SHANTI MEMORIAL HOSPITAL IS A MULTISPECIALITY MEDICAL CENTRE ESTD. IN APRIL 1991 & IS SITUATED IN THE HEART OF THE CITY OF CUTTACK. IT IS A PRIVATE LIMITED HOSPITAL. STARTED WITH A TEAM OF LIKE MINDED MEDICAL PROFESSIONALS WITH A MISSION TO PROVIDE HEALTHCARE FOR THE NEEDY AT AN AFFORDABLE COST WE BELIEVE THAT A PERSON CAN BE BEST CURED IN A COMFORTABLE HOMELY ATMOSPHERE & WE STRIVE TO CREATE AN AMBIENCE WHERE THE PATIENT FEELS MORE AT HOME THAN AT HOSPITAL. OUR VISION FOR THE FUTURE IS TO KEEP OURSELVES IN TO THE BEST OF THE HEALTHCARE INNOVATIONS, AND PROVIDE HIGHEST QUALITY HEALTHCARE FOR THE MASSES. HEAL PATIENTS & KILL THE DISEASE WITHIN. WE ENSURE HOPE & GIVE HAPPINESS TO OUR PATIENTS We are Committed to maintain the highest Standard of Care and treatment with Special emphasis to patient Safety and Satisfaction. We Constantly Strive improving Quality Indices & make it our Hallmark of practices . Established in 1991, since the last 22 years SMH has become the state of the art hospital. This has occurred almost entirely due to the golden motto of our institution : “ Service through Excellence”- the ONE FAMILY TRADITION followed by all staff members at the hospital. KEY PROFILE OF OUR HOSPITAL The hospital has 100 beds and has recognition from the Local Council. The metamorphosis from 25 beds in 1991 to the present has been a slow but a progressive one. We Believe in Quality & Personalised care & affordibility of our patients. Since the last 2 years we have seen tremendous improvements in methods of communication and counselling of critically ill patients. The critical care dept. is at par the best in the state. OUR STRENGTHS World class physicians Competing through quality Working as a team Winning the Trust of public Adopt to the local needs Financial transparency Quality through education & training.

1. WELCOME TO SHANTI MEMORIAL HOSPITAL PVT LTD
A MULTISPECIALTY MEDICAL CENTRE

4. ON BEHALF OF SHANTI MEMORIAL
HOSPITAL PVT . LTD WE WELCOME
DR. SANJEEV SINGH
PRINCIPAL ASSESSOR
NABH-QCI
DR. ANAND BANSAL
CO-ASSESSOR
NABH-QCI
MS. SANDHYA SHANKAR PANDEY
CO-ASSESSOR
NABH-QCI

5. PREAMBLE
• SHANTI HOSPITAL WAS NAMED
AFTER THE MEMORY OF MY BELOVED
MOTHER LATE SHANTILATA PATNAIK, WHO
LEFT US ON 6TH DEC. 1978.
• HER LAST WISH WAS THAT ONE OF HER
CHILDREN SHOULD BECOME A DOCTOR AND
HELP THE POOR AND THE NEEDY

6. LATE GOPAL CH. PATNAIK & LATE SHANTILATA PATNAIK

7. PROFILE
• SHANTI MEMORIAL HOSPITAL IS A MULTISPECIALITY
MEDICAL CENTRE ESTD. IN APRIL 1991 & IS SITUATED
IN THE HEART OF THE CITY OF CUTTACK.
• IT IS A PRIVATE LIMITED HOSPITAL.
• STARTED WITH A TEAM OF LIKE MINDED MEDICAL
PROFESSIONALS WITH A MISSION TO PROVIDE
HEALTHCARE FOR THE NEEDY AT AN AFFORDABLE
COST

8. • WE BELIEVE THAT A PERSON CAN
BE BEST CURED IN A COMFORTABLE
HOMELY ATMOSPHERE & WE STRIVE
TO CREATE AN AMBIENCE WHERE
THE PATIENT FEELS MORE AT HOME
THAN AT HOSPITAL

9. VISION
• OUR VISION FOR THE FUTURE IS TO KEEP
OURSELVES IN TO THE BEST OF THE
HEALTHCARE INNOVATIONS, AND PROVIDE
HIGHEST QUALITY HEALTHCARE FOR THE
MASSES.
• HEAL PATIENTS & KILL THE DISEASE WITHIN.
• WE ENSURE HOPE & GIVE HAPPINESS TO
OUR PATIENTS

10. She has been a Constant Guide
as a partner & our Chief
Intensivist, Senior consultant
internal medicine. She has done
her PG in Anesthesia. She is
involved in Quality Initiative of
hospital. She is the managing
partner of our company.

11. QUALITY POLICY
• We are Committed to maintain the highest Standard of Care
and treatment with Special emphasis to patient Safety and
Satisfaction. We Constantly Strive improving Quality
Indices & make it our Hallmark of practices

12. KEY PROFILE OF THE INSTITUTE
• Established in 1991, since the last 22 years SMH has become the
state of the art hospital.
• This has occurred almost entirely due to the golden motto of our
intitution : “ Service through Excellence”- the ONE FAMILY
TRADITION followed by all staff members at the hospital.
• The hospital has 100 beds and has recognition from the Local
Council.
• The metamorphosis from 25 beds in 1991 to the present has been
a slow but a progressive one.
• We Believe in Quality & Personalised care & affordibility of our
patients.
• Since the last 2 years we have seen tremendous improvements in
methods of communication and counselling of critically ill
patients.
• The critical care dept. is at par the best in the state.

13. OUR STRENTGHS
• World class physicians
• Competing through quality
• Working as a team
• Winning the Trust of public
•
Adopt to the local needs
•
Financial transparency
•
Quality through education & training

14. LOCATION
• WITHIN THE MUNICIPALITY AREA OF
CUTTACK
• AIRPORT – 35 KMS
• RAILWAY STATION – 3 KMS
• BUS STAND – 3 KM
• TOWNBUS AVAILABLE EVERY 10 MINUTES
• AUTO RICKSHAW & OTHER TRANSPORT
AVAILABLE

15. ORGANISATION

16. OUR STAR PERFORMERS
•
•
•
•
•
•
•
•
•
•
•
•
•
Dr. R.K. Singh- Medical Superintendent
Dr. Hrudananda Dash- Chief Manager Administration
Dr.D.P. Mohanty- Microbiologist (ICO)
Dr. Pallavi Bhuyan- Pathologist
Mr. Niranjan Panda- Manager Finance
Mr. Bhabesh Panda- Manager Operations
Mr. Utkal Das- Manager Corporate Affairs
Mrs. Mamata Das- Matron
Ms. Dipti Mayee Swain- Infection Control Nurse
Ms. Rekha- Infection Control Nurse
Mr. Pramod Pani- HR Manager
Mr. Sujit Panda- Manager Marketing
Mr. Bindusagar Patnaik- Dy. Hospital Administrator

17. SCOPE OF SERVICES
Internal Medicine
Emergency Medicine
Critical care medicine & Intensive Care
General Surgery and minimal access
surgery
ENT
Surgical Oncology
Dermatology
Pulmonary Medicine
Radio Diagnosis
Orthopedics Surgery
Physiotherapy
Dietetics
Cardiology non Invasive
Gestroenterlogy
Plastic, Cosmetic & Reconstructive
Surgery
Ophthalmology
Anesthesia & pain Management
Neurology
Nephrology
Bariatric & Metabolic Surgery
Obesity Support Group
Urology & Endo Urology

18. LAY OUT GROUND FLOOR
RECEPTION
DAY CARE
OPD
ULTRA SOUND
CASUALITY
CENTRAL LABORATORY
LABROTORY
SAMPLE COLLECTION ROOM
RADIOLOGY
DIGITAL X-RAY

19. CT-SCAN
GAS PLANT
AMBULANCE
PHYSIOTHERAPY DEPT.
PHARMACY DEPT.
OLD BUILDING
WAITING LOUNGE

20. LAY OUT 1ST FLOOR
EYE DEPARTMENT
ENDOSCOPY DEPARTMENT
ICU
HIGH DEPENDENCY
UNIT
OT DEPARTMENT
CANTEEN

21. LAY OUT 2ND FLOOR
SUPER DELUX
NURSING STATION
SUPER DELUX PATIENT ROOMS
DIALYSIS
DEPARTMENT

22. LAY OUT -3RD FLOOR

23. CLINICAL DEPARTMENTS
OPERATION THEATER
OUTDOOR
ICU

24. FACILITIES….
The facilities at the hospital are
at par with the best.

25. DIAGNOSTIC FACILITIES

26. SUPER SPECIALITY SERVICES
• BARIATRIC & WEIGHT LOSS CLINICS
• LIVER & HEPATITIS SCREENING CLINICS
• SPINAL CLINICS

27. OPD AND DAY CARE PROCEDURES
•
•
•
•
UPPER GI & COLONOSCOPY
CYSTO-URETHROSCOPY
CATARACT PHACO-SURGERY
DIAG. LAPAROSCOPY

28. 24 X 7 SERVICES
AMBULANCE
PHARMACY
CT-SCAN
CASUALITY
DAY CARE
CENTRAL LABORATORY
RADIOLOGY
DIGITAL X-RAY

29. INFRASTRUCTURE AND
ENGINEERING DETAILS
Total Plinth area
9000 sq.ft
Total Water
Capacity65000 ltr/day
Water Consumption
Electrical Load
129KW
2 lacs litre/Day
HVAC Load
8.5x5
Ton
UPS Backup

30. FACILITY RESOURCES
•
•
•
•
•
•
•
•
•
BUILT IN AREA -40,000 SQ FT
POWER SUPPLY- 950 KW
TRANSFORMER – 500 KVAX 3
GENERATOR – 500 KVA X 2
UPS - 40 KVA X 1
30 KVA X 1
20 KVA X 3
WATER SUPPLY – 2.26 LACS LITRES / DAY
SEWAGE TREATMENT PLANT
MEDICAL OXYGEN PLANT
FIRE SAFETY SERVICE

31. STATISTICS FOR THE YEAR 2012 - 2013
S.NO
STATISTICS
YEAR 2012-2013
1
NO . OF OPD PATIENTS
13456
2
NO. OF IP PATIENTS
3976
3
BED OCC. RATE (DEC 11)
87.07%
4
USG
6021
5
X-RAY
8088
6
SURGERIES
1928

32. HOSPITAL BED DISTRIBUTION
DAY-CARE
7
ICU
16
SUPER DELUX
30
GENERAL WARD
20
CABIN
24
CASUALTY
3

33. COMMITTEES AVAILABLE
We
have formed various Committees to look afte
hospital development & Quality Management Systems
1. Hospital Quality Assurance Committee
2. Hospital Safety & Risk Management Committee
3. Drugs & Therapeutic Committee
4. Code Blue Evaluation Committee
5. Disaster Management Committee

34. COMMITTEES AVAILABLE
6. Medical Audit & record Management Committee
7. Female Grievance handling Committee
8. Grievance & Complaint Management Committee
9. Blood and Blood transfusion Management Committee

35. QUALITY INITIATIVE
The Institute took an initiative to maintain a Quality
Management System hence NABH Accreditation
Programme was started in the year 2011
Sensitization on QMS & NABH Standard was
develop team & leaders
Various Committees were formed
SOP/Policy and Procedure were developed
done to

36. QUALITY INITIATIVE
Infrastructure alteration & arrangement
Signage and Display
Procurement
instruments
and
use
of
accessories
and
Training and Development Program
Various audit- Death audit, medical Audit, Clinical
audit, Prescription audit, Antibiotic audit, Internal
audit to Strengthen the program

37. QUALITY INITIATIVE
Monitoring and analysis of Quality Indicators
Mock drills and practices
Availability of Licenses and reports
Development of Infection Control Program
Development of Patient’s Safety Program

38. INITIATIVE AFTER PRE-ASSESSMENT
(As recommended)
Fire Safety Provisions were made
Restuctured and Designed the new Laboratory
Newly Structured the Kitchen & Cafeteria
Installed HEPA filteration & AHU for ICU & OT
Made modifications in the ICU
Procured Essential Staffs- Microbiologist,
Dietician, Bio medical Engineer
Procured New Equipment & Accessories
Pathologist,

39. CSIR ACTIVITIES (2012-13)
General Health Camps –4
Weight loss check up camps-2
CME & Scientific meetings-48
Total No. of Hepatitis B Screening Camps – 2 ; total number
screened – 287
Dental camps – 3, screened 107
Cleft lip & Palate surgical camp-1, (operated 27 pts.)
Hernia Surgical camp- sreened -100,( operated 52 pts.)
Liver clinic Camp –screened 118 patients
Spinal clinic Camp – screened 412 patients

40. CSIR ACTIVITIES
Obesity Support Group meetings -4, screened >89
pts.
Annual distibution of Cash prizes, funding, and
certificates to Toppers in ICSE, CBSE & HSSC Girls
at nearby adopted Municipal Girls High School.
Annual participation in BALIYATRA- the largest mela,
with free EYE CHECK UP, BMI and bone density,
FBS and diabetic screening- > 1000 pts.
Bariatric Surgery workshop- screened 32, operated
on 4 pts.

41. FREE HEALTH CHECK-UP CAMP

42. FREE DENTAL CAMP

43. FREE HERNIA SURGICAL CAMP

46. FREE CLEFT LIP & PALATE SURGICAL CAMP
Feb. 2012 By- Dr. Peter Kessler, From: Netherlands

47. FREE SCHOOL HEALTH CAMP
AT
MUNICIPAL GIRLS HIGH SCHOOL

48. SCIENTIFIC SESSION & CME ON
KNEE REPLACEMENT
SURGERY

49. PRESS MEET ON OBESITY AWARENESS

50. PRESS MEET ON OBESITY MANAGEMENT &
WEIGHT REDUCTION SOLUTIONS – AT BBSR

51. FREE LIVER CLINIC –DR A.S.SOIN –
MEDANTA HOSPITAL

53. BARIATRIC SURGERY WORKSHOP 2012

54. AT BALIYATRA FREE HEALTH CHECK-UP CAMP
INAGURATION

60. DOCTOR’S DAY HEALTH CAMP

61. PRATIVA SAMMELAN AT MUNICIPAL
GIRLS HIGH SCHOOL 2010

62. PRATIVA SAMMELAN 2011

63. ACHIVEMENTS OF 2011

65. ACHIVEMENTS OF 2012

68. OUR NABH JOURNEY
•
•
•
•
•
•
•
•
It was an initiative of Hospital Management
NABH Sensitization Program was done
Various Committees were formed
Systems, Processes were modified by developing
Policies and procedures
Training and Development was given priority
Gap Analysis of the hospital was done
Audit and Monitoring of Indicators
Structural Modification

69. QUALITY MANAGEMENT SYSTEM
• Continual improvement is our aim and NABH
Accreditation process is a step further
towards our journey to Quality

70. QUALITY ASSURANCE COMMITEES
1. Quality Assurance Committee
2. Hospital Safety Committee
3. Hospital Infection Control Committee
4. Drug and Therapeutic Committee
5. Medical Audit Committee
6. HRM Committee
7. Sexual Harassment Committee
8. CPR Committee
9. Mortality and Morbidity Committee

71. OTHER INITIATIVES
• Emergency Mock drills
• Quality assurance programs in ICU and OT
• Quality Improvement Programs Launched
QIP-BMW management Improvement
QIP-Hand washing Compliance Improvement

72. • WE ARE PRIVILEGED TO HAVE YOU AMONGST US AS
ASSESSORS
• WE PRAY TO YOU TO HAVE A THOROUGH ASSESMENT
OF OUR HOSPITAL
• WE EXPECT THAT EVERY STAFF WILL COOPERATE &
WILL HAVE A GOOD INTERACTION AND EXPERIENCE.
• TO THE BEST OF MY KNOWLEDGE I HAVE COMPLETE
FAITH ON MY STAFF, THEY ARE PRACTICALLY
SUPERIOR , DEDICATED & BUT THEY MAY NOT THAT
EXPERIENCED TO MATCH AS PER YOUR
EXPECTATIONS

73. • I WISH ALL MY DOCTORS , MANAGERS,
& MY ENTIRE STAFF
• GOOD LUCK
• COURAGE
• CONFIDENCE
• AND STRENGTH
• THE REST LAYS IN OUR FATE

74. IN SANSKRIT JAGAT (UNIVERSE) AND
NATH (LORD OF)
LORD OF THE UNIVERSE

75. STRENGTH OF SMH
• ICU management
• STERAD (Plasma
Sterilizer)
• Sterile Operation
Theaters
• Trained and proficient
employees.
• Ultra modern & State
of the art Operative
Equipments.