Monday, December 3, 2012

IMPACT OF DR B. VENGAMMA’S TENURE AS DIRECTOR, SVIMS

IMPACT OF DR B. VENGAMMA’S TENURE AS DIRECTOR-CUM VICE-CHANCELLOR SVIMS (9th NOVEMBER 2009 -  29th August 2015)


IMPACT OF DR B. VENGAMMA’S TENURE AS DIRECTOR, SVIMS :-

Ø  SVIMS TOPs among the TOP 20 Hospitals in terms of extending treatment to the patients under Aarogyasri scheme.
Ø  There is significant inflow of out patients as well as inpatients showing a growth rate of 40 – 50% since 2010.

 Developmental Activities

I.             STATUTORY BODIES:

Meetings of the statutory bodies namely: the Executive Board,  Finance committee were held regularly.

The Act of the University for amendment was introduced in the Andhra Pradesh legislative assembly on 16.03.2013 and received assent of the Governor on 05.07.2013 was published on 09.07.2013 in the A.P. Gazette for general information vide Act No. 9 of 2013.  Accordingly, the Chairman of the Governing Council shall be substituted as Chairman-cum-Chancellor, the Director shall be substituted as Director-cum-Vice Chancellor.  The Hon’ble Minister for Health, Medical and Family Welfare shall be designated as the Chairman of the Executive Board of SVIMS in the place of Hon’ble Chief Minister.

II.          ACADEMIC ACTIVITIES: 
Since 2003, SVIMS is running several broad and super-specialty courses recognized/permitted by MCI, DNB, Ph.D programme, nursing, physiotherapy and paramedical courses.
(i)     Post Graduate Medical Courses:

The number of seats offered in super specialty medical branches (DM) are 13, surgical specialties (MCh) are 14 and in broad specialties (MD) are 25.

Enhancement of PG (MD/DM/MCh) seats by MCI in last three years

     MCI enhanced PG seats as follows: MD Anaesthesiology (from 02 to 04), DM Endocrinology (from 01 to 02), DM Neurology (from 01 to 03), M.Ch Neurosurgery (from 01 to 03), MD Medicine (from 02 – 04)
         Recognition of PG (MD/DM/MCh) Courses by MCI
         DM (Endocrinology), MD (Medicine) MD (pathology) and  MD (Biochemistry) courses
        Permission granted to start DM (Medical Oncology), M.Ch (Surgical Oncology) M.Ch (Surgical GE) courses w.e.f., 2011-12 Academic year
         Started DNB Nuclear Medicine course with intake of one student
         Started MD Radiotherapy  course with intake of Two students
      National Board of Examinations renewed the accreditation of DNB Radio diagnosis for 03 more years w.e.f. Jan 2011
         Got permission to start MD Radiology
         To start MD Emergency Medicine and MD Nuclear Medicine and enhancement of  PG seats in  MD Anaesthesiology (from 04 to 08),
   
Permission & Recognition for PG courses by MCI:  
 MCI Assessment / Inspections were held and got recognized: for seat enhancement in MD-Medicine, DM-Nephrology; for recognition of increased seats in MD-Anaesthesiology;DM-Cardiology, DM-Neurology, DM-Endocrinology, MCh-Urology, MCH-Neurosurgery, MCh- CTSurgery; and for renewal of recognition in  MD-Microbiology.

Academic reforms:-

v  Residents’ Manual” is adopted from 2010-11 academic year to all PG Residents for ensuring high standards of training and performance of Resident Doctors
v  Implementation of stipend similar to Government of India norms for postgraduate resident doctors
v  Exchange programme between SV Medical College and SVIMS
v  MOU entered with S.V. Medical college for basic medical sciences training to PG’s of SVIMS
v  Postgraduate students of SVIMS participate in the Undergraduate Teaching Programme at SV Medical College, Tirupati
v One Assistant Professor of Cardiology, SVIMS is daily (Monday – Saturday) visiting SVRRG Government Hospital and attending out-patients, In-patients and Echo-cardiography
v  Started Monthly Mortality meetings and introduced the several teaching programmes in the form of Capsule on investigation, research presentation ,Clinico pathological conference(CPC) and interesting case presentation

(ii)        Post-doctoral fellowship programmes are offered in Surgical Gastroenterology, Radio-diagnosis & Imaging, Neuroanaesthesia, Cardiac Anaesthesia, Critical Care Medicine, Surgical Oncology.  Certificate courses are also offered in ImmunoHaematology and Blood Transfusion and Critical Care.

(iii)   Allied Health Sciences: 3-year and 2-year Msc  courses  and various Paramedical Courses (total = 60)

For the academic year 2013-14, 352 students were admitted in various academic programmes of the University; over all more than a 1000 students are present in the University campus.

  Up-gradation of the Library
The Library is upgraded with 10 kbps high speed static IP address facility with 6 computers from July’ 2013 to facilitate the faculty and post graduates for speedy access of the research material and access through CLINICAL KEY

(iv) Sri Padmavathi Medical College for women:

The Govt. of Andhra Pradesh have issued revised/revalidated Essentiality Certificate (dt: 17.09.2013) in favour of SVIMS for starting Sri Padmavathi Medical College for women with 150 admissions at SVIMS premises, Tirupati. Further, the Tirumala Tirupati Devasthanams was kind enough in allotting 50 acres of land, in addition to the existing 57.04 acres within the campus. An extent of 26.2 acres of vacant land is utilized for developing the facilities like Medical College, Teaching Hospital, Library and Residential complex by APMSIDC, Govt. of AP.  The Govt. have issued orders of administrative sanction for Rs. 182.11 crores (Vide G.O.Rt. No.1171,dt: 3.10.13) towards capital expenditure for starting the college w.e.f. 2014-15 academic year.

(v)     National Knowledge Network:
The Institute is connected with National Knowledge Network (NKN) with 200 nodes and extended to 1500 nodes in future.  The services provided include Internet, Intranet, Network management views, Web hosting, SMS gateway, Video streaming, Community services, Special services etc.  This facility has enabled the faculty, postgraduates and research scholars for advancing their research.
(vi)                          HLA Lab:
The establishment of HLA Laboratory is in process.  The following equipments have been procured – Laminar Airflow chamber, Blood Bank refrigerator (4±20C), Incubator, Refrigerated (cooling) Centrifuge, Micro Centrifuge, Hot air oven, Inverted Microscope.

(vii)    MOU with Sri Venkateswara University
SVIMS University has signed a historic Memorandum of Understanding (MoU) with Sri Venkateswara University, Tirupati on 18.04.2013, which will facilitate collaborative research in the fields of medicine and life science departments like zoology, microbiology, biochemistry, virology, botany and anthropology.

(vii) Accreditation of Mycobacteriology Laboratory :
The process for accreditation of Mycobacteriology Laboratory in the Department of Mircobiology, SVIMS by RNTCP, Govt.of India has reached the final stage. The Laboratory was setup with funds provided by SVIMS as well as European Union TB Susgent Grant (Alladi Mohan).
III.       Examination Results for the academic year 2012-13 :

The  students have attained best results in final semester/year University examinations  i.e., 100%  pass in BPT, B.Sc(N), M.Sc(N), M.Sc (Medical), MPT, MD., DM., except in M.Sc (Biotechnology & Bioinformatics) (94.4%) and in M.Ch courses (80%).  In this Convocation, 308 students

Academic honours – Annual Orations introduced in the institute
Several orations, namely: 3rd Indian Epilepsy Association (IEA) Tirupati Oration in Epileptology, 2nd Dr. Krishna & Dr. Srikala Medicine Chair Oration;  1st Cherukuri Narasimham and Subhadra Devi Neurosurgery Chair; 6th Balaji Gold Medal Nephrology Chair; 3rd Dr. Subhashini & Dr. Kamalakar Reddy Endowment oration, 5th Annual celebration of Cardiology Chair were held

IV.       Journal of Clinical and Scientific Research
            Another land mark event  is the starting of a quarterly, peer-reviewed free full-text online medical journal “Journal of Clinical and Scientific Research” by SVIMS on 26th of February 2012 utlising the funds of Sri Balaji Arogya Varaprasadini Scheme .   The journal has already been indexed in “Index Copernicus, Academic Index, Open J-gate, Directory of Open Access Journals (DOAJ), Journal Seek, Indian Science Abstracts, Geneva Foundation for Medical Education and Research, New Jour, Academic Journals Database, Research Bible and Directory of Research Journals Indexing (DRJI).’’ The journal is attracting contributions from academicians across the country and abroad. So far, 8 issues have been successfully brought out since 2012.
Research 
The faculty, postgraduates and research scholars are actively involved in research activities. SVIMS Faculty have secured extramural  grants from agencies, such as, DBT, ICMR, DRDO, Central TB Division, European Union .
The institute also supports course-work research (MD/DM/MCh/Ph.D) and original investigative research of the faculty members through Sri Balaji Arogyavaraprasadini (SBAVP) Scheme.

 Publications
The Institute faculty and post graduates have published 80 research papers in peer-reviewed indexed international and national journals for the year 2012.

(i)           Patents :
The department of Biotechnology got registered for patent on “Identification of Tyrosine kinase and Serine/Threonine kinase activities in Staphylococcus aureus ATCC12600.  Indian Patent filed: TR-5, C.B.R. NO:6535”.

(ii)            Honours & Key assignments
           
 Dr B Vengamma, Director-cum-Vice Chancellor, SVIMS and Dr Alladi Mohan, Professor and  HOD, Medicine were invited as External Examiners for DM (Neurology) and MD (Medicine) courses respectively at Tribhuvan University, Kathmandu, Nepal.

V.          Welfare measures
            Several welfare measures, such as, enhanced services for faculty and postgraduates; enhanced services for visiting faculty; screening services and investigations for cervical and breast cancers for all women employees; extension of healthcare facility to out-sourced employees were undertaken.

Introduced the procedure of awarding The Certificate of Merit to meritorious employees and deserving out-sourced staff on the occasion of Republic day every year . Srivari Gold Dollar (5 gram) was sanctioned to the employees to honour them at the time of their retirement.

a) For faculty
v  Implementation of VI PRC in toto including payment of arrears
b) For Residents
v  Implementation of Central Govt insitute Scales
c) For Non-Faculty
v  Implementation of RPS 2010 (10th PRC) On 26-01-2011 the meritorius employees were awarded with certificate of appreciation
d) For Staff Nurses
v  Conducted workshop for three batches on “Essential Emergency Care Skills” training programme (Basic Resuscitation and Air way Management Skills) at SVIMS to the staff nurses on 09.05.11, 10.05.11 & 24.01.12 by GVK EMRI to improve the staff nurse skills
e) For all
v  Creche for child care
7f) For outsourcing staff

  • The wages for all the contract workers were rescheduled in order to make the payment before 03rd of each month through bank. 
  • The EL, EPF, Medical benefits are extended to all the contract employees fulfilling the  norms of the Labour act.
  • The Contract employees are given Identification cards by early identification of the patients and public and by the administration.
VI.       Health Care Services:
OPD service
In OPD, the patient flow is streamlined to facilitate quick consultation by opening additional counters and providing additional staff.

Free Clinics/OPD services
These include: daily free RNTCP and NACO services; Weekly Free Juvenile  Diabetic Clinic; Free Diabetic Clinic;; Free High BP and Prosthetic  Valve   Clinic; and monthly     Free Epilepsy Clinic

Hospital Management Information System:
           
            The Hospital Management Information System  developed and upgraded by National Informatic Center (NIC) using free open source software (FOSS) tools and conforms to HL 7 standards for managing health care service delivery.  is functioning since 29.08.2013.

Implementation of No Queue system in OPD:
            No Queue system has been introduced on 06.06.2013

FREE Liquid Nutritional Diet/Feed to Patients:
            With an objective to assist the in-patients who need liquid diet with 1800 kcal per day, an innovative scheme is started with the financial assistance of the Friends of SVIMS Society. 

Sri Venkateswara Pranadana Scheme
The Sri Venkateswara Pranadana Scheme has been providing yeomen service, especially for patients afflicted with diseases that are not covered under the Aarogyasri scheme. So far 7,185 patients were underwent treatment under this scheme by spending an amount of Rs.26.15 crores upto September 2013.

Implementation of Sri Rajiv Aarogyasri Scheme at SVIMS:

SVIMS has consistently been a top performer in the implementation of the Aarogyasri Scheme of Govt. of Andhra Pradesh.
From the time of inception of the programme, 306 Aarogyasri medical camps were conducted, 1,61,526 patients were attended for OPD clinic, 74,706 patients were screened and 4,639 patients were referred to SVIMS for further investigations / management.  The total number of surgeries performed are 13,418 and medical procedures performed are 29,610.

Infection Control:
SVIMS has launched a crusade for reducing hospital acquired infection by forming Infection Control Committee in February 2010.  The infection control nurse was appointed exclusively, to look after under the chairmanship of the Medical Superintendent and the guidance of the Professor & HOD of Microbiology.  The committee meets once a month to review the progress and chart out the future plans for reducing hospital acquired infection rate, by enforcing hand wash technique by all.

VII.    Equipments:

Equipments worth of Rs.16,54,91,943/- were procured.  Equipments were also procured with the financial assistance of Govt. of India through PMSSY scheme worth of Rs.11,63,26,676/-

X Public awareness programmes

Several public awareness programmes were conducted, such as:
The World Stroke Day, World Epilepsy Day, World Diabetes Day, National Epilepsy Day, World AIDS Day, World Disability Day, National Voters Day, World Cancer Day, International Women’s Day, World Kidney Day, World TB Day, International Nurses Day, The World “No Tobacco Day”,  Blood Donors Day,  Doctor’s Day, Teacher’s Day , World Physiotherapy Day, The World Heart Day ,  National Voluntary Blood Donation Day  were held regularly every year.
Good Governance

v  Electrical contracted load enhanced from 900 KVA to 1200 KVA; further efforts underway to enhance this further to 1600 KVA
v  29 CC TV cameras installed to carefully monitor the work and progress
v  Time monitoring system reintroduced to all the employees including outsourcing staff
v  Provision of Group dialing facility under CUG Plan 99 (BSNL) implemented to all the faculty & residents to improve the patient care further
Several important meetings were conducted as per the schedule:
 
v  Academic Senate meeting; Institutional Ethical Committee meeting, Thesis Approval Committee meeting, Board of studies meeting, Research Committee meeting, PhD Committee meeting,  Hospital Blood Transfusion Committee meeting, Infection Control Committee meeting, Pranadana meeting, Rajiv Aarogyasri meeting, Weekly review meeting and grand rounds, Meeting with Administrative Heads, Meeting with Faculty Heads


Regular and systematic conduct of meetings

The following  monthly meetings  schedules were fixed for constant review:

a)   Infection control committee     - 1st Tuesday                          (3:00 - 4:00 pm)
b)   Aarogyasri review                     - 1st & 3rd Thursday               (4:00 - 5:00 pm)
c)   Monthly meeting with
      Administrative Heads                - 2nd Wednesday                  (3:00 – 4:00 pm) 
d)     Monthly meeting with
     Faculty heads                               - 2nd  Friday                          (3:00 – 4:00 pm)
e) Ethical meeting                             - 2nd  Monday                    (3.00- 4.00 pm)
f) Pranadana meeting                        - 4th Thursday                    (11.00- 12.00 pm)
g)Transfusion committee meeting     - 1st Friday                        ( 3.00 -4.00)
h)Mortality meetings                          -1st Tuesday &
                                                         3rd Wednesday                     (3.00-4.00)
Patient Care and Service :-

         Dr B Vengamma, as Director, ensured that the common man and ordinary citizen attending the SVIMS would get the best attention by measures such as:
         Introduced NoQ system for the benefit of the patients in the out-patient departments. To avoid the Q system
         Streamlining OPD patient flow to have quick consultation and to avoid confusion for the patients and for convenience of doctors
         Provision of Ultrasound scan and X-ray facility in the OPD (reducing patients’ need to walk a long distance) to the Main Dept.,
         Expanded the blood collection counter form one to three counters for quick collection of samples
         Starting a counter for issuing missing/duplicate reports
         Providing wheel chairs and assistance for the sick and elderly
         Streamlining and de-congesting receipts and payment counters
         Motivating and ensuring officers and staff of Public relations, Medico Social Work, RMO’s are actively involved in assisting patients in the OPD
         Convincing the TTD to agree on utilization of Sri Venkateswara Pranadanam scheme funds for diseases which are not included in the Aarogyasri scheme
         Monthly Plastic Surgery Clinic by Dr Ambika Arasu, Chennai
         Rheumatology Week Jan 17th - 21st , 2011 (Prof AN Malaviya, Former Prof and HOD Dept. of Medicine, AIIMS, New Delhi)
         Speech therapy clinic in the Department of Neurology    (inaugurated by the JEO of TTD on 15-02-2011)
         Started Free clinics in the departments of Endocrinology, Plastic surgery and Cardiology
         The Master health checkup programme for journalists
         Awareness about cadaver organ donation in Collaboration  with MOHAN  Foundation
         School Health Screening: Preventive Nephrology Programme – Being carried out by Dept. of Nephrology
         Epilepsy Awareness among School children being carried out by Dept. of Neurology
         Bariatric Surgery  started in Surgical Gastroenterology
         Provision of Group dialing facility under CUG Plan 99 (BSNL) implemented to all the faculty & residents to improve the patient care further
         Foundation stone for patient attendants block and Dialysis Unit & Special Rooms on 21.09.2011 
         Facilitating provision of TTDs free  Anna Prasadam Scheme to  SVIMS Patients on 05.10.2011
XI    New Constuctions Sanctioned in 2014-2015
1.      Expansion of Nephrology block with 100beds and 100 dialysis units 
2.      Special Room Block with 150 rooms capacity
3.      Expansion of Radiation oncology block with 35 general ward beds
4.      Expansion of Medical oncology block with 30 beds
5.      Sri Padmavathi Medical collage buildings
6.      State of art Library building
7.      Girls hostel with capacity of 750 students
8.      Extension of Resident doctors block with 100 capacity
9. General hospital with capacity of 300 beds for specialities of general surgery,opthalomology, ENT ,Obstetrics and Gynecology
10.  High Dose Radioisotope therapy for Nuclear medicine department
11.  Molecular Biology unit
12.  Patient attendants block

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