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Sawai Man Singh Hospital - Radiology services

Summary

Radiology services comprising of high end diagnostics like CT Scan & MRI are provided in partnership with private providers in Sawai Man Singh Hospitals at a very low cost. The program is run under Public-Private Partnership(PPP). The private vendor is presently Soni Hospitals Pvt Ltd (2012 onward)

Program goals

SMS Hospital is part of the oldest & premier medical college in Rajasthan. The College has been conducting its activities with a common objective of imparting healthy medical education research as well as state of art treatment to the needy people of the state. More than 3000 patients are under admission & over 10000 out patients visit SMS Hospital daily. SMS Hospital is the only super-specialty hospital catering to the over 3 crores BPL/poor in the surrounding districts Before PPP, SMS Hospital had no MRI an old 2-slice circa 1990s CT Scan. The CT Scan ran only 12 hours & it was non-operative average 4-5 days each month either due to lack to technician, doctor or due to machine breakdown. The goal vide PPP was to improve CT-MR service

Key program components

MRI and CT Scan facilities are provided in Savai Man Singh Hospital in public private partnership in Jaipur by SHPL. Sawai Man Singh Hospital (SMS Hospital) is a government run (RMRS managed) tertiary care hospital attached to medical college and provides free treatment to the poor. It is one of the largest hospitals in the region covering all super specialties.

Like many other government run medical college hospitals in India SMS Hospital didn't have CT scan and MRI facility, it was considered that this activity is capital intensive and to be sustainable needs to be efficiently managed.

In August 2004 SMS hospital issued an open tender inviting applications from interested private agencies to install, operate and maintain CT-scan and MRI services in its premises with desired specifications.

A two stage bidding process was adopted where in first stage technical evaluation was done and financial bids were invited from private providers who qualified technical evaluation. In this process vendor was selected after technical and financial evaluation and contract was signed. The private provider was given a period of four months from the date of signing the contract in which to install the machines. The agreement was for a period of seven years.

As per the agreement hospital would be providing space for which private provider would pay Rs 5000/- per month. The private provider would be charging rates contracted in the agreement from the patients, the contractor is obligated to provide free services to 20% (2004-2012) or 30% (2012-) of all patients to patients are from very poor economic categories and their eligibility for free services is to be verified by the hospital's Medical Superintendent.

The patients from SMS hospital are to be prioritized and the private provider can also conduct scans on patients coming from outside of the hospital. SMS hospital provides infrastructural support and physical space for installing the machines. The private provider is responsible for the installation of machines and equipment, modification in infrastructure according to requirements for machine operations, arrangement of and payment for electricity and water connections, staff salaries, security, daily operations, maintenance of premises, records and monthly reports to SMS Hospital apart from manning qualified professionals.

It was observed that patients were happy as services were available in the same premises. Monitoring and review is done by Rajasthan Medicare Relief Societies (RMRS) committee.

From 2004-2012, the private vendor was Vardhaman Scanners and Imagers Pvt Ltd with an obligation to provide 20% patients free services & give Rs. 5000 per month

Since 2012, the private vendor is Soni Hospitals Pvt Ltd with an obligation to do 30% cases free, contribute 31%-41% of collection to RMRS & give Rs. 5000 per month, over Rs. 95 million last year. The vendor also provides workstation to doctor students for learning Radiology.