ILBS Annual Book Report 2017

additional beds totalling 549 beds (phase I & II combined), a state of the art academic block, clinical block, vivarium block, administrative block and research block. Administration Department Matters related to General Administration, holding of meetings of the Governing Body, Finance Committee, acquisition of land, Court cases, vetting of proposals and agreements of other departments in this Institute before execution, liaison with various government and non-government agencies and legal issues are being supervised by the Dy. Head Administration. The department is led by Dr. Anil Agarwal, a Medical Graduate and Senior DANICS Cadre Officer, who believes in team effort, lean staff with maximum output. Transparency and error reporting is highly encouraged along-with use of modern tools of IT. The Department emphasizes on “innovative approaches for newer administrive policies along-with complete and implementable solutions”. Several other departments in the Institute seek advice and expertise from this department on a routine basis. Dy. Head Administration is also designated as the Nodal officer for the conceptualization/ project planning, development and construction of the Phase-II of ILBS through DMRC and various sub-consultants. Besides, he co-ordinates with various stakeholders/agencies and is responsible for smooth functioning of the Project Implementation. He has also been designated as the First Appellant Authority for the implementation of the Right to Information Act, 2005 and settlement of appeals so received in a democratic, transparent, and time-bound manner. The General Administration team at ILBS comprises of the following members: Staff Name Designation Dr. Anil Agarwal Deputy Head (Administration), M.B.B.S, MBA, DANICS Mr. Kulvinder Singh Manager (Admin & Purchase) Mr. Arun Prakash Assistant Manager (Admin) Mr. Nirmal Singh Senior Executive (HR/Admin) Mr. Deepak Kumar Junior Executive Ms. Savita Choudhary Junior Executive Director’s Office Name Designation Mr. Raj Choudhary Senior PS to Director Ms. Meena Bajaj PS to Director 233

Human Resource Department The prime objective of HR department of ILBS is to attract and retain top professionals in a high quality work environment. The HR department encourages employees to achieve organizational goals with personal satisfaction and growth. It helps the employees in identifying their strengths and maintains open and effective communication. The HR department has been able to attract, select and appoint the best talent for the Institute. The Institute comprises of 65 highly super specialized and professional Faculty supported by 18 Senior Residents and 15 Junior Residents which includes 85 students undergoing highly specialized post graduate courses, Ph.D degrees & certificate courses for best professional services and patient care. Round the clock Casualty Medical Officers are available to look after the emergency patients. The Institute also has trained staff in the field of Research, Epidemiology, Clinical trials, Research and Veterinary. ILBS presently has 353 dedicated, caring and committed nurses delivering excellent patient care supported by 107 paramedical staff. The Institute has 25 competent staff in Medical Operations which includes hospital operations staff, front office, billing and cash, MRD & Quality control providing operational support to the clinical staff. The Pharmacy department ensures round the clock seamless provision of medicines to OPD and IPD patients. Five qualified Nutritionist offer advise and guidance to all patients. The administrative departments of 43 professional and experienced staff comprising of different departments like HR, Administration, IT, Finance & Accounts, Engineering, Purchase, Store, Security & Fire provides administrative support to the entire Institute for smooth operations of the hospital. Under the guidance of Dy. Head Operations (HR/NM), the department has been performing all the key HR functions which includes recruitment and training as per the approved policies of the Institute in a people-friendly environment and has been able to ensure high performance by the employees to achieve the vision and mission of the Institute. 234

The HR department has inculcated a healthy work environment, which is focused on high commitment and a spirit of learning. Staff Name Designation Lt. Col. R.S. Singh Dy. Head Operations Ms. Pinky Chauhan Assistant Manager Mr. Rakesh Kumar Assistant Manager Ms. Manju Kumari Kalakoti Junior Executive Mr. Shailender Junior Staff Assistant The Team HR ILBS continuously works to improve the quality of life of its staff. It helps individuals and the Institute to achieve their goals by improving their performance and encourages creativity among staff. As a whole, the Team HR helps to create a healthy working environment, develops teamwork and has given people a sense of involvement and belongingness. 235

Finance and Accounts Department The Finance and Accounts Department (F&A) of the Institute is managed by team of professionals. It is responsible for transparent book-keeping of the accounts of the Institute as per the Indian Accounting Standards and adherence with the statutory regulations. The financial process controls set up within the Institute ensure that revenue generated are accounted for correctly and timely and efficient utilization is made of the available funds. Costing methods are adopted in order to reduce the running costs so as to enhance the profitability. Financial reports are maintained for the Management to facilitate decision making and achievement of the annual business targets. Broadly the department performs the following functions:  Maintaining computerized books of accounts comprising of Cash Book, Bank Book and Journal Book along with periodical Bank Reconciliation Statement.  Preparation and monitoring of Monthly Revenue Statement and Income & Expenditure Statements of the Institute by comparing the various cost centres with revenue generated by each of them.  Preparation of Monthly Expenditure statements for review by ILBS management and submission to Health & Family Welfare Department, Finance Department and Planning Department, Govt. of NCT of Delhi.  Compilation of MIS reports, as required from time to time, for Top-level management and GNCTD.  Finalisation of Annual Financial Statements of the Institute viz., Receipt & Payment account, Income & Expenditure accounts and Balance Sheet along with various Annexure and Schedules forming part of the Financial Statements.  Establishing Letter of Credit and Wire Transfer for procurement of equipments, consumables and services from abroad along with timely settlement of the bills raised by contractors/suppliers.  Generation of salary of the employees along with maintenance of monthly Provident Fund, TDS and other statutory deductions. Responsible for depositing the Tax and issuing Form 16 to employees and 16A to other agencies.  Organizing meetings of Finance Committee and complying with the decisions of the Committee.  Maintaining records of all Indirect and Direct Taxes for the purpose of timely e-filing of Tax returns.  Securing annual audit by the Statutory Auditors, CAG Auditors and Examiner, Local Fund Accounts of GNCT, Delhi. Compliance and periodic resolution of observations made in the respective Audits.  Separate Accounting for various Research Projects undertaken by the Institute under 236

the leadership of the designated Principal Investigators. Preparation and periodical submission of Utilization Certificate for each Research Project to the concerned sponsoring authorities viz. ICMR, DBT, DST, SERB etc.  Separate Accounting for various Conferences/Seminars organized out of ILBS Conference Funds, which are kept separate having been generated from non- Government resources for the purpose.  Preparation of Core Budget as also the Revised Budget Estimates of the Institute for review and finalization by ILBS management before submission to the concerned authorities.  Coordinating with the Purchase Committee for negotiations for National and International procurement for the Institute.  Accounting for the Grants received from the Govt. of NCT of Delhi for the Institute. Maintenance of all records for the Utilization of the Grants and submission of the same to the Govt. of NCT of Delhi.  Monitoring the financial aspects pertaining to Cash and Billing Section, ensuring daily deposit of cash collected from patients in Bank, daily reconciliations of Debtors & Payments receipts through cards.  Effective Treasury management of Institutes’s funds till the time they are deployed in operational activities. 237

Summary of the Accounts of the Institute for Financial Years: 2015-16, 2016-17 and 2017-18 (from 01.04.2017 till 31.12.2017) (Figures in Rs. Lacs) 2017-17 (Till 2015-16 2016-17 Particulars 31.12.2017) (Audited) (Audited) (Un-Audited) Opening Balance 9,112.06 4,858.18 10,974.64 Grant In Aid For FY 2015-16 13,400.00 For FY 2016-17 12,000.00 For FY 2017-18 2,375.00 Operational Revenue 12,709.59 14,436.46 11,225.08 generated Non-Operational 842.73 671.98 1,070.07 Revenue generated Revenue generated Total Receipts (incl. 36,064.38 31,966.62 25,644.79 opening balance) Expenditure 31,206.20 20,991.98 16,319.03 Closing Balance 4,858.18 10,974.64 9,325.76  Includes committed liabilities to DMRC for payment towards building construction of Phase-II and also for procurement of Drugs & Consumables/ Machinery & Equipments along with other committed liabilities of the Institute.  Over the years, the funding by Govt. Of NCT of Delhi in the form of Grants-in-aid to the Institute has been severely pruned and on the other hand, the Institute has been generating its own funds in the form of operational Revenue and Non-Operational Revenue , as brought out in the table below: (Figures in Rs. Lacs) FINANCIAL GRANT-IN-AID Released by OPERATIONAL (Hospital) OPERATIONAL (Hospital) YEAR Govt. of NCT, Delhi to ILBS Revenue generated by ILBS Revenue generated by ILBS 2011-12 18,000.00 4,461.29 1,441.32 2012-13 6,600.00 6,596.15 2,587.04 2013-14 3,050.00 8,527.32 1,993.90 2014-15 7,200.00 10,486.01 973.82 2015-16 13,400.00 12,709.59 842.73 2016-17 12,000.00 14,436.46 671.98 2017-18 (Till 31.12.2017) 2,375.00 11,225.08 1,070.07 238

Department’s Achievements  The Goods and Service Tax (GST) was statutorily mandated all across the country w.e.f. 1st July, 2017. With the effective coordination with the Information Technology, Purchases and Pharmacy Departments, the Finance and Accounts Department had ensured smooth and successful transition to GST regime.  The Finance and Accounts Department has successfully implemented pay revision as per 7th CPC remuneration in the Institute during the year. This includes computation of arrears from retrospective date. This involved lot of coordination with IT Team for impending changes in the Software so as to adapt to the CPC norms.  Finance and Accounts department promotes digitized and cashless financial transactions through effective utilization of POS (credit/debit card) machines, close user group (CUG) prepaid cards, NEFT, RTGS, and payment gateway media, Electronic Cash Register, without entailing any costs to the Institute in terms of installation bank charges, commissions etc. This has lead to adherence to Government of India’s drive towards cashless and digitized economy. Staff Name Designation Mr. Naveen Narang Sr. Manager (F&A/C&B) Mr. D.R Verma Dy. Manager (F&A) Mr. Vivek Pai Dy. Manager (F&A/C&B) Mr. Tribhuvan Jha Assistant Manager (F&A) Ms. Shaloo Arora Executive (F&A) Mr. Shiv Prakash Tripathi Executive (F&A/C&B) Mr. Krishna Das Staff Assistant (F&A) 239

Purchase Department The Purchase Department is responsible for the timely and efficient acquisition of goods and services required for clinical, academic and research purposes in the Institute, while maintaining the highest level of professional ethics and integrity. The Purchase department is procuring goods and services in a fair and transparent manner to ensure ‘Best Quality at the Best Price’ maintaining financial propriety. Purchase Department is providing procurement expertise to assure the timely acquisition, and distribution of goods and services for various departments in accordance with policies and procedures established by the Institute. We are committed to working with all departments of the Institute to identify, develop and implement procurement practices that will find the right products and services to meet the support needs of the Institute. Good business practice and the responsible expenditure of Institute funds require that the Institute follows a policy of obtaining competitive bids/quotations. Institute policy requires acceptance of the best bid, prices and other technical factors considered. Accordingly, in so far as practicable, purchases are being made on the basis of competitive prices, considering quality, suitability, delivery, and service. Many situations require a joint determination by Purchase Department and the user department in order to select the proper vendor. In any situation, vendor selection will be based on a determination of the best value for the Institute. Some of the factors used in evaluating the bids include:  Completeness of bid.  Financial stability of the bidders.  Bidder’s previous record of performance and service. 240

 Ability of bidder to render satisfactory service in this instance.  Quality and conformance to specifications.  Manufacturer/Dealer warranty.  Delivery schedule/ Ability to complete project within desired time line.  Competitive Price. The purchase department undertakes tender documentation, advertising, receiving, processing, convening meetings, concluding rate contracts and placing purchase orders and monitoring subsequent contract execution ensuring that they meet legal, audit and GFR requirements using standardized protocols. Purchase Department is also involved in resolution of disputes and taking action to protect the interest of the Institute. Services Rendered  Procurement of Equipment.  Procurement of General Items (inclusive of Hospital furniture, Engineering, IT, Housekeeping Stores).  Award of contract for outsourcing of various services through open e-tender.  Procurement of Library books and e-journals.  Procurement of Lab Consumables and Research Consumables.  Procurement of Equipments and consumables for the Research Projects.  Procurement of Drugs and Medical Consumables etc. Procurement In Year 2017 Head No of POs Amount in Rs Equipments 53 4890.48 Lakhs General Store Items 606 907.48 Lakhs Lab Consumables 673 1466.28 Lakhs Drugs and Medical Consumables 7650 4826.15 Lakhs Research Consumables 213 138.28 Lakhs Research Equipments 17 341.16 Lakhs CSSD Consumables 80 74.52 Lakhs No. of Tender Published and Awarded in the Year 2017 Head Tender Published Tender Awarded 1 Equipment 30 24 2 General store 22 13 3 Lab, CSSD & Research Consumables 1 -- 4 Drugs and Medical Consumables 4 4 5 Research Project 11 6 241

Staff Name Designation Mr. Kulvinder Singh Manager Mr. Reji Thomas Deputy Manager Capt. Pooja Mehra Assistant Manager Mr. Raghubir Singh Senior Executive Mr. Sunil Kaushik Senior Executive Ms. Jaya Tripathi Junior Executive Mr. Deepak Bisht Junior Executive Mr. Pravesh Staff Assistant Others: Mr. Jitender Bhati , Mr. Shahnawaz Khan, Mr. Ashwani Gupta, Mr. Deepak Arya, Ms. Sushma Chauhan, Ms. Jyoti Dixit, Mr. Ajay Kumar Mukhiya and Ms Sheeba Pasha 242

Information Technology ILBS IT vision is to provide health information delivered instantly and securely to patient care providers when needed which is capable of analysis for constant improvement and research through an active process that requires communication, collaboration and decision making across care providers. Department’s Current year Achievements For enabling the Institute to respond rapidly to evolving business needs, the core IT infrastructure consisting of green data centre using virtualization technology and campus network has been redesigned to provide a stable, scalable and secure platform for business growth. A common integrated Hospital Information Management System (HIMS) and Picture archiving and communication system has been successfully upgraded leading to realization of efficiencies. New HIMS has resulted into better efficacies such as ubiquity, secured online lab reports, centralized database management system, bidirectional lab equipment interface, cashless transactions, investigation report correlations, OT scheduling, KPI Dashboards, clinical research analysis, enhanced MIS reports and improved process automation at various levels etc. A Mobile App “e-Yakrit” for patients has been introduced to offer interoperability and secure care coordination to enhance clinical communication and workflows. E-Yakrit app facilitates the patients to register family, set medication alerts, view investigation reports, easy payments and FAQs about Liver and Biliary related diseases. Digital wallet system has been introduced in the Institute to enable patient’s payments easier and reduces queues and papers. Blood Bank management software duly integrated with 243

HIMS has been introduced to enhance efficiency, paperless records, new dashboards and ease of management. New software for management and analysis of Day-care Albumin patients has been introduced. Biometric attendance system duly integrated with HRMS platforms have been implemented. Website has been completely redesigned to provide intuitive user interface, ease of use and services widgets such as online applications for career opportunities, academic portal and online payments by patients along with upto date information pertaining to respective departments. Roadmap: Department of IT has a roadmap to revamp Video Conferencing System with latest technology supporting cloud based multipoint control units. Free wifi access to patient attendants is being introduced. Department is developing new software for visitor registration to enhance security, manageability, visibility and accountability. The Institute is upgrading the endoscopy unit with centralized reporting, archving and data retrieval software. Further the department of Information technology has planned to introduce new Information Security Infrastructure to meet latest best practices Industry standards. Department of IT is developing a skill development program for Telemedicine to train the Healthcare IT engineers across country about the various collaborative tools. Educational Activities International Conference/Symposium Using State of the Art Technology, ILBS has participated and presented in the international Conferences such as Asia Pacific Advanced Network (APAN), Asia Tele Medicine Symposium, APASL ACLF Research Consortium (AARC), Texas Children Hospital at regular intervals in which medical fraternity from different parts of the Globe join for knowledge sharing and collaborations. The Institute is also connected to 60 plus medical colleges across country for ILBS ECHO project. The Institute has successfully organized and participated in several conferences for collaboration with different hospitals across globe. Head Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ECHO 4 5 7 3 6 5 4 2 2 2 2 1 Faculty 7 7 8 8 8 8 9 8 8 8 9 3 Lectures 2 1 5 4 4 1 2 5 0 0 1 3 CME TCH 1 0 1 0 0 1 0 1 0 1 1 0 ACLF 1 0 1 1 1 0 1 0 1 0 1 0 APAN 0 1 0 0 0 0 0 1 0 0 0 1 244

ILBS Faculty participating in APAN Conference ILBS Faculty and Residents in Tele Medicine with AARC Conference with Texas Children Hospital members Academic and Research Achievements Dinesh Taneja, Dr Ashok Chaudhary, Dr Priyanka Jain et. al , Impact of secured web based video conferencing on clinical research analysis. 11th Asia Tele Medicine Symposium, Kuala Lumpur. Dec 2017. ILBS ECHO The ILBS-ECHO program aims at building the capacity of faculty and residents in the internal medicine and gastroenterology departments of medical colleges and among physicians across India for state- of-art evidence based management of liver and allied diseases. It connects ILBS to participants over a tele-academy (video-conferencing) platform for 24 fortnightly sessions of didactic lectures, case discussions and bidirectional interaction. Each session lasts for about an hour and is moderated by a faculty from the Department of Hepatology/ Pediatric Hepatology/ Virology and from the Department of Epidemiology/ Clinical Research. To support this, the ILBS Teleacademy has the latest Information 245

Technology (IT) infrastructure including high bandwidth connectivity, high definition video/ audio conferencing units, and software tools. The institute deploys multiple modes of video conferencing, webinar, webcast, live stream, audio/video conferencing units that can engage with 100 centres in real time. Presently ILBS ECHO project has nearly 38 medical colleges on board and about 350 doctors in these institutions have registered for the Tele - ECHO clinics. For ensuring optimum utilization of resources a concerted division was done of these 38 medical colleges into 3 groups with each having a well-defined & designed schedule of sessions. The project aims at case based learning from evidence based studies. Cases are mandated to be reviewed on a regular basis to discuss the progress of treatment, side effect management, or any other concerns or questions. Way Forward: This umbrella of colleges is being widened to enroll 75 colleges and register 1000 participants in coming months and the current registered participants would be assessed on their knowledge acquisition and the successful ones will be given a certificate of successful completion of course. The cycle of new college would continue unabated. ILBS has now plans to widen its reach even to the general practitioners across the country through the network of Indian Medical Association. A Fellowship program of 6 months duration that equips the general practitioner in his day to day practice in liver related patient care practices has been designed. Staff Name Designation Name Designation Dr. Anil Agarwal Dy. Head (Admin) Sh. Pradeep Rawat Executive (IT) Sh. Dinesh Taneja General Manager (IT) Dr. Rakhi Maiwall Associate Professor (ECHO) Sh. Manish Dutta Deputy Manager (IT) Dr. Ankur Jindal Assistant Professor(ECHO) Sh. Gaurav Agarwal Assitant Manager (IT) Dr. Archana R Assistant Professor (ECHO) Sh. Sandip Kumar Assistant Manager (IT) Ms. Akanksha Bansal Programme Manager(ECHO) Ms. Chitra Mudgal Assitant Programmer (IT) Mr. Vineet Singh Engineer (ECHO) 246

Fire And Security The Institute has a well trained and adequately equipped Fire and Security department to tackle any kind of disaster/emergency in the hospital. The main aim of the Fire & Security department of the Institute is to provide protection to the patients, staff, visitors and the hospital assets from both natural and manmade emergencies. Regular training is being conducted to make the staff well versed with the handling of the equipment as per the Emergency situations. The Security department provides support to the medical staff to carry out unhindered patient care as per the policy of the Institute. The security department is assisted by an outsourced security agency to provide round the clock fire and security cover.The Hospital is well equipped with various security equipments like CCTV System and access control system, DFMC,HHMD, underbelly mirror, walkie –talkie sets, fire alarm systems etc. Fire fighting system of the institute is as per National Building Code, Part-IV & Delhi Fire Service Act 2007 and Rules 2009. The fire extinguishers in the institute are as per BIS-2190. The staff is well trained to operate the fire fighting equipments installed in the institute. Mock fire drills are conducted twice a month by the fire and security staff and is assisted by the engineering, housekeeping and medical operations department of the Institute. Mock drills on various emergency codes are conducted as per the NABH Policy & norms. The department observes fire service week from 14th to 20th April every year. Various activities are carried out to educate the staff about the fire (Identification, Prevention, Protection and Control) through presentations & drills. This year also a live fire evacuation drill was conducted on 20th April 2017 in the presence of Delhi Fire Service Officials during Fire Service Week. The Institute has the requisite fire clearances from Delhi fire service. 247

The fire and security Staff of the Institute comprises of the following staff duly supported by Shri Ved Prakash, General Manager (Engineering). Staff Name Designation Lt. Col R.S Singh Dy. Head Operations (NM/HR) Sh. Laxman Singh Deputy Manager (Fire & Security) Mr. Amit Gautam Assistant Manager (Fire & Security) Mr. Vikas Sehrawat Junior Executive (Fire & Security) Mr. Yogesh Kaushik Junior Executive (Fire & Security) Mr. Manjeet Solanki Junior Executive (Fire & Security) 248

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Photo Gallery 251

7th Convocation and Foundation Day Lamp lightning ceremony on 7th convocation day by Vice President of India Hon. Hamid Ansari , Deputy Chief Minister of Delhi,Shri. Manish Sisodia and Minister of Health, Delhi, Shri. Satyendra Kumar Jain. Message of Peace: Nobel Laureate, Dr. Kailash Satyarthi, delivered the 7th foundation day lecture. The Batch of 2107: Students awarded degree for successful completion of their academic programme in various disciplines on the 7th convocation day. 252

ILBS Icon Award ILBS icon award presented to Dr. Mike Turner, Director of Science, Wellcome Trust UK, by Director ILBS, Dr. S.K. Sarin ILBS icon award presented to Dr. Pratap C. Reddy, Chairman-Appolo Hospital Groups by Director ILBS, Dr. S.K. Sarin ILBS Oration award to Dr. Charis Brechot, Director INSERM, France, being presented by Director ICGEB, Dr. Dinkar Salunke 253

Celebrating Hepatitis Day Hon Union Health Minister, Sh J.P. Nadda being felicitated by Director ILBS, Dr. S.K. Sarin on occasion of World Hepatitis Day. Minister of Health, Delhi, Shri Satyendra Kumar jain, inaugurating the posters made by school children of Delhi, for hepatitis free India on Hepatitis Day. Free Hepatitis Screening programme an initiative of ILBS on Hepatitis Day. 254

Green Building Herbal Garden View of the ILBS Phase-II Fountain area near the OPD 255

Cultural event and Pledge of Hepatitis Free India 256



2017 MILESTONES 99983 OPD Patients 27495 Day Care Admissions 156563 Day Care Procedures 13712 Fibroscan 8156 Emergency Care 1219 Major HPB Surgeries यकृ तामृत 88 Liver Transplants 38 Renal Transplants 157 Number of Publications 27th University Ranking (MHRD-NIRF) A NAAC Accreditation Grade Annual Report 2017 Institute of Liver & Biliary Sciences A Deemed-to-be-University