NABH Accreditation Assessment

NABH Consultancy Advisory for Hospital Accreditation in India

HealthCare Quality Assurance Advisory (HCQAA) and consultancy service provider, offering NABH accreditation consultancy advisory services in all major city in India. We added expertise in our services for NABH accreditation; provide complete guidance through implementation, documentation as well as training required for quick accreditation. We have expert team having rich experience in the field of NABH accreditation certification consultancy for many hospitals in India. Many leading hospitals have been achieved NABH accreditation

 

• At the end of this topic you will be able to describe the process of NABH assessment

NABH assessment process involves comprehensive review of hospital’s & Healthcare institution compliance with NABH’s standards. Primary principles of NABH Assessment are 

v  The focus of the quality management program.

v  Facilitating understanding of Quality in Healthcare

v  The overall requirements of NABH Quality standard

v  The implementation aspects of patient safety and quality outcomes

v  NABH standards are implemented and institutionalize into hospital functioning

 

NABH    assessment Introduction:-

·       A Hospital seeking NABH accreditation must be prepared for the assessment by the NABH assessment team.

  ·  The assessment is done to check whether the NABH standards are implemented in the organization.

·        The NABH assessment is conducted by a team of NABH empanelled assessors, led by a principal assessor.

·      NABH assessment involves comprehensive review of Hospitals compliance with NABH’S standards this describes the stages involved in the NABH assessment process.

·    The report prepared by the assessment team forms the basis for the accreditation committee.

·   The details of non-conformities are handed over to the Hospital and a detailed assessment report is sent to NABH.

 

•  NABH accreditation your hospital /healthcare organization gets other substantial benefits including.

• Demonstrate your commitment to patient safety accreditations is, considered a one of the key benchmarks for measuring the quality of care and patient safety.

• Crate destination among the competition differentiating your hospital from other healthcare providers can show your dedication to improve patient outcomes and safety.

• Drive continuous improvement and learning accreditation establishes your hospitals commitment to being compliant with standards containing costs, providing a continuous learning opportunity, and practicing for manse improvement.

• Most importantly with accreditation the patients and community whom your hospital severs can be certain they are receiving the best care.

Objectives : - At the end of this topic you will be able to identify and explain the roles and responsibilities of various committees required in the Hospital to obtain NABH accreditation. 

NABH Accreditation committees:-

·        Due to various department and units in the Hospital, formulation policies      and monitoring Hospital wide activities can be critical

     This is where Hospital committees play an important in managing and talking specific

decision in the Hospital.

Introduction: - The various committees prescribed by the NABH include.

·        Quality improvement / core committee.

·        CPR committee ( code blue team)

·        Hospital infection control committee.

·        Pharmacy therapeutic committee.

·        Safety committee.

·        Hospital ethics committee.

·        Anti sexual harassment committee,   etc…

The various committees prescribed by the NABH include :-

·               Management review committee.

·               Disaster management committee.

·               Purchase committee.

·               Grievances redress committee.

·               Medical records committee.

·               Blood transfusion committee.

     Quality improvement /core committee :-

Takes charge of reviewing the company wide quality enhancement program. The committee works as an apex committee for a Hospital formulating for accreditation.

 

 

v    Roles and responsibilities:-

 

·        To insure compliance with the institution mission, vision and values.

·           To ensure necessary resource quailability to implement and  monitor  NABH                         standards.

·          To identify the gaps with respect to NABH standards and take necessary action for compliance with the NABH requirements.

·          To establish policies and procedures related to clinical and non- clinical activities and implement the same.

·          To establish quality improvement program for the institute and prepare the action plan for implementation.

·          To ensure compliance with the laid down and applicable legislation and regulations.

·          To ensure that the patients as well as employees grievances , have been taken care and protect patients as well as employees rights.

v      Roles …….

·       To formulate and emplacement policies and procedures relating to pharmacy services and medication usage.

·       To for mutate and implement the hospital formulary and update the same of regular interval.

·       To oversee effective and efficient operation of the formulary system.

·       To communicate the defined policies and procedures among the doctors                           nurses pharmacist and other staff.

·       To design and implement methods for ensuring the safe  prescribing  distribution administration and monitoring of medications

·       To ensure that the pharmacy services have complied with the applicable laws and regulations

·       To formulate antibiotic policy and implement the same.

·       To evacuate the role of antibiotics used in this institution and to suggest suitable solutions for improving the present status.

·        To document the policies and procedures to guide the usage of narcotic drugs and psychotropic substance in the institution.

·       To define policies and procedures including safe storage.

·       Preparation handling distribution and disposal of radioactive drugs.

·       To participate in quality improvement activities and monitor various quality indicators for further improvement.

·       To report to top management / core committee as and when necessary.

 

                NABH Accreditation procedure:-

                 Conclusion : -

v    The various steps involved in NABH accreditation includes.

 

·               Application for accreditations and self assessment.

·               Acknowledgement and scrutiny of application.

·               Pre- assessment visit by assessment.

·               Final assessment of the Hospital.

v    The various steps involved in NABH accreditation includes.

 

·          Review of assessment report .

·          Recommendation for accreditation.

·          Approval for accreditation.

·          Issue of accreditation certificate.