1. ECHS CONFERENCE, VISAKHAPATNAM AREA - 24 FEB 13

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

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

4. STATUS REPORT MUST MAKE ALLOUT EFFORTS FOR ENROLLING Membership MembersECHS Def. Veterans 13, 37, 29311, 78, 178 1,59,115 Widows 4, 69, 858 1, 18, 901 3, 50, 957

5. ECHS BENEFICIARIES

6. 6 ECHS SUBSCRIPTION RATES Grade Pay Per MonthSubscription 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/- & AboveRs. 60,000/-

7. 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

8. 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

9. 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

10. 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

11. 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

12. REGIONAL CENTRES – NAVY  Kochi  Visakhapatnam  Mumbai

13. 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

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

15. PROPOSED MANPOWER : POLYCLINICS Type AType BType CType DType E MNMM M M M MEDICAL OFFRS663323221 MEDICAL SPECIALIST222211010 DENTAL OFFICER121211110 GYNECOLOGIST111100000 RADIOLOGIST111100000 OFFICER-IN-CHARGE111111110 RADIOGRAPHER111111110 DARK ROOM ASST111111110 LAB TECHNICIANS111111110 LAB ASSISTANT111111110 ECG TECHNICIAN111111110 PHYSIOTHERAPIST111111110 PHARMACIST443333330 NURSING ASSISTANT333333331 DENTAL TECHNICIAN121211110

16. PROPOSED MANPOWER : POLYCLINICS Type AType BType CType DType E MNMM M M M CLERK322121110 RECEPTIONIST/ DATA ENTRY OPERATOR 000000000 DRIVER131311111 DENTAL ORDERLY111111110 LAB ATTENDANT111111110 DRESSER111111110 CHOWKIDARS111111110 FEMALE ATTENDANT 111111110 PEONS111111110 SAFAIWALA111111110 Total3740323528 262703 15 21 15 21 9 12 9 12

17. REVISION OF PAY–POLYCLINIC STAFF CategoryStaffExistingProposed Officers OIC25,000/-46,000/- Med Offr25,000/-46,000/- Med Splst35,000/-55,000/- Gynaecologist35,000/-55,000/- Dental Offr25,000/-46,000/- Para Medical Staff Nursing Asst (Gen)9,500/-17,480/- Nursing Asst (Spl)10,000/-18,400/- Lab Assistant10,000/-18,400/- Dental Hygienist10,000/-18,400/- Non Medical Staff Receptionist8000/-14,720/- Driver7000/-12,880/- Peon6500/-11,960/- Safaiwala6500/-11,960/- Female attendant6500/-11,960/-

18. 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

19. EMPANELLED HOSPITAL – RC VISAKHAPATNAM  CARE HOSPITAL  INDUS HOSPITAL  LAZARUS HOSPITAL VISAKHAPATNAM  VIJAYA DIAGNOSTICS  SHANKAR FOUNDATION  APPOLO HOSPITALKAKINADA  QUEEN’S NRI HOSPITALVSKP(MOA pending)  APPOLO HOSPITAL -Do- - Do-   KIMS HOSPITAL SRIKAKULAM (EOI pending)

20. 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

21. ECHS MANAGEMENT MAIN COMPONENTS POLYCLINIC SEMO/HOSP STN HQ/CDR REGIONAL CENTRE CENTRAL ORG

22. ECHS MANAGEMENT MANAGED BY SERVING PERSONNEL AT CENTRAL ORG/RC/STATION/SEMO POLYCLINIC LEVEL -VETERANS(OFF/MEN)=MED/NONMED -CIVILIANS-MED/NONMED

23. 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

24. 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

25. 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

26. 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

27. 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

28. 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

29. 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!!!

30. 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

31. 31 THANK YOU