๐ฅ SVP Hospital – Project Aarohan Visit Summary
๐ Date: 6th August 2025
๐ Location: SVP Hospital, Ahmedabad
๐ฅ Delegation: 8-member team from Project Aarohan
๐ Received by:
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Dr. Tripathi (Medical Superintendent)
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Ms. Kavita (Operations Head from Archimedes Consultancy Pvt. Ltd.)
1️⃣ SVP – A Unique Governance Model
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Operated under AMC (MET) authority.
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Clinical Services managed by NHL Medical College.
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All Non-Clinical Services (NCMS) are outsourced and managed by:
๐น Archimedes Consultancy Pvt. Ltd. (AICPL)
๐น Functionally integrated team managing operations end-to-end.
2️⃣ Outsourced Departments (As per presentation)
Under Archimedes Consultancy, the following departments are outsourced and functionally managed:
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Patient Registration (UHID)
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Appointments & Admission
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Inpatient & Outpatient EMR (E-MRD)
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Emergency & Trauma
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Radiology & Imaging (PACS)
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Lab Information System (LIS)
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Pharmacy
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Diet & Nutrition (Patient Meal Tracking)
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Claims & Billing
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Purchase, Stores & Inventory
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CSSD
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IT Helpdesk
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Intranet, Queue Management, Biomedical Support
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Facility Management & Support Staff
๐ฒ All modules are integrated into iHIS, forming a fully paperless digital system.
3️⃣ Hospital Infrastructure Highlights
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18-storey steel structure, helipad on 18th floor.
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1500 beds, with:
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442 ICU beds
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60 Emergency & Trauma
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127 Executive beds (expandable to 200)
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32 OTs, including 8 modular theatres
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Dialysis Unit, 2 Cath Labs, Central CSSD
4️⃣ Paperless From Day One (Since 2019)
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Fully digital hospital with:
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Barcode-enabled peripherals
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Modality-integrated LIS & PACS
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Partial QMS integration
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Cloud-linked patient reports via Patient Portal
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๐น Patient Portal gives real-time access to:
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Lab/Radiology reports, OP Summary, Visit Details, Bills
5️⃣ Robust IT Backbone
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Managed by IQVIA – Global HMIS & clinical trial giant.
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Dedicated team of 20+ IT experts under AMC.
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24×365 IT support
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70+ servers, 15 compute nodes, 110 TB SAN storage
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VMware, SimpliVity, Citrix-based compute architecture
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DR site, endpoint management, cybersecurity & MIS
6️⃣ Intranet Dashboard
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Real-time stats: OP/IP admissions, ER visits, surgery data
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Integrated with patient portal, HIS, PACS, and biomedical support
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Displays “Thought of the Day,” news, and escalation matrix
๐ข SVP Hospital stands out for its PPP governance, modular outsourcing, and full-stack digital ecosystem—offering a unique blend of government accountability with private sector agility.
7️⃣ IT Presentation & Department Visit – SVP Hospital
After the initial hospital overview, the IT presentation was delivered by Mr. Sanjeet K Shrivastava, Project Head – IT Support & Services (IQVIA) at SVP Hospital. He walked us through the robust IT backbone that powers the hospital’s paperless, fully digital operations.
Mr. Sanjeet elaborated on:
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Their in-house datacenter, managing over 70 servers and 15 compute nodes
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HIPAA-compliant EMR & RIS, integrated with PACS and LIS
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A 24×365 support system, fully managed by IQVIA under AMC guidance
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Use of SimpliVity (HP), VMware, Citrix for compute, storage, and endpoint control respectively
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Disaster Recovery site, queue management tools, cybersecurity, and patch control
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Live dashboard monitoring and ticket tracking
Following the presentation, Mr. Sanjeet personally escorted us to the IT department.
There, he explained their 4-tier IT support system:
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๐น Level 4 engineers are deployed 24×7 on each floor for immediate issue resolution.
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๐น All complaints are logged via automated ticketing, tracked digitally.
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๐น Resolutions are closed online, and performance is audited through dashboards and MIS reports.
We were impressed by the professionalism, scalability, and real-time responsiveness of their IT operations — a key enabler of their paperless hospital model.
๐ผ Business Card Attached: Mr. Sanjeet K Shrivastava
๐ 9408642437
๐ง sandeet.iqvia@svphospital.com | sanjeet.shrivastava@iqvia.com
8️⃣ Registration & Queue Management Area
๐ฅ [Videos – Registration Workflow & Queue System]
We then visited the Registration and Billing area, located at the spacious ground floor lobby. It was refreshing to see how SVP Hospital has implemented a highly efficient queue management system — especially commendable in a government-run medical college setup.
๐ฅ The process:
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Upon entry, a staff member at the Token Counter hands out a system-generated digital token number.
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Patients wait seated in a designated arena until their token is called.
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Only then do they approach the registration counters — ensuring zero crowding and a peaceful OPD environment.
๐ฅ️ The registration system is fully digital using the IQVIA HIS platform.
Each patient is issued a UHID card, which serves as a lifetime hospital ID.
๐ฅ Key Facilities at Registration:
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13 counters in total.
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One dedicated counter for CGHS patients
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One exclusive counter for senior citizens
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Integrated billing and registration system
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Photo capture, demographic entry, clinical visit tagging, and digital payment (ICICI EDC) done at the same desk
๐ธ Images attached show:
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Real-time IQVIA registration screen
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Patient queue at 11:32 AM
✅ Highlight: For a high-volume public hospital, this level of organized, digital-first queue and billing management was truly exemplary.
Absolutely! Here’s a crisper version of the OPD EMR section in report style:
9️⃣ OPD EMR – Paperless Outpatient Workflow
๐ฅ Video Links:
We observed the paperless OPD workflow at SVP Hospital, where doctors use the IQVIA iHIS platform for all clinical documentation.
๐ฅ️ Key highlights:
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Digital access to patient demographics, visit history, vitals, and consultation notes.
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e-Prescription, lab/radiology orders, and follow-up scheduling integrated.
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EMR is seamlessly connected to pharmacy, diagnostics, and billing.
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Doctors work without paper files, and data flows in real-time across departments.
๐ Compliance: Role-based access and audit trails ensure data security.
✅ The OPD is fully paperless, efficient, and well-suited for high patient volumes.
๐ IPD Admission & Bed Management – 100% Paperless
๐ Location: Admission Desk & Bed Board Area
๐ฅ Video Link – Bed Management Workflow
We next visited the Inpatient Admission Desk, where SVP Hospital demonstrated end-to-end digital workflows for patient admissions and bed allocation using the IQVIA iHIS system.
๐ฅ️ Observations:
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All admissions are recorded via EMR—no paper files or forms.
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The Admission Module captures:
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Patient details
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Department/ward allocation
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Clinical category
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Billing status (PMJAY, CGHS, self-pay, etc.)
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๐️ Bed Management:
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SVP uses a live bed board system—color-coded and status-tagged.
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Green: Vacant
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Red: Occupied
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Yellow: Housekeeping
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Grey: Under maintenance
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Ward-wise and ICU-wise bed availability, utilization, and turnover are tracked in real time.
๐ Another dashboard showed donut charts and analytics on:
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Total occupancy
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Discharges
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Daily updates per unit
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Reserved vs. available beds
๐ก Unique Feature:
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Separate Admission & Registration Counters for PMJAY (Ayushman Bharat) beneficiaries.
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Dedicated pharmacy desk for scheme-based dispensing, fully integrated into the billing and EMR chain.
✅ The entire inpatient workflow—from admission to bed assignment—is digitally managed, supporting transparency, efficiency, and data-driven hospital operations.
๐ธ Images included:
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Admission screen
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Live ward bed status
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Analytics dashboard
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PMJAY Registration Counters in the main atrium
1️⃣1️⃣ ICU Visit – Paperless Workflow & Automation
๐ Location: Critical Care Unit
๐ฅ Video Link – ICU Walkthrough
The team then visited the ICU, where we witnessed a fully paperless critical care environment integrated with digital medication and diagnostic workflows.
๐ฅ️ Key Digital Features:
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The ICU uses a dedicated EMAR (Electronic Medication Administration Record) for bedside drug administration.
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Nurses scan the barcode on the medicine label, validate dosage and timing, and document the administration digitally.
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System also includes alerts for late or missed doses, enhancing medication safety.
๐งพ Seen modules:
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MAR timeline
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Administration history
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Status (administered/pending)
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Barcode scanning for double-check
๐งช Barcoding & Pneumatic Tube System (PODs):
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All lab samples in the ICU are labeled with barcoded stickers printed bedside.
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These samples are sent to the lab via a pneumatic chute system (PODs) — eliminating manual transport, improving turnaround time and reducing errors.
๐ธ Images attached:
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EMAR in use by ICU nurse
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Barcode printer (Zebra)
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Pneumatic tube unit
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Live ward screen for bed status & medication flow
✅ The ICU operates with zero physical charts, offering a robust, safe, and scalable digital critical care model.
1️⃣2️⃣ Ward Visit – Comfortable, Structured, and Digital
๐ฅ [Video Links – Ward Rounds]
The team visited the general wards, which were well-organized, clean, and digitally enabled for smooth inpatient care.
๐️ Environment:
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Each ward cubicle was separated with partial wooden partitions and curtains, offering privacy while maintaining visibility.
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All beds had dedicated nursing stations, computers, barcode printers, and drug administration screens.
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A strict “One-Visitor Only” policy was followed, ensuring patient comfort and infection control.
๐ฅ️ EMR Integration:
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Medications and vitals were updated on the iHIS platform (EMAR module).
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Only after documentation in EMR were printouts generated, for convenience and backup — not as a primary record.
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The nursing interface displayed:
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Diagnosis, patient vitals, care notes
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Complete drug charts with timestamps
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Barcode-based drug scanning
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๐ธ Images included:
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Ward interiors and layout
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Nurse working on EMAR system
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Medication chart digitally documented
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Visitors seated outside partitioned cubicles
✅ SVP wards maintain a paperless clinical workflow, while balancing operational needs with patient dignity and hygiene.
1️⃣3️⃣ TPA & Billing Department Visit
At this stage of the visit, our team split into smaller groups. Dr. Himanshu focused on the Billing and TPA section, exploring their processes in depth.
๐ก Key Observations from Dr. Himanshu’s Walkthrough:
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Fully Integrated Billing in iHIS
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All charges—consultations, investigations, pharmacy, procedures, bed charges—flow automatically from the EMR into the billing module.
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Eliminates the need for duplicate data entry and reduces errors.
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Scheme-Based Billing
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PMJAY, CGHS, and other empanelled schemes have preloaded tariffs.
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Approvals, claim submissions, and document uploads are handled directly in the system—no paper files.
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Real-Time Claim Status
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TPA officers can instantly view approval status, pending queries, and discharge readiness.
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Refunds & Adjustments
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Processed digitally within the EMR billing interface.
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Refunds, if applicable, are linked to the hospital’s finance system without manual paperwork.
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Patient Flow-
Discharge billing is triggered only after EMR-based clinical clearance.
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The system ensures patients do not move between multiple counters; internal coordination between billing and TPA teams completes the process.
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A token-based queue manages patient interactions at billing counters efficiently.
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✅ Dr. Himanshu noted that the tight integration between clinical and financial data enables fast, transparent, and audit-ready billing, while reducing patient waiting times.
1️⃣4️⃣ Laboratory Visit – Digital Integration with HIS
Bushra madam visited the SVP Hospital Laboratory for a closer look at their diagnostics workflow.
๐ฅ️ Key Highlights:
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Fully paperless laboratory operations, with Lab Information System (LIS) integrated into the iHIS platform.
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The VITEK automated microbial identification and susceptibility testing system is directly linked to HIS, enabling:
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Auto-transfer of results into the patient’s EMR.
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Immediate access for clinicians without physical report movement.
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Workstations display live data from Arcus Air interface for VITEK report generation and review.
Dual Barcode System for Lab Samples:
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First Barcode: Pasted at the time of sample collection (OP/IP) — contains full patient details.
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Second Confirmatory Barcode: Pasted upon receipt of the sample in the lab for verification and tracking.
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Manual Registers: Despite being paperless, SVP maintains manual registers for all samples sent, both from OPD and IPD, similar to our current hospital practice.
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Blood Bank Integration: The blood bank is not yet integrated with the hospital’s software — noted as an addendum for the lab section of the report.
Dual Barcode System for Lab Samples:
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First Barcode: Pasted at the time of sample collection (OP/IP) — contains full patient details.
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Second Confirmatory Barcode: Pasted upon receipt of the sample in the lab for verification and tracking.
Manual Registers: Despite being paperless, SVP maintains manual registers for all samples sent, both from OPD and IPD, similar to our current hospital practice.
Blood Bank Integration: The blood bank is not yet integrated with the hospital’s software — noted as an addendum for the lab section of the report.
๐ Exceptions:
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Although testing and reporting are paperless, Critical Value and Rejection Registers are still maintained manually in bound books, likely for regulatory compliance and quick reference during audits.
✅ The visit reinforced SVP’s commitment to automation and integration, ensuring faster turnaround times and better accessibility of lab results while keeping essential manual logs where mandated.
๐ธ Images included:
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VITEK software integrated with HIS.
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Arcus Air interface screen.
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Manual critical value register.
1️⃣5️⃣ Linen & Laundry Area Visit
๐ฅ [Video Links]
The team also visited the linen and laundry services, which are operated under the outsourced facility management model managed by Archimedes.
๐งบ Key Observations:
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Zoned Layout – Clear separation between dirty linen receiving, washing & processing area, and sterile storage, ensuring infection control.
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Industrial-Grade Equipment – High-capacity washers, dryers, and flatwork ironers to handle hospital-scale linen turnover.
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Tracking & Accountability – Linen movement is documented for each department, ensuring timely replenishment.
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Integration with FMS & CSSD – Clean linen is directly routed to wards, ICUs, and OTs with minimal handling.
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Hygiene Protocols – Staff use PPE, and the workflow maintains unidirectional flow from dirty to clean areas.
✅ The linen services are professionally managed, high-volume capable, and quality-assured, mirroring corporate hospital standards while being entirely under an outsourced management model.
1️⃣6️⃣ Central Sterile Services Department (CSSD)
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Best CSSD observed so far — exceptionally organized and efficient.
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Separate lifts for dirty trays from OT and for clean trays going back — ensuring zero cross-contamination.
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Ample extra tray sets kept ready so that no surgical team has to wait.
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Instruments in use for over 8 years, still in excellent condition due to meticulous maintenance.
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Thorough cleaning process with proper lubrication of instruments after every cycle.
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Autoclaves from Tuttnauer with integrated printers for cycle documentation.
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Well-labeled tray content checklists for every set (e.g., ND Tray list).
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CSSD staff follow a highly disciplined workflow, ensuring uniform quality every time.
OTHER IMPORTANT POINTS :
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Fully Digital Hospital – 100% paperless operations from registration to discharge, integrated through IQVIA Hospital Information System (iHIS) with EMR, EMAR, LIS, and PACS.
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On-Site IT Expertise – 20- 25-member IQVIA IT team stationed permanently, providing 24×365 support for all hospital modules.
EMRD at SVP Hospital
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๐ฅ Fully integrated EMR & EMRD within their paperless model.
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๐งพ Consent forms, requisitions, clinical notes – all digital, captured on tablets with e-signature.
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๐ Single login for OPD, IPD, investigations, pharmacy, and administrative modules.
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๐ Electronic Medical Record Department (EMRD) handles storage, indexing, retrieval, and audit of all digital records.
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๐ JCI-compliant documentation templates embedded into EMR.
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๐ Long-term archival with secure, role-based access control for clinicians and auditors.
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๐ก Data security ensured via encryption and multi-factor authentication.
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๐ Dashboard analytics for tracking pending documentation, missing entries, and compliance scores.
SVP Ahmedabad – Department of Radiology (Key Observations) ๐ฉป
Faculty Lead: Dr. Jai Chaudhry
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PACS & Integration:
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Medsynapse PACS used for all reporting, fully integrated with IQVIA HIMS.
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Residents prepare reports on multiple PACS workstations.
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Report Workflow:
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Addendum system in place – old reports cannot be edited or deleted; any correction is issued as a new addendum visible under the original.
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Junior residents draft reports; senior residents review & finalize after 5 PM.
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Data & Upload:
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All reports uploaded directly to HIMS.
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Bedside Imaging Protocol:
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No physical requisition for portable X-ray/USG.
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Indent done via software + phone call to department.
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Limitation: No popup/notification for urgent requests.
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Bedside USG reports typed in department and uploaded to system.
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Operational Efficiency:
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Dedicated portable X-ray machines & technicians for ICU and ER to avoid delays.
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All radiology machines fully integrated with software.
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Documentation & Compliance:
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Physical registers maintained for appointment and dispatch tracking.
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Physical files still kept for NMC, AERB, PCPNDT compliance.
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Special Key Features of SVP Hospital ๐
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๐ฏ Patient Escort Service: On admission, every patient is personally escorted by a GRE (Guest Relations Executive) to their respective ward. GRE arranges wheelchair or stretcher support based on patient needs.
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๐ GRE Qualification: Must have minimum 1 year experience of working in a hospital with at least 300 beds.
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๐ IPD Medicine Delivery: Medicines for inpatients are delivered by GREs directly to the ward. Turnaround Time (TAT) is defined and monitored — non-compliance leads to financial penalties for the contractor.
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๐ Lift Security: All lifts are guarded and operated by trained Security Guards to ensure patient safety and smooth movement.
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๐ฉ๐ผ Floor Administration Managers: Act as the first point of contact for patients. Responsibilities include:
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Addressing patient complaints
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Daily financial check-in with patients
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Coordinating with billing for updates
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Tracking pharmacy TAT
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Managing referrals, investigations & OT appointments
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Discharge coordination — pre-discharge planning, summary preparation, drug return, report collection, billing sheet verification
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Collecting patient feedback at discharge
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๐ Accountability & Coordination: The integration of GREs, floor managers, and departmental coordination creates a seamless operational flow with clear ownership at every step of the patient journey.
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Operational Outsourcing Excellence – All non-clinical services are outsourced to Archimedes Consultancy Pvt. Ltd., the same company that built the facility and now manages facility management services (FMS) and day-to-day operations. Also the Construction architecture was done by them .
https://www.archimedes.in/index.html- https://archimedes.in/downloads/profile.pdf
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Integrated Automation –
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Pneumatic tube system for rapid blood sample transport.
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Barcode-enabled workflows for lab, pharmacy, and nursing drug administration.
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Automated billing and TPA claim processing.
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Photo-capture at registration with visibility across all modules for patient identity verification.
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Collaborative Governance Model –
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Clinical services run by NHL Medical College.
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Non-clinical operations managed by Archimedes under AMC supervision.
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Clear separation of responsibilities ensures quality patient care and operational discipline.
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Benchmark Model – SVP Hospital demonstrates that with the right governance, IT backbone, and skilled outsourcing, a government medical college hospital can match or surpass corporate hospital efficiency.
Outsourced Non-Clinical Workforce via Quess Corp – SVP Hospital partners with Quess Corp, India’s No. 1 and a global leader in staffing solutions, to manage all non-clinical, non-medical staff, including nurses, general duty assistants, quality & safety teams, facility management staff, and CSSD. This centralized outsourcing ensures standardized training, scalable manpower deployment, and consistent service quality across operations.
What We Can Adapt from SVP Hospital Model
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Alignment in Scale & Patient Demographics – SVP operates in a social and economic environment similar to ours, making their strategies relevant and feasible for MGH.
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Queue Management – Implement digital patient flow at OPDs and registration, reducing waiting times and crowding, similar to SVP’s efficient triage and registration desks.
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Paperless Transition with Strong IT Support –
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Establish an on-site IT team (minimum 8–10 dedicated professionals initially) for round-the-clock EMR support.
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Target a phased EMR rollout with concurrent hardware upgrades.
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Hardware Deployment Standards –
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ICU: One fixed computer per bed + two COWs (Computers on Wheels) per ICU unit for flexibility.
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Wards: 1:5 computer-to-bed ratio, with systems placed strategically in lobbies for accessibility.
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Barcode Printing at Collection Site – Install barcode printers in wards and ICUs to print labels at the point of sample collection, reducing labeling errors and improving tracking.
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Pneumatic Tube System for Blood Samples – Implement for OPD/IPD blood sample transport; retain manual transport for urine, stool, biopsy, and other non-blood samples.
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Centralized Laboratory Model – Locate all labs in one consolidated area to minimize staff movement and reduce turnaround time for sample processing.
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Phased EMR Rollout – Avoid “big bang” implementation; follow a stepwise module deployment:
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Hardware readiness (computers, networking, barcode printers, scanners, printers).
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OPD EMR and HR EMR in parallel.
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Emergency EMR implementation.
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ICU EMR deployment.
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Ward EMR completion.
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Dual-Side Development – While rolling out patient care EMR (OPD, Emergency, ICU, Wards), also strengthen HR, pharmacy, and administrative EMR modules in parallel.
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Focus on Hardware First, Software Second – SVP’s success shows that even the best EMR fails without adequate and accessible hardware; invest upfront in reliable machines, networking, and backup systems.