Dr Shekhar Agarwal, utive Director, Sant Parmanand Hospital
One of the foremost issues regarding regulation in the health care industry is the compliance with Medicare standards. The Medicare standards, in turn, are them- selves made up of a wide range of individual  issues that include, but by no means are limited to: the clarification of the necessity for advanced beneficiary notices, streamlining the  process for writing orders for diabetic glucose monitoring supplies, as well as many others. At present, the methods of addressing these   concerns cut a broad swath, ranging from mere word processing work in which clarification is made through rewriting the language of policy to full scale changes in those policies or regulations. In some cases, however, it has actually been necessary to introduce regulations through legislation.


Kasi Raju, COO, Care Hospitals.
Health governance is scattered over ministries. There is poor efficiency of government expenditures.Accepting large number of unavoidable illegal medical practitioners and co-opt them with training is a real challenge. Patient laws must  guarantee quality, affordability and availability of medicines.

 
 


Rajiv Tewari, Director, Health & Wellness, Rockland Hospital.
There are already enough regulatory mechanisms in use by organisations  like  Central Government Health Scheme (CGHS), Delhi Government Employee Health Scheme (DGEHS) for the Government Employees. The insurance companies have their own mechanisms for ensuring their interests and the patients interests. All that is needed is a minor modification to the Government systems to ensure a quick response system to avoid delays in decisions and payment cycles. This will help  in the alignment of the private health care providers with the government ultimately benefitting the patients.


Dr Parvez Ahmed, Medical Director, Rainbow Children Hospital
One of the foremost issues regarding the regulation in the health care industry in the compliance with Medicare standards. All the healthcare organizations have to comply with the regulatory requirement. Its  emphasises on patients, employees and environment safety. Some of the healthcare organisations are lacking in the compliance of the regulatory requirement like compliance with the fire safety, Atomic Energy Regulatory Board (AERB) approval and disposal of hospital   hazardous liquid waste/effluents as per the statutory norm.


Aditya Vij, CEO, Fortis Hospital
The complex set of regulations for starting a new hospital varies from state to state. For example, in context  of fire protection and safety regulations for hospital buildings, each state follows different set of rules and has different criteria for building  height restrictions. In the context of construction of new hospitals, Floor Space Index (FSI) norms for hospitals and commercial buildings  are same in most of the states. Few state governments e.g. Maharashtra allows additional FSI for trust hospitals but this benefit is not  extended to private hospitals. We are also facing issue of collecting payments from government agencies such as Ex-servicemen  Contributory Health Scheme (ECHS) and Central Government Health Scheme (CGHS) for treatments provided.


Dr Sujit Chatterjee, CEO, Dr L H Hiranandani Hospital
There are for example archaic laws which we are still focused and point in case is the Drugs & Cosmetics Act 1940. Recent version on this has still not seen the light of the day. Looking at the scenario it is imperative that Indian Government should think about formulating a  comprehensive plan of regulations Indian healthcare.


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