2 CONCEPT OUTSOURCE PVT EMP HOSP AUGMENT WITH GOVT FUNDS UTILISE AFMS

SALIENT FEATURES Govt sanctioned - 30 Dec 02 Launched -01 Apr 03 ESM pensioners-20 Lacs Polyclinics -227 Regional Centres-13 Central Organisation-01(Delhi) Budget Capital (One time)-122 Cr Revenue (Annual)

CURRENT STATUS MEMBERS LACS BENEFICIARIES- 32 LACS POLYCLINICS MIL HOSP MEDICARE- 132 PVT. HOSP EMP ADDL PVT HOSP EMP -152 POLYCLINICS MEDICARE- 90%

MIL HOSP MEDICARE- 5% PVT. HOSP MEDICARE- 5% CAPITAL EXPENDITURE- 62 CR REVENUE EXP TILL DATE CR EXTENDED TO CG / DSC AND TA

6 STATUS OF REVIEW REVIEWED AFTER FIVE YEARS BY MOD/ REPS ADDL MANPOWER FOR POLYCLINICS POLYCLINIC STAFF PAY HIKE – IMPLEMENTED ENHANCEMENT OF FIN POWERS – CFAs REFERRAL PROCEDURE REVIEWED MED OFF ALSO AS OI/C POLYCLINIC

SETTING UP – NEW POLYCLINICS NEW ECHS POLYCLINICS-197 REGIONAL CENTRES- 15 UPGRADE- 14 CONVERSION- 11 MOD APPROVAL EXPECTED SOON DETAILS IN FOLDER BUDGET Capital(One Time) -130 Cr Revenue (Per Annum)- 45 Cr

8 STATE/CHARTER WISE DETAILS OF NEW POLYCLINICS SL No STATEDISTESM POLYCLINICS EXISTINGPROPOSEDTOTAL 1ANDHRA PRADESH GOA KARNATAKA KERALA MAHARASHTRA ORISSA TAMILNADU WEST BENGAL DELHI CHANDIGARH

9 CHARTER WISE - PVT EMP HOSP SL. No. NAVY FOUNDATION CHARTER PRIVATE HOSP /ORTHOTIC/PROSTHETIC CENTRES EMPANELLED PRIVATE HOSPORTHOTIC/ PROSTHETIC CENTRES TOTAL 1HYDERABAD VISAKHAPATNAM GOA BANGALORE KERALA PUNE MUMBAI BHUBANESWAR CHENNAI COIMBATORE KOLKATA DELHI/NCR CHANDIGARH230023

NEW POLYCLINICS - NAVY REGIONAL CENTRES - MUMBAI AND VIZAG UPGRADATION – VIZAG (‘C’ TO ‘B’) CONVERSION – BALASORE (MIL TO NON-MIL) SEVEN NEW POLYCLINICS WNC-NAVI MUMBAI VASCOTHANE ENC-SRIKAKULAMPURI SNC-MOOVATTUPUZAHTHODAPUZHA

POSSESSION OF SMART CARD SMART CARD ESSENTIAL WHITE CARD FOR DISABLED CHILD ACCEPTABLE AT ALL POLYCLINICS TAC IN LIEU OF SMART CARD MERGER ZSB/ESM/CANTEEN/ECHS CARDS

NON ECHS MEMBERS NO FURTHER REFERRAL FROM MH POSSIBLE NO REIMBURSEMENTS ECHS/ KSB/ INBA NO MEDICARE IN POLYCLINICS/ PVT EMP HOSP NON MEMBERS JOIN EARLIEST

MEDICINE SUPPLY PVMS DRUGS BY AFMSDS NA MEDICINES LP BY MIL HOSP OUTSOURCING UNDER CONSIDERATION OPTION TO DRAW FROM PHARMACY

AUTOMATION AUTOMATION UNDER WAY BY PROJECT CHANGE OF POLYCLINIC ON SMART CARD INSTANTLY MANNUAL BILL PROCESSING AUTOMATED ONLINE PAYMENT – PVT EMP HOSP BILLS

ECHS HOSPITAL ECHS HOSP AT DELHI PROPOSED - MOD NEXT TO ACMS DELHI CANTT 500 BED COST 250 CR MORE HOSP IN FUTURE IN BIG CITIES

KOLKATA CHARTER POINT - EMP MORE PVT HOSP STATUS – THREE MORE HOSPS EMP POINT - AMRI PVT HOSP MEDICARE DENIAL DUE PENDING BILLS STATUS – PROBLEM RESOLVED REFERRALS RESUMED

POINT – NO X-RAY AT POLYCLOINIC - NO TECHNICIAN STATUS – X-RAY AT POLYCLINIC SOON TECHNICIAN BEING POSITIONED POINT - MEDICINES – NON AVAILABILITY STATUS – NO FUNDS PROBLEM - OUTSOURCING UNDER CONSIDERATION POINT - REIMBURSEMENT FOR ARTHRITIS STATUS – REIMBURSEMENT ONLY ON LIFE SAVING GROUNDS ARTHRITIS NOT COVERED

HYDERABAD CHARTER POINT - NON AVAILABILITY OF MEDICINES STATUS - NO FUNDS PROBLEM - OUTSOURCING UNDER CONSIDERATION

KERALA CHARTER POINT - FORMATION OF ECHS COMMISSION STATUS - REVIEW COMMITTEE ESTABLISHED – ANOTHER COMMISSION NOT VIABLE POINT - LIBERALIZED ECHS / AEHS PROPOSAL STATUS – RE-EXAMINED BY CONCERNED AUTHORITIES - NOT VIABLE NOW

HEALTH INSURANCE CGHS CONSIDERING OUTSOURCING TO INSURANCE ECHS MAY ALSO OUTSOURCE TO INSURANCE AEHS/ LIBERALIZED SCHEME - CONSIDERATION UNDER INSURANCE INSURANCE SCHEME – DISADVANTAGES

REVISED CONTRIBUTION CGHS REVISED POST VI CPC ECHS REVISION UNDER CONSIDERATION

ECHS INFORMATION ECHS WEBSITE : ID : CENT ORG TELE NO ECHS OFFICE (NAVY) TELE NO LATEST SIX MONTHLY NEWS LETTER JUL 09

THANK YOU

COMPOSITION OF MOD TEAM CGDA REP-SHRI SANJEEV MITTAL, IFA MOD REP-SHRI MM SINGH, DY SECY (RES-I) MOD(FIN) REP-SHRI KS PANCHPAL, AFA(AG/PD) DG DC&W REPS-BRIG SATISH MALIK, DY MDECHS - WG CDR SK AGRAWAL, JTDIR (P&FC) - LT COL AK NAIK, JT DIR (MED)

ADDL MANPOWER FOR POLYCLINICS CLERKS FOR CLINICS-227 CLERKS FOR STN HQ-123 MEDICAL OFFICERS- 100(14 FOR DRUGS ) SPECIALISTS-35 PHARMACISTS/SKT-43(FOR DRUGS) CLERKS FOR DRUGS-37 -”- PEONS/AMB ASSTS-19 -”- PARA MEDICAL STAFF-732 –NURSING ASST-533 –DENTAL ASST-199

ENHANCEMENT OF FINANCIAL POWERS CFAFINANCIAL LIMITS EXISTINGPROPOSED STN CDR (CDR/CAPT) 20,00040,000 STN CDR (CMDE) 50,0001,00,000 SUB AREA CDR(NOIC) 1,00,0001,50,000 AREA CDR (FOMAG/FOGA) 2,00,0003,00,000 FOC-IN-C 4,00,0005,00,000 VCOAS 5,00,0008,00,000 AGM3.pptAGM3.ppt