Interview

In a move to Provide Best of Quality

Dr Ravindra V KaranjekarWith three values, dedication to the cause, curiosity to learn, and the mindset to share knowledge, wealth and time, Dr Ravindra V Karanjekar, CEO, executive Director, Medical Services & Quality, Global Hospitals Mumbai, has spent around 38 years in working and excelling as hospital administrator. In an interaction with Veena Kurup, ENN

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Brief us over the technological advancements introduced by Global hospitals to cater different verticals?
Mumbai is a recent addition to our Global Hospitals Group and in a short span of time we have succeeded in equipping the latest and advanced technologies in our hospitals. In our Radiology department, we have with us the 500 slice CT which probably nobody in the country could match with. We are equipped with the latest 3 Tesla MRI, which are utilized for the liver diagnosis. The technology enables to diagnose the disease at a much earlier stage; and in India we are the only hospital having this technology. We are also having the HLA lab for matching the tissue donors and have the latest ICUs for distinct specialty treatments. We are the only hospital in Mumbai, which has the dedicated eight-bed liver transplant ICU and six-bedded kidney transplant ICU. Apart from that we also have advanced distinct facilities like medical ICU, surgical ICU, cardiac surgery ICU etc.

Secondly being a multi-organ transplant hospital, we focus on delivering the finest services through our Operation Theatres. Global Hospitals has the unique Single-Shell Operation Theatres made up of Duponts Corian material. Our Operation Theatres are also equipped with Robotic Surgery Technology and are Computer Assisted. We also offer the most advanced technologies available for facilities like mammography.

Today, Global Hospitals is the only hospital in Mumbai offering the laparoscopic donor kidney removal surgery. This enables the donor to get discharged within two-three days after the surgery. Furthermore, we have now applied for heart-adrenal transplant. We will be utilizing our skilled Chennai and Mumbai team to ute such heart-transplants. Once we have gained approval for this transplant surgery, Global Hospitals will emerge as a full-fledged organ transplant hospital in Mumbai. With the help of efficient and advanced technologies we are able to provide and deliver the best treatments and services to our patients.

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Also read: Best Practices in Healthcare Delivery Form Indian States

Can you throw some light upon the Single Shell Operation Theatre and its benefits?
The Duponts Corian material utilized for making our Single Shell Operation Theatres (OT), makes our OT antifungal, anti-bacterial and without any joints. In a surface like this there is no place for bacteria to settle, unless the OTs made up of joints wherein cleaning becomes a difficult task. In addition, these Single Shell OTs helps in reducing infections. These qualities enable us to gain an added advantage over the modular Operation Theatres that has joints. Most of the advanced hospitals in our country utilize such modular Operation Theatres. We have 15 such OTs in our Mumbai Centre and we will be soon trying to set up similar OTs in Kolkata, Chennai and Hyderabad also.

Expansion Plan

Within 2014-15, we will have four satellite centers in and around Mumbai and will gradually expand centers in other cities.

What is your outlook upon the growing popularity of multispecialty hospitals in our country?
Multi-specialty hospitals are gaining popularity, as a patient is able to get distinct specialty treatments under one umbrella. Such kind of hospitals is increasingly becoming more common in urban areas. These multi-specialty hospitals enable to gain treatment in a better and more coordinated manner. Hospitals need to focus on delivering such distinct facilities and be able in delivering treatments to the patient as a whole. Furthermore, corporate and insuring agencies or companies now prefer such single umbrella entity hospitals, wherein distinct treatments are offered under one roof. Such facilities help in better co-ordination.

List down the kind of emergency services which the hospital have?
We at Global Hospitals Mumbai dont consider emergency as casualty. Rather we ensure that the required treatments are being delivered to the patient to the patient within the first one hour. Activities like taking the ECG readings, setting up the ventilator, analyzing the requirements for ultrasound facilities, stabilizing the patient etc are taken care of in the first hour itself. The prime concern has to be upon stabilizing the patient. Post that, within the next two hours, the patient is put forth to further observation and respective treatments. Emergency by itself is a department and requires its own set of specialists skillsets. This requirement yet needs to be adopted and implemented in India.

Share us about any landmark initiative you have put forth for eradication of any critical disease?
Global Hospitals is the pioneer in performing Donor Laparotomy surgery in India. We have a strong base in liver transplants. Our Chennai centre has already proved and emerged as the leaders in the country and one amongst the best in the world for Pediatric Liver Transplants. We have now equipped the same skill-set of doctors and technologies in our Mumbai centre. In addition, Liver Transplant ICU is a new initiative which we have started. We also offer the most advanced machineries for CT and Cardiac CT services. In Neurosurgery, we will be soon introducing an Integrated Stroke Unit, which can be considered as a need of the hour. We will integrate this facility within the 10km radius in an hour, thereby saving the patient from going into a paralytic stage. This is one of our new initiatives. We have already received equipments for Neurosurgery and plan to implement this facility, most probably by next month. We are also one among the most preferred private hospitals on integrated surgeries for Epilepsy.

How do you plan to give us a sustainable quality of healthcare?
Quality is being considered from the patients safety perspective. We have sixty-four indicators and from day one they are being monitored, which even involves monitoring air and water samples. These monitoring reports are submitted and analyzed on a day-to-day basis. We have almost 1000 protocols in the hospital on each respective monitoring service, like for example OT Cleaning Services, Patient Satisfaction etc. International Patient Safety Goals are adopted for training our workforce. This helps in gaining an edge over delivering qualitative and sustainable healthcare services to the patients.

How do you see the role of technology in healthcare facilities?
Technology plays a phenomenal role. However, taking cost as a parameter, the technical condition is pathetic in several regions, barring urban areas. Because of the laparoscope, kidney transplantations have become an easy task, earlier it was considered as a major challenge. This technology has not been percolated to the B-Graded or CGraded cities and remote areas. Many of them are still dependent on assured technology.
In urban cities, people owing to their constantly rising technical knowledge have an evolving demand. Besides, the pay-capacity of cities in metros and urban areas are much more than the ones in tier-II and tier- III regions. Another advancement that our group would be doing is the tele-radiology and tele-medicine. Both these facets are making phenomenal advancements in Chennai and other places, particularly in aiding people dwelling in the remote areas. Such facilities enable to gain knowledge about the health issue beforehand and in approaching for apt treatments at specialty hospitals.

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