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Health Ministry directs states to warn hospital against malpractices


Health Ministry directs states to warn hospital against malpractices

New Delhi: The Health Ministry asked all states to issue strict warnings and take action against hospitals, including private ones, which indulge in malpractices such as overcharging and don’t follow standard treatment protocols.

The move comes in the wake of allegations that Gurgaon- based Fortis Hospital billed the family of a dengue patient Rs 16 lakh.

In a letter to the chief secretaries, Union Health Secretary Preeti Sudan said that alleged malpractices by clinical establishments not only compromise patient safety but also raise concerns about accountability in healthcare costs.

She asked the states to ensure implementation of the Clinical Establishment (Registration and Regulation) Act, 2010 under which all hospitals can be regulated.

“It is time to learn lessons from such incidents and I advise that a meeting with all important healthcare establishments, including private hospitals, of your state be taken and they be clearly sounded not to indulge in such practices, failing which strict action will be taken.

“I request you to kindly get the clinical establishment act adopted/implemented by your state also,” Sudan said in the letter.

Referring to the recent incident in which a 7-year-old girl died of dengue at Fortis hospital, Sudan said it was alleged that the patient was grossly overcharged and standard treatment protocols were not followed.

She also drew attention to the alleged malpractices by various clinical establishments in the recent past.

These include exorbitant charges, deficiency in services, not following the standard treatment protocols, etc, resulting not only in compromised patient safety but also concerns about transparency and accountability in healthcare costs, she said.

“Such incidents have an extremely deleterious impact on the faith of the general public in the healthcare system of the country.

“It is our duty to ensure that such incidents don’t recur, quality care and treatment is provided to those in need and that it is provided at a fair and an affordable price,” she said.

She said effective action can be taken against such healthcare establishments indulging in fraudulent and unethical practices under the act.

Moreover, there are provisions under other acts, rules and regulations under which action can be contemplated against such activities.

The clinical establishments act was been enacted by the Centre to provide for registration and regulation of all clinical establishments in the country with a view to prescribe the minimum standards of facilities and services provided by them.

The act is applicable to all types (both therapeutic and diagnostic types) of clinical establishments in the public and private sectors.

Till now, five states including Arunachal Pradesh, Rajasthan, Jharkhand and Assam and all Union Territories except the NCT of Delhi have adopted and implemented the act. States like Sikkim, Mizoram, Bihar, UP and Uttarakhand have adopted the act but are yet to implement it.

Under the act, standard treatment guidelines are specified for 227 diseases, including dengue, chikungunya and malaria. The hospitals are supposed to abide by minimum standards in terms of infrastructure, services, staff, equipment and lighting arrangements among others.

A technical committee is to be set up to decide on charges for treatment of diseases and procedures at clinical establishments, including private hospitals.

Health facilities are supposed to display the charges for each procedure and facility to keep the patient informed in advance. Failure to adhere to these guidelines would result in imposition of penalty.

Read also: Clinical establishment act needed to check Fortis-type cases: Dr Jagdish Prasad, DGHS




Source: PTI
1 comment(s) on Health Ministry directs states to warn hospital against malpractices

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  1. user
    Dr MAHAVIR ANNA PATIL, MD (BOM) November 25, 2017, 1:10 pm

    Healthcare professionals are atleast in maharashtra indulging in CUT PRACTICE
    WHICH IS UPTO THE EXTENT OF MAXIMUM 50%OF THE BILLS IN TOTO. FORTIS HOSPITAL IN MULUND BOMBAY IS INDULGING IN THIS MAALPRACTICE. THIS MUST BE A PRACTICE GOING ON IN THE FORTIS HOSPITAL COLLECTING FIFTEEN LACS INR FOR DENGUE PT.INVESTIGATE ALL BRANCHES OF FORTIS. PART OF SWOLLEN BILL MONEY GOES TO REFERRING DR IN BLACK (IN NURSING HOMES AND BY CHEQUE IN CASE OF FORTIS. BLACK..MONSTERS ARE INCOME TAX EVADORD.
    WHY ONLY FORTIS,,, MEJORITY OF THE NURSING HOMES ARE INDULGING IN THIS FRAUD AND THAT TOO IN BLACK CURRENCY. HIT THEM ALL WITH PUNISHMENTS. FOR THIS,, A HEALTHCARE BRANCH OF NATIONAL VIGILANCE COMMISSION SHOULD BE FORMED.
    NATIONALLISATION OF HEALTH SERICES IS THE BEST SOLUTION WHERE PVT INERESTS ARE =O.
    UNNESCESSARY OPNS, FALSE CLAIMS, CUTS FROM INSURANCE BILLS ARE ALSO SEEN BINDHAS!. NO FEAR.
    WE HAVE DOMINENT NO. OF NON ALLOPATHIC PRACTIONERS, COVER THEM IN ETHICAL BINDINGS. THEIR COUNCILS ARE NOT BIDING THEM WITH SUCH RULES THAT IS WHY MANY ALLOPATHIC DRD ARE EMPLOYING THEM AS ADMINISTRATORS.EVEN A REGISTRAR OF MEDICAL COUNCIL OF MAHARASHTRA IS A MAN FROM BAMS OR AYURVEDA CADRE. IF GOVT IS CARELESS AND LOOKING TO VOTE BNKS WHAT OF OTHERS. SUCH GOVT WILL NEVER PUNISH GUILTIES OF ALTERNATIVE MEDICINE DR\’S FRAUDS.!
    ALL THESE TRANSACTIONS ARE IN BLACK AND PAYING NO TAXES BECAUSE IT IS UNDERHAND DEAL. NOW WE NEED AUTHORITIS WHO WILL NO T COMPROMISE THESE THINGS FOR VOTES.