The Clinical Establishments (Registration and Regulation) ACT, 2010

Minimum Standards forAYURVEDA CLNICS

Dr. Surendra Chaudharydr.surendra.chaudhary@gmail.com

These Standards are for Ayurveda Clinics,Dispensaries and Therapy centres only.

Standards for Hospital & Teaching institutes withIn-patients hospitals are different

-My views-Recommendations of he draft committee on

standards for Ayurveda clinics and hospitals are not explanatory in nature and so many points are not

covered.

The Clinical Establishments (Registration and Regulation) ACT, 2010

• The Act is for the Registration and Regulation of the clinical Establishments in the country and for matters connected therewith

• Act passed by Parliament in August 2010 and notified on 1st March, 2012.

• National Council under the Act notified on 19th March, 2012 and Central Rules notified on 23rd May, 2012

• Model State Rules have been circulated to the States/UT’s.• Ministry has requested the Chief Ministers to adopt and

implement the Act.• Highest priority of Govt. for implementation and monitored by

the PMO.

Definition of Clinical Establishment(i) a hospital, maternity home, nursing home, dispensary, clinic,

sanatorium or an institution by whatever name called that offers services, facilities requiring diagnosis, treatment or care for illness, injury, deformity, abnormality or pregnancy in any recognized system of medicine established and administered or maintained by any person or body of persons, whether incorporated or not; or

(ii) a place established as an independent entity or part of an establishment referred to in sub-clause (i), in connection with the diagnosis or treatment of diseases where pathological, bacteriological, genetic, radiological, chemical, biological investigations or other diagnostic or investigative services with the aid of laboratory or other medical equipment, are usually carried on, established and administered or maintained by any person or body of persons, whether incorporated or not,

Coverage All clinical establishments - including diagnostic centres and single doctor clinics, Including

ALLOPATHY

AYUSH

 Ayurveda

YOGA

Unani

Siddha

 Sowa-Rigpa 

 Homoeopathy

 Naturopathy

(Exception: establishments of the Armed Forces)

 

  

  

 

Objectives of the ActTo establish digital registry of Clinical Establishments at National, State and District level.

To prevent quackery by unqualified practitioners by introducing registration system, which is mandatory.

To prescribe minimum standards of facilities and services for all categories of health care establishments (except teaching hospitals, health care) and ensure compliance of other conditions for registration like standards treatment protocols, display of range of rates to be charged, maintenance of records.

Objectives of the ActThe minimum requirements of personnel as may be prescribed;

Provisions for maintenance of records and reporting as may be prescribed;

The clinical establishment shall undertake to provide within the staff and facilities available such medical examination and treatment as may be required to stabilize the emergency medical condition of any individual who comes or is brought to such clinical establishment.

Registration under Clinical establishments act

(Data accessed on 4-8-2016)

State Total Registration Ayurvedic Registration

Andaman&Nicobar 311 22Bihar 1 1-HomeoChandigarh UT 310 24Dadra&Nagar Haveli 42 13Daman & Diu UT 147 25Himachal 5186 1839Jharkhand 3096 111Rajasthan 88 17U.P. 5 -

Type of Ayurvedic Establishments

1. Clinic

2. Dispensary

3. Therapy Centre

4. Hospitals

1. Minimum 10 Beds

2. 11 to 25 Beds

3. 26 to 50 Beds

4. 51-100 Beds

5. More Than 100 Beds

CATEGORIES OF CLINICAL ESTABLISHMENTS-AYURVEDA1. Ausadh Chikitsa,

2. Shalya Chikitsa,

3. Shodhan

4. Chikitsa,

5. Rasayana,

6. Pathya Vyavastha

7. As categorised by Central Government *

*section 13(1) under the Clinical Establishments (Registration and Regulation) Act, 2010 reads; “Clinical Establishment of different systems shall be classified into such categories as may be prescribed by the Central Government from time to time”.

Mandatory RequirementsClinic1. Display the name of doctor with the degree. 2. Registration number of the doctor 3. Fee 4. Timing of the clinic 5. Experience of the doctor

Dispensary- in addition to the clinic6. Dispensing counter with signage 7. Name of the pharmacist with degree and experience

Therapy centre- in addition to clinic & Dispensary8. Display of the therapy performed in the centre 9. Fee structure for various procedures on daily as well as package

system

Minimum Standards for Ayurvedic Establishments

Specifications Clinic Dispensary Therapy Centre

Space(Sq.Feet) 100 100 150

Human Resource

DoctorOne One One

Multi-purpose Worker One One One

Pharmacist X One Pharmacist cum therapist

Minimum Standards for Ayurvedic EstablishmentsEquipments Clinic Dispensary Therapy Centre

Stethoscope1 1 1

B.P. apparatus 1 1 1Thermometer 1 1 1Torch 1 1 1Tongue depressor 1 1 1X – Ray view box 1 1 1Weighing machine 1 1 1Hammer 1 1 1Kharal 1 1 1

Other-as required Panchkarma equipments

Minimum Standards for Ayurvedic Establishments

Equipments Clinic Dispensary Therapy Centre

Doctor’s Table 1 1 1

Doctor’s Chair 1 1 1

Attendant Chair 2 2 2Patient’s stool 1 1 1Examination Table 1 1 1

Foot Step 1 1 1

Panchkarma Furniture X X As per

requirement

Facilities@ClinicEssentials

1. Name of the physicians with qualification & Registration Number inside the clinics.

2. Biomedical waste management authorisation certificate.

3. Fire Extinguisher

4. Display of services provided.

5. Minimum physical, furniture and equipments

6. Hand washing facility, Drinking Water and some waiting space

Optional

1. Noise and Air Pollution authorization certificate.

2. Electricity back up

3. Toilet facility

Licenses Name of the act Authority Status

Registration under shop and Establishment act

Local authority-Municipal board etc

If applicable

Registration under clinical establishment act

State government Applicable

Clearance for radiation safety Imaging Not applicableLicenses for distribution of medicine Drugs authority Not applicable Biomedical waste collection agreement BWM agencies Applicable*

Noise pollution control certificate Pollution control board

Applicable if generator is there

Generator Exhaust air quality -do- -do-

*-Applicable if any process is being offered.There are certain other licenses which are applicable on Ayurveda clinics if being run by societies or charitable trusts

Template for Clinical establishment Rate/Charges

Name & Address of establishment with e-mail

Registration number-provisional/ permanent

Type of establishment

Facilities available Charges/ consultationFee

OPD General

OPD Specialty

Investigation/Diagnostic-if any

Therapeutic Charges

Doctor consultation + any consumable expenditure + Medicine Charges(actual)+ any other

Specialty- Doctors fee + Consumable( during punch karma , ksharsutra ) + Therapy charges + any other + Medicine

Clinical Records supposed to be kept

OPD registration record

Treatment record

Medication Record

Report of investigations

Consent forms(All records are supposed to keep for three years)

Template for basic Processes-Registration

Registration number, Name

Age Gender

Socioeconomic status Address with pin code

Marital status Contact number/e-mail,

Veg/Non-veg Date and time of visit,

diagnosis Investigations if advised

Name of the doctor(Records can be kept electronically)

Assessment/ History taking TemplatePrimary complaint of the patient Family History

History of the primary complaint General Examination

History of Medication Systemic Examination

History of implants Physical Examination

Past History Prakriti estimation

History of Allergies Agni Pariksha

Diet & Lifestyle History Pathya-Apathya

Personal History Diagnosis-Provisional/Final

Treatment Re-visit instructionsTake note of any advise regarding home remedies, yogic

advise,Anupan etc

Template For Medical Certificate(As per Uttar Pradesh Draft)

Template for Examination(As per Uttar Pradesh Draft)

For Suggestions,additions,

omissions &comments

dr.surendra.chaudhary@gmail.com