Delhi Govt. invites views for finalizing its Advisory addressing excessive charges/refusal/delay in providing medical treatment to victims of crimes / road accidents etc. by private hospitals
The Ministry of Health and Family Welfare of NCT of Delhi, has been receiving a numbers of complaints / allegations against excessive charges and the refusal / delay by private hospitals / nursing homes in providing medical treatment to victims of crimes, road accidents, unfair employment practices, etc.
With a view to address this issue, it constituted a Committee for formulating an Advisory addressing such allegations. The Committee has invited comments / suggestions to the Draft Advisory by 14.07.2018.
Key Highlights of the Draft Advisory:
- The following mechanisms to ensure that the hospitals prescribe drugs mentioned in mentioned in National List of Essential Medicines (“NLEM”):
- All nursing homes and private hospitals registered under Delhi Nursing Homes Registration Act, 1953 and Rules should ensure the availability of NLEM drugs for indoor patients.
- Disposables to be classified under NLEM and non-NLEM categories.
- The following prices to be charged by private hospitals for medicines and consumables:
- The NLEM drugs can be billed on the MRP
- All Non-NLEM drugs or disposables or consumables or Implants should be billed at their respective procurement price + maximum upto additional 50% as mark-up against administrative or handling charges or MRP, whichever is less.
- The prices to be charged by private hospitals for investigation should be decided by the sub- committee formed for this purpose.
- The private hospitals not to compel the patients to buy medicines from the in-house pharmacy unless in situations of emergency and critical cases.
- Fixing of packages for operative procedures in the following manner:
- Packages should cover hidden charges and should clearly mention whether such amount covers complications
- If the packages do not cover complications then such should be communicated along with the medical situations and their financial implications
- The counselling procedure should be recorded preferably in video and in case any additional procedure is performed on the patient, then, only 50% shall be charged for the same.
- High Risk package shall cost not more than 20% higher and such shall be disclosed clearly.
- If the patient dies in the Emergency Room or Casualty Department of the hospital within six hours of then the hospital shall waive off 50% of the total bill. Any death occurring between six to twenty – four hours of the arrival of the patient, the hospital shall waive off 20% of the total bill.
- The following measures to remove cuts and commissions:
- Any charges which is absent from the bill should be considered as malpractice.
- Salaries and consultation charges disbursed to all employees including the doctors should not be in cash.
- Any amount paid by the hospital above 20 thousand Rupees in a financial Year should be made through cheque or Challan.
- Providing Medical treatment without denial or delay is mandatory for the nursing homes under Clause 14.2 of the Schedule appended with Rule 14 of Delhi Nursing Homes (Amendment) Rules, 2011; is mandatory by order dated 21.02.2013 to all Directors/Medical Superintendents of all hospitals in NCT of Delhi.
- No hospital should show any form of disrespect for any dead body and should not in any circumstances refuse to release a dead body on the account of non-payment of fees or bills.
Please refer to the hyperlink below for further information.