Railway Accounts Department Examinations

Monday, September 25, 2023

ACG - Appointment on Compassionate Grounds

                                    


ACG - Appointment on Compassionate Grounds 

What are the grounds ? 

 

  1. Death of employee while on duty or in service.  

  2. If the employee is missing for more than one year  

  3. Total medical unfitness.


  • ACG is given if the financial condition of the family is not good. 


Who are eligible: 

  1. Spouse  (preference is given) 

  2. Children/Adopted Children (Next preference) 

  3. Dependent Brothers/Sisters  - in case employee is unmarried,  divorced

  4. Widow daughter provided she was dependent on the employee. 


  • If child is minor, spouse can register the child’s name for CGA on attaining age of majority.


Competent Authority for ACG:  


Level

Competent Authority

Remarks

Level 1 to Level 6

DRM/CWM/PCPO

DRM in Division

CWM in Workshop 

PCPO in Hqrs 

Level 7

GM



Priority & Time Limit : 


  1. Death or Permanent Medical Unfitness during the performance of duties  - Within 1 month

  2. Death in harness duty to Railway Accidents while off duty.  - Within 3 months

        3A. Total Medical unfitness due to natural cause  - Within 3 months

        3B. Medical De-categorization with more than 5 years left over service. - Within 3 months.  


 

ACG cases - Period - Application for CGA should be given within 5 years from the date of incident.



Period

Competent Authority

Up to 20 Years old cases

DRM/CWM/HOD

20 Years to 25 Years

GM

Beyond 25 years

Railway Board


  • DRM, CWM and HOD can consider CGA within 2 years of attaining the age of majority in case of minors.

  • For Level-7 posts GM shall consider.

  • CGA in missing employee cases can be given by GM after the waiting period of TWO years.

  • The Educational Qualification possessing the candidate at the time of submitting application for CGA should be taken into consideration. ( ie within 5 years from the date of incident/ within 2 years from the date of majority)

  •  If the candidate is major at the time of incident but was already admitted in a course then he/she be allowed to complete the course within 5 years provided permission is taken from Railway for this. Such Qualification will be taken into consideration for CGA.

  • If the candidate is minor and case is registered for appointment on attaining the age of majority, but he/she has joined a course and midst of it at the time of age of majority, he/she may be permitted to complete the course within 5 years. Such qualification is considered for CGA.

  • Whatever qualification the candidate acquires, CGA can be given only Group-C up to Level 7. 

  • CGA is given in initial grade or in intermittent grade if an element of DR Quota is available in the grade.

  • Candidate for CGA should be within the age limits prescribed for direct recruitment.

  • However upper age relaxation can be given by DRM/CWM for Level-I posts and PCPO for other Level posts.

  • Lower age relaxation up to one year can be given by GM and beyond one year by Railway Board.

  • No relaxation in educational and Technical qualification is permissible.

  • Illiterate wife of ex employee can be considered for CGA in Level-1 posts where reading or writing is not essential. (Ex Safaiwali or Sweeper posts)

  • Only one CGA is given in a family.

  • If wife and husband are Railway employees, CGA is given on account of any one of the two.

  • Person appointed on CGA should give an under taking that he/she will take of other member of the family. In case of failure, his/her services will be terminated and no other person will be given appointment again.

  • If CGA is given in missing case and subsequently the missing employee is traced,  appointment  given to the ward will be withdrawn.

  • For CGA in Group-C posts ( other than Level-1), candidate should pass the test conducted in this regard.

  • In case of failure in the test, CGA will be given in Level-I post.

  • Second Chance - DRM/CWM/PCPO.

  • Third Chance - GM 

  • Fourth Chance - GM  (in case of Widow) 

  • Passing prescribed medical examination and initial training is must.

  • If the ex employee has two wives, first wife only is eligible for CGA.

  • Second wife is not eligible for ACG. However second wife’s children are eligible for CGA provided if there is no objection from First wife and her children.

  • Wards of Officers are also considered for ACG by GM. But only in Group-C posts.

  • ACG candidates in clerical cadre should pass typing test within two years from the date of appointment.

  • CG appointees as can as possible should be appointed nearer to the Home Town.

  • In case son of the Ex employee is given CGA on the request of wife of Ex employee and he dies while undergoing initial training, then the wife of ex employee can ask for CGA either for other children or for self or for the wife of deceased trainee.

  • If the wife of ex employees is not alive, the widow of deceased trainee can ask for CGA for self.

  • If the deceased trainee is unmarried, his/her brother or sister can ask for CGA.

                                                                                ****


Sunday, September 24, 2023

HMIS - Hospital Management Information System

 


 

HMIS

  • Source: Click for HMIS

  • HMIS stands for Hospital Management Information System 

  • Complete hospital management in IR on a single architecture 

  • A game changer in the management of Railway Hospitals 

  • e-Sushrut C-DACs HMIS - Good initiative in adapting technology to improve Health care. 

  • RailTel - Railtel Corporation of India Limited (RCIL) - Main executing agency.  

  • RaiTel uses C-DAC’s software for HMIS 

  • Integrated with the UMID system 

  • UMID stands for Unique Medical IDentity Card 

  • Nodal Dept - Medical Dept  

  • Consists of more than 20 modules 

  • Covers both Core and ancillary hospital management needs 

  • Covers OPD, IPD, Labs, OT, Blood Bank, Pharmacy, Referrals, Medical Examinations, Reimbursement of Medical Claims, etc. 

  • Provides an accurate, electronically stored medical record of the Patient.  

  • Such data can be utilized for statistical requirements and for research 

  • The unique combination of a “Patient Centric” and “Medical Staff Centric” paradigm.  

  • Reducing the costs of providing services 

  • Increases the optimum performance of the Medical Dept.  

  • Implemented across 706 Railway Hospitals/Clinics  

Features of HMIS  


EHR  

  • Stands for Electronic Health Record

  • An electronic version of a patient’s longitudinal health record.

  • A Longitudinal Health Record is a single complete patient record that combines data from a variety of sources throughout the healthcare system.

  • Contain medical history, diagnoses, medications, treatment plans, immunization dates, allergies, and test results of a patient across time.   

Medical Billing

  • Integrated Medical billing system for OPD, IPD, and other ancillary services.

  • Improved UI (User Interface) on cash collection desks, equipped with patient wallet. 

Bar code integration:  

  • No waiting time for patient registration and lab tests. 

  • Smart HMIS generates a unique barcode for every new patient registration and lab sample. 

  • Patient's OPD/IPD files will have a barcode sticker on it 

  • It takes seconds to scan and offer hospital services like revisits, billing, pharmacy, IPD services, etc.

  • Better tracking 

  • Minimizing human errors

  • Saves a lot of time and money 


Dashboard and dynamic reports 

  • Works in real-time management information system

  • Visual presentation for quick statistics to Hospital Management. 

  • Generate reports due to intermittent transactions  

Mobile application and Web portal 

  • Firefox Browser - Best for running application  

  • Provisional registration with Aadhar QR scan provision 

  • Online investigation report view/download 

  • Comprehensive Doctor login desk. 

Mobile App allows: 

  1.  Self-register 

  2.  View and download registration slips, prescriptions, and lab reports

  3.  Log in using their mobile number 

  4.  Request teleconsultation   



Mera Apsataal (My Hospital) - मेरा अस्पताल

  • HMIS Integration with Mera Apsataal   

  • A Ministry of Health, Govt of India initiative 

  • Capture patient feedback for the services received at the Hospital through user-friendly multiple channels such as SMS (Short Messaging Service), OBD (Out Bound Dialling) 

  • OBD means an automated phone call that essentially relays a pre-recorded voice message to the customer.  

  • Patients can check the action on feedback 

  • Govt will make appropriate decisions for enhancing the quality of healthcare delivery across public facilities like Indian Railways. 

  • Ultimately helps establish a patient-driven, responsive, and accountable healthcare system.  

  • Integrated with MOH&FW ICT (Information Communication Technology) based PSS (Patient Satisfaction System)   

ABHA 


  • ABHA stands for Ayushman Bharat Health Account 

  • Initiative of NHA - National Health Authority 

  • HMIS can be used to generate and fetch ABHA for patients 

  • 14-digit unique number - to identify people and authenticate them, and thread their health records (only with patient consent) across multiple healthcare service providers. 









Key Points for MCQ  


Abbreviations/Acronyms  


SN

Acronym

Stands for 

1

HMIS

Hospital Management Information System

2

C-DAC

Centre for Development of Advanced Computing

3

RCIL

Railtel Corporation of India Limited

4

UMID

Unique Medical IDentity  (Card)

5

OPD

Out Patient Department

6

IPD

In Patient Department

7

OT

Operation Theatre

8

EHR

Electronic Health Record

9

UI

User Interface

10

SMS

Short Messaging Services

11

OBD

Out Bound Dialling

12

MOHF&W

Ministry Of Health, Family & Welfare

13

ICT

Information Communication Technology

14

PSS

Patient Satisfaction System

15

ABHA

Aayushman Bharat Health Account

16

NHA

National Health Authority




Other Points for MCQ

  1. Railtel - Main Executing agency for HMIS 

  2. HMIS integrated with UMID 

  3. HMIS integration with Mera Apsataal/My Hospital 

  4. Mera Apsataal / My Hospital is an initiative of the Ministry of Health 

  5. HMIS associated with ABHA 

  6. Raitel uses C-DAC software for HMIS 

  7. Nodal Dept - Medical Dept. 

  8. ABHA - 14 digits Unique Number 

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