe Institute is selected inaddition to the routinesanitationcleanlinessservices.

15.3 JAWAHARLAL INSTITUTE OF POST-GRADUATE MEDICAL EDUCATION & RESEARCH (JIPMER), PUDUCHERRY

Key Highlights

● Establishment of JIPMER InternationalSchoolofPublicHealth.

● Establishment of Multi-disciplinaryAdvanceResearchCentre.

● Establishment of Comprehensive BreastCareCentre.

● ExpansionofTelemedicineProgramme.

● EstablishmentofGeriatricBlock.

● ExpansionofSuper-SpecialityBlock.

● ExpansionofPGseatsfrom145to200.

● InstituteofAlliedHealthSciences.

● Plan funding forCivil Infrastructure etc.increased fromRs. 150crore toRs. 350crores.


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Introduction

JIPMERhasemergedasoneamong the topbestfivemedicalinstitutesinthecountryandispoisedtobecometheglobalgiantinhealthsector.JIPMERisuniqueinprovidingbesthealthcarefacilitiesofallbroad specialtiesand super specialties freeofcosttothecommunity.Itcaterstotheneedofallstrataofthesociety,fromthepoorestofthepoortothemostaffordableone.JIPMERisthenumberonecenterinthecountryinmedicaleducationandtraining and has been recognized byMCI as theCenterofExcellenceinmedicaleducation.


● JIPMERiscommittedtoprovidehighqualitymedical care to all sections of society; itconducts under-graduate, post-graduate,superspecialtyandPh.D.coursesinvariousdisciplines to train competent, caring andethicalmedicalprofessionals.

● The6thConvocationof JIPMERwasheldon16.07.2015.TheHon’bleUnionMinisterof Health and Family Welfare, Shri JagatPrakashNadda graced the occasion as theChiefGuestandtheHon’bleChiefMinisterof Puducherry, Thiru. N Rangasamy wasthe Guest of Honour. The President of

the Institute, Padma Bhushan, Dr. M. K.Bhan presided over the function. Duringthe Convocation degrees were awarded toMBBS, B.Sc., PG (MD/MS), DM / MChandPh.D., studentswho have successfullycompletedthecourseduringtheyear2013-14.Medalsinvariousdisciplineswerealsoawarded - PhD: 06, MCh: 08, DM: 09,Fellowship:04,MD:67,MS:36,MSc:33,PostbasicDiplomainNursing:41,MBBS:102,BScNursing:68andBScAMS:44.

● Master of Public Health (MPH) coursewas started under the aegis of JIPMERInternational School of Public Health inJanuary 2014 with annual intake of 30trainees.ThefocusoftheMPHprogrammeis to strengthen the health systems of thecountry by providing high quality trainedmanpowerinhealthmanagement.

● Capacity of PG Education was increasedfrom145to200seatsintheyear.Itisalsoproposed to increaseMBBS capacity from150to200MBBSseatsfrom2016.

● InstituteofAlliedMedicalSciencesetup.

● JIPMER invested Rs. 2.5 crores in theirlibrary last year, including addition ofjournals & 1409 new books, to add tocollection of 41,650 books in the centrallibrary&6556 in thebookbank. JIPMERlibrary has recently completed set up ofsecondcomputerlabwithWiFiconnectivityandadditionaljournalsatthecostofRs.1.25crores.Thetotalbudgetallocationfor2013-14 isRs. 4 crores for print/online journalsandRs.1croreforbooks.


The total value of peer reviewed research grantsfunded and approved for funding currently is inexcessofRs.20crores–aphenomenal increase

Hon’ble Union Health & Family Welfare Minister, Shri J. P. Nadda awarding Degree to a student

during 6th Convocation of JIPMER


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and unprecedented in JIPMER’s history. Thisincludes funding from overseas to the tune of$1.65 million. The funding agencies includeICMR,DBT,DST, INSERM, Indo-USResearchProgramme, World Diabetic Foundation amongmany others. The projects receiving funding inexcessofRs.1croreeachinclude:GradeIICMRvirology network laboratory, establishment ofCenter for Surveillance ofAntibioticResistance,Diabetes Research and Biomarkers of DrugResistantTB. Inorder tomaintain this trajectoryforenhancingextramuralfunding,instituteintendto at least double the intramural grants to aboveRs.2croresinthecomingyearandsetupanofficeofgrants&contractsunderDeanforResearch.Inorder tobring inacentral resourceforbasicandtranslational research, a new Multi-disciplinaryAdvanced Researched Centre (MARC) will bebuiltduringthecomingyear.

15.3.3 Patient Care Services

● Theaverageoutpatient&emergencyroomattendance exceeds 6000 patients per dayand the total annual OPD attendance is1,08,000.Instituteadmitover70,000patientsand perform over 39 lakhs investigationsannually. About 36,000 operations areperformed annually, an increase of 1200operationsoverthepreviousyear.

● SomemajorpatientscareInitiativesare:-

o ExpansionofSuper-SpecialityBlock.

o EstablishmentofGeriatricBlock.

● JIPMER established a ComprehensiveBreast Care Center. The Departmentsof Surgery, Surgical Oncology, MedicalOncology and Radiation Oncology haveall been involved in providing a rationaltreatmentforwomenbreastcancer.Inorderto make this care comprehensive, thesespecialties will work along with experts

fromplasticandreconstructivesurgeryandsupport staff such as a patient navigator, ageneticcounselorandaphysiotherapist,allinonelocation.

● JIPMER Telemedicine Programme grewrapidly during the last year; JIPMER isthenodalsiteforMedicalCollegenetworkforSouth IndiaunderNationalKnowledgeNetwork. Ministry of Health & FamilyWelfare (MoHFW), Government ofIndia designated Telemedicine Centre ofJIPMER,PuducherryasRegionalResourceCentre (RRC) & Mentor Institution forMedical Colleges of South India (AndhraPradesh, Karnataka, Kerala, Tamil Nadu&Puducherry) under National MedicalCollege Network (NMCN) Project ofMOHFW. JIPMER Telemedicine receivedBMJ Award in 2014 for its Telemedicineactivities.On19thMarch2015, to supportJIPMER financially & upgrade existingTelemedicineServices,aMOUwassignedby Director JIPMERwithMoHFW, Govt.of India.With this support fromMoHFW,JIPMER will be able to upgrade its Tele-EducationandTele-Patientcareservices.

● Initiatives for Population Health:JIPMERis always keen on health education to thepatients and the general public. Medico-social Services Wing is continuouslyorganizing health education sessions onvarious areas. JIPMER initiated holistichealthcareworkshopsforthechronicillnesspatients. The workshops were conductedfor cancer, diabetes, hypertension patientsand their caregivers. A team of multi-disciplinary healthcare professionalsincludingphysicians,psychologists,medicalsocialworkers,dieticians,physiotherapists,occupational therapists, yoga therapistsweredeputedforthispurpose.


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● JIPMER deputed a group of doctors fromthe Departments of Preventive & SocialMedicine and Microbiology to assist withthe medical team embarked in the floodreliefmeasuresatJammu&Kashmir.

15.3.4 Budget:AsumofRs.350croreunderPlanandRs.249croresunderNon-Planreleased.

15.3.5 Future Priority areas

EstablishmentofJIPMER-2atKaraikal

Developmentofaninnovativeandforwardlookingunder-graduatecurriculum

Infrastructure development for JIPMERInternationalSchoolofPublicHealth

NABH/NABLAccreditationofLaboratoryservices

ToexpandOrganTransplantProgramme

Up-gradation of various specialities andsuperspecialities

Development of signage system, parkingfacilitiesandsecurityservices

The following infrastructure and project worksare being considered under JIPMER Phase IVexpansion:

ConstructionofPublicUtilityMedicalMart

EstablishmentofDrugTestingLaboratory

EstablishmentofPneumaticTubeConveyerSystem

Establishment of Multi-disciplinaryEndoscopyLaboratory

Establishment of Information TechnologyWing

Up-gradation ofTraumaCentre andBurnsUnit

Establishment of Centre for HealthProfessionEducation

15.4 VARDHMAN MAHAVIR MEDICAL COLLEGE (VMMC) & SAFDARJUNG HOSPITAL, NEW DELHI

Introduction

Safdarjung Hospital was founded during theSecond World War in 1942 as a base hospitalfor the allied forces. It was taken over by theGovernmentofIndia,MinistryofHealthin1954.UntiltheinceptionofAllIndiaInstituteofMedicalSciencein1956,SafdarjungHospitalwastheonlytertiary care hospital in South Delhi. Based ontheneedsanddevelopments inmedical care, thehospitalhasbeenregularlyupgradingitsfacilitiesfromdiagnostic and therapeutic angles in all thespecialties.Thehospital,whenstartedin1942,hadonly204beds,whichhasnowincreasedto1531beds.

Safdarjung Hospital has a Medical Collegeassociated with it named, Vardhman MahavirMedicalCollege.TheCollegewasestablishedatSafdarjung Hospital in November 2001 and thefirstbatchofMBBSstudentsjoinedthecollegeinFebruary, 2002.The college is affiliated toGuruGovind Singh I. P. University (GGSIP), Delhi.From2008onwardsthepost-graduatecoursesarealsoaffiliatedtoGGSIP.


The hospital provides services in variousspecialtiesandSuperSpecialtiescoveringalmostallthemajordisciplineslikeNeurology,Urology,CTVS,Nephrology,Respiratory,Medicine,Burns&Plastic,PaediatricsSurgery,Gastro-enterology,Cardiology,ArthroscopyandSportsInjuryClinic,DiabeticClinic,ThyroidClinic.Further,ithastwowhole body CT Scanner, MRI, Color Doppler,Digital X-ray, Cardiac Cath Lab, Multi-load


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CR system and Digital OPG X-ray Machine.AHomoeopathyOPDandAyurvedicOPDarealsorunningwithinthepremisesofthishospital.

The Central Institute of Orthopaedics (CIO) ispioneeringinstituteofitskindinIndia,providingcomprehensivemanagementtothepatientsinthefieldofOrthopaedics.

IthasthefollowingSpecializedunits:

● SpineSpecialityUnit

● Arthroplasty&LowerLimbTrauma–I

● Arthroplasty&LowerLimbTrauma–II

● Arthroscopy & Sports Injury with UpperLimbTrauma

● Arthroscopy & Sports Injury with LowerLimbTrauma

At present CIO is providing advance &comprehensive treatment to lakhs of patients inits complex.The centre had anOPDAttendanceof155004patientsandoperated42488patientsinCIO emergency [major&minor surgeries (from01/01/2015to31/12/2015)].

Redevelopment (Phase-I) works under Process: Super Specialty Block (with 430+125 beds),State of Art Private Block (206+22 ICU beds),Emergency Block (500 beds). The project hasstarted and is likely to be completed byMarch,2017.

Developments/activities in the past year

ORS (Online Registration System):Incomplianceto PrimeMinisters ‘Digital India Week’, to helppatients, an Online OPD Registration Systemwas startedw.e.f. 15.10.15which is available atwww.ors.gov.in.A humble beginning was madeby online registration of only two Departments,however,itisbeingextendednowtomostoftheDepartments on the computerized registrationfacilityofthehospital.

DepartmentofPhysicalMedicine&RehabilitationatVMMC&SafdarjangHospital,NewDelhi isone of the oldest Rehabilitation Centre wherecomprehensive Rehabilitation services areavailableforshortandlongtermcare.Shorttermcasesarethosewhohaveproblemsofpaininjointsand muscles like various soft tissue conditions,spondylitis, arthritis problems, posture problemsetc.while long termcasesarechildrenandadultaffectedbypolio,cerebralpalsy,amputation,strokecasesandspinalinjurycases.TheDepartmenthadanOPDloadof122956inthisyear.

Indoor Services:Onanaveragethereare4referralseverydayfromdifferentwardsofhospital.ThesereferralcasesincludeMedical,Paraplegia,Stroke,Hansen’sdisease,Neurologicalcases,Amputationcases, Paediatric cases and post-operative casesfromsurgicalspecialties.Thesecasesareprovidedrehabilitationservicesbythisdepartmenttilltheyaredischarged.Thisworkloadisinadditiontothesanctionedbedstrengthwhichis14bedssoactualbedswhicharebeing lookedafteraremore than30.Thenumberofindoorcaseslookedafterbythedepartmentduringtheyear2015-16was203.

Department of Obstetrics and Gynaecology

TheDepartmentofObstetrics&GynaecologyisthelargestDepartmentinSafdarjangHospital,dealingwithmorethan30%ofthetotaladmissionsofthehospital, and providing comprehensive medicalcareforsafemotherhood,populationstabilizationandwomen’shealthinallstagesoftheirlife.TheDepartment caters to women coming from alldistricts of the National Capital region and alsogetsreferredpatientsfromtheneighbouringStates.Therearea totalof293beds(227obstetricbedsdistributedinsixwardsand66gynaecologybedsdistributedintwowards),twolabourrooms,twonurseries for intensiveneo-natalcare,emergencyand elective operation theatreswith facilities formajor and minor obstetric and gynaecologicalsurgery.


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TheDepartment conducted 23805 deliveries andhandled41488casesintheOPD.Itcarriedout:

MajorGynaecologicalSurgery 1250

MinorGynaecologicalSurgery 2223

Tubectomies 1120

Vasectomy 40

MTP 607

IUCD 4515

Department of Medicine

TheDepartmentofMedicineisoneofthelargestDepartmentofSafdarjangHospital&VMMC.TheDepartment provides comprehensive healthcareto patients in indoor and outdoor Departments.RoundtheclockemergencyservicesareprovidedinEmergencyWard-A.TheDepartmentisattachedtoV.M.MedicalCollegeandteachingMBBSandMD students. Department of Medicine is alsorunningthespecialclinicsforGeriatricpatients&G.E.clinic.

● SeniorResidents : 32Nos.

● JuniorResidents : 02Nos.

● PG2012 : 20Nos

2013 : 19Nos.

2014 : 20Nos.

Some of themajor highlights of theDepartmentare treatment of Dengue/Swine Flu cases. TheDepartmenthasaseparateEBOLAWARDanda18BeddedHighDependencyUnit(HDU).


MBBS & Internship

● The institution presently has 150 MBBS/Under Graduate seats affiliated with GuruGobind Singh Indraprastha University.

Moreover, 200 seats are sanctioned forinternshiptraining.

● Italsoprovidespost-graduateeducationandhas181seatsforPGDegreecoursesand22seatsforSuperSpecialtycourses.

● Admissionof50%State(University)quotaPGDegreeseatsandSuperSpecialityseatsare being done by Guru Gobind SinghIndraprasthaUniversity(GGSIPU)and50%seatsforAllIndiaquotabyDGHS.

● Institutionalsohas40seatsforDNBBroadSpecialty,12seatsofDNBSuperSpecialtyand02seatsofFNB(SportsMedicine).

SPORTS INJURY CENTRE (SIC) SAFDARJUNG HOSPITAL, NEW DELHI

● Sports Injury Centre, a unique centre ofits own kind in India, has been providingintegrated surgical, rehabilitative anddiagnostic services under one roof for themanagement of sports injuries and relatedjointdisorderssince26thSeptember,2010.

● TheCentreisprovidingdistinctandhighlyspecializedsurgeries in twodifferentfieldsi.e.earlySports Injuries (Arthroscopy)andlatesequelofSportsInjuries(ArthritisandJointReplacementSurgery).

● The details regarding patient care servicesareasunder:-

1. OPDattendanceincludingcasualtyattendance

57671

2. In-patientattendance 1725

3. No.ofsurgeriesundertaken 1724

4. MinorSurgicalprocedure 4205

5. Physiotherapy 41034

6. Psychologyclinic 630


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15.5 LADY HARDINGE MEDICAL COLLEGE & SMT. S.K. HOSPITAL, NEW DELHI

Introduction

TheLadyHardingeMedicalCollege,NewDelhiwas established in the year 1916 with amodestbeginningof just14-16students.Over theyears,theInstitutionhasmaturedasapioneeringInstituteforMedicalEducationforMBBSgirlstudents.

The Hospital statistics for the period 2015-16 (till date) is as under:-

UGSeats 200PGSeats 142BedStrength 877OPDAttendance 670747IndoorAdmissions 35602BedOccupancy 75.9%SurgeriesPerformedMajor 7498Minor 8267Total 15765Deliveriesconducted 13192NewBorn 13471

Gynaecology department of LHMC is on 5thpositionamongBestHospitalsofIndiaasjudgedbyTheWeek.

National Skills LabforObstetricsatLadyHardingMedicalCollegeHospitalwaslaunched.

15.6 DR. RAM MANOHAR LOHIA (RML) HOSPITAL

The Hospital, originally known as WillingdonHospitalandNursingHome,renamedasDr.RamManoharLohiaHospital.Startingwith54bedsin1954,thehospitalhasbeenexpandedfromtimetotimetomeettheever-increasingdemandofpatientto 1500 bedded hospital. The hospital caters to

the needs of C.G.H.S. beneficiaries and Hon'bleMPs,Ex-MPs,Ministers,JudgesandotherV.V.I.P.dignitariesbesidesothergeneralpatients.

The hospital provides healthcare services toapprox.15.83lakhoutdoorpatientsandadmittedaround 67379 indoor patients upto November,2015.About 2.90 lakh patientswere attended inthe Emergency and Casualty Department. Thebed occupancy during the same period in theDepartmentofMedicine,Surgery,Pediatrics andGynae & Obst. was 74.2%, 67.6%, 72.4% &73.5%respectively.

The total number of Radiology cases & Lab.testscarriedoutduringtheabovesaidperiodwas2,13,690&98,45,026respectively.

Emergency & Trauma Care Services

Awell-establishedCoronaryCareUnit(CCU)andanIntensiveCareUnit(ICU)existinthehospitalforseriousCardiacandNon-Cardiacpatients.TheHospitalhasacomprehensivetraumacarefacilitywith74bedsattheTraumaCareCentre.

Recent achievements of the Hospital

Thefollowingarethelatestadditionsofthepatientcarefacilitiesinthehospital:

● Renal Transplant: Renal Transplant hasbeen started on live related donors and 29RenalTransplantSurgerieshavebeendonesofar.

● The Hospital's School of Nursing was setup in 1963with intake of 25 students peryearhasbeennowupgradedintoCollegeofNursingwithacapacityof50studentsperyear.

● ToprovidestateoftheartEmergencyMedicalCare, anewEmergencyCareBuildinghasbeenconstructedwith theprovisionof284beds including 57 ICU Beds and 3 OTswhichbecamefullyfunctional.


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● The Hospital has started e-diploma courseDHLS (Diploma in Hearing and LearningSpeech)inassociationwithAllIndiaInstituteof Speech and Hearing (AIISH) Mysoreinwhich20studentsare trainedeachyear.Till now, theHospital has conducted threecourses.

● TheHospitalhasalsostartedaPGDiplomain Hospital Administration (PGDHA) incollaboration with IGNOU on distancelearning basis. This is one year diplomacourse in which 30 students are admitted.Thisisninth(2016)courseinarow.

● Dr.RamManoharLohiaHospitalhasbeenallotted an additional land measuring 2.2acresatG-pointadjacenttotheHospitalbyL&DO.Aplanhasbeendrawnforcreationof Super Specialty Building at this site atcostofRs.724crores.

● Thetentativefinancialoutlayofthisfacilityisasunder:

Rs. 506 crores for construction of theproject.

Rs.218.88croresforequipment.

● ConstructionofMaternalCareCentre,LadyDoctorsHostelareproposed.

Post Graduate Institute of Medical Research (PGIMER): Post Graduate Institute of MedicalEducationandResearchstarted functioningfromtheAcademic year 2008-2009.At present, it has101seatsofPGDegree/DiplomaCoursesand32seatsforSuperSpecialitycourse.

BUDGET:AsumofRs.175croresunderPlanandRs 280.00 crores under Non Plan was providedduringtheyear.

15.7 KALAWATI SARAN CHILDREN’S HOSPITAL, NEW DELHI

Kalawati Saran Children’s Hospital is a premierreferralChildren’sHospitalofnationalimportance.

TheHospitalstartedfunctioningintheyear1965andhasgrownto375beds.UndertheschemefortheimprovementofKSCH(JICA)thebedstrengthofthisHospitalisbeingincreasedto500.

KalawatiSaranChildren’sHospital isoneof thebusiestchildrenhospitalsinthecountryandcatersto a dailyOPD attendance of 800-1000 childrenand 80-100 new admissions per day fromDelhiandneighbouringstates.ThehospitalisaSentinelCentre for Poliomyelitis, Tetanus and Measles.Ithas theuniquedistinctionofhavingaseparatePediatricEmergencywithdirectinflowofpatients.ThehospitalhasalsoservedasatrainingcentreforARI,UIPandotherNationalHealthProgrammes.

Neonatal wing of the hospital, with 80 bedscateringto15,000deliveriesinayear,isthebiggestneonatalunitinthecountryandisprovidingstateof art services for premature and sick newbornsincludingventilatorcare.

TheHospitalhasestablishedwiththeapprovalofMinistryofHealth&FamilyWelfare,a“National Nutritional Rehabilitation Resource and Training Centre” with the support ofUNICEF.TheCentrehas12dedicatedbedsformanagementofSevereAcuteMalnutrition(SAM).

The Hospital statics for 2014-15 are as under:-

1. No.ofBeds : 375

2. No.ofAdmissions :Male Female Total17896 11930 29826

3. BedOccupancyRate : 108.79

4. OPDattendance :Male Female Total50878 33919 84797

5. Casualty :Male Female Total33151 22101 55252

6. Totalno.ofSurgicalOperation :

Major Minor Total1339 2348 3687

7. Neonatal & NurseryCare : 1097


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15.8 NATIONAL INSTITUTE OF MENTAL HEALTH & NEURO SCIENCES, BENGALURU (NIMHANS)

TheNationalInstituteofMentalHealth&NeuroSciences (NIMHANS),Bangalorewas registeredas a society in 1974 on amalgamation of theGovernment of Karnataka Mental Hospital andAll India Institute of Mental Health, Bangalore.TheCentralGovernmentandStateGovernmentofKarnatakajointlyfinancetheInstitute.NIMHANSwasdeclaredasanInstituteofNationalImportancein September, 2012. NIMHANS is governed byanInstituteBodychairedbyHon'bleMinisterofHealthandFamilyWelfare,GovernmentofIndiaasPresidentandMinisterforMedicalEducation,GovernmentofKarnatakaasVicePresident.Thisbody is assisted by Governing Body, StandingFinance Committee, Academic Committee,Standing SelectionCommittee and Planning andMonitoringBoard.

NIMHANSisatertiarycarehospitalinthefieldsof psychiatry, neurology and neurosurgery withtheir allied fields and teaching, research andcommunityorientedactivitiesarethemainthrustoftheInstitute.TheobjectiveoftheInstituteistopromote the growth and development ofMentalHealthandNeuroSciences.Duringtheyear,morethan 5 lakh patients from various parts of thecountryandacrosstheworldreceivedmedicalcareat the Institute for psychiatric and neurologicalproblems. The Institute has 908 beds with 100casualtybedsexclusivelyforNeurosciencesand18casualtybedsforPsychiatricemergencyServices.


Self-Sustaining Diagnostic Facility: Severalnewvalidatedtestswithenhancedsensitivityandspecificity have been developed which providehigh precision in clinical diagnosis, facilitatingaccurate treatment and early detection. Suchserviceshavetremendousimpactonmanagement

astheyeconomizeadditionalinvestigations,directspecific therapy and also reduce hospital stay.However, most of these tests are unavailable orexpensiveandunaffordabletoourpatientclientelewho are from middle and lower socioeconomicstatus. Keeping this in mind, Self-SustainingDiagnosticFacility—anewinitiativeforprovidingadvanced diagnostic tests in neuromuscularand neuroimmunological disorders and CNStumors from the Neuromuscular and Neuro-oncologyLaboratories inNeurobiologyResearchCentre—has been startedwith support from theadministration in the form of a seed grant andis running successfully benefitting number ofpatients.

Sakalawara Community Mental Health Center: TheSakalawaraCommunityMentalHealthCenterhasbeen servingas thepublic laboratory for theNational Mental Health Programme and othercommunitymentalhealthactivitiesforoverthreedecades.Duringtheyearunderreview,thecampusandotherfacilitiesincludingcottagesandtherapycenterhavebeenrenovatedasaresidentialfacilitytohouseabout40patientsandtheirfamilymembersfor short-term rehabilitation programmes—whentheycomeoutofacuteproblemsandrequirelongerstayinthehospital.

The mandate of NIMHANS is to facilitatecapacitybuildingandstrengthenhumanresourcedevelopment in different health care deliverysystems. NIMHANS is actively committed toimparting advanced technical knowledge tomedical,para-medicalandnursingprofessionalstopromotenecessaryskillsandevolveemployablemanpower to meet the needs of the nation.NIMHANShasstartedtwosuperspecialtycourses,DM in Neuropathology and DM in AddictionMedicine,fromtheacademicyear2015-16.

NIMHANS hosted several international andnational scientific conferences and stepped up


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its research activities in various new projectsand initiatives.ACentre forAddictionMedicineComplex encompassing Women’s TreatmentWing, Drug Toxicology Laboratory and VirtualKnowledgeCentrewasestablished.The Institutehas also established a state-of-the-art DigitalSubtraction Angiographic facility and a state-of-the-artMRPETScanCentre, first of its kindin the public sector and an Advanced MassSpectrometer Facility (Orbitrap Fusion TribidMass Spectrometer) for Clinical Ptoteomics.Heart Rate Variability monitors for autonomicnervous system; Near Infrared Spectroscopy forcerebral oxygenation; Video Laryngoscope forvisualisation and intubation; transoesophagealechocardiogramintheoperationtheatresandICUhavebeenadded to thesurgical facilities.Anewelectrophoresis system has been installed in theClinicalPathologyandHematologySection.TheDepartment of Speech Pathology & Audiologyat the Institute has started a new initiative – theauditory rehabilitation of persons with PrimaryAuditory Neuropathy (Auditory NeuropathySpectrumDisorder)inwhichtheinterventionsaretailormadetotheindividuals.AMulti-sensoryUnithasbeenestablishedunderOccupationalTherapySection,Deptt. ofNeurologicalRehabilitation toprovidetrainingtochildrenwithautisticspectrumdisorder, attention deficit hyperkinetic disorderandmanyothers.

NIMHANS has also undertaken a nationwidesurvey to ascertain the status of Mental HealthResources in the country with the objectivesto estimate the burden of mental, neurologicaland substance use disorders in a representativepopulationofIndia.

15.8.2 Outreach / Public Education and Extension Activities

Centre for Public Health (CPH):Inaccordancewith its mandate, CPH undertook severaloperationalresearchactivitiesinkeypublichealth

areas including road traffic injuries, harms toothers from alcohol use, drugs and logistics anddevelopmentofamanualfortrainingofcommunityhealthpersonnel,duringtheyear.Varioustrainingprogrammesforhealthpersonnelwereundertakentoimproveservicedeliveryformental,behaviouralandsubstanceusedisorders.Ason31March2015,medical officers from various Primary HealthCentres at Kolar were trained and the trainingof community healthworkers has been initiated.Focused initiativeswereundertakenwith respectto assessment of industrial health systems andserviceswithinthedistrict.

‘YuvaSpandana’projectaimedatprovidinghealthpromotionservicesforyouthanchoredbyDistrictYouthEmpowermentCentreswastakenupin10districts of Karnataka.Around 142 sensitizationprogrammesreaching14,000youthsspreadacross10districtswereconducted.

15.8.3 Specialist Clinics Services

Centre for Addiction Medicine

The Centre for Addiction Medicine (CAM)continued to expand its services during the year2014-15. In response to the growing publicdemand for patient care, public awareness,community activity, research and policy, severalnewinitiativeswereinitiated.CentreforAddictionMedicine Complex encompassing Women’sTreatment Wing, Drug Toxicology Laboratoryand Virtual Knowledge Centre was inauguratedbythethenHon’bleMinisterofHealth&FamilyWelfare, Government of India on 16 August2014.Women’s TreatmentWing is an exclusive20-bed facility for women with substance usedisorders. This centre offers individualized carein the form of medications, counselling, familyinterventions,andotherclient-basedservices.TheDrugToxicologyLaboratory is fullyequipped tocarry out chemical tests to monitor drug abusein patients with addiction and/or psychiatric


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disorders.Ithasstandardised20differentscreeningtestsandHPTLC(HighPerformanceThinLayerChromatography),GCMS(GasChromatography-Mass Spectroscopy), ELISA based analysis ofdifferentdrugsofabuse.

Virtual Knowledge Centre has been establishedfortheuseofmultipointvideo-conferencing,andtransmitting training sessions to various centresacrossIndiaandtheworld.

The Centre offers a comprehensive inpatientprogramme consisting of individual and familyassessment,individuallytailoredtreatmentswhichinvolvepharmacologicaltreatmentsforwithdrawaland long term prevention of relapse, individualand group counselling, family counselling andintensiveaftercare.

During theyear2014-15,CAM registered3215newpatientsandfollowedup12257patientsface-to-face and 8158 via telephone.A total of 1070patientswereadmittedtotheCAMin-patientwardduring the period for inpatient treatment. Fivemorebeds (in single rooms)havebeen added totheexisting57-beddedmaleward.

PM’s 'Mann ki baat' (radio programme) on addiction: The CAM prepared a video on the importance of training experts in drug abuse treatment cessation and sent it to the PMO in response to the announcement inviting responses prior to the Hon'ble Prime Minister’s address on addiction in the 'Mann ki baat' programme.

Academic Programmes:

“Virtual Knowledge Network”, an onlinecapacity building facility, has been initiated bythe Department of Psychiatry to develop andsupporttheskilledmentalhealthresourcesinthecountry.Thiswas developed initially in the areaof Addiction Medicine/Psychiatry and has nowbeen extended to seminars and other academic

programmes of the department. The academicprogrammes,beamedacrossthecountry,arealsoavailableonthewebportal.

15.8.4 Yoga – Mental Health & Neurosciences

TheAdvancedCentreforYoga-MentalHealthandNeuroscienceswasstartedin2007incollaborationwiththeMorarjiDesaiNationalInstituteofYoga,NewDelhi(fundedbytheDepartmentofAYUSH,Govt.ofIndia)forpromotingtrainingandresearchinYoga.Activitiesof the centrewere essentiallyinterdisciplinary involving all clinical and manybasicsciencedepartments.

The center completed its original term inMarch2012 and functioned in a limited capacity as aservicetillJune2014.InJuly2014,theNIMHANSIntegratedCentreforYoga(NICY)wasestablishedtocontinueservice,trainingandresearchactivitiesrelatedtoyogainmentalhealthandneurosciences.

Thefollowingclinicalservicesarecurrentlybeingoffered to patients and caregivers referred fromNIMHANSclinicalservices:

● Yoga therapy services for psychiatric andneurologicalpatientsreferredtoNIMHANSIntegratedCentreforYoga.

● Regular yoga classes for inpatients atpsychiatric wards of NIMHANS throughtrainednursingstaff.

● Regular yoga sessions for caregivers ofpatients with psychiatric and neurologicaldisorders.

Yoga sessions at Psychiatry Wards

TheCentre is also running daily yoga classes atdifferent psychiatric wards through nursing stafftrainedinYoga.Ayoga-basedsessionwithselectedyogic asanas, pranayama and nadanusandhanatechniques has been introduced in place ofunstructured physical activity at both open andclosedpsychiatricwards.Anaverageofabout15-20patientsparticipateintheseyogabasedsessions.


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Duringtheyear2014(JanuarytoDecember)atotalnumber of 9313 patients were seen at theYogaCentreand1221wereregisteredasnewpatients.Intheyear2015(JanuarytoDecember)atotalof13382patientswereseenand1575wereregisteredasnewpatients.

Training activities

NICYconductedthreeYogaAppreciationCourseslasting onemonth each for staff and students ofNIMHANS fromDecember 2014 –March 2015in which more than 50 persons participatedand received training in yoga. This was highlyappreciatedbythestaffandstudentswhoattended,and NICY has planned to make this a quarterlyfeatureinthecomingyear.

TheCentre has also developed a videoCDwiththefullyogamoduleforSchizophreniaforpatientswho have already been trained by the yogatherapists,whichisbeingusedforvideosessionsattheCentreaswellashomesessions.Similarvideotools are being developed for other disorders.Apilottele-yogasessionwasrecentlytrialed,whichhaspotentialforcontinuedsupervisedtrainingforpatientswhocannotattendtheCentre.

AsapilotprojectformentalhospitalsinIndia,theCentrealsoconductedabrief trainingcourse fortwonursesfromtheDharwadInstituteofMentalHealth andNeurosciences (DIMHANS) to teachspecific Yoga modules to patients with mentaldisorders in March 2015. The Centre plans toexpandthisprogramtocoverallmentalhospitalsin India in collaborationwith theDepartment ofNursing,NIMHANS.

15.9 CENTRAL INSTITUTE OF PSYCHIATRY (CIP), RANCHI

Introduction

CentralInstituteofPsychiatry(CIP),Ranchiwasestablished in 1918, under the name of RanchiEuropean LunaticAsylum. In 1977 the hospital

was given the status of an Institute and wasconsequentlygiven its present name i.e.,CentralInstituteofPsychiatry.

15.9.1 Patient Care

The campus of the Institute is spread over 210acres.Ithasacurrentcapacityof643beds.Thereareatotalof15wards(9malewards&6female),an emergency ward and a family unit. Patientsarenotkept confinedandcanwalkaboutwithinthe hospital. Drug therapies form only a part oftreatment along with various psychotherapies,behavioral therapy, group therapy and familytherapy. A milieu therapy approach is practiced– patients participate in running the ward andhelp in looking after other patients.Along withmentalhealth,physicalfitness is emphasized too–patients takepart in regularphysicalexercises,yoga,outdooraswellasindoorgamestokeepthemphysicallyfit.Patientcare,researchandmanpowerdevelopment remain the major objectives of theInstitute.

The Institute provides services for acutely illpsychiatricpatients,includingthoserequiringcarefor concurrent medical disorders. 3,920 patients(3214malesand706females)wereadmitted.3909patients were discharged (3203 males and 706females).The averagebedoccupancyduring thespecifiedperiodwas83.3%.

The institute also runs a child guidance clinicand an independent 50-bedded child psychiatryunit since 1975. It caters the needs of psychoticchildren, children with developmental disordersandmentalretardation.Parentsarerequiredtostaywiththeirchildrenforthedurationofthetreatment.7170patients(2011newcasesand5159follow-upcases) attended the outpatient department (OPD)fortreatment.Therewereatotalof197admissionsand196dischargesduringtheperiodunderreport.

The Institute has amodern S.S.RajuCentre forAddictionPsychiatrywithacapacityof60patient


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beds for the treatment of persons suffering fromalcohol & drug related problems. 1029 patientswereseenintheOPDintheDe-addictionClinic;677 patients received admission in the De-addictionCentrewhile655weredischarged.

Thetotalnumberofcasesseenonanoutpatientbasiswas70,786 (23,045newcases&47,741 follow-upcases)[includingallpsychiatrycases(Adult&Child),StaffOPD,ExtensionClinics,SkinClinic&Psycho-socialOPD].Thetotalnumberofnewpsychiatrycasesseenwere14127(9546males&4581 females)while 45258psychiatry follow-upcaseswereseenduringthisperiod(31715males&13543females).

The Institute runs Extension Clinics whichinclude the General Psychiatry Clinic at WestBokaro, Hazaribagh, Chandan Kiari, Bokaro,School Mental Health Programme, Deepshikha,Ranchi. Regular camps, awareness programmes,workshops with teachers and parents are alsoconductedattheseextensionclinics.Schoolmentalhealth programmes are being run in two schoolsthroughtheoutreachprogramme.Thecase-loadintheextensionclinicswas2845.

TheInstitutehasbeenrunningatoll-freetelephonecounseling service – the CIP Helpline – since2001.TheInstitutealsoprovidesane-counselingservice.Duringtheperiodunderreport,614generalhelpline calls, and 64 e-mailswere received andattended.


TheClinicalPsychologydepartmentattheInstituteis the oldest independent department of ClinicalPsychology in India. In 1962 a teaching courseinClinicalPsychology–DiplomainMedicalandSocialPsychologywasstarted(thiscourseisnowknown as M.Phil. in Clinical Psychology). ThecourseofPh.D.inClinicalPsychologywasstartedin1972.Atpresent, thereare12seatsinM.Phil(ClinicalPsychology)and4seatsinPh.D.(Clinical

Psychology).Thedepartmentalfacultyincludes6Assistant Professors, 1 Clinical Psychologist, 2AssistantPsychologistsand1LaboratoryAssistant.The Child Psychiatry Unit imparts training toresidentdoctors andpostgraduate students in thefield of child and adolescent mental health. Inaddition theCentreforAddictionPsychiatryactsasthenodalcenterineasternIndiaformanpowertraining and research in the field of alcohol anddrugabuse.

TheDepartmentofPsychiatricSocialWorkrunsanM.Phil.programmeinPsychiatricSocialWork.Atpresent,12seatsareavailableforM.Philtrainees.

The Nursing Education section of the Instituteis responsible for training nurses to obtain theDiplomainPsychiatricNursing(DPN)andgivingclinicalnursingexperiencetovisitingnurses.TheNumberofvisitingnurseswhoreceivedtrainingisasfollows:

● M.Sc.inPsychiatricNursing–37

● General Nursing and Midwifery (GNM)/ANM-625

● B.Sc.Nursing-481

● DPN-04.

TheInstitutecurrentlyoffersOccupationalTherapy(OT) to adults as well as child and adolescentin patients with either acute psychiatric illnessor severe and enduring mental health problems.Inpatients attend OT daily in both the pre- andpost-lunch sessions. They are allocated work inthevarioussectionsaccordingtotheirabilitiesandaptitude.About 50 male patients and 35 femalepatientsattendOTdaily.Thedepartmentalsohasawell-equipped andmodern physiotherapy unit.The OT department is also involved in trainingmedicalaswellasnon-medicalprofessionalssuchas psychiatry residents, clinical psychologists,psychiatric socialworkersandpsychiatricnursesin various aspects of occupational therapy andrehabilitation.


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The Centre for Cognitive Neurosciences wasoriginallyestablishedin1948,whenitwasknownastheElectroencephalography(EEG)Department.The EEG Department initially had a 6 channeland then an 8 channel electro encephalographmachine.ItisnowcalledtheCentreforCognitiveNeurosciences.

Atpresent,theCentrehastwosections–aclinicalsection and a research section. The clinicalsection possesses a 21 channel paper electroencephalogram,a32channelquantitativeelectroencephalogram and a 40 channel video electroencephalogramaswellasequipmentforrecordingan electromyogram (EMG), nerve conductionvelocity (NCV), brainstem auditory evokedresponse(BAER)and thegalvanicskinresponse(GSR). The research section possesses DenseArrayEEGacquisitionsystems(64,128and192channels), Evoked Response Potential (ERP)acquisition units (40 channels), a 40 channelpolysomnography (PSG) unit and a repetitiveTranscranial Magnetic Stimulation (rTMS)unit. The Centre has acquired advanced signalprocessing software such as Advanced SourceAnalysis(ASA),BrainElectricalSourceAnalysis(BESA)etc.Totalno.oftestsdonewere6259.


● 32researchpaperspublishedininternationalandnationaljournals.

● 57researchpaperspresentedininternationalandnationalconferences.

15.10 PRADHAN MANTRI SWASTHYA SURAKSHA YOJANA (PMSSY)

The Pradhan Mantri Swasthya Suraksha Yojana(PMSSY)hasbeenlaunchedwiththeobjectivesofcorrecting regional imbalances in theavailabilityof affordable/reliable tertiary healthcare servicesandtoalsoaugmentfacilitiesforqualitymedicaleducation in the country. PMSSY has twocomponents–settingupofAIIMSlikeinstitutions

and upgradation of existing State GovernmentMedical Colleges/Institutions and is being takenup in phased manner. Upgradation programmebroadlyenvisagesimprovinghealthinfrastructurethrough constructionofSuperSpecialityBlocks/Trauma centres etc. and procurement ofmedicalequipmentsforexistingaswellasnewfacilitiesonCentralandStatesharebasis.

In first phase of PMSSY, six AIIMS one eachat Bhopal, Bhubaneswar, Jodhpur, Patna,Raipur and Rishikesh and upgradation of 13existing State Government Medical Colleges/Institutions(GMCIs)weretakenup.UnderPhase-IIofPMSSY,AIIMSatRaeBareliandupgradationof6arebeingtakenup.Simultaneously,underPhase-III, 39 existing Government Medical College/Institutionsarebeingtakenupforupgradation.Inaddition, setting up 3AIIMS has been approvedunderPhase-IV.Upgradationof12existingGMCIsisunderconsiderationunderPhase-IV.

15.10.1 Approved Project Cost for the entire PMSSY Projects is as given under:-

(Rs. in crore)Capital

costRecurring

costTotal

1stPhase 6210 3097.62 9307.622ndPhase 2396 1031.5 3427.503rdPhase 5071 0 5071.004thPhase 4949 0 4949.00Total 18626 4129.12 22755.12

15.10.2 Status on six AIIMS (PMSSY Phase-I)

Academic Session: Four batches of MBBSstudents totaling 350 and three batches totaling180B.Sc.NursingStudentsateachofthesixnewAIIMSarenowreceivingeducation.OPDServiceshavealsocommencedatallsixnewAIIMS.IPDServicesforteachingpurposehavecommencedatallthesixAIIMS.


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Legislation: AIIMS Amendment Act, 2012 hasbeenenacted,amendingtheAllIndiaInstituteofMedicalSciencesAct,1956toprovideautonomousstatus to the six AIIMS. The societies formedearlier have been incorporated as correspondinginstitutes.InstitutebodyforeachnewAIIMSwasconstituted in July, 2013. Besides, GoverningBody, Standing Finance Committee, StandingSelectionCommitteeforsixnewAIIMShavealsobeenconstituted.

Creation of posts: 4089 posts of variouscategoriesincludingfacultyandnursinghavebeencreated for each of the sixAIIMS. Recruitmentto faculty has beenmade. Strength of faculty atAIIMS,Bhopal-59;Bhubaneswar-69;Jodhpur-59;Patna-57; Raipur-65 and Rishikesh-50. LimitednonfacultypositionshavebeenfilledbyindividualAIIMS.

Procurement of medical equipments in all the six AIIMS

● HLL Lifecare Ltd. has been appointed asProcurement Support Agent (PSA) forprocurementofmedicalequipmentsforthesixAIIMS.

● Tender for medical equipment worth Rs.400crore(approx.)forprocurementthroughHLLLifecareLtd.hassofarbeenfinalized.

● Separately,theInstituteshavebeenadvisedtoprocureequipmenttomeettheirminimumoperation requirement for the currentacademic session and starting hospital thisyear.

● Furniture forMedical College has alreadybeenprocured.

15.10.3 New AIIMS under PMSSY Phase-II

The Central Government has approvedestablishmentofoneAIIMSeachintheStatesofUttarPradeshandWestBengal.TheGovernmentof Uttar Pradesh has transferred the land to theCentralGovernment for establishment ofAIIMSat Rae Bareli. The Ministry has appointed M/s.

HSCC(I)Ltd.asProjectManagementConsultantfortheproject.WorkforconstructionofhousingcomplexfortheAIIMS,RaeBarelihasstartedandis in full swing. In addition, the Institute shallalsohaveastart-upOPDincludingothernecessaryfacilities to provide healthcare for the benefit oflocal populace. The work of start-up OPD is inprogress.

FortheproposedAIIMSinWestBengal,theStateGovernment has requested for setting up of thesameatKalyani.

15.10.4 Upgradation of Government Medical Colleges (Phase I, II & III)

The upgradation programme broadly envisagesimproving health infrastructure throughconstruction of Super Speciality Blocks/Trauma centres etc. and procurement ofmedicalequipments forexistingaswellasnewfacilities.The upgradation of Medical Colleges has beenundertakeninphasesasunder:-

15.10.5 Phase-I

Outof13medicalcollegestakenupforupgradationinthefirstphaseofPMSSY,civilworkat8medicalcollege institutions (viz. Trivandrum medicalcollege; Salem Medical College; BangaloreMedical College; SGPGIMS, Lucknow; NIMS,Hyderabad; Jammu Medical College; RajendraInstituteofMedicalSciences(RIMS),RanchiandIMS,BHU,Varanasihasbeencompleted.

InrespectofKolkataMedicalCollege,constructionofOPDBlock,AcademicBlock taken up in the1st stage and construction has been completed.AsregardtheSuperSpecialityBlockwhichistobe taken up in the second stage of construction,workhasbeenawardedinNovember,2015.99.5%ofworkhasbeencompletedatSrinagarMedicalCollege.InregardtoSreeVenkateswaraInstituteof Medical Sciences (SVIMS), Tirupati; GrantsMedical College, Mumbai and B.J. MedicalCollege,Ahmedabad;whereupgradationinvolvesprocurement of medical equipments only, the


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procurementprocessislikelytobecompletedbyMarch,2016.

15.10.6 Phase-II

Out of 6 Medical College institutions taken upfor upgradation in the second phase, civil workinvolves5institutionsandtheprogress/statusisasunder:-

(i) R.P.GovernmentMedicalCollege,Tanda–civilworkcompletedandthenewSSBhasbeeninauguratedon1.3.2014;

(ii) JawaharlalNehruMedicalCollegeofAMU,Aligarh(99.5%);

(iii) Government Medical College, Amritsar(99%);

(iv) Pt. B.D. Sharma Post-graduate Institute ofMedicalSciences,Rohtak(68%)and

(v) In respect of Madurai Medical College,duetochangeinlocationforthenewSuperSpecialityBlock, plan had to bemodified.Thecivilworkhasstartedand21%ofworkhasbeencompleted.

At Government Medical College, NagpurupgradationprogrammeinvolvesonlyprocurementofequipmentsandentireprocurementworkisbeingundertakenbytheInstitute/StateGovernment.AnamountofRs.77.81crorehasbeenreleasedtotheInstitute.

15.10.7 Phase-III

TheCentralGovernmenthasapprovedadditional39medicalcollegesunderthirdphaseofPMSSY-Upgradationon07.11.2013.BasedonPhase-IandPhase-II Implementation, HSCC/HLL/CPWDhave been selected as project management andsupervisionconsultantsandexecutingagencyforcivilworkat39medicalcolleges.Detailedprojectreports in respect of all the medical colleges,exceptAgartalaMedicalCollege,TripuraandGoaMedicalCollege,Goa,havebeenapproved.

15.10.8 Phase-IV

Hon’ble FinanceMinister duringBudget Speechfor the year 2014-15 had announced setting upoffournewAIIMSoneeachinAndhraPradesh,Maharashtra,WestBengalandPoorvanchalinU.P.

The Cabinet has approved on 07.10.2015 forestablishmentofthreenewAIIMSatMangalagirinear Guntur in Andhra Pradesh at the cost ofRs.1618crore,NagpurinMaharashtraatthecostofRs1577crore andKalyani inWestBengal atthecostofRs1754croreunderthePradhanMantriSwasthyaSurakshaYojana(PMSSY),involvingatotalfinancialimplicationofRs.4949crore.Timeframeforimplementationis5yearsfromthedateofapprovalbyCabinet.

MoU between MoHFW and Govt. of AndhraPradesh/WestBengalhavebeensigned.

Upgradation of GMCIs announced in 2014-15

12 existing Government Medical Colleges/Institutes(GMCI)tobetakenupforupgradationunder Phase-IV of PMSSY) has been identified.DraftEFCNotetothiseffecthasbeencirculatedto all appraising departments viz.Department ofExpenditureandNITIAayog.

15.10.9 New AIIMS announced in 2015-16

Hon’ble FinanceMinister duringBudget Speechfortheyear2015-16hasannouncedsettingupofsixnewAIIMS oneeach in Assam, HimachalPradesh,Jammu&Kashmir,Punjab,TamilNaduandBihar.

Hon'ble Prime Minister has also approved andannounced on 7thNovember, 2015 developmentpackage for Jammu & Kashmir which includescreation of AIIMS (2 AIIMS including the oneannouncedduringtheBudgetSpeechfortheyear2015-16)likeinstitutionsforhealthcareincapitalcitiesofJ&K.SiteofBathindahasbeenfinalisedforlocationfornewAIIMSinPunjab.

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