Post on 09-Jan-2017
transcript
Understanding Quality Control
and
Accreditation Process
Medishine Hospital-2015
NABH Standards
• 10 chapters
• 100 standards
• 514 objective elements
• Each accreditation standard is a statement of an
expectation or requirement which makes it possible
to deliver quality care
• Objective element are sub components of standards
QUALITY FROM WHOSE POINT OF VIEW ?
• Provider of Health
care Services
• Recipient of the
Health care services
PATIENT CENTERED STANDARDS:
• Access, Assessment and Continuity of Care (AAC)
• Care of Patients (COP)
• Management of Medication (MOM)
• Patient Rights and Education (PRE)
• Hospital Infection Control (HIC)
RECIPIENTS CONCERNS
• Accessibility
• Affordability
• Prompt attention
• Less waiting time
• Early diagnosis and cure
• Return to Productivity as early as possible
• Humane Treatment i.e. to be treated with empathy ,
respect and concern
ORGANIZATION CENTERED STANDARDS:
• Continuous Quality Improvement (CQI)
• Responsibilities of Management (ROM)
• Facility Management and Safety (FMS)
• Human Resource Management (HRM)
• Information Management System (IMS)
ORGANISERS CONCERNS
• Responsible to the
management for the funds
spent on health care
• To ensure safety of public &
prevent inappropriate or
suboptimal care
• To meet the requirements of
the recipient and provider of
the health care services at
Acceptable costs
HOSPITAL MANUAL
• The Hospital manual is a
mandatory documents for NABH
accreditation certification
• It maintains quality system in
hospital and medical lab and
research center.
• This manual documents describes
scope of services, hospital policy
and mission, applicable law and
regulation, quality policy and
organization structure.
ये क्या है…?
HOSPITAL MANUAL
Access, Assessment
and
Continuity of Care
(AAC)
HOSPITAL MANUAL
Access - Scope of services
• Registration Policy for Admission
• Filling the admission form
• Procedure during non availability of beds
• Laboratory safe practices
• Radiology services
• Admission of patient in ICU
• …….etc
Assessment Policy – Scope of Services
• Discharge Procedure Care of Patients (COP)
• Uniform care of patient
• Administration of Anesthesia
• Admission Criteria for ICU
• Ambulance services
• Bed Management in ICU
• Care of patient under Surgical Procedure
• Care of Vulnerable Patient
• Criteria for Discharge of Patient
• Emergency care
• Handling of Medical Legal Cases
• End of Life Care
• Nutritional Assessment of Patient
• Pain Management
• Prevention on Adverse Event in Surgical Patient
• Pharmacy Services
• Acquisition of medicines
• Storage of medication
• Prescription of medicines
• Verbal order of medication
• List of high risk medication
• Dispensing of medication
• Medication administration
List of condition required informed consent
• Patient Charter
• Display Copy
• Hospital Infection Control (HIC)
• Infection control manual
• Personal Hygiene
• Personal Attire
• Hand Washing
• Receipt of used material for Processing
• Proper Method of cleaning
Benefits of
NABH
Accreditation
BENEFITS TO THE CLIENTS
• Good health outcomes.
• Client satisfaction.
• Value for money
• Less frustration
BENEFITS TO HEALTH PROVIDERS
• Health staff become more satisfied with their
work.
• Health workers understand patients better.
• Information flow among staff is improved.
• Health staff who perform well are rewarded.
BENEFITS TO THE HEALTH INSTITUTIONS
• Patients become more satisfied with the
services.
• More patients may use our services.
• The environment will become clean and
beautiful.
• The facility will have a good reputation
PREMANSHU DEY Lead Trainer – IIC India