Kohinoor Hospital Mecca of Surgeons – Dr Rajeev Boudhankar, Vice President
Kohinoor Hospital is Asias first and the worldssecond LEED platinum rated Green Hospital certified by the Green Building Council of the UnitedStates. Dr Rajeev Boudhankar, Vice President, inconversation with Rachita Jha, ENN
What steps did your hospital take to get the accreditation?
Like other hospitals, we did not engage the services of a consultant. We formed a core team with a quality officer at its helm to oversee the whole process. We first arranged a training programme for all our staff members through the NABH, for the third edition of the NABH accreditation. The faculty visited our hospital and conducted interactive training sessions. The staff was encouraged to ask questions and raise doubts, if any. The NABH had given certificates of participation and booklets of the third edition to all the participants. This certificate encouraged our staff a lot as they were officially certified as NABH trained.
The next step was percolation of all that was taught from the departmental heads to their subordinates. Internal sessions were conducted for consolidation of the training and closing the gaps in the departmental SOPs, infrastructure, etc., by the HODs and the quality officer in close coordination. Everyday a mail was sent summarizing and highlighting one standard. We organised quiz competitions during our monthly Dhammal programmes, as per NABH standards, for our employees. Prizes were given for the right answers. HODs and the Quality officer went around the hospital on surprise rounds and asked questions to the staff related to their departmental SOPs and other aspects of accreditation. Surprise audits were conducted. We also included a separate module on NABH accreditation in our induction program for new employees. This way we identified our weak areas and made course corrections. We conducted surprise drills for various emergent situations like code blue, code red, etc. We also encouraged our consultant doctors to be the part of the accreditation process by sharing with them all the NABH requirements during our monthly town hall meetings with them. They, too, actively participated and started following all the NABH guidelines in the IPD, wards, OT, cath lab, audit committees, etc.
This helped us gain confidence, even without the help of any quality consultant. All along the way our CMD and Director kept the morale of ourstaff high by providing help required for closing the gaps and encouraging us all.

What latest services have been introduced for patients?
We have introduced many clinical programmes which are unique in their own way. For example, our ENT department is fully-equipped with stateof- the-art gear. We have introduced cochlear implant programme recently. We have introduced a Vertigo Clinic, which is the first of its kind in Mumbai city. We had observed that patients complaining of vertigo are referred from one department to another and they get fed up touring the entire hospital! So, we have taken care to see that the patients are treated by one team at the Vertigo Clinic.
The Sleep Apnea Clinic was introduced for patients who have symptoms of snoring or somnolence in the day time. The common practice is to put these patients on BIPAP machines and broncho-dilators. But this would be temporary and hence a permanent surgical cure is offered to these patients.
We have also introduced a Speech Correction Programme. This is a boon to males with effeminate voice and vice-versa, and which can be permanently corrected by surgical intervention.
The next clinical programme is the Acute Stroke programme. The importance of golden hour cannot be over-emphasized in acute neurological stroke. We have, therefore, implemented this programme to save lives and also minimize morbidity.
reWe have introduced a very affordable Bariatric Surgery Programme. The common misunderstanding is that it is meant for rich patients due to the cost factor. However, we have burst this myth and the hospital has surgery packages which help common patients.
Recently, we also got the renal transplant license and we are now an authorized centre for kidney transplants.
We have introduced the LESS (Lower End Sternal Split) surgical intervention for patients requiring CABG surgery. The small single incision approach will revolutionise cardiac surgeries. This is helpful, especially, to female patients as the surgical scar is hardly visible.
We have introduced HIPEC (Hyperthermic Intraperitoneal Chemotherapy) oncology programme for cancer treatment. Very few hospitals here have this programme and Kohinoor Hospital is one of the few centres to have this modality in cancer care.

What kind of emergency services do you have in place?
Cardiology emergency services have the state-of-the-art ICCU with 24×7 Intensivists, Cath Lab for PAMI (primary angioplasty for acute myocardial infarction) .
What are the modern equipments you have deployed in diagnosis and treatment?
We have mammography, Dexa Bone Densitometry and Super Specialty ENT programme as the latest additions in our bouquet of equipments.
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