Lok Sabha Question No. 1465 (UNSTARRED), answered on 2016-03-04
Subject: Private Hospitals under Government Panel
Ministry: HEALTH AND FAMILY WELFARE
Asked by: P. KUMAR

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 1465 TO BE ANSWERED ON 4 TH MARCH, 2016

## PRIVATE HOSPITALS UN DER GOVERNMENT PANEL

## 1465. SHRI P. KUMAR:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a)  whether  the  Government  has  set  norms  for  inclusion  of  private  hospitals  in  the  p Central Government and if so, the details thereof;

- (b) whether these norms have been violate d for including such hospitals in the panel;

- (c) if so, the details thereof; and (d) the action taken/being taken by the Government fo such norms?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI JAGAT PRAKASH NADDA)

- (a): Yes, Government  has  set  norms  for  empanelment  of  private  hospitals  in  the  panel Central Government as per details at Annexure.

- (b): No.

- (c) & (d):Do not arise.

………….

## GUIDELINES FOR RECOGNITION OF PRIVATE HOSPITALS UNDER CENTRAL GOVERNMENT HEALTH SCHEME (CGHS) FOR CENTRAL GOVERNMENT EMPLOYEES AND THEIR FAMILY MEMBERS.

- 1) Minimum Number of beds: 50 in Metro cities (except Mumbai) and 30 in other cities .
- 2) The health care Organizations must fulfill the requirements depending on the category which the applicant hospital / exclusive eye hospital / centre, exclusive dental cl cancer  hospital/unit  is  seeking  empanelment  and  must  attach  the  copies of  the  required documents.
- 3) The health  care Organization must have been in operation for at least one  year. Copy of audited balance sheet, profit and loss account for the last financial year (Main do only -summary sheet - ) is to be attached.
- 4) The HCOs must have the capacity to submit all claims / bills in electronic format to Clearing  Agency  and  must  also  have  dedicated  equipment,  software  and  connectivity  f such electronic submission.
- 5) Copy of NABH Accreditation in case of NABH Accredited he alth care Organizations.
- 6) Copy of NABH/ QCI application in case of Non - NABH accredited health care Organizations.
- 7) List of treatment procedures /investigations/ facilities available in the applicant Organization.
- 9) A Demand D raft for Rs.1,00,000/ -as E.M.D.drawn in the name of 'Pay & Accounts Officer, CGHS, Delhi/NCR or in favour of concerned Additional Director in case of CGHS citie outside Delhi from any Scheduled or commercial or Nationalized Bank. HCOs which have already deposited EMD of Rs. One lac for participating in e - tender 2014 and have not been refunded the amount as yet need not submit EMD again
- 8) A Demand Draft for Rs.1000/ -as application fee (non -refundable) drawn in the name of 'Pay &  Accounts  Officer,  CGHS  in  case  of  Delhi/NCR  or  in  favour  of  concerned  Additiona Director  in  case  of  CGHS  cities  outside  Delhi,  from  any  Scheduled  or  commercial Nationalized Bank.
- 10) State registration certificate / Registration with Local bodies, wherever applicable.
- 11) Compliance with statutory requireme nts including that of Waste Management.
- 12) Fire Clearance certificate and details of Fire safety mechanism as in place in the he Organization. Exclusive Eye centres, exclusive dental Clinics have to enclose a cert regarding fire safety of thei r premises.
- 13) Registration under PNDT Act, if Ultrasonography facility is available.
- 14) AERB approval for imaging facilities/ Radiotherapy, wherever applicable.
- 15) Certificate of Undertaking as per the format annexed.
- 16) Certificate of Registration for Organ Transpla nt facilities, wherever applicable.
- 17) An Applicant Health care Organization must have the capacity to submit all claims / b electronic  format  to  the  Bill  Clearing  Agency  and  must  also  have  dedicated  equipm software and connectivity for such electr onic submission.
- 18) An Applicant Health care Organization must submit the rates for all treatment proced investigations/ facilities available with them and as charged by them.

- 19) An Applicant health care Organization must give an undertaking accepting the terms and conditions spelt out in the Memorandum of Agreement which should be read as part of the this application document.
- 20) Applicant Health care Organizations must certify that they shall charge as per CGHS and that the rates charge d by them are not higher than the rates   being charged from the other patients who are not CGHS beneficiaries.
- 21) Applicant Health care Organizations must certify that they are fulfilling all special that have been imposed by any authority in l eu of special concessions such as but not limited to concessional allotment of land or customs duty exemption.
- 22) Applicant Health care Organizations (except exclusive eye hospitals/centres, exclusive clinics)  must  agree  for  implementation  of  EMR/  EH R  as  per  the  standards  notified  by Ministry of Health & Family Welfare within one year of their empanelment.
- 23) Applicant Hospitals, cancer hospital/units must have minimal annual turnover of Rs. 2 C for  Metro  cities  and  Rs.1  Crore  for  Non - Metro  cities. Exclusive  Eye  hospitals/Centres, Exclusive Dental Clinics must have a minimal annual turnover of Rs. 20 Lacs in Metro C and Rs.10 Lacs in Non -Metro Cities. Further, the business from CGHS in the last financi year should not exceed more than 50% of the total business. A certificate to this effect fr the Chartered Accountant is to be given by the applicant Health Care Organization.
- 24) Photo copy of PAN Card.
- 25) Name and address of their bankers.

## GUIDELINES FOR RECOGNITION OF PRIVATE HOSPITALS UNDER CS(M A) RULES FOR CENTRAL GOVERNMENT EMPLOYEES AND THEIR FAMILY MEMBERS.

1. The  proposal  for  recognition  of  a  private  hospital  under  CS  (MA)  Rules  should recommended/forwarded  by  the  local  Central  Government  Employees  Welfare  Co - operation Committee.
2. The proposal should also be recommended/forwarded by the Health Department of the respecti State Government.
3. A minimum number of 500 Central Government employees should be residing in the city and b benefited by the recognition of the hospital under CS (MA) Rules.
4. An adequate number of beds should be available in the hospital preferably:
5. (a) 100 for class 'A' cities.
6. (b) 50 for class 'B' cities
7. (c)
8. 30 for class 'C' cities

However, the above criteria can be relaxed according to requirement.

## 5. A hospital providing generalized treatment and diagnostic facilities should have the fo departments: -

| UPTO 100 BEDDED HOSPITAL MEDICAL AND ALLIED DISCIPLINES 1. Anaesthesiology 2. Emergency Services 3. General Medicine 4. General Surgery 5. Obst. & Gyn aecology 6. Paediatrics 7. Pathology 8. Radio Diagnosis 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15.   | 100 AND ABOVE BEDDED HOSPITAL Anaesthesiology Blood /Transfusion Emergency Medical & Trauma Services Dentistry Dexmatology & Venerology General Medicine General Surgery Obst. & Gynaecology Opthalmology Orthopaedics Oto Rhino Laryngology Paediatircs Physical Medicine Psychiatary Radio Diagnosis including Imaging.   |
|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

The hospital should meet the following fundamental aspects of hospital planning.

## A. FUNCIONAL REQUIREMENT

The hospital should provide the following facilities to the patients: -

- (a) O.P.D. treatment
- (b) Indoor patient treatments
- (c) Supportive and Basic Diagnostic facilities
- (d) Operation Theatre and Labour Room facilities.

## B. BUILDING AND SPACE REQUIREMENT

- (a) The building must comply with the local municipal bye - aws.
- (b)  The  floor  space  available  for  patients  should  be  at  least  100  sq.ft.per  bed.  There  sho lavatory/bathroom for 1 -5 beds.
- (c) Isolation arrangements should be immediately available for septic and infecti on cases.
- (d)  A  nurse's  duty  room  should  be  available  with  facilities  for  the  nurses  to  carry  on  their  duties efficiently.
- (e) A separate labour room and a separate operation theatre shall be provided with minimum floo of 180 sq.ft. each.

- (f) T here should be provisions for a standby generator for meeting emergency requirement in cas power failure.

## C. MANPOWER REQUIREMENT

- (a)The hospital should have adequate manpower both medical and paramedical including speciali (Full Time/visiting) for each specialty/ department available, commensurate with the bed strength the hospital for providing reasonable quality medicare.
- (b)The hospital should have adequate number of qualified Resident Medical Officers for prov round the clock emergency treatment.

## D. INSTRUMENT/EQUIPMENT

The hospital should have the major equipment for providing reasonable diagnostics (pathol and  radiological)  resuscitative,  therapeutic  and  operative  facilities  commensurate  with strength, departments and specialties available in the hospital. (Minimum standards as per B.I.S. will be considered for recommending the case).

6. The hospita l should provide round the clock emergency and trauma services.
7. The hospital should have a minimum of one major O.T., one minor O.T. and a labour room in hospital.
8. Wherever required, a visit to inspect the facilities available in the hospita l may be carried out by a team of experts constituted with the approval of D.G.H.S or the agency nominated by the Minis Health & Family, for which inspection fee, as applicable will have to be deposited by the with the inspection agency.
9. The  recognition  may  be  granted  for  a  fixed  period  i.e.  4  years  at  a  time.  After  that  p hospital will be requested to re - apply for recognition giving the relevant details. The hospital sh apply  at  least  three  months  prior  to  expiry  of  its  re cognition to Department of Health & Family Welfare for re -cognition.
10. The rates charged by the hospital for various diagnostic and therapeutic procedures should b or less than the rates being charged by nearby private recognized hospitals of similar nature under CS (MA) Rules.  If no such recognized hospitals are available in the nearby areas, rates compared with rates of C.G.H.S. approved hospitals in a similar class of city (as per class made by the Government in respect of City Compensatory Allowance).
11. For  hospitals  providing  specialized/super  specialized  treatment/diagnostic  facilities, technical information as required will be obtained before recommending the same for recogn under CS (MA) Rules.

12. The hospital should submit an undertaking that the requirements of the statutory provisions to 'Disposal of Bio - Medical Waste' are being complied with.
13. The hospitals applying for recognition under CS (MA) Rules, 1944, should furnish detai ls regarding any adverse rulings from Consumer Courts or any other Court of Law on a case filed by a pati his/her relative/friend against improper medical care or wrong medical care, and whether any his pending in any higher Court of Laws duri ng the last five years.
14. A certificate to be furnished by the applicant certifying the veracity of the particulars application for recognition.
15. All  hospitals  has  been  recognized  under  CS(MA)  Rules shall  undertake  the  investigations  / diagnostic  tests  /  consultations  /  examinations  as  a  service  provider  for  conducting  th Medical  Examination  of  the  Central  Government  Civil  Services  Group  'A'  Officers  of  above  40 years of age as per the prescribed protocol for Annual Medical Exami nation.  The hospital shall conduct all prescribed investigations/diagnostic tests/ consultations/ examinations etc. of 'A' Central Government Officers according to the prescribed protocol.

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16. The  hospital  will  not  charge  the  Central  Governme nt  Employees  more  than  Rs.  2000/ - for conducting  the  prescribed  medical  examinations  of  the  male  officers  and  Rs.  2200/ - for  female officers, who come to the hospital with the requisite permission letter Department/Ministry concerned. The above rates for Annual Medical Examination are valid until such time when the above rates are revised by the Central by the Government.
17. Any legal liability arising out of such services shall be the sole responsibility and shall by the concerne d empanelled hospital. Services will be provided by the Hospital as per the given above.
18. Furnishing  of  information  in  the  application  as  to  whether  the  hospital  is  accredited Accreditation  Board  for  Hospital  &  Healthcare  Providers  (NABH )  (a  constituent  board  of  the Quality Council of India) or equivalent.

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