VMC PRO No.709 /2020-21 Date: 30/11/2020. Read : 1. The Epidemic Diseases Act, 1897. 2. Letter from “SETU” – Association of Private Hospitals and Private Practitioners with List of Hospitals Submitted dated 28/05/2020. 3. Notification by VMC PRO No. 141/2020-21 Dated: 31/05/2020 4. Notification by VMC PRO No. 196/2020-21 Dated: 17/06/2020 5. Notification by VMC PRO No. 235/2020-21 Dated: 27/06/2020 6. Notification by VMC PRO No. 244/2020-21 Dated: 01/07/2020 7. Notification by VMC PRO No. 278/2020-21 Dated: 09/07/2020 8. Notification by VMC PRO No. 299/2020-21 Dated: 15/07/2020 9. Notification by VMC PRO No. 330/2020-21 Dated: 25/07/2020 10. Notification by VMC PRO No. 346/2020-21 Dated: 01/08/2020 11. Notification by VMC PRO No. 384/2020-21 Dated: 10/08/2020 12. Notification by VMC PRO No. 407/2020-21 Dated: 22/08/2020 13. Notification by VMC PRO No. 471/2020-21 Dated: 08/09/2020 14. Notification by VMC PRO No. 516/2020-21 Dated: 21/09/2020 15. Notification by VMC PRO No. 552 /2020-21 Date: 01/10/2020. 16. Notification by VMC PRO No. 567 /2020-21 Date: 08/10/2020.

Requisition Order (Revised) Under The Epidemic Diseases Act, 1897

By virtue of power vested in me under section-2 (ii) as 'Authorized Person' vide above said notification, and section 11 (vii) read with section l2, I hereby declare, 49 Hospitals in Segment I, 86 Hospitals in Segment II and 11 Hospitals/Units with Free Beds as per Annexure-1, as "Designated COVID-19 Hospitals" for isolation of cases for COVID-19 for Municipal Corporation and .

“SETU” – Association of Private Hospitals and Private Practitioners and Indian Medical Association, Vadodara had jointly submitted a proposal for designating 500 beds and a Notification PRO No. 141 dated 31/05/2020 was issued subsequent to it.

The Hospitals designated in the First phase were reviewed for adherence to protocols and standards of care. The number of hospitals and beds required has been reviewed and it has been decided to increase the number of beds in both segments (Segment I – Healthcare facilities without ICU facilities and Segment II - Large corporate level infrastructure with ICU facility) as per Annexure 1.

This order will be effective from 1st December 2020 and till further notice by the undersigned.

The Schedule of rates is as prescribed in Notification PRO No. 299 dated 15/7/2020 (Annexure 2) and Annexure 3 for Inclusion/exclusion criteria.

Further, following conditions shall apply: No Private Hospital within the Requisition Order Under The Epidemic Diseases Act, 1897 1. VMC or Vadodara District limit, whether designated or not as COVID-19 Hospital, is permitted to charge above the ceiling rates prescribed in the schedule at Annexure-2. 2. Doctors, Nurses & Paramedical Staff will continue to discharge their duties at the same hospital/work place as before. No change in hospital/work place is allowed without prior permission of VMC or District Authorities.

Medical Officer of Health in VMC area and Chief District Health Officer in Vadodara District will execute an agreement with the hospitals listed in Annexure-1. Any person / Institution / organization found violating any provision of these regulations shall be deemed to have committed punishable offence under section 188 of Indian Penal Code (45 of 1860).

Swaroop P, IAS Municipal Commissioner, VMC

Enclosed- Annexure (1) , (2) and (3) To: Medical Directors, All hospitals as per the annexure -1, for information and necessary action. Copy to: Commissionerate of Health, Medical Services & Medical Education (Health), Block No. 5, Dr. Jivraj Mehta Bhavan, Gandhinagar.

ANNEXURE-1: LIST OF HOSPITALS DESIGNATED FOR COVID-19 TREATMENT

The Hospitals have been designated as per the break up below: Sr. No. Type of Hospital No. of Beds 1 Free Beds - Government Hospitals/Unit 1455 2 Free Beds – Private Hospitals/Unit 430 3 SEGMENT I – Healthcare facilities without ICU facilities 878 4 SEGMENT II – Large Corporate Level Infrastructure with ICU Facility 3462 Total Beds 6225

Free Beds - Free Beds – Category of Bed Government Private SEGMENT I SEGMENT II Hospitals/Unit Hospitals/Unit ICU WITH VENTILATOR (603) 264 0 0 339 ICU WITHOUT VENTILATOR (559) 104 0 36 419 HDU (2344) 392 0 356 1596 WARD (2719) 695 430 486 1108 Total (6225) 1455 430 878 3462

Sr. No. Free Beds- Government Hospital/Unit DEDICATED BEDS 1 SSG Hospital, Anadpura, Vadodara 575 2 GMERS Hospital, Gotri, Vadodara 575 4 Sun Pharma Advance Reaserch Centre- 80 3 Divisional Railway Hospital, Pratapnagar, Vadodara 65 5 ESIC Hospital, Gotri, Vadodara 50 6 Infectious Disease Hospital, , Vadodara 50 7 Primary Health Centre- Vadiya, Savli (CCC) 30 8 Training Centre, (CCC) 30 Total 1455

Sr No Free Beds- Private Hospital/Unit DEDICATED BEDS 1 Covid Care Centre- Vega, 300 2 Sumeru Navkar Tirth-Miyagam 100 3 CCC- Mota Fofaliya 30 Total 430

S. No. SEGMENT I – Healthcare facilities without ICU facilities DEDICATED BEDS 1 Matrusri Dhavalba Ayurved Hospital, BITS edu Campus, Varnama 80 2 Crossroad Hospital- Dabhasa-Padra 50 3 Gopinathji Hospital, Abhilasa, New Sama Road, Vadodara 47 4 Indu Ayurveda Hospital- Ankodiya- (As per Ministry of Ayush) 35 5 Makarpura Hospital-Unit 2, Opp Voltamp, Maneja 30 6 Aayushya Multispeciality Hopsital,Near Khodiyar Nagar-3, New VIP Road 30 7 Galaxy Multispeciality Hospital, Snera Squere, Near Ayurvedic Cross road 26 8 Anugrah Hospital-Tulsidham Char rasta- 25 9 Sannidhi Super Speciality Hospital- Parivar Cross road 22 10 Devatva Hospital- Motibhai Park-Khodiyar Nagar, New VIP Road 21 11 Baroda Life line Hospital, Gurukul Cross Road, Dabhoi- Ring Road 20 12 Captive Covid Care Centre- Relience Ind.Limited-Petrochemical Township 20 13 Dev Hospital, Dabhoi 20 14 Durva Hospital-Kamlanagar, Ajwa road 20 15 Faith Hospital, Panigate 20 16 Health Care Hospital, Sinor Road, Segva. 20 17 Krishna Hospital- Nilambar- Gurukul Cross road 17 18 Life Line Hospital & ICCU, Susen Road 16 19 Anand Medical Nursing Home,Uma Char Rasta, Near Daboi Nagrik Bank 15 20 Bhumi hospital, Hujarat Paga, Karelibag 15 21 Gayatri Nursing Home, Near Airforce, Makarpura 15 22 Indu Deep Multispeciality Hospital-Vishwamitri 15 23 Madhuram Hospital, Dajinagar, Harni Warasiya Ring Road 15 24 Modi Nursing Home, Kalpvruksha, Gotri road 15 25 Shreeji Hospital-Parivar Cross road 15 26 Siddharth Hospital-Fategunj 15 27 Samvedan Medical Hospital, Himalaya-2 complex, Gurukul Cross road 15 28 Shree Vraj Hospital, Manisha Society, OP road 15 29 Patel Hospital, Opp Gotri Lake 14 30 Shushrut Hospital, Near BOB- VIP Road, Vadodara 14 31 Wikalp Hospital, Near Chhani Canal 13 32 Amrut Hospital- Opp. Tube company, OP Road 13 33 Kalyan Hospital,Shrenik park-Productivity Road 12 34 Shri Vraj Hospital & ICU- GIDC Road-Manjalpur 12 35 Abhisek Hospital, santi park, Road 10 36 Aditi Hospital, Pancham Avenue, Susen tarsali road 10 37 Care Hospital_Bridge Road, Gorwa(Obstetrics) 10 38 Citizen Hospital & maternity Home, Nr Dabhoid Dashalad Bhuvan, B/d Bapod Police Station 10 39 Sparsh Hospital-Shri Hari Township-Ajwa road 10 40 Jaynil Hospital- Main Bazar-Chhani 10 41 Rishabh Nursing Home, Opp. Golden silver App. 10 42 Shreeji Hospital(Medical & Surgical Nursing Home), Near Sangam Bus stand 10 43 Swastik Hospital & Poly clinic, Sakar Complex, Sardar Estate 10 44 Shushrut Hospital, Near New Parnami Agarbatti, Padra 8 45 Vallabh Nursing Home (Extension of Chiranjiv children Hospital & Covid Care Centre) 8 46 Abhinav Hospital & ICU- B/h ST Depot, Padra 7 47 Life Care Hospital,Gurukul Cross Road, Narayan School Road 7 48 Breathwell Chest Hospital, L & T Circle 6 49 K K Hospital(Kaka)- Zaver nagar, Waghodiya Road 5 Total 878

DEDICATED S. No. SEGMENT II – Large Corporate Level Infrastructure with ICU Facility BEDS 1 Dhiraj General Hospital, Pipariya 300 2 Muslim Medical Centre, Panigate 142 3 Bhailal Amin General Hospital, Near Inorbit Mall, Gorwa 138 4 Parul Sevashram Hospital, Waghodia 130 5 Sterling Hospital, Opp. Inox, Race Course, Vadodara 125 6 New Life Hospital, Pioneer Medical and paramedical campus-Sayajipura 109 7 Premdas Jalaram Hospital-Old RTO- Warasiya(Ext. of Muslim Medical Centre) 100 8 Metro Hospital, Sama Savli Road 100 9 Rhythm Heart Institute, Sama Savli Road, Vadodara 84 10 Savita Hospital, Parivar Cross Road, Vadodara 70 11 Tricolour Hospital- Sarabhai, Genda Circle, Vadodara 70 12 Siddhi ICU & Multispeciality Hospital, Dandiya Bazar 67 13 Shukan Multi-Speciality Hospital, Amitnagar Circle 65 14 Sunshine Global Hospitals, Manjalpur, Vadodara 62 15 Spandan Hospital- Sindhvai Mata Road, Manjalpur, Vadodara 55 16 Swasthya Super speciality Hospital-Ellorapark 52 17 Jupiter Hospital, Sun Pharma Road, Atladara 50 18 Valan Social Welfare Charity Trust, Valan. Ta-Karjan 50 19 Subhechha Multispeciality hospital, Shrinagar soc, Akota 50 20 Satyam Hospital-Chhani 49 21 Care Multispeciality Hospital Trauma & ICU-Nalanda, Kaladarshan 45 22 Narhari Hospital, , Vadodara 44 23 Shree Krishna Hospital, New VIP Road, Vadodara 42 24 Nand Multispeciality Hospital Pvt. Ltd., Opp. Panchmukhi Hanuman, Vasna Bhayli road 42 25 Pranayam Heart & Lung Institute, Khodiyar Nagar, Vadodara 40 26 Synergy Medicare Hospital-Beside Banco Products 40 27 Shrijee Hospital & Truma Care Center, Near Ramakaka Dairy,Channi 39 28 Shree Hospital & ICU- Near Kanha Heights, Soma Talav 36 29 Sangam Hospital, Sangam Char Rasta, Vadodara 35 30 Shri Vijay Vallabh Hospital, Mandvi, Vadodara 35 31 Vihaan Hospital-Bhayli 35 32 Navjivan Nursing Home, Anand Nagar soc, Productivity road 35 33 Wel Care Hospital- Squirrel Circle, Atladara 34 34 Unity Hospital, Rajesh Tower Road, Gotri, Vadodara 32 35 Kalavati Hospital, dajinagar soc, Warasiya Ring Road 32 36 Venus Superspeciality hospital, Srinathji park soc, opp. ward 6 Office, Akota 32 37 Ashirwad Hospital- Polo Ground 30 38 Unity Hospital (Medistar Hospital)-Vadsar Flyover 30 39 Shreeji Hospital- Maneja crossing 30 40 Chiranjeevi Multispeciality Hospital- Por Village 30 41 Baroda Health Care, Soma Talav, Vadodara(Radha Multi.Hosp) 30 42 Balaji Hospital, Gurukul Char Rasta, Vadodara 30 43 Ashirwad Hospital, dabhoi road 30 44 Galaxy Multispeciality Hospital, Sunpharma road 30 45 Chiranjiv Children Hospital & Covid Care Centre- Near Ayurvedic Cross Road, Panigate 29 46 Mahavir Multispeciallity Hospital- Kaladarshan 26 47 V-Care Multispeciality, Karjan 26

DEDICATED S. No. SEGMENT II – Large Corporate Level Infrastructure with ICU Facility BEDS 48 Bankers Heart Superspeciality Hospital, GIDC Road, Manjalpur 25 49 Bankers Heart Superspeciality Hospital, OP Road 25 50 Shreeji Hospital-Ayurvedic Cross road, Panigate 25 51 Multispeciality Hospital & ICU, Padra 25 52 Ramkrishna Paramhansha hospital-Kalali 25 53 Anugrah Multispeciality Hospital- Karjan 24 54 Kapila Daksh Multi Speciality hospital-Karodia Road 24 55 BAPS Shastriji Maharaj Hospital, Atladara, Vadodara 23 56 Krishna Multispeciality Hospital- Kaladarsan 23 57 Dabhoi Covid Hospital- Sinor Cross Road, Dabhoi 22 58 Shanti Suman Hospital, Shivalik Complex, Subhanpura Main Road 21 59 Anand Multispeciality Hospital- Near Gorwa ITI 20 60 Jhanvi Nursing Home, Near D-Mart, Waghodiya Road 20 61 Kalpana Group Of Hospital-OP Road 20 62 Shrinathji Hospital & ICU- B/H Mahavir Hall, Ajwa road 20 63 Shreeji Clinic & Hospital- Karodiya Road-Gorwa 20 64 Gujarat Kidney and Superspeciality Hospital, Jetalpur, Vadodara 19 65 Jhanvi Multispeciality Hospital- Gada Circle-Harni 17 66 Jivan Jyot hospital- Padra 17 67 Rudraksha Medical & Eye care Hospital-Chhani 16 68 Kastbhanjan Hospital, Goya gate, Vadodara 15 69 Shree Jagdish Hospital, Soma Talav, Vadodara 15 70 Shree General Hospital & ICU- Undera Circle 15 71 Vrundavan Hospital & ICU- Vrundavan Cross road 15 72 Krishnam Multispeciality Hospital- Gotri- Laxmipura Road 15 73 Dev Medical Hospital (Extension of Tricolor Hospitals), Natubhai Circle 15 74 Anukruti Hospital, B/h Gurudwara, Tarsali Road 15 75 Baroda Chest Hospital, Sneh Plaza, Cow Circle, Akota 15 76 Sahyog Medical Centre, Opp. Arunachal Soc, Subhanpura 15 77 Synergy Multispeciality Hospital, Shyamal Sapphire, Gotri Vasna Link road 15 78 Aman Hospital & Research Centre- Opp. ESI Hospital 14 79 Respicare Multispeciality Hospital- Near Ward 4 Office- Manjalpur 14 80 Sneh Multispeciality Hospital and ICU, Sun Pharma Road, 12 81 Jivan Hospital, Narayan garden road, Opp. Laxmipura Lake 12 82 Mangalam Hospital, Saiyad Vasna Road, Vadodara 10 83 Akshar Multi Speciality Hospital, Akshar Chowk, Vadodara 10 84 Shree Maruti Surgical Hospital- 10 85 Kashiben Gordhandas Patel Children Hospital, Karelibaug 8 86 The Children Hospital, Opp. Sub Registar Office, Akota 4 Total 3462

Hospitals also have been allowed to provide services at alternative premises as proposed by them. The premises have been verified by our technical team and approved as Facilities for Providing COVID Care. The list of the approved hospitals with alternative premises is as follows:

DEDICATED Sr No Beds- Private Hospital BEDS Siddhi ICU & Multispeciality Hospital, Dandiya Bazar 1 40 (Hotel Jalsagar ) Rhythm Heart Institute, Sama Savli Road, Vadodara 2 38 (Hotel Baroda Residency, )

Swasthya Hospital-Ellorapark 3 30 (With Extension to Palm View Hotel, Sampatrao colony, Alkapuri)

Gopinathji Hospital, Abhilasa, New Sama Road, Vadodara 4 25 (Hotel Aum Residency, Sama-Savli Road) Care Multispeciality Hospital Trauma & ICU-Nalanda 5 20 (Hotel Telikos Silver- VIP road) Tricolour Hospital- Sarabhai, Genda Circle, Vadodara 6 20 (Hotel Suba Elite, Fatehgunj) Vihaan Hospital-Bhayli 7 20 (Hotel Telikos Silver- VIP road) Synergy Medicare Hospital-Beside Banco Products 8 17 (Samanvay Status-1, Atladara Padra Road) Shukan Multi-Speciality Hospital, Amitnagar Circle, Vadodara 9 15 (Hotel Aum Residency, Sama-Savli Road) Sunshine Global Hospitals, Manjalpur, Vadodara 10 10 (Hotel Suba Elite, Fatehgunj) Kalpana Group Of Hospital-OP Road 11 05 (Pushti Complex, 2nd Floor, Akshar Chowk) Total 240

ANNEXURE-2: SCHEDULE OF RATES (As per Earlier Notification)

SEGMENT I – Healthcare Facilities without ICU Facilities

Ceiling Rates per day for Private Beds

Ward Rs. 6,000/- (Rupees Six Thousand) HDU Rs. 8,500/- (Rupees Eight Thousand and Five Hundred)

Rates Do Not Include: 1. Cost of Injection Tocilizumab and high end antibiotics used for secondary infection, 2. “Special Doctor” Visit Fee; Specialized laboratory tests. 3. Dialysis. The rate per dialysis will be Rs. 1500/- (Rupees One Thousand Five Hundred)

Rates Include: 1. Two Meals, Breakfast, Evening tea and snacks. 2. Cost of PPE Kits, N-95 masks and all medicines except those mentioned above.

Note - The visit fees of doctors under the category “Special Doctor” will apply only to the visits of specific super specialists like Nephrologist, Cardiologist, etc. It would not apply to the in – house medical officer, intensivist, and physician.

SEGMENT II – Large Corporate Level Infrastructure with ICU Facility Ceiling Rates per day for Private Beds

Ward Rs. 8,500/- (Rupees Eight Thousand and Five Hundred) HDU Rs. 12,000/- (Rupees Twelve Thousand) Isolation + ICU Rs. 18,000/- (Rupees Eighteen Thousand) Ventilator + Isolation + ICU Rs. 21,500/- (Rupees Twenty One Thousand and Five Hundred)

Rates Do Not Include: 1. Cost of Injection Tocilizumab and high end antibiotics used for secondary infection, 2. “Special Doctor” Visit Fee; Specialized laboratory tests. 3. Dialysis. The rate per dialysis will be Rs. 1500/- (Rupees One Thousand Five Hundred)

Rates Include: 1. Two Meals, Breakfast, Evening tea and snacks. 2. Cost of PPE Kits, N-95 masks and all medicines except those mentioned above. Note - The visit fees of doctors under the category “Special Doctor” will apply only to the visits of specific super specialists like Nephrologist, Cardiologist, etc. It would not apply to the in – house medical officer, intensivist, and physician.

Special Conditions: 1. The Designated Hospitals will have to maintain all protocols of Hospital Infection Control. 2. The Hospital shall adhere to all rules and regulations as laid by the Government from time to time. 3. The Hospital shall adhere to prescribed treatment protocols and patient management guidelines.

ANNEXURE-3: Inclusions and Exclusions

S. No Department Inclusion Exclusion 01 Stay As above Higher Category Rooms (Other Tyhan General ward) 02 Pathology CBC/CRP/S. Creatinine/RBS/Urine All other tests as per current SOC for Routine and Micro (Twice during COVID 19 Treatment total stay in Segment I Hospitals). Any time upto 10 days in Segment II Hospitals. 03 Medicines  Tablet Azithromyicin  Injectable Antibiotics  Tablet Hyodroxychloroquine  Injectable Remdesivir, Tocilizumab,  Tablet Ivermection Anti-virals.  Oral Steroids  Injectable steroids  Tablet Vitamin C, Tablet Zinc  Oral Favipiravir  Tablet Multivitamins  Medications for Pre- existing illness,  Tablet Paracetamol such as diabetes, blood pressure, heart  Hand Gloves, Sanitizers disease, kidney disease, or any other One time: (first set used) Acute or Chronic illness that has been - IV set (One) treated before or is presently on - Syringe and needle for treatment or if diagnosed during injection (One day) treatment of COVID 19. - Veinflon (Once)

04 Radiology and Bedside X Ray and ECG (Once  CT Scan, M.R.I. Cardiology during total stay)  USG, Echocardiography 05 Nephrology Dialysis charges @ Rs. 1500  Medicines other than specified in (including gloves and PPE) inclusion list, dialyser, other consumables.

06 Super Specialist NA  Super Specialist Doctors visit fees Visit & - Gastroenterologist, Pulmonologist, Teleconsultations Cardiologist, Nephrologist, Pediatrician (If required) etc. - Teleconsultations for Senior Consultants references 07 Equipment and  RT Insertion,  ICU or Ward procedures for diseases Other procedure  Urethral Catheterisation other than COVID. (ICU/Ward)  Nebulizer  Infusion pump/syringe pump (more  Equipment charges for Oxygen than1 per day), delivery, HFNC, BiPAP,  Ventilatory circuits, BiPAP mask – Ventilator More than one per day,  Infusion pump /syringe pump –  Any Special equipment like ECMO once per day  Any Special procedure required for  Monitor charges COVID treatment, Endoscopy, DLC for Dialysis, Central line insertion, DC Shock, CPR, etc.  Ripple Bed, Air Bed charges 09 Other services  Staff PPE (Average), Patient  Special diet (other than regular diet) N95/Surgical Mask  Other hospital or imaging center  Dietician & Physiotherapist Tele- transfer (Use 108 services as far as counselling possible).  Ambulance charges @1500 for  Escort (with doctor and nurse) as per 15 kms in Basic Ambulance. hospital charges.

NOTE:  All the above services, inclusion and exclusion are for Ward, HDU, ICU and ICU with ventilator category patients admitted in General area.  Patients opting for higher categories will be charged as per Hospital COVID 19 Schedule of Charges (SOC). Hospital will have to take written consent from patient/relative for higher category admissions. o All regular charges of the hospital as per their SOC shall apply in all such cases. o Hospitals will clearly mention the higher category room charges/packages and additional charges, if any, on letter-head at the time of consent. o No disputes raised shall be entertained in cases where a written consent for higher category rooms/services has been given by patient or their relative.  Insurance Companies shall give approvals within 6 hours of e-submission of bills.  All deductions made by the Insurance Companies will have to be paid by the patient.  Insurance Companies shall process the claims within 7 days of submission of necessary documents.  Hospitals will have to provide bills with necessary break-up of charges claimed as per the requirement and in accordance with IRDA regulations.

DISPUTE REDRESSAL: Mr. Manish Bhatt, Director (Information and Technology), Vadodara Municipal Corporation has been appointed as a Nodal Officer for redressing complaints of patients against hospitals pertaining to the rates and its compliance vide VMC PRO No. 366 /2020-21 Date: 05/08/2020.

Citizens can raise their complaints on the following:  E mail: [email protected]  Telephone: VMC Toll Free Number: 1-800-233-0265 (24 Hours) + 91 - 9727250159 (Mr. Manish Bhatt, Director, IT) + 91 - 9099032234 (Mr. Jenish Desai, Senior IT Person) Time for Contact on Phone Number – 10:00 AM to 6:00 PM