Suyash Nursing Home

Suyash Nursing Home is a super speciality Urology hospital with all ultramodern facilities.

It provides Urological services like 

•	Endourology (endoscopic management of urinary stone and prostate) 
•	Adult and pediatric urology
•	Female urology
•	Infertility and andrology
•	Reconstructive urology
•	Uro oncology
•	Lithotripsy
•	Kidney transplant 
•	Laparoscopic urology and 
•	Laser

Two speciality urology consultants are available round the clock.

Dr Sharad Somani

MBBS; MS; DNB; MCh; DNB; MNAMS

Dr Nagesh Nagapurkar

MBBS; MS; DNB

Dr Sujata Somani MBBS; DA; PGDHHM is a full time anaesthesiologist and hospital administrator.

Started on 26th Nov 2000 in a small rented premise, it has shifted to own premises on 11th March 2007.

It is centrally located at 11, Seven hill colony, near MGM hospital campus besides Jalna road.

Spread on 3 floors with approximately 5000 sq feet area, it has different zones like Out patient department (OPD), indoor patient department (IPD), Operation theatre (OT) & Diagnostic services.

OPD has 
•	2 consulting rooms 
•	Dressing room
•	Emergency treatment room 
•	Reception area and 
•	Ample waiting space for patient, relatives and visitors

IPD has 16 beds capacity. All IPD rooms are with ample light and ventilation and are self contained with attached WC, patient bed, relative bed and sitting arrangements for relatives. 
•	4 special rooms
•	1 AC deluxe room 
•	5 semispecial rooms with 2 accomodations each &
•	1 Urology ICU bed

Uro ICU is a unit with 
•	Ventilator 
•	Monitor 
•	Suction 
•	Defibrillator 
•	ECG & 
•	Central monitoring of patient parameters through central camera system.

We have 2 operation theatres, one major and one minor, which is fully equipped with all operation theatre, anaesthesia, surgery and urology equipments.

Operation theatre instruments include 
•	2 OT tables - one C arm compatible & other hydraulic 
•	Boyle’s unit 
•	Monitor
•	Suction 
•	Defibrillator 
•	Over head shadow less light and 
•	All surgery instruments

Urology instruments include 
•	Cystoscope - 2 (30 degree Hopkins II – Karl Storz, Germany)
•	Cystoscopy sheaths of all sizes (13, 15, 17, 19, 22, 23.5 & 25 F) 
•	Urethroscope (Karl Storz, Germany)
•	Resectoscope (Karl Storz, Germany) 
•	Ureterorenoscope (Richard Wolf, Germany) all sizes 
    	    Standard 8-9.8 F
    	    Mini 6-7.5 F  
    	    Ultrathin 4.5-6 F - thinnest scope available in the world at present 
•	Nephroscope (Richard Wolf, Germany) 
    	    Adult 24 F 
    	    Pediatric 18 F 
•	Ultra Mini Pcnl (UMP) set (LUTS, Germany) - 1 mm telescope & 5 & 6 F sheaths - smallest         available in the world at present for percutaneous treatment of renal stone
•	Flexible ureterorenoscope (Flex X2 – Karl Storz, Germany) with all accessories

Urological support instruments available are 
•	Video endoscopy camera (Karl Storz, Germany)
    	    Telecam DX II – Single chip
     	    Tricam SL II – Three chip
•	Camera monitor with HD & RGB facility (Sony) 
•	LED light source
•	Lithoclast
•	Cautery unit
•	C arm IITV image intensifier system  
•	Recording system for video endoscopy surgeries

Laparoscopy set includes 
•	10 mm telescope (Karl Storz, Germany) 
•	All trocars (5, 7 & 10 MM)  
•	Hand instruments and 
•	Insufflators

Holmium laser (50 Watts - Auriga, Germany) is a versatile energy source for stone fragmentation, prostate enucleation, stricture incisions & tumor resection. This is recent & most happening evolution in Urology in recent times .

We have tie up with other centre for 
•	Lithotripsy (ESWL – Extra corporeal shock wave lithotripsy) 
•	Kidney transplant

Suyash diagnostic centre has 
•	In house laboratory
•	Radiology and 
•	Uroflowmetry

Laboratory is under supervision of 2 qualified specialists & 3 technitians with modern equipments to give quality service in reasonable time.

Radiology services include 
•	Ultrasonography (Siemens - sonoline g 20) 
•	X ray (Siemens - high frequency) 
•	CR system (Agfa – CR 30)
Basic x rays, ultrasonography of kidneys, ureter and bladder and procedures like Urethrogram, MCU and IVP are performed.

Support staff is well trained and courteous.

Support services for the hospital available include 
•	Lift
•	Power back up with inverter, online UPS and generator 
•	Centralized camera system
•	Hospital management software for records, billing & prescriptions
•	Pharmacy

Cashless insurance facilities for many TPA’s are available. This hospital is also empanelled for Rajiv Gandhi Jeevandayee Aarogya Yojana of Govt of Maharashtra.

Rajiv Gandhi Jeevandayee Arogya Yojana (RGJAY)

The state Government of Maharashtra has launched Rajiv Gandhi Jeevandayee Arogya Yojana (RGJAY). OBJECTIVE: To improve access of Below Poverty Line (BPL) and Above Poverty Line (APL) families (excluding White Card Holders as defined by Civil Supplies Department) to quality medical care for identified speciality services requiring hospitalization for surgeries and therapies or consultations through an identified Network of health care providers.

SCHEME: Rajiv Gandhi Jeevandayee Arogya Yojana (RGJAY) has been implemented throughout the state of Maharashtra in phased manner for a period of 3 years. The insurance policy/coverage under the RGJAY can be availed by eligible beneficiary families residing in all the 35 districts of Maharashtra.

BENEFITS: The scheme entails around 971 surgeries/therapies/procedures along with 121 follow up packages in 30 identified specialized categories. The 131 procedures are to be performed only in empanelled public hospital / government medical college subject to availability of facility and procedure is planned.

BENEFICIARY FAMILIES: The families belonging to any of the 35 districts of Maharashtra and holding yellow ration card, Antyodaya Anna Yojana card (AAY), Annapurna card and orange ration card. The families with white ration card holding would not be covered under the scheme. The beneficiary families would be identified through the “Rajiv Gandhi Jeevandayee Health Card” issued by the Government of Maharashtra or based on the Yellow and Orange ration card issued by Civil Supplies Department.

HEALTH CARDS: Eligible families in these districts shall be provided with Rajiv Gandhi Jeevandayee Arogya Yojana Health Cards in due course of time. This Health Cards will be used for identification of Beneficiary families under the Scheme. Family Health Cards will be prepared by using data from valid Yellow or orange ration cards coupled with Aadhaar numbers issued by UID authorities. As an interim measure till the issuance of health cards, a valid Orange/Yellow Ration Card with Aadhaar number or in case Aadhaar number not available, any Photo ID card of beneficiary issued by Govt. agencies (Driving License, Election ID,) would be accepted in lieu of health card to correlate the patient name and photograph.

FAMILY: Family means members as listed on the Rajiv Gandhi Jeevandayee Arogya Yojana Health Cards or holding valid Orange/Yellow Ration Card.

IDENTIFICATION: Health card issued by Govt. of Maharashtra/Rajiv Gandhi Jeevandayee Arogya Yojana Society or valid Orange/Yellow Ration Card with Aadhaar number if Health card is not issued would act as a tool for beneficiary identification for availing the health insurance facility.

PRE EXISTING DISEASES: All Diseases under the proposed scheme shall be covered from day one. A person suffering from disease prior to the inception of the policy shall also be covered under approved procedures for that disease.

SUM INSURED ON FLOATER BASIS & PERIOD OF INSURANCE: The Scheme shall provide coverage for meeting all expenses relating to hospitalization of beneficiary up to Rs. 1, 50,000/- per family per year in any of the Empanelled Hospital subject to Package Rates on cashless basis through Health cards or valid Orange/Yellow Ration Card. The benefit shall be available to each and every member of the family on floater basis i.e. the total annual coverage of Rs. 1.5 lakh can be availed by one individual or collectively by all members of the family. In case of renal transplant surgery, the immunosuppressive therapy is required for a period of 1 year. So the upper ceiling for Renal Transplant would be Rs. 2, 50,000 per operation as an exceptional package exclusively for this procedure. The cases are likely to be very few and well controlled by Human Organ Transplant Act 1994. The claims related to this have to be settled by Insurer. The insurance coverage under the scheme for the beneficiary families shall be in force for an initial period of one year from the date of commencement of the policy.

RUN OFF PERIOD: “ Run Off period ” of one month will be allowed after the expiry of the policy period i.e. till one month after the date of policy period for 27 districts of Phase-II. This means that pre-authorizations can be done till the end of policy period and surgeries for such pre-authorizations can be done up to one month after the expiry of policy period and such claim will be honored by the Insurance Company.

PACKAGE: The insurer should ensure that the Network hospitals follow the packages worked out by Rajiv Gandhi Jeevandayee Society. The package rates will include bed charges in General ward, Nursing and boarding charges, Surgeons, Anaesthetists, Medical Practitioner, Consultants fees, Anaesthesia, Blood, Oxygen, O.T. Charges, Cost of Surgical Appliances, Medicines and Drugs, Cost of Prosthetic Devices, implants, X-Ray and Diagnostic Tests, food to inpatient, one time transport cost by State Transport or second class rail fare (from Hospital to residence of patient only) etc. In other words the package should cover the entire cost of treatment of Beneficiary from date of reporting to his discharge from hospital for a period of 10 days after discharge following surgery including complications if any, making the transaction truly cashless to the Beneficiary. In instance of death, the carriage of dead body from network hospital to the village/township would also be part of package. The planned 131 procedures like hernia, vaginal or abdominal hysterectomy, appendicectomy, cholecystectomy, Discectomy, etc. will be performed only in empanelled public hospitals/government medical colleges. The rates for each procedure are indicative and represent upper ceiling and the Insurer may negotiate with the given empanelled hospitals to bring them down amicably without compromising quality.

CASHLESS TRANSACTION: It is envisaged that for each hospitalization the transaction shall be cashless for covered procedures. Enrolled beneficiary will go to hospital and come out without making payment to the hospital subject to procedure covered under the scheme. When the beneficiary visits the selected network hospital and services of selected network hospital should be made available (Subject to availability of beds). In instance of non- availability of beds at network hospital, the facility of cross referral to nearest another Network hospital is to be made available and Arogyamitra will also provide the beneficiary with the list of nearby network hospitals.

ONLINE CLAIM SETTLEMENT: The Insurance Company shall settle the claims of the hospitals online within 15 working days on receipt of complete claim document from the Network Hospital including the Originals bills, Diagnostics reports, Case sheet, Satisfaction letter from patient, Discharge Summary duly signed by the doctor, acknowledgement of payments of transportation cost and other relevant documents to Insurer for settlement of the claim. The online progress of claim settlement will be scrutinized and reviewed by Rajiv Gandhi Jeevandayee Arogya Yojana Society.

HEALTH CAMPS: Health Camps are to be conducted in Taluka Head Quarters, Major Gram Panchayat and Municipalities. Minimum of one camp per week per empanelled hospital has to be held in the eight districts in the policy year. The insurer shall ensure that at least one free medical camp is conducted by each network hospital per week at the place suggested by Rajiv Gandhi Jeevandayee Arogya Yojana Society. The Rajiv Gandhi Jeevandayee Medical Camp Coordinator MCCOs of the hospital shall coordinate the entire activity. Network hospital shall carry necessary screening equipment along with specialists (as suggested by the Rajiv Gandhi Jeevandayee Arogya Yojana Society) and other Para-medical staff. The Insurer shall put in the minimum requirements as regards the health camp in the MOU with the hospitals. The empanelled hospital shall work in close liaison with district coordinator of the Insurance Company, Civil Surgeon/District Health Officer in consultation with District Collector. Hospital shall follow the Camp policy of Rajiv Gandhi Jeevandayee Arogya Yojana Society.

Treatments available are 
•	 Urinary Stone
•	 Enlarged Prostate
•	 PUJ Obstruction
•	 Kidney Cancer
•	 Urinary Bladder Cancer
•	 Prostate Cancer
•	 Testes Cancer
•	 Penis Cancer
•	 Urethral Stricture
•	 Ureteric Stricture
•	 Male Infertility
•	 Erectile Dysfunction
•	 Female Urinary Incontinence
•	 Congenital Anamolies

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