Coimbatore Branch ofIndian Medical Association

OFFICE BEARERS 2018

Nov 16 2018th Volume - 05 Issue - 22

DearColleagues,

Greetings!

We had a very useful and

purposeful BRAINSTORMING

SESSION on problems related

to hospitals at IMA Hall,

Coimbatore on 10 November

2018.

Please find inside the

resolutions based on the

collective decision of members

in thatmeeting.

th

President : Dr. R.T.Vinod Rajkumar

Contact No. : 99443 31294

Dr.M.Mariappan

Dr.C.P.Shanmugasundaram

Dr.V.Rajesh Babu

Contact No. : 9360030094

Dr.N.Sathian

Dr.M.Doraikannan

Dr.K.Priya

Immediate.Past : Dr.S.Karuna

President

President Elect :

Vice President :

Secretory :

Secretary Elect :

Finance Secretary :

Joint Secretary :

Rs. 3/-

United we stand

Divided we perish

LONG LIVE IMA !

Postal Registration No. CB/115/2017-19Regn No. TNENG/2014/55442 ROC No. 22928/2012/E/2

Published by Dr.S.Karthick Prabhu

Printed by V.Sampathkumar.

on behalf of Coimbatore Branch of Indian Medical Association.

Printed at Premier Printing Press, 77, Karunanidhi Nagar, Trichy Road, Sungam,

Ramanathapuram,Coimbatore - 641 045, and published from92, SyrianChurchRoad, Coimbatore - 641 001.

Disclaimer : IMAassumes no responsibility for the authenticity or reliability of any product, equipment, gadget or

any claim by medical establishments/ institutions/manufacturers or any training programme in the form of

advertisements appearing in CIMAand also does not endorse or give any guarantee to such products or training

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Message from Secretary

Dr.V.Rajesh Babu

Dear colleagues,

I hopeeveryonehadawonder full and safeDIWALI.

As usual we had lot of activities last month in IMA Hall and also invarious colleges. Last week we had a Brain storming session in NursingHome issues, lot of resolutions have been passed. Nextmonthwehave ourAnnual conference and state council meeting, I request our members toregister their names in office, to arrange transport. This month also wehave lot of activities. Kindly give your suggestions and do participate in allevents.

Message from President

Dr. R.T.Vinod Rajkumar

Long Live IMA !

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9.

10. In all committees for decision making in health care IMA and NHB

representativesshouldbe included.

11. Cost analysis in Government hospitals is also to be done and taken

forcomparisonwithourcostingstudy.

12. Meeting to be conducted with all insurance stake holders to

negotiateandprogress further.

13. Insurance grievances redressal committee to be formed to act as an

interface torepresentgrievancesofhospitals.

14. Periodic round tablemeetwith stake holders in health care industry

tobeconducted.

15. Insurancecompanieswhoacceptpre-authorizationbutdonot settle

full amount and deviating from the norms are to be black listed and

suchmechanism for black listing and feedback are to be added inTN

NHBwebsiteandmobileapp for thebenefitofourmembers.

16. Grading of insurance company by way of hospital feedback shall be

doneand listed inourwebsiteandmobileapp.

17. Resolutions passed to go for PIL as and when required as the

situation warrants with regards to selective empanelment and

otherburning issues in insuranceschemes.

18. Resolution passed to go for PIL against advertisements in media

claimingfalsecureandmagicremedies.

19. All eligible, willing hospitals should be empanelled with private

insurance.

20. All hospitals should quote not less than the minimum rates

circulatedbyNHB(after finalization) forany insurances/TPA's.

21. Nodiscounts tobegiven toany insurancecompanies/TPA's.

Rates toberevisedaspercostingstudyof IMAorcommitteeshould

be formulatedwith IMAandNHBrepresentatives to revise rates and

till such period rates to be increased yearly based on escalation of

costs since the last revision.

For TEAM IMA 2018,

Dr.S.Karthick Prabhu

Secretary

NHB IMA TNSB

Resolution - BSS - 10 Nov 2018th

DearColleagues,

It ismypleasure to informoneandall that the conceptofBRAINSTORMING

SESSIONSarrangedbyTEAMIMA2018hasgainedmomentumand it'snice

to see lot of members sending suggestions and taking part in the

discussions tocomeupwith fruitful solutions inthe formof resolutions.

• Please find below the resolutions taken in the last meeting at

Coimbatore.

I thank the office bearers of Coimbatore IMA and Dr.A.K.Ravikumar

(InsuranceCoordinator) for coordinatingthemeeting.

1. It was decided to continue lobbying for revision in minimumwages

foranother45daysafterwhich thenext lineofaction is tobetaken.

2. It is decided to form a core committee with current and past office

bearers with invited members for the purpose of negotiation with

insurance companies and the committee to be reconstituted once

every 3 years. This has to be passed in the coming State council

meetingandGeneralbodymeeting.

3. Resolution to be sent to Government of Tamilnadu that all eligible

willing hospitals should be empanelled in the Government health

and insuranceschemes.

4. All eligible hospitals with 10 beds and above who are willing to join

AyushmanBharat schemeshouldbeempanelled.

5. All member hospitals should comply with the resolutions and

decisions taken by NHB IMA TNSB failing which they will not be

eligible foranyof its schemesandbenefits.

6. As service to the community beneficiaries below the poverty line as

per 2013 SECC survey should only be treated under the Ayushman

BharatScheme.

7. Grading of hospitals from A1 – A6 in CMCHS is to be further

simplified into2or3categoriesonly.

8. Entry level NABH shall not be insisted for Government schemes and

insurances.

RESOLUTIONS BASED ON THE COLLECTIVE DECISION DURING THE

BRAINSTORMING SESSION ORGANIZED BY NHB IMA TNSB HELD ON

10/11/2018 AT IMA HALL, COIMBATORE FOR APPROVAL IN STATE

COUNCILMEETING.

Mission Pink Health programme on 8.11.2018at Kumaraguru Arts college

IMA NHB TNSB Conference 10.11.2018 @ IMA Hall

CME Swine Flu 1.11.2018

IMA Paramedical Convocation 10.11.2018 @ IMA

IMA CGP convocation 10.11.2018 @ IMA Hall

H1N1 GUIDELINES FOR DOCTORS

SIGNSANDSYMPTOMSOFH1N1

HOWTOAPPROACH

Suddenonset ofHighgrade feverwithdryhackingcoughassociatedwithsevere sore throat, tiredness and headache, body ache, loss of appetite,wateryeyes, sneezingandrunningnose.

If the patient has above symptoms in the OPD kindly categories thembased on the severity of the symptoms. If the symptoms aremild then it iscategory A. If the symptoms are more or associated with comorbidconditions then it is category B. If there are danger signs like organinvolvment/veryseveredisease then it iscategoryC.

Usually in our day to day practice Category A comprises of 91% of thepatients, which do not require treatment, no test is required, only homeisolation and periodical reviews. If they have mild symptoms but withcomorbid disease they automatically become Category B, for which youhave to start oseltamivir immediately without doing test (NO RTPCR).Category C is sick patients, who should be immediately referred to highercenterswhere isolationandICUfacilitiesareavailable.

• Pregnantwomen

• Lung/ heart / liver / kidney / neurological disease, blood disorders /abetes/cancer/HIVAIDS.

• On long term steroids, or those with immunosupression due to drus,diationorHIV,etc.

• Children–mild illnessbutwithpredisposingrisk factors.

• Age65YearsPlus

• Breathlessness, chest pain, drowsiness, fall in blood pressure,aemoptysis, cyanosis.

• Childrenwith ILI (influenza like illness)withred flag signs.

• (Somnolence, high/persistent fever, inability to feed well, convulsions,yspnoea/respiratorydistress, etc).

• Worseningofunderlyingchronicconditions

Cat-A- No testing. Cat-B- Start oseltamivir without testing. Cat-C – ADMITISOLATEDORTPCRSTARTOSELTAMIVIR(donotwait for test result).

•For infants:

<3months 12mgBDfor5days

3–5months 20mgBDfor5days

6-11months 25mgBDfor5days

•Byweight

<15kg 30mgBDfor5days

15–23kg 45mgBDfor5days

24-40kg 60mgBDfor5days

>40kgandadults 75mgBDfor5days

The following are the Comorbid conditions

The following are the danger signs which when present comes underCategory C, for which immediate referral is mandatory (do not treatasOPD)

Indications forHINITesting

Oseltamivirdosageschedule

DR. K.NEMINATHANPediatrician