Manual I - Particulars of Organization, functions and duties
Particulars of Organization, functions and duties
(Section 4(1) (b) (i) )
The Institute of Liver & Biliary Sciences is the first such establishment in the country devoted exclusively to the field of liver, pancreatic, and biliary diseases. Established as an autonomous Institute by the Government of Delhi, it has been functional since 2010, and is recognized nationally and internationally as a leader in the field of liver diseases and liver transplantation. The Institute has got accreditation by National Accreditation Board for Hospitals & Healthcare Providers (NABH) and NABL.
The broad aims and objectives of ILBS are as under:-
Catering to the super-specialized liver and biliary diseases, ILBS shown a marked increase in number of patient in OPD and IPD, besides emergency. Patient care services include OPD and IPD patients. Besides, ILBS has a day-care services in endoscopic procedures requiring short-stay. The Institute also offers emergency services with a dedicated 24 hour toll –free Liver Help Line, and also provides ambulance services. ILBS has various endoscopy and operating suites for the patients. The hospital also provides pharmacy services and dedicated housekeeping and sanitation services. Nutrition and Dietetics Department of ILBS provides expert nutritional care to all admitted and OPD patients. Besides, nursing staff provides dedicated and sincere services to the patients. Front Desk staff also provides relating to OPD and IPD patients, appointments, investigation reports.
Besides, emergency services, various specialized services in the field of liver and biliary diseases are offered as under:
Adult Hepatology Services offered include GI Bleed Unit, Liver Coma Unit, Liver Pressure, ERCP, ESWL, EUS, Fibroscan, Liver biopsy, RFA, TACE, TIPS, Liver Dialysis etc.
- Pediatric Hepatology
Pediatric Hepatology Services include diagnostic and therapeutic pediatric GI endoscopies, procedures like hepatic vein pressure and hepatic vein angioplasty as well as stenting, age and clinical profile appropriate protocol based approach to various metabolic liver diseases in neonates and children, pediatric hepatobiliary surgeries
- Hepato-Pancreato-Biliary Surgery
Services offered include hepato pancreato biliary surgery, surgical gastroenterology, liver transplantation, emergency surgical services.
- Anaesthesia and Critical Care Medicine
Specialized anaesthesia services for operative procedures, endoscopic and radiological interventions, ambulatory and day care services, liver transplant anaesthesia for liver and renal transplants as also for deceased organ retrieval and transplant, acute and chronic pain management services, anaesthesia services for neonatal and pediatric patients.
- Laboratory Medicine
Includes services relating to pathology, biochemistry, microbiology, virology,
- Radiology and Interventional radiology
Services offered include CT, MRI. Interventional radiology include FNA, RFA, TACE, TIPS, DIPS, PTBD, BRTO etc.
- Transfusion Medicine Department provides highest quality of transfusion support and the department is running 24/7 blood bank services. Nephrology Department provides comprehensive care to all patients with kidney ailments in OPD, indoor wards and ICU patients suffering from renal problems. It also runs a dialysis unit.
- Renal Transplantation & Urology unit offers renal transplant, ESWL and various urological related surgical procedures. Oncology services aims to provide screening, diagnosis and treatment for cancers affecting the hepato-pancreato-biliary system and also the digestive system
- Pulmonary services for providing critical care in patients with liver diseases in general and pre and post transplant problems.
Clinical Nutritional services improve patient care through appropriate nutritional support and provide basic infrastructure and promote research related to the field of nutritional aspect of hepato-biliary diseases.
Teaching and Training:
ILBS has been granted Deemed to be University Status by University Grants Commission under ‘de-novo’ category’. ILBS offers training programs for super-specialities related to Hepato-Biliary and Pancreatic Sciences through DM (Hepatology), DM (Organ Transplant Anaesthesia and Critical Care), DM (Paediatric Hepatology) and M.Ch. (Hepato-Pancreato-Biliary Sciences). The Institute has also started PDCC courses in (i) Liver Transplant Anaesthesias, (ii) HPB Interventional Radiology, (iii) Pediatric Hepatology, (iv) Hepatopathology and (v) Renal Replacement Therapy, besides Certificate Course in Renal Replacement Therapy. ILBS is running Ph.D. program in Biomedical Sciences. Various short-term training programs and observer-ship have also been started. `
ILBS holds a very good internal academic program. Every Monday, there is a presentation by a faculty member, where various protocols, new research protocols are discussed. In addition, every Thursday, the Residents and students from various departments present and discuss interesting clinical cases. Clinico-Pathological Conference (CPC) is conducted on last Thursday of every month. Besides, there are lectures by visiting faculties from various International Institutes throughout the year. Also, various CME/conferences are organized at ILBS. Various events such as Hepatitis Day, World Kidney Day, World Hepatitis Day, Liver Transplant Oration, Foundation Day are celebrated during the year. The faculty also participates in various national and international conferences to update their skills. There is pre-clinical teaching and demonstration to students and interns.
At ILBS, faculty is encouraged to participate in research activity and promote research in all branches, whether clinical, para-clinical and basic sciences. Research Department has developed the state-of-art facilities in the areas of stem cell research, proteomics, RNA technology and Metabolomics for bio-marker discovery program. ILBS encourages both basic and clinical research.
- Basic Research
Research relating to basic and applied sciences concerning Hepatology, hepato biiary surgery, virology, molecular biology, physiology, immunology are being promoted. The basic research at ILBS now extends to translational areas including regenerative medicine and bio-designing, pharmacogenomics, including basic research in vertical transmission of hepatitis B during pregnancy, Pharmacogenomics, Proteiomics and Metabolomics. ILBS has established a stem cell laboratory and “ILVS-NIH Laboratory of Molecular Immunology”.
- Clinical Research
The clinical research facility at ILBS conducts multi-centric, global, complex clinical trials of new therapies, molecules to meet the unmet needs of medical sciences. ILBS carries out of clinical trials in various areas like drug trials, in-house and those involving national and international projects. The disease areas in which the clinical trials are being carried out range from mild fatty liver condition to severe liver cirrhosis and liver cancer.
ILBS is a global centre of excellence in liver diseases providing expert diagnosis, treatment and compassionate care in a safe, comfortable and friendly environment. ILBS has 155 beds with ultramodern medical, surgical, and critical care and emergency facilities. Nearly half the beds cater to ICU. The second phase of ILBS likely to be operational early 2014 will add a dedicated multi-storied research complex, auditorium, guest house, hepato-biliary oncology unit, additional beds and residential accommodation. Phase II Building will allow for a synthesis of varying medical perspectives, improved and medical care, surgical treatment and research endeavors. Hospital offers various facilities, such as, Out Patient Department, Day care services, In patient services, emergency services, Liver Help Line, ambulance services, endoscopy suites, operating suites, etc. Hospital has a well established cafeteria for visitors and staff.
ILBS has a Central library with relevant books and journals, in the main building of ILBS Complex. In addition to books and journals, CDs, audio-visual facilities are also available in the library. All the recent editions of books pertaining to the specialty and allied subjects are available. All journals of the specialties and allied subjects are available. On line e-journal facility is also available.