Transcript Narayana Hrudhalaya Hospital, Bangalore

At NH ,
We Have A Dream,
A dream of making high quality health care
affordable
JCI & NABH
703 Beds
117
80 Beds dedicated to post op Paediatric Cardiac ICU – THE
Doctors
ACCREDITED
LARGEST IN THE WORLD
50 Cath Procedures per day
30 Cardiac Surgeries per day
The largest number of
Heart Transplants
in Karnataka
Passion makes all the difference
Department of Bone Marrow Transplant
•State of the Art BMT Unit
•Carried out Over 500 BMT done till date
•Highest Numbers in Karnataka
•Cord Blood Banking Facility
Renal Transplant
•300 Transplant done till date
•Transplant in HIV Patients
•Transplants across Blood Groups
•High End Transplants
Cochlear Implants
● One of the leading referral center in India
● dedicated expert team for pre op and post op management.
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Complex Procedures Performed
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Pulmonary Endarterectomy
Aneurysm repairs
Endovascular interventions for aneurysm
Radio Frequency Ablations
Valve repairs and ROSS procedures
Left Ventricular remodeling / Dor’s procedure
High end complex surgeries on new born
babies.
 Bentall Procedures
 Trans catheter Aortic Valve Implantation (TAVI)
NH & CMCHIS
NH had empanelled with CMCHIS in the Year 2012.
YEAR
CASES
2012
1334
2013
1190
2014
1389
2015
838
2016
384
TOTAL - 5135
ADULT - 4125
PEDIATRIC-1010
 Our success rate is 98%.
 We thank the authorities for their unconditional support provided
to us till date in implementing the scheme successfully.
 We are treating babies of 1 day old to elderly of 83 years old
 Benficiaries availed cashless and quality treatment under CMCHIS.
NH & CMCHIS
1) We appreciate the scheme for its
contribution in many different levels to
ensure quality medical treatment to the
needy/poor.
2) Provision should be made in CMCHIS to
include complex cardiac surgeries and
tissue valve repairs
Success Story
B/o Deepa new born male baby
diagnosed as D-TGA, INTACT IVS had
undergone a high risk complicated open
heart surgery
Procedure:
ARTERIAL SWITCH OPERATION + ASD
CLOSURE + PDA DIVISION.
Surgery took 6 hours and the child did
well after a prolonged ITU stay.
CHALLENGES FACED
TECHNICAL PROBLEMS
FINANCIAL
1) It’s a rare complicated open heart 1) Normally this surgery would cost
surgery, which very few centers
Rs 4 Lakhs but under CMCHIS it
does and normally takes about 6was performed with the package
8 hours.
cost of Rs.1,37,000.
2) Being a new born baby it requires 2) Such patients require prolonged
a prolonged ITU care with an
ITU stay , expensive medicines &
expert team management during
consumables and the present
post operative stay to ensure an
package rate do not cover such
infection free recovery.
expenses.
3) We request the scheme
authorities to consider higher
package rates for such rare &
complex procedures which is life
saving.
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 Kumari. Yogeshwari.T aged 7/f, was diagnosed as a case of High
risk Acute Myeloid Leukemia-AML (a type of blood cancer).
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She proceeded with chemotherapy to bring her leukemia
under control, but to cure her completely she needed a bone
marrow transplant.
 Unfortunately there was no matched family donor, we went
ahead with Haplo identical / half matched family donor(mother)
as that was the only option.
 The transplant was a success and she is a very happy going
school kid.
CHALLENGES FACTORS
TECHNICAL PROBLEMS
FINANCIAL PROBLEMS
1)She had high risk acute myeloid
1) Normally this Bone Marrow
leukemia. These patient do not do well
Transplant cost would been
only with chemo, so she required BMT.
Rs 15 Lakh’s but under CMCHIS it is
2) For BMT,there was no fully HLA
done for just Rs 9,46,980.
matching donor available in the family 2) Such patients require prolonged
or elsewehere.
PICU stay and the present package
3)She was planned for haplorate does not even compensate
identical(half matched) transplant
the medicines and consumables .
using mother as donor which is very
3) We request scheme authorities to
complicated and challenging
consider to increase the package
4)She needed strict isolation and
rates for all such high end
intense supportive care for few
procedures.
months after transplant.
We take this opportunity to thank the government
of Tamilnadu, the UIIC and the TPAs for letting us to
serve, and assure you of the best service always
from Narayana Health towards the high quality
treatment for patients of Tamilnadu under Chief
Ministers Comprehensive Health Insurance Scheme.
Thank You