Procedure for Hospital Setup in India

Government hospitals and private hospitals are the two primary types of hospital setup. Every citizen's essential requirement and right to leave in a healthy atmosphere is health care. Hospitals, nursing homes, clinics, medical camps, and other venues promote a healthy lifestyle for the country's population. Hospitals can be classified as general, specialty, or multi-specialty.

What is the Procedure for Hospital Setup in India?

In India, a high-quality health-care service is critical for any type of hospital. The entrepreneur's first consideration is the type of business he or she wishes to develop. Professional quality of services, adequate and qualified workforce, and good collaboration with other physicians and allied organisations are some of the important successes. Some of the things which should be kept in mind for hospital setup are as follows:

• The Hospital's Locations

This must be carefully picked because it will be difficult to pool patients if there are already some hospitals in the area. In addition, the hospital must be located in an area with decent transportation or near a railway station. Look for non-agricultural property that has been specifically developed for hospitals. All electricity and water supplies must be readily available, and this must be verified prior to purchasing any land for the hospital's construction.

• Services Provided

The hospital's facilities must be determined by the management based on the hospital's location. Pathology, ICU care, orthopedics, and other specialty services that must be described may be generalised. Before offering any specialised services, the facilities related to electricity, air conditioning rooms, water, hygiene maintenance, and so on must be checked.

• Hospital Registration and License Required

Before everything else, a hospital's registration is required to ensure that its medical credentials are valid and authentic. The following are some important considerations to keep in mind when registering and licensing a hospital:

• The government or private Hospital Registration Certificate, Form C, is used to recognise the nature of the hospital.
• Approval from the appropriate authorities
• Registration under the Societies Registration Act, 2001
• Registration under the Companies Act, 2013
• Registration under the Clinical Establishment Act, 2017
• Acquiring a unique Director Index Number (DIN NO) for each director of the hospital
• FSSAI license for operating a kitchen
• Pharmacy registration is required for medical businesses located on hospital grounds.
• Certificate of hospital registration with municipal corporations
• IMC/SMC registration certificate under the Indian Medical Council Act, 2002
• Obtaining a trademark registration
• Vehicle registration for ambulances
• Licensing of arms under the Arms Act, 1959.
• Registration for Transplantation of Human Organ Act, 1994
• Excise permit to store spirit in excess of medicinal requirements

Permits required for hospital setup in India

• Land and Construction

A hospital can only be built on non-agricultural land that is available for use. Before any hospital setup different approvals and permits are required from the local authority and the government must be obtained.

• Water and electricity

According to analysis, a hospital requires about 100 liters of water per bed every day. Depending on whether the hospital is a primary, specialist, or other type of hospital, the water requirements will vary from project to project. The authorization of the appropriate local authority must be obtained before the water and electrical utilities may be made available.

• Sewage

Sanitary measures for waste disposal and drainage systems, such as tanks and pipelines, must be well-planned, and authorization from the local authorities must be secured.

• Waste from the Biomedical Industry

Large hospitals, in particular, are required to have an incinerator for the disposal of bio-disposal waste such as body parts and tissues. A smaller hospital cannot afford such costs, and so necessitates the use of minimal space and other mechanical equipment, both of which are expensive in a tiny hospital setting. Permission from the Municipal Corporation will be necessary for such trash disposal, and it must not be hazardous to persons living nearby.

• Fire and Health License

Approval of the Fire Department will be required for a large hospital and a health certificate from the local authority after installation of all the beds and equipment in the Hospital. For minor hospitals, a NOC from the fire department will be necessary, and the hospital administration will be responsible for proving that the hospital will not cause any damage or loss of life, which must be obtained from the local municipal council.

Plan the Infrastructure for hospital setup

Following that, professional civil engineers and architects are needed to create the real hospital building. The presence of both physical and human resources is required for this level. The physical infrastructure consists of the following:

• The hospital structure and the concrete utilised in its construction should both be dynamic.
• Sewage lines, fire extinguishing systems, lifts, emergency alarms, well-equipped ICU, pathological labs, OPDs, general and emergency wards should all be installed.
• Purchasing appropriate medical equipment, surgical tools, and equipments
• Computer and other hardware equipment, such as security gadgets and CCTV cameras, are set up.

Aside from the aforementioned, comprehensive human resource planning for a successful hospital includes the following:

• For the effective operation of a hospital, educated and qualified doctors, nurses, and other working staff are required.
• Ward boys, watchmen, cleaners, and maintenance employees are among the other important workers (engineers, legal, insurance and accounts officers, fire extinguishers, air-conditioning and gas pipeline operators, etc.)

Investment of funds for hospital setup

Financial preparation, believe it or not, is critical to the success of a new hospital. Appropriate investors and business partners must collaborate and look forward to funding the various components of the hospital in order to achieve this. This could involve investing directly from one's own pocket or approaching banks and investment firms for appropriate loans.

Conclusion

At every step, multiple medical laws and ethics must be followed. Our government has established a set of norms and qualifying requirements for hospitals that provide services to central government health insurance beneficiaries. When it comes to establishing a hospital in India, a lot of planning, money, approvals, certificates, licenses, and guidelines must be followed. It might be well worth it in the end, but it will take a long time and a lot of effort to bring all of the resources together.  

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