CGHS Hospitals/ Dispensaries Functioning for 24 Hrs

Press Information Bureau 

Government of India

Ministry of Health and Family Welfare

CGHS Hospitals/ Dispensaries Functioning for 24 Hrs 

The following Wellness Centers/dispensaries under the Central Government Health Scheme (CGHS) in the country are working 24 hours:

1. North Avenue, New Delhi.

2. South Avenue, New Delhi.

3. Telegraph Lane, New Delhi.

4. Dr. Zakir Hussain Road, New Delhi.

5. Timarpur Hospital cum Wellness Centre, New Delhi.

6. Kingsway Camp Hospital cum Wellness Centre, New Delhi.

The Minister for Health & Family Welfare, Shri J P Nadda stated this in a written reply in the Lok Sabha here today.

Read More »

Eye tests in CGHS empanelled hospitals labs

GOVERNMENT OF INDIA
MINISTRY OF HEALTH AND FAMILY WELFARE
RAJYA SABHA

UNSTARRED QUESTION NO-1334
ANSWERED ON-17.12.2013

Eye tests in CGHS empanelled hospitals labs

1334 . SHRI BASHISTHA NARAIN SINGH

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

(a) whether the Eye Specialists visiting the CGHS dispensaries are referring eye tests to CGHS empanelled hospitals Diagnostic labs and imagaing centres in Delhi;

Read More »

CGHS Facilities

Press Information Bureau
Government of India

   CGHS Facilities

   CGHS is basically providing the dispensary services through its Wellness Centres manned by the General Duty Medical Officers. However, CGHS also provides the services of medical specialists through the Polyclinics and Central Government hospitals. In addition, the CGHS medical specialists also visit designated dispensaries on stipulated days in each week to provide medical consultation to the beneficiaries. Due to shortage of specialists in CGHS it is practically not feasible and financially viable to provide Specialist facilities in each CGHS Wellness Centre. Moreover, CGHS is also engaging contractual specialists against the vacant posts of specialists to provide the medical consultation services to its beneficiaries. CGHS has a dedicated wing of specialists at the Safdarjung Hospital, New Delhi for its beneficiaries. The CGHS beneficiaries are also allowed to consult specialists at Dr. RML Hospital and other Government hospitals in NCR in respective specialties. In addition, CGHS has empanelled a large number of private hospitals to provide inpatient medical care to its beneficiaries on the advice of Government specialists.

Read More »

Criteria for Setting up of CGHS Dispensary

Press Information Bureau
Government of India

Criteria for Setting up of CGHS Dispensary

   The criteria fixed for setting up a Central Government Health Scheme (CGHS) dispensary in a particular area are as under:
 
   (i) In an existing CGHS city: For opening of a new Allopathic CGHS dispensary in an existing CGHS city, there has to be a minimum of 2,000 Card holders (serving employees of Central Government and Central Civil pensioners).
 
   (ii) Extension of CGHS to a new City: For extension of CGHS to a new city there has to be a minimum of 6,000 Card holders.

Read More »

INDEMNITY BOND FOR SETTLEMENT OF DUPLICATE HOSPITAL BILLS

   We, hereby give an undertaking that the original bills of hospital / diagnostic lab / imaging centre, the ID Nos. of which are appended are said to have been destroyed in a fire accident that took place on 11.08.2013 at UTI-ITSL New Delhi office and that we are now submitting the print outs of scanned copies of the above referred original documents/bills for consideration of payment.

   We also hereby give an undertaking that no claim shall be made against original documents / bills, of which printouts of the scanned copies are submitted herewith and we agree to indemnify against any loss that may be caused to CGHS due to final settlement of these claims on the basis of printouts of scanned documents/bills and this indemnity bond. We further give an undertaking that if original bill(s) is /are found, no claim shall be made against the same and that in the event of any inadvertent payment received against original bills in future, we agree to indemnify against any loss that may have been caused to CGHS due to final settlement of these claims.

Read More »

Notification of fresh empanelment of Private Hospitals & Diagnostic Centers under Contentious Empanelment Scheme of CGHS, Chandigarh.

GOVERNMENT OF INDIA
Ministry of Health & Family Welfare
(CENTRAL GOVT HEALTH SCHEME)

O/O ADDITIONAL DIRECTOR, CGHS, CKANDIGARI4
4th floor, Kendriya Sadan
SECTOR-9A, CHANDIGARH—160009 
No: AD/CGHS/CHD/RMRCB/20l3/4879 - 4908

Tele Nos: (0) 0172-2740716
AD Fax No.0172 —2740555
Dated: 30.08.2013

OFFICE MEMORANDUM

Subject : Notification of fresh empanelment of Private Hospitals & Diagnostic Centers under Contentious Empanelment Scheme of CGHS, Chandigarh.

   In response to Ministry of Health & Family Welfare, Govt. of India, Nirman Bhawan, New Delhi’s O.M No. S.11011/23/2009—CGHS D.II/Hospital Cell (Part IX) dated 14.02.2013 & letter No. S.11045/23/2013/CGHS D.II (HEC)/CGHS(P)/Pt) dated 15.07.2013 for continuous fresh empanelment of private hospitals & diagnostic centers for city of Chandigarh, a committee consisting of two senior most CMOs headed by undersigned and selected the private hospitals & diagnostic centers for Chandigarh. The qualified list of Hospitals & Diagnostic Centers is according to category and purpose attached as Annexure “I” with this O.M.

Read More »

CGHS Wellness Centre.

   X-ray machines have been installed in some dispensaries/Poly clinics/ First Aid Posts in the following cities:

Name of City	No. of total machines	No. of machine working
Bangalore	1	1
Chennai	2	1
Jaipur	1	0
Hyderabad	1	1
Mumbai	1	1
Kolkata	1	0
Delhi	4	2
Total	11	6

Read More »

Service Provided by CGHS.

This Ministry has been receiving complaints/grievances in respect of the following major aspects.
 
   1.Administrative:- Misbehavior by medical and paramedical staff, Shortage of staff,  Punctuality etc.
 
   2. Technical:- Delay in settlement of medical reimbursement claims (MRCs),  Supply of substitute medicines instead of the prescribed by the Govt. specialists, Delay in supply of indented medicines, etc.
 
   3. Related to empanelled hospitals:
Denial of credit facility, Misbehavior of hospital doctors/staff, overcharging, etc.
 
   4. Related to Internet accessibility
Disruption in services due to breakdown in internet connectivity,  etc.
 
To redress the grievances/complaints, the following steps have been taken:

Read More »

Treatment from CGHS Empanelled Hospitals.

   As per the existing guidelines, a CGHS beneficiary is required to obtain permission from his administrative Department / Office or CMO in charge (in case of pensioner beneficiary) to avail medical treatment in a CGHS empanelled private hospital. However, in case of emergency he can go to any hospital whether empanelled or not, to avail medical treatment. This provision is necessary to ensure proper medical treatment of a CGHS beneficiary in consultation with the Government specialists. This is also a measure of ‘checks and balances’ to ensure financial propriety and optimum utilization of public money.

   This Ministry has been receiving representations from the individuals; Pensioners Associations etc. to allow the CGHS beneficiaries to take treatment from the CGHS empanelled private hospitals without obtaining the requisite permission. However, their requests have not been acceded to as the present referral system is considered necessary in the interest of the beneficiaries and it is also necessary as a check and balance measure to ensure financial propriety.

Read More »

Dental Clinics in CGHS Dispensaries

   The dental services in CGHS Delhi have been outsourced in 13 Wellness centres (5 under Central Zone and 8 under South Zone) for 22 dental procedures. The location wise details are at Annexure-A.

   The details of payments made to the service provider in respect of these clinics from the starting of the services till July, 2013 are at Annexure-B.


   No specific complaint has been reported about irregularities committed by the dental clinics in connivance of CGHS officials. However, deficiency in services has been reported from the beneficiaries. An Inspection Committee has been constituted for regular inspection of the dental units to ensure proper delivery of services as per the terms and conditions of the agreement. 

Read More »

Attendance check in CGHS Dispensaries.

GOVERNMENT OF INDIA
MINISTRY OF  HEALTH AND FAMILY WELFARE
RAJYA SABHA

STARRED QUESTION NO-489

ANSWERED ON-30.04.2013

Attendance check in CGHS Dispensaries

   489 . SHRI DILIPBHAI PANDYA

   (a) the norms for surprise inspections to check attendance in CGHS dispensaries in Delhi and NCR;

   (b) whether it is a fact that some of the CGHS dispensaries have been inspected only once during the last two years or have not been inspected at all;

   (c) if so, the reasons therefor; and

   (d) whether Government proposes to make it mandatory to carry out four to five inspections in a year to check attendance of doctors and other staff members of these dispensaries so that beneficiaries do not face any difficulty?

Read More »

Promotion Scheme for CGHS Homoeopathic and Unani Doctors.

   As per the 5th Central Pay Commission’s recommendation, career progression had been granted to the ISM&H (Indian Systems of Medicine & Homeopathy) Physicians possessing the medical qualifications approved by the Central Council for Indian Medicines/Central Council of Homoeopathy on the pattern available to the Allopathic doctors//General Duty Medical Officers of Central Health Service (CHS).

   According to the Recruitment Rules for Chief Medical Officer (Non Functional Selection Grade), Union Public Service Commission has to conduct the Departmental Promotion Committee (DPC) process for promotion to this grade. In respect of the Unani Doctors, the CMO (NFSG) grade has already been granted to 8 eligible Unani doctors. In respect of Homoeopathic doctors, UPSC has asked for certain information / documents in respect of the officers under consideration.

Read More »

Doubling of existing rate of payment of Hospital Patient Care allowances/Patient Care Allowances to eligible Group ‘C’ & ‘D’ employees working in Hospitals, Dispensaries and Organisations w.e.f 1/9/2008.

Government of India
Ministry of Health & family welfare
(Hospital Section)
Nirman Bhavan, New Delhi

 

Dated 17th Dec 2012

Subject: Doubling of existing rate of payment of Hospital Patient Care allowances/Patient Care Allowances to eligible Group ‘C’ & ‘D’ employees working in Hospitals, Dispensaries and Organisations w.e.f 1/9/2008.

   The undersigned is directed to convey the approval of the Union Cabinet for doubling the existing rate of payment of HPCA/PCA to all eligible Group ‘C’ & ‘D’ employees working in Hospitals, Dispensaries and Organisations w.e.f 1/9/2008.The amount of HPCA/PCA would be automatically raised by 25% every time the Dearness Allowance on the revised pay structure goes up by 50%. This is subject to the following terms & conditions:-

Read More »

Continuation of empanelment of private hospitals, diagnostic laboratories and imaging centres under CGHS and revalidation of CGHS package rates - regarding.

Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare,
Nirman Bhawan, Maulana Azad Road,
New Delhi 110 001

No. S 11041/23/2009/-CGHS (Hosp. Cell)/ CGHS (P)/Pt-IX

Dated the 15th October, 2012.

OFFICE MEMORANDUM

Sub:- Continuation of empanelment of private hospitals, diagnostic laboratories and imaging centres under CGHS and revalidation of CGHS package rates - regarding.

   The undersigned is directed to refer to the various office memoranda issued by this office from time to time vide which private hospitals, diagnostic laboratories and imaging centres were empanelled under CGHS in Delhi & NCR and other CGHS covered cities from 7th October 2010 onwards which would be completing empanelment period of 2’ years before 31st March 2013 and to state that it has been decided to extend the validity of empanelment of such empanelled hospitals, diagnostic laboratories and imaging centers on the same terms and conditions under which they were empanelled, till 31st March 2013 or till next empanelment, whichever is earlier.

Read More »

Latest list of Empanelled Hospitals under CGHS – Effective from 7th August, 2012.

Central Government Health Scheme

   The Central Government Health Scheme in India is comprehensive health care to the CGHS Beneficiaries. The Central Govt. Health Scheme is applicable to the following categories of people residing in CGHS covered cities:

   All Central Govt. Servants paid from Civil Estimates (other than those employed in Railway Services and those employed under Delhi Administration except members of Delhi Police Force).

   Pensioners drawing pension from Civil Estimates and their family members – (Pensioner residing in non- CGHS areas also may obtain CGHS Card from nearest CGHS covered City)

Read More »

Medical Facilities for inpatient treatment and post-operative follow-up treatment to CGHS Beneficiaries in Non-CGHS areas.

Government of India

Ministry of Health and Family Welfare

Department of Health & Family Welfare

Nirman Bhawan, New Delhi 110 108

No: S.11011/7/99-CGHS (P)        Dated, the 27th April, 2011

OFFICE MEMORANDUM

Subject: Medical Facilities for inpatient treatment and post-operative follow-up treatment to CGHS Beneficiaries in Non-CGHS areas.

   The undersigned is directed to invite attention to the Office Memorandum of even number dated 30th September, 1999, issued by the Ministry of Health & Family Welfare on the above subject and to state that keeping in view the difficulties being faced by the pensioner CGHS beneficiaries residing in non-CGHS covered areas, it has now been decided to liberalise the CGHS Rules with regard to pensioner CGHS beneficiaries and serving employees, as below, to enable them to avail medical facilities for in-patient treatment and post-operative follow-up treatment:

       a) (i) CGHS pensioner beneficiaries (and their dependant and eligible family members), who are holding a valid CGHS Card and are residing in a non-CGHS areas shall be eligible to obtain treatment from Government hospitals (Central Government / State Government / Local self Government / hospitals recognised under Central Services (Medical Attendance) Rules, 1944 / hospitals and clinics empanelled under Ex-Servicemen Contributory Health Scheme (ECHS) and submit the medical reimbursement claim to the Additional Director / Joint Director of CGHS of the CMO in charge of CGHS Wellness Centre, where the CGHS is registered.

       (ii) In case of non-emergency treatment from hospitals approved under Central Services (Medical Attendance) Rules, 1944 and Ex-Servicemen Contributory Health Scheme (ECHS), it is necessary to obtain prior approval from CMO in charge of concerned Wellness Centre where the CGHS card is registered.

       (iii) In case of medical emergency, treatment may be obtained from any hospital and medical claim shall be submitted to Additional Director / Joint Director, CGHS of the concerned city through CMO in charge of the Wellness Centre, where the CGHS card is registered.

       (iv) Reimbursement shall be limited to the CGHS rates of the city where the card is registered and as per the ceiling rates and ward entitlements or as per actuals, whichever is lower.

    (v) CGHS pensioner beneficiaries / serving Central Government employees (and their dependant and eligible family members) and holding a valid CGHS Card and on a visit to non CGHS covered area may obtain treatment under emergency from Government hospitals (Central Government / State Government / Local self Government / hospitals recognised under Central Services (Medical Attendance) Rules, 1944 / hospitals and clinics empanelled under Ex-servicemen Contributory Health Scheme (ECHS) and the medical claim shall be submitted to Additional Director / Joint Director, CGHS of the concerned city through CMO in charge of the Wellness Centre, where the CGHS card is registered, in case of pensioners , etc., and to the concerned Ministry / Department / office in case of serving employees.

       (vi) Reimbursement shall be limited to the CGHS rates of the city nearest to the place, where treatment is obtained and as per the ceiling rates and ward entitlements or as per actuals, whichever may be less.

    (b) (i) CGHS pensioner beneficiaries (and their dependant and eligible family members) , who are holding a valid CGHS Card and residing in a non-CGHS areas shall be eligible to obtain post operative follow-up treatment from Government hospitals (Central Government / State Government / Local self Government / hospitals approved under Central Services (Medical Attendance) Rules, 1944 / hospitals and clinics empanelled under Ex-servicemen Contributory Health Scheme (ECHS) in follow up cases of Renal Transplant surgery, Knee and Hip Joint Replacement, Cancer treatment , Neuro-surgery and cardiac surgery. However, prior permission is to be obtained from the CMO in charge of the concerned Wellness Centre, where the CGHS card is registered.

       (ii) Permission shall be issued for 3 to 6 months at a time and may be extended based on medical requirement. Reimbursement for consultation, procedures and investigations shall be limited to CGHS rates of the city, where the card is registered and as per the ceiling rates and ward entitlements or as per actuals, whichever may be lower. OPD medicines shall be obtained from the concerned Wellness centre for a maximum period of 3 months at a time.

   (c) Wherever treatment is obtained from a hospitals approved under Central Services (Medical Attendance) Rules, 1944 / ECHS approved hospital, the beneficiaries (as in (a), (b) & (c) above) shall submit a certificate from the hospital that they have not charged more than the approved applicable hospitals approved under Central Services (Medical Attendance) Rules, 1944 / ECHS rates.

   (d) This Office Memorandum supersedes the earlier OM of even number dated 30th September 1999.

   (e) This arrangement is provisional and would be in place till such time the proposed Health Insurance Scheme for Central Government employees & pensioners is brought into effect.

   (f) These orders will come into effect from the date of issue.

-sd-

[R.Ravi]

Director

Source;www.mohfw.nic.in

Read More »

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

Read More »

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

Read More »