Even after implementing the Clinical Establishments Act 2010, more than half of the clinics have not registered under the Act in the four States and seven Union Territories where the law is in force, and many of the establishments were lagging behind in the standards.
According to a recent study as part of preparing the minimum standards for the clinics, the registration with the state government/central government was nearly 47 per cent while rest of them failed to produce any documentary evidence for the registration.
The study was conducted by Indian Medical Association with the support of the Quality Council of India in 61 districts spread in Delhi, Himachal Pradesh, Chandigarh, Arunachal Pradesh, Mizoram, Pondicherry, Sikkim, Daman & Diu, Dadra Nagar Haveli, Andaman and Lakshadweep.
“In support services the back up of electricity(85 per cent ) & medical records(89 per cent) are present however at many places the laundry arrangements(48 per cent) are present, in many cases they have tied up with some laundry set up. But in big multi speciality hospitals have their own services,” the study said.
According to it, medical records were still kept in hard copies in 88 percent of the establishments covered, but many big hospitals in the private sector have started with soft copies (electronic records).
“The presence of own blood bank is only in 11 per cent hospitals. However majority of the nursing homes have some attachment/ arrangement with the blood bank. Many nursing homes/ hospitals have ambulance service arrangements, although they may not own it but are outsourcing it. Pre-estimate charges, of planned elective surgery, normal delivery, etc., is made available which may change if any complication happens, hence revision of charges is also there. The consultation fee of the consultants is customized & fixed for all the patients,” according to the survey.
Among the major recommendations, the survey has called for infection control measures and creation of infection control committees in the hospitals. It also suggested bio medical waste management authorisation certificate, medical records maintenance by hard/soft copy, laboratory services, birth and death information register, back-up electricity, fire extinguishers, laundry facilities, ambulance arrangements, display of services etc among the minimum standards that should be maintained by the clinics.