Dr B L Chaudhary Vivek Agarwal DANICS Dr Sumit Arora Dr Kamal Baghotia Dr Parmod Mittal Dr Shaam Bodeliwala Training Programme for Officers of Govt of NCT of
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1. ONCOLOGY SERVICES IN DELHI GOVT. Dr B L ChaudharyVivek Agarwal (DANICS)Dr Sumit AroraDr Kamal BaghotiaDr Parmod MittalDr Shaam BodeliwalaTraining Programme for Officers of Govt. of NCT of Delhi (Group 1), IIMA
2. AGENDANEED AND REQUIREMENT OF CANCER TREATMENT/ OVERVIEWINFRASTRUCTURE AVAILABILITY CONSTRAINT AND PROBLEMSPOSSIBLE SOLUTIONS DISCUSSION
3. NEED/REQUIREMENT & OVERVIEW
4. Increasing Cancer BurdenHigh Mortality RatesEarly Detection: higher chance of survivalHigh Treatment CostEconomic Impact Quality of Life: physically and emotionally taxing Research and Innovation“Delhi being the catchment area for surrounding states bears the additional responsibility”NEEDS & REQUIREMENT
5. PARTICULARSWORLDINDIANew Cancer Patients in 2020193 lakhs14 lakhsCancer deaths in 2020100 lakhs8.50 lakhsDeath rate51.82 %60.71 %Prevalent cases > 5 years505 lakhs27 lakhsPROJECTIONSWORLDINDIANew Cancer Patients in 2040302 lakhs21 lakhsCancer deaths in 2040163 lakhs13.8 lakhsDeath rate53.97 %66.02 %Krishan et al. Indian J Med Res. 2022;156(4-5):598-607.2040
6. Hospitals nameMachines (Linac+ Gamma camera with PET-CT and Cyclotron+ Brachytherapy+ CT+ Mammography)Specialized doctors (sanctioned strength)Bed strengthDaily OPD attendanceDSCI East (functional since 2007)3+1+1+1+16 (combined strength of east and west wings 106)236Around 200DSCI West (JPSSH) (nonfunctional since inception 10 years ago)10 (combined strength of east and west wings 106)500IGH (functional since 2021)0 (State of the art 5 Bunkers are available for radiation purpose)0 (12 for oncology services)60 (for oncology services)0CANCER CARE INFRASTRUCTURE-DELHI
7. CONSTRAINTS AND PROBLEMS
8. Shortage of Skilled Personnel-Super specialist doctors (Medical /Surgical Oncologist and Radiation/Nuclear Medicine), Physicist, TechniciansDiagnostic Challenges-Lab & Technical resourcesData Management: patient records and treatment plans (PACS).Medicine and Equipment Procurement8CONSTRAINTS AND PROBLEMS
9. PROPOSAL/POSSIBLE SOLUTIONS
10. PPP modelAlready operational successfully in Diagnostics and Dialysis services in IGH, Dwarka10Proposal #1TENURE 10 YEARS + ANOTHER RENEWABLE TERMPRICING – CGHS RATESGOVERNMENT TO FACILITATE STATUTORY LEGAL REQUIREMENTS AND ANY FURTHER APPROVALS REQ
11. ProsConsNeedy patients coming to the hospital will be benefitted. Possible anticipated operational difficulties owing to low financial benefits. The available Infrastructure will be put to useLack of right risk allocation between the partiesReadily available pool of the experts available with the private parties can be utilizedDifficult interdepartmental coordination between government and private sectorsNo precedence available to predict its successPros and Cons of Proposal #1
12. 12Proposal #2New recruitments on Regular/Ad-hoc basis.Conduct of interviews on a fixed date of every month.Outsourcing of Technical Staff.Deputation of an Administrator to oversee till the organization reaches its operational efficiency.DNB/DrNB course proposalInternship for FMGsDigitalization of Patient Management services
13. ProsConsCapability building in Government set upMay have the long incubation period before optimum utilization of resources can begin It is a long term solution as manpower and infrastructure is building upProbability of Ad-hoc recruitment on consolidated pay of 95K is not attractiveAttached teaching program will increase no. of specialist in futureGovernment bears full risk and responsibility of the projectPros and Cons of Proposal #2
14. THANK YOU
15. A report from International Atomic Energy Agency (IAEA) states that approximately 50%-60% of the new patients should receive radiation therapy, alone or as an alternative or adjuvant treatment to surgery
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18. Expert doctors like Psychiatrists, Dermatologists, Dentists, Nutritionists, Physiotherapists etc. shall be available for providing support services to patientsSUPPORT SERVICES
19. SUPPORT SERVICES
20. CANCER INFORMATION AND RESOURCES
21. VIDEO CONSULTATION AND TELE MEDICINE FOR SUPPORT SERVICESPAPER LESS REPORTING AND ADMINISTRATIONPATIENT AND DOCTORS APP TO MANAGE DAILY OPERATIONS CANCER CARE ON FINGER TIPS
22. We shall provide tele-medicine services including Tele Radiology / Tele Pathology services and Cancer Treatment Planning. It would enable us to provide healthcare services remotely even when doctors are not physically available.We shall develop this model across the network of all such similar centres that we set up.CENTRALIZED HUB FOR REPORTING
23. KEY EQUIPMENT AT A GLANCE
24. BREASTLIP, ORAL CAVITYCERVIX UTERUSLUNGOVARYPROSTATEESOPHAGUSSTOMACHLEUKEMIALIVERBRAIN, CNSGALL BLADDERKIDNEYTHYROIDPANCREASMELANOMA OF SKINTESTISMULTIPLE MYELOMACOLONRECTUM
25. SAMPLE DASHBOARDSAGE WISE DATAGENDERWISE DATADISEASE WISE DATATEST REPORT WISE DATAHISTORY WISE DATADEATH RATE WISE DATAADMISSION / DISCHARGE DATACUSTOMISABLE FILTERS TO SORT DATAAUTHORISED ACCESSCOMPLETELY SECURED NETWORKMULTI-LAYERED APPROVAL SYSTEMREALTIME DASHBOARDS