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Statement of Capability Page 1
STATEMENT OF CAPABILITY
AND
PROJECT HISTORY
CK Reg No 98/60772/23
Effective HEALTHCARE SOLUTIONS AFRICA cc
SERVICES: Consulting Planning Design Project Co-ordination And Management
Procurement and Supply of Medical Equipment and Associated Products
Local and Export
RESUSSI-CARE DIVISION
P.O.Box 4251, Halfway House, P.O.Box 6459, Zimbali 1685.Gauteng, South Africa 4418,KZN, South Africa Tel: (27)(11) 310 1170 082 761 8766 Fax: (27)(11) 310 1073 0866138092
Statement of Capability Page 2
EHSA offers both consulting and project management services to healthcare industry
clients. Essentially, these services are relevant to existing healthcare or green field
projects and encompass Nursing dynamics, Standards, Policies and Procedures,
Controls and Systems, CAPEX medical & Non-medical - Budgeting, cost accounting,
planning,specification,procurement and commissioning. EHSA has successfully
completed 31 healthcare projects throughout Africa and has consulted in the following
facets: Emergency Medical Services( equipping of Basic, Advanced , Air Ambulances
and Mining Proto-teams) Primary Healthcare (including mobile, fixed and containerized
clinics), Acute (Public, Private, NGO and Specialized), Academic hospitals (Public &
Private) and Triple P projects (Public-Private Partnerships).
Our objective is to facilitate and ensure the delivery of comprehensive, cost effective and
integrated, healthcare, appropriate to the prevailing needs of the surrounding
community, in partnership with all the relevant stakeholders. In achieving its objectives,
EHSA utilises its employees` medical background and expertise to achieve a high
standard of proficiency and success.
As a consultancy-based company, EHSA not only provides expertise based on
extensive experience as healthcare professionals, but is also able to maintain an
impartial approach in the evaluation of the clients needs. EHSA can,therefore, utilise
associate specialists in meeting a broad spectrum of requirements.
MISSION STATEMENT
Effective Healthcare Solutions Africa (EHSA) is committed to:
o Supporting the concept of social upliftment of the disadvantaged peoples of
Africa through medical expertise, knowledge and service.
o Identifying the needs of clients in order to execute effective solutions through the
provision of professional consulting, expertise, knowledge and advice.
o Sourcing and supplying specialised equipment to the healthcare industry through an extensive network base
o Ensuring total commitment and extensive after-sales support to all clients
Statement of Capability Page 3
ETHOS
EHSA`s commitment to its clients and to the healthcare industry in Africa, extends to its
support for upliftment projects that are aimed at assisting the disadvantaged people of
Africa. This commitment is further highlighted in EHSA`s ethos:
“ At the end of the line- there is a patient” MAUREEN ADELE COWAN: NURSING, PROCUREMENT, NURSING STANDARDS AND
DYNAMICS, HOSPITAL COMMISSIONING
Maureen is a founder member of EHSA with 40 years experience in the Healthcare
Industry. She holds several Nursing Diplomas from Johannesburg Hospital, namely a
Diploma in General Nursing and Midwifery and a Diploma in Intensive Nursing
Science.She was employed as a student nurse in 1975 and worked her way through the
ranks as a Junior Sister, Senior Sister and ended her nursing career as a Chief
Professional Nurse (Senior Matron) in the Intensive Care Units. During her time in the
Surgical Intensive Care Unit, she was actively involved in flying for the “Flight for Life” Air
Ambulance Service.
On account of her specialized experience, she was invited to deliver research papers on
various aspects of Intensive Care at a number of Medical Congresses. She also
qualified as an Emergency Medical Assistant in 1993. She has since extensively
researched the needs of the Health Care Industry.
Maureen has proven herself by successfully Project managing 31 Health Care projects
in Africa.
PROFESSIONAL QUALIFICATIONS:
Registered Nurse, Registered Midwife (1978)
Diploma in Intensive Nursing Science (1981 - Johannesburg Hospital, South Africa)
Business Development course (1989 - Wits Business School, South Africa)
Emergency Medical Assistant Diploma (1990 - UCB Criticare, Johannesburg, South
Africa)
Professional Staff Compliment
Nursing Consultants: 3
Statement of Capability Page 4
HOSPITAL EXPERIENCE
University/Academic South Africa:
UCT Medical Center, Groote Schuur Hospital, Cape Town (120 beds)
The Wits University Donald Gordon Medical Center, Johannesburg (200 beds)
McCord Hospital, Durban (200 beds).
The Doctor George Mukhari Academic Hospital (1650 beds)
Private Sector:
Kiaat Private Hospital –South Africa
Mthatha Private Hospital – South Africa
Trauma Center and well Womans Clinic- Tanzania
Trauma Center – Zimbabwe
Trauma Center and well womans Clinic - Maputo
Nzeto Clinic - Angola
SOS International Mine Hospital - Mali
Bulumbulu Mine Hospital - Tanzania
Diagnostic Day Care Centre - Tanzania
Baines Avenue Cardiac Clinic - Zimbabwe
Baines Avenue Trauma + Emergency Rooms Zimbabwe
Baines avenue Laboratory - Zimbabwe
MRS clinic - Malawi
Gynecology and Obstetric clinic - Zimbabwe
OTHER RELEVANT AND RELATED EXPERIENCE:
Consulted to Mitsubishi trading house for there bid preparation for the upgrade
of 9 public hospitals in South Africa and 4 public hospitals in Swaziland
Consulted to the Wits University Donald Gordon Medical Center;
Refurbishment of a 129 bed Mission Hospital into a Private State of the Art
Statement of Capability Page 5
Academic Hospital Needs Analysis,Design review,Specification and Tender
requirements Procurement and co-ordination of equipment installation and
training of staff and compilation of Maintenance Contracts. Full Commissioning
of the new facilities including 15 bed ICU, Emergency Rooms, Minimally
Invasive Access Theatre, Neurosurgery Laminar flow theatre, Vascular
laboratory theatre, upgrade of 7 theatres CSSD and paediatric and adult
Oncology unit. Standardization of Specialized disposables and consumables,
Standardization and forms review of charge sheets and order sheets and stock
control systems. Implementation of policies, procedures and protocols.
Implementation of the integrated Care paths for the nursing department.
Procurement and setting up of General Store. Tender specification and
adjudication of all outsourced service providers.
Consulted to the Kwa Dukuza Independent Practitioners Association to
conduct a feasibility study and strategic plan for an independent Private
Hospital in the Stanger region
Researched and compiled a concept document with regard to Primary
healthcare and community development.
Sub-contracted to assist Health Partners to perform a due diligence at
Clinique, Biasa, Lome, Togo
Consulted to the African Medical Investments PLC group i.r.o Forensic
auditing, Equipment verification and strategic equipment roadmap for the
group
Sub-contracted to Health Partners for a management contract with African
Medical Investments PLC.group. Asset management, Equipment assessment,
budget submissions, procurement and Commissioning of Harare
project.Researched and recommended Policies and procedures for group
implementation.
Sub-contracted to Health Partners : Audit of Duff Scott Hospital Stillfontein.
Review of outsourced providers' contracts. Design review. Preparation of
inventory lists and data capture. Meetings with Doctors and staff. Review of
services to be provided.
Consulted to the Driver Group Consortium for Transaction Advisory Services;
Feasiibility Study for a proposed Tripple P project for the Dr George Mukhari
Statement of Capability Page 6
There are 5 Phases in the project lifecycle that EHSA contributes to are as follows: Phase 1 – Strategic Planning
Phase 2 – Facility Planning
Phase 3 – Pre-Procurement
Phase 4 - Procurement
Phase 5 – Commissioning
Strategic Planning Phase :
The following aspects of strategic planning are covered within this phase:
a) Facility configuration, speciality & services planning.
b) Model of care provision recommendations.
Academic Hospital in South Africa, for the Gauteng Provincial Government
and the DBSA.
Sub-contracted to Nozala Health Partners for a 52 bed Private State of the Art
Hospital project, in Mthatha ;Needs Analysis, Design review, Specification and
tender requirements Procurement and co-ordination of equipment installation
and training of staff and compilation of Maintenance Contracts. Full
Commissioning of the facility including outsourcing of services e.g.Linen,
Laundry, security (Guards and electronic) Cleaning (incl. Hygiene, specialized
cleaning) Pest control,waste Management,Catering,Interior decorating, plant
hire,
Sub-contracted to Nozala Health Partners for a 125 bed Private State of the
Art project in Nelspruit; Needs Analysis, Design review, Specification and
tender requirements Procurement and co-ordination of equipment installation
and training of staff and compilation of Maintenance Contracts. Full
Commissioning of the facility including outsourcing of services e.g.Linen ,
Laundry, security (Guards and electronic) Cleaning (incl. Hygiene, specialized
cleaning) Pest control,waste Management,Catering,Interior decorating, plant
hire.
PROFESSIONAL COMPETANCY:
Statement of Capability Page 7
c) Consultation
d) Needs Analysis
e) GAP and Root Cause Analysis
f) Solutions Analysis
g) Corrective Action Planning
h) Narrative Brief
i) Functional Brief
j) Design review – pre-concept design
k) Initial Equipment Budget Preparation
Phase 2 – Facility Planning
A. Functional Brief
Planning in this context refers to the early stage of design development where the scope
of the project is still fluid. It is critical at this stage to cement the model of care to be
delivered at the facility. The deliverable will be a functional brief detailing the model of care
to be provided, incorporating the following breakdown for each Health Planning Unit, both in
clinical and support services:
a) Service Profile
b) Functional content
c) Functional relationships
d) Operational Policies
e) Design Requirements
f) Schedule of Accommodation
B. Patient Journey
The patient journey will be planned along the different patient pathways to be undertaken
i.e.
Statement of Capability Page 8
a) Emergency admission (self presenting)
b) Emergency admission (referred)
c) Emergency admission (level )
d) Elective admission (referred)
e) Planned Day Patients (out-patient referred)
f) Planned admission (In-patients referred)
g) In-patients (self presenting)
h) Out-patient (referred)
i) Rehabilitation (out-patient referred)
j) Rehabilitation (in-patient referred)
C. Design Review
The architectural plans will be work-shopped and reviewed within the context of design
objectives and legal requirements including access, flows, processes and level of
services to be provided; clinical, non-clinical and support.
Phase 3 – Pre-Procurement
“Pre-procurement” is the process that mirrors the detail development of the physical plan
by the architect. During this process, the equipment, furniture, fittings and soft
furnishings, required in each room are considered and discussed with user departments
as well as the design team and then annotated. The final product of this phase is room
data sheets, designating the room, detailing equipment type and specification and the
building services required for the optimal functioning of the devices. This data is also
made available in the form of a procurement list with specifications in order to advance to
the procurement phase. The budget is re-planned and reworked, taking cognizance of
end-user requirements.
EHSA’s contribution at this stage is through the deliberation of the mix of services
Statement of Capability Page 9
proposed, the layouts of individual departments and the impact that these decisions
would have on Equipment and Equipment Cost. Consideration of inter-departmental
reliance on technology, the analysis of clinical requirements and the interfacing of Health
Technology Systems with other systems is also applicable. This planning is within the
concept of the patient journey.
Phase 4- Procurement
“Procurement” involves the process of utilizing the detailed procurement list generated
in Phase 2 and then managing the actual procurement process. This involves the
finalization of request for quotation (RFQ) documentation, the distribution of the RFQ
documents, the receipt of proposals as well as the analysis, adjudication and selection
of equipment. All of these are tailored towards the requirement or protocols of the client.
The deliverable of this phase is the confirmation of orders and awarding of contracts. A
procurement management process will be detailed. Procurement will be done on behalf
of the client and contracted accordingly.
Phase 5 - Commissioning
“Commissioning” involves verification of delivery and placing the items procured during
phase 3 in the facility, ready for use by the end user. The commissioning process
includes planning, delivery scheduling, receiving of equipment delivered as per official
order and acceptance testing. It will also include the facilitation of initial user training
and exit strategy as per client needs. The deliverable of this phase is the handover of
the Healthcare Facility with all equipment checked and ready for use. All equipment will
be included in an asset register, detailing item, description, purchase order number,
category, allocation, and cost per item, supplier and serial numbers where applicable.
Extended warrantee and service level agreements will be presented to the client for
action.
Statement of Capability Page 10
PROJECT HISTORY:
Name of Project Scope of work
Country Date
1
Mitsubishi Trading House
Specification, Procurement and Installation of equipment, Procurement of disposables and training of staff for Primary Health and Mobile Clinics.
South Africa April 96 to August 97
2
Trauma Center Harare
Specification, Procurement ,Export and Installation of equipment for 2 x ICU,2xResuscitation,6xPatient Cubicles and 4 bed Paediatric Unit for TRAUMA CENTRE.
Zimbabwe March 96 to July 96
3
MRS Malawi Ltd
Specification,Procurement,Export and Installation of equipment .Procurement of disposables and training of staff for Medical Clinic including Lab,Minor Ops Theatre X-Ray Dept.,Wards and ICU.
Malawi July to September 96
4
Medivac (pvt) Ltd
Procurement of Specialised Obstetric Equipment Specification, Procurement and Installation of equipment, Procurement of disposables and training of staff.
Zimbabwe May to July 96
5
Mitsubishi Trading House
Japanese grant aid bid for upgrading of 4 hospitals -Swaziland Specification and tender requirements.
Swaziland Jun-96
6
Universal H/C Holdings
Stand alone Specialized Cardiac Clinic and stand alone Laboratory Specification, Procurement and Installation of Equipment, procurement of disposables and training of staff.
Zimbabwe March 97 to June 98
7
Japanese Non-Grant Aid- Crown Agents
Diagnostic Day Care Center - Theatres,Eye Clinic,Cardiac Clinic,Dental Surgeries,Physio Department,Out-patients department,Laboratory,ICU,Wards and Casualty Specification,Procurement and Installation of equipment,Procurement of disposables and training of staff.
Tanzania Mar-97
8
Mitsubishi Trading House
Japanese grant aid bid for upgrading of 9 hospitals - Swaziland Specification and tender requirements.
Swaziland Aug-97
9
Mr.S.Manji -Nzeto Clinic
80 Bed Clinic in Nzeto Needs Analysis, Design review, Specification and tender requirements.
Angola May - Aug 97
Statement of Capability Page 11
10
Universal H/C Holdings
134 Bed Private Clinic - specification and budget - 5 Theatres (1xNeuro,1xOrthopedic 2xGeneral,1xUrology Theatres) 11 bed combination ICU,Trauma Unit,Obstetric Unit,Pharmacy,Mortuary,Laundry,CSSD,Laboratory,Surgical Instruments,General wards and Endoscopy Clinic.
Zimbabwe Oct-97
11
SOS International
Mine Hospital Specification, Procurement and Installation of equipment, Procurement of disposables and training of staff.
Tanzania Jan-March 2000
12
Medimark
Trauma Unit - X-Ray, Minor theatre, Resususcitation cubicles, 2xICU beds Needs Analysis, Design review, Specification and tender requirements.
Zimbabwe Sep-00
13
SOS International
Mine Hospital Specification, Procurement and Installation of equipment, Procurement of disposables and training of staff.
Mali May - Setp 2001
14
Chico Clinica
Primary health Care Clinic Specification, Procurement and Installation of equipment, Procurement of disposables and training of staff.
Angola July-Aug 2001
15
Kotulong Community Centre
Procurement of medical equipment for primary health centre.
Orange Farm,Gauteng
Jan-March 2004
16
UCT Medical Centre
124 bed Private State of the Art Academic Hospital Needs Analysis, Design review, Specification and tender requirements Procurement and co-ordination of equipment installation and training of staff and compilation of Maintenance Contracts. Full Commissioning of the facility including outsourcing of services e.g.Linen rental, Laundry, security (Guards and electronic) Cleaning (incl. Hygiene, specialized cleaning) Pest control,waste Management,Catering,Interior decorating, plant hire,IT Management systems and Agency Nursing Staff.
South Africa Feb 2001-Feb2002
17
Siemens Medical
Consulting for Hospital in Bulawayo,Zimbabwe
Bulawayo,Zimbabwe
Nov-02
Statement of Capability Page 12
18
The Wits University Donald Gordon Medical Centre
Refurbishment of a 129 bed Mission Hospital into a Private State of the Art Academic Hospital Needs Analysis,Design review,Specification and Tender requirements Procurement and co-ordination of equipment installation and training of staff and compilation of Maintenance Contracts. Full Commissioning of the new facilities including 15 bed ICU, Emergency Rooms, Minimally Invasive Access Theatre, Neurosurgery Laminar flow theatre, Vascular laboratory theatre, upgrade of 7 theatres CSSD and paediatric and adult Oncology unit. Standardization of Specialized disposables and consumables, Standardization and forms review of charge sheets and order sheets and stock control systems. Implementation of policies, procedures and protocols. Implementation of the integrated Care paths for the nursing department. Procurement and setting up of General Store. Tender specification and adjudication of all outsourced service providers.
South Africa Aug 2002 - March 2005
19
Walters and Simpson
EHSA consulted to Project Managers for Donald Gordan Medical Centre. South Africa
Aug 2002 - March 2006
20
McCord Hospital
Upgrading of a 200 bed semi-private hospital. A needs analysis resulted in the upgrade of 2 medical wards, the opening of a 5 bed high-care unit, including procurement and full commissioning. The commissioning of a new 10 bed Rehydration ward including design review, specification and Tender requirements Procurement and co-ordination of equipment installation and training of staff. The full commissioning of a 43 bed, HIV and Aids step down facility, from design review to full commissioning. The specification and tender document for the hygiene out-sourced service providers, as well as the adjudication process and recommendation.
South Africa Aug 2005 - April 2006
21 IDT
Procurement of equipment for Dinokano Community Health Centre. Mafikeng Feb-Oct 2006
Statement of Capability Page 13
22
Trauma Center Dar es Salaam and Well Womans Clinic
Bouquet hospital - 30 bed including 2 Theatres, 4-bed ICU/High care unit, 2 bed NNICU, Maternity including water birth, Trauma Casualty.digital Radiology including C-T Scan, Ultrasound, Occupational health, Diagnostic well womans clinic and Design review. Specification,Procurement,Export and Installation of equipment .Procurement of disposables and training. Set up of administrative and clinical policies and procedures. Full commissioning
Tanzania July 2008-April 2009
23
Private hospital in Stanger KZN
Consultants to the KDIPA to conduct components of a feasibility study and strategic plan for an independent Private Hospital in the Stanger region
South Africa July 2008-Feb 2010
24
Consultants to African Medical Investments PLC group
Forensic auditing, Equipment verification and strategic equipment roadmap for the group
Tanzania,Zimbabwe,Mozambique
July 2010-Sept 2010
25
Consultants to Health Parners UK Ltd
Sub-contracted to Health Partners for a management contract with African Medical Investments PLC.group. Asset management, Equipment assessment, budget submissions, procurement and Commissioning of Harare project.Researched and recommended Policies and procedures for group implementation.
Dar es Salaam,Tanzania,Harare Zimbabawe & Maputo Mozambique
Sept 2010 - Feb 2011
26
Consultants to Health Parners UK Ltd
Sub-contracted to assist Health Partners to perform a due diligence at Clinique, Biasa, Lome, Togo
Lomo,TOGO Jan-April 2011
27 Streamsleigh Investments
Procurement of equipment,Harare Harare,Zimbabwe Jan - March 2011
28
Consultants to Health Parners UK Ltd
Consulting and Needs analysis for a Triple P tertiary Academic Hospital -George Mukhari Hospital,Garankuwa Garankuwa,
Sep-11
29
Consultants to Health Parners UK Ltd
Audit of Duff Scott Hospital Stillfontein. Review of outsourced providers' contracts. Design review. Preparation of inventory lists and data capture. Meetings with Doctors and staff. Review of services to be provided.
Stillfontein, South Africa
October, November 2011
Statement of Capability Page 14
30
Mthatha Private Hospital
52 bed Private State of the Art Academic Hospital Needs Analysis, Design review, Specification and tender requirements Procurement and co-ordination of equipment installation and training of staff and compilation of Maintenance Contracts. Full Commissioning of the facility including outsourcing of services e.g.Linenl, Laundry, security (Guards and electronic) Cleaning (incl. Hygiene, specialized cleaning) Pest control,waste Management,Catering,Interior decorating, plant hire,
Mthatha, South Africa
2012-2013
31
Kiaat Private Hospital
120 bed Private State of the Art Hospital Needs Analysis, Design review, Specification and tender requirements Procurement and co-ordination of equipment installation and training of staff and compilation of Maintenance Contracts. Full Commissioning of the facility including outsourcing of services e.g.Linen , Laundry, security (Guards and electronic) Cleaning (incl. Hygiene, specialized cleaning) Pest control,waste Management,Catering,Interior decorating, plant hire,
Nelspruit, South Africa
2013-2014