11 District Hospitals of Himachal Pradesh
The existing district hospitals suffered from multiple issues of inadequate or outdated diagnostic equipment. The hilly terrain, adverse weather conditions and lack of trained manpower made good quality medical diagnosis scares. Waiting queue for diagnostics at district hospitals were reaching an alarming rate. The paying capacity of the masses was not sufficient to support private medical care. Presence of world class medical diagnostic facilities in nearby cities of Chandigarh etc. at affordable rates prompted the citizens to travel outside the state for medical needs. High rate of technological changes rendered the machines obsolete every few years and realising salvage value was not possible due to the cumbersome procedures.
Health care had traditionally been a public service provided by the State. While this model had many benefits, the initial CAPEX requirement and recurring O
With focus on providing quality diagnostic healthcare services to the patients in India, Krsnaa Diagnostics Limited, incorporated in 2002 by Dr. Vinay Shanker, emerged as one of largest diagnostic services provider of Radiology and Pathology in India. Their mission to provide healthcare services that are easily accessible and affordable to anyone who seeks best quality diagnosis, made them a perfect fit for the envisaged vision of the project. The concessionaire, in addition to the latest machines, also brought in workforce capable of rapid deployment and delivery of accurate reports prepared by well-qualified Radiologists and Pathologists from across the globe.
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Area for setting up the diagnostic center
Shortfall scans at pre-determined rates
Adequate freedom to the concessionaire for operations, while ensuring that the quality of diagnostic care is not compromised.
diagnostic centers were allowed to entertain private doctor preion scans, which would also be counted against the minimum assured scans
In case the actual scans fell short of the minimum assured scan nos, the PSA would pay the concessionaire for the shortfall scans at pre-determined rates.However, if the total actual scans exceeded the minimum assured scan on cumulative basis for all locations, then the concessionaire would have to share a percentage of revenue from these excess scans, with the PSA, the rate of revenue share being the bid parameter.
The balanced approach to the concessionaire and PSA obligations made the project bankable and viable, with concessionaire’s obligation to pay precipitating only when there was ability to pay and not always. The area for setting up the diagnostic center was provided by the DH at prefixed inexpensive rentals, which ensured lower cost to the concessionaire. The DH assisted the concessionaire in obtaining required electricity connection, this assured the concessionaire of ‘paying as per usage’ and not in fixed lumpsum despite lower actual usage. The DH also provided an option to the concessionaire to procure their existing machines and utilize them for the project, at a fixed upfront cost. Lastly, at the end of the concession period, the concessionaire is free to take away the machines without having to pay anything to the authority, thus retaining the ownership of the machines. This was a win-win for the PSA as well as the concessionaire as PSA would not have been able to sell the machines and they would be useless for the PSA, while the concessionaire may deploy the machines for some other project
Enhanced quality affordable diagnostic services enhanced t
Quick and accurate diagnosis
The availability of quality affordable diagnostic services enhanced the ability of the DH through quick and accurate diagnosis and also provided assurance to the patients and their relatives regarding commitment of the authorities for their cause. Fixation of the ceiling charges ensured affordability of the services to the masses.
The project is successfully implemented and operation and has high scalability
The balanced approach to the concessionaire and PSA obligations made the project bankable and viable, with concessionaire’s obligation to pay precipitating only when there was ability to pay and not always. The area for setting up the diagnostic center was provided by the DH at prefixed inexpensive rentals, which ensured lower cost to the concessionaire. The DH assisted the concessionaire in obtaining required electricity connection, this assured the concessionaire of ‘paying as per usage’ and not in fixed lumpsum despite lower actual usage. The DH also provided an option to the concessionaire to procure their existing machines and utilize them for the project, at a fixed upfront cost. Lastly, at the end of the concession period, the concessionaire is free to take away the machines without having to pay anything to the authority, thus retaining the ownership of the machines. This was a win-win for the PSA as well as the concessionaire as PSA would not have been able to sell the machines and they would be useless for the PSA, while the concessionaire may deploy the machines for some other project.
High quality Radiology and Pathology services
