Archive for month: January, 2017
Aadhaar Enabled Bio metric Attendance System (AE-BAS)
Q.1How does an organisation start Biometric Attendance System (BAS) for their employees?
Ans.Please submit details of the nodal officer and upload a signed request by the head of the department on attendance.gov.in portal. System would send OTP to the mobile number/email id of the nodal officer which needs to be entered again on the portal for verification.
Referral Module for PHC CHC DH Medical college
Rajasthan Health System Development Project (RHSDP) was conceived with the support of World Bank. The ultimate goal of the project is improvement in the Health of people of the State, with the following aims and objectives.
1. To enhance the effectiveness and quality of health services at the primary and secondary levels through policy and institutional development.
2. To increase access to and equity in health care service delivery with particular focus to the underserved sections.
To achieve these objectives the whole project has following components.
1. Policy Development and Project Management
2. Improving Quality and Efficiency of Public Health Care services at Primary/secondary level.
3. Improving access to Health care services for poor.
In consonance with the components it is proposed to strengthen the referral system. In this context quality norms have been decided for various levels of Medical Care facilities.
Referral services are non-existent in the state and do not have definite norms.
Patient is at liberty to seek care at any level of his/her choice and convenience.
In other words a patient does not require referral slip or prior appointment to seek care at higher level facilities. Most of the in- patients at the secondary level institutions, such as CHCs or district hospitals, by pass the primary health facilities, whenever they wish. Self referrals even for common ailments create overcrowding at higher-level institutions. CHCs are also bypassed for even minor ailments resulting in extremely poor bed occupancy. The main reasons for bypassing lower level institutions seem to be lack of diagnostic andreatment facilities at these centers, absence of qualified medical
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and nursing staff, non-availability of drugs, poor equipment, and people’s lack of knowledge about the available services. On the other hand, people often refuse to be referred to higher-level institutions, especially in backward areas, due to high transportation and other costs, and apprehension of mistreatment or poor attention there. In improving quality of health services, a key instrument is referral system, which has to be reviewed to make it stream lined.
The project strongly emphasizes that strengthening of secondary level hospitals would raise credibility of the primary health care system as the referred cases from the primary level will get better quality care on the one hand while reducing the work load of tertiary care hospitals on the other. It is thus imperative to have a good referral system with adequate support so that services
are available in a comprehensive manner nearer their doorsteps. An efficient and effective referral system depends upon
• Linkages between different levels of health care
• Availability of specialists and support services
• Resources
• Timely decision
• Transport and communication
• Referral criteria and protocols
• Feedback and follow-up
Leave Not Due LND
Leave Not Due (LND)
i. Leave Not Due may be granted only on medical grounds to a permanent staff with no HPL at his/her credit.
ii. Temporary staff with minimum of one year service and suffering from TB, Leprosy, Cancer or Mental illness may also be granted LND if the post from which the staff proceeds on leave is likely to last till his/her return.
iii. LND is granted only if the leave sanctioning authority, i.e. Director, is satisfied that there is a reasonable prospect of the staff returning to duty on expiry of the leave.
iv. LND may be granted without medical certificate to a female staff in continuation of maternity leave, or for adoption of a child.
v. The amount of leave should be limited to the half pay leave that the staff is likely to earn subsequently.
vi. LND during the entire service is limited to a maximum of 360 days.
vii. LND will be debited against the half pay leave that the staff earns subsequently and infact LND is HPL taken in advance..
viii. LND cannot be granted in the case of Leave preparatory to retirement
ix. When a staff granted LND resigns from the service or is permitted to retire voluntarily without returning to duty, the LND should be cancelled. The resignation/retirement will take effect from the date on which such leave had commenced and the leave salary should be recovered.