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How to start the hospital

Commitment to create a culture of quality, patient safety, efficiency and accountability towards patient care The Accreditation at the hospitals is not only performed the evidence-based practices but also give Importance to Quality, Affordable, Non-Expensive, Effective Healthcare Services to the people. The Accredited Board is being supported by all stakeholders including industry, consumers, government, have full functional autonomy in its operation.

Why Hospitals Should Be NABH Accreditation?

NABH (National Accreditation Board for Hospitals & Healthcare Providers) is a constituent board of Quality Council of India Certification, set up to establish and operate accreditation programme for healthcare organizations. NABH was established in 2006

What is NABH Accredited?

National Accreditation Board for Hospitals and Healthcare Providers (NABH) defines Hospital Accreditation as a public recognition by a national or international healthcare accreditation body. The Accreditation at the hospitals is not only performed the evidence-based practices but also give Importance to Quality, Affordable, Non-Expensive, Effective Healthcare Services to the people.

NABH Standards

The NABH standards which are as follows

Access, Assessment, and Continuity of Care

Care of Patients (COP)

Management of Medication (MOM)

Patient Rights and Education (PRE)

Hospital Infection Control (HIC)

Continual Quality Improvement (CQI)

Responsibilities of Management (ROM)

Facility Management and Safety (FMS)

Human Resource Management (HRM)

Information Management System (IMS)

Advantages Of NABH Accredition


NABH standards facilitate patient safety and reduction in errors

Improved quality of care and importance to patient rights results in a greater patient satisfaction rate

Accreditation helps improve the confidence of the community towards the services provided by the hospital


Results in greater staff satisfaction as it provides an opportunity for continuous learning, good working environment, and ownership of clinical processes

It also helps recruitment activities as the staff prefers to work with an accredited organization over a non- accredited organization

It ensures staff efficiency, accountability, and adherence to Standard Operating Procedures

Accreditation bodies provide continuous support and training to the accredited organization


In addition to the above, an accreditation helps the organization streamline its processes and ensure adherence to it

It also provides a framework for setting up quality improvement plans

Helps in risk management

The accreditation process

1.Begin with the accreditation process by education: Educate the leaders and the managers and explain the benefits, advantages, process, timeline, etc., of the accreditation

Baseline assessment: Use knowledgeable and credible evaluators (either internal or external consultants) who will critically and objectively assess each area and conduct a detailed baseline assessment of the organization’s current adherence to the standards and each measurable element. Score as “Met,” “Partially Met,” or “Not Met” and cite specific findings and recommendations. Also collect and analyze baseline quality data as required by the quality monitoring standards (e.g., medication errors, hospital-associated infection rates, antibiotic usage, surgical complications, etc.) Establish an ongoing monitoring system for data collection (e.g., monthly, with quarterly data analysis) to identify problem areas and track progress in improvement.

2.Action planning: Using the findings of the baseline assessment, develop a detailed project plan starting first with priority areas of the core standards. Responsibilities, deliverables, and timeframes should be assigned (e.g., revise informed consent policy, develop a new informed consent statement, educate staff in the next two-month time period.)

Chapter assignment: Look for good people skills, time-management skills, and consensus-building skills, and assign oversight of each chapter of standards to a respected champion or leader who will identify team members from throughout the hospital and carry out the process.

3.Policies and procedures: In addition to an overall project plan, it is often helpful to compile a list of all required policies and procedures that will need development and revision. Continue to monitor your progress in meeting the standards, such as through a mini-evaluation of each chapter at regular intervals (e.g., quarterly).

4.Final mock survey: Plan for a final “mock survey ” at least four to six months in advance of the target date of the actual accreditation survey. Use evaluators (internal or external consultants) who were not involved in the baseline assessment and preparation, who will look at the organization with a fresh and objective eye. Plan final revisions and corrections based on the findings of the final mock survey.

NABH Consultants

our NABH Accreditation Consultancy Services help clients in following the systematic process in order to meet quality standards of many hospitals. These offered services are rendered by our diligent and well-versed professionals in accordance with standards laid down by accreditation bodies. Services that we offer are widely appreciated for their time-execution, reliability, and authenticity.

National Accreditation Board for Hospitals & Healthcare Providers (NABH) is a constituent board of Quality Council of India. set up to establish and operate accreditation programme for healthcare organizations. Shamkris Global provides services to healthcare institutions in achieving accreditation for Hospitals, Blood Bank. Blood Storage Centre. MlS. Dental Facilities. OST Centre. Allopathic Clinics. AYUSH Hospitals, CHC, PHC, Wellness Centers. Our Mediance Consultants Specialists Help You to Guide The NABH Rules With a safe And Secure manner.

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