According to hospitals and healthcare organizations, patients, staff, and other stakeholders should all be safe. The government, non-governmental organizations (NGOs), insurance companies, professional groups, and patients are concerned about the quality and security of healthcare services. The Quality Council of India (QCI) established NABH to provide accreditation services to healthcare enterprises. NABH’s official name in the medical industry is National Accreditation Board for Hospitals and Healthcare Services. Its primary purpose is to urge healthcare systems to improve and safeguard patients on an ongoing basis. Furthermore, NABH promotes medical tourism in the country and recognizes accredited institutions on a global basis. Here are a few of the challenges that organizations typically encounter while they are preparing for NABH accreditation.
A limitation of Core Team members: The representatives of the nursing team, quality assurance, human resources, NABH awareness training, engineering, microbiologists, housekeeping, front office, food and beverage, MRD, and pharmacy must all be a part of the core team. The core team, along with functional leaders, must conduct a thorough gap analysis involving the objective elements of accrediting requirements across all divisions. To complete the responsibilities & meet the necessary standards for the firm, the core team will have the full backing of the upper management.
Inconsistent procedures and procrastination: Most departments not have documented and implemented SOPs. Before embarking on the accreditation journey, the core accreditation team must face the major issue of breaking the inertia and ensuring that the SOPs are prepared on time by each department. The implementation of SOPs at the ground level is critical to the success of accreditation, which is accomplished through interdepartmental training. The audit observations, gap analysis, and gap correction are related to a department’s major result areas to ensure minimal non-compliance.
Unsafe Environment: To guarantee a safe environment for patients and workers, the organization must try to enhance the hospital infrastructure.
Adherence to national building codes on fire standards.
Reworking the bilingual signs is necessary.
HEPA filtering and OT direct excess should be managed; the air conditioning and laminar flow in OT must be improved.
The objectives for patient safety should be met.
All necessary committee meetings must be held properly by the organization, with thorough documentation.
Improper Documentation: The errors in the NABH documents and records, such as unsigned treatment orders, incomplete discharge forms, and incomplete prescription orders, need to be addressed most. The highest levels of government must recognize how sensitive the subject is and take action. The resident medical officers are essential in minimizing these mistakes. A team of medical officers must oversee the activity at the ward and the medical records office while developing a checklist to verify patient files.
Untrained Staff for Emergency Preparedness: The training department must determine the training requirements for the entire hospital as well as each department. It is necessary to identify and map the trainers for each activity in the training schedule. It is required to perform both laboratory and practical emergency training, and feedback from both must be critically assessed and presented to the core team.
Lack of acceptance of the Data-Driven Approach: As committees record and analyse quality indicators/metrics like surgical site infection and patient satisfaction index, accreditation forces a healthcare company towards a data-driven strategy. So, the hospital can proceed towards the road of everlasting improvement with the support of the top management effort in quality improvement initiatives.
Partial implementations of Laws and Regulations: Obtaining and maintaining permits for blood banks, pharmacies, and lifts are included in the list of regulatory requirements before accreditation. Additionally, the hospital needs to centralize tracking of all of these before applying for accreditation. Also, all department heads must begin prioritizing the sharing of all documents with management and the legal department.
Inconsistent Work: The timetable is crucial for obtaining accreditation. After the accreditation body’s pre- and post-evaluation, there is a set amount of time for non-compliances to be corrected. All of the staff of the healthcare business must be eager and enthusiastic to complete the optimal quality work on time. The core group will continue to assist the staff in advancing this process.
Having Misconceptions regarding Accreditation: All stakeholders must know that Accreditation benefits them all. Accreditation also demonstrates a commitment to quality care. Accreditation also provides access to reliable and certified information on facilities, infrastructure, and level of care.
Inadequate Inventory Control Measures: Considering the large number of stores across the healthcare organizations, and drugs and consumables kept in each sub-store and patient area, it is a major challenge to identify expired and near-expiry drugs.
Also, the employees must understand and know what the accrediting body is looking for, how to read and interpret the accreditation requirements and know what are the benefits of getting accredited. This will help them to work towards it with better focus and enthusiasm. If you are well-prepared and have good project management, you should be able to avoid these difficulties and achieve your accreditation.
A healthcare organization may choose to become accredited as part of a voluntary process in which qualified external reviewers assess their performance and compare it to benchmarks that have already been set. In a healthcare system which was constantly changing, significant regulatory revisions happen quickly and regularly. As a result of the accreditation process, the standard for healthcare institutions has been raised significantly, and this has led to ongoing improvements. Here are some of the ways accreditation improves the quality of healthcare organizations and services.
The business operations of healthcare organizations can be improved through accreditation: Healthcare organizations can profit more than ever by utilizing the enormous worth of accreditation. Many people only associate accreditation with a contract and the survey experience, but with the right partner, accreditation can be the beginning of a business relationship that can help foster performance improvement, operational efficiency, and risk management—all elements of a successful business growth strategy—while upholding regulatory compliance.
The procedure of accreditation supports a healthcare organization’s performance improvement: Maintaining performance improvement should be the major objective of certification for every healthcare organization. Maintaining all other objectives, including meeting legal obligations, obtaining higher compensation, and enhancing competitive advantage, depends on performance improvement. Many studies have shown that accreditation improves outcomes for several different medical diseases. The practice of accreditation is integrated into daily policies and procedures to enhance the quality of treatment and strengthen the organization by actively incorporating everyone in the company—from administrators and practitioners to facility engineers and human resources—in a culture of growth. The concept of quality improvement is included in all accrediting assessments. The broad issues discussed may have their roots in clinical care and patient safety, but they also serve as the foundation for an organization that performs well. Incorporating specific, quantifiable goals into each service area to establish data-driven, evidence-based protocols is one element, as is fully communicating reports to ensure engagement and establish accountability spanning from frontline staff through the governing body. Other elements include developing a universally applicable program to touch every area of an organization through data collection activities.
The organization is better equipped for any emergency thanks to accreditation: Healthcare organizations that have taken part in the accreditation process are improving quality. Accreditation has also had an impact on the creation of policies, programs, and goals by mandating NABH awareness training, requesting infrastructure improvements, and altering the organization’s behaviour and practices. It has improved the ability to handle any situation, whether internal or external while continuing to deliver safer treatment and top-notch services. These organizations are more likely to have emergency preparedness strategies and already have policies for best practices to protect rights and the public’s health in place.
Control Measures are supported by accreditation: Maintaining performance improvement should be the major objective of gaining accreditation for any healthcare institution, including group practice clinics, corporate entities, and hospital systems. Infection Prevention and Control (IPC) Programs are well-organized in accredited organizations. These groups provide a stronger ability to improve their disaster management strategies and are better able to handle various circumstances (from triage to inpatient).
Efficient Communication among the staff is enhanced through accreditation: These organizations have comprehensive policies and procedures that make use of standards and enable fast and precise decision-making and reliable communication. Employees have received IPC, functional safety, risk management, protocols, and protocol adoption training. The accredited organization has receptive committees that frequently bring personnel together to obtain critical information and monitor and improve procedures. Hospitals that have earned accreditation are more inclined to strengthen their ties to professional medical staff associations.
An enhanced framework and operational excellence are provided by accreditation: Approved businesses comply with an ingrained culture and internal procedures for quality monitoring, including appropriate data collecting, trustworthy performance indicators, and appropriate hospital accreditation documents as well as patient records and clinical data. Accreditation standards provide a framework to assist organizations in creating more effective organizational structures. Healthcare executives should make operational and strategic decisions based on the accreditation process.
Enhancing Service Quality and Increasing Efficiencies through Accreditation: The quality of care is strongly correlated with accreditation. It has a positive association with the number of clients having mental health therapy and physical assessment, two components of treatment comprehensiveness. Operational effectiveness is essential for success since healthcare businesses have limited operating margins. Administrators and other leaders are tasked with managing and reducing expenditures while complying with a complicated system of federal and state requirements.
Every healthcare facility has internal operational rules and regulations. However, accreditation ensures that the organization complies with the norms and criteria established by a recognized, external organization. Accreditation provides an external validation mark for your company, demonstrating that they comply with industry standards and best practices. However, certification in healthcare is more than just a matter of reputation. Going through the certification process helps to streamline processes, enhance treatment quality, and foster confidence among patients and the community.
NABH offers a wonderful opportunity for healthcare businesses to create standards and processes while also improving the dependability of service operations. Accreditation is beneficial to all stakeholders in a hospital, but it is especially beneficial to patients. It encourages continual improvement in governance, operations, and activities for a hospital (clinical and administrative). Staff is imbued with a feeling of ownership and clinical competence. Accreditation is entirely optional, and in today’s competitive market, hospitals are more interested in establishing their quality-of-service delivery.
Accreditation is described as the public acknowledgment of a health organization’s achievement of accreditation requirements established by a National Health Accreditation agency. The National Accreditation Board for Hospitals and Healthcare Providers (NABH) is a component of the Quality Council of India (QCI), which was established in 2006 to oversee and certify healthcare providers and hospital programs. IRDA, on the other hand, is the primary independent top statutory board that governs the Indian insurance business.
Hospital accreditation is NABH’s flagship program, with the primary goal of encouraging patient safety and quality improvement in public and commercial hospitals. It creates a uniform framework for hospitals and other healthcare institutions to adopt compliance patient safety measures. NABH’s quality standards have been approved by the International Society for Quality in Healthcare. Not only this, but it may also be essential for a variety of other reasons. For example, did you know that having accreditation can make the process simple and safe? It can be almost just as important as what we believe it to be for you to have access to NABH awareness training and other opportunities. The followings are the significance and benefits of NABH accreditation:
The most beneficiaries are the patients: With NABH accreditation and the adoption of its requirements at the hospital, patients benefit the most from efficient services and excellent treatment. NABH supports improved patient happiness, which leads to improved clinical results. When the hospital obtains greater patient satisfaction numbers, it results in profit for all stakeholders and staff. It naturally motivates them to put in more effort and obtain cutting-edge technologies to raise the bar for better patient care.
Establishes a sense of social trust: NABH Accreditation contributes to improved community confidence in the services offered by the hospital’s certified medical team by enhancing the patient experience and staff productivity.
For insurance and third-party services, the IRDA requires NABH Accreditation: The Insurance Regulatory and Development Authority of India (IRDA) has now required all hospitals impaneled with it to enroll in NABH to provide treatment under Cashless Insurance Schemes (CIS). As it cuts down on inflated invoices and inconsistencies, NABH accreditation assures a fair billing procedure and quality care in hospitals.
Improved workplaces for employees: The training, updates, and skill development, proper NABH Documents that the personnel of NABH Accredited hospitals receives is comparable to those of their equivalents in worldwide hospitals. A positive work atmosphere and increased clinical process expertise are advantageous to the workforce of hospitals with NABH accreditation.
Hospitals benefit from an edge in marketing: The hospital that receives NABH accreditation benefits from increased medical care since it improves its reputation and sets it apart from other hospitals. NABH accreditation can increase patient confidence in the quality of services and healthcare facilities provided by the hospital, which supports in the growth of healthcare services at the hospital.
National Accreditation Board for Hospitals and Healthcare Providers is known as NABH. Implementing and managing an accreditation program for healthcare and hospital organizations is the main objective of NABH. To create goals and benchmarks for the improvement of the health sector, the constituent board of the Quality Council of India attends to the consumers’ highly demanded criteria. Various parties, including the public, the government, and businesses, support the NABH.
How to prepare for NABH accreditation? To become the Hospital accredited by NABH, the administration should prepare a plan of action to obtain a goal. The first stage is to choose a person to oversee all the activities that apply for accreditation and organize their coordination.
The initial step is to suggest a candidate who is acquainted with the current quality assurance system. The officer can identify the gaps where the hospital needs to work and what needs to be improved in this way.
The applicant hospital must have a thorough understanding of the NABH assessment process.
The hospital should employ officers to create benchmarks and oversee the application of higher standards.
The hospital should conduct a self-assessment drive before presenting the quality criteria to the NABH team. They can proceed with submitting the application form if they determine that everything is correct.
What are the NABH records required? There are several statutory and no statutory documented records that the NABH team will ask you to update on their protocol. Other than primary NABH documents like Manual, procedures, SOPs, Plans, etc. following documented records required are listed below:
Hospital registration certificate
Details of doctors and support staff
List of the services provided
NOC from the Fire department
SOPs for the various quality actions followed at the hospital
Any other Empanelment’s/ Accreditations
Bio-medical waste certificate
What are the benefits of NABH accreditation? All healthcare centers with Full NABH or Entry-level NABH receive several benefits. The list below provides some significant benefits of NABH:
Hospitals get improved duties from insurance firms and government panels.
Foundation of huge recognition to the hospital, and helps build customer trust.
Decrease the costs by improving Operational Efficiency
Better staff utilization through training & clearer assignment of roles and responsibilities with credentialing and privileging
Optimizing usage of Materials with better Inventory Management, avoiding Stock-outs
Makes the hospital qualified for the service of global patients
Often monitored results help the workers and other staff members to ensure better services and amenities for the patients.
Reduction in Hospital Infections, Medical Errors, and Accidents resulting in dropping unnecessary stays at the hospital
Hospitalaccreditation.in, providing NABH consultancy and documentation services in India, has announced that introduced Ready-to-use NABH Documents package for Accreditation for AYUSH Centre.
NABH documentation kit by hospitalaccreditation.in contains sample documents required for NABH hospital accreditation as per accreditation Standards for Accreditation for AYUSH Centre Service Providers. All NABH documents for Accreditation for AYUSH Centre are in MS-Word/Excel files and user can edit them. User can make changes as per their organizations need and within few days their entire documents with all necessary controls will be ready. The total documents for NABH for Accreditation is introduced at just 35000 INR., which is very competitive price.
The content covered in the NABH documents for Entry Level Accreditation for AYUSH Centre is listed below:
Sample NABH Manual for hospitals
Sample NABH manual/SOP for departments
System Procedures for hospital
Health and Safety Procedures for hospital
Set of Standard blank forms and system formats
NABH entry level AYUSH centre Audit checklist
NABH entry level AYUSH centre document compliance matrix
Download Sample Documents to understand detailed content covered in this documentation package, which is given on website, anyone can download it and refer them.
Hospitalaccreditation.in also provides NABH Consultancy services for Entry Level Accreditation for AYUSH Centre, which covers following step by step consultancy services.
National Accreditation Board for Hospitals and Healthcare Providers (NABH) offers accreditation programme for Indian hospitals and healthcare providers. NABH has released a new batch of entry-level standards for accreditation of smaller hospitals.
Apart from pre accreditation entry level of healthcare organisations, NABH is entrusted with quality promotion initiatives, awareness activities, education and training for quality and patient safety and recognition of healthcare quality.
Online NABH Training Course with Certification
The online course for NABH Training for Pre Accreditation Entry Level for Hospital designed the knowledge and insights that can prove critical in achieving NABH accreditation for your healthcare organization in India. It also provide knowledge on how to plan and prepare for the required pre-accreditation entry level NABH documents and implement the system in hospitals in India. The NABH training online course offers practical guidelines and tips to overcome accreditation challenges that face hospitals.
The NABH training online course covers overview of NABH awareness, pre-accreditation entry level requirements, NABH documents as well as steps for implementation of pre-accreditation entry level standard for hospital.
Advantages of Learning NABH Accreditation with Online Course
All the contents of presentations, hand-outs and exams are well categorized in four sessions.
All topics like NABH awareness, accreditation requirements, documentation, and system implementation are covered with audio-visual presentation.
Pictures and graphics are drafted in presentation to understand each topic more effectively.
It contains session exams and final exam to evaluate your knowledge.
Allow to download Handouts in pdf format and Print as many copies as required.
It will save 60% time and cost as compare to attend classroom training.
It can be attend anywhere, anytime with PC, Laptop, Tablet or Mobile.