2

CONCEPT

OUTSOURCE PVT EMP HOSP

AUGMENT WITH GOVT FUNDS

UTILISE AFMS

SALIENT FEATURES

• Govt sanctioned - 30 Dec 02• Launched - 01 Apr 03• ESM pensioners - 20 Lacs• Polyclinics - 227• Regional Centres - 13• Central Organisation - 01(Delhi)

• Budget Capital (One time) - 122 CrRevenue (Annual) - 354.50

CURRENT STATUS

• MEMBERS - 10.12 LACS

• BENEFICIARIES - 32 LACS

• POLYCLINICS - 227

• MIL HOSP MEDICARE - 132

• PVT. HOSP EMP - 1382

• ADDL PVT HOSP EMP -152

• POLYCLINICS MEDICARE - 90%

• MIL HOSP MEDICARE - 5%

• PVT. HOSP MEDICARE - 5%

• CAPITAL EXPENDITURE - 62 CR

• REVENUE EXP TILL DATE - 1200 CR

• EXTENDED TO CG / DSC AND TA

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STATUS OF REVIEW

• REVIEWED AFTER FIVE YEARS BY MOD/ REPS

• ADDL MANPOWER FOR POLYCLINICS

• POLYCLINIC STAFF PAY HIKE – IMPLEMENTED

• ENHANCEMENT OF FIN POWERS – CFAs

• REFERRAL PROCEDURE REVIEWED

• MED OFF ALSO AS OI/C POLYCLINIC

SETTING UP – NEW POLYCLINICS• NEW ECHS POLYCLINICS - 197

• REGIONAL CENTRES - 15

• UPGRADE - 14

• CONVERSION - 11

• MOD APPROVAL EXPECTED SOON

• DETAILS IN FOLDER

•BUDGET

•Capital (One Time) - 130 Cr

•Revenue (Per Annum) - 45 Cr•

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STATE/CHARTER WISEDETAILS OF NEW POLYCLINICS

SL

NoSTATE DIST ESM

POLYCLINICS

EXISTING PROPOSED TOTAL

1 ANDHRA PRADESH 23 89681 08 10 18

2 GOA 02 2115 01 01 02

3 KARNATAKA 24 84967 09 08 17

4 KERALA 14 184123 11 12 23

5 MAHARASHTRA 35 196365 21 09 30

6 ORISSA 28 27032 03 06 09

7 TAMILNADU 28 174958 21 06 27

8 WEST BENGAL 17 66458 08 08 16

9 DELHI 09 41528 02 04 06

10 CHANDIGARH 01 9250 01 01 02

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CHARTER WISE - PVT EMP HOSP

SL. No.

NAVY FOUNDATION CHARTER

PRIVATE HOSP /ORTHOTIC/PROSTHETIC CENTRES EMPANELLED

PRIVATE HOSP

ORTHOTIC/ PROSTHETIC

CENTRES

TOTAL

1 HYDERABAD 30 01 31

2 VISAKHAPATNAM 05 01 06

3 GOA 02 00 02

4 BANGALORE 23 03 26

5 KERALA 74 06 80

6 PUNE 34 00 34

7 MUMBAI 13 03 16

8 BHUBANESWAR 08 01 09

9 CHENNAI 34 07 41

10 COIMBATORE 09 01 10

11 KOLKATA 23 03 26

12 DELHI/NCR 150 11 161

13 CHANDIGARH 23 00 23

NEW POLYCLINICS - NAVY

•REGIONAL CENTRES - MUMBAI AND VIZAG

•UPGRADATION – VIZAG (‘C’ TO ‘B’)

•CONVERSION – BALASORE (MIL TO NON-MIL)

• SEVEN NEW POLYCLINICS

•WNC -NAVI MUMBAI VASCO THANE

•ENC -SRIKAKULAM PURI

•SNC -MOOVATTUPUZAH THODAPUZHA

POSSESSION OF SMART CARD

• SMART CARD ESSENTIAL

• WHITE CARD FOR DISABLED CHILD

• ACCEPTABLE AT ALL POLYCLINICS

• TAC IN LIEU OF SMART CARD

• MERGER ZSB/ESM/CANTEEN/ECHS CARDS

NON ECHS MEMBERS

• NO FURTHER REFERRAL FROM MH POSSIBLE

• NO REIMBURSEMENTS ECHS/ KSB/ INBA

• NO MEDICARE IN POLYCLINICS/ PVT EMP HOSP

• NON MEMBERS JOIN EARLIEST

MEDICINE SUPPLY

• PVMS DRUGS BY AFMSDS

• NA MEDICINES LP BY MIL HOSP

• OUTSOURCING UNDER CONSIDERATION

• OPTION TO DRAW FROM PHARMACY

AUTOMATION• AUTOMATION UNDER WAY BY

PROJECT

• CHANGE OF POLYCLINIC ON SMART CARD INSTANTLY

• MANNUAL BILL PROCESSING AUTOMATED

• ONLINE PAYMENT – PVT EMP HOSP BILLS

ECHS HOSPITAL

• ECHS HOSP AT DELHI PROPOSED - MOD

• NEXT TO ACMS DELHI CANTT

• 500 BED COST 250 CR

• MORE HOSP IN FUTURE IN BIG CITIES

KOLKATA CHARTER

• POINT - EMP MORE PVT HOSP

• STATUS – THREE MORE HOSPS EMP

• POINT - AMRI PVT HOSP MEDICARE

DENIAL DUE PENDING BILLS

• STATUS – PROBLEM RESOLVED

REFERRALS RESUMED

• POINT – NO X-RAY AT POLYCLOINIC - NO

TECHNICIAN

• STATUS – X-RAY AT POLYCLINIC SOON TECHNICIAN

BEING POSITIONED

• POINT - MEDICINES – NON AVAILABILITY

• STATUS – NO FUNDS PROBLEM -

OUTSOURCING UNDER CONSIDERATION

• POINT - REIMBURSEMENT FOR ARTHRITIS

• STATUS – REIMBURSEMENT ONLY ON LIFE SAVING

GROUNDS ARTHRITIS NOT COVERED

HYDERABAD CHARTER

• POINT - NON AVAILABILITY OF

MEDICINES

• STATUS - NO FUNDS PROBLEM

- OUTSOURCING UNDER

CONSIDERATION

KERALA CHARTER

• POINT - FORMATION OF ECHS COMMISSION

• STATUS - REVIEW COMMITTEE ESTABLISHED –

ANOTHER COMMISSION NOT VIABLE

• POINT - LIBERALIZED ECHS / AEHS PROPOSAL

• STATUS – RE-EXAMINED BY CONCERNED

AUTHORITIES - NOT VIABLE NOW

HEALTH INSURANCE

• CGHS CONSIDERING OUTSOURCING TO INSURANCE

• ECHS MAY ALSO OUTSOURCE TO INSURANCE

• AEHS/ LIBERALIZED SCHEME - CONSIDERATION UNDER INSURANCE

• INSURANCE SCHEME – DISADVANTAGES

REVISED CONTRIBUTION

• CGHS REVISED POST VI CPC

• ECHS REVISION UNDER CONSIDERATION

ECHS INFORMATION

• ECHS WEBSITE : www.indianarmy.nic.in •

• E-MAIL ID : echs_navy@yahoo.co.in

• CENT ORG TELE NO. 011-25684846

• ECHS OFFICE (NAVY) TELE NO. 011-24101319

• LATEST SIX MONTHLY NEWS LETTER JUL 09

THANK YOU