ECHS/CGHS Hospital Empanelment involves a process through which hospitals, clinics, and diagnostic centers are evaluated and enlisted as healthcare service providers under the Ex-Servicemen Contributory Health Scheme (ECHS) and Central Government Health Scheme (CGHS). The empanelment process involves a thorough evaluation of the healthcare service provider’s facilities, services, and expertise, as well as an inspection by a team of experts.
The main aim of ECHS/CGHS Hospital Empanelment is to ensure that the enlisted hospitals & clinics provide quality medical care to ECHS/CGHS beneficiaries. The empanelment process includes a detailed evaluation of the healthcare service provider’s infrastructure, facilities, quality of medical care, & financial viability.
About CGHS Schemes
Central Government Health Scheme
(CGHS):
It is a health care facility scheme
providing Comprehensive medical care to the Central Government employees and
pensioners enrolled across India.
About ECHS Schemes
Ex-Servicemen Contributory Health
Scheme (ECHS):
It has been established to provide
quality Medicare to Armed Forces Veterans (AFV) and their dependents through a
network of ECHS Polyclinics, service medical facilities, and civil empanelled /
government hospitals spread across the country.
The hospitals & clinics seeking empanelment under ECHS/CGHS must meet the eligibility criteria set by the scheme. These criteria include the following:
·
The healthcare service provider should be registered
with the relevant government authority & have a valid license to operate.
·
The hospital should have adequate infrastructure,
including medical equipment, beds, & qualified staff.
·
The healthcare service provider should have a
dedicated emergency department, laboratory, & radiology facilities.
·
The hospital or clinic should maintain a high standard
of medical care & adhere to the NABH quality standards.
·
The healthcare service provider should have a
transparent billing system & not overcharge the beneficiaries.
·
The hospital or clinic should have a patient grievance
redressal mechanism in place.
Once the hospital or clinic has been
evaluated & meets the eligibility criteria, it is empanelled as an ECHS/CGHS
healthcare service provider. Empanelment allows the hospital or clinic to
provide cashless medical treatment to ECHS/CGHS beneficiaries.
HOW Medpoint Healthcare WILL HELP YOU TO GET ACCREDITATION?
Once your HCO determines to go for
Empanelment, Medpoint Healthcare Consultants shall guide you in each and every
step of the process, starting from 'Online application registration' to "NABH Recommendation'.
Preparing the HCO
The HCO should have implemented the
Standard before applying. Medpoint
Healthcare Consultants, with their expertise, shall help your HCO to understand
the standard and train your staff, and implement it at your HCO.
Preparing
your HCO will cover the following activities:
·
GAP Analysis report of the entire HCO as per guidelines
and suggest changes in Infrastructure, Personnel, or any Regulatory or Statutory
compliances if required.
·
Preparation of various Quality Documents like Quality
Manual, Hospital Wide Manual, Departmental SOPs, Files, Formats, etc.
·
Conducting Internal Audit.
·
Statutory Compliance Guidelines.
·
Providing guidelines for various displays.
·
Support for online application process.
·
Desktop assessment Coordination
·
Desktop assessment NC clearance
·
Onsite assessment , Coordination, and Document Support
Medpoint Healthcare shall help you to fill out the application. HCO should provide all the information very carefully as this is relevant to determine the scope of services and to take the process further.
After HCO has taken the necessary
corrective action to the non-conformities raised during the readiness visit, the accreditation body shall propose a final assessment. During the Final
Assessment, the assessor will check the entire facilities covered under accreditation
and review the documented management system in detail and verify its
compliance with the standards.
Medpoint Healthcare shall extend the entire assessment support from the backend to the assessor within the recommended time frame. Once you have submitted corrective/ preventive action against the observations raised by the assessor is accepted by the Assessor, you will get the empanelment.