Fortis Hospitals & Quality of Care – You decide

Date of incident : 26th & 28th April, 2014

Place : Fortis Hospital, Vashi , Navi Mumbai 

A patient meets a gastroentologist for a consultation at the above mentioned hospital  . The patient hands over all the reports to the doctor ( including the report, which clearly states that the patient is a diabetic ). The Patient is advised to undergo a colonoscopy and come empty stomach / fasting for 17 hours .. I wonder if a diabetic would be fit to stand after  17 hours of fasting ? This is a clear case of medical negligence where a patient can even slip into hypoglycaemia …. but the doctors at Fortis are not even bothered about this . There is a question mark on the protocols and SOPs followed in such big hospitals 

The patient had to inform the doctor about this lapse and also the facility director , then the same was ‘noted’. When the patient came for the procedure , no one even checked his sugar,  despite it being reported that the patient is a diabetic and is on medication ! The quality of care Fortis is providing to its patients is a serious question mark !

The patient hears another patient’s relative in ICU telling the nurse ;

1. ‘You are such a big hospital and you don’t even have a silicon RT ( Rice tube)’ ? The patients relative had to buy the consumables and provide the hospital as they were not available in the hospital . We heard about these in government hospitals , but this is a first hand account of what happens in Fortis Hospital !

2. A patient was questioning the nurse that ‘Why was he charged Rs.300 more for the same procedure done last week’ and the nurse had no convincing reply for him … Billing systems of this hospital have been questioned many times by patients. My family had pointed such cases in the past and the ‘wrongly charged’ amount was later ‘adjusted’ .  

3. A patient was given another patients file … Privacy of patients is not a worry in this hospital 

4. Patients is charged Rs.50 donation towards Fortis Foundation without being asked whether s/he would like to donate ? When questioned , the cashier says ‘Sorry’ !  Charity or loot by Fortis Healthcare !  Such companies are a shame in the name of CSR ( Corporate Social Responsibility ). 

And , at the very entrance, one notices the big display of NABH accreditation. The advertisement mentions that Fortis Hospital is the 7th hospital in Mumbai to be ‘awarded’ this accreditation ! 

Now certifications are becoming marketing tools, and it is high time that these hospitals declare their ‘success and failure rates’ for all admissions and OPDs . Else, they make treatment worse than the disease, and increase the trust deficit between the patient , doctor and the treatment offered 

Rajendra Pratap Gupta 

President

Disease Management Association of India.

http://www.dmai.org.in

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Healthcare will be reformed when BJP comes to Power

Health Services – increase the Access, improve the quality, lower the Cost

India needs a holistic care system that is universally accessible, affordable and effective and drastically reduces the out of pocket spending on health. NRHM has failed to meet the objectives and will be radically reformed. BJP accords high priority to health sector, which is crucial for securing the economy.

The overarching goal of healthcare would be to provide, ‘Health Assurance to all Indians and to reduce the out of pocket spending on health care’, with the help of state governments.

The current situation calls for radical reforms in the healthcare system with regards to national healthcare programs and delivery, medical education and training and financing of healthcare. Our government would focus on the following reforms in healthcare:

  • the last healthcare policy dates back to 2002. India now needs a comprehensive healthcare policy to address the complex healthcare challenges, keeping in view the developments in the healthcare sector and the changing demographics. BJP will initiate the New Health Policy.
  • initiate the ‘National Health Assurance Mission’, with a clear mandate to provide universal healthcare that is not only accessible and affordable, but also effective, and reduces the OOP spending for the common man.
  • Education and Training – Will review the role of various professional regulatory bodies in healthcare and consider setting up an overarching lean body for healthcare. High priority will be given to address the shortfall of healthcare professionals.
  • Modernize Government hospitals, upgrading infrastructure and latest technologies.
  • Reorganize Ministry of Health and Family Welfare in order to converge various departments dealing in healthcare, food and nutrition and pharmaceuticals, for effective delivery of healthcare services.
  • Increase the number of medical and para-medical colleges to make India self sufficient in human resources, and set up an AIIMS like institute in every state.
  • Yoga and Ayurveda are the gifts of ancient Indian civilization to humanity and we will increase the public investment to promote Yoga and AYUSH. We will start integrated courses for Indian System of Medicine (ISM) and modern science and Ayurgenomics. We will set up institutions and launch a vigorous program to standardize and validate the Ayurvedic medicine.
  • Move to pre-emptive care model where the focus and thrust will be on child health and prevention.
  • School health program would be a major focus area, and health and hygiene will be made a part of the school curriculum.
  • Focus on Rural Health care delivery.
  • Senior Citizens healthcare would be a special focus area.
  • Give high priority to chronic diseases, and will invest in research and development of solutions for chronic diseases like obesity, diabetes, cancer, CVD etc.
  • Occupational health programs will be pursued aggressively.
  • Utilize the ubiquitous platform of mobile phones for healthcare delivery and set up the “National eHealth Authority” to leverage telemedicine and mobile healthcare for expanding reach and coverage and to define the standards and legal framework for technology driven care.
  • Universalization of emergency medical services-108.
  • Re-orientation of herbal plants board to encourage farming of herbal plants.
  • Population stabilization would be a major thrust area and would be pursued as a mission mode program.
  • Programme for Women Healthcare with emphasis on rural, SC, ST and OBC in a mission mode.
  • Mission mode project to eradicate malnutrition.
  • Launch National Mosquito Control mission.

Poor Hygiene and Sanitation have a far reaching, cascading impact. We will ensure a “Swachh Bharat” by Gandhi ji’s 150th birth anniversary in 2019, taking it up in mission mode by converging resources and building around jan bhagidari:

  • Create an open defecation free India by awareness campaign and enabling people to build toilets in their home as well as in schools and public places.
  • Set up modern, scientific sewage and waste management systems.
  • We will introduce Sanitation Ratings measuring and ranking our cities and towns on ‘sanitation’; and rewarding the best performers.
  • Make potable drinking water available to all thus reducing water–borne diseases, which will automatically translate into Diarrhoea–free India.

 

Rajendra Pratap Gupta

Authored the BJP Election Manifesto 2014 under the Chairmanship of Dr.Murli Manohar Joshi