January 2012

A Model Service that can be Replicated Across the Country

Jasvant Prajapati, COO, GVK EMRI, talks about creating a historic landmark in healthcare delivery system, in which there are increased institutional deliveries and the maternal mortalities get reduced by 20 to 25 percent through its ambulance service



Information technology is changing the face of government hospitals, as the services provided today are user friendly and efficient. GVK EMRI is working in 11 states and 2 union territories. The vision of 108 was to respond to 30 million  emergencies and save 1 million lives annually by 2011. We deliver services at global standards through leadership, innovation, technology and research and training. It has  now covered the whole state with 400 ambulances within one year. 108 services were started due to the  fact that 75,000 emergencies occur per day in the country, of these 80 percent are at the bottom of the pyramid, 80 percent deaths occur in hospitals in the first hour and 4 million deaths p.a. (Cardiac, Road  Accidents, Maternal, Suicidal attempts/ Neonatal / Infant/ Pediatric)

The EMRI services have synergised processes for efficiency and effectiveness in performance delivery. The team needs to  create awareness and offer community education and capacity building through media support. The integration of technology with the communication, IT, fleet and medical is  really important to hold the base of EMRI services.


Integrated Emergency Response Services are offered for medical, police and fire emergencies with single universal toll- free number 108. It is  a service delivery model to provide free Emergency Response Services  at one / Citizen / Month. The Public Private Partnership (PPP) framework conducts research and builds capability in Emergency Medicine and Management. The 108 model of providing emergency services maintains all information related  to emergency in Patient Care Records  (PCRs).Patient information is shared with the hospital on arrival.  There is 48 hour follow up even after the  the patient has been admitted to hospital. State of the art ambulances  are equipped to tackle any type of emergency  which are furnished with basic and advance life saving  equipments and medications. It provides appropriate care and transport within Golden Hour of Emergency.

108 ambulance is equipped with Extrication kit to rescue victims involved in high energy collisions. Emergency  Medical Technician (EMT) are trained to provide prehospital  care and manage emergency situations. EMT gets support over phone from qualified medical  practitioner called ERCP (Emergency Response Centre Physician) located at the ERC.

EMRI services has covered 433 million population in 11 states, trained 47,441 people, handled 12,000 plus emergencies per day  (6.2 Million cumulative), 3,006 Ambulances – 5 trips a day across the country managed by 16,596 plus GVK  EMRI Associates. Responding to 2200 Emergencies a day with  506 ambulances GVK EMRI serving 6.03 crore people across Gujarat, GVK EMRI has built in expertise in emergency care.

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