Central Government Health Scheme (CGHS)

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Background
The Central Government Health Scheme (CGHS) was started under the Indian Ministry of Health and Family Welfare in 1954. The scheme was initially started in Delhi. Objective of Central Government Health Scheme : To provide comprehensive medical facilities to the central government employees/ pensioners and members of their family. To avoid the cumbersome system of reimbursement of medicalEQuality expenses to the employees/pensioners. Education System

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Eligibility

Central government employees residing in CGHS covered cities. Members and Ex-members of Parliament Judges of the Supreme Court and High Court (sitting and retired) Freedom Fighters Central Government Pensioners, Employees of SemiAutonomous bodies/Semi Government Organizations. Accredited Journalists Ex-Governors and Ex-Vice-Presidents of India

EQuality Education System

EQuality Education System

Facilities provided under Scheme

Out patient care facilities in all systems.
Emergency services in Allopathic system.

Free supply of necessary drugs. Lab and radiological investigations.

Domiciliary visits to seriously ill-patients. All the medical officers are under an obligation to visit the patients who are unable to attend the dispensary. The visits to be entered EQuality Education System into a register.
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 Family welfare services. Specialist consultation both at the dispensary and hospital level. Treatment in specialized hospitals, both in government and private recognized hospitals. Facilities for pensioners: The same type of medical facilities are provided to the central government pensioners residing in CGHS covered areas as are being provided to the serving central government employees. EQuality Education System

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Extension of Central Government Health Scheme

Computerization: To keep pace with the modern times, a massive computerization work has been taken up under CGHS in collaboration with the National Informatics Centre Introduction of Plastic Cards: Decided to issue plastic cards individually to each beneficiary of the CGHS. This will enable beneficiaries to avail CGHS facility in any city should they happen to be in that city either on official EQuality Education System work or on leave.
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Accreditation of labs with National Accreditation Board for Testing and Calibration Laboratories (NABL) : With a view to providing better quality treatment to Central Government Health Scheme beneficiaries, it was decided that only those private hospitals and diagnostic centres would be empanelled under the Central Government Health Scheme, as have been cleared by the Quality Council of India after it carried out inspection of the facilities available at these hospitals and diagnostic centres.

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EQuality Education System

Medical Audit of Hospital Bills: In order to be sure that the bills raised by private empanelled hospitals are genuine and that the beneficiaries were required to undergo only that treatment as was required and that the hospital has not forced the beneficiary to undergo unnecessary tests / treatment at the hospital. Holding of Claims Adalats: It was decided that claims adalats be held in each Zonal office of CGHS, Delhi, under the chairmanship of the Additional Directors of the respective zones EQuality Education System

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Local Advisory Committees: Local Advisory Committee meetings are held in each Central Government Health Scheme dispensary on second Saturday of the month Decentralization and delegation of powers: Ministries / Departments have been delegated powers to handle all cases of reimbursement claims if no relaxation of rules was involved Insulin: Orders have been issued to permit issue of Analogue (Insulin Vial/Cartridge) to CGHS beneficiaries and the extra cost would EQuality Education System be borne by the CGHS.
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Outsourcing of cleaning process of dispensaries:

To overcome the vacuum so created in some dispensaries, it was decided to outsource cleaning work for mechanised cleaning Rate contract for purchase of drugs:

It has been decided to run a pilot project under which dispensaries in Delhi will be permitted to place indents directly on the manufacturers on rate contract basis

EQuality Education System

EQuality Education System

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EQuality Education System

http://www.upsc4all.com/

EQuality Education System

EQuality Education System