Details about facilities ESICMH BaDDI ppt.pptx

Description of ESICMH baddi

1. Dr. Sumati M.S. ESIC-MH Baddi , H.P E.S.I.C. Model Hospital BADDI

2. CONTENTS Brief Overview Key Highlights Planning & Strategy Process & Approach Achievements Vision

3. Brief Overview of ESIC-MH BADDI, H.P Commissioned in 2011 , 100 Bedded, acres Coverage: Baddi , Barotiwala , Nalagarh and other areas of Himachal Pradesh Population Base: IP- 3.14 Lakhs &their families, Staff & Pensioners Feeder Dispensaries- Bhud , Jharmajri , Bilaspur, Mehatpur , Tahliwal , Kangra , Gagret

4. POSITION OF SPECIALIST Department Specialist - sanctioned Post Filled Vacant Post Medicine 2 2 (PT) NIL Surgery 2 1(FT) 1 Orthopedic 1 1(FT) NIL Obstetrics and Gynecology 2 2(FT) NIL Pediatrics 2 2(FT) NIL ENT 1 1(FT) NIL Ophthalmology 1 1(FT) NIL Dentistry 1 1 JR (Bonded) NIL Anesthesia 2 2(FT) NIL Radiology 2 - 2 Pathology 1 1 (FT) NIL Dermatology 1 1(FT) NIL Ayurveda 1 (PT) 1 (PT) NIL TB and Chest. 1 1 (FT) NIL TOTAL 20 17 3

5. POSITION OF MEDICAL OFFICER AND SENIOR RESIDENTS DESIGNATION SANCTION POST FILLED POST VACANT POST IMO 38 38 ( 26 IMO + 12 JR bonded) NIL SR 3 YR 10 10 NIL

6. Administration Sanction posts DESIGNATION SANCTION POST FILLED POSTS VACANT POSTS MEDICAL SUPERINTENDENT 1 1 NIL ASST MEDICAL SUPERINTENDENT 1 - 1 DY. DIRECTOR (ADMIN/MEDICAL) 1 1 NIL DY. DIRECTOR (FINANCE) 1 1 NIL OFFICE SUPERINTENDENT 1 1 NIL ASSISTANT / HEAD CLEARK 3+1(CARE TAKER) 7 NIL UDC 11 2 9 LDC 2 4 NIL PS TO MS 1 1 NIL STENOGRAPHER 1 - 1 SOCIAL GUIDE/ SOCIAL WORKER 1 - 1 JR. MRT 2 2 NIL PEON 4 2 (CONTRACT) 2

7. Nursing staff Designation Sanction posts Filled Posts Vacant Posts Nursing Officer 59 (49) 35 Regular+ 16 Contractual 10 Senior Nursing Officer 29 13 16 ANS ( Assistant Nursing Superintendent) 6 5 1 DNS 1 1

8. PARAMEDICAL STAFF Designation Sanction Post Filled Posts Vacant Posts Dietician 1 1 (CONTRACT) NIL Radiographer 3 1 2 Junior Radiographer 5 5 (3 CONTRACT) NIL Pharmacist 8 7 (1 CONTRACT) 1 Dresser 2 2 Dental Technician 1 1 (1 CONTRACT) NIL Physiotherapist 1 1 NIL Occupational Therapist 1 - 1 CSSD Technician 2 1 1 ECG Technician 4 3 1 Lab Technician 4 3 1 OT & Plaster Technician 5 2+0 3 CSSD Assistant 2 2 (1 CONTRACT) NIL Lab Assistant 5 4 (3 CONTRACT) 1 OT / Plaster Assistant 10 7 (3 CONTRACT) +1 2 Boiler Attendant , Laundry Supervisor, Laundry Asst / helper/operator To be outsourced -

9. OTHER POSTS Designation Sanction Post Filled Posts Vacant Post Head Cook 1 - 1 Cook 4 - 4 Cookmate 10 - 10 Class IV (N.O / Stretcher Bearer etc ) 40 27 (22 contract) 13 Security / Sweeping/ Cleaning ( House Keeping) 40 Security-16 House Keeping-24 NIL Barber/ Tailor/ Carpenter/ Plumber/ Electrician/ Gardner FT/PT -

10. Overall shortage Nursing staff:95-67=28 Paramedical staff:94-65=29 Ministerial:31-22=9

11. OPD April 2024 to October 2024 Month / Year Old cases New cases Total OPD April 2024 18910 10363 29273 May 2024 19392 11169 30561 June 2024 15872 10162 26034 July 2024 19136 11800 30936 August 2024 18224 11172 29396 September 2024 19024 11754 30778 October 2024 16663 11539 28202

12. Bed Occupancy April 2024 to October 2024 Month / Year Bed Occupancy Rate April 2024 55 % May 2024 64 % June 2024 55 % July 2024 60 % August 2024 67 % September 2024 71 % October 2024 56 %

13. OT Census April 2024 to October 2024 OT census Digital Initiative Referral data New Initiatives Issues Short falls Suggestions Month / Year Minor Surgery Major Surgery Total April 2024 354 189 543 May 2024 474 176 650 June 2024 375 130 505 July 2024 460 179 639 August 2024 399 180 579 September 2024 333 195 528 October 2024 390 208 598

14. Digital Initiative Referral Data April 2024 to October 2024 Month / Year Tertiary Referrals Referral after 04:00 PM to 09:00 AM Total April 2024 680 145 825 May 2024 June 2024 737 134 871 July 2024 630 143 773 August 2024 876 169 1045 September 2024 656 108 764 October 2024 806 180 986

15. New Initiatives Issues April 2024 to October 2024

16. Key Highlights (2022-25) Expense Head 2022-23 2023-24 2024-25 % change from 2022 Exp. Incurred for RC LP Expenses Referrals

17. Planning Strategy Mission Provide cashless medical facilities to beneficiaries. Seamless distribution of drugs to OPD patients provisioning for IPD patients in the hospital. Institute a robust procurement system to facilitate purchase of right item, right quantity, right price and quality, right time and place. Effective use of DGESIC RCs Challenges Remote town, difficult approach to hospital, 100 Bedded, Single Hospital Estimated quantities of single item are not very high Transportation Logistics Lack of Skilled Manpower for Equipment Repair

18. Statistics of Hospital At a Glance Total 2023-24 Avg monthly 2024-25 Avg monthly OPD IPD Casualty Lab Tests OT Major Ayurveda Homeopathy NVD & LSCS GeM Procurement Medical Store GeM Procurement Non Medical Store

19. Bed Occupancy Rate

20. Direction Identified Timely MSC Bunching of orders Moderation of Ordered Qty External Internal Lead time management Vendor confidence building-Timely Bill payments Reduction in Local Purchase to bare minimum Maintaining 100% Dhanwantri Implementation Periodic Condemnation Tendering of AMC/CMC of Equipment GeM Procurement as per SCoGeM guidelines

21. Process & Approach (Drugs & Dressings) Principle of Procurement (Drugs & Dressing) Need Identification Patient attendance in OPD, IPD & Emergency, Referral of Oncology patients Demand estimation Timely MSC's, Evaluate previous 3 years consumption, Slow moving & Non-moving items are phased out, LP of previous year is evaluated and substitutes if available in DGESI RC's are mapped & added in MSC Budgeting & Concurrence by F&A Formation of Drug Formulary Procurement Procedure DGESI RC, GEM, Procedures as per GFR, LP Inventory Management Purchase(DGESl RC & LP) Quarterly, Online Receipts & Inspection Online GRN Stocking & Distribution Monthly indents, Units sensitized to maintain ROL & buffer stocks, emergency indents supported. Inventory control How much & How old- regular review of expired, damaged material. ABC, VED,FIFO, JIT, staggered supply Quality control Rate contracts formulated for Quality Testing Of Allopathic & Ayurvedic drugs Cost Reduction Discounts by empanelled chemists, GEM- (Price comparison/ Bidding/ Reverse Auction) Condemnation Disposal Yearly exercise

22. Process & Approach (Equipments) Principle of procurement (Equipment) Need Identification Provide Infrastructural Support for delivering Medical Services to patients Demand estimation Fresh Demand, Additional Demand, Against Condemnation Cost Benefit Analysis (Workload, Referrals, Expenditure Incurred) Availability of Space & Trained Manpower Equipment Details Description of Equipment, Quantity, Accessories, Cost including AMC/CMC Specification Formation Committee Budgeting Concurrence Procurement procedure GEM (Comparison/ Bidding/ RA), Procedures as per GFR Equipment Maintenance Receipts & Inspection Installation , Commissioning & Training Inventory control Responsibility of User Unit, Upkeep of Inventory & Preventive maintenance Register, Annual AMC/CMC Renewal Functionality Review Condemnation & Disposal Yearly exercise

23. Achievements Best Practice Formulation of Rate contracts for empanelled chemists for Local purchase & Quality testing Increase in RC purchase by 22% 22-23: Rs 244 L 23-24: Rs 297 L ( 21.7% increase) S. No. PERIOD TOTAL NO. OF AVAILABLE DRUGS NO OF DRUGS RECOMMENDED BY MSC % OF AVAILABILITY OF DRUGS 1. 2. 3.

24. Achievements(Contd.) Dhanwantri Implementation 18-19: Purchase Orders & Billing Online (RC & LP), 19-20: 100% Online (PO’s & Billing for RC,LP, Drug Testing, AMC/CMC, Repairs & Refilling of Gases) 20-21: 100% online maintained Timely placement of SO's hence NO STOCK OUT Equipment Purchase FY 19-20 Purchased delivered 30 New Equipments (Appx. 80 Lakh’s) Equipment Purchase in Pipe Line: 25+ 13 (38) Condemnation Old Equipments 16-17: Nil 17-18: Nil 18-19: 25 Major +Minor(Rs 23 Lakhs +Rs 7 lakhs) Commissioning of HDU in Mid-2020 Seven Bed HDU services started in 2020 for enhancing the services to Ips Set up of STP, ETP and Manifold Room with Gas pipelines under process and construction likely to be completed soon. Set up of Solar Plant under process

25. Preparedness for COVID 19 like Threats 1867 COVID suspect patients were screened for COVID 19 in flu screening. 942 rapid antigen tests have been performed till date. 20 patients of Severe Respiratory Distress were timely referred to Covid Hospitals for intensive management. Only 21 health care workers were infected with Covid 19 139 health care workers have been vaccinated in the first round with Covishield Vaccine. During COVID 19 pandemic ESICMH Chandigarh hospital was open 24x7 and all essential services were rendered to the beneficiaries.

26. Vision Upgradation of ICU with fully qualified staff Introduction of Superspeciality Services Introducing Bar Coding for Inventory Management Establishing CT & MRI unit on PPP mode