Professional Documents
Culture Documents
Licensing Guidelines of Private Health Establishments
Licensing Guidelines of Private Health Establishments
Approval Process
DG of Private
Dr Mazin Al Ministry of Dr Mazin Al
Written by Health Jan 2019
Khabouri Health Khabouri
Establishments
DG of Private
Health
DGPHE Establishments Ministry of DGPHE
Reviewed by Sept
DPEs & DG of Health DPEs
2019
Health Services
in Governorate
DG of Quality
Dr Qamra Al Ministry of Dr Qamra Al
Validated by Assurance Jan 2021
Sariri Health Sariri
Center
DG of Private
Dr Mazin Al Ministry of Dr Mazin Al
Approved by Health Jan 2021
Khabouri Health Khabouri
Establishments
For further in depth criteria and reference; please consult the website of The International
Health Facility Guidelines: https://healthfacilityguidelines.com/
2.1 Parking
a. There should be enough parking spaces for expected patients and allocated marked
parking for the disabled.
2.2 Reception
a. Handicap accessible entrance level access or with a ramp and hand rails.
b. Corridors must be at least 1.5 meters in width to allow wheelchair users to maneuver
easily doors of consultation room should be at least 1.2 meters wide to allow for
wheelchair access. A wheel chair should be kept either at entrance or reception of the
facility for those who may need assistance.
c. The facility should be adequately ventilated with temperature-controlled air-conditioning
for the comfort of both patients and staff.
d. Wheel chair/bed for disabled patient’s facility.
e. Reception counter height must be wheelchair accessible.
f. Electronic medical record (EMR) facility in each medically used room including
reception for registration.
g. Price list approved by MOH.
h. Patient’s Right and Responsibilities (Arabic and English Languages) clearly displayed.
i. Pedal bins in all rooms; one with black bag for general waste and the other one with
yellow bag for medical waste (150 micron thickness).
j. It is essential to ensure that suitable access to every type of clinic for people
2.3 Staffing
a. Licensed medical staff & paramedic staff according to DGPHE requirements.
b. There should be admin staff, receptionist, accountant, cleaners etc. registered with
DGPHE according to Ministry of Labor requirements.
c. Staff files should have the following records Continues Professional Development (CPD)
certificates, vaccination certificates, contract signed by both sides, copy of license.
2.5 Consultation, observation & treatment room besides pertinent medical furniture &
equipments and instruments according to specialty
a. Rooms should not be less than 3x3 meter
b. Paper roll on top of the examination bed: medical grade blanket, pillow and pillow case.
foot stool.
c. Partition between beds for privacy
d. Weighing and height scale.
e. Stethoscope, BP apparatus manual/electronic with range of cuffs, specimen collection
trolley, individually wrapped tongue depressors & torch etc.
f. Resuscitation set including crash cart.
g. PPE (Gloves, Apron, Mask)
h. Oxygen cylinder and peak flow meter.
i. Nebulizer machine with its’ kit
j. Suction apparatus with disposable catheter tips
k. Portable IV stand
l. Spirit swabs, dry cotton balls, antiseptics solution in container
m. Disposable tray or bowl for used speculums and instruments
n. Alcohol based hand rub (60-70%)
o. Sharps container which is of MoH standard and placed above the ground Appendix 2.
2.6 Blood Collection (Phlebotomy): Where blood collection is done a separately room,
especially labs equipped with a Phlebotomy chair, stool, and stainless-steel Phlebotomy
cart.
c. Toilets
a. Toilets facilities must be provided for patients, staff and visitors. At least one toilet must
be wheelchair accessible; all with hand washing facility.
2.11 Security
a. CCTV according to ROP requirement and specification
1. Introduction:
The design of the physical setting of the rehabilitation unit needs to be able to provide a safe
and accessible environment that fulfills and achieves the purpose of rehabilitation. The
equipment used requires to be assessed for safety and is deemed sufficient to achieve the
purposes and goals of rehabilitation.
2. Description
A rehabilitation center or allied health facility must provide a minimum of physiotherapy
services in combination with either Occupational therapy or Speech Therapy services. This
may sometimes be accompanied by complimentary medicine services like acupuncture,
Ayurveda etc.
a. In an occupational therapy clinic, a minimum of two treatment/consultations
rooms must be present. The following is essential for each room
b. Space area not less than 9 square meters (3m x 3m). Larger rooms should be
allocated for group therapy no less than 25 square meters (5 m x 5 m). Group
therapy should include 4-6 clients only Appendix 4.
c. Privacy must be ensured.
a. Desk with 2 chairs, one for the Occupational Therapist and one for the patient.
b. Examinations couch with pillow and medical blanket for patient’s privacy.
c. Suitable storage area for documents.
3.3. Occupational therapy activities At least 20 occupational therapy activities must be available
that may include:
a. Range of Motion Arc
b. Therapeutic cones
c. Fine motor activity tools and pegboards
d. Sensory brushes and relevant sensory products
e. Cognitive development tools
f. Gross motor developmental tools
g. Weighted pencils
4.3. Equipment:
This will be dependent on population being treated at the clinic whether pediatric, geriatric,
women health, general etc....
4.4. Consumables:
a. PPE (apron, gloves etc.)
b. Disinfectant (cleaning) available in all areas
Clinics should include facilities of one profession only. The clinic should be specific for that
particular profession.
a. Models of care:
Facilities for rehabilitation services will vary greatly, depending of the professions involved.
They will range from large purpose designed, central facilities to basic small bedside services.
The hospital should include facilities for both outpatients and inpatients. It should allow the
facilities to be utilized by both groups of patients. The inpatients should be accommodated
with-in the vicinity. They will be expected to attend rehabilitation services on a daily basis.
The design of the facility could provide areas of common utilization to both units.
a. Functional Areas:
Entrance, reception area and waiting areas.
Patient therapy areas which may be shared
b. Staffing
Each clinic should have at least 1 full time therapist with BSc from an approved academic
institution.
Physiotherapists may choose to develop certain skills in the area of advanced practice that
has been performed by other professions such as dry needling, chiropractic, spinal
manipulation, cupping therapy and osteopathy techniques. These skills require extra training
beyond those obtained in the undergraduate or immediate post-graduate training. Permission
for which should be sought through request for privileges beyond those normally granted.
Exercise machines
• Treadmill
• Upper Body Ergometer
• Upright / Recumbent Bike
• Various sports performance equipment:
• sport specific equipment
• Supine shuttle-style leg press machine
• Multi-purpose, multi-joint, adjustable resistive machine
2.3 Showroom:
a. Reception and waiting area.
b. Cash and dispensing counter.
c. Cabinet to display contact lenses and related products.
d. Wall mounted sunglasses or optical frames display.
e. Drawers display to showcase and store optical frames.
f. Room should be clean and tidy all the time Appendix 5.
2.4 Staff:
a. Licensed MOH Optometrist is a must to run the optical shop
b. Optometrist should wear white lab coat and wear his license ID card.
c. All eye testing and refraction should be done by the Optometrist.
d. All medical advices and information should be given by the Optometrist.
e. Salesperson should be familiar with the types of sun-glasses, optical lenses and frames.
f. Dispensing optician or glasses lenses fitter should have the required knowledge of lenses
fitting and dispensing.
g. Cleaner with knowledge of optical shops cleaning and glasses lenses handling.
Note:
Hand washing facility is a must.
Fitting Room should be separated from refraction room and it is optional as the
fitting maybe done somewhere else.
Optometrists should wear a lab coat with their license ID.
The Private establishment license should be clearly shown in the examination room.
Sr Not
Required Records Met Comments
No. Met
1. Valid MoH facility license
2. Valid municipality license
3. Valid civil defense certificate
4. Valid medical laundry contract
5. Valid appropriate Be’ah contract (medical waste contract)
6. Staff files:
Copy of contract and offer letter
Qualifications and CV
Copy of staff license
BLS/ACLS certificate
Signed job description
Annual appraisal
Induction/orientation for new staff
Training record including CPD of all medical personnel
according to OMSB requirements
7. Minutes of meetings records
8. Vaccination records
9. Nurses duty roster record
10. PPM records
11. GCC infection control manual latest addition
12. Standard operation procedures (SOP)
13. Inoculation policy
14. Medical record and referral policy
*Crash cart items should be kept based on MOH crash cart guidelines.
*All clinical rooms including the sterilization unit and rooms/ where medication are kept should
be well ventilated with AC on all the time.
Date of Inspection:
Comments:-
Date of Visit:
Date of Visit:
Date of Visit: