index [induscancer.com] contents: page no part-i 1. chairman's message 01-08 2. profile of...

INDEX

CONTENTS: PAGE NO

PART-I

1. Chairman's Message 01-08

2. Profile of Board of Trustees 09-13

3. BIACH & RI’s Profile 14-15

4. Annual Statistics 16-16

5. Main Divisions 17-19

6. Medical Departments Overview 20-48

7. Academics & Research Overview 49-54

8. Admin Departments Overview 55-78

9. Outreach Programmes 79-84

PART-II

1. Financial Report 85-113

CHAIRMAN’S MESSAGE

BIACH & RI promoted by Smt. Nandamuri Basavataraka

Ramarao Memorial Cancer Foundation and Indo American

Cancer Organisation has completed 16 years of its operations

on 22nd

June, 2016. During this period, the institute provided

specialised cancer care to 168808 New patients and 333122

In Patients.

Comparative statistics of cancer patients treated at this Institute during 2014-15 and

2015-16 shows that the number of new patients as well as In patients has been rapidly

growing. During 2014-2015, New patients and In patients treated at BIACH&RI were

17682 and 40,425. The numbers have kept increasing trend in 2015-16 and rose to 18052

and 41,347 respectively in spite of stiff competition with increasing number of cancer

hospitals in Hyderabad and districts of AP and Telangana states. It demonstrates the

increasing magnitude of cancer cases in not only in AP and Telangana but also in

neighbouring states. Revenue and expenditure has also been growing accordingly from

171.30 Crores and 162.63 Crores to 195.90 and 172.84 Crores respectively in 2014-2015

& 2015-2016. Subsidy to patient treatment has also been significantly increasing every

year.

The brand image of the institution has been steadily improving over the years due to

initiatives taken for focussing on patient amenities and opinion, consistently improving

hospital facilities and acquiring latest equipments as well as employing experienced and

highly skilled clinicians to keep the Institution in forefront of cancer treatment

technology and treatment.

Recognitions and Awards:

It is a matter of great pride that the BIACH & RI was the only hospital from AP and

Telangana among the top 15 cancer hospitals in India both in 2014 and 2015 as per The

Week Nielsen Survey. To add to it, CNBC – TV18 and ICICI Lombard jointly rated

BIACH & RI as the best single speciality hospital in oncology in India during 2014-15.

It indicates that the BIACH&RI is getting widely known across the country as a premium

cancer treatment and education centre. These achievements were possible only due to

continued support and guidance from the Board of Trustees and dedicated and sincere

efforts of Doctors, Nursing, Para-medical and other staff. I am grateful to our patients and

their families for consistently reposing their faith in the quality treatment and service at

the Institute. These awards are recognition of their support. I congratulate each and every

member of the BIACH & RI family for making this possible.

IMC Ramakrishna Bajaj Quality award:

During this year (2015-16) Hospital was awarded IMC RBNQ Certificate of Merit-2015

from IMC Ramakrishna Bajaj National Quality Award Trust in January, 2016.

Environmental Friendly Initiatives:

BIACH&RI has also been in forefront of environment friendly initiatives. These include

planting of large number of trees making it a very green facility in spite of totally rocky

terrain, installation of a bio reactive bacteria based Sewage Treatment Plant(STP),

installation of solar power water heaters, PCB approved Bio-medical waste management

system, usage of STP treated water for gardening and flushing purposes in non treatment

areas, use of bio-degradable packaging materials, recirculation of waste paper through

ITC Bhadrachalam Paper mills, use of only LED lighting in new and future replacements,

switching off light/fans/air conditioners and computer systems when not in use,

installation of motion sensors and timers for lights and fans and use of non toxic saline

bottles. The Institute has also signed an agreement to buy 2.5MW solar power with a

Solar Power Company and started drawing the solar power from 1.4.2016 with a view to

reduce usage of conventional electric power. So much so that the Institute has been

winning Green Award in Hospital category from the Government of Telangana

consecutively for 3 years from 2013-2015.

New Equipments:

On the technology front, during 2015-2016 year, 6 nos of new equipment with advance

technology have been procured and installed in various departments i.e Gemini As (Auto

Stainer), Tissue Processor & Microtome Hm 325 in Histopathology Department and Esu

& Thunderbeat & Colour Doppler System Sonosite Edge With P21x in Operation

Theatre.

Modernisation of Hospital Information System:

The process to modernise the existing Hospital Information System (HIS) provided by

M/s.Frontier Technologies about 8 years back with JAVA front End, DB Informix data

based from CGSL, an IT software company based in Hyderabad has been taken up this

year. While the Finance module was already using SAP , procurement of drugs and all

materials was also brought on SAP system w.e.f. 1.4.2016. The new HIS went live from

1.4.2016 and once fully stabilised and integrated with SAP system, the documentation at

various stages from OP to discharge shall be on line and improve patient service delivery

time. Investigation reports and discharge summaries shall also be available to patients

from remote locations on authorisation by the hospital.

Research:

Research was one area where commensurate progress and achievements were lacking

though huge resources in terms of patient samples and disease information have been in

store. To put greater focus on cancer research, Board of Trustees decided to separate the

R&D department of the hospital as a separate Foundation to provide greater focus to the

cancer research activities. Accordingly, Indo American Cancer Research Foundation was

formed and registered vide Doc.No.09/IV/2015, Dt.16.12.2014 with a Board consisting

of eminent scientists, clinicians and BIACH&RI representatives. It shall continue to

function from the premises of BIACH & RI. I am grateful to Dr.Ch.Mohan Rao,

Director, CCMB, Dr. Gullapalli N Rao, Chairman LVPEI, Prof.Kalluri Subba Rao,

Prof.P.S.Sastry, Dr.B.Sesikeran and thank all of them for having accepted our request to

be on the Board of IACRF. I am sure under their guidance, the cancer research will get

adequate momentum and proper direction further helping to enhance the image of

NBTRCF.

During 2015-16, the following are the achievements of R & D (ICACRF) -

1) Concept Proposal for Grant on Stem Cells submitted to ICMR was accepted and

received invitation for sending complete Project proposal from the ICMR.

2) Publication in an International Peer Reviewed Journal, “npg Breast Cancer”.

3) Department of Science and Technology, GOI has renewed the SIRO status to the

R&D till March, 2018 and certificate has been received.

4) A manuscript titled, “Susceptibility to Oral Cancers with CD95 and CD95L

Promoter SNPs May Vary with the Site and Gender", has been accepted for

publication in an international peer reviewed journal. (Tumor Biology, Impact factor

3.611).

Cancer Awareness and Screening: As part of cancer control activities 43 cancer

awareness and screening camps were conducted during current year participated by

8370 nos of patients from which 81 nos of patients were referred to the Hospital.

Cancer Survivors Day was observed during Foundation Day celebrations. About

21 cancer survivors were facilitated on the day. Anti Tobacco week was observed

on 31st May, 2015. All programmes were well attended.

Colon Rectal Cancer Screening Awareness is organized in BIACH&RI e from

01.03.2016 to 31.03.2016 between 10:00am to 12:30pm. total 21 screened, One case

of colon cancer detected.

In the month of January 2016 Cervical Cancer camp is organized at BIACH&RI

from 01.01.2016 to 31.01.2016. In addition to the cervical cancer screening many

undergone master health checkup also.

Donations:

It is a matter of concern that donations are steadily decreasing. Even though the Board

had approved for creation of Corpus Fund more than a year back for providing free

treatment to very poor cancer patients, only 90.82 lakhs have been donated to the Corpus

Fund Out of Rs.90.82Lakhs Rs.52.57 lakhs (US$79514) was contributed from Indo

American Cancer Organisation (IACO), USA through Dr. Tulasi Devi, President IACO

against fund raising at USA in the month of July 2015, and Rs.38.25 lakhs from others

during this year and Rs.11.55 lakhs donated by some others for poor patients treatment.

In addition, Sri Bapanna Chowdary, Chairman & MD, M/s.Kala Jyothi printers came

forward to take up construction of 15,000 sft. Dormitory(cellar+2 floors) from his own

funds in the hospital's open space adjoining Ganesh Temple to meet the growing need for

increasing number of poor OP patients and their attenders. Its construction is likely to be

completed by October, 2016. Other significant Contributors were Hare Krishna

Movement, Hyderabad for free lunches and a group of City based businessmen for free

dinners for 250 patients and their attendees housed in the existing dormitory.

13th

Annual Conference of Cancer Care India:

BIACH&RI hosted two days 13th

Annual Conference and General Body meeting of

Cancer Care India, an umbrella organization of NGOs working in the field of cancer

awareness and helping cancer patients across various states of India at our hospital

auditorium on 12-13th

December,2015. About 50 delegates from these organizations

participated in the conference. His Excellency Sri ESL Narsimhan, Hon’ble Governor of

Telangana and Andhra Pradesh was the Chief Guest and inaugurated the Conference.

Empanelment with Indian Cancer Society Cancer Cure Fund (ICSCCF):

Basavatarakam Indo American Cancer Hospital and Research Institute was got

empanelled with ICSCCF in August 2015 with a view to receive financial support to

treat below poverty line (BPL) patients. BIACH&RI in association with Indian Cancer

Society (ICS), Mumbai offers treatment to patients earning less than 1,00,000/- (revised

to Rs.2 Lakh now) per annum and with 50% survival rate. We would like to take this

opportunity to thank all the departments of the hospital for their kind cooperation in this

effort. The joint efforts have enabled ICS in funding the treatment of 35 patients at this

hospital as per details below.

Total Beneficiaries 35

Amount Sanctioned Till Date 1,07,82,000

Amount Received Till Date 59,90,000

Bill Amount 47,17,322

Discounted Amount 6,09,060

Net Amount spent from the fund 41,08,262

Amount Refunded to ICSCCF 1,03,759

Balance Available with BIACH&RI 17,77,979

Human Resource Development Initiatives:

The Department of Human Resources actively supports Medical & Non Medical

departments by managing the Institute’s most valuable human assets – its Employees to

focus on its key objectives. Over the years, the department has focused on continuous

improvement in staff quality and accountability while improving services towards high

quality patient care and streamlining administration. While continuing new staff

development and welfare initiatives, following new initiatives were taken during the year.

o Introduced Face Index Attendance System

o Free Bachelor Sharing Accommodation

o Subsidized boarding facility for Nursing Bachelor Sharing

o Introduced Transport Allowance to Outsiders (Nursing Staff)

o Enhanced Nursing Staff Salaries & Review of Pay across the Nursing staff

o Facilitate more accommodation to the patient and their attendants, HR initiated

reshuffling of the Staff at Bachelor Sharing accommodation at Vididi and Athidi

o Special Allowance to Nursing Supervisors

o Enhanced Duty Doctors Night Duty Allowance

o Revision of Base Salary (Technical & Non Technical Staff)

o Commendable Achievement Reward to Radiation Team

o Initiated Accident Policy Coverage to all Staff

o Internal & External Training Programs

o Additional pair of uniform to the existing staff

o Initiated Exit Interviews

o Conducted a questionnaire-based Employee Satisfaction Survey for all

employees and analyze the survey results to devise improvement measures

required at workplace.

Quality Improvement Initiatives:

Quality Assurance Department apart from advising hospital departments on quality issues

and assisting in internal quality audits and trainings has coordinated following

achievements.

NABH Accreditation:

NABH Re-accreditation assessment process by NABH-Assessors team was conducted on

12-14th

February, 2016 and successfully achieved the NABH Re-accreditation for next

three year i.e 2016 to 2019.

OHSAS 18001 Certification:

OHSAS 18001 Re-certification process by OHSAS Assessors team was conducted on 25-

26th

Oct 2015. 6 non compliances identified by them were rectified by concerned

departments and based on compliance report of Hospital; the certification was continued

for next 3 years.

NABL 218 Accreditation:

Desktop surveillance and equipment verification was conducted in Nov 2015 and since

no NCs were found, Hospital laboratory’s NABL accreditation was renewed till

December-2017.

Financial picture:

The Financial position of the Hospital is consistently improving. During current year,

gross revenue showed an increase of 14.36% from 171.07 Crores to 195.90 Crores. But

20% target for revenue growth set by the Board could not be achieved. However, the

expenditure has been kept under control and increase in expenditure has been only 6.28%

from 162.63 Crores to 172.84 crores in spite of increase in staff salaries and

consultancy charges (11.24%), housekeeping charges( 22%) and water charges (9.96%).

International Block generated revenue of Rs.1.59 Crores in 2015-16 as against 0.93

Crores only in 2014-15. With various initiatives taken and signing of MOUs with

overseas hospitals and International medical tourism companies, it is expected that

income from this facility shall gradually increase.

On behalf of BIACH & RI, I thank Andhra Bank, our lenders, various departments of

Central and State Governments of Telangana and Andhra Pradesh particularly

TSSPDCL, Hyderabad Metro Water Works, GHMC, Drug Control Administration and

Medical and Health Departments specially Arogyasri of Govt. of Telangana and NTR

Arogyasri fof Govt. of AP for their continued support and all our vendors and pharma

companies for their continued support. I congratulate Doctors, Nursing, Para-Medical and

other staff of the hospital for their continued dedication and hard work. Board of Trustees

expect the staff to continue to work harder to provide further improvement in patient

services in line with increasing expectations of patients as well as in the revenue. I thank

each of my colleague member of Board of Trustees for their continued support in all

endeavours of Smt.Nandamuri Basavataraka Ramarao Memorial Cancer Foundation.

PROFILE OF BOARD OF TRUSTEES:

Sri Nandamuni Balakrishna- Chairman and Managing Trustee:

Sri Nandamuri Balakrishna is a leading cine artist of south Indian

cinema. Son of legendary Late Sri Nandamuri Taraka Rama Rao,

former Chief Minister of Andhra Pradesh, Balakrishna is popularly

known as Balayya and NBK by his huge number of fans and

admirers. He personally takes care of all the activities of the

Basavatarakam Indo American Cancer hospital and Research

Institute. Telugu edition of India Today Weekly magazine has brought out a special

edition on Sri Nandamuri Balakrishna, addressing him as the legend and an all-rounder of

his era. It hailed Balayya for his works in cinema, politics and philanthropy. He has been

mainly instrumental for the enhanced brand image and popularity of the hospital.

Dr. Kodela Sivaprasada Rao – Member, Trust Board:

Dr. K. Sivaprasada Rao, a popular and leading Surgeon from

Guntur District of Andhra Pradesh is the first Speaker of the

Legislative Assembly of New Andhra Pradesh from June 2014.

He also held the portfolios of Minister of Home, Health, Major

Irrigation, Panchayati Raj, Rural Development and Civil

Supplies in the composite state of Andhra Pradesh. As a founder

member and Chairman of Board of Trustees, he with his administrative skills and

experience, has developed and guided the Institute from a modest beginning to become a

leading centre for cancer treatment in Andhra Pradesh.

Dr. Gaddam Dasaratha Rami Reddy – Member, Trust Board:

Dr. Gaddam Dasaratha Rama Reddy, a paediatrician who has

chosen to specialize in the prevention, diagnosis and treatment of

cardiac disease and defects of the heart and circulatory system.

With his vast experience, he is guiding the Hospital to acquire latest

medical knowledge/facilities.

Dr.Tulsi Devi Polavarapu , Member, Trust Board:

Dr. Tulasi Devi Polavarapu hailing from Guntur District

in Andhra Pradesh is a leading gynaecologist & obstetrician

practicing in New York for last 40 years. As president of

Indo American Cancer Organization, Dr. Polavarapu has

contributed a great deal from the inception of the hospital till

date by donating sizeable funds personally as well as

organising many fund raising events in USA besides guiding the faculty and staff of

hospital from time to time. She is associated with many hospitals and educational

Institutions.

Dr. MVVS Murthi – Member, Trust Board

Dr. Murthi is a strong advocate for high ethical and moral

values and excellence in technical education for economic

growth of the Nation. To realize his dream of providing

quality in Technical and Higher education, he started

Gandhi Institute of Technology and Management (GITAM)

in the year 1980 which is now a deemed University with 3

campuses in Vizag, Hyderabad and Bengaluru. On the

political front he is an important founder member of the regional party, Telugu Desam

Party founded by Late Sri N.T. Rama Rao. Presently he is a member of Andhra Pradesh

Legislative Council, elected unanimously from Visakhapatnam district. The

philanthropist in Dr. Murthi has contributed for the establishment of various charitable

trusts and foundations .As a founder member of BIACH & RI, he with his vast

administrative and entrepreneurial experience has been guiding the Institute from the

beginning besides contributing to donation programmes of the hospital.

Sri Nama Nageswar Rao – Member, Trust Board:

A former Member of Parliament (Lok Sabha), Mr. Nama

Nageshwar Rao is a successful Industrialist and business man. As

a trustee with his vast experience, he is guiding the Institute to

provide better & affordable medical care to cancer patients.

Dr. Dattatreyudu Nori – Member, Trust Board

Dr. Nori is an internationally renowned Oncologist based in

New York, USA. He is presently the Director, Cancer Centre

and Professor & Chairman, Department of Radiation

oncology, New York Hospital, Queens. He is also the Chief

Scientific Advisor of BIACH & RI guiding the faculty on

modern cancer treatment protocols from time to time. He was

recently awarded with Padmashri, a national honour by the

President of India on the eve of Republic Day-26th

January-2015 for his highly

commendable services to the cancer patients in India, US and many other countries.

Dr Nori, who is widely considered as one of the top cancer treatment Physicians

in the US, was feted for his “outstanding contributions and pioneering work at MSKCC.

Previously he was named one of the top doctors in all of America for cancer treatment,

by The Ladies’ Home Journal magazine. Dr. Nori has been given the 'honor of Tribute to

Life' by the American Cancer Society (ACS). The honor was bestowed by Don Distacio,

regional director of the ACS in recognition of his contributions to cancer research, patient

care and treatment and education. Dr. Dattatreyudu Nori was honoured by the Memorial

Sloan Kettering Cancer Center (MKSCC) with its Distinguished Service Award at the

International Brachytherapy Symposium in May 2015.

Sri J.S.R Prasad – Treasurer, Trust Board:

Sri J.Siva Rama Prasad, a charted accountant by profession with

20 years experience and a successful Industrialist is a Director of

Kakatiya Cement & Sugar Industries Limited and of several

other business enterprises. With his vast administrative and

financial experience, he is ably guiding the Institute in financial

planning and administrative matters.

https://en.wikipedia.org/wiki/American_Cancer_Society

Scientific Advisory Board:

Chief Scientific Advisor:

Dr Dattatreyudu Nori, MD, FACR, FASTRO Director, Cancer Centre. Professor and

Chairman, Department of Radiation Oncology, New York Hospital,

Queens Professor & Executive Vice-Chairman, Department of Radiation Oncology,

New York Presbyterian Hospital, Weill Cornell Medical Centre -USA

International Scientific Advisors:

Jatin Shah, M.D. Memorial Sloan-Kettering Cancer Centre -USA

Manjit Bains, M.D., Memorial Sloan-Kettering Cancer Centre -USA

Promod Sogani, M.D, Memorial Sloan-Kettering Cancer Centre -USA

William Hoskins, M.D., Memorial Sloan-Kettering Cancer Centre -USA

Ashok Shaha, M.D., Memorial Sloan-Kettering Cancer Centre -USA

Beryl McCormick, M.D., Memorial Sloan-Kettering Cancer Centre -USA

Mark Pasmantier, M.D., New York Presbyterian Hospital-Weill Cornell Medical Centre-USA

Morton Coleman, M.D, New York Presbyterian Hospital-Weill Cornell Medical Centre -USA

Thomas Caputo, M.D. New York Presbyterian Hospital-Weill Cornell Medical Centre -USA

Jeffrey Milsom, M.D., New York Presbyterian Hospital-Weill Cornell Medical Centre-USA

Himanshu Nagar,M.D., New York Presbyterian Hospital-Weill Cornell Medical Centre-USA

Parul Shukla, M.D., New York Presbyterian Hospital-Weill Cornell Medical Centre -USA

Manish A. Shah, M.D., New York Presbyterian Hospital-Weill Cornell Medical Centre -USA

Jay Loeffler, M.D. Harvard Medical School -USA

Carlos Perez, M.D.Washington University Medical School -USA

G. Hanumantha Rao, M.D.Christie Hospital -UK

Jayant Vaidya, M.D.,University College London -UK

Mandava Nageswar Rao,M.D. Flushing Hospital Medical Centre –USA

Sri R.P.Singh, Chief Executive Officer:

Sri R.P Singh, a retired IPS officer is a graduate in mechanical

Engineering. He managed diverse large organisations like

Hyderabad city Police, APSRTC, Air India Security and after

retirement was a senior consultant with GMR Hyderabad

International Airport Ltd. on security and operational matters.

He is recipient of President's Police Medal for Distinguished

Service and Indian Police Medal for Meritorious Service. He is

the functional head of the institute and is responsible for

management of day- to - day operations. He assists Board of trustees in policy

formulation, new initiatives and management of finances as a non-profit institution. His

administrative experience and initiatives have helped the Institute to improve quality

and safety and to become one of the leading modern Cancer Treatment Centres in India.

Dr.T.S.Rao-Medical Director:

Dr.T.Subramanyeswar Rao, M.S., M.Ch. is Director-Medical &

Head of Surgical Oncology at BIACH & RI. He was professor

of Surgical Oncology at MNJ Institute of Oncology and

Regional Cancer Centre, Hyderabad before joining BIACH &

RI. He has vast experience in cancer surgeries and is

particularly known for his Skills in Esophagus and minimally

invasive surgeries and is a much in demand medical

professionals. He organized 20 Live Surgical Operative workshops across the country.

And has 16 publications in National and International Journals

He was co-investigator in 2 randomized multi center international trials. He is presently

Secretary of Indian Association of Surgeons, President of Ostomy Association of India,

Scientific Advisor-Guidelines on Cancer Nutrition and Member, ICMR Task Force on

Cervical Cancer. He has been instrumental in starting M.Ch and DNB courses in Surgical

Oncology at MNJ Institute of Oncology and BIACH & RI respectively

BIACH & RI PROFILE AT A GLANCE

No.of Registrations for the last 15-years- 1,68,808

No of In-Patients for the last 15-years- 3,33,122

No. of Surgeries (Surgical Oncology) for the last 15-years- 40,057

No. of Daycare (Medical Oncology) for the last 15-years- 1,28,674

No. of Radiotherapy Fractions taken for the last 15-years- 9,47,417

Radiation Oncology cases treated through different Advanced technologies:

IGRT-440 3DCRT-503 IMRT-4079 SRS & SRT-197

ICR-7920, 6MV, 15MV , Photons & Electrons-29448

No. of Laboratory Investigations done for the last 15-years - 18,26,909

No. of Radiology investigations for the last 15-years - 3,48,155

MEDICAL STATISTICS FOR THE YEAR (Apr-2015 - Mar-2016):

No. of New Registrations during the year Apr 2015 to Mar 2016 - 18,052

No of In-Patients during the year Apr 2015 to Mar 2016 - 41,347

No.of Surgeries (Surgical Oncology) during the year Apr 2015 to Mar 2016 - 5,362

No.of Day care (Medical Oncology) during the year Apr 2015 to Mar 2016- 26,054

No.of Radiotherapy Fractions taken during the year Apr 2015 -Mar 2016 - 1,16,192

Radiation Oncology cases treated through different Advanced technologies: 5,103

LA (6MV,15M,Electns.) 3,241 LA ( IGRT ) 87

LA ( SRS & SRT ) 47 LA ( 3DCRT ) 212

LA ( IMRT ) 763 BRACHY THERAPY 753

CT Simulation & Planning 7,879 LA ( IGRT) 2,479

LA (6MV,15MV,Electns.) 76,647 LA ( SRS & SRT ) 435

LA ( 3DCRT ) 4,768 LA ( IMRT ) 21,730

BRACHY THERAPY 2,254

No.of Laboratory Investigations done during the year Apr 2015-Mar 2016 - 2,58,486

No.of Radiology investigations during the year Apr 2015 - Mar 2016 - 5,30,60

X-RAY 19,269 CT 6,266

Ultra Sound 20,743 MAMMO 3,165

MRI 3,617

No.of Gastroenterology investigations during the year Apr 2015 to Mar 2016 - 3,885

UGI 2632 ERCP 22

COLONOSCOPY 1231

ENT investigations during the year Apr 2015 to Mar 2016 - 1,817

No.of Bone Marrow Transplantation Cases during the year Apr 2015 -Mar 2016 - 10

No.of Nuclear Medicine Therapy during the year Apr 2015 to Mar 2016 - 2,767

No.of PET SCAN done during the year Apr 2015 to Mar 2016 - 2,816

Total Blood Bank details during the year Apr 2015 to Mar 2016

Blood Donors 7258 Blood Apheresis 1571

Blood Components 8523 Blood Issues 6441

Total no. of Patients Registered from various districts of Telangana & Andhra

Pradesh during the year Apr 2015- Mar 2016 - 17578

The total no. of Patients Registered & Treated from various States of India during the

year Apr 2015 - Mar 2016 - 567

The total no of Overseas Patients registered during the year Apr2015-Mar 2016 –151

COMPARATIVE STATEMENT OF STATISTICS FY 2014-2015 & FY 2015-2016

THE BIACH & RI MEDICAL TEAM MEMBERS:

MAIN DIVISIONS:

o Radiation Oncology

o Surgical Oncology including

NeuroOncology and Uro Oncology

o Medical Oncology & Paediatric

Oncology

o Anaesthesiology

o Bone marrow Transplantation

o Radiology & Imaging

o Nuclear medicine

o Radiation Physics

o Pathology

o Microbiology

o Bio-chemistry

o Palliative Medicine

o Transfusion Medicine/Blood

Bank

SUPPORTIVE DIVISIONS

o Cardiology

o Gastroenterology

o Orthopaedics

o Pulmonology

o Diabetology

o Gynaecology

o Psychiatry

o Nephrology

o Otorhinolaryngology

(ENT)

o Dentistry

o Clinical Research

ADMINISTRATIVE DEPARTMENTS

1. Account and Finance

2. Human Resource

3. Materials and Stores

4. Procurement

5. Quality Assurance

6. Business Development

7. Bio-medical and Medical Gases

8. Housekeeping

9. Security

10. Maintenance

11. Dietetics and Food & Beverage

12. Social Work

13. Front office

14. Billing

15. Media and Public Relations

16. Medical Records

17. Information Technology

18: Pharmacy

19: Physiotherapy

DUTY MEDICAL OFFICERS TEAM

BIACH & RI is having 10 nos of dedicated Duty Medical Officers to assist the consultant

& make daily rounds in IP areas to follow up with instructions of treating consultant.

OPERATIONS TEAM:

All the service departments such as Security & Safety, Contracts and F & B, Information

Technology, Materials, Procurement, Assets & Estate, Pharmacy, Finance, Biomedical,

Project, House Keeping, Maintenance, WebSite Maintenance are included in the

Operations Department reporting to Sri D Satyanarayana, Chief Operating Officer ably

assisted by Mr. Ch. Gopal Rao, Mr. Hussain Ali Khan, Mrs. A. Bhagyalakshmi, Mr. K.

Muralidhar, Mr. T. Ravi Kumar, Mr. I. Suresh Kumar, Mrs. Rajitha Mr. D. Dhananjaya

Reddy, Mr. S. Sathi Babu, Mr. P. Satyanarayana, Mr. G. Dayanand, Mr. G. Mohan

Kumar, Mr.Ramkeerthy, Mr. B. Ramarao, Mr NVCSS. Ganesh, Mr. KC. Narsing and M.

Subrahmanyam

CHAIRMAN’S OFFICE

This Team is headed by Sri R.P. Singh, CEO and

assisted by Sri D. Satyanarayana, COO, Mr. B.

Prakash and Mr.M.Subrahmanyam to translate the

policies and decisions of the Trust Board in to

Effective Actions for affording best services to

Cancer Patients.

DEPARTMENT OF SURGICAL ONCOLOGY

The Surgical Oncology department has a team of 18 nos of

qualified and very well trained surgical oncologists including

registrars and DNB students. It has two major units and 4

organ specific units-Head & Neck, Uro Onco, Neuro

Oncoplasty and Breast unit.

ACHIEVEMENTS

No of surgeries performed: 5362

Cleft lip Surgeries performed: 403

ACADEMIC DETAILS /RECOGNITIONS

Dr. VIPIN GOEL

1. Huge Umbilical Stone: A Rare Cause of Umbilical Abscess

2. Pattern of External Breast Prosthesis Use by Post Mastectomy Breast Cancer

Patients in

India: Descriptive Study from Tertiary Care Centre

3. Ovarian Cancer and Mayer–Rokitansky–Küster–Hauser (MRKH) Syndrome

a Rare Combination

4. Chronic Arsenic Poisoning leading to Skin Malignancy in a Community

One Presentation:

Awareness of cancer: what should I know?

Dr.R.RAJAGOPALAN

1. Delivered a talk on HPV INFECTIONS- PREVENTION AND

SCREENING at the 49th

Annual CME of Obstetricians and Gynecologists at

Vishakapatnam (OGSV) in September 2015.

2. Attended the 29th

Annual Conference of the Indian Association Of Surgical

Oncologists NATCON at Bhubhaneshwar from 17-20th

September 10, 2015

3. Successfully organized the 23rd

Annual Conference of Association of

Gynecologic Oncologists of India AGOICON 2015 at Hotel Marriott and

Convention Centre, Hyderabad from 28-29th

November 2015 and a Faculty in

the Live Operative Workshop on MINIMAL ACCESS SURGERY IN

GYNECOLOGIC ONCOLOGY from Basavatarakam Indo-American Cancer

Hospital & Research Institute on 27th

November 2015. Around 400 delegates

from India and abroad took part in the scientific Deliberations.

Dr. SATISH PAWAR

1. Attended HIPEC workshop at Bangalore by Dr. Sugarbaker from 16-18th

April 2015.

2. Attended 7th ATEP (Minimally access thoracic surgery) workshop on 9th

and 10th 0ct 2015.

3. Attended Faculty development program in surgical disciplines organised

by National board of examinations and Royal College of surgeons of Edinburgh

from 29th Nov to 2nd Dec 2015 at Hyderabad.

4. Attended CREST (minimally invasive colorectal) training program at

Fortis, Mumbai on 19th and 20th Dec 2015.

5. Faculty in AGOICON 2015 from 10-12th Oct 2015 at Hyderabad.

6. Faculty in CME and live workshop on oral cancer on 5th Dec 2015 at

Hyderabad.

Presentations

1. Presentations in NATCON 2015, 17-20th sep 2015 at Bhuvaneshwar

a)Laparoscopic Radical Hysterectomy- our Institution experience- paper

presentation

b)Nerve sparing radical Hysterectomy - video presentation

2. AMASICON 2015,Mumbai, Nov 5th - 8th

a) Laparoscopic surgery for carcinoma rectum - single Institution study

b)Video presentation on laparoscopic APR

3. Abstract presentation in GEM 2015 on 24th- 25th Oct 2015 at Hyderabad

Journal publications

1. Ovarian cancer and Mayor- Rokitansky ouster Hauser syndrome- A rare

combination

2. completion thyroidectomy and its problems- our Institution experience

Dr. SUJIT CHYAU PATNAIK

Awarded FMAS fellowship in September 2015.

Attended 7th ATEP Skill course on VATS IN Oct 2015 at Mumbai.

Invited as guest faculty

NATCON 2015 Bhubaneswar

ACOS 2016 New Delhi

ASICON 2015 New Delhi.

Faculty for live demonstration of Surgery,

KIDWAI Memorial Institute Upper GI workshop.

Thakurpookur Cancer Institute, Kolkatta.

PUBLICATIONS

Associate author in Oral malignancy publication on

”VERRUCOUS CARCINOMAFROZEN SECTION RELIABILITY.”

DR. L M CHANDRASEKHAR RAO

Publications:

1. Gangiti KK, Gondi JT, Nemade H, Sampathirao LM, Raju KV, Rao T.S;

Modified pectoralis major myocutaneous flap for the total glossectomy defects:

Effect on quality of life. J Surg Oncol.Apr2016

2.G kranthi kumar, HemantNemade, Krishnamohan, Daphne Fonseca, L.M.Cha

ndra Sekhara Rao, T.Subramanyeshwar Rao Rare Case Report of Alveolar Soft

Part Sarcoma of the Orbit,.Indian Journal of Surgical Oncology 27 August 2016

3.KranthikumarG, SyedN, NemadeH, Pawar S, Chandra Sekhara Rao

LM, Subramanyeshwar Rao Safety of Completion Thyroidectomy for Initially

Misdiagnosed Thyroid Carcinoma. Rambam Maimonides Med J. 2016 Jul 28; 7(3)

http://link.springer.com/article/10.1007/s13193-016-0550-0#author-details-1







http://link.springer.com/journal/13193

http://link.springer.com/article/10.1007/s13193-016-0550-0#article-dates-history

http://www.ncbi.nlm.nih.gov/pubmed/?term=Kranthikumar%20G%5BAuthor%5D&cauthor=true&cauthor_uid=27487312

http://www.ncbi.nlm.nih.gov/pubmed/?term=Syed%20N%5BAuthor%5D&cauthor=true&cauthor_uid=27487312

http://www.ncbi.nlm.nih.gov/pubmed/?term=Pawar%20S%5BAuthor%5D&cauthor=true&cauthor_uid=27487312

http://www.ncbi.nlm.nih.gov/pubmed/?term=Chandra%20Sekhara%20Rao%20LM%5BAuthor%5D&cauthor=true&cauthor_uid=27487312

http://www.ncbi.nlm.nih.gov/pubmed/?term=Chandra%20Sekhara%20Rao%20LM%5BAuthor%5D&cauthor=true&cauthor_uid=27487312

http://www.ncbi.nlm.nih.gov/pubmed/?term=Subramanyeshwar%20Rao%20T%5BAuthor%5D&cauthor=true&cauthor_uid=27487312

http://www.ncbi.nlm.nih.gov/pubmed/27487312

Invited As A Faculty:

Delivered a talk on near total laryngectomy and participated in panel

discussion of carcinoma larynx in CME at ENT hospital, Koti , Hyderabad.

Invited surgical faculty for the surgical workshop, National conference ASI -

2015, Hyderabad

Surgical faculty for the CME on salivary glands and thyroid held in February

2016 at Govt ENT hospital, Hyderabad

Faculty in the ENT Malignancies at ENT hospital, Koti, Hyderabed in the July

2016

Keynote Lecture at SVS Institute of Dental Sciences “Free flap reconstruction

in maxillofacial Surgery” on 12th Aug 2016

Cancer larynx CME at Apollo cancer institute, Hyderabad and delivered

lecture “Laser surgery for carcinoma larynx” on 3rd

September 2016

Demonstrated parotid surgery in the TSASI 2016 on 4th

September 2016

Conferences and workshops attended:

1. FHNO 2015 at Nagpur in October

2. Thyroid workshop and conference at AIMS, Kochi in June 2016

Conducted CDE and one surgical workshop on oral cancer

Dr. NUSRATH

1. Follicular Variant of Papillary Thyroid cancer with Breast Metastasis

2. Ovarian Cancer and Mayer-Rokitansky-Kuster-Hauser(MRKH) Syndrome

a Rare Combination

3. Safety Completion Thyroidectomy for Initial Misdiagnosed Thyroid

Carcinoma.

DEPARTMENT OF MEDICAL ONCOLOGY

The department caters to the medical

needs of both paediatric and adult

cancer diseases. The centre is

recognized for the Glivec

International Patient Assistance

Program (GIPAP). It also assists in

conducting high quality international

and national clinical trials. The

department has been actively functioning with four fulltime medical oncologists

supported by a team of floor doctors, registrars and specially trained nursing staff.

ACHIEVEMENTS

26054 nos of patient - Day Care Chemotherapy.

10 nos of Bone Marrow Transplantation done

IMPROVEMENT IN

SERVICES

Started allogenic bone marrow transplantation and 3

completed successfully

Significant increase in number of autologous stem cell

transplantations

First step towards sub specialisation taken with Dr Pavan

Kumar now totally in charge of stem cell transplantation

NEW INITIATIVES Organised Lung Cancer Perceptorship for radiologists and

pathologists July 2016

Organised training session for medical oncology PGs from

the city on lung cancer management May 2016

Many studies undertaken in collaboration with

IIT,Hyderabad with respect to quality of life,perceptions

towards disease, some of which have been published

Facilitated and guided visits of oncologists to the hospital

from Asia Pacific countries including Vietnam and Japan.

Conducted

Regular classes for nurses to educate them on stem cell

transplantation

RECOGNITIONS/

AWARDS

Dr Praveen Paliwal, our first DNB candidate passed the

exam with flying colours

Second prize won by Dr Chitresh for his poster titled

“Altered dosing schedule for trastuzumab” at National

Breast Cancer meeting at New Delhi, 2016

Invited lectures by Dr Senthil Rajappa at multiple National

and International meetings

Delivered talks on “Choosing II line therapy in metastatic

kidney cancer” and “Hormonal therapy in Breast cancer” at

Asia Pacific Cancer congress 2016 at Seoul,South Korea

Moderated a session on HER+HR+ Breast cancer at,

Cancer Congress at St Petersburg, Russia, 2016

Moderated a session and panelist at European cancer

congress, Finland,Helsinki 2016

Delivered around 50 lectures at National meetings this year

Chosen as a representative to the Asia Pacific Gastric

Cancer Educational Board at Bangkok,Thailand 2016

Dr Krishna Mohan delivered lectures at National

Meetings.Attended ESMO Asia at Singapore and APCC at

Seoul,South Korea

PUBLICATIONS

Illness Experiences, Collective Decisions, and the

Therapeutic Encounter in Indian Oncology.Broom A,

Chittem M, Bowden V, Muppavaram N, Rajappa S.Qual

Health Res. 2016 May 12. pii: 1049732316648125. [Epub

ahead of print]

Genito urinary Cancers in India:Laying the foundations for

the future…South Asian Journal of Cancer 2016:5(3); 121-

22

Practical recommendation for the management of skin rash

and diarrhoea on EGFR TKIs in non small cell lung cancer.

Indian Journal of Cancer 2016:53 (1); 87-91

Demography and outcomes for advanced adenocarcinoma of

the lung: Experience from a tertiary cancer hospital. South

Asian Journal of Cancer (accepted for publication)

DEPARTMENT OF RADIATION ONCOLOGY

It is one of the largest radiation

oncology departments in India with

6 Linear accelerators, High Dose

rate Brachytherapy Unit, CT-

Simulator and Digital Conventional

Simulator etc. We are the first in

this part of India to introduce

Radiation Treatment through

Linear Accelerators. The

Department is managed by a

dedicated and professionally

competent team of Radiation Oncologists, Medical Physicists and Radiotherapy

Technologists and Nursing Staff rendering Radiation therapy to 450-500 cancer patients

every day.

The department is having 12 qualified Radiation Oncologists and this year 4867 nos of

Radiation Oncology new cases has been treated with 96,757 no of fractions given.

IGRT- 2479 IMRT- 763

ICR- 87 3DCRT- 212

SRS &

SRT- 47 6MV, 15MV , PHOTONS &

ELECTRONS 3241

BRACHYTHERAPY 753

TRAINING/SEMINAR/WORKSHOP

Dr A Krishnam Raju

Participated in MOSAIQ workshop from 5th

to 6th

March 2016 ,Gurgaon.

Conducted NATIONAL SYMPOSIUM “Physics, clinical and radiobiological

aspects of hypo fractionation in current radiotherapy practice”. On 8 th

aug.

2015 as “Organizing Chairman” . Total participants : 250

Dr Rohith S - Registrar-Radiation Oncology

Poster presented at 8 th annual conference of Indian Society of neuro

oncology 1-3 april 2016. ( Breast cancer brain metastasis ,differences in

survival depending on biological subtype).

Co author for the article published: Brachytherapy journal belongs to

American Brachytherapy Society. Title: HDR interstitial brachytherapy in

oral cancer -its impact on quality of life. ( May - June 2016 , Vol 15, 381-

386).

First and corresponding author for the article published in International

Journal of scientific research. Title: A prospective study comparing 3D image

guided intracavitary brachytherapy and conventional brachytherapy for

dosimetry in ca cx. ( May 2016 vol 5, 218-221)

First and corresponding author for the article accepted for publication in

journal of dentistry and oral disorders. June 2016. Does adjuvant

radiotherapy improve outcomes in pT1-2 N0 oral tongue squomous cell

carcinoma patients with isolated perineural invasion.

Co author for the article accepted for publication: Southeast Asian journal of

case report and review. Isolated orbital metastasis in occult rectal adeno

carcinoma, a case report; 14 th june 2016.

Dr Aparna S- Registrar-Radiation Oncology

Corresponding author for article “incidence and pattern of bone metastesis at

presentation in Indian carcinoma breast patients “accepted for publication in

Indian journal of cancer. ( June 2016)

Poster presentation at 34 th indian cooperative oncology network and

molecular oncology society “A dosimetric comparison of IMRT and 3D CRT

in cervical carcinoma patients ". ( March 2016) [Winner of best poster

presentation].

DEPARTMENT OF RADIATION PHYSICIST:

Medical Physicists Department of

BIACH & RI is having 10 nof

Physicists, 30 Technologists and

one intern and the team is involved

in treatment planning of all

conventional and conformal

techniques, Mould room

procedures supervision, all

regulatory issues related to import /

export; installation, commissioning

;layout and site approvals of

radiation generating equipments., daily dosimetry, mechanical and radiological checks in

all the Radiation units, monthly calibrations in all the machines, radiation safety &

security, teaching Radiation physics to DNB & DRTT, research and Development.

ACHIEVEMENTS:

Dr N. V. N.Madhusudhana Sresty – Chief Medical Physicist, Head & RSO

Participated in TLD audit conducted by Govt. of India, Bhabha Atomic Research

Center. We got excellent result declared by RSS, RSSD, BARC on 30th

Nov.

2015.


aspects of hypo fractionation in current radiotherapy practice”. On 8th

Aug. 2015

as “Organizing Secretary”. Total participants : 250

Conducted a CME "Physicist Vision on Modern Radiotherapy” on 06/06/2015.

Total participants :50

Review invitation from an international journal:

Dr Madhusudhana Sresty Selected as a reviewer for the following manuscript

from the Journal of contemporary brachytherapy which is an international journal.

Manuscript number: JCB-00361-2015-01 D: 23/11/2015

Manuscript title: Intraoperative fusion dosimetry using O-arm-based computed

tomography and transrectal ultrasound for permanent interstitial prostate

brachytherapy

Anil Kumar Talluri -Medical Physicist: Review invitation from an international

Journal : IJCTO

Title: A method for verification of treatment times for HDR intra luminal

Brachytherapy

Research papers Published:

A study of X-ray volume imaging system in image guided radiotherapy with

variable gantry rotations, Int J Cancer Ther Oncol 2016; 4(1):411. DOI:

10.14319/ijcto.41.1

Optimal usage of cone beam computed tomography system with different field of

views in image guided radiotherapy (IGRT), Int J Cancer Ther Oncol 2015;

3(3):334. DOI: 10.14319/ijcto.33.4

Dose variation due to change in planned position for patients with carcinoma of

the cervix undergoing high-dose-rate brachytherapy- 2D dose analysis. Int J

Cancer Ther Oncol 2015; 3(1):030121



Cancer Ther Oncol 2015; 3(1):030121 by Anil Kumar Talluri -Medical Physicist

Presented a poster in AMPICON-2015 held at Trivandrum, India

Mrs Soubagya- Medical Physicist: A prospective study of OAR volume variations

between two different treatment planning systems in radiotherapy. Int J Cancer

Ther Oncol 2015; 3(3):336.

Presented a poster in AMPICON-2015 held at Trivandrum, India.

Mrs Laxmi: Participated in AMPICON-2015 held at Trivandrum, India.

Mr Vijay kumar: Participated in AMPICON-2015 held at Trivandrum, India.

Faculty:

Guest lecture is delivered in a CME conducted at MNJIO & RCC on 28/02/2016.

Topic: "Overview of Active Breath Coordinator system "

Conferences/workshops

Presented a paper & chaired a session in AMPICON-2015 held at Trivandrum,

India.

Delivered a Lecture in “National Symposium” held at BIACH, Hyderabad.

Participated in Oncomeet – JIC (24-25) 2015 at Ahmadabad.

Participated in MOSAIQ workshop from 5th

to 6th

March 2016, Gurgaon.

Delivered a lecture in CME conducted @ KIMS, Secunderabad on 8 th

Nov 2015.

Delivered a lecture in CME conducted @ KIMS, Secunderabad on 8 th

Nov 2015.

Review invitation from an international Journal : IJCTO

Title: A method for verification of treatment times for HDR intra luminal

Brachytherapy.



Cancer Ther Oncol 2015; 3(1):030121.

DEPARTMENT ACHIEVEMENTS

Reached highest grand total number of fractions in a single day - 541 on 12 - 07-

2016 which is the highest number from the hospital inception.

Participated in TLD audit conducted by Govt. of India, Bhabha Atomic Research

Centre. We got excellent results declared by RSS, RSSD, and BARC on 30 th

Nov. 2015.


aspects of hypo fractionation in current radiotherapy practice”. On 8 th

aug. 2015

as “Organizing Secretary”. Total participants : 250

Conducted a CME “Physicist Vision on Modern Radiotherapy “on 06/06/2015.

Total participants :50

RT department has been selected by AERB as one of the recognized center for

internship in Medical Physics.

DEPARTMENT OF ANAESTHESIOLOGY AND CRITICAL CARE:

The Department of Anaesthesiology

department is committed to the

wholesome peri-operative care of the

patients coming to our hospital for

their surgery. Peri-operative care is

provided in the pre-operative, post –

operative surgical intensive care units.

Services offered by the Department:

o Pre-Anaesthesia Check Up –

PAC

o Intensive Care

o Surgical Anaesthesia

o Sedation For Short Procedures

TRAINING AND WORKSHOPS CONDUCTED

Organised the ‘Safe Nursing Training’ workshop an initiative of Smile Train

India on 13-15th

Aug 2015.

Organised the symposium on ‘Oncology and Anaesthesia’ for ISA Hyderabad

city branch bimonthly meet on 2nd

July 2016.

Organised live operative workshops for Head and neck oncology workshop,

AGOICON 2015, TSASICON 2016, etc

Conducted multiple sessions for the ‘In-house BLS’ and ‘Hands-on’ training at

BIACH&RI for nurses and paramedics.

Upgraded the department services by newer equipment and facilities like

pediatric bronchoscope, bronchial blockers, ultrasound machine, etc.

ACADEMIC ACHIEVEMENTS (2015-16)

DR.BASANTH RAYANI

Author of Chapter titled ‘Vascular access in infants and children’ in the Textbook

‘Principles and Practice of Pediatric Anaesthesia’ edited by Dr S Dhayagude and Dr

N Dave, 1st edn 2016. Jaypee Brothers, India.

Authored a narrative review titled “Peri-operative cardiac arrest: Teamwork and

management strategies” due for publication in forthcoming edition of Anaesthesia,

pain and Intensive Care journal.

A Case report titled “Post-operative rate induced left bundle branch block after

craniotomy”accepted for publication in Anaesthesia, pain and Intensive Care [ISSN

1607-8322, ISSN(Online) 2220-5799].

A Case report titled “Ondansetron induced atrial fibrillation?” accepted for

publication in The Indian Anaesthesists Forum.( E-ISSN- 0973-0311)

Nair A and Rayani BK. Anticoagulation and regional anesthesia –

recommendations and controversies [v1;F1000Research 2016, 5:255 (poster)

(doi: 10.7490/f1000research.1111359.1)

Organised the symposium on ‘Oncology and Anaesthesia’ for ISA Hyderabad city

branch bimonthly meet on 2nd

July 2016.

Contributed to a chapter titled “Kinetics and Mechanisms of Local Anaesthetic

Action” for Anaesthesia Update Book, 2016.

Invited faculty at the 8th

AOA and 1st WOAC conference for workshop on ‘Critical

incidents in Obstetric Anaesthesia’ on 11th

Sep 2015.

Panellist for case discussion on ‘Management of morbidly obese patient with

endometrial cancer’ at AGOICON 2015 on 28th

Nov 2015.

Organised and Faculty at the ‘Safe Nursing Training’ workshop an initiative of

Smile Train India on 13-15th

Aug 2015.

Attended the Regional anaesthesia conference in Delhi

Attended 2nd

Annual south zone critical care conference ‘SZCCC 2016’ in

Hyderabad on 27th

-28th

Aug 2016.

Attended ISACC, International symposium in advanced critical care on 9th

-10th

Jan

2016, Hyderabad.

Attended IPSA (Indian Peri-operative sonography association) conference: 2016,

both (Basic and advanced).

Poster presentation at IPSA-2016 titled: Anticoagulation in Regional Anaesthesia

recommendations and controversies.

Attended ‘Good clinical practices’ workshop conducted by Pfizer in Hyderabad, on

27th

July 2016.

AHA trained BLS and ACLS provider

DR. VIBHAVARI NAIK

Author of Chapter titled ‘Vascular access in infants and children’ in the Textbook

‘Principles and Practice of Pediatric Anaesthesia’ edited by Dr S Dhayagude and

Dr N Dave, 1st edn 2016. Jaypee Brothers, India.

Author of ‘Anaesthesia for Plastic and Reconstructive Surgery’ in the ‘Textbook

of Pediatric Anaesthesia’, edited by Dr Padvi A, 1st edn, 2015. CBS publishers,

India.

Author of ‘Cardiopulmonary Resuscitation’ in the Textbook ‘Understanding

Pediatric Anaesthesia’, edited by Dr Jacob R, 3rd

edn 2015. Wolters Kluwer, India.

Author of ‘Kinetics and Mechanisms of Local Anaesthetic Action’ in

‘Anaesthesia Update Book’, 2016.

Co-authored a narrative review titled “Peri-operative cardiac arrest: Teamwork

and management strategies” due for publication in forthcoming edition of

Anaesthesia, pain and Intensive Care journal.

Elected as the Treasurer for IAPA (Indian Association of Paediatric

Anaesthesiologists) and on the newsletter editorial board.

Delivered a talk on ‘Difficult airway – recent advances’ at the ISA CME, Nanded

on 4th

Oct 2015.

Delivered a talk on ‘Recent updates in Pediatric Resuscitation’ and conducted a

workshop on ‘Simulation based pediatric resuscitation’ at NCPA 2016, Vellore on

28th

-30th

Jan 2016.

Delivered a talk on ‘Postoperative Hypoxia on Day 1’ a problem based case

discussion, at TISACON 2015 (1st Telangana state ISA conference) on 23

rd-26

th

July, Hyderabad.

Delivered a talk on ‘Chemotherapy – Anaesthesiologists’ perspective’ in the

symposium on ‘Oncology and Anaesthesia’ for ISA Hyderabad city branch

bimonthly meet on 2nd

July 2016.

Attended ISACC, International symposium in advanced critical care on 9th

-10th

Jan 2016, Hyderabad.

Attended ‘Good clinical practices’ workshop conducted by Pfizer in Hyderabad,

on 27th

July 2016.

AHA trained BLS, ACLS and PALS provider plus AHA certified PALS trainer.

DR. NARAHARI

Attended TISACON 2015 (1st Telangana state ISA conference) on 23

rd-26

th July,

Hyderabad.

AHA trained PALS provider

DR. MD SALMAN


craniotomy” accepted for publication in Anaesthesia, pain and Intensive Care

[ISSN 1607-8322, ISSN (Online) 2220-5799].

Attended ‘Cardio embolic stroke update’ by IMA Hyd on 30th

April and 1st May

2016.

Attended and completed the course ‘Apollo International Hands on Regional

Anaesthesia & Chronic Pain Workshops’ held on 31st July, 1

st and 2

nd Aug 2015.

AHA trained BLS, ACLS and PALS provider.

DR ABHIJIT S NAIR

Attended IPSA (Indian Peri-operative sonography association) conference: 2016,

both (Basic and advanced).

Poster presentation at IPSA-2016 titled: Anticoagulation in Regional Anaesthesia

recommendations and controversies.

Participated in photo presentation: Anomalies of Brachial plexus.

Appeared and cleared IDRA (Indian diploma in regional Anaesthesia) Part 1.

Delivered guest lecturer at N.K.P. Salve institute of Medical Sciences and

Research Center,Nagpur on the topic: Basics of Ultrasound for Regional

Anaesthesia ( April 2016 ).

Delivered a lecture on topic “Onco-Anaesthesia: an emerging subspecialty” at

bimonthly Indian Society of Anaesthesiologist meeting on 2/7/2016.

A narrative review titled “Peri-operative cardiac arrest: Teamwork and

management strategies” due for publication in forthcoming edition of Anaesthesia,

pain and Intensive Care journal.


craniotomy” accepted for publication in Anaesthesia, pain and Intensive Care

[ISSN 1607-8322, ISSN (Online) 2220-5799].

A Case report titled “Ondansetron induced atrial fibrillation?” accepted for

publication in The Indian Anaesthesists Forum.( E-ISSN- 0973-0311)

Attended “Good Clinical Practice Workshop” conducted by BIACH & RI by

PFIZER (21 st July 2016).

A. Nair. Implications of Intrathecal Chemotherapy for Anaesthesiologists-A brief

review. Scientific (Cairo).2016;2016:3759845.doi:10.1155/2016/3759845.Epub

2016, Mar 31. ( PMID: 27123363; PMCID: PMC4830729). [ISSN: 2090-908X

(Online)]

Nair A and Rayani BK. Anticoagulation and regional anesthesia –

recommendations and controversies [v1;F1000Research 2016, 5:255 (poster)

(doi: 10.7490/f1000research.1111359.1)

Certificate issued for Online Medical Writing Training Program (MCRW), by

Infocusrx.

Contributed to a chapter titled “Kinetics and Mechanisms of Local Anaesthetic

Action” for Anaesthesia Update Book, 2016.

Contributed chapter titled “Digitalis (Digoxin)” for the 4 th edition of the textbook

‘Essence of Anaesthesia Practice’ by Fleischer et al (published by Elsevier).

Attended Cadaveric workshop conducted IPSA Gangaram hospital (August 2016).

Attended South Zone Critical Care Conference on 27 / 28 of August, 2016.


DR. HARINI NARAYANAN

Acquired new skills by attending TEE workshop on 12th

-13th

Dec 2015.

Attended ‘Best of Brussels’ critical care conference in Pune, on 8th

-10th

July

2016.

Attended 1st Telangana state annual conference ‘TISACON 2016’ on 25

th-26

th

July 2015.

AHA trained BLS and ACLS provider.


on 27th

July 2016.

DR PRIYA P NAYAK


on 27th

July 2016.


DR. ASIEL CHRISTOPHER

Attended the 8th

AOA and 1st WOAC conference in Hyderabad, on 12

th-13

th Sept

2015.

Attended the 8th

national pediatric anaesthesia conference NCPA 2016 in Vellore,

on 28th

-30th

Jan 2016.


DR SURESH S

AHA trained BLS, ACLS and PALS provider

DR AANCHAL BHARUKA

Attended and presented a poster at the 8th

AOA and 1st WOAC conference titled

“Clinical audit of atypical endocrine emergencies in pregnancy – anaesthetic

challenges and critical care outcomes” in Hyderabad, on 12th

-13th

Sept 2015.

Passed the “Obstetric Anaesthesia fellowship” exit exam on 13th

Sept 2015 at the

8th

AOA and 1st WOAC conference in Hyderabad.

DEPARTMENT OF RADIOLOGY

The initial diagnosis of disease is the

first and most important step in

planning the management of a cancer

patient. The department of Radio-

diagnosis at Basavatarakam Indo-

American Cancer Institute is geared to

take up this task with a dedicated team

of Competent Radiologists,

paramedical & supporting staff.

ACHIEVEMENTS: Radiology Investigations: 53060

X-RAY 19269 Ultrasound 20743

CT Scan 6266 Mammogram

3165

MRI 3617 Colour Doppler 196

WORKSHOPS ATTENDED AND PAPER PRESENTATIONS

1. Dr. Veeraiah Chowdary actively participated in the international conference

(100th

conference of Radiological Society of North America), held at

Chicago, USA from 30th

Nov to 5th

Dec 2015. This is attended by more than

60000 Radiologists and Nuclear Medicine specialists all over the world.

2. Poster presentation on “Role of ARFI elastography in differentiation of

benign and malignant breast masses” at European Society of Radiology

(ESR), Vienna 2015. Dr. Rashmi Sudhir, Dr. Veeraiah K Chowdary, Dr.

Kamala.

3. Poster presentation on Role of “Diffusion Weighted MR imaging in

differentiation of benign and malignant liver lesions” at European Society of

Radiology (ESR), Vienna 2015. Dr. Rashmi Sudhir, Dr. Veeraiah K

Chowdary, Dr. Harichandra Prasad.

4. Dr. Veeraiah chowdary, delivered guest lecture on “Recent advances in

breast imaging” 69th

IRIA National Radiology Conference held at

Bhuvaneshwar from 21st to 24

th January 2016.

5. Oral paper presentation on “Diagnostic efficacy of ARFI elastography in

evaluation of benign and malignant superficial lymphnodes” at National

Radiology Conference, IRIA 2016, Bhuvaneshwar, India. Dr. Rashmi

Sudhir, Dr. Veeraiah K Chowdary, Dr. Kamala.

6. Department of Radiology in association of IRIA Telangana branch is

conducted three days comprehensive CME programme (KARE) for

radiology and oncology residents at BIACH & RI, auditorium from 21st to

23rd

December.2015, Hyderabad , many of national faculty delivered lectures

from all over the country.

7. Two days work-shop conducted in the radiology and pathology departments

on “Molecular Testing of Lung Cancer” at BIACH & RI, Hyderabad, JULY

2016 for radiologists and pathologists.

DEPARTMENT OF NUCLEAR MEDICINE

Department of Nuclear medicine

of BIACH & RI offers a wide

spectrum of nuclear medicine

imaging services including a full

gamut of imaging procedures –

conventional gamma camera

imaging as well as new PET-CT

technology and gallium scans. It

also offers various therapeutic

applications of radioisotopes such

as Radioiodine therapy, MIBG (1-131) therapy and Samarium-153 therapy. It also

produces radioisotopes (18F-FDG) required for PET-CT imaging with its in-house

cyclotron facility and caters to the need of radioisotopes to other PET-CT centres in and

outside Hyderabad city.

The initial diagnosis of disease is the first and most important step in planning the

management of a cancer patient. The department of Radio-diagnosis at Basavatarakam

Indo-American Cancer Institute is geared to take up this task with a dedicated team of

Competent Radiologists, paramedical & supporting staff.

The department is equipped with:

1. Dual headed variable angle GE Millennium-MG Gamma Camera, installed at

department of nuclear medicine on 2nd

floor of Block II.

2. Isolation ward to carry high dose radioiodine therapy located at 2nd

floor of the

Block II

3. PET-CT scanner with 16 slice CT scanner (GE Discovery STE PET-CT) which

is situated in the basement level -1 of Block I

4. Cyclotron (PET Trace 8) for production of radioisotopes (18F-FDG) for PET,

situated in the basement of Block I.

Training programmes conducted:

1. Regular training programmes for the post-graduate radiology students from NRI

Medical College, Guntur and also from Kamineni Hospital, Hyderabad.

2. Regular training programme for the DNB students belonging to the radiation

oncology, Surgical oncology and Medical Oncology departments in our hospital

3. Conducted CME on “Recent Trends in Management of Neuroendocrine tumors

and Prostate cancers” held on August 23, 2015 at ITC Grand Kakatiya Hotel,

Hyderabad.

ACHIEVEMENTS

2767 nos of Nuclear Medicine therapy 2816 nos of PET Scan

First person in the twin state to start Lu-177 DOTATATE therapy for

neuroendocrine tumor

First person in the twin state to start Lu-177 PSMA therapy for prostate cancer.

First person in the twin state to start Ga-68 PSMA scan for prostate cancer.

Second person in the twin state to start Ga-68 DOTANOC scan for neuro endocrine

tumors

Increased the number of PET-CT Scans, gamma camera scans, radionuclide

therapies

Increased the number of customers and the production of F-18 FDG

CONFERENCES ATTENDED:

Presented case series on LN recurrences in thyroid cancer at the first thyroid

forum meet held at GKM Grand Hotel, Hyderabad in Jan, 2015

Presented a guest lecture titled "PET based imaging in oncology" at AINU,

Hyderabad in July, 2015.

Presented a guest lecture titled”An Introduction to Ga-68 based Imaging” at the

Pathology twin city meet held at BIACH& RI, Hyderabad on 31st July, 2015.

Presented a paper titled "Introduction to Gallium-68 based PET imaging" at a

CME held at Grand Kakatiya, Hyderabad in 23rd August, 2015

Attended the second thyroid forum meet held at GKM Grand Hotel, Hyderabad in

Sept, 2015

Attended the13th Annual Conference of ANMPI at Kumarakom from October 2-

4, 2015

Presented a guest lecture titled"An introduction to Gallium-68 based PET-CT

imaging" in the TechAspire programme conducted by GE company on 6th

November, 2015 at Tabla, Hyderabad.

Presented a guest lecture titled "New PET Tracers in Oncology" at a CME

programme on Nuclear Medicine updates in Oncology and Cardiology held at

NIMS, Hyderabad on 12th March, 2016.

MAJOR DECISIONS MADE:

1: Purchased the Germanium-Gallium generator for Ga-68 production in June,2015

2: Upgraded the cyclotron by replacing the silver target with Niobium target for more

F-18 FDG production in July, 2016.

3: Recruited two full time consultants for efficient and timely reporting of PET-CT &

gamma camera scans.

4: Recruited an extra front office person for more efficient catering of the patients and

typing of the reports in time.

TARGET FOR THE COMING YEAR

Increasing the number of scans in PET-CT & gamma camera by conducting

more CMEs and more efficient marketing

Increasing the number of customers for FDG supply by more efficient

marketing

Increasing the number of radionuclide therapy cases by conducting more CMEs

and more efficient marketing.

Use of newer radionuclides for therapeutic purposes like Y-90, Rhenium by

taking permission from AERB and marketing

To publish at least 3 papers in leading journals by spending more time by each

consultant for data collection and writing papers

To start DNB programme as we have got sufficient staff for the same.

To start technologist course as we have got sufficient staff for the same. Need

to tie up with some local university for the same.

DEPARTMENT OF LABORATORY MEDICINE

Laboratory Medicine department provides services in Haematology, Cytology &

Histopathology, Biochemistry, Microbiology and Molecular Pathology. The professional

team consists of dedicated specialist doctors trained in respective fields with vast

experience in oncology, molecular scientists, technologists/technicians and other support

staff. The Labs are accredited by NABL (National Accreditation Board of Laboratories).

Laboratory functions round the clock and seven days week.

The 2, 49,935 total investigation reports has been generated in this year including

pathology, Microbiology, bio-chemistry, Haematology, Histopathology.

TRAINING PROGRAMMES CONDUCTED

1st Lung Cancer Preceptorship programme ( South Zone)

Gynaecologic Oncopath Workshop AGOICON 27th November ,2015.

Pathfest Post graduate Educaton programme in Pathology - Workshop

on Grossing techniques,FISH and Flow Cytometry May 2015

SEMINARS / WORKSHOPS ATTENDED

Process Excellence in Healthcare Organisation ,Indian School of

Business Jan 2016 ,Hyderabad attended by Sudha Murthy

American Society of Hematology Fellowship, Roswell Park Cancer

Hospital New York, 12th. October - 3rd Jan 2015 Faiq Ahmed

Research Methodologies in DNB training , July 22nd -23rd 2016

Pediatric Brain tumors : Morphology to Molecular Genetics IAPM - TS

State Chapter February 2016 guest lecture by Prof C Sundaram

Pathogenesis of fungal infectionsof CNS ,NPSICON December 2015

Preceptorship on Lung Cancer at Tata Memorial Hospital 16th -18th

October 2015 by Sudha S Murthy,Lavanya N

Lab Med Inaugaral Function Guest of Honor, KIMS ,Nellore Mysteries

of small biopsies : Dr S Sudha Murthy

Suryakanta Tapadia Memorial Endowment Award Symposium on Soft

Tissue Sarcomas September 2015 Dr Sudha Murthy ( Moderator)

Speakers Dr Sudha, Dr Suseela ,Dr Daphne

Dr Suseela Elected Treasurer of IAPM Telangana Chapter 2015-16

DEPARTMENT OF MICROBIOLOGY

The Department of Microbiology

is committed to strive for and

achieve excellence in providing

diagnostic facility for In-patient,

outpatient and CGHS

beneficiaries. The laboratory is

equipped with state-of-the-art

instruments and assays making it

possible to diagnose infectious

diseases missed by conventional

methods.

Our services include:

Bacteriology

Mycology

Mycobacteriology

Molecular studies

Immunoserologic testing.

Focus on microbiological diagnosis and surveillance of infectious diseases

Monitoring of Hospital Acquired Infection rates in addition to laboratory based

surveillance of pathogens & their antibiotic resistance patterns.

OTHER ACTIVITIES: INFECTION CONTROL:

Department HOD acts as an Infection Control Officer and chairperson of Infection

Control Committee, monitors Hospital Acquired Infection rates in addition to laboratory

based surveillance of pathogens & their antibiotic resistance patterns.

Activities under taken:

Operation theatre surveillance,

Water culture

Hospital infection control policy formulation.

http://clinicalmicrobiology.stanford.edu/bacteriology.html

http://clinicalmicrobiology.stanford.edu/mycology.html

http://clinicalmicrobiology.stanford.edu/mycobacteriology.html

http://clinicalmicrobiology.stanford.edu/molecular.html

http://clinicalmicrobiology.stanford.edu/immunoserologic.html

Implementation of Antibiotic policy

Tracing and monitoring outbreaks

Disinfectant testing

Monitoring of CSSD

Biomedical waste Management

No of investigations done between 2014-2016

Year

Cultures & Staining Serology & immunology

2014 2015 2014 2015

Total 3180 3455 27,046 30,177

CONTINUOUS MEDICAL EDUCATION PROGRAMMES ORGANISED

1. Organised a CME on “Management of sepsis in Immuno compromised patients

“on 11th

Sept 2015 as part of World sepsis day.

2. Organised a training programme on Sterilization Wrap techniques with

Kimberly clark on 16-5-15.

3. Organised a CME on Sterilization & Bacterial Barriers in Health care centers

with Medovation products on 19th March 2015

4. Participating in regular Induction training programme on HIC of all new Joinees

& Conducting in House training programmes at regular intervals.

PUBLICATIONS / PRESENTATIONS IN INTERNATIONAL JOURNAL

1. Lakshmi Kiranmayi R1, Radha Rani D2, Harinatha Reddy A1, Nageswari G1,

Sowmya M1,Venkatappa B1* Isolation, screening and molecular identification

of Pseudomonas aeruginosa from immune-compromised patients

International Journal of Microbiology and Allied Sciences (IJOMAS)ISSN:

2382-5537 May 2015, 1(4):1-9 ©IJOMAS, 2015

2. Presented a paper in 17th International Congress On Infectious Diseases on”

Bacteriological profile of Blood culture isolates in a cancer hospital with

special reference to E.coli and Antibiotic susceptibility pattern in patients with

Haematological malignancies” Dr. Radha Rani. D, Dr. Devi Chaitanya, Hyd ,

March 2nd

2016 – March 5th 2016

FUTURE PLANS:

1. Introduction of Automation for early diagnosis of Tuberculosis.

2. To upgrade the Mycology services.

Dr. D Radha Rani

HOD Microbiology

Recent updates on

Diagnosis &

treatment of

Tuberculosis

State level CME on TB

organized by NIMS &

telangana state task

force for TB , Hyd

1 day

30th March

2016

Dr. D Radha Rani

HOD Microbiology

JCI Internal auditor

course

Six sigma 2 days

25th feb

2016 27th

feb 2016

Dr. D Radha Rani

HOD Microbiology

Annual seminar on

infectious diseases

Apollo institute of

Medical sciences &

Research in

collaboration with

Public health &

community medicine

UNSW medicine, Hyd

2 days

26th

June &

27th

June

2015.

Dr.B. Sridevi

Chaitanya

Consultant

Microbiology

CME on

Microbiology- An

Update

Kamineni Institute of

Medical sciences , Hyd

2 days

2nd

April

2016

Dr.B. Sridevi

Chaitanya

Consultant

Microbiology

Diagnostic clinical

Microbiology -

An update

Global hospitals , Hyd

2 days

Aug 1st &

2nd

Aug

2015.

BLOOD BANK:

BIACH RI has in house blood bank

and it functions round the clock. It

received 7821 nos. of donors and

collected 7258 nos of blood

components. The Hospital has

conducted 8 Blood donation camp in

many areas. 1373 no of units are

collected and 361 no of units are issued to Govt. Hospital.

Blood Donors 7258 Blood Apheresis 1571

Blood Components 8523 Blood Issues 6441

RESEARCH & DEVELOPMENT:

A well equipped in-house research lab

working in tandem with clinicians has

added advantage of ready availability

of research medium in the form of

tissue and other human samples as

also the observations, insight and

knowledge of clinicians obtained

during their day to day medical work.

It can help in giving leads to new research projects towards discoveries of new drugs

or/and diagnostic and treatment modalities.

CLINICAL TRIALS TEAM MEMBERS:

Clinical Trials Dept established in Aug 2004, Dept

successfully completed more than 100 trials as per

regulatory requirement. Department consists of Dr

K.Suseela who heads the Dept ,with senior CRC

Mr. Mahesh and other CRCs Mrs. Suma

M.Pharm,Mr.Sasi Kiran Pharma.D and Ms. Neelima

B.Pharm. Dept have qualified Investigators and

supporting team.

Present Ongoing studies at site details below given:

S.

N

Principal

Investigator

Study

Coordinator

Protocol

Number

Indication

Status

No of

Patients

Screened

No of Patients

Enrolled

Patients

Ongoing

1 Dr.Senthil J

Rajappa

Jai/Suma CLDKA378 NSCLC ALK

Mutations

On

going

02 02 01

2 Dr.Senthil J

Rajappa

Jai/Suma GP-13-301 Follicular

Lymphoma

On

going

07 06 02

3 Dr.Senthil J

Rajappa

Jai/Suma 1200.66 NSCLC -

EGFR

Mutations

On

going

07 07 02

4 Dr.MVT

Krishna

Mohan

Jai/Suma/

Sasi Kiran

HCR/III/BM

AB/10/2013

Metastatic

Colorectal

Cancer

On

going

12 10 01

5 Dr.MVT

Krishna

Mohan

Jai/Suma ML29282 Metastatic

Breast Cancer

On

going

04 04 04

As per new DCGI guidelines it has been permitted to take up more than 3 trials by each

investigator.

-In Ethics committee the constant absentees are substituted by respective discipline

members.

1. Dr.Lakshmi Rao substituted for Dr.KPC Gandhi

2. Dr. Nagarjuna Reddy for Dr.Venkat Rathna

-Surgical trials are taken up in collaboration with Tata Memorial hospital, Mumbai

-Clinicians and residents are encouraged to participate in clinical trials and research

studies

DEPARMENT OF PHYSIOTHERAPY:

The Physiotherapy Department in BIACH &

RI aims to establish the highest quality

service, which is sensitive to the needs of the

patients and the hospital. It aims to enable

patients to achieve the highest quality of life

that their condition allows, by encouraging

and educating their own participation in their

care management.

The department is having 3 number of physiotherapist who is responsible for providing

following treatments for cancer patients.

Lymph edema management with Intermittent Pneumatic Compression (IPC).

Assessment and treatment of physical problems like muscle weakness, decreased

joint mobility, balance, equilibrium, and coordination.

Manual mobilization of stiff joints in Post-Op, Post RT patients.

Exercise rehabilitation programs for post operative cases of Head and neck

carcinomas, Breast carcinomas & Brain and spinal tumors

Pre operative and post operative Chest physiotherapy including Incentive

spirometry, breathing exercises, and postural drainage.

Prescription of home exercise programs and ergonomics.

Prescription of walking aids, orthoses, prostheses, and gait training.

Electrotherapy for re-education of muscle power and pain relief

TRAINING PROGRAMS

CONDUCTED

INTERNAL TRAINING PROGRAMMES on

Peripheralnervemobilzation(oct2015)

Modifiedposturaldrianage(Dec2015)

NDT techniques in hemiplegia(march2016)

LumbarspineMobization (Aug,2016)

WORKSHOP

ATTENDED

BLS certified training in BIACH in

august2015,fascial manipulation at progressive care

hyd, lumbarspine manual therapy in care college hyd

ACHIEVEMENTS

No. of Out patients:1936:

No. of in patients :4473

ACADEMICS & RESEARCH

The Dept.of Academics of BIACH & RI

conducts DNB – PG Programme for

Doctors, approved by National Board of

Examinations, New-Delhi, in Surgical

Oncology, Medical Oncology,

Radiotherapy and Pathology.

B.Sc(Nsg), GNM Nsg and Paramedical

Courses 2 Year Diploma Courses in

Radiotherapy Technology, Medical

Imagiology, Anaesthesiology & Lab Medicine.

The doctors, Nurses and paramedical staff during their training in various authorized

courses available in academic units of the Institute support clinical services during their

training and help to meet the requirements of the Institute after completion of their

training and degree/diploma. With this in view, BIACH&RI has obtained necessary

authorization/accreditation for post graduate diploma super-specialty/general specialty

courses for Radiation Oncology, Surgical Oncology, Medical Oncology, Pathology and

Degree and Diploma Courses in Nursing as well as Diploma/Certificate Courses.

DNB : 12 DNB PG students joined DNB Programme in the current academic year 2015.

Observership:

A significant number of PG Students and doctors are coming from different medical

colleges and hospitals both from India and abroad for observership in Surgical Oncology,

Gynec Oncology, Head & Neck oncology, Pathology, Radiology, and Nuclear Medicine

etc. The students are charged a nominal amount of Rs.5000/- for affiliation fees.

Students from Vishnu Dental College, Bhimavaram (Onco Pathology), Kamineni

Hospital (Surgical Oncology), LB Nagar, SVS Institute of Dental College (Head & Neck

Onco Surgery), Mahaboonagar, South Central Railway (Surgical Oncology),

Secunderabad, Medwin Hospital and A.M.E’s Dental College and Hospital, Raichur.

Students from Other Colleges:

Surgical

Oncology

Head &

Neck

Onco

Surgery

Gynec

Oncology

Pathology

Radiotherapy

Radiology

DNB

(Gen.Surg) -3

DNB

(Gynec)- 4

MDS - 6

DNB - 4

PG Students- 2

MDS- 5

PG Students -2

MDS - 2

B.Sc(N):

50 Students joined B.Sc(Nursing) course in the academic year 2015/16.

B.Sc(N) : The B.Sc(N) 4th

Year results are declared on 01.02.2016.

Year Appeared

Final Exam

Result

(Distinction)

1st

Division

2nd

Division Fail

4th

Year 37 14 23 -- NIL

GNM:

22 Students joined for GNM course for the academic year 2015 – 2016.

GNM: The GNM 3rd

Year results are declared on 4th

March 2016.

Year Appeared Final Exam Passed 1st Class Fail

3rd

Year 42 41 1

A total 36 Passed students joined BIACH&RI as regular nursing staff, with a

commitment to work for Two years. Students from other states want to work for one

year.

Paramedical:

Admissions – Paramedical course for the academic year 2015 – 2016.

Dip. in Radiotherapy Technician Course - 39

Dip. in Medical imaging Technician Course - 5

Dip. in Anesthesia Technician course - 3

Publications/Research Papers :

Dr.Manasi Mundada, Consultant Pathology "Flurosence in situ hybridisation negative

PML/RARA: a cryptic puzzle" has been published in Indian Journal Of Health Sciences

in the JAN-JUN issue.

Dr.Radha Rani, HOD-Microbiology, “Isolation, screening and molecular identification

of Pseudomonas aeruginosa from immunocompromised patients" published in

"International Journal of Microbiology and Allied Sciences"- IJOMAS May 2015.

Dr.V.V.T.S.Prasad, HOD-R&D “Continued use of MDA-MB-435, a melanoma cell

line, as a model for human breast cancer, even in year, 2014” Online journal

www.nature.com /npjb cancer.

"Susceptibility to Oral Cancers with CD95 and CD95L Promoter SNPs May Vary with

the Site and Gender", has been accepted for publication in an international peer reviewed

journal. May 6th

2015.

Dr.Daphne Fonseca, Consultant Pathology, "A tale of synchronous lung carcinoma and

diffuse large B-cell lymphoma of ileum: A rare combination" has been published in

"Lung India" July – August 2015.

Mr.Anil Kumar Talluri, Medical Physicist - Dose variation due to change in planned

position for patients with carcinoma of the cervix undergoing high-dose-rate

brachytherapy- 2D dose analysis. International Journal Cancer Ther Oncol 2015;

3(1):030121.

Mrs.Soubagya, Medical Physicist - A prospective study of OAR volume variations

between two different treatment planning systems in radiotherapy. International Journal

Cancer Ther Oncol 2015; 3(3):336.

Dr.N.V.N.Madhsudhan Sresty, Chief Physicist & RSO Optimal usage of cone beam

computed tomography system with different field of views in image guided radiotherapy

(IGRT), International Journal Cancer Ther Oncol 2015; 3(3):334. DOI:

10.14319/ijcto.33.4.

Dr.N.V.N.Madhu Sudhan Sresty, Chief Physicist & RSO Quality Assurance Protocol

for IORT facility in the hospitals, Abstracts of AMPICON-2014, Journal of Medical

Physics, Vol.39, No.4, 306, 2014.

Dr.N.V.N.Madhu Sudhan Sresty, Chief Physicist & RSO Analysis of patient specific

dosimetry quality assurance measurements in intensity modulated radiotherapy: A multi

centre study, Journal Cancer Res Ther.10 (3):611-7, 2014.

The Poster presentation by Dr.Reshmi Sudhir, Consultant Imagiology at European

Society of Radiology, Vienna, Austria between 4th

- 8th

March 2015.

1. Role of ARFI Elastography in evaluating indeterminate breast masses.

2. Role of diffusion weighted MR imaging in differentiating benign and malignant breast

lesions.

Follicular Variant of Papillary Thyroid Cancer with Breast Metastasis, Article. Dr.Syed

Nusrat, Dr.Munish Mahajan, Dr.T.Subramanyeshwar Rao, Dr.KVVN Raju, Dr.Sudha S

Murthy. Indian Journal of Surgical Oncology · March 2016, DOI: 10.1007/s13193-016-

0496-2.

A tale of synchronous lung carcinoma and diffuse large B-cell lymphoma of ileum: A

rare combination. Dr.Daphne Fonseca, Dr.Bharti Musthyala, Dr.Faiq Ahmed, Dr.Sudha S

Murthy, Dr.KVVN RAJU. Article in Lung India 32(4):398-401 · July 2015, DOI:

10.4103/0970-2113.159598 ·

High Frequency of Codon 12 but not Codon 13 and 61 K-ras Gene Mutations in

Invasive Ductal Carcinoma of Breast in a South Indian Population – Dr.Sushma,

Dr.Shiva Prasad Rudramma Devi, Dr.Sudha Murthy, Dr.TS Rao, Dr.CK Naidu Article

in Asian Pacific journal of cancer prevention: APJCP 16(8):3505-8 · April 2015,Impact

Factor: 2.51 · DOI: 10.7314/APJCP.2015.16.8.3505 ·

Mantle cell lymphoma of tongue masquerading as squamous cell carcinoma. IJOHS

2015 5(2):121-124.

Phyllodes Tumor in a Lactating Breast. Dr.S.Sudha Murthy, Dr.K.V.V.N.Raju.,

Dr.Haripreetha GR. Clinical Medicine Insights: Pathology 2016:9 13–17.

Plasmablastic Lymphoma of Small Intestine: A Rare Case Report with Review of

Literature Dr.Rachna Khera, Dr.Faiq Ahmed, Dr.Sudha Murthy, Dr.Krishna Mohan

Mallavarapu.. Indian Journal of Hematology and Blood Transfusion. Published online 17

May 2015.

Mixed Phenotypic Acute Leukemia (B/T), with t(9;22)(q34;q11.2);BCR-ABL1: A rare

phenomenon and strange phenotype. Dr.Rachna Khera, Dr.Faiq Ahmed, Dr.Sandhya G

Devi, Dr.Sudha S Murthy, Dr.Daphne Fonseca, Dr.Krishna Mohan Mallavarapu. Journal

of Hematopathology. Published Online June 2015.

HPLC in characterization of Hemoglobin profile in thalassemia syndromes and

Hemoglobinopathies: A clinico-hematological correlation Dr.Rachna Khera, Tejinder

Singh, Nita Khuana, Naresh Gupta, A.P Dubey. Indian J Hematol Blood Transfus. 2015

Mar;31(1):110-5.

Pictorial Journey of peripheral smear and HPLC findings in Thalassemia

syndromes and Hemoglobinopathies Dr.Rachna Khera, Tejinder Singh.. Education

book- Haematology Today 2015.

Achievements & Awards:

Dr.S.Rohith (DNB Sr.Registrar) & Dr.Harjot Kaur Bajwa (DNB Rad Onc Student)

presented their study titled “Interstitial Brachytherapy in oral cancers - its impact on

Quality of Life" at National Indian Brachytherapy Society Conference 2015 won Best

Paper Award.

Dr.Chitresh Agarwal, (DNB Med.Onc Student) was awarded Second Prize for

proposing a novel study in advanced aggressive breast cancer at Converge 2015, a breast

cancer conference at Delhi.

Dr.S.Sudha Murthy, HOD Pathology, Dr.K.Suseela, Sr.Consultant

Pathology, Dr.Daphne, Consultant Pathology were honoured and awarded gold

medals for conducting Smt Suryakanta memorial Symposium on "Soft tissue Tumors"

Annual conference of IAPM (AP State) at Khammam.

Dr.Sahithi Shilpa Arya, DNB Pathology Second Year received the first prize for PG

Slide Quiz. Her paper in the plenary session "Colorectal carcinoma-post NACT/RT-Does

systematic grossing and reporting matter".

Dr.Manjula, DNB Pathology Final Year presentation on "Demystifying Ewing's

sarcoma family of tumors-an IHC and FISH study " received the second prize in the

Plenary session for post graduates.

Dr.M.M.Poornima, DNB Pathology Final Year presented a paper entitled Molecular

subtypes of breast cancer (Platform presentation).

Dr.Nidhi Chowdhary, DNB Pathology Second Year put up a poster on Alveolar soft

part Sarcoma of Orbit- a rare tumor.

Indo-American College of Nursing organized a seminar on "Chemotherapy - Nurse’s

Role" on 5th

March 2016, in the Auditorium from 08:30am to 05:00pm. 300Nsg

Students from various colleges participated in the Seminar. Mrs.D.Vidyavathi, Registrar,

Telangana State Nurses & Midwives Council, was the Chief Guest of the function.

Indo-American School Of Nursing organized a programme on the occasion of World

Health Day celebrations on 7th

April 2016, at 02:30pm in our Auditorium. Topic ; “Halt

the Rise - Beat Diabetes”. The programme was attended by Patients, Attendants, Nursing

Students and Nursing Staff. Presentation was given on control of diabetes by Mrs.Ivy

Dias, Principal – IASON, Faculty O.Vidya Sri. Students conducted a role play on

presentation of Diabetes.

Chief Anaesthetist

QUALITY ASSURANCE DEPARTMENT

Quality Assurance Department performs a range

of activities including review, evaluation,

surveillance, and monitoring which collectively

comprise the intelligence gathering arm of

quality assurance. BIACH & RI is having a

Quality core committee which is responsible for

providing assurance on all aspects of quality of

clinical care; patient safety, regulatory

standards.

Reviewing of SOPs/ make necessary amendment and implementation

Evaluating the Quality/ performance indicators

Audit programme on a continuous and routine basis.

Surveillance is routinely repeated evaluation.

Monitoring the ongoing quality initiatives programme

Set quality strategic goals and direction to achieve it.

Quality Assurance Team:

CHIEF EXECUTIVE OFFICER

Manager-QA Advisory Team

Asst.Manager-QA

Medical Oncologist

Supervisor-QA HOD-Microbiologist

Quality Improvement Initiatives:

Quality Assurance Department apart from advising hospital departments on quality

issues and assisting in internal quality audits and trainings has ensured following

achievements.

NABH Accreditation:

NABH Re-accreditation assessment process by NABH-Assessors

team was conducted on 12-14th

February, 2016. 45 NCs

identified by them were rectified and compliance report of the

Hospital was sent to Quality Council of India.

OHSAS 18001 Re- Certification:

OHSAS 18001 Re-certification process by OHSAS Assessors

team was conducted on 25-26th

Oct 2015. 6 non compliances

identified by them were rectified by concerned departments and

based on compliance report of Hospital; the certification was

continued for next 3 years.

NABL 218Accreditation:

Desktop surveillance and equipment verification was conducted

in Nov 2015 and since no NCs wew found, Hospital

laboratory’s NABL accreditation was renewed till December-

2017.

IMC Ramakrishna Bajaj Quality award:

Hospital was awarded IMC RBNQ Certificate of Merit-2015 from

IMC Ramakrishna Bajaj National Quality Award Trust in January,

2016.

Training and workshops:

Topics covered Conducted by Attended by

JCI Internal Auditor

Training Programme

Six sigma star healthcare,

new Delhi, India

Manager-QA

QUALITY COMMITTEES & MINUTES OF THEIR MEETINGS

COMMITTEE: QUALITY CORE COMMITTEE

Major Decision made Implementation Outcome

Quality Initiatives taken:

Conducted

Patient safety Programme

Safe Medication (Medication

chart Audit)

Safe Environment

( Audit of Safety devices working

condition /repaired/replaced

Safe Transportation

(audit of condition/repaired/

replaced of Stretchers/Wheel chair

Achieved Goals:

Reduced no of

medication error

Install metal detector for

main entrance and exit

gate, Install more CCTV

camera, sprinklers, fire

extinguisher

In more risk prone areas

Purchased more no of

wheel chair/stretchers for

patient transportation

having proper safety belt.

HOSPITAL INFECTION CONTROL COMMITTEE


Bundle approach for

reduction of CLABSI &

VAP rates

Educational drives like

mandatory Induction training,

ongoing in- house training &

External training.Central line

check list for daily maintenance

of the lines.

Training a team of nurses on

infusion practices by BD

Company.

CSSD & OT technicians from

various hospitals in twin cities.

MOM with BD for Risk reduction

programme

For giving MIC (Minimum

Inhibitory Concentration of the

drugs)Organised a work shop on

Sterilisation & Bacterial barriers

in Health care

Introduced Fully Automated BD

Phoenix instrument in

Microbiology Department

Reduction in CLABSI

rates & VAP rates

An infusion team was

formed to oversee the

day to day infusion

practices

To Increase awareness

about sterilization &

disinfection practices.

Better patient treatment

outcome

HUMAN RESOURCE COMMITTEE


Privileges for Medical/

Non medical staff

Focused on Nurse-Patient

ratio

Prepared privileges for

consultants/ paramedical by

concerned HODs.

Recruited 100 no of additional

nurses to maintain the ideal ratio

Categorize the attrition rate

Identified the target group to prepare

HR strategies for retention.

Clarity about the

procedure performed.

Improvement of

Quality Nurse care

Reducing Cost of New

recruitment

DRUG FORMULARY COMMITTEE


Revised Drug Formulary

Suggested to Amendment

of Narcotic drug Policy

Introduce Patient

assistant Program

Introduce MCI approval

prescription format

Selection of Tender

Addition/Deletion of the drugs

based on demand/ request

Revised Narcotic Drug Policy

Patients get free medicines under

PAP sponsored by some

pharmaceutical company

Designed and Implemented

Based on SOPs finalization of

Tender

Capture all the audit parameters to

make the audit useful.

Produced revised

Formulary

Practiced

Indirect participation in

social responsibilities

and at the same time

satisfied the patient

Proceed with the order

CODE BLUE COMMITTEE


Prepare PALS Sops and

List out the staff and

doctors of paediatric

ward for training.

Prepared BLS & ACLS

Training calendar

Designed CPR training

Module

Audited all CPR reports

SOPs of PALS prepared

101 nos trainees participated

Trained the staff of critical area

Based on finding, Crash cart check list

prepared

Independently perform

PALs

68 nos of participants

qualified independently

perform

Regular monitoring

and make available the

drugs

SAFETY & DISASTER MANAGEMENT COMMITTEE


Suggested to conduct

code pink mock drill

Proposal to purchase of

Breath analyzer (Alcohol)

Participation in patient safety

programme

Conducted the code pink mock

drill

Listed out all security devices and

installed new devices in more risk

prone areas including outside of

the main entrances. (installed

CCTV camera)

Purchased and implemented in

main entrance gate.

Increase overall safety

and security,

continuous real time

monitoring

Prevent the incident of

child abduction

Restricted entry of

alcoholic people

ANTI SEXUAL HARASSMENT COMMITTEE


----------------------------------No such Incident reported---------------------------------------------

ETHICS COMMITTEE

----------------------------------Discussed about clinical trials-----------------------------------------

GRIEVANCE REDRESSAL COMMITTEE

-------------------------------No grievances reported to the committee-------------------------------

MEDICAL AUDIT COMMITTEE


Conducted Clinical Audit,

Implementation of Bar coding of Case

sheet

Review of audit

On the process

Changes Made based

on

result

Right tracking of the

case sheet

BLOOD TRANSFUSION COMMITTEE


Proposal for Blood

donation camp once in

month

Proposal for purchasing

Mobile transportation box

9 nos of Blood donation camp

conducted

2 boxes purchased

1032 units of blood

collected

Preserve the collected

blood unit to avoid

unnecessary wastage.

HUMAN RESOURCES DEPARTMENT

The Department of Human

Resource is actively

supporting different Medical

& Non Medical divisions,

ensuring that Institution's

most valuable assets i.e.,

Employees are driving the key

objectives of institution.

The department has focused

on continuous improvement to increase the quality & accountability, while improving

the department services towards best patient care and administration - playing a vital

role in bringing highly engaged workforce to deliver organizational goals.

CONTRIBUTIONS: TRAINING & DEVELOPMENT ACTIVITIES:

TALENT ACQUISITION

Initiated Talent search

Actively hiring and appointing a diverse range of employees

Internal Employee Referral Scheme

Job posting on various portals.

Internal promotions.

Complete review of all recruitment and selection activity in order to improve

service provision.

Rationalized Induction Process.

Monthly MIS on Talent Acquisition

Tie up with external agencies for niche profiles

S. N DIVISION MANPOWER

01 Medical 142

02 Nursing 305

03 Para Medical 132

04 Other

Support Staff 363

S.N TOPIC MAN

DAYS

01 HR General Training

Sessions 141

02 Professional

Education Programs 393

03 Other Skill Dev.

Programs 15

Enabling an environment of employee empowerment and involvement with

flexible working arrangements, tools and resources that facilitates an effective

operating environment to help these employees deliver their full potential

EMPLOYEE MANAGEMENT

S. N INITIATIVES

01 Introduced Face Index Attendance System

02 Free Bachelor Sharing Accommodation

03 Subsidized boarding facility for Nursing Bachelor Sharing

04 Introduced Transport Allowance to Outsiders (Nursing Staff)

05 Enhanced Nursing Staff Salaries & Review of Pay across the Nursing

staff

06 Facilitate more accommodation to the patient and their attendants, HR

initiated reshuffling of the Staff at Bachelor Sharing accommodation at

Vididi and Athidi

07 Special Allowance to Nursing Supervisors

08 Enhanced Duty Doctors Night Duty Allowance

09 Revision of Base Salary (Technical & Non Technical Staff)

10 Commendable Achievement Reward to Radiation Team

11 Initiated Accident Policy Coverage to all Staff

12 Internal & External Training Programs

13 Additional pair of uniform to the existing staff

14 Initiated Exit Interviews

15 Conducted a questionnaire-based employee satisfaction Employee

Satisfaction Survey for all employees and analyze the survey results to

devise improvement measures required at workplace.

LONG SERVICE RECOGNITION

(> 10 yrs)

S. N. DIVISION CURRENT

YEAR

01 Medical 01

02 Nursing 07

03 Para Medical 01

04 Other Support

Staff 18

PERFORMANCE MANAGEMENT

Initiating the On-line Performance Appraisal System to incorporate an assessment

process to identify the employee performance and grooming in their work areas.

MANPOWER DETAILS APR'15 - MAR'16

DEPARTMENT OF PHARMACY-

PROCUREMENT

The Pharmacy Procurement department is

manned by professionally competent,

legally qualified pharmacists who directly

supervise and ensures the correct

dispensing, compounding and distribution

of medications to in & out patients.

BIACH & RI’s Outpatient pharmacy

functions round the clock. Pharmacy is

having a central store.

VARIOUS TASKS PERFORMED BY THE DEPARTMENT INCLUDE:

TENDER RATE

CONTRACTS

Registration for Tender

Tender floating

Price negotiations

Rate contract with 62 companies

Establishment of Hospital drug formulary

VENDOR

REGISTRATIONS All suppliers should register with us. We had registered 42

distributors and issued Vendor registration certificate valid

for 3 years.

PROCUREMENT

PROCESS Raising Purchase orders against the purchase requests and

follow ups

PATIENT

ASSISTANT

PROGRAM

We are supporting the patients by providing free medicines

from various companies that had MOU with us like Dr.

Reddy’s and many others.

CLINICAL

PHARMACY

SERVICES

Prescription auditing is done by daily ward rounds.

Reporting Medication errors

CME FOR

PHARMACISTS &

NURSES

Initiation for Anti-Microbial Therapy audit and its

prescribing pattern

DRUG

INFORMATION

SERVICES

Drug information is provided to Para-medical health care

professionals & nursing staff.

MEDICAL RECORDS DEPARTMENT

The Medical Records Department is

having 1 staff and is responsible for

maintaining medical records in a

standardized and professional manner in

order to protect patient confidentiality

while allowing adequate access to

providers in order to promote quality

patient care.

Transcription, diagnosis coding, and

release of information are some of the other major duties performed in the Medical

Records Department. Information is also gathered and sent to state agencies

concerning births, and deaths, notified diseases. Records are released in accordance

with state laws.

The major responsibilities are:

Retention of Medical Record

Confidentiality of Medical Records

Security of Medical Records

ICD -10 Coding and Data Abstracting

Medical Records Tracking System

Patient Medical Record Identification

Medical Record Analysis and Completion

Storage of Old Inactive Records

Approved and Prohibited Abbreviations

Data submission to ICMR ( Cancer Registry programme)

IMPROVEMENT IN THE SERVICES:

Revised the standards of Medical Records Operating procedures on maintaining

Confidentiality, Integrity and Security of Information. Documented procedure

exists on how to respond to patients/physicians and other public agencies

requests for access to information in the clinical record in accordance with the

local and national law. All requests for release of patient information, including

requests for copies of a patient's medical record, are to be referred to the

Competent Authority for approval.

NEW INITIATIVES:

Prescribed time period for retention and preservation of the Medical Records for

medical, legal, administrative, education and other purposes. For destruction of

Patient Records a committee has been formed and destruction proceedings were

recorded and time barred record were sent for destruction as per prescribed

procedure.

MAJOR DECISION:

As we have Hospital Retention policy of 10 years for In-Patient Case sheets. As

per the code of Ethics Regulations 2002, under section 20A of the Indian Medical

Council Act, 1956 under chapter 1.3.1., 6-years inactive Medical Records of the

patients who were discharged up to June, 2006 and did not attend from last 10-

years for the review were sent for destruction by shredding as per MOU with

ITC, Bhdarachalam.

HARNESSIN ADVANCEMENT IN TECHNOLOGY&

INFRASTRUCTURE:

Digitization of patient’s records and DMS (Document Management System) was

implemented for all legacy patients’ records for the purpose of security and

confidentiality of the patient’s details and treatment and also protection from

external disasters.

ACHIEVEMENTS:

Implemented CGSL (Neura) HIS project with a view of improving

INFORMATION MANAGEMENT SYSTEM and bringing entire medical

records to e-platform in future with faster flow of information and taking

BIACH&RI towards a paperless medical environment.

CHALLENGES:

The Strategic Challenge is to implement the electronic medical recording system

with a standardized approach to significantly improve patient access and

coordination of care transitions, and ensuring all case information from paper to

paperless.

RECOGNITION'S & AWARDS:

Elected as Jt. Secretary for HIMA INDIA (Health Information Management

Association). HIMA INDIA is in collaboration with international Federation of

Health Information Management Associations (IFHIMA) is committed to

advancing the HIM profession in an increasingly electronic and global

environment through leadership in advocacy, education, certification and lifelong

learning. The HIMA INDIA’s primary goal is to provide the knowledge,

resources and tools to advance Health information professional practice and

standards for the delivery of quality healthcare.

Received awards at national & international level seminars & conferences

upon presentation of best papers.

The latest publication, is “Transformation of Healthcare with Health

Information Management” (Opportunities & challenges)”, on Dec-2015,

published in 1st-National Health Information Management Association

Conference, organized by KIMS, Hyderabad.

Coordinated for National Accreditation of the Hospital and recognized

MRD as an excellent Department after first inspection and declared MRD

is one of the important strength of the Hospital upon Surveillance

Assessment.

DEPARTMENT OF CLINICAL NUTRITION DIETETICS

The Dietary services of BIACH & RI is

providing clean & hygienic, nutritious diet

for the indoor patient as per their caloric

requirement. The Dietetics department is

committed to provide the best possible

patient care and support to the patients of the

hospital. Dieticians provide an array of

patient care services including, nutritional

assessment, therapeutic diet counselling, and

ENTERAL feeding recommendations.

INITIATIVES, IMPROVEMENTS AND ACTIVITIES -2015

1. National Nutrition Week is celebrated every year in September first week

by organizing different Nutritional education activities for different groups

of people. In this connection, celebrated the first Anniversary of Nutrition

Support Group Program on 12thSeptember-2015.

2. Involved in Diet Counselling for hospitals Support and Rehab clinic on

every Friday from 12pm to 1pm.Started getting students from post graduate

college for their M.Sc Dietetic Internship. First Batch from June & July-

2015.

3. Successfully running Nutrition Support Group Program for patients and

attenders. Conduct the same every 2nd

Saturday and started involving other

departments on all other Saturdays. (Physiotherapy, Psychiatry).

4. Attended Nutrition education programs and CME’s organized by Indian

Dietetic Association- A.P Chapter and other hospitals.

5. Mr. Raveendra, Dietician attended 48th

Annual National Conference of

Indian Dietetic Association held in Bengaluru from 19th

to 21st November-

2015.

6. Conducting regular education programs for the Department for the Nutrition

updates.

DEPARTMENT OF NURSING SERVICE

The Department of Nursing

Service is the largest departments

of the institution that employs

over 339 nursing personnel under

the Nursing Superintendent with

inpatient occupancy of 75% on

an average. The Nurses function

in all the OP & IP units of the

Hospital. There are designated

Nursing personnel for patient

education, high skilled areas of

the hospital, in-service training and auditing.

The Nursing Department in BIACH & RI endeavors to provide quality nursing care,

protect the health and safety of its members and ensure that nursing team is

compassionate, competent and ethically sound to practice.. The department maintains

Standing Orders, which allow the nursing team members to exercise their judgment in

times of emergency. The Nursing manual, which is made available in every unit,

ensures uniformity in performing procedures, patient safety and the provision of

efficient care.

36 nursing staff completed prerna chemotherapy nursing certificate course by

Glenmark from August- October 2015.

3 senior staff completed National certificate course in Hospital Infection

Prevention and Control by Care hospital in collaboration with IIPH ISDS & IMA

from 1/10/2015 to 3/10/20115.

K. Jayamma, Operation theatre In charge attended Energy Safety Roadshow by

Medtronics on 4th

November 2015.

6 Staff completed Certificate course on Sedation and delirium monitoring in the

ICU, hemodynamic monitoring in the ICU, medication errors in the ICU by

Abbott.

E. Swetha participated in a workshop on SOTS by STERRAD at Bangalore on 5th

may 2016.

150 nursing staff attended in a workshop on hand hygiene conducted by

SANDMED on 5th

may 2016.

K. Jayamma Operation theatre incharge participated in operation theatre nurse’s

convention by Meril Endo- Surgery at Vapi from 3/6/2016 to 5/6/2016.

70 staff attended in Basics of diabetes and Insulin conducted by BIOCON on

4/06/2016.

Out of 61 nurses who went for BLS training 50 staff passed through the test

for certification from September 2015 to April 2016.

Nurses who attended BLS training previously, for them two hands on session

conducted for their practice

Achievements, major decision made

Interdepartmental audits on stock initiated every quarterly.

On the job training has been provided with two senior staff to the newly joined

nurses.

Multi tasking is encouraged by clinical rotation to selected group of nurses.

Major Challenges: Nurse’s attrition and shortage

BIO-MEDICAL ENGINEERING DEPARTMENT

BIACH & RI is equipped to

maintain latest technology

equipments that are used cures all

Cancer diseases Biomedical

Engineering Department is also

extending their Services by

Supporting Gas Plant, CSSD by

Supervision with one HOD and 7

technicians.

Gas Plant with Liquid Oxygen tank and 3 Compressors supplies 24/7 Medical Gases

to all the required Departments.

CSSD Department is equipped with two Steam Sterilizers, two washer & Disinfectors

and two Plasma Sterilizers which sterilize 150 packs daily for operational procedures

and minor procedures at patient wards.

Achievements; Biomedical Department was praised by NABH Authorities during

NABH Audits.

Biomedical Engineering Department is

Maintaining 1200 Equipments in House by cost cutting and economical

methods

Managing Contracts for Radiotherapy Equipments and monitoring closely

performance of it having monthly reviews at management level

Installation of new 3D Laparoscopic Surgical Equipment and Gamma

Detection System.

Upgradation of Pathology Lab by Installing Auto Strainer & high Capacity

Auto Programmed Tissue Processor

Planned for Future are CT up gradation in Radiology Department and

installation of new colour Doppler for Cardiology Department.

Preventive Maintenance of each and every equipment is carried out as per

Schedule

Excellent training provided with safety Guidelines during induction, as well

real time training to paramedical staff and End user

Calibrating and keeping the equipment uptime all the time for smooth

operations

Provision of External training programmes by OEM companies to paramedical

staff along with Gas plant staff and other end users

Trimedx Company: A BM equipment maintenance services Provider maintains

all BM equipments in this hospital. Target given to them are extend the life of

medical equipment, Calibration of equipment from time to time, Planned Preventive

maintenance of medical equipment to reduce costs and increase efficiency Holding

AMC / CMC of medical equipment, Develop and implement a comprehensive training

program, Streamline supply chain management, Uncover hidden costs associated with

BM equipment.

DEPARTMENT OF FRONT OFFICE:

Our busy outpatient department caters for oncology patients at all stages of their

disease - from diagnosis through treatment to monitoring. We try to offer an

environment where patients feel welcome and cared for.OPD has 47 nos of

consultation chambers for all oncology consultation. The OPD is supported by 18 nos

of procedure/examination room along with efficient outpatient’s services.

The Outpatient Department operates round the clock. The services provided by the

Outpatient Department functions on a fixed time appointment booking system/ walk in

patient/ emergency patient/referral patient basis. Our patients are categorized as new

cases or follow up cases and a multi-disciplinary health team directly addresses their

needs. Diagnostic testing and support services are also available.

Our department is subdivided into the following sections:

Radiation unit and subspecialties

Medical unit and subspecialties

Surgical unit and subspecialties

Day care Unit

IMPROVEMENT IN SERVICE:

On line feedback system

ACHIEVEMENTS:

Reduced the dissatisfaction level of the patient

Solved the patient’s issues on real time basis

DEPARTMENT OF PHARMACY –STORES& DISPENSING

The pharmacy (stores)

department is manned by 31

professionally competent,

legally qualified pharmacists

who directly supervises and

ensure the correct dispensing,

compounding and distribution

of medications to in & out

patients. BIACH & RI’s

Outpatient pharmacy functions

round the clock. Pharmacy is

having a central store.

ACHIEVEMENTS:

Floor stock at OT, worth of Rs. 14 lakhs has been withdrawn and started supply

of consumable kits surgery wise on daily basis.

100% accuracy in billing to the patients without any confusion within the

stipulated time.

Over sight of expiry drugs has been avoided.

In case of specific emergencies, we have arranged one pharmacy runner inside the OT

who delivers the stock as per the requirement to all 9 theatres without any loss of

time.

Manager Pharmacy (Stores) has attended a workshop at Meril Academy, Vapi,

Gujarat, conducted by IIM, Ahmadabad on 21.11.2015. Participation certificate is

attached.

WORKSHOP ATTENDED:

Manager Pharmacy (Stores) has attended a workshop at Meril Academy, Vapi,

Gujarat, conducted by IIM, Ahmadabad on 21.11.2015. Participation certificate is

attached.

TRAINING PROGRAMME CONDUCTED-2015

31.10.2015 Rational use of medicines

15.12.2015 Procurement & Inventory Management

10.01.2016 GPP – Code of Pharmaceutical Ethics

21.02.2016 GPP – Procurement & Inventory Management

27.03.2016 GPP – Dispensing, Storage &Stock Management

24.04.2016 GPP – High Risk Medication &Patient Information

23.06.2016 Medication Errors – Webinar by

Dr. Aniket C. Mandekar

DEPARTMENT OF FINANCE & ACCOUNTS:

The financial management

team support managers within

the hospital, providing reports

and analysis on expenditure

and income throughout the

year, setting budgets and

providing financial

information and support. At

Corporate level, the team

provides hospital wide reports

on the financial performance of the hospital to the senior management team and the

Trust Board. The financial accounts team manages the hospital’s cash, and deals with

the payment of creditors, collection of income, internal controls and production of

statutory and assists in internal and statutory audits.

MATERIALS- (STORES & PROCUREMENT) DEPARTMENT

"Stores Procurement Department

consists of Sr. Manager–Procurement

working along with 2 Executives & 1

Assistant. This Department

undertakes procurement of General,

Civil and Electrical items and

equipment for the hospital - both

major and minor, entering into

AMCs/CMCs for the equipment available in the hospital and other general items for

the hospital. It follows strictly approved Dept. System Manual - limiting to local

purchase to the barest minimum, continuously checking the market for new trends,

rates and quality of the products by registering new vendors. Recently SAP

was introduced in the department to streamline the supplies of requirements of the

hospital duly following the stores principle 5Rs - Right quality; right quantity; right

place; right time; right price. "

The Stores material department is

responsible for safe custody and

preservation of the materials stocked,

ensuring efficient, economic and

specified receipts, issue and accounting

and providing right material at the time

when it is required and in the condition

in which it is required.

ACHIEVEMENTS

CONTRIBUTION

TOWARDS

EXPENDITURE

The Consumption value for the year 1st April2014 to 31

st March

2015 = Rs.1175 lakhs, Average Monthly Rs.97.9 lakhs

The Consumption value for the year 1st April2015 to 31

st March

2016 = Rs1396 lakhs, Average Monthly Rs. 116.3 lakhs

The Inventory value for the year 1st April2014 to 31

st March 2015 =

Rs.380 lakhs, Average Monthly Rs.31.66 lakhs (Excluding Linac

spares

The Inventory value for the year 1st April2015 to 31

st March

2016 = Rs.418 lakhs, Average Monthly Rs.34.8 lakhs

(Excluding Linac spares)

CONTRIBUTION

TOWARDS

INCREASE IN

REVENUE:-

Stores being an expenditure unit, However, the subject

“Disposal of scrap “was attached to General stores and the

scrap is being disposed of from time to time without having

any accumulations.

The value of the scrap disposed 1st April2015 to 31

st March

2016 Rs.6.5 lakhs.

Photo copier revenue is 1st April2015 to 31

st March 2016

Rs.3.8 lakhs.

APPRECIATION

CERTIFICATE

In the Process for effective management of scrap material and

disposal of paper waste, ITC has awarded appreciation

certificate for outstanding performance for the year 2015.

DEPARTMENT OF MEDICO-SOCIAL WORK (PATIENT & VISITORS

COUNSELLING)

The department provides a range

of supportive services to

patients, families and those

affected by illness and

hospitalisation. Services include:

Counselling relating to illness

and its impact on their family,

our department also offers

bereavement support and crisis

help following traumatic events.

TRAINING PROGRAMME CONDUCTED

18/07/2015 Attenders crowd management in patient care areas

14/08/2015 Cervix Cancer Support Group Meeting

23/09/2015 Childhood cancer awareness Programme

19/10/2015 Breast Cancer Awareness Programme

26/11/2015 Distress Management Programme

26/12/2015 HIV awareness Programme

13/01/2016 How to handle Vulnerable Patients in the Hospital

06/02/2016 Cervix Cancer & Sexual life

31/05/2016 Bone marrow Transplantation

ACHIEVEMENTS AMOUNT OF Rs. 9,92,128/- DONATIONS COLLECTED AND WERE GIVEN TO

57 NUMBER OF PATIENT SURVIVAL SUPPORT GROUP MEETINGS CONDUCTED

DEPARTMENT OF BUSINESS DEVELOPMENT

The Business Development

department of BIARCH & RI is

HELPING the Hospital for growing

its revenue, enhancing image, and

contributing to Hospital growth and

profitability, conducting various

outreach programmes with the

collaboration of various NGOs/ business groups and taking care of its promotion and

branding and cover the news of success stories of the hospital.

INITIATIVES AND ACHIEVEMENTS

FINANCIAL

GROWTH

The Performance for the financial year April 2015 to March 2016,

had growth 9 % in revenue, cash admissions grown by 9% and

corporate business grown by 25% especially Insurance patients

business.

CME We have conducted 15 CME's in Districts of Telangana, AP,

Ranchi, Nanded and Bilaspur, 1435 doctors attended the CME

Programme.

CLINIC Dr A K Raju's monthly clinic at Bhimavaram.

Average 15 patients were seen by Dr AK Raju and generally

refer 2/ 3 patients for further treatment.

Dr Hemanth Kumar clinic at Chandrapur in the month of

January and February 2016

RENEWAL OF

MOU'S

Renewal of Twelve corporate MOUs on CGHS 2014 Oncology

tariff

GIPSA: MoU signed.

STATE

GOVERNMENT

EMPANELMENT

Government of Jharkhand

Government of Chhattisgarh.

PR - ACTIVITIES

Coverage of Article in HINDU Newspaper regarding Cancer

Awareness, the topic's were on Oral Cancer, Cervical Cancer,

Breast Cancer, Nuclear Medicine etc.,

Coverage in Hindi (Hindi Milap) and Urdu (Siyassat)

Newspaper regarding Cancer awareness, hospital facilities,

Breast Cancer, Oral Cancer and Cervical Cancer etc.,

BUS SHELTERS (12) Spread out in the twin cities of

Hyderabad.

INTERNATIONAL

BUSINESS

Enrolled THREE medical facilitators to refer International patients.

Which are NIZAMI SERVICES(Referred six patients), YA YA

Khan (referred three patients), Mr Kaleem (referred two patients)

DEPARTMENT OF INFORMATION TECHNOLOGY:

BIACH & RI’s IT Department

involves the exchange of health

information in an electronic

environment and supports to

increase administrative

efficiencies, decrease paperwork,

and expand access to affordable

health care and maintain privacy

and security of electronic health

information through electronic transmission.

IMPLIMENTATION AND ADOPTION OF BEST PRACTICES IN THE INFORMATION

TECHNOLOGY

New HIS-Neura Implemented successfully from old HIS two tier architecture

technology to new Three Tier architecture technology (web based) provided by

CGS limited.

LIS Machine Integration completed by CGS Limited

SMS and E-mail interaction to the patient done successfully through new HIS.

Purchase, Inventory and Finance are totally implemented in SAP B1 supplied

by NHCS limited.

Transaction to Transaction Handshaking is done with HIS and SAP.

Feedback Tracking System implemented by The Decision Labs, Bangalore.

New RIS and upgraded PACS version 4.X to 5.X implemented successfully.

Surveillance CCTV integration of all camera’s implementation completed.

Document Management System – uploading of Digitized Medical Records

along with all the legacy records done by Asprins Health Care.

Server Virtualization to be implementing process.

DEPARTMENT OF BILLING:

The Billing department of BIACH &

RI is taking care of cash, insurance,

credit, aarogyashree billing process.

Its focus on the patient’s financial

condition, treatment requirement and

based on that guide the patient for

further process, coordinate with the

Inpatient department to timely

discharge the patient without any

delay

DEPARTMENT OF MAINTENANCE:

The department of Maintenance

is taking care of the entire

operation and maintenance of

lighting, plumbing, electrical

distribution, air conditioning /

heating systems of all Hospital

buildings. We have an

extensive equipment preventive

maintenance system which

provides a weekly summary of outstanding equipment preventive maintenance tasks.

MAINTENANCE COMPLAINTS RECEIVED STATUS FOR THE PERIOD

OF 2015-2016

SN

WING

NO.OF MAJOR

COMPLAINTS

RECEIVED

NO.OF MINOR

COMPLAINTS

RECEIVED

TOTAL

1 CIVIL 60 180 240

2 ELECTRICAL 35 160 195

3 AIR

CONDITIONING

30 75 105

4 CARPENTRY 120 230 350

5 PLUMBING 250 420 670

6 LIFTS 75 110 185

7 FIRE 20 36 56

8 MISCELLANEO

US

150 230 380

All issues are closed

Total 2181

The Electrical department of BIACH & RI provide uninterruptible quality power

supply with normal voltage and lowest electricity bill consumption and look after the

routine maintenance for all the light fittings, fans, geysers, switch boxes, MCB boards,

sub-panel boards etc.

DEPARTMENT OF HOUSEKEEPING:

The department of

Housekeeping services always

aims to maintain a healthy,

clean, orderly, safe and pleasant

environment by making the

maximum use of the facilities of

hospitals. The total 379 team

members besides ensuring

implementation of statutory

provisions and positive effect on

the morale, welfare and safety of

the patients but also prevent a lot of areas from becoming a source of infection. The

Housekeeping Department helps in prevention and minimizing of the effect of the

microorganisms in the environment by training its staff on regular basis, along with

regular controls of cleanliness and applying the programs declared by the Infection

Control Committee.

DEPARTMENT OF SECURITY:

BIACH & RI is having the

Outsourced security

services and the

department is leaded by the

in house Chief Security

Officer. The security &

safety department of

BIACH & RI is always

alert to protect BIACH &

RI’s patients, visitors, staff

as well as the property, information and reputation of the Hospital. It always responds

rapidly to security emergencies within the Hospital of health care setting.

ACHIEVEMENTS

1. 59 nos of Training programme conducted for security staff in the year 2015-2016

2. Successfully completed two live Mock drill for the year 2015-2016

3. 7 nos of CC TV camera installed in more risk prone areas.

ACHIEVEMENTS

1. 52 nos of in house training programmes conducted for Housekeeping staff in the year

2015-2016

2. 67 nos of total complaint received from Housekeeping Feedback form, all issues were

closed.

Cancer Awareness and Cancer Screening Programme

from April 2015 t-March 2016

On the occasion of“

“World Anti Tobacco Day" on Sunday

31st May 2015, displayed posters in the

premises of the Hospital and Outside

Athidi, addlife, Near Andhra Bank,

and KBR Park. Pamphlets on Ill effects

of Tobacco in Telugu and English

were distributed to the public at KBR

Park, Auto stands, Bus Stops, Chowltry,

Canteen, Staff at Super Gas, Andhra Bank.

Talks on Cancer Awareness and Cancer

Screening are given to the families at

MRF Tyres at Sangareddy on 7th

April

2015 and Zaheerabad on 24th

June 2015

followed by Interactive session by

Dr.K.Kalpana Raghunath.

Dr.K.Kalpana Raghunath and Mr.C.Pardasaradhi Visited Assam Gauhati on 4th

, 5th

&

6th

July 2015, given Presentation on “Train the trainers on cancer awareness for early

detection” organized by Asmi at Gauhati. More than 300 Health workers and Doctors

attended the programme, A booklet on Cancer Awareness and Screening was

distributed to the participants.

Met Principal Secretary to CM, Sri.M.G.V.K.Bhanu on 6th

July 2015, briefed him the

facilities at Basavatarakam and discussed the possibilities of referring patients from

Assam.

October Month is observed as World Brest Cancer Awareness Month and Free

Brest Cancer Screening Programme was conducted for women Every day from 10.00

A.M. to 02.00 P.M. at Our Hospital premises from 1st October to 31

st October

2015. Four cases of Breast Cancer were detected and treatment initiated.

In the month of January 2016 Cervical Cancer camp is organized at BIACH&RI from

01.01.2016 to 31.01.2016. In addition to the cervical cancer screening many undergone

master health checkup also.

No.of Patients Pap Smear Mamo U/S Biopsy FNAC

230 195 39 49 11 4

Two cases of Ca.Cervix are diagnosed, and treatment started. One lady undergone

Hysterectomy for benign lesion at Multi speciality hospital.

On the occasion of World Health Cancer Day, Cancer Screening camp was conducted

at BIACH&RI for One week from 04.02.2016 to 11.02.2016, Total 79 screened,

Female 43 and Male 36, Master health checkup 31, other investigations 18.

Awareness programme was conducted for NATCO employees on Feb 4th

2016 World

Cancer Day addressed by Dr.K.Kalpana Raghunath.

Colon Rectal Cancer Screening Awareness is organized in BIACH&RI e from

01.03.2016 to 31.03.2016 between 10:00am to 12:30pm. total 21 screened, One case

of colon cancer detected,

“ADDLIFE”

International Yoga day celebration:

"addlife" conducted Yoga camps from

21st May 2015 to 21

st June 2015, at

Khammam, Nalgonda, Nizamabad &

Ranga Reddy. The programmes were

sponsored by Central Council for

Research Yoga & Naturopathy, New-

Delhi.

Patients doing Yoga at BIACH&RI

The following staff of the “addlife” Basavatarakam Indo-American Cancer Hospital &

Research Institute actively participated in the month long Yoga Programme in various

places.

Dr.C.Sumathi, (HOD Naturopathy and Yoga), Dr.Uday Kumar, (Naturopathy & Yoga),

Dr.K.Kalpana Raghunath, (Med.Supdt.,) Mr.Surendra Upadhyay, (Yoga Teacher),

Mr.Vikram (Yoga Teacher) Mr.Aditya Kiran, (Manager), Mr.C.Pardhasaradhi, (CSP

Manager), Mr.B.Ravindranath, (Manager), Mr.Anil Kumar, (Executive), Mr.Ravi Kumar,

(Executive), Mr.Raju, (Assistant), Mr.Seetharamaiah, (Driver).

The services of the local yoga teachers are utilized for the month long Yoga classes at

various places.More than 300 to 500 people participated in each camp. The public, the

civil authorities and the local leaders highly appreciated the programme and wide media

coverage was given.

Nalgonda District - 12th Police Battalian, Nizamabad District - Police Head Quarters and SPR School. Reserve Police Force,

Dichpally, Nizamabad.

Khammam District - SR & BJNR Govt. College &

Mandharapu Ramaiah Prayer Hall etc.

“Summer Camp” for children was

conducted at “addlife” on 24th

April 2015 to

30th

May 2015. 50 Children participated.

Aerobics, Yoga, Drawing, General

Knowledge, Health Education classes were

conducted.

SUMMER CAMP – AT ADDLIFE IN 2015 – Art class Health Talk

Aerobics – Summer Camp – 2015 Onam Celebrations at addlife

on 28th Aug 2015

CGHS : Department of Naturopathy, Yoga & Ayurveda are accorded recognition by

CGHS in July 2015

CCRYN GRANT : Rs.35,59,284/-(Thirty Five Lacks Fifty Nine Thousand Two

Hundred Eighty Four Only) received in Sep 2015 as first installment of grant-in-aid

during the financial year 2015-16towards the research project “Influence of

Naturopathy and Yoga therapy as an adjuvant in the management of

adenocaricinoma of colon stage II & III with chemo therapy”.

NATUROTHERAPY TEAM MEMBERS

DEPARTMENT OF AYURVEDA: PATIENTS TREATED FOR THE YEAR-2015-2016

AP May June July Aug Sep Oct Nov Dec Jan Feb Mar sum

Arthritis 3 2 4 3 4 6 6 8 4 4 8 3 55

Lumbar

Spondylosis 4 5 3 6 2 6 2 7 6 3 5 6 55

Cervical

Spondylosis 1 4 1 1 3 6 1

1

18

Diabetes 2 5

2 5 2 16

Hypothyroidism

1 1

2

Muscular

Dystonia

1 1

2

CNS Disorder 3

5 1

1 3 1 2 1 4 4 1 26

Bronchial

Asthma

1

1 1

1

4

Sinusitis &

Rhinitis 3 1 3 6 3 1

6 4 3 5 2 37

A.P.D. 2 3 2 5 4 4 1 6 5 2 2 2 38

Piles

2 1 1

4

Irritable bowel

syndrome

1

2

1 4

Skin disorder 2 2

4 3 1 3 2 3 2 1 4 27

Obesity 3 2 5 5 7 4 5 9 7 6 8 4 65

Gyneac 3 2 3 4 2 2

4 1 2 2 25

Malignancy 4 2 2

1 2 3 4 3 1 3

25

Stress disorder 4 3 1 5

4 3 1 1 22

Rejuvenation 45 52

50 42 48 53 56 49 52 61 32 44 584

Total no. of

Patients 79 88

76 81 79 92 79 95 97 92 78 73 1009

Total no. of

Procedures done

452 389 369

510

349

405

400

432

440

410

473

457

5086

P a g e | 85

FORM NO. 10B [See rule 17B]

Audit report under section 12A(b) of the Income-tax Act, 1961, in the case of charitable or religious trusts or institutions

We have examined the statement of Affairs of Smt. Nandamuri Basava Taraka Rama Rao Memorial Cancer Foundation as at 31.03.2016 and the Income & Expenditure account for the year ended on those dates which are in agreement with the books of accounts maintained by the Trust. We have obtained all the information and explanations, which to the best of our knowledge and belief were necessary for the purpose of the audit.

In our opinion proper books of accounts have been kept by the above named Trust so far as it appears from our examination of the Books.

In our opinion and to the best of our information, according to the explanations given to us, the said accounts give a true and fair view.

I In case of the statement of affairs of the above named Trust as on 31.03.2016

AND

II In case of the Income & Expenditure Account, for the year ending 31.03.2016

For KARVY & CO Chartered Accountants (Firm Registration No. 001757S) K. AJAY KUMAR PARTNER Membership No. 021989

Place: Hyderabad Date:

P a g e | 86

FORM NO. 10B

Audit report under section 12A(b) of the Income-tax Act, 1961, in the case of

charitable or religious trusts or institutions

Annnexure

Statement of Particulars

I. APPLICATION OF INCOME FOR CHARITABLE OR RELIGIOUS PURPOSES

1 Amount of income of the previous year applied to charitable or religious purposes in India during that year.

Rs. 1,72,84,45,399/-

2 Whether the trust / Institution has exercised to option under clause (2) of the explanation to section 11 (1)? if so, the details of the amount of income deemed to have been applied to charitable or religious purposes in India during the previous year.

NIL

3 Amount of Income Accumulated or set Part/ Finally set apart for application to Charitable or religious purposes to the extent it does not exceed 15% of the Income derived from Property held under trust wholly/ in part only for such purposes.

Rs. 23,05,83,637/-

4 Amount of Income eligible for exemption under section 11 (1) ( C ) (Give Details)

NIL

5 Amount of Income In addition to the amount referred to in item 3 above accumulated or set apart for specified purposes under section 11 ( 2)

NIL

6 Whether the amount of Income Mentioned in Item 5 above has been Invested or deposited in the manner laid down in section 11 (2) (b) ? If so, the details thereof.

NIL

7 Whether any part of the income in respect of which an option was exercised under clause (2) of the explanation to section 11 (1) in any earlier year is deemed to be income of the previous year under section 11(1b) ? if so, the details thereof

NIL

P a g e | 87

8 Whether during the previous year, any part of income accumulated or set a part for specified purposes under section 11 (2) in any earlier year a) Has been applied for purposes other

than charitable or religious purposes or has ceased to be accumulated or set apart for application thereto, or

b) Has ceased to remain invested in any

security referred to in section 11(2) (b) (I) or deposited in any account referred to in section 11(2) (b) (II) or section 11(2) (b)

NIL NIL NIL

c) Has not been utilised for purposes for which it was accumulated or set apart during the period for which it was to be accumulated or set apart, or in the year immediately following the expiry thereof? If so, the details thereof.

NIL



P a g e | 88

FORM NO. 10B Audit report under section 12A(b) of the Income-tax Act, 1961, in the case of charitable or

religious trusts or institutions

Annnexure

Statement of Particulars

II. APPLICATION OF USE OF INCOME PROPERTY FOR THE BENEFIT OF PERSONS REFERRED

TO IN SECTION 13(3)

1 Whether any part of the Income or property of the trust / institution was lent, or continues to be lent, in the previous year to any persons referred to in section 13(3) (Hereinafter referred to in this annexure as such person)? If, so give details of the amount, rate of interest charged and the nature of security, if any.

NIL

2 Whether any land, building or other property of the trust / institution was made or continued to be made, available for the use of any such person during previous year? If so, give details of the property and the amount of rent or compensation received, if any

NIL

3 Whether any payment was made to any such person during the previous year by way of salary, allowance or otherwise? If so, give details

NIL

4 Whether the service of the trust / Institution were made available to any such person during the previous year? if so, give details thereof together with remuneration or compensation received if any?

NIL

P a g e | 89

5 Whether any share, security or other property was purchased by or on behalf of the trust / Institution during the previous year from any such person? if so, give details thereof together with the consideration paid.

NIL

6 Whether any share, security or other property was sold by on behalf of the trust / Institution during the previous year to any such person? if so, give details thereof together with the consideration received.

NIL

7 Whether any income or property of the trust / Institution was diverted during the previous year in favour of any such person? if so, give details thereof together with the amount of income or value of property so diverted.

NIL

8 Whether the income or property of the trust/ institution was used or applied during the previous year for the benefit of any such person in any other manner? if so, Give details.

NIL



P a g e | 90

SMT. NANDAMURI BASAVA TARAKA RAMA RAO FY 2015-16

MEMORIAL CANCER FOUNDATION AND RESEARCH CENTRE

BOARD NOTE The Institute would be completing 16 successful years of operations as a Non Profit Organization on 22nd June, 2016. The Board of Trustees are pleased to present the annual report for FY 2015-16 and the audited financial statements of accounts for the year ended 31st March 2016.

FINANCIAL AND OPERATIONAL HIGHLIGHTS OF THE TRUST - FIVE YEARS AT A GLANCE Financial highlights:

** The below financial hightlights are taken for the years ended 31st March.

Revenue from operations &

Other income

19,590 17,130

lak

hs)

15,305

12,022

(Rs.

in

10,419

Total expenditure

16,263 14,951

(R

s. i

n l

ak

hs) 12,329

10,197

17,284

2012 2013 2014 2015 2016

CAGR : 13.46%

2012 2013 2014 2015 2016

CAGR : 11.13%

(Rs.

in

la

kh

s)

Donations

325

149

87 91 49

2012 2013 2014 2015 2016

CAGR : -22.50%

Concessions

3,022 3,155

2,509

lak

hs)

1,629 1,665

(Rs.

in

2012 2013 2014 2015 2016

CAGR : 14.13%

P a g e | 91

SMT. NANDAMURI BASAVA TARAKA RAMA RAO FY 2015-16 MEMORIAL CANCER FOUNDATION AND RESEARCH CENTRE Operational highlights: ** The below operational hightlights are taken for the years ended 22nd June except for 2016 which gives operational highlights for the year ended 31st March 2016

OP

38,511 40,482 33,586

30,528 27,150

2012 2013 2014 2015 2016

CAGR : 8.32%

Surgeries

6,190

5,417 5,574

(Nu

mb

ers)

4,117 4,343

2012 2013 2014 2015 2016

CAGR : 8.50%

Chemos

34,628

33,785

(Nu

mb

ers)

33,457

32,523

32,229

2012 2013 2014 2015 2016

IP

40,729 41,751

37,283

32,229 29,333

(Nu

mb

ers)

2012 2013 2014 2015 2016

CAGR : 7.32%

RT

5,097

4,943

(Nu

mb

ers)

4,834

4,620 4,590

2012 2013 2014 2015 2016

CAGR : 1.98%

Labs

2,27,704 2,29,939

2,13,156 1,87,610 1,85,648

(Nu

mb

ers)

2012 2013 2014 2015 2016

CAGR : 1.26% CAGR : 4.15%

P a g e | 92



Radiology

52,931 55,168

49,480

(Nu

mb

ers)

36,830 36,385

2012 2013 2014 2015 2016

CAGR : 8.42%

Endoscopy

5,654 5,951

5,551

5,229

3,078 2012 2013 2014 2015 2016

CAGR : 14.09%

Blood bank

19, 705 18, 723

(Nu

mb

ers)

16,326 16,931 17,597

2012 2013 2014 2015 2016

CAGR : -2.24%

OPERATIONS OF THE TRUST 22 CME programmes conducted by our doctors Dr. T.S. Rao, Dr. K.V.V.N. Raju, Dr. Senthil

Rajappa, Dr. Krishna Mohan, Dr. L.M. Chandra Sekhar, Dr. A.K. Raju, Dr. Satish Pawar and other doctors also attended for CMEs at Khammam, Godavarikhhani, Chandrapur, Nirmal, Nalgonda, Adilabad, Hyderabad in Telangana and Guntur, Vijaywada, Nandyal, Kakinada in Andhra Pradesh and Orissa, Chattisgarh. Around 1500 doctors attended for the above CME programmes.

Nine batches of nursing school students have successfully completed their course and

graduated from the Institute with excellent academic track record.

10th batch of nursing college students has being admitted in this academic year. 6 batches have

completed during the year in addition to existing DNB course in radiotherapy, DNB courses in surgical oncology, medical oncology and pathology were approved and students were allotted and have joined.

19,705 18,723

P a g e | 93

Under the sponsorship of Smile Train Inc., New York for cleft lip and palate surgeries to patients

from Telanaga, Andhra Pradesh and neighbouring regions. For the period from April 2015 to March 2016, 441 patients have been treated under BSTC. Total cost was sponsored by Smile Train Inc.

13 blood donation camps were conducted in collaboration with Lions Club, Rotary Club and

local organizations and around 1251 units of blood was collected.

40 cancer awareness and screening camps were conducted in this Financial Year in various

districts of Andhra Pradesh and Telangana where more than 18,399 individuals were screened. The camps were organized in association with Agrogya Sree, Novartis Pharma, TANA, Arogya Bhadartha, SSGST, Agarwal Samaj, Lions Club, Indian Airforce Stations, BRMT, Dr.KSMCT, NCP Ltd,Agarwal Samaj,White Coats, and Yellow Pamelo

Efforts are on for raising funds for Cancer Awareness and Screening Programmes. The

dormitory which was donated by Kala Jyothi Press and is almost completed. It will be inauguarated by this financial year.

P a g e | 94



ANALYSIS OF THE FINANCIAL STATEMENTS Statement of Income & Expenditure The following table represents a summary of operations of the Trust for the years ended 31st March, 2016 and 31st March, 2015: (Rs. In lakhs) FY 2016

% of total FY 2015 % of total

income income

INCOME

Revenue from Operations 19,384.60 98.95% 17,089.00 99.76%

Other Income 205.69 1.05% 41.26 0.24%

Total income 19,590.29 100.00% 17,130.26 100.00%

EXPENDITURE

Operative expenses 11,945.72 60.98% 9,576.76 64.05%

Employee Benefit Expenses 2,100.39 10.72% 1,704.86 11.40%

Finance Costs 526.23 2.69% 773.98 5.18%

Depreciation and Amortisation 1,060.61 5.41% 1,525.35 10.20%

Administrative and other expenses 1,651.52 8.43% 1,370.37 9.17%

Total expenditure 17,284.45 88.23% 14,951.32 100.00%

Excess of income over expenditure/ (expenditure over income)

transferred to Statement of Affairs 2,305.84 11.77% 2,178.93 11.12%

Income The total income of the Trust jumped by 14.36% from Rs. 17,130 lakhs in FY 2015 to Rs. 19,590.29 lakhs in FY 2016 with revenues from hospital collections increasing by 14.24%, revenues from pharmacy collection decreasing by 2.77%, revenues from academics increasing by 6.31% and 398.58% increase in other income. The following table shows the key drivers of our total income for the years ended 31st March 2015 and 31st March 2016: (Rs. In lakhs)

FY 2016 % of total FY 2015 % of total % increase/

income income (decrease)

Hospital collections 18,495.67 94.41% 16,190.68 94.52% 14.24%

Pharmacy collections 707.48 3.61% 727.65 4.25% -2.77%

Academics collections 181.45 0.93% 170.67 1.00% 6.31%

Other income 205.69 1.05% 41.26 0.24% 398.58%

19,590.29 100.00% 17,130.26 100.00% 14.36%

The details of segment wise hospital collections is as follows for the years ended 31st March 2016 and 31st March 2015: FY 2016

% of total FY 2015 % of total % increase/


Athidi, Vididhi, Dormitory 92.44 0.47% 86.84 0.51% 6.45%

IP 11,905.80 60.77% 10,122.98 59.09% 17.61%

OP 5,603.35 28.60% 5,175.64 30.21% 8.26%

Bloodbank 323.28 1.65% 204.37 1.19% 58.19%

FDG 241.45 1.23% 258.20 1.51% -6.49%

Addlife 215.83 1.10% 190.54 1.11% 13.27%

Others 113.52 0.58% 152.11 0.89% -25.37%

18,495.67 94.41% 16,190.68 94.52% 14.24%

Expenditure (a) Operative expenses Increased operations necessitated an increase in operating expenses of the Trust. They grew by 9.58 in FY 2016 as compared to FY 2015. The increase in operative expenses was in line with the growth in total income of the Trust.

P a g e | 95


MEMORIAL CANCER FOUNDATION AND RESEARCH CENTRE The following table gives an overview of the operative expenses of the Trust for the years ended 31st March 2015 and 31st March 2016:

(Rs. In lakhs)

FY 2016 % of total FY 2015

% of total % increase/


Materials consumed 5,155.96 26.32% 4,608.57 26.90% 11.88%

Concessions 3,154.72 16.10% 3,021.96 17.64% 4.39%

Power charges 464.44 2.37% 466.96 2.73% -0.54%

Water charges 276.44 1.41% 251.64 1.47% 9.86%

Hospital maintenance 786.08 4.01% 693.17 4.05% 13.40%

Consultancy and professinal charges 2,030.64 10.37% 1,778.60 10.38% 14.17%

Cancer screening programme & CME 42.07 0.21% 44.70 0.26% -5.88%

Investigations & Diagnosis 35.37 0.18% 36.20 0.21% -2.28%

11,945.72 60.98% 10,901.80 63.64% 9.58%

(b) Employee benefit expenses Employee benefit expenses have increased by 10.87% from Rs. 1,894 lakhs in FY 2015 to Rs. 2,100 lakhs in FY 2016 due to increased operations resulting in increase in the number of employees to manage the same and also due to annual salary increase.

(Rs. In lakhs)

FY 2016 % of total FY 2015

% of total % increase/


Employee benefit expense 2,100.39 10.72% 1,894.42 11.06% 10.87%

2,100.39 10.72% 1,894.42 11.06% 10.87%

Average number of employees during the year 846 807 4.90%

Average employee benefit expense per employee 2.48 2.35 5.70%

(c) Finance costs The finance costs were lower at Rs. 526 lakhs in FY 2016 as against Rs. 667 lakhs in FY 2015 resulting in decrease by 36.60%. This is due to repayment of borrowings which was partly offset by new borrowing from Andhra Bank (i.e. Term Loan VIII)

(d) Depreciation and Amortisation The depreciation and amortisation was lower at Rs. 1,061 lakhs in FY 2016 as against Rs. 1,320 lakhs in FY 2015 resulting in decrease by 35.20%.

P a g e | 96

(e) Administrative & other expenses The following table gives an overview of the operative expenses of the Trust for the years ended 31st March 2015 and 31st March 2016: (Rs. In lakhs)

FY 2016 % of total FY 2015 % of total % increase/


Communication charges 25.33 0.13% 21.37 0.12% 18.54%

Rates & taxes 100.99 0.52% 129.73 0.76% -22.15%

Repairs & Maintenance 949.32 4.85% 846.44 4.94% 12.15%

Travelling and conveyance 118.40 0.60% 82.75 0.48% 43.09%

Advertisement 65.79 0.34% 88.90 0.52% -26.00%

Payment to auditors 3.02 0.02% 2.90 0.02% 3.98%

Books and periodicals 10.48 0.05% 14.99 0.09% -30.09%

Insurance 31.63 0.16% 18.38 0.11% 72.09%

Land lease charges 0.74 0.00% 0.74 0.00% 0.00%

Printing & stationery 79.43 0.41% 50.34 0.29% 57.80%

Security charges 103.87 0.53% 102.56 0.60% 1.28%

Foreign exchange loss 30.16 0.15% 24.07 0.14% 25.30%

Receivables written off 4.80 0.02% - 0.00% 100.00%

Advances written off 3.26 0.02% 39.53 0.23% 100.00% Contributions to Indo American Cancer Research 82.13 0.42% - 0.00% 100.00%

Foundation

Miscellaneous expenses 42.16 0.22% 46.78 0.27% -9.87%

1,651.52 8.43% 1,469.48 8.58% 12.39%

P a g e | 97

SMT. NANDAMURI BASAVA TARAKA RAMA RAO

FY 2015-16


Statement of affairs

The following table details out the statement of affairs of the Trust as on 31st March, 2016 and 31st March, 2015:

(Rs. In lakhs)

FY 2016 FY 2015

% increase/

(decrease)

SOURCES OF FUNDS

FUNDS

Corpus fund 3,803.21 3,712.39 2.45% Excess of income over expenditure/ (expenditure over income) (749.08) (3,054.92) -75.48%

Government Grants 158.05 158.05 0.00%

3,212.17 815.51 293.88%

NON-CURRENT LIABILITIES

Long-term borrowings 1,914.19 2,893.40 -33.84%

Long-term provisions 133.16 107.50 23.87%

2,047.35 3,000.90 -31.78%

CURRENT LIABILITIES

Short-term borrowings 1,411.94 1,460.75 -3.34%

Payables (Suppliers) 1,402.60 1,902.91 -26.29%

Other current liabilities 1,538.16 1,494.52 2.92%

Short-term provisions 7.62 13.15 -42.05%

4,360.32 4,871.33 -10.49%

9,619.84 8,687.75 10.73%

APPLICATION OF FUNDS

NON-CURRENT ASSETS

Fixed assets

Tangible assets 5,061.43 5,730.17 -11.67%

Intangible assets 10.69 - 100.00%

Capital work in progress 6.61 6.49 1.85%

Intangible assets under development 47.24 50.92 -7.22%

5,125.98 5,787.58 -11.43%

CURRENT ASSETS

Receivables 2,901.13 1,676.75 73.02%

Inventories 336.72 296.46 13.58%

Cash and cash equivalents 745.01 471.85 57.89%

Short-term loans and advances 71.33 95.93 -25.65%

Other current assets 439.68 359.17 22.41%

4,493.87 2,900.17 54.95%

9,619.84 8,687.75 10.73%

Sources of funds (a) Funds The Trust fund consists of Corpus Fund and grants received from Central Government. During the FY 2016, the Trust has received donations to Corpus Fund amounting to Rs. 91 lakhs as against Rs. 49 lakhs in FY 2015. Out of Rs. 91 lakhs received in the current year, Rs. 52.56 lakhs was received in US Dollars from IACO for purchase of medical capital equipments.

P a g e | 98

(b) Long-term borrowings Our long-term debt stood at Rs. 3009 lakhs (including current maturities Rs. 1095 lakhs) as on 31st March, 2016 against Rs. 3,989 lakhs (including current maturities Rs. 1095 lakhs) as on 31st March, 2015. The loan-wise position of the long-term debt is as follows: (Rs. In lakhs)

Rate of interest Total debt Principal Interest Current

outstanding outstanding outstanding maturities

Term loan - 3 from Andhra Bank 11.00% 69.00 69.00 - 51.75





Term loan - 8 from Andhra Bank 11.00% 453.40 453.40 - -

3,009.67 3,009.67 - 1,095.48

During the FY 2016, the Trust has obtained term loan-8 instalment from Andhra Bank for purchase of medical equipment.

(c) Provisions The long-term and short-term provisions consist of provision for gratuity. The total provision for gratuity stood at Rs. 141 lakhs as on 31st March, 2016 against Rs. 120 lakhs as on 31st March, 2015. This provision is net off the grautity fund maintained with HDFC Standard Life Insurance Company Limited. The balance of the grautity fund stood at Rs. 33 lakhs as on 31st March, 2016.

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(d) Payables (Suppliers) The trade payables stood at Rs. 1402 lakhs as on 31st March, 2016 compared to Rs. 1902 lakhs as on 31st March, 2015. The table below gives on overview of the trade payables outstanding as on 31st March, 2016 and 31st March, 2015: (Rs. In lakhs) FY 2016 % FY 2015 %

% increase/

(decrease)

Creditors for pharmacy 661.47 47.16% 675.59 35.50% -2.09%

Creditors for equipments 248.45 17.71% 576.85 30.31% -56.93%

Creditors for others 492.68 35.13% 650.47 34.18% -24.26%

1,402.60 100.00% 1,902.91 100.00% -26.29%

(e) Other current liabilities

The table below gives on overview of the other current liabilities as on 31st March, 2016 and 31st March, 2015:

(Rs. In lakhs) FY 2016 % FY 2015 %

% increase/

(decrease)

Current maturities of long-term borrowings 1,095.48 71.22% 1,095.48 73.30% 0.00%

Statutory dues payable 48.15 3.13% 39.74 2.66% 21.18%

Caution deposits - 0.00% 0.17 0.01% -100.00%

Security deposits 114.56 7.45% 120.84 8.09% -5.20%

Liabilities for expenses 124.89 8.12% 99.31 6.64% 25.76%

Other payables 155.08 10.08% 138.99 9.30% 11.58%

1,538.16 100.00% 1,494.52 100.00% 2.92%

Current maturities of long-term borrowings consist of principal portion payable to banks within twelve months from the end of the financial years. Statutory dues payable local taxes and stautory liabilities under which we operate and the same will be paid in due course.

Liabilities for expenses include liabilities for accrued salaries & benefits payable to employees and amounts accrued for other operative expenses. Other payables include refundable deposits, retention monies withheld on contractor payments pending final acceptance of their work, donations received for patients and scholarship amounts received for students of nursing school and nursing college.

Application of funds: (a) Fixed assets Tangible assets: During the FY 2016, we have capitalized Rs. 403 lakhs to the gross block as against Rs. 1,344 lakhs during the FY 2015 (b) Receivables (Patients) The receivables amounted to Rs. 2,901 lakhs as on 31st March, 2016 as compared to Rs. 1,677 lakhs as on 31st March, 2015. These receivables are considered good and realizable. The table below gives on overview of the receivables as on 31st March, 2016 and 31st March, 2015: (Rs. In lakhs) FY 2016 % FY 2015 %

% increase/

(decrease)

Corporate debtors 260.50 8.98% 214.31 12.78% 21.55%

Insurance debtors 163.75 5.64% 89.54 5.34% 82.88%

Agroyasree and EHS 1,194.01 41.16% 476.55 28.42% 150.55%

Central Government debtors 277.75 9.57% 187.65 11.19% 48.02%

State Government debtors 374.10 12.90% 194.58 11.60% 92.26%

Other receivables 631.02 21.75% 514.13 30.66% 22.73%

2,901.13 100.00% 1,676.75 100.00% 73.02%

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(c) Inventories The inventories stood at Rs. 337 lakhs as on 31st March, 2016 as compared to Rs. 296 lakhs as on 31st March, 2015. The table below gives details of the inventories as on 31st March, 2016 and 31st March, 2015:

(Rs. In lakhs)

FY 2016 % FY 2015 % % increase/

(decrease)

Stock of pharmacy 225.77 67.05% 200.72 67.70% 12.48%

Stores and consumables 109.03 32.38% 92.40 31.17% 18.00%

Addlife pharmacy stock 1.91 0.57% 3.34 1.13% -42.69%

336.72 100.00% 296.46 100.00% 13.58%

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(d) Cash and cash equivalents The cash and cash equivalents of the Trust consist of cash on hand, balances with banks in current accounts and in fixed deposits.

(e) Short term loans and advances The short term loans and advances of the Trust stood at Rs. 71 lakhs as on 31st March, 2016 as compared to Rs. 96 lakhs as on 31st March, 2015. These loans and advances consist of advances to suppliers, capital advances and other advances.

(f) Other current assets The other current assets of the Trust stood at Rs. 440 lakhs as on 31st March, 2016 as compared to Rs. 359 lakhs as on 31st March, 2015. They consist of deposits, prepaid expenses, TDS receivable and other assets such as interest receivable and rent receivable.

CONCLUSION Managing Trustee on behalf of Board of Trustees acknowledges with thanks: Each Members of Trust Board for their valuable guidance and contribution in the regular

activities of trust, hospital and research division and deliberations of the Trust Board.

Valuable contribution of Indo American Cancer Organization – USA. Without their constant

active support to the institute, it would not have been possible to raise major donations for many capital purchases and to achieve the progress to the level of excellence which Institute has achieved.

All the Donors for giving their relentless support and the medical and non medical staff who are

putting their whole hearted efforts to make our institute one of the top Cancer Care Institutes in India.

The contribution of Rotarians, both in India and abroad for mobilizing funds for the institute.

Various departments of State Government - especially Transco, Water works, GHMC for their

kind co-operation and the Government of India for their benovalent attitude towards cancer institute.

The Andhra Bank for their timely financial assistance, especially for establishing the CR&DR,

and construction of Service Block and New Block-2 and extending the great support in giving the concessions in Interest Rates, L.C.Charges, Processing Fee and Upfront Fee and for Sanctioning New Term Loan for Setting up of New Operation Theaters. With the support of Andhra Bank Term Loan 8 was sanctioned within 2 months for purchase of Linear Accelerator with IMRT, Co2 laser & RFA System for Radiation Dept.

To the Income Tax Department for their great Support in granting to us the required

Exemptions like 80”G”, No Tax Deduction certificates, Approval U/s Sub Clause (via) of clause (23C) of Section 10 of the Income Tax Act, 1961 and Approval under Proviso (ii)(b) to Sec.17(2) of the I.T. Act, 1961.

For Smt. Nandamuri Basava Taraka Rama Rao Memorial Cancer Foundation (Managing Trustee)

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Statement of affairs as at 31st March 2016

(All amounts in Rupees unless otherwise stated)

Note

As at As at

March 31, 2016 March 31, 2015

SOURCES OF FUNDS

FUNDS

Corpus fund 2.1 38,03,20,570 37,12,38,517

Excess of income over expenditure/ (expenditure 2.2 (7,49,08,448) (30,54,92,085)

over income)

Government Grants 1,58,04,850 1,58,04,850

32,12,16,972 8,15,51,282

NON-CURRENT LIABILITIES

Long-term borrowings 2.3 19,14,19,233 28,93,40,163

Long-term provisions 2.4 1,33,16,000 1,07,50,000

20,47,35,233 30,00,90,163

CURRENT LIABILITIES

Short-term borrowings 2.5 14,11,93,682 14,60,75,380

Payables (Suppliers) 2.6 14,02,60,383 19,02,90,640

Other current liabilities 2.7 15,38,16,108 14,94,52,310

Short-term provisions 2.8 7,62,000 13,15,000

43,60,32,172 48,71,33,330

96,19,84,377 86,87,74,775

APPLICATION OF FUNDS

NON-CURRENT ASSETS

Fixed assets

Tangible assets 2.9 50,61,43,382 57,30,17,070

Intangible assets 2.9 10,68,821 -

Capital work in progress 6,61,225 6,49,225

Intangible assets under development 47,24,387 50,91,770

51,25,97,815 57,87,58,065

CURRENT ASSETS

Receivables (Patients) 2.10 29,01,12,951 16,76,75,050

Inventories 2.11 3,36,71,693 2,96,46,231

Cash and cash equivalents 2.12 7,45,01,398 4,71,84,803

Short-term loans and advances 2.13 71,32,594 95,93,167

Other current assets 2.14 4,39,67,926 3,59,17,460

44,93,86,562 29,00,16,711

96,19,84,377 86,87,74,775

Summary of significant accounting policies 1

The accompanying notes are an integral part of the financial statements

As per our report of even date

For Karvy & Co

For and on behalf of the Board of Trustees of

Chartered Accountants

Smt. Nandamuri Basava Taraka Rama Rao

Firm Registration No. 001757S

Memorial Cancer Foundation

K. AJAY KUMAR N.BALA KRISHNA J.S.R.PRASAD

PARTNER MANAGING TRUSTEE TRUSTEE

Membership No. 021989

Place: Hyderabad Place: Hyderabad Place: Hyderabad

Date: Date: Date:

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SMT. NANDAMURI BASAVA TARAKA RAMA RAO

FY 2015-16


Statement of Income & Expenditure for the year ended 31st March 2016


(Amount in Rs.)

Note

For the year ended For the year ended

March 31, 2016 March 31, 2015

INCOME

Revenue from Operations 2.15 1,93,84,59,898 1,70,89,00,035

Other Income 2.16 2,05,69,138 41,25,551

Total income 1,95,90,29,035 1,71,30,25,586

EXPENDITURE

Operative expenses 2.17 1,19,45,71,850 1,09,01,79,547

Employee Benefit Expenses 2.18 21,00,38,561 18,94,41,823

Finance Costs 2.19 5,26,22,744 6,76,94,823

Depreciation and Amortisation 2.9 10,60,60,570 13,20,36,431

Administrative and other expenses 2.20 16,51,51,674 14,69,47,787

Total expenditure 1,72,84,45,399 1,62,63,00,412

Excess of income over expenditure/ 23,05,83,637 8,67,25,174

(expenditure over income) transferred to

Statement of Affairs

Summary of significant accounting policies 1

The accompanying notes are an integral part of the financial statements


For Karvy & Co For and on behalf of the Board of Trustees of Chartered Accountants Smt. Nandamuri Basava Taraka Rama Rao Memorial Firm Registration No. 001757S Cancer Foundation




Place: Hyderabad Place: Hyderabad Place: Hyderabad

Date: Date: Date:

P a g e | 104

(All amounts in Indian Rupees unless otherwise stated)

For the For the For the For theyear ended year ended year ended year ended

March 31,

2016

March 31, 2015 March 31, 2016 March 31, 2015

Opening Balance Repayment of Term

Loans

13,85,63,604 12,62,00,705

Cash in hand 5,78,903 8,65,754 Payments for capital

assets

4,71,93,312 5,34,20,569

Balances with Payment to:

Current accounts 3,61,45,289 6,28,90,103 -Pharmacy suppliers 37,38,04,745 40,76,40,434

Working capital accounts (14,60,75,380) (13,09,42,178) -Other suppliers 31,09,60,465 22,94,42,142

Deposits 11,72,580 2,95,000

Corpus Fund 85,82,053 49,11,582 Fixed Deposits 1,00,000 14,50,000

Term Loan taken 2,44,62,391 2,06,84,810 Hospital Maintenance 3,43,55,600 3,20,94,192

Hospital collections 1,45,78,75,410 1,35,13,95,383 Statutory liabilities paid 3,18,33,889 3,27,20,185

Academics collections 1,15,75,370 1,15,04,292 House Keeping Charges 4,82,02,975 4,29,52,728

Scholarship received 11,60,544 22,48,632 Linen & Washing

Charges

24,07,454 26,33,394

Interest 76,438 56,161 Investigations &

Diagnosis

51,67,378 49,37,357

Grant - 8,48,951 Professional Charges 4,06,87,378 3,43,50,295

Others 2,08,15,070 1,02,98,804 Power Charges 4,74,90,494 4,71,93,245

TDS refund 1,48,73,458 86,20,750 Salaries & Wages 32,30,50,280 30,27,03,363

Staff Welfare 1,08,78,533 56,62,545

Lease Rent 73,873 73,873

Rates & Taxes 1,14,77,628 1,01,84,816

Communication Charges 14,92,380 14,62,789

Conveyance & Travelling 1,04,61,454 99,99,389

Repairs & Maintenance 58,92,091 1,77,27,628

Vehicle Maintenance 16,132 65,586

Security Charges 1,04,65,516 1,01,38,645

Insurance & Others 38,26,256 23,30,118

Advertisement 85,26,567 79,36,556

Cancer screening

programme

8,30,976 10,64,992

Other administrative expenses 26,84,540 17,03,548

Interest on Term Loans 2,35,19,173 5,01,13,992

Interest on Working

Capital

82,16,461 1,04,76,370

Bank charges 47,03,864 52,99,805

Concessions 2,07,008 4,59,971

Closing Balances

Cash in hand 11,30,357 5,78,903

Balances with

Current accounts 6,18,69,331 3,61,45,289

Working capital accounts (14,11,92,746) (14,60,75,380)

1,43,00,69,546 1,34,33,83,044 1,43,00,69,546 1,34,33,83,044

SMT. NANDAMURI BASAVA TARAKA RAMA RAO MEMORIAL CANCER

FOUNDATION AND RESEARCH CENTRE

Receipts and Payments account for the year ended 31st March 2016

Receipts Payments

FY 2015-16

P a g e | 105


For Karvy & Co For and on behalf of the Board of Trustees of

Chartered Accountants

Smt. Nandamuri Basava Taraka Rama Rao Memorial

Cancer Foundation Firm Registration No. 001757S




Place: Hyderabad Place: Hyderabad Place:Hyderabad

Date: Date: Date:

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1 Significant accounting policies

(a) Basis of Preparation of Financial Statements

The financial statements have been prepared under the historical Cost convention in accordance with the generally accepted accounting principles in India.

The Trust generally follows the mercantile system of accounting and recognizes significant items of Income and Expenditure on accrual basis.

(b) Fixed assets

Fixed assets are stated at cost and as reduced by accumulated depreciation. All costs including financing costs, up to the date of commissioning and attributable to the fixed assets are capitalized.

(c) Revenue recognition

Income from Hospital (I.P & O.P) collections is recognized when the final invoice is raised. Income from Nursing school & Nursing College is recognized when the final invoice is raised. Income from deposits recognized on accrual basis when right to receive is established.

(d) Inventories

The Inventories of all medicines, Medicare items traded and dealt with by the trust are valued at cost applying FIFO method.

Stock of provision, stores, stationery and housekeeping items are stated at cost applying FIFO method.

(e) Depreciation

Depreciation on fixed assets was charged as follows:

Description of the asset Rate of

Depreciation Method

Buildings 12.50% WDV

Air conditioners 15.00% WDV

Office equipments 15.00% WDV

Furniture & fixtures 10.00% WDV

Auxiliary equipments 15.00% WDV

Hospital & Surgical equipment 50.00% Written off over a period

of two year

Computer 60.00% WDV

Intangible Assets 25.00% WDV

(f) Retirement benefit to employees

The Trust has Defined Benefit Plan for Gratuity Fund. The Trust contributes to Gratuity

Fund administered by HDFC Standard Life Insurance Company Limited. The liability for the Gratuity Fund is determined on the basis of an independent actuarial valuation done at the year end. Actuarial Gains and Losses comprise experience adjustments and the

effect of changes in the actuarial assumptions and are recognised immediately in the Income & Expenditure Account as income or expense.

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SMT. NANDAMURI BASAVA TARAKA RAMA RAO FY 2015-16 MEMORIAL CANCER FOUNDATION AND RESEARCH CENTRE

1 Significant accounting policies

(g) Foreign currency transaction/ Exchange fluctuation

Transactions denominated in foreign currency are normally recorded at exchange rate prevailing at the time of the transaction.

Any income or expense on account of exchange difference will be recognized in the Income & Expenditure Account.

(h) Borrowing costs

Borrowing cost includes interest and amortization of ancillary costs incurred in connection with the arrangement of borrowings.

Borrowing Costs that are directly attributable to the acquisition of a fixed asset are capitalised as part of the cost of the asset till the date the asset is ready for use. All other borrowing costs are charged to Income & Expenditure Account.

P a g e | 108



Notes forming integral part of the financial statements


2.1 Corpus fund

As at As at March 31, 2016 March 31, 2015

At the Commencement of the year 37,12,38,517 36,63,26,935 Add: Donations to Corpus Fund 90,82,053 49,11,582

38,03,20,570 37,12,38,517

2.2 Excess of Income over expenditure/ (expenditure over income) As at As at March 31, 2016 March 31, 2015 Excess of Income over expenditure/ (expenditure over (30,54,92,085) (39,22,17,259) income) brought forward

Excess of Income over expenditure transferred from 23,05,83,637 8,67,25,174 Statement of Income and Expenditure

At the end of the year (7,49,08,448) (30,54,92,085)

2.3 Long-term borrowings

As at As at March 31, 2016 March 31, 2015 Secured

Term Loans from Bank

Andhra Bank 19,14,19,233 28,93,40,163 (Secured by Mortgage of Land and Hypothecation of Equipments)

19,14,19,233 28,93,40,163

2.4 Long term provisions

As at As at March 31, 2016 March 31, 2015 Provision for Gratuity - Non Current 1,33,16,000 1,07,50,000

1,33,16,000 1,07,50,000

2.5 Short-term borrowings

As at As at March 31, 2016 March 31, 2015 Working Capital Loan from Andhra Bank 14,11,93,682 14,60,75,380 (Secured by hypothecation of Book Debts &Stocks)

14,11,93,682 14,60,75,380

2.6 Payables (Suppliers)

As at As at March 31, 2016 March 31, 2015 Payables (Suppliers) 14,02,60,383 19,02,90,640

14,02,60,383 19,02,90,640

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2.7 Other current liabilities

As at As at March 31, 2016 March 31, 2015 Current maturities of long-term borrowings 10,95,47,544 10,95,47,544 Statutory dues payable 48,15,227 39,73,718 Caution deposits - 17,000

Security deposits 1,14,55,800 1,20,83,800 Liabilities for expenses 1,24,89,222 99,30,882 Other payables 1,55,08,315 1,38,99,366

15,38,16,108 14,94,52,310

2.8 Short-term provisions

As at As at March 31, 2016 March 31, 2015 Provision for Gratuity - Current 7,62,000 13,15,000

7,62,000 13,15,000

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SMT. NANDAMURI BASAVA TARAKA RAMA RAO FY 2015-16 MEMORIAL CANCER FOUNDATION AND RESEARCH CENTRE



2.10 Receivables (Patients)

As at As at March 31, 2016 March 31, 2015 (Unsecured, considered good)

Debts outstanding for more than six months 3,87,77,907 1,80,75,388 Others 25,13,35,044 14,95,99,662

29,01,12,951 16,76,75,050

2.11 Inventories

As at As at March 31, 2016 March 31, 2015 Stock of pharmacy 2,25,77,098 2,00,71,927 Stores and consumables 1,09,03,258 92,40,427 Addlife pharmacy stock 1,91,337 3,33,877

3,36,71,693 2,96,46,231

2.12 Cash and Cash Equivalents

As at As at March 31, 2016 March 31, 2015 Cash on Hand 11,30,357 5,78,903 Balances with Banks - Current Accounts 6,18,69,331 3,61,45,289 Balances with Banks - Fixed Deposits 1,15,01,711 1,04,60,611

7,45,01,398 4,71,84,803

2.13 Short-term loans and advances


Advances to suppliers 61,54,541 86,44,377 Other advances 9,78,053 9,48,790

71,32,594 95,93,167

2.14 Other current assets


Deposits 86,74,522 77,40,223 Prepaid expenses 30,91,820 16,71,020 TDS receivable 3,16,55,960 2,59,10,612 Other current assets 5,45,624 5,95,605

4,39,67,926 3,59,17,460

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Notes forming integral part of the financial statements (All amounts in Rupees unless otherwise stated)

2.15 Revenue from Operations For the year ended For the year ended March 31, 2016 March 31, 2015

Hospital collections 1,84,95,66,847 1,61,90,67,945 Pharmacy collections 7,07,48,325 7,27,65,068 Academics collections 1,81,44,726 1,70,67,022 1,93,84,59,898 1,70,89,00,035

2.16 Other Income For the year ended For the year ended March 31, 2016 March 31, 2015 Other Income 51,73,258 41,25,551 Credit balances written back 37,81,566 - GOS-2013 80,55,030 - Grant 35,59,284 - 2,05,69,138 41,25,551

2.17 Operative expenses For the year ended For the year ended March 31, 2016 March 31, 2015 Materials consumed 51,55,95,575 46,08,57,217 Concessions 31,54,72,130 30,21,96,118 Power charges 4,64,43,556 4,66,95,855 Water charges 2,76,44,371 2,51,64,040 Hospital maintenance 7,86,07,827 6,93,17,042 Consultancy and professinal charges 20,30,64,022 17,78,59,636 Cancer screening programme & CME 42,07,280 44,70,050

Investigations & Diagnosis 35,37,090 36,19,590 1,19,45,71,850 1,09,01,79,547

2.18 Employee Benefit Expenses For the year ended For the year ended March 31, 2016 March 31, 2015 Salaries and wages 18,78,30,800 17,34,23,207 Contribution To Provident And Other Funds 1,31,74,047 90,24,182 Staff Welfare Expenses 90,33,714 69,94,434 21,00,38,561 18,94,41,823

2.19 Finance Costs For the year ended For the year ended March 31, 2016 March 31, 2015 Interest on term loans 3,96,99,456 5,18,87,920 Interest on working capital 82,16,461 1,04,98,043 Bank charges 47,06,827 53,08,860 5,26,22,744 6,76,94,823

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2.20 Administrative & other expenses For the year ended For the year ended March 31, 2016 March 31, 2015 Communication charges 25,33,390 21,37,074 Rates & taxes 1,00,98,906 1,29,72,763 Repairs & Maintenance

- Hospital equipment 2,51,149 9,16,475 - Buildings 2,06,07,310 2,00,12,568 - CAMC and others 7,40,73,343 6,37,15,017 Travelling and conveyance 1,18,40,466 82,74,812 Advertisement 65,79,010 88,90,331 Payment to auditors

- As auditors 2,59,104 2,28,000 - Reimbursement of out of pocket expenses 42,548 34,017 - Others - 28,090 Books and periodicals 10,47,674 14,98,709 Insurance 31,63,322 18,38,222 Land lease charges 73,873 73,873 Printing & stationery 79,43,049 50,33,588 Security charges 1,03,87,329 1,02,56,369 Foreign exchange loss 30,15,959 24,07,080 Receivables written off 4,80,494 - Advances written off 3,25,500 39,53,121 Contributions to Indo American Cancer Research 82,13,488 - Foundation

Miscellaneous expenses 42,15,759 46,77,678 16,51,51,674 14,69,47,787

2.21 Contingent liabilities not provided for: Nil (Previous year: Nil)

2.22 Capital commitments not provided for on account of capital works [net of advances] Rs. 9,634,860/-

(Previous year: Nil)

2.23 Previous year figures have been regrouped and reclassified wherever considered necessary to conform to this year's classifications.


For Karvy & Co For and on behalf of the Board of Trustees of Chartered Accountants Smt. Nandamuri Basava Taraka Rama Rao Firm Registration No. 001757S Memorial Cancer Foundation K. AJAY KUMAR N.BALA KRISHNA J.S.R.PRASAD PARTNER MANAGING TRUSTEE TRUSTEE Membership No. 021989

Place: Hyderabad Place: Hyderabad Place: Hyderabad Date: Date: Date:

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