MULTISPECIALITY HOSPITAL 350 BEDS
[EIRI/EDPR/4381] J.C.: 2574XL
INTRODUCTION
The Project was planned in order to provide better health care facilities in eastern UP. Varanasi has more than 100 hospitals set ups .With around 25-100 bedded facility every footfall of OPD in Varanasi is around 10000 patients everyday with 4000-5000 IPD on daily basis.Benaras Hindu University (BHU) alone is a very big hospital set up with more than 2000 beds but still patients do not get adequate medical facility and bed on time.Varanasi cater lot of patients from Bihar and its periphery region.
We have selected our location based on patients comes from Bihar which is a majority of patient share in Varanasi. Lots of patient itself comes from HINDALCO, Renukoot. (A unit of Aditya Birla Group). We have a target to cater patients from West Bihar, Mirzapur, Chandauli, Ghazipur, Sonebhdra, Hindalco, Shakti Nagar, Vindhnagar etc.
Being on national highway we have great advantage to benefit patients by saving their precious time of travelling to Varanasi city which takes another 40 minutes from our location to reach the hospital in city.Being the largest infrastructure in private hospital sector in whole Purvanchal we have ability to incorporate any special requirements of super specialization such as bunker for Onco- treatment, nursing college etc.Currently we have started Urology department with one of our modular operation theatres. Being a new start up we have started our exercise to get registered in Ayushman, Insurances and TPA’s.
COST ESTIMATION
Plant Capacity 354 Nos/Day
Land & Building (6960 sq.mt.) Rs. 38.00 Cr
Plant & Machinery Rs. 22.43 Cr
Working Capital for 3 Months Rs. 1.90 Cr
Total Capital Investment Rs. 63.85 Cr
Rate of Return 12%
Break Even Point 70%
CONTENTS
DETAILING CONCEPTION
WE HAVE FOUR FULL TIME DOCTORS WITH US:
SERVICES
IN FIRST AND SECOND PHASE WE HAVE A PLAN FOR FOLLOWING SERVICES (SOME SERVICES ARE ALREADY UP AND RUNNING IN PRESENT TIME).
HOSPITAL PLANNING
THE PLANNING OF HOSPITAL IS PREPARED UNDER THE GUIDELINE OF COMMITTEE WITH VARIOUS EXPERTISE DETAILS ARE AS FOLLOWS:
INTRODUCTION
OVERVIEW OF HEALTHCARE INDUSTRY
FIGURE 1: MAJOR SEGMENTS IN INDIA’S HEALTHCARE SECTOR
FIGURE 2: GROWTH TREND OF INDIA’S HEALTHCARE SECTOR (USD BILLION)
EMPLOYMENT GENERATION POTENTIAL OF HEALTH SECTOR
FIGURE 3: DIRECT JOBS IN INDIA’S HEALTHCARE SECTOR, 2017 – 2022 EXPECTED (IN THOUSANDS)
BUSINESS AND INVESTMENT CLIMATE
TABLE 1: FDI IN INDIA’S HEALTH SECTOR (2000-2020)
TABLE 2: SELECT PRIVATE EQUITY DEALS IN HEALTHCARE INDUSTRY OVER THE LAST FEW YEARS
OVERARCHING POLICY LANDSCAPE
AYUSHMAN BHARAT
HUMAN RESOURCES FOR HEALTH
NATIONAL DIGITAL HEALTH MISSION (NDHM)
FOREIGN DIRECT INVESTMENT
TAX INCENTIVES
HEALTH DIPLOMACY
DRIVERS OF GROWTH
DEMOGRAPHIC, EPIDEMIOLOGICAL AND HEALTH TRANSITIONS
MEDICAL VALUE TRAVEL (MVT)
ENABLING POLICY ENVIRONMENT
DEMAND-SUPPLY GAP
OTHER FACTORS
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:
• 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:
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 POT (LATRINE)
8. URINAL POT
9. KIDNEY TRAY
10. SPIT-ON
11. ELECTRICAL STERILIZER
MODERN MEDICAL INSTRUMENTS
BUILDING CONSTRUCTION & FURNISHING OF HOSPITAL
THE OTHER DEPARTMENT IN A HOSPITAL ARE 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
GENERAL HEALTH AMENITIES
DRUG SITUATIONS
LISTED BELOW ARE THE DESIRED FEATURES OF AUTOMATED BIOCHEMICAL ANALYZERS.
MODERN MEDICAL EQUIPMENT
COMPUTER TOPOGRAPHY
ULTRASOUND
CATHETERS IN INTERVANTIONAL PROCEDURES ARE MAINLY USED FOR:
CONSUMABLE STORES
UTILITIES & OVERHEADS
HOSPITAL/MEDICAL EQUIPMENTS AND SUPPLIERS
MACHINERY & EQUIPMENT SUPPLIERS
X-RAY ACCESSORIES
AIR CONDITIONING & REFRIGERATION UNITS
IMPORTED PLANT & MACHINERY SUPPLIERS
LIST OF CONSULTANT FOR SETTING UP HOSPTAL
LIST OF NABET ACCREDITED HOSPITAL & HEALTHCARE CONSULTANT (NABH STANDARD)
HOSPITAL/MEDICAL EQUIPMENTS AND SUPPLIERS
PROPOSED MINIMUM STANDARDS FOR PRIVATE HOSPITALS
INTRODUCTION
THE BASIC MINIMUM FUNCTIONS PROVIDED BY A HOSPITAL AS FOLLOWING:
HUMAN POWER REQUIREMENTS
QUALIFICATIONS
AVAILABILITY OF PERSONNEL:
MINIMUM REQUIREMENT OF PERSONNEL:
DUTY MEDICAL OFFICER
NURSING STAFF:
NURSING AIDS:
PARAMEDICAL STAFF :
ENGINEERING STAFF
ADMINISTRATIVE AND ANCILLARY STAFF
INSTRUMENTS AND EQUIPMENT
ENTRANCE ZONE
RECEPTION AND REGISTRATION WITH CASHIER
WAITING AREA
AMBULATORY ZONE
A. NURSING
B. TREATMENT/DRESSING ROOM AND INJECTION ROOM
C. EXAMINATION AND CONSULTATION ROOMS (OPDS) AND CASUALTY
D. PHARMACY
DIAGNOSTIC ZONE (OPTIONAL)
PATHOLOGY
RADIOLOGY (OPTIONAL)
INTERMEDIATE ZONE
A. WARDS
B. NURSING STATION
C. TREATMENT ROOM
D. TROLLEY BAY
E. WARD STORE
OPERATION THEATRE
INSTRUMENTS FOR GENERAL SURGERY & (MATERNITY) OBSTETRICS/GYNAECOLOGY
OPERATION THEATRE
EQUIPMENT FOR SURGERY AND OBSTETRICS/GYN
EQUIPMENT FOR SERVICE ZONE
LAUNDRY
GENERATOR
MINIMAL FUNCTIONAL AND SPACE REQUIREMENTS
ENTRANCE ZONE
AMBULATORY ZONE
DIAGNOSTIC ZONE (OPTIONAL)
THIS ZONE SHOULD IDEALLY BE INTERPOSED BETWEEN OPD AND IPD
CRITICAL ZONE
OPERATING SUITE
BASIC DESIGN STANDARDS
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 50 BEDS
FOR LESS THAN 100 BEDS
OXYGEN CYLINDERS
9. ELECTRICAL STANDARDS
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.
15. WASTE DISPOSAL:
PROJECT 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:
PLANNING OF EACH FLOORS ARE AS FOLLOWS
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. TERM LOANS:
8. TOTAL LOAD:
9. LAND AREA/MAN POWER RATIO:
ENVIRONMENTAL MANAGEMENT PLAN
AIR ENVIRONMENT
NOISE ENVIORNMENT
SOLID WASTE MANAGEMENT
OPERATION PHASE
WATER MANAGEMENT (SOURCE & SUPPLY OF WATER)
WATER USE CALCULATION
SEWERAGE
SCHEME OF SEWAGE TREATMENT PLANT:
TREATMENT PROCESS:
THE PROCESS FOR SEWAGE TREATMENT PLANT BASED ON MBBR TECHNOLOGY
SCHEMATIC REPRESENTATION OF STP BASED ON MBBR TECHNOLOGY
BENEFITS OF USING MBBR TECHNOLOGY
PROCESS FLOW DIAGRAM FOR ETP
ETP DESIGN
TREATED EFFLUENT CHARACTERISTICS
WATER CONSERVATION & AUGMENTATION
RAINWATER HARVESTING TABLE:
RAINWATER HARVESTING CALCULATIONS
BLOCK DIAGRAM FOR PROPOSED RAIN WATER HARVESTING/AQUIFER RECHARGING SYSTEM
SCHEMATIC REPRESENTATION OF THE RAINWATER HARVESTING SYSTEM
SOLID WASTE MANAGEMENT
SOLID WASTE GENERATION
TABLE: TOTAL SW GENERATION FROM THE PROPOSED PROJECT
NO OF TRANSIT CENTERS:-
COMPOST FORMATION POTENTIAL OF THE PROJECT
COMPOST GENERATION POTENTIAL OF THE PROJECT (CHEN, 2016)
TENTATIVE DETAILS OF ORGANIC WASTE CONVERTOR:
STANDARD OPERATING PROCEDURE OF ORGANIC WASTE CONVERTER:
TABLE: HOSPITAL AND BIOMEDICAL WASTE GENERATION FROM BEDDED AREA (MINISTRY OF HEALTH AND FAMILY WELFARE; PANDIT ET AL 2006)
SEGREGATION OF BIOMEDICAL WASTE AND ITS STORAGE:-
BIOMEDICAL WASTE CATEGORIZATION
BMW WILL BE SEGREGATED AND COLLECTED AND THEN WILL BE HANDED OVER TO A UPPCB APPROVED BMW VENDOR
AIR POLLUTION CONTROL:
STACK HEIGHT CALCULATIONS
LANDSCAPING & HORTICULTURE
SHRUBS/HERBS TO BE PLANTED
PROJECT LOCATION
IMPLEMENTATION SCHEDULE
LIST PLANT & MACHINERY
DEPARTMENT OF NEPHROLOGY
DEPARTMENT OF CARDIOLOGY
DEPARTMENT OF UROLOGY
DEPARTMENT OF ORTHOPAEDICS
DEPARTMENT OF NEUROSURGERY
MAJOR LIST OF EQUIPMENTS
DEPARTMENT OF NEPHROLOGY
MAJOR EQUIPMENTS
DIALYSIS MACHINE
MICROSCOPE
MICROSCOPE
DEPARTMENT OF CARDIOLOGY
MAJOR EQUIPMENTS/INSTRUMENTS
ECHO CARDIOGRAPHY MACHINES
TMT WIPRO GE MACHINE
TWO FLAT PANEL CATH LABS
ST. JUDE EP SYSTEM
HOLTER MONITOR – ECG
AMBULATORY BP
CX 50
TILT TABLE
DEPARTMENT OF UROLOGY
MAJOR EQUIPMENTS
DA VINCI ROBOT
MODULAR OPERATION THEATRES
60 W QUANTA HOLMIUM LASER
ALLENGERS C ARM
DORNIER COMPACT SIGMA LITHOTRIPSY MACHINE
MEDISON ULTRASOUND MACHINE
RIGISCAN PLUS
MMS URODYANAMICS MACHINE
ENDO UROLOGY INSTRUMENTS
100 WATT HOLMIUM LASER
A MOBILE C-ARM IS A MEDICAL IMAGING DEVICE
DEPARTMENT OF ORTHOPAEDICS
MAJOR EQUIPMENTS
ARTHROPLASTY
ARTHROSCOPY SET
INTERLOCK NAIL
ARTHROSCOPY TROLLEY
DEPARTMENT OF NEUROSURGERY
MAJOR EQUIPMENTS
MEDTRONIC 58 NAVIGATION SYSTEM (FULLY LOADED CRENIAL AND SANAL OPTICAL AND ELECTROMAGNETIC SYSTEM)
DEDICATED CUSA (CAUITRON ULTRASONIC SURGICAL ASPIRATDR)
MEDTRONICS HIGH SPEED DRILL SYSTEM
WELL EQUIPPED OPERATION THEATER WITH INTEGRATED WORKSTATION (MICROSCOPE, ENDOSCOPE AND NAVIGATION SYSTEM)
DEDICATION WELL EQUIPPED NEUROSURGICAL ICU
MICROSCOPE:- FIRST FULLY LOADED ROBOTIC 3D MICROSCOPE WITH 30 EXOSCOPE AND ENDOSCOPE
FULLY EQUIPPED OPERATION THEATER
SPECIFICATIONS OF STANDARD LIST OF MEDICAL EQUIPMENT
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)
