Kasturba Medical College, Mangaluru [KMC, Mangaluru] was the first medical college to have a public-private partnership vis-à-vis the college, Infosys Foundation, India and the government hospitals in the city — namely district Wenlock Hospital and Lady Goschen Hospital and time has proved this to be a win-win situation for all.

This partnership has helped government hospitals to be in the forefront of providing quality patient care which meets needs of the community. KMC, Mangaluru has been providing services of 109 consultants; bearing the entire cost of laboratory tests; additional nurses, technicians, clerical staff (in all 303 staff); taking over the responsibility of house-keeping and security; networking of various departments and taking care of computerization of hospitals; servicing/maintenance of the medical equipment; computerization of medical records department; and creating separate clinical lab in Wenlock Hospital.

For providing these, KMC, Mangaluru is spending about Rs 19 crore per year. The college also pays the government around Rs 5 crore every year as clinical training fee for utilizing the hospitals for student training. MAHE, the parent body also provides 78 seats to the government for allocation through common entrance test (CET).

Kasturba Medical College, Mangaluru [KMC, Mangaluru] was the first medical college to have a public-private partnership vis-à-vis the college, Infosys Foundation, India and the government hospitals in the city — namely district Wenlock Hospital and Lady Goschen Hospital and time has proved this to be a win-win situation for all.

This partnership has helped government hospitals to be in the forefront of providing quality patient care which meets needs of the community. KMC, Mangaluru has been providing services of 109 consultants; bearing the entire cost of laboratory tests; additional nurses, technicians, clerical staff (in all 303 staff); taking over the responsibility of house-keeping and security; networking of various departments and taking care of computerization of hospitals; servicing/maintenance of the medical equipment; computerization of medical records department; and creating separate clinical lab in Wenlock Hospital.

For providing these, KMC, Mangaluru is spending about Rs 19 crore per year. The college also pays the government around Rs 5 crore every year as clinical training fee for utilizing the hospitals for student training. MAHE, the parent body also provides 78 seats to the government for allocation through common entrance test (CET).

Components of PPP Model:
 1. Building and infrastructure: by Infosys foundation- INR 6 crores
 2.Administration, consumables and equipment: Government (Health and Family Welfare Department)

·         Day to day administration

·         Medicines, consumables

·         Equipment

·         Doctors- 3 (limited numbers)

·         Nurses – NRHM/ direct appointment
3. Clinical services, housekeeping and routine patient care: Kasturba Medical College, Mangaluru

·         Clinical services: Routine patient care- running 2 units with - 5 consultants, 7 junior residents, 7 interns 

·         Laboratory services: Investigations free

·         Nurses- few from Kasturba Medical College, Mangaluru

·         House keeping staff - Kasturba Medical College, Mangaluru

·         Security- Kasturba Medical College, Mangaluru

Services offered:

·         Outpatient services- 60-80 patients a day

·         Immunization: 250 patients per month

·         Inpatients- 60 beds with near >80% occupancy

·         Thalassemia day care- around 8-10 patients every day

·         Well baby clinic, high risk newborn follow-up

·         Support to- Pediatric surgery, District Early Intervention Center, Nutritional rehabilitation center

·         PICU- 6+ beds with near 100% occupancy

·         NICU+ step down care- 10+ beds with near100% occupancy

Gains made..

•       The government: reduced expenditure on salary head, high end treatment, better professional expertise.

•       The training of medical students contributes to addressing the problem of shortage of doctors in the country.

•       The medical college: availability of clinical material for teaching medical students.

•        The private medical college runs the hospital services efficiently so as to ensure that there is an increased influx of patients to train its students and meet the medical council requirements.

•       The public gains by the advanced modalities of treatment at highly subsidized rates. This model could bring patients to the more affordable public hospitals thereby reducing families getting trapped in the poverty–illness-poverty cycle

Publications:

Baliga BS, Ravikiran SR, Rao SS, Coutinho A, Jain A. Public-Private Partnership in Health Care: A Comparative Cross-sectional Study of Perceived Quality of Care Among Parents of Children Admitted in Two Government District-hospitals, Southern India. J Clin Diagn Res. 2016 Feb;10(2):SC05-9. 

Services offered:

·         Outpatient services- 60-80 patients a day

·         Immunization: 250 patients per month

·         Inpatients- 60 beds with near >80% occupancy

·         Thalassemia day care- around 8-10 patients every day

·         Well baby clinic, high risk newborn follow-up

·         Support to- Pediatric surgery, District Early Intervention Center, Nutritional rehabilitation center

·         PICU- 6+ beds with near 100% occupancy

·         NICU+ step down care- 10+ beds with near100% occupancy

Statistics of patients treated across the years:

Gains made..

•       The government: reduced expenditure on salary head, high end treatment, better professional expertise.

•       The training of medical students contributes to addressing the problem of shortage of doctors in the country.

•       The medical college: availability of clinical material for teaching medical students.

•        The private medical college runs the hospital services efficiently so as to ensure that there is an increased influx of patients to train its students and meet the medical council requirements.

•       The public gains by the advanced modalities of treatment at highly subsidized rates. This model could bring patients to the more affordable public hospitals thereby reducing families getting trapped in the poverty–illness-poverty cycle

Publications:

1.       Baliga BS, Ravikiran SR, Rao SS, Coutinho A, Jain A. Public-Private Partnership in Health Care: A Comparative Cross-sectional Study of Perceived Quality of Care Among Parents of Children Admitted in Two Government District-hospitals, Southern India. J Clin Diagn Res. 2016 Feb;10(2):SC05-9.