INSTRUCTIONS RELATING TO

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• INSTRUCTIONS RELATING TO
• USER CHARGES, JAN AUSHADHI
• AND
• ROGI KALYAN SAMITI

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OBJECTIVES OF RETENTION AND UTILIZATION OF USER
CHARGES

• TO BRING MORE OWNERSHIP IN CONNECTION OF USER
  CHARGES.
• MAKE HOSPITALS SELF RELIENT ON PETTY REQUIREMENTS
  RELATING TO DRUGS AND CONSUMABLES.
• TO CREATE MORE LOCALLY REQUIRED PATIENTS
  FACILITIES.
• TO EFFECTIVELY MAINTAIN DAY TO DAY BUILDING
  MAINTENANCE REQUIREMENTS.
• TO EFFECTIVELY MAINTAIN DAY TO DAY EQUIPMENT
  MAINTENANCE REQUIREMENTS.

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SIZE OF COLLECTION AND
UTILIZATION TRENDS
R In Lacs R In Lacs R In Lacs R In Lacs R In Lacs R In Lacs
PARTICULARS Period (FY) Audited Period (FY) Audited Period (FY) Audited Period (FY) Audited Provisional
PARTICULARS 95-96 07-08 08-09 09-10 10-11
Collections 40.80 2149.08 2346.81 2547.60 2745.04
Utilization 10.11 1717.45 2011.14 2092.02 2196.30
Drugs 3.98 755.09 872.85 889.07 938.88
Imp. Facilities to Patients 4.02 604.02 689.59 743.60 782.69
Maintenance of building 0.75 190.92 223.46 235.50 247.33
Maintenance of equipment 1.36 167.42 225.25 223.85 227.40

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COLLECTION OF USER CHARGES

• CENTRAL COLLECTION
• RECEIPT BOOK FROM HEADQUARTER
• DUPLICATE COPY TO PATIENT
• DAILY COLLECTION TO BE DEPOSITED IN SB ACCOUNT
  OVER R 3000/-.
• NO EXPENDITURE FROM COLLECTION DIRECTLY
• NO ADVANCE TO ANY EMPLOYEE
• PARAMEDICS / DRIVERS COLLECTING CHARGES SHOULD
  DEPOSIT NEXT DAY.
• A SEPARTE CASH BOOK

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UTILIZATION OF USER CHARGES

• DRUGS CONSUMABLES AND LAB. REAGENTS (45)
• VITAL AND ESSENTIAL MEDICINES.
• CONSUMABLES.
• LAB. REAGENTS
• AS PER THE LIST COMMUNICATED BY THE PHSC.

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PROCEDURE TO BE FOLLOWEDDRUGS CONSUMABLES AND
LAB. REAGENTS

• ASSESSMENT BY DESIGNATED COMMITTEE
• MS/SMO/Hospital Incharge
• Two senior most doctors
• One member from RKS
• CPSU / HLL THROUGH JAS, IF NOT AVAILABLE
• APPROVED CHEMIST
• PURCHASES SHOULD BE WITHIN 45
• PAYMENTS THROUGH CHEQUES
• ALL PURCHASES TO BE PLACED BEFORE RKS FOR
  RATIFICATION
• NO LIABILITY SHOULD BE CREATED
• NO DIVERSION FROM ANY OTHER HEAD

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PROCEDURE TO BE FOLLOWEDDRUGS CONSUMABLES AND
LAB. REAGENTS

• FINANCIAL POWERS
• R 2000/- WITHOUT CALLING QUOTATION IN EMERGENT
  CASES.
• FULL POWERS TO DESIGNATED COMMITTEE.

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UTILIZATION OF USER CHARGES

• IMPROVING FACILITY OF THE PATIENTS (25)
• Washing or replacing of Bed sheets.
• Purchase of Mattresses etc.
• Repair/Painting of Hospital Furniture.
• Repair of Laboratory equipment
• Cleaning of wards, laboratory, toilets etc.
• Purchase of water coolers, Desert coolers, water
  filters, fans, waiting chairs, public address
  systems, minor hospital furniture, laboratory
  equipment, other equipment like AC (for
  hospital use)
• POL and minor repair to Ambulances for patients.

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PROCEDURE TO BE FOLLOWEDIMPROVING FACILITY OF
THE PATIENTS

• EQUIPMENT AND SERVICES ON DGSD RATES
• PHSC APPROVED RATES
• WITHOUT QUOTATION UP R 2000/-.
• MORE THAN R 2000/-, QUOTATION THROUGH LETTER AND
  FAX UP TO R 25000/-.
• MORE THAN R 25000/-, QUOTATION THROUGH
  PUBLICATION OF AD IN LOCAL PAPERS.
• FINANCIAL POWERS
• SMO / HOSPITAL INCHARGE UP TO R 2000/-
• FULL POWERS TO DESIGNATED COMMITTEE
• NO SPLITTING
• EXPENDITURE SHOULD BE GOT RACTIFIED FROM RKS

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UTILIZATION OF USER CHARGES

• MAINTENANCE OF BUILDING (15)
• Emergency repairs of Building, electrical items,
  Public Health Fittings, Maintenance of lawns etc.
  
• Purchase of CCTV cameras, Fire fighting
  equipment, internal signage, etc.

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PROCEDURE TO BE FOLLOWEDMAINTENANCE OF BUILDING

• WITHOUT QUOTATION UP TO R 2000/- IN EMERGENT CASE
• MORE THAN R 2000/-, QUOTATION THROUGH LETTER AND
  FAX UP TO R 25000/-.
• MORE THAN R 25000/-, QUOTATION THROUGH
  PUBLICATION OF AD IN LOCAL PAPERS.
• FINANCIAL POWERS
• SMO / HOSPITAL INCHARGE UP TO R 2000/-
• FULL POWERS TO DESIGNATED COMMITTEE
• NO SPLITTING
• EXPENDITURE SHOULD BE GOT RACTIFIED FROM RKS

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UTILIZATION OF USER CHARGES

• MAINTENANCE OF EQUIPMENT (15)
• Minor maintenance of medical or non-medical
  equipments.
• Purchase of minor equipment like Stabilizer,
  minor equipment for laboratory, O.T., etc.

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PROCEDURE TO BE FOLLOWED MAINTENANCE OF
EQUIPMENT

• WITHOUT QUOTATION UP TO R 2000/- IN EMERGENT
  CASE.
• IF EQUIPMENT UNDER AMC, AND REPAIR IS TO BE DONE
  FROM AUTHORIZED DEALER THEN FOLLOWING FINANCIAL
  POWERS
• MD PHSC .Full powers
• Civil Surgeon / MS R 50000/-
• DMC . R 25000/-
• SMO Incharge. .. R 10000/-
• IF EQUIPMENT NOT UNDER AMC
• From authorized dealer/original manufacturer
• By calling quotations from experienced repair
  agency
• Financial powers are same.

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GENERAL INSTRUCTIONS

• SMO, ACCOUNTANT AND OTHER ACCOUNT FUNCTIONARY
  FULLY RESPONSIBLE FOR ANY VIOLATIONS.
• AMOUNT SPENT ON NATIONAL CLAMITIES CAN BE
  RECOUPED FROM THE STATE HEADQUARTERS FROM ERF.
• DIVERSION FROM ONE HEAD TO ANOTHER HEAD, ONLY MD
  PHSC IS COMPETENT.

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ROGI KALYAN SAMITIS / UNTIED FUNDS / MAINTENANCE
GRANTS

• AMOUNT BEING REMITTED EVERY YEAR
• DISTRICT HOSPITALS
• RKS Grant .. R 5.00 lacs per annum
• SUB DIVISIONAL HOSPITALS
• RKS Grant.R 1.00 lac per annum
• COMMUNITY HEALTH CENTRES
• RKS Grant..R 1.00 lac per annum
• Untied Funds.R 0.50 lac per annum
• Maintenance GrantR 1.00 lac per annum

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SUGGESTED AREAS ON WHICH
FUNDS CAN BE USED

• FURNISHING OF THE HOSPITALS
• LIGHTING
• CIVIL WORK REPAIRS
• AMENTIES TO THE PATIENTS AND ATTENDANTS
• CONTRACTING OF SPECIALISTS
• QUALITY STANDARD MAINTENANCE
• WATER SUPPLY AUGMENTATION
• WATER COOLERS AND PURIFIERS
• TRANSPORT OF EMERGENCY FOR REFERRALS

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SUGGESTED AREAS ON WHICH
FUNDS CAN BE USED

• EQUIPMENT AS PER IPHS NORMS
• PURCHASE OF CONSUMABLES
• WASHING AND CLOTHES
• IEC ACTIVITIES
• REWARD TO ASHA
• SIGNAGES
• SARAI MAINTENANCE
• SECURITY ARRANGEMENTS
• SPECIAL ARRANGEMENT TO IMPROVE THE SURROUNDINGS
  OF THE HOSPITALS

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AREAS ON WHICH FUNDS SHOULD NOT BE USED

• PURCHASE OF VEHICLES
• PAYMENT TO ADVERTISEMENT
• GIVING STALL IN ANY MELA
• SALARIES OF FULL TIME OR PART TIME STAFF
• FINANCIAL POWERS AND PROCEDURES
• Expenditure should be made with the approval of
  RKS only.
• Procedures as mentioned in User Charges
  guidelines should be followed.

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GUIDELINE FOR PURCHASES TO BE MADE BY JAN
AUSHADHI STORES

• MAXIMUM SUPPLY OF GENERIC MEDICINES BEING
  MANUFACTURED BY CPSUs.
• SUTURES AND CONSUMABLES FROM HLL AS PER THE RATES
  COMMUNICATED BY PHSC
• NON AVAILABLE MEDICINES AND CONSUMABLES FROM
  CPSUs FROM APPROVED CHEMISTS.
• JAS SHOULD CHARGE 5 FROM HOSPITALS FOR CPSUs
  SALES
• JAS SHOULD CHARGE 5 FROM GENERAL PUBLIC ON
  MEDICINES FROM APPROVED CHEMISTS

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• ALL GUIDELINES AVAILABLE
• ON
• www.punjabhealth.co.in
• THANK YOU