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PBI Claim Format

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parvezahmad04
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0% found this document useful (0 votes)
71 views1 page

PBI Claim Format

Uploaded by

parvezahmad04
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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Performance Based Incentive- MO Claim Sheet

Sr. Maximum Amount


No
Performance Based incentive Mode of Verification
Sanctioned
Number Achived Claim Amount

Rs20/ case upto a


1 OPDs more than 1500 in a month HMIS maximum limit of 5000

For eUPHC (applied only when minimum 800


HMIS and eUPHC
consultations in a month in HMIS) 80% (or more) of the total OPDs
2 dashboard Rs 3000
(reported in HMIS) reported in eUPHC portal

Consultations in esanjeevni in a month (applied only when minimum Rs 10 per consultation


100 consultations in a month through up
3 eSanjeevani portal
esanjeevni is done) to max 3000

1. At least 500 new target beneficiaries (more than 30


years of age) should be screened for NCD (HT, Diabetes, Breast Rs 5 per beneficiary
Cancer, Oral cancer) up to a max of Rs 2500
4 NCD Portal
2. Treatment compliance of atleast 50% of the patients identified for per month
Hypertension and diabetes in the UPHC area.

1. Screening of at least 5% of OPD patients (Chest


• DMC register /
Symptomatic) should be examined for TB (Sputum examination) RS 750/month
Lab records
5 2. 100% treatment compliance of all TB patients RS 750/month
• Nikshay Portal
registered in UPHC Area as per Nishchay portal.

Organization of UHND-100% of planned UHND. At


6 least 4 UHND should be supervised by MO. Organized/planned Rs 1000 per month

Organization of at least 80% MAS meeting- attending


7 atleast 2 MAS meeting Minutes of meeting Rs 1000 per month

8 Organisation of RKS meeting (all meetings as per norms) Meeting minutes Rs 1000 per month

9 Celebration of atleast 2 health days per month at UPHC Photo on HWC portal Rs 1000 per month

Daily reporting at HWC portal (at least 20 daily report


10 per month) and monthty reporting by 10th of next month HWC Portal Rs 1000 per month

Total

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