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Background (1/1)

AERB Compliance in Uttar Pradesh Dr Ved Prakash , General Manager ( Procurement ) , National Health Mission, Uttar Pradesh. 4 th National Summit on Good, Replicable Practices and Innovations in Public Health Care Systems in India 8 th July 2017. Background (1/1).

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Background (1/1)

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  1. AERB Compliance in Uttar PradeshDr VedPrakash, General Manager ( Procurement ) , National Health Mission, Uttar Pradesh 4th National Summit on Good, Replicable Practices and Innovations in Public Health Care Systems in India 8th July 2017

  2. Background (1/1) • To ensure compliance to AERB norms in all Radiological Units . • UP is the first state to publish RFPs for AERB Safety Regulation in such a large scale. • The Model RFP was developed , with technical support from Health Care Technology Division of NHSRC and UPTSU. We extend sincere thanks to both organizations. • The work will be completed in three phases : • Part 1 - Compliance Study • Part 2 – Infrastructure Development • Part 3 – Issuance of Licence of Operation from AERB • Scope of work : Compliance Study, Infrastructure development and Issuance of Licence for Operation as per AERB regulations. in 479 Diagnostic Radiation Installations across 75 Districts of Uttar Pradesh .

  3. clustering details

  4. AERB Concepts (1/2) • steps to be followed for registering each Installation of the facility on the e-LORA1 website. 1 e-LORA (e-Licensing of Radiation Applications), portal from AERB to facilitate issuance of licenses. 2TLD Card: Thermoluminescent dosimeter is a passive radiation detection device that is used for personal dose monitoring

  5. AERB concepts (2/2)

  6. Scope of Work for consultant (1/2) Part 1: Compliance Study • The Consultant will conduct the safety regulations survey across all facilities in scope of study. The study will identify gaps from the AERB regulations: • Data Collection in the prescribed format for all the facilities in scope of study • Submission of Survey Report and Work plan for Infrastructure Development • Enlist the infrastructure augmentation requirement • Describe the implementation guidelines for infrastructure augmentation • Submit a list of Installations which are not type approved to the authority • The Consultant shall make its own arrangements related to travel expenses for conducting compliance study across all the facilities in scope

  7. Scope of Work for consultant (2/2) Part 2: Infrastructure Development • Based on the results of Gap Analysis, the Consultant shall upgrade the non-compliant installation, as per AERB norms • Ensure Availability of patient (1 no.) and Healthcare worker (2 No.) Lead Apron gown • Provision of Warning Lights • Lead Lining for Doors & Windows as per AERB Regulations • Mobile Barriers for Healthcare Workers • Availability of Chest Stand (1 No.) • Civil Work like closure of Windows, Shifting of Entrance Door, Increase in wall thickness as per AERB Regulations • Proper Display of Radiation Hazard Signage • Conduct Quality Assurance and Calibration of all Installation Part 3: Issuance of Licence for Operation from AERB • After ensuring upgradation of the non-compliant installation in the facilities , the Consultant shall facilitate Licence for Operation from AERB of each Diagnostic Radiation Installation.

  8. Project cost • The Average Cost for a Single Installation would be approximately Rs. 1 Lakhs(Construction & Infrastructure Development per unit equals to Rs 2 lakhs approx. will be additional, on actual basis ) • Major Cost Heads • Civil Work like closure of Windows, Shifting of Entrance Door, Increase in wall thickness as per AERB Regulations • Protective Equipments (Lead Aprons, Warning Lights, Chest Stands, Mobile Barriers) & TLD Cards • Lead lining of Doors and Windows • Calibration and Quality Assurance

  9. Payment Terms & Time lines (1/2) Payment for Civil Work (Layout Work) will be as per the applicable PwD Rates, payment will be made basis invoices raised on monthly basis 5 T: The date of Signing of Contract between the Authority and the Successful Bidder(s) for each cluster.

  10. Payment Terms & Time lines (2/2) • Payment Methodology: • The Consultant shall submit an invoice of the Civil Work (Layout) for the facilities in a Cluster as per the applicable PwD Rates to the Paying Authority on the Monthly basis. • The Consultant shall submit a Self-Declaration Form for completion of each milestone (in previous slide) which make the basis for payment as defined in to the Paying Authority on the Monthly basis. • The Paying Authority can raise objection within 15 days of receipt of invoice/Self-Declaration Form and on 16th day the verification claim will be considered approved; in case no objection is raised. • In case of objection raised by Paying Authority, the same will be resolved through verification from the Inspection Committee formed by the Nodal Authority. • After verification of invoices/Self-Declaration Form, the Paying Authority will make the payment within 30 days of verification of the Invoices or after 30 days of resolution of dispute, whichever is later, for all invoices/Self-Declaration Form raised.

  11. Thank you

  12. Appendix I: Required Human Resources for each Diagnostic radiation Installation Human Resource Staffing: • Below are the minimum qualifications required for Radiation workers according to AERB mandate. For obtaining License for X-ray equipment installation and operation, availability of adequate no. of Operator/Radiologists is mandatory: Source: Medical Diagnostics Radiology Module, e-LORA System Guidelines (July 14, 2016)

  13. Appendix II: Model layout for X-RAY installation Source: Medical Diagnostics Radiology Module, e-LORA System Guidelines (July 14, 2016)

  14. Appendix III: Model layout for CT Scan installation Source: Medical Diagnostics Radiology Module, e-LORA System Guidelines (July 14, 2016)

  15. Appendix IV: Model layout for Mammography installation Source: Medical Diagnostics Radiology Module, e-LORA System Guidelines (July 14, 2016)

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