Clinical Specialists In-Sourcing Policy by providing the Clinical Specialists in the Government hospitals

GOVERNMENT OF ANDHRA PRADESH

ABSTRACT

Health, Medical & Family Welfare – Clinical Specialists In-Sourcing Policy

by providing the Clinical Specialists in the Government hospitals – Orders

issued.

HEALTH MEDICAL AND FAMILY WELFARE (A1) DEPARTMENT

G.O.Rt.No.353 Dated:04-08-2016

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ORDER:

Though material gains are few, the greatest reward is the

satisfaction that comes to those who give of themselves to the betterment

of others. Providing specialist health service is a great way to serve the

community and also learn new skills. Government of Andhra Pradesh

offers the unique opportunity to medical specialists to serve the

community by sharing their valuable skills in public health facilities on a

part-time/short-term basis.

2. Government after careful examination hereby accord permission to

the “Clinical Specialists In-Sourcing Policy” enabling the willing Clinical

Specialists to volunteer their valuable skills in public health facilities on a

part-time/short-time basis.

3. The in-sourcing of specialists shall be under two categories as

follows:-

a. Rendering free service:

This constitutes pool of specialists that seek to serve on

part-time/sort-term basis without any expectations of remuneration

on any travel allowance to work in Andhra Pradesh. While, this is

highly desirable, it shall be within the ambit of guidelines/issued by

Government. of India and Department of Health, Government of

Andhra Pradesh as well as statutory requirements on medical

practice by Medical Council of India.

b. Rendering paid service:

Interested applicants fulfilling the eligibility criteria of insourcing

program could opt for a paid service opportunity on parttime/

short-term basis. The extent of availability of such opportunity

shall depend on facility case load, availability of supporting staff,

infrastructure and other factors. While payment would be in form of

honorarium, the extent of payment shall remain capped to the

specialist fee as in case of NTR-Vaidhya Seva Program for the

given procedure. The package amount of procedure received by

the hospitals shall be bifurcated into HR costs and other costs. The

HR costs shall further be bifurcated into specialists fee and other

staff fee as per NTR-Vaidya Seva norms. The specialist fee in such

cases shall not exceed 50% of total HR costs and 25% of total

package cost.

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The functions and modalities is as follows:-

1. Resident specialists of Andhra Pradesh seeking to serve in Andhra

Pradesh Government Facilities:

For specialists in this group, Directorate of Medical Education shall

be the coordinator. In the month of September and March every year, the

Director of Medical Education shall collect specialists' requirements from

all departments/institutions and declare a roaster of 'temporary specialists'

requirement'. Based on this roaster, the specialists could opt for suitable

places and dates. While effort would be made to make this as online

booking on first come and first serve basis, Health Department shall not

be obligated to offer any specialist a place of choice once the slots are full.

All specialists seeking to apply shall need to meet eligibility as per MCI

norms.

2. Residents of India (other than state of Andhra Pradesh) seeking to

serve in Andhra Pradesh:

The state of Andhra Pradesh having deep cultural history, it is a

known fact that Telugu speaking population are present in each and every

state of the country. Specialists of Telugu/non-Telugu origin residing in

other states may choose to serve in Andhra Pradesh on part-time/shortterm

basis. To facilitate this, Government of Andhra Pradesh, shall sign an

MoU with Voluntary Health Association of India (VHAI) who will coordinate

the duty roaster after taking the 'requirement calendar' from Directorate of

Medical Education.

3. Non-Resident Indians/Global Citizens/Residents of non-Indian

origin/Citizens of any other country which is a United Nation Member

State:

Several Indian, non-Indians and global citizens (persons holding

dual citizenships) could opt for serving in the state of Andhra Pradesh. To

facilitate this, and considering the fact that such engagements would

require to comply with statutory requirements of more than one country,

Government of Andhra Pradesh shall engage with Indian Associations of

respective countries to enable smooth implementation of specialist

in-sourcing policy. The associations therefore could write to Directorate of

Medical Education for an MoU, support government on formulation of duty

roaster and coordination of roaster implementation. In such cases,

associations shall he required to ensure MCI compatibility clearance for

medical practice in India for the concerned specialists. Appropriate work

visa for visiting specialists and travel insurance. While complete

documentation shall be the responsibility of the associations, this would be

verified in advance (not later than quarterly basis) for all prospective

visitors by the Directorate of Medical Education.

Operational arrangements of the above policy is as follows:

"Specialist Services Cell"

The Health Medical & Family Welfare shall establish a Specialist

Services cell under the Directorate of Medical Education to provide

administrative support for specialists to serve in government teaching

hospitals, district hospitals and public health facilities empanelled under

the NTR-Vaidya Seva. The objective of in-sourcing of specialist human

resource is to supplement and strengthen the hospital specialty services

but not to replace the personnel. The Specialist service Cell shall work

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under the administrative framework of Directorate of Medical Education

under the Department of Health Medical & Family Welfare.

Clinical requirement identification (Clinical needs assessment by mapping

the institutions):

The requirement of various specialists in Govt. medical colleges,

district hospitals, FR-Vaidya Seva empanelled public health facilities shall

be collected and collated by Directorate of Medical Education twice every

year (September and March) and placed online on the website of DME.

For online booking by specialists, they would require to be first

empanelled by one of the three modalities detailed earlier (residents of

AP: residents of other states in India: residents of other countries).

Relevant documents shall be furnished in advance for due verification by

the "Specialist Services Cell" which provides an applicant id. Only when

the applicant id is made available, online booking could be done.

Eligibility Conditions:

Minimum Age:30 years; Maximum age limit 70 yrs with fitness

certificate Minimum basic qualification: A post graduate degree/ super

specialty degree (MD/MS/DM/MCh/DNB) from a medical university

recognized by MCI (for application educated in/or living in India) with

current validity of practicing license; A post graduate degree/ Board

examination in the specialty at abroad duly compatible with /recognized by

MCI. The equivalence certificate issued by MCI should be valid for the

entire duration of short term engagement in Andhra Pradesh.

Minimum basic experience:

The applicant specialist must have a minimum of five years of postqualification

experience in the specialty applied for and the relevant

certificate to that effect shall be submitted.

Number of Hours Required:

Specialists must commit to a minimum of 4 hours of service per

week is required. However, the amount of hours may be subject to change

depending upon the needs of the department and the Specialist

(depending on the 3 modalities mentioned above) and with approval of the

facility in-charge.

Processing Required:

Prospective Specialists must complete a Specialist application form

which contains the names and telephone numbers of 2 professional

references (non-relatives).

Health Related Documentation:

Specialists considering serving patient care areas and those

coming from other countries must furnish fitness certificate.

Orientation and Training:

After completion of the interviews and paperwork have been

completed, the prospective Specialist must call the Specialist Services

Cell to reserve a seat for the mandatory orientation. Orientation topics

include a general overview of the program, infection control policies,

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environmental safety, liability, age-specific competencies, patient

confidentiality, professional ethics, state /departmental/ hospital policies

and respect for local culture and traditional practices. Specialists must

complete a re-orientation programme and be evaluated annually to

maintain an active status. The re- orientation is sent by mail.

Absences from planned duty roaster:

Specialists are expected to meet their commitments to their

scheduled service hours. Facility in-charge must be notified of any

absence in advance or as soon as possible. The Specialist Services Cell

should be notified of any prolonged absence. After 3 consecutive spells of

unexcused absence without notification, the Specialist Services Cell

reserves the right to terminate the affiliation of a Specialist, in the interest

of smooth operations. All Specialists must sign —in and —out when

reporting for service.

4. The performance and outcome of this policy be evaluated and

analyzed quantitatively and qualitatively facility-wise and uploaded in the

Director of Medical Education website.

5. The Director of Medical Education, A.P., Hyderabad shall take

necessary action accordingly.

(BY ORDER AND IN THE NAME OF THE GOVERNOR OF ANDHRA PRADESH)

POONAM MALAKONDAIAH

PRINCIPAL SECRETARY TO GOVERNMENT