Vigilance Mechanism in ECHS - Veteran Patient Care and Assistance (VPCA) Teams: For Beneficiaries

A vigilance Mechanism in ECHS - Veteran Patient Care and Assistance (VPCA) Teams

DG (DC & W) 
Adjutant General's Branch 
Integrated HQ of MoD (Army) 
South Block 
New Delhi - 110 011 

Dated: 12 Jul 2018



1. Ex Servicemen Contributory Health Scheme (ECHS) is a welfare oriented scheme providing effective healthcare to Ex Servicemen and their dependents. Since in 2003, the scheme has expanded exponentially and has nearly 52 lakh beneficiaries today throughout the length and breadth of the country. 

2. There is a need to institute a vigilance framework with a nominated nodal officer at each echelon of the scheme to introduce checks and balances in the system to ensure its efficient and effective functioning . The vigilance frame work so instituted will pay attention to the following aspects with a mechanism to detect, analyse and take corrective and preferably pre-emptive :- 
  • Ensure ECHS benefits are not availed by unauthorized persons. 
  • Check unethical practices I exploitation of ESMs by empanelled facilities. 
  • Monitor referral to empanelled facilities and carry out checks to negate unauthorized treatments/or claims. 
Handling of ECHS Issues/Subject/Tasks
3. Tech issues relating to billing, claims and MoA with empanelled hospitals are dealt by Regional Centres of ECHS. All adm issues of Polyclinics are handled by Stn HQ. 

4. Regional Centres (RC) ECHS. Comments/ assistance/inv/vigilance on following issues are carried out through RCs:- 
  • MoA with empanelled hospitals therefore complaints regarding empanelled hospitals/Harassment in empanelled hospitals. 
  • Claims/Billing issues of empanelled hospitals. 
  •  Indl reimbursement claims received by RC from Polyclinics. 
5. Stn HQs. Stn HQs handle the following issues:- 
  • (a) Adm of Polyclinics. 
  • (b) Card making of beneficiaries. 
  • (c) Contractual employment. 
  • (d) Medicine availability through SEMO. 
  • (e) C of I / detailed inv in empanelled hosp or service hosp. 
Vigilance Cells 

6. A feedback on the satisfactory functioning of Pilot Project at three stations has been obtained. It is now planned to institute the vigilance framework in 14 other major ECHS stations, to include Ambala, Bareilly, Channai, Hyderabad, Jaipur, Jabalpur, Jammu,Kochi, Kolkata, Lucknow, Meerut, Patna, Pune and Ranchi. 

7. Composition of Vigilance Cell. The ECHS Vigilance Cell will function under the Stn Cdr and will incorporate a contractual Doctor/serving AMC officer for On-Spot verification of cases of alleged medical negligence/ violation of MoA. It will be composed as under:- 

(a) OIC Team. Medical Offr (when accompanying) CMP JCO/NCO. 

(b) CMP Team. Two CMP pers (JCO/NCO) in a light vehicle/MC. 

(c) Medical Team. One Medical Offr (serving/contractual from ECHS) to be co-opted for all investigations related to hospitals/having examination of medical aspects. Serving offr may be also co-opted under arngs of Stn Cdr. 

8. Tasks of Vigilance Cell. While not exhaustive, some of the tasks will be:- 
  • (a) At Polyclinics. 
  • (i) Investigate irregularities I fraudulence by contractual staff. 
  • (ii) Physical verification of ESM and dependents (card and self attested proforma) 
  • (iii) Review adm functioning of Polyclinics when so detailed by Stn I Sub Area I Area HQs on specific instructions 
  • (iv) Surprise physical check of Medicines I Dispensary. 
  • (v) Surprise physical verification of ESM/dependents. 
  • (vi) Check use of ambulance/equipment with Polyclinic. 
  • (vii) Avlb of complaint/Grievance Book and redressal/Comments. 
(b) At Regional Centres. 
  • (i) Check BPA verifiers at Regional Centres and any wrong practices by Hospital reps. 
  • (ii) Check process of receipt of bills. 
  • (iii) Ensure process of First in First Out (FIFO) in billing/ as specified by Central Org. 
  • (iv) Monitor hospital representatives visiting for empanelment process. 
  • (v) Security procedure of Regional Centre premises. 
(c) At Hospitals/Diagnostic Centres/Labs. 
  • (i) Periodic/Surprise Checks of Empanelled Facilities and patients admitted. 
  • (ii) Physical verification of patients at non-empanelled facilities when so directed. 
  • (iii) Investigate individual cases of fraudulence by beneficiaries . 
  • (iv) Carry out preliminary investigation wrt complaints received at Regional Centre, if so directed by Director Regional Centre. These will be fwd to Stn Cdr being the nodal agency for check. 
  • (v) Assist in medical audits if ordered by Regional Centres / Higher Headquarters . 
Investigations and Reporting 

9. Investigations. All complaints/reports are to be forwarded to Stn HQ in confidence irrespective of the subject being dealt by any agency. The Stn Cdr will brief the team and allocate the task to them in confidence. No prior info will be made available to vigilance cell members for surprise checks to avoid confidentiality being compromised. Routine and planned checks can be pre-decided. 

10. Reporting. Reports will be of two types, viz/Incident/Info Report and Monthly Report. Reports of Vigilance Cell will be forwarded through Stn HQ SO (ECHS) to Area/Sub Area HQ (Dir ECHS/Dir Veteran) to Command HQ (SO ECHS) to Central Org ECHS (Dir C & L). All cases of misuse, fraud and harassment will be reported. 

(a) Incident/Info Report. This report will be initiated by the Stn HQ to imdt higher HQ in chain of command within seven days of investigation being completed, with copy to all echelons of Comd till Comd HQ and Central Organisation ECHS (Dir C & L) for prompt action. Report should be passed immediately on telephone depending on gravity of input, to all concerned and followed up by return report so that corrective measures are not delayed. The format is as per Appendix A (in cases where delinquency in respect of serving pers come to notice, it will also be info to HQ Comd (DV) and DV Dte/AG's Br by Comd (SO ECHS) and Central Organisation ECHS respectively.) 

(b) Monthly Report. A monthly report on surprise checks carried out during the month by the Vigilance Team will be forwarded to Central Org ECHS as per format on Appendix B by 20th of next month by the Comd HQ (SO ECHS). 

11. Report. The report by the Vigilance Team for various est will be rendered as per u/m formats:- 
  • (a) Empanelled Hospital - Appendix C. 
  • (b) Regional Centre - Appendix D. 
  • (c) Polyclinic - Appendix E. 
12. Check list. A suggested check list for the Vigilance Team is at Appendix F. 

13. The Stn Cdr will compile the activities of the vigilance team and render a ground report after three months to Central Org ECHS through comd channel with recommendations/inputs to refine the vigilance mechanism. 

(Yogendra Dimri) 
Lt Gen 
DG (DC&W) 




7th CPC$type=list$m=0$cate=0$sn=0$rm=0$c=5


'Aaykar Setu' mobile app,1,5th cpc,5,6th cpc,8,7th CPC,403,7th CPC Arrears,4,7th CPC Arrers,8,7th CPC Hindi News,12,7th CPC News,69,7th Pay Commission,216,Aadhaar,23,acpin,1,ad-hoc bonus,4,ad-hoc staff,1,additional hra,1,admit card,1,advance salary,1,AGEY,1,aicpin,9,aigdsu news,5,AIIMS,2,ailtc railways,7,aipr,3,Air Force,13,Air India,5,air india ltc 80 fare,4,Air Travel,6,Aircel,1,airf,15,Airlines,1,Airtel,4,alcohol policy,1,all india,5,Allowances,125,Amazon Ofers,1,Andhra Pradesh,1,anomaly committee,1,aoc,1,app download,1,Apple iPhone,3,Assam,4,Assistant Jobs,1,Bank,29,bank da,3,bank holidays,1,Bank Policies,19,banknotes,1,Bihar,9,Bihar 7th CPC,3,bihar govt employee,1,Bollywood,4,bonous,1,bonus,6,breakdown allowance,2,Breaking News,139,BRICS,1,Bsnl,11,budget,4,Business,84,ca exam pattern,1,Cabinet News,41,cadre restructuring,2,cadre review,12,CAG Report,3,CAPO News,4,Career,56,casual labour,3,casual leave,2,cat Judgement,2,cat order,3,CBDT,12,CBEC,4,CBSE,6,ccs master circular,1,ccs pension rules,2,ccs rules,4,cda rules,2,cgda,20,cgegis table,5,CGHS,86,cghs agartala,1,cghs ahmedabad,1,cghs allahabad,1,cghs bengaluru,2,cghs bhopal,1,cghs bhubaneswar,1,cghs chandigarh,1,Cghs Chennai,1,cghs dehradun,1,cghs delhi,3,cghs guwahati,1,cghs hyderabad,1,cghs indore,1,cghs jabalpur,1,cghs jaipur,1,cghs kanpur,2,cghs karnataka,1,cghs kerala,1,cghs kolkata,1,cghs lucknow,1,cghs meerut,2,cghs mumbai,1,cghs nagpur,1,cghs patna,2,cghs pune,1,cghs ranchi,2,cghs shillong,1,cghs trivandrum,2,cghs uttrakhand,1,chandigarh,1,chhattisgarh,1,child care leave,2,children education allowance,7,China,1,cisf,1,come & play scheme,1,compassionate ground appointment,2,Compensation Policy,3,composite allowance,1,condiment allowance,3,Condiment expenditure,2,consatant attendance allowance,1,contract labour,7,Conveyance Allowance,3,cpao order,21,cpf,1,cpgrams,3,cpiiw,3,cpse,68,cpse employees,7,cpse guidelines,29,cpse pay revision,2,cpse pension,5,CPSEs Pay,20,Cricket,4,cris,3,CRPF,1,CS(MA) Rules,5,csd,2,csd price list,1,Current Affairs,308,cvc circular,2,d el ed,1,daily officiating allowance,3,dearness allowances,48,dearness relief,18,Defence,226,Delhi,2,delhi high court,1,dept of post order,40,deputation,3,deputation allowance,4,desw,2,desw order,5,disability pension,5,dlc,1,Doctor Jobs,12,doe order,24,doppw order,7,DoPT Order,123,dot order,10,Download MedWatch App,1,Download MyMSME App,1,Download MyMSME App Celebrating Yoga,1,Download NEW ITR FORM,2,Download Swachh Bharat App,1,dpe om,33,dress allowance,5,dress code,1,EC,1,echs,22,ecil,1,EDUACTION,75,Education,7,educational qualification,1,Egineer Jobs,1,Election Commission,1,Employment,6,Entertainment,2,EPFO,23,ESIC,4,EVM,1,Ex-Servicemen,6,exam,2,exempt from tax,1,expected da,10,extra work allowance,1,Extraordinary Pension,1,Facebook,8,fact jobs,1,Family Pension,94,FAQ,2,Featured,79,festivals,1,FIFA,1,File ITR,22,Fin Min Orders,62,Finance,8,Fixed Medical Allowance,7,Flipkart,2,Football,3,FREQUENTLY ASKED QUESTIONS ON GST,1,Games,12,Ganes,2,gazette notification,12,gdce instructions,3,gds arrears,9,gds da,11,gds employees news,17,gds pay,15,gds report,17,gfr,1,GOI News,570,Goods and Services Tax,50,Goods and Services Tex,1,Google,10,government of karnataka,1,Govt Jobs,10,govt of assam,2,govt of assam pensioner,1,govt of assam staff,1,govt of chhattisgarh,1,Govt Project,324,Govt Staff News,1109,Govt Yojna,255,gpf interest rate,1,GPF Rules,12,GPRA,4,gratuity,6,group A,1,Group D,1,Gst,61,GST Rates Finder app,1,Hardship Allowance,1,Haryana Govt Employees,2,Haryana Govt order,2,hba rules,9,Health,25,High Court Judgement,2,high court order,2,hill area allowance,1,holiday list,9,Hollywood,2,honorarium,1,hpca,1,hr allowances,1,hra,2,HRA Allowances,40,iba,5,iba dr,1,ibps,2,icsil,1,ida cpse,15,income tax,20,independence day,1,India,3,India Post,12,Indian Airforce,49,Indian Army,68,Indian Navy,63,indian railway,10,IOCL Jobs,1,IRCTC,8,irtsa,2,Island Special Duty Allowance,1,ISRO,1,iti ltd,1,ITR,30,j&k govt employees,3,j&k govt pensioners,1,Japan,1,Jharkhand,3,Jio News,8,jkssb,1,jnv,7,Jobs,54,Jobs News,94,karnataka,1,kerala,4,Kerala Govt Employees,3,Kerala Govt Pensioners,2,Kolkata,1,KVS,40,kvs pension,2,labour Bureau,7,larsgess scheme,3,Latest,988,ldce,3,leave rules,1,lic pay,2,life time arrear,1,Lok Sabha,136,LTC,32,ltc 80 air fare,6,Ltd Company Jobs,2,mAadhaar App,2,macp,31,Make in India,2,Market,1,Maruti Suzuki Dzire,1,maternity leave,6,medical card,1,Medical claims,4,Meghalaya Govt Employees,1,MERIT app,1,mes,1,MGNREGA,2,mha,1,mhfw order,14,mhrd order,1,Microsoft,1,Microsoft News,1,minimum wages,7,mod order,17,mohfw order,2,monetary allowance,3,MP,1,msp,2,mtnl,2,NABARD,1,Namami Gange,5,National,705,ncjcm,20,nda,2,ndmc,1,New Delhi,3,new TRCA matrix,5,nfir,59,NGT,1,night duty allowance,2,northern railway,1,Notification,1,npci,1,nps,22,nursing allowance,2,nursing perssonsel,2,NVS,9,odisha,3,odisha govt pensioner,1,operation theater allowance,1,ordnance factory,1,orop,16,overtime allowance,6,PAN,6,pass rules,3,Passports,1,patna high court judgement,1,pay fixation,18,pay slip,1,pcda circular,41,pco allowance,2,pdca circular,8,Pension,203,Pension Adalat,1,Pension Adalat Application Form,2,Pension faq,21,Pension revision,8,Pensioner,158,Pensioner associations,2,Pensioner Portal,12,pfrda,3,pgportal,3,pl bonous,12,PM Modi,27,PMAY,5,PMUY,1,PMVVY,1,Policies,382,Politics,35,post graduate allowance,1,post office,2,prcp in railway,4,President,2,Project Allowance,2,Promotions,19,Promotions policy,19,provisional pension,2,puducherry,1,Railway,345,railway servants pass rules,1,rajasthan govt employees,2,rajasthan govt pensioners,1,rajbhasha,1,Rajya Sabha,38,Rashtriya Swasthya Bima Yojana,1,ration money allowance,2,RBI,11,Real Madrid,1,Recruitment,6,recruitment rules,9,relhs,1,remote area allowance,1,remuneration,1,RERA Act,1,reservation criteria,11,rest rules,1,Result,5,retirement age,1,revised pay,24,revised pay matrix table,5,revised pension,3,revised vda,8,rilways,1,risk and hardship allowance,8,running staff,2,RUSA,1,s,1,SAARTHI App,1,SBI,10,SBI Rules,6,scholarship,1,Science,17,scova meeting,1,SEVA App,1,Seventh Central Pay Commission,149,SKILL INDIA Mission,1,small saving scheme,2,special allowance,3,Special LC Gate allowance,1,Sports,16,ssc jos,1,status of PPOs,2,storekeeping staff,1,strike,2,study allowance,1,study leave,1,Sukanya Samriddhi Account,2,Supreme Court,22,Supreme Court Judgement,13,Survey,1,syllabus,1,syndicate bank,1,Tarang Sanchar,1,Tax,22,tds deduction,2,teacher jobs,2,Tech,34,Telangana,1,telangana govt employees,1,Telcome,2,Telcome News,8,timely disposal of applications,1,TN Govt Employees,3,TN Govt Pensioners,2,tnusrb recruitment,1,Trade,1,trade unions,1,TRAI,1,training allowance,2,Transfer policy,25,transport allowance,4,Travelling Allowance,22,Trending Now,131,tripura govt employees,1,tripura govt pensioner,1,Trump,1,uan,1,Uber,1,ugc,1,uidai,1,UJALA Scheme,1,UP CM Yogi Adityanath,2,upgradation of pay,2,uppsc,1,UPSC Jobs,2,USA,2,Uttar Pradesh,3,vrs,2,Weather,2,West Bengal,1,Whatsapp,2,Windows 10 OS,1,World,62,World Press Freedom Day,1,You Tube,2,
Param News: Central Government Employee News|Latest DOPT OM: Vigilance Mechanism in ECHS - Veteran Patient Care and Assistance (VPCA) Teams: For Beneficiaries
Vigilance Mechanism in ECHS - Veteran Patient Care and Assistance (VPCA) Teams: For Beneficiaries
The vigilance frame work so instituted will pay attention to Handling of ECHS Issues/Subject/Tasks, Composition of Vigilance Cell, Medical Team, Tasks of Vigilance Cell, Investigations and Reporting
Param News: Central Government Employee News|Latest DOPT OM
Loaded All Posts Not found any posts VIEW ALL Readmore Reply Cancel reply Delete By Home PAGES POSTS View All RECOMMENDED FOR YOU LABEL ARCHIVE SEARCH ALL POSTS Not found any post match with your request Back Home Sunday Monday Tuesday Wednesday Thursday Friday Saturday Sun Mon Tue Wed Thu Fri Sat January February March April May June July August September October November December Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec just now 1 minute ago $$1$$ minutes ago 1 hour ago $$1$$ hours ago Yesterday $$1$$ days ago $$1$$ weeks ago more than 5 weeks ago Followers Follow THIS PREMIUM CONTENT IS LOCKED STEP 1: Share. STEP 2: Click the link you shared to unlock Copy All Code Select All Code All codes were copied to your clipboard Can not copy the codes / texts, please press [CTRL]+[C] (or CMD+C with Mac) to copy