The government of
India has launched the Pradhan Mantri Swasthya Suraksha Yojana (PMSSY)
under the Ministry of Health and Family Welfare, Nirman Bhawan, New
Delhi with the objectives of :
i) correcting regional imbalances in the
availability of affordable and reliable tertiary healthcare services;
ii) augmenting facilities for quality medical education creating a
critical mass of doctors and
iii) conducting research in the country
relevant to the area.
These institutions will be expected to absorb
talent, provide highly trained medical and paramedical manpower for the
country and conduct research in national and regional health problems.
The institutes will be outside the purview of the Medical Council of
India will be allowed to experiment with innovations in medical
education and serve as advisory bodies for government health policies.
Administration:
The AIIMS, New Delhi model will be adopted and adapted. Unlike
the Postgraduate Institutes which lack the basic departments like
Anatomy, Physiology, Pharmacology, General Medicine, Surgery, Obstetrics
& Gynaecology etc, the new AIIMS will have these departments as
well as the superspecialty departments like neurosurgery, cardiac
surgery, urology, endocrinology etc. In addition, departments of
Accident & Emergency, Biostatistics, Medical Engineering, Hospital
administration, Genetics, Physical Medicine & Rehabilitation,
Telemedicine, Clinical Epidemiology and Medical Education Cell etc are
also planned. This institution should also provide a good opportunity to
promote basic scientists and biotechnologists and studies in genomics,
proteomics and metabonomics providing opportunity to work in close
proximity of rich clinical material. A lot of effort would go into
locating, enticing, appointing and retaining talented faculty as it is
the faculty that makes an institution great. Heads of Department would
be strengthened by having a say in faculty appointments and promotions
and writing annual confidential reports. Annual self assessment by
faculty would be updated as e-portfolio. Each department shall have a
5-year development plan. The entire campus township is likely to have
Enterprise Resource Planning with high quality inter and intranet,
databases for patients, staff and students, store house management,
voice and image transmission and security systems. A purchase department
will facilitate purchases in all departments. E-tender policy is will
be followed for maximum transparency and efficiency.
The College:
The ‘non-clinical’ departments shall all be roped into providing
some or the other clinical services to keep them in the hub of
activity. For example:
Department of Anatomy - embalmming, cyto genetics, DNA finger printing,
osteology & ultrasound,
Department of Physiology - Pulmonary Function Tests, Cardiac Function,
Cardiac Cycle, Blood Volume, Yoga, Plethysmography,
Department of Biochemistry- entire Clinical Biochemistry,
Community and Family Medicine - Family Planning and Triage clinics,
Rural & Urban Community Health,
Pharmacology- Drug Monitoring, Pharmaco-Epidemiology,
Pathology- Cyto and Histopathology, Clinical Autopsy,
Microbiology- Bacteriology and Virology, fungal cultures,
Forensic Medicine and Toxicology- clinical and hospital generated
medico-legal postmortems,
Laboratory Medicine & Biotechnology - high-end Genomics,
Proteionomics, Metabonomics and Immunology besides training in
biotechnology.
The Hospital & Patient Care:
We are building a modern centrally air-conditioned hospital with
separate entrances for trauma centre, medical emergencies, obstetrics
and neonatal emergencies, outdoor, indoor and cancer patients. The
out-patient department is planned to have large ‘triage-clinics’ looking
at common non-communicable diseases like diabetes and hypertension,
seasonal infectious diseases, minor surgical problems, family planning
including laparoscopic tubectomy, IUCD and no scalpel vasectomy,
vaccination of children besides carrying out all the national health
programs. The triage clinics in the AIIMS hospital and adopted primary
health centres will be totally run by the Department of Community and
Family Medicine that will also give MD degree in Community and Family
Medicine to create highly trained family physicians. The institution
would provide general/basic medical services as well as advanced
specialized treatments like bone marrow transplants, radical
prostatectomy, robotic surgery, cardiac valve replacement, organ
transplants and stem cell therapy. State-of-the-art 20 modular operating
rooms and 7 non-modular operating rooms will be provided besides the
supporting and primary care, intensive care units for adults, children
and neonates. Nominal hospital charges will be levied to all except
those certified by the treating physician. A Welfare Society would be
formed to work on ‘no profit no loss’. Low price outlets for drugs and
disposable medical appliances would be set up at key places on the
campus. A separate paid outpatient and inpatient would be running for
affluent class. The income generated would be used to fund the treatment
of poor patients. Medical records would be fully computerized including
X-ray and ultrasound images. Cleanliness, linen, sterilization etc
would be mechanized and outsourced. Private partnerships would be
entered into for CT scans, MRI scans and maintenance of sensitive
equipment like ventilators, monitors and USG machines etc. Ward
services, cleaning, porter, security, mail distribution, kitchen and
restaurants, laundry and ERP can be outsourced, with hiring and firing
power to departmental heads. Great emphasis will be laid on good work
culture, and courteous, patient friendly behaviour from all levels of
hospital staff. Emphasis will be on outreach health care or service at
the doorstep with e-health record. The institute plans to start clinics
in the community providing expertise in geriatric medicine, hospice
care, long term acute care, palliative care and bereavement services.