Indian Institute of Liver and Digestive Sciences

1. Indian Institute of Liver and Digestive Sciences Liver foundation, west Bengal 12 M Ishaque Road Kolkata -700016 Phone: 91-33-22264675 E mail: liv.fwb@gmail.com

2. Indian Institute of Liver and Digestive Sciences

3. Who is liver foundation West Bengal Our Response - India Institute of Liver disease Where can you find us Governance and Project Monitoring Progress to date – June 2014 Development Phases Fund-Requirement and Financing - Our Ask WE UPLIFT THE COMMUNITY AS WE RISE WE SEEK YOUR HELP AND SUPPORT Be part of history

5. Liver Foundation, West Bengal (LFWB) is a non-Government, charitable organization registered as a not-for-profit Society in India, • LFWB was established in 2006 by a group of clinicians with interest in understanding and treating liver diseases. • LFWB Mission includes • To promote merging of Indian social needs and professional competence • To be of relevance in the evolving health care delivery scenario – where profit and only profit dominates all endeavours except those undertaken by the Government and missionaries. • To play a pivotal role in ameliorating public health burden of liver diseases using a three-pronged approach – socio-cultural, clinical and biological. • THE Vision • LFWB plans to develop an institute that provides the best possible care in liver and gastrointestinal diseases, conducts global-standard research in liver diseases and trains health-care personnel in the relevant disciplines – but all at a price that is affordable, just and ensures social inclusion. Who is liver foundation west bengal

6. Liver diseases are fast emerging as a major cause of morbidity, mortality and health care burden in India. • Increasing numbers of people are exposing themselves to those life-style factors that contribute to liver diseases, adding to the health burden. • The traditional cultural barriers in a relatively conservative society are opening up to a flurry of risks like obesity, diabetes, alcohol and viruses that make liver disease a public health priority in India. • Management of liver and gastrointestinal diseases has also changed significantly in the last two decades. • Molecular (gene based) methods have provided precise diagnostic tools for liver and gastrointestinal illnesses. • Therapeutic endoscopy and interventional radiology has changed the approach to many diseases of liver and biliary tract, including pancreas. • Imaging modalities like MRI, CT scan, ultrasonography, Fibroscan etc. are improving in resolution and precision every day. • With the development of newer drugs for cure of liver diseases, illnesses such as Hepatitis Viruses, henceforth considered untreatable, can now be cured in majority. • Surgical Techniques have improved along with critical care and that has improved outcomes in difficult Liver and Gastrointestinal illnesses significantly. • Liver transplantation is changing lives of people suffering from advanced incurable liver diseases. Liver foundation west bengal

7. Our Response - India Institute of Liver disease • Establishing a Hospital: A Dream to Promote LFWB’s Mission • The idea is to establish an Institute that will have: • A hospital to provides the best possible care in Liver and gastrointestinal Diseases. • Carry out globally competitive research in liver diseases. • Provides nationally relevant education to produce trained human resources in relevant disciplines. • An outreach network that disseminates scientific knowledge and integrates with community perceptions as well as needs. • Strength of IILDS • Services ( please put a correct term) • In patient facility with outpatients and diagnostics • A liver research centre • A clinical facility • medical, • surgical, • investigational facilities. • Teaching facilities for post doctoral training • in gastroenterology and liver diseases, • liver transplant training, • intensive care, nursing, PhD programs. Indian Institute of Liver and Digestive Sciences

8. IILDS, is being established on a 4-acre plot of land provided by the Government of West Bengal to LFWB. • It is located at Sonarpurin the southern suburbs of Kolkata, at a distance of around 40 km from the Dum Dum (NetajiSubhas Chandra Bose) airport • 35 km from the heart (Esplanade) of the city of Kolkata (formerly, Calcutta). • It is well-connected by a network of roads and rail. • Where can you find us Indian Institute of Liver and Digestive Sciences

9. Governance and Project Monitoring • Liver Foundation West Bengal Indian Institute of Liver and Digestive Sciences • A Board of Governors will provide governance and oversight during development • BOG Comprising top executives and bureaucrats from the corporate, financial and government sectors. • serve as the authority for monitoring fund-acquisition and flow, approving expenditure and procurement and monitoring progress. • Construction is carried out by a reputable company. • The project is monitored by a renowned project management agency to ensure compliance to the timelines, quality and progress milestones. • Once established, there will be a hierarchical system of governance with the existing BoGreconstituted to include eminent clinicians • Accomplished and experienced liver and Gastroenterology specialists will be recruited

10. Progress to date – June 2014 • A temporary outpatient facility is already being run by the LFWB at this site since 2012, and has catered to the medical needs of many. • Construction Indian Institute of Liver and Digestive Sciences Construction of phase started in early 2014 and is expected to be inaugurated in June 2015 Outpatient Clinic

11. Development Phases Indian Institute of Liver and Digestive Sciences

12. IIDLS a Centre of Excellence • IIDLS will be the first Centre of Excellence for Treatment, Research and Education in Liver & Digestive System in Eastern India. • It will be a Centre of Excellence in this part of the world and bring relief to millions suffering from liver diseases and related ailments. • Accessible to patients from India & neighbouring countries • The location of the hospital in Sonarpur is well situated and has good connectivity. • IIDLS will serve a population of more than 200 million as it will be accessible to patients from neighboring countries of Nepal, Bhutan and Bangladesh, and from nearby Indian States of Jharkhand, Orissa and North Eastern States. • Projected Occupancy rates • With a conservative occupancy range of 55% to 72% over a 8-year period from commencement of operations, it is estimated that the hospital will provide treatment to more than 650 000 patients, including outdoor patients. • From general to deluxe and corporate wards • To cater to patients from different socio-economic segments, facilities would range from General Wards to Deluxe Cabins. While the tariffs for low income patients are kept lower than those of multi-specialty centers run by corporate houses, Deluxe and Corporate cabins would be charged at prevailing market rates. • Managed for sustainability • Finally, the entire hospital will be professionally run with long term sustainability in mind. • It will generate necessary surplus not only to keep all stakeholders happy but also develop the Academic & Research Wing. Indian Institute of Liver and Digestive Sciences

13. Fund-Requirement and Financing - • We believe in INVOLVEMENT not INVESTMENT • The estimated cost of the first phase hospital is INR 300M (US$4.9M), which needs to be raised within a year in order that the hospital can become functional by 2015. • The cost estimate of the building is US$ 1.7 M. • Cost of Medical Equipment including Operation Theatres amounting to US$ 1.9M is the other major expenditure and constitutes nearly 40% of the total project cost. • Electrical Installations, air conditioning, furniture fittings, IT Infrastructure, land value and project preoperative expenses make up the balance US$ 1.3 M. • We hope to involve millions who, believing in our vision, will step forward to donate or make endowments to bring the idea to fruition. • Our model of cross-subsidisation will work only if IILDS is built with funds that do not come with “string of return on investment • A sustainable cross subsidization revenue model • We do not subscribe to the idea of “health care as an industry’’ • Our revenue model will be the one that ensures that no one is denied of care and treatment for lack of moneybut those who can afford will receive care at an appropriate cost that keeps the wheels of the institute running. • We have developed a revenue model that will ensure substance and growth while providing quality healthcare at affordable cost • The basic premise is sustainability through cross subsidy • There will be transparency in clinical practice and cost of care which will serve as a viable financial-managerial model for specialty heath care • This clinical – business model is an imitable one for developing countries like India where issues of access to quality care and equity are concerns. Indian Institute of Liver and Digestive Sciences

14. Our Ask US$4,9 million – INR 300 Crore ----- US$2.1 million raised May 2014 - Thanks • We solicit donations in Cash / for Equipment • Magnetic resonance imaging machine - 1.25 million dollars • CT scan machine - 0. 4million dollars ( 400,000 usd) • Endoscopy -350,000 usd • Operation theatre equipments including those for liver transplantation - 500,000 usd • Diagnostic wet lab - 350,000 usd • HELP US EQUIP THE INSTITUTE Indian Institute of Liver and Digestive Sciences

15. WE UPLIFT THE COMMUNITY AS WE RISE • DIRECT JOBS CREATED DURING THE BUILDING PHASE • INDIRECT JOBS – IMPROVING EARNING CAPACITY Indian Institute of Liver and Digestive Sciences

16. WE SEEK YOUR HELP AND SUPPORT • We appeal to • individual and • organisation • to provide us • help with • cash or in • kind – to • build this • Institution. • Seeking support from the society through begging is a virtue that we inherit from Indian philosophy and culture. • It also reminds us of our accountability to the people and gets us deeply onto the roots. • We are professionally, culturally and philosophically rich – while not being so in finances. • We solicit donations that can come as financial support or supporting procurement of equipments and/or other elements of the infrastructure • We will take the wishes and warmth of your contribution to the ailing people – through best of care with least of financial stress and social disruption. Indian Institute of Liver and Digestive Sciences

17. Be part of history ----- help us to save lives Liver foundation west bengal