How to start a chain of Mother and Child Hospitals

Introduction: Are you planning to build or restructure a mother and childcare hospital in India? Looking for information about the major mother and childcare hospitals that are available in India? Are you looking to find out which part of the of the city is best to venture in or what all facilities are available and what all should be planned for a new setup? In this article Hospaccx Healthcare Consultancy has mapped all on major players in terms of mother and childcare hospital scenario in India. Below is the superficial and macro level survey. If you need a refined market and financial feasibility or any other study related to mother and childcare hospital you can contact Hospaccx Healthcare business consulting Pvt. Ltd on info@hhbc.in or hospaccx.india@gmail.com Or you can visit our website on www.hhbc.in The hospital industry was worth $61.79 billion in 2017 and is expected to reach $132.84 by 2022. It is expected to grow at a Compound Annual Growth Rate (CAGR) of 16-17%. The private sector accounts for 74% of the hospital industry in India. Over the years the private sector has evolved from a simple general hospital to multi-specialty, multi-super specialty, single specialty, single super-specialty models. Indian scenario: As providers are striving to provide an efficient, reasonable, and exceptional level of healthcare, it has led to the advent of new working models like single speciality hospitals. Such hospitals are replicable and expandable which are notable features. They possess the competence to impart best in class services of their speciality. Maternal services form the largest market of maternal and child care hospitals followed by pre-natal services. Top players:

Surya Mother and child Care hospital
Cloudnine
Motherhood hospitals
Rainbow hospitals
Lotus hospitals
Narayana health
Apollo cradle
Fortis La Femme

Area Norms: The size of a hospital depends upon the hospital bed requirement, which in turn is a function of the size of the population it serves. As per the Indian Public Health Standards (IPHS), 2012, the calculation of number of beds is based on‐ • annual rate of admission as 1 per 50 population • average length of stay in a hospital as 5 days Bed occupancy is determined by the population size of the city/ district and the annual rate of admission. A thorough evaluation of location, size of the land and cost, factor in this decision. Minimum Land area requirement are as follows: Up to 100 beds = 0.25 to 0.5 hectare Up to 101 to 200 beds = 0.5 hectare to 1 hectare 500 beds and above = 6.5 hectare (4.5 hectare for hospital and 2 hectare for residential) Licenses: A list of important licenses needed before setting up a hospital are:

Certificate of registration of hospital with the municipal authorities
IMC/SMC registration certificate (IMC Regulations, 2002)
Charges for consultation as well as other procedures/services (IMC Regulations 2002)
Registration under the clinical establishment act, 2017
Registration under companies’ Act, 2013
Registration under societies registration act, 2001
Regulations Building Permit and Licenses (From the Municipality)
MTP Act, 1971 (MTP stands for Medical termination of pregnancy. To be displayed in the Gynaec and Obs department)
No objection certificate from the Chief Fire Officer “License under Bio-Medical Management and Handling Rules, 1998.
No objection certificate under Pollution Control Act.
Narcotics and Psychotropic substances Act, 1985
Vehicle Registration Certificates (For all hospital vehicles.)
PNDT Act, 1996 (PNDT stands for Prenatal diagnostics test. To be displayed in the Radiology department that this is followed. )
Environment Protection Act, 1986
Urban Land Act, 1976
Right to Information Act 2005

(Licenses and legal requirements are subject to change in accordance with new government laws) Hospital structure: A basic outlay would include the following:

Out-patient department
Labour room
Operation theatre
In-patients room/ wards
Neonatal Intensive Care Unit (NICU)
Fertility clinic
Diagnostic area
Administrative block
Storage
Miscellaneous

Setting up a speciality hospital can cost 10 crore – 50 crore for a 100 bedded hospital. Cost may vary depending on the locality, area, and many other variables. Variable analysis: Before initiating the planning process, investigating the variables affecting the success of the hospital is an important step. The variables are:

Geography
Climate
Demography
Location
Connectivity (proximity to the city)
Proximity to the competitors

Key attributes for leading a chain of hospitals Optimizing capital investment: Setting up a hospital is an expensive and tedious job. Keeping up with the latest diagnostic technology can dig deep into your pockets. The price of a good neonatal ventilator starts from 1lakh and can go as high as 20 lakh. An equipment lease is a feasible option, especially when multiple centers are to be set up. They provide upgrading facilities too which saves the depreciation cost Land and building costs can be optimised by Real Estate Investment Trusts, wherein the land is owned by a separate entity Lastly, a Public-Private Partnership can help optimise expenses Conclusion: Private equity and venture capitals have invested progressively into super-specialty ventures. Mother and child hospitals have a deeper understanding of the specialty hence thrive better in the market. They can demonstrate their value to the consumer and their worth to the shareholders. Single super speciality industry has come to life due to the consumer’s shifted focus on value-based healthcare from volume-based healthcare. If you need any support in Planning and Designing a mother and childcare center you can contact us: Hospaccx healthcare business consulting Pvt. Ltd on: info@hhbc.in Or you can visit our website www.hhbc.in