ECHS CONFERENCE VISAKHAPATNAM AREA 24 FEB 13 ECHS

ECHS CONFERENCE, VISAKHAPATNAM AREA - 24 FEB 13

ECHS SCHEME Ø Govt Sanctioned - 30 DEC 02 Ø Launched - 01 APR 03 Ø Polyclinics - 227+199 Ø Regional Centers - 13+15 Ø Central Organisation - 01 (DELHI)

STATUS REPORT Ø Membership ü Veterans - 12, 97, 079 ü Dependents - 28, 86, 097 ü Total Beneficiaries - 41, 88, 417 Ø Empanelled Hospitals - 1377(173 STATIONS) Ø Budget FY 2012 -13 - 1400 Crs (Allotment against projected 1860 Crs) 3

STATUS REPORT Membership Members Veterans Widows ECHS Def. 13, 37, 293 11, 78, 178 1, 59, 115 4, 69, 858 1, 18, 901 3, 50, 957 MUST MAKE ALLOUT EFFORTS FOR ENROLLING

ECHS BENEFICIARIES

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, 000/6

RECENT ECHS DEVELOPMENTS Ø Upgraded ECHS Smart Card 32 KB valid at all Polyclinics Ø ECHS White Card – priority for disabled ØUID No. will be furnished on ECHS Smarts Cards 01 Apr 2013 PLS NOTE : AADHAR CARDS WILL BE LINKED w. e. f

RECENT ECHS DEVELOPMENTS Ø Minor brother, unmarried / divorced / abandoned or separated /widowed dependent sisters/daughters have been included in the dependents list of ECHS members Ø The choice of empanelled facility is with ECHS members Ø For above 80 yrs preference be given for admission to service hospital, if that is their choice, depending on bed availability Ø 07 days medicines will be issued by empanelled hospital after discharge and cost included in bill / claim

RECENT ECHS DEVELOPMENTS ØOutsourcing 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 ØOutsourcing 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 Ø Performance Bank Guarantee (PBG) ü Issue of PBG had been taken up with the Govt ü 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 ü 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 Ø Kochi Ø Visakhapatnam Ø Mumbai

POLYCLINICS UNDER NAVY Ø NHQ / India Ø WNC - East Delhi - Mumbai, Powai, Nerul (Thane), Karwar, Chiplun, Mahad, Vasco-da-Gama, Navi Mumbai (COD Kandivali) Ø ENC - Vizag, Bhubaneswar, Balasore, Tirunelveli, Kakinada, Srikakulam, Dhenkanal, Puri, Angul, Ramanathapuram Ø SNC - Kochi, Moovattupuzha, Painavu Ø ANC - Port Blair

PENDING ISSUES WITH MOD Ø Additional manpower at polyclinics Ø Revision of pay of polyclinic staff Ø Non-availability of medicines

PROPOSED MANPOWER : POLYCLINICS Type A Type B Type C Type D Type E M NM M MEDICAL OFFRS 6 6 3 3 2 2 1 MEDICAL SPECIALIST 2 2 1 1 0 DENTAL OFFICER 1 2 1 1 0 GYNECOLOGIST 1 1 0 0 0 RADIOLOGIST 1 1 0 0 0 OFFICER-IN-CHARGE 1 1 1 1 0 RADIOGRAPHER 1 1 1 1 0 DARK ROOM ASST 1 1 1 1 0 LAB TECHNICIANS 1 1 1 1 0 LAB ASSISTANT 1 1 1 1 0 ECG TECHNICIAN 1 1 1 1 0 PHYSIOTHERAPIST 1 1 1 1 0 PHARMACIST 4 4 3 3 3 0 NURSING ASSISTANT 3 3 3 3 1 DENTAL TECHNICIAN 1 2 1 1 0

PROPOSED MANPOWER : POLYCLINICS Type A Type B Type C Type D Type E M NM M CLERK 3 2 2 1 1 1 0 RECEPTIONIST/ DATA ENTRY OPERATOR 0 0 0 0 0 DRIVER 1 3 1 1 1 DENTAL ORDERLY 1 1 1 1 0 LAB ATTENDANT 1 1 1 1 0 DRESSER 1 1 1 1 0 CHOWKIDARS 1 1 1 1 0 PEONS 1 1 1 1 0 SAFAIWALA 1 1 1 1 0 35 21 28 27 12 03 FEMALE ATTENDANT Total 37 15 40 32 21 15 9 12 26 9 28

REVISION OF PAY–POLYCLINIC STAFF Category Officers Para Medical Staff Non Medical Staff Existing Proposed 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/- 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/- 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 Ø Permit re-imbursement of NA medicines Ø Extend provision of LP to Mil Polyclinics Ø Enhance limit of LP to Rs. 2 lakhs & Rs. 1 lakh for type A/B and C/D Polyclinics respectively Ø Outsource entire pharmacy services

EMPANELLED HOSPITAL – RC VISAKHAPATNAM Ø CARE HOSPITAL Ø INDUS HOSPITAL Ø LAZARUS HOSPITAL VISAKHAPATNAM Ø VIJAYA DIAGNOSTICS Ø SHANKAR FOUNDATION Ø APPOLO HOSPITAL KAKINADA Ø QUEEN’S NRI HOSPITAL Ø APPOLO HOSPITAL Ø Ø KIMS HOSPITAL VSKP (MOA pending) -Do- - Do- SRIKAKULAM (EOI pending)

REGIONAL CENTRE VISAKHAPATNAM (DIRECTOR) JT DIR (EST) JT DIR (ACCTS) JT DIR (MED) 17 SAILORS / EQUIVALENT Tele contact : 0891 -2813134 Email address : rcvisak@gmail. com ECHS Blog : rcechsvizag Google search : ECHS INDIA

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

THANK YOU 31