ECHS CONFERENCE, VISAKHAPATNAM AREA - 24 FEB 13. ECHS SCHEME Govt Sanctioned - 30 DEC 02 Launched...

ECHS CONFERENCE, VISAKHAPATNAM AREA - 24 FEB 13

ECHS SCHEME

Govt Sanctioned - 30 DEC 02

Launched - 01 APR 03

Polyclinics - 227+199

Regional Centers - 13+15

Central Organisation - 01 (DELHI)

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STATUS REPORT

STATUS REPORT

MUST MAKE ALLOUT EFFORTS FOR ENROLLING

Membership

Members ECHS Def.

Veterans 13, 37, 293 11, 78, 178 1,59,115

Widows 4, 69, 858 1, 18, 901 3, 50, 957

ECHS BENEFICIARIES

ARMY85%

NAVY5%

AF10%

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ECHS SUBSCRIPTION RATES

Grade Pay Per Month Subscription

Rs. 1800/-, Rs. 1900/-, Rs. 2000/-, Rs.2400/- & Rs. 2800/-

Rs. 15,000/-

Rs. 3400/- & Rs. 4200/- Rs. 27,000/-

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

Rs. 39,000/-

Rs. 7600/- & Above Rs. 60,000/-

RECENT ECHS DEVELOPMENTS

Upgraded ECHS Smart Card 32 KB valid at all Polyclinics

ECHS White Card – priority for disabled

UID No. will be furnished on ECHS Smarts Cards w.e.f 01 Apr 2013

PLS NOTE : AADHAR CARDS WILL BE LINKED

RECENT ECHS DEVELOPMENTS

Minor brother, unmarried / divorced / abandoned or separated /widowed dependent sisters/daughters have been included in the dependents list of ECHS members

The choice of empanelled facility is with ECHS members

For above 80 yrs preference be given for admission to service hospital, if that is their choice, depending on bed availability

07 days medicines will be issued by empanelled hospital after discharge and cost included in bill / claim

RECENT ECHS DEVELOPMENTS

Outsourcing of bill processing

- TPA Started in five cities on trial basis i.e Delhi, Chandimandir, Pune, Trivandrum, Secunderabad w.e.f 01 Apr 12

- Jalandar, Jaipur, Kochi, Kolkata, Lucknow 05 more approved in Dec 12

- Rest in phased manner

RECENT ECHS DEVELOPMENTS

Outsourcing of Pharmacy Operation

To overcome the problem of non availability of medicines at Polyclinics outsourcing is likely to commence in Apr 2013 at following six cities Delhi Pune Chandimandir Trivandrum Secunderabad Lucknow

RECENT ECHS DEVELOPMENTS

Performance Bank Guarantee (PBG)

Issue of PBG had been taken up with the Govt

Rates have been reduced from Rs. 10 lakhs to Rs. 2 lakhs and Rs. 1 lakh in CGHS cities and Non-CGHS cities respectively for empanelled hospital

In case of other empanelled facilities this has been reduced from Rs. 2 lakhs to Rs. 50,000/- and Rs. 25,000/- in CGHS cities and non-CGHS cities

REGIONAL CENTRES – NAVY

Kochi

Visakhapatnam

Mumbai

POLYCLINICS UNDER NAVY

NHQ / India - East Delhi

WNC - Mumbai, Powai, Nerul (Thane), Karwar, Chiplun, Mahad, Vasco-da-Gama, Navi Mumbai (COD Kandivali)

ENC - Vizag, Bhubaneswar, Balasore, Tirunelveli, Kakinada, Srikakulam, Dhenkanal, Puri, Angul,

Ramanathapuram

SNC - Kochi, Moovattupuzha, Painavu

ANC - Port Blair

PENDING ISSUES WITH MOD

Additional manpower at polyclinics

Revision of pay of polyclinic staff

Non-availability of medicines

PROPOSED MANPOWER : POLYCLINICS

Type A Type B Type C Type D Type E

M NM M NM M NM M NM M

MEDICAL OFFRS 6 6 3 3 2 3 2 2 1

MEDICAL SPECIALIST 2 2 2 2 1 1 0 1 0

DENTAL OFFICER 1 2 1 2 1 1 1 1 0

GYNECOLOGIST 1 1 1 1 0 0 0 0 0

RADIOLOGIST 1 1 1 1 0 0 0 0 0

OFFICER-IN-CHARGE 1 1 1 1 1 1 1 1 0

RADIOGRAPHER 1 1 1 1 1 1 1 1 0

DARK ROOM ASST 1 1 1 1 1 1 1 1 0

LAB TECHNICIANS 1 1 1 1 1 1 1 1 0

LAB ASSISTANT 1 1 1 1 1 1 1 1 0

ECG TECHNICIAN 1 1 1 1 1 1 1 1 0

PHYSIOTHERAPIST 1 1 1 1 1 1 1 1 0

PHARMACIST 4 4 3 3 3 3 3 3 0

NURSING ASSISTANT 3 3 3 3 3 3 3 3 1

DENTAL TECHNICIAN 1 2 1 2 1 1 1 1 0

PROPOSED MANPOWER : POLYCLINICS

Type A Type B Type C Type D Type E

M NM M NM M NM M NM M

CLERK 3 2 2 1 2 1 1 1 0

RECEPTIONIST/DATA ENTRY OPERATOR

0 0 0 0 0 0 0 0 0

DRIVER 1 3 1 3 1 1 1 1 1

DENTAL ORDERLY 1 1 1 1 1 1 1 1 0

LAB ATTENDANT 1 1 1 1 1 1 1 1 0

DRESSER 1 1 1 1 1 1 1 1 0

CHOWKIDARS 1 1 1 1 1 1 1 1 0

FEMALE ATTENDANT 1 1 1 1 1 1 1 1 0

PEONS 1 1 1 1 1 1 1 1 0

SAFAIWALA 1 1 1 1 1 1 1 1 0

Total 37 40 32 35 28 28 26 27 0315 21 15 21 9 12 9 12

REVISION OF PAY–POLYCLINIC STAFF

Category Staff Existing Proposed

Officers

OIC 25,000/- 46,000/-

Med Offr 25,000/- 46,000/-

Med Splst 35,000/- 55,000/-

Gynaecologist 35,000/- 55,000/-

Dental Offr 25,000/- 46,000/-

Para MedicalStaff

Nursing Asst (Gen) 9,500/- 17,480/-

Nursing Asst (Spl) 10,000/- 18,400/-

Lab Assistant 10,000/- 18,400/-

Dental Hygienist 10,000/- 18,400/-

Non Medical Staff

Receptionist 8000/- 14,720/-

Driver 7000/- 12,880/-

Peon 6500/- 11,960/-

Safaiwala 6500/- 11,960/-

Female attendant 6500/- 11,960/-

NON-AVAILABILITY OF MEDICINES

Permit re-imbursement of NA medicines

Extend provision of LP to Mil Polyclinics

Enhance limit of LP to Rs. 2 lakhs & Rs. 1 lakh for type A/B and C/D Polyclinics respectively

Outsource entire pharmacy services

EMPANELLED HOSPITAL – RC VISAKHAPATNAM

CARE HOSPITAL INDUS HOSPITAL LAZARUS HOSPITAL VISAKHAPATNAM VIJAYA DIAGNOSTICS SHANKAR FOUNDATION

APPOLO HOSPITAL KAKINADA

QUEEN’S NRI HOSPITAL VSKP (MOA pending) APPOLO HOSPITAL -Do- - Do-

KIMS HOSPITAL SRIKAKULAM (EOI pending)

REGIONAL CENTRE VISAKHAPATNAM

JT DIR (EST) JT DIR (ACCTS) JT DIR (MED)

(DIRECTOR)

Tele contact : 0891-2813134

Email address : rcvisak@gmail.com

ECHS Blog : rcechsvizag

Google search : ECHS INDIA

17 SAILORS / EQUIVALENT

ECHS MANAGEMENT

• MAIN COMPONENTS

• POLYCLINIC

• SEMO/HOSP

• STN HQ/CDR

• REGIONAL CENTRE

• CENTRAL ORG

ECHS MANAGEMENT

• MANAGED BY SERVING PERSONNEL

• AT CENTRAL ORG/RC/STATION/SEMO

• POLYCLINIC LEVEL

-VETERANS(OFF/MEN)=MED/NONMED

-CIVILIANS-MED/NONMED

FRON T END OF ECHS – POLYCLINIC!!!!

• VETERANS INTERACT DAY IN/ OUT

• CONDUCT OF PC STAFF

• EVEN LOWER MOST MAN MATTERS

• SERVICE TO OWN COMMUNITY

• OWN/BE PART OF THIS SYSTEM

FRONT END OF ECHS – POLYCLINIC!!!!

• MUST SPK IN ONE VOICE• UPDATE KNOWLEDGE AMONG STAFF• PRESCRIPTION OF AVAILABLE MEDICINES• ASSISTING IN PLACING DEMANDS• BRANDED DRUGS VS GENERIC MEDICINES

FRON T END OF ECHS – POLYCLINIC!!!!

• COSTITUTION ADV COMMITTEE WITH ESM ORG REPS• CONDUCT OF PC STAFF• REGULAR MEETINGS• DISPLAY OF PROCEEDINGS• SUGGESTION BOX• CONFIDENCE BUILDING MEASURES

FRONT END OF ECHS -POLYCLINIC-WORK LOAD

• STAFF LIMITED/ REVIEW ONLY ONCE IN 5

YRS• URBAN /SEMI URBAN PC LOAD

INCREASED• VOLUNTEERS FROM ESM ORGANISATIONS

AND NGOs• SELF DISCIPLINE AMONG ESM

MEDICINES SUPPLY!!

• AFMSD –MMF DEMANDS/REVIEWS• DEPOT TO PC – LEADTIME MUCH• DGLP SUPPLY –BUDGETS GROWING!!• GENERIC MEDICINES/ COST LESS• MORE PERS CAN BE PROVIDED• SEMO/ OIC INTERACTIONS REGULARLY

HOSP BILL CLEARENCE!!!

• ESM DEMAND UNAUTHORISED SERVICES• UNLESS MONEY SPENT/STN CDR CANNOT

DEMAND ADDL FUNDS• BECOME SUPER AUDITORS /GETS BILLS

RETURNED EVERY STAGE!!!• REIMBURSEMENT OF ESM EMERGENCY

CLAIMS MUST BE PRIORITY

HOSP BILL CLEARENCE!!!

• LATE SUBMISSION OF BILLS BY HOSP• PROGRESS OF BILLS HELD UP AT

STNHQ/SEMO/ RC/ CENTRAL ORG/MOD• EMPANNELLED HOSP OPT OUT• NEED TO INTERACT EVERY LEVEL• CHECK LISTS MUST BE MADE• ERRORS FOR HUMANS!!!

POLY CLINIC AS WELLNESS CENTRES!!!

• PREVENTIVE HEALTH AWARENESS PROGRAMMES FOR VETERANS

• SPECIALIST FROM MIL /EMP HOSP• HEALTH EDUCATION BUT NOT AS

ENROLLMENTS TO HOSP• BENEFITS TO ESM AND ECHS

RESOURCES/BUDGETS

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THANK YOU