Академический Документы
Профессиональный Документы
Культура Документы
9. Total Cost
2
Number of Beds
No. of beds required for Medicine & Allied Specialties
S. No. Particulars Beds Total No. of Beds
1. General Medicine 50
2. Pediatrics 45
3. Chest & TB 15
4. Skin and STD 15
5. Psychiatry 15
145
Grand Total
1. Medicine & Allied Specialties 145 beds
2. Surgery & Allied Specialties 135 beds
3. Obstetrics & Gynecology 90 beds
3
Site Investigation :
Madhya Pradesh is one of the largest states of the
Republic of India. The state is marked with a complex social
structure, a predominantly agrarian economy, a difficult and
inaccessible terrain, and scattered settlements over vast area that
togetherpose several formidable problems to health service
delivery systems. According to the 2001 census, Madhya
Pradesh has a population of about 6 crores, which is around
6% per cent of the country’s population. Ranking 7th in terms of
population size and 23rd in terms of population density among the
35 states and union territories, it is a large state with a widely
dispersed population and relatively low density. From the point of
view of per capita income, literacy, urbanization, infrastructure
facilities and other development indicators, Madhya Pradesh
belongs to the category of less developed states of the country. In
spite of the best of efforts on behalf of the Government institutions,
the people of the state are not satisfied and the health status,
though improved from yesteryears, is far below when compared on
the national scale (as reflected by the health indices). The
government is not getting fair returns on its investment in health
care and there is widespread dissatisfaction with the access and
quality.
On the other hand, there are serious questions about the
economic access and quality of health care in private sector,
particularly in the rural areas. The problem is compounded as
government does not have an effective monitoring, surveillanceor
control function with regard to private health care. The Madhya
Pradesh government has decided to provide necessary equipment
and adequate staff to the five medicalcolleges in the state. The
state has five government medical
colleges - one each in Bhopal, Indore, Jabalpur, Gwalior and Rewa.
In April 2006, the state government had sanctioned about Rs.436
million for the purchase of necessary equipment to overcome the
shortcomings pointed out by the MCI. It had also sanctioned 3,403
posts of teaching and non-teaching staff to fill
the vacant posts of professors and assistant professors.
Land details:
4
Land : 10.64 Hectares (26.29 acres) acres of developed, free
hold land available at J.K town, Sarvadharam, C sector, Kolar road,
Bhopal 462 016,M.P.
5
DOCTOR NURSES DENTALSURGE PARAME
S ON D
NURSES
STAFF
AVAILABILIT 4000 12000 500 15000
Y IN THE
STATE
REQUIRED 7500 22000 1000 25000
DIFFERENC (3500) (10000) (500) (10000)
E
Plot Size
Available land for the proposed Medical College and its teaching
Hospital is 10.64 hectare (26.29 acres). The construction will have
Medical College, Hospital, Residential Quarters, Auditorium, Sports
Ground and other necessary amenities.
Permissible FSI
The permissible Floor Space Index (FSI), allowed by the local
authority in the ratio of 1:2.The hospital campus is having
adequate land so that it can meet the requirement of FSI. Ground
Coverage
The ground coverage
The built up area permissible by local authorities for the
construction of the required building over the available land is up
to] 70%. But the planning has been done so that the ground
coverage will be about 30%. The proposed Medical Hospital will
have a ground coverage about 33% or more.
Building Height
The building height as permitted and determined by the local
authorities for the construction of the Medical College and Hospital
building is up to 60 ft. however this height may not be required to
meet the stationary built up area requirements required for
proposed Medical College and Hospital.
Road Access
The Kolar Area is well connected with the other localities of Bhopal
township. The Key plan shows the location in residentially
populated area. The proposed Medical Hospital campus is situated
at Kolar road and the he present location is within the city of
7
Bhopal and well connected with all the major roads and highways
The present location is very well connected by a double lane road
and sufficient number of single lane sub-roads with inters
connections. These roads are developed by the State Highway
Authorities, Municipal Corporation etc. In addition to the public road
the campus is also having its own internal roads with external
linkages almost in all the directions.
Electric Supply
At present the Hospital campus have an electric connection with
the capacity 300 KV to start with. The connection has been
sanctioned and installed by State electricity board (MPSEB), with
the approval of State Government and its authority.The campus
developed by the Trust is also having a separate electrical sub-
station with internal cablings and the campus is presently having
continuous power supply.In addition to the government electrical
power supply the campus is also being served with adequate
number of DG sets (2 for Hospital - 100KvA and 250KvA).
Water Supply
There is an adequate amount of ground water availability sufficient
to meet the day-to-day requirement of both the Hospital and the
College. The campus shall be having 1 well and deep bore-well with
the capacity of 3 lakhs litter of a sump with pumping station and
another 3 lakh litter of a huge overhead tank. Inside the campus all
the required plumbing works and pipe lines with required taps and
check valves have been completed as a part of the original master
planning along with the drainage system and sewerage line.
Sewage Connection
8
In the master planning adequate arrangements have been done for
disposal of sewage and waste. The wastewater / effluent water /
spillage water and other disposal will flow from the septic tank
provided at the appropriate places through and under ground
drainage system including rain water drainage cum harvesting
system Solid waste disposal has been done in co-operation with the
local bodies / municipality / authority. For the disposal of
biomedical waste the common incinerator has been installed by the
local authorities and used by all the hospitals of the city. The
proposed Hospital shall have valid tie up program
for Bio Medical Waste Disposal with this local body approved
incinerator and other common facilities.\ The bio-degradable
wastes are disposed as a municipal waste but the non degradable
waste are properly disinfected and then disposed off for recycling
(paper, plastic etc.).
Tele-Communications
The present Hospital and College campus are having adequate
telephone connections and telecommunication systems.
Power Supply
The main source of electrical power supply is from the State\
electricity board. As the area has been situated in a local municipal
area, the EB is supplying 300 KvA electrical sub station at the
present location being upgraded to 1100 KV. In addition the
hospital will be having stand by generators with adequate power
backup during upgradation program
Vertical transportation
In addition to number of elevators a very good ramp has been
provided in the Hospital complex which is at present serving the
purpose of vertical transportation for patients and various Hospital
services. However the Hospital
9
has been equipped with adequate number of bed elevators,
passengers lifts etc.
Waste disposal
Proper arrangements have been made for the disposal ofsewage and
waste. The waste water and other disposals is now flowing in to big
size septic tank located at the appropriate places, just outside the
Hospital complex through underground drainage system. A common
oil fired incinerator available in Bhopal city I is being utilized for
Hospital waste management system. Solid waste management has
also been done with the help of local municipality. Additional and
modern Hospital waste management syste will be utilized in near
future.
11
· Play grounds with stadium
· Other facilities like internal roads, car parking, lawns
etc.
This phasing and scheduling has been started as per the given
month wise schedule of activities and are in progress.
Manpower requirement :
Hospital
Hospital Medical Services and Various Departments (As per
Recommendation of MCI)
Hospitals Supportive Services
Hospital Engineering Services
Hospital Administrative Services
Super Specialty Hospital Services
13
Fire Fighting Equipments
Civil – Plumbing, Water Supply, Sewage, Drainage, Masonry,
Carpentry, Painting
Telecommunication Facilities
Sewage Treatment Plant – If required
Incinerator – Biomedical Waste Management
Hospital Solid Waste Management
14
Means of Finance & Project Finance –
• Corpus Fund by the Society
• Donations / Contribution to the Society
• Project Finance
• Term Loan from Financial Institutions
• Grants / Aids from Government / NGOs
• Suppliers Credit / Deferred Payment
• Other Sources, if any
Revenue Assumption from the Hospitals:
Income from OPDs
Income from IPDs
Income from Diagnostic Services
X-Ray & Other Radiological Services (USG, CT, MRI)
Hospital Laboratory Services
Treatment Charges / Service Charges / Hospital Tariff
Medicine & Allied Subjects
Surgery & Allied Subjects
Obstetrics & Gynecology
Specialty Treatments – ICU / Emergency Casualty Services
Miscellaneous Medical Services – Physiotherapy etc.
Income from the Industrial Sectors – On reservation basis
Other Miscellaneous Income from the Hospital – Rental Incom from
Dharamsala, Guest Houses, Community Center, Hospital dietary
services etc.
15
Hospital Central Medical Gas Supply and Central Sterile
SupplyDepartment Hospital Safety and Security Systems
Chemicals, Consumables and Disposables for the Hospital
X-Ray Film and Chemicals
Laboratory Chemicals and Consumables
Surgical Disposables
Miscellaneous Items
Travel & Conveyance Expenditures
Ambulance Services
Other Transport Arrangement for Doctors & Patients
Fuel, Repair and Maintenance of Vehicles
Conveyance allowances to Consultants and Employees
Hospital Public Relations Department / Guest Relations
Stationeries, Printing and Office Expenditures
Department of Medical Records / Medical Transcription
Hospital Information System (HIS)
Hospital Marketing – Advertisement and Marketing
Hospital Administrative Service Expenditures
Office of the Chairman
Office of the Medical Superintendent
Office of the Nursing Superintendent
Office of the Hospital Finance Management Unit
Office of the Hospital Information System
Department of Human Resource Development (HRD)
16
Variation in Labor Price :
VL = (W * Y / 100) * (L1 – L0 / L0)
VL = Labor increase / decrease
W = 5% work done
(15% is assumed as profit)
Y = 25% of work done
(Labor percentage)
L1 = Consumer Price index for industrial labor declared by the
labor behavior of India on the date midway between the date of
preparation of last bill and present bill.
L0 = Price declared on the last date stipulated for the receipt of
tender.
Year Rs. / Sq.mtrs. Rs. / Sq.ft.
Year – I 6000 557.62
Year – II 6300 585.50
Year – III 6615 614.77
Year – IV 6950 645.91
Year – V 7300 678.43
Average 6633 616.44
Construction cost has been calculated at the rate or Rs.6000 /- per
sq.mt. at the
very first year. Cost including cement and steel is in between
Rs.558 and Rs.617.
The cost excluding cement and steel is in between Rs.448 and
Rs.497(tentative).
On the other hand the construction cost for the cement and steel
will constitute
about 70-75% of the construction cost estimates.
Note :
1. However no gross escalation is anticipated in he first 2 years of
the Project period.
2. The major building portion would likely to be completed in the
first 2 years of the project period.
3. H.K. Kalchuri Education Trust, Bhopal will enter into a very valid
contract and construction documentation with all legal formalities.
1. Total Cost :
Total Cost = Material Cost + Overhead Cost or Labor Cost
TC = MC + LC
2. Cost of Labor & Material :
a) Labor – 30% to 35%
b) Material – 65% to 70%
3. Direct and Overhead Costs :
a) Direct Cost – 85%
b) Overhead Cost – 15%
17
4. Cost of Construction :
a) Cost of Foundation – 10-15%
b) Cost of Superstructure – 85-90%
5. Cost of Second Storey / Further floors
– 85-90% for first floor
6. Percentage break-up of Building works (Excluding
Sanitary & Electrical
Works) :
1. Earth work and evacuation – ½ %
2. Concrete & foundation – 5%
3. Damp proof course – 1%
4. Brick work – 34%
5. Roofing – RCC – 20%
6. Flooring (ordinary) – 6%
7. Doors and Windows – 16%
8. Plastering and Painting – 10%
9. External finishing and coloring – 2%
10. Miscellaneous – 5 ½ %
Total – 100 %
7. Cost of Materials and Labor Percentages
1. Bricks – 22%
2. Cement – 12%
3. Steel – 10%
4. Timber / Aluminum / Cast Iron – 10%
5. Other Building Material – 14%
6. Labor – 30%
7. Project Management – 2%
Total – 100 %
19
option for them to enter for higher studies is in the field of medical,
Medical, paramedical, pharmacy and nursing courses.
‘Selection’ of the Project :
It has been selected choice on the basis of the social profitability as
an importance factor and taking the challenge of financial
constraints.
r. ‘Implementation’ of the Project :
It has already planned to implement the proposed medical hospital
project in a time-bound manner and it is confident to complete the
project within the resources budgeted or allocated, but for kind
information the project process has been already started.
21