The Awakening

©2009. Nova Medical Centers. Strictly private and confidential ©2009. Nova Medical Centers. Strictly private and confidential

Nova Medical Centers – Audit Report

August 2011

Dr Gautam Kodikal

©2009. Nova Medical Centers. Strictly private and confidential ©2009. Nova Medical Centers. Strictly private and confidential

A Bird eye view of Nova-India

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Month Karolbagh Chembur Kailash Colony

Sadashiva Nagar

Kormangala

April 0 25 81 86 146

May 0 23 85 78 153

June 0 26 64 77 158

July 8 21 70 107 153

Nova-India

Agenda

OPD Footfalls Trend Health Checks Specialty Surgery Trends

Top Revenue Earners

Marketing Activities Highlights Untoward Events Feedback Marketing Activities

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Speciality

Jun 09 to Aug 09

Sep 09 to Dec 09

Jan 10 to Mar 10

April 10 to June 10

July 10 to Sep 10

Oct 10 to Dec 10

Jan 11 to Mar 11

April 11 to July 11

Orthopaedics 38 44 58 63 53 78 100 142 General surgery 6 37 65 118 137 138 110 194

Gynaecology 25 44 38 36 81 72 69 75

ENT 7 36 38 28 56 47 49 118

Opthmology 0 12 17 19 15 26 13 27 Plastic Surgery 3 2 5 3 10 7 4 13

Urology 0 6 8 12 4 13 26 41

Specialtywise surgical trends

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OPD Footfalls

01000

375

1289 1238 1656

2208 2138

2698

4117

Jun09 toAug 09

Sep 09 toDec 09

Jan 10 toMarch 10

April 10to June

10

July 10 toSep 10

Oct 10 toDec 10

Jan 11 toMar 11

Apr 11 toJuly 11

OPD

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15 34

147

269

584

395

160

456

June 09 toAug 09

Sep 09 toDec 09

Jan 10 toMar 10

April 10to June 10

July 10 toSep 10

Oct 10 toDec 10

Jan 11 toMar 11

Apr 11 toJuly 11

Sales

Health Checks

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Speciality Surgery Trends

01000

803

560

432 378

138 110 42 4

Grand Total - 2470

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Top Revenue Earners

01000

Orthopaedics

GeneralSurgery

Gynaecology

ENT

Urology

Opthalmology

PlasticSurgery

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AAA HC and NABH accreditation on process for recognition Shoulder replacement under regional Block Decompression and Stabilization L2 Laser Assisted Uvalopalatoplasty + Septoplasty +Tonsillectomy Laparoscopic Splenectomy laparoscopic fundoplication, hiatus hernia repair , Reflux Laparoscopic Sleeve Resection for Obesity More than 10 Total Knee Replacement surgeries have been done . First Day care Endoscopic Spine Surgery

Highlights

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Untoward Events

• Resurgeries • Stapled haemorrhoidectomy Peri anal abscess drainage then had

lower end of scar with infection with pockets of pus admitted for revision pilonidal sinus excision

• Post-laser TURP sloughed cast floating blocked the bladder and underwent cystoscopy and wash out bladder.

• Post-laser prostectomy had retention underwent again TURP • Lap ovarian cystectomy and again after 1 week operated to R/O

pelvic collection but it was intestinal cocooning

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Untoward Events

• Complications

• Post-op lap cholecysteomy for empyema gallbladder had chest infection shifted to Fortis hospital

• Post-Adenotonsillectomy child had bleeding and managed at the center with blood transfusion

• Post- septoplasty had severe bleeding shifted to Sita bathija hospital for overnight ventilation and next day settled and discharged

• Post- surgery patient had difficulty in breathing with froathy vomiting shifted sagar hospital ICU for further management

• Post-Adenotonsillectomy child had breathing difficulty developed stridor shifted to Apollo hospital

• Perforation of jejunal loop during surgery and jejunojejunal loop anastomis and shifted to Manipal hospital

• Post Laser TURP had retention urine and admitted and treated for hyponatraemia at our center after 10 days

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Unexplained Data Errors

Distal 2 scrotal screws were not removed because of cold welding and plate left in situ

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FEEDBACK

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Feedback

0

5

10

15

20

25

30

Outstanding

Good

Average

Poor

Blank

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Marketing Activities(Jan’11 – June ’11)

18

18 Specialty camps 6 CMEs 7 Apartment Camps Health check promotional activities Through groupon.com(sosasta.com) Through dealsandyou.com (Father's day Health check) Paper insertions Door to door pamphlet distributions Bulk SMS campaigns Pamphlets distributions at malls,temples,mosques etc 6 Health talks Combined Promotional Activity done with FPA at Wonderla with SDN Center . Total Attendance -400

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Insurance and TPA Tie-Ups

• Insurance Companies • The New India Assurance • Bajaj Allianz insurance

• Oriental Insurance

•United India Insurance

• Star Health and Allied Insurance

• National Insurance

• Reliance General Insurance

• IFFCO Tokio General Insurance

• ICICI Lombard General Insurance

• ICICI Prudential Life Insurance

• Apollo DKV Insurance

• MAX BUPA

• Bharti AXA General Insurance • Royal Sundaram Aliance Insurance •HDFC ERGO General Insurance

TPAs

•United Healthcare Services

• Family Health Plan

• Paramount Health Services • E-meditek Solutions

• Good Health Plan

• Mediassist India •Genins India Ltd.

• Gokulam TPA

• Paramount TPA

• TTK healthcare services • I care Health Services • Raksha TPA •Health India •Vipul Medicorp •Dedicated Health Services • Med Save India

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Nova Partners

Nova’s on-site pharmacy is managed by Guardian Pharmacy

Guardian is an ISO 9001-2000 organisation and the second largest Pharmacy chain in North India, operating 160+ retail outlets in 18 cities across 5 states and handles over 12,000 patients per day

Extensive experience in running hospital pharmacies, presence in hospitals with over 11,000 beds in various Private, Central / State Government and Charitable hospitals

On CGHS Panel and manages the dispensary of three zones in Delhi

Strong supply chain and procurement backend resulting in zero bouncing and availability of medicines , more than 48,000 Sku’s of most pharmaceutical companies in the country

Qualified and experienced pharmacists manning the OPD and IPD stores

OncQuest is a super-specialty reference laboratory based at New Delhi, in the sphere of molecular diagnostics using high-end technologies like Gene Sequencing, RQ-PCR, RT-PCR FISH, Flowcytometry, IHC & ELISA

Is a National Accreditation Board for Testing and Calibration Laboratories, NABL Accredited (Dept. of Science & Technology, India) as per ISO15189:2007 & the Mutual Recognition Agreement ( MRA) of NABL with APLAC & ILAC certified laboratory.

OncQuest subscribes to periodic internal and third party audits to ensure Total Quality Management System & strictly follows ICH-GCP guidelines & maintains confidentiality in every aspect. OncQuest adheres to all International & National standards for Lab practices

Thank you