IMA Policy Handout Clinical Establishments Act (CEA) – 16 Years On: Reform for Reality. The Core Question Has the CEA strengthened healthcare delivery—or overburdened it with compliance? What Was Intended Standardization of care Patient safety and transparency Minimum infrastructure and quality benchmarks. Ground Reality Across States Fragmented implementation ; multiple interpretations One-size-fits-all norms for unequal facilities Inspection-heavy system with high discretion Paperwork compliance > clinical outcomes High cost burden on small hospitals & clinics No unified, real-time registry. Unintended Consequences Pressure on primary care clinics (backbone of healthcare) Rise in defens...
1) Records: BASIC DOCUMENTS, REGISTERS & RECORDS (MUST KEEP READY) Patient Care Records OP Register – name, age, address, diagnosis, treatment IP Register – admission/discharge details, diagnosis, outcome Case Sheets – full notes for admitted patients Consent Forms – for procedures, surgery, high-risk cases Referral Register – when you refer to higher center Death Register – cause, time, details. Legal & Medico-Legal Medico-Legal Case (MLC) Register Accident/Poisoning Register Police Intimation copies (keep duplicates) Birth & Death Register (if authorized) Pharmacy & Drug Records Drug purchase bills Schedule H/X drug register Expiry & stock register Biomedical Waste Daily waste segregation log Disposal receipts from authorized agency Staff & Admin Staff qualification records Duty roster Attendance register 2)...