Streamlining of functioning of CGHS dispensaries

No. S-11030/51/2010-CGHS (P)
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare

Nirman Bhavan New Delhi
Dated : November 22 , 2010

OFFICE MEMORANDUM (Circular No. 1/2010)

Subject : Streamlining of functioning of CGHS dispensaries.

The question of streamlining the functioning of CGHS dispensaries has been engaging the attention of the Ministry of Health & Family Welfare for some time now. After considering the suggestions received from various quarters and after discussing the matter with officials of CGHS, it has been decided, as an initial measure, to streamline the functioning of CGHS dispensaries as below :-

(i) There is a need for officers and staff in CGHS dispensaries to further improve the delivery of service to CGHS beneficiaries. There should be a constant and conscious effort to redress most of the grievances and problems of these beneficiaries at the dispensary level so that there is no inconvenience caused to them forcing them to approach higher authorities for redressal of their grievances. The entire staff at the dispensary level have to ensure a polite, positive and responsible attitude to make the service delivery better. The CMO In-charge must make every effort to ensure this user friendly environment. Complaints of rude/impolite behavior need to be checked and stern action taken by CMOs (Incharge).

(ii) It is well established that CGHS beneficiaries need to be provided better service. Senior citizens/pensioners among the CGHS beneficiaries deserve special attention and response. It is re-iterated that senior citizens/pensioners need to be given out of queue treatment and service at each activity level. Despite repeated instructions in this regard, this system is generally not being enforced at the dispensary level. CMOs incharge must ensure compliance of these instructions.

(iii) CMOs In-charge of the dispensaries shall personally make rounds of the dispensary particularly during peak hours to ensure that there is proper environment and beneficiaries particularly pensioners/Senior Citizens are being treated promptly;

(iv) The Zonal Additional Directors/Joint Directors shall convene the meetings of Pensioners Associations once in two months alongwith CMOs (Incharge) without fail.

(v) A complaint/suggestion/feedback Box with details like number of complaints received and disposed etc. under a seal and lock will be kept at each dispensary and will be opened by the CMO In-charge in the presence of at least two members of the Advisory Committee when the Advisory Committee meeting is being held and necessary action taken by the Advisory Committee with regard to complaints/ suggestions/feedback thus received and, wherever required, the matter will be referred to higher authorities for necessary action.

(vi) All Zonal Additional Directors and Joint Directors shall conduct at least five surprise inspections of the dispensaries in Delhi and at least two in other cities in a month and report the outcome of the inspection indicating the areas such as punctuality, availability and behavior of officers/staff, special care for pensioners/Senior Citizens, deficit areas/complaints and also the good work done in each of the dispensaries inspected, by way of a confidential monthly d.o. letter to reach AS & DG (CGHS) without fail on or before 10th of the succeeding month;

(vii) It is seen that a large number of beneficiaries go to the dispensaries for taking repeat medicines. Authorization of repeat medicines will hereinafter be done by any of the CMOs, apart from the CMO In-charge, available in the dispensary;

(viii) The Zonal Additional Directors/Joint Directors will personally monitor and ensure that the empanelled hospitals etc. do adhere to the terms & conditions of MOAs. They will also supervise the services, if any, being provided by the private parties in their zones such as dialysis, dental services etc.

2. Director, CGHS and all Additional Directors/Joint Directors and CMOs In-charge are hereby directed to fully comply with the instructions contained in this Office Memorandum in both letter and spirit. Noncompliance shall be viewed seriously.

(L.C. Goyal)
AS & DG (CGHS)

www.mohfw.nic.in

LIST OF CATEGORY WISE HOSPITALS ELIGIBLE FOR EMPANELMENT UNDER CGHS, CHENNAI

No: S.11011/23/2009-CGHS D.II/Hospital Cell (PartVI)
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare
*******************

Maulana Azad Road, Nirman Bhawan
New Delhi 110108 dated the 16^th September, 2010

OFFICE MEMORANDUM

Subject:    Fresh empanelment of private hospitals and revision of package rates applicable under CGHS, Chennai – Clarifications regarding

    The undersigned is directed to invite reference to the Office Memorandum, of even number dated the 17th August, 2010, on the above subject, vide which inter alia revised package rates applicable under CGHS, Chennai were also notified and to state that 1st September, 2010, was intimated as the date from which new rates would become operational. This was done on the presumption that hospital short listed for empanelment under CGHS Chennai would have signed the Memorandum of Agreement with the CGHS by then. It has, however, been observed that only a few hospitals have submitted the Memorandum of Agreement to CGHS. It, therefore, follows that the new rates will become effective only after the hospitals, short listed to be empanelled including the existing empanelled hospitals on the basis of response to the tender floated by the CGHS, have signed the Memorandum of Agreement with the CGHS, Chennai, and such hospitals are notified.

2.    After the issue of the above referred Office Memorandum of 17th August, 2010, CGHS has received requests for clarification as to whether they will be categorized as “super-specialty hospitals” and that they can charge rates fixed for Super-specialty hospitals. It is clarified that the entitlement of hospitals to super-specialty rates will not be because they perceive themselves to be super-specialty hospitals, but subject to their fulfilling the eligibility conditions in the tender document for being classified as super-specialty hospitals. The qualifications as mentioned in the tender document, to be eligible for qualifying under different categories of hospitals, are stated below.

“A. CATEGORIES OF HOSPITALS

CGHS would consider the following categories of hospitals for empanelment :

i. General purpose hospitals having 200 or more beds with the following specialties :

General Medicine, General surgery, Obstetrics and Gynecology, Pediatrics, Orthopedics(excluding Joint Replacement), ICU and Critical Care units, ENT and Ophthalmology, (Dental specialties- desirable), and facilities for Radiology and in house diagnostic facilities and Blood Bank.

ii. Specialty hospitals (specialties list given below) Hospitals having less than 200 bed can apply as a specialty hospital –provided they have at least 50 beds earmarked for each specialty applied for with at least 30 additional beds. Thus under this category a single specialty hospital would have at least 80 beds. However, under this category a maximum of three specialties is allowed.

 Cardiology , Cardiovascular and Cardiothoracic surgery
 Urology - including Dialysis and Lithotripsy
 Orthopedic- Surgery – including arthroscopic surgery and Joint Replacement
 Endoscope surgery
 Neurosurgery

iii. Super-specialty Hospitals- with 300 or more beds with treatment facilities in at least three of following Super Specialties in addition to Cardiology& Cardio-thoracic Surgery and Specialized Orthopedic Treatment facilities that include Joint Replacement surgery:

• Nephrology & Urology incl. Renal Transplantation
• Endocrinology
• Neurosurgery
• Gastro-enterology & GI –Surgery incl. Liver Transplantation
• Oncology – (Surgery, Chemotherapy & Radiotherapy)

iii. Cancer hospitals having minimum of 100 beds and all treatment facilities for cancer including radio-therapy (approved by BARC / AERB).

iv. Specialty Eye Centres

v. Dental Clinics

vi. Private hospitals already on the panel of CGHS subject to their fulfilling their relevant eligibility criteria.

B. ELIGIBILITY CRITERIA

i. The Hospitals must fulfill the requirements of one of the categories of hospitals indicated at (A) above

ii. The hospitals that are not already empanelled by CGHS must be accredited by National Accreditation Board for Hospitals and Health Care providers (NABH) or its equivalent such as Joint Commission International(JCI) of USA , ACHS of Australia or by any other accreditation body approved by International Society for Quality in Health Care (ISQua). Must have obtained entry level pre-accreditation from NABH at the time of submission of bid. Such hospitals would however have to obtain final accreditation from NABH by 31 August 2010 failing which they shall be removed from CGHS panel.

iii. Hospitals already on the panel of CGHS must be NABH accredited or equivalent accreditation such as Joint Commission International(JCI) of USA, ACHS of Australia or by any other accreditation body approved by International Society for Quality in Health Care (ISQua).

or
should have obtained entry level pre-accreditation from NABH.

or
must have applied for NABH accreditation in pursuance of letter No. Misc. 4006 / 2009/ CGHS/ Comp. Cell dated 12th May 2009.

iv. In house diagnostic laboratory of the hospital must be accredited by National Accreditation Board for Testing & Calibration Laboratories (NABL).
or
must have applied for NABL accreditation.”

3.        Accordingly, a list of hospitals which have qualified for being short-listed for empanelment under CGHS Delhi under different categories, is annexed.

4.        The hospitals in the list enclosed are requested, if not done earlier, to submit their acceptance of the rates already notified vide Office Memorandum No. S. 11011/23/2009-CGHS D. II /Hospital Cell (Part VI) dated 17th August 2010 and sign the Memorandum of Agreement on or before 25th September, 2010, failing which action will be initiated to take them off the list of hospitals short listed for empanelment.

[R Ravi]
Director

To
MS of all hospitals short listed for empanelment

No: S.11011/23/2009-CGHS D.II/Hospital Cell (Part VI) – ANNEXURE

LIST OF CATEGORY WISE HOSPITALS ELIGIBLE FOR EMPANELMENT UNDER CGHS, CHENNAI

General Purpose
1 Milt Hospitals - General Purpose incl .Jt replacement
2 Sugam Hospital - General purpose incl .Jt replacement
3 K.J. Hospital Pvt Ltd - Geneal Purpose
4 Csi Kalyani General Hospital - General purpose incl, Cardiology & Cardiovascular Surgery and Jt. Replacement
5 National Hospital - General purpose incl. Cardiology and Cardiothoracic Surgery
6 Sridevihospital - General purpose incl. Jt.replacement.

SPECIALITY (SELECTIVE)
Soundarapandian Bone And Joint Hospital - Orthopeadics sugery

SUPER SPECIALITY
1 Apollo Hospitals, Chennai - Super Speciality
2 Sri Ramachandra Medical Centre - Super Speciality


CANCER HOSPITAL

EYE CARE Centres
1 Prems eyeclinic
2 Vasabeyecarehosputalannagar
3 Dr Agarwals Eye Hospital Ltd


DENTAL CLINICS
1 Dr Sethurajan Dental And Maxillofacial Centre
2 Sriram Dental Clinic
3 Dr ramyas Cosmetic Dental Clinic
4 Aridhra Dental Clinic

www.mohfw.nic.in

CGHS Dispensary Shifting - 20,000 beneficiaries face uncertainty

CGHS Dispensary Shifting
20,000 beneficiaries face uncertainty
Anuja Jaiswal
Tribune News Service

Chandigarh, September 25 Over 20,000 beneficiaries of the Central Government Health Scheme (CGHS) in the region could be deprived of health care facilities until and unless either the Union Health Ministry takes urgent steps to find an alternative place to shift its lone dispensary in Sector 45 or the UT administration shelves its plan to evict them from there.

The CGHS dispensary, the only one in the northern region (up Delhi), which caters to Central Government employees and retired personnel working or settled in Chandigarh, Haryana, Punjab and Jammu and Kashmir, faces eviction notice from the Administration and is presently functioning on an extended deadline. The initial deadline expired in June and the Administration has given six additional months to the CGHS to make alternative arrangements.

However, nothing much has been done till date and if the things continue at the same pace and the Administration doesn’t extend the deadline, the CGHS beneficiaries could be heading for trouble, vis-a-vis their health care.

Confirming the Administration’s move, SC Anand, Additional Director, CGHS, Chandigarh, said, the UT administration had served an eviction notice for June, but after the intervention of some members of the coordination committee of the Central Government Pensioners Association, the deadline was extended till December.

He said the building where the dispensary was located was taken on rent from the Administration in 2002.

Anand said though they had identified some alternative sites for shifting the dispensary, the approval was yet to come from the Administration. “If any of the given sites is approved in time, the work can be started and the deadline met,” he said. Else they would face the dilemma of what to do post-December, he added.

On the other hand, UT health officials say they need the site for converting it into standalone “labour rooms” for encouraging institutional deliveries in and around Sector 45. Though the reason may sound plausible, a senior official could not explain why this particular site was required when the Administration has many alternatives with it.

Central Government employees and pensioners are obviously concerned about these developments and feel that rather than just indulging in “babugiri” of issuing notices, the Administration should offer alternatives. “If the lone wellness centre is closed, the elderly pensioners will be at loss,” said one of the members of the pensioners’ committee.

Interestingly, most of the Central Government pensioners registered at the CGHS dispensary in Sector 45 are from Chandigarh and are not covered by any other health care scheme. In case the dispensary goes non-functional, they will be deprived of medical facilities, maintains another member of the coordination committee.

Source: Tribune

CGHS dispensary at Akurdi

CGHS dispensary at Akurdi

Beneficiaries of the Central Government Health Scheme (CGHS), staying in Pimpri-Chinchwad and adjoining areas, now have a dispensary at Akurdi.

Employees of Central government have been urged to log into the website (cghs.nic.in) to get new identity cards.

For several years, government employees, both serving and retired, had been facing inconvenience as there was no dispensary in Pimpri-Chinchwad area. So they had to travel all the way to Pune city for treatment.

According to CGHS, of the 30,000 card holders in the district, about 50 per cent stay in Pimpri-Chinchwad. The proposal was under consideration since last two years. The new centre at Akurdi is convenient as it is near the railway station and is also well connected by bus.

The areas to be covered under the new dispensary include Akurdi, Chinchwad, Punawale, Rupinagar, Nigdi, Ravet, Dehu Road and Shelarwadi.

Source: Times of India

New Dialysis Center for Central Government Employees and Pensioners

CGHS-Apollo Dialysis Center to be a Precursor of Standalone Dialysis Units First of its kind PPP Initiative to be Inaugurated tomorrow

In a pioneering initiative and first of its kind in Central Government Health Scheme(CGHS), Minister of Health and Family Welfare Shri Ghulam Nabi Azad will inaugurate a standalone haemodialysis centre at Sadiq Nagar CGHS Wellness centre, here tomorrow. This pilot project shall be a testing pad in CGHS before such units are rolled out at District Level under the National Program for control of Diabetes. This is being started as a pilot project in collaboration with M/S Alliance Medicorp (India) Limited, Chennai a JV company of Apollo Health and Lifestyle Ltd. (Apollo Group of Hospitals) under Public Private partnership. Secretary (Health) Ms K Sujatha Rao, Director General Health Services Dr R K Shrivastava and Chairman Apollo group Sh Pratap Chander Reddy will be present on the occasion.

Currently in India dialysis units are set up within hospitals mainly due to shortage of nephrologists leading to scarcity of dialysis units. CGHS beneficiaries often suffer hardship for dialysis as demand far exceeds the supply. CGHS refers quite a few of its beneficiaries to private empanelled hospitals. In Delhi around 40 – 50 patients require dialysis per day. Further in years to come, need for dialysis is likely to go up in view of prevalent diseases like diabetes and hypertension which lead to chronic Kidney disease and renal failure. Therefore Public Health sector shall have to cater to significantly increased demand for dialysis and concept of standalone dialysis has been looked into for meeting this demand. In this model dialysis unit is not located in a hospital and therefore eliminating the need of availability of Nephrologist round the clock as Dialysis station is manned by trained medical and paramedical staff under the overall supervision of Nephrologists who ensure quality control as per laid down protocol. Without exploring the possibility of commissioning standalone dialysis units it may never be possible to meet this demand . While identifying a private partner Apollo Hospitals scored better in overall support mechanism of Nephrologist, Human Resources, Referral, Complications Management, Performance Report and Grievance Redressal. Chronic renal failure is a disease where patient’s kidneys are either compromised or stop functioning and are unable to clear toxic wastes from the body. Dialysis is regarded as a "holding measure" until a renal transplant can be performed, or sometimes as the only lifelong supportive measure in those for whom a transplant would be inappropriate.

A space of 2400 sq. ft. covered area has been renovated to suit the requirements for providing state of art dialysis facility .It shall have a capacity to dialyze up to 21 cases of Chronic Renal Failure per day with seven functional Dialysis machines (and an additional stand by machine) and shall be operational from 7 A.M. to 8 P.M. for 310 days in a year. If maximally utilized it shall be able to undertake 6510 dialysis per year.

Dialysis machine works on the principle of the diffusion (Waste removal) of solutes and ultra filtration(Fluid Removal) across a semi permeable membrane .a thin layer of material that contains various sized holes, or pores through which smaller solutes and fluid pass through but blood cells, and large proteins can’t). Substances in water tend to move from an area of high concentration to an area of low concentration Blood flows by one side of a semi-permeable membrane, and a dialysate (dialysis fluid), flows by the opposite side .this counter current being beneficial for removal of urea and creatinine accumulation of which in blood are life threatening.

This joint venture would fruitfully cater to the need of maintenance haemodialysis of CGHS beneficiaries by in house management of such patients. This center would be extremely beneficial to CGHS patients of chronic renal failure by providing timely haemodialysis and mitigate suffering thereby improving the quality of life and productivity. This center shall also reduce dependence of CGHS on private empanelled hospitals and government hospitals.
Source: PIB

Fresh empanelment of private hospitals and revision of package rates applicable under Central Government Health Scheme

Ministry of Health & Family Welfare has published the Latest and Fresh empanelment of private hospitals and revision of package rates applicable under Central Government Health Scheme for Delhi, Chennai, Kolkata, Hyderabad, Bangaluru cities.
The complete details of Treatment Procedure and Rates with deseases.

Office Memorandum Revising Rates for Empanelled Hospitals Under CGHS DELHI w.e.f. 1st September 2010

List of Revised Rates for Empanelled Hospitals Under CGHS DELHI w.e.f. 1st September 2010

Office Memorandum Revising Rates for Empanelled Hospitals Under CGHS KOLKATA w.e.f. 1st September 2010

List of Revised Rates for Empanelled Hospitals Under CGHS KOLKATA w.e.f. 1st September 2010

Office Memorandum Revising Rates for Empanelled Hospitals Under CGHS CHENNAI w.e.f. 1st September 2010

List of Revised Rates for Empanelled Hospitals Under CGHS CHENNAI w.e.f. 1st September 2010

Office Memorandum Revising Rates for Empanelled Hospitals Under CGHS BENGALURU w.e.f. 1st September 2010

List of Revised Rates for Empanelled Hospitals Under CGHS BENGALURU w.e.f. 1st September 2010

Office Memorandum Revising Rates for Empanelled Hospitals Under CGHS HYDERABAD w.e.f. 1st September 2010

List of Revised Rates for Empanelled Hospitals Under CGHS HYDERABAD w.e.f. 1st September 2010

Draft for MOA between Empanelled Hospitals and CGHS

Draft for MOA between Empanelled Diagnostic Laboratories / Imagaing Centres and CGHS

If you want to know more details above the subject, pl. visit www.mohfw.nic.in

Latest list of Hospitals and Diagnostic centres in Meerut

Central Government Health Scheme
Ministry of Health & Family Welfare has published the latest list of Hospitals, Diagnostic Laboratories
and Imaging Centres empanelled with
Central Government Health Scheme
for Central Government Employees and Pensioners
as on 10th June 2010

The following hospitals and diagnostic centres have been empanelled under CGHS
with effect from 1st November, 2006, and thereafter, for the purposes specified:-

[As on 10th June 2010]

   MEERUT: Hospitals List

1.	Kamna Medical Centre Pvt. Ltd., Meerut (KMC Hospital and Research Centre, 187 Baghpat Road, Meerut [Tel: 0121 – 400 2111]	General purpose treatment.
2.	Agarwal Eye Hospital, 61 Shivaji Road, Meerut	Super-speciality Eye Care [Cataract / Glaucoma, Retinal-Medical & Vitreo-retinal surgery, Strabismus, Occuloplasty, Adnexa and other specialised treatment except corneal transplant].
3.	Roop Netralaya [Meerut Laser & Eye Centre Pvt. Ltd.], E. K. Road, N. A. S. College, Meerut	Super-speciality Eye Care [Cataract / Glaucoma and Retinal – Medical & Vitreo- retinal surgery].
4.	Drishti Eye Foundation, Tirupati Plaza, First Floor, Near Bachcha Park, Meerut	Super-speciality Eye Care [Cataract / Glaucoma and Occuloplasty & Adnexa and other specialised treatment].
5.	Yashlok Hospital & Nursing Home Pvt. Ltd., E. K. Road, Meerut	General purpose, Specialised purpose Urology and Urosurgery excluding dialysis and renal transplant.
6.	Dayanand Nursing Home, 47/L-4, Jawahar Quarters, Begum Bridge, Meerut	Obstetrics and Gynecology .
7.	Vinayak Eye & Maternity Hospital, Meerut Cantt.	Eye Centre [Cataract / Glaucoma]
8.	Metro Hospitals & Heart Institutes, 47/G – 5, Boundary Road, Lal Kurti, Meerut Cantt. 250 001 [Tel: 0121 – 266 5033]	Cardiology, Cardiovascular surgery, Cardiothoracic Surgery.
9.	Dhanvantri Jeevan Rekha Ltd., 1 Saket, Meerut 250 001	Super-speciality in Cardiology including Interventional Cardiology.
10.	Jaswant Rai Speciality Hospital, Opp. Sports Stadium, Mawana Road, Meerut	Super-speciality in Cardiology, Cardio- Vascular and Cardio-thoracic surgery; Orthopaedic surgery including Arthroscopic surgery and Joint replacement and Gastro-enterology and GI Surgery

MEERUT: Diagnostic Centres

1.	Dhanvantri Diagnostic Research Centre Pvt. Ltd. Sumer Bhavan, Bachcha Park, Meerut 250 001 [Tel: 0121 – 266 4083 / 264 0084]	[EMPANELMENT CANCELLED W.E.F. 23.01.2009]
2.	Dr. Akshat’s Pathology Labs., 9 - 11, Tyagi Hostel Complex, W.K. Road. Meerut [Tel: 0121 – 264 4133 / 266 5133]	[EMPANELMENT CANCELLED W.E.F. 03.03.2008]
3.	Hormone Care, 1st Floor, Conusul Arcade, Opp. Chetan Medical Complex, R. G. College Road Chippi Tank, Meerut [Tel: 0121 – 266 3710]	Diagnostic procedures/ investigations (Hormone radio-immuno assay and specialized investigations for metabolic disorders and diabetic).
4.	NMC Sky & Imaging & Diagnostic Centre, LLRM Medical College & Hospital Garh Road, Meerut 250 005	Diagnostic services [MRI, CT Scan, X – Ray, USG / Colour Doppler and Mammography].
5.	Om Imaging & Diagnostic Centre, Eastern Kutchery Road, Meghdoot Cinema, Meerut 250 002	Diagnostic services [CT Scan, X – Ray, USG / Colour Doppler].
6.	Om Imaging & Diagnostic Centre, E. K. Road, Adjacent to Meghdoot Cinema, Meerut 250 002	Diagnostic Centre [MRI, Mammography, Bone Densitometry].

Please visit www.mohfw.nic.in for more details

Hospital would then give the flexibility of providing generic equivalents of the prescribed medicine

No. S-11025/45/10-MH-I
Government of India
Ministry of Health & Family Welfare
Directorate General of Health Services
(Medical Hospital-I Section)

Nirman Bhawan, New Delhi
Dated the 26^th May, 2010

ORDER

It has been observed that Doctors in the Central Government hospitals and autonomous institutions under the Ministry of Health and Family Welfare prescribe specific brands of medicines quite often with a rider that no substitute should, be supplied. Instances have also come to notice where the prescribed drug was very expensive and cheaper substitutes were available. However, the patient did not have any choice but to procure the prescribed drug.

The matter has been considered by the Competent Authority. It is observed that generic drugs are usually much cheaper than branded drugs. Therefore, Central Government hospitals must provide only good quality generic medicines. It has, therefore, been decided that whenever any branded drug is prescribed in the above mentioned institutions, it shall invariably also be mentioned that any other equivalent generic drug could also be provided. For instance, if the prescription is for Tablet Crocin, then the prescription should read as ‘Tab Crocin’ or any other equivalent generic drug. The hospital would then give the flexibility of providing generic equivalents of the prescribed medicine.

It has also been decided that henceforth the prescription will be regularly monitored in Dte.G.H.S. to verify compliance with these instructions.

(Dr.Arvind Thergaonkar )
Additional Dupty Director General (M)

CGHS has published List of Hospitals Diagnostic Laboratories and Imaging Centres empanelled with CGHS as on 10th June 2010

Central Government Health Scheme : Central Government has published the latest list of Hospitals Diagnostic Laboratories and Imaging Centres empanelled with CGHS as on 10th June 2010

The following hospitals and diagnostic centres have been empanelled under CGHS with effect from 1st November, 2006, and thereafter, for the purposes specified:- [As on 10th June, 2010]

1. Delhi Hospitals (122) and Diagnostic centres (71) complete list

2. Office Memorandums

3. Reimbursement Forms

4. The Latest list of 24 cities empanelled hospitals and diagnostic centres

Please download the complete details from the link :
www.mohfw.nic.in

Links of all Health and Medical organizations

Central Government Health Scheme (CGHS) Links and Important Medical Organizations Links are given below...

Central Government Health Scheme (CGHS)


• Central Government Health Scheme (CGHS), Allahabad



• Central Government Health Scheme (CGHS), Kolkata



• Central Government Health Scheme (CGHS), Mumbai



• Central Public Health and Environmental Engineering Organisation (CPHEEO)



• Check Hearing Online



• Chennai Corporation AIDS Control and Prevention Society



• Controller, Food and Drugs Administration, Madhya Pradesh



• Delhi Pharmacy Council



• Delhi State AIDS Control Society (DSACS)



• Department of Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homoeopathy (AYUSH)



• Directorate of Medical Education and Research (DMER), Maharashtra



• District Mental Health Programme (DMPH), Thiruvananthapuram



• Food Safety, India



• Health and Family Welfare Department, Chhattisgarh



• Health and Family Welfare Department, Delhi



• Health and Family Welfare Department, Gujarat



• Health and Family Welfare Department, Himachal Pradesh



• Health and Family Welfare Department, Kerala



• Health and Family Welfare Department, Mizoram



• Health and Family Welfare Department, Nagaland



• Health and Family Welfare Department, Orissa



• Health and Family Welfare Department, Tamil Nadu



• Health Departmemt, Haryana


• Health Department, Manipur



• Hindustan Antibiotics Limited (HAL)



• Hindustan Latex Limited (HLL)



• Hospital Services Consultancy Corporation (I) Limited (HSCC)



• Indian Medicines Pharmaceutical Corporation Limited (IMPCL)



• Indian Medlars Centre (INDMED)



• Irrigation and Public Health Department, Himachal Pradesh



• Job Opportunities for the Deaf



• Kerala State Mental Health Authority (KSMHA)



• Medical and Health Services Department, Lakshadweep



• Medical Council of India (MCI)



• Medical Education and Research Department, Punjab



• Medical, Health and Family Welfare Department, Uttar Pradesh



• Medical, Health, Family Welfare and Ayurved Department, Rajasthan



• Ministry of Health and Family Welfare



• Mizoram State AIDS Control Society (MSACS)



• National AIDS Control Organisation (NACO)



• National Board of Examinations



• National Family Health Survey (NFHS)



• National Medicinal Plants Board (NMPB)



• National Pharmaceutical Pricing Authority (NPPA)



• National Vector Borne Disease Control Programme (NVBDCP)



• Port Health Organisation, Visakhapatnam



• Public Health and Family Welfare Department, Madhya Pradesh



• Public Health Department, Haryana



• Public Health Engineering Department (PHED), Arunachal Pradesh



• Public Health Engineering Department (PHED), Nagaland



• Public Health Engineering Department, Assam



• Public Health Engineering Department, Chhattisgarh



• Public Health Engineering Department, Madhya Pradesh



• Public Health Engineering Department, Meghalaya



• Public Health Engineering Department, Rajasthan



• State Cancer Society of Meghalaya



• State Health Society, Bihar



• Swasthya Sanchar - Health Service Booking System, Tripura



• Tamil Nadu Health Systems Project (TNHSP)



• Tamil Nadu Medical Services Corporation (TNMSC)



• Tamil Nadu State AIDS Control Society (TNSACS)



• World Health Organisation (WHO)


World Health Organisation South-East Asia Regional Office (SEARO)

Hospitals

All India Institute of Medical Sciences (AIIMS)

Chacha Nehru Bal Chikitsalaya

Gauhati Medical College and Hospital

Government Medical College and Hospital, Chandigarh

Guru Nanak Eye Centre

Indira Gandhi Institute of Medical Sciences (IGIMS), Patna

Institute of Child Health and Hospital for Children

Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER)

Jawaharlal Nehru Cancer Hospital and Research Centre, Bhopal

Lala Ram Swarup Institute of Tuberculosis and Respiratory Diseases

Lok Nayak Jai Prakash (LNJP) Hospital

Mental Health Centre, Thiruvananthapuram

National Institute of Mental Health and Neuro Sciences (NIMHANS)

North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences (NEIGRIHMS)

Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak

Rajasthan Mobile Surgical Unit

SGS Medical College and KEM Hospital, Mumbai

Sree Chitra Tirunal Institute for Medical Sciences and Technology (SCTIMST)

Tata Memorial Centre (TMC)

Medical Institutions

Agartala Government Medical College

All India Institute of Medical Sciences (AIIMS)

Armed Forces Medical College (AFMC)

Chhatrapati Shahuji Maharaj Medical University

Gauhati Medical College and Hospital

Government Homoeopathic Medical College, Trivandrum (GHMCT)

Government Medical College and Hospital, Chandigarh

Indira Gandhi Institute of Medical Sciences (IGIMS), Patna

Institute of Child Health and Hospital for Children

Institute of Community Medicine, Madras Medical College

Institute of Human Behaviour and Allied Sciences (IHBAS)

Institute of Liver and Biliary Sciences, Delhi

Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER)

Kidwai Memorial Institute of Oncology (KMIO)

Lala Ram Swarup Institute of Tuberculosis and Respiratory Diseases

Madras Medical College

Mehdi Nawaz Jung Institute of Oncology and Regional Cancer Center

Morarji Desai National Institute of Yoga (MDNIY)

National Institute of Ayurveda

National Institute of Homoeopathy (NIH)

National Institute of Mental Health and Neuro Sciences (NIMHANS)

National Institute of Naturopathy (NIN)

National Institute of Pharmaceutical Education and Research (NIPER)

National Tuberculosis Institute (NTI)

North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences (NEIGRIHMS)

Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak

Post Graduate Institute of Medical Education and Research, Chandigarh

Pt. Khushilal Sharma Government (Autonomous) Ayurveda College and Institute, Bhopal

Rajiv Gandhi University of Health Sciences

Rashtriya Ayurveda Vidyapeeth

Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow

SGS Medical College and KEM Hospital, Mumbai

Sher-i-Kashmir Institute of Medical Sciences

Sree Chitra Tirunal Institute for Medical Sciences and Technology (SCTIMST)

Tamil Nadu Dr. M.G.R. Medical University

Research Councils/Centres

Central Council for Research in Ayurveda and Siddha (CCRAS)

Central Council for Research in Homoeopathy (CCRH)

Central Council for Research in Unani Medicine (CCRUM)

Central Drug Research Institute (CDRI)

Central Institute of Medicinal and Aromatic Plants (CIMAP)

Delhi Medical Council

Homoeopathic Pharmacopoeia Laboratory (HPL)

Indian Council of Medical Research (ICMR)

Industrial Toxicology Research Centre (ITRC)

Institute of Genomics and Integrative Biology (IGIB)

International Institute for Population Sciences (IIPS)

Jawaharlal Nehru Cancer Hospital and Research Centre, Bhopal

Kidwai Memorial Institute of Oncology (KMIO)

Malaria Research Centre (MRC)

National Institute of Communicable Disease (NICD)

National Institute of Pharmaceutical Education and Research (NIPER)

Post Graduate Institute of Medical Education and Research, Chandigarh

Tata Memorial Centre (TMC)

Source: Indiaonline

Better Drug Availability with CGHS Direct Purchases

Better Drug Availability with CGHS Direct Purchases

Normally, patients never got even the most commonly prescribed medicines at the 11 Central Government Health Services (CGHS) dispensaries on time. They had to waste a lot of time and energy in repeated visits to the dispensaries to collect the medicines.

Since February this year, common medicines are available at all CGHS dispensaries in Mumbai, Chennai, Delhi, Kolkata, Bangalore and Nagpur all the time thanks to a new initiative.

Earlier, CGHS dispensaries would buy medicines from local chemists, who would give a concession of only 8% on the Maximum Retail Price (MRP). Now, under the project, the Central government has decided to procure at least the most commonly prescribed medicines directly from the manufacturing companies.

“They give us these medicines at 20% concession at MRP. This saves CGHS money and the medicines are available to the patients on the same day as they are prescribed. Patients no longer have to visit the dispensaries multiple times due to nonavailability of these stocks,”said Dr Pounikar. Interestingly, until a year ago, CGHS dispensaries in city rarely had sufficient stock of basic medicines.

The local chemists who sold the medicines were usually not paid their bills for years together. Sources say bills worth crores were always unpaid, which forced chemists to stop supply.

But the new system has changed things for the better. Additional director of CGHS Nagpur office Dr GN Pounikar told TOI that this has been made possible because of the pilot project being implemented in six cities across the country on an experimental basis for a year. “If the project succeeds it will be replicated in all other cities.

The project is not just benefiting the patients but has also reduced the financial burden on the CGHS many times,” he said. The project will benefit about 1.5 lakh beneficiaries (30,000 card holders) in city alone, who get medicines free of cost from the eleven dispensaries.

Source: aarogya.com

Request for free diet to CGHS beneficiaries undergoing treatment for TB, Leprosy, Mental Illness, Cancer, etc.

Government of India
Ministry of Health and family Welfare
Department of Health & Family Welfare
Nirman Bhawan, Maulana Azad
New Delhi 110 108

Dated the 22nd March, 2010.

  

No.S.11011/2/2008-CGHS (P)(PI)   

OFFICE MEMORANDUM

  

Subject: Request for free diet to CGHS beneficiaries undergoing treatment for TB, Leprosy, Mental Illness, Cancer, etc.

  

               The undersigned is directed to invite reference to this Ministry's Office Memorandum, of even number dated the 20th May, 2009, vide which the rates for subscription by CGHS beneficiaries to avail CGHS facilities were revised. The monetary ceiling for free diet was also revised. The following provisions had been made in respect of entitlement of free diet:in para 3 (C) and (d) of the Office Memorandum under reference:

  

"(C) Monetray Ceiling for Free Diet:The monetray ceiling for free diet for CGHS beneficiaries is revised to pay / pension / family pension of Rs. 7.450/- per month.

  

(D) Monetray ceiling for free diet for beneficiaries suffering from TB or mental disease):

  

The monetary ceiling for free diet in case of beneficiary suffering from TB or Mental disease is revised to pay / pension / family pension of Rs.11,160/- per month."

2.           Staff Side, National Council (JCM) had proposed a demand for discussion in the meeting of the National Council that free diet to employees and their dependents undergoing treatment for TB, Leprosy, Mental Illness, Cancer & HIV / AIDS, Renal Dialysis therapy and thalassemia be also provided.

3.            The demand of the Staff Side, National Council (JCM) has been examined in the Ministry of Health & Family Welfare in consultation with IFD (Health), and it has been dicided to extend free diet provision for CGHS beneficiaries undergoing treatment for TB, Leprosy, Mental Illness, Cancer & HIV/AIDS, Renal Dialysis therapy and Thalassemia when they undergo treatment in Central Government Hospitals, subject to the condition that the free diet will be restricted to beneficiaries who are drawing their pay in Pay Band 1 or retired from a post which now carries pay in Pay Band 1 and further subject to monetary limit of Rs.11,160/- per month.

4.           This issues with the concurrence of IFD (Health) vide Dy. No. 435 dated the 3rd February, 2010.

5.           Hindi version will follow.

(R Ravi)
Deputy Secretary to the Government of India

PCI to meet health ministry seeking amendment in Pharmacy Act, 1948

  PCI to meet health ministry seeking amendment in Pharmacy Act, 1948.

In an effort to pursue its demands on amending the Pharmacy Act, 1948, by taking the latest changes in the sector into consideration, the Pharmacy Council of India (PCI) is envisaging a meeting with the Union Health Ministry, probably in the second week of April.

The council, which has been proposing an amendment to the age old Act for the last two to three years, will put forward a set of ideas afresh to the Union health minister. The proposal is to have a better look at the issues in criteria for registration with the PCI, pharmacy practice regulations and education, said Dr B Suresh, president, PCI.

“The proposals are prepared in such a way that there will be no need to revise the Act for the next two decades. If approved by the legislative, this will take care of whatever situation arise in near future,” informed Suresh. “We had meetings with the health minister in the last ministry. However, with the concerned ministry is run under a new minister, we would like to explain our proposals to him,” he added.

At present, the reorganisation of various states in the country has resulted in formation of separate tribunals to issue registration for pharmacy students passed out from the institutions in the respective provinces. Thus, there is confusion among the pharmacy professionals, institutions and students in these states since there would be two governing body – the PCI and the state tribunal – to decide on their particular issues. The new amendment is proposed to take care of such issues, by entitling the full authority on the sector to the council.

With this proposal, the Act can look after any issues coming up in case of reorganisation of states for the next 10 years, said Suresh. However, he added that the earlier claim to do away with the dual system of regulation over the pharmacy education will not be a major issue at present, as the central government is contemplating on a National Council for Human Resources in Health (NCHRH) as a regulatory body for health sector replacing the multiple regulatory bodies in medical and paramedical segments.

The PCI is planning to organise its central council meeting, in New Delhi, in the second week of April to take an account on the current issues in pharmacy sector. It will also discuss the future plans to push the proposals for Act amendment with the ministry, it is learnt.

source: Pharmabiz

Govt signs pact with Apollo for dialysis clinic

CENTRAL GOVERNMENT HEALTH SCHEME

Govt signs pact with Apollo for dialysis clinic

The Government has signed an agreement with the prestigious Apollo Hospital to set up a Hemodialysis unit in the city where its employees can avail state-of-the-art dialysis facility.

Alliance Medicorp Limited (AML), a unit of of Apollo Hospitals Group, has signed a MoU with the Central Government to set up the 'CGHS-Apollo Dialysis' clinic.

"Apollo Hospitals Group is pleased to be associated with the Central Government to launch the first Dialysis Centre in Delhi. This Public-Private Partnership model can help bridge the gap and make world-class services available to CGHS Beneficiaries," Dr Prathap C Reddy, Chairman, Apollo Hospitals Group, said.

"We are also exploring similar PPP opportunities with other state governments," he said.

The set up, which is expected to be functional by June this year, will come up at the CGHS Wellness Centre in Sadik Nagar.

Central Government Health Scheme (C.G.H.S.) Dispensary: Why should they be referred to GH..

Appropos the news item in The Hindu on October 6 regarding functioning of C.G.H.S., I would like to add that for ailments coming under cardiac, neuro, E.N.T., ortho, diabetology, and so on, the CGHS beneficiaries have to go to State government general hospitals for getting opinion even though there are few approved referral hospitals. Retired pensioners who are aged and are not independent have to go to government hospitals and stand in a queue for hours to get the OP tickets for getting the advice for treatment and management.

Recently, the Union government has also increased the subscription rates for serving/retired Central government employees ranging from Rs. 50/- to Rs. 500/- per month according to the pay of pensioners. When the CGHS beneficiaries have paid the subscription prescribed by the Union government, why should they be referred to government hospitals?

The powers to refer the C.G.H.S. beneficiaries should be restored to CMOs in charge of the respective dispensaries.
Source: The Hindu

Anonymous said...
Yes. It is very necessary to change this system. My mother is an rheumatic arthritis patient. Once in every three months CGHS will refer her to GH for reference. In GH ortho dept. starting time is 8'o clock, but at 8'o clok itselt we can see a large queue and we have to stand in the queue for hours to consult the doctor. We are paying CGHS subscription. Some of the CGHS approved referral hospital are specialised in Cardiac, Ortho, ENT etc. We have to approach Govt. to issue an order to go to CGHS approved referrel hospitals for getting specialised opinion for the above long standing diseases.

Mr.Devender said...
definitely. This is the biggest shortcoming. Without 'specialist' recommendation, one would not get anything and the 'specialist' is sitting only in a government hospital. Depite paying heavy monthly subscription, the government, in the name of providing health facilities, make the person visit government hospitals which are already filled up with the visitors from neighbouring states.Recently, I am having continuous headache. The doctor at CGHS dispensary straightaway referred to a government hospital. Now, I am suffering since last month and gathering courage to visit the government hospital.
HOPE THE POLICY MAKERS UNDERSTAND AND REMOVE THIS BOTTLENECK.

Mr.Murthy said... It is needless to mention again and again by various employees that the system of referral to State Govt Hospital to be stopped since the existence or birth of CGHS Dispensary & other recognised private hospital came because of inadequacy of facilities and various other reasons wherein the government employee could not be put into inconvenience or no proper treatment. It is rediculous to refer the govt employee/dependents to the state govt hospital wherein it is everybody's knowledge that there are no proper facilities or the procedure is time consuming. It is again the same Doctor (MBBS)house surgeon who is not eexperienced much doing trails & errors on helpless patients, is looking into patient complaints and prescribing certain tests and other medicines. Therefore, CMO who is having good experience, should refer the matter to the recognised hospitals wherein clear indication of further professional treatement is required instead of State Govt Hospital. The discretionary powers are already vested with CMO which are conveniently misused without applying their mind. The Director/Asst Director is failed to take stock the situation inspite of several complaints because he is part of the stream. Generally, nobody is giving complaint in writing because the doctor may not like and future treatement is depending upon the same CMO and patient has no choice to see other doctor as is the case with CSMA. Therefore, it is high time to take decission of the competent authority to remove discretionary powers either to send state govt hospital or private recognised hospital since the present CMO's are not applying the mind and mechanically referring to state govt hospital without humanity. There should be a clause wherein the doctor is accountable for all the suffering due to transportation, time and mental agony because of their referral to state govt hospital wherein admission to hospital/or futher treatment/investigation was required and then it was referred to private hospital even though it is well known before referrring to state govt hospital.
In view of the above, the govt in consultation with the employees should study and make responsible the CMO posts who are whiling away their time and avoiding responsiblity by just referring the patient to State Govt Hospital

Review of CGHS (Central Government Health Scheme)

Central Government Health Scheme

Senior citizens and retired personnel who have worked in Central Government bodies are assured of their health care needs through the Central Government Health Scheme (89 KB) (PDF file that opens in a new window) or CGHS. This scheme for pensioners provides medical assistance to retired central government officials along with their dependents, freedom fighters and widows of government officials. The CGHS Scheme also covers Delhi police personnel, retired judges of the Supreme Court, Parliament secretaries and their families.

Moreover, along with Ex-Governors and Ex-Vice Presidents of India, accredited journalists are also eligible to be covered under the Central Government’s Health Scheme. The Central Government Health Scheme initially started functioning in Delhi. After a few years, it spread to cities such as Allahabad, Ahmedabad, Bangalore, Mumbai, Chennai, Kolkata, Hyderabad, Jaipur and Patna.

The Central Government Health Scheme offers health services through Allopathic and Homeopathic systems as well as through traditional Indian forms of medicine such as Ayurveda, Unani, Yoga and Siddha. These medical facilities are provided through dispensaries and polyclinics. Chief medical officers and medical officers operate these dispensaries and are responsible for the smooth functioning of the scheme.

The main components of the scheme are dispensary services including domiciliary care, specialist consultation facilities, X-ray, Electro Cardiogram (ECG), laboratory testing, hospitalization, purchase and distribution of medicines and provision of health education. Here is a list of private hospitals and diagnostic centres (External website that opens in a new window) recognized under the Central Government Health Scheme.

The performance of the CGHS is regularly reviewed by the Government. The Committee of Secretaries has also been regularly reviewing the functioning of the CGHS since December, 2008, and has been giving directions to the Ministry of Health & Family Welfare for making it beneficiary friendly. Some of the recent initiatives are listed below:

(1)Extension of CGHS: CGHS today covers 24 cities, apart from Delhi. Dehradun, Ranchi, Bhubaneshwar and Jammu are the cities where CGHS was extended during the last four years. (2) Computerization: To keep pace with the modern times, a massive computerisation work has been taken up under CGHS in collaboration with the National Informatics Centre. Computerization of the CGHS will result in lesser waiting period for beneficiaries at the dispensaries; on-line placement of indents on local chemists; availability of patient profiles; availability of medicines / drugs usage pattern, which will enable the CGHS to prepare a realistic list of formulary drugs; reduction in use of paper; removal of jurisdictional restriction (as regards the dispensary) for the beneficiaries, etc.

(3) Introduction of Plastic Cards: As part of the computerisation process, it has been decided to issue plastic cards individually to each beneficiary of the CGHS. This will enable beneficiaries to avail CGHS facility in any city should they happen to be in that city either on official work or on leave. Inter-city treatment will be possible after all cities are computerised and networked.

(4) Accreditation of labs with National Accreditation Board for Testing and Calibration Laboratories (NABL) : With a view to providing better quality treatment to CGHS beneficiaries, it was decided that only those private hospitals and diagnostic centres would be empanelled under the CGHS, as have been cleared by the Quality Council of India after it carried out inspection of the facilities available at these hospitals and diagnostic centres. It has also been decided that all the laboratories on the panel of CGHS have to get certificate issued by the NABL under the Quality Council of India.

(5) Medical Audit of Hospital Bills is an important exercise to assess the quality of services offered and expenditure incurred. In order to be sure that the bills raised by private empanelled hospitals are genuine and that the beneficiaries were required to undergo only that treatment as was required and that the hospital has not forced the beneficiary to undergo unnecessary tests / treatment at the hospital. The job of medical audit of Hospital bills has been outsourced to TPAs.

(6) Holding of Claims Adalats: Complaints were received in the CGHS and in the Ministry that old cases of reimbursement of medical expenses incurred by pensioners were pending for settlement for long time. It was decided that claims adalats be held in each Zonal office of CGHS, Delhi, under the chairmanship of the Additional Directors of the respective zones. Claims adalats were held annually, in each zone (East, Central, South and North Zones) in Delhi, during 2007 and 2008 and over 95% of the claims were settled in those adalats.

(7) Local Advisory Committees: Local Advisory Committee meetings are held in each CGHS dispensary on second Saturday of the month, which is attended by Area Welfare Officer appointed by the Chief Welfare Officer, Department of Personnel & Training, representatives from pensioners’ association, local chemist to resolve problems at dispensary level.

(8) Decentralisation and delegation of powers: Ministries / Departments have been delegated powers to handle all cases of reimbursement claims if no relaxation of rules was involved. Earlier they had powers to handle requests upto Rupees two lakhs and beyond that amount, the cases were referred to CGHS.

(9) Insulin: Orders have been issued to permit issue of Analogue (Insulin Vial/Cartridge) to CGHS beneficiaries and the extra cost would be borne by the CGHS. The beneficiaries would have to purchase the pen for utilization the analogue insulin.

(10) Outsourcing of cleaning process of dispensaries: As there were shortage of Class IV Staff in a large number of dispensaries in Delhi, it was decided to relocate Class IV staff from a few deficient dispensaries to other deficient dispensaries. To overcome the vacuum so created in some dispensaries, it was decided to outsource cleaning work for mechanised cleaning. The agency has been handling this work for the last five months, and the work done by them has been appreciated by all.

(11) Rate contract for purchase of drugs: It has been decided to run a pilot project under which dispensaries in Delhi will be permitted to place indents directly on the manufacturers on rate contract basis. If the proposal proves to be a success, then it may be extended to cover the entire CGHS. The benefit of this arrangement is that dispensaries / CGHS do not have to carry huge inventory of medicines and indents can be placed on a monthly basis depending on the need.

The Sixth Central Pay Commission recommended the introduction of health insurance scheme for Central Government employees and pensioners. It had recommended that for existing employees and pensioners, the scheme should be available on the voluntary basis, subject to their paying prescribed contribution. It has also recommended that the health insurance scheme should be compulsory for new Government employees who would be joining service after the introduction of the scheme. Similarly, it had recommended that new retirees, after the introduction of the insurance would be covered under the scheme.

An expression of interest has been floated by the Ministry of Health & Family Welfare inviting suggestions from insurance companies providing health insurance and health consultants on the structure, feasibility and viability of such a scheme.

This information was given by Shri Ghulam Nabi Azad, Union Minister for Health & Family Welfare in a written reply to a question in the Lok Sabha today. Source:PIB