Statement of Capability June 2015

Statement of Capability Page 1
STATEMENT OF CAPABILITY
AND
PROJECT HISTORY
CK Reg No 98/60772/23
Effective HEALTHCARE SOLUTIONS AFRICA cc
SERVICES:
Consulting
Planning
Design
Project Co-ordination
And Management
Procurement and
Supply of Medical
Equipment and
Associated Products
Local and Export
RESUSSI-CARE DIVISION
P.O.Box 4251, Halfway House, P.O.Box 6459, Zimbali
1685.Gauteng, South Africa 4418,KZN, South Africa
Tel: (27)(11) 310 1170 082 761 8766
Fax: (27)(11) 310 1073 0866138092
Email:admin@ehsa.co.za mcowan@ehsa.co.za

EHSA offers both consulting and project management services to healthcare industry
clients. Essentially, these services are relevant to existing healthcare or green field
projects and encompass Nursing dynamics, Standards, Policies and Procedures,
Controls and Systems, CAPEX medical & Non-medical - Budgeting, cost accounting,
planning,specification,procurement and commissioning. EHSA has successfully
completed 31 healthcare projects throughout Africa and has consulted in the following
facets: Emergency Medical Services( equipping of Basic, Advanced , Air Ambulances
and Mining Proto-teams) Primary Healthcare (including mobile, fixed and containerized
clinics), Acute (Public, Private, NGO and Specialized), Academic hospitals (Public &
Private) and Triple P projects (Public-Private Partnerships).
Our objective is to facilitate and ensure the delivery of comprehensive, cost effective and
integrated, healthcare, appropriate to the prevailing needs of the surrounding
community, in partnership with all the relevant stakeholders. In achieving its objectives,
EHSA utilises its employees` medical background and expertise to achieve a high
standard of proficiency and success.
As a consultancy-based company, EHSA not only provides expertise based on
extensive experience as healthcare professionals, but is also able to maintain an
impartial approach in the evaluation of the clients needs. EHSA can,therefore, utilise
associate specialists in meeting a broad spectrum of requirements.
MISSION STATEMENT
Effective Healthcare Solutions Africa (EHSA) is committed to:
o Supporting the concept of social upliftment of the disadvantaged peoples of
Africa through medical expertise, knowledge and service.
o Identifying the needs of clients in order to execute effective solutions through the
provision of professional consulting, expertise, knowledge and advice.
o Sourcing and supplying specialised equipment to the healthcare industry through
an extensive network base
o Ensuring total commitment and extensive after-sales support to all clients

ETHOS
EHSA`s commitment to its clients and to the healthcare industry in Africa, extends to its
support for upliftment projects that are aimed at assisting the disadvantaged people of
Africa. This commitment is further highlighted in EHSA`s ethos:
“ At the end of the line- there is a patient”
MAUREEN ADELE COWAN: NURSING, PROCUREMENT, NURSING STANDARDS AND
DYNAMICS, HOSPITAL COMMISSIONING
Maureen is a founder member of EHSA with 40 years experience in the Healthcare
Industry. She holds several Nursing Diplomas from Johannesburg Hospital, namely a
Diploma in General Nursing and Midwifery and a Diploma in Intensive Nursing
Science.She was employed as a student nurse in 1975 and worked her way through the
ranks as a Junior Sister, Senior Sister and ended her nursing career as a Chief
Professional Nurse (Senior Matron) in the Intensive Care Units. During her time in the
Surgical Intensive Care Unit, she was actively involved in flying for the “Flight for Life” Air
Ambulance Service.
On account of her specialized experience, she was invited to deliver research papers on
various aspects of Intensive Care at a number of Medical Congresses. She also
qualified as an Emergency Medical Assistant in 1993. She has since extensively
researched the needs of the Health Care Industry.
Maureen has proven herself by successfully Project managing 31 Health Care projects
in Africa.
PROFESSIONAL QUALIFICATIONS:
Registered Nurse, Registered Midwife (1978)
Diploma in Intensive Nursing Science (1981 - Johannesburg Hospital, South Africa)
Business Development course (1989 - Wits Business School, South Africa)
Emergency Medical Assistant Diploma (1990 - UCB Criticare, Johannesburg, South
Africa)
Professional Staff Compliment
Nursing Consultants: 3

HOSPITAL EXPERIENCE
University/Academic South Africa:
 UCT Medical Center, Groote Schuur Hospital, Cape Town (120 beds)
 The Wits University Donald Gordon Medical Center, Johannesburg (200 beds)
 McCord Hospital, Durban (200 beds).
 The Doctor George Mukhari Academic Hospital (1650 beds)
Private Sector:
 Kiaat Private Hospital –South Africa
 Mthatha Private Hospital – South Africa
 Trauma Center and well Womans Clinic- Tanzania
 Trauma Center – Zimbabwe
 Trauma Center and well womans Clinic - Maputo
 Nzeto Clinic - Angola
 SOS International Mine Hospital - Mali
 Bulumbulu Mine Hospital - Tanzania
 Diagnostic Day Care Centre - Tanzania
 Baines Avenue Cardiac Clinic - Zimbabwe
 Baines Avenue Trauma + Emergency Rooms Zimbabwe
 Baines avenue Laboratory - Zimbabwe
 MRS clinic - Malawi
 Gynecology and Obstetric clinic - Zimbabwe
OTHER RELEVANT AND RELATED EXPERIENCE:
 Consulted to Mitsubishi trading house for there bid preparation for the upgrade
of 9 public hospitals in South Africa and 4 public hospitals in Swaziland
 Consulted to the Wits University Donald Gordon Medical Center;
Refurbishment of a 129 bed Mission Hospital into a Private State of the Art

Academic Hospital Needs Analysis,Design review,Specification and Tender
requirements Procurement and co-ordination of equipment installation and
training of staff and compilation of Maintenance Contracts. Full Commissioning
of the new facilities including 15 bed ICU, Emergency Rooms, Minimally
Invasive Access Theatre, Neurosurgery Laminar flow theatre, Vascular
laboratory theatre, upgrade of 7 theatres CSSD and paediatric and adult
Oncology unit. Standardization of Specialized disposables and consumables,
Standardization and forms review of charge sheets and order sheets and stock
control systems. Implementation of policies, procedures and protocols.
Implementation of the integrated Care paths for the nursing department.
Procurement and setting up of General Store. Tender specification and
adjudication of all outsourced service providers.
 Consulted to the Kwa Dukuza Independent Practitioners Association to
conduct a feasibility study and strategic plan for an independent Private
Hospital in the Stanger region
 Researched and compiled a concept document with regard to Primary
healthcare and community development.
 Sub-contracted to assist Health Partners to perform a due diligence at
Clinique, Biasa, Lome, Togo
 Consulted to the African Medical Investments PLC group i.r.o Forensic
auditing, Equipment verification and strategic equipment roadmap for the
group
 Sub-contracted to Health Partners for a management contract with African
Medical Investments PLC.group. Asset management, Equipment assessment,
budget submissions, procurement and Commissioning of Harare
project.Researched and recommended Policies and procedures for group
implementation.
 Sub-contracted to Health Partners : Audit of Duff Scott Hospital Stillfontein.
Review of outsourced providers' contracts. Design review. Preparation of
inventory lists and data capture. Meetings with Doctors and staff. Review of
services to be provided.
 Consulted to the Driver Group Consortium for Transaction Advisory Services;
Feasiibility Study for a proposed Tripple P project for the Dr George Mukhari

There are 5 Phases in the project lifecycle that EHSA contributes to are as follows:
 Phase 1 – Strategic Planning
 Phase 2 – Facility Planning
 Phase 3 – Pre-Procurement
 Phase 4 - Procurement
 Phase 5 – Commissioning
Strategic Planning Phase :
The following aspects of strategic planning are covered within this phase:
a) Facility configuration, speciality & services planning.
b) Model of care provision recommendations.
Academic Hospital in South Africa, for the Gauteng Provincial Government
and the DBSA.
 Sub-contracted to Nozala Health Partners for a 52 bed Private State of the Art
Hospital project, in Mthatha ;Needs Analysis, Design review, Specification and
tender requirements Procurement and co-ordination of equipment installation
and training of staff and compilation of Maintenance Contracts. Full
Commissioning of the facility including outsourcing of services e.g.Linen,
Laundry, security (Guards and electronic) Cleaning (incl. Hygiene, specialized
cleaning) Pest control,waste Management,Catering,Interior decorating, plant
hire,
 Sub-contracted to Nozala Health Partners for a 125 bed Private State of the
Art project in Nelspruit; Needs Analysis, Design review, Specification and
tender requirements Procurement and co-ordination of equipment installation
and training of staff and compilation of Maintenance Contracts. Full
Commissioning of the facility including outsourcing of services e.g.Linen ,
Laundry, security (Guards and electronic) Cleaning (incl. Hygiene, specialized
cleaning) Pest control,waste Management,Catering,Interior decorating, plant
hire.
PROFESSIONAL COMPETANCY:

c) Consultation
d) Needs Analysis
e) GAP and Root Cause Analysis
f) Solutions Analysis
g) Corrective Action Planning
h) Narrative Brief
i) Functional Brief
j) Design review – pre-concept design
k) Initial Equipment Budget Preparation
Phase 2 – Facility Planning
A. Functional Brief
Planning in this context refers to the early stage of design development where the scope
of the project is still fluid. It is critical at this stage to cement the model of care to be
delivered at the facility. The deliverable will be a functional brief detailing the model of care
to be provided, incorporating the following breakdown for each Health Planning Unit, both in
clinical and support services:
a) Service Profile
b) Functional content
c) Functional relationships
d) Operational Policies
e) Design Requirements
f) Schedule of Accommodation
B. Patient Journey
The patient journey will be planned along the different patient pathways to be undertaken
i.e.

a) Emergency admission (self presenting)
b) Emergency admission (referred)
c) Emergency admission (level )
d) Elective admission (referred)
e) Planned Day Patients (out-patient referred)
f) Planned admission (In-patients referred)
g) In-patients (self presenting)
h) Out-patient (referred)
i) Rehabilitation (out-patient referred)
j) Rehabilitation (in-patient referred)
C. Design Review
The architectural plans will be work-shopped and reviewed within the context of design
objectives and legal requirements including access, flows, processes and level of
services to be provided; clinical, non-clinical and support.
Phase 3 – Pre-Procurement
“Pre-procurement” is the process that mirrors the detail development of the physical plan
by the architect. During this process, the equipment, furniture, fittings and soft
furnishings, required in each room are considered and discussed with user departments
as well as the design team and then annotated. The final product of this phase is room
data sheets, designating the room, detailing equipment type and specification and the
building services required for the optimal functioning of the devices. This data is also
made available in the form of a procurement list with specifications in order to advance to
the procurement phase. The budget is re-planned and reworked, taking cognizance of
end-user requirements.
EHSA’s contribution at this stage is through the deliberation of the mix of services

proposed, the layouts of individual departments and the impact that these decisions
would have on Equipment and Equipment Cost. Consideration of inter-departmental
reliance on technology, the analysis of clinical requirements and the interfacing of Health
Technology Systems with other systems is also applicable. This planning is within the
concept of the patient journey.
Phase 4- Procurement
“Procurement” involves the process of utilizing the detailed procurement list generated
in Phase 2 and then managing the actual procurement process. This involves the
finalization of request for quotation (RFQ) documentation, the distribution of the RFQ
documents, the receipt of proposals as well as the analysis, adjudication and selection
of equipment. All of these are tailored towards the requirement or protocols of the client.
The deliverable of this phase is the confirmation of orders and awarding of contracts. A
procurement management process will be detailed. Procurement will be done on behalf
of the client and contracted accordingly.
Phase 5 - Commissioning
“Commissioning” involves verification of delivery and placing the items procured during
phase 3 in the facility, ready for use by the end user. The commissioning process
includes planning, delivery scheduling, receiving of equipment delivered as per official
order and acceptance testing. It will also include the facilitation of initial user training
and exit strategy as per client needs. The deliverable of this phase is the handover of
the Healthcare Facility with all equipment checked and ready for use. All equipment will
be included in an asset register, detailing item, description, purchase order number,
category, allocation, and cost per item, supplier and serial numbers where applicable.
Extended warrantee and service level agreements will be presented to the client for
action.

PROJECT HISTORY:
Name of
Project Scope of work
Country
Date
1
Mitsubishi
Trading House
Specification, Procurement and
Installation of equipment, Procurement of
disposables and training of staff for
Primary Health and Mobile Clinics.
South Africa April 96 to August 97
2
Trauma Center
Harare
Specification, Procurement ,Export and
Installation of equipment for 2 x
ICU,2xResuscitation,6xPatient Cubicles
and 4 bed Paediatric Unit for TRAUMA
CENTRE.
Zimbabwe March 96 to July 96
3
MRS Malawi Ltd
Specification,Procurement,Export and
Installation of equipment .Procurement of
disposables and training of staff for
Medical Clinic including Lab,Minor Ops
Theatre X-Ray Dept.,Wards and ICU.
Malawi July to September 96
4
Medivac (pvt)
Ltd
Procurement of Specialised Obstetric
Equipment Specification, Procurement
and Installation of equipment,
Procurement of disposables and training
of staff.
Zimbabwe May to July 96
5
Mitsubishi
Trading House
Japanese grant aid bid for upgrading of 4
hospitals -Swaziland Specification and
tender requirements.
Swaziland Jun-96
6
Universal H/C
Holdings
Stand alone Specialized Cardiac Clinic
and stand alone Laboratory Specification,
Procurement and Installation of
Equipment, procurement of disposables
and training of staff.
Zimbabwe March 97 to June 98
7
Japanese Non-
Grant Aid-
Crown Agents
Diagnostic Day Care Center -
Theatres,Eye Clinic,Cardiac Clinic,Dental
Surgeries,Physio Department,Out-
patients
department,Laboratory,ICU,Wards and
Casualty Specification,Procurement and
Installation of equipment,Procurement of
disposables and training of staff.
Tanzania Mar-97
8
Mitsubishi
Trading House
Japanese grant aid bid for upgrading of 9
hospitals - Swaziland Specification and
tender requirements.
Swaziland Aug-97
9
Mr.S.Manji -
Nzeto Clinic
80 Bed Clinic in Nzeto Needs Analysis,
Design review, Specification and tender
requirements.
Angola May - Aug 97

10
Universal H/C
Holdings
134 Bed Private Clinic - specification and
budget - 5 Theatres
(1xNeuro,1xOrthopedic
2xGeneral,1xUrology Theatres) 11 bed
combination ICU,Trauma Unit,Obstetric
Unit,Pharmacy,Mortuary,Laundry,CSSD,
Laboratory,Surgical Instruments,General
wards and Endoscopy Clinic.
Zimbabwe Oct-97
11
SOS
International
Mine Hospital Specification, Procurement
of staff.
Tanzania Jan-March 2000
12
Medimark
Trauma Unit - X-Ray, Minor theatre,
Resususcitation cubicles, 2xICU beds
Needs Analysis, Design review,
Specification and tender requirements.
Zimbabwe Sep-00
13
SOS
International
Mine Hospital Specification, Procurement
of staff.
Mali May - Setp 2001
14
Chico Clinica
Primary health Care Clinic Specification,
Procurement and Installation of
equipment, Procurement of disposables
and training of staff.
Angola July-Aug 2001
15
Kotulong
Community
Centre
Procurement of medical equipment for
primary health centre.
Orange
Farm,Gauteng
Jan-March 2004
16
UCT Medical
Centre
124 bed Private State of the Art
Academic Hospital Needs Analysis,
Design review, Specification and tender
requirements Procurement and co-
ordination of equipment installation and
training of staff and compilation of
Maintenance Contracts. Full
Commissioning of the facility including
outsourcing of services e.g.Linen rental,
Laundry, security (Guards and electronic)
Cleaning (incl. Hygiene, specialized
cleaning) Pest control,waste
Management,Catering,Interior
decorating, plant hire,IT Management
systems and Agency Nursing Staff.
South Africa Feb 2001-Feb2002
17
Siemens
Medical
Consulting for Hospital in
Bulawayo,Zimbabwe
Bulawayo,Zimbab
we
Nov-02

18
The Wits
University
Donald Gordon
Medical Centre
Refurbishment of a 129 bed Mission
Hospital into a Private State of the Art
Academic Hospital Needs
Analysis,Design review,Specification and
Tender requirements Procurement and
co-ordination of equipment installation
and training of staff and compilation of
Maintenance Contracts. Full
Commissioning of the new facilities
including 15 bed ICU, Emergency
Rooms, Minimally Invasive Access
Theatre, Neurosurgery Laminar flow
theatre, Vascular laboratory theatre,
upgrade of 7 theatres CSSD and
paediatric and adult Oncology unit.
Standardization of Specialized
disposables and consumables,
Standardization and forms review of
charge sheets and order sheets and
stock control systems. Implementation of
policies, procedures and protocols.
Implementation of the integrated Care
paths for the nursing department.
Procurement and setting up of General
Store. Tender specification and
adjudication of all outsourced service
providers.
South Africa
Aug 2002 - March
2005
19
Walters and
Simpson
EHSA consulted to Project Managers for
Donald Gordan Medical Centre. South Africa
Aug 2002 - March
2006
20
McCord Hospital
Upgrading of a 200 bed semi-private
hospital. A needs analysis resulted in the
upgrade of 2 medical wards, the opening
of a 5 bed high-care unit, including
procurement and full commissioning. The
commissioning of a new 10 bed
Rehydration ward including design
review, specification and Tender
requirements Procurement and co-
ordination of equipment installation and
training of staff. The full commissioning of
a 43 bed, HIV and Aids step down
facility, from design review to full
commissioning. The specification and
tender document for the hygiene out-
sourced service providers, as well as the
adjudication process and
recommendation.
South Africa Aug 2005 - April 2006
21
IDT
Procurement of equipment for Dinokano
Community Health Centre. Mafikeng Feb-Oct 2006

22
Trauma Center
Dar es Salaam
and Well Womans
Clinic
Bouquet hospital - 30 bed including 2
Theatres, 4-bed ICU/High care unit, 2
bed NNICU, Maternity including water
birth, Trauma Casualty.digital Radiology
including C-T Scan, Ultrasound,
Occupational health, Diagnostic well
womans clinic and Design review.
Specification,Procurement,Export and
Installation of equipment .Procurement of
disposables and training. Set up of
administrative and clinical policies and
procedures. Full commissioning
Tanzania July 2008-April 2009
23
Private hospital
in Stanger KZN
Consultants to the KDIPA to conduct
components of a feasibility study and
strategic plan for an independent Private
Hospital in the Stanger region
South Africa July 2008-Feb 2010
24
Consultants to
African Medical
Investments
PLC group
Forensic auditing, Equipment verification
and strategic equipment roadmap for the
group
Tanzania,Zimbab
we,Mozambique
July 2010-Sept 2010
25
Consultants to
Health Parners
UK Ltd
Sub-contracted to Health Partners for a
management contract with African
Medical Investments PLC.group. Asset
management, Equipment assessment,
budget submissions, procurement and
Commissioning of Harare
project.Researched and recommended
Policies and procedures for group
implementation.
Dar es
Salaam,Tanzania,
Harare
Zimbabawe &
Maputo
Mozambique
Sept 2010 - Feb 2011
26
Consultants to
Health Parners
UK Ltd
Sub-contracted to assist Health Partners
to perform a due diligence at Clinique,
Biasa, Lome, Togo
Lomo,TOGO Jan-April 2011
27
Streamsleigh
Investments
Procurement of equipment,Harare
Harare,Zimbabwe Jan - March 2011
28
Consultants to
Health Parners
UK Ltd
Consulting and Needs analysis for a
Triple P tertiary Academic Hospital -
George Mukhari Hospital,Garankuwa Garankuwa,
Sep-11
29
Consultants to
Health Parners
UK Ltd
Audit of Duff Scott Hospital Stillfontein.
Review of outsourced providers'
contracts. Design review. Preparation of
inventory lists and data capture.
Meetings with Doctors and staff. Review
of services to be provided.
Stillfontein, South
Africa
October, November
2011

30
Mthatha Private
Hospital
52 bed Private State of the Art Academic
Hospital Needs Analysis, Design review,
Specification and tender requirements
Procurement and co-ordination of
equipment installation and training of
staff and compilation of Maintenance
Contracts. Full Commissioning of the
facility including outsourcing of services
e.g.Linenl, Laundry, security (Guards and
electronic) Cleaning (incl. Hygiene,
specialized cleaning) Pest control,waste
decorating, plant hire,
Mthatha, South
Africa
2012-2013
31
Kiaat Private
Hospital
120 bed Private State of the Art Hospital
Needs Analysis, Design review,
Specification and tender requirements
Procurement and co-ordination of
equipment installation and training of
staff and compilation of Maintenance
Contracts. Full Commissioning of the
facility including outsourcing of services
e.g.Linen , Laundry, security (Guards and
electronic) Cleaning (incl. Hygiene,
specialized cleaning) Pest control,waste
decorating, plant hire,
Nelspruit, South
Africa
2013-2014

Statement of Capability June 2015

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