You will recall that as a result of our filing the Contempt Case in the SC , the Govt issued the Implementation letter on 15th Jul 09 which gave laborious process of individual officers filing their returns to the CDA (O).
Now many offrs in their wisdom approached the CDA(O), finding out at various levels from the CDA to the Clerks & got various figures. Being the front man , I was flooded with mail & teles pressing the panic button. Although I was aware of the Govt playing tricks but you cannot go the SC on hearsay !
Therefore, we filed an Affidavit with SC pointing out various flaws in the Govt letter of 15 Jul 09.
The hearing took place in the SC yesterday (30th) & fortunately we got hold of PPOs on 29th in which the
DCGA(P) Ahallabad had fixed the Basic Pay as Rs 20000/- & pension of Rs 10,000/- p.me . + 10% interest etc.
Now we brought this out in the SC ( Justice Altamas Kabir Presiding) & pointing out that this pay fixation was in contravention to his orders + they had not responded to our Affidavit. He was quite surprised & asked the Govt Counsel whether it was true, who admitted that a No of PPOs had been issued & the balance are in the pipe line. However they were not able to explain the basis & logic of their calculations. Then the Judge ordered that the Govt should file an Affidavit ( we will get the copy in advance ). The next date of hearing is on 3 Nov 09 & expose their tricks.
I have gone in some length to explain the position to allay fears of the offrs concerned & to assure them that the best is being done.
KINDLY GIVE WIDE PUBLICITY TO THIS UPDATE.
With best wishes & warm regards.
Satish Suri
PS - I require only 5 PPOs each from the Naval & Airforce Offrs - ( NOT from Army )
Kindly send me readable PPOs only as soon as you receive them.
Thanks.
Gen Suri
Oct 1, 2009
ECHS : EMERGENCY CASES
In case of an emergency, an ECHS beneficiary can directly report to an Empanelled Hospital with his ECHS Card. The hospital is responsible for issuing an emergency certificate and informing the ECHS Polyclinic regarding the emergency admission within 48 hours. Based on this, the ECHS Polyclinic then issues a formal emergency referral. The onus of this entire procedure is with the Empanelled Hospital.
Similarly in case of OPD treatment also in an Empanelled Hospital, the hospital is supposed to do the paperwork and not the ECHS member.
The ECHS beneficiary is not supposed to purchase any medicines since the same is not reimbursable as per existing policy on the subject. He is supposed to collect them from the ECHS Polyclinic based on the advise of the Empanelled Hospital.
Reimbursement of Cost of Medicines Only in Special Conditions.
(a) Reimbursement of cost of medicines is permitted only in certain special conditions if the patient is referred by the Polyclinic and medicines prescribed are required to be taken with immediate effect on discharge from the Empanelled Hospital as enumerated below :-
(i) Post operative cases of major Cardiac Surgery / Interventional Cardiology.
(ii)Oncology,
(iii) Post operative organ transplant cases.
(iv) Post operative major Neurosurgical / Neurology cases.
(b) Prescription for demand of the medicines are required to be provided to the OIC Polyclinic immediately after discharge.
(c) Cost of medicines purchased is reimbursable for a period of maximum 30 days only.
Regards,
Col Sanjay Sah
Director
Regional Centre ECHS
Delhi Cantt - 10
Similarly in case of OPD treatment also in an Empanelled Hospital, the hospital is supposed to do the paperwork and not the ECHS member.
The ECHS beneficiary is not supposed to purchase any medicines since the same is not reimbursable as per existing policy on the subject. He is supposed to collect them from the ECHS Polyclinic based on the advise of the Empanelled Hospital.
Reimbursement of Cost of Medicines Only in Special Conditions.
(a) Reimbursement of cost of medicines is permitted only in certain special conditions if the patient is referred by the Polyclinic and medicines prescribed are required to be taken with immediate effect on discharge from the Empanelled Hospital as enumerated below :-
(i) Post operative cases of major Cardiac Surgery / Interventional Cardiology.
(ii)Oncology,
(iii) Post operative organ transplant cases.
(iv) Post operative major Neurosurgical / Neurology cases.
(b) Prescription for demand of the medicines are required to be provided to the OIC Polyclinic immediately after discharge.
(c) Cost of medicines purchased is reimbursable for a period of maximum 30 days only.
Regards,
Col Sanjay Sah
Director
Regional Centre ECHS
Delhi Cantt - 10
USEFUL GOI SITE
http://www.india.gov.in/howdo/index.php
This site is really very useful; book mark....or whatever
This site is really very useful; book mark....or whatever
ECHS MEDICINES ISSUE
The harassment of ECHS users wrt the
> policy on Three Months issue of medicine vs one month,
> changed over recently, has caused us deep concern.
> While the 'establishment's' reasoning of
> 'ethical issues' and logistics etc is understood, it
> needs to be appreciated that in healthcare (primarily a
> service industry), aspects of 'client satisfaction and
> ease' need to be paramount. It is in this that the
> 'regimentation' system, essential in service life,
> needs to make way in the 'second innings' -veterans
> in need of an empathetic assistance for healthcare, even at
> the cost of adjusting procedures.
>
> Two illustrative cases of the immense pain and
> inconvenience to veterans, are attached herein. It needs to
> be pointed out that these refer to SENIOR officer veterans
> living in metros. One shudders to think how bad
> the situation would be for 98% veteran population
> living in isolated rural areas; particularly for semi
> literate, aging JCO/ OR veterans!!
>
> There are many others. I got a call from Col Narainan
> in Chennai, close to 90 years of age, helplessly complaining
> of how difficult it is to go 25 Km to the ECHS Polyclinic,
> to get medicine. AND spending MORE on transport than the
> cost of medicine !! If it were 90 days issue, it would
> perhaps mean cost effectiveness, AND less journeys,
> difficult to undertake at his age. To top it up, one cant
> delegate collections to even the spouse. So he and his 80
> year old wife,both chronically sick/ ill, trudge to the
> Polyclinic every month !! SAD you will agree.
>
> This case must be forcefully taken up with ECHS HQ for
> onward projection and resolution. If processes need to be
> changed, so be it. BUT Patient interests NEED to BE PARAMOUN
> T.
> A rethink on this, and reversion to the old system
> is required. Who else can an ex serviceman look to for
> support than his erstwhile comrades in arms?
> Retirement in any case, is a future reality for ALL
> current crop of serving soldiers.............and in
> attending to these issues, we can only have a win win
> situation.--
> With Warm Regards,
> Col RP Chaturvedi,
>
> Coordinator.
> IESM ECHS Division
> Mob: +919891279035
> policy on Three Months issue of medicine vs one month,
> changed over recently, has caused us deep concern.
> While the 'establishment's' reasoning of
> 'ethical issues' and logistics etc is understood, it
> needs to be appreciated that in healthcare (primarily a
> service industry), aspects of 'client satisfaction and
> ease' need to be paramount. It is in this that the
> 'regimentation' system, essential in service life,
> needs to make way in the 'second innings' -veterans
> in need of an empathetic assistance for healthcare, even at
> the cost of adjusting procedures.
>
> Two illustrative cases of the immense pain and
> inconvenience to veterans, are attached herein. It needs to
> be pointed out that these refer to SENIOR officer veterans
> living in metros. One shudders to think how bad
> the situation would be for 98% veteran population
> living in isolated rural areas; particularly for semi
> literate, aging JCO/ OR veterans!!
>
> There are many others. I got a call from Col Narainan
> in Chennai, close to 90 years of age, helplessly complaining
> of how difficult it is to go 25 Km to the ECHS Polyclinic,
> to get medicine. AND spending MORE on transport than the
> cost of medicine !! If it were 90 days issue, it would
> perhaps mean cost effectiveness, AND less journeys,
> difficult to undertake at his age. To top it up, one cant
> delegate collections to even the spouse. So he and his 80
> year old wife,both chronically sick/ ill, trudge to the
> Polyclinic every month !! SAD you will agree.
>
> This case must be forcefully taken up with ECHS HQ for
> onward projection and resolution. If processes need to be
> changed, so be it. BUT Patient interests NEED to BE PARAMOUN
> T.
> A rethink on this, and reversion to the old system
> is required. Who else can an ex serviceman look to for
> support than his erstwhile comrades in arms?
> Retirement in any case, is a future reality for ALL
> current crop of serving soldiers.............and in
> attending to these issues, we can only have a win win
> situation.--
> With Warm Regards,
> Col RP Chaturvedi,
>
> Coordinator.
> IESM ECHS Division
> Mob: +919891279035
A NICE GESTURE: FWD BY COL CV SOJU
Respected Veterans,
Jai Hind.
We in Bangalore have been organizing various Veterans activities & events, since 27 April 2008. Since showcasing the strength of Ex-Servicemen is important during all our events & activities, I realized that we ought to reach out to retired JCOs, NCOs & OR and request their participation in large numbers. It is with this in mind, I invited eleven JCOs, NCOs & OR to join me for lunch at my residence, on 2 Oct 2008. On 2 Oct, on arrival at my residence, the JCOs, NCOs & OR said that they felt honoured at being invited for lunch by an Officer at his residence; and said that in all their years of service, and even after their retirement, no Officer had ever called them over for lunch; and that they were indeed touched by the kind gesture on my part. That really set me thinking; and on that day, I decided that as long as I live, on 2 Oct, year after year, retired JCOs, NCOs & OR shall be invited to have lunch with me, at my residence.
2 Oct 2009 is fast approaching, and this year I plan to invite 15 retired JCOs, NCOs & OR for lunch at my place.. It goes without saying that a small gesture, such as inviting retired JCOs, NCOs & OR for lunch on 2 Oct has a very positive & salutary effect on further strengthening the bonds of brotherhood & camaraderie between Officers and JCOs, NCOs & OR, even after retirement.
In the light of above, may I request you Sirs, to please ponder over the matter; and it will indeed be GREAT, if on 2 Oct, year after year, retired Officers of the Army, Navy & Air Force from Kashmir to Kanyakumari and from Gujarat, Rajasthan & Punjab to Assam, Arunachal, Nagaland invite retired JCOs, NCOs & OR for lunch at their residence. Imagine the impact of this small gesture, once a year, on further strengthening the bonds of brotherhood & camaraderie between Officers and JCOs, NCOs & OR, all over the Country.
Regards,
Col Shaitan Singh Rajan
A Bombay Sapper
Bangalore, 9448024377
Jai Hind.
We in Bangalore have been organizing various Veterans activities & events, since 27 April 2008. Since showcasing the strength of Ex-Servicemen is important during all our events & activities, I realized that we ought to reach out to retired JCOs, NCOs & OR and request their participation in large numbers. It is with this in mind, I invited eleven JCOs, NCOs & OR to join me for lunch at my residence, on 2 Oct 2008. On 2 Oct, on arrival at my residence, the JCOs, NCOs & OR said that they felt honoured at being invited for lunch by an Officer at his residence; and said that in all their years of service, and even after their retirement, no Officer had ever called them over for lunch; and that they were indeed touched by the kind gesture on my part. That really set me thinking; and on that day, I decided that as long as I live, on 2 Oct, year after year, retired JCOs, NCOs & OR shall be invited to have lunch with me, at my residence.
2 Oct 2009 is fast approaching, and this year I plan to invite 15 retired JCOs, NCOs & OR for lunch at my place.. It goes without saying that a small gesture, such as inviting retired JCOs, NCOs & OR for lunch on 2 Oct has a very positive & salutary effect on further strengthening the bonds of brotherhood & camaraderie between Officers and JCOs, NCOs & OR, even after retirement.
In the light of above, may I request you Sirs, to please ponder over the matter; and it will indeed be GREAT, if on 2 Oct, year after year, retired Officers of the Army, Navy & Air Force from Kashmir to Kanyakumari and from Gujarat, Rajasthan & Punjab to Assam, Arunachal, Nagaland invite retired JCOs, NCOs & OR for lunch at their residence. Imagine the impact of this small gesture, once a year, on further strengthening the bonds of brotherhood & camaraderie between Officers and JCOs, NCOs & OR, all over the Country.
Regards,
Col Shaitan Singh Rajan
A Bombay Sapper
Bangalore, 9448024377
COMMUTATION OF ADDITIONAL PENSION
Thursday, September 17, 2009
Very Important : Last opportunity for commutation of additional pension for defence personnel who retired between 01-01-2006 and 02-09-2008
Personnel who retired between 01 Jan 2006 and 02 Sept 2008 had availed their commutation of pension at old rates and at the old percentage. The Sixth Central Pay Commission had enhanced the percentage of commutable value to 50%. As a result, some personnel who had retired prior to the announcement of the acceptance of the 6th CPC had gone home with a commutation value at 5th CPC rates and at a lesser percentage. The Govt had then granted an option to such retirees to opt for the new rates if they so desired. Due to lack of circulation of this option, coupled with lack of knowledge of the issue, many did not exercise the same. The problem was compounded by the fact that no cut-off date or last date for exercising the option was mentioned in the letter issued by the Govt of India.
The Ministry of Defence has now decided that the said option for additional commutation may be exercised by such left out retired personnel by 10 October 2009. Those who do not exercise the option by 10-10-2009 would be deemed to have refused the additional commutation.
The entire circular of PCDA(P) on the issue alongwith the Govt letter dated 10-09-2009 on the subject can be accessed and downloaded by clicking here.
Please spread the word since there shall be no separate communication to defence personnel on the issue.
The earlier letter dated 12-11-2008 detailing the modalities of commutation after the 6th CPC can be accessed by clicking here. (Please refer to Para 9.3 of this)
The option certificates and corrigendum of the above mentioned letter dated 12-11-2008 can be accessed by clicking here.
Once again the same request : Please do not email me individual queries or doubts on calculations on the above, my profession does not allow me the luxury of such time. You are most welcome to post your queries / doubts as comments to this post. Thanks.
Posted by Navdeep / Maj Navdeep Singh at 5:01 AM 2 comments
Labels: Pay Commission, Pension, Policy and Benefits
Very Important : Last opportunity for commutation of additional pension for defence personnel who retired between 01-01-2006 and 02-09-2008
Personnel who retired between 01 Jan 2006 and 02 Sept 2008 had availed their commutation of pension at old rates and at the old percentage. The Sixth Central Pay Commission had enhanced the percentage of commutable value to 50%. As a result, some personnel who had retired prior to the announcement of the acceptance of the 6th CPC had gone home with a commutation value at 5th CPC rates and at a lesser percentage. The Govt had then granted an option to such retirees to opt for the new rates if they so desired. Due to lack of circulation of this option, coupled with lack of knowledge of the issue, many did not exercise the same. The problem was compounded by the fact that no cut-off date or last date for exercising the option was mentioned in the letter issued by the Govt of India.
The Ministry of Defence has now decided that the said option for additional commutation may be exercised by such left out retired personnel by 10 October 2009. Those who do not exercise the option by 10-10-2009 would be deemed to have refused the additional commutation.
The entire circular of PCDA(P) on the issue alongwith the Govt letter dated 10-09-2009 on the subject can be accessed and downloaded by clicking here.
Please spread the word since there shall be no separate communication to defence personnel on the issue.
The earlier letter dated 12-11-2008 detailing the modalities of commutation after the 6th CPC can be accessed by clicking here. (Please refer to Para 9.3 of this)
The option certificates and corrigendum of the above mentioned letter dated 12-11-2008 can be accessed by clicking here.
Once again the same request : Please do not email me individual queries or doubts on calculations on the above, my profession does not allow me the luxury of such time. You are most welcome to post your queries / doubts as comments to this post. Thanks.
Posted by Navdeep / Maj Navdeep Singh at 5:01 AM 2 comments
Labels: Pay Commission, Pension, Policy and Benefits
INDIAN EX SERVICEMEN MOVEMENT ECHS DIVISION
CONCEPT PAPER #1 dt 11Sep 09
Evolving our Aim/Goals to Achieve, Organizational Matrix and Work Philosophy
1.With continually rising cost of medical care and simultaneous depleting income, Healthcare is a major concern for veterans.
2.Aware of this, the Indian Ex Servicemen Movement (IESM) has established an ECHS Division to address and assist ESM Healthcare issues.
3.The Division is chartered to assist in the creation of the Finest Healthcare system for ESM.
4.Two points need to be made.
a)Finest Healthcare system is a subjective term. To measure our progress in its creation, we need to establish WHAT constitutes ‘FINEST HEALTHCARE’. Some constituents are listed in para 5 as benchmark, so we know what we are aiming at. The ECHS Division will endeavour to achieve these.
b)While ESM concentrations are identifiable in certain regions, there are areas that are not sufficiently populated with ESM, to justify setting up of ECHS polyclinics. Consequently creation of an effective Healthcare grid will need to address thin ESM habitations in isolated /remote areas.
5.Essentials of ‘The Finest Healthcare System’.
a)Clean, comfortable polyclinics with hygienic facilities for drinking water, toilets and spacious, ventilated waiting areas with adequate seating.
b)Speedy Registration.
c)Empathetic staff and Doctors. ECHS is basically a ‘Service Industry’. The ‘Comfort and Feel Good of the client (patient) comes FIRST – Always and Every time.
d)A Prioritization system for patients in distress/ Senior Veterans and those needing urgent attention.
e)Quick consultation with Doctor and issue of medicine.
f)Expeditious procurement of NA medicines. Intimation to patient about availability.
g)Issued medicines to have sufficient residual shelf life.
h)Simplification of processes to ensure patient is not harassed / made to run around for referrals, approvals etc.
i)Simple processes to ensure empanelled hospitals and not the patient , run around to get approvals/ intimations etc. Polyclinic to be the Single window for all the patient’s requirements.
j)Speedy processing and clearing of hospital bills.
k)Speedy processing and clearance of patient reimbursements.
l)Monitoring and Performance Audit of Empanelled Hospitals.
m)A support system to render advice including legal, to ‘wronged’ veterans to file consumer complaints in case of default/ deficiency in services at any level of the medical chain.
6.In case of any dispute/doubt on what is to be done, the Patients’ convenience and comfort must be the supreme, overriding, deciding factor ALWAYS AND EVERYTIME.
7.Organization of ECHS Division. Ensuring the desired constituents discussed above, necessitates presence of ECHS Division representatives at every level of ECHS HQ/ Polyclinics. . (For Organization of ECHS refer to ECHS Information Brochure 2008 OR visit ECHS website http://www.indianarmy.gov.in/echs/arechs.htm ). The following organization is therefore planned.
a)IESM ECHS Division HQ at Delhi, forming part of the IESM Core Group. Comprises of
Air Marshal Kuldeep Rai, AVSM Kulusha1112@gmail.com 9818601740
Rear Admiral George Kuruvilla, VSM georgekuruvila@gmail.com 9447508936
Brigadier Sateesh Kuthiala Kuthiala27@hotmail.com 9811660251
Colonel RP Chaturvedi rpchaturvedi@gmail.com 9891279035
Hony Lt Kameshwar Pandey pandeykameshwar@gmail.com 9811059825
b)Region Liaison Cells collocated with ECHS Region Centres. Presently 13. 15 more are on the anvil. List of Region/ Polyclinic Liaison Cell members is attached as Annexure 1. Only stations highlighted in Yellow have been represented so far, based on available volunteers.
Jammu (J&K, HP, Punjab) Jaipur (Rajasthan, Haryana, Punjab)
Chandimandir ( Punjab, HP) Lucknow ( Uttaranchal, UP)
New Delhi (NCR, Haryana) Jabalpur ( MP, Chhatisgarh, UP)
Pune (Goa, M’rashtra, Guj, MP, UP, Patna (Bihar, Jharkand, Orissa)
Chennai (Tamil Nadu, A&N) Kolkata ( West Bengal, Sikkim)
Kochi ( Kerala, Lakshdweep) Guwahati (Assam , NE states)
Hyderabad ( AP, Karnataka)
c)Polyclinic Liaison Cells collocated with ECHS Polyclinics. ECHS Brochure/ website refers.
d)Volunteers at Polyclinics.
8.Working Philosophy. The ECHS Division is basically a ‘User Interface’. It works on the premise that the ECHS organization is as keen to improve functioning as any other professional organization, which indeed the Defence services are. Its approach consequently would be based on close interaction with both, the ESM, as users, and the ECHS as the provider of health services. It is vital therefore that ECHS Division members exercise high grade diplomacy and cordiality in ensuring anticipated changes rather than assume a role of ‘auditors/ inspectors/ nambardaars/ union leaders’ which WILL be counterproductive. We want improvements and have little place for crass, undisciplined and rude behaviour/showdowns. Our role has to be participative and constructive. Diplomacy and finesse’ is called for. We therefore need volunteers with a cool, balanced temperament.
9.Duties.
a)ECHS Division HQ.
i)Will maintain CLOSE contact with both, the Region Liaison Cell and ECHS HQ, to provide an apex ‘bridge’ between the user and provider.
ii)Will identically interact with other Governmental bodies/ organizations in pursuit of an effective healthcare system for ESM.
iii)Will evolve necessary plans, presentations and instructions to guide the ECHS Division efforts.
b)Region Liaison Cell.
i)Will identify and recommend to ECHS Division, volunteer veteran (Officers, JCO and OR (and equivalents in Navy and Air Force)) to be nominated as members of Region and Polyclinic Liaison Cells.
ii)Will remain in close touch with the ECHS Region Centre and the Polyclinic Liaison Cells, and assist in resolution of ESM Healthcare problems in consultation with the two.
iii)Will keep IESM ECHS Div HQ apprised of problems not resolved with Region Centre.
iv) Will liaise with local Station HQ informally to expedite any issue affecting ESM healthcare.
v)In case of any veteran being admitted / evacuated to their geographic area, visit and seek a feed back.
vi)Assist in any consumer court/ legal issue with service provider.
c)Polyclinic Liaison Cell.
i)Will maintain regular and cordial contact with the ECHS OC, staff and IMPORTANTLY, the users- patients. Will act as bridge between the two, to ensure patient care and problems are expeditiously attended to.
ii)Feedback and assistance of Region Liaison Cell will be sought in case resolution locally is not possible/ working out.
iii)Will identify volunteers who wish to help out in making ESM care comfortable. While details will need to be worked out locally, the following duties may be possible.
•Assisting with Reception/ Registration, particularly when ECHS staff may be on leave etc.
•Guiding / explaining to patients, issues related to prescriptions, latest instructions, administrative problems etc.
•Prioritizing of patients who may be in need of urgent attention.
•Assisting out with administration in liaison with RWAs.
•Helping / escorting the elderly if required.
•Visit / seek feedback on efficacy of treatment at empanelled hospitals.
10.Monitoring. A Monthly Report from RLC to Div HQ, on E Mail, will indicate:
a)Satisfaction levels at polyclinics, deficiencies of medicines, amenities etc.
b)Cases to which ‘neglect’ can be ascribed.
c)Details of NA medicines including period for which NA.
d)Any QC issues.
e)Any misuse cases.
11.Conclusion. Even God is said to help those who help themselves. Our philosophy to organize the Finest Healthcare for ESM revolves around this. While interactive confabulations WILL continue with ECHS staff/ HQ at all levels, we perceive that the REAL difference to OUR healthcare would emerge from a participative involvement.
Evolving our Aim/Goals to Achieve, Organizational Matrix and Work Philosophy
1.With continually rising cost of medical care and simultaneous depleting income, Healthcare is a major concern for veterans.
2.Aware of this, the Indian Ex Servicemen Movement (IESM) has established an ECHS Division to address and assist ESM Healthcare issues.
3.The Division is chartered to assist in the creation of the Finest Healthcare system for ESM.
4.Two points need to be made.
a)Finest Healthcare system is a subjective term. To measure our progress in its creation, we need to establish WHAT constitutes ‘FINEST HEALTHCARE’. Some constituents are listed in para 5 as benchmark, so we know what we are aiming at. The ECHS Division will endeavour to achieve these.
b)While ESM concentrations are identifiable in certain regions, there are areas that are not sufficiently populated with ESM, to justify setting up of ECHS polyclinics. Consequently creation of an effective Healthcare grid will need to address thin ESM habitations in isolated /remote areas.
5.Essentials of ‘The Finest Healthcare System’.
a)Clean, comfortable polyclinics with hygienic facilities for drinking water, toilets and spacious, ventilated waiting areas with adequate seating.
b)Speedy Registration.
c)Empathetic staff and Doctors. ECHS is basically a ‘Service Industry’. The ‘Comfort and Feel Good of the client (patient) comes FIRST – Always and Every time.
d)A Prioritization system for patients in distress/ Senior Veterans and those needing urgent attention.
e)Quick consultation with Doctor and issue of medicine.
f)Expeditious procurement of NA medicines. Intimation to patient about availability.
g)Issued medicines to have sufficient residual shelf life.
h)Simplification of processes to ensure patient is not harassed / made to run around for referrals, approvals etc.
i)Simple processes to ensure empanelled hospitals and not the patient , run around to get approvals/ intimations etc. Polyclinic to be the Single window for all the patient’s requirements.
j)Speedy processing and clearing of hospital bills.
k)Speedy processing and clearance of patient reimbursements.
l)Monitoring and Performance Audit of Empanelled Hospitals.
m)A support system to render advice including legal, to ‘wronged’ veterans to file consumer complaints in case of default/ deficiency in services at any level of the medical chain.
6.In case of any dispute/doubt on what is to be done, the Patients’ convenience and comfort must be the supreme, overriding, deciding factor ALWAYS AND EVERYTIME.
7.Organization of ECHS Division. Ensuring the desired constituents discussed above, necessitates presence of ECHS Division representatives at every level of ECHS HQ/ Polyclinics. . (For Organization of ECHS refer to ECHS Information Brochure 2008 OR visit ECHS website http://www.indianarmy.gov.in/echs/arechs.htm ). The following organization is therefore planned.
a)IESM ECHS Division HQ at Delhi, forming part of the IESM Core Group. Comprises of
Air Marshal Kuldeep Rai, AVSM Kulusha1112@gmail.com 9818601740
Rear Admiral George Kuruvilla, VSM georgekuruvila@gmail.com 9447508936
Brigadier Sateesh Kuthiala Kuthiala27@hotmail.com 9811660251
Colonel RP Chaturvedi rpchaturvedi@gmail.com 9891279035
Hony Lt Kameshwar Pandey pandeykameshwar@gmail.com 9811059825
b)Region Liaison Cells collocated with ECHS Region Centres. Presently 13. 15 more are on the anvil. List of Region/ Polyclinic Liaison Cell members is attached as Annexure 1. Only stations highlighted in Yellow have been represented so far, based on available volunteers.
Jammu (J&K, HP, Punjab) Jaipur (Rajasthan, Haryana, Punjab)
Chandimandir ( Punjab, HP) Lucknow ( Uttaranchal, UP)
New Delhi (NCR, Haryana) Jabalpur ( MP, Chhatisgarh, UP)
Pune (Goa, M’rashtra, Guj, MP, UP, Patna (Bihar, Jharkand, Orissa)
Chennai (Tamil Nadu, A&N) Kolkata ( West Bengal, Sikkim)
Kochi ( Kerala, Lakshdweep) Guwahati (Assam , NE states)
Hyderabad ( AP, Karnataka)
c)Polyclinic Liaison Cells collocated with ECHS Polyclinics. ECHS Brochure/ website refers.
d)Volunteers at Polyclinics.
8.Working Philosophy. The ECHS Division is basically a ‘User Interface’. It works on the premise that the ECHS organization is as keen to improve functioning as any other professional organization, which indeed the Defence services are. Its approach consequently would be based on close interaction with both, the ESM, as users, and the ECHS as the provider of health services. It is vital therefore that ECHS Division members exercise high grade diplomacy and cordiality in ensuring anticipated changes rather than assume a role of ‘auditors/ inspectors/ nambardaars/ union leaders’ which WILL be counterproductive. We want improvements and have little place for crass, undisciplined and rude behaviour/showdowns. Our role has to be participative and constructive. Diplomacy and finesse’ is called for. We therefore need volunteers with a cool, balanced temperament.
9.Duties.
a)ECHS Division HQ.
i)Will maintain CLOSE contact with both, the Region Liaison Cell and ECHS HQ, to provide an apex ‘bridge’ between the user and provider.
ii)Will identically interact with other Governmental bodies/ organizations in pursuit of an effective healthcare system for ESM.
iii)Will evolve necessary plans, presentations and instructions to guide the ECHS Division efforts.
b)Region Liaison Cell.
i)Will identify and recommend to ECHS Division, volunteer veteran (Officers, JCO and OR (and equivalents in Navy and Air Force)) to be nominated as members of Region and Polyclinic Liaison Cells.
ii)Will remain in close touch with the ECHS Region Centre and the Polyclinic Liaison Cells, and assist in resolution of ESM Healthcare problems in consultation with the two.
iii)Will keep IESM ECHS Div HQ apprised of problems not resolved with Region Centre.
iv) Will liaise with local Station HQ informally to expedite any issue affecting ESM healthcare.
v)In case of any veteran being admitted / evacuated to their geographic area, visit and seek a feed back.
vi)Assist in any consumer court/ legal issue with service provider.
c)Polyclinic Liaison Cell.
i)Will maintain regular and cordial contact with the ECHS OC, staff and IMPORTANTLY, the users- patients. Will act as bridge between the two, to ensure patient care and problems are expeditiously attended to.
ii)Feedback and assistance of Region Liaison Cell will be sought in case resolution locally is not possible/ working out.
iii)Will identify volunteers who wish to help out in making ESM care comfortable. While details will need to be worked out locally, the following duties may be possible.
•Assisting with Reception/ Registration, particularly when ECHS staff may be on leave etc.
•Guiding / explaining to patients, issues related to prescriptions, latest instructions, administrative problems etc.
•Prioritizing of patients who may be in need of urgent attention.
•Assisting out with administration in liaison with RWAs.
•Helping / escorting the elderly if required.
•Visit / seek feedback on efficacy of treatment at empanelled hospitals.
10.Monitoring. A Monthly Report from RLC to Div HQ, on E Mail, will indicate:
a)Satisfaction levels at polyclinics, deficiencies of medicines, amenities etc.
b)Cases to which ‘neglect’ can be ascribed.
c)Details of NA medicines including period for which NA.
d)Any QC issues.
e)Any misuse cases.
11.Conclusion. Even God is said to help those who help themselves. Our philosophy to organize the Finest Healthcare for ESM revolves around this. While interactive confabulations WILL continue with ECHS staff/ HQ at all levels, we perceive that the REAL difference to OUR healthcare would emerge from a participative involvement.
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