Agreementr c Hosp Hyd June-2014

8/10/2019 Agreementr c Hosp Hyd June-2014

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AGREEMENT WITH M/S DISTRICT RED CRESCENT GENERAL HOSPITAL

AND RED CRESCENT INSTITUTE OF CARDIOLOGY HYDERABAD FOR THE

PROVISION OF MEDICAL FACILITIES (HOSPITALIZATION AND

OUTDOOR TREATMENT) FOR THE EMPLOYEES OF PTCL, RGM

HYDERABAD DURING THE YEAR 2014.2015

This agreement (hereinafter the Agreement is executed in Hyderabad on this day

___ of ___________2014 (hereinafter the effective date ______________)

BY AND BETWEEN

Pakistan Telecommunication Company Limited, represented by RGM Hyderabad,

CTO Compound Fatima Jinnah Road Hyderabad (hereinafter referred to as PTCL

which expression shall include the representatives and authorized officers of PTCL)

on the one Part:

AND

District Red Crescent General and Red crescent Institute of Cardiology

Hyderabad, represented by Dr. Muhammad Farooque Memon (Chairman)

(hereinafter referred to as the HOSPITAL which expression shall include its

owners, managements, representatives, successors etc.) on the other part.

PTCL and the Hospital shall, hereinafter, collectively be referred to as the Parties

and individually be referred to as the Party.

WHEREAS PTCL intended to seek and the Hospital agreed to provide

Indoor/outdoor Medical Treatment(s)/facilities to the employees of PTCL and their

dependents.

NOW THEREFORE, the Parties agree to abide by the terms and conditions

hereunder:

1. DEFINITIONS AND INTERPRETATIONS

i. PTCL Representative means a person or persons designated by the

Regional General Manager Hyderabad, PTCL to act on behalf of PTCL in

all matter arising out of this agreement.

ii.

Contractmeans this agreement between PTCL and the Hospital for theprovision of Indoor/Outdoor medical facilities to the patients.


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iii. Employees of PTCL ,means only those employees of PTCL who are

either presently working in PTCL, RGM Hyderabad and its attached

offices or retired from PTCL entitled to avail the medical facility as per

PTCL policy.

iv. Patients means the employees of PTCL and/or their dependents who

are permitted by PTCL and have proper Medical Entitlements cards for

free Medical Treatment.

v. Hospitalization means admission of a patient in the Hospital for in-

door medical Treatments in all respects by the Hospital according to their

entitlement for accommodation, as per this contract.

vi. Medical Treatment or Treatment means the provision of all sorts of

indoor/outdoor medical facilities provided by the Hospital to the Patients

who are genuinely in need of medical care. This, therefore, does not

include any treatment for cosmetic reasons. The types of medical services

covered under this agreement are attached as Appendix-A (Rate List)

which will be updated from time to time.

vii. Medical officer means the representative of PTCL RGM Hyderabad

who is authorized to refer Patients for Medical Treatment.

viii.

Approved Rates means the rates approved by the PTCL and duly

accepted by the Hospital providing the Medical Treatment in all respect to

the employees of PTCL.

2. TERMS AND ENTITLEMENTS

i. Hospitalization will be allowed according to entitlement and the

accommodation for indoor Treatment shall be provided to the patients as

per the under mentioned categories.

BPS-01 to BPS-16 General Ward

BPS-17 to BPS-19 Separate/Private Room

BPS-20 and above VIP room

ii. The Employee of PTCL will be given such preferential Treatment by

the Hospital as in appropriate keeping in view the payment which is

being made for the services rendered to them.


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iii. A reference letter will be issued by the Medical officer of PTCL

Dispensaries/Senior Manager (Medical Services), with their

signature/Stamps thereon, to the Hospital for providing necessary

medical facilities and Treatment to the employees of PTCL, in RGM

Hyderabad.

iv. Cutting/overwriting on the reference letter shall be signed and

stamped by the issuing authority/Medical Officer concerned.

v The patient will report to the Hospital along with the reference letter

and medical card for outdoor/indoor Treatment which

includesconsultation/opinion/tests/Hospitalization/medication/surge

ry etc.

vi. As the officers in BPS-20 are entitled to approach consultants directly,reference letter should not be insisted in their case. However, Photocopy of their CNIC may be retained and enclosed along with the bill.

vii. In case of emergency, the patient shall be admitted to the Hospital,upon the production of the medical card along with the departmentalcard issued by Regional General Manager, and also copy of the NICsubject to the condition that the said employee will get the formalitiescompleted in all respects and will obtain the reference letter from theMedical Officer of PTCL and submit the same to the Hospital on thenext working day.

viii. The Treatment will be provided by the Hospital on credit basis andbills of charges will be sent to Regional General Manager Hyderabad inmanner given below in Clause-4.

ix The Medical Officer and/or the Senior Medical Officer may at any timemake surprise visits to the Hospital to ensure that the facilities arebeing provided to the patients. The Medical Officer and/other SeniorManager may request for the list of all admitted patients who have

been referred. The Hospital shall ensure that the list is provided as andwhen required by Medical Officer and/or the Senior Medical Officer.

x Date of discharge will be counted in the number of billing dates,irrespective of the time of discharge. If admission is before 12 noon,whole day will be counted otherwise no charges will be paid for thatday.

xi Prolong and unnecessary stay of the Patient in the Hospital shall be

avoided as far as possible. In case where it is felt necessary that thepatient requires Treatment for more than Three (03) days or Seven


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Days the Hospital shall inform Senior Medical Officer and SeniorManager Medical Services Karachi respectively along with summaryof the case with such recommendation/option prior of completion of03/07 days stay. No payment shall be made for prolong stay withoutapproval of PTCL SMO Hyderabad/SM (M/S) Karachi.

xii PTCL Employees are not entitled to purchase medicines directly fromthe chemists/druggists, otherwise they cannot claim reimbursement.Therefore medicines prescribed by the Medical Officer/Consultant ofthe Hospital shall be provided by the Hospital and the charges of thesame will be billed to R.G.M Hyderabad. The Medicines at the time ofdischarge /OPD Medicines are not allowed.

xiii Potency of medicines with its make, doses and quantity in figures andwords shall be mentioned while prescribing the medicines andpreparing the bills.

xiv Medicines, disposable etc. shall be supplied to indoor Patients throughthe supplier of the Hospital at the existing rate.

xv Special nursing care, gold/silver filling, dentures, plastic surgery forcosmetic reasons, contact lenses and spectacles shall not be included inthe Treatment. The payments of such Treatments will not be effected, ifit is included in the bill.

xvi In case a patient desires to get admitted above his entitlement, thedifferences of charges of class of accommodation of entitlement and theclass availed, shall be paid by the employee himself. PTCL will notmake any payment to the Hospital if any accommodation is providedto a Patient beyond the entitlement of the employee.

xvii. All tests recommended by the Medical Officer or consultant on thepanel of the Hospital shall be arranged by the Hospital and charges ofthe same will be billed to RGM Hyderabad. However prior approval ofthe General Manager Hyderabad / Senior Manager ( Medical) ServicesKarachi will be required if following tests/ investigation/proceduresare recommended by the Medical Officer or consultant of the Hospital

for indoor/outdoor Patients.

a.

CT Scanb. MRIc. Angiography/Angioplasty/CABG.d. Thalium Scane. Neuro surgeryf. Burns/Plastic Surgeryg. Fibro-optic bronchoscope.h. Bone scan / Dexa Scan

i.

Haemo Dialysisj. Chemotherapyk. Laparoscopy / Arthoscopy


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l.

ERCP / MRCPm.

Treatment of Hepatitis C.n. Orthopedic implant---plates, screws, Austin Moore hip prosthesis

etc.

xviii. OPD investigation without refer letter is not allowed.

xix. In case, some special investigation / medicine / Treatment is requiredfrom some other institution / hospital by the Hospital, prior approvalof PTCL Medical Officer / Senior Manager (Medical), Karachi will berequired to be obtained, except in emergency, and that expenses will beincluded in the bill to be submitted to RGM, Hyderabad.

xx. The Hospital shall submit the latest list of consultants attached to theHospitals along with their working hours, and any change in thisregard will have to be notified immediately to the Regional General

Manager Hyderabad and concerned Medical Officer.

xxi. Copies of all investigation reports and X-rays are to be handed over tothe Patient, at the time of his discharge. However reports of expiredPatients may be retained by the Hospital.

xxii. PTCL agrees to honor the policies, rules and procedures establishedfrom time to time by the Hospital.

xxiii. The type of medical services which the Hospital will provide relatingto in-door / out-door patients of PTCL are attached as Appendix-A

(Rate List)which will be up-dated time to time.

3. MODE OF PAYMENT

i. Monthly payment will be effected to the Hospital by RGM Hyderabadaccording to the approved rates of all medical services to be providedby the Hospital as mentioned in Appendix-A

ii. The Hospital will submit the bills latest by the 5thof each month of allthose Patients who have been treated by the Hospital in the previousmonth.

iii. The payments will be made within 30 days from the receipt of the billsfrom the Hospital subject to the condition that there is no abnormality/ ambiguity in the bills and these are according to the conditions aslaid down in the agreement.

iv. All medical bills will be submitted to the RGM Hyderabad, induplicate along with the reference letter of the Medical Officer,discharge slip of the Patients, photocopy of the medical entitlementcard of Patient in the manner given below:

(A)FOR IPD BILLING.


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a. Each Medical Bill will be submitted with a copy of discharge summaryduly signed by the Employee / Patient. Hospital stay, specialTreatment procedures like dressing, operation, oxygen, ICU, CCU,NCU, PICU etc. shall be mentioned on the discharge card.

b. All bills will be submitted to PTCL with photo-copy of the medicalentitlement card.

c. All the Laboratory investigations will be signed by the pathologist andwill be supported by requisite slips.

d. All X-rays bills will be signed by the radiologist / sinologist, as the case

may be.

e. Date wise record of medicines supplied to the patient during his stayby pharmacist.

f.

Number of visits consultant will be the same as number of days ofHospital stay.

(B)FOR O.P.D BILLING.

a. (1). All referral letters for OPD should be signed by the Patient and

copy of medical entitlement card should be attached in every case.

b. (2). Laboratory investigations / procedures up to a limit of Rs.1000/= are allowed under the referral slip by PTCL Medical Officer.However for investigation / procedures costing up to a limit of Rs.2000/= will require approval by Senior Medical Officer andinvestigations / procedures costing more than Rs. 2000/= willrequire approval by Senior Manager (Medical Services).

v. If the overdue amount continues to remain unpaid, the Hospital reserves

the right to cancel credit arrangements as covered in this Agreement bygiving four weeks noticeto the Regional General Manager, Hyderabad inwriting.

4. ESCALATION

i. No escalation in rates whatsoever on any account shall be payable to thehospital for any medical service mentioned the approved rate list(Appendix A). All rates shall remain fixed.

ii. The rates of medical facilities at the Hospital may be revised by mutual

consent. However, till that revision is effected, the current rates shallremain applicable and new rate will take effect only when approved byPTCL and duly communicated to the Hospital.


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iii. For addition rate/rates in relation to any new medical facility / facilitiesto be provided to the Patients Treatment, prior written approval of RGMHyderabad is essential.

5. GOVERNING LAW

This Agreement shall be governed by and construed in accordance with thelaws of Pakistan.

6. DISPUTE RESOLUTION

i. Any dispute(s) relating to the interpretation / clarification of anyclause of this agreement shall be referred to Regional General ManagerHyderabad, whose decision will be final and binding upon bothParties. Failure to make such a reference with two (02) months form theoccurrence of dispute shall be deemed to be a waiver of all claims in

respect of such questions and disputes by concerned party.

ii. Any dispute relating to the Agreement or its subject matter includingdisputes as to performance, breach, payment or termination whichcannot be settled by negotiation between the parties, shall be submittedto binding arbitration in accordance with the Pakistan Arbitration Act1940 (as amended). The Parties shall within thirty (30) days of theArbitration notice agree upon and nominate a sole Arbitrator shall takeplace in Islamabad. The cost of the Arbitrator shall be borne equally bythe parties.

7. AMENDMENTS

Amendments if any in this Agreement shall be made in writing andsigned by both parties hereto.

8. SEVERABILITY

If any clause of this contract is found to be or rendered invalid, illegalor unenforceable, such invalidity, illegality or un-enforceability shallnot affect the validity, legality or enforceability of any otherprovision/clause of the contract, and such clause shall be severed from

Agreement as if it was never a part thereof.

9. WAIVER

The waiver of any breach or failure to enforce any term or condition ofthis Agreement shall not be construed as a waiver or a waiver of anyother breach of the same or any other term or condition of thisAgreement. No waiver shall be valid unless it is in writing and signedon behalf of the party making the waiver.

10. NOTICES

i. Any notice, request or consent required or permitted to be given ormade pursuant to this Agreement shall be in writing and shall be


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deemed to have been given or made when delivered in person to anyauthorized representative of the Party to whom the communication isaddressed, or when sent by registered mail, telex, telegram or facsimileto such party at the following address:

For PTCL:

Mr. Javed Ahmed Shaikh(Regional General Manager)

Address: Regional Office CTO Compound near Gul CenterHyderabad.

For the Hospital:

Dr. Muhammad Farooque Memon(Chairman)

Address: Red Crescent General Hospital Unit# 06 Latifabad,Hyderabad. And Red Crescent institute of cardiology Unit# 02,Latifabad. Hyderabad.

ii. All Notices shall be in writing and will be deemed to be effective asfollows: In case of personal delivery or registered mail on seventh dayof receipt by addresses and in case of facsimiles, 72 (seventy two) hoursfollowed by registered confirmation with due regard to weekends andnational holidays.

iii. A Party may change its address or fax number for notice under thisAgreement by giving the other Party written notice pursuant to thisclause.

11. INDEMINIFICATION

Hospital shall indemnify and save harmless PTCL from and against all lossesad all claims, demands, payments, suits, actions, recoveries, and judgment ofevery nature and description made and related cost and expenses brought or

recovered against PTCL related to the services provided by the Hospitalunder this Agreement, by reasons of any act, omission to act or status ofliability of Hospital or its agents or employees.

12. DURATION AND TERMINATION OF THE AGREEMENT

i. This agreement shall come into force from Effective Date and shallremain valid for a period of ONE year (Validity Period), unlessterminated earlier, after which it may be renewed for any otherspecified period or periods as to be decided by the Parties.

ii. Notwithstanding any other provision in this Agreement, upontermination of contract, the Hospital shall continue to provide the


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Medical Treatment on the same terms and conditions as specified inthis Agreement till the selection of a new Hospital by PTCL.

iii. This agreement may be terminated any time by either Party by servinga written notice of not less than one (01) month on the other party.

Notice period will start running from the date of receipt of the noticeby the Party concerned.

IN WITNESS WHEREOF, the Parties hereto have set their respective hands and sealon the _______ day of _______2014

Muhammad Farooque Memon Javed Ahmed ShaikhChairman Regional General Manager

Red Crescent Hospital Hyderabad

1)

Witness 2.Witness

From Hospital Side Senior Manager Medical ServicesName and Designation Business Zone South Karachi

Agreementr c Hosp Hyd June-2014

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