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VARDAN MULTI SPECIALITY HOSPITAL




PROJECT REPORT
                    FOR


MULTI SPECIALITY HOSPITAL




          VARDAN SEVA SANSTHAN
Sector – 8, Raj Nagar, GHAZIABAD (UP) 201 002
 Phone: - 0091-120-2822440, 2827440, 4130213
       Email: - vardan1994@yahoo.co.in
           Web-site: www.vardan.org
VARDAN MULTI SPECIALITY HOSPITAL



                        1.      PROJECT HIGHLIGHTS


NAME OF THE PROJECT                   :   VARDAN MULTISPECIALITY HOSPITAL

NATURE OF HOSPITAL                    :   Multispeciality

NUMBER OF BEDS                        :   222 ( In First Phase-120 Beds )

PROMOTERS                             :   Vardan Seva Sansthan

Land PLOT SIZE                            :6330 Sq.Yds.(Land has been Purchased)

F.A.R. ALLOWED                        :   2.5

TOTAL BUILT AREA (Approx.)
     1st Phase                        :   45,800 Sq. Ft.


BUILDING COST (Approx.)
     1st Phase                        :   Rs. 420 Lacs

TOTAL PROJECT COST (1st Phase)            Rs. In Lacs
     Building Cost                    :   420.00
     Hospital Services                :    80.00
     Hospital Furniture & Fabrication :    50.00
     Medical Equipment & Instruments :    300.00
     Preliminary & Pre-Operative      :    30.00
     Contingencies                    :    40.00
     Margin Money                     :    10.00

TOTAL                                 :   930.00

MEANS OF FINANCING                    :   Donations &Contributions

IMPLEMENTATION PERIOD
     1st Phase of 120 beds            :   2 ½ years
VARDAN MULTI SPECIALITY HOSPITAL




                          2.      HEALTH CARE – “An Overview”

2.1   THE BACKGROUND:

Today, the city of Ghaziabad, with a population of over 25 lacs has become one of the most
crowded cities in India. There is an exponential increase in environmental pollution and
occupational health hazards due to rapid industrialisation. The food stuffs are largely
adulterated, drinking water supply becoming scare and unsafe for consumption and lastly
industries and automobiles have increased the atmospheric air pollution to an alarmingly
unsafe levels. This has led to a steep fall in health standards of the people. There is a need
for an early accurate diagnosis and proper treatment of diseases, especially after the
growing awareness of sound health in the mind of the public.

2.2   HEALTH CARE SCENE – A COMPARISON:

Comparison between various developed and developing countries in respect of Hospital
Bed to population Ratio, Infant Mortality, Expectancy of Life and Birth Rates etc., bring out
the inadequacy of the health care in INDIA. Better and quality health care is to be made
available to one and all by the Government and Private agencies.

The ability of Government owned hospitals to render quality medical services to all has
decreased because of the population growth. The bed to population ratio in India is 1: 1238
compared to 1:92 in Japan, 1:82 in USSR, 1:150 in USA and 1:350 in Sri Lanka.

Joseph Bhore committee appointed by the Government of India to go into the various
aspects of medical care in India and to suggest remedies, has recommended agencies in the
Government and Private Sector to increase the bed to population ratio to at least 567:1000

2.3   NATIONAL HEALTH POLICY & PRIVATE HEALTH CARE:

National Health Policy of India was aiming to attain the goal of “Health For All” by 2000 AD,
which it could not. As the concentration of the Government is on providing primary health
care and preventive treatment, the curative care rests mostly with the private sector with all
practitioners, consultants, Nursing Homes, and Hospitals.

The delivery of advanced health care to the growing population has become the
responsibility of the Private Sector, religious institutions / philanthropists.
VARDAN MULTI SPECIALITY HOSPITAL




                                3. THE PROPOSED PROJECT
3.1     Brief Profile: -
      NAME                                  VARDAN MULTI SPECIALTY HOSPITAL

      LOCATION OF THE PROJECT               VILLAGE: - GARHI DHARGAL, DELHI MEERUT ROAD,
                                            GHAZIABAD
                                            (OPP. GULDHAR)



      PROMOTERS                             VARDAN SEWA SANSTHAN

      REGISTERED OFFICE                     46, NEHRU APTT.,NEHRU NAGAR-III, GHAZIABAD

      ADMINISTRATIVE OFFICE                 SECTOR-8, RAJ NAGAR, GHAZIABAD, UP, INDIA
                                            PIN: - 201002
                                            TEL: 0120 – 2822440, 2827440, 4130213
                                            EMAIL: - VARDAN1994@YAHOO.CO.IN
                                            WEB: - WWW.VARDAN.ORG

      LINE OF ACTIVITY                      MULTI – SPECIALTY HOSPITAL
                                            CAPACITY – 222 BEDS

      SECTOR                                PRIVATE

      CONSTITUTION                          REGISTERED CHARITABLE SOCIETY

      INDUSTRY                              SERVICE


3.2   Covered Area: -
As per U.P. Government new directions regarding permissible FAR is 2.5 for Hospitals of
100 beds and above. In such cases, the ground coverage allowed is 30 % of the plot area.
Two basements are also allowed which are not included in the total FAR.


In 1st phase, the VSS proposes to construct only following areas.
         SN Block                   Floor                           Area      Total Area
                                                                    in Sq. Ft In Sq. Ft
         1       Hospital Block    Basements                        6183
                 Tower -1          Lower Ground Floor               7,500
                                   Upper Ground Floor                8949
                                   First Floor                       6301
                                   Second Floor                      6301
                                   Third Floor                       5355
                                   Fourth Floor                      4903
                 Total constructed area in 1st Pahse                          45863
This will accommodate approx. 120 beds to start with and the administrative block / services.
Top floor is to be temporarily used as nursing hostel.
This will accommodate another 120 beds
VARDAN MULTI SPECIALITY HOSPITAL




3.3   Departments/ Facilities: -

Following disciplines / facilities should be accommodated in the OPD

1.    Medicine: -  a.    General Medicine
                   b.    Chest & TB
                   c.    Endocrinology
2.    Surgery: -   a.    General Surgery
                   b.    Laparoscopic Surgery
3.    Obstetric & Gynecology
4.    Orthopaedics
5.    Paediatrics
6.    ENT
7.    Dermatology
8.    Urology
9.    Dental
10.   Gastroenterology
11.   Homeopathy
12.   Ayurvedic
13.   Blood Collection Room

Note: -       Some special clinics - such as – Diabetic Clinic, Blood Pressure Clinic, Thyroid
Clinic, Well baby clinic will be run in same rooms at designated time and day.




3.4   Support Services: -

Following Support Services shall be provided: -

1.        Operation Theatre Block with 2 ORs
2.        Emergency Block – with 5 beds and one Minor OT
3.        Blood Bank
4.        Radiology (Conventional X-Ray & Mobile X-ray, CT will be planned later on)
5.        Ultrasound
6.        Pathology Lab
7.        Physiotherapy (Both OT & PT). It should be a well equipped area as the VSS will
          also run two courses for students. One is in Physiotherapy and the other is in
          Nursing.
8.        CSSD (Central Sterile & Supply Department)
9.        Central Medical Gases
10.       Pharmacy        a.     Shop
                          b.     Bulk Store
11.       General Stores
12.       Kitchen / Canteen
13.       Mortuary
14.       Biomedical Waste Management
15.       Generators
VARDAN MULTI SPECIALITY HOSPITAL
This will comprise of hospital kitchen for preparation and distribution of general, special and
therapeutic diets to the patients and commercial catering for ambulatory patients, their
relatives and staff, sterile supply services (C.S.S.D.) for recycling and replenishment of re-
usable sterile supplies to various areas of patient care; medical records services for
management of hospital informatics including filing and retrieval of outpatient records and
statistical evaluation of hospital performance; medical and general store for inventory
management of hospital supplies and their distribution to the areas of patient care.
Note: -       Laundry is not planned at this stage.

3.5    Hospital Services: -

The hospital will have the following three major services:

a. EMERGENCY SERVICES
b. OUTPATIENT SERVICES
c. INPATIENT SERVICES

3.6.a In the EMERGENCY SERVICES (EMR), which will be operating round the clock,
there will be qualified medical and paramedical staff to attend to any emergency, including
trauma cases, which is increasing in the region everyday. There will be well equipped
emergency operation theatre, with the facilities for general / special surgical procedures.
Round the clock X-ray and Laboratory services are attached to the emergency services.

3.6.b In the OUTPATIENT SERVICES (OPD), specialist consultation facility will be available
through out the week or on specified days both in the morning and evening. The patient
services will be ably supported by diagnostic services and laboratory services.




3.6.c In the INPATIENT SERVICES (IPD), facilities will be made available for all Surgical
and Medical cases, except in the case of infectious / communicable diseases. The super
speciality cases like Cardio-Thoracic Surgery, Micro Neuro-Surgery, Renal Transplant
Surgery, etc. will be referred to big hospitals in the city / region. Special equipment will be
made available for Paediatric and Neonatology inpatients and also for ICU/CCU.
3.7    Diagnostic Facilities: -
3.7.a RADIOLOGY DEPARTMENT: X-Ray imaging plays an important role among various
imaging modalities. We propose to have a well equipped X-ray Department to cater to the
needs of Traumatology and other hospital departments. There will be a high powered X-ray
system with an image intensifier TV facility to do all the special investigations. This will help
to reduce the patient radiation dosage while screening and also carryout various procedures.
There will be another Portable X-ray Machine to take care of needs of the critically ill patients
in ICU/ICU/OT etc. A mobile C-arm image intensifier is also planned for this department.
3.7.b SONOGRAPHY: Ultrasound has become a powerful non-invasive diagnostic modality
today. We propose to use a multipurpose ultrasound machine for all medical / surgical and
Obs./Gynae work of the hospital.
3.7.c LABORATORY SERVICES: Clinical laboratory plays an important role in the
diagnosis, prognosis and treatment of diseases. At our hospital, laboratory services will
function under the head a Pathologist. Biochemistry department will have the latest multi-
channel auto-analyser and electrolyte analyser. In the haematology department there will be
VARDAN MULTI SPECIALITY HOSPITAL
electronic cell counters, blood coagulometers etc. Pathology and Microbiology will be
equipped as per the modern needs of hospitals.
3.7.d Video Endoscopy will be provided as an outpatient procedure in the field of
Gastroenterology.
3.8   The Engineering Services: -
Engineering services of the hospital will comprise of a sub-station for maintenance of electric
supply to the hospital; public health services for water supply, sanitation and fire protection
and fire fighting systems, space heating, ventilation and air-conditioning for environmental
management of essential areas in the hospital including intensive care, critical and operative
care areas, selected intermediate care areas and laboratories. Solar heater with water boiler
for hot water supply during winters along with Rain Water harvesting system will be part of
the project. Sewage Treatment is to be done before flushing it to municipal system.
Communication services comprising of integrated network of EPABX, public address and
nurse call system; medical gases and vacuum services to provide un-interrupted supply of
Oxygen & Nitrous oxide, and central vacuum to intensive, critical and operative area
Diesel Generators and Invertors / UPS will be provided to supply uninterrupted power to all
areas especially to critical floor.
3.9   Administrative Services: -
This will consist of accommodation for the Chief Executive, Medical & Nursing
administrators; Personnel, financial & materials management, computerised hospital
information and ancillary accommodation for transport, security, fire, housekeeping and
building maintenance staff.
VARDAN MULTI SPECIALITY HOSPITAL
                          4.     LIST OF MAJOR EQUIPMENT:

4.1   SERVICE EQUIPMENT: -

      Ambulance
      Central Air-conditioning Plant
      Central Oxygen / Vacuum, N 2 O Piping
      Sterilizers / Autoclaves
      Electrical Transformer, Generator & Electrical Fittings
      Electronic Telephone Exchange
      Fire fighting Equipment
      Lifts
      Kitchen, Mortuary equipment

4.2   MEDICAL EQUIPMENT: -

      X-ray Machines (Conventional & Mobile) & Dark Room Accessories
      Mobile Image Intensifier (C-Arm Machine)
      ECG Machines, Defibrillators, Nebulisers etc.
      Ultrasound Machine
      Patient Monitoring Equipment
      Ventilators
      Infusion Pumps/Syringe Pumps
      Blood Chemistry Auto Analyser
      Electronic Cell Counter (Haematology Counters)
      Electrolyte Analyser
      Miscellaneous Lab Equipment
      Theatre Equipment for 2 Theatres (OT Lights, Tables etc.)
      Anaesthesia Machines
      Operation Microscope
      Video Endoscopes
      Hospital Beds & Furniture
      Physiotherapy Equipment

      Nursery Equipments (Phototherapy, Radiant warmers etc)
      Dental Chair, Dental X-ray alongwith other accessories.
      ENT Work Station, and Audiometers
      Physiotherapy Equipments (Ultrasound Therapy, Short wave therapy, TENS, ICT, etc
      Surgical Instruments & Other Miscellaneous Items.


4.3   Office equipment including Computers: -
VARDAN MULTI SPECIALITY HOSPITAL


                           5.      BUILDING PROGRAM

5.1   The building programme of Vardan Multispeciality Hospital will comprise a modern
and aesthetically planned synthesis of functions and services described above.

The building program will offer a balanced combination of low and medium rise building
character having a simple internal circulation with various functional zones meeting around
the central core.

It will also offer optimum relationship between and within the departments for economy of
physical stress to the patients and hospital staff.

The mass of the hospital building will be broken down into smaller modules of human scale
to relate it to the regional character. Special emphasis will be given to create a congenital
internal environment by providing ample natural lighting and ventilation, aesthetic interior,
symbolic signage and landscaped internal courtyards.

The external development will include a hierarchical road network with ample parking
facilities and a separate access to main hospital, emergency and services.

The hospital will have a total built-up area of 1.40 Lac Sq. Ft. in a 1.25 acres plot with a floor
area ratio of 2.5 and ground coverage of 30%. This area utilisation will meet the
requirements of the local by-laws and also provide ample space for future expansion.
VARDAN MULTI SPECIALITY HOSPITAL
                       6.Approx.COST OF SOME MEDICAL EQUIPMENTS

SN         Location           Medical Equipment         Qty.    Approx.       Total Cost
                                                                Unit Cost            Rs.
                                                                   Rs.
1A   OPD                  B.P. Instrument               10             500          5000
                          Stethoscope                   10             150          1500
                          Weighing Machine, Adult       7              500          5000
                          Weighing Machine, Child       1              350           350
                          X-Ray View Box, Single        8             1200         9,600
                          ENT Work Station, Complete,   1         2,25,000      2,25,000
                          Servo Scientific
                                 Audiometer              1         3,00,000     3,00,000
                                 Tympanometer            1         Included
                                                                      above
                          Foetal Doppler, BPL 9613       1           12,000       12,000
                          Dental Chair                   1         2,50,000     2,50,000
                               Ultrasonic Scaler         1         Included            0
                               Light Cure Unit           1     Included                0
                               Dental Instruments        1     Included                0
                                                        set
                              Dental X-Ray               1     Included               0
1B   Endoscopy Room       Upper GI Video Endoscopes      1         Included           0
                                                                      below
                          Lower GI Video Endoscope,      1        40,00,000   40,00,000
                          Fuzinon
1C   Neurology            EEG Machine + Sleep            1        3,00,000      3,00,000
                          Analysis RMS
                          EMG Machine / BERA – RMS       1        3,00,000      3,00,000
2    Emergency            ECG Machine, BPL 108           1          24,000        24,000
                          Defibrillator, BPL 2509        1        1,20,000      1,20,000
                          Nebuliser, BPL Pulmomist       1           3,500         3,500
                          Syringe Pump, BPL - Baxter     1          50,000        50,000
                          Patient Monitor, Multipara,    2        1,75,000      3,50,000
                          BPL Ultima
                          Crash Cart                     1          40,000       40,000
                          Pulse Oximeter, Hand held,     1          47,000       47,000
                          BPL – CLEO
                          Suction Electric, Supreme      1           8,000         8,000
3    Minor OT             Operation Table                1          60,000        60,000
                          Operation Light                1          20,000        20,000
                          Anaesthesia Machine, Basic,    1        1,00,000      1,00,000
                          Medisys – Indian
                          Suction, Electric, Supreme     1           8,000         8,000
                          Surgical Instruments           1        1,00,000      1,00,000
                                                        set
4    Wards, Patients      Nebulisers, BPL Pulmomist      2           3,500        7,000
     Accommodation
                          ECG Machine, BPL 6108          1          32,000        32000
VARDAN MULTI SPECIALITY HOSPITAL
5 ICU/ICCU             Crash Cart                          1       40,000    40,000
                       Defibrillator, BPL 2509             1     1,20,000 1,20,000
                       Syringe Pump, BPL- Baxter           2       50,000 1,00,000
                       Monitors, Multipara, BPL Ultima     5     1,75,000 7,75,000
                       Ventilator, Drager – Sabina         1     7,00,000 7,00,000
                       Ventilator for Transport, Medisys,  1     1,50,000 1,50,000
                       Nebuliser, BPL Pulmomist            1        3,500     3,500
                       ECG Machine, BPL 8408               1       95,000    95,000
                       Suction Electric, Supreme           1        8,000     8,000
6 Nursery (NICU)       Monitors, Multipara, BPL Ultima     2     1,75,000 3,50,000
                       Syringe Pump, BPL – Baxter          2       50,000 1,00,000
                       Phototherapy Unit, Overhead, BPL -  2       20,000    40,000
                       Medicaid
                       Phototherapy Unit, Under Couch,     2       25,000    50,000
                       BPL – medicaid
                       Radiant Warmer, BPL – Medicaid      2       40,000    80,000
                       Weighing Scale, Electric            1       20,000    20,000
                       Neonatal Resuscitator               1       86,000    86.000
                       (Open Care System), BPL medicaid
                       CPAP (Ventilator), BPL Nidek        1       60,000    65,000
                       Ventilator, Neonatal, Drager        1    11,00,000 11,00,000
                       Babylog
7 Operation Theatres   Operation Table, General            1            1    75,000
                       Operation Table with Ortho          1     1,30,000 1,30,000
                       Attachments, electric
                       Delivery Table                      1       35,000    35,000
                       Operation Light                     2       70,000 1,40,000
                       Surgical Cautery (ESU), Jahangir    2       70,000 1,40,000
                       Video Laproscope, Maxer             1    18,00,000 18,00,000
                       Anaesthesia Machine with            1     3,00,000 3,00,000
                       Ventilator, Medisys India
                       Anaesthesia Machine Basic,          1     1,00,000 1,00,000
                       Medisys
                       Operation Microscope, Towa          1     5,50,000 5,50,000
                       Surgical Instruments                2     2,00,000 4,00,000
                                                          sets
                       Cardiotocograph (CTG)               1     1,50,000 1,50,000
                       Foetal Doppler, BPL 9613            1       12,000    12,000
                       Suction Electric, Supreme           1        8,000     8,000
                       Cystoscopes & Resectoscope,         1     4,25,000 4,25,000
                       Maxer
                       URS, Eagle                          1     2,25,000 2,25,000
VARDAN MULTI SPECIALITY HOSPITAL
8   Radiology (X-Ray)   X-Ray Machine, Digital,            1  25,00,000   25,00,000
                        300 mA, Allenger
                        X-Ray Machine Mobile, Siemens      1    2,75,000 2,75,000
                        C-Arm IITV, Allenger               1   10,00,000 10,00,000
                        Dark Room Accessories, local       1      75,000     75,000
                                                          set
9   Laboratory          Biochemistry Analyser, Semi        1    1,55,000 1,55,000
    (Pathology)         automatic, Transasia
                        Electrolyte Analyser, Rosche       1    1,40,000 1,40,000
                        Haematology Analyser (Cell         1    3,50,000 3,50,000
                        Counter) Transasia Sysmex KX-
                        21
                        Microscope, Labomed                2      25,000     50,000
                        Misc Laboratory Equipment,         1    1,00,000 1,00,000
                        Embee                             set
10 Blood Bank           Blood Storage Refrigerator         2      50,000 1,00,000
                        Other Misc. equipment as per list  1    3,00,000 3,00,000
                        for basic Blood bank              set
11 Non Invasive         ECG Machine – 12 leads, BPL        1      95,000     95,000
   Diagnostics          8408
                        Ultrasound Machine, Hitachi 3      1   18,00,000 18,00,000
                        probes
12 Physiotherapy        Short wave Diathermy Unit, IMI     1     38,000 /    38,000
                                                                5,72,000
                        Ultrasound Therapy Unit, IMI       1     16,000 /    16,000
                                                                1,42,000
                        Interferential Therapy Unit, IMI   1      35,000     35,000
                        TENS, IMI                          1        4500      4,500
                        Traction System, IMI               1      68,000     68,000
                        Exercise Equipment                 1    1,00,000 1,00,000
                                                          set
13 Sterilisation        Autoclave, Horizontal, Yorco       1    2,00,000 2,00,000
   Department
   (CSSD)
                        Autoclave, Vertical             1         75,000    75,000
VARDAN MULTI SPECIALITY HOSPITAL


              7.     PROJECT COST & MEANS OF FINANCING – 1st Phase
                                  (SUMMARY)

7.1    PROJECT COST:

S.N.   Description                                                Rs in Lacs Total

1.     BUILDING & Engineering Services
            45800 Sq. Ft.                                         420.00       420.00
2.     HOSPITAL SERVICES
       2.1  Medical Gases & Vacuum: including Oxygen &
            Nitrous Oxide Manifold, Central Vacuum & Alarms
            systems, piping and Outlet points                      10.00
       2.2  Hospital Kitchen (Mechanised): including cookers,
            fryers, burners, appliances, refrigerators,
            deep freezers, racks, tables & Trolleys                10.00
       2.3  Computers                                               8.00
       2.4  Waste Disposal Systems                                  3.00
       2.5  Solar Heating Systems + Boiler                         10.00
       2.6  Ambulance x 1                                           5.00
       2.7  Hospital Mortuary: including body storage & trolleys    4.00
       2.8  Lifts x 2 (Both Stretcher Lifts)                       30.00       80.00
3.     HOSPITAL FURNITURE & FABRICATION
       3.1  Medical Furniture: including beds, lockers, stools,
            tables & trolleys including interiors                  30.00
       3.2  Hospital Fabrications: including counters, cabinets,
            shelves & desks                                        5.00
       3.3  Coloured TVs / Refrigerators & other accessories       15.00       50.00
4.     MEDICAL EQUIPMENT & INSTRUMENTS:                            300.00      300.00
5.     PRELIMINARY & PRE-OPERATIVE:
       5.1  Expenses during Implementation Period:
            including salaries, training & travel expenses         10.00
       5.2  Advertisement & stationary expenses                    10.00
       5.3  Consultancy Fee                                        10.00       30.00
6.     PROVISION FOR CONTINGENCIES:
       6.1  On all items @ 5 % of total cost of site development,
            building works, engineering & hospital furniture &
            fabrications, administrative services,
            medical equipment & preliminary and
            pre-operative expenses.                                40.00       40.00

7.     MARGIN MONEY FOR WORKING CAPITAL:                          10.00        10.00

                                                                          =============
                     GRAND TOTAL                                               930.00
                                                                          =============


7.2    Means of Financing                            Donations & Contributions

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Hospital project report

  • 1. VARDAN MULTI SPECIALITY HOSPITAL PROJECT REPORT FOR MULTI SPECIALITY HOSPITAL VARDAN SEVA SANSTHAN Sector – 8, Raj Nagar, GHAZIABAD (UP) 201 002 Phone: - 0091-120-2822440, 2827440, 4130213 Email: - vardan1994@yahoo.co.in Web-site: www.vardan.org
  • 2. VARDAN MULTI SPECIALITY HOSPITAL 1. PROJECT HIGHLIGHTS NAME OF THE PROJECT : VARDAN MULTISPECIALITY HOSPITAL NATURE OF HOSPITAL : Multispeciality NUMBER OF BEDS : 222 ( In First Phase-120 Beds ) PROMOTERS : Vardan Seva Sansthan Land PLOT SIZE :6330 Sq.Yds.(Land has been Purchased) F.A.R. ALLOWED : 2.5 TOTAL BUILT AREA (Approx.) 1st Phase : 45,800 Sq. Ft. BUILDING COST (Approx.) 1st Phase : Rs. 420 Lacs TOTAL PROJECT COST (1st Phase) Rs. In Lacs Building Cost : 420.00 Hospital Services : 80.00 Hospital Furniture & Fabrication : 50.00 Medical Equipment & Instruments : 300.00 Preliminary & Pre-Operative : 30.00 Contingencies : 40.00 Margin Money : 10.00 TOTAL : 930.00 MEANS OF FINANCING : Donations &Contributions IMPLEMENTATION PERIOD 1st Phase of 120 beds : 2 ½ years
  • 3. VARDAN MULTI SPECIALITY HOSPITAL 2. HEALTH CARE – “An Overview” 2.1 THE BACKGROUND: Today, the city of Ghaziabad, with a population of over 25 lacs has become one of the most crowded cities in India. There is an exponential increase in environmental pollution and occupational health hazards due to rapid industrialisation. The food stuffs are largely adulterated, drinking water supply becoming scare and unsafe for consumption and lastly industries and automobiles have increased the atmospheric air pollution to an alarmingly unsafe levels. This has led to a steep fall in health standards of the people. There is a need for an early accurate diagnosis and proper treatment of diseases, especially after the growing awareness of sound health in the mind of the public. 2.2 HEALTH CARE SCENE – A COMPARISON: Comparison between various developed and developing countries in respect of Hospital Bed to population Ratio, Infant Mortality, Expectancy of Life and Birth Rates etc., bring out the inadequacy of the health care in INDIA. Better and quality health care is to be made available to one and all by the Government and Private agencies. The ability of Government owned hospitals to render quality medical services to all has decreased because of the population growth. The bed to population ratio in India is 1: 1238 compared to 1:92 in Japan, 1:82 in USSR, 1:150 in USA and 1:350 in Sri Lanka. Joseph Bhore committee appointed by the Government of India to go into the various aspects of medical care in India and to suggest remedies, has recommended agencies in the Government and Private Sector to increase the bed to population ratio to at least 567:1000 2.3 NATIONAL HEALTH POLICY & PRIVATE HEALTH CARE: National Health Policy of India was aiming to attain the goal of “Health For All” by 2000 AD, which it could not. As the concentration of the Government is on providing primary health care and preventive treatment, the curative care rests mostly with the private sector with all practitioners, consultants, Nursing Homes, and Hospitals. The delivery of advanced health care to the growing population has become the responsibility of the Private Sector, religious institutions / philanthropists.
  • 4. VARDAN MULTI SPECIALITY HOSPITAL 3. THE PROPOSED PROJECT 3.1 Brief Profile: - NAME VARDAN MULTI SPECIALTY HOSPITAL LOCATION OF THE PROJECT VILLAGE: - GARHI DHARGAL, DELHI MEERUT ROAD, GHAZIABAD (OPP. GULDHAR) PROMOTERS VARDAN SEWA SANSTHAN REGISTERED OFFICE 46, NEHRU APTT.,NEHRU NAGAR-III, GHAZIABAD ADMINISTRATIVE OFFICE SECTOR-8, RAJ NAGAR, GHAZIABAD, UP, INDIA PIN: - 201002 TEL: 0120 – 2822440, 2827440, 4130213 EMAIL: - VARDAN1994@YAHOO.CO.IN WEB: - WWW.VARDAN.ORG LINE OF ACTIVITY MULTI – SPECIALTY HOSPITAL CAPACITY – 222 BEDS SECTOR PRIVATE CONSTITUTION REGISTERED CHARITABLE SOCIETY INDUSTRY SERVICE 3.2 Covered Area: - As per U.P. Government new directions regarding permissible FAR is 2.5 for Hospitals of 100 beds and above. In such cases, the ground coverage allowed is 30 % of the plot area. Two basements are also allowed which are not included in the total FAR. In 1st phase, the VSS proposes to construct only following areas. SN Block Floor Area Total Area in Sq. Ft In Sq. Ft 1 Hospital Block Basements 6183 Tower -1 Lower Ground Floor 7,500 Upper Ground Floor 8949 First Floor 6301 Second Floor 6301 Third Floor 5355 Fourth Floor 4903 Total constructed area in 1st Pahse 45863 This will accommodate approx. 120 beds to start with and the administrative block / services. Top floor is to be temporarily used as nursing hostel. This will accommodate another 120 beds
  • 5. VARDAN MULTI SPECIALITY HOSPITAL 3.3 Departments/ Facilities: - Following disciplines / facilities should be accommodated in the OPD 1. Medicine: - a. General Medicine b. Chest & TB c. Endocrinology 2. Surgery: - a. General Surgery b. Laparoscopic Surgery 3. Obstetric & Gynecology 4. Orthopaedics 5. Paediatrics 6. ENT 7. Dermatology 8. Urology 9. Dental 10. Gastroenterology 11. Homeopathy 12. Ayurvedic 13. Blood Collection Room Note: - Some special clinics - such as – Diabetic Clinic, Blood Pressure Clinic, Thyroid Clinic, Well baby clinic will be run in same rooms at designated time and day. 3.4 Support Services: - Following Support Services shall be provided: - 1. Operation Theatre Block with 2 ORs 2. Emergency Block – with 5 beds and one Minor OT 3. Blood Bank 4. Radiology (Conventional X-Ray & Mobile X-ray, CT will be planned later on) 5. Ultrasound 6. Pathology Lab 7. Physiotherapy (Both OT & PT). It should be a well equipped area as the VSS will also run two courses for students. One is in Physiotherapy and the other is in Nursing. 8. CSSD (Central Sterile & Supply Department) 9. Central Medical Gases 10. Pharmacy a. Shop b. Bulk Store 11. General Stores 12. Kitchen / Canteen 13. Mortuary 14. Biomedical Waste Management 15. Generators
  • 6. VARDAN MULTI SPECIALITY HOSPITAL This will comprise of hospital kitchen for preparation and distribution of general, special and therapeutic diets to the patients and commercial catering for ambulatory patients, their relatives and staff, sterile supply services (C.S.S.D.) for recycling and replenishment of re- usable sterile supplies to various areas of patient care; medical records services for management of hospital informatics including filing and retrieval of outpatient records and statistical evaluation of hospital performance; medical and general store for inventory management of hospital supplies and their distribution to the areas of patient care. Note: - Laundry is not planned at this stage. 3.5 Hospital Services: - The hospital will have the following three major services: a. EMERGENCY SERVICES b. OUTPATIENT SERVICES c. INPATIENT SERVICES 3.6.a In the EMERGENCY SERVICES (EMR), which will be operating round the clock, there will be qualified medical and paramedical staff to attend to any emergency, including trauma cases, which is increasing in the region everyday. There will be well equipped emergency operation theatre, with the facilities for general / special surgical procedures. Round the clock X-ray and Laboratory services are attached to the emergency services. 3.6.b In the OUTPATIENT SERVICES (OPD), specialist consultation facility will be available through out the week or on specified days both in the morning and evening. The patient services will be ably supported by diagnostic services and laboratory services. 3.6.c In the INPATIENT SERVICES (IPD), facilities will be made available for all Surgical and Medical cases, except in the case of infectious / communicable diseases. The super speciality cases like Cardio-Thoracic Surgery, Micro Neuro-Surgery, Renal Transplant Surgery, etc. will be referred to big hospitals in the city / region. Special equipment will be made available for Paediatric and Neonatology inpatients and also for ICU/CCU. 3.7 Diagnostic Facilities: - 3.7.a RADIOLOGY DEPARTMENT: X-Ray imaging plays an important role among various imaging modalities. We propose to have a well equipped X-ray Department to cater to the needs of Traumatology and other hospital departments. There will be a high powered X-ray system with an image intensifier TV facility to do all the special investigations. This will help to reduce the patient radiation dosage while screening and also carryout various procedures. There will be another Portable X-ray Machine to take care of needs of the critically ill patients in ICU/ICU/OT etc. A mobile C-arm image intensifier is also planned for this department. 3.7.b SONOGRAPHY: Ultrasound has become a powerful non-invasive diagnostic modality today. We propose to use a multipurpose ultrasound machine for all medical / surgical and Obs./Gynae work of the hospital. 3.7.c LABORATORY SERVICES: Clinical laboratory plays an important role in the diagnosis, prognosis and treatment of diseases. At our hospital, laboratory services will function under the head a Pathologist. Biochemistry department will have the latest multi- channel auto-analyser and electrolyte analyser. In the haematology department there will be
  • 7. VARDAN MULTI SPECIALITY HOSPITAL electronic cell counters, blood coagulometers etc. Pathology and Microbiology will be equipped as per the modern needs of hospitals. 3.7.d Video Endoscopy will be provided as an outpatient procedure in the field of Gastroenterology. 3.8 The Engineering Services: - Engineering services of the hospital will comprise of a sub-station for maintenance of electric supply to the hospital; public health services for water supply, sanitation and fire protection and fire fighting systems, space heating, ventilation and air-conditioning for environmental management of essential areas in the hospital including intensive care, critical and operative care areas, selected intermediate care areas and laboratories. Solar heater with water boiler for hot water supply during winters along with Rain Water harvesting system will be part of the project. Sewage Treatment is to be done before flushing it to municipal system. Communication services comprising of integrated network of EPABX, public address and nurse call system; medical gases and vacuum services to provide un-interrupted supply of Oxygen & Nitrous oxide, and central vacuum to intensive, critical and operative area Diesel Generators and Invertors / UPS will be provided to supply uninterrupted power to all areas especially to critical floor. 3.9 Administrative Services: - This will consist of accommodation for the Chief Executive, Medical & Nursing administrators; Personnel, financial & materials management, computerised hospital information and ancillary accommodation for transport, security, fire, housekeeping and building maintenance staff.
  • 8. VARDAN MULTI SPECIALITY HOSPITAL 4. LIST OF MAJOR EQUIPMENT: 4.1 SERVICE EQUIPMENT: - Ambulance Central Air-conditioning Plant Central Oxygen / Vacuum, N 2 O Piping Sterilizers / Autoclaves Electrical Transformer, Generator & Electrical Fittings Electronic Telephone Exchange Fire fighting Equipment Lifts Kitchen, Mortuary equipment 4.2 MEDICAL EQUIPMENT: - X-ray Machines (Conventional & Mobile) & Dark Room Accessories Mobile Image Intensifier (C-Arm Machine) ECG Machines, Defibrillators, Nebulisers etc. Ultrasound Machine Patient Monitoring Equipment Ventilators Infusion Pumps/Syringe Pumps Blood Chemistry Auto Analyser Electronic Cell Counter (Haematology Counters) Electrolyte Analyser Miscellaneous Lab Equipment Theatre Equipment for 2 Theatres (OT Lights, Tables etc.) Anaesthesia Machines Operation Microscope Video Endoscopes Hospital Beds & Furniture Physiotherapy Equipment Nursery Equipments (Phototherapy, Radiant warmers etc) Dental Chair, Dental X-ray alongwith other accessories. ENT Work Station, and Audiometers Physiotherapy Equipments (Ultrasound Therapy, Short wave therapy, TENS, ICT, etc Surgical Instruments & Other Miscellaneous Items. 4.3 Office equipment including Computers: -
  • 9. VARDAN MULTI SPECIALITY HOSPITAL 5. BUILDING PROGRAM 5.1 The building programme of Vardan Multispeciality Hospital will comprise a modern and aesthetically planned synthesis of functions and services described above. The building program will offer a balanced combination of low and medium rise building character having a simple internal circulation with various functional zones meeting around the central core. It will also offer optimum relationship between and within the departments for economy of physical stress to the patients and hospital staff. The mass of the hospital building will be broken down into smaller modules of human scale to relate it to the regional character. Special emphasis will be given to create a congenital internal environment by providing ample natural lighting and ventilation, aesthetic interior, symbolic signage and landscaped internal courtyards. The external development will include a hierarchical road network with ample parking facilities and a separate access to main hospital, emergency and services. The hospital will have a total built-up area of 1.40 Lac Sq. Ft. in a 1.25 acres plot with a floor area ratio of 2.5 and ground coverage of 30%. This area utilisation will meet the requirements of the local by-laws and also provide ample space for future expansion.
  • 10. VARDAN MULTI SPECIALITY HOSPITAL 6.Approx.COST OF SOME MEDICAL EQUIPMENTS SN Location Medical Equipment Qty. Approx. Total Cost Unit Cost Rs. Rs. 1A OPD B.P. Instrument 10 500 5000 Stethoscope 10 150 1500 Weighing Machine, Adult 7 500 5000 Weighing Machine, Child 1 350 350 X-Ray View Box, Single 8 1200 9,600 ENT Work Station, Complete, 1 2,25,000 2,25,000 Servo Scientific Audiometer 1 3,00,000 3,00,000 Tympanometer 1 Included above Foetal Doppler, BPL 9613 1 12,000 12,000 Dental Chair 1 2,50,000 2,50,000 Ultrasonic Scaler 1 Included 0 Light Cure Unit 1 Included 0 Dental Instruments 1 Included 0 set Dental X-Ray 1 Included 0 1B Endoscopy Room Upper GI Video Endoscopes 1 Included 0 below Lower GI Video Endoscope, 1 40,00,000 40,00,000 Fuzinon 1C Neurology EEG Machine + Sleep 1 3,00,000 3,00,000 Analysis RMS EMG Machine / BERA – RMS 1 3,00,000 3,00,000 2 Emergency ECG Machine, BPL 108 1 24,000 24,000 Defibrillator, BPL 2509 1 1,20,000 1,20,000 Nebuliser, BPL Pulmomist 1 3,500 3,500 Syringe Pump, BPL - Baxter 1 50,000 50,000 Patient Monitor, Multipara, 2 1,75,000 3,50,000 BPL Ultima Crash Cart 1 40,000 40,000 Pulse Oximeter, Hand held, 1 47,000 47,000 BPL – CLEO Suction Electric, Supreme 1 8,000 8,000 3 Minor OT Operation Table 1 60,000 60,000 Operation Light 1 20,000 20,000 Anaesthesia Machine, Basic, 1 1,00,000 1,00,000 Medisys – Indian Suction, Electric, Supreme 1 8,000 8,000 Surgical Instruments 1 1,00,000 1,00,000 set 4 Wards, Patients Nebulisers, BPL Pulmomist 2 3,500 7,000 Accommodation ECG Machine, BPL 6108 1 32,000 32000
  • 11. VARDAN MULTI SPECIALITY HOSPITAL 5 ICU/ICCU Crash Cart 1 40,000 40,000 Defibrillator, BPL 2509 1 1,20,000 1,20,000 Syringe Pump, BPL- Baxter 2 50,000 1,00,000 Monitors, Multipara, BPL Ultima 5 1,75,000 7,75,000 Ventilator, Drager – Sabina 1 7,00,000 7,00,000 Ventilator for Transport, Medisys, 1 1,50,000 1,50,000 Nebuliser, BPL Pulmomist 1 3,500 3,500 ECG Machine, BPL 8408 1 95,000 95,000 Suction Electric, Supreme 1 8,000 8,000 6 Nursery (NICU) Monitors, Multipara, BPL Ultima 2 1,75,000 3,50,000 Syringe Pump, BPL – Baxter 2 50,000 1,00,000 Phototherapy Unit, Overhead, BPL - 2 20,000 40,000 Medicaid Phototherapy Unit, Under Couch, 2 25,000 50,000 BPL – medicaid Radiant Warmer, BPL – Medicaid 2 40,000 80,000 Weighing Scale, Electric 1 20,000 20,000 Neonatal Resuscitator 1 86,000 86.000 (Open Care System), BPL medicaid CPAP (Ventilator), BPL Nidek 1 60,000 65,000 Ventilator, Neonatal, Drager 1 11,00,000 11,00,000 Babylog 7 Operation Theatres Operation Table, General 1 1 75,000 Operation Table with Ortho 1 1,30,000 1,30,000 Attachments, electric Delivery Table 1 35,000 35,000 Operation Light 2 70,000 1,40,000 Surgical Cautery (ESU), Jahangir 2 70,000 1,40,000 Video Laproscope, Maxer 1 18,00,000 18,00,000 Anaesthesia Machine with 1 3,00,000 3,00,000 Ventilator, Medisys India Anaesthesia Machine Basic, 1 1,00,000 1,00,000 Medisys Operation Microscope, Towa 1 5,50,000 5,50,000 Surgical Instruments 2 2,00,000 4,00,000 sets Cardiotocograph (CTG) 1 1,50,000 1,50,000 Foetal Doppler, BPL 9613 1 12,000 12,000 Suction Electric, Supreme 1 8,000 8,000 Cystoscopes & Resectoscope, 1 4,25,000 4,25,000 Maxer URS, Eagle 1 2,25,000 2,25,000
  • 12. VARDAN MULTI SPECIALITY HOSPITAL 8 Radiology (X-Ray) X-Ray Machine, Digital, 1 25,00,000 25,00,000 300 mA, Allenger X-Ray Machine Mobile, Siemens 1 2,75,000 2,75,000 C-Arm IITV, Allenger 1 10,00,000 10,00,000 Dark Room Accessories, local 1 75,000 75,000 set 9 Laboratory Biochemistry Analyser, Semi 1 1,55,000 1,55,000 (Pathology) automatic, Transasia Electrolyte Analyser, Rosche 1 1,40,000 1,40,000 Haematology Analyser (Cell 1 3,50,000 3,50,000 Counter) Transasia Sysmex KX- 21 Microscope, Labomed 2 25,000 50,000 Misc Laboratory Equipment, 1 1,00,000 1,00,000 Embee set 10 Blood Bank Blood Storage Refrigerator 2 50,000 1,00,000 Other Misc. equipment as per list 1 3,00,000 3,00,000 for basic Blood bank set 11 Non Invasive ECG Machine – 12 leads, BPL 1 95,000 95,000 Diagnostics 8408 Ultrasound Machine, Hitachi 3 1 18,00,000 18,00,000 probes 12 Physiotherapy Short wave Diathermy Unit, IMI 1 38,000 / 38,000 5,72,000 Ultrasound Therapy Unit, IMI 1 16,000 / 16,000 1,42,000 Interferential Therapy Unit, IMI 1 35,000 35,000 TENS, IMI 1 4500 4,500 Traction System, IMI 1 68,000 68,000 Exercise Equipment 1 1,00,000 1,00,000 set 13 Sterilisation Autoclave, Horizontal, Yorco 1 2,00,000 2,00,000 Department (CSSD) Autoclave, Vertical 1 75,000 75,000
  • 13. VARDAN MULTI SPECIALITY HOSPITAL 7. PROJECT COST & MEANS OF FINANCING – 1st Phase (SUMMARY) 7.1 PROJECT COST: S.N. Description Rs in Lacs Total 1. BUILDING & Engineering Services 45800 Sq. Ft. 420.00 420.00 2. HOSPITAL SERVICES 2.1 Medical Gases & Vacuum: including Oxygen & Nitrous Oxide Manifold, Central Vacuum & Alarms systems, piping and Outlet points 10.00 2.2 Hospital Kitchen (Mechanised): including cookers, fryers, burners, appliances, refrigerators, deep freezers, racks, tables & Trolleys 10.00 2.3 Computers 8.00 2.4 Waste Disposal Systems 3.00 2.5 Solar Heating Systems + Boiler 10.00 2.6 Ambulance x 1 5.00 2.7 Hospital Mortuary: including body storage & trolleys 4.00 2.8 Lifts x 2 (Both Stretcher Lifts) 30.00 80.00 3. HOSPITAL FURNITURE & FABRICATION 3.1 Medical Furniture: including beds, lockers, stools, tables & trolleys including interiors 30.00 3.2 Hospital Fabrications: including counters, cabinets, shelves & desks 5.00 3.3 Coloured TVs / Refrigerators & other accessories 15.00 50.00 4. MEDICAL EQUIPMENT & INSTRUMENTS: 300.00 300.00 5. PRELIMINARY & PRE-OPERATIVE: 5.1 Expenses during Implementation Period: including salaries, training & travel expenses 10.00 5.2 Advertisement & stationary expenses 10.00 5.3 Consultancy Fee 10.00 30.00 6. PROVISION FOR CONTINGENCIES: 6.1 On all items @ 5 % of total cost of site development, building works, engineering & hospital furniture & fabrications, administrative services, medical equipment & preliminary and pre-operative expenses. 40.00 40.00 7. MARGIN MONEY FOR WORKING CAPITAL: 10.00 10.00 ============= GRAND TOTAL 930.00 ============= 7.2 Means of Financing Donations & Contributions