RKS CHC Galore BUDGET 2013-14

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RKS Budget

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Rogi Kalyan Samiti-CHC Galore District Hamirpur (HP):

Rogi Kalyan Samiti-CHC Galore District Hamirpur (HP)

WELCOME ALL TO Meeting Of Governing Body for approval of BUDGET 2013-14 (20th.Of March,2013):

WELCOME ALL TO Meeting Of Governing Body for approval of BUDGET 2013-14 (20 th .Of March,2013) Chairman : Sh. Balbir Thakur Chairman RKS CHC Galore cum SDM Nadaun Block Medical Officer : Dr.Anil K.Dhiman Member Secy :Dr.Chandershekhar SMO

AGENDA:

AGENDA Welcome address by the Block Medical Officer. Steps taken to improve the Health Care facilities during 2012-13 by RKS Galore. Review of decisions taken in the last meeting of Governing Body, diversion and appropriation of funds under the different heads & approval thereof. Future Plans 2013-14 Income & Expenditure Statement for year 2012-13. Presentation of Budget for 2013-14. Suggestions by worthy Chairman & members. Approval of Budget for 2013-14 by the House. A word of Blessings by the worthy chairman. Vote of Thanks by the Member Secy. RKS Galore.  

Steps taken by the RKS to improve the Quality of Health care services:

Steps taken by the RKS to improve the Quality of Health care services     Developed the vision of the hospital for over-all satisfaction of patients/general public and for providing quality services. Improvement in the health care delivery services to the clients by continuously improving the system and the process by introducing community participation and motivation of the hospital staff. Free First hand treatment to patients. Patients charter & Responsibilities of Patients displayed. Facilities Available,Time Schedule and approximate waiting time for clients displayed at Entry Point. Regular interaction with staff in various sections , finding Gaps and their remedies in benefit of Institution and Clients at large. Colour Coded OPD slips for General/BPL patients and Senior Citizens introduced.

Steps taken by the RKS to improve the Quality of Health care services:

Steps taken by the RKS to improve the Quality of Health care services 8. 2 working OPD’s ensured daily to reduce waiting time for patients. 9. Oxygen Concentrator installed in wards. 10. Periodical Insecticide spray in and around CHC building. 11. Sewage system and septic tank cleaned and flushed. 12. New chamber for BMO office by way of repairs in old building. 13. Nursing station overhauled b/w the wards and made functional. 14. Doctor Duty Room overhauled & furnished with new furniture and basic utility items . LCD TV, Refrigerator & Microwave oven provided. 15. 18 Unit Inter-Com Facility in all sections of Hospital. 16. New Signage system & New IEC material displayed (Wall writing will be stopped after new painting & Distempering of inside and outside walls).

Steps taken by the RKS to improve the Quality of Health care services-Continued:

Steps taken by the RKS to improve the Quality of Health care services-Continued Parking of Outside Vehicles prohibited and instructions displayed. Parking place for Ambulance (108 –National Ambulance Service) identified to facilitate free and timely movement of Ambulance. Room with all basic amenities provided to Ambulance staff. New heating equipments provided in all sections. New and comfortable chairs for staff and repair of Office tables. Net-working of all computer systems in O/O BMO with Internet connectivity for smooth functioning of office.

Steps taken by the RKS to improve the Quality of Health care services-Continued:

Steps taken by the RKS to improve the Quality of Health care services-Continued 23.Power Back-up (INVERTER 1.4 KVA) installed in BMO Office from Authorised Dealer to ensure smooth functioning of the establishment and another for labour room , wards, Duty Rooms & Corridor. 24.Fire Extinguishers installed (6 in number) at all key points in consultation with Fire Officer. 25.New Medicine Procurement System & Recouping of Funds from Flexi-Pool to RKS . 26.Parking place for Office Vehicle, Hospital Ambulance and Staff vehicles identified and marked. 27.Mobile Phones for Field staff including FHS at CHC and fixed telephone allowance to all Medical Officers at CHC.

Agenda Of Previous Meeting Of GC-RKS-CHC Galore and ATR Till Date:

Agenda Of Previous Meeting Of GC-RKS-CHC Galore and ATR Till Date 1.Repair of roof/ceiling and water drainage 56,200/40,000 2.Repairs of Toilets/doors 0/10,000 3.Alteration of toilet to lab. near Lab section 38,110/35000 4.Replacement of overhead Water Tanks 0/15,000 5. Instrument Trolley/other works in Dental Section 0/8,000 6.Diagnostics 64,134/80,000 7.Printing of Stationary 13,381/12,000 8.Contigency+Hot/Cold weather arrangements 15,460/25,000 9.Sanitation 17,310/7,000 10.OT equipments/Linen 13,950/10,000

Agenda Of Previous Meeting Of GC-RKS-CHC Galore and ATR Till Date:

Agenda Of Previous Meeting Of GC-RKS-CHC Galore and ATR Till Date 11. Contingency Sanitation 0/3,000 12.Minor Repairs /Equipments 38,860/5000 13.Electricity/Water /Telephone Bills 62,198/70,000 14.Recovery Room outside OT 22,500/35,000 15.Purchase of Furniture 65,930/40,000 16.Medicines for BPL Families 52,296/100,000 17.POL for Ambulance 18,000/25,000 18.Repair of Ambulance 0/20,000 19.Painting/ Distempring 11,019/50,000 20.Panting of Furniture 0/10,000

Agenda Of Previous Meeting Of GC-RKS-CHC Galore and ATR Till Date:

Agenda Of Previous Meeting Of GC-RKS-CHC Galore and ATR Till Date 21.Toilet and additions in Doctor Duty Room 1700/30,000 22.Dental X-Ray Plant 0/45,000 23.Computer Systems 74,410/60,000 24.Provision of Inverters 2 No. 44,670/35,000 25.Kitchen in Old Building 0/35,000 26.Repair of Old Building 62,000/25,000 (IL Tiles+ Boundary Wall) 27.Nursing Station 20,000/25,000 TOTAL: 6,92,728 /8,55,000 (-1,62,272) Payments due to be paid in March,2013 =Rs.1,62,272

Re-appropriation of Budget allocations approved in previous meeting of GC-RKS Galore & Approval there-of:

Re-appropriation of Budget allocations approved in previous meeting of GC-RKS Galore & Approval there-of Re-appropriation of budget was required under major or minor head of accounts & APPROVAL to be accorded for an amount of Rs.1,62,272 /-as per details :- Sewage System cleaning and flushing Rs.16,500-10,000=6,500 Addition and alteration of Old Building for BMO Office Rs.35,200+31,260+14,930=81,390 Improvement in Networking and Intercom facility Rs.5000 Annual Audit Fee + IT Case (2010-11) Rs.6,742 OPD Slips Rs.5,320 Medicines + X-Ray Films Rs.23,856+31,000=Rs.54,856 Contingencies Rs.2,464 TOTAL = Rs.1,62,272 ALL THE EXPENDITURES INCURRED BY RKS TOWARDS OUT-STANDING ELECTRICITY/WATER/TELEPHONE BILLS PAYBLE BY CHC WILL STAND WEIVED OFF IN INTEREST OF THE INSTITUTION IF NOT RECOUPED FROM STATE HEAD UNDER O.E. Approval was required…APPROVED By VOICE VOTE.

Future plans: :

Future plans: New phototherapy unit , Radiant Warmer & Nebuliser. Jan Aushidhi Kendra inside the main campus. Sanitation to be out-sourced-Proposal sent to the department. Signage system to be further improved. Flower pots and flower beds in the Campus and around the Community Hall. Lighting pillars preferably Sodium Vapour Lamps or Solar powered lighting in the campus and at the gate. Funds by ZP/BDC Inquiry counter at the Entry. Community Hall to be constructed as an Auditorium with proper sitting arrangements ,PA system ,Audio-Visual facility &Full Sized Dias...Proposal sent to MD NRHM along with budget requirement. A complaint/suggestion register in emergency dept. Quality assurance in lab.

Future plans-Continued:

Future plans-Continued 11. Identity Cards to all Health Care Staff. 12.Community Participation /Donations to RKS to be further encouraged. 13.Provision of AC in Doctor Duty Room. 14.Fitting of toilet sheet in bathroom attached with Doctor Duty Room. 15.Post of Block Accountant NRHM to be created and filled…In process. 16.Working Environment for newly posted HE for smooth flow of IEC activities..(e.g. Separate room with amenities and computer system) 17.Laptop for BMO Office for ready and timely disposal of office works and Dak . 18.Monthly CME for MO,s and Quarterly CME,s for field staff.

Estimated Budget Receipts for F.Y.2013-2014:

Estimated Budget Receipts for F.Y.2013-2014

1. GIA/Cash assistance from the State Govt.:

1. GIA/Cash assistance from the State Govt. Actual Receipts for previous FY Receipts till date Current FY 12-13 Budget Estimates for FY 13-14 1.1 Grant for Capital works 10.00.000 (For Community Hall) 1.2 Grant for repair & maintenance Nil Nil 1.3 Grant for purchase of medicine/provision of diet etc. to BPL Families Nil Nil 1.4 Salary of contractual staff Used to be paid from State Head 708438 + From BMO Nadaun 11,00,000 +(4,20,048) 1.5 Grant through Distt/Block Administration/other Govt. Departments Nil Nil +

2. GIA/Cash assistance from State Health and Family Welfare Society under NRHM/UIP :

2. GIA/Cash assistance from State Health and Family Welfare Society under NRHM/UIP 2.1 Un-tied fund Nil 50000 2.2 Annual maintenance grant 43930 100000 2.3 Others (Seed Money ) 83333 1,00,000 FRUs Nil Nil

3. GIA/Cash Assistance from State Health & Family Welfare Society under other programes (M&E:

3. GIA/Cash Assistance from State Health & Family Welfare Society under other programes (M&E 3 GIA/Cash Assistance from State Health & Family Welfare Society under other programes (M&E ) and requirement already sent to MD NRHM through review meeting held with Add.DHS 3,00,000 (MSY) Nil 1,20,000

4. Grant and Donation from ::

4. Grant and Donation from : 4.1 Red Cross 4.2 Trade 4.3 Industry 4.4 Institutions 4.5 Individuals USG Machine Rs.12,500 (Cash) Nil

5. User Charges ::

5. User Charges : 5.1 Diagnostic Services 2012-13 2013-14 Lab 12,920 15,000 X-Ray 80,320 85,000 Dental 11010 15,000 PFA (FSSAI-2006) Indoor USG 26,600 30,000 ECG 7,250 8,000 5.2 Procedures 5.3 Supply of medicines 5.4 Supply of materials 5.5 Special Wards 5.6 Ambulance Services 4,696 10,000 5.7 Sarai Rent 5.8 Med. Exam. Fee/Misc. 43,320 50,000 5.9 Receipt from Third party agreements 5.10 RSBY Services 55,860 56.500 80,000

6. Rental Income from Property: :

6. Rental Income from Property: 6.1 Shops Nil Nil Nil 6.2 Canteen Nil Nil Nil 6.3 Advertisements Nil Nil Nil

7. Disposal of Assets::

7. Disposal of Assets: 7.1 Auction receipts Nil Nil 1,000

8. Other Receipts::

8. Other Receipts: 8 Other Receipts Bound Money, Refund of Diagnostic Services, Refund of OE. Training Charges Including Interest 1,56,585 1,50,000

G. Total OF RECEIPT:

G. Total OF RECEIPT G.Total 12,34,902 32,14,048

Abstract Receipts:

Abstract Receipts Opening balance as on 31-03 2012 Rs.2,21,007 Plus Income during FY 12-13 Rs.12,34,902 (Including salary) TOTAL Rs.14,55,909 Expenditure wef 1-04-12 to 28-02-13 Rs.8,56,955 Closing Balance on date 28-02-2013 Rs.5,98,954 Minus Salary Rs.5,44,128 Balance as on date 28-02-2013 Rs.54,826 Estimated Income for FY 2013-14 Rs.32,14,048 TOTAL Rs. 32,68,874 Minus Salary for 3-13 Rs.1,24,080 Minus State Head Funding Rs.21,00,000 Pending Payments Rs.1,62,272 Net Balance with RKS Rs.8,27,696 -

Rogi Kalyan Samiti CHC Galore Estimated Budget Expenditure for the F.Y 2013-14 CAPITAL EXPENDITURE:

Rogi Kalyan Samiti CHC Galore Estimated Budget Expenditure for the F.Y 2013-14 CAPITAL EXPENDITURE 1. Construction Works 2. Purchase of machinery & equipments & Instruments . 74,410+5200 1,00,000 3. Purchase of Ambulance /Vehicle 4. Hot & Cold weather arrangements for patients i.e. Cooler/Fans/Refrigerators/Heaters In the OPD & Wards 79,170 15,000 5. Furniture including Indoor/Special Wards –new/repair 79,800 +31,260 35,000 6. Bedding , Clothing & Linen 7. Any other item i.e . Scanner ,LCD Projector, All in one Printer etc . 80,000 Total: 2,30,000

REVENUE EXPENDITURE 1. Direction & Administration:

REVENUE EXPENDITURE 1. Direction & Administration 1.1 Salary 15,00,000 1.2 Wages 1.3 Honorarium 1.4 T.E. 1.5 Office Expenses ( + Telephone Bills) 22,198+40,000 100,000 1.6 Motor Vehicle(POL & Maintenance) 1.7 Meeting of GC/EC 960 5000 1.8 Hospitality & Entertainment 1700 3000 1.9 Rent, Rate & Taxes 1.10 Advertisements Publicity 1.11 Annual Audit Fee 6000 7000 1.12 Publication of Annual report 1.13 Legal Services 1.14 EPF Contribution 1.15 Health Insurance for Staff 1.16 Hiring of Services from Private Sector/special clinic for women. 1.17 Workshops & Trainings (CME’s) 5000 1.18 OPD 5000 1.19 IPD 5000 1.20 Diagnostic Services 64,134 1,00,000 1.21 Other Expenditure(Misc + Elec.& WS Bills) 13,381 65,000

2. Equipment & Machinery + Material & Supplies :

2. Equipment & Machinery + Material & Supplies 2.1 Repair & Maintenance of equipments & machinery 9,060 15,000 2.2 AMC/CMC 15,000 2.3 Consumables for APL families 5,000 2.4 Consumable for BPL families 52,296 100,000 2.5 Medicines for BPL families 2.6 Medicines for APL families/ Essential medicines 2.7 Patient dietary charges

3. Ambulance Services:

3. Ambulance Services 3.1 POL 18,000 20,000 3.2 Maintenance 15000 3.3 Ambulance Driver 3.4 Insurance 3.5 Passing Fee 500 3.6 Any other item

4. Special Ward:

4. Special Ward 4.1 Washing/Maintenance 4.2 Electricity Charges 4.3 Water Charges 4.4 Sanitation

5. Repair & Maintenance of Hospital & attached buildings:

5. Repair & Maintenance of Hospital & attached buildings 5.1 Repair, Maintenance & Up keep ( Repair of Residences + Railing along Boundary Wall 2,20,229 +35,200 +14,930= 2,70,359 1,00,000

6. Hospital Sanitation:

6. Hospital Sanitation 6.1 Wages/Contract Charges 6.2 Consumables 7,310 +17,000 10,000

7. Hospital Waste Management :

7. Hospital Waste Management 7.1 Collection & Segregation charges 7.2 Disinfection /Sterilization /Shredding 10,000 7.3 Disposal charges/poly bags/bins etc Nil 7.4 License/Inspection Fee 3000

ABSTRACT OF EXPENDITURE :

ABSTRACT OF EXPENDITURE Balance as on date 28-02-2013 Rs.54,826 Estimated Income for FY 2013-14 Rs.32,14,048 TOTAL Rs. 32,68,874 Minus Salary for 3-13 Rs.1,24,080 Minus State Head Funding Rs.21,00,000 Pending Payments Rs.1,62,272 Net Balance with RKS Rs.8,27,696 Proposed Expenditure to be approved by GC-RKS Galore- Rs. 8,18,500

Suggestions &Word of Advice by Worthy Chairman followed by Approval of Budget for the F.Y.2013-2014:

Suggestions &Word of Advice by Worthy Chairman followed by Approval of Budget for the F.Y.2013-2014 Worthy Chairman RKS-CHC Galore cum SDM Nadaun was kind enough to approve the re-appropriations required in expenditure of RKS for FY 2012-13.He endorsed the works undertaken by EC-RKS in benefit of institution and the patients and congratulated the Chairman & members of EC for the same. He stressed the need to improve the sanitation in hospital premises. He also stressed for continued improvements in functioning of institution by active and purpose full participation of all the members of RKS and management & staff of CHC Galore. The budget proposals amounting to Rs.8,18,500/- for the FY 2013-14 were endorsed by all the members of GC RKS and worthy Chairman accorded his approval for the same. The meeting ended with vote of thanks by BMO Galore and the next meeting of GC (Half Yearly meeting) was scheduled in September.2013

Vote of Thanks by Member Secy.RKS Galore:

Vote of Thanks by Member Secy.RKS Galore

We will meet again for Next Meeting of G.C-RKS-CHC Galore in September,2014:

We will meet again for Next Meeting of G.C-RKS-CHC Galore in September,2014