F No 11/58/ 2017/ MCTC/ CGHS
Government of India
Ministry of Health and Family Welfare
Department of Health & Family Welfare

CGHS Bhawan, RK Puram sector-13
New Delhi 110 066
Dated the 7th June, 2023

OFFICE MEMORANDUM

Subject:- Increase in Imprest Money in CGHS Wellness Centres-regarding

With reference to the above subject the undersigned is directed to draw attention to OM No G 27023/1/89/ CGHS-II/ CGHS(P) dated the 11th January, 2011 vide which Imprest money in CGHS Wellness Centres was last revised. Over a period of time, in view of escalating costs, Chief Medial Officers are finding it difficult to meet the minimum basic expenditure to keep the CGHS Wellness Centre in good working condition. Requests were received that the amount of Imprest Money needs to be increased to a reasonable level so that day to day contingency expenditures could be handled without any delay.

2. The matter has been examined in consultation with Integrated Finance Division and the under signed is directed to convey the approval of competent Authority to increase the Imprest Money from the present Rs.5,000 to Rs.10,000(Rupees Ten thousand only) to meet the contingent expenditure (both recurring and non-recurring) by the Chief Medical Officers in each Wellness Centre, Polyclinic, and subordinate offices. There shall be no upper limit on the Imprest Money Spent per annum.

3. The Imprest Money for meeting contingency expenditure (both recurring and non-recurring) by Additional Directors CGHS of Cities/Zones shall continue to be Rs.20,000/-(Rupees Twenty thousand only). There shall be no upper limit on the Imprest Money spent per annum.

4. Additional Directors shall ensure that imprest bill submitted by a CMO I/C or unit head is recouped and sent to the Wellness Centre in a timely manner.

5. These instructions take effect from the date of issue of the Office memorandum.

6. This issues with the concurrence of Integrated Finance Division, Ministry of Health & Family Welfare, vide Dy No CD No.561 dated 29.5.2023.

(Dr. Manoj Jain)
Director, CGHS

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F. No. MISC. 2011/103/ NHA ISSUE/ 2023
Govt. of India
Min. of Health & Family Welfare
Department of Health & Family Welfare
Directorate General of CGHS

RK Puram – Sector-13 New Delhi
Dated the 22nd May, 2023

OFFICE ORDER

Subject: Deployment of Chief Medical Officers in-charge of CGHS Wellness Centres as Sanctioning Authorities for settlement of credit bills of CGHS empanelled Health Care Organizations (HCOs) as a temporary measure -regarding

The undersigned is directed to convey the approval of Competent Authority and to state that in order to expedite the settlement of credit bills of CGHS empanelled HCOs, it is now decided that Chief medical Officers -in-charge of CGHS Wellness Centres shall also act as Sanctioning Authorities, on a temporary basis. The details are given below:

i. Additional Directors of concerned cities shall provide the details of the CMOs in Charge working under them and may take necessary steps for procuring DSC for them.

ii. CMOs in charge shall work as sanctioning authorities for at least 3 hours in a day during free time or after duty hours in Wellness Centres. CMOs -in-charge shall perform these special duties, in addition to their regular duties.

iii. Existing Sanctioning Authorities shall act as nodal officers for the CMOs I/c in the city for any clarifications/ assistance, in addition to their own duties as SAs.

iv. NHA- shall create user names and passwords for the new sanctioning authorities.

v. The timelines prescribed are

4-7 days- NHA shall create login User Name and Passwords for CMOs i/c
8-10-Days – Online training for the CMOs in charge 11th Day onwards – CMOs in charge shall act as Sanctioning Authorities till the clearance of pending credit bills of HCOs.

2. The target for every CMO in charge is settlement of hospital credit bills amounting to Rs.2.0 Crore /per week (approx.).

3. The Additional Directors shail bring the contents of the order to the notice of all the CMOs in charge working under their administration and ensure the compliance of the aforementioned directions.

4. The settlement of bills by CMOs i/c shall be monitored on daily basis, by the Directorate of CGIIS.

(Dr. Manoj Jain)
Director, CGHS

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F.NO.20-2/2021-2021-CGHS/CZ/DIR/CGHS
(E file no. 8139325)
Government of India
Ministry of Health and Family Welfare
Department of Health and Family Welfare

Nirman Bhawan, New Delhi
Dated: /05/2022

Office Order

Subject: Guidelines & Standard Operating Procedure for specialists and GDMOs with PG degree from Wellness Centres/ Government hospitals visiting CGHS Wellness Centres

Background:

Consultations related to various medical specialties are frequently required by CGHS beneficiaries for which they are referred to empanelled HCOs and government hospitals often remotely located. Presently in GDMO cadre, a number of doctors have post graduate degree, whose services can be utilized, thereby easing the burden of time consumed in availing specialty services by CGHS beneficiaries.

With the intent to reduce referrals to empanelled hospitals and increase the in-house specialty facility for CGHS beneficiaries, it is proposed to deploy more GDMOs with PG degree to attend to patients in their area of specialization, in addition to the GDMOs with PG degree already working similarly and specialists/GDMOs from RML and Safdarjung Hospital CGHS Wing who are visiting CGHS Wellness Centres. These GDMOs with PG degree shall be deployed as mentioned above, in Wellness Centres of their city (and preferably in own zone in Delhi) as of now, as a Pilot Project for 60 days. Specialties chosen are Internal Medicine, Pediatrics, Gynecology and Dermatology. (Orthopedics is a preferred specialty however GDMOs with PG in Orthopedics are not currently available in Delhi and outside Delhi Wellness Centres. They shall be included as and when available). The Additional Director of zone/city would be required to create a roster for deployment of GDMOs with PG degree in their zone/city WCs, in addition to the GDMOs with PG degree already working similarly and specialists/GDMOs from RML and Safdarjung Hospital CGHS Wing who are visiting CGHS Wellness Centres.

Guidelines & Standard Operating Procedures:

1. Responsibilities of specialists and GDMO with PG degree from Wellness Centres/Government hospitals visiting CGHS Wellness Centres:
   1. The designated GDMOs with PG degree posted in Wellness Centres shall be visiting other Wellness Centres from 7.30am to 2.00pm. During the Pilot Phase of 60 days, the visit of such doctors would be once a week, to the assigned Wellness Centres. An analysis of the number of patients attended by each newly deployed visiting GDMO with PG degree on a day, shall be carried out at the end of 60 days by the respective zones/cities to decide whether the number of days of visit in the month is to be increased or decreased, for optimum utilization of the GDMO.
   2. The visiting GDMOs with PG degree (VGP) shall not be exempted from emergency duties such as night duties/afternoon duties in the 24 X 7 Wellness Centres in Delhi.
   3. In case of planned/sanctioned leave, the visiting doctor (from Government Hospital or another Wellness Centre) shall inform the CMO I/C of the visited Wellness Centre(s) AND Nodal Officer for 24*7 emergency duties (as the case maybe), well in time before the duty roster is readied, for adjustment of emergency roster and Online Appointment roster, respectively.
   4. Mandatory use of computer while attending to patients:
      1. The visiting doctors (visiting GDMO with PG degree (VGP), specialists/GDMOs from government hospitals and visiting contractual doctors) shall mandatorily use the doctor’s computer module available in Wellness Centres after login to cghs.nic.in, using the user ID created by Addl. Director of zone/city, to attend to patients. This user ID shall be transferred at the end of the day by CMO I/C of the Wellness Centre visited, to the next one to be visited by the visiting doctor.
      2. The visiting doctors mentioned above, shall independently work on the computer module without insisting on assistance for data entry (justification:
         1. Data Privacy Policy of Government of India
         2. past experience with dependence on non-medical outsourced resources for entering patient details and medicines in the computer module has resulted in prescription errors, detrimental to patient care).
      3. All visiting doctors whether from government hospitals or Wellness Centres, shall access the pharmacy stock online to prescribe available medicines in the Wellness Centre, or prescribe from within the CGHS formulary, to the maximum extent possible. The medicines shall be issued from the visited Wellness Centre’s stock and indent placed to the Authorized Local Chemist of the visited Wellness Centre.
      4. While issuing/indenting medicines for a beneficiary, the visiting doctor shall check the “history” of previously prescribed medicines to ensure that the medicines being prescribed are not already available with the beneficiary and that they do not have adverse reaction with medicines being taken by the beneficiary as advised in earlier visits. The total quantity of issued/indented medicines may be adjusted accordingly.
      5. Medicines that are available in the Wellness Centre but have been indented by the visiting doctor shall be rectified online by the CMO I/C, before submission of indent.
      6. In case a beneficiary wishes to get medicines from his parent Wellness Centre rather than the visited Wellness Centre, the visiting doctor would be required to enter online, the NAMES of medicines to be issued/indented with the DOSAGE and TOTAL DURATION mentioned against each, but with quantity as zero, to maintain an online record of the prescription. The beneficiary would be required to visit his parent Wellness Centre and get the medicines issued and indented as per availability in that Wellness Centre and total quantity required (based on medicine-wise dosage and duration already entered by the visiting doctor and seen in “history”). Hand written prescriptions shall not be issued by visiting doctors (whether specialist or GDMO with PG degree or consultant) except in exceptional circumstances when the net connectivity/power/server is down. In such cases, the prescription validity shall not be more than 01 month and during subsequent visit, the details in the handwritten prescription shall be entered online in the module by the visiting doctor.
      7. As a routine, issue/indent shall be done for a maximum period of 03 months; however, if next visit is required after 06 months/ a specified time period, the same shall be mentioned in the “Remarks” Column.
      8. Two copies of the prescription shall be handed to the beneficiary. One copy shall be used on the same day to collect his/ her medicines. The other copy duly stamped by the visiting doctor would be used by the beneficiary as a prescription when they come for subsequent visits in the following months. This copy would be valid only for the duration mentioned (in the Remarks column) by the visiting doctor of the concerned specialty, in the prescription.
      9. Symptoms, examination findings, investigation reports and diagnosis shall be saved in the doctor’s Module under “Examination”.
      10. The visiting doctor of the concerned specialty shall advise investigations as far as possible from CGHS own labs and collection centres using the “CGHS Lab” option in the doctor’s module.
      11. The visiting doctor of the concerned specialty, depending on requirement, shall issue referral to the beneficiary for consultation, listed investigations and procedures, to be carried out in “any empaneled HCO” through the online Referral Module, so that the beneficiary is not required to visit a GDMO of the Wellness Centre again, for an online referral.
      12. Any unlisted procedure/investigation advised by the visiting doctor may be typed in the “Remarks Column” and stamped print out issued to the beneficiary. In case of a pensioner beneficiary, the CMO I/C may refer the beneficiary to the Additional Director for issue of permission for unlisted items.
      13. Visiting doctors requiring hand holding for using the GDMO Module shall email a request to mctc@cghs.nic.in along with their mobile number and place of posting. Online training through VC mode (Microsoft Teams/ Google Meet) shall be imparted to groups of visiting doctors. Any inputs for modification in the computer module may also be emailed to mctc@cghs.nic.in.
2. Online appointment for visiting doctors:
   1. As “Specialist” online appointments can be taken 30 days in advance, CMOs I/C shall ensure that online roster for visiting doctors at their Wellness Centre for the month of visit, is posted online in the Appointment System between 20th and 30th of the current month, indicating the dates when the visiting doctors would be available for consultation.
   2. Number of appointments for the visiting doctors (“specialists”) shall be ordinarily limited to total 60 patients per day (50 for online and 10 for walk-in beneficiaries). (This information shall be widely disseminated to beneficiaries through SMS, and notice board display in Wellness Centres). The number of walk-in beneficiaries can be increased to more than 10, on mutual consent of the visiting doctor and the CMO I/C, over and above the total 60 patients per day scheduled in 50:10 online : walk-in ratio. Beneficiaries who are not computer savvy shall be assisted by staff in the Wellness Centre, to book the 50 online appointments for “specialists”, during the 30-day window period for online “specialist” booking.
   3. In case of emergency leave of the visiting doctor, the beneficiaries who have already taken appointment and wish to get medicines repeated based on a previous prescription by the same doctor, shall be required to meet the CMO I/C for issue/indent of chronic ailment medicines for 30 days or as per discretion of CMO I/C depending on medical condition of the patient.
3. Role of Addl. Director:
   1. The Additional Director of city/zone would be required to create a roster for deployment of GDMOs with PG degree in their city/zone WCs, in addition to the GDMOs with PG degree already working similarly and specialists/GDMOs from RML and Safdarjung Hospital CGHS Wing who are visiting CGHS Wellness Centres. The roster may be created within 05 working days.
   2. Addl. Director of the city/zone shall thereafter, share the SOPs with their Wellness Centres/Polyclinics and issue official orders assigning the visiting GDMOs with PG degree (VGPs), the days and Wellness Centres to be visited, mentioning the name, designation of the GDMO and the field of specialization (Eg., Dr ABC, SMO, Internal Medicine). Saturdays and Mondays may be avoided being days with increased patient load. During the Pilot Phase of 60 days, initially only one day a week for each visiting GDMO with PG degree would be designated for visit to another Wellness Centre.
   3. Addl. Director CGHS (HQ) shall hold meeting with In charge CGHS Wing of RML and Safdarjung Hospital in this regard including mandatory use of computer by all visiting specialists to CGHS Wellness Centres (as directed in the meeting on 11/04/2022).
   4. At the end of the 60-day Pilot Phase, Addl. Directors of city/zones shall analyse the number of patients attended by each VGP in their city/zone and accordingly increase or decrease their frequency of visits.
   5. Addl. Directors of the city/zone shall ensure that user ID and password for logging into doctor’s computer module are created for all visiting doctors whether from Government hospitals or GDMOs with PG degree or contractual doctors. They shall also ensure availability of separate room, internet, availability of desktop computer and peripherals including printer for use by the visiting doctors, along with an examination table, foot stool, BP instrument, folding screen, equipment for PV examination (for gynecologists), autoclave, stadiometer and weighing machine. Full length A4 sheets would also be provided to the visiting doctors.
   6. In order to ensure that the night/afternoon duties of VGPs do not fall on the days of their visit to other Wellness Centres, Addl. Directors of each zone/city shall share the detailed VGP roster with the respective Nodal Officers who finalize the roster for the emergency duties. The concerned Nodal Officers shall ensure that the emergency duties of these doctors do not fall on the same day as their visiting days [for male GDMOs, the nodal officer shall also consider the subsequent day (post night duty off)]. For other duties requiring long absence from Wellness Centre duty, the VGPs may be deployed for such duties as a last resort, to avoid inconvenience to beneficiaries.
   7. After completion of PG Degree, the GDMO doctor on joining back or any fresh appointee with PG degree shall be included in the roster of visiting doctor if consent is provided. Also CMO I/C with PG degree may be considered as VGP, if consent is given, as only once a week visit to another Wellness Centre would be required.
   8. Telemedicine: Shall be conducted from a location in the office of Addl. Director of city/HQ only and not from any Wellness Centre or home. In the event that the patient load for a particular specialty is less, then the telemedicine may be linked to a hub in Safdarjung Hospital (in case of Delhi) where the concerned specialist of Safdarjung would attend to the patients online. Necessary instructions in this regard are to be conveyed to all cities by ADDG (HQ) and to telemedicine team in Delhi by AD (HQ).
4. Role of CMO I/C:
   1. The orders regarding deployment of GDMOs with PG degree with their days of visit may be displayed on the notice board of all Wellness Centres for information to the beneficiaries.
   2. It may also be clearly displayed on the Notice Board that ordinarily 60 appointments per day would be scheduled for visiting doctors in the ratio of 50 online appointments and 10 walk-in appointments. Walk-in appointments can be increased more than 10, over and above the total 60 patients per day scheduled in 50:10 online : walk-in ratio, on mutual agreement with the visiting doctor. Beneficiaries who are not computer savvy shall be assisted by staff in the Wellness Centre, to book online appointment for “specialists”, during the 30-day window period for booking. MCTC may be contacted for hand holding in this regard.
   3. Official stamp to be used on the computer generated prescription, with the doctor’s name, GDMO designation and specialization shall also be provided to the VGP by the CMO I/C of the Wellness Centre visited. (Eg: Dr ABC, SMO, Internal Medicine).
   4. The CMO I/C of the Wellness Centre visited shall place demand to Addl. Director Zone/city for items (if not available) required by the visiting doctor as mentioned in (III) e above i.e., desktop computer and peripherals including printer for use by the visiting doctors, along with an examination table, foot stool, non-mercury BP instrument, folding screen, equipment for PV examination (for gynecologists), autoclave, stadiometer and weighing machine.
   5. The CMO I/C of the parent Wellness Centre of the VGP shall not retain him/ her in the parent Wellness Centre on his specified day of visit to another Wellness Centre, either due to shortage of doctors in his parent Wellness Centre or any other reason, as this would then become a regular feature and the intent behind the whole exercise would fail, in addition to harassment to beneficiaries who have taken appointment for the VGP. However, the VGP on visiting the other Wellness Centre, may be requested by the CMO I/C of that WC, to assist in attending to general patients, in case the requisite 60 patients have not taken appointment for the day.
   6. After the day’s patients are attended by the visiting doctor, after 2.00PM the CMO I/C of the visited Wellness Centre shall transfer his/ her user ID to the other Wellness Centre/parent Wellness Centre, scheduled to be visited by the VGP.
   7. The CMO I/C of the parent Wellness Centre of the VGP/ specialist/GDMO from government hospital shall ensure that information regarding planned/sanctioned leave is conveyed well in time, before the month’s emergency roster/ Online Appointment System roster is readied by Nodal Officer/ CMO I/C of visited Wellness Centre.
   8. In case of emergency leave by visiting doctor, the information shall be posted in the Online Appointment System. In case the beneficiaries who have already taken appointment, wish to get medicines repeated based on a previous prescription by the visiting doctor, CMO I/C shall issue/indent chronic ailment medicines for 30 days or as per discretion of CMO I/C depending on medical condition of the patient.
   9. The CMO I/C of the visited Wellness Centre shall not refuse issue/ indent of 03 months medicines prescribed by visiting doctor to beneficiaries of any Wellness Centre. However, medicines that are available in the Wellness Centre that have been wrongly indented by the visiting doctor, shall be rectified online by the CMO I/C.
5. Role of MCTC and NIC:
   1. The date-wise record of online prescription complete with clinical notes, referrals and medicines prescribed shall be made available to the visiting doctors under “history”.
   2. NIC shall ensure that separate print out can be taken out for medicines prescribed, online referral and examination findings, if required or all on a A4 sheet.
   3. The CGHS dashboard shall be modified to display data related to total number of visiting doctors who are registered in the doctor’s Module and total number who are using the doctor’s Module as visiting doctors to attend to patients.
   4. Number of appointments for visiting doctors shall be ordinarily limited to 50 for online appointment and 10 for walk-in beneficiaries. This information shall be widely disseminated to beneficiaries through SMS.
   5. CMO I/C cannot change a medicine indented by any doctor (GDMO/VGP/specialist from government hospital/contractual doctor), by indenting another medicine of a different brand, without entering the reason in the module. Once changed, the name of CMO I/C shall appear against the indented medicine, along with reason.
   6. MCTC shall conduct online demonstration in groups for visiting doctors to work online using the doctor’s module and for any staff wanting to be trained in booking online appointment (email request may be sent by doctor/CMO I/C to mctc@cghs.nic.in).

(Dr Nikhilesh Chandra)
Director CGHS

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CGHS

Z 15025/12/2020 /DIR/CGHS
Government of India
Ministry of Health & Family Welfare
Directorate General of CGHS

Nirman Bhawan, New Delhi
Dated the 30th September, 2020.

OFFICE MEMORANDUM

Sub: Reimbursement of cost of OPD Medicines: Special Sanction in view of COVID-19- till 31st December 2020- regarding

In view of the Corona Virus Disease (COVID-19), all out efforts are made by the Government to contain its impact by instituting measures at community as well as at individual level.

2. In this regard the undersigned is directed to draw attention is the OM of even number dated 27.03.2020, 29.04.2020, 29.05.2020 and 24th August 2020 vide which an option has been provided to CGHS beneficiaries getting medicines for Chronic diseases, to purchase medicines based on the prescription held (prescribed by CGHS Medical Officers/ CGHS Specialists /other Govt. Specialists/ Specialist of empanelled hospital) till 30th September 2020, irrespective of Non-Availability certificate from CGHS or otherwise. However, several representations are received in the Ministry seeking extension of the period in view of the continued ‘Lock Down’.

Also read: CGHS medical facilities reimbursement to Central Government pensioners

3. The matter has been reviewed by the Ministry and it is now decided, in continuation of the earlier OM on the subject , that CGHS beneficiaries getting medicines for Chronic diseases shall be permitted to purchase medicines based on the prescription held (prescribed by CGHS Medical Officers/CGHS Specialists /other Govt. Specialists/ Specialist of empanelled hospital) till 31st December 2020 on the same conditions as per the earlier OM dated 27.03.2020. It is also clarified that the CGHS Wellness Centres are functional and CGHS beneficiaries also have the option to collect medicines through CGHS Wellness Centres as per normal practice, instead of purchasing from market.

4. Issued with the approval of Integrated Finance Division, MoHFW vide CD No 1558 dated 30.09.2020.

(Dr. Sanjay Jain )
Director, CGHS

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19 JUL 2019

CGHS Wellness Centres provide primary health care facilities and, if required, refer the beneficiaries to the Specialists at Government Hospitals/ Private Hospitals empanelled under CGHS. In emergency conditions, no endorsement for any treatment/ investigation is required from CGHS Wellness Centre. However, in non-emergency conditions or unlisted treatment/ tests, endorsement from concerned CGHS Wellness Centre is required.

With a view to facilitate ease of availing consultations from Specialists at empanelled hospitals, Government has permitted elderly CGHS beneficiaries aged 75 years and above to seek consultations from Specialists without any referral and undergo treatment/ investigations without endorsement. Permission is required only for unlisted treatment procedure/ tests in non-emergency conditions.

The guidelines for referral issued vide Office Memorandum No. Z.15025/117/2017/DIR/CGHS/EHS, dated the 15th January, 2018 have been modified vide Office Memorandum No. Z.15025/117/2017/DIR/CGHS/EHS, dated the 10th December, 2018 and the following modifications have been made in the interest of sick people, pensioners and serving employees:-

The referral shall be valid for consultations upto 3 times in the same hospital within 30 days.

CGHS beneficiaries have been permitted to consult upto 3 Specialists, if required during a single visit.

III. Investigations advised by Specialist of Private Empanelled Hospitals may be undertaken if they are required in emergency as certified by Specialist without endorsement by CGHS.

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

PIB

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GOVERNMENT OF INDIA
MINISTRY OF HEALTH AND FAMILY WELFARE
LOK SABHA

UNSTARRED QUESTION NO: 1236

ANSWERED ON:09.02.2018

Poor Condition of CGHS Dispensaries

Tejpratap Singh,Yadav

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

(a) whether the Government is aware of poor functioning of CGHS dispensaries due to malfunctioning of server, depleted strength and absence of doctors/staff, discontinuation of visit of Medical specialist, lack of infrastructure and nonavailability of medicines daily, long queue of patients, working of dispensaries in rented building etc. and if so, the details thereof;

(b) whether the Government has received a number of such complaints regarding poor functioning of CGHS in the country including Delhi;

(c) if so, the details thereof, dispensary-wise along with the action taken by the Government on such complaints so far during the last three years;

(d) whether the Government has ever conducted any enquiry/ audit/ study on the functioning of CGHS facility in the country and if so, the details and outcome thereof and if not, the reasons therefor; and

(e) the other steps taken by the Government to improve the functioning of CGHS in the country?

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:-

ANSWER

THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND

FAMILY WELFARE

(SHRI ASHWINI KUMAR CHOUBEY)

(a): Yes; problems of breakdown of internet connectivity, shortage of manpower including Doctors/Staff, some CGHS Dispensaries working in rented buildings etc. have been brought to the notice of CGHS.

(b) & (c): Information is being collected and will be laid on the Table of the House.

(d) No, Regular inspection of CGHS Wellness Centres is undertaken by all the Additional Directors of concerned CGHS cities, therefore, the need of separate study was not felt.

(e) Following steps have been taken to improve the functioning of CGHS in the country:-

(i) Govt. has recently permitted CGHS beneficiaries to avail OPD consultation from Specialists at CGHS empanelled Hospitals.

(ii) The requirement of separate permission letter for taking treatment at empanelled hospitals has been done away with once a specific treatment procedure has been advised by a Govt. Specialist/CGHS Doctor.

(iii) Provision for self-printing of CGHS cards by CGHS beneficiaries after it has been verified by Additional Director of concerned CGHS city has been made.

(iv) CGHS beneficiaries also have the option to avail online appointment system for consulting a CGHS Doctor and they can reach the Wellness Centre a little before the scheduled appointment and avoid standing in a queue.

(v) Orders have been issued for special facilities for CGHS beneficiaries aged 80 and above. They need not stand in a queue and their medical claims shall be processed on priority.

(vi) Provision for online transfer of CGHS cards of serving employees has been made in case of transfer to other CGHS covered cities without surrendering the card.

(vii) CGHS beneficiaries have the option to avail facilities from any CGHS Wellness Centre in the Country.

(viii) CGHS beneficiaries have the option to obtain medicines upto 3 months in case of chronic illness.

(ix) Data cards for internet access have been provided to CMO I/c of CGHS Wellness Centres to manage during breakdown of net connectivity.

Source : Lok Sabha

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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.

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Details of the CGHS Wellness Centres opened by the Government across the country during the last 3 years and the current year, State/UT – wise are given below:

Details of the CGHS Dispensaries/Wellness Centres
Opened in the last 3 years and the current year

There are some states which did not have CGHS Dispensaries / Wellness Centres. Therefore, orders have been issued on 17.11.2014 for opening of at least one CGHS wellness centre in the capital city of all States at the following locations:

Raipur, Shimla, Itanagar, Panaji, Agartala, Imphal, Aizwal, Kohima, Gangtok, Gandhi Nagar, Puducherry.

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

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The CGHS does not have regional offices. CGHS Wellness Centres function under the administrative control of the Additional Director, CGHS of the city. Details of the office of Additional Director, CGHS city wise is given below:

CITY WISE DETAILS WHERE THE OFFICE OF ADDITIONAL

DIRECTORS/CGHS IS LOCATED

The Health Minister, Shri J P Nadda stated this in a written reply in the Lok Sabha here today.

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CGHS beneficiaries including senior citizens can avail of specialist consultation from any government institution of the Central Government, State Government or local bodies. However, to avail of a procedure/investigation from a private empanelled hospital, a referral from the concerned CGHS Wellness Centre is necessary.

Following efforts have been made to provide better services to the senior citizens/pensioners:

1. There is a separate queue for senior citizens/ pensioners at registration counter and pharmacy counter in the CGHS Wellness Centres.

2. Senior citizens / pensioners can consult CMO i/c without standing in queue.

3. In case of emergency, CGHS beneficiaries including Senior citizens / pensioners can visit any hospital, empanelled or non-empanelled and avail medical treatment without any referral.

The Health Minister, Shri J P Nadda stated this in a written reply in the Lok Sabha here today.
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