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Leading the way in clinical excellence

THE APOLLO EXCELLENCE REPORT 2018









CONTENTS THE YEAR 2018

4

CLINICAL EXCELLENCE

8

INFORMATION TECHNOLOGY AND TELEMEDICINE

58

CORPORATE SOCIAL RESPONSIBILITY

70

HEALTH INSURANCE

92

ACADEMICS

96

RECOGNITION

112

RESEARCH

126

CONSULTANTS' ACHIEVEMENTS

178

THE YEAR 2018





4

2019

Clinical Excellence

Tele Medicine

CSR

Health Insurance

Academics

Recognition

Research

Consultant’s Achievement

The Year 2018 Apollo Hospitals continued its journey of pursuit of excellence into another year. The year 2018 saw many new milestones and accomplishments, overcoming of challenges and setting of newer goals and targets. The Apollo Standards of Clinical Care (TASCC) embodies standardization of processes and outcomes for clinical excellence and patient safety, all across the Group Hospitals. TASCC scores showed a steady increase from 310 in FY (2012-13) to 453 in FY (201718) for Group A hospitals, from 227 in FY (2012-13) to 367 in FY (2017-18) for Group B hospitals and from 189 in FY (2012-13) to 322 in FY (2017-18) for Group C hospitals, reflecting increasing standardisation of processes and improving outcomes. Group average scores for Apollo Clinical Excellence Scorecard (ACE 1) showed an improvement from 72 in 2010 to 86 in 2018. Apollo Main Hospitals, Chennai reporting Group A parameters, Apollo Hospitals, Seshadripuram, reporting Group B parameters and Apollo Reach Hospital, Karaikudi reporting Group C parameters were declared ACE 1 champions and were awarded the trophies along with cash prizes. In 2018, 219 nominations were received for Apollo Innovation and Quality Awards, a platform that felicitates and rewards hospitals within the Apollo Group for their diligent efforts and innovations to persistently improve patients care, quality and safety. The nominations were judged by a jury. In 2018, Apollo Clinical Awards were instituted, to provide a platform that honours and recognizes Consultants who have achieved path breaking clinical, academic and research related success. One hundred and three nominations were received from Consultants across the Group and these were judged by a jury. Eight Apollo Hospitals are accredited by Joint Commission International (JCI). Apollo Hospitals at

5



Hyderabad and Kolkata underwent reaccreditation surveys successfully for the 4th and 3rd time respectively, in 2018. The total number of National Accreditation Board for Hospitals and Healthcare Providers (NABH) accredited Apollo Hospitals increased to 25. In order to upskill the knowledge and expertise of doctors, under the aegis of the Apollo Continuous Medical Education Program, 948 CMEs were conducted which were attended by 54,476 doctors from across the country and overseas. Apollo Homecare developed presence in 5 citiesHyderabad, Chennai, Delhi, Bangalore, Kolkata and touched over 1,00,000 lives, in the communities it has served. It has handled over 4,50,000 patient care episodes. Apollo Homecare, known for its clinical excellence, was acknowledged as a leader in providing skilled home-healthcare services. With over 1000 professional home healthcare providers, the team has grown at a fast pace in a short time. Apollo Hospitals partnered with Microsoft's AI Network for Healthcare to develop an India-specific heart risk score and better predict cardiac diseases for general population with the help of Apollo Hospitals' database and expertise in the field, and Microsoft's cloud and AI tools. It is a part of Microsoft Healthcare NExT, which aims to accelerate healthcare innovation enable through AI and cloud computing. This initiative gives us a glimpse as to how we can implement AI to move to predictive healthcare. Apollo Tele Health Services (ATHS) signed an MoU with the Government of Uttar Pradesh for setting up Tele-Radiology Services at 134 Community Health Centres run by the State Government. With the Government of Jharkhand, ATHS is setting up Digital Dispensaries across 100 selected Primary Health Centres.



Under the aegis of Corporate Social Responsibility (CSR), the various programs run by Apollo for the benefit of the community included Total Health Program, Billion Hearts Beating Campaign, Apollo Aushad, SACHi and others. Situated in the Thavananpalle Mandal of Chittoor District, Andhra Pradesh, 'Total Health' is India's first integrated rural healthcare service delivery network in the private sector. The program aims to cover more than 54,000 people across all age groups. Apollo Munich Health Insurance has led to significant growth of India's health insurance landscape. The company has touched over 22 million lives, since its inception. Backed with over 4,000 employees and more than 40,000 retail agents, the company extended its reach through more than 300 physical and digital offices across India. The National Board of Examinations (NBE) has accredited Apollo Hospitals for training and examinations in 15 broad specialities, 19 super specialties besides 8 Postdoctoral Fellowship (FNB) programs. In 2018, there were 496 DNB/FNB seats in the Apollo Hospitals Group with 831 trainees pursuing the DNB/FNB programs across 11 hospitals. Apollo Research and Innovations (ARI) has conducted over 900 clinical studies and currently 150 studies are on-going at various Apollo Hospitals. The Adjunct Title of Professor and Associate Professor of Apollo Hospitals Educational and Research Foundation (AHERF) has been conferred on 117 Consultants and 79 Consultants hold Adjunct Titles of Tutorship.

awarded Apollo Hospitals in the category 'Outstanding ICT Innovation' for the work on 'Multifactorial Cardiovascular Risk Prediction Tool Using Machine Learning for Indian Population'. At the Asian Hospital Management Awards 2018 held at Bangkok, Thailand, Apollo Hospitals Group won eleven awards, the highest number of awards won by any organization in Asia. The Best Hospital Survey 2018, conducted by THE WEEK, ranked Apollo Hospitals, Chennai as the best corporate multi – speciality hospital in the country. The All India Critical Care Hospital Ranking Survey 2018, conducted by the Times of India ranked Apollo Hospitals, Chennai as the best hospital in India, for the specialities of Oncology, Cardiac Sciences, Gastroenterology and Hepatology, Nephrology, Neuro Sciences, Urology, Emergency and Trauma. Several Apollo Hospitals were ranked as best hospitals in their region and specialities, in both the Week and All India Critical Care Hospital Ranking Survey. The journey into 2019 has begun. As 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, everascending, 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.”

Apollo Hospitals Group was conferred over 80 awards and accolades at various national and international fora in 2018. Dr Prathap C Reddy, Chairman, Apollo Hospitals Group, was awarded the Lions Humanitarian Award. Dr Reddy was felicitated with the Lifetime Achievement Award by Hon'ble Vice President of India, Shri M Venkaiah Naidu at the 18th AISCCON National Conference at Hyderabad. Sixth Asia Pacific HIMSS-Elsevier Digital Healthcare





6

7





Clinical Excellence The Apollo Standards of Clinical Care (TASCC)

9

Apollo Clinical Excellence Scorecard – ACE 1

10

ACE 1 Awards

13

Apollo Quality Program (AQP)

14

ACE Platform (ACEP)

17

Quality Teams Activities at Apollo Hospitals

17

Apollo Health and Lifestyle Limited (AHLL)

19

Apollo Continuous Medical Education Program

22

Apollo Clinical Innovation Group (ACIG)

23

Apollo Innovation and Quality Awards 2018

24

Apollo Clinical Awards 2018

28

Life Saver Awards 2018

30

Share Your Story

32

Joint Commission International (JCI) Accredited Apollo Hospitals

32

National Accreditation Boards for Hospitals and Healthcare Providers (NABH) Accredited Apollo Hospitals

33

New Hospital Launch

34

New in Medicine

34

New and Rare Treatments/ Interesting Cases

35

Apollo Home Care

41

Centers of Excellence (COEs)

43 



8

2019

Clinical Excellence

Tele Medicine

CSR

Health Insurance

Academics

Recognition

Research

Consultant’s Achievement

Clinical Excellence

The Apollo Standards of Clinical Care (TASCC)

Apollo Hospitals Group aims at establishing the highest standards of clinical care and patient safety for all its hospitals irrespective of their location and size. The Apollo Standards of Clinical Care (TASCC) was implemented across Apollo Hospitals to standardize processes and outcomes for clinical excellence and patient safety. It encompasses six initiatives – Apollo Clinical Excellence dashboards (ACE 1 and ACE 2), Apollo Quality Program (AQP), Apollo Mortality

Review (AMR), Apollo Incident Reporting System (AIRS) and Apollo Critical Policies Plans and Procedures (ACPPP). TASCC was implemented in January 2012. TASCC scores showed a steady increase from 310 in FY (2012-13) to 453 in FY (2017-18) for Group A hospitals, from 227 in FY (2012-13) to 367 in FY (2017-18) for Group B hospitals and from 189 in FY (2012-13) to 322 in FY (2017-18) for Group C hospitals, showing increasing standardisation of processes and improving outcomes.

Average TASCC Scores - Group A

453

453

100 FY

Average TASCC Scores - Group B 356 400 300 200 100 FY

9





36

Average TASCC Scores - Group C

100 FY

Apollo Clinical Scorecard – ACE 1

Excellence

Earlier known as ACE@25, this scorecard was renamed as ACE 1 in 2015 with revision in indicators and benchmarks. Group average scores for ACE 1 showed an improvement from 72 in 2010 to 86 in 2018. ACE 1 is a clinical balanced scorecard incorporating 25 clinical quality parameters belonging to COE specialties such as Cardiology/ CTVS, Neurology, Neurosurgery, Orthopedics, Transplantation, Urology, Oncology, Nephrology, Gastroenterology. The parameters cover complication rates, mortality rates, hospital acquired infection rates, one-year survival rates and average length of stay after major procedures like liver and renal transplants, CABG, TKR, THR, TURP, PTCA and endoscopy covering all major specialties. These parameters have been benchmarked against published results of reputed international institutions including Cleveland Clinic, Mayo Clinic, National Healthcare Safety Network, AHRQ US, NY State Dept. of Health, National Kidney

Foundation, University of California and the US National Average. The weighted scores for outcomes are colour coded green, orange and red as per performance. The cumulative score achievable is capped at 100. The collective data for all locations can be viewed by the Group Leadership at any point of time. There is an “ACE 1” Champion Award for the highest scorer. In 2018, 42 hospitals reported ACE 1 data. Eight hospitals (Ahmedabad, Bangalore, Chennai, Delhi, Hyderabad, Kolkata, Dhaka and Navi Mumbai) reported data for Group A parameters, 18 hospitals (Bilaspur, Madurai, Mysore, Pune, Vizag, Bhubaneshwar, Karimnagar, Secunderabad, Trichy, Hyderguda, Vanagaram, Indore, ASH OMR, Nashik, Nellore, Seshadripuram, Health City Vizag, Guwahati) reported data for Group B parameters and 16 hospitals (Aragonda, Apollo First Med Hospitals, NDMC Bachelli, Teynampet, Tondiarpet, Sowcarpet, Kakinada, Noida, Apollo Children's Hospital, Ambavadi, DRDO, Karur, ASH Jayanagar, Karaikudi, AMC Karapakkam, AWH SMR) reported data for Group C parameters.

Group Average ACE 1 Scores





10

2019

Clinical Excellence

Tele Medicine

CSR

Health Insurance

Academics

Recognition

Research

Consultant’s Achievement

Example of an ACE 1 parameter Indicator

Benchmark

Range

Scoring

Coronary Artery Bypass Graft (CABG) Mortality Rate

0.50 % Cleveland Clinic

_ 2.1

0

Few examples of outcome parameters trends: ALOS post THR, Apollo Hospitals A

Catheter Related Blood Stream Infection (CR-BSI), Apollo Hospitals B

ALOS post TKR, Apollo Hospitals C

ALOS post microdisectomy, Apollo Hospitals D

11





Catheter related UTI (CR-UTI), Apollo Hospitals E

Patient satisfaction with pain management, Apollo Hospitals F

Measurement of Kt/V or Urea Reduction Ratio (URR) in patients on haemodialysis, Apollo Hospitals G

Surgical site infection (SSI-Clean wound), Apollo Hospitals H

Readmission rate post renal transplant within 30 days, Apollo Hospitals I

ALOS post renal transplant, Apollo Hospitals J





12

2019

Clinical Excellence

Tele Medicine

CSR

Health Insurance

Academics

Recognition

Research

Consultant’s Achievement

Average Length of Stay (ALOS) in ICU, Apollo Hospitals K

Ventilator Associated Pneumonia (VAP), Apollo Hospitals L

The hospital scoring the maximum is awarded the ACE 1 Champion Award.

ACE 1 Awards ACE 1 clinical excellence scorecard data has been reported for the last 11 years. The outstanding performances in each of the hospitals reporting Group A, Group B and Group C parameters are recognized every year. The median ACE 1 score for each hospital is computed and their 360-degree score is added to it.

Apollo Main Hospitals, Chennai reporting Group A parameters, Apollo Hospitals, Seshadripuram, reporting Group B parameters and Apollo Reach Hospital, Karaikudi reporting Group C parameters were declared ACE 1 champions and were awarded trophies along with cash prizes.

ACE 1 Champion Group A- Apollo Main Hospitals, Chennai

ACE 1 Champion Group B- Apollo Hospitals, Seshadripuram

ACE 1 Champion Group C - Apollo Hospitals, Karaikudi

13





Apollo Quality Program (AQP)

Standardisation of Minimum Content of Medical Records.

The Apollo Quality Program was started in December 2010 to implement patient safety practices in all our Apollo Hospitals irrespective of their accreditation status. It covers five broad areas: Safety during Clinical Handovers, Surgical Safety, Medication Safety, the Six International Patient Safety Goals of JCI and

An analysis of the parameters in 2018 has shown an increase in compliance levels for various parameters. The average AQP scores at group level have also increased from 77 in FY (2011-12) to 90 in FY (2017-18).

Group Average AQP Scores

77

85

87

86

87

88

90

50 FY

Below are a few examples of improvement at different Apollo locations: Percentage compliance to completion of in - house transfer form before patients transfer, Apollo Hospitals A

Percentage compliance to use of nursing handover form for patient handover, Apollo Hospitals B





14

2019

Clinical Excellence

Tele Medicine

CSR

Health Insurance

Academics

Recognition

Research

Consultant’s Achievement

Percentage compliance to use of physician handover form for patient handover, Apollo Hospitals C

Percentage compliance to IPSG 2 read back for verbal orders, Apollo Hospitals D

Percentage compliance to IPSG 3 safety precautions for high alert medications, Apollo Hospitals E

Percentage compliance to IPSG 4 measures for prevention of wrong side, wrong patient wrong procedure surgery, Apollo Hospitals F

15





Percentage compliance to IPSG 5 hand washing, Apollo Hospitals G

Percentage compliance to IPSG 6 falls prevention measures, Apollo Hospitals H

Percentage of patients receiving antimicrobial prophylaxis one hour before surgery, Apollo Hospitals I

Percentage compliance to minimum content of medical records on closed audits, Apollo Hospitals J





16

2019

Clinical Excellence

Tele Medicine

CSR

Health Insurance

Academics

Recognition

Research

Consultant’s Achievement

Accuracy of ICD - 10 coding, Apollo Hospitals K

ACE Platform (ACEP)

Operation theatre services CSSD services

ACE Platform (ACEP) is a standardized tool formulated by Apollo Hospitals, to share the best practices for clinical excellence and quality improvement for the benefit of the other healthcare providers outside the Apollo Hospitals Group. The initiative is pro-bono and is aimed at enhancement of the quality of healthcare delivered across India. The ACE platform can be used by any hospital across the country to drive quality improvement, patient safety and better clinical outcomes. ACEP comprises of important indicator sets for monitoring quality and clinical excellence along with policies which deal with the core processes in patient care. Policies and indicators sets for implementation along with training material are shared with the affiliated hospitals. Over 60 hospitals outside the Apollo Hospitals Group have so far implemented ACEP through affiliation and have consistently improved the implementation of quality in their respective hospitals.

Criteria for inclusion of hospitals (outside Apollo Hospitals Group) for ACE Platform

Registered nurses 24 hours emergency services

Quality Teams Activities at Apollo Hospitals The purpose of each healthcare organization is to provide care which recognizes the inherent human worth and dignity of all persons. The aim of each hospital should be to create a healing environment where physicians, allied health professionals and staff work together to provide high quality, safe and patient centric care. To achieve this, all hospital employees are required to participate in ongoing and systematic quality improvement efforts. The quality improvement programs focuses on direct patient care and support processes so as to promote best patient outcomes and care processes. The following were the Quality activities at a glance for the year 2018:

Bed strength 15 beds or more

• Quality structure formalized with regions

Laboratory services

• Review of aspirations of quality teams across the group and plans modified for their career development

Radiology services Fully equipped ICU with ventilator

17

Duty Medical Officer (MBBS) at night





• Close monitoring of the AOP (Annual Operating Plan) • Average AOP quality score across the Group was 88 in 2018

• Total 6 toolkits available • Accreditations / Re-accreditations - JCI- Hyderabad, Kolkata. - NABH- Madurai, Vanagaram, Noida, Indore, Kakinada, ASH Teynampet, Trichy, Guwahati, OMR, Children's hospital, Vizag.

• Digitization of OP formats completed (on inputs and processes) • Digitization of Apollo Nursing Indicators for Clinical Excellence (ANICE) Dashboard

Special Initiatives • 360 degree surveys conducted -34 hospitals

Competency Development • Opportunity to conduct mock JCI, NABH Survey and 360 degree reviews

• AIRS at all the locations • Enhanced features of online repository

• 5 webinars

• Quarterly reviews completed

• 5 workshops

• ACE Automation initiated

• 2 training sessions

• Apollo Awards automation

Quality Watch

• Standardized policies implemented

• Medication safety month

• Unannounced survey standardized at alllocations

• Infection control focus

Social Media

• Communication improvement

• Blogs -37

• Facility safety rounds

• You Tube channel started- 41 videos uploaded

• Surgical safety

• Increased activity on Whatsapp group

• Fire safety

Safety Culture Survey

• Safety culture survey

Safety Culture Survey:

• TASCC focus

12265 responses received in 2018 against 6566 in 2017

• Patient safety focus

Number of Responses for Safety Culture Survey

• Patient family education

12265

• IPSG Focus month 6566

Toolkits • Two new toolkits completed

2017

2018

Responses for Safety Culture Survey





18

2019

Clinical Excellence

Tele Medicine

CSR

Health Insurance

Safety Meter Safety meter depicted the average score attained by all the hospitals for “Patient Safety”, based on the participants' response to each question. The safety meter score roses from 80 in 2017 to 83 in 2018. Safety Meter - Safety Culture Survey

83

2018

Safety Meter - Safety Culture Survey

Apollo Health and Lifestyle Limited (AHLL) Apollo Health and Lifestyle Limited (AHLL) is an Apollo Group initiative which takes healthcare services from the hospitals settings, closer to home within neighbourhood locations, in order to serve the community better. It is a network that has various healthcare business verticals like, Apollo Clinics, Apollo Cradle, Apollo Spectra Hospitals, Apollo Diagnostics, Apollo White Dental and Apollo Dialysis.

Research

Consultant’s Achievement

healthcare practitioners design and deliver the most appropriate treatment plan to reduce patient's mortality and morbidity levels. Apollo WHITE is a first of its kind dental care brand with a fleet of seven star dental spas, studios, clinics and express centres spread across the country, offering everything from premium services, Avant Garde Cosmetic Dentistry to simple and affordable dental services.

Quality and patient safety are an intrinsic part of the Apollo Hospitals culture. Three of the AHLL units i.e. Apollo Spectra Hospitals at Kanpur, Gwalior and Delhi were accredited by the NABH (entry level). Apollo Spectra Hospitals at Pune and Apollo Cradle at Brookefield (Bangalore) successfully completed their NABH assessments. The following clinics and hospitals of AHLL are NABH accredited:

S. No.

Apollo Clinic was introduced with the vision of servicing local communities and making world-class healthcare for day-to-day needs by its presence in neighbourhoods. Apollo Sugar provides end-to-end care and management of Diabetes and related complications. Apollo Cradle was the first to introduce the concept of an exclusive, standalone healthcare centre for women and paediatric care. Apollo Spectra provides world-class surgical care that is accessible and at an affordable cost. Apollo Diagnostics provides a full spectrum of high precision diagnostic services based on which Apollo's

19

Recognition

Upholding Quality at AHLL

80

2017

Academics



NABH Accredited Units of AHLL

1

Apollo Cradle, Jayanagar, Bangalore

2

Apollo Cradle, Koramangala, Bangalore

3

Apollo Medical Center, Koramangala, Bangalore

4

Apollo Medical Center, Annanagar, Chennai

5

Apollo Spectra Hospital, Kanpur (Entry level)

6

Apollo Spectra Hospital, Gwalior (Entry level)

7

Apollo Spectra Hospital, KLC, Delhi (Entry level)

8

Apollo Spectra Hospital, Pune

9

Apollo Cradle, Brookefield, Bangalore

Quality SPOC Connect Program – The Impact The Quality SPOC Connect Program was initiated at the AHLL units to lead and sustain the patient safety practices. One designated senior staff (HeadOperations of the Nursing Superintendent) from each unit was designated as the Quality SPOC. All the 

Quality SPOCs are trained on a weekly basis by the central Quality team. SPOC Connect program was conducted every week and different initiatives, topics and policies were discussed according to a pre-defined schedule. The Quality SPOCs in turn disseminated and implemented these patient safety initiatives in their respective units. This facilitated clearer communication on Patient Safety activities to be followed, leading to better and sustainable results. The positive impact of the SPOC connect program was significant and the average Q4E Survey score trend for the various units improved.

The Quality Programme

for

Excellence

(Q4E)

The Q4E Programme ensures continuous quality improvement across all of the AHLL platforms and centres, through its various initiatives like Q4E Outcome Measures Programme, Q4E Surveys, Peer audits and accreditation standards implementation. Q4E program, a comprehensive annual cyclical activity, is aimed at monitoring quality indicators/outcome measures, identifying weak performing areas, implementing solutions for improvement, assessment/ evaluation to determine compliance and best practices.

The impact over the years has been very significant with various parameters showing highest ever improvement in the year 2018. Percentage of health checks completed including consultations on same day improved drastically from 23.5 to 91.5%. Reporting errors reduced from 6.1% to 0.1% in 2018. Follow up calls made to the patients has also improved to 85.2% from 57.3%.

Infection Prevention Week 'Infection Prevention Week' was conducted at all the Apollo Cradles, Apollo Spectra Hospitals and Apollo Clinics in May 2018. It was a planned out program with a detailed schedule for every day. Infection Prevention Week created a lot of excitement and enthusiasm amongst the employees along with a great learning experience. Activities like infection control pledge, audits, trainings, poster painting competitions, were conducted to engage staff and ensure learning. Spot Q & A, spread the word, unit display activities, treasure hunt and quiz competition ensured maximum participation. Reward and recognition program was incorporated to keep the staff motivated. The program was a success with more than 1,500 people taking the infection control pledge on the first day itself.

Q4E Surveys evaluate the units through standard checklists which are further based on the rigorous standards of Apollo Hospitals and also the NABH requirements. The Q4E audits are conducted by external surveyors. Skit on bio medical waste management

Patients taking the infection prevention pledge





20

2019

Clinical Excellence

Tele Medicine

CSR

Health Insurance

Academics

Recognition

Research

Consultant’s Achievement

Poster and slogan contest

21

Data Automation

Q4E Awards 2018

With the help of the in-house IT team, sixty percent of the parameters in the online quality indicators dashboard were automated. This implies that the data for these parameters is automatically generated by the system through the MIS, and is better in terms of data accuracy. The automated dashboard is a step up version for more reliable data and accurate data with less time spent on data collection and uploading.

Q4E Awards are part of the Q4E programme wherein the best performing centre in terms of quality is given recognition. The winning centre is awarded a trophy during the Founder's Day celebrations, in addition to a cash incentive for every staff of the centre.

Best Apollo Diagnostic Lab–Ashok Nagar, Chennai

Best Apollo Spectra – Karol Bagh, Delhi





Best Apollo Cradle – Brookefield, Bengaluru

Best Apollo Clinic – Electronic City, Bengaluru

Best Apollo Sugar Clinic – KK Nagar, Madurai

Apollo Clinical Program (ACP)

Apollo Continuous Medical Education Program

For General Practitioners

Continued Medical Education (CME) is an essential requirement of all practising clinicians to keep themselves abreast of the recent advancements in the healthcare. The CMEs are also a very powerful medium to reach out to the community physicians. Various CME programs have been designed to cater to the professional development needs of the doctors with respect to their expertise level and interests. Through these programs, Apollo Hospitals was able to touch base and up-skill the knowledge and skills of the doctors practising in the community.



ACP aims to up skill the General Physicians (GPs) and covers important practice areas like NonCommunicable Diseases (NCDs).

MediNew and SurgiNew For Specialists MediNew and SurgiNew are professional development programs for specialist doctors in the field of Internal Medicine, Orthopaedics, Laparoscopic Surgery, Paediatrics, Gynaecology, ENT, Pathology and Radiology.



22

2019

Clinical Excellence

Tele Medicine

CSR

Health Insurance

MedVance and SurgVance Program For Super-specialists MedVance and SurgVance are designed to enhance the skills of the super-specialists. These programs provide a platform for sharing medical advancements such as innovative technologies and techniques, newer drugs and treatment protocols. This program has been designed for super-specialist doctors in the field of

Target Audience CME Program

Academics

Other CMEs 128 13%

MedVance 167 18%

SurgVance 93 10%

Consultant’s Achievement

Appropriate CME Credit Points are also given by respective State Medical Councils for these programs. Partnerships with various pharmaceutical, medical devices and biotech companies have been established for effective outreach.

General Practitioners

Specialists

Super Specialists

Apollo Clinical Programme

Medinew and Surginew

Medvance and Surgvance

54476 External Doctor Attended the Apollo CMEs in 2018 Surgi New 2528 5%

Apollo Clinical 18Progr ma3 33%

Other CMEs 5779 11%

MedVance 11042 20%

MediNew 207 22%

Apollo Clinical Innovation Group (ACIG) Apollo Hospitals have been leaders in the adoption of new technology and procedures. To maintain this leadership position, a structured decision making process has been developed for adoption of new technologies / procedures / processes involving stakeholders at all levels. ACIG has been formulated to introduce cutting edge technology to Apollo. ACIG has formed 14 Specialty Advisory Groups (SAGs). Clinical

23

Research

Neurology, Neurosurgery, Nephrology, Transplants, Oncology, Cardiology, Cardiac Surgery, Critical Care, Endocrinology, Gastroenterology, Urology and Rheumatology.

948 CMEs Conducted in 2018 Surgi New 35 4%

Recognition



SurgVance 6066 11%

Apollo Clinical Program 18170 33%

MediNew 10891 20%

Advisory Groups (CAGs) have been formed in all Group A and Group B hospitals. As a part of collaborative governance, consultants have been nominated to be a part of the CAGs and SAGs. Proposals are deliberated upon in order to delineate clinical innovation for implementation across Apollo Hospitals Group. ACIG conducted 24 meetings during 2018. Overall 243 consultants participated in these meetings and discussed 127 innovation proposals.



Apollo Innovation and Quality Awards 2018 Apollo Innovation and Quality Awards is a platform that felicitates and rewards hospitals with in the Apollo Group for their diligent efforts and innovations to persistently improve patients care, quality and safety.

Excellence in HR Practices Dr Yash Pal Bhatia, (Astron) Dr Vikram Jha Excellence in Finance MS Sriram Musaravakkam Mr Manian KBS

Nominations for Apollo Innovations and Quality Awards 2018 were invited from all locations in six categories:

Dr Arun Kumar Agrawal

• Excellence in Operations

Dr Rana Mehta (PwC)

• Excellence in Clinical Services

Excellence in Environmental Conservation

• Excellence in HR Practices

Brig (Retd) KR Chakravarti

• Excellence in Financial Management

Mr Ravichandran

• Excellence in Community Services

Excellence in Community Services

Excellence in Clinical Services

Dr Dilip Mathai

• Excellence in Environmental Conservation Two hundred and nineteen nominations were received from 31 locations. The nominations were judged by our esteemed panel of jury members:

Dr Pulijala Srinivas Rao Excellence in Operations Mr Lalit Mistry, (KPMG) Mr Gerald Jaideep

The winners in each category were:

Excellence in Operations Projects

Winner

A study on analysis of blood and blood components wastage and possible interventions to minimize wastage in blood bank

Apollo Health City, Vizag

Special Recognitions Apollo Diagnostics

Cohort based SMS campaign

Apollo Diagnostics

NABL and CAP accreditation of 13 labs in 3 years span

Apollo Speciality Hospitals, Madurai

Fast tag visit





24

2019

Clinical Excellence

CSR

Tele Medicine

Health Insurance

Academics

Recognition

Research

Consultant’s Achievement

Indraprastha Apollo Hospitals, Delhi

PORTZO – Porter management system

Apollo Cancer Institute, Teynampet

“Little warriors at ACI”

Apollo Main Hospitals, Ahmedabad

Housekeeping manpower rationalization

Excellence in Clinical Services Projects

Winner Apollo Cradles

eNICU in Apollo Cradle

Special Recognitions

25

Apollo Gleneagles Hospitals, Kolkata

Preventive aspect to combat hospital acquired pressure ulcer

Indraprastha Apollo Hospitals, Delhi

Killing the silent killer- reducing preventable HCAI

Apollo Cancer Institute, Teynampet

Time for care when it’s time for care – Application of “Visual signal” (Kanban) in preventing delayed / missed nursing care

Apollo Cancer Institute, Teynampet

Use of animated videos and multimedia for informed consent and patient education in neurosurgery - Results of a prospective randomized single centre study

Apollo Hospitals, Jayanagar

Efficacy of carbohydrate loading on pre-operative orthopaedic patients

Apollo Hospitals, Noida

Fragile Beginning in safe hands

Apollo Gleneagles Hospitals, Kolkata

Essential steps to prevent CAUTI

Apollo Cancer Institute, Teynampet

Innovative and cost effective In-house designed deploying intramammary clip deploying system for post stereo vacuum biopsy

Apollo Main Hospitals, Chennai

Keep it intact – A gentle solution. Prevention of medical adhesive related skin injury using skin barrier among patients admitted for interventional cardiology procedures

Apollo Speciality Hospitals, Vanagaram

NCP - QPC





Excellence in HR Services Projects

Winner

USB (united services with benefits) to be continued

Indraprastha Apollo Hospitals, Delhi

Special Recognitions Apollo Main Hospitals, Bangalore

A novel approach towards clinical service excellence – transforming nursing practice through simulation.

Excellence in Financial Management Projects

Winner

Introduction of customized surgical kits

Apollo Main Hospitals, Bangalore

Special Recognitions Apollo Cancer Institute, Teynampet

Lowest disallowance among Chennai Hospitals of Apollo Group in insurance business–financial circulatory system with empowerment of team and internal stakeholders

Excellence in Community Services Projects

Winner

Rural eye care the eWay - The world's largest teleophthalmology PPP

Apollo Tele Health Services

Special Recognitions Apollo Speciality Hospitals, Madurai

Making a difference for differently abled prodigies

Excellence in Environmental Conservation Projects

Winner

Save energy: save money: save environment – Conservation of heat energy from flue gas using in-house designed heat exchanger for hot water production

Apollo Cancer Institute, Teynampet

Special Recognitions Apollo Main Hospitals, Ahmedabad

Conservation of water by revisiting existing opportunities and increase storage capacity of RO reject water and utilize for other accepted and appropriate uses.





26

2019

Clinical Excellence

Tele Medicine

CSR

Health Insurance

Academics

Recognition

Research

Presentation of Apollo Innovation and Quality Awards 2018 to the winning centres during Founder`s Day Celebrations on 5th February 2019

27





Consultant’s Achievement

• Young Clinician Achiever

Apollo Clinical Awards 2018 Apollo Clinical Awards is a platform that honours and recognizes Consultants who have achieved path breaking clinical, academic and research related success. Nominations for Apollo Clinical Awards 2018 were invited from Consultants of all locations in six categories: • Distinguished Clinician

• Young Academic Achiever • Young Researcher One hundred and three nominations were received. The nominations were judged by our esteemed panel of Jury members for all categories: Dr Preetha Reddy Dr Sangita Reddy

• Distinguished Academician

Prof. N. K. Ganguly

• Distinguished Researcher

Dr Arun Kumar Agarwal

The winners in each category were:

Distinguished Clinician Cutting Edge Technologies Dr P C Rath, Senior Consultant, Cardiology, Apollo Hospitals, Hyderabad Dr Ravindra Mehta, Senior Consultant, Pulmonary Medicine, Interventional Pulmonology, Critical Care and Sleep Disorders Medicine, Apollo Hospitals, Jayanagar, Bengaluru

Distinguished Academician Dr Rohini Handa, Senior Consultant, Rheumatology, Indraprastha Apollo Hospitals, New Delhi Dr Mahesh Goenka, Senior Consultant, Gastroenterology and Hepatology, Apollo Gleneagles Hospitals, Kolkata

Distinguished Researcher Dr Raju Vaishya, Professor and Senior Consultant, Orthopaedics and Joint Replacement Surgery, Indraprastha Apollo Hospitals, New Delhi Dr Sengottuvelu, Senior Consultant, Interventional Cardiology, Apollo Hospitals, Chennai

Young Clinician Achiever Dr Sai Satish, Senior Consultant, Interventional Cardiology, Apollo Hospitals, Chennai Dr Ashish Malik, Senior Consultant, Anaesthesiology and Intensive care, Indraprastha Apollo Hospital, New Delhi

Young Academic Achiever Dr Amit Kumar Agarwal, Consultant, Orthopaedics, Indraprastha Apollo Hospital, New Delhi Dr Dhanya Dharmapalan, Consultant, Paediatrics and Paediatric Infectious Diseases, Apollo Hospitals, Navi Mumbai

Young Researcher Dr Punit Sharma, Consultant, Nuclear Medicine, Apollo Gleneagles Hospitals, Kolkata Dr Sujoy Khan, Senior Consultant, Allergy and Immunology, Apollo Gleneagles Hospitals, Kolkata





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Dr. P C Rath, receiving Distinguished Clinician Award

Dr. Ravindra Mehta, receiving Distinguished Clinician Award

Dr. Rohini Handa, receiving Distinguished Academician Award

Dr. Mahesh Goenka, receiving Distinguished Academician Award

Dr. Raju Vaishya and Dr. Sengottuvelu, receiving Distinguished Researcher Award

Dr. Sai Satish, receiving Young Clinician Achiever Award

Dr. Ashish Malik, receiving Young Clinician Achiever Award

Dr. Amit Agarwal, receiving Young Academic Achiever Award





Dr. Dhanya Dharmapalan, receiving Young Academic Achiever Award

Dr. Punit Sharma, receiving Young Researcher Award

Dr. Sujoy Khan, receiving Young Researcher Award Presentation of Apollo Clinical Awards 2018 to the winning consultant during Founder's Day Celebration on 5th Febuary 2019

Maximum Number of cases of Primary Angioplasty

Life Saver Awards 2018 The Life Saver Awards were conferred for the following three categories:

Group A – Apollo Main Hospitals, Chennai Group B – Apollo Speciality Hospitals, Trichy

• Maximum number of MI cases

Group C – Apollo Hospitals, Kakinada

• Maximum Number of cases of Primary Angioplasty

Maximum number of Stroke cases

• Maximum number of Stroke cases

Group A – Apollo Gleneagles Hospitals, Kolkata

The winners were:

Group B – Apollo Hospitals, Nellore

Maximum number of MI cases

Group C – Apollo Hospitals, Kakinada

Group A – Apollo Main Hospitals, Chennai Group B – Apollo Speciality Hospitals, Madurai Group C – Apollo Hospitals, Kakinada





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Presentation of Life Saver Awards 2018 to the winning centres during Founder's Day Celebration on 5th February 2019

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Preventing Needle implemented

Share Your Story As a Group, it is important that we share the best practices and innovations amongst the hospitals within the Group for continuous improvement and further enrichment. The “Share Your Story” initiative was conceptualized with a view to share the best practices amongst Apollo Hospitals on one chosen topic, every quarter. The topics for the quarters in 2018 and respective winners were:

Stick

Injuries



Strategies

The winner: Apollo Hospitals, Bhubaneshwar Implementing the Antimicrobial Stewardship Program – Challenges faced The winner: Apollo Hospitals, Bangalore Preventing Pressure Ulcers – Strategies implemented The winner: Apollo Main Hospitals, Chennai

Improving compliance to Hand Hygiene – Steps implemented The winner: Apollo Hospitals, Bangalore, Apollo Hospitals, Seshadripuram

Join Commission International (JCI) Accredited Apollo Hospitals The following 8 Apollo Hospitals are JCI Accredited:

Hospital

Last JCI Accreditation

Next JCI Accreditation

Indraprastha Apollo Hospitals, New Delhi

2017

2020

Apollo Hospitals, Hyderabad

2018

2021

Apollo Hospitals, Chennai

2017

2020

Apollo Hospitals, Bangalore

2017

2020

Apollo Hospitals, Kolkata

2018

2021

Apollo Hospitals, Dhaka

2017

2020

Apollo Hospitals, Ahmedabad

2016

2019

Apollo Hospitals, Navi Mumbai

2017

2020





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National Accreditation Boards for Hospitals and Healthcare Providers (NABH) Accredited Apollo Hospitals The following 25 Apollo Hospitals are NABH Accredited:

Hospital

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Last NABH Accreditation Next NABH Accreditation

Apollo Hospitals, Ahmedabad

2017

2020

Apollo Hospitals, Bilaspur

2016

2019

Apollo Speciality Hospitals, Madurai

2018

2020

Apollo BGS Hospitals, Mysore

2016

2019

Apollo Jehangir Hospital, Pune

2016

2019

Apollo Hospitals, Bhubaneswar

2016

2019

Apollo Hospitals, Secunderabad

2017

2020

Apollo Hospital, Hyderguda

2017

2020

Apollo Specialty Hospitals, Vanagaram

2018

2021

Apollo Hospitals, Kakinada

2018

2021

Apollo Hospitals Noida

2017

2020

Apollo Specialty Cancer Hospital, Teynampet

2016

2019

Apollo Hospitals, Trichy

2018

2021

Apollo Hospitals, Indore

2016

2019

Apollo Hospitals, Nashik

2016

2019

Apollo Medical Centre, Karapakkam

2017

2020

Apollo Hospitals, Navi Mumbai

2017

2020

Apollo Hospitals, Seshadripuram

2018

2021

Apollo KH Hospitals, Ranipet

2018

2021

Apollo Speciality Hospitals, OMR

2018

2021

Apollo Children’s Hospital, Chennai

2018

2021

Apollo Hospitals, Vizag

2018

2021

Apollo Hospitals, Jayanagar

2017

2020

Apollo Hospitals, Guwahati

2018

2021

Apollo Hospitals, Karaikudi

2018

2021





New Hospital Launch Apollomedics Super Speciality Hospitals, Lucknow Apollo Hospitals Enterprise launched its new 330bedded super specialty hospital, Apollomedics Super Speciality Hospitals, in Lucknow. Located in the heart of Lucknow and spread over a spacious 3,50,000 square feet area, the super-speciality hospital provides quaternary care across 10 Centres of Excellence with more than 30 specialties spearheaded by internationally trained doctors. 110 beds out of the 330 beds have been exclusively dedicated for critical care.

APCC will revolutionize Radiation Oncology not just in India, but across the region and the hospital will be a beacon of hope for over 3.5 billion people. The advanced proton therapy at APCC is complemented by a fully integrated treatment suite that offers the most advanced treatment procedures in Surgical, Radiation, and Medical Oncology. Founded on the pillars of expertise and excellence, the centre brings together a powerful medical team, helmed by some of the most experienced names in cancer care. The first patient, a 76-year old man was treated at Apollo Proton Cancer Centre on 12th December 2018.

The hospital provides quality tertiary care services with round the clock diagnostic, curative, preventive and rehabilitative care across specialities through its Centres of Excellence - Cardiac Sciences, Oncology (Cancer Care), Neuro Sciences, Gastro Sciences, Renal Sciences, Orthopaedics, Obstetrics and Gynecology, Critical Care and 24X7 Trauma Care. Apollo Proton Cancer Centre (APCC)

New in medicine 'New in Medicine' is compiled under the following five heads after studying leading medical journals, major medical news sites and numerous web sites: A. Drugs B. Clinical Research C. Devices

Apollomedics Super Speciality Hospitals, Lucknow

D. Treatment Guidelines

Apollo Proton Cancer Centre (APCC)

E. Healthcare Administration

The Apollo Proton Cancer Centre (APCC) is a 150bedded integrated cancer hospital offering state-ofthe-art comprehensive cancer care. It is South East Asia's first proton centre and is a major milestone in India's concerted focus to battle and conquer cancer.



New in Medicine is published monthly and circulated to all Apollo Hospitals consultants. Eighty issues have been published till December 2018. It is also sent to the Community Physicians.



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Treatments/

of a brachial cyst from the neck was performed successfully on a 17-year-old girl. Very few centres in the world use this technique.

The Following are the New and Rare Treatment / Interesting Cases undertaken at various Apollo Hospitals unit during the year 2018:

• An Insulinoma was successfully treated. Surgery was performed under the guidance of intra- operative ultrasound along with placement of a marker.

Apollo Main Hospitals, Chennai

• Accidental burn-injury of the food pipe due to corrosive ingestion, in a 20-year old college student was operated successfully restoring the food passage.

New and Rare Interesting Cases

• Successfully conducted “Quadruple” joint replacement surgery that involved replacement of four joints in a 16-year-old boy suffering from ankylosing spondylitis- First of its kind in South India. • Less invasive Transcatheter Aortic Valve Replacement (TAVR) conducted in a 79 years old male, with severe aortic stenosis with mild LV dysfunction. • A complex Brain Aneurysm (a giant left internal carotid artery bifurcation aneurysm) managed by an advanced minimally invasive procedure in a middle aged patient. The patient was treated with a flow diverter device on the left side and coming from the right side, going across the anterior communicating artery, coiled the aneurysm and right A1 segment. • A 17-year-old school student was brought in an unconscious state, a case of rat kill poison ingestion. The boy was in need of emergency liver transplantation due to acute liver failure. The boy was saved by performing live donor liver transplantation within 36 hours of admission to the hospital, with the help of State Government authorities. • “Sure-Shot Way” for LV entry in difficult PTMC using the novel over-the-wire 'Inoue Balloon Technique Rapid Slide Technique'. • Successful heart transplant in a 29-year-old patient with a ruptured heart due to over-exercise. • A new pacemaker implant technique that engages the normal electrical conduction system of the heart, 'HIS Bundle Pacing' was adopted successfully for a patient with low heart rate. • The first 'robotic retroauricular approach excision 35

Academics



• Reached a new Cardiac Surgery milestone successfully by completing over 50,000 heart surgeries, with superior outcomes at par with international standards. This number includes 22,300 beating heart surgeries since the inception of the Beating Heart Surgery Programme in 1997. • Use of OrganOx Metra for liver transplant, for the first time in Tamil Nadu. This organ preservation device maintains liver for transplant at optimal body temperature. The procedure done, using this device helped to save the life of a 66-year-old male patient, suffering from Liver Cirrhosis. • Apollo Hospitals Chennai, became the select few centers in India and only center in Chennai accredited to perform the Mitra Clip procedure for the heart failure patients. • Transcatheter Aortic Valve Implantation (TAVI) successfully performed for treating aortic stenosis in an 80-year-old lady. • Fusion less scoliosis surgery was conducted successfully on a 14-year-old girl, affected by Scoliosis, India's first surgery that transformed a teenager's life. • Apollo Hospitals, Chennai performed Asia's First Simultaneous Pancreas-Kidney Transplant. A premeditated simultaneous transplant was performed with pancreas from a cadaveric donor and kidney from a live donor that saved the life of a 38-year-old man. • Successful completion of Bronchial Thermoplasty (BT), a therapy to address the needs of patients with severe asthma.



• Apollo Hospitals, Chennai became the first centre in India to perform Minimally Invasive- Hybrid Revascularisation Surgery to treat a Triple Vessel Coronary Artery block and improve blood flow to the heart. The cutting-edge procedure gave a new lease of life to a 57-year-old male patient from Chennai. • Apollo Hospitals, Chennai became one of the few hospitals in India to have the most advanced 3D mapping technology [CARTO System] with Smart Touch. • Successfully performed India's first Transcatheter Aortic Valve Replacement in a Bicuspid Aortic Valve with the new generation Evolut PRO valve

Apollo Cancer Institute, Teynampet • Doctors saved a 23-year-old man by removing a massive cancerous tumour from his chest. The huge tumor weighing 2 kg was removed successfully. • A 32-year-old patient suffering from recurrent bone tumour was successfully treated with custom made shoulder prosthesis. • Successful limb salvage surgery was done in a 45years old female patient from Oman, a case of recurrent Chondrosarcoma Proximal Tibia, (size 13 cm by 15 cm). This patient was advised for amputation as a treatment of choice at various centres across the world. • Stem cell collection, cryopreservation and reinfusion done for the treatment of a 6-month old infant diagnosed to have neuroblastoma, a malignant condition. Although, the tumour mass was surgically removed, it was necessary to give chemotherapy to induce remission. Since the dose of chemotherapy was myeloablative, it was necessary to have stem cell infusion.

Apollo Children's Hospitals, Chennai • For the first time in India, laparoscopic removal of a bullet from the abdomen of a 3- year old child, was successfully performed.



• Apollo Children's Hospital, Chennai successfully performed the World's first DUCTAL Stenting on a 2-week-old baby.

Apollo Hospitals, OMR Chennai • A rare procedure was conducted by the neurosurgeons for the correction of 'bilateral direct carotid cavernous fistula' on a 58-year-old female patient who had suffered brain contusions and multiple fractures of the skull base bones. • Performed a first of its kind rare surgery on a 54-year-old man, who was suffering from the condition where a part of his brain was oozing out through a hole in the ear.

Apollo Hospitals, Madurai • Successful treatment of a 12-year-old male patient diagnosed with MRSA Staphylococcal Pyomyonecrosis. The patient had presented with fever, pain in bilateral thigh, inability to walk, delirium and hypotensive shock. • A 34 years old pregnant female patient with 32 weeks' gestation and profuse nasal bleeding with tachycardia was successfully managed. The present precious pregnancy was precious to the patient as she had previous 2 stillbirths. The patient was refused admission at other hospitals.

Indraprastha Apollo Hospitals, Delhi • Multi organ transplant- Parents of a 26-year-old brain dead road accident victim consented for the organ retrieval, post which, three of the patients received a heart, kidney and liver at Apollo Hospitals, Delhi. After successful retrieval operation, three organ transplants were performed simultaneously. • A rare and difficult surgery 'Exit Utero Intra-partum Treatment' also known as 'Exit Procedure' was successfully performed on a baby during LSCS while the baby was still connected with the placenta. The baby had a Teratoma that was compressing the trachea.



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• A team of doctors at Indraprastha Apollo Hospital successfully treated a 75-year-old female patient suffering from Transient Ischemic Attacks (TIAs), giving her a new lease of life. • Apollo Hospitals Delhi celebrated the 20th anniversary of India's 1st successful Liver Transplant on 15th November 2018, a unique example of clinical excellence and one of the best outcomes of liver transplant performed at Indraprastha Apollo Hospitals, Delhi Sanjay Kandasamy, now 21, at just 20 months of age, had a part of his father's liver transplanted into him in November 1998 at Indraprastha Apollo Hospitals. In doing so, Sanjay created history in the Annals of Indian Medicine as the country's first successful liver transplant recipient. Sanjay is now a 3rd year medical student. The hospital showcased the evolution that liver transplantation has gone through over the last two decades. Sanjay Kandasamy and his family, other patients, the team and donors were felicitated.

Academics

Recognition

Research

Consultant’s Achievement

• A 20 day old baby, weighing 2.2 kg born with a rare heart defect 'Transposition of Great Arteries' was given a new lease of life. An arterial switch operation was performed by the Pediatric Cardiothoracic Team and the baby was discharged to home 12 days' postsurgery. • A 8 month-old baby underwent a challenging surgery for a simultaneous cochlear implant in both his ears at Indraprastha Apollo Hospitals, New Delhi. The baby, was diagnosed with "severe hearing loss" in both ears and his hearing was restored post-surgery. • Osteosarcoma excision and mega-prosthesis implants with knee joint', performed successfully on an 8-year old female child from Yemen. The growing prosthesis was used for the first time in India. This would help the child by preventing limb shortening. • A 19-year old female patient from Iraq, diagnosed with Spinal Arteriovenous Malformation (AVM), a rare form of disorder, was successfully treated by the neurology team. • Robotic para-thyroidectomy performed successfully.

surgery

was

• A rare medical feat- Minimally Invasive Procedure was performed to remove the clot and insertion of stent in the blocked artery of a 22-year-old patient with massive heart attack, while the second CPR was going on. • 1st Pediatric ECMO of North India, with successful outcome.

Apollo Gleneagles Hospitals, Kolkata • Treatment and recovery of a 24-year-old patient who had a 3.5 feet long rod go right through his forehead and come out through the back of his skull in a car crash. The remarkable treatment feat was covered as a press release in a leading English Daily “The Telegraph” on 30.05.2018.

Sanjay Kandasamy country's first successful liver transplant recipient at Indraprastha Apollo Hospital felicitated at 20th anniversary of India's 1st successful Liver Transplant on 15th November 2018

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2. Successful surgical treatment and management of a 62-year-old patient, a case of polytrauma following road traffic accident and suffering with: • Head injury • Right frontal scalp laceration with tentorial and falcine subdural haematoma. • Hangman's Fracture -Open sky nasal wound with lacerated nasal cartilage and multiple facial lacerations. • Organ transplants from a brain-dead donor at Apollo Gleneagles lighted up 6 lives. The heart, liver and one kidney were transplanted into three recipients at Apollo Gleneagles, while the other kidney and corneas were sent to city hospitals. This was a milestone for not only Apollo Gleneagles but for the State and the Region.

surgeries. • Bilateral Cochlear Implantation done successfully in a 16-year-old female patient suffering from Bilateral Profound Sensorineural hearing loss seizure. • Successfully conducted MICS CABG procedure in an 88-year-old male patient suffering from Triple Vessel Coronary Artery Disease with LVEF 62% Diabetes Mellitus Type-2 and Hypertension. • Normal functions of right hand were restored following numerous surgeries and procedures in a 28 years old male. The patient was admitted through emergency with the history of severe crush injury of right hand and upper forearm due to accidental insertion of hand in a running heavy duty industrial fan. • A 55-year-old female patient was presented to the ER with history of complete traumatic avulsion of scalp. There was a loss of entire hair-bearing area with exposed peri-cranium and bone (on occipital area, right). She underwent successful treatment through a series of full thickness scalp skin grafting procedures. • Successful surgery of a 42-year-old female patient for the removal of a 12 kg cancerous tumour from the ovary. • Young female under went successful emergency right FTP decompressive hemi craniotomy with right frontal lobectomy with evacuation of ICH: silicon mesh was used for lax duroplasty. Bone flap was stored at OT bone bank.

Three organ transplants from a brain dead donor

• Extraction of fully grown tooth from the nasal cavity of 29-year old man. • Left sided Infratentorial Craniectomy and microvascular decompression of left trigeminal nerve and duraplasty was successfully performed on a patient suffering from Left Trigeminal Neuralgia with intractable pain refractory. • The crushed right hand of a 42-year-old factory worker was restored to life after series of complex 

Apollo Hospitals, Indore • Diagnosis of carcinoma stomach as an unusual presentation- A 71 years old male, known case of Type II Diabetes Mellitus, Hypertension and on antipsychotic treatment presented with recurrent ulceration and bluish discoloration of right great toe with pedal edema. Diagnoses revealed Carcinoma Stomach with comminute fracture of right great toe, suspected metastatic fracture.



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• A 35-year-old female patient diagnosed with Viral Myocarditis with Hypokalaemia induced VT was successfully managed and treated. • Large Anterior Mediastinal Tumour was operated successfully through thoracoscopic excision. • Diagnosis and treatment of a rare case of Behcets Disease with Spondyloarthritis in a 31-year old male patient.

Recognition

Research

Consultant’s Achievement

Apollo Hospitals, Bangalore • Extracorporeal radiation and reimplantation (ECRT) successfully conducted in a 9-year-old male child suffering from Ewings Sarcoma, a very rare type of cancerous tumor that grows in bones or the soft tissue. ECRT (Extra-Corporeal Radiation and ReImplantation Technique) is a unique procedure for bone cancers. This procedure also avoided the risk of exposure to radiation.

• Excision of redundant pelvis and Pyeloplasty was done for a 21-year old male having horseshoe kidney with right gross hydronephrosis.

• A mother with multiple complications related to pregnancy and an extreme preterm baby of just 28 weeks managed successfully.

• Successfully treated a 48-year-old patient of AIDPAMAN (Acute Inflammatory Demyelinating PolyradiculoneuropathyAcute Motor Axonal Neuropathy), a variant of Guillain-Barre syndrome.

• Re-implantation of right amputated forearm was done successfully for a 9-year old boy.

• Central India's first Total Knee Replacement (TKR) under lumbosacral plexus block was conducted in a 77-years-old male, a post PTCA patient. • Diagnosis of a case of persistent Sciatic Artery Aneurysm with Thrombosis. A Persistent Sciatic Artery (PSA) is a rare vascular anomaly with an estimated incidence of 0.03-0.06% • A very rare case of Juvenile Overlap Syndrome with features of Scleroderma, Myositis and Systemic Sclerosis in a young 12-years old male child. • Diagnoses of SPINK 1 mutation positive case of Chronic Pancreatitis. • A 24-year young bedridden patient with high cardiac risk, other co-morbidities and deformities was restored to normal life after treatment. He was suffering from severe deformity in his right hip and bilateral knee, rheumatoid arthritis, LV dysfunction EF 30%, atrial fibrillation, mild mitral regurgitation and mild tricuspid regurgitation, HbsAg was reactive and was on treatment for pulmonary Koch's. After the completion of his treatment and correction of all his deformities the patient was able to walk and was able to drive as well.

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• In a rare case, a scalp re-plantation surgery was conducted on a 45-year old female patient whose entire scalp and one eyebrow was ripped off when her hair got stuck in a flour mill. This life saving microvascular surgery, took about 10 hours to be completed. • A bony defect was corrected in a 38-year-old patient, through the cutting edge Autologous Cell Therapy -OSSRON therapy. This patient from Iraq was hit by a gun-shot injury to the left leg. • Minimally Invasive Laryngoplasty conducted successfully for a 19-year-old patient who had sustained multiple head and neck injuries due to a road traffic accident. • A 58-year-old patient ('Jehovah's witness') underwent successful multiple major orthopedic surgeries without any transfusion.

Apollo Hospitals, Bhubaneshwar • Vaginal birth after caesarean (VBAC) conducted successfully for a pregnant lady who presented to emergency in labour with h/o a previous caesarean and mitral valve replacement 7 months back. Caesarean surgery was risky as she was on Acitrom. There was risk for post-partum haemorrhage PPH.



• Diagnosis and treatment of rare neonatal metabolic disorder-Methylmalonic Acidemia (MMA). • A LED bulb was successfully removed from the airway of an 8-month old baby girl. • Successfully conducted a life-saving surgery on a female patient by reconstructing her food pipe that had been severely damaged after she accidentally swallowed a denture. The middle-aged lady had also developed a life-threatening blood clot in the vein of her leg which posed an immediate risk of travelling upwards and affecting other vital organs. • Hundred (100) cases of AV grafting for dialysis were completed in patients who were not candidates for AV fistula. • First successful repair of Ruptured Abdominal Aortic Aneurysm was conducted in the state of Odisha. • A 90-year-old female patient suffering from neurotoxic snake bite was successful managed through intensive care interventions.

• Pancreatogastrostomy was conducted successfully in 6-year old patient, admitted in a critical condition with complete transaction of the pancreas at the neck and the body junction following alleged blunt injury to the abdomen. • Rotablation Angioplasty procedure was successfully used for the first time in the Cath Lab of Apollo Hospitals, Guwahati. The procedure was done for the first time in North East. • Penetrating brain injury was successfully treated in a 4-year-old male patient who had been hit by a buffalo horn on the back of his head. He underwent successful sub-occipital mini craniotomy with debridement, partial cerebellectomy, duraplasty and repair of the injuries. intra op cisternostomy was useful.

Apollo Hospitals, Hyderabad • Autologous Chondrocyte Implantation (ChondronRegrow) stage II was performed through Arthroscopy (Dry arthroscopy using CO2), by the Orthopaedics team, first time in India. • A novel procedure, Scarless Thyroid Surgery was introduced at Apollo Hospitals, Hyderabad.

(Fig-1: Bilateral Ptosis)

Thyroid Swelling

(Fig-2: After Neostigmine)

Apollo Hospitals, Guwahati • Successful excision of Giant Sacro Coccygeal Teratoma in a new born. • CSF diversion and cranial reconstruction (with VP Shunt) was performed successfully in a 7-year-old male patient. The patient had a history of being operated for 4th ventricular brain tumor and development of hydrocephalus with sub occipital large pseudo meningocele.



One week after trans oral surgery

Scar after traditional surgery

• Senior Consultant, Ophthalmology from Apollo Hospitals, Hyderabad, was invited to AIIMS New Delhi to perform a live corneal transplant surgery known as Descemet Membrane Endothelial Keratoplasty (DMEK). He was the first Ophthalmologist to start this specialized surgery in India in 2009. • Apollo Hospitals, Hyderabad successfully performed a double hip surgery on a Somalian patient using the Direct Hip Anterior Procedure, a first of its kind in India.



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Apollo Hospitals, Nashik • Left Orbital Maxillary and Nasopharyngeal Foreign Body Removal with Left Orbital Enucleation was performed successfully for a 39-year-old patient who had a hit a bullock cart full of sugarcane, had penetrating (sugar cane) injury to the left eye and orbit. • Endoscopic Transurethral Resection in saline (TURis) for huge prostatomegaly (180 gm) in a high risk 77-year-old male patient was performed successfully.

Apollo Hospitals, Navi Mumbai • A 22-day old infant girl, underwent a balloon angioplasty to treat a narrow heart valve just 12 hours after she was born blue. • Performed inguinal hernia surgery on a 101-yearold patient, the oldest patient to undergo such a surgery

Apollo Hospitals, Vizag • Rarest surgery reported in medical literature – “REDO ALCAP” Surgery in a 35-year-old male, suffering from a rare congenital anomaly, known as ALCAPA (Anomalous Left Coronary Artery from the Pulmonary Artery). • A Hybrid Cardiac Surgical Procedure was performed to treat a 46-year-old female patient for Peripartum Cardiomyopathy with severe LV D Dysfunction.

Apollo Hospitals, Ahmedabad • Uterine Fibroid Embolisation (UFE) conducted leading to successful pregnancy in a 37-year-old female patient.

Apollo Hospitals, Dhaka • A high risk procedure critical Balloon Pulmonary Valvuloplasty (BPV) was done for a 21-days old baby

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with 1 mm opening of pulmonary valve with PDA dependent pulmonary flow, small ASD with R-L shunt.

Apollo Hospitals, Karimnagar • Primary PCI of Bilateral Coronaryostial Stenosis during CPR in a 30-year-old female patient.

Apollo Hospitals, Sheshadripuram • A 6-year-old patient suffering from complete partial seizures from 5 yrs. and having Neurophakomatosis with aneurysm on face was brought to the hospital. His MRI brain showed a left temporal focal cortical dysplasia. An ECOG (ElectroCorticography Guided Resection) guided resection of the dysplasia was conducted and the patient was seizure free after surgery.

Apollo Hospitals, Vanagaram • Successful treatment of chondroblastoma of the distal femur in a 14-year-old.

Apollo Home Care With unique treatment options, Apollo Homecare delivers clinical excellence with compassion and care within the comfort of the patients' home. Apollo Homecare has created its presence in 5 cities, namely, Hyderabad, Chennai, Delhi, Bangalore, Kolkata and has touched over 1,00,000 lives, in the communities it has served. It has handled over 4,50,000 patient care episodes. Apollo Homecare known for its clinical excellence and acknowledged as a leader in in providing skilled home-healthcare services. With over 1000 professional home healthcare providers, the team has grown at a fast pace in a short time. The team continues to set new benchmark for clinical excellence driven home healthcare services. The team has managed to establish a vertical on home equipment rental and sale services alongside the existing portfolio of services.



AHC has played a leadership role in setting up quality standards for home healthcare in India and has worked along with the Quality and Accreditation Institute (QAI). AHC team has managed to serve quite a few international healthcare insurance clients by providing continuum of care for patients beyond hospital care. These initial success stories are building up strong advocacy for the health insurance companies to consider reimbursements for home healthcare services in India. ICU care at home

Home care for a post Japanese Encephalitis patient

Home care for a post tracheostomy decannulation

IV infusion at home Elder care at home





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Centers of Excellence (COEs) Apollo Hospitals has dedicated Centers of Excellence (COEs) for several key specialties and superspecialties. These Centers of Excellence are unique in terms of their service spectrum and are spread across the various Apollo Hospitals locations: 1. Cardiac Sciences 2. Orthopedics 3. Neurosciences 4. Oncology 5. Transplant 6. Emergency

Key differentiating factors for Centers of Excellence

Experience

Expertise

Trust of 60 million patients built with 35 years of Experience

Expertise of over 8000 clinicians in 55 specialties

Academics and Research

Safety through system and protocols

A learning institution with focus on Academics and Research

We understand how to keeps you safe as we know that “life is Priceless”

Clinical outcomes

World class outcomes comparable to the best in the West because India deserves the best

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Center of Excellence - Cardiac Sciences

Seshadripuram Vanagaram ACH Chennai Trichy

Pan-India presence

Kakinada DRDO AFMH Guwahati Nellore Karur Mysore

Cardiac services are offered at the following units: Ahmedabad Bangalore Bilaspur Bhubaneshwar Chennai Delhi Hyderabad

Indore Nashik Tondiarpet Teynampet Jayanagar Sowcarpet Hyderguda

Kolkata Madurai Navi Mumbai Vizag

Pune Dhaka Noida

Secunderabad Karimnagar OMR - Chennai

Cardiology COE - services offered Primary Preventive Care Comprehensive diagnostic assessment of Heart health Lipid management Hypertension management Routine follow-up management Teleconsulting service Cardiac Risk Score assessment and tracking Expert Cardiologist support Weight management Diet management

Out Patient Services Online appointment scheduling portal Clinician driven investigation recommendations Detailed treatment plan provision Access to your medical records digitally Extensive cross referral in hospital network Personalized review appointment and investigations schedule management

SubSpeciality

In Patient Service

Devised to contain the progression of heart disease; Reversal of heart disease Complex patients requiring further evaluation and treatment Dedicated clinical expertise teams across range of speciality clinics Structural Heart Disease clinic Arrhythmia clinic Advanced Hypertension management

Advance care planning Specialized Inpatient cardiovascular care Clinical Excellence at Apollo in patient outcomes Cutting edge technology to aid in cardiac care Coronary Angiography 640 slice CT First biplane interventional Cath lab suite- Philips Allura Clarity 20/15 IVUS

Advanced Therapies Minimally Invasive Coronary Artery Surgery Mitra Clip TAVI/TAVR Heart failure assist devices Hybrid Procedures Heart Transplant Heart Lung Transplant En-bloc combined heart & liver transplant Off-pump and beatingheart surgeries Pediatric cardiac surgery Neonatal cardiac surgery Stent less heart valve bio prosthesis





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Tele Medicine

CSR

Health Insurance

Academics

Recognition

Research

Consultant’s Achievement

Secondary Preventive Care Services

Service Offering

Conditions

• Aortic Surgery • Carotid artery surgery • Electrophysiology procedure for heart failure • Heart valve surgery • Catheter Ablation • Combined cardiac procedure • Surgery for coronary heart disease • Atrial septal defect repair • Minimally Invasive procedure • Pericardiocentesis • Peripheral Vascular surgery • Arrhythmia surger a• Renal Denervation a• Pacemaker system • Cardiac Device lead extractio a• Bypass Surgery • Left atrial appendage closure

• Aortic Aneurysm • Aortic Stenosis • High blood pressure • Endocarditis • Heart attack • Heart failure • Heart valve disease • Cardiac Arrhythmia • Hypertrophic obstructive Cardiomyopathy • Coronary Heart disease • Carotid artery stenosis • Mitral Regurgitation Myocarditisa• • Mitr l Valve stenosi a• Pericarditis • Peripheral arterial disease • Atrial Septal defect

Advance Therapies (Non Invasive) Services • Transcatheter Aortic Valve Replacement (TAVI/ TAVR) and Transcatheter Mitral Valve Replacement (TMVR/ MitraClip) • TAVR/ TMVR can be ideal for patients with a prior history of stroke, chest radiation, open heart surgery, COPD, frailty, renal insufficiency, advanced age and other conditions.

Image source:-https://www.mayoclinic.org/tests-procedures/transcatheter-aortic-valve-replacement/

For patients who have been deemed intermediate or high risk for traditional open heart surgery.

Transcatheter Aortic Valve Replacement (TAVI/ TAVR)

45





Post Procedure

Transcatheter Mitral Valve Replacement (TMVR/ MitraClip)

source:-https://www.gospelherald.com/articles/59603/20151109/new-study-shows-advantages-mitral-valve-replacement-over-repair.htm

Mitra Clip Deployment

Advance Therapies (Invasive) Services • Minimally Invasive Direct Coronary Artery Bypass Surgery (MIDCAB) • CABG is usually reserved for patients with symptoms of heart disease and who are at risk of heart attack.

Conventional Heart Surgery

Minimally Invasive Heart Surgery

• Heart transplant

Image source: -http://drmanishpuranik.com/minimally-invasive-bypass-surgery/what-is-minimally-invasive-cardiac-surgery.htm l

• CABG may be recommended in patients with disease involving multiple coronary arteries, or involving the left anterior descending artery, or if/ any other treatments have not feasible

• The selections of cardiac transplantation conditions continue to evolve. As new therapies become available and implantation of LVADs becomes more routine, there will be continued changes in the selection process. Presently, cardiac transplantation remains a life – saving therapy for the patients with intractable HF not amenable to conventional or surgeries.





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Clinical Excellence

Tele Medicine

CSR

Health Insurance

Academics

Recognition

Research

Consultant’s Achievement

Image source: -https://www.mayoclinic.org/tests-procedures/heart-transplant/about/

• With the scarcity of donor organs, it is anticipated that the trend for transplantation of only the sickest patients requiring continuous inotropic and / or mechanical support will continue.

Heart transplant procedure

Academics and Research: Cardiac Sciences Academics and Research

Number

Papers published

102

Adjunct Titles of Professor/ Associate Professors

16

Adjunct Titles of Clinical Tutors

09

DNB seats

Cardiology - 2

Cardiac Anaesthesia -2

Center of Excellence - Orthopedics

AFMH Karaikudi Ranipet Guwahati Aragonda Nellore Mysore Karur Sowcarpet Health city, Vizag NDMC Indore Ambawadi Nashik Tondiarpet Teynampet Jayanagar Hyderguda Pune Dhaka Noida Vanagaram ACH Chennai Trichy

Pan-India presence Orthopedics services are offered at the following units: Ahmedabad Bangalore Bilaspur Bhubaneshwar Chennai Delhi Hyderabad Kolkata Madurai Navi Mumbai Vizag Secunderabad Karimnagar OMR - Chennai Seshadripuram Kakinada DRDO

47





Pediatric Cardiology - 2

Orthopaedics COE – services offered • Arthroscopic and Reconstructive techniques • Joint replacements including hip resurfacing and knee replacements [primary, complex primary and revision replacements) • Articular cartilage Implantation (ACI). • Dedicated units for Traumatology which involves treatment for dislocations and fractures with very minimal down time for the patient. • Orthopedic Oncology for treating bone cancers • Modern Sports medicine centres where most sports injuries (like damage to ligaments, meniscus, cartilage etc.) can be treated with key-hole (arthroscopic) surgery. • Specialised Pediatric Orthopedics units offering the whole range of Pediatric

• Shoulder surgeries and the most delicate hand micro surgeries • Cartilage regeneration surgery, including microfracturing, mosaic-plasty • The Apollo Cartilage School is leveraging developments in Orthobiologicals and growth factors to herald a new age of regenerative medicine. • Orthopedic Oncology for treating bone cancers • Using a revolutionary combination of CT imaging/mapping, modelling software (virtual) and 3D printing technology, medical miracles like the True Personalized Knee are becoming a reality. • Robotic-Guided techniques are also becoming routine at our hospitals.

• Orthopedics • Physical Therapy units to provide rehabilitation and pain management

Joint Replacements

Arthritis Care

Pediatric Orthopaedics

Unicondylar knee replacement

Osteoarthritis

Revision knee replacement

Rheumatoid arthritis

Total knee replacement

Infective arthritis

Total hip replacement

Traumatic arthritis

Total shoulder replacement

Congenital limb and spinal deformities corrections Bone and joint infections management Juvenile arthritis management

Total elbow replacement Hand joint (small) replacement surgery Ankle joint replacement Minimally Invasive Knee Replacement Surgery (MIKRS) Total knee replacement using Patient specific zigs





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Clinical Excellence

Tele Medicine

CSR

Health Insurance

Academics

Recognition

Research

Consultant’s Achievement

• 99% success rate for Hip Resurfacing Procedure • Arthroscopic Branchial Plexus leading to pain free postoperative recovery after shoulder surgery • One of the very few centres in Asia which provide Robotic Spinal Intervention

Image source:-https://www.northazortho.com/home/orthob_GoBack_GoBackiologic-cell-therapy-heal-naturally/prp-injection_areas/

• First to perform Birmingham Procedure in India • Pioneers of Illizarov procedure for limb lengthening in India • For bilateral (on both the knee) revolutionary Minimally Invasive Knee Replacement (Resurface) Surgery (MIKRS) using Ortho Glide Medical Knee System • First in Asia to offer Robotic Spine Surgery, Robotic Rehabilitation • First to offer 3rd generation spinal implants, Lumber disc replacement, Resorbable Screw Usage to correct congenital spine problem • Revolutionary Ceramic Coated Knee Replacement was performed for the 1st time in South India

Clinical Differentiators • The ideal knee- future of Total Knee Replacement through a new technique- Attune

• World's 1st iPod Navigation Hip Resurfacing Surgery was successfully performed at Apollo

• First in the country to offer Total Knee Replacement and Hip Replacement Surgeries

Academics and Research - Orthopedics

49

Academics and Research

Number

Papers published

261

Adjunct Titles of Professor/ Associate Professors

04

Adjunct Titles of Clinical Tutors

06

DNB seats

Orthopedics - 10





Center of Neurosciences

Excellence

Kakinada DRDO AFMH Ranipet Ambawadi Nellore Mysore Karur Sowcarpet Health city, Vizag Indore Nashik Tondiarpet Karaikudi Teynampet Jayanagar Hyderguda Pune Dhaka Noida Vanagaram ACH Chennai Trichy Guwahati

-

Pan-India presence Neuro services are offered at the following units:

Ahmedabad Bangalore Bilaspur Bhubaneshwar Chennai Delhi Hyderabad Kolkata Madurai Navi Mumbai Vizag Secunderabad Karimnagar OMR - Chennai Seshadripuram

Neurosciences COE – services offered Clinical Expertise

Clinical Expertise

Epilepsy Surgery for Epilepsy

Micro - Neurosurgery

Deep Brain Stimulation (DBS) for Parkinson’s disease and movement disorders

Complex Spinal Surgeries & Minimal Access Spine Surgery

Thrombolysis- intravenous intra-arterial and mechanical for acute stroke

Surgery for Spinal Cord Tumors Surgery for the Acute Head Injury and Spinal Injuries

Mechanical Thrombectomy for Acute stroke Botulinum disorders

toxin

injection

for

neurological

Stroke prevention / Stroke treatment Epilepsy Surgery

Auditory Brain-stem implant (ABI) – for children born deaf or patients who lose hearing later in life and not likely to be benefited by cochlear implant

Skull Base Surgery Surgery for Parkinson's disease Neuro-Endoscopic Surgery for Pituitary Tumors and CSF Leaks

EC-IC bypass (Extracranial-intracranial bypass) – where the brain’s blood supply is augmented by diverting blood for blood vessels of face to brain

Endovascular Coiling of Aneurysms and Vascular Malformations Pediatric Neurosurgery Vertebroplasty





50

2019

Clinical Excellence

Tele Medicine

CSR

Health Insurance

Academics

Recognition

Research

Consultant’s Achievement

Academics and Research - Neuro Sciences Academics and Research

Number

Papers published

99

Adjunct Titles of Professor/ Associate Professors

10

Adjunct Titles of Clinical Tutors

08

DNB seats

Neurosurgery - 2

Neurology -2

Center of Excellence - Oncology 

Neuro anaesthesia - 2

Kolkata Madurai

Pan-India presence

Navi Mumbai Vizag

Oncology services are offered at the following units:

Guwahati

Ahmedabad

Nellore

Bangalore

Pune

Bilaspur

Dhaka

Bhubaneshwar

Noida

Chennai

Vanagaram

Delhi

ACH Chennai

Hyderabad

Trichy

Oncology COE – services offered Medical Oncology Comprehensive suite of Chemotherapy services Paediatric Oncology services Tumour Board Bone Marrow Transplantation Services - mostly Autologous transplants Matched related donor Matched unrelated adult Matched unrelated UCB Haploidentical Immunotherapy Hematological malignancy treatment

51

Surgical Oncology Breast Conservative surgery program along with Sentinel Lymph Node Biopsy Surgical Gastroenterology services Mandiblectomy and and advance Plastic surgery services. Oral cavity composite resection with reconstruction Radical neck dissection Radical Nephrectomy and Radical Cystectomy Limb surgeries for peripheral solid tumours with reconstruction/ Amputation





Radiation Oncology Stereotactic Surgery suite using Cyber Knife Image Guided Radiation Therapy (IGRT) Intensity Modulated Radiation Therapy (IMRT) Stereotactic Radio Surgery (SRS) with Brainlab, Stereotactic Radio Therapy (SRT) and Stereotactic Body Radiation Therapy (SBRT) Conformal Radiation Therapy Rapidarc Radiosurgery or Volumetric Radiotherapy (VMAT)

Molecular Profiling: which predicts patient’s response to cancer drugs and assists with customised medical treatment

Limbo salvage surgery

Genetic Profiling: Analysis of gene mutation of the cancerous cells and effective classification of cancers

Robotic intervention specially for Urology and Colorectal cancers

Hormonal Therapy: Helps with cancers that grow in hormone sensitive tissues. Often used in combination with Chemotherapy TACE Comprehensive suite of Palliative care services Psycho – Oncology Clinical services Neutropenic Ward services Targeted therapy

Minimally invasive Oesophagectomy

Brachytherapy – Intra Cavitary Brachytherapy (ICBT), Interstitial Brachytherapy (ISBT), Intraluminal High Dose Rate Brachytherapy (ILBT) Palliative Radiotherapy

HIPEC and HIVEC Procedures

Total Body Irradiation

Endoscopic and skull base surgeries.

Extra Corporeal Radiotherapy

Lobectomy/ Pnemonectomy

Respiratory Gated Radiotherapy

Mediastinal mass excisions and Chest wall tumour excision with reconstruction

SPECT Fibroscan

Liver resections – staged Hepatectomy and ALLPS

CELLVIZIO – Endomicroscopy system which generates Optical biopsy

Retroperitoneal Lymph node dissection Total/ Partial Penectomy with Groin node sampling/ dissection

99 Tc Bone Scan

Digital Mammography 128 slice PET scan

Cytoreduction with HIPEC. Vulvectomy and GND with reconstruction Bio Bank

• Concept of Group implementation

Clinical Differentiators • “Precision Oncology” focusing treatment and outcomes

on

precise

• Major presence of Brand Apollo across India and South East Asia • Special focus on Preventive Outsmart activities

Tumor

Board

under

• Presence of High end equipment to support all specialties • Highly experienced Clinicians with world class credentials

• Ethical Treatment Protocols

• Full-fledged academic program in place, churning out quaternary care specialists

• Only Proton Therapy system in this part of world

• Group wide clinical trial program in place

• Patient Centric therapy decisions

• 1500+ Bone Marrow Transplants successfully finished, and counting

• Organ specific work





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2019

Clinical Excellence

Tele Medicine

CSR

Health Insurance

Academics

Recognition

Research

Consultant’s Achievement

Academics and Research – Oncology Academics and Research

Number

Papers published

68

Adjunct Titles of Professor/ Associate Professors

11

Adjunct Titles of Clinical Tutors

12

DNB seats

Radiation Oncology - 4

Medical Oncology - 3

• Liver transplant

Center of Excellence - Transplant

• Heart transplant

Pan-India presence Emergency services are offered at the following units:

• Lung transplant • Combined Heart and Lung

Ahmedabad Bangalore Bilaspur

• Pancreas transplant

Bhubaneshwar Chennai Delhi Hyderabad

• Intestinal transplant • Multi-organ transplant

Kolkata Madurai Navi Mumbai Trichy

• Cornea transplant • ABO incompatible transplants

Innovative procedures

Guwahati Nellore Mysore

• First successful liver transplant in the country in 1998

Indore Nashik ASH Chennai Pune Dhaka Noida Vizag Vanagaram

• Asia's first - Apollo Hospitals Performs Asia's First Simultaneous Pancreas-Kidney Transplant. • Liver transplants in three babies less than 4.5 kgs – Apollo Hospitals, Delhi • First program to perform more than 3300 liver transplants including more than 310 in children

Transplant COE – services offered

• First in Asia - OrganOx metra, can keep a liver 'alive' for up to 24 hours after donation – Apollo Mumbai

Clinical Expertise • Kidney transplant

53

Surgical Oncology - 2





Academics and Research – Transplants Academics and Research

Number

Papers published

46

Adjunct Titles of Professor/ Associate Professors

05

Adjunct Titles of Clinical Tutors

03

DNB seats

Liver Transplant - 1 (FNB)

Urology - 2 (FNB)

Center of Excellence - Emergency

Nephrology - 3 (DNB)

Indore Nashik Tondiarpet Teynampet Jayanagar Sowcarpet Hyderguda

Pan-India presence Emergency services are offered at the following units: Ahmedabad Bangalore Bilaspur

Pune Dhaka Noida Health City, Vizag Ranipet

Bhubaneshwar Chennai Delhi Hyderabad

Karaikudi

Kolkata Madurai Navi Mumbai Vizag

Emergency COE – services offered Clinical Expertise

Secunderabad Karimnagar



Air Ambulance



Golden Hour concept for early management of stroke - Code FAST Protocol



Acute MI management – primary angioplasty

NDMH Ambawadi Aragonda



Trauma management



Sepsis management

Kakinada DRDO AFMH Guwahati Nellore Karur Mysore



E-ICU services

OMR-Chennai Seshadripuram Vanagaram ACH Chennai Emergency COE – services offered Trichy

Services offered Pre-hospital Care services: 1066 •





24 x 7 ACLS Ambulance services – Road, Bike and Air Ambulance with Emergency Physicians 54

2019

Clinical Excellence

Tele Medicine

CSR

Health Insurance

Academics

Research

Consultant’s Achievement

In – Hospital:

23. Infectious Disease specialist centre

Management of Emergencies: 1.

Cardiac Emergencies

24. Bedside Ultrasound and Echo procedures – For FAST scan, Central Lines, HHD catheters, Lung Ultrasound and 2 D Echo

2.

Respiratory Emergencies

25. Procedures done in Emergency Department:

3.

Abdominal Emergencies



4.

Neurological Emergencies

Airway Management – Endotracheal Intubation, Surgical and Needle Cricothyroidotomy, Foreign Body removal (Ear, Nose, Eyes, throat),

5.

Neurosurgical Emergencies



6.

Trauma

Ventilator Management - (Non-invasive and Invasive Ventilator Management)

7.

Endocrine Emergencies



Peripheral Lines, Arterial Lines, Central Line cannulation, HD Catheter cannulation (Dialysis)

8.

Toxicological Emergencies



9.

Paediatric Emergencies

Trauma Management – C Spine and Log roll Lumbar, Thoracic spine immobilisation and Protection, ICD insertion, Needle decompression (Pneumothorax), Haemorrhage control, Pelvic binder application, Splinting,



Fracture Management - All fractures reduction and Splinting, POP slab / Cast application, Reduction of shoulder, Elbow, Patella joints with procedural sedation



Cardiac – Cardio version, Cardiopulmonary Resuscitation (Neonate, Paediatric and Adult), Temporary Pacemaker insertion, Transcutaneous Pacing, Chemical cardio version



Suturing's – Adult and Paediatric suturing's. Staples for scalp wounds, Glue applications for minor wounds



Lumbar Puncture, Abdominal and Pleural fluids aspiration, tapping's



24 x7 Burns centre

10. ENT, Ophthalmology, Dermatology Emergencies 11. Gynaecological Emergencies 12. Oncological emergencies 13. Geriatric Emergencies 14. Haematological emergencies 15. Urological Emergencies 16. Surgical emergencies 17. Renal and Metabolic Emergencies 18. Pain Management Specialists 19. Medical Emergencies 20. Medico Legal Specialists (RTA, Burns, Fall from height, Workplace injuries, Assault, Poisonings, Animal bites, Child and sexual Abuse) 21. Poly Trauma Management Specialists

26. Training: •

22. Acute Stroke and Cardiac Thrombolysis Centre and Radiological Intervention

55

Recognition





BLS / ACLS/ PALS / NALS / Ultrasound, Trauma / Disaster management / Life savers Programme / Emergency Medicine training Programmes – FEM, MRCEM, DNB Emergency medicine

Academics and Research: Emergency Medicine Academics and Research

Number

Papers published

73

Adjunct Titles of Professor/ Associate Professors

05

Adjunct Titles of Clinical Tutors

02

DNB seats

Emergency Medicine - 3





56

57





Information Technology and Telemedicine Artificial Intelligence (AI) Network for Cardiology: Apollo Hospitals and Microsoft Consortium

59

Apollo Telehealth Services (ATHS)

62

Mukhyamantri Aarogya Kendram (e-UPHC)

63

Tele Ophthalmology (MeEK)

63

Himachal Pradesh Project

64

National Thermal Power Corporation

65

NCD Screening Program

66

e-CLINIC In Smart City

67

Ask Apollo - Virtual Hospital

67

Uttar Pradesh PPP Project (Tele-Radiology Services)

68

Jharkhand Telemedicine PPP Project

68





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2019

Clinical Excellence

Tele Medicine

CSR

Health Insurance

Academics

Recognition

Research

Consultant’s Achievement

Information Technology and Telemedicine Information Technology (IT) has transformed the way healthcare is being delivered today. The revolutionary impact has greatly improved the quality and access to healthcare. Quality improvement and clinical decision support is being powered through Health IT and is not just enabling patient monitoring but also specific and targeted recommendations for improving patients' health.

Artificial Intelligence (AI) Network for Cardiology: Apollo Hospitals and Microsoft Consortium Apollo Hospitals partnered with Microsoft's AI Network for Healthcare to develop an India-specific heart risk score to better predict cardiac diseases for general population with the help of Apollo Hospitals' database, Microsoft's cloud and AI tools. It is part of Microsoft Healthcare NExT, which aims to accelerate healthcare innovation through AI and cloud computing. This initiative gives us a glimpse as to how we can implement AI to get predictive healthcare. The team worked on an AI-powered Cardio API platform, which would let anyone come to the hospital and be able to find their heart risk score without a detailed health check-up. The team integrated the model into the Electronic Medical Record (EMR) for patients. This would enable every physician who uses EMR for a patient undergoing a preventive health screening to access the data, get the risk score, and take action accordingly. 59



This collaboration with Microsoft's path-breaking technologies like Artificial Intelligence and Machine Learning would enable better prediction, prevention and management of heart disease in the country.

About the Project Background Cardiovascular Diseases (CVD) are major cause of deaths around the world. 1. Cardiovascular diseases have grown to epidemic proportion in developing countries like India, where life style patterns have changed significantly due to growing urbanization, CVD deaths have almost doubled in last decade. 2. Currently, CVD contributes to more than 29% of deaths, while Coronary Heart Disease alone contributes to around 15% of deaths in India. 3. It was necessary to perform a large scale study on Indian population to find important risk factors contributing to Indian population, and applying statistical modelling on these risk factor to further predict the risk score for better risk management. 4. In this model, multi-step risk factors selection method has been described along with the risk factor's contribution on Indian population. Use of statistical and deep learning based models predict the chance of CVD for next 7 years.

Data Over 400,000 patient's health check records and 1,50,000 lab check records were collected between 2010 to 2017 from 6 centres of Apollo Hospitals. All the records were anonymised by removing patient name and unique identification number. Data was 

taken from 2 different sources:

Modelling

1) Health check-up data

Hazard models were used to predict time to event. Even though these model predicts time to event (regression) these models have unique advantage over regression model as they can use right censored data (patient not getting disease in study span) to further improve accuracy. On other hand, with recent advances on deep learning, there have been numerous efforts on applying deep learning on survival analysis related tasks and in many cases deep learning based models have surpassed hazard model accuracy.

2) Patient discharge summary for the patient admitted due to CVDs

Risk Factor Selection Risk factor selection process began by studying risk factor used in past heart risk studies. Apollo Check Up yields more than 100 clinical parameters. First step of the filtering process was to identify the applicable risk factor. This process was initiated by selecting top 50 parameters most frequently used parameters each in Health Check-up. As the next step, spearman's correlation coefficient was used to correlate risk factors to CVD event. The data was filtered in respect to all the parameters with the correlation value of greater than 0.3 (positive correlation) and less than -0.3 (negative correlation) for further process. These parameters were further grouped and normalized if they signified same risk factor. After clinical validation process, around 21 clinical risk factor was selected for further study and validation

Two separate models were used, Hazard Model as well as Deep Learning Model. Hazard model provided better inferencing of co-variate while deep learning gave better prediction score. Implementation of the Cardiac AI Risk Score UX in the Organizational EMR. The project was build through novel ideas and designing of the operational processes. One of the primary objective was to build a tool for the EMR where the patient's currents risk were determined and methods to reduce risk were provided during the discussion with the Physician. Currently there are no existing tools based on computation on deep neural networks available to predict Cardiovascular Risk.

The Cardiac AI : User Interface In the classical Apollo Health Check User Interface in Medmantra (Apollo Hospitals Information System), the cardiac risk score was integrated as depicted below –





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Clinical Excellence

Tele Medicine

CSR

Health Insurance

Academics

Recognition

Research

Consultant’s Achievement

Exhibit 6 – Apollo Hospitals Information System – AHC Ux with Cardiac Risk Score The team developed the Cardiac AI User Interface taking the 21 parameters to generate the risk score. The screen was provided below which was accessible to the physician while entering the data of the patient –

Exhibit 7 – The UX screen where the Physician Enters the Data of the 21 Clinical Parameters Following the entry of the data, the cardiac risk score is generated with following features – Patient Cardiac Risk Score PATIENT SCORE

Recommended Protocol

OPTIMAL SCORE

LAB INVESTIGATION

Complete Blood Count, Fasting and Post Prandial Blood Sugar, Lipid Profile, Urea & Creatinine + Other Tests as deemed fit DIAGNOSTICS and IMAGING

- ECG, Chest X-ray, 2D Echocardiolgraphy +/- TMT. USG - Whole Abdomen - ADVANCED Tests - Cardiac CT or Coronary Angiography

TOP MODIFIABLE RISK CONTRIBUTORS: BMI

Physical Inactivity

REFERRAL

Tobacco

Cardiology Referral (Urgent) MEDICATION

HISTORICAL VIEW

TREAT primary conditions, like Diabetes and / or Hypertension and / or Dyslipidemia Intervention or Medical Treatment of Coronary Artery Disease ADVICE

EDUCATE on lifestyle management and Smoking or Tobacco Use Cessation REPEAT VISIT every 3 months or earlier for: - Symptoms of Coronary Artery Disease - Any other Surgical or Other Procedural Intervention - Adults of any age if Diabetes, Hypertension, Dyslipidemia or Smoking Persists as risk factors

Disclaimer : This Clinical Algorithm is a general guideline for Physicians using the Cardiac Risk Score. Any additional Laboratory Investigations, Diagnostic Imaging, Treatment or Patient Education related to lifestyle management is under Physician's or Cardiologist's discretion.

61





Exhibit 8 – The Screen Generating the Cardiac Risk Score for the Patients The screen generates the Cardiac Risk Score with following additional features – a) The risk score of the patient with the optimal score for his / her Age b) The top 3 modifiable risk contributors – which the patient should work on moving forward to reduce the risk of the Cardiovascular Disease c) The patient's historical risk score that has been generated from the earlier health checks done in the system – which predicts the risk trend d) The Clinical Decision Support System which provides what the physician should direct the patient to do next in terms of (this is described in the next section) – •

Lab Investigations



Diagnostic Imaging



Referral to Cardiologists



Medications



Patient and Family Education



Repeat Visit timelines

The Innovation delivered its intended goal in following ways – a. This was the first time a risk score was generated for the Indian population after analyzing India specific data through Machine Learning and Artificial Intelligence It provided significant change in the perspective of how cardiovascular risk factors were different in Indian population by depicting the interplay between various important factors like diabetes and hypertension, tobacco chewing and smoking, diastolic and systolic hypertension b. Provided a clinical decision support system for the physician to prospectively identify the relevant risk factors and advice for the risk reduction of the patients c. The entire data generation, analytics and clinical decision support system was integrated to EMR Conclusion: This is the first EMR integrated heart risk related project and risk model on Indian population using retrospective and prospective data which can be helpful in better management for cardiovascular disease care. The tool also integrated a clinical decision support system following the risk score generation which provided appropriate online guideline to the physician to stratify the modifiable risk and take a global approach for management.

Clinical Decision Support System The Clinical Algorithm was developed to support the patient's risk score and channelize them through appropriate care processes as described above. The benefit of the Clinical Algorithm were 2 folds – a) It provided an immediate and handy guideline for the next course of action for the patients with high risk to seek next level of intervention b) It standardized the process of the investigations and referral thereby helping the physicians to guide their patients better



Apollo TeleHealth Services (ATHS) Apollo TeleHealth, with two decades of experience in Telemedicine Services has paved a long way since its inception. Apollo TeleHealth has its presence not only across 19 States of India but also marked its existence in 48 different other countries. With close to 700 Teleclinics, it is the largest Telemedicine network providing specialized solutions like Tele-consults, Tele-radiology, Tele-cardiology, Tele-Condition Management, e-ICU and others.



62

2019

Clinical Excellence

Tele Medicine

CSR

Health Insurance

Hence, ATHS is empowering remotely located populations across the globe to access Apollo's worldrenowned doctors with its state of the art quality healthcare services.

Academics

Recognition

Research

Consultant’s Achievement

Close to 4 million laboratory tests done More than 0.5 million immunizations done More than 0.2 million number of ANC's performed

With the combination of medicine, technology and use of advanced connected medical devices, the benchmark is being raised year on year. Ongoing Projects Mukhyamantri Aarogya Kendram (e-UPHC) - 182 Centres eUPHC is a part of the National Health Mission (NHM), a Government of India program. NHM envisages meeting the healthcare needs of the urban population with the focus on urban poor, by making available to them essential primary healthcare services and reducing their out-of-pocket expenses for treatment. ATHS and the State Government of Andhra Pradesh, through the unique eUPHC centres have not just provided essential primary health services as per the requirements of the program but have gone beyond by upgrading the existing centres and leveraging communication technology to enable specialized healthcare for the urban poor. This pioneering PPP model of healthcare is a significant contribution to Universal Healthcare because of its unique and comprehensive spectrum of coverage and services. In recognition of the benchmarks set up, 18 more centres have been added to this project by the government.

(e-UPHC) Mukhyamantri Aarogya Kendram Centre

Tele ophthalmology (MeEK) - 115 Centres ATHS signed a MoU with the Government of Andhra Pradesh in Feb 2018 for providing ophthalmology screening, diagnosis and consultations to the public residing in Mandal level localities across the state of Andhra Pradesh. ATHS has set up Tele-Ophthalmology centres with state-of-the-art eye screening facilities at 115 identified Community Health Centres (CHC's) run by the Department of Health and Family Welfare, Government of Andhra Pradesh in the 13 districts of the state.

More than 1.5 million unique patients treated

Each centre is equipped with, automated digital equipment viz; fundus camera, auto-refractometer, lensometer, trial set and other eye screening devices with qualified optometrist and ophthalmic assistant to run the centres. ATHS manages the project electronically through electronic medical record (EMR) keeping; digital transmission of images captured from the equipment for eye screening and digital reports through Telemedicine.

More than 5 million consultations done till date

Impact:

Close to 0.5 million specialists 'consultations done

More than 0.6 million lives touched till date

Impact: With more than 2 years, the eUPHC project has been enriched with the following milestones:

Close to 0.5 millions pectacles distributed 63





Close to 30,000 patients suspected with conditions that needed higher treatment, were referred for further interventions Close to 0.6 million refraction checks done More than completed

0.15

million

fundus

examinations

Provided direct employment to 150 - 200 people

This program provides the much needed emergency, specialty and super-specialty consultation services to three different locations at 14,000 ft. above sea level in the Himalayas. Established initially as a proof of concept, technology enabled service delivery model, it is now a time-tested program. This program, implemented by ATHS and the State Government of Himachal Pradesh has been rendering remote health care services close to four years now. Information and Communication Technology powered telemedicine solution was provided at two State Government hospitals in Kaza, Keylong and Pangi, servicing a population of 40,000 people. The program allows patients to get remote video conference-based consultations supported by online, real time, and remote peripheral diagnostics. This program links emergency and specialty experts from Apollo Hospitals with the Regional Hospital in Keylong and CHCs in Kaza using dedicated satellite bandwidth connectivity. Preventive health care services like tele-cervical cancer screening under the supervision of gynecologist from Apollo Hospitals are also provided. Impact: More than 12,000 tele-consultations in Kaza and Keylong, in 17 specialties. Stabilized more than 1,000 emergency cases with over 17 specialties. Till date more than 90 patients have been screened under tele-cervical cancer screening.

Tele Ophthalmology (MeEK) centre

More than 9,000 lab tests provided through telelaboratory services.

Tele-emergency A) Himachal Pradesh Project – 3 Centres The HP-TeleHealth program is first of its kind health care service delivery innovation in India. It has catered to the tele-emergency services for three different locations in the challenging climatic conditions of the Himalayan region.



Detailed prospective impact analysis with stringent audit analysis has confirmed that this project is eminently cost effective, replicable, result oriented and can be extended to similar isolated areas, where conventional health care will not be possible.



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Close to 500 tele-emergency consultations have helped in stabilizing patients Close to 1600 patients, have benefited through physiotherapy services

Himachal Pradesh Telemedicine Centre

B)

National Thermal Power Corporation (NTPC)

NTPC TeleHealth program is an initiative of NTPC to provide health care services to their employees. This program is being implemented by Apollo TeleHealth Services (ATHS), by deploying the latest advancements in Information and Communication Technology (ICT) coupled with trained human resource and advanced diagnostics. Under this program, primary, specialty, super -specialty and emergency tele-consultations are being provided to NTPC employees and their family members. Additionally, physiotherapy services with a dedicated physiotherapist have been enabled at the facility. To complete the service delivery, pharmacy containing essential medicines and a trained pharmacist were established. Impact: National Thermal Power Corporation (NTPC)

Over 1000 outpatient tele-consultations have been provided across major medical specialties

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NCD Screening Program - 15 States Apollo Hospitals endeavour to bring the paradigm shift from “illness to wellness” by focusing on the preventive healthcare was the inspiration behind population Non-Communicable Diseases (NCD) screening.

Close to 0.3 million screenings under Beat Diabetes campaign. Educational programs benefitting more than 20,000 people besides NCD beneficiaries.

ATHS worked with various corporate and associates to conduct screening NCD camps for various diseases like hypertension, diabetes, anemia, cardiovascular diseases, stroke and cancer. These screening camps both public as well as private in nature catered to all sections of the society including urban slum population. Various programs like 'Get Active', 'Beat Diabetes', 'SHE Campaign' were conducted across seven cities in India viz., Bangalore, Chennai, Delhi NCR, Pune, Kolkata, Vijayawada and Coimbatore. Not only NCD screenings were performed but also educational sessions were conducted. Stakeholders or social groups targeted under this initiative include individuals from lower income groups in urban slums and industrial workers. The unique propositions offered by this program were: - Screening of multiple risk factors of NCDs like hypertension, diabetes, anaemia - Data collection through integration of IT and clinical decision support software module. - Provision of tele-consultations during these camps to participants who were identified “at risk” and participants already affected with NCDs - Health education sessions using customized audio-visual content (in local vernacular language) on NCDs to women participants in urban slums along with assessment of knowledge retention Impact: More than 1 million of NCD screenings done till date.

NCD Screening Program





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e-Clinic in Smart City The e-Clinic set up was undertaken by ATHS in collaboration with Bhopal Smart City Development Corporation Limited. In one of its kind initiatives, a cargo trailer parked in the middle of busy market connected patients to the best healthcare experts and specialist doctors from Apollo Hospitals. The service did not handle emergencies, but provided outpatient (OP) tele-consultations across various specialties like cardiology, orthopedics, nephrology, dermatology and neurology. The staff at the e-HC (electronic - health centre) were trained to refer patients to higher centres for secondary and tertiary care. In this project, ATHS provided healthcare services to the residents beyond usual office hours. Consultations through a dedicated 100 Mbps fibre optic network enabled doctors on the other side of teleconferencing, to view live-feeds and review patients' data, thereby making tele-consultation a seamless experience.

e-CLINICin Smart City, Bhopal

Ask Apollo - Virtual Hospital Ask Apollo is a virtual consult service from ATHS. It connects billions of patients to Asia's most advanced healthcare network via video, voice call, chat and email. It is a patient-centric service that gives patients the freedom to consult a doctor at his convenience from anywhere, anytime. Benefits: Comfort of home No queues Saving travel time Ease of use Preventing hospital visit Cost effective Impact: Usage across 48 countries App Registrations –More than 0.5 million registrations More than 0.2 million visitors till date on website More than 0.13 million website registrations done till date

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New Projects Uttar Pradesh PPP Project (Tele-Radiology Services) 134 Centres Apollo Tele-Radiology has been initiated with a mission of addressing the ever-expanding and unmet needs of the global medical community by offering comprehensive, round-the-clock sub-specialist radiology reporting. Apollo Tele-Radiology brings in unparalleled leadership, experience, vision and technology in radiology reporting for hospitals, imaging centres and other radiology practice groups across the globe. Any healthcare provider, small or big, needing full or supplemental sub-specialty radiology coverage can be benefited by the, quality and accuracy of Apollo TeleRadiology support to fortify their practice with convenience. The initiative also has successful forays



into radiology education and research including partnerships in developing Artificial Intelligence applications for radiology. Within less than two years of its existence, Apollo Tele-Radiology provides reporting services for about 50 imaging departments in India and overseas. Radiologists working flexibly provide these services 24/7. ATHS along with Government of Uttar Pradesh, India would be implementing Tele - Radiology services in 2019 across 134 CHCs providing read services for XRay, CT and MRI. Jharkhand Telemedicine PPP Project - 100 Centres ATHS and the Government of Jharkhand, would be setting Digital Dispensaries across 100 selected PHCs of Jharkhand State with state-of-the-art equipment for vital signs monitoring, screening program, and ICT 

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devices. General Practitioner and specialist consultation will be rendered across selected specialties like Gynecology, Pediatrics, Dermatology and General Medicine. The project shall render 360-degree healthcare service at the doorstep of common people at village level, by way of provisioning consultation, investigations and medicines under one roof. The project is intended to cater to approximately 2 million people.

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Corporate Social Responsibility (CSR) Apollo Foundation

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Apollo Total Health Program: A Unique Health System Reform

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Apollo Aushad

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Indraprastha Apollo Hospitals, Delhi CSR

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SACHi: Saving A Child’s Heart Initiative

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Billion Hearts Beating Foundation

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Apollo Hospitals, Hyderabad CSR

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Apollo Hospitals, Bangalore CSR

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Apollo Hospitals, Chennai CSR

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Other CSR Initiatives

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Corporate Social Responsibility (CSR) Apollo Foundation Apollo Hospitals is committed to social responsibility and the pursuit of societal good through inclusive healthcare and is focussed on bringing quality healthcare within the reach of all people regardless of their geographic location or economic status. Apollo Hospitals Group aspires to be a socially responsible corporate citizen delivering superior and sustainable value to all. In order to achieve this goal universally, the Apollo Foundation was established. Apollo Foundation has been working over the years with the objective of bringing timely and quality healthcare to all. We strongly believe in pioneering social initiatives that help surpass barriers and make a real difference at the grass roots. Therefore, the initiatives have been focused on bringing good healthcare in the reach of the disadvantaged communities. These developments are covered through various programmes and CSR initiatives run by different Apollo Hospitals across India, as detailed below. Through these initiatives, Apollo Foundation has reached out to over 1,84,000 people in the year 2018. The mission of the Apollo Foundation is, "To create meaningful interactions with people of our society, and help enhance their quality of life in every way we can”. Apollo Foundation believes in pioneering social initiatives that help surpass barriers and make a real difference. With an aim to upgrade the standards of healthcare across various regions, several impactful programmes have been undertaken. These programmes cover various sections such as Rural

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Development, Rural Healthcare, Skill Development and Vocational Training, Research in Healthcare, Pediatric Cardiology, Cancer Care, Cardiovascular Risk Awareness, Medical Camps and Disaster Relief Programmes. Through the following CSR initiatives run by different Apollo Hospitals across India, Apollo Foundation aspires to make timely and quality healthcare available to all. •

Total Health Programme



Apollo Aushad



Delhi IMCL CSR



SACHi



Billion Hearts Beating Foundation



Hyderabad CSR



Bangalore CSR



Chennai CSR



Other CSR Initiatives

Apollo Total Health Program: A Unique Health System Reform 'TOTAL HEALTH' –The Concept Founded in the year 2013, 'Total Health' is India's first integrated rural healthcare service delivery network in the private sector. Initiated by the Apollo Hospitals Group, Total Health aims to provide 'Holistic Health 

Care' for the entire community: right from birth, through an individual's journey into childhood, adolescence, adulthood and through his/her entire life. Total Health signifies the total wellbeing of an individual, inclusive of physical, mental, social, ecological and spiritual health. It transcends barriers and caters to the health care requirements and aspirations of the community through their journey from the “womb to the tomb”. Total Health Foundation is being piloted in Thavanampalle Mandal of Chittoor District, Andhra Pradesh, which happens to be the birthplace of Dr Prathap C Reddy, and would cover more than 54,000 people across all age groups. This Programme aims to promote a healthy and happy living atmosphere through promotion and protection of health, prevention of disease, protection of ecological balance and need-based community infrastructure development.



To improve health of communities through education; promotion of healthy lifestyle and healthcare research for disease and injury prevention and improvement in sanitation with a focus on design, development and delivery of innovative healthcare solutions.



To undertake, promote, assist or engage in research and development work required to promote, assist or engage in setting up of healthcare facilities.



To develop appropriate technologies ranging from preventive, diagnostic, curative or rehabilitative measures for delivery of affordable and accessible healthcare.



To bring together academic and industry experts to evaluate existing healthcare systems and also to undertake technology and health systems research in collaboration with selected centers of excellence.



To establish, design, and manage health promotion and disease prevention programmes and policies.



To establish skill development training center and provide livelihood to the communities.

Thavanampalle Mandal of Chittoor District, Andhra Pradesh Program Goal “Extending Total Health to the community through comprehensive integrated healthcare services, inclusive of physical, mental, social and spiritual health” Objectives •

To establish India's first integrated healthcare service delivery network.



To provide comprehensive quality healthcare to the rural populations by initially adopting Thavanampalle Mandal in Chittoor district, Andhra Pradesh.

rural



32 Gram Panchayats with 195 habitations with a population of more than 59,000 poeples.

Core Areas of Intervention •

Health



Nutrition



Water and Sanitation



Environment



Livelihoods



Education



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Community based infrastructure support

Total Health Household Survey The program had started with a baseline household door to door arduous survey to study the health, social and economic status of the communities. The health survey instrument is based on World Health Organization's “STEP” approach. It has covered more than 30906 people till December 2018 and classified them according to their ten-year risk of getting a noncommunicable disease (NCD), into three basic groups of low risk, moderate risk and high risk. The population is further being followed by investigations, counseling and medication through “Mobile and Satellite Health Clinics of Total Health” and if necessary expert management is imparted by Apollo Hospitals, Aragonda. It also conducts cancer screening for women and eye screening for the community with a focus on NCD patients.

Special consultation for NCD Patients (Diabetic and Hypertension)

Diabetic Special Camp Diabetic Special Camps were conducted for diabetic patients. Total 153 members benefitted till December 2018. Total Health Household Survey

Management Diseases

of

Non-Communicable

Emphasis has been given on management of noncommunicable diseases like diabetes mellitus, vascular hypertension and cancer. A scientific protocol evolved by a team of experts from Apollo Hospitals is rigorously following the management of these diseases. Colposcopic examinations are being done regularly with suspected cases of cervical cancer being further followed up with pap smears and biopsy.

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in a stand-alone model. Services: •

Screening



Diagnosis



Treatment



Monitoring

Diabetic Special Camp at Arogonda

Eye Screening Camp Eye screening camp was organized for the underprivileged community in villages and corrective measures are taken to improve the vision. Total 1355 individuals are screened. IOL surgery was done for 59 and 512 patients got corrected spectacles. Mobile and Satellite Clinics

RNTCP (Revised National Tuberculosis Programme, Govt. of India) - Designated Microscopy Centre (DMC) Eye Screening Camp

Mobile and Satellite Clinics The “Mobile and Satellite Clinics” established, provide comprehensive health care inclusive of basic investigations with an emphasis on identification and managing of the Non-Communicable Diseases, in the community. The mobile health care units travel the length and breadth of the Thavanampalle Mandal, while the satellite clinics are the static nodal points which cater to the entire health care needs of a cluster of villages surrounding it. The Mobile Clinics extended health care services to 8357 members in 98 villages along with basic investigations on a rotation basis. The Satellite Clinics extended health care services to 6709 members in 63 villages along with basic investigations,



Designated Microscopic Centre was set-up in convergence with district tuberculosis department to extend sputum AFB examination. Total cases screened were 178 out of which positive cases were 12 and 166 were negative cases.

General Health Screening Periodical health screening camps were conducted for the communities in various locations of Thavanmapalle Mandal focusing on general health with hematological, radiographic and UV scan investigations. Total 3719 Members got screened till December 2018. The mega health camp conducted on 24th Nov 2018, benefitted 424 people.



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General Health Screening Camp

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Health Screening camp in School

School Health Regular school health screening camps were conducted in all the government schools in Thavanampalle Mandal with emphasis on cardio vascular system, ENT, oral and dental hygiene with medication and rigorous follow ups. 5906 students were screened for CVS and other diseases. 376 suspected cases were referred to higher centres for further investigations. 4 children underwent cardiac intervention surgeries free of cost with annual followup services

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Recognition



Ayush Integrating AYUSH system into the allopathic system, along with encouraging meditation, rural sports and exercising is aimed at popularising traditional medicine. Total 1413 patients benefitted through traditional medicines till December 2018 and majority of them were osteoarthritis and neurological problems.



Disease wise analysis for AYUSH beneficiaries 10%

15% 40%

5%

Knee Osteoarthritis Rheumatoid arthritis Cervical spondylitis LBA Skin disorders

Swarna Bindu Prashana Vaccination Program

30%

Cancer Screening

Integreting AYUSH System

Swarna Bindu Prashana This is an ayurvedic immunization program for children up to 16 years of age. Total 1159 children benefited till December 2018.



Total Health has initiated cervical cancer screening for the women of Thavanamapalle Mandal. The colposcope has been donated by Phillips to conduct screening examination. The women underwent the colposcopic examination and pap smear was conducted for suspected cases during follow-up. Medications and counselling were prescribed for minor infections such as candidiasis, cervicitis. Total 2318 women are screened for oral, breast and cervix cancers.



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Nutrition Centres Lactating Mothers

Research

for

Consultant’s Achievement

Pregnant

and

Nutrition Centre for pregnant women catered to over 328 pregnant and lactating mothers and about 61 children of below 5 years' age.

Cancer Screening for Women at Thavanamapalle Mandal



All cervix infection cases were kept under antibiotic therapy.



Cases of CA cervix were referred to Chittoor Govt. General Hospital for biopsy and cryotherapy.



Uterus prolapse cases were referred to Chittoor Govt. General hospital for Vaginal Hysterectomy.



Suspected cases in oral and breast cancer were screened and treated by general surgeon at Aragonda Apollo Hospital.

16%

84%

NORMAL SUSPECTED Oral cancer screening findings

Pregnant and Lactating Mothers Nutrition Centres

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Objective of nutrition centre for Pregnant Women •

Prevention of anemia and malnutrition in the mothers, congenital disabilities of the foetus and bringing down the IMR and MMR.



The Nutrition Centers were set up primarily to provide adequate nutritional support in the form of supplementary food daily to the pregnant and lactating mothers from needy and poor families. The benefits envisaged from this intervention were improved maternal health, increased birth weight of the child and adequate breast-feeding for the child.



As part of it, periodical (once in a month) health checkup for the mothers was conducted. It also educated them on low cost nutritional food; awareness on breast feeding, the physiology of trimesters and the importance of institutional deliveries.

Currently Total Health supports 6 nutrition centres with 376 beneficiaries in the following villages; Aragonda, D. Modalapalle, Thodathara, Govinda Reddy Palle, Diguva Thadakara and Sarakallu

Ante-Natal Mother Success Story During the regular ante natal checkup in the nutrition centre, patient 'S' diagnosed with RHD, amenorrehea. On emergency basis Total Health got the patient admitted for institutional delivery in a tertiary care centre and delivered a male baby through normal labour and discharged in stable condition. The mother and infant were followed up for 3 months. At present the mother is availing nutrition support.

The unique features of this program include the regular medical checkups given to the beneficiaries, ensuring institutional deliveries and the fact that it is managed by the community itself and thus ensures sustainability.

Breast feeding awareness on World Breast Feeding Week





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Supporting in mobilization of ANC to the Total Health Nutrition Centre with proper identity card (for pregnant mothers).



Taking mother and children to the government hospital for immunization on every Wednesday.



Continuous health awareness on personal hygiene, breast feeding and importance of colostrum. Emphasis on usage drumstick leaves and green vegetables in the diet to the ANC and PNC mothers.

Session to promote regular medical checkups and institutional deliveries

Educational Sessions for the Asha Workers Awareness sessions on cervical, breast and oral cancers were undertaken for the ASHA workers periodically to educate women folk in Thavanampalle Mandal and to enable mobilization for screening.

Orientation workshop for ASHA workers and ANM's of the Thavanampalle Mandal

ASHA workers' role in Total Health Nutrition centres •

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Supporting Total Health in conduction of periodical health investigations to ANC and PNC at Nutritional Centres.



Distribution of food for malnourished children





Growth and maintenance of backyard kitchen garden and papaya saplings to the mothers through waste water.



Awareness and demonstration on preparation of low cost nutritious food from available provisions.



Ensuring 100% institutional deliveries.

Geriatric Nutrition Centre at Ponnedupalle village of D.Modalapalle Grama Panchayat

Geriatric Nutrition Centres and Health Check-ups Total Health has initiated 3 Geriatric Nutrition Centres catering to over 147 elderly people in three villages.

These centres help the geriatric population by: • Avoiding disease and disability • Maintaining high cognitive and physical functioning • Engagement with life





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Elderly Day Care Centre Elderly day care centre at Aragonda with facilities of indoor games, TV and news paper reading room has been set up.

Yoga

Apollo–ISHA Vidyaniketan English medium school

As a part of life style modification Yoga has been reintroduced in the rural community of Thavanampalle Mandal. Sessions are conducted regularly in the villages as well as the Zila Parishad Schools. Elderly Day Care Centre

Education An Apollo–ISHA Vidyaniketan english medium school has been established in partnership with ISHA Foundation, Coimbatore to impart quality value based education akin to international standards at a subsidized cost to the rural community. The school has been set up in serene picturesque surroundings with state of art facility with a student's strength of 550. The school lays stress on activity-based child centric learning and also imparts regular Yoga training.

Yoga was initiation in 32 villages. Research project under 'stop type 2 diabetic' in convergence with VYASA University, Bangalore was undertaken Yoga instructor course has been initiated and 54 candidates have undergone the training.

Total Health is also extending need-based child centric infrastructure support to government schools in the form of sanitation facilities and school furnitures.

Total Health celebrated 4th International Day of Yoga

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Potable water Total Health is committed to ensure potable water to the community. Eight potable water plants have been established in 8 Gram Panchayats with 48 habitations consisting of more than 30,000 populations. Six RO plants supporting 18,000 people have been installed so far.

Potable water plants

Environment Kitchen gardens - This includes promotion of nutritious food through backyard organic kitchen gardens and 5000 families have benefitted. Emphasis laid on drum stick and papaya saplings plantation. Beautification of villages - This is being ensured through a drive involving the youth in cleaning the drains, roads, bushes in public places, children's parks, and distribution of dust bins for household sanitation. Also planting of the saplings on the road sides and promotion of vermi- composted is being undertaken.





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Encouraging Agriculture Setting up of Poly House

Vanam Manam Tree Plantation Program

Sanitation Additional financial support has been given to 561 families for the construction of individual sanitation latrines with major contribution by the government to prevent open air defecation to ensure privacy to women folk and also to prevent diseases and protect the environment.

A sensitization meeting was held with the like-minded farmers to understand their needs and also to discuss on poly house technology and natural alternate farming practices in the mango predominant Mandal. Total Health interacted with the horticulture department to set up a poly house on a pilot basis. Total Health obtained administrative sanction orders from Horticulture Department for construction of poly house under protected cultivation. The first crop sown was English Cucumber and around 5514 Kgs was harvested to generate income. The second crop was Ball Pepper.

Construction of full-fledged functional school sanitation complexes in government schools are also being undertaken to inculcate the habit of utilization of sanitation facilities by the students. The sanitation facility has been extended to 7 government schools with student strength of about 2000. Two villages in this Mandal were awarded by the Central and State Government recently for making their areas one of defecation free.

Inaugural of the first model Polyhouse by Dr. Prathap C Reddy, Chairman, AHEL and P.S. PradhyumnaI.A.S, Collector and District Magistrate Chittoor

Tree Plantation As part of the 'Vanam Manam', Total Health has planted 5997 saplings in convergence with forest department, police department and the local panchayats in Thavanampalle Mandal.

School Sanitation

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Skills Training - Refrigeration and Air Conditioning

Skills Training – Apparel Designing, Jute and Paper Bag Designing

Total Health entered in partnership with Blue Star India Ltd. for providing skill training on Refrigeration and Air conditioning to the local youth of Thavanampalle Mandal. This initiative helped the local youth to get the jobs with the local dealers or undertaken freelancing services.

In order to develop skills and professional capabilities of people from the underprivileged community, vocational trainings were provided such as tailoring, apparel making and jute bag manufacturing. More than 500 people were trained under these courses. Many have started earning livelihoods through these new set of skills.

Two batches have been completed with 27 trainees and 3rd batch was initiated with 15 students.

Ms Preetha Reddy, Co-Chairman, AHEL has inaugurated the R&AC (Refrigeration & Air Condition)





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medicines were provided every month to these old age homes. Apollo Aushad is currently working with 132 old age homes in Tamil Nadu, Andhra Pradesh, Telangana, Karnataka Delhi and NCR. The program benefits more than 4,500 residents of the homes.

Skill Development Centre

Community based Infrastructure Support A Total Health Complex consisting of a community hall, stadium, skill centres, yoga and meditation hall, walkathon, elderly care centre, yathri nivas and Ayush Clinic. It is spread in a serene 5 acres of land on the outskirts of Aragonda village.

Apollo Aushad Apollo Aushad is a joint CSR Project of Apollo Pharmacy and Apollo Educational and Research Foundation (AHERF), which looks after the healthcare needs of the disadvantaged elderly and children. The CSR Project was conceived with an aim to reach out to the needy senior citizens in Old Age Homes and the children in orphanages to help reduce the financial burden of their healthcare and medicine requirements. As a part of the program free medicines and health checks were provided to residents of Old Age Homes. Also, health checks and workshops were organized for the children in Orphanages. Below is a brief about the program:

Old-age Home Programme Apollo Aushad identified the needy and deserving homes where regular checks and medicines were provided free of cost every month. As a part of the program, health check camps such as – general check camp, cardiology camp, eye check camp and bone density check camp were conducted. The required

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Old-age Home Programme

Orphanage Programme In the year 2018, the Orphanage Program aimed to spread awareness and develop healthy living for children from disadvantaged background of the society. The program was running in 12 orphanages in Delhi and NCR region, where basic health care was provided and prevention of diseases through health camps and awareness workshops was encouraged. The programme organized health camps such as general check, eye check, dental check, nutrition and first aid workshop for the children. 

Indraprastha Delhi, CSR

Apollo

Hospitals,

Indraprastha Apollo Hospitals, Delhi, Corporate Social Responsibility division focussed towards the health of children and women of the underprivileged community, as well as the frontline workers of the Forest Department. In the year 2018, more than 48,000 people benefitted from the activities. As a part of their CSR initiative, Delhi IMCL ran the following projects:

Aimed at improving learning outcomes through creative methods, the project trained teachers who in turn trained students through the activities and Fundango Boxes that had creative material. In the year 2018, the project benefitted over 1300 underprivileged children.

A Healthy Start Started in 2014, the programme addressed the needs of clean drinking water, sanitation and hygiene for the school children from socio-economically underprivileged families. The project worked in 6 MCD and Government Schools in Badarpur, for installing clean water drinking facilities and building toilets in schools. The project also aimed at creating awareness towards hygiene and sanitation amongst children through drawing competitions and training sessions. In the year 2018, water and sanitation facilities were built, and awareness sessions on hygiene were held benefitting over 2100 girls and boys of primary schools.

Art education for childrens

Clowning Sessions for Paediatric Cancer patients Two clowning sessions for the paediatric cancer patients were organised in Indraprastha Apollo Hospitals for the pediatric cancer patients.

A Healthy Start for School Children

Clowning Sessions for Paediatric Cancer patients

Art in Education Project Art in Education project, in association with the NGO Nalandaway Foundation, worked to better education in schools for the underprivileged primary children.



Health Camps for Pregnant Women and Under-Privileged community Health camps for underprivileged pregnant women 

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were held every month in the urban village communities of Delhi, medical check-up and nutrition advice were provided to the pregnant women by gynaecologist. Also general and cardiac camps were conducted for the underprivileged community in Rishikesh for Rishikesh Parmarth Ashram and in Delhi for Jasola Church camp. Free iron and folic acid supplements and medicines were provided in all these camps. In the year 2017-18, the camps benefitted over 1400 women and people of the underprivileged community.

Academics

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Treatment of Frontline staff of Forest Department under the MoU with World Wildlife Fund Frontline workers of the Forest Department, often get seriously injured in their service to protect the precious wildlife, and need all the medical support they can get. In the year 2017-18, surgery and medical care was provided by specialists from Indraprastha Apollo Hospitals, Delhi for 3 severely injured Forest Department Frontline volunteers, referred by WWF and Forest Departments.

SACHi: Saving A Child's Heart Initiative SACHi was established in 2003 and is one of Asia's largest voluntary organizations dedicated to screening, awareness and healthcare of children. It is a registered charitable organization providing healthcare for underprivileged children and aid to children with heart diseases. As a part of the programme, two projects were run: Congenital Heart Surgeries and School of Heart program.

Congenital Heart Surgeries The program was initiated for the detection and treatment of congenital heart diseases in children. The condition was detected through free monthly clinics, health camps and heart screenings. The children detected with congenital heart disease were provided free or subsidized treatment such as open heart surgeries and cardiac interventions. In the year 2018, surgeries have been conducted for 11 children in Delhi and Hyderabad.

School of Heart Program Started in 2014, the School of Heart Program aimed to spread awareness and develop healthy living for children from economically weaker sections of the society. As a part of the program, free health checks and awareness workshops were organised for children studying in the Government and NGO schools.

Pregnant women and under-privileged community health camp

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The programme organized health camps and workshops such as General check, Eye check, Dental check, Nutrition workshop and First aid workshop for the children. The programme was run in 10 NGO and Government Schools in Delhi and NCR, benefitting over 2600 children.



In the year 2018, BHB conducted awareness session on Life saving for 1500 NCC cadets, which included a demo on basic life support.



BHB conducted activities for other initiatives of Apollo Foundation such as for SACHi and Apollo Aushad.



Under Apollo Aushad, it conducted health camps and medicine distribution in 32 old age homes in Delhi and NCR as a part of Old Age Home Program. Also, it conducts health checks and workshops in 12 Orphanages in Delhi under the Orphanage Program.



Under SACHi, it conducted health checks and workshops in 10 schools in Delhi and NCR, as a part of School of Heart Programme.

School of Heart program

Billion Hearts Beating Foundation Billion Hearts Beating Foundation (BHB) is a not-forprofit organization that works with the objective of increasing awareness and prevention of heart disease and its contributing risk factors in India. To combat the core issues pertaining to heart disease through a sustained programme of action and awareness, BHB has identified 5 simple solutions: Eat Healthy, Get Active, Quit Smoking, Beat Stress and Get a Regular Heart Check.



Workshop for children



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The following CSR activities were conducted as a part of the CSR initiative:

Apollo Hospitals, Hyderabad CSR The CSR division of Apollo Hospitals in Hyderabad focused on providing medical care for the people from underprivileged community through health camps. In the year 2018, Apollo Hyderabad, CSR conducted 53 Medical Camps such as eye screening and general camps, benefitting over 3800 people from disadvantaged backgrounds of the society. The camps were held across Schools, Social Welfare hostels, Cab driver's community, WWF Forest Guards, old age homes and religious locations among others. Other CSR activities included organising lunch for the children in the blind school, conducting a programme for children in paediatric ward and organising a first aid centre at the Ramoji Film City for 3 days.

Health Camps for Pregnant Women Monthly health camps were held for pregnant women from disadvantaged background of communities, where medical screenings and treatments were provided to the women. The camp was held on the 9th of every month at the Government Primary Health Centres.

Supporting Schools in Rural Areas Under this project, Apollo Hospitals, Bangalore, took into consideration the needs of the schools in rural areas especially government schools (pre-primary and primary). It provided water purifier for clean drinking water, black boards, lab facilities, equipment, benches and other things required by these schools. Also conducted workshops to teach hand hygiene to the children of the schools. Apart from this, the employees of Apollo Bangalore volunteered to teach Computers and English to the children.

Old Age Homes Adoption Under this project, old age homes were adopted to provide medical care for the residents through medical screenings and doctor consultations. The programme has 3 old age homes under coverage.

Apollo Hospitals, Chennai CSR Health check-up camp

Apollo Hospitals, Bangalore CSR The CSR division of Apollo Hospitals, Bangalore, worked to provide healthcare for children, women and the elderly from the underprivileged sections of the society. In the year 2018, the activities and camps organized by Bangalore CSR benefitted over 4,100 people.

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Apollo Hospitals, Chennai CSR division operates daily free clinics and 24X7 emergency care centers for the underprivileged communities in Tirumala, Koyambedu, Tambaram, Ayanambakkam and Vanagaram centres of Apollo Hospitals, Chennai. The services were provided throughout the month, where a majority of patients with generic health issues were treated at the clinics, while a small percentage of cases of polytrauma, cardiac, and neurological issues were provided further treatment at the hospital or were referred to other hospitals.



In the year 2018, over 13,000 patients were provided free health checks, treatment and free medicines through the free clinics and emergency care center. This included cases of surgeries and hospitalization.

Other CSR Initiatives Medical Partner at Pinkathon Apollo Foundation is a healthcare partner with Pinkathon, India's biggest women's run organised in various states all across India to spread awareness about Breast Cancer. Apollo Foundation provides for medical care such as ambulances and doctors during the marathon. It also provides free checks to the participants for detection of breast cancer and organizes breast cancer awareness camps. In the year 2018, Apollo Hospitals has provided medical assistance to over 10,000 participants at the Pinkathon events held in Hyderabad and Kolkata.

Pinkathon event

Children's Right to Safety Campaign Apollo Foundation donated 500 customized helmets in Delhi schools, under the 'Children's Right to Safety Campaign' in association with Indian Head Injury Foundation. A road safety workshop was conducted for the parents and students in three Government schools in Delhi which emphasized on road safety and prevention of head injuries.





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Health Insurance Apollo Munich Health Insurance

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Health Insurance Apollo Munich Health Insurance

Growth Story

Spanning over 11 years, the journey of Apollo Munich Health Insurance is marked by business excellence that led to significant growth of India's health insurance landscape. The company successfully touched over 22 million lives since inception.

Apollo Munich recorded a 32% Y-o-Y growth in Gross Written Premiums (GWP) as on 31 March 2018. Apollo Munich has been a frontrunner in supporting the Government of India in their National Health Mission. It has been awarded the mandate of insuring the entire state of Nagaland under Ayushman Bharat National Health Protection Mission that is poised to cover 500 million BPL Indians.

Backed with over 4,000 employees and more than 40,000 retail agents, the company extended its reach through more than 300 physical and digital offices across India. With its strong bancassurance network of 12 banks and strategic partnerships with MakeMyTrip and IBM, Apollo Munich has uncomplicated the health insurance journey for citizens of India. Apollo Munich paid over INR 4,372 crore claims till December 2018.

Bancassurance Ecosystem

Apollo Munich has also partnered with MEDICI, a fintech research and advisory firm, with the objective of accelerating the growth of its current products and enhancing customer experience. It has further uncomplicated the customer's experience with Walkin and Walkout @ Cashless. A customer can walk into a healthcare provider's facility for hospitalisation and get instant approval for cashless hospitalisation.

New Products Though India is home to modern healthcare, however, due to rising inflation, quality healthcare is becoming inaccessible for most.

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100% claims settled in 30 days



90% claims settled in 15 days



95% cashless authorization in 30 mins



A claim paid every 4 mins



A maternity claim paid every hour

In its endeavor towards 'Making India Health Confident', Apollo Munich has created health insurance products, to cater the current needs of people, while securing their health financially. The following are some of these innovations:

iCan Encapsulating the prowess of its rich parentage, Apollo Munich introduced a comprehensive cancer plan, aptly-named iCan.





policy details, access policy related documents, check location-wise network hospitals, submit claims and track claim status. CANCER M IGHT  PROBLEM. BEST TO H A VE A

LIFELONG  PLAN.

It is a first-of-its-kind cancer insurance plan in India that offers life long coverage and comes with an annual renewal option, even after claim. The plan not only covers the basic medical needs, but also provides complete financial security to the patient as well as the family at all stages of cancer.

Energy With a promise of bringing quality healthcare within the reach of every Indian, Apollo Munich has launched the all-new reloaded 'Energy' health insurance that covers all types of Diabetes from day 1.

Technology Experience

to

Enhance

Customer

Apollo Munich has unveiled 'AMSPA' tool for its employees. Acting as a smart personal assistant tool, it eases the entire selling process by making it hasslefree. For one of its valuable corporate partners, IBM, Apollo Munich has launched 'Quick Fit', a comprehensive health and wellness program to take care of IBM employees. Apollo Munich also contributes towards the education of underprivileged girl children through an NGO called 'Nanhi Kali'.

For the Employees The learning experience at Apollo Munich has taken a big leap with the launch of AMLearn - a digital playbook. AMLearn is the organization's endeavor to make learning engaging, accessible anywhere anytime and byte sized. It breaks the barriers of geography, time and course availability and offers learning content in some interesting formats, accessible through mobile devices with online instant leaderboard and certifications. Apollo Munich has revolutionized the culture of appreciation by launching 'KUDOS', a digital rewards and recognition portal. It offers multiple benefits, including ease of usage, leverage spontaneity, social media compatibility, instant alerts. KUDOS is mobile based and a lively platform to make praise visible across functional and behavioral boundaries.

Apollo Munich has launched a unique distribution model - 'AMpower', to connect remote areas to the mainstream with technology as its focal point. As an omnipresent solution, AMpower has created a techsavvy agency force capable of servicing policy holders anywhere in India. With this initiative, the policy issuance time has reduced to approximately 7 minutes. To offer a unique proposition to its customers, AMpower is further amplified with more powerful features like simplified NACH mandate registration, relaxed policy renewal norms and policy issuance.

Apollo Munich has launched an intensive and customized leadership program, 'ZBH Academy' in partnership with India's leading management institute 'IIM Ahmedabad', with an aim to encourage leadership development and accelerated growth.

Apollo Munich has revamped its technology led App 'Health Jinn' with an aim to offer a seamless experience to its customers. Now policy holders can use Health Jinn app to track their steps, check/ update

With the philosophy of 'Employee First', Apollo Munich has launched “NIRAMAYA' for its employees. It is a health and wellness management program which encompasses overall wellness; inclusive of both





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physical and mental wellness and covers activities like yoga and zumba.

Making a Difference as a Corporate Citizen Apollo Munich has launched 'ROSHINI'- with a dual objective of bridging the gap of paramedical staff in the country and empowering over 10,000 women.

Roshini, is a full year CSR initiative, aimed at imparting paramedical skills in rural girl youth of our country to make them employable. The program aspires to provide skills and certification through two months comprehensive 'classroom' and 'onsite training' to help them get employed as 'General Duty Assistant'. The program has already provided job placement to 300 women. This program for women empowerment has kicked off batches in the states of Delhi, Uttarakhand, Rajasthan and Andhra Pradesh.

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Recognition

Research

Consultant’s Achievement

Academics DNB/FNB Programs

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Apollo Clinical Knowledge Network (ACKN)

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Apollo Nursing Education

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Medvarsity Online

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Apollo Medskills

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Apollo Institute of Medical Sciences and Research (AIMSR)

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Academics Post Graduate Medical Education at Apollo Hospitals Royal College Courses (UK)

National Board of Examinations

Member of Royal College Emergency Medicine (MRCEM)

DNB /FNB Programs

Indian Society of Critical Care Medicine Indian Fellowship in Critical Care Medicine (IFCCM)

Indian Diploma in Critical Care Medicine (IDCCM)

DNB/FNB Programs Apollo Hospitals runs the largest Diplomate of National Board (DNB) and Fellowship of National Board (FNB) Program under the aegis of National Board of Examinations (NBE). As of 31st December 2018 there were 831 DNB/FNB candidates at 11 locations of Apollo Hospitals. In 2017, 452 seats were available for DNB/FNB programs at Apollo Hospitals which increased to 496 in 2018. Indraprastha Apollo Hospitals, Delhi started new FNB courses in Liver Transplantation and Paediatric Intensive care in 2018. The aim is to increase the number of seats to 550 in the next 3 years.



Sydney Child Health Program (University of Sydney) Diploma in Emergency Medicine (Royal Liverpool Academy, UK) Fellowship in Clinical Cardiology Masters Class - Diabetes Mellitus (Royal Liverpool Academy, UK)

NBE has granted accreditation to the following DNB/FNB programs at different locations of Apollo Hospitals. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15.

The NBE has accredited Apollo Hospitals for training and examination in 15 Broad Specialities, 18 Super Specialties and 7 Postdoctoral fellowship (FNB) programmes.

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MedVarsity



Broad Specialities

Anaesthesiology Emergency Medicine ENT Family Medicine General Medicine General Surgery Nuclear Medicine Obst and Gynae Orthopaedics Pathology

Paediatrics Radio diagnosis Radiotherapy Respiratory Diseases Transfusion Medicine

Fellowships (FNB)

1.

Critical Care Medicine

2.

Infectious Diseases

3. 4. 5.

12.

Paediatric Intensive care

8.

Liver Transplantation

1.

5. 6. 7.

16. 17. 18.

Neurology

Paediatric Cardiology Paediatric Surgery Plastic Surgery Rheumatology Surgical Gastroenterology Surgical Oncology Vascular Surgery

19.

Haematology

Cardiac Anaesthesia Cardio Thoracic Surgery

1.

Anaesthesiology for Minimal Access

Cardiology

3.

Paediatric Urology

4.

Fetal Medicine Molecular Biology

DNB/FNB proposed to NBE in 2018

Super Specialities

2.

Endocrinology Gastroenterology

5.

Genito Urinary Surgery Medical Oncology

8.

Nephrology

9.

Neuro Anesthesia & Critical Care Neurosurgery

10.

15.

Paediatric Gastroenterology

7.

4.

14.

Minimal Access Surgery

6.

3.

13.

Interventional Cardiology

Paediatric Haemato Oncology

2.

11.

Bariatric & Metabolic Surgery

6.

Clinical Immunology

7. 8.

Genetics Disaster Management

9.

Geriatrics

In 2018, thirteen DNB trainees from Apollo Hospitals were conferred with gold medals and other awards by the NBE:

Name

Apollo Hospitals Locations

Speciality

Dr Zirpe Dinesh Kundlik Surgical Gastroenterology

Award

Chennai

Gold Medal

Dr Manish Kr Sharma

Respiratory Medicine

Chennai

Gold Medal

Dr Dalal Ankit Shailesh

Gastroenterology

Chennai

Gold Medal

Dr Himanshu Aggarwal

Rheumatology

Delhi

President’s Gold Medal

Dr Abhishek Patil

Rheumatology

Delhi

President’s Gold Medal

Dr Balaraju

Cardiology

Delhi

Dr HS Wasir Gold Medal

Dr Soma Agarwal

Transfusion Medicine

Delhi

President, NBE Gold Medal

Dr Brinda Kakkar

Transfusion Medicine

Delhi

President, NBE Gold Medal

Dr Sakshi Gagneja

General Medicine

Delhi

Dr Sam GP Moses Gold Medal

Dr Karthik

Internal Medicine

Hyderabad

Dr Sam GP Moses Gold medal

Dr Nanditha

Radiation Oncology

Hyderabad

Dr Satyapal Agarwal Gold medal

Dr Priyanka Patil

Cardiothoracic Surgery

Hyderabad

Dr CS Sadasivam Gold Medal

Dr Nigar Fathima

Pathology

Hyderabad

President’s Gold Medal





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Knowledge

ACKN has been instituted in order to create a knowledge center for an academic exchange across different Apollo institutions. Weekly clinical meetings are conducted for Consultants, DNB trainees and Junior Medical staff across the Group Hospitals. Medvarsity serves as the connectivity engine for ACKN. The various locations of Apollo Hospitals Groups connect every week to enable consultants to became a part of clinical knowledge

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enhancement. The Clinical presentations are made by consultants from individual Apollo Hospitals locations and are transmitted live across the Apollo Group. The case deliberations are recorded by Medvarsity and made available 24X7 to any clinical staff who might have missed the session. The DNB/FNB Academic Coordinators of each unit are the single point of contact. To build a culture of multidisciplinary clinicals deliberations, these clinical meetings are organized with each of the NBE approved hospitals by rotation.

Following is the list of Clinical Presentations which were held in the month of December 2018

Locations Chennai

Dr. T.S. Balachandar Sr. Consultant - GI Surgery

Management of Patient with Ulcerative Colitis

Hyderabad

Dr V Srikanth Sr. Consultant - Neurology

Stroke mimics and Chameleons

Dr. Mukesh Goel Sr. Consultant - CTVS

Case of Cardiac Rupture

Dr. M.K. Goenka Sr. Consultant - Gastroenterology

Cases of Pain abdomen

Dr. Rucha J. Mehta Consultant - Endocrinology and Diabetology

Endocrine Hypertension

Dr. Aurn Naik Sr. Consultant - Neurosurgery

A rare case of childhood stroke

Dr. Samiran Das Adhikary Sr. Consultant - Genito Urinary Surgery

Commonly-Uncommon encountered cases of Blunt Abdominal Trauma

Bilaspur

Dr G S Asati Sr Consultant, Orthopaedics

Acetabular Fracture FixationEvidence Based case Series

Madurai

Dr. Vani and Dr. Jude Vinoth Sr. Consultant - Internal Medicine

An interesting case of Dyshaemoglobinemia

Mysore

Dr Sripati Adhikari, Consultant Paediatric Dr Srinivas Naloor, Consultant Nephrology and Dr Anish Behl Consultant Endocrinology

Lupus Nephritis with Diabetes in a 9 year old child

Dr Kamal Chetri Consultant - Gastroenterology

A Case of G I Bleed” and “A Case of Recurrent Vomiting

Dr. Dhanya Dharmalan and Dr. Vijay Yewale Consultants - Paediatric Infectious Diseases

Case based discussion on Antimicrobial Resistance and the way forward

Delhi Kolkata Ahmedabad Bangalore Bhubaneswar

Guwahati Mumbai

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Topics

Speaker





Snapshots of consultants / JMS and DNB trainees participating in ACKN series.

Apollo Hospitals, Guwahati

Indraprastha Apollo Hospitals, Delhi

Apollo Hospitals, Bangalore

Apollo Hospitals, Bilaspur

Apollo Hospitals, Madurai

Apollo Hospitals, Sheshadripuram





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Apollo Nursing Education Apollo Nursing Education has expanded as the only organisation in the country to have 12 nursing colleges/schools in various states and has gone beyond the borders to establish a School of Nursing in Bhutan. Apollo Nursing Education provides a continuum of nursing courses from GNM, B.Sc Nursing, M.Sc and Post Basic Diploma in various nursing specialities to that of PhD in Nursing. The year 2018 was very encouraging with 100% admission in undergraduate courses, 100% results of outgoing graduates. The year 2018 also saw starting of a new school of nursing at Bhutan, new courses in nursing, enhancement of students intake, overseas collaborations, getting research grants, publication of books and articles in journals, editorial ship in distinguished journals, rewards and recognitions for principals and faculty members, student achievements, top ranking in state levels both in academics and extracurricular activities, recognised as centre for training by international organisations, value added education with short term courses, product innovations, faculty empowerment through continuing nursing education and social responsibility activities. The following were the initiatives undertaken in 2018: Mutual recognition agreement with Singapore Nursing Board: Singapore Nursing Board directly recognised the qualifications offered by Apollo College of Nursing, Chennai in a historical agreement signed by Government of India. This mutual recognition would facilitate the graduates from Apollo College of Nursing to obtain endorsement from the Singapore Council without a qualifying examination. The qualifying exam is mandatory for all other graduates to

Academics

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practice in Singapore. This agreement would thus save waiting time of 3–6 months and payment requirements to start practice. Occupational English Test (OET) testing venue and Provider Centre: Apollo College of Nursing, Chennai is the first college of nursing in India to sign an MoU to get recognised as a testing venue and provider centre for OET, Australia. OET preparation is done for healthcare students and professionals who want to register and practise in an English-speaking country (Australia, New Zealand, Singapore or Dubai). Enhancement of Seats: The number of seats in B.Sc Nursing was increased from 50 to 100 at the Apollo College of Nursing, Hyderabad and Chittoor. Apollo School of Nursing, Bhutan: Necessary approvals were obtained to start Apollo School of Nursing at Bhutan. Learner support Centre of TNPESU: Apollo Nursing Education has spread its roots into the realm of distance education and learner support centre is recognised by the Tamil Nadu Physical Education and Sports University, Chennai to offer more than 85 courses. Rated as Best Nursing College: After diligent evaluation, the Silicon India Magazine has reported Apollo College of Nursing, Chennai to be one among the 20 most promising nursing colleges among the 4500 colleges/ schools in India. Overseas Collaborations: Students from Ngee Ann Polytechnic (Singapore) obtained overseas clinical attachment program at the Apollo Nursing College in Chennai and students from the University of Montreal obtained the attachment at Hyderabad.

The following research projects have been undertaken by Apollo Nursing Education:

Project Title

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Funded By

Determinants of Low birth Weight of New-born

The TN DR. MGR Medical University

Facilitators and Barriers for Exclusive Breast Feeding among Primi Mothers

Tamil Nadu Nurses and Midwives council

Effectiveness of Capacity Building Programme regarding Basic Cardio Pulmonary Resuscitation upon the level of Knowledge and Skill of Auto Drivers

The TN DR. MGR Medical University

Weaning Practices of Mothers with Infants in selected Rural and Urban Communities

The TN DR. MGR Medical University





Medvarsity Online

Certificate in critical care nutrition

Medvarsity Online is India's first and largest online medical certification and training company. Medvarsity Online has over 45000 certified graduates. It offers a wide range of clinical and non-clinical courses to upgrade clinical, management and leadership skills of a healthcare professionals. The clinical courses are exclusively designed by doctors, for doctors, whereas, the non-clinical courses are designed by the industry experts from the leading universities. It has around 140 courses currently being pursued by over 10000 active learners. Medvarsity has over 45 clinical training partners across the country and outside. Medvarsity is working at impacting the healthcare ecosystem in a substantial way. The following courses were released in 2018

Category A (9-12 months)

Certificate in renal nutrition Certificate in cardiac emergencies Acute Medicine (ACUMEN) – NHS UK Pain management (e-PAIN) – NHS UK

Partnerships and Projects in 2018 The following were the parternships and projects that Medvarsity entered into in 2018: 1. Academic partnership with ATI Nursing Education, USA for providing varied range of nursing courses to enable the nursing industry to enhance skills and is a first of its kind collaboration in India. 2. Enabled Apollo Hospitals to run Apollo Clinical Knowledge Network (ACKN) through Medvarsity Assimilate Platform. 3. Contributed to Apollo Hospitals for simulation training for resident doctors. The training aimed to augment medical education for healthcare professionals through the utilization of state-of arttechnology with the goal of improving overall clinical outcomes.

Master class in Clinical Cardiology Master class in Critical Care Medicine Master class in Internal Medicine Master class in Clinical Nutrition

Category B (6 months)

Master class in Pediatric Emergencies

4. Partnered with eIntegrity, UK for specialized courses in pain management and acute medicine.

Master class in Trauma Management Fellowship in Clinical Nutrition Master class in Medical Emergencies

5. Academic partnership with (Indo Japanese CTO Club) IJCTO to promote effective learning in cardiology. The course has been designed to strengthen the core cardiology case histories in India.

Category C (short courses)

Certificate in Obesity Management Certificate in Stroke management Certificate in Hypertension management

6. Partnered with Apollo Clinics to train more than 250 nurses as a part of Ward Nurse Program. The course aims to bring more value to the nursing community and make nurses proficient in the specialized area of ward management.

Advanced cardiac life support Pediatric advanced life support Certificate in Nursing skills Certificate in Nursing pharmacology Certificate in Medical Toxicology

7. Academic partnership with reputed online education brands like eIntegrity, Lecturio to expand training portfolio across the globe thus giving the students an opportunity to choose from a wide range of healthcare courses.

Certificate in Medical Law Certificate in Pediatric diabetes Certificate in Diabetes nutrition Certificate in Diabetic foot care





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3. Medvarsity saw an increase of 100% in enrollment numbers year on year (YOY).

8. Clinical training partnership with hospitals like Max Care, Medanta, SDMH Jaipur, and IDEA Clinics for providing various courses.

4. Crossed 1 lakh views on YouTube channel that exhibits different kinds of course based information combined with expert advice for the medical students as well as general public. 5. Introduced Public Relations as part of brand marketing initiatives to amplify the brand credibility and to leverage the distinct leadership positioning for Medvarsity in the Indian Market. As a part of this Medvarsity made news on top tier publications. 6. Launched Medvarsity's Learners Community/Blog to bring the best of the knowledge out to the target audience.

Apollo Medvarsity ACKN launch

Achievements 1. Associate Membership of Federation of Indian Chambers of Commerce and Industry (FICCI) in order to showcase the expertise in the field of Healthcare Education and to avail the benefits of regular assessments and audits through FICCI.

7. Participated as an organization in the Hyderabad Marathon to encourage employee engagement.

Customer Satisfaction Customer Satisfaction (CSAT) measures were used to assess users' satisfaction with the product while Net Promoter Score (NPS) measures were deployed to assess the users' loyalty. The following were the ratings:

2. Member of Internet and Mobile Association of India (IAMAI) for showcasing Medvarsity's expertise in the various conference, summits and industry groupings.

100% 90%

93%

91%

96%

90%

74%

80% 70% 60% 50%

51%

53%

91% 93%

93%

91%

93%

87%

96%

89%

95%

95% 94%

94% 94%

Oct-18

Nov-18

Dec-18

90%

65%

50%

40%

33%

30% 20% 10% 0%

Jan-18

Feb-18

Mar-18

Apr-18

May-18

Jun-18

Jul-18

CSAT

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Aug-18

CSAT NPS





Sep-18

Apollo MedSkills

students in India and a similar arrangement for their students would be conducted by Apollo MedSkills.

Apollo MedSkills Limited has evolved as one of the India's most preferred healthcare skilling partner spread across the length and breadth of the country. Apollo MedSkills has more than 45 training centres and Centres of Excellence located in 22 states of India with an employee strength of over 800 professionals. The ability to continuously innovate and offer the right course and curriculum to the students has helped to execute the placement linked skill development projects ensuring life-long employability and carving a sustainable career path for the aspirants. As a Skill Development institute, Apollo Medskills believe in providing quality in terms of education, trainers, training delivery, on-the-job-training and placement opportunities. Apollo MedSkills aims to build capacities through skilling, up skilling and reskilling the un-employed youth, allied healthcare professionals, nurses, doctors, hospital staff respectively to reduce the gap by creating employable workforce for the healthcare industry.

• Commitment to health education and associated areas of healthcare skill development has brought University of Bolton and Apollo MedSkills come together to collaborate and add value to the work of health, wellbeing and health management education. • University of Hyderabad and Apollo MedSkills signed an MoU to offer Hospital and Healthcare Management Programs and empower the students with knowledge and skills required for joining health sector as skilled professionals for delivering best patient care. • After bagging the first DDUGKY project in Assam in the north east, Apollo MedSkills signed a MoU with Kaziranga University to jointly offer courses in the field of health management education and training for the students of the region.

Milestones achieved in 2018 Strategic Partnerships Apollo MedSkills in collaboration with several organizations in healthcare and education industries, both at national and international levels, together to offer a variety of certification programmes that are industry relevant with focus on quality education• “Wound collaboration Australia – demand for collaboration sector.

Care Management”, course in with The William Light Education, Considering the rising concerns and specialists in wound care, this would nurture professionals for the

• The Academy for International Science and Research (AISR) would deliver the industry relevant courses in conjunction with Apollo MedSkills for the





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poverty line (BPL) segment. By undergoing the skill building programs, respectable job opportunities, interaction with peer group, entry into mainstream job market, enable them to move out of the BPL segment. Social Impact The Skill India Mission created a large pool of workforce that are skilled, employable, assured livelihood, creating an identity for themselves, becoming a partner with the nation in building a socially responsible society.

Outcomes based skills Training program at Apollo MedSkills

Operations Highlights Apollo MedSkills aims at creating the positive best impact on the healthcare industry by providing skilled and employable workforce, improving lives of the unemployed youth in the country by providing them with employment opportunities.

Our training is not only making the healthcare professionals accessible and available to the people in the rural areas.

Operations Scale-Up | Achieving Excellence

Beyond Brick and Mortar The skilling programs at Apollo Medskills include onthe-job-training and a separate assessment on the performance of the students. Blended learning methodologies are available. Learning Management Systems (LMS) are in place for providing online training. Students are also trained on the following to ensure their job-readiness when they are provided with placement opportunities. - Work place etiquette - Communication skills - Basic computer knowledge Impact on Household Economy By equipping the youth with required skills, they become academically qualified, socially responsible individuals towards themselves, their family, society and our nation. Average household income of each student grew by 50%, with an additional contribution of Rs.12000 to 16000 per month on an average. Learn, Earn, Progress through Continuing Education School drop-outs earlier remained mostly in the below

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Accessibility and Availability



The Projects Operations for Apollo MedSkills swung into action with plans for continuous mobilization and enrollments of target students across India. This included ensuring infrastructure like opening of new training centres, simulation lab set up, strengthening and re-structuring of operations by recruitment of human resources at all levels, maintaining quality in training and delivery, on-the-job-training, entering into strategic partnerships with globally renowned organizations, HR restructuring in alignment with the organizational goals, career development and performance management, bringing more partner employers for placing the trained students and securing their employment in a sustainable manner. Apollo MedSkills has around 110000 student enrolments, 97000 students have undergone training and 78000 students placed across India cumulatively.

Projects with Central Government The Ministry of Rural Development (MoRD) has recognized Apollo MedSkills as the Champion Employer for implementing its Deen Dayal Upadhyaya Grameen Kaushalya Yojana (DDU-GKY) Projects across 22 states in the healthcare skilling. The aspiring



students are the rural un-employed and school dropouts who are provided with free training, boarding and lodging facilities followed by placement opportunities in the healthcare industry.

Skill Training and Enhancement Program (STEP) in Telangana State - Telangana Academy for Skill and Knowledge (TASK)

During the year 2018, MedSkills trained and placed over 12,000 students out of 36,323 target students. Upon course completion, the students underwent an assessment and certification by Health Sector Skill Council (HSSC).

In collaboration with TVVP (Telangana Vaidya Vidhana Parishad) and TASK (Telangana Academy of Skills and Knowledge), up-skilling and re-skilling training program for 5200 staff and nurses in government hospitals of all districts of Telangana State was successfully completed.

Projects Across India

National Institute of Social Defence (NISD)

Healthcare Courses

DDU-GKY projects in the

Dialysis Technician, Operation

states of Assam, Bihar,

Theatre Technician, Emergency

Chatthisgarh, Gujarat,

Medical Technician (Basic and

Kashmir, Jharkhand,

Advanced), Medical Lab

Karnataka, Kerala,

Technician, Blood Bank

Maharashtra, Madhya

Technician, Radiology

Pradesh, Manipur, Haryana, Technician, Home Health Aide, Himachal Pradesh, Jammu

General Duty Assistant,

and Meghalaya, Mizoram,

Pharmacy Assistant,

Tamil Nadu, Telangana,

Phlebotomy Technician,

Tripura, Uttar Pradesh,

Diabetes Educator, Vision

Uttarakhand

Technician, Cardiac Care

One of the areas of concern identified by NISD was care for older persons. Apollo MedSkills partnered with NISD for providing training to youth in form of a Geriatric Care Course. The pilot project of training 120 candidates in four batches was successfully completed. Another sanction of training 100 students in Geriatric Care was also completed. Placement was also provided to the trained candidates in major healthcare organizations including Portea Healthcare, Old Age Homes, Call Health, Zoctr, Life Circle and many Home Care institutions. Tamil Nadu Skill Development Corporation (TNSDC)

sTechnician, Retail Sales aAsociate, F & B Service Trainee, Room Attendant.

Projects with State Governments and their Local Bodies: Telangana SC Development Corporation (TSSCCDC) Apollo MedSkills is the implementing partner for TSSCCDC to skill over 1000 SC students in healthcare programmes and provide them with job opportunities. Over 450 students were trained so far and provided with employment opportunities in various organizations that have local and regional presence across the state of Telangana. The enrollment for the target students for training and achieving the objective of the project continued.



Apollo MedSkills received the two sanction orders from TNSDC to train over 2135 SC students in Emergency Medical Technician, Blood Bank Technician, Dialysis Technician, Operating Theatre, Pharmacy Assistant and General Duty Assistant Courses. Tamil Nadu Slum Clearance Board (TNSCB) TNSCB gave sanction orders for training 810 candidates in healthcare house-keeping and nursing aide courses in Chennai, Salem and Vellore districts of Tamil Nadu State. The projects were successfully executed and the trainees were placed in several organizations in the healthcare industry. Signed a MoU with: •



Mizoram State Rural Livelihood (MzSRLM) for training 735 youths.

Mission

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Employment Generation and Marketing Mission, Department of Rural Development, Government of Telangana Project for training 2100 students from the state.

Up skilled 500 nurses in the state of Telangana for international opportunities with support from Telangana State SC Cooperative Development Corporation.

Corporate Social Responsibility Projects Apollo MedSkills commenced Indian Oil CSR Project at the Delhi Centre

Think CSR | Think Healthcare Apollo MedSkills diversified into CSR space as the project implementing partner for corporates and public limited organizations to invest their CSR funds into healthcare skilling and building the workforce for the sector. Cumulatively over 500 candidates in BPL category, un-employed youth, women, were trained with an objective to empower them with education, skills and employment for sustainable livelihoods. With these CSR projects, Apollo MedSkills made a humble beginning into the CSR space for attracting the corporates and public limited companies to invest in healthcare through their CSR projects.

Addressing Global Skill Shortages in Healthcare•

UK- NHS, HEE has collaborated with Apollo Medskills to address the manpower shortages in UK. Nurses, emergency physicians and radiologists are trained for placements across NHS trust hospitals in UK.



Bhutan- Skill Development Programmes for medical professionals in Bhutan



Ireland- MedSkills has a strategic collaboration with TTM healthcare to train nurses and place them in NHS, Trust Hospitals in UK. So far 250 nurses have been sourced and trained on this engagement

Organization Name and Training Location for CSR Projects Rural Electrification Corporation, Bihar Numaligarh Refineries Limited, Assam Apollo Munich Health Insurance Limited, Delhi Apollo Munich Health Insurance Limited, Andhra Pradesh

Going with the trend and the healthcare market requirement, Apollo MedSkills launched courses for engineering graduates in IT, computer science for enhancing their skills and the job market for skilled IT professionals in healthcare IT, artificial intelligence (AI), robotics, virtual learning, 3D animated videos on various subjects related to health and healthcare curriculum. These skills would be the revolutionary enabler to analyze the vast amounts of available medical data for disease prevention.

Action Aid Indian Oil Corporation Limited, New Delhi

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Courses for Artificial Intelligence (AI) in Healthcare





Apollo Institute of Medical Sciences and Research (AIMSR)

3. The White Coat ceremony for the batches of 2017 and 2018, was conducted. The Chief Guests for the same were:

The Apollo Institute of Medical Sciences and Research (AIMSR), has established itself as a medical college of national and global repute. The medical education system adopted at the AIMSR aims to inculcate lifelong learning habits in the medical professionals of tomorrow. The medical college is established at both Hyderabad and Chittoor, in the Andhra Pradesh/ Telangana region.

a. Dr B Karunakar Reddy - Vice Chancellor, Dr KNR UHS, Warangal b. Dr VK Bhargava, Senior Consultant – Internal Medicine, Apollo Hospitals, Hyderabad 4. Apollo Medical College, Chittoor was empanelled for the Visiting Students Learning Opportunities (VSLO), with the Association of American Medical Colleges (AAMC), while the process for registration with the General Medical Council (GMC) UK, was concluded. 5. International Electives- Two students spent time overseas, pursuing electives in Internal Medicine in Boston. 6. The Centre for Cellular and Molecular Biology (CCMB), Hyderabad, selected eight students of the 2016 Batch, for training and certification in Molecular Biology techniques that were frequently used in Medical Research.

Apollo Medical College, Hyderabad Campus

7. Three students secured Short-Term Student (STS) grants from the ICMR to conduct research at the undergraduate level. 8. The Annual Student fest 'Anastomoz', was held between the 22nd -31st of April 2018' 9. Ethika', the Medical College's journal on Ethics, was launched earlier this year

Apollo Medical College, Chittoor Campus

Achievements in 2018 1. The first batch of 99 MBBS students (2012), completed the Final MBBS examination, and the Compulsory Rotatory Residential Internship (CRRI), in March 2018. 2. Dr Mohammed Nehad Khan (Batch of 2012), received the University Gold medal as the overall Topper, for having secured the highest aggregate marks in all the Final MBBS subjects (He also secured a PG seat for MS in General Surgery, at Gandhi Medical College). 

10. Workshops and Guest Lectures: I. A two-day workshop on Faculty Development, was conducted by Dr Hari Raja, MD, Clinical Professor of Internal Medicine, at Baylor University Medical Center (Dallas, Texas, USA) II. To institute Biomedical Informatics training for the faculty and students, Dr Anandhi Ramachandran, Associate Professor of Health Informatics, at the Indian Institute of Health Management and Research



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2019

Clinical Excellence

Tele Medicine

CSR

Health Insurance

Academics

Recognition

Research

Consultant’s Achievement

(IIHMR), New Delhi, was invited to give an introductory lecture about the scope and applications of this rapidly emerging field.

(DMIT-21). In the second batch, we enrolled 46 students in 5 Diploma courses (DRT-1, DMLT-10, DCT-6, DDT-19, DMIT-10).

III. Dr James F. Loomis Jr, M.D, Medical Director at the Barnard Medical Center in Washington DC, delivered a lecture on 'Plant based Nutrition for Chronic Disease Prevention'.

12. Launch of the Apollo Distinguished Lecture Series, with Apollo Hospitals and Medvarsity Distinguished Senior Consultants from Apollo Hospitals deliver state-of-the-art lectures to MBBS students at the AIMSR, Hyderabad and Chittoor.

IV. Dr Sridevi Bellamkonda, from the Johns Hopkins Community Physicians in the US, delivered a talk on 'Diabetes and Obesity Management through Aggressive Life Style Changes'.

Following were the lectures conducted in 2018:

S No. 1.

V. Dr. Panchanan Maiti, of the St. Marys of Michigan Ascension Health, and Adjunct Faculty in the Department of Biology, at SVSU, Saginaw, MI, delivered a talk on the 'Current Understanding of Alzheimer's Disease, and Therapeutic Options for treating such patients' VI. Professor Stuart Ralston, one of the Chief Editors of Davidson's Principles and Practice of Medicine 23rd edition, delivered a talk on 'What 's new in Inflammatory Arthritis'. VII. The Indian Society of Clinical Research (ISCR), conducted a GCP Certification Workshop on 'Recent Advances in Clinical Trials', with the Apollo Research Institute(ARI). VIII.The department of Obstetrics and Gynaecology organized a PPTCT programme with SAATHI, on 'Prevention of Mother to Child transmission of HIV and Syphilis'.

2. 3. 4. 5. 6.

Topic Advances in GI Surgery Interventions in Pulmonology

Speakers from Apollo Hospitals

Dr. Venkatesh Munikrishnan, Chennai Dr. Ravindra Mehta, Bangalore

The Art & Science Dr Sanjay Khare, Mumbai of Medicine Advances in Dr. Rohini Handa, Delhi Rheumatology Cochlear Implant Dr. EC Vinaya Kumar, Hyderabad Overview of Dr. Rakesh Jalali, Chennai Radiation Therapy

13. Some of the initiatives instituted in the education of the students were: I. Tied up with the University of Hyderabad for the start of a course in Humanities for Medical students, under the recently created department of Humanities. II. Workshops conducted for the faculty: -

Competency Based Medical Education

11. Para Medical Training

-

Mentorship and Professionalism

I. Initiated Telangana State Paramedical Board Technician course along with Apollo Medskills

Medical College Hospital

Seventy-one students from the 1st batch, enrolled in this two year programme, which consisted of 7 different diploma courses, such as Medical Sterilization Management and Theatre Technician (DMST-1), Perfusion Technician (DPT-4), Radiotherapy Technician (DRT-5), Medical Laboratory Technician (DMLT-9), Cardiology Technician (DCT-4), Dialysis Technician (DDT-17), and Medical Imaging Technician

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1. A NACO ART centre was established in the Hyderabad campus, making the Apollo Medical College the 3rd Private Medical college in the country, and the 1st in Telangana, to have such a centre to provide care for the HIV infected 2. NABH Accreditation pre-entry level inspection of the Medical College Hospital, was completed



successfully, with the Council's Certification having recently been received. 3. The DOTS Centre was actively promoted, along with the development of subspecialties, like the Asthma Clinic and the Respiratory Rehab Clinics. 4. The AIMSR conducted 50 medical camps last year, in which 10000 beneficiaries were screened. Several cataract surgeries, retinal surgeries and corneal transplantations were also performed last year. An MoU was signed with the Rangareddy District Collectorate, for AIMSR to be a part of the District Blind Control Society (DBCS). 75 Mega Health Camps and 50 regular camps with the DBCS, have been conducted so far.

all over the country. 4. Study of the Intestinal Microbiome, with a Whole Genome Sequence analysis of Acinetobacter – with the Pasteur Institute in Paris, France, and KIMS, Bangalore. 5. Asian Sepsis Alliance, with the George Institute for Global Health and UNSW, Sydney, along with 50 Critical Care sites in India, regarding prevalence of Sepsis in Indian ICUs.

5. The NICU and PICU have been upgraded to levelIII status. Subspecialties like the DASI (Developmental Assessment Scale for Indian Infants), Paediatric Psychology Counselling center, Paediatric Surgery and Paediatric Asthma clinics, were also introduced. 6. Surgical services of Neurosurgery, Plastic Surgery, Surgical Gastroenterology, Surgical Oncology and Urology, were introduced in the Medical College Hospital. 7. The MICU was upgraded. Services of Nephrology, Medical Gastroenterology and Neurology, have been added to the Medical College Hospital. 8. Pharmacovigilance reports were filed regularly, with Vigi flow.

Research 1. A Reference laboratory for Pharmacogenetics was established incollaboration with the Department of Paediatrics, University of Geneva, Switzerland.

Students at AIMSR

2. Executed four phases of the Google AI Diabetic Retinopathy project, and since been granted five more projects in Diabetic Retinopathy, Glaucoma, AMD, RVO and UWF, to be executed in the next 1 year. 3. The Department of Medicine developed an Immunization App, intended to be used by physicians 



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Recognition Lions Humanitarian Award 2018

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Lifetime Achievement Award- Times of India 2018

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Lifetime Achievement Award 2018

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ABLF Award for Business Courage 2018

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Most Powerful Woman Award 2018

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Appointment as Senior Vice President, FICCI

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Sixth Asia Pacific HIMSS-Elsevier Digital Healthcare Award 2018

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Hospital Management Asia 2018

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FICCI Medical Travel Value Awards 2018

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National Board of Examination (NBE) Award for ‘Excellence in Medical Education’

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Brand of the Year 2018

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Express Healthcare Excellence Awards 2018

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Healthcare Excellence Award 2018

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Guinness World Record 2018

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HR Excellence Award 2018

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Dr APJ Abdul Kalam Sadbhawana Award 2018

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Rastriya Chikitsa Samman Puruskar 2018

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Medical Excellence Award 2018

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World Healthcare Achievers Summit and Awards 2018

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Best Hospital Award 2018

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CII Kaizen Award 2018

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CII Poke Yoke Award 2018

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AP Green Award 2018

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CAHOCON 2018

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Healthcare Asia Awards 2018

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Food Safety Award 2018

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Excellent Customer Services Awards 2018

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Best Multi Specialty Hospital 2018

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Best Critical Care Department 2018

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Gujarat Best Employer Brand Awards 2018

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Health Icon Award 2018

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Innovative Technology Intervention, HOSMAC Awards 2018

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LIVES 2018 Abstract Awards

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Best Hospital to work for 2018

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ET Now– Rise with India (Modi for Excellence in Healthcare) Award 2018

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Healthcare Achiever and Leaders Awards 2018

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Swachh Hospital Competition 2018

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Zonal Transplant Centre Mumbai-Appreciation Award 2018

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SimWars, Competition 2018

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4th North East Patient Safety Workshop-Poster Competition 2018

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Times Icon Award 2018

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APSIC CSSD Center of Excellence Award 2018

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Best Hospital Pharmacy Citations 2018- Multispeciality Hospital Chain- Express Healthcare 2018

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Dream Companies to work for 8th Edition Award 2018

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The WEEK- Hansa, Research Survey 2018

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All India Lifestyle Hospital and Clinic Ranking Survey 2018- Times of India

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All India Critical Care Hospital Ranking Survey 2018– The Times of India

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Golden Peacock Awards 2018

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India's 15 Best Workplaces in BFSI - 2018

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Service Excellence Award 2018

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Health Insurance Company of the Year -Large (Private Sector) Award 2018

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Health Financing Brand 2018

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India Skills-National Competition 2018

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Best Funded Training Partner Award 2018

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Skoch Order of Merit Awards 2018

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7th ACEF Asian Leadership Awards 2018

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Smart Health Conference- Top 50 Healthcare Companies Award 2018

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WISH Innovation Showcase 2018

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CII Industrial Innovation Awards 2018

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IHW (India Health and Wellness) Awards 2018

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Indywood Medical Excellence Awards 2018

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Healthcare Leadership Awards 2018

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ET NOW’s Making of Developed India (MODI) Award 2018

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Safety Leadership in Service Sector Awards

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Microsoft and CNBC TV 18 Artificial Intelligence (AI) for All Award 2018

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2019

Clinical Excellence

Tele Medicine

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Health Insurance

Academics

Recognition

Research

Consultant’s Achievement

Recognition Apollo Hospitals was recognised and felicitated at various national and international fora their achievements and contributions, in the year 2018.

Lions Humanitarian Award 2018 Chairman, Dr Prathap C Reddy was awarded the Lions Humanitarian Award. The award was presented to Dr Reddy by Mr Ashwini Kumar Choubey, Minister of State for Health and Family Welfare, Government of India.

Chairman, Dr Prathap C Reddy, receiving the Lifetime Achievement Award, from Shri M Venkaiah Naidu, Hon’ble Vice President of India

ABLF Award for Business Courage 2018 Executive Vice- Chairperson, Ms Preetha Reddy was awarded the ABLF Award for Business Courage on the 11th anniversary of the forum in Dubai.

Chairman, Dr Prathap C Reddy, receiving the Lions Humanitarian Award, from Mr Ashwini Kumar Choubey, Minister of State for Health and Family Welfare, Government of India

Lifetime Achievement Times of India 2018

Award-

Chairman, Dr Prathap C Reddy was conferred the Lifetime Achievement Award by Times of India Healthcare Achievers Conclave for Exemplary Commitment and Impactful Contribution to Healthcare.

Lifetime Achievement Award 2018 Chairman, Dr Prathap C Reddy was felicitated with the Lifetime Achievement Award by Hon’ble Vice President of India, Shri M Venkaiah Naidu at the 18th AISCCON National Conference at Hyderabad (All India Senior Citizens Conference). 

Executive Vice Chairperson, Ms Preetha Reddy, receiving the ABLF Award

Most Powerful Woman Award 2018 Executive Vice- Chairperson, Ms Shobana Kamineni, was awarded the 'Most Powerful Woman Award' in Business Category by Business Today.



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implementation and usage of health information and technology. The award in the category of outstanding ICT Innovation, was conferred to Apollo Hospitals Enterprises Limited for the work on 'Multifactorial Cardiovascular Risk Prediction Tool Using Machine Learning for Indian Population'.

Hospital Management Asia Award 2018

Executive Vice Chairperson, Ms Shobana Kamineni, receiving Most Powerful Woman Award

Appointment of Ms Sangita Reddy, Joint Managing Director, Apollo Hospitals, as Senior Vice President of FICCI Joint Managing Director, Ms Sangita Reddy, was elevated as the Senior Vice President of FICCI for 2018-19.

The Asian Hospital Management Awards recognizes and honours hospitals in Asia that implement best practices. It is the accepted hospital management awards program for the Asia Pacific Region. For the HMA Awards 2018, held at Bangkok, Thailand, there were 451 entries from 123 hospitals in 18 countries. Apollo Hospitals Group won 11 awards in 9 categories, the highest number of awards won by any organisation. The awards won by Apollo Hospitals, category wise, were: Category 1: Community Involvement Project Indraprastha Apollo Hospitals, Delhi – Compassion Courage Hope- Rebuilding Livelihood Category 2: Cost Reduction Project Apollo Hospitals Group – Project War On Waste (WOW) Category 3: Customer Service Project Apollo Hospitals, Dhaka – A Warm GoodbyeReducing Discharge Delays

Ms Sangita Reddy, Joint Managing Director, elevated as the Senior Vice President of FICCI

Sixth Asia Pacific HIMSS-Elsevier Digital Healthcare Award 2018 This global awards forum recognises outstanding achievements and innovations towards the

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Category 4: Facility Management and Financial Improvement Projects Apollo Hospitals, Jubilee Hills, Hyderabad – To bring cost efficiency by "Savings on Utilities" Indraprastha Apollo Hospitals, Delhi – P2P - From 

2019

Clinical Excellence

Tele Medicine

CSR

Health Insurance

Academics

Recognition

Research

Consultant’s Achievement

Panic to Peace- Clinical Alarm Safety Campaign Category 5: Hospital CEO of the Year Apollo Hospitals Group – Etching the Path to Excellence through Clinical Governance Indraprastha Apollo Hospitals, Delhi – Apollo Ring of Care Category 6: Innovations in Hospital Management Project Apollo Hospitals Group – Hardwiring Safety - The Apollo Quality Program Category 7: Mobile and Online Services Project Indraprastha Apollo Hospitals, Delhi – Uberization of Patient Transportation Category 8: Patient Safety Project Apollo Gleneagles Hospitals, Kolkata – Ventilator Associated Pneumonia- Decision Making Category 9: Talent Development Project

Apollo Hospitals Teams, receiving the HMA Award at Bangkok, Thailand

FICCI Medical Travel Value Awards 2018 Federation of Indian Chambers of Commerce and Industry (FICCI), is the voice of India's business and industry. The FICCI Awards have emerged as the definitive recognition for contribution to healthcare in the country over the years based on Innovation, Sustainability, Impact and Scalability which form the four criteria for evaluation. Out of the total 15 award categories, Apollo Hospitals won 5 awards in 4 categories. The category-wise awards won by Apollo Hospitals were:

Apollo Medskills Limited – DDU-GKY

Medical Value Travel Specialist Hospital –Cardiology/ Cardiac Surgery Apollo Health City, Jubilee Hills, Hyderabad Medical Value Travel Specialist Hospital –Oncology Apollo Hospitals, Ahmedabad Apollo Cancer Institute, Chennai Medical Value Travel Specialist Hospital –Transplant – Kidney Indraprastha Apollo Hospitals, New Delhi Medical Value Travel Specialist Hospital -Transplant – Liver Indraprastha Apollo Hospitals, New Delhi 



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Apollo Hospitals Team, receiving the FICCI Medical Value Travel Awards at the 'Advantage Health Care - India 2018' summit

National Board of Examination (NBE) Award for 'Excellence in Medical Education' Apollo Hospitals Group was conferred the National Board of Examination (NBE) Award for 'Excellence in Medical Education' for their outstanding commitment to excellence in Postgraduate Medical Education and Clinical Research. Vice President, Mr. M Venkaiah Naidu presented this award on the occasion of the 19th Convocation of NBE.

Minister of State for Home, Finance and Planning, Maharashtra. 'Brand of the Year' is a tribute to the Brands, that have the maximum consumer connect. Apollo Hospitals Group was awarded the 'Brand of the Year 2018' award for the category Hospitals and Healthcare and was amongst the top 35 brands.

Express Healthcare Awards 2018

Excellence

Express Healthcare Excellence Awards serve as a platform for organisations to showcase their innovative operational processes, strategies and techniques that facilitate them to achieve better medical outcomes, reach profitability and improve processes within their organisations. The awards won in various categories by Apollo Hospitals were: Category: Business Strategies Sub category: Best Cost Effective Solution by a Hospitals

Apollo Hospitals Team, receiving the NBE Award at New Delhi

Winner: Apollo Hospitals, Hyderabad

Brand of the Year 2018

Category: Operational Excellence

The 2018 edition of Brand of the Year 2018 was released by Shri Deepak Vasant Kesarkar, Honorable

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Sub Category: Finance Management Practices Winner: Apollo Hospitals Group



2019

Clinical Excellence

Tele Medicine

CSR

Health Insurance

Academics

Recognition

Research

Consultant’s Achievement

Category: Operational Excellence Sub Category: Best Patient Safety Practices Winner: Apollo Hospitals, Hyderabad

Apollo Hospitals, Navi Mumbai,formed the largest human image of a human bone- Guinness World Record

HR Excellence Award 2018 The award was conferred to Apollo Hospitals, Mysore for the projects: Spot Light of Day – U Made My day Employee Hospital Health Care Cost – refocussing the strategy

Dr APJ Abdul Kalam Sadbhawana Award 2018 The award was conferred to Apollo Hospitals, Kolkata by National Achievers Recognition Forum for the category 'Excellence in Healthcare' Apollo Hospitals Team, receiving the Express Healthcare Excellence Awards

Healthcare Excellence Award 2018

Rastriya Chikitsa Puruskar 2018

Samman

The award was conferred to Apollo Hospitals, Navi Mumbai for the category 'Best Multispeciality Hospital in Navi Mumbai' by Navbharat Times

The award was conferred to Apollo Hospitals, Kolkata by National Achievers Recognition Forum

Guinness World Record 2018

Medical Excellence Award 2018

Apollo Hospitals, Navi Mumbai was conferred the Guinness World Record 2018 for forming a largest human image of a human bone with 948 participants

The award was conferred to Apollo Hospitals, Kolkata by Indian Solidarity Council for the category 'Outstanding Achievements and Remarkable Role in the Field of Medical Sciences'.





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World Healthcare Achievers Summit and Awards 2018 The award was conferred to Apollo Hospitals, Kolkata for the category 'Best Hospital for Innovation of the Year'

Best Hospital Award 2018 The award was conferred to Apollo Hospitals, Madurai by the Consumer Rights Protection Council

CII Kaizen Award 2018 The award was conferred to Apollo Hospitals, Teynempet in the category for 'Service Sector'

CII Poke Yoke Award 2018 The award was conferred to Apollo Hospitals, Vanagaram in the category for 'Service Sector'

AP Green Award 2018

Patient Care Initiative of the Year - Patient and family education- the foundation of patient care

Food Safety Award 2018 The award was given to Apollo Hospitals, Ahmedabad for 'Food Safety' by Equinox Labs.

Excellent Customer Award 2018

Services

The award was conferred to Apollo Hospitals, Ahmedabad for the category 'Excellence in Customer Service' by Bajaj Allianz

Best Multi Specialty Hospital 2018 The award was conferred to Apollo Hospitals, Ahmedabad for 'Clinical Services'

The award was conferred to Apollo Hospitals, Nellore by Andhra Pradesh Greening and Beautification Corporation, Government of Andhra Pradesh

Best Critical Care Department 2018

CAHOCON 2018

The award was conferred to Apollo Hospitals, Ahmedabad for 'Best Critical Care Services'

The award was conferred to Apollo Hospitals, Bangalore for the categories 'CSSD Practices' and 'Quality'.

Healthcare Asia Award 2018 The award was conferred to Indraprastha Apollo Hospitals, Delhi for the categories: Corporate Social Responsibility of the Year - A Healthy Start Patient Safety Initiative of the Year - Tracking the

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patient safety through International Patient Safety Goal (IPSG)



Gujarat Best Award 2018

Employer

Brand

The award was conferred to Apollo Hospitals, Ahmedabad for 'Employee Satisfaction'

Health Icon Award 2018 The award was conferred to Apollo Hospitals, Ahmedabad for the category 'Multispeciality Hospitals – Hub for Medical Tourism' 

2019

Clinical Excellence

Tele Medicine

CSR

Health Insurance

Academics

Recognition

Research

Consultant’s Achievement

The award was conferred to Apollo Hospitals, Hyderabad for the categories: Best Quality Initiative in Healthcare Award for Best Multispecialty Hospital

Healthcare Achiever and Leaders Award 2018 The award was conferred to Apollo Hospitals, Hyderabad for 'Best Quality Initiative in Healthcare' Apollo Hospitals, Ahmedabad Team, receiving the Health Icon Award 2018

Swachh Hospital Competition 2018

Innovative Technology Intervention, HOSMAC Award 2018

Apollo Hospitals, Navi Mumbai was the bestowed the 'Winner Award' for the competition by Swachh Bharat Mission (NMMC)

The award was conferred to Apollo Hospitals, Ahmedabad for their project on 'Heat Pump'

Zonal Transplant Centre MumbaiAppreciation Award 2018

LIVES 2018 Abstract Award ESICM's annual congress at Paris, LIVES, attracted audiences of over 6,000 physicians, anaesthetists, trainees and nursing and allied health professionals, from 97 different countries. The abstract submitted by Apollo Hospitals, Nashik for Quality Improvement was awarded for being one of the 'Top 10 Abstracts'

Best Hospital to work for 2018 The award was conferred to Apollo Hospitals, Hyderabad by the Association of Healthcare Providers (India)

ET Now–Rise with India (Modi for Excellence in Healthcare) Award 2018



The award was conferred to Apollo Hospitals, Navi Mumbai for 'Valuable Contribution towards Organ Donation Program'

SimWars, Competition 2018 A simulation-based competition between emergency teams from across India in various aspects of patient care was organized at 20th National Emergency Medicine Conference at Bangalore The first prize was conferred to Apollo Hospitals, Navi Mumbai th

4 North East Patient Safety Workshop-Poster Competition 2018 The Apollo Hospitals, Guwahati was the bestowed as the winner for posters presented for Needle Stick Injuries, Patient Falls, Catheter Associated Urinary



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Tract Infections, and Catheter Associated Blood Stream Infections in the 4th North East Patient Safety Workshop

Times Icon Award 2018 The award was conferred to Apollo Hospitals, Indore for the category 'Best Multispeciality Hospitals'

APSIC CSSD Center of Excellence Award 2018 The award was conferred to Apollo Hospitals, Kolkata

Best Hospital Pharmacy Citations 2018 - Multispeciality Hospital Chain- Express Healthcare 2018 The award was conferred to Apollo Hospitals, Kolkata

Dream Companies to work for 8th Edition-Award 2018 The award was conferred to Apollo Hospitals, Kolkata for 'Managing Health at work'

The WEEKSurvey 2018

Hansa,

Research

The best hospital survey 2018 conducted by THE WEEK in association with Hansa India, ranks multispeciality hospitals at country level, city level and by speciality. Various parameters were considered in the process of selecting the best hospitals; such as the competency of the doctors, patient care and availability of multi – specialty facilities, reputation, infrastructure, innovation and environment. 2024 doctors (674 general physicians and 1350 specialists) from 17 cities were consulted, for their opinion regarding the top ranking hospitals in India and hospitals with best ranking specialties.

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Apollo Hospitals, Chennai was ranked as best corporate hospital in the country in 2018. Indraprastha Apollo Hospitals, Delhi was ranked as the third best corporate multi-speciality hospital in the country. Apollo Gleneagles Hospitals, Kolkata was ranked the first best corporate hospital in East Zone. Apollo Hospitals, Bhubaneshwar was ranked as third best private hospital in East Zone. Indraprastha Apollo Hospitals, Delhi was ranked as the second best hospital in North Zone. Apollo Hospitals, Chennai was ranked as the best corporate hospital in South Zone. Apollo Hospitals, Hyderabad was ranked as the second best corporate hospital in South Zone. Apollo Hospitals were also ranked as the best multispeciality hospitals in the cities of Delhi, Chennai, Hyderabad, Kolkata, Ahmedabad and Bhubaneshwar by the survey. Apollo Hospitals, Chennai, Delhi, Hyderabad, Bangalore, featured amongst the top 15 hospitals in the country in the specialities of Oncology, Orthopedics, Gastroenterology, Cardiology, Neurology, Diabetics Care, Paediatrics and Pulmonology.

All India Lifestyle Hospital and Clinic Ranking Survey 2018-Times of India The objective of this research was to arrive at a list of top hospitals and clinics in India. The specialties included in the research were Orthopedics, Dentistry, Diabetology, Dermatology, Plastic Surgery, Tricology, Ophthalmology and Bariatrics. Apollo Hospitals, Chennai was ranked as the best hospital in India for the specialities of Bariatrics, Orthopedics and Dermatology.



2019

Clinical Excellence

Tele Medicine

CSR

Health Insurance

Academics

Recognition

Research

Consultant’s Achievement

Indraprastha Apollo Hospitals, Delhi was ranked as the best hospital in India for the specialities of Cosmetic and Plastic Surgery

India's 15 Best Workplaces in BFSI2018

All India Critical Care Hospital Ranking Survey 2018 – The Times of India

The award was conferred to Apollo Munich by Great Place To Work Institute, India.

The objective of this research was to arrive at a list of top multi-speciality, super-speciality and single speciality hospitals in India. Apollo Hospitals, Chennai was ranked as the best hospital in India, for the specialities of Oncology, Cardiac Sciences, Gastroenterology and Hepatology, Nephrology, Urology, Neuro Sciences, Emergency and Trauma. Indraprastha Apollo Hospitals, Delhi was ranked as the best multi-speciality hospital in India for Gynaecology and Obstetrics, Paediatrics.

Golden Peacock Award 2018 Golden Peacock Awards, instituted by the Institute of Directors (IOD), India is considered the hallmark of excellence worldwide. The award was conferred to Apollo Hospitals, Hyderabad for HR Excellence.

Service Excellence Award 2018 The award was conferred to Apollo Munich by ASSOCHAM. Award was conferred for providing unprecedented service to customers across different business categories.

Health Insurance Company of the Year- Large (Private Sector) Award 2018 The award was conferred to Apollo Munich by ABP News for being the leading health insurer of the country with overall leadership in revenues, product mix, customer mix and business model effectiveness.

Health Financing Brand 2018 The award was conferred to Apollo Munich by India Health and Wellness Summit for recognition as the best health financing brand of 2018.

India Skills-National Competition 2018 Ms Thasleem Mohideen, Apollo Medskills was conferred the Gold Medal for the category 'Health and Social Care'. Apollo MedSkills would represent India at the World Skills 2019 in Kazan, Russia. Apollo Hospitals, Hyderabad team, receiving the Golden Peacock Award for HR Excellence





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projects in India for Skill Development under Deen Dayal Upadhyaya Grameen Kaushalya Yojana (DDUGKY)

Ms Thasleem Mohideen, Apollo Medskills, receiving the Gold Medal in India Skills-National Competition Competition

Best Funded Award 2018

Training

Partner

The award was conferred to Apollo MedSkills for the exhibiting the Best Business Model in the category 'Skill Development Ecosystem'.

Apollo Medskills team, receiving the Skoch Order of Merit Award

th

7 ACEF Asian Leadership Awards 2018 The award was conferred to the Total Health Program for the category Corporate Social Responsibility (CSR)

Smart Health Conference- Top 50 Healthcare Companies Award 2018

Apollo MedSkills, receiving the Best Funded Training Partner Award

Skoch Order of Merit Award 2018 The award was conferred to Apollo MedSkills for qualifying amongst the top ranking skill development

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The award was conferred to Apollo Telehealth Services (ATHS)



2019

Clinical Excellence

Tele Medicine

CSR

Health Insurance

Academics

Recognition

Research

Consultant’s Achievement

providing healthcare and related services through direct or indirect medium of delivery The award was conferred to Apollo Telehealth Services (ATHS) for the category' Health Delivery Brand of the Year'

Indywood Medical Award 2018

Excellence

Each year these awards are organised to recognize and felicitate healthcare practitioners and organisations for their relentless services to the society. The Indywood Medical Excellence Award 2018 for the category 'Largest Telemedicine Network' was conferred to Apollo Telehealth Services (ATHS). Apollo Telehealth team, receiving the Top 50 Healthcare Companies Award

Healthcare Leadership Award 2018

WISH Innovation Showcase 2018 Apollo Telehealth Services (ATHS) was represented in the WISH (World Innovation Summit for Health) in their Innovation Showcase at Qatar, for the projects eUPHC, Tele-Emergency in Himalayas.

Apollo Medvarsity was awarded for ‘Excellence in Training and Development’ at the 4th edition of the ABP Healthcare Leadership Awards, 2018.

The WISH 2018 Innovation Showcases represent some of the world's most exciting healthcare innovations.

CII Industrial Innovation Award 2018 The award was conferred to Apollo Telehealth Services (ATHS). ATHS was amongst the top 25 innovative companies to be honoured with this award.

IHW (India Health and Wellness) Awards 2018 The platform recognizes well-established brands that have contributed towards health by consistently



Apollo Medvarsity team, receiving the 'Excellence in Training and Development' at ABP Healthcare Leadership Awards

ET NOW’s Making of Developed India (MODI) Award 2018 The award was conferred to Apollo Health and Lifestyle Ltd (AHLL) for the category: Best Customer Service Project in Healthcare Sector



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Intelligence, for “Enabling AI for Monitoring Cardiac Risk Score With Clinical Decision Support System”

Apollo Health and Lifestyle Ltd (AHLL) receiving Safety Leadership in Service Sector Awards

Apollo Health and Lifestyle Ltd (AHLL), receiving the ET NOW's making of developed India (MODI) Award

Apollo Hospitals, receiving Microsoft and CNBC TV 18 'AI for All Award'

Safety Leadership in Service Sector Award 2018 The award was conferred to Apollo Health and Lifestyle Ltd (AHLL) for the project ‘Safe Hands: Steps to Infection Free Hospital’ presented by Frost and Sullivan’s Project Evaluation and Recognition Program 2018.

Apollo Health and Lifestyle Ltd (AHLL), receiving the Safety Leadership in Service Sector Awards

Microsoft and CNBC TV 18 Artificial Intelligence (AI) for All Award 2018 The award was conferred to Apollo Hospitals in the category of Transforming Products with Artificial

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Research Apollo Hospital Education and Research Foundation (AHERF)

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Apollo Research and Innovations (ARI)

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Apollo Medicine

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Adjunct Titles of Professorships and Associate Professorships of AHERF

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Adjunct Titles of Clinical Tutorship, Distinguished Clinical Tutorship and Emeritus Clinical Tutorship of AHERF

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Clinical Fellowship of AHERF

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Recognition of Published Papers

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Research Apollo Hospitals Educational and Research Foundation (AHERF) AHERF is a not for profit organisation recognised by the Department of Scientific and Industrial Research (DSIR), and is focused on basic, translational and epidemiological research. AHERF comprises of the Cell and Molecular Biology Research Center (CMBRC) with centers at Chennai, Hyderabad and Delhi to carry out the research activities. The CMBRC enables basic and translational research projects in cutting edge areas such as liquid biopsy, molecular diagnostics, pharmacogenetics and exosomes. The CMBRC laboratory at AHERF Hyderabad is involved in validation of the newer biomarkers for various cancers, pathological conditions and glioblastomas. Further AHERF also spearheads a faculty development programme to spawn research pilots for basic research projects.

Current Projects

Drug Delivery agents: CMBRC is in the initial phase of working on exosomes as drug delivery agents, which can be further researched to arrive at therapeutic agents.

Other Projects Research projects in various therapeutic disciplines are on-going and are in different stages of establishment, analytical validation and clinical validation. The following are the titles of these projects: 1. Early transplant rejection diagnostics 2. Salivary diagnostics

Circulatory Biomarker Biology Program: AHERF has established a wide array of circulatory biomarkers in the form of cell free DNA, exosomes and circulatory tumour cells. Exosomes form one of the major flagship program of CMBRC, AHERF. Exosomes are small vesicles and comprise of RNA/ DNA/ protein/ metabolites molecules that are secreted by all mammalian cell types in culture, and also occur naturally in body fluids including blood, saliva, urine, and breast milk. Exosome biology is being used to develop exosome based diagnostics, drug delivery vehicles and cell free therapeutics. AHERF has made a foray into diagnostics and drug delivery system and is making efforts to develop exosome based therapeutics. Biomarkers: Exosome biology enables the detection of EGFRvIII from the blood which further stands as a

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diagnostic marker for detecting high grade gliomas. This has been established, validated and is published as abstracts in the Journal of Neuro-oncology. Currently CMBRC is working for the establishment of detection biomarkers in diabetic nephropathy, renal transplant rejection and head and neck cancers.



3. Development of exosome drug delivery system using curcumin as a model 4. Development of exosome therapeutics 5. Development of non-invasive diabetic nephropathy diagnostics 6. Monitoring the effect of immune check point inhibitors and mithramycin through Chemosensitivity assay in gliomas 7. Detection of HPV positive HNCC cancers Liquid Biopsy Glioblastomas (GBM) The liquid biopsy testing for GBM was conceptualized in AHERF and proof of concept was achieved. This further underwent dual validation in collaboration 

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DNA+ Apollo Hospitals partnered with Datar Genetics to offer a comprehensive disease pre-disposition test – DNA+. This one-time test analyses and assesses the unique DNA make-up to understand its impact on genetic predisposition for more than 60 conditions including cardiovascular disease, diabetes and cancers. This helps the patients to be well-informed about their condition and follow life style modifications at the earliest if required.

Research

Consultant’s Achievement

Medical College for the project 'Identification of pharmacogenomics determinants causing toxicity in paediatric ALL.

with a diagnostics partner. Being the first in India to establish the proof of concept, AHERF further collaborated with one of the leading genetic diagnostic companies in India to license the know-how established by AHERF for development of a diagnostic test kit for GBM. This clinical collaboration paved way for the development and deployment of exosome based diagnostics that provides clinicians a non-invasive tool for prognosis, diagnosis, cancer recurrence and therapy monitoring. Thereafter, Apollo Hospitals, in collaboration with its partners, introduced liquid biopsies as part of its Precision Oncology Program.

Recognition

• Grant received from Novartis for the project 'Development of urinary exosomal diagnostics'. • Secured Biotechnology Ignition Grant (BIG) (under Grab your Grant initiative) for the projects, 'Development of Alzheimer diagnostics' and 'Salivary exosome diagnostics'.

Collaborations Collaboration with CSIR-IICT-Hyderabad The CSIR-Indian Institute of Chemical Technology (CSIR-IICT) is one of the oldest National Laboratories under the Council of Scientific and Industrial Research (CSIR). The aim of the collaboration is to foster and develop: • Exosome and exosome mimetic drug delivery systems • Dendritic cell based vaccine

Micro Genomics

Collaboration with IIT Hyderabad

Apollo Hospitals entered into collaboration with the Indian subsidiary of a Sri Lankan based company Credence Genomics to carry out a validation study on diagnosis of bacterial and fungal infection by Next Generation Sequencing (NGS) technology.

The Indian Institute of Technology, Hyderabad (IITH) is a public engineering and research institution established by the Ministry of Human Resources Development, Government of India. The aim of the collaboration is to develop/ foster:

Comparative Population Studies

• Advanced Drug delivery systems using exosomes

AHERF signed an MOU with the research division of a Canada based public hospital to undertake comparative population studies for chronic disease management, understanding various aspects of wellness, disease progression and treatment for South-Asian populations and Caucasians.

• Development of microfluidics approaches to quantify extracellular vesicles

Extra Mural Grants Received • Grant received from the Department of Biotechnology (DBT) in collaboration with Apollo



Collaboration with University of Hyderabad A memorandum of understanding (MOU) has been signed between University of Hyderabad (UoH) and AHERF. The MOU will facilitate the faculty of UoH to interact with the clinicians for conducting joint research projects; organizing seminars/ workshops/



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training programs and conducting project work for MD/PhD students. It will also facilitate in conducting collaborative research activities, epidemiological and population studies, interventional studies and clinical trials, health systems research, patient safety and quality of health care programs, conferences and workshops. The collaboration would help to enhance exchange programs in various therapeutic disciplines such as non-communicable and communicable diseases, hypertension, diabetes, metabolic syndrome, gastroenterology, oncology and cardiology. Collaboration with Manitoba Chemosensory Biology Group (University of Manitoba) AHERF has entered into this collaboration so as to develop salivary exosome protocols for detecting bitter receptors – G-protein-coupled receptors (GPCR) project in pathological conditions. The project has been completed and a publication has been compiled as a methods paper “Methods in Molecular Biology”. Collaboration with Ncare Solutions A master research collaboration agreement has been signed with Ncare, an organization engaged in the business of cell processing and stem cell therapy in the areas of blood bank, bone marrow transplantation, graft engineering, bio-banking, regenerative medicine and GMP lab cell culture. This collaboration aims at developing dendritic cell vaccine/ dexosomes with AHERF. Guru Nanak Institutions AHERF has undertaken a retrospective study in collaboration with Guru Nanak Institutions in the field of Medical Imaging. The study aims at clinical validation of the image fusion protocol. Image fusion provides better tissue discrimination such as distinguishing between tumor with its boundaries of infiltration and the adjacent normal structures. Currently, the data is being analyzed for validating the algorithm developed by Guru Nanak Institutions.

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Collaboration with Mitra Biotech Mitra Biotech, is a midsized biotechnology firm offering personalized chemosensitivity assay, based on tumors response to oncology drugs invitro. The major aims of the collaboration are two-folds: • Develop and enhance Mitra Biotech “CanScript” assay with exosome platform • Repurpose old drugs for new oncology applications using Mitras CanScript and AHERF exosome platform • A collaborative research agreement with Mitra will be signed for conduct of further research projects Collaboration with Stemcyte India Stemcyte provides complete stem cell solution from banking to application and treatment. AHERF and Stemcyte undertook a collaborative research agreement to establish exosome therapeutics from cord blood. The project focuses on establishment of mesenchymal stem cell exosomes as cell free regenerative medicine and would lead to Novel cell free regenerative medicine for treating cardiology and oncology complications. Collaboration with Nizams Institute of Medical Science (NIMS) The collaboration is to develop exosomal therapeutics, having access to the GMP facility at NIMS. This collaboration will also increase access of clinical samples in addition to Apollo Hospitals. Collaboration with Pfizer Pfizer, a leading multinational pharmaceutical company is working with Apollo Hospitals and has selected the various sites as part of their global INSPIRE program. This collaboration facilitates the Apollo Hospitals, sites to get the feasibility of any Pfizer clinical study coming to India.



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Collaboration with Saarum Sciences Apollo Hospitals Enterprise Limited (AHEL) joined hands with Saarum Innovations to launch Sapien Biosciences and Saarum Sciences. Sapien has established India's largest biobank with >85,000 patient samples. These samples are approved by the Institutional Ethics Committees of Apollo Hospitals. Sapien developed and launched its first diagnostic test myPLATELETTM to optimize the anti-platelet therapy for PCI-plus-stent patients. Another personalized diagnostic test, canAssistBreast, to predict the 5-year risk of recurrence of breast cancer in hormone positive patients has been validated and launched. Saarum has successfully established live 2D and 3D organoid cultures from several cancer tissues such as brain, breast and oral cancer.

AHERF Incubated Companies The following are the AHERF Incubated Companies: Sapien Life Science – A start-up seeded at AHERF and independently working for developing bio-banks for research purposes. Urvogelbio – This start-up is developing non-invasive diagnostics for Dementia. The company's mission is to develop early, non-invasive screening panel to detect populations at risk for CNS including Alzheimer disease (AD) and other neurodegenerative diseases.

Faculty Development Projects This program proposes to establish a pilot program for developing a research culture at Apollo. Sanction of projects requires the following: • Development of the full proposal for extramural support • Submission of a paper for publication • Presentation of data at national/international forums 

Academics

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The following 8 proposals submitted by Senior Consultants practicing at Apollo Hospitals, were shortlisted for grants under the purview of Faculty Development: 1. Glioblastoma- a longitudinal observational study to determine survival outcome in immunohistochemistry defined molecular subtypes of glioblastoma multiforme 2. Curcumin for Alzheimer's disease- establishment of exosomal curcumin 3. Diabetic nephropathy detection panel through urinary exosome- The outcome of this study is to establish diagnostic panel for diabetic nephropathy 4. 3-D printing project for complex orthopaedic surgeries 5. Molecular and therapeutic stratification of oropharyngeal squamous cell cancers towards transoral robotic surgery 6. AVATAR (Association of Vascular Access and Interventional Renal Physicians – Vascular Access Surveillance (VAS) study 7. Predicting metastatic potential of breast cancer using vascular, functional and metabolic parameters obtained with simultaneous PET/MRI: A retrospective study 8. Proposal for a pilot study of Vitamin C in sepsisthe Indian LOVIT (Lessening Organ Dysfunction /Injury with Vitamin C) trial

Apollo Research and Innovations (ARI) Apollo Research and Innovations (ARI) focuses on scouting, evaluating, deploying and integrating innovations across Apollo Hospitals, with an objective of improving outcomes, affordability and accessibility for our patients. Innovations span across drugs, devices, healthcare software or consumer goods of clinical relevance. The vision of ARI is to foster 

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innovation in technology, therapy, processes and business models to achieve greater access, affordable costs and global quality standards. ARI has a comprehensive ecosystem to undertake clinical studies for sponsored drug trials, devices, software as well as consumer goods. Apollo Hospitals currently is also India's single largest clinical site solutions organization having undertaken over 900 clinical studies. ARI has a dedicated team of 80 professionals located across 14 Apollo Hospitals for over 10 therapeutic areas.

Work Scope ARI works across a diverse set of focus areas namelyclinical studies, clinical research training program, evaluation and/or pre-market validation studies, device and software validation studies and codevelopment, basic and translational research, public health studies, personalized medication and healthcare innovation through creative collaborations.

Clinical Research- Overview Institutional Ethics Committee ARI provides expert advice and recommendations on various aspects of ethical conduct of clinical research to the research sites and enables the hospitals to

comply with the stringent regulatory changes. The ethics committees are registered with DCGI. Ethics Committees at six sites have also received NABH accreditation. Institutional Committee for Stem Cell Research (IC-SCR) IC-SCRs have been formed at Chennai and Delhi to review and approve the stem cell research proposals as per DBT-ICMR guidelines. The committees have applied for approval and registration with the National Apex Committee (NAC) and Department of Biotechnology (DBT). The Chairpersons of the respective committees at each institution conduct meetings as per the SOPs to review all stem cell related projects. Experiences in Clinical Trials ARI has vast experience in ethical conduct of clinical trials, clinical research studies, registries and data collection studies, validation studies, investigator initiated research studies, non-clinical studies, basic research studies and translational research studies. ARI has experience in the conduct of over 900 clinical studies and currently 150 studies are on-going at various Apollo Hospitals centres such as Ahmedabad, Bangalore, Bhubaneswar, Bilaspur, Chennai, Hyderabad, Kolkata, Madurai and Delhi.

Apollo Research and Innovations – Competence

Research

Resources

Framework

Credentials

18 networked sites

80 GCP certified CR Coordinators

SPOC for Clinical Trial Site Solutions

AAHRPP accredited

Availability of Satellite sites

200 GCP certified PIs on our panel

Clinical Trials Management System (CTMS)

900 clinical studies & currently 150 on-going studies at any point of time

DCGI Registered ECs with a uniform SOP

Drugs, Devices, Software, FMCG, others US FDA visited ARI sites Over 60 professionals trained every year

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Grab your Grant

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patients was collected and aimed to assess the efficiency of high dose of statin therapy in treating patients with ACS. Unit: Apollo Hospitals, Chennai

This initiative was launched to bridge the gap between clinicians having a research idea and availability of funding from different granting organization. As part of the initiative, ARI team has curated and created a list of 82 grants for the year, relevant to Apollo clinicians, with an aim to share each of these grants with 8000+ clinicians in the system and handhold those interested, in applying for these grants. Under the 'Grab your Grant' program more than 13 applications were received for Biotechnology Ignition Grant (BIG). Two BIG grants, worth 50 lakhs each were successfully secured. Start-up, UrvogelBio was incorporated post BIG grant incubated at AHERF. Investigator Initiated Study (IIS) Investigator Initiated Studies (IIS) are clinician driven research studies with support from the pharma companies to enhance current technology/clinical practice. The program aims at promoting participation by clinicians in investigator initiated studies, thus enabling more clinicians to actively participate in research, resulting in translation of ideas into projects, better clinical practices and publications for the clinicians. The following studies were carried out: 1. Description: A DBT funded study, aimed to develop a computational tool for early detection of cardiovascular disease through analysis of data from otherwise healthy individuals. Carotid artery function for a brief period including few systoles and diastoles along with relevant clinical data for 1000 patients were collected and analysed for an outcome report. Unit: Apollo Hospitals, Chennai Department: Cardio-thoracic Surgery 2. Description: “Utility pattern of high dose statin therapy with Acute Coronary Syndrome”. Data of 250 

Department: Cardiology 3. Description: A study on ASHA+ a hand-held PoC device for monitoring the vitals as affordable smart health accessory from Green Ocean Research Labs Pvt Ltd. The study enrolled 1000 patients and the results were comparable to other PoC devices and also met the required standards. After the validation of outcomes, the device was commercialized through one of the group companies of Apollo Hospitals. Unit: Apollo Hospitals, Chennai Department: Cardiology 4. Description: A prospective observational study to determine the prevalence and risk factor for delirium among cardio-thoracic ICR patients. Unit: Apollo Hospitals, Hyderabad Department: Cardio-thoracic Surgery The other Investigator Initiated Studies in the therapeutic disciplines of nephrology, vascular surgery, cardiology, intensive care, oncology, emergency care, orthopaedics and internal medicine are in the early stages. Conference- 'Not Just Meds - Let`s talk beyond Medicine' A first of its kind one-day conference, for the doctors, “Not Just Meds – Let's talk beyond Medicine” was hosted by Apollo Hospitals. Over 300 doctors from 23 hospitals participated in the conference. This was a pioneering event from Apollo Hospitals was organised with an aim of sharing experiences and norms of the healthcare industry and the unspoken challenges of the profession. The topics discussed included law and ethics, handling finances and dealing with conflicts and violence against doctors.



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ARI Workshops

2004.

The following events were conducted in 2018:

The journal is published quarterly (March, June, September & December) and is distributed to all consultants and doctors of Apollo Hospitals, all medical colleges across the country, libraries and various subscribers around the world. Current and all previous issues of the journal can be accessed at www.journalonweb.com/am/ and 58 issues have been published till date.

• Workshop on “GCP & Recent Advances in Clinical Trials Conduct”, at Hyderabad in November, 2018. Over 140 delegates participated. • Workshop on “Exploring Future Trends in Clinical Research”, at Delhi in November, 2018. Over 50 participants attended and the topics discussed included stem cell research, risk based monitoring, new drugs and clinical trial draft regulations, challenges faced by ethics committees. Participation in Symposium- organized by the Indian Embassy in Israel

• Editorials • Original articles

Symposium on 'India's Healthcare and Groundbreaking Solutions in the Field of Medical Devices', organized by the Embassy of India in Israel.

• Review articles

Dr Hari Prasad, President, Apollo Hospitals and Ms Ishita Shively, VP- Apollo Research and Innovations, were hosted by Indian Embassy in Israel for the symposium. The event was attended by about 75 attendees.

• Journal scans

Accreditations • NABH accreditation of the Institutional Ethics Committees, Apollo Hospitals • NABH accreditation of the Ethics Committees at the following sites of Apollo Hospitals- Hyderabad, Bhubaneswar, Chennai, Madurai and Ahmedabad

• Case reports

• Technology update • Technology in medicine • Interesting case pictures • Interesting case videos • Manuscripts on patient safety and quality in healthcare • A brief on different national programmes of the Government • Manuscripts on medico legal cases/lessons for doctors/ manuscripts on ethics, manuscripts on common psychiatry disorder

• Renewal of AAHRPP accreditation

Apollo Medicine Apollo Medicine, the official journal of Apollo Hospitals is a peer reviewed and indexed journal. It is published by Wolters Kluwer in both print and electronic formats. Apollo Medicine (ISSN No 0976-0016) has been conceptualized with the idea of providing a platform for researchers as well as clinicians ever since its inception in September 133

The Journal accepts the following categories of manuscripts:



• Protocols and clinical guidelines from the leading hospitals/professional societies • Letter to the editor Apollo Medicine has set a landmark by encouraging publication of quality research and review in all streams of medical science and technology.



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The page view of Apollo Medicine has shown an upward trend from 27419 in 2016 to 59986 in 2018 and the article downloads has shown an upward trend from 23372 in 2016 to 38687 in 2018.

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Adjunct Titles of Professorships and Associate Professorships of Apollo Hospitals Educational and Research Foundation (AHERF) Policy of grant of Adjunct Title of Professor and Associated Professor of AHERF was implemented in the year 2012 in order to boost the state of academics and research across Apollo Hospitals.

Page View Trends

Senior faculty members from Apollo Hospitals Group, who have an active interest in academics and research are nominated for the grant of these Adjunct Titles.

2016

2017

2018

Article Download Trends

2016

2017

2018

The journal is registered with the following abstracting partners: Baidu Scholar, CNKI (China National Knowledge Infrastructure), EBSCO Publishing's Electronic Databases, Exlibris – Primo Central, Google Scholar, Hinari, Infotrieve, Pro Quest, TdNet, Wanfang Data.



117 consultants have been conferred with Adjunct Title of Professor and Associate Professor of AHERF in various specialities covering Anaesthesiology, Biochemistry, Cardiology, Critical Care Medicine, Colorectal surgery, Dermatology, Endocrinology and Diabetology, ENT and Head and Neck Surgery, Gastroenterology and Hepatology, Minimal Access surgery, Gynecology, Genetic Medicine, Hand and Microvascular Reconstructive Surgery, Head and Neck Oncology, Hematology, Infectious Disease, Internal and Hyperbaric Medicine, Interventional Cardiology, Liver Transplant, Molecular Biology, Nephrology, Neuro anesthesia, Neurology, Neurosurgery, Nuclear Medicine, Oncology, Orthopedics, Orthopaedics and Joint Replacement Surgery, Pediatrics, Pediatric Neurosurgery, Pediatric Cardiology, Pediatric Cardiac Surgery, Pediatric Gastroenterology and Hepatology, Pediatric Surgery, Paediatric Intensive Care, Paediatric Neurology, Paediatric Nephrology, Plastic Surgery, Pulmonology, Radiology, Respiratory Medicine, Emergency Medicine, Rheumatology, Surgical Gastroenterology, Transfusion Medicine, Tropical medicine, Urology and Transplant surgery. Apollo Excellence Report – 2018, carries the names of only those consultants who were conferred Title of Adjunct Professor and Associate Professor of AHERF in the year 2018. The names of remaining Adjunct title holders were mentioned in the Apollo Excellence Report of respective years.



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List of Apollo Hospitals Consultants conferred with Adjunct Titles of Professors and Associate Professor of AHERF in 2018 were:

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1. Dr Aabha Nagral Hepatology Apollo Hospitals, Navi Mumbai Professor

5. Dr Indrajeet Kuma Tiwary Tropical medicine, Gastroenterology, Gastrointestinal Critical Care Apollo Gleneagles Hospitals, Kolkata Associate Professor

2. Dr Arijit Chattopadhyay Pediatric Neurology Apollo Gleneagles Hospitals, Kolkata Professor

6. Dr Kalal Iravathy Goud Molecular Biology Apollo Hospitals, Hyderabad Associate Professor

3. Dr Chirag A Shah Hematology, Oncology and Stem Cell Transplant Apollo Hospitals, Ahmedabad Associate Professor

7. Dr Kinsuk Das Gastroenterology Apollo Gleneagles Hospitals, Kolkata Professor

4. Dr Deepti BS Neuroanesthesiology Apollo Hospitals, Bangalore Associate Professor

8. Dr Konda Sai Prasanna Kumar Reddy Surgical Gastroenterology and Minimal Access Surgery Apollo Hospitals, Chennai Professor





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9. Dr Laxman G. Jessani Infectious Diseases Apollo Hospitals, Navi Mumbai Associate Professor

14.Dr Savith Kumar Neurointerventional radiology Apollo Hospitals, Bangalore Associate Professor

10. Dr Narasimhaiah Srinivasaiah Colorectal Surgery Apollo Hospitals, Bangalore Associate Professor

15.Dr Shabnam Bashir Colorectal Surgery/ Surgical Oncology Apollo Hospitals, Bangalore Associate Professor

11.Dr Rajesh Taneja Urology and Robotic Surgery Indraprastha Apollo Hospitals, Delhi Professor

16.Dr Shefali Agrawal Surgical Oncology Indraprastha Apollo Hospitals, Delhi Professor

12.Dr Ravindran C Anaesthesia Apollo Speciality Hospitals, Madurai Associate Professor

17.Dr Shweta Priyadarshini Pediatric Nephrology Apollo Hospitals, Hyderabad Associate Professor

13.Dr Satyajit Godhi GI Surgery Apollo Hospitals, Bangalore Associate Professor

18.Dr Vikram Raut Liver Transplant and HPB Surgery Apollo Hospitals, Navi Mumbai Associate Professor





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Adjunct Titles of Clinical Tutorship, Distinguished Clinical Tutorship and Emeritus Clinical Tutorship of Apollo Hospitals Educational and Research Foundation (AHERF)

List of Apollo Hospitals Consultants conferred with Adjunct Titles of Clinical Tutors/ Distinguished Clinical Tutors/ Emeritus Clinical Tutor of (AHERF) in 2018 were:

The policy of grant of Clinical Tutorship, Distinguished Clinical Tutorship and Emeritus Clinical Tutorship of AHERF was implemented in the year 2017 in order to boost the state of clinical training across Apollo Hospitals.

1. Dr Ajit Saxena Urology Indraprastha Apollo Hospitals, Delhi Distinguished Clinical Tutor

Senior faculty members from Apollo Hospitals, who have an active interest in clinical training are nominated for an Adjunct Title post. 79 consultants currently hold the Adjunct Titles of Tutorships. Out of these, 24 consultants hold the Adjunct Title of 'Clinical Tutor', 53 consultants hold the title of 'Distinguished Clinical Tutor' and 02 consultants are 'Emeritus Clinical Tutor' of AHERF in various specialities covering Anaesthesia, Critical Care Medicine, Dentistry, Endocrinology, ENT and Head and Neck Surgery, Gynaecology/ Obstetrics, Geriatric Medicine, Hand and Microvascular Reconstructive Surgery, Infectious Disease, Interventional Cardiology, CTVS, Hepatobiliary and Liver Transplant, Internal Medicine, Heart - Lung Transplant Surgery, Maxillofacial Surgery, Neuroanesthesia, Neurology, Neurosurgery, Nephrology, Nuclear Medicine, Pediatric Orthopedics, Spine surgery, Oncology, Oncosurgery, Haematology, Orthopedics, Joint Replacement Surgery, Paediatrics, Gastrointestinal and Bariatric Surgery, Psychiatry, Pulmonology, Radiology, Plastic and Aesthetic Surgery, Radiology, Rheumatology, Transfusion Medicine and Urology.

2. Dr Alaka Goswami Obstetrics and Gynecology Apollo Hospitals, Guwahati Emeritus Clinical Tutor

3. Dr Amit Kumar Agarwal Orthopedics Indraprastha Apollo Hospitals, Delhi Clinical Tutor

4. Dr Amitabha Ghosh Neurology Apollo Gleneagles Hospitals, Kolkata Distinguished Clinical Tutor

Apollo Excellence Report 2018, carries the names of only those consultants who were conferred Adjunct titles of Clinical Tutor, Distinguished Clinical Tutor and Emeritus Clinical Tutor of AHERF in the year 2018. The names of consultants who were conferred Adjunct Titles in 2017 were mentioned in the Apollo Excellence Report 2017.

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5. Dr Anuradha Panda Gynecology and Obstetrics Apollo Hospitals, Hyderabad Distinguished Clinical Tutor



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6. Dr Ashish Malik Anesthesia Indraprastha Apollo Hospitals, Delhi Distinguished Clinical Tutor

11. Dr Indranil Pal Orthopaedic Surgery Apollo Gleneagles Hospitals, Kolkata Clinical tutor

7. Dr Bikash Majumder Cardiology Interventional Apollo Gleneagles Hospitals, Kolkata Clinical Tutor

12. Dr K Raman Psychiatry Apollo Hospitals, Vanagaram Distinguished Clinical Tutor

8. Dr Chandrashekar Annamalai Nephrology Apollo Hospitals, Bilaspur Clinical Tutor

13. Dr Kinsuk Das Gastroenterology and Hepatology Apollo Gleneagles Hospitals, Kolkata Distinguished Clinical Tutor

9. Dr Chandrashekar Sathe Orthopedics Apollo Hospitals, Navi Mumbai Distinguished Clinical Tutor

14. Dr Kripesh Ranjan Sarmah Pulmonology and Sleep Medicine Apollo Hospitals, Guwahati Clinical Tutor

10. Dr (Prof) D K Agarwal Nephrology Indraprastha Apollo Hospitals, Delhi Distinguished Clinical Tutor

15. Dr Geeta Chadha Gynecology and Obstetrics Indraprastha Apollo Hospitals, Delhi Distinguished Clinical Tutor





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16. Dr M. M. Yusuf Cardiothoracic Surgery Apollo Hospitals, Chennai Distinguished ClinicalTutor

21. Dr Om Prakash Sharma Geriatric Medicine Indraprastha Apollo Hospitals, Delhi Emeritus Clinical Tutor

17. Dr Maniyur Raghavendran Urologist and Transplant Surgery Apollo BGS Hospitals, Mysore Distinguished Clinical Tutor

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22. Dr P Harikrishnan Cardiology Interventional Apollo Hospitals, Chennai Clinical Tutor

18. Dr Mohit Chowdhry Transfusion Medicine Indraprastha Apollo Hospitals, Delhi Clinical Tutor

23. Dr Prabuddha Jyoti Das Radiology Apollo Hospitals, Hyderabad Clinical Tutor

19. Dr Neelam Suri Gynecology and Obstetrics Indraprastha Apollo Hospitals, Delhi Distinguished Clinical Tutor

24. Dr Punit Jain Hematology and Bone Marrow Transplant Apollo Hospitals, Navi Mumbai Clinical Tutor

20. Dr Nidhi Gupta Neuroanesthesia Indraprastha Apollo Hospitals, Delhi Clinical Tutor

25. Dr Pushpendra Nath Renjen Neurology Indraprastha Apollo Hospitals, Delhi Distinguished ClinicalTutor





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26. Dr R Narasimhan Pediatric Orthopedics Indraprastha Apollo Hospitals, Delhi Distinguished Clinical Tutor

31. Dr Tamzeed Ahmed Cardiology Apollo Hospitals, Dhaka Distinguished Clinical Tutor

27. Dr Ravi Krishna Kalathur Pain Management Apollo Hospitals, Chennai Distinguished Clinical Tutor

32. Dr Tonmoy Das Nephrology Apollo Hospitals, Guwahati Distinguished Clinical Tutor

28. Dr Rekha Khaund Borkotoky Pediatrics Apollo Hospitals, Guwahati Distinguished Clinical Tutor

33. Dr Vikram Raut Liver Transplant and Hepatobiliary Surgery Apollo Hospitals, Navi Mumbai Clinical Tutor

29. Dr Rooma Sinha Gynecology, Laparoscopic and Robotic Surgery Apollo Hospitals, Hyderabad Distinguished Clinical Tutor

34. Dr Vimee Bindra Gynecology and Obstetrics Apollo Hospitals, Hyderabad Clinical Tutor

30. Dr T Raja Medical Oncology Apollo Cancer Institute, Chennai Distinguished Clinical Tutor



35. Dr Vinit Suri Neurology Indraprastha Apollo Hospitals, Delhi Distinguished Clinical Tutor



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Clinical Fellowship of Apollo Hospitals Educational and Research Foundation Clinical Fellowship, accredited by (AHERF) was initiated in the year 2013.

16. Interventional Cardiology 17. Radiation Oncology 18. Emergency Neurology 19. Transfusion Medicine

These fellowships are offered by Apollo Hospitals in those specialties where no or limited training programs exist in India.

20. Developmental Pediatrics

There is a defined eligibility criteria and duration of fellowship which is aligned to the intake months of post graduate and DNB entrance examinations. Candidates with MBBS qualification are also eligible for certain fellowships.

22. Anaesthesiology

48 seats are approved in the following 31 specialties across 13 Apollo Hospitals locations to run the Clinical Fellowship of AHERF. 1. Stroke in Neurology

21. Arthroscopy and Sport Medicine

23. Implantation Otology 24. Pediatric and Adolescent Endocrinology 25. Minimal access and robotic surgery in Gynaecology 26. Hepatology 27. IVF 28. Clinical Genetics

2. Cardiac/CTVS Anaesthesia

29. Colorectal Surgery

3. Endoscopy in Gastroenterology

30. Clinical Apheresis

4. Nephrology

31. Pediatric Cardiac Critical Care

5. Clinical Nephrology

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15. Renal Transplant surgery

6. Renal Dialysis

Apollo Hospitals locations where Clinical Fellowship of AHERF have been approved

7. Transplant Nephrology

1. Delhi

8. Interventional Pulmonology

2. Bangalore

9. Hyperbaric Medicine

3. Bilaspur

10. Endocrinology

4. Pune

11. Head and Neck Oncologic surgery

5. Kolkata

12. Liver Transplant Anaesthesia

6. Bhubaneswar

13. Liver Transplant and HPB surgery

7. Kakinada

14. Genitourinary surgery

8. Secunderabad





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Chennai

10. ASH Chennai

1.Dr Aashish Sethi Pediatric and Adolescent Endocrinology Indraprastha Apollo Hospitals, Delhi Name of Guide/ Consultant: Dr IPS Kochar

11. Hyderabad 12. Guwahati 13. Navi Mumbai Training

2. Dr Kahkasha Rahman Chaudhury Developmental Pediatrics Apollo Hospitals, Guwahati Name of Guide/ Consultant: Dr Rekha Khaund Borkotoky

Training is conducted as per teaching/ training schedule prepared by the supervisor/guide and subsequently approved by AHERF. There is a defined process of training which includes: 1. Hands on training by observing procedures and surgeries, case presentation during clinical meetings, observations, training through simulator and videos

3. Dr Nilanjana Das IVF Apollo Hospitals, Guwahati Name of Guide/ Consultant: Dr Alaka Goswami

2. Clinical training is imparted through Clinical Meetings/ CMEs/ Departmental Meetings/ Symposiums and bed side case presentations. Fellows also join the journal club. Evaluation

4. Dr Rohit Kumar Cardiac Anesthesia Indraprastha Apollo Hospitals, Delhi Name of Guide/ Consultant: Dr Ramesh Srigiri

There is a defined process of evaluation. Final examination/ evaluation is conducted at the end of the six months/ one year/ two years (depending upon the duration of fellowship program). This evaluation is conducted by an external as well as an internal examiner. Clinical fellows who successfully complete their training and examination, are conferred with certificate of Clinical Fellowship of AHERF in the respective speciality.



5. Dr Swapnil Verma Cardiac Anesthesia Apollo Hospitals, Hyderabad Name of Guide/ Consultant: Dr U Srinivas



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Recognition of Published Papers Apollo Hospitals encourages Consultants, Junior Medical Staff and DNB Trainees to undertake research activities in their areas of expertise. Apollo Hospitals supports the effort of its staff and recognizes their achievements in publishing research papers. Policy on 'Recognition of Published Papers' was institutionalized in the year 2009 to encourage an academic and research milieu in the organization by recognizing published papers in reputed peer reviewed journals by Consultants, Junior Medical Staff and DNB trainees. Papers are recognized based on impact factor which is one of the quantitative tools for ranking, evaluating and categorizing but at the same time, equal importance is given to merit of the research. In the year 2018, 314 papers of Apollo Hospitals consultants were recognized either with a cash awards along with citation or only with citation from Chairman. Dr Abdul Ghafur, Infectious Disease, Apollo Cancer Institute, Chennai 1. Colistin Nephrotoxicity in adults: Single centre large series from India Authors and Co- authors detalis: Abdul Ghafur, Swati Gohel, Vidyalakshmi Devarajan, T Raja, Jose Easow, M A Raja, Sankar Sreenivas, Balasubramaniam Ramakrishnan, T Ramakrishnan, S G Raman, Dedeepiya Devaprasad, Balaji Venkatachalam, Ramesh Nimmagadda Publishing Journal and date: Indian Journal of Critical Care Medicine, June 2017 2. Monotherapy versus combination therapy against nonbacteremic carbapenem-resistant gram-negative infections: a retrospective observational study Authors and Co- authors detalis: Abdul Ghafur, Vidyalakshmi Devarajan, T Raja, Jose Easow, M A Raja,

143



Sankar Sreenivas, Balasubramaniam Ramakrishnan, S G Raman, Dedeepiya Devaprasad, Balaji Venkatachalam, Ramesh Nimmagadda Publishing Journal and date: Indian Journal of Critical Care Medicine 2017 Dr Abhishek Vaish, Orthopedics, Delhi 3. 3D printing and its applications in Orthopedics Authors and Co- authors detalis: Abhishek Vaish, Riya Vaish Publishing Journal and date: Journal of clinical orthopedics and trauma, February 2018 Dr Adithya GK, (DNB trainee), GI Surgery, Delhi 4. Congenital mesenteric defect causing volvulus and intestinal obstruction in an adult Authors and Co- authors detalis: Adithya G K, Satya Prakash Jindal, Varun Madaan, Vivek Tandon, Deepak Govil Publishing Journal and date: Apollo Medicine, JanMar 2018 5. Cholecystoenteric fistulae- our experience Authors and Co- authors detalis: Vivek Tandon, Adithya G K, Satya Prakash Jindal, Vachan Hukkeri, Varun Madaan, Deepak Govil Publishing Journal and date: Indian Journal of Surgery, February 2018 Dr AHM Waliul Islam, Interventional Cardiology, Dhaka 6. Spontaneous coronary artery dissection of LM and LM- LAD artery in peripartum or postpartum women with acute myocardial infarction Authors and Co- authors detalis: AHM Waliul Islam, Shams Munwar, Azfar H Bhuiyan, Shahab Uddin Talukder, AQM Reza, Tamzeed Ahmed, A Karim, A B Siddique, M S Alam, Shaifur Rahman Shohel



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Publishing Journal and date: Cardiovascular Journal, Vol. 7: Issue 2 7. Serum creatinine level doesn't change much at 2nd day after percutaneous coronary intervention (PCI): Amount of contrast injected may be the key factor Authors and Co- authors detalis: AHM Waliul Islam, Shams Munwar, Azfar H Bhuiyan, Sahabuddin Talukder, AQM Reza, Tamzeed Ahmed, Nighat Islam, Atique bin Siddique, Intekhab Yousuf, Aparajita Karim, M S A lam Publishing Journal and date: Cardiovasc. J. 2017 8. Safety of longer size stent in treating De-Novo long coronary lesion: Outcome at 1.5 years follow-up, a single center experiences Authors and Co- authors detalis: AHM Waliul Islam, Shams Munwar, Azfar H Bhuiyan, AQM Reza, Sahabuddin Talukder, Tamzeed Ahmed, Nighat Islam, Atique bin Siddique, Intekhab Yousuf, Zia Ur Rahman, M S Alam Publishing Journal and date: Bangladesh heart j Vol. 33, No. 2 July 2018 9. Safety and efficacy of trans-ulnar coronary intervention Authors and Co- authors detalis: AHM Waliul Islam, Azfar H. Bhuiyan, Shams Munwar, Nighat Islam, Atique bin Siddique, Intekhab Yousuf, Tamzeed Ahmed, Sahabuddin Talukder, AQM Reza, M S Alam Publishing Journal and date: Cardiovascular Journal, Vol. 11: No. 1, September 2018 Dr Ajit Pai, Oncology-surgical, Apollo Cancer Institute, Chennai 10. Robotic colorectal surgery for neoplasia Authors and Co- authors detalis: Ajit pai, Slawomir Marecik, John park, Leela Prasad Publishing Journal and date: Surg Clin North Am. June 2017



Academics

Recognition

Research

Consultant’s Achievement

Dr Ajit Saxena and Dr Reetika Dawar, Urology, Delhi 11. Haemophilus parainfluenzae urethritis through orogenital transmission Authors and Co- authors detalis: Ajit Saxena, Reetika Dawar, Upasana Bora Publishing Journal and date: Indian Journal of Sexually Transmitted Diseases and AIDS, November 2017 Dr Akshat Pandey, Rheumatology, Indore 12. Oral manifestations of autoimmune connective tissue diseases Authors and Co- authors detalis: Akshat Pandey, Mimansha Pandey, Ved Prakash Pandey, Vinod Ravindran Publishing Journal and date: Indian Journal of Rheumatology, July 2018 Dr Amit Kumar Agarwal, Orthopedics, Delhi 13. Is simultaneous bilateral total knee arthroplasty safe in geriatric population? A retrospective cohort study with upto 9 years follow up Authors and Co- authors detalis: Vaishya R, Vijay V, Mani K C K, Agarwal AK Publishing Journal and date: J Clin Orthop Trauma, April-June 2018 14. Interobserver and intraobserver reliability of computed tomography-based three-dimensional preoperative planning for primary total knee arthroplasty Authors and Co- authors detalis: Raju Vaishya, Vipul Vijay, Amit K Agarwal Publishing Journal and date: The Journal of Arthroplasty, 2018 15. Transient migratory osteoporosis of the hip and talus: a case report



144

Authors and Co- authors detalis: Vaishya R, Agarwal AK, Vijay V, Vaish A Publishing Journal and date: J Orthop Case Rep, 2017 May-Jun 16. Insufficiency fractures at unusual sites: a case series Authors and Co- authors detalis: Vaishya R, Agarwal AK, Banka PK, Vijay V, Vaish A Publishing Journal and date: J Orthop Case Rep, 2017 Jul-Aug 17. Letter to the editor on "Per iprosthetic joint infections caused by enterococci have poor outcomes Authors and Co- authors detalis: Vaishya R, Butta H, Sardana R, Vaish A, Vijay V, Agarwal AK, Mendiratta L Publishing Journal and date: J Arthroplasty, August 2017

Authors and Co- authors detalis: Anand AC, Agarwal SK, Garg HK, Khanna S, Gupta S Publishing Journal and date: Journal of Clinical and Experimental Hepatology, September 2017, Vol. 7: No. 3: 165–171 Dr Anoop P, Hematology and Pediatric HematoOncology, Bangalore 21. Intracranial granulocytic sarcoma as the first presentation of chronic myeloid leukemia in chronic phase Authors and Co- authors detalis: Kabadi K, Anoop P, Sandhya V, Murthy GK. Publishing Journal and date: J Neurooncol. 2017, Vol. 134: Issue 2: Page 473-474

Dr Amita Mahajan, Hematology-Oncology, Delhi

22. Transesophageal bronchoscopic ultrasound-guided fine-needle aspiration (EUS-B-FNA)-Pushing the boundaries in the diagnosis

18. Nephron-sparing surgery for syndromic Wilms' Tumor: Robotic approach

Authors and Co- authors detalis: Mehta R, Biraris P, Shivakumar S, Misra S, Anoop P, T S

Authors and Co- authors detalis: Yadav P, Mahajan A, Kandpal DK, Chowdhary SK, Publishing Journal and date: Urology, June 2018 Dr Anand Alladi, Paediatric Surgery, Bangalore

Publishing Journal and date: J. Pediatr Pulmonol, Vol. 52: Issue 11: Page 91-93, 2017 23. Bone marrow limited diffuse large B-cell lymphoma following prolonged immunosuppressive therapy with methotrexate and corticosteroids

19. Adrenal mass – unusual presentation and outcome

Authors and Co- authors detalis: Dhiman P, Anoop P, Patil CN

Authors and Co- authors detalis: Raghu Sampally Ramareddy, Anand Alladi

Publishing Journal and date: South Asian J Cancer, Vol. 7: Issue 3: Page 192-193, 2018

Publishing Journal and date: Indian Journal of Medical and Paediatric Oncology 2017

145

infection after living donor liver transplantation

Dr Anuradha Khadilkar, Pediatrics, Pune

Dr Anil C Anand, Gastroenterology, Delhi

24. Prevention and treatment of vitamin D and calcium deficiency in children and adolescents: Indian Academy of Pediatrics (IAP) guidelines

20. Sofosbuvir and ribavirin for 24 weeks in an effective treatment option for recurrent hepatitis C

Authors and Co- authors detalis: Anuradha Khadilkar, Vaman Khadilkar, Jagdish Chinnappa, Narendra Rathi,





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Rajesh Khadgawat, S Balasubramanian, Bakul Parekh and Pramod Jog Publishing Journal and date: Indian Pediatrics, July 2017 25. Impact of dietary nutrient intake and physical activity on body composition and growth in Indian children Authors and Co- authors detalis: Anuradha V Khadilkar, Shashi A Chiplonkar, Neha A Kajale, Veena H Ekbote, Lavanya Parathasarathi, Raja Padidela, Vaman V Khadilkar Publishing Journal and date: Pediatric Research, January 2018 Dr Apurva Shah, (Jr. Consultant) Gastroenterology, Ahmedabad 26. Spectrum of hepatitis B and renal involvement Authors and Co- authors detalis: Apurva S Shah, Deepak N Amarapurkar Publishing Journal and date: Liver International, Page 1–10, June 2017 27. Dermoid cyst of pancreas: A rare entity Authors and Co- authors detalis: Apurva S Shah, Shravan Bohra, Lakshman Khiria Publishing Journal and date: Apollo Medicine, 2018 28. A case of spontaneous celiac artery dissection with unusual presentation

Academics

Recognition

Research

Consultant’s Achievement

Endoscopy, Vol. 9: Issue 2, April-June 2018 30. Natural history of cirrhosis of liver after first decompensation: A prospective study in india Authors and Co- authors detalis: Apurva S Shah, Deepak N, Amarapurkar y Publishing Journal and date: Journal of Clinical and Experimental Hepatology, Vol. 8: Issue 1: Page 50–57, March 2018, Dr Archana Lakshmanan, Histopathology, Apollo Cancer Institute, Chennai 31. Follicular variant of peripheral T-cell lymphoma Authors and Co- authors detalis: Lakshmanan, S Annapurneswari, Sheila Nair

Archana

Publishing Journal and date: Indian journal of pathology and microbiology, 2017 32. An Alpha Fetoprotein producing gastric tumor with yolk sac, hepatoid and papillary adenocarcinoma components Authors and Co- authors detalis: Lakshmanan A, Kurian A, Subramanyan A, Srinivasan A Publishing Journal and date: Journal of Clinical and Diagnostic Research, Vol. 11, September 2017 33. Frequency, distribution, and immunomorphologic characteristics of peripheral T-cell lymphoma, not otherwise specified in a tertiary care center in Southern India

Authors and Co- authors detalis: Bohra Shravan G, Shah Apurva S

Authors and Co- authors detalis: Archana Lakshmanan, Deeksha Sikri, Sushama Patil, Ann Kurian, S Annapurneswari, Sheila Nair

Publishing Journal and date: Gastroenterology Internationl, Vol. 2: Page 1-2, January-December 2017

Publishing Journal and date: Indian Journal of pathology and microbiology, 2018

29. Large amoebic liver abscess with persistent biliary fistula

Dr Aruna R Patil, Radiology, Bangalore

Authors and Co- authors detalis: Apurva S Shah, Shravan Bohra Publishing Journal and date: Journal of Digestive 

34. Case 248 Authors and Co- authors detalis: Aruna R Patil, Shrivalli N, Govindarajan MJ, Swarna Shivakumar



146

Publishing Journal and date: Radiology, Vol. 284: Issue 2, August 2017

Authors and Co- authors detalis: Dr Ashwin Yadav, Dr Dixit Kum

35. Uterine lipoleiomyoma

Publishing Journal and date: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS), February 2018

Authors and Co- authors detalis: Aruna R Patil, Shrivalli N, Kapil S, Ramya P

Dr Babu K Abraham, Critical Care Medicine, Chennai

Publishing Journal and date: American journal of Obstetrics and Gynaecology, September 2017

40. Extracorporeal membrane oxygenation in drug overdose: A clinical case series

Dr Ashish Kakar, Dental Surgery, Delhi

Authors and Co- authors detalis: C Vignesh, Madhan Kumar, Ramesh Venkataraman, Senthilkumar Rajagopal, Nagarajan Ramakrishnan, Babu K Abraham

36. Lateral alveolar ridge augmentation procedure using subperiosteal tunnelling technique: a pilot study Authors and Co- authors detalis: Ashish Kakar, Kanupriya Kakar, Bappanadu H Sripathi Rao, Annette Lindner, Heiner Nagursky, Gaurav Jain, Aditya Patney Publishing Journal and date: Maxillofacial Plastic and Reconstructive Surgery, Vol. 40: Issue 3, 2018

Dr Bhagwan M Aage, (Resident doctor) Neurosurgery Apollo Cancer Institute, Chennai

Dr Ashwin K Mani, Critical Care Medicine, AFMH

41. Co-existence of atypical meningioma, intratumoural lipometaplasia and extensive hyperostosis of calvarius, A rare entity

37. Metastatic Endogenous Endophthalmitis: A rare presentation with methicillin-resistant staphylococcus aureus prostatic abscess

Authors and Co- authors detalis: Bhagwan Aage, prasad temkar, sachin chemate, balamurugan mangaleswaran

Authors and Co- authors detalis: Mrugank M Bhavsar, TV Devarajan, P Senthur Nembi, Nagarajan Ramakrishnan, Ashwin K Mani

Publishing Journal and date: World Neurosurgery journal, 2018

Publishing Journal and date: Indian Journal of Critical Care Medicine, April 2017 38. Hemodialysis for Lactic Acidosis Authors and Co- authors detalis: N Karthiraj, Nagarajan Ramakrishnan, Ashwin K Mani Publishing Journal and date: Indian Journal of Critical Care Medicine, August 2017 Dr Ashwin Yadav, Medicine, AFMH

(DNB

trainee)

Respiratory

39. OSLER-WEBER-RENDU Disease presenting as recurrent pulmonary arteriovenous malformations

147

Publishing Journal and date: Indian Journal of Critical Care Medicine, 2017



Dr Biswanath Mukhopadhyay, Pediatric Surgery, Kolkata 42. Leydig cell tumor of testis in a child: an uncommon presentation Authors and Co- authors detalis: Madhumita Mukhopadhyay, Chhanda Das, Sucharita Sarkar, Biswanath Mukhopadhyay, Bedabrata Mukhopadhyay, Rishavdeb Patra Publishing Journal and date: J Indian Assoc Pediatr Surg, April 2017 43. Laparoscopy in the evaluation of impalpable testes and its short term outcomes: A 7 years' experience



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Academics

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Research

Consultant’s Achievement

Authors and Co- authors detalis: Rajarshi Kumar, Kartik Chandra Mandal, Pankaj Halder, Md Hadiuzzaman, Madhumita Mukhopadhyay, Biswanath Mukhopadhyay

Diagnostic accuracy and surgical planning

Publishing Journal and date: J Indian Assoc Pediatr Surg, July 2017

Publishing Journal and date: The journal of spinal surgery, 2018

44. Immunohistochemistry-based comparative study in detection of Hirschsprung's disease in infants in a Tertiary Care Center

Dr Dadhaniya Nikunjkumar Trainee) Rheumatology, Delhi

Authors and Co- authors detalis: Bedabrata Mukhopadhyay, Moumita Sengupta, Chhanda Das, Madhumita Mukhopadhyay, Shibsankar Barman, Biswanath Mukhopadhyay Publishing Journal and date: Journal of Laboratory Physicians, June 2017 Dr Biswaranjan Nayak, Neurosurgery, Bhubaneswar

Authors and Co- authors detalis: Multiple author including Dr Chemate Sachin, 1st Author

Vallabhdas,

(DNB

48. Screening for hydroxychloroquine retinal toxicity: current recommendations Authors and Co- authors detalis: Nikunjkumar Dadhaniya Isha Sood, Abhishek, Patila Himanshu Aggarwal, Sundeep Kumar, Upadhyayab Rohini, Handa, Sirinder Jit, Gupta Publishing Journal and date: Apollo Medicine, 2017 Ms. Daphnee DK, (Chief Dietitian) Dietetics, Chennai

45. Management of chronic subdural hematoma: Burr Hole versus twist drill - A prospective study Authors and Co- authors detalis: Ram Kumar Goyal, Biswaranjan Nayak, Rajiv Maharshi, Debadulal Das Bidhar, Sunil Panchal, Harish Chandra Pathak Publishing Journal and date: Asian Journal of Neurosurgery, 2018

49. Customized nutrition intervention and personalized counseling helps achieve nutrition targets in perioperative liver transplant patients Authors and Co- authors detalis: D K Daphnee, Sheila John, P Rajalakshmi, Anil Vaidya, Anand Khakhar, S Bhuvaneshwari, Anand Ramamurthy

Dr C Jagadeesh, General Medicine, Chennai

Publishing Journal and date: Clinical Nutrition ESPEN, Vol. 23, 2018

46. Isolated renal mucormycosis in an apparently healthy immune competent adult

Dr Darius F Mirza, Transplant surgery and HPB, Navi Mumbai

Authors and Co- authors detalis: Madhumitha R, C Jagadeesh, Aditya V, Neeraj Sharma, P Senthur Nambi, Ram Gopalakrishnan

50. A successful strategy in a combine pediatric and adult liver transplant center

Publishing Journal and date: Int J Med Health Sci, Vol., 6: Issue2, April 2017 Dr Chemate Sachin Sambhati, (DNB trainee) Neurosurgery, Apollo Cancer Institute, Chennai 47. Role of kinematic magnetic resonance imaging for evaluation of cervical spondylotic myeloradiculopathy:



Authors and Co- authors detalis: Battula NR, Platto M, Anbarasan R, Perera MT, Ong E, Roll GR, Ferraz Neto BH, Mergental H, Isaac J, Muiesan P, Sharif K, Mirza DF Publishing Journal and date: Annals of Surgery, 01 May 2017 51. The UK DCD Risk Score: A new proposal to define



148

liver

Publishing Journal and date: British Journal of Cancer, 2017

Authors and Co- authors detalis: Schlegel A, Kalisvaart M, Scalera I, Laing RW, Mergental H, Mirza DF, Perera T, Isaac J, Dutkowski P, Muiesan P

56. Pancreas exocrine replacement therapy is associated with increased survival following pancreatoduodenectomy for periampullary malignancy

futility in donation-after-circulatory-death transplantation

Publishing Journal and date: J Hepatol, March 2018 52. Systematic review and meta-analysis of liver transplantation using grafts from deceased donors aged over 70 years Authors and Co- authors detalis: Bobby V Dasari, Hynek Mergental, John R Isaac, Paolo Muiesan, Darius F Mirza, Thamara Perera Publishing Journal December 2017

and

date:

Clin

Transplant,

53. Impact of donor age in donation after cardiac death liver transplantation Authors and Co- authors detalis: Andrea Schlegel Irene, Scalera M Thamara, P R Perera, Marit Kalisvaart Hynek Mergental Darius F Mirza John Isaac Paolo Muiesan Publishing Journal and date: Liver Transpl, March 2018 54. Retransplantation in late hepatic artery thrombosis: Graft access and transplant outcome Authors and Co- authors detalis: Buchholz BM, Khan S, David MD, Gunson BK, Isaac JR, Roberts KJ, Muiesan P, Mirza DF, Tripathi D, Perera MTPR Publishing Journal and date: Transplant Direct, July 2017

149

Authors and Co- authors detalis: Roberts KJ, Schrem H, Hodson J, Angelico R, Dasari BVM, Coldham CA, Marudanayagam R, Sutcliffe RP, Muiesan P, Isaac J, Mirza DF Publishing Journal and date: International HepatoPancreato-Biliary Association, October 2017 57. Long term outcomes after fenestration of symptomatic liver cysts

laparoscopic

Authors and Co- authors detalis: Kisiel A, Vass DG, Navarro A, John AK, Isaac J, Marudanayagam R, Mirza DF, Muiesan P, Roberts K, Sutcliffe RP Publishing Journal and date: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques, August 2017 58. A reduced time to surgery within a fast track pathway for periampullary malignancy is associated with an increased rate of pancreatoduodenectomy Authors and Co- authors detalis: Roberts KJ, Prasad P, Steele Y, Marcon F, Faulkner T, Cilliers H, Dasari B, Abradelo M, Marudanayagam R, Sutcliffe RP, Muiesan P, Mirza DF, Isaac J Publishing Journal and date: International HepatoPancreato-Biliary Association, August 2017 (HPB Oxford)

55. Long term outcomes of patients with 10 or more colorectal liver metastases

59. A comparative study of risk factors for pancreatic fistula after pancreatoduodenectomy or distal pancreatectomy

Authors and Co- authors detalis: Allard MA, Adam R, Giuliante F, Lapointe R, Hubert C, Ijzermans JNM, Mirza DF, Elias D, Laurent C, Gruenberger T, Poston G, Letoublon C, Isoniemi H, Lucidi V, Popescu I, Figueras J

Authors and Co- authors detalis: Halle-Smith JM, Vinuela E, Brown RM, Hodson J, Zia Z, Bramhall SR, Marudanayagam R, Sutcliffe RP, Mirza DF, Muiesan P, Isaac J, Roberts KJ





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Publishing Journal and date: International HepatoPancreato-Biliary Association, August 2017 (HPB Oxford) 60. The use of an acellular oxygen carrier in human liver model of normothermic machine perfusion Authors and Co- authors detalis: Laing RW, Bhogal RH, Wallace L, Boteon Y, Neil DAH, Smith A, Stephenson BTF, Schlegel A, Hübscher SG, Mirza DF, Afford SC, Mergental H Publishing Journal November 2017

and

date:

Transplantation,

61. Case controlled study comparing perioperative and cancer related outcomes after major hepactectomy and parenchymal sparing hepatectomy for metastatic colorectal cancer Authors and Co- authors detalis: Lordan JT, Roberts JK, Hodson J, Isaac J, Muiesan P, Mirza DF, Marudanayagam R, Sutcliffe RP Publishing Journal and date: International HepatoPancreato-Biliary Association, August 2017 (HPB Oxford) 62. Outcomes of parenchyma-preserving hepatectomy and right hepatectomy for solitary small colorectal liver metastasis: A liver metsurvey study Authors and Co- authors detalis: Hosokawa I, Allard MA, Mirza DF, Kaiser G, Barroso E, Lapointe R, Laurent C, Ferrero A, Miyazaki M, Adam R

Academics

Recognition

Research

Consultant’s Achievement

(ELITA). Hepatic epithelioid hemangioendothelioma and adult liver transplantation: proposal for a prognostic score based on the analysis of the ELTRELITA registry Authors and Co- authors detalis: Lai Q, Feys E, Karam V, Adam R, Klempnauer J, Oliverius M, Mazzaferro V, Pascher A, Remiszewski P, Isoniemi H, Pirenne J, Foss A, Ericzon BG, Markovic S, Lerut JP Publishing Journal and date: European Liver Intestine Transplant Association (ELITA) Transplantation, Vol. 101: Issue 3: Page 555-564, March 2017 65. CholeS study group, West midlands research collaborative. polulation-based cohort study of variation in the use of emergency cholecystectomy for benign gallbladder disease Authors and Co- authors detalis: CholeS Study Group, West Midlands Research Collaborative Publishing Journal and date: British journal of surgery, November 2016, Epub October 2017 Dr Dhanasekhar Gastroenterology, ACH

Kesavelu,

Pediatric

66. Common gastrointestinal distress among infants: role of optimal nutritional interventions Authors and Co- authors detalis: Dhanasekhar Kesavelua, Gaurav Sethib, Nikhil Bangalec, Fahmina Anward, Shashidhar Raod Publishing Journal and date: Clinical Epidemiology and Global Health, Vol. 6: Page 5–9, 2018

Publishing Journal and date: Surgery, August 2017 63. Normothermic ex-situ liver preservation: The new gold standard Authors and Co- authors detalis: Laing RW, Mergental H, Mirza DF Publishing Journal and date: Current Opinion in Organ Transplantation,June 2017 64. European liver intestine transplant association



Dr Dhanya Dharmapalan, Pediatric infectious disease, Navi Mumbai 67. Point prevalence surveys of antimicrobial use among hospitalized children in six hospitals in India in 2016 Authors and Co- authors detalis: Multiple author includng Dr Dhanya Dharmapalan



150

Publishing Journal and date: Antibiotics, 2017

Publishing Journal and date: Int J Med. Public Health, 2018

Dr Dipika Mohanty, Hematology, Bhubaneswar 68. Clinical manifestations of sickle cell disease in India: misconceptions and reality Authors and Co- authors detalis: Dipty Jaina, Dipika Mohanty Publishing Journal and date: Current opinion in Hematology, Vol. 25: Page 171-176, May 2018 Dr Ebenezer R, Critical Care Medicine, ASH, Vanagaram

Authors and Co- authors detalis: Hena Butta, Raman Sardana, Leena Mendiratta, Vyoma Singh, Sanjiv Jasuja, Havind Tandon, Vikas Kashyap Publishing Journal and date: Journal of Clinical and Diagnostic Research, Vol. 12: Issue 9, September 2018

69. Melioidosis: An emerging infection with fatal outcomes

73. Unusual presentation of varicella zoster virus meningitis – Role of molecular rapid diagnostics in diagnosis and antimicrobial stewardship

Authors and Co- authors detalis: Isabella Princess, R Ebenezer, Nagarajan Ramakrishnan, Arun Kumar Daniel, S Nandini, M A Thirunaraya

Authors and Co- authors detalis: Vinit Suri, Leena Mendiratta, Suranjit Chatterjee, Raman Sardana, Hena Butta

Publishing Journal and date: Indian Journal of Critical Care Medicine, June 2017

Publishing Journal and date: Annals of Indian Academy of Neurology, Vol. 21: Issue 2, April-June 2018

Dr Ganesh Jadhav, Radiation Oncology, Delhi 70. Multiparametric evaluation in differentiation of glioma recurrence from treatment-induced necrosis using simultaneous 18F-FDG PET/MRI: A singleinstitution retrospective study running title: FDGPET/MRI in glioma recurrence Authors and Co- authors detalis: A Jena, S Taneja, A Jha, N K Damesha, P Negi, GK Jadhav, Sapna Manocha Verma, S K Sogani Publishing Journal and date: American journal of Neuroradiol, May 2017

151

72. A Retrospective epidemiological analysis of fungal infections of skin and soft tissue in a health care setup in Delhi, India

Dr IPS Kochar, Endocrinology, Delhi

Pediatric

and

Adolescent

74. Metformin in Adolescent PCOS: The way forward Authors and Co- authors detalis: Pal Singh Kochar I, Ramachandran S, Sethi A Publishing Journal and date: Pediatr Endocrinol Rev, December 2017 Dr Isabella Princess, Microbiology, ASH, Vanagaram

Dr Hena Butta, Microbiology, Delhi

75. Pulmonary Nocardiosis and Scrub Typhus in an lmmunocompromised Host

71. Fecal microbial transplant- A new hope of treatment for ulcerative colitis

Authors and Co- authors detalis: Isabella Princess, R Ebenezer, Nagarajan Ramakrishnan, S Nandini

Authors and Co- authors detalis: Hena Butta, Akshay Kapoor, Anupam Sibal, Raman Sardana, Vidyut Bhatia, Leena Mendiratta

Publishing Journal and date: Journal of Global Infectious Diseases, 2018





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Dr Isha Sood, (DNB trainee) Rheumatology, Delhi 76. Nailfold capillaroscopyinvestigation in rheumatology

An

underutilised

Authors and Co- authors detalis: Isha Sood, Nikunjkumar Dadhaniya, Sundeep Kumar, Upadhyaya Sirinder Jit Gupta, Rohini Handab Publishing Journal and date: Apollo Medicine, 2017 Dr Jaideep Kumar Trivedi, CTVS, Vizag 77. Successful excision of large mediastinal liposarcoma with bilateral thoracic extension Authors and Co- authors detalis: Jaideep Kumar Trivedi, Ravi Chandrahas Pola, Kiran Tanety, Bhushan Rao, Kishore Jakkula

Academics

Recognition

Research

Consultant’s Achievement

Publishing Journal and date: International Journal of Scientific Research, Vol. 7: Issue 5, May 2018 81. Case reports: An art sailing into the unknown Authors and Co- authors detalis: Dr Kalpit Goriwal, Dr Adheesh Goriwal Publishing Journal and date: IOSR Journal of Dental and Medical Sciences, April 2018 82. Primary idiopathic segmental omental infarction: A rare case report Authors and Co- authors detalis: Dr HP Garg, Dr Kalpit Goriwal, Dr Adheesh Goriwal Publishing Journal and date: International Journal of Scientific Research, April 2018

Publishing Journal and date: Indian Journal of Thoracic and Cardiovascular Surgery, May 2017

83. Oriental Cholangiohepatitis: A rare case report warranting surgical access procedure

78. Intracardiac Repair in adult tetralogy of fallots with destroyed lung (Post Tubercular)

Authors and Co- authors detalis: Dr Kalpit Goriwal, Dr Adheesh Goriwal, Dr Sunil Kaul

Authors and Co- authors detalis: Jaideep Kumar Trivedi, GV Raman Kumar, K Damodar Rao, P Ravi Chandrahas, Kiran Tanety, K Rama Rao Publishing Journal and date: Surgery Current Research, an open access journal, July 2017 79. Intrapericardial dermoid cyst presenting with acute coronary syndrome Authors and Co- authors detalis: Jaideep K Trivedi, Guddati V Raman Kumar, Kodem Damodar Rao Publishing Journal and date: Australia New Zealand Journal of surgery, 2017 Dr Kalpit Goriwal, (DNB Trainee) General Surgery, Delhi 80. Klippel-Trenaunay-Weber Syndrome presenting as recurrent rectal bleed ad anemia: A rare case report Authors and Co- authors detalis: Dr Saket Goel, Dr Deepak Govil, Dr Kalpit Goriwal 

Publishing Journal and date: International Journal of Scientific Research, February 2018 84. Intraperitoneal focal fat infarctino: Case reports of two variants of this entity Authors and Co- authors detalis: Dr Adheesh Goriwal, Dr Kalpit Goriwal, Dr Rahul Patel Publishing Journal and date: IOSR Journal of Dental and Medical Sciences, April 2018 85. Rectal carcinoma presenting gangrene: A rare case report

as

fournier's

Authors and Co- authors detalis: Dr Saket Goel, Dr Kalpit Goriwal, Dr Harshit Malhotra Publishing Journal and date:IOSR Journal of Dental and Medical Sciences, April 2018 Dr Kamal Chetri, Gastroenterology, Guwahati 86. Role of Pan-Endoscopy in diagnosis of abdominal tuberculosis in HIV negative adult patients: A hospital 

152

based study fromNorth Eastern India Authors and Co- authors detalis: Dr Kamal Chetri, Dr K G Lynrah, Dr Masaraf Hussain, Dr Arijit Das, Dr Danny Hek, Dr Rintu Barman, Dr M S Rupsi, Dr C Daniala, Dr Akash Handique, Dr Vandana Raphael, Dr Yookarin Khonglah Publishing Journal and date: International Journal of Medical Science and Clinical Inventions, 2017 Dr Kanhu Bhubaneswar

Charan

Das,

Gastroenterology,

87. Fujimoto's kikuchi disease, is it a part of florid SLE with wide systemic manifestations in an elderly female with abnormal liver profile?-A rare case report Authors and Co- authors detalis: Das K C, Sumit Kumar Mandal, Tapan Kumar Panda, Sambit Tripahty Publishing Journal and date: International Journal of Recent Scientific Research, January 2018 88. Acute severe pancreatitis with multi-organ failure assciated with familiar hypertriglyceridemia in a rural young - A very rare case report Authors and Co- authors detalis: Dr K C Das, Dr Saroja S, Dr Seema Mishra Publishing Journal and date: International Journal of Recent Scientific Research, December 2017 Dr Kiran Godse, Dermatologist, Navi Mumbai 89. Subcutaneous autologous serum therapy in chronic spontaneous urticaria Authors and Co- authors detalis: Godse KV, Nadkarni N, Patil S, Mehta A Publishing Journal and date: Indian Journal of Dermatology, September- October 2017 90. Synchronizing pharmacotherapy in acne with review of clinical care

153



Authors and Co- authors detalis: Sacchidanand SA, Lahiri K, Godse K, Patwardhan NG, Ganjoo A, Kharkar R, Narayanan V, Borade D, D'souza L Publishing Journal and date: Indian J Dermatol, July August 2017 Dr Krittibus Samui, (Research Fellow) Critical Care Medicine, Delhi 91. Steroid therapy in swine flu: beneficial and harmful Authors and Co- authors detalis: Krittibus Samui Publishing Journal and date: Apollo Medicine, 2018 92. A case of unexplained exertional breathlessness diagnosed as Hepatopulmonary syndrome: a case report Authors and Co- authors detalis: Dr Krittibus Samui, Dr Dixit Kumar Thakur Publishing Journal and date: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS), January 2018 93. Evaluation of pulmonary function test [Spirometry] in patients with metabolic syndrome in Indraprastha Apollo Hospitals, New Delhi Authors and Co- authors detalis: Dr Krittibus Samui, Dr Rajesh Chawla, Dr Nikhil Modi, Dr Viny Kantroo, Dr S K Wangnoo Publishing Journal and date: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS), January 2018 94. Lymphoma presenting asymptomatic pleural effusion Authors and Co- authors detalis: Krittibus Samui, Rajesh Chawla, Dixit Kumar Thakur, Nikhil Modi Publishing Journal and date: Journal of Respiratory Medicine, 2017 95. Multifocal leiomyoma in a case of post renal transplant Authors and Co- authors detalis: Dr Krittibus Samui,



2019

Clinical Excellence

Tele Medicine

CSR

Health Insurance

Dr Sudha Kansal, Dr Nikhil Modi Publishing Journal and date: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS), January 2018 96. Spectrum of clinical presentations of pulmonary embolism: a review article Authors and Co- authors detalis: Dr Krittibus Samui Publishing Journal and date: International Journal of Creative Research Thoughts (IJCRT), January 2018 97. Sudden onset severe headache in a patient of aplastic anaemia following bone marrow transplantation: A case report

Academics

Recognition

Research

Consultant’s Achievement

Sohail N Shaikh, Robert H Hawes, Christopher J, Gostout, Mahesh K Goenka, Jorge R Orillac, Alonso Alvarado, Pichamol Jirapinyo, Natan Zundel, Christopher C Thompson Publishing Journal and date: Surgical Endoscopy, October 2017 101. Pancreatic necrosectomy through sinus tract endoscopy Authors and Co- authors detalis: Mahesh Kumar Goenka, Usha Goenka, MdYasin Mujoo, Indrajit Kumar Tiwary, Sanjay Mahawar, Vijay Kumar Rai

Authors and Co- authors detalis: Dr Krittibus Samui

Publishing Journal and date: Clinical Endoscopy, January 2018

Publishing Journal and date: International Journal of Science and Research (IJSR), January 2018

Dr M Kodeeswaran, Neurosurgery, AFMH

Dr M K Goenka, Gastroenterology, Kolkata 98. Mucosal changes in the small intestines in portal hypertension: First study using the pillcam SB3 Capsule Endoscopy System Authors and Co- authors detalis: Mahesh Kumar Goenka, Bhavik Bharat Shah, Vijay Kumar Rai, Surabhi Jajodia, Usha Goenka Publishing Journal and date: Clinical Endoscopy, October 2018 99. Endotherapy for pancreatic necrosis: An update Authors and Co- authors detalis: Ashish K Jha, Mahesh K Goenka, Ramesh Kumar, Arya Suchismita Publishing Journal and date: Journal gastroenterology and hepatology, October 2018

of

102. Microendoscopic discectomy (MED) for lumbar disc herniation: comparison of learning curve of the surgery and outcome with other established case studies Authors and Co- authors detalis: Kodeeswaran Marappan, Ranganathan Jothi, Sherina Paul Raj Publishing Journal and date: Journal of Spine Surgery, 2018 103. Vertex epidural hematoma: An analysis of a large series Authors and Co- authors detalis: Vengalathur Ganesan Ramesh, Marappan Kodeeswaran Kunjithapatham Deiveegan, Venkataraman Sundar, Kuchalambal Sriram Publishing Journal and date: Asian Journal of Neurosurgery, Vol. 12: Issue 2, April-June 2017

100. Endoscopic sutured gastroplasty: procedure evolution from firstin- man cases through current technique

104. Factors influencing outcome in head injury patients with Glasgow Coma scale