Dr.Srinivasa Raju

                                                         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...