vigilance branch sub: minutes of the meeting of zonal ... · fltem no.i. investigation of...
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VIGILANCE BRANCH
Sub: Minutes of the meeting of Zonal Vigilance officers, ZonalVigilance Officers(Departmental Inquiry) and Medical Vigilanceofficers held on 19th March, 2012 at Employees' state InsuranceCorporation(ESIC), Hqrs office, New Delhi.
Enclosed please find a copy of the Minutes of the meeting of
Directors(Vigilance)/Joint Director (Vigilance)/Directors/Joint
Directors(Departmental Enquiries) and Medical Vigilance Officers held on
19.3.12. System Division, Hqrs office, New Delhi is hereby requested to upload
the same on ESIC website.
This issues with the approval of Director(Vig).
End:As above.
(MUKUL VATS)ASSTT. DIRECTOR(VIG)
Asstt. Director(Special Cel!), Hgrs officeLO. Note No. C-ll/29/l/2012-Vig Datee 4/04112
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Pending Departmental Enquiry cases as on 1.3.12
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SI. Name of Authority As on 1.4.11 to 29.2.12 As on
NO. 31.3.11 Received Disposed 1.3.12-- -_._------- -- _._- .._------------ .---
1. .Zonal Enquiry 72 42 38 76
OfficersI
2. Others--~---~-I-----
81 66 159i 144Ii
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RDs/JDs/MS/JDI/c,:
D(M)D
Total 216 123 104 235-- -- - ------'---.------.----~----
·c
MINUTES OF THE MEETING OF ZONAL VIGILANCE OFFICERS, ZONAL
VIGILANCE OFFICERS (DEPARTMENTAL INQUIRY) AND MEDICAL VIGILANCE
OFFICERS HELD ON 19th March, 2012, at HQRS. OFFICE
The following officers attended the meeting:-
SI. No. Name of the Omcer Designation
l. Dr. C.S. Kedar Director General
2. Shri. A.K. Singh Chief Vigilance Officer
3. Shri B.K. Sahu Insurance Commissioner
4. Or. S.R Chauhan Medical Commissioner
5. Shri A. Chokalingam Commissioner (Recruitment)
6. Dr. S.F. Hans Deputy Medical Commissioner
(Medical Vigilance)
7. Shri A.K. Sinha Director (Vigilance)
8. Shri A.K. Mishra Director (Vigilance)
9. Shri RS. Bishnoi Jt. Director (Vigilance)
10. Shri Arvind Kumar Jt. Director (Vigilance)
11. Shri A.K. Dutta Director (Vigilance)EZ
12. Shri P.B. Mani Director (Vigilance) SZ
13. Shri M. George Jt. Director (Vigilance) WZ
14. Shri A.K. Sharma Jt. Director (Vig)NZ
15. Shri RK. Nayak Director(DE)NZ
16. Major Nar Singh Jt. Director (DE)WZ
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., Shri R. Gunasekaran Jt. Director(DE)SZ!
! 18. Shri Surjit Das Jt. Director (DE)EZ!i119.- Or. P.K. Jain Chief Medical Officer (NFSG),20. Dr. Nilanjan Hazarika Chief Medical Officer
21. D.P. Sharma Dy. Director (Vigilance)
\-22. Dr. Ravi Shukla Medical Vigilance Officer
~3. Dr. Laxmikan t Aggarwal Medical Vigilance Officer
24. Dr. Kishore Naik, P.L.N.V. Medical Vigilance Officer
25. Dr. Deepak Goyal Medical Vigilance Officer
26. Dr. Vishal Bandewar Medical Vigilance Officer
27. Dr. Md. Gurfran Seraj Medical Vigilance Officer
28. Dr. T.M. Lakshmikantha Medical Vigilance Officer
29. Dr. B. Prashanth Medical Vigilance Officer
30. Dr. D. SujeshKumar Medical Vigilance Officer!31. Dr. Ravi Shukla Medical Vigilance Officer
132. Dr. N. Sudhakar Medical Vigilance Officer
33. Dr. Alip Ray Medical Vigilance Officer
134. Dr. O. Devadasan Medical Vigilance Officer
t 35. Or. Prashan R Ahire Medical Vigilance Officeri
136. Dr. R. Madhu Medical Vigilance OfficeriI
37. Dr. Pradeep Kumar Mangal Medical Vigilance Officer
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Dr.
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Mukesh Kr. Modi Medical Vigilance Officer
--------_.Girish Kurnar Medical Vigilance Officer
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Prasanta Kumar Maity Medical Vigilance Officer
A.K. Varshney Medical Vigilance Officer
Suchitra Base Medical Vigilance Officer
----Sugeet Tandon Medical Vigilance Officer
------Amar Singh Medical Vigilance Officer
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--:-'l Or.
-1 -. Dr.
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./-.
Shn S.P. Raa, Jt. Director (Preventive Vigilance Cell), Shri V.K. Rawat, Deputy
)lrector (Retd.)(Preventive Vigilance Cell), Shri Rajiv Lal, Deputy Director (Preventive
vigilance Cell), Shri A.K. Rastogi, Deputy Director(Vig)(NZ),Shri Mukul Vats, Assistant
;Jlrector (Vigilance), Shri Anurag Kumar, Assistant Director (Vigilance), Shri R.K.
libargava. Assistant Director(Vigilance), Shri Dinesh Nirwan, Assistant Director
.Vigilancc] were also present in the meeting.
A t the outset, the Chief Vigilance Officer welcomed all the officers attending the
mcetmg. The Director General while inaugurating the meeting congratulated the
'--'hlerVigilance Officer for his excellent performance in making prompt compliance of
references made by Central Vigilance Commission. He also appreciated the efforts
made by the Chief Vigilance Officer in developing alerts in respect of all the divisions
.ncludmg vigilance and also for the recently held Nation wide special vigilance drive
.\.c 1'. 29.02,2012 to 03.03.2012.
The Director General stated that the activities of the Corporation particularly in
Ihe medical side have increased manifold. He stated that efforts are on to provide
excellent medical facilities to the insured persons and their family. The medical
services are provided by both ESIC/ESIS institutions as well as through referral tie
"p hospitals. He desired that referrals should be done wherever it is necessary. He
emphasized that the beneficiaries should invariably be referred to tie up hospital for
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-,pt'edll test; treatment and as far as possible at package rates to ensure transparency
(1 easy clearance of hospital bills. He also stated that the Corporation is modernizing
s nospitals by equipping them with latest machines which are being purchased by
.ir own medical officers as well as by the outside agencies. Here the role of vigilance
rceps m and therefore he has strengthened the medical vigilance wing to ensure
ransparency in execution of agreement with tie up hospitals, detection of fraudulent
rcterr al cases and passing of fake bills, etc. Director General advised to identify the set
likely mistakes by authorities like Regional Directors, Medical Superintendents,
";,Ite Medical Commissioners, etc. (in carrying out their duties) and their
ornprehensive training at ESIC National Training Academy.
The Director General also stated that the role of Vigilance is not only punitive
1 also preventive. A large number of data are now available with vigilance because of
Roll out and officers should not only find a needle in the hay but also look into the
{'ye of the needle. The vigilance officers should analyze the available datas and try to
11 out the reasons if there are discernible shortfalls in the number of insured
persons m certain units and if there is shortfall in revenue in respect of a unit or a
particular area.
Thereafter the Chief Vigilance Officer requested the Medical Commissioner,
msurance Commissioner, Commissioner (Recruitment) to say a few words. The
'.ommissioner (Recruitment) stated that the Corporation is now taking measures to
ensure more transparency in the recruitment process. They are now planning to get
; he feedback from the candidates. Medical Commissioner told that all the Medical
vigilance Officers are new to the scenario and they should be imparted proper
.r.unmg. lnsurance Commissioner expressed his concern over shortage of doctors.
! Ie also exhorted that the money of the insured persons should be used judiciously.
Thereafter, agenda items were taken for discussion.
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fltem No.I. Investigation of complaints/CVC references in a time
bound manner.
Chief Vigilance Officer expressed his satisfaction over efforts made by the
Zonal Vigilance Officers in investigation of complaints and advised them to
maintain tempo and ensure that pending eve references are liquidated in a
time bound manner. He further stated that a few evc references are pending
due to non-receipt of comments/ detailed report from certain Regional Directors
and matter may be pursued with them vigorously. He emphatically said that
non-submission of reports in respect of references received from eve attracts
adverse comments from them and it becomes difficult for him to justify the
delay.
Surprise survey of factories/establishmentI Item No.2I~--------~--------------------------------------------------~
CVO stated that with the amendment of ESI Act, with effect from
1/6/2010 , we can not inspect record of a unit more than 5 years and advised
the Zonal Vigilance Officers to pay adequate attention to this aspect while
inspecting a Unit because many of the factories will go out of the purview and
the Corporation may face loss of substantial revenue. He also added that the
zonal vigilance officers should conduct more and more surprise surveys of the
factories/ establishment with a view to bring more and more employees under
coverage of ESIC to enable them to avail the benefits provided by ESIC.
1__ It_e_m_N_o_._3 __ I_A_g_r_e_e_d__ L_is_t _
CVO stated that we always lag behind in furnishing report to evc so far
as agreed list is concerned. He further stated despite repeated pursuasions,
Agreed Lists are not being sent well-in-time. He advised Zonal Vigilance
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•Officers to ensure that the Regional Directors send the Agreed List as per
schedule.
I Item No.4
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Action taken on the direction of Director General to verify
the referral/ super specialty cases etc.
Chief Vigilance Officer informed that a team of Vigilance Officers was
deputed at 17 centres all over the country to conduct investigation to find out
irregularities in referral/ super specialty cases, if any. Certain discrepancies
have come to our notice i.e. (i)non-eligible cases have been referred. (ii)some tie
up hospitals are being given preference (ill) some fake bills have been claimed
by the tie-up hospitals. (iv) many of the patients are lying in a vegetative
conditions for months in a few tie up hospitals. He emphasized that the
Medical Vigilance Officers should ensure that daily census report from tie up
hospital is received on day to day basis and they visit the tie up hospitals in
their area periodically to find out impersonation of patient, if any and also go
through the bills passed by SSMC/Medical Superintendents to find out
irregularity done by tie up hospitals.
Action Taken Report on Vigilance Reports
CVO further stated that clear-cut instructions have been issued by
Hqrs. Office to withhold the bills in respect of these tie up hospitals and the
SSMCs should not refer IPs to these tie up hospitals if they are not sending
Daily Census Report. Any irregularity found should be informed telephonic ally
to him immediately followed by a report.
I Item No.S
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CVO expressed his concern over delay in furnishing of Action Taken
Report by certain Regional Directors in respect of investigation reports sent to
them. CVO advised the Zonal Vigilance Officers to bring such cases to his
notice where there is inordinate delay in furnishing action taken report by the
concerned Regional Director.
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Item No.6 Effective Inspection of Branch Omces~_ ...._..~ ~.__ ~~~. -J
CVO stated that Branch Offices are the basic units where the Insured
Persons visit more frequently and as such they need more attention. Zonal
Vigilance Officers should concentrate on sensitive areas to ensure that action is
taken well in time in settlement of medical board cases as well as in providing
cash benefits. It should be ensured that all the payments are made through
ECS to the Insured Persons and Insured Persons are not harassed.
, Item No.7 Disposal of complaints relating to Medical Wing
CVO stated that the expansion of medical services has led to enormous
complaints relating to the medical wing of the Corporation. Complete
transparency is required to be maintained in referring the beneficiaries for
super speicality treatment. Private practice by Medical Officers, irregularity in
referral cases and passing of inflated/fabricated/false bills of tie up hospitals
should be viewed very seriously. Complaints relating to these should be
investigated promptly by Vigilance Officers.
Item No.S Completion of Departmental Inquiry within the timei
I schedule.I
CVO enquired about the position of cases pending with each Zonal
Departmental Inquiry Officer and desired that departmental inquiries should be
completed strictly within 6 months. He said that delay in departmental
inquiries is viewed very seriously by CVC and it is difficult for him to justify
delay. He also advised the Zonal Departmental Inquiry Officers to impress
upon the Regional Directors time to time to liquidate the departmental cases
pending with them well in time.7
l'Item No.9 Inspection of ESI Hospitals and DispensariesL__________~ ~
CVO stated that instruction was circulated last year to the Zonal
Vigilance Officers for conducting inspection of ESI Hospitals and dispensaries,
but not much progress has been made. CVO desired that Medical Vigilance
Officers and Zonal Vigilance Officers can do combined inspection of ESI
Hospitals and dispensaries as it will be convenient and time saving. CVO
stressed that inspection of hospitals and dispensaries should not be neglected.
In some states the condition of ESI Hospitals are very bad but after inspection
of the hospitals the position has certainly improved. It should be ensured that
proper records and data are maintained in dispensaries and hospitals.
I Item No.IOi,,
Verification of the medicines purchased by dispensaries
under local rate contract.
CVOadvised the vigilance officers that while inspecting a dispensary they
must ascertain from the beneficiaries as to whether the medicines supplied to
them are as per prescription and thereafter verify the same from the records of
local purchased medicines whether the same medicines have been prescribed
by the doctors and shown purchased under local purchase.
Item No.!! Reconciliation of Accounts of Revolving Fund betweenI>
State Directorate and SSMC Omce.I
CVO stated that fake bills were passed by the SSMC office, Andhra
Pradesh as we have no system of reconciliation of bills between the State
Directorate and the Office of SSMC. He advised the DMC(Vigilance)Medical
Wing to issue a suitable instruction to all SSMCs/ SMCs in this respect for
strict compliance.
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1"Item No.12, Zonal Vigilance Units to be informed of inclusion/
deletion in the agreed list of officers (Group A & B) who
I are transferred from one region to another.i-- --L- --J
The proposal was agreed to.
! Item No.13 Training of Vigilance Officers/ officials.
CVO desired that a formal training, on computerized accounting should
be given to all Zonal Vigilance Officers as well as some trained SSOs may be
posted for verification of general ledgers during vigilance inspection of factories/
establishments. He ordered the Director (Vigilance) Hqrs. to take up the matter
with concerned authorities.
! Item No.14:,
Restoration of staff strength as per yardstick
CVO ordered the Director (Vigilance)Hqrs. office to take up the matter
with concerned Regional Directors. The CVO also directed the Director
(Vigilance) Hqrs. to take up the matter with medical Commissioner for regular
postings of Medical Vigilance Officers in regions and they should not be sent on
diversion.
litem No.1S Provision for tea and refreshment to visitors
CVO stated that Hqrs. Office has already issued instruction on the
subject.
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'Item No.IS Provision of Fax Machine, photocopier machine
CVO stressed that working ambience should be. provided to all the
Medical Vigilance Officers and Zonal Vigilance Officers so that they can work
properly. He ordered Director (Vigilance) to take up the matter with Regional
Directors to provide basic functional facilities to the Zonal as well as Medical
Vigilance Officers posted in their regions.
Revision of yardstick for Inspection.Item No.19
CVOinformed that the matter is under consideration.
The meeting ended with the vote of thanks to the Chair.
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