Statement of Capability June 2015

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

Email:[email protected] [email protected]


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


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


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


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


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:


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.


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


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.


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


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


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


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


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


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


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


Consulting and Needs analysis for a Triple P tertiary Academic Hospital -George Mukhari Hospital,Garankuwa Garankuwa,

Sep-11

29


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


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

Documents

Statement of Capability June 2015