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GOVERNMENT OF WEST BENGALHEALTH & FAMILY WELFARE DEPARTMENTMS BRANCH, PPP CELL, 4 TH FLOOR, WING- BSWASTHYA BHAWAN, SALT LAKE, KOLKATA-700091<strong>Notice</strong> <strong>inviting</strong> <strong>Expression</strong> <strong>of</strong> <strong>Interest</strong> from Organizations <strong>for</strong><strong>Operation</strong> <strong>and</strong> <strong>Management</strong> <strong>of</strong> High-end Diagnostic ImagingFacilities <strong>and</strong> Dialysis Services at selected governmenthospitals through Public Private Partnerships (PPP)The document containing the scheme <strong>and</strong> the eligibility criteria <strong>of</strong> theapplicants may be obtained from the website www.wbhealth.gov.inunder the option ‘<strong>Notice</strong>’The last date <strong>of</strong> receipt <strong>of</strong> applications in the prescribed <strong>for</strong>mat providedin the document is January 04, 2013 within 5.00 pm.P.K.LahiriOSD & EO Special Secretary


Name <strong>of</strong> Health Facilities <strong>for</strong> establishment <strong>of</strong> Diagnostic Facilities<strong>and</strong> Dialysis ServicesCT scan services1. N<strong>and</strong>igran Hospital, Purba Medinipur2. Jhargram SD/Dist Hospital, Jhargram, Paschim MedinipurDigital X-Ray (CR) services1. Coochbehar District Hospital (MJN Hospital), Cooch Behar2. Dakhin Dinajpur District Hospital, Balurghat, Dakhin Dinajpur3. Purba Medinipur District Hospital, Tamluk, Purba Medinipur4. Jhargram SD/Dist Hospital, Jhargram, Paschim MedinipurDialysis servicesName <strong>of</strong> the HospitalDialysis Unit1. IDBG Hospital, Kolkata Ten (10) Bedded2. Howrah DistrictTen (10) BeddedHospital3. Birbhum DistrictFive ( 5) BeddedHospital4. Coochbehar DistrictFive ( 5) BeddedHospital (MJNHospital)5. Dakhin DinajpurFive ( 5) BeddedDistrict Hospital6. Darjeeling DistrictFive ( 5) BeddedHospital7. Hooghly DistrictFive ( 5) BeddedHospital8. Jalpaiguri DistrictFive ( 5) BeddedHospital9. Nadia District Hospital Five ( 5) Bedded10. North 24 ParganasFive ( 5) BeddedDistrict Hospital11. Purba MedinipurDistrict Hospital(Tamluk)12. Purulia DistrictHospital13. South 24 ParganasDistrict Hospital14. Uttar Dinajpur DistrictHospitalFive ( 5) BeddedFive ( 5) BeddedFive ( 5) BeddedFive ( 5) Bedded


Name <strong>of</strong> the HospitalDialysis Unit15. Asansol SD Hospital Five ( 5) Bedded16. Basirhat SD Hospital Five ( 5) Bedded17. Bishnupur SD Hospital Five ( 5) Bedded18. N<strong>and</strong>igram Hospital Five ( 5) Bedded19. Diamond Harbour SDFive ( 5) BeddedHospital20. Rampurhat SDFive ( 5) BeddedHospital21. Jhargram SD/DistFive ( 5) BeddedHospital22. Arambag SD Hospital Five ( 5) Bedded23. Ghatal SD Hospital Five ( 5) Bedded24. Gangarampur SDFive ( 5) BeddedHospital25. Alipurduar Sd Hospital Five ( 5) Bedded26. Siliguri SD Hospital Five ( 5) Bedded27. Kalimpong SD Hospital Five ( 5) Bedded28. Vidyasagar SGFive ( 5) BeddedHospital(Behala)TotalTwo (2) [Ten bedded]Twenty six (26) [Five bedded]


SCHEME<strong>Operation</strong> <strong>and</strong> <strong>Management</strong> <strong>of</strong> High-endDiagnostic Imaging Facilities <strong>and</strong> Dialysis servicesat Government Hospitals under Public PrivatePartnerships (PPP)Government <strong>of</strong> West BengalHealth <strong>and</strong> Family Welfare Department,December, 2012


ContentsSectionIContentsBackground2 Salient Features <strong>of</strong> the Scheme3 Role <strong>and</strong> Responsibilities <strong>of</strong> the Department <strong>of</strong> Health & Family Welfare(DoHFW) <strong>and</strong> its various wings4 Role <strong>and</strong> Responsibilities <strong>of</strong> the <strong>Operation</strong> <strong>and</strong> <strong>Management</strong> (O&M) Partnerunder PPP5 Policy on user charges <strong>and</strong> free services6 Monitoring Mechanisms7 Causes <strong>for</strong> termination <strong>of</strong> agreement8 Duration <strong>of</strong> services9 Eligibility Criteria <strong>of</strong> applicants <strong>and</strong> selection processAnnexure I – VIAnnexure I - Instruction to organizations regarding submission <strong>of</strong> applicationAnnexure II - Application Format <strong>for</strong> the organizations intending to apply <strong>for</strong>the schemeAnnexure III – Draft <strong>of</strong> the letter regarding Concession Fee to be <strong>of</strong>fered bythe Organization <strong>for</strong> operation <strong>and</strong> management <strong>of</strong> the specific servicesunder PPPAnnexure IV - Draft <strong>of</strong> the covering letter to be submitted in the Letter Head<strong>of</strong> the OrganizationAnnexure V- Name <strong>of</strong> the health facilities <strong>for</strong> establishment <strong>of</strong> variousDiagnostic Facilities <strong>and</strong> Dialysis ServicesAnnexure VI- Rates <strong>for</strong> each <strong>of</strong> the tests/services to be charged by the O&Mpartner <strong>for</strong> patients treated in the government hospitals2


d. None <strong>of</strong> the above mentioned facilities would be installed in any <strong>of</strong> the hospitals where suchservices are in operation at present in the existing hospital promises directly or under PPPe. In case <strong>of</strong> installation <strong>of</strong> Digital X-Ray services to be operated by the O&M partners underPPP, the existing services <strong>of</strong> general X-Ray operated by the personnel <strong>of</strong> the concernedhospital would continue.f. Organization/s selected based on eligibility <strong>and</strong> selection criteria as described under Section9 will be engaged as O&M partner/s under PPP <strong>for</strong> operation <strong>and</strong> management <strong>of</strong> theseservices including maintenance <strong>of</strong> the equipments under a legal instrument incorporatingtherein all the terms <strong>and</strong> conditions signed by the selected organization with theMSVP/Superintendent <strong>of</strong> the concerned Medical College/ District Hospital/Sub DivisionalHospital / other government hospitals as the case may be.g. The selected organizations will be responsible <strong>for</strong> the operation <strong>and</strong> management <strong>of</strong> theabove mentioned services under the agreement <strong>for</strong> a period <strong>of</strong> four years renewablethereafter based on comprehensive per<strong>for</strong>mance appraisal <strong>and</strong> on mutual consent <strong>of</strong> both thepartners. Regular review <strong>of</strong> per<strong>for</strong>mance will be undertaken on quarterly basis. The saidagreement will also incorporate the causes <strong>for</strong> termination <strong>of</strong> the agreement.h. As per terms <strong>of</strong> the agreement, the DoHFW shall provide ready-to-use space, furniture <strong>and</strong>fixture, procurement <strong>and</strong> installation <strong>of</strong> necessary equipment <strong>for</strong> operation <strong>and</strong> management<strong>of</strong> each <strong>of</strong> the specific services to the selected O&M partner. Water supply will also beprovided free <strong>of</strong> cost. The O&M partners will be required to install separate electric meter asdescribed under Section ‘3 c’ <strong>and</strong> pay consumption charges directly to the energy supplier asper prevailing rules <strong>of</strong> the energy supplier.i. The selected O&M partners will keep security deposit <strong>of</strong> 5% <strong>of</strong> the cost <strong>of</strong> equipment by way<strong>of</strong> Bank Guarantee in favour <strong>of</strong> DoHFW with any scheduled/nationalized bank acceptable toDoHFW.j. As part <strong>of</strong> the obligation <strong>of</strong> the agreement, the selected O&M partners will have to payconcession fee to the Rogi Kalyan Samiti (RKS) <strong>of</strong> the concerned hospital on quarterlybasis. The concession fee will be a percentage <strong>of</strong> the gross revenue in each quarter asstated under Annexure III or a fixed amount on quarterly basis whichever is higher. The fixedquarterly amount <strong>of</strong>fered by the applicants will be the final basis <strong>of</strong> selection <strong>of</strong>technically qualified organizationsk. The DoHFW shall extend free services as described under Section 5b to the poor <strong>and</strong>vulnerable sections <strong>of</strong> population to cover safety net <strong>for</strong> this scheme <strong>for</strong> such patients. Thefree services will be extended up to 20% <strong>of</strong> the patients eligible <strong>for</strong> free services in eachmonth out <strong>of</strong> the total number <strong>of</strong> patients who have undergone investigation/services in theprevious month. The RKS <strong>of</strong> the concerned hospital shall reimburse the cost <strong>of</strong> suchfree services to the O&M partner out <strong>of</strong> the concession fee received from the O&Mpartner on quarterly basis. The policy on free services has been described more in detailunder Section 5b.l. The O&M partners will charge, collect <strong>and</strong> retain user charges from patients <strong>of</strong> theGovernment Hospitals <strong>for</strong> the cost <strong>of</strong> specific services at rates fixed by DoHFW. The ratesfixed by the DoHFW <strong>for</strong> providing high-end diagnostic <strong>and</strong> dialysis services to the patients <strong>of</strong>the government hospital under this scheme are much lower than the prevailing market rates.The O&M partner may also extend the services to patients referred from privatepractitioners/private hospitals <strong>and</strong> charge, collect <strong>and</strong> retain user charges at the market rate.4


However, it is to be noted that patients <strong>of</strong> the concerned hospital will get priority <strong>for</strong> use <strong>of</strong>these facilities.m. An Organization may apply <strong>for</strong> O&M partner under PPP <strong>for</strong> one or more <strong>of</strong> the services inone or more <strong>of</strong> the hospitals if they meet the eligibility criteria <strong>for</strong> each <strong>of</strong> the services <strong>for</strong>which the application has been submitted.3. Role <strong>and</strong> Responsibilities <strong>of</strong> DoHFW <strong>and</strong> its various wingsa. The DoHFW shall arrange <strong>for</strong> procurement <strong>and</strong> installation <strong>of</strong> the machine <strong>and</strong> relatedequipments along with furniture <strong>and</strong> fixture based on recommendations <strong>of</strong> the competentauthority <strong>and</strong> through the process <strong>of</strong> tendering by utilizing the fund that it receives fromvarious quarters as described under 2a in the space allotted <strong>for</strong> each <strong>of</strong> the services to beundertaken by the O&M partners.b. The required ready to use space as per applicable norms <strong>for</strong> each <strong>of</strong> the services <strong>and</strong> supply<strong>of</strong> water will be provided free <strong>of</strong> cost by the DoHFW to the O&M partners <strong>for</strong> running <strong>of</strong> theseservicesc. Use <strong>of</strong> electricity will be allowed by the DoHFW <strong>for</strong> which the O&M partner will payconsumption charges directly to the energy supplier as per prevailing rules <strong>of</strong> the energysupplier. Necessary NOC from the competent authority <strong>of</strong> the concerned hospital will beprovided to the O&M partner <strong>for</strong> procurement <strong>of</strong> separate electric meter <strong>for</strong> which theapplicable security deposit <strong>and</strong> installation charges within the operating rooms under PPP willbe borne by the O&M partner. However, it is to be noted that the DoHFW shall arrange at itscost installation <strong>of</strong> the electrical connection <strong>and</strong> augmentation if required up to the door step<strong>of</strong> the operating rooms <strong>for</strong> the facilities undertaken under PPP.d. The DoHFW shall incorporate the St<strong>and</strong>ard Operating Procedures (SOPs) <strong>for</strong> each <strong>of</strong> theservices to be followed by the concerned O&M partner.e. The DoHFW through RKS <strong>of</strong> the concerned hospital shall ensure utilization <strong>of</strong> the concessionfee received from the O&M partner <strong>for</strong> safety net <strong>for</strong> this scheme <strong>for</strong> the poor <strong>and</strong> vulnerablepopulation with free services4. Role <strong>and</strong> Responsibilities <strong>of</strong> O&M partnersa. The O&M partners will comply with the requirement <strong>of</strong> providing security deposit <strong>of</strong> 5% <strong>of</strong> thecost <strong>of</strong> equipment by way <strong>of</strong> Bank Guarantee in favour <strong>of</strong> DoHFW with anyscheduled/nationalized bank acceptable to DoHFW.b. The selected O&M partner shall ensure that the concession fee is paid to the concerned RKSon quarterly basis within the time frame incorporated in the agreement.c. Installation <strong>of</strong> electricity meter in its own name will be undertaken by the O&M partner asdescribed under Section 3c.d. The O&M partners will be responsible <strong>for</strong> maintenance <strong>of</strong> the machines <strong>and</strong> relatedequipments <strong>and</strong> comply with the norms <strong>for</strong> maintenance as laid down by DoHFW in theSOPs.5


e. Prescribed service st<strong>and</strong>ards will be followed by the O&M partners in accordance with theSOPsf. The O&M partners will comply with all statutory requirements as applicable under The WestBengal Clinical Establishment Act 1950 <strong>and</strong> The West Bengal Clinical Establishment Rules2003 as amended hereafter <strong>and</strong> other applicable Acts <strong>and</strong> Laws.g. The O&M partners will also comply with the fire safety requirements as per West Bengal FireServices Act, 1950 as amended up to date.h. Engagement <strong>of</strong> required medical, technical <strong>and</strong> other personnel <strong>for</strong> operation <strong>and</strong>management <strong>of</strong> the services will be ensured by the O&M partners in accordance with therelevant Clinical Establishment Acts <strong>and</strong> Norms.i. All the operational cost relating to functioning <strong>of</strong> each <strong>of</strong> the services including the cost <strong>of</strong>deployment <strong>of</strong> the personnel will be borne by the O&M partners.j. The O&M partners will ensure that the entire system operated by them are accessible <strong>for</strong>teaching <strong>and</strong> training purposes <strong>for</strong> undergraduates <strong>and</strong> postgraduates students at any point<strong>of</strong> time at pre-designed schedule. The O&M partners will ensure installation <strong>of</strong> multi stationmonitoring mode <strong>for</strong> training <strong>and</strong> teaching purpose in each <strong>of</strong> the Institutions.k. The O&M partner, with the help <strong>and</strong> support <strong>of</strong> the DoHFW, shall also work out installation <strong>of</strong>multi facility monitoring mode <strong>and</strong> establish connectivity with other health facilities <strong>for</strong>transmitting the digital images undertaken <strong>for</strong> each <strong>of</strong> the investigations <strong>for</strong> the purpose <strong>of</strong>review <strong>and</strong> reports as <strong>and</strong> when required.l. The O&M partners will ensure that the services would be operational <strong>for</strong> the duration <strong>of</strong> timeas prescribed under Section 8.5. Policy on user charges <strong>and</strong> free servicesa. User chargesi. The O&M partner will charge, collect <strong>and</strong> retain user charges from patients <strong>of</strong> the GovernmentHospitals <strong>for</strong> the cost <strong>of</strong> specific services at rates fixed by DoHFW <strong>and</strong> provided as Annexure VI.The rates fixed by the DoHFW <strong>for</strong> providing high-end diagnostic <strong>and</strong> dialysis services are muchlower than the prevailing market rates <strong>for</strong> the patients <strong>of</strong> the hospitals.ii. Rates should be prominently displayed by the O&M Partners in the facilities where theseservices are provided.iii. The O&M partners may also extend the services to patients referred by privatepractitioners/private hospitals <strong>and</strong> charge, collect <strong>and</strong> retain user charges at the market rate.However, it is to be noted that patients <strong>of</strong> the concerned hospital will get priority <strong>for</strong> use <strong>of</strong> thesefacilities.b. Free ServicesI. The policy <strong>of</strong> free services shall be applicable to poor <strong>and</strong> vulnerable sections <strong>of</strong> thepopulation. Free services will be provided to the BPL category <strong>of</strong> patients as well as patients6


eligible <strong>for</strong> free services as per guidelines <strong>of</strong> the DoHFW. These patients will be referred by theMSVP <strong>of</strong> the Medical College/Superintendent <strong>of</strong> the DH/SDH recommending <strong>for</strong> free serviceswith the required hospital prescription <strong>of</strong> the concerned patients. The O&M partner shallundertake the specific test/s as prescribed by the concerned Doctor free <strong>of</strong> cost to thosepatients. Such free services will be provided by the O&M partner in each month to the eligiblepatients <strong>for</strong> up to 20% <strong>of</strong> the total number <strong>of</strong> patients 1 who have undergoneinvestigations/services in the previous month. For example, if the requiredinvestigations/services have been conducted <strong>for</strong> a total number <strong>of</strong> 500 patients in a month, thenumber <strong>of</strong> free services shall be extended to (20 % <strong>of</strong> 500) 100 eligible patients in the followingmonth. The total number <strong>of</strong> patients <strong>for</strong> the purpose <strong>of</strong> calculation will include both the hospitalpatients as well as patients referred by private practitioners/private hospitals.ii. The provision <strong>of</strong> patients entitled <strong>for</strong> free tests will be made on a monthly basis <strong>and</strong> unutilizedprovision, if any, will not be carried <strong>for</strong>ward to the next month.iii. The O&M partner shall keep relevant record <strong>for</strong> such free services (e.g photocopy <strong>of</strong>prescription). The monthly in<strong>for</strong>mation system shall include necessary details <strong>of</strong> free servicesprovided during the month <strong>and</strong> the number <strong>of</strong> patients entitled <strong>for</strong> free services in the followingmonth.iii. The RKS <strong>of</strong> the concerned hospital shall reimburse the cost <strong>for</strong> such free services tothe O&M partner out <strong>of</strong> the concession fee received from the O&M partner on quarterlybasis on submission <strong>of</strong> required documentsiv. Monitoring <strong>of</strong> implementation <strong>of</strong> the policy on free services shall be undertaken by theauthorized personnel <strong>of</strong> RKS6. Monitoring Mechanismsa) The competent authority <strong>of</strong> the Hospital on behalf <strong>of</strong> RKS shall monitor the day-to-dayoperational activities <strong>of</strong> the services undertaken by the O&M partner.b) Per<strong>for</strong>mance review will be undertaken by RKS on quarterly basis. Senior Official fromDoHFW will be present during Per<strong>for</strong>mance Review..c) The O&M partner will be required to submit monthly reports in prescribed <strong>for</strong>mat toconcerned <strong>of</strong>ficialsd) Appropriate s<strong>of</strong>t ware packages will be installed by the O&M partners to disseminatein<strong>for</strong>mation through LAN connectivity on daily basis on multiple parameters on operation,management <strong>and</strong> per<strong>for</strong>mance <strong>of</strong> the center under PPP <strong>and</strong> includes details <strong>of</strong> freeservices extended to eligible patients. The s<strong>of</strong>tware so mentioned is to be developed by theDoHFW <strong>and</strong> all kinds <strong>of</strong> transactions have to be done by the O&M partners using thats<strong>of</strong>tware only so that monitoring at any point <strong>of</strong> time can be done by the concernedauthorities <strong>of</strong> the DoHFW7. Causes <strong>for</strong> Termination <strong>of</strong> AgreementAny <strong>of</strong> the following events shall constitute an event <strong>of</strong> default by the O&M partners entitlingDoHFW to terminate this agreement:1 The total number <strong>of</strong> patients includes patients both under the paying <strong>and</strong> free category <strong>of</strong> patients who have undergone theinvestigation/services in the centre under PPP.7


a. Failure to commence services in the Hospital within three months <strong>of</strong> signing the agreementb. Failure to comply with SOPs <strong>for</strong> operation <strong>and</strong> management <strong>of</strong> the servicesc. Collecting charges from the patients in violation <strong>of</strong> the Policy on User Chargesd. Error detected in more than two occasions in six months in recording the correct entry <strong>of</strong> thenumber <strong>of</strong> patients referred from the concerned hospital as well as by the privatepractitioners/private hospitals in each month.e. Failure to comply with the statutory requirements, Clinical Establishment Acts, Rules <strong>and</strong>other applicable normsf. Criminal indictment <strong>of</strong> the promoters, member/s <strong>of</strong> the Board <strong>of</strong> Directors, chief functionaries,key personnel engaged by the O&M partner <strong>for</strong> operation <strong>and</strong> management <strong>of</strong> the services.g. Engagement <strong>of</strong> unqualified persons <strong>for</strong> running <strong>of</strong> the Servicesh. Use <strong>of</strong> the allocated space by the O&M partners <strong>for</strong> any other purpose other than theapproved scheme.i. Failure to deposit concession fee <strong>for</strong> a given quarter by the due date as per terms <strong>of</strong> theagreement.Upon occurrence <strong>of</strong> any <strong>of</strong> the defaults, DoHFW would follow the procedures <strong>of</strong> issuing<strong>Notice</strong>/Show Cause be<strong>for</strong>e deciding on termination <strong>of</strong> the agreement. The decision <strong>of</strong> DoHFWshall be final <strong>and</strong> binding on the PSP.8. Duration <strong>of</strong> servicesThe O&M partner will ensure that the services would be provided round the clock through outthe year <strong>for</strong> at least 95% <strong>of</strong> the time with maximum <strong>of</strong> 5% time to be spared <strong>for</strong> maintenanceactivities <strong>of</strong> the equipment. The services should not be interrupted <strong>for</strong> more than five days in aquarter.9. Eligibility criteria <strong>of</strong> applicants <strong>and</strong> selection processa. SELECTION COMMITTEEDoHFW shall <strong>for</strong>m a Selection Committee (SC) under the Chairmanship <strong>of</strong> the SpecialSecretary, DoHFW & Executive Director, State Health & Family Welfare Samiti to undertakeselection <strong>of</strong> the applicant <strong>for</strong> operation <strong>and</strong> management <strong>of</strong> the services under PPP:8


. ELIGIBILITY CRITERIA OF THE ORGANIZATION FOR SUBMISSION OF APPLICATIONThe eligibility criteria <strong>for</strong> application <strong>of</strong> intending organizations <strong>for</strong> consideration <strong>of</strong> selection <strong>of</strong>the Organization <strong>for</strong> operation <strong>and</strong> management <strong>of</strong> the Hospital under PPP are provided asunder:The Organization (Limited Company/Private Limited Company / Partnership or Proprietary Firm /NGO / Trust) must be registered under appropriate statutory authority <strong>of</strong> Government <strong>of</strong> WestBengal / Government <strong>of</strong> India or under Companies ActThe Organization may be located any where in India but has experience in health care activities<strong>for</strong> more than three years.The Organization has been operating <strong>and</strong> managing a Hospital / Nursing Home <strong>for</strong> last threeyears <strong>and</strong> having facilities <strong>for</strong> Dialysis services (if the application is <strong>for</strong> operation <strong>and</strong>management <strong>of</strong> Dialysis Services) or having in-house investigation facilities <strong>for</strong> CT scan orMRI scan (if the application is <strong>for</strong> operation <strong>and</strong> management <strong>of</strong> CT scan services) orhaving in-house investigation facilities <strong>for</strong> CT scan or MRI scan or Digital X-Ray (CR or DR)services at present (If the application is <strong>for</strong> operation <strong>and</strong> management <strong>of</strong> Digital X-Rayservices [CR]).OrThe Organization has been operating <strong>and</strong> managing a Diagnostic <strong>and</strong> Investigation Centre <strong>for</strong>last three years <strong>and</strong> above <strong>and</strong> having investigation facilities <strong>for</strong> CT scan or MRI scan (if theapplication is <strong>for</strong> operation <strong>and</strong> management <strong>of</strong> CT scan services). In case <strong>of</strong> application<strong>for</strong> Digital X-ray (CT) services, the Organization has in-house CT scan or MRI scan or DigitalX-Ray (CR or DR) services at present.The annual turn over <strong>of</strong> the Organization (in Rupees) shall be considered <strong>for</strong> being eligible toapply are as under:Rs Eight Crore in aggregate <strong>of</strong> last two financial years ending March 2012 in case theOrganization has been running a Hospital or Nursing Home as mentioned under point 3aboveorRs Four Crore in aggregate <strong>of</strong> last two financial years ending March 2012 in case theOrganization has been running a Diagnostic <strong>and</strong> Investigation Centre as mentioned underpoint 3 aboveNo litigation is pending on date <strong>and</strong> no penal measures were taken against the applicant underapplicable Acts <strong>and</strong> lawsApplicant failing to fulfill any <strong>of</strong> the above-mentioned Eligibility Criteria will not be considered <strong>for</strong>selection. However, the SC may relax one or more <strong>of</strong> the eligibility criteria in case <strong>of</strong> deservingapplicantsc. SELECTION PROCESS1. Selection process would involve short-listing <strong>of</strong> applicants based on marks scored by theapplicants on each <strong>of</strong> the criteria as under. Physical inspection at the facilities <strong>of</strong> the applicants9


with prior intimation may be undertaken by SC or members authorized by SC <strong>for</strong> gatheringin<strong>for</strong>mation relating to short listing <strong>of</strong> applicants <strong>for</strong> further processing <strong>for</strong> selection.CriteriaMarks1. The Organization has experience <strong>of</strong>running the existing Hospital/NursingHome/Diagnostic Center <strong>for</strong> last three years<strong>and</strong> above.2. Annual Turnover (in Rupees) <strong>of</strong> theOrganization having hospital or NursingHome in aggregate <strong>of</strong> last two financialyears ending March 2012.OrAnnual Turnover (in Rupees) <strong>of</strong> theOrganization having hospital or NursingHome in aggregate <strong>of</strong> last two financialyears ending March 2012.3. For Dialysis ServicesA. Number <strong>of</strong> Dialysis Machines in operationB. Number <strong>of</strong> patients on dialysis servicesaverage per day(inclusive <strong>of</strong> all types <strong>of</strong> Dialysis)a. > 03 – 05 years = 7 marksb. > 05 - 08 years = 9 marksc. > 08 years = 11 marksa. > 8 crore- - 10 crore = 12 marksb. > 10 crore - 12 crore = 17 marksc. > 12 crore = 22 markOra. > 4 crore - 6 crore = 12 marksb. > 6 crore - 8 crore = 17 marksc. > 8 crore = 22 marka. >03 - 05 = 8 marksb. > 05 - 10 = 10 marksc. > 10 = 12 marksa. > 10 - 25 = 7 marksb. > 25 - 40 = 11 marksc. > 40 = 14 marksC. Existing Medical Personnel <strong>for</strong> DialysisunitD. Proposed medical personnel in the facilityunder PPPE. The Organization presently engaged as areferral center <strong>for</strong> Dialysis by the Department<strong>of</strong> Health & Family Welfare, Government <strong>of</strong>West Bengala. Nephrologist = 8 marksb. Other Medical Personnel>1- 2 = 5 marks> 2 - 4 = 7> 04 = 9 marksa. Nephrologist = 8 marksb. Other Medical Personnel>1- 2 = 4 marks> 2 - 4 = 6> 4 = 8a. If yes: 8 marks10


CriteriaMarks3. For CT scan <strong>and</strong> Digital X-Ray (CR)Services.A. The Organization is having investigationfacilities <strong>for</strong> CT scan / MRI scan / Digital X-Ray in their existing centrea. Having one additional investigationfacilities apart from the specific services <strong>for</strong>which the application has been submitted : 10marksb. Having all the three investigation facilities(CTscan/MRI scan/Digital X-Ray) : 14 marksB. Present deployment <strong>of</strong> Medical Personnel<strong>and</strong> Technician <strong>for</strong> CT Scan / MRI Scan /Digital X-Ray in the existing centre <strong>of</strong> theOrganizationa. Number <strong>of</strong> RadiologistsI = 8 marks2 = 10 marks> 2 = 12b. Number <strong>of</strong> Technicians2 = 4 marks> 2 - 4 = 8> 4 = 10C. Proposed deployment <strong>of</strong> MedicalPersonnel <strong>and</strong> Technician <strong>for</strong> the CT scanunit / Digital X-Ray(CR) services in thehealth facility <strong>for</strong> which application has beensubmitteda. Number <strong>of</strong> RadiologistsI = 8 marks2= 10> 2=12 marksb. Number <strong>of</strong> Technicians>1- 2 = 6 marks> 2 - 3 = 8> 3 = 10D. The Organization is engaged at presentin the operation <strong>of</strong> CT Scan or MRI Scanunder PPP with Department <strong>of</strong> Health &Family Welfare, Government <strong>of</strong> West Bengala. If engaged <strong>for</strong> either <strong>of</strong> the two servicesunder PPP = 5 marksb. If engaged <strong>for</strong> both the services under PPP= 9 marksThe maximum possible marks, which may be scored by an applicant, are 100. Minimumqualifying marks are 60 out <strong>of</strong> 100 (i.e. 60 % <strong>of</strong> the total possible marks). The Organizationsscoring 60 <strong>and</strong> above would be short-listed <strong>for</strong> next round <strong>for</strong> selection11


2. After short-listing <strong>of</strong> applicants as mentioned under ‘c1’ above, final selection <strong>of</strong> theOrganization from the short-listed applicants would be made on the basis <strong>of</strong> the highest<strong>of</strong>fer made by an applicant <strong>for</strong> the fixed amount towards concession fee to be paid onquarterly basis <strong>for</strong> operation <strong>and</strong> management <strong>for</strong> each <strong>of</strong> the services under PPP.(Please note that the financial BID will be opened only <strong>for</strong> short-listed applicants asmentioned above. Please refer Instructions provided under Annexure I regardingsubmission <strong>of</strong> application <strong>and</strong> financial BID)3. The SC can call <strong>for</strong> any further clarifications or in<strong>for</strong>mation or documents at any point <strong>of</strong> time.The applicant may also be called <strong>for</strong> explaining or clarifying issues, if there be any.4. Decision <strong>of</strong> the SC on selection <strong>of</strong> the Organization is final.12


ANNEXURESAnnexure I:Instruction to Organizations regarding submission <strong>of</strong> applicationAnnexure II:Application Format <strong>for</strong> the Organizations intending to apply <strong>for</strong> the schemeAnnexure III:Draft <strong>of</strong> the letter regarding Concession Fee to be <strong>of</strong>fered by the Organization <strong>for</strong> operation <strong>and</strong>management <strong>of</strong> the specific services under PPPAnnexure IV:Draft <strong>of</strong> the covering letter to be submitted in the Letter Head <strong>of</strong> the OrganizationAnnexure V:Name <strong>of</strong> health facilities <strong>for</strong> establishment <strong>of</strong> CT scan facilities, Digital X-Ray (CR) facilities unit<strong>and</strong> Dialysis ServicesAnnexure VI:Rates <strong>for</strong> each <strong>of</strong> the tests/services to be charged by the O&M partner <strong>for</strong> patients treated in thegovernment hospitals13


Annexure IInstruction to organizations regarding submission <strong>of</strong> application1) Please read the In<strong>for</strong>mation Brochure carefully be<strong>for</strong>e submission <strong>of</strong> the application.2) An Organization may submit application <strong>for</strong> more than one service. However, the applicantshall have to submit separate application <strong>for</strong> each <strong>of</strong> the services.3) Applicant willing to submit applications in more than one hospital shall have to submitseparate application <strong>for</strong> each <strong>of</strong> the hospitals <strong>for</strong> each <strong>of</strong> the services.4) The application is to be submitted in the prescribed <strong>for</strong>mat containing general <strong>and</strong> technicalin<strong>for</strong>mation along with copy <strong>of</strong> documents to be submitted as per Annexure-II. Thisapplication is to be sealed <strong>and</strong> superscribed “General <strong>and</strong> Technical In<strong>for</strong>mation with copy <strong>of</strong>required documents submitted by ______________________ ’’5) Format <strong>for</strong> the concession fee <strong>of</strong>fered by the applicant <strong>for</strong> operation <strong>and</strong> management <strong>of</strong> each<strong>of</strong> the services under PPP along with a <strong>of</strong>fer letter is given in Annexure-III. This document isto be sealed <strong>and</strong> superscribed: “Offer <strong>for</strong> concession fee submitted by ____________”6) Draft <strong>of</strong> the covering letter is provided in Annexure III.7) The sealed documents as mentioned above under 4, the sealed documents as mentionedabove under 5 along with a covering letter as mentioned above under 6 should be put in oneenvelope superscribed:a. ‘Application <strong>for</strong> operation <strong>and</strong> management <strong>of</strong> Dialysis Services / CT Scan unit / Digital X-Ray (CR) services under PPP’ (Pl cancel whichever is not applicable)b. Name <strong>of</strong> the Hospital <strong>for</strong> which application is submitted:6). The application is to be submitted in the following address:OSD & EO Special SecretaryHealth <strong>and</strong> Family Welfare Department,Government <strong>of</strong> West Bengal,MS Branch, PPP CellSwasthya Bhawan, 4 th Floor, Wing-‘B’GN 29, Salt Lake, Sector-VKolkata-7000917). The last date <strong>for</strong> submission <strong>of</strong> application is January 04 2013. Applications received after 5.00pm on January 04 , 2013 will not be opened / accepted.8) If any <strong>of</strong> the documents as asked <strong>for</strong> are not submitted along with the application, theapplication <strong>for</strong>m submitted by the applicant may be rejected.9) <strong>Interest</strong>ed Organizations desiring to undertake physical inspection <strong>of</strong> the Hospital be<strong>for</strong>esubmission <strong>of</strong> the EoI as well as <strong>for</strong> any clarification, if required, relating to the scheme <strong>and</strong>filling <strong>of</strong> application may contact over Phone (033) 2333-0613 / 2333-0628.14


(If the name/address is different than that<strong>of</strong> the Organization as stated under 1 above)11. Year <strong>of</strong> Incorporation <strong>of</strong> the Hospital /Nursing Home/ Diagnostic Centre:12. Services/Facilities provided in-house ( Please Tick)• Dialysis Facilities : Yes/No• CT Scan facilities: Yes/No• MRI Scan Units : Yes/No• Digital X-Ray ( CR/DR) : Yes/No13. Annual turn over <strong>of</strong> the Organization <strong>for</strong> the last two financial years14. In<strong>for</strong>mation to be submitted only if the application is <strong>for</strong> Dialysis services <strong>for</strong> thehospital as specified above :a. Year <strong>of</strong> introduction <strong>of</strong> the Dialysis Servicesb. Number <strong>of</strong> Dialysis Machines currently in use:c. Make <strong>and</strong> model <strong>of</strong> the machine last procuredd.Services 2009Year / month2010Year / month2011Year / monthRemarks, ifanyNumber <strong>of</strong> patients ondialysis services(inclusive <strong>of</strong> all types <strong>of</strong>Dialysis)e. Existing Man Power <strong>for</strong> Dialysis unitPersonnel Numbers Remarks, if anyMedical Personnela. Nephrologistsb. Other Medical Personnela.b.Para Medical & TechniciansOther Stafff. Is the Organization at present engaged as a referral center <strong>for</strong> Dialysis by theDepartment <strong>of</strong> Health & Family Welfare, Government <strong>of</strong> West Bengal: Yes/NoIf yes, please provide in<strong>for</strong>mation on number <strong>of</strong> patients referred fromGovernment Hospitals in last six months:g. Projected utilization <strong>of</strong> services (number <strong>of</strong> patients) if the applicant is selected <strong>for</strong>operation <strong>and</strong> management <strong>of</strong> this hospital <strong>for</strong> Dialysis services under PPP:16


ServicesFirstSecondThirdFourthRemarks,yearYearYearYearif anyNumber <strong>of</strong> patientsh. Deployment <strong>of</strong> Personnel <strong>for</strong> undertaking Dialysis Services if the applicantis selected <strong>for</strong> operation <strong>and</strong> management <strong>of</strong> this hospital under PPPPersonnel Numbers Remarks, if anyMedical Personnel (Mentionspecialist <strong>and</strong> Medical<strong>of</strong>ficers separately)Para Medical & TechniciansOther StaffTotal15. In<strong>for</strong>mation to be submitted <strong>for</strong> applications <strong>for</strong> CT Scan or Digital X-ray (CR)Services :a. Name <strong>of</strong> the Services (please tick):• CT Scan• Digital X-Ray (CR)b. Year <strong>of</strong> introduction <strong>of</strong> the services:c. Make <strong>and</strong> model <strong>of</strong> the machine/s:d.Services 2009Year / month2010Year / month2011Year / monthRemarks, ifanyNumber <strong>of</strong> patients onCT Scan / MRI Scan /Digital X-Ray (DR or CR) inthe existing centre(strike out which are notrequired)17


e. Existing Man Power <strong>for</strong> CT scan / MRI Scan / Digital X-Ray (DR or CR)Personnel Numbers Remarks, if anyMedical Personnela. Radiologistb. Other Medical Personnela.b.Para Medical & TechniciansOther StaffTotalf. Is the Organization at present engaged in operation <strong>of</strong> CT Scan or MRI Scan under PPPwith Department <strong>of</strong> Health & Family Welfare, Government <strong>of</strong> West Bengal : Yes/NoIf yes, please specify service provided under PPP: CT Scan / MRI ScanPlease in<strong>for</strong>m the name <strong>of</strong> hospital where the services are provided under PPP:Please provide in<strong>for</strong>mation on total number <strong>of</strong> patients <strong>for</strong> whom investigations weredone in the last six months:g. Projected utilization <strong>of</strong> services (number <strong>of</strong> patients) if the applicant is selected <strong>for</strong>operation <strong>and</strong> management <strong>of</strong> this hospital <strong>for</strong> CT scan / Digital X-Ray (CR) servicesunder PPP:ServicesFirstSecondThirdFourthRemarks,(CT Scan / Digital X-Ray CR)yearYearYearYearif any[strike out which arenot required]Number <strong>of</strong> patientsi. Deployment <strong>of</strong> Personnel <strong>for</strong> undertaking CT Scan / Digital X-Ray CR services if theapplicant is selected <strong>for</strong> operation <strong>and</strong> management <strong>of</strong> the specific service under PPPPersonnel Numbers Remarks, if anyMedical Personnela. Radiologistb. Other Medical PersonnelPara Medical & TechniciansOther StaffTotala.b.18


16. Declaration: This is to confirm that no litigation is pending on date <strong>and</strong> no penal measureswere taken against us under applicable Acts <strong>and</strong> laws17. List <strong>of</strong> documents submitted with the application (please tick)ooooCopy <strong>of</strong> Registration Details <strong>of</strong> the OrganizationMemor<strong>and</strong>um & Article <strong>of</strong> Association (if applicable)Copy <strong>of</strong> the partnership deed if it is a a partnership firmCopy <strong>of</strong> Balance Sheet <strong>for</strong> the last two financial yearsSignature:Name in full:Designation:Date:19


Annexure IIITo:OSD & E.O Special SecretaryHealth <strong>and</strong> Family Welfare Department,Government <strong>of</strong> West Bengal,MS Branch, PPP CellSwasthya Bhawan, 4 th Floor, Wing-‘B’GN 29, Salt Lake, Sector-VKolkata-700091Date:Sub: Concession Fee <strong>of</strong>fered <strong>for</strong> operation <strong>and</strong> management <strong>of</strong>Dialysis Serviced / CT scan / Digital X-Ray (CR)Dear Sir,With reference to your advertisement dated ________ <strong>for</strong> selection <strong>of</strong> O&M partner <strong>for</strong>operation <strong>and</strong> management <strong>of</strong> Dialysis Services / CT Scan / MRI Scan / Digital X-ray underPPP, given below are the details relating to our <strong>of</strong>fer <strong>for</strong> concession fee <strong>for</strong> operation <strong>and</strong>management <strong>of</strong> the specific services in the hospital as mentioned below:a. Name <strong>of</strong> the Hospital:b Name <strong>of</strong> the specific services to be provided:(Dialysis Unit /CT scan / Digital X-Ray CR)c. Our <strong>of</strong>fer <strong>for</strong> Concession Fee <strong>for</strong> operation <strong>and</strong> management <strong>of</strong> the service asmentioned under ‘b’ above:-1. Percentage on Gross Quarterly Revenue*:(Both in figures <strong>and</strong> words)2. Fixed amount (in Rupees) to be paid in each Quarter:(Both in figures <strong>and</strong> words)The amount to be paid in each Quarter is either on percentage on gross quarterlyrevenue as mentioned under ‘c 1’ above or a fixed amount (in Rupees) in each Quarter asmentioned under ‘c 2’ above, which ever is higherWe the undersigned <strong>of</strong>fer to undertake operation <strong>and</strong> management <strong>of</strong> the service asspecified under ‘b’ above in the Hospital mentioned above under PPP at a fixedconcession fee <strong>of</strong> Rs ________________ (Rupees---------------------------------) per eachQuarter or at the Percentage on Gross Quarterly Revenue as mentioned under ‘c 1’ abovewhich ever is higher.Signature <strong>of</strong> the applicant:Name in full & designation:Date:*Gross Quarterly Revenue <strong>for</strong> calculation includes all revenues <strong>and</strong> income in each quarterconnected to the operation <strong>and</strong> management <strong>of</strong> the specific services by the O&M partner underPPP in the hospital but excludes the service tax, sales tax <strong>and</strong> Value Added Tax (VAT).20


Annexure IVDraft <strong>of</strong> the covering letter to be submitted in the Letter Head <strong>of</strong> the Organizationalong with application <strong>and</strong> other documentsTo:OSD & E.O Special SecretaryHealth <strong>and</strong> Family Welfare Department,Government <strong>of</strong> West Bengal,MS Branch, PPP CellSwasthya Bhawan, 4 th Floor, Wing-‘B’GN 29, Salt Lake, Sector-VKolkata-700091Date:Subject: Application <strong>and</strong> BID in response to your Advertisement dated. -----------Dear Sir,With reference to your advertisement dated ________ <strong>for</strong> selection <strong>of</strong> O&M partner <strong>for</strong>operation <strong>and</strong> management <strong>of</strong> Dialysis Services / CT Scan / Digital X-ray (CR) under PPP,we beg to submit our Application <strong>and</strong> <strong>of</strong>fer <strong>for</strong> Concession Fee <strong>for</strong> your consideration.As required, we enclose the following documents in sealed cover along with this letter:1. Application Form duly filled in <strong>and</strong> copy <strong>of</strong> documents as per Annexure II <strong>of</strong> theIn<strong>for</strong>mation Brochure duly filled in.2. Concession Fee <strong>of</strong>fered by us in the prescribed <strong>for</strong>mat as per Annexure III <strong>of</strong> theIn<strong>for</strong>mation BrochureYours faithfully,Encl: as stateSignature with rubber stamp(Name <strong>and</strong> Designation <strong>of</strong> the signatory)21


Annexure VName <strong>of</strong> Health Facilities <strong>for</strong> establishment <strong>of</strong> Diagnostic Facilities<strong>and</strong> Dialysis ServicesName <strong>of</strong> the HospitalServicesCT Scan Digital X-Ray(CR) Dialysis UnitIDBG Hospital, Kolkata X X √ (10 Bedded)District HospitalsHowrah District Hospital X X √( 10 Bedded)Birbhum District Hospital X X √ (5 Bedded)Coochbehar District Hospital (MJN√ (5 Bedded)Hospital)X√ (Yes)Dakhin Dinajpur District Hospital X √ (Yes) √ (5 Bedded)Darjeeling District Hospital X X √ (5 Bedded)Hooghly District Hospital X X √ (5 Bedded)Jalpaiguri District Hospital X X √ (5 Bedded)Nadia District Hospital X X √ (5 Bedded)North 24 Parganas District HospitalXX√ (5 Bedded)Purba Medinipur District Hospital√ (5 Bedded)X√ (Yes)(Tamluk)Purulia District Hospital X X √ (5 Bedded)South 24 Parganas District HospitalXX√ (5 Bedded)Uttar Dinajpur District HospitalXX√ (5 Bedded)SD/SG/Other Hospitals/New Health District HospitalsAsansol SD Hospital X X √ (5 Bedded)Basirhat SD Hospital X X √ (5 Bedded)Bishnupur SD Hospital X X √ (5 Bedded)N<strong>and</strong>igram Hospital √ (Yes) X √ (5 Bedded)Diamond Harbour SD Hospital X X √ (5 Bedded)Rampurhat SD Hospital X X √ (5 Bedded)Jhargram SD/Dist Hospital √ (Yes) √ (Yes) √ (5 Bedded)Arambag SD Hospital X X √ (5 Bedded)Ghatal SD Hospital X X √ (5 Bedded)Gangarampur SD Hospital X X √ (5 Bedded)Alipurduar Sd Hospital X X √ (5 Bedded)Siliguri SD Hospital X X √ (5 Bedded)Kalimpong SD Hospital X X √ (5 Bedded)Vidyasagar SG Hospital(Behala)XX√ (5 Bedded)Total 2 (Two) 4 (Four) 2 (Ten bedded)26 (Five bedded)22


Annexure VIRates <strong>of</strong> CT scan Facilities(16 slices spiral CT scan)InvestigationsRatesa.= Rates withoutcontrastb = Rates <strong>of</strong> contrastmaterials, if requiredMedicalColleges &HospitalsRates (in Rs)District Hospitals<strong>and</strong>Sub Divisional HospitalsBrain/Head a. 525 500b 400 400Orbit a. 525 500b 400 400Pituitary/Sella a. 525 500b 400 400PNS Nasopharynx a. 750 725b 400 400Neck a. 750 725b 400 400Face a. 750 725b 400 400Thorax/Chest a. 750 725b 400 400Upper/Lower Abdomen a. 750 725b 400 400Whole Abdomen a. 1500 1450b 800 800Cervical/Lumber Spine a. 750 725b 400 400Pelvis a. 750 725b 400 400L. Limb/Hip/Knee/Ankle Joint a. 900 875b 400 400Femur/Tibia/Thigh a. 1125 1100b 400 400CT Guided FNAC a. 525 500b 400 400Rates <strong>of</strong> other cases/special cases will be fixed on economy <strong>of</strong> scale23


Annexure VI (continued)Rates <strong>of</strong> Digital X-ray (CR)InvestigationRates <strong>of</strong> Digital X-Ray (CR)Plain X-Ray (Per plate) 70Barium Meal Swallow 200Barium Stomach/Duodenum 300Barium Ileo-Cec region 300Barium Enema 300Retrograde Pyelogram 400Myelography 700Intravenous Urography 700Urethrogram / Cystourothrogram 300Sinogram 250T-tube Colongiogram 250HSG (without contrast) 300Rates <strong>of</strong> other cases/special cases will be fixed on economy <strong>of</strong> scale.24


Annexure VI (continued)Rates <strong>of</strong> Dialysis ServicesInvestigationRates (in Rs) <strong>of</strong> Dialysis ServicesHaemodialysis persittingMedical College & Hospital / IDBGHospital, Kolkata / Howrah DistrictHospital, Howrah(Ten [10] Bedded Dialysis unit withcomplete set up)700 in first sitting <strong>and</strong> 500 in subsequentsittingDistrict Hospital / SD/SGHospital/New Health DistrictHospitals(Maintenance Dialysis)(Five [5] Bedded Dialysis unit)300 per sittingPeritoneal Dialysis 350 per sitting 250 per sittingSingle LumenAccess1100Double LumenAccess2100Rates <strong>of</strong> other services, if any, not covered above will be fixed on economy <strong>of</strong> scale25

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