Information Brochure for submission of Expressions of Interest by Private Organizations/Institutions for installation of a PET-C T Scan Unit in the premises of Nilratan Sarkar Medical College & Hospital, 138A, A. J C BOSE Road, Kolkata-700 014 under Public Private Partnership. 2009-10 I. Background : In our State the Nilratan Sarkar Medical College and Hospital has the largest bed- capacity in its hospital. It is one of the largest hospitals in the eastern region of the country. It has vibrant units of Oncology, Neurology and Psychiatry, Cardiology and Pediatric. For sometime past it has been felt necessary that the pathological changes, long before those would be revealed, should be detected by some sort instrument/machine which would indicate future structural changes in tissues through structural imaging modalities like CT or MRI Scans. A study is also required which demonstrates more about the cellular level metabolic status of a disease than other types of imaging modalities. Hence, a decision has been taken that one PET-C T Scan machine should be installed in the said N R S Medical College for detecting the cellular level metabolic status of a disease including pathological changes going to occur. 2. The word PET means Positron Emission Tomography. It has been integrated with Computed Tomography (CT). Thus, Positron Emission Tomography-Computed Tomography (PET CT) has now emerged not only as important research tools but also as a very significant diagnostic imaging system in clinical medicine for evaluation of many diseases based on morphologic, physiologic, molecular and genetic markers of disease. The use of multimodality imaging systems and smart specific imaging agents will provide accurate diagnosis, treatment evaluation, surveillance and prognosis in individual patient. 3. PET study gives images of metabolic, molecular and cellular function of human body which can be used to measure glucose metabolism, blood flow and perfusion. PET-C T scanner simultaneously gives information to complimentary modalities i.e. anatomical and physiological modalities and evaluates diagnostic information in oncology, cardiology, neurology, pediatrics, infection and inflammation etc. Thus for serving the greater interest to public in general it has been decided that one PET-C T Scan unit should immediately be installed in the premises of N R S Medical College and Hospital, Kolkata under Public Private Partnership. Page 1 of 17 - 2 - II. Scope of services : a) The Health & Family Welfare Department has decided to install a new PET-C T Scan Unit in the premises of Nilratan Sarkar Medical College and Hospital, Kolkata (N R S Medical College and Hospital) under Public Private Partnership for scanning different patients relating to oncology, neurology, psychiatry, cardiology, infection & inflammation and pediatrics. • To provide PET-C T Scan facilities mainly to the patients of the above- mentioned Hospital, the Health & Family Welfare Department invites Expressions of Interest from registered Private Institutions/Organizations to establish a PET-C T Scan Unit for comprehensive analysis in one examination and one visit . • The Private Parties should mention the mode of procurement of Fluro De- oxyglucose[FDG] and other Isotopes. Whether the Private party is commissioning a Cyclotron of its own. If so, whether approval of the BARC/AERB(Atomic Energy Regulatory Board) has been obtained. The location of the proposed Cyclotron site may also be given. • The Private Party shall have to conduct PET-C T Scan procedure to the patients referred from the said Hospital and other Government Hospitals at the rates as may be finalized with the Private Party. The Private Party should offer rates without compromising the quality on the items given below : Sl. No. Name of the investigation Rates to be proposed by the Private Party 1. Whole Body PET-C T Scan - 2. Myocardial PET-C T Scan - 3. Infection and Inflammation Imaging - Whole Body PET-C T Scan 4. Brain PET-C T Scan - The proposed rates should be subject to the following stipulations : (i) The rates should include the cost of Fluro De-oxyglucose[FDG] ; (ii) Anesthesia, if required, may be charged extra @ Rs.700/- at the maximum; (iii) Testing of Blood Sugar will be done free of cost ; Page 2 of 17 - 3 - (iv) One set of films to be given to patients. Extra films, if required, may be charged extra. • The Private Party will have to conduct minimum of 3% of the total no. of PET-C T Scan procedures (Unit : Brain Scan or equivalent) done in a month free of charges (including the costs of accessories, consumables & medicines etc. as may be required) for the patients of BPL category referred from Government Hospitals. The Private Party may offer higher rates of free cases for the benefit of the BPL patients. [[ • The Private Party shall be at liberty to do PET-C T Scan of patients from private sources (other than the concerned Medical College & Hospital and other Government Hospitals) and the charges of PET-C T Scan for such patients may be determined by them subject to the condition that the Private Party shall be bound to pay 25% of the revenue at the flat rate earned per PET-C T Scan procedure from such private patients to the Medical Superintendent-cum-Vice-Principal of N R S Medical College as the case may be at the end of each month. b) Infrastructure : (i) Space : (a) The selected Private Party will be provided a rent free covered space of approximately 2500 sq. ft. in the above mentioned premises. The Private Party shall use its own infrastructure / facility, equipment and gadgets for offering such PET-C T Scan facilities. The physical infrastructure facilities must conform to the stipulations of the Clinical Establishment Act of the State and Rules framed thereunder. (b) The Department will provide access to electricity, water supply and sewerage line to the Private Party subject to the condition that the power, water and sewerage connections are to be arranged by the Private Party at their own costs from a nearest point of the premises suitably. All sorts of recurring expenses regarding power, water and sewerage for the space provided to them should be borne by the Private Party. Page 3 of 17 - 4 - (ii) Personnel : The Private Party would be responsible for deployment of necessary staff for providing the facility and State Government would have no responsibility whatsoever towards the same. The Medical and Technical Personnel deployed by the Private Party for running the PET-C T Scan must have appropriate qualifications in Radio-Diagnosis acquired from a recognized Medical Teaching Institution. The required documentary proof will have to be submitted by the Private Party in support of such qualifications. (iii) Quality Management requirements: PET-C T Scan Unit to be installed by the Private Party must conform to the processes and indicators in respect of Quality Assurance / Quality Management and Monitoring according to the standards followed internationally. (iv) Running costs and maintenance : The Private Party shall be responsible for meeting the charges of ongoing repairs, renovation of buildings, electricity charges, cost of consumables and non-consumables, maintenance of the PET-C T Scan machine and accessories. The Department of Health and Family Welfare shall not provide any financial support to the Private Party and shall not be responsible for any liability of the Private Party. (v) Timing of services : The PET-C T Scan services must be available round the clock. The PET-C T Scan machine system along with accessory systems must be operational for 95% of the time. 2. Certificates and Licenses required: The selected Private Party shall obtain the license under Clinical Establishment Act and Trade License, if any, before installation of PET-C T Scan Unit. The documents in support of financial solvency of the Private Party and institutional financial support, if any, should also be submitted. Accreditation from National Institutes will be given preference. Page 4 of 17 - 5 - 3. Maintenance of records : The Private Party should also indicate in their application, the mechanism and process of maintenance of records of PET-C T Scan to be conducted by them under this Scheme. 4. Report : The Private Party shall have to provide reports of the PET-C T Scan process along with actual plates and results to the patients by 12:00 hrs. of the next day to the day on which PET-C T Scan procedure was conducted. 5. Supervision and inspection : The functioning of the PET-C T Scan Machine and accessory systems of the private party, shall be subject to routine as well as surprise inspection by the duly authorized representatives including the Head of the Department of the Radiology of the concerned Medical College & Hospital and Medical Superintendent-cum-Vice-Principal/Principal as the case may be. 6. Educational facilities : For educational purpose, the undergraduate and postgraduate medical students as well as the teachers of the concerned Medical Colleges shall be provided access to the PET-C T Scan Unit, based on mutual convenience of both the Private Party and the concerned Medical College & Hospital. Scanned films of academic interests are also to be provided free of cost to a minimum of 3(three) cases per month to the Radiology Department of the concerned Medical Colleges & Hospitals. 7. Tenure of agreement : The agreement with the Private Party will be executed for a period of 5(five) years initially, renewable at the end of the term subject to satisfactory performance during the tenure of the agreement. 8. Termination of Clause : The Deed of Agreement will be prepared on the basis of the terms and conditions mentioned in the present Information Brochure and also those are finalized on mutually agreed basis during execution of the deed of agreement.