EX-SERVICEMEN CONTRIBUTORY HEALTH SCHEME

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EX-SERVICEMEN CONTRIBUTORY HEALTH SCHEME
AIM
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CONCEPT
UTILISE AFMS
OUTSOURCE PVT EMP HOSP

AUGMENT WITH GOVT FUNDS
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SALIENT FEATURES

• Govt sanctioned - 30 Dec 02
• Launched - 01 Apr 03
• ESM pensioners - 20 Lacs
• Polyclinics - 227
• Regional Centres - 13
• Central Organisation - 01(Delhi)
• Budget
• Capital (One time) - 122 Cr
• Revenue (Annual) - 354.50

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CURRENT STATUS

• MEMBERS - 10.12 LACS
• BENEFICIARIES - 32 LACS
• POLYCLINICS - 227
• MIL HOSP MEDICARE - 132
• PVT. HOSP EMP - 1382
• ADDL PVT HOSP EMP -152
• POLYCLINICS MEDICARE - 90

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• MIL HOSP MEDICARE - 5
• PVT. HOSP MEDICARE - 5
• CAPITAL EXPENDITURE - 62 CR
• REVENUE EXP TILL DATE - 1200 CR
• EXTENDED TO CG / DSC AND TA

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STATUS OF REVIEW

• REVIEWED AFTER FIVE YEARS BY MOD/ REPS
• ADDL MANPOWER FOR POLYCLINICS
• POLYCLINIC STAFF PAY HIKE IMPLEMENTED
• ENHANCEMENT OF FIN POWERS CFAs
• REFERRAL PROCEDURE REVIEWED
• MED OFF ALSO AS OI/C POLYCLINIC

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SETTING UP NEW POLYCLINICS

• NEW ECHS POLYCLINICS - 197
• REGIONAL CENTRES - 15
• UPGRADE - 14
• CONVERSION - 11
• MOD APPROVAL EXPECTED SOON
• DETAILS IN FOLDER
• BUDGET
• Capital (One Time) - 130 Cr
• Revenue (Per Annum) - 45 Cr

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STATE/CHARTER WISEDETAILS OF NEW POLYCLINICS
SL No STATE DIST ESM POLYCLINICS POLYCLINICS POLYCLINICS
SL No STATE DIST ESM EXISTING PROPOSED TOTAL
1 ANDHRA PRADESH 23 89681 08 10 18
2 GOA 02 2115 01 01 02
3 KARNATAKA 24 84967 09 08 17
4 KERALA 14 184123 11 12 23
5 MAHARASHTRA 35 196365 21 09 30
6 ORISSA 28 27032 03 06 09
7 TAMILNADU 28 174958 21 06 27
8 WEST BENGAL 17 66458 08 08 16
9 DELHI 09 41528 02 04 06
10 CHANDIGARH 01 9250 01 01 02
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CHARTER WISE - PVT EMP HOSP
SL. No. NAVY FOUNDATION CHARTER PRIVATE HOSP /ORTHOTIC/PROSTHETIC CENTRES EMPANELLED PRIVATE HOSP /ORTHOTIC/PROSTHETIC CENTRES EMPANELLED PRIVATE HOSP /ORTHOTIC/PROSTHETIC CENTRES EMPANELLED
SL. No. NAVY FOUNDATION CHARTER PRIVATE HOSP ORTHOTIC/ PROSTHETIC CENTRES TOTAL
1 HYDERABAD 30 01 31
2 VISAKHAPATNAM 05 01 06
3 GOA 02 00 02
4 BANGALORE 23 03 26
5 KERALA 74 06 80
6 PUNE 34 00 34
7 MUMBAI 13 03 16
8 BHUBANESWAR 08 01 09
9 CHENNAI 34 07 41
10 COIMBATORE 09 01 10
11 KOLKATA 23 03 26
12 DELHI/NCR 150 11 161
13 CHANDIGARH 23 00 23
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NEW POLYCLINICS - NAVY

• REGIONAL CENTRES - MUMBAI AND VIZAG
• UPGRADATION VIZAG (C TO B)
• CONVERSION BALASORE (MIL TO NON-MIL)
• SEVEN NEW POLYCLINICS
• WNC -NAVI MUMBAI VASCO THANE
• ENC -SRIKAKULAM PURI
• SNC -MOOVATTUPUZAH THODAPUZHA

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POSSESSION OF SMART CARD

• SMART CARD ESSENTIAL
• WHITE CARD FOR DISABLED CHILD
• ACCEPTABLE AT ALL POLYCLINICS
• TAC IN LIEU OF SMART CARD
• MERGER ZSB/ESM/CANTEEN/ECHS CARDS

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NON ECHS MEMBERS

• NO FURTHER REFERRAL FROM MH POSSIBLE
• NO REIMBURSEMENTS ECHS/ KSB/ INBA
• NO MEDICARE IN POLYCLINICS/ PVT EMP HOSP
• NON MEMBERS JOIN EARLIEST

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MEDICINE SUPPLY

• PVMS DRUGS BY AFMSDS
• NA MEDICINES LP BY MIL HOSP
• OUTSOURCING UNDER CONSIDERATION
• OPTION TO DRAW FROM PHARMACY

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AUTOMATION

• AUTOMATION UNDER WAY BY PROJECT
• CHANGE OF POLYCLINIC ON SMART CARD INSTANTLY
• MANNUAL BILL PROCESSING AUTOMATED
• ONLINE PAYMENT PVT EMP HOSP BILLS

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ECHS HOSPITAL

• ECHS HOSP AT DELHI PROPOSED - MOD
• NEXT TO ACMS DELHI CANTT
• 500 BED COST 250 CR
• MORE HOSP IN FUTURE IN BIG CITIES

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KOLKATA CHARTER

• POINT - EMP MORE PVT HOSP
• STATUS THREE MORE HOSPS EMP
• POINT - AMRI PVT HOSP MEDICARE
• DENIAL DUE PENDING BILLS
• STATUS PROBLEM RESOLVED
• REFERRALS RESUMED

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• POINT NO X-RAY AT POLYCLOINIC - NO
• TECHNICIAN
• STATUS X-RAY AT POLYCLINIC SOON TECHNICIAN
• BEING POSITIONED
• POINT - MEDICINES NON AVAILABILITY
• STATUS NO FUNDS PROBLEM -
• OUTSOURCING UNDER CONSIDERATION
• POINT - REIMBURSEMENT FOR ARTHRITIS
• STATUS REIMBURSEMENT ONLY ON LIFE SAVING
• GROUNDS ARTHRITIS NOT COVERED

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HYDERABAD CHARTER

• POINT - NON AVAILABILITY OF
• MEDICINES
• STATUS - NO FUNDS PROBLEM
• - OUTSOURCING UNDER
  
• CONSIDERATION

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KERALA CHARTER

• POINT - FORMATION OF ECHS COMMISSION
• STATUS - REVIEW COMMITTEE ESTABLISHED
• ANOTHER COMMISSION NOT VIABLE
• POINT - LIBERALIZED ECHS / AEHS PROPOSAL
• STATUS RE-EXAMINED BY CONCERNED
• AUTHORITIES - NOT VIABLE NOW

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HEALTH INSURANCE

• CGHS CONSIDERING OUTSOURCING TO INSURANCE
• ECHS MAY ALSO OUTSOURCE TO INSURANCE
• AEHS/ LIBERALIZED SCHEME - CONSIDERATION UNDER
  INSURANCE
• INSURANCE SCHEME DISADVANTAGES

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REVISED CONTRIBUTION

• CGHS REVISED POST VI CPC
• ECHS REVISION UNDER CONSIDERATION

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ECHS INFORMATION

• ECHS WEBSITE www.indianarmy.nic.in
• E-MAIL ID echs_navy_at_yahoo.co.in
• CENT ORG TELE NO. 011-25684846
• ECHS OFFICE (NAVY) TELE NO. 011-24101319
• LATEST SIX MONTHLY NEWS LETTER JUL 09

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THANK YOU
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COMPOSITION OF MOD TEAM

• CGDA REP -SHRI SANJEEV MITTAL, IFA
• MOD REP -SHRI MM SINGH, DY SECY (RES-I)
• MOD(FIN) REP -SHRI KS PANCHPAL, AFA(AG/PD)
• DG DCW REPS -BRIG SATISH MALIK, DY MDECHS
• -WG CDR SK
  AGRAWAL, JTDIR (PFC)
• -LT COL AK
  NAIK, JT DIR (MED)

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ADDL MANPOWER FOR POLYCLINICS

• CLERKS FOR CLINICS - 227
• CLERKS FOR STN HQ - 123
• MEDICAL OFFICERS - 100(14 FOR DRUGS)
• SPECIALISTS - 35
• PHARMACISTS/SKT - 43(FOR DRUGS)
• CLERKS FOR DRUGS - 37 --
• PEONS/AMB ASSTS - 19 --
• PARA MEDICAL STAFF - 732
• NURSING ASST - 533
• DENTAL ASST - 199

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ENHANCEMENT OF FINANCIAL POWERS
AGM3.ppt
CFA FINANCIAL LIMITS FINANCIAL LIMITS
CFA EXISTING PROPOSED
STN CDR (CDR/CAPT) 20,000 40,000
STN CDR (CMDE) 50,000 1,00,000
SUB AREA CDR(NOIC) 1,00,000 1,50,000
AREA CDR (FOMAG/FOGA) 2,00,000 3,00,000
FOC-IN-C 4,00,000 5,00,000
VCOAS 5,00,000 8,00,000