E.Sal MEDICAL MANUAL• (incorporating instructions issued up to March 2600)
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4th Edition (Revised) Sept. 2002
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Published by : Director General EMPLOYEES' STATE INSURANCE CORPORATION KOTLA ROAD, NEW DELHI Website : www.esic.india.org
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FOREWORD
Over the last 50 years, ESE Corporation has . ernerged as tho country's leading multi- dimensional health insurance organisation. Today, it has a vast network of ESI hospitais, disponsaries and panol clinics for providing primary, specialist and in-patient services to
• (' • about 32 million ESI beneficiaries ail over . the country. ES.IC has also, recently'decidod to set up atleast one model hospital in each Stato.
With the thrust on overall irnprov.ement in service delivery, it has become necessary that 'insurance medcal . officers and Medical adrniniStrators, working for the scheme, are v.ieN acquainted with•the corporate policies, instructions and related guidelines, including the . cornplexities of social insurance-and documentation thereof. Medical certification, for instance, is one of the critical areas where caution has to be exercised by the certifying authority.
This revised and up-dated edition of the Medical Manual should serve ats, a usofui 'reference book for adhering to stipulatecl . Processes and procedures. Whife appreciating The hard vi,fork that has gone into updating this exhaustive Manual, r look forward to its meaningful and productive use by thefield offices and establishments of the totporation.
- 1_ Now. Qeihi Noy Dua Dated: 23-1-2003, Dfroclor GerEert
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• PREFACE (To This Edition) "•••
. The third edition of the ESI Medical Manual. was last published in 1989. In view oi the changes that have taken place in the scope of service under the ESI scheme, as well as, simplification r_if procedures undertaken over the fast decade, it was felt 'necessary to • come up with an updated and 'revised edition of the Manual, . C. Easy access to various instructions and guidelines is of paramount importance in speeding up the process of service delivery, more.so , in a social 'security set up like ours
. where benefits are generatly.inter-linked and medical certification is an integral part of the day-to-day activity. Medical manual, a comprehensive compilation of norms and procedures incorporating the latest instructions is the most important corporate publication to depend upon for all information related to various aspects of medical benefit,
. This, the fourth edition of the Manual, is the outcorrie of the hard work of a senior team of ESC officers. Here; I would ,particularly, appreciate the level of involvement of Dr.D.K.Kapoor, Director (Medical) Headquarters, Dr.A.K.Khokhar, Dy.Medicar Commissioner and Di.T.K.GoeL Additionsi Director(DMD) in revising, recasting and updating this Manual. am equally appreciative of the efforts Shri P.L.Kaui, Director Public Relations for his contribution in reformatting the manuaf with a new look, layout and design.
While all care ,ras- been taken to make it a comprehensive reference book on matters medical. within the 'scheme, there could still be room for some improvements. Suggestions that could further enhanbe the - usefulness of this Manual are, therefore, .vielcoririe.