project report heema hospital rev

8/10/2019 Project Report Heema Hospital Rev

1/75

LIST OF CHAPTERS

S.N. SubHead

Subject Chapter No. Page No.

1. 1.1 Executive Summary I1.2 Project at a Gla ce !"#1.$ I troductio % Project

Pro&ile1.$.1 'bout the Ho(pital )1.$.2 *egree o& Speciali+atio ,"1-1.$.$ Exi(ti g '((et( o& the

Ho(pital11"1$

1.$.! Exi(ti g ma po er detail(o& the Ho(pital

1!

1.$.# /ajoractivitie(0achieveme t( o&the Ho(pital

1#

1.$.) arget Group( 1)1.$., Catchme t( 'rea 1,1.$. Co (titutio 3 4ice (i g %

Empa elme t o& theHo(pital

1

1.$.5 6 it 4ocatio 11.$.1- Pollutio co trol /ea(ure( 151.$.11 Gro th Strategy 15

1.$.12 he mi((io o& the Ho(pital 152 2.1 Project *etail( II 2-

2.1.1 he Preamble 2-2.1.2 I troductio 21"222.1.$ 7bjective( 2$"2!2.1.! he Propo(al 2#2.1.# he propo(ed machi e %

it( leverage &or theHo(pital

2)"$-

2.1.) 8u ctio al %

Impleme tatio Pla

$1"$$

2.1., rai i g Compo e t $!2.1. 'utomatio $#"$,2.1.5 Project 9atio ale $ "$5


2/75

$ $.1 *emographic *etail( III$.1.1 4ocatio al *etail( !-"!1$.1.2 Project 4ocatio !2$.1.$ Health I dicator( o&

'ru achal Prade(h!$"!!

$.1.! Health I dex o& 'ru achalPrade(h

!#"!)

$.1.# I du(trial Pro(pect !,"!$.1.) Healthcare Sector

7vervie % re d(!5"#-

$.1., I ve(tme t Pla iHealthcare

#1

$.1. Competitive Sce ario #2$.1.5 /ar:et 7utloo: #$"#!

$.1.1- Service 8actor %Employme t Ge eratio

##"#)

! !.1 Promoter;( Pro&ile I< #,"## #.1 S ot ' aly(i( < #5")-) ).1 /ajor '((umptio (


3/75

LIST OF ANNEXURES

S.N. ' exure ' exureNo.

Page No.

1. Project Co(t I )2. Pre"7perative Expe (e( I>a? )5$. Propo(ed mea ( o& &i a ce II ,-!. *etail( o& Pla t % /achi ery III ,1#. *etail( o& 7&&ice E@uipme t( I< ,2). I dicator 9atio < ,$",),. I come E(timatio


4/75

CHAPTER I

Executive SummaryPROJECT AT A GLANCE

1.Name of the Project : Heema Hospital

2.Project Location : O Point Tinali, Itanagar

Dist: Papum-pare, Arunachal Pradesh

791111

3.Project Objective : To add facilities to existing Multi Specialty

Hospital

4.Proprietors name : Mrs Byabang Yaji

5.Firms Constitution : Proprietorship

6.Contact Address (Office) : Heema Hospital

O Point Tinali, Itanagar

Papumpare Distt. Arunachal Pradesh

791111

7.Contact Nos. : 0360-2291094/0360-2217800

0360-2290551(Fax)

9436050006/9402690187

8.Project Cost : (Rs. In lakhs)

4


5/755


6/75

(d) Units proposed nancial projection Summary:

Figs in Lakhs1 st Year 2 nd Year 3 rd Year 4th Year 5 th Year

Total revenue : 68.90 83.77 87.63 99.60 121.49PBIDT : 44.01 48.28 46.80 48.92 62.13PBIT : 25.39 32.91 35.10 41.39 59.31PBIT Ratio : 37% 39% 40% 42% 49%Net cash Accruals : 25.39 36.91 39.10 45.39 63.28

(e) Debt Service Coverage R atio :

Maximum : 1.52Minimum : 1.02

Average : 1.23(e) Break Even Point ( Sales) : 38.57Safety Margin available : 30.33in rst year of operation :(f) Pay Back Period : 3 years 3 m onths(g) Cash Surplus at the :end of last year of projection : 64.00Lakhs(h) Repayment period : 5 years with moratorium of 6 months(i) Employment Generation : 6(in the rst year of operation)

6


7/75

11. Introduction & Project Profile:

a. About the Hosp ta!"

Heema Hospital is th e rst private multi-specialty Hospital of the State.

The hospital started as Heema Clinic in 1991 with 5 bedded indoor capaciand with its continuous successful service and gradual development of its

brand image it developed itself as ful

2007 with a total intake capacity of 50 beds.

The Hospital is located at O Point Tinali, Iga

its location is in the heart of the capital city with easy access for 24x7 as to

Road transport, Public transport System, Electric Supply, Water Supply and

Sewer treatment facility. With nearby Auto, Taxi & Bus Stands, make it easily

accessible to any mode of transportation for the needy patients in any hour of

emergency to reach the hospital within shortest possible time. Police and Fire

Station are at stones throw away distance from its existing location thus

ensuring round the clock security.

Equipped with an ambulance it can provide safe transportation of both

stable and unstable patients to the designated referral hospitals in case of

emergency or as per the need of the hour.

The hospital has an outsourced laundry service to provide clean linen.

The sterilization of requis

also has a n organized catering service to provide regu lar an d therapeutic diets.

#


8/75

b. $e%&ee o' Spe( a! )at o*

The hospital provides primary as well as secondary level care including

the preventive, promotive, curative and rehabilitative services within the ambitof its capacity. The hospital has made provisions for future expansion for

size and adding on departments if need be.

It is providing comprehensive intensive care for a ll types of medical and

surgical cases. The hospital is equipped to provide expert rst aid and all

services for resu scitation and preservation of life.

It has a basic casualty unit, a comprehensive critical and intensive

care unit providing ventilator support, shock therapy, and backup support

for a ll three services. The various a ctivities as listed above are being supported

by the following clinical por

Operating room / Labor

room

Imaging department with:o X-ray machine

o Ultrasound machine

o Color Doppler Machine

Theatre sterile supply unit

Laboratory servi ces

Right since its inception

of the unit as multi-specialty Hospital, it had been conceptualized to be a

leading medical treatment centre to cater the varied health-care n eeds of the

various target groups including the

+


9/75

For the purpose, the hospital is being managed by a group of managing

committee members expert in their respective elds and they assist the

proprietor in taking major p olicy decisions. Regular focus is kept to provide th e

affordable and comprehensive health care services to the patients. Emphasis isalways on the best health care aids as well as best talents working for the

hospital. Quality aspect is always the prime focus of the management.

Therefore, even for the procurement of te T-Scan Machine, ot

obtained quotations from the leading Healthcare products suppliers whose

machineries are capable of providing state of the art h ealthcare solutions.

Proposed unit, equipped with better a nd latest healthcare t echnologies would

have monopolistic edge over t he other few units presently operating within the

State.

Heema Hospitals patient-focused philosophy has always been to

continually integrate cutting edge healthcare applications into the d aily clinical

routine, providing high quality patient care while simultaneously reducing

costs. While patients continue to expect higher diagnostic accuracy, healthcare

institutions a nd facility centers a re being forced to red uce t ime to diagnosis a nd

unnecessary hospitalization. To meet these an d tomorrows demands for higher

quality and cost eff ective healthcare, Heema Hospital is committed to improve

its technological assistance and blending the modern developments for reduced

healthcare cost and expand its accessibility to the wider range of needy

patients.

(. E, st *% Se&- (e Fa( ! t es"

Hospital h as developed as fully functional multi-specialty centre and it

has OPD services a vailable for:* Minor General/Laparoscopic Surgery* Gynecology and Obstetrician


10/75

* Oncology* Medicine* Pediatrician & Neonatal Care Services

* ENT Services* Eye* Orthopedic* Skin* Pathology* Physiotherapy* Diet Counseling Centre* Acupuncture

/0


11/75

Its i ndoor facilities includes:* State of art Operation Theatre with latest equipments* NICU (Neo-Natal Intensive Care Unit)

* Delivery Room* Ultrasound* Air-conditioned Labour room* Minor O T facility* Dressing room* Well equipped and sufficiently stocked Pharmacy* Conference Hall* Ambulance Facility* 20-seater cap acity canteen for t he inmates a nd their r elatives.* Lodging arrangement for the doctors and nurses.* Mess f acility for t he resi dent doctors & Nurses.

In-patient department has following su b-categorization:* Medicine Ward* Surgery Ward* ENT/EYE Ward* Children Ward* General Ward

With the procurement of latest investigative tools to aid in the d iagnosis

and treatment of its patient, the hospital has p roliferated its d iagnostic se rvices

in following divisions:* Video Endoscopy Division* X-Ray Division* ECG Division* Audiometry Division

//


12/75

* Ultrasonography/Colour Doppler Division* Optometry Division* General Pathology Division

1. E, st *% Assets o' the Hosp ta!"

Sl.

No

Particulars Year ofPurchase/Const.

No.s Historic Cost(Excl. Dep.)*

Remarks

1. Land 2000 2.00 Lakhs Land allotmentprocured in 2011.

2. Building 2007 225.00 Lakhs3. Video-Endoscopy 2008 1 14.00 Lakhs4. Endoscopy 2007 1 7.00 Lakhs5. Ultra sound(Colour Doppler) 2008 1 19.00 Lakhs6. Ultra sou nd(Plain) 2007 1 7.00 Lakhs7. X-Ray 100 M.A. 2007 1 7.00 Lakhs8. X-Ray 60 M.A. 2007 1 2.00 Lakhs9. Audiometry Testing Machine 2009 1 1.50 Lakhs10. ECG 2007 & 2011 2 1.00 Lakhs11. Neo-Natal Intensive Care Unit with:(a) Phototherapy 2008 3(b) Baby Warmer 2008 6 15.00 Lakhs Combined cost unit.12. Operation Theatre equipped with:(a) Laparoscopy Instruments 2007 1 set

(b) Anesthesia Machine

2007 &2011 2 Nos OT Light 2007 & 2011 2 Nos.(d) OT Table 2007 & 2011 2 Nos.(e) Pulse Oxeometer 2007, 08 &10 3 Nos.(f) Auto Clab 2007 & 2008 2 Nos.(g) Sterliser M achine 2007 & 2008 2 Nos.(h) Operation Instruments 2007 1 Set(i) Suction Machine 2007 & 2008 4 Nos. 62.00 Lakhs Combined cost unit.12. Laboratory Equipped with:(a) Auto Analyser 2007 1 Nos(b) Microscope 2007 1 Nos.

CBC Machine

2009 1 Nos.(d) QBC Machine 2007 1 Nos.(e) Centrifuge 2007 2 Nos.(f) Colorimeter 2007 1 Nos.(g) Mixer Machine 2007 1 Nos.(h) Incubator 2007 1 Nos. 20.00 Lakhs

/2


13/75

13. Ambulance 2007 2 Nos. 10.00 Lakhs14. DG sets 2007 & 2011 2 Nos 10.00 Lakhs15. Water Pumps & Tube well 2007 4 Nos. 10.00 Lakhs

Total 412.50 Lakhs*Figs have been rounded off to nearest lakhs for easy exp lanation.

Existing physical facilities:

Particulars No. of

rooms

Description Remarks

Basement-I

(Surgical Ward)

12 Major Operation Theatre-1

Doctors Dressing-1

Recovery Room-1

Labor Room-1

Observation Room-1

ICU-1

Single Room-3

Double Room-2

Metron Room-1Basement-II

(Medicine Ward)

11 Cabin-Male-1

Double Room-2

Cabin-Female-1

Single Room-5

Deluxe Room-1

Suite Room-1Basement-III

(General Ward)

10 General Ward-Male-1

General Ward-Female-1

Isolation Ward-1

Infectious Ward-1

Living Room-Med. Supdt-1

RMO Lodge-2

Nurse Hostel

Staff Room-2

/3


14/75

Ground Floor

(OPD Ward)

11 Pharmacy-1

Reception/Cash Counter-1

Laboratory-1

Surgery OPD-1

X-Ray Room-1

Minor OT Room-1

Medical Supdt. Room-1

Gynae Room-1

RMO Room-1

Medicine/Skin-1

Ortho/Ent-11 st Floor

(CMD Office)

6 CMD Office-1

Office-1

Endoscopy-1

Ultrasound Room-1

Kitchen-1

Canteen-12 nd Floor

(Hall Area)

Conference Hall-1

Drying Space-1 Copy of Land passbook for the

existing land on which the hospital has

been constructed have been attached

as Suppl-III with the Project Report.

Copy of existing hospitals design

and its oor plan have been attached

as Suppl-II with the Project Report.

/4


15/75

e. E, st *% a* Po e& 1eta !s o' the Hosp ta!"

Sl. No Posts No.s Remarks1. Doctors 10

2. Nurses (GNM & ANM) 353. OT Staff 64. X-Ray Technician 25. Ultrasound Technician 26. Endoscopy Technician 27. Lab Technician & Staff 38. Pharmacy Staff 49. Office Staff 510. Attendants 1211. Electrician 112. Painter 1

13. Carpenter 114. Cook 415. Plumber 216. Washerman 517. Security Staff 218. Sweepers 8

Total 105*Includes con tractual and part-time em ployees also.

/5


16/75

'. a o& A(t - t es a(h e-e7e*ts o' the Hosp ta!

During its palpable existence for last 20 years it has voluntarily

undertaken several social welfare measures as a part of its Social

Responsibility which has left a long lasting impression on the local populace

and thus connecting effectively even with the deprived and underprivileged

sections of the Society at far ung areas of remote districts of Arunachal

Pradesh. Some of such efforts/achievements have been underlined below:

* Free Medical Camp at Koloriang, Kurung Kumey District in association

with ANSU during 4-5 Dec.2008

* Free Medical Camp at Bene & Logum Jini Village, Aalo, West Siang

District in association with APDA & Ex-R.K. Mission Student on 31 st

January 2009

* Conducted rst open Neuro-surgery by Dr. N. Boruah, MCH, HoD

Nurosurgery Deptt., GNRCH on 15-2-2009

* Free Two-day Respiratory Disease & Chronic Obstructive Pulmonary

Disease(COPD) Checkup camp at Itanagar in July2009 in association withLupin, a MNC drug company

* One day seminar on infant feeding at Heema Hospital Complex, Itanagar

with Nestle Company.

* Safe motherhood & Save Girl Child Programme at Itanagar in

collaboration with Federation of Obstetric and Gynecological Societies of

India(FOGSI) in Sept 2009 at Itanagar

* CME on Malaria with Zydus Cadilla, a MNC drug company at Itanagar.

* CME on rabies with Ranbaxy Pharma

* Free Screening Camp on hypertension & Cholesterol Level in association

with Emcure Pharmaceuticals Ltd.

/6


17/75

* Set up rst and the only neo-natal intensive care u nit in the State of

Arunachal Pradesh in March 2009

* Imparting regular healthcare training to 50-60 girls for six-months

training duration.%. Ta&%et %&oups"

The hospital, with its 20 years of successful existence, present

investment of Rs. 412.50 Cr in xed assets, manpower of 105 persons

including several experts in their eld, has established its lasting brand image

among th e local populace of the State. As recog nition of its illustrious ex istence

and untiring continuous service, Govt of Arunachal Pradesh has brought it

under the aegis of its empanelled organizations where its Govt. employees and

their dependent are a llowed to avail healthcare facilities a s p er t he CGHS Rule.

This recognition would have major upward thrust to the nancials of the

hospital. It would bring within its ambit a big chunk of Govt. employees and

their dependent for the healthcare ser vices for which they used to go outside

the State erst while. In order t o cater t he increased volume of patients a nd their

varied healthcare requirement, hospital as

plan to its ex isting facilities a nd the inclusion of technology like CT-Scan would

denitely a big boost to its existing comprehensive service paraphernalia.

Besides, due to its affordable and price-effective cost r ange, it is a preferred

choice for al most all income grou p for their healthcare needs.

Management is hopeful to cater its effective healthcare services within a

radius of 50 kms from the existing location. Though, with its growingpopularity and public acceptance, it is a lready getting patients from the rem ote

districts of the State which are situated very far from the capital complex viz,

Kurung Kumey, Lower Subansiri & Upper Subansiri districts. The management

endeavor is to cater to the local populace of the ca tchment area a s well.

/#


18/75

h. Cat(h7e*t A&ea

(i) Ganga

(ii) Chandannagar(iii) Gohpur

(iv) Naharlagun

(v) Nirjuli

(vi) Doimukh

(vii) Banderdewa

/+


19/75

. Co*st tut o*8 L (e*s *% 9 E7pa*e!7e*t o' the Hosp ta!

It has been registered with the Govt. of Arunachal Pradesh as a

proprietorship healthcare facility centre. Keeping in view, its co ntinuous growthand popularity it has been empanelled with several organizations for providing

healthcare services on contractual basis. Most prominent of them is

recognition by Govt. of Arunachal Pradesh, Deptt. of Health & Family Welfare

Itanagar for treatment of its employees & their dependents vide Gazette

Notication No. MPH-8/91-92/Pt-II/08-09 dtd 5 th Sept 2010 under the rule

2(d) of CGHS,CS(MA)Rule,1944. Besides it has been empanelled with following

other prom inent organizations a s well:* SBI Life w.e.f 10 th May 2002* BSNL* ICICI w.e.f 1 st Feb 2009* NEDFi* Bajaj Alliannz Insurance Company

* Birla Insurance Company* Medicare TPA Service w.e.f 31 st Aug 2009* Seetha Sri Tax Service* Jeevan Samridhi Medicare Marketing Pvt. Ltd. w.e.f 5 th Oct 2007* Mdindia Healthcare S ervice w.e.f 31 st Aug 2009

. U* t Lo(at o*

It is located at O Point Tinali, Itanagar a nd proposed expansion would

take place a t the adjacent plot of land available with the Proprietor a t the sa me

location.

/


20/75

:. Po!!ut o* Co*t&o! 7easu&es"

Hospital has outsourcing arrangement for waste disposal. Deptt. of PHE

carries away the Solid waste disposed off by the hospital for deep burial at adistant safe location. Water d isposal is th rough sewer line passing close to the

hospital complex.

!. ;&o th St&ate%ee: Sept8 20/4 2 *1 >ee: Sept8 20/4

4. A&&a*%e7e*t o' !a*1 A!&ea1< a&&a*%e1

5. Co*st&u(t o* $e(o. o' bu !1 *% A!&ea1< e, st *%

6. A(?u s t o* o' P!a*t 9 a(h *e&< a*17 s(e!!a*eous ' ,e1 assets 2 *1 >ee: Sept8 20/4 2 *1 >ee: O(t8 20/4

#. Co77 ss o* *% I*au%u&at o* /st ee: No-8 20/4

project report heema hospital rev

Documents