VIGILANCE BRANCH

Sub: Minutes of the meeting of Zonal Vigilance officers, ZonalVigilance Officers(Departmental Inquiry) and Medical Vigilanceofficers held on 19th March, 2012 at Employees' state InsuranceCorporation(ESIC), Hqrs office, New Delhi.

Enclosed please find a copy of the Minutes of the meeting of

Directors(Vigilance)/Joint Director (Vigilance)/Directors/Joint

Directors(Departmental Enquiries) and Medical Vigilance Officers held on

19.3.12. System Division, Hqrs office, New Delhi is hereby requested to upload

the same on ESIC website.

This issues with the approval of Director(Vig).

End:As above.

(MUKUL VATS)ASSTT. DIRECTOR(VIG)

Asstt. Director(Special Cel!), Hgrs officeLO. Note No. C-ll/29/l/2012-Vig Datee 4/04112

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Pending Departmental Enquiry cases as on 1.3.12

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SI. Name of Authority As on 1.4.11 to 29.2.12 As on

NO. 31.3.11 Received Disposed 1.3.12-- -_._------- -- _._- .._------------ .---

1. .Zonal Enquiry 72 42 38 76

OfficersI

2. Others--~---~-I-----

81 66 159i 144Ii

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RDs/JDs/MS/JDI/c,:

D(M)D

Total 216 123 104 235-- -- - ------'---.------.----~----

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MINUTES OF THE MEETING OF ZONAL VIGILANCE OFFICERS, ZONAL

VIGILANCE OFFICERS (DEPARTMENTAL INQUIRY) AND MEDICAL VIGILANCE

OFFICERS HELD ON 19th March, 2012, at HQRS. OFFICE

The following officers attended the meeting:-

SI. No. Name of the Omcer Designation

l. Dr. C.S. Kedar Director General

2. Shri. A.K. Singh Chief Vigilance Officer

3. Shri B.K. Sahu Insurance Commissioner

4. Or. S.R Chauhan Medical Commissioner

5. Shri A. Chokalingam Commissioner (Recruitment)

6. Dr. S.F. Hans Deputy Medical Commissioner

(Medical Vigilance)

7. Shri A.K. Sinha Director (Vigilance)

8. Shri A.K. Mishra Director (Vigilance)

9. Shri RS. Bishnoi Jt. Director (Vigilance)

10. Shri Arvind Kumar Jt. Director (Vigilance)

11. Shri A.K. Dutta Director (Vigilance)EZ

12. Shri P.B. Mani Director (Vigilance) SZ

13. Shri M. George Jt. Director (Vigilance) WZ

14. Shri A.K. Sharma Jt. Director (Vig)NZ

15. Shri RK. Nayak Director(DE)NZ

16. Major Nar Singh Jt. Director (DE)WZ

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., Shri R. Gunasekaran Jt. Director(DE)SZ!

! 18. Shri Surjit Das Jt. Director (DE)EZ!i119.- Or. P.K. Jain Chief Medical Officer (NFSG),20. Dr. Nilanjan Hazarika Chief Medical Officer

21. D.P. Sharma Dy. Director (Vigilance)

\-22. Dr. Ravi Shukla Medical Vigilance Officer

~3. Dr. Laxmikan t Aggarwal Medical Vigilance Officer

24. Dr. Kishore Naik, P.L.N.V. Medical Vigilance Officer

25. Dr. Deepak Goyal Medical Vigilance Officer

26. Dr. Vishal Bandewar Medical Vigilance Officer

27. Dr. Md. Gurfran Seraj Medical Vigilance Officer

28. Dr. T.M. Lakshmikantha Medical Vigilance Officer

29. Dr. B. Prashanth Medical Vigilance Officer

30. Dr. D. SujeshKumar Medical Vigilance Officer!31. Dr. Ravi Shukla Medical Vigilance Officer

132. Dr. N. Sudhakar Medical Vigilance Officer

33. Dr. Alip Ray Medical Vigilance Officer

134. Dr. O. Devadasan Medical Vigilance Officer

t 35. Or. Prashan R Ahire Medical Vigilance Officeri

136. Dr. R. Madhu Medical Vigilance OfficeriI

37. Dr. Pradeep Kumar Mangal Medical Vigilance Officer

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Dr.

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Mukesh Kr. Modi Medical Vigilance Officer

--------_.Girish Kurnar Medical Vigilance Officer

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Prasanta Kumar Maity Medical Vigilance Officer

A.K. Varshney Medical Vigilance Officer

Suchitra Base Medical Vigilance Officer

----Sugeet Tandon Medical Vigilance Officer

------Amar Singh Medical Vigilance Officer

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--:-'l Or.

-1 -. Dr.

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Shn S.P. Raa, Jt. Director (Preventive Vigilance Cell), Shri V.K. Rawat, Deputy

)lrector (Retd.)(Preventive Vigilance Cell), Shri Rajiv Lal, Deputy Director (Preventive

vigilance Cell), Shri A.K. Rastogi, Deputy Director(Vig)(NZ),Shri Mukul Vats, Assistant

;Jlrector (Vigilance), Shri Anurag Kumar, Assistant Director (Vigilance), Shri R.K.

libargava. Assistant Director(Vigilance), Shri Dinesh Nirwan, Assistant Director

.Vigilancc] were also present in the meeting.

A t the outset, the Chief Vigilance Officer welcomed all the officers attending the

mcetmg. The Director General while inaugurating the meeting congratulated the

'--'hlerVigilance Officer for his excellent performance in making prompt compliance of

references made by Central Vigilance Commission. He also appreciated the efforts

made by the Chief Vigilance Officer in developing alerts in respect of all the divisions

.ncludmg vigilance and also for the recently held Nation wide special vigilance drive

.\.c 1'. 29.02,2012 to 03.03.2012.

The Director General stated that the activities of the Corporation particularly in

Ihe medical side have increased manifold. He stated that efforts are on to provide

excellent medical facilities to the insured persons and their family. The medical

services are provided by both ESIC/ESIS institutions as well as through referral tie

"p hospitals. He desired that referrals should be done wherever it is necessary. He

emphasized that the beneficiaries should invariably be referred to tie up hospital for

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-,pt'edll test; treatment and as far as possible at package rates to ensure transparency

(1 easy clearance of hospital bills. He also stated that the Corporation is modernizing

s nospitals by equipping them with latest machines which are being purchased by

.ir own medical officers as well as by the outside agencies. Here the role of vigilance

rceps m and therefore he has strengthened the medical vigilance wing to ensure

ransparency in execution of agreement with tie up hospitals, detection of fraudulent

rcterr al cases and passing of fake bills, etc. Director General advised to identify the set

likely mistakes by authorities like Regional Directors, Medical Superintendents,

";,Ite Medical Commissioners, etc. (in carrying out their duties) and their

ornprehensive training at ESIC National Training Academy.

The Director General also stated that the role of Vigilance is not only punitive

1 also preventive. A large number of data are now available with vigilance because of

Roll out and officers should not only find a needle in the hay but also look into the

{'ye of the needle. The vigilance officers should analyze the available datas and try to

11 out the reasons if there are discernible shortfalls in the number of insured

persons m certain units and if there is shortfall in revenue in respect of a unit or a

particular area.

Thereafter the Chief Vigilance Officer requested the Medical Commissioner,

msurance Commissioner, Commissioner (Recruitment) to say a few words. The

'.ommissioner (Recruitment) stated that the Corporation is now taking measures to

ensure more transparency in the recruitment process. They are now planning to get

; he feedback from the candidates. Medical Commissioner told that all the Medical

vigilance Officers are new to the scenario and they should be imparted proper

.r.unmg. lnsurance Commissioner expressed his concern over shortage of doctors.

! Ie also exhorted that the money of the insured persons should be used judiciously.

Thereafter, agenda items were taken for discussion.

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fltem No.I. Investigation of complaints/CVC references in a time

bound manner.

Chief Vigilance Officer expressed his satisfaction over efforts made by the

Zonal Vigilance Officers in investigation of complaints and advised them to

maintain tempo and ensure that pending eve references are liquidated in a

time bound manner. He further stated that a few evc references are pending

due to non-receipt of comments/ detailed report from certain Regional Directors

and matter may be pursued with them vigorously. He emphatically said that

non-submission of reports in respect of references received from eve attracts

adverse comments from them and it becomes difficult for him to justify the

delay.

Surprise survey of factories/establishmentI Item No.2I~--------~--------------------------------------------------~

CVO stated that with the amendment of ESI Act, with effect from

1/6/2010 , we can not inspect record of a unit more than 5 years and advised

the Zonal Vigilance Officers to pay adequate attention to this aspect while

inspecting a Unit because many of the factories will go out of the purview and

the Corporation may face loss of substantial revenue. He also added that the

zonal vigilance officers should conduct more and more surprise surveys of the

factories/ establishment with a view to bring more and more employees under

coverage of ESIC to enable them to avail the benefits provided by ESIC.

1__ It_e_m_N_o_._3 __ I_A_g_r_e_e_d__ L_is_t _

CVO stated that we always lag behind in furnishing report to evc so far

as agreed list is concerned. He further stated despite repeated pursuasions,

Agreed Lists are not being sent well-in-time. He advised Zonal Vigilance

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•Officers to ensure that the Regional Directors send the Agreed List as per

schedule.

I Item No.4

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Action taken on the direction of Director General to verify

the referral/ super specialty cases etc.

Chief Vigilance Officer informed that a team of Vigilance Officers was

deputed at 17 centres all over the country to conduct investigation to find out

irregularities in referral/ super specialty cases, if any. Certain discrepancies

have come to our notice i.e. (i)non-eligible cases have been referred. (ii)some tie

up hospitals are being given preference (ill) some fake bills have been claimed

by the tie-up hospitals. (iv) many of the patients are lying in a vegetative

conditions for months in a few tie up hospitals. He emphasized that the

Medical Vigilance Officers should ensure that daily census report from tie up

hospital is received on day to day basis and they visit the tie up hospitals in

their area periodically to find out impersonation of patient, if any and also go

through the bills passed by SSMC/Medical Superintendents to find out

irregularity done by tie up hospitals.

Action Taken Report on Vigilance Reports

CVO further stated that clear-cut instructions have been issued by

Hqrs. Office to withhold the bills in respect of these tie up hospitals and the

SSMCs should not refer IPs to these tie up hospitals if they are not sending

Daily Census Report. Any irregularity found should be informed telephonic ally

to him immediately followed by a report.

I Item No.S

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CVO expressed his concern over delay in furnishing of Action Taken

Report by certain Regional Directors in respect of investigation reports sent to

them. CVO advised the Zonal Vigilance Officers to bring such cases to his

notice where there is inordinate delay in furnishing action taken report by the

concerned Regional Director.

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Item No.6 Effective Inspection of Branch Omces~_ ...._..~ ~.__ ~~~. -J

CVO stated that Branch Offices are the basic units where the Insured

Persons visit more frequently and as such they need more attention. Zonal

Vigilance Officers should concentrate on sensitive areas to ensure that action is

taken well in time in settlement of medical board cases as well as in providing

cash benefits. It should be ensured that all the payments are made through

ECS to the Insured Persons and Insured Persons are not harassed.

, Item No.7 Disposal of complaints relating to Medical Wing

CVO stated that the expansion of medical services has led to enormous

complaints relating to the medical wing of the Corporation. Complete

transparency is required to be maintained in referring the beneficiaries for

super speicality treatment. Private practice by Medical Officers, irregularity in

referral cases and passing of inflated/fabricated/false bills of tie up hospitals

should be viewed very seriously. Complaints relating to these should be

investigated promptly by Vigilance Officers.

Item No.S Completion of Departmental Inquiry within the timei

I schedule.I

CVO enquired about the position of cases pending with each Zonal

Departmental Inquiry Officer and desired that departmental inquiries should be

completed strictly within 6 months. He said that delay in departmental

inquiries is viewed very seriously by CVC and it is difficult for him to justify

delay. He also advised the Zonal Departmental Inquiry Officers to impress

upon the Regional Directors time to time to liquidate the departmental cases

pending with them well in time.7

l'Item No.9 Inspection of ESI Hospitals and DispensariesL__________~ ~

CVO stated that instruction was circulated last year to the Zonal

Vigilance Officers for conducting inspection of ESI Hospitals and dispensaries,

but not much progress has been made. CVO desired that Medical Vigilance

Officers and Zonal Vigilance Officers can do combined inspection of ESI

Hospitals and dispensaries as it will be convenient and time saving. CVO

stressed that inspection of hospitals and dispensaries should not be neglected.

In some states the condition of ESI Hospitals are very bad but after inspection

of the hospitals the position has certainly improved. It should be ensured that

proper records and data are maintained in dispensaries and hospitals.

I Item No.IOi,,

Verification of the medicines purchased by dispensaries

under local rate contract.

CVOadvised the vigilance officers that while inspecting a dispensary they

must ascertain from the beneficiaries as to whether the medicines supplied to

them are as per prescription and thereafter verify the same from the records of

local purchased medicines whether the same medicines have been prescribed

by the doctors and shown purchased under local purchase.

Item No.!! Reconciliation of Accounts of Revolving Fund betweenI>

State Directorate and SSMC Omce.I

CVO stated that fake bills were passed by the SSMC office, Andhra

Pradesh as we have no system of reconciliation of bills between the State

Directorate and the Office of SSMC. He advised the DMC(Vigilance)Medical

Wing to issue a suitable instruction to all SSMCs/ SMCs in this respect for

strict compliance.

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1"Item No.12, Zonal Vigilance Units to be informed of inclusion/

deletion in the agreed list of officers (Group A & B) who

I are transferred from one region to another.i-- --L- --J

The proposal was agreed to.

! Item No.13 Training of Vigilance Officers/ officials.

CVO desired that a formal training, on computerized accounting should

be given to all Zonal Vigilance Officers as well as some trained SSOs may be

posted for verification of general ledgers during vigilance inspection of factories/

establishments. He ordered the Director (Vigilance) Hqrs. to take up the matter

with concerned authorities.

! Item No.14:,

Restoration of staff strength as per yardstick

CVO ordered the Director (Vigilance)Hqrs. office to take up the matter

with concerned Regional Directors. The CVO also directed the Director

(Vigilance) Hqrs. to take up the matter with medical Commissioner for regular

postings of Medical Vigilance Officers in regions and they should not be sent on

diversion.

litem No.1S Provision for tea and refreshment to visitors

CVO stated that Hqrs. Office has already issued instruction on the

subject.

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'Item No.IS Provision of Fax Machine, photocopier machine

CVO stressed that working ambience should be. provided to all the

Medical Vigilance Officers and Zonal Vigilance Officers so that they can work

properly. He ordered Director (Vigilance) to take up the matter with Regional

Directors to provide basic functional facilities to the Zonal as well as Medical

Vigilance Officers posted in their regions.

Revision of yardstick for Inspection.Item No.19

CVOinformed that the matter is under consideration.

The meeting ended with the vote of thanks to the Chair.

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