Random checks began to discourage hospitals from displaying Ayush documents | India News
NABH has conducted 15 surprise on-site evaluations of hospitals in Maharashtra, where this practice is particularly prevalent. “It has been decided to do a larger surprise surveillance exercise in every state over the next three months to find out the severity of the problem,” said Dr. Atul Kochhar, NABH CEO. YOU.
Last month, YOU had reported that many hospitals, including large corporate ones and mainly in large cities, are employing Ayush doctors as resident medical officers, emergency officers, and even to administer ICUs at night. Following the report, some hospitals removed the ads they had placed for Ayush’s doctors on various job sites with details about the type of clinical tasks they would be involved in. However, although hospitals have become more careful about placing advertisements directly, they are relying on advertisements through placement agencies.
‘MBBS documents are needed for services, Ayush staff are not counted’
If any state government allowed Ayush doctors to participate in any activities related to allopathy, some hospitals could take advantage of this permission to use them for mandatory services assigned to MBBS resident doctors, ”said Dr. Kochhar. If a state has not notified that an Ayush doctor can practice allopathy, allopathic hospitals to hire them for patient care would be illegal.
Surprisingly, although the NABH believed that 13 states allow Ayush doctors to practice allopathy, mainly after a bridging course, there are only three states where this is allowed: Maharashtra, Gujarat, and Haryana. In Uttar Pradesh and Jammu and Kashmir, Ayurvedic and Unani doctors can prescribe a restricted number of allopathic drugs and perform certain procedures after a bridging course, but only in public health facilities.
Many of Ayush’s hospitals with clinicians performing clinical duties are accredited by the NABH. The NABH affirms “high quality of care and patient safety” as the objective of its certification and is based on the Central Government Health Scheme (CGHS) and the Contributory Health Scheme for Ex-Military and (ECHS) intended for veterans. of the armed forces and their dependents. NABH has also partnered with the Insurance Regulatory and Development Authority (IRDA) to carry out entry-level certification of hospitals, which has been made mandatory to provide cashless insurance facilities. Under this assumption of better standards and quality, NABH-accredited hospitals can charge more for each procedure and also set higher rates per bed.
Dr. Kochhar said YOU that NABH standards require hospitals to have adequate MBBS resident medical officers to administer services around the clock. “NABH specifies mandatory standards in terms of staff competence and evaluates them at the time of accreditation and surveillance,” said Dr. Kochhar, adding that Ayush staff “are not counted towards the required supplement during the assessment. ”.
“Ayush physicians, even if they are appointed to accredited hospitals, cannot be assigned or participate in direct clinical care. The practice of their deployment for direct care, apparently, is during the time between the accreditation evaluation and the surveillance evaluation, ”stated the NABH in response to TOI’s queries. Assessments are conducted every two years.
According to NABH standards, all staff must have a documented job description and, for Ayush physicians, it includes receiving and instructions for patients, following the advice of a consultant, assisting with documentation and selection of the general parameters.
Invasive procedures are not allowed. Most hospitals that hire Ayush doctors claim that they only do what is in the job description. However, many patients and their families refute this claim.
NABH noted that it was not a regulatory body and that since accreditation is voluntary, most hospitals are not accredited. Although the practice of using Ayush practitioners for clinical tasks is more widespread in Maharashtra and Gujarat, it is being done in many states where the government does not allow this, as Ayush doctors can be hired for as little as Rs 20,000 per month. while MBBS doctors might have to pay Rs 40,000. However, patients are never told that they are being cared for by Ayush physicians nor do their bills decrease due to lower salary costs.
“Hospitals claim that these Ayush doctors work as assistants to allopathic consultants, but that is not true. It’s just the back door entry of people from completely different systems of medicine than allopathy. It is being questioned by the Indian Medical Association, ”said Dr. Jayesh Lele, secretary of the Indian Hospital Board, a wing of the IMA.