Medical Transcription is one of the highly professional IT related services. It involves highly skilled data processing job for medical field. Doctors maintain the medical records for each patient’s follow-up action and future reference. The medical records are also useful for better treatment i.e. health care, insurance claim and for medical research purposes. An accurate computerized medical record helps in avoiding chances of omission of some of the important findings in the records. As the manpower (Computer operator-cum-typist) is very costly abroad Medical Transcription with the internet growing popular has emerged into a solution to utilize the manpower around the globe.

In this process the Doctor at overseas (say USA) dictates case history and recommendations etc. of a patient directly to a computer, where information is stored as voice files. These files are transmitted to the server from Doctor’s end.

The server of medical Transcription Company at India is connected to overseas company through V-sat. The voiced files are downloaded and converted to readable MS word files and uploaded back to overseas server so that overseas Doctor can maintain them as record.

India has emerged as a leading global partner for the growth of Information Technology and IT related services. Already there are many companies engaged in Medical transcription services. One of the factors for this growth is availability of highly skilled computer literate, good English speaking professionals at a cheaper cost compared to those in developed countries. The time difference of 8 hrs. to 12 hrs. is also an encouraging factor for medical transcription services. Internet has reached in almost every corner of India via BSNL or ISPs.

There are a few Training institutes, which can cater to the training of Medical Transcription services. BSNL and Internet Service Providers can provide good internet connectivity. The speed for data transmission has increased a lot through broadband. The computer hardware and software is available locally.

The many States Governments have already announced/implemented separate IT policy to encourage IT and IT enabled services. The new entrepreneur has to explore overseas market before starting Medical transcription services.

i) The basis for calculation of production capacity has been taken on single shift basis on 75% efficiency.

ii) The maximum capacity utilization on single shift basis for 300 days a year. During first year and second year of operations the capacity utilization is 60 and 80% respectively. The unit is expected to achieve full capacity utilization from the third year onwards.

iii) The salaries and wages, cost of raw materials, utilities, rents, etc. are based on the prevailing rates in and around Uttaranchal. These cost factors are likely to vary with time and location.

iv) Interest on term loan and working capital loan has been taken at the rate of 16% on an average. This rate may vary depending upon the policy of the financial institutions/agencies from time to time.

v) The cost of machinery and equipments refer to a particular make/model and prices are approximate.

vi) The break-even point percentage indicated is of full capacity utilization.

vii) The project preparation cost etc. whenever required could be considered under pre-operative expense.

viii) The essential production machinery and test equipment required for the project have been indicated. The unity may also utilize common test facilities available at Electronics Test and Development Centres (ETDCs) and Electronic Regional Test Laboratories (ERTLs) set up by the State Governments and STQC Directorate of the Department of Information Technology, Ministry of Communication and Information Technology, to manufacture products conforming to Bureau of Indian Standards.

 

The major activities in the implementation of the project has been listed and the average time for implementation of the project is estimated at 12 months:

Name of Activity & Period in months(estimated) is listed below

1. Preparation of project report 1

2. Registration and other formalities 1

3. Sanction of loan by financial institutions 3

4. Plant and Machinery:

(a) Placement of orders 1

(b) Procurement 2

(c) Power connection/Electrification 2

(d) Installation/Erection of machinery/Test Equipment 2

5. Procurement of raw materials 2

6. Recruitment of Technical Personnel etc. 2

7. Trial production 11

8. Commercial production 12

1. Many of the above activities shall be initiated concurrently

2. Procurement of raw materials commences from the 8th month onwards.

3. When imported plant and machinery are required, the implementation period of project may vary from 12 months to 15 months.

 

The Doctor at overseas (say USA) dictates case history of a patient to a computer, where information is stored as voice files. Then they are stored in overseas server.

The server of medical Transcription company at India is connected to overseas company through V-sat. The voiced files are down loaded and converted to readable MS word files and up loaded back to overseas server so that overseas Doctor can maintain them as a record. Generally for medical transcription services there will be overseas agents between Doctor and the company. The service charges depend on the number of lines transcripted. The transcription will be done in shifts and will be at peak between 9 p.m. to 6 a.m.

The Medical transcription service center has good scope with all the above facilities. The center will not only help in promotion of IT Services but also provides employment to many people of the region. The center may also take up the computer related DTP jobs and training activities in idle time schedule.

27,00,000 Nos. of lines (@ Rs. 2.50 per line)  - 67,50,000

Motive Power 15 HP (approx.)

Pollution Control : Medical Transcription Services is not characterized as polluting industry and is free from pollution control.

With the growing energy needs and shortage coupled with rising energy cost, a greater thrust in energy efficiency in industrial sector has been given by the Govt. of India since 1980s. The Energy Conservation Act, 2001 has been enacted on 18th August, 2001, which provides for efficient use of energy, its conservation and capacity building of Bureau of Energy Efficiency created under the Act.

The following steps may help for conservation of electrical energy.

i) Adoption of energy conserving technologies, production aids and testing facilities.

          ii) Efficient management of process/manufacturing machineries and systems, QC and testing equipments  
              for yielding maximum Energy Conservation.

iii) Optimum use of electrical energy for heating during soldering process can be obtained by using efficient temperature controlled soldering and desoldering stations.

iv) Periodical maintenance of motors compressors etc.

v) Use of power factor correction capacitors. Proper selection and layout of lighting system; timely switching on-off of the lights; use of compact fluorescent lamps wherever possible etc.

 

Built up area 500 sq.Mts.

Rent (per annum) Rs. 96,000

1. Computer System Ind. Pentium IV, Intel IV 1.7/1.8/1.9 GHz and above. 256 Cashe/128 DDR RAM/Intel 845 Chipset Based Mother Board/AGP 4x32 MB Graphics/40 GB HDD/1.44 MB FDD/ 52X CD ROM with Multi Media Kit with speakers/ Scroll Mouse/Multimedia 107 Keys Keyboard/15" VGA Coloured Monitor (Digital) and Internal  56.6 KBPS Modem, 10/100 MBPS Ethernet Card, Mini Tower Cabinet/2 Serial, 2USB, I Parallel, I PS/2 Mouse Ports with Preloaded software- Window 2000/ XP Home and Antivirus 15 -  6,75,000

2. Server (C 12 GB, Ind. Windows NT) (File Transfer Software, Digital Transcription and Dictation Voice Ware Distribution Server, Complete Medical Spell Checker, Keyboard Abbreviation Expanders Line Count Software for Microsoft Word 97/2000/ 2002XP, Windows 98/ 2000/ME/NT/2002XP 1 -  5,00,000

3. Hub and Networking Ind. Computers LS 1,00,000

4. Printer Ind. 3 - 70,000

5. UPS (ON Line 10 KVA) Ind. 1-  1,50,000

6. V-sat Ind. 1 -  2,00,000

Electrification charges @ 10% cost of machineryand equipment - - 1,69,500

Site Preparation (Flooring, Ceiling, Glass panel etc.)- LS 1,00,000

Office furniture and Equipment, Air conditioners, DG Set etc. - - 4,05,000

Pre-operative expenses 1,00,000

(i) Man Power Requirement (per month)

1. Manager 1 18,000 18,000

2. Hardware Maintenance Engineer 1 9,000 9,000

3. Medical Transcriptions 20 6,000 1,20,000

4. Accountant 1 4,000 4,000

5. Clerk/Typist 2 2,000 4,000

6. Peon 2 2,000 4,000

7. Watchman 3 2,000 6,000

8. Cleaner 1 2,000 2,000

Add perquisites @ 15% of salary 25,350

Particulars Ind./ Qty. Total (Rs.)

Computer stationery Ind.(like paper, ribbon, cartridge, floppy (CDs)  LS 15,000

Power and fuel 45,000

Water 1,000

1. Rent 8,000

2. Postage / and stationery 1,000

3. Telephone/Fax charges 20,000

4. Internet fees 11,000

5. Repair and Maintenance 10,000

6. Transport and conveyance charges 10,000

7. Insurance 3,000

8. Miscellaneous expenditure 2,000

Fixed Capital Rs. 24,69,500

Working Capital on 3 months basis Rs. 9,63,000

Total recurring expenditure 38,52,000

Depreciation on machinery and Equipment @ 10% 1,69,500

Depreciation on office equipment, 81,000

Furniture @ 20%

Interest on total capital 5,49,200

Investment @16%

Medical Transcription  27,00,000 2,50 67,50,000

(3) Profit(per annum)(Before Taxes) Rs.20,98,300

(4) Net Profit Ratio = Profit (per annum) x 100
                                 Sales (per annum

                                  = 20,98,300 x 100
                                     67,50,000              = 31.08%

(5) Rate of Return = Profit(per annum) x 100
                               Total capital investment     = 20,98,300 x 100
                                                                         34,32,500                =  61.13%

Rent 96,000

Depreciation on machinery and Equipment @ 10%   1,69,500

Depreciation on office equipment, 81,000

Furniture @ 20%

Interest on total capital 5,49,200

Investment @ 16%

Insurance 36,000

40% of Salaries and wages 9,36,000

40% of other contingent expenses and 4,80,000

utilities (excluding rent and insurance)

B.E.P. = Fixed cost x 100
              Fixed cost + Profit    =  23,47,700 x 100
                                                23,47,700 + 20,98,300   =  52.80%

(a) The Project Profile may be modified /tailored to suit the individual entrepreneurship qualities/capacity, production programme and also to suit the locational characteristics, wherever applicable.

(b) The Electronics Technology is undergoing rapid strides of change and there is need for regular monitoring of the national and international technology scenario. The unit may, therefore, keep abreast with the new technologies in order to keep them in pace with the development for global competition.

(c) Quality today is not only confined to the product or service alone. It also extends to the process and environment in which they are generated. The ISO 9000 defines standards for Quality Management Systems and ISO 14001 defines standards for Environmental Management System for acceptability at international level. The unit may therefore adopt these standards for global competition.

(d) The margin money recommended is 25% of the working capital requirement at an average. However, the percentage or margin money may vary as per bank’s discretion.

1. M/s Assam Electronic Development Corporation Ltd., Industrial Estate, Bamunimaidan, Guwahati – 21

2. M/s Integrated Systems and Services, UNN, Bezbaruah Road, Silpukhuri, Guwahati – 3

3. M/s Swift Systems, Tayebulla Compound, Dighilipu-khuripar (Estate), Guwahati

4. M/s MICROTEK International Ltd., MICROTEK House, H-57, Udyog Nagar, Rohtak Road, Delhi – 110041

5. M/s Vintron Informatics Ltd., F-90/1A, Okhla Indl. Area, Phase-I, New Delhi – 110020

(HCL, IBM, COMPAQ etc. leading branded computer manufacturers have their broad network and hence the nearest dealer may be contacted for Computer Hardware related items.)

1. M/s Web, Com (India) Pvt.Ltd. 2nd Floor, Voltas Building, Chandmari, Guwhati – 3

2. M/s Third Eye Infosys (P) Ltd. H.B. Road, Panbazar, (Above Kalpataru), Guwahati-1

3. M/s Quadra Soft Tech (P) Ltd. Opp. CBZ, Silpukhuri Br., Guwahati-3

4. M/s Soft Mart D-1072, New Friends, Colony, New Delhi – 110065