Poor Functioning of CGHS

Poor Functioning of CGHS

Some grievances have been received from CGHS beneficiaries through grievance portals and other channels regarding functioning of CGHS. These are mainly regarding non-issue of medicines, plastic cards, shortage of doctors/ specialists and long queue of patients in Wellness Centres.


Following action has been taken by the government in this regard:

(i) Appointment of retired doctors on contract basis as a stop gap arrangement to fill the vacant posts.

(ii) Medicines, which are not available at CGHS Wellness Centres are procured through Authorized Local Chemists.

(iii) A special drive was undertaken to clear the pendency of issue of CGHS Plastic cards

(iv) Option for self-printing of CGHS cards for existing CGHS beneficiaries.

(v) Introduction of on-line registration for consultation at selected Wellness Centres in Bengaluru and in one zone in Delhi.

(vi) Initiation of tele-consultation on trial basis in Delhi from two CGHS Wellness Centres with specialists of Dr. R.M.L Hospital.

Regular internal audits and also external audits/studies on the functioning of CGHS have been carried out. 

Outcome of some of the important studies are as under:

 (i) Staff Inspection Unit (SIU) was carried out by Ministry of finance for Staff Pattern Norms based on patient attendance.  Recommendations of the SIU have been implemented.

(ii) Based on the study carried out by Kaul Committee, computerization of all the CGHS Wellness Centres has been done

(iii) On the basis of recommendations of the CAG Audit on procurement of medicines, Medical Stores Organization (MSO) has initiated e-tender for procurement of Anti Cancer and other Lifesaving medicines. It has also been decided to procure only L1 Rate medicines under formulary for Branded Medicines.

(iv) Committee of Secretaries (COS) has also been monitoring the functioning of CGHS since 2008 and various steps have been implemented to make CGHS beneficiary friendly. As per the recommendations of COS, UTI-ITSL has been appointed as Bill Clearing Agency for settlement of credit bills of empanelled hospitals and diagnostic centres pertaining to the treatment of CGHS pensioner beneficiaries.

(v)  The functioning of CGHS is also monitored by the Hon’ble Prime Minister and as per the directions under ‘PRAGATI’, the process of linking of Aadhar Number with CGHS beneficiary Numbers has been started.

A special drive was undertaken to clear the pendency of issue of CGHS Plastic cards. Provision has been made for self-printing of CGHS cards by existing CGHS beneficiaries.

(vi) DAR&PG conducted a study through Quality Council of India (QCI)   to identify   areas of Grievances in Different Ministries and organizations including CGHS and suggested possible solutions.


Based on the inputs so received:

• Financial Powers of Additional Directors of CGHS have been enhanced for early settlement of medical claims of Pensioners.
• Introduction of on-line registration for consultation at selected Wellness Centres in Bengaluru and in one zone in Delhi.
• Aadhar-based Bio-metric attendance for the staff at CGHS Wellness Centres has been implemented in Delhi and NCR.

The following steps have been taken for improvement in the functioning of CGHS in the country:

1. Regular Inspection of Wellness Centres is carried out.

2. Monthly advisory committee meetings are held for each Wellness Centres with CMO   (Incharge)

3. Regular monitoring of empanelled hospitals by a team constituted by Additional Directors, CGHS of cities for this purpose.

4. Regular meeting of Additional Directors, CGHS with pensioner associations.

SMS alert facility to CGHS beneficiaries.

The Minister of State (Health and Family Welfare), Sh Faggan Singh Kulaste stated this in a written reply in the Lok Sabha here today.

Renewal of CGHS Plastic Cards – reg.

Renewal of CGHS Plastic Cards - CGHS Orders

The Department of Health and Family Welfare issued orders about the renewal of CGHS plastic cards.

S 11011/1/2014-CGHS (P)
Government of India
Ministry of Health and Family Welfare
Department of Health and Family Welfare
CGHS (Policy) Division

Nirman Bhavan, New Delhi
Dated: the 10th February, 2014

OFFICE MEMORANDUM

Sub: Renewal of CGHS Plastic Cards – reg.

The undersigned is directed to refer to this Ministry’s O.M No.S.11012/3/2011-CGHS (P) dated 29.12.2011 laying down the guidelines for issue of individual plastic cards to CGHS beneficiaries. CGHS Plastic Cards were introduced in September, 2008 in Delhi NCR and the cards were initially issued with a validity period of 5 years. The CGHS Plastic Cards completing their validity period are due for renewal and accordingly fresh cards with renewed validity period are being issued by the Office of Additional Director, CGHS of the city concerned. With a view to further streamline the process of renewal of CGHS Plastic Cards, it has been decided to issue the following guidelines supplementing the existing instructions on issue of CGHS Plastic Cards:

Serving beneficiary

a) Application for renewal of CGHS Plastic Cards in the prescribed proforma (Form AA) alongwith requisite documents (current photographs, copy of pay slip and address proof of residence, if changed), should be submitted through their Administrative Office to the Office of Additional Director, CGHS of the respective CGHS city following the same procedure as prescribed for issue of fresh CGHS card.

b) Fresh CGHS Plastic Cards with same beneficiary ID nos. shall be issued with a validity period of 5 years.

c) Applications for renewal of old plastic cards can be made 3 months in advance prior to its expiry.

Pensioner beneficiary

a) Application for renewal of Pensioners’ CGHS Plastic Cards in the prescribed proforma (Form BB) alongwith requisite documents (current photographs, PPO or LPC, address proof, if changed) should be submitted to the parent CGHS Wefiness Centre where his /her card is registered. He / she can also submit the application to the Office of Additional Director, CGHS of the respective CGHS city for renewal of CGHS cards.

b) Fresh CGHS Plastic Cards with same beneficiary ID nos. shall be issued with validity for lifetime or up to the date for which the contribution has been made by the beneficiary.

c) Applications for renewal of old plastic cards can be made 3 months in advance prior to its expiry. This issues with the approval of Additional Secretary and Director General, CGHS.

End: Specimen Form AA and Form BB.

sd/-
(V.P.Singh)
Deputy Secretary to the Government of India

Source: http://msotransparent.nic.in/cghsnew/index.asp

Requirement of residence proof to renewal of expired CGHS Plastic Cards

Requirement of residence proof to renewal of expired CGHS Plastic Cards

While answering in the Parliament to a question regarding above mentioned the topic, the Minister of Health and Family Welfare Shri Ghulam Nabi Azad said that 'Proof of Residence is required for issuing CGHS cards. However, Affidavits are also accepted in absence of commonly accepted proof of residence.

He also said that CGHS cards in respect of serving employees and their dependent family members are issued on the recommendation of their Administrative Department / Office. It is incumbent upon the Administrative Department / Office to ascertain the residential status of their employee and his family members from their office records and documents submitted by the employee as their proof of residence. They can also accept Affidavits in absence of valid proof of residence'.

Source: http://90paisa.blogspot.in/2013/12/requirement-of-residence-proof-to.html