Future Plans Plans for Hospital Infrastructure
Plans for Our Community Two Hundred Bedded Inpatient Ward This will be a low-cost ward and was planned in hopes of improving the present, poor condition of the ward. It is also a necessary component for starting a GNM Nursing School. As well, we hope to improve the drainage system and IP facility. We have acquired land and have fund raised Rs 8,000,000 ($200,000) for the building. However, we still require: - Total: Rs 67,277,500 ($1,700,000)
- Remaining funds for the building: Rs 32,000,000 ($800,000)
- Equipment and furniture: Rs 20,000,000 ($500,000)
- Per bed: Rs 336,390 ($8,500)
Return to top Nursing School & Hostel In response to the shortage of nurses and a high turnover rate, a Nursing School will be able to increase the strength of quality care to support the 200 bedded inpatient ward. The Nursing School is expected to train 60 students per year. It will be equipped with a Lecture Hall, Rooms for Nutrition, OBG, CHN, Fundamental of Nursing, Computer Lab, Multipurpose Hall, Common Room, Staff Room Principal Room, Vice Principal Room, Library, A.V. Aids Room Faculty Room etc. The Nursing Hostel will have 30 double Bedded Room + 30 Single Bedded Room. Current Progress - Final Architectural Plan awaited
- Land Available
- Funds Raised - Rs 1500000 ($37,500) for Hostel
Outstanding Requirement - Total: Rs 82,731,875 ($2,093,261)
- Land: Rs 58,000,000 ($1,468,261)
- Building: Rs 20,000,000 ($500,000)
- Equipment & Furniture: Rs 5,000,000 ($125,000)
Return to top Radiotherapy Unit Although cancer is prevalent in this area, there is no radiotherapy unit within the radius of 200 km. Cancer patients have no choice but to travel to either Delhi or Chandigarh. The aim of this unit will be to provide low-cost, quality care for cancer patients. At this point, the proposal for this project has been submitted. The unit will include: - Cobalt 60 teletherapy unit (Theratron 780)
- Treatment planning system
- Mould room
- Reception and record
- Consultants room
- Remarking room
- Approval from BARC
Total capital requirement: Rs 41,500,000 ($1,125,000) - Cobalt unit: Rs 19,500,000 ($492,797)
- Brachytherapy: Rs 8,000,000 ($202,173)
- Treatment planning system: Rs 6,000,000 ($151,630)
- Civil work: Rs 8,000,000 ($202,173)
Return to top Blood Bank This is an urgent and immediate need because this is the only hospital which is equipped with trained Orthopedic surgeons; thus, all the trauma cases are referred here. As well, HCH is fundamentally a surgical unit. It is mandatory we have a blood bank which will take us a long way towards saving patient life. A space for the blood bank has been available since 2002 and some equipment (Elisa Reader & Washer) has been purchased. However, we have not been able to get approval from the state and central government. We have been and will continue to work towards getting approval. Total capital requirement: - Building: Rs 1,500,000 ($37,500)
- Equipment and furniture: Rs 4,000,000 ($100,000)
Return to top Histopathology Due to the lack of equipment at HCH, we have sent biopsies to CMC Ludhiana (240 km away). This can become costly and affects the quality of care by causing delay in getting reports. The addition of histopathology equipment will help utilize the full potential of our pathologist and existing lab, alleviate extra costs, and improve our quality of care. Total capital requirement (for equipments): Rs 1,500,000 ($37,500) Return to top Diagnostic Center Driven by the absence of low-cost diagnostic options in the area, this center will provide all diagnostic equipments under one room. It will house equipments such as CT scan, ultrasound, colposcopy, endoscopy, X-ray, FNAC, arthroscopy, laparoscope's, and broncoscopy. Total capital requirement: Rs 35,643,060 ($ 906,372) - Building: Rs 10,000,000 ($ 254,291)
- Equipments: Rs 25,000,000 ($ 635,728)
Return to top Lab Training School The main goal of this school is to meet HCH and EHA’s manpower requirements. There is currently no such school in EHA. Total capital requirement: Rs 3,055,133 ($ 77,689) - Building: Rs 2,500,000 ($ 63,573)
- Equipments: Rs 500,000 ($ 12,715)
Return to top Poor-friendly Clinic(s) Initial assumptions: - The truly poor are not able to access our hospital due to:
- Geographical distance: We are not where the poor are
- Socio-economic distance: They cannot afford the care we offer
- Gender distance: The women and children are even less likely to access our care
- The poor have a different definition of Quality of Care (from us)
- They want to be treated with respect and dignity
- They want to get well quickly so that they can return to work
- They want to get well at the lowest possible cost
- Schemes that target the really poor are usually hijacked by the not-so-poor, who are more aware of what is going on, and are quick to cash-in.
- Health delivery models do not usually have as much long term impact as empowerment models. However, the success of empowerment models is harder to assess. In short, both models need to move side by side.
- The hospital is already giving a lot of ‘charity’ by writing off bills but ‘charity’ is not always given to the ones most in need of it. A system must be set up to identify the real poor.
Goals: - Identifying the really poor
- Extending a wide umbrella that covers the most people possible
- Moving toward making this program self sustainable
- Eventually, set up a model for other hospitals to emulate
Overview: - Phase 1 : Starting up and setting up systems
- Phase 2 : Consolidation, and expansion; moving to the community
- Phase 3 : Moving towards self sustainability
Phase 1: starting up and setting up systems - Begin in areas where community health team is already working and identify the real poor through using a scoring system.
- Patients who meet the level C criteria will be given a card and are allegeable for poor-friendly services. These include:
- Poor-patient clinics held on Tuesdays and Thursdays. Consultation will cost Rs 2, compared to Rs 10-15.
- Poor-friendly protocols to avoid unnecessary investigations and drugs
- Drugs ordered through low-cost options
- Ward admission at actual costs
- Identify a person to run this program after the start-up period of 6 months.
- Health Education will be carried out in the OPD
- Community Health workers could be trained to recognize and manage some common diseases in the community itself and refer sick patients
Phase 2: Consolidation, and expansion; moving to the community - Similar to the Badshahibagh clinic, clinics can be organized in the identified communities everyday
- Consultation in the community will also cost Rs 2. Only patients referred from these clinics will be seen in the hospital
Phase 3: Moving towards self sustainability - Incorporate the program into a Health Insurance program.
- Level A, B and C families will pay differing premiums, and receive different benefits (eg. Admitted in different wards, receive different medicines.)
- If large numbers are enrolled, the program will be sustainable
- Health insurance type of treatment protocols will be followed
- If donors wish to contribute, they can be encouraged to pay premiums for some of the poorest families
Return to top Community Radio Services As the government is now giving licenses to NGOs to start community radio services, this is a unique opportunity to reach out to people in poorly accessible regions. All relevant health education needs may be broad cast over the network, involving local people to act and communicate the message through skits, dramas, songs and talks in the local language. Additional personnel and equipment will be required for this venture. A proposal to this effect has been submitted. Return to top See also our Hospital Needs.
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