EXTRAORDINARY
PUBLISHED BY AUTHORITY
No. 2062 CUTTACK, MONDAY, NOVEMBER 04, 2019 / KARTIKA 13, 1941
HEALTH & FAMILY WELFARE DEPARTMENT
NOTIFICATION
The 28th October, 2019
Subject : Guidelines for Free Treatment to Trauma Patients in 1st 48 hours of
treatment from Free Treatment for Trauma Fund (FTTF).
No.27086-HFW-SCH-TRAUMA-0001/2017/H.—Whereas, the persons suffering
from trauma due to Road Traffic Accidents are in an increasing trend in the State, the
Health & F.W. Department, Commerce & Transport Department, the Road Engineering
Department i.e. NHAI, the Enforcement Department i.e. the Police and Fire have put their
hands together to reduce the fatality rate due to road accidents. It has been well
understood that the condition in first 48 hours is usually very critical and leads to death if
not managed properly and timely.
In order to facilitate prompt treatment and assist in the management in such critical
hours, it is decided to render the medical/ surgical /critical care to such trauma patients
free of cost so that no lacunae remains in the treatment for financial constraints of the
patient. The fund shall be provided from the Road Safety Fund.
As all the treatments and investigations have been made free in all Government
Health institutions in the State, this provision of free treatment shall be applicable in private
hospitals only.
To start with, this shall be made on a pilot basis for six months in Ashwini Hospital,
Cuttack / Apollo Hospital, Bhubaneswar and AMRI Hospital, Bhubaneswar to assess the
annual financial implication and to take a decision for further continuance of such scheme
in Trauma Care Centers in whole of the State. The detail operating guidelines shall be as
under:
1. The patients suffering from Trauma due to Road Traffic Accident shall be
picked up by any private or public Ambulances or Good Samaritan.
2. The patient shall be taken to the nearest Trauma Care Center.
3. If the Trauma Care Centre happens to be a private one, the hospital will start
immediate appropriate treatment (stabilization, emergency medical or surgical
management including intensive care etc.) and intimate the DMET, Odisha for
such arrival of the patient describing briefly the time of admission, nature of
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injury and condition of the patient and the approximate estimate of
expenditure thereon that may occur during 48 hours in FORM–A annexed as
(Annexure-1).
4. The DMET, Odisha shall release a formal permission letter to go ahead with
the treatment either by email or any electronic media in FORM–B annexed as
(Annexure-2).
5. At the end of 48 hours from the time of admission, the private hospital shall
submit the claim in FORM-C annexed as (Annexure-3) along with supporting
documents for examination & reimbursement of the cost of treatment. The
documents shall include the copy of Bed Ticket describing the details of the
condition of the patient in first 48 hours mentioning the time of examination
and the treatment advised, discharge summary, final bills and a declaration in
FORM–D annexed as (Annexure-4), to the effect that no money has been
collected from the patient during this 48 hours of treatment. The final bill must
indicate the real time of generation of the bill which should not be beyond the
48 hours time from the time of admission. The maintenance of the ticket must
be as per MCI guidelines i.e. the name, address, age, diagnosis, contact
address, time of admission, time of discharge or referral and name of
admitting doctor must be in capital letters. The admitting doctor must put his
full signature. A brief complain and examination findings of the patient at time
of admission must be written clearly. All prescriptions shall be in generic name
and in capital letter. Time to time examination findings and the prescription
must be clearly written with full signature of the advising doctor.
6. The DMET, Odisha, after examination shall release the settled claim amount
to the concerned hospital. If required, the opinion of the Technical Committee
constituted for the purpose in the O/o. DMET, Odisha shall be
obtained:
Provided that in case the treatment has started in one private hospital
and the patient is transferred to another hospital due to any reason, then the
48 hours of time shall be calculated from the time of admission in the first
hospital:
Provided that if the patient is treated initially in a Government Hospital
and then referred to a private hospital then the treatment time shall be
calculated from the time of admission in Government Hospital:
Provided that if the treatment is started after 48 hours of trauma in a
hospital then the patient will not be eligible for free treatment under the FTTF.
However, in exceptional cases the decision of the Technical Committee with
proper justification shall be final, subject to post facto approval of the
Government.
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7. If the patient requires further continuation of treatment beyond 48 hours it
shall be continued and the cost shall be borne by the patient. In case of
financial constraints the patient shall be transferred to a Government Hospital
where the treatment will be free of cost. The private hospital must assess the
condition of the patients before completion of 48 hours and inform the patient
and make arrangement of such shift. If the patient happens to be eligible for
OSTF, the treatment may continue in the private hospital as an OSTF patient
and treatment shall be cashless from the expiry of 1st 48 hours of treatment.
8. The settled claim in 1st 48 hours shall be released within one week of claim
from Free Treatment for Trauma Fund. The settlement of claim under OSTF
shall be settled by OSTF Cell as per OSTF guidelines.
9. The fund shall be provided by the Commerce & Transport Department and
shall be deposited in one account opened in the SBI for the purpose, in the
name and style of “Free Treatment for Trauma Fund (FTTF) to be
maintained by DMET Odisha, jointly operated by the DMET, Odisha and
Jt. DMET, Odisha-cum-State Nodal Officer for Trauma.
10. A cashbook shall be maintained for the detail transactions of fund.
11. The State Nodal Officer for Trauma Care (SNO) and the Programme Assistant
(PA) shall be the contacting persons for such claims by the hospitals. The
contact numbers of SNO and PA shall be 9439991170 and 9437232987
respectively. The emergency number for public shall be as notified by DMET,
Odisha from time to time.
12. The designated e-mail ID for submission of such claim and issue of
permissions by DMET, Odisha shall be [email protected]. The other
electronic media like WhatsApp may be used for timely communication.
13. Any dispute in claim settlement shall be resolved by immediate personal
hearing of the Hospital Authority by DMET, Odisha.
14. Government may change any of the above procedures for convenience and
greater interest of the State and to notify from time to time.
By Order of the Governor
P.K. MEHERDA
Commissioner-cum-Secretary to Government
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ANNEXURE-1
FORM- A
Letter No. …………………… . Dt. …………………… ..
(Intimation and application for permission for free treatment in 1st 48 hours of trauma)
To
The DMET, Odisha
Sir,
I am enclosing herewith the details of one road traffic accident victim received in
this hospital as under and request for permission for continuing treatment under Free
Treatment for Trauma patient scheme.
Sl.
No.
Particulars
Information
1
Name of patient
2
Age & Sex
3
Address
4
Name of accompanying person
5
Date & Time of admission
6
Nature of Road Traffic Accident
(mention the type of vehicle/s
involved, e.g. truck-car, car-bike,
car-pedestrian etc.)
7
Time of accident
8
Place of accident
9
Brief description of injury
10
Approximate
Estimate
of
expenditure
for
treatment
in
48 hours
Authorized Signatory with Seal
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ANNEXURE-2
FORM –B
(Permission for free treatment from FTTF in 1st 48 hours of trauma)
Letter No. …………………… . Dt. …………………… ..
From
The DMET, Odisha.
To
The Superintendent,
(Name of Private Hospital)
Sir,
Permission is hereby accorded for continuance of treatment and reimbursement of
expenditures incurred in 1st 48 hours of trauma from the Free Treatment for Trauma
Fund for the patient Sri/Smt/Ms…………..…………………………………………………
son/daughter/wife/husband…………………………………………………………………… ……
of ………………………………………………………………………… ...……………………… …
of…………………………………… ……………………………… .……...…………………………
admitted in your hospital on Dt. ……….......…………../ time ……………………
DMET, Odisha.
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ANNEXURE-3
FORM- C
(Reimbursement of cost of expenditures incurred for free treatment in
1st 48 hours of trauma)
To
The DMET, Odisha
Ref: Letter of Permission No. _____________/, Dt.
Sir,
I am enclosing herewith the required documents along with details of expenditure
incurred for treatment of Sri/Smt/Ms…………………………………………… under Free
Treatment for Trauma patient scheme for reimbursement.
Sl.
No.
Particulars
Information
1
Name of patient
2
Age & Sex
3
Address
4
Date & Time of admission
5
Action plan after 48 hours
(discharge, referral to Govt.
Hospital,
continuation
under
BSKY/OSTF or treatment on
own cost).
6
Total expenditure in 48 hours
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Documents enclosed
(Photocopies)
1. Bed head ticket (case sheet)
2. Discharge summary/ brief note on
treatment given in 48 hrs.
3. Investigations done
4. Final bill in 48 hours
5. Declaration in FORM-D
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Bank Account particulars for
transfer of admissible cost of
reimbursement from FTTF.
A/C No.
Name of Account Holder
IFSC Code
Name of Bank
Authorized Signatory with Seal.
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ANNEXURE-4
FORM –D
DECLARATION
I do hereby declare that Shri/Smt./Ms.……………………………………………… son
/daughter /wife /husband of Shri/Smt. …………………………………………… ....suffered
from trauma due to road traffic accident and was admitted on Dt. ……………..…………..
At. …………..…………… A.M./P.M. During the 1st 48 hours of treatment he/she was
permitted for free treatment from Free Treatment for Trauma Fund (FTTF) and no extra
money was collected from the patient or relatives / friends of the patient for the same
treatment.
Authorized Signatory with Seal
Printed and published by the Director, Printing, Stationery and Publication, Odisha, Cuttack-10
Ex. Gaz. 1393-173+100