Page 229 - DCOM207_LABOUR_LAWS

Labour Laws

Notes
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Caution The ESI Scheme has the largest medical infrastructure under one umbrella, in
India. Medical Care is provided through a huge network of 150 ESI Hospitals, 1372/91
ESI Dispensaries/ISM Units, 1380 Panel Clinics and 7340 IMOs. The ESI Scheme is also the
largest employer of Medical and Para-Medical personnel of the country.
The ESI Corporation incurred about ` 268962.11 lakhs on the delivery of medical care in the
last year. The expenditure is shared between the ESI Corporation and State Govt. in the ratio of
7:1. Medical Care expenditure is reimbursed to State Govt. based on ceiling which at present is
` 1500/- per IP unit/per annum.
The ESI Corporation has set up five zonal occupational Diseases Centre at New Delhi, Chennai,
Kolkata, Mumbai and Indore for providing facilities for early detection and diagnosis of
Occupational Diseases, and to cater to the needs of ESI Beneficiaries of the neighbouring State in
the respective zones. The occupational diseases as defined in the third schedule of ESI Act, 1948
are considered to be arising out of/in the course of employment and are taken as equivalent to
employment injury for providing Cash Benefits like Disablement Benefit, Dependants Benefit
etc.

Example: All ESI Hospitals/Dispensaries provide services related to family welfare. The
Corporation has also taken measures for control of AIDS among the working class of the country.
A full fledged Directorate is working specially for family welfare services and AIDS Control
at New Delhi. This Directorate works in co-ordination with NACO and also with Ministry of
Health & Family Welfare, Govt. of India. Along with the Allopathic system of medicine, the ESI
Corporation is also providing medical care through Indian System of Medicine (ISM) including
Ayurveda, Yoga, Unani, Siddha and Homeopathy (AYUSH). About 95 ISM units are working in
ESI Hospitals/Dispensaries throughout the country. For the purpose of providing of Disablement
Benefit (in cash), references are made for measuring incapacity. There is a network of about 70
Medical Refrees throughout the country for finalizing such incapacity references.
The eligibility for super-specialty treatment is 3 months (with contribution paid for at least 39
days) of insurable employment for insured person (for self) and 6 months (with contribution paid
for at least 78 days) of insurable employment by Insured Person for their family members. Such
tertiary care (super-speciality treatment) is provided through in-house super speciality facilities
available in some of ESI Hospitals or ESI-PGIMSRs or through large no. of advanced empanelled
medical institutions on referral basis through tie-up arrangements. About 750 private hospitals
in all India are now empanelled as tie-up Hospitals for ESIC.
ESI Corporation has taken a decision to set up one hospital in each State as Model Hospital. At
present, ESIC has set up Model Hospital in 18 states. These hospitals are being up graded as per
norms and standards laid down by ESI Corporation. The expenditure on Model Hospitals is fully
borne by ESI Corporation. ESI Corporation is getting its hospitals and dispensaries graded by
reputed organizations. Further action has been initiated for getting ISO certification in respect
of hospitals and dispensaries. The range of services provided covers preventive, promotive,
curative and rehabilitative services. Besides the out-patients services through dispensaries and
IMP Clinics, the in-patient services are provided through ESI Hospitals or under arrangements
with other hospitals. The ESI Corporation in its meeting held on 23.12.1997 approved the revision
in the limit of expenditure on provision of initial equipments for new ESI Hospitals, Dispensaries,
Detention wards and Ambulances. The expenditure on items given will be under shareable pool
but from outside the ceiling on medical care.
As a part of initiative for overcoming the shortage of medical manpower and improving the
services in ESI Hospitals, ESI Corporation has under taken a project for starting medical colleges,
nursing colleges, dental colleges and training school for other para medical staff in ESIC/ESI
Hospitals. Hospital Development Committees have been constituted in all ESI Hospitals and have

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