HEALTH CARE An Overview

Comparison between various developed and developing countries in respect of Hospital Bed to population Ratio, Infant Mortality, Expectancy of Life and Birth Rates etc., bring out the inadequacy of the health care in INDIA. Better and quality health care is to be made available to one and all by the Government and Private agencies. The ability of Government owned hospitals to render quality medical services to all has decreased because of the population growth

As of 2011 India census,Baruipur had a population of 50453. Males constitute 51% of the population and females 49%. Baruipur has an average literacy rate of 84%, higher than the national average of 59.5%; with 52% of the literates being male and 48% being female. 8% of the population is under 6 years of age.

At present District possesses one District Hospital, one Sub-divisional Hospital, one Mental Hospital, one jail Hospital, one Police Hospital, 5 Rural Hospitals / CHC, 15 BPHC, 53 PHC ( 2 PHCs Chalyanpur (Purulia-II) & Sidhi (Joypur) are not functional ) and 485 functioning Sub-Centers.

Total beds in purulia district are 1464. Urban purulia has only 691 beds ( both government and private) and Rurual area have only 773 beds. The bed to population ratio in purulia is 1: 1900 compared to 1:1200 in india, 1:92 in Japan, 1:82 in USSR, 1:150 in USA and 1:350 in Sri Lanka. Joseph Bhore committee appointed by the Government of India to go into the various aspects of medical care in India and to suggest remedies, has recommended agencies in the Government and Private Sector to increase the bed to population ratio . WHO's norm is three beds per 1,000 people.

West Bengal ranked fourth after Maharashtra, Tamil Nadu and Kerala in the infant mortality rate, Infant Mortality Rate per 1000 life birth 38.34 compared to 33 in West Bengal . Maternal Mortality Rate in purulia is 176.38 compare to 151 in west Bengal .

NATIONAL HEALTH POLICY & PRIVATE HEALTH CARE:

National Health Policy of India was aiming to attain the goal of Health For All by 2000 AD, which it could not. As the concentration of the Government is on providing primary health care and preventive treatment, the curative care rests mostly with the private sector with all practitioners, consultants, Nursing Homes, and Hospitals. The delivery of advanced health care to the growing population has become the responsibility of the Private Sector, religious institutions / philanthropists.

THE PROPOSED PROJECT

NAME

BHADRANI MULTI SPECIALTY HOSPITAL

LOCATION

Baruipur city

NUMBER OF BEDS

100

AREA OF LAND REQUIRED

5 BIGHA

APPLICANT

Dr HEMANT KUMAR GARG

RESIDENT ADDRESS

MUNSIFF DANGA, OPPOSITE MUNICIPALITY drhemantgarg@rediffmail.com 9239132969

LINE OF ACTIVITY

MULTI SPECIALTY HOSPITAL 100 BEDS

INDRUSTY

HEALTH SERVICE

Nature of the Hospital

The Hospital will be a high end hospital with the following characteristics:

100 bedded acute care tertiary healthcare facility with specialty and super specialty services Full outpatient department, inpatient department and primary care services It will provide an intimate, friendly and caring environment Its design and processes will be patientfocussed High staff to patient ratios for personalised care Providing the highest standards of cleanliness, comfort, safety and convenience State of the art medical equipment and evidence based protocols It will be staffed by selected, highlyqualified healthcare professionals to ensure highest quality practices THERAPEUTIC SPECIALITIES
1) 2) 3) 4) 5) 6) 7) 8) 9) 10) 11) Ortho Cardiology Gynaecology Paediatrics ENT Sex clinic/ counselling centre Rehabilitation centre Dental Ophthalmology Medicine Surgery

SUPER SPECIALITY 1) Women and Child Care 2) Urology 3) Obesity Surgery

DIAGNOSTIC SERVICESS Radiology: CT scan, , ultrasound, xray Laboratory: biochemistry, haematology, serology, microbiology, clinical pathology, Other support services Endoscopy, blood bank and blood components, dialysis, noninvasive cardiology such as echo, stress testing, holter, and ECG

ESTIMATED MANPOWER Nurses in the Hospital Nurses in I.C.U 12 Nurses in S.C.C.U Nurses in I.C.C.U Nurses in N.I.C.U Nurses in Special ward Nurses in Deluxe ward Nurses in Double ward Nurses in Single ward Nurses in General ward Nurses in Day care Nurses in Operation Theatre Nurses in OPD Nurses in Casualty ward Nurses in Labour Room Total Nurses in the Hospital(Including 30% of Relievers) 9 0 7 12 4 7 19 8 4 5 7 7 1 90 Department of Imaging Sciences Section Head 1 Department of Laboratory Medicine Section Head 1 Number of Technicians for fairly 6 automated lab Number of Technicians manual/fairly 9 automated lab Senoir Technicians 1 Total Technicians Relievers Attendants for Automated Lab Relievers for Attendants Reception cum Clerk Relievers for Clerks 10 3 6 0 1 0

Number of Technicians for routine 2 X-rays, Special procedures like myelography barium investigations, HSG etc. Relievers Department of Ultra Sound Number of Technicians Attendants for Ultra Sound Releivers 2 4 1 4

Physiotherapy Department Physiotherapists 1 Physiotherapists 0 Aide/Junior Trainee Senior 0 Physiotherapists Total 1 Physiotherapists Pharmacy Department Pharmacists for 1 Indoor Issues Pharmacists for OPD 2 Issues Junior Pharmacists 0 Senior Pharmacist 0 Pharmcy Aide 0

Department of ECG & 2D ECHO Technicians with Echo Relievers Special Services 5 2

Chief Pharmacist Total Staff in Pharmacy

1 4

Blood Bank Health Check Up X-Ray Infection Control Nurse Nurse Clinical Specialist Total staff - special services

0 1 0 1 1 3

General Maintainence Manpower required 9 Relievers 3 Total Staff in General 12 Maintanence Security Department Security guards (Including gateways 5 & Special areas) Relievers 2 Security Supervisor 5 Total Staff in Security 12 Department Sterile Supply Department Technician required 3 including Relievers Supervisor shift 1 Total Staff in 4 Sterile Department

Food Service Department Dietician 1

Cook Cook Helper Dishwasher/Attendant Storekeeper Total Staff in Food Service

3 3 3 1 11

Laundary Department Laundry Opeartor 5 Laundry Orderly / 2 Assistant Laundry Staff 7 Relievers 2 Total Laundry Staff 9 Shift Supervisor / 1 shift Housekeeping Department Staff in Housekeeping Total Housekeeping Staff : (Including 30% Relievers) Total Manpower required in Hospital 315 :
Back

Primary Secondary Tertiary 0 0 77 0 0 100

Amount budgeted (Rs.) 1. Land cost 15000 Sq.Ft / * 1000 *12 2. Equipment planning Rs. 20,00,00,000

Amount expenditure (Rs.)

Echo Colour Doppler Ventilator: 3 Cardiac Monitor (NIBP) 30 Defibrillator: 5 TMT-2 Central Line Oxygen ECG Machine : 10 Pulse Oxymetre : 5 Centralized Monitor Infusion Pump : 10 Pace Maker : 05 Computerized System X-Ray :3 Cardiac Fowler Bed IITV USG : 2 Pathology Equipments Other material & Medicines CT scan MRI CSSD Lab Ambulance@ Rs.500000/*4
Communication System@ Rs.2000000/1 IT system

Total
3. Hospital Furniture
Civil Cost Plumbing Cost Electrical Cost Air conditioning Cost Miscellaneous Cost Total

Miscellaneous Total Budget

Rs. 18, 00,000 Rs. 24, 00,000 Rs. 30, 00,000 Rs. 10, 00,000 Rs. 03, 00,000 Rs. 02, 00,000 Rs. 01, 00,000 Rs. 01,00,000 Rs. 01, 00,000 Rs. 03, 00,000 Rs. 02,50,000 Rs. 02,00,000 Rs. 09,00,000 Rs. 07,50,000 Rs. 08,00,000 Rs. 8,00,000 Rs. 15,00,000 Rs. 02,00,000 Rs. 1,00,00,000 Rs. 1,50,00,000 Rs. 1,50,00,000 Rs. 2,00,00,000 Rs. 20,00,000 Rs. 20,00,000 Rs. 1,00,00,000 Rs. 7,40,00,000 Rs. 4,50,00,000 Rs. 24,00,00,000 Rs. 3,00,00,000 Rs. 6,00,00,000 Rs. 7,80,00,000 Rs. 64,00,000 Rs. 41,44,00,000 Rs. 1,00,00,000 Rs. 74,34,00,000

Amount budgeted(Monthly) (Rs.) 1. Salaries NURSES @ Rs. 7000/ *90 Physiotherapist @ 30000/*1 Pharmacist @ 12000/* 4 Maintenance staff @ 6000/* 12 Security staff- outsourced Technicians @ 7000/*63 Housekeeping -outsourced dietary services @ 5000/ * 11 Administrative Heads @ 70000 /* 7 Med.Supr. Assit.Med. Supr.@ 40000/ * 6 CEO Administrations @ 20000 /* 12 Admin Others @ 8000 /*20 consultants @ 70000 /* 15 Surgeons' Visit @20000 / *7 RMO @ 15000/*18 Special Services @ 12000/*3 total Rs. 60,000 Rs. 30,000 Rs. 48,000 Rs. 72,000 Rs. 50,000 Rs. 44,100 Rs. 50,000 Rs. 55,000 Rs. 4,90,000 Rs. 1,50,000 Rs. 24,000 Rs. 2,00,000 Rs. 2,40,000 Rs. 2,00,000 Rs. 1,05,000 Rs. 1,40,000 Rs. 2,70,000 Rs. 36,000 Rs. 22,64,100

Amount expenditure(Yearly) (Rs.)

Rs. 2,71,69,200

Disaster budget marketing budget Fuel Charges (Ambulance and Generator) @ 35 / * 30* 30 *12 Other expenses TOTAL

Rs. 20,00,000 Rs. 3,00,00,000

Rs. 31,500 Rs. 6,00,000

Rs. 3,78,000 Rs. 72,00,000 Rs. 6,67,47,200

Support Services: -

Following Support Services shall be provided: 1. Operation Theatre Block with C ARM 2. Emergency Block with 5 beds and one Minor OT 3. Blood Bank 4. Radiology (Conventional X-Ray & Mobile X-ray, CT will be planned later on) 5. Ultrasound, echocardiography and TMT 6. Pathology Lab 7. Physiotherapy (Both OT & PT). It should be a well equipped area as the VSS will also run two courses for students. One is in Physiotherapy and the other is in Nursing. 8. CSSD (Central Sterile & Supply Department) 9. Central Medical Gases 10. Pharmacy 11. General Stores 12. Kitchen / Canteen 13. Mortuary 14. Biomedical Waste Management 15. Generators This will comprise of hospital kitchen for preparation and distribution of general, special and therapeutic diets to the patients and commercial catering for ambulatory patients, their relatives and staff, sterile supply services (C.S.S.D.) for recycling and replenishment of reusable sterile supplies to various areas of patient care; medical records services for management of hospital informatics including filing and retrieval of outpatient records and statistical evaluation of hospital performance; medical and general store for inventory management of hospital supplies and their distribution to the areas of patient care

Hospital Services: - The hospital will have the following three major services:
a. EMERGENCY SERVICES b. OUTPATIENT SERVICES c. INPATIENT SERVICES In the EMERGENCY SERVICES (EMR), which will be operating round the clock, there will be qualified medical and paramedical staff to attend to any emergency, including trauma cases, which is increasing in the region everyday. There will be well equipped emergency operation theatre, with the facilities for general / special surgical procedures. Round the clock X-ray and Laboratory services are attached to the emergency services. In the OUTPATIENT SERVICES (OPD), specialist consultation facility will be available through out the week or on specified days both in the morning and evening. The patient services will be ably supported by diagnostic services and laboratory services. In the INPATIENT SERVICES (IPD), facilities will be made available for all Surgical and Medical cases, except in the case of infectious / communicable diseases. The super speciality cases like Cardio-Thoracic Surgery, Micro Neuro-Surgery, Renal Transplant Surgery, etc. will be referred to big hospitals in the city / region. Special equipment will be made available for Paediatric and Neonatology inpatients and also for ICU/CCU.

Diagnostic Facilities: RADIOLOGY DEPARTMENT: X-Ray imaging plays an important role among various imaging modalities. We propose to have a well equipped X-ray Department to cater to the needs of Traumatology and other hospital departments. There will be a high powered X-ray system with an image intensifier TV facility to do all the special investigations. This will help to reduce the patient radiation dosage while screening and also carryout various procedures. There will be another Portable X-ray Machine to take care of needs of the critically ill patients in ICU/ICU/OT etc. A mobile C-arm image intensifier is also planned for this department. SONOGRAPHY: Ultrasound has become a powerful non-invasive diagnostic modality today. We propose to use a multipurpose ultrasound machine for all medical / surgical and Obs./Gynae work of the hospital. LABORATORY SERVICES: Clinical laboratory plays an important role in the diagnosis, prognosis and treatment of diseases. At our hospital, laboratory services will function under the head a Pathologist. Biochemistry department will have the latest multi-channel auto-analyser and electrolyte analyser. In the haematology department there will be electronic cell counters, blood coagulometers etc. Pathology and Microbiology will be equipped as per the modern needs of hospitals. will be provided to supply uninterrupted power to all areas especially to critical floor.

LIST OF MAJOR EQUIPMENT: SERVICE EQUIPMENT: Ambulance Central Air-conditioning Plant Central Oxygen / Vacuum, N2O Piping Sterilizers / Autoclaves Electrical Transformer, Generator & Electrical Fittings Electronic Telephone Exchange Fire fighting Equipment Lifts Kitchen, Mortuary equipment MEDICAL EQUIPMENT: X-ray Machines (Conventional & Mobile) & Dark Room Accessories Mobile Image Intensifier (C-Arm Machine) ECG Machines, Defibrillators, Nebulisers etc. Ultrasound Machine Patient Monitoring Equipment Ventilators Infusion Pumps/Syringe Pumps Blood Chemistry Auto Analyser Electronic Cell Counter (Haematology Counters) Electrolyte Analyser Miscellaneous Lab Equipment Theatre Equipment for 2 Theatres (OT Lights, Tables etc.) Anaesthesia Machines Hospital Beds & Furniture Physiotherapy Equipment Nursery Equipments (Phototherapy, Radiant warmers etc) Dental Chair, Dental X-ray alongwith other accessories. ENT Work Station, and Audiometers Physiotherapy Equipments (Ultrasound Therapy, Short wave therapy, TENS, ICT, etc Surgical Instruments & Other Miscellaneous Items.

PROJECT REPORT
FOR

BHADRANI MULTI SPECIALITY HOSPITAL

Dr. HEMANT KUMAR GARG

M.B.B.S , MD , DM ( CARDIOLOGY ) KOLKATA E. mail : drhemantgarg@rediffmail.com
Address : f-8,

MOBILE : 9239132969