AYUSHMAN MITRA (Selection, Placement and Training) Ayushman Bharat – Pradhan Mantri Jan Swasthya Yojana

Ayushman Mitra – Criteria and Selection Completed 12th from a recognized Board of Education Completed the Ayushman Mitra Training Course and passed the respective course exam/ certification Possessing fluent communication skills in English/Hindi and Local language Having adequate functional computer literacy which shall include understanding of Microsoft Office Suite and navigating through Internet Portals. Qualified Female Candidates and ASHAs to be given preference Recruitment: Public hospitals: Depute/ designate or hire through a third party agency or hire through any other means Private hospitals: Hire directly

Placement Numbers of AMs shall be dependent on the average case-load per day; suggested numbers are: 0-10 Cases – 1 AM 10-20 Cases – 2 AMs 20-30 Cases – 3 AMs 30-40 Cases – 4 AMs State can revise the number of AMs based on local conditions AMs shall be reshuffled every 6 months within the same city /town as far as feasible reshuffling of AMs shall be done by the district nodal officer

Roles and Responsibilities The Ayushman Mitra is the primary contact for the beneficiaries at every EHCP The AM shall be responsible for focusing on three broad areas: Operating the Beneficiary Identification System to identify and verify the beneficiaries entitled under AB-PMJSY Undertaking Transaction Management such as submitting requests for Pre-Authorization and Claims Guiding the Beneficiary about the overall benefits under AB-PMJSY and providing information about receiving prompt treatment at EHCP

Key Roles: BIS for new beneficiaries Collects the Aadhaar Card, Family ID Card or any other Government ID Card from the beneficiary Searches name, verifies names based on Govt ID card, authenticate beneficiary, take a photo and establishes beneficiary relation with the family AM receives family and individual match scores; record is saved as ‘silver record’ and a provisional card generated Records submitted to verifying authority; once approved, record is saved as ‘golden record’ AM will then print the AB-PMJSY e-Card as “golden record” and give it to the beneficiary

Key Roles: at EHCP for care seeking provide all the necessary assistance and details about the scheme; help locate facilities and guide a patient collect, scan and upload all the necessary documents for pre-authorization liaison with the EHCP for timely admission and availability of bed to patient liaison and coordinate with the Medical officer for collecting, scanning and uploading all the necessary documents required for submitting claim request verify discharge summary and follow-up details to the discharged beneficiaries bring all grievances to the notice of Grievance Cell track and report refund of any investigation amount collected in contravention to the Guidelines report any irregularities or inadequacy noticed to the beneficiaries e.g. explain to the beneficiary that the AB-PMJSY card does not cover the OPD treatment

Ayushman Mitra Training Plan The training to Ayushman Mitras can be delivered in both F2F and online means to meet the timelines of PMJSY and be more comprehensive: Face-to-Face (F2F) Training The F2F training will roll-out first as it is easier to develop relative to the online training Online Training The online training will be aimed at ensuring standardization and certification of relevant staff

Ayushman Mitra Training Plan – F2F (first phase to 9 States) Partnership with Ministry of Skill Development and Entrepreneurship Health Sector Skill Council to provide technical support Pradhan Mantri Kaushal Kendra platform in 400+ districts to be used PMKK to assess the knowledge level of trainer Ayushman Mitra Identification of AM (pub and Pvt) NHA and SHA Training of trainers (PMKK and HSSC) NHA and HSSC Training of AM PMKK August 05, 2018 (for public hospital to start with August 9-11, 2018 August 12, 2018

Steps to be taken by states For the districts 9 selected states where public/pvt hospitals have been identified: Share details of Ayushman Mitra – August 5, 2018 (template in next slide) Identify nearest PKKK for each district where AMs have been identified (list of PMKKs will be shared) Mobilize Ayushman Mitra for training on August 13-14, 2018 Report to NHA on number of Ayushman Mitra trained by August 16, 2018 For remining states and remaining AMs in 9 states: share the details of AM by August 30, 2018, details of training would be shared 9 States: Chhattisgarh, Jharkhand, Madhya Pradesh, Assam, Manipur, Arunachal Pradesh, Nagaland, Chandigarh and Dadra and Nagar Haveli

Details of Ayushman Mitra Sn. Name of Ayushman Mitra Base Hospital Type of Hospital (Pub./ Pvt.) District Email Mobile No.  

Ayushman Mitra Training Plan – Online (long term) An agency will be hired to develop: Online training content Learning Management Solution (web-portal) Dashboard for monitoring of training PMKKs will be used to rollout supervised online training in every district of the country Key features (tentative): Course content and LMS hosted on govt servers AMs register and take-up the course Online test linked to course is taken-up by AMs After successful completion, a certificate is generated (email/print)

Thank You