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HDU-SP - Department of Medical Health and Family Welfare

1. 3 How well the Doctor explained the procedure and progress Very Good Well Fair Poor Can t Say 4 3 2 0 4 Do you or your relatives attendants satisfy with the Dialysis services Completely Satisfied Moderately Satisfied Partiall Satisfied Not at all Satisfied Can t Say 4 Very Good 3 Well 2 Fair 0 5 How satisfied are you with the cleanliness and behaviour of the staff Poor Can t Say 4 3 2 Date 0 Signature Patient Patient s Attendant or Relative Signature Designated Hospital Staff RFP HDU SP Part Ill Schedules to the 15 ANNEXURE VI WEIGHTED AVERAGE SCORE CALCULATION To be calculated at the end of every month and submitted along with Invoice duly signed by Payment terms HDU SP will be entitled for 80 payment within 30 days on submission of bills directly to the Authority Director General Medical amp Health Service U P based on MIS reports on number of procedures accompanied by the Invoice without approval of MS CMS Director of the associated Hospital For Balance 20 payment the HDU SP will submit bills to MS CMS Director of the associated authority and payment will be provided as per Performance Linked payment after due approval of the Hospital Authority within 45 days of submission of bills On reconciliation if it is found that extra payment has b
2. List of Equipment available for providing calibration and routine maintenance support as per manufacturer documentation in service technical manual Compliance Report to be submitted in a tabulated and point wise manner clearly mentioning the page para number of original catalogue data sheet Any point if not substantiated with authenticated catalogue manual will not be considered Must submit user list and performance report within last 5 years from major hospitals Specifications Emergency Patient Transfer Trolley UNSPSC Code 42171611 ECRI Code 15 726 1 Description of Function SI Description 1 1 An Emergency Patient Trolley is used for Patient transfer to and from ICU OT Emergency 2 Operational Requirements SI Description 2 1 Demonstration of the equipment is a must 3 Technical Specifications RFP HDU SP Part Ill Schedules to the Description Should have a three section mattress base made of X Ray translucent high pressure laminate Includes facility to insert X Ray Cassette from either the sides or the ends of the trolley Should be able to X Ray the patient from positions along the entire length and width of the trolley Should have pneumatic step less adjustment for back section Trendelenburg app 14Degree and reverse Trendelenburg app 7 Degree Should have hydraulic height adjustment approx 535 905 mm by means of a foot paddle o
3. REQUEST FOR QUALIFICATION RFQ CUM REQUEST FOR PROPOSAL RFP For Selection of Haemodialysis Unit Service Provider HDU SP in 18 District Hospitals Located in Divisional Headquarters in Uttar Pradesh Part Ill Schedules to Draft Agreement Issue Date Number Department of Medical amp Health Government of Uttar Pradesh GOUP Medical amp Health Directorate Swasthya Bhawan Kaisarbagh Lucknow Email cmsd dghealth gmail com RFQ cum RFP for selection of HDU SP Part Ill Schedules to the Agreement Table of Contents TABLE OF CONTENTS BACKGROUND OBJECTIVES ACTIVITIES TO BE PERFORMED BY THE SERVICE PROVIDER SCOPE OF WORK COMMENCEMENT OF WORK AND LIQUIDATED DAMAGES FOR DELAYED COMMENCEMENT MONITORING EVALUATION AND REPORTING DISPUTE STAMP DUTY TERMINATION OF THE AGREEMENT O oo N Au BR wD RENEWAL OF THE CONTRACT e ANNEXURE I SPECIFICATIONS 10 1 Haemodialysis area 10 2 Preparation Work and Storage Area 10 3 HDU SP Staff 10 4 EQUIPMENT SPECIFICATIONS ANNEXURE Il ESSENTIAL MONITORING CRITERIA FOR AUDITS AND ROUTINE MONITORING ANNEXURE III DAILY CHECKS REPORT WILL BE REQUIRED DURING AUDIT ANNEXURE IV WEEKLY MONITORING SHEET ANNEXURE V PATIENT FEEDBACK REVIEW SHEET ANNEXURE VI WEIGHTED AVERAGE SCORE CALCULATION ssssssssssssssssssssessssessnrnessseeenenneessseeesesne 41 ANNEXURE VII QUARTERLY INTERNAL AUDIT SHEET ANNEXURE VIII THIRD PARTY AUDIT SHEET SIX MONTHLY SCH
4. S N Staff Group Particulars Descriptions 1 Nephrologist Training 1 DM DNB in Nephrology 1 Per 2 MD with special training in nephrology at least 2 yrs cluster Job 1 Visit the dialysis centre at least once a week Descriptions 2 Responsible for overall supervision of the unit 3 Assess the patients decide about specific dialysis prescriptions evaluate the co morbid illnesses and advice regarding supporting medicines takenote of the initial inter post dialysis events and consider specificrecommendations 4 Review the water quality infection control measures and day to day functioning at regular intervals 5 Judge the practices of the dialysis doctors technicians and nurses from time to time 6 Provide 24 hour consultation and backup care to all the patients 7 Monthly review of all in center dialysis patients 8 Enforcement of rules and regulations relative to the level of patient care and safety 9 Maintenance of an ongoing liaison between the hospital authority statutory bodies dialysis staff and the patients RFP HDU SP Part Ill Schedules to the S N Staff Group Particulars Descriptions 10 Protecting the rights of the patient s vis a vis the staff 11 Supervise the in house teaching program Auditing Appraisal There will be a system of dialysis audit At least once a month the team should meet and discuss the matter The facts should be sh
5. For both areas stable electrical supply amp drainage is needed for the work bench There should be space for dialyzer reprocessing machine s in this area 1 There should be two storage areas one for storage of new supplies and one for reprocessed dialyzers The principle of dry storage area is to be able to store 3months supply of dialyzers tubing Haemodialysis concentrate solutions IV fluids It should also have space for stationery linen etc The wet storage is for reprocessed dialyzers amp tubing The dry storage area should be separate from the wet storage A clean room with a work bench is needed for preparation of sterile trays for dialysis Start up kit amp for preparation of injections amp storage of emergency equipment This area should have a designated place for keeping wheelchair trolleys for transporting Patients amp weighing scale There should be an area for dirty utility This area should be located in such a way that personnel and material need not come from dirty utility to clean area of dialysis There should be changing room for Doctors nurses amp technicians Each patient is generally accompanied by two individuals hence a specially designed area for their stay and some relaxation should be provided Patients waiting to go on dialysis amp those who have recently completed dialysis could also utilize the same area Storage facility lockers should be provided for individual patients belongings which s
6. Comments and recommendations of Auditors and advice to rectify the deficiencies if any Member 1 Representative of SP Page 43 Member 2 Member 3 Representative of Hospital RFP HDU SP Part Ill Schedules to the 18 Schedule G Financial Bid Schedules FINANCIAL BID 1 To be submitted under sealed cover and will be opened only for Technically Qualified Bidders For unqualified bidders this cover will be RETURNED unopened To be filled CLUSTER WISE separately specifying the CLUSTER No Discount for a Cluster will remain identical for all procedures Base Rate will be common for all the CLUSTERS and only the Discount may vary for different clusters However within the CLUSTER discount will be uniform Evaluation will be done CLUSTER WISE Bid with highest Discount for the CLUSTER will be the L 1 Bidder RFP HDU SP Part Ill Schedules to the Price ACTIVITY SCHEDULE For CLUSIER No Procedure CGHS Lucknow Discount offered Rates Percentage Non NABH Dialysis Seronegative Cases INR 1050 Dialysis Seropositive Cases INR 1275 Emergency Dialysis Femoral INR 750 Puncture Emergency Dialysis Subclavian INR 1010 Puncture Emergency Dialysis Femoral INR 1000 Catheterization Declaration We agree to deliver above mentioned services in accordance with theGeneral Conditions of Contract and Description of Services given in the Bidding Document for the base pric
7. complete failure of the kidneys to function affects around 250 people million population every year Given the state s current population of 200 million and an ESRD incidence rate of 229 million it is estimated that 13 000 patients are diagnosed with ESRD every year Given that typical life expectancy of patients on dialysis is 3 5years this means 45 700 patients at any point of time need dialysis services After taking into consideration increase inrequirement due to patient inflow from outside the state for dialysis services and reduction due to patients on Peritoneal Dialysis etc it is estimated that the state needs to provide for Haemo dialysis for 37 000 patients at any point of time This would mean a requirement of over 4100 dialysis machines to meet the demand Uttar Pradesh currently has an estimated 470 machines to cater to this demand In order to bridge the gap the Authority plans to setup180 One Hundred and Eighty Haemo Dialysis machines on a PPP basis DoMH plans to start with18 Regional Hospitals with intent to develop similar facilities in PPP Mode c Government of Uttar Pradesh GoUP s Strategy The GoUP has adopted a Public Private Partnership PPP policy for the health sector The over riding objective of the policy is to utilize the technical financial and management resources available in the private sector for strengthening the quality of services being provided through the public healthcare network GoUP ha
8. of HDU SP Part Ill Schedules to the Agreement d e Dialysis services The private player will also set up and provide dialysis helpline services Private partner to operate and maintain these centres as per the requirement specifications laid out in the RFP document Compliance to various Acts It will be the sole responsibility of the Service Provider to abide by the provisions of the following acts as to the workers engaged by him for performance of this contract Employment of Children Act Workmen compensation Act Employment of Labour Contract Labour Act Industrial Employment Act Contract Labour abolition and regulation Act 1970 Minimum Wages Act Employee Provident Fund Act ESI Act Any other Act or Legislation which may govern the nature of the contract and or being issued by Govt from time to time 4 Commencement of Work and Liquidated Damages for delayed commencement The Service Provider is required to start the Haemodialysis services at respective hospitals within SIXTEEN weeks 120 days from the date of award date of communication of acceptance of the contract In case it is found the Haemodialysis services at respective hospitals has not been taken up within SIXTEEN weeks from the date of acceptance contract or issue of the Work Order the Project at its sole discretion may levy Liquidity Damages and on non compliance may cancel the work order and forfeit the performance security as per the pr
9. of patient or if procedures are required there is no difficulty There shouldbe a facility to dim the lighting The system for record keeping should be preferably electronic for patient as well as unit records Depending on the authority amp function of the person using it the records system RFP HDU SP Part Ill Schedules to the should be accessible by username and password protection There should be protection of privacy of the patients All consumables should have FDA CE BIS approved standard Part Ill Schedules to the Agreement RFP HDU S PROPOSED 10 BEDDED DIALYSIS CENTER ina Procter 5 STAFF CHANGING ROOM 50002700 u Page 12 RFP HDU SP Part Ill Schedules to the 10 3 HDU SP Staff Proposed Minimum standards for personnel in Dialysis Facility 1 OUTLINE It is mandatory to have the following minimum staff pattern for a proposed Dialysis unit a Nephrologist only 1 per cluster b Contract Manager only 1 per cluster b Dialysis doctors c Dialysis technicians d Biomedical Engineering Technicians BMET e Dialysis nurses f Medical social worker g Sweepers 2 PARTICULARS Above category a to e of staff should satisfy the following a Training b Job description responsibilities Dos and Don ts c Appraisal Auditing d Updating Medical Social Worker should satisfy the details as defined under Job Description Details of Personnel Specifications
10. orts as per the requirement of the Authority by integrating with the MIS provided by the authority Indemnify the Government against any losses claims or damages arising out of operation of dialysis equipment at the centre s operated by the private partner and also any statutory violations committed by the Service Provider at the centre Ensure the process of integration of the dialysis services centres with identified hospitals owned and operated by Government of Uttar Pradesh Overall maintenance of Dialysis centre Install the requisite numbers of machines for dialysis centres as mentioned in the table of IFB and BDS Allocate one machine per centre for infected cases Must provide Dialysis Helpline services at the dialysis centres and make necessary set up available for the facility Must use a new Blood Tubing for every dialysis and discard dispose the Blood Tubing after every dialysis RFP HDU SP Part Ill Schedules to the 20 Schedule B Schedule of Payment As described in Clause 1 7 Article 7 Consideration for Payment to HDU SP in Part II Draft Agreement Refer the following Clause 1 7 Article 7 Consideration for Payment to HDU SP in Part ll Draft Agreement Annexure VI Weighted Average Scoring and Payment Calculations of Part lll Annexure Ill Daily Checks of Part lll Annexure IV Weekly Review of Part Ill Annexure V Patient Review of Part Ill This is further clarified that the HDU SP will be entitl
11. reservoir system with non breathing valve with pressure limiting device 2600ml Adult 600ml Child 250ml Infant single patient valve with swivel connector 07 Specification Weighing Machines Adult Weighing Scale Specification Sturdy digital platform weighing machine for adult and children Zero adjustment facility should be there Sensitivity 100 g Range of weighing 0 150kg The manufacturer shall have the valid manufacturing license and should have model approval by the legal metrological Deptt and the weighing scale must be stamped by the by legal metrological Deptt In case of distributor the bidder should have valid distributor and repair license from legal metrological Deptt Govt of UP ISO 9001 certified manufacturer certificate to be submitted 08 Specification Computer with Printer Computer Processor Intel CORE i7 with Windows 8 Operating System 4 GB RAM and 1 TB HDD with Network card Printer Laser Printer with scanner three in one should print at least 25 pages per minute Suitable UPS must be provided 09 Specification Water Treatment Plant Equipment Specifications for Water Treatment System for Hemodialysis RFP HDU SP Part Ill Schedules to the 1 Description of Function SI Description 1 1 Water Treatment system is required to produce pure water for dialysis 2 Operational Requirements SI Description 2 1 The system should be sufficient for on
12. will have to serve a notice of three months if he wishes to terminate the contract failing which his performance security would be forfeited Refer for specific Termination provisions Renewal of the Contract As per timeframe provisions in BDS the renewal of the contract will be based on the Internal Audit and third party review RFP HDU SP Part Ill Schedules to the 10 Annexure l Specifications 10 1 Haemodialysis area The Service Provider will be made available with the space for setting up the Haemodialysis unit and water at the input of the Space The Service Provider will provide the internal connections for electricity as well as Water Treated as well as Non Treated The HDU SP will have to bear all the cost for Electricity connection water supply as well as its consumption The Haemodialysis area will have the following features Each Dialysis machine will have at least 8 x 7 ft approx Space Cardiac resuscitation equipment should be available and could be easily wheeled on all four sides of the patient Facilities for non invasive blood pressure monitoring of all patients and ECG monitoring of select patients are needed Each machine area should be easily observed from the nursing station which should be included in this area Nursing station should have enough space for adequate number of nurses technicians depending on the number of dialysis machines Head end of each bed should have stable electrical su
13. with Indian plug Page 22 RFP HDU SP Part Ill Schedules to the 6 2 Voltage corrector stabilizer of appropriate ratings meeting ISI Specifications Input 160 260 V and output 220 240 V and 50 Hz 7 Standards Safety and Training SI Description 7 1 Should be FDA CE Certified product 7 2 Manufacturer Supplier should have ISO certification for quality standards 7 3 Comprehensive warranty for 2 years and 5 years AMC after warranty 7 4 Comprehensive training for lab staff and support services till familiarity with the system 7 5 Should have local service facility The service provider should have the necessary equipment recommended by the manufacturer to carry out preventive maintenance test as per guidelines provided in the service maintenance manual 8 Documentation SI Description 8 1 User Technical Maintenance manuals to be supplied in English 8 2 Certificate of calibration and inspection 8 3 List of Equipment available for providing calibration and routine Preventive Maintenance Support as per manufacturer documentation in service technical manual 8 4 List of important spare parts and accessories with their part number and costing 8 5 Log book with instruction for daily weekly monthly and quarterly maintenance checklist The job description of the hospital technician and company service engineer should be clearly spelt out User list to be provided with performance certificate 03 Equip
14. EDULE G FINANCIAL BID SCHEDULES SCHEDULE A DESCRIPTION OF THE SERVICES SCHEDULE B SCHEDULE OF PAYMENT SCHEDULE C KEY PERSONNEL AND SUBCONTRACTORS HDU SP STAFF SCHEDULE D SERVICES amp FACILITIES PROVIDED BY THE AUTHORITY SCHEDULE E DIALYSIS SCHEDULE SCHEDULE F LIQUIDATED DAMAGES sssssssssssssssssssncsceeesssssssnsccsseessssssssncesessesssessaccsssssssssssaneoseses 52 RFQ cum RFP for selection of HDU SP Part lll Schedules to the Agreement 1 Background a Introduction The Department of Medical amp Health under the Government of Uttar Pradesh proposes to provide dialysis facilities at few of its hospitals through develop Operate and Maintain Model on Public Private Partnership PPP basis The key objective is to provide access to high quality Haemo Dialysis and under PPP mode free of cost to the entire population of Uttar Pradesh The Department of Medical amp Health Government of Uttar Pradesh the Authority has decided to undertake development and operation maintenance of these dialysis facilities the Project on Public Private Partnership the PPP model The Project comprises of setting up of Haemo Dialysis facilities at the hospitals identified by the Authority for which concession would be granted to the selected Bidder for Development transfer back of the Haemo Dialysis facilities b Current Scenario and Needs Assessment End Stage Renal Disease ESRD the complete or almost
15. Random checks of critical parameters will be conducted by the third party Annexure VIII The recommendations of Third Party as well as Internal Audits will be communicated and the Service Provider will need to rectify the deficiency within 30 days failing which the payments of the Service Provider will not be released If the deficiency is not rectified within 60 days the Service Provider will be issued a Termination notice and the Contract will be terminated within 30 days from the date of intimation of Termination 6 Dispute In the event of any dispute or difference arising between the parties relating or concerning to interpretation of the contract or any alleged breach thereof or any matter relating to this contract the same shall be settled by the parties as far as possible by mutual discussions and consultation between themselves whether the same has arisen during the subsistence of this contract or thereafter In the event of any dispute of differences arising in connection with this contract whether during the subsistence of the contract or thereafter not being settled in aforesaid manner an arbitrator shall be appointed by both parties together whose decision shall be final and binding on both the parties The proceeding before the arbitrator would be governed by the provision of the ARBITRATION AND CONCILIATION ACT 1996 The Courts of Lucknow shall have exclusive jurisdiction in all matters arising out of this contract No P
16. The patient has to register only first time and not every time when he she is coming to undergo the haemodialysis procedure A prefix schedule will be defined and will be available on the department s website and patients can view the same and get the information about their respective schedule In case the beds are not available fully occupied it will be responsibility of designated Hospital Authority to sequentially prepare a waitlist of the patients and get them admitted once the beds are available 3 Activities to be performed by the Service Provider Scope of Work The Service Provider will provide the Services as defined in Schedule A Description of Services The Services would broadly consist of the following a Private partner would setup advanced haemodialysis and allied facilities at the hospitals identified under the project including 1 Machines 2 Manpower 3 Consumables required to conduct the services defined in Schedule A Description of Services and as per Specifications Annexure 4 Running and maintenance of the centre for entire duration of the tender Private partner to provide affordable services at pre determined rates Entire services across the identified hospitals to be managed by the private partner concessionaire A 24 h our Dialysis helpline for man aging and coordinating the services to be provided by the private partner detailed scope to be laid out in the RFP document RFQ cum RFP for selection
17. accurate feedback control conductivity mixing technique Should have drain facility Should have accurate UF control by flow measurement technique Extra facilities like Blood Volume sensor Bicarb Select technique and online clearance kt V All important data should be pre setted so that machine can be used anytime without feeding data every time Should have automatic self test facility Should have auto ON OFF Facility Should have Colour TFT LCD Display with minimum 10 Screen Easy to service trouble shoot and calibrate Machine can be connected to computer to feed all data and trouble shoot whenever any problem Blood pump rate from 20 500 ml min adaptable to standard A V bloodlines Ability to monitor pulse rate and NIBP with graphic and tabulated trends Audio visual alarms on limit violation of conductivity blood leak air leak transmembrane pressure alarms Dialysis temperature alarm dialysis can empty alarm end of disinfection alarm bypass alarm and blood pump stop alarm Alarm for reverse Ultrafiltration Machine should have real time monitoring for clearance of adequacy of dialysis during treatment Machine should have KT V monitor and display clearance plasma sodium current KT V and time required to achieve target KT V 3 29 Machine should have online mixing for Bicarb Solution using dry bicarbonate cartridge Page 19 RFP HDU SP Part Ill Schedules to the 4 System Configuration Accessories spares an
18. ared with the hospital authorities and statutory bodies Updating To attend National Level Conference at least once a year Contract Manager 1 Per cluster Training Any graduate with PG Diploma in Finance Materials Management Marketing Management CA with experience of 5 years in managing contracts procurement functions project management Job Description 1 To be involved in day to day management of inventory 2 Raising invoicing as per contract documentations 3 To address all the contract obligations 4 Day to Day liaison on contract clarifications with stakeholders Appraisal auditing Shall coordinate all internal as well as external audit and shall address all audit issues Updating Shall keep himself updated on all financial asnd contracting obligations Dialysis Doctors for round the clock services 8 hourly Patient Doctor ratio 10 1 Training Registered M B B S degree with one year experience certificate in Dialysis Unit 1 At least one year house job in internal medicine allied specialty 2 Experience in central line access 3 Experience in critical care management 4 Certified in advanced cardiac life support ACLS 5 Experience in pediatric patient management desirable Job Description 1 To be involved in day to day patient management 2 Assess the patient before starting dialysis hemodynamic status indication of dialys
19. arty shall be allowed to be represented by lawyer during any investigation enquiry appeal or and other proceeding at the Project The service provider may seek to make minor modifications in the Terms and conditions of the contract with the written consent of the Authority without affecting the basic nature of this contract The Authority may not accede to any such modifications if found unreasonable or such modifications that may alter the basic nature of the contract The work of Service Provider will be inspected by contract signing authority or an officer nominated by the Authority In case of default financial penalty for each such default shall be imposed as appropriate RFQ cum RFP for selection of HDU SP Part Ill Schedules to the Agreement 7 Stamp Duty Stamp duty leviable on agreement to be executed between the Authority and Service Provider shall be borne by the Service Provider Termination of the Agreement The Termination of the contract will be as per Cl 1 18 Article 18 in Part ll Draft Agreements and as per following provisions After giving opportunity of being heard to the Service Provider Project may terminate cancel the agreement on the following grounds v Breach of any or all terms and conditions of agreement v Non performance or unsatisfactory performance of work The project reserves the right to terminate the contract without assigning any reason by giving a notice of three months The Service Provider
20. ave the necessary equipment recommended by the manufacturer to carry out preventive maintenance test Page 20 RFP HDU SP Part Ill Schedules to the as per guidelines provided in the service maintenance manual 8 Documentation SI Description 8 1 8 2 8 3 8 4 8 5 User Technical Maintenance manuals to be supplied in English Certificate of calibration and inspection from factory with date of manufacturing List of Equipment available for providing calibration and routine Preventive Maintenance Support as per manufacturer documentation in service technical manual List of important spare parts and accessories with their part number and costing Log book with instruction for daily weekly monthly and quarterly maintenance checklist The job description of the hospital technician and company service engineer should be clearly spelt out 02 Equipment Specifications for Dialyzer Re processor UNSPSC Code 42161615 ECRI Code 16 108 1 Description of Function SI Description 1 1 Dialyzer re processors are systems which cleans the dialyzer for reuse and reduce overall dialysis expenses 2 Operational Requirements SI Descriptions 2 1 Should have fully automatic operation In built dedicated software should operate without external computer Should have connectivity with other reprocessors or external computers if needed Option of semiautomatic op
21. d consumables SI Description 4 1 4 2 4 3 System as specified All consumables required for installation and standardization of system to be given free of cost To be supplied free of cost Bacterial filters 2 sets extra 100 polysulfone 1 m2 dialyzers and tubings 5 Environmental factors SI Description 5 1 5 2 The unit shall be capable of being stored continuously in ambient temperature of 0 50deg C and relative humidity of 15 90 The unit shall be capable of operating continuously in ambient temperature of 10 40deg C and relative humidity of 15 90 6 Power Supply SI 6 1 6 2 Description Power input to be 220 240VAC 50Hz fitted with Indian plug UPS of suitable rating with voltage regulation and spike protection for 60 minutes back up for the entire unit 7 Standards Safety and Training SI Description Tzi 1 2 7 3 7 4 7 5 7 6 Should be FDA or CE Notified Body Certified product Manufacturer Supplier should have ISO certification for quality standards Shall comply with IEC 60601 2 16 SAFETY requirements of medical electric equipment part2 particular requirements for the safety of Haemodialysis equipment Comprehensive warranty for 2 years and 5 years AMC after warranty Comprehensive training for lab staff and support services till familiarity with the system Should have local service facility The service provider should h
22. d paediatric patient management 16 ABC of peritoneal dialysis Job Description Auditing Appraisal Updating Training amp Certification 1 All those which they have been trained in 2 Conducting discharge assessment 3 Keeping an inventory of the medicines and disposables 4 Following instructions of the dialysis doctors 5 Conducting assessment of a patient when indicated 6 Facilitating communication between the patient and patient s family on one side and the treating team on the other 7 Providing oversight and direction to the junior dialysis technicians 8 Participating in continuous quality improvement activities They should maintain registers for individual patients and enter the data of each patient which will be subjected to medical auditing from time to time Must attend update sessions meant for dialysis technicians at least once a year Diploma in Biomedical Electronics engineering Certified by Health Sector Skill Council NCVT with at least 2 Years of experience in maintaining Dialysis Machines and associated RO Plants Should have functional knowledge of Dialysis Machines working and troubleshooting Job description Breakdown and preventive maintenance Co ordinating with the company engineers Spares and accessories inventory management Co ordinating with Technicians Nurses and Doctors Should maintain equipment history including installation maintenance and calibration histor
23. dation and all four built up walls for the dialysis center facility in the hospital premises of the identified hospitals free of cost Provide parking space for stationing transportation vehicles other vehicles Assist in provisions of basic utilities at dialysis centres like i Uninterrupted continuous supply ofwater till the facility input point However the Service Provider will have to install and maintain water treatment plants water purifiers etc as per prescribed standards They will have to make payments to Water Supply Department if required The Service Provider will be made available the space for setting up the Haemodialysis unit and water at the input of the Space The Service Provider will provide all the internal connections for electricity as well as Water Treated as well as Non Treated The HDU SP will have to bear all the cost for Electricity connection as well as consumption The Authority will provide MIS incorporating all the requirements of monitoring and evaluations formats which will be web enabled and HDU SP will have to provide linkages and fill up online the patient records etc and will conduct regular monitoring and evaluation of the dialysis services based on quantifiable indicators an d reports received for the services as per Annexure II to VIII in part Ill Assist in getting Statutory Clearances towards renovation of the space for the development of dialysis centre The authority will only assist by way of doc
24. ed Manufacturer should be ISO certified for quality standards Should have local service facility The service provider should have the necessary equipment recommended by the manufacturer to carry out preventive maintenance test as per guidelines provided in the service maintenance manual Comprehensive warranty for 5 years and provision of AMC for next 5 years 8 Documentation SI Description 8 1 8 2 8 3 8 4 8 5 8 6 User Manual in English Maintenance Manual in English Certificate of Calibration and inspection from the factory List of important spares and accessories with their part number and costing Log book with instructions for daily weekly monthly and quarterly maintenance checklist The job description of the hospital technician and company service engineer should be clearly spelt out List of Equipment available for providing calibration and routine maintenance support as Page 31 RFP HDU SP Part Ill Schedules to the per manufacturer documentation in service technical manual 8 7 Must submit user list and performance report within last 5 years from major hospitals 06 Specification Ambu Bag Product Quality Standards e Should be CE Notified body approved product e Manufacturer should be ISO certified for quality standards Technical Specification Size Adult and Paediatric Volume of bag up to 1500ml Adult 500ml Child 240ml made of silicon oxygen
25. ed for 80 payment within 30 days on submission of bills directly to the Authority Director General Medical amp Health Service U P based on MIS reports on number of procedures accompanied by the Invoice without approval of MS CMS Director of the associated Hospital For Balance 20 payment the HDU SP will submit bills to MS CMS Director of the associated authority and payment will be provided as per Performance Linked payment after due approval of the Hospital Authority within 45 days of submission of bills On reconciliation if it is found that extra payment has been made during the first payment i e 80 than the same will be recovered and adjusted in the current months billing cycle RFP HDU SP Part Ill Schedules to the 21 Schedule C Key Personnel and Subcontractors HDU SP Staff The following key Personnel will be provided by the Service Provider Please attach the CV of the Personnel along with Qualification and Relevant Experience matching with the requirements of Manpower Specifications as detailed in Annexure 1 Activity Schedule Key Personnel Minimum Qualification Experience Nephrologist 01 per cluster MD DNB in Nephrology 2 Years MD with special Training in Nephrology Contract Manager 1 per cluster M B B S PGDHA MHA 5 Years in Management of Healthcare facility out of which 3 Years designated as Manager Dialysis Doctors 01 per shift M B B S Degree 1 Year Dialysis Technicians 03 per shift 12 Passed Pl
26. een made during the first payment i e 80 than the same will be recovered and adjusted in the current months billing cycle Formula for Payment disbursement to HDU SP Basis 80 Weightage for Weekly Average Scores WAS and 20 weightage for all the patients feedback average Score FBS in the month Total Average Score WAS FBS Payment slabs Weighted Average Score slabs Payment to be disbursed 80 100 100 60 79 80 40 59 50 0 39 No payment Examples for providing understanding to the defined payment terms CASE 1 f Average Score of Weekly Review 60 Score Week1 Week2 Week3 Week4 4 f Average Score of Patient Review 15 Score Patient1 Patient 2 Patient9 9 Therefore Total weighted average 60 15 75 out of Max Weighted Average Score of 100 Payment Disbursement o Initially 80 payment will be released by the Authority based on linkages in MIS to the patient records o Since after reconciliation by the Hospital Authority it is found that only 80 payment needs to be released basis on the payment slabs defined there would be no further payment to HDU SP as 80 has already been paid CASE 2 f Average Score of Weekly Review 40 Score Week1 Week2 Week3 Week4 4 f Average Score of Patient Review 10 Score Patient1 Patient 2 Patient9 9 Therefore Total weighted average 40 10 50 out of Max Weighted Average Score of 100 Payment Disbursement o Initial
27. eration for customized cleaning RFP HDU SP Part Ill Schedules to the 2 3 4 station vacuum chamber venturi assembly up to 25 inches vacuum to run on RO reject water tap water or a positive pressure system 3 Technical Specifications SI Description 3 1 Should be able to clean both high flux and low flux dialysers and haemodiafilters 3 2 Should be safe for cellulose based and synthetic membranes 3 3 Should be compatible with sterilants available in open market 3 4 Should have LCD Screen and menu guided operations 3 5 Should have 8 10 standard programs and facility of customized programs 3 6 Water requirements flow 3 litres minute and pressure 35 50 psi 3 7 It should have regulators pressure gauges to monitor pressures 3 8 It should be able to measure the bundle volume 4 System Configuration Accessories spares and consumables SI Description 4 1 System as specified 5 Environmental factors SI Description 5 1 The unit shall be capable of being stored continuously in ambient temperature of 0 50deg C and relative humidity of 15 90 5 2 The unit shall be capable of operating continuously in ambient temperature of 10 40deg C and relative humidity of 15 90 5 3 Vendor should specify the water electricity and civil work requirements for installation of the equipment 6 Power Supply SI Description 6 1 Power input to be 220 240 VAC 50Hz fitted
28. es discounted by PER PROCEDURE inclusive of all CONSUMABLES as prescribed in CGHS Rates and as described above up to the period specified in the Bidding Document Name Business Address Signature of Bidder Service Provider with SEAL Page 45 RFP HDU SP Part Ill Schedules to the 19 Schedule A Description of the Services The Hemodialysis Units are required to be set up in 18 District Hospitals in four clusters of hospitals as identified below s n Cluster Hospitals where the HDU will be located Cluster 1 Meerut Division PL Sharma Hospital Meerut Saharanpur Division SBD District Hospital Saharanpur Moradabad District Hospital Female Moradabad Bareilly Maharana Pratap Combined Hospital Bareilly Agra District Hospital Male Agra Cluster 2 Kanpur Division UHM Hospital Kanpur Chitrakoot Division Jhansi Division District Hospital Banda District Hospital Jhansi Aligarh Division Cluster 3 PDDU Hospital Aligarh Lucknow Division Balrampur Hospital Lucknow Devipatan Division District Hospital Male Gonda Faizabad Division Combined Hospital Darshan Nagar Faizabad Basti Division OPEC Kailly Hospital Basti Gorakhpur Division District Hospital Gorakhpur Cluster 4 Varanasi Division Pt Deen Dayal Upadhyay Hospital Varanasi Mirzapur Division District Hos
29. he deficiency 1 Dialysis M C and Dialyzer Reprocessors functional YES NO S N of Machines to be recorded 2 Water quality as per AAMI YES NO Record the deficiency 3 Availability of Doctor and Monitoring by Nephrologist as specified YES NO Record deficiency 4 Availability of Nursing staffs 3 1 YES NO Record deficiency 5 Availability of Technicians 3 1 YES NO Record deficiency 6 Reuse of Dialyzer Max 5 times or till 75 of fibre volume YES NO Record deficiency 7 Dialysis procedure time gt 4 hrs YES NO Record deficiency 8 Availability of BMET YES NO Record deficiency 9 Availability of Power back up YES NO Record deficiency 10 Cleanliness in Dry Storage area YES NO Record deficiency 11 Cleanliness in wet storage area YES NO Record deficiency 12 Accessibility of waiting chairs YES NO Record deficiency Comments and recommendations of the representative of the Nodal Officer Signature of representative of SP Signature of representative of Hospital Signature of Medical Superintendent RFP HDU SP 13 Annexure IV Weekly Monitoring Sheet Part Ill Schedules to the Parameter Complied Not complied Score Complied 10 Not complied 0 Remarks 1 No dialysis machine and dialyzer down for more than 48 hours YES NO Record S N of MACHINES 2 No legs of Bed Chair broken and all mattresses in w
30. hould be prepared in the patient waiting room 8 There should be space for a water treatment unit General Conditions The general conditions should have the following Air conditioning All Haemodialysis machine areas consultants amp technicians nurses rooms should have air conditioning Treatment areas should have temperature70 F amp 55 to 60 humidity Relative s waiting recreation area amp reception should be well ventilated with fans or may have air conditioning Electricity Stable voltage continuous supply is required Online UPS is recommended It should have a backup for at least 30 minutes The power capacity of the UPS should be able to support all functions of the dialysis machine The electrical supply should be stable amp uninterrupted preferably a pure sine wave both voltage and frequency regulated The use of electrical surge protectors is necessary to protect dialysis machine s electronics Adequate capacity generator is recommended Plumbing amp drainage All treated water pipelines should be stainless steel grade 316 or medical grade PVC There should be minimum bends amp blind loops should be avoided All drainage should be connected directly to the main drainage line There should be no bends or blind loops There should be oxygen amp vacuum outlets at the head end of each dialysis machine The ambience should be cheerful looking in terms of colour used It should be brightly lit so that examination
31. ht reflecting surface should not be shiny with a buff coating It should not be brittle 12 Specification Digital Multimeter CE Marked Four Digits Display 13 Specification UPS AND Generator ISI Marked as suitable and approved models on DGS amp D Rate Contracts 14 Specification of Dressing Set Each set should contain Two SS Bowl of Approx 300 ml Cut Sheet 02 Mosquito Artery Forceps 6 02 RFP HDU SP Part Ill Schedules to the 11 Annexure Il Essential Monitoring Criteria for Audits and routine monitoring es a 5 Times OR till 75 Bundle Volume ioe a Isolation 1 Bed for isolated patients Display of Schedule Mandatory at the Central Nursing Station Monthly report Mandatory submission duly signed by Hospital Superintendent and SP Nephrologist with Invoice Patient satisfaction report card Mandatory submission signed by Patient As per MoHFW GOI Guidelines ISO 9001 2008 Accreditation Provisional to be made within 12 months and final within 18 24 Months Contract Validity 5 Years subject to ISO accreditation within 24 months and for another 3 years subject to maintaining ISO accreditation Equipment Certified by OEM to be New equipment at the time of installation Reuse of Single use Tubing Not permitted 12 Annexure lll Daily Checks Report will be required during Audit Parameter Remarks In case of NO please specify Page 37 RFP HDU SP Part Ill Schedules to the t
32. is vascular access recent surgery co morbid illness bleeding manifestations 3 Be involved in patient care during dialysis making access adequacy of flow follow instruction of the nephrologist deciding about any modification in dialysis prescription in consultation with the nephrologist monitoring the patient during dialysis managing complications during dialysis will coordinate with dialysis technicians and dialysis Page 14 RFP HDU SP Part Ill Schedules to the S N Staff Group Particulars Descriptions nurses 4 Assess the patient at the time of closure access site hemodynamic status any complication any specific instruction to a the ward nurse b the relatives 5 Assess the patient at least once in the ward after dialysis 6 Accompany the patient to the ward if critically ill 7 Handle supervise guide the supporting staff in CPR if situation arises 8 Have working knowledge of the dialysis machine water treatment plant Ventilator defibrillator and other gadgets and equipment of the dialysis unit 9 Be the team leader of the day to day dialysis procedure and on one hand will keep in touch with the nephrologist on the other hand will disseminate the information thus gathered to the subordinate staff in order to implement the guidelines fixed by the hospital authority and the nephrologist 10 Look after the safety and security of the su
33. istant areas more than 40 Km will be accommodated during day times 14 Mimimum three dialysis per machine per day will be done RFP HDU SP Part Ill Schedules to the 24 Schedule F Liquidated Damages The Service Provider shall pay liquidated damages to theAuthority at the rate per day as below stated for each daythat the Completion Date is later than the Intended Completion Date The Liquidated Damages rate is 0 05 per day of the contract The total amount of liquidated damages shall not exceed the amount as stated below The Authority may deduct liquidated damages from payments due to the Service Provider Payment of liquidated damages shall not affect the Service Provider s liabilities The maximum amounts of Liquidated Damages will 10 of the contract value These rates will also be applicable for imposing penalties as specified in Part ll RFP HDU SP Part Ill Schedules to the 24 Schedule H Addendum The following addendum will be part of the RFQ Cum RFP 1 Maintenance of Hygiene of the patient It will be the responsibility of the HDU SP to ensure the Hygiene of the patient like provision of Gown and hand body scrubbing etc before the start of Dialysis procedure Page 53
34. ity at regular intervals when system is not in use to prevent drying of filter media and R O Membrane 3 9 The system should accept feed water with TDS up to 1500 mg litre and hardness up to 1 dH with 0 5 rejection of TDS amp hardness and 99 rejection of bacteria and Page 33 RFP HDU SP Part Ill Schedules to the endotoxins 3 10 The unit should be designed for maximum saving of raw water with efficiency of 60 70 3 11 The water distribution loop booster pump and storage water tank should be made up of stainless steel Medical Grade PVC Storage water tank should have capacity of at least 5000 litres with water level controller outlet valves and easy cleaning provisions 4 System Configuration Accessories spares and consumables SI Description 4 1 System as specified 4 2 The vendor should provide a system on a turnkey basis including all civil and electrical works including two booster pumps in parallel for providing water delivery The vendor should inspect the site for this purpose The vendor should supply adequate filter cartridges media or resins to last for at least 5 years The vendor should visit the site and check the water quality 5 Environmental factors SI Description 5 1 The unit shall be capable of being stored continuously in ambient temperature of 0 50 deg C and relative humidity of 15 90 5 2 The hospital will provide vacant space water outlets and elect
35. line operation of 10 machines with pure water capacity of 1000 litres per hour 3 Technical Specifications SI Description 3 1 The system should comprise of pre treatment modules such as sand filter activated carbon filter water softener 5 micron particulate filter and deionizer before the reverse osmosis unit and post R O Bacterial Filters 1 micron and UV light Disinfection for yielding high purity water All pre treatment modules should have programmable back wash and regeneration facility These stages should be designed to handle water flow of 1500 1800 litres hour R O Unit should be compact in sleek cabinet housing membrane and high pressure pump and bypass mechanism The control unit should be microprocessor microcontroller controlled A 5 micron filter should protect the membrane The entire unit should have adequate monitoring of input and output water conductivity feed water pressure and rejection flow rate The system should have protection alarm against low feed water high output conductivity and high temperature of pump motor The system should include online water distribution to 10 machines in loop so that the unused water may be fed back to R O Unit thus saving on water rejection The system should have programmable disinfection de calcification facility using commonly available disinfection decalcification chemicals The unit should have programmable and automatic rinsing flushing facil
36. ly 80 payment will be released by the Authority based on linkages in MIS to the patient records o Since after reconciliation by the Hospital Authority it is found that only 50 payment needs to be released basis on the payment slabs defined there would be no further payment and a recovery of 30 will be adjusted in the next payment cycle RFP HDU SP 16 Annexure VIl Quarterly Internal Audit Sheet Part Ill Schedules to the Parameters Score Complied 2 Partially Complied 1 Not Complied 0 Remarks and records 1 Whether all the Essential Equipment has been Calibrated Maintained and are working List the equipment not working 2 Whether the Water Quality is as per AAMI Std Record the measured Water Quality 3 Whether the Patients Schedule is Displayed 4 Is the procedure timing recorded for each patient Record the deviations if the timing is below 4 hours 5 Are the Waste Disposals being done as per the Act 6 Is the Dialyzer disposed off after maximum 5 uses or with less than 75 fiber volume and is this recorded 7 Is the Dialyzer reused on the same patient and is the patient informed about this before the start of procedure 8 Has the process of ISO Certification started If YES provide the name of agency assisting in the Certification Has the Quality Manual prepared 9 Is the Dialysis Help line working 10 Whether key Manpower are all a
37. ment Specifications for Haemodialysis Chair ECRI Code 16 436 1 Description of Function SI Description 1 1 Haemodialysis Chair is used for administrating dialysis to the patients comfortably Page 23 RFP HDU SP Part Ill Schedules to the 2 Operational Requirements SI Description 2 1 Should be ergonomically designed and comfortable to the patient 2 2 Should allow the patient to rest in full sitting position and lying position 3 Technical Specifications SI Description 3 1 Should have electronically controlled adjustments for back section leg section and height 3 2 Should have a patient hand set with controls for all positions 3 3 Armrest should fold to allow side entry of the patient 3 4 Head rest should be detachable and should have manual Trendelenburg facility 3 5 Sheet cushion should be made of proper density foam and should have a smooth surface for easy hygiene and cleaning 3 6 Frame should be made up of corrosion free galvanized steel with powder coating and should have four 150mm diameter swivelling castor two of which should be lockable 3 7 Should be able to withstand a maximum load of 150 Kg 3 8 Should have facility for height adjustment 3 9 Dimensions approx 5 cm Width 63 cm x Length 195 cm fully stretched x Adjustable Height Min 56 cm Max 78 cm from ground 3 10 Rubber buffers are to be provided 3 11 Should have an option for manual
38. n either side of the trolley Frame of the trolley should move with mattress base when foot section back section are adjusted Frame should be made up of epoxy powder coated steel Should have Central braking system with steering facility Should be equipped with heavy duty castors diameter 150 mm Should have bumpers at all the four corners of the trolley Should have facility to fix IV rod at all the four corners and middle of mattress base frame Should have place for fixing B Type Oxygen Cylinder Dimensions Max Length app 2075 mm Max Width app 750 mm Height ap 535 905 mm Trendelenburg app 14 deg step less Anti Trendelenburg app 7 deg step less X ray viewing area entire length Mattress should be made of durable lectrolite material should be antistatic should be secured with self adhesive straps 4 System Configuration Accessories spares and consumables SI Description 4 1 Anti static Hygienic Mattress 80mm with pull straps qty 1 4 2 Collapsible Side Rails qty 1 pair Page 30 4 3 RFP HDU SP Part Ill Schedules to the I V Rod qty 2 4 4 Cylinder Holder for B Type Oxygen Cylinder qty 1 5 Environmental factors SI Description None 6 Power Supply SI Description None 7 Standards Safety and Training SI Description 7 1 T2 7 3 7 4 Product should be FDA CE ISI approv
39. ning SI Description 7 1 Should be FDA and CE approved product 7 2 Electrical safety conforms to standards for electrical safety IEC 60601 1 General Requirements and IEC 60601 2 25 Safety of Electrocardiograms OR EQUIVALENT BIS Standard Drop Test Withstands 1 meter drop to any edge corner or surface Should conform to international test protocols on exposure to shock forces and to vibration forces The standard should be documented Should meet IEC 529 Level 2 IP2X for enclosure protection solid foreign object ingress Should meet IEC 529 Level 3 IP3X spraying water for enclosure protection water ingress Should have local service facility The service provider should have the necessary equipment recommended by the manufacturer to carry out preventive maintenance test as per guidelines provided in the service maintenance manual 7 8 Comprehensive warranty for 5 years and provision of AMC for next 5 years RFP HDU SP Part Ill Schedules to the 8 Documentation SI Description 8 1 8 2 8 3 8 4 8 5 05 User Manual in English Service manual in English List of important spare parts and accessories with their part number and costing Certificate of calibration and inspection from factory Log book with instructions for daily weekly monthly and quarterly maintenance checklist The job description of the hospital technician and company service engineer should be clearly specified
40. ntioned in Annexure IV by marking the response in a scale of 0 5 whether the services are complying to the standards or not against TEN elements criteria The duly filled review sheet shall be signed by assigned hospital staff oy whom sheet will be filled counter signed by the contract signing authority and the site supervisor or assigned personnel of service provider All monitoring reporting formats and notifications should be linked to the Control room MIS whenever it is installed and the cost of maintaining this module will be borne by the Authority On monthly basis the authorized representative assigned by the Authority or contract signing authority shall collect all the reports and notifications and payments shall be reimbursed according to that as mentioned in Part ll Article 7 Consideration for Payment An internal audit shall be conducted on random basis during each quarter for all schedules by the authority assigned by the Authority The auditor shall decide the compliance of each element using the service standards and requirements Essential Monitoring Criteria Annexure II and record it as either acceptable score RFQ cum RFP for selection of HDU SP Part Ill Schedules to the Agreement 1 or unacceptable score 0 Review elements comprise 10 elements Annexure VII A third party audit shall also be conducted on random basis after every six months to understand the community perception of dialysis services in the hospital
41. of doing synchronised amp a synchronized cardioversion 2 6 Can be operated from mains as well as battery 2 7 Should have defibrillator testing facility 2 8 Demonstration of the equipment is a must 3 Technical Specifications SI Description 3 1 Should be a Low Energy Biphasic defibrillator monitor with Recorder having capability to arrest all arrhythmia within a maximum energy of 200 Joules 3 2 Should monitor ECG through paddles pads and monitoring electrodes and Defibrillate through pads and paddles Should have Automatic Lead switching to see patient ECG through paddles or leads 3 3 Should measure and compensate for chest impedance for a range of 25 to 1500hms 3 4 Should have a built in 50mm strip printer thermal recorder Page 26 RFP HDU SP Part Ill Schedules to the 3 5 Should have charging time of less than 3 seconds for maximum energy Charging indicator should be included 3 6 Should have bright electroluminescent display for viewing messages and ECG waveform of 4 seconds 3 7 Should have external paddles with paddles contact indicator for good paddle contact Both Adult and paediatric paddles should be available 3 8 Should have event summary facility for recording and printing at least 250 events and 50 waveforms 3 9 Should have a battery capable of use for at least 90 minutes or 30 discharges 3 10 Should be capable of printing Reports on Event summary configuration self test batter
42. operation of all controls 3 12 Should have a detachable drip stand and a tray table 4 System Configuration Accessories spares and consumables SI Description 4 1 System as specified 5 Environmental factors SI Description 5 1 The unit shall be capable of being stored continuously in ambient temperature of 0 50 Page 24 RFP HDU SP Part Ill Schedules to the deg C and relative humidity of 15 90 5 2 The unit shall be capable of operating continuously in ambient temperature of 10 40 deg C and relative humidity of 15 90 6 Power Supply SI Description 6 1 Power input to be 220 240VAC 50Hz fitted with Indian plug 6 2 Voltage corrector stabilizer of appropriate ratings meeting ISI Specifications Input 160 260 V and output 220 240 V and 50 Hz 7 Standards Safety and Training SI Description 7 1 Should be FDA CE approved certified product 7 2 Manufactures Supplier should have ISO certificate to Quality Standard 7 3 Comprehensive warranty for 2 years and 5 years AMC after warranty 7 4 Should have local service facility The service provider should have the necessary equipment recommended by the manufacturer to carry out preventive maintenance test as per guidelines provided in the service maintenance manual 7 5 All electrical actuators and mechanisms should be housed inside the structure making the product safer 7 6 Electrical safety conform
43. orking condition YES NO Record deviation 3 Power Back up availability YES NO Record deviation 4 Patient clinical record maintenance of pre and post YES NO Record deviation 5 Treatment as per STG and monitoring by Nephrologist for each patient personally at least a month to maintain records 6 Dialysis process timings more than 4 hours YES NO YES NO Record deviation Record deviation 7 Display of Schedule at Nursing Station YES NO Record deviation 8 Rectification of Daily Checks deficiencies as per daily checks YES NO Record deviation TOTAL SCORE Out of 80 Recommendations and comments of representative of Medical Superintendent Signature of representative of SP Signature of representative of Medical Superintendent RFP HDU SP Part Ill Schedules to the 14 Annexure V Patient Feedback Review Sheet Name of the Patient Name of the Hospital During the visit to the centre within how much time you were attended by the staff Within 30 Min 30 Min 1 Hour 1 Hour 2 Hours More than 2 Hours 4 3 2 0 If you have reported for any problem regarding Dialysis services how many times you reported to rectify your problem or in which instance your problem has been solved First Time Second Time Third Time More than Three Times 4 3 2 0
44. ovisions laid out in the bidding documents The Service Provider is required to post his authorized representative at the site of the work all the time who shall receive the instructions from the contract signing authority from time to time All such instructions received by the authorized representative on behalf of the Service Provider shall be deemed to have been received by the Service Provider within the scope of this work order 5 Monitoring Evaluation and Reporting The following Annexures define the Monitoring Evaluation and Reporting Annexure ll Essential Monitoring Criteria Annexure Ill Daily Monitoring Check List Annexure IV Weekly Review List Annexure V Patient Feedback Review Sheet Page 5 RFQ cum RFP for selection of HDU SP Part lll Schedules to the Agreement Annexure VI Weighted Average Score Calculation Annexure VIl Quarterly Audit Sheet Annexure VIII Internal Audit Sheet Any problem encountered on daily basis which means that services are not complying with the required standards shall be recorded as a comment in the format attached in Annexure Ill and reported to the Dialysis staff or supervisor or authorized representative of service provider and the staff has to rectify the problem in accordance with 48 Hours and if not rectified within the timeframe this will be recorded in the Annexure IV Weekly Review Sheet where there will be ZERO Score Marking If any patient send his her com
45. pital Male Mirzapur Allahabad TB Sapru Hospital Allahabad Azamgarh District Hospital Male Azamgarh RFP HDU SP Part Ill Schedules to the The Service Provider will undertake the following jobs a b Page 47 Supply of the required equipment as per the required specifications as defined in this Schedule Annexure 1 with certificate from the manufacturer that all equipment provided are brand new and not refurbished Commission the equipment an d operationalize the facility after ensuring that the same fulfil the guidelines aid down by the MoHFW DoMH and securing the approval thereof specified in this Schedule Annexure Recruit Certified and trained human resources and upgrade them by continuous training as required to run the dialysis services as specified in the human resource specification in Annexure 1 Ensure that the equipment is maintained properly and such equipment is insured adequately and regularly calibrated as per requirements of the manufacturer Calibration Certificates to be maintained Ensure that the dialysis services are as per the standard s and regulations laid down by the MoHFW Government of Uttar Pradesh Ensure compliance with all the inspection requests by the Steering Committee Monitoring Committee as constituted by Government of Uttar Pradesh or any agents of the same there of Ensure proper monitoring of the services and sub mi t periodic management rep
46. plaint regarding Dialysis in the hospital through IVR or SMS service or written application a notification shall be sent to the supervisor through his her mobile and after taking necessary actions the supervisor has to notify back within 24 Hours and the same shall be recorded for monitoring purposes A time log book will be maintained at the office of contract signing authority and a copy of the same shall be maintained by the site supervisor of the Service provider In case of failure to resolve the issue within 24 Hours there will be ZERO Score Marking in Patient Feedback Review Sheet Annexure V Nodal Officers All the invoices reports etc needs to be certified by the Nodal officers who will be Chief Medical Superintendent of the hospital concerned In his absence the Medical Superintendent or any Medical Officer as assigned by the Chief Medical Superintendent may sign the documents Each of the Service Provider should have to submit the Invoice along with a monthly report Comprising of Annexure VI and reasons of deficiency and non compliances to the DoMH within 7 seven working days of the next month Members and Technical Experts from the Health amp Family Welfare Department may visit the Service Provider concerned at any time with without notice Their opinions and recommendations will be considered during the renewal of the agreement The designated hospital staff of respective centre of the hospital shall fill the weekly review sheet me
47. pply at least 3 outlet of 5 15 amps oxygen amp vacuum outlet treated water inlet amp drainage facilities Air conditioning to achieve 70 F to 72 F temperatures amp 55 to 60 humidity Areas for dialyzing patients having viral diseases HBV HCV and HIV should be separated from those patients not having any viral infections These spaces should have independent drainage independent water supply independent air handling amp separate personnel facilities An indicative Layout structure of Dialysis unit is attached for reference However the same will be finalized mutually between the designated hospital authority MS CMS Director of the associated Hospital and Service Provider before commencement of work The layout structure of all theHemo dialysis unit should be universal 10 2 Preparation Work and Storage Area The preparation work and storage areas should have the following Independent area is needed for reprocessing the dialyzers This should have a work bench with sink having side board amp drainage The work bench should be supplied with treated as well as untreated water which are separately marked Two sinks for the work bench should be provided The space should be sufficient for at least two persons working simultaneously This preparation area should be physically separate for processing dialyzers from viral infection patients versus those not having any viral infection RFP HDU SP Part Ill Schedules to the
48. pporting staff 11 Will take regular teaching sessions meant for the dialysis staff Appraisal auditing Same as Nephrologist Updating Attend national level conferences Haemodialysis Society PDSI at least once in 2 years Dialysis Technicians Patient Technician 3 1 Training 1 Have passed at least two year certificate course in dialysis technique after 12 standard certified by a Govt authority or have sufficient hands on experience 2 The training curriculum should include 3 Fundamentals of renal anatomy and physiology principle of dialysis 4 Water quality water treatment water distribution 5 The dialysis machine connectology upkeep of machines 6 Care of vascular access Pre and Post Dialysis 7 Dialyzers and tubings including cleaning and preservation 8 Anticoagulation 9 Dialysate composition amp ingredients 10 Common complications of dialysis How to manage Page 15 RFP HDU SP Part Ill Schedules to the S N Staff Group Particulars Descriptions Biomedical Engineering Technician 1 Technician should be available for 24 hour on call services them at bedside 11 Basic evaluation of a patient before during and after dialysis 12 Infection control and safety Disinfection 13 Reuse of dialyzers 14 Cannulation vascular access the broad principles 15 Special expertise in critical care dialysis CRRT SLED an
49. referral Sweepers Both male and female at a time for round the clock service 8 hourly basis Job Descriptions As per the existing norms and standards of any critical care unit Mm Equipment The following equipment should be available in each unit Name of Equipment Minimum No required Haemodialysis Machines 10 Dialyzer Pre processors 02 Dialysis Chair Bed 10 Defibrillator with ECG Machine 01 Emergency Patient Transfer Trolley 02 Ambu Bag 02 Weighing Machines 02 Computer with Printer 01 Water Treatment Plant 1000 litres hour 01 Bins as per Waste Management Codes 03 Minor Surgical Tools SET 02 00 NID O1 B G Po Page 17 RFP HDU SP Part Ill Schedules to the 12 Digital Multimeter 01 13 UPS for 30 Minutes back up and Generator with load capacity 01 sufficient to run the Dialysis Unit 14 Dressing Set 10 per shift 30 10 4 EQUIPMENT SPECIFICATIONS 01 Specifications for Haemodialysis Machine ECRI Code 11 218 1 Description of Function Description Haemodialysis is a method for removing waste products such as potassium and urea as well as free water from the blood when the kidneys are incapable of this i e in renal failure It is a form of renal dialysis and is therefore a renal replacement therapy 2 Operational Requirements SI Descrip
50. rical points as specified by the vendor Other plumbing works and civil works will have to be undertaken by the bidder Vendor should ensure that there is no environmental damage of any kind takes place The unit shall be capable of operating continuously in ambient temperature of 10 40 deg C and relative humidity of 15 90 6 Power Supply SI Description 6 1 Power input 220 240V 50 Hz AC Single phase or 380 400V AC 50 Hz Three phase fitted with appropriate Indian plugs and sockets 7 Standards Safety and Training RFP HDU SP Part Ill Schedules to the Description Should be FDA CE BIS approved product Output water quality should match AAMI Association for the Advancement of Medical Instrumentation standards for Haemodialysis Water Al lt 0 01 mg L Ca lt 2 mg L BACTERIA lt 200 CFU ml The vendor should provide preventive maintenance which includes chemical checks bacterial and pyrogen checks periodically during the warranty period Comprehensive warranty for 5 years and provision of AMC for next 5 years Should have local service facility The service provider should have the necessary equipment recommended by the manufacturer to carry out preventive maintenance test as per guidelines provided in the service maintenance manual 8 Documentation SI Description 8 1 User Technical Maintenance manuals to be supplied in English 8 2 Certificate of calibration and in
51. s decided to provide space free of cost in 18 Regional Hospitals in all the 18 administrative units to let Service Providers having expertise in managing Dialysis units establish operate and maintain Haemodialysis units and provide free treatment facilities to all the patients requiring maintenance dialysis to lead quality life and also to serve as bridge for requirement of kidney transplant RFQ cum RFP for selection of HDU SP Part Ill Schedules to the Agreement 2 Objectives The Service Provider is required to provide maintenance dialysis services to all the patients referred to it by the Medical Superintendent of respective Regional Hospitals Patient has to register himself once in the OPD and will be referred to Dialysis unit for further treatment The key considerations are a To reduce out of pocket recurring expenses for the patients suffering from ESRD End Stage Renal Disease Toprovide affordable quality dialysis and allied facilitiesin variousgovernmenthospitalservices To provide universal access to Dialysis facilities for the patients suffering from ESRD To provide state of the art Haemodialysis equipment and ancillary equipment required for smooth operations of Haemodialysis Centre and allied services to Government of Uttar Pradesh Toprovidefreeofchargeservicesto all patients System will be laid out for taking new and continuous patients by the Authority which are binding to HDU SP To provide hassle free services
52. s to standards for electrical safety IEC 60601 IS 13450 8 Documentation SI Description 8 1 User Technical Maintenance manuals to be supplied in English 8 2 Certificate of calibration and inspection 8 3 List of important spare parts and accessories with their part number and costing 8 4 Log book with instructions for daily weekly monthly and quarterly maintenance checklist The job description of the hospital technician and company service engineer should be clearly spelt out User list to be provided with performance certificate List of Equipment available for providing calibration and routine Preventive Maintenance Support as per manufacturer documentation in service technical manual Page 25 RFP HDU SP Part Ill Schedules to the 04 Specification of Defibrillator with ECG Machine UNSPSC Code 42172101 ECRI Code 17 116 1 Description of Function SI Description 1 1 Defibrillator is required for reviving the heart functions by providing selected quantum of electrical shocks with facility for monitoring vital parameters 2 Operational Requirements SI Description 2 1 Defibrillator should be Bi Phasic light weight and latest model 2 2 Should monitor vital parameters and display them 2 3 Should print the ECG on thermal recorders 2 4 Should work on Manual and Automated external defibrillation AED mode Manual selection up to 200 J 2 5 Should be capable
53. spection 8 3 List of Equipment available for providing calibration and routine maintenance support as per manufacturer documentation in service technical manual 8 4 List of important spares and accessories with their part number and costing 8 5 Log book with instructions for daily weekly monthly and quarterly maintenance checklist The job description of the hospital technician and company service engineer should be clearly spelt out 10 Specification Bins Speciation s as per waste management codes 11 Specification Minor Surgical Tools with Electrical Instrument Sterilizer Complete set should include the following Dressing Scissors 6 sharp blunt curved Iris Scissors 4 5 straight Mayo Scissors 5 5 straight Littauer Stitch Scissors 5 5 Gillies Dissecting Forceps 1 2 teeth 6 RFP HDU SP Part Ill Schedules to the Dissecting Forceps 5 block end Halstead Mosquito Artery Forceps 5 straight Mayo Hegar Needle Holder 6 with TC inserts and gold plated handles Gillies Skin Hook Kilner Cat Paw Retractor McDonald Dissector Volkmann Scoop medium No 3 scalpel handle suitable for blades 10 15 Probe Fine grain leather instrument case Made up of Medical Instrument Grade Stainless Steel Manufactures name engraved and CE Certified The metal should be lightweight surgical alloy non standing corrosion free non rusting and should be able to withstand the temperature of autoclaving It should be not lig
54. tion 2 1 Machine should have facility for Acetate Bicarbonate Sequential dialysis Isolated UF 2 2 Upgradable to future software developments and can be linked with Patient Data Management System 2 3 The blood pump should run even in the absence of water or dialysate flow 3 Technical Specifications SI Description 3 1 Should have facility for conventional and High flux dialysis 3 2 Machine should have two bacterial filter Pyrogen filters one at water inlet and one before water going to dialyser 3 3 Battery back up for 20 30 minutes to run complete machine with heater supply 3 4 Should have Na and UF profiling 3 5 Dialysate temperatures selectable between 35 degrees C to 39 deg C 3 6 Variable conductivity setting between 12 to 15 3 7 Should have variable dialysate flow 350 800 ml min Page 18 RFP HDU SP Part Ill Schedules to the 3 8 Should have facility to show trends curve of all parameter for 15 20 minutes 3 9 Heparin pump with syringe sizes up to 20 ml with pump flow rate from 1 10 ml hr 0 1 ml increments 3 10 Stroke pressure operated short term single needle dialysis 3 11 Ultrafiltration 0 1 to 2 5 litres hr The in and out fluid circuit must be separated so that there is no chance of contamination in the event of membrane rupture 3 12 Treatment parameter should be displayed by graph and digitally both 3 13 Should have integrated heat and chemical disinfection facility Should have
55. umentations and the Service Provider has to do all the liasoning towards getting the clearances e Monitor whether the construction of the centre is violating any statutory provisions RFP HDU SP Part Ill Schedules to the 23 Schedule E Dialysis Schedule The following Schedules will be applicable for Dialysis Procedures 1 2 9 The Dialysis Centre will conduct the procedures 24x7x365 i e round the clock throughout the year The Patient will have to be told in advance about the days of his Dialysis Procedures Schedules Every Monday the WEEKLY SCHEDULE FOR THE PATIENTS WILL BE DISPLAYED FOR THE WEEK on the website provided by GoUP which will be declared later and in the Central Nursing Station The Patient will not be made to WAIT for more than THREE HOURS The Centre will work in three shifts a day Each Dialysis Machine will work for 6 Days a week and one day will be for compulsory maintenance No Dialysis Machine will remain dysfunctional for more than 48 HOURS 8 Minimum Dialysis Procedure Except for Vascular Access will be FOUR HOURS Patient Record will have to be maintained for the procedures 10 The Single Use Patient Tubing will not be REUSED 11 The DIALYZERS will not be used more than FIVE Times 12 The DIALYZERS will be REUSED on the same patient and the Patient will be informed and SHOWN the Patients Name on the DILYZER before being used for the Procedure 13 The patients from d
56. us 1 Year Certificate Course in Dialysis Techniques from any Govt recognized HSSC NCVT Biomedical Engineering Diploma Certification in Technicians 01 on call Electronics Biomedical Engineering Medical Device Maintenance Dialysis Nurses 03 per shift GNM and Registered with 6 Months in a Dialysis local nursing council unit Medical social worker Degree in sociology 2 years as Medial Social Worker Sweepers NA NA NOTES on Submission of documents against Key Manpower i Above manpower is provisioned per Haemodialysis Unit ii Submission of relevant CV for Contract Manager and Nephrologist is mandatory iii These positions will not be replaced without prior approval of the authorities iv For the other positions where all the relevant CVs are not available please attach an undertaking indicating the number of staff as specified are going to be employed For example Dialysis Nurses required to be employed are 03 per shift and if the shifts required are 3 then the committed numbers to be employed will be 09 per centre and an undertaking to provide 09 Nursing Staff per centre should be submitted All the manpower will be Trained and Certified by Govt or Govt empanelled authorised body RFP HDU SP Part Ill Schedules to the 22 Schedule D Services amp Facilities Provided by the Authority DoMH Government of Uttar Pradesh a Provide required built up area of 2000Sq ft with sound foun
57. vailable Name the manpower with their details and signatures Comments and recommendations of Auditors and advice to rectify the deficiencies if any Representative of SP Representative of Hospital RFP HDU SP Part Ill Schedules to the 17 ANNEXURE VIII Third Party Audit Sheet Six Monthly Parameters Score Complied 2 Partially Complied 1 Not Complied 0 Remarks and records 1 Whether all the Essential Equipment has been Calibrated Maintained and are working List the equipment not working 2 Whether the Water Quality is as per AAMI Std Record the measured Water Quality 3 Whether the Patients Schedule is Displayed 4 Is the procedure timing recorded for each patient Record the deviations if the timing is below 4 hours 5 Are the Waste Disposals being done as per the Act 6 Is the Dialyzer disposed off after maximum 5 uses and is this recorded 7 Is the Dialyzer reused on the same patient and is the patient informed about this before the start of procedure 8 Has the process of ISO Certification started If YES provide the name of agency assisting in the Certification Has the Quality Manual prepared 9 Is the Dialysis Help line working 10 Whether key Manpower are all available Name the manpower with their details and signatures 11 Whether recommendations of the internal committee have been complied with
58. y and monitor vendor performance as well as inventory levels of essential spares Up gradations Shall attend training at least once a year at vendor s premises and update on the latest development in dialysis machines as well as water treatment Dialysis Nurses Training GNM 6 month exposure in a dialysis unit Should be registered with the local Nursing Council Page 16 RFP HDU SP Part Ill Schedules to the S N Staff Group Particulars Descriptions Patient Nurse 3 1 Job Description 1 Conducting admission assessment 2 Conducting discharge assessment 3 Keeping an inventory of the medicines and disposables 4 Following instructions of the dialysis doctors 5 Conducting assessment of a patient when indicated 6 Recommending changes in the treatment based on the current needs of the patient 7 Facilitating communication between the patient and patient s family on one side and the treating team on the other 8 Cooperate with and provide oversight and direction to the dialysis technicians 9 Participating in continuous quality improvement activities Auditing and Updating Same as Dialysis Technician Medical Social Worker Job Descriptions 1 Psychosocial evaluations 2 Case work counselling of patients and family 3 Group work 4 Information and referral 5 Team care planning and collaboration 6 Facilitating community agency
59. y capacity etc 3 11 Should have facility for self test check before use and set up function 3 12 Should have SP02 and NIBP integrated facility 3 13 Should be capable of delivering energy in increments of 1 2 joules up to 30J and increments of maximum 50J thereafter 3 14 Should have user friendly 1 2 3 colour coded operation 4 System Configuration Accessories spares and consumables SI Description 4 1 Defibrillator qty 1 4 2 Paddles Adult pair qty 1 4 3 Paddles Paediatrics pair qty 1 4 4 Patient cable qty 2 4 5 ECG Rolls qty 50 4 6 Disposable pads qty 10 nos 4 7 NIBP Cuff Adult qty 2 NIBP Cuff Paediatrics qty 2 4 8 SPO2 Finger Probe Adult qty 2 SPO2 Ear Probe qty 2 4 9 Complete set of ECG Leads qty 2 RFP HDU SP Part Ill Schedules to the 5 Environmental factors SI Description 5 1 The unit shall be capable of operating continuously in ambient temperature of 10 40deg C and relative humidity of 15 90 5 2 The unit shall be capable of being stored continuously in ambient temperature of 0 50deg C and relative humidity of 15 90 5 3 Shall meet IEC 60601 1 2 2001 Or Equivalent BIS General Requirements of Safety for Electromagnetic Compatibility 6 Power Supply SI Description 6 1 Power input to be 220 240VAC 50Hz 6 2 Resettable overcurrent breaker shall be fitted for protection 7 Standards Safety and Trai

HDU-SP - Department of Medical Health and Family Welfare

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