Odisha HRD

Telegraph reports on the status of an AIIMS clone in Bhubaneswar

Following are some excerpts from that report. (Thanks to Deba Nayak for the pointer.)

The Union government would soon start construction of the All India Institute of Medical Science (AIIMS) near Bhubaneswar from December 2007.

The proposed regional centre of the AIIMS has been postponed for the past four years. Last year, Cabinet Committee on Economic Affairs (CCEA) put the Bhubaneswar-AIIMS on fast track by making budgetary allocations under Pradhan Mantri Swasthya Suraksha Yojana (PMSSY). Official sources said a sum of Rs 330 crore has been so far sanctioned.

Replying to a query put by BJD MP Prasanna Patsani today, the Union health minister, Anbumani Ramadoss, said the construction would begin from December. “He assured me that work on the AIIMS college would begin in April 2008,” Patsani told The Telegraph. …  According to an initial estimate, a sum of Rs 280 crore would be spent on the establishment of the Bhubaneswar AIIMS. In the first phase, three departments — cardiology and cardio-thoracic, nephrology and urology and cancer centre — would be set up at an estimated cost of Rs 133 crore.

A two-storied modular building was proposed on the 100-acre site to house four operation theatres, out patient departments, diagnostic block and in patient wards. The diagnostic unit was to be equipped with sophisticated equipment such as CT scan, MRI, X-ray machines, electro-encephalogram and electro-cardiogram.

September 7th, 2007

AIIMS like institutions facing problem in attracting contractors

Following are excerpts from a Business Standard report. (Thanks to Anand Shah for the pointer.)

Even as engineering and construction firms are actively partnering private players in setting up medi-cities and super-speciality hospitals, a key initiative aimed at setting up six AIIMS-like hospitals and upgrading 13 facilities is finding few takers.

The initiative is part of the prestigious Pradhan Mantri Swasthya Suraksha Yojana (PMSSY), announced in 2005. The projects, with a total outlay of over Rs 3,500 crore, are scheduled to be completed by 2010.

Few developers have responded to the tenders for setting up six hospitals modelled on AIIMS and upgrading 13 medical colleges.

Health ministry officials said the poor response from the private sector for these projects, each worth Rs 50-100 crore, was unfortunate and needed to be seriously analysed.

"The construction boom has thrown open more projects that one can handle. We will have to market our projects well for a good response," said a ministry official.

… The tender inviting private firms to develop housing facilities for the six AIIMS-like institutions has received very few responses, forcing the government to think of floating a second tender. The tender for preparing a detailed project report (DPR), expected to close on September 24, is expected to get a similar response.

Project consultants in the healthcare segment say the government should relax the tender norms. "The archaic norms that keep most well-established players out of the tender process should be kept aside," said a consultant.

…  The apathy of turnkey consultancy and construction firms is known to be a direct result of ?hassle-free? business opportunities in the nationwide real estate boom.

The lack of response has been plaguing the project from the very beginning. It took two tenders and more than a year for the ministry to finalise the consultants for the project. The stringent quality parameters, which kept out most potential bidders, are known to be one of the reasons for the poor response.

The project, which envisages AIIMS-like institutes in Bhopal, Bhubhaneswar, Jodhpur, Patna, Raipur and Rishikesh, received the Planning Commission’s nod in the 10th Plan. The work was to begin in the 10th Plan period itself. The Cabinet Committee on Economic Affairs cleared the project in March 2006.

… Any delay in the execution of the project will raise serious doubts about the government?s capability to add healthcare beds on time.

September 3rd, 2007

Progress on the AIIMS-like institutes, including the one proposed for Bhubaneswar

Following are excerpts from the current content at http://www.mohfw.nic.in/EoI_FOR_PC.htm.

…
Ministry of Health & Family Welfare (MoHFW),Government of India, intends to set up AIIMS like Apex Healthcare Institutes one each at Bhopal, Bhubaneshwar, Jodhpur, Patna, Raipur and Rishikesh. The institutes are being set up in approximately 100 acre land already made available by State Government.

These apex institutes have been envisaged as Centers of Excellence with 500 bedded hospital, 300 additional Super-specialty and ICU beds, an independent 100 beds for Trauma Care, 30 beds each for PMR and  AYUSH  Facilities. These Institutes will provide undergraduate and post graduate medical education and medical services in 39 specialty /super-specialty disciplines. The activities of the institutes will focus on providing the highest quality of patient care services, medical education and engage in biomedical research.

HLL has been appointed ‘In-house Consultant’ by MoH&FW for implementing the project. The Project is being envisaged as Hospital and College Complex and Hostel and Residential Complex. Land at Bhopal, Bhubaneshwar, Jodhpur and Rishikesh are contiguous for the entire project while at Patna and Raipur Residential Complex are being located separately. Site Survey, Sub-Soil Investigation and Zoning plan have been completed for all the sites. Area has also been earmarked and boundary wall have been constructed.

Hospital and College Complex. The RFP Document for Design and Detailed Project Report (DDPR) has been issued to short listed firms. The DDPR Consultant is likely to be selected for each site by Nov, 2007.

Residential and Hostel Complex.  The Complex is being developed by EPC Developer on turnkey basis and Contractor for each site is likely to be selected by Sep 2007.

Hospital Furniture and Medical Equipment. The client has already constituted a committee to finalize the requirement of Hospital furniture and medical equipments. The project consultant will be required to be associated in supervision, installation and commissioning of equipment and furniture as per delivery schedule till final handing over to the hospital authorities.

The approximate cost of works per institute  for hospital and college complex is Rs 125.00 Crore.
…

The proposal named PRADHAN MANTRI SWASTHYA SURAKSHA YOJNA (PMSSY) has been launched by the Hon’ble Prime Minister of India to offer Speciality and Super-speciality medical care and to improve the quality of medical education by creating six AIIMS like apex healthcare Institutes at Bhopal, Bhubaneshwar, Jodhpur, Patna, Raipur & Rishikesh in the states of Madhya Pradesh, Orissa, Rajasthan, Bihar, Chhattisgarh and Uttarakhand respectively.

• The proposed Institutes shall have state-of-the-art multi-specialty /super-specialty facilities with captive hospital, medical college with annual intake of 100 undergraduates and P.G/Doctoral courses in various Specialty/Super-specialty disciplines based on Medical Council of India (MCI) norms, requisite infrastructures, nursing college, hostels and housing complexes.  The AIIMS like Institutes would be centre of excellence and completely autonomous on the line of IITs/IIMs. These Institutes would be run and managed by Government of India.
•  These Institutes will participate in providing national leadership in the education of physicians and medical scientists, biomedical research and in the application of sophisticated medical technology to patient care. The activities of the Institutes will focus on providing the highest quality patient care services, medical education and in advancing biomedical research.
• Hospital facilities in India attract very large crowds .The facilities being created are to be used by the poorest population of the country. It is envisaged that these facilities would be holistic in nature, economical to build, respond to the local environment and climatic conditions and create an environment which is user friendly.
• The objectives of project development are Modular Pattern of development, ability to expand to meet future needs, be energy efficient in use of Water, Power and other scarce resources. Air-conditioned areas would be limited to essential services of the hospital functioning.
• Service needs of these facilities plays an important part in the development of the facility. Thus building services, mechanical systems, materials of Construction and movement systems for waste management etc form a major component of these facilities.
• The Institutes have been envisaged as centres of excellence for undergraduate and postgraduate medical education, nursing education and medical services and are to be trendsetter in health research and advancement of medical sciences in India. The Institutes will provide educational facilities of very high quality comparable to the very best in the world for necessary medical manpower development.
• The Institutes will train medical graduates, post-graduates with international levels of quality and efficiency in health care delivery.  The Institutes will implement new approaches for medical education. They will provide best facilities for postgraduate studies and research.
• The Institutes, with state-of-the-art high-tech medical equipment, will offer diagnostic and therapeutic care in clearly identified specialty and super-specialty services. The Institutes will also conduct health research, both basic and applied.
• The Institutes shall consists of :-
  •       500 Beds hospital providing Medical treatment in 18 Specialty disciplines
  •       300 beds in 15 Super-Specialty discipline.
  •       50 beds in ICU and critical care
  •       50 beds Trauma ICU expandable to 100 beds and 50 bedded Recovery cum Rehabilitation Unit to be constructed at a later date.
  •       30 beds for PMR (Physical Medicine and Rehabilitation)
  •       30 beds  for AYUSH Facilities
  •       6 Basic Science Department
  •       Organ Retrieval Banking Organisation Centre.
  •        State of the  art Diagnostic Centre to be constructed later
  •       Medical College with 100 intake capacity per year and PG/Doctoral courses in various discipline with admission based on MCI norms.
  •       Nursing College with annual intake of 60 students.

•    Residential Facilities shall come up as under
  • Housing for 167 Staff from Type I to V  and Director’s Bungalow
  • Hostel for UG for 375 Occupants
  • Hostel for PG and Interns 216 Occupants
  • Hostel for Residents 190 Occupants
  • Hostel for Nurses 200 Occupants

Bed Distributions:

SPECIALTIES	Beds
Surgical & Allied Specialties	220
General Surgery	120
Orthopaedics	60
Ophthalmology	20
Oto-rhinolaryngology	20
Medicine & Allied Specialties	220
General Medicine	120
Paediatrics	60
TB & Respiratory Diseases	20
Dermatology & STD	10
Psychiatry	10
Obstetrics & Gynaecology	60
Obstetrics	35
Post-partum	5
Gynaecology	20
TOTAL	500

 

The Institute shall also have the following super-specialty departments with the bed distribution as indicated below:

 

SUPERSPECIALTIES	Beds
Cardiology	20
Cardio-thoracic Vascular Surgery	20
Gastro-enter logy	20
Surgical Gastro-enter logy	20
Nephrology	20
Urology	20
Neurology	20
Neurosurgery	20
Medical Oncology	20
Surgical Oncology	20
Endocrinology/Metabolism	20
Clinical Haematology	20
Paediatric Surgery	20
Burns & Plastic Surgery	20
Pulmonary Medicine	20
TOTAL	300
Intensive Care Unit and Critical Care	50

 Two additional divisions are also to be integrated to the Institute

AYUSH Facilities	30
PMR DEPARTMENT	30

1 comment September 3rd, 2007

AIIMS-like institution in Bhubaneswar

Following are some details on the AIIMS like institute in Bhubaneswar: architecture competition; RFP for consultancy; Notice inviting tender for survey works; Reply to queries raised by bidders ; More details (Drawing1, Drawing2, Drawing3, Architect’s brief). The "Architect’s brief" is a comprehensive document on what is planned for the AIIMS like institution. In the health budget of 2007-08 there is 150 crores for the 6 new AIIMS type institutes and upgradation of 10 state govt hospitals. In 2006-07 this was 75 crores which was revised down to 10 crores. There is a rumor in Orissa papers that the 150 crores in the 2007-08 is only for upgradation and nothing will be spend on the new AIIMS like institutions. I don’t believe it. Lets wait and wtach.

March 29th, 2007