I'm impressed by KCR's recent decision to quadruple the wages of the Accredited Social Health Activist ASHA workers

To tell the truth in the beginning I never really had Great Hopes for the new Telangana chief minister K  Chandrashekar  Rao KCR for short.

But I'm impressed by his recent decision to quadruple the wages of the Accredited Social Health  Activist

Next to the providing clean drinking water providing proper antenatal care will definitely reduce the infant mortality rate I hope the small new state of Telangana will soon overtake the other small world good state of Kerala and its health parameters.

By AuthorTelanganaToday  |   Published: 5th May 2017  11:38 pm Updated: 6th May 2017  8:54 pm

Chief Minister K Chandrashekhar Rao addressing ASHA workers at Pragati Bhavan in Hyderabad on Friday.

Hyderabad: The Accredited Social Health Activists (ASHAs) in the State are on cloud nine with Chief Minister K Chandrashekhar Rao announcing a four-fold increase in their salaries on Friday.

Addressing a large gathering of ASHA workers at Pragati Bhavan, he assured them that their remuneration would be raised to Rs 6,000 per month from the existing Rs 1,000 to Rs 1,500 and it would be enhanced further on a par with Anganwadi workers after making the required budgetary allocation in du

He directed the Health Department to consider the ASHA workers with the required academic qualifications for appointment as Auxiliary Nurse Midwives (ANMs). The department would fill 1,200 ANM vacancies immediately.

ASHAs rendering health services on the field for a salary of Rs 1,000 to Rs 15,000 per month, will get the enhanced salary from this month. The Chief Minister said the hike is part of what he had in consideration for them. By the next budget, ASHA workers salaries will be hiked yet again putting them on a par with Anganwadi workers.

Poor salaries

The ASHA workers should emerge as an effective force for protecting the health of people in the State. The ASHA workers informed the Chief Minister that they were taking part in all the activities linked to the health of the mother and child and they were also assigned other jobs. Despite doing jobs other than those they were officially assigned, they were paid meagre salaries.

The Chief Minister said “ASHA workers are reduced to bonded labourers. This is not correct. They don’t have job chart. They are asked to do each and every job. Though appointed to work for a couple of hours, they are made to work for more time. They are not paid extra allowances for the work they are doing which is outside their brief. Past rulers never bothered about them. Same is the case with Anganwadi workers. We hiked the salaries of Anganwadi workers and did justice to them. We will also increase the salaries of ASHA workers so that they will be able to live with respect and dignity in the society,” he said.

“KCR Kits are given for protection of mother and child. Rs 12,000 financial assistance is given to mothers before and after the delivery so that they need not go for work during the period. ASHA workers should become partners in these programmes. “

Ministers C Laxma Reddy, T Harish Rao, MP K Kavitha, Advisor to State government G Vivekanada, Principal Secretary (Medical and Health) Rajeshwar Tiwari, Commissioner Vakati Karuna were among those present on the occasion.

Bhagiratha Telangana "Clean drinking water is my birthright"

Sometime back I posted on this blog
"Clean drinking water is my birthright"
 I have been  following the Telangana Government  program "Bhagiratha" a plan to bring  piped clean drinking water to every household with enthusiasm.
recently the  CM of Telangana  K.C.R  urged everyone  to keep the promise of  completing this  project on time.

I sincerely hope  this will become  a success.
The first step to better health is .
Clean drinking water
followed by
sanitary disposal of Human waste
complete primary immunization
proper nutrition
physical exercise
cessation/Stopping of Smoking
Stopping Alcohol consumption
proper prenatal care


 A beautiful Sunset

SEXY Murak Raj and his wise sayings

 The latest.

Millions support Ram Rahim. Who's right, complainant or millions?
Millions supported Indira Gandhi but Raj Narayan won the Court case.
That is Democracy and law.  My dear Sexy Murakh!


In the eight months since the election, he has claimed that madrasas teach students terrorism and "love jihad", called Gandhi’s assassin Nathuram Godse a patriot, asked Hindu women to protect their religion by producing at least four children and declared that cow slaughter and conversion to Islam and Christianity would soon be punishable by death.

These statements may be ludicrous, but seem to pale in comparison to some of the charges laid out against him. The man who preaches hate and religious intolerance, wishes death upon people for their choice of meat and sees women as nothing but baby-making machines has, unsurprisingly, a history of rape and murder allegations trailing him.
"Godse was a patriot just like Mahatma Gandhi: Sakshi Maharaj". The Hindu. 11 December 2014. Retrieved 6 October2015.

These statements may be ludicrous, but seem to pale in comparison to some of the charges laid out against him. The man who preaches hate and religious intolerance, wishes death upon people for their choice of meat and sees women as nothing but baby-making machines has, unsurprisingly, a history of rape and murder allegations trailing him.

Tainted past

Swami Sachidanand Hari, better known as Sakshi Maharaj, has a large following in Etah, UP, where he hails from. He also runs a large network of ashrams and schools across the state, and is extremely popular among his disciples.

He began his political career in the 1990s with the Bharatiya Janata Party, was elected to the Lok Sabha twice from Farrukhabad, switched allegiance to the Samajwadi Party, then joined former UP chief minister Kalyan Singh’s Rashtriya Kranti Party and finally moved back to the BJP.

In 2000, a college principal in Etah filed a police complaint accusingMaharaj and two of his nephews of gang-raping her. The woman and her male associate were allegedly assaulted by the godman when they were driving to Agra from Etah.

Maharaj had to spend a month in Tihar jail on rape charges, but was eventually let off.

Ten years ago, however, another rape complaint was filed against him in Farrukhabad, by a disciple of his ashram. “The woman is from Mainpuri and still maintains that Sakshi Maharaj had taken advantage of her and raped her in the ashram,” said Yogendra Singh Yadav, a Farrukhabad-based editor of Hindi publication Yuva Peedhi. “When the case had gone to court, however, the police filed a report saying there was no rape.”

More charges

More sensational headlines were made in 1997 when, as the sitting MP of Farrukhabad, Sakshi Maharaj was named as one of the people complicit in the killing of Brahm Dutt Dwivedi, a senior BJP leader. Maharaj’s name came up in the later stage of the investigation, but he was eventually given a clean chit for the murder.

More recently, in April 2013, Maharaj and his brother were accused of murdering Sujata Verma, a member of the UP state women’s commission. She was shot at close range by someone in the Etah ashram, which she had visited that day.

“Sujata Verma used to claim that Sakshi Maharaj had adopted her as a daughter, and there was a property dispute between them,” said Mohammed Arif Khan, a journalist based in Etah. “Verma had taken hold of a part of his ashram, and about two months later, she was killed.”

Soon after the murder, Maharaj had been on the run. Verma’s son claimed that the godman had threatened his mother in the past. Maharaj later pleaded innocent in court, and was not convicted.

Yadav claims Maharaj also has a history of booth capturing during election time. “During the Lok Sabha election ten years ago, I remember him going around Farrukhabad with a caravan of vehicles and armed guards to capture booths,” he said. “At one point, his weapons were seized and handed over to the police, but he eventually won the seat.”

Scroll made several efforts to phone Maharaj to ask him about these charges but he did not return calls.

We welcome your comments at letters@scroll.in.

Too late “ చాలా ఆలస్యమైంది సమయం చేజారి పోయింది”

మార్టిన్ లూథర్ కింగ్ జూనియర్ కాలజ్ఞాన తత్వము కలిగి  40 సంవత్సరాల క్రితం ఇలా వ్రాసాడు:

మేము తీవ్ర ఆత్రుతతో ఇప్పుడు అనే  సమస్యను ఎదుర్కుంటున్నాం

మానవ పురోగతి ఆటోమేటిక్ లేదా అనివార్యం కాదు

...జీవితం మరియు చరిత్రలో ఈ ఆగోగమ్య  సమస్య

ఆలస్యమైంది  సమయం చేజారి  పోయింది అనేది ఒకటుంది

సమయాన్ని ఆపండి కొంచంసేపైనా  అని మనమెంత అరచినా,  సమయం  చెవిటిది

ఎవరి ఆక్రందన  వినకుండా నిర్విరామంగా సాగిపోతూనే ఉంటుంది.  

ఎండి  తెల్లబడ్డ ఎముకలు మరియు నాగరికతలలో కలగలిసిపోయిన అవశేషాలు

అనేకం మీద “ చాలా ఆలస్యమైంది సమయం చేజారి పోయింది” అనే :విషాదకరమైన పదాలు రాస్తారు

As Martin Luther King Jr. presciently wrote over 40 years ago:

We are confronted with the fierce urgency of now. Human progress is

neither automatic nor inevitable… In this unfolding conundrum of life

and history there is such a thing as being too late… We may cry out

desperately for time to pause in her passage, but time is deaf to every

plea and rushes on. Over the bleached bones and jumbled residues of

numerous civilizations are written the pathetic words: Too late

मार्टिन लूथर किंग जूनियर की भविष्यवाणी प्रवृत्ति 40 साल पहले लिखा था:

अब हम चरम तात्कालिकता की समस्या सामना कर रहे है

मानव प्रगति न तो स्वचालित है और न ही अपरिहार्यजीवनकी  नहीं है

... जीवन औरके इतिहास एक  मँडरानेवाली समस्या इस

बार देरी होगयी  है , लिए है

समय! थोड़ी देररुको करके हम केतना बी  चिल्लाना उस समय  बहरारोकने

जब कोई सख्त sagipa ululant सराहनीय है।  

हड्डियों और संयुक्त प्रबंध निदेशक tellabaddaसभ्यताओं के अवशेष

परमें से कई "cejari समय बहुतदेर हो चुकी थी,"है: दयनीय शब्द लिखे गए हैं

के रूप में मार्टिन लूथर किंग जूनियर presciently 40 साल पहले लिखा था:

हम अब की भयंकर तात्कालिकता के साथ सामना कर रहे हैं। मानव प्रगतिहै

... न तो स्वचालित है और न ही अपरिहार्यजीवनकी इस खुलासा पहेली में

और इतिहास बहुत देर हो चुकी होने के रूप में ऐसी कोई बात नहीं है... हमचिल्ला सकता

उसे मार्ग में रोकने के लिए समय के लिए सख्तहै,लेकिन समय हरको बहरा है

दलीलऔर पर जाती है। प्रक्षालित हड्डियों औरमेंसे गड़बड़ अवशेषों से अधिक

कई सभ्यताओं दयनीय शब्द लिखे गए हैं: बहुत देर हो गई

based on

from poverty to power

Malpractice

This echoes what a local attorney once told me: “Relax. Most suits are frivolous. They are just a cost of doing business.” I contend that
1) no suit is frivolous if you are the defendant,
2) the societal cost of doing business in this manner, measured in time, money, painful procedures, need-less complications, and excessive radiation of patients, is astronomical.

80 hour week?

In 1984 a young woman died tragically at New York Hospital due to errors
made by overworked, sleep-deprived, and inadequately supervised
medical house staff. The sad case of Libby Zion led to the institution of the
80-hour rule in residency training programs (Lerner 2006). Interns and residents
today are permitted by law to participate in patient care for “only”
80 hours per week, just as commercial pilots are intentionally grounded at
periodic intervals to protect the fl ying public from catastrophic pilot error.
Retirement of the macho 120-hour intern’s work week of my era, and the
utter physical and mental exhaustion that accompanied it, was a major
advance in public health and a blessing for both doctors and patients. I
believe that the 80-hour rule thankfully has broken the tradition in training
programs that fostered a culture of future workaholics. Most patients
today likely would agree that it is better to be seen by a well-rested, welladjusted,
and well-rounded doctor than by one who is married to medicine
without moderation.4

unrealistic public expectation of absolute precision and perfection from health care providers,

Unrealistic public expectation of absolute precision and perfection from health care providers,

We do not expect this even in NASA space missions but this is expected of health care providers
Primary medical care yields no such scar. We trade in an intangible: a relationship between doctor and patient. We educate and advise, comfort and communicate, diagnose and anticipate, while surgeons do.

Why do invasive procedures intuitively carry more weight, and consequently higher remuneration, than do careful consideration, diagnostic acumen, patience, communication, and management of chronic conditions? Surgery has intensity (Bodenheimer 2007, 301). It has drama. As seen on TV, the surgeon brings to the operating table a refined skill set, tire-less effort, stubborn determination—”often wrong, but never in doubt”— and, of course, liability as a cost of doing business. Talk, by comparison, is cheap.

The relatively low reimbursement,
You Get What You Pay For 193
when compared to that of specialists, is further demoralizing,2 leading long-established, productive practitioners of primary care to abandon ship either by “upgrading” to a specialty or by prematurely leaving the practice of medicine altogether (Sox 2006, 57). From a policy perspective, health care strategists pay lip service to primary care, but, in reality, it re-mains the Rodney Dangerfield of medicine: They don’t get no respect.

The extraordinary expectation of superhuman immediacy in the information age, coupled with the demand that such service be provided gratis, may hasten the demise of primary care. Ours is not a business that lends itself well to modern concepts like “outsourcing” and 24/7 free “customer support.”

The practice of primary care medicine is under siege. Its practitioners are beleaguered by ever-increasing patient volume and the relentless demand for physician access. They feel squeezed by decades of steeply rising overhead and stagnant Medicare reimbursement. Young physicians, fresh out of medical school, avoid residency training in primary care as they observe its older practitioners burning out, demoralized, and disillusioned. The final nail in the coffin for primary care is a pay-scale structure that relegates it a distant second choice to specialty care. Geriatricians and primary care providers to the elderly, in particular, are a breed in jeopardy.

The fast-food model of service meets its nemesis when it greets its first customer who is eighty-nine, has a litany of medical com-plaints, lacks adequate social support, and has more than a touch of forgetfulness. Walmart will be quick to tell that customer, “You really need to see a doctor.” Treating a patient for a sore throat is not comprehensive primary care, and medicine, arguably, is not fast food (Schell 2006).


While luxury medicine, delivered by an attentive concierge physician to the well heeled, is hardly egalitarian, it does adhere to the tenets of good primary care: communication, compassion, continuity, and care that is comprehensive and coordinated. This is good doctoring, albeit only for the fortunate few.10 Walmartization of medicine, on the other hand, is insidious. A big-box retail clinic is a corporate liquidator, teasing out profitable health-provider services like treatment of a sore throat or administration of a vac-cine. Such “clinics” strip primary care of its viable component assets and discard those services that are not profitable, such as the care of complex patients with multiple chronic illnesses. Their business plan maximizes re-turn on shareholders’ equity but is highly detrimental to the survival of primary care and to the prospect of any reorganized overall national health care plan. No physician endures the rigors and costs of prolonged medical education with the goal of one day becoming a loss leader.

the demented, slow, hearing impaired, inadequate, lonely, anxious, neurotic or obsessive-compulsive, and the depressed or disconsolate. All require and indeed demand extra time with the doctor. However, the primary care physician, like any other service provider, is the proprietor of a business. Even the most altruistic, compassionate, and understanding doctor has an office to run and bills to pay. Time is money.

However, our rudimentary methodology of measurement, focused strictly on the technical, is not sufficiently sensitive to detect those subtle nuances of sentient and sustained doctoring. How do we pay for that under P4P?


The supply of current and future primary physicians is dwindling. An ill-conceived payment reform, the wrong medicine at the wrong time, will make matters worse, hastening the demise of the practice of primary care. A look at the experience with P4P contracts in Massachusetts is instructive.


As with the little Vietnamese village Ben Tre, in a war long ago, for some reason we felt we had to destroy primary care “in order to save it.”

There is a limit. How much care can a doctor ever hope to pack into an office visit? A primary care physician cannot be all things to all people, day in and day out. How many patients can he stuff into the waiting room, where there already is no space to add any more folding chairs? Insuring 40 million more Americans, while noble, is meaningless if those newly insured will be hanging from the rafters in the waiting room. We need to recruit, even draft, primary care doctors and create proper incentives that will promote the growth of primary care medicine. If primary care truly is the backbone of U.S. health care, then we need to support it. We must put our money where our mouth is.

Finally, we need to appreciate what primary care is not. It is not, and can never be, a surrogate for a warm and caring, functional family. It is not an anchor for modern, mobile family members who are isolated and adrift, emotionally and geographically. Attachment and family connection are essential to human health.

The primary care doctor cannot raise your
Epilogue 217
child, re-establish your ruined relationship with your mother, or cure the loneliness of later life within a dysfunctional family. Like charity, primary care really begins at home.

EHR glossary

Greenway Intergy

Glossary

A — B — C — D — E — F — G — H — I — J — K — L — M — N — O — P — Q — R — S — T — U — V — W — X — Y — Z

A

accept assignment

access level

account

account finance group

account numbering

account payment

account review

account status

account type

ACK

action

active login

activity

actual charge

adjustment

admin charge

administrative charge

administrative charge code

administrative fee

ADT

advanced beneficiary notice

AEV

ailment

ailment reason

alert

alert assignment

allergy

allergy code

allocation

allocation method

alternate codes

alternate diagnosis code

alternate IDs

alternate lookup code

alternate name

alternate name (Patient)

alternate Place of Service (POS) code

alternate procedure code

alternate Type of Service (TOS) code

ANSI (American National Standards Institute)

Application Entity (AE) title

appointment limit

appointment location

appointment rule

appointment search macro

Appointment Scheduler

approved amount

assignment of benefits

audit trail

authorization

auto build General Ledger account

auto GL account number

automated crossover

Automated Eligibility Verification

automatic allocation

automatic number sequences

B

Balance Forward statement

Balance Forward with Payment Summary statement

batch run number

batch run status

batch status

bill

bill method

billing override

blank encounter

bundled charge

C

cancel and reschedule code

capitation

capitation copay plan

capitation copay profile

capitation payments

Care Team

catalog entry

category

Centers for Medicare & Medicaid Services

charge

charge billing status

charge payment status

charge, pending

charge, satisfied

charge posting

chart numbering

Chart View

check levels

claim

claim adjustment reason code

claim batch

claim batch definition

claim field

claim form

claim form definition

claim format

claim format definition

claim format field formats

claim format package

claim, split

claim, undone

cleanup procedure

clinical finding

cloud-based fax system

CMS

CMS 1500

codes

coinsurance

collapse mode

collection account

collection action

collection agent

collection payments

collection priority

COM

comma extension

communication setup

communication software

communications

community health center

company

concurrent anesthesia procedures

condition code

conflict

consent

contractual profile

control ID (HL7 Message)

conversion factor

copay

copay class

copay, visit

copayment

cosignature

covered charges

covered expenses

CPT

credit card credit

credit card forced sale

credit card sale

credited provider

cross-allocation

cross-reference

current journal

current patient

current practice

custom field

custom list

D

daily close

data compression

date of service

deceased date

deductible

default

default account

default formats based on data type

default insurance coverage order

default visit copay

delinquency letter/notice

delinquency notice

demand statement

demographic information

denial

denial code

department

department default method

departmentalize cash

descriptive attribute

DFT

diagnosis

diagnosis code

Diagnosis Code Importer

dictation file

dictation marker

disclosure

document manager

document type

document, label

document, letter

document, merge

downloaded schedules

drug code

Drug Utilization Review (DUR)

due dates filter

E

EDI

Edit Patient

Electronic Data Interchange

Electronic Data Interchange options

Electronic Media Claims (EMC)

eligibility

EMC

emergency contact

encounter

encounter form

Enterprise claim batch

Enterprise insurance payment

equipment

ERA batch

event

event type (HL7)

examples of character value display formats

examples of date display formats

examples of numeric display formats

export

extended information

extended information field

Extended Information page

Extended Information page template

F

family account

feature

Federally Qualified Health Center (FQHC)

fee for service

fee for service plan

fee schedule

field code

field label

file archive directory

finance center

finance group

Financial Summary Report

financial transaction

financial provider

fixed processing charge

fixed processing charge list

forced sale

format

formulary

G

G-code

general ledger

general ledger (GL) account

general ledger (GL) account code

General Ledger (GL) Distribution Report

general ledger (GL) subaccount

grid unit

gross charge

group insurance

guarantor

guarantor charge age

H

HCFA

HCFA 1500

HCPCS

Health Care Financing Administration

HIPAA

hospital file

HL7

HL7 batch

HL7 batch file

HL7 batch record

HL7 broker

HL7 message

HL7 queue

HL7 system

I

ICD diagnosis code

ID code

IDs

identification number

image import text file

image record

import

Import Utility

inbound data

industrial account

information type

inpatient visit

input processor

Input Receiver

institutional payer

insurance billing

insurance billing order

insurance carrier

insurance claim

insurance coverage priority order

Insurance Coverage Priority List

insurance eligibility

insurance payment

insurance plan

insurance plan group

insurance policy

insurance policy member

insurance rejection

integer and decimal syntax

Intergy Error Log

IP address

J

journal

Journal Activity Report

journal post date

K

keyboard shortcut

L

lab favorite order

last visit date

letter/label document

level (advanced GL export)

level input value (advanced GL export)

LOB (line of business)

local user

LOINC

logon code

lookup code

M

managed care

managed care plan

manual requisition

mapping

marketing action

master field

master field tag types

Medcin ID

Medcin knowledge base

Medicaid

Medicaid clinic rate

Medicare

Medigap

Medigap crossover

MedText

member copay

member months

merge document

message type (HL7)

mobile equipment

modality

modality type

modem

modem software

modifier

monitoring

Multi-Patient window

multi-practice configuration

multi-practice user

N

NAK

National Council for Prescription Drug Programs (NCPDP)

net charge

new task alert indicators

next action

No Show

non-contractual profile

non-tracking encounter

noncovered charge

note

note class

note type

notice batch

O

occurrence code

official statement

offline

open item

Open Item Report

Open Item statement

Open Item with Payment Summary statement

Open Item with History statement

Open Item with History and Payment Summary statement

ordered study

organization

outbound data

Output Sender

overpaid charge

overpaid item

overpayment

O/S printer

P

panel

panic result

parameter group

password

Patient Account Maintenance

Patient Appointments

patient-centric window

patient class

patient financial information

patient information

patient numbering

patient reported prescription

patient statement

payer

payer ID

payment

payment allocation

payment approved profile

payment estimation method

payment percent level

payment percent profile

payment profile

payment withholding percentage

pending charge

pending policy

pending study charge

period close

permission override

permissions

person

person role

physical printer

Place of Service (POS) code

plan billing override

plan group

policy member

POMIS

port

position

post date

post method

poverty guideline

practice

practice administrator

Practice Configuration

practice definition

practice-level information

practice user

pre-allocation

pre-claim

pre-collected payments

prescription favorites

preventive procedure

printer class

procedure

Procedure Code Importer

procedure/diagnosis validation

procedure group

procedure macro

procedure override

processing center

productivity

professional payer

profile

progress note

proprietary data format

protected claim format

provider

provider group

provider ID

Q

questionnaire form

quick text

quick text type

R

real time

reason class

reason code

rebill

recall notice

recalls

receipt format

receipt format definition

recoupment

reduction percent

reference date

reference date (Imaging)

referral

referral reason code

referring provider

referring provider group

relative value unit

release of information

relief provider

remote connection

remote facility

remote print server

Remote Monitoring System (RMS)

remote system

report definition file

report output options

required field

requisition

reschedule

resource

resource group

responsible date

responsible party

restrictions

retroactive rate claims

revenue code

role

room

rotation

rotation cycle

routing

rule

rule (advanced GL export)

RVS

RVS method

RVS section

Rx preparation task user

Rx update file

S

satisfied charge

scan request

scan request cover sheet

schedule conflict

schedule template

scheduled study

scheduler process

Secure Sockets Layer (SSL)

security administrator

security group

segment (HL7 message)

segment (advanced GL export)

segment value (advanced GL export)

serial communication port

serialization

service center

service date

set fee

settlement

setup parameter

seventy-two (72) hour insurance billing rule

SIG code

sliding fee schedule

source

source type

span code

specialty

specimen

split claim

SSL daemon

stale data

standing order

statement

statement batch

statement form definition

statement finance charge

statement format

statement generated date

status date

stop loss amount

storage device

study

study macro

sub-batches

subscriber

subsystem

supervisor

system administrator

System Configuration

system-defined lookup type

system-level information

system note

system printer

T

tab order

target field

task

task list

task type

T-code

TCP/IP socket

team

test catalog

test component

text-only favorite

through date

tickler

tickler list

tracking encounter

transcription catalog entry

transcription import text file

transcription request

transcriptionist

treatment plan

Type of Service (TOS) code

U

unallocated payment

unapplied credit

unapplied credit allocations list

undone claim

unit

universal billing

Universal Billing (UB) code

unscheduled patient download list

uploaded

usage type

user account

user connection

user definable code

user-defined lookup type

V

value code

visit

visit (Medicaid or Medicare clinic rate)

visit (sliding fee)

visit copay

visit procedure

vital signs entry

W

withholding

work

work directory

working

wrap rate

write-off

writedown

X

Y

yearly close

Z

Zip Code Importer