Vision- 2015

1. Vision- 2015 Department of Surgical Gastroenterology JIPMER

4. JIPMER act and rules- 2008

6. Creating systems and models

7. Stage of development- 4 years Dedicated 20 general beds, ward 4-6 special ward beds 6 bedded dedicated ICU Every day OPD Every day OT Regular HOD Three full time faculty MCh programme Six senior residents Nursing administration and care system Stoma clinic with nurses Skills lab One store keeper Two MTS More than one crore transaction in one year Systems and practices Creating models to others Three national conferences Regular academics • One faculty- 2010 • No regular HOD • Non academic senior resident • Non academic department • Four beds and two ICU beds • No dedicated ward or ICU • Dedicated OPD • Two OT days • One DRL in department • 10 lakhs transaction in one year • Skeletal equipments

8. Our department- domains • Teaching • Research • Treatment

9. Website redesigning

11. Patient care

12. Concepts- patient is the “master” • Patient first approach • Right for treatment • Best practice for the individual • Removing slave approach • Individual liberty • Right for privacy

13. Concepts- system centered • Guest concept in care delivery- “may I help you” • Corporate efficiency • Quality and safety • Ownership • Accountability • Part of system- “I will settle or I will arrange to settle”

15. Goals • Completing systems for care- streamlining of logistics of care- online and phone appointments • Standard operating procedure (SOP) for logistics- rounding, transfer • SOP for treatment • Quality in care delivery- ***

16. Unit wise concept • Units and subunits in care delivery- Ward, ICU, OT, OPD, skills lab, stoma care, diet clinic • Unit wise accountability • Decentralisation • Non-overlapping concept- faculty to nurses

17. Ward Units OPD OT Office ICU

18. Aids in care • Patient educational material • Videos- TVs in ward • Audiovisuals in OPD • Computers • Emails and phone numbers

19. Programmes- existing • HPB surgery • Minimally invasive surgery

20. Programmes- 2015 • Liver transplantation • Metabolic surgery

21. Speciality nutrition clinic • Specialist advise to nutritional needs- concept of therapeutic diet • Nutritional orientation to hospital staff • Pondicherry unit of IDA

22. Teaching

23. Residency programme- teaching • Bedside teaching • Case capsule discussion • Grand rounds • Outside faculty lectures through telemedicine • In-house faculty lecture once in a month

24. Residency programme- training • Senior resident progress- once in 6 months • Log book- once in 6 months • Training diary- service record • Chief residency concept • Admission and discharge rights to chief resident • Resident as faculty for training others • Curriculum modification- simulation

25. Nursing- teaching • Teaching during duty shifts • Common teaching once in a month • Educational videos

26. Concept for nursing training • Post qualification nursing training • Qualified in speciality concept

27. Speciality nursing A training department for surgical gastroenterology nursing Teachers identified from our nurses Planned curriculum

28. Ostomy training center • Curriculum development • Short term training for ostomy nurses from outside • Ostomy and wound care training for in-house staff

29. Simulation surgery Daily training- manpower allotted Increasing faculty number Faculty trainer attached to trainee Mentoring to other centres Simulation surgery association of India

30. Research- doctors • Data for all major diseases • 15 active research projects from doctors • Two publications for residents • Five outside JIPMER conference presentations • 50 presentations in three years • 10 extradepartmental presentations for residents

31. New concepts in diseases • Acute on chronic pancreatitis • Portal hypertension • Liver arterial anatomy

32. Medical student research- minimum 3

33. Research in nursing care • Identifying areas of interest • 15 active research projects • Nursing research cell

34. Research in simulation Controlled trials

35. Administration • Area wise responsibility for faculty • Office restructuring • Paperless policy • Ecofriendly policy • “Your problem is our problem concept” • Data for calls and requests- numbering- answering back later • Electronic data keeping and transmission • Non filing policy • Office- daily briefing and debriefing

36. Inventory management- department store • JIMS • Hassle free distribution • Relations with suppliers- supplier directory • Quality and system contribution concept in purchase • 100 compliance to insurance scheme

37. Decentralisation and enpowerment • Enpowering faculty • Enpowering department nursing heads • Enpowering staff in their domains- quality, safety, guidelines

38. Review meetings and committees- monthly meetings • Faculty meeting • Resident review meeting • Nursing review meeting- in charges monthly and all nurses 6 monthly • Ostomy care review meeting- once in three months • Monthly unit wise meetings- ward, OT etc- all staff with designated faculty • Annual departmental meeting

39. Data transfer and communication • Paper less policy • Desktop sharing • HIS and PACS • Group mailing • Wifi • Emails- if you don’t see You miss it

40. Workplace safety • Nodal centre in SSB • Awareness

41. Staff potential • Differing area of interest- identification • Space for exploiting the potential to maximum • EXTRA MILE PROJECT • Career development cell- 20 courses

42. Quality and safety • Implementing JQC guidelines • Developing our own concepts • Developing our own team

43. Auditing care • Nursing care audit- monthly- can be clubbed with review meetings • Adverse event audit

44. Identifying mentors for the department • Department development • Research • Communication • Telehealth • Social networking • Staff wellness • Faculty mentor for resident

45. Physician and public networking • Reply to references • Orientation to outside doctors about what we do • Hotline problem solutions • Covering six states

46. Local public relations • News • TV and radio networking

47. Yearly planning One day workshop every year

48. Systems and models for others • Patient care • Teaching and training • research

49. Department of excellence