SIKKIM MANIPAL INSTITUTE OF TECHNOLOGY (SMIT)
The SMIT was established in 1997 and got a unique honour and proud privilege of being the first
constituent college of the Sikkim Manipal University. Located in state of Sikkim adjoining the
West Bengal and Sikkim border, SMIT is situated in the valley of Himalayan Mountains, with an
exuberant view of river Teesta flowing just at the steps of the Institute., SMIT is a fully
residential co-educational Institute having over 2000 students from all over the country.
Courses
SMIT offers B-Tech courses in Electronics & Communication engineering, Electrical &
Electronics Engineering, Computer Engineering, Information Technology, Mechanical
Engineering and also offers MBA & MCA programmes. The college also provides M. Tech
Course in Power Electronics.
Faculty and Infrastructure
SMIT has a young and enthusiastic faculty of over a hundred thirty teaching members. Faculty
members are the vital cogs on the wheel and their efforts help realize the aspirations of our
budding technologists and techno-managers. The dedicated faculty members work round-theclock to inculcate the values of quality education and produce high quality technocrats year after
year. The college boasts of well equipped lab facilities with state-of-the-art infrastructure and
equipment to train the students in all aspects of practical knowledge. The college consists of a
well stocked library, well connected with other leading libraries in India through DELNET. The
fully wired campus has its own VSAT link in addition to a 2 Mbps leased line for high speed
internet connectivity.
At SMIT the focus is on producing quality technologists who cater for the requirements of the
industry with changing times. Hence the institute follows a unique curriculum wherein the final
semester is totally devoted to six months project work in industry. Numerous opportunities are
provided to students in the fields of research work. In the past, students have successfully
undertaken projects at eminent research institutions in the country like ISRO and DRDO.
Placement
SMIT has a dynamic Training and Placement Cell focusing on student placements which have
been improving by each passing year. Lst year 456 students were placed during the first four
days of campus recruitment. There has been more than 600 job offers till date. SMITsonians
have been placed in prestigious companies like TCS, CTS, Infosys, IBM, ANZ, Accenture, Tech
Mahindra, TIL, IDBI, Tata Indicom, Sony Ericsson, Wipro, HCL, Sky Tech, Stesalit, Cognizant,
Ushacomm and many more……..
An Entrepreneurship Development Cell (EDC) addresses the entrepreneurial aspirations of
students. The EDC works under the aegis of Dept. of Science and Technology, Govt. of India
and assists students in exploring opportunities in self employment by setting up their own
enterprises.
Campus Life
The fully residential campus houses separate state-of-the-art, hostels for boys and girls having
well furnished rooms with attached bath. The hostels have excellent mess and canteen facilities.
Banking facilities along with ATM’s are available on campus. Medicare facilities are available
on hand for the students round the clock. The majestic Campus provides other than education, a
number of co-curricular activities as an integral part of its roster. Active participation is
encouraged in the fields of debating, music, quizzing, dance, trekking and other adventurous
activities. The annual cultural fest KAALRAV sees several colleges competing enthusiastically
and students giving their best performances to attain top rank for laurels. Students from the
Institute have participated in several events and won accolades all over. Along with audio visual
means of entertainment, the college boasts of a state-of-the-art gymnasium. Excellent facilities
are available for various like football, volleyball, cricket, snooker etc. To provide moral and
social support to students, the college runs faculty advisor schemes, benevolent fund schemes
and has merit-cum-means scholarships.
CENTRAL REFERRAL HOSPITAL
OBJECTIVES
We aim at providing patients with high quality care and service, thus focus on individual
dedication to quality in meeting these goal
o Quality Education- Teaching the physicians of tomorrow while enhancing the skills
of today’s healthcare Professionals.
o Research- Creating new knowledge in basic and clinical with special stress on the
areas of social health perspectives and advance health research
o Quality Patient care
o Quality Service
Glimpses
Healthcare Plan
OBJECTIVES
 To provide all OPD services, Expert first aid, essential emergency and resuscitative healthcare
to the general population in the catchment area.
 To provide comprehensive and continuing Healthcare to the resident of Sikkim.
 To provide 50% of its inpatient services and a suitable component of all its other services on a
subsidized tariff structure to the needy residing in Hospital catchment areas
 To provide suitable level of medical cover to all industrial activities being carried out in Sikkim.
 To coordinate and evacuate all patients and causality to the hospital from there resident or
place of work and other alternate Hospital as required.
 To coordinate with Family welfare department in implementing all national health program's in
Sikkim
 To provide disaster management program for Sikkim and surrounding areas.
DISEASE PATTERN
To provide comprehensive and continuing healthcare, the incidence pattern for various diseases
in the catchment area has been analyzed.
The prevalence of the following diseases is seen to be higher in Sikkim. This has been verified
during discussions with various healthcare providers, various surveys in Sikkim.
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Amoebiasis
Anaemia
Communicable Disease
Skin Disease
Tuberculosis
Malaria
Disease of Nervous systems, Psychotic disease
Disease of Respiratory system
Disease of Genito-urinary systems, Renal Stones
Sexually Transmitted disease
Disease of perinatal period, Multiple Abortion
Injury and poisoning
Dental caries
Cataracts
Hepatitis
The disease pattern has the following major implications for the healthcare plan.
1. The incidence of Tuberculosis requires Health education of the general Public in the
catchment area.
2. The high incidence of sexually Transmitted Diseases requires institution of a
comprehensive AIDS control and preventive programme.
3. To need and follow Aggressive community Education Programme, focus should be on
preventive care, lifestyle modification and early detection of complication.
The hospital have suitable Infective disease ward.
In addition, a comprehensive Medical Records keeping system has been instituted to monitor and
manage healthcare of all the residents of Sikkim and other enrolled members.
PROVISIONING OF CASUALITY AND AMBULANCE SERVICES
There are suitable arrangements to provide comprehensive Accident and Trauma services and
Ambulances with capabilities to provide Intensive Care during evacuation are provided. In view
of the episodic nature of accidents and geographical position of the Hospital, the Hospital has an
integrated Triage and disaster management area in its casualty area.
In addition, the hospital provides all services as provided in a tertiary care Hospital.
PROVISIONING OF AMBULATORY CARE
It provides consultation and diagnostic services during fixed OPD working hours. The OPD
consultation and attendance in special clinic are single registration for a definite period. Once
registered as OPD cases, they shall be able to avail of all other services.
Special Clinic
In addition, the special Clinics are operated for specific diseases entity in the OPD.
It has been proposed that the following special clinics shall be held on a regular basis, once a
month and provide multispecialty comprehensive consultations and diagnostic & therapeutic
services.
o Asthma Clinic
o Anaemia Clinic
o Stone Clinic
o Diabetic Clinic
o Hypertension Clinic
o Infertility Clinic
o Menopause Clinic
o Tuberculosis Clinic
o Comprehensive cardiac Clinic
o Well baby Clinic
o Executive Health Check up Clinic
o Family Medicine and Immunisation Clinic
PROVISIONING OF IN-PATIENT CARE
The Hospital provides patient services in the following categories
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Intensive Care
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Acute Care
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Intermediate Care
PROVISIONING OF HEALTH MAINTENANCE ORGANISATION (HMO)
The Hospital provides well organized Health Maintenance Organization, whose tasks will be as
under:
1. To Provide Master Health Checkups and other healthcare programmes including
managed healthcare and operate the preferred Provider Organization.
2. Liaison with primary care health providers, secondary care health providers and
organization in the catchment areas.
3. To provide socio-economic rehabilitation program with active participation of various
philanthropic foundations.
4. To organize Health education.
5. To register and monitor all cases needing long time care.
PROVISIONING OF SUPPORT SERVICES
The Hospital provides the following Support Services as captive in house services.
1. Hospital Administration
2. Hospital Medical Records Department
3. Operation and Maintenance of Engineering and Machinery.
4. Hospital Vehicles
5. Hospital Biomedical Engineering services department.
6. Piped Medical Gases Supplies
7. Laundry Service
8. Pharmacy Service
9. General Store Supply & Sterile Supply Department
10. Catering Services.
11. Housekeeping Services.
12. Security Service Department.
Functional Plan
To achieve the objective as stated in the Healthcare Plan, SMIMS has the following areas
GENERAL
It intends to provide 50% of its inpatient services and a suitable component of all its other
services on a subsidized tariff structure to the needy residing in the Hospital catchment areas. To
meet the objective, the hospital have a General ward with 20-50 beds and a general OPD in it s
casualty service for providing all primary and specialized consultations.
FUNCTIONAL AREAS
IN-PATIENT UNIT
Intensive Care Ward
Nursery
Immediate Care Ward
Isolation Ward
Total
100
342
18
Beds
40
Beds
Beds
500
Cribs
Beds
It will be organized as under
Single bedded Suits
Single Bedded(deluxe) Bedrooms
Two Bedded Bedrooms
Six Bedded Bedrooms
ICU
Nursery
Total
22
500
Beds
104 Beds
130 Beds
Beds
Beds
40
Cribs
Beds
50
5
Rooms Complex
Rooms Complex
104
100
OUT PATIENT UNIT
Consulting Rooms
Emergency Rooms
CLINICAL SUPPORT AREAS
General Surgery Suit
5
2
2
1
Operating Room
Complex
OR’s for General Surgery
OR’s for Trauma, Gynae and Obstetrics and Dental
Surgery
For Orthopedics Implant surgery
Obstetrics Suit
2
delivery Room complexes
1
2
Clean Delivery Room
Procedure Room
Imaging Dept.
7
1
2
3
4
5
6
7
Pathology
X-Ray Room
CT Scan Room
Mammography Room
MRI Room
Bone Densitometry Room
Ultrasound Room
TMT & cardiac Echo Room
4
1
2
3
4
Room Complex
Room Complex
Clinical Pathology Laboratory
Haematology Laboratory
Bio-Chemistry Laboratory
Microbiology Laboratory
Blood Bank
Ancillary Therapy
Dialysis
Physiotherapy
Occupation Therapy
Speech Therapy
Orthotics
4
4
Stations
Stations
Departmentation
DEPARTMENT OF MEDICINE
It includes the following specialties
Internal Medicine
Dermatology
Pulmonology and Tuberculosis
Psychiatry
DEPARTMENT OF SURGERY
It includes the following specialties
General Surgery
Orthopaedic Surgery
Urology
Plastic and reconstructive Surgery
ENT
Emergency & Critical care
Anaesthesia
Dental
DEPARTMENT OF PAEDIATRICS
DEPARTMENT OF GYNAE AND OBSTETRICS
DEPARTMENT OF RADIO- DIAGNOSIS
DEPARTMENT OF PATHOLOGY
DEPARTMENT OF NURSING
SUPPORT SERVICES
DEPARTMENT OF HOSPITAL ADMINISTRATION
It includes the following functions and services
Reception and patient Relations
General Administration
Finance
Medical Records
Operation and Maintenance of Engineering and Machinery
Hospital Vehicles
Hospital Bio Medical and engineering Service
Piped Medical gasses Supplies
Laundry Service
Pharmacy Service
General Store Supply & Sterile Supply Service
House Keeping Service
Security Service
Services – 24 Hours
1. Emergency Medical Service
Our Emergency room is fully equipped to handle all kinds of trauma and medical emergencies.
All staff, including Doctors and Nurses in ER are well trained to handle any emergencies and are
adept in the use of monitor and defibrillator. They are ably supported by 24-hour resident service
of Internal Medicine, General Surgery, Gynecology, Pediatrics and Anesthesiology
registrars/consultants and by on-call Cardiology, Neurology, Neurosurgery, Orthopedic and
Plastic
Surgery
consultants.
There are different protocols for handling various kinds of animal bites, poisoning and cardiac
emergencies. Excellent trauma care and cardiac arrest response systems are followed. Most
sophisticated ambulances, fully equipped with monitor, ventilator, defibrillator and well-trained
personnel are available round-the-clock for any critical patients who need emergency transfer to
KIMS. Besides an overhead paging system, we have an individual pager system for all on-call
personnel. Conduction of regular mock codes is a continuous part of training of the ER staff. Our
nurses are trained in Basic life support and in Advanced Cardiac Life Support, and they attend
CME programmes on a regular basis.
Special features:
 24-hour Trauma Care
 All consultants available 24 hours on-call
 Fully-loaded ambulance with ventilator, monitor, defibrillator and other facilities to
retrieve patients in times of emergency
 Policies and protocols for management of all emergencies
 Toll free number
2. Radiology
The Radiology department, under the supervision of qualified radiologists and radiographers
provides excellent service with the help of all modern and sophisticated equipments
Special features:
Sub-second Spiral CT Scan
Mammogram
800 MA IITV daylight Fluoroscopy
Portable Ultrasound Scanner
C-Arm Image Intensifier
Color Doppler
X-ray / Portable X-ray unit
3. Pharmacy
We have a 24 hour Pharmacy situated in the lobby level, which caters to inpatients and
outpatients. We keep high quality medicines, major life-saving drugs and antidotes. From the
wards and ICU's medicines are intended through Hospital Information System (HIS) which
assures fast delivery to the concerned areas. Medicines are sold here tax-free.
4. Blood Bank
Supports our busy Operating Rooms, Intensive Care Units, Cardiac surgery and Emergency
Rooms with 24 hour service
5. Laboratory Services
Department is headed by Pathologists, Biochemists and Microbiologists with all major
equipments to suit the Modern Laboratory System
Special features:
A back-up for biochemistry investigations using dry chemistry method.
Strict internal & external quality control programs.
Sub Functions include:
Biochemistry
Pathology
Microbiology
Hematology
Cytology
Serology
Immunology
Infection control
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Infection is preventable and all Sikkim Manipal Institute of Medical Sciences staffs shall comply
with the policies in the infection control manual in order to ensure safe work environment.
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Be sure to wash your hands:
On arrival of duty at the hospital to remove organism from outside
On completion of duty, before leaving hospital, to avoid taking hospital germs home.
Before and after patient contact
After using gloves
Immediately after contact with body and body fluids, secretions, excretions, non intact
skin or mucous membrane
Before and after eating, blowing nose, combing hair, bathroom use.
After handling patients files and patient care devices.
Before entering and after coming out of intensive care areas and patient rooms.
Before preparing and serving food to a patient
Before and after collecting samples from a patient
After leaving a contaminated area such as a soiled utility room.
Safety Lessons:
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The maintenance of safety of the hospital is an important part of quality improvement. The basic
responsibilities include, fire safety, radiation safety, smoking control and handling hazardous
materials (Chemical Safety)
A. Fire safety:
There are three teams earmarked to carry out specific functions incase of a fire outbreak.
 Fire fighting team: Responsible to use all means available to put out the outbreak of fire.
 Salvage team: Responsible to carry out rescue of persons from site of fire and retrieve
maximum property.
 Cordon Team: Responsible to control people from entering the place of fire.
 The Chief security Officer is responsible for coordinating the activities of fire fighting,
slavage teams and cordon teams.
Special features
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Fire alarm hooters cum speakers
Manual call point (break glass type) with hammer and chain
Ionization type smoke detectors and heat detectors
1 main fire alarm panel with PA system
Local control fire alarm panels
Inlet fire brigade connections to take water from fire engines in case of emergiencies.
In case of fire remember RACE
R: RESCUE, A: Alarm, C: Confine the fire, E: Extinguish (if trained) and Evacuate.
B. Radiation safety:
The radiation safety guidelines are prescribed by the AERB shall be applicable in units with
potential risk of radiation like radiology units.
The radiology units provide for radiation protection devices like lead shields, lead glasses, lead
rubber, aprons and Gloves etc.
The radiology units staff’s are placed under a radiation monitoring (TLD monitoring) service by
an approved agency. The relevant recommendations of the agency shall be implemented to
ensure the staff safety.
C. Smoking control:
Every patient, visitor has the right to a smoke free environment at our hospital. The entire
premise of the hospital is a “NO SMOKING” area.
D. Patient safety:
Patient safety is the responsibilities of all employees of the Hospital.
All staff members are responsible for prompt and correct reporting of accidents in Hospital
premises involving patients and bystanders. The Hospital shall ensure proper communication
about safety to the patients.
The hospital administration, Nursing services, biomedical services, Infection control Nurse are
the members of the cross functional safety team. The committee will investigate all such
incidents in hospital premises and suggests remedial measures.
E. Disaster Plan:
The Disaster Plan of Central Referral Hospital preparedness plan to support an external disaster.
There are 4 –disaster Statuses:
 ALERT: The threat is not near or not large.
 LIMITED DISASTER: The threat is confirmed to be as estimate of 10-15 critical cases.
This would require only presence of pre-selected group.
 FULL DISASTER: The threat is confirmed to be as estimate of 20-25 critical cases. This
would paged overhead as “Disaster Alert- Code Blue”. All CRH staffs are expected to
respond to full disaster situation.
 ALL CLEAR: This is the status whereby the disaster is declared “All clear” will be
paged overhead.
F. Triage Levels:
RED TRIAGED: Immediate care –victims whose condition is critical and whose care cannot
wait.
YELLOW TRIAGED: Delayed care- Patients who require hospital care but can wait until the
red triaged victims are dealt with.
The red and yellow triaged patients shall be received by EMS and secondary triage for surgical
patients will occur in surgical secondary triage area. (Emergency Theatre)
GREEN TRIAGED: Minor cases- patients who have minor injuries whose care can wait a
prolonged time. These patients shall go to the OPD to be seen by doctors assigned there.
BLACK TRIAGED: Victims who are dead at the scene or arrival.The black triaged patients
from an inpatient source are taken directly to the mortuary.
G. Emergency Alerts
Emergency codes are usually announced over the Hospital intercom 3 times along with the exact
location (Floor/Unit/Level) where the emergency is taking Place.
(For example: Code blue ICU, Code blue ICU, Code blue ICU)
 Code Blue : Medical Emergency
 Code Red : Accident and emergency (Internal Disaster)
 Code Orange : Hazardous material spill or Leak
 Code Pink : Child Abduction
 Code Purple : Missing patient
 Code Brown : External Disaster
Hospital information system
A hospital information system (HIS), variously also called clinical information system (CIS) is a
comprehensive, integrated information system designed to manage the administrative, financial
and clinical aspects of a hospital. This encompasses paper-based information processing as well
as data processing machines.
As an area of medical informatics the aim of an HIS is to achieve the best possible support of
patient care and administration by electronic data processing.
It can be composed of one or few software components with specialty specific extensions as well
as of a large variety of sub-systems in medical specialties (e.g. Laboratory Information System,
Radiology Information System).
CISs are sometimes separated from HISs in that the former concentrate on patient- and clinical
state- related data (electronic patient record) whereas the latter keeps track of administrative
issues. The distinction is not always clear and there is contradictory evidence against a consistent
use of both terms.
CRH has customized a HMIS software in few departments viz. Finanace module , Registration,
Central Supply and Stores and Medical Records Departments.
Marketing Plan
POSITIONING
Positioning is the act of designing the hospitals offer, so that it occupies a distinct and valued
place in the target customer’s mind. The Hospital should be positioned in such a way that the
following parameters are met with.
Important
The Hospital is important as it serves to cure an ailing person through effective treatment.
Distinctive
The Tertiary level care offered by Sikkim Manipal Institue of Medical Sciences with the State of
art equipment and highly qualified doctors is the first of its kind in Sikkim.
Superior
The quality of healthcare that is offered with the expertise of its renowned medical facility on the
advisory board of the Sikkim Manipal Institute of Medical Sciences.
Affordable
Compared to longer stay in other Hospitals; a patient stays less number of days and all diagnostic
facilities are available in house. Thus a patient in Sikkim Manipal Institute of Medical Sciences
cost effective treatment.
SO THE MARKETING PLAN SHALL BE
To positioned the distinctive and superior Healthcare service product being rendered by highly
qualified and renowned medical staff of Sikkim Manipal Institute of Medical Sciences for up
market segment, in the state of Sikkim at a very affordable and competitive price with special
emphasis on rendering comprehensive and integrated healthcare.
The main Thrust shall be at adding the present capabilities of Healthcare providers of Sikkim.
The proposed Hospital facilities shall compliment the existing infrastructure rather than compete
with it.
On a Long term basis the following activities shall be established:
1. A definite continuing education and training programmes for doctors, Nurses and
technicians including clinical meetings, ward rounds etc.
2. Empanelment of senior academicians in selected specialties to ensure quality care.
3. Task oriented research in basic and applied medicine with active involvement of ICMR.
4. Active involvement in community welfare programs.
5. Publication of Hospital Academic Journels, Statically Journels and its circulation in
referral pool.
6. Systematic integration with Hospital auxiliaries - which come from target market.
7. Necessary Financial allocation shall be made preoperative and normal operating periods
for the marketing efforts listed so far.
CLINICAL
 Anesthesiology
 Cardiology
 Cardiac Surgery
 Child and Adolescent Psychiatry
NON CLINICAL
 Anatomy
 Physiology
 Biochemistry
 Dental Services
 Pharmacology
 Dermatology
 Forensic medicine and Toxicology
 Dietetics
 Community medicine
 Endocrinology
 Pathology
 ENT & Laryngologist
 Microbiology
 Family Medicine and Holistic Medicine
 Gastroenterology Medical
 General Surgery
 Internal Medicine
 Nephrology
 Neurology
 Neurosurgery
 Obstetrics & Gynecology
 Ophthalmology
 Oral & Maxillofacial Surgery
 Orthopedics’
 Pediatrics & Neonatology
 Pathology & Laboratory
 Physical Medicine and Rehabilitation
 Plastic Surgery
The outcome of any
Healthcare Delivery is
patient
Successful
a Satisfied