The TCT Model of Integrated Health

The Thirumalai Charity Trust has identified a closed loop model where primary healthcare and secondary healthcare are implemented in an integrated approach. Before embarking on steps to improve health care in the rural community, common health problems need to be identified and their prevalence assessed. Health care models should be developed based on the needs of the community and the predominant health problems.

Our field staff are trained to implement basic primary care in the village. If the patient needs further care, they are given a referral to the hospital. Our field staff then does a house visit with the patient to ensure they meeting their appointments, getting the required medicines, and are getting the right counseling. Lastly, to close the loop, they continue to monitor the patient and encourage follow-ups if required. This shared responsibility helps the doctors keep track of their patients.

Quality of Medical Care at Thirumalai Mission Hospital

Thirumalai Mission Hospital strives to practice affordable, ethical and accessible healthcare. In this effort, we have put quality control structures in practice. Currently the way that India’s healthcare system is structured, in order for doctors in the rural communities to effectively treat patients, the community must be engaged, especially since doctors and trained nurses are lacking in numbers. At TMH we hope to offer a unique way of scaling the potential to reach communities, with the support of Family Care Volunteers who work in their rural areas to find and follow up with patients seen at TMH.

We also hope to run TMH similar to an academic organization, where we all learn from each other. The medical and nursing staff have regular training on new methods and techniques in-house and externally.

Quality Control at TMH:

  1. Ensure that care providers evaluate patients thoroughly. The difference at Mission Hospital is the health records are documented and shared with the patients. This also creates a rigorous process of documenting the report and helps crystalize the problem. We believe that the patient is entitled to his/her own health information.
  2. Transparency is key. At TMH, all records and data are kept on the central computer server, called the Electronic Medial Records. With this, the doctors all have access to any medical report generated. Each doctor has his/her own folder on the server where they keep patient records. This makes it easy to follow up on patients and keep records updated. Interdepartmental coordination for care also becomes easier and efficient.
  3. Choose the medical investigation carefully. We don’t want people to pay for procedures or tests they don’t need.
  4. We ensure that the lab employs very good quality methods to provide accurate results. We have an external quality assessment system with Christian Medical College that once a month tests our ability to ensure trustworthy results.
  5. Make sure that treatment protocols are implemented. We have a check-list by which doctors are audited to ensure consistency. This helps with an internal checks and balances system since any doctor can see another doctor’s charts.
  6. Our pharmacy stocks quality medicines and we don’t overprescribe!