Regulations , Standards & Codes “CLINICAL ESTABLISHMENT ACT” I.P.H.S and UCPMP by Dr. Mira Shiva MD
National Consultation on ‘Expanding Access and Using the Law to Ensure Sexual and Reproductive Health Rights’ was held in December’ 2015. The consultation brought together experts, activists, lawyers, health workers and students from all corners in the country, in building the understanding on the issues and the emerging challenges.
Human Rights Law Network
http://hrln.org
The document discusses the proposed National Commission for Human Resources in Health Bill 2011. It summarizes key concerns raised by the Indian Medical Association (IMA), including that the bill centralizes power, dissolves existing autonomous councils, bars legal challenges to the commission's decisions, and prohibits doctors from having other occupations. The IMA rejects the bill, arguing it will not solve issues like shortage of healthcare workers and uneven distribution.
The document defines clinical establishments and classifies them into different levels. It discusses the Clinical Establishments Act passed in 2010 to regulate healthcare facilities in India. The act established authorities at the national, state, and district levels to register clinics and enforce minimum standards. It classifies Tamil Nadu as a state that has its own clinical establishments act. The document also outlines requirements for registering a clinic in Tamil Nadu, including online registration procedures, minimum space, staffing, equipment, and drug requirements.
The document discusses the growth of the Indian healthcare industry, particularly the rise of corporate hospitals. Private players entering the hospital services market have led the industry to grow to an estimated $40 billion by 2012. Corporate hospitals have changed healthcare delivery by capturing the major tertiary care market and growing in both metro and non-metro cities. Key factors driving this change include revenue generation, quality care, competition, branding, and harnessing medical tourism. Major corporate hospital chains in India are listed.
Healthcare and similar industries have stringent regulations and requirements when managing patient records and documents. Learn how you should handle these files and the proper ways to destroy them when their retention periods are up. For additional information, check out www.shrednations.com.
The document discusses hospital infrastructure and administration. It describes the key systems that modern hospitals require like backup power generators and priority access to utilities. It also discusses the shift from ward-based patient rooms to private rooms for privacy and comfort. The role of the hospital administrator is outlined, who is responsible for overseeing all hospital departments, budgets, policies, staffing and quality assurance to efficiently provide medical care.
A hospital is defined as an institution that provides care, cure, and treatment for the sick and wounded, and also studies diseases and trains doctors and nurses. The document then outlines the philosophy, objectives, scope, functions, and various ways hospitals can be classified such as by length of stay, clinical basis, ownership, objectives, size, management, and medical system. Key functions of hospitals include patient care, diagnosis and treatment, education and training, and disease prevention and health promotion.
The document discusses definitions and classifications of hospitals. It provides definitions from WHO, Steadman's Medical Dictionary, and Blakiston's New Gould Medical Dictionary. Hospitals are classified based on length of stay, clinical focus, ownership, objectives, size, management, and medical system. They can be acute care/short-term or chronic care/long-term facilities and are also differentiated based on whether they are teaching, general, specialized, or isolation hospitals.
Hospitals are institutions that treat sick or injured people. The word "hospital" comes from Latin and French words meaning hospitality. Hospitals can be classified in various ways, including by length of stay (acute vs chronic), clinical focus, ownership, objectives, size, and system of medicine (allopathic, ayurvedic, etc.). Hospitals serve several important functions like caring for the sick, preventing and promoting health, diagnosing and treating diseases, providing mental healthcare and rehabilitation, supporting medical education, and conducting research.
The document discusses the proposed National Commission for Human Resources in Health Bill 2011. It summarizes key concerns raised by the Indian Medical Association (IMA), including that the bill centralizes power, dissolves existing autonomous councils, bars legal challenges to the commission's decisions, and prohibits doctors from having other occupations. The IMA rejects the bill, arguing it will not solve issues like shortage of healthcare workers and uneven distribution.
The document defines clinical establishments and classifies them into different levels. It discusses the Clinical Establishments Act passed in 2010 to regulate healthcare facilities in India. The act established authorities at the national, state, and district levels to register clinics and enforce minimum standards. It classifies Tamil Nadu as a state that has its own clinical establishments act. The document also outlines requirements for registering a clinic in Tamil Nadu, including online registration procedures, minimum space, staffing, equipment, and drug requirements.
The document discusses the growth of the Indian healthcare industry, particularly the rise of corporate hospitals. Private players entering the hospital services market have led the industry to grow to an estimated $40 billion by 2012. Corporate hospitals have changed healthcare delivery by capturing the major tertiary care market and growing in both metro and non-metro cities. Key factors driving this change include revenue generation, quality care, competition, branding, and harnessing medical tourism. Major corporate hospital chains in India are listed.
Healthcare and similar industries have stringent regulations and requirements when managing patient records and documents. Learn how you should handle these files and the proper ways to destroy them when their retention periods are up. For additional information, check out www.shrednations.com.
The document discusses hospital infrastructure and administration. It describes the key systems that modern hospitals require like backup power generators and priority access to utilities. It also discusses the shift from ward-based patient rooms to private rooms for privacy and comfort. The role of the hospital administrator is outlined, who is responsible for overseeing all hospital departments, budgets, policies, staffing and quality assurance to efficiently provide medical care.
A hospital is defined as an institution that provides care, cure, and treatment for the sick and wounded, and also studies diseases and trains doctors and nurses. The document then outlines the philosophy, objectives, scope, functions, and various ways hospitals can be classified such as by length of stay, clinical basis, ownership, objectives, size, management, and medical system. Key functions of hospitals include patient care, diagnosis and treatment, education and training, and disease prevention and health promotion.
The document discusses definitions and classifications of hospitals. It provides definitions from WHO, Steadman's Medical Dictionary, and Blakiston's New Gould Medical Dictionary. Hospitals are classified based on length of stay, clinical focus, ownership, objectives, size, management, and medical system. They can be acute care/short-term or chronic care/long-term facilities and are also differentiated based on whether they are teaching, general, specialized, or isolation hospitals.
Hospitals are institutions that treat sick or injured people. The word "hospital" comes from Latin and French words meaning hospitality. Hospitals can be classified in various ways, including by length of stay (acute vs chronic), clinical focus, ownership, objectives, size, and system of medicine (allopathic, ayurvedic, etc.). Hospitals serve several important functions like caring for the sick, preventing and promoting health, diagnosing and treating diseases, providing mental healthcare and rehabilitation, supporting medical education, and conducting research.
M O U N T E V E R E S T H O S P I T A L.Ppts.Ppt H HGopal Kumar
Mount Everest Hospital provides a wide range of medical services as a 100-bed private tertiary care hospital located in Kathmandu, Nepal. It has 25 consultants across specialties and was the first in Nepal to perform a kidney transplant. The hospital has modern diagnostic equipment like CT scans and offers 24-hour emergency services, ICU/CCU units, an operating theater, and inpatient wards. It also has specialized departments like pathology, cardiology, and radiology that provide diagnostic testing.
This document lists 58 different acts and licenses that are applicable to hospitals in India. It includes acts related to building permits, fire safety, biomedical waste, pollution control, radiation protection, storage of alcohol and narcotics, vehicle registration, air pollution control, atomic energy regulation, dentistry, drugs and cosmetics, labor laws, medical practice, nursing, mental health, trade unions, maternity benefits, abortion, wages, disability rights, pharmacy practice, pre-natal diagnostic techniques, human rights, registration of births and deaths, taxation, organ transplantation, hazardous waste management, dental councils, water pollution control, elevators, electricity connections, generators, and government service codes, rules, and acts. The document was provided by
Organizational Structure Of A Hospital[1]jawadorak
The organizational structure of a hospital facilitates efficient management by establishing lines of authority and accountability. Larger hospitals have more complex structures than smaller facilities. Hospital departments are generally grouped into administration services, informational services, therapeutic services, diagnostic services, and support services. Administration oversees budgets, policies and public relations. Informational services handle admissions, billing, records and technology. Therapeutic services provide treatment. Diagnostic services determine causes of illness or injury. Support services maintain supplies and the facility. Understanding the organizational chart helps navigate a hospital's departments and staff.
1. The document discusses the definition, objectives, functions, management, and classification of hospitals. Hospitals are defined as institutions for caring for the sick and injured, curing diseases, training medical professionals, and conducting research.
2. Hospitals have objectives like providing health services, treatment, and education. Their functions include patient care, education, research, and disease prevention. Hospitals are managed by governing bodies and have departments led by directors.
3. Hospitals can be classified by length of stay, clinical focus, ownership, objectives, size, management, and systems. Classification types include general, specialty, teaching, isolation, and ayurvedic hospitals.
Medical Records is a foremost important in the healthcare accreditation bodies like JCI,NABH are very adherent about its documentation,retention and confidentiality.
The document traces the history and evolution of hospitals from ancient Mesopotamia through the Middle Ages. It discusses early hospitals in Mesopotamia, Greece, Rome, China, India, and the development of religious hospitals during the Middle Ages. It then covers the Renaissance period and establishment of some of the earliest voluntary hospitals in England in the 18th century.
Hospital types organisation and functions.Arifa T N
Hospitals are institutions designed to care for the sick, injured, and well. A hospital provides complete health care including curative and preventive services. It serves as a center for training health workers and conducting biomedical research. Hospitals can be classified based on length of stay, clinical focus, ownership, objectives, size, management, and medical system. They perform key functions like patient care, diagnosis and treatment, outpatient services, medical education, research, and disease prevention and health promotion.
IT infrastructure in Indian hospitals is growing but still has room for improvement. Key points:
1. Private hospitals have implemented more IT systems like HIS, RIS, and EMR than public hospitals. Major private hospitals like Apollo and Fortis are investing in integrated IT.
2. Common IT systems used include HIS for administrative functions, RIS for radiology, and some EMR implementation. Specialty clinical systems are less common.
3. Standards need to be established for health IT in India to allow for data sharing and integration. Infrastructure also needs further development, especially in public hospitals.
This document discusses hospitals as systems. It begins by classifying hospitals according to directory, ownership, bed size, nature, and medical system. It then describes the different types of hospitals according to these classifications. The document outlines the key functions and departments of hospitals, including outpatient, inpatient, intensive care, emergency, day care, and operating theaters. It discusses the organizational structure and process flows within hospitals to deliver clinical services and achieve their overall objectives of providing healthcare.
The document summarizes the typical organizational structure of a hospital. Hospitals group departments into five main categories - administrative services, informational services, therapeutic services, diagnostic services, and support services. Within each category are specific departments like nursing, pharmacy, medical records, and housekeeping. Larger hospitals tend to have more complex structures with multiple levels of management, while smaller hospitals have simpler structures. The organizational structure can vary between hospitals.
This document provides an overview of a course on hospital management. It outlines the course objectives which are to understand fundamentals of hospital administration, market research processes, information management systems, and quality and safety aspects in hospitals. It then describes the management functions of planning, organizing, staffing, directing, controlling and coordinating that a hospital administrator must carry out. The document proceeds to outline the course syllabus covering topics like hospital administration overview, human resource management, recruitment and training, supportive services, and communication and safety aspects. It concludes by listing the intended course outcomes and textbooks recommended.
Hospital and it’s organization
Definition, Classification of hospital- Primary, Secondary and Tertiary hospitals, Classification based on clinical and non- clinical basis, Organization Structure of a Hospital, and Medical staffs involved in the
hospital and their functions.
The Factors Influencing the Hospital Utilization9145
The document discusses the main factors that influence hospital utilization, including internal facilities, site, and location. Internal facilities should have modern equipment, specializations, professional staff, good infrastructure, and medical services. The site should have available facilities, appropriate land costs, no nearby similar hospitals, and supportive utilities. The location should be convenient for people through affordable transportation, have nearby emergency services, and supportive amenities while being eco-friendly and avoiding cross-infection. Locality support, facilities, site, and location are essential for hospital utilization.
Hospital Committees are regular standing committees prescribed by regulatory agencies and deemed necessary by hospital administration in formulating policies, coordinating and monitoring hospital-wide activities that are considered critical in the delivery of quality health care services.
These are in contrast to ad hoc committees, department and unit committees.
The clinical establishments (registration and regulation) act 2010 and rules...Dr. Priyanka Srivastava
1. The document discusses the need for regulation of healthcare services in India, as the private healthcare sector remains largely unregulated.
2. It outlines the key aspects of the Clinical Establishments (Registration and Regulation) Act, 2010, which aims to set minimum standards for facilities and services in clinical establishments across India.
3. The Act provides for registration of clinical establishments with state and district authorities, compliance with standards, transparency of charges, and penalties for non-compliance. It is aimed at improving public health outcomes.
Location and layout of hospital, need of hospital to community,planning,factors and data required in planning,fundamentals and objectives,principles,different stages,equipment planning,icu design and layout,quality quantity and temperature and noise control in hospital,conclusion
Hospital administration & Hospital AdministratorNc Das
This document outlines the key aspects of hospital administration. It discusses how hospital administration has evolved from poor houses to complex medical institutions. An effective hospital administrator must balance internal management with community expectations by maintaining positive relations with staff, patients, and other health organizations. The document then provides details on the administrative setup of Dr. RML Hospital, including the roles and responsibilities of the medical superintendent and other positions. It also describes the important skills, roles, and responsibilities required of a successful modern hospital administrator.
Definition of Hospital by W.H.O.
History Of Hospital Development.
Factors Responsible For Development Of Hospitals.
Classification of Hospitals.
Function Of Hospitals.
Factor Affecting Distribution Of Beds.
Factors Influencing Hospital Utilization.
Administration.
Role of Administrator.
Management.
Scaler Principle.
Person reporting directly to Administrator.
Privatization of health care refers to limiting the role of the public sector and defining health care as a private responsibility. This can include privatizing costs by shifting them to individuals, privatizing delivery by expanding private providers, and privatizing management within health systems. However, privatization poses challenges to equity, transparency, and universal accessibility of health care. While competition and choice may be reasons for privatization, clear health policy goals and regulation are needed to ensure transparency, accountability, and that core health services remain publicly financed and accessible to all.
Hospital, types, organization & functionSaili Gaude
The document discusses the functions and organization of hospitals. It states that hospitals provide complete healthcare including curative, preventive, outpatient and inpatient services according to the WHO. The document then discusses the different types of hospitals based on size, ownership and objectives. It describes large hospitals as having over 300 beds and lists voluntary hospitals, private nursing homes and corporate hospitals as the main types based on ownership. The document also discusses the different departments and services within hospitals including outpatient departments, inpatient wards, operation theatres, laboratories, dietary services, and hospital administration and support services.
RMC is an approach centered on the individual, based on principles of ethics and respect for human rights, and promotes practices that recognize women’s preferences and women’s and newborns’ needs.
This document discusses the components and planning considerations for inpatient ward design in hospitals. It notes that inpatient wards consist of primary accommodation for patient beds and nursing stations, as well as ancillary, auxiliary, and sanitary accommodation to support patient care. Key factors in ward planning include the hospital policy and functions, staffing patterns, workflow, safety, infection control, and patient privacy and dignity. Recommendations are provided for the size, layout, and facilities of inpatient wards.
M O U N T E V E R E S T H O S P I T A L.Ppts.Ppt H HGopal Kumar
Mount Everest Hospital provides a wide range of medical services as a 100-bed private tertiary care hospital located in Kathmandu, Nepal. It has 25 consultants across specialties and was the first in Nepal to perform a kidney transplant. The hospital has modern diagnostic equipment like CT scans and offers 24-hour emergency services, ICU/CCU units, an operating theater, and inpatient wards. It also has specialized departments like pathology, cardiology, and radiology that provide diagnostic testing.
This document lists 58 different acts and licenses that are applicable to hospitals in India. It includes acts related to building permits, fire safety, biomedical waste, pollution control, radiation protection, storage of alcohol and narcotics, vehicle registration, air pollution control, atomic energy regulation, dentistry, drugs and cosmetics, labor laws, medical practice, nursing, mental health, trade unions, maternity benefits, abortion, wages, disability rights, pharmacy practice, pre-natal diagnostic techniques, human rights, registration of births and deaths, taxation, organ transplantation, hazardous waste management, dental councils, water pollution control, elevators, electricity connections, generators, and government service codes, rules, and acts. The document was provided by
Organizational Structure Of A Hospital[1]jawadorak
The organizational structure of a hospital facilitates efficient management by establishing lines of authority and accountability. Larger hospitals have more complex structures than smaller facilities. Hospital departments are generally grouped into administration services, informational services, therapeutic services, diagnostic services, and support services. Administration oversees budgets, policies and public relations. Informational services handle admissions, billing, records and technology. Therapeutic services provide treatment. Diagnostic services determine causes of illness or injury. Support services maintain supplies and the facility. Understanding the organizational chart helps navigate a hospital's departments and staff.
1. The document discusses the definition, objectives, functions, management, and classification of hospitals. Hospitals are defined as institutions for caring for the sick and injured, curing diseases, training medical professionals, and conducting research.
2. Hospitals have objectives like providing health services, treatment, and education. Their functions include patient care, education, research, and disease prevention. Hospitals are managed by governing bodies and have departments led by directors.
3. Hospitals can be classified by length of stay, clinical focus, ownership, objectives, size, management, and systems. Classification types include general, specialty, teaching, isolation, and ayurvedic hospitals.
Medical Records is a foremost important in the healthcare accreditation bodies like JCI,NABH are very adherent about its documentation,retention and confidentiality.
The document traces the history and evolution of hospitals from ancient Mesopotamia through the Middle Ages. It discusses early hospitals in Mesopotamia, Greece, Rome, China, India, and the development of religious hospitals during the Middle Ages. It then covers the Renaissance period and establishment of some of the earliest voluntary hospitals in England in the 18th century.
Hospital types organisation and functions.Arifa T N
Hospitals are institutions designed to care for the sick, injured, and well. A hospital provides complete health care including curative and preventive services. It serves as a center for training health workers and conducting biomedical research. Hospitals can be classified based on length of stay, clinical focus, ownership, objectives, size, management, and medical system. They perform key functions like patient care, diagnosis and treatment, outpatient services, medical education, research, and disease prevention and health promotion.
IT infrastructure in Indian hospitals is growing but still has room for improvement. Key points:
1. Private hospitals have implemented more IT systems like HIS, RIS, and EMR than public hospitals. Major private hospitals like Apollo and Fortis are investing in integrated IT.
2. Common IT systems used include HIS for administrative functions, RIS for radiology, and some EMR implementation. Specialty clinical systems are less common.
3. Standards need to be established for health IT in India to allow for data sharing and integration. Infrastructure also needs further development, especially in public hospitals.
This document discusses hospitals as systems. It begins by classifying hospitals according to directory, ownership, bed size, nature, and medical system. It then describes the different types of hospitals according to these classifications. The document outlines the key functions and departments of hospitals, including outpatient, inpatient, intensive care, emergency, day care, and operating theaters. It discusses the organizational structure and process flows within hospitals to deliver clinical services and achieve their overall objectives of providing healthcare.
The document summarizes the typical organizational structure of a hospital. Hospitals group departments into five main categories - administrative services, informational services, therapeutic services, diagnostic services, and support services. Within each category are specific departments like nursing, pharmacy, medical records, and housekeeping. Larger hospitals tend to have more complex structures with multiple levels of management, while smaller hospitals have simpler structures. The organizational structure can vary between hospitals.
This document provides an overview of a course on hospital management. It outlines the course objectives which are to understand fundamentals of hospital administration, market research processes, information management systems, and quality and safety aspects in hospitals. It then describes the management functions of planning, organizing, staffing, directing, controlling and coordinating that a hospital administrator must carry out. The document proceeds to outline the course syllabus covering topics like hospital administration overview, human resource management, recruitment and training, supportive services, and communication and safety aspects. It concludes by listing the intended course outcomes and textbooks recommended.
Hospital and it’s organization
Definition, Classification of hospital- Primary, Secondary and Tertiary hospitals, Classification based on clinical and non- clinical basis, Organization Structure of a Hospital, and Medical staffs involved in the
hospital and their functions.
The Factors Influencing the Hospital Utilization9145
The document discusses the main factors that influence hospital utilization, including internal facilities, site, and location. Internal facilities should have modern equipment, specializations, professional staff, good infrastructure, and medical services. The site should have available facilities, appropriate land costs, no nearby similar hospitals, and supportive utilities. The location should be convenient for people through affordable transportation, have nearby emergency services, and supportive amenities while being eco-friendly and avoiding cross-infection. Locality support, facilities, site, and location are essential for hospital utilization.
Hospital Committees are regular standing committees prescribed by regulatory agencies and deemed necessary by hospital administration in formulating policies, coordinating and monitoring hospital-wide activities that are considered critical in the delivery of quality health care services.
These are in contrast to ad hoc committees, department and unit committees.
The clinical establishments (registration and regulation) act 2010 and rules...Dr. Priyanka Srivastava
1. The document discusses the need for regulation of healthcare services in India, as the private healthcare sector remains largely unregulated.
2. It outlines the key aspects of the Clinical Establishments (Registration and Regulation) Act, 2010, which aims to set minimum standards for facilities and services in clinical establishments across India.
3. The Act provides for registration of clinical establishments with state and district authorities, compliance with standards, transparency of charges, and penalties for non-compliance. It is aimed at improving public health outcomes.
Location and layout of hospital, need of hospital to community,planning,factors and data required in planning,fundamentals and objectives,principles,different stages,equipment planning,icu design and layout,quality quantity and temperature and noise control in hospital,conclusion
Hospital administration & Hospital AdministratorNc Das
This document outlines the key aspects of hospital administration. It discusses how hospital administration has evolved from poor houses to complex medical institutions. An effective hospital administrator must balance internal management with community expectations by maintaining positive relations with staff, patients, and other health organizations. The document then provides details on the administrative setup of Dr. RML Hospital, including the roles and responsibilities of the medical superintendent and other positions. It also describes the important skills, roles, and responsibilities required of a successful modern hospital administrator.
Definition of Hospital by W.H.O.
History Of Hospital Development.
Factors Responsible For Development Of Hospitals.
Classification of Hospitals.
Function Of Hospitals.
Factor Affecting Distribution Of Beds.
Factors Influencing Hospital Utilization.
Administration.
Role of Administrator.
Management.
Scaler Principle.
Person reporting directly to Administrator.
Privatization of health care refers to limiting the role of the public sector and defining health care as a private responsibility. This can include privatizing costs by shifting them to individuals, privatizing delivery by expanding private providers, and privatizing management within health systems. However, privatization poses challenges to equity, transparency, and universal accessibility of health care. While competition and choice may be reasons for privatization, clear health policy goals and regulation are needed to ensure transparency, accountability, and that core health services remain publicly financed and accessible to all.
Hospital, types, organization & functionSaili Gaude
The document discusses the functions and organization of hospitals. It states that hospitals provide complete healthcare including curative, preventive, outpatient and inpatient services according to the WHO. The document then discusses the different types of hospitals based on size, ownership and objectives. It describes large hospitals as having over 300 beds and lists voluntary hospitals, private nursing homes and corporate hospitals as the main types based on ownership. The document also discusses the different departments and services within hospitals including outpatient departments, inpatient wards, operation theatres, laboratories, dietary services, and hospital administration and support services.
RMC is an approach centered on the individual, based on principles of ethics and respect for human rights, and promotes practices that recognize women’s preferences and women’s and newborns’ needs.
This document discusses the components and planning considerations for inpatient ward design in hospitals. It notes that inpatient wards consist of primary accommodation for patient beds and nursing stations, as well as ancillary, auxiliary, and sanitary accommodation to support patient care. Key factors in ward planning include the hospital policy and functions, staffing patterns, workflow, safety, infection control, and patient privacy and dignity. Recommendations are provided for the size, layout, and facilities of inpatient wards.
The document discusses the Translating Research into Action (TRAction) Project, which addresses gaps between maternal and child health research and implementation. TRAction has focused on generating evidence around respectful maternity care and approaches to reduce disrespect and abuse during facility-based childbirth. Studies in Kenya, Tanzania, and Guatemala found various forms of disrespect and abuse commonly reported by women, including non-consented care, abandonment, and discrimination. TRAction is now testing promising approaches to promote respectful care and contributing to global efforts to measure and address this issue. However, more evidence is still needed on effective implementation strategies given widespread experiences of disrespect and abuse.
The document discusses the organization and management of inpatient services in a hospital. It outlines the objectives of providing inpatient care, which include providing high quality medical and nursing care, making necessary equipment and supplies available, and ensuring patient comfort. It also discusses planning and organizing the physical facilities of inpatient wards including location, size, patient housing areas, and auxiliary areas. Factors influencing patient care and the roles and responsibilities of the ward sister in management are also summarized.
The document outlines standards for primary healthcare facilities in India called the Indian Public Health Standards (IPHS). It discusses:
1) The need to establish standards to ensure a minimum level of quality, accountability, and effective healthcare delivery across primary care institutions in India.
2) The process used to develop the IPHS, which involved expert committees, stakeholder consultations, and revisions based on facility achievement and state needs.
3) The IPHS provide guidelines for infrastructure, services, manpower, and monitoring at different levels of primary care facilities - subcenters, primary health centers (PHCs), and community health centers (CHCs). Standards are tailored to available resources but aim to improve functionality over time.
1. The document discusses the classification and design considerations of hospitals, including classifications by level of care, size, medical specialists, and ownership.
2. It outlines the main divisions of hospitals including administration, outpatient, diagnostic services, therapeutic services, internal medical treatment, inpatient, and general services.
3. For each division and department, it describes the parts, location considerations, and provides area guidelines based on hospital size and international standards.
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The document summarizes key aspects of transparency under the Clinical Establishments Act (CEA) 2010 in relation to the Right to Information Act 2005 regarding India's healthcare system. Some key points:
- CEA 2010 aims to regulate private healthcare and ensure minimum standards. It allows collecting data from providers.
- It establishes councils at national, state, and district levels to register providers and enforce standards. Registration is initially provisional then permanent after meeting standards.
- Under RTI, information collected under CEA can be made public. This includes provider details, services, charges, and quality/outcome data.
- The goal is to increase transparency around healthcare providers and hold them accountable through a publicly accessible digital
The Clinical Establishments (Registration & Regulation) Act mithun kherdemithun.kherde
The document discusses the history and need for regulation of clinical establishments in India. It outlines key constitutional provisions related to public health and various laws enacted over time to regulate medical professionals and institutions. The Clinical Establishments Act of 2010 was enacted to address ongoing issues of inadequate oversight and create a uniform system for registration, minimum standards, and monitoring of all clinical establishments across India. The Act established mechanisms like the National and State Councils for Clinical Establishments and District Registering Authorities to classify, register, and ensure compliance of healthcare facilities.
The document discusses the Clinical Establishments Act passed by the Indian Parliament in 2010. The key objectives of the act are to prevent quackery by introducing mandatory registration of clinical establishments, establish digital registries of establishments, and improve healthcare quality by prescribing minimum standards. It defines what constitutes a clinical establishment, discusses the authorities and responsibilities established at the national and state levels, and outlines penalties for non-compliance. It also provides details on the minimum standards for basic clinical establishments.
Medical Devices , regulations and e health solutionsshashi sinha
Medical Devices are now regulated in India. It is essential to know about the Medical Devices Regulations and how it is being implemented. Must know for all the manufacturers, importers and Distributors of Medical Devices.
Australia has an annual healthcare spend of $140 billion. This webinar will explain the processes that companies need to go through to sell their products into the Australian hospital system.
The Australian health system is run through a combination of Commonwealth (or Federal) and State government management. Whilst the Commonwealth government sets the regulatory and policy agenda, each state and territory is responsible for the delivery and management of public health services.
In order to sell products into the Australian public hospital system, companies need to understand the different routes to market and processes involved in each state.
This webinar focused on providing UK healthcare & medical companies with an understanding of the different processes involved to sell into each state within the Australian public hospital system. It touched on regulation, reimbursement, procurement processes and advice on developing the market.
Saudi Arabia has the largest healthcare market in the GCC due to high population growth, aging population, and diseases related to lifestyle. The government spends over $28 billion annually on healthcare and aims to increase capacity and quality through privatization, insurance reforms, and regulatory changes. There are many investment opportunities in hospitals, medical cities, specialized care, diagnostics, manufacturing, insurance, education, e-health, and partnerships with international companies. The healthcare sector is moving from a national system to a more private and market-driven system to meet the growing demands of the population.
Health Care and Diagnostics Sector Saudi Arabia - Opportunity Arabia 11, 2014Odyssey Recruitment
This presentation was shown at Opportunity Arabia 11, 2014. It looks at the Saudi Arabian Health Care Sector and the opportunities in this sector for UK businesses. The sector is developing quickly and there are opportunities in all areas but especially high tech medicine, diagnostic equipment, IT and hospital management.
Consumerism, Innovation and Best Practices to Thrive in the Future of HealthJustin Barnes
May 1, 2019 University of Toronto, Dalla Lana School of Public Health, The Institute of Health Policy, Management and Evaluation (IHPME) Keynote speaker Justin Barnes, a health innovation strategist and co-founder of Health Innovation Think Tank, will provide yet another integral perspective focused on the ways in which we can scale up and implement evidence-based changes in health care technology on a global scale. Having testified before Congress on more than twenty occasions delivering statements on virtual care, alternative payment methods, consumerism, connected health and the globalization of healthcare, Justin offers thought leadership for the university, the healthcare community as well as other key stakeholders.
Consumer Driven Health – IHPME Research Day
Looks to the Future of Health Care
The trend towards consumer driven health, whether it be mobile apps, wearable devices, or easy access to electronic health records, is changing the landscape of our health care system and the way we think about care.
This document discusses predictive analytics in China and contains the following key points in 3 sentences:
It provides an overview of China's healthcare system challenges and reforms, the demand for predictive analytics to improve risk adjustment and medical management, and current limited applications of predictive models in China including disease risk prediction and small-scale DRG and spending prediction research studies. Data sources in China have coding and collection inconsistencies across regions that pose challenges for predictive modeling applications.
This document discusses predictive analytics in China and contains the following key points in 3 sentences:
It provides an overview of China's healthcare system and the demand for predictive analytics to address challenges like risk adjustment for rural healthcare budgets and risk-based physician payment systems. It also describes current limited applications of predictive modeling in China including disease risk prediction models and small-scale DRG feasibility studies not yet commercialized. Data sources and coding conventions used in China's healthcare systems are outlined along with opportunities and challenges for further development of predictive analytics.
Principle, Scope, Nature and Administration of Health Services in Nigeria
(block posting lecture presented to final year medical class of University of Port Harcourt on thursday 31/05/18)
Accelerating Clinical Research For Inclusive DevelopmentGopalkrishna Pai
The document summarizes challenges facing clinical research in India, including a lack of universal healthcare access, low participation in clinical trials, and issues with ethics committees. It outlines steps to make research more inclusive, such as regulatory approvals, informed consent processes, and safety monitoring. However, it notes that ethics committees lack independent oversight and accountability. For research to progress ethically, it recommends improving training, transparency, and preventing conflicts of interest.
The document discusses minimum standards for Ayurvedic clinics, dispensaries, and therapy centers according to the Clinical Establishments Act of 2010 in India. It outlines requirements for space, staffing, equipment, and facilities. Clinics must have a doctor and support staff. Dispensaries require pharmacy services in addition. Therapy centers need more space and equipment for treatments. Record keeping, licensing, and financial transparency are also mandated. Standard templates are provided for registration, examination, medical certificates and more.
The document provides an overview of different frameworks for conceptualizing health systems. It describes the World Health Organization's definition of a health system as including all organizations, people, and actions aimed at promoting, restoring, or maintaining health. It also outlines WHO's six building blocks of a health system: service delivery, health workforce, information, medical products/vaccines/technology, financing, and governance. Additionally, it summarizes key components of health systems from the perspectives of the World Bank, including financing, payment, organization of service delivery, regulation, persuasion, politics, ethics, and values.
The document discusses Conditions of Participation (CoPs) and Conditions for Coverage (CfCs), which are health and safety regulations that must be met by Medicare and Medicaid providers. The CoPs help ensure high quality care and quality improvement. CMS establishes CoPs or CfCs for various healthcare organizations and provider types. Revisions are made to the CoPs in response to statutory changes, administration policies, national issues, medical practice changes, and other factors. Current priority issues in revising the CoPs include reducing healthcare acquired conditions, avoidable hospital readmissions, regulatory burden on providers, and improving antibiotic stewardship.
Dr. Ostrovsky describes the promise and concerns surrounding the precision medicine initiative and the importance of taking into account all determinants of health.
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Regulations , Standards & Codes “CLINICAL ESTABLISHMENT ACT” I.P.H.S and UCPMP by Dr. Mira Shiva MD
1. Using Law to Ensure Reproductive and Sexual
Health Rights
Regulations , Standards & Codes
“CLINICAL ESTABLISHMENT ACT”
I.P.H.S and UCPMP
Dr. Mira Shiva MD
Initiative for Health & Equity in Society
Consumer Representative in National Council for CEA
Organised by
Human Rights Law Network (HRLN)
At
Jaipur
5-6th Dec 2015
Address: Initiative for Health & Equity in Society
A-60 Hauz Khas, New Delhi 110016
E-mail: mirashiva@gmail.com
PH 919810582028,01126512385
3. Acts
Clinical Establishment Act .
Mental Health Act .
Medical Council of India Act
Consumer Protection Act
Maternity Benefits Act
PCPNDT Act
MTP Act
4. Standards
Only for Public Sector
Indian Public Health Standards
for
Sub centre
Primary Health Centre (PHC)
Community Health Centre (CHC)
Sub District hospital
District Hospital
5. National Guidelines
National Guidelines for
Biomedical Research in Human
Subjects
National Guidelines for Stem
Cell research &
Therapy(DBT,ICMR) 2006
National Guideline for
Biomedical Research
(DBT,ICMR 20140
7. Exploitatation & Profit Making
Mega Imaging Path Lab Centre Yusuf Sarai
functioning for several years .Lab
reports signed by Dr Anu Kundra MD
Pathologist.
She had left centre 3 years earlier.
Lab reports being given when equipment
for the tests did not exist .
Medical Treatment given on the basis of
lab reports
8. Clinical Establishments
(Registration & Regulation)Act
2010
“The Supervision and Regulation
of the Quality of services
provided by the health care
delivery system to the people by
both public & private sectors has
remained a contentious and
unresolved issue .”
9. “The Private sector health care
delivery system in India has
remained largely unregulated &
uncontrolled . Problems range from
inadequate and uncontrolled
treatment , excessive use of
higher technologies , and wasting
of scarce resources to serious
problems of medical Malractice and
Negligence .”
10. CEA Rules 2012 Section 9(ii)
“The Clinical Establishments
Act shall charge the rates for
each type of procedures and
services within the range of
rates determined & issued by
the central Government from
time to time , in consultation
with the State govts .”
11. Exploitatation & Profit Making
Mega Imaging Path Lab Centre Yusuf
Sarai functioning for several
years .Lab reports signed by Dr
Anu Kundra MD Pathologist.
She had left centre 3 years
earlier.
Lab reports being given when
equipment for the tests did not
exist .
Medical Treatment given on the
basis of lab reports
12. Clinical Establishment Act
Present Health Context
- Health Budget 1.2%
- 80% Out of Pocket Expenditure Out Patient, 60%
in patient
- Increasing privatization, commercialization,
corporatization of Medical Care
- According to NSSO Medical Care 2nd commonest
cause of rural indebtedness
- Erosion of concept of Comprehensive Health
Care
- Alma Ata Charter
- Importance of Determinants of Health
- Social Sector Budget cuts
13. - Focus on Currative Care rather than preventive
promotive
- Shift from Universal Health – Universal Health Care -
Terteriary Care
•Increasing costs of medical care, Diagnostics,
Medicines, Medical Devices
•Exploitation in the name of medicine by overcharging,
substandard care, exploitative care, increasing
Caesarian, increasing Hysterectomy
• Not following standard treatment Guidelines (STG)
•Result emergence of antibiotic resistance, Adverse
reaction, Complications, Hospital Infections
• Sterilization deaths, Bilaspur
• Maternal deaths in Umed Hospital, Jodhpur
14. Corruption
-demand for bribes, oiling of palms for hospital admission
- Death certificate for release of Body
-Increasing Medical Touts for Kidney Transplants
-Payment of Commission to doctors
-For prescribing lab test from specific Diagnostic labs
Specific costly brand
-Drugs of specific Pharma company for specific Chemist
For referral to specialists
-Medical Care – commodifications, growth of medical market
Increasing Capital investment in medical care market for
profits
- Hospital chains
- Pharmacy chains
- Diagnostic Labs
15. - Speculation, Growth in capital
intensive Medical Care Model
- Increasing Medical Tourism –
Heart surgery, Hip replacement
- Reproductive Tourism, Surrogacy
Cosmetic Surgery
16. Growth of medical industrial complex
- Clinical Trials – Pharma sponsors
- Private Medical Insurance
- Medical Device Industries
- Pharmaceutical industry
- Diagnostic
-Medical Device Industry
Public Private Partnership
Public payment / liability
Private profits
Public state support of private insurance
Dismantling of Institutions
NNMB – National Nutrition Medical Bureau
17. Unresolved Issues
•Shortages of qualified trained doctors, Nurses, specialists –
concerns about meeting
•Inadequate Health budget for medical equipment, medicines,
incubators, ventilators, Beds
•Role of Para medicals
•Physiotherapists
•Chemists prescribing medicines in absence of prescribing
doctors
•High costs of medical consultation
•Medicines given influenced by Commission offered by Pharma
companies
•Status of unqualified inadequately trained practioners, in absence
of health care facilities and personnel close down? Punish?
18. Concerns
•In absence of adequate Health Budget Government health institutions being
unable to meet standard
•Smaller private institution being unable to meet standards, including mission
hospitals
•Continued exploitation of patients by certain commercial corporate private
medical institution
•Wiping out of smaller institutions as corporate hospitals chains and speculation
in medical care investment seen as business opportunity
•Increase in costly high tech capital intensive medical care in the name of high
standards
•Implementation and monitoring of CEA requires adequate budget personnel
Medical Council of India Act } have failed to protect and give justice to
Consumer Protection Act } aggrieved patients
Failure of Medical Council of India and Consumer Protection Act to protect
patients and their rights
19. •Increasing commercialization privatization of medical
education
•Pharmacy, Dental, Nursing education
•Sales of medical admission seats eg. Vyapam scam
•Misuse of Mental Health Act – false certificates to
incarcerate sane women, elderly parents in Mental
Asylum
•National Guideline for Stem Cell research (Therapy
deleted)
•ICMR DBT (earlier National Guideline for Stem Cell
included Research & Therapy)
•In CEA Patients Rights not included
•No provision of Grievance Redressal System
20. Clinical Establishments Act, 2010
• For Registration and Regulation of the clinical establishments (except those
of Armed Forces) with a view to prescribe minimum standards of facilities
and services so that mandate of article 47 can be fulfilled
• The Parliament legislated the Clinical Establishment Act (Registration &
Regulation) in pursuance of the resolutions passed by the legislatues of
the states of Arunachal Pradesh, Himachal Pradesh, Sikkim and Mizoram
under clause (1) article of 252 of the constitution.
• Act passed by Parliament : 17th August 2010
• Act Notified on 1st March, 2012.
• National Council notified: 19th March, 2012
• Central Rules notified : 23rd May, 2012
21. Applicability
• States - Arunachal Pradesh, Himachal
Pradesh, Mizoram and Sikkim and 6 Union
Territories
• States who have adopted the Act - Uttar
Pradesh, Uttarakhand Rajasthan, Bihar and
Jharkhand
• Such other States who may adopt this Act under
clause (1) of article 252 of the Constitution.
22. Definition: Clinical Establishment
(i) a hospital, maternity home, nursing home, dispensary, clinic,
sanatorium or an institution by whatever name called that offers
services, facilities requiring diagnosis, treatment or care for
illness, injury, deformity, abnormality or pregnancy in any
recognized system of medicine established and administered
or maintained by any person or body of persons, whether
incorporated or not; or
(ii) a place established as an independent entity or part of an
establishment referred to in sub-clause (i), in connection with
the diagnosis or treatment of diseases where pathological,
bacteriological, genetic, radiological, chemical, biological
investigations or other diagnostic or investigative services with
the aid of laboratory or other medical equipment, are usually
carried on, established and administered or maintained by any
person or body of persons, whether incorporated or not,
23. Cont.…
and shall include a clinical establishment owned,
controlled or managed by
(a)Government or a department of the Government;
(b) a trust, whether public or private;
(c)a corporation (including a society) registered under
a Central, Provincial or State Act, whether or not
owned by the Government;
(d) a local authority; and
(e) a single doctor
24. Salient Features & Benefits
• Coverage - All clinical establishments - including diagnostic
centres and single doctor clinics, across all recognized systems
of medicine in both public and private sector.
(exception: establishments of the Armed Forces)
• Registry: Digital registry at National, State & District level to
aid in policy formulation and resource allocation
Standard Application Form
Application for registration by post, in person or online
Website www.clinicalestablishments.nic.in functional
Implementation by District Registering Authority under
Chairpersonship of District collector. The authority has power
to inspect, grant, suspend and cancel registration
Appeal goes to the State Council
25. Cont’d
Provisional and Permanent registration
Every clinical establishment has to be registered. Norms
required to be met prior to registration include
(a) minimum standards of facilities and services; and
(b) minimum qualifications for the personnel.
(c) Provision and maintenance of records and reports
(d) Any other condition that may be prescribed
National Council for clinical establishments through multi
stakeholder participation and consultative process would
classify clinical establishments into different categories and
determine minimum standards and their periodic review,
determine the statistics to be collected and compile and
publish national register
26. Cont’d
Mandatory for every clinical establishment to provide treatment
“with in the staff and facilities available” to stabilize the emergency
medical condition.
Details of charges, facilities available would be prominently
displayed by each establishment at a conspicuous place at each
establishment
Electronic medical records and EHR
• Clinical Establishments shall charge the rates for procedures and
services with in the range of rates determined by the Central
Government from time to time in consultation with the State
Governments.
• Compliance to Standard Treatment guidelines as may be issued by
Central/State Govt. to be ensured by CEs.
• Penalties: Monetary/ suspension or cancel of registration
27. Benefits
• Comprehensive Digital Registry of clinical establishments
– Policy formulation
– Better surveillance, response and management of outbreak & public health emergencies
– Engagement with private providers
Uniform standards for a category
Transparency: process of registration & data in public domain.
Multi stakeholder participation in institutional mechanisms
(National & State Councils, District Registration Authority)
Effective Regulation of providers.
Improved quality of health care and patient safety
Deterrent against quackery
Better management of Emergency medical conditions
Details of charges, facilities available would be prominently
displayed at a conspicuous place at each establishment
29. Dedicated website
(www.clinicalestablishments.nic.in)
Online registration functional in the States of
Jharkhand, Himachal Pradesh and UT of Daman
and Diu and Chandigarh.
Nodal Officers in the states
Draft State Rules were circulated for guidance
Secretariat for National Council set up
Budget for implementation through NRHM
Work initiated for standards of EMR and HER
31. Nat. Council for Clinical
Establishments
Preparatory work
Existing standards reviewed to identify the gaps.
Indian Public Health Standards (IPHS) revised
Revised two Bureau of Indian Standards (BIS) documents
for upto 30 bedded Hospitals and upto 100 bedded Hospitals.
Developed Guidelines on Daycare Centers and Wellness
Centers
Developed and finalized
Application form for provisional registration,
Certificate of Provisional Registration,
information to be displayed by the Clinical establishments
32. Cont.d
A survey of clinical establishments in 61 districts in
the implementing states
Subcommittees of National Council
Categorization and Classification of Clinical
Establishments
Development of StandardTemplate of Minimum
Standards
Developing Minimum Standards
Information and Statistics to be collected from
Clinical establishments
Defining the range of rates of procedures and
services
33. Progress
Mandate Status
States repealing existing
legislations and enacting own acts
on lines of CEA, 2010
Maharashtra, & Goa are in the
process of repealing existing
legislation & enacting one on the
lines of CEA with modifications.
States enacting legislations where
there was no legislations
Kerala, Gujarat, Punjab, Haryana &
Meghalaya are in the process of
enacting legislation on the lines of
central act with modifications
Notification of State rules Notified by – Arunachal Pradesh,
Himachal Pradesh, Bihar,
Jharkhand, Sikkim, Andaman &
Nicobar Islands, Daman, Diu,
Dadar Nagar Haveli, Puducherry,
Uttarakhand
34. Cont…
Mandate Status
Notification of State / UT
council
Notified by – Arunachal Pradesh, Himachal
Pradesh, Bihar, Jharkhand, Rajasthan, Sikkim,
Andaman & Nicobar Islands, Lakshwadeep,
Daman, Diu, Dadar Nagar Haveli, Puducherry,
Uttarakhand
Notification of District
Registration Authorities
Notified by - Arunachal Pradesh, Himachal
Pradesh, Bihar, Jharkhand, Sikkim, Andaman
& Nicobar Islands, Daman, Diu, Dadar Nagar
Haveli, Puducherry. Rajasthan, Uttarakhand
Provisional Registration Online registration in Himachal Pradesh,
Jharkhand and UT of Andaman & Nicobar
Islands, Daman & Diu.
Offline registration in Sikkim Arunachal
Pradesh & Lakshadweep.
35. Cont…
Mandate Status
Categorization & Classification of
Clinical Establishments
Completed and approved by
National Council
Standard Format for Minimum
standard
Completed and approved by
National Council
Development of Minimum
Standards for Clinical
Establishments
Developed draft for 34 specialties/
super-specialties and major
categories of allopathic CE and 7
categories of AYUSH uploaded on
website for
comments/suggestions.
Information & Statistics to be
provided by Clinical
Establishments
Formats Drafted
1. OPD Form
2. IPD Form
3. Lab and Imaging
Fixing of rates & charges Separate sub – committee
engaged in process
36. Cont…
Mandate Status
Standard Treatment Guidelines
(STG’s)
STG’s for 20 medical domains
developed and AYURVEDA
uploaded on the website
Providing technical assistance and
financial resources
MOHFW, GOI providing technical
assistance to the States for the
implementation through continuous
communication, meetings and visits
to the States and UT’s
Provision of budget for
implementation of the Act & Rules
by the States/UT has been made
through State PIPs from NRHM.
Sensitization & Advocacy and
Training workshops
Stakeholders consultation and
awareness meetings held at
various levels. Recently at
Jharkhand
37. Standard Treatment Guidelines
1. Cardiovascular Diseases
Part - 1
2. Critical Care
3. Gastroenterological
Diseases
4. Obstetrics and Gynaecology
5. Haemodialysis
6. Ophthalmology
7. ENT
8. Orthopaedics
9. Medicine (Respiratory)
10. Medicine (Non Respiratory
Medical Conditions)
11. Paediatrics & Paediatrics
Surgery
12. General Surgery
13. Interventional Radiology
14. Oncology
15. OrganTransplant - Liver
16. Urology
17. Laboratory Medicine
18. G. I. Surgery
19. Neurology
20 Endocrinology
38. Cont…
Mandate Status
Comments invited on Draft Documents
(in pipeline)
i) . Minimum Standards
ii).Application format Permanent
Registration
iii). Information & Statistics to be collected
from Clinical Establishments
iv).Template of Display of Rate
v). StandardTreatment Guidelines of
Ayurveda
Comments invited from
1. Members of public through
websites for 1 month and 7
days
2. State Governments
3. NationalCouncil and
respective Subcommittees
Comments compiled and
discussed with respective
specialities / superspecialities ---
Drafts being finalized for
approval
Attempts by allied health personnels like
medical technologists, medical
microbiology, medical biochemistry to
work as independent practitioners
not agreed
40. CEA Covers
Recognized system of medicine :
Allopathy
Homoeopathy
Ayurveda, Siddha and Unani
Naturopathy
Yoga
Any other system of medicine recognized by GOI
Definition of a clinical establishment –hospital,
maternity home, nursing home, dispensary, clinic,
sanatorium, laboratories, radio-imaging centres
41. CEA Covers
Owned, controlled or managed by:
1. The Government or a department of the
Government
2. A trust, whether public or private
3. A corporation (including a society) registered
under a Central, Provincial or State Act, whether
or not owned by the Government or local
authority
4. A single doctor
Only exception - establishments run by the
Armed forces.
42. Some positive features
StandardTreatment Guidelines
Charges by hospitals will have to be within the range
decided by the government, after following consultative
process with stakeholders including representatives from
doctors.
Clinical establishments will have to display charges for
some of the typical main items like consulting charges,
room charges etc.
Electronic record maintenance
Minimum standards for Clinical Establishments
43. Clause 12- Condition for
registration
For registration and continuation, every clinical
establishment shall fulfill the following
conditions, namely:—
(i) the minimum standards of facilities and services
as may be prescribed
(ii) the minimum requirement of personnel as may
be prescribed;
(iii) provisions for maintenance of records and
reporting as may be prescribed;
(iv) such other conditions as may be prescribed.