Andhra Pradesh Medical Services & Infrastructure Development Corporation, plot no 9, survey no 49, IT Park, Mangalagiri, Guntur District 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 India 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.