Overview & Brief History

Transcription

1 ANNUAL PERFORMANCE REPORT 2013

2 Overview & Brief History

3 Brief Overview Punjab Institute of Cardiology is a unique facility of its kind in the province. Its primary role is to provide quality tertiary care to heart patients. PIC also trains post graduate doctors and paramedics and also assists the rest of the cardiac hospitals in the Punjab, besides educating the masses on preventive measures. For its size the output of this hospital is far greater than any other similar institution within the country. Treatment provided by PlC is totally free for poor and entitled patients and the private patents are treated at a much lower cost than rest of the private hospitals in the town. Emergency service is open 24 hours and emergency treatment is totally free for everyone without distinction The range of facilities for comprehensive treatment include a 347 bedded hospital, all relevant diagnostic tests, interventional and operative procedures and intensive cardiac care units Government of the Punjab is the main source of funding. However the quantum of work load far exceeds official resources. To improve our services and to cater for maximum treatment of the poor, PIC generates funds out of share money from private practice and through substantial contribution from the philanthropists and private donors To name a few; free food to all the indoor patients, addition of a cardiac care unit, improvement of existing ICU, new surgical ward, prayer hall, collection centre, musafar khana, poor patients ward, funds for medicines etc are some of the examples of contributions made by private donors. PIC is fortunate to have a highly qualified and experienced team of cardiologists and surgeons who are ably supported by well trained nursing and paramedic staff. We have introduced modern management and patient care systems. Four of our departments have been ISO certified and the rest will be completed soon.

4 Postgraduate fellowship trainees are assigned research projects and PIC publishes a well reputed professional Journal of Cardiovascular Diseases. PIC has also chalked out a long term development plan for which we are seeking government support and private participation. PIC has provided administrative and technical support to Multan, Faisalabad and Rawalpindi Institutes of Cardiology and now providing technical support to Wazirabad Institute of Cardiology. Brief History and Introduction 1. Brief History. Punjab Institute of Cardiology (PIC) was established in response to the acute deficiency felt for comprehensive care of cardiac patients, Originally named as the "CARDIAC CENTRE", it was inaugurated on 15th of October 1988, In-patient was commissioned on 5th of October 1990, The first Open Heart Surgery was performed on 9th October 1990, Initially it was a 100 bedded facility which has now grown to 347 beds 2. AIMS a. To provide efficient cardiac treatment in the field of diagnostics, intervention and surgical procedures. b. To train postgraduate doctors and paramedics in this specialty c. To assist other hospitals and create awareness among the public for the prevention of heart disease. 3. MISSION To act as a highly dedicated and efficient tertiary cardiac care facility with primary focus on patient care,

5 4. SCOPE a. Provide preliminary care and screening at Outdoor Patient Department, b. Provide 24 hour emergency services. c. Maintain a full fledge Cardiology and Cardiac Surgery department catering for all procedures and operations. d. Provide all related diagnostic facilities. e. Have a full fledge training and research wing. f. Establish an efficient administrative and financial support organization. SUMMARY OF TOTAL STRENGTH TITLE Total No. of sanctioned seats Professors 10 Associate Professors 11 Assistant Professors 21 Senior Registrars 26 Cardiologists 06 Medical Officers 73 Head Nurses 46 Charge Nurses 483 Others 1218 Total 1894

6 Administration

7 Management and Administration of PIC Government of the Punjab has constituted a Board of Management for the overall management, performance and working of the institute. Prof. Dr. Jawad Sajid Khan, SI is the Chairman, BOM. Board of management has formed an Executive Committee to supervise day to day working of the institute. Board of management is responsible for the following functions: a. Approve overall plans, policies and programmes of the institution in accordance with approved policy of the Government. b. Approve the annual development and non-development budget of the institution. c. Examine and approve the annual report and evaluation report of the institution for submission to the Government. d. Ensure that the Government servants are provided treatment according to their entitlement. e. Determine user charges and fees for admission, clinical and procedural services and facilities with the prior approval of the Government. f. Ensure that poor patients and vulnerable sections of society receive adequate health care and determine modalities for treatment of private patients. g. The Board may request the government to sanction additional Grant-in- Aid on case to case basis. h. The Board shall be responsible for generating resources for the institution through grants, donations, contributions and other such means. Head of the Institution Prof. Dr. Bilal Zakariah Khan is the Head of the institution. He is the executive head of the institute. Prof. Bilal Zakariah Khan is a renowned cardiologist and also the incharge of Cardiology Department. He has the qualification of MRCP (U.K.), MRCP (IRE) and FRCP (EDIN).

8 Medical Superintendent Dr. Muhammad Javaid Ex-MS left the Punjab Institute of Cardiology during the year 2013 for his new assignment. He was replaced by Dr. Ubaida Nighat who Joined PIC on as Medical Superintendent. She is assisted by Mr. Hassan Latif, Director Finance, Additional AMSs, DMSs, DCNS and other staff. Board of Management Prof. Dr. Jawad Sajid Khan Mr. Abdur Rashid Khan Prof. Dr. Humayun Maqsood Mr. Javaid Shafi Mr. Pir Saad Ahsanuddin Secretary Health Secretary Finance Prof. Dr. Bilal Zarariah Khan Head of the Institution Prof. Dr. Muhammad Shahnawaz Member Academic Council Medical Superintendent Chairman Member Member Member Member Member Member Member Member Secretary EXECUTIVE COMMITTEE. a. Head of Institution b, Non-Official member of the Board (To be nominated by the Board) c. Medical Superintendent d. Director Finance e. Doctor (BS 17/18) f. Head Nurse

9 Organizational Chart - Admin

10 Services available

11 FACILITIES AND SERVICES Medical Services Emergency Out Patient Department (OPD) Intensive care unit (ICU) Coronary care unit (CCU) Adult & Paediatric Cardiology Adult & Paediatric Cardiac Surgery Cardiac Catheterization & Interventional Cardiology Electrophysiology Pacemaker clinic Nuclear Medicine Cardiac & Non-Cardiac C.T. Angio Echocardiography Exercise Tollerance Test & Holter Monitoring Radiology Pathology Dental Department Haemo Dialysis Reasearch Training & Postgraduate Medical Education Auxilary Services Social Welfare Department Pharmacy Bio-Medical Engineering Department Information Techonology Department Central Sterelization Department Physiotheropy Medical Library Auditorium Laundary Services Cafeteria Residential Accommodation for Doctors, Nurses & Para-Medics House Keeping Department Security Department, Building Maintenance Department

12 Cardiology Department

13 Cardiology Department OVERVIEW The Cardiology Department at Punjab Institute of Cardiology provides diagnostic and treatment services to patients referred with actual, or suspected, heart disease. The services comprises outpatient facilities, inpatient provision, a comprehensive range of non-invasive, cardiac catheterization and angiography with a range of interventional cardiology procedures. Our services are led by dedicated prominent cardiologists, including Professor Dr. Bilal Zakariah Khan, Head of the Institution, who are well recognized for their contributions to advancing patient care, education and research SERVICES PROVIDED BY THE CARDIOLOGY DEPARTMENT Treatment of Angina Myocardial Infarction Outpatient facilities Inpatient provision Non-invasive investigational facilities Cardiac Catheterization Coronary Angiography. Right and left heart cardiac catheterization. Peripheral angiography (Carotid, Cerebral, Renal, lower limb etc). Cardiac & Non - Cardiac Computed Tomography (CT) Angiography. INTERVENTIONAL PROCEDURES Percutaneous Coronary intervention (PCI) with balloon and stent implantation Peripheral angioplasty and stenting (Carotid, Renal, Lower Limb) Percutaneous Transvenous Mitral Commissurotomy (PTMC). Pulmonary and Aortic valvuloplasty. PDA and ASD Closure with different devices. Treatment of Coarctation of aorta with balloon and stent

14 EMERGENCY WARD PIC has 14 bedded fully equipped Emergency Ward with fully trained medical staff. The Emergency ward is most active since Every facility is available at the bedside to monitor any cardiac emergency like cardiac monitors, ECG machines, X-Ray, Echocardiography, Defibrillators and Temporary Pacemakers. All sorts of cardiac emergencies are directly received in the emergency ward. These are then screened, assessed, managed and admitted / referred to the respective units of PIC or other hospitals accordingly. Chief of Cardiology and his team of consultants are available for consultation round the clock while Senior Registrar is available day & night to attend the cardiac patients. Entire emergency treatment is free of cost to everyone without exception. In view of great patients turnover in emergency, stretchers and chairs are placed to create additional bed space. However, existing bed space in emergency is totally inadequate as compared to the patients turnover which needs to be expended proportionately. AVERAGE DAILY ATTENDANCE Number of patients attended: 425 Number of patients admitted: Emergency Patients 2003 to

15 OUT PATIENT DEPARTMENT (OPD) Out Patient Department (OPD) is the busiest department amongst all cardiac hospitals in the country. A purposely build four story OPD building has been newly constructed with adequate facilities of daily clinics for adult cardiology, pediatric cardiology and cardiac surgery. ECG, ETT & Pathology collection point are facilitating the patients in OPD. Consultant alongwith a team of highly trained doctors attend OPD in rotation. Free medicines are provided to about 1800 patients daily in OPD. Separate reception counters are designated for new and re-visiting patients. Computerized OPD Slip is issued to every new patient attending OPD, ECG is done and patient is examined by the doctor. In case of cardiac patient, a medical record file is issued for further workup. Record of all patients is maintained on computer. Average Daily attendance New patients: Re-visit patients: OPD Patients 2003 to

16 PRIVATE CONSULTATION A facility of private consultation with consultants is also available to the patients in evening hours. All senior consultants carry out their evening private practice within the premises of the hospital. JILANI BLOCK (CARDIOLOGY WARD) It is a 56 bedded ward next to Emergency Ward and serves as step down unit to emergency. lt has a high turn over of patients from Emergency and around the hospital. Emergency procedures like thrombolysis, Temporary Pacemaker (TPM) lnseition, Pleuro and Pericardiocentesis and DC Cardioversion are also done in Jilani Block. CARDIOLOGY WARD (3RD FLOOR) Thirty bedded Cardiology Ward at 3rd floor for indoor patients is fully equipped with all facilities. It has CCU of 8 beds equipped with monitors, defibrillators and TPM implantation facility. Cardiac patients are shifted to Cardiology Ward from Emergency, Out Patient Department and after Cardiac Catheterization. IRFAN BLOCK (CARDIOLOGY WARD) Fifty seven bedded Irfan Block was established for the treatment of poor patients. lt was constructed and commissioned with donations. The recurring maintenance expenses are also met out of donations. lt comprises CCU, male ward, female ward, paediatric ward. All necessary equipment like monitors, Defibrillators and TPM are available here. Children with congenital heart disease and all other pediatric cardiac patients are admitted here.

17 A 12 bedded pre-operative ward is also established in Irfan Block where patients are admitted for their cardiac surgeries. PRIVATE CARDIOLOGY WARD Five executive rooms and I3 private rooms are available on the cardiology floor. These rooms are fully equipped with all modern facilities expected by the patients, exclusive environment and prompt treatment is provided to the patients, Their diagnostic tests, procedures and surgeries (if required) are done on priority. The revenue earned from private patients is spent on the treatment of poor patients. CORONARV CARE UNIT (CCU) I & II CCU is the prime care unit of Cardiology Department. The unit is adjacent to Cardiac Catheterization Laboratories. The unit has 20 beds which are placed in two sub units CCU-I and CCU-ll, each has I0 beds. Each bed has central oxygen and air supply with alarm system. The patients shifted from catheterization

18 Laboratory after all types of Interventional procedure like Percutaneous Coronary Intervention (PCI), Permanent Pacemaker (PPM) implantation, Primary PTCA, PTMC and PCI with lntra Aortic Balloon Pump (IABP) are kept in these units. The staff nurses are well trained for CDU as well. CORONARY CARE UNIT (CCU) III CCU-Ill is established to provide state of the art indoor intensive care facilities to affording cardiac patients, All emergency diagnostic facilities are provided in CCU-Ill under one roof. This unit is equipped with Defibrillators, Temporary Internal Pacing capability, 3-channel ECG machines, Arterial and Pulmonary Pressure monitoring and Echocardiography machine. Revnue earned from CCU- III is spend on the treatment of poor patients. CORONARY CARE UNIT (CCU) IV A new CCU-IV has been constructed out of donation for the treatment of affording patients in order to generate revenue for poor patients. Its civil work is complete, beds, monitors and other equipment are installed. However, request for the sanctioning of additional posts required for the commissioning of CCU-IV has been forwarded to the Government.

19 DEPARTMENT OF CARDIAC CATHETERIZATION & INTERVENTIONAL CARDIOLOGY Department of Cardiac Catheterization & Interventional Cardiology includes 5 state-of-the-art Catheterization Laboratories and offers the latest in heart disease diagnostic procedures to patients. Performing both inpatient and outpatient studies, more than 16,000 procedures are done annually. These procedures are done by both the traditional femoral (leg) approach and the radial (wrist) approach. Diagnostic catheterization is the primary procedure performed in the laboratories which, depending on the patient's situation, may lead to one or more of a variety of interventional options. Interventional services offered to patients include coronary angioplasty, intracoronary stenting, and valvuloplasty. Prompt surgical backup from our world-class surgical team is available for all procedures, though seldom necessary. The department specializes in non-surgical interventions to treat diseases of the coronary and peripheral arteries. Its physicians offer the latest techniques to open or clear blockages in the coronary and peripheral arteries, such as balloon angioplasty with Stents. Procedures in the catheterization labs include balloon angioplasty and angioplasty with Stents to unblock closed coronary arteries, Peripheral Angioplasty & Stenting, Percutaneous Transvenous Mitral Commissurotomy (PTMC), Pulmonary and Aortic Valvulopalsty, PDA and ASD closure with different devices, treatment of Coarctation of Aorta with balloons and Stents.

20 Angiography Procedures 2003 to

21 Cardiac Surgery Department

22 CARDIAC SURGERY DEPARTMENT OVERVIEW The Department of Cardiovascular Surgery is one of the largest, most experienced cardiac surgery facility in the country working under the leadership of Professor Abdul Waheed. Each year, our foreign qualified and renowned cardiac surgeons operate upon about 2000 patients, young and old, who require every type of heart surgery including Coronary Artery Bypass Surgery; elective or emergency surgery for Aortic Aneurysm, Coronary Artery Disease, Arrhythmias (such as Atrial Fibrillation), Heart Failure and other less common conditions; and Heart Valve Surgery for Heart Valve Disease (such as Mitral Regurgitation or Aortic Stenosis). Our staff works with the newest surgical techniques, equipment and devices. There are 09 modern operation theaters and 60 bedded Intensive Care Unit and one Pre-0perative Unit. A team of senior doctors is 24 hours on call in hospital premises to attend emergencies or any post-operative complication. FOLLOWING CARDIAC SURGERY SERVICES ARE AVAILABLE A) ISCHEMIC HEART DISEASE Coronary Revascularization Myocardial Revascularization with Cardiopulmonary Bypass Myocardial Revascularization without Cardiopulmonary Bypass Myocardial Revascularization with Carotid Artery Disease Myocardial Revascularization after Acute Myocardial Infarction Coronary Artery Re-operations Surgical Treatment ot Complications of Acute Myocardial Infarction: Post infarction Ventricular Septal Detect and Free Wall Rupture Ischemic Mitral Regurgitation Left Ventricular Aneuiysm B) Valvular Heart Disease Aortic / Mitral Valve Repair and Replacement

23 C) CONGENITAL HEART DISEASE Palliative, Aortic Stenosis, Tetralogy of Fallot Atrial / Ventricular Septal Defect Corrected Transposition, Truncus Arteriosus, Coarctation of the Aorta INTENSIVE CARE UNIT (ICU) There are 2 old and 4 new Intensive Care Units with a total of 60 beds to lookafter post operative patients. Patients from the theater are shifted to ICU which is fully equipped with all facilities including Invasive Monitoring, Central Oxygen Supply, Ventilatory Support and one staff nurse per patient. Staff nurses working in ICU are specially trained for intensive care and have experience of 5-10 years. There is a team of doctors including two cardiac surgery residents and one anesthetist present round the clock in ICU. Each of them has good experience in his/ her respective field. PEDIATRIC INTENSIVE CARE UNIT Pediatric ICU was started due to increased number of pediatric patients referred to Punjab Institute of Cardiology, Initially these cases were accommodated in adult ICU, but now a separate pediatric intensive care unit has been established in cardiac surgery department with specialized facilities.

24 PRIVATE CARDIAC SURGERY WARD The Private Cardiac Surgery Ward comprises of 18 rooms which are fully equipped with all necessary equipment, modern beds and utilities like TV, Refrigerators etc. Exclusive environment with specialized treatment is provided in Private Cardiac Surgery. GENERAL CARDIAC SURGERY WARD There are 8 wards in this unit with a total capacity of 28 beds. Patients are admitted in this ward before and after their operation and all taken care of till their discharge from the hospital. These wards are also equipped with necessary equipment and utilities. IRFAN BLOCK (PRE OPERATIVE WARD) It is 12 bedded unit for the poor patients for their indoor admission pre operatively. Patients from this ward are sent to pre operative ICU before their surgery. ANESTHESIA DEPARTMENT An expert team of comprising Chief Anesthetist, Associate Professor of Anesthesia, Senior Registrar Anesthesia and Anesthetics is available to provide anesthesia cover to all operation theaters. This dedicated team is also providing round the clock cover to ICU. PERFUSIDN DEPARTMENT The Perfusion Department is supervised by the Senior Perfusionist. The department has the credit to train 20 perfusionist at Punjab Institute of Cardiology who are providing their services in various cities of the country. PIC is conducting B.Sc (Hon) course in Cardiac Perfusion in collaboration with University of Health Sciences, Lahore to produce trained manpower for other cardiac institutes.

25 PHYSIOTHERAPY DEPARTMENT After successful cardiac surgery patients require physiotherapy. Department of Physiotherapy provides physiotherapy aid post operatively for the rehabilitation of patients. The department consists of a team of qualified Physiotherapists and Assistant Physiotherapists to provide physiotheropical aid to the patients post operatively.. Cardiac Surgeries 2003 to

26 Diagnostic Departments

27 DIAGNOSTIC DEPARTMENTS OVERVIEW Punjab Institute of Cardiology is the largest cardiology institute of the country. In addition to general cardiology services, we offer cardiac disease risk screenings, electrophysiology, state-of-the-art testing, a diagnostic and therapeutic cardiac catheterization, with special emphasis on Heart Failure treatment. DIAGNOSTIC FACILITIES Electrophysiology and Pacemaker Clinic. Echocardiography. Cardiac and Non Cardiac CT-Angio.. Electrocardiography. Exercise Tolerance Test and Holter Monitoring. Nuclear Cardiology. Cardiac Catheterization & Interventional Cardiology. EXERCISE TOLERANCE TEST Exercise Tolerance Test (ETT) is used to measure the heart's response to exercise (also known as a stress test). The department is functioning in new OPD building with 05 latest machines under the supervision of qualified and experienced doctors. Complete backup support for admission / treatment is available in case of any emergency during ETT. ETT 2003 to

28 ECHOCARDIOGRAPHY Echocardiogram is a noninvasive cardiac imaging procedure used to diagnose heart disease, valve disorders and weakened heart muscle. Echocardiography department is working with 08 Color Doppler machines. All modalities of Echocardiography such as Transthoracic Echo, Transesophageal Echo, Contrast Echo, Stress Echo and Carotid Doppler studies are being performed. The facility of echocardiography is available in the morning and evening for OPD patient and round the clock for indoor patients. Post Graduate trainees and Diploma students are being trained in the department on routine basis. All consultants and trained doctors are provided the opportunity to do echo of their patients. There are two dedicated Echo sessions for Paediatric Congenital Diseases per week. On an average 60 to 70 Echocardiography tests are being done daily. Echocardiography 2003 to NUCLEAR MEDICINE DEPARTMENT Thallium Scan is a test to estimate the amount of blood reaching the heart muscle during rest and exercise. It is typically done to determine the cause of unexplained chest pain or to determine the location and amount of injured heart muscle after a heart attack.

29 Nuclear Medicine Department has two latest double headed gamma cameras; both with simultaneous transmission emission capability for attenuation correction. The Hot Lab is also equipped with latest isolator technology from Amercare. The department is run by a thoroughly trained academic and technical staff. A complete range of Nuclear Medicine procedures are carried. More than 5500 planar and SPECT Nuclear Medicine studies are performed annually. The Department is accredited with CPSP and Pakistan Institute of Engineering & Applied Sciences Nilore, Islamabad for post graduate training in Nuclear Medicine. Nuclear Medicine Test 2003 to RADIOLOGY DEPARTMENT Chest x-rays are used to assess heart status as well as the lungs,. Heart enlargement. The Radiology Department, headed by Professor of Radiology, is operating with two x-ray machines, one latest ultrasound machine and 2 mobile units. A latest digital X- Ray system i.e. Kodak Digital Computerized Radiography (CR-System) KODAK

30 CR-975 has been installed in Radiology department to modernize and improve the x-ray system for patients. All general and speculated radiological procedures are being carried out. The services remain open round the clock. Almost 50,000 radiological examinations, 2000 ultrasound studies and 800 radiological procedures are performed per annum. PATHOLOGY DEPARTMENT Pathology Department of PIC. headed by Professor of Pathology with best equipped Laboratory is the first ISO Certified Lab in Public Sector hospitals. All pathological tests relevant to the cardiac patients are conducted here. Services remain open round the clock. Pathology Lab is participating in the UK based External Quality Assurance Program (RIOAS). A number of latest machines have been added which include automatic analyzer, hematology analyzer, blood gas analyzer etc. On average patients samples are examined per day. To facilitate the private patients a pathology collection center has been established outside PIC building. The Pathology Laboratory has infrastructure for all tests required for cardiac patients. ELECTROPHYSIOLOGY An EP study is a test that records the electrical activity and measures the electrical pathways of heart rhythm disturbance. Our Electrophysiology Laboratory specializes in diagnosing the cause of complex or lifethreatening arrhythmias, which can not be assessed through conventional means.

31 Electrophysiology procedures include Permanent Pacemaker implantation, Defibrillator implantation and radio-frequency ablations. These techniques have revolutionized the treatment of arrhythmias of the heart. CARDIOVASCULAR CT DEPARTMENT Cardiovascular Computed Tomography Department was established in The department is equipped with state of the art GE Light speed VCT 64 slice CT scanner with 0.35 sec rotation time for cardiovascular imaging in adults and children. The system is optimally configured for coronary, cerebral and peripheral angiography in addition to performing all type of general CT studies. About 2000 cardiac and non cardiac studies are performed annually in the department. Cardiovascular Computed Tomography 2009 to

32 Supporting Departments

33 SUPPORTING DEPARTMENT NURSING DEPARTMENT Nursing Services are supervised by Deputy Chief Nursing Superintendent and a Nursing Superintendent. There are 46 Head Nurses and 483 Staff Nurses providing patient care and are involved in ward management round the clock in morning, evening and night shifts. About 100 nurses have done post graduation in ICU and CCU. Training lectures are regularly arranged for Nurses. ACLS and BCLS Courses are mandatory for all nurses. DENTAL UNIT Dental clearance is an essential pre requisite for surgical patients. Before establishment of this unit, patients were referred to other hospitals for dental checkup. To facilitate such patients a fully equipped dental unit has been established in lrfan Block, out of donation. PULMONOLARY CARE DEPARTMENT Pulmonary Care Department working under supervision of Dr. Kamran Hameed, providing Pulmonological care to pre operative and post operative cardiac surgery patients. BLOOD BANK The blood bank provides round the clock services to surgical patients. Patient's blood is tested for blood grouping, cross matching and screened for Hepatitis B, anti-hcv. The results are conveyed in 2 hours time. PIC maintains a pool of blood and blood components so that if any patient is to be provided in emergency or needs extra amount of blood during the surgery, it is provided from the hospital pool. We have atleast units of blood of each

34 blood group in our hospital pool. Our blood transfusion services depend on voluntary donors to provide blood. Recently Refrigerated Centrifuge Machine (for preparation of blood components) and Plasma Freezer -400 have been added to enhance the performance of blood bank. CENTRAL STERILE SUPPLY DEPARTMENT (CSSD) The department is responsible for the cleaning, decontamination, and sterilization of all reusable patient care surgical instruments and supplies. The staff process, maintain and dispense supplies and equipment required by medical, nursing or para-medical personnel in designated departments for the care, diagnosis or treatment of patients. Recently, the whole department has been renovated and a state-of-the-art sterilization system has been installed. MEDICAL SOCIAL SERVICES DEPARTMENT The Medical Social Services Project (MSSP) in the Punjab Institute of Cardiology, Lahore was established in The main objective of project is to help and facilitate poor patient either by providing medicines, arrangement for operation, moral and psychological support etc, through donations and fund raising. PWS is engaged in generating funds and collecting donations. The Provincial Zakat Council provides funds for the sole purpose of Cardiac Surgery. Patients Welfare Society receive Zakat, Donations and Sadqats for accommodation of maximum number of patients. Objective: The main aim of this project is to help and facilitate poor patients by Providing free medicines. Making arrangements for operations Providing moral and psychological support Main sources for patients' help are: Zakat Fund Pakistan Bait-ul-Mal Patient welfare society Individual Donors

35 FOOD SERVICES FOR INDOOR PATIENTS Punjab Institute of Cardiology provides free food for all indoor patients with the help of philanthropic company; LG. Electronics. For this purpose a separate kitchen, staff and other arrangements are made. High quality food prepared according to medical advice is served in a hygienic manner. This service has immensely facilitated the deserving patients especially who are dependent on others during their hospitalization and those who are from outside the city. PHARMACY PIC Pharmacy was established to provide quality medicine and disposable items at subsidized rates within the hospital premises. It protects patients from sub standard medicine and disposable. PIC Pharmacy directly imports medicine and disposable items from the manufacturers at reduced cost and avoid reused disposables. Rates are almost 25% cheaper than the market QUALITY MANAGEMENT UNIT A Quality Management Unit has been established in PIC to ensure quality healthcare services and hence lead the hospital towards ISO Certification. So far following four departments are ISO certified : Radiology Pathology Pharmacy Quality Management Unit This has greatly helped in improving healthcare delivery system, getting patient's trust and improved image of PIC in the competitive market, on an international level

36 MEDICAL RECORD KEEPING (HMIS) DEPARTMENT Punjab Institute of Cardiology has the honor to take lead role in the development of complete Hospital Management Information System (HMIS). Online HMIS is running round the clock on network of 10 Servers & 200 computers with Oracle at backend and ASP & Dotnet at frontend. All Counters, OPD, Wards, Diagnostic Departments are interconnected. Record of more than one million patients is maintained in HMIS. All Hardware & Software are maintained in house without any service maintenance contract. HMIS record of PIC may be shared with other cardiac institutes at later stage. Bio Medical Engineering Department A large variety of latest Bio Medical equipment is installed in PIC Bio Medical engineering Department with a team of Bio Medical Engineers, Electronic Care Taker and Assistant Electronic Caretaker are maintaining all Bio Medical equipment The department is responsible for service / repair / maintenance of equipment and to keep them in working condition. PIC has the distinction among Government hospitals as almost all of its equipment remain functional all the time Library The Library of Punjab Institute of Cardiology came into existence in 1991 with a reasonable collection of latest medical books and regular subscription of journals. lt is located adjacent to the auditorium on the lst floor. The Library like any other modern libraries contains facilities such as latest books and all sorts of medical literature. Internet facility is available to all the members with online access to

37 medical journals. Every Saturday the Journal Club meeting of the Cardiology Department is held at the library under the supervision of the Chief of Cardiology. BUILDING MAINTENANCE DEPARTMENT All maintenance and repair work of building is executed by building maintenance department. The department has a team of qualified executive engineer, Sub engineers and skilled technicians expert in their trades. The department maintains electrical, heating ventilation and air conditioning, lifts, plumber work, wood works and civil works. SECURITY DEPARTMENT Security Department headed by Lt Col (R) Liaquat Ali, Chief Security Officer has an elaborate, vigilant and comprehensive security apparatus comprising efficient and trained staff, equipped with gadgets. It is functioning round the clock. Prevailing security situation of the country warranted an ever alert security mechanism for the safety / security of not only staff and patients but also for the attendants and visitors coming to PIC. Security system has been further beefed up by installing walk through gates and modern CCT\/ network which remains operative round the clock. HOUSE KEEPING DEPARTMENT The Housekeeping Department is committed to maintaining a clean environment for patients, staff and visitors. The Department ensures the delivery of cost effective services, in a compassionate, caring and timely manner

38 Services Provided by House Keeping Department: Paper Recycling Program Cleaning of all patient and non-patient areas (patient rooms, offices, washrooms) Cleaning of discharge and transfer beds; Collection, sterilization and storage of all hazardous waste Streaming, collection and storage of all recyclable waste Collection, disposal and distribution of needles and sharp containers Cleaning of l.v. poles, wheelchairs, gurneys, designated sterilizers, Window cleaning

39 Medical Education B.SC HONORS PROGRAMME To produce qualified technologist, Punjab Institute of Cardiology has launched four year B.Sc(Hons) degree courses in collaboration with University of Health Sciences, Lahore. So far six batches have been enrolled in the following two disciplines: B.Sc (Hons) Medical Laboratory Technology B.Sc(Hons) Cardiac Perfusion lnspite of limited available resources our students are attaining distinctive success in examinations. Such students are awarded scholarship by the institute. Post Graduate Training PIC is recognized for the post graduation in the following fields: MD cardiology FCPS Cardiology MS Cardiac Surgery FCPS Cardiac Surgery Diploma in Cardiology Diploma / M.Sc. in Nuclear Medicine Cardiac anesthesia