Envisioning IMA Hospital Board of Indiaimahbi.in › wp-content › uploads › 2018 › 01 ›...
Transcript of Envisioning IMA Hospital Board of Indiaimahbi.in › wp-content › uploads › 2018 › 01 ›...
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Indian Medical Association Hospital Board Of India
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HOSPITAL ACCREDITATION
NEED OF HOUR
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Survival Of Small & Medium Size Hospitals
• How will they survive? • How can they protect themselves
from encroachment by Corporate Hospitals?
•What up gradation will they need to be competent enough to survive?
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Survival Of Small & Medium Size Hospitals
We are in era of ‘Consumerism’.
Don’t forget, your patient is a your consumer in eyes of Consumer Protection Act.
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Survival Of Small & Medium Size Hospitals
Law Makers have made provision of Consumer Forums to protect rights of consumers.
You are treated there as the offenders.
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Survival Of Small & Medium Size Hospitals
Consumer Forums favour consumers while giving judgement.
What they need to give the judgement against doctor?
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Survival Of Small & Medium Size Hospitals
Lack of evidence on part of the doctor.
How will you be able to give evidence to save yourself?
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Survival Of Small & Medium Size Hospitals
By proper documentation of
your quality of care, your communication with patient, measures of patient safety and respect of patient’s rights.
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Survival Of Small & Medium Size Hospitals
And approval / stamp / guarantee by some reputed agency, relied upon by judiciary, that you do all this as per norms on regular basis.
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IMA–NABH INITIATIVE (a project of IMA HBI)
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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
medium hospitals by value addition.
• To provide hospitals an affordable
access to accreditation.
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NABH Standards and Objective Elements
• A standard is a statement that defines the structures and processes that must be substantially in place in an organisation to enhance the quality of care.
• Objective element is a measurable component of a standard.
• Acceptable compliance with objective elements determines the overall compliance with a standard.
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Prototype of a Standard And Its Objective Elements
• AAC. 1 The organization defines and displays the services that it can provide
Objective Elements:
a. The services being provided are clearly defined.
b. The defined services are prominently displayed.
c. The relevant staffs are oriented to these services.
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SHCOs
(Less than 50 beds)
• Pre Accreditation Entry Level standards:
No of Standards : 41
No of Objective Elements : 149
• Full Accreditation Standards
No of Standards : 61
No of Objective elements : 289 14
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Hospitals
(More than 50 beds)
• Pre Accreditation Entry Level Standards:
No of Standards : 45
No of Objective Elements : 167
• Full Accreditation Standards:
No of Standards : 102
No of Objective elements : 636
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NABH Financial Terms and Conditions
Book of NABH Pre Accreditation Entry Level Standards
for Hospital : Rs. 1500/-
Organization
Assessment Criteria
Certification Fee (Rs.)
Assessment
Application
Fee
Certification
Fee
Hospital
One man-day
Rs. 2,000/-
Rs. 25,000/-
Note : The man days given above for assessment are indicative and may
change depending on the facilities and size of the hospital.
Service Tax applicable from time to time (currently @ 14%) will be charged
on all the above fees.
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NABH Financial Terms and
Conditions
Organization
Assessment Criteria
Certification Fee (Rs)
Assessment
Application Fee
Certification Fee
SHCO
One Man day
Rs 1000/-
Rs 10,000/-
Book of NABH Pre Accreditation Entry Level Standards for SHCO :
Rs. 1000/-
Note: The man days given above for assessment are indicative and may
change depending on the facilities and size of the SHCO.
Service Tax applicable from time to time (currently @ 14 %) will be charged
on all the above fees. You are requested to please include the service tax in
the fees accordingly while sending to NABH. 17
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Services By HBI
1. Baseline assessment,
2. Training of Nodal Person,
3. Technical assistance in formulating SOPs and
policies,
4. Onsite training,
5. Hand holding,
6. Mock assessment.
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NABH Accreditation
• IMA is of the view that all nursing homes or medical establishments should be accredited with NABH.
• IMA is playing role of “facilitator” in this process.
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LITIGATIONS
What are the two most common reasons for
litigations on doctors?
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Reasons For Litigations
1. Lack Of Communication
2. Lack Of Documentation
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With NABH Accreditation, you have to..
Communicate What You Have Documented…
And, Document What You Have Communicated…
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With NABH Accreditation.
With this practice, made inbuilt by NABH Accreditation, the litigation rate drastically drops down to 10 % of current rate.
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With NABH Accreditation, you will be able to..
Propagate that your
establishment offers
facilities that are of
better quality.
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With NABH Accreditation, you will be able to..
Propagate that your
premises provides
high standards of care with
high level of patient safety.
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With NABH Accreditation, you will be able to..
Provide better quality of
services which, in turn, will
generate more business.
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With NABH Accreditation, you will be able to..
Get empanelment with CGHS, ECHS, PSUs and State Government.
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With NABH Accreditation, you will be able to..
Apply for empanelment with UN institutions.
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With NABH Accreditation, you will be able to..
Recruit qualified staff, residents and nurses.
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With NABH Accreditation, you will be able to..
Apply for Government projects and grants.
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With NABH Accreditation, you will be able to..
Apply for international grants.
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With NABH Accreditation, you will be able to..
Collaborate with other recognized health care establishments.
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With NABH Accreditation, you will be able to..
Generate faith In public that your hospital does not sell fake / spurious drugs.
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With NABH Accreditation, you will be able to..
Strengthen the public faith that their rights will be respected and protected.
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With NABH Accreditation..
Similarly, the hospital doctors will have faith that their rights are also being respected.
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With NABH Accreditation..
Public will be confident that the hospital will provide a safe and secure environment for them.
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With NABH Accreditation..
Public will have faith that the technicians in the establishment are
well trained and qualified.
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With NABH Accreditation..
Public will be assured that the hospital maintains and strictly follow the infection control policy.
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With NABH Accreditation..
Hence, they will be less apprehensive of acquiring infections like Hepatitis B, Hepatitis C, HIV and TB when they visit your hospital.
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With NABH Accreditation..
Public will be assured that any news story from the establishment, on TV or in print, will be scientific.
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With NABH Accreditation..
Public will be confident that their right to confidentiality will be respected. And, their medical records will be preserved as per law.
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With NABH Accreditation..
Accreditation means better quality of services.
So you have a marketing advantage in terms of costs of treatment or services provided compared to those who are not accredited.
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With NABH Accreditation..
Accreditation will lead to a process of continuous learning and improvement, which will further enhance the skills and knowledge of your
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With NABH Accreditation..
Accreditation will facilitate empanelment with insurance agencies and other third parties.
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With NABH Accreditation..
NABH Accreditation means the medical establishment will adhere to standard treatment guidelines.
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With NABH Accreditation..
As a result, there will be less opportunities for people filling cases for medical negligence. You will have a stronger defense against malpractice litigations.
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With NABH Accreditation..
Accreditation also reduces liability insurance costs.
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With NABH Accreditation..
Under consideration of Law Makers that the NABH Accredited medical establishments shall be exempted from regular inspections (Harassments) by the
District Authority under CEA. 48
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