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Widescreen Presentation: Tips and Tools For Creating and Presenting Wide Format Slides

The National Accreditation Board for Hospitals and Healthcare Providers (NABH) establishes standards for healthcare quality and accreditation in India to ensure patient safety, competent staff, and continuous quality improvement; NABH accreditation benefits hospitals by demonstrating quality commitment, stimulating improvements, enhancing community trust, and assuring global acceptance; the accreditation process involves assessing hospitals' adherence to standards for areas like access to care, medication management, infection control, and facility maintenance.

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670 views8 pages

Widescreen Presentation: Tips and Tools For Creating and Presenting Wide Format Slides

The National Accreditation Board for Hospitals and Healthcare Providers (NABH) establishes standards for healthcare quality and accreditation in India to ensure patient safety, competent staff, and continuous quality improvement; NABH accreditation benefits hospitals by demonstrating quality commitment, stimulating improvements, enhancing community trust, and assuring global acceptance; the accreditation process involves assessing hospitals' adherence to standards for areas like access to care, medication management, infection control, and facility maintenance.

Uploaded by

dhir.ankur
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPTX, PDF, TXT or read online on Scribd
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NATIONAL ACCREDATION BOARD FOR HOSPITALS

& HEALTH CARE PROVIDERS

Widescreen Presentation
NABH is a constituent board of Quality Council of India (QCI), set up to establish and operate
accreditation program me for healthcare organizations.

The board is structured to cater to the much desired needs of the consumers and to set benchmarks

Tips and tools for creating and


for progress of the health industry

NABH accreditation system is one of the methods for commitment to quality enhancement

presenting wide format slides


throughout the whole of the health care system in India. It involves all professional and service
groups to ensure that high quality in health care is achieved, while minimizing the inherent risks
associated with modern health care delivery
BENEFITS
Benefits of NABH accreditation

Hospitals can demonstrate the commitment to quality care and patient safety.
Hospitals can demonstrate that the services are provided by competent doctors and
para-medical staff.
Hospitals can demonstrate a proven effective system for empanelment by insurance
and other third parties in todays market competition.
NABH accreditation will stimulate continuous improvement of the system for quality
patient care and safety.
It will enhance in raising the confidence of the community in the services provided
by the hospital.
It will assure global acceptance since NABH is a member of the International Society
for Quality in Health Care (ISQua).
It will enable the hospital to benchmark against the best and claim the worth.
It will help in the drastic reduction in a variety of medical and surgical errors,
reduction in injuries to staff, reduction in injuries to patients and ensure safe
medication administration and care.
It will create a safety culture in the hospital.
It provides a comprehensive approach right from the patient access to the hospital
to the discharge of patients applicable to all outpatients, in patients and casualties.
NABH REQUIREMENTS
It enables to streamline the following areas:
Co-ordination

Plan
Time
Medication
Monitoring
Assessment
of
frame
caresystems
management
forbetween
strategies
patient
and the right and
management
departments people
involved in the
continuity
delivery of care

Assessing and identifying existing status and gaps using NABH and
other standards
Conducting work shop for creating awareness among employees in all
Our Services levels of the hospital
Developing policies and systems in the entire process of the hospital
Patient Centered Standards for filling the gaps
1 Access, Assessment and Continuity Assistance in preparing all documents for the NABH accreditation
including manuals, protocols, infection control policy etc
of Care (AAC) Advice for Infrastructure up gradation
2 Care of Patients (COP) Assistance in fixing minimum competency of the staff
Assistance in preparing the organization chart, policies and employee
3 Management of Medication (MOM) manual
4 Patient Rights and Education (PRE) Assistance in finalizing the responsibility and authority of various
designations
5 Hospital Infection Control (HIC) Training need identification, planning and effectiveness evaluation
Organization Centered Standards Implementation of system for maintenance of Equipments, Services and
calibration
6 Continuous Quality Improvement Human resource control procedures
(CQI) SOPs preparation with the help of process owners
7 Responsibilities of Management Preparation of department operating procedures
Training of lower category work force
(ROM)
Assess of patient satisfaction
8 Facility Management and Safety Assess of employee satisfaction
(FMS) Hospital utilization rate, monitoring and analysis
9 Human Resource Management Mock drills and rehearsal
(HRM) Internal auditors training
10 Information Management System Internal audit & Management review
(IMS)
Assistance in identification & traceability
Assistance in setting corporate objectives.
Assistance in formulating Quality Policy
Training for the MR. (Management Representative) for taking care of
NABH Accreditation Criteria
o patients
and/or family members are explained about the proposed care.
and/or family members are explained about the expected results.
and/or family members are explained about the possible complications.
and/or family members are explained about the expected costs.

patient and family


ersonal dignity and privacy during examination, procedures and treatment.
sal of treatment.
sent before anesthesia, blood and blood product transfusions and any invasive or high-risk procedures.
n how to voice a complaint.
/ her clinical records.

estigations
ualified and trained personnel perform and/or supervise the lab investigations.
procedures guide collection, identification, handling, safe transportation and disposal of lab specimens.
nd imaging results are available within a defined time frame.
Widescreen Pictures
s are intimated immediately to the concerned personnel.

maging quality programme addresses


Pictures verification
can also and validation
be presented of test methods.
more dramatically in
maging quality programme includes
widescreen. periodic calibration and maintenance of all equipments.
maging programme includes the documentation of corrective and preventive actions.
NABH ACCREDATION CRITERIA
Surgical services
Medication
Surgical patients have a pre-operative assessment and a
provisional diagnosis, documented prior to surgery. Documented policies and procedures exist for
Documented policies and procedures exist to prevent adverse
prescription of medications.
events like wrong site, wrong patient and wrong surgery.
The organization defines a list of high-risk medication.
The operating surgeon documents the post-operative plan of
care. High-risk medication orders are verified prior to dispensing.
There is a documented policy and procedure for the
administration of anesthesia. Infection control
All patients for anesthesia have a pre-anesthesia assessment
by a qualified individual. The hospital has an infection control team.
During anesthesia, monitoring includes regular and periodic The hospital has designated and qualified infection control
recording of heart rate, cardiac rhythm, respiratory rate, blood nurse[s] for this activity.
pressure, oxygen saturation, airway security and level of
Hand-washing facilities in all patient care areas are accessible to
anesthesia.
health care providers.
Compliance regarding proper washing of hands is monitored
regularly.
Isolation/ barrier nursing facilities are available.
Adequate gloves, masks, soaps, and disinfectants are available
and used correctly.
NABH ACCREDATION CRITERIA
Facility and infrastructure maintenance

The organization's environment and facilities operate to


ensure safety of patients, staff and visitors
There is a documented operational and maintenance
[preventive and breakdown] plan.
Up-to-date drawings are maintained which detail the site
layout, floor plans and fire escape routes.
The provision of space shall be in accordance with the
available literature on good practices [Indian or International
Standards] and directives from government agencies.
There are designated individuals responsible for the
maintenance of all the facilities.
Maintenance staff is contactable round the clock for
emergency repairs.
Response times are monitored from reporting to inspection
and implementation of corrective actions.
Defined procedures for situation of bed shortages are
followed.
Other
Ambulance[s] is appropriately equipped.
Ambulance[s] is manned by trained personnel.
There is a checklist of all equipment and emergency
medications in the ambulance.
An Integrated approach: ISO & NABH

Certification to the ISO 9001 is a standard recognized internationally in and out of the healthcare field, and, as such, NABH Standards can be co-related to:

Management of quality of hospital health care services (ISO 9001)

Management of hospital activities and processes having adverse impact on the environment
(ISO 14001)

Management of occupational health and safety risks (OHSAS 18001)

Management of safety of food served to patients and other visitors (HACCP/ISO 22000)

Management of hospital internal laboratory (ISO 15189).

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