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Convention News

Executive Summary
Evaluation and Assessment
Report on Regional Convention

Executive Summary

The National Convention for Achieving Excellence in Healthcare in India held at India Habitat Centre, New Delhi on July 2, 2005, supported by WHO India country Office in collaboration with Ministry of Health, Government of India was organised by Indian Confederation for Healthcare Accreditation:

The large number and variety of stakeholders with participation from all nooks and corners of the country and active participation and deliberations signaled the success of the convention.

The Inaugural Session set the tone with successive speakers including Dr. Salim J. Habayeb, WHO representative in India, Dr. Montek Singh Ahluwalia, Deputy Chairman, Planning Commission and Mr. Prasanna Hota, Secretary Health, Ministry of Health, reaffirming their solidarity with the ICHA initiative and offering committed support. The celebrations were equally heartening with the honouring of contributors to the ICHA initiative by the Chief Guest. (Download short video's of the three key speakers here)

The Technical Session was clearly able to establish accreditation as a most successful tool. The ICHA model of voluntary, all-inclusive stakeholders representation, educative participative model of continuous quality improvement was deemed to be the best way forward. The role of the Government as facilitator and its funding support was also highlighted. The differentiation between licensure and regulation as well as limitations of ISO like certification system in healthcare was also highlighted (Ms. Barbara Donaldson, ISQua). The sharing of experiences from UK (Dr. Rajan Madhok) and USA (Dr. Jim Walton) demonstrated the feasibility and accrued benefits of such an approach to all stakeholders.

The in-depth presentation of the ICHA model by Dr. Akhil K. Sangal as a credible, participative model of all stakeholders; contributing to convergence of views and efforts to achieve the common purpose goal of patient centered healthcare, helped appreciate the nuances better, clarify concerns and roles of stakeholders. It also presented a definitive action plan to move forward. The ICHA model is a collaborative process of mutual appreciation, learning and sharing of knowledge, in line with the successful systems worldwide that are voluntary, open and non-threatening. These have been built on trust, are transparent and have evolved through communication.

The Participant Session presented the views and perspectives of diverse stakeholders in terms of their concerns, roles and contributions to the initiative. Categorical support and commitment was evident while also enunciating concerns on need for greater resources – both financial and trained manpower.

The Panel Discussion with extensive participation of all was able to evolve a unanimous resolution of:

The following major recommendations and steps forward were evolved:

What I Can Do
How I can Participate

The ICHA is calling for volunteers to register as experts for training and for trainers to act as ambassadors to conduct workshops for awareness, to author guidelines and team leaders and members for content building. Contact us!


Convention
Evaluation and Assessment

Nearly 500 participants representing the diverse stakeholders national associations and institutions affiliates and delegates gathered at the India Habitat center to discuss the ICHA proposal for change in Indian Healthcare. Individuals invited from various groups of providers, hospitals, patients, press and media constituted the diverse group intended to be represented in ICHA, is indicative of the wide coverage and active interest in changing the healthcare system in India.

The participants were also from all over India including remote areas such as Imphal and Kashmir as well as Nepal in addition to the international faculty.

The keen interest of the participants from all groups was evident in the active discussion and large numbers of presentations in the participant session. Media and press also evinced keen interest as judged by the extensive coverage of the event in several newspapers and TV channels all over India.

The number of enrollments on the Associations category very nearly doubled and there was a great increase in the numbers of Affiliates also.

The value attached to the event was obvious from the following:

  1. The forthright support of the WHO representative in India and collaboration of the Ministry of Health of the Government of India.
  2. Acceptance by the Chief Guest, Honorable Shri Montek Singh Ahluwalia, Deputy Chairman, Planning Commission at short notice of only a few days.
  3. The impromptu participation and categorical remarks of the Honorable Health Secretary, Shri Prasana Hota expressing his solidarity with the ICHA initiative and promise of full Government support to the ICHA.
  4. The keen interest in large numbers of the participants throughout the sessions and active interaction thereafter.
  5. Extended presentations - 15 in total - were made during the participant session.
  6. Extended Interactions during the panel discussion and Q and A sessions made it seem that the duration of the convention needed further extension even necessitating a vote of thanks to be taken as read and thus forming a part of the record.
  7. The unanimous approval and expression of support by the participants of the ICHA model and the necessary contributions necessary to take this initiative to its fruition.
  8. The large number of congratulatory communications received from participants from all over the country further reinforced the success as also the suggestion of a wide distribution of the report.
  9. Mr Joe Mathew, in the editorial of Pharmabiz has written about the Governments of India's decision to support the ICHA.
  10. Dr. D. K. Das, Director General of India Railway Health Services discussed the convention in their Chief Medical directors Conference at Kolkata.
  11. Mr. Praful D. Seth discussed the Convention in the IPA Governing Council and they are publishing an editorial as well as an article in the ICHA in their August issue of "Pharma Times".

Thus, it can be confidently concluded that the National Convention was a grand success and fully achieved its objective. This shall become further reinforced in the coming months from more such reports as quoted above.

However, a few lessons were also learnt: e.g., the need for funds and resources to carry forward the objectives, the need to conduct a more concerted awareness campaign all over the country to achieve cost effectiveness as well as enabling larger numbers of people to participate. Fund raising could have been better and perhaps will improve with the greater awareness and involvement of other stakeholders. We are sure that in future deliberations, we would be able to improve upon the arrangements, etc.

Download Convention Report here (2.0 Mb, pdf).


REPORT ON REGIONAL CONVENTION

The South Indian Regional Convention for achieving excellence in healthcare in India was conducted on the 21st of April 2007 at the NIMHANS Convention Centre, Bangalore. The Convention was organized by Indian Confederation for Healthcare Accreditation and Education Promotion Society for India. Padmashree College of Hospital Administration, Bangalore, ably looked after the Convention Secretariat.

Inaugural Session

Mr. Manohar Chellani Secretary General EPSI welcomed the participants and outlined the objectives of EPSI and the partnership with ICHA. He also outlined the objectives of the convention. He invited the dignitaries to light the ceremonial lamp of enlightenment.

The Chief Guest for the Inaugural Function was Dr. D. Nagaraj, Director, National Institute for Mental Health and Neuro-Sciences, Bangalore. The Keynote Speaker was Dr Ajay Kumar, President of the Indian Medical Association and Urological Society for India. Dr Ved Prakash, Chairman, Post Graduate Medical Education, Medical Council of India was the guest of Honour. He spoke on the ‘Changing Scenario in Healthcare Education”. Dr. Akhil Sangal and Dr. Rajesh Upadhyay represented ICHA on the dais. Dr. Upadhyay proposed the vote of thanks.

Dr. Ajay Kumar highlighted the inequalities and urban / rural divide as well as different healthcare delivery systems. He highlighted the role of collaborative and participative approach as the solution (cf. ICHA model).

Dr. Ved Prakash assessed the global workforce crisis and need to comprehensively address the health education situation that is responsive not only to the imminent scenario but also address the future needs of trained healthcare workforce.

Dr. D. Nagaraj stressed the need of integration of primary, secondary and tertiary systems to facilitate optimal utilisation. This will also ensure provision of appropriate and timely healthcare to the really needy by removing imbalances.

The topics and speakers for the different technical Session were:

Worldview of Quality- Accreditation and its Evolution – Dr Akhil Sangal, CEO, ICHA – Graphic evolution of Accreditation in healthcare world over and the current learning. He also enunciated the true accreditation as trust building. The process being: – 1. To determine the right things to do. 2. Help everybody to do the right things and 3. Recognize through accreditation award those who have done the right things.

ICHA Model and Structure – Mr Mukul Handoo, Quality Consultant. Detailed exposition of ICHA model as the most relevant way to move forward for successful implementation and achieve patient centred healthcare. He stressed the need for participative approach and urged everybody to enroll and contribute. He also urged experts to volunteer and enroll as “Champions” to move to the next stage of the three steps outlined by Dr. Sangal.

Framework of Excellence in Healthcare – Dr Akhil Sangal, CEO, ICHA – The quality framework in healthcare was discussed in detail keeping successful implementation as the key focus and work backwards. The various approaches to determine the right things to do e.g. inside – out approach, barriers and ways to overcome were discussed. The framework for self-assessment and validation were outlined. The need for process development in all areas was stressed in all areas of Structure – Process – Outcome.

Developing Process Guidelines in Healthcare – Dr Rajesh Uphadhyay, Member of Governing Council of API – He began with a video on life and similes and analogies for successful implementation. He outlined the process for developing patient centred guidelines in all areas with special emphasis on Clinical areas.

The Chairpersons for the session were:
Dr. Ved Prakash, Chairman, Post Graduate Medical Education, Medical Council of India.
Dr Ramesh Deka, Dean, All India Institute of Medical Sciences, New Delhi.

The afternoon session was for best practices presentations from various delegates.

  1. Best Practices – Patient Safety, Changing the face of Indian Healthcare by Dr. Prasanna Venkatesh M.K., Consultant Urologist, NU Hospitals, Bangalore.
  2. Low Cost Quality Assurance System by Mr Amit Paliwal, Technical Advisor and Component Leader, GTZ Health Sector Support, New Delhi.
  3. Best Current Practices – Operation Theatres by Dr C S Rajan, Additional Medical Superintendent and HOD General Surgery, St Martha’s Hospital, Bangalore.
  4. Best practices in Hospital Pharmacy and Medication Administration by Dr.Somu.G, MD, Assistant Professor, Dept of Hospital Administration, KMC Manipal.
  5. Marketing of Hospitals- Best Practices by Mr Vivek Shukla, Marketing Consultant.
  6. Using Technology to Improve the Quality of Healthcare Delivery by Rajeev Kumar, Neurosynaptic Communications Pvt Ltd. Bangalore
  7. Digital Library in Health Education by Dr K Lakshman FRCS, Consultant Surgeon, Bangalore.

The Chairpersons were:
Dr K S Shekar, Past President ASI and Managing Director, Bangalore Hospital, Bangalore and
Dr U Vasudev Rao, Governing Council Member of Association of Surgeons of India and President, Surgical Society of Bangalore.

This session highlighted the widespread availability and willing ness to share best practices. This is the ICHA theme and shall help avoid ‘reinventing the wheel’ by everybody and ensure wider dissemination and quicker implementation.

This was followed by an hour-long open house interaction with the participants. The lively discussion helped clarify various issues and was meaningful.

Valedictory Session

The Chief Guest for the Valedictory Function was Dr K M Srinivas Gowda, Kempegowda Institute of Medical Sciences, Bangalore. The Valedictory address was given by Dr Prasanna Raj, Joint Secretary, Medical Council of India. The other Guest of Honour was Dr Ashwath Narayan, Managing Trustee, Padmashree Group of Institutions. The convention closed with Dr. Sangal thanking all for their contribution to the success of the convention especially Prof. Rajesh Shenoy – Director Padmashree group of institution and his team.

The active participation of over 120 delegates from all over the country mostly from southern states contributed to the success of the convention. The overall consensus was on the need for frequent programmes in more locations for wider dissemination. Enthusiastic volunteering for carrying the ICHA movement forward was forthcoming.

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