Courtesy: Dr Neeraj Nagpal
The Ministry of Health and Family welfare has put on its website the draft minimum standards under Clinical Establishment Act.(http://clinicalestablishments.
Some utopian rules:
The legal requirements below relate to the allopathic level 1 and level 2 hospitals.
1.Getting completion certificate. every one knows,that Completion certificates are commonly refused for minor building byelaw violations.
2.Need of Permission of landlord for this requirement under CEA will close many healthcare facilities as the level 1 or 2 hospital may not be in a self owned premises.
How the clinical standards of a facility is to be determined on the fact whether or not the building has completion certificate is a mystery. What this effectively means is that the facility has to apply to Estate office for completion, inspection of premesis by inspector, objections, removal of these objections by any means (usually unfair) and overal wait of average 1 year for the certificate. Meanwhile the healthcare facility should close down awaiting its certificate.
3.The NOC from fire department , now under the new rules for hospitals whether level 1 or tertiary care, has extremely stringent requirements of roof top water tanks, sprinkler systems and smoke detectors. To get this NOC is going to be another formidable challenge for the establishments already in existence in older buildings.
4.Under the draft rules one has to provide 24 power backup but you need a deisel storage license, DG set approval for commissioning, Air and water pollution control certification.
5. Need for Spirit license, medical gases / explosive Act license, boiler license and a wireless operation certificate from Department of Posts and Telegraph to operate wireless equipments like nurse call systems or monitor.
Only the Corporate hospitals with their deep pockets and required administrative staff will be in a position to satisfy all these requirements. Unfortunately corporate penetration in India is limited to less than 2 %. Should the remaining 98 % Government as well as Private hospitals shut shop.
why The Govt clinics / dispensaries, Primary Health Centres, Community Health Centres, and Civil Hospitals are not questioned for these standards?
Even tertiary care institutions like PGI,AIIMS will be hard pressed to explain 2 or 3 patients on one bed which is the norm in Obstetric wards.
IMA HBI request the Government to be sensible and practical.
Minimum standards should mean minimum standards necessary to provide adequately satisfactory health care to its consumers.
HBI IMA AP already demanded the govt to tone down the regulations&rules-2007 of AP allopathic private medicare establishments registration act.
Minimum standards means those parameters that can provide provision of human resources and equipment necessary for effective,economic delivery of health services to common man.
Every average hospital would be in such a position to arrange those parameters without any burden.
Dear doctors, at present,the above CE act &its rules applicable only in Andaman And Nicobar Islands - UT,Chandigarh -UT,Arunachal Pradesh,Dadra And Nagar Haveli - UT,Daman And Diu - UT,Himachal Pradesh,Jharkhand,Lakshadweep,Mizoram
The Ministry of Health and Family welfare has put on its website the draft minimum standards under Clinical Establishment Act.(http://clinicalestablishments.
Some utopian rules:
The legal requirements below relate to the allopathic level 1 and level 2 hospitals.
1.Getting completion certificate. every one knows,that Completion certificates are commonly refused for minor building byelaw violations.
2.Need of Permission of landlord for this requirement under CEA will close many healthcare facilities as the level 1 or 2 hospital may not be in a self owned premises.
How the clinical standards of a facility is to be determined on the fact whether or not the building has completion certificate is a mystery. What this effectively means is that the facility has to apply to Estate office for completion, inspection of premesis by inspector, objections, removal of these objections by any means (usually unfair) and overal wait of average 1 year for the certificate. Meanwhile the healthcare facility should close down awaiting its certificate.
3.The NOC from fire department , now under the new rules for hospitals whether level 1 or tertiary care, has extremely stringent requirements of roof top water tanks, sprinkler systems and smoke detectors. To get this NOC is going to be another formidable challenge for the establishments already in existence in older buildings.
4.Under the draft rules one has to provide 24 power backup but you need a deisel storage license, DG set approval for commissioning, Air and water pollution control certification.
5. Need for Spirit license, medical gases / explosive Act license, boiler license and a wireless operation certificate from Department of Posts and Telegraph to operate wireless equipments like nurse call systems or monitor.
Only the Corporate hospitals with their deep pockets and required administrative staff will be in a position to satisfy all these requirements. Unfortunately corporate penetration in India is limited to less than 2 %. Should the remaining 98 % Government as well as Private hospitals shut shop.
why The Govt clinics / dispensaries, Primary Health Centres, Community Health Centres, and Civil Hospitals are not questioned for these standards?
Even tertiary care institutions like PGI,AIIMS will be hard pressed to explain 2 or 3 patients on one bed which is the norm in Obstetric wards.
IMA HBI request the Government to be sensible and practical.
Minimum standards should mean minimum standards necessary to provide adequately satisfactory health care to its consumers.
HBI IMA AP already demanded the govt to tone down the regulations&rules-2007 of AP allopathic private medicare establishments registration act.
Minimum standards means those parameters that can provide provision of human resources and equipment necessary for effective,economic delivery of health services to common man.
Every average hospital would be in such a position to arrange those parameters without any burden.
Dear doctors, at present,the above CE act &its rules applicable only in Andaman And Nicobar Islands - UT,Chandigarh -UT,Arunachal Pradesh,Dadra And Nagar Haveli - UT,Daman And Diu - UT,Himachal Pradesh,Jharkhand,Lakshadweep,Mizoram
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