Dear Colleague 2013. A GOOD YEAR Every year, the Apollo Hospitals Group makes significant ...

102 Pages·2014·4.01 MB·English

Dear Colleague

2013. A GOOD YEAR

Every year, the Apollo Hospitals Group makes significant advancements in clinical care, academics and
research. The annual Apollo Excellence Report is a way of expressing our gratitude to you for your
contribution in making these advancements possible.

The Apollo Excellence Report 2013 summarises the improvements in clinical outcomes, patient safety
indices, compliance to systems and processes, new initiatives in clinical excellence and patient safety,
progress in academics and new research initiatives.

This report allows us to share the achievements of our consultants and the recognition received by
the Apollo Group with experts in India and abroad. Forty one research papers by our consultants were
recognized in 2013 and 120 consultants contributed their achievements for publication in the report.

Our respected Chairman, Dr. Prathap C Reddy was honoured with the prestigious Asian Business
Leaders Forum Lifetime Achievement Award in Dubai in December 2013. Dr. Reddy was honored by
CNBC TV18 at the India Business Leaders Awards 2013. He received the Lifetime Achievement Award
by NDTV.

Apollo Hospitals were the winners of 10 awards in 9 categories at the prestigious Hospital
Management Asia awards at Bangkok in 2013. The organizers gave the Apollo Group a standing
ovation by conferring Apollo with the "Special Outstanding Achievement Award". Apollo also won
three awards at the FICCI Healthcare Excellence awards and emerged as the winner in the category -
'Most Popular Paediatric Hospital Chain' in the inaugural edition of 'Child Best Awards'. Apollo
Hospitals Group won the Frost & Sullivan 5th Annual India Healthcare Excellence Award 2013 in the
category of “Healthcare Service Provider Company of the Year”.

The Week - AC Nielsen, Best Hospital Survey 2013 ranked Apollo Hospitals amongst the top hospitals
in India yet again. Apollo Hospitals, Chennai was ranked the 2nd best and Indraprastha Apollo
Hospitals, Delhi was ranked the 4th best multi-speciality hospital in the private sector in India. Apollo
Hospitals, Chennai, Indraprastha Apollo Hospitals, Delhi, Apollo Gleneagles Hospitals, Kolkata and
Apollo Hospitals, Hyderabad were ranked the best multi-speciality hospitals in the private sector in
their respective cities.

Winston Churchill had said, "Every day you may make progress. Every step may be fruitful. Yet there
will stretch out before you an ever-lengthening, ever-ascending, ever-improving path. You know you
will never get to the end of the journey. But this, so far from discouraging, only adds to the joy and
glory of the climb.” We are all together in this journey, and we are confident that our every step will
make 2014 exciting.

With warm regards

Anupam Sibal
M D, FIMSA, FIAP, FRCP (Glasg), FRCP (Lon), FRCPCH, FAAP
Group Medical Director, Apollo Hospitals Group
APOLLO EXCELLENCE 1
REPORT 2013
ThE APOLLO EXCELLENCE REPORT 2013
A report on clinical, academic and research
excellence at Apollo hospitals
2 APOLLO EXCELLENCE 3
REPORT 2013
Index
x
e
• Epidemiological research d
n
» Prevalence of Non-Alcoholic Fatty Liver Disease (NAFLD) in school i
children (5-10 yrs)
» Rural health camps at Gandhigram
The year that was - 2013
» Prevalence of anemia and obesity at Sivagangai
» Analysis of Gender based newer risk factors for Coronary Artery
Clinical Excellence Disease
The Apollo Standards of Clinical Care (TASCC) » haematological and Biochemical Reference Levels in a healthy
Apollo Clinical Excellence Scorecard (ACE @ 25) Indian Population
ACE @ 25 Awards » Abnormal Blood lipids and glucose levels among healthy Indian
Apollo Quality Program population
ACE Platform • Clinical Research
Apollo Innovation and Quality Awards 2013 » Non-Drug Clinical Studies
Share Your Story • Research Grants Program
Apollo International Forum on Infection Control • Innovations
III International Congress on Patient Safety » Paraxel
Patient Safety Declaration • UE Life Sciences
handholding Workshop on Patient Safety • First Warning Systems, Inc
Mentoring and Knowledge Sharing Initiative in Clinical Nutrition Practice • Educational Initiatives
Clinical Innovation Report and New in Medicine » Advanced Certificate Course in Clinical Research at PG level
JCI Accreditation • Collaborations
NABh Accreditation » Medtronic
Quality Improvement Projects » Philips
» Anna University Chennai, India
» International Clinical Epidemiology Network (INCLEN)
Academics
• Analytics for Life Collaboration (AFL)
Postgraduate Medical Education at Apollo
Apollo ties up with Rochester University
Medvarsity Recognition for Apollo Hospitals
International Postgraduate Pediatric Certificate hospital Management Asia Awards 2013
Asian Business Leaders Forum Lifetime Achievement Award 2013
India Business Leaders Awards 2013
Research
Lifetime Achievement Award by NDTV
AhERF adjunct tiles
ThE WEEK-A C Nielsen, Best hospital Survey 2013
Published papers recognised
FICCI healthcare Excellence Awards 2013
Clinical fellowships of AhERF
Frost & Sullivan 5th Annual India healthcare Excellence Awards 2013
Apollo Medicine Journal
hIMSS Asia Pacific Recognizes Apollo hospitals
AhERF:
hIMSS Elsevier award for Apollo hospitals
• Translational Research
Child Best Awards
» Bio-Banking and Personalized Medicine
Asian Training and Development Awards
» Glioblastomas
Porter Prize, 2013
• Basic Research
» Genetic association of Coronary Artery Disease in Young Indian Adults
» Pathogen detection and discovery, using high Throughput Platforms Our consultants achieve

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REPORT 2013
A
pollo hospitals continued Our latest quality initiative ACE The 1st Apollo International Forum on UK and Vinod Khosla, Co-Founder,
s
its journey in its pursuit of Platform (ACEP) was launched in Infection Control (AIFIC) was organised Sun Micro Systems, California, U.S.A. a
w
excellence into another year June 2013. It is a standardized tool to on 5th and 6th January, 2013. This The Congress also saw the launch
t
a
with 2013 seeing many new share the best practices for clinical forum brought together some of the best of the Patient Safety Declaration. h
t
milestones and accomplishments, excellence and quality improvement renowned international and regional The Declaration was signed by all r
a
overcoming challenges and setting of implemented by Apollo hospitals professionals in this field. The forum participating delegates and speakers e
y
newer goals and targets. with other healthcare providers. The offered a unique platform to share the on behalf of their institutions covering e
h
initiative is pro-bono and intends to latest advances in infection control 156 healthcare organizations. t
The average scores of The Apollo contribute to enhancement of quality practices and strategies.
Standards of Clinical Care (TASCC), of healthcare delivered across India. A handholding Workshop on Patient
which includes our Clinical Excellence ACEP is a standardized tool which can The 3rd International Congress on Safety was organized at Indraprastha
Scorecards Apollo Clinical Excellence be used by any hospital across the Patient Safety was held on the 6th and Apollo hospitals, New Delhi on the
@ 25 (ACE @ 25), Rocket ACE (RACE), country to drive quality improvement, 7th September, 2013 at hyderabad. The 12th and 13th April, 2013. It was The 3rd
the Apollo Quality Program (AQP) improvement in patient safety and conference was hosted by the Apollo supported by National Accreditation
InTernATIonAl
dashboard, incidents, mortality review better clinical outcomes. ACEP hospitals Group and supported by Board for hospitals and healthcare
Congress
and Apollo Critical Policies Plans and comprises of important indicator sets ISQua, Joint Commission International, Providers (NABh), the Department of
ApOllO Procedures (ACPPP) showed a steady for monitoring quality and clinical World health Organization, Quality hospital Administration at AIIMS, the on PATIenT
innOvATiOn increase from 216 in April 2012 to excellence along with policies which Council of India and other reputed INCLEN trust and BD as knowledge sAfeTy wAs
293 in December 2013 representing would deal with the core processes organizations. It was attended by partners. Three to five member
And QuAliTy held on The
increasing standardization of in patient care. Fifteen hospitals have an overwhelming 850 delegates teams from 25 hospitals attended
AwARds processes and improving outcomes adopted ACEP. from across the globe. Eminent for the workshop. hospital CEOs, 6Th And 7Th
kEpT THE across Group hospitals. personalities in the patient safety medical heads, nursing leaders, sePTember,
Apollo Innovation and Quality awards space from across the globe spoke at surgeons, microbiologists, nurses
mOTivATiOn 2013 AT
Continuing the ACE @ 25 kept the motivation for innovation alive the conference. They included Dr Nata and quality representatives formed
fOR improvement journey, Apollo in the Apollo hospitals teams and part of the teams. hyderAbAd.
innOvATiOn hospitals, hyderabad from Group 183 nominations were received from The workshop guided THE
AlIve In A hospitals, Apollo hospitals, 19 locations for the Apollo Innovation the implementation COnfEREnCE
Secunderabad from Group B hospitals and Quality Awards 2013. The winning process for patient
The APollo wAs HOsTEd
and Apollo hospitals, Bhilai and projects were from Apollo hospital safety initiatives in
hosPITAls Apollo hospitals, Noida from Group Bangalore for Clinical Services, Apollo Infection Control, by THE ApOllO
TeAms And 183 C hospitals were declared ACE @ 25 hospital Chennai for Operations, Surgical Safety, HOspiTAls
champions for 2013 and were awarded Indraprastha Apollo hospital Delhi for Medication Safety and
nomInATIons GROup
the trophies along with a cash prize human Resources and Finance and Patient Falls through
were reCeIved of 2.5 lakhs, 1.5 lakhs and 1 lakh each Apollo Gleneagles hospital Kolkata four workshops
from 19 respectively. An analysis of ACE @ for Environmental Conservation and covering these topics.
25 and AQP parameters individually Community Services.
loCATIons for
showed an increase in compliance To highlight the
The APollo
levels for various parameters in 2013. The “Share your story” initiative, clinical innovations
InnovATIon The group average ACE @ 25 and conceptualised with the view of at Apollo and what
AQP scores also increased. AQP was sharing of best practices amongst Menabde, Regional Representative was new in Medicine around the
And QuAlITy
presented at the International Society Apollo Group hospitals on one chosen (India), World health Organization, world, Apollo initiated the publication
AwArds 2013.
for Quality in healthcare (ISQua) topic every quarter, saw best practices Dr Janne Lehmannn Knudsen, ISQUA of a quarterly report titled “Clinical
conference in Edinburgh in 2013. being shared for Patient falls, ALOS Board member, Denmark, Ms Ann innovation report” in April 2013
(Average Length of Stay) post renal Jacobson, Executive Director, Joint covering New in Medicine, New in
transplant, Pressure Ulcers and Commission International (JCI), US, Technology and News highlights
Needle Stick injuries. Lord Nigel Crisp, Former CEO, NhS,
8 APOLLO EXCELLENCE 9
REPORT 2013
and Clinical Innovations from Apollo The second batch of the Apollo Institute The “Apollo Medicine” journal saw many AhERF currently is coordinating
s
hospitals. Significant among these of Medical Sciences and Research changes in 2013. The editorial board almost 100 clinical studies across a
w
was the successful separation of joined in 2013. Apollo hospitals on was strengthened to include eminent Apollo hospitals. In April 2013, AhERF
t
a
Pygopagus twins from Tanzania in 27th August announced a tie-up with International and National faculty organized a first-of-its kind “National h
dr. PrAThAP t
a marathon surgery of 18 hours University of Rochester Medical Centre, members. The page views of “Apollo Conference on Evolving roles of Ethics r
a
conducted by a team of 20 doctors New York, envisaging patient care and Medicine” website depicted a significant Committees in Clinical Research” at C reddy wAs e
y
from neurosurgery, plastic surgery, academic collaboration. As part of growth of 118% from Jan 2013 to New Delhi. AhERF is in the process e
honoured h
paediatric surgery and paediatric the tie-up, the Rochester University Dec 2013.  There was contribution of of establishing a dedicated entity t
wITh THE
urology. Apollo also celebrated and Apollo hospital’s under-graduate manuscripts from the U.S, China and to bring innovation from across the
the 15th anniversary of our Liver medical college will have faculty and Egypt as well. Apollo Medicine is now world-distribution agreements, pREsTiGiOus
Transplant program with a gathering student exchange programme. available on health Advance – A Mobile validation services and incubation/ AsiAn
of transplant patients and their family application to download and read the commercialization of ideas.
ApOllO businEss
members who were addressed by his whole journal. New Sections were
HOspiTAls On lEAdERs
holiness The Dalai Lama. added: Algorithms, Interesting Rare AhERF also signed a collaboration
27TH AuGusT Case Pictures, Online CME, etc. “Apollo MoU with Nestle in early 2013 to fORum
Continuing the accreditation journey Medicine” was approved and included in associate in the areas of research,
AnnOunCEd lifETimE
for the group, SPS Apollo hospitals the Directory of Open Access Journals development and validation of
A TiE-up wiTH ACHiEvEmEnT
Ludhiana was reaccredited by JCI (DOAJ). disease specific nutrition projects.
univERsiTy Of in 2013. Apollo hospitals, Bilaspur, AhERF spearheaded and realized AwARd AT A
ROCHEsTER Apollo hospitals, Bhubaneswar, Apollo Spearheading Apollo hospitals collaboration with Medtronic Inc. with grAnd AwArd
Jehangir hospital, Pune and Apollo research journey, Apollo hospitals an objective to revolutionize renal care
mEdiCAl Ceremony In
BGS hospitals, Mysore became NABh To continue to motivate and recognize Educational and Research Foundation by providing mobile dialysis at homes
CEnTRE, dubAI on 14
accredited. research orientation in our consultants, (AhERF) completed many ongoing and community centres.
nEw yORk, Adjunct titles of Professor and projects and launched several new deCember
In a tertiary healthcare institution, Associate Professor of AhERF were ones. Apollo hospitals recently Apollo hospitals were recognized for
envIsAgIng 2013.
clinical excellence shares a symbiotic given to selected consultants across the incubated and launched Sapien their work at various fora and won
PATIenT CAre
relationship with academic excellence group during the year 2013. Twenty one Biosciences within AhERF’s facility many awards in 2013.
And ACAdemIC with emphasis on training and consultants were granted the titles. In in hyderabad. Sapien shall fulfil our
CollAborATIon. research. During the academic year pursuance of our policy for recognition vision of delivering better clinical
2013, 15 hospitals of the Apollo of research papers published in outcomes through bench-to-bedside
hospitals groups offered the DNB and journals with high impact factors, 41 innovation by offering personalized
FNB programs in 38 specialties and papers were recognized in 2013. medicine services to Apollo hospitals.
subspecialties. The new post graduate AhERF is in the process of developing
and post doctoral training programs Postgraduate medical education was a circulating biomarkers (CBMs)
started in the Apollo hospitals further enhanced by starting Clinical based diagnostic panel for detection
group during 2013 included DNB in Fellowships by AhERF in specialities and screening of Glioblastomas
Rheumatology, Paediatric Surgery, were structured training programs (GBMs) directly from the blood. A pilot
Neonatology and Emergency Medicine are not available. Clinical Fellowships collaborative study with AhERF and
and FNB in Cardiac Anaesthesiology are offered in Stroke, Neuro-Muscular Institute of Genomics and Integrative
and Interventional Cardiology. The Disorders, Clinical Nephrology, Biology (IGIB), a CSIR Institution
numbers of DNB / FNB seats have Transplant Nephrology, Renal Dialysis, and National Institute of Biomedical
increased by over 30% from 205 in IVF, Fetal Medicine, Diabetes, Liver Genomics (NIBMG), a DBT Institute, As is apt to his stature, our respected
annual year 2012 to 263 during annual Transplantation, hepatology, Liver was completed to study genetic risk Chairman, Dr. Prathap C Reddy was
year 2013 with over 700 DNB trainees Transplant Anaesthesia, Cardiac factors in young Indians that may honoured with the prestigious Asian
enrolled in the Apollo group of Anaesthesia, Endoscopy, Bariatric be associated with early incidence Business Leaders Forum Lifetime
hospitals in the annual year 2013. Surgery, Pain Medicine and Molecular of coronary artery disease in young Achievement Award at a grand award
Biology. Indians.
10 APOLLO EXCELLENCE 11
REPORT 2013
The Week - AC Nielsen, Best hospital Apollo hospitals Group won the
s
Survey 2013 ranked Apollo hospitals Frost & Sullivan 5th Annual India a
w
amongst the top hospitals in India. healthcare Excellence Award 2013 in
t
a
Apollo hospitals, Chennai was ranked the category of “healthcare Service h
t
the 2nd best, Indraprastha Apollo Provider Company of the Year” (With r
a
hospitals, Delhi was ranked the 4th Annual Revenue greater than Rs 1000 e
y
best and Apollo hospitals, hyderabad Crores). e
h
was ranked the 10th best multi- t
speciality hospital in the private sector In the healthcare IT space, hIMSS
in India. Apollo hospitals, Chennai, Analytics Asia Pacific recognized
APollo
Indraprastha Apollo hospitals, Delhi, three hospitals within Apollo
hosPITAls
Apollo Gleneagles hospitals, Kolkata Group for achieving Stage 6 on the
were The and Apollo hospitals, hyderabad Electronic Medical Record Adoption
were ranked the best multi-speciality Model (EMRAM) SM - Apollo Main
wInners of
hospitals in the private sector in their hospitals, Chennai, Apollo health City,
10 AwArds In
respective cities. Jubilee hills and Apollo hospitals
9 CATegorIes Ayanambakkam, Chennai. The first
AT The The FICCI healthcare Excellence hIMSS Elsevier award for Outstanding
awards that felicitate organizations ICT Achievement was presented to
PresTIgIous
ceremony in Dubai on 14 December the human Resource Development and individuals for their contributions Apollo hospitals Enterprise Ltd. The
hosPITAl 2013. Dr. Reddy was also honored and Service Improvement for in the healthcare industry were given award was given to Apollo hospitals
mAnAgemenT by CNBC TV18 at the India Business Internal Customers Category for on 2nd September 2013. Prof. Ranjit for the Patient Engagement Platform
Leaders Awards (IBLA) 2013.  This their “Apollo Simulation Laboratory”, Roy Chaudhury, Chairman - Task (PEP) – Apollo Prism.
AsIA AwArds
award felicitated his lifetime’s efforts “Antimicrobial Stewardship Force for Research, Apollo hospitals yOu knOw yOu
AT bAngkok
in transforming healthcare in India. Programme” from Apollo hospitals, Educational and Research Foundation, In the human Resources space, Apollo
will nEvER
In 2013. The he was also honoured with the Chennai won the Patient Safety Award, won the Lifetime Achievement Award. Group participated in Asian Training
orgAnIzers Lifetime Achievement Award by NDTV. “Patient Satisfaction Tracking System Indraprastha Apollo hospitals, Delhi and Development Awards in two GET TO THE
(PSTS) - A break through Innovation won the FICCI healthcare Excellence Categories and was announced as End Of THE
gAve The
Apollo hospitals were the winners in healthcare for Voice of Customer Award in the category of Operational winner in both the categories - Best
jOuRnEy.
APollo grouP of 10 awards in 9 categories at the Process” from Apollo hospitals, Excellence (Private – Multispecialty Training Initiative in health Care and
buT ThIs, so
A sTAndIng prestigious hospital Management Chennai won the Customer Service hospital) for the project “Pressure Best Customer Service Program.
Asia awards at Bangkok in 2013. The Project, Apollo hospitals, Delhi’s Ulcers – Zero Tolerance”. Apollo fAr from
ovATIon by
organizers gave the Apollo Group “Pressure ulcer: zero tolerance” won hospitals, Delhi won the first position The journey into 2014 has begun. As dIsCourAgIng,
ConferrIng
a standing ovation by conferring in the Clinical Service Improvement in the Poster Presentation for Winston Churchill had said, “Every day
only Adds To
APollo wITh Apollo with the “Special Outstanding Category, Apollo Gleneagles “Minimizing Medication Errors”. you may make progress. Every step
The “spECiAl Achievement Award”. hospitals, Kolkata’s “Project Product: may be fruitful. Yet there will stretch The joy And
Severity Index Scoring For Biomedical Apollo also emerged as out before you an ever-lengthening, glory of The
OuTsTAndinG
Apollo hospitals – “Billion hearts Equipment” and Apollo hospitals, the winner in the category - ‘Most ever-ascending, ever-improving path.
ClImb.”
ACHiEvEmEnT Beating Foundation” won in the Chennai’s - “Phasing out mercury” Popular Paediatric hospital Chain’ in You know you will never get to the end
AwARd”. award in the Corporate Social won in the Bio Medical Equipment / the inaugural edition of ‘Child Best of the journey. But this, so far from
Responsibility Category, Apollo Facilities Improvement Category and Awards’. discouraging, only adds to the joy and
Speciality hospitals, Madurai won the “Passion Led Patient Care” project glory of the climb.”
the award for the Cost Reduction from Apollo hospitals Dhaka won in
Project – “To Control the expenses for the Category of Innovations in hospital
CAG and PTCA Procedures”, Apollo Management and Governance.
hospital hyderabad won the award in
12 APOLLO EXCELLENCE 13
REPORT 2013
14 APOLLO EXCELLENCE 15
REPORT 2013
The Apollo Standards
e
of Clinical Care c
n
e
(TASCC) l
l
e
c
x
e
Apollo hospitals aims at establishing with a potential to have resulted from l
a
standards of clinical care that ensure an error through trigger criteria, nic
that all its hospitals deliver safe and systematically peer reviewing them li
c
quality clinical care to all its patients, through a checklist and categorizing
irrespective of the location and size the deaths to identify the preventable
of the hospital. The Apollo Standards deaths using the Death Audits,
of Clinical Care (TASCC) embody sets The health Round Table criteria.
of process requirements and sets of The checklist included factors like
outcome measures that underlie the appropriate care setting, appropriate
Apollo hospitals approach to clinical staff privileges, clinical practice
ACe @ 25 Is
care. deficiency, delay in recognition of
A ClInICAl
clinical deterioration / escalation /
bAlAnCed ACE @ 25, RACE, Apollo Quality response, hospital acquired infection,
sCoreCArd Program (AQP), Apollo Incident post procedure complication, medical
Reporting System (AIRS), Apollo error, error in communication,
InCorPorATIng
Mortality Review (AMR) and Apollo equipment deficiency, etc.
25 ClInICAl
Critical Policies Plans and Procedures
QuAlITy (ACPPP) together form TASCC. TASCC AIRS provides a mechanism of
was implemented in January 2012. tracking of all incidences that pose a
PArAmeTers,
safety risk to patients.
benChmArked
ACE and RACE are clinical balanced
AgAinST The scorecards incorporating 25 clinical ACPPP are 25 policies covering
publiShed quality parameters each involving clinical care, nursing care, managerial
complication rates, mortality rates, processes and infrastructural
OuTCOmeS
one year survival rates and average requirements like restraints,
Of The length of stay after major procedures consents, critical test results, disaster
wOrld’S beST with international benchmarks. policy, that are implemented by all
hospitals.
hOSpiTAlS
AQP is a program for the
standardization of processes for Each initiative is scored as follows:
clinical handovers, medication safety, ACE@25 (100), RACE (100), AQP (100),
surgical safety, patient identification, AMR (50), AIRS (25), ACPPP (125),
verbal orders, hand washing totalling 500.The monthly scores
compliance and falls prevention in each initiative for each location
across Apollo hospitals. Compliance is plotted as a hexagon. The outer
is measured through a monitoring perfect hexagon represents the
dashboard of 20 parameters. perfect scores and the inner hexagon
represents the scores attained.
AMR is a standardized methodology The target is to achieve the perfect
of identifying all deaths in a hospital hexagon. A few examples for 2013 are TASCC scores showed a steady increase from 216 in
given below: April 2012 to 293 in December 2013 showing increasing
standardization of processes and improving outcomes.
16 APOLLO EXCELLENCE 17
REPORT 2013