Thursday, April 09, 2015

Bring pvt hospitals under RTI, says CIC

The Times of India: Ahmedabad: Thursday, 09 April 2015.
End “medical terrorism“ and ensure that the licence to practice medicine does not become a licence to kill and extort. This was the stinging message that the Central Information Commission delivered to lawmakers while disposing the application of a New Delhi-based advocate, Prabhat Kumar, who wanted to know the real cause of his 73-year-old father's death in a private hospital.
In a landmark order, the CIC recommended to the Cen tre, states and Union territo ries to bring private hospitals under the RTI ambit, which it says will force them to provide medical records of patients to their kin daily. The CIC observ ed that this will also prevent the undesirable practice of al tering records after damage has been caused to the patient. “Forcing private hospitals to provide daily medical records will act check on hos pitals from resorting to extortionist and in human business of prescribing unneces sary diagnostics, sur gical operations, cae sareans, angioplasties and several such malpractices amounting to medical terrorism,'' observed M Sridhar Acharyulu, information commissioner, CIC. While disposing the application of a New Delhi-based advocate, Prabhat Kumar, who wanted to know the real cause of his 73-year-old father's death in a private hospital, the CIC has recommended to the Centre, states and Union territories to bring private hospitals under RTI, which it says will force them to provide medical records of patients to their kin daily.
Kumar's father had complained of constipation and loss of appetite. Doctors of a private hospital in Vasant Kunj kept him in ICU for a month and he died in April 2013.
“They should not be allowed to such malpractices with all im punity and get away without any legal consequences as if there is an absolute immunity .The government, Medical Council of India and the health regulatory has to see that licence to practise medicine will not become licence to kill and extort and come to the rescue of helpless patients,'' the order stated.
“Forcing private hospitals to provide daily medical records will also act as a check on some hospitals from resorting to extortionist, inhuman and ruthless business of prescribing unnecessary diagnostic tests, unnecessary surgical operations, caesarean deliveries, unwarranted angioplasties, inserting stents without need, or of substandard nature or putting low-quality stent while collecting price of high-quality stent and several such malpractices amounting to medical terrorism,'' observed M Sridhar Acharyulu, information commissioner, CIC.
The CIC also directed officein-charge of administration of the hospital to furnish certified copies of the entire medical record including a note explaining the cause of the death of Prabhat Kumar's father and certified copies of bills and receipts of payments free of cost.
CIC also issued a show-cause notice to the directorate of health services why maximum penalty cannot be imposed against him for not exercising regulatory power to secure information of medical treatment to appellant within 15 days from the receipt of this order.