Admn takes over beds allotment at DCHs sets up CCR for joint fight in COVID-19 Staff Reporter : After prodding from HC Collectorate and NMC join hands and nominates teams for monitoring supply and usage of drugs and oxygen Two mobile numbers (77700011537/ 7770011472) of CCR for beds availability Aiming to plug the gaps and streamline the measures to overcome challenge posed by surge in COVID-19 patients administration has set-up a Central Control Room (CCR) and banned direct admission of patients in Dedicated Covid Hospital (DCHs). At prodding of Nagpur Bench of Bombay High Court Nagpur Municipal Corporation (NMC) and District Collectorate unveiled the new procedure to ensure that people do not suffer. Coming together the Revenue and civic administration has merged their resources and machinery to better the response to alleviate the suffering of populace. The order about taking over beds allotment by administration DCHs comes into effect from May 5 onwards while other control measures are with immediate effect. The implication of ban on direct admission is that DCHs now cannot hide vacant beds position as new patient can be admitted only after clearance from CCR states the order issued jointly by District Collector Ravindra Thakare and Municipal Commissioner Radhakrishnan B. The two said that as per directives of High Court now centralised admission of patients in DCHs is put in place. Unless authorised by CCR private hospitals on their own cannot admit patients and this is largely going to cut down the manipulation and rule out fleecing of patients and their relatives. Additional Municipal Commissioner Jalaj Sharma and Additional Collector Shirish Pande are nominated as in-charge for overseeing smooth functioning of CCR. The CCR in turn would be managed by host of Revenue and civic officials who are assigned duties in three shifts. Since the ratio of 80 per cent and 20 per cent beds this indicates applicability of charges at Government directed rates and market rates respectively at DCHs was being flouted the new order that kicks in with immediate effect would go long way in addressing complaints about over charging and fleecing of relatives of COVID-19 patients in private hospitals. Even Covid Care Centres (CCC) that are set-up and coming up in various parts of city and especially hospitals are now put under command and control of CCR by the administration. As per the order the persons manning the CCR would first ascertain the severity of the patient and then only direct the relative to nearest hospital or where the availability of bed is reflected on dash board. Two dedicated mobile nos. (77700011537/7770011472) are mentioned where the details of RT-PCR report and its score HR-CT scan score and report are to be shared. After analysing the reports the caller would be suggested either to go for home isolation referred to CCC or to DCH and within half an hour a bed if required would be booked through software module and informed to patient or to relative. The citizen would get a OTP/code on their mobile number and same would be valid for two hours and CCR would also intimate the hospital about booking of bed and details of patients. In case the patients fails to report within two hours period then it would be deserved and go to next person in waiting and a real time data would be maintained. Doctors or hospital cannot deny admission or treatment to patients referred by DCH on ground of severity or non availability of beds. Treatment should be started immediately and patient should be stabilised and in the meantime CCR might look for vacant ICU bed. Drugs: Similarly team of officials have been formed to ensure equitable distribution of essential drugs like Remdesivir Tocilizumab etc. needed for treatment of COVID-19 patients. For its B-1 team is entrusted to Nishikant Sukey Additional Collector; and Shekhar Ghadge SDO Nagpur respectively. Thereafter team B-2 comprising Revenue Officials of middle rung are entrusted responsibility of monitoring usage and keep tab on supply of essential drugs. Team B-3 is given task of cross verification of usage of essential drugs at the DCHs. Auditors Scope Extended: Municipal Commissioner through an order has extended the scope of Auditors appointed at respective DCHs to keep tab on usage of Remdesivir. A tight control is sought to be imposed on hospitals to prevent misuse as a large number of this essential drug is getting out of hospitals and being sold for inflated prices. Case sheet and empty vials of Remdesivir are to be preserved for 15-days so that a cross check can be done if needed. Oxygen: Also to streamline the supply or oxygen and availability of jumbo cylinders similar three teams are formed. One team is assigned task of keeping tab on jumbo cylinders another team would look into grievance of DCHs about oxygen supply other would ensure proper supply. Direct admission of serious patient However a provision is made to ensure that in case a serious patient arrives then they will not be denied treatment. DCHs can start immediate treatment in case they feel the patient needs to be admitted without waste of time and the CCR be notified within one hour about the said development. In case any manipulation is noticed then the said Doctors and hospital may face criminal liability. Also in case any patient in case needs advance treatment and needs to be shifted to other hospital then same can be done but CCR should be notified about the same.

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