G.O.MS.No. 36 HEALTH, MEDICAL AND FAMILY WELFARE

GOVERNMENT OF TELANGANA
ABSTRACT
Health, Medical and family Welfare – Employees Health Scheme (EHS)
– Detailed guidelines on Chronic Out-patient (OP) Treatment – Issued
– Orders.
------------------------------------------------------------------------------HEALTH, MEDICAL AND FAMILY WELFRE (A2) DEPARTMENT
G.O.MS.No. 36.
1.
2.
3.
4.
5.
6.
Dated: 27-11-2014
Read the following:
G.O.Ms.No.174 HM&FW (M2) Dept dt: 1-11-2013
G.O.Ms.No.175 HM&FW (M2) Dept dt: 1-11-2013
G.O.Ms.No.176 HM&FW (M2) Dept dt: 1-11-2013
G.O.Ms.No.32 HM&FW (A2) Dept dt: 3-11-2014
G.O.Ms.No.33 HM&FW (A2) Dept dt: 13-11-2014
From the CEO., AHCT., Hyderabad, Lr.No.AST/5111/EHS
Chronic Op-TG/P&C/2014, dt: 13-11-2014
<<>>
ORDER:
In the G.O. 4th read above orders were issued for
implementation of ‘Employees Health Scheme’ with effect from
01.11.2014 with the modifications specified therein. In para 2.4 of the
said G.O., it is mentioned that outpatient treatment for chronic
diseases will be provided in the notified Government Hospitals only,
and that the guidelines for Chronic OP treatment will be issued
separately.
2.
Accordingly, after careful examination, Government hereby issue
the following guidelines for Chronic Out-Patient treatment in notified
Government Hospitals (List Annexed).
2.1. Chronic Out-Patient Treatment :
2.1.1 Chronic Out Patient (OP) treatment in Area Hospital /
District Hospital/ Teaching Hospital.
i.
For Chronic OP treatment at the Area Hospitals/District
Hospitals/Teaching Hospitals, there will be exclusive
special clinics run for EHS patients from 2 PM to 4 PM on
week days.
ii.
During the special clinic time a consultant doctor,
pharmacy radiology services, and clinical laboratory
services along with sample collection will be available.
iii.
A fee of Rs.50 for broad specialty consultant and Rs.100
for super specialty consultant will be paid for every EHS OP
case which is seen and registered in the online system.
iv.
Commissioner of TVVP in case of area hospitals/
Superintendent of District Hospital/Superintendent of the
teaching hospital will provide the needed computer
infrastructure,
network
connectivity
and
make
arrangements for online registration of OP cases. HDS
funds which include accruals from Aarogyasri revenues
may be utilized for this purpose.
:: 2 ::
v.
The standard schedule of Rates (SSR) for medical inputs to
be notified every year.
vi.
From out of the income received for items above, the
hospital will pay Rs.3000 per month to the pharmacy,
Rs.3000 per month to the clinical laboratory and Rs.3000
per month to radiology as incentive which in turn will be
shared on pro-rate basis between those pharmacists and
technicians who offered services during the special clinic
days.
vii.
Drugs will be supplied to the notified hospitals by TMSIDC
as per their indent and in turn TMSIDC will receive the
budget from the Government.
viii.
In case the required investigation facilities or drugs are not
available within the hospitals, the hospital is at liberty to
tie-up with a private facility for supply of drugs or
investigation services at rates not exceeding those under
the SSR.
ix.
Within a period of 1 year TMSIDC will set up round-theclock laboratory services and radiology services in all the
teaching hospitals and district hospitals.
x.
Both the hospitals and TMSIDC will ensure that generic
drugs from reputed firms alone are supplied to the patients
under EHS.
2.1.2 Chronic Out-Patient (OP) drug supply
i
The notified hospitals will supply the drugs needed for
chronic ailments to the EHS Patients.
ii
Payments will be made to the notified hospitals as per the
annual package rate fixed for the particular chronic
ailment,
which
include
only
Investigations
and
consultation.
iii
All the notified hospitals will have online connectivity
through which claims will be submitted. Director of Public
Health / Commissioner TVVP / Superintendent of teaching
hospitals or district hospitals will make necessary
arrangements.
iv
In case the needed drugs / investigations are not able to
be provided within the package for any particular patient a
request for inclusion of additional drugs clearly specifying
the ATC code and investigation need to be placed. AHCT
will finalise the price for such items and notify in the SSR
based on which payments will be made.
:: 3 ::
2.1.3 Yearly Medical Check-up
i
All the employees above 40 years will be eligible for a free
medical check up in any of the ‘notified Government
hospitals’ once in a year consisting of the following
services, and payments will be made as per the package
rates.
ii
The Medical Check-up will consists of :
¾ Lab investigations :
o Haematology : Blood grouping & Ph typing, Hb, PCV,
RBC, MCHC, MCV, MCH, Total WBC, Differential
Count, ESR PLT, Peripheral smear, Complete Urine
Analysis & Stool examination ;
o Histophathology : Pap smear ;
o Biochemistry : GTT, Serum creatinine, Urea and Uric
acid, Lipid Profile (Total cholesterol, HDL Cholesterol,
LDL Cholesterol, Triglycerides, Cardiac risk ration),
Liver Function Test (Total protein, Albumin, Globulin,
ALT, AST, GGTP), Prostate Specific Antigen (if
needed), Serum Calcium ;
o Microbiology : Test for HIV, HbsAg
¾ Radiology investigations :
o ECG, Tread Mill Test, 2D Echo
o X-Ray (Chest), Ultrasound (whole abdomen)
¾ Eye Examination :
o Visual acuity, eye pressure, fundoscopy, refraction
¾
Others
o Pulmonary Function Test and Diet Counselling
o Consultation
by
physician,
gynaecologist,
ophthalmologist other specialists as required.
¾
For women Employees
o Gynaecological
o Pap smear
o Mammogram
:: 4 ::
3.
The expenditure towards ‘chronic OP treatment’ would be met
from the Employees Health Scheme budget.
4.
This order issues with the concurrence of Finance Department
vide their U.O.No.6437/188/A1/EBS.V/2014, dated 21.11.2014.
(BY ORDER AND IN THE NAME OF THE GOVERNOR OF TELANGANA)
SURESH CHANDA
PRINCIPAL SECRETARY TO GOVERNMENT
To
To
All the Secretaries to Government, Telangana State
The Principal Secretary to Government, Finance Department.
The Chief executive Officer, Aarogyasri Health Care Trust, Hyderabad.
All the District Collectors.
The Director of Treasuries and Accounts, Government of Telangana,
Hyderabad
The Pay and Account Officer, Telangana State, Hyderabad
All Heads of Department.
Copy to:All the employees and pensioners associations through G.A. (Services
Welfare) Department, Telangana Secretariat, Hyderabad.
Accountant General (A&E), Telangana, Hyderabad.
The Commissioner of Information and Public Relations, Telangana,
Hyderabad
The Finance (Expr. M&H-1) Department
PS to Principal Secretary to CM.
The OSD to Deputy Chief Minister, Medical & Health.
PS to Principal Secretary to Governor.
PS to Chief Secretary.
All concerned.
S.F. / S.Cs.
//FORWARDED :: BY ORDER //
SECTION OFFICER
ANNEXURE TO G.O.MS.No.36 DATED 27.11.2014
LIST OF NOTIFIED HOSPITALS WHICH WILL PROVIDE OP
TREATMENT FOR CHRONIC DISEASES AND YEARLY MEDICAL CHECK
UP
A. Teaching Hospitals under the control of Director of Medical
Education (D.M.E.)
(Services available for all Chronic OP Packages)
ADILABAD
RIMS Adilabad – (RIMS-ADI)
HYDERABAD
1. OSMANIA GENERAL Hospital – (OSM-HYD)
2. GANDHI HOSPITAL – (GGH-HYD)
NIZAMABAD
GOVERNMENT GENERAL HOSPITAL – NIZAMABAD
RENGA REDDY
1. GANDHI HOSPITAL – (GGH-HYD)
2. OSMANIA GENERAL HOSPITAL (OSM-HYD)
WARANGAL
MAHATMA GANDHI MEMORIAL HOSPITAL (MGM-WAR)
(The Chronic OP Packages available in the District Hospitals are given
under column (iii).
The Private Hospital which provide services for the remaining Chronic OP
Packages are given in column (iv))
District
Name of
Hospital
Services available
(i)
Karimnagar
(ii)
DISTRICT
HOSPITAL
KARIMNAGAR
(DH-KMR)
Khammam
DISTRICT
HOSPITAL
KHAMMAM
(DH-KHM)
Mahabubnagar
GOVT
GENERAL
HOSPITAL
(DISTRICT
HOSPITAL –
(GGH-MBN)
(iii)
1.Hypertension
2.Hyperthyroidism
3.Hypothyroidism
4.Rheumatoid arthritis
5.Bronchial Asthma
6.Type 2 Diabetes Mellitus
7.Type 1 Diabetes Mellitus
8.COPD
9.Convuslive Disorder
10.Psychosis
and
Other
Chronic Psychiatric Problems
11.Oseto Arthritis
12.Psoriasis
13.Chronic Hepatitis
14.Cirrhosis
15.Nephrotic syndrome
16.Chronic Kidney disease
1.Hypertension
2.Hyperthyroidism
3.Hypothyroidism
4.Rheumatoid arthritis
5.Bronchial Asthma
6.Type 2 Diabetes Mellitus
7.Type 1 Diabetes Mellitus
8.COPD
9.Convuslive Disorder
10.Psychosis
and
Other
Chronic Psychiatric Problems
11.Oseto Arthritis
12.Psoriasis
13.Chronic Hepatitis
14.Cirrhosis
15.Nephrotic syndrome
16.Chronic Kidney disease
1.Hypertension
2.Hyperthyroidism
3.Hypothyroidism
4.Rheumatoid arthritis
5.Bronchial Asthma
6.Type 2 Diabetes Mellitus
7.Type 1 Diabetes Mellitus
8.COPD
9.Convuslive Disorder
10.Psychosis
and
Other
Chronic Psychiatric Problems
11.Oseto Arthritis
12.Psoriasis
13.Chronic Hepatitis
14.Cirrhosis
15.Nephrotic syndrome
16.Chronic Kidney disease
Name of the
Private
Hospital
which will
provide
services for
the
remaining
Chronic OP
Packages as
tie-up
(iv)
PRATIMA
Institute
of
Medical
Sciences
Mamatha
General
Super
Speciality
Hospital
&
S.V.S. Hospital
Medak
DISTRICT
GOVERNMENT
HOSPITAL,
SANGA
REDDY- (DHSNRY)
Nalgonda
GOVERNMENT
GENERAL
HOSPITAL,
NALGONDA
(GGH-NLG)
1.Hypertension
2.Hyperthyroidism
3.Hypothyroidism
4.Rheumatoid arthritis
5.Bronchial Asthma
6.Type 2 Diabetes Mellitus
7.Type 1 Diabetes Mellitus
8.COPD
9.Convuslive Disorder
10.Psychosis
and
Other
Chronic Psychiatric Problems
11.Oseto Arthritis
12.Psoriasis
13.Chronic Hepatitis
14.Cirrhosis
15.Nephrotic syndrome
16.Chronic Kidney disease
1.Hypertension
2.Hyperthyroidism
3.Hypothyroidism
4.Rheumatoid arthritis
5.Bronchial Asthma
6.Type 2 Diabetes Mellitus
7.Type 1 Diabetes Mellitus
8.COPD
9.Convuslive Disorder
10.Psychosis
and
Other
Chronic Psychiatric Problems
11.Oseto Arthritis
12.Psoriasis
13.Chronic Hepatitis
14.Cirrhosis
15.Nephrotic syndrome
16.Chronic Kidney disease
MNR
Medical
College
&
Hospital
(Sanga Reddy)
KAMINENI
Institute
Medical
Sciences
of
SURESH CHANDA
PRINCIPAL SECRETARY TO GOVERNMENT

Download Report