Sri Venkateswara Pranadana Scheme

The noble concept of S.V. Pranadana scheme is brought by the Sri Venkateswara Pranadana Trust (SVPT), a charitable trust launched by the Tirumala Tirupati Devasthanams (TTD) with objectives to provide free medical facilities to poor patients afflicted with life threatening cardinal elements like, cardiac, renal, cancer and urology ailments.  The benefits of this Trust is to carry on the research activity on the specific diseases/ ailments and provide basic amenities to the poor patients.  The benefits of this scheme shall be passed on to public without discrimination as to caste, color, creed, religion, sex, etc., 

The scheme was initiated on 12.12.2001 which envisaged of using the Lord’s material and spiritual wealth for the benefit of the poor and needy patients.  So far (as on 31.7.2016), 14,662 number of beneficiaries have availed free treatment whose overall treatment cost to a tune of Rs.57.25 crores (approx.,) had been incurred at Sri Venkateswara Institute of Medical Sciences (SVIMS) Hospital,  Tirupati.  

SVIMS: An Exceptional Approach to Providing Universal Healthcare (Authors :  Samuel Jackson and MutshipayMpoy ,Central Michigan University College of Medicine Class of 2019)

 ......YOUR NOBLE DEED SAVES A LIFE IN NEED.......

 Events:          

    

Master P.Kumar, 11 years, residing at 1-93-1, N.T.R.Nagar, Srikalahasthi, Chittoor Dt, A.P.

Diagnosis: Dorso Lumbar Scoliosis with convexity to left

Surgery: Vertebral column manipulation + deformity correction + D5 to L3 fusion

Amount: Rs.5,44,949/-

DOA: 23.05.2016  DOD: 11.07.2016

      

 Kumari G.Chandana, 12 years, residing at Harijana Wada, Esukapalli, Allur, Nellore Dt.A.P.

Diagnosis: Dorso Lumbar Scoliosis (Congenital)

Surgery: Vertebral column manipulation

Amount: Rs.5,30,415/-

DOA: 24.06.2016  DOD: 11.07.2016

   

 Master C.Anil Kumar, 10 years, residing at 1-63A, Ranganadhapuram, Cheekatipalli, Kalikiri, Chittoor Dt. A.P

Diagnosis: D6,D7,D8 Dorsal Khyphoscoliosis with right sided convexity

Surgery: Vertebral column manipulation with deformity correction

Amount: Rs.6,44,661/-

DOA: 13.06.2016  DOD: 11.07.2016

   

Sri A.Narendra Babu, 44 years, residing at 14-337-5, Panchali Nagar, Renigunta, Chittoor Dt.A.P.

Diagnosis: Right Petroclival Meningioma

Surgery: Right FTOZ craniotomy and excision of tumor + Lumbar drain placement

Amount: Rs.3,21,760/-

DOA: 23.05.2016  DOD: 11.07.2016

   

Sri K.Venkateswara Rao, 29 years, residing at Kanumuru, Gampalagudem, Krishna Dt.A.P.

Diagnosis: D8-D12 Khyphotic deformity with atrophy of D8-D12 nerve roots

Surgery: Right D7-D9, L1-L3 fusion with pyramesh + D10,11,12 vertebrectomy (vertebral column resection)

Amount: Rs.5,14,593/-

DOA: 22.06.2016  DOD: 11.07.2016

Sri R.Krishna Murthy, 61 years, residing at 8-48-6, M.R.Palli, Tirupati, Chittoor, Dt. A.P.

Diagnosis: OrganoPhosphorous poisoning

Amount: Rs.4,50,094/-

DOA: 08.12.2013  DOD: 22.01.2014

Sri R.Reddy Bhaskar, 42 years, residing at Kasimbedu vaddepalli, Maddipatlavandlapalli, K.V.Palli, Chittoor Dt.A.P.

Diagnosis: Myasthesis gravis with crisis with respiratory failure

Amount: Rs.2,47,702/-

DOA: 02.09.2013  DOD: 18.10.2013

Sri G.Gnanendra Reddy, 16 years, residing at 6-26, Jellavandlapalli, Gopidinne, Thamballapalle,

Chittoor Dt.A.P.

Diagnosis: Guillian Barre Syndrome

Amount: Rs.1,00,364/-

DOA: 29.09.2013  DOD: 15.10.2013

 Sri K.Subbarao, 57 years, residing at 13-7-88/D, Korlagunta, Tirupati, Chittoor Dt.A.P.

Diagnosis: Bulbar and Ocular Myasthenia Gravis with crisis(Plasmapheresis)extend thymectomy

Amount: Rs.3,06,296/-

DOA: 30.09.2013  DOD: 12.11.2013

Smt. T.Krishnaveni, 25 years, residing at Mogarala, Pakala, Chittoor Dt.A.P.

Diagnosis: Unknown compound poisoning

Amount: Rs.2,18,850/-

DOA: 08.01.2014  DOD: 08.02.2014

Sri.K.Chandra, 33 years, residing at 3-648, Gayathri Nagar, Proddutur, Kadapa Dt.A.P.

Diagnosis: Acute Renal Failure, Supervasmol intoxication

Amount: Rs.87,185/-

DOA: 26.04.2015, DOD: 01.06.2015

Sri.V.Mallesu, 25 years, residing at 6/14, Vaddepalli, B.Yerragudi, L.R.Palli, Kadapa Dt.A.P.

Diagnosis: Snake bite with Acute renal failure

Amount: Rs.2,32,797/-

DOA: 22.04.2015, DOD: 19.05.2015

Sri.M.Lokanatham Chetty, 44 years, residing at 1-11, Gudipala, Chittoor Dt. A.P.

Diagnosis: Anemia, Hypertension, Tuberculosis, Focal Proliferative Glomerulo Nephritis with Acute renal failure

Amount: Rs.3,02,608/-

DOA: 26.11.2014, DOD: 19.02.2015

Sri.S.Nagulu Naidu, 67 years, residing at 1-11, A.G.gari palli, Ithepalli, Chandragiri, Chittoor Dt. A.P.

Diagnosis: Chronic Glomerulo Nephritis, Hypertension with Acute renal failure

Amount: Rs.1,16,586/-

DOA: 15.01.2015, DOD: 10.02.2015

Statistics:

Sri Venkateswara Institute of Medical Sciences - Tirupati

Medical Record Department

Pranadana cases - Unitwise

2001 Nov to 2016 (July)

Sl.no

Unit

New admissions

Repeat admissions

OP(N)*

OP(R)*

Total

1

Cardiology

1138

25

0

0

1163

2

C.T.Surgery

1823

119

25

1

1968

3

Surgical  G.E.

186

29

28

1

244

4

Urology

289

22

1

0

312

5

Nephrology

910

1286

1

0

2197

6

Neurology

314

0

1

0

315

7

Neurosurgery

2453

96

2

0

2551

8

Medical Oncology

277

3822

316

67

4482

9

Radiation Oncology

60

250

206

2

518

10

BIRRD

34

1

0

0

35

11

Govt.Maternity

69

0

0

0

69

12

SVRRGGH

12

0

0

0

12

13

GeneralSurgery

9

0

1

0

10

14

Surgical Oncology

44

0

267

24

335

15

Haematology

13

337

0

0

350

16

Anaesthesiology

5

0

0

0

5

17

Medicine

87

0

9

0

96

 

Total

7723

5987

857

95

14662

*  PET-CT scans done on Out-patient basis for cancer ailment

 Finance:

                                                                                                      Sri Venkateswara Institute of Medical Sciences - Tirupati

Medical Record Department

Pranadana cases – Reimbursement receipts – Grant from TTD

2001 Nov to 2016 (July)

 

Sl.no

Year

Amount received (Rs.)

1

2002-2003*

50,00,000

2

2003-2004

1,05,00,000

3

2004-2005

1,52,62,650

4

2005-2006

3,38,59,043

5

2006-2007

2,70,32,249

6

2007-2008

5,69,46,011

7

2008-2009

1,48,78,809

8

2009-2010

57,55,722

9

2010-2011

1,43,76,666

10

2011-2012

2,47,98,991

11

2012-2013

4,45,81,249

12

2013-2014

5,31,14,706

13

2014-2015

9,88,74,811

14

2015-2016

12,83,18,378

15

2016-2017 (upto July)

3,92,45,905

 

Total

57,25,45,190

 

 

 

* Of total Rs.1,55,48,263/- incurred cost for free treatment under Pranadana scheme, Rs.1,05,48,263/- was released by SVIMS from SBAVP deposits and remaining Rs.50,00,000/- was released by TTD as an initial grant.

Genesis of the scheme for treating the poor patients :-

  • There were several representations from various social organizations and poor patients to give free treatment to the poor patients as they could not afford to pay for the diseases/ailments of  Cardiac, Kidney, Cancer, Neuro cases which are life threatening and treatment  cost is higher.

  • Basing on this the Director-cum-Vice Chancellor, Sri Venkateswara Institute of Medical Sciences (SVIMS) addressed a letter to the Executive Officer, Tirumala Tirupati Devasthanams (TTD) regarding the same and in the mean time the local elite, met the Director and came forward to establish a Heart-Brain-Kidney foundation on 09.04.2000.  But sufficient support was not received for this foundation and there by the scheme could not be continued.

  • After this, a request was made again to the EO, TTD and Government of Andhra Pradesh to take initiative and to give permission for treating poor patients at free of cost with the income generated by SVIMS as we are charging for middle classes and rich people.  This has been accepted and this provision has been extended to limited number of patients out of the income generated by SVIMS.

  • Finally, both the Hon’ble Chief Minister (who is also the Chairman of SVIMS) and Chairman of TTD have accepted to provide free service to the poor patients by collecting donations on the lines of S.V. Annadanam project.  Officially the free treatment for poor patients was inaugurated by the Hon’ble Chief Minister on 24th September,2001 on the eve of Sri Vari Bramhotsvam.

  • The S.V. Pranadana scheme was initiated under S.V. Pranadana Trust (SVPT) which was launched by the TTD on 12.12.01 with the members being Joint Executive Officer’s (JEO) of Tirupati and Tirumala, Financial Advisor & Chief Accounts Officer (FA&CAO), Senior Medical Officer (SMO), Supdt.,Govt. Maternity Hospital, Supdt., Sri Venkateswara Ramnarayan Ruiya Government General (SVRRGG) Hospital, Director, Balaji Institute of Surgery, Research and Rehabilitation for the Disabled (BIRRD) & Director-cum-VC, SVIMS and the Chairman being the Executive Officer, TTD.

  • The Trust was envisaged with an objective of using the Lord’s material and spiritual wealth for the benefit of the poor and needy patients for providing free medical treatment for the life-threatening diseases of Heart, Kidney, Brain, Cancer etc.,

  • The Executive Officer, TTD has started in the file A2/12/TTD.Corrs/SVIMS/2000, dated 25.12.2001 that the interest earned on Sri Balaji Arogya Vara Prasadini (SBAVP) scheme may be permitted to utilize towards treatment of poor patients.

  • An amount of Rs.1,55,48,263/- was utilized for free treatment of poor patients under the scheme named as S.V. Pranadana Scheme.  Of this amount Rs.105,48,263/- was released by SVIMS from January 2002 to March 2003 on SBAVP deposits and remaining 50,00,000/- was released by TTD as an initial grant.

  • The SVPT meeting which was held on 22.02.2003, decided to sanction Rs.15 lakhs per month as grant from the SVPT by TTD towards free treatment of poor patients in SVIMS.  Further, a monthly grant of Rs.25 lakhs had been sanctioned by the SVPT w.e.f.1.4.04, and then monthly grant was increased from Rs.30 lakh to Rs.50 lakhs was approved by the SVPT meetings held on 24.03.06, 30.01.2008 respectively and consequently, from 02.04.2014 it was amended as no limit for monthly grant.

Aims & Objectives of S.V. Pranadana scheme

The S.V. Pranadana scheme is brought by the SVPT, a charitable trust launched by the TTD with the following objectives.

1.    Providing free medical facilities to poor patients afflicted with life threatening diseases of the Heart, Kidney, Brain, & Cancer etc.,

2.    Providing poor patients with access to basic medical amenities life Blood Banks, Artificial Limbs, Physiotheraphy, Tools and Implants.

3.    Pioneering R & D into diseases like Chronic Renal Failure, Haemophilia, Thalassaemia and Cancer.

The following departments at SVIMS hospital offer free treatment for poor patients identified by the Pranadana selection committee members  which meets on every 4th Thursday of every month to select the beneficiaries under the scheme.

Cardiology

CT Surgery Neurology Neurosurgery Nephrology
Urology Medical Oncology

Surgical Oncology

Radiation Oncology

Surgical Gastroenterology

Haematology

Medicine

General Surgery

Anaesthesiology  

                 

1.    Cardiac conditions such as –

                        Valvular Heart Disease ,Congenital Heart Diseases, Coronary Heart Disease, Other cardiovascular syndrome requiring interventions/ procedures,

                         such as PTMC, PTCA, ASD/ VSD coil/ device closures, EP study, MVR/ DVR, CABG, TOF etc.,

 

2.    Neurological disorders

                        Cerebrovascular accidents

                        Removal of brain tumors

                        Severe cases of Head & Spinal Injury

                        Cervical disc prolapse requiring laminectomy/ discectomy and implantations

                        Kyphosis and congenital deformities

                        Guillain-Barre syndrome

                        Myasthenia gravis

                        VP shunt

              3.    Oncology Cases

                        Requiring Medical/ Surgical/ Radiation unit services for all cancer ailments

               4.    Nephrology –

                        Cases of Acute Renal Failure/ Acute kidney injury

                        Nephrotic syndrome

                        Lupus nephritis

                        Renal transplantation & Supply of immunosuppressive drugs

                        Snake bite with ARF

            Urology Cases –

                        Tumors of the Kidney, Andrenals & Bladder

                        Hypospadiasis

                        Injury Bladder, Ureter, Urethra, & Kidney.

 

5.    Surgical Gastroenterology – All cancer ailments requiring surgical intervention ,Corrosive injury of GIT and complications etc., requiring prolonged stay    

                6.    Haematology – Chronic myeloid leukaemia, blood disorders

7.    Medicine – Organo-phosphorous/ unknown poisoning Respiratory failures with mechanical ventilator support etc., 

8.    General surgery – All cancer ailments requiring surgical intervention 

9.    Anaesthesiology – All respiratory failure cases on MV support requiring prolonged care.

 

S.V.Pranadana Selection Committee members

SVIMS                                  T.T.D.                         Other hospitals

Director-cum-VC                    J.E.O.                          BIRRD Hospital, Director

Dean                                       C.A.O.                         SVRRGG Hospital, Medical Supdt.,

Medical supdt.,                        C.M.O.                        Govt. Maternity Hospital, Medical Supdt.,

R.M.O.           

HOD, Cardiology

HOD, C.T.Surgery

HOD, Neurology

HOD, Neurosurgery

HOD, Nephrology

HOD, Urology

HOD, Medical Oncology

HOD, Surgical Oncology

HOD, Radiation Oncology

HOD, Gastroenterology

HOD, Haematology

HOD, Medicine

HOD, General surgery

HOD, Anaesthesiology

Selection procedure of beneficiaries – Pranadana scheme

  1. The patients coming under below poverty line status (BPL) possessing White Ration cards (WRC’s) are identified and after preliminary examination are advised to avail free treatment under Pranadana scheme by the treating doctor at SVIMS.  The neighbouring BIRRD, SVRRGG and Govt.Maternity hospital’s can also refer those cases requiring super-specialty treatment in SVIMS at free of cost under this scheme.

  2. The treating consultants can refer both the elective & emergency cases with estimation letters for undertaking treatment with cost/ procedure involved.

  3. Such identified patient’s are counseled at Pranadana registration desk in Medical Record department (MRD) after duly screening the WRC’s submitted by the beneficiaries along with the estimation letter given by their consultants to avail procedure/ treatment. The patient’s sociological data are filled in the identified poverty index forms (PIF) laid by the Pranadana selection committee for due certification on the beneficiaries BPL status from their Revenue authorities of their domicile, enabling them to register under this scheme. 

  4. The patients need to submit an application along with the PIF (with details of occupation, family members, land/ property/ annual income, etc.,), true copy of WRC with due authentication from the revenue authorities of the patient’s domicile concerned for obtaining approval from the Director-cum-VC, SVIMS prior to their registration under this scheme.

  5. A detailed note file mentioning  the list of patients who were recommended by the treating doctor and identified/ pooled during the month (both elective and emergency cases) who had been permitted by the Direcor-cum-VC, SVIMS is circulated for final approval so as to be placed before the ensuring Pranadana selection committee meeting (held on every last Thursday of the month) for selection of beneficiaries and post-ratification of claims of reimbursement towards the incurred treatment cost. 

  6. The approved list of registered patient’s of that month are intimated by telephone and call letters to appear before the Pranadana selection committee for selection and approval as per their priority of registration.

  7. Pre-operative check-ups are done by the concerned consultants before presenting the patients to the selection committee after evaluating the current health status before the schedule of meeting.     

  8. The patient need to submit the following documents for scrutiny before the selection committee members. 

           a) Written request of the patient / attendant. b) Estimation certificate of the treating consultant. c) White Ration Cards as proof of their BPL status .

             d) Poverty Index forms (authenticated by revenue authorities with photo and ID marks)   e) Hospital Outpatient card.

9.   The patients after selection are intimated their due date for admission as advised by their treating doctors to avail treatment and need to report at Pranadana registration counter to facilitate admission into the hospital

10. Patients counselling is carried out by MRD personnel explaining the needs for blood donation, the length of stay etc., and record their tentative dates of admission on the same day of selection by the committee members.

11. The patients are admitted as per their scheduled dates to avail free treatment including free supply of medicines and food.

12. Daily rounds are done by the Director-cum-VC, SVIMS and monitored by the   administrators during their inpatient care.

13. The patients on the day of discharge are provided free medicines as advised by their consultants upto their follow-up.

14. The reimbursement claims on the medical expenditure incurred towards the treatment cost on the identified beneficiaries is processed at MRD and are preferred through the Accounts department monthly to the TTD for settlement.

15. Feed-back from the patients are obtained at Pranadana registration counter and these are conveyed to the administration.

16. The Director-cum-VC conducts medical audit with all stakeholders to have quality review on the flow of inpatient care management.

 


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