NABH CERTIFICATION PROGRAMME

SMALL HOSPITAL & HEALTHCARE ORGANIZATION

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WHAT IS NABH CERTIFICATION PROGRAMME?

The National Accreditation Board for Hospitals & Healthcare Providers (NABH) Standards is today the highest benchmark standard for hospital quality in India and are considered prestigious acknowledgements of the Healthcare Quality as they substantially improve the safety and quality of care and services provided for Large, Medium and Small Healthcare Organizations. It is highly accepted by ISQUa, the International Society for Quality Assurance in Healthcare, as an International Accreditation on par with the world's best.

As numerous hospitals were facing challenges and difficulties in implementing the complete Accreditation Standards, therefore, NABH has developed Entry Level Certification program with simplified objective elements, in consultation with various stake holders in the country, as a stepping stone for enhancing the quality of patient care and safety. It is also the first step towards NABH Accreditation.

OUR CONSULTANCY SERVICES OFFER THE SUPPORT FOR FOLLOWING NABH CERTIFICATION PROGRAMME

BENEFIT OF NABH CERTIFICATION

National Accreditation Board for Hospitals and Healthcare Providers (NABH) has partnered with Insurance Regulatory and Development Authority (IRDA) to carry out entry level certification of hospitals which has been made mandatory for providing cashless insurance facility to the citizens at their premises.

NABH ensures high quality of care and patient safety, the objective of this certification process is to build a quality culture at all level and across all the function of the healthcare organisations

Accreditation is the single most important approach for improving the quality of hospitals. Happier patients & staffs.

Get the Best Rates for CGHS (Central Government Health Scheme) and RSBY(Rashtriya Swasthya Bima Yojana) etc. health plans promoted by State / Central Govt.

Health Tourism is one of the key benefits in getting NABH Standards. Both Foreign and Domestic tourist looking for health services , search for Hospitals and Clinics with Trust values like NABH Accreditation.

NABH helps your hospital in doing corporate tie up.

The hospital infrastructure, facilities and maintenance are certified and reliable to be accessed along with the level of care and safety.

WHO CAN APPLY?

(HCO) – Hospitals with more than 50 sanctioned beds
(SHCO) – Hospitals having up to 50 sanctioned beds
An AYUSH centre (other than an OPD in a Hospital)including Clinic, Polyclinic, CHC, PHC, Dispensary, etc. having facilities for AYUSH therapies (excluding inpatient services) can apply.
AYUSH Hospital :
a) Central or State Government AYUSH (Ayurveda, Yoga & Naturopathy, Unani, Siddha, Sowa Rigpa & Homoeopathy) hospital.
b) NABH accredited AYUSH Hospital.
c) Teaching hospitals attached to AYUSH colleges recognised by the Central Government/ Central Council of Indian Medicine/Central Council for Homoeopathy.
d) Any AYUSH Hospital, standalone or otherwise, established for inpatient care and day care therapeutic procedures/interventions for diseases or disorders with indicated procedures; and which is registered with the local authorities, wherever applicable, and is under the supervision of a registered qualified AYUSH practitioner and complies with all the following criteria:
i) At least 05 in-patient beds;
ii) Has qualified nursing care provider (AYUSH therapist) under its employment round the clock;
iii) Has qualified AYUSH practitioner in-charge round the clock;
iv) Has dedicated AYUSH therapy sections
v) Maintains daily records of the patients and will make these accessible to the insurance company’s authorized representative.
Medical Laboratories that conduct biological, microbiological, immunological, chemical, haematological, pathological, cytological or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention and treatment of disease.
Hospitals having minimum of 25 operational beds, in addition to emergency beds.

HOW QualityKonnect WILL HELP YOU TO GET NABH CERTIFICATION?

Once your Organization determines to go for NABH Certification, QualityKonnect Consultants shall guide you in each and every step of the process, starting from 'CONCEPTION' to "REALIZATION'.

Preparing the Organization for NABH Certification

The Organization should have implemented the NABH Standard before applying to NABH. QualityKonnect Consultants with their expertise shall help your organization to understand the standard and train your staffs and implement at your organization.

Preparing your organization will cover the following activities:

GAP Analysis report of entire Organization as per NABH guidelines and suggest changes in Infrastructure, Personnel or any Regulatory or Statutory compliances if required.

Preparation of various Quality Documents like Quality Manual, Hospital Wide Manual, Departmental SOPs, Files, Formats etc.

Training of staffs on NABH standard.

Formation of Core Quality Team and guide them implementing NABH standard throughout the organization.

Formation of various Committees .

Conducting Internal Audit.

Statutory Compliance Guidelines.

Providing guidelines for various displays.

Implementing policies for capturing Quality Indicators.

Filling Application process in NABH online application portal through HOPE.

QCI has launched a new platform, Healthcare Organizations’ Platform for Entry-Level Certification (HOPE) for the Entry Level Certification program. The complete certification processthat includesregistration, documentation and fee submission will be carried out on HOPE. It is a multifarious platform for certification process of Healthcare organizations which provides complete information about the simplified certification process, requirements and compliances.

Once the hospital is ready for Application, QualityKonnect shall help you to fill the application as per the instructions given in the online application portal. Hospitals should fill the application and provide the information details very carefully as this is relevant to determine the scope of services and to take the process further. This is why you need the expertise, and we have inevitable experiences in this domain for more than a decade.

Implantation of NABH standard

In the mean time, when your application is being scrutinized by the NABH authorities and plan your pre-assessment date, QulaityKonnect Consultants shall be guiding you to implement the NABH standard throughout your organization by conducting Chapter wise training of Staffs, Internal Audit, various Mock drill and other implementation process. Before the pre-assessment, it is important to check the readiness of your organization. Our experts shall conduct the Mock audit just the way it is done by NABH to ensure the preparedness of the organization to face the actual assessment.

Desktop Assessment

Desktop Assessment of HCOs will be done online through web portal and mobile application by DA team. DA team will raise NCs and HCOs/SHCOs will have a specified timeline to close all the non-compliances. The DA team will have to verify all the replies within a specific period of time.

During the Assessment, QualityKonnect shall be giving you entire assessment support from the backend. At the end of the assessment, our expert will guide you to take proper corrective and preventive action against the Assessor's observations.

On Site Assessment

After closing all non-compliance(s) generated at DA stage, HCOs will be moved to next stage of on-site assessment followed by the assessment planning. On-Site Assessment will be done by the assessor. Final quality check of the assessment will be done by the experts and NCs(if any) will be raised for any clarifications or missing pieces. HCOs will be having a defined time to close all the NCs.

During the Final Assessment, QualityKonnect shall extend the entire assessment support from the backend. At the end of the assessment, our expert will guide you to make details assessment report along with proper corrective and preventive action against the Assessor's observations raised during the assessment and will submit to NABH portal within recommended timeline suggested by the assessors.

Once your submitted corrective/ preventive action against the observations raised by the assessor is accepted by the NABH, you will receive the NABH Accreditation certificate with validity of 2 years.