GOVERNMENT OFANDHRA PRADESH

ABSTRACT

 

Andhra Pradesh Integrated Medical Attendance Rules, 1972 – Medical Treatment to State Government employees / Retired employees and their dependents– Recognition of  Rainbow Children’s  Hospital, 22, Road No.4 (Old Road No.10) Banjara Hills,  Hyderabad as referral hospital  for the  specialised treatment for all  diseases to the dependent children  of State Government employees and Retired employees- Recognition  Accorded – Orders – Issued.

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HEALTH, MEDICAL & FAMILY WELFARE (K1) DEPARTMENT

 

 

G.O.Ms.No:493                                                                   Dated:11th September, 2003.     

                                                                                 Read the following:-

 

1.           G.O.Ms. No.38, HM&FW (K1) Dept .dated. 23-01-96.

2.           G.O.Ms.No.175, HM&FW (K1)Dept. dated.29-5-97.

3.           From the  Director,  Rainbow Children’s hospital,  Banjara Hills, Hyderabad.  Reptn dt 13.6.2000.

4.       From the Director of Medical Education, A.P. Hyd. letter. 

           No.159//MAA/2000, dated 21.2.2002 and 8.4.2002.

 5.       Govt.letter.No.19186/K1/2000-10, dated.11.8.2003. 

6.       From the  Director,  Rainbow Children’s  Hospital, Banjara Hills,       

   Hyderabad, letter dated 13.8.2003.              

-oOo-

ORDER:

 

       In the G.O. first read above, orders have been issued recognising certain private hospitals within and outside the State as referral hospitals for the treatment of the Government employees, Retired employees and their dependents on reimbursement basis.  Subsequently, some more hospitals have also been included in the list of recognised hospitals as referral hospitals within the State.

 

2      In the reference third read above, the Director, Rainbow Children’s Hospital, Banjara Hills, Hyderabad has stated that the hospital has been established for the first time in Andhra Pradesh, an intense and focused approach to create hospital infrastructure comparable to western standards and equip the facility with advanced high technology life support and diagnostic gadgets to cater to the delicate and critical needs of children.  He has also stated that Rainbow Children’s hospital is the only exclusively pediatric super speciality hospital to provide most clinical services under one roof  in Southern India. 

 

 

3      The Director, Rainbow Children’s Hospital, Banjara Hills, Hyderabad has, therefore, requested the Government to consider Rainbow Children’s Hospital, Banjara Hills, Hyderabad as a referral hospital for the dependent children of the Government employees.

 

4      The matter has been referred to the Director of Medical Education, AP Hyderabad for report.  The Director of Medical Education, in turn, has referred to the Superintendent, Niloufer hospital, Hyderabad. In their report dated 6.12.2001, the Inspection Committee of Niloufer hospital, Hyderabad has reported that the building and the infrastructure is just adequate and appropriate with separate launge, OPD reception, NICU, PICU, Paed: General wards and paying rooms.  The faculty is well qualified and competent in their respective specialities of Neonatology and Paed, Gastroenterology, the paramedical staff and the nursing staff are well trained and adequate.  The Inspection Committee has also stated that the Paed, Intensive Care Unit is well equipped and staffed by residents for quick stabilisation and resuscitation and has all the facilities to treat critically ill children including a good lab support for the investigations.  The Neonatal intensive care has all the facilities and equipment like infant incubators, ventilators, cardiopulmonary monitors, photo therapy units, ABG & Biochemical analyses.  It is adequately staffed and amnsed by experts, such facility is now available only in institute of child health i.e. Niloufer Hospital, Hyderabad in Government sector.  Paediatrics gasteroenterology unit in Rainbow hospital has the latest fibroptic endoscopic facilities in the state of the art and which are very much needed for detecting gastroenterology problems, Such facility of Pediatric gastroentrology diagnostic and therapeutic are presently available in G.E. Department of Osmania General Hospital.  The Inspection Committee has finally concluded that Rainbow children’s hospital has optium facilities for comprehensive care and service to the sick children who need special care.                                                                                                                      

 

5      In the letter fourth read above, the Director of Medical Education has forwarded the above Inspection report and recommended that the Rainbow Children’s Hospital, Hyderabad may be recognised as referral hospital for the treatment to the dependent children of the State Government Employees both in service and retired for reimbursement purpose.

 

6.     In the letter fifth read above, the Director, Rainbow Children’s Hospital, Hyderabad has been informed that Government proposed the following conditions for considering the request for recognition of their Hospital:-

 

 

a) The recognised  hospital should  charge 10% less than NIMS rates to give 5% free treatment  including in-patient treatment for white card holders.

b)   To adopt two Primary Health Centers in rural areas for delivery of quality  and  better  health  services to rural  people

c)   Free medical treatment to students of Andhra Pradesh Social Welfare 

     Residential Schools when referred by officials.

d)   To furnish half yearly return as per Annexure.

 

7.     In the representation sixth read above, the Director Rainbow Children’s Hospital, Banjara Hills, Hyderabad has accepted and conveyed his willingness to abide the above provisions/conditions laid down by the State Government to recognise Rainbow Children’s Hospital as referral hospital for specialized treatment.

 

8.     Government after careful consideration of the matter and in terms of Rule 7 of Andhra Pradesh Integrated Medical Attendance Rules,1972, hereby accord recognition to Rainbow Children’s Hospital, Banjara Hills, Hyderabad-500 034, as a referral Hospital  for the specialised treatments  to the dependent children of State Government  employees and retired employees on reimbursement  basis, subject to the following conditions:-

 

(i)            The above Private Hospital mentioned will be referral hospital for all emergency cases of Acute Mycoardial Infracture; Acute Coronary Disease; Acute Renal Failure; Severe cases of Head and spinal injury and cases of Coma;

(ii)            Referral of patients to the said private hospital should be from the Director, Nizam’s Institute of Medical Sciences, Hyderabad, Director, Sri Venkateswara Institute of Medial Sciences, Tirupati and other Government Teaching hospitals in   the State;

(iii)         The NIMS/SVIMS, Government Teaching Hospitals shall ensure that facilities available in their hospitals are fully utilised in the first instance, before referring the patients to the said private hospital. 

(iv)        The Hospital concerned should charge 10% less than the NIMS rates or as may be prescribed by the Committee constituted in G.O.Rt.No.90, HM&FW(G1)Dept, dt.29-01-2003 or Hospital Development Societies constituted in G.O.Ms.No.90, HM&FW (M1) Dept, dt.17-4-2003 from the Government employees and their dependents, in case where speciality is not available in NIMS. The Hospital should issue a certificate to the concerned employee/retired employee to the effect that the charges collected are 10 % less than the existing NIMS rates for the said treatment or as per rates prescribed by Committee referred to above.

v)             The Hospital should give free treatment for outpatient and in-patient services including diagnostic and clinical services to the white card holders of the State of Andhra Pradesh or persons below poverty line (BPL) to a minimum of 5% of bed strength or 5% of the patients treated in the hospital in the previous year. This should be properly documented in a Register by the said hospital and the said Register will be subject to verification by the officer of O/o Director of Medical Education, A.P. Hyderabad periodically. The below poverty line (BPL) patients will be referred by the District Referral Committee headed by the District Collector concerned or PO, ITDA or Superintendents of Government Hospitals or by Government in Health Medical and Family Welfare Department.

vi)          The Hospital should adopt two Primary Health Centers (PHCs) in rural areas for delivery of better health services to rural people. The Director of Medical Education will identify the two PHCs., for this purpose in consultation with hospital concerned.

vii)         The Hospitals should give free medical treatment to students of            Andhra Pradesh Social Welfare Residential School, Tribal Welfare          Residential Schools/B.C Welfare Residential Schools whenever          referred by the Principal of the Residential Schools, Government          Medical Officer, District Referral Committee, District Social Welfare          Officer or PO, ITDA or any authorised official to be notified by Government in  HM&FW Department from time to time.

viii)   The Hospital shall furnish a monthly return of BPL cases in Annexure-I enclosed to this G.O. to the Director of Medical Education, A.P.  Hyderabad.

ix)     A 20% cut shall be imposed on the gross admissible amount within the 

ceiling limit as certified by the Director of Medical Education, A.P. Hyderabad on the cases where the patient admitted in the above private hospital under emergency condition without referral letter from  NIMS / SVIMS / any Government Teaching Hospitals.

x)            The recognition accorded to the Private hospital is valid for a period of three years from the date of issue of this order and they should seek renewal from Government within three months before the expiry of the said period.

xi)           The Hospital will be inspected each quarter by a team of doctors to satisfy themselves about complying with the conditions mentioned above and the facilities available.

 

9.     The permission accorded in para (8) above is liable for cancellation   and such other action as deemed fit, whenever the State Government forms the opinion that the said Private Hospital is not  providing  treatment to the State Government employees/retired employees and their dependents as stipulated above  and violates the above conditions  mentioned  therein,  after  giving  (15)  days  notice  to the Hospital and pass appropriate  orders,  after considering  the representation,  if any,  offered  by the said  Hospital .

 

10.    The Director of Medical Education, AP, Hyderabad, shall take necessary further action in the matter accordingly.

 

11.    This order issues with the concurrence of Finance Department vide their U.O.No.21899/666/A2/EXP HM&FW-I/03, Dated 03-09-2003.

 

(BY ORDER AND IN THE NAME OF THE GOVERNOR OF ANDHRA PRADESH)

 

M.CHAYARATAN

PRINCIPAL SECRETARY TO GOVERNMENT

To

The Director, Rainbow Children’s Hospital, 22, Road No.4 (Old Road No.10) Banjara Hills, Hyderabad.

The Director of Medical Education, A.P. Hyderabad.

The Director, Nizam’s Institute of Medical Sciences, A.P. Hyderabad.

The Director, Sri Venkateswara Institute of Medical Sciences, Tirupati

The Director of Health A.P. Hyderabad.

The  Director General, Medical & Health Services and Commissioner ,

A.P Vaidya  Vidhana Parishad  A.P. Hyderabad

All Heads of the Departments  under the control of HM&FW Department.,

All Departments of Secretariat.

All Heads of the Departments.

The Commissioner of Social Welfare, A.P. Hyderabad./The Commissioner of Tribal Welfare, Andhra Pradesh, Hyderabad.

All District Collectors in the State.

All  the Superintendents of Government  Teaching Hospitals  in the State

All District Coordinators of  Hospital Services  in the State 

All District Medical and Health Officers  in the State.

All District Social Welfare Officers in the State.                

All District Referral Committee in the O/o District Collectors in the State.

All  the Superintendents of Police in the State.

All Commissioners of Police in the State.

Copy to:

The Registrar. High Court of Andhra Pradesh ,Hyderabad.

The Registrar, A.P.Administrative Tribunal, Hyderabad.

The Secretary,.  A.P. Public Service Commission, Hyderabad.

The Secretary, A.P. Social Welfare Residential School Society, Hyderabad..

The Pay and Accounts Officer, Hyderabad..

The Accountant General, (A&E),  A.P. Hyderabad.

The Director of Treasuries  and Accounts, A.P., Hyderabad.

All District Treasury Officers in the State.

The Commissioner, Printing , Stationery and Stores Purchases (Printing  Wing) Government Press , Chanchelguda, Hyderabad  (with a request to publish and  furnish 1000 printed copies  of the G.O. to   the Government and  1000  copies to the DME., AP, Hyderabad)

The Civil Surgeon Specialist Civil  Dispensary, A.P, Secretariat, Hyderabad.

The Finance  (EBS.VIII) Department.

The General Administration  (SW/SC-X / Poll-C) Department.

The General Administration  (Coordination) Department.

The HM & FW (OP) Department    

The Commissioner, Information &Public Relations Department.

The President, A.P. Secretariat  Association Secretariat Buildings, Hyderabad

The President, A.P.N.G.O. , Association .5-9-1112, Chaitanya Gun Foundry, Hyderabad.

The President, A.P.S.G.R.E.A., Badi Chowdi, Sultan Bazar, Hyderabad

The President, A.P.T.N.G.Os., Secretariat, Hyderabad.

J.S. to  C.M.

P.S. to M (HM&FW)

P.S to M (Finance)

P.S. to C.S. to Government .

P.S. to Prl. Secretary to Govt., HM&FW Department

P.S. to E.O. Secretary Govt., HM&FW Department

SF/SCs.

// FORWARDED :: BY  ORDER //

 

SECTION OFFICER

 

Note:  This G.O. is available in the Internet and can be accessed at the address http:// www.aponline.gov.in

 

ANNEXURE –1

 

Sl.No.

Age  and address

Institution / Officer who has referred

Particulars  of reference

Disease  or Health Problem

Treatment  provided

Approximate value of treatment