launching of Rajiv arogyasri by YSR
CM YSR MESSAGE ABOUT RAJIV AROGYASRI
In order to improve access of rural people especially those living below poverty line to quality medical care, Government of Andhra Pradesh have implemented Aarogyasri Health Insurance Scheme in the State in a phased manner with effect from 1st April, 2007. The scheme covers BPL population of Rs.6.56 cores in all 23 districts of the State, providing cashless treatment for 863 major surgical diseases.
One of the key elements of the scheme is the ‘cashless arrangement’ with the network hospitals where under the beneficiary once registered do not have to pay at all for the entire process of treatment. This has become possible by evolving package rates which in addition to the actual cost of treatment includes conduct of health camps, screening of patients, diagnostics, testing and treatment, food, transport and follow-up medicines. The package rates are for end to end cashless treatment of the poor living below poverty line in network hospitals. The rates have redefined the relationship between the hospitals and the poor patients as lack of money with them is no longer a constraint to get the best of the medical care available in any corporate or government hospital in the State.
Encouraged by the success of the ongoing scheme, Government have launched Aarogyasri-II scheme in all 23 districts with effect from 17th July, 2008, to include a large number of additional surgical and medical diseases to enable many more BPL people who are now suffering from acute ailments, to lead a healthy life. 30 groups of eminent doctors from the Government and corporate hospital sectors have through a series of discussions and in consultation with the managements of corporate hospitals evolved package rates for new diseases. The rates finalized reflect as much the social commitment of network hospitals as the economy in the scale of operation of Aarogyasri Scheme. Aarogyasri-II scheme is an extension of the ongoing Health Insurance Scheme. The front end of the ongoing scheme viz., network hospitals, Aarogyamithras, Health Cards etc., will remain the same. Only difference would be that the pre-authorization and claim processing for the new diseases would be done by the Trust directly and funded from the C.M. relief fund.
My Government dedicates this unique scheme for the people living below poverty line in Andhra Pradesh.
One of the key elements of the scheme is the ‘cashless arrangement’ with the network hospitals where under the beneficiary once registered do not have to pay at all for the entire process of treatment. This has become possible by evolving package rates which in addition to the actual cost of treatment includes conduct of health camps, screening of patients, diagnostics, testing and treatment, food, transport and follow-up medicines. The package rates are for end to end cashless treatment of the poor living below poverty line in network hospitals. The rates have redefined the relationship between the hospitals and the poor patients as lack of money with them is no longer a constraint to get the best of the medical care available in any corporate or government hospital in the State.
Encouraged by the success of the ongoing scheme, Government have launched Aarogyasri-II scheme in all 23 districts with effect from 17th July, 2008, to include a large number of additional surgical and medical diseases to enable many more BPL people who are now suffering from acute ailments, to lead a healthy life. 30 groups of eminent doctors from the Government and corporate hospital sectors have through a series of discussions and in consultation with the managements of corporate hospitals evolved package rates for new diseases. The rates finalized reflect as much the social commitment of network hospitals as the economy in the scale of operation of Aarogyasri Scheme. Aarogyasri-II scheme is an extension of the ongoing Health Insurance Scheme. The front end of the ongoing scheme viz., network hospitals, Aarogyamithras, Health Cards etc., will remain the same. Only difference would be that the pre-authorization and claim processing for the new diseases would be done by the Trust directly and funded from the C.M. relief fund.
My Government dedicates this unique scheme for the people living below poverty line in Andhra Pradesh.
Rajiv Aarogyasri Community Health Insurance Scheme
(Aarogyasri I)
Aarogyasri I am a unique Community Health Insurance Scheme being implemented in Andhra Pradesh from 1st April, 2007. The scheme provides financial protection to families living below poverty line up to Rs. 2 lakhs in a year for the treatment of serious ailments requiring hospitalization and surgery. 330 procedures are covered under the scheme. The scheme is being implemented through Insurance Company, selected through a competitive bidding process. The objective of the scheme is to improve access of BPL families to quality medical care for treatment of identified diseases involving hospitalization, surgeries and therapies through an identified network of health care providers. The scheme provides coverage for the systems like Heart, Lung, Liver, Pancreas, Renal diseases, Neuro-Surgery, Pediatric Congenital Malformations, Burns, Post -Burn Contracture Surgeries for Functional Improvement, Prostheses (Artificial limbs), Cancer treatment (Surgery, Chemo Therapy, Radio Therapy), Polytrauma (including cases covered under MV Act) and Cochlear Implant Surgery with Auditory-Verbal Therapy for Children below 6 years (costs reimbursed by the Trust on case to case basis). All the preexisting cases of the above mentioned diseases are covered under the scheme.
The beneficiaries of the scheme are the members of below poverty line (BPL) families as enumerated and photographed on the Rajiv Aarogyasri Health Card / BPL Ration Card. The benefit on family is on floater basis i.e. the total reimbursement of Rs.1.50 lakhs can be availed of indiAvidually or collectively by members of the family. An additional sum of Rs 50,000 is provided as buffer to take cares of expenses if it exceeds the original sum i.e. Rs 1.50 lakhs per Individual / family. Cost for cochlear Implant Surgery with Auditory Verbal Therapy is reimbursed by the Trust up to a maximum of Rs.6.50 lakhs for each case.
The transaction is cashless for covered procedures. BPL beneficiary can go to hospital and come out without making any payment to the hospital for the procedures covered under the scheme. The same is the case for diagnostics if eventually the patient does not end up in doing the surgery or therapy. Hospitals have to conduct at least one free medical camp in a month, there by taking advanced evaluation to the doorstep of patient. All the Primary Health Centers (PHCs) which are the first contact point, Area / District Hospitals and Network Hospitals, are provided with Help Desks manned by AAROGYA MITHRAs to facilitate the illiterate patients. The Aarogyamithras were selected by the Mandal Samakhyas under Indira Kranti Patham (Self Help Group Movement).
(Aarogyasri I)
Aarogyasri I am a unique Community Health Insurance Scheme being implemented in Andhra Pradesh from 1st April, 2007. The scheme provides financial protection to families living below poverty line up to Rs. 2 lakhs in a year for the treatment of serious ailments requiring hospitalization and surgery. 330 procedures are covered under the scheme. The scheme is being implemented through Insurance Company, selected through a competitive bidding process. The objective of the scheme is to improve access of BPL families to quality medical care for treatment of identified diseases involving hospitalization, surgeries and therapies through an identified network of health care providers. The scheme provides coverage for the systems like Heart, Lung, Liver, Pancreas, Renal diseases, Neuro-Surgery, Pediatric Congenital Malformations, Burns, Post -Burn Contracture Surgeries for Functional Improvement, Prostheses (Artificial limbs), Cancer treatment (Surgery, Chemo Therapy, Radio Therapy), Polytrauma (including cases covered under MV Act) and Cochlear Implant Surgery with Auditory-Verbal Therapy for Children below 6 years (costs reimbursed by the Trust on case to case basis). All the preexisting cases of the above mentioned diseases are covered under the scheme.
The beneficiaries of the scheme are the members of below poverty line (BPL) families as enumerated and photographed on the Rajiv Aarogyasri Health Card / BPL Ration Card. The benefit on family is on floater basis i.e. the total reimbursement of Rs.1.50 lakhs can be availed of indiAvidually or collectively by members of the family. An additional sum of Rs 50,000 is provided as buffer to take cares of expenses if it exceeds the original sum i.e. Rs 1.50 lakhs per Individual / family. Cost for cochlear Implant Surgery with Auditory Verbal Therapy is reimbursed by the Trust up to a maximum of Rs.6.50 lakhs for each case.
The transaction is cashless for covered procedures. BPL beneficiary can go to hospital and come out without making any payment to the hospital for the procedures covered under the scheme. The same is the case for diagnostics if eventually the patient does not end up in doing the surgery or therapy. Hospitals have to conduct at least one free medical camp in a month, there by taking advanced evaluation to the doorstep of patient. All the Primary Health Centers (PHCs) which are the first contact point, Area / District Hospitals and Network Hospitals, are provided with Help Desks manned by AAROGYA MITHRAs to facilitate the illiterate patients. The Aarogyamithras were selected by the Mandal Samakhyas under Indira Kranti Patham (Self Help Group Movement).
About Rajiv Aarogyasri Health Care Trust
Rural population of state, majority of whom are farmers, are not having access to advanced medical treatments and are silent sufferers of ill health. This is truer in case of diseases related to heart, kidney, brain, cancer and injuries due to domestic accidents and burns. While the Government is in the process of adequately strengthening the health institutions for basic health care, lack of specialist doctors and equipments for treatment of serious diseases has created a wide gap between the disease load and the capacity of the Government hospitals to serve the poor. These facilities though available in corporate sector are catering mainly to the affordable sections of society and are beyond the reach of poor families living in villages. Because of this gap poor patients are constrained to go to private hospitals for treatment and in the process incur huge debts leading to sale of properties and assets or are, sometimes, left eventually to die.
Keeping above scenario in the mind, the government in an effort to assist the Below Poverty Line families (BPL) has decided to introduce health insurance for treating the dreaded diseases. In order to facilitate the effective implementation of the scheme, the Government has set up AAROGYASRI HEALTH CARE TRUST under the chairmanship of Hon’ble Chief Minister. The trust in consultation with the specialists in the field of insurance and medical professionals has devised a tailor made insurance scheme - The Rajiv Aarogyasri Community Health Insurance Scheme. The Star Health and Allied Insurance Co. Ltd, has been selected through a competitive bidding process to implement the scheme on Phase II w.e.f. 05/12/2007, in the three most backward districts of Andhra Pradesh viz.., West Godavari,East Godavari, Chitoor, Rangareddy and Nalgonda. Government has also decided to pay entire premium for this year.
Rural population of state, majority of whom are farmers, are not having access to advanced medical treatments and are silent sufferers of ill health. This is truer in case of diseases related to heart, kidney, brain, cancer and injuries due to domestic accidents and burns. While the Government is in the process of adequately strengthening the health institutions for basic health care, lack of specialist doctors and equipments for treatment of serious diseases has created a wide gap between the disease load and the capacity of the Government hospitals to serve the poor. These facilities though available in corporate sector are catering mainly to the affordable sections of society and are beyond the reach of poor families living in villages. Because of this gap poor patients are constrained to go to private hospitals for treatment and in the process incur huge debts leading to sale of properties and assets or are, sometimes, left eventually to die.
Keeping above scenario in the mind, the government in an effort to assist the Below Poverty Line families (BPL) has decided to introduce health insurance for treating the dreaded diseases. In order to facilitate the effective implementation of the scheme, the Government has set up AAROGYASRI HEALTH CARE TRUST under the chairmanship of Hon’ble Chief Minister. The trust in consultation with the specialists in the field of insurance and medical professionals has devised a tailor made insurance scheme - The Rajiv Aarogyasri Community Health Insurance Scheme. The Star Health and Allied Insurance Co. Ltd, has been selected through a competitive bidding process to implement the scheme on Phase II w.e.f. 05/12/2007, in the three most backward districts of Andhra Pradesh viz.., West Godavari,East Godavari, Chitoor, Rangareddy and Nalgonda. Government has also decided to pay entire premium for this year.
Details of Rajiv Arogyasri Health Insurance Scheme
Aim:
This is an innovative scheme implemented for the first time in the country. The aim is to ensure health care of the poor, through insurance. The scheme also aims at providing health care to 90 percent of the state population, ultimately.
Scope:
All the poor, having white ration cards are eligible for benefit under the scheme.
Allocation of Funds:
This is a state government scheme. Under it, hospital bills of the insured persons would be paid by the insurance companies. The premium for the insurance policy would be paid by the government.
If people are to contribute, the details:
People need not have to pay anything under the scheme.
Eligibility:
All those having white ration cards are eligible for help under the scheme.
Free medical and surgical aid to children with congenital heart problems:
The state government has also taken up a massive scheme of helping children of the poor, who were born with congenital heart problems to undergo medical of surgical treatment. The entire expenditure incurred for the treatment in expensive corporate hospitals is borne by the government
Aim:
This is an innovative scheme implemented for the first time in the country. The aim is to ensure health care of the poor, through insurance. The scheme also aims at providing health care to 90 percent of the state population, ultimately.
Scope:
All the poor, having white ration cards are eligible for benefit under the scheme.
Allocation of Funds:
This is a state government scheme. Under it, hospital bills of the insured persons would be paid by the insurance companies. The premium for the insurance policy would be paid by the government.
If people are to contribute, the details:
People need not have to pay anything under the scheme.
Eligibility:
All those having white ration cards are eligible for help under the scheme.
Free medical and surgical aid to children with congenital heart problems:
The state government has also taken up a massive scheme of helping children of the poor, who were born with congenital heart problems to undergo medical of surgical treatment. The entire expenditure incurred for the treatment in expensive corporate hospitals is borne by the government
USE AROGYASRI:YSR
World-class operation theatres opened at Gandhi Hospital
Scheme helped State hospitals leverage funds for development
Success of Gandhi Hospital should be a case study for others, says YSR
HYDERABAD:
The Rajiv Arogyasri scheme has acted as a catalyst to stimulate government hospitals from slumber and has become a change agent, transforming health sector in the State, according to Chief Minister Y. S. Rajasekhara Reddy.
Dr. Reddy was speaking at a function after inaugurating three world-class operation theatres for cardio-thoracic surgery at Gandhi hospital.
The Chief Minister, who was in an expansive mood, spoke at length about the deep-rooted problems of infrastructure and fund crunch at government hospitals before the universal insurance scheme was introduced. “Could anyone have imagined that Gandhi Hospital can ever be able to conduct nine high-end cardiac surgeries in a day? Just imagine what more can be done in years to come,” he said.
Dr. Reddy said the introduction of health insurance scheme helped government hospitals to leverage funds for infrastructure development. “The success of Gandhi Hospital in implementing Arogyasri scheme should be a case study for others in the health sector,” he said.
1,000 heart surgeries
The hospital now was capable of taking up over 1,000 heart surgeries in a year, thanks to the newly commissioned hi-tech operation theatres. “The fact that Gandhi Hospital has used a part of the money raised from Arogyasri scheme to fund infrastructure is very heartening,” Dr. Reddy said.
The Chief Minister brushed aside rumours that the hospital would be made semi-autonomous. “We accorded such status to hospitals in districts where we were facing shortage of doctors. We are starting 10 dialysis centres in various parts of the State and Gandhi Hospital is one among them,” he informed.
Nursing school
On the request of the hospital authorities, Dr. Reddy approved to set up a nursing college on the hospital premises. “We are ready to construct hostels for junior doctors and staff quarters. I just want the doctors of this hospital to rededicate themselves and keep up the good work,” he said.
The meeting was attended by Minister for Medical Education and Health Insurance Galla Aruna Kumari, Secunderabad MP Anjan Kumar Yadav, Minister for BC Welfare M. Mukesh Goud and top officials from the Health Department.
Scheme helped State hospitals leverage funds for development
Success of Gandhi Hospital should be a case study for others, says YSR
HYDERABAD:
The Rajiv Arogyasri scheme has acted as a catalyst to stimulate government hospitals from slumber and has become a change agent, transforming health sector in the State, according to Chief Minister Y. S. Rajasekhara Reddy.
Dr. Reddy was speaking at a function after inaugurating three world-class operation theatres for cardio-thoracic surgery at Gandhi hospital.
The Chief Minister, who was in an expansive mood, spoke at length about the deep-rooted problems of infrastructure and fund crunch at government hospitals before the universal insurance scheme was introduced. “Could anyone have imagined that Gandhi Hospital can ever be able to conduct nine high-end cardiac surgeries in a day? Just imagine what more can be done in years to come,” he said.
Dr. Reddy said the introduction of health insurance scheme helped government hospitals to leverage funds for infrastructure development. “The success of Gandhi Hospital in implementing Arogyasri scheme should be a case study for others in the health sector,” he said.
1,000 heart surgeries
The hospital now was capable of taking up over 1,000 heart surgeries in a year, thanks to the newly commissioned hi-tech operation theatres. “The fact that Gandhi Hospital has used a part of the money raised from Arogyasri scheme to fund infrastructure is very heartening,” Dr. Reddy said.
The Chief Minister brushed aside rumours that the hospital would be made semi-autonomous. “We accorded such status to hospitals in districts where we were facing shortage of doctors. We are starting 10 dialysis centres in various parts of the State and Gandhi Hospital is one among them,” he informed.
Nursing school
On the request of the hospital authorities, Dr. Reddy approved to set up a nursing college on the hospital premises. “We are ready to construct hostels for junior doctors and staff quarters. I just want the doctors of this hospital to rededicate themselves and keep up the good work,” he said.
The meeting was attended by Minister for Medical Education and Health Insurance Galla Aruna Kumari, Secunderabad MP Anjan Kumar Yadav, Minister for BC Welfare M. Mukesh Goud and top officials from the Health Department.
Rajiv Aarogyasri Community Health Insurance Scheme
(Aarogyasri II)
Encouraged by the success of the ongoing scheme, Government have now decided to launch with effect from 17th July, 2008, the Aarogyasri-II scheme to include a large number of additional surgical and medical diseases to enable many more BPL people who are now suffering from acute ailments, to lead a healthy life.
Aarogyasri-II scheme is an extension of the ongoing Health Insurance Scheme. The front end of the ongoing scheme viz., network hospitals, Aarogyamithras, Health Cards etc., will remain the same. Only difference would be that the pre-authorization and claim processing for the new diseases would be done by the Trust directly and funded from the C.M. relief fund.
30 groups of eminent doctors from the Government and corporate hospital sectors have through a series of discussions and in consultation with the managements of corporate hospitals finalized a list of 389 surgical and 144 medical diseases and also evolved package rates for its cashless treatment.
With the launch of Aarogyasri-II, cashless treatment of BPL population for all major diseases will become possible in Government / corporate hospitals. Diseases covered under ongoing Aarogyasri.
I and those proposed to be covered under Aarogyasri-II are complimentary to the facilities available in Government hospitals and put together substantially meet the medical requirement of general population.
The diseases specifically excluded from the list are:
High end diseases such as ‘hip and knee replacement, bone morrow, cardiac and liver transplantation, gamma-knife procedures in neuro surgery, assisted devices for cardiac failures etc;
Diseases covered by National Programmers viz., TB, HIV / AIDS, Leprosy, infectious diseases, Malaria, Filaria, Gastroenteritis, Jaundice etc.
To the extent the scope of Aarogyasri. I am enlarged by Aarogyasri-II; it would no longer be permissible for the BPL population to approach the Government for providing relief for medical purposes from the CMRF.
YSR DECIDED TO EXTEND THE RAJIV AROGYASRI
Hyderabad, April 4 The Andhra Pradesh Government has decided to extend the community health insurance scheme Rajiv Arogyasri to five more districts of Medak, Karimnagar, Kadapa, Prakasam and Nellore beginning April 15.
Dr Y. S. Rajasekhara Reddy, Chief Minister, would launch the scheme in each of these districts this month. Currently, the scheme is being implemented in eight districts. A total of 71.39 lakh families, a little over one-third of the total population of these districts, in the below poverty line category were covered in the first two phases.
The third phase would cover 35 lakh people more in a population of 1.23 crore in the five districts.
The health insurance scheme is being offered by Star Health and Allied Insurance Company for the Arogyasri Trust, formed by the State Government to implement the scheme. The third phase of the programme (after the pilot in three districts and the subsequent expansion to five more districts) would cover 272 procedures, including heart, lung and liver, Ms Galla Aruna Kumari, Minister for Medical Education and Health Insurance, said.
Addressing a press conference here on Friday, she said a total of 2,042 medical camps were conducted so far. Over 21,768 surgeries were performed with expenditure of Rs 97 crore at an average of Rs 44,571 a surgery.
Dr Y. S. Rajasekhara Reddy, Chief Minister, would launch the scheme in each of these districts this month. Currently, the scheme is being implemented in eight districts. A total of 71.39 lakh families, a little over one-third of the total population of these districts, in the below poverty line category were covered in the first two phases.
The third phase would cover 35 lakh people more in a population of 1.23 crore in the five districts.
The health insurance scheme is being offered by Star Health and Allied Insurance Company for the Arogyasri Trust, formed by the State Government to implement the scheme. The third phase of the programme (after the pilot in three districts and the subsequent expansion to five more districts) would cover 272 procedures, including heart, lung and liver, Ms Galla Aruna Kumari, Minister for Medical Education and Health Insurance, said.
Addressing a press conference here on Friday, she said a total of 2,042 medical camps were conducted so far. Over 21,768 surgeries were performed with expenditure of Rs 97 crore at an average of Rs 44,571 a surgery.
Rajiv Arogyasri health cards distributed
Congress government schemes come in for praise at the meeting
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Arogyasri termed a path-breaking scheme
Municipal Commissioner supervises distribution
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Guntur: Deputy Chairperson of State Legislative Council Md. Jani has said that the Congress government in the State is committed to the welfare of the poor and the downtrodden sections of society.
Addressing a meeting to mark the distribution of Rajiv Arogyasri Health Cards held at Yadava High School in Old Guntur on Friday, he said that the welfare schemes launched by the government were aimed at financial inclusion and have shouldered the financial burden.
Terming the Rajiv Arogyasri Health Insurance programme as a path-breaking scheme in the history of the country, he said that many other states were keen on replicating the scheme in their states and approached the State government for key inputs.
Fee waiver
The government’s decision to waive the fees to be paid in educational institutions by students belonging to the Backward Classes, Scheduled Castes and Minorities was historic as it provided a great opportunity for the students to pursue their studies, he said. Guntur-2 MLA Sk. Namburu Subhani said that the health insurance scheme provided the best of facilities available in the secondary and corporate health care systems free of cost. He read out a list of the hospitals covered by the Rajiv Arogyasri in the State and appealed to people to make full use of the scheme.
Mayor Rayapati Mohana Sai Krishna said that the Guntur Municipal Corporation is keen on giving 1.05 lakh cards which would be distributed in a phased manner at all ration depots from October 1.
Municipal Commissioner Siddharth Jain supervised the distribution of some cards on the school premises by setting up counters and asked the officials to distribute them at ration depots later.
The highlight of the meeting, however, was the presence of Md. Jani and Sk. Subhani on the same dais, who were not among the best of friends
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‘Arogyasri will not dilute Government hospital services;
Congress government schemes come in for praise at the meeting
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Arogyasri termed a path-breaking scheme
Municipal Commissioner supervises distribution
--------------------------------------------------------------------------------
Guntur: Deputy Chairperson of State Legislative Council Md. Jani has said that the Congress government in the State is committed to the welfare of the poor and the downtrodden sections of society.
Addressing a meeting to mark the distribution of Rajiv Arogyasri Health Cards held at Yadava High School in Old Guntur on Friday, he said that the welfare schemes launched by the government were aimed at financial inclusion and have shouldered the financial burden.
Terming the Rajiv Arogyasri Health Insurance programme as a path-breaking scheme in the history of the country, he said that many other states were keen on replicating the scheme in their states and approached the State government for key inputs.
Fee waiver
The government’s decision to waive the fees to be paid in educational institutions by students belonging to the Backward Classes, Scheduled Castes and Minorities was historic as it provided a great opportunity for the students to pursue their studies, he said. Guntur-2 MLA Sk. Namburu Subhani said that the health insurance scheme provided the best of facilities available in the secondary and corporate health care systems free of cost. He read out a list of the hospitals covered by the Rajiv Arogyasri in the State and appealed to people to make full use of the scheme.
Mayor Rayapati Mohana Sai Krishna said that the Guntur Municipal Corporation is keen on giving 1.05 lakh cards which would be distributed in a phased manner at all ration depots from October 1.
Municipal Commissioner Siddharth Jain supervised the distribution of some cards on the school premises by setting up counters and asked the officials to distribute them at ration depots later.
The highlight of the meeting, however, was the presence of Md. Jani and Sk. Subhani on the same dais, who were not among the best of friends
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‘Arogyasri will not dilute Government hospital services;
YSR denies scheme benefiting corporate hospital
‘Insurance company selected in a transparent tender process’
Periodical workshops to be organised to review the scheme
HYDERABAD: The Rajiv Arogyasri scheme will in no way dilute the services in Government hospitals but leverage public private partnership to provide high-end medical treatment to the poor, said Chief Minister Y.S.Rajasekhara Reddy on the floor of the Legislative Council on Wednesday.
Replying to a short discussion on Arogyasri that dominated the proceedings, the Chief Minister refuted the Opposition’s charge that the scheme was benefiting an insurance company and corporate hospitals.
Describing Arogyasri as an innovative scheme to provide the poor with access to corporate hospitals for serious ailments, he said the insurance company to partner Arogyasri was selected in a transparent tender process.
Dr. Reddy said periodical workshops would be organised to review the scheme and the members could come up with suggestions for its improvement.
Of the 6,033 beds available for high-end treatment to the poor under Arogyasri, 1,000 beds were available in various Government hospitals he said, and added that surgeries were performed only after approval by a monitoring team to ensure transparency.
The Chief Minister also said that the 104 services launched recently in two districts to offer medical check-up to villagers within 3 km from a PHC would be extended to the rest of the State by November.
Reminding the members that while the budget allocation for health was Rs.1,688 crore in 2003-04, the Congress Government increased it to Rs. 3,368 crore in addition to Rs.1,200 crore under NHRM and Rs.460 crore under the Chief Minister’s Relief Fund this year
The Rajiv Gandhi Arogyasri Health Insurance Scheme is a massive project undertaken by the Andhra Pradesh Government, to provide free healthcare services to over 2 million Below-Poverty-Line families. The beneficiaries of the scheme are empowered to demand free healthcare from both public and private hospitals
Aarogyasri website launched Hyderabad, Sep 2 Andhra Pradesh Chief Minister Y S Rajasekhara Reddy today launched the website of the Aarogyasri health insurance scheme- www aarogyasri.org.
Launching the website, Dr Reddy said the website would ensure speedy clearance of the cases make the scheme transparent. It would have e-preauthorisation, daily MIS and real-time reporting facilities.
The Board meeting of Aarogyasri Health Care Trust, held under the Chairmanship of Dr Reddy, resolved to expand the scheme in a phased manner to include all the 23 districts of the state in the scheme by November, 2008.
It was also decided to extend the programme to the five districts of East Godavari, West Godavari, Nalgonda, Chittoor and Ranga Reddy under phase-II, from December five, 2007. The proposed expansion would benefit 1.68 crore people from 48.23 lakh BPL families.
Under the pilot scheme of Rajiv Aarogyasri Community Health Insurance in the three districts of Srikakulam, Mahabubnagar and Ananthapur, 1,03,696 patients were screened and 4,360 surgeries performed till September one.
The Government had decided to issue health cards to all BPL families in the state, to create awareness about the scheme among the beneficiaries. Accordingly, the board approved the design of the card and authorized the CEO to go ahead with its printing and distribution in the five selected districts for Phase-IIModern medicine, with its advancement in technology has made rapid strides in diagnosis and treatment of many a complicated disease, hitherto unattended thus reducing the morbidity and mortality enormously and improving quality of life. While advent of non-invasive diagnostic tools like CT Scan, MRI, Ultra Sound and radio isotope studies made diagnosis of disease more specific, the latest gadgets such as video endoscopes, laproscope etc. made treatment and surgical procedures less cumbersome and simple.
Hence there is a felt need in the State to provide medical assistance to families living below poverty line for the treatment of serious ailments such as cancer, kidney failure, heart and neurosurgical diseases etc., requiring hospitalization and surgery. Available network of government hospitals do not have the requisite equipment or the facility or the specialist pool of doctors to meet the state wide requirement for the treatment of such diseases. Large proportions of people, especially below poverty line borrow money or sell assets to pay for hospitalization. Presently many people suffering from such diseases are approaching the Government to provide financial assistance to meet hospitalization expenses for surgical procedures.During the period from 14.05.2004 to 26.06.2007, financial assistance to a tune of Rs. 168.52crores has been provided from CM's Relief Fund in 55361 cases to meet hospitalization expenses for such people. From the experience gained, it is now felt that the assistance could be institutionalized so that its benefit can be accessed by poor people across the State easily and in a trouble free manner. Health Insurance could be a way of removing the financial barriers and improving access of poor to quality medical care; of providing financial protection against high medical expenses; and negotiating with the providers for better quality care.
In order to operate the scheme professionally in a cost effective manner, public private partnership will be promoted between the Insurance Company / TPA, the private sector hospitals and the State agencies. "Aarogyasri Health Care Trust" recently setup by the State Government for the implementation of the Scheme will assist the insurance company / TPA / Beneficiaries and coordinate with Medical and Health Deptt., District Collectors, Civil Supplies Department etc.
THE SCHEME
Name:
RAJIV AAROGYASRI COMMUNITY HEALTH INSURANCE SCHEME
Objective:
To improve access of BPL families to quality medical care for treatment of diseases involving hospitalization and surgery through an identified network of health care providers. In the initial phase, the scheme would provide coverage for the following system
Launching the website, Dr Reddy said the website would ensure speedy clearance of the cases make the scheme transparent. It would have e-preauthorisation, daily MIS and real-time reporting facilities.
The Board meeting of Aarogyasri Health Care Trust, held under the Chairmanship of Dr Reddy, resolved to expand the scheme in a phased manner to include all the 23 districts of the state in the scheme by November, 2008.
It was also decided to extend the programme to the five districts of East Godavari, West Godavari, Nalgonda, Chittoor and Ranga Reddy under phase-II, from December five, 2007. The proposed expansion would benefit 1.68 crore people from 48.23 lakh BPL families.
Under the pilot scheme of Rajiv Aarogyasri Community Health Insurance in the three districts of Srikakulam, Mahabubnagar and Ananthapur, 1,03,696 patients were screened and 4,360 surgeries performed till September one.
The Government had decided to issue health cards to all BPL families in the state, to create awareness about the scheme among the beneficiaries. Accordingly, the board approved the design of the card and authorized the CEO to go ahead with its printing and distribution in the five selected districts for Phase-IIModern medicine, with its advancement in technology has made rapid strides in diagnosis and treatment of many a complicated disease, hitherto unattended thus reducing the morbidity and mortality enormously and improving quality of life. While advent of non-invasive diagnostic tools like CT Scan, MRI, Ultra Sound and radio isotope studies made diagnosis of disease more specific, the latest gadgets such as video endoscopes, laproscope etc. made treatment and surgical procedures less cumbersome and simple.
Hence there is a felt need in the State to provide medical assistance to families living below poverty line for the treatment of serious ailments such as cancer, kidney failure, heart and neurosurgical diseases etc., requiring hospitalization and surgery. Available network of government hospitals do not have the requisite equipment or the facility or the specialist pool of doctors to meet the state wide requirement for the treatment of such diseases. Large proportions of people, especially below poverty line borrow money or sell assets to pay for hospitalization. Presently many people suffering from such diseases are approaching the Government to provide financial assistance to meet hospitalization expenses for surgical procedures.During the period from 14.05.2004 to 26.06.2007, financial assistance to a tune of Rs. 168.52crores has been provided from CM's Relief Fund in 55361 cases to meet hospitalization expenses for such people. From the experience gained, it is now felt that the assistance could be institutionalized so that its benefit can be accessed by poor people across the State easily and in a trouble free manner. Health Insurance could be a way of removing the financial barriers and improving access of poor to quality medical care; of providing financial protection against high medical expenses; and negotiating with the providers for better quality care.
In order to operate the scheme professionally in a cost effective manner, public private partnership will be promoted between the Insurance Company / TPA, the private sector hospitals and the State agencies. "Aarogyasri Health Care Trust" recently setup by the State Government for the implementation of the Scheme will assist the insurance company / TPA / Beneficiaries and coordinate with Medical and Health Deptt., District Collectors, Civil Supplies Department etc.
THE SCHEME
Name:
RAJIV AAROGYASRI COMMUNITY HEALTH INSURANCE SCHEME
Objective:
To improve access of BPL families to quality medical care for treatment of diseases involving hospitalization and surgery through an identified network of health care providers. In the initial phase, the scheme would provide coverage for the following system
number of surgeries under rajiv aarogyasri
1. GENERAL GUIDELINES
Period of follow-up will be for One Year. Hospital will provide free consultation and routine diagnostic tests and facilitate distribution of followup drugs supplied by the Trust. Patient will be given follow-up drugs supplied by the Trust from 11th day of discharge to next follow-up period till one year, since 10 days period after discharge is already covered by the package. An initial stock of drugs based on the number of surgeries done by the network hospital will be made available to the hospital. The hospital will distribute these drugs through their pharmacy to the patients based on the prescription given by the consultant. The hospital medical coordinator in association with pharmacist and Aarogyamithra will facilitate the distribution through pharmacy and maintain the concerned drug expenditure registers. The necessary entries will be made online apart from maintaining a register of record of drugs dispensed. Trust will format and supply necessary stationery and create software in the portal for these tasks. Trust will replenish the stock as and when required based on the expenditure. Trust will carryout sudden inspection of stocks and registers in the hospital from time to time. SPECIAL INVESTIGATIONS : For any patient who requires special investigations such as CT, MRI etc at the time of follow-up, an amount as per the package will be authorized by the Trust online and cost will be reimbursed to the hospital after uploading the reports, films etc online. E- Preauthorisation for such investigations shall be taken by the hospital from the Trust.
2. FOLLOW-UP SCHEDULE IN RAAJIV AAROGYASRI
SYSTEM SUB CLASSIFICATION First follow-up visit Frequency of subsequent Visits 1.1 Heart Coronary Bye-pass Surgery, Angioplasty 11th day after discharge Second follow-up Visit/s � 15 days after first visit Next follow-up visits-Once in 2 months Valvular Diseases 11th day after discharge Once in a month Renal diseases Renal Stone Surgery 11th day after discharge Once in 3 months Neuro-Surgery and Poly trauma cases Brain Surgeries Long Bone Fracture& Neuro-Surgical Trauma 11th day after discharge Second follow-up Visit/s � 15 days after first visit Next Visits- Once in a Month
However these visits are in addition to the emergency visits if any.
3. FOLLOW-UP FLOW CHART OF THE PATIENT.
Patient will approach Aarogyamithras at the time of discharge and the later will give the discharge summary and follow-up schedule prepared by the treating doctor using the online portal of the Trust. The follow-up medicines for 10 days after discharge will be given by the hospital within the package as envisaged in the MoU. The first follow-up visit for all patients will be on the 11th day after discharge. Hospital in coordination with Aarogyamithras will maintain the record of such distribution in the prescribed formats made available through the portal online by the Trust The Aarogyamithras will then keep track of the follow-up schedule of each patient in co-ordination with the network hospital and Aarogyamithras in the PHCs. On each visit, the follow-up schedule and details of drugs distributed will be recorded online and the details of the next follow-up visit will be printed out as continuation to the discharge summary. On each visit the Network Hospitals will provide free consultation and free routine investigations to follow-up patients before giving prescription.
4. MODE OF PROCUREMENT OF DRUGS AND DISTRIBUTION TO NETWORK HOSPITALS.
Trust will provide a Drug Pass Book to all the Network Hospitals. And this passbook shall entitle them for the procurement of drugs from the depot. An initial stock of drugs will be permitted by the trust to all the Network Hospitals based on the cases they have treated. Accordingly an authorization letter will be issued by the trust online. Approvals for the collection of drugs by the Network Hospitals will be given by the Trust online. Subsequently the hospital can collect requisite stocks for replenishment after putting an indent and obtaining due authorization by the trust online Aarogyamithra along with Network Hospital pharmacist shall collect these drugs based on authorization letter.
5. MODE OF PROCUREMENT OF DRUGS AND DISTRIBUTION TO NETWORK HOSPITALS.
S.No Diagnostic Test Package Rate in Rs. 1 PT-INR 150 2 1Lipid Profile 300 3 TMT 400 4 ECHO Cardiography 300 5 Coronary Angiogram 4000 6 Multislice CT Angio 4000 7 CT Brain -Plain 600 8 CT Brain with Contrast 1000 9 CT Angio 1000 10 MRI 1000 11 MRI with Contrast 1500 12 MRI Angio 1500 13 Digital Subtract Angiography(DSA) 1000 14 EEG 300 15 ENMG 400 16 Ultrasound 200
6. LIST OF FOLLOW-UP DRUGS, STRENGTH AND DOSAGE
S.No. System Formulation Name of the Drug Dose 1 HEART Tab Warfarin Sodium* 5 mg 2 Tab Acitrom* 1mg/ 2mg /3mg /4mg 3 Tab Aspirin 150 mg 4 Tab Clopidregel 75 mg 5 Tab Atenolol 50 mg 6 Tab Amoloride+Hydrochlorothiazide* 20mg+12.5mg 7 Tab Digoxin* 0.25mg 8 Tab Nifedepin 10mg 9 Tab Amolodepin 5mg/ 10 Tab Enalapril maleate 2.5 mg/5mg 11 Syrup Kcl Syrup* 100 ml 12 Tab frusemide 40 mg 13 Tab Sorbitrate 10mg 14 Tab Metoprolol 25mg 15 Tab Amadioron(Cardron) 100mg 16 Tab Losartan Potassium 25mg 17 Tab Atorvastatin 10mg,20mg 18 Injection Benzathine Pencillin* 12 lakh units 19 Neuro-Surgery including Trauma Tab Eptoin 100mg 20 Tab Sodium Valprodate 400mg 21 Tab Carbamazepine 200mg 22 Kidney Tab Allopurinol(Xyloric ) 100mg 23 Ortho-Trauma Tab Diclofenac Sodium 50 mg 24 Tab Aceclofenac* 100 mg 25 Tab Serroptiopeptidase 10 mg 26 Antibiotics Cap Ampicillin 250mg 27 Cap Ampicillin 500 mg 28 Cap Cephalexin 250mg 29 Cap Cephalexin 500mg 30 Tab Ciprofloxacin 500mg 31 Syrup Ampicillin 125mg/ 5ml(60 ml) 32 Others Tab Ranitidin 150mg 33 Tab Pantaprozole 20mg 34 Tab Pantaprozole 40mg 35 Tab Prednisolone 10mg,20mg,30mg. 36 Liq. Oral Glycerol .
Period of follow-up will be for One Year. Hospital will provide free consultation and routine diagnostic tests and facilitate distribution of followup drugs supplied by the Trust. Patient will be given follow-up drugs supplied by the Trust from 11th day of discharge to next follow-up period till one year, since 10 days period after discharge is already covered by the package. An initial stock of drugs based on the number of surgeries done by the network hospital will be made available to the hospital. The hospital will distribute these drugs through their pharmacy to the patients based on the prescription given by the consultant. The hospital medical coordinator in association with pharmacist and Aarogyamithra will facilitate the distribution through pharmacy and maintain the concerned drug expenditure registers. The necessary entries will be made online apart from maintaining a register of record of drugs dispensed. Trust will format and supply necessary stationery and create software in the portal for these tasks. Trust will replenish the stock as and when required based on the expenditure. Trust will carryout sudden inspection of stocks and registers in the hospital from time to time. SPECIAL INVESTIGATIONS : For any patient who requires special investigations such as CT, MRI etc at the time of follow-up, an amount as per the package will be authorized by the Trust online and cost will be reimbursed to the hospital after uploading the reports, films etc online. E- Preauthorisation for such investigations shall be taken by the hospital from the Trust.
2. FOLLOW-UP SCHEDULE IN RAAJIV AAROGYASRI
SYSTEM SUB CLASSIFICATION First follow-up visit Frequency of subsequent Visits 1.1 Heart Coronary Bye-pass Surgery, Angioplasty 11th day after discharge Second follow-up Visit/s � 15 days after first visit Next follow-up visits-Once in 2 months Valvular Diseases 11th day after discharge Once in a month Renal diseases Renal Stone Surgery 11th day after discharge Once in 3 months Neuro-Surgery and Poly trauma cases Brain Surgeries Long Bone Fracture& Neuro-Surgical Trauma 11th day after discharge Second follow-up Visit/s � 15 days after first visit Next Visits- Once in a Month
However these visits are in addition to the emergency visits if any.
3. FOLLOW-UP FLOW CHART OF THE PATIENT.
Patient will approach Aarogyamithras at the time of discharge and the later will give the discharge summary and follow-up schedule prepared by the treating doctor using the online portal of the Trust. The follow-up medicines for 10 days after discharge will be given by the hospital within the package as envisaged in the MoU. The first follow-up visit for all patients will be on the 11th day after discharge. Hospital in coordination with Aarogyamithras will maintain the record of such distribution in the prescribed formats made available through the portal online by the Trust The Aarogyamithras will then keep track of the follow-up schedule of each patient in co-ordination with the network hospital and Aarogyamithras in the PHCs. On each visit, the follow-up schedule and details of drugs distributed will be recorded online and the details of the next follow-up visit will be printed out as continuation to the discharge summary. On each visit the Network Hospitals will provide free consultation and free routine investigations to follow-up patients before giving prescription.
4. MODE OF PROCUREMENT OF DRUGS AND DISTRIBUTION TO NETWORK HOSPITALS.
Trust will provide a Drug Pass Book to all the Network Hospitals. And this passbook shall entitle them for the procurement of drugs from the depot. An initial stock of drugs will be permitted by the trust to all the Network Hospitals based on the cases they have treated. Accordingly an authorization letter will be issued by the trust online. Approvals for the collection of drugs by the Network Hospitals will be given by the Trust online. Subsequently the hospital can collect requisite stocks for replenishment after putting an indent and obtaining due authorization by the trust online Aarogyamithra along with Network Hospital pharmacist shall collect these drugs based on authorization letter.
5. MODE OF PROCUREMENT OF DRUGS AND DISTRIBUTION TO NETWORK HOSPITALS.
S.No Diagnostic Test Package Rate in Rs. 1 PT-INR 150 2 1Lipid Profile 300 3 TMT 400 4 ECHO Cardiography 300 5 Coronary Angiogram 4000 6 Multislice CT Angio 4000 7 CT Brain -Plain 600 8 CT Brain with Contrast 1000 9 CT Angio 1000 10 MRI 1000 11 MRI with Contrast 1500 12 MRI Angio 1500 13 Digital Subtract Angiography(DSA) 1000 14 EEG 300 15 ENMG 400 16 Ultrasound 200
6. LIST OF FOLLOW-UP DRUGS, STRENGTH AND DOSAGE
S.No. System Formulation Name of the Drug Dose 1 HEART Tab Warfarin Sodium* 5 mg 2 Tab Acitrom* 1mg/ 2mg /3mg /4mg 3 Tab Aspirin 150 mg 4 Tab Clopidregel 75 mg 5 Tab Atenolol 50 mg 6 Tab Amoloride+Hydrochlorothiazide* 20mg+12.5mg 7 Tab Digoxin* 0.25mg 8 Tab Nifedepin 10mg 9 Tab Amolodepin 5mg/ 10 Tab Enalapril maleate 2.5 mg/5mg 11 Syrup Kcl Syrup* 100 ml 12 Tab frusemide 40 mg 13 Tab Sorbitrate 10mg 14 Tab Metoprolol 25mg 15 Tab Amadioron(Cardron) 100mg 16 Tab Losartan Potassium 25mg 17 Tab Atorvastatin 10mg,20mg 18 Injection Benzathine Pencillin* 12 lakh units 19 Neuro-Surgery including Trauma Tab Eptoin 100mg 20 Tab Sodium Valprodate 400mg 21 Tab Carbamazepine 200mg 22 Kidney Tab Allopurinol(Xyloric ) 100mg 23 Ortho-Trauma Tab Diclofenac Sodium 50 mg 24 Tab Aceclofenac* 100 mg 25 Tab Serroptiopeptidase 10 mg 26 Antibiotics Cap Ampicillin 250mg 27 Cap Ampicillin 500 mg 28 Cap Cephalexin 250mg 29 Cap Cephalexin 500mg 30 Tab Ciprofloxacin 500mg 31 Syrup Ampicillin 125mg/ 5ml(60 ml) 32 Others Tab Ranitidin 150mg 33 Tab Pantaprozole 20mg 34 Tab Pantaprozole 40mg 35 Tab Prednisolone 10mg,20mg,30mg. 36 Liq. Oral Glycerol .
BOARD OF TRUSTEES OF RAJIV AAROGYASRI
Board of Trustees Chairman Dr. Y.S.Rajasekhara ReddyHon'ble Chief Minister Vice-Chairman-I Vice-Chairman-II Smt. Galla Aruna Kumari Sri. P.K. Agarwal, I.A.S., Hon’ble Minister for Medical Education & Health Insurance Principal Secretary to Govt., HM & FW Department Trustees Sri. N.Ramesh Kumar, I.A.S., Sri. K.Raju, I.A.S., Principal Secretary., Principal Secretary., Finance Department Rural Development Department Sri. Anil Punetha, I.A.S., Dr. D Ramesh Chandra, Commissioner of Family Welfare Director of Health Dr. V. Murali Mohan Dr. P Venkateshwar Rao Director of Medical Education Commissioner,A.P.Vaidya Vidhana Parishad. Dr. D. Prasada Rao Sri P.R. Kiran Kumar Reddy Director NIMS Financial Adviser Secretary Sri Babu. A, I.A.S., Chief Executive Officer
ABOUT RAJIV AAROGYASRI AAROGYAMITRA Aarogyamithra is Friend of Health. Aarogyamithra is a concept unique to Rajiv Aarogyasri Community Health Insurance Scheme. Aarogyamithras act as facilitators for the patients. In fact they form face of this insurance scheme.
Aarogyamithras are to be selected by the stakeholders of Self Help Group(SHG) movement/ Indira Kranthi Patham from local area of each PHC / Government Hospital in order to ensure performance efficiency and acceptability among local communities. The following qualifications are prescribed.
Preferably a graduate Native & Resident of the same PHC area Good communication skills Prefers to move around the villages Functional knowledge of computers (not compulsory)
The Mandal and Zilla Samakhya are the nodal agencies that select the Health Coordinators (Aarogyamithras). Insurance company has to enter into an MOU with the Zilla Samakhya to hire the services of local persons in each PHC/CHC/Area Hospital/Government Hospital. The Insurance Company will make a consolidated payment for the Health Coordinators through the Zilla Samakhya. The working of the Aarogyamithras will be monitored on a daily basis by the regional coordinators and district coordinators of the Insurance Company in coordination with the Zilla/Mandal samakhyas, District rural Development Agency, DM&HO, District Administration etc. All the Aarogyamithras are to be provided with cell phones (CUG connection) by the Insurance Company for instant communication and networking. The Insurance Company shall also provide uniforms for the Aarogyamithras.
The following table shows the number of PHC’s / Government Hospitals where Aarogyamithras are selected in the five districts of Chittoor, Nalgonda, East Godavari, West Godavari and RangaReddy where the scheme will be under implementation.
E.Godavari W.Godavari Chittoor RangaReddy Nalgonda Anantapur Mahaboobnagar Srikakulam Total No. of PHCs 84 68 91 41 72 73 86 74 589 No. of CHCs (30 beds) 08 06 10 10 07 12 10 08 71 No. of Area Hospitals 03 02 03 01 04 05 04 02 24 No. of District Hospitals 01 01 01 01 01 01 01 01 08 Total 96 77 105 53 84 91 101 85 692
In addition to the above the Insurance Company have to select and post Aarogyamithras in the Network Hospitals. The number will be more than 100 and the total number will depend up on the exact number of the Network Hospitals. Some Network Hospital may need more than one Aarogyamithra depending up on the workload. The Insurance Company shall follow the instructions of the Trust in this regard.
Training of Aarogya MithrasTraining for Aarogya Mithras shall be done by the Insurance Company on the instructions of the trust
Aarogyamithras are to be selected by the stakeholders of Self Help Group(SHG) movement/ Indira Kranthi Patham from local area of each PHC / Government Hospital in order to ensure performance efficiency and acceptability among local communities. The following qualifications are prescribed.
Preferably a graduate Native & Resident of the same PHC area Good communication skills Prefers to move around the villages Functional knowledge of computers (not compulsory)
The Mandal and Zilla Samakhya are the nodal agencies that select the Health Coordinators (Aarogyamithras). Insurance company has to enter into an MOU with the Zilla Samakhya to hire the services of local persons in each PHC/CHC/Area Hospital/Government Hospital. The Insurance Company will make a consolidated payment for the Health Coordinators through the Zilla Samakhya. The working of the Aarogyamithras will be monitored on a daily basis by the regional coordinators and district coordinators of the Insurance Company in coordination with the Zilla/Mandal samakhyas, District rural Development Agency, DM&HO, District Administration etc. All the Aarogyamithras are to be provided with cell phones (CUG connection) by the Insurance Company for instant communication and networking. The Insurance Company shall also provide uniforms for the Aarogyamithras.
The following table shows the number of PHC’s / Government Hospitals where Aarogyamithras are selected in the five districts of Chittoor, Nalgonda, East Godavari, West Godavari and RangaReddy where the scheme will be under implementation.
E.Godavari W.Godavari Chittoor RangaReddy Nalgonda Anantapur Mahaboobnagar Srikakulam Total No. of PHCs 84 68 91 41 72 73 86 74 589 No. of CHCs (30 beds) 08 06 10 10 07 12 10 08 71 No. of Area Hospitals 03 02 03 01 04 05 04 02 24 No. of District Hospitals 01 01 01 01 01 01 01 01 08 Total 96 77 105 53 84 91 101 85 692
In addition to the above the Insurance Company have to select and post Aarogyamithras in the Network Hospitals. The number will be more than 100 and the total number will depend up on the exact number of the Network Hospitals. Some Network Hospital may need more than one Aarogyamithra depending up on the workload. The Insurance Company shall follow the instructions of the Trust in this regard.
Training of Aarogya MithrasTraining for Aarogya Mithras shall be done by the Insurance Company on the instructions of the trust
ROLE OF AAROGYAMITRA
ROLE OF AAROGYAMITHRA PHC/CHC/GOVERNMENT HOSPITALS/ DISTRICT HOSPITALS
1) ROLE OF PHC AAROGYAMITHRAS
A) IN THE HOSPITAL
Publicity and awareness. Maintain helpdesk at hospital. Receive the beneficiary. Verify the Beneficiary criteria. (Eligibility Criteria) Facilitate consultation with Doctor (PHC Doctor/Nearest Govt. Hospital Doctor) Fill up the referral card. Guide the patient to the next center. To counsel the patients who may require any one of the listed surgeries. To facilitate either to a Government Hospital for further tests or to a Network Hospital depending upon the advice of the doctor. To guide the patient to Network Hospital. Follow-up the referred cases. In effect to act as, a guide and friend for the prospective beneficiaries under the Aarogya Sri scheme.
B) OUTSIDE THE HOSPITAL
To send daily MIS of the patients To spread the awareness of the scheme in the villages. To spread the awareness about the scheduled camps by network hospitals in the villages. To coordinate with network hospitals and help conduct camps. Mobilize the patients for camps Follow up the patients identified in the camp to report to network hospital. Coordinate with local PR Bodies, Village organizations (VOs), Samakhyas, ANMs, Women Health Volunteers and Self-Help Groups for effective implementation of the scheme. Move around the villages and encourage patients to come to avail the benefits of the scheme. Educate villagers about the scheme and distribute brochures and other material. Keep in touch with the District Coordinator Follow up the Beneficiaries before and after Surgery/Therapy.
2) ROLE OF AREA HOSPITAL/DISTRICT HOSPITAL AAROGYAMITHRAS
Apart from the duties enlisted above the Aarogyamithras in Area Hospital and District Hospitals will
Facilitate the Patient for specialist consultation and tests Fill up the referral card (part-B) properly Counsel the patient
3) ROLE OF AAROGYAMITHRAS AT NETWORK HOSPITALS
Maintain Help Desk at Reception of the Hospital. Receive the patient referred from (PHC or Network) Verify the documents of the patients. Obtain digital photograph of the patient. Facilitate the Patient for consultation and admission. Liaison with coordinator/administration of the hospital. Counsel the patient regarding treatment/surgery/therapy. Facilitate early evaluation and posting for surgery/therapy. Facilitate hospital send proper pre-authorization. Follow-up preauthorization procedure and facilitate approval. Follow-up recovery of patient. Facilitate payment of transport charges as per the guidelines. Facilitate cashless transaction at hospital. Facilitate discharge of the patient. Obtain feed back from the patient. Counsel the patient regarding follow-up. Coordinate with PHC/Government Hospital Aarogyamithras for follow up of beneficiary. Follow-up the patient referred by the hospital during the camps. Coordinate with the Head-Office and Medical officers for any clarifications. Send death reports Send daily MIS. Facilitate Network Hospital in conducting Health Camps as scheduled.
1) ROLE OF PHC AAROGYAMITHRAS
A) IN THE HOSPITAL
Publicity and awareness. Maintain helpdesk at hospital. Receive the beneficiary. Verify the Beneficiary criteria. (Eligibility Criteria) Facilitate consultation with Doctor (PHC Doctor/Nearest Govt. Hospital Doctor) Fill up the referral card. Guide the patient to the next center. To counsel the patients who may require any one of the listed surgeries. To facilitate either to a Government Hospital for further tests or to a Network Hospital depending upon the advice of the doctor. To guide the patient to Network Hospital. Follow-up the referred cases. In effect to act as, a guide and friend for the prospective beneficiaries under the Aarogya Sri scheme.
B) OUTSIDE THE HOSPITAL
To send daily MIS of the patients To spread the awareness of the scheme in the villages. To spread the awareness about the scheduled camps by network hospitals in the villages. To coordinate with network hospitals and help conduct camps. Mobilize the patients for camps Follow up the patients identified in the camp to report to network hospital. Coordinate with local PR Bodies, Village organizations (VOs), Samakhyas, ANMs, Women Health Volunteers and Self-Help Groups for effective implementation of the scheme. Move around the villages and encourage patients to come to avail the benefits of the scheme. Educate villagers about the scheme and distribute brochures and other material. Keep in touch with the District Coordinator Follow up the Beneficiaries before and after Surgery/Therapy.
2) ROLE OF AREA HOSPITAL/DISTRICT HOSPITAL AAROGYAMITHRAS
Apart from the duties enlisted above the Aarogyamithras in Area Hospital and District Hospitals will
Facilitate the Patient for specialist consultation and tests Fill up the referral card (part-B) properly Counsel the patient
3) ROLE OF AAROGYAMITHRAS AT NETWORK HOSPITALS
Maintain Help Desk at Reception of the Hospital. Receive the patient referred from (PHC or Network) Verify the documents of the patients. Obtain digital photograph of the patient. Facilitate the Patient for consultation and admission. Liaison with coordinator/administration of the hospital. Counsel the patient regarding treatment/surgery/therapy. Facilitate early evaluation and posting for surgery/therapy. Facilitate hospital send proper pre-authorization. Follow-up preauthorization procedure and facilitate approval. Follow-up recovery of patient. Facilitate payment of transport charges as per the guidelines. Facilitate cashless transaction at hospital. Facilitate discharge of the patient. Obtain feed back from the patient. Counsel the patient regarding follow-up. Coordinate with PHC/Government Hospital Aarogyamithras for follow up of beneficiary. Follow-up the patient referred by the hospital during the camps. Coordinate with the Head-Office and Medical officers for any clarifications. Send death reports Send daily MIS. Facilitate Network Hospital in conducting Health Camps as scheduled.
SUCCESS STORIES OF RAJIV AAROYAMITRA
Pravallika is a happy mother Happy mother : Pravallika holding her four-month son who underwent surgery under Rajiv Aarogyasri in Anantapur. The fact that the new-born male child was struck by `meningitis¿ hit the poor young couple Pravallika and Suresh of Narpala village, like a bolt from the blue four months ago. They had almost given up hopes on the survival of their little one especially as the couple were daily wage earners. A few doctors whom they approached with the infant told them that surgery could cure the illness but then it would cost about Rs. 80,000. Mobilising such a huge sum was out of bounds for them as they had no assets to rely upon. That was when, two months after the child¿s birth, Rajiv Aarogyasri came as a blessing in disguise. Pravallika¿s joy had no bounds when the local PHC doctor Ramabai and Aarogya Mitra Vasundhara told her that her child would be treated free of cost under the scheme. What followed was all joy for the poor couple as `meningocele¿ surgery was performed successfully on their son.
