EMRI model - Indiagovernance.gov.in

More documents

Recommendations

Info

Study of Emergency Response Service (EMRI Scheme)Report of the 1 st Phase of the StudySTUDY OF EMERGENCY RESPONSE SERVICE (EMRI MODEL)IN SELECTED STATES IN INDIAI. Emergency Response Service (ERS): An IntroductionEmergency Response Service (ERS) is generally associated with medical services, policeemergency and fire service. This forms the core group of services to be provided. However,many other functions can be combined to form a broader ‘package’ of ERS includingemergencies like mountain rescue, cave rescue, mine rescue etc. Other emergencies likedisaster relief and famine relief form part of the civil emergency services.Historically, Emergency Response Services (ERS) are in practice since 18th century (during theNapoleonic times) when a pre-hospital system was designed to triage and transport the injuredfrom the field to aid stations 1 . An emergency call service was first launched in 1937 in the UKknown as the 999 emergency services. The key lesson, as evident from the experiences of suchERS worldwide and historically, is that these are not short run investments. Even after 70 yearsof operation, 999 required an investment of £10 million (GBP) on infrastructure and training.This provides six kinds of services: police, ambulance, fire, coastguard, cave and mountainrescue 2 . The European counterpart to this service is the 112 number that also runs in the UKtoday along with its 999 phone line. The United States of America (USA) introduced similarservice with the number 911 in 1968. It has been designated as the Universal EmergencyNumber for citizens throughout the US to request for emergency assistance. Today,approximately 96% of continental USA is covered by 911. It is intended as a nationwidetelephone number and gives the public fast and easy access to a Public Safety Answering Point(PSAP). 3In the Indian context, a much discussed and successful PPP model for ERS is the 108Emergency Service being managed and operationalised by EMRI (Emergency Managementand Research Institute) in many states in India like Andhra Pradesh, Gujarat, Uttarakhand, andRajasthan with around 1300 ambulances running (as on December 2008) 4 . EMRI was set up asa registered society with 17 members and most of them were family members of Mr. Ramalinga1 Source: Emergency medical services - Wikipedia, the free encyclopedia retrieved 2008-10-20092 Source: 999 celebrates its 70th birthday retrieved 2008-10-20093 Source: 9-1-1 Origin & History | National Emergency Number Association retrieved 2008-10-294 As of March 2009 the number of ambulances has increased to 1735 (Annexure: A-22)National Health Systems Resource Centre (NHSRC)5
Study of Emergency Response Service (EMRI Scheme)Raju, the then CEO of Satyam Technologies. Initial funds came from the personal funds of ShriRaju with Satyam Technologies providing technical support. With the expansion of fleet andservices set to spread across more states, EMRI projected reaching a goal of 10,000ambulances covering over a billion population by 2010. The EMRI aims to build an ERS whereinthe ambulance reaches the patients/sites within 15-20 minutes and that the patient is shifted tothe nearest hospital within 20 minutes thereafter. EMRI operations in some of the states in Indiaare listed in Table 1 below.State Launching Date StatusTable 1: EMRI in various states of IndiaAndhra Pradesh August 15, 2005 652 ambulances covering the entire state with 100%population coverageGujarat August 29, 2007 402 ambulances throughout the state with 100% populationcoverageUttarakhand May 15, 2008 90 ambulances covering entire state with 100% populationcoverageTamil Nadu September 15, 2008 172 ambulances covering 18 of 32 districts , and 62% of thepopulationRajasthan September 20, 2008 100 ambulances covering all 33 districts but only 21% of thepopulation- largely urbanGoa September 5, 2008 18 ambulances covering 100% of the stateKarnataka November 1, 2008 150 ambulances covering 17 of 29 districts and 72% of thepopulationAssam November 6, 2008 83 ambulances covering 12 of 28 districts and 50% of thepopulationMeghalaya February 2, 2009 15 ambulances covering 2 of 7 districts and 41% of thepopulation.Source: EMRI Documents - Annexure A-16: National Performance Report , dated Feb 17 th 2009,Presently eleven 5 states have already signed the MOU with EMRI for running the ERS in theirstates and there are other states who are considering the same. The value of the MOU alsodiffers between the states, with Rajasthan having an MOU of Rs. 50 crores per year for fiveyears, representing both capex and opex, AP has 114 crores a year representing only opexcosts and Gujarat has 252 crores over 5 years (accounting for both capex and opex) . As perthe projections of EMRI, they are expecting an annual MOU value of around Rs. 1500 croresper year from 2010 onwards.II. Context of the EMRI Appraisal Study5 The EMRI ambulances are operational in 9 states. However, MoU has been signed for 11 states – including Punjaband Madhya Pradesh along with the above mentioned 9 statesNational Health Systems Resource Centre (NHSRC)6
Page 1 and 2: 2009Study of Emergency ResponseServ
Page 3 and 4: Study of Emergency Response Service
Page 5: Study of Emergency Response Service

EMRI model - Indiagovernance.gov.in

Create successful ePaper yourself

Delete template?

Save as template?