network-hospitals_ehs

A health care provider is a hospital or nursing home in Andhra Pradesh established for indoor medical care and treatment of disease and injuries and should be registered under Andhra Pradesh Private Allopathic Medical Establishments (Registration & Regulation) Act and Pre-Conception and Pre-Natal Diagnostic Techniques Act (Wherever Applicable).

A health care provider who fulfils the empanelment criteria of the Trust will become eligible for empanelment with the Trust. An empanelled health care provider shall be referred as a network hospital.

There will be a single agreement between Trust and NWH for payments under the scheme as per the package prices for the listed therapies.

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Hospitals will be empanelled across the state and those hospitals outside the state which are NABH accredited.

A 50 bedded hospital intending to get empanelled is expected to have one or more specialities of General Surgery, Orthopaedics, OBG, Paediatrics, General Medicine, ENT, and Ophthalmology among the basic specialities.

A multi speciality hospital desirous of empanelment is expected to have facilities for one or more super speciality services such as Cardiology and CT Surgery, Medical and Surgical Gastroenterology, Paediatric surgery, Plastic surgery, Neurology and Neurosurgery, Nephrology and Urology among the super specialities.

A NWH has to fulfil the minimum requirements relating to infrastructure, equipment, manpower and services as laid down by the Trust. The requirements are classified under two headings viz., General services requirements and Specialty service requirements based on the Andhra Pradesh Private Medical Care Establishments Act 2002.

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Infrastructure requirements in brief

The network hospitals shall have the following infrastructure.

1. A minimum of 50 in-patient medical beds
2. Separate Male and Female General Wards.
3. ICU, Post-operative ward with adequate facilities.
4. In-house round the clock basic diagnostic facilities.
5. Fully equipped Operation Theatre.
6. Advanced diagnostic facility either in-house or with tie-up
7. Blood bank facility either in-house or tie-up.
8. Pharmacy.
9. Ambulance
10. Pantry

Equipment requirement in brief

1. Outpatient: Specialty wise op instruments
2. ICU: Bedside Monitors, Ventilators, Oxygen, Suction
3. Post-operative ward: Bedside Monitors, Oxygen, Suction
4. Operation theatre: Equipment, Specialty Wise equipment such as operation table, C-Arm, Endoscopes.
5. Sterilization: Adequate number of sterilizers.
6. Casualty: Oxygen, suction, monitors.

Manpower requirement in brief

1. Qualified doctor(s) of modern medicine should be physically in charge round the clock
2. Casualty duty doctors and appropriate nursing staff.
3. Availability of Qualified or trained paramedics
4. Availability of specialists in the concerned specialties and support fields within short notice.

Infrastructure needed for the scheme

1. Separate space and kiosk for running Dr.NTR Vaidyaseva scheme counter manned by VaidyaMithra
2. Computer with networking (Minimum 2 MBPS), printer, webcam, scanner, bar code reader, biometrics, digital camera and digital signatures.

Special functionaries to be provided by the NWH

MEDCO: The network hospital shall provide the services of EHS Medical Coordinator (MEDCO) for the scheme. He will be responsible to the Trust for doing various activities under the scheme including consultation, diagnostics, preauthorization, real time updating of case details, treatment, discharge, follow-up and claims submission. He shall communicate using the CUG (Closed User Groups) Connection provided by the Trust and the web portal of the Trust.