Since its launch in end 2007 RSBY has been started by many states. At present 22 States are at different levels of implementation of RSBY. Five more States are in the process of issuing the tender for RSBY. Districts across States are being taken in a phased manner so as to cover all the districts in next three years. However, few states like Kerala, Gujarat, Uttar Pradesh, Maharashtra, Delhi, Haryana have already tendered for all the districts in the State.
Till now more than 36,00,000 households across India have already received smart cards in Seventeen States of India. This makes it the largest Central Government funded scheme in India which is using a smart card technology.
- Cards issued – App. 3.6 million
- People enrolled – App. 15 million
- States which have started the tendering process – Twenty two
- States which have signed MoU with Central Government – Eighteen
- States where enrolment has started – Seventeen
- States where Service delivery has started - Eleven
For detailed information and related documents of the scheme please access Official website of RSBY - www.rsby.in
RSBY is a good effort although, the rates of surgerypackages (including consultations, investigations, operative charges, anaesthetist charges, drugs, medicines, equipments, stay, disposables , management of complication if occurs,and medicicines of 7 days post discharge all inclusive )fixed are impractical for all major surgeries, if they are really interested in improving the quality. by the present packages, it will be possible to cover only the minor surgical procedures with substandard quality. The poor will remain to suffer. As at this rates no one should expect quality. Also for major surgeries, poor patients will be shunted from one hospital to other and will ultimately land up in ill equipped and staffed government hospitals as the present state of affairs. It seems to be more of a political stunt.
ReplyDeleteDear Dr. Bhowmik,
ReplyDeleteYou may just like to review your opinion about the scheme. Already more than 11 mllion families have been covered across 22 States of the country and lakhs of beneficiaries have aviled cashless facilities in empanelled hospitals. The initial independent evaluations have revealed a consumer satisfaction ranging between 80 and 92%. It may perhaps not be appropriate to call it a political stunt.
regards,
Anil Swarup
Figures only speak of quantity. I am commenting on "Quality". It is always very easy to achive the numbers , but what I have mentioned is the real fallacy. Quality does matter in healthcare delivery.
ReplyDeleteNo major surgeries can be covered under the present terms , conditions and packages. Only minor procedures can be covered( and obviously minor surgeries are the bulk and so are the figures).
I am glad you are engaging in a debate. You have to make a start to make an improvement. Your specific suggestions would certainly help. "Quality" has a subjective connotation but the first thing is to provide to the poor that which is unavailable to him.The next step would be certainly be to look into the quality part. Best would be to ask the beneficiary about his perception about the change in the status consequent to the roll out of the scheme. The fact that more than 450,000 have already been to the hospital and have indicated a satisfaction rating of 80 to 90% as indicated in independent surveys as also the fact that a few other countries want to repplicate this module may just convince you that it is not a political stunt. However, we do concede that quality is an important issue that needs to be grappled.
ReplyDeleteregards,
Anil Swarup
Dear Nishant,
ReplyDeletePlease update the status on this page, specially the map.
regards,
Anil Swarup
1)Is it always possible to fix a package rate for every disease. No one can predict how a case will respond and what will be the progress and outcome.How can you predict the outcome of an unconcious patient in a comatose state to be put in an ICU on a ventilator with 24 hours intensivist working and on all monitors? what should be done in those cases?Doesnt the poor deserve such life saving treatment or he needs to be referred to government hospital or let him/her die? Government needs to have clear guidelines for the benefit of participating healthcare organisations too( not only the benefeciaries).
ReplyDelete2)Some of the implants/disposables used in orthopaedics and laparoscopic /endoscopic surgeries themselves are five times the total cost of package , leave the other charges, what should be done? should the poor be deprived of those quality treatment?
3) In case of complications with prolonged stay, any complication , why does the government expect the healthcare organisation to pay for the extra expenses for treatment,stay,food medicines,etc?
4) The hospitals will be left with no other option but to refer high risk cases, will be unable to provide quality services and surgeries( when endoscopic/laparoscopic surgery is possible in a case, they will be forced to do an open surgery).They will be forced not to take opinion of other specialists when required,repeated lab investigations when required.
As a whole, the planners only think about the benefeciaries and not about the healthcare organisations. Some serious thought needs to be given regarding the benefit of the poor hospitals too ( not only poor patients).
Some stimulus package should be given to participating hospitals. similar packages needs to be given to participating hospitals for implementing (electronic Medical records)EMR/ computerisation and accreditaion(ISO/NABH), to improve the quality of healthcare to the rural masses.
Dear Mr.Swarup,
ReplyDeleteI just read the article in HT about your RSBY program. I congratulate you on this effort. I would also encourage you to do an indepth study of the medicaid/ medicare system in the US to avoid any of the same mistakes, problems they are facing at present.
Regards,
Dr. D.Saharia
RSBY registration procedure with computer is very bad because this take more time in transaction & many forms to fill up.
ReplyDeleteonly give one form online to fill ups.
only we enter card no. show all member status & choose select patient name & another requirement.
no use of card reader & thumb impression because this instruments take time & some times not working, some times instruments is damaged so our patients go second place & take some bad thought of hospital. So All work is online with card No. & one necessary required form to fill up.
Veer shorya pratap singh
RSBY SCHEME IS AGOOD SCHEME PROVIDED IT IS MANAGED PROPERLY BY TPA AND HOSPITALS.THERE IS NO TRANSPARENCY IN EMPANNELING OF HOSPITALS BY THE INSURANCE CO.EVEN THOSE HOSPITALS WHICH DONOT HAVE MCI RECOGNISED DRSIN THEIR PANELS ARE EMPANNELED.THESE PEOPLE DO A LOT OF MALPRACTICES AND HENCE THE CLAIM AMT OVERSHOOTS AND THOSE HOSP.WHO SINCERELY GIVE THEIR SERVICES SUFFER AS THEIR CLAIMS ARE PENDING.JALGAON DISTRICT IN MAHARASHTRA IS A CLASSIC EXAMPLE OF SUCH MALPRACTICES COURTSY TO THE GREAT TEAM OF E MEDITECH TPA WHO MADE ALOT OF MONEY IN EMPANELLING THE HOSPITALS AS WELL AS IN DISTRIBUTION OF CARDS.
ReplyDeletePlease do some self check: some real major falacies we have witnessed in Vadodara district, Gujarat:
ReplyDelete1) RSBY cards are not (never) issued on the spot .many have not received even 2 months after taking their photos and finger print- why wastage of 2 months(obviously 2months are lost in the 1 year card)- who is at loss?
2) Many interior villages are not covered at all. At many places the TPA persons just disappeared saying we will come later as there is no electricity or computer malfunction--and they never returned.
3) Running an extortion racket by TPA persons without any restriction,(demanding openly) in empanelment of hospitals , and for promise of empanelment ( to anyone and everyone who's ready to satisfy their demands without any standard requirement /criteria) .They are indeed making good money even before the scheme is operational. All these will ultimately promote malpractice.
4) Some RSBY cards are issued before 3 months, still hospital cards are not issued and installed and scheme stands non operational 3months after first set of cards being issued at this stage. Who is responsible for this delay. It seems rather intentional delay tactics so that people do not start claiming.
5) Booklets (with empanelled hospital list and instruction) are not being issued along with the cards.
.
6) Many cards issued are having many errors like photo/fingerprint mismatch and what not? who is responsible for the delay, the harrasment of the benefeciery not getting treatment on time?TPAs and insurance companies are only interested in the numbers for obvious reasons.
these are just a few (tip of iceberg)needs introspection.
Who dares to complain ? thats the point
Please let me know how a hospital is enpanelled. To whom should we contact.
ReplyDeleteplease inform me on drpnaik@hotmail.com
its the worst thing i am obserng in jalgaon maharashtra,with icici lombard insurance.THE FOREMOST THING IMPORTANT IS WHO IS THE OBSERVING AUTHERITY FOR DOSTORS AND PATIENTS SIDE.BECAUSE INSURANCE COMPANY WILL ALWAYS TRY TO EARN OUT OF THE THINGS.
ReplyDeletedr. naik, contact Distric HOSPITAL HEAD FOR THE EMPANELMENT WITH RSBY
ReplyDeleteABC
Does anybody care about the extortion carried out by TPA members or is it considered part of the scheme?
ReplyDeletePlenty of fake cards, fake patients are processed with TPA and insurance Co. members Involved.
There is no proper monitoring system.
Dear Sir,
ReplyDeletekhushlok Hospital , Bareilly (U.P) is a complete multispeciality center catering Rohilkhand, Astrakhan and west Nepal region. Hospital is providing facilities in multiple deciplenaries with special focus on poly trauma, neurosurgery , orthopedics, critical care , general surgery, general medicine, plastic surgery, and mother & child care . ICU are providing ventilators, ABG machine, infusion pumps, ECG page writer, multipara monitors and biphasic defibrillator and general wards , privet ward, semi privet ward and central oxygen supply , suction plant and have followed all fire safety norms. So i request you hospital empanelment your tpa.
We are looking forward for your positive response.
Contact me - 9412345579, 9760346600
Thanking You
Khushlok Hospital Bareilly (U.P)