Transcript Slide 1

Established in April, 2005
Emergency Management and Research Institute
A Nonprofit Organisation
in PPP
Taking a Giant Leap
Values
Involving people (Leadership)
Applying knowledge (Innovation)
Making things happen (Execution)
Managing Non-Profit
Organisation
through Leadership, Strategies (for Marketing, Innovation
and fund development), Defining and Measuring
Performance, People Relationships and Self Development
A Beautiful Mind of Thinking, Doing
and Communicating (TDC)
1. Thinking (Concepts, Models, Metaphors &
Stories)
2. Doing (Metrics, Processes, Automation &
Planning)
3. Communicating (Effective reviews, Presentations
& Proposals)
4. Operating Principles
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Simplicity
Problems as opportunities (No man ever injured his eyesight
by looking on the bright side of things)
Ask a million questions
Leverage knowledge and technology
Virtuality
Continuous improvement (6 Sigma)
Enlarging Wellbeing of the World
• A human being is born into this World fully
equipped not only to take care of himself, but
also to contribute to enlarging the wellbeing of
the World as a whole
• Many people never get any opportunity during
their lifetime to unwrap the wonderful gift they
are born with and they die unexplored and
World remains deprived of their creativity and
contribution
• Some get the chance to explore their potential
to some degree
• Lastly but importantly, few get chance to
explore their potential fully
Leadership
• Initial funding provided by Raju Brothers ( US $ 23 M of
property and US $ 12 of Cash )
• Thought Leadership provided by Governing Board
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B. Ramalinga Raju, Founder and Chairman, Satyam
B. Rama Raju, Co-Founder and CEO, Satyam
Rajat Gupta, McKinsey
KV Kamath, MD&CEO, ICICI Bank
Tarun Das, Chief Mentor, CII
Prof. D.Raj Reddy, Carnegie Mellon University
Krishna Palepu, Harvard Business School
Dr. Jayaprakash Narayan, Lok Satta
Krishnam Raju, Chairman, Suchitra Group
Venkat Changavalli, CEO, EMRI
Inauguration of 108 services in Hyderabad - 15th Aug, 2005
Inauguration of 108 Services in Bhimavaram by President of India, Dr A P J Abdul Kalam
9th January, 2006
Inauguration of 108 Services to Rural Andhra Pradesh by Chief Minister
of Andhra Pradesh, Dr Y S Rajasekhara Reddy – 26th January, 2007
and to be completed by May 2007
Andhra Pradesh
Larger
Presence in
50 Cities /
Towns and 18
Districts
completely
(Medak, EG,
Chottor, Krishna,
Guntur, Adilabad,
Ananthapur,
Warangal,
Karimnagar
Rangareddy,
Nalgonda,
Srikakulam,
Vijayanagaram,
Visakhapatnam,
West Godavari,
Nellore,
Prakasam and
Khammam)
excluding rural
areas of 4
districts and 9
ITDAs covering
65 M
population
with 380
Ambulances
10,500 Lives Saved
Electrocution Drowning
Burns
Animal Bites
Abdominal
Pediatric
Pregnancy
Epilepsy
Diabetes
Injuries
Respiratory
Stroke
Suicides
Cardiac
Different emergencies compared to developed countries
Injuries
34 %
Pregnancy
3%
Cardiac
16 %
Pediatric
2%
Suicides
13 %
Abdominal
2%
Stroke
10 %
Burns
2%
Respiratory
5%
Animal Bites
1%
Diabetes
5%
Electrocution
1%
Epilepsy
3%
Drowning
1%
Achievements
• 5.5 M dialed 108 independent of geographical limits
• Trustworthy (Positive, Competent and Honest)
emergency response for 288,927 Emergency Victims
• Ambulance is available in 15 Minutes to provide preHospital Care free of cost
• Access to Hospital (of choice) in 21 Minutes
• Quick and hassle-free response for Police Emergencies
(50% of emergencies)
• Synergized private entity’s speed & efficiency with
Government’s systems / resources to improve
deliverables significantly
SRC
Process innovation – Redefining process
Sense
Reach
Communication Officer
(CO) collects facts
Dispatch Officer (DO)
scopes emergency and
assigns strategically located
vehicle
(Ambulance/Police/Fire)
Vehicle(s) to reach the site
Care
Emergency Medical
Technician (EMT) to
provide pre-hospital care
while transporting patient /
victim to appropriate
hospital for stabilization
The communication channel connecting all the links including ERCP
One Number for all Emergencies
Toll free (affordable) and Accessible on mobile and fixed lines
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
1 2 3 4 5 6 7 8 9 1011121314151617181920212223242526
S K I L L S
1911 9 121219
=
82
K N O W L E D G E
1114152312 5 4 7 5
=
96
H A R D
8 1 12 4
=
98
=
100
=
108
=
108
W O R K
23151811
A T T I T U D E
1 2020 9 2021 4 5
F R I E N D S H I P
6 18 9 5 14 4 19 8 9 16
L O V E + L O V E
121522 5 + 121522 5
Physical Infrastructure
Technology
Major components
• Computer Telephony
Integration
• Voice Loggers
• GIS / Maps
• GPS / AVLT
• COA / DOA
• Allied applications (PCR, Fleet
Management, Hospital
facilities)
• IVR
• Webcam
• Oracle Financials, CRM
• eLearning
Ambulance
Challenging conventional wisdom of delivery systems
Pre-hospital Care
Advanced Life Saving Ambulance
One Ambulance available for every 1.25 - 1.50 lac population
Human Resources
Deskilling of work
Communication
Officers
Pilots
Dispatch Officers
Commitment
Ability
Resourcefulness
Empathy
Emergency Medical
Technicians (EMTs)
Attitude is everything.
Happiness is a journey not a destination (Live and enjoy now)
Values are foundation for success
Partnership
To reduce learning curve
NENA
Satyam
AAPI
AAEMI
Stanford
Richmond
STC
SHS
•NENA: National Emergency Number Authority
•AAPI: American Association of Physicians of Indian Origin
•AAEMI: American Academy for Emergency Medicine in India
•STC: R Adams Cowley Shock Trauma Centre
•SHS: Singapore Health Services
Alliance Partners – Volunteers
(10 per village)
108 VoICE (Volunteer In Case of Emergency)
Awareness/Informer
Vehicle / Pilot
Vijayanagaram
Physical Service Provider
Doctor/Paramedic
Knowledge, Skills, Experience, Social Status, Self Esteem will be
enhanced leading to Self Actualization
Typical Emergencies Attended Consistently
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Injuries
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Lorry hit two wheeler (Hyderabad) –
Rider lost right upper-limb – Heavy
loss of blood - Controlled bleeding –
Handed over the limb to hospital.
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Truck hit another truck carrying iron
rods (Suryapet) – One rod entered
right chest of driver – Conscious,
stable but stuck in the seat – Fire
personnel removed victim – Not
removed the rod and given IV fluids
– Shifted to LB Nagar ambulance and
Kamineni Hospital – Patient alive.
Typical Emergencies Attended Consistently
contd.
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Injuries contd.
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Train accident (Hyderabad) – Victim lost
both lower-limbs and in shock – IV
fluids, Inj. TT / Voveran, dressing given
– Amputation was done and discharged.
Typical Emergencies Attended Consistently
contd.
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Cardiac
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64 / male Coronary disease (Srikalahasti) - Severe chest pain, BP 170/100, Pulse rate -148/min - Treated with O2 therapy and Tab
Sorbitrate / Aspirin and shifted to hospital – Saved
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Diabetes
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60 / Female (Tenali) - History of DM (Diabetes mellitus) - Unconscious,
BP not recordable, pulse pressure low, carotids, shallow breathing Normal saline, IV high flow (rapid), assisted ventilation with AMBU 12
times per minute with Oxygen, Atropine IV - On reaching hospital BP
90/70, pulse 68
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Snake Bite
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26 Yr Male (Narsapur) bitten by snake - ooze and swelling – Semi
conscious
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Given
IV,
Hydrocortisone
Injection,
IM
Diclofenac,
Tourniquet, Supplemented with Oxygen – Admitted in CHC – Discharged
after 24 hours
Typical Emergencies Attended Consistently
contd.
• Maternal Complications
• 25/F (Sangareddy) - G2 TERM in labor - Head was
visible - Advised fast shift on Left Lateral Position Later the head was completely out - Cleaned the
secretions of nose and mouth - Umbilical loop wound
twice around the neck of the baby which would
asphyxiate the foetus
Two clamps on the loop and cut it and released the
loop - Rest of the baby was delivered
Initially was not crying - Suctioned and cleaned
Kept on oxygen and baby started crying - Placenta
delivered on reaching the hospital - Both mother and
baby are safe
• 25/F (Kodada) - Severe vaginal bleeding, BP 80/40,
pulse 52 - History of 3 month amenorrhea (ectopic
pregnancy or abortion )- IV on, High flow Oxygen
and transported patient with head low position Both her BP and pulse improved
Research & Training
for prevention and quality care
Research
• Injuries (Accidents,
Drowning, Electrocution,
etc)
• Maternal Health
• Child Health
• Cardio Vascular
• Diabetes
• Water-Borne Diseases
(Diarrhoea)
• Crime (Domestic Violence,
Sexual assaults, Suicide
attempts)
• Occupational Health
• Unarticulated and
Unexpected Emergencies
Training
• Pre-Hospital Care
• Emergency Medical
Dispatch / Direction
• First Responders
(Education of Customers)
• EMTs
• Emergency Medicine
• Emergency Room
Physicians
• General Practitioners
• Specialists
In Collaboration with Singapore Health Services,
Stanford, WISER, STC, Richmond of USA
Signing Agreement with Stanford USA on 9th May 2007
Road Ahead - AP
• We will complete providing emergency
response services (108 toll-free-number,
transportation in 500 well equipped ambulances
and pre-hospital care in ambulance) in Public
Private Partnership (PPP), at international
standards to every citizen in Andhra Pradesh
free of charge by 31st May, 2007
Road Ahead - India
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Every Citizen in India could be provided
emergency response services in Public Private
Partnership (PPP), at international standards in
two years by 2009 with:
• 108 toll-free-number accessible on mobile and fixed
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lines,
transportation in well equipped ambulances
pre-hospital care in ambulance by qualified EMTs
enroute to reduce mortality, disability and hospital stay
Upgraded hospital facilities and capabilities
Supportive Legal Framework at Central and State levels
(Model law circulated by Law Commission)
Making India Safer for the Common Man by 2009
The more we care
the more we value and
the more we respect human
life, the more we will be
changing the World with…
Humaneness
• Humility and
• Commitment to service
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Thank you
[email protected]
www.emri.in