ECHS CONFERANCEREGIONAL CENTRE MUMBAI18 MAY 2014

*

EVOLUTION OF ECHSPOST- INDEPENDENCENo formal entitlement through Govt for treatment of ESM in service hospital1966ESM pensioners & their families extended treatment facilities in MHs restricted to available local facilities.Not entitled for treatment of:MalignanciesOrgan transplantPsy illnessLeprosy / TBProsthodonticsDependency limited to:SpouseWholly dependent unmarried children

01 Apr 2003ECHS launchedIncl treatment forLeprosy/TuberculosisMalignanciesPsychiatric illnesses/Organ Transplant facilitiesProsthodontics and other super specialty dental services18 Oct 2010Expansion of ECHS28 Regional Centers,426 Polyclinics17 Mobile Clinics, Dependency enhanced toSpouseWholly dependent unmarried childrenWholly dependent parentsDivorced dependent daughtersDisabled dependent children of any ageEnhanced dependency puts the load to an addition of nearly 2.5 lac ECHS members every yearEVOLUTION OF ECHS

*Optimum Use of Existing Service ResourcesAugmentation of Existing Resources Outsourcing wherever Resources are Inadequate

*Executive ContAdm Cont

CONTROL OF ECHS Dept of ESWPolicy Formulation and Issue of Govt OrdersExpansion of Scheme and Eligibility CriteriaAll Sanctions which have Financial Implications Empanelment of Med Facilities

Service HQsProvision of Service ManpowerAcqn of LandConstr of Polyclinic Bldgs Hiring of Bldgs for Use as ECHS Polyclinics(DGDE)Procurement of Medicines, Med Eqpt, Vehs etc (DGAFMS/MGO)Adm and Tech ContProvision of Budget

*AdviceMonitor

*

ECHS BENEFICIARIES (In Lacs)

Chart1

9.82

15.07

21.02

30.21

33.67

36.59

39.73

41.43

Series 1

Sheet1

Series 1Series 2Series 3

FY 05-069.822.42

FY 06-0715.074.42

FY 07-0821.021.83

FY 08-0930.212.85

FY 09-1033.67

FY 10-1136.59

FY 11-1239.73

FY 12-1341.43

*

Ser NoIssuesCategoriesDetails1.MembershipVeterans 13,33,446Dependents 31,19,211Total 44,52,6572.Polyclinics(Excl Nepal)Total 426Operationalised386To be operationalised 403.Regional CentresTotal sanctioned28Functional28Case taken up for Addl RCs at Yol(HP), Bhuvneshwar and Kathmandu

ECHS NETWORKDelhiJallandharAmbalaShimlaJammuTrivandrumKochiCoimbatoreChennaiVishakhapatnamHyderabadRanchiKolkataDehradunBareilyHissarJaipurLucknowAllahabadPatnaGuwahatiPuneMumbaiBangaloreAhmedabadJabalpurNagpur

OPD DATA - ESM

Chart1

643103

1770784

1932857

2342211

2541761

2557663

2383611

2428414

2302125

2890078

OPD ESM+F

Sheet1

ADM ESM+FOPD ESM+F

200332904643103

2004846131770784

2005752831932857

2006845242342211

2007980772541761

20081293152557663

20091285582383611

20101308032428414

20111036112302125

20121430072890078

HOSP ADM DATA- ESM

Chart1

32904

84613

75283

84524

98077

129315

128558

130803

103611

143007

ADM ESM+F

Sheet1

ADM ESM+FOPD ESM+F

200332904643103

2004846131770784

2005752831932857

2006845242342211

2007980772541761

20081293152557663

20091285582383611

20101308032428414

20111036112302125

2012143007

CHANGE OF TREATMENT MODALITIES SINCE 2003Massive increase in super specialty/ cost /logistic intensive procedures like :(a) CARDIOLOGY(b) ONCOLOGY(c) IMAGING(d) NEPHROLOGY(e) JOINT REPLACEMENT

PROJECTION VIS A VIS ALLOTMENT (REVENUE & CAPITAL)

Chart1

16371228.950

18971456.412012-13

2441.711806.462013-14

2898.011440.992014-15

Rs. In Crore

PROJECTION

ALLOTMENT

Sheet1

FYPROJECTIONALLOTMENT

2011-121637.001228.95

2012-131897.001456.41

2013-142441.711806.46

2014-152898.011440.99

To resize chart data range, drag lower right corner of range.

*Rs 100 Cr (5.63 %)Rs 400 Cr (22.51 %)Rs 1235.71 Cr (69.56 %)Rs 40.75Cr (2.29 %)Rs 1235.71 Cr (69.56%)AllotmentRs 1776.46 CrProj Rs 2391.71 CrSalariesMed StoreMed TreatmentOthersShortfallRs 615.25 Cr

Chart1

58.85

385.68

966.93

19.39

EXPENDITURE

Sheet1

EXPENDITURE

Salaries58.85

Medical Stores385.68

Med Treatment966.93

Others19.39

To resize chart data range, drag lower right corner of range.

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

*Toll free ECHS helpline no 1800-114-115 is accessible pan India.

*

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

Revision of Fin PowersFull Reimbursement of Cost of Treatment in EmergencyECHS Entitlement to WW-II veterans and ECOs

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

ADVANTAGE OF BECOMING ECHS MEMBERNo 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.

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.

SUBSCRIPTION RATES WEF 01 JUN 2009

GRADE PAY DRAWN AT THE TIME OF RETIREMENTCONTRIBUTION(IN )Rs 1800/-, Rs 1900/-, Rs 2000/- & Rs 2800/-15000/-

Rs 4200/- 27000/-

Rs 4600/-, Rs 4800/-, Rs 5400/- & Rs 6600/-39000/-

Rs 7600/- & above60000/-

Parents

Legally wedded husband/wife.

Unmarried & unemployed daughters

Widowed/divorced daughters dependent on the pensioner

Unemployed & unmarried son

Mentally/physically handicapped children for lifeDEPENDENTS

RECRUITS EARNING DISABILITY PENSION A recruit who is in receipt of med/disability pension

Dependents of recruit are also eligible

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.

Pensioners 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.

ADVANTAGES OF NEW 64 KB SMART CARDS

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.

Can be done at Polyclinic (32 Kb Smart card)

Once changed cant be changed within six months.

Can be changed upto 5 times at Polyclinic level. CHANGE OF POLYCLINIC

REFERRAL PROCEDUREPatient 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 patients choice through the ECHS Polyclinic in that station.In cases of Polyclinics (with Service Hospitals)

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. In cases of Non - Military Polyclinics REFERRAL PROCEDURE

REFEREL PROCEDURE TYPE D NON MIL POLYCLINICSMedical 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)

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.

Type of Polyclinics at MumbaiREFERRAL PROCEDURE

TREATMENT / REFERARAL EMERGENCY PROCEDUREIn 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.

CONDITIONS OF EMERGENCYAcute 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 FailureAcute endocrine emergencies including Diabetic Ketoacidosis.Heat Stroke and Cold injuries of Life threatening natureAcute 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

DOS AND DONTS FOR AVAILING TREATMENT

DOSDONTSCarry 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.

DOS & DONTS FOR AVAILING TREATMENT

DOSDONTS If you choose a service/empanelled hospitals in an emergency, You wont 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.

PROBLEM AREASNo 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

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.

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

MED EQPT FOR ECHS MEMBERSCPAP/BIPAPRec by Service/ Emp Hosp SplSoc By OiC PCApproval by Sr Adv & ConsultantMaint by MemberLifetime IssueO2 CONCENTRATORNo Issue / ProcurementOnly Reimbursement AllowedSanctioned By CO ECHS As Per Rec of CommitteeHearing AidsRec of ENT spl MH/ Emp HospAudiometry report countersign by ENT splCost > entitled amt borne by memberDigital HA requires rec of 3 ENT spl incl Sr AdvReplacement after 5 yrsBatteries paid by memberReimbursement NOT allowed

REIMBURSEMENT OF COST OF MEDICINES DURING INDOOR TREATMENT IN GOVT HOSPITALReimbursement 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)

CHAIN OF COMMANDRC MUMBAIECHS (NAVY)/ NHQHQ WNCRC ECHSMUMBAICENTRAL ORG ECHS STN HQ SO ECHSPOLYCLINICS

ORGANISATION RC MUMBAI STAFF

Army NavyAir ForceTotalAuthBorneAuthBorneAuthBorneAuthBorne11956111716

RC MUMBAIEST AT KARANJA ON 04 FEB 13

DIRECTOR - CMDE CB RAO

JD (A&AM) - CDR MALKIAT SINGHJD (MED) - SURG CDR S MALHOTRAJD (ESTT) - LT COL PRASHANT DAHIYA

Tele : 27238701/02/03/03Fax : 27232438Mail : dirrcmumbai@gmail.com

STATION HEADQUARTERS & POLYCLINICS UNDER RC MUMBAI

SlNoName of Stn HQName of PolyclinicOperational (Y/N)Mil/Non MilType 1INS Angre MumbaiYMilBMahadYNon-MilD2ChiplunYNon-MilC34INS Tanaji / CABSMumbai UpnagarYMilDThane(Nerul)YNon-MilC56INS GomantakVasco-da-GamaYMilD7INS Kadamba (Karwar)KarwarYMilD8INS HamlaKandivliNMilC

Thane

AmbarnathNavi Mumbai

Mumbai (Asvini)Mumbai Upnagar

KandivaliADDITIONALPROPOSED

EXISTING

REVISED MANPOWER POLYCLINICS

Ser NoPostType of PolyclincABCDE01Medical Officer6322102Medical Specialist2210003Dental Officer2211004Gynaecologist1100005Radiologist1100006Officer-in-Charge1111007Radiographer1100008Lab Technician1111009Lab Assistant1111010Physiotherapist1110011Pharmacist1111012Nursing Assistant33211

REVISED MANPOWER POLYCLINICS

Ser NoPostType of PolyclincABCDE13Dental Assistant/Technician/Hygienist2211014Driver2211115Chowkidar1111016Female Attendant1111017Peons1111018Safaiwala11110

CONTACT DETAILS STATION HEADQURTERS

Ser NoStation HeadquartersOiCContact NumberAddress1INS AngreCdr US Cheema022-22752229, 22626733Station HQ ECHS, INS Angre, c/o FMO, Mumbai 4000012INS Tanaji/CABSCdr A Thoopal022-25075448Station HQ ECHS Mumbai Upnagar,Bureau of Sailors,MankhudMumbai 4000883INS Kadamba (Karwar)Surg Lt Cdr MB Chanu08382-235006/1/2/5Station HQ ECHS INS Kadamba, c/o INHS Patanjali, Naval Base Karwar, Karnataka 5813084INS GomantakCdr Vishal Kumar0832-2582704, 2710, 2908Station HQ ECHS, INS Gomantak, Vasco-da-Gama, Goa 4038025INS HamlaSurg Lt Cdr Partha Bhuyan022-29992422Station HQ ECHS, INS Hamla, Marve Road, Malad West, Kharodi, Mumbai - 400064

CONTACT DETAILS POLYCLINICS

Ser NoPolyclinicOiCContact NumberAddress1Mumbai(Asvini)Cdr (Retd) Rishiram Chauhan022-22163632ECHS Polyclinic Mumbai, c/o INHS Asvini, Colaba, Mumbai 4000012ChiplunLt Cdr(R) AK Pandey02355-250631/ECHS Polyclinic Chiplun, Boys Military Hostel, Opp Civil Court, Mumbai-Goa Highway, Chiplun 4156153MahadCdr (Retd) LR Nehra02145-225198ECHS Polyclinic Mahad, 1st Floor, Yashwant Hospital, Opp ST Stand, Nave Nagar, Mahad, Dist Raigad, 4023054Mumbai UpnagarCdr(R) Hoshiar Singh022-25782144/ 25794965ECHS Polyclinic Mumbai Upnagar, c/o Naval Hospital Powai, kanjurmarg (W), Mumbai 4000785Thane( Nerul)Cdr(R) Praveen Kumar022-27707392/ 27722114ECHS Polyclinic Thane(Nerul), Govind Shanti uilding, Plot No B/76, Sector 23(B), Nerul (E), Navi Mumbai 4007066Karwar (Kadamba)Cmde(R) CGS Khan08382-263632/2263249ECHS Polyclinic Karwar, c/o INHS Patanjali, Naval Base Karwar, Karwar 5813017Vasco-da-Gama (Gomantak)Cdr Srinivasan Sanjivi0832-2582751Mob: 9923879973ECHS Polyclinic Vasco-da-Gama, c/o INHS Jeevanti, Headquarters Goa Naval Area, Vasco-da-Gama 4038028COD KandivaliCapt(R) AK Sharma022-29992489

EMPANELLED HOSPITALS IN MUMBAI

Sl NoName of Hospital / Diagnostic Centre LocationContact No01Balaji HospitalVictoria Road Cross Lane No III Byculla (E) Mumbai 400027022-2374000002Ramkrishna NetralayaA wing 1st floor Shree Balaji Apt. L B S Road Thane (W)4006010932228098003Dr. Shahs Eye and Laser CentreAsaraAppartment, Plot No 33, near Station Road,Ambernath (E) Maharashtra 421 5010251260990504Dr. Shahs Laser Eye InstituteC-wing, Rathod Nagar, Behind Raja Hotel,Near KDMC, Kalyan (W) 421 3010251-2311084

EMPANELLED HOSPITALS IN MUMBAI

Sl NoName of Hospital / Diagnostic Centre /LocationContact No05Dr Lal Path Lab (Mumbai)Dr LalPathlabs Pvt Ltd, 16A, B Soham Plaza, ghodbunder Road, Manpada, Thane (West) 022-23448406Vertex HospitalVeena Nagar Phase 2 , Tusli Pipe Line Road, Near Swapna Nagari Rd & Model Township, Mulund (w), Veena Nagar, Mulund West, Mumbai, Maharashtra 400082022-4162400007Apex HospitalVaishali Heights,Chandavakar Road, Borivali (W)Mumbai 400 092022-4245700008Dr. Eye Institute Spenta mansion,1st Floor,s.v. Road Andheri (W),Mumbai-400 058022-26284103

EMPANELLED FACILITIES AS ON DATE

Sr no.Name of empanelled hospital LocationServices for which recognized MoU date from MoU date toGeneralizedSpecialized1Balaji HospitalByculla (Mumbai)General Medicine, General Surgery, Obstetrics & Gynecology , Paediatrics, Orthopedics, ICU & Critical Care units, ENT, Opthalology, Imaging facilities, Blood bank, Dermatology, PsychiatryCardiology, 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-1201-Sep-14

EMPANELLED FACILITIES AS ON DATE

Sr no.Name of empanelled hospital LocationServices for which recognized MoU date from MoU date toGeneralizedSpecialized2Apex HospitalBorivali (Mumbai)General Services ( General Medicine, General Surgery, Obstetrics & Gynaecology, Orthopaedics ( Excluding Joint Replacement), ICU & Critical Care Units, ENT, OphthalmologyCardiology , 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-1403-Mar-16

EMPANELLED FACILITIES AS ON DATE

Sr no.Name of empanelled hospital LocationServices for which recognized MoU date from MoU date toGeneralizedSpecialized3Vertex HospitalMulund (Mumbai)General Medicine, General Surgery, Obstetrics & Gynaecology, Orthopaedics, ICU & Critical care Units ,ENT, OphthalmologyCardiology , 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, Oncology04-Mar-1403-Mar-16

EMPANELLED FACILITIES AS ON DATE

Sr no.Name of empanelled hospital LocationServices for which recognized MoU date from MoU date toGeneralizedSpecialized4Dr. Lal Path Lab Mumbai & ThaneClinical Pathology, Clinical Microbiology, Clinical BiochemistryClinical Immunology, Molecular Diagnostics14- Nov-1313- Nov-15

EMPANELLED FACILITIES AS ON DATE

Sr no.Name of empanelled hospital LocationServices for which recognized MoU date from MoU date toGeneralizedSpecialized5Dr. Ramkrishna NetralayaThaneOphthalmology Services (a) Cataract / Glaucoma (b) Retinal Medical Vitreo Retinal Surgery (c) Strabismus (d) Oculoplasty & Adnexa & other specialised treatment-14-Feb-1313-Feb-156Dr.shah Eye & Laser CentreKalyan (Thane)Ophthalmology Services (a) Cataract / Glaucoma (b) Retinal Medical Vitreo Retinal Surgery (c) Strabismus (d) Oculoplasty & Adnexa & other specialised treatment-29-Aug-1328-Aug-15

EMPANELLED FACILITIES AS ON DATE

Sr no.Name of empanelled hospital LocationServices for which recognized MoU date from MoU date toGeneralizedSpecialized6Dr.shah Eye & Laser CentreKalyan (Thane)Ophthalmology Services (a) Cataract / Glaucoma (b) Retinal Medical Vitreo Retinal Surgery (c) Strabismus (d) Oculoplasty & Adnexa & other specialised treatment-29-Aug-1328-Aug-15

EMPANELLED FACILITIES AS ON DATE

Sr no.Name of empanelled hospital LocationServices for which recognized MoU date from MoU date toGeneralizedSpecialized7Dr.shah Eye & Laser CentreAmbernath (Thane)Ophthalmology Services (a) Cataract / Glaucoma (b) Retinal Medical Vitreo Retinal Surgery (c) Strabismus (d) Oculoplasty & Adnexa & other specialised treatment-29-Aug-1328-Aug-158Doctor Eye Institute Pvt. LtdAndheri (Mumbai)Ophthalmology Services (a) Cataract / Glaucoma (b) Retinal Medical Vitreo Retinal Surgery (c) Strabismus (d) Oculoplasty & Adnexa & other specialised treatment -03-Mar-1402- Mar-16

APPLICATION PENDING AT CENT ORG FOR EMPANELMENT:-EMPANELMENT OF HOSPUNDER PROCESS

SER NOHOSPITALLOCATION01SURANA HOSPITAL AND RESEARCH CENTRE KANDIVALI (W)02AIMSDOMBIVALI(E)03SEVEN HILLS HOSPITALANDHERI(E)04RN PATILS SURAJ HOSPITAL SANPADA05DR. SINGH CITY HOSPITAL KALAMBOLI06RG UROLOGYANDHERI (E)07SURANA HOSPITAL AND RESEARCH CENTRE CHEMBUR08GLOBAL HOSPITALPAREL

ISSUES REG EMPANELMENTNON-AVAILABILITY OF MULTISPECIALTY HOSPITALS/ DIAGN CENTRES AT CGHS 2010 RATES AT MUMBAI

CGHS 2010 RATES VS MUMBAI RATES

CGHS 2010 RATES Vs SHAH EYE RATES

CGHS Sl No.NAME OF INVESTIGATION / TREATMENTPROCEDUREOPD Shah Eye RatesCGHS 2010 RATES32 PTERYGIUM SURGERIES 12000 15036CAUTERIZATION OF ULCER/SUBCONJUNCTIVAL INJECTION IN ONE EYE4000+Injection Cost 15037CAUTERIZATION OF ULCER/SUBCONJUNCTIVAL INJECTION IN BOTH EYES8000+Injection Cost7538CORNEAL GRAFTINGPENETRATING KERATOPLASTY3500015048 PENETRATING KERATOPLASTY ---- WITH GLAUCOMA SURGERY45000300056PROBING AND SYRINGING OF LACRIMAL SAC- IN BOTH EYE 15000100057 DACRYOCYSTORHINOSTOMYPLAIN 20000200058 DACRYOCYSTORHINOSTOMYPLAIN WITH INTUBATION, AND/OR WITH LACRIMAL IMPLANTS20000/-with Implant Charge400074INDOCYANIN GREEN ANGIOGRAPHY 25000300

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

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

CGHS 2003 RATES VS CGHS 2010 RATES

SL NOINVESTIGATIONCGHS 2003 RATES()CGHS 2010 RATES()01MRI ABDOMEN5250.002500.0002MRI BREAST11500.005000.0003MRI NECK6400.002400.0004CT BRAIN PLAIN1800.00800.0005MRI HIP7200.003000.0006MRI ANKLE4700.002500.0007CT SCAN LIMB2020.001500.00

STRENGTH OF ECHS BENEFICIARIES POLYCLINIC DEPENDENT POPULATION

ASVINI 49068

MUMBAI UPNAGAR 10429

THANE(NERUL) 15479 CHIPLUN 4536 MAHAD 10443 VASCO-DA-GAMA 5395

KARWAR 3246

WORK LOAD ON POLYCLINICS

Sl NoCATEGORYNERULMUMBAI UPNAGARASVINI(a)GENERAL OPD/DAY150-17090-100150-175(b)DENTAL OPD/DAY15-2015-2035-40(c)LAB INVESTIGATION/DAY20-2520-2550-60(d)ECG & X-RAY/MONTH04-06 05-1025-30(e)TRANSFER OF PATIENT TO ASVINI/DAY03-0503-0520-25(f)EMERGENCY ADMISSIONS/MONTH10-1410-1512-15

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

FINANCIAL POWERSONLINE

MANUAL

AppointmentAmount(Rs)Director RCUpto 3,00,000.00MD ECHSUpto 10,00,000.00Joint Secy ESWUpto 25,00,000.00Secy ESWAbove 25,000,000.00

AppointmentAmount(Rs)Station CommanderUpto 50,000 (Cmde)Upto 20,000 (Capt)NOIC50,001 to 1,00,000FOMAG1,00,001 to 2,00,000FOC-in-C2,00,001 to 4,00,000MD ECHS4,00,001 to 5,00,000MoDAbove 5,00,000

CURRENT ISSUESOperationalization 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 orgNAVI MUMBAIAMBARNATH

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.

New Polyclinic at KandivaliThe 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.

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.

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.

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.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.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. 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 OPDs 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.

NEW POINTS

Cmde(R) Vimal Kumar

1. Dental surgery room in NerulECHS.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 Asvinineeds to be spelt out clearly. I checked up from many O/IC ECHS (across the country) the OPDs are available from8 AM to 4 PM with minor shifting of timing by 30 minuts( in summer/winter).

NEW POINTS

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.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 e-mail.

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.NEW POINTS

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