Friday, November 21, 2008

CS(MA) RULES FOR CENTRAL GOVERNMENT EMPLOYEES



REVISED GUIDELINES FOR RECOGNITION OF PRIVATE HOSPITALS UNDER CS(MA) RULES FOR CENTRAL GOVERNMENT EMPLOYEES AND THEIR FAMILY MEMBERS. 


1.The proposal for recognition of a private hospital under CS (MA) Rules should be recommended/forwarded by the local Central Government Employees Welfare Co-operation Committee. 


 2.The proposal should also be recommended/forwarded by the Health Department of the respective State Government. 


 3.A minimum number of 500 Central Government employees should be residing in the city and be benefited by the recognition of the hospital under CS (MA) Rules. 4.An adequate number of beds should be available in the hospital preferably: (a) 100 for class 'A' cities. (b) 50 for class 'B' cities (c) 30 for class 'C' cities However, the above criteria can be relaxed according to requirement. 5.A hospital providing generalized treatment and diagnostic facilities should have the following departments:- UPTO 100 BEDDED HOSPITAL MEDICAL AND ALLIED DISCIPLINES 1. Anaesthesiology 2. Emergency Services 3. General Medicine 4. General Surgery 5. Obst. & Gynaecology 6. Paediatrics 7. Pathology 8. Radio Diagnosis 100 AND ABOVE BEDDED HOSPITAL 1. Anaesthesiology 2. Blood /Transfusion 3. Emergency Medical & Trauma Services 4. Dentistry 5. Dexmatology & Venerology 6. General Medicine 7. General Surgery 8. Obst. & Gynaecology 9. Opthalmology 10. Orthopaedics 11. Oto Rhino Laryngology 12. Paediatircs 13. Physical Medicine 14. Psychiatary 15. Radio Diagnosis including Imaging. The hospital should meet the following fundamental aspects of hospital planning. 


 A. FUNCIONAL REQUIREMENT The hospital should provide the following facilities to the patients:- 
 (a) O.P.D. treatment 
(b) Indoor patient treatments 
(c) Supportive and Basic Diagnostic facilities
 (d) Operation Theatre and Labour Room facilities. 


B. BUILDING AND SPACE REQUIREMENT (a) The building must comply with the local municipal bye-laws. (b) The floor space available for patients should be at least 100 sq.ft.per bed. There should be one lavatory/bathroom for 1-5 beds. (c) Isolation arrangements should be immediately available for septic and infection cases. (d) A nurses duty room should be available with facilities for the nurses to carry on their duties efficiently. (e) A separate labour room and a separate operation theatre shall be provided with minimum floor space of 180 sq.ft. each. (f) There should be provisions for a standby generator for meeting emergency requirement in case of a power failure. 


 C. MANPOWER REQUIREMENT (a) The hospital should have adequate manpower both medical and paramedical including specialists (Full Time/visiting) for each specialty/ department available, commensurate with the bed strength of the hospital for providing reasonable quality medicare. (b) The hospital should have adequate number of qualified Resident Medical Officers for providing round the clock emergency treatment. 


 D. INSTRUMENT/EQUIPMENT The hospital should have the major equipment for providing reasonable diagnostics (pathological and radiological) resuscitative, therapeutic and operative facilities commensurate with the bed strength, departments and specialties available in the hospital. (Minimum standards as per B.I.S. will be considered for recommending the case). 


 6. The hospital should provide round the clock emergency and trauma services. 


 7. The hospital should have a minimum of one major O.T., one minor O.T. and a labour room in the hospital. 


 8. Wherever required, a visit to inspect the facilities available in the hospital may be carried out by a team of experts constituted with the approval of D.G.H.S or the agency nominated by the Ministry of Health & Family, for which inspection fee, as applicable will have to be deposited by the hospitals with the inspection agency. 


 9. The recognition may be granted for a fixed period i.e. 4 years at a time. After that period, the hospital will be requested to re-apply for recognition giving the relevant details. The hospital should apply at least three months prior to expiry of its recognition to Department of Health & Family Welfare for re-recognition. 


 10. The rates charged by the hospital for various diagnostic and therapeutic procedures should be at par or less than the rates being charged by nearby private recognized hospitals of similar nature under CS (MA) Rules. If no such recognized hospitals are available in the nearby areas, rates may be compared with rates of C.G.H.S. approved hospitals in a similar class of city (as per classifications made by the Government in respect of City Compensatory Allowance). 


 11. For hospitals providing specialized/super specialized treatment/diagnostic facilities, additional technical information as required will be obtained before recommending the same for recognition under CS (MA) Rules. 


 12. The hospital should submit an undertaking that the requirements of the statutory provisions relating to 'Disposal of Bio-Medical Waste' are being complied with. 


 13. The hospitals applying for recognition under CS(MA) Rules, 1944, should furnish details regarding any adverse rulings from Consumer Courts or any other Court of Law on a case filed by a patient or his/her relative/friend against improper medical care or wrong medical care, and whether any appeal his pending in any higher Court of Laws during the last five years. 


 14. A certificate to be furnished by the applicant certifying the veracity of the particulars given in the application for recognition; and 15. Furnishing of information in the application as to whether the hospital is (i) ISO certified (ii) accredited to QCI or (iii) adhering to Bureau of Indian Standards For downloading "A" Certificate and "B" Certificate...





3 comments:

Anonymous said...

A central govt.servant(civilian) under the ministry of defence has been suspended under rule No 14 / 16 of the ccs rules. The charge is not a criminal one but civil.Is it correct to ban his entry in to the residential area of the organisation where the dispensary, bank, post office, hotels are located and his co workers are staying in the Quarters .Is it not against the human rights. Kindly explain and if correct give reasons and authority.

Rakesh said...

How to find list of inadmisable medicines viz Foods, Tonics etc like Isabgole Husk/ Granules being used as Laxative / dietry suppliment.Please guide.

Anonymous said...

Suspension is under Rule 10 and not under Rule 14 or 16 of CCS (CCA) Rules.

Suspension is to prevent tampering of evidence/records. If an employee has been suspended on account of moral turpitude or suspected of prejudicing the security of the state, such employee is not allowed to enter office as the presence of that employee is expected to have undesirable effect on others.

Suspension is only from duty. Suspended employee continues to be employee and is entitled to medical facilities, retention of quarters, etc. Therefore, barring entry from dispensary or availing bank facilities is not correct. If dispensary or bank is located within office premises, such employee has to be accorded specific permission to use these facilities. If permission is denied, it will amount to denial of right to life and thus results in violation of Article 21 of the Constitution.

Authority - Rule 10 of CCS (CCA) Rules and GOI orders thereunder and Constitution of India - Articles 14, 16, and 21.

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