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EX-SERVICEMEN CONTRIBUTORY HEALTH SCHEME

EX-SERVICEMEN CONTRIBUTORY HEALTH SCHEME. ECHS CONFERENCE, VISAKHAPATNAM AREA - 24 FEB 13. ECHS SCHEME. Govt Sanctioned - 30 DEC 02 Launched - 01 APR 03 Polyclinics - 227+199 Regional Centers - 13+15 Central Organisation - 01 (DELHI). STATUS REPORT. Membership

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EX-SERVICEMEN CONTRIBUTORY HEALTH SCHEME

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  1. EX-SERVICEMENCONTRIBUTORY HEALTH SCHEME 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. 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 • 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

  5. ECHS BENEFICIARIES

  6. ECHS SUBSCRIPTION RATES

  7. RECENT ECHS DEVELOPMENTS PLS NOTE : AADHAR CARDS WILL BE LINKED

  8. RECENT ECHS DEVELOPMENTS

  9. RECENT ECHS DEVELOPMENTS

  10. RECENT ECHS DEVELOPMENTS

  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

  15. PROPOSED MANPOWER : POLYCLINICS

  16. PROPOSED MANPOWER : POLYCLINICS 15 21 15 21 9 12 9 12

  17. REVISION OF PAY–POLYCLINIC STAFF

  18. NON-AVAILABILITY OF MEDICINES

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

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

  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. THANK YOU

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