Medical Services & Infrastructure Development Corporation, plot no 9, survey no 49, IT Park, Mangalagiri, 522503 Email: [email protected] **** Request for Proposal for Tele Ophthalmology Services Under PPP Mode in Andhra Pradesh Amendment No.2 dt: 25.02.2019 Tender Notice No.: 17.1/Equipment/2018-19, Dated:07.02.2019. Clarifications requested by the bidders during prebid meeting on 18.02.2019

Sl.no Page Clause Heading Tender requirements Bidder's request Bidder's request Can be read as No. no. (M/s. Apollo Hospitals Ltd) (M/s.Stylrite Optical Industries) 1 13 Section Point 17 No mention of PMOO's in the 1. PMOO's will be provided by Govt. for all centres (along with relievers) No IV; Manpower at table mentioned in the centre document.

2 2. PMOO's to be recruited by the service provider in how many centres. ? In Addition to the staff mentioned at point 17 in section IV, PMOO has to be recruited by the service provider at all center @ 1 per center.

3 3. Qualification of the PMOO's Paramedical Ophthalmic Assistant Course or equalent course 4 4. PMOO relievers needed. (without the PMOO centre will be non Yes operational) 5 23 Section General No mention of guidelines to Referral for ROP Patients requiring further management to be referred to VI be followed for the referrals nearest secondary vision centers of Govt for funds, ROP & high power /AH/DH/TH/Regional Eye Hospital prescription. Also no mention about the EMR guidelines to be followed. (patient health records, data management, etc.) 6 Referral for Fundus Patients requiring further management to be referred to nearest secondary vision centers of Govt /AH/DH/TH/Regional Eye Hospital

7 For High power and complex Rx sceptical prescription Patients requiring further management to be referred to nearest secondary vision centers of Govt /AH/DH/TH/Regional Eye Hospital

8 EMR Guidelines (What standards need to be followed) eHR Standards-2016 guidelines issued by GOI,MoHFW, ehealth section Sl.no Page Clause Heading Tender requirements Bidder's request Bidder's request Can be read as No. no. (M/s. Apollo Hospitals Ltd) (M/s.Stylrite Optical Industries) 9 13 Section Turn Around 12. The service provider shall To be changed from 2 hr to 6 hrs - Fundus No change (as per RFP) IV Time mentioned ensure delivery of spectacles Scope in the document as per the prescribed power of work - within 7 days from date of intimation. The prescription will contain patient information and contact details of the vision centre to which the spectacles is to be delivered.

10 13. Service provider shall To be changed from 7 days to 14 days - Sceptical (New and Reordered) No change (as per RFP) ensure that a SMS is (Reasoning: we are currently seeing 60% to 70% of hyperopic prescriptions delivered to the patient 2 with a lot of high complex powers, and for all these powers we Days prior to delivery date. manufacturing itself takes 5 to 6 days and then we will need time to get the orders delivered at the centres)

11 13 Section Point 10: Minimum Assured Volume Will be needing a minimum guarantee for per day per centre Fundus & No change (as per RFP) IV Minimum per centre is 15 eye tests per ROP counts (ROI of the equipment costs) Scope Guarantee centre per day. However, of work - Minimum assured volume shall be applicable only after 90 days of the signing of the contract. However the number of sites may be increased subsequently at the discretion of government. The cost per study (cost shall be per study of one patient and not per image) in financial bid of tender document shall be applicable at all the sites that the government may choose to include in this project in the next phase. Billing and payment will be on monthly basis. Sl.no Page Clause Heading Tender requirements Bidder's request Bidder's request Can be read as No. no. (M/s. Apollo Hospitals Ltd) (M/s.Stylrite Optical Industries) 12 20 Section Eligibility - Tele-Ophthalmology Manufacturing capacity of 10,000 p.a to be changed to 30,000 p.m No change (as per RFP) V Criteria Experience:- (Going by CM's dashboard, current volumes are very high, and hence any - Running a minimum of 50 thing less then 30,000 per month vendors will not be able to deliver up to Tele-ophthalmology centres the satisfaction of the Govt. and patients) within in the last three financial years - The bidder should have Fundus image screened and reported a minimum of 10,000 ophthalmology cases. - The bidder should have experience in dispensing more than 10,000 spectacles in an year.

13 Quality of the Frames and lens not mentioned - We request it to be defined Requirement is scratch proof and UV protection for in the document (such as "CR 39, Scratch resistant, hard coated & 90% UV lenses and non breakable for frames protection" for leans & "Long life endurance & High durability" for frames)

14 Suggest that the application needs to be demoded for technical ____ qualification of the application which will be used

15 No mention of the Hub needed for Ophthalmologist who will report the Hub with required adequate number of qualified fundus & ROP Ophthalmologistics shall be maintained by the Service Provider

16 14 Appendi Building / Number of Facilities Identified What kind of coordination or relationship is expected between the service These are 2 separate services.The newly selected x “A” Space for vision 122 provider of MeEK (Vision centres) and eUPHC Serivce Provider has to establish his units as per tender centres Facilities with Availability of conditions and wherever there is a room available in Room 54 MAC(eUPHC) the same will be provided, where not Facilities with Availability of available the new service provider has to establish Space 68 one(please refer tender document section IV point number 9). In either case the consultation room shall be Air Conditioned. The New Service Provider has to pay for maintainance charges, power bill etc..

17 Does the selected service provider require to collocate with the existing Yes eUPHC privet providers. And in case any rentals to be paid, please provide the guidelines. Sl.no Page Clause Heading Tender requirements Bidder's request Bidder's request Can be read as No. no. (M/s. Apollo Hospitals Ltd) (M/s.Stylrite Optical Industries) 18 What will be the distance proximity, if we choose to rent a space near Shall be Co located eUPHC instead of constructing one within eUPHC?

19 General Billing / ( No mention of point in the Currently in the tender no provide for separate billing of ROP in mentioned. No change (as per RFP) enquiry Invoicing document) It is requested to enable ROP billing as a separate component

20 Billing to be separate for Spectacles, Fundus & ROP No change (as per RFP) 21 ROP screening ( No mention of point in the The RoP screening process requires premature babies to screened while ____ testing document) they are kept in the incubator and hence bringing babies to eUPHC’s after birth will be highly risky for the new born and hence this needs to be done in the health facility where the new born is kept. Secondary data (https://sncuminiap.in/ ) shows that out of less than 1 lac birth in the State almost 11% of the babies are expected to be pre-term and low weight babies and they have to be screened in less than 45 days of their birth for saving their vision; hence it is highly recommended that the RoP screening be stationed in the 13 District hospitals and 17 medical colleges ( SNCU/NICU). Keeping RoP screening in in the suggested health facilities will be most useful for saving the vision of nearly 88000 babies per annum. Also the training requirement for the neo natal care nurses is highly skilled and will require minimum 3 months of training. Request the authority kindly mention the pre-qualification of the nurses, such as: Minimum 3 years’ experience in handling new born’s to be provided by the service provider or to mention clearly that existing nurses of the Government health facility will be allocated by the State and the service provider to train the Government resource members. Provisioning of RoP screening facility to be clearly mentioned weather to be given in the eUPHC or in the 13 District hospitals and 17 medical colleges ( SNCU/NICU). 22 General If it is in the eUPHC then will screening be done on out reach methodology What is the validity of 5 years tender after it is allotted.

23 General Spectacles to be Spectacles to be delivered to eUPHC (location where delivered to individual or examined) PHC. Sl.no Page Clause Heading Tender requirements Bidder's request Bidder's request Can be read as No. no. (M/s. Apollo Hospitals Ltd) (M/s.Stylrite Optical Industries) 24 SECTIO ELIGIBILITY Hospital can be any It has to be a Tele-ophthalmology centre N - V CRITERIA type or it has been an Tele- eye hospital. Ophthalmology Experience: • Running a minimum of 50 Tele- ophthalmology centers within India in the last three financial years 25 SECTIO ELIGIBILITY For eligibility of As per RFP N - V CRITERIA spectacles 3 years’ Tele- experience is required? Ophthalmology Experience: • The bidder should have experience in dispensing more than 10,000 spectacles in an year.

26 SECTIO ELIGIBILITY If no screening No N - V CRITERIA experience then can we Tele- qualify? Ophthalmology Experience: • The bidder should have Fundus image screened and reported a minimum of 10,000 ophthalmology cases. 27 SECTIO II. SCOPE OF INSTRUCTIONS TO Do you required all Yes N - IV THE WORK. BIDDERS equipment as per the EYE SCREENING PROJECT tender list. EQUIPMENT Sl.no Page Clause Heading Tender requirements Bidder's request Bidder's request Can be read as No. no. (M/s. Apollo Hospitals Ltd) (M/s.Stylrite Optical Industries) 28 SECTIO II. SCOPE OF INSTRUCTIONS TO Point no. 13 of IT solution for implementation and monitoring of program N - IV THE WORK. BIDDERS equipment list please EYE SCREENING PROJECT clarify. EQUIPMENT 13. Tele-ophthalmology software conforming to specified compliances and connectivity to the Realtime monitoring center - 1 set

29 SECTIO II. SCOPE OF INSTRUCTIONS TO Point no. 16 of ____ N - IV THE WORK. BIDDERS equipment list please EYE SCREENING PROJECT clarify. EQUIPMENT 16. PORTABLE MODULAR RETINAL CAMERA FOR PREMATURE BABIES - 1

30 General Can we do screening in No our centers. 31 General Specifications of scratch proof and UV protection for lenses and non spectacles (frame & breakable for frames lens) please clarify. 32 General Price of screening is ____ there any maximum limit? 33 General Can tender be modified ____ that they can keep separate tender for screening & separate tender of spectacles like telangana? Revised List of eUPHCs (Mukhyamantri Aarogya Kendralu) where newly proposed Tele-Ophthalmology centers to be co-located

Municipality / Municipal Type of Building Type Sl.No. District Facility Identified Corporation Accomodation (Govt / Rented ) Srikakulam Municipal 1 Srikakulam Burma Colony Space Available Government Corporation Srikakulam Municipal 2 Srikakulam Gujaratipeta Space Available Government Corporation 3 Vizianagaram Bobbili Municipality Gollapalli Space Available Government 4 Vizianagaram Parvathipuram Municipality Jaganadhapuram Space Available Government 5 Vizianagaram Vizianagaram Municipal Poolbagh Colony-1 Space Available Government 6 Vizianagaram VizianagaramCorporation Municipal Rajeevnagar Colony Space Available Government 7 Vizianagaram VizianagaramCorporation Municipal VT Agraharam Space Available Government 8 GVMCCorporation Room Available Government 9 Visakhapatnam GVMC Anakapalli Room Available Government 10 Visakhapatnam GVMC Burma Camp Room Available Government 11 Visakhapatnam GVMC Chengalrao Peta Room Available Government 12 Visakhapatnam GVMC Room Available Government 13 Visakhapatnam GVMC Kapparada Room Available Government 14 Visakhapatnam GVMC Laxmi Nagar Room Available Government 15 Visakhapatnam GVMC Room Available Government 16 Visakhapatnam GVMC Room Available Government 17 Visakhapatnam GVMC Prasad Gardens Room Available Government 18 Visakhapatnam GVMC RP Peta Room Available Government 19 Visakhapatnam GVMC Room Available Government 20 Visakhapatnam GVMC Swarna Bharathi Room Available Government 21 Visakhapatnam GVMC Thagarapuvalasa Room Available Government Rajamundry Municipal 22 East Godavari Ambedkar Nagar UHC Space Available Government Corporation Rajamundry Municipal 23 East Godavari APP Mills Layout Anandanagar Room Available Government Corporation Rajamundry Municipal 24 East Godavari Bruhannalapeta UHC Room Available Government Corporation Rajamundry Municipal 25 East Godavari Shambunagar Room Available Government Corporation Kakinada Municipal 26 East Godavari Yetimoga-1 Room Available Government Corporation Kakinada Municipal 27 East Godavari Rechrlapeta Room Available Government Corporation Kakinada Municipal 28 East Godavari Sanjay Nagar Room Available Government Corporation Kakinada Municipal 29 East Godavari Parlopeta Room Available Rented Corporation 30 East Godavari Municipality Bhupayya Agaharam Room Available Government 31 East Godavari Samarlakota Municipality Patrullapeta Room Available Government 32 East Godavari Municipality Sitharampuram Room Available Government 33 West Godavari Eluru Municipal Corporation Tangellamudi Space Available Government

34 West Godavari Eluru Municipal Corporation Titus Nagar Space Available Government

35 West Godavari Eluru Municipal Corporation AAS Colony Space Available Government

36 West Godavari Eluru Municipal Corporation Gajjelavari Cheruvu Space Available Government 37 West Godavari Tanuku NGO Colony Space Available Government 38 West Godavari Municipality Weaker Section Colony (WG) Space Available Government Municipal 39 West Godavari Durga Puram Space Available Government Corporation 40 Guntur Bapatla Municipality Railpeta Space Available Government 41 Guntur Bapatla Municipality Viswabrahmin Colony Space Available Government 42 Guntur Chilakaluripeta Municipality 17th Ward, Municipal Dispensary Space Available Government Guntur Municipal 43 Guntur Bongarala Beedu Space Available Government Corporation Guntur Municipal 44 Guntur Indira Pryadarsini Colony Space Available Government Corporation Municipality / Municipal Type of Building Type Sl.No. District Facility Identified Corporation Accomodation (Govt / Rented ) Guntur Municipal 45 Guntur Israilpet Space Available Government Corporation Guntur Municipal 46 Guntur Mallikarjunapeta Space Available Government Corporation Guntur Municipal 47 Guntur Nallacheruvu Space Available Government Corporation Guntur Municipal 48 Guntur Tuffan Nagar Space Available Government Corporation 49 Guntur Narasarao Peta Municipality Ramireddy Thota Space Available Government

50 Guntur Narasarao Peta Municipality Shaleem Nagar Space Available Government 51 Guntur Municipality Space Available Government 52 Guntur Piduguralla Municipality Bus Stop, Beside ANNA Canteen Space Available Government 53 Guntur Macherla Municipality Gowda Colony Space Available Government 54 Guntur Mangalagiri Koppu Rao Colony Space Available Rented 55 Guntur Ponnuru Indira Nagar Space Available Government 56 Krishna Municipality Bapujinagar Room Available Government 57 Krishna Machilipatnam Municipality Bandarkota/Gilakalandi Space Available Government

58 Krishna Machilipatnam Municipality Chilakalapudi Room Available Government

59 Krishna Machilipatnam Municipality Varredgudam Room Available Government Vijayawada Municipal 60 Krishna Kandrika Room Available Government Corporation Vijayawada Municipal 61 Krishna Lambadipeta Bza Space Available Government Corporation Vijayawada Municipal 62 Krishna Madhuranagar Room Available Government Corporation Vijayawada Municipal 63 Krishna New Raja Rajawari peta Room Available Government Corporation Vijayawada Municipal 64 Krishna Patamata Room Available Government Corporation Vijayawada Municipal 65 Krishna Prakash Nagar Room Available Government Corporation Vijayawada Municipal 66 Krishna Shanthi Nagar Space Available Government Corporation Vijayawada Municipal 67 Krishna Singh Nagar Room Available Government Corporation Vijayawada Municipal 68 Krishna Vambay Colony Room Available Government Corporation Vijayawada Municipal 69 Krishna Ramalingesara Nagar Space Available Government Corporation Vijayawada Municipal 70 Krishna Jakkampudi Room Available Government Corporation 71 Krishna Nuziveedu Municipality Banginapalli Thota Room Available Rented 72 Prakasam Chirala Municipality Marayammapeta Room Available Government 73 Prakasam Chirala Municipality Vykuntapuram Room Available Government 74 Prakasam Markapur Municipality Slate Workers Colony (SW Room Available Government Ongole Municipal Colony) 75 Prakasam Balagi Nagar Room Available Government Corporation Ongole Municipal 76 Prakasam Managamur Donka Room Available Government Corporation Ongole Municipal 77 Prakasam Papa Colony Room Available Government Corporation 78 Prakasam Kandukuru Municipality Taluq Office Space Available Government 79 SPS Nellore Municipality Malavya Nagar Space Available Government 80 SPS Nellore Kavali Municipality Vengalarao Nagar Space Available Rented 81 SPS Nellore Kavali Municipality Rajiv Nagar Space Available Government 82 SPS Nellore SPS Nellore Municipal J.N.R.Colony Space Available Government 83 SPS Nellore SPS Nellore Municipal Kissan Nagar Space Available Government 84 SPS Nellore SPS Nellore Municipal Kottamitta Space Available Government 85 SPS Nellore SPS Nellore Municipal NTR Nagar Space Available Government Chittoor Municipal 86 Chittoor Oticheuvu/Kajoor Space Available Government Corporation Chittoor Municipal 87 Chittoor Satyanaraynapuram Space Available Government Corporation Municipality / Municipal Type of Building Type Sl.No. District Facility Identified Corporation Accomodation (Govt / Rented ) Chittoor Municipal 88 Chittoor T.Chavatapalli Space Available Government Corporation 89 Chittoor Madanapalli Municipality Ramarao Colony Space Available Government 90 Chittoor Srikalahasti Municipality Gajendranagar Space Available Government Municipal 91 Chittoor Bhiaragipatteda Space Available Government Corporation Tirupati Municipal 92 Chittoor Nehrunagar Space Available Government Corporation Tirupati Municipal 93 Chittoor P & T Colony Space Available Government Corporation 94 Chittoor Nagari Chavadi Centre Space Available Rented 95 Chittoor Putturu Besta Veedhi Space Available Rented 96 Chittoor Palamaneru Patha Peta Space Available Rented Ananthapur Municipal 97 Anantapuram Indira Gandhi Nagar Space Available Government Corporation Ananthapur Municipal 98 Anantapuram Mangal Vari Colony Space Available Government Corporation Ananthapur Municipal 99 Anantapuram Neeru Ganti Street Space Available Government Corporation 100 Anantapuram Dharmavaram Municipality Durganagar Space Available Government 101 Anantapuram Municipality Ambedkar Nagar 1 Space Available Government 102 Anantapuram Guntakal Municipality Bhagya Nagar Space Available Government 103 Anantapuram Hindupur Municipality Laxmipuram Space Available Government 104 Anantapuram Hindupur Municipality Srinivas Nagar Space Available Government 105 Anantapuram Tadpatri Municipality Sreenivasapuram Space Available Government 106 Anantapuram Nizam Vali Colony Space Available Government 107 Kurnool Municipality Arundhati Nagar Space Available Government 108 Kurnool Indira Nagar Space Available Government Kurnool Municipal 109 Kurnool Illurnagar Space Available Government Corporation Kurnool Municipal 110 Kurnool Johrapuram 1 Space Available Government Corporation Kurnool Municipal 111 Kurnool Roja Street 1 Space Available Government Corporation Kurnool Municipal 112 Kurnool Shareen Nagar Space Available Government Corporation Kurnool Municipal 113 Kurnool Bandimitta Space Available Government Corporation 114 Kurnool Municipality Atmakur Bus Stand Space Available Government 115 Kurnool Nandyal Municipality Harijana Wada Space Available Government 116 Kurnool Municipality Snjeevaiah Nagar Space Available Government 117 YSR Proddutur Municipality YMR Colony Space Available Government 118 YSR Kadapa Proddutur Municipality Vasanthapeta Space Available Government 119 YSR Kadapa Proddutur Municipality Devangam Peta Space Available Government YSR Kadapa Municipal 120 YSR Kadapa Katta Kinda Harijanawada Space Available Government Corporation YSR Kadapa Municipal 121 YSR Kadapa Chennumiyapeta Space Available Government Corporation YSR Kadapa Municipal 122 YSR Kadapa Nakash Space Available Government Corporation

Number of Facilities 122 Identified Facilities with Availability 42 of Room Facilities with Availability 80 of Space Facilities with 115 Government Building Facilities with Rented 7 Building