Good practices amp Innovations Well maintained health care facilities leading to high utilization of services by patients Line listing of severe anemic women and follow up mechanism in place Effective ID: 935778
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Slide1
Chandigarh
Slide2Good practices & Innovations
Well maintained health care facilities leading to high utilization of services by patients
Line listing of severe anemic women and follow up mechanism in place
Effective
implementation of RNTCP with
high
Success Rate
(89%),
Nikshay
(99%,) and HIV-TB
cross
referral (100%)
Reduce
prevalence of Malaria with no case of P. falciparum
Active involvement of PGIMER and Govt. Medical College, Chandigarh
Innovative “Alternative
Medical
Units”
(at sub-centres) with Medical
Officers
Slide3MAJOR ISSUES
Patient satisfaction survey, prescription, clinical audit not initiated
Grievance
redressal
mechanism is not in place
Low coverage of school eye screening ; convergence with RKSK
Sub-optimal utilization of ASHAs; leading to poor retention
Low utilization of funds under some programs
Delay in release of funds from Treasury to NHM
Slide4Key Recommendations
Set up system of electronic patient records
Link up with Punjab for e-
aushdhi
system of procurement & logistics
Increase visibility of NUHM: rename Civil Hospital, Sect 45 as U-CHC
All health care facilities may be transferred under UT Administration
Funds collected by RKS through user charges should be used for healthcare facility as per guidelines
Organize orientation of finance and accounts staff in various facilities.
Slide5Action Taken by State
Slide6A Healthy Citizen shall be a Smiling Citizen
National Health Mission
UT Chandigarh
Dated 02.06.2017
Slide7Health
Facilities/No. of Beds
No.
Level of Services
PGIMER
(1948 Bedded)
Medical College
(728 Bedded)
2
Tertiary
care
District
Hospital
(500 Bedded)
ESI Hospital
(50 Bedded)
2Secondary LevelSub-District Hospital (MM) (100 Bedded)1CHC/UCHC CH-22 (50 Bedded) CH-45 (50 Bedded)2Urban -PHC (MJ, Dhanas, DM)3Primary LevelUrban Dispensaries26Rural Dispensaries9Alternative Medical Units (AMUs)7Sub-Centres(including AMUs)17
Chandigarh Map and Health Infrastructure
Slide8Good Practices & Innovations
Well maintained health care facilities leading to high utilization of services by patients
Line listing of severe anemic women and follow up mechanism in place
Effective implementation of RNTCP with high Success Rate (89%),
Nikshay
(99%,) and HIV-TB cross referral (100%)
Reduce prevalence of Malaria with no case of P.
falciparum
Active involvement of PGIMER and Govt. Medical College, Chandigarh
Innovative “Alternative Medical Units” (at sub-centres) with Medical Officers
Slide9Action Taken of CRM Observation
Sr
. No
Major issues
Reply
1
Patient satisfaction survey, prescription, clinical audit not initial
The Patient Satisfaction Survey has been initiated for OPD of GMSH, Sector-16 and for IPD patient, satisfaction is in the process
2
Grievance
redressal
mechanism is not in place
Grievance
redressal
committees formed.
Portal based Grievance Redressal System implemented.Grievance redressal mechanism is being implemented in a phased manner whereby the establishment of Helpline is under the process as the funds have been released in the supplementary PIP. The complaint Redressal boxes are in place and the complaints received via email are being addressed on regular basis by a designated personnel. Signages regarding the rights of the patients and Citizen Charter have also been displayed at various placed. Grievances received through ”CP GRAM “ are also being addressed on regular basis at the earliest.
Slide10Action Taken of CRM Observation
Sr
. No
Major issues
Reply
3
Low converge of school eye screening; convergence with
RKSK
Fresh training for school eye screening has been organized for RBSK teams on 4th March 2017.
Dr.Rana
P.O NPCB as a major resource person oriented the doctors of mobile health teams for upgrading the quality of eye screening of children and also maintain data in this regard so that correction of refractory errors and management of other eye problems can be achieved
.
Refresher training of Mobile health teams was organised on 4th March,2017 at RBSK centre, CD-19 by P.O NPCB.
Snellen
charts were provided by P.O NPCB to all the mobile health teams to improve the screening of children in schools and out of schools for eye problems.
RBSK centre CD-19 has a running refraction
center ( part of DEIC) where Refractionist is posted for refraction of referred school children upgradation is under process.Spectacles are provided free of cost by NPCB as per requirement.
Slide11Action Taken of CRM Observation
Sr
. No
Major issues
Reply
4
Sub-optimal utilization of ASHA; leading to poor retention
The training
for ASHAs
was conducted on 16.03.2017
and 17.03.2017
and instructions were given to them regarding their work.
5
Low utilization of funds under some programs
79.34% funds have been utilized as per the availability of funds as on 31.03.2017 .
Release of funds from Treasury to NHM has been streamlined and is being received in NHM account within one month
approx.6Delay in release of funds from Treasury to NHM7Set up system of electronic patient recordsU.T. Chandigarh has initiated the implementation of Cloud based NIC system i.e. E-Hospital in four city hospital. The three modules of e-Hospital is made functional at two city hospital i.e. GMSH, Sector-16 and UCHC-45 which will help in establishing the system. The contract for digitalization of patient records has been awarded to Wright Brothers and has been started.
Slide12Action Taken of CRM Observation
Sr
. No
Major issues
Reply
8
Link up with Punjab for e-
aushdhi
system of procurement & logistics
Procurement
system is in place at GMSH-16. For purchase of 46 drugs as per EDL is underway (39 drugs are being procured through CPS, 2 drugs from ESI rate contract and 5 drugs are being procured through tender process.
9
Increase visibility of NUHM: rename Civil Hospital, Sector:-45 as U-CHC
Display boards of UCHC
have
already been displayed
10All health care facilities may be transferred under U.T. AdministrationThe matter has been taken up by the Chandigarh Administration11Funds collected by RKS through user charges should be used for healthcare facility as per guidelinesThe procedure of the same is underway and a letter has been written to Ministry of Home Affairs, GOI for approval the same. 12Organize orientation of finance and accounts staff in various facilities.Has been undertaken
Slide13Future Plan
Sr.No
Major issues
Future Plan
1
Patient satisfaction survey, prescription, clinical audit not initial
The Patient Satisfaction
survey is undertaken
for all OPD & IPD services on monthly basis. Facility scores are generated in Quality Assurance.
My hospital is under implementation w.r.t. IVRS based patients satisfaction system. It is implemented in one Hospital CH- sector 45, and under implementation for 3 other city hospitals.
2
Grievance
Redressal
mechanism
is not in place
104 call
center based GRS system to be implemented in 2017-18
Slide14Future Plan
Sr
. No
Major issues
Future Plan
4
Sub-optimal utilization of ASHA; leading to poor retention
The
incentives for ASHAs has been proposed under various health programmes so that their carry home lump sum amount can be increased. This will help in
retaining them efficiently
.
5
Set up system of electronic patient records
U.T.
Chandigarh has implemented online Birth & Death Registration through RGI portal, e-hospital system of NIC, MCTS all will be integrated with Aadhar/UID to have complete EHR in near future.
Slide15Thank You