PART 1: Deployment of the 10BedICU Infrastructure

1. Space : State to identify a separate room or extension of space in existing ICUs (at least 1500 sq feet per 10 bed ICU Unit)  
2. General Amenities: There must be a sufficient number of lights and fans in the space. There must be curtails and partitions installed between each ICU Bed.  
3. Electricity: Continuous electricity with a 3 phase connection is required. There is a need for 4 plug points per ICU bed. There must also be power backup with 25KV Generator Back up with 4Kv Inverter Backup (2 in No.s) atleast.  
4. Air Conditioning(Optional): There must be at least 2 ACs of 2 tons each to maintain the temperature in the ICU. Water Heater may also be installed If needed.  
5. Oxygen Pipeline: 3 lines of O2, Suction, Compressed Air at Bedside (15 mm x 0.9 mm thickness) and Main line (22 mm x 0.9 mm thickness) must be fixed in the space. 
6. Space for Nursing Station: There must be space for a nursing station to be set up inside the ICU. Such Space must also have at least 4 plug points and access to the broadband internet. 
7. Water and Sanitation: The space must have running water for sanitation as well as for drinking. Bathrooms and toilets must be available in sufficient numbers for the staff and bystanders. Proper garbage disposal mechanisms must also be in place. 
8. Additional furniture: The space must have furniture like bed side tables, chairs and storage units.  
9. Stands: Multi channel monitor stands and infusion stands must be available in required numbers. 
10. Broadband Internet Connectivity: There must be internet connection available for all Laptops and other equipment. The internet speed must be at least 100 Mbps. 
11. LAN Networking:  LAN Networking to set up a local network connecting bedside devices to the nursing station must be done by the state. 

The state must arrange for a team of staff (Clinical and non-clinical) to manage and run the units. The team must comprise of :

Optional Staff:

Anesthetist

Dietitian

Infection control Nurse

The state must: 

1. Cloud Infrastructure: Procure Cloud infrastructure to deploy the technology supporting (CARE). Google Cloud Platform (GCP) is the recommended cloud infrastructure. However, the software is also compatible with AWS and Azure.
2. Domain: A domain of the states choice must also be procured to link the web-based tools to. 
3. E-mail for Cloud Services: State to provide an email for the 10BedICU Engineering team to link to cloud services. A few of these cloud services, depending on states feature requirements, may incur additional cost for the state depending on the usage.  
4. Logos: State to share high-res PNG files of state logos (with transparent background) to appear on the tooling. The customisations to the tooling will be executed by the 10BedICU Engineering team.  
5. List of Local bodies: State to provide a list of all the districts>Local Body>Ward in JSON Format.  
6. Control Room (Optional):The State may choose to set up control rooms at State level or district level to manage healthcare delivery across the area. 

Option 1: Software Deployment as a central health management tool at State/District Level 

1. 10 Bed ICU team to deploy the software in the govt. held server 
2. District collectors to set up district level teams. This team is to have one CARE Enforcement Officer, A Training In-charge, A shifting Coordinator and optionally a Resource Manager. The Care Enforcement officer will be assisted by a few Data Auditors and the Sifting Coordinator will head the shifting team consisting of Doctor(s) to triage the shifting requests, Bed allocators and ambulance managers.  
3. District Collectors and team to receive training from the 10BedICU Team on utilising the software. 
4. District CARE Training in-charge will in turn train the field level staff using the training material provided by the 10BedICU Team. 
5. Hospitals to be registered in the software under supervision of the CARE Enforcement Officer
6. All 10 bed ICU equipments to be registered in the software 
7. State/District level war room to go with dashboards.
8. Patient registrations to begin on the software 

Option 2: Software Deployment as a patient management tool in the 10BedICUs  

1. 10 Bed ICU team to deploy the software in the govt. held server  
2. Team to issue login credentials to the 10BedICU Administrators.  
3. 10BedICU Administrators to receive training from the 10BedICU Team.  
4. 10BedICU Administrators to register the hospital, all the 10BedICU equipment and issue unique login credentials to each staff member to work in the ICU.  
5. Patient registrations to begin on the software.