Licenses & Approvals required to set up & run Hospitals

India as a developing nation is in a dire need of medical and healthcare

centres. Well qualified senior doctors or businessmen thinking to invest
in the medical industry should come forward to build more hospitals in
India.

However, a hospital isn’t a simple building with physicians, nurses,

medical devices, operation theatres, and intensive care units, but it
requires basic legal obligations while installing this system. Thus,
doctors planning to open a hospital should follow the legal protocols and
register their business via a dedicated platform.

Registration under Societies Registration Act, 2001

This act is applicable in case the hospital is owned by society. Under this
act, many essential parameters of hospital establishment are taken into
account. Some of the decisive factors include:

Location of the hospital

 In what type of locality is the hospital installed? Are there more hospitals
in that area?
 What are the transportation facilities available to reach the hospital?
 Is the hospital near to the bus stand, railway station, airport, etc.?
 Is the hospital built on agricultural land or a slum area from where people
have been eventually displaced?
 Is there easy access to electricity and water at this specific location?

Facilities Available

 Is the hospital well equipped with sufficient beddings, OPDs ICU’s, labs,
general and emergency wards?
 Does the hospital have suitable doctors and other medical staff for its
functioning?
  Is the hospital space hygiene for the staff and the admitted patients?

All the aforementioned questions are pertinent to opening a hospital in

India and these parameters are governed by the societies registration
act of 2001.

Clinical Establishments Registration and Regulation Act, 2010

The clinical establishment act of 2010 is a central government initiative

to cater to the smooth functioning of a hospital. This act prescribes the
minimum standards and facilities which must incorporate a clinical or
medical establishment.

This act is applicable for both public and private hospitals inclusive of all
medical establishments and private clinics. Moreover, each state
prescribes certain rules and regulations for the proper operation of this
act.

Registration Under Companies Act 2013

This particular act is applicable to corporation owned hospitals and

clinics. According to this act, a corporation run hospital or clinic must be
registered under the companies' act of 2013 and fulfil and the protocols
of regular account audits.

Additionally, this act prescribes certain obligatory requirements such as

information on capital structure formation, articles association, allotment
of securities, memorandum of associations, etc.

Director Index Numbers (DIN NO.)

The Ministry of Corporate Affairs under the Government of India

mandates a unique registration id for each of the directors constituting
the director committee of the hospital board. This is a one-time
registration process in order to ensure the security of the dedicated
members.

Indian Medical Council (IMC) Regulations 2002

The Indian Medical Council issues specific rules and dimensions for the
signboard of the hospital (pertaining to its credentials and placement).
Besides, other information and relevant details which should be
displayed at the hospital comprise:
 Certificate of registration for the hospital with the municipal authorities
 IMC/ SMC registration certificate
 Consultation charges and other related services and procedures
 Opening and closing timings of the hospital

Vehicle Registration for Ambulances

The Transport department of every state and union territory registers

every ambulance used by a hospital.

Indian Trademark Act, 1999

Although not a mandatory requirement, this act is applicable for those

hospitals which plan to use a trademark or logo at the hospital gate.

Arms Act, 1959

The hospital should also register under the arms act of 1959 in order to
permit its security guards to carry rifles and guns.
Pharmacy Registration for Medical Shops

In this, every medical shop located within the premises of a hospital

must be registered under. Besides, separate registrations are available
for medical shops within the hospitals and standalone medical shops.

In fact, the government permits shop sizes of specific dimensions under

this act. The validity of this registration is for 5 years.

FSSAI Kitchen License

The Ministry of Health and Family Welfare, Department of Food Safety

and Standards Authority of India issues a kitchen permit to Indian
hospitals. Under this, the hospital needs to maintain important kitchen
standards and furnish hygienic services to the patients admitted to the
hospital.

Other Important Licenses and Permits

In addition to the above, a hospital also required the following licenses

and permits for its operation:

Permits
 Land and construction
 Electricity and water
 Sewage system
 Biomedical waste
 Permit to store LPG cylinder
Licenses
 No Objection Certificate from the Chief Fire Officer
 No Objection Certificate under Pollution Control Act
 License for the blood bank
 Transplantation of Human organs Act, 1994 (for big hospitals)
 Prenatal Diagnostic Test Act (PNDT), 1996
 Environment Protection Act 1986
 Insecticides Act 1968
  Registration of Births and Deaths Act, 1969

Altogether, doctors and surgeons planning to open a hospital must

adhere to the aforementioned guidelines. These permits and licenses
are pertinent for the facile operation of a hospital as per the regulatory
principles issued by the central and the state governments of India.

TYPES OF MEDICAL EQUIPMENT IN HOSPITAL

According to Government Regulation (Peraturan Pemerintah /PP) No.

72/1998 on the Security of Pharmaceutical and Medical Equipment,
Medical Equipment are tools, apparatus, machines, implants containing
no medicines used to prevent, diagnose, cure and alleviate illness, care
for the sick and health in humans and or to build structures and improve
body functions.

Since World War II in Indonesia is familiar with Aesculap tools from

Germany. Now widely known the name of the government factory
Dimedia, Chiron, Diener, Reicodent, Rudolv, Martin etc. According to the
Decree of the Minister of Health of the Republic of Indonesia No. 116 /
SK / 79 (Keputusan Menteri Kesehatan RI), medical Equipment can be
classified into:

1. Preparation of scheduling and health care

2. Pesticides and insecticides for pest and pet protection
3. Beauty tools used in beauty salons
4. Plastic and glass containers for medicine and injection, and infusion rubber
bottles
5. Midwifery and gynaecology equipment
6. Anaesthesia apparatus
7. Dental equipment and equipment
8. THT equipment and medical supplies
9. Eyewear equipment and equipment

 
 There are many medical Equipment with different categories according
to their function and function. As a basis for the introduction of medical
Equipment often used by patients or used medical and nurses in the
hospital. These include:

Medical Equipment for treatment

 Plaster – to cover an injury with an adhesive.

 Gauze cloth – in the form of rare fabrics, such as ram wire for
verben or wound cover.
 Hot Bottles – for hot compresses.
 Ice Bag – for cold compresses.
 Milk Pump – to help pump the milk out of the breast that is
breastfeeding.
 Nipple Protector – to protect scuffed nipples during breastfeeding.
 Air Cushion – as a seat on haemorrhoids / homorhoids.
 Colostomy Bag – to accommodate fences in patients after colon
surgery (artificial intestinal surgery through muscle and abdominal skin).
 Urinal – to contain urine in patients.
 Bedpan – to accommodate the fences in the patient.
 Emesis basin – to accommodate vomiting, pus, cotton wool.

Tools for medical action

 Gloves – to protect the hands from environmental influences.

 Catheter – to remove / retrieve urine.
 Urine Bag – to accommodate urine associated with Balloon
Catheter / Foley Catheter to remove / retrieve urine on a closed system.
 Stomach Tube – to collect the liquid / gastric juice, to rinse /
stomach contents.
 Feeding Tube – Function: for nutrition / feeding fluids through the
mouth or nose.
 Catheter Suction – to suck the mucus from the new-born trachea.
 Wing needle – as an extension of the vein for infusion of
intravenous fluids or long-term intra-vein drugs.
 Infusion set – hose for infusion fluids.
 Transfusion Set – for blood transfusion.
 Sprit / Syringe – to inject.
 Syringe – to inject coupled with syringes.
 Glycerine syringes – to spray lambent / cyma through the liquid
anus often used is glycerine or soap solution.
 Curate – to clear the uterus in abortion patients / miscarriage

Tool to diagnose illness.

 Colour blind test – to check for people who are colour blind.
 Snellen Vision Chart – checks visas / visual acuity.
 Reflex Hamer – checks the reflection ability of certain parts of our
body, such as the knee.
 Tong spatial – to press the tongue in order to check / see
abnormalities in the throat, such as tonsils. Pharyngitis.
 Laryngeal mirror – to check and see the state in the mouth and
throat.
 Thermometer – to measure body temperature.
 Stethoscope – as an acoustic medical device for auscultation or
simply as a sound hearing device inside an animal or a human body.
 Sphygmomanometer – to measure blood pressure.
 Speculum – to check or see the inside part of the cavity.

Tools for surgical operation

 Operation knife – for surgery.

 Scissors – to cut body tissues.
 Forceps – to clamp or hold objects.
 Cilia tweezers – to pinch or pull hair.
 Agave Tweezer – to clip the clip on the wound so that the wound
does not open.
 Clamp or Clamp – a tool for clamping (holding and tapping) an
object.
 Artery clamps – to clamp the arteries.
 Peritoneum forceps – to pinch the tissue of the stomach lining.
 Needle Holders – for pinning sewing needles and sewing open
wounds such as accidental injuries or surgery.
 Sewing needles – for sewing wounds.
 Surgical Thread – to bind blood vessels or approximation (bind /
unite tissue).
 Anatomy pinkest – To clamp the screen, cotton, or alkies.
 Bandage scissors – for cutting bandage / kasha.
 Catgut – surgical sutures that are diabetic zed by the body.

As a basis for the introduction of medical Equipment not all classes of

tools are presented, only the health equipment available in pharmacies
and often used by patients or used by medical and nurses at the
hospital. Hopefully what we have given about the health equipment in
the hospital complete with this function is helping you. May be useful.