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Rajasthan Medical Serviees CorporAtion
{Deptt. Of Medieal & Health}
Swasthaya Bhawan, C-Sclreme, Jaipur
E_mail : mnjyraj@gmail.com
Phone Ns: A1.41-?228065, Fax No: AUt-2228065
No: F-60/RMSC/ Logistic / MNJY/2012t
Date
27fi
3* *i*Z{}}3
AII Divisional Commissioners / District Collectors
All principal & Controllers, Medieal Colleges/Superintentlents, Medical College Hospitals
All Joint Directors-Zone/CM&Hos/ PMQs /Officer In- Charge - DDW
Sub: Implementation of Mukhyarnantri Nishulk Janch Yojana (Free Diagnostic Sen'ices)
As per announcerrent made by Hon'ble Chief Minister common essential diagnostic tests are to
be
effect from 7'1'
provided free of cost at Medical College Hospitals and District Hospitals in the state with
April,20i3. After implcmentarion of fuukhyamantri Nishulk DavaYojana, provision of this facility wili
has been^
be another rnilestone in the state's healtlr sector. Rajasthan Medical Selices Corporatiorr
of
provision
envisages
scherne
the
phase
I
identified as the nodal agency for facilitation of the schime. In
sub-divisional
Hospitals'
District
57 free basic diagnostic testi at Medical college Hospitals and 44 at
Healtir
Hospitals and Satlllite Hospitals. In the next pliases the scheme is to be extended to Community
Centres and Primary Health Centres.
The phased implementation
will
be as follows:
Implementation Date
7'Apri1,2013
(World Health Day)
Phase
Phase I
Level of Implementation
Hospitals(MCH)
Coilege
Medical
District Hospitals(DH),Sub-divisional Hospilals(SDH)
and Satellite
Phase
II
Phase
III
1" Juiy, 2013
(Doctor's Day)
15b August,2013
flndeoendence Day)
7/
44
Hospitals(SH)
28
Community Heaith Centres (CHCs)
P.rm"ty
No. of Tests
H*lth
Centres (PHCs)
& Dispensaries
15
Satellite hospitals are
Al1 Medical College Hospitals, District Hospitals/Sub-divisional hospitals and
scheme' For ensurittg
of
phase
hereby directed to stafi p..pr."dn"rs for implementation of the first
,u"""i, of the intervention, the following are to be carried out as indicated below:
MCH' DH' SDH &STI
TERM ACTIVITIES FOR STRENGTHENING OF LABORATORIES At
SHORT
,.Components , -Immediate
;,;;..------f
;,;:;l::. i
Action
o;;;""
FUNDS
(Jan 13 - Feb 13)
(I) Gap Analysis and
lnfrastructure
Repair, renovation,
establishnient of
collection counter &
28 Feb,2013
report distribution
Deployment of Lab
Technicianll-al:
Ass istantlRadi
o
I\4edicat Superintendent
RMRS, Untied
(MS)
/Principal Medical
Officer (PMO)
funds" AMG,
Corpus funds etc.
/CM&HO/PWD/
centres
Manpower
ISO[neEOF
28 Peb,2013
MS/PMO
DMHS/CM&HO
RMRS
28 Feb.2013
MSI
RMRS, Untied
firnds, AMG.
graPher
Ilom existing staff *
Deputation of
LT/LA/Radiographer
through RMRS if
Equipments
Reagents and
Consumatrles
Repair of existing
equipments
Arrange new diagnostic
Locat pt rciras. at
hospital level **
PN4O/CM&HO
Corpus f"rnds etc.
I 28 Feb,2013
II') Trainin
1
Training of
Doctors
)
Training of
I.T /I,A/RC
Orientation
Trainine of
"'.
(10 days)
Orientation
Training of
(10 days)
& Hands on
Doctors
2E Feb,2013
& Hands on
28 Feb.20i3
DM&I{S
It4edical Collegds
(Path Dept.)
LT /LA/R.G
III) IEC
Dispiay board of list of
available tests {b1ue base
Displav
Boards
30 March,
2013
RN4RS. Untied
MS/
funds. AMG,
PMO/C]\,1&HO
with.white letters)
outside the laboratories
Corpus funds etc.
( instructions will be
issued separately and
bills of RMRS
reimbursed)
8(order beine issued)
**( Bitr1s of RMRS will be reimbursed)
oAs the 1st phase has to starl from Ttt'April, 2013 at MCH and DH/SDH/SH irnrnediate steps are to be
initiated locally by the concerned Medical Superiritendent and Principal Medical Officer to fiil these gaps
of infrastructure, rnanporver, equipments and reagents and consumables using Rajasthair Medicare Relief
Society (RMRS) funds. Moreot er as indicated above the unused untied fund, Annual Maintenance Grant,
Corpus fund etc. available with RMRS ilray also be used for this pllrpose.
* This expenditure and every recurrent expenditure on outsourced services (Public Private Pattnership)
operating as per olltsourcirlg pol ic1, of GoR rl,ili be reimbursed by the state governmenL these accollttts be
maintained separately.
: To compensate for other expenditures r,vhich were earlier niet by incotne frorn lab tests, demaud for more
budget under Office Expenditure head has to be sent to Directorate of Medical &Health Services aud
Principal Secretary (ME) as directed during video eonferencing so that its provision can be made under
the Office Expenditure i l':t i r.-d by the lespective depafiments. Yr,ii ,ri"'i lE:uired to send budget
estinrate under tl'iis head Q! Siiolo or'last year's RMRS income for Budget Fi:ranee Committeti. (initialll
for next 3 months follorved by that for next financial year 2013-14).
c Hands on training of manpower w'il1 be undefiaken at medical colleges by tire Pathoiogy department for
tlie districts in their respective division .(module will be sliortly sltared with all ntedical colleges)
As activities like constitution of nerv labs, recruiturent of nerv staff, teirdering and suppl.v of new
eqiiipments and 1ab reagents may take few months the following actions are to be canied out oter uext 4
to 6 months.
LONG TERM ACTIVITIES FOR STRENGTHENINC GF AL!- LABOR.ATORIES
at MCH, DH, SDH, SH, CHCs, PHCs and Eispensaries
S. No
Component
I
Infrastructure
1
Manpower
Immediate Action
Agencl'
(Next 4-6 months)
Creation of additional space ul
existins laboratories
Deployment of Pathologist
Source of
Funds
Chief Engineer . NRHM
PWD
Staie Gov1.
DM&HS
State Gol,t.
(MO-PG/JS/SS)
Deployment of Radiologist
(MO-PG/iS/SS)
Recruitment of regular LT,
LA.IA.RG
J
Equipments
4
Reagents
etc,
Suppiy of new lab
equipments by RMSC as per
Principai Secretary
(Medical Education)
Add. Dir
(Nori Gaz.)
RMSC
State Govt.
RMSC
State Govt.
demand
Supply ofessential
1ab
reagents and consumables by
RMSC as per demand
For ensuring the availabilir-v- of functional equipments and lab reagents iollorving units rvill
estabiished and related activities rvill be carried out under RMSC:
Establishment of EPSIIC: wliich r.r,,ill prepare essentiai equipment iist (EEL) and essential
laboratory reagents arrd consumables lisl (ELRCL) as advised by TAC and rvill procue and
suppll.them througli DDWs to ai1 hospitals rvhich demand thern.
2. Establishrnent of SEMRC, ZEMRC and DEMRC: State equipment maintenance and
repair centres (SEMRC) along with the zonal equipment rnaintenance and repair centres
(ZEMRC) at divisional 1eve1 and district equipment rnaintetratrce and repair cell (DEMRC)
N,ill be established to ensure prevettive maintenance and repair of equipmeuts.
3. Procure and supply essential latrorator:y reagents, chemieals and consumables: at DDWs
and store these until they are issued to hospitals (along with drugs) for proper functioning of
diagnostic faci lities.
4. Quality control - quality policy has been developed and its compliance will be ensured b1.
establishment of Quality Assurance Program Implementation Lkrit at state level at RMSC, at
zonal level at rnedicai colleges and at district hospitals in the districts'
5. Bio-safety - Standard Operathg Procedures (SOPs) for healthcare workers will be developed
and issued and personal protective gear for bio-safety will be provided to ail laboratory staff.
6. BMW Rules implementation - all healthcare institutions are legally bound to implement Bio
Medical Waste (Management & Handling) Rules (1998 amendment 2000 &.2043) and it
will be the responsibility of rnedical office in-charge to erlsure disposal of laboratory
generated bio-waste as per rules and obtaia Common Treatment Facility(CTF) connectiviq,
lor same.
i. Frovision for back,up equipments - all rnedicai officer in-citarges to ensure stand by
invertors and generators for emergency times as also additional standb-v equipments.
8. Patient friendly services - el)sure propertr,aiting space, slred, counter for registration,
sample and report collection such that the patients do not have to wait for more than 10
minutes at these counters. Medical college hospitals to ensure availabilit-v of online report of
1.
/
g.
diagnostic tests.
Display of Boards - of list of available tests outside the laboratories (on blue background
witli white letters) and also board indicating time of sample and report collection.
i0. Ensure 24x7 lab services -for lntensive Care Ulits (ICU), in patients department (IPD)
emergency/casualty and other serious patients at MCH, DH, SDH and SH.
The Divisional Comrnissioners and District Collectors are expected to
r
.
.
G
-
Inspecl the institutions and take a meeting
Identifu difficulties/issues and resolve the same
Major issues of extra infrastructure, manpower etc. may be cornmunicated to Medical &
Health and Medical Education departments.
Apprise the progress of iniplementation of tlie scheme to respective deparhnents
forlnightly
The role envisaged for various agencies for implernentingthe scheme, the list of tests at different
levels of institutions and reference ilaterial for desigl and setting of laboratory are etrclosed as
technical support. You are expected to abide by the above directions and tirtelines. Query
pertaining to any of the above issues may be addressed to the MD, RMSC so that tnatters are
resolved early and scheme is iraplernented as per the decided timelines.
"h.
"*..
Enclo: As above
$*'" "
(C.K. ttathett')
Chief Sebretan
Govt. of Rajasthan
Copy to:
1. PS to Hon'ble Health Minister
Z. PS to Principal Secretary(ME)
3. PS to Principal Secretary (M,H&FW)
4. Director(Public Health), DM&HS for necessary action
5. OSD & A1l ED,RMSC - QC/Logistic,Proc/Finance/EPM
6. Office File
&
Eg
!ryF,
&.,
(Deepaffipreti;
Chairman, RMSC
&
Principal Secretary (M, I{&FW)