1 Clinical Differentiation

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3 Busiest solid organ transplant program in the world since 20122013 2012 2014 2015 1200 >1400 >1500

4 Graft RPV Explant MHV Donor IJV Collateral

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6 ABO Incompatible Transplants

10 Clinical Excellence “ Scholarly approach to clinical practice – as well as exhibiting a passion for patient care, explicitly modeling this mastery to medical trainees, and collaborating with investigators to advance science and discovery ” Adapted from Mayo Clinic Proceedings September 2008 Miller-Coulson Academy at Johns Hopkins

11 Attributes of our clinical differentiationConsultant Expertise Advanced Technologies Outcomes Superspecialties Range / COE Accreditation Diagnostic Services Academics & Research Cross-departmental Collaboration Nursing Quality

12 Referral doctors weigh a hospital on a set of five clinical differentiation attributes before referring their patients Consultant Expertise Advanced Technologies Outcomes Superspecialties Range / COE Accreditation Diagnostic Services Academics & Research Cross-departmental Collaboration Nursing Quality Top two hospitals in the Week survey are always academic institutes - AIIMS, PGI

13 Patients choose their hospital on a set of six clinical differentiation attributesConsultant Expertise Advanced Technologies Outcomes Superspecialties Range / COE Accreditation Diagnostic Services Academics & Research Cross-departmental Collaboration Nursing Care

14 Mapping our clinical differentiators with the decision making attributes through the lens of referral doctors and patients brings areas of common interest Consultant Expertise Advanced Technologies Outcomes Superspecialties Range / COE Accreditation Diagnostic Services Academics & Research Cross-departmental Collaboration Nursing Care

15 Consultant Expertise Advanced Technologies Outcomes Superspecialties Range / COE Accreditation Diagnostic Services Academics & Research Cross-departmental Collaboration Nursing Care

16 Three themes emerge from the selected clinical differentiatorsConsultant Expertise Outcomes Superspecialties Range / COE Experience counts Measure outcomes comparable to the best in the West All specialties under one roof

17 Clinicians with overseas experience Consultant Expertise Outcomes Superspecialties Range/ COE Clinicians with overseas experience Clinicians with academic experience Innovative spirit Research and teaching interests Legacy

18 Consultants EngagementStar Consultants 2 stars amongst the top 5 in the city in focus specialties 1 amongst the top 5 in other specialties Nurture Future Stars 2 potential stars in focus specialties 1 potential star in other specialties Attrition Zero % for star consultants <2.5% for all consultants

19 Structured Meetings Consultants meeting with Clinical CoordinatorsApril, July, October and January Coordinators meeting with Hospital Leadership May, August, November and February Consultants meeting with Hospital Leadership June, September, December and March* * Annual Departmental Performance Review Meeting

20 Collaborative GovernanceClinical Governance Committee Meetings Clinical Advisory Group (CAG) 86 Consultants in 6 hospitals Specialty Advisory Group (SAG) 148 Consultants across 14 specialties in 6 hospitals

21 Social Engagement Apollo Doctors Society (ADSO)Each unit to start ADSO Annual Dinner To create a meaningful interaction between Consultants, their families and top leadership - Chairman or EVCs, MD, JMD Lunch Meetings To create meaningful interaction between Star Consultants and top leadership lunch twice a year with EVCs, MD, JMD

22 Academics and ResearchTop 10 US Hospitals Founding Year Massachusetts General Hospital, Boston 1811 Mayo Clinic, Rochester, Minnesota 1889 Johns Hopkins Hospital, Baltimore UCLA Medical Center, Los Angeles 1955 Cleveland Clinic 1921 Brigham and Women's Hospital, Boston 1864 New York-Presbyterian University Hospital of Columbia and Cornell, New York 1771 UCSF Medical Center, San Francisco Hospitals of the University of Pennsylvania-Penn Presbyterian, Philadelphia 1871 Barnes-Jewish Hospital/Washington University, St. Louis 1902 Never a HCA, Dignity Health Hospital 142 Years Average age

23 13 163 140 Papers recognized Published papers recognized in 2009Published papers received for recognition in 2015 Papers recognized in 2015 13 163 140

24 Adjunct Titles and Clinical FellowshipsAdjunct Title of Professor and Associate professor of AHERF in 2015 Total 14 70

25 Clinical Fellowships Seats 21 Locations 10

26 Diplomate of National Board (DNB) and Fellowship of National Board (FNB)15 Locations 38 Specialties / super specialties 348 Seats 638 Trainees Pass percentage National average - 40% 70%

27 Apollo Medicine Started in September 2004 and 46 issues published so far Articles and interesting videos can be uploaded on Elsevier Editorial System (EES) Apollo medicine also accepts articles from non Apollo physicians Indexed with Science Direct Page view of Apollo Medicine has shown an upward trend from to 58974

28 Research and Academic activities by our consultants - 201566 Chapters 276 Publications 438 Lectures 95 Memberships Professional positions 80

29 Excellent consultants State-of-the-art technology Accreditation Consultant Expertise Outcomes Superspecialties Range / COE Excellent consultants State-of-the-art technology Accreditation Back-up of all specialties

30 Multi-specialty support improves outcomes Consultant Expertise Outcomes Superspecialties Range / COE Multi-specialty support improves outcomes Multidisciplinary collaboration allows more challenging cases – separation of twins Niche technology in COEs – Cyberknife, PET MRI, Proton Superspecialty that is difficult to replicate – Endosonography, Robotic reconstruction for pediatric urology Focus to achieve large volumes – Solid organ transplantation

31 Clinical DifferentiationMedical Community Non-Medical Community Physical Digital Print Electronic Clinical Differentiation Establish clinical differentiation of the Apollo Hospitals Group by reaching out to the medical and the non-medical communities proactively

32 Early Recognition Disease ManagementFor GPs and community physicians Credit points from state medical councils Early Recognition Each module will be of 8-10 hours of study Recognizing Myocardial Infarction Recognizing Stroke Recognizing Cancer Recognizing Connective Tissue Disorders Recognizing Mental Disorders Disease Management Each module will be of hours of study Management of Hypertension Management of Diabetes Management of Dyslipidemia Management of Thyroid Disorders Management of Chronic Kidney Disease Management of Obesity

33 A Continuous Professional Development (CPD) program for SpecialistsUnique cases to be discussed within a panel of Apollo Consultants Credit points from State Medical Councils Internal Medicine Gynecology Orthopedics ENT Laparoscopic Surgery Pathology Pediatrics Radiology

34 A Continuous Professional Development (CPD) program for Super SpecialistsAdvances in medical sciences in super-specialties i.e. innovative technologies, techniques and medicines Credit points from State Medical Councils Neurology Cardiology Critical Care Neurosurgery Cardiac Surgery Endocrinology Nephrology Transplants Gastroenterology Urology Oncology Rheumatology

35 Digital Media: Medical and Non - Medical CommunityApollo Website Newsletter s SMS The ACE Forum Online Lectures Social Media ACE Forum

36 Level I Level II Level III ACE Platform Three IPSGsThree Hospital Indicators Two Hospital Policies Level I Four IPSGs Five Hospital Indicators Three Hospital Policies Level II Six IPSGs Six Hospital Indicators Four Hospital Policies Level III

37 5th International Patient Safety Congress 2015The 5th International patient safety congress 2015 was a big ticket health-care event in association with highly reputed professional organizations as knowledge partners. After the phenomenal success of the conferences conducted in the year 2011, 2012, 2013 in Hyderabad, and 2014 in Kolkata, followed by 5th International Patient Safety Congress in the IT capital of India - Bengaluru. The international event on patient safety served as a unique platform where global healthcare leaders shared their experiences and exchanged knowledge, expertise and innovations on patient safety. 1822 Delegates 150 Speakers 20 Countries 120 Nominations for Awards 140 Papers 5 Keynote

38 Awards - 2015 7 Hospital Management Asia Awards in 6 categoriesAustralian Service Excellence Award in the category “Division of a Large Business - International” Porter Prize for Value Based Healthcare Prestigious FICCI Healthcare Excellence award in “Patient Safety” Apollo declared ASSOCHAM India-Africa Champion for outstanding contribution in Africa’s Healthcare sector 23rd National CII Quality Summit awards in three categories won by Apollo Chennai Association of Healthcare Providers of India (AHPI) award won by Apollo Cradle Bangalore

39 Awards CII-ITC Sustainability Awards won by Apollo Gleneagles, Kolkata First prize in CII southern region KAIZEN competition in the large scale / Service category won by Apollo Chennai Best Employer of the Year ( ) The Golden Peacock Business Excellence Award won by ASH Vanagaram CIMS ‘Best Hospital of the Year’ award for 2nd consecutive year won by Indraprastha Apollo Hospitals, Delhi Ko Awatea award won by Apollo Delhi, for improving and creating a culture of patient safety

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