EX-SERVICEMEN CONTRIBUTORY HEALTH SCHEME

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EX-SERVICEMEN CONTRIBUTORY HEALTH SCHEME
ECHS CONFERENCE, VISAKHAPATNAM AREA - 24 FEB 13
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ECHS SCHEME

• Govt Sanctioned - 30 DEC 02
• Launched - 01 APR 03
• Polyclinics - 227199
• Regional Centers - 1315
• Central Organisation - 01 (DELHI)

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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)

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STATUS REPORT

• Membership
• Members ECHS Def.
• Veterans 13, 37, 293 11, 78, 178
  1,59,115
• Widows 4, 69, 858 1, 18, 901 3, 50,
  957

MUST MAKE ALLOUT EFFORTS FOR ENROLLING
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ECHS BENEFICIARIES
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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/-

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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
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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
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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
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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

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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

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REGIONAL CENTRES NAVY

• Kochi
• Visakhapatnam
• Mumbai

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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

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PENDING ISSUES WITH MOD
Additional manpower at polyclinics Revision of pay of polyclinic staff Non-availability of medicines
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PROPOSED MANPOWER POLYCLINICS
  Type A Type A Type B Type B Type C Type C Type D Type D Type E
  M NM M NM M NM M NM M
MEDICAL OFFRS 6 6 3 3 2 3 2 2 1
MEDICAL SPECIALIST 2 2 2 2 1 1 0 1 0
DENTAL OFFICER 1 2 1 2 1 1 1 1 0
GYNECOLOGIST 1 1 1 1 0 0 0 0 0
RADIOLOGIST 1 1 1 1 0 0 0 0 0
OFFICER-IN-CHARGE 1 1 1 1 1 1 1 1 0
RADIOGRAPHER 1 1 1 1 1 1 1 1 0
DARK ROOM ASST 1 1 1 1 1 1 1 1 0
LAB TECHNICIANS 1 1 1 1 1 1 1 1 0
LAB ASSISTANT 1 1 1 1 1 1 1 1 0
ECG TECHNICIAN 1 1 1 1 1 1 1 1 0
PHYSIOTHERAPIST 1 1 1 1 1 1 1 1 0
PHARMACIST 4 4 3 3 3 3 3 3 0
NURSING ASSISTANT 3 3 3 3 3 3 3 3 1
DENTAL TECHNICIAN 1 2 1 2 1 1 1 1 0
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PROPOSED MANPOWER POLYCLINICS
  Type A Type A Type B Type B Type C Type C Type D Type D Type E
  M NM M NM M NM M NM M
CLERK 3 2 2 1 2 1 1 1 0
RECEPTIONIST/ DATA ENTRY OPERATOR 0 0 0 0 0 0 0 0 0
DRIVER 1 3 1 3 1 1 1 1 1
DENTAL ORDERLY 1 1 1 1 1 1 1 1 0
LAB ATTENDANT 1 1 1 1 1 1 1 1 0
DRESSER 1 1 1 1 1 1 1 1 0
CHOWKIDARS 1 1 1 1 1 1 1 1 0
FEMALE ATTENDANT 1 1 1 1 1 1 1 1 0
PEONS 1 1 1 1 1 1 1 1 0
SAFAIWALA 1 1 1 1 1 1 1 1 0
Total 37 40 32 35 28 28 26 27 03
15 21 15 21 9 12 9
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REVISION OF PAYPOLYCLINIC STAFF
Category Staff Existing Proposed
Officers OIC 25,000/- 46,000/-
Officers Med Offr 25,000/- 46,000/-
Officers Med Splst 35,000/- 55,000/-
Officers Gynaecologist 35,000/- 55,000/-
Officers Dental Offr 25,000/- 46,000/-
Para Medical Staff Nursing Asst (Gen) 9,500/- 17,480/-
Para Medical Staff Nursing Asst (Spl) 10,000/- 18,400/-
Para Medical Staff Lab Assistant 10,000/- 18,400/-
Para Medical Staff Dental Hygienist 10,000/- 18,400/-
Non Medical Staff Receptionist 8000/- 14,720/-
Non Medical Staff Driver 7000/- 12,880/-
Non Medical Staff Peon 6500/- 11,960/-
Non Medical Staff Safaiwala 6500/- 11,960/-
Non Medical Staff Female attendant 6500/- 11,960/-

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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
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EMPANELLED HOSPITAL RC VISAKHAPATNAM

• CARE HOSPITAL
• INDUS HOSPITAL
• LAZARUS HOSPITAL VISAKHAPATNAM
• VIJAYA DIAGNOSTICS
• SHANKAR FOUNDATION
• APPOLO HOSPITAL KAKINADA
• QUEENS NRI HOSPITAL VSKP (MOA pending)
• APPOLO HOSPITAL -Do- - Do-
• KIMS HOSPITAL SRIKAKULAM (EOI pending)

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

• MAIN COMPONENTS
• POLYCLINIC
• SEMO/HOSP
• STN HQ/CDR
• REGIONAL CENTRE
• CENTRAL ORG

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ECHS MANAGEMENT

• MANAGED BY SERVING PERSONNEL
• AT CENTRAL ORG/RC/STATION/SEMO
• POLYCLINIC LEVEL
• -VETERANS(OFF/MEN)MED/NONMED
• -CIVILIANS-MED/NONMED

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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

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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

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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

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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

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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

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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

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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!!!

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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

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THANK YOU