1. REGIONAL CENTRE MUMBAI
ECHS CONFERANCE
REGIONAL CENTRE MUMBAI
18 MAY 2014

2. ECHS
OVERVIEW

3. AIM
Aim of ECHS is to provide quality healthcare to Ex-servicemen (ESM) pensioners and their dependants.

4. EVOLUTION OF ECHS
No formal entitlement through Govt for treatment of ESM in service hospital
POST- INDEPENDENCE
ESM pensioners & their families extended treatment facilities in MHs restricted to available local facilities.
1966
Not entitled for treatment of:
Malignancies
Organ transplant
Psy illness
Leprosy / TB
Prosthodontics
Dependency limited to:
Spouse
Wholly dependent unmarried children

5. EVOLUTION OF ECHS Incl treatment for 01 Apr 2003 ECHS launched
Leprosy/Tuberculosis
Malignancies
Psychiatric illnesses/
Organ Transplant facilities
Prosthodontics and other super specialty dental services
01 Apr 2003
ECHS launched
Enhanced dependency puts the load to an addition of nearly 2.5 lac ECHS members every year
Dependency enhanced to
Spouse
Wholly dependent unmarried children
Wholly dependent parents
Divorced dependent daughters
Disabled dependent children of any age
28 Regional Centers,
426 Polyclinics
17 Mobile Clinics,
18 Oct 2010
Expansion of ECHS

6. Optimum Use of Existing Service Resources
CONCEPT OF ECHS
Optimum Use of Existing Service Resources
Augmentation of Existing Resources
Outsourcing wherever Resources are Inadequate

7. COMD & CONT OF ECHS RM Adm Cont Executive Cont RRM Central Org ECHS
Chiefs of Staff Committee (COSC)
Principle Pers Offrs’ Committee (PPOC)
Secy ESW AG
DG DC & W
Jt Secy ESW
Central Org ECHS
Adm Cont
Executive Cont

8. CONTROL OF ECHS Provision of Service Manpower
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
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

9. ADM & TECH CONT AG ECHS Polyclinics DG (DC&W) Adm Cont Tech Cont
Comd HQ
Area HQ
Sub Area HQ
Stn HQ/ SEMO
Adm Cont
Tech Cont
Advice
Central Org
Regional Centres
Monitor
ECHS Polyclinics

10. ORG STRUCTURE Central Org (16,05,38) Regional Centres Polyclinics
Apex Body
Tri Service staffing
Manned by Serving Pers
Regional Centres
(04,01,16)
28 Regional Centres
Each Regional Centre conts
Polyclinics
Polyclinics
(Based on Type)
Manned by Contractual Staff only
Type ‘A’ to ‘E’
Mil/ Non-Mil

11. ECHS BENEFICIARIES (In Lacs)

12. Case taken up for Addl RCs at Yol(HP), Bhuvneshwar and Kathmandu
STATUS UPDATE
Ser No
Issues
Categories
Details 1.
Membership
Veterans
13,33,446
Dependents
31,19,211
Total
44,52,657 2.
Polyclinics
(Excl Nepal)
426
Operationalised
386
To be operationalised 40 3.
Regional Centres
Total sanctioned 28
Functional
Case taken up for Addl RCs at Yol(HP), Bhuvneshwar and Kathmandu

13. ECHS NETWORK 13 13 Jammu Shimla Jallandhar Dehradun Ambala Guwahati
Bareily
Delhi
Hissar
Lucknow
Patna
Jaipur
Allahabad
Jabalpur
Ahmedabad
Nagpur
Pune
Kolkata
Ranchi
Mumbai
Hyderabad
Vishakhapatnam
Bangalore
Chennai
Coimbatore
Kochi
Trivandrum 13 13

14. OPD DATA - ESM

15. HOSP ADM DATA- ESM

16. 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

17. PROJECTION VIS A VIS ALLOTMENT (REVENUE & CAPITAL)

18. DISTR OF BUDGET FY 2013-14 (REVENUE)
Rs 40.75Cr (2.29 %)
Rs 100 Cr (5.63 %)
Proj
Rs Cr
Rs 400 Cr (22.51 %)
Allotment
Rs Cr
Shortfall
Rs Cr
Salaries
Med Store
Med Treatment
Others
Rs Cr (69.56%)
Rs Cr (69.56 %)

19. RECENT DEVELOPMENTS
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.
Sanction for Reimbursement of Air Travel Ch to ECHS Beneficiaries in Emergency
Revised Scale of Medical Eqpt for Polyclinics

20. ONLINE BILLING REGIONAL CENTRES
PHASE – I
(wef 01 APR 2012)
DELHI
CHANDIMANDIR
HYDERABAD
PUNE
TRIVANDRUM
PHASE – II
(wef 01 APR 2013)
JALANDHAR
JAIPUR
KOLKATA
KOCHI
LUCKNOW
PHASE – III
(wef 01 APR 2014)
ALLAHABAD
AHMEDABAD
AMBALA
BANGALORE
BAREILLY
CHENNAI
COIMBATORE
DELHI-2
DEHRADUN
GUWAHATI
HISSAR
JABALPUR
JAMMU
MUMBAI
NAGPUR
PATNA
RANCHI
VIZAG

21. RECENT DEVELOPMENTS
Incr in Fin Powers of Army Cdrs for Hiring of Rental Accn
Govt Sanction for 1709 Addl Contractual Staff in Polyclinics
Increase in Remuneration of Contractual Staff
Extn of ECHS facilities to ESM in Nepal
Toll free ECHS helpline no
is accessible pan India.

22. ISSUES AT HAND Op of Remaining Polyclinics
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

23. IMP CASES WITH MoD 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

24. IMP CASES WITH MoD
Revision of Fin Powers
Full Reimbursement of Cost of Treatment in Emergency
ECHS Entitlement to WW-II veterans and ECOs

25. FRESH CASES 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

26. ECHS
MEMBER BENEFITS

27. 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.

28. 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.

29. 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/-

30. DEPENDENTS Parents Legally wedded husband/wife.
Unmarried & unemployed daughters
Widowed/divorced daughters dependent on the pensioner
Unemployed & unmarried son
Mentally/physically handicapped children for life

31. RECRUITS EARNING DISABILITY PENSION
A recruit who is in receipt of med/disability pension
Dependents of recruit are also eligible

32. ADVANTAGES OF NEW 64 KB SMART CARDS
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.

33. 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.

34. CHANGE OF POLYCLINIC 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.

35. In cases of Polyclinics (with Service Hospitals)
REFERRAL PROCEDURE
In cases of Polyclinics (with Service Hospitals)
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.

36. In cases of Non - Military Polyclinics
REFERRAL PROCEDURE
In cases of Non - Military Polyclinics
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.

37. 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)

38. Type of Polyclinics at Mumbai
REFERRAL PROCEDURE
Type of Polyclinics at Mumbai
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.

39. 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.

40. 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 Failure
Acute endocrine emergencies including Diabetic Ketoacidosis.
Heat Stroke and Cold injuries of Life threatening nature
Acute 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

41. DOS AND DONTS FOR AVAILING TREATMENT
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.

42. DOS & DONTS FOR AVAILING TREATMENT
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.

43. 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

44. WAY FORWARD AUTOMATION OF ALL PROCESSES OF ECHS
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 AN ERP SYSTEM.
Facilitation of ECHS beneficiary through automation.
web app/ tele / android app to facilitate
ECHS polyclinic slot booking.
Route directions to polyclinic, regional centre, emp hosp.
Intimation of emergency admission to polyclinic.
Bed availability state in emp hosp.
Status of re-imb claims.
Home delivery of medicines.

45. WAY FORWARD AUTOMATION OF ALL PROCESSES OF ECHS
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

46. 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 Issue
O2 CONCENTRATOR
No Issue / Procurement
Only Reimbursement Allowed
Sanctioned By CO ECHS As Per Rec of Committee
Hearing 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

47. 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)

48. ECHS
RC MUMBAI

49. CHAIN OF COMMAND RC MUMBAI
CENTRAL ORG ECHS
ECHS (NAVY)/ NHQ
RC ECHS
MUMBAI
HQ WNC
STN HQ SO ECHS
POLYCLINICS

50. ORGANISATION – RC MUMBAI
Director
CMDE
JD (Medical)
SURG CDR
JD (A&AM)
CDR
JD (Est)
LT COL
STAFF
Army
Navy
Air Force
Total
Auth
Borne 11 9 5 6 1 17 16

51. RC MUMBAI Tele : 27238701/02/03/03 Fax : 27232438
EST AT KARANJA ON 04 FEB 13
DIRECTOR - CMDE CB RAO
JD (A&AM) CDR MALKIAT SINGH
JD (MED) SURG CDR S MALHOTRA
JD (ESTT) LT COL PRASHANT DAHIYA
Tele : /02/03/03
Fax :
Mail :

52. STATION HEADQUARTERS & POLYCLINICS UNDER RC MUMBAISl No
Name of Stn HQ
Name of Polyclinic
Operational (Y/N)
Mil
/Non Mil
Type 1
INS Angre
Mumbai Y B
Mahad
Non-Mil D 2
Chiplun C 3 4
INS Tanaji / CABS
Mumbai Upnagar
Thane
(Nerul) 5 6
INS Gomantak
Vasco-da-Gama 7
INS Kadamba (Karwar)
Karwar 8
INS Hamla
Kandivli N

53. EXISTING PROPOSED ADDITIONAL Thane Mumbai (Asvini) Kandivali Ambarnath
Mumbai Upnagar
Navi Mumbai
Mumbai (Asvini)

54. REVISED MANPOWER POLYCLINICS
Ser No
Post
Type of Polyclinc A B C D E 01
Medical Officer 6 3 2 1 02
Medical Specialist 03
Dental Officer 04
Gynaecologist 05
Radiologist 06
Officer-in-Charge 07
Radiographer 08
Lab Technician 09
Lab Assistant 10
Physiotherapist 11
Pharmacist 12
Nursing Assistant

55. REVISED MANPOWER POLYCLINICS
Ser No
Post
Type of Polyclinc A B C D E 13
Dental Assistant/Technician/Hygienist 2 1 14
Driver 15
Chowkidar 16
Female Attendant 17
Peons 18
Safaiwala

56. CONTACT DETAILS STATION HEADQURTERS
Ser No
Station Headquarters
OiC
Contact Number
Address 1
INS Angre
Cdr US Cheema ,
Station HQ ECHS, INS Angre, c/o FMO, Mumbai 2
INS Tanaji/CABS
Cdr A Thoopal
Station HQ ECHS Mumbai Upnagar,
Bureau of Sailors,Mankhud
Mumbai 3
INS Kadamba (Karwar)
Surg Lt Cdr MB Chanu
/1/2/5
Station HQ ECHS INS Kadamba, c/o INHS Patanjali, Naval Base Karwar, Karnataka 4
INS Gomantak
Cdr Vishal Kumar
, 2710, 2908
Station HQ ECHS, INS Gomantak, Vasco-da-Gama, Goa 5
INS Hamla
Surg Lt Cdr Partha Bhuyan
Station HQ ECHS, INS Hamla, Marve Road, Malad West, Kharodi, Mumbai

57. CONTACT DETAILS POLYCLINICS
Ser No
Polyclinic
OiC
Contact Number
Address 1
Mumbai(Asvini)
Cdr (Retd) Rishiram Chauhan
ECHS Polyclinic Mumbai, c/o INHS Asvini, Colaba, Mumbai 2
Chiplun
Lt Cdr(R) AK Pandey /
ECHS Polyclinic Chiplun, Boys Military Hostel, Opp Civil Court, Mumbai-Goa Highway, Chiplun 3
Mahad
Cdr (Retd) LR Nehra
ECHS Polyclinic Mahad, 1st Floor, Yashwant Hospital, Opp ST Stand, Nave Nagar, Mahad, Dist Raigad, 4
Mumbai Upnagar
Cdr(R) Hoshiar Singh /
ECHS Polyclinic Mumbai Upnagar, c/o Naval Hospital Powai, kanjurmarg (W), Mumbai 5
Thane( Nerul)
Cdr(R) Praveen Kumar /
ECHS Polyclinic Thane(Nerul), Govind Shanti uilding, Plot No B/76, Sector 23(B), Nerul (E), Navi Mumbai 6
Karwar (Kadamba)
Cmde(R) CGS Khan /
ECHS Polyclinic Karwar, c/o INHS Patanjali, Naval Base Karwar, Karwar 7
Vasco-da-Gama (Gomantak)
Cdr Srinivasan Sanjivi
Mob:
ECHS Polyclinic Vasco-da-Gama, c/o INHS Jeevanti, Headquarters Goa Naval Area, Vasco-da-Gama 8
COD Kandivali
Capt(R) AK Sharma  

58. 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 02
Ramkrishna Netralaya
A wing 1st floor Shree Balaji Apt. L B S Road Thane (W)400601 03
Dr. Shah’s Eye and Laser Centre
AsaraAppartment, Plot No 33, near Station Road,
Ambernath (E)
Maharashtra 04
Dr. Shah’s Laser Eye Institute
C-wing, Rathod Nagar, Behind Raja Hotel,
Near KDMC,
Kalyan (W)

59. 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) 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 07
Apex Hospital
Vaishali Heights,Chandavakar Road, Borivali (W)Mumbai 08
Dr. Eye Institute
Spenta mansion,1st Floor,s.v. Road Andheri (W),Mumbai

60. EMPANELLED FACILITIES AS ON DATE
Sr no.
Name of empanelled hospital
Location
Services for which recognized
MoU date from
MoU date to
Generalized
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

61. EMPANELLED FACILITIES AS ON DATE
Sr no.
Name of empanelled hospital
Location
Services for which recognized
MoU date from
MoU date to
Generalized
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

62. EMPANELLED FACILITIES AS ON DATE
Sr no.
Name of empanelled hospital
Location
Services for which recognized
MoU date from
MoU date to
Generalized
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

63. EMPANELLED FACILITIES AS ON DATE
Sr no.
Name of empanelled hospital
Location
Services for which recognized
MoU date from
MoU date to
Generalized
Specialized 4
Dr. Lal Path Lab
Mumbai & Thane
Clinical Pathology, Clinical Microbiology, Clinical Biochemistry
Clinical Immunology, Molecular Diagnostics
14- Nov-13 
13- Nov-15

64. EMPANELLED FACILITIES AS ON DATE
Sr no.
Name of empanelled hospital
Location
Services for which recognized
MoU date from
MoU date to
Generalized
Specialized 5
Dr. 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 6
Dr.shah Eye & Laser Centre
Kalyan (Thane)
29-Aug-13
28-Aug-15

65. EMPANELLED FACILITIES AS ON DATE
Sr no.
Name of empanelled hospital
Location
Services for which recognized
MoU date from
MoU date to
Generalized
Specialized 6
Dr.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

66. EMPANELLED FACILITIES AS ON DATE
Sr no.
Name of empanelled hospital
Location
Services for which recognized
MoU date from
MoU date to
Generalized
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 8
Doctor Eye Institute Pvt. Ltd
Andheri (Mumbai) - 
 03-Mar-14
02- Mar-16

67. EMPANELMENT OF HOSP UNDER PROCESS
APPLICATION PENDING AT CENT ORG FOR EMPANELMENT:-
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
CHEMBUR 08
GLOBAL HOSPITAL
PAREL

68. ISSUES REG EMPANELMENT
NON-AVAILABILITY OF MULTISPECIALTY HOSPITALS/ DIAGN CENTRES AT CGHS 2010 RATES AT MUMBAI

69. CGHS 2010 RATES VS MUMBAI RATES
SL NO
NAME OF TREATMENT/
PROCEDURE
CGHS RATES
(In ₹)
GLOBAL HOSP
JASLOK HOSP
NABH
NON- NABH
A CLASS
E CLASS 1
MRI ORBIT AND BRAIN
2760
2400
7150
6600
5500
3500 2
DEBRIDEMENT OF WOUNDS
575
500
1650
1320
1684 3
POLYPECTOMY
5750
5000
12000
7000
26356
9273 4
CAROTID STENTING
42263
36750
157000
99000
72358
40414 5 6
DILATATION OF URETHRA
144
125 -
4642
1452 7
REMOVAL OF CORNEAL FOREIGN BODY
345
300
17567
7986 8
HAEMO DIALYSIS-FOR SERO NEGATIVE CASES
1000
2500
2000
5335
3047

70. NAME OF INVESTIGATION / TREATMENTPROCEDUREOPD
CGHS 2010 RATES Vs SHAH
EYE RATES
CGHS Sl No.
NAME OF INVESTIGATION / TREATMENTPROCEDUREOPD
Shah Eye
Rates
CGHS 2010 RATES 32
PTERYGIUM SURGERIES
12000
150 36
CAUTERIZATION OF ULCER/SUBCONJUNCTIVAL INJECTION IN ONE EYE
4000+Injection Cost 37
CAUTERIZATION OF ULCER/SUBCONJUNCTIVAL INJECTION IN BOTH EYES
8000+Injection Cost 75 38
CORNEAL GRAFTING—PENETRATING KERATOPLASTY
35000 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

71. ISSUES REG EMPANELMENT
DELAY IN SETTLING CLAIMS OF EMPANELLED HOSPITALS & DIAGN CENTRES LEADING TO NON-RENEWAL OF MoAS (FORTIS & HIRANANDANI HOSPITAL)

72. ISSUES REG EMPANELMENT
CGHS 2010 RATES ARE LOWER THAN CGHS 2003 RATES
(DIAG CENTRES STOPPED PROVIDING SERVICES)

73. CGHS 2003 RATES VS CGHS 2010 RATES
SL NO
INVESTIGATION
CGHS 2003 RATES
(₹)
CGHS 2010 RATES 01
MRI ABDOMEN 02
MRI BREAST 03
MRI NECK 04
CT BRAIN PLAIN
800.00 05
MRI HIP 06
MRI ANKLE 07
CT SCAN LIMB

74. STRENGTH OF ECHS BENEFICIARIES
POLYCLINIC DEPENDENT POPULATION
ASVINI
MUMBAI UPNAGAR
THANE(NERUL)
CHIPLUN
MAHAD
VASCO-DA-GAMA
KARWAR

75. WORK LOAD ON POLYCLINICS
 Sl No
CATEGORY
NERUL
MUMBAI UPNAGAR
ASVINI
(a)
GENERAL OPD/DAY
90-100
(b)
DENTAL OPD/DAY
15-20
35-40
(c)
LAB INVESTIGATION/DAY
20-25
50-60
(d)
ECG & X-RAY/MONTH
04-06
05-10
25-30
(e)
TRANSFER OF PATIENT TO ASVINI/DAY
03-05
(f)
EMERGENCY ADMISSIONS/MONTH
10-14
10-15
12-15

76. 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

77. FINANCIAL POWERS ONLINE 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
MANUAL
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

78. CURRENT ISSUES New Polyclinics
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

79. ECHS
OLD AGENDA POINTS
03 FEB 13

80. 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.

81. 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.

82. 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.

83. 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.

84. ECHS
NEW AGENDA POINTS
18 MAY 14

85. NEW POINTS 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.

86. 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.
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.

87. 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.

88. 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.

89. 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).

90. NEW POINTS Accommodation rates of Sagar.
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.

91. 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 .

92. 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.

93. JAI HIND