Focus Area: Corporate Social Responsibility
Statement of intent stating the reason for nominating the entry for LASSIB Society Excellence Awards:
Sparsh Hospice provides a differential value to the society adding value to end of life situation with providing palliative care. The services offered free of cost to cross sectional citizens and with variant economic background without across AP. As the Sparsh initiative is run by contribution from various business and individuals with service as the motto, requires awareness for better leveraging these services hence nominating this for LASSIB entry under CSR category.
I) ABOUT THE ORGANIZATION
The Rotary Club of Banjara Hills started the first Hospice in Andhra Pradesh, a 12 bed facility in Banjara Hills, Road no. 12, in very calm and serene environs. Sparsh has been operational from September 2011 and has already admitted close to 200 patients (free of cost) of whom 91 patients breathed their last peacefully at Sparsh, amidst the caring staff and their family members. All facilities including food, medicines, room etc are free to admitted patients.
It is a known fact that Cancer is on the rise in our Country and according to WHO, one in 4 Cancer patients in the world are from India. About a Million cases of Cancer are diagnosed in India each year and of this number, about 20,000 per year are from Hyderabad alone. It is also well known that more than 60% of Cancer patients are at an advanced stage at diagnosis itself (documentary proof of these statement attached). Other cancer patients reach that stage after months to years of treatment. This transforms to an approximate number of about 12,000 patients per year at an advanced stage of cancer, each year.
Once the cancer is termed as ‘Terminal’ it means that the life of that patient will end soon irrespective of what treatment is given. Hence in this stage, it is deemed fit to concentrate of improving the quality of life and lessening the suffering rather than trying to prolong life with toxic treatments. This is the concept of ‘palliative Care’. The philosophy of Palliative Care is that death is accepted as a part of life and no effort is made to either hasten or prolong it, but to improve the quality of life. The efforts of the palliative care team are to give pain relief, spiritual and psychological counseling (to patients and family members), relieving symptoms like constipation, loose motions, lack of appetite etc. This management is not available at normal hospitals whose philosophy is to ‘Cure’ patients and not provide palliative care. Though home is the best place for a person to breathe his last, many cannot cope with a sick person on their own. Yet another problem is that house owners do not like death in their house, and actually drive away cancer patients! For all these reasons an in-patient palliative care facility (Hospice) is essential.
II) RESULT INDICATORS
The following details may be submitted:
- As-Is performance levels –
- We have delivered “Palliative caring” services to more than 200 cancer patients in the last 24 months
- More than 91 patients breathed last at the hospital
- 12 bed hospital is continuously occupied at 60% levels
- Have expanded day caring services as well as home visit services
- Have been able to raise funds to create corpus to deliver and expand the services
- Revenue expenditure is Rs. 3.5 Lakhs ($7,000) per month including the rental, salaries (3 Doctors, 6 nurses, 4 helpers, 1 watchman, 1 cook, 1 administrator), food (for patient and attender), medicines, utility bills, stationary etc.
III) ENABLER INDICATORS
- Leadership Commitment and Involvement
The Rotary Club of Banjara Hills is a new club in the Rotary family which came into existence on June 8th 2010 (The Charter Day). Our members are all young professionals with a great zeal to do social good. The club also had the good fortune to have six doctors as members. Leveraging the association of the doctors and the enthusiasm of the members, a decision to start a hospice was taken as a signature project of the club.
As part of good governance and with a view to streamline future activities we set up a governing body for Sparsh. The Governing Body comprises of 9 members. 6 from trustees (or nominees of the club assembly) and 3 eminent personalities for a 2 year team by invitation of the board of directors of Rotary Club. It performs the following role:
- Has completed and ultimate responsibility for the organization.
- Determines the hospice’s mission, purpose, and policies.
- Monitors the organization’s programs and services, as well as, develops written administrative and clinical policies and procedures.
- Assures compliance with legal and regulatory requirements and standards.
- Prepares and approves the bylaws of the Trust.
The core team of board members, trustees, staff and extended team of advisors meet once a month in reviewing the operations and once a quarter on strategy execution. The strategy has been created on 4 pillars
1. Expand the services with larger facility is in place
2. Building operational partnerships with other cancer hospital being finalized
3. Increased branding across the state for better awareness of Palliative care services
4. Improving quality of service.
We have 16 full time people delivering the services that include doctors, nurses, attendants and other care taking staff. Additionally, we have process in place for getting consultants, free-lancers, social service providers to contract on need basis to address critical needs.
We have established process to address payroll, hiring, addressing training needs for the staff on the roles.
- Patient admission process – Medical board receives all patient files and determines that the patient is terminally ill and satisfies themselves that treatment options are not available for a cure before admitting the patient into
- Medical records – the patients’ medical records are maintained and statistics of all key patient demographics are analyzed.
- Incident Management – Any major incident including death or discharge of the patient is intimated to the referring doctor/nursing home.
- Use of facebook and website to keep the general public aware of sparsh hospice
- Use of google adwords for easy access to browsers looking for palliative care or terminal cancer care options from hyderabad.
- Use of Bulk Email campaigns to gather support for the cause of palliative care and spread awareness of hospice concept in the medical community.
- Database of patients – demographics and disease conditions tabulated for future references.
- Training of Nurses & Counsellors material developed
- SOP’s and protocols for operations and disease management developed.
- Innovative fund raising programs including diwali crackers sale, Annual Fund Raisers, Celebrity Auctions help us meet the funding requirement by raising small amounts from a large crowd in the process increasing involvement of society.