CHINIOT GENERAL HOSPITAL KORANGI, KARACHI

Email: cgh@cgh-k.com Website: http//www.cgh-k.com

INTRODUCTION

Chiniot General Hospital is a Secondary Care Hospital or we can say near to tertiary care.

It is located in the heavily populated area of Korangi No. 2.5 (Dhaai

Its total area is 4.76 acres

Location If you coming from Malir, turn right

at dawood chowrangi then from Quied-a-abad, Landhi ,you will have to drive straight for more than 25 minutes, you will find an stadium, 4 cinemas on your left during drive and then after passing Korangi town Nazim office you will find Chiniot General Hospital on your Left side.

Location If you are coming from Defense or

sadder, You have to turn left from main Korangi road at Bhittai colony, First mile stone will be INDUS Hospital, while driving straight you will find a series of marriage gardens on your left ,after driving 10 to 15 minutes straight from Indus Hospital , you will find Chiniot General Hospital on your right side

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THEME

History It is a project of Chiniot Anjuman-e- Islamia an

NGO, Started in August 1996 in Korangi Karachi In the beginning the hospital had a Gynae and

Obs department with, Out Patient facility for males and children. Had the capacity of only 40 beds

In 1996 the law and order situation was worse in Korangi but the hospital never stop it’s functioning.

Col® Dr Tariquzzafar was the first Chief Operational Director of the hospital, who designed most of the paper work, documentations and the planning and policy of the Chiniot General Hospital.

MISSION STATEMENT Chiniot General Hospital is a not-for-

profit organization committed to become a center of excellence in terms of quality healthcare, meeting the highest achievable national and international standards, at the most affordable cost to the community, with compassion, love and genuine respect for the dignity of the suffering.Our sole purpose is to serve mankind for the blessings of Almighty Allah

Objectives To strive to be the leading healthcare provider in

Pakistan. To provide the highest quality of care at the

highest national an d international (as far as can be met practically) standards, at the most affordable cost to the community.

To provide service with compassion, love and genuine respect for the dignity of the patient through highly qualified, and professionally ethical, healthcare personnel, who are committed to these principles.

To provide services without any discrimination towards class, color or creed, solely for the purpose of earning the blessings of Almighty Allah.

Profile

Chiniot General Hospital is a 250 bedded hospital, situated on main road of Korangi over 4.76 acres. It has following divisions and departments

Medical Division

ON GROUND FLOOR Out patient Department Physiotherapy Department Pharmacy Dental Department Laboratory Radiology HMIS Department Accident and Emergency Department

Medical Division

ON FIRST FLOOR Gynae/Obs Department Labour Room Surgical Department Operation Theater

Medical Division: ON SECOND FLOOR Medical Department I.C.U Deluxe Wing Special Ward Paeds Department P.I.C.U N.I.C.U Executive Clinics

Administrative Division Human Recourse Department Marketing Department Finance Department I.T Department Security Store Admission and Billing

Maintenance Division Mechanical Dept Civil Dept Electrical Dept Bio-Medical Dept Housekeeping Dept

Others Masjid Nursing Hostel Visitors Parking Staff Parking Ambulance Service

KEY DATA Size of Site: 4.76 acres approx. Sq.Ft.

Percentage Net Functional Space 128800 64.58% Breakdown of Floor Area Diagnostics 5000 3.8% Administration 5000 3.8% Consulting Clinics 5000 3.8% Community Clinics 5000 3.8% Wards 50000 38.8% Waiting Area 11800 9.1% Nurses Hostel 24000 18.6% Masjid 3000 2.3% ER/Day Care 5000 3.8% OT/Labour Room 10000 7.7% Technical Services 5000 3.8% Open Space 74625 36.6%

FACULITY Chiniot General Hospital has a team of highly

dedicated professionals who have all made their best contribution towards establishing and making it a truly community oriented primary and secondary care hospital with a well-established reputation for efficient and safe healthcare delivery in all specialties. Our patients and staff fully agree that CGH has established itself as The Hospital of choice for the resident of Korangi, Landhi, Malir and adjacent areas of DHA.

CONSULTANTS ANAESTHETISTS 1. Dr Mateen Akhtar. 2. Dr Kashif. 3. Dr Sajid Naseem. CARDIOLOGY 4. Dr. Tariq Ashraf CHEST MED. CONSULTANT 5. Dr. Salimuddin Aziz DENTAL SURGEON 6. Dr. Tahira Shahzad 7. Dr Sqib Zafar

CONSULTANTS DERMATOLOGIST 8. Dr Khalil Jamali ENT CONSULTANT 9. Dr. Ashok Kumar 10. Dr. Tahir GASTROENTEROLOGIST 11. Dr. Waqaruddin 12. Dr. Asad GENERAL SURGEONS 13. Prof. M. Shamim 14. Dr S.M Ali 15. Dr Mumtaz GYNAECOLOGISTS 16. Dr. Rafia Ansar 17. Dr. Naheed Baseer 18. Dr Jennifer

CONSULTANTS INTERNAL MED. CONSULTANT 19. Prof. Ali Nawaz Choudhri 20. Dr Imtiaz Manzoor. 21. Dr HariLal NEUROLOGY 22. Dr Ali Jan ORTHOPAEDIC SURGEON 23. Dr. Iqbal Malik 24. Dr Capt. Iqbal Alam PAEDIATRICIANS 25. Dr Usha Khatri 26. Dr Khemchand 27. Dr Rao Saleem 28. Dr. Farrukh Nasim PATHOLOGISTS 29. Dr Owais Khan 30. Dr. Nighat Yasmeen

CONSULTANTS RADIOLOGIST 31. Dr Junaid

PSYCHIATRIST 32. Dr. Javed Chisty SONOLOGISTS 33. Dr. Shagufta 34. Dr. Nazish 35. Dr Fazeela UROLOGIST 36. Dr. Iqbal Shahzad 37. Dr. Atif

FINANCIAL HIGHLIGHTS FINANCIAL YEAR 2007-2008 We see a continued growth every year despite the

generally disturbed state of the national economy and CGH’s in unfavorable location because of the volatile law and order situation prevailing in the Korangi- Landhi area

Area of Revenue Rs/= IPD 42,954,569 OPD 12,642,162 DIAGNOSTIC 25,325,532 PHARMACY 19,263,229 OTHER INCOME 1,561,668 Total Revenue 101,747,160

EXPENDITURE The total expenditure for the year 2007-2008 were Rs. 113m as

detailed under Area of Expense Rs/= Material Consumption 29,760,736 Salaries & Wages 55,671,675 Utilities 9,045,659 Printing & Stationary 940,437 Publicity & Promotion 447,327 Traveling 353,035 Vehicle-Running & RM 897,840 R & M Building & Equip 2,631,239 Security & Insurance 242,680 Other Expenses 1,114,814 Total 101,105,442 Depreciation 11,608,639 Total Expenditures 112,714,081

Hierarchy

TRUSTEES

MEDICAL DIRECTOR

EXECUTIVEDIRECTOR

CHIEFFINANCIALOFFICER

HierarchyMEDICAL DIVISION

MEDICALDIRECTORMEDICAL

DIRECTOR

AMDAMD MATORNMATORN CONSULTANTCONSULTANT

REGISTRARSREGISTRARS

RMOsRMOs

HOUSE OFFICERSHOUSE OFFICERS

NURSE INCHARGESNURSE INCHARGES WARD ASSISTANTSWARD ASSISTANTS

NURSESMIDWIVESNURSES

MIDWIVES

ADMINISTRATIVE DIVISION

EXECUTIVE

DIRECTOR

MANAGER

HRD

MANAGER

MARKETING

CHIEFFINANCI

ALOFFICE

R

MANAGER

ADMINISTRATIO

N

MANAGERI.T

DYMANAG

ER

ASSTMANAG

ER

HROFFICE

RS

DYMANAG

ERMARKET

ING

MARKETING

OFFICERS

DYMANAG

ERFINANC

E

INTERNAL

AUDITOR

OFFICERS

MAINTENANCEMANAG

ER

DYMANAG

ERADMIN

ENGINEERS

MECHANICS

WORKERS

SECURITY

INCHARGE

DRIVERS

I.TOFFICE

RS

BILLINGINCHAR

GE

HOUSEKEEPIN

GINCHAR

GE

PROBLEMS Currently CGH is facing the following

problems External Pressure Night OPD Shortage of Good Doctors Disputes over billing Misunderstanding with the Gynae/Obs

Doctors Medico Legal issues in the ER

External Pressure

As CGH is located in the vicinity of Korangi Town, which has difficult political situations, these political factors imposed their decisions in the management of the hospital as well as get extra benefits for their personal patients and a continuous threat for the doctors treating their patients.

Solution

CGH administration now decided and in a process of Table talk with the higher authorities of these political factors. They are going to appoint a Political Coordinator to deal with these situations, who will be nominated by the political parties.

Night OPD

Basically CGH was renowned by its Gyna/Obs department in the Past, but now people are recognizing CGH as a General Hospital, It was running its morning and afternoon OPD for the last15 years, but now for the last 8 months it started its Night OPD but unfortunately the success is far away, the number of patients is very low.

Solution

As the hospital has the repute of morning and evening OPD so it will take time to full bloom, need a good marketing strategy .The hospital administration appointed a new Marketing Manager for this purpose as the old one was very lazy and had a record of corruption.

Shortage of Good Doctors Its not only the CGH‘s problem but

most of the hospital even AKUH is facing this problem. But this issue is little bit greater with the CGH. As Chiniot General Hospital is located in the Periphery of Karachi City with scarcity of Doctors residing here and CGH is not a teaching hospital right now.

Solution

Management of CGH is working on the following points for the eradication of this problem

Retaining of existing good and senior RMOs by giving them incentives

Offering good packages to the better doctors

Facilitate them by providing residence, especially for those who are coming from other cities of the Country.

Dispute over billing

Most of the time Management face the problem arise from the billing department. The reasons for these quarrels are:-

Unexpected Bill Consultants personal commitments Over concession Billing Manager attitude problem

Sometime people get unexpected, high bills; it’s because of their own mistakes. They change their entitlement of room after surgery It affects Patient’s complete Package. Most of the time consultants commit patients that at the end they will facilitate their bill, but actually they can’t help the patient as it’s a total matter of Billing Department. And CGH has Female Billing Manager working for the last 10 years; she has some attitude problem which flares up the quarrel, mostly.

Solution Patient’s and attendant’s counseling regarding

billing is mandatory before admission as well as during stay and any change in status of patient which can effects final billing.

Consultants should be bound ; not to give any words over billing

Zakat needy Patient should bring Nazim office letter

Billing manager is a senior Lady, she has some attitude problem but for this seat she is an ideal person, as some people want to get extra benefits; she played a good role of barrier for them.

Misunderstanding with the Gynae/Obs Doctors It is observed that naturally the Gynae/Obs

consultants and RMOs have not a good repute among their patients regarding their behavior , may be because of over burden of work, their personal or family issues etc. Same is here in CGH the Obs patient’s attendant (especially when they got daughter) are not happy and try to produce conflicts over minimal issues e.g. over bed sheet, pillow cover, Doctor’s behavior etc.

Some time because of low literacy rate in the vicinity or the way of Talking of Gynecologist during counseling (communication barrier) produce conflicts.

Solution Hospital is in planning for the

appointment of a Full time Medical counselor for the counseling of Patients and attendants, especially for the Gynae and Obs Cases.

Hospital is already registered with PMDC for house job but have right of very limited number, now they are applying for increasing the number of seats to minimize the over burden of RMOs.

Medico Legal issues in the ER The area of Landhi and Korangi is very

hot politically as well as for the street crime, the emergency Department of CGH faces critical situations quite often as people of the area know that it has one of the best ER in the City and they brought Gun shots and other medico legal cases to the CGH ER, these are difficult to handle because of

The medico legal aspects Political pressures Out come of the patient

Solution

CGH has direct in contact with the nearest Police Station

Political Coordinator is going to be appointed soon.

ER doctors are trained to provide their best ABC s to such patients with special protocol.

Competitors

Indus Hospital Maher un Nisa Hospital

Future Plans

Cardiology and Cardiac Surgery Unit Neuro Surgery Unit A high Tec. Trauma center Nursing College Medical College Recognition from CPSP for

Postgraduate Training.

ConclusionHealth for All Patients who seek medical care at CGH

receive care, regardless of their ability to pay. Hospital provides assistance and support to patients who have financial needs. Hospital has not refused even one non-affording patient because of unavailability of funds. Zakat, welfare funds are being spent on the treatment of poor and needy patients.

Approx Rs-4000000/= per month ,”Zakat” is available for the needy patients.

GOODGOOD BYEBYE