Awards & Recognitions of Narayana Hrudayalaya Heart Hospital, Bangalore
Recognization of our activities : -
Three years ago Harvard Business School chose Narayana Hrudayalaya as one of their case study and this is one of the most quoted case studies in healthcare industry.
Four years ago discovery channel made a documentary on Narayana Hrudayalaya, which was broadcasted all over the world.
Three years ago Australian broadcasting corporation made a documentary about Narayana Hrudayalaya, which was broadcasted all over the world and especially in Australia during the prime time.
Narayana Hrudayalaya's story has featured in Forbes, Reader's Digest, New Scientist and a couple of books from the Harvard Business School and Prof. C.K. Prahallad.
Awards
Dr. Devi rasad Shetty has been felicitated by the following awards : -
Rajyotsava Award-2002.
Sir M. Visvesvaraya Memorial Award-2003.
Ernst & Young- Entrepreneur of the year - 2003.
Padmashree - 2003.
Dr. B.C. Roy Award - 2004.
Citizen Extraordinaire, Rotary - 2004.
India Innovation Award - 2004, By NDTV & EMPI (Awarded to Micro Health Insurance Division).
Social Entrepreneurship Award - World Economic Forum - 2005.
[ Yeshasvini a Co-operative Farmers Healthcare Scheme ]
One of the daunting challenges that surfaced in the wake of the rollback of the State was how the healthcare needs of the poor and needy could be taken care of. The public healthcare outlets were dispensing service of indifferent quality, but they did provide some service. With the public healthcare services not being able to meet the increasing demands, the weaker sections had nowhere to go for their needs. The private hospitals that provided a parallel service of much superior quality were beyond their reach. The question was how to provide access to these services at affordable costs. "Yeshasvini" a Micro Health initiative of Narayana Hrudayalaya was a response.
Ill-health leading to hospitalization is noted as the second largest cause for rural indebtedness. Un-foreseen and unplanned hospitalization of a family member, not only demands immediate finances, but also results in loss of earning. The burden on the family is much more when the requirement is for surgical intervention. The cost of the surgery needs to be deposited at the time of admission to the hospital. It was with this in mind that a Scheme to provide for affordable quality surgical intervention was designed.
YESHASVINI CO-OPERATIVE FARMERS HEALTH SCHEME, the first and the largest of its kind in India, was launched on 14 November 2002. The Scheme bases itself on the collective power of the masses to provide for themselves, expensive healthcare. The concept was received with its fair share of criticism and skepticism. A Trust was constituted under Chairmanship of the Principal Secretary, Dept of Cooperation with Additional Registrar, Dr Devi Shetty, and other representatives from the Government and Healthcare sector. The working committee of the Yeshasvini Scheme met with doctors and administrators of a number of Hospitals before structuring the Scheme. Eighty-five hospitals were selected based on set criteria. Package rates were negotiated and fixed for over 1600 surgeries. The package included all costs including room rent, pre and post-operative investigation, medicines etc, so as to provide for the beneficiary cashless surgical treatment.
The Scheme covers the farmer co-operator, his spouse and children. The premium contributed per person was Rs 5/- per month with Rs 2.5/- subsidy from the Government of Karnataka in the first year. The premium has been increased to 10/- per month from second year.
The Yeshasvini beneficiary is entitled to the following benefits under the Scheme : -
Outpatient Services : -Free Outpatient services at the recognized Network Hospitals. This includes Consultation Fee of the doctor and the Registration Fee.
Diagnostic Services : -Investigation at special discounted rates.
Medicines : -Access to drugs/medicines at special prices from generic pharmacies.
Surgical Treatment : -Over 1600 listed surgeries done free of cost at Network hospitals.
16 lakh farmers had enrolled as members in the first year, 35000 members availed of free consultation at network hospitals. 9039 surgeries were done cashless amounting to Rs 10.53 crores; of this 657 were Cardiac surgeries. In the second year, 21 lakh farmers became members of the Scheme 32174 members have availed free OPD facility, 9621 surgeries have been done amounting to 12.28 Crores. In the third year 14.73 lakh members have been enrolled 36077 members have availed free OPD facility and 11154 surgeries been done amounting to 16.93 crores. In the fourth year 1.8 million framers have been enrolled and 36000 members underwent various surgeries amounting to 23 crores.
OUTREACH CAMPS
Donated by Ashraya Hastha Trust of Mr. and Mrs. Dinesh, Infosys
Narayana Hrudayalaya organizes out reach camps for cardiac diagnosis and care. Each weekend, resources from Narayana Hrudayalaya are sent out in a mobile diagnostic van from the hospital to rural areas in Karnataka.
Programme Planning and Scheduling : -
The out reach programs are organized by local associations such as the Lions Club, Rotary Club, Youth Associations, Chapters of Indian Medical Associations, etc. These local associations advertise the daylong event in advance and arrange for patients to attend the camps for further evaluation.
Mapping of Camps : -The locations of the camps are mapped in a district map of Karnataka. It is done for a pictorial representation of the extent of geographical area covered by the camps. Some camps have been conducted outside the sate of Karnataka which have been also been represented.
RAJIV GANDHI AROGYA YOJANA : AMETHI
An initiative to revamp the healthcare facilities to the population of Amethi that is spread across 3800 Sq. Km with a population of 2.4 million. To provide basic healthcare to the common man, Asia Heart Foundation set up a chain of primary healthcare centers in all the blocks of Amethi offering out patient services that includes consultation, medicines & telemedicine facilities with specialty care from Narayana Hrudayalaya & Rabindranath Tagore Institute of Cardiac Sciences.
These primary health centers view about 700 - 800 patients everyday and the doctors conduct camps every week in the deeper villages for better outreach of the populations & about 300 patients are seen during the camps.
The patients are referred to Sanjay Gandhi Memorial Hospital at Amethi for secondary & tertiary care. Sanjay Gandhi Hospital is also connected to Narayana Hrudayalaya hospital through satellite connectivity & specialty care is offered from our end. The intention is to provide comprehensive care in terms of basic health, hospitalization & specialty care to the citizens of Amethi & surrounding areas.
Janani Suraksha Yojana, Malda District,WB
The objective of the program is to contribute to the improvement of health and family welfare status among the most vulnerable women, children and reduce Maternal Mortality Rate (MMR), Infant Mortality Rate (IMR) and increase the Institutional Deliveries in the state of West Bengal. The project would successfully implement JSY pilot project on a PPP Model with the private hospitals, nursing homes and maternity centres in the district.
Schemes like Ayushmati have been in practice in the Malda District through the Anganwadi Workers and Auxiliary Nurse Midwife (ANM) but with limitation. The health workers encouraged and motivates pregnant women to visit health centres for ante-natal checkups, immunization, educate them on diet and hygiene, information on safe delivery, and propagate institutional delivery. They also identify complicated pregnancies and inform the expectant mothers about the risks and need for getting delivery conducted at an institution.
The PHCs, BPHCs provide antenatal check ups and advise the expectant mother to undergo safe delivery at the PHC. Many women get motivated to deliver in the PHCs with a hope to receive the money from the Government but at times accessibility to PHCs becomes difficult for a lot of women in the remotest parts as they are unable to access the institutions in the hour of need and have to undergo home delivery. Moreover, practices like women getting their deliveries conducted in a large proportion by untrained individuals are predominant in Malda. The reasons for this are many. They may be either at the level of the community in terms of lack of awareness, poor socio-economic background, poor caring status when it comes to pregnant women or due to poorly developed infrastructure, under-staffed public health facility unable to provide the right type of care. Above all, it may be noted that there are greater number of deliveries and thus accounting for very high maternal mortality in Malda District. Absence of proper facilities for the newborn in the block level has also contributed in migration of women for deliveries in better available facilities.
There are 1.24 Lakh deliveries taking place in Malda, out of which estimated 30,000 deliveries i.e. 33% of the deliveries happen in the various institutions of Malda district. The district town of Malda houses the private healthcare players offering their services across the district. People come to these medical centres not only for deliveries or obstetrics & gynaecological disorders but also for all kinds of medical complications. Few of the private nursing homes are equipped to undertake all kinds of secondary surgical interventions and few tertiary surgical interventions in Neuro-surgery & Orthopaedics.
To overcome these issues Dept. of Health & FW approached Asia Heart Foundation to facilitate launching of JSY on PPP basis involving the private healthcare providers spread in the district. A financial aid towards transportation of pregnant women conducting institutional delivery and also a remuneration to the private providers was worked out after several rounds of discussions with the nursing home authorities and involving the district and state health department officials engaged in the project.
Services at NWH and responsibilities.
Free consultation and investigation.
Antenatal checkups.
24 Hour delivery of services including caesarean section.
Post delivery care to mother.
Providing newborn / neonatal care for the first month.
Immunization to the new born baby.
Quality treatment for the mother and to the baby.
Every month NWHs will send the statistical, monitoring and reports to the Nodal Agency.
Financing to Network Hospitals.
Every pregnant women will get a voucher of Rs 4000/- (in case if the hospital insists for extra amount for Caesarean Sections Rs.500/- could be given) Voucher will be given to the Network hospital at the time of first checkup Network hospital will get Rs.500/- for registration of pregnant women; Rs.500/- will be given on 6th month pregnancy and rest of the Rs 3000 after the successful delivery.
The registration by the pregnant women can be done in any nearby public or private institution and will not be mandatory to deliver in that place of registration. NWH should provide all the services within Rs 4,000/- (including antenatal and post natal check up, delivery (Normal & Caesarean), infant care for first month).
Nodal Agency
Asia Heart Foundation is the nodal agency for the program and is responsible for the following activities. Training of manpower and set-up their roles and responsibilities Analysis of priorities for achieving improved hospital services and improved access for the poor at each hospital Design of financial management systems Initiating collection of data which will be used to demonstrate performance and support management (e.g. baseline surveys in the community, package negotiation with the network hospitals) Review of facilities and other services of the Network hospitals Communications to the local population. Improving the referral system
Accredited Social Health Activist (ASHA) training program in Karnataka
The Government of India has decided to launch a National Rural Health Mission (NRHM) to address the health needs of rural population, especially the vulnerable sections of society. In this context a new band of community based functionaries, named as Accredited Social Health Activist (ASHA) has been proposed. ASHA will be the first port of call for any health related demands of deprived sections of the population, especially women and children, who find it difficult to access health services.
In association with Government of Karnataka in the first phase 8500 ASHAs are being trained in 6 districts of Karnataka
The Aim and objectives of the training program are
To provide quality training inputs to develop competent team of trainers so as to enable high quality training to the field level ASHA functionaries.
To develop a reliable system to monitor and evaluate the training process for objective assessment of the training inputs . Masters Trainers: Experts from the different fields are chosen, as Masters Trainers and the state training team will train them at Bangalore for 3days.
Training of Trainers (TOT) : -Master Trainer would Train TOTs at a district for 15days
ASHA Training : -TOTs will train ASHAs for 23 days in the district training center to demonstrate, ability to plan & carry out job responsibilities assigned to her under the ASHA workers scheme in rural areas.
Role and activities of Narayana Hrudayalaya
Interaction with stakeholders and NGOs to develop framework of establishing the Project.
Identifying the local NGO partners.
Identifying the Master Trainers.
Selection of District trainers, supervisors and other functionaries.
Designing organizational structure.
Developing training plan.
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Patient Storys
Successful heart surgery at We Care India partner hospital allows Robert Clarke to live a normal life despite a rare genetic disorder We Care india helped Robert find best super specialised surgeon for his rare conditions.
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