The city of Vijayawada has a population of 1.5 million. This is the cultural, educational and financial centre for coastal Andhra Pradesh, the agriculture heart land of Krishna & Godavari delta. Nagarjuna Hospital, owned by Nagarjuna Hospitals Ltd is a 140 beds speciality hospital located in spacious premises of 4.5 acres. The hospital has excellent infrastructure incorporating state of the art medical technology supported by a team of experienced consultants, medical officers and qualified nurses. This is a tertiary referral centre for medical gastroenterology, surgical gastroenterology, respiratory medicine, intensive care medicine, anaesthesiology, orthopaedic surgery, trauma care, nephrology, neurology, neuro surgery and plastic surgery. In addition medicine, surgery, paediatrics, obstetrics and gynaecology services are also available.
In spring 1987, 7 Indian doctors met in London and discussed about the need for an emergency care hospital in Vijayawada. People from coastal districts had to travel to Hyderabad or Chennai for speciality care. Many emergencies never managed to reach the far away hospitals. The meeting was convened by the founder Chairman Dr. K. Jagan Mohan Rao. The decision was taken to start a speciality hospital in Vijayawada. It was also decided to create a healing atmosphere in a spacious campus. Giving priority to medical services, keeping the cost of hospitality services to a minimum and making the facilities available even to low socio economic classes were the aims. Dr. Madhusudhana Rao Vallabhaneni, philanthropist, founder director of Nagarjuna and a consultant psychiatrist in Canada named the Hospital “Nagarjuna” after the first physicist and physician of ancient Buddhist Andhra Pradesh. We put on record, the tireless efforts of Dr. U. Srihari Rao and Mr.K.S.Ranganayakulu who helped us to acquire the land suitable for the aims of the group.
It was started as a group practice with 50 beds in Dec. 1992. 7 doctors came here to work and more doctors remained in UK & US as promoters and continued to support the hospital to date. This group was joined by more doctors and now the team has 23 whole time consultants, 13 visiting consultants and 18 medical officers. The hard work and dedication of the faculty i.e, the doctors, nurses, technicians & administrative staff contributed significantly to the success of the institution.
Vijayawada has a rich medical heritage. The age old Bezawada medical association was the pioneer of continuing medical education in the city. This is also home for eminent doctors such as Dr.Uppalapati Venkata Ratnam and Dr.Pinnamaneni Venkateswara Rao. The 1st team of doctors recollects that in early 90’s, before Nagarjuna Hospital was started, people had to go for specialist medical care and emergency care to other cities. None of the private hospitals accepted medico legal cases such as poisoning and road traffic accidents. The only blood bank operated during day time and the blood was collected from professional donors. No proper mechanical ventilation facilities in the ICU setting were available in the region. Investigations such as electrolyte estimation and ABG estimation were not available. Life saving procedures such as therapeutic endoscopy for acute GI bleeding, temporary pacing for complete heart block and central venous line placement etc., were not done. Other services like ERCP, pancreatico biliary surgery, joint replacement surgery, orthopaedic surgery using image intensifier, cerebro vascular surgery were also not available. The 1st recognized blood bank in the city was started in Nagarjuna. The hospital acquired two image intensifiers, one for orthopaedic & neuro surgical use in the operation theatre complex and the second one for radiology & gastroenterology. Nagarjuna started most of the above services and continued to provide them on a regular basis over the years. The tariff was set so that most of the local population could afford it.
We would like to put on record that 19, 307 patients were seen in the out patients clinics, 4, 430 were treated as inpatients. 127 patients were ventilated in the ITU with total ventilator hours amounting to 694 ventilator days. 2,151 patients were treated in the intensive care units. To our knowledge this is the only hospital in the state which performed (100) Double Balloon Enteroscopy tests and 1000 Trans Nasal Upper GI endoscopy procedures, 890 major surgical procedures were performed. This includes major trauma surgery, neuro surgical procedures, major GI surgical procedures such as Whipple’s resection.
Regular clinical meetings are held every week. Nagarjuna Hospital has conducted 10 major CME programmes for the doctors in the region. This includes Nephrology & Pulmonology conferences. A live endoscopy workshop (2001) & a laparoscopy workshop (2002) with video transmission were During the recent ASI state conference .Laparoscopic surgeries were transmitted live from our operation theaters to delegates in the near by auditorium. Nagarjuna Hospital encourages Doctors & staff to attend conferences. The details of workshops, CME programs and conferences attended will be available in the personal folders of each employee.
Nagarjuna hospital has departments recognized for their excellence. Gastroenterology, GI surgery, intensive care medicine, neuro surgery, orthopaedics &trauma surgery are among them. The hospital has whole time consultants, visiting consultants. There are 5 whole time consultants in the intensive care & anesthesiology team, three in the gastroenterology and two each in the orthopaedic surgical and OBG departments. DR U.Sree Lakshmi, co-founder of the hospital played a pivotal role in developing the intensive care department. The neuro surgery department headed by Dr. D. S. Siva Kumar is a tertiary referral centre for neuro surgery and does major neuro surgical procedures such as neuro vascular surgery, tumor surgery and cervical spinal surgery. The medical and surgical gastro enterology departments are well known for their achievements.
Nagarjuna hospital has treated many free patients. Aarogyasri Patients have a special facility for free consultation. Many free investigations are being conducted on recommendation of Doctors for poor patients. Nagarjuna Hospital conducts free camps in the campus from time to time. Regular diabetic camps are conducted in Penumatsa in association with Dandamudi trust & Mylavaram in association with Chaluvadi trust. Hospital also supports free camps in Challapalli. 101 free rural health camps were conducted during the year 2008-2010 in association with aarogyasri health care trust. 3.8 % of total billed amount Rs. 21, 48,068/- was given as discount for the year 2008-2009. the discount amount for the year 2009-2010 is Rs.34,51,874/-.the fee exemption for outpatient investigations was Rs.56,900/- for the year 2008-2009 and Rs.61,330/- for the year 2009-2010. An average of 100 patients was seen in each camp in Mylavaram and medicines were given by Chaluvadi trust. In monthly diabetes camps in penumathsa, blood glucose estimation had been done free of cost for about 100 patients and free medicines were distributed by Dandamudi trust. Nagarjuna hospital is a sponsor for free mega health camps conducted by Gopalam trust in Challapalli. (1 camp every year).
Dr. KODALI JAGAN MOHANRAO, MRCP(UK) FRCP(Edin)
Dr. N.R.C. CHOWDARY
B.Sc, MBBS, DCH (Dub)
Sri. N.V. NAGESWARA RAO
Sri. K. SRI RANGANAYAKULU
B.A., B.Sc., B.Ed.ri,
Sri. P. DHANA PRAKASH
Dr. U. SREE LAKSHMI
M.D., DA, DA, (London), FFARCS (Dublin)
Dr. INDIRA RANI D. PRASAD
Dr. K. SATYAPRASAD
Dr. V. MADHUSUDANARAO
Dr. T. SRI RANGAIAH
M.B., D.A., D.C.P.
It is my pleasure to invite you to the 20th Anniversary of Nagarjuna Hospital. During this financial year we met our financial and operational goals. Our hospital has emerged as the first hospital in the region to start the quality journey towards improving client satisfaction, quality care and safety.
The hospital structure was the pride of the region at the time it was built. Over the years, staff and friends of the hospital attached important events and memories to the hospital. Many lives were saved and years of work were performed within the walls of the original structure. Medical technology and techniques have out stripped the capabilities of the original hospital building but the mission to serve the region is constant. A decision to reconstruct the building but the mission to serve the region is constant. A decision to reconstruct the building and to create additional space was taken to meet the growing needs. A careful method of reconstruction to preserve the structural integrity of the building and maintaining the ongoing clinical work of the hospital during the renovation was undertaken.
The operation theatres were renovated with air handling units, hepa filters, and positive pressure ventilation in addition to unidirectional flow of instruments, linen and staff. The central sterilization unit was re – designed with proper layout giving due attention to unidirectional flow and zoning with separation of clean and dirty areas. Non clinical departments such as medical records, store, research office, physiotherapy and Administrative office, have been moved into New Annex Building, creating more space for clinical areas in the main hospital building. Total reconstruction of pharmacy, A&E, imaging services and outpatients wing had been undertaken, making them more functional. The canteen had been renovated and equipped to meet the nutritional needs of patients. The aging electrical supply facility was totally replaced by a safer system. Other safety measures such as fire, sewage treatment, noise emission limitation were also given due importance.
Buildings are built, transformed or remodeled. Constantly evolving medical technology is accommodated by increasing the facilities; yet, the heart of the hospital remains the same – the dedicated staff, the doctors, nurses, technicians, pharmacists, clerical staff and housekeepers. Hundreds of employees arrive every day and night to offer their individual skills and the best of themselves to accomplish the mission of healing and comforting the sick.M
Our tradition of technology up gradation was given priority during the last year too. The major equipment that was acquired includes 5 mechanical ventilators, 1 transport ventilator, anesthesia crash carts, sonosite transport of sick patients (ventilator, monitor, freezer box, defibrillator, suction apparatus, oxygen supply) dialysis machine, infusion pumps (6) endoscope mechanical sterilizer, Siemens’ mobile x-Ray machine etc. we also acquired resuscitation and airway management trainers for effective training of our staff. Modern patient’s trolleys and ICU beds were added to the furniture inventory. As planed in the last AGM, quality improvement, infection control and safety were given priority in allocating budget.
In the next financial year we shall continue the quality journey we have started and add new specialties in the New Specialities Block which is under construction. I am sure the coming Years will be more exciting in terms of improving the patient care and expansion of our scope of services.
Our mission is to provide safe, effective, timely, efficient, affordable and patient centered health care.
We want to be the most preferred health care provider of primary, secondary & tertiary health care in the region.
To ensure continuous updating of structure & process so as to be the state of the art service provider at any given time.
To ensure our health care outcomes offer ultimate protection for valuable lives.