EMRI model - Indiagovernance.gov.in

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Study of Emergency Response Service (EMRI Scheme)arrangements and the need for independent monitoring had been recognized. The crisis ofits promoter only hastened on a process of evaluation that was well underway. Today thereis a situation that without central intervention into the governance of the EMRI, the wholesystem could collapse. Yet such intervention if poorly planned could create more problemsthan it would solve.This evaluation seeks to build on the EMRI model of ERS, not replace it, and much lessabandon it. The average cost of Rs 450 30 per ambulance trip, provided free to everyemergency medical, police or fire needing help anywhere in the country, and that too within20 to 40 minutes, is almost a dream, and it is a dream that is tantalizingly within our reach,not within a lifetime but within a plan period!! Rs 2000 31 crores to reach such a goal is steepbut not impossible. It costs about as much as we spend on pulse polio today. The onlydanger in this stage is the danger of complacency and the abandonment of caution andbasic systems of governance in a fit of populism and competitive promotion of what seems acertain winner. It is in this spirit of such caution mixed with a commitment to achievinguniversal ERS that these recommendations are made.30 This is assumed as ideal, looking at the present Rs. 600 per trip and accounting for some possibilities of costreduction and economies31 This figure takes into account the annual operating cost of around Rs. 15 lakhs per ambulance, for 10,000ambulances nation-wide and also building in some mark-up in light of additional ambulances that may be requiredand other contingenciesNational Health Systems Resource Centre (NHSRC)43
Study of Emergency Response Service (EMRI Scheme)Annex – AEMRI appraisal for the State of Andhra Pradesh: List of Documents1. MOU between Government of Andhra Pradesh and EMRI entered on 21 st July 2007.2. PowerPoint Presentation of Management Analysis report of EMRI in Andhra Pradesh(January 2007).3. PowerPoint Presentation of EMRI services in Andhra Pradesh (20 th February 2009).4. The latest periodic data (April to December 2008) for the period April 2008 to December2008 given to commissioner of family welfare office.5. Balance sheet for the year 2007-08 and Audited report as on 19-06-2008.6. District wise consolidated ambulance performance report for the month of June 2008.7. District wise consolidated ambulance performance report for the month of July 2008.8. District wise consolidated ambulance performance report for the month of August 2008.9. District wise consolidated ambulance performance report for the month of September2008.10. District wise consolidated ambulance performance report for the month of October 2008.11. District wise consolidated ambulance performance report for the month of November2008.12. District wise consolidated ambulance performance report for the month of December2008.13. Statement of claim of quarterly advance of operational Expenditure for July toSeptember of 2008-09 for 150 new ambulances and for October to December of 2008-09 for 652 ambulances.14. Emergency call daily report for 05 September 2008.15. Emergency call daily report for 03 November 2008.16. National Performance Daily report for 02 February 2009.17. National Performance Daily report for 15 February 2009.18. National Performance Daily report for 17 February 2009.19. Snapshot of EMRI operations as on January 2009.20. Ambulance wise report of total distance covered for all districts of Andhra Pradesh forthe month of September 08.21. Ambulance wise report of total distance covered for all districts of Andhra Pradesh forthe month of December 08.22. State wise Head Count of EMRI – as on 28 th February,200923. Minutes of Governing Board meeting of EMRI – 20 th October, 200824. Andhra Pradesh – Availed Dispatches – January 200925. Andhra Pradesh’s Emergency Market size26. EMRI Pre-hospital Care Record (PCR) – 3 samples/copiesNational Health Systems Resource Centre (NHSRC)44
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EMRI model - Indiagovernance.gov.in

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