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