T D B G &: H E Iffe Rence E Tween Ood
T D B G &: H E Iffe Rence E Tween Ood
T D B G &: H E Iffe Rence E Tween Ood
INSTITUTES
INSTITUTE OF
NEUROSCIENCES
INSTITUTE OF
120,000,000
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TRANSPLANTS
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EMERgENCy &
CRITICAL
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TH
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E Di F F E
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RETAIL HEALTH
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GO O D &
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r
e
a
t
.
B u s i n e s s Re s p o n s i b i l i t y R e p o r t
2018-2019
| APOLLO HOSPITALS ENTERPRISE LIMITED |
We piloted our efforts in population health and well-being in Members and investors for the trust they have placed on us. I
Apollo Hospitals Group is the only global institution with We have since inception, underpinned our clinical excellence Aragonda village, my birth place in Chittoor district (AP) in 2013 look forward to that in the coming years as we move forward to
presence in every facet of the healthcare eco-system, with superior technology in every discipline, comparable to any achieve our goals.
to fight the onset of Non Communicable Diseases. The initiative,
encompassing curative health, pharmacies, retail health, hospital in the world. Our most recent addition of the multi-
Total Health, provides “Holistic Health Care” for the community, Our steadfast goal is to bring down the huge burden of
diagnostics, telehealth, home health, as well room Proton Centre in Chennai
starting from birth, into childhood, adolescence, adulthood and in NCDs through our comprehensive preventive health
as preventive health and wellness, medical education and will serve patients not just in India, but also from other
the later years of life. Today the program
skill development, not to mention health insurance and over countries that do not have this facility. The credibility programme. Always remember that your body is priceless and it
covers the whole of Thavanampalle Mandal with 170 hamlets and
3,400 pharmacies. We have touched over 120 of the Apollo brand and the cost of treatment which is less is your duty to maintain and preserve it, towards your Health
than one-third of international prices, attract many medical 60,000 people and the results are extraordinary. I am proud to
million people through our eco-system led by our hallmark and Happiness.
value travelers to our hospitals and our highly skilled team of announce that Apollo Hospitals in Aragonda has
clinical excellence tendered with care, compassion and cost
medical, surgical, and radiation oncologists and physicists. performed 150 Knee Replacement surgeries – the first hospital in Stay Healthy and my warm personal regards to all of you,
benefit – an achievement which no other private institution can
Our facilities are equipped with the India to do so in a remote village.
claim. Dr. HJ Morowitz, Professor at the Yale University,
analyzed various parts of the body and latest technology to enable them in their diagnoses and On the 24th of February, Shri Ram Nath Kovind, the Hon’ble
its functions and pegged the value of its creation at six treatments. This spirit pervades our 70 hospitals. Dr. Prathap C. Reddy
President of India, inaugurated our Multi Specialty Hospital in
trillion dollars. Such a priceless body needs strong Lucknow — ApolloMedics. This marks our 70th Hospital with Executive Chairman, Apollo Hospitals Group
guidance to protect its health and well-being. a capacity of 330 beds.
2 3
| APOLLO HOSPITALS ENTERPRISE LIMITED |
facilities are housed under Apollo Health & Lifestyle Ltd, which is the
retail healthcare arm of Apollo Hospitals.
For more than 35 years, the Apollo Hospitals Group has continuously
excelled and maintained leadership in medical innovation, world-
class clinical services and cutting-edge technology. Our hospitals are
consistently ranked amongst the best hospitals globally for advanced
medical services and research.
Clinical Excellence forms the cornerstone around which our
healthcare operations are structured. We strive consistently to
deliver the highest standards of clinical outcomes across various
specialties.
4 5
| APOLLO HOSPITALS ENTERPRISE LIMITED |
Responsible Business Conduct is a globally recognized concept Opportunities 1. Responsible management of hazardous and medical waste
founded on the idea that businesses can perform better when
2. Energy efficient practices
engaged in re-vitalizing the society from which they extract
3. Robust plans to confront water scarcity
resources for their day to day functioning. Sustainability, is the
Responsible Businessoutcome achieved by balancing the social, environmental and 4. Widening access to healthcare
Conduct economic impacts of business, which ensures that business goals are 5. Impactful innovation in healthcare delivery
pursued without compromising any of these three elements. 6. Uptake of new technologies that have a demonstrated potential
Healthcare services companies have a great potential to benefit to deliver positive impact, either by addressing unmet medical
society as a whole, but still need to carefully manage key needs and thus improving quality of care, or streamlining
sustainability risks such as patient safety, quality standards, as well costs and reducing inefficiencies within the broader sector
as business ethics.At Apollo Hospitals we aspire to create long term 7. Effective quality management systems that encompass regular
sustainable value for our stakeholders while conducting our business audits of facilities and services
in a responsible fashion. We identify Environmental, Social and 8. Selection and training of personnel and adoption of a code of
Governance risks in our risk assessment framework and take conduct including integrity and quality of care
responsible steps towards mitigating them. 9. Security measures to protect patient data and defense
Notable trends in healthcare include changing lifestyle habits due to mechanisms against cyber threats
new technology, demographic trends such as an increase in global 10. Ensuring work-life balance for employees through dedicated efforts
life expectancy, as well as public health challenges such as 11. Putting in place whistleblowing mechanisms, reporting channels
antimicrobial resistance. However, new opportunities also arise in and mentoring
this changing context: for instance, technologies such as artificial The NGRBC guidelines, articulated as a set of nine principles and
intelligence can help decrease healthcare costs, among other their attendant core elements enunciate the thrust of the United
things, through improved efficiencies across the whole value chain. Nation Guiding Principles (UNGPs) on Business and Human Rights
Such gains, when meaningful for the broader healthcare system, and Sustainable Development Goals. They comprehensively capture
are highly valuable from a sustainable investment standpoint, in the key steps a responsible business should take regarding major
addition to other key sustainability drivers such as improved ESG risks.
access to medicine for low income populations and rural
populations in a developing country like India. At our Hospitals we Principles Ethical research practices
invest in technology to bring cutting edge treatment options to our Businesses should provideHuman Resources - Businesses services in a manner that is safe should respect and promote the and susta
Governance Structure - should show that it will develop, put in place and support structures,
Human resources
Governance
Major Risks Stakeholders - Businesses should respect the interests of and be responsive to all its stakeholders
04
Businesses should engage with and provide value to their consumers in a responsible
consumers. We also purposefully innovate ways to increase our
reach and to empower to take care of their health and wellness.
Major sustainability challenges for the healthcare sector, the major
05
Businesses should influence public and regulatory policy in a responsible and transparent
Safety standards
08
manner manner
07 09
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| APOLLO HOSPITALS ENTERPRISE LIMITED |
65,000+ 175,000+
Radiotherapy
Neuro Surgical
Discharges Bone
8 9
| APOLLO HOSPITALS ENTERPRISE LIMITED |
Health
Checks
Frac
Excellence
tion
s
ChemotherapyCycles Replacements
EMERgENCY ONCOlOgY t RA NsPl A
Nt
1,230
900
8 9
| APOLLO HOSPITALS ENTERPRISE LIMITED |
Outstanding institution Builder Award (2019) india’s Most Admirable Brand Award (2019) Express Healthcare Excellence Awards (2018)
Dr. Prathap C Reddy, Chairman, Apollo Hospitals Group Dr. P. C. Rath, Senior Consultant – Cardiology, Apollo Apollo Hospitals, Group has been awarded as India’s Most Best Cost Effective Solution—Apollo Health City,
was conferred with Outstanding Institution Builder award Health City, Hyderabad has been awarded the Admirable Brand 2019 by The Brand Story. Hyderabad
by the All India Management Association. Apollo
5s sustenance Award (2019) Apollo Cancer Centre, Teynampet, Chennai has been Best Patient Safety Practices—Apollo Health City,
Effective succession Planning Award (2019) awarded the 5S Sustenance Award 2019 in “The Large Scale Hyderabad
Distinguished Clinician Award 2018. Service Category” from the Confederation of Indian Industry -
Southern Region.
Times Health icons Ahmedabad (2018)
Dr. Prathap C Reddy, Chairman, Apollo Hospitals Group
was conferred with the ‘Effective Succession Planning’ Apollo Health City, Hyderabad has been awarded Best CRM
Best CRM Programme (2019)
award at the Economic Times Family Business Awards Programme at 6th Customer Loyality Awards. Apollo Hospitals, Ahmedabad was recognised as a Hub
for Medical Tourism in Ahmedabad and Surat by Times
ABLF Business Courage Award (2018) Apollo Health City, Hyderabad has been awarded by AHPI as
AHPi — Patient Friendly (2019) Health Icons Ahmedabad - 2018. The other categories in
Patient Friendly Hospital. which Apollo Hospitals, Ahmedabad bagged the
Golden Peacock — HR Excellence Award (2019) number one position for its clinical excellence were:
Dr. Preetha Reddy, Vice Chairperson was honoured with Apollo Health City, Hyderabad has been declared as winner for
ABLF Business Courage Award by the Asian Business Golden Peacock – HR Excellence Award. Diabetology
Leadership Forum (ABLF), Dubai. The recipient of this Dermatology
award is a formidable business leader who defines the
FiCCi — Medical Value Travel Awards (2018) Medical Value Travel Specialist Hospital, Cardiology – Cardiac Plastic and Cosmetic Surgery
essence of true captaincy: one who leads effortlessly Surgery—Apollo Health City, Hyderabad
during times of prosperity and crisis, ensuring the safety
Times All india Lifestyle Hospital and Apollo Hospitals, Chennai and Indraprastha Apollo
of corporate, community, and human capital.
Clinic Ranking survey (2018) Hospitals, Delhi bagged top 5 positions across the
categories in the All India Lifestyle Hospital and Clinic
Medical Value Travel Specialist Hospital, Oncology—Apollo Cancer Ranking Survey 2018 conducted by Times Health
Lions Humanitarian Award (2018) Centre, Chennai Survey
be conferred with the prestigious Lions Humanitarian Minister of State (IC) for Tourism, Government of India
Hospitals, Ahmedabad
Award by Lions Club International Foundation for making at the Vigyan Bhawan, New Delhi
international standards of healthcare accessible and
Medical Value Travel Specialist Hospital, Liver Transplant—
affordable to millions across India and around the world.
Times All india Multispecialty Hospitals Apollo Hospitals, Chennai and Indraprastha Apollo
Ranking survey 2018 Hospitals, New Delhi ranked at the top 2
Indraprastha Apollo Hospitals, Delhi positions in the All India Multi-Specialty Hospital
DOC T OR S
Survey 2018 conducted by Times Health Survey.
Medical Value Travel Specialist Hospital, Kidney Transplant
Apollo Distinguished Clinician Award (2018) —Indraprastha Apollo Hospitals, Delhi
10 11
| APOLLO HOSPITALS ENTERPRISE LIMITED |
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| APOLLO HOSPITALS ENTERPRISE LIMITED |
section A: general information about the Company section d: Business Review information
CIN L85110TN1979PLC008035
Name of the Company Apollo Hospitals Enterprise Limited [AHEL] 1. Details of Director/Directors responsible for BR
Registered Address No. 19, Bishop Gardens, Raja Annamalaipuram, DIN Number 00001873
Chennai – 600 028 Name Smt. Suneeta Reddy
Website www.apollohospitals.com Designation Managing Director
E-mail ID investor.relations@apollohospitals.com Telephone number +91-44-28290956
Financial Year Reported 2018-19 E-mail ID suneetareddy@apollohospitals.com
Sector(s) that the Company is engaged in (industrial Healthcare Sector 1 Do you have a policy/policies for? Y Y Y Y Y Y Y Y Y
activity code-wise)
List three key products/services that the Company Healthcare services
manufactures/provides (as in the Balance Sheet) Drugs & Medicines
Total Number of locations where the business activity is AHEL’s business operations are spread across various
undertaken by the Company locations in India. AHEL’s business activities includes
operating hospitals and pharmacies and it has a presence in
Chennai, Hyderabad, Bengaluru, Mumbai, Aragonda,
Bhubaneshwar, Bilaspur,
Karur, Karaikudi, Madurai, Mysore, Nashik, Nellore, Trichy and
Visakhapatnam.
Business Ethics P1
Product Responsibility P2
Total Profit After Tax (INR) ` 3,028 million yes, specify? (50 words) 2) Environment and Social Guidelines issued by IFC.
Total Spending on Corporate Social Responsibility (CSR) as 2.76% 3) Quality of healthcare guidelines issued by JCI and NABH.
a percentage of Profit After Tax (%) 4) Environment Guidelines as per ISO 14001 and Ministry of Environment and
List of Activities in which CSR expenditure has been incurred 1. Rural Development Forest.
2. Education 4 Has the policy been approved by the Yes, all the policies have been approved by the Board.
3. Healthcare and Board? If yes, has it been signed by MD/
4. Research in Owner/CEO/ appropriate Board Director?
Healthcare 5 Does the Company have a specified Yes, the Board has nominated a Director to oversee the implementation of the
section C: Other details
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| APOLLO HOSPITALS ENTERPRISE LIMITED |
Does the Company have any Subsidiary Company/ committee of the Board/ Director/ policy.
Yes. The details of subsidiary companies are available in the
Companies? Official to oversee the
Annual Report FY 2018-19 (please refer pages 60–63).
Do the Subsidiary Company/Companies participate in the BR implementation of the policy?
Subsidiaries maintain policies relevant to their business
Initiatives of the Parent Company? If yes, then indicate the 6 Indicate the link for the policy to https://www.apollohospitals.com/apollo_pdf/code-of-conduct-directors.pdf
operations. However, AHEL always encourages its
number of such Subsidiary Companies: be viewed online?
subsidiary companies to run their businesses in a socially https://www.apollohospitals.com/apollo_pdf/code-of-conduct-sm.pdf
and environmentally responsible manner. https://www.apollohospitals.com/apollo_pdf/whistle-blower-policy.pdf
Do any other entity/entities (e.g., suppliers, distributors,
No. However, AHEL intends to extend its applicable https://www.apollohospitals.com/apollo_pdf/csr-policy.pdf
etc.) that the Company does business with, participate
environment, social and governance policies to cover major
in the BR initiatives of the Company? If yes, then https://www.apollohospitals.com/apollo_pdf/board-familiariation-policy.pdf
stakeholders.
indicate the percentage of such entity /entities? [Less
than 30%, 30-60%, More than 60%]
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| APOLLO HOSPITALS ENTERPRISE LIMITED |
Business Ethics P1
Product Responsibility P2
Stakeholder Engagement P4
Human Rights P5
Environment P6
Public Policy P7
CSR P8
Customer Relations P9
Ethics, ensure protection of interests of all stakeholders of the Company
T ransparency and in tandem with its healthy growth. We do not support and
S. Accountability actively discourage practices that are abusive, corrupt, or anti-
Questions competitive.
No
Our corporate governance is a reflection of our value system
encompassing our culture, policies, and relationships with our
stakeholders. We believe there’s a direct correlation between good
corporate governance practices and long-term shareholder value.
7 Has the policy been formally The policies have been formally communicated to internal and external Some of the key benefits are:
communicated to all relevant stakeholders. It has been communicated to the external stakeholders
OUR SOUND GOVERNANCE PRACTICES high performance
ARE UNDERSCORED BY STRONG ACCOUNTABILITY AND PERCOLATE TO EVERY LEVEL OF THE ORGANIzATION Board
RIGHT FROM THE of STARTING
VERY TOP DirectorsWITH OUR BOARD OF DIRECTORS
internal and external stakeholders? through www.apollohospitals.com
accountable management and strong internal controls
8 Does the Company have an Yes, we have a well defined governance structure with clear roles increased shareholder engagement
in-house structure to implement the and responsibilities within the organization. better managed risk
policy/ policies? effectively monitored and measured performance
2a. If answer to Section 2 against any principle, is ‘No’, please explain why: (Tick up to 2 options) – Not Applicable nominating, compensation and corporate governance committees.
The primary role of the Board is that of trusteeship to protect
3. Governance related to Business Responsibility (BR)
and enhance shareholder value through strategic direction to the
1 Indicate the frequency with which the Board of The Board of Directors assess the BR performance of the
Company. As trustees, the Board has fiduciary responsibility
Directors, Committee of the Board or CEO assess the Company annually.
to ensure that the Company has clear goals aligned to
BR performance of the Company. Within 3 months,
shareholder value and its growth. The Board exercises its duties
3-6 months, Annually, More than 1 year with care, skill and diligence, and exercises independent judgment.
It also directs and exercises appropriate control to ensure that the
2 Does the Company publish a BR or a Sustainability Annually. Company is managed in a manner that fulfills stakeholders’
Report? What is the hyperlink for viewing this report? aspirations and societal expectations.
https://www.apollohospitals.com/apollo_pdf/brr-2019.pdf
How frequently is it published?
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| APOLLO HOSPITALS ENTERPRISE LIMITED |
Board-level experience in reputed organizations, with strong understanding of and experience in directing the management in the best interests of the com
tify and define a list of core skills and expertise in various areas such as business strategy, operations, sector, technology, finance, public sector, etc., that AHEL’s Board needs to operate effectively.
x of identified core skills, expertise and competencies of the Board and map those actually currently available in the Board (including names of current directors possessing them). Governance
management and finalize the draft matrix of identified core skills, expertise and competencies of the Board.
Business Responsibility Report 2018–19
Ability to understand and adapt to technological trends in healthcare and business operations and experience in directing successful development / implementation of technological
innovations and improvements (including IT infrastructure and applications)
Technology
Develop
16 17
| APOLLO HOSPITALS ENTERPRISE LIMITED |
directly or indirectly
Our Code of Conduct
O ur Code of Conduct clarifies our organization’s mission, values
and principles, linking them with standards of professional
interested in
particular agenda/
a
conduct. The code articulates the values we wish to foster in matter, he abstains
leaders and employees and, in doing so, defines desired behaviour. himself from
In addition, it serves as a central guide and reference for employees participation in the
to support day-to-day decision making. A code encourages discussion of such
discussions of ethics and compliance, empowering employees to agenda item.
handle ethical dilemmas they encounter in everyday work.
Risk Management
The Code, which has been approved by the Board, covers a range of
subjects from the use of funds to conflict of interest. It also
covers systems and processes for proper operation of internal
controls for the organization, general moral imperatives, specific
professional responsibilities, and additional duties /
imperatives for Board Members and Senior Management
Personnel. The Code is founded on our core principle of
maintaining the highest standards of ethics in conducting our
business; it takes into account our business performance and
the impact we make on the larger society.
The Company Secretary has been appointed as the Compliance
Officer and is responsible for ensuring adherence to the Code by
all concerned individuals. All members have affirmed compliance
to the Code during the reporting period. Besides being available
on our website, copies of the Code are circulated to all individuals
concerned.
The Code of Conduct can be referred to at
1) https://www.apollohospitals.com/apollo_pdf/code-of-conduct-
directors.pdf
2) https://www.apollohospitals.com/apollo_pdf/code-of-conduct-
sm.pdf
Business Responsibility Report 2018–19
Conflict of interest
20 21
| APOLLO HOSPITALS ENTERPRISE LIMITED |
l
Encouraging
Competitive Process T o support and encourage meaningful participation of suppliers
in a competitive process prior to the establishment of a
business
relationship or the awarding of contracts.
Business Responsibility Report 2018–19
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| APOLLO HOSPITALS ENTERPRISE LIMITED |
Dealing with suppliers To treat suppliers with courtesy, fairness, respect, honesty
and professionalism and to ensure that no supplier has an
unfair advantage over his competitors.
PRI NCIPLE
3
A
s a healthcare provider which believes in providing patients
value-based care, we place a high priority on continuously
monitoring and improving clinical processes and ensuring high-
To respect and not disclose suppliers’ confidential quality patient experience—an outcome highly dependent on the
information. Employee commitment, dedication, and engagement of our employees. We
Well Being are therefore proud to support a healthy communication culture
with all our employees. People at all levels are committed, engaged,
and focused. We embrace a culture where employees have
Our strategy (sourcing - Disposal) opportunities to continually learn and work independently and are
committed to adding value through the delivery of improved and
e award of the product or contract. Responsible management of public and corporate funds is vital when handling this necessary process, whether in strong or weak economic markets. Following a proven step-by-step technique will help management successfully achieve its goals.
products/materials. Before purchase, each product is given an environmental significance rating (ESR) based on environment and safety parameters. superior care to our patients, leading to enhanced outcomes.
ensure that all our suppliers, employees, recyclers, and others, are aware of their responsibilities. We consider our employees to be extended family and our
ew technology development so as to deliver the best quality treatment to our patients but we stay committed to social, ethical and environmental considerations in pursuit of this goal.
biggest asset. We are committed to their success and prosperity
and thank them for their support in all aspects of our business. As
key contributors to our success, we believe we have to engage
them meaningfully and empower them to provide the ideal
gateway to welcome our consumer into our hospitals. We believe,
that superior customer experience starts with them as they are the
first touch-point in our care delivery value chain. Our Apollo family
is therefore uniquely positioned to understand customer needs and
expectations. We value their input which helps us at an
organizational level to provide high quality services that are
relevant and meet customers’ needs and expectations.
Recruitment strategy
24 25
| APOLLO HOSPITALS ENTERPRISE LIMITED |
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| APOLLO HOSPITALS ENTERPRISE LIMITED |
A
Employee Health & s part of the employee welfare program, around 99% of our Number of male employees 26,694
safety employees went through an Annual Health Check. Number of female employees 14,910
Our Chairman, Dr. Prathap C Reddy has expressed serious concern
Number of male employees with disabilities 84
over the spread of Non-Communicable Diseases (NCDs) which
poses a great challenge to India’s socio-economic development Number of female employees with disabilities 14
as it is estimated that NCDs will cost India USD 6 trillion by 2030.
Total number of employees on roll 41,072
He said, “The new challenge that we will face in terms of NCDs –
Diabetics, Heart Disease and Cancer are severe and we at Apollo Total number of contract employees 9,372
Hospitals will take several steps in the coming years to address
it.” New Hires in FY 2018–19
Post Investigative
Interventions One-on-one with Doctors Total No. of New Hires (2018-19) 14,432
HR function will arrange one-on-one sessions with the
required Specialists and Consultants for the employees Total No. of New Hires - Male 8,329
falling into the Red band & Yellow band
Total No. of New Hires - Female 6,103
Employees to be made aware of their existing health
Business Responsibility Report 2018–19
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| APOLLO HOSPITALS ENTERPRISE LIMITED |
Performance Appraisal
P romotion system in AHEL is systematic. The KRAs based on
the Unit / Organizational Goals are drawn and submitted
in the beginning of the financial year. The employees undergo a
learning &
Organizational
Effectiveness:
W e believe that continuous knowledge, competency and skill
development is vital for all employees.
We hone the talents of our employees by exposing them to
half- yearly and annual appraisal system based on the KRAs. We diverse competency enhancement platforms. We keep a monthly
believe in keeping the appraisal system very transparent and & yearly tracker of all internal and external training programs. All
reward & recognize the deserving employees. our employees (permanent, casual, temporary & contract) undergo
Every unit makes an Annual Operating Plan for the year, safety and skill up-gradation trainings on a regular basis
based on which, the KRAs of the employees are derived. The based on their role, domain and individual needs. All new
KRAs are discussed and agreed with the Reporting Manager/ incumbents undergo comprehensive orientation programs for
HOD at the beginning of the year. A half-yearly and Annual familiarization with organizational work culture. Our talent
review is done as per the PMS plan. management team collaborates with various functional heads
to identify need based and focused training programs for every
Rating for the employees is totally based on the individual’s employee. Senior experienced personnel from established
performance. Based on the Unit Performance and normalization hospitals are located in newer hospitals to ensure effective
of the ratings, increments are rolled out. implementation of corporate standards across different
hospitals. On the job training is conducted to ensure that
employees perform their job safeLy and efficiently in their
respective work environments.
Create MRF
Apollo Recruit Clinical Training &
Approve MRF
Publish Vacancy
Career Development Quality of Education Superior Quality of Apollo Nursing care:
Talent Profile & Review
sourcing Candidate
selection of Candidate
succession Plan We differentiate ourselves on the quality of our nursing and the
Talent Pool
Pre-employment Checks Talent Management
workforce Modelling
tender loving care our nurses provide, which is possible because of
the in-depth training we provide them. Our nurses focus on
patient safety and the prevention of any harm to patients.
Personal & Employment Details
Manage Assignment Changes
Core HR This is evident by the metrics in the ACE and RACE surveys
Manage work Relationships where parameters like Infection Rates and Medication Errors,
Manage salary & Payment Methods
Attendance Falls and VOC are captured and benchmarked with the best
Leave managment
Time Management hospitals globally. This is a standardized practice across all our
Encashment of Rewards
hospitals & is critical to clinical outcomes. In-service Education is
a pillar of our nursing department which allows our fresh recruits
Create sMART Goals Goal & Performance Management to acclimatize and adapt to a complex clinical set up. The training
Business Responsibility Report 2018–19
Apollo’s motto of Tender Loving Care (TLC) translates into clinical and operational excellence –
processes that deliver value to
28 29
| APOLLO HOSPITALS ENTERPRISE LIMITED |
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| APOLLO HOSPITALS ENTERPRISE LIMITED |
Annual General Meeting, Investor Meets, Investor Creditors’ meeting, Redressal of Grievances through
CSR Committee, Corporate Social Responsibility
Conferences, Conference Calls emails,
Legal One-on-oneProject,
Department, meetings and annual
Company meets
Secretariat
Team, HR Department
Community Meetings, Project Meetings, Conducting Hearings and other Meetings, MoU’s, Interaction
awareness program, Free camps, Impact assessment, with Regulators, Initiatives for Public private
skill development etc. partnership with regulators, etc.
32 33
| APOLLO HOSPITALS ENTERPRISE LIMITED |
uman rights principles that apply to patient care include Principles and Rights at
Work, including non-
PRI NCIPLE
5
Hboth the right to the highest attainable standard of health, which
covers both positive and negative guarantees in respect of
health, as well as civil and political rights ranging from the
discrimination, freedom of
association and
patient’s right
Advocating for to be free from inhumane treatment.
Human Rights Understanding health as a human right creates a legal obligation
on state to ensure access to timely, acceptable, and
affordable health care of appropriate quality as well as to
provide for the underlying determinants of health, such as safe
and potable water, sanitation, food, housing, health-related
information and education, and gender equality.
Human Rights
in the Work Place
T he right to health is one of a set of internationally agreed
human rights standards, and is inseparable or ‘indivisible’
from these other rights. This means achieving the right to health Access to Healthcare
is both central to, and dependent upon, the realisation of
other human rights, to food, housing, work, education,
information, and participation. Entitlements include the right to a
system of health protection that gives everyone an equal
opportunity to enjoy the
highest attainable level of health.
Good health is also clearly determined by other basic human
rights including access to safe drinking water and sanitation,
nutritious foods, adequate housing, education and safe working
D AS A RIGHT, NOT A PRIVILEGE ... HEALTH IS NOT A CONSUMER GOOD, BUT RATHER A UNIVERSAL RIGHT, AND
E SERVICES CANNOT BE A PRIVILEGE.”
conditions. Discrimination in health care is unacceptable and is a
major barrier to a country’s development. Everyone has the right
to a standard of living adequate for the health and well-being of
himself and of his family, including food, clothing, housing and
medical care and necessary social services.
Business Responsibility Report 2018–19
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| APOLLO HOSPITALS ENTERPRISE LIMITED |
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| APOLLO HOSPITALS ENTERPRISE LIMITED |
compliances and environmental clearance parameters as stipulated Energy Efficiency nergy conservation has been adopted as an integral part
by the relevant authorities. We also have well established
environment management systems which are dedicated to
function beyond laid down compliance levels.
E
of our Operations and Maintenance philosophy. Adherence to
efficient operations and quality maintenance practices in O&M
has resulted in optimizing energy consumption. Our O&M
Our ‘Hazardous Materials and Waste Management Plan’ applies department further endeavors to continuously improve its
to all staff in the hospitals and defines the responsibility of all performance in this
healthcare personnel for identification, storage, handling, disposal area.
and transportation of hazardous materials in accordance with
AHEL sources electricity for hospitals from the grid. However,
regulatory requirements. All chemicals used for our operations
diesel generators are provided as back-up in case of power cuts/
are properly labelled and hazard ratings are identified. The
emergency
Operations Head along with the Safety and Hazmat Committee
has the responsibility for handling hazardous materials and The important factors contributing to reduction in energy
administering the waste management policy. For e-wastes and consumption and internal consumption apart from reduction in
old medical equipments, we follow a stringent “Buy Back policy” carbon footprint are:
with vendors. Phasing out of CFL lamps to LED lights.
The Human Resources department and Hazmat team members in Procurement of electricity from alternative source.
co-ordination with the radiation safety officer are responsible for Bio Gas from food waste implemented in Apollo
the orientation and training of staff handling hazardous material Hospitals Madurai, Trichy, Karaikudi and Karur.
and waste. Wind Power Generators implemented in Apollo Hospitals
Madurai, Trichy, Karaikudi, Karur and Navi Mumbai.
Appropriate type and adequate number of personal protective
Optimization of fuel consumption in boiler operations.
equipment have also been made available for personnel who are
Introduction of timer based operation of Air handling Units
handling waste and disposal.
to reduce power, consumption.
The Hazmat team carries out internal inspections and evaluations Introduction of micro processing energy savers for AHU Motors.
to review the effectiveness of the waste management plan Energy optimization practices implemented in
and disposal practices followed at our facilities across India. Transformer operation.
During the last financial year, there were no major chemical spills VFD installation for AHU motor in a phased manner.
reported at any of our hospitals. Operation of all Lifts and OT AHUs with VFD panels.
Introduction of timer control for AHU motors to
Water Harvesting reduce running hours.
W ater for all the hospitals is sourced from local municipal
sources. The water quality is tested to ensure that it is
Phase out of split air conditioner units with chilled water FCU
to reduce the power consumption and capital cost.
Business Responsibility Report 2018–19
International (JCI),
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| APOLLO HOSPITALS ENTERPRISE LIMITED |
In-depth insights and strategic inputs forms the core of our the patient signs a voluntary informed consent, the Principal
approach towards policy formulations. We collaborate with Investigator ensures that the diagnostics/therapy/adverse
numerous trade and industry associations and organizations, as a reaction management and any other procedure as per the protocol
member. is covered by the sponsor, which will benefit the patient through
Accredited Member Organization of Indian Society For Clinical Research (ISCR) a better/new treatment which will improve the quality of life and
allow better living. On the scientific front, Apollo is in the
forefront in taking part in the latest research which can help man
Confederation of Indian Industry (CII) kind.
Collaborations
Federation of Indian Chambers of Commerce and Industry (FICCI)
Accreditation National Accreditation Board for Hospitals and Healthcare providers (NABH)
Apollo
Hospit
als
Educa Clinical studies
tional
Business Responsibility Report 2018–19
and
Resear
ch
Found
ation
(AHE
RF)
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| APOLLO HOSPITALS ENTERPRISE LIMITED |
h d
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| APOLLO HOSPITALS ENTERPRISE LIMITED |
b c i h
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42 43
| APOLLO HOSPITALS ENTERPRISE LIMITED |
c s a ,
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n e s
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| APOLLO HOSPITALS ENTERPRISE LIMITED |
T
Paraxel, UsA Abbot, UsA Cardiology
a p t a
c i h n
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Astrazeneca Europian Union
l o r Oncology, Nephrology Nestle, india Nutrition
t t a e
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e Medtronic, UsA f Cardiology DRL, india Oncology
d f u e
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e basic research projects. c i
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e c c s
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t i p
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p i i f
r c n
o a e n
g l s e
r w
a s t
m t o m
m u o
e d e l
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| APOLLO HOSPITALS ENTERPRISE LIMITED |
e c i
c e p m
u s a p
l s t r
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s t e v
o n e
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r h n
specific e w t
indicatio h
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42 43
| APOLLO HOSPITALS ENTERPRISE LIMITED |
t
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| APOLLO HOSPITALS ENTERPRISE LIMITED |
A
pollo Research and Innovations (ARI) is a division of Apollo
Apollo Research and
Hospitals. ARI focuses on scouting, evaluating, deploying
Innovations (ARI)
and integrating innovations across Apollo Hospitals, with an
Experience & Capabilities
Founded in 2000 by the Apollo Hospitals Group, ARI is India’s first & single largest Site Management Service Provider & is mandated to lead Clinical Research &
Drugs
Public Health & Translational
Research
Bio-Markers
Technology
Evaluation
High Focus on
Data
A RI Genetics
Quality A ssurance
science
Ecosystem— Real & T hr iving
integration & Deal
Deployment structuring
Business Responsibility Report 2018–19
Bio/Cord- Digital
Banking Health
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| APOLLO HOSPITALS ENTERPRISE LIMITED |
8 JCi accredited hospitals across the Apollo Group NABL accredited labs
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| APOLLO HOSPITALS ENTERPRISE LIMITED |
of their geographic
location or economic status.
With an aim to upgrade the standards of healthcare across various
regions, several impactful programmes have been initiated.
These programmes cover areas such as Rural Development,
Rural Healt care, Skill Development and Vocational Training,
Research in Healthcare, Pediatric Cardiology, Cancer Care, save A Child’s Heart Initiative
Cardiovascular Risk Awareness, Medical Camps, and Disaster Relief
Programmes.
Through the following CSR initiatives run by different Apollo
Hospitals’ units across India, Apollo Hospitals aspires to make
timely and quality healthcare available to all: VoICE: Volunteer In Case of Emergency
• Billion Hearts Beating Foundation
• SACHi: Saving A Child’s Heart Initiative
• Total Health Programmes
• Apollo Aushad
Business Responsibility Report 2018–19
s
Program for the elderly and ACHi works for the detection and treatment of congenital
School of Heart Program for heart diseases for children from the disadvantaged
children. sections of the society. The condition is detected through
free monthly clinics, health camps, heart screenings.
tarted in 2014, the Old
Age Home Program has
identified old age homes in
Children with heart diseases are
provided free or subsidized treatment. s
V
the Delhi region, where the oICE is India’s 1st Voluntary First Response Network
elderly are provided health at one touch.
care through health checks
Alert VoICE — Volunteers In Case of Emergency — is the
and medications, free of solution to bridge the demand for emergency help and supply
cost. The program has of voluntary first response in the form of an eco-system
organised 19 health driven by a mobile based application.
camps across the Delhi
Alert VoICE was officially launched by Dr. Prathap C. Reddy,
region in 2018, through
on September 7, 2018 to facilitate more first responders by
which around 366
choice, and not by chance.
residents benefitted.
Medicines prescribed by Alert VoICE is a 2-day intensive training program
doctors have been followed by a 2-hour assessment session at APOLLO
hospitals and a final graduation ceremony after which the
provided free every month
first responder gets inducted into the alert VoICE network.
to over 500 residents.
he School of Heart
Programme aims to spread
awareness and develop
T
healthy living for children
from economically weaker
sections of the society.
During the year around
1,500 basic life support
demos were conducted,
benefitting 1,530
members. The program
also organized general
health checkup; first-aid
workshops; anti-tobacco
awareness programs; ENT
checkup; diet & nutrition
awareness programs; and
communicable diseases
awarness programs. Around
1,710 children benefitted
from these programmes.
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| APOLLO HOSPITALS ENTERPRISE LIMITED |
Total Health Dr Prathap C Reddy, the visionary Founder & Chairman of Apollo
Hospitals, is widely credited as being the architect of the modern A s C A l A Bl E A N D s Us TA I NA Bl E MODE l
Indian healthcare system. Dr Reddy had pledged access to health
F OR PU Bl IC H E A lT H
of international standards for each and every citizen of India.
Today the 70 Apollo Hospitals, spread across the length and
breadth of India aspire to achieve this goal. Mission Our Our
statement Focus Way
But there is a wide gap between the different regions of the
country and the different economic strata in terms of healthcare
affordability and reach. To close this gap and cater to the onset Our mission is to bring healthcareOur
of Focus
international
Ensuringstandards
Physical, Mental,
within Social,
the reach
& Spiritual
of everyWell
individual.
Ourbeing
Way Being
along individual-
with Ecological
centric
& Economic
is not a goal, it is the
of new lifestyle diseases or Non Communicable Diseases (NCDs), We are committed to the achievement and Upliftment core of our existence
Dr Prathap C. Reddy launched Total Health in 2013. maintenance of excellence in education, research and healthcare for the
benefit of humanity
Concept of Total Health aims to provide “Holistic Health Care” for the entire
“TOTAl HEAlTH” community, starting from birth, through their journey into childhood,
adolescence, adulthood and in the later years of their life.
— Dr. Reddy and Tender loving care is
The program has been piloted in the Thavanampalle Mandal
the Apollo Foundation our way of life
of Chittoor District, Andhra Pradesh, the birth mandal of
Dr Prathap C Reddy. The program will cover more than 60 thousand
people of all age groups and will support healthy and happy
living through the promotion and protection of health, prevention
of diseases, provision of hygienic, nutritious supplementaries,
sanitation, potable water, education, livelihoods, kitchen gardens, Age, sex and Socio-Economic,
protection of ecological balance and need based community constitutional factors Cultural & Environmental Conditions
infrastructure development. This program will also pave the way
for identifying diseases at the early stage through screening. It
will facilitate timely treatment to save lives.
The program also envisages providing health related
Work, Employment, Education, Water & Sanitation, Healthcare, Housing
infrastructure development in terms of “Potable water of high
standards” (reverse osmosis has been replaced by rapid sand Social & Community Networks H E A lTAgriculture
H and Food Production
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| APOLLO HOSPITALS ENTERPRISE LIMITED |
A few initiatives of the Total Health program have been Ayush Wing
Integration of Indian way of medicines with Allopathic system of medicines.
elucidated in the following pages. Total Villages Total People
90 6,230
Health
swarna Bindu
Children Vacinated (to date)
Prashana Ayurveda immunization vaccination for children between 0 to 16 years of age.
6,321
Mobile Clinics
Total Villages Total People
HTN
93 27,232
7,756
DM Others
7,703 15,707
Cancer screening
Total GP Total Villages Patients Screened
32 195 3,051
satellite Clinics
Total Villages Total People
Business Responsibility Report 2018–19
HTN
63 20,358
5,085
general Health
DM Others screening Members Screened
4,733
4,521 12,138
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| APOLLO HOSPITALS ENTERPRISE LIMITED |
Total No.
D
i
a
b
e
t
i
c
s
p
e
c
i
a
l
C
a
m
p
(
N
C
D
s
)
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| APOLLO HOSPITALS ENTERPRISE LIMITED |
E
Individuals Screened Patients got corrected spectacles
IOL surgery done
1,355 512
59
g Mid-day meal along with health care services. One center converted into a Geriatric club.
Geriatric Nutrition Centres
Beneficiaries
A 3
Awareness on all health education and social issues to the communities 148
Inaugurated Elderly day care Centre at Aragonda with facilities of Indoor Games, TV and Newspaper reading room.
Members
10
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| APOLLO HOSPITALS ENTERPRISE LIMITED |
Water and sanitation There exists an issue with regard to the supply of electricity and lighting of roads/public places. To mitigate this, Total He
solar street lamps
and is maintaining 35 solar street lamps in and around Aragonda GP in conjunction with Philips.
6 50
Women E
skill Bui
livilihoo
Jute
350 have been trained in tailoring. Of which 100 women have been employed in Total Health for manufacturing of jute bags and earning additional i
Environment
Kitchen garden
Promotion of non- pesticide managed
Special focus
kitchen
ongardens
papaya & drumstick leaves
Families Benefitted
5,000+
A
p
60 women have been employed in Total Health p for manufacturing of
Hospital Linen / Apparel and earn about ` 7,000/- per month.
a
r
Business Responsibility Report 2018–19
e
l
ber and now bell pepper is planted. Local farmers are motivated for alternate farming practices with multi crop focus. Couple of meetings were organized with them along with the bank officials in this regard.
Agriculture
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| APOLLO HOSPITALS ENTERPRISE LIMITED |
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| APOLLO HOSPITALS ENTERPRISE LIMITED |
lifestyle Modifications
havanampalle Mandal since 2015. 57 batches (6 to date) have obtained YIC from Vyasa, Bengaluru; 11 employed with Total Health; 4 practicing in community; 204 practicing Yoga in Community regularly; Also introduced in Government schools/Nursing college.
Yoga
Awards iNDYwOOD Award (2016) isV Award (2016) Modi Award (2017)
Infrastructure support
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| APOLLO HOSPITALS ENTERPRISE LIMITED |
Guest Relations
Yoga information Tech Apollo has adopted the engagement pathway for Voice of Customer (VOC)
Partnered with Gallup to benchmark e-customer feedback with best in class hospitals globally
In-house framework captures VOC from interactions and converts them into qualitative and quantitative feedback for quick follow up acti
Human sigma
1. Apollo Hospitals is the first in India to adopt Human Sigma by mapping customer engagement to the Gallup “S” Methodology
Discharge
Business Responsibility Report 2018–19
Post discharge calls to patients for suggestions and feedback 72 hours after discharge
Speedy discharge summary for planned discharges
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| APOLLO HOSPITALS ENTERPRISE LIMITED |
60
nterprise Limited [CIN : L85110TN1979PLC008035]
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