2012 GO Rashtriya Arogya Nidhi Revised List

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No.W/11036/14/2003-RAN Government of India Ministry of Health & Family Welfare Nirman Bhavan. New Delhi- 1, Dated: 31.07.2012 Subject: Newly (revised) list of diseases for extending financial assistance under Rashtríya Arogya Nidhi (RAN) scheme to BPL Patients for treatment in Government hospitals. A meeting was held under the Chairmanship of DGHS en 17.05.2012 to review the tentative list of categories of treatment to be provided financial assistance to BPL patients who are suffering from major life threatening disease under RAN scheme. Please find enclosed herewith the newly (revised) updated list of life threatening diseases as approved by the Management Committee of RAN for giving assistance to the BPL patients under Rashtriya Arogya Nidhi / State Illness Assistance Fund. (Mahendar Singh) Deputy Secretary to the Govt. of India 1. Medical Supdt, All India Institute of Medical Sciences, Ansari Nagar, New Delhi. 2. Medical Supdt, Safdarjung Hospital, New Delhi. 3. Medical Supdt, Dr. R.M.L Hospital, New Delhi 4. Medical Supdt, Lady Hardinge Medical College& Mrs. Sucheta Kriplani Hospital, N.Delhi. 5. Medical Supdt, Post Graduate Institute of Medical Sciences and Research (PGIMER) Chandigarh 160012 6. Medical Supdt, Jawaharlal Post Graduate Institute of Medical Sciences and Research (JIPMER) Dhanvantari Nagar, Puducherry -605006. 7. Director, National Institute of Mental Health & Neuro Sciences (NIMHANS), Bangalore. 8. Director, North Eastern Indira Gandhi Regional Institute of Health & Medical Sciences (NEIGRIHMS), Shillong -793018, Meghalaya. 9. Director, Regional Institute of MedicaI Sciences (RIMS), Imphal, Manipur 10. Director, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Rae Bareilly Road, Lucknow -226014, (UP). 11. Medical Supdt, Gandhi Memorial & Associated Hospital & KG. Medical College, Lucknow, UP Copy for information to : - 1. All Members of the Managing Committee of RAN. 2. Director General of Audit, (Central Expenditure) I.P. Estate, (AMG-Il Section), N. Delhí- 2 All States Illness Assistance Fund / UTs (without legislature) ( list enclosed) Andhra Pradesh, Bihar, Madhya Pradesh, Karnataka, Maharashtra, Rajasthan, Tamil Nadu, Uttar Pradesh, West Bengal, Tripura, Himachal Pradesh, Jammu & Kashmir, Kerala, Mizoram, Goa, Gujarat, Sikkim, Chattisgarh, Jharkhand, Haryana, Uttrakhand, Punjab, Uttar Pradesh, Manipur, Assam, Arunachal Pradesh, Odisha, NCT of Delhi, Puduchery, Lakshadweep, Dadra & Nagar Haveli, Andaman & Nicobar Islands and Chandigarh

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Kounteya SinhaAug 8, 2012Mental patients included in BPL health schemeNEW DELHI: In the maiden endorsement of India's swelling burden of patients suffering from mental disorders, the Union health ministry has included it under the Rashtriya Arogya Nidhi (RAN) — the scheme that till now provided financial assistance to only below poverty line (BPL) patients, who are suffering from major life-threatening diseases.All BPL patients suffering from mental disorders like depression, anxiety, adjustment and personality disorders, alcohol and drug abuse will get a free one-time grant of up to Rs 1 lakh for treatment at any super-specialty government hospital/institutes.The ministry has also included diabetes — an ailment that presently affects nearly 50 million Indians under RAN. A note prepared by the ministry says, "7% of population suffers from mental disorders. Around 13 crore Indians are suffering from some form of mental illness — from depression and anxiety syndromes to psychosomatic disorders and schizophrenia. Over 90% remain untreated. There is less than one psychiatrist is available for every four lakh population. The psychiatrist/ population ratio is one for every million."For providing financial assistance to the needy patients, an advance of Rs 10 lakh to Rs 40 lakh are kept with medical superintendents of institutes like the All India Institute of Medical Sciences, RML Hospital, Safdarjung Hospital, Lady Hardinge Medical College (Delhi), PGIMER (Chandigarh), JIPMER (Puducherry), NIMHANS (Bangalore), CNCI (Kolkata), SGPGIMS (Lucknow), Gandhi Memorial and Associated Hospitals (Lucknow), RIMS (Imphal) and NEIGRIHMS (Shillong) to enable immediate sanction of an amount up to Rs 1 lakh in each deserving case reporting for treatment.In cases where the quantum of financial assistance is likely to exceed Rs 1.5 lakh, they will be referred to RAN for consideration, which will be looked into by an expert panel.With around 7% of India's population suffering from some form of mental disorders, Union health minister Ghulam Nabi says it is a "matter of great concern," with such disorders still grossly overlooked in India.Azad said about 20% of all patients seen by primary healthcare doctors have one or more mental disorders. One in four families is likely to have at least one member with a behavioral or mental disorder.Now, India has 23% of required psychiatrists, 25% of required psychiatric nurses and only 3% of the required clinical psychologists and psychiatric social workers. In absolute numbers, India has 3,500 psychiatrists, 500 clinical psychologists, 300 psychiatric social workers and about a 1000 psychiatric nurses. As against 30,000 beds required for the mentally ill, only about 200 beds are available."Even by a conservative yardstick, there is a shortage of about 8,000 psychiatrists, 17,000 clinical psychologists, 23,000 psychiatric social workers and 9,000 psychiatric nurses," Azad said.That's why the ministry is now developing 11 Institutions as centres of excellence in mental health, which will add 44 psychiatrists, 176 clinical psychologists, 176 psychiatric social workers and 220 psychiatric nurses annually. Each centre will be given Rs 30 crore.Around 29 state-run mental hospitals and 88 psychiatry wings in government colleges are being upgraded.http://articles.timesofindia.indiatimes.com/2012-08-08/india/33099821_1_mental-disorders-mental-illness-psychiatric-nurses

Transcript of 2012 GO Rashtriya Arogya Nidhi Revised List

Page 1: 2012 GO Rashtriya Arogya Nidhi Revised List

No.W/11036/14/2003-RAN

Government of India

Ministry of Health & Family Welfare

Nirman Bhavan. New Delhi- 1,

Dated: 31.07.2012

Subject: Newly (revised) list of diseases for extending financial assistance

under Rashtríya Arogya Nidhi (RAN) scheme to BPL Patients for

treatment in Government hospitals.

A meeting was held under the Chairmanship of DGHS en 17.05.2012 to

review the tentative list of categories of treatment to be provided financial assistance to BPL patients who are suffering from major life threatening disease under RAN scheme. Please find enclosed herewith the newly (revised) updated list of life threatening diseases as approved by the Management Committee of RAN for giving assistance to the BPL patients under Rashtriya Arogya Nidhi / State Illness Assistance Fund.

(Mahendar Singh)

Deputy Secretary to the Govt. of India

1. Medical Supdt, All India Institute of Medical Sciences, Ansari Nagar, New Delhi.

2. Medical Supdt, Safdarjung Hospital, New Delhi.

3. Medical Supdt, Dr. R.M.L Hospital, New Delhi

4. Medical Supdt, Lady Hardinge Medical College& Mrs. Sucheta Kriplani Hospital,

N.Delhi.

5. Medical Supdt, Post Graduate Institute of Medical Sciences and Research (PGIMER)

Chandigarh 160012

6. Medical Supdt, Jawaharlal Post Graduate Institute of Medical Sciences and

Research (JIPMER) Dhanvantari Nagar, Puducherry ­605006.

7. Director, National Institute of Mental Health & Neuro Sciences (NIMHANS),

Bangalore.

8. Director, North Eastern Indira Gandhi Regional Institute of Health & Medical

Sciences

(NEIGRIHMS), Shillong -793018, Meghalaya.

9. Director, Regional Institute of MedicaI Sciences (RIMS), Imphal, Manipur

10. Director, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Rae

Bareilly Road, Lucknow -226014, (UP).

11. Medical Supdt, Gandhi Memorial & Associated Hospital & KG. Medical College,

Lucknow, UP

Copy for information to : -

1. All Members of the Managing Committee of RAN.

2. Director General of Audit, (Central Expenditure) I.P. Estate, (AMG-Il Section),

N. Delhí- 2

All States Illness Assistance Fund / UTs (without legislature) ( list enclosed) Andhra Pradesh, Bihar, Madhya Pradesh, Karnataka, Maharashtra, Rajasthan, Tamil

Nadu, Uttar Pradesh, West Bengal, Tripura, Himachal Pradesh, Jammu & Kashmir,

Kerala, Mizoram, Goa, Gujarat, Sikkim, Chattisgarh, Jharkhand, Haryana, Uttrakhand,

Punjab, Uttar Pradesh, Manipur, Assam, Arunachal Pradesh, Odisha, NCT of Delhi,

Puduchery, Lakshadweep, Dadra & Nagar Haveli, Andaman & Nicobar Islands and

Chandigarh

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A statement showing revised an illustrative list of categories of treatment to

be provided from the fund under Rashtriya Arogya Nidhi (RAN) Scheme

1. Cardiology & Cardiac Surgery :

1. Pacemakers 2. CRT / Biventrivular pacemaker 3. Automatic Implantable cardioverter defibrillator (AICD) 4. Combo devices 5. Diagnostic Cardiac Catheterisation including Coronary Angiography 6. Interventional procedure including Angioplasty, Rota-ablation, Balloon

Valvuloplasty, eg PTMC, BPV etc 7. ASD, VSD and PDA device closure 8. Peripheral Vascular Angioplasty, Carotid Angioplasty. Renal Angioplasty 9. Coil Embolízatìon and Vascular plugs 10. Stents including Drug Eluting Stents 11. Electrophysiological Studies (EPS) and Radio Frequency (RF) Ablation 12. Heart surgery for Congenital and Acquired conditions including C.A.B.G 13. Vascular Surgery 14. Cardiac Transplantation etc.

2. Cancer :

1. Radiation treatment of all kinds including Radio Therapy and Gama Knife Surgery

2. Anti-Cancer Chemotherapy supportive medication and antibiotic, Growth factor

3. Bone Marrow Transplantation - Allogeníc & Autologous 4. Diagnostic Procedures - Flow cytometry / cytogenetic / IHC tumour markers

etc 5. Surgery for cancer patients 6. Catheters, lines and venous access devices

3. Urology / Nephrology / Gastroenterology :

1. Dialysis and its consumables (Both hemodialysis as well as Peritoneal) 2. Plasmapheresis in acute renal failure 3. Continuous renal replacement in acute renal failure in ICU sick patient 4. Vascular Access Consumables (eg Shunts, catheters) for Dialysis 5. Renal Transplant (cost of renal transplant varies from 2.5 to 4.0 lakh

depending upon type of drug used as per patient need 6. PCN and PCNL kits 7. Lithotripsy ( for Stones) 8. Disposables & Stents for endoscopic surgical procedures in Urology &

Gastroenterology

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4. Orthopaedics :

1. Artificial prosthesis for limbs 2. Implants and total hip and knee replacement 3. Extemal fixaters 4. AO implants used in the treatment of bone diseases and fractures 5. Spiral fixation Implant - Pedicle Screws (Traumatic, Paraplegic, Quadraplegic

) 6. Implant for Fracture Fixation (locking plates and modular) 7. Replacement Hip - Bipolar/Fixed 8. Bone substitutes

5. Neurosurgery - Neurology :

1. Brain Tumors 2. Head injuries 3. Intracranial aneurysm 4. AVMs 5. Spinal tumors 6. Degenerative /Demyelinating diseases of brain/spinal cord 7. Stroke 8. Epilepsy 9. Movement disorders 10. Neurological infections.

6. Endocrinology :

1. Hormonal replacement for life long therapy: ● Diabetes ● Hypo pituitarism ● Hypo thyrodism ● GH deficiency ● Cushings Syndrome ● Adrenal insufficiency ● Endocrine surgery

7. Mental Illness :

1. Organic Psychosis acute and chronic . 2. Functional psychosis including Schizophrenia, Bio-polar disorders, delusional

disorders and other acute polymorphic psychosis. 3. Severe OCD, somatofonn disorders, eating disorders. 4. Developmental disorders including autism spectrum disorders and severe

behavioral disorders during childhood

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8. Drugs:

1. Immunosuppressive drugs 2. Anti D 3. Anti Hemophilic Globulin . 4. Erythropoietin 5. Blood & Blood products/Plasma for patients of Burns 6. Liposomal Amphotericin 7. Peg Interferon 8. Ribavarin 9. CMV treatment (IV Gancyclovir, Valganciclovir) 10. Voriconazole 11. Anti-rejection treatment (ATG, OKT 3) 12. Treatment for Post-transplant viral infection. 13. Any life supporting drugs.

9. Investigations:

Ultra-sound, Doppler studies, Radio-nucleotide scans, CT scan, mammography,

Angiography for all organs, M.R.I, E.E.G, E.M.G, Uro-dynamic studies, Cardiac Imaging - Stress Thallium & PET, Cardiac MRI, Investigation for CMV, BK Virus, TMT, Echocardiography. Psycho diagnostics, neuropsychological assessments, IQ assessments, blood tests like serum lithium and drug level of carbamazepine, valporate, phenytoin and any other similar medications: CSF studies screening for substances or abuse / toxicology.

10. Others :

1. Immunoglobulin for AIDP (GB Syndrome) and Myasthenia Gravis. 2. Anti viral 3. Anti fungal 4. Wilson disease : Penicillamine A 5. Botulinum A toxin injection for spasticity 6. Baclofen for spasticity

11. Miscellaneous:

Shunts for Hydrocephalus.

12.

Other major illness / treatment / intervention considered appropriate for financial assistance by Medical Superintendent / Committee of Doctors could be considered for grant.

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