The set-up of hospitals in India re mainly of two types: i.e. Government
hospital and Private Hospitals. Furthermore, they could be general, specialty or
multi-specialty hospitals.
The rules and regulations that are required to comply for setting up a private
hospital in India are;
This act was enacted by the central government and is being adopted by states of
India. It needs a one-time registration for a premise towards being operated as
a hospital. The registration must be done by the respective state government
that has adopted this act. For registration, hospitals should fulfill the
minimum requirement under the category in which it falls. Each state has
described the procedure of registration of the hospitals that fall within their
territory.
This act is applicable when the hospital established it under the ownership of a
corporation. The act needs that the corporation is registered and fulfills the
requirement of incorporation like memorandum of association, articles of
association, capital structure formation, securities allotment, account audits,
etc.
This comes under the Ministry of Corporate Affairs, Government of India. It is a
compulsory registration required for each director who wants to be a part of a
corporation. It is a onetime registration for directors.
In case the hospital is being established under the ownership of society, the
society registration act is required.
This is required to be chosen well, because if there are already some hospitals
in the locality, then it would be difficult to get in patients. Also, the
hospital must set up in an area that has a good transportation facility or is
close to a railway station. One must look for a non-agricultural land
particularly designed for hospitals. All the electricity supply, as well as the
water supply, should be easily available and that is required to be checked
before purchasing any land for the hospital set up.
The facilities offered through the hospital should be decided by the management
dependent on the locality of the hospital. It might be generalized into
pathology, ICU treatment; orthopedic, as well as other specialized services
should be specified. Also, the facilities linked to electricity, AC rooms,
water, hygiene maintenance, etc, should be checked before providing any
specialized services.
Permits
A Hospital could be set up only on a no- Agriculture land could be used. The
numerous approval, as well as permissions required from the local authority and
the government, should be obtained before starting any hospital.
A hospital needs approximately 100 liters of water per bed each day. The water
requirement for the various hospitals would be different from project to project
based on whether the hospital is a primary, specialized hospital, etc. The
concerned municipal authority permission should be obtained for making available
the water as well as electricity facilities.
Sewage
Well planned sanitary measures for disposal of waste as well as drainage system
which includes tanks, pipelines, etc. and permission from the local authorities
should be obtained.
The large hospitals must have an incinerator for disposal of bio-disposal waste,
for instance, body parts or tissues. A smaller hospital is not able to afford
such cost and it needs minimum space and additional machinery installations
which are expensive for a small hospital set up. The Municipal corporation
permission would also be required for such disposal of waste and it must not be
harmful to the people living at a nearby location.
Approval of Fire Department is required for a large hospital as well as
ahealthcertificate from the local authority after installation of all the beds
and equipment within the Hospital. A NOC from Fire the department shall also be
required for small hospitals and it would be the responsibility of the hospital
management to prove that the hospital would not cause any harm or loss of life
and requires to be procured from the local municipal council.
Sign Boards
Rules for the size, contents as well as the correct place for signboards (IMC
Regulations 2002)
FSSAI licensecomes under the Food Safety and Standards Authority of India under
the Ministry of Health and Family Welfare, Government of India. The license is
necessary if the hospital runs an in house kitchen for the patients as well as
attendants.
If the hospital store has an LPG cylinder in large quantity for usage in the
hospital's Kitchen or hospital purposes, the hospital must have a permit of
Controller of Explosives under the Petroleum act, 1934.
This comes under the Office of the Drug Controller. There are different licenses
for medical shops attached to hospitals (IP) and standalone medical shops. There
are minimum requirements for the registration like the minimum size of the shop
( 250 – 300 ft) as well as requirements of Air conditioner and Refrigerator.
This license is valid for 5 years.
Indian Trademarks Act 1999 is not a mandatory activity and is essential only if
the hospital wants to trademark its logo or name
The ambulance bought by the hospital must be registered under RTO, Transport
Department, and state government.
If arms are possessed by the hospital or its employees (for example by security
guards), a license for the same should be available
One must take care of these things
The other important license required is:
Registration for transplantation of human organ Act, 1994 (in case the hospital
varies out human organ transplantation or organ harvesting, it shall be
registered under this Act)
Excise permit to store spirit (to store spirit beyond a certain quantity, the
hospital must obtain a permit from state excise department)
Multiple medical laws along with ethics are required to be followed at every
step. A set of rules and eligibility criteria were put forth by our government
for hospitals, which offer services towards central government health scheme
beneficiaries.
End-Notes:
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