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Quality of health care and the
initiatives to address the crucial factors provided by the
health care delivery system become the
world-wide phenomena. Many countries are exploring various
means and methods to improve the quality of health care
services. In India, the quality of services provided to the
population by both public and private sectors is
questionable.
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NABH accreditation system is one of the methods for commitment
to
quality enhancement throughout the whole of the health care
system in
India and abroad. |
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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. |
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National Accreditation Board for Hospitals and Health Care
Providers (NABH) is a constituent Board of QCI, set up with
co-operation of the Ministry of Health & Family Welfare,
Government of India and the Indian Health Industry. In India
concerns about how to improve health
care quality have been frequently raised by the general public
and a
wide variety of stakeholders, including government, professional
associations, private providers and agencies financing health
care.
This Board will cater to the much desired needs of the consumers
and
will set standards for progress of the health industry. This
Board
while being supported by the stakeholders including industry,
consumers, Government, will have full functional autonomy in its
operations. |
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•
The main purpose of NABH accreditation is to help planners to
promote, implement, monitor and evaluate robust practice in
order to
ensure that occupies a central place in the development of the
health
care system.
• Current policies and processes for health care are inadequate
or not
responsive to ensure health care services of acceptable quality
and
prevent negligence. Problems range from inadequate and
inappropriate
treatments, excessive use of higher technologies, and wasting of
scarce resources, to serious problems of medical malpractice and
negligence.
• Quality Assurance should help improves effectiveness,
efficiency and
in cost containment, and should address accountability and the
need to
reduce errors and increase safety in the system.
• Thus the objective of NABH accreditation is on continuous
improvement in the organizational and clinical performance of
health
services, not just the achievement of a certificate or award or
merely
assuring compliance with minimum acceptable standards. |
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NABH Standards for
Hospitals have been drafted by Technical Committee
of the NABH and contains complete set of standards for
evaluation of
hospitals for grant of accreditation. The standards
provide framework
for quality assurance and quality improvement for
hospitals. The
standards focus on patient safety and quality of patient
care. The
standards are equally applicable to hospitals & nursing
homes in the
Government as well as in the private sector.
Patients are increasingly and appropriately aware of
healthcare
issues, and desire participation in decisions affecting
their health.
The ultimate responsibility of a health care system is to
the patient.
Adherence to high standards, such as those related to
timeliness of
treatment, diagnostic accuracy, clinical relevance of the
tests
performed and interventions, qualifications and training
of personnel,
and prevention of errors, is an ethical responsibility of
all hospital
staff.
Accreditation standard requirements ensure that the
owners, managers
and staff comply with appropriate technical and
professional standards
regardless of cost pressures and avoidance of personal,
financial and
organizational conflicts of interest
To develop a general conceptual foundation and framework
for a process
of quality assurance for guaranteeing commonality of
approach to
institutions, delineating the domains of quality to be
measured and
the development of a credible, effective and transparent
system of
accreditation, meaningful participation of the
stakeholders is
essential and pre-requisite.
Standards and Objective Elements for evaluation have been
set in the
following 10 areas, specifying the clear intent of the
standards:-
Patient Centered Standard
Access, Assessment and Continuity of Care (ACC)
Care of Patient (COP)
Management of Medication (MOM)
Patient rights and Education (PRE)
Hospital Infection Control (HIC)
Organization Centered Standards
Continuous Quality Improvement (CQI)
Responsibilities of Management (ROM)
Facility Management and Safety (FMS)
Human Resource Management (HRM)
Information Management System (IMS) |
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