The Lagos State Health Management Agency (LASHMA), in its commitment to provide quality healthcare and ensure customer satisfaction by all its Enrollees, has commenced compliance visits to the Healthcare facilities under the Lagos State Health Scheme (LSHS).
The Permanent Secretary, LASHMA, Dr. Emmanuella Zamba, while flagging off the Quarter two facility compliance visit handled by the Regulatory arm of LASHMA, said that the visit would also ensure that Providers fulfil the service level agreement made with LASHMA.
Commending the Healthcare Providers which have been outstanding in their service delivery to ILERA EKO Enrollees, she noted that LASHMA has also received some negative feedback from the Enrollees about the way that they have been treated by Providers. Therefore, the Agency cannot fold its arms and allow its Enrollees to continue to be disenfranchised by the Providers.
Dr. Zamba said, “The Agency is constantly up on a complaint that follows a particular trend before we act”. She added that the negative complaints received from Enrollees included drug unavailability, payment for covered services by the Enrollees, bad attitude and rudeness from some of the Hospital personnel.
The Permanent Secretary said that during the visits, any hospital that has a high number of complaints, will be given a Letter of warning and if such complaints continue without being checked, LASHMA, will not hesitate to sanction the Hospital in accordance with the provisions of the Lagos State Health Scheme (LSHS) Law.
She advised Providers not to hesitate to also report to the Agency any Enrollee who is not of good conduct when visiting the Hospital.
Dr. Zamba urged ILERA EKO Healthcare Providers to ensure that they capture all utilisation by the Enrollees in their respective Hospitals because data collection is key in Health insurance.
The Permanent Secretary said that the State Government would continue to support the Healthcare facilities in terms of training and capacity building to ensure the delivery of quality service to its Enrollees.
She appealed to Healthcare Providers in the State who are not yet empanelled under the Lagos State Health Scheme to do so immediately so that together, the State Government can attain Universal Health Coverage (UHC).
Public and private hospitals visited so far included St. Raphael Hospital, Ikorodu, Ita Elewa Primary Healthcare Centre (PHC), Isolo General Hospital, Shomolu General Hospital, R-Jolad Hospital, Bariga, Epe General Hospital, Epe and Akoka Primary Healthcare Centre, Bee-Hees Hospital, Akowonjo, Orile Agege GH, Ifako Ijaiye GH, Epe GH and Badagry PHC, Siloan Medical Centre, Ejigbo.
