1) A common ‘Revolving Fund’ shall be created with the Aarogyasri Healthcare Trust by deducting at source, 20% of the package amount payable to the empanelled Government Hospitals under ‘Employees Health Scheme (EHS)’, which shall be utilized for purchasing equipment for treating the EHS patients
2) Out of the balance ie., 80% of the package amount, 45% shall be earmarked for expenditure related patient care and the rest of 35% shall be utilized for payment of incentives to the staff responsible to provide service to the EHS beneficiaries under the Scheme.
3) The manner of utilization / billing / distribution of the 45% and 35% of the amount, is specified hereunder:
a) Norms and guidelines for billing Employees Health Scheme cases in
Govt. Hospitals:-
The expenditure for the implementation of scheme in Government hospital out 45% of package amount shall be incurred for the following items:
i. The actual expenditure involved in purchase of consumables, disposables, implants, medicines, blood and blood products etc. for the care of the EHS patients involved (other than those available in hospital under regular budget).
ii. Cost of Data Entry Operators and other staff employed for Employees Scheme full time (includes RAMCO, AMCO, if employed on full time}.
iii. Expenditure on computer peripherals and its maintenance.
iv. Special Diet provision.
v. Expenditure if any, on conduct of camps other than the items which are reimbursed by the Trust.
Note:
1. Tariff for various investigations may be as fixed under Rajiv Aarogyasri Scheme.
2. Hospitals to maintain separate indenting system for pharmacy requirement of EHS patients.
3. In the hospital pharmacy, specific pharmacists may be designated for EHS and they will issue medicines / material available in the hospital. Those not
::3:: available will be purchased through EHS funds and supplied. Separate account may be maintained for purpose.
4. Separate inventory and stock register shall be maintained for equipment, instruments, implants etc. procured for EHS from EHS funds.
5. The equipment, furniture, computers etc. procured under EHS funds shall be utilized only for the EHS programme in the concerned department.
6. The treatment of patient shall be primary aim of the hospital and sufficient funds shall be made available from the package amount to treat the patient completely. In case the 45% funds allocated out of package amount is not sufficient to meet the treatment cost, the additional amount shall be met from
the other cases where residual funds are available out of 45% funds i.e. through cross subsidy of the cases.
7. The Superintendent of the hospital and other administrative staff of the hospital involved in the implementation of scheme be paid an incentive for their indirect involvement in patient care. 1% of the balance after meeting the expenditure mentioned above be paid to the Superintendent and 1% to the administrative staff of the hospital.
8. The balance after meeting the above expenditure is deposited into the hospital account for the development of hospital infrastructure and facilities as suggested in earlier circulars of Director of Medical Education
2) Out of the balance ie., 80% of the package amount, 45% shall be earmarked for expenditure related patient care and the rest of 35% shall be utilized for payment of incentives to the staff responsible to provide service to the EHS beneficiaries under the Scheme.
3) The manner of utilization / billing / distribution of the 45% and 35% of the amount, is specified hereunder:
a) Norms and guidelines for billing Employees Health Scheme cases in
Govt. Hospitals:-
The expenditure for the implementation of scheme in Government hospital out 45% of package amount shall be incurred for the following items:
i. The actual expenditure involved in purchase of consumables, disposables, implants, medicines, blood and blood products etc. for the care of the EHS patients involved (other than those available in hospital under regular budget).
ii. Cost of Data Entry Operators and other staff employed for Employees Scheme full time (includes RAMCO, AMCO, if employed on full time}.
iii. Expenditure on computer peripherals and its maintenance.
iv. Special Diet provision.
v. Expenditure if any, on conduct of camps other than the items which are reimbursed by the Trust.
Note:
1. Tariff for various investigations may be as fixed under Rajiv Aarogyasri Scheme.
2. Hospitals to maintain separate indenting system for pharmacy requirement of EHS patients.
3. In the hospital pharmacy, specific pharmacists may be designated for EHS and they will issue medicines / material available in the hospital. Those not
::3:: available will be purchased through EHS funds and supplied. Separate account may be maintained for purpose.
4. Separate inventory and stock register shall be maintained for equipment, instruments, implants etc. procured for EHS from EHS funds.
5. The equipment, furniture, computers etc. procured under EHS funds shall be utilized only for the EHS programme in the concerned department.
6. The treatment of patient shall be primary aim of the hospital and sufficient funds shall be made available from the package amount to treat the patient completely. In case the 45% funds allocated out of package amount is not sufficient to meet the treatment cost, the additional amount shall be met from
the other cases where residual funds are available out of 45% funds i.e. through cross subsidy of the cases.
7. The Superintendent of the hospital and other administrative staff of the hospital involved in the implementation of scheme be paid an incentive for their indirect involvement in patient care. 1% of the balance after meeting the expenditure mentioned above be paid to the Superintendent and 1% to the administrative staff of the hospital.
8. The balance after meeting the above expenditure is deposited into the hospital account for the development of hospital infrastructure and facilities as suggested in earlier circulars of Director of Medical Education
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