A-PDF Merger DEMO : Purchase from www.A-PDF.

com to remove the watermark

CLARIFICATION

Sl. RFP Document Reference(S) Content of RFP Points of Clarification Remarks

No. (Section & Page Number)
1. Section 5.1 Eligibility Criteria The Bidder could be a As this project is No Change,
Page No. 19 Company or an LLP or combination of medical IT Existing bid
a Society registered and Medical Services so condition shall
under the Companies consortium between prevail
Act, LLP Partnership minimum of two
Act or Societies companies/firms should be
Registration Act allowed of medical field

1. RFP No:- Our company has been No Change,

SRCH/Nam/130/2017 Dated- supplying several IT & Existing bid
21/11/2017 Health related equipment condition shall
& solutions to various prevail
government departments
and Companies. Since our
inception in 2008, we have
been taking pride in
successfully extending our
service to many states
Government, including
Jharkhand Govt. We are
looking forward to
participating in the tender
mentioned in the notice
referred. However, please
note that we might require
some time to prepare an
exact estimation as we
have come across the
notice quite late. We
therefore request you to
please extend the date of
Pre-bid submission from
28th Nov. to 4th Dec. 2017.

1 Financial Bid
evaluation Page 11
2 Clause 3 (b), Job
Description, Page 12
The Opex cost (fixed cost &
per consultation cost per
centre) shall be calculated
for 5 years @ 20
Consultations per day for
evaluation purpose only.
Is it per centre day? Or is it Per consultation/per
patient / per day
What is the basic qualification ―Qualification
criteria for Paramedic? 10th criteria for
Class pass is given? Is it paramedic shall be:
sufficient? What about Compulsory: 1
qualification of other staff? ANM/GNM
and 1 DMLT/D.
Pharma ANM/GNM
(should be trained in
dressing/stitching

3 Clause 8, Service The bidder will be wholly
Provider’s responsible for ensuring
responsibility Page 18 compliance of labour laws
in true spirit.
4 Clause 8, Service Redressal of complaints
Provider’s regarding sexual harassment
responsibility Page 18 of woman at workplace for
the female workforce,
disposal of RTI as per its
provisions and other
statutory matter with a
report to NHM, Jharkhand.
5 Clause 7, Service Video logs, Video tags,
Provider’s voice recordings for current
Responsibility Page 3 months and other
18, and Service necessary details to be
Deliverable of selected provided by service
Bidder, Page No. 21 provider by service provider
to the NHM, Jharkhand.
6 Point 1, Page 17 To manage & operate the
digital dispensary centers
with provision of
manpower, internet
connectivity, laboratory &
facility for the dispensing of
generic medicine, providing
comprehensive Primary
Healthcare including
Doctor’s video consultation,
ANC, vaccinations,
appropriate tests and
medicines to be delivered to
each patient.
7 Point 1, Page 17 To manage & operate the
digital dispensary centers
with provision of
manpower, internet
connectivity, laboratory &
facility for the dispensing of
generic medicine, providing
comprehensive Primary
-Should be well
versed in regional
language and able to
translate the patient
complaints in to
hindi to the
Doctor’s at other
node.
Labour laws are to be followed Yes
Who will certify whether the Disposal shall be as
protocols drafted are in per the provisions
compliance to State’s prevalent in state of
Regulations? Selected Service Jharkhand, however
provider must take concurrence the service provider
from the tender inviting can prepare a SOP
authority or its authorized on protocols to be
before implementation of such implemented based
protocols. on various scenarios
from the NHM
designated Nodal
Officer.
Does service provided along YES, video logs
with Electronic Medical only for the 3
Record, need to store the months to be
videos of tele consultations and provided by the
voice recordings of tele bidder in hard disk.
consultation for 5 years. HER & EMR
records shall me
maintained through
out the project
period.
Who will provide laboratory Shall be born by the
reagents and other supplies to service provider
render lab tests. excluding
vaccination.
Who will provide pharmacy Shall be born by the
supplies to the centre for the service provider
said program excluding
vaccination.

8 Point 1, Page 17
9 Clause (e) Page 6
10 Technical Presentation
11 Clause 3, Project
Deliverables, Page 20
12 Clause 2, Scope of
Work, Page 38
13 General Clarifications
14 Level 1 Page 13
15 Point 2, Page 17
Healthcare including
Doctor’s video consultation,
ANC, vaccinations,
appropriate tests and
medicines to be delivered to
each patient.
To manage & operate the
digital dispensary centres
with provision of
manpower, internet
connectivity, laboratory &
facility for the dispensing of
generic medicine, providing
comprehensive primary
Healthcare including
Doctor’s video consultation,
ANC, vaccinations
appropriate tests and
medicines to be delivered to
each patient
Creating linkages with
existing PHC and Doctor’s
Nodes.
Mini lab with Malaria,
Hemoglobin Blood sugar
&Urinalysis facility. Lab
collection facility for other
tests could be added later
Software solution license
for video-conferencing with
Clinical Decision support
system
Printing E-prescription and
records for distribution to
patient
All instruments installed
have to be calibrated and
deemed fit for medical use?
Who will supply the vaccines It will be govt.
responsibility
Please explain the need of bidder is
these linkages? Are the responsible for
telemedicine set up in the linkage only of
scope of RFP new set up or patient node with
already existing? the doctors node.
Please clarify what is the Please see the
criteria for 100% (20 points) Corrigendum 1
evaluation.
Is the list provided is what to Bid conditions quiet
be provided or additional will clear please refer
be there? What about Para 4 service
additional costs towards it? Deliverables of the
Who will supply required selected bidder
consumables and reagents?
Please define decision support CDSS is clearly
system written in the
RFP.
What is the population size of 15000 approx
identified areas?
Does the service provider need Yes-printed
to give printed prescription to prescription to all
all patients along with case patients for
sheet every time? It all compliance of
medicines prescribed are advice given by the
available in the OHC pharmacy doctor.
and have been disbursed to the
patient, is there still a need to
give print to patient?
Is there a protocol for Calibration is
calibration that Govt. has service provider
specifically or calibration is responsibility and as
Manufacturer, of the per standard
equipment recommended? guidelines and
calibration schedule

16 Service provider’s Customize IT Solution to
responsibilities, Page meet local language needs
17 in the State of Jharkhand
17 Clause 16, Page 18 Bear the charges generated
towards inverter with
battery, maintenance of
daily, monthly and yearly
records, and security of
digital dispensary
18 Levcel 1, Page 13 Vendor/Bidder/Service
provider shall ensure that
basic set up being provided
to the client shall have the
provision to connect with
the Doctor’s centers to be
set up in Tertiary
Hospitals/Medical
Colleges/District Hospitals
of Jharkhand, ie; Multi-
point video conferencing
system (Centre at L1 should
be able to be in video-
conferencing with 3 centers
at L2 across geography)
19 Level 1, Page 13 Each such centre will have-
 All in one
computer with
camera and
headphone
 Laptop
1 Section 5.1, Eligibility Criteria Number of Years of
S.No.#1 Existence (as on 1st
January, 2016)
2 Section 5.1, Eligibility Criteria Average Annual
S.No.#2 Turnover for preceding
03 years (FY 2016-17
accepted only if audited
statement provided)
3 Section 5.1, Eligibility Criteria Minimum experience in
S.No.#3 Hospital Management
and/or Public Health
Management in
shall be shared with
NHM Nodal;
Officer.
Does it mean that the software Paramedical staff
solution be multilingual or the shall be
Doctor’s? Talking over tele multilingual.
medicine with multiple Software Solution
languages are enough? should be in Hindi
as well as in
English
What about common security Service provider
guard available at each PHC? responsibility
Will he not bear responsibility
to keep the digital dispensary
secured?
Please provide detailed work Please see annexure
flow for understanding III of Corrigendum
1
Can we provide standard It may be
desktops, with add on Web Laptop, Desktop,
Camera and earphone with tablet, kiosk or
mic? any other device
compatible to
maintain the
whole IT solution
Number of years of Consortium not
existence of the Prime agreed
Bidder (in case of
consortium) as on 1st Jan,
2016
Average Annual Turnover Consortium not
of Prime Bidder (in case of agreed
consortium) for preceding
03 years (FY 2016-17
accepted only if audited
statement provided)
Minimum experience of Consortium not
bidder or any member of agreed
consortium (in case of
consortium) in Hospital

4 Section 5.1, Eligibility Criteria
S.No.#4
a) RFP No.
SRCH/Nam/130/2017 Dated
21st Nov. 2017
b) RFP No.
SRCH/Nam/130/2017 Dated
21st Nov. 2017
OPTUM
1 Section-1, Tender Notice,
Page 02
2 Section-5.1, Eligibility
Criteria, S. No. 01, Page No.
19
3 Section-5.1, Eligibility
Criteria, S. No. 02, Page No.
19
4 Section-5.1, Eligibility
Criteria, S. No. 03, Page No.
19
5 Section-5.1, Eligibility
Criteria, S. No. 04, Page No.
19
6 Section IV, Para 4.4. A
―Document furnished under
India/running hospitals Management and/ or
in India Public Health Management
in India/running hospitals
in India
Experience in Experience of bidder or Consortium not
implementation of any member of consortium agreed
Telemedicine projects (in case of consortium) in
implementation of
Telemedicine projects
Last Date/time for receipt Not agreed
of bids until Friday, 05th
Jan. 2018 for submission
of response to the RFP.
Three partner consortium Not agreed
for the bidder to bring in
required expertise in the
expected areas.
Bid from eligible single Considering the broad Not agreed
bidder ―for setting up, scope of work which
Integration, includes experience in
commissioning, Telemedicine, Care
operation, delivery and system
implementation and integration & Technology
maintenance of digital services, we request you to
dispensary allow ―three partner
(Telemedicine system) in consortiums‖ as bidder to
100 centers‖ for the State bring in required expertise
of Jharkhand for the in the expected areas.
period of 5 years.
Numbers of years of Number of years of Not agreed
existence (as on 1st Jan, existence of the Prime
2016) Bidder(in case of
consortium) as on 1st Jan,
2016
Average Annual Average Annual Turnover Not agreed
Turnover for preceding of Prime Bidder (in case of
03 years (FY 2016-17 consortium?) for preceding
accepted only if audited 03 years ?(FY 2016-17
statement provided) accepted only if audited
statement provided)
Minimum experience in Minimum experience of Not agreed
Hospital Management bidder or any member of
and/or Public Health consortium), in hospital
Management in Management and/or Public
India/running hospitals Health Management in
in India India/running hospitals in
India.
Experience in Experience of bidder or Not agreed
implementation of any member of consortium
Telemedicine projects (in case of consortium), in
implementation of
Telemedicine projects.
4) power of attorney in It is understood that bidder Power of attorney
favour of signatory of can submit either power of in favour of
 Technical Proposal/ Bid‖
point no. 4, Page No. 7
7 4.4 preparation of tender/Page
7 document (RFP) duly
8 Section 1, Para 2 and
subsequent time lines, Page 2
9 4.4 B- Document furnished
under financial proposal/Bid,
Page 8
tender documents. attorney power of attorney signatory signing
or board resolution for the tender
establishing document
representative’s
authorization as given in
section 4.1, ―The
representatives
authorization should be
confirmed by a written
power of attorney or board
resolution complying the
proposal‖, Please confirm
if our understanding is
correct?
3) Original tender We request in lieu to Not agreed
consider a signed
stamped and signed in declaration from the
each page along with a authorized signatory
forwarding letter confirming that he/she has
confirming the read and understand and
performing of scope of are willing to confirm to
work. the RFP and relevant
corrigendum.
Time of Completion Given the complexity of No change
within 60 days after issue the RFP, and the inherent
work order and later 90 challenges in the
days for all 100 sites. Geographic spread, we
request you to consider a
total implementation
period of 180 days. We
further suggest that this be
divided into three phases,
with 50 centers in the first
90 days, a further 35
centers in the next 30 days
(120), and the rest by the
end of 180 days. This will
help in an orderly roll out,
and will also account for
implementation with
significant logistical
challenges in remote areas.
I. Financial cover letter. Given the complexities and No Change
II. Breakup Cost. ambiguity of applicability Required. Break up
of GST, and relevant %, of base price &
input and output credit, we GST is already
suggest that the cost asked in the bid
breakup should include a document.
separate heading for taxes.
This will transparency and
will also allow NHM to
verify that indeed the right
taxation rules/slabs have
been adhered to. We would
also like to confirm that
the only breakup of cost

10 Section III: Evaluation of
tender, evaluation of technical
bid:, Sl. No.(e) Page 10
11 Section 23. Expected service
level parameters, Page 26
would be in line with
BOQ_35520 and no
additional details are being
requested of the bidders.
All financial bids shall In case of variation in Please Refer Pg/ 41,
be considered to include future taxes, the change in Payment terms as
all taxes & any other taxes need to be borne the per RFP point 4.
charges. client.
KPLs, Target Benchmark We have had an As per Annexure
and damages opportunity to study the IV of Corrigendum
KPLs suggested by NHM, 1
and have the following
observations:
We believe that a 95%
uptime on internet
connectivity today. We
request NHM to consider
relaxing this requirement
for remote area centers.
We hope to service more
than 10 patients on any
given day in a center.
However, we expect that
we will get to this number
over a period of 6 to 9
months, as the awareness,
adoption and comfort level
of the patients increase.
We request that you
consider imposing this KPI
only after 9 months of
operation of the center
Utilization at each center,
and thus the SLA of 10
patient/day would vary
based on the employment
and habits of the
population covered by the
centre. We request NHM
to consider the 10
patients/Day on an average
basis over the quarter.
We also believe that a
penalty 50% would be a
grave burden on the
bidder(S) in the initial
years of implementation.
The financial risk for the
bidder(s) would be
significant with this clause,
potentially making the
overall investment
unviable. We agree with
the need for NHM to make
this successful, and would
humbly suggest that the

12 Section IV : Sl. No. 19, Sub-
contracting, Page 25
13 Para 4.4 A ―Document
furnished under Technical
Proposal/Bid‖ point No. 10,
Page No. 7
14 Section II, Para 3 b. Objective
of the project, Page
penalty be limited to 10%
of the payable amount per
center for the first 3 years.
We would also like to
suggest that any penalties
be limited to the centers
that are not performing, so
successful center
operations do not get
penalized.
We request NHM to
provide us the detailed
methodology of
calculating the KPI score,
so we can objectively
evaluate Page 23, Para 13
KPI#3 requires that we
record a minimum of 5
vitals and 3 investigations
on average for a patient.
The requirement of 5
vitals, we believe, is
appropriate. We believe
that the frequency and
volume of investigations
should be driven by
existing and projected
disease burden in the
population served, and the
clinical needs of the
individual patient. As we
work closely with NHM
implement our propensity
of disease models, and
targeted especially for
communicable disease,
neonatal conditions and
NCDs like Diabetes,
Hypertension, Asthma etc.
We request NHM to
redefine the KPI on
investigations to be based
on clinical need.
Sub-contracting is not Not Agree
allowed under this RFP
10) Compliance Matrix Shall be read as
as per Annexure-A Annexure VII
6X6 (10.00 AM to 4.00 Apart from Hindi there are The paramedical
PM. Monday to 06 regional language listed staff should know
Saturday) Tele- request you to please the local region in
consultation available in provided an order of which the
three languages. VIZ preference of the third telemedicine
Hindi, English and language in which Tele centers is
regional languages consultation services need established besides
 prevalent at State of to be provided. Hindi.
Jharkhand as per
understanding of
patients.

15 NHM, Jharkhand Providing working area We fully acknowledge the As per the RFP
Responsibilities Page 19 of sufficient space for need for site readiness
doctor centre and across multiple parameters
minimum approx Area of and dimensions. For this
300 sq. feet at pallent initiative to be successful.
centre will access to In this context, we are
water supply. Electricity keenly aware that we
if available (excluding would not be successful
UPS) without full operational
support and help from
NHM and relevant
departments of the
Government of Jharkhand.
We see the following areas
to be of significant risk.
Especially in meeting the
aggressive timelines
suggested.
Site readiness and Civil
works. In case we submit
the winning bid, we would
request NHM to allow us
to do an operational
readiness audit of 100
proposed sites, so we can
methodically request for
remediation of any civil
works deficiencies /
shortcoming that would
significantly impact
seamless operation , or our
ability to meet the KPI on
number of consult per day.
We further acknowledge
that some sites may not
have electricity, we request
NHM to provide us a list
sites currently known to
have no electricity , or
limited availability or
internet connectivity and
power during operational
hours. We would also like
to suggest local solar and
satellite link as potential
solution to mitigate this
problem.. In this contest,
we request that you allow
us to share the per centre
installation and operation
costs for the above, as a
separation addendum to
our financial bid, to ensure
transparency and a level
playing field.
We also believe clean and
nearly bacteria free
drinking water is necessary
to make these center
effective. we request you
to consider this
requirement in the same
sprit as two mentioned
above.
We assume that all
required medicine will be
provided via e-aushadi ,
and all consumables and
reagents will be provided
by NHM, as is done today
for PHCs and sub –
centers. Request to you
please confirm.
Security of our patients ,
their medical data ,
sensitive equipments and
our health workers and
data is of paramount
important to us. Request
you to allow us to assess
the security status at all
100 centers as part of our
operational readiness
assessment. IN this context
we request that the cost of
security of the centers and
the means and method
employed to ensure the
same, be deferred to the
contracting phase, and not
to be part of the current
RFP process.
We also request a
complete detailing and
enumeration of the
equipment expectation by
centers , and overall in the
support of the centers, at
the L2 nodes, at medical
colleges and the central
command node. This will
ensure transparency and a
level playing field for all
bidders. We also request
that you confirm that the
command node would be
at ranchi.
16 Scope of work Page 14 Linkage with all Please details out the scope No linkage with
emergency response of integration with respect 108 and IDSP. 108
services such as 108 to 108 ambulance service to be communicated
ambulance services. IDSP Also confirm if all by phone.
other integration required
will be treated as change
management.
17 Page 3. Successful service The bidder will be Recommend to amend as Not Agree
Provider/Vendor’s responsible for rendering ―The government will
responsibilities. Page 17 the services from the ensure obtaining all
Digital dispensary. All statutory approvals
cost related to the required for operating such
establishment, operation a service by the vendor.‖
and maintenance of the
Centre will be borne by
the vendor/bidder. The
bidder will be society
responsible
18. Section IV – Job Vendor/Bidder/Service Is the bidder required to Presently only
DESCRIPTION, Level 1, provider shall ensure that setup telemedicine Patient node at
page 13 basic setup being infrastructure at the PHC level and
provided to the client government run tertiary doctors node to be
shall have the provision care hospital? This is set up.
to connect with the contradictory to the Level
doctor centers to be set 2 definition in page
up in Tertiary number 13 where it could
Hospitals/Medical be anywhere in india and
colleges/District to be run by bidder.
Hospitals of Jharkhand.
i.e., Multi-point video
conferencing system
(Centre at L1 should be
able to be in Video
Conferencing with 3
centers at L2 across
geography)
19 Objectives Page 37 Creating Based on our limited As per RFP
linkages/network with understanding of
existing Primary Health population of Jharkhand&
centers (PHC) and associated disease burden
doctors center set up by and our global experience
the vendor at secondary in primary care we suggest
& tertiary levels or that the doctor node
medical colleges /district include 25 MBBS doctors,
hospitals of state, if 5 experienced GPS with
required more than 5 yrs
experience, 1 specialized
epidemiologist , 1
pediatrician, 1
endocrinologist, and 1
Gynecologist other
specialty need can be met
by linking to at least 5
specialist nodes in govt run
tertiary hospitals. As we
collect data on the

Level-2, Scope of work, Page
14
Annexure II, Page - 31
Successful Service
Provider/vendor's
responsibilities, Page 18
Scope of Work, Page - 14
Annexure –Il/, Page 31
population serviced by
these centers and
understanding the disease
burden and demand for
consultations we will
adjust the physician mix
and doctors node and the
no. of specialty node
appropriately in
consultation with NHM
Provide a central Please elaborate on the Dashboard facility
reporting facility at requirements of the central with central, district
headquarters for the reporting facility- like toll level
people and health care free number, operators to
providers during any attend and make calls, any
emergencies such as other media like - SMS, e
occurrence of epidemics mail, WhatsApp etc. also
/ disasters to be used or not.
Video Conferencing We understand that NHM Video
Terminal envisages Video Conferencing
Conferencing Terminal as Terminal as the
the software solution for software solution
Videoconferencing with for
Clinical Decision Support Videoconferencing
System to be hosted over preferably with
the centralized data center Clinical Decision
opt cloud. Please confirm Support System to
our understanding be hosted over the
centralized data
center opt cloud.
The bidder will provide Please confirm if Already Explained
all video-logs, voice- department is looking for
togs, voice recordings for voice and video recording
current three month and of all the Tele-
other consultation.
necessary details as and
when required by the
NHM, Jharkhand.
Service provider shall SI can not resell the As per RFP
provide uninterrupted bandwidth as per TRAI
internet connectivity and guidelines. Request NHM
Power supply. 4 Hour to exclude bandwidth from
Power bidder's scope or have Try-
back up at centers shall partite agreement. Kindly
be provided through UPS advise
/ other means of Please share the addresses
minimum 3 KVA power. with contact person at each
location for technical
feasibility
Laptop As per the scope of work It may be Laptop,
and project deliverables, Desktop, tablet,
Laptop is asked but missed kiosk or any other
in LIST OF EQUIPMENT, device compatible
INSTRUMENT,
to maintain the
FURNITURE &
FIXTURES FOR EACH whole IT solution

Section VI (Terms and
conditions), Section 6.3 -
Insolvency of bidder, Page.22
Section VI (Terms and
conditions), Section 8 -
Indemnity, Page 22
Section VI (Terms and
conditions), Section 13 -
Penalty, Page 23
CENTRE. Please confirm
if Laptop is required at
each center
NHM, Jharkhand may at As the services already As per RFP and
any time terminate the delivered to NHM will be corrigendum
Contract by giving 30 due and payable, we
(thirty) days written request NHM to modify
notice to the bidder the verbiage of this clause
without compensation to to read as under:
the bidder, if the bidder
becomes bankrupt or "NHM, Jharkhand may at
otherwise insolvent, any time terminate the
provided that such Contract by giving 30
termination will not (thirty) days written notice
prejudice or affect any to the bidder, if the bidder
right of action which has becomes bankrupt or
accrued or will accrue otherwise insolvent,
thereafter to provided that such
National Health Mission, termination will not
Department of Health, prejudice or affect any
Medical Education & right of action which has
Family Welfare, accrued or will accrue
Jharkhand. thereafter to National
Health Mission,
Department of Health,
Medical Education &
Family Welfare,
Jharkhand. The payment
for services already
rendered to NHM by the
bidder shall be due and
payable by NHM as per
the terms of the payment
entailed in the MOU"
The bidder shall We understand the As per RFP
indemnify, defend and provision on indemnity as
hold NHM, Jharkhand agreed in the contract
and their officers, between NHM and Bidder
employees, successors will prevail.
and assigns harmless
from and against any and
all losses arising from
personal injury or claims
by third parties pursuant
to this agreement,
including but not limited
to any equipment,
software, information,
methods of operation or
other intellectual
property (or the access,
use or other rights
thereto) provided.
In a contract for services As per RFP
• The Security Deposit like the subject RFP, the
may be invoked for use of word "reasonable"

Section VI (Terms and
conditions), Section 13 -
Penalty, Page 24
Section VI (Terms and
conditions), Section 14 -Force
Majeure, Page 24
unsatisfactory service
provided to National
Health Mission after
allowing reasonable
chance to set right the
service deficiencies to
the full satisfaction of the
NHM, Jharkhand.
The service
provider/vender shall
maintain full
confidentiality of the
data supplied while
answering customer
queries/complaints.
Under no circumstances
will the service
provider/vendor
divulge/reveal/share such
data for the purpose
other than for meeting
the NHM, Jharkhand
requirement. Any
violation of this
confidentiality clause
may result in instant
termination of the
contract and the service
provider shall pay
liquidated damage of Rs.
50,00,000/- (Rupees
Fifty Lakh) to the NHM,
Jharkhand and the NHM,
Jharkhand shall reserve
the right to blacklist the
service provider for any
future contracts. The
decision of NHM,
Jharkhand shall be final
in this regard and
binding on the service
provider.
a) Notwithstanding the
provisions of
Termination for Default
and Penalty clauses, the
service provider shall not
be liable for forfeiture of
its Security Deposit,
penalty or termination
for default, if and to the
extent that, its delay in
performance or other
failure to perform its
obligations under the
Contract is the result of
solely becomes
discretional. We request to
have a timeline specified
in the clause to avoid
ambiguity
We understand that the As per RFP
SOP pertaining to
expectation of NHM on
maintenance of
confidentiality will be
shared with the Bidder.
The liquidated damage of
50,000,00/- will be
imposed only after due
intimation to the bidder
and providing reasonable
opportunity of being heard
by NHM on any issue
arising pursuant to this
clause. Request NHM to
confirm the above
understanding.
As force majeure is As per RFP
beyond the control of
bidder, we request NHM to
modify the clause to read
as under:
"a) The service provider
shall not be liable for
forfeiture of its Security
Deposit, penalty or
termination for default, if
and to the extent that, its
delay in performance or
other failure to perform its
an event of force obligations under the
majeure. Contract is the result of an
b) Force majeure shall event of force majeure.
mean and be limited to b) Force majeure shall
the following: War / mean any event, cause,
hostilities / Restrictions occurrence or
imposed by the circumstance beyond the
Government or other reasonable control of the
statutory bodies which Party and which by the
prevents or delays the exercise of due diligence
execution of the order by the said Party could not
the service provider. have prevented or
c) The service provider overcome.
shall advise the c) The service provider
Department by a shall advise the
registered letter duly Department , the beginning
certified by the local of the above causes of
statutory authorities, the delay within seven (7)
beginning and end of the days of the occurrence. In
above causes of delay the event of the delay
within seven (7) days of lasting for over two
the occurrence and months, if arising out of
cessation of such force causes of force majeure,
majeure conditions. In the Department reserves
the event of the delay the right to cancel the
lasting for over two order.
months, if arising out of d) The completion period
causes of force majeure, may be extended in
the Department reserves circumstances relating to
the right to cancel the force majeure by the
order. Department. The bidder
d) The completion period shall endeavor to complete
may be extended in the work without claiming
circumstances relating to any further extension for
force majeure by the the completion of work.
Department. The bidder The Department shall not
shall not claim any be liable to pay extra costs
further extension for the under any conditions.
completion of work. The (e) In the event of any
Department shall not be force majeure cause, the
liable to pay extra costs bidder shall not be liable
under any conditions. for delays in performing
e) The bidder shall their obligations under this
categorically specify the order and the delivery
extent of force majeure dates can be extended to
conditions prevalent in the bidder without being
their works at the time of subject to price reduction
submitting their bid and for delayed delivery, as
whether the same have stated elsewhere.
been taken into
consideration or not in
their quotations. In the
event of any force
majeure cause, the bidder
shall not be liable for
delays in performing

Section VI (Terms and
conditions), Section 19 -Sub-
contracting Pg.25
Section VI (Terms and
conditions), Section 21 -
Resolution of disputes Page
25, 26
their obligations under
this order and the
delivery dates can be
extended to the bidder
without being subject to
price reduction for
delayed delivery, as
stated elsewhere.
f) It will be prerogative
of the Department to take
the decision on force
majeure conditions and
the
Department's decision
will be binding on the
bidder.
Sub-contracting is not The format of contract As per RFP
allowed under this REP provided in Annexure IV
of the RFP under clause
7.1 on Pg., 42 specifies
that the bidder can
subcontract with prior
written consent from
NHM. We understand this
clause shall prevail and
bidder is allowed to
subcontract with prior
written consent from
NHM.
If any dispute arises We understand the As per RFP
between parties, then provision on resolution of
there would be two ways disputes as provided in
for resolution of the Annexure IV, Form of
dispute under the Contract Agreement,
Contract. Clause 8, Pg. 42 will
a. Amicable Settlement prevail.
Performance of the
contract is governed by
the terms and conditions
of the contract, however
at times dispute may
arise about any
interpretation of any term
or condition of contract
including the scope of
work, the clauses of
payments etc. In such a
situation, either party of
the contract may send a
written notice of dispute
to the other party. The
party receiving the notice
of dispute will consider
the notice and respond to
it in writing within 30
days after receipt.

Annexure IV, Form of
Contract Agreement, Page 36
Annexure IV, Form of
Contract Agreement, Clause
7.3, MISCELLENEOUS
COVENANTS OF THE
PARTIES, Page 42
Annexure IV, Form of
Contract Agreement, Clause
12, Force Majeure, Page 43
b. Resolution of
Disputes: If the parties
fail to resolve their
dispute or difference by
such mutual consultation
within twenty-one days
of its occurrence, then,
unless otherwise
provided in the bid
document, either the
Tender Inviting
Authority/District
Authority or the
successful bidder may
give notice to the other
party of its intention to
commence arbitration, as
provided in the
applicable arbitration
procedure, which will be
as per the
Arbitration and
Conciliation Act, 1996 of
India. Venue of
Arbitration: The venue of
arbitration shall be the
place from where the
contract has been issued,
i.e., Ranchi, Jharkhand.
Form of Contract We understand that the As per RFP
Agreement contract, upon award of
project to bidder, will be
negotiated and entered
between NHM and Bidder
to clearly detail the scope,
commercials, SLAs etc.
This MoU only records Intent of this clause not MoU shall be read
the principle accepted by clear, please clarify. as contract
the Parties for future
agreement/s and does not
in any way create
binding obligations on
the parties.
a) Notwithstanding the As force majeure is As per RFP
provisions of beyond the control of
Termination for Default bidder, we request NHM to
and Penalty clauses, the modify the clause to read
service provider shall as under:
not be liable for
forfeiture of its Security "a) The service provider
Deposit, penalty or shall not be liable for
termination for default, if forfeiture of its Security
and to the extent that, Deposit, penalty or
its delay in performance termination for default, if
or other failure to and to the extent that, its
perform its obligations delay in performance or
under the Contract is the other failure to perform its
result of an event obligations under the
of force majeure. Contract is the result of an
b) Force majeure shall event of force majeure.
mean and be limited to b) Force majeure shall
the following: War / mean any event, cause,
hostilities / Restrictions occurrence or
imposed by the circumstance beyond the
Government or other reasonable control of the
statutory bodies which Party and which by the
prevents or delays the exercise of due diligence
execution of the order by the said Party could not
the service have prevented or
provider. overcome.
c) The service provider c) The service provider
shall advise the shall advise the
Department by a Department, the beginning
registered letter duly of the above causes of
certified by the local delay within seven (7)
statutory days of the occurrence. In
authorities, the beginning the event of the delay
and end of the above lasting for over two
causes of delay within months, if arising out of
seven (7) days of the causes of force majeure,
occurrence and the Department reserves
cessation of such force the right to cancel the
majeure conditions. In order.
the event of the delay d) The completion period
lasting for over two may be extended in
months, if arising out circumstances relating to
of causes of force force majeure by the
majeure, the Department Department. The bidder
reserves the right to shall endeavor to complete
cancel the order. the work without claiming
d) The completion period any further extension for
may be extended in the completion of work.
circumstances relating to The Department shall not
force majeure by the be liable to pay extra costs
Department. The under any conditions.
bidder shall not claim (e) In the event of any
any further extension for force majeure cause, the
the completion of work. bidder shall not be liable
The Department shall not for delays in performing
be liable to their obligations under this
pay extra costs under any order and the delivery
conditions. dates can be extended to
e) The bidder shall the bidder without being
categorically specify the subject to price reduction
extent of force majeure for delayed delivery, as
conditions prevalent in stated elsewhere.
their works at the
time of submitting their
bid and whether the same
have been taken into
consideration or not in
their

Annexure IV, Form of
Contract Agreement, Clause
14, Limitation of Liability,
Page 44
Annexure VI, Bid letter
(Technical Bid), Page. 47
Annexure IX, Bid letter
(Commercial Quote), Page. 51
quotations. In the event
of any force majeure
cause, the bidder shall
not be liable for delays in
performing their
obligations under this
order and the delivery
dates can be extended to
the bidder without being
subject to price
reduction for delayed
delivery, as stated
elsewhere.
f) It will be prerogative
of the Department to take
the decision on force
majeure conditions and
the
Department's decision
will be binding on the
bidder.
The Parties agree that in We request NHM to add As per RFP
no event, whether as a the below verbiage to this
result of breach of section, as given the nature
contract, tort (including of service, the parties will
negligence or strict otherwise be exposed to
liability), warranty, unlimited liability towards
indemnity, or otherwise, each other:
shall either Party be
liable to the other party "Notwithstanding any
for special, indirect, or other provision herein,
consequential damages either parties liability to
of any nature the other arising out of or
whatsoever, including, related to this contract
loss of profits or revenue shall in no event exceed
for any act of omission twice the total value of this
or commission in terms MOU."
of this MoU.
We are an Indian Firm We request NHM to As per RFP
and do hereby confirm modify the verbiage to
that our Bid prices are state the following:
inclusive of GST. No We are an Indian Firm and
revision of rate do hereby confirm that our
will be requested later Bid prices are inclusive of
for any reason. GST. Any revision in the
rate proposed in the Bid
during the execution of
Project shall be duly
agreed between parties.
Subject: Submission of The charges will be on pro rata basis
Commercial Quote for provided assuming 100
Setting up, Operation, sites. For any change in the
implementation and numbers sites, the service
maintenance provider will provide a
of Digital Dispensary revised computation of the
(Telemedicine System) charges based upon the

Pg 5 Section-2 Objectives of
the Project
Pg 8,4.4, Preparation of
Tender
Pg 10, Section III - Evaluation
of Tender, BID Evaluation
Pg 10, Section III - Evaluation
of Tender, BID Evaluation
Pg 12, Section-4, Job
Description
Pg 13, Section IV — JOB
DESCRIPTION, Job
Description
in 100 Centers for the revised number of sites.
State of Jharkhand for The charges cannot be
the period of proportionately reduced or
five (05) years increased based on the
changes in the number of
sites due to the fixed
nature of certain cost
elements. We assume this
is the state’s understanding
as well.
PIRAMAL
created referral systems We request NHM to Refer to nearest
of public and private provide list of Public & govt health facility
healthcare facilities private institution for
available referrals.
B. Document Furnished In page 8 it is mentioned Approx 20
under Financial no of patients per day is 20 Minimum 10
Proposal/Bid and on page 26 it is
A centre is expected to mentioned no of patients
take approximately 20 per day is 10.
patients a day (25 days Please confirm the actual
working in a month). On target no of Patient per
page no 26, a minimum day.
of 10 patients per day
Evaluation Criteria We request Government to As per RFP
Minimum experience in consider Mobile medical
running 5 hospitals or units and other
more in India —20 community health projects.
marks 20 for evaluation
Minimum experience in
running 3 hospitals in
India —10 Marks
Minimum experience in
running 1 hospital in
India —5 Marks
Presentation based on the Kindly clarify the breakup As per
methodology proposed of 20 Marks corrigendum
for this project 20
Specialists of allopathic Please clarify about type of Already provided
system Specialties like General
Medicine/Pediatrics /Obg
& Gynec required for this
project. This will help in
designing Technical
Proposal as well as to
bring all Bidders on
common platform
LEVEL-2 units are Please clarify this Flow chart is being
purely referral in nature provided
and will be able to
consult with each other
or refer a case to each
other on basis of
specialty and
requirement of second /

Pg 16, Section IV — JOB
DESCRIPTION, Job
Description
Pg 17, Section IV — JOB
DESCRIPTION,
Telemedicine Implementation
Pg 17 Section IV — JOB
DESCRIPTION Telemedicine
Implementation
Pg 17 Section IV — JOB
DESCRIPTION Scope of
Work
Pg 21 SECTION VI —Terms
& Conditions6.1 Terms of
Contract
Pg 22 SECTION VI —Terms
& Conditions7.
Confidentiality and
Intellectual property rights
third I nth opinion.
a. Tele consultation -
Registered MBBS
Doctor/specialist doctor
consulting with assigned
patients, at nodes. Doctor
diagnoses an ailment
based on the digital
medical information
received by him, from a
distance.
To manage & operate
the digital dispensary
centers with provision of
……..comprehensive
Primary Healthcare
including Doctor's Video
consultation, ANC,
vaccinations, appropriate
tests and medicines to be
delivered to each patient
• To manage & operate
the digital dispensary
centers with provision of
manpower, internet
connectivity, laboratory
& facility for the
dispensing of generic
medicine, providing
comprehensive Primary
Healthcare including
Doctor's Video
consultation, ANC,
vaccinations, appropriate
tests and medicines to be
delivered to each patient
Customize the IT
Solution to meet the
local language needs in
the State of Jharkhand.
The contract period shall
be for a period of five
years, further extendable
on the successful
performance of the
bidders and based on
mutual consent
NHM, Jharkhand shall
retain exclusive
intellectual property
rights to all artifacts to
which it has sovereign
rights or right to use on a
formalized agreement
Can Government tell us As per RFP and
about Manpower required, corrigendum
how many MBBS doctors
and how many Specialist
and Type of Specialties?
It is very difficult for Vaccinations
maintenance of Cold chain services shall be
for storage of vaccines, managed by the
Immunization registers, Govt.
with Drop out
identification provision,
follow up including care of
AEFI (Adverse Events
following Immunization).
We request Government to
relook this scope.
We request Government to As per RFP
Provide Medicines and
Bidder will take
responsibility of
dispensing it.
Do we need to have Hindi / English
application in local
language also or
Hindi/English will work?
We request Government to As per RFP
provide 10% Price
Escalation year on year in
quoted price in view of
increase in Salaries and
other expenses
Agreed
We propose to only license
the software application
during the contract period.
All IP rights will be
belongs to Bidder

Pg 23 SECTION VI —Terms
& Conditions11. Performance
Security
Pg 23 SECTION VI —Terms
& Conditions13. Penalty
Pg 24 SECTION VI —Terms
& Conditions 13. Penalty
with another party if any
COTS (Commercial Off
the Shelf) software has
been used in the
application
10 percent of rated quote Please tell if Performance As per
should be quoted within Security will be 10% corrigendum
15 days of the receipt of Quoted cost (or) Cost per
the notification of award Month?
from National Health
Mission, Department of
Health, Medical
Education & Family
Welfare, Govt. of
Jharkhand, the selected
bidder shall furnish a
performance security for
an amount of 10% (ten
percent) of the quoted
cost per month of 100
centres at the name of
Aviyan Nideshak,
Rashtriya Swastha
Mission RCH Campus,
MCH Building,
Namkum, Ranchi-
834010.
In case the KPI score for Due to the remote area, As per RFP
two consecutive quarters issues in net work
is below 70, the NHM, availability is a challenge.
Jharkhand will reserve Hence, we request to
the right to terminate the exclude the penalty clause
contract and seek an due to internet failure and
alternate service also We request Govt of
provider/bidder or may Jharkhand to provide
impose penalty of 10% internet facility .
on the payable amount as
decided by the MD,
NHM, Jharkhand
Any violation of this Breach on confidentiality As per RFP
confidentiality clause leads to 50,00,000/-
may result in instant penalty is huge. Request
termination of the for reduction .
contract and the service
provider shall pay
liquidated damage of Rs.
50,00,000/- (Rupees
Fifty Lakh) to the NHM,
Jharkhand and the NHM,
Jharkhand shall reserve
the right to blacklist the
service provider for any
future contracts. The
decision of NHM,
Jharkhand shall be final
in this regard and
 binding on the service
provider.
Clause 1,2,3 denotes We request : As per RFP
three types of payment 1. Government to release
releases 75% CAPEX within 15
days of Signing the
contract and remaining
25% after commencement.
Pg 25
2. Operations cost to be
SECTION VI —Terms &
released within 15 days
Conditions, 20. Payment
from the date of invoice
terms
submission.
3. Further it is requested
one single invoice for
complete 100 nodes
mentioning separated fixed
cost and operational cost.
Contact Centre Setup We request Government to As per RFP
with Supplies, extended the deployment
Installation and timelines to 120 days
Integration of all
hardware and system
Pg 27 SECTION VI —Terms
software, Networking,
& Conditions 26. Time Line
manpower, training,
for Project Implementation
UAT and Go Live for
first 50 Centers.
First 60 days from the
date of signing the
contract agreement
Adson Forcep PCs 1 The list of surgical As per RFP and
2.19 Mayo Scissor instruments/ suturing kit corrigendum
ctraight PCs 6.5inches 1 etc shows that First aid
2.20 Dressing Scissnr ,including care of injuries
PCs straight1*2 teeth has to be handled by
Pg 31 Annexure –Il ,LIST OF
6inches 1 2.21 Lister Digital Dispensary. It is
EQUIPMENT,
Bandage Scissor PCs very difficult for Digital
INSTRUMENT,
7inches 1 2.22 Suture Dispensary to handle such
FURNITURE & FIXTURES
Cutting Heath Scissor cases. Scope shall be
FOR EACH CENTRE
PCs 1 2.23 Sponge referral only. Request to
Holding Forcep PCs 10 consider this point.
inches 1 2.24 Serrated
Dressing Forcep PCs 10
inches
Anti Biotic .Penicillins Pencillins are included in As per RFP
the drugs list.
Administering Inj Pencillin
Pg 33 Annexure III ,List of
at Digital Dispensary can
Drugs
not be done as there is risk
of Anaphylaxis. Request to
remove this from scope.
Creating The RFP talks about a As per
linkages/network with number of image RFPalready
existing Primary Health Integration like CT/MRI
Pg 37,1, OBJECTIVES
Centers (PHC) and images with Electronic
explained
Doctors’ node (Doctors' medical record. Integration
centre) set up by the of scanned images would
 vendor at secondary & not be a issue but data
tertiary levels or medical sharing between tertiary
colleges/ district hospitals/private hospitals
hospitals of would be a concern
state, if required. because the private
establishments might have
different working culture
and also data sharing may
violate the data security
norms.
Question :How will the
government facilitate the
data sharing with private
hospitals/public health
secondary & tertiary
hospitals?
Also, please specify if
Government is expecting
the service provider to
integrate the EMR with the
medical devices in
secondary/tertiary and
private hospitals?
11. Creating Do we need to set up As per RFP
linkages/network with Doctor Node at secondary
existing Primary Health & tertiary levels or
Centers (PHC) and medical colleges/district
Doctors’ node (Doctors' hospitals of state only or
Pg 37, 1, OBJECTIVES centre) set up by the Bidder can set up
vendor at secondary & anywhere in India?
tertiary levels or medical
colleges/ district
hospitals of state, if
required.
Internet Broadband We request Government to As per RFP
Pg 40, 3, ROLES AND connectivity (Wireless / Provide Internet
RESPONSIBILITIES OF Wired) sufficient for Connectivity. All other
THE PARTIES FOR videoconferencing. • hardware like Routers,
EXECUTION OF THE Power Solution UPS, etc. will be managed
PROJECT comprising of an inverter by service provider.
/ UPS with batteries
Each Digital Dispensary Each Digital Dispensary is Single invoice
will be treated as an separate entity.
independent and separate Billing has to be raise in
entity for accounting Single Invoice or Multiple
purposes. On a monthly Invoice for 100 TMC's ?
Pg 44, 15, AUDIT AND basis, invoice will be
ACCOUNTING raised by Bidder for the
operational expenditure
and payment to be made
by MD within 7 working
days from the receipt of
the invoice.
Pg 51, Annexure – IX, BID Operational Expenditure Doctors shall be on rolls of As per RFP
LETTER-COMMERCIAL per month : Cost per Bidder and they need to be
QUOTE consultation per center paid as per their attendance
 inclusive of Doctor irrespective of number of
consultation, medicines consultations .
and tests . Medicines per patient vary
Fixed Cost per Month: depending on the disease
Inclusive of manpower, of the patient. Patient wise
Bandwidth and office medicines consumption
expenditure tracking and billing the
same will be difficult
process.
Further, Tests conducted
cost can not be isolated as
consumption of testing
compounds differ form
Patient to Patient.
In the view of ambiguity of
no of patients which varies
from node to node,
we request Government to
pay on fixed per month per
node basis not on per
consultation basis
or
Include doctor cost in
manpower fixed cost and
medicine, consumables &
lab test to be reimbursed
on actual
Not Mentioned in RFP What would be the Digital dispensary
working relation of Digital is a separate entity
dispensary (the Patient end under guidance
centre) with the Medical of MO.
Not in RFP
officer/lab technician/
pharmacist ( assuming they
are in position) of the
PHC?
Not Mentioned in RFP The details given in RFP, Digital dispensary
like the Scope of services, is a separate entity
prescribed Examination& under guidance
Diag. equipment, list of of MO.
Lab tests and list of Drugs
indicate that there would
Not in RFP be no regular PHC -OPD
care at the PHC. That
means the Digital
dispensary would take care
of total OPD care of PHC.
please clarify on above
understanding
KRIYA HEALTH CARE
 As the project requires As per RFP
technical expertise of
telemedicine software,
project operations
expertise of in PPP or
similar healthcare projects
and clinical expertise in
managing patient care, it is
ideal to have a healthcare
company combine forces
with a clinical partner and
a software provider to
create the best value at
optimum cost.
Only having hospitals
eligible will only attract
fewer quality bidders as
there are only a handful of
hospitals in the country
who have done quality
telemedicine projects with
good outcomes.
This will also allow for
more competitive bids to
come in and allow for
startups with excellent
solutions tp participate
along with established
hospital players with an
integrated solution.
Kindly allow
consortiums to
participate.

E Vaidya
Also find attached an excel As per RFP
sheet showcasing the
internet connectivity
feasibility in the locations
mentioned in the document
- Prim Facet we have
observed that there is no
internet feasibility in 31
locations, we are further
enquiring on this.
At the same time, we
would like to bring to your
kind notice that, Based on
our experience in
Establishing, operating and
maintaining Telemedicine
facility at 33 locations of
Andhra Pradesh &
Telangana - without
availability of internet
 connectivity with
minimum Dedicated
4Mbps line, it would be
difficult to establish a
successful Telemedicine
centres.
Secondly, we would also As per RFP
humbly submit to you that
kindly consider allowing
consortium to participate
in referenced tender - it
will help lot many young
technology companies to
come forward in a
consortium with medical
expertise companies , this
will help State
Government gain benefits
of (a) Getting the best
combination of technology
and medical expertise (b)
create healthy competition
among participants and
hence better rates. Further ,
we would also like to
submit to you that entire
state should be divided
into 3 zones and allow
participants to quote for 3
zones separately this will
help state government to
select multiple service
providers and judge on the
quality of the services
being provided, probably
tenure of the project can be
reduced to 3 years instead
of 5.
Average Annual Kindly Clarify on these
Turnover ≥ Rs. 15 two different statements
Crores: 20 marks Request:
Page No 10 : Eligibility Rs 10 Crores ≤ Average Though telemedicine is an
Criteria Table ―Average Annual Turnover ≤ Rs old concept worldwide ,
Turnover‖ 15 Crores: 10 Marks But in India Telemedicine
Rs 5 Crores ≤ Average is adopted by few of the
Annual Turnover ≤ Rs hospitals with minimum
10 Crores: 5 Marks usage of technology &
This concept has gained As per RFP
Average Annual
Turnover for preceding prominence in recent years
Page No 19 : Eligibility
03 years (FY 2016-17 only when Healthcare IT
Criteria Table ―Average
accepted only if audited companies have started
Turnover
statement provided)- 10 developing technologies
Crore with higher focus on
No details given in the ―Telemedicine‖ – Given
General tender document for this scenario these
formation of the companies have invested
 consortium huge in developing the
suitable technology and
started commercialising
since last 4-5 years, Hence
they do not keep huge
turnovers – Our request is
to lower the Turnover
requirement to 5 Crs
average in last 3 years OR
to allow formation of
consortium

Such High turnover clause

will only allow only
corporate hospitals with
meager Telemedicine
expertise to participate and
restrict real time
technology developers by
contributing.

Moreover, allowing
Corporate Hospitals and
handing over Government
facilities to cater
healthcare will be in the
conflict of Interest to the
Government’s Philosophy
of providing public health
to its citizens.
5 years or more Is Operating & Managing As per RFP
experience in Hospital Primary Health Centers
Management and/or (PHC) experience accepted
Public Health as Hospital
Page No 10 Management in India is Management/Public Health
20 Marks
1 or less than 5 years of
experience is 10 Marks

Minimum experience in
Hospital Management
and/or Public Health
Page No 19 :
Management in
India/running hospitals
in India
Minimum experience in Is Operating & Managing As per RFP
running 5 hospitals or Primary Health Centers
more in India —20 experience accepted as
marks experience of operating an
Minimum experience in Hospital
Page No 10
running 3 hospitals in
India —10 Marks
Minimum experience in
running 1 hospital in
India —5 Marks
 Doctor Centre / KPO: It Kindly clarify where does As per RFP and
will be located the Doctor Centre/KPO corrigendum
anywhere in the has to be – Can it be
country. However, the located anywhere in India
complete physical or it has to be set up in
address with contact and Tertiary Hospitals/Medical
landmark details shall be Colleges/District hospitals
furnished to the client. of Jharkhand – If it has to
The client may conduct be in Government facilities
the inspection to verify of Jharkhand then kindly
the requirement as mention how many such
stipulated here are being Doctor Centers needs to be
met or not. It will established
accommodate sufficient
numbers of registered Secondly , If Doctor
MBBS Doctors / Centre/KPO can be
Specialists of allopathic established anywhere in
system including India then what are the
Page No 12, Point No 3
sufficient number of lady specifications for it and it
and male doctors. 1 no of should accommodate how
Nodal Officer many numbers of
Telemedicine Project registered MBBS Doctors,
Coordinator who will act How many number of
as a Nodal officer and Specialties and how many
will be deployed at the number of specialists –
premises of the authority. Kindly elaborate.
The Nodal Officer will
be the single point
contact from service
provider/vendor side for
all
reporting/administrative
purposes. The authority
will provide a space and
necessary arrangements
for the Nodal Officer
Vendor/Bidder/Service
provider shall ensure that
basic setup being
provided to the client
shall have the provision
to connect with the
doctor centers to be set
up in Tertiary
Hospitals/Medical
Page No 13, Point No 14
colleges/District
Hospitals of
Jharkhand. i.e., Multi-
point video conferencing
system (Centre at L1
should be able to be in
Video Conferencing with
3 centers at L2 across
geography)
Page No 12, Point 3 , Sub Patient centre: It will be Kindly give specific list of As per RFP and
point C located in PHC and the manpower which needs corrigendum
 space will be provided to be deployed at Patient
by the authority for this centre (PHC)
purpose. It will
accommodate the one
trained Nurse or
Nursing Assistant (XII
pass) for the
telemedicine side and
one paramedic or
pharmacy Aid (XII
pass), one pathology
assistant (XII pass). The
space (minimum approx.
300 sq. ft.) would be
provided by the authority
preferably in the Primary
Health Centers.
The human resources
shall be the sole
responsibility of the
service provider/bidder.
The Manpower may
include Doctors: MBBS
doctors with
registration in
Allopathic system,
Specialist (MD/ DNB/
equivalent) and other
Page No 14, Last Point staff as stated. The
successful bidder shall
submit to the
client/NHM the certified
copy of certificates and
credentials of all human
resources before
commencement of any
centre. All human
resources should be
trained and retrained at
regular intervals
According to our
experience of establishing ,
operating and maintaining It may be
32 government PHCs – Laptop, Desktop,
Telemedicine’s Video tablet, kiosk or
clarity won’t be there on a any other device
small screen as pixels will
compatible to
All in one computer with break and patients will not
Page No 14 maintain the
camera and headphone be comfortable interacting
with doctor at doctor’s whole IT
HUB/Centre – It has to be solution.
a wider screen , with
provision of adequate
privacy (Two sets of
earphones (a) for
Paramedic (b) Patient to
 ensure privacy and
Interpretation of
medicalities by paramedic
to patient in case patient
does not follow the
doctor’s instructions) – A
32‖/42‖ inch TV as a
monitor with a High end
CPU connected to it is
desired.
On our prima facet enquiry As per RFP
with Internet service
providers of the state we
came to know that more
than 50% of the locations
Internet Broadband mentioned in the document
Page No 14 connectivity (Wireless / does not have feasibility to
Wired) get Internet connectivity.
Will Department change
the locations and allot
those locations where
internet connectivity is
feasible
Addition of tests would As per corrigendum
Mini Lab with Malaria,
attract additional devices
Hemoglobin, Blood
and consumables, hence
Sugar & Urinealysis
Page No 14 additional costs – A fixed
facility. Lab collection
list of the tests which
facility for other tests
needs to be conducted is
could be added later.
requested
Will Department supply As per RFP
The Unit stocked with the medicines to service
Page No 14 150 high end generics providers or Service
based on disease load providers has to make their
own arrangements.
Furniture &Fixtures Specifications of these As per RFP
including Medicine articles and their numbers
Page No 14 Shelves, Counters, would help bidders to gain
Computer Tables, common perception and
Chairs, Fan, Lights etc quote for the same.
Kindly elaborate on word 108 linkage will
Linkage with all
―Linkage‖ – what kind of be by phone
emergency response
Page No 14 linkages is expected
services such as 108
(Phone Linkage/Internet
only.
ambulance services
based web linkage etc)
Create area wise disease schematic
/ problem based
analytical report on
Kindly elaborate on maps Not
Schematic Maps – It is a
monthly basis based on
part of Geographical required
data base. Prepare and
Information Systems : Is it
Page No 14 submit disease / problem
expected that service
based schematic maps
provider has to provide
for districts/groups of
GIS services along with
districts based on IT on
Healthcare services
monthly / quarterly /
annual basis
 Retention of Medical
Records: Medical
records of patients As per the RFP
cannot be accessed by Level 2 will be
anyone except the doctor
treating that particular
the Doctors’
patient or consulting on node.
the case. The patient is
informed whenever his
records are disclosed
even to doctors. All
records related to the
digital dispensary at
Level-1 and Level-2
should be handed over to
Level 1 & Level 2
NHM, Jharkhand after
Page No 15 categorization is not given
completion of the
in the document
contract. Dispensing of
Generic Medicine as per
e-Prescription should be
done on real time basis in
the computer system so
that report on medicine
consumed may be
generated. e-prescription
of the patient should
include his/her details,
the name of the
consulting doctor,
medicines prescribed and
schedule of intake along
with registered ID.
Set up & commencing of As per RFP
services should be with 90
Set up & commence
days from handing over of
Page No 17, Point 4 services within 90 days
the facility to service
of signing of agreement
provide instead of signing
of contract.
There are 24 Districts and As per RFP
100 Locations – Volumes
are High, Choosing a
single service provider for
Selection of Agency for entire state for a novel
Setting up, Integration, concept of Digital
Commissioning, Dispensaries will be of
Operation, high risk, as if the service
implementation and provider fails to deliver
General
maintenance of Digital entire project will be
Dispensary collapsed - We suggest the
(Telemedicine System) following two options.
in 100 Centers for State (a) Divide the state into 3
of Jharkhand Zones and give
options to bidder to
participate in the
zones of their comfort
and competency. OR
 (b) Invite L2 & L3
bidders to accept the
rate of L1 - divide the
project into 3 zones
and award it to 3
service providers.
Benefits
(a) Probability of project
success will be high
(b) Service providers will
be able to focus on
key deliverables in a
better way.
(c) State will have an
opportunity to identify
better service provider
and hence healthy
competition among
service providers.
Telemedicine is the As per RFP
combination of two
different areas of study (a)
IT & (b) Medicine – it is
rare to have both unless it
is an Healthcare IT
Participating in Tender
company exclusively
by a Consortium is not
General working in the area of
Mentioned in the tender
Telemedicine , Such
document
companies are emerging in
India slowly and do not
keep huge turnovers as
desired in tender document
– Request is to allow
consortium
HIPAA, ISO 20001 etc As per RFP
No Standards of
certifications were not
General Data/EMR security and
asked , this will reduce the
Certifications were asked
quality of services
TATWA
Mission Director As per RFP
(NHM), Department of
Health & Family
Welfare, Government of
Jharkhand State,
RCH Office, G. V. I.
Campus, Namkum,
Ranchi- 834010,
Consortium to be allowed
Jharkhand invites bid
from eligible Single
Bidder
"for Setting up,
Integration,
Commissioning,
Operation,
implementation and

Optum Global Solutions (India) Private Limited
37 Annexure IX, Bid letter
(Commercial Quote), Page. 51
Tata Communications Limited, New Delhi
Level 1 , Patient Care at
Primary Health Center (PHC),
Page 13 of RFP
Point 11, Page 22,
Performance Security
maintenance of Digital
Dispensary
(Telemedicine System)
in 100 Centers" for the
State of Jharkhand for
the period of five (05)
years, as per
requirements stipulated
in this document or
associated
correspondences thereto.
Subject: Submission of The charges will be As per RFP
Commercial Quote for provided assuming 100
Setting up, Operation, sites. For any change in the
implementation and numbers sites, the service
maintenance provider will provide a
of Digital Dispensary revised computation of the
(Telemedicine System) charges based upon the
in 100 Centers for the revised number of sites.
State of Jharkhand for The charges cannot be
the period of proportionately reduced or
five (05) years increased based on the
changes in the num
Software solution There is no requirement Please Refer
License for for the clinical decision Corrigendum 2
Videoconferencing with support system at the
Clinical Decision patient end point as no
Support System decision is being taken at
patient end point. This is
an incorrect requirement or
has been erroneously
mentioned
10 percent of rated quote It will be 10% of monthly Please Refer
should be quoted within cost of 100 centers or 10% Corrigendum 2
15 days of the receipt of of yearly cost of the 100
the notification of award centers?
from National Health Does it will also apply to
Mission, Department of capex
Health, Medical
Education & Family
Welfare, Govt. of
Jharkhand, the selected
bidder shall furnish a
performance security for
an amount of 10% (ten
percent) of the quoted
cost per month of 100
centers at the name of
Aviyan Nideshak,
Rashtriya Swastha
Mission RCH Campus,
MCH Building,
Namkum, Ranchi-
834010.
Telemedicine Request
for Proposal Page 23
• The performance
security shall be valid for
at least 90 (ninety) days
beyond the completion of
contract period and shall
be denominated in Indian
rupees and shall be a
bank guarantee issued by
a scheduled bank in India
through its branch in
Ranchi, Jharkhand. • The
proceeds of the
performance security
shall be forfeited as
compensation for any
loss resulting from the
bidder's failure to
complete its obligations
under this bid. NHM,
Jharkhand shall notify
the bidder in writing of
its invocation of its right
to receive such
compensation within 15
days, indicating the
reasons for which the
bidder is in default. • The
bidder shall furnish
amendment to the
Performance Security, if
required, within 15 days
of notification.

Sd/-

In-Charge Procurement Cell

Jharkhand Rural Health Mission Society
Namkum, Ranchi