The empanelment and disciplinary committee of Arogyasri Health Care Trust (ACHT) has suspended Mahesh Hospital and Research Foundation (MHRF), Himayathnagar, from the Arogyasri scheme for alleged deficient medical services and not following guidelines under the insurance scheme.
The disciplinary committee was acting on a report submitted by Chief Medical Auditor (CMA), ACHT, Dr. K. Phani Koteswara Rao, who led a team of experts to inspect MHRF after an incident in which a trauma victim Kiran Kumar was apparently misdiagnosed.
The patient, who was already treated for a leg fracture at MHRF, came to the hospital for a follow-up.
While waiting, the patient became unconscious, which the hospital doctors diagnosed as a heart attack. When the patient did not respond to treatment, the doctors declared him dead, which triggered a mob attack damaging the hospital property.
Later, a complaint was filed in Narayanguda police station.
According to the inspecting team, MHRF has enrolled only consultants and did not have in-house specialist doctors.
The Managing Director of MHRF, Dr. Suresh Kumar, is a Medical Officer at Community Health Centre (CHC) in Narsapur.
The hospital did not have nursing staff and Arogyasri wards were not clean, the report said.
The inspection team interacted with 12 Arogyasri patients, who were admitted in the hospital.
forced to pay
“Many of these cases were referred by one Dr. Jaya Prasad, a government doctor at Tandur Area Hospital. There wa s unnecessary delay in surgeries and there was no responsible duty doctor. Patients with beneficiary cards were forced to pay for procedures empanelled in Arogyasri scheme,” report said.
“MHRF does not have the required patient to doctor ratio. The inspection team found that there was only one duty doctor,” report said.
Based on these findings, the ACHT disciplinary committee has stopped payments to MHRF pending enquiry.
Directive to hospital
The ACHT officials have directed the Mahesh Hospital to provide 100 per cent cashless facility, including follow-ups, to the patients who are already admitted.
The hospital allegedly had deficient medical services and was not following guidelines under the insurance scheme