Project Report Hospital

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Page 12

Governing Board of the Hospital

1.

Dr. Mahendra Pratap Narain Pande, D.O. (Lon) Chairman

2.

Mr. Bejon Misra S/o Late Satyendra Nath Misra W018, Regency Park II, DLF Phase IV, Gurgaon (Professional)

3.

Mr. Rajeev Misra S/o Late Mahesh Misra C-20, Defence Colony, New Delhi – 110024

























Page 13

TECHNICAL ANALYSIS Located in village for Pureshuklan, surrounded by many mango groves and farmland. The building is well ventilated and certain portions are air-conditioned. There is adequate access from the main road on two sides. Approach road is wide enough for cars, jeeps, vans, Lorries and other means of transport.

The building plan has been considered keeping the location and socio cultural habits of the community. It is a two storied building having ramps so as to transport immobile patients to the first floor. The hospital will have an advanced pathology lab based on semi automation, a good imaging department; emergency

























Page 14

In addition, we bring out the following points for consideration. General

1.

For selected specialties as stated above the hospital shall provide all needed services.

2.

For all other specialties it shall provide only essential services to preserve life and stabilize the patient’s condition and evacuate the patient to an alternative health care facility.

3.

The hospital shall maintain its accounts in a very transparent manner, and make it public.

4.

It will accept grants/donations from all concerned and submit the income/expense statement to the funding organization.

























Page 15

4.

The hospital shall be equipped to provide expert first aid and all services for resuscitation and preservation of life.

5.

It will provide a basic casualty unit, a comprehensive critical and intensive care unit providing ventilator support, shock therapy, and backup support for all there services.

6.

The various activities as listed above shall be supported by the following clinical support services. a.

1 operating room / labor room

b.

1 four bedded ICU

c.

Imaging department with 

1 portable X-ray machine

























Page 16

CATCHMENT AREA a.

Shukla Bazar

b.

Jagdishpur

c.

Odoria

d.

Dadera

e.

Munimpur

f.

Nindura

g.

Banikader

h.

Fatehpur

i.

Haidergarh

j.

Mawai



























Page 17

u.

Inhauna

v.

Rae Bareli

w.

Rani Ganj

x.

Rudauli

y.

Faizabad

z.

Barabanki

The hospital will be geared up to cater to the requirement of the population within

























Page 18

Health Indicators

Birth Rate

-

25.8% / 1000/year

Death Rate

-

8.5% /1000/year

General fertility rate

-

103.2% /1000/year

Infant Mortality Rate

-

710% /1000/year

Expectancy of life at birth

-

66.04% year (64.8 for all India)

























Page 19

Disease Profile

1.

Infectious & Parasitic Diseases

Uttar Pradesh Male Female 16.6 14.3

2.

Neoplasms

3.0

3.5

3.

Endocrine, Nutritional, Metabolic Diseases & Immunity Disorders

3.0

3.3

4.

Diseases of Blood & Blood

2.0

2.8

























Page 20

The data used has been taken from Health Information of India 2001. Published in June 2003 by Central Bureau of Health Intelligence, Min. of Health and Family Welfare, Govt. of India or the previous edition. JUSTIFICATION According to the World Health Report 2000 — “while private health expenses in industrial countries now average only some 25 percent because of universal health coverage (except in the United States, where it is 56%), in India, families typically pay 80 percent of their health care costs as "out-of- pocket" expenses when they receive health care”.

























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This table

























Page 23

























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Page 25

Projected Work Load of the Hospital

For the population base growing at rate of 1.5% approximately per annum and

























Page 26

Building Height

:

8 meters

Road Access

:

Available















































































































































































































































































































































































































































































































































































































































































































































Page 62

Xylometazoline

Drops 0.05%, 0.1%

Local Anaesthetics Medicines used in Psychotic Disorders

Chlorpromazine Hydrochloride

Tablets 25 mg, 50 mg, 100 mg Syrup 25 mg / 5 ml Injection 25 mg / ml

Medicines used for Generalized Anxiety and Sleep S leep Disorders Diazepam Tablets 2 mg, 5 mg, 10 mg Antiasthmatic Medicines Aminophylline

Injection 25 mg / ml

Beclomethasone Dipropionate

Inhalation 50 mg, 250 mg/dose

Salbutamol Sulphate

Tablets 2 mg, 4 mg Syrup 2 mg / 5 ml Inhalation 100 mg / dose

Theophylline Compounds

Antitussives

Codeine Phosphate

Tablets 10 mg Syrup 15 mg / 5 ml

Dextromethorphan

Tablets 30 mg

Solutions correcting Water, Electrolyte and Acid-Base Disturbances Oral Oral Rehydration Salts

Powder for Solution As per IP

Glucose

Injection 5% isotonic

























Page 63

Normal Saline

Injection 0.9%

Potassium Chloride

Injection 11.2% Sol.

Ringer Lactate

Injection

Sodium Bicarbonate

Injection

Miscellaneous Water for Injection

Injection 2 ml, 5 ml, 10 ml

Vitamins and Minerals

Ascorbic Acid

Tablets 100 mg, 500 mg

Calcium salts

Tablets 250 mg, 500 mg

Multivitamins

Tablets

























Page 64

ANNEXURE - 4

STANDARD PRECAUTIONS The standard precautions should be understood and applied by all medical and paramedical staff involved In providing health services. The basic elements include: 1.

Hand washing thoroughly with soap and running water. a. Before carrying out the procedure b. Immediately if globes are torn and hand is contaminated with blood or other body fluids. c. Soon after the procedure, with gloves on and again after removing the gloves.

2.

Barrier precautions: using protective gloves, mask, waterproof aprons and gowns.

3.

Strict asepsis during the operative procedure and cleaning the operative site. Practise the “no touch technique” which is: any instrument or part of instrument which is to be inserted in the cervical canal must not touch anynon-sterile object / surface prior to insertion.

4.

Decontamination and cleaning of all instruments immediately immediately after each

























Page 65

5.

Sterilisation / high level disinfection of instruments with meticulous attention.

6.

Appropriate waste disposal.

Sterilization of Instruments

1.

Instruments and linen must be autoclaved.

2.

In case autoclaving is not possible, the instruments must be fully immersed in water in a covered container and boiled for at least 20 minutes.

Sterilisation of Copper T insertion instruments

1.

Copper T is available in a pre-sterilised pack

2.

Ensure that the instruments and gloves used for insertion are autoclaved, or fully immersed in a covered container and boiled for at least 20 minutes

Sterilisation and maintenance of MVA equipment

The four basic steps are: 1.

Decontamination of instruments, gloves, cannulae and syringes in 0.5% chlorine solution

2.

Cleaning in lukewarm water using a detergent.

3.

Sterilisation Sterilisation / High Level Disinfection

























Page 66

ANNEXURE - 5

CITIZEN ’S CHARTER Charter of Patients’ Rights for the Hospital

1.

Preamble

Hospital exists to provide health care to every citizen of the locality within the allocated resources and available facilities. The Charter seeks to provide a framework, which enables citizens to know. a.

What services are available and their charges

b.

The quality of services they are entitled to

c.

The names through which complaints regarding denial or poor qualities of services will be addressed.

2.

Objective

a.

To make available health care services and the related facilities for consumers.

b.

To provide appropriate advice, treatment, referral and support that would help to cure the ailment to the extent medically possible. possible.

c.

To redress any grievances in this regard.



























Page 67

b.

To provide emergency care, if needed on reaching the hospital

c.

To provide adequate number of notice boards detailing the location of all the facilities and the schedule of camps and other activities.

d.

To provide written information on diagnosis, treatment being administered.

e. 4.

To record complaints and respond at an appointed time. Grievance Redressal

a.

Grievances that consumers have will be recorded.

b.

Aggrieved user after his/her complaint recorded would be allowed to seek a second opinion at a referral hospital.

5.

Responsibilities of the Users

a.

Users of hospital would attempt to understand the commitments made in the charter.

b.

Users would not insist on service above the standard set in the charter because it could negatively affect the provision of the minimum

























Page 68

ANNEXURE - 6

FINANCIAL DETAILS

Total Cost of Project Cost / Sq. Amount ft Rate / Sq. ft (Rs.) Cost of Land Cost of Construction

500,000 500

8000

4,000,000

(This includes civil Construction, Electrical, Ducting) Cost of Equipments

7,200,000

Contigency & Working Capital

1,100,000 12,800,000

The Total Cost of the Project is Rs. 1.25 Crores

Pre Operative Expenses

Rs. 5,00,000

a. Consultancy b. Travelling and Logistics c. Adminitrative Expenses The pre operative expenses have not been considered in calculating the

























Page 69

Cost of Equipment No. Price / Unit (Rs.)

Amount (Rs.)

Hospital Furniture

All

250,000

Fire Fighting Equioments

All

50,000

Medical Gases

All

100,000

Autoclave

1

75,000

75,000

OT Table

1

200,000

200,000

Boyle's Separators

1

150,000

150,000

Coutery Machine

1

150,000

150,000

Ventilator

1

150,000

150,000

Infusion Pump

1

50,000

50,000

Suction Machine

3

15,000

45,000

Defibrillator, Monitor, Recorder

2

150,000

300,000

Portable Emergency Light

1

50,000

50,000

Laprascope Set

1

1,000,000

1,000,000

Cardiac Monitors

4

50,000

200,000

Pulse Oxy Meter

1

25,000

25,000

Nebulizer

2

2,500

5,000

Ultrasound Machine with 2 Probes

1

600,000

600,000

Portable X - Ray Machine 60 MA

1

75,000

75,000

X - Ray Machine 100 MA

1

150,000

150,000

View Box

5

2,000

10,000

Semi Auto Analyser

1

300,000

300,000

Electrolyte Analyser

1

200,000

200,000

Microscope

1

40,000

40,000

Labarotary Autoclave

1

30,000

30,000

Refrigerator

3

10,000

30,000

Wax Bag

1

5,000

5,000

Short Wave Diathermy

1

25,000

25,000

Ultrasonic Therapy

1

30,000

30,000

























Page 70

Revenue Streams Month Wise Nov-06 Dec-06 Jan-07 Feb-07 Mar-07 Amount(Rs.) Amount(Rs.) Amount(Rs.) Amount(Rs.) Amount(Rs.) OPD Consultation Lab Tests - OPD Lab Tests - IPD

7500 15000 12000 6000 3750 18000

7750 15500 12400 6200 3875 18600

7750 15500 12400 6200 3875 18600

10500 19600 16800 5600 7000 16800

11625 21700 18600 6200 7750 18600

4500 1500 11250 30000

4650 1550 11625 31000

4650 1550 11625 31000

4200 1400 10500 28000

4650 1550 11625 31000

Health Checks Ambulance

45000 9000 60000 15000 15000

46500 9300 62000 15500 15500

46500 9300 62000 15500 15500

42000 12600 56000 14000 16800

46500 13950 62000 15500 18600

Drugs & Consumables

63000

65100

65100

84000

93000

316500

327050

327050

345800

382850

X - Ray - OPD X - Ray - IPD Ultra Sound Physiotherapy Counselling MTP Delivery Surgeries Indoor Stay ICU

Total Revenue

























Page 71

Revenue Streams Month Wise Apr-07 May-07 Jun-07 Jul-07 Aug-07 Amount(Rs.) Amount(Rs.) Amount(Rs.) Amount(Rs.) Amount(Rs.) OPD Consultation Lab Tests - OPD Lab Tests - IPD X - Ray - OPD X - Ray - IPD Ultra Sound Physiotherapy Counselling MTP Delivery Surgeries Indoor Stay ICU Health Checks Ambulance Drugs & Consumables Total Revenue

11250 21000 18000

11625 21700 18600

15000

15500 31000 37200

15500 31000 37200

6000 7500 18000 4500 1500

6200 7750 18600 4650 1550

9000 7500

9300 7750 27900 6200 2325

9300 7750 27900 6200 2325

11250 30000 45000 13500 60000 15000

11625 31000 46500 13950 62000 15500

11625 31000 46500 27900 93000 31000

18600 93000

30000 18000 117000

11625 31000 46500 27900 93000 31000

18000 90000

18600 120900

18600 120900

370500

382850

501000

517700

517700

30000 36000

27000 6000 2250 11250 30000 45000 27000 90000



























Page 72

Revenue Streams Month Wise Sep-07 Oct-07 Nov-07 Dec-07 Jan-08 Amount(Rs.) Amount(Rs.) Amount(Rs.) Amount(Rs.) Amount(Rs.) OPD Consultation Lab Tests - OPD Lab Tests - IPD X - Ray - OPD X - Ray - IPD Ultra Sound Physiotherapy Counselling MTP Delivery Surgeries

15000 30000 36000

15500 31000 37200

18750 36000 48000

19375 37200 49600

19375 37200 49600

9000 7500 27000 6000 2250

9300 7750 27900 6200 2325

12000 11250 36000 6000 3000

12400 11625 37200 6200 3100

12400 11625 37200 6200 3100

11250

11625

15750

16275

16275

30000 45000

31000 46500

42000 63000

43400 65100

43400 65100

























Page 73

Revenue Streams Month Wise Feb-08 Mar-08 Apr-08 May-08 Jun-08 Amount(Rs.) Amount(Rs.) Amount(Rs.) Amount(Rs.) Amount(Rs.) OPD Consultation Lab Tests - OPD Lab Tests - IPD X - Ray - OPD X - Ray - IPD Ultra Sound Physiotherapy Counselling MTP Delivery Surgeries Indoor Stay ICU Health Checks

18125 34800 46400 11600 10875 34800

23250 46500 93000 15500 15500 46500

22500 45000 90000 15000 15000 45000

23250 46500 93000 15500 15500 46500

22500 45000 90000 15000 15000 45000

5800 2900 15225

7750 3875 23250

7500 3750 22500

7750 3875 23250

7500 3750 22500

40600

62000

60000

62000

60000

60900 34800

93000 69750

90000 67500

93000 69750

90000 67500

116000

186000

180000

186000

180000

43500

62000

60000

62000

60000

























Page 74

Revenue Streams Month Wise Jul-08 Aug-08 Sep-08 Oct-08 Nov-08 Amount(Rs.) Amount(Rs.) Amount(Rs.) Amount(Rs.) Amount(Rs.) OPD Consultation Lab Tests - OPD Lab Tests - IPD X - Ray - OPD X - Ray - IPD Ultra Sound Physiotherapy Counselling MTP Delivery Surgeries

23250 46500 93000

34875 68200 111600

33750

15500 15500 46500 7750 3875

21700 19375 65100 9300 4650

21000 18750

23250

25575

62000 93000

68200 102300

24750 66000

66000 108000

63000 9000 4500

99000

34875 68200 111600

37500 75000 120000

21700 19375 65100 9300 4650

27000 22500 72000 10500 5250

25575

27000

68200 102300

72000 108000

























Page 75

Revenue Streams Month Wise Dec-08

Jan-09

Feb-09

Mar-09

Amount(Rs.) Amount(Rs.) Amount(Rs.) Amount(Rs.) OPD Consultation Lab Tests - OPD

38750 77500

38750 77500

35000 70000

38750 77500

124000 27900

124000 27900

112000 25200

124000 27900

23250 74400

23250 74400

21000 67200

23250 74400

Counselling MTP Delivery Surgeries Indoor Stay

10850 5425

10850 5425

9800 4900

10850 5425

27900 74400 111600 93000

27900 74400 111600 93000

25200 67200 100800 84000

27900 74400 111600 93000

ICU

186000

186000

168000

186000

93000

93000

84000

93000

31000 465000

31000 465000

28000 420000

31000 465000

Lab Tests - IPD X - Ray - OPD X - Ray - IPD Ultra Sound Physiotherapy

Health Checks Ambulance Drugs & Consumables

























Page 76

Month Wise Expenses Nov-06 Particulars Particular s Salary Electricity Water Telephone Transportation Maintainance

Dec-06

Jan-07

Feb-07

Mar-07

Amount(Rs.) Amount(Rs.) Amount(Rs.) Amount(Rs.) Amount(Rs.) 258,500 10,000

258,500 10,000

258,500 10,000

258,500 10,000

258,500 10,000

2,000 5,000 8,000 10,000 53,550

2,000 5,000 8,000 10,000 55,335

2,000 5,000 8,000 10,000 55,335

2,000 5,000 8,000 10,000 67,200

2,000 5,000 8,000 10,000 74,400

Drugs & Consumables Marketing & Promotion WebSite Designing & Maintainance

25,000

20,000

20,000

15,000

15,000

10,000

15,000

0

0

0

Miscellaneous

15,000

15,000

15,000

15,000

18,000

397,050

398,835

383,835

390,700

400,900

Total Expenses

Month Wise



























Page 77

Month Wise Expenses Sep-07 Particulars Particular s Salary Electricity Water Telephone Transportation Maintenance Drugs & Consumables

Oct-07

Nov-07

Dec-07

Jan-08

Amount(Rs.) Amount(Rs.) Amount(Rs.) Amount(Rs.) Amount(Rs.) 284,350 11,000

284,350 11,000

314,850 11,000

314,850 11,000

314,850 12,000

2,200 5,500

2,200 5,500

2,200 5,500

2,200 5,500

2,500 6,000

9,000

9,000

9,000

9,000

11,000

11,000 93,600

11,000 96,720

11,000 216,000

11,000 223,200

12,000 223,200

























Page 78

Month Wise Expenses Particulars Particular s Salary Electricity Water Telephone Transportation Maintainance Drugs & Consumables Marketing & Promotion WebSite Designing &

Jul-08 Aug-08 Sep-08 Oct-08 Nov-08 Amount(Rs.) Amount(Rs.) Amount(Rs.) Amount(Rs.) Amount(Rs.) 386,875 12,000 2,500

386,875 12,000 2,500

386,875 12,000

6,000 11,000

6,000 11,000

12,000

12,000

11,000 12,000

297,600 5,000

372,000 5,000

360,000 5,000

2,500 6,000

386,875 12,000 2,500

386,875 12,000 2,500

6,000 11,000

6,000 11,000

12,000

12,000

372,000 5,000

360,000 5,000

























Page 79

Salary Nov-06

Dec-06

Jan-07

Feb-07

15000 10000 5000

1.00 15000 10000 80000

1.00 15000 10000 80000

1.00 15000 10000 80000

1.00 15000 10000 80000

Receptionist IT Manager Ward Boys / Ayahs Admin & HR Officer

4000 6000 2500 8000

12000 6000 10000 8000

12000 6000 10000 8000

12000 6000 10000 8000

12000 6000 10000 8000

Accounts Officer Billing Clerk

5000 2000

5000 2000

5000 2000

5000 2000

5000 2000

Driver

3000

6000

6000

6000

6000

Medical Superintendent Nursing Superintendent Nurses

























Page 80

Salary Mar-07

Apr-07

May-07

Jun-07

Jul-07


1.00 15000 10000 80000

1.00 15000 10000 80000

1.00 15000 10000 80000

1.00 16500 11000 88000

1.00 16500 11000 88000

Receptionist

12000

12000

12000

13200

13200

IT Manager Ward Boys / Ayahs

6000 10000

6000 10000

6000 10000

6600 11000

6600 11000

























Page 81

Salary Aug-07

Sep-07

Oct-07

Nov-07

Dec-07 Dec-07


1.00 16500 11000 88000

1.00 16500 11000 88000

1.00 16500 11000 88000

1.00 16500 11000 98000

1.00 16500 11000 98000

Receptionist

13200

13200

13200

17200

17200

IT Manager Ward Boys / Ayahs

6600 11000

6600 11000

6600 11000

6600 13500

6600 13500



























Page 82

Salary

























Page 83

Salary

























Page 84

Salary

























Page 85

PROFIT & LOSS ACCOUNT FINANCIAL YEAR 2006 - 2007

Particulars

Amount (Rs.) Particulars

Amount (Rs.)

























Page 86

PROJECTED STATEMENT OF ACCOUNT ACCOUNT FROM 1/4/2007 31/3/2008



































































































Project Report Hospital

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