CGHS

Welcome to Central Government Health Scheme

What is NABH :

NABH means National Accreditation Board for Hospitals, National Accreditation Board for Hospitals & Healthcare Providers (NABH) is a constituent board of Quality Council of India, set up to establish and operate accreditation programme for healthcare organisations. the board is structured to cater to much desired needs of the consumers and to set benchmarks for progress of health industry. The board while being supported by all stakeholders including industry, consumers, government, have full functional autonomy in its operation.

The below order said that the NABL certificate is compulsary for the CGHS empanelled hospitals.

Misc. 4006/2009/CGHS/Comp.Cell

Office of the Director, C.G.H.S.,

Directorate General of Health Services,

545-A, Nirman Bhawan,

Maulana Azad Road, New Delhi—11

Dated : 12/05/2009

ORDER

Sub: NASH Accreditation of Hospitals ernpanelled under CGHS

With reference to the above mentioned matter the undersigned is directed to state that it has now been decided that NASH Accreditation is compulsory for Hospitals for empanelment under CGHS. Henceforth, only such private hospitals that have obtained entry level pre-accreditation from NASH would be eligible for empanelment under CGHS. Further, the hospitals
would have to obtain full accreditation from NASH , failing which they would be de-panelled. The Hospitals which already empanelled under CGHS and which are not accredited by NASH shall apply for NABH accreditation within two months of receipt of this communication if, they have not applied for the same till date. In addition the empanelled Hospitals having in-house Laboratories shall also apply for NABL Certification of the Laboratory.

Any Hospital which has not applied for NABH Accreditation shall be de-empanelled under CGHS. Those hospitals / diagnostic centers that have already applied for / accredited under NABH/NABL shall inform the office of the undersigned with supportive documents.

The Hospitals having applied for accreditation should qualify and obtain certificate of accreditation from NASH within eighteen months failing which they shall be de—empanelled under
CGHS.

This issues with the approval of Competent authority.

sd/-

( Dr . D. K. Borah)

Addl. DDG(HQ)

To

The Medical Superintendent,
——————————
——————————-
———————————

How to achieve Pre-accreditation entry level

After undergoing the final NABH assessment, hospitals may qualify for one of the following awards (based on their scores):

1 Pre-accreditalion entry levals : Conditions fur qualifying to this award are as below :

All the regulatory legal requirements should be fully met.

No individual standard should have more than two zeros.

The average score for individual standard must not be less than 5.

The average score for individual chapter must be more than 5.

The overall average score for all standards must exceed 5.

The validity period for pre-aecreditation entry level stage is from a minimum 6 months to a maximum of I8 months.

2. Pre-secreditation progressive level: Conditions for qualifying to this award are as below :

All the regulatory legal requirements should be fully met.

No individual standard should have more than two zeros.

The average score for individual standard must not be less than 5.

The average score for individual chapter must be more than 6.

The overall average score for all standards must exceed 6.

The validity period for pre-accreditation progressive level stage is from a minimum 3 months to a maximum of 12 months

3 Accredited: Conditions fur qualifying for accreditation are as below:

All the regulatory legal requirements should be fully met.

No individual standard should have more than one zero to qualify.

The average score for individual standards must not be less than 5.

The average score for individual chapter must not be less than 7.

The overall average score for all standards must exceed 7.

The validity period for accreditation is 3 years subject to terms and conditions.

Note : The awards are only valid till the next assessment or until that last date of validity, whichever is earlier, Awards CANNOT be renewed. Depending upon the progress, the organization is eligible to get either a pre-accreditation entry level award, pre-accreditalion progressive level award or accredited. If the organization under the stage of pre-accreditation entry level and pre-accreditation progressive level does not show any improvement during the next assessment they shall be encouraged to apply afresh.

For further details of accreditation program/documents etc. pl.visit www.qcin.org/nabh.

S.No. Subject Link
1. Clarification for CGHS beneficiaries Click here
2. Admissibility of Air Journey for Emergency Medical Treatment Click here
3. CGHS approved hospitals in Chennai Click here
4. Fresh empanelment of private hospitals and revision of package rates applicable under CGH$. Jabalpur and Delhi Click here
5. Fresh empanelment of private under CGHS, Delhi and HYDERABAD Click here
6. CENTRE ISSUES DRAFT GUIDELINES FOR PROCUREMENT OF AYURVEDIC MEDICINES FOR CGHS Click here
7. Empanelment of Exclusive Cancer Hospitals/Units under CGHS, Delhi Click here
8. Eligibility of permanently disabled son of a Central Government Health Service (CGHS) beneficiary to avail CGHS facility- reg. Click here
9. Insurers get second chance to bid for CGHS project Click here
10. Minutes of the meeting held on 14/7/2010 regarding proposed Central Government Employees and Pensioners Health Insurance Scheme Click here
11. Medical Facilities for inpatient treatment and post-operative follow-up treatment to CGHS Beneficiaries in Non-CGHS areas Click here
12. Empanelment of private Exclusive Cancer hospitals/Units under CGHS Click here
13. Clarification regarding Fresh empanelment of private hospitals and revision of package rates applicable under CGHS. Click here
14. Consolidated and updated list of CGHS hospitals Click here

The “Central Government Health Scheme” (CGHS) provides comprehensive health care facilities for the Central Govt. employees and pensioners and their dependents residing in CGHS covered cities.
Started in New Delhi in 1954, Central Govt. Health Scheme is now in operation in
Allahabad
Ahemdabad
Bangalore
Bhubhaneshwar
Bhopal
Chandigarh
Chennai
Delhi
Dehradun
Guwahati
Hyderabad
Jaipur
Jabalpur
Kanpur
Kolkatta
Lucknow
Meerut
Mumbai
Nagpur
Patna
Pune
Ranchi
Shillong
Trivandrum and
Jammu.

The Central Govt. Health Scheme provides comprehensive health care to the CGHS Beneficiaries in India. The medical facilities are provided through Wellness Centres(previously referred to as CGHS Dispensaries) /polyclinics under Allopathic, Ayurveda, Yoga, Unani, Sidha and Homeopathic systems of medicines.

248 Allopathic Dispensaries, 19 Polyclinics, 78 Ayush Dispensary/units
3 Yoga Centres
65 Laboratories
17 Dental Unitsstate that the income from all sources does not exceed Rs. 3500 + DA p.m.

Who are entitled for CGHS facilities
All Central Govt employees and their dependant family members residing in CGHS covered areas.

Central Govt Pensioners and their eligible family members getting pension from Central Civil Estimates

Sitting and Ex-Members of Parliament

Ex-Governors & Lt. Governors

Freedom Fighters

Ex-Vice Presidents

Sitting and Ex-Judges of Supreme Court & High Courts Employees and pensioners of certain autonomous organizations in Delhi Journalists (in Delhi )Accredited with PIB (for OPD & at RML Hospital) Delhi Police Personnel in Delhi only Railway Board employees

Are families of and Central Govt. servants on deputation to SemiGovt./ Autonomous bodies allowed CGHS facilities
No

Do pensioners of Deptt. of P & T get CGHS facilities
No.
Only those P&T employees who were members of CGHS while in service are entitled for CGHS benefits after retirement.

Are families of All India Services allowed CGHS facilities after officer is repatriated to parent cadre / transferred to NE region / J&K when the family resides in CGHS City.
Only in case of family members of All India Services Officers posted in J&K and NE region and occupying. One year CGHS contribution shall be paid in advance.

Are Journalists issued CGHS Cards
What facilities are provided to holders of Journalists Cards
Accredited Journalists are extended CGHS facilities in Delhi. However, no fresh CGHS cards are being issued to the Accredited Journalists w.e.f. April 2007 Only Old CGHS Accredited Journalist card can be renewed on yearly basis @ Rs.1067/- ( not for family) CGHS OPD facilities at WC level and Nursing Home facilities in Dr. RML Hospital. They are not entitled for any reimbursement.

 

Leave a Reply

Your email address will not be published. Required fields are marked *