RNTCP Concept Note Draft v2.1

Draft Proposal for Online System for Universal Access for
TB Care
DGHS Online System for Drug Delivery A Concept Note
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INTRODUCTION
Tuberculosis, an infectious disease caused by bacteria that attacks the lungs and is
spread through air when an infected person coughs or sneezes is now among the top
killers worldwide. Earlier, it was associated with poverty and excessive smoking. Now,
cases of urban TB affecting affluent Indians as well are on the rise.
Globally, one in three people has latent TB (which is non-infectious ) and carries a
lifelong risk of developing and falling sick with active TB. In 2011, there were an
estimated 8.7 million new cases and 1.4 million people died from TB.
India carries the maximum burden of TB cases and is home to the highest number of TB
patients who have become resistant to the most effective drugs available
According to WHO, 2.1% of new cases in India are MDR-TB while 15% of retreatment
cases are developing MDR-TB . Globally, 3.3% of new TB cases are estimated to have
MDR-TB . Each year, 4.4 lakh MDR-TB cases emerge and 1.4 lakh die from it.
India is one among the 69 countries that have reported at least one case of extensively
drug-resistant TB (XDR-TB ) by 2010-end . An estimated 25,000 cases of XDR-TB are
emerging every year.
Drug-resistant TB emerges as a result of treatment mismanagement. XDR-TB , on the

other hand, is caused by bacteria that are resistant to isoniazid and rifampicin as well as
any fluoroquinolone and second-line anti-TB injectable drugs (amikacin, kanamycin or
capreomycin). These forms of TB don't respond to the standard six-month treatment
with first-line anti-TB drugs and can take over two years to cure with expensive second
line drugs and also carry high risk of mortality.
To counter the growing threat of TB, Government of India has taken many steps like
giving free DOTS treatment to TB patients through the Government run hospitals,
making TB a notified disease mandating every doctor and hospital to notify the
Governemt of the detection of TB patient and banning sero-diagnostic tests for TB,
which had high rate of inaccuracy.
One of the major step in TB cure is RNTCP or the Revised National Tuberculosis
Control Program. It is the state-run tuberculosis control initiative of the Government of
India. It incorporates the principles of directly observed treatment-short course (DOTS),
the global TB control strategy of the World Health Organization. The program provides,
free of cost, quality anti-tubercular drugs across the country through the numerous
Primary Health Centres and the growing number of private-sector DOTS-providers
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The RNTCP has now entered its second phase in which the programme aims to firstly
consolidate the gains made to date, to widen services both in terms of activities and
access, and to sustain the achievements for decades to come in order to achieve
ultimate objective of TB control in the country.
The five principal components of DOTS are:

Political and administrative commitment
Case detection by sputum smear microscopy
Uninterrupted supply of high-quality anti-TB drugs
Standardized treatment regimens with directly observed treatment for at least the
first two months
Systematic monitoring and accountability
To further the efforts of TB control, under RNTCP Government of India has proposed for
Universal access to free quality assured anti-TB medicines to all TB patients in India
The proposals have following components:
Drug regulation and quality of anti-TB drugs

Notification and electronic voucher
Reimbursement mechanism
IEC (in campaign mode)
Follow-up & monitoring
Plan for launch
The aim of this proposal is to make the drugs available for free to all the targeted TB
patients through the Government centres and through the vast network of private
pharmacists.
The Pharmacists shall deliver the drugs to patients for free and shall claim for
reimbursements from the Government.
The objective of this concept note is to propose an online, automated system for
making this programme easily accessible and transparent for drug delivery to
Tuberculosis patients and online claim processing for pharmacists
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PROJECT CHALLENGES
Annually over 15 lacs new TB patients detected in India out of which over 70000
suffer from MDR
High risk group of HIV(2 million) and Diabetes(60 Million) add on to the risk of
increase of TB patients
High no of stakeholders in the project
o 5 Lac physicians to be registered

o 8 Lac pharmacists to be registered
o 1 Crore patients to be treated
The amount of drugs to be distributed is worth Rs 3000 Crores over the period of
next 7-10 years.
Over 6 crore financial transactions/reimbursements to be processed by the

system
The records of the patients and the transactions have to be retained for long
periods
Call centre need to service over 20 lacs stakeholders at any point in time
The project being rolled out PAN India, the call centre has to be multilingual
To have objective impact analysis of the project on the TB control
Risks of data leakage pertaining to financial details of Pharmacists and Personal

information of other stake holders
Compliances to follows: ISO9001/ISO27001/ISO20000
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PROCESS FOR RNTCP
Process flow:
Patient diagnosed with TB is registered in the program. The registration can be
done by the doctor (could be a private practitioner as well) on the portal or self-
registration by patient by calling the call centre. The portal can be accessed
through Internet or through mobile application. The necessary contact details and
various health parameters. The registration can also be done by filling the
registration form at the government identified health centres (DOTS centre).
Once the Patient is registered he is given the unique drug identification voucher
no. The voucher number is a unique number that is given to the patient after the
registration is complete and given to him in the form of SMS, email or physical
letter.
Patient goes to the registered pharmacist and gives the prescription and the
unique drug voucher number to the pharmacist to avail his medicines for free.
The pharmacist verifies the unique drug voucher number from the central patient
registry and gives the drugs to the patient. This verification can be done on
central portal or by calling the call centre.
Once the drugs are given the pharmacist raises the claim to the government for
reimbursement of the claims.
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THE AUTOMATED SYSTEM PROCESS

The key components of the system:
- Portal and the Central Registry: The Patients, Doctors/Private Practioners and
the Pharmacists are enrolled on the portal. The enrolment involves capturing the
unique parameters of the patients, doctors and pharmacists such as PAN
number, Aadhar number or biometrics, Doctors registration number, pharmacist
licence number etc. to prevent any sort of duplication. The portal can be
accessed through internet as well as mobile application.
- 24X7 Call Centre: The system shall have a 24X7 call centre operations with toll
free number. The call centre shall serve as the alternate mechanism for the
patient registration. The call centre operators shall have the knowledge bank of
all the queries the patients, doctors or the pharmacists can ask. Since the
patients, pharmacists and doctors are from all over the country, the call centre
has to be multilingual and the call distribution on the agents has to be in
proportion to the geographic distribution of patients and other stake holders.
- Drug voucher generation module: The Portal shall have the drug voucher
number generation module that is accessible to the doctors. The doctor
generates the drug voucher using this module in real time. The module shall
have the integration with the SMS engine and the messaging engine that will
send the voucher number to the patient's registered mobile number and his
registered email ID.
- CPOE module: The system shall facilitate electronic entry of medical practitioner
instructions for the treatment of patients (drug prescriptions, prescribed
diagnostic tests etc.) under his or her care. These orders are stored in the
system and can be retrieved directly by the pharmacist when the patients visit
him for the drug. This system would not only help in maintaining the online record
of the monitored patients but also prevent any casualty on account of medical
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errors. The module shall also capture the drug voucher number of the patient.
There may be a case when the patient lose the physical prescription or the drug
voucher number, the COPE engine can retrieve the prescription and drug
voucher number.
- Voucher verification module: To prevent any pilferage of the drugs the system
has to validate that only the drugs are given once against any given drug voucher
number. In case the pharmacist is not online he can use SMS to validate the
voucher, use the mobile application for verification or can call the call centre for
the verification of the voucher number.
- Claim process: The pharmacist once delivers the drugs to the patients he can
submit the claims online by uploading the copy of the receipts/bills issued to the
patients. The claims are verified through the backend workflow management
process and are reimbursed to the pharmacist through ECS. In case the
pharmacist is not online he can send the copies of the receipts/bills to the central
processing centre for the claims.
- Medical Information Dissemination: The portal can also be used to
disseminate the information on the preventive and curative guidelines issued by
the Government for the patients and the healthcare workers.
- Reporting module: The various analytic reports can be generated from the
system on multiple parameters and indicators.
- Drug Manufacturer Module: This module is required to monitor and regulate the
flow of drugs. Electronic tracking of DRUGS would improve the integrity of the
supply chain, enable health care providers to more quickly identify and remove
counterfeit and recalled drugs, and improve inventory management.
Through Track-and-trace process using a data matrix two-dimensional (2D) bar
code the drug can be tracked and verified at each stage in the supply chain. This
shall prevent the flow of the counterfeit flow of drug into the market and the
inventory system would ensure that all the drugs that are being manufactured are
consumed and there is not drug pilferage.
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(Conceptual system Diagram)
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Call Centre Sizing
Expected number of calls per month 30,00,000
Number of Locations 6
Duration of each call 5 Mints
Expected Working hours 10 hours
Expected working days per month 30 days
Number of calls per day per location 17000
Number of calls per hour 1700 (17000/10)
Expected number of ports per location 141 (1700*5/60)
Total number of ports for the project 846
Projected Number of E-1 30 E-1
Budget estimated 36 E-1
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Features of the System:

1) The System has to be robust, fault tolerant with built in redundancies to support
uninterrupted 24X7 operations with the BCP in case of disaster.
2) Since the PII and financial transactions are involved the system has to comply
with the ISO27001 security guidelines.
3) The Patient registration, voucher generation and the voucher verification are the
real time processes hence the system has to be high in performance.
4) The system is highly process driven and hence the outsourced agency should
mandatorily be ISO20000 complied for Service management systems.
5) Since the system is exposed to Internet and would be vulnerable to threats and
which is exploited can pose the risks of non-availability of the system, financial
risks and risks of reputation, there must be predefined baseline security
measures that should be strictly adhered to.
6) The system should be built on open standards so that it can interact with other
health applications like HMS, National Registry of Clinical Establishments etc.
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NEXT STEPS - TOWARD DIRECTOR GENERAL HEALTH SERVICES

(DGHS)'S VISION
For Director General Health Services (DGHS) to have system Go-Live as per the planned
schedule, it will need to engage a Managed Service Provider (MSP) for the Implementation and
7-10 years operation & maintenance through a competitive bidding process.
To have a Managed Service Provider (MSP) for system automation, Director General Health
Services (DGHS) would like to engage a consultant who would take the work forward. The
consultant will help Director General Health Services (DGHS) with the revalidated solution
conceptualization done as per the already available reports, Budget estimate & approval,
Handholding during the competitive bidding process, interacting with various MSPs for floating
the Expression of Interest (EoI) and Request for Proposal (RFP) and till the contract signing with
the MSP. They will further handhold as a part of the Project Management Unit to ensure the
Implementation and Operation & Maintenance in the project.
Key Milestones for Consultant

Phase Milestone Timelines
Phase 1 Tender Milestone 1 : - Consultant On-board March 2013

Phase
Milestone 2 : - Expression of Interest April 2013
Milestone 3 : - Request for Proposal June 2013
Milestone 4 :- RFP Evaluation & shortlist

of Bidder on the basis of Quality and Cost
Based Selection (QCBS) Methodology
Milestone 5 : - Award of Contract October 2013
Phase 2 Project Milestone 6 : - Final Go Live (including April 2014

Management Pilot)
Implementation and
Operation & Milestone 7 :- Operation & Maintenance September 2014
Maintenance (O & M) (O&M) onwards
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Phase I Tender Phase
Roles & Director Consultant

Responsibilities General
Health
Services(DG
HS)
Provision I. Preparation of Detailed Project Report

Approvals & (DPR) and study the existing systems
Supervision II. IT Budget Consolidation & Preparation of
Budget Report
III. Device Strategy for Investment Protection &
Milestone 1
Transition Methodology from National
Consultant On-board Informatics Centre (NIC) & future role of NIC
IV. Industry Interaction
V. Coordination for Inter-Departmental/
Ministerial & Legal Approvals
VI. Recommendation for Programme
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VII. Earnest Money Deposit (EMD) & Tender Fee

details & Justifications
Provision I. Preparation of Expression of Interest (EOI)

Milestone 2 Approvals & as per guidelines
Expression of Interest Supervision II. Short listing of MSPs on the basis of EOI by
for MSP eliminating bidders not meeting the criteria
Milestone 3 Request Provision I. Determine the solution requirements

for Proposal for MSP Approvals & II. Preparation of RFP as per standard
Supervision guidelines
III. Sharing of Draft RFP with shortlisted bidders
to have industry insights
IV. Sharing of Final RFP to shortlisted bidder
Milestone 4 - RFP Provision I. RFP Evaluation & shortlist of Bidder on the

Evaluation & shortlist Approvals & basis of Quality and Cost Based Selection
of Bidder on the basis Supervision (QCBS)
of Quality and Cost
Based Selection
(QCBS) Methodology
Contract I. Contract finalization

Signing and II. Provide documentation for requisite legal &
Milestone 5 Award of Approvals Inter-departmental/ Ministerial approvals
Contract III. Issue of letter of Intent (LoI), Work order etc.
to the selected bidder required for project
initiation
IV. Contract Signing & Managed Service
Provider (MSP) onboard
Phase II Project Management
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Milestone 6 Final Go Supervision Project Management Activities, Monitoring &

Live (including Pilot) Supervision
Milestone 7 Supervision Project Management Activities, Monitoring &

Operation & Supervision
Maintenance
DETAILED SCOPE OF WORK FOR CONSULTANT
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The detailed scope of work for the consultant will include
Phase 1: Tender Phase
1. Milestone 1: Consultant Onboard
I. Re-Validation of Existing Report and GAP Analysis
i. Re-validation of the following existing reports:-
ii. Preparation of GAP Analysis Report: - benchmark the functional & technical
requirements proposed in the existing reports with Industry standards.
iii. Detailed project report should outline the Application Business Architecture,
Technology Architecture, Security Architecture, Network Architecture,
Deployment Architecture, and Data Digitization & Migration needs, Service
Level Agreements (SLAs), Business Process Reengineering needs, Change
Management & Training Needs etc.
iv. As part of the Detailed Project Report the consultant shall provide the
framework for Data Centre/ Data Recovery Centre - Land, WARM shell for
Hardware Hosting, Power supply, Security and Building Management System
etc.
II. IT Budget Consolidation & Preparation of Budget Report
i. Re-validate the existing cost estimation
ii. Provide financial estimates as per the existing and new scope
iii. Provide all the necessary support and data to the office of Director General
Health Services(DGHS) for all budgetary approvals viz. Expenditure Finance
Committee (EFC), Cabinet Notes, and Project Dossiers etc., both after and
before the tender process
III. Device Strategy for Investment Protection & Transition Methodology from National
Informatics Centre (NIC)
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i. Preparation of approach to facilitate maximum re-use of existing systems for

protection of Existing Investment
i. If required, formulate a transition methodology from National Informatics Centre

(NIC)
ii. and duration for parallel run & new role of National Informatics Centre
(NIC)
IV. Industry Interaction
i. Analyze the market capability to meet the needs of Director General Health
Services (DGHS) through request for information (RFI), Presentation,
Demonstrations etc.
ii. Interaction with Industrys leading IT service providers for finalizing

application scope and budget
iii. Promote transparency of information and guarding for Director General

Health Services (DGHS)s interest.
V. Coordination for Inter-Departmental/ Ministerial & Legal Approvals
i. Provide data and support for inter-department/ ministerial & legal

approvals
ii. Project will be taken by in a phased manner and consultant help will also
be required while on-boarding of State/ Union Territory (UT) in the later stages of
the project.
VI. Recommendation for Programme Management
i. Provide structure for managing the programme
ii. Evaluate the roles and responsibilities of Director General Health

Services(DGHS), National Informatics Centre (NIC) and MSP
VII. Earnest Money Deposit (EMD) & Tender Fee details & Justifications
i. Work out EMD and Tender Fee requirement at different stages of proposal
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ii. Provide proper justification as per the budget set.
2. Milestone 2: Expression of Interest for MSP
I. Preparation of Expression of Interest (EOI) as per guidelines
i. Publication of EOI inviting responses from leading managed services

providers in major national newspapers and websites
ii. Tender Fee details
iii. Brief about the objectives and scope of work
iv. Instruction for submission of EOI for bidders
v. Bidders eligibility and Pre-Qualification Criteria
vi. Facilitate pre-bid meeting and prepare minutes
vii. Bidders credentials and capabilities
viii. Demonstration of the solution, showcase and evaluation
ix. Formats for EOI submission
x. Evaluation format for short listing MSPs
II. Short listing of MSPs
i. Evaluation of the Expression of Interest (EOI) response
ii. Short listing of MSPs should be based on the evaluation criteria viz.
Quality Certification such as CMMi Level 5

Annual Turnover greater than INR 10,000 Crores in the last 3 financial
years
Positive Net Worth in last 3 financial years
Profitability in last 3 financial years
Implementation experience in Government Domain etc.
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iii. Elimination of bidders not meeting the Qualification Criteria on the basis of
EOI
3. Milestone 3: Request for Proposal (RFP) for MSP
I. Determine the solution requirements
i. Functional Requirements
ii. Technical Requirements following open standards
II. Preparation of RFP as per standard guidelines
i. Baseline Scope of work for MSP
Function and Technical requirement

Security requirement
Data digitization & migration requirements
Integration requirements
Technical architecture outline
Network requirement
Space requirement
Type of resources
Third Party Audit requirement
Background check of proposed resources
Service Level Agreement
Operation requirement
Project Governance Structure
Change Management & Training requirement
Approach for re-using existing applications
Need for help desk, call center
Implementation plan for MSP
Expected Team and key roles from MSP
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ii. Specify the following
Proof of Concept (PoC) requirement

Milestone based payment schedule with consideration of the
payouts to the MSPs vis--vis the services rendered by the MSP
Earnest Money Deposit and Tender Fee details
Performance Bank Guarantee details
Draft Contract Agreement with standard legal terms
& conditions
Process for not to consider frivolously low bids
Process for maintaining transparency of information for guarding the
interest of all parties
iii. Bid Process Requirement
Instructions to bidders for bid submission

Date & timelines for bid submissions
Pre-bid Meeting Schedule
Bidder Qualification
Bid Submission Formats & Covering Letters
Technical Formats
Price Formats
Bid evaluation Matrix
Quality and Cost Based Selection criteria for selection of best
value bidder after taking into consideration the existing investment
III. Sharing of Draft RFP with shortlisted bidders to have industry insights
IV. Sharing of Final RFP to shortlisted bidder
Facilitation of Pre-Bid Meeting

Responding to queries raised by MSPs through issue of necessary
corrigendum
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4. Milestone 4: RFP Evaluation & shortlist of Bidder on the basis of Quality and Cost
Based Selection (QCBS) Methodology
I. Formation of Bid evaluation committee with members of Director General

Health Services(DGHS), resources from Department of Information
Technology, professors and experienced consultant professionals for bid
evaluation
II. Technical bid opening and evaluation based on the RFP evaluation
criteria
III. Proof of Concept (PoC) requirement
IV. Clarification session with MSPs
V. Commercial bid opening and shortlist of MSP on the basis of Quality and
Cost Based Selection (QCBS) methodology
VI. Contract Negotiations
VII. Undertake any technical and commercial negotiation

VIII. Prepare final contract with agreed terms & conditions
5. Milestone 5 : Award of Contract
i. Contract finalization
ii. Provide documentation for requisite legal & Inter-departmental/ Ministerial

approvals
iii. Facilitation of Contract signing
iv. Issue of letter of Intent (LoI), Work order etc. to the selected bidder required
for project initiation
Project Phase 2: Project Management Phase
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6. Milestone 6 Final Go-Live (including Pilot)
I. Project Management Activities, Monitoring & Supervision
I. Plan and Formulate the overall Programme Management Strategy during

implementation duration
II. Interaction with MSP to validate the project plan and project charter that
best meets the project objectives
III. Managing & supervision of the staff of the MSP during all stages of
digitization and migration activities
IV. Ensuring timely availability of all relevant information, documents, records,
personnel, etc. to MSP.
V. Provide necessary document to the office of Director General Health
Services (DGHS) in liaising with internal and external stakeholders
7. Milestone 7 Operation & Maintenance (O&M)
I. Project Management Activities, Monitoring & Supervision
i. Monitor the MSP activities during the implementation and 10 year operation &
maintenance phase as per the Service Level Agreement (SLAs) and have to
provide Monthly report to Director General Health Services(DGHS) on the project
plan adherence by the MSP and immediate escalation of delay in deliverables by
the MSP
ii. Plan and Formulate the overall Programme Management Strategy during
operation& Maintenance duration
iii. Continuous involvement and early identification and timely resolution of issues
along with evaluation of any cost implications
iv. Review and Recommendations on the change control requests along with any
Budgets requirement for Change Request.
v. Review & assist in approval process of exit management plans provided by
vendors, assessing impact of exit procedures suggested by vendor on key
stakeholders
vi. Managing & supervision of the staff of the MSP during all stages
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vii. Provide necessary document to the office of Director General Health

Services(DGHS) in liaising with internal and external stakeholders
PAYMENT TERMS FOR CONSULTANT

Payment terms for Consultant would be milestone based where portion of the payment would
be released as part of the several milestone defined in the RFP.
Phase Milestone Payment Milestone
Phase 1 Tender Milestone 1 : - Consultant On-board 10 % of Contract

Phase Payment
Milestone 2 : - Expression of 10 % of Contract
Interest Payment
Milestone 3 : - Request for Proposal 10 % of Contract
Payment
Milestone 4 :- RFP Evaluation & 10 % of Contract
shortlist of Bidder on the basis of Payment
Quality and Cost Based Selection
(QCBS) Methodology
Milestone 5 : - Award of Contract 10 % of Contract
Payment
Phase 2 Project Milestone 6 & 7 : - Final Go Live 50 % of Contract
Management (including Pilot) Payment in 40 Quarterly
Implementation and Pay-outs
Operation & Milestone 7 :- Operation &
Maintenance (O & M) Maintenance (O&M)
.
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PROCESS DETAILS FOR ON-BOARDING MSP

Through the process of Expression of Interest (EOI) and Request for Proposal (RFP) the
Director General Health Services (DGHS) office will be able to know & shortlist bidders
interested in serving and having the solution for the Director General Health Services (DGHS)
automation project. It will also give the financial capability of the Managed Service Provider
(MSPs) to work for the project. This will also help Director General Health Services (DGHS) to
work with a chosen Managed Service Provider (MSP) for improvement & maturity of the detailed
project report for the future solution and re-validation of the budget set.
The advantage of this two stage process of EOI/RFP will include Director General Health
Services (DGHS) gaining insights about the types of technologies & services available in the
market to meet its business requirements, maturity and experience of the Managed Service
Provider (MSP) offering such services, number of MSPs willing to work with Director General
Health Services (DGHS) under the agreed terms and conditions, and a likely indication of the
cost associated with the project. Following are the high level steps followed during this process
(many of these activities can be carried out in parallel):-
Expression of Interest (EOI) Stage:-
- Advertisement in a National Newspaper and Director General Health
Services(DGHS) website for inviting qualified MSPs to participate in the Expression of
Interest (EoI) process
- Expression of Interest (EOI) Document release which includes a copy of the

Invitation for EOI, brief about objectives and scope of work, Submission Instructions for
the MSP, Pre-Qualification criteria, Formats for Submission, tender fees, pre-bid meeting
place & timing etc.
- Draft RFP sharing with EOI qualified MSPs in order to get better estimate of the
about the project requirements, scope and any budget up/down
- Workshop/ Presentation from different MSPs to prepare the MSP for PoC
Request for Proposal (RFP) stage:

- Letter of Invitation to the shortlisted vendors from the EOI stage to participate in the RFP
process
- Request for Proposal Document release - which includes instruction to MSPs for
submitting the bid, standard formats for technical & financial proposal, bid evaluation
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criteria, payment terms & conditions, QCBS based selection criteria, bid security details,
proposed form of contract, Functional requirements, List of key personnels, requirement
of qualification etc. The MSPs would be asked to develop a Proof of Concept (PoC)
during the evaluation
- Pre-Bid Meeting for clarification of RFP queries
- Bid submission and evaluation process for the selection of the qualified MSP
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SCOPE OF WORK OF THE MANAGED SERVICE PROVIDER

The project will operate on the Information Technology (IT) as a service model for a period of 10
years where the MSP will provision for all the services including application solution, hardware,
software, training, change management, and operation of system during the complete duration
of the project and keeping the Total Cost of Ownership (TCO) low for the Director General
Health Services (DGHS). The project will require Director General Health Services (DGHS) to
on-board a MSP for implementation and operation & maintenance of the system for the next 10
years.
The project would be expected to have two phases with the first phase being application
implementation. And after the final Go-live, the next phase for the on-going project operations
and maintenance for a period of next 10 years. These phases will involve
i. System Requirement study and design
ii. Take investment existing IT investment into consideration
iii. Run the IT system for the Project Implementation period till full system Go-Live,
transition for NIC and then be a single point of accountability for Director General Health
Services(DGHS)
iv. Supply, installation, configuration, integration, customization & testing of readymade

application.
v. Procurement, installation, configuration and commissioning of central servers for

application hosting at data center (DC) and Data Recovery Centre (DRC)
vi. Procurement, installation, configuration and commissioning of all site hardware and
software including necessary site preparation
vii. Set up of local area network, including configuration and commissioning of network at
any regional offices
viii. Provisioning, commissioning and configuration of network links at all the offices and
branches that enables connectivity to DC & DRC
ix. The automation project would also provision complete security not limited to the
application, services, data and infrastructure for the entire period of project
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implementation and operations for a period of 10 years
x. Data digitization data entry, scanning, validation and migration of in case of any legacy
data
xi. Change management and capacity building including training of entire Director General
Health Services(DGHS) officials, and other stakeholders etc. for effectively using the
system
xii. Operation & Maintenance of entire system including but not limited to application
product, IT/Non IT infrastructure, servers, networks and equipment for a period of 10
years from the date of final go-live
xiii. Documentation of the complete solution including provision for exit management &
transition
xiv. Customization and implementation of web based Project Management tools
xv. Development/ Customization and implementation of Web-based Monitoring and

Evaluation tools, SLA monitoring tools
xvi. Technical Helpdesk support and handholding support for a period of 10 years from the
date of final Go-Live
As a part of IT as a service model for project, the payment structure may include two
components Initial Payment accounting for the Capital Expenditure (Capex) and some portion
could be paid after the successful commissioning of the hardware and network components.
And the second component could comprise of Service Level Agreement (SLA) driven Equated
Quarterly Instalments (EQI) accounting for the Operation expenditure (Opex) for the tenure of
the contract year on year.
MSP for the project should be selected on the basis of the Quality and Cost based Selection
(QCBS) under which both the technical and financial proposal will be allotted a weight-age and
their combined score will be used to select the best proposal, thus helping the Government to
select a qualified MSP giving due weightage to quality technical capability and customer
understanding for implementing and running the project for a period of 10 years.
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SELECTION CRITERIA FOR MANAGED SERVICE PROVIDER

For a diligent selection of MSP for the project, some of the high level parameters for the
selection of MSP could be:
Sr Eligibility Criteria Supporting Justification
No Documents
1 MSP must be company Certificate Director General Health Services

registered under the of (DGHS) Automation being a
Companies Act 1956 Incorporatio National Solution, the project should
n be executed by an MSP registered
in India and governed by Indian
laws.
2 The Bidding firm must P&L Long term commitment and
be a profit making Statement Operation and Maintenance support
company since the last and Balance to Director General Health
three years and should Sheets for Services(DGHS) automation
have a positive net last three Strategic project requires the MSP
worth. financial to be financial stable and profitable
years to keep two aspect run the system
and provide innovations for future.
3 MSP must be a CMMi CMMi Level Director General Health Services
Level 5 company at the 5 Certificate (DGHS) automation project also
time of bidding. involves Operation and Maintenance
for a long duration of 10 years, thus
making it is necessary for
Government to choose a CMMi level
5 Certified MSP.
CMMi is a process improvement

standard, with its Level 5 ensuring
the involvement of MSP in
continuous process improvement
through both incremental and
innovative technological changes.
4 MSP must have valid ISO ISO is a process compliance
ISO 9001/2008, ISO Certificate standard and ensures that the MSP
27001 & ISO 14001 is complaint with all the process to
certifications. deliver high quality of the services to
Government.
Confidential Page xxx

5 Declaration of not been Certificate Declaration is required so that the

blacklisted or barred by from MSP certifies that in its past
the Government. authorized projects, performances, dealings
signatory and practices; it has been within the
ambit of governing laws and has not
been barred or blacklisted by the
government for bidding.
6 The Bidder must have P&L The Government of India guidelines
an Annual turnover of Statement on Scope of Work related turnover
more than Rs. 10,000/- and Balance applies the thumb rule of X times the
Cr during each of the Sheets for estimated value of the assignment
last three financial years last three being tendered.
financial
years
7 Bidder should have Certificate MSP should have significant bench
minimum 5000 fulltime from strength for successfully
employees authorised implementing and Maintaining
signatory project for a period of 10 years
8 The Bidder must have Bidder is Relevant past experience is must for
relevant past experience required to the Vendor in order to showcase its
of implementing at least submit expertise of managing such a huge
3-5 projects of similar copies of transformation project of similar
nature in Government or Work orders nature with end to end responsibility
PSU environment of and/or and provided services.
value greater than 100- Contracts
200 Cr
Confidential Page xxxi

Complete Project - Implementation Lifecycle & Schedule
Confidential Page xxxii

Confidential Page xxxiii

Below table describe about the various high level activities to be performed during the
Complete Project Lifecycle.
Ste Project Activity (High Level) Expected

p Timelines
No.
1 In-Principal Approval of the Project 1st Feb 2013
2 National Institute of Smart Governance (NISG) 15th Feb 2013

Consultant On-board
3 Revalidate process-flow & provide GAP analysis document 15th Feb to 1th
and update the IT strategy report by consultant March 2013
4 Budget estimation for Project Implementation Committee 15th Feb to 1st

approval, project approved by Project Implementation March 2013
Committee
5 Prepare & Evaluate Expression of Interest (EOI) 15th Feb to 1st

March 2013
6 Advertise Expression of Interest 1st March 2013
Confidential Page xxxiv

7 Preparation of Request For Proposal (RFP) 1st March to 31st

April 2013
8 Receive EOI Response and start evaluation 15th April 2013
9 Shortlist EOI bidders 31th April 2013
10 Informal consultation with shortlisted bidders or MSPs on 1 May to 31st May

RFP & Finalization of Final Request For Proposal (RFP) 2013
11 Approval of Final Request For Proposal (RFP) 1st June to 15th

June 2013
12 Release of Request For Proposal (RFP) to shortlisted 15th June 2013

bidders or MSPs
13 Submission of Request For Proposal (RFP) 31st July 2013
Confidential Page xxxv

14 Evaluation of Request For Proposal (RFP) 31st August 2013
15 Award of Contract to shortlisted Bidder & Project 15th September

Implementation Start 2013
16 Contract Start Date 15th September

2013
17 Project Implementation Period 15th Sept 2013 to

Transition & Parallel Run till project Final Go-Live 14th Sept 2014
Pilot Go-Live (at small, medium & large ministry along
with 20 sites) (Sept 2013 to March 2014)
Final Go Live - Roll out across all sites (March 2014 to
September 2014)
18 Operation and Maintenance (O & M) From Final go-
Live for 10 years
Confidential Page xxxvi

ABOUT TCS
Tata Consultancy Services (TCS) is a global Information Technology consulting,

outsourcing and engineering services organization. Through its Global Network
Delivery Model, Innovation Network, and Solution Accelerators, TCS focuses on helping
global organizations address their business challenges effectively. From generating
novel concepts through TCS Innovation Labs and academic alliances, to drawing on the
expertise of key partners, it keeps clients operating at the very edge of technological
possibility.
Founded in 1968, TCS began operations as an in-house data processing service

provider to other Tata group companies. Driven by a vision of growth, and belief in the
technical capabilities of its team, TCS began servicing clients in advanced markets like
the USA and the UK from the mid-seventies by providing a variety of IT application
development and maintenance services. As per fiscal year ending 31 March 2008, TCS
is a USD 5.7 billion company with nearly 130,000 associates, serving global companies
across 42 countries.
TCS provides varied services such as IT consulting, IT services, Business Process

Outsourcing (BPO), engineering services and IT Infrastructure Management. TCS also
offers a wide range of asset-based solutions across verticals such as Banking Financial
Services, Insurance, Manufacturing, Telecom, Life Sciences & Healthcare, Energy &
Utilities, Retail, Transportation, Media & Entertainment and Government.
TCS' Government practice is primarily engaged in helping national and state

governments to align their services with the changing needs of citizens and
stakeholders.
With the rapid pace of change in the IT industry, there has been a shift in focus from the
traditional inputs of a production process to the processes involved in the creation,
storage, dissemination and use of information. An IT-driven system of Government
works better, costs less, and is capable of servicing citizens' needs as never before.
Analogous to e-commerce, which allows businesses to transact with each other more
efficiently (B2B) and brings customers closer to businesses (B2C), TCS Government
practice aims to make the interaction between government and citizens (G2C).
Confidential Page xxxvii

Confidential Page xxxviii

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RNTCP Concept Note Draft v2.1

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Draft Proposal for Online System for Universal Access for

TATA Code of Conduct

Drug-resistant TB emerges as a result of treatment mismanagement. XDR-TB , on the

The five principal components of DOTS are:

The proposals have following components:

Drug regulation and quality of anti-TB drugs

Confidential Page iii

High no of stakeholders in the project

o 5 Lac physicians to be registered

Over 6 crore financial transactions/reimbursements to be processed by the

To have objective impact analysis of the project on the TB control

Risks of data leakage pertaining to financial details of Pharmacists and Personal

Compliances to follows: ISO9001/ISO27001/ISO20000

PROCESS FOR RNTCP

Confidential Page vii

THE AUTOMATED SYSTEM PROCESS

Confidential Page viii

(Conceptual system Diagram)

Call Centre Sizing

Expected number of calls per month 30,00,000

Duration of each call 5 Mints

Expected Working hours 10 hours

Expected working days per month 30 days

Number of calls per day per location 17000

Number of calls per hour 1700 (17000/10)

Expected number of ports per location 141 (1700*5/60)

Total number of ports for the project 846

Projected Number of E-1 30 E-1

Budget estimated 36 E-1

Confidential Page xii

Features of the System:

Confidential Page xiii

NEXT STEPS - TOWARD DIRECTOR GENERAL HEALTH SERVICES

Key Milestones for Consultant

Phase 1 Tender Milestone 1 : - Consultant On-board March 2013

Milestone 3 : - Request for Proposal June 2013

Milestone 4 :- RFP Evaluation & shortlist

Phase 2 Project Milestone 6 : - Final Go Live (including April 2014

Confidential Page xiv

Phase I Tender Phase

Roles & Director Consultant

Provision I. Preparation of Detailed Project Report

VII. Earnest Money Deposit (EMD) & Tender Fee

Provision I. Preparation of Expression of Interest (EOI)

Milestone 3 Request Provision I. Determine the solution requirements

Milestone 4 - RFP Provision I. RFP Evaluation & shortlist of Bidder on the

Contract I. Contract finalization

Confidential Page xvi

Milestone 6 Final Go Supervision Project Management Activities, Monitoring &

Milestone 7 Supervision Project Management Activities, Monitoring &

DETAILED SCOPE OF WORK FOR CONSULTANT

Confidential Page xvii

The detailed scope of work for the consultant will include

Phase 1: Tender Phase

1. Milestone 1: Consultant Onboard

I. Re-Validation of Existing Report and GAP Analysis

i. Re-validation of the following existing reports:-

II. IT Budget Consolidation & Preparation of Budget Report

i. Re-validate the existing cost estimation

Confidential Page xviii

i. Preparation of approach to facilitate maximum re-use of existing systems for

i. If required, formulate a transition methodology from National Informatics Centre

IV. Industry Interaction

ii. Interaction with Industrys leading IT service providers for finalizing