ORTHO CLINICAL EXCELLENCE - Oct 2022.pptx

Center of excellence

1. Ortho Clinical excellence- Oct 2022

2. Success Measures To be ranked amongst the ‘Best Hospitals’ in India by FY 2025 • Cardio Sciences : 1 in Top 3 • Orthopedics : 1 in Top 5 • Neuro Sciences : 2 in Top 15 • Pediatric : 1 in Top 15 • Overall (Multi-specialty) : 2 in Top 15 Measurement Criteria: Commission Survey / Ranking by 'The Week-Nielsen Best Hospitals' Survey or any other credible survey as considered appropriate

3. Orthopedics Defining a CoE Details

4. Orthopedics Defining a CoE: Summary Basic Building Blocks Additional programs that define a CoE Joint replacement program -Knee & Hip Complex joint replacement- Shoulder, elbow Arthroscopy program Pediatric orthopedics Spine surgery program Minimally invasive Spine surgery Onco OrthopedicsTrauma program Onco Orthopedics Rheumatology program Bone banking Sports Medicine Programme Ligament reconstruction program Rehab and physiotherapy Meniscal transplantation

5. Item Manpower Infra Eqpt Clinics Joint replacement Qualified Surgeons at least 150 Joints/Month 2 Dedicated OTS Knee replacement instruments Joint replacement clinic Arthroscopy Qualified Surgeon OTs with Camera System Arthroscopic Instruments Arthroscopy clinic Rheumatology Rheumatologist NA Nil Rheumatology Clinic Sports Medicine Program Consultant for Sports and Rehabilitation OT and Equipment, physiotherapy Arthroscopy and physiotherapy equipment Sports Medicine Clinic Orthopedics Defining a CoE: Program Details (1/3)

6. Orthopedics Defining a CoE: Program Details (2/3) Item Manpower Infra Eqpt Clinics Trauma Program Team of Surgeons (Includes Neuro,Plastic, General and Vascular Surgeon) 1 Dedicated Trauma OT Trauma instrumentation NA Spine Surgery Program Qualified Ortho/Neuro Surgeon for Spine surgeries Dedicated OT and equipment Spine surgery equipment microscope frames etc Spine Clinic Meniscal regeneration & Ligament Transplantation Program Qualified Surgeon OTs and Cartilage Bank Instrumentation for advanced arthroscopy Ligament and Meniscal Clinic Advanced Spine Surgery Program Qualified Surgeon for MI Spine surgeries OTs with Microscope Endoscopic surgery instruments Spine surgery Clinic

7. Orthopedics Defining a CoE: Program Details (3/3) Item Manpower Infra Eqpt Clinics Complex Joint Replacements Surgeon for revision and complex Joints NA (Joint replacement OT) Revision & shoulder instruments Joint replacement Bone Banking Surgeon and Staff Bone bank Refrigerator Bone saw and Mill NA Pediatric Orthopedics Qualified Surgeon OT ICU setup for pediatric pts Instruments Pediatric ortho Clinic Oncoorthopedics Qualified Surgeon OTs, Radiotherapy Unit Instruments Onco Ortho Clinic Hand Surgery Qualified Surgeon OTs Instruments Hand Surgery Clinic

8. Orthopedics Defining a CoE: Processes Item Explanation Clinical Outcomes • TKR • THR, Trauma Clinical Pathways • Pain Management • DVT Pathway Infection Control program with Surgical Prophylaxis Audit to be done every 6 months Surgical Safety Checklist Audit to be executed by MS and Quality MOS and CESC All 13 parameters to be implemented and monitored Credentialing and Privileging (JCI/NABH) Credentialing and Privileging to be done as per company policy . JCI/NABH accreditations Academics: DNB, Fellowship Fellowship programs in Joint replacement. DNB in orthopedics Nurses and Para med Training Training in Pain pathway and DVT pathway

9. Orthopedics Program Details (1/3) Item Manpower Infra Eqpt Clinics Joint replacement 4 on Board Surgeons doing avg250 joints /m 3 Dedicated OTS Knee replacement instruments Joint replacement clinic Arthroscopy 2 empanelled surgeons OTs with Camera System Arthroscopic Instruments Arthroscopy clinic Rheumatology 2 qualified Rheumatologists NA Nil Rheumatology Clinic Sports Medicine Program 2 empanelled specialists OT and Equipment, physiotherapy Arthroscopy and physiotherapy equipment Sports Medicine Clinic (twice a month)

10. Orthopedics Program Details (2/3) Item Manpower Infra Eqpt Clinics Trauma Program Cross functional team in place Dedicated Trauma OT not available Basic instrumentation available NA Spine Surgery Program NeuroSurgeon for Spine surgeries Dedicated OT and equipment Spine surgery equipment microscope frames etc Spine Clinic (under NS) Meniscal regeneration & Ligament Transplantation Program Qualified Surgeon OTs and Cartilage Bank Instrumentation for advanced arthroscopy Ligament and Meniscal Clinic Advanced Spine Surgery Program Qualified Surgeon for MI Spine surgeries OTs with Microscope Endoscopic surgery instrument Spine surgery Clinic

11. Orthopedics Program Details (3/3) Item Manpower Infra Eqpt Clinics Complex Joint Replacements Surgeon for revision and complex Joints NA (Joint replacement OT) Revision & shoulder instruments Joint replacement Bone Banking Surgeon and Staff Bone bank Refrigerator Bone saw and Mill being procured NA Pediatric Orthopedics Qualified Surgeon OT ICU setup for pediatric pts Instruments Pediatric ortho Clinic Oncoorthopedics Qualified Surgeon (Dr. Bhambri OTs, Radiotherapy Unit Instruments Onco Ortho Clinic Hand Surgery Qualified Surgeon OTs Instruments Hand Surgery Clinic

12. Orthopedics Processes: Status (Example) Item Explanation Status & Timeline Clinical Outcomes • TKR in Place • THR, Trauma THR and Trauma template by Sept 2020 Clinical Pathways • Pain Management • DVT Pathway Infection Control program with Surgical Prophylaxis Being Monitored audit done every 6 months for same Process in place Surgical Safety Checklist Being Filled Audit done by MS and Quality Process in place MOS and CESC All 13 parameters implemented and monitored Process in place Credentialing and Privileging (JCI/NABH) Credentialing and Privileging being done as per company policy .JCI/NABH accreditations present Process in place. NABH accredited Academics: DNB, Fellowship Already running Fellowship programs in Joint replacement DNB application submitted Fellowship in Joint replacement on. DNB application submitted Nurses and Para med Training Ongoing Process for training in Pain pathway and DVT pathway To be started by X as per NB guidelines

13. Orthopedics Doctor Details (1/3) Item Manpower Joint replacement Dr Dr Dr Arthroscopy Dr Rheumatology Dr Sports Medicine and rehablitation Program Dr

14. Orthopedics Doctor Details (2/3) Item Manpower Trauma Program Dr Pardaman Singh Dr Ramesh Sen Dr Ajay Bhambri Dr Ravi Behl (Head ER) Spine Surgery Program Dr V.K Khosla Dr Ashis Pathak Dr Anil Dhingra Complex Joint Replacements Dr Harsimran Singh Dr Ramesh Sen Dr Ajay Bhambri Bone Banking Dr Ramesh Sen Dr Ajay Bhambri

15. Orthopedics Doctor Details (3/3) Item Manpower Advanced Spine Surgery Program Dr Dr Onco orthopedics To Be Hired Pediatric Orthopedics To Be Hired Meniscal regeneration &Ligament Transplantation Program and hand Surgery

16. Thank You