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The Awakening
Nova Medical Centers – Audit Report

                                             August 2011



                                                             Dr Gautam Kodikal




©2009. Nova Medical Centers. Strictly private and confidential
A Bird eye view of Nova-India




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


                                                                                                 Kailash   Sadashiva
                                                                   Month   Karolbagh   Chembur                       Kormangala
                                                                                                 Colony      Nagar



                                                                 April             0       25         81        86       146

                                                                                   0       23         85        78       153
©2009. Nova Medical Centers. Strictly private and confidential




                                                                 May

                                                                 June              0       26         64        77       158

                                                                 July              8       21         70      107        153
Agenda


 OPD Footfalls Trend
 Health Checks
 Specialty Surgery Trends
 Top Revenue Earners
 Marketing Activities
 Highlights
 Untoward Events
 Feedback
  Marketing Activities
Specialtywise surgical trends


                                                                                Jun
                                                                                09 to Sep 09 Jan 10 April 10
                                                                                Aug to Dec to Mar to June July 10 to Oct 10 to Jan 11 to April 11 to
                                                                 Speciality     09    09     10     10       Sep 10 Dec 10     Mar 11    July 11

                                                                 Orthopaedics     38      44      58      63       53        78      100       142
                                                                 General
                                                                 surgery           6      37      65 118         137       138       110       194
©2009. Nova Medical Centers. Strictly private and confidential




                                                                 Gynaecology      25      44      38 36           81        72        69        75
                                                                 ENT               7      36      38 28           56        47        49       118
                                                                 Opthmology        0      12      17 19           15        26        13        27
                                                                 Plastic
                                                                 Surgery           3       2       5   3          10         7         4        13

                                                                 Urology           0       6       8      12         4       13       26         41
OPD Footfalls


                                                                                                       OPD
                                                                                                                                       4117



                                                                                                                             2698
                                                                                                          2208     2138
                                                                                                1656
©2009. Nova Medical Centers. Strictly private and confidential




                                                                            1289      1238

                                                                   375


                                                                 Jun09 to Sep 09 to Jan 10 to April 10 July 10 to Oct 10 to Jan 11 to Apr 11 to
                                                                  Aug 09 Dec 09 March 10 to June Sep 10 Dec 10 Mar 11 July 11
                                                                                                10


                                                                                                                                                  10
Health Checks
                                                                                                        Sales
                                                                                                            584


                                                                                                                                          456
                                                                                                                      395


                                                                                                  269
©2009. Nova Medical Centers. Strictly private and confidential




                                                                                        147                                     160


                                                                              34
                                                                    15

                                                                 June 09 to Sep 09 to Jan 10 to April 10 July 10 to Oct 10 to Jan 11 to Apr 11 to
                                                                   Aug 09    Dec 09 Mar 10 to June 10 Sep 10         Dec 10 Mar 11 July 11
Speciality Surgery Trends




                                                                         803

                                                                                      560
©2009. Nova Medical Centers. Strictly private and confidential




                                                                                            432
                                                                                                  378

                                                                                                        138   110
                                                                                                                    42   4




                                                                 Grand Total - 2470
                                                                                                                             10
Top Revenue Earners

                                                                                       Orthopaedics


                                                                                       General
                                                                                       Surgery

                                                                                       Gynaecology


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




                                                                                       Urology


                                                                                       Opthalmology


                                                                                       Plastic
                                                                                       Surgery



                                                                                                      10
Highlights




                                                                 AAA HC and NABH accreditation on process for recognition
                                                                 Shoulder replacement under regional Block
©2009. Nova Medical Centers. Strictly private and confidential




                                                                  Decompression and Stabilization L2
                                                                 Laser Assisted Uvalopalatoplasty + Septoplasty +Tonsillectomy
                                                                 Laparoscopic Splenectomy
                                                                 laparoscopic fundoplication, hiatus hernia repair , Reflux
                                                                 Laparoscopic Sleeve Resection for Obesity
                                                                  More than 10 Total Knee Replacement surgeries have been done .
                                                                  First Day care Endoscopic Spine Surgery
Untoward Events




                                                                 • Resurgeries

                                                                 • Stapled haemorrhoidectomy Peri anal abscess drainage then had
                                                                   lower end of scar with infection with pockets of pus admitted for
©2009. Nova Medical Centers. Strictly private and confidential




                                                                   revision pilonidal sinus excision
                                                                 • Post-laser TURP sloughed cast floating blocked the bladder and
                                                                   underwent cystoscopy and wash out bladder.
                                                                 • Post-laser prostectomy had retention underwent again TURP
                                                                 • Lap ovarian cystectomy and again after 1 week operated to R/O
                                                                   pelvic collection but it was intestinal cocooning
Untoward Events

                                                                 • Complications

                                                                 • Post-op lap cholecysteomy for empyema gallbladder had chest
                                                                   infection shifted to Fortis hospital
                                                                 • Post-Adenotonsillectomy child had bleeding and managed at the
                                                                   center with blood transfusion
                                                                 • Post- septoplasty had severe bleeding shifted to Sita bathija hospital
                                                                   for overnight ventilation and next day settled and discharged
©2009. Nova Medical Centers. Strictly private and confidential




                                                                 • Post- surgery patient had difficulty in breathing with froathy
                                                                   vomiting shifted sagar hospital ICU for further management
                                                                 • Post-Adenotonsillectomy child had breathing difficulty developed
                                                                   stridor shifted to Apollo hospital
                                                                 • Perforation of jejunal loop during surgery and jejunojejunal loop
                                                                   anastomis and shifted to Manipal hospital
                                                                 • Post Laser TURP had retention urine and admitted and treated for
                                                                   hyponatraemia at our center after 10 days
Unexplained Data Errors
©2009. Nova Medical Centers. Strictly private and confidential




                                                                  Distal 2 scrotal screws were not
                                                                  removed because of cold welding
                                                                  and plate left in situ
©2009. Nova Medical Centers. Strictly private and confidential




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




                                                                 10
                                                                        15
                                                                                           20
                                                                                                     30



                                                                                                25




                                              0
                                                             5
                                                                                                          Feedback




                                       Poor
                                                                 Good




                       Blank
                                                       Average
                                                                             Outstanding
18




                                                                                  Marketing Activities(Jan’11 – June ’11)


                                                                 18 Specialty camps
                                                                 6 CMEs
                                                                 7 Apartment Camps
                                                                 Health check promotional activities
                                                                    Through groupon.com(sosasta.com)
                                                                     Through dealsandyou.com (Father's day Health check)
                                                                     Paper insertions
                                                                     Door to door pamphlet distributions
                                                                     Bulk SMS campaigns
©2009. Nova Medical Centers. Strictly private and confidential




                                                                     Pamphlets distributions at malls,temples,mosques etc

                                                                 6 Health talks

                                                                 Combined Promotional Activity done with FPA at Wonderla with SDN Center
                                                                 . Total Attendance -400
Insurance and TPA Tie-Ups
                                                                       • Insurance Companies                               TPAs
                                                                 • The New India Assurance                   •United Healthcare Services
                                                                 • Bajaj Allianz insurance                   • Family Health Plan
                                                                 • Oriental Insurance                        • Paramount Health Services
                                                                 •United India Insurance                     • E-meditek Solutions
                                                                 • Star Health and Allied Insurance          • Good Health Plan
                                                                 • National Insurance                        • Mediassist India
                                                                 • Reliance General Insurance                •Genins India Ltd.
                                                                 • IFFCO Tokio General Insurance             • Gokulam TPA
©2009. Nova Medical Centers. Strictly private and confidential




                                                                 • ICICI Lombard General Insurance           • Paramount TPA
                                                                 • ICICI Prudential Life Insurance           • TTK healthcare services
                                                                 • Apollo DKV Insurance                      • I care Health Services
                                                                 • MAX BUPA                                  • Raksha TPA
                                                                 • Bharti AXA General Insurance              •Health India
                                                                 • Royal Sundaram Aliance Insurance          •Vipul Medicorp
                                                                 •HDFC ERGO General Insurance                •Dedicated Health Services
                                                                                                             • Med Save India
Nova Partners
                                                                    Nova’s on-site pharmacy is managed by Guardian           OncQuest is a super-specialty reference laboratory
                                                                     Pharmacy                                                  based at New Delhi, in the sphere of molecular
                                                                    Guardian is an ISO 9001-2000 organisation and the         diagnostics using high-end technologies like Gene
                                                                     second largest Pharmacy chain in North India,             Sequencing, RQ-PCR, RT-PCR FISH, Flowcytometry,
                                                                     operating 160+ retail outlets in 18 cities across 5       IHC & ELISA
                                                                     states and handles over 12,000 patients per day          Is a National Accreditation Board for Testing and
                                                                    Extensive experience in running hospital                  Calibration Laboratories, NABL Accredited
                                                                     pharmacies, presence in hospitals with over               (Dept. of Science & Technology, India) as per
                                                                     11,000 beds in various Private, Central / State           ISO15189:2007 & the Mutual Recognition
                                                                     Government and Charitable hospitals                       Agreement ( MRA) of NABL with APLAC & ILAC
                                                                                                                               certified laboratory.
                                                                    On CGHS Panel and manages the dispensary of
                                                                     three zones in Delhi                                     OncQuest subscribes to periodic internal and third
                                                                                                                               party audits to ensure Total Quality Management
©2009. Nova Medical Centers. Strictly private and confidential




                                                                    Strong supply chain and procurement backend
                                                                                                                               System & strictly follows ICH-GCP guidelines &
                                                                     resulting in zero bouncing and availability of
                                                                                                                               maintains confidentiality in every aspect.
                                                                     medicines , more than 48,000 Sku’s of most
                                                                                                                               OncQuest adheres to all International & National
                                                                     pharmaceutical companies in the country
                                                                                                                               standards for Lab practices
                                                                    Qualified and experienced pharmacists manning
                                                                     the OPD and IPD stores
Thank you

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3 gautam kodikal-audit-report_ncas_2011

  • 2.
  • 3. Nova Medical Centers – Audit Report August 2011 Dr Gautam Kodikal ©2009. Nova Medical Centers. Strictly private and confidential
  • 4. A Bird eye view of Nova-India ©2009. Nova Medical Centers. Strictly private and confidential
  • 5. Nova-India Kailash Sadashiva Month Karolbagh Chembur Kormangala Colony Nagar April 0 25 81 86 146 0 23 85 78 153 ©2009. Nova Medical Centers. Strictly private and confidential May June 0 26 64 77 158 July 8 21 70 107 153
  • 6. Agenda OPD Footfalls Trend Health Checks Specialty Surgery Trends Top Revenue Earners Marketing Activities Highlights Untoward Events Feedback Marketing Activities
  • 7. Specialtywise surgical trends Jun 09 to Sep 09 Jan 10 April 10 Aug to Dec to Mar to June July 10 to Oct 10 to Jan 11 to April 11 to Speciality 09 09 10 10 Sep 10 Dec 10 Mar 11 July 11 Orthopaedics 38 44 58 63 53 78 100 142 General surgery 6 37 65 118 137 138 110 194 ©2009. Nova Medical Centers. Strictly private and confidential Gynaecology 25 44 38 36 81 72 69 75 ENT 7 36 38 28 56 47 49 118 Opthmology 0 12 17 19 15 26 13 27 Plastic Surgery 3 2 5 3 10 7 4 13 Urology 0 6 8 12 4 13 26 41
  • 8. OPD Footfalls OPD 4117 2698 2208 2138 1656 ©2009. Nova Medical Centers. Strictly private and confidential 1289 1238 375 Jun09 to Sep 09 to Jan 10 to April 10 July 10 to Oct 10 to Jan 11 to Apr 11 to Aug 09 Dec 09 March 10 to June Sep 10 Dec 10 Mar 11 July 11 10 10
  • 9. Health Checks Sales 584 456 395 269 ©2009. Nova Medical Centers. Strictly private and confidential 147 160 34 15 June 09 to Sep 09 to Jan 10 to April 10 July 10 to Oct 10 to Jan 11 to Apr 11 to Aug 09 Dec 09 Mar 10 to June 10 Sep 10 Dec 10 Mar 11 July 11
  • 10. Speciality Surgery Trends 803 560 ©2009. Nova Medical Centers. Strictly private and confidential 432 378 138 110 42 4 Grand Total - 2470 10
  • 11. Top Revenue Earners Orthopaedics General Surgery Gynaecology ENT ©2009. Nova Medical Centers. Strictly private and confidential Urology Opthalmology Plastic Surgery 10
  • 12. Highlights AAA HC and NABH accreditation on process for recognition Shoulder replacement under regional Block ©2009. Nova Medical Centers. Strictly private and confidential Decompression and Stabilization L2 Laser Assisted Uvalopalatoplasty + Septoplasty +Tonsillectomy Laparoscopic Splenectomy laparoscopic fundoplication, hiatus hernia repair , Reflux Laparoscopic Sleeve Resection for Obesity More than 10 Total Knee Replacement surgeries have been done . First Day care Endoscopic Spine Surgery
  • 13. Untoward Events • Resurgeries • Stapled haemorrhoidectomy Peri anal abscess drainage then had lower end of scar with infection with pockets of pus admitted for ©2009. Nova Medical Centers. Strictly private and confidential revision pilonidal sinus excision • Post-laser TURP sloughed cast floating blocked the bladder and underwent cystoscopy and wash out bladder. • Post-laser prostectomy had retention underwent again TURP • Lap ovarian cystectomy and again after 1 week operated to R/O pelvic collection but it was intestinal cocooning
  • 14. Untoward Events • Complications • Post-op lap cholecysteomy for empyema gallbladder had chest infection shifted to Fortis hospital • Post-Adenotonsillectomy child had bleeding and managed at the center with blood transfusion • Post- septoplasty had severe bleeding shifted to Sita bathija hospital for overnight ventilation and next day settled and discharged ©2009. Nova Medical Centers. Strictly private and confidential • Post- surgery patient had difficulty in breathing with froathy vomiting shifted sagar hospital ICU for further management • Post-Adenotonsillectomy child had breathing difficulty developed stridor shifted to Apollo hospital • Perforation of jejunal loop during surgery and jejunojejunal loop anastomis and shifted to Manipal hospital • Post Laser TURP had retention urine and admitted and treated for hyponatraemia at our center after 10 days
  • 15. Unexplained Data Errors ©2009. Nova Medical Centers. Strictly private and confidential Distal 2 scrotal screws were not removed because of cold welding and plate left in situ
  • 16. ©2009. Nova Medical Centers. Strictly private and confidential FEEDBACK
  • 17. ©2009. Nova Medical Centers. Strictly private and confidential 10 15 20 30 25 0 5 Feedback Poor Good Blank Average Outstanding
  • 18. 18 Marketing Activities(Jan’11 – June ’11) 18 Specialty camps 6 CMEs 7 Apartment Camps Health check promotional activities Through groupon.com(sosasta.com) Through dealsandyou.com (Father's day Health check) Paper insertions Door to door pamphlet distributions Bulk SMS campaigns ©2009. Nova Medical Centers. Strictly private and confidential Pamphlets distributions at malls,temples,mosques etc 6 Health talks Combined Promotional Activity done with FPA at Wonderla with SDN Center . Total Attendance -400
  • 19. Insurance and TPA Tie-Ups • Insurance Companies TPAs • The New India Assurance •United Healthcare Services • Bajaj Allianz insurance • Family Health Plan • Oriental Insurance • Paramount Health Services •United India Insurance • E-meditek Solutions • Star Health and Allied Insurance • Good Health Plan • National Insurance • Mediassist India • Reliance General Insurance •Genins India Ltd. • IFFCO Tokio General Insurance • Gokulam TPA ©2009. Nova Medical Centers. Strictly private and confidential • ICICI Lombard General Insurance • Paramount TPA • ICICI Prudential Life Insurance • TTK healthcare services • Apollo DKV Insurance • I care Health Services • MAX BUPA • Raksha TPA • Bharti AXA General Insurance •Health India • Royal Sundaram Aliance Insurance •Vipul Medicorp •HDFC ERGO General Insurance •Dedicated Health Services • Med Save India
  • 20. Nova Partners  Nova’s on-site pharmacy is managed by Guardian  OncQuest is a super-specialty reference laboratory Pharmacy based at New Delhi, in the sphere of molecular  Guardian is an ISO 9001-2000 organisation and the diagnostics using high-end technologies like Gene second largest Pharmacy chain in North India, Sequencing, RQ-PCR, RT-PCR FISH, Flowcytometry, operating 160+ retail outlets in 18 cities across 5 IHC & ELISA states and handles over 12,000 patients per day  Is a National Accreditation Board for Testing and  Extensive experience in running hospital Calibration Laboratories, NABL Accredited pharmacies, presence in hospitals with over (Dept. of Science & Technology, India) as per 11,000 beds in various Private, Central / State ISO15189:2007 & the Mutual Recognition Government and Charitable hospitals Agreement ( MRA) of NABL with APLAC & ILAC certified laboratory.  On CGHS Panel and manages the dispensary of three zones in Delhi  OncQuest subscribes to periodic internal and third party audits to ensure Total Quality Management ©2009. Nova Medical Centers. Strictly private and confidential  Strong supply chain and procurement backend System & strictly follows ICH-GCP guidelines & resulting in zero bouncing and availability of maintains confidentiality in every aspect. medicines , more than 48,000 Sku’s of most OncQuest adheres to all International & National pharmaceutical companies in the country standards for Lab practices  Qualified and experienced pharmacists manning the OPD and IPD stores