MEDICAL DEPARTMENT
MCDO
FOR THE MONTH OF Nov/ 2015
(PERIOD FROM 21.10.2015 to 20.11.2015)
For kind attention of
CHIEF MEDICAL DIRECTOR
EAST CENTRAL RAILWAY
HAJIPUR
( Dr. Sanjay Kumar )
Total No. of Serving Employees: 81411
Total No. of RELHS Card Holders Registered 08 in this month (Total= 411)
No. of Beds in Hospital:-73
During the month / During the same month last year / Cumulative figure since April till reporting monthI / MEDICAL SERVICES -
A / Curative Services:-
1 / Quantitative Performance :
i a / No. of patients treated in OPD of Hospital / 9640 / 8913 / 78005
B / No. of patients treated in OPD of Health Units / Not applicable / Not applicable
C / Total No. of patients treated in OPD / 9640 / 8913 / 78005
Ii / No. of patients treated in IPD / 359 / 280 / 2512
Iii / Diagnostic investigations (excluding CT&MRI)=
Radio =540
X-ray =676
Lab =35181
Eye=(Autorefractometry-110+Tonometry-145+HFA02+02+A.Scan-15+B.Scan-02) =274
ICU=(ECG-110+CVP line-01+Trop T-16)=127
Dental =339
Gynae= (CTG-45, CX Niopsy-01) =46
Dialysis =70
Card (ECHO-86+TMT-01+PFT-22) =392 / 37645 / 31681 / 3,23,646
iv a / No. of CT Scans & MRIs / 40 / 29 / 319
B / b) Investigation other than CT & MRI / 38 / 46 / 871
A / HIV tested / 270 / 234 / 1975
B / HIV detected / Nil / nil / 01
C / Current pool size of HIV / 05 / 03 / 05
D / No. of Deaths / nil / nil / nil
vi / Confinements: / -
A / No. of confinements in Rly. Hospitals / 26 / 21 / 164
B / No. of them low birth Weight babies(<2.5 kg) / 01 / 01 / 34
vii / No of Operations
A / No. of Specialised Operations & operations taken more than 4 hrs. / nil / Nil / Nil
B / Major Operations (including Cataract operations) / 67 / 41 / 532
During the month / During the same month last year / Cumulative figure since April till reporting month
C / Minor Operations / 60+ 47(dental)= 107 / 163 / 1094
D / No. of Cataract operations without IOL / Nil / Nil / Nil
E / No. of Cataract operations with IOL / 08 / 08 / 57
F / Grand Total of Operations / 174 / 212 / 1719
2 / Qualitative Performance :
I / Mortality in Hospitals (Numbers only) / 10 / 06 / 94
Ii / Bed occupancy rate (BOR) / 76% / 69.45%
Iii / Average length of Stay (ALS) / 06 / 7.4
Iv / No. of patients referred to other non-Railway hospital for indoor treatment / 13 / 09 / 83
V / Quality of Drugs / N/A / n/a
A / No. of samples sent for analysis / Nil / nil / 14
B / No. of results received (Details if sub-std) / Nil / nil / 12 (Nil sub std.)
Vi / Local Purchases (In Rs.)
Cash purchase / 3,65,000/- / 169631 / 27,65,461
Bulk purchase including emergency purchase (7A+7B+7C)
14950+nil+77728 / 92678.00 / 587192 / 8197620
Vii / Bills passed during the month on account of treatment, investigations etc at :
A / Private Hospitals (Recognized) / 3,00,000 / 121246 / 1162080
B / Government Hospital / Nil / nil / 25109
C / Bill passed on account of Reimbursements (A + B) / 3,00,000 / 121246 / 1187189
B / Industrial Health.
I / RMC / - / N/A / Nil
A / No. of RMC / 01(Gaz) / N/A / Nil
B / Man-days loss due to RMC / 10 Days / N/A / 197
During the month. / During the same month last year. / Cumulative figure since April till reporting month
C / Man-days loss due to RMC (in %) / Nil / Nil / Nil
Ii / IOD / HOD / Nil / Nil / Nil
A / No. of IOD/HOD / Nil / Nil / Nil
B / Man days loss due to IOD/HOD / Nil / Nil / Nil
C / Man days loss due to IOD/HOD ( in %) / Nil / Nil / Nil
Iii / PMC / Nil / Nil / Nil
A / No. of PMC / Nil / Nil / Nil
B / Man days loss due to PMC / Nil / Nil / Nil
C / Man days loss due to PMC (in %) / Nil / Nil / Nil
Iv / No. of employees on RMC for more than one year / Nil / Nil / Nil
C / Total No. of Medical Exam/Boards / 01 / Nil
I / Candidate / 01 / Nil
Ii / PME / Nil / Nil / Nil
Iii / Medical Board / Nil / 04 / Nil
II / HEALTH SERVICES :
A / FOOD SAMPLES (FSS) / Nil / Nil / Nil
I / No. of Food samples collected / Nil / Nil / Nil
Ii / No. of reports of adulterated samples / Nil / Nil / Nil
Iii / No. of prosecutions launched / Nil / Nil / Nil
Iv / No. of awarded punishment / Nil / Nil / Nil
B / FOOD SAMPLES (Quality Control) / Nil / Nil / Nil
I / No. of Food samples collected / Nil / Nil / Nil
Ii / No. of reports of adulterated samples / Nil / Nil / Nil
Iii / No. of recommended for fine / Nil / Nil / Nil
During the month / During the same month last year / Cumulative figure since April till reporting month
C / WATER SAMPLES. / Nil / Nil
i / For Bacteriological Test :
a / No. of samples tested / N/A / nil / 01
b / No. of Samples fit / N/A / nil / 01
ii / For Residual Chlorine Test :
a / No. of Samples tested / N/A / nil / 02
b / No. of Samples fit / N/A / nil / 01
III / MEDICAL AUDIT :
No. of medical audits done / 05 / 03 / 40
No. of Doctors on unauthoritised absence / 01 / 01 / 01
Training (for one week & above)
I / Gazetted / nil / nil / NIL
Ii / Non-Gazetted / nil / nil / 03
Attended Scientific seminars, conferences & Workshop etc.
I / Gazetted / Nil / nil / 07
Ii / Non-Gazetted / 4 / nil / 02
V / NON RAILWAY EARNINGS ( in Rs.)
1350/-(OPD) +Nil/- (IPD) / 1350/- / 1950 / 199977
VI / Total No. of M & P equipments available / 63 / 63
No. of them under comprehensive AMC / nil / 06 / 06
Total nos. of M&P equipments out of order more than 3 months / nil / 01 / 01
VII / MEDICAL SERVICES PROVIDED :
Progress of provision of the Augmented First-Aid facilities / nil
I / No. of trains where Augmented First-Aid Boxes have been provided. / Nil / nil / Nil
During the month / During the same month last year / Cumulative figure since April till reporting month
Ii / No. of staff completed first-aid training during the month / Nil / nil / Nil
Ii / No. of inspection covered by Medical Officers / Nil / nil / 02
Iv / No. of passengers provided Medical Aid during journey at train/stations/yards etc (Numbers). / Nil / nil / Nil
V / No. of Railway accident calls attended. / Nil / nil / Nil
Annnexure-3
Annexure 1 & 2 not concerned with CH/Patna
NAME OF DIVISION CSSH/Patna
MISSION ITEM TARGET (MEDICAL) FOR THE MONTH:- July ’15
Sl.No. / Item / Monthly
Target / Achievement / Cumulative since April’......
1 / Major Surgeries+ With IOL / 50 / 59+08=67 / 548
2 / Minor Surgeries:-
OT+Dental:- / 50 / 60+ 47(dental)= 133 / 987
3 / Total No. of Surgeries / 100 / 174 / 1553
4 / Man days lost due to RMC & IOD (in %) / <1.5% / Nil / Nil
5 / Bed Occupancy Ratio / 50% / 76%
6 / PME Disposal on 1st Day (In %) / 25% / Not done in CH/Patna
7 / Drug Analysis* / 02 / Nil / 16
8 / Medical Audit / 05 / 5 / 35
9 / MPHD / Health Camps / 02 / nil / 14
10 / Drinking water testing (Bacteriological) / 30 / N/A / 03
11 / Drinking water testing (Residual chlorine) / 700 / N/A / 06
12 / Drinking water testing (Chemical examination) / 01 / N/A / Nil
13 / Food Sample Testing (Under FSSA) 2 per FSO / 01 / Nil / Nil
14 / Food Sample Testing (Under Quality Control) / 20 / Nil / Nil
15 / Cleanliness Drive at Station / 06 / Nil / Nil
16 / Cleanliness Drive at colony / 03 / Nil / Nil
Annexure-4
NAME OF DIVISION.CH/Patna
DETAILS OF PATIENTS REFERRED TO PRIVATE HOSPITALS DURING THE MONTH …………
Sl.No / Name of patient Shri/Smt. / Age (Yr) / Sex / Relation & name of employee / Design / Dept / Stn / Disease / RELHS / Adm/ Cons/Inv / Prim/Sec/Tert care
1 / Kalyani Devi / 29 / F / Wife of S.K.Pandey / Porter / Optg. / Kulhariya / 20 week twin (Preg) IVF / - / Rajeshwar Hospial/Patna / Tert care
2 / Anjali Rani / 28 / F / Wife of Prashat Kumar / T.Man / Engg. / Siwan / Pinnigravida a/w dengue fiver / - / Rajeshwar Hospial/Patna / Tert care
3 / Pramod Kumar Prasad / 52 / M / Self / CI / Comm. / HJP / CKD / - / Rajeshwar Hospital, Patna / Tert care
4. / Sarswati Devi / 60 / F / Wife of J.L.Paswan / Ex. CWS / Engg. / DNR / CKD / RELHS / Ruban Memorial Hospital, Patna / Tert care
5. / Rajeshwar Prasad / 66 / M / Self / Ex. CWS / CWS / Patna / CAG / RELHS / Jeevak heart Hospital/Patna / Tert care
6. / Smt. Mahal Devi / 60 / F / w/o Haridhyal Rai / Ex. Tech-1 / Carrage / SEE / Aqute Subdural Hematoma / RELHS / Rajeshwar Hospital, Patna / Tert care
7. / Bhawna Sinha / 30 / F / Wife of A.K.Sinha / LP (E) / TRS / Cal breast / - / Mahavir Hospital, Patna / Tert care
8. / Dharmender Kumar Pandit / 25 / M / Self / T.Man / Engg. / Japla / Rt. Renal stone / - / Ruban Memorial Hospital, Patna / Tert care
9. / Naresh Kumar Pandey / 57 / M / Self / Asst. Teacher / Personnal / MGS / HTM for CAG / - / Jeevak Heart Hospital, Patna / Tert care
10. / 07 days old man child / 07 / M / Son of Tej Narayan Singh / G.Man / Optg. / MGS / CKD / - / Jeevak Heart Hospital, Patna / Tert care
11. / Sumitra Devi / 60 / F / Wife of Nagina Sharma / Ex. Carpenter / C&W / Gaya / Cancer / RELHS / Mahavir Hospital, Patna
12. / R.K.Singh / 58 / M / Self / Chief CCI / Comm / HJP / CHB / - / Jeevak Heart Hospital, Patna / Tert care
13. / Rajeshwar Prasad Singh / 73 / M / Self / Ex. OS / Mech / SEE / Traumatic left side decipital region Bleed / RELHS / Rajeshwar Hospital, Patna / Tert care
DISTRIBUTION OF REFRRED CASES
HOSPITAL / SPECIALITY / DISEASE / No. of CASESJeevak Heart Hospital / Patna / Heart / CAD, CHB & HTM for CAG / 04
Heart Hospital / Patna / Heart / - / Nil
Rajeswar Hospital / Patna / General Surgery / 20 week twin (Preg) IVF, Pinnigravida a/w dengue fiver, CKD & Aqute Subdural Hematoma / 05
Ruben Memorial Hospital / Patna / Nephrology / Rt. Renal stone & CKD / 02
Mahaveer Cancer Sansthan/Patna / Cancer / Cancer / 02
TOTAL / 13
Referrals / Non Railway Hospital + Govt. Hospital / Railway Hospital / Total
Tertiary Care / Secondary Care / Total / Tertiary Care
ADMISSION / 13 + 12 / - / 25 / 21 / 46
OPD / - / - / - / - / -
TOTAL / 25 / - / 25 / 21 / 46
1
Annexure – 5
Name of Divisions:- CSSH/Patna
BILL OF PRIVATE HOSPITALS FOR TREATMENT OF RAILWAY BENEFECIARIES
S.N / Name of the Hospitals / Total no. of Bills up to the month / Total amount claimed up to the month in Rs. / Total amount paid up to the Month in Rs. / Pending bills and amount up to the month / Remarks1 / Jeevak Heart Hospital/Patna / 14 / 1214460 / NIL / 14 / 1214460
2 / Heart Hospital /Patna / 10 / 848466 / NIL / 10 / 848466 / Old bill not passed due to non availability of CMD permission letter
3 / Rajeshwar Hospital/Patna / 56 / 2431979 / 405684 / 37 / 2026295 / Old bill not passed due to non availability of CMD permission letter, , and bills which had permission letter are being passed and
4 / Ruban Memorial Hospital/Patna / 09 / 1355674 / NIL / 09 / 1355674 / Bill will be passed soon.
5 / Mahavir Cancer Sansthan / 13 / 336128 / NIL / 13 / 336128 / Old bills , Bill will be passed soon.
A
Annexure 6 & 7 not concerned with CH/Patna
Annexure-8
(A) M&P Items sanctioned and progress as on ………../ 2015
Sl.No. / Description with cost / Sanction year / HQ store Case No. / Present status
1 / Fully automated microbiology Identification &AST System. / 2012-13 / - / Open tender on Jan/15. File with store dept.
2 / Q Swich Nd YAG laser / 2011-2012 / 09/11/6064 / File Sent to store Dept.
3 / Height Adjustable comprehensive infant Care system including baby weighing / 2011-2012 / File with Sr.DMO /Paed. For disposal of file since long period .
4 / Digital OPG X-ray machine / 2009 / 09/12/6061 / File resent to store dept.
5 / Multiparamonitor / 2009 / 09/12/6078 / Tender opened File resent to store dept.
6. / Storage cabinet / 2009 / 16/12/2008 / Tender opened and file with medical for availability of fund
7. / Bed Side Moniter / 2009 / Tender Opened and TR & PR has been made & File with store dept.
8. / ABG Machine / Techinical specification has been reviewed & file sent to store dept. for re- tendering the case.
9. / ABG Consumable / TR & PR has been made and file sent to store dept. for negotiation of the rat. File with store dept.
(B) Details of the M&P Equipments installed during the month along with the date of payment to the suppliers.
Sr.No / M&P items / Date of Installation / Date of payment to the suppliers
NIL / Nil / Nil
C) Details of Out of order medical equipments for more than 3 months (Cost more than Rs.1
lakhs)
Sl.No. / Name of Equipment with Model number / Cost of Purchase / Period of AMC / If not under AMC, the reason
X-Ray Machine / 546624.00 / Not under AMC. / Comparative chart vetted.
D. Equipments under AMCs:-
S.N / Name of equipment with model number / Cost of purchase / AMC from / AMC upto.1 / Mechanical Ventilator / 1700000/- / 09.03.2015 / 08.03.2018
2 / 20 nos. infusion pump / - / 14.08.2015 / 13.08.2018
3 / CR System / 08.08.2015 / 07.08.2018
4. / Gas Pipe Line / 27.08.2015 / 22.02.2016
5. / Demtal Chair unit / - / 2017
6. / ABG machine / 12.08.2013. / 11.08.2016
Hospital Equipments costing above Rs. 1 Lakh and less than Rs. 10 lakh.
Name of the Equipment / Date of Receipt / Installation / Cost (Rs.) / Working conditionLABORATORY