IMA HBI NABH
INITIATIVE(a project of IMA Hospital Board of India)
DR RAVI WANKHEDKARIMA National President Elect 17-18
Past National Sec IMA HBI
JAI IMA
NO LONGER CREAM OF SOCIETY..
CRIMINALS OF SOCIETY
CLINICAL ESTABLISHMENT ACT
• SAVE THE DOCTORS..
SAVE THE PATIENTS
• SAVE THE PATIENTS..
SAVE THE DOCTORS
80 % Healthcare is given by Private Sector80 % Healthcare is given by Private Sector
VIBRANT PVT SECTOR CARRIES ALL THE BURDEN OF HEALTH
SERVICES
Small and Medium private hospitals provinding
quality affordable primary & secondary
healthcare are an Asset and not a liability !!
STATUS OF SMALL HOSPITALS
MORE THAN 800 SMALL HOSPITALS HAVE CLOSED IN
KERALA
IN LAST 10 YEARS.
FRESH SPECIALISTS ARE NOT STARTING INDIVUAL
HOSPITALS
QUESTION OF SURVIVAL..
SAVE DOCTORS..SAVE PATIENTS..
SOLUTION
FORMATION OF HBI
� UNITY OF DOCTORS.
� PROVIDE ALTERNATIVE SOLUTION TO GOVERNMENT.
� DECIDE OUR OWN STANDARDS.
VOLUNTARY ACCREDITATION
SOLUTION
“TREAT IN INDIA”
�RIGHT TO HEALTH.
�INREASE GOVT SPENDING ON HEALTH.�INREASE GOVT SPENDING ON HEALTH.
�INCENTIVES TO DOCTORS SETTING UP
HOSPITALS IN RURAL AREAS.
�NATIONALISATION OF MEDICAL COLLEGES.
JAI IMA
EACH INDIVIUAL DOCTOR IS VERY STRONG
But
OUR ASSOCIATION IS WEAKOUR ASSOCIATION IS WEAK
SOLUTION
�ACTIVE INTERVENTION
during formulation of laws to modify during formulation of laws to modify laws as per our requirements
�IF WE CANT BEAT THEM,JOIN THEM
be prepared with alternative solutions
FRIENDLY
NEIGHBOURHOOD
NURSING HOME
� 24*7
� AFFORDABLE
� ETHICAL
HEALTH CARE
HEALTHCARE
�Available
�Accessible
�Affordable
�Accountable
Ethical,Moral,Legal,Scientific
HEALTHCARE
Accountability Needs Improvement
Can be achieved thro
QUALITY IMPROVEMENT
�ACCREDITATION
HOSPITAL
ACCREDITATION
NEED OF HOURNEED OF HOUR
ACCREDITATION
• ACCREDITATION means classification of
hospitals as per prescribed norms.
• RANKING/GRADING/RATING
• Like STAR Ratings of Hotels
• Like NAC Ratings of Educational Institutes
• Like CRISIL Ratings of Companies
JAI IMA !!
ACCREDITATION
DEFINITION:-
Accreditation is defined as public recognition
of achievement of accreditation standards by
a healthcare organization, demonstrated a healthcare organization, demonstrated
through an independent external assessment
of that organization's level of performance in
relation to the standard.
JAI IMA !!
ACCREDITATION
SALIENT FEATURES
� Independent, objective evaluation process.
� Highly credible and unbiased.
� Broadest possible consensus among users and stake holders.stake holders.
� Encourage improvement in the delivery of healthcare
� Continuous Process
� Voluntary
Worldwide acceptance
JAI IMA !!
ACCREDITATION
Various NGO’s &Semi Govt Organizations do
accreditations
• QCI-NABH
National Accreditation Board National Accreditation Board
for Hospitals& health care providers
• ISO
JAI IMA !!
HOSPITAL ACCREDITATION
HOSPITAL ACCREDITATION
HOSPITAL ACCREDITATION
NABH ACCREDITION
• SCHO – LESS THAN 50 BEDS
• HOSPITALS – MORE THAN 50 BEDS• HOSPITALS – MORE THAN 50 BEDS
• ENTRY LEVEL
• PROGRESSIVE LEVEL
• FULL ACCREDITION
IMA –NABH INITIATIVE
NABH accreditation was always thought to be only
for BIG hospitals,
Very DIFFICULT,
very EXPENSIVE.very EXPENSIVE.
IMA HBI sat & discussed with NABH for nearly six
months.
Fomulated new EASIER guidelines to achieve
ENTRY level accreditation.
This can be easily achieved by SMALL & MEDIUM
level hospitals.
Objectives• To assist hospitals to achieve international
standards in patient care and safety.
• To assist hospitals to countenance CEA .
• To increase the viability of small and mediumhospitals by value addition.
• To provide hospitals an affordable access toaccreditation.
IMA –NABH INITIATIVE
WHY SHOULD MEDICAL
ESTABLISHMENTS BE ACCREDITED ESTABLISHMENTS BE ACCREDITED
WITH NABH ?
QUALITY IMPROVEMENT
IRDA REGULATION
WHY NABH ACCREDITION
EMPANELMENT IN INSURANCE SCHEMES
CLINICAL ESTABLISHMENT ACT
PROTECTION IN MEDICOLEGAL CASES
BETTER BUISNESS
Propagate that your establishment offer facilities that are of better
quality.
Propagate that your premises provide high standards of care with high
level of patient safety.
Get empanelment with CGHS, ECHS,PSUs, and State Government.
Provide better quality of services and that in turn, will generate more
business.
WHY NABH ACCREDITION
business.
Generate faith in Public regarding transparency in billing with no hidden
costs.
Strengthen the faith that the hospital follows a policy a rational use of
drugs including antibiotics, investigations and treatment.
Strengthen the public faith that their rights will be respected and
protected.
You will be better prepared to face Clinical Establishment Act.
You may get exemption from Inspection under CEA.
Apply for empanelment with UN institutions.
Apply for government projects and grants.
Apply for international grants.
Collaborate with other recognized health care establishments.
Generate faith in Public that your hospital does not sell fake/spurious drugs.
Generate faith in Public regarding the accuracy of laboratory tests.
WHY NABH ACCREDITION
Generate faith in Public regarding the accuracy of laboratory tests.
Provide an infection fee, clean, hygienic, environment (with minimal hospital acquired
infections) to the patients.
Get your establishment recognised for DNB, Internship & fellowship programs.
Strengthen the faith that the hospital complies with standard procedures of care with
minimum errors.
Inculcate faith in hospital doctors that their rights are also being respected.
Generate confidence in Public that the hospital will provide safe and secure environment
for them.
As far as possible, Recruit qualified staff, residents and nurses.
Reduce liability insurance costs due to accreditation.
Develop faith in Public that the technicians in the establishment are well-trained and qualified.
Assure the Public that the hospital maintains and strictly follows its infection control policy.
Hence, they will be less apprehensive of acquiring infections like Hepatitis B, Hepatitis C, HIV
and TB when they come to your hospital.
Assure the Public that any news story from the establishment, on TV or print, will be scientific.
WHY NABH ACCREDITION
Assure the Public that any news story from the establishment, on TV or print, will be scientific.
Generate confidence among the Public that their right to confidentiality will be respected and
their medical records would be preserved.
Gain a marketing advantage in terms of costs of treatment or services provided compared to
those who are not accredited as Accreditation means better quality of services.
Enhance the skills and knowledge of your staff further as accreditation will lead to a process of
continuous learning and improvement.
Empanel your establishment with insurance agencies and other third parties as Accreditation
facilitates such processes.
Substantially reduce the chances of people filing cases related to medical negligence against
your establishment as NABH accreditation means that the medical establishment adheres to
standard treatment guidelines. As a result, You will have a stronger defence against
malpractice litigations.
SHCOs (Less than 50 beds)
• Entry Level standards:
No of Standards :41
No of Objective Elements:149No of Objective Elements:149
• Full Accreditation Standards
No of Standards : 61
No of Objective elements : 289
Hospitals(More than 50 beds)
• Entry Level standards:
No of Standards :45
No of Objective Elements:167No of Objective Elements:167
• Full Accreditation Standards
No of Standards : 102
No of Objective elements : 636
IMA HBI NABH INITIATIVE
IMA HBI NABH INITIATIVE
IMA HBI NABH INITIATIVE
IMA HBI NABH INITIATIVE
IMA HBI NABH INITIATIVE
IMA HBI NABH INITIATIVE
IMA HBI NABH INITIATIVE
IMA HBI NABH INITIATIVE
“Cluster Based Technical
Assistance for NABH Pre-
IMA HBI NABH INITIATIVE
Assistance for NABH Pre-
Accreditation Entry Level
Certification Programme”
IMA HBI NABH INITIATIVE
This initiative is a part of the leadership role that IMA played in
championing the cause for a more liberal accreditation programme that
suits the realities of the tens of thousands of small and medium medical
professionals owned hospitals which are the true back bone of the health
care delivery across our country.
The IMA has an exclusive agreement with NABH to promote this
programme across the country and a successful pilot has been working in programme across the country and a successful pilot has been working in
South India over last 2 years with considerable participation.
The technical assistance programme designed and offered by IMA HBI is
implemented Nationally and has been pilot tested and modified to the
needs of small and mid-sized hospitals.
This works on the principle of collaboration between the participants
hospital under the IMA umbrella and offers trustworthy and sound
technical assistance validated and constantly monitored by the IMA team.
Services
1. Baseline assessment
2. Training of Nodal Person
3. Technical assistance in formulating SOPs etc3. Technical assistance in formulating SOPs etc
4. Onsite training
5. Hand holding
6. Mock assessment
FINAL CERTIFICATION WILL BE GIVEN BY NABH
IMA HBI NABH INITIATIVE
The key reason for IMA to develop this cluster based technical support
programme enabling the hospitals to achieve the entry level NABH
accreditation was the prevalent scenario where several private agencies are
offering so called consultancy support at inflated prices and without
sufficient technical knowhow.
There have been several instances over the last few years of our hospitals There have been several instances over the last few years of our hospitals
being swindled by such fly by night operators and agencies.
Any short comings in the support programme shall be immediately addressed
through a monitoring committee of IMA and corrective actions ensured on
receiving any grievances from our participant hospitals.
IMA-HBI-NABH initiative is transparent on the cost sharing to be borne by
each category of hospitals ( classified according to bed strength) and the
services that will be provided by the technical assistance team.
Copy NABH Pre Accreditation Entry Level Standards for hospital :
Rs. 1500/-
OrganizationAssessment Criteria Certification Fee (Rs.)
AssessmentApplication
FeeCertification
Fee
NABHFinancial Terms and Conditions
Hospital One man-day Rs. 2,000/- Rs. 30,000/-
Note : The man days given above for assessment are indicative and may change depending on the facilities and size of the hospital.
Gst applicable
NABH Financial Terms and Conditions
Organization Assessment Criteria Certification Fee (Rs)
Assessment Application FeeCertification
Fee
Copy of NABH Pre Accreditation Entry Level Standards for SHCO : Rs. 1000/-
Assessment Application Fee Fee
SHCO One Man day Rs 1000/- Rs 10,000/-
Note: The man days given above for assessment are indicative and may change depending on the facilities and size of the SHCO.
GST applicable
Expenses of IMA HBI (Entry level
accreditation)
Hospital Size/Category Sharing of IMA’s
expensesexpenses
SHCO (1-50 Beds) Rs 50,000/-
51-100 Beds Rs 1,00,000/-
101-200 Beds Rs 1,50,000/-
201-300 Beds Rs 2,00,000/-
300 plus beds- Rs 2,50,000
• It is not that difficult as it appears..
• Most of things are available & followed..
• Only reorganization & streamlining is needed..
• Pre assessment is done..
ACCREDITATION
• Pre assessment is done..
• Start up kit provided..
• Visits, discussions, training of staff done
beforehand..
• Inspection done only when we are ready..
IMA HBI NABH INITIATIVE
NOT AS DIFFICULT AS IT APPEARS
TOGETHER WE CAN DO IT
IMA –NABH INITIATIVEHOW TO DO IT?
1-Become IMA HBI Member.
2-Fill IMA HBI NABH Application Form.
3-Pay necessary fees.
4-Attend daylong workshop.
Contact-Dr Jayesh Lele
09819812996
Dr Mangesh Pate
09820064054
Dr Dinesh Thakre
08888129007
Dr Neeta Biyani
09823442140