Cancer Hospital cum General OPD (120 Bed)

CANCER HOSPITAL CUM GENERAL OPD (120 BED) 

[EIRI/EDPR/4759] J.C.: 2979XL

INTRODUCTION

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.

The Indian Government has undertaken deep structural and sustained reforms to strengthen the healthcare sector and has also announced conducive policies for encouraging FDI. The Aatmanirbhar Bharat Abhiyaan packages include several short-term and longer-term measures for the health system, including Production-Linked Incentive (PLI) schemes for boosting domestic manufacturing of pharmaceuticals and medical devices. Additionally, India is working towards becoming a hub for spiritual and wellness tourism, as the country has much to offer in Ayurveda and Yoga.

The COVID-19 pandemic has not only presented challenges but also several opportunities for India to grow. The crisis has opened the flood gates for Indian start-ups, many of whom have risen to the occasion and accelerated the development of low-cost, scalable, and quick solutions. Further, the pandemic is providing an impetus to the expansion of telemedicine and the home healthcare market in the country.

All these factors, together, make India’s healthcare industry ripe for investment. In the hospital segment, the expansion of private players to Tier 2 and Tier 3 locations, beyond metropolitan cities, offers an attractive investment opportunity. India also has the opportunity to boost domestic manufacturing of pharmaceuticals, supported by the recent PLI schemes, alongside offering investment avenues in segments like contract manufacturing and research, over-the- counter drugs, and vaccines. India is also a land of opportunities for players in the medical devices industry, with tremendous opportunities for expansion of diagnostic and pathology center’s as well as miniaturized diagnostics.

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)