Expression Of Interest of Hospital Project

8/11/2019 Expression Of Interest of Hospital Project

http://slidepdf.com/reader/full/expression-of-interest-of-hospital-project 1/57

Revised (15/01/2010)

Expression of Interest (For Mult i Specialty general Hospi tals)

Terms and Conditions:

1. DURATION :

The agreement shall be effected for 3 years initially and extendable up to 10years (if the STATE GOVERNMENT so decides). The STATEGOVERNMENT is free to terminate the agreement if deemed appropriate atany point of time without giving any notice to the Private Hospital.

2. The running intake capacity of the Hospital in terms of bed strength:

The Hospital with running capacity of number of Beds as under only shall qualify -

Jaipur (Capital City) 150Beds

District Head- Quarters. 50 Beds

3. Yearly Turn over:

The eligible Hospital shall have to produce the audited receipts of minimum

yearly turn over as listed under.:-

Jaipur (Capital city) Rs. 5.0 Crore

District Head Quarters. Rs. 2.5 Crore

4. Availabi li ty of quali fied Consul tants:

The Hospital shall mandatory have to employ, through out the period of

agreement, a minimum of 12 specialists (in the branches in which medical services

are provided in the numbers specified herein) with Post-graduate qualifications in

various specialities viz. General Medicine (minimum2), General Surgery (minimum

2), Obstetrics and Gynaecology (minimum2), Paediatric Medicine (minimum1),

Orthopaedics (minimum 1), Anaesthesia (minimum 1), Radio Diagnosis (minimum1), ENT (minimum 1) and Ophthalmology and have to furnish the list of Specialists

and Resident Doctors along with Registration in Rajasthan Medical Council.

5. Paramedical Nursing and Technical Staff:The Private Hospital shall mandatory provide the following standard

requirement of nursing staff as per Indian Nursing Council (INC) norms, and specifynumber of Nursing and Technical Staff in :

(a) Medical, Surgical, Orthopedics, Pediatrics, Gynecology and Maternity

Wards.

(b) Specialized ICU nursing care.(c) OT Staff nurse.



(d)

6. Casualty Medical Services:

The Private Hospital shall mandatory operate round the clock Casualty

Medical Services manned by consultants of critical care. CMC should be equipped

with availability of Oxygen, Defibrillator and ventilator and other life savingequipments.

7. Essential Laboratory Diagnostic Services:

The Private Hospital shall mandatory operate the following laboratories:-

(a) Hematology and Clinical Pathology (including Blood Analysis, Parasitology

and Urine analysis).

(b) Biochemistry (Full battery of Serum Biochemistry).

8. Radiology Investigation facilities:The Private Hospital shall mandatory operate and maintain the followingRadiological investigative facilities:-

Investigation Units

X-Ray unit

(Minimum 300 MA, preferably 500 MA or digital / computerized X-Ray).

Ultra Sonography machine.

2-D Colour Doppler (optional).

The Radiology Department shall observe regulations of InternationalCommission on Radiological Protection, 1955 and possess the license of BARC.

9. Hospital Waste Disposal System:

The Private Hospital shall mandatory follow norms for disposal of Biomedical

waste laid down in Government of India Biomedical Waste Disposal (Management &

Handling) Rules 1995, 1998 and Environment (Protection) Act.

10 Dietary Services:

The Private Hospital shall have the facility of nutritional dietary Services for

indoor patients.

11. Adoption of Ethical and Professional Medical Conduct & Etiquette

Regulations, 2002 of MCI:

The Private Hospital shall mandatory undertake the responsibility ofdischarging Medical Services in full consonance of Professional Conduct and Ethics



and implementation of all Acts and Regulations of Government of India viz. PNDT

Act and National and State Health Programmes during the period of agreement. The

Private Hospital shall also undertake responsibility for its employees (Doctors and

Paramedical personnel) for not committing any act of Professional Negligence or

Violation of Acts (Parliamentary and State legislation) or Professional Conduct andEthics.

12. The Private Hospital shall not refuse to the incumbent employee of

Rajasthan Government to provide any Medical / Surgical treatment available in the

Hospital.

13. Reference for higher / specialised treatment:

The Private Hospital shall, in case of non- availability of any treatment/

specialised treatment in the hospital, refer the patient to an attached Hospital of

Government Medical Colleges, and not to any other Private Hospital/ Institution.

14. Condit ion mandatory in case of Private Medical College hospitals of

Rajasthan State:

The Institution should have admitted 85% of MBBS students every yearthrough counseling through RUHS conducted by RPMT selections.

15. Inspection by the Committee:The proposals received from eligible hospitals, after scrutiny, may be verified

either through physical examination of the hospital or any other method, as

determined by the Health Benefits Advisory Committee. The Committee or any

Official(s) appointed by the committee can inspect the hospital during the agreement

period to ascertain that the parameters of approval are being maintained properly by

the Hospital.

16. Penalty in case of violation of conditions of Agreement: If at any stage, during the period of agreement, the private hospital violates any

of the conditions of the agreement, especially the prescribed standards, the

defaulting hospital will immediately be removed from the scheme.

17. Single Point Responsibi lity:

The Private Hospital shall be solely responsible for acts and performance ofthe Medical personnel, ethical and professional code of conduct for Medical servicesto provide to the employees of Rajasthan Government, administration, cleanliness,control of infections and full and true implementation of the Terms and Conditions ofthis Agreement.

18. Dispute Resolution:

If any dispute or difference arises between the parties relating to any

matter arising from or touching upon this agreement, the same shall be referred to



the Health Benefits Advisory Committee, Govt. of Rajasthan for resolution. If such

disputes or differences are not settled within thirty (30) days of reference of the

dispute or difference, the same shall be resolved by Arbitration as per the Indian

Arbitration Act, 1995. All legal proceedings, if necessary to institute, may by any of

the parties (Government or Private Hospital) shall have to be lodged in courtssituated in Jaipur (Rajasthan) and not elsewhere.



Government of Rajasthan

Application Form for the Approval of a Private Hospital in the Scheme of providing

Medical Services to Government employees in Rajasthan.

1. Name of Hospital with Address

..........................................................................................................................................

..........................................................................................................................................

............................................................................................................................

2. City of Location

3. Name of Proprietor of the Firm

4. Telephone number

Office (b) Residence of Proprietor

Mobile of contact person

5. Audited receipts of last financial year certified by registered C.A.

.............................................................................................................................

6.Declaration of the owner that he / she will accept the norms and standards of

Medical care to be provided under the scheme.

7.Category: Referral Hospital / Approval Hospital.

8.Running capacity (Number of Beds)

9.List of the specialist consultants employed at the Hospital with their qualifications,

experience and registration with Medical Council.

The list should be annexed in terms of name of specialists, speciality, PG

qualification, experience and Reg. No. of RMC with date.

10.Paramedical Nursing and Technical Staff:

S.No. Ward Number of NursingStaff



1. Medical

2. Surgical

3. Orthopedics

4. Pediatrics

5. Gynecology and Maternity

6. Specialised ICU nursing care7. OT Staff nurse

11.Casualty Medical Services: (Yes / No)

......................................................................................................................

12.Essential Laboratory Diagnostic Services: (Yes / No)

...................................................................................................................................

(a) Haematology and Clinical Pathology: (Yes / No)

(b) Biochemistry: Full battery of Serum Biochemistry.

Radiology Investigation facilities:

S.No. Machine Number

1. X-Ray unit

(Minimum 300 MA, preferably500 MA or digital /

computerised X-Ray.)

2. Ultra Sonography machine

3. 2-D Colour Doppler (optional)

13. Ambulance Services (Along with registration numbers of vhicles).

14. Vaccination facility: (Yes /

No).............................................................................

15. Central Sterile Supply Department: (Yes/ No).............................................

16. Hospital Waste Disposal System: (Yes / No)..............................................

17. Dietary Services:

..................................................................................................................................



18. Fire Safety and Security Services.

..........................................................................................................................

19.Affidavit of No Prosecution for Negligence or Violation of Acts of Central and

State Government or Professional Medical Ethics Regulations.

20.In case the applicant operationalized a Medical College in Rajasthan what is the

procedure adopted for MBBS admission ………………………………..............

…………………………………………………………………………………......……

………………………………………………………………………........

Date of Application Signature of Authorized

Person



Revised (15/01/2010)

Expression of Interest (For Cardiology Specialty Hospitals)


1. DURATION :



The Hospital with running capacity of 20 number of Beds only shall qualify -


The eligible Hospital shall have to produce the audited receipts of

minimum yearly turn over of Rs. 2.5 crore in the preceding year.

4. ICU

Fully equipped ICCU with eight beds.


At least one unit consisting of three specialists with DM Degree inCardiology. At least one specialist should have experience of 5 years.These Specialists should be on permanent rolls.






Non invasive lab consisting of TMT, 2D ECHO, HOLTER MONITOR &ECG.

8. Investigation facilities:

Invasive lab consisting of Cardiac Cath Lab, IABP, etc



The Radiology Department shall observe regulations of InternationalCommission on Radiological Protection, 1955 and possess the license of BARC.

9. OPD

Adequate space for OPD






The Private Hospital shall have the facility of nutritional dietary Services forindoor patients.



The Private Hospital shall mandatory undertake the responsibility of

discharging Medical Services in full consonance of Professional Conduct and Ethics





Violation of Acts (Parliamentary and State legislation) or Professional Conduct and

Ethics.



Hospital.


The Private Hospital shall, in case of non- availability of any treatment/specialised treatment in the hospital, refer the patient to an attached Hospital of









the Hospital.


of the conditions of the agreement, especially the prescribed standards, thedefaulting hospital will immediately be removed from the scheme.










the parties (Government or Private Hospital) shall have to be lodged in courts

situated in Jaipur (Rajasthan) and not elsewhere.




Application Form for the Approval of a Private Hospital (Cardiology) in the Scheme of

providing Medical Services to Government employees in Rajasthan.

I. Name of Hospital with Address

..........................................................................................................................................

..........................................................................................................................................

............................................................................................................................

II. City of Location

III. Name of Proprietor of the Firm

IV. Telephone number

(a) Office (b) Residence of Proprietor

(c) Mobile of contact person

V. Audited receipts of last financial year certified by registered C.A.

.............................................................................................................................

VI. Declaration of the owner that he / she will accept the norms and standards of Medical

care to be provided under the scheme.

VII. Category: Approved Hospital.

VIII. Running capacity (Number of Beds)---------------------

IX. List of the specialist consultants employed at the Hospital with their qualifications,


The list should be annexed in terms of name of specialists, speciality, PG

qualification, experience and Reg. No. of RMC with date.

X. Casualty Medical Services: (Yes / No)

......................................................................................................................

XI. Essential Laboratory Diagnostic Services: (Yes / No)



.................................................................................................................................

Non invasive lab consisting of(a)TMT,

(b)2D ECHO,(c)HOLTER MONITOR(d)ECG.

XII. Investigation facilities:

S.No. Machine Number

1. Cardiac Cath Lab, IABP, etc

XIII. Ambulance Services (Along with registration numbers of vhicles).

XIV. Vaccination facility: (Yes / No).............................................................................

XV. Central Sterile Supply Department: (Yes/ No).............................................

XVI. Hospital Waste Disposal System: (Yes / No)..............................................

XVII. Dietary Services:

..................................................................................................................................

XVIII. Fire Safety and Security Services.

..........................................................................................................................

XIX. Affidavit of No Prosecution for Negligence or Violation of Acts of Central and State

Government or Professional Medical Ethics Regulations.


Person



Revised (15/01/2010)

Expression of Interest (For CARDIAC SURGICALSpecialty Hospitals)


1. DURATION :







4. ICUWell equipped ten bed intensive care unit. Each bed having followingfacilitya. Multi position electric ICU bedb. Ventilator on every bedc. Multi channel multi parameter cardiac monitord. Three syringe pump per bede. Bedside defibrillator facilityf. Bedside blood gas facility in ICUg. Central supply of all the gases

h. Intra aortic balloon pump.i. Bed side facility of echocardiography

5. Infrastructure

1. Two well equipped operation theatres with adequate facility to performopen heart operations, vascular surgery and thoracic surgery includingVAT, with following equipments per theatre means two number of eachitem:-a. Heart lung machine pump

b. High tech operating light with satellite attachmentsc. High tech Operation table



d. High tech anaesthesia machine with ventilatore. Multi channel multi parameter cardiac monitorf. High quality defibrillatorg. Blood gas machineh. ETO facility for sterilisation.i. Adequate number of operating instruments. j. Head lightk. Syringe pumps four per tablel. Intra aortic balloon pumpm. facility of intraoperative trans oesophageal echocardiography (portable)n. Central supply of oxygen, compressed air, nitrous, suction and carbon

di oxide.o. Temporary pacing facility


1. At least one unit consisting of three specialists with M.Ch. Degree in CTsurgery. At least one specialist should have experience of 5 years. TheseSpecialists should be on permanent rolls.

2. Six resident doctors.3. Two senior consultants of cardiac anaesthesiology with at least five years

experience4. Three resident cardiac anaesthetists5. Perfusionist

6. Eight cardiothoracic trained nurses (two operating theatres)7. Man power for ten bed cardiothoracic surgery ICU8. Nurse ratio one : one patient with adequate numbers of ward boys and

cleaning staff.




with availability of Oxygen, Defibrillator and ventilator and other life saving

equipments.


Cardiology support in form of diagnostic facilitya. Echocardiographyb. CTMTc. Holter monitoringd. Stress thallium teste. Pacing facility



9. OPD







The Private Hospital shall have the facility of nutritional dietary Services forindoor patients.










Ethics.



Hospital.


The Private Hospital shall, in case of non- availability of any treatment/specialised treatment in the hospital, refer the patient to an attached Hospital of









the Hospital.

















Application Form for the Approval of a Private Hospital (CARDIAC SURGICAL) in the Scheme of providing Medical Services to Government employees in Rajasthan.

1.Name of Hospital with Address

................................................................................................................................................

................................................................................................................................................

................................................................................................................

2.City of Location

3.Name of Proprietor of the Firm

4.Telephone number




.............................................................................................................................

Declaration of the owner that he / she will accept the norms and standards of Medical


6.Category: Approved Hospital.

7.Running capacity (Number of Beds)---------------------

8. List of the specialist consultants employed at the Hospital with their qualifications,


The list should be annexed in terms of name of specialists, speciality, PG qualification,

experience and Reg. No. of RMC with date.


......................................................................................................................

10.ICU



a. Multi position electric ICU bed

b. Ventilator on every bed

c. Multi channel multi parametercardiac monitor

d. Three syringe pump per bed

e. Bedside defibrillator facility

f. Bedside blood gas facility in ICU

g. Central supply of all the gases

h. Intra aortic balloon pump.

i. Bed side facility ofechocardiography

11. Infrastructure

a. Heart lung machine pump……………………………b. High tech operating light with satellite attachments

……………………………………………………..

c. High tech Operation table ……………………………………………d. High tech anaesthesia machine with ventilator ………………………….e. Multi channel multi parameter cardiac monitor ………………………….f. High quality defibrillator ……………………………………………………..g. Blood gas machine ………………………………………………………….h. ETO facility for sterilisation. …………………………………………………i. Adequate number of operating instruments……………………………. j. Head light ………………………………………………………………..k. Syringe pumps four per table ………………………………………l. Intra aortic balloon pump …………………………………………..

m. facility of intraoperative trans oesophageal echocardiography (portable)…………………………………………………………………

n. Central supply of oxygen, compressed air, nitrous, suction and carbondi oxide. ……………………………………………………………….

o. Temporary pacing facility …………………………………………….

12.Non invasive lab consisting ofa. Echocardiography

b. CTMT

c. Holter monitoringd. Stress thallium test



e. Pacing facility


14.Vaccination facility: (Yes / No).............................................................................

15.Central Sterile Supply Department: (Yes/ No).............................................

16.Hospital Waste Disposal System: (Yes / No)..............................................

17.Dietary Services:

..................................................................................................................................

18.Fire Safety and Security Services.

..........................................................................................................................

19.Affidavit of No Prosecution for Negligence or Violation of Acts of Central and State



Person



Revised (15/01/2010)

Expression of Interest (For NEPHROLOGY

Specialty Hospitals)


1. DURATION :







4. ICU

Nephrology ICU (minimum 4 beds) with cardiac Monitors, Defibrillatorsand Ventilators.

5. Infrastructure

a. Hemodialysis Unit with reverse osmosis plant.b. Acute peritoneal dialysis unit.

c. Facility for continuous ambulatory peritoneal dialysis.d. Facility for continuous renal replacement therapy.

e. Procedure room for Kidney Biopsy and catheter insertion


1 At least one unit consisting of three specialists with DM Degree inNephrology. At least one specialist should have experience of 5 years.These Specialists should be on permanent rolls.

2. Trained staff for peritoneal dialysis.



3. Expert Surgeon/Urologist in handling Nephrological procedures wellconversant with placement of CAPD Catheter, A V Fistulas & otherprocedures.





equipments.

8. OPD








indoor patients.







Private Hospital shall also undertake responsibility for its employees (Doctors andParamedical personnel) for not committing any act of Professional Negligence or


Ethics.



Hospital.












the Hospital.

15. Penalty in case of violation of conditions of Agreement:

If at any stage, during the period of agreement, the private hospital violates anyof the conditions of the agreement, especially the prescribed standards, thedefaulting hospital will immediately be removed from the scheme.















Application Form for the Approval of a Private Hospital (NEPHROLOGY

) in the Scheme of providing Medical Services to Government employees in Rajasthan.


................................................................................................................................................

................................................................................................................................................

................................................................................................................

2.City of Location


4.Telephone number




.............................................................................................................................










......................................................................................................................



10.ICU

Nephrology ICU (minimum 4beds) with cardiac Monitors,Defibrillators and Ventilators.

11. Infrastructure

a. Hemodialysis Unit with reverse osmosis plant. ………………………..b. Acute peritoneal dialysis unit. ………………………………………………c. Facility for continuous ambulatory peritoneal dialysis………………………d. Facility for continuous renal replacement therapy…………………………

e. Procedure room for Kidney Biopsy and catheter

insertion……………………………………….13. Ambulance Services (Along with registration numbers of vhicles).





..................................................................................................................................


..........................................................................................................................




Person



Revised (15/01/2010)

Expression of Interest (For UROLOGYSpecialty Hospitals)


1. DURATION :







4. ICU

5 bedded ICU.5. Infrastructure

. Facilities :-a. Theatre Complexb. 1. Twin Theatre with laminar flowc. 2. A Minor Theatred. Endoscopic Equipment

e. Laproscopic equipmentf. Laser equipmentg. Lithotripsy Facilities

h. Urodynamic suitei. Isotope study suite j. Complete nephrology backup with facilities of peritoneal and

hemodialysis




1 At least one unit consisting of three specialists with M.Ch. Degree inUrology. At least one specialist should have experience of 5 years. TheseSpecialists should be on permanent rolls.

2. Trained staff for peritoneal dialysis.3. Expert Surgeon/Urologist in handling Nephrological procedures well

conversant with placement of CAPD Catheter, A V Fistulas & otherprocedures.





equipments.

8. OPD








indoor patients.



The Private Hospital shall mandatory undertake the responsibility ofdischarging Medical Services in full consonance of Professional Conduct and Ethics






Ethics.





Hospital.

13. Reference for higher / specialised treatment: The Private Hospital shall, in case of non- availability of any treatment/






Official(s) appointed by the committee can inspect the hospital during the agreementperiod to ascertain that the parameters of approval are being maintained properly by

the Hospital.

















Application Form for the Approval of a Private Hospital (UROLOGY) in the Scheme of providing Medical Services to Government employees in Rajasthan.


................................................................................................................................................

................................................................................................................................................

................................................................................................................

2.City of Location


4.Telephone number




.............................................................................................................................










......................................................................................................................

10.ICU



UROLOGY ICU (minimum 5beds)

11. Infrastructure

Theatre ComplexTwin Theatre with laminar flow

c. 2. A Minor Theatred. Endoscopic Equipmente. Laproscopic equipmentf. Laser equipmentg. Lithotripsy Facilities

H. Investigations4. Ultrasound Suite

5. X-ray Facilities6. Side lab for urine examination and semen analysis7. Stone analysis lab8. Urodynamic suite9. Isotope study suite10. CT Scan Facilities11. MRI Facilities12. Complete nephrology backup with facilities of peritoneal and

hemodialysis13. Ambulance Services (Along with registration numbers of vhicles).





..................................................................................................................................


..........................................................................................................................






Person



Revised (15/01/2010)

Expression of Interest (For NEURO SURGERY Specialty Hospitals)


1. DURATION :







4. ICU

A fully dedicated neurosurgical ICU corridor of 5 beds, with provision ofinfected patients, with 1:1 Ventilator available and monitoring devices.

5. Infrastructure

. (a) 24 Hours emergency servies for head injuries management includingoperative facilitates.

(b) A Neurosurgery unit should have a well ventilated & well lit ward of atleast 20 beds with proper provision for isolation of infected cases.

(c) A procedure room in the ward for minor procedure.

Diagnostic Facilities

(a) MRI(b) Multi scan CT Scan unit.(c) C - ARM & angiography unit(d) Digital X-Ray facility

Neurosurgery O.T.

(a) A dedicated neurosurgical OT shoud comprise of 2-3 operating tables,

with light source, a good operating microscope for each table.(b) Biplor & monapolar cartries



(c) CUSA Machine, C-ARM, Endoscope (Flaxible & rigid) with monitoringfacilities.

(d) Autoclave and ETO sterilization facilities.(e) Dedicated Neuro Technicians and neuro nursing staff forms for routine

& emergency services.


(a) At least one unit consisting of three specialists with M.Ch. Degreein Neuro Surgery. At least one specialist should have experience of 5years. These Specialists should be on permanent rolls.

(b) At least 2 Neuro Anesthetists(c) At least 6 resident doctors as required for smooth functioning of a unit.(d) Nursing staff in the ratrio of 1:5 for ward patient & in the ratio of 1:1 for

neurosurgery ICU patients. The ICU should be of 10 beds(e) Ward Boys/Class IV as required.





8. OPD




waste laid down in Government of India Biomedical Waste Disposal (Management &Handling) Rules 1995, 1998 and Environment (Protection) Act.



indoor patients.











Ethics.



Hospital.








Official(s) appointed by the committee can inspect the hospital during the agreementperiod to ascertain that the parameters of approval are being maintained properly by

the Hospital.









disputes or differences are not settled within thirty (30) days of reference of thedispute or difference, the same shall be resolved by Arbitration as per the Indian




Application Form for the Approval of a Private Hospital (NEURO SURGERY



................................................................................................................................................

................................................................................................................................................

................................................................................................................

2.City of Location


4.Telephone number




.............................................................................................................................










......................................................................................................................



10.ICU

A fully dedicated neurosurgical ICUcorridor of 5 beds withprovision of infected patients

with 1:1 Ventilator availableand monitoring devices.

11. Infrastructure

(a) 24 Hours emergency servies for head injuries management includingoperative facilitates. …………………………………………………………

(b) A procedure room in the ward for minor procedure. ……………………

Diagnost ic Facili ties

(a) MRI………………………………………….(b) Multi scan CT Scan unit. …………………………….(c) C - ARM & angiography unit …………………………(d) Digital X-Ray facility ……………………………………

Neurosurgery O.T.

(a) A dedicated neurosurgical OT shoud comprise of 2-3 operating tables,with light source, a good operating microscope for each table.

(b) Biplor & monapolar cartries(c) CUSA Machine, C-ARM, Endoscope (Flaxible & rigid) with monitoring

facilities.(d) Autoclave and ETO sterilization facilities.(e) Dedicated Neuro Technicians and neuro nursing staff forms for routine

& emergency services.






..................................................................................................................................




..........................................................................................................................




Person



Revised (15/01/2010)

Expression of Interest (For ONCOLOGYSpecialty Hospitals)


1. DURATION :







4. ICU

A fully dedicated ICU corridor of 5 beds.5. Infrastructure

(a) OPD facility with Cancer Detection Services (Mammography, FNAC,

Radiology, Colposcope for gynecological examination).

(b) 2 Bed Bone Marrow Transplantation Unit.

(C) 1 Major and 1 minor Oncology Operation Theatre.

(d) Linear Accelerator.

(e) Cobalt / Brachy Therapy


(a) At least one unit each of Medical Oncology, Surgical Oncology

and Radiation Oncology. Each Unit should be headed by one specialist

having DM / M.Ch. Degree in Medical Oncology, Surgical Oncology and

Radiation Oncology with a minimum of 5 years of experience. These

units should also include at least 2 specialists with P.G. Degree in the

respective fields. All specialists should be on permanent rolls.

(b) Qualified Radio Therapy consultant with more than 10 years

experience.(c) Junior qualified Radio Therapy consultant with 3-5 years experience.







equipments.

8. OPD








indoor patients.









Ethics.



Hospital.












the Hospital.

15. Penalty in case of violation of conditions of Agreement:

If at any stage, during the period of agreement, the private hospital violates anyof the conditions of the agreement, especially the prescribed standards, thedefaulting hospital will immediately be removed from the scheme.















Application Form for the Approval of a Private Hospital (Oncology



................................................................................................................................................

................................................................................................................................................

................................................................................................................

2.City of Location


4.Telephone number




.............................................................................................................................










......................................................................................................................



10.ICU

A fully dedicated ICU corridor of 5beds.

11. Infrastructure

(a) OPD facility with Cancer Detection Services (Mammography, FNAC,

Radiology, Colposcope for gynecological examination).

(b) 2 Bed Bone Marrow Transplantation Unit.

(C) 1 Major and 1 minor Oncology Operation Theatre.

(d) Linear Accelerator.

(e) Cobalt / Brachy Therapy13. Ambulance Services (Along with registration numbers of vhicles).





..................................................................................................................................


..........................................................................................................................




Person



Revised (15/01/2010)

Expression of Interest (For OPHTHALMOLOGYSpecialty Hospitals)


1. DURATION :







4. ICU A fully dedicated ICU corridor of 5 beds.

5. Infrastructure

OPD Equipment

1. Refraction unit : trial set, frame, vision drum - two each;

Autorefractometer - One. Ophthalmoscopes and streak retinoscopes -

two each

2. Slit lamps - two

3. Indirect Ophthalmoscopes - One4. Lensometer - One

5. Application and schiotz tonometer - one each

6. Keratometer - One

7. A- scan biometer - One

8. YAG laser - one

9. Minor OT instruments

10. Space and furniture as per requirements

Indoor Ward



1. 20 beds

2. Schiotz tonometer

3. Slit lamp

4. Minor instruments

5. Dressing sets, drums6. Vision drum


Operation Theatre

1. Operation microscope - two

2. Phacoemulsification machine - one

3. Anaesthesia equipment (boyles, apparatus, gases, suction etc.)

4. Operating instruments

a. Cataract sets : fourb. Squint and extraocular surgery sets : two

c. Retinal surgery instruments

b. Orbital, sac, lid surgery sets

d. Orbital, sac, lid surgery sets

e. Keratoplasty instruments

5. Wet field cautery

6. Autoclaves : One horizontal, one flash

7. Instrument trolleys - two; drip stands

8. Patient trolleys - two9. OT Table - two

10. Autoclave drums, trays, formalin chamber, linen, chemical sterilization

equipment, boiler - sufficient for at least 15-20 cases per day

11. OT lights

12. Air -conditioning equipment

13. Online UPS for microscope and phaco

14. Fumigation machine

15. Space and furniture as per requirement


1. At least one unit consisting of three specialists with MS Degree in

Ophthalmology. At least one specialist should have experience of 5 years.

These Specialists should be on permanent rolls.

2. Resident Doctors: At least 4

3. Nursing Staff : 6 each in OT, OPD and Indoor Ward

4. Ward boys and sweepers as per requirement







equipments.

8. OPD








indoor patients.










Ethics.



Hospital.










Application Form for the Approval of a Private Hospital (OPHTHALMOLOGY



................................................................................................................................................

................................................................................................................................................

................................................................................................................

2.City of Location


4.Telephone number




.............................................................................................................................










......................................................................................................................



10.ICU

A fully dedicated ICU corridor of 5beds.

11. Infrastructure

OPD Equipment

1. Refraction unit : trial set, frame, vision drum - two each;

Autorefractometer - One. Ophthalmoscopes and streak retinoscopes -

two each

2. Slit lamps - two

3. Indirect Ophthalmoscopes - One4. Lensometer - One

5. Application and schiotz tonometer - one each

6. Keratometer - One

7. A- scan biometer - One

8. YAG laser - one

9. Minor OT instruments


3. Indoor Ward

1. 20 beds

2. Schiotz tonometer

3. Slit lamp

4. Minor instruments

5. Dressing sets, drums

6. Vision drum


4. Operation Theatre

1. Operation microscope - two

2. Phacoemulsification machine - one

3. Anaesthesia equipment (boyles, apparatus, gases, suction etc.)

4. Operating instruments

a. Cataract sets : four

b. Squint and extraocular surgery sets : two

c. Retinal surgery instruments

b. Orbital, sac, lid surgery sets

d. Orbital, sac, lid surgery sets



e. Keratoplasty instruments

5. Wet field cautery

6. Autoclaves : One horizontal, one flash

7. Instrument trolleys - two; drip stands

8. Patient trolleys - two9. OT Table - two

10. Autoclave drums, trays, formalin chamber, linen, chemical sterilization

equipment, boiler - sufficient for at least 15-20 cases per day

11. OT lights

12. Air -conditioning equipment

13. Online UPS for microscope and phaco

14. Fumigation machine

15. Space and furniture as per requirement






..................................................................................................................................


..........................................................................................................................




Person



Revised (15/01/2010)

Expression of Interest (For DENTISTRYSpecialty Hospitals)


1. DURATION :







5. Infrastructure

1. Equipments

1. 5-fully equipped Dental Chair (With air rotor, air motor, 3 way syringe,

suction unit, halogen light electronically operated etc.)

2. O.T. Facility for oral maxillofacial surgery.

One O.T. Table,

One Dental Chair,

general surgical instruments, plating kit, implant kit, orthognathic

surgery kit etc.

4. Autoclave & other sterilization equipments

5. All dental instruments for extarctions, filling, RCTs, dentures etc.

6. X.-ray facilities

Intraoral X-rays

OPG

7. Dental lab for prosthesis work6. Availabi li ty of quali fied Consul tants:

1. At least 2 MDS Dental Surgeon and 2 BDS Dental Surgeons on

permanent pay rolls.



2. At least one Oral & Maxillofacial Surgeons

3. Pediatric dentist (Optional)

4. Orthodontist (Optional)

5. Endodontist (Optional)

6. Prosthodontist (Optional)7. Periodontist (Optional)

8. Anesthetist (on Call)

9. Physician (on Call)

10. Oral diagnosis & oral radiologist

11. Two dental hygienist

12. Five dental technician

13. Five chair side assistant


The Private Hospital shall mandatory operate round the clock CasualtyMedical Services manned by consultants of critical care. CMC should be equipped


equipments.

8. OPD








indoor patients.









Violation of Acts (Parliamentary and State legislation) or Professional Conduct andEthics.





Hospital.







determined by the Health Benefits Advisory Committee. The Committee or anyOfficial(s) appointed by the committee can inspect the hospital during the agreement


the Hospital.



16. Single Point Responsibi lity:The Private Hospital shall be solely responsible for acts and performance of

the Medical personnel, ethical and professional code of conduct for Medical servicesto provide to the employees of Rajasthan Government, administration, cleanliness,control of infections and full and true implementation of the Terms and Conditions ofthis Agreement.













Person



Expression of Interest

The State Government has decided to give Medical Attendance facility to StateGovernment Employees in Private/ Charitable Hospitals within the State. Expressionof Interest is invited from interested Private/ Charitable Hospitals within the StateMulti Specialty as well as Super Specialty hospitals. The required Bed Capacity and Annual Turnover are:

Multi Speciality Hospital

Bed CapacityJaipur (Capital City) 150Beds

District Head- Quarters. 50 Beds

TurnoverJaipur (Capital city) Rs. 5.0 Crore

District Head Quarters. Rs. 2.5 Crore

Super Specialty hospitals

Bed Capacity 20 Beds

Turnover Rs. 2.5 Crore Interested hospitals can obtain the Application Form and terms and Conditions from

SMS Hospital From __________ to _______________. The forms can be obtainedbetween 10.00A.M to 4.00P.m. on working days between this period on payment ofRs. 100/-. The application forms will be received till 2.30 P.M. on _______________.In the office of the Superintendent SMS Hospital.

Expression Of Interest of Hospital Project

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Transcript of Expression Of Interest of Hospital Project