COMMITTEE REPORT FOR ENGAGING

CONSULTANCY SERVICES FOR NABH FULL ACCREDITATION FOR THE

ESIC SUPER SPECIALITY HOSPITAL SANATHNAGAR,HYDERABAD 500038.

The Dean, ESIC Super Speciality Hospital, Sanathnagar, Hyderabad

500038,invitesEOIunder“TwoBidSystem”i.e.(TechnicalBidandFinancialBidseparately) from
interested and eligible consultancy agencies for providing consultancy services for NABH
Full Accreditation for the ESIC Super Speciality Hospital, Sanathnagar, Hyderabad 500038

Bid Closing Date ddmmyyyy

Bid Period 10 days
Bid Validity 90 days
Pre-Bid Meeting Date/Place ddmmyyyy,11:00AM,II Floor,
Administration Block, ESIC Super Speciality
Hospital, Sanathnagar, Hyderabad 500038

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 GEM BID FOR PROVIDING CONSULTANCY SERVICES FOR FULL NABH
ACCREDITATION FOR THE ESIC SUPER SPECIALITY HOSPITAL,
SANATHNAGAR, HYDERABAD 500038

Scope for NABH Consultancy:

Sl. No Description of Work

1. GAP Analysis & awareness training

a) Consultancy for NABH full accreditation for ESIC SUPER SPECIALITY

HOSPITAL, SANATHNAGAR, HYDERABAD 500038

b) Assist the existing facilities in the various departments of ESIC SUPER

SPECIALITY HOSPITAL, SANATHNAGAR, HYDERABAD 500038 to make a
GAP Analysis for compliance with NABH Standards.

c) To Assess the existing facilities in all existing departments as mentioned in (a)

above and issue a GAP Analysis for compliance with NABH Standards

d) Awareness training to all Doctors, Staff Nurses & Technicians paramedical,

Housekeeping and security (duration of each session will be for 2 hours each
covering every member involved in the pre-analytical and post analytical process.)

e) To provide formal and informal technical guidance to the Institution in fulfilling

the criteria laid down in recent NABH standards in the various departments within
the Institution.

2. Documentation & Training

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a) Training on GAP Report findings to fulfil the deficient details

b) SOP's & Document Preparation-policy and procedure formulation as per NABH

Requirements.

c) To prepare all manuals, Standard operating Procedures and documents require dor
accreditation as per NABH Requirements.

Conduct Management Review Meeting

Training on documentation and implementation of accreditation as per NABH

requirements.

d) Training on Documentation & Implementation Protocols

e) Initiation of incident reporting, root cause analysis and corrective and preventive
action (CAPA)
f) Initiation of patient feedback collection, analysis and CAPA Data collection for
quality indicators, analysis and CAPA.
g) Activation of emergency codes, formation of hospital committees and organising
meetings.
3. Audits–Internal/Accreditation

a) Training on Conduct of Internal Audits and implementation.

b) Prepare Internal Audit Check list

c) Assist at the time of Internal Audits, pre Audit and Accreditation audit by NABH

d) Assist at the time of Internal Audit

e) Conduct of Audits –Two rounds of audit - Mandatory

4 Guidance to apply for NABH Application & Final Accreditation

a) Facilitation of preparation & sending of Application to NABH

b) Assist at the time of Pre Audit

c) Adequacy Report

d) Pre-assessment Verification

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 Conduct Management & Review Meeting

Assist at the time of Accreditation Audit by NABH

e) Final Audit Verification

f) Assist in providing clarifications/corrective action Reports to NABH.

g) Consultancy should Assist in closure of any non-conformities raised. Direction of

final assessment NC closure preparation if any, and its submission.

INTRODUCTION:

Employees’ State Insurance Corporation Super Speciality Hospital located at Sanathnagar,

Hyderabad is a ISO 9001:2015 and NABH (Entry Level) certified Hospital providing super
speciality services like Cardiology, Nephrology, Urology, Pediatric Surgery, Neuro Surgery,
Neurology, CTVS to the Insured Persons (IPs). The Hospital is planning to get Full NABH
accreditation. The purpose of this Bid is to engage an authorized consultant for facilitating Full
NABH accreditation.

INSTRUCTIONS TO BIDDERS:

1. The rates quoted should not be higher than that quoted in case of any other organization /
Institution.
2. The contractor is to be entirely responsible for the execution of the contract in all respects
in accordance with the terms and conditions as specified in the bid document. The
contractor shall not sublet, transfer or assign the contract or any part thereof without the
written permission of the Dean/Competent Authority. In the event of the contractor
contravening this condition, Dean/ Competent Authority shall be entitled to place the
contract elsewhere on the contractors account at his risk and the contractor shall be liable
for any loss or damage, which the Institution, may sustain in consequence or arising out of
such replacing of the contract.
3. Insolvency and breach of contract: The Dean/Competent Authority may at any time by
notice in writing summarily terminate the contract without compensation to the contractor
in any of the following events, that is to say:-

i) If the contractor being an individual or if firm, any partner in the contractors firm, shall at
any time be adjudged insolvent or shall have a receiving order or orders for

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 administration of his estate made against him or shall take any proceedings for
liquidation or composition under any insolvency not for the time being in force or shall
make any convenience or assignment of his efforts or enter into any arrangements or
composition with his creditors or suspend payment of if the firm be dissolved under
partnership act, or

ii) If the contractor being a company shall pass a resolution or the court shall make an order
for the liquidation of the affairs or a receiver of Manager on behalf of the debenture
holder shall be appointed or circumstance shall have arisen which entitled the court or
debenture holders to appoint a receiver or Manager.

iii) If the contract commits any breach of this contract not herein specifically proved for:
Provided always that such determination shall not prejudice any right of action or remedy
which shall have accrued or shall accrue thereafter to the purchaser and provided also
that the contractor shall be liable to pay the purchaser for any extra expenditure, he is
thereby put to but shall not be entitled to any gain on repurchased.

4. Right to accept / reject: The competent authority reserves the right to reject any or all bids
without assigning any reason whatsoever. Also, the competent authority reserves the right
to award any or part or full contract to any successful agency at its discretion and this will
be binding on the bidders.

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5. The personnel employed by the tenderer should have proper ID cards.

6. The contractor will be responsible for such conduct of the persons engaged by him in the
hospital, which will be conducive for maintaining a harmonious atmosphere as expected in
the hospital and will be responsible for any act & omission of such persons.

7. In the event of any violation of laws, rules, statutory provisions by the contractor, this will
amount to breach of contract and in such case, the hospital will have the right for
terminating the contract, forthwith, without giving any notice or assigning any reason.

8. The bidder agency should have been approved by the the Quality Council of India (QCI) or
should have qualified lead assessors on for dealing with NABH Accreditation work

9. Past work experience in brief along with the current assignments handled especially
mentioning the major clients (not less than three). Bidders are required to confirm the
fulfillment of the evaluation criteria by submitting relevant documents in the following
areas:
A) Bidder shall demonstrate and should have work experience certificates, contract orders
and completion certificates of their existence in the NABH consultancy services for the
last 2 (two) years as on 31.03.2023
B) Bidder shall preferably demonstrate similar experience of rendering consultancy
services in the area of NABH Accreditation & certification of R&D/PSU/State/Central
government organizations during the last two financial years. (Submit relevant
scanned copies)
10. Major clients served by the bidder organization in the past along with the present
assignments enlisting the nature of work, copies of work/contract order, details of
references, work experience certificate, work completion certificates. (Submit scanned
copy)

11. Brief detail of qualified professionals employed by the bidder organization along with
complete detail of team members proposed for ESIC Super Speciality
Hospital,Sanathnagr,Hyderabad 500038 assignment including the ir name, experience,
profile, specialization etc. keeping in view the requirement mentioned in bid evaluation
criteria are required to be furnished by the bidder.

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 12. Rates quoted shall be deemed to be inclusive of cost of manpower, travelling, lodging,
food expenses, software/hardware, stationery, prints and presentation material etc..
No escalation of whatsoever nature, shall be payable in future due to any
revision/amendment in any act/statute governing this contract.

13. Any loss to ESIC on account of non-performance of the contract, deficiency,

inperformance due to lack of quality, non-performance in time or similar deficiencies, will
be recovered from the bidder and contract shall be liable for termination.

PAYMEN TTERMS

1. Rates quoted shall be deemed to be inclusive of applicable taxes, cost of manpower,

travelling, lodging, food expenses, software/hardware, stationery, prints and
presentation material. No escalation of whatsoever nature, shall be payable in
future due to any revision/amendment in any act/statute governing this contract.
2. No advance payment shall be made
3. Any registration fee payable for the purpose of NABH accreditation may be
required to be paid by the selected agency and shall be reimbursed as per actual by
the Hospital. Similar procedure is applicable for any other incidental charges.
4. 50% of the Payment will be made after successful submission of NABH Full
Accreditation Application and remaining 50% on receipt of NABH Full Accreditation
Certificate. Payments shall only be made through Online Transfer

AMENDMENT OF CONTRACT

During service delivery period some conditions may occur when the Buyer and/ or Seller may
require to amend the Agreement, some of such conditions maybe as followed-

i. Amendment of the Contract after event of Force Majeure: In case of occurrence of any
exceptional event/circumstance which has affected either party directly to perform the

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 agreed services, the agreement can be amended. However, cause, evidence and nature of
such effect shall be noticed to the other party.

TERMINATION OF CONTRACT

The Agreement shall become to an end either on completion of the Contract Period or shall
be terminated for the following reasons:

i. Mutual consent: The contract may be terminated based on mutual consent in case the
services are no longer required. Termination based on mutual consent will not, attract
any penalties or shall not be liable for any extra payments other than payment of
invoices raised till the time of termination including notice period.

ii. Breach of contractual obligations: Any incidents considered as the breach of contract
will result in immediate termination of services. The Buyer shall have the right to
terminate the Contract effective immediately by giving written notice to the agency, if
he breaches a material provision of this Contract where that breach is not capable of
remedy; or if breaches any provision of this Contract and fails to remedy the breach
within 14 days after receiving notice requiring it to do so.

iii. Breach of SLAs: The contract may also be terminated if

i) The cumulative penalties rise to 10% of the contract value
ii) Repeated breach of any SLA beyond 3 instances as per buyer discretion.

However, termination of this Contract shall not affect any accrued rights or remedies of either
party

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