Quality in healthcare refers to adhering to predetermined specifications and standards to meet patient needs. Over time, quality practices evolved from craftsmanship to focusing on processes through thinkers like Shewhart and Deming. Donabedian introduced structure-process-outcome measures for assessing quality. National and international organizations like JCAH, ISO, and NABH were formed to standardize healthcare quality. NABH accreditation involves an application process, onsite assessments, and meeting standards in areas like patient care, management, and information systems to certify high quality care.
The document discusses hospital accreditation in India. It defines hospital accreditation and outlines its key driving factors like consumer protection acts. The benefits of accreditation include ensuring quality care for patients, attracting foreign patients, and quality assurance. The major accrediting bodies in India are the National Accreditation Board for Hospitals (NABH) and the Quality Council of India (QCI). NABH has 10 chapters and 100 standards covering areas like patient care, medication management, and infection control. Benefits of NABH accreditation include improved patient outcomes and satisfaction. The document also summarizes two research studies on the impacts and effectiveness of healthcare accreditation standards.
Pillars of Quality : An Overview of NABH - Dr. A.M Joglekar at Knowledge Seri...Hosmac India Pvt Ltd
This document discusses quality standards in hospitals as defined by the National Accreditation Board for Hospitals and Healthcare Providers (NABH) in India. It provides an overview of the NABH's 3rd edition standards, which include 102 standards across 10 chapters focusing on patient safety and continuous quality improvement. The standards are non-prescriptive and provide guidance. The document also discusses NABH's multi-disciplinary approach, accreditation process, impact of accreditation, and benefits it provides to patients, hospitals, staff, and regulatory bodies by promoting high quality care.
This document discusses quality in healthcare. It defines quality and outlines its importance. Quality demands attention to inputs, processes, and delivery of products and services. It also requires doing things right the first time. The document outlines the evolution of quality standards over time. It also discusses key components of a quality system, including quality policy, teamwork, problem solving tools, standardization, design and implementation of quality systems, quality costs and measurements, process control, customer integration, education and training, and quality audits and reviews.
This document discusses the importance and benefits of hospital accreditation in India. It notes that accreditation will help hospitals comply with quality standards due to the increasing role of health insurance, rise in medical lawsuits, and emphasis on patient rights. The National Accreditation Board for Hospitals and Healthcare Providers (NABH) was established to develop accreditation standards tailored for India. The document outlines the 10 steps for obtaining accreditation and highlights that accreditation leads to high quality patient care, satisfied staff, and objective empanelment with insurance providers.
Hospital Committees are regular standing committees prescribed by regulatory agencies and deemed necessary by hospital administration in formulating policies, coordinating and monitoring hospital-wide activities that are considered critical in the delivery of quality health care services.
These are in contrast to ad hoc committees, department and unit committees.
The document provides information on the Joint Commission International (JCI) accreditation program. It discusses that JCI was started in 1994 based on quality standards developed by the Joint Commission for hospital accreditation in the US. The JCI accreditation process involves hospitals conducting self-assessments and on-site surveys to evaluate compliance with JCI's standards. Over 1000 international organizations across 90 countries have received JCI accreditation. The document outlines the four sections of JCI standards and provides details on the accreditation process and comparison between JCI and India's National Accreditation Board for Hospitals.
The role of the government in strengthening accreditation readySEJOJO PHAAROE
June 9, 2015 marks World Accreditation Day as a global initiative, jointly established by the International Accreditation Forum (IAF) and the International Laboratory Accreditation Cooperation (ILAC), to raise awareness of the importance of accreditation.
This year’s theme focuses on how accreditation can support the delivery of health and social care.
the day was celebrated across the world with the hosting of major national events, seminars, and press and media coverage, to communicate the value of accreditation to Government, Regulators and the leaders of the business community.
What international support for quality improvement is available to Lesotho national health care initiatives?
• To what extent do national governments around the world specify quality improvement in legislation and published policy?
• What are the distinguishing structures and activities of national approaches to quality improvement within countries?
• What resources (in the form of organizations, funding, training and information) are available nationally?
What maintenance or implementation pathways are available , to prove to the world that Lesotho health care services are of excellence???
Quality in healthcare refers to adhering to predetermined specifications and standards to meet patient needs. Over time, quality practices evolved from craftsmanship to focusing on processes through thinkers like Shewhart and Deming. Donabedian introduced structure-process-outcome measures for assessing quality. National and international organizations like JCAH, ISO, and NABH were formed to standardize healthcare quality. NABH accreditation involves an application process, onsite assessments, and meeting standards in areas like patient care, management, and information systems to certify high quality care.
The document discusses hospital accreditation in India. It defines hospital accreditation and outlines its key driving factors like consumer protection acts. The benefits of accreditation include ensuring quality care for patients, attracting foreign patients, and quality assurance. The major accrediting bodies in India are the National Accreditation Board for Hospitals (NABH) and the Quality Council of India (QCI). NABH has 10 chapters and 100 standards covering areas like patient care, medication management, and infection control. Benefits of NABH accreditation include improved patient outcomes and satisfaction. The document also summarizes two research studies on the impacts and effectiveness of healthcare accreditation standards.
Pillars of Quality : An Overview of NABH - Dr. A.M Joglekar at Knowledge Seri...Hosmac India Pvt Ltd
This document discusses quality standards in hospitals as defined by the National Accreditation Board for Hospitals and Healthcare Providers (NABH) in India. It provides an overview of the NABH's 3rd edition standards, which include 102 standards across 10 chapters focusing on patient safety and continuous quality improvement. The standards are non-prescriptive and provide guidance. The document also discusses NABH's multi-disciplinary approach, accreditation process, impact of accreditation, and benefits it provides to patients, hospitals, staff, and regulatory bodies by promoting high quality care.
This document discusses quality in healthcare. It defines quality and outlines its importance. Quality demands attention to inputs, processes, and delivery of products and services. It also requires doing things right the first time. The document outlines the evolution of quality standards over time. It also discusses key components of a quality system, including quality policy, teamwork, problem solving tools, standardization, design and implementation of quality systems, quality costs and measurements, process control, customer integration, education and training, and quality audits and reviews.
This document discusses the importance and benefits of hospital accreditation in India. It notes that accreditation will help hospitals comply with quality standards due to the increasing role of health insurance, rise in medical lawsuits, and emphasis on patient rights. The National Accreditation Board for Hospitals and Healthcare Providers (NABH) was established to develop accreditation standards tailored for India. The document outlines the 10 steps for obtaining accreditation and highlights that accreditation leads to high quality patient care, satisfied staff, and objective empanelment with insurance providers.
Hospital Committees are regular standing committees prescribed by regulatory agencies and deemed necessary by hospital administration in formulating policies, coordinating and monitoring hospital-wide activities that are considered critical in the delivery of quality health care services.
These are in contrast to ad hoc committees, department and unit committees.
The document provides information on the Joint Commission International (JCI) accreditation program. It discusses that JCI was started in 1994 based on quality standards developed by the Joint Commission for hospital accreditation in the US. The JCI accreditation process involves hospitals conducting self-assessments and on-site surveys to evaluate compliance with JCI's standards. Over 1000 international organizations across 90 countries have received JCI accreditation. The document outlines the four sections of JCI standards and provides details on the accreditation process and comparison between JCI and India's National Accreditation Board for Hospitals.
The role of the government in strengthening accreditation readySEJOJO PHAAROE
June 9, 2015 marks World Accreditation Day as a global initiative, jointly established by the International Accreditation Forum (IAF) and the International Laboratory Accreditation Cooperation (ILAC), to raise awareness of the importance of accreditation.
This year’s theme focuses on how accreditation can support the delivery of health and social care.
the day was celebrated across the world with the hosting of major national events, seminars, and press and media coverage, to communicate the value of accreditation to Government, Regulators and the leaders of the business community.
What international support for quality improvement is available to Lesotho national health care initiatives?
• To what extent do national governments around the world specify quality improvement in legislation and published policy?
• What are the distinguishing structures and activities of national approaches to quality improvement within countries?
• What resources (in the form of organizations, funding, training and information) are available nationally?
What maintenance or implementation pathways are available , to prove to the world that Lesotho health care services are of excellence???
Hospital accreditation is a voluntary process that focuses on continuous quality improvement. It provides public commitment to patient safety and quality care. Accreditation standards aim to improve performance over minimum standards. In India, the National Accreditation Board for Hospitals and Healthcare Providers sets accreditation standards and has accredited several major hospitals. Accreditation benefits include improved public trust, safety culture, and systematic quality improvement processes.
The document provides information about NABH (National Accreditation Board for Hospitals and Healthcare Providers) accreditation and certification processes. It discusses that NABH was established in 2006 by the Quality Council of India to set standards for healthcare organizations and improve quality of care in India. It operates various accreditation and certification programs for different types of healthcare facilities. The document outlines the benefits of NABH accreditation for patients, healthcare staff, organizations, and regulatory bodies. It also describes the differences between NABH accreditation and entry-level certification, which provides a stepping stone for organizations to enhance quality and work towards full accreditation. Key patient-centered and organization-centered quality standards developed
This document provides an overview of medical audit, including:
- Definitions of medical audit as the retrospective evaluation and analysis of medical records to monitor clinical performance.
- The history of medical audit from ancient codes to its modern establishment in India in 2007 through the National Accreditation Board for Hospitals.
- The purposes of medical audit which include planning improvements, ensuring regulatory standards, and assessing health program effectiveness.
Hospital committees are groups appointed to perform specific functions related to delivering quality healthcare. The document outlines various standing committees in a hospital like the executive committee, management committee, committee on medical services, and others. It describes the area of responsibility, reporting structure, and expected output of sample committees like the executive committee, which is responsible for quality services and organizational direction and reports to the board of directors, and the quality council, which is responsible for the quality management system and reports to hospital management. The purpose of hospital committees is to establish quality management systems to ensure functions like medical services, ethics, drug therapy, infection control and others meet quality standards.
This document outlines the topics that will be covered in a financial management course for hospital executives. The course will cover fundamental financial management concepts like risks and rates of return, time value of money, and financial assets. It will also cover topics like capital budgeting, capital structure, working capital management, and financial planning. The document notes that financial management involves planning, directing, monitoring, organizing and controlling an organization's monetary resources. It aims to help organizations achieve financial objectives like profitability, risk control, and meeting stakeholder expectations.
This document discusses the changing role of hospitals over time. Originally focused solely on curative care, hospitals now provide a broader range of services including preventive care, health promotion, rehabilitation, health education, training, research, and community outreach. The role of hospitals has expanded from solely focusing on inpatient care to also providing outpatient, ambulatory, and community-based services. Hospital administration has also evolved to balance internal management with external community relations and feedback between clinical and administrative departments. The changing healthcare landscape requires hospitals to effectively manage costs while continuing to meet diverse patient and community needs.
This document outlines the various clinical support and other supportive service departments in a hospital. It describes the key roles and functions of the laboratory services, radiology department, central sterile supply department, hospital pharmacy, medical records, housekeeping, dietary services, waste management, infection control, IT/equipment management, social services, and security systems. The goal is to provide efficient support services that assist physicians and ensure quality patient care and safety.
The document discusses quality improvement in hospitals. It notes that quality improvement (QI) requires sustained leadership, extensive training, robust measurement systems, and a culture receptive to change. It outlines six dimensions of healthcare quality: safety, effectiveness, appropriateness, access, patient satisfaction, and efficiency. Efficiency in healthcare involves deriving maximum benefit from available resources through technical and allocative efficiency. Common causes of medical errors include communication problems, inadequate information flow, human factors, and organizational issues. Many methods can be used to detect adverse events, both passive and active surveillance. Improvement starts with identifying an area for improvement through asking questions. Models for quality improvement include PDCA, Lean, Six Sigma, and change management. Measurement is key to
Joint Commission International provides accreditation services to improve safety and quality of care internationally. It has accredited over 236 organizations in 35 countries. Accreditation involves evaluating organizations against established standards to ensure structures and processes are in place to deliver good patient outcomes and continuous quality improvement. Evidence shows accreditation reduces risks to patients and sets principles that are now standard in healthcare worldwide.
The National Accreditation Board for Hospitals and Healthcare Providers (NABH) was established to operate an accreditation program for healthcare organizations in India. The NABH has developed entry level certification standards that healthcare organizations can work towards, with the goals of improving patient safety, quality of care, and respect for patient rights. The entry level certification involves meeting standards in 10 areas, including access to care, patient rights, infection control, and management responsibilities. Organizations work with NABH on a stepwise assessment and improvement process towards gaining pre-accreditation certification.
Medical audit is a systematic evaluation of medical care to improve patient outcomes. It involves reviewing medical records against criteria to identify areas for improvement. The key aspects that can be audited include structure, processes, and outcomes of care. Medical audit aims to ensure best possible care, evidence-based practice, and implementation of initiatives. It benefits patients through reduced suffering and ensures safety. Hospitals should establish medical audit committees and collect data to facilitate the audit process. Audits help practitioners identify weaknesses and make corrections to enhance quality of care.
The document discusses ISO 9000 and ISO 9001 quality management standards. ISO 9000 deals with quality management principles while ISO 9001 specifies requirements for quality management systems. It aims to enhance customer satisfaction through consistent product quality and compliance. The ISO 9001:2000 standard is based on eight principles including customer focus, leadership, involvement of people and continual improvement. Global surveys found growing adoption of ISO 9001 certification worldwide. The benefits of implementation include process standardization, control and monitoring along with cost reduction and customer satisfaction.
Hospital administration role in quality patient careShaharul Sohan
Hospital administration ensures that hospitals run efficiently and provide quality patient care. Key responsibilities of hospital administrators include overseeing departments, recruiting and managing staff, ensuring compliance with policies and regulations, and coordinating efforts to achieve common goals like quality care. Effective hospital administration requires planning, organizing, staffing, directing, coordinating, reporting, budgeting, supervising, and evaluating all hospital activities and processes. The role of the administrator is crucial to the success of the hospital organization and the care provided to patients.
Accreditation is a formal process where a recognized body assesses if a healthcare organization meets predetermined standards. The key purposes of accreditation are to improve healthcare quality and establish optimal standards. Health care accreditation bodies use various evaluation methods during on-site surveys, such as interviews, observations, and document reviews, to determine if organizations meet standards. Some of the main benefits of accreditation include stimulating quality improvement, enhancing healthcare organization image, and strengthening public confidence. In India, important accrediting bodies include the Quality Council of India, National Accreditation Board for Testing and Calibration Laboratories, and National Accreditation Board for Hospitals and Healthcare Providers.
Accreditation as a Strategy / Tool for Hospital Quality Service ImprovementReynaldo Joson
The document discusses hospital accreditation as a strategy for quality improvement, defining terms like accreditation, certification, and compliance. It examines standards for accreditation in the Philippines from organizations like PhilHealth, JCI, ISO, and more. The document recommends that hospitals seek accreditation from PhilHealth first to establish a foundation before pursuing other international standards.
The document discusses NABH (National Accreditation Board for Hospitals and Healthcare Providers) which establishes standards for healthcare organizations in India and provides accreditation. It defines quality healthcare as care that benefits patients without harming them using tested safe and affordable methods according to set standards. NABH accreditation involves an external review of a healthcare organization's quality system and compliance with NABH standards. The standards are divided into patient centered and organization centered standards, covering areas like access to care, patient rights, infection control, management, and information systems. Accreditation through NABH provides benefits to clients, healthcare providers, and healthcare institutions such as improved outcomes, satisfaction, reputation and efficiency.
An introductory overview of the basic concepts of Healthcare Quality, a starter for beginners.
Prepared in 2014 for the new staff of the Quality Management Department in King Saud University Medical City in Riyadh as a part of their capacity building plan.
Acknowledgments:
*Dr. Magdy Gamal Yousef, MBBCh, MS, CPHQ - for his contribution in the scientific content
**Ms. Maram Baksh, MS, CPHQ - for the design of the full HCQ capacity building plan in KSUMC
Value adding service delivery for health care organizationibrahimzubairu2003
This document discusses value adding service delivery strategies for health care organizations. It begins by introducing directional, adaptive, and competitive strategies that must be translated into action. Value adding service delivery strategies are then described as having three components: pre-service activities like marketing research and branding; point-of-service activities focused on clinical operations and patient satisfaction; and after-service activities such as follow-up calls and billing. Each of these components works together to position the health care organization, meet customer needs, and ensure quality from pre-visit to post-care. The document emphasizes that coordinating these explicit strategies across the value chain is critical for health care providers to survive in today's competitive environment.
This document discusses quality management and quality assurance in healthcare. It defines quality as meeting or exceeding customer expectations and being free from defects. Quality management has four main components: quality planning, quality assurance, quality control, and quality improvement. Quality assurance aims to prevent mistakes and defects by ensuring quality requirements are fulfilled. It discusses Donabedian and PDCA models of quality assurance. The document also outlines various approaches to quality assurance programs including credentialing, licensure, accreditation, and certification.
The document discusses the National Accreditation Board for Hospitals and Healthcare Providers (NABH) in India. It provides background on NABH, including that it is a constituent board of the Quality Council of India. It outlines NABH's structure and accreditation process. It also summarizes the key standards that hospitals must meet for NABH accreditation, including patient-centered standards and management standards related to areas like quality improvement, facility management, and human resources.
Uwe Günther was born in 1965 in Leipzig, Germany. He attended polytechnic high school from 1972 to 1982 and worked as an electrician at Geophysik Leipzig from 1982 to 1984. He studied in Kiev, Ukraine from 1985 to 1990 and has worked in various roles for companies in Germany, Central Asia, and Kazakhstan since 1991, gaining experience in wholesale, banking, and telecommunications. He is currently working for Kaefer LLP in Kazakhstan.
Hospital accreditation is a voluntary process that focuses on continuous quality improvement. It provides public commitment to patient safety and quality care. Accreditation standards aim to improve performance over minimum standards. In India, the National Accreditation Board for Hospitals and Healthcare Providers sets accreditation standards and has accredited several major hospitals. Accreditation benefits include improved public trust, safety culture, and systematic quality improvement processes.
The document provides information about NABH (National Accreditation Board for Hospitals and Healthcare Providers) accreditation and certification processes. It discusses that NABH was established in 2006 by the Quality Council of India to set standards for healthcare organizations and improve quality of care in India. It operates various accreditation and certification programs for different types of healthcare facilities. The document outlines the benefits of NABH accreditation for patients, healthcare staff, organizations, and regulatory bodies. It also describes the differences between NABH accreditation and entry-level certification, which provides a stepping stone for organizations to enhance quality and work towards full accreditation. Key patient-centered and organization-centered quality standards developed
This document provides an overview of medical audit, including:
- Definitions of medical audit as the retrospective evaluation and analysis of medical records to monitor clinical performance.
- The history of medical audit from ancient codes to its modern establishment in India in 2007 through the National Accreditation Board for Hospitals.
- The purposes of medical audit which include planning improvements, ensuring regulatory standards, and assessing health program effectiveness.
Hospital committees are groups appointed to perform specific functions related to delivering quality healthcare. The document outlines various standing committees in a hospital like the executive committee, management committee, committee on medical services, and others. It describes the area of responsibility, reporting structure, and expected output of sample committees like the executive committee, which is responsible for quality services and organizational direction and reports to the board of directors, and the quality council, which is responsible for the quality management system and reports to hospital management. The purpose of hospital committees is to establish quality management systems to ensure functions like medical services, ethics, drug therapy, infection control and others meet quality standards.
This document outlines the topics that will be covered in a financial management course for hospital executives. The course will cover fundamental financial management concepts like risks and rates of return, time value of money, and financial assets. It will also cover topics like capital budgeting, capital structure, working capital management, and financial planning. The document notes that financial management involves planning, directing, monitoring, organizing and controlling an organization's monetary resources. It aims to help organizations achieve financial objectives like profitability, risk control, and meeting stakeholder expectations.
This document discusses the changing role of hospitals over time. Originally focused solely on curative care, hospitals now provide a broader range of services including preventive care, health promotion, rehabilitation, health education, training, research, and community outreach. The role of hospitals has expanded from solely focusing on inpatient care to also providing outpatient, ambulatory, and community-based services. Hospital administration has also evolved to balance internal management with external community relations and feedback between clinical and administrative departments. The changing healthcare landscape requires hospitals to effectively manage costs while continuing to meet diverse patient and community needs.
This document outlines the various clinical support and other supportive service departments in a hospital. It describes the key roles and functions of the laboratory services, radiology department, central sterile supply department, hospital pharmacy, medical records, housekeeping, dietary services, waste management, infection control, IT/equipment management, social services, and security systems. The goal is to provide efficient support services that assist physicians and ensure quality patient care and safety.
The document discusses quality improvement in hospitals. It notes that quality improvement (QI) requires sustained leadership, extensive training, robust measurement systems, and a culture receptive to change. It outlines six dimensions of healthcare quality: safety, effectiveness, appropriateness, access, patient satisfaction, and efficiency. Efficiency in healthcare involves deriving maximum benefit from available resources through technical and allocative efficiency. Common causes of medical errors include communication problems, inadequate information flow, human factors, and organizational issues. Many methods can be used to detect adverse events, both passive and active surveillance. Improvement starts with identifying an area for improvement through asking questions. Models for quality improvement include PDCA, Lean, Six Sigma, and change management. Measurement is key to
Joint Commission International provides accreditation services to improve safety and quality of care internationally. It has accredited over 236 organizations in 35 countries. Accreditation involves evaluating organizations against established standards to ensure structures and processes are in place to deliver good patient outcomes and continuous quality improvement. Evidence shows accreditation reduces risks to patients and sets principles that are now standard in healthcare worldwide.
The National Accreditation Board for Hospitals and Healthcare Providers (NABH) was established to operate an accreditation program for healthcare organizations in India. The NABH has developed entry level certification standards that healthcare organizations can work towards, with the goals of improving patient safety, quality of care, and respect for patient rights. The entry level certification involves meeting standards in 10 areas, including access to care, patient rights, infection control, and management responsibilities. Organizations work with NABH on a stepwise assessment and improvement process towards gaining pre-accreditation certification.
Medical audit is a systematic evaluation of medical care to improve patient outcomes. It involves reviewing medical records against criteria to identify areas for improvement. The key aspects that can be audited include structure, processes, and outcomes of care. Medical audit aims to ensure best possible care, evidence-based practice, and implementation of initiatives. It benefits patients through reduced suffering and ensures safety. Hospitals should establish medical audit committees and collect data to facilitate the audit process. Audits help practitioners identify weaknesses and make corrections to enhance quality of care.
The document discusses ISO 9000 and ISO 9001 quality management standards. ISO 9000 deals with quality management principles while ISO 9001 specifies requirements for quality management systems. It aims to enhance customer satisfaction through consistent product quality and compliance. The ISO 9001:2000 standard is based on eight principles including customer focus, leadership, involvement of people and continual improvement. Global surveys found growing adoption of ISO 9001 certification worldwide. The benefits of implementation include process standardization, control and monitoring along with cost reduction and customer satisfaction.
Hospital administration role in quality patient careShaharul Sohan
Hospital administration ensures that hospitals run efficiently and provide quality patient care. Key responsibilities of hospital administrators include overseeing departments, recruiting and managing staff, ensuring compliance with policies and regulations, and coordinating efforts to achieve common goals like quality care. Effective hospital administration requires planning, organizing, staffing, directing, coordinating, reporting, budgeting, supervising, and evaluating all hospital activities and processes. The role of the administrator is crucial to the success of the hospital organization and the care provided to patients.
Accreditation is a formal process where a recognized body assesses if a healthcare organization meets predetermined standards. The key purposes of accreditation are to improve healthcare quality and establish optimal standards. Health care accreditation bodies use various evaluation methods during on-site surveys, such as interviews, observations, and document reviews, to determine if organizations meet standards. Some of the main benefits of accreditation include stimulating quality improvement, enhancing healthcare organization image, and strengthening public confidence. In India, important accrediting bodies include the Quality Council of India, National Accreditation Board for Testing and Calibration Laboratories, and National Accreditation Board for Hospitals and Healthcare Providers.
Accreditation as a Strategy / Tool for Hospital Quality Service ImprovementReynaldo Joson
The document discusses hospital accreditation as a strategy for quality improvement, defining terms like accreditation, certification, and compliance. It examines standards for accreditation in the Philippines from organizations like PhilHealth, JCI, ISO, and more. The document recommends that hospitals seek accreditation from PhilHealth first to establish a foundation before pursuing other international standards.
The document discusses NABH (National Accreditation Board for Hospitals and Healthcare Providers) which establishes standards for healthcare organizations in India and provides accreditation. It defines quality healthcare as care that benefits patients without harming them using tested safe and affordable methods according to set standards. NABH accreditation involves an external review of a healthcare organization's quality system and compliance with NABH standards. The standards are divided into patient centered and organization centered standards, covering areas like access to care, patient rights, infection control, management, and information systems. Accreditation through NABH provides benefits to clients, healthcare providers, and healthcare institutions such as improved outcomes, satisfaction, reputation and efficiency.
An introductory overview of the basic concepts of Healthcare Quality, a starter for beginners.
Prepared in 2014 for the new staff of the Quality Management Department in King Saud University Medical City in Riyadh as a part of their capacity building plan.
Acknowledgments:
*Dr. Magdy Gamal Yousef, MBBCh, MS, CPHQ - for his contribution in the scientific content
**Ms. Maram Baksh, MS, CPHQ - for the design of the full HCQ capacity building plan in KSUMC
Value adding service delivery for health care organizationibrahimzubairu2003
This document discusses value adding service delivery strategies for health care organizations. It begins by introducing directional, adaptive, and competitive strategies that must be translated into action. Value adding service delivery strategies are then described as having three components: pre-service activities like marketing research and branding; point-of-service activities focused on clinical operations and patient satisfaction; and after-service activities such as follow-up calls and billing. Each of these components works together to position the health care organization, meet customer needs, and ensure quality from pre-visit to post-care. The document emphasizes that coordinating these explicit strategies across the value chain is critical for health care providers to survive in today's competitive environment.
This document discusses quality management and quality assurance in healthcare. It defines quality as meeting or exceeding customer expectations and being free from defects. Quality management has four main components: quality planning, quality assurance, quality control, and quality improvement. Quality assurance aims to prevent mistakes and defects by ensuring quality requirements are fulfilled. It discusses Donabedian and PDCA models of quality assurance. The document also outlines various approaches to quality assurance programs including credentialing, licensure, accreditation, and certification.
The document discusses the National Accreditation Board for Hospitals and Healthcare Providers (NABH) in India. It provides background on NABH, including that it is a constituent board of the Quality Council of India. It outlines NABH's structure and accreditation process. It also summarizes the key standards that hospitals must meet for NABH accreditation, including patient-centered standards and management standards related to areas like quality improvement, facility management, and human resources.
Uwe Günther was born in 1965 in Leipzig, Germany. He attended polytechnic high school from 1972 to 1982 and worked as an electrician at Geophysik Leipzig from 1982 to 1984. He studied in Kiev, Ukraine from 1985 to 1990 and has worked in various roles for companies in Germany, Central Asia, and Kazakhstan since 1991, gaining experience in wholesale, banking, and telecommunications. He is currently working for Kaefer LLP in Kazakhstan.
Exuma Technologies provides complete solutions for marine and recreation retailers through its flagship products RVMaster and DockMaster. It offers comprehensive services like website management, email campaigns, customer surveys, and remote CFO services bundled with its user-friendly dealer management systems. Exuma's complete solutions approach aims to help dealers deliver superior customer experiences through both technology and services.
Gmail allows users to make phone calls. To do so, click on the Call phone tab and then click Accept. Type the phone number in the field provided and press the blue Call button to initiate the call.
Tribetra specializes in custom software development and web-based training solutions for aerospace clients. They use an agile approach and have expertise in gas turbine technologies. Their services include web-based training platforms with 3D animated models and quizzes, web development, converting manuals to custom software, and automating reports. They develop e-learning solutions like computer-based training, mobile learning, and learning management systems using the ADDIE model and ensuring compliance with SCORM and AICC standards.
Social media and its far reaching powersAron Virvilis
The power of Social Media has been highly underestimated. Only recently have we been able to experience some of its effects. This presentation delves into the repercussions of having an online persona and how online mob mentality can ruin reputations.
Muito se fala de inteligência emocional nos dias atuais, e para que essa competência seja desenvolvida necessário se faz amparar de alguns ingredientes e alimentá-los no decorrer da vida. Se lider de si primeiro.
Este documento define el aprendizaje como la adquisición de conocimientos a través del estudio o la experiencia. Explica que el aprendizaje humano implica cambios conductuales asociados con la experiencia y destaca que gracias al aprendizaje, los humanos han logrado adaptarse a su entorno. Además, identifica varios factores que influyen en el aprendizaje, como la motivación, la información, la experiencia y el ambiente, y describe diferentes tipos de aprendizaje como el receptivo, por descubrimiento y significativo.
SilverCrest Metals TSX.V: SIL Oct 2015 Corporate PresentationFred Cooper
SilverCrest Metals Inc. was formed as a spin-off company from the Merger of SilverCrest Mines Inc. and First Majestic Silver Corp. The Company controls six exploration projects in Mexico, five in Sonora and one in Durango. The company is well financed and will start its firs drill program before the end
of 2015.
O documento explica que o registro de imóveis é regulado pela Lei 6.015/73 e declara, constitui, modifica e cancela direitos reais sobre bens imóveis. Também destaca que as certidões dos cartórios são documentos públicos e que qualquer pessoa pode solicitar informações sobre a regularidade de loteamentos ou incorporações imobiliárias. Finalmente, ressalta que o registro do imóvel é necessário para garantir a propriedade do imóvel e transferi-la legalmente ao adquirente.
The document summarizes the change in leadership of C Co, 2-82 AHB from CPT Dan Mendez to CPT Nerea M. Cal in January 2013. It introduces the new leadership and their backgrounds. It also discusses how the company recently proved its air assault prowess during a two week joint operational access exercise supporting 2BCT and Canadian forces, conducting various missions including an air assault inserting over 150 troops. Finally, it highlights Specialist Michael Watley as Viper of the month for his performance graduating at the top of his warrior leader course class.
This document discusses how integrating innovation into enterprise architecture can help cut costs through automated operations, increase output with integrated IT services management systems, reduce energy use with managed IT services, and improve safety and emissions with network service and support.
Organisms called archaebacteria are microscopic and live in severe and extreme environments. Examples include methanogens, which can live without oxygen and produce methane; halophiles, which can adapt to very salty environments and have orange or yellow colored colonies; and thermophiles, which can live in places with high temperatures like volcanic hot springs and hydrothermal vents by turning hydrogen sulfide into nutrients. Some archaebacteria also survive acidic and cold environments.
Este documento presenta una introducción a las principales artropatías, incluyendo sus características clínicas y de líquido sinovial. Explica que el líquido sinovial normal lubrica las articulaciones, mientras que en las condiciones patológicas su composición varía. Describe tres tipos básicos de patología - mecánica, inflamatoria y séptica - y cómo cada una se refleja en el líquido sinovial. Luego resume las características distintivas de varias artropatías comunes como la ar
This document discusses Superior Vena Cava Syndrome (SVCS) and Pancoast Syndrome. SVCS is caused by obstruction of the Superior Vena Cava, leading to swelling in the head, neck and arms. It is usually due to lung cancer pressing on surrounding structures. Treatment involves managing symptoms, chemotherapy, radiation or surgery depending on the cause. Pancoast Syndrome is when lung cancer invades the top of the lung and nearby areas, causing pain in the shoulder/arm and Horner's Syndrome. It is most often a form of lung cancer. Treatment may involve chemotherapy and radiation before surgery to remove the tumor.
This document provides a brief overview of Badalona, Spain, describing some of its key landmarks both historically and currently. It mentions the Rambla de Badalona street which runs along the waterfront, the new Rambla development, the Oilfield Bridge, the large train station located near the beach, and the former Anís del mono factory.
NABH Accreditation Process & Quality Control Parameters
1. NABH outlines the process for healthcare organizations to achieve accreditation and continuously improve quality, including empowering leadership, investing in quality champions, and using tools like PDCA cycles.
2. NABH accredits various types of healthcare facilities and certifies them based on established quality standards to ensure safe, effective, patient-centered, timely, efficient, and equitable care.
3. Achieving NABH accreditation is an ongoing process that requires continuous quality improvement rather than a single event, in order to embed a culture of quality in healthcare.
"Young Quality Achiever" Award 2017 to Dr J L Meena in
3rd International Conference of Consortium of Accredited Healthcare Organizations (CAHO) at Vivanta by Taj, Dwarka – New Delhi .
Accreditation is the process of officially recognizing institutions as having met certain standards through a voluntary self-assessment and external peer review. It ensures quality improvement and maintenance of standards. The key agencies for accreditation of nursing institutions are INC for mandatory registration and NAAC/NABH for voluntary accreditation or "accreditation". Curriculum needs to be revised periodically to incorporate best practices and maintain relevance. Accreditation helps in recognition of credits/degrees, quality assurance, and adherence to minimum quality standards for health consumers. Types of accreditation include regional, state, national and international. Inspections in accreditation include periodic, re-inspection and enhancement inspections.
Accreditation is a process used by healthcare organizations to assess their performance against established standards and facilitate continuous quality improvement. It aims to gain public trust, maintain minimum standards, increase effectiveness and efficiency, and promote cooperation among staff. The accreditation process involves application, self-assessment, an on-site survey, report preparation, receiving accreditation, and maintaining accredited status. In India, the National Assessment and Accreditation Council and the Indian Nursing Council are two agencies that oversee accreditation of educational institutions using criteria like curricula, infrastructure, research, and governance. The National Accreditation Board for Hospitals also accredits healthcare facilities in India with a focus on patient safety, infection control, and clinical
The document discusses quality and accreditation in healthcare. It defines quality as the degree of excellence that satisfies user needs and expectations. Accreditation involves an external review based on published standards to encourage organizational development. The National Accreditation Board for Hospitals & Healthcare Providers (NABH) oversees accreditation in India based on 10 chapters and 100 standards covering areas like patient care, management, and quality improvement. The process involves application, assessment, scoring, and reassessment to obtain accredited status for 3 years. Benefits include improved patient and employee satisfaction. Challenges include initial preparation and longer time for benefits to accrue.
Accreditation is a process used by healthcare organizations to assess their performance against established standards and facilitate continuous quality improvement. It involves a self-assessment and external peer review. The key objectives of accreditation include maintaining minimum standards, increasing effectiveness and efficiency, enhancing cooperation, and providing feedback to streamline operations. The accreditation process typically involves application, self-assessment, an on-site survey, report preparation, awarding of accreditation status, and maintaining that status. In India, the main accreditation agencies are the National Assessment and Accreditation Council (NAAC) and the National Accreditation Board for Hospitals and Healthcare Providers (NABH).
Healthcare facility Quality and Operational proposal by Mahboob ali khan MHA,...Healthcare consultant
1) Mahboob Ali Khan proposes establishing a quality management system and pursuing accreditation for a client hospital from JCI, NABH, and CBAHI.
2) The scope of consultancy services includes gap assessments, developing documentation, training programs, and providing support through the accreditation process over 12 months.
3) The client hospital is expected to commit resources including a dedicated quality team and provide access to records to support the accreditation work.
Accreditation is a formal review process conducted by a recognized body to evaluate if an education program meets established standards. There are three main types of accrediting bodies - national agencies, national professional agencies, and state agencies. The purpose of accreditation includes maintaining academic standards, encouraging continuous improvement, and protecting institutions from harmful practices. It provides advantages such as helping institutions identify strengths and weaknesses, promoting quality education, and enabling access to funding.
The document provides a history of the Joint Commission from 1910 to present day. It started as an organization called the American College of Surgeons that proposed hospital standardization in 1910. Over the decades it expanded its standards and accreditation programs to various healthcare sectors. By the 1950s it was called the Joint Commission and provided accreditation based on on-site inspections of hospitals. Currently known as the Joint Commission International, it is an independent non-profit that sets standards and provides accreditation for healthcare organizations globally to improve quality and safety.
This document discusses accreditation in the healthcare sector. It begins with definitions of accreditation and certification. It then discusses the benefits of accreditation for hospitals, staff, and communities. These include improved quality, safety, leadership, and clinical outcomes. The document also examines important questions to consider regarding accreditation implementation. It outlines the key elements of an accreditation process, including the accrediting body, standards, and assessors. Several international accrediting organizations are described. The rest of the document focuses on barriers to implementing hospital accreditation standards in Pakistan, based on a qualitative study. Major barriers identified include lack of awareness, resources, and leadership support. Ways to overcome these barriers are also
The document discusses quality and accreditation in Indian hospitals. It defines quality and outlines a quality improvement model involving plan-do-check-act cycles. It describes the roles of a quality steering committee and various quality indicators. NABH accreditation benefits all stakeholders by ensuring high quality care, patient safety, and continuous improvement. Accredited hospitals gain cost savings, consistent quality, and preferential treatment from customers and third parties.
This document discusses various models and approaches for evaluating quality in nursing care. It describes Donabedian's framework for measuring quality through structure, process, and outcomes. The American Nurses Association model is a cyclic model that helps determine patient and family needs and nursing's contribution to quality care. Marker's Umbrella Model aims to standardize nursing practice to provide continuity, consistency, competency and maximize patient outcomes. Factors like accreditation bodies, resources and nursing values influence quality measurement and improvement. Specific approaches include audits, quality awards, peer assessment and utilization review.
The document discusses blood bank accreditation. Accreditation is a voluntary process that assesses an organization's quality systems and commitment to continuous improvement. It focuses on learning, self-development, and reducing risks. Accreditation benefits users through improved safety and quality of blood services, and benefits blood banks by stimulating improvement, maximizing satisfaction, and raising community confidence. In India, the National Accreditation Board for Hospitals sets standards for blood bank accreditation.
Importance of URAC Accreditation for Health PlansCitiusTech
Utilization Review accreditation Commission (URAC) is one of the two major organizations which accredit health plans on various healthcare quality measures.It is a Washington DC-based, nonprofit, independent organization founded in 1990, recognized by 46 states, District of Columbia, and 6 federal agencies
Accreditation is an ongoing evaluation process where educational institutions meet predetermined standards set by accrediting agencies. It serves several purposes, including maintaining adequate admission requirements, minimum academic standards, and stimulating institutional self-improvement. There are different types of accrediting bodies, including regional, state, national, and professional agencies in India such as UGC, AICTE, NAAC, MCI, and INC. Accreditation involves periodic inspections to ensure standards continue to be met.
Similar to Accriditation of Healthcare Facilities - Dr J L Meena (20)
Unite to Eradicate Anemia eSummit 2020 - Dr J L MeenaDr Jitu Lal Meena
The document discusses screening and management of anemia. It covers various methods of anemia screening including clinical signs, Sahli's method, paper-based color comparison, and Hemoque testing. It emphasizes that screening quality is important and protocols should specify testing and management based on hemoglobin levels. Screening aims to enable prevention and treatment of anemia. At tertiary care, additional tests beyond hemoglobin are useful. The document also provides utilization data for anemia packages under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana health insurance scheme.
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Health protecting health-care workers has the added benefit to contributing to quality patient care and health system strengthening.
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The document provides an introduction and background on Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY). It summarizes that AB PM-JAY was launched to provide health insurance coverage to over 10.74 crore poor and vulnerable families (over 53 crore beneficiaries). It aims to address issues of poverty, lack of affordable healthcare, increased out-of-pocket expenses, and lack of portability of state schemes. The document then outlines benefits provided under AB PM-JAY, its design and implementation, health benefit packages covered, efforts to control fraud and abuse, key milestones and achievements to date, quality certification process, beneficiary feedback, and
5th ed. NABH Accreditation Standards for Hospitals April 2020Dr Jitu Lal Meena
The document discusses quality improvement and creating a quality culture in India's healthcare system. It outlines the National Accreditation Board for Hospitals and Healthcare Providers (NABH) standards for healthcare organizations, which provide a framework for quality assurance and improvement. The standards focus on patient safety, quality of care, and building a culture of quality at all levels of an organization. It also provides details on some specific NABH standards related to access, assessment, continuity of care and laboratory services.
5th ed. nabh accreditation standards for hospitals april 2020Dr Jitu Lal Meena
The document discusses quality improvement and creating a quality culture in Indian healthcare. It provides an overview of the National Accreditation Board for Hospitals and Healthcare Providers (NABH) quality standards for hospitals, which focus on patient safety and quality of care. The standards aim to guide hospitals in implementing continuous quality monitoring, corrective actions, and building a culture of quality at all levels. The speaker notes that quality is a team effort that requires truth and self-assessment to continuously improve.
The article discusses several topics related to healthcare:
1) Lyfboat, an Indian medical tourism provider, received NABH accreditation for quality patient care and safety, highlighting its training, facilities, infrastructure, and services for international patients.
2) VPS Healthcare signed an agreement with Etihad Airways making it the preferred air transport provider for Saudi patients traveling to Abu Dhabi for treatment, providing special rates.
3) Max Hospital in India inaugurated a new oncology tower in Uttar Pradesh to treat cancer patients, investing in disease management groups and advanced technologies.
4) Google announced a partnership with large US healthcare system Ascension to modernize its information systems and provide new
The article discusses several topics related to healthcare:
1) Lyfboat, an Indian medical tourism provider, received NABH accreditation for quality patient care and safety, highlighting its training, facilities, infrastructure, and services for international patients.
2) VPS Healthcare signed an agreement with Etihad Airways making it the preferred air transport provider for Saudi patients traveling to Abu Dhabi for treatment, providing special rates.
3) Max Hospital in India inaugurated a new Oncology Tower in Uttar Pradesh to treat cancer patients, investing in disease management groups and advanced technologies.
4) Google announced a partnership with large US healthcare system Ascension to modernize its information systems and provide new
Guideline for How to Achieve Bronze Quality CertificateDr Jitu Lal Meena
The document provides guidelines for achieving Bronze Quality Certification in hospitals empaneled under the AB PM-JAY health insurance scheme in India. It establishes bronze certification as the entry level which helps hospitals improve patient safety and quality of care. The certification is comprehensive, user-friendly, evidence-based, and uses digital assessment. It focuses on structure, process and outcomes. Hospitals must meet eligibility requirements and follow steps for certification including registration, application, desktop and on-site assessment. The certification benefits hospitals by supporting quality culture and improving credibility, safety, and care.
The document provides a quality audit checklist for healthcare organizations to create a quality culture. It outlines several key aspects that should be assessed such as clearly displaying the scope of services, patient rights, and information about the Ayushman Bharat program. Initial patient assessments, diagnostic test turnaround times, critical result reporting, mock code drills, informed consent processes, and anesthesia monitoring are among the factors discussed. The objective is to ensure patients receive timely, standardized, high-quality care in accordance with guidelines and to assess facilities on quality indicators.
The document discusses quality standards and expectations for hospitals empaneled under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY) program in India. It outlines a quality audit checklist containing several quality criteria that empaneled hospitals will be assessed on, such as displaying patient rights and the scope of services, conducting initial patient assessments and diagnostic testing in a timely manner, obtaining informed consent, and monitoring anesthesia. The document emphasizes that there is no room for error in healthcare and quality must be a team effort to ensure patients receive the highest standards of care.
This document provides guidelines for evaluating and managing hematuria (red blood cells in urine). It discusses:
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Accriditation of Healthcare Facilities - Dr J L Meena
1. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
ACCREDITATION OF
HEALTH CARE FACILITIES.
3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
Dr J L Meena
State Quality Assurance Medical Officer
Department of Health & Family Welfare
Government of Gujarat - India
Member of NABH Accreditation Committee, QCI
Member of Quality Expert Group, Govt of India.
Email:- drjlmeena@gmail.com
2. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
"A self-assessment and external peer
assessment process used by health care
organizations to accurately assess their
level of performance in relation to
established standards and to implement
ways to continuously improve"
What is Accreditation:-
3. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
Regulation Accreditation
An instrument mandated by the
Government to impose set of
conditions, which a healthcare
organization must comply with,
before and after it is permitted to
operate in the country.
A voluntary process by which an authorized
agency or organization evaluates and
recognizes health services according to a
set of standards describing the structure
and processes that contributes to desirable
patient outcomes.
It is based on minimum standards,
inspection, enforcement and
public accountability.
Compliance to documented Policies and
guidelines. Review by an authorized
external agency.
Regulation is mandatory Accreditation is voluntary. Accreditation is
promoted by way of
incentives and market forces
4. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
• Joint Commission International - JCI
• Joint Commission of Taiwan – JCT
• Council for Health Service Accreditation of Southern Africa -
COHSASA
• Danish Institute for Quality and Accreditation in Health Care -
IKAS
• Diagnostic Accreditation Programme, British Columbia
• Health and Disability Auditing Australia Pty Ltd - HDAA
• Malaysian Society for Quality in Health - MSQH
• Quality Improvement Council, Australia - QIC
• National Accreditation Board for Hospitals & Health Care
Providers, India - NABH
• Designated Auditing Agencies (DAA) Group Limited, New
Zealand
• American Association of Blood Banks (AABB), USA
• Netherlands Institute for Accreditation in Healthcare - NIAZ
• Instituto Colombiano De Normas Tecnicas Y Certification
(ICONTEC) Health Accreditation Service, Columbia
California Health Kids Survey - CHKS Accreditation Unit,
UK
Canadian Accreditation Council of Human Services -
CAC
Global-Mark Pty Ltd, Australia
Health and Disability Auditing New Zealand - HDANZ
Australian Aged Care Quality Agency - AACQA
The Healthcare Accreditation Institute (Public
Organization), Thailand - HAI
Australian General Practice Accreditation Ltd / Quality
in Practice Pty Ltd – AGPAL/QIP
Japan Council for Quality Health Care - JCQHC
The Australian Council on Health Care Standards - ACHS
Health Care Accreditation Council, Jordan - HCAC
DNV GL Business Assurance, Norway
Associacao Brasileira de Acreditacao De Sistemas e
Servicos de Saude, Brazil – CBA
Haute Autorité de Santé – DAQSS, France
Accreditation Canada International (ACI) Canada
Accredited Organisations
5. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
What is common?
6. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
•Patient safety and
•quality of care ………..
7. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
International Society for Quality in Health Care (ISQua )
is an international body which grants approval to
Accreditation Bodies in the area of healthcare as mark of
equivalence of accreditation program of member
countries.
So far hospital standards of only 12 countries viz.
Australia , Canada , Egypt , Hong Kong , Ireland , Japan ,
Jordan , Kyrgyz Republic , South Africa , Taiwan , United
Kingdom & India were accredited by ISQua.
8. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
• Critical path issued
• Technical review
• Final Submission of Self Assessment
• Surveyor Assessment (survey)
• Factual Review
• Report Validated by Panel
• Accreditation Decision
• Award Pack to Organisation
• Continuous Assessment – 12 and 30 months post survey
International Accreditation Programme by ISQua - 4 year cycle
9. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
The Joint Commission (TJC) : Body for
accreditation of HCOs across USA which forms the
basis for licensure and Medicaid reimbursement
Joint commission International: For International
Accreditation, publication and education
International Scenario on Accreditation
in Healthcare services - USA
10. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
JCI is the recognized leader in international health care accreditation.
JCI maintain ISQua membership in the following categories:-
Accreditation survey
Surveyor education program
Ambulatory Care Standards
Clinical Laboratory Standards
Care Continuum Standards
Hospital Standards
Primary Care Standards
Clinical Care Program Certification Standards
Home Care Standards
Long Term Care Standards
11. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
800+ Accredited
Organizations.
100+ Countries
Served by JCI.
12. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
• 360 Standards
• 1240 Measurable Elements
Section I : Patient Centered Standards
Section II : Health Care Organization
Management Standards
Joint Commission International Accreditation
Standards for Hospitals
13. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
Each applicable measurable elements is scored
Met (10)
Partially Met (5)
Not Met (0)
14. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
International Scenario on Accreditation
in Healthcare services - AUSTRALIA
The Australian Council of Healthcare
Standards
(ACHS): Pioneer in accreditation of HCOs
in Australia
ACHSI : for overseas accreditation
15. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
The Australian Council of Healthcare
Standards (ACHS) International delivers
education / consultancy services as well as
quality improvement and accreditation
programs throughout New Zealand, Hong
Kong, India, Saudi Arabia, Sri Lanka, Bahrain,
the United Arab Emirates and Malaysia etc.
16. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
A proven pathway to accreditation
10 steps that hospitals and academic medical centers typically follow toward accreditation
success. (Average duration 18-24 months).
1. Become familiar with Accreditation Standards and Survey Process (2-3 Months)
2. Conduct Gap Analysis and Build Action Plan. (2-3 Months)
3. Update Policies and Procedure. (2 Months)
4. Target Improvement where Needed. (2-3 Months)
5. Work with Staff to overcome obstacles. (2-3 Months)
6. Assess your readiness at midpoint. (2-3 Months)
7. Continues Training for Sustainable Change. (2-3 Months)
8. Evaluate and Refine Process. (2-3 Months)
9. Use a Mock Survey to assess your readiness. (2-3 Months)
10. Make Final Modification (Process for 3rd Party Assessment by Accreditation organization
e.g.-JCI or NABH etc, Fulfill gaps, review in board and Accreditation). (6-7 Months)
17. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
Accreditation Agencies in India:-
Quality Council of India (QCI):-
National Accreditation Board for Hospital
and Health care Providers (NABH)
National Accreditation Board for Testing
and Calibration of Laboratories (NABL)
18. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
Certification and Grading Agencies in
India:-
ISO 9001 – 2008 as amended by recently
issued ISO 9001 – 2015 standards
National Quality Assurance Certification
Indian Public Health Standards 2012
19. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
Quality Council of India:-
QCI is an autonomous body set up
by Govt. of India to establish and
operate accreditation structure in
the country.
20. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
21. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
22. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
• NABH is an institutional member of the International
Society for Quality in Health Care (ISQua)
• NABH is also a member of ISQua Accreditation
Council
• NABH is founder Member of Asian Society for Quality
in Health care (ASQua)
• NABH is also represented on WHO International
Patient Safety Committee.
NABH Global Recognition
23. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
•Creation of NABHI was approved by Board in
July 2010
•Started work in Philippines
•Qatar
•Nepal
•Bangladesh
NABH International
24. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
•Autonomous Body under the aegis of Dept of Science
and Technology, GoI but now it’s under QCI
•Sole Accreditation Body for Testing and Calibration Labs
• Accessible to all Labs irrespective to their Status
•Maintains International linkages
• International Lab Accreditation Cooperation
• Asia Pacific Lab Accreditation Cooperation
National Accreditation Board for Testing and
calibration Laboratories
25. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
Chapters : 10
Standards : 105 (102)
Objective Elements : 683 (636)
NABH Standards for the Hospitals:
4th Edition
26. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
27. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
28. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
• Assessment is based on the scoring on a scale of 0, 5 and 10
as per the following details:
– Compliance to the requirement:10
– Partial compliance to the requirement: 5 (if any of the
sample is found to be non complying out of total samples
selected)
– Non-compliance to the requirement:0
• Not Applicable: NA
Scoring Pattern
29. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
Outcome
• Pre-accreditation entry level
• Pre-accreditation progressive level
• Accredited
30. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
Pre-accreditation entry level
• Conditions for qualifying to this award are:
– All the regulatory legal requirements should be fully met.
– No individual standard should have more than two zeros.
– The average score for individual standard must not be less than 5.
– The average score for individual chapter must be more than 5.
– The overall average score for all standards must exceed 5.
• The validity period for pre-accreditation entry level stage is
from a minimum 6 months to a maximum of 18 months.
31. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
Pre-accreditation progressive level
• Conditions for qualifying to this award are:
– All the regulatory legal requirements should be fully met.
– No individual standard should have more than two zeros.
– The average score for individual standard must not be less than 5.
– The average score for individual chapter must be more than 6.
– The overall average score for all standards must exceed 6.
• The validity period for pre-accreditation entry level stage is from a
minimum 3 months to a maximum of 12 months.
32. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
Accredited
• Conditions for qualifying to this award are:
– All the regulatory legal requirements should be fully met.
– No individual standard should have more than one zero to qualify.
– The average score for individual standard must not be less than 5.
– The average score for individual chapter must be more than 7.
– The overall average score for all standards must exceed 7.
• The validity period for accreditation is 3 years subject to terms
and conditions.
33. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
34. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
Feedback
To
Health care
Organization
And
Necessary
Corrective
Action
Taken
By
Health care
Organization
35. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
Feedback
To
Laboratory
And
Necessary
Corrective
Action
Taken
By
Laboratory
36. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
37. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
38. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
39. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
40. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
41. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
High quality of care
Dedicated and sincere medical staff
Access to a quality focused organization
Rights respected and protected
Patient Satisfaction evaluated
Involvement in care process
Patient safety
Pain management
Safe transport
Continuity of care
Benefits of Accreditation for Patient
42. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
43. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
Professional staff development
Provides education on laid down standards
Provides leadership for quality improvement
within medicine and nursing
Increases satisfaction with continuous learning,
good working environment, leadership and
ownership
Benefits of Accreditation to Staff
44. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
45. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
Improves care
Brings in Corporate Governance
Stimulates continuous improvement
Demonstrates commitment to quality care
Raises community confidence
Opportunity to benchmark with the best
Benefits of Accreditation to Hospital
46. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
47. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
48. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
49. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
50. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
Quality revolution
Disaster preparedness
- Epidemics
- Physical
Access to comparative database
Benefits of Accreditation for Community
51. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
52. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
Efficiency of Government hospitals as key contributors for
building trust and confidence for the hospitals in the hearts of
the citizens of the State through actively pursuing quality
improvement programme in various facilities.
Given a sense of pride to the government for ensuring quality
services to the poorest of the poor.
Confidence has been restored of the community in Govt
hospitals
Benefits of Accreditation to the
Government
53. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
•Appreciation awarded by QCI to Ministry of Health and Family Welfare Government of Gujarat for establishing Quality
Assurance framework in providing quality healthcare to the people of Gujarat in 5th National Quality Conclave, New Delhi.
•Appreciation awarded to Department of Health and Family Welfare Government of Gujarat for their pioneering effort to
spearhead the Quality and Accreditation Programme in health care organization. In 3rd International Health Care Quality
Conclave on “Role of Quality in Globalization of Indian Healthcare”. Place: - Gurgaon, Haryana Date: 30thAugust 2010.
•FICCI Health care Excellence Award to Dist Hospital Gandhinagar & PHC Gadboriad, Govt of Gujarat in FICCI Heal 2010, New
Delhi Date: 6th Sept 2010
•FICCI Health care Excellence Award to Dist Hospital Gandhinagar, Govt of Gujarat in FICCI Heal 2011, New Delhi Date: 8th Sept
2011
•FICCI Health care Excellence Award to Community Health Centre Bardoli, Govt of Gujarat in FICCI Heal 2013, New Delhi Date:
2nd Sept 2013
•Operational excellence award in IndiZen 2014 to Govt. of Gujarat-department of health and family welfare was achieved.
•FICCI Health care Excellence Award to Community Health Centre Bardoli, Govt of Gujarat in FICCI Heal
2014, New Delhi
Date: 1st Sept 2014
•FICCI Health care Excellence Award to Paraplegia Hospital- Ahmedabad, Govt of Gujarat in FICCI Heal
2014 New Delhi
Date: 1st Sept 2014
•FICCI Healthcare Excellence Award to Laboratory Information System, B J Medical College – Ahmedabad,
Govt of
Gujarat in FICCI Heal 2016 New Delhi Date: 31st August 2016.
54. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
Web:-
1. https://gujhealth.gujarat.gov.in/quality-assurance-
program.htm
2. http://www.facebook.com/drjitulal?ref=tn_tnmn
3. https://www.youtube.com/user/drjlmeena
Email:-
drjlmeena@gmail.com, sqipgujarat@gmail.com
Mobile No:- 09099075162
55. 3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
ThanksThanks
2nd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India