Clarification regarding Primus Ortho & Spine Hospital

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

Maulana Azad Road, Nirman Bhawan
New Delhi 110 108 dated the 16^th November , 2010

O F F I C E M E M O R A N D U M

Subject:    Clarification regarding Primus Ortho & Spine Hospital, Chandra Gupta Marg, Chanakya Puri, New Delhi 10 021

      The undersigned is directed to invite reference to the Office Memorandum of even number dated 20^th October 2010 on the above subject, and to clarify that Primus Ortho & Spine Hospital, Chandra Gupta Marg, Chanakya Puri, New Delhi 10 021 would continue to be on CGHS , Delhi panel at old( pre-revised ) rates till the matter is decided by Hon’ble High Court of Delhi as per the directions of Hon’ble High Court of Delhi in WP( C ) No. 6720 of 2010 filed by ‘Delhi Hospital Society Regd., ‘ vs Union of India and Others.

-Sd/-
[R Ravi]
Director

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

Maulana Azad Road, Nirman Bhawan
New Delhi 110 108 dated the 20^th October , 2010

O F F I C E M E M O R A N D U M

Subject:    Clarification regarding Primus Ortho & Spine Hospital, Chandra Gupta Marg, Chanakya Puri, New Delhi 10 021

      The undersigned is directed to invite reference to the Office Memorandum of even number dated 7^th October 2010 on the above subject, vide empanelled hospitals under different categories the hospitals were notified and to state that as per the para (iii) of the Office Memorandum mentioned above the hospitals that are on the panel of CGHS who have did not apply in response to the fresh empanelment process initiated by the CGHS in second half of 2009 or have not been approved by CGHS under the fresh empanelment procedure can continue to treat CGHS beneficiaries at old( pre-revised ) rates till 25^th October 2010. On 26^th October 2010, their names will stand removed from the list of approved hospitals empanelled under CGHS, without any further notice;

      In this regard it is clarified that Primus Ortho & Spine Hospital, Chandra Gupta Marg, Chanakya Puri, New Delhi 10 021 would however, continue to be on CGHS, Delhi panel at old( pre-revised ) rates till 11^th November 2010 (next date of hearing ) as per the directions of Hon’ble High Court of Delhi in WP( C ) No. 6720 of 2010 filed by ‘Delhi Hospital Society Regd., ‘ v . Union of India and Others.

[R Ravi]
Director

CGHS Orders - I
CGHS Orders - II

Fresh empanelment of private hospitals and revision of Room Rent applicable under CGHS

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

Maulana Azad Road, Nirman Bhawan
New Delhi 110 108 dated the 16^th November , 2010

O F F I C E M E M O R A N D U M

Subject:     Fresh empanelment of private hospitals and revision of Room Rent applicable under CGHS.

        The undersigned is directed to state that CGHS had initiated action for fresh empanelment of private hospitals under CGHS and also for the revision of package rates (which were fixed in 2006-07), to be paid to hospitals, by floating tender for the same. On the basis of the responses received package rates for various procedures / treatments have been arrived at and have been uploaded in the website of CGHS:www.mohfw.nic.in\cghsnew\index.asp and can be downl oaded.

2.        “Package Rate” shall mean and include lump sum cost of inpatient treatment / day care / diagnostic procedure for which a CGHS beneficiary has been permitted by the competent authority or for treatment under emergency from the time of admission to the time of discharge including (but not limited to) –
(i) Registration charges,
(ii) Admission charges,
(iii) Accommodation charges including patients diet,
(iv) Operation charges,
(v) Injection charges,
(vi) Dressing charges,
(vii) Doctor / consultant visit charges,
(viii) ICU / ICCU charges,
(ix) Monitoring charges,
(x) Transfusion charges,
(xi) Anesthesia charges,
(xii) Operation theatre charges,
(xiii) Procedural charges / surgeon’s fee,
(xiv) Cost of surgical disposables and all sundries used during hospitalization,
(xv) Cost of medicines,
(xvi) Related routine and essential investigations,
(xvii) Physiotherapy charges etc.
(xviii) Nursing care and charges for its services.

(b)         Cost of Implants / stents / grafts is reimbursable in addition to package rates as per CGHS ceiling rates for Implants / stents / grafts or as per actual, in case there is no CGHS prescribed ceiling rates.

(c)         Treatment charges for new born baby are separately reimbursable in addition to delivery chares for mother.

d)         The hospitals empanel led under CGHS shall not charge more than the package rates / rates.

2.2         Package rates envisage upto a maximum duration of indoor treatment as follows:

                12 days for Specialised (Super Specialties) treatment;
                7 days for other Major Surgeries;
                3 days for Lapar oscopic surgeries / normal deliveries; and
                1 day for day car e / Minor (OPD) surgeries.

2.3         However, there are certain procedures where there is no prescribed package rate under CGHS. Similarly, there are medical emergencies where the treatment is mainly conservative. The admissible amount in such cases is calculated item wise, room rent, procedures, investigation , etc., .

        Therefore , it has now been decided to revise the rates applicable for room rent (Accommodation Charges) for different categor ies of wards as given below:
                General ward -Rs.1000/- per day
                Semi-private ward -Rs. 2000/ - per day
                Private ward -Rs.3000/- per day

3.         CGHS beneficiaries are entitled to facilities of private, semi-private or general ward depending on their basic pay / pension. The entitlement is as follows:-

S. No.	Basic Pay (without the inclusion of grade pay)	Entitlement
1.	Upto Rs. 13,950/-	General Ward
2.	Between Rs.13,951/ - and Rs.19,530/-	Semi-Private Ward
3.	Rs. 19,540/- and above	Private Ward

4.2         This issues with the concurrence of Internal Finance Division in the Ministry of Health & Family Welfare, vide Dy. No: AS & FA / 3932 /2010 dated the 8th November , 2010.

        The revised rates will come into effect from the date of issue of this Office Memorandum.

        A copy of this Office Memorandum along with rate list and a copy of MOA are placed on the internet at http://mohfw.nic.in/cghsnew/index.asp.

[R Ravi ]
Director
[Tel: 2306 3483]

Clcik here to view the order...

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

Pensioners To Get Smartcards For Health Scheme

Now, Pensioners To Get Smartcards For Health Scheme

It is a `smart' way to a healthy life. From April 1, Pune's pensioners will get smart cards for availing of medical benefits from the Central Government Health Scheme (CGHS), anywhere in the country.

While initially new pensioners who get enrolled under the CGHS will be provided the smart card from April, the computerised system will enable at least 84,999 beneficiaries from Pune to avail of this facility phase-wise. Dr S R Pashupati, Additional Director of CGHS told The Indian Express that the smart cards will first be given to the employees and new pensioners who have enrolled. "It will take time to feed data into the computer about the details of each person in the family, collect their photographs and other information and then issue a smart card. The process has been set rolling,''Dr S B Nadoni, senior regional director for health and family welfare for the Maharashtra, Goa and Daman and Diu regions.

CGHS is available in over 25 cities while the CGHS employees living outside the CGHS areas are entitled to reimbursement for medical attendance and treatment under the Central services (medical attendance) rules. The project of computerisation of CGHS dispensaries in Pune is being completed, Nadoni said and pointed out that this smart card can be used by any member of the family. Updated reports of the patients and details will be accessible at the Delhi Headquarters once the data is fed in and the computerisation process is over. The HQ will also subsequently be furnished with details of the need for medicines at various dispensaries, Nadoni said.

According to Pashupati the medical history of the patients, their record of the monthly supplies of drugs and importantly their identifications with photographs will be fed in the computers.



Source: The Indian Express By ANURADHA MASCARENHAS

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

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