MISSION STATEMENT TO CREATE A HEALTHCARE MODEL

MISSION STATEMENT : TO CREATE A HEALTHCARE MODEL WHICH WILL INTEGRATE PRIMARY WITH SECONDARY & TERTIARY HEALTHCARE & MAKE IT ACCESSIBLE & AFFORDABLE TO URBAN AS WELL AS RURAL NORTH-EAST

WHAT PROMPTED US TO THINK OF A MODEL LIKE THIS ? INSPITE OF A SPURT IN THE NUMBER OF HEALTHCARE SETUPS IN THE PRIVATE / CORPORATE SECTOR IN THE NORTH EAST IN THE LAST DECADE, WE STILL HAVE OBSERVED THAT : v MOST PEOPLE WHO CAN AFFORD STILL GO OUTSIDE THIS REGION FOR SPECIALITY HEALTHCARE NEEDS – HUGE OUTFLOW OF RESOURCES, MANY PEOPLE WHO DO NOT HAVE THE RESOURCES BORROW / SELL OFF THEIR ASSETS TO GO OUT OF THE REGION FOR SPECIALTY HEALTHCARE v PEOPLE WHO CANNOT AFFORD HAVE NO OPTION

v QUALITY & EFFECTIVE HEALTHCARE FACILITIES ARE YET TO PENETRATE MANY AREAS v MEDICAL TREATMENT IS STILL VERY EXPENSIVE IN THIS REGION v FOCUS ON ACADEMIC RESEARCH IS VERY LESS : VERY FEW RESEARCH PUBLICATIONS IN NATIONAL / INTERNATIONAL MEDICAL JOURNALS /PERIODICALS v IT IS A MATTER OF SERIOUS DEBATE AS TO WHETHER WE HAVE BEEN ABLE TO ACHIEVE STANDARDS COMPARABLE TO INSTITUTIONS IN MANY OTHER PARTS OF THE COUNTRY

A CUMULATIVE EFFECT RESULTING IN : • NO SIGNIFICANT IMPROVEMENT IN SPECIALITY SECONDARY & TERTIARY HEALTHCARE • INABILITY TO ATTRACT / RETAIN QUALITY MANPOWER • A HUGE SCOPE FOR LOTS OF IMPROVEMENT IN MANY SPECIALITY / SUPER-SPECIALITY AREAS LIKE : • • • INFECTIOUS DISEASES IN CHILDREN PAEDIATRIC INTENSIVE CARE DEDICATED BURNS MANAGEMENT PLASTIC & RECONSTRUCTIVE SURGERY ONCOLOGY & ONCOSURGERY HAEMATO-ONCOLOGY CARDIO-THORACIC & VASCULAR SURGERY INTERVENTIONAL CARDIOLOGY INTERVENTIONAL RADIOLOGY TRANSFUSION MEDICINE GERIATRIC CARE ORGAN TRANSPLANTATION, ETC

WHAT SOLUTION ARE WE PROPOSING & WHAT WILL BE OUR MODEL ?

OUR MODEL A HEALTHCARE MODEL TO BE RUN BY A “TRUST/FOUNDATION” OFFERING HEALTHCARE FACILITIES WITH CROSSSUBSIDIZATION WITH A 3 -TIER APPROACH : : • PAID FACILITIES • SUBSIDIZED FACILITIES • FREE FACILITIES A HEALTHCARE MODEL WHICH HAS BEEN VERY SUCCESSFULLY ADOPTED BY INSTITUTES LIKE LV PRASAD EYE INSTITUTE, HYDERABAD; ARAVIND EYE INSTITUTE, MADURAI ; SRI CHITRA TIRUNAL INSTITUTE OF MEDICAL SCIENCES & TECHNOLOGY, TRIVANDRUM ; NARAYANA HRUDAYALAYA, BANGALORE; ETC.

OUR MODEL WILL HOWEVER HAVE A FEW MORE UNIQUE & ADDITIONAL FEATURES OUR PROPOSED STRUCTURE : Ø A 500 - 600 BED CENTRAL INSTITUTE BASED IN / AROUND GUWAHATI TO BE SET UP IN 3 -4 PHASES WITH AN ATTACHED NURSING/PARA-MEDICAL TRAINING INSTITUTE Ø RURAL MOBILE OUTREACH MODULES Ø RURAL SMALL HOSPITALS & TELEMEDICINE MODULES CONNECTED TO THE CENTRAL INSTITUTE

A FEW UNIQUE FEATURES OF THE CENTRAL INSTITUTE STRUCTURAL DESIGNING AS PER “GREEN BUILDING STANDARDS” CONFORMING TO LEED RATING CRITERIA – WILL BE THE 1 ST OF ITS KIND IN SPECIALITY HEALTHCARE SECTOR IN INDIA ADVANTAGES : § OPERATIONAL SAVINGS : 40 -50% LESS ENERGY CONSUMPTION, 20 -30% LESS WATER CONSUMPTION, 15 -20% REDUCED CLEANING & MAINTENANCE COSTS § ACCESS TO DAYLIGHT & VIEWS : IMPROVES PRODUCTIVITY BY 12 -15% § AIR QUALITY : ALWAYS FRESH & HEALTHY

ALL OPERATION THEATRES WILL MODULAR STAINLESS STEEL CONFORMING TO WHO / NABH STANDARDS – 1 ST OF ITS KIND IN ENTIRE NE REGION Features : ü 100% STERILE AIR-PURIFICATION SYSTEMS ü NO DUCT / MICROBIAL POCKETS INSIDE THE OTs ü ALLOWS REMOVAL OF CONTAMINATED /INFECTED AIR WITHIN 2 SECS ü BUILT-IN DEFUMIGATION SYSTEMS

Pneumatic System for Specimen & Drug Transport – 1 st in Eastern India Ø Ø Advantages & Unique Features Eliminates manpower & lift usage in transport of specimens from wards to laboratories , drugs from pharmacy, etc This system connects the labs and the pharmacy to locations all over the hospital Transporting blood from the blood bank to the blood bank satellite and operating room suite. Saves a huge amount of time – completely computerised control system

Some More features : : • ENTIRE HOSPITAL WILL BE BUILT ON A MODULAR DESIGN – NEW MODULES CAN BE ADDED ANY TIME WITHOUT DISTURBANCE IN THE FUNCTIONING OF EXISTING MODULES • ENTIRE HOSPITAL WILL HAVE CENTRAL GAS PIPELINE SYSTEM : NO TRANSPORT OF MEDICAL GAS CYLINDERS INSIDE THE HOSPITAL • INTEGRATED IT BACKBONE WITH 1000 MBPS LAN SPEED TO MINIMISE STATIONERY USAGE • LED LIGHTING SYSTEM FOR EFFICIENT ENERGY SAVINGS • FILMLESS HOSPITAL : CONNECTED THROUGH PACS (HUGE COST SAVINGS IN MEDICAL FILMS) • USE OF GENERIC DRUGS : SAVES A LOT OF NON-PRODUCTIVE EXPENDITURE

DEPARTMENTS IN THE CENTRAL INSTITUTE • GENERAL MEDICINE INCLUDING SUB-SPECIALITIES LIKE RHEUMATOLOGY, RESPIRATORY DISEASE, ETC • GENERAL SURGERY INCLUDING SUB-SPECIALITIES LIKE COLORECTAL SURGERY, LAPAROSCOPIC SURGERY, GI SURGERY, ETC • CARDIOLOGY WITH CATH-LAB FOR INTERVENTIONAL CARDIOLOGY • CARDIO-THORACIC & VASCULAR SURGERY • OBSTETRICS & GYNAECOLOGY • INFERTILITY CENTER • ENDOCRINOLOGY • GASTROENTEROLOGY • PAEDIATRICS • PAEDIATRIC SURGERY • INFECTIOUS DISEASES CENTER : 1 ST IN NE • ORTHOPAEDICS & ARTHROSCOPY CENTER • NEUROLOGY

• • • NEPHROLOGY DIALYSIS CENTER UROLOGY WITH LITHOTRIPSY CENTER ONCOLOGY ONCOSURGERY PLASTIC & RECONSTRUCTIVE SURGERY BURNS UNIT WITH BURN ICU : 1 ST IN EASTERN INDIA TRAUMA CENTER DERMATOLOGY ENT OPHTHALMOLOGY

• • GENERAL ICU CARDIAC ICU NEONATAL ICU PAEDIATRIC ICU GERIATRIC CENTRE : 1 ST IN NE REGION MAXILLOFACIAL & ADVANCED DENTISTRY CENTER TRANSFUSION MEDICINE WITH COMPONENT LEVEL BLOOD BANK • INTERVENTIONAL RADIOLOGY CENTER : 1 ST IN NE • ANAESTHESIOLOGY & CRITICAL CARE • REHABILITATION CENTER

DIAGNOSTIC FACILITIES • RADIOLOGY & IMAGING : COMPUTED RADIOGRAPHY, IITV, ULTRASONOGRAPHY, COLOUR DOPPLER, CT WITH FLUOROSCOPY, MRI, NUCLEAR MEDICINE, DSA, BONE DENSITOMETRY, OPG, CEPHALOMETRY, DIGITAL MAMMOGRAPHY, ETC. • LABORATORY SERVICES : CLINICAL PATHOLOGY, HISTOPATHOLOGY, MICROBIOLOGY, BIOCHEMISTRY, HAEMATOLOGY, BLOOD GAS ANALYZER, ETC

• ENDOSCOPY SERVICES : VIDEO ENDOSCOPY, ERCP, INTERVENTIONAL PROCEDURES • CARDIOLOGY : ECG, ECHOCARDIOGRAPHY, STRESS ECHOCARDIOGRAPHY, TMT, HOLTER, ETC • NEUROLOGY : EMG, NCV, SLEEP DISORDER CLINIC, ETC • ALLIED DIAGNOSTIC SERVICES CONNECTED WITH OTHER DEPARTMENTS

High Tech Cardiac & Trauma Ambulances ØThis is a high end version of a trauma care centre. ØThis trauma unit is designed for deployment in situations requiring onsite care ØIt is essentially a compact mobile trauma unit for routine treatment of common field medical requirements & emergencies. ØIt has a comprehensive range of life support systems to save organs and maintain organ functions

• LEADING NATIONAL / INTERNATIONAL MEDICAL SPECIALISTS IN THE MEDICAL BOARD • COLLABORATIVE TIE-UPS WITH LEADING NATIONAL & INTERNATIONAL MEDICAL RESEARCH INSTITUTES FOR CONTINUOUS MANPOWER & TECHNOLOGY UPGRADATION AS WELL AS ORGANISATIONS IN NON-PROFIT SECTOR LIKE SMILE FOUNDATION, INTERPLAST, ETC FOR PARTNERING IN VARIOUS PROJECTS • A SEPARATE DEPARTMENT FOR BIO-MEDICAL / BIOTECHNOLOGY RESEARCH / STEM CELL RESEARCH, ETC. IN COLLABORATION WITH A LEADING INSTITUTE LIKE IITG / IIT-KGP, AIMS COCHIN, SCTIMST TRIVANDRUM • INDUSTRY COLLARORATION FOR MEDICAL RESEARCH, CLINICAL TRIALS, BETA TESTING OF NEW TECHNOLOGY

PROJECT CONCEPTION , DESIGNING & IMPLEMENTATION This project has been conceived and designed by a “ Group of Doctors” from Assam who are from different medical specialties & have come back home after spending a considerable part of their professional careers in various reputed hospitals around India and will be joined once ready for implementation by many more doctors from this region who are studying / working in various reputed hospitals in different parts of India

Manpower for the Project One of the biggest constraints in the NE region is a lack of manpower in Specialty & Super-Specialty areas In Our Model : v The Central Institute will be manned by a team of committed doctors who have worked /are working in various reputed hospitals around the country & having significant experience in their respective fields v We will also attract manpower from various reputed institutions around the country on a periodic basis v The doctors will be given a full role & involvement in designing, planning, execution, etc of the respective modules of the project v Full facilities for academic research v Develop a pool of trained manpower within a span of 1 -2 years who can be deployed in the peripheral setups

OUTREACH MODULES – PHASE I • 3 CLINICS IN THE 1 ST PHASE WITHIN A RADIUS OF 100 -150 KMS FROM THE CENTRAL INSTITUTE • OPD , ROUTINE DIAGNOSTIC FACILITIES , EDUCATION ON PREVENTIVE HEALTHCARE, ETC. IN INITIAL PHASE ATLEAST 2 DAYS / WEEK • CLINICS WILL BE MANNED BY DOCTORS FROM THE CENTRAL INSTITUTE • SCREENING & COUNSELLING OF PATIENTS REQUIRING SECONDARY / TERTIARY CARE

INFRASTRUCTURE OF THE OUTREACH MODULES • • IN THE INITIAL PHASE WILL BE COVERED BY FULLY EQUIPPED MOBILE CENTRES HAVING FACILITIES LIKE : BASIC OPD / SCREENING FACILITIES MOBILE CR (DIGITAL X-RAY) ULTRASONOGRAPHY & COLOUR DOPPLER ECG BLOOD COLLECTION FACILITIES MINOR OPERATION THEATRE PHARMACY SCREENING OF EDUCATIONAL AIDS ON PREVENTIVE HEALTHCARE IN LOCAL LANGUAGES

PHASE 1 : : MOBILE OUTREACH CENTERS CENTRAL INSTITUTE MOBILE CLINIC : : 1 MOBILE CLINIC : : 2 MOBILE CLINIC : : 3 EACH CLINIC WILL COVER ONE PLACE FOR 2 DAYS IN A WEEK CLINICS WILL BE WITHIN A DISTANCE OF 100 -150 KMS FROM THE CENTRAL INSTITUTE

• REPORTS OF THE DIAGNOSTIC TESTS TO BE DELIVERED TO THE OUTREACH CENTERS NEXT DAY. • PATIENTS REQUIRING FURTHER WORK-UP / HOSPITALIZATION TO BE REFERRED AND GUIDED TO THE MAIN HOSPITAL v. AFTER 1 YEAR OF OPERATIONS, SET UP A TELEMEDICINE FACILITY IN THESE LOCATIONS CONNECTED TO MAIN HOSPITAL WHICH WILL OPERATE 7 DAYS/WEEK v. MOBILE CLINICS TO CONTINUE 2 DAYS/WEEK v. EXPAND THE SCOPE OF THESE CLINICS TO COVER A RADIUS OF 300 KMS IN NEXT 1 YEAR & GRADUALLY CONVERT THESE TO PERMANENT PERIPHERAL OUTREACH CLINICS EQUIPPED WITH BASIC FACILITIES AND HAVE AT LEAST 2 DOCTORS POSTED IN EACH CLINIC ON A ROTATION BASIS

IN PHASE II IDENTIFY 2 -3 OUTREACH CENTERS WHICH CAN BE EXPANDED TO SMALL 20 -30 BEDDED HOSPITALS MANNED BY DOCTORS TRAINED IN THE MAIN INSTITUTE AND EQUIPPED WITH ALL BASIC FACILITIES LIKE : – – – – OPD FACILITIES BASIC LABORATORY SERVICES BASIC RADIOLOGY TESTS 1 MAJOR OPERATION THEATRE 1 MINOR OPERATION THEATRE TELEMEDICINE FACILITIES 2 - 4 BEDDED INTENSIVE CARE UNIT v ** Will explore the possibility of a tie-up with “the NGOs working in the rural level” to make the rural model more effective and at the same time involve them in a new field of social initiative

ALSO IN PHASE II • EXPANSION & ADDING OF NEW FACILITIES IN THE MAIN HOSPITAL AS PLANNED (EXPAND CAPACITY BY ANOTHER 150 – 200 BEDS WITH PROPORTIONATE INCREASE IN INTENSIVE CARE BEDS) • START AN INSTITUTE FOR PARA-MEDICAL , NURSES TRAINING & HOSPITAL ADMINISTRATION IN TIE-UP WITH A REPUTED UNIVERSITY • START 2 -3 CLINICS WITH DIAGNOSTIC CENTRES IN / AROUND GUWAHATI CITY OFFERING FACILITIES WITH CROSS-SUBSIDIZATION • ADD 1 -2 MORE MOBILE CLINICS TO EXPAND THE SCOPE OF OUTREACH CLINICS TO INCLUDE AT LEAST 3 -4 MORE PLACES

PHASE III • EXPANSION & ADDING OF NEW FACILITIES IN THE MAIN HOSPITAL AS PLANNED (EXPAND CAPACITY BY ANOTHER 150 - 200 BEDS WITH PROPORTIONATE INCREASE IN INTENSIVE CARE BEDS) • INTRODUCTION OF DNB, PDCC, FELLOWSHIP COURSES • IDENTIFY 2 -3 MORE OUTREACH CENTERS WHICH CAN BE EXPANDED TO IDENTICAL SMALL HOSPITALS AS IN PHASE II

PHASE IV • EXPANSION & ADDING OF NEW FACILITIES IN THE MAIN HOSPITAL AS PLANNED (EXPAND CAPACITY BY ANOTHER 150 BEDS WITH PROPORTIONATE INCREASE IN INTENSIVE CARE BEDS) • CONTINUE THE PROCESS TILL WE CAN HAVE AT LEAST ONE 20 -30 BED HOSPITAL UNIT IN DIFFERENT DISTRICTS OF ASSAM WITH 3 - 4 OUTREACH CENTERS MONITORED BY IT AND MAYBE 1 TELEMEDICINE CENTER IN EACH STATE OF NORTH EAST

OUTREACH HOSPITAL CENTRAL INSTITUTE OUTREACH HOSPITAL

IN SUMMARY TO CREATE A MODULAR HEALTHCARE DELIVERY SYSTEM WHICH WILL BE SELF SUSTAINABLE , EFFECTIVE & CAN TRULY INTEGRATE & DELIVER PRIMARY, SECONDARY & TERTIARY HEALTHCARE TO ALL SECTIONS OF THE SOCIETY AND TO CREATE A HEALTHCARE INSTITUTE WHICH IN THE NEXT 5 -10 YEARS WILL BE COUNTED UPON AS AMONGST THE BEST MULTI-SPECIALTY INSTITUTES IN THE COUNTRY AND CAN ATTRACT PATIENTS FROM ALL OVER THE REGION AND CAN ALSO PLAY A PIVOTAL ROLE IN DEVELOPING MEDICAL TOURISM (take into consideration the New “Look East Policy”)