a:i!f:*..-ffi- #*#J$r ea-slarE- clTs;r District Disaster Management Authority, Collector Office, Gondia Ph. (07182) 236149,236141,To||Free No. 1077, Fax 071 82-236145 Em ai I - rdcgon di a(iD,gmail. com, co I I ector. gon di a@m aharashtra. gov. in, No.D-M/CORONA VIRUS/ Dt t'l 104t2021

Ref:-

1. Disaster Management Act 2005, Section 30, 33, 34,41, 51 & 58 2. The Epidemic Diseases Act, '1897 3. Govt. of , Public Health Dept, Notification No Corona-20201CR S8/Arogya-S Dated 13.03.2020 4. Govt. of Maharashtra, Public Health Dept, Notification No.Corona2020/C.R.s8/Health Dated 14.03.2020 5. Govt. of Maharashtra, Public Health Dept, Notification No. Corona 2020/C.R.g7iArogya -5 Dated 21.05 2020 6. Govt. of Maharashtra, Public Health Dept, Notification No. Corona 2020/C.R.g7/Arogya-S Dated. 31 Aug, 2020 7. Govt. of Maharashtra, Public Health Dept, Notification No.Corona-20201C.R.971 Arogya-05 Dated 15J2.2020 B. Govt. of Maharashtra, Public Health Dept, Notification No.CORONA- 20201C.R.97lArogya-05 Dated 27 .02.2021 9. Civil Surgeon, Gondia Letter no. G.H.G./Covid-19/Hospital/Suvidha/2948-50121

Dated 07 04.2021

10. Hon. Principal Secretary, Public Health Dept GoM letter no. CovidStatus/CR-

97 I Aa-S Dated 101412021

11. Hon Commissioner Food & Drug Administration letter No. AK/CSl16-21109 Dated 0710412021 . r ORDER Whereas, the Government of Maharashtra exercising the power conferred under section 2,3 and 4 of the Epidemic diseases act, 1897 has framed regulation for prevention and containment of Covid-19 under No.2020/CR/58/Arogya-5 dated 131312020.

Whereas a large number of persons including those affected by Covid-19 are in need of treatment and various Hospitals, Nursing Homes, Dispensaries (hereinafter referred as Healthcare Provider) registered under Bombay Nursing Home (Amendment) Act, 2006 are treating such patients. --

tvlulti- Whereas Civil Surgeon Gondia has recommended Ayush Critical Care & provide hea':- :are speciality Hospital , Near Hindi School Ground, Rail Toli Gondia to facilities to Covid-19 Patients. Gro:nd, Whereas Ayush Critical Care & Multi-speciality Hospital , Near Hindi School RailToli Gondia reserved l0bedstoprovidehealthcarefacilitiesforcovid-'19patter:s provisions ol Therefore, in exercise of the powers conferred as per the enabling amount of money above referred Acts, to redress the grievances regarding exorbitant charged by Healthcare Provider from the patients' Multi-speciality l, The District Collector, Gondia hereby permitAyush Critical Care & symptoms' The said Hospital Gondia to treat covid-19 patients with moderate to severe wherein B0% of Healthcare Provider has lcU & oxygen supported beds at their disposal, per revised State lsolation beds will be regulated by administration as the and other Government Notification No.CoRONA-2020/C.R.97/Arogya-05 Dated 27.02-2021 abide by following notifications applicable at present, the above Healthcare Provider shall terms and conditions. Terms & Conditions

patlents showing moderate to 1. The Healthcare Provider should admit only to severe symptoms of Covid-19. Asymptomatic patients should be referred Covid Care Centers. 2. For Covid-19 Patients treated at any of the Hospitals/ Nursing homes/ clinics

coveredunderthisorderaCroSSthedistrict,ratesshallnotbemorethanrates ;i ' For Non-Covid patients rates will be as per '*'o'- prescribed in Annexure-C. t'(: ii: No. Corona-,/ ' i Annexure-B read with Annexure-A of the Notificatlon """-/ iffil'# with proviso that Clauses' 2O2OlC.R.97/Aro-05 Dated 31.08'2020 a ff i covid patients and;'r.. 4,8,9, 11,12,14, and 15 shall not be applicable to Non \.- : from time to time other terms and conditions prescribed by state government \,- ; permitted q;-n&-i* 3. l-lealthcare provider shall display at a prominent place number of Home 1949 beds fpermitted as per The Maharashtra Nursing Act (Amendment) Act 2006, operational beds, B0:20 division of beds' status of availability of beds, details of rates applicable as per the above Notification' The hospital shall furnish the details to THO & M.S who shall update the

same on the Portal" 4. Healthcare Provider shall display at prominent place the details of rates applicable as per above Notification. lt is the duty of the concerned Healthcare of provlder to explain to the patient / relatives of the patient details of all types nharnoq The Healthcare Provider shall provide this infornration to District Magistrate and Surgeon, District Health Officer at a frequency prescribed by them 6 The package rate fixed in this notification for charging patients is inclusive of Doctor's fee & ihe Healthcare Provider concerned has the right to call such of its visiting Doctors to render the required service & pay such amount as it decides for the said services out of the package amount so charged. Any denial by the Doctors will attract penal action under various Statutes referred to in this notification including cancellation of MMC Registration. b. For PPE Kit maximum chargeable amount has been mentioned in Annexure-C. lf any of the items mentioned here are used for more than one patient then the prescribed cost may be divided among such patients.

t. l-iealtlrcare Provider shall give pre-audited bill to the patient. lf at a later date it is foLrnd that extra charges have been levied then excess amount shall be reimbursed to the patient. 8. Nursing and other support staff working with the Healthcare Provider shall give full support and extend wholehearted cooperation for the smooth fr-irrctioning of the Healthcare Provider which comes under Maharashtra Essential Services Maintenance Act, 2005. Any group or union activities against the smooth functioning of the Healthcare Provider will attract penal Provision under the said Act. 9. Healthcare Provider shall take efforts to achieve its maximum capacity by appoirrting required staff. S\$ 10.1'he Healthcare Provider shall be responsible for procuring and stocking \e, ,rl r; Medical Oxygen for admitted patients at the facility. For that they will have to preferably set up their own in house oxygen generation plant at the earliest. 11.T1-re Healthcare Provider shall be responsible for providing essentials drugs incluciing Remdisivir inj to the admitted patients subject to guidelines of GoM

under ref. 10 and '1 1. l2.Healthcare Provider shall run the Hospital in accordance with all prevalent Acts, Rules and Regulations under which Hospitals are required to be run and even all Circulars, Notifications issued by the CentraliState Government in respect of treatment of COVID-19 patients shall be binding, and for any breach of the same the Hospital shall be held liable. l3.Healthcare Provider shall follow ICMR/ Government guidelines for Admission, Treatment and Discharge of COVID-19 patients. Surgeon shall visit.these facilities time to time and report the status to the District Collector. l5.Healthcare Provider shall ensure adequate staff and Doctors to run the Hospital as per Maharashtra Nursing Home Registration (Amendment) Act 2006. The hospital should make available Ambulance to patients in case of Emergency referral.

l6.Healthcare Provider shall ensure that all health care staff are trained in general hygienic practice, respiratory etiquettes, donning /doffing and proper disposal of PPEs and ensure proper Bio-medical Waste Management. lT.Healthcare Provider will be responsible for providing good quality food as per the extant FDA guidelines

lB.Fever Treatment Center should be established and Hospital should try to install testing facility as soon as possible" 19.The Doctors, Nurses and Para-medics working in the wards must wear three layered surgical mask and gloves. The medical personnel working in lsolation Wards and Critical Care Facilities will wear full complement of PPE (including N95 masks). The support staff engaged in cleaning and disinfection will also tltV/ wear full complement of PPE. 20. Environmental cleaning should be done twice daily and consist of damp dusting and floor mopping with Lysol or other phenol disinfectants and cleaning of commonly touched surfaces with sodium hypochlorite solution. 21. Healthcare Provider should report daily to Collector office Gondia in the prescribed format about the admissions, discharge and death of Covid positive patients. 22.This order slrall be valid up to 31 May 2021 and may be extended depending upon the status of Covid- 19 Pandemic" 23. Section 144 of CRPC will be enforced in the hospital premises. Entry and Exit will be regulated accordingly. 24,Shri Jakkulwar AAO Collector Office Gondia hereby appolnted as Nodal Officer for overseeing the day to day activities of the Healthcare Provider" lt shall be mandatory on the part of Healthcare Provider to provide information sought by the Nodal Officer. lf the Healthcare Provider found violating this order or any provision of the Nortifrcation under reference 6 shall be deemed to have committed an offence and shall be liable for cancellation of registration of nursing home as 2005' act, 1897 and section 51 to 58 Disaster Management Act,

Additional Collector, Gondia shall act as District Nodal Officer to comPliance of oversee the functioning of Healthcare Provider as also ensure rules & regulations.

Dated- 1110412021 f"*"T',i -T; dxtn (Deepak kumar Meena) Collector Gondia

Copy to 1. Hon. Divisional Commissioner, Division 2. Chief Executive Officer, Z.P" Gondia 3. Superintendent of Police, Gondia 4. Additional collector, Gondia for information and necessary action' 5. Dean, Govt. Medical College, Gondia action 6. Dist. civil surgeon, Gondia for information and necessary action 7. Drst. Health officer, Gondia for information and necessary B. SDO Gondia for information and necessary action necessary action 1-..N 9. Sub Divisional Police officer, Gondia for information and '\, x\ 10. Tahsildar Gondia for information and necessary action and necessary 11. Chief officer, Nagar Parrshad, Gondia for information action. ffi)3 AAO Collector office Gondia for necessary action 12. shri. Jakkulwar Hospital care & Multi-speciality ' ,tl'y 13. Dr. Jitendra Gupta Ayush critical Near Hindi School Ground, Rail Toli Gondia

For necessarY action

{1o<1vl (Deepak Kumar Meena) Collector, Gondia