Business Plan for Orthopedic Hospital

Hospital Size: 25 Beds

1. Infrastructure:

1. Total Area including 30% area for circulation space for corridors, lobby, and reception
area 50 sq mt/bed as carpet area.

2. Ward bed and surrounding space 6sq m/ bed; in addition, circulation space of 30% as
indicated in total area shall be provided for nursing station, ward store, sanitary etc.

3. For ICU bed and surrounding space 10.5 sq mt / bed; in addition, circulation space of 30%
as indicated in the total area shall be provided for nursing station, doctors’ duty room, store,
clean and dirty utility, circulating area for movement of staff, trolley, toilet etc.

4. OT for minor procedures 10.5 sq mt; in addition, circulation space of 30% as indicated in
total area shall be provided for nursing station, scrub station, clean and dirty utility, dressing
room, toilet etc.

5. Other areas- kitchen, nursing station, doctor’s duty room, store, Clean and dirty utility,
Circulating area, Toilets 10.5 sq mt for clean utility and store and 7 sq mt for dirty utility and
3.5 sq mt for toilet.

6. Operating Room Area 30.5 sq mt per operating room.

7. Emergency bed and surrounding space 10.5 sq mt/ bed: in addition, circulation space of
30% as indicated in total area shall be provided for nurse station, doctor duty room store,
clean and dirty utility, dressing area, toilet etc.

8. Pharmacy The size should be adequate to contain 5 percent of the total clinical visits to the
OPD in one session at the rate of 0.8 m2 per patient.

9. Bio-medical Waste <50 beds 5 sq. m.

10. Other functional areas (laboratory, diagnostics, front office/reception, waiting area,
administrative area etc) should be appropriately sized as per the scope of service and patient
load of the hospital.

Total Build up Area (Approx.): 5000 Sq. Ft

Land area (Approx.): 2000 Sq. M

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 2. Machines Required:

I. Machines required in OT complex are:

 Semi sterile and sterile lobbies

 Air Curtain
 Sterile Laminar Air flow
 Fogging Machines
 Electrohydraulic operation tables with all fracture attachments
 Oxygen and suction
 Anaesthesia Machines (Boyle’s)
 Emergency medicines and patient resuscitation kits
 Surgical Cautery for high end surgeries like THR, TKR, Ortho. Oncology and
Spine surgery.
 Image Intensifiers.
 Bone drilling and cutting equipment
 Arthroscopy units
 One vertical and one horizontal fully automatic steam sterilizer (Autoclave) for
sterilizing instruments and drapes.
 Fully automatic ETO sterilizer for delicate instruments, bone cutting equipment and
batteries etc.
 Air conditioning

II. Physical Therapy Treatments and Modalities

 Laser or Light Therapy

 Shortwave diathermy
 Ultrasonic therapy
 Digital Electronic traction units
 Knee shoulder and Elbow CPM units and shoulder wheel
 Electrical stimulation and T.N.S.

III. Machines used in radiology and clinical lab department:

 300 mA, X-ray unit with Bucky and multi-position table for all routine radiological
procedures.
 100mA Mobile X-ray unit with high frequency for excellent quality radiography
for emergency and ICU patients.
 CR system and Computerized Radiography for clear digital images
 Auto cell Analyser and others.

Total Estimated Cost (Approx.): 75 Lakhs (Including 12% GST)

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3. Personnel Required:

 Doctors: 1 Doctor with specialization in Orthopaedics (Full-Time / Part-Time or

visiting), 1 MBBS for every 6 beds, on- site for 24X7
Salaries: 50000/ Month

 Nurses – Qualified nurses per shift shall be available as per requirement

Salaries: 25000/ Month

 Physiotherapist – As per requirement

Salaries: 15000/ Month

 Pharmacist (If in house pharmacy available) – 1 in a hospital

Salaries: 15000/ Month

 Lab technician (if in house laboratory service available) – 1 in a hospital (minimum

DMLT)
Salaries: 15000/ Month

 X- ray technician (if in house X-ray facility available) – 1 in a hospital (minimum

Diploma in X-Ray Technician course)
Salaries: 25000/ Month

 Multi-purpose worker – Minimum 2 (minimum 12th pass)

Salaries: 15000/ Month

 Nutritionist – As per requirement

Salaries: 22000/ Month

 Administrative Assistant – As per requirement

Salaries: 20000/ Month

Total Estimated Cost (Approx.): 4.5 Lakhs/ Month

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4. Legal Requirements
1. Registration under Nursing Home Act/ Medical Establishment Act

2. Bio-medical Waste Management Licenses

● Authorization of HCO by PCB
● MOU with Vendor

3. AERB Licenses (Atomic energy regulatory board)

4. NOC from Fire Department

5. Ambulance
● Commercial Vehicle Permit
● Commercial Driver License
● Pollution Control Licenses

6. Building Completion Licenses

7. Lift license for each lift

8. DG Set Approval for Commissioning

9. Diesel Storage Licenses

10. Retail and bulk drug license (pharmacy)

11. Food Safety Licenses

12. Narcotic Drug Licenses

13. Medical Gases Licenses/ Explosives Act

14. Clinical Establishments and Registration (if applicable)

15. Blood Bank Licenses

16. Boilers Licenses

17. MoU / agreement with outsourced human resource agencies as per labour laws.

18. Spirit Licence

19. Electricity rules

20. Provident fund/ESI Act

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22. Sales Tax registration

23. PAN

24. No objection certificate under Pollution Control Act (Air/Water)

25. Wireless operation certificate from Indian P&T

26. Arms Act, 1950 (if guards have weapons)

5. Cost Estimation:

Items Estimated Cost (Approx.) Rs.

Rs. 3.75 crore

Overall Project (Total Investment)

Size of hospital 25 Bedded

Equipment, Furniture, Instruments Rs. 75 Lakh

Human Resource Rs. 4.5 Lakhs/Month

Variable cost (Employee, Maintenance, Rs. 7 – 8 Lakhs

Tax)

Tax exemption only under section 80-IB (11C) if more than 100 bedded hospital