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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
Services for which recognized MoU date
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
EMPANELLED FACILITIES AS ON DATE
Sr no.
Name of empanelled
hospital Location
Services for which recognized MoU date
from MoU date
toGeneralized Specialized
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
EMPANELLED FACILITIES AS ON DATE
Sr no.Name of
empanelled hospital
Location
Services for which recognized MoU date
from MoU date
toGeneralized Specialized
4 Dr. Lal Path Lab
Mumbai & Thane
Clinical Pathology, Clinical Microbiology, Clinical Biochemistry
Clinical Immunology, Molecular Diagnostics 14- Nov-13 13- Nov-15
EMPANELLED FACILITIES AS ON DATE
Sr no.
Name of empanelled
hospital Location
Services for which recognized MoU date
from MoU date
toGeneralized Specialized
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)
Ophthalmology Services(a) Cataract / Glaucoma(b) Retinal – Medical – Vitreo – Retinal Surgery(c) Strabismus(d) Oculoplasty & Adnexa & other specialised treatment
- 29-Aug-13 28-Aug-15
EMPANELLED FACILITIES AS ON DATE
Sr no.Name of
empanelled hospital
Location
Services for which recognized MoU date
from MoU date toGeneralized Specialized
6Dr.shah Eye & Laser Centre Kalyan (Thane)
Ophthalmology Services(a) Cataract / Glaucoma(b) Retinal – Medical – Vitreo – Retinal Surgery(c) Strabismus(d) Oculoplasty & Adnexa & other specialised treatment
- 29-Aug-13 28-Aug-15
EMPANELLED FACILITIES AS ON DATE
Sr no.Name of
empanelled hospital
Location
Services for which recognized MoU date
from MoU date
toGeneralized Specialized
7 Dr.shah Eye & Laser Centre
Ambernath (Thane)
Ophthalmology Services(a) Cataract / Glaucoma(b) Retinal – Medical – Vitreo – Retinal Surgery(c) Strabismus(d) Oculoplasty & Adnexa & other specialised treatment
- 29-Aug-13 28-Aug-15
8Doctor Eye
Institute Pvt. Ltd
Andheri (Mumbai)
Ophthalmology Services(a) Cataract / Glaucoma(b) Retinal – Medical – Vitreo – Retinal Surgery(c) Strabismus(d) Oculoplasty & Adnexa & other specialised treatment
- 03-Mar-14 02- Mar-16
EMPANELLED FACILITIES AS ON DATE
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
ISSUES REG EMPANELMENT
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)
ISSUES REG EMPANELMENT
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