ECHS CONFERANCE

ECHS CONFERANCE

REGIONAL CENTRE MUMBAI18 MAY 2014

OVERVIEWOVERVIEW

3

EVOLUTION OF ECHS

POST- INDEPENDENCE

No formal entitlement through Govt for treatment of ESM in service hospital

1966

ESM pensioners & their families extended treatment facilities in MHs restricted to available local facilities.

Not entitled for treatment of:•Malignancies•Organ transplant•Psy illness•Leprosy / TB•Prosthodontics

Dependency limited to:•Spouse•Wholly dependent unmarried children

01 Apr 2003ECHS launched

Incl treatment forLeprosy/TuberculosisMalignanciesPsychiatric illnesses/Organ Transplant facilitiesProsthodontics and other super

specialty dental services

18 Oct 2010Expansion of

ECHS

• 28 Regional Centers,• 426 Polyclinics• 17 Mobile Clinics,

Dependency enhanced to•Spouse•Wholly dependent unmarried children•Wholly dependent parents•Divorced dependent daughters•Disabled dependent children of any age

Enhanced dependency puts the load to an addition of nearly 2.5

lac ECHS members

every year

EVOLUTION OF ECHS

6

Optimum Use of Existing Service Resources

Augmentation of Existing Resources

Outsourcing wherever Resources are Inadequate

7

RM

RRM

Central Org Central Org ECHSECHS

Executive ContAdm Cont

CONTROL OF ECHS

Dept of ESW

Policy Formulation and Issue of

Govt Orders

Expansion of Scheme and

Eligibility Criteria

All Sanctions which have

Financial Implications

Empanelment of Med Facilities

Service HQs Provision of Service

Manpower Acqn of Land Constr of Polyclinic Bldgs Hiring of Bldgs for Use as

ECHS Polyclinics(DGDE) Procurement of Medicines,

Med Eqpt, Vehs etc (DGAFMS/MGO)

Adm and Tech Cont Provision of Budget

9

AGAG

DG (DC&W)

Comd HQComd HQ

Area HQArea HQ

Sub Area Sub Area HQHQ

Stn HQ/ Stn HQ/ SEMOSEMO

Central OrgCentral OrgAdviceAdvice

Monitor

Regional Regional CentresCentres

10

ECHS BENEFICIARIES (In Lacs)

12

Ser No

Issues Categories Details

1. Membership Veterans 13,33,446

Dependents 31,19,211

Total 44,52,657

2. Polyclinics(Excl Nepal)

Total 426

Operationalised 386

To be operationalised 40

3. Regional Centres

Total sanctioned 28

Functional 28

Case taken up for Addl RCs at Yol(HP), Bhuvneshwar and Kathmandu

ECHS NETWORK

Delhi

Jallandhar

Ambala

ShimlaJammu

Trivandrum

KochiCoimbatore

Chennai

Vishakhapatnam

Hyderabad

RanchiKolkata

Dehradun

Bareily

HissarJaipur

Lucknow

Allahabad

Patna

Guwahati

Pune

Mumbai

Bangalore

AhmedabadJabalpur

Nagpur

OPD DATA - ESM

HOSP ADM DATA- ESM

CHANGE OF TREATMENT MODALITIES SINCE 2003

Massive increase in super specialty/ cost /logistic intensive procedures like :(a) CARDIOLOGY(b) ONCOLOGY(c) IMAGING(d) NEPHROLOGY(e) JOINT REPLACEMENT

PROJECTION VIS A VIS ALLOTMENT (REVENUE & CAPITAL)

18

58.85, 4%

385.68, 27%

966.93, 68%

19.39, 1%

Salaries

Medical Stores

Med Treatment

Others

Rs 100 Cr (5.63 %)

Rs 400 Cr (22.51 %)

Rs 1235.71 Cr (69.56 %)

Rs 40.75Cr (2.29 %)

Rs 1235.71 Cr (69.56%)

AllotmentRs 1776.46 Cr

Proj Rs 2391.71 Cr

Salaries

Med Store

Med Treatment

Others

ShortfallRs 615.25 Cr

Govt Sanction for Extn of ‘On-Line’ Bill Processing

Revision of Fin Powers for ‘On-Line’ Bill Processing

931 Med Facilities Empanelled

MD ECHS Heads Screening Committee for Empanelment.

Revised Scale of Medical Eqpt for Polyclinics

Sanction for Reimbursement of Air Travel Ch to ECHS Beneficiaries in Emergency

ONLINE BILLING REGIONAL CENTRES

PHASE – IPHASE – I(wef 01 APR 2012(wef 01 APR 2012))

DELHIDELHI CHANDIMANDIRCHANDIMANDIR HYDERABADHYDERABAD PUNEPUNE TRIVANDRUMTRIVANDRUM

PHASE – IIPHASE – II(wef 01 APR 2013)(wef 01 APR 2013)

JALANDHARJALANDHAR JAIPURJAIPUR KOLKATAKOLKATA KOCHIKOCHI LUCKNOWLUCKNOW

PHASE – IIIPHASE – III(wef 01 APR 2014)(wef 01 APR 2014)

ALLAHABADALLAHABAD AHMEDABADAHMEDABAD AMBALAAMBALA BANGALOREBANGALORE BAREILLYBAREILLY CHENNAICHENNAI COIMBATORECOIMBATORE DELHI-2DELHI-2 DEHRADUNDEHRADUN GUWAHATIGUWAHATI HISSARHISSAR JABALPURJABALPUR JAMMUJAMMU MUMBAIMUMBAI NAGPURNAGPUR PATNAPATNA RANCHIRANCHI VIZAGVIZAG

21

Govt Sanction for 1709 Addl Contractual Staff in Polyclinics

Increase in Remuneration of Contractual Staff

Incr in Fin Powers of Army Cdrs for Hiring of Rental Accn

Extn of ECHS facilities to ESM in Nepal

Toll free ECHS helpline no Toll free ECHS helpline no

1800-114-115 is accessible pan 1800-114-115 is accessible pan India.India.

22

Provn of Adequate Budget for ECHS

Provn of Medicines and Med Eqpt

Auto of Polyclinics and Use of MIS

Op of Remaining Polyclinics

Improvements in Bill Processing System, and Liquidation of Manual and ‘On-Line’ Bills

Increase in Plinth Area & Plot Size of Polyclinics

Permission to Co-opt Constr Agencies other than MES

Pilot Proj for Outsourcing of Pharmacy Ops in two RCs

Pay scale of Gp D staff

Revision of Fin Powers

Full Reimbursement of Cost of Treatment in Emergency

ECHS Entitlement to WW-II veterans and ECOs

Reimbursement of Emergency Treatment Taken Abroad

Reimbursement of Medicines NA in ECHS Polyclinics

Up gradation of Existing Polyclinics

Relocation of Existing Polyclinics and Sanction of New Polyclinics

MEMBER BENEFITSMEMBER BENEFITS

ADVANTAGE OF BECOMING ECHS MEMBER

No age limit or Medical condition.One time contribution.Covers spouse and all eligible dependents.Wide network of ECHS Polyclinics.Civil empanelled hospitals, diagnostic centres in addition to

service hospitals.Covers all diseases.Can avail treatment at any ECHS Polyclinic anywhere in

India.

PROCEDURE FOR BECOMING MEMBER

•PRE 01 APR 2003 RETIREES

Submit application at nearest Stn HQ

•POST 01 APR 2003 RETIREES

ECHS membership is compulsory.Contribution amount is deducted by the PPA.

SUBSCRIPTION RATES WEF 01 JUN 2009

GRADE PAY DRAWN AT THE TIME OF RETIREMENT CONTRIBUTION

(IN )₹

Rs 1800/-, Rs 1900/-, Rs 2000/- & Rs 2800/- 15000/-

Rs 4200/- 27000/-

Rs 4600/-, Rs 4800/-, Rs 5400/- & Rs 6600/- 39000/-

Rs 7600/- & above 60000/-

Parents

Legally wedded husband/wife.

Unmarried & unemployed daughters

Widowed/divorced daughters dependent on the pensioner

Unemployed & unmarried son

Mentally/physically handicapped children for life

DEPENDENTS

RECRUITS EARNING DISABILITY PENSION

A recruit who is in receipt of med/disability pension

Dependents of recruit are also eligible

Increased Card Memory Capacity (64 KB) with Unique Card Number for Each Beneficiary.

Next Generation Hardware Interface with increased data transmission rate.

Patient Medical Episodes storage capacity will be increased.

Pensioner’s Photo can be stored with Dependent Card.

Anomalies of 16 KB Card will be removed.

Each beneficiary has a separate card, easy when a single beneficiary becomes ineligible.

ADVANTAGES OF NEW 64 KB SMART CARDS

PHOTOGRAPH WITH RED BACKGROUND

Red background of photograph is not mandatory for echs membership.

However photo should be distinct from the colour of background.

Photo should be proper printed not a scanned copy.

• Can be done at Polyclinic (32 Kb Smart card)

• Once changed can’t be changed within six months.

• Can be changed upto 5 times at Polyclinic level.

CHANGE OF POLYCLINIC

REFERRAL PROCEDURE

• Patient will be referred to Service Hospitals if facility and Capacity exists.

• Referred to civil empanelled facilities only in cases of ‘overloading’ or non-existence of medical facilities at the service hospital.

• In case of referral to service hospital of a different station, patient will either be treated in the service hospital or outsourced locally to a civil empanelled facility of patient’s choice through the ECHS Polyclinic in that station.

In cases of Polyclinics (with Service Hospitals)

• Patients will be referred to civil empanelled facility having valid MOA.

• In absence of local empanelled facilities, direct referrals to service hospitals in nearby stations are permitted except to Army Hospital (Research & Referral).

• A patient can be referred directly to empanelled facility in nearby city provided they are cross-empaneled.

• If not cross-empaneled, referrals to outstation empanelled facilities to be routed through the local ECHS Polyclinic of that town/station.

In cases of Non - Military Polyclinics REFERRAL PROCEDURE

REFEREL PROCEDURE TYPE D NON MIL POLYCLINICS

•Medical Officers is Authorised To Refer Patients to A Concerned Specialist of the Service Hospital or in case there is no service hospital available locally then to the concerned Govt specialist at the local Govt hospital or for general service specialist at an empanelled hospital.

•If any of the above specialist advices treatment by a super specialist, then the patient can be referred by the medical officer of the polyclinic to the super specialist concerned at the empanelled hospital.

(Auth:Cent Org ECHS letter B/49774/AG/ECHS/REFERRAL/POLICY dt 14

Mar 14)

• Mumbai (Asvini) - Mil with Service Hospital

• Mumbai Upnagar - Mil with-out Service Hospital(For referral purpose Mumbai Upnagar Polyclinic to follow the

procedure applicable to Non Military Polyclinics).

• Nerul & Khandivli - Non-Mil Polyclinics.

Type of Polyclinics at Mumbai

REFERRAL PROCEDURE

TREATMENT / REFERARAL EMERGENCY PROCEDURE

• In case of an emergency ECHS patient can be admitted to any hospital.

• ECHS polyclinic of that area to be informed within 48 hours of the admission.

• If the Hospital is Empanelled it will be cashless, if not amount is reimbursable to the Individual as per CGHS rates.

Note:- If the Polyclinic is not informed within 48 hrs or the emergency is not established the claim will not be accepted by the Polyclinic for the emergency treatment taken in an empanelled /non-empanelled hospital.

CONDITIONS OF EMERGENCY

Acute cardiac Conditions/Syndrome including Myocardial Infarction, Unstable Angina, Ventricular Arrhymias, Paroxysmal Supraventricular Tachycardia, Cardiac Tamponade, Acute Left Ventricular Failure/Sever

Congestive Cardiac Failure, Accelerated Hypertension, Complete dissection.

Acute Renal FailureAcute endocrine emergencies including Diabetic

Ketoacidosis.Heat Stroke and Cold injuries of Life threatening natureAcute abdomen including acute obstetrical and gynaecologist

emergencies.Acute Poisoning and snake bite Any other condition in which delay could result in loss of life or

limb. In all cases of emergency the onus of proof lies with the concerned ECHS member

DOS AND DONTS FOR AVAILING TREATMENT

DOS DONTS

Carry smart card when visiting ECHS Clinics.

Avail all diagnostics & facilities in the polyclinics.

Exercise option of being referred to empanelled facility of your Choice

Carry referral form and smart card to the empanelled facility.

Do not pay bills in empanelled hospitals. Do not insist for referral for facilities available in the policlinic

Do not insist on particular brand name of drug from polyclinic.

Do not purchase drugs yourself and ask for reimbursement.

DOS & DONTS FOR AVAILING TREATMENT

DOS DONTS

If you choose a service/empanelled hospitals in an emergency, You won’t have to pay.

Inform nearest policlinic within 48 hrs when admitted directly to empanelled or non-empanelled hospital in Emergency.

Allow some time to the policlinic to procure super specialty drugs prescribed for you, if not readily available.

Do not accept sub-standard treatment at empanelled hospital, report to your polyclinic.

PROBLEM AREAS

No fund with AFMSDs for conveyance of medicines of PCs. ECHS does

not have Tpt budget.

Delay in tpt of small consignments to ECHS polyclinics. Half the

polyclinics are in non-military stations.

Staff not provided to AFMSDs for ECHS work.

No clerical staff with SEMO and PCs for timely submission of MMF/Bills.

Empanelled hosp prescribe combination or non PVMS medicine.

Limited financial authorization.

PCs in large towns overloaded, remote towns undersubscribed.

Pattern of migration of ESM from surrounding areas to adjacent mil stns

WAY FORWARD AUTOMATION OF ALL PROCESSES OF ECHS

ALL PCs, RCs, CENTRAL ORG ECHS, STN HQs AND STAKE HOLDERS (MoD, Emp ALL PCs, RCs, CENTRAL ORG ECHS, STN HQs AND STAKE HOLDERS (MoD, Emp Hosp, BPA, Drug Suppliers, Equipment Suppliers etc) IN ECHS TO BE LINKED THROUGH Hosp, BPA, Drug Suppliers, Equipment Suppliers etc) IN ECHS TO BE LINKED THROUGH AN ERP SYSTEM. AN ERP SYSTEM.

Facilitation of ECHS beneficiary through automation. Facilitation of ECHS beneficiary through automation.

web app/ tele / android app to facilitateweb app/ tele / android app to facilitate

ECHS polyclinic slot booking.ECHS polyclinic slot booking.

Route directions to polyclinic, regional centre, emp hosp.Route directions to polyclinic, regional centre, emp hosp.

Intimation of emergency admission to polyclinic.Intimation of emergency admission to polyclinic.

Bed availability state in emp hosp.Bed availability state in emp hosp.

Status of re-imb claims.Status of re-imb claims.

Home delivery of medicines.Home delivery of medicines.

FACILITY MGT TO INCL THE IT INFRASTRUCTURE OF ECHS POLYCLINICS TO BE OUTSOURCED

ONLINE APPLICATION FOR ECHS MEMBERSHIP & HOME DELIVERY OF ECHS CARDS

ONLINE EMPANELMENT TO BE PART OF THE ERP

REIMBURSEMENT CLAIMS STATUS CHECK FACILITY FOR ECHS BENEFICIARIES

CATEGORISATION OF ECHS BENEFICIARIES BASED ON HEALTH STATE

WAY FORWARD AUTOMATION OF ALL PROCESSES OF ECHS

MED EQPT FOR ECHS MEMBERS

CPAP/BIPAP• Rec by Service/ Emp Hosp Spl• Soc By OiC PC• Approval by Sr Adv & Consultant− Maint by Member− Lifetime IssueO2 CONCENTRATOR• No Issue / Procurement• Only Reimbursement Allowed• Sanctioned By CO ECHS As Per Rec of CommitteeHearing Aids• Rec of ENT spl MH/ Emp Hosp• Audiometry report countersign by ENT spl• Cost > entitled amt borne by member• Digital HA requires rec of 3 ENT spl incl Sr Adv• Replacement after 5 yrs• Batteries paid by member• Reimbursement NOT allowed

REIMBURSEMENT OF COST OF MEDICINES DURING INDOOR

TREATMENT IN GOVT HOSPITAL

•Reimbursement of cost of medicines purchased by ESM on the advice of treating specialists in a Govt hospital will be allowed in full in the stations where there are no empanelled hospitals.

(Auth : Cent Org ECHS letter B/49762/AG/ECHS dt 14 Mar 14)

RC MUMBAIRC MUMBAI

CHAIN OF COMMANDRC MUMBAI

ECHS (NAVY)/ NHQ

ECHS (NAVY)/ NHQ

HQ WNCHQ WNCRC ECHSMUMBAIRC ECHSMUMBAI

CENTRAL ORG ECHS CENTRAL

ORG ECHS

STN HQ SO ECHSSTN HQ SO ECHS

POLYCLINICS

POLYCLINICS

ORGANISATION – RC MUMBAI

STAFF

Army Navy Air Force Total

Auth Borne Auth Borne Auth Borne Auth Borne

11 9 5 6 1 1 17 16

RC MUMBAI

EST AT KARANJA ON 04 FEB 13

DIRECTOR - CMDE CB RAO

JD (A&AM) - CDR MALKIAT SINGHJD (MED) - SURG CDR S MALHOTRAJD (ESTT) - LT COL PRASHANT DAHIYA

Tele : 27238701/02/03/03Fax : 27232438Mail : [email protected]

SlNo

Name of Stn HQ Name of Polyclinic

Operational (Y/N)

Mil/Non Mil

Type

1 INS Angre Mumbai Y Mil BMahad Y Non-Mil D2Chiplun Y Non-Mil C3

4 INS Tanaji / CABS Mumbai Upnagar

Y Mil D

Thane(Nerul)

Y Non-Mil C5

6 INS Gomantak Vasco-da-Gama

Y Mil D

7 INS Kadamba (Karwar) Karwar Y Mil D8 INS Hamla Kandivli N Mil C

STATION HEADQUARTERS & POLYCLINICS UNDER RC MUMBAI

Thane Ambarnath

Navi Mumbai

Mumbai (Asvini)

Mumbai Upnagar

Kandivali

ADDITIONAL PROPOSEDEXISTING

REVISED MANPOWER POLYCLINICS

Ser No

Post Type of Polyclinc

A B C D E

01 Medical Officer 6 3 2 2 1

02 Medical Specialist 2 2 1 0 0

03 Dental Officer 2 2 1 1 0

04 Gynaecologist 1 1 0 0 0

05 Radiologist 1 1 0 0 0

06 Officer-in-Charge 1 1 1 1 0

07 Radiographer 1 1 0 0 0

08 Lab Technician 1 1 1 1 0

09 Lab Assistant 1 1 1 1 0

10 Physiotherapist 1 1 1 0 0

11 Pharmacist 1 1 1 1 0

12 Nursing Assistant 3 3 2 1 1

Ser No

Post Type of Polyclinc

A B C D E

13 Dental Assistant/Technician/Hygienist

2 2 1 1 0

14 Driver 2 2 1 1 1

15 Chowkidar 1 1 1 1 0

16 Female Attendant 1 1 1 1 0

17 Peons 1 1 1 1 0

18 Safaiwala 1 1 1 1 0

REVISED MANPOWER POLYCLINICS

Ser No

Station Headquarters

OiC Contact Number Address

1 INS Angre Cdr US Cheema 022-22752229, 22626733

Station HQ ECHS, INS Angre, c/o FMO, Mumbai 400001

2 INS Tanaji/CABS

Cdr A Thoopal 022-25075448 Station HQ ECHS Mumbai Upnagar,Bureau of Sailors,MankhudMumbai 400088

3 INS Kadamba (Karwar)

Surg Lt Cdr MB Chanu

08382-235006/1/2/5

Station HQ ECHS INS Kadamba, c/o INHS Patanjali, Naval Base Karwar, Karnataka 581308

4 INS Gomantak

Cdr Vishal Kumar

0832-2582704, 2710, 2908

Station HQ ECHS, INS Gomantak, Vasco-da-Gama, Goa 403802

5 INS Hamla Surg Lt Cdr Partha Bhuyan

022-29992422 Station HQ ECHS, INS Hamla, Marve Road, Malad West, Kharodi, Mumbai - 400064

CONTACT DETAILS STATION HEADQURTERS

CONTACT DETAILS POLYCLINICS

Ser No

Polyclinic OiC Contact Number Address

1 Mumbai(Asvini) Cdr (Retd) Rishiram Chauhan

022-22163632

ECHS Polyclinic Mumbai, c/o INHS Asvini, Colaba, Mumbai 400001

2 Chiplun Lt Cdr(R) AK Pandey

02355-250631/ ECHS Polyclinic Chiplun, Boys Military Hostel, Opp Civil Court, Mumbai-Goa Highway, Chiplun 415615

3 Mahad Cdr (Retd) LR Nehra

02145-225198 ECHS Polyclinic Mahad, 1st Floor, Yashwant Hospital, Opp ST Stand, Nave Nagar, Mahad, Dist Raigad, 402305

4 Mumbai Upnagar

Cdr(R) Hoshiar Singh

022-25782144/ 25794965

ECHS Polyclinic Mumbai Upnagar, c/o Naval Hospital Powai, kanjurmarg (W), Mumbai 400078

5 Thane( Nerul) Cdr(R) Praveen Kumar

022-27707392/ 27722114

ECHS Polyclinic Thane(Nerul), Govind Shanti uilding, Plot No B/76, Sector 23(B), Nerul (E), Navi Mumbai 400706

6 Karwar (Kadamba)

Cmde(R) CGS Khan

08382-263632/2263249

ECHS Polyclinic Karwar, c/o INHS Patanjali, Naval Base Karwar, Karwar 581301

7 Vasco-da-Gama (Gomantak)

Cdr Srinivasan Sanjivi

0832-2582751Mob: 9923879973

ECHS Polyclinic Vasco-da-Gama, c/o INHS Jeevanti, Headquarters Goa Naval Area, Vasco-da-Gama 403802

8 COD Kandivali Capt(R) AK Sharma

022-29992489

EMPANELLED HOSPITALS IN MUMBAI

Sl No

Name of Hospital / Diagnostic Centre Location Contact No

01 Balaji Hospital Victoria Road Cross Lane No III Byculla (E) Mumbai 400027

022-23740000

02 Ramkrishna Netralaya A wing 1st floor Shree Balaji Apt. L B S Road Thane (W)400601

09322280980

03 Dr. Shah’s Eye and Laser Centre

AsaraAppartment, Plot No 33, near Station Road,Ambernath (E) Maharashtra 421 501

02512609905

04 Dr. Shah’s Laser Eye Institute C-wing, Rathod Nagar, Behind Raja Hotel,Near KDMC, Kalyan (W) 421 301

0251-2311084

EMPANELLED HOSPITALS IN MUMBAI

Sl No

Name of Hospital / Diagnostic Centre /

Location Contact No

05 Dr Lal Path Lab (Mumbai) Dr LalPathlabs Pvt Ltd, 16A, B Soham Plaza, ghodbunder Road, Manpada, Thane (West)

022-234484

06 Vertex Hospital Veena Nagar Phase 2 , Tusli Pipe Line Road, Near Swapna Nagari Rd & Model Township, Mulund (w), Veena Nagar, Mulund West, Mumbai, Maharashtra 400082

022-41624000

07 Apex Hospital Vaishali Heights,Chandavakar Road, Borivali (W)Mumbai 400 092

022-42457000

08 Dr. Eye Institute Spenta mansion,1st Floor,s.v. Road Andheri (W),Mumbai-400 058

022-26284103

EMPANELLED FACILITIES AS ON DATE

Sr no.Name of

empanelled hospital

Location

Services for which recognized MoU date

from MoU

date toGeneralized Specialized

1 Balaji Hospital Byculla (Mumbai)

General Medicine, General Surgery, Obstetrics & Gynecology , Paediatrics, Orthopedics, ICU & Critical Care units, ENT, Opthalology, Imaging facilities, Blood bank, Dermatology, Psychiatry

Cardiology, Cardiovascular & Cardiothracic Surgery, Urology, Dialysis & Lithotripsy, Orthopedic surgery, Endoscopic Surgery, Neuro surgery, Neuro medicine Gastro Enterology, Endocrinology, Rheumatology, Clinical Haematology, Medical Oncology, Respiratory Diseses, Critical Care Medicines, Vascular Surgery, Paediatric Surgery, Onco Surgery, GI Surgery, Trumatology, Prosthetic, Gynecological Oncology, Paediatric Cardiology, Transfusion Medicine, Interventional & vascular radiology

31-Oct-12 01-Sep-14

Sr no.Name of

empanelled hospital

Location


from MoU date

toGeneralized Specialized

2 Apex Hospital Borivali (Mumbai)

General Services ( General Medicine, General Surgery, Obstetrics & Gynaecology, Orthopaedics ( Excluding Joint Replacement), ICU & Critical Care Units, ENT, Ophthalmology

Cardiology , Cardiovascular & Cardiothoracic Surgery, Orthopaedic Surgery – including Arthroscopic Surgery & Joint Replacement.

Super Speciality Services Cardiology, Cardiothoracic Surgery and Specialized Orthopaedic treatment facilities that include Joint Replacement Surgery

04-Mar-14 03-Mar-16


Sr no.

Name of empanelled

hospital Location


from MoU date


3 Vertex Hospital

Mulund (Mumbai)

General Medicine, General Surgery, Obstetrics & Gynaecology, Orthopaedics’, ICU & Critical care Units ,ENT, Ophthalmology

Cardiology , Cardiovascular & cardiothoracic Surgery, Urology – including Dialysis & Lithotripsy, Orthopaedic Surgery – including arthroscopic surgery & Joint Replacement, Endoscopic Surgery, Nero Surgery, Neuro Medicine, Medical oncology, plastic & Reconstructive Surgery, Vascular Surgery, Onco Surgery, GI Surgery and Interventional & Vascular Radiology. Super Speciality Services : Cardiology, Cardiothoracic Surgery, Specialised Orthpedic Treatment Facilities that include Joint Replacement Surgery, Nephrology and Urology, Endocrinology, Neurosurgery, gastroenterology and GI Surgery, Oncology

04-Mar-14 03-Mar-16


Sr no.Name of

empanelled hospital

Location


from MoU date


4 Dr. Lal Path Lab

Mumbai & Thane

Clinical Pathology, Clinical Microbiology, Clinical Biochemistry

Clinical Immunology, Molecular Diagnostics 14- Nov-13 13- Nov-15


Sr no.

Name of empanelled

hospital Location


from MoU date


5Dr. Ramkrishna

Netralaya Thane

Ophthalmology Services(a) Cataract / Glaucoma(b) Retinal – Medical – Vitreo – Retinal Surgery(c) Strabismus(d) Oculoplasty & Adnexa & other specialised treatment

- 14-Feb-13 13-Feb-15

6Dr.shah Eye & Laser Centre

Kalyan (Thane)


- 29-Aug-13 28-Aug-15


Sr no.Name of

empanelled hospital

Location


from MoU date toGeneralized Specialized

6Dr.shah Eye & Laser Centre Kalyan (Thane)


- 29-Aug-13 28-Aug-15


Sr no.Name of

empanelled hospital

Location


from MoU date


7 Dr.shah Eye & Laser Centre

Ambernath (Thane)


- 29-Aug-13 28-Aug-15

8Doctor Eye

Institute Pvt. Ltd

Andheri (Mumbai)


- 03-Mar-14 02- Mar-16


APPLICATION PENDING AT CENT ORG FOR EMPANELMENT:-

EMPANELMENT OF HOSPUNDER PROCESS

SER NO

HOSPITAL LOCATION

01 SURANA HOSPITAL AND RESEARCH CENTRE KANDIVALI (W)

02 AIMS DOMBIVALI(E)

03 SEVEN HILLS HOSPITAL ANDHERI(E)

04 RN PATIL’S SURAJ HOSPITAL SANPADA

05 DR. SINGH CITY HOSPITAL KALAMBOLI

06 RG UROLOGY ANDHERI (E)

07 SURANA HOSPITAL AND RESEARCH CENTRE CHEMBUR

08 GLOBAL HOSPITAL PAREL

ISSUES REG EMPANELMENT

NON-AVAILABILITY OF MULTISPECIALTY HOSPITALS/ DIAGN CENTRES AT CGHS 2010 RATES AT MUMBAI

CGHS 2010 RATES VS MUMBAI RATES

CGHS Sl No.

NAME OF INVESTIGATION / TREATMENTPROCEDUREOPD

Shah Eye Rates

CGHS 2010 RATES

32 PTERYGIUM SURGERIES 12000 15036 CAUTERIZATION OF

ULCER/SUBCONJUNCTIVAL INJECTION IN ONE EYE

4000+Injection Cost 150

37 CAUTERIZATION OF ULCER/SUBCONJUNCTIVAL INJECTION IN BOTH EYES

8000+Injection Cost 75

38 CORNEAL GRAFTING—PENETRATING KERATOPLASTY

35000 150

48 PENETRATING KERATOPLASTY ---- WITH GLAUCOMA SURGERY

45000 3000

56 PROBING AND SYRINGING OF LACRIMAL SAC- IN BOTH EYE

15000 1000

57 DACRYOCYSTORHINOSTOMY—PLAIN

20000 2000

58 DACRYOCYSTORHINOSTOMY—PLAIN WITH INTUBATION, AND/OR WITH LACRIMAL IMPLANTS

20000/-with Implant Charge

4000

74 INDOCYANIN GREEN ANGIOGRAPHY 25000 300

CGHS 2010 RATES Vs SHAH EYE RATES


DELAY IN SETTLING CLAIMS OF EMPANELLED HOSPITALS & DIAGN CENTRES LEADING TO NON-RENEWAL OF MoAS (FORTIS & HIRANANDANI HOSPITAL)

CGHS 2010 RATES ARE LOWER THAN CGHS 2003 RATES (DIAG CENTRES STOPPED PROVIDING SERVICES)


SL NO

INVESTIGATION CGHS 2003 RATES

( )₹

CGHS 2010 RATES

( )₹01 MRI ABDOMEN 5250.00 2500.00

02 MRI BREAST 11500.00 5000.00

03 MRI NECK 6400.00 2400.00

04 CT BRAIN PLAIN 1800.00 800.00

05 MRI HIP 7200.00 3000.00

06 MRI ANKLE 4700.00 2500.00

07 CT SCAN LIMB 2020.00 1500.00

CGHS 2003 RATES VS CGHS 2010 RATES

STRENGTH OF ECHS BENEFICIARIES

POLYCLINIC DEPENDENT POPULATION

ASVINI 49068

MUMBAI UPNAGAR 10429

THANE(NERUL) 15479

CHIPLUN 4536

MAHAD 10443

VASCO-DA-GAMA 5395

KARWAR 3246

WORK LOAD ON POLYCLINICS

Sl No

CATEGORY NERUL MUMBAI UPNAGAR ASVINI

(a) GENERAL OPD/DAY 150-170 90-100 150-175

(b) DENTAL OPD/DAY 15-20 15-20 35-40

(c) LAB INVESTIGATION/DAY 20-25 20-25 50-60

(d) ECG & X-RAY/MONTH 04-06 05-10 25-30

(e) TRANSFER OF PATIENT TO ASVINI/DAY

03-05 03-05 20-25

(f) EMERGENCY ADMISSIONS/MONTH

10-14 10-15 12-15

ONLINE BILL PROCESSING AND AUTOMATION OF ECHS

EXPECTED TO GO ONLINE SOON.

WITH THE INTRODUCTION OF ONLINE BILL PROCESSING MEDICAL CLAIMS WILL BE CLEARED EXPEDITIOUSLY

FINANCIAL POWERS

Appointment Amount(Rs)

Director RC Upto 3,00,000.00

MD ECHS Upto 10,00,000.00

Joint Secy ESW Upto 25,00,000.00

Secy ESW Above 25,000,000.00

ONLINE

Appointment Amount(Rs)

Station Commander Upto 50,000 (Cmde)Upto 20,000 (Capt)

NOIC 50,001 to 1,00,000

FOMAG 1,00,001 to 2,00,000

FOC-in-C 2,00,001 to 4,00,000

MD ECHS 4,00,001 to 5,00,000

MoD Above 5,00,000

MANUAL

CURRENT ISSUES

Operationalization of ECHS Polyclinic Kandivali

•Land available close to Malad railway stn.

•HQWNC provided funds.

•Hamla in the process of setting up in porta cabins.

•New Polyclinics

•Case forwarded to cent org– NAVI MUMBAI– AMBARNATH

OLD AGENDA POINTSOLD AGENDA POINTS03 FEB 1303 FEB 13

Waiver of PBG, Clearing Outstanding Bills, Empanelment of more Hospitals

The Chairman directed that efforts be undertaken to clear outstanding bills expeditiously and more health care facilities be empanelled in Mumbai as well as in Navi Mumbai.

PBG can not be waived. Bills of Hiranandhani cleared and Fortis is pending with MoD.

New Polyclinic at Kandivali

The Chairman directed that both the cases pertaining to transfer of land and hiring of temporary accommodation for new Polyclinic at Kandivali be progressed.

Funds are provided by HQWNC. Hamla is in the process of setting up in the Porta Cabins.

New Polyclinic at Ambernath.

The Chairman directed that case be closely monitored.

Case is pending with Cent Org. Govt insisting that all sanctioned Polyclinics be set up first.

NAC for Dental Treatment Non-functioning of dental Chair at Nerul

The Chairman directed NIDS to provide technical support for repairing of the dental chair and other dental equipment. Also, cases for empanelment of dental centres in Mumbai and Navi Mumbai be perused vigorously.

Dental Chair is functional. No Dental Clinic is ready with the present rates.

NEW AGENDA POINTSNEW AGENDA POINTS18 MAY 1418 MAY 14

Cmde BK Ahluwalia(Retd)

1(A) Affiliation of Hiranandani and Fortis Hospitals are open for affiliation but want their bills to be cleared first .

1(B) Pending finalisation of rates by Govt, difference between market rates and CGHS rates may be paid by Patients seeking treatment there.

1(C) Bank Guranttee may be given by Navy/WNC if not , contribution may be taken from Veterans.

• Allocation of Funds as per No. of Veterans and not on VIP basis, understand Delhi, NOIDA has no problems at all.

• Affiliation of New Hospitals should be of good reasonable standard not just being cheapest, understand lately we have lowered our standard.

• Availability of Medicines. May be done as is being done for Active Service personnel.

NEW POINTS

Cmde BK Ahluwalia(Retd)

5. All Facilities available in INHS Asvini like MRI etc should be open to Veterans also and not on limited basis.

6. Specialists OPD be held in Kanjurmarg ECHS twice a week rather than veterans coming to Asvini and as is being done in some other places.

7. Availability of ECHS Dr in Jalvayuvihar for 01 Hr in morning or evening.

8. Powai being more than 35 kms away from Asvini, facilities not available in ECHS Kanjurmarg NA be given to go to affiliated Hospitals as is being done in Delhi, NOIDA and other places. We in powai are suffering and spending our own money as going to Asivini is neither convenient nor cost effective.

9. ECHS Meeting be held more periodically than annually to progress the points. Lastly I volunteer for any contribution as required by Authorities of money, time or in any other manner as to find solutions to existing hurdles and to make life of Veterans better.

NEW POINTS

Cdr (Retd) KB Sahi

1. A large population of ESM made Navi Mumbai their retirement home.

2. It is understood that a permanent ECHS polyclinic is being raised in remote part of Kharghar.

3. Would like to submit for kind consideration and necessary action of the FOC-in-C (West) that the Navy with the support of the Army, Air Force & Local authorities must take up through the Defence Ministry with the State Govt for allocation of adequate and suitable land around CBD Belapur for setting up a Multipurpose Ex-servicemen Centre including multi-speciality ECHS polyclinic.

NEW POINTS

Cmde(Retd) Vimal Kumar

1. Reverting to old system of dispensing medicine at ECHS Polyclinic Mumbai. There was a system in place in that a patients after seeing a specialist collected medicine from ECHS dispensing counter. Now, for collecting medicines one has to get the prescription is entered in another computer, thereafter get into a line for collecting medicines. 2. Additional dispensing window for PBOR be opened on Wed and Sat at ECHS Asvini. Large number of veterans visits hospital since most of OPD’s are at work on these days. Opening an additional dispensing unit for PBOR on these days will greatly help veterans.

3. There are no empanelled hospital in Navi mumbai. Whereas there are many empanelled hospitals in Noida, Delhi, Gurgaon and other big cities.

4. Providing portable screen in waiting veranda in Nerul ECHS. Veterans wait in veranda of clinic. Patients are partially exposed to sun and rains. Portable screen be provided in partially open veranda.

NEW POINTS

Cmde(R) Vimal Kumar

1. Dental surgery room in Nerul ECHS. This is probably the only non AC dental surgery room in entire Maharashtra. AC must be provided. It is linked with hygiene of dental roots and comfort of suffering patient.

2. OPD timings of ECHS Nerul and Asvini needs to be spelt out clearly . I checked up from many O/IC ECHS (across the country) the OPD’s are available from 8 AM to 4 PM with minor shifting of timing by 30 minuts( in summer/winter).

NEW POINTS

ESM from Mahad

Accommodation rates of Sagar.

ESM are referred to INHS Asvini for various specialists’ opinion and treatment from ECHS Polyclinic Mahad. At times ESM will be required to stay for a couple of days at Mumbai for reports/specialist opinion/treatement.

Ex Sailors coming for medical treatment may be provided accommodation at Sagar at nominal rates of Rs 100 per day as done at Sagarika for Jawans.

NEW POINTS

RD Nair, Ex-POWTR

Doctors of Mumbai Upnagar Polyclinic may be advised to refer up-to-date stock list of medicines available while prescribing medicines and prescribing substitute medicines, wherever possible.

Rajiv Pillai

Medical Reports should be sent by e-mail.

NEW POINTS

Santosh Lohar, EX-POR

1. Since there are large number of ESM are residing in Sub Urbs at least on new ECHS polyclinic be opened. 2. Doctors of ECHS may be authorised to issue medical certificates for producing to employers, if the patient is working.

3. Visits of medical specialist i.e. Gynae, Pediatrics, ENT, Medicnie Ortho may be arranged in ECHS clinics.

NEW POINTS

Documents

ECHS CONFERANCE