1. Grant Number: 2011 THS 349
Hospital Accreditation Project
Government of the People’s Republic of Bangladesh
Directorate General of Health Services (DGHS)

2. Overview
• Develop and implement a hospital accreditation system in
Bangladesh
• “Transforming Health Systems” Initiative in Asia
• Life of Project – January 2012 to December 2013
Government of the People’s Republic of Bangladesh
Directorate General of Health Services (DGHS)

3. Objectives
• Establish a National Accreditation Committee (NAC)
• Develop Hospital Accreditation (HA) standards
• Implementation of HA system in Bangladesh,
• Identifying and training HA surveyors and
• Pilot of HA standards in 2-3 hospitals.
Government of the People’s Republic of Bangladesh
Directorate General of Health Services (DGHS)

4. Achievements
• Project launched with Sr. Secretary of MOH
– March 24, 2012
• Project Task Force formed
• Subcommittees established
– Hospital Standard Subcommittee
– Hospital Accreditation Subcommittee
• Draft standards developed and distributed for review
Government of the People’s Republic of Bangladesh
Directorate General of Health Services (DGHS)

5. Launching program|
Government of the People’s Republic of Bangladesh
Directorate General of Health Services (DGHS)

6. Task force meeting |
Government of the People’s Republic of Bangladesh
Directorate General of Health Services (DGHS)

7. Subcommittee meeting
Government of the People’s Republic of Bangladesh
Directorate General of Health Services (DGHS)

8. Draft standards | 2 sections | 10 chapters
The national hospital standards are first divided into two major sections:
1. Patient-Focused Standards [5 chapters]
2. Hospital-Focused Standards [5 chapters]
The patient-focused standards:
1. Patient Safety Goals [PSG]
2. Total Patient Management [TPM]
3. Critical Care Management [CCM]
4. Total Medication Management [TMM]
5. Patient and Family, Rights and Education [PFRE]
Then Hospital-focused standards:
1. Quality and Risk Management [QRM]
2. Infections Control and Prevention [ICP]
3. Facility Safety and Equipment Management [FSEM]
4. Governance and HR Management [GHM]
5. Information and Communication [IAC]
Government of the People’s Republic of Bangladesh
Directorate General of Health Services (DGHS)

9. Gantt Chart of the project
2012 2013
Tasks/Activities J F M A M J J A S O N D J F M A M J J A S O N D
1) Formation Project Management Task force [PMT]
1a) PMT meeting to oversee the project activities X X X X X X X X
2) Establish a National Accreditation Committee (NAC) X X X X X X X X X X X X X X X X X X X X X X
3) Develop the Accreditation System
Standard development
X X X X X X X X X
Methodology
Process & framework
4) HA Surveyor development
Develop surveyor guide
X X X X X X X X
Selection of surveyors
Surveyors’ training
5) Piloting of the Accreditation System
Selection of hospitals
Baseline assessment
X X X X X X X X X X X X X X X X X
Implement of standards
Accreditation survey
Certification
6) Exit Final reporting
∆ Proposed Timeline | X Adjusted Timeline
Government of the People’s Republic of Bangladesh
Directorate General of Health Services (DGHS)

10. Key Challenges
• Time commitment from subcommittee members
• Lack of awareness among the healthcare policy makers
on deliverables of HA system
• Current fund is not sufficient to implement HA system
RF | 2011 THS 349 ???
Government of the People’s Republic of Bangladesh
Directorate General of Health Services (DGHS)

11. THANK YOU
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