Healthcare Business

1. Setting Up &
Operation of
Medical Centre-
Kenya
28 APRIL 2020
LESTER CHAWIYAH

2. Outline
▪Introduction
▪Guidelines & rules of operation /Licensing Bodies in Kenya
▪Choosing a Location of Business
▪Services & Infrastructural Requirements-Medical Clinic or Centre
▪ Business Registration
▪Procurement
▪Planning /Staffing the facility
▪ Planning Inspection of facility
▪Submit Documentation KMPPDB/NCK
▪General operations
▪Establish Partnerships

3. Guidelines & rules of
operation in Kenya
GUIDELINES AND RULES
➢Health Laws
➢Kenya Registration and Licensing fees
➢Nursing Council of Kenya
➢KMPPDB_ Online portal
➢Respective county government regulation _premise licensing ,
marketing and advertisement ,waste management /incineration
Ref:
Health Laws http://medicalboard.co.ke/resources/HealthLaws__AmendmentActNo.5of2019.pdf
Fees_ http://www.medicalboard.co.ke/resources/fee-payable
License _https://osp.nckenya.com
http://osp.medicalboard.co.ke
https://www.kmpdc.go.ke/resources/KMPDC_OSP_Procedure_Manual_Facilities
http://physiocouncilkenya.org/index.php/our-services/registration/
https://www.kndi.institute/
REGULATORS
1. KMPPDB
2. Nursing Council of Kenya
3. Clinical officers Councils of Kenya
Other
1. Kenyan Pharmacies and Poisons board Kenya (KPPB)
2. Kenya Laboratories and Laboratory Technicians Board of
Kenya (KLLTB)
3. Physiotherapy council of Kenya
4. Kenya nutritionists and dieticians institute

4. Location of Business
Criteria for selecting health care sites
1. LOCATION, LOCATION, LOCATION
2. There must be a clear drainage system and accessibility to the facility -Accessibility and size -premise/ land that
can accommodate their current and projected square-footage needs, parking infrastructure
3. Essential needs _Toilet, Water , electricity ,Proximity to incineration (sign agreement with county hospital
/dispensary )
4. Market Competition /differentiator
5. Cost Controls
✓ Note : properties in the most desirable, convenient locations will cost more than their counterparts in more out-of-the way locales
✓ Strict or tight budget may have to compromise on property location, size or both to make their vision a reality
✓ Lease agreement (5 -10 year )
✓ Room for expansion

5. Service & Infrastructural
requirements-medical clinic
Services offered
1)Provide Basic outpatient services(mandatory)
2) Emergency services (mandatory)* emergency tray/ first aid kit
3) Minor surgical procedures
4) Basic Laboratory services (optional)
5) Outreach services (optional)
Ref :
Facility inspection Checklist: http://medicalboard.co.ke/resources/level2.pdf
Layout
1) A reception/customer care
2) Pay point area (teller)
3) A Consulting Room
4) A treatment/observation/procedure area
5) A health information management system
6) Storage area/cabinets
7) Waste segregation bins (at least 3 bins with corresponding bin
liners)
8) Proof of contract with a licensed waste disposal company
9) CCTV system (optional )
10) Adequate lighting and ventilation

6. Business Registration
Name search and registration of name
Business Registration Certificate
◦ Sole proprietor
◦ Company
◦ Partnership
Ref: Kenya e Citizen_https://www.ecitizen.go.ke

7. Procurement
Make a list of expected equipment /drugs based on inspection checklist
◦ Proper Designing of the clinic /Medical Centre of proper space utilization
◦ Furniture
◦ Medical Health records _Manual or electronic –Health records /financial records
◦ General Equipment
◦ Essential medical Supplies –use Essential drug supply list /common ailments
◦ Occupational health safety equipment
◦ Fire safety equipment and signage
◦ Installation of directional signage
◦ Marketing aids (brochure)
Ref:
Kenya medical - Level 2 Inspection checklist : http://medicalboard.co.ke/resources/level2.pdf
Essential drug supply list : http://www.health.go.ke/wp-content/uploads/2020/03/Kenya-Essential-Medicines-List-2019

8. Planning /Staffing the facility
1.) At least one of the health practitioner below; for a medical facility
◦ a) A medical specialist
◦ b) A medical practitioner
◦ c) A clinical officer
◦ d) A registered Nurse/ a mid-wife
2. Support staff:
◦ a. Receptionist
◦ b. Security

9. Planning Inspection of facility
1. Visit Sub county to establish relationship with Team (Sub County / District Health Management Team (DHMT)
2. Through District Public health officer /DPHN /Public health Nurse- Schedule pre inspection visit
3. Pay County inspection fee _KES 1000 - 2000
4. Schedule an inspection with Sub County / District Health Management Team (DHMT)
5. Plan to pay incentive for inspection
6. Work on identified gaps / Follow up for Inspection Reports

10. Submit Documentation
KMPPDB/NCK
1. Obtain forms filled in and duly signed by :Area Medical Officer of Health or the Provincial Medical Officer (PMO).
2. Submit separate inspection report with relevant details signed by the inspection team. Retain copies for facility records)
3. Certified copies of professional qualifications of all medical personnel working therein e.g. Private Practice License for
doctors and nurses and their Registration Certificates.
4. Provide (signed by relevant authorities) building architectural plans for :
a. Nursing home /hospital
b. mortuary/storage facilities for dead bodies
5. Pay for registration and licensing fees (KES 25000 for a clinic )
6. Wait for licence in 3-4 weeks (this can be downloaded in regulatory website)

11. General Operation
▪Use Evidence based care-clinical guidelines
▪Quality Time with clients and Maintain Ethical practices
▪Quality drugs stocks : Select 3-4 flexible drug supplier
▪Keep records of maintenance of equipment & Inventory of supplies In and out (Inventory apps/excel or manual
▪Book keeping Manual /electronic
▪Banking daily income and Operational cost containment : Record daily expenses /controls
▪Timely file KRA returns
▪Indirect marketing (education , patient provider relationships , follow up )
▪Maintain relationships :
◦ Follow on client –Call to check on clients
◦ Treat at optional cost /minimal profit
◦ Follow up on referrals
◦ Pay staff salaries on time

12. Other important
5. In case of Hospitals
a) A pharmacy run by a qualified pharmacist/pharmaceutical technologist MUST be in place.
b) A laboratory run by a qualified Laboratory Technologist MUST be in place or reference lab
c) MUST pay relevant fees applicable in each category (New categories attached)
Note :
It is the RESPONSIBILITY of the Proprietor /Administrator/Director to ensure that:-
a) The facility is kept clean
b) Institution licence is up to date
c) Health professionals working therein are registered/ licenced appropriately

13. Establish Partnerships
oCommunity Members /Area chief /Coummunity engagement in health initiatives (Education /community health
programs )
oNHIF and other insurances
oNGOs (Tunza /Amua /KMET/PPFA/
oFranchising in health (less control )
oFinancial institutions -Banks - for financing
oSafaricom –For M-pesa Till /Paybill Number
oKopo Kopo – Mass Messaging
oRed Cross – Ambulance services
oFranchising /partnership with franchises for expansion
oPublic Private Partnerships

14. Thank You