1. G.O.Ms.No.174 HM&FW (M2) Dept dt: 1-11-2013
2. G.O.Ms.No.175 HM&FW (M2) Dept dt: 1-11-2013
3. G.O.Ms.No.176 HM&FW (M2) Dept dt: 1-11-2013
4. G.O.Ms.No.32 HM&FW (A2) Dept dt: 3-11-2014
5. G.O.Ms.No.33 HM&FW (A2) Dept dt: 13-11-2014
6. From the CEO., AHCT., Hyderabad, Lr.No.AST/5111/EHS Chronic Op-TG/P&C/2014, dt: 13-11-2014
O R D E R :
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).
Guidelines on Chronic Out-Patient Treatment for Telangana Employees
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.
- 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-the- clock 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.
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.
Guidelines on Yearly Medical Check-up for Telangana Employees
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 :
Lab investigations :
- Haematology : Blood grouping & Ph typing, Hb, PCV, RBC, MCHC, MCV, MCH, Total WBC, Differential Count, ESR PLT, Peripheral smear, Complete Urine Analysis & Stool examination ;
- Histophathology : Pap smear ;
- 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 ;
- Microbiology : Test for HIV, HbsAg
ECG, Tread Mill Test, 2D Echo
X-Ray (Chest), Ultrasound (whole abdomen)
Eye Examination :
Visual acuity, eye pressure, fundoscopy, refraction
Others
Pulmonary Function Test and Diet Counselling
Consultation by physician, gynaecologist, ophthalmologist other specialists as required.
For women Employees
- Gynaecological
- Pap smear
- Mammogram
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.
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 | Name of the Private Hospital which will provide services for the remaining Chronic OP Packages as tie-up |
| (i) | (ii) | (iii) | (iv) |
| Karimnagar | DISTRICT HOSPITAL KARIMNAGAR (DH-KMR) | 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 |
PRATIMA Institute of Medical Sciences |
| Khammam | DISTRICT HOSPITAL KHAMMAM (DH-KHM) | 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 |
Mamatha General & Super Speciality Hospital |
| Mahabubnagar | GOVT GENERAL HOSPITAL (DISTRICT HOSPITAL – (GGH-MBN) | 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 |
S.V.S. Hospital |
| Medak | DISTRICT GOVERNMENT HOSPITAL, SANGA REDDY- (DH- SNRY) |
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) |
| 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 |
KAMINENI Institute of Medical Sciences |