Quality Wave in Healthcare – is it real or is it a mirage

July 3, 2017 by · Leave a Comment
Filed under: Healthcare, Healthcare Quality, Hospital, NABH 

IS THERE REALLY A QUALITY WAVE IN THE COUNTRY IN THE HEALTHCARE SECTOR?

Author: D.Satishkumar, Principal Consultant Value Added Corporate Services P Ltd

The healthcare sector in the country has witnessed a lot of changes over the past few years. One of the changes to have happened is in the area of quality of healthcare delivery and the necessity to introduce accreditation / certification systems to evaluate and monitor the same.

NABH Accreditation assumes larger significance in this context. Accreditation relies in establishing the technical competence of an organisation to deliver services adhering to specific standards.

The hospital accreditation program (NABH) was launched in the year 2006 in the country. Initially NABH came up with 2 set of standards, one for hospitals with more than 50 beds which was called as NABH Accreditation and another standard for hospitals between 20 & 50 beds called NABH SHCO (Small Healthcare Organistions)

Initially there were a very few takers as Quality and Accreditation were something which were alien to the healthcare sector. The first wave to go for accreditation started gaining momentum when in the year 2008 / 2009 CGHS made accreditation standards mandatory for hospitals which needed empanelment with them. Hospitals which had empanelment with CGHS and which wanted to empanel with CGHS went for accreditation but after that there was a downtrend and the numbers started stagnating. Most of the smaller facilities faced difficulties in complying to the requirements laid down by the accreditation body. NABH felt that a smaller version needs to be introduced with reduced requirements so that the small and mid-sized facilities would also start going for accreditation, there by ensure atleast some basic quality of care to patients.

This article discusses whether introduction of Entry Level Accreditation has really increased the number of organisations seeking quality.    Read More

IRDA MANDATES HOSPITALS ON NABH ACCREDITATION

September 14, 2016 by · Leave a Comment
Filed under: Uncategorized 

INSURANCE REGULATORY AND DEVELOPMENT AUTHORITY OF INDIA

NOTIFICATION

Hyderabad, the 12th July, 2016
Insurance Regulatory and Development Authority of India (Health Insurance) Regulations, 2016 

“All such providers offering cashless services for allopathic treatment shall meet with the preaccreditation entry level standards laid down by National Accreditation Board for Hospitals (NABH) or such other standards or requirements as may be specified by the Authority from time to time within a period of two years from the date of notification of these Guidelines. (Explanatory Note: Network Providers are to visit NABH website for details regarding procedure for obtaining the necessary accreditation)”

Ref notification: IRDA/HLT/REG/CIR/146/07/2016 dated 29.07.2016

Click here to see Notification

Major insurance cos refuse to include Ayush treatment in mediclaim despite IRDA order

May 31, 2013 by · Leave a Comment
Filed under: Uncategorized 

Major insurance companies in the country are refusing to abide by the IRDA order to include Ayush products and services in the mediclaim insurance policy. IRDA issued a directive in this regard sometime in last February after repeated representations from ayush industry.

 

IRDA under section 5(1) of the IRDA (Health Insurance) Regulations, 2013, had issued a notification directing inclusion of the Indian System of Medicines (ISM) in the mediclaim insurance policy. But, no insurance companies have taken steps to comply with the IRDA order so far.

 

It is understood that insurance companies across the country are citing ignorance on this matter to avoid providing coverage to the ISM sector under mediclaim policy. Ironically, the new regulation which came into force with effect from February 18, 2013, states that the insurers may provide coverage to non-allopathic treatments provided the treatment is taken in a government hospital or in any institute recognised by government and or is accredited by Quality Council of India (QCI), National Accreditation Board on Health(NABH) or any other suitable institutions.

 

However, Prabodh Shah, president, Gujarat Ayurvedic Aushadh Manufacturers Association (GAAMA), informed that most of the insurance companies in Gujarat have been claiming that they have yet not received any notification from the IRDA on this matter. “We are shocked by this attitude which constantly sidelines the interest of the ASU industry. What is more concerning is that this delay in realising our long standing demand, is resulting in undue difficulties to the patients who are keenly awaiting to utilise the benefit of mediclaim policy for ISM treatment options,” Shah pointed out.

 

He further stressed that the only way to deal with this issue is to ensure that the IRDA ensues a sensitisation drive on this issue among the insurance companies so that they may not pretend ignorance on this matter.

 

Source : Pharmabiz News dt May 29, 2013, 0800 IST

 

 

IRDA comes up with landmark draft health insurance regulations – Moneylife Personal Finance site and magazine

May 31, 2012 by · Leave a Comment
Filed under: Uncategorized 

IRDA comes up with landmark draft health insurance regulations – Moneylife Personal Finance site and magazine.