NABH Accreditation

National Accreditation Board for Hospitals & Healthcare Providers (NABH) established in 2005, is an autonomous body governed Quality Council of India (QCI). NABH is responsible for framing the strategy, general policy, and constitution, and monitoring the QCI standards. The NABH standards offer a framework for quality assurance and quality control and quality improvement also focusing on the safety of the patient and quality of healthcare based upon national/international standards.

Types of NABH Accreditation:

• NABH Entry-Level Certification

As a big number of hospitals face difficulties in implementing all the Standards of Accreditation, Thus NABH has introduced Pre-Accreditation - Entry Level Certification standards, in order to enhance the quality of patient safety and care. The purpose is to introduce quality and accreditation to the hospitals and clinics as their first step towards awareness along with several benefits.

• Full NABH Accreditation

Upon NABH Pre Accreditation Entry Level Certification is obtained, the HCO now prepares and moves to the next stage which is called Progressive Level and at the end Hospital will go for full Accreditation. NABH's full accreditation methodology provides a step-by-step and dramatic approach, which is applied by the HCOs. The aspirant hospital shall conduct self-assessment of NABH Pre Accreditation Entry Level standards

There are various benefits to all the stakeholders of the organization, few of them are listed below:

• It systemizes the hospital processes and protocols
• It gives a huge recognition to the Hospital
• Improves the quality and standard of health care
• Gives safe workplace and job satisfaction to employees
• Recognition of the hospital gives recognition to all hospital staff.
• Ensures safety parameters are up to mark
• Continuous improvement and enhanced productivity of the operations
• The hospital shall service for global patients
• Enhances the professional development of the staffs
• Patients will be protected and well respected
• The recognition increases the patient flow that boosts the revenue
• Patent happiness regularly monitored resulting in more polite staff, less waiting, better services and amenities.

Step1 - Application Submission to NABH: The hospital shall apply to NABH in the recommended application form. The application shall accommodate the following:

• Process the application fee as described in the application form
• Self-declaration of Terms and Conditions for described by NABH
• Fill in Self-Assessment from as suggested by NABH.
• Prepare Hospital Manual/Quality Standards (as per NABH standards)
• Upload the relevant documents i.e.

1. Different policies and procedures of the hospital
2. Fire NOC
3. Lift NOC (If lift available)
4. MCA related NOC
5. Police NOC
6. Pollution NOC
7. ID & Address proof of the proposed directors
8. Bank statement/Mobile Bill/Electricity Bill/Telephone Bill
9. Number of shares to be allotted
10. Details of the shareholding percentage to be allotted to each subscriber
11. Objects of the proposed Company
12. Any special clauses to be inculcated in the Memorandum and Articles of Associations
13. Signage NOC and other relevant documents related to hospital approval.

Step2 - Application review By NABH team: Post receivable of the NABH application, the application form shall be scrutinized and acknowledgment letter for the submission shall be issued to the hospital along with a unique reference number.

Step3 - Pre-Assessment: The next step is NABH aligns a Principal Inspector/ Valuation Team who is accountable for pre-assessment of the hospital.  The objective of Pre-assessment is as below:

• Check the preparation of the hospital for final assessment
• Review the scope of authorization and determine the prerequisite of the number of assessors and the duration of the accreditation
• Review of the documentation/SOPs of the hospital
• Clarify the practice to be adopted for assessment.

Step4 - Final Assessment: The applicant hospital is mandatory to take essential corrective action to the unconventionality pointed out during the pre-assessment. The final valuation includes a full review of hospital functions and services.

Issue of Accreditation Certificate: Upon the above steps, NABH shall issue an accreditation certificate to the hospital for the duration of three years. The certificate is accompanied by a scope of accreditation.

Step5 - Surveillance and Reassessment: As discussed above accreditation of hospital is valid for a period of three years. NABH team conducts one investigation of the accredited hospitals in one accreditation cycle of three years. The medical establishment shall apply for the renewal of accreditation at least six months before the expiry of validity.

Preparing for NABH Accreditation

Hospital administration shall prepare a plan of action for obtaining accreditation and shall appoint a responsible person/organization to co-ordinate all activities related to seeking accreditation. At Corpseed, we are dedicated team helping hospitals to achieve 100 % NABH compliance. Recently there are major changes in NABH policies that are which are going to be implemented in hospital echo system prior to NABH team audit. We have carefully trained our professionals to cater the hospitals and fulfil the gap. Below are few of the steps for NABH Accreditation preparation:

• An official shall be nominated and the officer should be familiar with existing hospital quality assurance system.
• The hospital seeking accreditation shall comprehend with the NABH assessment procedure.
• The appointed offers shall ensure that the standards are implemented in the organization.
• The aspirant hospital must have conducted self-assessment against NABH standards three months prior to submission of application form and must ensure that it complies with NABH Standards.