CANCER HOSPITAL CUM GENERAL OPD (120 BED)
[EIRI/EDPR/4759] J.C.: 2979XL
Healthcare has become one of India’s largest sectors - both in terms of revenue and employment. Healthcare comprises hospitals, medical devices, clinical trials, outsourcing, telemedicine, medical tourism, health insurance and medical equipment. The Indian healthcare sector is growing at a brisk pace due to its strengthening coverage, services and increasing expenditure by public as well private players.
Indian healthcare delivery system is categorized into two major components - public and private. The Government, i.e. public healthcare system comprises limited secondary and tertiary care institutions in key cities and focuses on providing basic healthcare facilities in the form of primary healthcare centers (PHCs) in rural areas. The private sector provides majority of secondary, tertiary and quaternary care institutions with a major concentration in metros, tier I and tier II cities.
India's competitive advantage lies in its large pool of well-trained medical professionals. India is also cost competitive compared to its peers in Asia and Western countries. The cost of surgery in India is about one-tenth of that in the US or Western Europe.
Healthcare has become one of the largest sectors of the Indian economy, in terms of both revenue and employment. It has been growing at a CAGR of 22% since 2016, employing 4.7 Million people directly. The sector has the potential to generate 2.7 million additional jobs in India between 2018-23, over 500,000 new jobs per year.
Several factors are driving the growth of the Indian healthcare sector including an aging population, a growing middle class, the rising proportion of lifestyle diseases, an increased emphasis on public-private partnerships as well as accelerated adoption of digital technologies, including telemedicine, besides heightened interest from investors and increased FDI inflows over the last two decades.
In the first section, this Report provides an overview of India’s healthcare sector, including insights about its employment generation potential, the prevailing business and investment climate as well as the overarching policy landscape. The second section highlights the key drivers of growth for the sector and the third section elaborates upon the enabling policies and investment opportunities in 7 key segments, including hospitals and infrastructure, health insurance, pharmaceuticals and biotechnology, medical devices, medical tourism, home healthcare as well as telemedicine and other technology-related health services. Health care is gaining increasing importance in recent years. The concept of health care is emerging from providing treatment to the disease to the improvement of overall health status and also maintenance of good health.
COST ESTIMATION
Plant Capacity 120 Nos/Day
Land & Building (8 Bigha) Rs. 28.07 Cr
Plant & Machinery Rs. 22.42 Cr
Working Capital for 2 Months Rs. 2.41 Cr
Total Capital Investment Rs. 54.44 Cr
Rate of Return 18%
Break Even Point 65%
CONTENTS
INTRODUCTION
INDUSTRY OVERVIEW
MACROECONOMIC OVERVIEW OF INDIA
GDP LOGGED 5.5% CAGR BETWEEN FISCAL 2012 AND FISCAL 2022
REAL GDP GROWTH IN INDIA (NEW GDP SERIES)
GDP IN FISCAL 2022 GREW AT 9.1% ON-YEAR
IMPACT OF UNION BUDGET 2023-2024 ON HEALTHCARE AND WELLBEING
HEALTH AND WELLBEING – EXPENDITURE
KEY BUDGET PROPOSALS FOR FISCAL 2023 TO FISCAL 2024
FUNDAMENTAL GROWTH DRIVERS OF GDP
BY 2030, INDIA’S POPULATION IS PROJECTED TO TOUCH 1.5 BILLION
INDIA’S POPULATION GROWTH
URBANIZATION LIKELY TO REACH 40% BY 2030
INDIA’S URBAN VERSUS RURAL POPULATION
INDIA’S PER CAPITA INCOME ROSE AT A HEALTHY PACE BETWEEN FISCAL 2012 AND FISCAL 2020
PER CAPITA NET NATIONAL INCOME AT CONSTANT PRICES
REVIEW OF PRIVATE FINAL CONSUMPTION EXPENDITURE (PFCE)
SOCIAL AND HEALTHCARE RELATED PARAMETERS
INDIA LAGS PEERS IN HEALTHCARE EXPENDITURE
TOTAL HEALTHCARE EXPENDITURE AS % OF GDP (2020)
SPENDS TOO LITTLE ON HEALTHCARE
CURRENT HEALTHCARE EXPENDITURE (CHE) AS % OF GDP IN INDIA (2010 TO 2020)
PER CAPITA CURRENT EXPENDITURE ON HEALTH IN USD (2020)
OUT-OF-POCKET EXPENDITURE (% OF CURRENT HEALTH EXPENDITURE 2020)
PUBLIC HEALTHCARE EXPENDITURE IS LOW, WITH PRIVATE SECTOR ACCOUNTING FOR A LION’S SHARE
GENERAL EXPENDITURE ON HEALTH AS % OF CHE (2020)
HEALTH INFRASTRUCTURE OF INDIA IN DIRE NEED OF IMPROVEMENT
STATE-WISE MACROECONOMIC INDICATORS
STATE-WISE GSDP AND PER CAPITA NSDP AT CONSTANT PRICES AS OF FISCAL 2021
STATE-WISE GSDP AND PER CAPITA NSDP AT CONSTANT PRICES AS OF FISCAL 2022
GSDP GROWTH ACROSS STATES IN FISCAL 2021
GSDP GROWTH ACROSS STATES IN FISCAL 2022
STATE GROSS DOMESTIC PRODUCT FOR SELECT STATES IN RS. BILLION
DISEASE PROFILE IN INDIA
A REVIEW OF COMMUNICABLE DISEASES IN INDIA
A REVIEW OF NON-COMMUNICABLE DISEASES IN INDIA
DISEASE EPIDEMIOLOGY SHIFTING TOWARDS LIFESTYLE DISEASES
WESTERN STATES OF GOA AND MAHARASHTRA HAVE HIGH PROPORTION OF NCDS IN THE RANGE OF 60% TO 75%
STATE-WISE PROPORTION OF TOTAL DISEASE BURDEN FROM NCDS IN 2016
NON-COMMUNICABLE DISEASES: A SILENT KILLER
CAUSES OF DEATH IN INDIA
MADHYA PRADESH RECORDED ONE OF THE HIGHEST NUMBERS OF NCDS IN 2020
STATE-WISE NUMBER OF PERSONS DIAGNOSED WITH NCDS IN 2020
STRUCTURE OF THE HEALTHCARE DELIVERY INDUSTRY IN INDIA
OVERVIEW
CLASSIFICATION OF HOSPITALS
CLASSIFICATION OF HOSPITALS BASED ON SERVICES OFFERED
CLASSIFICATION OF HOSPITALS BY FACILITIES/ SERVICES OFFERED
CLASSIFICATION BASED ON COMPLEXITY OF AILMENT
INDICATIVE SPLIT OF AILMENTS & MEDICAL TREATMENTS PROVIDED BASIS VARIOUS CATEGORIES OF HOSPITALS & COMPLEXITIES OF AILMENT
CLASSIFICATION BASED ON OWNERSHIP
EMERGING TECHNOLOGIES IN HEALTHCARE DELIVERY
ROBOTIC SURGERY
ELECTRONIC HEALTH RECORDS
ARTIFICIAL INTELLIGENCE (AI) AND BLOCKCHAIN
RADIOLOGY INFORMATION SYSTEM
CLINICAL DECISION SUPPORT SYSTEM (CDSS)
MOBILE-BASED APPLICATION
TELEMEDICINE
WEARABLES AND SENSORS
PAYMENT MODES IN INDIAN HEALTHCARE
PAYOR MIX (INDIA) 2020
REGULATORY FRAMEWORK FOR HOSPITALS AND HEALTHCARE IN INDIA
GOVERNMENT FRAMEWORK FOR HEALTHCARE DELIVERY
REVENUE AND COST STRUCTURE REVIEW OF HOSPITALS
HOSPITALS DERIVE BULK OF THEIR REVENUE FROM IPD
SURGERIES AND DIAGNOSTICS FETCH BULK OF THE IPD REVENUE
OTHER MONITORABLES THAT MAY BOOST REVENUE INCLUDE:
AILMENT-WISE LENGTH OF STAY
CAPITAL COSTS
TYPICAL COST STRUCTURE OF HOSPITALS
PLAYERS WITH AVAILABLE LAND BANK IN TOP METRO CITIES HAVE AN INHERENT ADVANTAGE
ASSESSMENT OF INDIA’S HOSPITAL MARKET
REVIEW AND OUTLOOK
INDIAN HEALTHCARE DELIVERY MARKET POISED FOR ROBUST GROWTH IN THE MEDIUM TERM
OVERALL HEALTHCARE DELIVERY MARKET IN INDIA
HEALTHCARE DELIVERY INDUSTRY ESTIMATED TO GROW TO APPROXIMATELY RS.5.6 TRILLION IN FISCAL 2023
HEALTHCARE DELIVERY INDUSTRY TO GROW 10% TO 12% FROM FISCAL 2022 TO FISCAL 2027
SHARE OF TREATMENTS IN VALUE TERMS (GOVERNMENT HOSPITALS VERSUS PRIVATE HOSPITALS/CLINICS)
WESTERN REGION TO WITNESS STRONG GROWTH IN HEALTHCARE SECTOR
ESTIMATED WESTERN HEALTHCARE DELIVERY MARKET (RS. BILLION)
KEY GROWTH DRIVERS OF HEALTHCARE DELIVERY INDUSTRY
GOVERNMENT POLICIES TO IMPROVE HEALTHCARE COVERAGE
PRADHAN MANTRI JAN AROGYA YOJANA ADDS A DEMAND IMPETUS
WITH LIFE EXPECTANCY IMPROVING AND CHANGING DEMOGRAPHIC PROFILE, HEALTHCARE SERVICES ARE A MUST
LIFE EXPECTANCY (AT BIRTH) AND INFANT MORTALITY RATE: INDIA V. OTHERS
POPULATION IN 60+ AGE GROUP TO GROW FASTER
RISING INCOME LEVELS TO MAKE QUALITY HEALTHCARE SERVICES MORE AFFORDABLE
INCOME DEMOGRAPHICS
INCREASING HEALTH AWARENESS TO BOOST HOSPITALISATION RATE
URBAN POPULATION IN INDIA (% OF TOTAL POPULATION)
NON-COMMUNICABLE DISEASES, A SILENT KILLER
GROWING HEALTH INSURANCE PENETRATION TO PROPEL DEMAND
POPULATION-WISE DISTRIBUTION AMONG VARIOUS INSURANCE BUSINESSES (IN MILLION)
PERCENTAGE SPLIT OF NUMBER OF PERSONS COVERED UNDER HEALTH INSURANCE
MAHARASHTRA AND GUJARAT AMONG LEADING STATES IN TERMS OF HEALTH INSURANCE PENETRATION
STATE-WISE PENETRATION AND NUMBER OF PERSONS COVERED UNDER HEALTH INSURANCE (SELECT STATES) FISCAL 2022
MEDICAL TOURISM IN INDIA
GROWTH IN MEDICAL TOURISTS*
ABOUT TWO-THIRDS OF MEDICAL TOURISM DEMAND FROM SOUTH ASIA
BREAK-UP OF MEDICAL TOURISTS* BY MAJOR REGION OF ORIGIN (2019)
BREAK-UP OF MEDICAL TOURISTS* BY MAJOR COUNTRY OF ORIGIN (2019)
COUNTRY-WISE COST OF KEY TREATMENT PROCEDURES (IN US$)
IMPROVED HEALTHCARE SERVICES IN INDIA ADDING TO THE TRUST OF PATIENTS
KEY CHALLENGES FOR THE HEALTHCARE DELIVERY INDUSTRY
HOSPITAL BED DENSITY: INDIA V. OTHER COUNTRIES
AVAILABILITY OF GOVERNMENT BEDS (PER 10,000 POPULATION) IN INDIA*
HEALTHCARE FINANCING HAS BEEN A PAIN POINT
GOVERNMENT PRICE CAPPING OF MEDICAL EQUIPMENT
OUTSTANDING RECEIVABLES AFFECTING FISCAL PROFILE OF HOSPITALS
PAUCITY OF EXPERIENCED SPECIALISED DOCTORS
HEALTHCARE PERSONNEL: INDIA V. OTHER COUNTRIES (AGGREGATE 2012 TO 2020)
KEY ACTIONABLE AREAS
SHORTFALL IN BED CAPACITY: MAJOR OPPORTUNITY FOR HEALTHCARE DELIVERY PLAYERS
DIVERSIFICATION INTO DIFFERENT FORMAT/AREAS TO INCREASE REACH AND EFFICIENCY
DAY-CARE CENTRES
END-OF-LIFE/GERIATRIC CARE CENTRES
HOME HEALTHCARE
INCREASING PENETRATION OF HOSPITAL CHAINS IN TIER 2 AND 3 LOCATIONS
ESTABLISHED REGIONAL PRESENCE GIVES PLAYERS AN UPPER HAND
REGIONAL REVENUE MIX OF KEY PLAYERS AS OF FISCAL 2022
SOME OF THE KEY ADVANTAGES OF HAVING REGIONAL PRESENCE ARE AS FOLLOWS:
OPERATING METRICS OF KEY LISTED PLAYERS:
AVERAGE REVENUE PER OCCUPIED BED (ARPOB) OF KEY LISTED PLAYERS CLOCKED APPROXIMATELY 7.0% CAGR OVER FISCAL 2019 TO FISCAL 2022
AGGREGATE OCCUPANCY RATES AND ALOS OF KEY LISTED PLAYERS
CARDIAC SCIENCES DOMINATES IN TERMS OF SHARE, BUT ONCOLOGY DRIVES THE HIGHEST GROWTH ACROSS TREATMENT MIX FOR KEY LISTED PLAYERS
HEALTHCARE INFRASTRUCTURE IN SELECT STATES AND KEY MICRO MARKETS
WEST INDIA STATES OF GUJARAT AND MADHYA PRADESH HAVE BED DENSITY LOWER THAN THAT OF NATIONAL AVERAGE
HOSPITALS BED DENSITY (BEDS PER 10,000 POPULATION OF THE STATE) FISCAL 2022
MAHARASHTRA HAS THE HIGHEST HOSPITAL BEDS AVAILABILITY IN THE WESTERN REGION
NUMBER OF HOSPITAL BEDS BY STATE (FISCAL 2022)
SHARE OF PUBLIC HOSPITALS IN INDIA (FISCAL 2022)
ESTIMATED NUMBER OF ICU BEDS BY REGION (FISCAL 2020)
ESTIMATED HOSPITALS BED DENSITY (BEDS PER 10,000 POPULATION) AS OF DECEMBER 31, 2022
MUMBAI METROPOLITAN REGION (MMR) MICRO MARKET HAS 33.0 BEDS PER 10,000 PEOPLE AS OF DECEMBER 2022
KALYAN-DOMBIVLI MICRO MARKET HAS APPROXIMATELY 10 BEDS PER 10,000 PEOPLE AS OF DECEMBER 2022
PUNE METROPOLITAN REGION MICRO MARKET HAS 30.0 BEDS PER 10,000 PEOPLE AS OF DECEMBER 2022
KEY SPECIALTIES UNDERTAKEN BY MAJOR PLAYERS
MODE OF OPERATION OF KEY PLAYERS AS OF FISCAL 2022
ANALYSIS OF HOSPITALS AND BEDS FOR SELECT PLAYERS
PERCENTAGE OF TOTAL HOSPITALS WITH 300+ BEDS IN TERMS OF TOTAL BED CAPACITY (ESTIMATED)
KEY OPERATIONAL PARAMETERS OF MAJOR HOSPITAL PLAYERS
TOTAL NUMBER OF HOSPITALS (DECEMBER 2022)
TOTAL BED CAPACITY (DECEMBER 2022)
ESTIMATED NUMBER OF HOSPITALS IN WESTERN REGION (DECEMBER 2022)
ESTIMATED TOTAL BED CAPACITY IN WESTERN REGION (DECEMBER 2022)
TOTAL NUMBER OF HOSPITAL BEDS PER HOSPITAL/AVERAGE SIZE OF HOSPITAL (DECEMBER
OCCUPANCY RATE (OR) AND ALOS FOR FISCAL 2022
AVERAGE REVENUE PER OCCUPIED BED (ARPOB) OF MAJOR HOSPITAL PLAYERS FOR FISCAL 2022 (RS. IN ‘000)
PROPORTION OF BED CAPACITY IN KEY CITIES OF KEY LISTED PLAYERS (FISCAL 2022)
SELECT OPERATIONAL PARAMETERS OF KEY LISTED PLAYERS (FISCAL 2022)
ADDITIONAL SELECT FINANCIAL PARAMETERS OF KEY LISTED PLAYERS (FISCAL 2022)
KEY FINANCIAL PARAMETERS OF MAJOR HOSPITAL PLAYERS
KEY FINANCIAL PARAMETERS (FISCAL 2022)
KEY FINANCIAL RATIOS FOR MAJOR HOSPITAL PLAYERS (FISCAL 2022)
KEY OBSERVATIONS
COST STRUCTURE OF MAJOR HOSPITAL PLAYERS AS A PERCENTAGE OF OPERATING INCOME (OI) –
GROSS BLOCK PER BED AT THE END OF FISCAL 2022 (RS. MILLION)
PLANNED EXPANSION OF KEY PLAYERS
KEY OBSERVATIONS:
GEARING AND INTEREST COVERAGE FOR MAJOR HOSPITAL PLAYERS (FISCAL 2022)
ROCE AND OPERATING MARGIN FOR MAJOR HOSPITAL PLAYERS (FISCAL 2022)
CANCER TREATMENT AND ITS TYPE
CAUSES OF CANCER AND ITS TYPE
CANCER & ITS CAUSES
TREATMENT IN INDIA V/S ABROAD
CANCER TREATMENT TYPES
COST OF CANCER TREATMENT IN INDIA
OVERVIEW OF CANCER
ONCOLOGY AND RISK FACTOR
RISK FACTORS
TOBACCO
ALCOHOL
OBESITY
AGE
CANCER-CAUSING SUBSTANCES
INFECTIOUS AGENTS
IMMUNOSUPPRESSION
ONCOLOGY HEALTHCARE MARKET SCENARIO
GROWTH AND OPPORTUNITIES IN ONCOLOGY DRUGS
TREND IN INDIAN CANCER MARKET
SOME RENOWNED ONCOLOGY HOSPITALS IN INDIA
1. ADYAR CANCER HOSPITAL, CHENNAI
2. REGIONAL CANCER CENTER, TRIVANDRUM
3. MIOT HOSPITAL, CHENNAI
4. APOLLO HOSPITALS
5. TATA MEMORIAL HOSPITAL, MUMBAI
6. P.D. HINDUJA NATIONAL HOSPITAL, MUMBAI
7. KIDWAI INSTITUTE OF ONCOLOGY, BANGALORE
8. MAX INSTITUTE OF ONCOLOGY, DELHI
9. HARSHAMITRA SUPER SPECIALITY CANCER CENTRE, TRICHY
10. AMALA CANCER HOSPITAL, THRISSUR
11. CHRISTIAN MEDICAL COLLEGE (CMC), VELLORE
GUIDELINE TO ESTABLISH A MULTISPECIALITY HOSPITAL
FACTORS TO CONSIDER WHEN SETTING UP A MULTI-SPECIALTY HOSPITAL
SECURE FINANCING:
CONVENIENT LOCATION:
LICENSING:
ADEQUATE INFRASTRUCTURE:
EFFICIENT STAFF:
TO SUM IT UP:
SEGMENTATION OF MULTI SPECIALITY HOSPITALS
PRIVATE HOSPITALS
PUBLIC SECTOR HOSPITALS
SELECTED VIGNETTES
PRODUCT FOR ONCOLOGY
INJECTIONS
TABLETS
CAPSULES
PRICE RANGE OF ONCOLOGY DRUGS
PRICE RANGE OF ONCOLOGY DRUG ACCORDING TO CATEGORY IN INDIA
ONCOLOGY DRUGS AND ITS PREVAILING PACKAGING
ONCOLOGY PHARMA COMPANIES IN INDIA
SERVICE INDUSTRY IN INDIA
KEY DRIVERS OF ECONOMIC GROWTH
ADVANTAGE INDIA
SERVICES SECTOR CLASSIFICATION
SHARE OF SERVICES SECTOR GROWS AT THE FASTEST CAGR
PERFORMANCE OF INDIA’S SERVICES SECTOR: SOME INDICATORS
INDIA’S SERVICES TRADE
GOVERNMENT POLICIES
SERVICES EXPORTS FROM INDIA SCHEME (SEIS)
DIGITAL CONNECTIVITY INITIATIVE
ELECTRONICS HARDWARE MANUFACTURING POLICY OF TAMIL NADU, 2020
HEALTH DATA MANAGEMENT POLICY
NATIONAL EDUCATION POLICY, 2020
GOODS AND SERVICES TAX (GST)
FDI POLICY
ACTION PLAN FOR CHAMPION SECTORS IN SERVICES
HIGH FDI INFLOWS INTO THE SECTOR
EQUIPMENTS OF A HOSPITAL
B.I.S. SPECIFICATION
BRIEF DESCRIPTION OF SOME COMMON HOSPITAL EQUIPMENTS
1. DRESSING DRUM
2. SURGICAL TRAY
3. CATHETHER TRAY
4. SYRINGE CASE
5. ANIMA POT
6. BOWEL
7. BED PENT (LATRINE)
8. URINAL POT
9. KIDNEY TRAY
10. SPIT-ON
11. ELECTRICAL STERILIZER
MODERN MEDICAL INSTRUMENTS
BUILDING CONSTRUCTION & FURNISHING OF THE HOSPITAL
THE OTHER DEPARTMENT IN A NURSING HOME IS AS FOLLOWS:
1. CARDIOLOGY
2. E.N.T.
3. MATERNITY
4. EYE SECTION
5. CHILDREN WARD
6. LABORATORY
7. X-RAY ROOM & ECG CLINIC
8. PHYSICIAN & SURGEON
DETAILS OF SOME MEDICAL EQUIPMENT
COMMONLY USED DIAGNOSTICS MACHINE
SPECIALIZED MEDICAL ELECTRONIC INSTRUMENTS LIKE:-
ANALYTICAL EQUIPMENT FOR PATHOLOGICAL AND BIO-CHEMICAL
DIAGNOSIS WHICH ARE CURRENTLY BEING MANUFACTURED AND MARKETED BY UNITS INCLUDE:-
SIGNIFICANCE OF ELECTRONICS IN MODERN MEDICAL DIAGNOSTIC INSTRUMENTS:-
CONSUMABLE STORES
HOSPITAL/MEDICAL EQUIPMENTS AND SUPPLIERS
MACHINERY & EQUIPMENT SUPPLIERS
X-RAY ACCESSORIES
AIR CONDITIONING & REFRIGERATION UNITS
IMPORTED PLANT & MACHINERY SUPPLIERS
PROPOSED MINIMUM STANDARDS
LIST OF CONSULTANT FOR SETTING UP HOSPTAL
LIST OF NABET ACCREDITED HOSPITAL & HEALTHCARE CONSULTANT (NABH STANDARD)
HOSPITAL/MEDICAL EQUIPMENTS AND SUPPLIERS
MACHINERY & EQUIPMENT SUPPLIERS
X-RAY MACHINERY & EQUIPMENTS:-
SUPPLIERS OF EQUIPMENTS
SURGICAL INSTRUMENTS
STEEL FURNITURE:-
MICROSCOPE SUPPLIERS:
AIR CONDITIONING & REFRIGERATION UNITS:
LABORATORY CHEMICALS:
LABORATORY EQUIPMENTS:
LABORATORY INSTRUMENTS:
BUILDERS & BUILDING CONTRACTROS:
IMPORTED PLANT & MACHINERY SUPPLIERS
CONSULTANT FOR (HOSPITALS ERECTION):-
SUPPLIERS OF HOSPITAL EQUIPMENTS
LIST PLANT & MACHINERY
DEPARTMENT OF NEPHROLOGY
DEPARTMENT OF CARDIOLOGY
DEPARTMENT OF UROLOGY
DEPARTMENT OF ORTHOPEDICS
DEPARTMENT OF NEUROSURGERY
SPECIFICATIONS OF STANDARD LIST OF MEDICAL EQUIPMENT
WHAT LICENSE REQUIRED TO OPEN A HOSPITAL AND THEIR PROCEDURE
NECESSARY LICENSES REQUIRED OPENING A HOSPITAL IN INDIA
REGISTRATION OF HOSPITAL
THE LICENSES THAT ARE REQUIRED TO START A HOSPITAL IN INDIA ARE:
PERMITS
• LAND AND CONSTRUCTION
• ELECTRICITY AND WATER
• SEWAGE
• BIOMEDICAL WASTE
• FIRE AND HEALTH LICENSE
• REGULATIONS RELATING TO EMPLOYMENT OF STAFF
• SIGN BOARDS
• INFORMATION THAT REQUIRES IS DISPLAYED AT THE HOSPITAL ARE;
• FSSAI LICENSE FOR OPERATING A KITCHEN
• PERMIT TO STORE LPG CYLINDER
• PHARMACY REGISTRATION FOR MEDICAL SHOP
• TRADEMARK REGISTRATION
• VEHICLE REGISTRATION FOR AMBULANCES
• ARMS LICENSES UNDER ARMS ACT 1959
• WASTE DISPOSAL
PLANNING THE HOSPITAL INFRASTRUCTURE
ONE MUST TAKE CARE OF THESE THINGS;
THE OTHER IMPORTANT LICENSE REQUIRED IS:
LICENSES REQUIRED FOR HOSPITAL
BASIC FUNCTIONS PROVIDED BY A MULTISPECIALITY HOSPITAL
EMERGENCY FIRST AID:
GENERAL MEDICINE:
MEDICAL PERSONNEL
GENERAL SURGERY:
MATERNITY FACILITIES:
PATHOLOGY:
RADIOLOGY:
ECG:
HEALTH EDUCATION:
AMBULANCE SERVICES:
MEDICAL RECORDS:
HUMAN RESOURCE REQUIREMENT
QUALIFICATIONS
AVAILABILITY OF PERSONNEL:
MINIMUM REQUIREMENT OF PERSONNEL:
DUTY MEDICAL OFFICER
STAFF:
NURSING AIDS:
PARAMEDICAL STAFF:
ENGINEERING STAFF
ADMINISTRATIVE AND ANCILLARY STAFF
INSTRUMENTS FOR GENERAL SURGERY & (MATERNITY) OBSTETRICS/GYNAECOLOGY
OPERATION THEATRE
EQUIPMENT FOR SURGERY AND OBSTETRICS/GYN
DELIVERY SUITE: EQUIPMENT & INSTRUMENTS (FOR MATERNITY HOMES ONLY)
EQUIPMENT FOR SERVICE ZONE
LAUNDRY
GENERATOR
MINIMAL FUNCTIONAL AND SPACE REQUIREMENTS
SPACE REQUIREMENTS HAVE BEEN DIVIDED INTO FOLLOWING CATEGORIES:
ENTRANCE ZONE
AMBULATORY ZONE
CRITICAL ZONE
OPERATING SUITE
MINIMUM SPACE REQUIREMENTS
A. PROTECTIVE ZONE
B. CLEAN ZONE
C. ASEPTIC ZONE
INTERMEDIATE ZONE
INPATIENTS NURSING UNITS
SERVICE ZONE
BUILDING ENGINEERING ENVIRONMENTAL STANDARDS
1. CATION
2. CEILINGS
3. FLOOR HEIGHT
4. FLOORS AND WALLS
5. DOORS
6. WINDOWS
7. CORRIDOR
8. WATER SUPPLY, PLUMBING AND OTHER PIPING SYSTEMS
FOR MORE THAN 750 BEDS
FOR LESS THAN 100 BEDS
OXYGEN CYLINDERS
9. ELECTRICAL STANDARDS
PANEL BOARDS
10. ACCESS ROUTES TO VARIOUS FACILITIES OF THE NURSING HOME:
11. COMMUNICATION SYSTEM
12. FIRE-FIGHTING SYSTEM
13. VENTILATION REQUIREMENTS FOR AREAS AFFECTING PATIENT CARE IN NURSING HOMES
14. REQUIREMENTS FOR SANITARY FITMENTS IN NURSING HOMES FOR PATIENTS
INPATIENT WARDS AND NURSING UNITS
OUTPATIENT BLOCK
THE RADIOLOGY DEPARTMENT MUST HAVE FOLLOWING SPECIAL TOILET FACILITIES IN CASE IT CARRIES OUT PROCEDURES LIKE IVP.
PRINCIPLES OF PLANT LAYOUT
STORAGE LAYOUT:
EQUIPMENT LAYOUT:
SAFETY:
PLANT EXPANSION:
FLOOR SPACE:
UTILITIES SERVICING:
BUILDING:
MATERIAL-HANDLING EQUIPMENT:
RAILROADS AND ROADS:
MAJOR PROVISIONS IN ROAD PLANNING FOR MULTIPURPOSE SERVICE ARE:
PLANT LOCATION FACTORS
PRIMARY FACTORS
1. RAW-MATERIAL SUPPLY:
2. MARKETS:
3. POWER AND FUEL SUPPLY:
4. WATER SUPPLY:
5. CLIMATE:
SPECIFIC FACTORS
6. TRANSPORTATION:
A. AVAILABILITY OF VARIOUS SERVICES AND PROJECTED RATES
7. WASTE DISPOSAL:
8. LABOR:
9. REGULATORY LAWS:
10. TAXES:
11. SITE CHARACTERISTICS:
12. COMMUNITY FACTORS:
13. VULNERABILITY TO WARTIME ATTACK:
14. FLOOD AND FIRE CONTROL:
EXPLANATION OF TERMS USED IN THE PROJECT REPORT
1. DEPRECIATION:
2. FIXED ASSETS:
3. WORKING CAPITAL:
4. BREAK-EVEN POINT:
5. OTHER FIXED EXPENSES:
6. MARGIN MONEY:
7. TOTAL LOAD:
8. LAND AREA/MAN POWER RATIO:
PROJECT IMPLEMENTATION SCHEDULES
INTRODUCTION
PROJECT HANDLING
PROJECT SCHEDULING
PROJECT CONSTRUCTION SCHEDULE
TIME SCHEDULE
PLANNING OF EACH FLOORS ARE AS FOLLOWS
CONSTRUCTION DETAILS:
THE TYPICAL FLOOR PLAN IS MENTIONED BELOW:
I. CANCER CUM MULTI SPECIALITY HOSPITAL FACILITY:
DETAILS OF PLANNED CONSTRUCTION:
FLOOR PLAN IMAGES:
IMPLEMENTATION SCHEDULE
KEY INDUSTRY CONTACTS
LIST PLANT & MACHINERY
DEPARTMENT OF NEPHROLOGY
DEPARTMENT OF CARDIOLOGY
DEPARTMENT OF UROLOGY
DEPARTMENT OF ORTHOPAEDICS
DEPARTMENT OF NEUROSURGERY
APPENDIX – A:
01. PLANT ECONOMICS
02. LAND & BUILDING
03. PLANT AND MACHINERY
04. OTHER FIXED ASSESTS
05. FIXED CAPITAL
06. RAW MATERIAL
07. SALARY AND WAGES
08. UTILITIES AND OVERHEADS
09. TOTAL WORKING CAPITAL
10. TOTAL CAPITAL INVESTMENT
11. COST OF PRODUCTION
12. TURN OVER/ANNUM
13. BREAK EVEN POINT
14. RESOURCES FOR FINANCE
15. INSTALMENT PAYABLE IN 5 YEARS
16. DEPRECIATION CHART FOR 5 YEARS
17. PROFIT ANALYSIS FOR 5 YEARS
18. PROJECTED BALANCE SHEET FOR (5 YEARS)
